bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cardio-audio synchronization elicits neural and cardiac surprise responses in human wakefulness and sleep
Authors: Pelentritou Andria , Pfeiffer Christian , Schwartz Sophie , De Lucia Marzia 
Published: February 2024

AbstractThe human brain can encode auditory regularities with fixed sound-to-sound intervals and with sound onsets locked to cardiac inputs. Here, we investigated auditory and cardio-audio regularity encoding during sleep, when bodily and environmental stimulus processing may be altered. Using electroencephalography and electrocardiography in healthy volunteers (N = 26) during wakefulness and sleep, we measured the response to unexpected sound omissions within three regularity conditions: synchronous, where sound and heartbeat are temporally coupled, isochronous, with fixed sound-to-sound intervals, and a control condition without regularity. Cardio-audio regularity encoding manifested as a heartbeat deceleration upon omissions across vigilance states. The synchronous and isochronous sequences induced a modulation of the omission-evoked neural response in wakefulness and N2 sleep, the former accompanied by background oscillatory activity reorganization. The violation of cardio-audio and auditory regularity elicits cardiac and neural responses across vigilance states, laying the ground for similar investigations in altered consciousness states such as coma and anaesthesia.
High-stretch, tendon-driven, fiber-reinforced membrane soft actuators with multiple active degrees of freedom
Authors: Sholl Nick , Mohseni Kamran 
Published: February 2024

AbstractMost soft actuators with multiple active degrees of freedom do not take advantage of the full extensibility of elastomer. Here we introduce a technique for better utilizing this extensibility for more versatile soft actuators. Embedded tendons that slide through channels within an inflatable, fiber-reinforced elastomer membrane enable active control of the membrane’s geometry at high elastomer stretches, bringing its functionality close to that of a natural hydrostatic skeleton. We demonstrate this using an initially planar, tendon-driven, fiber-reinforced membrane actuator with a single fluid cavity that can actively extend, contract, bend in multiple directions, and grasp when inflated. Most notably, the same membrane stretches to nearly three times its initial length directly along the path of a sliding tendon while performing these motions. Two such membranes are used on a robotic platform to walk with the gait of a velvet worm using a fixed mass of air, turn, climb a ramp, and navigate uneven terrain.
Machine learning unveils surface refractive index dynamics in comb-like plasmonic optical fiber biosensors
Authors: Fasseaux Hadrien , Loyez Médéric , Caucheteur Christophe 
Published: February 2024

AbstractThe precise measurement of surface refractive index changes is crucial in biosensing, providing insights into bioreceptors–analytes interactions. However, correlating intricate spectral features, with these refractive index variations remains a persistent challenge, particularly in optical fiber gratings-based Surface Plasmon Resonance sensing. Here, we introduce a machine learning-based approach to address this ongoing issue. We integrate a regression model with gold-coated tilted fiber Bragg grating sensors. This enhances signal stability and precision, enabling a correlation between spectral shifts and refractive index changes. Our approach eliminates the need for individual sensor calibration, thereby bolstering the effectiveness and efficiency of the sensing layer. We demonstrate the model’s versatility by showcasing its efficacy across two data acquisition systems with different resolutions, allowing for comparative analysis and robustness enhancement. Its application in a biosensing experiment for insulin functionalization and detection, demonstrates how this breakthrough approach marks an advancement in real-time refractive index monitoring.
Comparing Spoken Versus iPad-Administered Versions of a Narrative Retell Assessment Tool in a Practice-Based Research Partnership
Authors: Coughler Caitlin , Bardell Taylor , Schouten Mary Ann , Smith Kristen , Archibald Lisa M. D. 
Published: February 2024

Purpose:
In the current age of greater digital delivery of services, it is important to examine the validity and differences between spoken and digital delivery of materials. The current study is a practice-based research partnership between school-based speech-language pathologists (SLPs) and researchers, evaluating presentation effects and validity of a narrative retell assessment tool created by SLPs.

Method:

Fifty-one children across kindergarten, Grade 1, and Grade 2 completed the narrative retell task, retelling
One Frog Too Many
and
Frog Goes to Dinner
in three in-person story presentation conditions administered 1 week apart: spoken, iPad with audio-recorded natural rate of speech, and iPad with slow rate of speech. This was followed by 10 comprehension questions related to story events. Children also completed the Story Retelling subtests from the Test of Integrated Language and Literacy Skills (TILLS).

