bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using crowdsourcing at an academic conference to develop STI testing messaging for public dissemination
Authors: Davis Alissa , Kpokiri Eneyi , Li Chunyan , Day Suzanne , Yan Xumeng , Marley Gifty , Landers Sara E , Tucker Joseph D 
Published: December 2023

ObjectivesWe provide a guide to conducting a crowdsourcing activity at an international sexually transmitted infection (STI) conference to design public messaging about STI testing and disseminating that messaging via social media.MethodsA speaker gave a presentation at a conference plenary session on the concepts of cocreation, crowdsourcing and designathons, and the application of these participatory approaches in public health research. To illustrate one of these approaches (crowdsourcing), attendees in the audience were asked to take part in a voluntary participatory activity, in which they would pair up with a fellow attendee sitting nearby and write down an idea on a blank notecard. Dyads were given 10 min to create an entry responding to the prompt, ‘Write something that inspires gonorrhoea and/or chlamydia testing (eg, picture, jingle, rhyme)’. Each entry was judged by at least four independent judges on a scale of 0 (lowest quality) to 10 (highest quality) based on their innovation and potential to promote chlamydia/gonorrhoea testing. Scores were averaged to determine the finalist entries.ResultsWe received 32 entries. The average score was 6.41 and scores ranged from 4.5 to 8 (median 6.63, IQR 5.75, 7.06). Half of entries (n=16) were slogans, 15.6% (n=5) were poems/rhymes, 12.5% (n=4) were memes/images, 9.4% (n=3) were programme implementation ideas, 3.1% (n=1) was a song verse, and 3.1% (n=1) was a video idea. One finalist entry was a meme and received 720 impressions, 120 engagements, 27 detail expands, 19 likes, 6 reposts and 1 response on Twitter. The second finalist entry was a slogan and received 242 impressions, 16 engagements, 6 detail expands, 4 likes and 2 reposts.ConclusionsConducting crowdsourcing activities at future conferences may be an innovative, feasible way to develop and disseminate engaging and important STI and other health messaging to the public in a short period of time.
Influence of age on clinical characteristics, pharmacological management and exacerbations in children with asthma
Authors: Khalaf Zainab , Bush Andrew , Saglani Sejal , Bloom Chloe I 
Published: December 2023

BackgroundAsthma trials and guidelines often do not distinguish between adolescents and younger children. Using a large English data set, we evaluated the impact of age on asthma characteristics, management and exacerbations.MethodsPrimary care medical records, 2004–2021, were linked to hospital records. Children were categorised by age at diagnosis and followed until the next age bracket. Ages (based on management guidelines) were 5–8 years, 9–11 years and adolescents (12–16 years). Characteristics evaluated included body mass index, allergies and events before and after diagnosis (symptoms, medication). Exacerbation incidence was calculated. Multivariable Cox proportional hazards determined associations with exacerbations.Results119 611 children were eligible: 61 940 (51.8%) 5–8 years, 32 316 (27.7%) 9–11 years and 25 355 (21.2%) adolescents. Several characteristics differed by age; children aged 5–8 years had the highest proportion with eczema, food/drug allergy and cough, but adolescents had the highest proportion with overweight/obesity, aeroallergen sensitisation, dyspnoea and short-acting-beta-agonist only use. Exacerbation rates were highest in the youngest children (per 100 person-years (95% CI): 5–8 years =13.7 (13.4–13.9), 9–11 years =10.0 (9.8–10.4), adolescents =6.7 (6.5–7.0)). Exacerbation risk factors also differed by age; 5–8 years: male, eczema and food/drug allergy were strongly associated, but for children ≥9 years old, obesity and aeroallergen sensitisation were strongly associated. For all children, higher socioeconomic deprivation was significantly associated with having an exacerbation. Delayed diagnosis was most common in children aged 5–8 years and was associated with increased exacerbations across all ages.ConclusionChildren’s baseline characteristics and exacerbation rates varied according to their age group. Clinical guidelines should consider age at time of diagnosis more discretely than the broad range, 5–16 years, as this appears to impact on asthma severity and management.
Bohmian mechanics of the three-slit experiment in the linear potential
Authors: Rozenman Georgi Gary , Bondar Denys I. , Schleich Wolfgang P. , Shemer Lev , Arie Ady 
Published: December 2023

