bluuebunny/crossref_metadata_2025_split huggingface dataset:
Innovative guidelines for mix design and construction practices for concrete manufactured using rice husk ash and waste marble slurry: insights from experimental study
Authors: Srinivasan Varadharajan 
Published: February 2025

Abstract
This study investigates the use of rice husk ash (RHA) and waste marble powder (WMS) as sustainable pozzolanic additives in concrete, promoting circular economy principles by repurposing waste. Cement was partially replaced with RHA (6%–24%) and fine aggregate with WMS (12%–36%), alongside 1.5% hooked steel fibers. The optimized mix, RH18MD36SF1.5 (18% RHA, 36% WMS, 1.5% steel fibers), showed significant improvements: compressive strength increased by 47.6%, split tensile by 45.8%, and flexural by 49.6%. Life cycle assessment (LCA) using the ReCiPe methodology revealed reductions of 36.5% in particulate emissions, 36.6% in greenhouse gases, and 41.7% in carbon footprint. These results align with UN SDGs 9 and 12, promoting climate-resilient, sustainable infrastructure. The study demonstrates the feasibility of converting waste into construction resources, offering guidelines for optimizing concrete mix designs and construction practices to enhance durability and sustainability in structural applications.&#xD;
TIGRE v3: Efficient and easy to use iterative computed tomographic reconstruction toolbox for real datasets
Authors: Biguri Ander , SADAKANE Tomoyuki , Lindroos Reuben , Liu Yi , Sabate Landman Malena , Du Yi , Lohvithee Manasavee , Kaser Stefanie , Hatamikia Sepideh , Bryll Robert , Valat Emilien , Wonglee S. , Blumensath Thomas , Schönlieb Carola-Bibiane 
Published: February 2025

Abstract
Computed Tomography (CT) has been widely adopted in medicine and it is increasingly being used in scientific and industrial applications. Parallelly, research in different mathematical areas concerning discrete inverse problems has led to the development of new sophisticated numerical solvers that can be applied in the context of CT. The Tomographic Iterative GPU-based Reconstruction (TIGRE) toolbox was born almost a decade ago precisely in the gap between mathematics and high performance computing for real CT data, providing user-friendly open-source software tools for image reconstruction. However, since its inception, the tools' features and codebase have had over a twenty-fold increase, and are now including greater geometric flexibility, a variety of modern algorithms for image reconstruction, high-performance computing features and support for other CT modalities, like proton CT. The purpose of this work is two-fold: first, it provides a structured overview of the current version of the TIGRE toolbox, providing appropriate descriptions and references, and serving as a comprehensive and peer-reviewed guide for the user; second, it is an opportunity to illustrate the performance of several of the available solvers showcasing real CT acquisitions, which are typically not be openly available to algorithm developers.
Adaptive intrusion detection in IoT: combining batch and incremental learning for enhanced security
Authors: ABDERRAHIM Nassiba Wafa , Benosman Amina 
Published: February 2025

Abstract
The Internet of Things (IoT) has become an integral part of everyday life, and plays a significant role in various sectors by enabling device-to-device communication without human intervention. However, the constant connectivity of these devices to the Internet exposes them to numerous cyberattacks, potentially leading to data breaches, device malfunctions, and unauthorized network access. The diverse range of threats targeting IoT systems highlights the need for robust security solutions, such as machine learning-based intrusion detection systems, which have attracted growing research interest. This study proposes a novel adaptive approach for intrusion detection in IoT environments by combining batch and incremental learning models. Our work overcomes the limitations of traditional machine learning-based intrusion detection methods, emphasizing the potential of incremental learning to develop more effective and resilient solutions. Unlike most existing approaches that rely solely on batch learning and lack adaptability to integrate new data for long-term security, our method offers a more flexible alternative. Specifically, we leverage the predictive power of LightGBM in batch mode to improve the performance of a Passive-Aggressive classifier as a meta-learner in incremental mode. This dual learning approach aims to enhance intrusion detection in two key ways: effectively capturing diverse attack patterns with batch learning and adapting to emerging attack patterns with incremental learning. Experiments conducted on the CICIoT2023 dataset demonstrate that the proposed approach successfully balances performance and adaptability. It maintains accurate detection capabilities across various classification tasks while remaining responsive to evolving attack patterns.
From one biologic to another: the rationale and evidence behind switching therapies in chronic rhinosinusitis
Authors: Abdullah Baharudin , Zahedi Farah Dayana , Tantilipikorn Pongsakorn 
Published: February 2025

