bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neighborhood Socioeconomic Disadvantage and 30‐Day Outcomes for Common Cardiovascular Conditions
Authors: Lusk Jay B. , Blass Beau , Mahoney Hannah , Hoffman Molly N. , Clark Amy G. , Bae Jonathan , Mentz Robert J. , Wang Tracy Y. , Patel Manesh , Hammill Bradley G. 
Published: August 2024

Background
Understanding the relationship between neighborhood environment and cardiovascular outcomes is important to achieve health equity and implement effective quality strategies. We conducted a population‐based cohort study to determine the association of neighborhood socioeconomic deprivation and 30‐day mortality and readmission rate for patients admitted with common cardiovascular conditions.

Methods and Results
We examined claims data from fee‐for‐service Medicare beneficiaries aged ≥65 years between 2017 and 2019 admitted for heart failure, valvular heart disease, ischemic heart disease, or cardiac arrhythmias. The primary exposure was the Area Deprivation Index; outcomes were 30‐day all‐cause death and unplanned readmission. More than 2 million admissions were included. After sequential adjustment for patient characteristics (demographics, dual eligibility, comorbidities), area health care resources (primary care clinicians, specialists, and hospital beds per capita), and admitting hospital characteristics (ownership, size, teaching status), there was a dose‐dependent association between neighborhood socioeconomic deprivation and 30‐day mortality rate for all conditions. In the fully adjusted model for death, estimated effect sizes of residence in the most disadvantaged versus least disadvantaged neighborhoods ranged from adjusted odds ratio 1.29 (95% CI, 1.22–1.36) for the heart failure group to adjusted odds ratio 1.63 (95% CI, 1.36–1.95) for the valvular heart disease group. Neighborhood deprivation was associated with increased adjusted 30‐day readmission rates, with estimated effect sizes from adjusted odds ratio 1.09 (95% CI, 1.05–1.14) for heart failure to adjusted odds ratio 1.19 (95% CI, 1.13–1.26) for arrhythmia.

Conclusions
Neighborhood socioeconomic disadvantage was associated with 30‐day mortality rate and readmission for patients admitted with common cardiovascular conditions independent of individual demographics, socioeconomic status, medical risk, care access, or admitting hospital characteristics.
Evolutionary history of the Balkan endemic genus Delminichthys (Teleostei, Leuciscidae) with an emphasis on the population structure of Southern Dalmatian minnow
Authors: Lukač Milica , Ludoški Jasmina , Dekić Radoslav , Milankov Vesna 
Published: August 2024

Abstract
The genus Delminichthys consists of allopatric species restricted to ephemeral watercourses in the karst fields of the left-bank (D. ghetaldii) and the right-bank (D. adspersus and D. jadovensis) Neretva River basin as well as in the Una River drainage (D. krbavensis). The first aim addressed questions of interspecies variation and phylogenetic relationships among Delminichthys based on time-calibrated analysis of cyt b mtDNA (cytochrome b) and COI mtDNA (cytochrome c subunit I) mitochondrial DNA genes. Species-specific haplogroups supported two mtDNA genes as suitable barcoding markers, while we additionally proposed character-based and genetic distance threshold-based delimitation of species. We confirmed that the Pliocene and Pleistocene refugium for freshwater species was the Neretva basin, promoting the diversification of the genus Delminichthys. Our second aim was to test the population structure of D. ghetaldii (Southern Dalmatian minnow) by performing an integrative study using molecular mtDNA data, linear and geometric morphometric data. We consider that the spatial aspects of the population genealogical structure of D. ghetaldii mirror the Pleistocene paleodrainages. The differentiated COI mtDNA clusters corresponding to the populations from Fatničko Polje+Dabarsko Polje and Ljubomirsko Polje+Konavosko Polje represent geographically discrete genetic entities, which should be addressed through conservation management.
Impacts of Sampling and Storm-Motion Estimates on RUC/RAP-Based Discriminations of Nontornadic and Tornadic Supercell Environments
Authors: Coniglio Michael C. , Thompson Richard L. 
Published: August 2024

