bluuebunny/crossref_metadata_2025_split huggingface dataset:
CancelRx case study: implications for clinic and community pharmacy work systems
Authors: Watterson Taylor L. , Stone Jamie A. , Kleinschmidt Peter C. , Chui Michelle A. 
Published: December 2023

Abstract
Background
Medication prescribing and discontinuation processes are complex and involve the patient, numerous health care professionals, organizations, health information technology (IT). CancelRx is a health IT that automatically communicates medication discontinuations from the clinic electronic health record to the community pharmacy dispensing platform, theoretically improving communication. CancelRx was implemented across a Midwest academic health system in October 2017. The health system also operates 15 outpatient community pharmacies.

Objective
The goal of this qualitative study was to describe how both the clinic and community pharmacy work systems change and interact over time regarding medication discontinuations, before and after CancelRx implantation.

Approach
Medical Assistants (n = 9), Community Pharmacists (n = 12), and Pharmacy Administrators (n = 3), employed by the health system were interviewed across 3-time periods between 2017 and 2018— 3-months prior to CancelRx implementation, 3-months after CancelRx implementation, and 9-months after CancelRx implementation. Interviews were audio recorded, transcribed, and conducted a hybrid analysis with deductive content analysis following the Systems Engineering Initiative for Patient Safety (SEIPS) framework and inductive analysis to capture additional codes and themes.

Key results
CancelRx changed the medication discontinuation process at both clinics and community pharmacies. In the clinics, the workflows and medication discontinuation tasks changed over time while MA roles and clinic staff communication practices remained variable. In the pharmacy, CancelRx automated and streamlined how medication discontinuation messages were received and processed, but also increased workload for the pharmacists and introduced new errors.

Conclusions
This study utilizes a systems approach to assess disparate systems within a patient network. Future studies may consider health IT implications for systems that are not in the same health system as well as assessing the role of implementation decisions on health IT use and dissemination.
Perceived barriers of migrants and refugees to vaccinate their children against Measles and polio: a study in Iran
Authors: Nasiri Amir , Farshidi Hossein , Rezaei Farshid , Dehdari Tahereh , Kazemi Afrouzeh , Rezapour Hamid , Goshtaei Massomeh 
Published: December 2023

Abstract
Background
This study examined the perceived barriers of migrants and refugees to vaccinating their children against measles and polio in Iran.

Methods
First, an instrument was developed and validated through several steps. Next, 1,067 parents who had not vaccinated their children against polio and measles or had delayed receiving any dose of these two vaccines until the age of 15 were selected from 16 provinces and completed the instrument. Finally, the data were analyzed.

Results
The results of the explanatory factor analysis showed that the perceived barriers affecting vaccination against polio and measles vaccines were categorized into five factors: low knowledge, negative attitude, communication challenges, lack of participation in vaccination programs, and problems related to migration and refugees. Additionally, the results indicated a significant difference in the mean score of perceived barriers based on participants’ level of education, economic status, and nationality.

Conclusion
The identified barriers may provide a perspective for developing effective efforts in this area. Interventions should focus on parents with low education and poor economic status.
Y chromosome microdeletions in Chinese men with infertility: prevalence, phenotypes, and intracytoplasmic sperm injection outcomes
Authors: Chen Dongjia , Fan Guoqing , Zhu Xianqing , Chen Qinyun , Chen Xuren , Gao Feng , Guo Zexin , Luo Peng , Gao Yong 
Published: December 2023

Abstract
Background
The incidence of Y chromosome microdeletions varies among men with infertility across regions and ethnicities worldwide. However, comprehensive epidemiological studies on Y chromosome microdeletions in Chinese men with infertility are lacking. We aimed to investigate Y chromosome microdeletions prevalence among Chinese men with infertility and its correlation with intracytoplasmic sperm injection (ICSI) outcomes.

