bluuebunny/crossref_metadata_2025_split huggingface dataset:
Building a workforce of diverse women leaders: Understanding intersectional identities
Authors: Fleming Eleanor , Alkhubaizi Qoot , Cunha‐Cruz Joana , Dariotis Wei Ming 
Published: May 2024

AbstractBackgroundWomen have made significant advancements in the dentist workforce, growing from 20% of dentists in 2005 to 34.5% in 2020. Women have also made inroads in academic dentistry. While much scholarship has documented a growing feminization in dentistry and efforts to promote gender equity in the profession, there has been less exploration of the intersectional identities of these women. This manuscript explores how academic dentistry can support diverse women's leadership focusing on intersectional identities.MethodsApplying the theoretical framework of intersectionality, we assess publicly available data to explore the percentages of faculty and deans who are women of color. Drawing upon best practices in higher education and our personal experiences, we explore opportunities to increase participation and support the advancement of women of color in academia.ResultsIn the academic year 2018–2019, of the 5066 full‐time faculty members, 40.5% were women. Minoritized women comprised 13.4% of full‐time faculty members, compared to White women who were 20.6% of full‐time faculty. Minoritized women comprised 7.3% of dental school deans, compared to White women who were 17.6% of deans.ConclusionIntersectionality allows for a deeper examination of women in academic dentistry. Women of color are often erased in discussions about women in academic dentistry, even as the profession celebrates the progress made by women. Embracing the intersectional identities of women and by extension, people who identify as gender non‐confirming may help dental schools to become humanistic environments where faculty and leadership represent the growing diversity in the profession and in the world.
Stakeholder perceptions of gerodontology education for final year Australian dental school curricula
Authors: Nilsson Angie , Young Louise , Evans Rebecca , Jennings Ernest , Lee Andrew 
Published: May 2024

AbstractAimThe study explored the perceptions of final‐year Australian dental students, directors of nursing, and consumer representatives toward geriatric education provided at Australian undergraduate dental schools. Findings will strengthen and inform future curricula design for dental schools.MethodsSemi‐structured interviews and focus groups were conducted through videoconferencing and in‐person interviews, and analyzed using thematic analysis.ResultsThematic analysis found the major themes to include relationships, curriculum variation, resources, and in‐service learning experiences. The participants found gaps in the current delivery of undergraduate dental education. Solutions included greater resourcing through funding and time allocated to supervisors and a curriculum dedicated to gerodontology.ConclusionsHealthcare professional curriculum design must consider the needs of the learners and stakeholders involved in the health of older people. The focus group participants found multiple barriers and gaps to achieving what is required to adequately prepare dental graduates for an older, frail, and care‐dependent population. For curricula to be successful, policymakers and education providers must find solutions to ensure that the oral health needs of older Australians are addressed and managed appropriately.
QoL during KTd or KRd induction followed by K maintenance or observation in transplant noneligible patients with newly diagnosed multiple myeloma: Longitudinal and cross‐sectional analysis of the randomized AGMT 02 study
Authors: Ludwig Heinz , Melchardt Thomas , Schweitzer Ilvy , Sormann Siegfried , Schreder Martin , Andel Johannes , Hartmann Bernd , Zojer Niklas , Schöffmann Laurenz , Gunsilius Eberhard , Podar Klaus , Egle Alexander , Willenbacher Wolfgang , Wöll Ewald , Ruckser Reinhard , Bozic Boris , Krauth Maria‐Theresa , Petzer Andreas , Schmitt Clemens , Machherndl‐Spandl Sigrid , Agis Hermine , Fillitz Michael , Wang Song‐Yau , Knop Stefan , Greil Richard 
Published: May 2024

