bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing gingivitis diagnoses by bleeding on probing (BOP) exclusively versus BOP combined with visual signs using large electronic dental records
Authors: Patel Jay S. , Shin Daniel , Willis Lisa , Zai Ahad , Kumar Krishna , Thyvalikakath Thankam P. 
Published: October 2023

AbstractThe major significance of the 2018 gingivitis classification criteria is utilizing a simple, objective, and reliable clinical sign, bleeding on probing score (BOP%), to diagnose gingivitis. However, studies report variations in gingivitis diagnoses with the potential to under- or over-estimating disease occurrence. This study determined the agreement between gingivitis diagnoses generated using the 2018 criteria (BOP%) versus diagnoses using BOP% and other gingival visual assessments. We conducted a retrospective study of 28,908 patients' electronic dental records (EDR) from January-2009 to December-2014, at the Indiana University School of Dentistry. Computational and natural language processing (NLP) approaches were developed to diagnose gingivitis cases from BOP% and retrieve diagnoses from clinical notes. Subsequently, we determined the agreement between BOP%-generated diagnoses and clinician-recorded diagnoses. A thirty-four percent agreement was present between BOP%-generated diagnoses and clinician-recorded diagnoses for disease status (no gingivitis/gingivitis) and a 9% agreement for the disease extent (localized/generalized gingivitis). The computational program and NLP performed excellently with 99.5% and 98% f-1 measures, respectively. Sixty-six percent of patients diagnosed with gingivitis were reclassified as having healthy gingiva based on the 2018 diagnostic classification. The results indicate potential challenges with clinicians adopting the new diagnostic criterion as they transition to using the BOP% alone and not considering the visual signs of inflammation. Periodic training and calibration could facilitate clinicians' and researchers' adoption of the 2018 diagnostic system. The informatics approaches developed could be utilized to automate diagnostic findings from EDR charting and clinical notes.
Dyes as efficient and reusable organocatalysts for the synthesis of cyclic carbonates from epoxides and CO2
Authors: Chen Jing , Chiarioni Giulia , Euverink Gert-Jan W. , Pescarmona Paolo P. 
Published: October 2023

The functionalised RhB-EtOH-I dye was identified as an efficient and reusable organocatalyst for the conversion of CO2 and epoxides into cyclic carbonates under mild conditions.
Prevalence of Presbyphonia in Older Adults With Dysphonia: A Systematic Review and Meta-Analysis
Authors: Chang Fei-Chun , Doan Thanh-Nhan , Wang Liang-Hui , To Thi-Lien , Ho Wen-Chao , Chou Li-Wei 
Published: October 2023

Purpose:
This study aims to investigate the prevalence of presbyphonia among older adults who report voice complaints.

Method:

We conducted a systematic search of five medical databases to identify studies that reported on presbyphonia as the cause of voice disorders in older adults. The pooled prevalence was calculated using random-effects models and presented as percentages with 95% confidence intervals (CI). The degree of heterogeneity among studies was assessed using
I
2
statistics. Subgroup analyses were performed to identify the sources of heterogeneity.

Results:
Out of 764 abstracts from five libraries, 11 studies were included in this systematic review. The pooled prevalence of presbyphonia among older adults with voice disorders is 17.78% (95% CI [12.69, 23.51]). We conducted a subgroup analysis on studies that used laryngeal visualization to confirm the diagnosis for all patients and found that the prevalence of presbyphonia was lower in studies with unrestrictive inclusion criteria (12.84%, 95% CI [8.38, 18.08]) compared to studies with restricted inclusion criteria (22.59%, 95% CI [14.49, 31.88]).

Conclusions:
This study suggests that voice disorders in older adults have multiple causes, not predominantly presbyphonia. Overestimation of presbyphonia prevalence occurs if certain diagnoses are excluded at recruitment. This study emphasizes the importance of recognizing the diverse underlying etiologies of dysphonia in older adults; therefore, comprehensive examination and accurate diagnosis are crucial.

