bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conclusion
Authors: Mehl Margaret 
Published: May 2024

The Conclusion, after briefly outlining how the changes in musical culture in the 1920s made themselves felt in Sendai, returns to the larger framework, placing emergence of a new musical culture in Sendai into the context of national consolidation, as well as Japan growing importance on the international stage after the First World War. This leads back to the question posed in this introduction: what can music contribute to our understanding of history?
The case of Japan demonstrates that music and musical modernization were an integral part of Japan’s transformation towards a modern nation. As in other areas, the transformation was motivated by the need to respond to Western dominance, and inspired by Western models. Traditional genres of Japanese music flourished in the period examined, although they were, ultimately, relegated to a niche existence. Arguably, this ensured their preservation as (supposedly) unadulterated tradition. In this way, Western and indigenous music each played – and still play – their part in defining modern Japan.
Inflammatory Bowel Disease in Cytoreductive Surgery and Heated Intraperitoneal Chemotherapy
Authors: Ben-Yaacov Almog , Elbaz Nadav , Schtrechman Gal , Adileh Mohammad , Levine Olivia , Goldstein Adam , Beller Tamar , Halpern Naama , Margalit Ofer , Ben-Yacov Gil , Nissan Aviram , Laks Shachar 
Published: May 2024

Background Inflammatory bowel diseases (IBDs) pose an increased risk of gastrointestinal cancer with especially worse prognosis. Cytoreductive surgery and heated intraperitoneal chemotherapy (CRS/HIPEC) improves outcomes in selected patients with colorectal peritoneal metastases. Little published data describes the outcomes of CRS/HIPEC in IBD patients. Methods We performed a retrospective review of a prospectively maintained CRS/HIPEC database. Outcomes in patients with and without IBD were compared for short-term outcomes such as hospital/intensive care unit stay, blood loss/transfusions, complications, and reoperations. We also examined oncological outcomes including recurrence, overall (OS), and disease-free survival (DFS). Results We identified 232 patients that underwent CRS/HIPEC for colorectal or small bowel adenocarcinoma, of which 10 were with IBD. Patients with IBD had lower ASA ( p=0.005), less hypertension ( p=0.033), and 30% small bowel primary compared to none in the non-IBD cohort ( p<0.001). Otherwise, demographic and perioperative characteristics were similar between the groups. The median peritoneal cancer index (PCI) was 7 and similar between the cohorts ( p=0.422). Extent of organ resections and peritonectomies performed were similar. Complications occurred in 60.3% of patients (21.2% major), similar between the groups ( p=0.744 and p=0.444, respectively). Reoperation rate of 27% was similar between groups ( p=0.097). The median OS in the IBD cohort was 19.6 vs 53.2 months in the non-IBD cohort ( p = 0.056). The median DFS in the IBD cohort was 4.9 vs 9.4 months in the non-IBD cohort ( p=0.174). Discussion Cytoreductive surgery and heated intraperitoneal chemotherapy in patients with IBD has similar complication profile and trended towards poorer oncological outcomes as CRS/HIPEC in non-IBD patients.
Novel weaning assessment for veno-arteriovenous to veno-venous extracorporeal membrane oxygenation using pump-controlled retrograde trial off
Authors: Matsumura Kazuki , Shimizu Keiki , Horikoshi Yuichi , Hamaguchi Jun , Matsuyoshi Takeo , Sasaki Junichi 
Published: May 2024

Introduction Pump-controlled retrograde trial off (PCRTO) is described as an effective weaning strategy for veno-arterial extracorporeal membrane oxygenation (ECMO) in the guidelines. Contrastingly, there is no established weaning strategy for veno-arteriovenous (V-AV) ECMO. We report a novel application of PCRTO in a patient undergoing V-AV ECMO. Case report A 49-year-old man had pneumonia and a history of kidney transplantation. Two days after intubation, respiratory failure progressed and veno-venous (V-V) ECMO was introduced. On day 7 after ECMO, the configuration was changed to V-AV ECMO owing to septic cardiomyopathy due to suspected cholangitis. On day 15, with partial haemodynamic improvement and persistent respiratory failure, PCRTO was performed; the patient was safely returned to V-V ECMO. Discussion In patients undergoing V-AV ECMO, PCRTO could have the potential to accurately simulate decannulation of the arterial cannula. Conclusion This novel weaning strategy could be considered in patients undergoing V-AV ECMO.
Developing an Instrument to Measure Public Health Nurses’ Competence Related to Breastfeeding Beyond 12 Months
Authors: Pöyhönen Niina , Ojantausta Oona , Kaunonen Marja , Vehviläinen-Julkunen Katri , Ikonen Riikka 
Published: May 2024

