bluuebunny/crossref_metadata_2025_split huggingface dataset:
Subclinical epileptiform activity in the Alzheimer continuum: association with disease, cognition and detection method
Authors: Nous Amber , Seynaeve Laura , Feys Odile , Wens Vincent , De Tiège Xavier , Van Mierlo Pieter , Baroumand Amir G. , Nieboer Koenraad , Allemeersch Gert-Jan , Mangelschots Shana , Michiels Veronique , van der Zee Julie , Van Broeckhoven Christine , Ribbens Annemie , Houbrechts Ruben , De Witte Sara , Wittens Mandy Melissa Jane , Bjerke Maria , Vanlersberghe Caroline , Ceyssens Sarah , Nagels Guy , Smolders Ilse , Engelborghs Sebastiaan 
Published: January 2024

Abstract
Background
Epileptic seizures are an established comorbidity of Alzheimer’s disease (AD). Subclinical epileptiform activity (SEA) as detected by 24-h electroencephalography (EEG) or magneto-encephalography (MEG) has been reported in temporal regions of clinically diagnosed AD patients. Although epileptic activity in AD probably arises in the mesial temporal lobe, electrical activity within this region might not propagate to EEG scalp electrodes and could remain undetected by standard EEG. However, SEA might lead to faster cognitive decline in AD.

Aims
1. To estimate the prevalence of SEA and interictal epileptic discharges (IEDs) in a well-defined cohort of participants belonging to the AD continuum, including preclinical AD subjects, as compared with cognitively healthy controls.
2. To evaluate whether long-term-EEG (LTM-EEG), high-density-EEG (hd-EEG) or MEG is superior to detect SEA in AD.
3. To characterise AD patients with SEA based on clinical, neuropsychological and neuroimaging parameters.

Methods
Subjects (n = 49) belonging to the AD continuum were diagnosed according to the 2011 NIA-AA research criteria, with a high likelihood of underlying AD pathophysiology. Healthy volunteers (n = 24) scored normal on neuropsychological testing and were amyloid negative. None of the participants experienced a seizure before. Subjects underwent LTM-EEG and/or 50-min MEG and/or 50-min hd-EEG to detect IEDs.

Results
We found an increased prevalence of SEA in AD subjects (31%) as compared to controls (8%) (p = 0.041; Fisher’s exact test), with increasing prevalence over the disease course (50% in dementia, 27% in MCI and 25% in preclinical AD). Although MEG (25%) did not withhold a higher prevalence of SEA in AD as compared to LTM-EEG (19%) and hd-EEG (19%), MEG was significantly superior to detect spikes per 50 min (p = 0.002; Kruskall–Wallis test). AD patients with SEA scored worse on the RBANS visuospatial and attention subset (p = 0.009 and p = 0.05, respectively; Mann–Whitney U test) and had higher left frontal, (left) temporal and (left and right) entorhinal cortex volumes than those without.

Conclusion
We confirmed that SEA is increased in the AD continuum as compared to controls, with increasing prevalence with AD disease stage. In AD patients, SEA is associated with more severe visuospatial and attention deficits and with increased left frontal, (left) temporal and entorhinal cortex volumes.

Trial registration
Clinicaltrials.gov, NCT04131491. 12/02/2020.
Quality evaluation of Nothofagus pumilio seeds linked to forest management and climatic events
Authors: Rodríguez-Souilla Julian , Chaves Jimena E. , Lencinas María Vanessa , Cellini Juan Manuel , Roig Fidel A. , Peri Pablo L. , Martinez Pastur Guillermo 
Published: January 2024

Abstract
Background
Forest ecosystems undergo significant transformations due to harvesting and climate fluctuations, emphasizing the critical role of seeding in natural regeneration and long-term structural preservation. Climate change further amplifies these dynamics, affecting phenology across species and regions. In Tierra del Fuego (Argentina), Nothofagus pumilio (lenga) forests represent the most important timber resource, and it is managed through different silvicultural strategies. This species demonstrates notable post-disturbance regeneration, yet seed fall exhibits significant variability, leading to variations in seed quality (e.g., viability). This study aims to assess fluctuations in N. pumilio seed quality, determine how it varies concerning forest management strategies, annual productivity, and the co-occurrence of climatic phenomena including El Niño-Southern Oscillation (ENSO) and the Southern Annular Mode (SAM).

