bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health impacts of an extreme dust event: a case and risk assessment study on airborne bacteria in Beijing, China
Authors: Luo Yueyun , Yao Qiao , Ding Pei , Hou Min , Deng Fuchang , Wang Youbin , Ding Cheng , Li Xia , Wang Duochun , Sun Zongke , Tang Song , Mao Yixin , Yao Xiaoyuan 
Published: February 2024

AbstractDust events are concerning due to their potential to cause environmental pollution and health issues by carrying numerous particles from various regions. However, the risks of airborne bacteria from dust have not yet been thoroughly investigated. This study aimed to reveal the particle size distribution, antibiotic resistance, microbial community structure, and diversity of airborne bacteria by using culture methods, and assess the potential health risks by calculating the dose expectation $$(\overline{d })$$

(

d
¯

)

, daily short-term intake (STI), and Hazard Index (HI) during an extreme dust event in urban Beijing (China). Airborne bacteria were sampled before, during, and the day after a severe dust event in March 2021 in Beijing using the six-stage impactor. The major findings were as follows: (1) airborne bacterial concentration increased during the dust event, and inhalable bacteria account for 67.93%. The Hazard Index (HI) of cultivable and inhalable airborne bacteria in men, women, and children exposed to dust events was up to 1.42 and 1.54 times higher than that in individuals who were not exposed, respectively. HI was 1.52 times higher in children than in men when exposed to the dust event. (2) The percentage of Gram-positive bacteria (GPB) resistant to different antibiotics was altered. The abundance of ciprofloxacin-resistant bacteria increased by 24.51%, while that of clindamycin-resistant bacteria decreased by 34.64%. The $$\overline{d }$$

d
¯

, STI, and HI of antibiotic-resistant bacteria per breath for men, women, and children after the dust event were 14 times greater than those before the dust event. (3) The diversity of airborne bacteria increased throughout the dust event. Opportunistic bacteria were found after the dust event. From a health perspective, airborne bacteria during extreme dust events should be further studied for their sources, changes, human exposure, and so forth. Government-scale measures are necessary to control dust dissemination.
Graphical Abstract
Enhancing drought, heat shock, and combined stress tolerance in Myrobalan 29C rootstocks with foliar application of potassium nitrate
Authors: Bolat Ibrahim , Korkmaz Kubra , Dogan Meral , Turan Metin , Kaya Cengiz , Seyed Hajizadeh Hanifeh , Kaya Ozkan 
Published: February 2024

Abstract
Background
Drought and heat stress are significant concerns to food security in arid and semi-arid regions, where global warming is predicted to increase both frequency and severity. To cope with these challenges, the use of drought-tolerant plants or technological interventions are essential. In this study, the effects of foliar potassium nitrate (KNO3) application on the stress tolerance and recovery of Myrobalan 29C rootstocks (Prunus cerasifera Ehrh.) were evaluated. These rootstocks are widely recognized for their adaptability and are extensively used in fruit production. To assess their response, the rootstocks were subjected to drought, heat shock, or a combination of both stressors. Additionally, they were treated with 1.0% KNO3 via foliar application. Throughout the stress and recovery periods, various morphological, physiological, and bio-chemical parameters were measured.

Results
Based on our results, KNO3 treatment improved LRWC, Chl stability, SC, and key stress markers like proline, MDA, H2O2, along with antioxidant enzymes CAT, SOD, POD during both stress and recovery phases. Moreover, our results emphasized KNO3's critical role in hormone regulation under stress. KNO3 application significantly altered hormone levels, notably increasing ABA during drought and heat shock stress, essential for stress response and adaptation. In contrast, IAA, GA, and cytokinin’s significantly increased during the recovery phase in KNO3-treated plants, indicating improved growth regulation and stress recovery. In addition, KNO3 application improved the recovery process of the rootstocks by restoring their physiological and biochemical functions.