AbstractUnderstanding the impact of induction and maintenance therapy on patients’ quality of life (QoL) is important for treatment selection. This study aims to compare patient‐reported QoL between patients treated with KTd or KRd induction therapy and K maintenance therapy or observation. QoL was assessed using the EORTC QOL‐C 30 and QOL‐MY20 questionnaires in the AGMT‐02 study, in which 123 patients with newly diagnosed transplant ineligible multiple myeloma were randomized to nine cycles of either KTd or KRd induction therapy, followed by 12 cycles of K maintenance therapy, or observation. Longitudinal assessments showed statistically significant improvements in global health‐related QoL, various disease symptoms and pain for both treatment regimens. KTd improved insomnia and fatigue, and KRd improved physical functioning. Cross‐sectional comparisons indicated a “slight” superiority of KTd over KRd in several scales, with the exception of higher neuropathy scores with KTd. During maintenance, longitudinal comparisons showed no statistically significant changes. Cross‐sectional comparisons revealed a “slight” improvement in cognitive functioning during carfilzomib therapy, but a worsening in most other QoL scales. Induction therapy led to improvements in most QoL items, while maintenance therapy with K maintenance was associated with “slight” or “moderate” impairments in several QoL scales compared with the observation group.
How to create team design in tourism and hospitality organizations: Through team‐level autonomy and task interdependence
Authors: Lim SangGon (Edward) , Jung Hyojung “Julie” , Lee Stacy H. 
Published: May 2024

AbstractTeam‐based organizational structures have been widely adopted in tourism and hospitality firms. Based on socio‐technical systems theory, this study focused on two critical components of team design: team‐level autonomy and task interdependence. The impacts of these elements on team outcomes vary by context (e.g., organizations and task types). Exploration of these features' relationships with teamwork processes in tourism and hospitality settings is thus warranted. This study took a social process (i.e., team communication) as a mediating mechanism to explain team‐level organizational phenomena. A total of 312 responses from tourism and hospitality employees were collected through Qualtrics. Structural equation modeling using the R Lavaan package showed that team‐level autonomy and task interdependence were positively and indirectly related to team performance through team communication. Also, their interaction was positively associated with team outcomes. These findings contribute to the team effectiveness literature and provide tourism and hospitality organizations with practical guidance.
Intention to have a third child among millennial parents with two children in eastern China: A cross‐sectional survey
Authors: Xu Fen , Jiang Shen‐jun , Ge Pan‐pan , Yang Jue , Lu Sha 
Published: May 2024

AbstractAimThis Study Aimed to Assess the Intention to Have a Third Child among Millennial Parents (25–40 years old) with Two Children in a City in Eastern China and to Explore the Influencing Factors Related to Fertility Intention.DesignA cross‐sectional design study.MethodsA convenience sampling method was used to enrol participants of childbearing age who visited two tertiary hospitals in Hang zhou, a city in eastern China, from June 2021 to March 2022. We conducted a face‐to‐face questionnaire survey with 520 participants and calculated the prevalence of intention‐related factors. Multivariate logistic regression was used to analyse the independent influencing factors of fertility intention.ResultsIn total, 105 (20.2%) participants had the intention to have a third child. The results showed that ‘employment status’, ‘age’, ‘reasons for wanting a third child’, the considered ‘biggest barrier to having a third child’, ‘views on the three‐child policy’, ‘desired free services’, ‘supporting work policies’ and ‘assistance policies’ were significant independent influencing factors of intention to have a third child (p‐value < 0.05). The intention of the participants ‘over 30 years old’ was 2.466 times that of those ‘30 years old and under’, and ‘older age/personal health status’ was considered the ‘biggest barrier to having a third child’. Regarding policy and social reasons, the participants who need ‘medical assistance’ policy negatively affect the intention to have a third child (OR = 0.453, 95% CI = 0.247–0.830).Implications for Healthcare/NursingNursing plays an important role in health promotion. Nurses can help couples make wise decisions about fertility by providing professional consultation, education, evaluation and support. They can also provide corresponding nursing and guidance to improve couples' health quality and overall reproductive success.ConclusionsThe general level of intention to have a third child of Millennial parents with two children is still low. The participants who are ‘housewives/househusbands’, ‘over 30 years old’, and satisfied with the state of ‘medical assistance’ have higher fertility intentions.Patient or Public ContributionIt is particularly meaningful for the policymakers to improve the social support system and raise universal awareness to encourage childbirth.
Clinical features and outcomes of young patients with low‐grade non‐rhabdomyosarcoma soft tissue sarcomas treated with a risk‐based strategy: A report from Children's Oncology Group study ARST0332
Authors: Douglass David P. , Coffin Cheryl M. , Randall R. Lor , Yang Yan , Barkauskas Donald A. , Million Lynn , McCarville M. Beth , Pappo Alberto S. , Weiss Aaron R. , Spunt Sheri L. 
Published: May 2024

