bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cocreators’ experiences and effectiveness of cocreated interventions in improving health behaviours of adults with non-communicable diseases: a systematic review protocol
Authors: Anieto Ebuka Miracle , Abaraogu Ukachukwu , Dall Philippa Margaret , Anieto Ijeoma Blessing , Ogbueche Chukwudi Martin , Seenan Chris 
Published: October 2023

IntroductionImproved health behaviours and help-seeking behaviour reduce morbidity and mortality from non-communicable diseases (NCDs). Compliance with the recommendations of lifestyle changes for the management of NCDs has been challenging, as patients find it difficult to change and sustain lifestyle behaviours for a long period of time. Studies have reported that cocreated interventions are promising in addressing negative health behaviours and improving health outcomes in people with NCDs; however, no conclusive evidence exists. Therefore, this review aims to evaluate cocreators’ experiences and the effectiveness of cocreated interventions in improving the health behaviours of individuals with NCDs.Methods and analysisThis review will follow the recommendations described in the Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement for the synthesis of qualitative data. The following databases: Co-creation Database (https://zenodo.org/record/6773028%23.Y9h2sezP1pg), MEDLINE (via OVID), Cumulative Index to Nursing and Allied Health Literature (via EBSCO Host), EMBASE (via OVID), PsycINFO (via OVID), Scopus, Web of Science, Cochrane Library and grey literature will be searched. The identified studies will be independently screened by two reviewers to determine their eligibility. The review will target to include studies that investigated the experiences of cocreators and/or the effectiveness of cocreated interventions on the health behaviour and/or health outcomes of adults with NCDs. Two independent reviewers will also appraise the quality of the included studies, as well as data extraction. A narrative synthesis will be used to summarise the findings. Thematic synthesis and meta-analysis will be conducted for the qualitative and quantitative data, respectively. The qualitative and quantitative findings will be integrated using the parallel result convergent synthesis.Ethics and disseminationEthics approval is not applicable because the review will only use data from the published studies. The findings will be disseminated through publication in peer-reviewed journals and conference presentations.PROSPERO registration numberCRD42023391746.
PAllidal versus SubThalamic deep brain Stimulation for Cervical Dystonia (PASTS-CD): study protocol for a multicentre randomised controlled trial
Authors: Liu Bin , Xu Junpeng , Yang Haonan , Yu Xinguang , Mao Zhiqi 
Published: October 2023

IntroductionDeep brain stimulation (DBS) has been validated as a safe and effective treatment for refractory cervical dystonia (CD). Globus pallidus internus (GPi) and subthalamic nucleus (STN) are the two main stimulating targets. However, there has been no prospective study to clarify which target is the better DBS candidate for CD. The objective of this trial is to compare directly the efficacy and safety of GPi-DBS and STN-DBS, thereby instructing the selection of DBS target in clinical practice.Methods and analysisThis multicentre, prospective, randomised, controlled study plans to enrol 98 refractory CD patients. Eligible CD patients will be randomly allocated to GPi-DBS group or STN-DBS group, with the DBS electrodes implanted into the posteroventral portion of GPi or the dorsolateral portion of STN, respectively. The primary outcome will be the improvement of symptomatic severity, measured by the changes in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) severity subscale and the Tsui scale at 3 months, 6 months and 12 months after surgery. The secondary outcomes include the improvement of the TWSTRS-disability subscale, TWSTRS-pain subscale, quality of life, mental and cognitive condition, as well as the differences in stimulation parameters and adverse effects. In addition, this study intends to identify certain predictors of DBS efficacy for CD.Ethics and disseminationThe trial has been approved by the Medical Ethics Committee of Chinese PLA General Hospital (S2022-613-01). The results of this study will be published in international peer-reviewed journals and shared in professional medical conferences.Trial registration numberNCT05715138.
Demographic, social and geographic factors associated with glycaemic control among US Veterans with new onset type 2 diabetes: a retrospective cohort study
Authors: Lee David C , Orstad Stephanie L , Kanchi Rania , Adhikari Samrachana , Rummo Pasquale E , Titus Andrea R , Aleman Jose O , Elbel Brian , Thorpe Lorna E , Schwartz Mark D 
Published: October 2023