Abstract
This study explores reasons for differences in discriminations of nontornadic and tornadic supercell environments between a recent study of field project (FP) radiosonde observations and RUC/RAP-based studies. Two differences are explored: 1) differences in the relative skill between near-ground and deeper-layer storm-relative helicity (SRH) and 2) differences in skill for storm-relative winds (SRWs) seen in observed soundings that are not seen in RUC/RAP-based analyses. Results show that RUC/RAP-derived near-ground SRH continues to show larger skill than deeper-layer SRH for springtime, afternoon/evening cases over the plains (the “FP” domain), although 0–1-km SRH becomes more skillful than 0–500-m SRH. The skill of kinematic variables decreases over the FP domain, as the skill of mixed-layer convective available potential energy (MLCAPE) and the percent of the low-level horizontal vorticity that is streamwise increase for significant tornadoes. Large skill is found for mean ground-relative winds (GRWs) over all layers tested, but the skill of SRWs using Bunkers motion is relatively small. The field project dataset is shown to be biased toward particularly high-end nontornadic supercells, with more tornado-favorable mixed-layer lifted condensation levels (MLLCLs), lapse rates, and low-level shear/SRH compared to the nontornadic cases in the RUC/RAP dataset over the FP domain. The skill of deeper-layer SRH, GRWs, SRWs, and MLCAPE is unusually large in the field project sample, which highlights variables that may increase the likelihood of tornadoes when other variables that relate to the supercell tornado production (low-level shear/SRH and MLLCLs) are already in a tornado-favorable range. The skill of deeper-layer kinematic variables is particularly evident when observed storm motions are used instead of Bunkers motion.

Significance Statement
Researchers continue to explore reasons why some storms produce tornadoes and others do not. Some recent studies show conflicting results, including the best layers to analyze the environmental wind shear and the ability of wind speeds relative to the storm to distinguish nontornadic from tornadic storms. One study is rooted in observations taken for field projects that targeted tornadic storms and the others in model analyses. Restricting model analyses to a spatiotemporal region that emulates field projects does not explain the disagreement but reveals how the skill of some other variables changes. The tendency for field projects to target particularly strong storms and the use of actual storm motions versus estimates of storm motions both contribute to the conflicting results.
3D printable regolith filled shape memory vitrimer composite for extraterrestrial application
Authors: Gyabaah Kingsley Yeboah , Konlan John , Tetteh Obed , Jahan Maryam , Jackson Enrique , Mensah Patrick , Li Guoqiang 
Published: August 2024

This study investigates a neoteric approach in manufacturing lunar regolith-filled shape memory vitrimer (SMV) composites for extraterrestrial applications. A SMV with robust mechanical properties was combined with locally available lunar regolith to form a composite material. Fourier Transfer Infrared Spectroscopy (FTIR), Scanning Electron Microscope (SEM), Thermogravimetric Analysis (TGA), and X-ray fluorescence (XRF) were used to characterize the resin, the regolith simulant, and the prepared SMV-regolith composites. We explored conventional synthesis as well as 3D printing methods for manufacturing the composite. Glass fabric-reinforced laminated composites were also prepared to evaluate the impact tolerance and damage healing efficiency. Compressive strength, flexural strength, and impact resistance of the composite were tested at both room and elevated temperatures. A compressive strength of 96.0 MPa and 5.4 MPa were recorded for composite with 40 wt% regolith ratio at room and elevated temperatures, respectively. The glass fabric reinforced SMV-regolith laminate exhibited a bending strength of 232.7 MPa, good impact tolerance under low-velocity impact test, and good healing efficiency up to two damage healing cycles. The 3D printed SMV-regolith composite using a liquid crystal display (LCD)-based printer exhibited a good thermomechanical property with a compressive and tensile strength of 139.16 MPa and 13.99 MPa, respectively, and a good shape memory effect. However, the LCD-based printing using vat-photopolymerization limits the size of the printed samples. Nonetheless, this study shows that utilization of regolith to form advanced composite is possible. SMV regolith composite is a promising material for lunar base applications due to its simple manufacturing process, excellent mechanical properties, and low energy consumption.
The Effect of Psychotherapy Interventions After Stillbirth on the Grief Process and Depression: Systematic Review and Meta-Analysis
Authors: Yıldız Karaahmet Aysu , Bilgiç Fatma Şule 
Published: August 2024

