bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is meeting 24-hour movement guidelines associated with a lower risk of frailty among adults?
Authors: Liu Yuhang , Gao Siyao , Dou Zhigang , Chen Zhen , Tang Jialing 
Published: February 2025

Abstract

Background
The relationship between 24-hour (24-h) movement guidelines and frailty remains unclear. We aimed to investigate the associations between meeting 24-h movement guidelines and frailty and to conduct secondary analyses by age, gender, and ethnicity.

Methods
In this study, we extracted data from the National Health and Nutrition Examination Survey (2007–2018) database. A total of 5,726 participants (50.25 ± 0.31 years) were included in this analysis, representing 38,240,356 noninstitutionalized U.S. individuals. Three 24-h movement behaviors, namely, physical activity, sedentary behavior (SB), and sleep, were self-reported using the standardized questionnaires. The 49-item frailty index was used to measure frailty. Multivariable logistic regression models and trend tests were used to examine the associations between meeting 24-h movement guidelines and frailty. Sensitivity analyses were also conducted to ensure the robustness of our results.

Results
The total age-adjusted prevalence of frailty was 30.5%. In the fully adjusted model, compared with not meeting any of the 24-h movement guidelines, the adjusted odds ratios (AORs) of frailty were 0.786 (95% CI: 0.545, 1.133), 1.161 (95% CI: 0.787, 1.711), and 0.915 (95% CI: 0.616, 1.358) for participants meeting only moderate to vigorous physical activity (MVPA), only SB, and only sleep guidelines, respectively, but no statistically significant differences were observed (all P values > 0.05). Participants who met the SB + sleep guidelines (AOR = 0.613, 95% CI: 0.423, 0.887), MVPA + sleep guidelines (AOR = 0.389, 95% CI: 0.255, 0.593), and MVPA + SB guidelines (AOR = 0.555, 95% CI: 0.383, 0.806) presented a significantly lower risk of frailty by 39%, 61%, and 45%, respectively. Meeting all 3 guidelines (AOR = 0.377, 95% CI: 0.264, 0.539) and meeting 2 guidelines (AOR = 0.527, 95% CI: 0.377, 0.736) were associated with a lower risk of frailty (P value < 0.001), showing a linear trend (P for trend < 0.001). The strength of these associations varied somewhat by age, gender, and ethnicity.

Conclusions
Significant associations between the 24-h movement guidelines and frailty were observed among U.S. adults. Future studies are warranted to examine the causality and trajectory of these associations.
Contraceptive decision-making and its association with contraceptive use among married adolescent girls in Niger
Authors: Silverman Jay G. , Tomar Shweta , Brooks Mohamad I. , Aliou Sani , Johns Nicole E. , Challa Sneha , Shakya Holly Baker , Boyce Sabrina C. , Raj Anita 
Published: February 2025

Abstract

Objective
Niger has among the highest rates of child marriage and lowest rates of modern contraceptive use in the world. This study analyzes the association between contraceptive decision-making and contraceptive use among married adolescent girls in rural Niger, including multiple assessments of decision-making and consideration of overt vs. covert contraceptive use.

Methods
We analyzed cross-sectional survey data collected from married adolescent females (n = 823) participating in the third round of data collection (October–November 2019) for the cluster-randomized controlled trial of a family planning intervention study. Contraceptive decision-making measures assessed participants’ (a) participation in contraceptive decision-making, (b) final say in decision-making in case of spousal disagreement, and (c) satisfaction with participation in decision-making. Outcomes include contraceptive use ever categorized based on whether use was overt (with husband’s knowledge) or covert (without husband’s knowledge). Adjusted multinomial logistic regression models were used to test the associations between each decision-making item and each type of contraceptive use.

Results
Over half of participants reported ever using a contraceptive (59%) and that their husbands were the sole decision-makers regarding contraceptive use (60%). Adolescents’ participation in decision-making was negatively associated with overt contraceptive use (ARRR = 0.41; 95%CI = 0.19–0.91) and positively associated with covert contraceptive use (ARRR = 8.76; 95%CI = 2.45–31.30). Women reporting joint decision-making were more likely to report covert use vs. no use (ARRR = 3.20; 95%CI = 1.14–8.99). Women having final say in contraceptive decision-making in case of disagreements were more likely to report covert contraceptive use over no use (ARRR = 9.14; 95%CI = 3.17–26.40). Women’s satisfaction with decision-making was positively associated with contraceptive use ever (AOR = 2.72; 95%CI = 1.80–4.16), and overt (ARRR = 2.68; 95%CI = 1.75–4.01) and covert contraceptive use (ARRR = 10.9; 95%CI = 2.16–54.80).

