bluuebunny/crossref_metadata_2025_split huggingface dataset:
Warming and altered precipitation rarely alter N addition effects on soil greenhouse gas fluxes: a meta-analysis
Authors: Wei Xinyu , Wu Fuzhong , Van Meerbeek Koenraad , Desie Ellen , Ni Xiangyin , Yue Kai , Heděnec Petr , Yang Jing , An Nannan 
Published: November 2023

Abstract
Background
Changes in soil greenhouse gas (GHG) fluxes caused by nitrogen (N) addition are considered as the key factors contributing to global climate change (global warming and altered precipitation regimes), which in turn alters the feedback between N addition and soil GHG fluxes. However, the effects of N addition on soil GHG emissions under climate change are highly variable and context-dependent, so that further syntheses are required. Here, a meta-analysis of the interactive effects of N addition and climate change (warming and altered precipitation) on the fluxes of three main soil GHGs [carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O)] was conducted by synthesizing 2103 observations retrieved from 57 peer-reviewed articles on multiple terrestrial ecosystems globally.

Results
The interactive effects of N addition and climate change on GHG fluxes were generally additive. The combination of N addition and warming or altered precipitation increased N2O emissions significantly while it had minimal effects on CO2 emissions and CH4 uptake, and the effects on CH4 emissions could not be evaluated. Moreover, the magnitude of the combined effects did not differ significantly from the effects of N addition alone. Apparently, the combined effects on CO2 and CH4 varied among ecosystem types due to differences in soil moisture, which was in contrast to the soil N2O emission responses. The soil GHG flux responses to combined N addition and climate change also varied among different climatic conditions and experimental methods.

Conclusion
Overall, our findings indicate that the effects of N addition and climate change on soil GHG fluxes were relatively independent, i.e. combined effects of N addition and climate change were equal to or not significantly different from the sum of their respective individual effects. The effects of N addition on soil GHG fluxes influence the feedbacks between climate change and soil GHG fluxes.
Scaling up overdose education and naloxone distribution in Kentucky: adoption and reach achieved through a “hub with many spokes” model
Authors: Knudsen Hannah K. , Freeman Patricia R. , Oyler Douglas R. , Oser Carrie B. , Walsh Sharon L. 
Published: November 2023

Abstract
Background
Scaling up overdose education and naloxone distribution (OEND), an evidence-based practice for reducing opioid overdose mortality, in communities remains a challenge. Novel models and intentional implementation strategies are needed. Drawing upon the EPIS model’s phases of Exploration, Preparation, Implementation, and Sustainment (Aarons et al. in Adm Policy Ment Health 38:4–23, 2011), this paper describes the development of the University of Kentucky’s unique centralized “Naloxone Hub with Many Spokes” approach to implementing OEND as part of the HEALing Communities Study (HCS-KY).

Methods
To scale up OEND in eight Kentucky counties, implementation strategies were utilized at two levels: a centralized university-based naloxone dispensing unit (“Naloxone Hub”) and adopting organizations (“Many Spokes”). Implementation strategies varied across the EPIS phases, but heavily emphasized implementation facilitation. The Naloxone Hub provided technical assistance, overdose education resources, and no-cost naloxone to partner organizations. Implementation outcomes across the EPIS phases were measured using data from internal study management trackers and naloxone distribution data submitted by partner organizations.

Results
Of 209 organizations identified as potential partners, 84.7% (n = 177) engaged in the Exploration/Preparation phase by participating in an initial meeting with an Implementation Facilitator about the HCS-KY OEND program. Adoption of the HCS-KY OEND program, defined as receipt of at least one shipment of naloxone, was achieved with 69.4% (n = 145) of all organizations contacted. During the Implementation phase, partner organizations distributed 40,822 units of naloxone, with partner organizations distributing a mean of 281.5 units of naloxone (SD = 806.2). The mean number of units distributed per county was 5102.8 (SD = 3653.3; range = 1057 − 11,053) and the mean county level distribution rate was 8396.5 units per 100,000 residents (SD = 8103.1; range = 1709.5–25,296.3). Of the partner organizations that adopted the HCS-KY OEND program, 87.6% (n = 127) attended a sustainability meeting with an Implementation Facilitator and agreed to transition to the state-funded naloxone program.