Supplemental Material:

https://doi.org/10.23641/asha.24263029
Views of Parents on Supporting Language and Literacy for Their Children With Complex Communication Needs
Authors: Leroux Emma L. , Biggs Elizabeth E. , Shin Doah E. 
Published: October 2023

Purpose:
Understanding students' home literacy environments can help speech-language pathologists, teachers, and other educators partner with families to promote language and literacy learning. This study focused on gaining insight into the views of parents of elementary-age students with intellectual and developmental disabilities who had complex communication needs related to supporting children's language and literacy learning in the home.

Method:
This qualitative study was conducted during the COVID-19 pandemic, when many schools were utilizing remote or hybrid learning arrangements. Participants were 37 parents of students with complex communication needs in kindergarten to fourth grade. Most children had either autism or Down syndrome, and they ranged from primarily communicating prelinguistically (e.g., gestures and nonword vocalizations) to using some two to three word phrases in different modes (e.g., speech, sign, and aided augmentative and alternative communication [AAC]). Each parent was interviewed three times over the 2020–2021 school year, and data were analyzed using an inductive qualitative approach.

Results:
Findings showed patterns of commonalities and differences in parents' experiences, including related to their (a) goals and values about communication, language, and literacy; (b) perceptions and experiences with roles supporting language and literacy; and (c) satisfaction with supports and progress in these areas.

Conclusion:
This study provides important insight into the views of parents related to home literacy that can be used to improve the design and delivery of interventions for school-age students with complex communication needs and their families.
An effective fault tolerance aware scheduling using hybrid horse herd optimisation‐reptile search optimisation approach for a cloud computing environment
Authors: Malik Manoj Kumar , Joshi Hitesh , Swaroop Abhishek 
Published: October 2023

AbstractIT services can be requested via cloud computing, a model based on services as well as the Internet. It includes all computer systems resources from hardware components to software platforms and software applications in a distributed environment. Scheduling is a key step in processing tasks using remote resources. Serious issues have been brought forward, including the ineffective use of resources and task execution failure. The concurrent provision of fault tolerance and resource optimisation is achallenging task. In the context of cloud computing, this research offers a brand‐new job scheduling and fault‐tolerant system. Tasks submitted by users are taken as an input for the proposed method. Several virtual machines (VM) are initially arranged for scheduling work and execution process. Initially, Horse Herd Optimisation is employed here to allocate the job based on key factors such as deadline and user budget. Once the jobs are assigned to each VM, then each job's deadline is confirmed and transferred to VM which has sufficient capacity. Here, the Reptile Search Optimisation technique is applied to identify the VM error. Any VM that does not have enough capacity is the one that has a problem. When a fault is found, a fault‐tolerant process is instantly started. A replication‐based fault‐tolerant mechanism is used in this manuscript. The proposed approach is tested with several metrics which attains better performance like 80 s response time, turnaround time of 32 s, 17% resource utilisation and a success rate of 92%. Thus the designed model is the best choice for fault‐tolerant aware task scheduling.
Selbsthilfemaßnahmen als Determinanten der Inanspruchnahme
einer Notfallambulanz bei Menschen mit und ohne Migrationsgeschichte in
Deutschland
Authors: Trümmler Jannis , Razum Oliver , Poetter Anna Rahel , Sauzet Odile 
Published: October 2023