Purpose of review
Although biologics had been used to treat CRSwNP, not all patients respond favourably, necessitating the use of other biologics. As there are currently no guidelines available, the process and rationale for switching biologic therapy in the treatment of CRSwNP are examined in this review.

Recent findings
Due to the heterogeneity of diseases, biologic therapies may efficiently control CRSwNP but give inadequate control for asthma, or vice versa. Changing an ineffective first-line biologic to a second-line treatment or others is generally referred to as switching. The most common reasons for switching biologics are poor symptom management or ineffectiveness, and undesirable adverse effects. The ineffectiveness was largely due to the use of omalizumab or mepolizumab, whereas the adverse effects were due to dupilumab.

Summary
Switching biologics is a nuanced process influenced by a variety of patient-specific and clinical factors. Biologics that effectively treat upper and lower airway diseases are recommended for optimal control in CRSwNP patients with concurrent asthma. There was no difference in outcomes between switching biologics with and without a washout period. Switching between biologics in the same class is generally not recommended. Dupilumab serves as an effective treatment option for refractory cases particularly aspirin-exacerbated respiratory disease.
What's in a Name?: A Legal Review of Title Protection Laws Pertaining to “Doctor” and “Dermatologist” in the United States
Authors: Galambus Justine , Torres Abel 
Published: February 2025

BACKGROUND
As new roles in health care appear and existing roles grow, there is concern that nonphysicians may appropriate physician titles. Protecting titles is essential to ensuring that patients understand the qualifications and training of their health care providers.

OBJECTIVE
The purpose of this review was to evaluate the existing state laws as they apply to the protected and prohibited use of physician specialist titles and “doctor” in a clinical setting.

MATERIALS AND METHODS
Existing state laws, the Westlaw legal database, and BillTrack50 were examined for existing laws, court cases, and proposed legislation regarding the use of “physician,” “surgeon,” “dermatologist,” and “doctor.”

RESULTS
General physician titles and suffixes, such as “M.D.,” “D.O.,” “physician,” and “surgeon,” are broadly protected throughout a majority of the United States. Unlike general physician titles, specialist titles, including “dermatologist,” are only protected in 3 states and Washington, DC. Most states allow for the broad use of “doctor” by nonphysicians in clinical settings but require explicit clarification of the practitioner's doctoral field.

CONCLUSION
While general physician titles are protected in almost all states, specialist titles, such as “dermatologist,” are protected in exceptionally few. There are ongoing efforts by state legislatures to update laws and enact protection for specialist titles.
A Confirmatory Factory Analysis of the Exercise Sensitivity Questionnaire (ESQ)
Authors: Farris Samantha G. , Kibbey Mindy M. , Derby Lilly , Keller Brittany , Leyro Teresa M. , Alderman Brandon L. , Steinberg Michael B. , Abrantes Ana M. , DiBello Angelo M. 
Published: February 2025

Purpose:
The Exercise Sensitivity Questionnaire (ESQ) is a self-report measure used to assess the extent to which different physical sensations of exercise elicit anxiety (ie, exercise sensitivity). The ESQ was developed for individuals with cardiovascular conditions and initially validated in a non-clinical sample. This study evaluates the factor structure and measurement invariance in a clinical sample of adults with various cardiovascular conditions.

Methods:
This was a cross-sectional study with retrospective chart review. Patients (N = 265; 73% male, mean age 67.8 ± 10.5 years) were attending an orientation for outpatient medically supervised exercise-based cardiac rehabilitation. The factor structure was examined using Confirmatory Factor Analysis, and tests of measurement invariance were evaluated by sex and advanced age (<65 years, >65 years). Internal consistency, descriptive characteristics, and correlates of ESQ scores and its factors were evaluated. Concurrent validity was evaluated in a subset of patients (N = 57) with elevated exercise sensitivity.