Results:
Children recalled significantly fewer events in the spoken condition compared to audio-recorded iPad conditions. No significant effect of speaking rate was found. Presentation condition and rate did not affect performance on comprehension questions. Correlations among retell measures and corresponding subtests on a standardized language test ranged from weak to strong, providing some evidence of concurrent validity.

Conclusions:
This practice-based research partnership provided valuable insight into differences in delivery modality as well as the validity of a school-based SLP created narrative retell assessment tool. This study found that rate did not impact recall of events or performance on comprehension questions. Additionally, children performed better on narrative retell measures when stories were told using an iPad. This highlights the potential for iPad delivery as an option in narrative retell tasks. Finally, this study provided an initial examination of the Narrative Evaluation Tool's validity, finding the tool captures ability to recall narrative events; however, future studies are needed to examine the tool's validity as a measure of narrative comprehension.

Supplemental Material:

https://doi.org/10.23641/asha.25260910
Spanish-Speaking Mothers' Experiences of School-Based Speech Therapy
Authors: Irizarry-Pérez Carlos D. , Bell Lindsey M. , Rodriguez Monique N. , Viramontes Vanessa 
Published: February 2024

Purpose:
Spanish-speaking families are a growing population that speech-language pathologists must be prepared to work with. To provide culturally responsive intervention, speech-language pathologists (SLPs) must understand the perspectives of Spanish-speaking caregivers when providing intervention. These values and experiences may differ from those of monolingual, mainstream culture. Understanding the impact of the COVID-19 pandemic on these experiences is also important. In this qualitative study, we explore the experiences of Spanish-speaking mothers whose children have received school-based speech-language intervention and the impact of the COVID-19 pandemic.

Method:
We interviewed five Spanish-speaking mothers who were identified as having bilingual children who had or were currently receiving speech therapy, all through the public school system. The mothers participated in a semistructured interview to share their experiences with their children receiving intervention. We analyzed the transcripts through interpretative phenomenological analysis to identify salient themes among participants. All research team members reviewed and agreed upon themes to ensure credibility.

Results:
The findings revealed six group experiential themes: (a) lack of services and frustration with and barriers to accessing services, (b) greater improvements in English compared with Spanish, (c) bilingual speech therapy has positive effects on children and Spanish-speaking mothers, (d) family involvement in speech therapy is highly important, (e) family stress related to speech difficulties, and (f) pandemic negatively impacted children's socialization and learning.

Discussion:
The results are discussed in the context of equity. Through understanding the experiences of Spanish-speaking mothers, SLPs can work to ensure service levels comparable with those of monolingual children and support bilingual acquisition.
A deep learning approach for robust traffic accident information extraction from online chinese news
Authors: Ling Yancheng , Ma Zhenliang , Dong Xiaoxian , Weng Xiaoxiong 
Published: February 2024

AbstractRoad traffic accidents are the leading causes of injuries and fatalities. Understanding the traffic accident occurrence pattern and its contributing factors are prerequisites for effective traffic safety management. The paper proposes a deep learning approach for traffic accident recognition and information extraction from online Chinese news to extract and organize traffic accidents automatically. The approach consists of three modules, including automated news collection, news classification, and traffic accident information extraction. The automated news collection module crawls news from online sources, cleans and organizes it into a general news database with different categories of news. The news classification module robustly recognizes the traffic accident news from all types of news by fusing the sentence‐wise and context‐wise semantic news information. The accident information extraction module extracts the key attributes of traffic accidents (e.g. causes, times, locations) from news text using the SoftLexicon‐BiLSTM‐CRF method. The proposed approach is validated by comparing it with state‐of‐the‐art text mining methods using Chinese news data crawled online. The results show that the approach can achieve a high information extraction performance in terms of precision, recall, and F1‐score. It improves the performance of the best benchmark model (BiLSTM‐CRF) by 18.8% in precision and 12.08% in F1‐score. In addition, the potential value of the automatically extracted accident data is illustrated from online news in complementing traditional authority accident data to drive more effective traffic safety management in practice.
Pflegebedingte Beendigung der Erwerbstätigkeit pflegender
Angehöriger: Identifikation eines Risikoprofils
Authors: Scheuermann Julia-Sophia , Gräßel Elmar , Pendergrass Anna 
Published: February 2024

