bluuebunny/crossref_metadata_2025_split huggingface dataset:
Parents' perceptions of a modified sports intervention for children with cerebral palsy
Authors: Rodrigues De Sousa Junior Ricardo , Oliveira Souto Deisiane , Ribeiro Ferreira Fabiane , Caetano Martins Da Silva E Dutra Fabiana , Resende Camargos Ana Cristina , Clutterbuck Georgina L. , Ribeiro Leite Hércules ,   Sports Stars Brazil Study Group
Published: November 2023

AbstractAimTo explore the perceptions of parents of children with cerebral palsy (CP) participating in a modified sports intervention, Sports Stars Brazil.MethodParents of children with CP (n = 15, 6–12 years old, nine males, six females), classified in Gross Motor Function Classification System levels I and II, who participated in the Sports Stars Brazil intervention, were recruited for this descriptive qualitative study. Children received the 8‐week (1 hour per week) modified sports intervention. After the intervention, parents participated in a focus group. The F‐word (fitness, family, fun, functioning, friends, and future) interpretation of the International Classification of Functioning, Disability and Health was used to guide the discussion. Participants were invited to report their experience of participating in the intervention using the F‐words for a childhood disability model. Transcripts were coded using content analysis.ResultsParents reported positive experiences of the Sports Stars Brazil intervention, including a decrease in sedentarism (fitness), improvement of motor skills (functioning), greater connection between child and family (family), better socialization (friends), increased participation in pleasurable activities (fun), and awareness of the importance of physical activity (future). All positive experiences were interconnected.InterpretationThis study presents the ability of the Sports Stars Brazil intervention to integrate all aspects of functioning and supports its role as an engaging and promising intervention option for ambulant children with CP.What this paper adds

The parents of children participating in Sports Stars Brazil perceived benefits across all F‐words.
This modified sports intervention integrated all F‐words into one concept.
Changes in lipid profile and glucose metabolism following administration of bupropion alone or in combination with naltrexone: A systematic review and meta‐regression analysis
Authors: Hu Yi , Velu Periyannan , Rohani Pejman , Sohouli Mohammad Hassan 
Published: November 2023

AbstractBackgroundConsidering the conflicting effects of bupropion on parameters related to metabolic syndrome including glucose metabolism and lipid profile, in this meta‐analysis study, we investigated the effects of this drug alone or in combination with naltrexone on glucose metabolism and lipid profile.MethodsScopus, PubMed/Medline, Web of Science and Embase databases were searched using standard keywords to identify all controlled trials investigating effects of bupropion alone and combined with naltrexone on the glucose and lipid profile. Pooled weighted mean difference and 95% confidence intervals were achieved by random‐effects model.ResultsTwelve studies with 5152 participants' were included in this article. The pooled findings showed that bupropion alone or in combination with naltrexone would significantly reduce glucose (weighted mean difference (WMD): −2.25 mg/dL, 95% confidence interval (CI): −4.10, −0.40), insulin (WMD: −4.06 μU/mL, 95% CI: −6.09, −2.03), homeostatic model assessment for insulin resistance (HOMA‐IR) (WMD: −0.58, 95% CI: −0.98, −0.19), triglyceride (TG) (WMD: −11.78 mg/dL, 95% CI: −14.48 to −9.08) and increase high‐density lipoprotein (HDL) (WMD: 2.68 mg/dL, 95% CI: 2.13 to 3.24). A Greater reduction in glucose levels was observed with duration >26 weeks. Dose of bupropion intake ≤360 mg and intervention for more than 26 weeks decreased insulin level significantly. With regard to lipid profile, reduction of triglycerides is more significant with dose of bupropion greater than 360 mg and a shorter intervention length equal to 26 weeks.ConclusionsThe addition of combination therapies such as bupropion and naltrexone to lifestyle modification can significantly improve glucose metabolism and some lipid parameters.
Distinct diurnal and nocturnal flower visitor communities provide pollination services in urban gardens
Authors: Wonderlin Nicole Elise 
Published: November 2023