Methods
This single-center retrospective study included 4,714 men with infertility who were evaluated at the Reproductive Center of the First Affiliated Hospital of Sun Yat-sen University between May 2017 and January 2021. Semen analysis and Y-chromosome microdeletion via multiplex polymerase chain reaction were conducted on the men. The study compared outcomes of 36 ICSI cycles from couples with male azoospermia factor (AZF)cd deletions with those of a control group, which included 72 ICSI cycles from couples without male Y chromosome microdeletions, during the same period. Both groups underwent ICSI treatment using ejaculated sperm.

Results
Among 4,714 Chinese men with infertility, 3.31% had Y chromosome microdeletions. The combined deletion of sY254 and sY255 in the AZFc region and sY152 in the AZFd region was the prevalent pattern of Y chromosome microdeletion, with 3.05% detection rate. The detection rates of AZF deletions in patients with normal total sperm count, mild oligozoospermia, severe oligozoospermia, cryptozoospermia, and azoospermia were 0.17%, 1.13%, 5.53%, 71.43%, and 7.54%, respectively. Compared with the control group, the AZFcd deletion group exhibited no significant difference in the laboratory results or pregnancy outcomes of ICSI cycles using ejaculated sperm.

Conclusions
This is the largest epidemiological study on Y chromosome microdeletions in Chinese men with infertility. The study results underline the necessity for detecting Y chromosome microdeletion in men with infertility and severe sperm count abnormalities, especially those with cryptozoospermia. The combined deletion of sY254 and sY255 in the AZFc region and sY152 in the AZFd region was the most prevalent Y chromosome microdeletion pattern. Among patients with AZFcd deletion and ejaculated sperm, ICSI treatment can result in pregnancy outcomes, similar to those without AZFcd deletion.
Human resource management research in healthcare: a big data bibliometric study
Authors: Qin Xiaoping , Huang Yu-Ni , Hu Zhiyuan , Chen Kaiyan , Li Lin , Wang Richard Szewei , Wang Bing-Long 
Published: December 2023

AbstractHuman resource management (HRM) in healthcare is an important component in relation to the quality and efficiency of healthcare delivery. However, a comprehensive overview is lacking to assess and track the current status and trends of HRM research in healthcare. This study aims to describe the current situation and global trends in HRM research in healthcare as well as to indicate the frontiers and future directions of research. The research methodology is based on bibliometric mapping using scientific visualization software (VOSviewer). The data were collected from the Web of Science(WoS) core citation database. After applying the search criteria, we retrieved 833 publications, which have steadily increased over the last 30 years. In addition, 93 countries and regions have published relevant research. The United States and Australia have made significant contributions in this area. Current research articles focus on topics clustered into performance, hospital/COVID-19, job satisfaction, human resource management, occupational/mental health, and quality of care. The most frequently co-occurring keywords are human resource management, job satisfaction, nurses, hospitals, health services, quality of care, COVID-19, and nursing. There is limited research on compensation management and employee relations management, so the current HRM research field still has not been able to present a complete and systematic roadmap. We propose that our colleagues should consider focusing on these research gaps in the future.
Systems analysis of the effects of the 2014-16 Ebola crisis on WHO-reporting nations’ policy adaptations and 2020-21 COVID-19 response: a systematized review
Authors: Hanson-DeFusco Jessi , Shi Min , Du Zoe , Zounon Ornheilia , Hounnouvi Fidèle Marc , DeFusco Albert 
Published: December 2023

Abstract
Background
Recent case studies indicate that the 2014-2016 Ebola outbreak, one of the worst pre-2020 global biological catastrophes in modern history, helped some nations to better prepared their responses for the COVID-19 pandemic. While such national case studies explore how specific nations applied EVD-related policies in their domestic battle against the COVID-19 pandemic, there is no known study that assesses how many WHO nations learned from the West African crisis and to what scale.

Objective
Applying the policy legacies analytical framework and a systematized literature review, this research examines how prior policy experiences with the 2014-16 EVD crisis as a large-scale emergent outbreak helped to inform and to condition WHO nations to proactively prepare their national policies and health systems for future threats, including ultimately COVID-19.