Zusammenfassung
Hintergrund Erwerbstätige pflegende Angehörige erleben
häufig Rollenkonflikte zwischen der häuslichen Pflege eines
pflegebedürftigen älteren Menschen und ihrer
Erwerbstätigkeit. Ziel dieses Beitrags ist die Identifikation eines
Risikoprofils der pflegebedingten Beendigung der Erwerbstätigkeit.
Methodik Die Analysen basieren auf der Querschnittsstudie Benefits of
Being a Caregiver (Oktober 2019 – März 2020) mit Angaben von 481
pflegenden Angehörigen eines pflegebedürftigen älteren
Menschen. Die erhobenen Daten beziehen sich auf Charakteristika der
Pflegebedürftigen, der pflegenden Angehörigen und der
Pflegesituation sowie auf Aspekte der Erwerbstätigkeitssituation. Das
Risikoprofil einer pflegebedingten Beendigung der Erwerbstätigkeit
beruht auf einer binär logistischen Regression.
Ergebnisse Ungefähr jede/-r Neunte (n=55) hat in
der vorliegenden Stichprobe die Erwerbstätigkeit beendet, weil
er/sie eine ältere Person zu Hause pflegen musste. Das
Risikoprofil einer pflegebedingten Beendigung der Erwerbstätigkeit ist
durch die Faktoren weibliches Geschlecht der pflegenden Angehörigen,
jüngeres Alter der Pflegebedürftigen, in häuslicher
Gemeinschaft mit dem Pflegebedürftigen lebend und höherer
Pflegegrad des Pflegebedürftigen gekennzeichnet.
Schlussfolgerungen Zur Reduktion der pflegebedingten Aufgabe der
Erwerbstätigkeit ist die Anpassung von Entlastungs- und
Unterstützungsangeboten an die Faktoren des identifizierten
Risikoprofils nötig. Dabei sollte vor allem die
Angehörigenberatung formal und inhaltlich modifiziert werden, um
pflegende Angehörige frühzeitig zu erreichen und individuelle
Lösungen zur Vereinbarkeit zu erarbeiten. Insbesondere weibliche
erwerbstätige pflegende Angehörige sollten bei den angepassten
Maßnahmen im Fokus stehen und erreicht werden.
Tagespflege: Wer nutzt sie und wer möchte sie nutzen?
Multivariable Analyse der aktuellen und zukünftigen Inanspruchnahme der
Tagespflege bei der häuslichen Pflege
Authors: Bösl Sophia , Diehl Kristina , Pendergrass Anna , Gräßel Elmar 
Published: February 2024

ZusammenfassungHintergrund Tagespflege dient der Entlastung pflegender
Angehöriger sowie der adäquaten Versorgung und Förderung
pflegebedürftiger Personen. Bayern- und deutschlandweit wird die
Tagespflege von 4% aller pflegebedürftigen Personen besucht.
Ziel der Sekundäranalyse ist die Identifikation von Variablen der
Angehörigen- und Pflegesituation, die mit einer gegenwärtigen
oder gewünschten zukünftigen Inanspruchnahme des
Tagespflegeangebots assoziiert werden. Methodik Für die
Querschnittsstudie Benefits of Being a Caregiver („Zugewinne durch die
Pflege“) wurden von Oktober 2019 bis März 2020 in Bayern
pflegende Angehörige von geriatrischen Pflegebedürftigen
(>65 Jahre; n=958) zur Pflegesituation, zu Eigenschaften der
pflegenden Angehörigen und der pflegebedürftigen Personen sowie
zur Soziodemografie befragt. Zur Ermittlung von Prädiktoren einer
gegenwärtigen oder gewünschten Tagespflegenutzung wurden zwei
binär logistische Regressionsanalysen durchgeführt.
Ergebnisse Es nutzten 7.3% (n=70) der Befragten das
Tagespflegeangebot, wobei die Inanspruchnahme mit einer dementiellen Erkrankung
und einem hohen Pflegegrad der pflegebedürftigen Person assoziiert war
(Nagelkerkes R2=0,200). Von den 888 Befragten ohne
Tagespflegenutzung äußerten 25.1% (n=223) einen
Nutzungswunsch. Dieser war mit einer dementiellen Erkrankung der
pflegebedürftigen Person, einer schlechten früheren Beziehung
und einer starken subjektiven Belastung der pflegenden Angehörigen
assoziiert (Nagelkerkes R²=0,083). Schlussfolgerung Die
Nutzungszahlen waren höher als in den Pflegestatistiken berichtet.
Demenz und ein erhöhter Pflegebedarf der pflegebedürftigen
Personen waren mit der Inanspruchnahme assoziiert, entgegen der Literatur war
jedoch kein Zusammenhang mit Alltagseinschränkungen, Geschlecht, Bildung
oder Pflegedauer zu finden. Aktuell wollen mehr als zwei Drittel der pflegenden
Angehörigen in Bayern weder gegenwärtig noch zukünftig
Tagespflegeangebote nutzen.
Fetal Long QT Syndrome – Challenges in Perinatal Management: A Review
and Case Report. Induction of Labor and Vaginal Birth Under Continuous Magnesium
Therapy
Authors: Wegner Linda Sarah , Steinhard Johannes , Frank Thomas , Laser Kai Thorsten , Kubiak Karol 
Published: February 2024