Results
Viable seeds represented 18.4% of the total, notably higher in unharvested than in managed areas. Conversely, empty seeds were more prevalent in harvested areas (> 75%). Seed quality exhibited significant differences across silvicultural treatments, except for insect-predated seeds, which had similar proportions across all areas, though dispersed retention showed higher predation. When considering years with varying production levels, high-production years favoured full and viable seeds, particularly in unharvested forests and aggregated retention, while low-production years saw reduced viability across all treatments. Quadratic models revealed that viability increased with seed production, where unharvested forests achieved the highest values. Climate variability influenced seed proportions, where ENSO+/SAM+ promoting more full and viable seeds, while ENSO–/SAM+ favoured non-predated seeds, especially in unharvested stands.

Conclusions
Seed quality varies among treatments and years with different levels of seeding. Variations in seed quality, linked to climatic events, influence seed viability. Seed quality plays a critical role in forest regeneration, ensuring a seedling bank for harvested stands to face climate variability. These findings are relevant for forest management and ecosystem services, considering the increasing climate variability and extreme events. Understanding these influences is crucial for Nothofagus pumilio forests' sustainability and global forest adaptation strategies.
Efficacy of permissive underfeeding for critically ill patients: an updated systematic review and trial sequential meta-analysis
Authors: Yue Han-yang , Peng Wei , Zeng Jun , Zhang Yang , Wang Yu , Jiang Hua 
Published: January 2024

Abstract
Background
Our previous study in 2011 concluded that permissive underfeeding may improve outcomes in patients receiving parenteral nutrition therapy. This conclusion was tentative, given the small sample size. We conducted the present systematic review and trial sequential meta-analysis to update the status of permissive underfeeding in patients who were admitted to the intensive care unit (ICU).

Methods
Seven databases were searched: PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang, Chinese Biomedical Literature Database, and Cochrane Library. Randomized controlled trials (RCTs) were included. The Revised Cochrane risk-of-bias tool (ROB 2) was used to assess the risk of bias in the enrolled trials. RevMan software was used for data synthesis. Trial sequential analyses (TSA) of overall and ICU mortalities were performed.

Results
Twenty-three RCTs involving 11,444 critically ill patients were included. There were no significant differences in overall mortality, hospital mortality, length of hospital stays, and incidence of overall infection. Compared with the control group, permissive underfeeding significantly reduced ICU mortality (risk ratio [RR] = 0.90; 95% confidence interval [CI], [0.81, 0.99]; P = 0.02; I2 = 0%), and the incidence of gastrointestinal adverse events decreased (RR = 0.79; 95% CI, [0.69, 0.90]; P = 0.0003; I2 = 56%). Furthermore, mechanical ventilation duration was reduced (mean difference (MD) = − 1.85 days; 95% CI, [− 3.44, − 0.27]; P = 0.02; I2 = 0%).

Conclusions
Permissive underfeeding may reduce ICU mortality in critically ill patients and help to shorten mechanical ventilation duration, but the overall mortality is not improved. Owing to the sample size and patient heterogeneity, the conclusions still need to be verified by well-designed, large-scale RCTs.
Trial Registration The protocol for our meta-analysis and systematic review was registered and recorded in PROSPERO (registration no. CRD42023451308). Registered 14 August 2023
In vitro study on antioxidant and lipid-lowering activities of tobacco polysaccharides
Authors: Chang Shuaishuai , Lei Xiao , Xie Qiang , Zhang Mingjin , Zhang Yuangai , Xi Jiaxin , Duan Jiyou , Ge Jian , Nian Fuzhao 
Published: January 2024