AbstractWe report on a three-slit experiment in the presence of a linear potential with surface gravity water waves. For these classical waves, we reconstruct the Bohm trajectories as well as the corresponding quantum potentials.
Community-Level Factors Associated with Hepatocellular Carcinoma Incidence and Mortality: An Observational Registry Study
Authors: Mezzacappa Catherine , Rossi Raiza , Jaffe Ariel , Taddei Tamar H. , Strazzabosco Mario 
Published: December 2023

Abstract

Background:
Hepatocellular carcinoma (HCC) incidence and outcomes vary across populations in the United States, but few studies evaluate local drivers of observed disparities. We measured HCC incidence at the community level and assessed community-level HCC risk factors with the goal of informing resource allocation to improve early case detection, which is associated with improved outcomes.

Methods:
Clinical and demographic data including census tract of residence for all adults diagnosed with HCC in the Connecticut Tumor Registry between 2008 and 2019 were combined with publicly available U.S. Census and Centers for Disease Control and Prevention (CDC) data at the ZIP Code tabulation area (ZCTA) level. The average annual incidence of HCC was calculated for each ZCTA and associations between community-level characteristics, HCC incidence, stage at diagnosis, and survival were evaluated.

Results:
Average annual HCC incidence during the study period was 8.9/100,000 adults and varied from 0 to 97.7 per 100,000 adults by ZCTA. At the community level, lower rates of high school graduation, higher rates of poverty, and rural community type were associated with higher HCC incidence. Persons with HCC living in the highest incidence ZCTAs were diagnosed at a younger age and were less likely to be alive at 1, 2, and 5 years after diagnosis.

Conclusions:
Community-level socioeconomic factors are strongly associated with HCC incidence and survival in Connecticut.

Impact:
This reproducible geo-localization approach using cancer registry, Census, and CDC data can be used to identify communities most likely to benefit from health system investments to reduce disparities in HCC.
PD-1 Expression on Intratumoral Regulatory T Cells Is Associated with Lack of Benefit from Anti–PD-1 Therapy in Metastatic Clear-Cell Renal Cell Carcinoma Patients
Authors: Denize Thomas , Jegede Opeyemi A. , Matar Sayed , El Ahmar Nourhan , West Destiny J. , Walton Emily , Bagheri Aseman Sheshdeh , Savla Varunika , Nabil Laimon Yasmin , Gupta Saurabh , Vemula Sai Vikram , Braun David A. , Burke Kelly P. , Catalano Paul J. , Freeman Gordon J. , Motzer Robert J. , Atkins Michael B. , McDermott David F. , Sharpe Arlene H. , Choueiri Toni K. , Signoretti Sabina 
Published: December 2023

Abstract

Purpose:
Programmed cell death protein 1 (PD-1) expression on CD8+TIM-3−LAG-3− tumor-infiltrating cells predicts positive response to PD-1 blockade in metastatic clear-cell renal cell carcinoma (mccRCC). Because inhibition of PD-1 signaling in regulatory T cells (Treg) augments their immunosuppressive function, we hypothesized that PD-1 expression on tumor-infiltrating Tregs would predict resistance to PD-1 inhibitors.

Experimental Design:
PD-1+ Tregs were phenotyped using multiparametric immunofluorescence in ccRCC tissues from the CheckMate-025 trial (nivolumab: n = 91; everolimus: n = 90). Expression of CD8, PD-1, TIM-3, and LAG-3 was previously determined (Ficial and colleagues, 2021). Clinical endpoints included progression-free survival (PFS), overall survival (OS), and objective response rate (ORR).

Results:
In the nivolumab (but not everolimus) arm, high percentage of PD-1+ Tregs was associated with shorter PFS (3.19 vs. 5.78 months; P = 0.021), shorter OS (18.1 vs. 27.7 months; P = 0.013) and marginally lower ORR (12.5% vs. 31.3%; P = 0.059). An integrated biomarker (PD-1 Treg/CD8 ratio) was developed by calculating the ratio between percentage of PD-1+Tregs (marker of resistance) and percentage of CD8+PD-1+TIM-3−LAG-3− cells (marker of response). In the nivolumab (but not everolimus) arm, patients with high PD-1 Treg/CD8 ratio experienced shorter PFS (3.48 vs. 9.23 months; P &lt; 0.001), shorter OS (18.14 vs. 38.21 months; P &lt; 0.001), and lower ORR (15.69% vs. 40.00%; P = 0.009). Compared with the individual biomarkers, the PD-1 Treg/CD8 ratio showed improved ability to predict outcomes to nivolumab versus everolimus.

