bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nuthatch (Sitta europaea) responses towards simulated territorial intrusion (STI) vary in strength during the non-breeding season — a matter of temperature and photoperiod?
Authors: Randler Christoph , Kalb Nadine , Dutour Mylène 
Published: November 2023

Abstract
Many bird species defend their territories against conspecifics during the breeding season. Although some temperate species have been observed to defend territories outside of the breeding season, such cases are rarely noted in the literature, and it remains largely unknown which environmental factors influence such behaviour. In this study, we investigated non-breeding territorial behaviour in the Eurasian nuthatch (Sitta europaea). Territorial responses were elicited with a simulated territory intrusion (playbacks of calls combined with a wooden model of nuthatch) in autumn, winter and spring. Territorial responses did not differ between autumn and winter but differed between the autumn/winter and spring; they declined until about mid-December (winter) and increased after that into the spring. We found an increase in territorial responses with increasing photoperiod (day length) in autumn and with decreasing ambient temperature during spring. Our study provides novel evidence about non-breeding territorial behaviour in temperate birds and indicates that this behaviour is influenced by environmental factors.
A Contrarian Muʿtazilite Theologian/Poet’s Guide to Fine Poetry: Al-Nāshiʾ al-Akbar (d. 293/906) and How to Write Inimitable Poems
Authors: Gündüz Hacı Osman 
Published: November 2023

Abstract
Boasting of one’s poetic talents was hardly an uncommon feature in Arabic poetry. Poets sang praises for their craft and exalted themselves over their rivals. They sometimes moved beyond braggadocio, however, explaining the particular attributes that made their poetry of unmatched quality. Al-Nāshiʾ al-Akbar (d. 293/906) was one such poet who declared his poetry to be an inimitable product defined by standards that he outlined in his didactic poems. He also penned at least one book on the criticism of poetry which only survives now as excerpts in a number of fourth/eleventh century works of adab. Fine poetry, according to al-Nāshiʾ, is the harmonious articulation of sounds and meanings presented in an accessible way to its audience but is impossible to reproduce. In this respect, I propose that, in expounding the standards of excellent poetry, al-Nāshiʾ alluded to theories of inimitability (iʿjāz) based on composition (naẓm) and divine prevention (ṣarfah). He was a Muʿtazilite theologian who was both celebrated and vilified by his contemporaries, and later scholars. His theological writings have been examined; however, his literary persona is still little-known. In contrast to most considerations of him, this study examines al-Nāshiʾ as a poet and critic foremost.
The Tantalising Islands: Insights from a Textualist Interpretation of Article 121 of the LOSC
Authors: Baptista Eduardo Gracias 
Published: November 2023

Abstract
Article 121 of the United Nations Convention on the Law of the Sea continues to generate vigorous debate amongst interpreters. The aim of this article is to contribute to this prevailing debate by providing a systematic analysis of the provision, and a novel logical-mathematical interpretation of Article 121(3). Through these elements, it adds a textualist analysis of Article 121 to the toolbox of interpreters. An approach of this kind sheds light on the conceptual underpinning of the provision, and on the definition and demarcation of the different types of features regulated therein.
Examining the Potential of Cartoon-Based Simulations for Studying Mathematics Teachers’ Handling of Student Emotions: A Replication Study
Authors: Brown A. M. , Bardelli E. , Herbst P. G. , Dimmel J. K. 
Published: November 2023

Abstract
Technology-mediated simulations of teaching are used increasingly to represent practice in the context of professional development interventions and assessment. Some such simulations represent students as cartoon characters. An important question in this context is whether simplified cartoon representations of students can convey similar meanings as real facial expressions do. Here, we share results from an implementation and replication study designed to observe whether and how (1) cartoon-based representations of emotion using graphical facial expressions can be interpreted at similar levels of accuracy as photo representations of emotions using actors and (2) the inclusion of markers of student emotions in storyboard-based scenarios of secondary mathematics teaching affects teachers’ appropriateness rating of the actions taken by a teacher represented in the storyboard. We show graphical representations of emotions can evoke particular intended emotions and that markers of student emotions in representations of practice could cue mathematics teachers into particular judgments of action.
The Impact Sheet to this article can be accessed at 10.6084/m9.figshare.24219964
Friction and damage of carbon fiber in tow-metal friction during the formation of flexible-oriented three-dimensional composite preforms
Authors: Li Siyuan , Shan Zhongde , Du Dong , Chang Baohua , Wang Li 
Published: November 2023