AbstractCongenital LQTS is an often undetected inherited cardiac channel dysfunction and
can be a reason for intrauterine fetal demise. It can present in utero as CTG
and ultrasound abnormalities, i. e., bradycardia, ventricular tachycardia, or
fetal hydrops. Diagnosis is made by CTG, echocardiography, or fMCG. Intrauterine
therapy with a ß blocker and i. v. magnesium should be started. Our objective
was to examine the current knowledge about diagnosis and treatment of LQTS and
in particular to highlight the opportunity of vaginal birth under continuous
intravenous magnesium therapy. Therefore, a thorough MEDLINE and Google Scholar
search was conducted. Randomized controlled trials, meta-analyses, prospective
and retrospective cohort trials, and case reports were considered. We showed the
possibility of vaginal delivery under continuous magnesium therapy in a case of
suspected fetal LQTS. A stepwise concept for diagnosis, monitoring, and
peripartum management in low, intermediate, and high risk cases of fetal LQTS is
presented. If risk is low or intermediate, a vaginal delivery under continuous
monitoring is reasonable. Induction of labor at term should be evaluated.
Blood Urea Nitrogen to Serum Albumin Ratio as A New Prognostic
Indicator in Critically Ill Patients with Diabetic Ketoacidosis: A Retrospective
Cohort Study
Authors: Hang Tingting , Huang Jing , He Guiping , Li Jin , Tao Tingting 
Published: February 2024

Abstract
Objective To investigate the predictive value of the blood urea nitrogen
to serum albumin ratio for in-hospital and out-of-hospital mortality in
critically ill patients with diabetic ketoacidosis.
Methods Data were obtained from the Medical Information Mart for Intensive
Care III (MIMIC III) database, and all eligible participants were categorized
into two groups based on the BAR cutoff value. Multiple logistic regression
analysis was conducted to determine the association between BAR and in-hospital
mortality. The Kaplan–Meier (K–M) analysis was performed to evaluate the
predictive performance of BAR. Propensity score matching (PSM) was applied to
control confounding factors between the low and high BAR groups.
Results A total of 589 critically ill patients with diabetic ketoacidosis
were enrolled. Patients with diabetic ketoacidosis with a higher BAR level were
associated with higher in- and out-hospital mortality (all p<0.001). A
significant 4-year survival difference was observed between the low and high BAR
groups (p<0.0001). After PSM analysis, two PSM groups (202 pairs, n=404) were
generated, and similar results were observed in the K–M curve (p<0.0001).
Discussion Elevated BAR levels were associated with an increased risk of
in-hospital mortality in critically ill patients with diabetic ketoacidosis, and
BAR could serve as an independent prognostic factor in in-hospital and
out-of-hospital mortality for patients diagnosed with diabetic ketoacidosis.
Higher purpose in life and education were associated with better cognition among older adults
Authors: Oliveira Wellington Lourenço , Melo Ruth Caldeira de , Cachioni Meire , Falcão Deusivania Vieira da Silva , Batistoni Samila Sathler Tavares , Ordonez Tiago Nascimento , Neri Anita Liberalesso , Yassuda Mônica Sanches 
Published: February 2024