This study aimed to provide a systematic overview of existing quantitative research on the effects of psychotherapy interventions given to women with stillbirth on the grief process and depression in the postpartum period and to analyze the results. Four databases (PubMed (MEDLINE), Cochrane, Google Scholar, Web of Science) were searched between January-March 2024. Risk of bias and precision of evidence were assessed with the Cochrane risk of bias tool ROB-2 and ROBIN-1. Ten studies were included. Meta-analysis results showed that psychotherapeutic interventions significantly reduced the grief adaptations of mothers in the mourning process and there was a significant difference in the assessment of grief adaptation. Sub-group analyzes revealed mothers’ depression values and stress levels compared to the control groups and there was a significant difference between the groups. Psychotherapeutic interventions given to women positively affect their grief adaptation and reduce stress, anxiety, and depression. PROSPERO ID: CRD42024516195
Investigating Expert-Rater Agreement and Inter/Intra-Rater Reliability of Two Fundamental Movement Skills for the Locomotor Subscale of the FG-COMPASS
Authors: Perez Lino , Furtado Ovande 
Published: August 2024

The Furtado-Gallagher Children Observational Movement Pattern Assessment System (FG-COMPASS) is an observational tool using sequential decisions to assess fundamental movement skill proficiency. The current version of the test has three locomotor and five manipulative skills. Adding two more locomotor skills to the assessment tool enriches its scope, enabling a more comprehensive and nuanced evaluation of individual movement skills. We assessed expert-non-expert rater agreement and inter/intra non-expert rater reliability of two new scales for the locomotor subscale. We divided this study into two parts. In Part I, we filmed 60 children aged 5–10 years old who performed gallop and vertical jump skills. A motor behavior expert then classified the videotapes using our newly created rating scales. Next, we selected eight videos for training purposes and 24 videos for testing purposes. In Part II, 30 undergraduate students underwent rater training. Rating data were analyzed using weighted kappa (Kw) and the intra-class correlation coefficient (ICC), and these indices showed ‘very good’ agreement between the expert and the non-expert raters for vertical jump (Kw = .96) and gallop (Kw = .89). The ICC expert to non-expert rater values for vertical jump and gallop were .98 and .94, respectively; and mean kappa values for inter-rater reliability between non-experts were considered ‘very good’ for vertical jump (MKw = .92) and ‘good’ for gallop (MKw = .78). The ICC inter-rater values were .98 and .95 (considered ‘excellent’) for vertical jump and gallop, respectively; and the kappa intra-rater values were .96 and .85, respectively, with intra-rater ICC values .98 and .92. Thus, the proposed rating scales were reliable for assessing vertical jump and gallop. Future studies should focus on criterion-related validity and reliability evidence from live performances.
Efficacy, safety of and adherence to adjustable compression wraps in the control phase of breast cancer-related lymphedema: A randomized controlled trial
Authors: Silva Jéssica Malena Pedro da , Araújo Raul Denner Duarte , Aguiar Suzana Sales de , Fabro Erica Alves Nogueira , Pinto Marcus Vinicius de Mello , Thuler Luiz Claudio Santos , Bergmann Anke 
Published: August 2024

