bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying the challenges of policy content related to high-risk sexual behaviors, stimulant drugs, and alcohol consumption in adolescents
Authors: Mirzaei Saeid , Mehrolhassani Mohammad Hossein , Yazdi-Feyzabadi Vahid , Jahanara Abbas , Haghdoost Ali Akbar , Oroomiei Nadia 
Published: July 2024

Abstract
Background
This study aims to identify policy content challenges related to high-risk sexual behaviors, stimulant drugs, and alcohol consumption in Iranian adolescents.

Methods
This qualitative study analyzed high-level and national documents pertaining to adolescent health, high-risk sexual behaviors, stimulant, and alcohol consumption in adolescents. The documents, which were published by public organizations between January 1979 and February 2023 and publicly available, were complemented by interviews with policymakers and executives. The study involved reviewing 51 papers and conducting interviews with 49 policymakers and executives at the national, provincial, and local levels who were involved in addressing adolescent behaviors related to high-risk sexual behaviors, stimulant, and alcohol consumption. The data collected was analyzed using conventional content analysis.

Results
The study’s results involved examining policy content and identifying challenges related to policy content. The analysis revealed that from the beginning of the Iranian revolution in 1979 until the late 1990s, the dominant approach in Iran was to deny the existence of high-risk behaviors among adolescents. However, in the early 2000s, the country began to adopt a new approach that acknowledged the social harms and ineffectiveness of previous strategies. As a result, a new policy framework was introduced to address high-risk behaviors among adolescents. The study’s interviews with policymakers and executives identified 12 challenges related to policy content, including parallel programs, lack of institutional mapping, lack of evidence-based policymaking, lack of integrated approach regarding training, late parent training, lack of consideration of all occurrence reasons in adolescents’ high-risk behaviors policymaking, and the existence of many abstinence policies regarding high-risk behaviors.

Conclusions
The study’s findings suggest that high-risk behaviors among adolescents in Iran are primarily a health issue, rather than a social or ideological one. Unfortunately, ideological approaches, stigma, and policymaking based on anecdotes rather than evidence have had a significant impact on this area. To improve policymaking in this domain, it is crucial to address these challenges by tackling stigma, adopting an integrated and holistic approach, and implementing evidence-based policies that consider all relevant aspects, including adolescents’ subcultures and policy audiences. Such an approach can also be useful for other countries facing similar conditions.
Costs and healthcare use of patients with chronic kidney disease in the Northern Territory, Australia
Authors: Chen Winnie , Howard Kirsten , Gorham Gillian , Abeyaratne Asanga , Zhao Yuejen , Adegboye Oyelola , Kangaharan Nadarajah , Talukder Mohammad Radwanur Rahman , Taylor Sean , Cass Alan ,   Territory Kidney Care Steering Committee
Published: July 2024

Abstract
Background
The burden of chronic kidney disease (CKD) is high in the Northern Territory (NT), Australia. This study aims to describe the healthcare use and associated costs of people at risk of CKD (e.g. acute kidney injury, diabetes, hypertension, and cardiovascular disease) or living with CKD in the NT, from a healthcare funder perspective.

Methods
We included a retrospective cohort of patients at risk of, or living with CKD, on 1 January 2017. Patients on kidney replacement therapy were excluded from the study. Data from the Territory Kidney Care database, encompassing patients from public hospitals and primary health care services across the NT was used to conduct costing. Annual healthcare costs, including hospital, primary health care, medication, and investigation costs were described over a one-year follow-up period. Factors associated with high total annual healthcare costs were identified with a cost prediction model.