Conclusion
This study suggests that the application of foliar KNO3 is an effective technique for enhancing the drought and heat tolerance as well as the recovery of Myrobalan 29C rootstocks. These results hold significant value for farmers, policymakers, and researchers, as they offer crucial insights into the development of drought-tolerant crops and the management of climate change’s adverse effects on agriculture.
Enhancing maize resilience to drought stress: the synergistic impact of deashed biochar and carboxymethyl cellulose amendment
Authors: Danish Subhan , Hasnain Zuhair , Dawar Khadim , Fahad Shah , Shah Adnan Noor , Salmen Saleh H. , Ansari Mohammad Javed 
Published: February 2024

AbstractDrought stress poses a significant challenge to maize production, leading to substantial harm to crop growth and yield due to the induction of oxidative stress. Deashed biochar (DAB) in combination with carboxymethyl cellulose (CMC) presents an effective approach for addressing this problem. DAB improves soil structure by increasing porosity and water retention and enhancing plant nutrient utilization efficiency. The CMC provides advantages to plants by enhancing soil water retention, improving soil structure, and increasing moisture availability to the plant roots. The present study was conducted to investigate the effects of DAB and CMC amendments on maize under field capacity (70 FC) and drought stress. Six different treatments were implemented in this study, namely 0 DAB + 0CMC, 25 CMC, 0.5 DAB, 0.5 DAB + 25 CMC, 1 DAB, and 1 DAB + 25 CMC, each with six replications, and they were arranged according to a completely randomized design. Results showed that 1 DAB + 25 CMC caused significant enhancement in maize shoot fresh weight (24.53%), shoot dry weight (38.47%), shoot length (32.23%), root fresh weight (19.03%), root dry weight (87.50%) and root length (69.80%) over control under drought stress. A substantial increase in maize chlorophyll a (40.26%), chlorophyll b (26.92%), total chlorophyll (30.56%), photosynthetic rate (21.35%), transpiration rate (32.61%), and stomatal conductance (91.57%) under drought stress showed the efficiency of 1 DAB + 25 CMC treatment compared to the control. The enhancement in N, P, and K concentrations in both the root and shoot validated the effectiveness of the performance of the 1 DAB + 25 CMC treatment when compared to the control group under drought stress. In conclusion, it is recommended that the application of 1 DAB + 25 CMC serves as a beneficial amendment for alleviating drought stress in maize.
Emergency department utilisation and treatment for trauma-related presentations of adolescents aged 16–18: a retrospective cross-sectional study
Authors: Brockhus Lara , Hofmann Elias , Keitel Kristina , Bärtsch Martina , Müller Martin , Klukowska-Rötzler Jolanta 
Published: February 2024

Abstract
Background
A recent study conducted at our tertiary hospital emergency department (ED) reviewed ED consultations and found that adolescents aged 16–18 years present significantly more often for trauma and psychiatric problems than adults over 18 years. Accidental injuries are one of the greatest health risks for children and adolescents. In view of the increased vulnerability of the adolescent population, this study aimed to further analyse trauma-related presentations in adolescents.

Methods
We conducted a single-centre, retrospective, cross-sectional study of all adolescent trauma patients aged 16 to 18 years presenting to the adult ED at the University Hospital (Inselspital) in Bern, Switzerland, from January 2013 to July 2017. We analysed presentation data as well as inpatient treatment and cost-related data. Data of female and male patients were compared by univariable analysis. A comparison group was formed consisting of 200 randomly chosen patients aged 19–25 years old with the same presentation characteristics. Predictive factors for surgical treatment were obtained by multivariable analysis.