Abstract
Urban gardens are considered a key tool for mitigating biodiversity and plant‐pollinator interaction loss due to their ubiquity in urban landscapes and the variety of resources they provide. To date, most urban garden pollination research has focused on diurnal pollination, omitting a potentially important group—nocturnal pollinators.
To assess the diversity and pollination activity of both diurnal and nocturnal flower visitors in urban gardens, I monitored arthropods on focal inflorescences of Eupatorium perfoliatum, a common Michigan‐native species, for 24‐h cycles and recorded the number and duration of visits. I also measured diurnal and nocturnal communities' pollination services using a temporal floral visitation exclusion experiment.
Flowers averaged nearly twice as many visits during the day as compared with night within 24‐h cycles, but nocturnal visit durations were 2.5‐fold longer on average. Day and night floral visitor communities were distinct, with day visits being dominated by Diptera, ants and other Hymenoptera, and night visits being carried out most frequently by ants, Dermaptera and Hemiptera. In the floral visitor exclusion experiment, plants open to only nocturnal visits produced larger seeds, whereas plants open to only diurnal visits trended towards producing more seeds, signalling a potential trade‐off between seed quantity and size among visitor communities.
Overall, diurnal and nocturnal floral visitor communities were distinct, and nocturnally pollinated plants had reproductive output comparable to diurnally pollinated treatments. Given the emphasis on diurnal pollinators in most pollination studies, it is possible that relevant plant‐pollinator interaction information may be missed in cases where anthesis spans both day and night.
Should history change the way we think about populism?
Authors: de Bromhead Alan , O'Rourke Kevin Hjortshøj 
Published: November 2023

AbstractThis paper asks whether history should change the way in which economists and economic historians think about populism. We use Müller's definition, according to which populism is ‘an exclusionary form of identity politics, which is why it poses a threat to democracy’. We make three historical arguments. First, late‐nineteenth‐century US Populists were not populist. Second, there is no necessary relationship between populism and anti‐globalization sentiment. Third, economists have sometimes been on the wrong side of important policy debates involving opponents rightly or wrongly described as populist. History encourages us to avoid an overly simplistic view of populism and its correlates.
Comparisons of student comprehension of 3D‐printed, standard model, and extracted teeth in hands‐on sessions
Authors: Sonkaya Ezgi , Kürklü Z. Gonca Bek 
Published: November 2023

AbstractIntroductionCavity preparation and direct and indirect pulp capping are difficult processes to learn in dentistry. Although plastic teeth are used in universities in Turkey, the standard model does not teach students how to distinguish between dental hard tissues from caries and how this relates to the pulp. The aim of this study was to investigate the differences in learning when a three‐dimensional (3D)‐printed tooth was employed in comparison with the standard model and extracted teeth. The differences are evaluated in the design, feasibility, and contribution of the 3D‐printed dental tooth in pre‐clinical education.Materials and MethodsThe multi‐layer 3D‐printed tooth's authentic design and replication of the dental hard tissues and carious lesions are explored with 55 students for pre‐clinical education, which includes caries excavation and direct and indirect pulp capping. The students completed questionnaires evaluating the 3D‐printed teeth through comparison with the plastic and extracted teeth, rated with scores from 1 to 11 (1: poorest conformity; 11: excellent conformity).ResultsThe questionnaire results indicated that students approved the printed tooth model for the practice of theoretical knowledge and the model received ratings between good and excellent. The results were statistically analysed using the Wilcoxon signed‐rank test, and the printed teeth had the highest approval from the students (p < .001).ConclusionThe results of this study demonstrated that the use of the designed 3D‐printed tooth is preferred by the students based on their perception of learning cavity preparation and pulp capping in a pre‐clinical environment. Workflow and production were cost‐effective with the use of 3D printing technology. The printed tooth allowed students to gain realistic experience before treating patients.
Comparison of cone‐beam and fan‐beam computed tomography and low‐field magnetic resonance imaging for detection of palmar/plantar osteochondral disease in Thoroughbred horses
Authors: Lin Szu‐Ting , Bolas Nicholas M. , Peter Vanessa G. , Pokora Rachel , Patrick Hayley , Foote Alastair K. , Sargan David R. , Murray Rachel C. 
Published: November 2023