As the main structure of fiber-reinforced composite, the preform affected the mechanical properties of the composite. The forming of preforms is associated with the damage of fiber due to tow-metal friction, which can compromise the properties of the composite component. This study simulated the frictional behavior of carbon fibers during flexible-oriented three-dimensional woven process to reveal the mechanism of damage and determine the process window, and the effects of processing-related parameters on friction and carbon fiber were discussed. The normal load and pre-tension played a dominant role in generation of hairiness and wear, while the weaving speed had a minimal effect. The different parameters affected the damage of tow by changing the contact area between filament and metal. According to the results, the process window of pre-tension on filament was set to [0.083 mN, 0.183 mN]. The normal load should be within the window of pre-tension, as normal load was determined by pre-tension. The process window of weaving speed was set to [1 Hz, 5 Hz]. The optimized process parameters could improve the tensile strength of woven carbon fiber by 25.7%.
Operationalizing the role of the nurse ethicist: More than a job
Authors: Morley Georgina , Robinson Ellen M , Wocial Lucia D 
Published: November 2023

The idea of a role in nursing that includes expertise in ethics has been around for more than 30 years. Whether or not one subscribes to the idea that nursing ethics is separate and distinct from bioethics, nursing practice has much to contribute to the ethical practice of healthcare, and with the strong grounding in ethics and aspiration for social justice considerations in nursing, there is no wonder that the specific role of the nurse ethicist has emerged. Nurse ethicists, expert in nursing practice and the application of ethical theories and concepts, are well positioned to guide nurses through complex ethical challenges. However, there is limited discussion within the field regarding the specific job responsibilities that the nurse ethicist ought to have. The recent appearance of job postings with the title “nurse ethicist” suggest that some healthcare institutions have identified the value of a nurse in the practice of ethics and are actively recruiting. Discomfort about the possibility of others defining the role of the nurse ethicist inspired this paper (and special issue). If the nurse ethicist is to be seen as an integral part of addressing ethical dilemmas and ethical conflicts that arise in healthcare, then nurse ethicists ought to be at the forefront of defining this role. In this paper, we draw upon our own experiences as nurse ethicists in large academic healthcare systems to describe the essential elements that ought to be addressed in a job description for a nurse ethicist practicing in a clinical setting linked to academic programs. Drawing upon our experience and the literature, we describe how we perceive the nurse ethicist adds value to healthcare organizations and teams of professional ethicists.
Impact of political risk and economic growth on the tourism industry: Evidence from a dynamic threshold panel model
Authors: Jaisinghani Dinesh , Kaur Muskan , Joshi Mahesh , Sharma Sharad , Ahmed Abdullahi D 
Published: November 2023

This paper analyzes the nonlinear impact of political risk and economic development on tourism revenues. A dynamic threshold panel model is applied to a sample of 119 countries over 8 years. A positive association between economic development and tourism revenues is identified. The results also show that the impact of improvements in political stability on growth in tourism revenues is dependent on the current level of economic development. For highly developed countries, increased political stability does not impact tourism revenues. However, there is a significant positive impact of improved political stability on tourism revenues for less-developed countries.
DRUJ Capsular Release for Forearm Rotational Limitation: Surgical Technique and Case Series
Authors: Kooi Kevin , Shoji Monica M. , Jupiter Jesse B. , Chen Neal C. , Garg Rohit 
Published: November 2023

