bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative analysis of health status and health service utilization patterns among rural and urban elderly populations in Hungary: a study on the challenges of unhealthy aging
Authors: Kovacs Nora , Piko Peter , Juhasz Attila , Nagy Csilla , Oroszi Beatrix , Ungvari Zoltan , Adany Roza 
Published: October 2023

AbstractThe demographic transition poses a significant challenge for health systems, especially in Central and Eastern European (CEE) countries, where the healthcare needs of aging populations are on the rise. This study aimed to describe and compare the health status and utilization of health services among the elderly residing in urban and rural areas of the most deprived region in Hungary. A comprehensive health survey was conducted in 2022, involving a randomly selected sample of 443 older adults (≥ 65 years) in Northeast Hungary. Multivariable logistic regression models adjusting for age, sex, education, financial status, chronic diseases, and activity limitations were used to investigate the association between type of residence and health service use. Among the study participants, 62.3% were female, 38.3% attained primary education, 12.5% reported a bad or very bad financial situation and 52.6% lived in urban areas. Overall, 24% of the elderly rated their health as very good or good (27.8% in urban and 19.7% in rural areas), while 57.8% (52.6% and 63.5% in urban and rural areas) reported limitations in daily activities. Compared to urban residents, rural residents reported lower rates of dentist visits (p = 0.006), specialist visits (p = 0.028), faecal occult blood testing (p < 0.001), colorectal cancer screening with colonoscopy (p = 0.014), and breast cancer screening (p = 0.035), and a higher rate of blood pressure measurement (p = 0.042). Multivariable models indicated that urban residence was positively associated with faecal occult blood testing (OR = 2.32, p = 0.014), but negatively associated with blood pressure (OR = 0.42, p = 0.017) and blood glucose measurements (OR = 0.48, p = 0.009). These findings highlight the influence of residence on health service utilization among older adults in Hungary. Further comprehensive studies are needed to better understand the health needs of the elderly population and to develop policies aimed at promoting healthy aging in CEE countries.
Predictors of Housing Trajectories Among Young Adults Experiencing Homelessness in Los Angeles
Authors: Pedersen Eric R. , DiGuiseppi Graham , D’Amico Elizabeth J. , Rodriguez Anthony , Tran Denise D. , Jose Rupa , Tucker Joan S. 
Published: October 2023

AbstractExperiencing homelessness during young adulthood is associated with negative health outcomes and understanding housing trajectories of young adults experiencing homelessness may aid in the development of evidence-based public health programs designed to serve this at-risk age group. In the present study, the authors examined baseline predictors of 24-month trajectories of housing stability and unsheltered housing among a sample of 271 young adults aged 18 to 25 recruited from drop-in centers in Los Angeles. In multivariate models, the authors found that identifying as multi-racial/other and better friendship quality at baseline were associated with less steep increases in the likelihood of stable housing over time. Being employed at baseline was associated with a less steep decrease in the probability of being unsheltered over time, while illicit drug use days associated with a steeper decrease in the probability of being unsheltered over time. Continued research is needed to establish important factors determining young adults’ long-term housing trajectories in the effort to promote greater access and engagement with housing services.
Reliability of the DSS-Swe Questionnaire
Authors: Jans Anders , Rask Eva , Ottosson Johan , Magnuson Anders , Szabo Eva , Stenberg Erik 
Published: October 2023

Abstract
Background
Symptomatic postbariatric hypoglycemia (PBH) is a known complication that can occur a few years after Roux-en-Y gastric bypass (RYGB). There is currently no established rating scale for PBH-associated symptoms developed for use in Swedish populations. The aim of the study was to translate an already existing questionnaire into Swedish and to test its reliability.

Methods
The study included forward and backward translations of the original Dumping Severity Scale (DSS) questionnaire with 8 items regarding symptoms of early dumping and 6 items regarding hypoglycemia, with each item graded on a 4-point Likert scale. The reliability of the Swedish translated questionnaire (DSS-Swe) was estimated using internal consistency and test–retest methods.

