bluuebunny/crossref_metadata_2025_split huggingface dataset:
Licoricesaponin G2 ameliorates bleomycin-induced pulmonary fibrosis via targeting TNF-α signaling pathway and inhibiting the epithelial-mesenchymal transition
Authors: Ma Jing , Ding Lu , Zang Xiaoyu , Wei Ruonan , Yang Yingying , Zhang Wei , Su Hang , Li Xueyan , Li Min , Sun Jun , Zhang Zepeng , Wang Zeyu , Zhao Daqing , Li Xiangyan , Zhao Linhua , Tong Xiaolin 
Published: September 2024

BackgroundPulmonary fibrosis (PF) emerges as a significant pulmonary sequelae in the convalescent phase of coronavirus disease 2019 (COVID-19), with current strategies neither specifically preventive nor therapeutic. Licoricesaponin G2 (LG2) displays a spectrum of natural activities, including antibacterial, anti-inflammatory, and antioxidant properties, and has been effectively used in treating various respiratory conditions. However, the potential protective effects of LG2 against PF remain underexplored.MethodsNetwork analysis and molecular docking were conducted in combination to identify the core targets and pathways through which LG2 acts against PF. In the model of bleomycin (BLM)-induced C57 mice and transforming growth factor-β1 (TGF-β1)-induced A549 and MRC5 cells, techniques such as western blot (WB), quantitative Real-Time PCR (qPCR), Immunohistochemistry (IHC), Immunofluorescence (IF), and Transwell migration assays were utilized to analyze the expression of Epithelial-mesenchymal transition (EMT) and inflammation proteins. Based on the analysis above, we identified targets and potential mechanisms underlying LG2’s effects against PF.ResultsNetwork analysis has suggested that the mechanism by which LG2 combats PF may involve the TNF-α pathway. Molecular docking studies have demonstrated a high binding affinity of LG2 to TNF-α and MMP9. Observations from the study indicated that LG2 may mitigate PF by modulating EMT and extracellular matrix (ECM) remodeling. It is proposed that the therapeutic effect is likely arises from the inhibition of inflammatory expression through regulation of the TNF-α pathway.ConclusionLG2 mitigates PF by suppressing TNF-α signaling pathway activation, modulating EMT, and remodeling the ECM. These results provide compelling evidence supporting the use of LG2 as a potential natural therapeutic agent for PF in clinical trials.
Multi-stage tomato fruit recognition method based on improved YOLOv8
Authors: Fu Yuliang , Li Weiheng , Li Gang , Dong Yuanzhi , Wang Songlin , Zhang Qingyang , Li Yanbin , Dai Zhiguang 
Published: September 2024

IntroductionIn the field of facility agriculture, the accurate identification of tomatoes at multiple stages has become a significant area of research. However, accurately identifying and localizing tomatoes in complex environments is a formidable challenge. Complex working conditions can impair the performance of conventional detection techniques, underscoring the necessity for more robust methods.MethodsTo address this issue, we propose a novel model of YOLOv8-EA for the localization and identification of tomato fruit. The model incorporates a number of significant enhancements. Firstly, the EfficientViT network replaces the original YOLOv8 backbone network, which has the effect of reducing the number of model parameters and improving the capability of the network to extract features. Secondly, some of the convolutions were integrated into the C2f module to create the C2f-Faster module, which facilitates the inference process of the model. Third, the bounding box loss function was modified to SIoU, thereby accelerating model convergence and enhancing detection accuracy. Lastly, the Auxiliary Detection Head (Aux-Head) module was incorporated to augment the network's learning capacity.ResultThe accuracy, recall, and average precision of the YOLOv8-EA model on the self-constructed dataset were 91.4%, 88.7%, and 93.9%, respectively, with a detection speed of 163.33 frames/s. In comparison to the baseline YOLOv8n network, the model weight was increased by 2.07 MB, and the accuracy, recall, and average precision were enhanced by 10.9, 11.7, and 7.2 percentage points, respectively. The accuracy, recall, and average precision increased by 10.9, 11.7, and 7.2 percentage points, respectively, while the detection speed increased by 42.1%. The detection precision for unripe, semi-ripe, and ripe tomatoes was 97.1%, 91%, and 93.7%, respectively. On the public dataset, the accuracy, recall, and average precision of YOLOv8-EA are 91%, 89.2%, and 95.1%, respectively, and the detection speed is 1.8 ms, which is 4, 4.21, and 3.9 percentage points higher than the baseline YOLOv8n network. This represents an 18.2% improvement in detection speed, which demonstrates good generalization ability.DiscussionThe reliability of YOLOv8-EA in identifying and locating multi-stage tomato fruits in complex environments demonstrates its efficacy in this regard and provides a technical foundation for the development of intelligent tomato picking devices.
Cardiovascular risk assessment using non-laboratory based WHO CVD risk prediction chart with respect to hypertension status among older Indian adults: insights from nationally representative survey
Authors: Mamgai Anshul , Halder Pritam , Behera Ashish , Goel Kapil , Pal Saumyarup , Amudhamozhi K. S. , Sharma Divya , Kiran Tanvi 
Published: September 2024

