bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cardioid oscillator-based pattern generator for imitating the time-ratio-asymmetrical behavior of the lower limb exoskeleton
Authors: Fu Qiang , Luo Tianhong , Cui TingQiong , Ma Xiangyu , Liang Shuang , Huang Yi , Wang Shengxue 
Published: March 2024

IntroductionPeriodicity, self-excitation, and time ratio asymmetry are the fundamental characteristics of the human gait. In order to imitate these mentioned characteristics, a pattern generator with four degrees of freedom is proposed based on cardioid oscillators developed by the authors.MethodThe proposed pattern generator is composed of four coupled cardioid oscillators, which are self-excited and have asymmetric time ratios. These oscillators are connected with other oscillators through coupled factors. The dynamic behaviors of the proposed oscillators, such as phase locking, time ratio, and self-excitation, are analyzed via simulations by employing the harmonic balance method. Moreover, for comparison, the simulated trajectories are compared with the natural joint trajectories measured in experiments.Results and discussionSimulation and experimental results show that the behaviors of the proposed pattern generator are similar to those of the natural lower limb. It means the simulated trajectories from the generator are self-excited without any additional inputs and have asymmetric time ratios. Their phases are locked with others. Moreover, the proposed pattern generator can be applied as the reference model for the lower limb exoskeleton controlling algorithm to produce self-adjusted reference trajectories.
Effect of pine bark extract and its phenolic compounds on selected pathogenic and probiotic bacterial strains
Authors: Sánchez-Moya Teresa , López-Nicolás Rubén , Peso-Echarri Patricia , González-Bermúdez Carlos A. , Frontela-Saseta Carmen 
Published: March 2024

IntroductionInflammatory bowel disease (IBD) comprises a heterogeneous group of chronic diseases as ulcerative colitis (UC) and Crohn’s disease (CD). IBD is the result of a dysregulation of intestinal homeostasis with a host’s loss of tolerance toward normal enteric microflora. Plant-based extracts as phenolic compounds can play a role by modulating the intestinal inflammation response.MethodsThe in vitro antimicrobial activity of French maritime pine bark extract (PBE) and its phenolic constituents has been investigated in this study. Furthermore, the ability of PBE and phenolic compounds (caffeic acid, chlorogenic acid, ferulic acid, gallic acid and taxifolin) to modulate the microbiota has been assessed.ResultsPhenolic compounds and PBE showed a great inhibitory effect on the pathogens growth at the highest concentration assessed (1.25 mg/mL). The growth of E. sakazakii and E. faecalis were affected by the effect of caffeic acid and ferulic acid. Taxifolin showed a very strong activity against Listeria sp. (with a reduction ~98%). Gallic acid revealed antibacterial effect on S. aureus at different concentrations. The inhibitory effect of PBE was highly significant on the growth of E. coli O157:H7. PBE, caffeic acid and chlorogenic acid seem to provide the greatest beneficial effect on the probiotic bacteria. However, the highest concentrations of taxifolin may have impaired the growth of beneficial microbiota.ConclusionPresent findings could be of interest for considering PBE and/or its phenolic constituents as protectors against gastrointestinal disturbances which lead to ulcerative colitis and Crohn’s disease.
Impact of the Coronavirus Disease 2019 pandemic on neoadjuvant chemotherapy use in patients diagnosed with epithelial type ovarian cancer
Authors: Mukherjee Amrita , Shammas Natalie , Xu Lanfang , Cannavale Kimberly L. , Gilfillan Alec D. , Szamreta Elizabeth A. , Monberg Matthew , Hodeib Melissa , Chao Chun R. 
Published: March 2024