Results
The study population included a total of 1,626 adolescent patients aged 16–18 years. The predominant causes for ED presentation were consistent within case and comparison groups for sex and age and were sports accidents, falls and violence. Male patients were more likely to need surgical treatment (OR 1.8 [95% CI: 1.2–2.5], p = 0.001) and consequently inpatient treatment (OR 1.5 [95% CI: 1.1–2.1], p = 0.01), associated with higher costs (median 792 Swiss francs [IQR: 491-1,598]). Other independent risk factors for surgical treatment were violence-related visits (OR 2.1 [95% CI: 1.3–3.5, p = 0.004]) and trauma to the upper extremities (OR 2.02 [95% CI: 1.5–2.8], p < 0.001). Night shift (OR 0.56 [95% CI: 0.37–0.86], 0.008) and walk-in consultations (OR 0.3 [95% CI: 0.2; 0.4, < 0.001] were preventive factors for surgical treatment.

Conclusions
Male adolescents account for the majority of emergency visits and appear to be at higher risk for accidents as well as for surgical treatment and/or inpatient admission due to sports accidents or injuries from violence. We suggest that further preventive measures and recommendations should be implemented and that these should focus on sport activities and injuries from violence.
The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department
Authors: Larsson Glenn , Eldh Jana , Hagman Elisabeth , Andersson Hagiwara Magnus 
Published: February 2024

Abstract
Introduction
Due to a systemic modification in Swedish emergency medical services (EMS) staffing in recent years, the nature of the Swedish EMS has changed. Transport to an emergency department (ED) is no longer the only option. Referrals and non-conveyance form a growing part of EMS assignments. Trauma is one of the most common causes of death and accounts for 17% of Swedish EMS assignments. The aim of this study was to describe the characteristics and clinical outcomes of non-conveyed trauma patients who were assessed, treated and triaged by the EMS to gain a better understanding of, and to optimise, transport and treatment decisions.

Methods
The study had a descriptive, retrospective and epidemiologic design and was conducted by reviewing EMS and hospital records for 837 non-conveyed trauma patients in the southwest of Sweden in 2019.

Results
Three in four non-conveyed trauma patients did not seek further medical care within 72 h following EMS assessment. The patients who were admitted to hospital later were often older, had suffered a fall and had a medical history. Half of all the incidents occurred in a domestic environment, and head trauma was the major complaint. Less than 1% of the studied patients died.

Conclusion
Most of the non-conveyed trauma patients did not seek further medical care after being discharged at the scene. Falling was the most common trauma event, and for the older population, this meant a higher risk of hospital admission. The reasons for falls should therefore be investigated thoroughly prior to non-conveyance decisions. Future studies should focus on the reasons for non-conveyance and measure the morbidity and invalidity outcomes rather than mortality.
GADNN: a revolutionary hybrid deep learning neural network for age and sex determination utilizing cone beam computed tomography images of maxillary and frontal sinuses
Authors: Hamidi Omid , Afrasiabi Mahlagha , Namaki Marjan 
Published: February 2024

Abstract
Introduction
The determination of identity factors such as age and sex has gained significance in both criminal and civil cases. Paranasal sinuses like frontal and maxillary sinuses, are resistant to trauma and can aid profiling. We developed a deep learning (DL) model optimized by an evolutionary algorithm (genetic algorithm/GA) to determine sex and age using paranasal sinus parameters based on cone-beam computed tomography (CBCT).

Methods
Two hundred and forty CBCT images (including 129 females and 111 males, aged 18–52) were included in this study. CBCT images were captured using the Newtom3G device with specific exposure parameters. These images were then analyzed in ITK-SNAP 3.6.0 beta software to extract four paranasal sinus parameters: height, width, length, and volume for both the frontal and maxillary sinuses. A hybrid model, Genetic Algorithm-Deep Neural Network (GADNN), was proposed for feature selection and classification. Traditional statistical methods and machine learning models, including logistic regression (LR), random forest (RF), multilayer perceptron neural network (MLP), and deep learning (DL) were evaluated for their performance. The synthetic minority oversampling technique was used to deal with the unbalanced data.

Results
GADNN showed superior accuracy in both sex determination (accuracy of 86%) and age determination (accuracy of 68%), outperforming other models. Also, DL and RF were the second and third superior methods in sex determination (accuracy of 78% and 71% respectively) and age determination (accuracy of 92% and 57%).