IntroductionKnowledge of the risk of developing cardiovascular diseases (CVD) in the population is an important risk management strategy for the prevention of this disease. This is especially true for India, which has resource-restrained settings with an increased risk in a younger population for the development of the disease. An important modifiable risk factor for CVD is hypertension, with its influence on the development of CVD.MethodsThe data from the first wave of the Longitudinal Ageing Study in India (LASI) was used to calculate the 10-year CVD Risk Score among older adults ≥45 years using a WHO (2019) non-laboratory- based chart for South Asia. Univariate analysis was done using Pearson’s chi-square test, and multivariable analysis using ordinal logistic regression. Categories of CVD risk score were considered as dependent variable. Socio-demographic variables, regular exercise, history of diabetes and hyperlipidaemia were considered as the independent variables. Relationship between CVD Risk score and hypertensives and self-reported hypertensives were presented using restricted cubic splines.ResultTwo-thirds (68.8%) of the population had a 10-year CVD risk of &lt;10, and 2.8% had a risk of ≥20%. The self-reported hypertensives were distributed linearly in restricted cubic splines, with a more scattered distribution in higher scores, while actual hypertensives showed a sigmoid pattern. Urban residents (OR-0.88), being unmarried (OR-0.86), being in the richer (OR-0.94) and richest (OR-0.86) monthly per capita expenditure (MPCE) quintile and exercising regularly (OR-0.68) decreased the odds of being in a higher CVD risk score. Less than primary schooling (1.21) and diabetics (1.69) had higher odds for a higher CVD risk score.ConclusionIn this population, two-thirds had &lt;10% risk for the development of CVD. The study shows a higher risk among rural, poor, and those with a lower education and lower CVD risk for those undertaking physical activity. The sigmoid pattern in actual hypertensives highlights the need for early detection. Even those with undiagnosed hypertension but with a higher BP had a similar risk for disease development, thus highlighting the need for an early detection of hypertension.
Disease burden and attributable risk factors of lip and oral cavity cancer in China from 1990 to 2021 and its prediction to 2031
Authors: Yu Zhengrong , Ma Xiangming , Xiao Hanyu , Chen Yihong , Wu Yuhang , He Jing , Cheng Peiyu 
Published: September 2024

