bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aerosol Components Derived from Global AERONET Measurements by GRASP: A New Value-Added Aerosol Component Global Dataset and Its Application
Authors: Zhang Xindan , Li Lei , Che Huizheng , Dubovik Oleg , Derimian Yevgeny , Holben Brent , Gupta Pawan , Eck Thomas F. , Lind Elena S. , Toledano Carlos , Xia Xiangao , Zheng Yu , Gui Ke , Zhang Xiaoye 
Published: August 2024

Abstract
Aerosols affect Earth’s climate both directly and indirectly, which is the largest uncertainty in the assessment of radiative forcings affecting anthropogenic climate change. The standard Aerosol Robotic Network (AERONET) aerosol products have been widely used for more than 30 years. Currently, there is strong community interest in the possibility of determining aerosol composition directly from remote sensing observations. This work presents the results of applying such a recently developed approach by Li et al. to extended datasets of the directional sky radiances and spectral aerosol optical depth (AOD) measured by AERONET for the retrievals of aerosol components. First, the validation of aerosol optical properties retrieved by this component approach with AERONET standard products shows good agreement. Then, spatiotemporal variations of the obtained aerosol component concentration are characterized globally, especially the absorbing aerosol species (black carbon, brown carbon, and iron oxides) and scattering aerosol species (organic carbon, quartz, and inorganic salts). Finally, we compared the black carbon (BC) and dust column concentration retrievals to the Modern-Era Retrospective Analysis for Research and Applications, version 2 (MERRA-2), products in several regions of interest (Amazon zone, Indo-China Peninsula, North India, southern Africa, sub-Sahel, Gobi Desert, Middle East, Sahara Desert, and Taklamakan Desert) for new insights on the quantitative assessment of MERRA-2 aerosol composition products (R = 0.60–0.85 for BC; R = 0.75–0.90 for dust). The new value-added and long-term aerosol composition product globally is available online (https://doi.org/10.6084/m9.figshare.25415239.v1), which provides important measurements for the improvement and optimization of aerosol modeling to enhance estimation of the aerosol radiative forcing.
Mapping a Novel Metric for Flash Flood Recovery Using Interpretable Machine Learning
Authors: Kumar Anil , Saharia Manabendra , Kirstetter Pierre 
Published: August 2024

Abstract
Flash floods are one of the most devastating natural disasters, yet many aspects of their severity and impact are poorly understood. The recession limb is related to postflood recovery and its impact on communities, yet it remains less documented than the rising limb of the hydrograph to predict the peak discharge and timing of floods. This work introduces a new metric called flash flood recovery or recoveriness, which is the potential for recovery of a watershed to preflood conditions. Using a comprehensive database of 78 years and supervised machine learning algorithms, flash flood recovery is mapped in the conterminous United States. A suite of geomorphological and climatological variables is used as predictors to provide probabilistic estimates of recoveriness. Slope index, river basin area, and river length are found to be the most significant predictors to predict recoveriness. Several new localized hotspots were identified, such as the western slopes of the Appalachians consisting of Kentucky, Tennessee, and West Virginia and the interlinked areas of western Montana and northern Idaho. This new metric can be useful for prioritizing relief and rehabilitation efforts as well as precautionary measures for disaster risk reduction.
Biopsychosocial Factors That Influence Depression, Anxiety, and Neuropsychological Functions in the Aging Process
Authors: Gaspar Tania , Barata Marta , de Sousa Sofia Borges , Raimundo Marta , Cabrita Tulia 
Published: August 2024

