bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of nutrition counseling on nutrition status in patients with head and neck cancer undergoing radio- or radiochemotherapy: a systematic review
Authors: Zeidler Jenny , Kutschan Sabine , Dörfler Jennifer , Büntzel Jens , Huebner Jutta 
Published: January 2024

Abstract
Purpose
In this systematic review, we included randomized controlled trials from 2004 to 2021 to determine the effect of individual dietary counseling for patients with head and neck cancer, specifically, nutritional outcome, morbidity, and quality of life (QOL), during and after chemo- and chemoradiotherapy.

Methods
In October 2023, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL, and Medline) to find studies concerning the use and effectiveness of intensive nutritional care on head and neck cancer patients.

Results
From all 2565 search results, 6 studies with 685 head and neck cancer patients were included in this systematic review. The patients were treated with radiotherapy or radiochemotherapy. The therapy concepts include intensive nutritional support from a dietician. Outcomes were nutritional status, body composition, quality of life, and adverse effect. All studies had low quality, high risk of bias, and reported heterogeneous results: some studies reported significant improved nutrition status, body composition and quality of life, while other studies did not find any changes concerning these endpoints.

Conclusion
Due to the very heterogeneous results and methodical limitations of the included studies, a clear statement regarding the effectiveness of intensive nutritional therapy of head and neck cancer patients is not possible. Further well-planned studies are needed.
Real-time facial emotion recognition model based on kernel autoencoder and convolutional neural network for autism children
Authors: Talaat Fatma M. , Ali Zainab H. , Mostafa Reham R. , El-Rashidy Nora 
Published: January 2024

AbstractAutism Spectrum Disorder (ASD) is a neurodevelopmental disorder that is characterized by abnormalities in the brain, leading to difficulties in social interaction and communication, as well as learning and attention. Early diagnosis of ASD is challenging as it mainly relies on detecting abnormalities in brain function, which may not be evident in the early stages of the disorder. Facial expression analysis has shown promise as an alternative and efficient solution for early diagnosis of ASD, as children with ASD often exhibit distinctive patterns that differentiate them from typically developing children. Assistive technology has emerged as a crucial tool in improving the quality of life for individuals with ASD. In this study, we developed a real-time emotion identification system to detect the emotions of autistic children in case of pain or anger. The emotion recognition system consists of three stages: face identification, facial feature extraction, and feature categorization. The proposed system can detect six facial emotions: anger, fear, joy, natural, sadness, and surprise. To achieve high-performance accuracy in classifying the input image efficiently, we proposed a deep convolutional neural network (DCNN) architecture for facial expression recognition. An autoencoder was used for feature extraction and feature selection, and a pre-trained model (ResNet, MobileNet, and Xception) was applied due to the size of the dataset. The Xception model achieved the highest performance, with an accuracy of 0.9523%, sensitivity of 0.932, specificity of 0.9421, and AUC of 0.9134%. The proposed emotion detection framework leverages fog and IoT technologies to reduce latency for real-time detection with fast response and location awareness. Using fog computing is particularly useful when dealing with big data. Our study demonstrates the potential of using facial expression analysis and deep learning algorithms for real-time emotion recognition in autistic children, providing medical experts and families with a valuable tool for improving the quality of life for individuals with ASD.
Does intervertebral disc degeneration in adolescent idiopathic scoliosis correlate with patient-reported pain scores? A review of 968 cases
Authors: Boylan Conor , Thimmaiah Ravindra , McKay George , Gardner Adrian , Newton Ede Matthew , Mehta Jwalant , Spilsbury Jonathan , Marks David , Jones Morgan 
Published: January 2024

Abstract
Purpose
Report the rate and severity of degenerative disc disease (DDD) in non-surgical adolescent idiopathic scoliosis (AIS) patients and correlate these findings with patient-reported symptomatology scores. Additionally, to quantify the rate of concurrent pathological radiological findings in this group.