AimsThis study addresses the essential need for updated information on the burden of lip and oral cavity cancer (LOC) in China for informed healthcare planning. We aim to estimate the temporal trends and the attributable burdens of selected risk factors of LOC in China (1990–2021), and to predict the possible trends (2022–2031).Subject and methodsAnalysis was conducted using data from the Global Burden of Disease study (GBD) 2021, encompassing six key metrics: incidence, mortality, prevalence, disability-adjusted life years (DALYs), years lived with disability (YLDs), and years of life lost (YLLs). Absolute number and age-standardized rates, alongside 95% uncertainty intervals, were computed. Forecasting of disease burden from 2022 to 2031 was performed using an autoregressive integrated moving average (ARIMA) model.ResultsOver the observed period (1990–2021), there were notable increases in the number of deaths (142.2%), incidence (283.7%), prevalence (438.0%), DALYs (109.2%), YLDs (341.2%), and YLLs (105.1%). Age-standardized rates demonstrated notable changes, showing decreases and increases of −5.8, 57.3, 143.7, −8.9%, 85.8%, and − 10.7% in the respective metrics. The substantial majority of LOC burden was observed among individuals aged 40–79 years, and LOC may exhibit a higher burden among males in China. From 2022 to 2031, the age-standardized rate of incidence, prevalence, and YLDs of LOC showed upward trends; while mortality, DALYs, and YLLs showed downward trends, and their estimated values were predicted to change to 2.72, 10.47, 1.11, 1.10, 28.52, and 27.43 per 100,000 in 2031, respectively. Notably, tobacco and high alcohol use emerged as predominant risk factors contributing to the burden of LOC.ConclusionBetween 1990 and 2021, the disability burden from LOC in China increased, while the death burden decreased, and projections suggest these trends will persist over the next decade. A significant portion of this disease burden to modifiable risk factors, specifically tobacco use and excessive alcohol consumption, predominantly affecting males and individuals aged 40–79 years. Attention to these areas is essential for implementing targeted interventions and reducing the impact of LOC in China.
Changing hearts and minds: theorizing how, when, and under what conditions three social influence implementation strategies work
Authors: Weiner Bryan J. , Meza Rosemary D. , Klasnja Predrag , Lengnick-Hall Rebecca , Buchanan Gretchen J. , Lyon Aaron R. , Mettert Kayne D. , Boynton Marcella H. , Powell Byron J. , Lewis Cara C. 
Published: September 2024

BackgroundOpinion leadership, educational outreach visiting, and innovation championing are commonly used strategies to address barriers to implementing innovations and evidence-based practices in healthcare settings. Despite voluminous research, ambiguities persist in how these strategies work and under what conditions they work well, work poorly, or work at all. The current paper develops middle-range theories to address this gap.MethodsConceptual articles, systematic reviews, and empirical studies informed the development of causal pathway diagrams (CPDs). CPDs are visualization tools for depicting and theorizing about the causal process through which strategies operate, including the mechanisms they activate, the barriers they address, and the proximal and distal outcomes they produce. CPDs also clarify the contextual conditions (i.e., preconditions and moderators) that influence whether, and to what extent, the strategy's causal process unfolds successfully. Expert panels of implementation scientists and health professionals rated the plausibility of these preliminary CPDs and offered comments and suggestions on them.FindingsTheoretically, opinion leadership addresses potential adopters' uncertainty about likely consequences of innovation use (determinant) by promoting positive attitude formation about the innovation (mechanism), which results in an adoption decision (proximal outcome), which leads to innovation use (intermediate outcome). As this causal process repeats, penetration, or spread of innovation use, occurs (distal outcome). Educational outreach visiting addresses knowledge barriers, attitudinal barriers, and behavioral barriers (determinants) by promoting critical thinking and reflection about evidence and practice (mechanism), which results in behavioral intention (proximal outcome), behavior change (intermediate outcome), and fidelity, or guideline adherence (distal outcome). Innovation championing addresses organizational inertia, indifference, and resistance (determinants) by promoting buy-in to the vision, fostering a positive implementation climate, and increasing collective efficacy (mechanisms), which leads to participation in implementation activities (proximal outcome), initial use of the innovation with increasing skill (intermediate outcome) and, ultimately, greater penetration and fidelity (distal outcomes). Experts found the preliminary CPDs plausible or highly plausible and suggested additional mechanisms, moderators, and preconditions, which were used to amend the initial CPD.DiscussionThe middle-range theories depicted in the CPDs furnish testable propositions for implementation research and offer guidance for selecting, designing, and evaluating these social influence implementation strategies in both research studies and practice settings.
Human perceptions of social robot deception behaviors: an exploratory analysis
Authors: Rosero Andres , Dula Elizabeth , Kelly Harris , Malle Bertram F. , Phillips Elizabeth K. 
Published: September 2024