Conclusions:
PD-1 expression on Tregs is associated with resistance to PD-1 blockade in mccRCC, suggesting that targeting Tregs may synergize with PD-1 inhibition. A model that integrates PD-1 expression on Tregs and CD8+TIM-3−LAG-3− cells has higher predictive value.
Representational Dissimilarity of Faces and Places during a Working Memory Task is Associated with Subsequent Recognition Memory during Development
Authors: Skalaban Lena J. , Chan Ivan , Rapuano Kristina M. , Lin Qi , Conley May I. , Watts Richard R. , Busch Erica L. , Murty Vishnu P. , Casey BJ 
Published: December 2023

Abstract
Nearly 50 years of research has focused on faces as a special visual category, especially during development. Yet it remains unclear how spatial patterns of neural similarity of faces and places relate to how information processing supports subsequent recognition of items from these categories. The current study uses representational similarity analysis and functional imaging data from 9- and 10-year-old youth during an emotional n-back task from the Adolescent Brain and Cognitive Development Study 3.0 data release to relate spatial patterns of neural similarity during working memory to subsequent out-of-scanner performance on a recognition memory task. Specifically, we examine how similarities in representations within face categories (neutral, happy, and fearful faces) and representations between visual categories (faces and places) relate to subsequent recognition memory of these visual categories. Although working memory performance was higher for faces than places, subsequent recognition memory was greater for places than faces. Representational similarity analysis revealed category-specific patterns in face-and place-sensitive brain regions (fusiform gyrus, parahippocampal gyrus) compared with a nonsensitive visual region (pericalcarine cortex). Similarity within face categories and dissimilarity between face and place categories in the parahippocampus was related to better recognition of places from the n-back task. Conversely, in the fusiform, similarity within face categories and their relative dissimilarity from places was associated with better recognition of new faces, but not old faces. These findings highlight how the representational distinctiveness of visual categories influence what information is subsequently prioritized in recognition memory during development.
Seasonal and Interannual Variability of Fronts and Their Impact on Chlorophyll-a in the Indonesian Seas
Authors: Zhang Hao-Ran , Yu Yi , Gao Zhibin , Zhang Yanwei , Ma Wentao , Yang Dezhou , Yin Baoshu , Wang Yuntao 
Published: December 2023

Abstract
The spatiotemporal variability of oceanic fronts in the Indonesian seas was investigated using high-resolution satellite observations. The study aimed to understand the underlying mechanism driving these fronts and their impact on chlorophyll-a variability. A high value of frontal probability was found near the coasts of major islands, exhibiting a distinct seasonal cycle with peaks occurrences during austral winter. The distribution variability of chlorophyll-a was generally consistent with the presence of active frontal zones, although a significantly positive relationship between fronts and chlorophyll-a was limited to only some specific areas, e.g., south Java Island and the Celebes Sea. Wind-driven upwelling played a major role in front generation in the Java upwelling region and enhanced frontal activity can promote the growth of phytoplankton, leading to higher chlorophyll-a. Furthermore, the study demonstrated that wind patterns preceded variations in front probability and chlorophyll-a by approximately two months. This lag suggests that the spatiotemporal variability of fronts and chlorophyll-a in this region is primarily influenced by the monsoon system. In addition, the sea surface temperature (SST) simultaneously modulated the chlorophyll-a variability. Negative SST anomalies were typically associated with positive anomalies in front probability the chlorophyll-a in most areas. Notably, the interannual variability of fronts and chlorophyll-a are prominent in the Java upwelling region. During El Niño years, this region experienced an enhanced monsoon, resulting in a negative SST anomaly alongside positive anomalies in front probability and chlorophyll-a. A comprehensive description and underlying dynamics of frontal activity in the Indonesian seas are provided by this study. The findings are helpful to delineate the variability in chlorophyll-a, thereby facilitating the future understanding of local primary production and the carbon cycle.