Results:
The Confirmatory Factor Analysis supported a 2-factor model, which was invariant, but not a 1-factor model, and reflected anxiety about (1) cardiopulmonary and (2) pain/weakness exercise sensations. Internal consistency of ESQ items was high. ESQ scores were associated with higher body mass index and shorter 6-Minute Walk Test distance, particularly the pain/weakness factor. ESQ scores evidenced preliminary concurrent validity with anxiety sensitivity and general anxiety but discriminant validity with depressive symptoms.

Conclusions:
There is support for the validity and reliability of ESQ scores as a 2-dimensional index of exercise sensitivity. The ESQ taps a psychological phenotype with relevance to exercise tolerance, and potentially cardiac rehabilitation participation, that warrants continued investigation.
Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function
Authors: Hekimsoy Vedat , Kaya Ergün Bariş 
Published: February 2025

Objectives
Lower SBP is associated with worse prognosis in precapillary pulmonary hypertension patients. This study aimed to assess the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function receiving pulmonary arterial hypertension (PAH)-specific medication with 24-h ambulatory blood pressure monitoring (ABPM) and to compare the burden of hypotension between patients receiving PAH-specific monotherapy and dual combination therapy (DCT).

Methods
This cross-sectional study included 44 precapillary pulmonary hypertension patients who underwent clinical assessment, echocardiography, and 24-h ABPM. Patients were grouped according to the type of treatment regimen: monotherapy or DCT. Hypotension was defined as the occurrence of at least one valid measurement of SBP < 100 mmHg.

Results
Mean 24-h, daytime, and nighttime SBP were significantly lower in patients receiving DCT compared to patients receiving monotherapy (P < 0.05 for all). Episodes with SBP < 100 mmHg during the 24-h, daytime, and nighttime periods were significantly more common in the patients receiving DCT (21.26 ± 9.33 vs 12.26 ± 3.61, 15.58 ± 8.17 vs 8.57 ± 3.60, 5.68 ± 2.63 vs 3.70 ± 2.27, respectively, P < 0.05 for all).

Conclusion
Patients on DCT who had relatively advanced pulmonary vascular disease have a higher burden of hypotension. We propose that estimation of the mortality risk relying on a single office blood pressure measurement, as is the case with contemporary risk scores, may give rise to inaccurate results and the incorporation of the assessment of hypotension burden with 24-h ABPM into the risk assessment tools might improve risk stratification.
The potential of creatine monohydrate supplementation in the management of osteosarcopenia
Authors: Candow Darren G. , Kirk Ben , Chilibeck Philip D. , Duque Gustavo 
Published: February 2025

Purpose of review
Osteosarcopenia is an age-related condition characterized by reductions in bone mineral, muscle/lean mass, strength and functional ability which increases the risk of falls, fractures, frailty and premature mortality. One main contributing factor to osteosarcopenia is malnutrition. The purpose was to review recent evidence of creatine monohydrate (CrM) supplementation in older adults and to discuss the potential to manage osteosarcopenia.

Recent findings
Accumulating research shows that CrM supplementation, primarily when combined with exercise training, has the potential to serve as a viable intervention in the management of osteosarcopenia. Collectively, CrM supplementation during exercise training in older adults led to greater improvements in whole-body lean mass, lower-limb muscle density and bone geometry and muscle strength (primarily upper-body) compared to exercise training alone. However, no study has investigated the effects of CrM, with and without exercise training, in older adults with osteosarcopenia.