IntroductionRobots are being introduced into increasingly social environments. As these robots become more ingrained in social spaces, they will have to abide by the social norms that guide human interactions. At times, however, robots will violate norms and perhaps even deceive their human interaction partners. This study provides some of the first evidence for how people perceive and evaluate robot deception, especially three types of deception behaviors theorized in the technology ethics literature: External state deception (cues that intentionally misrepresent or omit details from the external world: e.g., lying), Hidden state deception (cues designed to conceal or obscure the presence of a capacity or internal state the robot possesses), and Superficial state deception (cues that suggest a robot has some capacity or internal state that it lacks).MethodsParticipants (N = 498) were assigned to read one of three vignettes, each corresponding to one of the deceptive behavior types. Participants provided responses to qualitative and quantitative measures, which examined to what degree people approved of the behaviors, perceived them to be deceptive, found them to be justified, and believed that other agents were involved in the robots’ deceptive behavior.ResultsParticipants rated hidden state deception as the most deceptive and approved of it the least among the three deception types. They considered external state and superficial state deception behaviors to be comparably deceptive; but while external state deception was generally approved, superficial state deception was not. Participants in the hidden state condition often implicated agents other than the robot in the deception.ConclusionThis study provides some of the first evidence for how people perceive and evaluate the deceptiveness of robot deception behavior types. This study found that people people distinguish among the three types of deception behaviors and see them as differently deceptive and approve of them differently. They also see at least the hidden state deception as stemming more from the designers than the robot itself.
Oral cancer preventive behaviors in rural women: application of the theory planned behavior
Authors: Mohammadkhah Fatemeh , Kamyab Amirhossein , Khani Jeihooni Ali 
Published: September 2024

BackgroundOral cancer is becoming a primary concern for non-communicable illnesses and global health care initiatives. Low-income people, people with disabilities, the elderly, residents of detached and rural regions, and people belonging to minority groups bear a greater burden of oral diseases. The purpose of this research is to identify rural women's oral cancer prevention activities using the theory of planned behavior (TPB).MethodsThe current research is a cross-sectional analysis of 700 female hookah users who were referred to rural health facilities in Fasa and Shiraz, Fars, Iran in 2019–2020. The participants were selected by random sampling method. The TPB questionnaire and a demographic information questionnaires were the data gathering instruments used in this study to assess oral cancer prevention practices among participants. Data were analyzed by SPSS 22 using frequency, mean, and standard deviation as descriptive statistics, and Pearson correlation coefficients and linear regression as inferential statistics at a significance level of P &lt; 0.05. The Kolmogorov-Smirnov test was used to determine whether the data were normal.ResultsThe average age of the participants was 44.54 ± 8.72 years, and the average age at which they started hookah was 23.8 ± 28.68 years. The average history of hookah use was 15.8 ± 6.65 years, and the average size of the household in the test group was 4.73 ± 1.16. The average scores of the constructs of the TPB and oral cancer prevention behaviors were average or at a low level, while nicotine addiction was relatively high. The constructs of knowledge, attitude, subjective norms, and behavioral intention are significantly correlated with oral cancer prevention behaviors in hookah-user women. There was a significant inverse relationship between nicotine dependence and oral cancer prevention behaviors, and there was a strong link between perceived behavioral control and behavioral intention (P &lt; 0.05).ConclusionBased on the results of this study, the average scores of the structures of the TPB and oral cancer prevention behaviors were average or at a low level among rural hookah-user women, which indicates the necessity of an educational program based on this theory for rural women to adopt and maintain oral cancer prevention behaviors.
Incidental gallbladder cancer detected during laparoscopic cholecystectomy: conversion to extensive resection is a feasible choice
Authors: Zeng Di , Wang Yaoqun , Wen Ningyuan , Lu Jiong , Li Bei , Cheng Nansheng 
Published: September 2024