Methods
This was a retrospective chart review study at a single tertiary centre. AIS patients aged 10–16 who had received a whole spine MRI between September 2007 and January 2019 and who had not received surgical intervention to their spine were included. MRI scan reports were screened to extract those who had evidence of DDD. These were then reviewed by a blinded second reviewer who graded every disc using the Pfirrmann grading system. SRS-22 scores were extracted for patients when available.

Results
In total, 968 participants were included in the study. Of these, 93 (9.6%) had evidence of DDD, which was Pfirrmann grade ≥ 3 in 28 (2.9%). The most commonly affected level was L5/S1 (59.1% of DDD cases).
A total of 55 patients (5.7%) had evidence of syringomyelia, 41 (3.4%) had evidence of spondylolisthesis (all L5/S1), 14 (1.4%) had bilateral L5 pars defects, and 5 (0.5%) had facet joint degeneration. Spondylolisthesis and bilateral pars defects were more common in patients with DDD identified on MRI scan (p < 0.001 and p = 0.04, respectively).
Function (p = 0.048) and pain (p = 0.046) scores were worse in patients with DDD.

Conclusion
We present a baseline for the rate and severity of DDD in the non-operative AIS cohort. This should assist in decision-making and counselling of patients prior to surgery.

Level of evidence
III.
Linking Resource Quality and Biodiversity to Benthic Ecosystem Functions Across a Land-to-Sea Gradient
Authors: Mäkelin Saara , Lewandowska Aleksandra M. , Rodil Iván F. , Karlson Agnes M. L. , Humborg Christoph , Villnäs Anna 
Published: January 2024

AbstractBenthic macrofauna modifies carbon and nutrient retention and recycling processes in coastal habitats. However, the contribution of benthic consumers to carbon and nutrient storage and recycling shows variation over spatial scales, as the benthic community composition changes in response to differences in environmental conditions. By sampling both shallow sandy and deep muddy sediments across a land-to-sea gradient in the northern Baltic Sea, we explored if benthic community composition, stoichiometry and process rates change in response to alterations in environmental conditions and food sources. Our results show that benthic faunal biomass, C, N, and P stocks, respiration rate and secondary production increase across the land-to-sea gradient in response to higher resource quality towards the open sea. The seston δ13C indicated terrestrial runoff and δ15N sewage input at the innermost study sites, whereas more fresh marine organic matter towards the open sea boosted benthic faunal carbon storage, respiration rate, and secondary production, that is, the generation of consumer biomass, which are essential processes for carbon turnover in this coastal ecosystem. Also, biological factors such as increasing species richness and decreasing biomass dominance of the clam Macoma balthica were significant in predicting benthic faunal C, N, and P stocks and process rates, especially at sandy sites. Interestingly, despite the variation in food sources, the benthic faunal C:N:P ratios remained stable across the gradient. Our results prove that human activities in the coastal area can influence the important links between biodiversity, structure, and process rates of benthic communities by modifying the balance of available resources, therefore hampering the functioning of coastal ecosystems.
HPV positivity status in males is related to the acquisition of HPV infection in females in heterosexual couples
Authors: Huang Yuxuan , Kang Yafang , Li Ye , Cai Liangzhi , Wu Qibin , Liu Dabin , Mao Xiaodan , Huang Leyi , Osafo Kelvin Stefan , Zhang Yan , Xu Shuxia , Dong Binhua , Sun Pengming 
Published: January 2024

Abstract
Purpose
Few studies have focused on the impact of human papillomavirus (HPV) positivity in male partners on female HPV infection and cervical lesions. The purpose of this study was to evaluate the impact of the HPV infection status of husbands on wives’ cervical HPV infection and lesions.

Methods
We surveyed 251 monogamous couples who attended the outpatient department of Fujian Maternity and Child Health Hospital from 2013 to 2021. HPV type analysis was performed on exfoliated cells of the females’ cervix and males’ urethra by the PCR-reverse dot blot method. We analyzed the prevalence and consistency of HPV types in 251 couples. Subsequently, the risk of HPV infection in females with HPV-positive male partners was analyzed. SPSS version 26 (IBM, Chicago, USA) was used for statistical analysis.