Significance Statement
As typical mesoscale processes, oceanic fronts have significant impacts on biological processes and fisheries in marginal seas. The complex spatiotemporal variability of fronts and their effects on biological processes in the Indonesian seas remain poorly understood. This study aimed to address this knowledge gap by investigating the seasonal and interannual variability of fronts and their influence on chlorophyll-a, a key indicator of phytoplankton biomass and primary productivity. The study identified a high frontal probability in south Java Island during austral winter and El Niño years. Wind-driven upwelling was found to be a major factor in front generation and promoting phytoplankton growth. The findings of this study will improve the theoretical knowledge of regional dynamics, local primary production, and the carbon cycle in the Indonesian seas, benefiting fisheries management and ecosystem conservation efforts.
An Automated Method to Analyze Tropical Cyclone Surface Winds from Real-Time Aircraft Reconnaissance Observations
Authors: Knaff John A. , Slocum Christopher J. 
Published: December 2023

Abstract
This study describes an automated analysis of real-time tropical cyclone (TC) aircraft reconnaissance observations to estimate TC surface winds. The wind analysis uses an iterative, objective, data-weighted analysis approach with different smoothing constraints in the radial and azimuthal directions. Smoothing constraints penalize the data misfit when the solutions deviate from smoothed analyses and extend the aircraft information into areas not directly observed. The analysis composites observations following storm motion taken within 5 h prior and 3 h after analysis time and makes use of prescribed methods to move observations to a common flight level (CFL; 700 hPa) for analysis and to reduce reconnaissance observations to the surface. Comparing analyses to several observed and simulated wind fields shows that analyses fit the observations while extending observational information to poorly observed regions. However, resulting analyses tend toward greater symmetry as observational coverage decreases, and show sensitivity to the first guess information in unobserved radii. Analyses produce reasonable and useful estimates of operationally important characteristics of the wind field. But, due to the radial and azimuthal smoothing and the undersampling of typical aircraft reconnaissance flights, wind maxima are underestimated, and the radii of maximum wind are slightly overestimated. Varying observational coverage using model-based synthetic aircraft observations, these analyses improve as observational coverage increases, and for a typical observational pattern (two transects through the storm) the root-mean-square error deviation is <10 kt (<5 m s−1).

Significance Statement
Many applications need estimates of 2D surface winds in tropical cyclones in real time. While real-time aircraft-based observations of the winds inside tropical cyclones have been available for several decades, there have been few automated and objective methods to analyze this information to provide estimates of the strength and distribution of the surface winds. Here, we provide details of one method that fuses these unique observations to provide useful 2D analyses of the winds in and around tropical cyclones.
Anti-Colorectal Cancer Effects of Fucoidan Complex-Based Functional Beverage Through Retarding Proliferation, Cell Cycle and Epithelial–Mesenchymal Transition Signaling Pathways
Authors: Chan Chun-Hao , Deng Yue-Hua , Peng Bou-Yue , Chiang Pao-Chang , Wu Li-An , Lee Yen-Yung , Tsao Wen , Mao Hsiang-Hsun , Wu Chia-Yu , Deng Win-Ping 
Published: December 2023

Background: Fucus vesiculosus-derived fucoidan, a multifunctional bioactive polysaccharide sourced from marine organisms, exhibits a wide range of therapeutic properties, including its anti-tumor effects. While previous research has reported on its anti-cancer potential, limited studies have explored its synergistic capabilities when combined with other natural bioactive ingredients. In this current study, we present the development of an integrative functional beverage, denoted as VMW-FC, which is composed of a fucoidan complex (FC) along with a blend of various herbal components, including vegetables (V), mulberries and fruits (M), and spelt wheat (W). Objective: Colorectal cancer (CRC) remains a significant cause of mortality, particularly in metastatic cases. Therefore, the urgent need for novel alternative medicines that comprehensively inhibit CRC persists. In this investigation, we assess the impact of VMW-FC on CRC cell proliferation, cell cycle dynamics, metastasis, in vivo tumorigenesis, and potential side effects. Methods: Cell growth was assessed using MTT and colony formation assays, while metastatic potential was evaluated through wound healing and transwell migration assays. The underlying signaling mechanisms were elucidated through qPCR and western blot analysis. In vivo tumor formation and potential side effects were evaluated using a subcutaneous tumor-bearing NOD/SCID mouse model. Results: Our findings demonstrate that VMW-FC significantly impedes CRC proliferation and migration in a dose- and time-dependent manner. Furthermore, it induces sub-G1 cell cycle arrest and an increase in apoptotic cell populations, as confirmed through flow-cytometric analysis. Notably, VMW-FC also suppresses xenograft tumor growth in NOD/SCID mice without causing renal or hepatic toxicity. Conclusion: The integrative herbal concoction VMW-FC presents a promising approach for inhibiting CRC by slowing proliferation and migration, inducing cell cycle arrest and apoptosis, and suppressing markers associated with proliferation (Ki-67, PCNA, and CDKs) and epithelial-mesenchymal transition (EMT) (Vimentin, N-cadherin, and β-catenin).
Fixed, Dilated, and Cannulated - Medical Management of Elevated Intracranial Pressures due to a Large Intracranial Hemorrhage in a Patient on Veno-Venous Extracorporeal Membrane Oxygenation: Case Report
Authors: John Mira , Crooks C. Patrick , Matin Nassim , Brown Crystal E. , Kross Erin K. , Skerrett Shawn , Johnson Nicholas J. , Wahlster Sarah 
Published: December 2023