Objective To evaluate efficacy, safety, and adherence to using adjustable compression wraps (ACWs) for upper limb volume control in women with breast cancer-related lymphedema. Design and Setting Randomized controlled trial at a reference hospital for breast cancer treatment in Brazil. Participants Women in control phase of the breast cancer-related lymphedema. Interventions Compared use of ACWs versus compressive mesh. Main Measures Evaluated before treatment, at 30 days, and 6 months after initiating therapy. The primary outcome was the change in excess limb volume. Secondary outcomes included adherence, incidence of adverse events, functionality, quality of life, and hand grip. Statistical analysis involved calculating the effect size (ES) with a 95% confidence interval. Results Were included 71 women with mean excess limb volume of 321.79 mL (±194.98). In the 30-day analysis (Time 1), a reduction of 37.6 mL in volume was observed only in the ACW group ( p = .041, ES 0.20), with improved functionality ( p = .013, ES 0.22). In the six months analysis (Time 2), the compressive mesh group increased by 2.48% in volume ( p = .023, ES 0.26) and demonstrated improvement functionality ( p = .036, ES 0.27). Mild adverse events and satisfactory adherence were observed. However, in the intergroup comparison, no statistically significant difference was observed for any evaluated outcome—excess volume, incidence of adverse events, adherence, hand grip, quality of life, and functionality between the groups ( p > .05) at both times. Conclusions Both compression therapies achieved satisfactory adherence, were safe, effective and equivalent for controlling limb volume in breast cancer-related lymphedema.
Insomnia and the effect of zolpidem-extended-release on the sleep items of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia, and suicidal ideation: Relationship to patient age
Authors: McCall William V , Mercado Kayla , Dzurny Tess N , McCloud Laryssa L , Krystal Andrew D , Benca Ruth M , Rosenquist Peter B , Looney Stephen W 
Published: August 2024

Background: There are limited data regarding gamma-aminobutyric acid (GABA) allosteric modulator sleep-aid medications in persons with depression, insomnia, and suicidal ideation (SI). Aims: This secondary analysis examined the relationship of age to insomnia and the impact of age on the treatment of insomnia with zolpidem extended-release (zolpidem-ER) in depressed suicidal patients. A prior report found that the addition of zolpidem-ER promoted significantly superior reductions in global severity of insomnia in depressed outpatients with insomnia and SI over 8 weeks, but here we report the differences among early, middle, and late insomnia. Methods: This secondary analysis examined the three early, middle, and late insomnia items of the Hamilton Rating Scale for Depression (HRSD) and their relationship to age and responsiveness to treatment with zolpidem-ER. One hundred and three patients with major depression, SI, and insomnia received open-label serotonin reuptake inhibitors and were randomly allocated 1:1 to receive zolpidem-ER or placebo at bedtime. Results: Older age at baseline was associated with worse middle and late insomnia, but not with early insomnia. Subsequent treatment with zolpidem-ER produced superior improvement in early and middle insomnia, but not late insomnia. Conclusions: These findings are consistent with the known age-related advancement of sleep timing in the general population and depressed outpatients and with the expected effects of a short half-life GABA allosteric modulator sleep aid. By implication, prescribers of pharmacologic treatment of insomnia in depressed patients should consider an alternative to zolpidem-ER when late insomnia is a concern. Trial registration number: ClinicalTrials.gov Identifier: NCT01689909.
“Necessity is the mother of invention”: Experiences of accessing and delivering dementia-related support services by information communication technology during the pandemic in the UK
Authors: Caprioli Thaïs , Mason Stephen , Tetlow Hilary , Limbert Stan , Reilly Siobhan , Giebel Clarissa 
Published: August 2024

Introduction The remote delivery of dementia-related support services by information communication technology, defined as any hardware or software, including the telephone and videoconferencing software, increased during the coronavirus pandemic. To guide the future use of information communication technology, this study explored the experiences of delivering and accessing social care and support services during the pandemic in the UK. Method Remote semi-structured interviews with social care and support providers, people with dementia and family carers were conducted between May-December 2022. Topic guides were co-developed with two public advisors (one former family carer, one person with dementia) and garnered information on delivering and accessing services during the pandemic. Audio recordings were transcribed verbatim. Employing a mixture of inductive and deductive analytic approaches, a thematic analysis was conducted. Results Twenty-one interviews ( n = 14 social care and support providers; n = 6 family carers; n = 2 people with dementia) were conducted. Three themes were generated: adapting to changing circumstances; responding to unmet needs by information communication technology and information communication technology should be a tool, not the default. Social care and support providers’ creativity and motivation facilitated the adoption of information communication technology, however, available resources and guidance varied. While some people with dementia and family carers benefitted from accessing services by information communication technology to address some needs, the format was not suitable for everyone. Conclusions Beyond the coronavirus pandemic, the use of information communication technology within service delivery needs to be carefully considered, to avoid disenfranchising some people with dementia and family carers, while empowering people with the option of how to access services. Digital training and guidelines advising the use of information communication technology within service delivery may facilitate its improved use during the current landscape, and amidst future pandemics.
Preoperative anemia is a risk factor for worse 30-day outcomes in both open and endovascular repair of non-ruptured infrarenal abdominal aortic aneurysm
Authors: Li Renxi , Sidawy Anton , Nguyen Bao-Ngoc 
Published: August 2024