Summary
Given the positive findings of CrM on measures of muscle and bone in healthy older adults, there is potential for CrM to be added as an adjunct to exercise training in the management of osteosarcopenia. However, randomized clinical trials are needed to confirm the safety and efficacy of this nutrient in this clinical population.
Supraorbital keyhole approach (SOKHA) versus endoscopic endonasal approach (EEA) for suprasellar meningioma (SSM) resection: systematic review and meta-analysis
Authors: Ahmed Mansoor , Naseer Haseena , Tabba Khush , Borba Luis A.B. , Tahir Abdullah , Arshad Mateen , Ahmad Afnan , Abbas Ayesha , Evangelou Kyriacos , Yaqoob Eesha , Chaurasia Bipin , Javed Saad 
Published: February 2025

Background:
Complete surgical resection of suprasellar meningiomas (SSMs) is challenging due to their proximity to neurovascular structures. Minimally invasive transcranial approaches such as the supraorbital keyhole approach (SOKHA) and the endoscopic endonasal approach (EEA) have emerged with the advancement of neuroendoscopy and neuromicroscopy.

Objective:
To compare the SOKHA and EEA for the management of SSM in terms of patient characteristics, surgical efficacy, and safety.

Materials and methods:
A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. A comprehensive search of the PubMed, Embase, Cochrane, and ClinicalTrials.gov databases was performed, identifying studies comparing SOKHA and EEA for SSMs. Data extraction and quality assessment were conducted independently by two reviewers.

Results:
Out of 1678 identified studies, six retrospective studies met the inclusion criteria. Visual improvement was significantly higher with EEA compared to SOKHA (81.00% vs 62.12%, respectively, I
2 = 0%, P = 0.03), but EEA had a statistically significantly higher risk of cerebrospinal fluid (CSF) leak (risk ratio = 0.30, 95% confidence interval [CI] = 0.09–0.94) with a fixed-effect model. The rate of gross total resection (GTR) and major complications did not differ significantly between the two approaches. A serious overall risk of bias across all included studies was identified. No significant publication bias was detected.

Conclusion:
While both SOKHA and EEA show comparable GTR rates and safety profiles, however EEA is associated with better visual outcomes but higher CSF leak rates. The surgical approach can be tailored to the individual case without affecting the GTR. Further larger-scale studies are needed to accurately assess long-term outcomes and optimize surgical strategies for SSM.
Inclusivity in Nursing Education
Authors: Arbour Megan , Hansen Kathryn , Milazzo Maria , Houston Jane , Walker Kelly 
Published: February 2025

Background:
Neurodiverse and disabled individuals are underrepresented in nursing education, often facing marginalization, lack of support, and implicit bias.

Purpose:
This study assessed nursing faculty’s preparedness to teach neurodiverse students by examining their knowledge and attitudes about neurodiversity.

Methods:
A convergent parallel mixed methods design was used, involving a survey emailed to 469 nursing faculty at 3 North American institutions. The survey included the Faculty Preparedness Questionnaire-Neurodiversity and open-ended questions.

Results:
The study found that faculty has moderate knowledge of neurodiversity but desire more training. Attitudes were generally positive, though some implicit biases were present. Qualitative analysis revealed themes of natural variation, acceptance, and the need for more support and training.

Conclusion:
Faculty members showed a willingness to learn and support neurodiverse students, but professional development is needed to reduce ableism and enhance inclusive teaching practices.
Perspectives of Spanish-Speaking Women on Telemedicine for Contraceptive Care
Authors: Coots Cynthia , Mesa Adriana , Gallardo Richard , Vicéns-Villafaña José Juan , Stifani Bianca M. 
Published: February 2025

OBJECTIVE:
The use of telemedicine for reproductive health increased during the coronavirus disease 2019 (COVID-19) pandemic, but people with language barriers are less likely than others to use it. The objective of this study is to describe the perspective of Spanish-speaking immigrant women on the use of telemedicine to access reproductive health services, including contraception.

METHODS:
We conducted a qualitative study using in-person and virtual focus groups with primarily Spanish-speaking reproductive-aged women who reside in a suburban area outside of New York City. We recruited participants through flyers, social media, and a partnership with a community-based organization. We analyzed interview transcripts using grounded theory methodology.

