bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do we care about appetite?—an investigation into the recording of reduced appetite in older hospitalised adults
Authors: Rudzińska Anna , Wojnarski Marcin , Gryglewska Barbara , Gąsowski Jerzy , Piotrowicz Karolina 
Published: April 2024

Abstract
Purpose
Reduced appetite is a common issue among older adults. However, its formal assessment is rarely undertaken in clinical practice. The aim of the study was to check the frequency of reporting of appetite status in hospitalized older adults and to analyze the terms documented by physicians when reporting reduced appetite.

Methods
A retrospective analysis of electronic medical records of hospitalized patients aged 65 and older was conducted. To determine patients’ appetite status structured appetite assessment or any references related to appetite were considered.

Results
We included 1291 individual patients’ medical records, of which 13.3% contained any reference to appetite. We showed that in our setting, appetite was not assessed according to standardized questionnaires. In addition, appetite status was documented with inconsistent terminology.

Conclusions
Appetite status was rarely noted in electronic medical records. The lack of a structured assessment of reduced appetite in older patients was found.
Mixed-Method Heat Acclimation Induces Heat Adaptations in International Triathletes Without Training Modification
Authors: James Carl A. , Willmott Ashley G. B. , Lee C. W. Daniel , Pun T. K. Gabriel , Tai Ray , Gibson Oliver R. 
Published: April 2024

Abstract
Purpose
Heat acclimation (HA) kinetics often necessitates that the intervention is conducted in the weeks immediately preceding athletic competitions, potentially interfering with a training taper. Therefore, we investigated the efficacy of a mixed-method HA protocol, superimposed over planned external training loads, during the 3-weeks prior to the 2022 U23 World Triathlon Championships.

Methods
Six international triathletes completed 8 pre-competition HA sessions (5 active: running/cycling, 3 passive: hot water immersion [HWI]), across 2-weeks. Outdoor high-intensity training sessions were followed by 30–60 min HWI, whilst low-intensity cycling/running sessions were completed in a hot, humid environmental chamber. To assess heat adaptations, participants completed three 25 min heat stress tests (HST) involving iso-speed treadmill running (session 1 = HST1, session 5 = HST2, and session 8 = HST3). Physiological, haematological and wellbeing monitoring were conducted throughout HA.

Results
Reduced heart rate (~ − 6 beats/min) was observed within HST3 (P = 0.01, ηp2 = 0.64), versus HST1 and HST2. No changes in core temperature were observed across HSTs (P = 0.055,ηp2 = 0.44). Sweat sodium concentration was lower by HST2 at the arm (− 23 ± 16 mmol/L, P = 0.02) and back (− 27 ± 17 mmol/L, P = 0.01). White blood cell count reduced from baseline to the end of HA (P = 0.02, ηp2 = 0.27), but no changes were found in any other haematological markers (all P > 0.05). Perceptual wellbeing measures did not change across HA (all P > 0.05).

Conclusion
By HST3, seven prior mixed-method HA sessions improved markers of heat adaptation (exercising HR and sweat concentration) within international triathletes. Mixed-method HA may be implemented without modifying training load, with no apparent detrimental effects on athlete health or training stress markers.
Overcoming Long Inference Time of Nearest Neighbors Analysis in Regression and Uncertainty Prediction
Authors: Koutenský František , Šimánek Petr , Čepek Miroslav , Kovalenko Alexander 
Published: April 2024

AbstractThe intuitive approach of comparing like with like, forms the basis of the so-called nearest neighbor analysis, which is central to many machine learning algorithms. Nearest neighbor analysis is easy to interpret, analyze, and reason about. It is widely used in advanced techniques such as uncertainty estimation in regression models, as well as the renowned k-nearest neighbor-based algorithms. Nevertheless, its high inference time complexity, which is dataset size dependent even in the case of its faster approximated version, restricts its applications and can considerably inflate the application cost. In this paper, we address the problem of high inference time complexity. By using gradient-boosted regression trees as a predictor of the labels obtained from nearest neighbor analysis, we demonstrate a significant increase in inference speed, improving by several orders of magnitude. We validate the effectiveness of our approach on a real-world European Car Pricing Dataset with approximately $$4.2 \times 10^6$$