ObjectivesThis study evaluated whether a range of demographic, social and geographic factors had an influence on glycaemic control longitudinally after an initial diagnosis of diabetes.Design, setting and participantsWe used the US Veterans Administration Diabetes Risk national cohort to track glycaemic control among patients 20–79-year old with a new diagnosis of type 2 diabetes.Primary outcome and methodsWe modelled associations between glycaemic control at follow-up clinical assessments and geographic factors including neighbourhood race/ethnicity, socioeconomic, land use and food environment measures. We also adjusted for individual demographics, comorbidities, haemoglobin A1c (HbA1c) at diagnosis and duration of follow-up. These factors were analysed within strata of community type: high-density urban, low-density urban, suburban/small town and rural areas.ResultsWe analysed 246 079 Veterans who developed a new type 2 diabetes diagnosis in 2008–2018 and had at least 2 years of follow-up data available. Across all community types, we found that lower baseline HbA1c and female sex were strongly associated with a higher likelihood of within-range HbA1c at follow-up. Surprisingly, patients who were older or had more documented comorbidities were more likely to have within-range follow-up HbA1c results. While there was variation by community type, none of the geographic measures analysed consistently demonstrated significant associations with glycaemic control across all community types.
Risk Assessment Score and Chi-Square Automatic Interaction Detection Algorithm for Hypertension Among Africans: Models From the SIREN Study
Authors: Asowata Osahon J. , Okekunle Akinkunmi Paul , Akpa Onoja M. , Fakunle Adekunle Gregory , Akinyemi Joshua O. , Komolafe Morenikeji Adeyoyin , Sarfo Fred Stephen , Akpalu Albert K. , Obiako Reginald , Wahab Kolawole W. , Osaigbovo(Osawaru) Godwin O. , Owolabi Lukman F. , Jenkins Carolyn M. , Calys-Tagoe Benedict Nii Laryea , Arulogun Oyedunni Sola , Ogbole Godwin I. , Ogah Okechukwu Samuel , Lambert Appiah T. , Ibinaiye Philip Oluleke , Adebayo Philip B. , Singh Arti , Adeniyi Sunday Adebori , Mensah Yaw B. , Laryea Ruth Y. , Balogun Olayemi , Chukwuonye Innocent Ijezie , Akinyemi Rufus O. , Ovbiagele Bruce , Owolabi Mayowa Ojo 
Published: October 2023

BACKGROUND:
This study aimed to develop a risk-scoring model for hypertension among Africans.

METHODS:
In this study, 4413 stroke-free controls were used to develop the risk-scoring model for hypertension. Logistic regression models were applied to 13 risk factors. We randomly split the dataset into training and testing data at a ratio of 80:20. Constant and standardized weights were assigned to factors significantly associated with hypertension in the regression model to develop a probability risk score on a scale of 0 to 1 using a logistic regression model. The model accuracy was assessed to estimate the cutoff score for discriminating hypertensives.

RESULTS:

Mean age was 59.9±13.3 years, 56.0% were hypertensives, and 8 factors, including diabetes, age ≥65 years, higher waist circumference, (BMI) ≥30 kg/m
2
, lack of formal education, living in urban residence, family history of cardiovascular diseases, and dyslipidemia use were associated with hypertension. Cohen κ was maximal at ≥0.28, and a total probability risk score of ≥0.60 was adopted for both statistical weighting for risk quantification of hypertension in both datasets. The probability risk score presented a good performance—receiver operating characteristic: 64% (95% CI, 61.0–68.0), a sensitivity of 55.1%, specificity of 71.5%, positive predicted value of 70.9%, and negative predicted value of 55.8%, in the test dataset. Similarly, decision tree had a predictive accuracy of 67.7% (95% CI, 66.1–69.3) for the training set and 64.6% (95% CI, 61.0–68.0) for the testing dataset.

CONCLUSIONS:
The novel risk-scoring model discriminated hypertensives with good accuracy and will be helpful in the early identification of community-based Africans vulnerable to hypertension for its primary prevention.
A Novel Window Into Human Vascular Remodeling and Diagnosing Carotid Flow Impairment: The Petro‐Occipital Venous Plexus
Authors: Yang Wenjie , Sam Kevin , Qiao Ye , Huang Zhongqing , Steinman David A. , Wasserman Bruce A. 
Published: October 2023

Background
Adaptive arterial remodeling caused by flow reduction from downstream stenosis has been demonstrated in animal studies. The authors sought to determine whether inward remodeling from downstream stenosis also occurs in humans and is detectable by ex vacuo expansion of the Rektorzik venous plexus (RVP) surrounding the petrous internal carotid artery.