Background: Health professionals need adequate competence to support breastfeeding beyond infancy. There is no established instrument to measure health professionals’ competence regarding long-term breastfeeding. To respond to this shortcoming, the Long-Term Breastfeeding Competence Scale (LBCS) was developed. Research Aim: To develop and pilot an instrument that measures public health nurses’ competence related to breastfeeding beyond 12 months in order to provide adequate breastfeeding counseling for families. Methods: This study was conducted as a cross-sectional online survey on public health nurses working in maternity and/or child health clinics. The relevance and clarity of the LBCS were assessed by an expert panel ( N = 6). Public health nurses ( N = 197) completed the LBCS, which consisted of a knowledge and skills dimension and an attitude dimension. Descriptive statistics were used to describe the characteristics of the study sample. The conceptual validity of the knowledge and skills dimension was assessed using the dichotomous Rasch analysis, and attitude dimension using the exploratory factor analysis. Internal consistency was evaluated using Cronbach’s alpha. The distribution of the items was summarized by descriptive statistics. Results: According to expert panel evaluations, the LBCS was found to meet the requirements for relevance and clarity (S-CVI 0.90). The internal consistency of the instrument was at a good level ( α = 0.796) and met the requirements set for a new instrument. Conclusion: The LBCS is appropriate to determine public health nurses’ competence related to breastfeeding beyond 12 months. The LBCS can be used to identify the need for education concerning breastfeeding beyond 12 months.
In situ interlaminar shear behavior of carbon fibers reinforced polymer composites exposed to severe thermal aggressions: PPS versus epoxy laminates
Authors: Vieille B , Coppalle A 
Published: May 2024

This study investigates the influence of a combined thermal heat flux and a flexural loading on the interlaminar shear behavior of quasi-isotropic carbon fibers reinforced PPS and Epoxy laminates. Regardless the intensity of the heat flux (ranging from 20 to 50 kW/m2), the maximum surface temperature is higher than the onset of thermal decomposition [Formula: see text] in C/Epoxy laminates ([Formula: see text]) whereas the thermal decomposition is reached only for 40-50 kW/m2 heat fluxes in C/PPS laminates ([Formula: see text]). A mechanical bench was specifically designed to study the interlaminar shear behavior of polymer-based laminates during the thermal aggression (imposed by a cone calorimeter). In C/PPS laminates, with respect to the reference values (as received state), the flexural modulus and the apparent ILSS (under 50 kW/m2) decreases by about 80%. In C/Epoxy laminates, with respect to the reference values (as received or virgin state), the flexural modulus and the apparent ILSS (under 50 kW/m2) decreases by about 20% and 50%, respectively. In carbon fiber-reinforced polymer materials, the matrix state is crucial for preserving the cohesion of the fibers network and the bonding of the plies together, a role that seems compromised in C/Epoxy and C/PPS laminates under high heat flux conditions, once the pyrolysis of the matrix has severely degraded the interlaminar properties of the material.
Antidiabetic Phytoconstituents: From Traditional Medicine to Modern Drug Discovery
Authors: Albratty Mohammed , Halawi Maryam 
Published: May 2024