4.2
×

10
6

rows for both residual cost and price uncertainty prediction. Moreover, we assess our method’s performance on the most commonly used tabular benchmark datasets to demonstrate its scalability. The link is to github repository where the code is available: https://github.com/koutefra/uncertainty_experiments.
Forschungsstand zu Bewegung, Spiel und Sport im schulischen Ganztag in Deutschland: ein Scoping Review
Authors: Noetzel Ida , Becker Linda , Gräfin v. Plettenberg Elisabeth , Kehne Miriam 
Published: April 2024

ZusammenfassungDie Studienlage zum Thema Bewegung, Spiel und Sport im schulischen Ganztag in Deutschland zeigt sich vielseitig. Das Forschungsfeld ist neben wenigen umfassenden, überregionalen Studien durch kleinere Studien mit spezifischen inhaltlichen Schwerpunkten gekennzeichnet. Das vorliegende Scoping Review zielt darauf ab, die Erkenntnisse des Forschungsfeldes der circa vergangenen 20 Jahre zu systematisieren. Leitend ist die Forschungsfrage „Wie stellt sich der aktuelle Forschungsstand im Feld von Bewegung, Spiel und Sport im schulischen Ganztag in Deutschland dar?“ Auf Basis einer systematischen Literaturrecherche in fünf Datenbanken konnten aus 2365 Publikationen 52 in die Analyse eingeschlossen werden. Überwiegend wurden regionale Querschnittsstudien mit spezifischem Fokus durchgeführt. Die Studien befassen sich zumeist mit den Rahmenbedingungen von Bewegung, Spiel und Sport im Ganztag sowie mit den Charakteristika von Bewegung, Spiel und Sport im Ganztag. Die Analyse verdeutlicht unter anderem den Mangel an längsschnittlichen Studien sowie den Forschungsbedarf im Bereich der Qualität von Bewegung in diesem Setting.
An Approach to Microscopic Cortical Bone Fracture Simulation: Enhancing Clinical Replication
Authors: Pérez-Cano F.D. , Parra-Cabrera G. , Jiménez-Delgado J. J. 
Published: April 2024

AbstractThe acquisition of bone models to perform simulations is a complex and expensive process. The hierarchical structure of bones is very complex, so that studies are mainly focused on the larger scales of bones. The objective of this work is to perform a fracture simulation at the microscale level. For this purpose, the first part of the process focuses on segmenting a bone model and selecting an area of it to generate a representation of the microstructures that make up the bone tissue from a microscopic point of view. The second part is dedicated to carry out a fracture simulation in the microscopic bone model. The developed algorithm follows a statistical approach and solves the main problems of the traditional approach (FEM) to perform a bone fracture simulation. The method returns the path that a fracture follows and demonstrates how bone structures affect fracture growth. The parameters used are configurable and can be adapted for specific cases. In addition, users can reproduce as many clinical cases as desired within seconds without have to manually segment images obtained from a microscope. The data obtained may be exported to obtain synthetic images that could be used to generate datasets for machine learning tasks or other purposes.
Pilot performance during simulated point and boundary avoidance tracking tasks
Authors: Xia Q. , Marchesoli D. , Masarati P. , Liu M. 
Published: April 2024

AbstractHelicopters are used in complex and harsh operational environments, such as search and rescue missions and firefighting, that require operating in ground proximity, tracking targets while avoiding impacting obstacles, namely a combination of point tracking (positive) and boundary avoidance (negative) objectives. A simulation task representing simplified helicopter dynamics is used to investigate point tracking and boundary avoidance tasks. The variance and regression analysis are used to study the effects of task conditions on participants’ tracking errors and input aggression. The overall tracking error shows a negative correlation with input aggression. The participants tend to have higher input aggression and lower tracking error near the boundaries, exposing the switching of manipulation input strategies under different task conditions. It also suggests a potential way of designing simulation tasks for human operators manipulating helicopters and a trigger for investigating pilots’ biodynamic feedthrough.
Effects of a diverse prebiotic fibre supplement on HbA1c, insulin sensitivity and inflammatory biomarkers in pre-diabetes: a pilot placebo-controlled randomised clinical trial
Authors: Hall Caitlin Victoria , Twelves John Luke , Saxena Manish , Scapozza Leonardo , Gurry Thomas 
Published: April 2024