Results
In 251 couples, the most commonly detected high-risk HPV (HR-HPV) genotypes were 52, 51, 16, and 58 for males and 16, 52, 18, and 58 for females. Wives with HPV-positive husbands had higher infection rates for most HR-HPV genotypes. HR-HPV positivity in husbands was a risk factor for the development of cervical lesions in wives (OR = 2.250, P = 0.014). Both single-type (OR = 2.085, P = 0.040) and multiple-type (OR = 2.751, P = 0.036) infection in husbands will contributed to an increased risk of non-HR-HPV infection and cervical lesions in wives.

Conclusion
Husbands’ HPV positivity increases the burden of non-HR-HPV infection and increases the risk of cervical lesions developing in wives. It is hoped to provide a reference value for cervical cancer prevention in females and HPV vaccination in males.
Correlated change in habitual and situational reading motivation
Authors: Retelsdorf Jan , Cruz Neri Nadine , Möller Jens , Köller Olaf , Nagy Gabriel 
Published: January 2024

AbstractWe aim to examine similarities and differences in the developmental patterns of habitual (HRM) and situational reading motivation (SRM). We investigated the correlated change of SRM and two aspects of HRM: habitual reading enjoyment and habitual reading for interest. The sample comprised N = 1508 students with four waves of data collections spaced approximately every 18 months. Applying multivariate curve-of-factors models, first we found a decline in all three aspects of reading motivation from T1 to T3, and a stable trajectory from T3 to T4. Second, all three aspects of reading motivation correlated strongly regarding time-specific aspects, as well as level and trend factors. Third, the two HRM aspects showed higher correlations than did any aspect of HRM with SRM. Implications of the correlated declines of HRM and SRM, and for future research on reading motivation in general, are discussed.
A Narrative Review of the Dichotomy Between the Social Views of Non-Monogamy and the Experiences of Consensual Non-Monogamous People
Authors: Rodrigues David L. 
Published: January 2024

AbstractMonogamy is deeply rooted in most Western societies, shaping how people construe and behave in romantic relationships. These normative views facilitate the emergence of negative perceptions and evaluations when people choose not to adhere to mononormativity. Even though people in consensual non-monogamous (CNM) relationships are targets of stigmatization, research shows a dichotomy between these negative views and the relational experiences of CNM people. Indeed, people in CNM and monogamous relationships have comparable relationship functioning and quality and struggle with similar relationship problems. One of the differences is that CNM relationships afford people to explore their sexuality and fulfill their needs with multiple partners, without agreed-upon extradyadic behavior being perceived as infidelity or having deleterious consequences to relationship maintenance. These positive experiences notwithstanding, CNM people are continuously pressured by mononormativity and stigmatization, increasing the risk of internalized CNM negativity and worse personal and relational outcomes. One possible way to counteract CNM stigmatization and improve the lives of CNM people is by changing discourses surrounding non-monogamy and improving acceptance, not only in professional settings but also in the general population. Another strategy is to understand how the relationship beliefs and scripts of younger generations can help promote more inclusive and diverse societies.
A regularization–correction approach for adapting subdivision schemes to the presence of discontinuities
Authors: Amat Sergio , Levin David , Ruiz-Álvarez Juan , Yáñez Dionisio F. 
Published: January 2024

AbstractLinear approximation methods suffer from Gibbs oscillations when approximating functions with jumps. Essentially non oscillatory subcell-resolution (ENO-SR) is a local technique avoiding oscillations and with a full order of accuracy, but a loss of regularity of the approximant appears. The goal of this paper is to introduce a new approach having both properties of full accuracy and regularity. In order to obtain it, we propose a three-stage algorithm: first, the data is smoothed by subtracting an appropriate non-smooth data sequence; then a chosen high order linear approximation operator is applied to the smoothed data and finally, an approximation with the proper jump or corner (jump in the first order derivative) discontinuity structure is reinstated by correcting the smooth approximation with the non-smooth element used in the first stage. This new procedure can be applied as subdivision scheme to design curves and surfaces both in point-value and in cell-average contexts. Using the proposed algorithm, we are able to construct approximations with high precision, with high piecewise regularity, and without smearing nor oscillations in the presence of discontinuities. These are desired properties in real applications as computer aided design or car design, among others.
Acetone compression improves lymph node yield and metastasis detection in colorectal cancer
Authors: Schnoz Christina , Schmid Katrin , Ortega Sanchez Guacimara , Schacher-Kaufmann Sabina , Adamina Michel , Peros Georgios , Erdin Dieter , Bode Peter Karl 
Published: January 2024