Methods
A systematized literature review of 803 evaluated sources assesses to what extent Ebola-affected and non-affected nations directly modified governmental health systems in relation to this warning. The study further evaluates how nations with documented Ebola-related changes fared during COVID-19 compared to nations that did not. We present a categorical theoretical framework that allows for classifying different types of national response activities (termed conditioned learning).

Results
Ten (90.9%) of 11 nations that were affected by 2014-16 Ebola crisis have documented evidence of repurposing their EVD-related policies to fight COVID-19. 164 (70.0%) of 234 non-EVD-affected nations had documented evidence of specifically adapting national systems to incorporate policy recommendations developed from the 2014-16 crisis, which informed their COVID-19 responses in 2020.

Conclusions
The shock of 2014-16 EVD outbreak affected most nations around the world, whether they experienced Ebola cases. We further develop a categorical framework that helps characterised nations previous experiences with this biological catastrophe, providing a means to analyse to what extent that individual nations learned and how these EVD-related changes helped inform their COVID-19 response. Nations that demonstrated EVD-related conditioned learning nations tended to have more stringent COVID-19 responses before April 2020 and utilized documented response mechanisms developed out of the West African crisis.
Application of myocardial work in predicting adverse events among patients with resistant hypertension
Authors: Luo Limin , Wang Yongshi , Hou Huiping , Liu Qiang , Xie Zehan , Wu Qiaoyan , Shu Xianhong 
Published: December 2023

Abstract
Background
Hypertension is the most common chronic disease and the leading risk factor for disability and premature deaths worldwide. Approximately 10–20% of all patients with hypertension and 15–18% of the general population who are treated for hypertension have resistant hypertension (RH). Patients with RH have a higher risk of end-organ damage, such as carotid intima–media thickening, retinopathy, left ventricular hypertrophy and heart failure, myocardial infarction, stroke, impaired renal function, and death than those with controlled blood pressure. In the present study, we applied echocardiography to patients with RH to evaluate myocardial work (MW) and determine whether it is predictive for the occurrence of adverse events within 3 years.

Methods
We included 283 outpatients and inpatients aged ≥ 18 years who met the clinical criteria for RH, without arrhythmia and severe aortic valve stenosis, between July 2018 and June 2019. The patients were followed up for 3 years from starting enrollment, and any adverse event that occurred during the period was used as the observation end point. Each enrolled patient underwent a complete transthoracic echocardiogram examination, blood pressure was measured and recorded, and MW was then analyzed.

Results
Eighty-two (28.98%) patients with RH had adverse events, such as myocardial infarction (n = 29, 35.36%), heart failure (n = 4, 0.05%), renal insufficiency (n = 40, 48.78%), renal failure (n = 2, 0.02%), cerebral infarction (n = 5, 0.06%), and cerebral hemorrhage (n = 2, 0.02%), and no death events occurred. In patients with RH and adverse events, global longitudinal strain (GLS) (− 16% vs. − 18%), the global work index (2079 mmHg% vs. 2327 mmHg%), global constructive work (2321 mmHg% vs. 2610 mmHg%), and global work efficiency (93% vs. 94%) were lower than those in patients without adverse events. However, global wasted work (GWW) was higher in patients with RH and adverse events than in those without adverse events (161 mmHg% vs. 127 mmHg%). GLS and GWW were the most significant in predicting adverse events.

Conclusions
MW, especially GLS and GWW, is a good method to predict 3-year adverse events in patients with RH.

Graphical Abstract
Nano-level assay of attention-deficit/hyperactivity disorder medicament, atomoxetine by molecular-size-based resonance rayleigh scattering strategy. Employment in content uniformity, dosage form, and plasma analysis
Authors: Abu-hassan Ahmed A. 
Published: December 2023