Methods and Results

The authors analyzed 214 intracranial magnetic resonance imaging examinations that included contrast‐enhanced vessel wall imaging. RVP symmetry was qualitatively assessed on vessel wall imaging. RVP thickness (RVPT) was measured on the thicker side if asymmetric or randomly assigned side if symmetric. Maximum stenosis (M1 or intracranial internal carotid artery) was measured. Posterior communicating artery and A1 diameters (>1.0 mm and 1.5 mm, respectively) defined adequate collateral outflow when proximal to the stenosis. Seventy‐two patients had stenosis downstream from RVPT measurements. For those without adequate outflow (38 of 72), 95.0% with RVPT ≥1.0 mm had ≥50% stenosis compared with only 5.6% with RVPT <1.0 mm. For these 72 patients, higher RVPT (RVPT ≥1.0 mm versus <1.0 mm) and absent adequate outflow were associated with greater downstream stenosis (
P
<0.001) using multivariate regression. For patients with downstream stenosis without adequate outflow, asymmetric RVP thickening was associated with greater ipsilateral stenosis (
P
<0.001, all had ≥46% stenosis) when stenosis was unilateral and greater differences in stenosis between sides (
P
=0.005) when stenosis was bilateral.

Conclusions
Inward internal carotid artery remodeling measured by RVPT or RVP asymmetry occurs as downstream stenosis approaches 50%, unless flow is preserved through a sufficiently sized posterior communicating artery or A1, and may serve as a functional measure of substantial flow reduction from downstream stenosis.
SYRIAN IMMIGRATION EFFECT ON SOCIAL CAPITAL IN TURKEY: EMPIRICAL STUDY
Authors: SATICI Esra , KIRAL Halis 
Published: October 2023

ABSTRACT
The aim of this study is to examine the impact of migration from Syria on Turkey's social capital. In this context, Turkey's social capital index produced at the provincial level and be considered as intervention year of 2012, the pre-intervention of 2007 and 2017 were evaluated after the intervention. One of the methods accepted in the impact analysis literature to examine the impact of immigrants who entered Turkey after the Syrian civil war on social capital; single group designs, comparative group designs, difference-in-difference method and trend score matching methods are applied and the results are interpreted. Accordingly, it was observed that Syrian migration did not have a positive or negative effect on the social capital index values evaluated within the scope of the criteria discussed in this study.
Ship Security Rules in China’s Maritime Traffic Safety Law: Increased Legal Flexibility in Maritime Security Measures and Potential Problems
Authors: Wang Qiuwen , Zhang Hu , Hu Chenghang 
Published: October 2023

Abstract
China recently amended its Maritime Traffic Safety Law (MTSL2021) and has introduced a series of stipulations concerning ship security. In these ship security rules, flexibility has been maintained in the decision to adopt maritime security measures in cases when ship operators and Chinese maritime authorities face maritime security threats. This research examines the ship security rules in MTSL2021, analyses how the rules’ ambiguities could provide flexibility as well as uncertainties in practical implementation, and explores how they may affect the law’s institutional coordination with other domestic laws and regulations as well as China’s maritime law enforcement coordination with other countries.
Epithelioid Inflammatory Myofibroblastic Sarcoma With Poor Response to Crizotinib: A Case Report
Authors: Aminimoghaddam Soheila , Pourali Roghayeh 
Published: October 2023

Introduction: Epithelioid type inflammatory myofibroblastic sarcoma (EIMS) is a subtype of inflammatory myofibroblastic tumor (IMT). It consists of round or epithelioid cells, and almost all types of EIMS contain rearrangements of the anaplastic lymphoma kinase (ALK) gene. Case presentation: We describe a 20-year-old female presenting with abdominal pain and a rapidly growing intraabdominal mass who underwent surgical tumor resection. She was diagnosed with EIMS. ALK and ki-67 expressions were detected in immunohistochemistry assessment. She was started with Crizotinib 200 mg twice a day, and chemotherapy was also initiated due to the recurrence of the disease 4 months after the initial treatment. She was unresponsive to all the medical regimens and died in 8 months. Conclusion: Approach to patients with EIMS is really challenging in terms of both diagnosis and treatment. Patients with combined surgical and non-surgical treatment regimen were seen to have a more favorable outcome in some EIMS cases. Therefore, it is essential to implement a multidisciplinary approach to diagnose and treat patients suspicious of EIMS.
Vaccination frequency in people newly diagnosed with multiple sclerosis
Authors: Darvishi Sonia , Donnachie Ewan , Gasperi Christiane , Hapfelmeier Alexander , Hemmer Bernhard 
Published: October 2023