Conclusion
Male control over decision-making and female satisfaction with decision-making are associated with greater contraceptive use. Findings indicate that women’s control over decision-making, and its relation to contraceptive use, is complex and requires more nuanced understanding for married adolescents.
Psychopathological symptoms in school-aged children after a traumatic event
Authors: Plümacher K. S. , Loy J. K. , Bender S. , Krischer M. 
Published: February 2025

Abstract

Background
Traumatic experiences in childhood can have far-reaching and serious consequences for the development of those affected. Little is known about the age- and sex-specific symptom patterns in children and adolescents following a traumatic event. These do not always manifest in symptoms that meet the diagnostic criteria for post-traumatic stress disorder according to ICD 10.

Methods
In an outpatient cohort of 84 children and adolescents aged 6 to 18 years, we utilised the dimensional Child Behaviour Checklist (CBCL) to analyse symptoms occurring within twelve months of a traumatic event as defined in ICD 10. Regression models were applied to examine the effects of sex, age, and their interaction. CBCL (sub-)scales from caregivers served as the outcome variables.

Results
The most severe symptoms were externalising symptoms found in boys aged six to below twelve years, while girls of the same age showed the fewest symptoms. No fully consistent picture regarding age- and sex-effects was found across the (sub-)scales, however, the most consistent finding for all scales was an interaction between age and sex, resulting in a convergence between boys and girls with age. Adolescent males and females were affected to a similar extent.

Conclusion
Knowledge of age- and sex-specific patterns in children and adolescents following a traumatic event is essential to recognise possibly trauma-related symptoms at an early stage, initiate adequate treatment. Considering that trauma can exacerbate or complicate externalising symptoms, and vice versa, it is crucial to integrate trauma-specific interventions into the treatment plan for those affected. Developing comprehensive, age- and sex-specific diagnostic criteria for trauma-related disorders might not only improve early detection and treatment but also ensure that interventions address both emotional and behavioural dimensions effectively. Future research should focus on refining these criteria and exploring the interplay between trauma and co-occurring conditions to enhance treatment outcomes.
Age-specific familial risks in cancer as clues to germline genetic and environmental causes: focus on colorectal, endometrial, prostate, kidney, breast and lung cancers
Authors: Hemminki Kari , Försti Asta , Hemminki Otto , Scott Rodney J. , Hemminki Akseli 
Published: February 2025

Abstract

Background
The Swedish Family-Cancer Database (FCD) is the largest source of data on familial cancer in the world, including practically complete family structures and individual cancer diagnoses from the high-quality cancer registry. We present a novel application of FCD by analyzing age-specific familial risks and interpreting them through likely causes, such as germline pathogenic variants and/or environmental exposures.

Main body
The basic assumption for this approach is that a discrete familial clustering in a narrow age-interval is not random but may provide causal clues. For this analysis we selected reasonably common cancers to meaningfully scrutinize familial risk through adulthood in which cancers are diagnosed, that included colorectal (CRC) and endometrial cancers, prostate and kidney cancers and breast and lung cancers. The interpretation is based on the literature. The highest familial relative risks for CRC and endometrial cancers were found at ages 40–44 years, matching the peak impact of mismatch repair gene mutations. However endometrial cancer showed also a small early onset component which could not be explained. Age-related familial risks for breast, prostate and kidney cancers also matched data from large-scale sequencing; these included the early onset component in kidney cancer which was likely due to VHL mutations. Age distribution of familial lung cancer was unique in showing a wide peak extending from middle to old ages, which would be consistent with a combination of direct genetic effects and indirect influence on inheritance of smoking dependence.