AbstractBackgroundPalmar/plantar osteochondral disease (POD) of the metacarpal/tarsal condyles is a common pathological finding in racehorses.ObjectiveTo compare diagnoses, imaging details, and measurements of POD lesions between cone‐beam computed tomography CT (CBCT), fan‐beam CT (FBCT), and low‐field magnetic resonance imaging (MRI) using macroscopic pathology as a gold standard.Study designCross‐sectional study.MethodsThirty‐five cadaver limbs from 10 horses underwent CBCT, FBCT, MRI, and macroscopic examination. CT and MR images were examined for presence of POD, imaging details of POD, and measurements of POD dimensions and areas. Imaging diagnoses, details, and measurements were compared with macroscopic examination and between modalities.ResultsForty‐eight POD lesions were seen over 70 condyles. Compared with macroscopic examination the sensitivity and specificity of diagnosis were 95.8% (CI95 = 88%–99%) and 63.6% (CI95 = 43%–81%) for FBCT, 85.4% (CI95 = 74%–94%) and 81.8% (CI95 = 63%–94%) for CBCT, and 69.0% (CI95 = 54%–82%) and 71.4% (CI95 = 46%–90%) for MRI. Inter‐modality agreement on diagnosis was moderate between CBCT and FBCT (κ = 0.56, p < 0.001). POD was identified on CT as hypoattenuating lesions with surrounding hyperattenuation and on MRI as either T1W, T2*W, T2W, and STIR hyperintense lesions or T1W and T2*W heterogeneous hypointense lesions with surrounding hypointensity. Agreement on imaging details between CBCT and FBCT was substantial for subchondral irregularity (κ = 0.61, p < 0.001). Macroscopic POD width strongly correlated with MRI (r = 0.81, p < 0.001) and CBCT (r = 0.79, p < 0.001) and moderately correlated with FBCT (r = 0.69, p < 0.001). Macroscopic POD width was greater than all imaging modality (p < 0.001).Main limitationsEffect of motion artefact in live horse imaging could not be assessed.ConclusionsAll imaging modalities were able to detect POD lesions, but underestimated lesion size. The CT systems were more sensitive, but the differing patterns of signal intensity may suggest that MRI can detect changes associated with POD pathological status or severity. The image features observed by CBCT and FBCT were similar.
Android ransomware detection using binary Jaya optimization algorithm
Authors: Alazab Moutaz 
Published: November 2023

AbstractRansomware is a serious security concern to mobile devices, as it prevents the use of the device and its contents until a ransom is paid, resulting in considerable financial losses for both people and corporations. The existing anti‐malware measures have shown to be inadequate in combatting new malware variants that utilize advanced evasion strategies like Polymorphic, Metamorphic, Dynamic Code Loading, Time‐based evasion, and Reflection. Furthermore, these primary defences have also suffered from low detection rates, significant false positives, high processing times, and excessive processing and power consumption that is inappropriate for smartphones. This paper offers the binary JAYA (BJAYA) for ransomware detection in Android mobile devices using the BJAYA optimization‐based algorithm. The developed algorithm's effectiveness has been assessed against two datasets, the 0–1 knapsack, and real ransomware dataset. The proposed BJAYA method surpassed the other algorithms on 85% of the 0–1 knapsack datasets. The suggested BJAYA method was also tested on a ransomware dataset in two phases. In the first stage of testing, BJAYA outperformed other standard classifiers with sensitivity and Gmean values of 97% and 98.2%, respectively. In the second stage of testing, BJAYA outperformed other GA, FPA, and PSO metaheuristic algorithms in terms of specificity, sensitivity, and Gmean. These findings indicate the applicability of the suggested BJAYA algorithm for ransomware detection.
Borehole Nuclear Magnetic Resonance Estimation of Specific Yield in a Fractured Granite Aquifer
Authors: Phillips Stephanie N. , Carr Bradley , Zhang Ye , Flinchum Brady , Ren Shuangpo 
Published: November 2023