Results
Among 37,398 patients included in this study, 23,419 had a risk factor for CKD while 13,979 had CKD (stages 1 to 5, not on kidney replacement therapy). The overall mean (± SD) age was 45 years (± 17), and a large proportion of the study cohort were First Nations people (68%). Common comorbidities in the overall cohort included diabetes (36%), hypertension (32%), and coronary artery disease (11%). Annual healthcare cost was lowest in those at risk of CKD (AUD$7,958 per person) and highest in those with CKD stage 5 (AUD$67,117 per person). Inpatient care contributed to the majority (76%) of all healthcare costs. Predictors of increased total annual healthcare cost included more advanced stages of CKD, and the presence of comorbidities. In CKD stage 5, the additional cost per person per year was + $53,634 (95%CI 32,769 to 89,482, p < 0.001) compared to people in the at risk group without CKD.

Conclusion
The total healthcare costs in advanced stages of CKD is high, even when patients are not on dialysis. There remains a need for effective primary prevention and early intervention strategies targeting CKD and related chronic conditions.
Essential components of an effective transition from paediatric to adult neurologist care for adolescents with Duchenne muscular dystrophy; a consensus derived using the Delphi methodology in Eastern Europe, Greece and Israel
Authors: Molnar Maria Judit , Szabó Léna , Vladacenco Oana Aurelia , Cobzaru Ana Maria , Dor Talya , Dori Amir , Papadimas Georgios , Juříková Lenka , Litvinenko Ivan , Tournev Ivailo , Dixon Craig 
Published: July 2024

Abstract
Purpose
An increasing number of patients with Duchenne muscular dystrophy (DMD) now have access to improved standard of care and disease modifying treatments, which improve the clinical course of DMD and extend life expectancy beyond 30 years of age. A key issue for adolescent DMD patients is the transition from paediatric- to adult-oriented healthcare. Adolescents and adults with DMD have unique but highly complex healthcare needs associated with long-term steroid use, orthopaedic, respiratory, cardiac, psychological, and gastrointestinal problems meaning that a comprehensive transition process is required. A sub-optimal transition into adult care can have disruptive and deleterious consequences for a patient’s long-term care. This paper details the results of a consensus amongst clinicians on transitioning adolescent DMD patients from paediatric to adult neurologists that can act as a guide to best practice to ensure patients have continuous comprehensive care at every stage of their journey.

Methods
The consensus was derived using the Delphi methodology. Fifty-three statements were developed by a Steering Group (the authors of this paper) covering seven topics: Define the goals of transition, Preparing the patient, carers/parents and the adult centre, The transition process at the paediatric centre, The multidisciplinary transition summary – Principles, The multidisciplinary transition summary – Content, First visit in the adult centre, Evaluation of transition. The statements were shared with paediatric and adult neurologists across Central Eastern Europe (CEE) as a survey requesting their level of agreement with each statement.

Results
Data from 60 responders (54 full responses and six partial responses) were included in the data set analysis. A consensus was agreed across 100% of the statements.

Conclusions
It is hoped that the findings of this survey which sets out agreed best practice statements, and the transfer template documents developed, will be widely used and so facilitate an effective transition from paediatric to adult care for adolescents with DMD.
Clinical and genomic features of Mycobacterium avium complex: a multi-national European study
Authors: Wetzstein Nils , Diricks Margo , Anton Thomas B. , Andres Sönke , Kuhns Martin , Kohl Thomas A. , Schwarz Carsten , Lewin Astrid , Kehrmann Jan , Kahl Barbara C. , Schmidt Annika , Zimmermann Stefan , Jansson Moritz K. , Baron Sophie A. , Schulthess Bettina , Hogardt Michael , Friesen Inna , Niemann Stefan , Wichelhaus Thomas A. 
Published: July 2024