Background: Aging is a process inherent to the human condition that is characterized by various biological, psychological, and social changes that can lead to certain mental health problems. Objective: This study aimed to understand and characterize how biological, psychological, and social factors influence mental health symptoms and neuropsychological function in the aging process. Methods: A sample consisting of 616 participants (73.8% female) aged between 50 and 90 years, (mean [SD]: 69.6 [17.2] years). Data collection involved a neuropsychological assessment carried out by a psychologist in a clinical interview session and the self-completion of a questionnaire. Results: Regression models revealed that depressive symptoms are explained by anxiety, psychological and environmental quality of life, and sleep habits. Anxiety symptoms are explained by depression, physical quality of life, and sleep habits. Statistically significant differences were identified between participants with and without anxiety in neuropsychological terms at the level of agnosia and praxis. Statistically significant differences were identified between participants with and without depression in neuropsychological terms at the level of memory, language, agnosia and praxis, and executive function (eg, prefrontal tests). Conclusions: Depression and anxiety symptoms are associated and could negatively influence the aging process. Aging should be understood in an ecological way taking into account the action of biological, psychological, social, and environmental factors, as well as the relationship and influence between the different levels and factors. This knowledge is important for diagnosis, for clinical practice, and for the development and definition of public policies to promote healthy aging.
Migraine is the most disabling neurological disease among children and adolescents, and second after stroke among adults: A call to action
Authors: Peres Mario Fernando Prieto , Sacco Simona , Pozo-Rosich Patricia , Tassorelli Cristina , Ahmed Fayyaz , Burstein Rami , Ashina Sait , Uluduz Derya , Husøy Andreas Kattem , Steiner Timothy J 
Published: August 2024

The Global Burden of Disease (GBD) study is pivotal in shaping health policies by providing comprehensive data on mortality and disability. An updated GBD2021 analysis, published in Lancet Neurology on 14 March 2024, expands the scope of neurological disorders to include 37 conditions, revealing their significant impact on global health. Neurological disorders affect 3.4 billion people, or 43.1% of the global population, making them the leading cause of disability-adjusted life years (DALYs) in 2021, with an 18.2% increase since 1990. The top three causes of DALYs in this category are stroke, neonatal encephalopathy and migraine. Migraine, affecting 1.16 billion people, ranks first among children and adolescents and second among adults aged under 60 years. Despite its substantial impact, migraine often lacks proper attention because of its non-fatal nature, invisibility and historical neglect of neurological disorders. The International Headache Society calls for recognizing migraine as a serious medical condition, promoting research and integrating migraine management into public health strategies. Effective interventions include raising awareness, improving access to treatment, adding migraine to the epidemiological surveillance agenda and exploring new treatment strategies. A coordinated effort among stakeholders is essential to alleviate the burden of migraine on individuals and society.
Gender-affirming care through the lens of abnormal illness behaviour and abnormal treatment behaviour
Authors: Clarke Patrick , J Amos Andrew 
Published: August 2024

Objective To describe the increasing number and changing demographics of patients presenting with gender dysphoria and provide an account of patient- and clinician-related factors which may have contributed to these changes. The concept of abnormal illness behaviours introduced by Pilowsky, and its extension to the concept of abnormal treatment behaviours by Singh, provides a framework for understanding healthy and pathological interactions between gender dysphoria patients and their doctors. Conclusions Abnormal illness behaviours driven by the reinforcing contingencies of gender-affirming care may explain, in part, the increasing number and changing demographics of gender dysphoria, as well as the increasing incidence of desistance and detransition. The under-diagnosis and under-treatment of mental health disorders by clinicians treating these patients are examples of abnormal treatment behaviours. Uncritical affirmation of patient reported gender identity appears likely to conceal unconscious motivations of some patients and clinicians, increasing the risks of harm to both.
Clinical Outcomes of Prostate SBRT Using Non-adaptive MR-Guided Radiotherapy
Authors: Sandoval Maria L. , Rishi Anupam , Latifi Kujtim , Grass G. Daniel , Torres-Roca Javier , Rosenberg Stephen A. , Yamoah Kosj , Johnstone Peter A. S. 
Published: August 2024