AbstractThe psychoanaleptic medication atomoxetine (ATX) is prescribed to cure attention-deficit hyperactivity syndrome. ATX works by selective prevention of norepinephrine reuptake. It acts by raising the brain’s natural level of norepinephrine, which is necessary for behavior regulation. In this study, a sensitive and practical experimental method was employed to analyze the presence of ATX. The approach utilized a green chemistry-compatible technique, known as a one-pot experiment. The main principle behind this method was the use of molecular-size-dependant resonance Rayleigh scattering (RRS) phenomenon, which occurred due to the interaction between the dual complex of Cilefa Pink B and ATX. When ATX medication and Cilefa Pink B were combined in an acidic environment, they formed an association complex, leading to an amplification of the RRS signal. This amplification directly correlated with the concentration of ATX, specifically within the range of 40-1250 ng/mL. The RRS signal was monitored at a wavelength of 352 nm. The sensitivity of the method was demonstrated by the determination of the limit of detection (LOD) at 12.9 ng/mL and the limit of quantitation (LOQ) at 39.2 ng/mL. The variables of the method were thoroughly investigated and optimized. To ensure the reliability of the method, it was validated according to the International Council for Harmonisation (ICH) guidelines. Furthermore, the method was successfully applied to analyze ATX in its prescribed dosage form. The achievement of using the established resonance Rayleigh scattering (RRS) technology to analyze the target drug in plasma and ensure content uniformity was a remarkable feat.
Antibiofilm activity of biosynthesized silver and copper nanoparticles using Streptomyces S29
Authors: Elshaer Soha , Shaaban Mona I. 
Published: December 2023

AbstractMicrobial resistance and biofilm formation have been considered as the main problems associated with microbial resistance. Several antimicrobial agents cannot penetrate biofilm layers and cannot eradicate microbial infection. Therefore, the aim of this study is the biological synthesis of silver and copper nanoparticles to assess their activities on bacterial attachment and on the viability of dormant cells within the biofilm matrix. Ag-NPs and Cu-NPs were biosynthesized using Streptomyces isolate S29. The biologically synthesized Ag-NPs and Cu-NPs exhibited brown and blue colors and were detected by UV/Vis spectrophotometry at 476 and 594 nm, respectively. The Ag-NPs showed an average size of 10–20 nm as indicated by TEM, and 25–35 nm for Cu-NPs. Both Ag-NPs and Cu-NPs were monodispersed with a polydispersity index of 0.1–0.546 and zeta potential were − 29.7, and − 33.7 mv, respectively. The biologically synthesized Ag-NPs and Cu-NPs significantly eliminated bacterial attachment and decreased the viable cells in the biofilm matrix as detected by using crystal violet and tri-phenyl tetrazolium chloride assays. Furthermore, Ag-NPs and Cu-NPs significantly eradicated mature biofilms developed by various Gram-negative pathogens, including A. baumannii, K. pneumoniae and P. aeruginosa standard strains and clinical isolates. Data were also confirmed at the molecular level with prominent elimination of biofilm gene expression carO, bssS and pelA in A. baumannii, K. pneumoniae and P. aeruginosa, respectively compared to untreated cells under the same conditions. As indicated, Ag-NPs and Cu-NPs could be used as adjuvant therapy in eradication of antibiotic resistance and biofilm matrix associated with Gram-negative bacterial infection.
Graphical Abstract
Piano score rearrangement into multiple difficulty levels via notation-to-notation approach
Authors: Suzuki Masahiro 
Published: December 2023

AbstractMusical score rearrangement is an emerging area in symbolic music processing, which aims to transform a musical score into a different style. This study focuses on the task of changing the playing difficulty of piano scores, addressing two challenges in musical score rearrangement. First, we address the challenge of handling musical notation on scores. While symbolic music research often relies on note-level (MIDI-equivalent) information, musical scores contain notation that cannot be adequately represented at the note level. We propose an end-to-end framework that utilizes tokenized representations of notation to directly rearrange musical scores at the notation level. We also propose the ST+ representation, which includes a novel structure and token types for better score rearrangement. Second, we address the challenge of rearranging musical scores across multiple difficulty levels. We introduce a difficulty conditioning scheme to train a single sequence model capable of handling various difficulty levels, while leveraging scores from various levels in model training. We collect commercial-quality pop piano scores at four difficulty levels and train a MEGA model (with 0.3M parameters) to rearrange between these levels. Objective evaluation shows that our method successfully rearranges piano scores into other three difficulty levels, achieving comparable difficulty to human-made scores. Additionally, our method successfully generates musical notation including articulations. Subjective evaluation (by score experts and musicians) also reveals that our generated scores generally surpass the quality of previous rule-based or note-level methods on several criteria. Our framework enables novel notation-to-notation processing of scores and can be applied to various score rearrangement tasks.
Carcinogenic risk of food additive AF-2 banned in Japan: a case study on reassessment of genotoxicity
Authors: Yamada Masami , Suzuki Takayoshi , Kohara Arihiro , Honma Masamitsu 
Published: December 2023