Background Anemia is a highly prevalent condition potentially linked to chronic inflammation. Preoperative anemia is an independent risk factor across many surgical fields. However, the relationship between anemia and abdominal aortic aneurysm (AAA) repair outcomes remains unclear. This study aimed to examine the effects of preoperative anemia on 30-day outcomes of non-ruptured infrarenal AAA repair. Methods Patients who underwent open surgical repair (OSR) and endovascular aneurysm repair (EVAR) for infrarenal AAA were identified in National Surgical Quality Improvement Program (NSQIP) targeted databases from 2012 to 2021. Anemia was defined as preoperative hematocrit less than 39% in males and 36% in females. Multivariable logistic regression was used to compare 30-day perioperative outcomes between anemic and non-anemic patients, adjusting for demographics, comorbidities, indications, aneurysm extents, operation time, and surgical approaches. Results There were 408 (22.13%) anemic and 1436 (77.88%) non-anemic patients who underwent OSR for non-ruptured AAA, while 3586 (25.20%) patients with and 10,644 (74.80%) without anemia underwent EVAR. In both OSR and EVAR, anemic patients had higher risks of bleeding requiring transfusion (OSR, aOR = 2.446, p < .01; EVAR, aOR = 3.691, p < .01), discharge not to home (OSR, aOR = 1.385, p = .04; EVAR, aOR = 1.27, p < .01), and 30-day readmission (OSR, aOR = 1.99, p < .01; EVAR, aOR = 1.367, p < .01). Also, anemic patients undergoing OSR had higher pulmonary events (aOR = 2.192, p < .01), sepsis (aOR = 2.352, p < .01), and venous thromboembolism (aOR = 2.913, p = .01), while in EVAR, anemic patients had higher mortality (aOR = 1.646, p = .01), cardiac complications (aOR = 1.39, p = .04), renal dysfunction (aOR = 1.658, p = .02), and unplanned reoperation (aOR = 1.322, p = .01). Moreover, in both OSR and EVAR, anemic patients had longer hospital length of stay ( p < .01). Conclusion In OSR and EVAR, preoperative anemia was independently associated with worse 30-day outcomes. Preoperative anemia could be a useful marker for risk stratification for patients undergoing infrarenal AAA repair.
Predictors of paediatric difficult intubation according to the experience of a university hospital in a low- and middle-income country: A prospective observational study
Authors: Jarraya Anouar , Kammoun Manel , Ketata Hind , Bouchaira Hasna , Ammar Saloua , Mhiri Riadh 
Published: August 2024

Background:Difficult airway management is one of the main challenges in paediatric anaesthesia, particularly in low- and middle-income countries.Aims:The aim of this study was to investigate the main predictors of difficult paediatric intubation.Methods:In this observational study, we included all children aged less than five years undergoing intra-abdominal surgery with endotracheal intubation. Patients were divided into two groups according to the incidence of difficult intubation. Then, we investigated predictors for difficult paediatric intubation.Results:We included 217 children, and difficult intubation was observed in 10% of them. Predictors were as follows: Mallampati III–IV class (adjusted odds ratio = 2.21; 95% confidence interval = 1.1–6.4), limited mouth opening (adjusted odds ratio = 2.4; 95% confidence interval = 1.8–3.5), facial dysmorphia (adjusted odds ratio = 2.6; 95% confidence interval = 1.32–7.4) and anaesthesia without muscle relaxant (adjusted odds ratio = 1.8; 95% confidence interval = 1.0–5.1) or without opioids during crash inductions (adjusted odds ratio = 1.7; 95% confidence interval = 1.01–4.8).Conclusion:Facial dysmorphia and limited mouth opening were predictors of difficult intubation in children. Furthermore, it seems that Mallampati class and anaesthesia technique may also predict challenging intubation, which may guide us to change our perioperative practice.