AbstractTobacco polysaccharides were extracted by hot water extraction, and purified and separated using DEAE-52 cellulose chromatography columns, and three purified polysaccharide fractions, YCT-1, YCT-2, and YCT-3, were finally obtained. The physicochemical properties of the three fractions were analyzed by ultraviolet spectroscopy, high-performance liquid chromatography and high-performance gel chromatography. The in vitro antioxidant activity of tobacco polysaccharides was compared among different fractions by using DPPH radical, hydroxyl radical scavenging assay and potassium ferricyanide method. The in vitro hypoglycemic activity was compared using α-amylase and α-glucosidase activity inhibition assay. And the in vitro hypolipidemic activity were investigated by using pancreatic lipase activity inhibition assay and HepG-2 intracellular lipid accumulation assay. All the results showed that the constituent monosaccharides of the three tobacco polysaccharide fractions were similar, but the molar percentages of each monosaccharide were different. The average molecular weights of the three components were 27,727 Da, 27,587 Da, and 66,517 Da, respectively, and the scavenging activities on DPPH radicals and hydroxyl radicals were at a high level with good quantitative-effect relationships. The reducing power were much lower than that of the positive control VC, and the three polysaccharide fractions had a weak inhibitory ability on α-amylase activity, but showed excellent inhibitory ability on α-glucosidase and pancreatic lipase activity. In addition, the results of cellular experiments showed that all three fractions were able to inhibit lipid over-accumulation in HepG-2 cells by increasing the mRNA expression levels of PPAR-α, CPT-1A, and CYP7A1 genes, and the tobacco polysaccharide YCT-3 showed the best effect. The mechanism by which YCT-3 ameliorated the over-accumulation of intracellular lipids in HepG-2 cells was found to be related to its influence on the expression of miR-155-3p and miR-17-3p in the exosomes of HepG-2 cells.
Graphical Abstract
Evaluating swine disease occurrence on farms using the state-space model based on meat inspection data: a time-series analysis
Authors: Narita Tsubasa , Kubo Meiko , Nagakura Yuichi , Sekiguchi Satoshi 
Published: January 2024

Abstract
Background
Data on abnormal health conditions in animals obtained from slaughter inspection are important for identifying problems in fattening management. However, methods to objectively evaluate diseases on farms using inspection data has not yet been well established. It is important to assess fattening management on farms using data obtained from slaughter inspection. In this study, we developed the state-space model to evaluate swine morbidity using slaughter inspection data.

Results
The most appropriate model for each disease was constructed using the state-space model. Data on 11 diseases in slaughterhouses over the past 4 years were used to build the model. The model was validated using data from 14 farms. The local-level model (the simplest model) was the best model for all diseases. We found that the analysis of slaughter data using the state-space model could construct a model with greater accuracy and flexibility than the ARIMA model. In this study, no seasonality or trend model was selected for any disease. It is thought that models with seasonality were not selected because diseases in swine shipped to slaughterhouses were the result of illness at some point during the 6-month fattening period between birth and shipment.

Conclusion
Evaluation of previous diseases helps with the objective understanding of problems in fattening management. We believe that clarifying how farms manage fattening of their pigs will lead to improved farm profits. In that respect, it is important to use slaughterhouse data for fattening evaluation, and it is extremely useful to use mathematical models for slaughterhouse data. However, in this research, the model was constructed on the assumption of normality and linearity. In the future, we believe that we can build a more accurate model by considering models that assume non-normality and non-linearity.
Correlation between multifocal electroretinogram and optical coherence tomography findings with visual acuity after vitrectomy surgery for retinal detachment: an observational study
Authors: Hassan Asmaa , Abdel-Radi Mahmoud , Aly Mohamed Omar M , Alattar Sara 
Published: January 2024

Abstract
Background
Despite the marked increase in the anatomical success rates of macula-off rhegmatogenous retinal detachment (RRD) surgery, patients may still complain about unsatisfactory visual outcome. This study aims to correlate the postoperative corrected distance visual acuity (CDVA) with the mf-ERG (multifocal electroretinogram) and OCT (optical coherence tomography) findings following vitrectomy surgery for RRD.