Zusammenfassung
Einleitung Ziel der Untersuchung ist es zu analysieren, ob Unterschiede
zwischen Menschen mit und ohne Migrationsgeschichte in durchgeführten
Selbsthilfemaßnahmen vor einer Inanspruchnahme der Notaufnahme bestehen
und ob es Zusammenhänge zwischen Selbsthilfemaßnahmen und einer
adäquaten Inanspruchnahme der Notaufnahme gibt.
Methodik Datengrundlage für die sekundärbasierte Analyse
ist die EUMaR-Studie, die von Juli 2018 bis Juli 2019 durchgeführt
wurde, mit dem Ziel, Ursachen für die unangemessen häufige
Nutzung von Notfallambulanzen durch Migranten zu identifizieren. Ziel unserer
Studie ist es, Unterschiede der durchgeführten
Selbsthilfemaßnahmen und den Bevölkerungsgruppen anhand mehrerer
multiplen logistischer Regressionen zu analysieren. Der Zusammenhang zwischen
durchgeführten Selbsthilfemaßnahmen und adäquater
Nutzung der Notfallambulanz wird mit einer multiplen logistischen Regression und
anhand von Interaktionen quantifiziert.
Ergebnisse Migranten der ersten Generation weisen ein höheres Odds
Ratio auf, eine Notfallambulanz eigeninitiiert aufzusuchen (OR=1,28;
95% KI, 1,01–1,61), wie Menschen ohne Migrationsgeschichte.
Zudem weist diese Gruppe ein geringeres Odds Ratio auf, etwas gegen ihre
Beschwerden zu unternehmen (OR=0,70; 95% KI, 0,56–0,86).
Befragte, welche eigeninitiiert die Notfallambulanz aufsuchten, weisen ein
geringeres Odds Ratio bezüglich der adäquaten Nutzung der
Notfallambulanz auf (OR=0,41; 95% KI, 0,34–0,50).
Befragte, welche zuvor Vitalparameter (z. B. Blutdruck) gemessen haben,
haben ein höheres Odds Ratio, die Notfallambulanz adäquat zu
nutzen (OR=1,28; 95% KI, 1,02–1,59). Die erhaltenen
Schätzer durch die Interaktionsmodelle waren mit großen
Unsicherheiten verbunden.
Schlussfolgerung Zugangsbarrieren zum Gesundheitssystem, Medikamenten oder
zu medizinischen Hilfsmittelen bei Migranten der ersten Generation,
könnten das erhöhte Odds Ratio erklären, dass diese
Bevölkerungsgruppe vermehrt eigeninitiiert eine Notfallambulanz
aufsucht, sowie das geringere Odds Ratio, etwas gegen die Beschwerden zu
unternehmen. Eine Hypothese unserer Studie ist, dass die Messung der
Vitalparameter dazu beitragen kann, den individuellen Gesundheitszustand besser
zu beurteilen.
Natürliche Hautpflege mit ätherischen Ölen und Aromamischungen
Authors: Stadelmann Natalie 
Published: October 2023

ZusammenfassungDie Haut ist das größte Organ des Menschen, deren Säureschutzmantel als Abwehrbarriere für äußere schädigende Einflüsse geschützt und unbedingt intakt gehalten werden muss. Dies kann mit einer biologischen Hautpflege aus naturreinen Zutaten und ohne unnötige Hilfs- und Konservierungsstoffe gelingen, da sie der Haut Lipide und Feuchtigkeit liefert. Die pflegetherapeutische Aromakultur (PTAK) dient der Pflege, der Gesunderhaltung und der Linderung von Beschwerden, auch als Begleitmaßnahme zu einer ärztlichen Therapie. Letztendlich profitiert jede Haut, sei es die sensible Baby- und Kinderhaut, die empfindliche, trockene oder neurodermitische Haut, die irritierte Teenagerhaut oder die anspruchsvolle reife Haut, von einer vernünftigen biologischen Aromapflege. Denn eine sinnvolle Hautpflege bedeutet aktive Stärkung der Eigenaktivität, Schutzbarriere und Balance der Haut statt passives „Zuschmieren“. Der Beitrag stellt die wichtigsten Stoffe und spezielle Anwendungsgebiete vor.
High Altitude
Authors: Berger Marc Moritz , Luks Andrew M. 
Published: October 2023

AbstractWith ascent to high altitude, barometric pressure declines, leading to a reduction in the partial pressure of oxygen at every point along the oxygen transport chain from the ambient air to tissue mitochondria. This leads, in turn, to a series of changes over varying time frames across multiple organ systems that serve to maintain tissue oxygen delivery at levels sufficient to prevent acute altitude illness and preserve cognitive and locomotor function. This review focuses primarily on the physiological adjustments and acclimatization processes that occur in the lungs of healthy individuals, including alterations in control of breathing, ventilation, gas exchange, lung mechanics and dynamics, and pulmonary vascular physiology. Because other organ systems, including the cardiovascular, hematologic and renal systems, contribute to acclimatization, the responses seen in these systems, as well as changes in common activities such as sleep and exercise, are also addressed. While the pattern of the responses highlighted in this review are similar across individuals, the magnitude of such responses often demonstrates significant interindividual variability which accounts for subsequent differences in tolerance of the low oxygen conditions in this environment.
Crystal Diseases of the Spine
Authors: Cotten Anne , Henry Simon , Scarciolla Laura , Abou Diwan Ralph , Demondion Xavier , Badr Sammy 
Published: October 2023