AbstractLymph node status is one of the most important prognostic factors in colorectal cancer, and accurate pathological nodal staging and detection of lymph node metastases is crucial for determination of post-operative management. Current guidelines, including the TNM staging system and European Society for Medical Oncology (ESMO) guidelines, recommend examination of at least 12 lymph nodes. However, identification of an adequate number of lymph nodes can be challenging, especially in the setting of neoadjuvant treatment, which may reduce nodal size. In this study, we investigated 384 colorectal cancer resections that were processed at our department of pathology between January 2012 and December 2022, in which the number of detected lymph nodes was less than 12 subsequent to conventional preparation of mesocolic fat tissue. By means of acetone compression, lymph node harvest increased significantly (p < 0.0001), and the intended number of ≥ 12 lymph nodes was achieved in 98% of resection specimens. The number of nodal positive cases increased significantly from n = 95 (24.7%) before versus n = 131 (34.1%) after acetone compression due to additionally identified lymph node metastases (p < 0.001). In 36 patients (9.4%) initially considered as nodal negative, acetone compression led to a staging adjustment to a nodal positive category and thereby drove a recommendation to offer post-operative therapy. In conclusion, acetone compression is a reliable and useful method implementable in routine surgical pathology for the retrieval of lymph nodes in colorectal cancer specimen, allowing for an adequate lymph node sampling and an increase in nodal staging reliability.
A Missing Piece of the Puzzle? Exploring Whether Science Capital and STEM Identity are Associated with STEM Study at University
Authors: Godec Spela , Archer Louise , Moote Julie , Watson Emma , DeWitt Jennifer , Henderson Morag , Francis Becky 
Published: January 2024

AbstractInternationally, there are concerns that more needs to be done to address the inequalities in participation in science, technology, engineering, and mathematics (STEM) subjects at the degree level. In response, research focused on better understanding what influences young people’s STEM participation has focused on a range of factors. This paper contributes to the existing research with an analysis of how “science capital” and “STEM identity” relate to STEM participation. We draw on data from 3310 young people aged 21–22 who had undertaken an undergraduate degree, 523 of whom studied a STEM subject. We found that science capital and STEM identity were statistically significantly related to studying a STEM degree (with science capital being weakly and STEM identity strongly associated with STEM study at university). Adopting a Bourdieusian lens, we discuss what our findings mean for higher education and what more could be done to support students, especially those who are currently under-represented in STEM, such as through better recognising and developing their science capital and supporting their sense of belonging in STEM.
Properties of a highly compensated high-purity germanium
Authors: Palleti Pradeep Chandra , Seyidov Palvan , Gybin Alexander , Pietsch Mike , Juda Uta , Fiedler Andreas , Irmscher Klaus , Sumathi R. Radhakrishnan 
Published: January 2024

AbstractThe electrical and optical properties of a compensated high-purity germanium (HPGe) single crystal was investigated using various characterization techniques. Aluminium, boron, and phosphorus were the major residual shallow-level impurities identified by photothermal ionization spectroscopy (PTIS). Hall effect measurements performed at low temperatures (77 K) along the growth length reveal that the crystal is p-type at the top and bottom, while n-type in the middle part with a net carrier concentration in the range of 1010–1011 cm−3. The obtained very high resistivity (2.3 ⨯ 108 Ω·cm) at 91 K in the temperature-dependent Hall measurements (TDH) at the bottom part of the crystal indicates a high level of compensation (84%) of charge carriers by deep-level impurities or defects with an activation energy near 0.195 eV. The highest hole mobility$$({\mu _p} = ~46700\,{\rm{c}}{{\rm{m}}^2}\,/{\rm{V}}\cdot{\rm{s}})$$