AbstractIn this study, we introduce a novel field‐based method to estimate specific yield (Sy) in fractured, low‐porosity granite aquifers using borehole nuclear magnetic resonance (bNMR). This method requires collecting a bNMR survey immediately following a pump test, which dewaters the near‐borehole fractures. The residual water content measured from bNMR is interpreted as “bound” and represents the specific retention (Sr) while the water drained by the pump is the Sy. The transverse relaxation cutoff time (T2C) is the length of time that partitions the total porosity measured by bNMR into Sr and Sy. When applying a calibrated T2C, Sy equals the bNMR total porosity minus Sr; thus, a calibrated T2C is required to determine Sy directly from NMR results. Based on laboratory experiments on sandstone cores, the default T2C is 33 ms; however, its applicability to fractured granite aquifers is uncertain. The optimal T2C based on our pumping test is 110 ± 25 ms. Applying this calibrated T2C on a saturated, A‐type granite at our field site, we estimate the Sy to be 0.012 ± 0.005 m3 m−3 which is significantly different from the Sy (0.021 ± 0.005 m3 m−3) estimate using the default T2C of 33 ms. This Sy estimate falls within a range determined using traditional hydraulic testing at the same site. Using the conventional T2C (33 ms) for fractured granite leads to an inaccurate Sy; therefore, it is essential to calibrate the bNMR T2C for the local site conditions prior to estimating Sy.
Exploring the health‐related decision‐making experiences of people with chronic kidney disease and their caregivers: A qualitative study
Authors: Gazaway Shena , Gutierrez Orlando , Wells Rachel , Nix‐Parker Tamara , Lyas Claretha , Daniel Shawona , Lang‐Lindsey Katina , Bryant Tara , Knight Richard , Odom James N. 
Published: November 2023

AbstractBackgroundThis study aimed to explore the decision‐making experience of patients with chronic kidney disease (CKD) and their caregivers.MethodsThis was a qualitative descriptive study of the decision‐making experiences of individuals with stage 3—end‐stage CKD and their family caregivers. One‐on‐one, semistructured interviews were conducted using a guide developed and approved by a community advisory group. Data were analyzed using thematic analysis.ResultsThree themes were identified: (1) decisions triggered by declining health and broad in scope, (2) challenges to decision‐making and (3) factors influencing decision‐making. Participants' experiences with health‐related decision‐making demonstrated that decisions were triggered when health declined. Yet, decisions that impact disease progression were being made in stage 3. Decision‐making was made difficult due to lack of information, complex co‐morbidities, and poor resource utilization. However, the structure and nature of the medical appointment, supportive caregivers, and resources served to remove challenges.ConclusionDecision‐support interventions must train patients and caregivers to be empowered participants in answer‐seeking behaviours upstream of advanced illness.Public ContributionsThis work was conducted in full collaboration with a community advisory board consisting of patients with CKD, caregivers and clinicians. These members are noted in the acknowledgement section, and those who worked with the team to develop the interview guide, study protocols, and manuscript preparation are included as authors. As part of their role, advisory members met monthly, providing input on recruitment, study progress, inclusion of diverse voices and added relevance to study findings.
Exit is the answer: The political nature of Central American migration
Authors: Cruz José Miguel , Colón‐Burgos José Félix 
Published: November 2023

AbstractThis article provides evidence that many Central Americans who have joined the migrant caravans to the north manifest a profound discontent with the political institutions of their home countries. It is based on surveys with migrants in refugee centres, compared with similar data from the AmericasBarometer survey, and complemented with contextual qualitative data on the experience of immigrants passing through Mexico. The article shows that several Central Americans in route to the north do not trust their political institutions and express little support for their political system. It demonstrates that in contexts where economic instability, rampant crime, and environmental uncertainty prevail, many citizens keep exiting their countries under the conviction that government institutions have lost the capability to protect them from existential threats.
Heart failure among Indigenous and non‐Indigenous Australians in remote Central Australia
Authors: Rajamohan Manoj , Jayhoon Zaheeruddin , Gomez Benjamin , Tankel Fraser , Clarke Nicholas , Foskett Sheena , Baumann Angus , Quilty Simon , Kozor Rebecca , Wong Christopher X. 
Published: November 2023