Background The simplest form of carbohydrate that the human body can utilize efficiently to fuel various functions in our body is glucose. The food that is consumed by us in any form is acted upon by pancreatic juices, bile, and several other digestive enzymes and is converted into its simplest form, which is absorbed by the small intestine and is diffused into the circulatory system; from there, it is transported to other organs via GLUT-2 and GLUT-4 transporters. This process is very important, and so are the hormones involved in it. One such major hormone responsible for glucose homeostasis in the body is insulin. Its malfunction or that of either of its signaling components leads to a metabolic disorder termed “diabetes.” Hyperglycemia is a grave condition associated with this complex disease and is of global concern. The impact of this disease can be life threatening if adequate precaution, medication, and therapy are overlooked. A plethora of synthetic drugs are available in the market, and the main goals of these antidiabetic medicines are to improve insulin sensitivity and/or production as well as to lower blood glucose levels. In all cases, frequent use of antidiabetic medication causes several after-effects. Results Numerous studies in this field demonstrate that antidiabetic phytomolecules are highly effective against diabetes patients and are almost completely without side effects. Almost all classes of phytomolecules have been thoroughly evaluated to develop the noble plant-based drug. Conclusion The current review discusses diabetes, its classification and management, worldwide occurrence, and the most crucial class of antidiabetic phytomolecules, for example, alkaloids, and terpenenoids as well as the parent molecule responsible for the bioactivity, subclasses, their mechanisms of action, plant sources and part, their superiority over synthetic drug, and new advances in this area.
Teledermatology Versus In-Person Visits for the Follow-Up of Atopic Dermatitis Patients
Authors: Odeshi Oluwatosin , Turk Tarek , Fiorillo Loretta , Lowe Samuel , Dytoc Marlene 
Published: May 2024

Background: In recent years, teledermatology has rapidly emerged as a healthcare delivery method with potential implications for managing chronic inflammatory dermatoses like atopic dermatitis (AD). Objectives: This study assesses the utility of telemedicine in the management of AD by comparing virtual care with traditional in-office visits with the aim of identifying differences in clinical outcomes between these 2 healthcare delivery modalities. Methods: Patients of all ages with AD were recruited from 2 dermatology practices. Consecutive patients presenting to the clinics who met the inclusion criteria were invited to enrol in the study. Those who consented to participate were randomly assigned to the virtual or in-person arm of the study, with the opportunity to decline care in either study arm. The inclusion criteria required participants to have a confirmed diagnosis of AD. Exclusion criteria included significant comorbidity that might affect the course of treatment, inaccessibility to teleconsults such as not having a camera for video conferences, and self-declared limitations in operating Zoom. Patients were assessed at baseline (week 0), 4 to 6 weeks, and 8 to 12 weeks using 6 efficacy parameters. Results: In the virtual group, all 6 dermatological measures suggested improved outcomes. Average Body Surface Area scores decreased (β = −.07, 95% CI = −0.1, −0.3) over the course of follow-up. Virtual care patients had 80% lower odds of moderate-to-severe uncontrolled disease (OR = 0.2; 95% CI = 0.06, 0.5) and pruritus (OR = 0.2, 95% CI = 0.05, 0.7) over time. Conclusions: This study supports teledermatology as a feasible and effective option for providing follow-up care for atopic dermatitis patients of various demographic standings.
Predicting autism traits from baby wellness records: A machine learning approach
Authors: Ben-Sasson Ayelet , Guedalia Joshua , Ilan Keren , Shaham Meirav , Shefer Galit , Cohen Roe , Tamir Yuval , Gabis Lidia V. 
Published: May 2024

Early detection of autism spectrum condition is crucial for children to maximally benefit from early intervention. The study examined a machine learning model predicting the increased likelihood for autism from wellness records from 0 to 24 months. The study included 591,989 non-autistic and 12,846 autistic children. A gradient boosting model with a threefold cross-validation and SHAPley additive explanation tool quantified feature importance. The model had an average area under the curve of 0.81 ( SD = 0.004). The high-likelihood group detected by the model had a 0.073 autism spectrum condition incidence rate; 3.42-fold more than in the entire cohort (0.02). Sex-specific models had higher specificity (0.81 boys and 0.79 girls) than sensitivity (0.64 boys and 0.66 girls). The common predictors were more parental concerns, older mothers, never nursing, lower initial and higher last weight percentiles, and several delayed milestones. SHAPley additive explanation tool results show common, important predictors in the full sample and separate boys’ and girls’ models. These included birth, growth, familial, postnatal parameters and delayed language, fine motor, and social milestones from 12 to 24 months. Machine learning algorithms can help detect increased autism signs by relying on the multidimensional data routinely recorded during the first 2 years. Lay abstract Timely identification of autism spectrum conditions is a necessity to enable children to receive the most benefit from early interventions. Emerging technological advancements provide avenues for detecting subtle, early indicators of autism from routinely collected health information. This study tested a model that provides a likelihood score for autism diagnosis from baby wellness visit records collected during the first 2 years of life. It included records of 591,989 non-autistic children and 12,846 children with autism. The model identified two-thirds of the autism spectrum condition group (boys 63% and girls 66%). Sex-specific models had several predictive features in common. These included language development, fine motor skills, and social milestones from visits at 12–24 months, mother’s age, and lower initial growth but higher last growth measurements. Parental concerns about development or hearing impairment were other predictors. The models differed in other growth measurements and birth parameters. These models can support the detection of early signs of autism in girls and boys by using information routinely recorded during the first 2 years of life.
The effects of language switching experience and acute stress on bilingual advantages in cognitive flexibility
Authors: Yao Zhao , Chai Yu , Zhao Rong , Wang Fei 
Published: May 2024