Objectives Stereotactic body radiotherapy (SBRT) is widely used for localized prostate cancer and implementation of MR-guided radiotherapy has the advantage of tighter margins and improved sparing of organs at risk. Here we evaluate outcomes and time required to treat using non-adaptive MR-guided SBRT (MRgSBRT) for localized prostate cancer at our institution. Methods From 9/2019 to 11/2021 we conducted a retrospective review of 80 consecutive patients who were treated with MRgSBRT to the prostate. Patients included low (LR) (5%), favorable intermediate (FIR) (40%), unfavorable intermediate (UIR) (49%), and high risk (HR) (6%). Short-term androgen deprivation therapy was used in 32% of patients. Target volumes included prostate gland and proximal seminal vesicles with an isotropic 3 mm margin. Treatment was prescribed to 36.25 Gy in 5 fractions every other day with urethral sparing. Hydrogel spacer was used in 18% of patients. Time on the linac was recorded as beam on time (BOT) plus total treatment time (TTT) including gating. Analyzed outcomes included PSA response and patient reported outcomes scored by the American Urological Association (AUA) questionnaire and toxicity per CTCAE v5. General linear regression model was used to analyze factors affecting PSA and AUA in longitudinal follow up, and chi-square test was used to assess factors affecting toxicity. Results Median follow up was 19.3 months (3.8 – 36.6). Median BOT was 4.6 min (2.6 – 7.2) with a median TTT of 11 min (7.6 – 15.8). Pre-treatment vs post-RT median PSA was 6.36 (2.20 – 19.6) vs 0.85 (0.19 – 3.6), respectively ( P < 0.001). PSA decrease differed significantly when patients were stratified by risk category, favoring LR/FIR vs UIF/HR group ( P = 0.019). Four (5%) patients experienced a biochemical failure (BCF), with a median time to BCF of 20.4 months (7.9 – 34.5). Median biochemical failure free survival (BCFFS) was not reached, with 2-yr and 4-yr BCFFS of 97.1% and 72.1%, respectively. Patients with LR/FIR disease had 100% 2-yr and 4-yr BCFFS, whereas patients with UIF/HR had 95% and 41% 2-yr and 4-yr BCFFS ( P = 0.05). Mean pre-treatment AUA was 7.3 (1 - 25) vs 11.3 (1 - 26) at first follow-up; however, AUA normalized to baseline over time. Urethral Dmax ≥35 Gy trended to lower AUA score at all follow-ups ( P = 0.07). Forty-one (51%) patients reported grade 1-2 genitourinary toxicities at the 1 month follow up. Grade 3 toxicity (proctitis) was noted in 1 patient. There was no decrease in any grade rectal toxicity with use of hydrogel spacer (3 vs 6, P = 0.2). No grade ≥4 toxicities was observed. Conclusions MRgSBRT has the potential for treatment adaptation but this comes at the cost of increased resource utilization. Our experience with non-adaptive MRgSBRT of the prostate highlights its short treatment times as well as efficacy with good PSA control and low toxicity profile.
Trends and Disparities in Waterpipe Tobacco Smoking Among US Adolescents and Adults: PATH Study 2013-2021
Authors: Ebrahimi Kalan Mohammad , Li Wei , Osibogun Olatokunbo , Jebai Rime , Gautam Prem , Erinoso Olufemi , Alemohammad Seyede Yasaman , Khosravaniardakani Sheida , Dargahi Abbasabad Ghader , Behaleh Raed , Ward Kenneth D. , Bursac Zoran , Ben Taleb Ziyad 
Published: August 2024

Background Waterpipe tobacco smoking (WTS) is a popular mode of nicotine delivery among young people. We examined the trends and disparities in WTS from 2013 to 2021 among US adolescents and adults. Methods Data were from Wave 1 (initially conducted among 32 320 adults and 13 651 adolescents) to Wave 6 (2013-2021) of the Population Assessment of Tobacco and Health Study. We assessed the weighted prevalence of ever and current (past 30-day) WTS for adults and adolescents across waves stratified by demographics. Results From 2013-2021 among adolescents, the prevalence of ever and current WTS decreased by 86.5% (7.4% to 1.00%; p = 0.0364) and 97.1% (1.65% to 0.05%; p = 0.0012), respectively. Despite the decreasing trends among adolescents across all waves, females had a higher prevalence of ever and current WTS compared to males ( p ’s < 0.001 for all trends). Hispanics had the highest prevalence of ever WTS compared to other races/ethnicities ( p ’s < 0.001). Adolescents aged 15-17 had a higher (except Wave 6) prevalence of ever and current WTS than 12-14 years old ( p ’s < 0.001). For adults, the prevalence of ever WTS increased by 27.4% (16.39% to 20.92%; p = 0.0006), and current WTS decreased by 45.5% (2.19% to 1.24%; p = 0.0012). Young adults aged 18-24 experienced increasing trends in WTS and had the highest prevalence of ever and current WTS compared to other age groups ( p ’s < 0.001) across all waves. Conclusions Our study indicates a notable decrease in adolescent WTS prevalence from 2013 to 2021 but an increase of ever WTS among adults. Demographic differences underscore disparities in WTS, calling for tailored interventions.
Nutrition knowledge among pregnant women in Lebanon: A cross-sectional study
Authors: Rizk Jessy , Andreou Eleni , Hileti Dona , Ghaddar Ali , Zampelas Antonis 
Published: August 2024