AbstractBackgroundIn retrospective analyses, the Pediatric Oncology Group [POG) and the Federation National des Centres de Lutte Contre le Cancer (FNCLCC) histologic grade predict outcome in pediatric non‐rhabdomyosarcoma soft tissue sarcoma (NRSTS), but prospective data on grading, clinical features, and outcomes of low‐grade NRSTS are limited.MethodsWe analyzed patients less than 30 years of age enrolled on Children's Oncology Group (COG) study ARST0332 (NCT00346164) with POG grade 1 or 2 NRSTS. Low‐risk patients were treated with surgery alone. Intermediate‐/high‐risk patients received ifosfamide/doxorubicin and radiotherapy, with definitive resection either before or after 12 weeks of chemoradiotherapy.ResultsEstimated 5‐year event‐free and overall survival were 90% and 100% low risk (n = 80), 55% and 78% intermediate risk (n = 15), and 25% and 25% high risk (n = 4). In low‐risk patients, only local recurrence was seen in 10%; none with margins greater than 1 mm recurred locally. Sixteen of 17 intermediate‐/high‐risk patients who completed neoadjuvant chemoradiotherapy underwent gross total tumor resection, 80% with negative margins. Intermediate‐/high‐risk group events included one local and seven metastatic recurrences. Had the FNCLCC grading system been used to direct treatment, 29% of low‐risk (surgery alone) patients would have received radiotherapy ± chemotherapy.ConclusionsMost low‐risk patients with completely resected POG low‐grade NRSTS are successfully treated with surgery alone, and surgical margins greater than 1 mm may be sufficient to prevent local recurrence. Patients with intermediate‐ and high‐risk low‐grade NRSTS have outcomes similar to patients with high‐grade histology, and require more effective therapies. Use of the current FNCLCC grading system may result in overtreatment of low‐risk NRSTS curable with surgery alone.
Very elevated hCGβ (≥10 multiple of the median) in maternal marker screening for Down syndrome: Frequency, etiologies, outcomes, and guidelines
Authors: Dreux Sophie , Rosenblatt Jonathan , Massardier Jérôme , Benachi Alexandra , Voirin‐Mathieu Etienne ,   ABA Study Group, Muller Françoise 
Published: May 2024

AbstractAimThis aim of this study was to detail maternal and fetal anomalies observed on a national scale in a large French cohort of patients presenting high hCG values (≥10 multiple of the median [MoM]) at Down syndrome screening in order to define clear and optimal guidelines.MethodsThis is a retrospective multicenter study based on a French annual database of all trisomy 21 screenings. Our study targeted and studied cases with hCG or hCGβ values ≥10 MoM. Complementary exams and outcomes were analyzed.ResultsThe calculated frequency was 0.05% for hCGβ ≥10 MoM in unselected patients. For this series of 289 cases, a complication of the pregnancy or a poor outcome was observed in 145 cases (51%) as follows: 96 (66%) cases of fetal disease, 23 (16%) of maternal disease, 5 (3.5%) of placental anomalies and 21 (14.5%) of systemic disease concerning mother, fetus and placenta.ConclusionThis study establishes the frequency of hCG or hCGβ values ≥10 MoM, presents a flow chart that optimizes follow‐up, and gives clear information for patients presenting with such abnormal values at trisomy 21 screening.
Diversity of unique, nonmycorrhizal endophytic fungi in cultivated Phalaenopsis orchids: A pilot study
Authors: Watkinson Jonathan I. , Winkel Brenda S. J. 
Published: May 2024