Aims: This study aimed to investigate how bilingual advantages in cognitive flexibility were modulated by language-use parameters (e.g., language switching experience) and psychological factors (e.g., acute stress). Design/methodology: Chinese-English unbalanced bilinguals with a high or low amount of language switching experience (HLS or LLS bilinguals) performed a cued color-shape switching task in stress-free condition (Experiment 1) or in acute stress condition induced by the Trier Social Stress Test (Experiment 2). Switching and mixing costs were calculated to denote two aspects of cognitive flexibility: transient and sustained switching abilities, respectively. Data and analysis: Differences in switching and mixing costs between HLS and LLS bilinguals were analyzed using repeated-measures analysis of variance (ANOVA). The predictive relationship between language switching experience and cognitive flexibility was examined using hierarchical regression models. The role of acute stress in the dynamics was tested by means of independent samples t-tests in a cross-analysis of Experiments 1 and 2. Findings/conclusions: HLS and LLS bilinguals showed similar switching and mixing costs in the stress-free condition, but in the acute stress condition, HLS bilinguals showed lower switching costs than LLS bilinguals. The result of cross-experimental analysis further revealed that higher switching costs were demanded in LLS bilinguals under acute stress. These findings suggest that language switching experience specifically influences transient switching ability under acute stress. Originality: This study was a first attempt to provide evidence that psychological stress may be a crucial determinant in exploring the theoretical implications of cognitive control in bilingualism. Significance: Our findings suggest that bilingual advantages in cognitive flexibility are conditional, shedding light on the ongoing debate about the ambiguous relationship between language experience and cognitive control in bilinguals.
Gaps during pediatric to adult care transfer escalate acute resource utilization in sickle cell disease
Authors: Howell Kristen E. , Kayle Mariam , Smeltzer Matthew P. , Nolan Vikki G. , Mathias Joacy G. , Nelson Marquita , Anderson Sheila , Porter Jerlym S. , Shah Nirmish , Hankins Jane S. 
Published: May 2024

Abstract
Guidelines recommend transfer to adult health care within 6 months of completing pediatric care; however, this has not been studied in sickle cell disease (SCD). We hypothesized that longer transfer gaps are associated with increased resource utilization. Transfer gaps were defined as the time between the last pediatric and first adult visits. We estimated the association between varying transfer gaps and the rates of inpatient, emergency department (ED), and outpatient visits, using negative binomial regression. Health care utilization was evaluated in a mid-south comprehensive program for a follow-up period of up to 8 years (2012-2020) and was restricted to the first 2 years of adult health care. In total, 183 young adults (YAs) with SCD (51% male, 67% HbSS/HbSβ0-thalassemia) were transferred to adult health care between 2012 and 2018. YAs with transfer gaps ≥6 months compared with &lt;2 months had 2.01 (95% confidence interval [CI], 1.31-3.11) times the rate of hospitalizations in the 8-year follow-up and 1.89 (95% CI, 1.17-3.04) when restricted to the first 2 years of adult health care. In the first 2 years of adult care, those with transfer gaps ≥6 months compared with &lt;2 months, had 1.75 (95% CI, 1.10-2.80) times the rate of ED encounters. Those with gaps ≥2 to &lt;6 months compared with &lt;2 months had 0.71 (95 % CI, 0.53-0.95) times the rate of outpatient visits. Among YAs with SCD, a longer transfer gap was associated with increased inpatient and decreased outpatient encounters in adult health care and more ED encounters in the first 2 years of adult health care. Strategies to reduce the transfer gaps are needed.
Utility of microRNA analysis in exhaled breath condensate of sarcoidosis and mediastinal tuberculosis patients: a pilot study
Authors: Pattnaik Bijay , PB Sryma , Bhatraju Naveen , Mittal Saurabh , Arava Sudheer , Jain Deepali , Nayak Baibaswata , Tiwari Pavan , Hadda Vijay , Mohan Anant , Agrawal Anurag , Guleria Randeep , Madan Karan 
Published: May 2024