Background: Women’s knowledge of the nutritional guidelines during pregnancy can affect the health and nutritional status of both mother and child. Having good nutritional information related to maternal dietary intake and healthy lifestyles is therefore of great importance. However, there is limited published research that demonstrates pregnant women’s knowledge of the nutritional guidelines during pregnancy in Lebanon. Objective: To assess the knowledge on food sources and energy recommendations as well as food safety practices and diet–health relationship among women during pregnancy in Lebanon. Design: A cross-sectional study. Methods: The study was conducted at prenatal care clinics in Lebanon, and all pregnant women present, regardless of nationality, were invited to complete the self-administered nutrition knowledge questionnaire. The study assessed five different nutrition knowledge domains (food sources of nutrients, dietary behaviors, food safety knowledge, micronutrients for fetal development, and energy requirements and weight gain) and the demographic characteristics of pregnant women who completed a multidimensional online survey based on validated and existing measures. Results: Four-hundred and ten responses were obtained. Approximately half of respondents (47%) held a university degree, for 42% of women this was their first pregnancy, and 71% had a planned pregnancy. Among the different nutrition knowledge domains, the highest levels of knowledge were for the behaviors that can minimize the effect of nausea/vomiting, heartburn, and constipation during pregnancy (63.9%) and the lowest levels of knowledge was for the importance of iodine and omega-3 fatty acids in pregnancy (28.4%). Most of females knew about food safety practices during pregnancy (72.9%) but less than half were knowledgeable about listeriosis contamination (45.9%), and the types of fish that are the safest to select during pregnancy (47.8%). Conclusion: Despite the fact that pregnant women had an adequate level of knowledge in different nutrition-related areas, there was inadequate level of awareness related to critical nutrients and behaviors that can have adverse effects on mother and/or baby. Therefore, there is a need to focus on specific maternal nutrition aspects such as iron-rich foods, listeriosis food contamination, and nutrients that aid in fetal brain and retina development.
Exploring Campus Configuration and Patient Arrival Behaviors at Large Hospitals: An Integrated Post-Occupancy Evaluation (POE) Protocol
Authors: Cai Hui , Daneshvar Zahra , Miller Kirsten , Dash Monalipa , Jiang Shan 
Published: August 2024

Background This study addresses the challenges in hospital navigation, particularly focusing on the sequence of arrival experiences through foot traffic or driving within a medical campus. While previous research has emphasized wayfinding in interiors, this study recognizes the importance of transition from outdoor to indoor spaces in the hospital arrival zone. Objectives Twofold research efforts include: (1) Exploring vehicular and pedestrian behaviors in a hospital arrival zone using Space Syntax Analyses (SSA), and (2) Validating the SSA results using empirical data collected from onsite observations and behavior mapping. Methods A series of axial map analyses were conducted on the hospital campus and building arrival zone regarding spatial connectivity and integration, depth of spaces, and wayfinding intelligibility based on vehicular and pedestrian movement paths. Systematic behavioral data collection includes vehicle shadowing (10 h) and pedestrian mapping (20 h) in the building arrival zone. Results Space Syntax Analyses indicates high intelligibility scores for vehicles (R = .91) and pedestrian (R = .78) circulation patterns; traffic situations were visualized via axial maps. A dataset of 219 vehicles and 2,096 pedestrian behaviors was analyzed and visualized using diagrams and heatmaps, identifying different occupancy patterns within the space. Correlational analyses indicated strong correlations between the results: connectivity and integration scores are significantly correlated with both vehicular and pedestrian traffic volumes. Conclusion Preliminary findings of the study validated an integrated protocol to evaluate the impacts of campus configuration and building approach design on patient arrival and spatial navigation at large hospitals, serving as a POE protocol involving SSA.
CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports
Authors: Crawford Anna E. , Picken Lauren K. , Gabriel Fernanda D. , Quade Jonathan , Gould Sara 
Published: August 2024