AbstractOrchids comprise one of the largest, most diverse, and most broadly distributed families of flowering plants and contribute significantly to habitat biodiversity. One key aspect of orchid growth and development is the formation of mycorrhizal symbioses with compatible endophytic fungi, which are maintained throughout the life of the plant. Substantial efforts to identify the fungi that form mycorrhizal symbioses across a range of orchid species have often also uncovered numerous nonmycorrhizal, endophytic fungi. These fungi could also have significant effects on orchid growth and development and are beginning to be analyzed more closely, particularly in wild species. The role of endophytic fungi in the production, distribution, and continued growth by the hobbyist of orchids is not known. As an initial step toward characterizing nonmycorrhizal endophytic fungi associated with cultivated orchids, we undertook a survey of fungi residing within roots of Phalaenopsis plants growing in home environments. Sequence analysis of ITS regions amplified from total DNA isolated from roots allowed rapid identification of endophytic fungi to the class level and may offer a useful initial screening method for beneficial species, for example, in horticultural settings. ITS‐PCR sequences subsequently obtained from individual fungi cultured from surface‐sterilized orchid roots corroborated the findings of the initial screen, while also providing a more complete characterization of the array of fungal taxa that were present. Although lower in diversity than has been reported for orchids growing in the wild, these endophytes have the potential to substantially enhance the growth and disease resistance of horticultural orchids.
CShaperApp: Segmenting and analyzing cellular morphologies of the developing Caenorhabditis elegans embryo
Authors: Cao Jianfeng , Hu Lihan , Guan Guoye , Li Zelin , Zhao Zhongying , Tang Chao , Yan Hong 
Published: May 2024

AbstractCaenorhabditis elegans has been widely used as a model organism in developmental biology due to its invariant development. In this study, we developed a desktop software CShaperApp to segment fluorescence‐labeled images of cell membranes and analyze cellular morphologies interactively during C. elegans embryogenesis. Based on the previously proposed framework CShaper, CShaperApp empowers biologists to automatically and efficiently extract quantitative cellular morphological data with either an existing deep learning model or a fine‐tuned one adapted to their in‐house dataset. Experimental results show that it takes about 30 min to process a three‐dimensional time‐lapse (4D) dataset, which consists of 150 image stacks at a ∼1.5‐min interval and covers C. elegans embryogenesis from the 4‐cell to 350‐cell stages. The robustness of CShaperApp is also validated with the datasets from different laboratories. Furthermore, modularized implementation increases the flexibility in multi‐task applications and promotes its flexibility for future enhancements. As cell morphology over development has emerged as a focus of interest in developmental biology, CShaperApp is anticipated to pave the way for those studies by accelerating the high‐throughput generation of systems‐level quantitative data collection. The software can be freely downloaded from the website of Github (cao13jf/CShaperApp) and is executable on Windows, macOS, and Linux operating systems.
Exploring the feasibility of indocyanine green fluorescence for intraoperative ureteral visualisation in robotic transvaginal natural orifice transluminal endoscopy surgery during endometriosis resection
Authors: Delgadillo Chabolla Luis E. , Alpuing Radilla Linda A. , Koythong Tamisa , Sunkara Sowmya , Mendez Yamely , Wang Qianqing , Guan Xiaoming 
Published: May 2024

AbstractBackgroundTo assess the feasibility of use of indocyanine green (ICG) in identifying and minimising urinary tract injury during surgical resection of endometriosis through robotic transvaginal natural orifice transluminal endoscopy surgery (RvNOTES).MethodsWe conducted a retrospective case series in two academic tertiary care hospitals. We examined 53 patients who underwent RvNOTES hysterectomy with planned endometriosis resection.ResultsThe study involved 53 patients undergoing RvNOTES with ICG fluorescence for endometriosis resection. Mean patient age was 37.98 ± 6.65 years. Operative time averaged 181.32 ± 53.94 min, with estimated blood loss at 45.57 ± 33.62 mL. Postoperative stay averaged 0.23 ± 0.47 days. No ICG‐related complications occurred.ConclusionNo complications occurred with ICG fluorescence in RvNOTES. It appears to be a safe option for ureteral localisation and preservation. ICG fluorescence is widely used in diverse medical specialities for identifying ureters during complex surgeries. Larger studies are needed to firmly establish its advantages in intraoperative ureteral visualisation during RvNOTES for deep infiltrative endometriosis.
Decentralized adaptive fault‐tolerant control for interconnected nonlinear time‐delay systems with uniform prescribed performance
Authors: Hua Changchun , Wang Bin , Li Hao , Li Qidong 
Published: May 2024