AbstractPrebiotic fibre represents a promising and efficacious treatment to manage pre-diabetes, acting via complementary pathways involving the gut microbiome and viscosity-related properties. In this study, we evaluated the effect of using a diverse prebiotic fibre supplement on glycaemic, lipid and inflammatory biomarkers in patients with pre-diabetes. Sixty-six patients diagnosed with pre-diabetes (yet not receiving glucose-lowering medications) were randomised into treatment (thirty-three) and placebo (thirty-three) interventions. Participants in the treatment arm consumed 20 g/d of a diverse prebiotic fibre supplement, and participants in the placebo arm consumed 2 g/d of cellulose for 24 weeks. A total of fifty-one and forty-eight participants completed the week 16 and week 24 visits, respectively. The intervention was well tolerated, with a high average adherence rate across groups. Our results extend upon previous work, showing a significant change in glycated haemoglobin (HbA1c) in the treatment group but only in participants with lower baseline HbA1c levels (< 6 % HbA1c) (P = 0·05; treatment –0·17 ± 0·27 v. placebo 0·07 ± 0·29, mean ± sd). Within the whole cohort, we showed significant improvements in insulin sensitivity (P = 0·03; treatment 1·62 ± 5·79 v. placebo –0·77 ± 2·11) and C-reactive protein (PFWE = 0·03; treatment –2·02 ± 6·42 v. placebo 0·94 ± 2·28) in the treatment group compared with the placebo. Together, our results support the use of a diverse prebiotic fibre supplement for physiologically relevant biomarkers in pre-diabetes.
JULIUS CAESAR AND THE LARCH: BURNING QUESTIONS AT VITRUVIUS’ DE ARCHITECTVRA 2.9.15–16
Authors: Nichols Marden Fitzpatrick 
Published: April 2024

AbstractThis article argues that Vitruvius’ description of Julius Caesar's ‘discovery’ of the larch (larix, De arch. 2.9.15–16), previously read as a journalistic account of the author's first-hand experience in Caesar's military entourage, should instead be interpreted as a highly crafted morality tale illustrating human progress thwarted. In the passage, the use of larch wood to construct a defensive tower renders the Alpine fortress at Larignum impregnable to assault by fire; only the fear aroused by siege provokes the inhabitants to surrender to Caesar and his troops (2.9.15–16). Nevertheless, the outcome of this discovery is not a complete victory, because the logistics of importing this remarkable timber to Rome are as yet insurmountable (2.9.16). Once the siege of Larignum is recognized as a diptych to Vitruvius’ narrative of the origins of civilization, in which fire and wood likewise play essential roles (2.1.1–7), and compared with similar aitia and source histories across the De architectura, it becomes clear that Larignum and its resources emblematize obstacles to a Vitruvian conception of imperial success, in which the city of Rome catalogues and indexes architectural knowledge amassed throughout the empire.
South Africa, 1994 + 30: A Conversation About History After Apartheid
Authors: Dlamini Jacob , Hassim Shireen , Phillips Laura Helen , Saunders Chris , Simpson Thula , Thumbran Janeke , Magaziner Daniel 
Published: April 2024

AbstractIn this wide-ranging conversation, six scholars of South Africa detail threads of continuity and change in the historiographies, popular memories, archives, research agendas, methodologies, and within the South African academy and historical professional since the end of formal apartheid in 1994.
Race, gender, and Occidentalism in global reactionary discourses
Authors: Zhang Chenchen 
Published: April 2024