BackgroundSarcoidosis and tuberculosis (TB) are the two most common causes of granulomatous mediastinal lymphadenopathy. These often exhibit overlapping clinical and radiological characteristics, rendering accurate diagnosis difficult. MicroRNA (miRNA) analysis is increasingly utilised as a potential biomarker for various diseases. Exhaled breath condensate (EBC) is a noninvasive technique for biomarker evaluation in different respiratory conditions. We attempted to identify differentially expressed miRNAs in the EBC of sarcoidosis and mediastinal TB patients.MethodsEBC was obtained from subjects with a definitive diagnosis of sarcoidosis and mediastinal TB. EBC was also obtained from age- and sex-matched control subjects. From EBC, miRNA isolation, cDNA preparation and qPCR array were performed. Differentially expressed miRNAs were shortlisted. Further validation was conducted in the EBC of a new subset.ResultsSubjects with a definitive diagnosis of sarcoidosis (50) and TB (50), and control subjects (50) were included. qPCR array from EBC (20 subjects from each group) shortlisted eight differentially expressed miRNAs (miR-126, miR-132, miR-139-3p, miR-139-5p, miR-181c, miR-454, miR-512-3p and miR-362-5p). In the validation set (EBC of 30 subjects from each group), miR-126 and miR-132 were differentially expressed significantly. The miR-126 and miR-132 expression ratio could differentiate sarcoidosis from mediastinal TB with an AUC of 0.618 (82% specificity and 41% sensitivity).ConclusionWhile EBC miRNA expression is significantly and differently altered in sarcoidosis and mediastinal TB, a simple ratiometric approach failed to provide clinically useful signatures for differentiating between the two in patients with mediastinal lymphadenopathy.
Mixed response of trace element concentrations in fluvial sediments to a flash flood in a former mining area
Authors: Weber Alexandra , Lehmkuhl Frank 
Published: May 2024

Abstract
Background
Floods, especially flash floods, are the major transporting agent for fluvial sediments, whose pollution is a global concern. As floods result in the dispersion of and exposure to these sediments, a profound understanding of sedimentary dynamics during flood events and the related pollutant dispersion is of relevance. However, the characteristics of extreme flood events concerning pollutant dynamics are insufficiently known so far.

Results
In a Central European catchment impacted by intense industrial activities and former mining, over the course of five years, we surveyed six high-discharge events, five of them approx. bankfull discharge and one major flash flood event, supplemented by sampling of bank sediments. Fluvial sediments were analyzed for elemental composition by X-Ray fluorescence and for grain size distribution of the fine faction by laser diffraction. By applying a local enrichment factor, trace metal(loid) signatures in these sample sets were compared. Furthermore, Positive Matrix Factorization was used to investigate the trace metal(loid)s’ sources.
The sediments deposited by minor flooding had continual trace metal(loid) signatures. However, for the extreme event, significant divergencies arose and persisted for the following years: The enrichment of anthropogenically influenced elements increased, with a slowly decreasing trend in the subsequent two years. Naturally dominated metal(oid)s decrease in enrichment without indicating a return to original levels. In contrast, other elements were insensitive to the extreme event. Positive Matrix Factorization identified anthropogenic influences in elements originating from copper and lead processing and mining activities. Furthermore, bed sediments and a natural background factor were found to dominate the non-anthropogenically influenced metal(loid)s.

Conclusions
In between extreme events, winnowing processes slowly alter the elemental composition of bed sediments. The depletion of such sediments due to the flash flood proves catchment-wide flushing, which induces a natural resetting of the geochemical signals. This ability to renew is an integral part of resilience in fluvial systems. This mechanism is disturbed by industrial activities in floodplains. The exceptional flooding reaches infrastructure that is assumed to be safe and, therefore, unprotected. These additional sources can shift flood sediments’ trace metal(loid) signature, which has a long-lasting impact on the catchment sediments. However, the modifications depend on the flooding extent, possible emitters, and protection measures.