Results
A total of 200 patients were included in the study. Good internal consistency was demonstrated regarding the items related to early dumping symptoms, with a Cronbach’s alpha coefficient of 0.82, and very good agreement in terms of test–retest reliability, with an overall intraclass correlation coefficient (ICC) of 0.91 (95% CI 0.88–0.93). The items related to hypoglycemia yielded a good Cronbach’s alpha coefficient of 0.76 and an ICC of 0.89 (95% CI 0.85–0.91).

Conclusion
The DSS-Swe questionnaire shows good reliability regarding both internal consistency and test–retest performance for use in Swedish populations.

Graphical Abstract
A technical feasibility study on adaptation of a microsurgical robotic system to an intraoperative complication management in dental implantology: perforated Schneiderian membrane repair using Symani® Surgical System
Authors: Wieker Henning , Hinrichs Cedric , Retzlaff Merle , Spille Johannes Heinrich , Laudien Martin , Acil Yahya , Wiltfang Jörg , Gülses Aydin 
Published: October 2023

AbstractThe aim of the current study was to test the technical and clinical feasibility of a robotic system and investigate its potential in the surgical repair of perforated Schneiderian membranes using an ex-vivo porcine model. Eight pig heads were operated conventionally via a surgical loop and eight pig heads with the surgical robot “Symani® Surgical System” (Medical Microinstruments, Inc., Pisa, Italy). On each specimen, the Schneiderian membrane was incised over a length of 0.7 mm resembling a perforation. Operation time, the maximum sinusoidal pressure, the course of the pressure and the filling volume were measured. Additionally, adaptation of the wound edges has been detected via scanning electron microscopy. There were no significant differences for the pressure maximum (p = 0.528), for the time until the pressure maximum was reached (p = 0.528), or for the maximum filling volume (p = 0.674). The time needed for the suturing of the membrane via robotic surgery was significantly longer (p < 0.001). However, the scanning electron microscope revealed a better adaptation of the wound edges with robotic surgery. The technical feasibility of robot-assisted suturing of Schneiderian membrane laceration using the robotic system has been confirmed for the first time. No differences considering the pressure resistance compared to the conventional repair could be observed, but advantages in wound adaptation could be found with an electron microscope. Regarding the material and training costs and limited indications spectrum, robotic surgery systems still might not present financially feasible options in the daily dental practice yet.
Association between non-dipping blood pressure pattern and different glucometabolic profile during oral glucose tolerance test
Authors: Condoleo Valentino , Maio Raffaele , Cassano Velia , Bonfrate Leonilde , Pelaia Corrado , Armentaro Giuseppe , Miceli Sofia , Fiorentino Teresa Vanessa , Perticone Maria , Succurro Elena , Andreozzi Francesco , Sesti Giorgio , Sciacqua Angela 
Published: October 2023

AbstractIt is known that, a not physiological blood pressure (BP) circadian pattern has been associated with increased risk of organ damage and cardiovascular (CV) event. The aim of this study was to assess the association between circadian BP pattern and glucometabolic phenotypes occurring after oral glucose tolerance test (OGTT). We recruited 810 hypertensive Caucasian patients. All participants underwent to OGTT, laboratory test and 24-h ambulatory BP monitoring (ABPM). The analysis of collected data allowed classifying patients based on nocturnal BP profiles into four categories: dippers, non-dippers, extreme dippers, and reverse dippers. Considering the dipping pattern, the proportion of non-dippers in normal glucose tolerance patients with 1-h glucose ≥ 155 mg/dL (NGT ≥ 155) (36.4%) was higher than NGT < 155 (29.6%) and impaired glucose tolerance (IGT) (34.8%), but lower than type 2 diabetes group (T2DM) (52.6%) (p = 0.001). The proportion of dippers was lower in NGT ≥ 155 (47%) and T2DM (34.6%), when compared with NGT < 155 (53.8%) and IGT (51.2%) (p = 0.017). From logistic regression analysis, 1-h glucose ≥ 155 increased the risk of a pathological nocturnal drop in BP by 74%, (OR = 1.740, 95% CI 1.254–2.415, p < 0.0001). In addition, the improvement in 1 unit of Matsuda was responsible for a 3.5% risk decrease (OR = 0.965, 95% CI 0.958–0.971, p < 0.0001), while e-GFR determined a 0.9% risk reduction of nocturnal BP drop (OR = 0.991, 95% CI 0.984–0.999, p = 0.020). Our data demonstrated the existence, in newly diagnosed hypertensive patients, of an association between circadian BP profile and altered glycemic response during OGTT, in particular NGT ≥ 155 subjects are associated with a non-dipper BP pattern, this is clinically relevant because may explain, at least in part, the increased CV risk in this setting of patients.
Lymph Node Dissection in Upper Tract Urothelial Carcinoma: Current Status and Future Perspectives
Authors: Dłubak Andrzej , Karwacki Jakub , Logoń Katarzyna , Tomecka Paulina , Brawańska Kinga , Krajewski Wojciech , Szydełko Tomasz , Małkiewicz Bartosz 
Published: October 2023