Abstract
This article seeks to deepen understanding of the global politics of reactionary discursive formations, which at the current conjuncture increasingly coalesce around self-victimising articulations of racial nationalism and a rejection of social justice struggles, often delegitimated as ‘elitist’ in Western core contexts or ‘Western’ in postcolonial spaces. Drawing on insights from feminist and postcolonial scholarship on racial entanglements, masculinism, and Occidentalism, I argue that racialised and gendered imaginations about an emasculated and overly multiracial West and, relatedly, renewed East/West binaries enable reactionary discourses in both Western societies and elsewhere through adaptable mechanisms of mediating between the international and the domestic. I then extend an analysis of global racial entanglements and gendered East/West binaries to Chinese anti-baizuo discourse from both online nationalists and dissident intellectuals, which provides a prime example of how grammars of global reactionary discourse are localised in different political projects and ideological constellations. It demonstrates how reactionary imaginations of the West are instrumental for animating narratives of racial-civilisational hierarchy and masculinist notions of politics and society hostile to egalitarian and emancipatory ideals in a ‘non-Western’ context. Moreover, by highlighting overlaps and divergence in the refashioning of dualistic constructs in American and Chinese ‘anti-woke’ narratives, I show that reactionary discourses operate not only across the geopolitical divide, but also through it, invoked by opposing political forces sharing ethnonationalist and masculinist logics in processes of mutual othering to perpetuate antagonistic identities. The article contributes to the intersection between critical research on the global right and postcolonial International Relations (IR).
Electrophysiological correlates of inhibitory control in children: Relations with prenatal maternal risk factors and child psychopathology
Authors: Xu Xiaoye , Buzzell George A. , Bowers Maureen E. , Shuffrey Lauren C. , Leach Stephanie C. , McSweeney Marco , Yoder Lydia , Fifer William P. , Myers Michael M. , Elliott Amy J. , Fox Nathan A. , Morales Santiago 
Published: April 2024

Abstract
Inhibitory control plays an important role in children’s cognitive and socioemotional development, including their psychopathology. It has been established that contextual factors such as socioeconomic status (SES) and parents’ psychopathology are associated with children’s inhibitory control. However, the relations between the neural correlates of inhibitory control and contextual factors have been rarely examined in longitudinal studies. In the present study, we used both event-related potential (ERP) components and time-frequency measures of inhibitory control to evaluate the neural pathways between contextual factors, including prenatal SES and maternal psychopathology, and children’s behavioral and emotional problems in a large sample of children (N = 560; 51.75% females; Mage = 7.13 years; Rangeage = 4–11 years). Results showed that theta power, which was positively predicted by prenatal SES and was negatively related to children’s externalizing problems, mediated the longitudinal and negative relation between them. ERP amplitudes and latencies did not mediate the longitudinal association between prenatal risk factors (i.e., prenatal SES and maternal psychopathology) and children’s internalizing and externalizing problems. Our findings increase our understanding of the neural pathways linking early risk factors to children’s psychopathology.
When Suicide is not a Self-Killing: Advance Decisions and Psychological Discontinuity—Part I
Authors: Dowie Suzanne E. 
Published: April 2024

Abstract
Derek Parfit’s view of ‘personal identity’ raises questions about whether advance decisions refusing life-saving treatment should be honored in cases where a patient loses psychological continuity; it implies that these advance decisions would not be self-determining at all. Part I of this paper argues that this assessment of personal identity undermines the distinction between suicide and homicide. However, rather than accept that an unknown metaphysical ‘further fact’ underpins agential unity, one can accept Parfit’s view but offer a different account of what it implies morally: that the social and legal bases for ascribing a persisting ‘personal identity’ maintain the distinction between homicide and suicide.
Communicating visit information to family caregivers: How does method matter? A national survey
Authors: Bratches Reed W.R. , Freundlich Noah Z. , Odom J. Nicholas , O’Malley A. James , Barr Paul J. 
Published: April 2024