(

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p

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2

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at 77 K was obtained at the top part, which is moderately compensated. The carrier lifetimes of the grown HPGe crystals were measured using microwave-detected photoconductivity (MDP) at room temperature. The average carrier lifetime decreases from the top to bottom part of the crystal from 130 to 60 µs, which is less than that of the usually observed values in HPGe crystals due to a strong compensation.
A Hybrid Pragmatic and Factorial Cluster Randomized Controlled Trial for an Anti-racist, Multilevel Intervention to Improve Mental Health Equity in High Schools
Authors: Mulawa Marta I. , Docherty Sharron L. , Bailey Donald E. , Gonzalez-Guarda Rosa M. , Lipkus Isaac M. , Randolph Schenita D. , Yang Qing , Pan Wei 
Published: January 2024

AbstractSystemic racism is pervasive in US society and disproportionately limits opportunities for education, work, and health for historically marginalized and minoritized racial and ethnic groups, making it an urgent issue of social justice. Because systemic racism is a social determinant of health prevalent across multiple social and institutional structures, it requires multilevel intervention approaches using effective designs and analytic methods to measure and evaluate outcomes. Racism is a fundamental cause of poor health outcomes, including mental health outcomes; thus, mental health services and programs that address racism and discrimination are key to promoting positive mental health of racial and ethnic minority youth. While multilevel interventions are well-suited for improving outcomes like youth mental health disparities, their evaluation poses unique methodological challenges, requiring specialized design and analytic approaches. There has been limited methodological guidance provided to researchers on how to test multilevel interventions using approaches that balance methodological rigor, practicality, and acceptability across stakeholder groups, especially within communities most affected by systemic racism. This paper addresses this gap by providing an example of how to rigorously evaluate a hypothetical, theoretically based, multilevel intervention promoting mental health equity in three US school systems using an anti-racist approach intervening at the macro- (i.e., school system), meso- (i.e., school), and micro- (i.e., family and student) levels to improve mental health in adolescents. We describe the design, sample size considerations, and analytic methods to comprehensively evaluate its effectiveness while exploring the extent to which the components interact synergistically to improve outcomes. The methodological approach proposed can be adapted to other multilevel interventions that include strategies addressing macro-, meso-, and micro-levels of influence.
Species richness patterns and community structure of land snail communities along an urban-rural gradient in river floodplains
Authors: Čiliak Marek , Čejka Tomáš , Tej Branislav , Oboňa Jozef , Manko Peter 
Published: January 2024

AbstractUrbanisation is widely considered as having a large impact on most native species. However, the species response to urbanisation varies among taxonomic groups, and its generalisation might lead to contradictory or incorrect management decisions in urban planning. Land snails, as an understudied group in this sense, are good subjects to study the impact of urbanisation due to their low dispersal capabilities and mobility. The study aimed to determine how land snail diversity patterns and community structure are influenced by urbanisation through an urban-to-rural gradient. A total of 59 terrestrial gastropod species and more than 4600 individuals were recorded at 24 alluvial sites distributed along an urban-to-rural gradient in three Slovak cities (Bratislava, Zvolen and Prešov). Most species belonged to euryecious, hygrophilous and forest specialist ecological groups; seven species were non-native to Slovakia. The results clearly highlight the negative effect of densely built areas on land snail community structure, since the proportion of indigenous and specialist species decreased progressively towards urban sites. The highest mean number of species was found in suburban zones and the lowest in urban zones, suggesting that most species favour intermediate levels of urbanisation. Some species (e.g. Arion vulgaris) were evenly distributed along the urbanisation gradient, supporting the importance of river floodplains as bio-corridors for the dispersal of gastropods.