AbstractGout, calcium pyrophosphate deposition disease, and apatite calcifications, the three main crystal disorders, may involve the spine. These disorders can be completely asymptomatic or associated with various clinical symptoms, such as acute flares and more chronic manifestations. This article presents the typical and more unusual imaging features encountered in these disorders.
Congenital Intracranial Teratoma: Management Challenges!
Authors: Sarva Saiseema V. , Venkataraman Megha 
Published: October 2023

AbstractCongenital brain tumors are extremely rare. Among them teratomas are the most common. They make up one-third of all congenital brain tumors. Late diagnosis, poor prognosis, and majority being delivered by cesarean section (subjecting the mother to increased morbidity) add to the complexities and challenges of the case. We report a rare case of a massive congenital brain tumor diagnosed prenatally on ultrasound. Because of the poor prognosis and associated craniomegaly, pregnancy termination was contemplated at 28 weeks aiming at vaginal delivery, despite a high probability of an eventual cesarean delivery due to the associated macrocrania. Intrapartum second stage of labor was protracted due to nondescent of the large head; however, providentially there was timely skull rupture of the fetus facilitating a vaginal delivery. The cerebral tumor was confirmed at autopsy to be an immature teratoma. There were no other associated malformations. Ultrasound has emerged as major modality in prenatal diagnosis aiding the antenatal preparation of the prospective parents and the multidisciplinary team for the poor outcome. The knowledge gained and anticipated prognosis help immensely in planning the management, thereby avoiding subjecting the woman to cesarean section and its morbidity.
Scoliosis
Authors: Lacroix Maxime , Khalifé Marc , Ferrero Emmanuelle , Clément Olivier , Nguyen Christelle , Feydy Antoine 
Published: October 2023

AbstractScoliosis is a three-dimensional spinal deformity that can occur at any age. It may be idiopathic or secondary in children, idiopathic and degenerative in adults. Management of patients with scoliosis is multidisciplinary, involving rheumatologists, radiologists, orthopaedic surgeons, and prosthetists. Imaging plays a central role in diagnosis, including the search for secondary causes, follow-up, and preoperative work-up if surgery is required. Evaluating scoliosis involves obtaining frontal and lateral full-spine radiographs in the standing position, with analysis of coronal and sagittal alignment. For adolescent idiopathic scoliosis, imaging follow-up is often required, accomplished using low-dose stereoradiography such as EOS imaging. For adult degenerative scoliosis, the crucial characteristic is rotatory subluxation, also well detected on radiographs. Magnetic resonance imaging is usually more informative than computed tomography for visualizing associated canal and foraminal stenoses. Radiologists must also have a thorough understanding of postoperative features and complications of scoliosis surgery because aspects can be misleading.
Current Role of Conventional Radiography of Sacroiliac Joints in Adults and Juveniles with Suspected Axial Spondyloarthritis: Opinion from the ESSR Arthritis and Pediatric Subcommittees
Authors: Sudoł-Szopińska Iwona , Herregods Nele , Zejden Anna , Jans Lennart , Giraudo Chiara , Boesen Mikael , Becce Fabio , Bazzocchi Alberto , Simoni Paolo , Aparisi Gómez Maria Pilar , Jaremko Jacob , Maas Mario , Teh James , Hermann Kay-Geert , Menegotto Flavia , Isaac Amanda , Reijnierse Monique , Shah Amit , Rennie Winston , Jurik Anne Grethe 
Published: October 2023

AbstractThis opinion article by the European Society of Musculoskeletal Radiology Arthritis and Pediatric Subcommittees discusses the current use of conventional radiography (CR) of the sacroiliac joints in adults and juveniles with suspected axial spondyloarthritis (axSpA). The strengths and limitations of CR compared with magnetic resonance imaging (MRI) and computed tomography (CT) are presented.Based on the current literature and expert opinions, the subcommittees recognize the superior sensitivity of MRI to detect early sacroiliitis. In adults, supplementary pelvic radiography, low-dose CT, or synthetic CT may be needed to evaluate differential diagnoses. CR remains the method of choice to detect structural changes in patients with suspected late-stage axSpA or established disease and in patients with suspected concomitant hip or pubic symphysis involvement. In children, MRI is the imaging modality of choice because it can detect active as well as structural changes and is radiation free.
Patient, Caregiver, and Clinician Experience with a Technologically Enabled Pillbox: A Qualitative Study
Authors: Shannon Evan Michael , Mueller Stephanie K. , Schnipper Jeffrey L. 
Published: October 2023