AbstractObjectivesThe clinic visit is a critical point of contact for family caregivers. However, only 37% of family caregivers are able to accompany patients to visits. When they cannot attend, caregivers receive visit information to assist with their caregiving. However, little is known about how method of receiving information from clinic visits is associated with important caregiver outcomes. This study sought to determine whether mode of receiving clinic visit information (speaking with the patient, attending the visit, or using an after-visit summary [AVS]) was associated with changes in caregiver burden, caregiver preparedness, and the positive aspects of caregiving.MethodsCross-sectional web-based survey of a national sample of adult family caregivers. Multiple linear regression models determined associations between communication modes and caregivers’ burden, preparedness, and positive aspects of caregiving, adjusting for sociodemographic covariates.ResultsRespondents (N = 340) were mostly male (58%), White (59%), ranged from 18 to 85 years old, and supported patients with conditions including diabetes, dementia, and cancer. Speaking with patients was associated with increases in positive aspects of caregiving (95% CI = 2.01, 5.42) and an AVS was associated with increases in positive aspects of caregiving (95% CI = 0.4, 3.56) and preparedness for caregiving (95% CI = 0.61, 3.15). Using any method of receiving information from visits was associated with the greatest increase in preparedness, compared to not receiving visit information. We did not observe an association between method of communication and caregiver burden.Significance of resultsMethod of communicating visit information is associated with improvements in caregiver preparedness and the positive aspects of caregiving, though caregiver burden may be unaffected by information exchange. Given the limitations of current communication methods, future work should explore directionality of the associations we found and identify visit communication strategies with caregivers that optimize caregiver and patient outcomes.
Meta-synthesis of ethnic minority families’ experiences of children’s palliative care across developed countries
Authors: Iluno Adaobi C. , Tatterton Michael J. , Haith-Cooper Melanie 
Published: April 2024

AbstractObjectivesMeeting the needs of people accessing healthcare from ethnic minority (EM) groups is of great importance. An insight into their experience is needed to improve healthcare providers’ ability to align their support with the perspectives and needs of families. This review provides insight into how families from EM backgrounds experience children’s palliative care (CPC) by answering the question, “What are the experiences of EM families of children’s palliative care across developed countries?”MethodsA systematic search of articles from 6 databases (Scopus, Medline, Web of Science, APA PsycINFO, CINAHL, and Global Health) with no limit to the date of publication. The search was conducted twice, first in June 2022 and again in December 2022. The extracted data were analyzed using thematic synthesis.ResultsEight studies explored the experiences of families of EM in different high-income countries. Four themes were identified: unmet needs leading to communication gaps, accessibility of hospital services and resources, the attitude of healthcare workers, and the need for survival as an immigrant.Significance of resultsOverall, the study shows EM families rely heavily on healthcare professionals’ cultural competence in delivering palliative care for their children. There is an interplay between EM families’ culture, spiritual ties, communication, and social needs from this review. Understanding how to bridge the communication gap and how families use their culture, faith, and spirituality to manage their pain, and grief and improve their quality of life would be extremely beneficial for healthcare practitioners in increasing their support to EM families accessing CPC.
Polar Vortex Disruptions by High Latitude Ocean Warming
Authors: Hamouda Mostafa E. , Portal Alice , Pasquero Claudia 
Published: April 2024

AbstractMid‐latitude extreme cold outbreaks are associated with disruptions of the polar vortex, which often happen abruptly in connection to a sudden stratospheric warming. Understanding global warming (particularly Arctic amplification) impacts on forecasting such events is challenging for the scientific community. Here we apply clustering analysis on the Northern Annular Mode to identify surface precursors and the governing mechanisms causing polar vortex disruption events. Two clusters of vortex breakdown emerge; 65% of the events, mainly displacements, are associated with high‐latitude Ocean warming in the North Pacific and in Barents‐Kara Sea. Such warming may cause large scale modifications of the tropospheric flow that favors a slowdown of the stratospheric vortex. The persistence of Ocean surface temperature patterns favors polar vortex disruptions, potentially improving prediction skills at the sub‐seasonal to seasonal time scales.