Abstract
Purpose of Review
This narrative review aims to evaluate the role of lymph node dissection (LND) in upper tract urothelial carcinoma (UTUC) and its implications for staging and management outcomes, as well as future perspectives.

Recent Findings
Multiple studies have demonstrated the limitations of conventional imaging techniques in accurately localizing lymph node metastasis (LNM) in UTUC. While 18F-fluorodeoxyglucose positron emission tomography with computed tomography (18FDG-PET/CT) shows promise for preoperative LNM detection, its specificity is low. Alternative methods such as choline PET/CT and sentinel lymph node detection are under consideration but require further investigation. Additionally, various preoperative factors associated with LNM hold potential for predicting nodal involvement, thereby improving nodal staging and oncologic outcomes of LND. Several surgical approaches, including segmental ureterectomy and robot-assisted nephroureterectomy, provide a possibility for LND, while minimizing morbidity.

Summary
LND remains the primary nodal staging tool for UTUC, but its therapeutic benefit is still uncertain. Advances in imaging techniques and preoperative risk assessment show promise in improving LNM detection. Further research and multi-center studies are needed to comprehensively assess the advantages and limitations of LND in UTUC, as well as the long-term outcomes of alternative staging and treatment strategies.
Conditioning the work of colleagues: health professionals’ explorative work in technology design
Authors: Sadorge Christopher , Nerland Monika , Mäkitalo Åsa 
Published: October 2023

AbstractProfessional learning at work is related to the opportunities to participate in explorative and constructive practices. Co-designing tools and technologies to support work offers such opportunities, which need to be better understood in the field of professional and vocational learning. As digitalisation initiatives become more ambitious and aim at wider service reorganisation, more professionals from nontechnical domains become involved in the work of designing technologies and developing routines for their practice. This study explores how health professionals participate in the design of a technology for the registration and sharing of patient information across healthcare units in a Norwegian city. Over a year, we observed the design meetings with a team of health professionals and IT developers. The health professionals were mandated this task as part of their regular work to ensure that the way of categorising and displaying patient information would serve the services’ needs. The interactions in the design meetings were analysed to examine how categories of patient information were explored and negotiated as objects of design. Our findings show how the team needed to test candidate categories for various contexts of use. This implied both negotiation of future service routines and efforts to reconfigure tasks and responsibilities in multiple service contexts. This work brings extended responsibilities and opportunities for learning to health professionals. We discuss how their decisions are consequential beyond their own workplace as the information system and its categories condition the work of colleagues in the wider service chain.
Satellite imagery and modeling contribute understanding cover crop effect on nitrogen dynamics and water availability
Authors: Raimondi Giorgia , Maucieri Carmelo , Borin Maurizio , Pancorbo José Luis , Cabrera Miguel , Quemada Miguel 
Published: October 2023