Background: Infections are discussed as risk factor for multiple sclerosis (MS) development and relapses. This may lead to decreased vaccination frequency in newly diagnosed patients. Objective: The aim of this study was to evaluate the relation of MS diagnosis to subsequent vaccination frequency. Methods: Based on German ambulatory claims data from 2005 to 2019, regression models were used to assess the relation of MS diagnosis ( n = 12,270) to vaccination. A cohort of patients with MS was compared to control cohorts with Crohn’s disease, psoriasis, and without these autoimmune diseases (total n = 198,126) in the 5 years after and before diagnosis. Results: Patients with MS were less likely to be vaccinated compared to persons without the autoimmune diseases 5 years after diagnosis (odds ratio = 0.91, p < 0.001). Exceptions were vaccinations against influenza (1.29, p < 0.001) and pneumococci (1.41, p < 0.001). Differences were strong but less pronounced after than before diagnosis ( p < 0.001). The likelihood of vaccination was also lower compared to patients with Crohn’s disease or psoriasis. Conclusions: Patients with MS were not adequately vaccinated despite guideline recommendations. Increasing awareness about the importance of vaccination is warranted to reduce the risk of infection, in particular, in patients with MS receiving immunotherapies.
Deconstructing verbal and nonverbal accommodation in Arabic cross-dialectal communication
Authors: Soulaimani Dris , Chakrani Brahim 
Published: October 2023

Aims and objectives: This study examines language accommodation in cross-dialectal encounters. It demonstrates how speakers of different Arabic varieties use (non)accommodation strategies that include both verbal and embodied actions. Approach: The study uses qualitative data from Arabic cross-dialectal communication. In the course of their interactions, participants draw on linguistic and nonlinguistic resources to achieve either convergent or divergent accommodation. Using the theoretical frameworks of discourse analysis (DA) and communication accommodation theory (CAT), the study investigates natural conversations for insight into qualities of Arabic cross-dialectal communication. Data and analysis: The data were collected in the United States. In this study, the participants originate from four major geographical areas in the Arab world, including the Maghreb, Egypt and Sudan, the Levant, and the Gulf. Findings/conclusions: The analysis demonstrates that successful accommodation requires a verbal and nonverbal collaborative construction of meaning to achieve co-participation. Participants linguistically converge while they display a shared Arab identity. The data also show that when a sense of shared Arabness is deemphasized and the positive social image to a group’s variety is violated, divergence as a nonaccommodative strategy is used. Originality: This is the first study that demonstrates how different modes of accommodation are expressed, not only through speech but also through embodied actions. The study shows that accommodation as a process is not complete at the verbal level; it must be orchestrated at multiple semiotic levels, including nonverbal ones. Significance/implications: Scholars have paid less attention to nonverbal accommodation. This study seeks to bridge this gap by analyzing both verbal and nonverbal accommodation, whether convergent or divergent, in Arabic cross-dialectal communication. It shows how speakers of different dialects use accommodation to signal intergroup relations and negotiate different social identities.
Clear aligner therapy practice among orthodontists in the United Kingdom and the Republic of Ireland: A cross-sectional survey of the British Orthodontic Society membership
Authors: Meade Maurice J , Weir Tony , Seehra Jadbinder , Fleming Padhraig S 
Published: October 2023