Conclusions
The study introduces a novel approach combining DL and GA to enhance sex determination and age determination accuracy. The potential of DL in forensic dentistry is highlighted, demonstrating its efficiency in improving accuracy for sex determination and age determination. The study contributes to the burgeoning field of DL in dentistry and forensic sciences.
Subjectivity study on health conservation of elderly hemodialysis patients
Authors: Yim Eunji , Yun Mijin , Sok Sohyune 
Published: February 2024

Abstract
Background
Health conservation enables elderly hemodialysis patients to maintain a positive state of well-being while undergoing treatment and maintenance of disease. This study was to identify the type of perceptions on health conservation of elderly hemodialysis patients and compare the characteristics of perceptions.

Methods
This study used an exploratory study design applying Q methodology, which is designed to research subjectivity. The study determined a population of subjective statements, the concourse, based on the preceding literature and interviews with twenty-five elderly patients over 65 years of age with hemodialysis. We chose a total of 50 statements considered to be representative of the concourse for the Q-sample. The study selected 50 elderly patients over 65 years of age with hemodialysis as the P-set. The participants provided their internal viewpoints by sorting the Q-sample items into a grid. The researchers performed an analysis using PC-QUANL program. Data were collected from June to November, 2019.

Results
Type I, ‘support system-based effort’ focused on one’s own effort, positive and proactive attitude, family support, medical instructions, information, and medications. Type II, ‘skeptical life maintaining’ expressed a pessimistic future without hope, strongly negative perception on preserving health, and thus minimal effort and motivation to continue life. Type III, ‘treatment process interest’ is based on an interest in the hemodialysis process; for them, it is important to follow medical staff’s instructions, take regular medications precisely, pay attention to the results of regular monthly blood tests, and control their health. Type IV, ‘positive effort’ accepts hemodialysis positively, lives with hemodialysis, and carries out all daily life activities.

Conclusion
In nursing practice, nurses need to pay attention to the perceptions on health conservation of elderly hemodialysis patients. This study can be implied as the evidence of nursing practice based on the perception on health conservation of elderly hemodialysis patients.
Could driving help us to “see better”? A comparative assessment of saccadic efficiency, visual speed, and attention
Authors: Gené-Sampedro Andrés , Alonso Francisco , Gene-Morales Javier , Monteiro Pedro Lourenço , Useche Sergio A. 
Published: February 2024

Abstract
Background
This study aimed at comparing drivers’ and non-drivers’ results in the Adult Developmental Eye Movement with Distractors test (ADEMd) and the Useful Field of View test (UFOV).

Methods
One hundred and twenty Spaniards (mean age 50.90 ± 17.32 years) without eye disease voluntarily participated in this cross-sectional descriptive study. Participants in a single experimental session completed a questionnaire on sociodemographic, health, eyesight, and driving information. They also performed the ADEMd and UFOV tests randomly following standardized protocols. The ADEMd is a visual-verbal test that measures saccadic efficiency and visual attention. Brown-Forsythe (B–F) tests with Games-Howell post-hoc adjustments were conducted to assess differences between groups. Groups were formed according to sex, age (young adults, adults, and older adults), and driver/non-driver for further analysis. Additionally, associations between dependent variables were assessed through Spearman’s correlations.

Results
Drivers obtained significantly better results in the ADEMd compared with non-drivers. Non-significant differences between drivers and non-drivers were encountered in the UFOV. Additionally, significant differences were observed between sexes and age groups. It is worth highlighting that non-driver’s age significantly correlated with worse ADEMd performance (rho = .637 to .716). This correlation was non-significant in drivers. Similarly, reading hours significantly correlated with better ADEMd performance in non-drivers (rho = − .291 to − .363), but not in drivers. The only significant correlations between ADEMd and UFOV tests were found in drivers (rho = .307 to .410).