Patients and methods
This retrospective observational study included 40 eyes of 40 patients who underwent successful vitrectomy surgery for macula-off RRD. CDVA, mf-ERG amplitudes, mf-ERG latencies, the central macular thickness (CMT) and the integrity of the inner segment/outer segment (IS/OS) junction assessed by OCT, were evaluated 6 months postoperatively. The correlations between CDVA with mf-ERG amplitudes, mf-ERG latencies, central macular thickness, and IS/OS junction integrity were analyzed.

Results
There was a statistically significant moderate positive correlation between CDVA of the studied eyes with mf-ERG amplitudes of N1, P1 and N2 in ring 1 (P = 0.008; P < 0.001 and P = 0.004, respectively), CMT (P < 0.001), and the integrity of IS/OS junction (P < 0.001). There was no significant correlation between CDVA and mf-ERG latencies in ring 1 (P > 0.05). Linear regression analysis revealed that CDVA was significantly associated with mf-ERG amplitudes and the IS/OS junction integrity. In addition, there was a strong positive correlation between mf-ERG amplitudes in ring 1 and the IS/OS junction integrity.

Conclusions
The integrated interpretation of postoperative CDVA, multifocal ERG parameters, and OCT findings provides useful information about functional visual recovery and retinal microstructural changes following vitrectomy for macula-off RRD surgery. The positive correlation between the IS/OS junction integrity and the mf-ERG amplitudes was stronger than the correlation between the IS/OS junction integrity and CDVA suggesting that mf-ERG may be superior to CDVA in reflecting the extent of microstructural damage in the photoreceptor layer.

Trial Registration
Clinicaltrials.gov, NCT05993208. Registered 15 August 2023 - Retrospectively registered, https://classic.clinicaltrials.gov/ct2/show/NCT05993208.
The role of shipping and logistics MNCs in economic development: a case study of how Maersk contributed to Vietnam’s ascendence to an export oriented economy
Authors: Greve Majbritt , Hansen Michael Wendelboe 
Published: January 2024

AbstractThis paper assesses the role shipping and logistics foreign direct investment (FDI) plays in developing country export performance, exemplified by the case of the large multinational corporation (MNC) Maersk’s investments in Vietnam. The paper aims to generate a deeper understanding of how the introduction of advanced shipping and logistics services by a foreign investor contributed to export growth. The paper is based on a longitudinal case study of Maersk in Vietnam employing more than 100 interviews from Maersk, Maersk’s clients, subcontractors, and industry experts conducted between 2003 and 2016, complemented and validated by primary commercial data from Maersk, and secondary industry- and market data. The paper finds that during that period, Maersk impacted Vietnam’s export performance through five mechanisms: 1. Building infrastructure; 2. Creating connectivity and market access; 3. Reducing transaction and logistics costs; 4. Bringing buyers and sellers together; and 5. Upgrading export capabilities. While transport and logistics MNCs’ role in building infrastructure and reducing trade costs is described in the literature, the paper provides novel insights into their role as intermediaries in trade that provide value chain access and transparency, reduce transaction costs for buyers and producers, and upgrade export capabilities. The paper suggests that Maersk’s contributions to Vietnam’s export growth from 2003 to 2016 in part can be attributed to its unique competitive advantages originating from its superior organization, technology, and capital intensity. The paper contributes to the literature by deepening it’s understanding of the mechanisms through which large shipping and logistics MNCs influence developing countries’ export-led industrialization; by proving novel insights into the role of Maersk in Vietnam’s development path; and by providing and validating an analytical framework for analyzing shipping and logistics MNCs’ role in export led development that may inspire future research,
The effects of social networks on HIV risk behaviors among Vietnamese female sex workers: a qualitative study
Authors: Zhou LongHui , Liu Yi , Liu Dan , Xiao ChenChang , Li JiaYu , Zhai MengXi , liu Xin , Yu Bin , Yan Hong 
Published: January 2024

Abstract
Introduction
Female sex workers (FSWs) experience heightened vulnerability to HIV and other health harms, and cross-border FSWs face additional challenges due to language issues, higher mobility, and weaker negotiation skills. Given the critical role of social network factors in HIV transmission, it is imperative to explore the social network characteristics of Vietnamese cross-border FSWs in China to enhance AIDS prevention and control.