Conclusions
These data demonstrate the feasibility of this “Hub with Many Spokes” model for scaling up OEND in communities highly affected by the opioid epidemic.
Trial registration ClinicalTrials.gov, NCT04111939. Registered 30 September 2019, https://clinicaltrials.gov/ct2/show/NCT04111939.
Introduction of invasive mosquito species into Europe and prospects for arbovirus transmission and vector control in an era of globalization
Authors: Lühken Renke , Brattig Norbert , Becker Norbert 
Published: November 2023

Abstract
Background
Mosquito research in Europe has a long history, primarily focused on malaria vectors. In recent years, invasive mosquito species like the Asian tiger mosquito (Aedes albopictus) and the spread of arboviruses like dengue virus, chikungunya virus or bluetongue virus have led to an intensification of research and monitoring in Europe. The risk of further dissemination of exotic species and mosquito-borne pathogens is expected to increase with ongoing globalization, human mobility, transport geography, and climate warming. Researchers have conducted various studies to understand the ecology, biology, and effective control strategies of mosquitoes and associated pathogens.

Main body
Three invasive mosquito species are established in Europe: Asian tiger mosquito (Aedes albopictus), Japanese bush mosquito (Ae. japonicus), and Korean bush mosquito (Aedes koreicus). Ae. albopictus is the most invasive species and has been established in Europe since 1990. Over the past two decades, there has been an increasing number of outbreaks of infections by mosquito-borne viruses in particular chikungunya virus, dengue virus or Zika virus in Europe primary driven by Ae. albopictus. At the same time, climate change with rising temperatures results in increasing threat of invasive mosquito-borne viruses, in particular Usutu virus and West Nile virus transmitted by native Culex mosquito species. Effective mosquito control programs require a high level of community participation, going along with comprehensive information campaigns, to ensure source reduction and successful control. Control strategies for container breeding mosquitoes like Ae. albopictus or Culex species involve community participation, door-to-door control activities in private areas. Further measures can involve integration of sterile insect techniques, applying indigenous copepods, Wolbachia sp. bacteria, or genetically modified mosquitoes, which is very unlike to be practiced as standard method in the near future.

Conclusions
Climate change and globalization resulting in the increased establishment of invasive mosquitoes in particular of the Asian tiger mosquito Ae. albopictus in Europe within the last 30 years and increasing outbreaks of infections by mosquito-borne viruses warrants intensification of research and monitoring. Further, effective future mosquito control programs require increase in intense community and private participation, applying physical, chemical, biological, and genetical control activities.
Integrative physiological and metabolic traits reveal the mechanisms of chamomile flowers in response to nicotine stress
Authors: Zhou Peng , Luo Qi , Pang Dongying , Zhang Yanhong , Jia Meng , Zhu Xuanquan , Bai Yuxiang , Li Xiangyun , Wang Ge , Wang Na , Du Yu 
Published: November 2023

Abstract
Background
Chamomile (Matricaria recutita L.) is an important economic crop after tobacco (Nicotiana tabacum L.) cultivation. The nicotine released into the soil during tobacco cultivation has an impact on various aspects of chamomile growth, including plant height, flowering period, flower yield, and flower quality. We aimed to examine the effects of physiological and metabolic response of chamomile under different concentrations of nicotine stress.