AbstractIn this article, the prescribed performance tracking control problem is studied for interconnected nonlinear time‐delay systems with sensor and actuator faults. Based on the dynamic gain technique and the backstepping control method, a delay‐independent adaptive state feedback controller is designed. Besides, by embedding a smooth function into the controller, the unknown external disturbances, sensor and actuator faults are successfully compensated. Furthermore, we can deal with the asymmetric prescribed performance control with semi‐global or global requirements uniformly by selecting the initial value of the the scaling function. Based on Lyapunov theory, it is proved that the system output of each subsystem can closely track the desired signal and the boundedness of all signals in the closed‐loop systems can be ensured under the proposed control method. Finally, the effectiveness of the proposed control strategy is proved by two simulation examples.
Assessing river ecological status through Eurasian otter diet analysis
Authors: Tolrà Arnau , Riera Joan Lluís , Ruiz‐Olmo Jordi 
Published: May 2024

AbstractTo identify and mitigate biodiversity decline, it is necessary to develop and implement appropriate ecological assessment methods. This particularly relevant in ecosystems under strong human pressure, such as riverine environments, in which ecological assessment requires several standardized methods useful in a wide range of riverine characteristics and habitats. In this work, we related otter diet composition with a set of environmental variables in representative river reaches of two contiguous river basins with a high diversity of habitats and varying degrees of human alteration. Our goal was to determine to what extent otter prey communities were sensitive to habitat characteristics and human pressures. Our results suggest that otter prey community in heavily anthropized rivers vary significantly across three gradients: habitat productivity, habitat structure and habitat stability. We also compared the results obtained from the otter diet with those obtained from electrofishing. Overall, the otter diet changed spatially in a similar way to the fish community sampled by electrofishing, but both methods showed disagreements that suggest different biases in some habitats and for some species. We conclude that otter diet analysis is a potential supplementary method for assessing river ecological status and that human alterations related to habitat structural simplification and water extraction can prevent freshwater biodiversity recovery in human‐dominated landscapes despite improvements in biochemical water quality.
Implications of current soil phosphorus levels for manureshed analysis in North Carolina
Authors: Miller Steven , Kulesza Stephanie , Gatiboni Luciano , Hardy David , Sharara Mahmoud 
Published: May 2024

AbstractManure relocation strategies are needed to mitigate excessive phosphorus (P) application to agricultural land in areas of intensive animal agricultural production. This requires conceptual frameworks such as the manureshed, which categorizes agricultural areas according to the potential to export or receive manure for P fertilization. To further understand how the manureshed concept could be utilized, assessments of the potential implementation and necessity of the manureshed model are needed. With North Carolina at the center of the largest manureshed in the United States, North Carolina is an ideal test case to identify areas of concern for manure relocation under the manureshed framework. Swine and poultry dominate North Carolina's agricultural production, and because the vast majority of North Carolina producers are not required to limit manure applications to a P‐based rate, P accumulates. Therefore, soil test data from samples submitted to the North Carolina Department of Agriculture and Consumer Services (NCDA&CS) from 2017 to 2019 were used to determine how manureshed classes defined by Spiegal et al. correspond to current soil test P levels. It was determined that 36% of counties experience very high (>100 mg P kg−1; N = 36) median P concentrations in soil. Furthermore, fields cultivated with warm‐season forages had the highest mean P concentration (188 mg kg−1) and high median P trended toward counties with high animal production. Lastly, while mean soil P for all manureshed classifications fell into the very high category, manure source counties had the highest mean soil P concentrations (188 mg kg−1), which was 39%–52% higher than the other classifications. This suggests that, in addition to manuresheds classification, soil test data are needed to design and promote manure redistribution strategies.