Context: Equestrian sports continue to gain popularity in the United States and are associated with a high injury rate, especially involving the central nervous system and thorax. Due to this high rate of injury and the potential for long-term consequences associated with participation, an understanding of the unique risks of this sport is needed. Objective: To describe severe injury in equestrian sports and review the role that protective gear plays in injury mitigation. Data Sources: The PubMed Database was searched using the search terms “equestrian” and “horse” combined with “spinal cord injury,” “head injury,” “traumatic brain injury,” “experience levels,” and “demographics.” Study Selection: A total of 53 papers were selected based on their relevance of epidemiology, risk factors, and management of injuries sustained during equestrian activities. Case studies, randomized controlled trials, prospective studies, and retrospective studies were all included for further review. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: None. Results: Injuries to the thorax, including fractures, pneumothoraces, internal organ contusions, and crush injuries, have been cited in multiple national and international trauma registries as the most prevalent injury location in equestrians; however, head and neck injuries, high cervical spine fractures, and closed head injuries are reported to be associated with the highest rates of mortality. Helmets provide protection against skull fracture and traumatic brain injury. Vests were not associated with diminished rates of spinal cord injuries; however, they may provide protection to the thorax. Riding experience also plays a role in reducing the prevalence of injury. Conclusion: Equestrian-related activities are associated with a high risk of injury despite protective measures. Protective gear can mitigate some injury risk but does not protect against spinal injury. Continued investigation into improving protective equipment, rider education, and preventative strategies to mitigate this risk is needed.
Outcomes Following Neonatal Cardiac Surgery in Cape Town, South Africa
Authors: du Toit Derrik , Swanson Lenise C. , Salie Shamiel , Perkins Susan , Basera Wisdom , Lawrenson John B. , Aldersley Thomas , Brooks Andre , Zühlke Liesl J. 
Published: August 2024

Background Neonatal Cardiac Surgery has developed significantly since its advent, with improved outcomes, survival, and physiological repair. Limited programs offer neonatal cardiac surgery in emerging economies. We report our experience with neonates undergoing cardiac surgery in our cardiac surgery program. Methods We performed a secondary data analysis on all neonates aged ≤ 30 days undergoing congenital cardiac surgery from April 1, 2017 to March 31, 2020, including outcomes up to 30-days post-surgery. Results A total of 859 patients underwent cardiac surgery at our center, of these 81 (9.4%) were neonates. The proportion of neonates increased annually (8.7%, 9.6%, and 10.2%). There were 49 (60%) male patients, and 32 (40%) had surgery in the second week of life. Fourteen (17%) were premature, four (5%) had a major chromosomal abnormality, five (6%) a major medical illness, and eight (10%) a major noncardiac structural anomaly. The Risk Adjustment for Congenital Heart Surgery (RACHS) categorization of surgery was predominantly RACHS 3; n = 28 (35%) and 4; n = 23 (29%). Hours in the intensive care unit (ICU) were extensive; median 189 [interquartile range (IQR): 114-286] as were hours of ventilation; median 95 [IQR 45-163]. Almost 60% (n = 48) of procedures were complicated by sepsis, as defined in our database. The in-hospital mortality rate was 16% (n = 13); the 30-day mortality rate was 19.8% (n = 16). Conclusion The proportion of neonates in our service increased over the period. Focused strategies to shorten prolonged ICU stay and decrease rates of bacterial sepsis in neonates are needed. A multidisciplinary, collaborative heart-team approach is crucial for best outcomes.