Conclusions
The present review of age-specific familial risks and age-of-onset data from the literature may allow an interpretation that the familial and germline landscapes are reasonably harmonious for relatively early onset cancers but at higher ages no discrete peaks can be found which may implicate attenuated impact of high-risk genes and polygenic influence.
A new perspective for enhancing social and ecological systems coordination in ecological restoration
Authors: Zhou Guangjin , Gao Jixi , Zhang Riqi , Yang Zixiao , Zhang Siqi , Wang Lingqing , Su Yiming , Huan Yizhong , Liang Tao 
Published: February 2025

Abstract

Background
Ecosystem services (ESs) are fundamental to ensuring human well-being and sustainable development. However, the complex nonlinear relationships between ESs and social systems are still not fully recognized at present. Here, we used a comprehensive indicator framework, a coupling coordination degree (CCD) model, and a GeoDetector model to measure the CCD and development level of ESs and social systems in Sanmenxia City, Henan Province, China from 2000 to 2020, analyze the spatial patterns and temporal variations of their development, and quantify the influence of 15 factors on the spatial heterogeneity of their CCD.

Results
We observed that the increase of social system development level in Sanmenxia City was higher than that of ESs’ provisioning capacity. From 2000 to 2020, the ecosystem service index value of Sanmenxia City increased by about 25%, while the level of social system development increased by 118.9%. The coordination between ESs and social systems improved by 25%, indicating that their relationships were shifting from trade-offs to synergies. Lushi County (one of the six administrative regions of Sanmenxia City) had the highest level of CCD, but the overall coordination remained relatively weak in Sanmenxia City, and none of the six administrative regions achieved a high level of coordination. CCD was influenced by multiple interacting factors, with topography and land use patterns being the primary drivers.

Conclusions
Optimizing the spatial layout of ecological space, agricultural space, and urban space based on natural geographic patterns can be an effective way to improve CCD. Accordingly, we identified the impacts of potential barriers on sustainable development and provided multiple possible effective actions. Our findings deepen the knowledge and understanding of the “human-nature relationships”, which are of great significance in promoting the synergistic development of social and ecological systems.
Experiences of participation in an education and support group for carers of people with longer-term psychosis: a qualitative study
Authors: Millard Isabel , Billings Jo , Greenfield Philippa , Bailey Jackie , Fearon Dave , Whittle Henry J. , Killaspy Helen 
Published: February 2025

Abstract

Background
It is well-established that carers of people with psychosis require support given the stress, social isolation and health problems commonly associated with their caring role. However, interventions for carers are under-researched and underprovided. Psychoeducation and support groups can improve carers’ experiences of caregiving, but there is insufficient evidence to inform an optimal intervention. Furthermore, the limited existing literature tends to focus on carer groups provided within early intervention services. We designed and implemented an education and support group programme for carers of people with longer term psychosis. The group ran twice, online in 2021 and face-to-face in 2023. We conducted a qualitative service evaluation to explore participants’ experiences of participation in the group and inform its further refinement.

Methods
We conducted in-depth, semi-structured interviews before and after each group programme which explored carers’ experiences of caring and of group participation, in order to understand its impact, potential mechanisms of effect, and any helpful or challenging aspects. Facilitators also provided written reflective notes. Data were analysed using reflexive thematic analysis.

Results
Seventeen carers and four facilitators participated. The group programme received highly positive feedback. Four main themes were identified regarding its impact on the experience of caring: 1) isolated versus connected and supported; 2) disempowered versus empowered; 3) grief, guilt, worry versus acceptance; 4) unmet needs: the challenges associated with participants’ caring roles which were not addressed by group participation. The group’s mechanisms of effect included: building connections between carers, building carers’ connections with services, and providing psychoeducation that improved carers’ confidence and increased their empathy for their relative. Key components of the group’s design were: attendees having similar experiences of caring attendees receiving clear information about the group’s purpose and format, and facilitation by senior mental professionals who enabled discussion. The main area for improvement was to increase accessibility to carers from minority groups.