Background: Forearm stiffness can be caused by distal radioulnar joint (DRUJ) capsular contractures, which can occur after trauma such as a distal radius fracture. In this setting, a DRUJ capsular release may help improve forearm rotation, but the long-term functional outcomes remain unknown. The purpose of this case series is to investigate the short-term improvement in total pronosupination arc range of motion and long-term patient-reported outcomes (PROs) after DRUJ capsular release. Methods: We performed a retrospective review of consecutive patients who underwent DRUJ capsular release. Range of motion prior to surgery and at final short-term follow-up was collected and analyzed with a Wilcoxon signed-rank test. Patient-reported outcomes including QuickDASH and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) scores were obtained as medians with interquartile range (IQR), while patient satisfaction was measured on a 4-point Likert scale. Results: Five patients met the inclusion criteria with a median short-term follow-up of 5.5 (IQR: 4.3-10.3) months. The median preoperative supination was 25° (IQR: 0°-35°), and the median postoperative supination was 50° (IQR: 40°-60°; P = .03). The median preoperative pronation was 45° (IQR: 10°-60°), and the median postoperative pronation was 70° (IQR: 60°-80°; P = .04). After the long-term median follow-up of 10.9 (IQR 9.7-11.2) years, all the patients were satisfied or very satisfied with the results of the surgery. The median QuickDASH score was 13.6 (IQR: 9.1-20.5), and the median PROMIS UE score was 46.5 (IQR: 43.8-47.7). Conclusions: Distal radioulnar joint capsular release can improve pronation and supination in patients with posttraumatic forearm stiffness and is associated with high long-term patient satisfaction.
Predicting the Risk of Developing Type 1 Diabetes Using a One-Week Continuous Glucose Monitoring Home Test With Classification Enhanced by Machine Learning: An Exploratory Study
Authors: Montaser Eslam , Brown Sue A. , DeBoer Mark D. , Farhy Leon S. 
Published: November 2023

Background: Detection of two or more autoantibodies (Ab) in the blood might describe those individuals at increased risk of developing type 1 diabetes (T1D) during the following years. The aim of this exploratory study is to propose a high versus low T1D risk classifier using machine learning technology based on continuous glucose monitoring (CGM) home data. Methods: Forty-two healthy relatives of people with T1D with mean ± SD age of 23.8 ± 10.5 years, HbA1c (glycated hemoglobin) of 5.3% ± 0.3%, and BMI (body mass index) of 23.2 ± 5.2 kg/m2 with zero (low risk; N = 21), and ≥2 (high risk; N = 21) Ab, were enrolled in an NIH (National Institutes of Health)-funded TrialNet ancillary study. Participants wore a CGM for a week and consumed three standardized liquid mixed meals (SLMM) instead of three breakfasts. Glycemic features were extracted from two-hour post-SLMM CGM traces, compared across groups, and used in four supervised machine learning Ab risk status classifiers. Recursive Feature Elimination (RFE) algorithm was used for feature selection; classifiers were evaluated through 10-fold cross-validation, using the receiver operating characteristic area under the curve (AUC-ROC) to select the best classification model. Results: The percent time of glucose >180 mg/dL (T180), glucose range, and glucose CV (coefficient of variation) were the only significant differences between the glycemic features in the two groups with P values of .040, .035, and .028 respectively. The linear SVM (Support Vector Machine) model with RFE features achieved the best performance of classifying low-risk versus high-risk individuals with AUC-ROC = 0.88. Conclusions: A machine learning technology, combining a potentially self-administered one-week CGM home test, has the potential to reliably assess the T1D risk.
Prognostic and clinicopathological impacts of systemic immune-inflammation index on patients with diffuse large B-cell lymphoma: a meta-analysis
Authors: Fan Zaijing , Shou Lihong 
Published: November 2023