IntroductionThe Coronavirus Disease 2019 (COVID-19) pandemic posed critical challenges in providing care to ovarian cancer (OC) patients, including delays in OC diagnosis and treatment initiation. To accommodate for delays in OC surgery, the Society of Gynecologic Oncology (SGO) recommended preferential use of neoadjuvant chemotherapy during the pandemic. The purpose of this study was to assess the association of the COVID-19 pandemic with neoadjuvant chemotherapy use in patients diagnosed with OC.MethodsThis retrospective cohort study included patients diagnosed with stage II-IV ovarian cancer of epithelial subtype between 01/01/2017-06/30/2021 at Kaiser Permanente Southern California (KPSC), a large integrated healthcare system in the United States. Ovarian cancer patients diagnosed between 2017-2020 were identified from KPSC’s Surveillance, Epidemiology, and End Results (SEER)-affiliated cancer registry. Patients diagnosed in 2021 were identified from the electronic medical records (EMR) using ICD-10 diagnosis codes, followed by medical chart review to validate diagnosis and extract information on histology and stage at diagnosis. March 4, 2020 was used as the cut-off to define pre-pandemic and pandemic periods. Patients diagnosed with COVID-19 between OC diagnosis and treatment completion were excluded. Data on neoadjuvant chemotherapy use were extracted from the cancer registry and EMR, supplemented by chart review. Modified Poisson regression was used to evaluate the association of the pandemic with neoadjuvant chemotherapy use.ResultsOf 566 OC patients, 160 (28.3%) were diagnosed in the pandemic period. Patients diagnosed in the pandemic period were slightly younger (mean age 62.7 vs 64.9 years, p=0.07) and had a higher burden of Charlson comorbidities (p=0.05) than patients diagnosed in pre-pandemic period. No differences in time to treatment initiation were observed by pandemic periods. Neoadjuvant chemotherapy use was documented in 58.7% patients during the pandemic period compared to 47.3% in pre-pandemic period (p=0.01). After adjusting for covariates, patients diagnosed in the pandemic period were 29% more likely to receive neoadjuvant chemotherapy than patients diagnosed in pre-pandemic period [RR(95%CI): 1.29(1.12-1.49)].DiscussionsOvarian cancer patients diagnosed in the COVID-19 pandemic were more likely to receive neoadjuvant chemotherapy than patients diagnosed before the pandemic. Future research on patient outcomes and trends in the post-pandemic period are warranted.
Clinical and pharmacological factors influencing serum clozapine and norclozapine levels
Authors: Mach Anna , Wnorowska Anna , Siwek Marcin , Wojnar Marcin , Radziwoń-Zaleska Maria 
Published: March 2024

Background:Clozapine (CLO) is a very effective antipsychotic, whose use is associated with dose-dependent risk of complications. Due to high interindividual variability in CLO metabolism, there is a need to identify factors affecting the blood concentrations of CLO and its active metabolite, norclozapine (NCLO).Methods:A total of 446 blood samples (collected from 233 women and 213 men, aged from 18 to 77 years) were included in this study and analyzed for CLO and NCLO concentrations. The patients were treated at a psychiatric hospital in Warsaw in the years 2016–2021. Serum CLO and NCLO concentrations were determined with high-performance liquid chromatography coupled to UV.Results:The following factors were shown to increase serum CLO and NCLO levels: higher CLO dose (p &lt; 0.001), female sex (p &lt; 0.001), nonsmoker status (p &lt; 0.001), the use of more than two additional psychotropic drugs (only in the case of CLO; p = 0.046), concomitant use of beta-blockers (for CLO p = 0.049; for NCLO p &lt; 0.001), and older age (for CLO p &lt; 0.001; for NCLO p = 0.011). Despite the use of CLO at daily doses within the recommended range (200–450 mg), the evaluated serum CLO and NCLO levels were within the therapeutic ranges in only 37% and 75% of cases, respectively, with 5.6% of cases exceeding the CLO toxicity threshold.Discussion:The use of CLO at recommended doses does not guarantee achieving therapeutic concentrations of CLO or NCLO. Women and nonsmokers were at the highest risk of having toxic CLO levels.
Suicide and mortality following self-harm in Culturally and Linguistically Diverse communities in Victoria, Australia: insights from a data linkage study
Authors: Pham Thi Thu Le , O'Brien Kerry S. , Liu Sara , Gibson Katharine , Berecki-Gisolf Janneke 
Published: March 2024

BackgroundWhile cultural backgrounds are well-documented to be relevant to intentional self-harm, little is known about how cultural and linguistically diverse (CALD) backgrounds affect mortality outcomes following self-harm.AimThis study aimed to compare the risk of all-cause mortality and suicide after intentional hospital admissions for self-harm among people from CALD (vs. non-CALD) backgrounds.MethodLinked hospital and mortality data in Victoria, Australia, was used to assess suicide and all-cause death after hospital admissions for self-harm among patients aged 15+ years. All-cause death was identified by following up on 42,122 self-harm patients (hospitalized between 01 July 2007 and 30 June 2019) until death or 15 February 2021. Suicide death was evaluated in 16,928 self-harm inpatients (01 January 2013 and 31 December 2017) until death or 28 March 2018. Cox regression models were fitted to compare mortality outcomes in self-harm patients from CALD vs. non-CALD backgrounds.OutcomesDuring the follow-up periods, 3,716 of 42,122 (8.8%) participants died by any cause (by 15 February 2021), and 304 of 16,928 (1.8%) people died by suicide (by 28 March 2018). Compared to the non-CALD group, CALD intentional self-harm inpatients had a 20% lower risk of all-cause mortality (HR: 0.8, 95% CI: 0.7–0.9) and a 30% lower risk of suicide (HR: 0.7, 95% CI: 049–0.97). Specifically, being from North Africa/Middle East and Asian backgrounds lowered the all-cause mortality risk; however, the suicide risk in Asians was as high as in non-CALD people.ConclusionOverall, people from CALD backgrounds exhibited lower risks of all-cause mortality and suicide following hospital admission for self-harm compared to the non-CALD group. However, when comparing risks based on regions of birth, significant variations were observed. These findings underscore the importance of implementing culturally tailored background-specific suicide preventive actions. The study focussed on outcomes following hospital admission for self-harm and did not capture outcomes for cases of self-harm that did not result in hospital admission. This limits generalisability, as some CALD people might avoid accessing healthcare after self-harm due to cultural factors. Future research that not limited to hospital data is suggested to build on the results.
Social determinants of health predict readmission following COVID-19 hospitalization: a health information exchange-based retrospective cohort study
Authors: Sandoval Micaela N. , Mikhail Jennifer L. , Fink Melyssa K. , Tortolero Guillermo A. , Cao Tru , Ramphul Ryan , Husain Junaid , Boerwinkle Eric 
Published: March 2024