RESULTS:
Between May and November 2022, we conducted six in-person and two virtual focus groups with a total of 58 participants. Most participants were from Mexico and Guatemala and had limited experience with telemedicine. Participants recognized that telemedicine has practical advantages, including economic ones. However, many expressed concerns about the quality of virtual health care, which they felt led to “guesswork,” because it is not possible to conduct a physical examination. When prompted, participants recognized that telemedicine could be a viable option to provide information about different contraceptive options and to initiate some contraceptive methods such as pills. Low technological literacy and lack of access to cell service were often cited as barriers to using telemedicine.

CONCLUSION:
To ensure equal access to telemedicine among underserved populations, it is important to understand their needs and perspectives. Educating prospective users about the value and limitations of telemedicine and overcoming technological barriers are essential steps in ensuring digital health equity.
Assessment, patency, and management of occlusion of central venous catheters in ICU and hemodialysis patients in a Hospital in Badajoz, Spain: a best practice implementation project
Authors: Morcillo-Oliva Diego Javier , Albornos-Muñoz Laura 
Published: February 2025

ABSTRACT

Introduction:
Central venous catheters (CVCs) and other central venous access devices (CVADs) facilitate the administration of intravenous drugs, fluids, blood products, and parenteral nutrition in patients with chronic or critical illnesses. A lack of standardized practices had been identified in some countries, leading to the development and publication of guidelines.

Aim:
This project aimed to improve CVAD care by promoting evidence-based practices in an intensive care unit and a hemodialysis unit in a hospital in Badajoz, Spain.

Methods:
The study was based on the JBI approach to evidence implementation. A retrospective baseline audit was conducted before developing and implementing an evidence-based protocol for the assessment, patency, and management of occlusions in CVCs. The JBI Getting Research into Practice (GRiP) method was used to identify the factors underpinning gaps between evidence and everyday practice, as well as strategies to overcome them. A follow-up post-implementation audit was also conducted. The sample size was 34 patients.

Results:
Improvements in compliance were found in four of the six audited criteria. The barriers identified during the implementation process were mostly addressed, contributing to the positive results.

Conclusions:
This evidence implementation project resulted in the development of an evidence-based protocol on CVAD care in the selected units and can now be expanded to other settings. The project also improved the quality of nursing records and the maintenance of best practices.

Spanish abstract:

http://links.lww.com/IJEBH/A325
Origins of rings in the Solar System
Authors: Sicardy B. , El Moutamid M. , Renner S. , Sfair R. , Souami D. 
Published: February 2025

Until about a decade ago, ring systems were only known to exist around giant planets. Each one of the four giant planets harbours its own distinctive and unique system of rings and inner satellites. The past decade has been marked by the unexpected discoveries of dense rings around small objects of the outer Solar System: the Centaur object Chariklo (and possibly Chiron), the dwarf planet Haumea and the trans-Neptunian object Quaoar. In the latter case, an additional surprise came from the fact that Quaoar’s rings orbit well beyond the Roche limit of the body. Here, we address the possible origins and evolution of these ring systems.
This article is part of the theme issue ‘Major advances in planetary sciences thanks to stellar occultations’.
Contributions of ‘citizen science’ to occultation astronomy
Authors: Beisker Wolfgang , Guhl Konrad , Midavaine Thierry 
Published: February 2025

The modern term ‘citizen science’ describes a very old tradition in the natural sciences. Until the specialization of the sciences at the end of the eighteenth century, the emergence of technical universities and the formation of a modern scientific enterprise, citizen science was the norm. Since the 1960s, amateur astronomers have increasingly observed stellar occultations, first by the Moon and in the last three decades by main belt asteroids and outer solar system bodies. As in other branches of astronomy, occultation work has profited tremendously from technological advances in the last 40 years. Special for occultation work citizen scientists have developed cameras with millisecond-precise absolute timing that is necessary in occultation work. Modern star catalogues, such as the Hipparcos, UCAC and, lately, the Gaia catalogues, have helped to improve predictions of such events. Easy to handle software to predict occultations has been developed for the occultation observers. Cooperations and networks between professionals and amateurs have led to scientific improvement and coverage of occultations. This results in many peer-reviewed publications, where amateurs play an increasing role.
This article is part of the theme issue ‘Major advances in planetary sciences thanks to stellar occultations’.