Methods
We conducted semi-structured interviews with 22 Vietnamese FSWs in Hekou County, Yunnan Province from May to July 2018. The samples were selected using a purposive sampling strategy and stopped when reached theoretical saturation. Data collection and analysis were conducted iteratively to identify themes within the data. Participants reported their social relationships and how these relationships affected their HIV risk behaviours. All the interviews were recorded, transcribed verbatim, and reviewed. Thematic analysis was used to analyse the data.

Results
Among 22 Vietnamese FSWs, the median age was 23.5. Concerning social networks, interviews revealed that their social networks were composed of three components: Workplace networks (customer, boss, colleague), Hometown networks (spouse or boyfriend, family member, fellow villager), and Social institutions networks (Chinese social institutions network, Vietnamese social institutions network). None of these networks can simply support or hinder Vietnamese FSWs’ preventive high-risk HIV behaviours, and the impact is achieved through each network’s ways. Within the workplace network, the predominant influence is the ascendancy-submissiveness dynamic that exists among customers, bosses, and VFSWs. In the hometown network, familial responsibilities emerge as the principal factor impacting VFSWs. Meanwhile, within the social institution network, pivotal roles are played by the Chinese CDC and the Vietnamese government in the dissemination of HIV knowledge.

Conclusions
The social networks of Vietnamese female sex workers exert a dual impact on high-risk HIV behaviors. Interventions should be designed and tailored to address the specific contextual factors and challenges associated with social networks among cross-border FSWs in China and other similar settings.
Validation of the acoustic change complex (ACC) prediction model to predict speech perception in noise in adult patients with hearing loss: a study protocol
Authors: Biot Lana , Jacxsens Laura , Cardon Emilie , Versnel Huib , Rhebergen Koenraad S. , Boerboom Ralf A. , Gilles Annick , Van Rompaey Vincent , Lammers Marc J. W. 
Published: January 2024

Abstract
Background
Speech perception tests are essential to measure the functional use of hearing and to determine the effectiveness of hearing aids and implantable auditory devices. However, these language-based tests require active participation and are influenced by linguistic and neurocognitive skills limiting their use in patients with insufficient language proficiency, cognitive impairment, or in children. We recently developed a non-attentive and objective speech perception prediction model: the Acoustic Change Complex (ACC) prediction model. The ACC prediction model uses electroencephalography to measure alterations in cortical auditory activity caused by frequency changes. The aim is to validate this model in a large-scale external validation study in adult patients with varying degrees of sensorineural hearing loss (SNHL) to confirm the high predictive value of the ACC model and to assess its test–retest reliability.

Methods
A total of 80 participants, aged 18–65 years, will be enrolled in the study. The categories of severity of hearing loss will be used as a blocking factor to establish an equal distribution of patients with various degrees of sensorineural hearing loss. During the first visit, pure tone audiometry, speech in noise tests, a phoneme discrimination test, and the first ACC measurement will be performed. During the second visit (after 1–4 weeks), the same ACC measurement will be performed to assess the test–retest reliability. The acoustic change stimuli for ACC measurements consist of a reference tone with a base frequency of 1000, 2000, or 4000 Hz with a duration of 3000 ms, gliding to a 300-ms target tone with a frequency that is 12% higher than the base frequency. The primary outcome measures are (1) the level of agreement between the predicted speech reception threshold (SRT) and the behavioral SRT, and (2) the level of agreement between the SRT calculated by the first ACC measurement and the SRT of the second ACC measurement. Level of agreement will be assessed with Bland–Altman plots.

Discussion
Previous studies by our group have shown the high predictive value of the ACC model. The successful validation of this model as an effective and reliable biomarker of speech perception will directly benefit the general population, as it will increase the accuracy of hearing evaluations and improve access to adequate hearing rehabilitation.