Results
The study revealed that chamomile growth was positively influenced by nicotine concentrations of 1.0 μg/g (N-1) and 10.0 μg/g (N-10). However, higher nicotine concentrations of 100.0 μg/g (N-100) and 500.0 μg/g (N-500) were found to induce stress as the highest levels of antioxidant enzyme activities and malondialdehyde (MDA) levels were observed under this treatment. In addition, it was observed that nicotine was transported from the roots to other organs during the entire growth period of chamomile and the nicotine levels reached saturation under N-100 treatment. A total of 1096 metabolites were detected by ultra-high-performance liquid chromatography-coupled tandem mass spectrometry (UHPLC–MS/MS) analysis, and 48 differentially expressed metabolites (DEMs) were identified among the groups via widely targeted metabolomics studies. The response of chamomile flowers to nicotine stress is associated with the presence of flavonoids, phenolic acids, organic acids, and other substances. Metabolic regulation under nicotine stress primarily involves processes, such as aminoacyl-tRNA biosynthesis, ABC (ATP-binding cassette) transporter activity, glyoxylate and dicarboxylate metabolism and pyrimidine metabolism.

Conclusions
This report presents the first findings on how nicotine affects the metabolism of chamomile. It also provides a comprehensive understanding of how crops can resist nicotine stress from a metabolic perspective.

Graphical Abstract
Combined endoscopic stenting and laparoscopic stent fixation for benign gastric tube stricture after esophagectomy: a case report
Authors: Shindo Koji , Ohuchida Kenoki , Nagasue Tomohiro , Moriyama Taiki , Goto Fumika , Tamura Koji , Nagayoshi Kinuko , Mizuuchi Yusuke , Ikenaga Naoki , Nakata Kohei , Nakamura Masafumi 
Published: November 2023

Abstract
Background
There are several options for the treatment of gastrointestinal stricture, including endoscopic stent placement and bypass surgery. However, a benign stricture is difficult to manage in a reconstructed gastric tube in the thoracic cavity owing to the technical difficulty of bypass surgery, and the possibility of stent migration.

Case presentation
A 78-year-old woman was admitted to our hospital for treatment for her inability to eat. She had undergone video-assisted subtotal esophagectomy with retromediastinal gastric tube reconstruction 7 years earlier. At the current admission, there was a severely dilated gastric tube in the thoracic cavity with a soft stricture immediately anterior to the spine. Conservative therapy was ineffective; therefore, endoscopic stenting was performed. However, the stent migrated to the upper side of the stricture because the stricture was mild, and the stent was not fixed in the gastric tube. Next, endoscopic stent placement followed by laparoscopic stent fixation was performed. The stent was patent and worked well, and the patient’s body weight increased. However, the stent collapsed 2 years later, with recurrence of symptoms. Stent-in-stent placement with an over-the-scope clip was performed, and the second stent was also patent and worked well.

Conclusions
Laparoscopic stent fixation with endoscopic stent placement could be an effective option for patients with a benign stricture in the reconstructed gastric tube.
Using the UK standards for public involvement to evaluate the public involvement sections of annual reports from NIHR managed research centres
Authors: Moult Alice , Baker Dereth , Aries Ali , Bailey Paul , Blackburn Steven , Kingstone Tom , Lwembe Saumu , Paskins Zoe 
Published: November 2023

Abstract
Background
Within the United Kingdom (UK), the National Institute for Health and Care Research is the largest funder of health and social care research, and additionally funds research centres that support the development and delivery of research. Each year, award-holders of these research centres are required to write a report about their activities, including a summary of Patient and Public Involvement and Engagement (PPIE) activities. This study aimed to evaluate the PPIE sections of annual reports to identify best practice and challenges; this could inform future delivery of PPIE activities.

Methods
A framework documentary analysis informed by the six UK Standards for Public Involvement (‘Inclusive opportunities’, ‘Working together’, ‘Support and learning’, ‘Communications’, ‘Impact’ and ‘Governance’) was conducted on 112 reports. A quality improvement framework (‘Insights’) was used to evaluate quality as one of: ‘Welcoming’, ‘Listening’, ‘Learning’ and ‘Leading’. Recommendations from this review were co-developed with stakeholders and public contributors.

Results
Reports documented varying levels of quality in PPIE activities which spanned across all six UK Standards. Award-holders either intended to, or were actively working towards, increasing access and inclusivity of public involvement opportunities. Methods of working with public contributors were varied, including virtual and in-person meetings. Most award-holders offered PPIE support and learning opportunities for both public contributors and staff. Some award-holders invited public contributors to co-produce communication plans relating to study materials and research findings. The impact of public involvement was described in terms of benefits to public contributors themselves, and on an organisation and project level. Many award-holders reported inviting public contributors to share decision-making within and about governance structures.