Abstract
Objectives As part of a study to assess whether a technologically enabled pillbox prescribed to patients at hospital discharge can improve medication safety, we sought to assess participant experiences with the intervention.
Methods We conducted a series of semi-structured phone interviews with patients, patient caregivers, and inpatient and outpatient clinicians who participated in the Smart Pillbox Transition Study. We developed an interview guide using the Systems Engineering Initiative for Patient Safety (SEIPS) framework, which included the a priori domains of (1) barriers to implementation, (2) facilitators of the intervention, and (3) general feedback regarding experience with the intervention. Within these domains, we employed SEIPS-informed themes of environment and organization, logistics and tasks, personnel and patients, and technology and tools. Interviews were conducted between May 2018 and January 2019. We used content analysis to interpret findings.
Results We interviewed 6 patients, 2 caregivers, and 5 inpatient and 2 outpatient clinicians. Patient-endorsed barriers in the theme of technology and tools included signal issues, inappropriate alarms, and portability. Barriers in the theme of logistics and tasks included coordination with pharmacists in the event of a prescription change. Barriers mentioned by clinicians included patients who were poor fits for the intervention (theme: personnel and patients) and competing demands at discharge (theme: logistics and tasks). Facilitators that were frequently mentioned by patients and caregivers in the theme of technology and tools included useful alarms and ease of use. Clinicians stated that communication with pharmacy and study staff helped facilitate the intervention (theme: personnel and patients).
Conclusion We identified several key barriers and facilitators from patients, caregivers, and clinicians to successful implementation of this intervention. Reconciling these sometimes contrasting viewpoints will be crucial if the Smart Pillbox or similar health information technology interventions are to be adopted as tools to improve medication safety during care transitions.
Sustainable international business model innovations for a globalizing circular economy: a review and synthesis, integrative framework, and opportunities for future research
Authors: Chabowski Brian R. , Gabrielsson Peter , Hult G. Tomas M. , Morgeson Forrest V. 
Published: October 2023

AbstractThe global imperative has increased in recent years for international firms to respond to major threats such as unintended environmental, social, and economic problems arising from ecological destruction, population growth, and economic activity. To respond to this confluence that has created an emerging existential crisis, we identify that a globalizing circular economy (CE) is required and subsequently define a new construct: sustainable international business model innovations. In doing so, we introduce circular inputs, sharing platforms, product as a service, product use extension, and resource recovery as business models that contain the potential to reply to these grand challenges. Based on CE principles, the innovations and designs introduced are contrasted with the traditional linear economic model and are presented as actionable standardization/adaptation alternatives for companies responding to differing informal and formal international institutions. Based on the theoretical underpinnings of the resource-based, dynamic capabilities, and international business model innovation perspectives, we introduce an integrative framework that is accompanied by a series of detailed research questions to provide future research opportunities for the domain. This conceptual approach holds that international resource design influences marketing capabilities adaptation which, in turn, impacts international performance and offers a foundation from which to build the literature.
What have been the clinical outcomes of the Project Synergy/InnoWell digital health platform?
Authors: Looi Jeffrey C. L. , Allison Stephen , Bastiampillai Tarun , Kisely Steve 
Published: October 2023

Project Synergy is a digital mental health tool for assessment, referral and follow-up of people with mental health problems. The Australian federal government Department of Health entered an AUD33 million formal funding arrangement with InnoWell, a proprietary company vehicle (primarily the consultancy firm PwC and University of Sydney) to continue development of Project Synergy. This followed an initial federal National Health and Medical Research Council grant of AUD5.5 million over the previous 3 years. However, based on the assessment of peer-reviewed research data, the Project Synergy/InnoWell platform does not seem to have demonstrated clinical outcomes of healthcare value to date.