Background: The systemic immune-inflammation index (SII) represents the immunoinflammatory score and can be considered as a prognostic marker; however, its relevance to the prognosis in patients with diffuse large B-cell lymphoma (DLBCL) remains unclear. Objectives: The present meta-analysis was conducted to comprehensively evaluate the relationship between the SII and prognosis in patients with DLBCL. Design: This meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Data sources and methods: The PubMed, Web of Science, Embase, and Cochrane Library databases were comprehensively searched from inception to 16 March 2023. We calculated combined hazard ratios (HRs) and 95% confidence intervals (CIs) to estimate the prognostic significance of the SII for overall survival (OS) and progression-free survival (PFS) in DLBCL. In addition, this study determined odds ratios (ORs) and their 95% CIs to evaluate the correlation of SII with the clinicopathological features of DLBCL. Results: Five articles including 592 cases were enrolled in the current meta-analysis. According to our combined findings, the higher SII significantly predicted worse OS (HR = 3.87, 95% CI: 2.48–6.04, p < 0.001) together with inferior PFS (HR = 2.38, 95% CI: 1.12–5.08, p = 0.024) in DLBCL. Furthermore, a high SII was significantly correlated with B symptoms (OR = 2.52, 95% CI: 1.66–3.81, p < 0.001), III–IV Ann Arbor stage (OR = 2.86, 95% CI: 1.84–4.45, p < 0.001), high–intermediate/high National Comprehensive Cancer Network International Prognostic Index (OR = 2.25, 95% CI: 1.52–3.31, p < 0.001), increased neutrophil-to-lymphocyte ratio (OR = 33.76, 95% CI: 17.18–66.35, p < 0.001), and increased platelet-to-lymphocyte ratio (OR = 44.65, 95% CI: 5.80–343.59, p < 0.001). Nonetheless, the SII was not significantly related to sex, age, lactic dehydrogenase level, Eastern Cooperative Oncology Group performance status, or histology. Conclusion: According to this meta-analysis, the higher SII dramatically predicted inferior OS and PFS of DLBCL. Furthermore, an increased SII significantly correlated with some clinicopathological features representing the disease progression of DLBCL. Trial registration: The protocol was registered in INPLASY under the number INPLASY202380106.
Moving from development to implementation of digital innovations within the NHS: myHealthE, a remote monitoring system for tracking patient outcomes in child and adolescent mental health services
Authors: Morris Anna C , Ibrahim Zina , Moghraby Omer S , Stringaris Argyris , Grant Ian M , Zalewski Lukasz , McClellan Stuart , Moriarty Garry , Simonoff Emily , Dobson Richard JB , Downs Johnny 
Published: November 2023

Objective This paper aims to report our experience of developing, implementing, and evaluating myHealthE (MHE), a digital innovation for Child and Adolescents Mental Health Services (CAMHS), which automates the remote collection and reporting of Patient-Reported Outcome Measures (PROMs) into National Health Services (NHS) electronic healthcare records. Methods We describe the logistical and governance issues encountered in developing the MHE interface with patient-identifiable information, and the steps taken to overcome these development barriers. We describe the application's architecture and hosting environment to enable its operability within the NHS, as well as the capabilities needed within the technical team to bridge the gap between academic development and NHS operational teams. Results We present evidence on the feasibility and acceptability of this system within clinical services and the process of iterative development, highlighting additional functions that were incorporated to increase system utility. Conclusion This article provides a framework with which to plan, develop, and implement automated PROM collection from remote devices back to NHS infrastructure. The challenges and solutions described in this paper will be pertinent to other digital health innovation researchers aspiring to deploy interoperable systems within NHS clinical systems.
Construction of disulfidptosis-related lncRNA signature for predicting the prognosis and immune escape in colon adenocarcinoma
Authors: Chen Pan , Yu Jun , Luo Qian , Li Jie , Wang Wei 
Published: November 2023

AbstractColon adenocarcinoma (COAD) is one of the most frequent types of cancer worldwide. Disulfidptosis has been identified as a new mode of cell death recently. The goal of this study was to explore the possibility of a connection between disulfidptosis and COAD. RNA sequencing data from COAD patients were retrieved from the The Cancer Genome Atlas (TCGA) database for this investigation. R software and various methods were used to identify disulfidptosis-related lncRNAs (DRLs) in COAD, and a prognostic model was created based on 6 DRLs (AP003555.1, AL683813.1, SNHG7, ZEB1-AS1, AC074212.1, RPL37A-DT). The prognostic model demonstrated a good accuracy in predicting the prognosis of COAD patients, according to receiver operating characteristic (ROC) curve and Concordance index (C-index) analyses. Gene Ontology (GO) enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis revealed significant differences in biological functions and signaling pathways involved in differential genes in risk subgroups, including protein − DNA complex subunit organization, Hippo signaling pathway, Wnt signaling pathway. TIDE analysis was done on risk groupings in this study, and it found that patients in the high-risk group had more immune escape potential and were less probable to react to immunotherapy. Real-time quantitative pcr (qRT-PCR) was used to identify the relatively high expression of 6 DRLs in colon cancer cell lines. In summary, 6 DRLs were identified as possible novel molecular therapy targets for COAD in this investigation. This prognostic model has the potential to be a novel tool for forecasting COAD prognosis in clinical practice, as well as providing new insights on the potential function and mechanism of disulfidptosis in the COAD process.
Stroke as initial manifestation of non-small cell lung cancer with Trousseau syndrome
Authors: Hong Weiping , Zhang Tongtong , Shan Changguo , Li Hainan , Lin Tao , Liu Da , Zhen Junjie , Li Juan , Lai Mingyao , Zhou Zhaoming , Zhou Cheng , Zhou Meijuan , Wang Minghua , Cai Linbo , Wen Lei 
Published: November 2023