A 40-year-old woman presented with mediastinitis, necrotizing pancreatitis, and severe acute respiratory distress syndrome with refractory acidemia (pH 7.14) and hypercapnia (PaCO2 115 mmHg), requiring veno-venous extracorporeal membrane oxygenation (ECMO). Eight hours after cannulation, and rapid correction of PaCO2 to 44 mmHg, she was found to have bilaterally fixed and dilated pupils. Imaging showed a 60 mL left-sided temporoparietal intracranial hemorrhage with surrounding edema, 8 mm midline shift, intraventricular hemorrhage, and impending herniation. Decompressive hemicraniectomy was not offered due to concern for medical instability. After receiving a dose of mannitol, her pupillary and motor exam improved. An intracranial pressure (ICP) monitor was placed to guide hyperosmolar therapy administration, hemodynamic targets, and sweep gas titration. On hospital day (HD) 5, her ICP monitor was removed. Follow-up imaging revealed resolution of mass effect and no brainstem injury. She was subsequently extubated (HD 9) and discharged home (HD 40). One year after hospitalization, she is living at home with minimal residual deficits. This case highlights the utility of targeted, medical ICP management and importance of assessing response to conservative therapies when considering prognosis in patients on ECMO with severe acute brain injury.
Integrating environmental considerations in digital health technology assessment and procurement: Stakeholders’ perspectives
Authors: Alami Hassane , Rivard Lysanne , Lehoux Pascale , Ag Ahmed Mohamed Ali , Fortin Jean-Paul , Fleet Richard 
Published: December 2023

Background Digital health technologies (DHTs) are promoted as means to reduce the environmental impact of healthcare systems. However, a growing literature is shedding light on the highly polluting nature of the digital industry and how it exacerbates health inequalities. Thus, the environmental footprint of DHTs should be considered when assessing their overall value to healthcare systems. The objectives of this article are to: (1) explore stakeholders’ perspectives on integrating the environmental impacts of DHTs in assessment and procurement practices; (2) identify the factors enabling or constraining the operationalisation of such a change; and (3) encourage a constructive dialogue on how environmental issues fit within healthcare systems’ push for more DHTs. Methods Semi-structured interviews were conducted with 29 stakeholders involved in DHTs in a large Canadian academic healthcare centre. Data were collected and analysed through a mixed deductive-inductive process using a framework derived from diffusion of innovations theories. Results The integration of the environmental impact of DHTs in assessment and procurement is contingent upon key micro-meso-macrosystemic factors that either enable or constrain changes in practices and processes. Innovation (micro) factors include stakeholders’ recognition of the environmental issue and the extent to which it is feasible for them to address the environmental impact of DHTs. Organisational (meso) factors include the organisation's culture, leadership, policies, and practices, as well as the expertise and professional skillsets available. Finally, external (macro) factors include political and regulatory (e.g., national strategy, laws, standards, norms), economic (e.g., business models, public procurement), and professional and scientific factors (e.g., evidence, methodologies, clinical guidelines). Conclusion Considering the environmental impact of DHTs depends on micro-meso-macrosystemic factors involving a variety of stakeholders and levels of governance, sometimes with divergent or even antagonistic objectives and expectations. It highlights the importance of better understanding the complexity inherent in the environmental shift in healthcare.