Conclusion
Considering all the discussed results, it could be hypothesized that the driving task promotes abilities, such as oculomotor and cognitive function, which are relevant for the performance in the ADEMd. However, this hypothesis is based on correlational outcomes and further studies should causally assess this possible relation.
Exploring the connection between ego-resiliency and health behaviors: a cross-sectional study of Polish health sciences students
Authors: Dębska-Janus Małgorzata , Dębski Paweł , Nawrocka Agnieszka , Polechoński Jacek , Madejczyk Wojciech , Badura-Brzoza Karina 
Published: February 2024

Abstract
Background
The aim of this study was to examine the relationship between ego-resiliency and the intensity of health behaviors among Polish health sciences students.

Methods
The study involved 483 students from health-related faculties in southern Poland, consisting of 314 women (63.7%) and 179 men (36.3%). The average age of the participants was 21.7 ± 2.5 years. To assess resiliency (ER), the Ego-Resiliency Scale (ER89-R12) by Block and Kremen was used in its Polish adaptation. The intensity of health behaviors was examined using the Health Behavior Inventory (HBI) developed by Z. Juczyński.

Results
The results revealed a positive correlation between the intensity of health behaviors and ER (r = 0.43, p < 0.001), both for the general factor and its categories (positive mental attitude, proper eating habits, preventive actions, and prohealth activities). Students with a high level of health behaviors exhibited significantly higher ER (M = 38.95, SD = 5.15) compared to those with average (M = 35.93, SD = 5.03) and low (M = 32.97, SD = 5.12) HBI levels. Among the HBI categories, Positive Mental Attitude showed the strongest correlation with both general ER and its factors: optimal regulation (OR) and openness to life experiences (OL). Furthermore, the correlation was found to be stronger with the OR and weaker with OL.

Conclusion
Higher ER in students is correlated with a greater frequency of health behaviors. Nurturing the development of ER may contribute to the maintenance of prohealth practices despite life difficulties and temporary loss of motivation. This, in turn, promotes the regularity of health behaviors, which is crucial for their positive impact on overall health.
Trends, patterns and predictors of high-risk fertility behaviour among Indian women: evidence from National Family Health Survey
Authors: Singh Pooja , Singh Kaushalendra Kumar 
Published: February 2024

Abstract
Background
Numerous studies have demonstrated that high-risk fertility behaviour (HRFB), which includes maternal age below 18 or above 34 years, short birth intervals (less than 24 months), and high parity (birth order above 4), is associated with adverse maternal and child health outcomes. There is a substantial research gap in the domain of high-risk fertility behaviour in the Indian context. Therefore, this study is designed to investigate the current trends and patterns in the prevalence of high-risk births among Indian women, with a primary focus on identifying contributing factors associated with this prevalence.

Methods
The study utilized data from the nationally representative National Family Health Survey (NFHS), which has been conducted in five rounds since 1992–93. Data from all rounds were used to assess the overall trend. However, data from the most recent round of NFHS, conducted during 2019–21, were employed to evaluate current levels and patterns of HRFB prevalence and to identify socio-economic and demographic predictors of HRFB using binomial and multinomial logistic regression models.

Results
The prevalence of HRFB has exhibited a consistent decreasing pattern from 1992 to 93 to 2019–21 in India. However, 29.56% of married women continue to experience high-risk births with notably higher rates in several states (e.g., 49.85% in Meghalaya and 46.41% in Bihar). Furthermore, socio-demographic factors like wealth index, educational level, social group, religion, mass media exposure, family size, age at marriage, type and region of residence, and reproductive factors like birth intention, place and type of delivery, ANC visits and current contraceptive use were identified as significant predictors of high-risk births among women in India.

Conclusion
Despite a 20.4 percentage point decline in HRFB prevalence over the past three decades, a significant proportion of women in specific regions and demographic subgroups continue to experience high-risk births. Therefore, the present study recommends interventions aimed at preventing high-risk births among women in India, with particular emphasis on states with high HRFB prevalence and women from socioeconomically disadvantaged backgrounds.