Abstract
Objective
Stroke is a rare but fatal complication of advanced cancer with Trousseau syndrome, especially as initial symptoms. Here, we report the clinical characteristics, treatment, and prognosis of patients with non-small cell lung cancer (NSCLC) who initially presenting with acute multiple cerebral infarction.

Methods
The clinical characteristics, imaging, treatment, and oncological outcomes of 10 patients diagnosed with Trousseau syndrome and NSCLC between 2015 and 2021 at Guangdong Sanjiu Brain Hospital were retrospectively collected and analyzed. The clinical course of two typical cases were presented.

Results
All 10 patients with pathologically confirmed lung adenocarcinoma initially presented with neurological symptoms, including hemiplegic paralysis (7 patients, 70%), dizziness (5 patients, 50%), and unclear speech (3 patients, 30%). The median age was 63.5 years. Eight and two cases were stage III and IV, respectively, at the initial diagnosis. Five patients underwent driver gene testing, revealing three patients with EGFR-sensitive mutations, one patient with ALK fusion, and one patient with wild-type EGFR. All 10 patients received antiplatelet therapy, and six patients subsequently received anti-cancer treatment. The median overall survival of the patients was 8.5 months (95% confidence interval) and 1-year survival rate was 57.1%. Patients who received antitumor treatment, especially those harboring driver gene mutations and received tyrosine kinase inhibitors, had better neurological symptom recovery and superior oncological prognosis (median overall survival, not reached versus 7.4 months, p = 0.038).

Conclusion
Trousseau syndrome, presenting as multiple cerebral infarctions, is a rare complication of lung adenocarcinoma. Both antiplatelet and antitumor treatment are recommended to achieve better neurological recovery and oncological prognosis in these patients.
Body Mass Index Asian populations category and stroke and heart disease in the adult population: a longitudinal study of the Indonesia Family Life Survey (IFLS) 2007 and 2014
Authors: Latief Kamaluddin , Nurrika Dieta , Tsai Min-Kuang , Gao Wayne 
Published: November 2023

Abstract
Background
A substantially elevated Body Mass Index (BMI) is one of the largest global modifiable risk factors for stroke and heart diseases. Most studies classify BMI according to the WHO BMI cut-off point in stroke and heart disease studies. However, there is a limited understanding of the association between the BMI cut-off point in the Asian population category and stroke and heart disease. This study aimed to investigate the incidence rate ratio of stroke and heart disease by BMI categories for the Asian population.

Methods
A 7-year prospective longitudinal study (2007–2014) was conducted on 6,688 adult Indonesian individuals (≥ 35 years) residing across 13 different provinces in Indonesia during the survey periods. Data on BMI were collected in 2007. Information on stroke and heart disease was obtained in both 2007 and in 2014. A multivariate-adjusted Poisson regression model was used to estimate the incidence rate ratio (IRR) and 95% confidence intervals (CIs) of either stroke or heart disease or both stroke and heart disease by BMI.

Results
Among the 6,688 eligible participants, 334 (5%) were judged as stroke and heart disease in 2014. The IRR (95% CI) of stroke and heart disease for participants with obesity was 2.57 (1.64–4.04) compared with those within normal weight. This incidence rate ratio was more pronounced among middle-aged adults (< 55 years) rather than the older adults (≥55 years).The IRR of stroke and heart disease among obese middle-aged adults was 4.18 (95% CI 2.10–8.31).

Conclusions
An association was observed between obesity and the risk of stroke and heart disease, especially in middle-aged adults. These findings suggest that lowering BMI through the adoption of healthy dietary habits and increasing physical activity, particularly among middle-aged adults with high education, occupational employment, and residence in either urban or rural areas, may be beneficial for preventing stroke and heart disease.