AbstractBackgroundTheMycobacterium aviumcomplex (MAC) comprises the most frequent non-tuberculous mycobacteria (NTM) in Central Europe and currently includes twelve species.M. avium(MAV),M. intracellularesubsp.intracellulare(MINT), andM. intracellularesubsp.chimaera(MCH) are clinically most relevant. However, the population structure and genomic landscape of MAC linked with potential pathobiological differences remain little investigated.MethodsWhole genome sequencing (WGS) was performed on a multi-national set of MAC isolates from Germany, France, and Switzerland. Phylogenetic analysis was conducted, as well as plasmids, resistance, and virulence genes predicted from WGS data. Data was set into a global context with publicly available sequences. Finally, detailed clinical characteristics were associated with genomic data in a subset of the cohort.ResultsOverall, 610 isolates from 465 patients were included. The majority could be assigned to MAV (n = 386), MCH (n = 111), and MINT (n = 77). We demonstrate clustering with less than 12 SNPs distance of isolates obtained from different patients in all major MAC species and the identification of trans-European or even trans-continental clusters when set into relation with 1307 public sequences. However, none of our MCH isolates clustered closely with the heater-cooler unit outbreak strain Zuerich-1. Known plasmids were detected in MAV (325/1076, 30.2%), MINT (62/327, 19.0%), and almost all MCH-isolates (457/463, 98.7%). Predicted resistance to aminoglycosides or macrolides was rare. Overall, there was no direct link between phylogenomic grouping and clinical manifestations, but MCH and MINT were rarely found in patients with extra-pulmonary disease (OR 0.12 95% CI 0.04–0.28,p < 0.001 and OR 0.11 95% CI 0.02–0.4,p = 0.004, respectively) and MCH was negatively associated with fulfillment of the ATS criteria when isolated from respiratory samples (OR 0.28 95% CI 0.09-0.7, p = 0.011). With 14 out of 43 patients with available serial isolates, co-infections or co-colonizations with different strains or even species of the MAC were frequent (32.6%).ConclusionsThis study demonstrates clustering and the presence of plasmids in a large proportion of MAC isolates in Europe and in a global context. Future studies need to urgently define potential ways of transmission of MAC isolates and the potential involvement of plasmids in virulence.
Precise reconstruction of the aortic valve using glutaraldehyde-treated autologous pericardium in new formula: a case report
Authors: Sabzi Feridoun , Heydari Aghigh , Asadmobini Atefeh 
Published: July 2024

Abstract
Background
The current study presents a novel and precise surgical technique for complete reconstruction of the aortic valve using glutaraldehyde-treated autologous pericardium in a patient with aortic valve disease and endocarditis. The technique aims to provide a more effective and reproducible method for aortic valve repair, with the goal of improving outcomes and quality of life for patients with aortic valve disease.

Case presentation
A 35-year-old Iranian male with aortic valve disease and endocarditis underwent aortic valve reconstruction surgery. Preoperative echocardiography showed a degenerative aortic valve with severe regurgitation, reduced left ventricular ejection fraction, and specific aortic root dimensions. The surgical technique involved precise measurements and calculations to design the size and shape of the new aortic valve cusps using autologous pericardium, with the goal of optimizing coaptation and function. The surgeon calculated the intercommissural distance based on the aortic annulus diameter to determine cusp size and shape. He tailored the pericardial cusps to have a height equal to 80% of the coaptation margin length. Detailed suturing techniques were used to ensure proper alignment and coaptation of the new cusps. Intraoperative evaluation of the valve function using suction and transesophageal echocardiography showed good coaptation and minimal residual regurgitation. At the 3-year follow-up, the patient had a well-functioning aortic valve with only trivial leak and was in satisfactory clinical condition.

Conclusions
Glutaraldehyde-treated autologous pericardium is a validated leaflet alternative, and the causes of its failure are late annular dilatation and other technique breakdowns. Current evidence reveals that aortic valve reconstruction with glutaraldehyde-treated autologous pericardium is associated with many advantages with the potential to improve patient outcomes and quality of life. Further clinical studies are warranted to evaluate the long-term durability and efficacy of this approach.
A study on the characteristics of the excavated pottery in Hanseong and Sabi periods of the Baekje Kingdom (South Korea): mineralogical, chemical and spectroscopic analysis
Authors: Choi Hyunkyung , Han Min Su , Moon Dong Hyeok , Kim Chul Sung , Nam Sang Won , Uhm Young Rang 
Published: July 2024