Conclusions
This study explored participants' experiences of a psychoeducation and support group for carers of people with longer-term psychosis and showed that it was largely acceptable and received positively by participants. The results may explain why recent trials of carer focussed interventions that have relied on digital contact were not effective. Further research is needed, including clinical trials, to investigate the clinical and cost effectiveness of face-to-face carer groups.
Indonesian traditional herbal drinks: diversity, processing, and health benefits
Authors: Estiasih Teti , Maligan Jaya Mahar , Witoyo Jatmiko Eko , Mu’alim Adilla Aisyah Hana , Ahmadi Kgs , Mahatmanto Tunjung , Zubaidah Elok 
Published: February 2025

Abstract
Indonesia has plant-based traditional medicine (herbal) that is hereditary and believed to be used for disease therapy and prevention. The well-known of this traditional medicine is jamu, which has a long history of making, and now, some have limitedly explored their benefits on health scientifically. Traditional herbal drinks are part of jamu and are usually consumed as beverages for leisure and refreshment; in addition, they are hereditary believed to have many health benefits. The health efficacy of these herbal drinks is still poorly explored scientifically. This review explores the diversity, preparation methods, and health benefits of the most popular Indonesian traditional herbal drinks, mainly in Java Island, including kunyit asam, beras kencur, sinom, wedang uwuh, wedang jahe, and wedang pokak. Combining a literature review with field observations, it highlights key bioactive compounds such as curcumin, gingerol, and brazilin, known for their antioxidant, anti-inflammatory, and antimicrobial properties. The study uniquely integrates traditional knowledge with insights into modern processing techniques, such as ultra-high temperature processing by small-scale enterprises, and examines their cultural and historical significance. By addressing the limited scientific exploration of these drinks’ health benefits, this paper bridges the gap between traditional practices and scientific validation, contributing to the global understanding of functional beverages. Modern adaptations, including ultra-high temperature processing by small-scale enterprises, have enabled wider distribution and commercialization of herbal drinks. However, challenges such as maintaining bioactive compound integrity and scaling production while preserving traditional authenticity remain critical.
Acute Venous Outflow Obstruction After Coil Embolization of Giant Cavernous Carotid Aneurysm: 2-Dimensional Operative Video
Authors: Falzon Andrew M. , Abdelghafar Ahmed , Jamasi Roshawn , Krings Timo 
Published: February 2025

BACKGROUND AND IMPORTANCE:
Endovascular treatment of giant carotid cavernous aneurysms (GCCAs) may be associated with complications including rapid intrasaccular thrombosis, embolic ischemic stroke, and caroticocavernous fistula.

CLINICAL PRESENTATION:
A female in her 6th decade presented with a chronic, right partial abducens nerve palsy. Magnetic resononance angiography demonstrated a 25-mm right GCCA causing mass effect on the right cavernous sinus. Coil embolization of the aneurysm and parent vessel was performed after passing a balloon test occlusion. Final angiography demonstrated complete embolization of the aneurysm, however, absent ipsilateral cavernous sinus drainage, which was present previously. Intraprocedurally, the patient had ipsilateral proptosis and chemosis. Once extubated, urgent ophthalmology review documented preserved and symmetrical visual acuity with both pupils reactive to light. Intraocular pressure was 19-mm and 11-mm Hg in the right and left eye, respectively. The right eye had -2 abduction with otherwise intact extraocular movements. Acute management included a total of 16-mg IV dexamethasone on day 1, followed by a course of oral steroids and prophylactic low molecular weight heparin. Postprocedure computed tomography of the head demonstrated periorbital soft tissue edema and dilatation of the right superior ophthalmic vein, which peaked at 6 hours postprocedure. The patients' ocular findings and visual disturbances subsided within 36 hours postprocedure. The chronic partial abducens nerve palsy remained.

CONCLUSION:
Acute proptosis, chemosis, and visual disturbances may occur from mass effect on the cavernous sinus with venous outflow obstruction after GCCA embolization. This is thought to be secondary to increased mass effect from intrasaccular thrombosis and the large coil mass.
La investigación sobre ética periodística en España: ¿moda académica o conciencia científica?
Authors: Polledo Zulueta Yenisley 
Published: February 2025