IntroductionSince February 2020, over 104 million people in the United States have been diagnosed with SARS-CoV-2 infection, or COVID-19, with over 8.5 million reported in the state of Texas. This study analyzed social determinants of health as predictors for readmission among COVID-19 patients in Southeast Texas, United States.MethodsA retrospective cohort study was conducted investigating demographic and clinical risk factors for 30, 60, and 90-day readmission outcomes among adult patients with a COVID-19-associated inpatient hospitalization encounter within a regional health information exchange between February 1, 2020, to December 1, 2022.Results and discussionIn this cohort of 91,007 adult patients with a COVID-19-associated hospitalization, over 21% were readmitted to the hospital within 90  days (n = 19,679), and 13% were readmitted within 30  days (n = 11,912). In logistic regression analyses, Hispanic and non-Hispanic Asian patients were less likely to be readmitted within 90  days (adjusted odds ratio [aOR]: 0.8, 95% confidence interval [CI]: 0.7–0.9, and aOR: 0.8, 95% CI: 0.8–0.8), while non-Hispanic Black patients were more likely to be readmitted (aOR: 1.1, 95% CI: 1.0–1.1, p = 0.002), compared to non-Hispanic White patients. Area deprivation index displayed a clear dose–response relationship to readmission: patients living in the most disadvantaged neighborhoods were more likely to be readmitted within 30 (aOR: 1.1, 95% CI: 1.0–1.2), 60 (aOR: 1.1, 95% CI: 1.2–1.2), and 90  days (aOR: 1.2, 95% CI: 1.1–1.2), compared to patients from the least disadvantaged neighborhoods. Our findings demonstrate the lasting impact of COVID-19, especially among members of marginalized communities, and the increasing burden of COVID-19 morbidity on the healthcare system.
Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
Authors: Mosnier Emilie , Hoyer Maxime , Artigas Fernanda , Regnault Hippolyte , Richard Elodie , Michels David , Mosnier Marine , Inegbeze Grâce , Robledo Manuela Salcedo , Spire Bruno , Vandentorren Stéphanie , Lescaudron Marc , Eldin Carole , Roux Perrine 
Published: March 2024

IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
No causal association between pneumoconiosis and three inflammatory immune diseases: a Mendelian randomization study
Authors: Du Yu-Jie , Lu Zhang-Wei , Li Kai-Di , Wang Yi-Yu , Wu Hong , Huang Rong-Gui , Jin Xue , Wang Yi-Yuan , Wang Jing , Geng An-Yi , Li Bao-Zhu 
Published: March 2024

ObjectivesTo investigate the causal relationships between pneumoconiosis and rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and gout.MethodsThe random-effects inverse variance weighted (IVW) approach was utilized to explore the causal effects of the instrumental variables (IVs). Sensitivity analyses using the MR-Egger and weighted median (WM) methods were did to investigate horizontal pleiotropy. A leave-one-out analysis was used to avoid the bias resulting from single-nucleotide polymorphisms (SNPs).ResultsThere was no causal association between pneumoconiosis and SLE, RA or gout in the European population [OR = 1.01, 95% CI: 0.94–1.10, p = 0.74; OR = 1.00, 95% CI: 0.999–1.000, p = 0.50; OR = 1.00, 95% CI: 1.000–1.001, p = 0.55]. Causal relationships were also not found in pneumoconiosis due to asbestos and other mineral fibers and SLE, RA and gout [OR = 1.01, 95% CI: 0.96–1.07, p = 0.66; OR = 1.00, 95% CI: 1.00–1.00, p = 0.68; OR = 1.00, 95% CI: 1.00–1.00, p = 0.20].ConclusionOur study suggests that pneumoconiosis may have no causal relationship with the three inflammatory immune diseases.
Discriminative context-aware network for camouflaged object detection
Authors: Ike Chidiebere Somadina , Muhammad Nazeer , Bibi Nargis , Alhazmi Samah , Eoghan Furey 
Published: March 2024