Objective: To investigate clear aligner therapy (CAT) practice among orthodontists in the British Orthodontic Society (BOS). Design: A cross-sectional online survey. Methods: An electronic survey was distributed to members of the BOS in 2022. The survey comprised questions regarding respondent demographics, general use of CAT, the choice of proprietary CAT appliances, CAT planning, case selection, treatment protocols and orthodontist-reported CAT problems. Results: Overall, there were 233 (19.5%) respondants with the majority (n = 121, 53.1%) being female. Most respondents reported practising in England (n = 171, 74.7%). The majority (n = 177, 77.3%) indicated that they used CAT in their practice, with 48.1% (n = 81) treating 1–20 patients with CAT annually. The most frequently prescribed CAT system was Invisalign (n = 138, 81.2%). One to three changes to the initial digital treatment plan were made by 72.9% (n = 121) with final tooth positions being the most common reason for adjustment (64.4%). Most (n = 97, 60.3%) rarely or never performed premolar extractions with CAT. Of the respondents, 23 12.7%) reported that they always or mostly used a remote monitoring system in conjunction with CAT, with a wide range of aligner change protocols reported. The median number of months required to complete non-extraction CAT reported by the respondents was 12. Most respondents (n = 77, 51.7%) did not feel that CAT provides superior outcomes compared with fixed appliance therapy. Conclusion: CAT practice varied widely among the surveyed orthodontists. A predilection for the use of Invisalign and utility in less severe cases was noted.
Astragalus gombo as a renewable source of cellulose: Experimental and response surface approaches
Authors: Ben Seghir Bachir , Hemmami Hadia , Layachi Abdelheq , Kouadri Imane , Ben Amor Ilham , Zeghoud Soumeia , Rebiai Abdelkrim , Talbi Adila 
Published: October 2023

The utilization of Astragalus Gombo (AG) as a primary ingredient in this research has been employed for the purpose of cellulose synthesis. The objective of this study was to explore the potential of utilizing agricultural waste, specifically AG, as a novel source for cellulose production. The cellulose underwent a three-step preparation process. Initially, deproteinization was conducted, followed by lipid extraction. Subsequently, a bleaching treatment was applied to eliminate lignin and hemicellulose. This study investigates the optimization of cellulose extraction from agricultural residues through the utilization of analysis of variance. Various extraction durations (1, 2, and 4 h), extraction temperatures (30, 60, and 100°C), and concentrations of NaOH (5, 10, and 20%) were employed. The optimal circumstances can be ascertained employing the 3-D response surface and contour plot generated from the mathematical models. The most favorable conditions for extraction involve maintaining an extraction temperature of 30°C, an extraction period of 2 h, and a NaOH concentration of 5%. Based on the regression analysis, the estimated final mass is projected to be 1356 g, with a regression coefficient of 90.96%, given the specified parameters. The cellulose was subjected to a comprehensive analysis using several spectroscopic, thermal, morphological, and structural techniques, including Fourier Transform Infrared Spectroscopy (FTIR), Differential Scanning Calorimetry (DSC), X-ray Diffraction (XRD), Thermogravimetric Analysis (TGA), Differential Thermogravimetry (DTG), and Scanning Electron Microscopy (SEM). The preparations of cellulose from AG were executed successfully. Furthermore, the findings of this study indicate that AG represents a newly identified environmentally sustainable resource.
Identification of a Seed Vigor–Related QTL Cluster Associated with Weed Competitive Ability in Direct–Seeded Rice (Oryza Sativa L.)
Authors: Xu Shan , Fei Yuexin , Wang Yue , Zhao Wenjia , Hou Luyan , Cao Yujie , Wu Min , Wu Hongkai 
Published: October 2023

AbstractDirect seeding of rice (Oryza sativa L.) is a low-labor and sustainable cultivation method that is used worldwide. Seed vigor and early vigor are important traits associated with seedling stand density (SSD) and weed competitive ability (WCA), which are key factors in direct-seeded rice (DSR) cultivation systems. Here, we developed a set of chromosome segment substitution lines with Xiushui134 as receptor parent and Yangdao6 as donor parent and used these lines as a mapping population to identify quantitative trait loci (QTLs) for seed vigor, which we evaluated based on germinability–related indicators (germination percentage (GP), germination energy (GE), and germination index (GI)) and seedling vigor–related indicators (root number (RN), root length (RL), and shoot length (SL) at 14 days after imbibition) under controlled conditions in an incubator. Ten QTLs were detected across four chromosomes, of which a cluster of QTLs (qGP11, qGE11, qGI11, and qRL11) co-localized on Chr. 11 with high LOD values (12.03, 8.13, 7.14, and 8.75, respectively). Fine mapping narrowed down the QTL cluster to a 0.7-Mb interval between RM26797 and RM6680. Further analysis showed that the QTL cluster has a significant effect (p < 0.01) on early vigor under hydroponic culture (root length, total dry weight) and direct seeding conditions (tiller number, aboveground dry weight). Thus, our combined analysis revealed that the QTL cluster influenced both seed vigor and early vigor. Identifying favorable alleles at this QTL cluster could facilitate the improvement of SSD and WCA, thereby addressing both major factors in DSR cultivation systems.