BackgroundRe-resection is recommended for patients with incidental gallbladder carcinoma (iGBC) at T1b stage and above. It is unclear whether continuation of laparoscopic re-resection (CLR) for patients with intraoperatively detected iGBC (IDiGBC) is more beneficial to short- and long-term clinical outcomes than with conversion to radical extensive-resection (RER).MethodsThis single-centre, retrospective cohort study of patients with iGBC was conducted between June 2006 and August 2021. Patients who underwent immediate reresection for T1b or higher ID-iGBC were enrolled. Propensity score matching (PSM) was used to match the two groups (CLR and RER) of patients, and differences in clinical outcomes before and after matching were analyzed.ResultA total of 102 patients with ID-iGBC were included in this study. 58 patients underwent CLR, and 44 underwent RER. After 1:1 propensity score matching, 56 patients were matched to all baselines. Patients in the RER group had a lower total postoperative complication rate, lower pulmonary infection rate, and shorter operation time than those in the CLR group did. Kaplan-Meier analysis showed that the overall survival rate of patients who underwent CLR was significantly lower than that of patients who underwent RER. Multivariate analysis showed that CLR, advanced T stage, lymph node positivity, and the occurrence of postoperative ascites were adverse prognostic factors for the overall survival of patients.ConclusionPatients with ID-iGBC who underwent RER had fewer perioperative complications and a better prognosis than those who underwent CLR. For patients with ID-iGBC, conversion to radical extensive-resection appears to be a better choice.
A comparative field efficacy trial of three treatment programs against endo- and ectoparasites in naturally infected dogs
Authors: Raw Cameron , Traub Rebecca J. , Wiethoelter Anke 
Published: September 2024

IntroductionTropical climates in remote Aboriginal and Torres Strait Islander communities in northern Australia are conducive to the transmission of canine helminths such as hookworms, as well as ectoparasites such as fleas and ticks. In addition to their veterinary importance, these parasites may present a zoonotic risk either directly, or as potential vectors for bacterial pathogens. These factors necessitate efficacious and effective antiparasitic treatment programs for community dogs.MethodsA cluster-randomised trial was performed on three islands in the Torres Strait to examine the short-term efficacy and medium-term effectiveness of three treatment programs. Treatments administered included oral oxibendazole/praziquantel (Paragard®) and oral afoxolaner (Nexgard®); topical moxidectin/imidacloprid (Advocate®) and imidacloprid/flumethrin collars (Seresto®); and off-label oral ivermectin (Bomectin®). Canine faecal samples were collected and examined for endoparasites by faecal flotation and real-time PCR at baseline, 7–11 days after treatment and 6 months later.ResultsThe proportion of dogs positive for Ancylostoma caninum at baseline and negative at day 7–11 was 9% (95% CI 4.4–17.4) for dogs treated with oxibendazole, 56.4% (95% CI 41–70.7) for moxidectin, and 89.7% (95% CI 73.6–96.4) for ivermectin. Faecal flotation results showed a greater than 90% egg reduction in 29.2% (95% CI 19.9–40.5) of dogs treated with oxibendazole, 79.4% (95% CI 63.2–89.7) for moxidectin, and 95% (95% CI 76.4–99.1) for off-label ivermectin. Elimination of ectoparasite infestation was observed at day 7–11 in 69.9% (95% CI 56.7–80.1) of dogs treated with afoxolaner, 80% (95% CI 60.9–91.1) with imidacloprid/flumethrin collars, and 0% (95% CI 0–11.7) for off-label ivermectin. Mixed effects modelling revealed only treatment group to be significantly associated with outcome measures.DiscussionBased on these study results, the poor efficacy of oxibendazole against A. caninum renders it inept for treatment, while ivermectin and moxidectin were suitable. Ivermectin was unsuitable for ectoparasite treatment due to its poor efficacy, while afoxolaner and imidacloprid/flumethrin collars appear suitable.