IntroductionAnimals use camouflage (background matching, disruptive coloration, etc.) for protection, confusing predators and making detection difficult. Camouflage Object Detection (COD) tackles this challenge by identifying objects seamlessly blended into their surroundings. Existing COD techniques struggle with hidden objects due to noisy inferences inherent in natural environments. To address this, we propose the Discriminative Context-aware Network (DiCANet) for improved COD performance.MethodsDiCANet addresses camouflage challenges through a two-stage approach. First, an adaptive restoration block intelligently learns feature weights, prioritizing informative channels and pixels. This enhances convolutional neural networks’ ability to represent diverse data and handle complex camouflage. Second, a cascaded detection module with an enlarged receptive field refines the object prediction map, achieving clear boundaries without post-processing.ResultsWithout post-processing, DiCANet achieves state-of-the-art performance on challenging COD datasets (CAMO, CHAMELEON, COD10K) by generating accurate saliency maps with rich contextual details and precise boundaries.DiscussionDiCANet tackles the challenge of identifying camouflaged objects in noisy environments with its two-stage restoration and cascaded detection approach. This innovative architecture surpasses existing methods in COD tasks, as proven by benchmark dataset experiments.
Assessments and interventions on body functions, structures and activity to prepare adults with acute spinal cord injury or disease for participation: a scoping review
Authors: Irrgang Sophie , Himmelhaus Sandra , Allek Kirstin , Debecker Isabelle , Gemperli Armin , Kynast Karen , von Reumont Anne , Scheel-Sailer Anke 
Published: March 2024

IntroductionIn the acute phase after a spinal cord injury or disease (SCI/D), various therapeutic assessments and interventions are applied with the goal of restoring structures, preventing complications and preparing the patient as best as possible for further activity and finally participation. The goal was to identify and evaluate the available evidence on assessments and interventions for body functions and structures to prepare adults with acute spinal cord SCI/D for activity and participation during the first 14 days.MethodsA scoping review was conducted. The search was performed on June 19, 2023 using the databases PubMed, PEDro, Cochrane library and Embase. These were screened for studies including patients with acute SCI/D and physiotherapeutic or occupational therapy assessments and interventions. Only studies in English or German published between 2012 and 2023 were included.ResultsTwelve publications met the inclusion criteria, namely three systematic reviews, two randomized controlled trials, two observational studies and five clinical practice guidelines. Assessments as the Spinal Cord Independence Measure, as well as exercises such as daily passive mobilization of body structures against contractures were used in the entire population, while others were only applied in subgroups of SCI/D such as the Graded Redefined Assessment of Strength, Sensation and Prehension or functional electrical stimulation with and without additional movements. The methodological quality of the studies found varied greatly from good to very poor.DiscussionHeterogeneity in research design and study population as well as lack of high-quality studies do not cover the standard of clinical management in the acute phase and further comprehensive research is needed.
Comparative analysis and prediction of cation exchange capacity via summation: influence of biochar type and nutrient ratios
Authors: Antonangelo Joao Arthur , Culman Steven , Zhang Hailin 
Published: March 2024

IntroductionEnhancing soil cation exchange capacity (CEC) is of paramount importance for sustainable agriculture and ecosystem health. This study investigated the pivotal role of biochar in altering soil CEC and challenges conventional assumptions about universal effects of biochar application.MethodsContrasting biochar types, one with a low ash content of 4.4% (switchgrass-derived biochar, SGB) and the other with a high ash content of 45.9% (poultry litter-derived biochar, PLB) were used. Two experiments treated with increasing biochar application rates were conducted: one without plants and the other grown with ryegrass. Effective CEC (summation method) was determined by two extraction methods: Mehlich-3 (M3) and ammonium acetate (AA).Results and discussionThe SGB decreased CEC by 27% on average (from both experiments) from the lowest to the highest rate of biochar application, while the PLB significantly increased CEC by 91%. This highlights the critical role of biochar properties in influencing CEC dynamics. In the second experiment, ryegrass cultivation revealed the greater importance of the calcium and magnesium/potassium ratio ([Ca+Mg]/K) in the soil CEC than CEC only for plant growth in biochar-amended soils. The ratios for optimum ryegrass production ranged from 82‒86 (M3) and 69‒74 (AA), which was translated to 88:11:1 Ca:Mg:K percent base saturation ratios. Moreover, predictive models for estimation of soil CEC after biochar application were successfully developed based on initial soil and biochar CEC. However, M3 was more reliable than AA for such predictions mainly because it was more successful in predicting nutrient availability from biochar. These models offer a promising tool for informed soil management decisions.ConclusionThis research emphasizes the importance of biochar feedstock, elucidates nutrient ratio effects on plant growth, and provides a practical means to anticipate soil CEC changes post-biochar application.