Abstract
The study analyzes the black color factors of black-burnished pottery excavated from the Pungnap Fortress and the Seokchon Tomb during the Hanseong period of the Baekje Kingdom. The current hypothesis surrounding the pottery’s black color factors suggests the use of magnetite, manganese oxide, and carbon. To compare the results of the black pottery, red pottery was used as the control group. To identify these black color factors, each hypothesis was investigated using several spectroscopic techniques. However, it was difficult to detect sufficient magnetite and manganese oxide on the surface of the black pottery to account for its black color. In contrast, a larger amount of carbon was located on the surface and core of the black pottery compared to the red pottery. These results indicate that the black factors can be credibly attributed to carbon rather than to magnetite or manganese oxide. The firing temperature of the black-burnished pottery was estimated from the mineral composition based on X-ray diffraction, and the firing atmosphere was deduced from the redox conditions based on the reduction index from Mössbauer spectroscopy. In addition, seven pieces of pottery excavated from Gunsu-ri Temple Site and Buyeo Ancient Tomb from the Sabi period of Baekje were investigated and compared the five pieces of pottery from the Hanseong period. Although the results were based on a limited number of potteries, various firing temperatures and redox atmosphere for pottery from the Hanseong and Sabi periods were carefully proposed.
The strategy of traditional Chinese settlement digitization: a landscape gene information chain theory-based perspective
Authors: Sa Qier , Qu Zaiming , Liu Yangyang , Shan Weilun 
Published: July 2024

Abstract
Traditional Chinese settlements (TCSs) embody millennia of human and cultural history, with the core culture serving as their essence. However, any damage incurred by these TCSs can result in the loss of core culture. In the era of China’s digital transformation, there has recently been a significant push toward digital reforms within TCSs. Thus, this paper introduces a traditional settlement digitalization (TSD) framework with a specific focus on enhancing the preservation of TCS landscape gene through the perspective of landscape gene information chain theory. This research uses the Nanxun traditional settlement (TS), Huzhou, Zhejiang, China, the first TS listed as a World Cultural Heritage Site in China, as a case study, extracting and identifying the area landscape gene and digital visualization status. This article identifies the landscape gene information chain of the Nanxun TS and redesigns its digital visualization and application scheme under the TSD framework. This study reveals the notion of a digital landscape gene characterized by four key attributes: identical, interactive, immersive, and intelligent. The results of this study will help guide the sustainable protection, application and planning of the Nanxun TS and promote the study of other sections of landscape gene theory. This research not only contributes to the development of landscape gene information chain theory but also provides guidance for the digital transformation of other TCSs and cultural heritage sites.
Effects of Mitoquinone (MitoQ) Supplementation on Aerobic Exercise Performance and Oxidative Damage: A Systematic Review and Meta-analysis
Authors: Gonzalo-Skok Oliver , Casuso Rafael A. 
Published: July 2024

Abstract
Background
Contracting skeletal muscle produces reactive oxygen species (ROS) originating from both mitochondrial and cytosolic sources. The use of non-specific antioxidants, such as vitamins C and E, during exercise has produced inconsistent results in terms of exercise performance. Consequently, the effects of the mitochondrial-targeted coenzyme Q10, named Mitoquinone (MitoQ) on exercise responses are currently under investigation.

Methods
In this study, we conducted a meta-analysis to quantitatively synthesize research assessing the impact of MitoQ on aerobic endurance performance and exercise-induced oxidative damage. PubMed, Web of Science, and SCOPUS databases were used to select articles from inception to January 16th of 2024. Inclusion criteria were MitoQ supplementation must be compared with a placebo group, showing acute exercise responses in both; for crossover designs, at least 14 d of washout was needed, and exercise training can be concomitant to MitoQ or placebo supplementation if the study meets the other inclusion criteria points. The risk of bias was evaluated through the Critical Appraisal Checklist (JBI).