Abstract
Background
Carcinogenic risk assessment studies have been repeatedly improved and are still being debated to find a goal. Evaluation might be changed if new approaches would be applied to some chemicals which means that new approaches may change the final assessment. In this paper, the risk assessment of a chemical, in particular the proper carcinogenicity, is examined using the long-banned food additive, 2-(2-furyl)-3-(5-nitro-2-furyl)-acrylamide, AF-2, as a case study.

Results
First, Ames tests were carried out using strains TA1535, TA100, TA1538, and TA98 and their nitroreductase-deficient strains YG7127, YG7128, YG7129, and YG7130. The results showed that mutagenic activity was reduced by about 50% in the nitroreductase-deficient strains, indicating that part of the mutagenic activity shown in Ames test was due to bacterial metabolism. Second, in vivo genotoxicity tests were conducted, including the one that had not been developed in 1970’s. Both a micronucleus test and a gene mutation assay using transgenic mice were negative. Third, assuming it is a genotoxic carcinogen, the virtual safety dose of 550 μg/day was calculated from the TD50 in rats with a probability of 10−5.

Conclusion
AF-2 has been shown to be carcinogenic to rodents and has previously been indicated to be genotoxic in vitro. However, the present in vivo genotoxicity study, it was negative in the forestomach, a target organ for cancer, particularly in the gene mutation assay in transgenic mice. Considering the daily intake of AF-2 in the 1970s and its virtually safety dose, the carcinogenic risk of AF-2 could be considered acceptable.
Evaluation of augmentative biological control options against fruit and shoot borer, Conogethes punctiferalis (Guenée) (Lepidoptera: Crambidae) in guava in India
Authors: Singh Sandeep , Singh Vikramjeet , Shera P. S. , Siraj Masrat , Sandhu Rajwinder Kaur , Maredia Karim 
Published: December 2023

Abstract
Background
Conogethes punctiferalis (Guenée) (Lepidoptera: Crambidae) has emerged as one of the important pests of guava in Punjab, India. Chemical insecticides have been used for its management, which could have serious implications on environmental and human health. As an alternative to chemical insecticides, biocontrol is the most appropriate alternative for its eco-friendly management. Two field experiments were therefore, conducted to evaluate efficacy of two biocontrol agents, Trichogramma chilonis Ishii (Hymenoptera: Trichogrammatidae) (egg parasitoid) and Chelonus blackburni Cameroon (Hymenoptera: Braconidae) (egg-larval parasitoid) against the borer during rainy season, 2020 and winter season, 2020–21.

Results
Four releases of both parasitoids at various dosages were carried out at weekly intervals starting from first week of July in rainy season and first week of October in winter season. Trichogramma chilonis @ 2000 parasitized eggs per tree was the best in reducing the fruit damage and increasing yield and net income over check in both rainy as well as winter season crops. There was 73.6% reduction in damage over control, 1.70 Metric tons (MT) increase in yield over control and 258.36 US $ per acre increase in net income over control in rainy season crop. During winter season, there was 62.5% reduction in damage, 1.98 MT increase in yield and 488.23 US $ per acre increase in net income over control.

Conclusion
Four augmentative releases of T. chilonis @ 2000 parasitized eggs per tree successfully controlled the fruit and shoot borer incidence in guava during rainy and winter season.