AbstractCover crops (CCs) can affect the cropping systems’ N dynamics and soil water content (SWC), but optimizing their potential effects requires knowledge of their growth pattern, N accumulation, and mineralization. For this purpose, a 3-year field experiment was initiated in northeast Italy involving a maize-soybean rotation. The objectives of this study were to (i) evaluate the use of time series vegetation indices (VIs) obtained from the Sentinel-2 satellite for monitoring the growth of CCs and estimating their biomass and N uptake at termination; (ii) investigate the effects of different CCs on cash crop yield and SWC; and (iii) use the simulation model CC-NCALC to predict the nitrogen contribution of CCs to subsequent cash crops. Three CC systems were tested: a fixed treatment with triticale; a 3-year succession of rye, crimson clover, and mustard; and a control with no CCs. Satellite imagery revealed that rye and triticale grew faster during the winter season than clover but slower compared to mustard, which suffered a frost winterkilling. Both grasses and mustard produced greater biomass at termination compared to clover, but none of the CC species affected SWC or yield and N uptake of the cash crop. A net N mineralization of all the CC residues was estimated by the model (except for the N immobilization after triticale roots residues). During the subsequent cash crop season, the estimated clover and mustard N released was around 33%, and the triticale around 3% of their total N uptake, with a release peak 2 months after their termination. The use of remote sensing imagery and a prediction model of CC residue decomposition showed potential to be used as instruments for optimizing the CCs utilization and enhancing cropping water and N fertilization management efficiency; however, it must be further analyzed with other CCs species, environmental conditions, and cropping systems.
Multispecies blue justice and energy transition conflict: examining challenges and possibilities for synergy between low-carbon energy and justice for humans and nonhuman nature
Authors: Tafon Ralph , Saunders Fred , Pikner Tarmo , Gilek Michael 
Published: October 2023

AbstractThis paper explores deep insights into sustainability transition tensions and pathways in terms of place-based conflict and potential for synergies between offshore wind energy (OWE) development and justice for humans and nonhuman nature. Specifically, we build a capability and recognition-based multispecies blue justice framework that at once centers ecological reflexivity (i.e., environmental awareness-raising, proxy representation of nature, and institutional recognition and protection of rights of nature and human-nature relationality), decenters anthropocentric frames of justice, and sheds light on injustices, human and nonhuman that climate and energy transitions may create or reinforce. This framework then informs analysis of a sustainability transition conflict, specifically a longstanding OWE conflict on Hiiumaa island, Estonia. This analysis unravels justice concerns, human and nonhuman, raised by proxy representatives of nature (i.e., grassroots actors and environmental stewards), the knowledge contestations involved, and the resolution measures undertaken thus far. Next, we discuss the possible transformative role of the OWE conflict, including how a Supreme Court ruling invalidating the OWE plan has fostered reflexive planning and may have set a legal precedent that may have human and nonhuman justice implications for the handling of future planning cases. We then highlight remaining challenges for socially and ecologically responsive OWE deployment. These include the judicial non-recognition of nature’s right as well as environmental values and sociocultural ties to nature as rights worth protecting, and the likely effects that formalization of European Union ambitions to speed-up and ramp-up renewable energy could have locally. These include prospects for environmental stewards and ocean defenders to steer nature-positive, people-centered energy transitions. Last, we propose conditions for enhanced multispecies justice, including how formal interventions (e.g., law) and informal practices (e.g., negotiation, awareness-raising) can be harnessed to unlock productive conflict and align energy transitions with the norms of justice, human and nonhuman.
Non-minimaxity of debiased shrinkage estimators
Authors: Maruyama Yuzo , Takemura Akimichi 
Published: October 2023

AbstractWe consider the estimation of the p-variate normal mean of $$X\sim \mathcal {N}_p(\theta ,I)$$

X
∼

N
p

(
θ
,
I
)

under the quadratic loss function. We investigate the decision theoretic properties of debiased shrinkage estimator, the estimator which shrinks towards the origin for smaller $$\Vert x\Vert ^2$$

‖
x
‖

2

and which is exactly equal to the unbiased estimator X for larger $$\Vert x\Vert ^2$$

‖
x
‖

2

. Such debiased shrinkage estimator seems superior to the unbiased estimator X, which implies minimaxity. However, we show that it is not minimax under mild conditions.
Assignment of the antibacterial potential of Ag2O/ZnO nanocomposite against MDR bacteria Proteus mirabilis and Salmonella typhi isolated from bone marrow transplant patients
Authors: El-Mohsnawy Eithar , El-Shaer Abdelhamid , El-Gharabawy Fadia , El-Hawary Eslam E. , El-Shanshoury Abd El-Raheem Ramadan 
Published: October 2023