Results
We identified eight studies encompassing a total sample size of 188 subjects. Our findings indicate that MitoQ supplementation effectively reduces exercise-induced oxidative damage (SMD: -1.33; 95% CI: -2.24 to -0.43). Furthermore, our findings indicate that acute and/or chronic MitoQ supplementation does not improve endurance exercise performance (SMD: -0.50; 95% CI: -1.39 to 0.40) despite reducing exercise-induced oxidative stress. Notably, our sensitivity analysis reveals that MitoQ may benefit subjects with peripheral artery disease (PAD) in improving exercise tolerance.

Conclusion
While MitoQ effectively reduces exercise-induced oxidative damage, no evidence suggests that aerobic exercise performance is enhanced by either acute or chronic MitoQ supplementation. However, acute MitoQ supplementation may improve exercise tolerance in subjects with PAD. Future research should investigate whether MitoQ supplementation concurrent with exercise training (e.g., 4–16 weeks) alters adaptations induced by exercise alone and using different doses.
Optimization of Eucalyptus essential oil extraction by applying response surface methodology in traditional distillation and its adaption to solar thermal process
Authors: Sareriya Kajal J. , Vanzara Piyush B. , Maiti Subarna 
Published: July 2024

AbstractThis work reports the utilization of solar thermal energy to generate Eucalyptus essential oil, reducing the dependence on conventional energy and minimizing the environmental impact. The study optimized oil extraction by traditional steam distillation using response surface methodology and applied the results to a Scheffler concentrator-driven solar steam distillation setup. The optimum factors included leaf size (0.02 m), extraction temperature (97.76 ℃), solid/solvent ratio (0.61), and extraction time (206 min), with temperature being crucial. The major oil components were 1–8 cineole (57.53–78.45%) and α-Pinene (15.27–27.83%). The outdoor experiments achieved an efficiency of 27% and produced 2 kg/h steam at an average solar insolation of 700 W/m2. Despite consistent processing temperatures favouring conventional steam distillation, the solar extraction process offers an eco-friendly alternative. In line with the sustainable development goals, this initiative is well-suited for sunny regions and small businesses targeting niche markets.
Content validation of the National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Symptom Index-18 (NFLymSI-18) in indolent B-cell non-Hodgkin’s lymphoma
Authors: Hurt Courtney N. , Kaiser Karen , Shaunfield Sara , Webster Kimberly A. , Keating Karen , Boyken Lara , Duffey Sara , Garcia Jessica , Cella David 
Published: July 2024

Abstract
Background
The NFLymSI-18 is a patient-reported outcome measure comprised of the highest priority symptoms, emotional concerns, treatment side effects, and other concerns identified by lymphoma patients and oncologists. This study assessed the content validity of the NFLymSI-18 for patients with indolent B-cell non-Hodgkin’s lymphoma (iNHL), with a focus on the Disease-Related Symptoms Physical (DRS-P) subscale.

Methods
Patients with a confirmed iNHL diagnosis who had received one or more lines of treatment were recruited during clinic visits. Patients described their symptoms, treatment side effects, and emotional concerns related to iNHL in a semi-structured interview. Qualitative data were analyzed using NVivo10.

Results
Data saturation was obtained by the 18th interview. Most participants (67%) had follicular lymphoma. 28% of participants had marginal zone lymphoma, and one participant had lymphoplasmacytoid lymphoma/Waldenström macroglobulinemia. Mean age of the 18 participants was 67 years. 56% of the sample was male. Most participants (67%) had a college or advanced degree. When asked to describe their iNHL symptoms, patients most often discussed swelling (n = 14), fatigue (n = 11), and pain (n = 8). The following symptoms were mentioned by three patients each: anxiety, appetite loss, rash, sleep disruption, trouble breathing, and malaise. Mapping of NFLymSI-18 content to these concerns showed the instrument includes all those most frequently mentioned symptoms.

Conclusions
This study supports the content validity of the NFLymSI-18, including its DRS-P Subscale, for patients with iNHL. The instrument shows strong validity for the most referenced symptoms of swelling, fatigue, and pain. The diversity of additional symptoms reported by patients is consistent with the heterogeneous symptomology of iNHL.