Conclusions
This evaluation identified that most annual reports contained evidence of good quality PPIE practice with learning from public contributors. Using the UK Standards and Insights framework enabled exploration of the breadth and quality of PPIE activities. Recommendations include the need for a platform for centres to access and share PPIE best practice and for centres to collaborate with local and national partners to build relationships with the public through inclusive community engagement.
What matters to you? Engaging with children in the James Lind Alliance Children’s Cancer Priority Setting Partnership
Authors: Aldiss Susie , Hart-Spencer Penelope , Langton Loveday , Malik Sonia , McEvoy Keeley , Morgan Jessica E. , Reed-Berendt Rosa , Hollis Rachel , Phillips Bob , Gibson Faith ,   the James Lind Alliance Children’s Cancer Priority Setting Partnership Steering Group
Published: November 2023

AbstractBackgroundPrevious priority setting exercises have sought to involve children, but in the final reporting, it is evident that few children had been engaged through the process. A primary aim in the Children’s Cancer Priority Setting Partnership was to find out from children what they want research to focus on. We report on our experience to inform methods of engagement with children in future James Lind Alliance Priority Setting Partnerships and similar exercises.MethodsWe followed the James Lind Alliance process, collecting and shortlisting questions via online surveys with adult survivors of childhood cancer, carers, and professionals, and holding a final workshop. Alongside this, a parallel process to collect and prioritise questions from children was undertaken. We created animations for parents/carers to explain the project and surveys to children, gathered questions via online surveys and held a workshop with children to identify their priorities.ResultsSixty-one children and young people with cancer and 10 siblings, aged 3–21 years, submitted 252 potential questions/topics via the surveys. Submissions were refined into 24 summary questions. These questions were discussed at a workshop with eight children; they also added more questions on topics of importance to them. Workshop participants prioritised the Top 5 questions; top priority was, ‘How can we make being in hospital a better experience for children and young people? (like having better food, internet, toys, and open visiting so other family members can be more involved in the child’s care)’. The Top 5 also included cancer prevention, treatments closer to home, early diagnosis, and emotional support. These questions were taken to the final workshop at which the Top 10 priorities were decided, all five children’s priorities were reflected in the final Top 10.ConclusionsWe have demonstrated that it is possible to successfully involve children directly in setting priorities for future research. Future priority setting exercises on topics relevant to children, should seek to include their views. The Children’s Cancer Top 10 priorities reflect the voices of children and should inform the funding of future research.
Osteonecrosis as a rare musculoskeletal complication in Behcet’s disease- the largest case series with literature review
Authors: Nejadhosseinian Mohammad , Babagoli Mazyar , Faezi Seyedeh Tahererh , Haerian Hoda , Shahram Farhad , Alikhani Majid , Davatchi Fereydoun 
Published: November 2023

Abstract
Background
Behcet disease (BD) as a variable vessel vasculitis is mainly characterized by ocular involvement, genital and oral aphthosis, and erythema nodosum. However, major organ involvements including gastrointestinal involvement, nervous system, and vascular involvement are among the severe complications. Osteonecrosis is a rare complication of patients with BD. We aim to report the largest series of BD patients suffering from osteonecrosis.

Methods
We have retrospectively reviewed all patients in Iran Behcet’s Disease Registry and reported those with osteonecrosis. Patients’ medication and clinical features, symptoms, and details of osteonecrosis will also be presented. Furthermore, previously reported cases will also be reviewed.

Results
Seven thousand eight hundred thirty-one patients were diagnosed with BD and registered. 18 patients developed ON with an incidence of 0.22%. The most common involvement during the disease progression was oral aphthosis which appeared in 100% of patients followed by ocular involvement in 85.7% and skin involvement in 71.4%. Vascular, ocular, and nervous system involvements are significantly higher in BD patients with osteonecrosis than the other BD patients. For the management of acute episode of uveitis, deep vein thrombosis, severe gastrointestinal involvement, arterial involvement, nervous system Involvement, and joint involvement high dose of glucocorticoids is indicated.