En los últimos años la comunidad académica española ha sido testigo de un repunte de la producción científica sobre ética de la comunicación en el ámbito periodístico. El objetivo de este artículo es conocer si el interés por investigar esta temática es resultado de una moda académica o de una genuina convicción sobre la importancia de desarrollar estos estudios en el actual contexto mediático español. Para abordar este asunto, analizamos el criterio de once investigadores, con experiencia en la dirección de proyectos y grupos de investigación, dedicados al estudio de la ética de la comunicación mediática en el ámbito de las universidades españolas. A partir de la aplicación de entrevistas semiestructuradas, indagamos sobre la pertinencia de la ética periodística y sobre los elementos que activan la voluntad de investigarla. En este proceso, además, nos centramos en localizar y analizar las sincronías argumentales presentes en los discursos registrados. En los resultados se identifican criterios que sitúan a la conciencia científica como soporte de la indagación sobre ética de la comunicación mediática en el contexto español.
Colombian centenarians: A Geohealth approach to longevity study
Authors: Pérez-Molina Clímaco de Jesús , Chavarro-Bermeo Flor Elena , Gutiérrez-Fernández Luis-Fernando , Galvis-Villamizar Santiago , Arias Ortiz Wanderley Augusto , Cabezas-Pinzón Laura , Escobar-Roa Carlos-Felipe 
Published: February 2025

Introduction
Population longevity is a global phenomenon influenced by various factors including social, economic transitions, and medical advancements. The study focused on the population over 95 years old, adopting an approach that integrates data from the 2018 Census and geospatial analysis techniques.

Methods
An ecological study was conducted using anonymized microdata from the 2018 National Population and Housing Census (CNPV). Geographic analysis, choropleth maps, and Kernel density estimation were employed to identify clusters of individuals aged over 95 years.

Results
The study identified 43,427 individuals aged 95 years or older in Colombia, with concentrations observed in departments such as Antioquia and Bogotá. Analysis by department and municipality revealed variations in rates and sex distribution. Kernel density analysis highlighted clusters in the Valle de Tenza area and other regions.

Conclusion
This study sheds light on the geographical distribution of centenarians in Colombia, emphasizing clusters in certain regions. More research is needed to understand the individual and contextual factors underlying successful aging in Colombia and to inform policies to improve the quality of life of older populations.
Thermodynamics, economy and environment analyses and optimization of series, parallel, dual-loop Kalina cycles for double-source heat recovery in cement industry
Authors: Wang Yali , Xu Yongjun , Qiu Yongliang , Ning Shengwang 
Published: February 2025

This research aims to investigate the heat recovery of both suspension preheater flue gas and clinker cooler hot air in cement industry. Three thermodynamic cycles including series Kalina Cycle (S-KC)、parallel Kalina Cycle (P-KC) and dual-loop Kalina Cycle (DL-KC) are introduced for converting dual-source heat resources into power to enhance the system efficiency for cement production process. Firstly, the multi-layer comprehensive evaluation models are established for the three thermodynamic cycles. Then, the parametric studies are implemented to estimate the influences of six key parameters on the system’s thermodynamic-economic-environmental performances. Meanwhile, optimization investigations consisting of thermodynamic optimal design (TOD), thermodynamic and economic optimal design (TEOD), and thermodynamic, economic and environmental optimal design (TEEOD) are considered, and the performances of systems and components are compared under three optimal design scenarios. The results prove that, for S-KC, P-KC and DL-KC, the higher net power output (Wnet) can be gained with decreasing condenser outlet temperature and regenerator temperature difference, and increasing evaporator temperature difference and superheat degree, the lower electricity production cost (EPC) can be acquired with decreasing condenser outlet temperature, evaporator temperature difference and regenerator temperature difference, while the less environment impact load (EIL) can be attained with decreasing condenser outlet temperature, regenerator temperature difference and basic ammonia concentration, and increasing superheat degree. In addition, under TOD, TEOD and TEEOD scenarios, DL-KC is the best selection from the thermodynamic, economic and environmental perspectives, with the corresponding Wnet of 7166 kW, 6904 kW and 6838 kW, the EPC of 0.00476 $/kWh, 0.00369 $/kWh and 0.00362$/kWh, the EIL of 0.0597 mPEChina,90/kWh, 0.0599 mPEChina,90/kW and 0.0593 mPEChina,90/kW. It also identifies that the evaporator unit is the key component contributing to exergy destruction and investment cost for three systems, while the pump has the maximum influence on environmental performance.