Abstract
Background With aging, some cognitive abilities change because of neurobiological processes. Cognition may also be influenced by psychosocial aspects.
Objective To describe the relationship between a measure of neuroticism, depression symptoms, purpose in life, and cognitive performance in community-dwelling older adults.
Methods This was a cross-sectional analysis based on the data from the second wave of the Frailty in Brazilian Older Adults (FIBRA) study, carried out between 2016 and 2017. The sample consisted of 419 older people (≥ 72 years old) cognitively unimpaired and mostly with low education. The variables of interest were sociodemographic, Neuroticism domain from the NEO-PI-R, Geriatric Depression Scale (GDS), Purpose in Life (PiL) scale, and a cognitive composite score which included the Mini-Mental State Examination (MMSE), and the scores for the sub-items of the Mini-Addenbrooke's Cognitive Examination (M-ACE), namely, Verbal Fluency (VF) – Animal, Clock Drawing Test (CDT), Episodic Memory (name and address).
Results There was a greater number of women (70%), with older age (median = 80 years, IQR = 77-82), and low education (median = 4 years, IQR = 2-5). In the bivariate correlations, years of education (ρ = 0.415; p < 0.001) and PiL (ρ = 0.220; p < 0.001) were positively associated with cognition. Neuroticism (ρ = -0.175; p < 0.001) and depression symptoms (ρ = -0.185; p < 0.001) were negatively associated with cognition. In the logistic regression, after including confounding variables, the associations between cognition and PiL (OR = 2.04; p = 0.007) and education (OR = 1.32; p < 0.001) remained significant.
Conclusion Low PiL and low education levels were associated with worse cognition among older adults. Such results may be of relevance in programs that aim to improve cognition among older adults.
Perforator Dissection Porcine Abdominal Model: A Novel Simulator to Improve Microsurgical Training
Authors: Shaffrey Ellen C. , Zeng Weifeng , Nicksic Peter J. , Eftekari Sahand C. , Frank Jennifer M. , Dingle Aaron M. , Poore Samuel O. 
Published: February 2024

Abstract
Background Perforator dissection and flap elevation are routinely performed for microsurgical reconstruction; however, there is a steep learning curve to mastering these technical skills. Though live porcine models have been utilized as microsurgical training models, significant drawbacks limit their use. We recently developed a latex-perfused, nonliving, porcine abdomen perforator dissection simulation and described its anatomic similarity to the human deep inferior epigastric artery flap. The purpose was to assess the change in resident confidence in performing key operative steps of flap elevation and perforator dissection and obtain feedback on model realism and utility.
Methods Seventeen plastic and reconstructive surgery resident physicians (postgraduate years 1–6) at a single institution participated in a perforator dissection session utilizing the simulation model. Each resident completed pre- and postactivity surveys to assess interval change in confidence in operating. The postactivity survey also asked residents to answer questions regarding their perception of the model's anatomic and surgical realism and utility in microsurgical training.
Results Following a practice session using the latex-perfused, nonliving porcine abdomen, resident confidence was significantly increased in performing all key operative steps and the procedure overall (p = 0.001). All residents (n = 17, 100%) believed the model would improve “trainees' ability to perform perforator dissection in the operating room.” Perforator, fascial, and pedicle anatomy were reported to be “Very” similar to human anatomy, with a median Likert score (MLS) of 4. Additionally, six out of the eight surgical steps were noted to be “Very” realistic, with only “Flap Design” and “Fascial Closure” found to be “Moderately” realistic with an MLS of 3.
Conclusion The latex-infused porcine abdominal model is a novel, realistic simulation for microsurgical trainee perforator dissection practice. This model offers a suitable substitute for perforator dissection practice, as its implementation within a microsurgery training course improves resident comfort and confidence.
Mapping of Thoracodorsal Artery Perforators: Accuracy of Thermography and Handheld Doppler
Authors: Illg Claudius , Heinzel Johannes C. , Denzinger Markus , Schäfer Ruth C. , Daigeler Adrien , Krauss Sabrina 
Published: February 2024

Abstract
Background The versatile musculocutaneous latissimus dorsi flap and the thoracodorsal artery (TDA) perforator flap have developed into indispensable approaches in reconstructive surgery. While the anatomy of the TDA is consistent, the skin perforators vary in location and course. Dynamic infrared thermography (DIRT) recently gained popularity for perforator identification; however, its use and accuracy in thoracodorsal artery perforator (TDAP) mapping is yet to be determined.
Methods TDAPs were visualized in 50 cases by DIRT. Based on the thermographic hotspots, the corresponding perforators were then identified by color duplex ultrasound (CDU) and handheld Doppler in a blinded fashion by two separate examiners.
Results The midpoint of all perforator fascia passages was localized 99.7 mm caudal and 13.5 mm medial of the posterior axillary fold. The positive predictive value of perforator identification by dynamic infrared thermography was 86.5% and the correlating perforator fascia passage was 9.9 ± 5.8 mm from the hotspot midpoint, with a maximum of 29 mm. The positive predictive value of perforator identification by handheld Doppler was 95% and the signal was 7.2 ± 5.1 mm from the perforator fascia passage.
Conclusion DIRT precisely localizes TDAPs. The fusion with CDU combines both modalities' advantages. The combination with handheld Doppler is a fast way of perforator imaging, decreasing the handheld Dopplers' high false positive rate.