Conclusions
ON tends to appear as a multifocal involvement in BD patients, hence, after diagnosis of ON in one joint other possible sites of ON should be investigated.
Micro-RNA in a sample of Egyptian patients with incidental cerebral small vessel disease
Authors: Maged Mohamed , Nahas Nevine El , Fathy Mai , Kilany Ayman , Hamid Eman , Aref Hany 
Published: November 2023

Abstract
Background
Despite being the cause of morbidity and mortality in many patients, little is known about the pathophysiology of cerebral small vessel disease (CSVD). Identifying new biomarkers is mandatory for early diagnosis and proper management. The aim of this study is to investigate the role of micro-RNA as a biomarker for incidental cerebral small vessel disease (iCSVD) and its clinic-radiological correlates in a sample of Egyptian patients.

Results
The median age of patients, gender and risk factors did not differ from controls. However, patients were more significantly impaired than controls on cognitive, gait and sphincteric scales. MiRNA-451a was upregulated in cases with a median fold change of 3.4, while miRNA-409-3p, 486-5p, 502-3p, were significantly downregulated in comparison to healthy controls.

Conclusion
Dysregulation of the studied microRNA may play a role in pathogenesis of incidental cerebral small vessel disease and warrants further studies.
Endoscopic transsphenoidal resection of a non-functioning ectopic pituitary adenoma located in the clivus: a case report and literature review
Authors: Liu Jiangang , Ji Chengyuan 
Published: November 2023

AbstractWe successfully removed a rare ectopic pituitary adenoma from a 64-year-old female patient initially misdiagnosed with a chordoma. The tumor was located in the slope region and posed a challenge due to its rarity and location. Using neuro-navigation and neuro-endoscopic techniques, we performed a transnasal transsphenoidal resection and confirmed postoperatively that the tumor was a non-functional pituitary adenoma. Although the patient experienced temporary cortisol deficiency after surgery, she recovered well. To accurately diagnose ectopic pituitary adenomas of clivus, doctors must carefully evaluate the patient's imaging results and hormone levels. If necessary, nuclear medicine scans can also aid in diagnosis. Endoscopic transnasal-transsphenoidal surgery is the preferred treatment method, and preoperative multimodal imaging evaluation and intraoperative neuro-navigation technology are essential for a successful surgery.
Interpersonal distance preferences: an unexplored consequence of hearing loss
Authors: Yılar Selma , Deniz Burcu , Baltacı Işık , Cogen Talha , Deniz Rışvan , Telci Fatma , Demirel Esra , Altun Koray , Kural Hande , Emül Murat 
Published: November 2023

Abstract
Background
Interpersonal distance (IPD), which reflects the physical space between people, ensures the regulation of social behavior in interaction as part of nonverbal communication. Our research aims to reveal whether there is a difference in personal distance preference between individuals with hearing loss and normal hearing (NH).

Methods
Thirty-five adults (26.54 ± 7.05 years) were divided into three groups according to hearing status: hearing aid (HA) users, cochlear implant (CI) users, and NH individuals. The preferred interpersonal distance scale (PIPDS) and a stop distance paradigm were employed for measurements in various environments. Personal space violations were monitored using an electrodermal activity (EDA) wristband.

Results
Our findings showed a significant relationship between preferred interpersonal distance (PID) and hearing loss duration (r = 571; p < .01) and a significant difference in PIDs between CI users and NH individuals (p = .025). There was a correlation between PIPDS results and interpersonal distance preference in two outdoor conditions where the experimenter was male. However, there was no correlation between interpersonal distance and EDA results.

Conclusions
For the CI group, PIPDS results indicated an increased interpersonal distance preference with the severity of hearing loss, possibly to enhance lip-reading cues and conceal visible hearing aids. Understanding these preferences is essential for effective communication and good interpersonal relationships among individuals with hearing loss.