AbstractBackgroundThere is a paucity of data on the burden of heart failure (HF) in Central Australia, the most populous Indigenous region in the country.AimsTo characterize Indigenous and non‐Indigenous Australians with HF in Central Australia.MethodsConsecutive patients with HF and reduced ejection fraction <50% were included for the period 2019 to 2021. Clinical, echocardiographic and major adverse cardiovascular events (MACE) data were collected.ResultsFour hundred twenty‐four patients with HF were included (70% Indigenous, 59% male; follow‐up 2.2 ± 0.5 years). Indigenous Australians were younger (53 ± 15 vs 68 ± 13 years, P < 0.001) with higher rates of rheumatic heart disease (18% vs 1%, P < 0.001), diabetes (63% vs 33%, P < 0.001) and severe chronic kidney disease (CKD; 32% vs 7%, P < 0.001). HF was more prevalent among Indigenous (138 [95% confidence interval (CI), 123–155] per 10 000) compared with non‐Indigenous Australians (53 [95% CI, 44–63] per 10 000), particularly among younger individuals and females. There were similar HF aetiologies between groups. Guideline‐directed medical therapy (GDMT) was suboptimal and similar between the groups: angiotensin‐converting enzyme inhibitor/angiotensin receptor blocker (64% vs 67%, P = 0.47) and β‐blockers (68% vs 71%, P = 0.47). Indigenous Australians had a significantly higher rate of MACE (54% vs 28%, P < 0.001) and death from any cause (24% vs 13%, P = 0.013).ConclusionsHF is more than two times as prevalent among Indigenous Central Australians, particularly among younger individuals and females. Despite similar HF aetiologies and GDMT, MACE and mortality outcomes are higher in Indigenous individuals with HF. These data have implications for efforts to close the Indigenous gap in morbidity and mortality.
Beyond the aspirational: creating the future of health care in Australia
Authors: Braithwaite Jeffrey , Fisher Georgia 
Published: November 2023

AbstractThe context of health care in Australia is shifting very rapidly; more chronic diseases, budgetary stress and the constant threat of the next pandemic and climate change mean that patterns of disease and care are changing, and the workforce is under pressure. Health systems have learned to respond as best they can, but there are many challenges and opportunities for the Australian health care system to plan and implement an evidence‐based and sustainable approach to health care delivery in the next decade. To support this approach, many peak bodies and authoritative agencies, such as the Australian government in their 2022 Strengthening Medicare Taskforce Report, have described laudable visions for health care, but no one has laid out a tangible blueprint for whole‐of‐system change. Here, we outline nine strategies that span principles of integrated, value‐based care, with a focus on prevention and quality, the development of a skilled workforce and health‐literate population and the use of emerging technologies such as genomics and artificial intelligence. These strategies form a potential path for the Australian health care system to meet the changing requirements of the current decade and take the aspirational visions of the future of health care into an improved, patient‐based health system that delivers care in line with best practices.
The effect of two surgical modalities for the treatment of subtrochanteric fractures of the femur on postoperative wound complications in patients: A meta‐analysis
Authors: Chen Baiyi , Li Songlian , Zeng Fan , Duan Hang , Lu Min 
Published: November 2023

AbstractCurrently, there are two methods of treating subtrochanteric femur fractures: intramedullary nailing and extramedullary plate fixation. However, it remains to be seen whether internal or external fixation is the primary treatment for subrotator femur fractures in adults. In this meta‐analysis, we reviewed the effects of internal and external fixation on the treatment of subrotator and subrotator fractures. Until July 2023, the researchers have been researching the Cochrane Library, Embase, Web of Science and PubMed, with English as their only language. The aims of the study are as follows: (1) to assess the efficacy of internal and external fixation for the treatment of postoperative wound infections in adult patients with subrotator femur fractures; (2) to assess the efficacy of various types of internal fixation for the treatment of adult patients with subrotator femur fractures, including postoperative complications, infections, and operative time. Meta‐analysis showed that there was no significant difference in the treatment of subrotator fracture with internal versus external fixation in terms of wound infections, intra‐operative bleeding, length of incision, and operative time were not significantly different. Therefore, more research is needed to support these findings with a number of large, high‐quality randomized studies.