AbstractThe rate of infectious diseases started to be one of the major mortality agents in the healthcare sector. Exposed to increased bacterial infection by antibiotic-resistant bacteria became one of the complications that occurred for bone marrow transplant patients. Nanotechnology may provide clinicians and patients with the key to overcoming multidrug-resistant bacteria. Therefore, this study was conducted to clarify the prevalence of MDR bacteria in bone marrow transplant recipients and the use of Ag2O/ZnO nanocomposites to treat participants of diarrhea brought on by MDR bacteria following bone marrow transplantation (BMT). Present results show that pathogenic bacteria were present in 100 of 195 stool samples from individuals who had diarrhea. Phenotypic, biochemical, and molecular analysis clarify that Proteus mirabilis and Salmonella typhi were detected in 21 and 25 samples, respectively. Successful synthesis of Ag2O/ZnO nanocomposites with a particle enables to inhibition of both pathogens. The maximum inhibitory impact was seen on Salmonella typhi. At low doses (10−5 g/l), it prevented the growth by 53.4%, while at higher concentrations (10−1 g/l), Salmonella typhi was inhibited by 95.5%. Regarding Proteus mirabilis, at (10−5 g/l) Ag2O/ZnO, it was inhabited by 78.7%, but at higher concentrations (10−1 g/l), it was inhibited the growth by 94.6%. Ag2O/ZnO nanocomposite was therefore found to be the most effective therapy for MDR-isolated bacteria and offered promise for the treatment of MDR bacterial infections that cause diarrhea.
Future Food Production Prediction Using AROA Based Hybrid Deep Learning Model in Agri-Sector
Authors: Baswaraju Swathi , Maheswari V. Uma , Chennam krishna Keerthi , Thirumalraj Arunadevi , Kantipudi M. V. V. Prasad , Aluvalu Rajanikanth 
Published: October 2023

AbstractPolicymaking and administration of national tactics of action for food security rely heavily on advances in models for accurate estimation of food output. In several fields, including food science and engineering, machine learning (ML) has been established to be an effective tool for data investigation and modelling. There has been a rise in recent years in the application of ML models to the tracking and forecasting of food safety. In our analysis, we focused on two sources of food production: livestock production and agricultural production. Livestock production was measured in terms of yield, number of animals, and sum of animals slaughtered; crop output was measured in terms of yields and losses. An innovative hybrid deep learning model is proposed in this paper by fusing a Dense Convolutional Network (DenseNet) with a Long Short-Term Memory (LSTM) to do production analysis. The hybridised algorithm, or A-ROA for short, combines the Arithmetic Optimisation Algorithm (AOA) and the Rider Optimisation Algorithm (ROA) to determine the ideal weight of the LSTM. The current investigation focuses on Iran as a case study. Therefore, we have collected FAOSTAT time series data on livestock and farming outputs in Iran from 1961 to 2017. Findings from this study can help policymakers plan for future generations' food safety and supply by providing a model to anticipate the upcoming food construction.
Releasing the Government from Acting Reasonably; or, the Government Says Goodbye to Reasonableness
Authors: Kremnitzer Mordechai 
Published: October 2023

AbstractThe Knesset has recently amended Basic Law: The Judiciary to eliminate the ability of the courts to issue an injunction against the government or any of its ministers based on the reasonableness of their decisions. This article examines this amendment from various angles. The first section posits the amendment as part of a larger plan of the coalition to eliminate judicial review and provide the government with unlimited power. The second section emphasises that the amendment was legislated by the Knesset for itself, raising concern over a conflict of interest. This is followed by a brief explanation of the reasonableness standard in Israeli law, and an assessment of the duty to act reasonably, which stems from the democratic principle of the rule of law. The next two sections assess the many risks that the amendment creates, such as the types of decision that could be made without adhering to a standard of reasonableness, and the trimming of the power of the Attorney General as a legal ‘gatekeeper’. Special emphasis is given to the dangers that the amendment holds for the quality and diversity of the civil service. Finally, the article discusses the multiple reasons why the government should not be immune from a reasonableness check and tackles the arguments against the use of the standard of reasonableness by the courts.This multifaceted analysis leads to the conclusion that the elimination of the reasonableness standard undermines basic features of democracy and fractures the social contract between the citizens and the government. Therefore, it should not be immune from judicial review.