bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of salt intake estimated from 24-h urinary sodium excretion in medical professionals in Darkhan-Uul Province, Mongolia: a cross-sectional study
Authors: Hikita Naoko , Batsaikhan Enkhtungalag , Sasaki Satoshi , Haruna Megumi , Yura Ariunaa , Oidovsuren Otgontogoo 
Published: June 2023

AbstractThis cross-sectional study aimed to estimate the daily salt intake of medical professionals working in public health facilities in Darkhan-Uul Province, Mongolia. We conducted a multiple logistic regression analysis to identify factors associated with their consumption of salt exceeding the recommended daily salt intake (≥ 5 g/day). A self-administered questionnaire and 24-h urine samples were used to obtain data on the participants’ salt intake. Of 338 participants, 159 completed the 24-h urine collection. The mean sodium excretion into urine was 122.3 mmol/day, which was equivalent to a mean salt intake of 7.7 g/day when the urinary excretion rate was considered as 93%. Body mass index was positively correlated with excess salt intake (adjusted odds ratio [AOR]: 1.27; 95% confidence interval [CI] 1.10–1.46), while age was negatively correlated with excess salt intake (AOR: 0.95; 95% CI 0.91–1.00). Participants who consumed ≥ 2 cups of salted suutei tsai (Mongolian milk tea) daily had a higher risk of consuming ≥ 5 g/day of salt than those who consumed ≤ 1 cup/day. The average estimated salt intake of the participants was higher than the recommended value. Medical professionals should be aware of factors associated with excessive salt consumption and make appropriate adjustments to minimize it.
Hydro-morphological behavior around T-shaped spur dikes with downward seepage
Authors: Patel Harish Kumar , Kumar Bimlesh 
Published: June 2023

AbstractThe present work experimentally analyses the flow behaviour near the T-shaped spur dike field with no seepage, 5%, and 10% downward seepage. Experiments were aimed at analysing the channel morphology with different discharges. According to the results, downward seepage movement causes significant modification in the channels bed elevation and the development of scour depth. The maximum scour depth is observed at the edge of the first spur dike facing the flow. The rate of scouring also increases with the effect of seepage. Due to downward seepage, the flow distribution is shifted near the channel bed. However, near the channel boundary attained some velocity, significantly enhancing the sediment transport rate. The wake zone between the spur dikes saw very low-velocity magnitudes of positive and negative values. This reveals secondary current generation inside the loop and cross-stream circulation. With an increment of seepage percentage, the velocity, Reynold shear stress, and turbulent kinetic energy magnitude also rise close to the channel’s boundary.
Quantitative characterization of the failure behavior of dangerous rocks based on the Frozen-Thawing Test
Authors: Zhang Ke , Xu Yi , Zhang Kai , Bao Rui , Fan Wenchen 
Published: June 2023

AbstractA deep knowledge of the failure mechanisms and early warning of dangerous rocks is an important issue in geological disaster prevention and reduction. This study focuses on the failure analysis of dangerous rocks from a laboratory scale, whose models are prepared by 3D printing (3DP) technology. The frozen–thawing test (FTT) is performed to reproduce the failure processes of toppling and falling types dangerous rocks. In addition, the digital image correlation (DIC) technique is applied to detect the deformation characteristics of dangerous rock models during the tests. The relative displacements along the structural plane and the displacement vectors on the dangerous rock surface are further extracted to quantitatively reveal the failure mechanism from a fine-view perspective. It is found that the toppling type dangerous rock is dominated by the rotational failure, while the falling type dangerous rock is dominated by tensile‒shear failure. Furthermore, a DIC-based early warning method is proposed for identifying the precursors of dangerous rock instability from a laboratory perspective. The results provide an important application and reference value for the study of dangerous rock prevention and reduction.
Not brushing teeth at night may increase the risk of cardiovascular disease
Authors: Isomura Emiko Tanaka , Suna Shinichiro , Kurakami Hiroyuki , Hikoso Shungo , Uchihashi Toshihiro , Yokota Yusuke , Sakata Yasushi , Tanaka Susumu 
Published: June 2023

AbstractIn this study, we investigated whether toothbrushing timing affects cardiovascular disease risk. We enrolled 1675 patients aged ≥ 20 years who were hospitalized for surgery, examination, or medical treatment. The participants were categorized as follows based on toothbrushing: Group MN (brushing teeth after waking up and at night, n = 409), Group Night (brushing teeth at night but not upon waking up, n = 751), Group M (brushing teeth after waking up but not at night, n = 164), and Group None (not brushing teeth at all, n = 259). The participants’ age, sex, smoking history, and follow-up results were evaluated. Group M had four times as many men as women. Multivariate analysis of cardiovascular events showed significantly higher survival estimates in Group MN (P = 0.021) and Group Night (P = 0.004) than in Group None. Kaplan–Meier analysis of subgroups based on smoking status revealed that smokers in Group None had significantly worse prognosis for cardiovascular onset events than smokers in other groups; non-smokers in Groups None and M showed significantly worse prognosis on hospitalization. Our findings are limited to cardiovascular diseases and cannot be generalized to healthy populations. However, we suggest that brushing teeth at night is important for lowering cardiovascular disease risk.
Perceived Factors That Facilitate or Prevent the Use of Speech-Generating Devices in Bilingual Individuals With Aphasia
Authors: Hung Pei-Fang , Brock Kris L. , Sun Lei , Hanson Jennifer , Larsen Sarah , Small Claire 
Published: June 2023

Purpose:
The aim of this study was to explore practicing speech-language pathologists' (SLPs') perceptions of factors that could facilitate or prevent the use of speech-generating devices (SGDs) in bilingual individuals with aphasia. Specifically, this exploratory study sought to identify the facilitators and barriers to SGD use in individuals with culturally and linguistically diverse backgrounds.

Method:
An online survey was distributed to SLPs through an e-mail listserv and social media of an augmentative and alternative communication company. This article focused on the results of the survey items related to (a) the presence of bilingual individuals with aphasia on an SLP's caseload, (b) training related to SGD or bilingual aphasia, and (c) barriers and facilitators to SGD use. A thematic analysis was conducted to analyze the barriers and facilitators to SGD use reported by the respondents.

Results:
A total of 274 SLPs who met the inclusion criteria had experience in implementing SGD for people with aphasia. Regarding relevant training, our results indicated that very few SLPs received bilingual aphasia intervention training (17.22%) or bilingual SGD training (0.56%) in graduate school. The results from our thematic analysis revealed four major themes of barriers and facilitators to SGD use, including (a) hardware and software, (b) cultural and language content, (c) SLP's cultural and linguistic competency, and (d) resources.

Conclusions:
Practicing SLPs reported several barriers to SGD use in bilinguals with aphasia. Most notably, language barriers for monolingual SLPs were seen as the greatest barrier to language recovery in individuals with aphasia whose primary language is not English. Several other barriers were consistent with previous research, such as financial factors and insurance disparities. The top three most important factors that facilitate SGD use in bilinguals with aphasia, as identified by the respondents, include user-friendly symbol organization, personalized words, and ease of programming.
Multilingual Speech Acquisition by Vietnamese-English–Speaking Children and Adult Family Members
Authors: McLeod Sharynne , Verdon Sarah , Margetson Kate , Tran Van H. , Wang Cen , Phạm Ben , To Lily , Huynh Kylie 
Published: June 2023

Purpose:This article presents a large-scale example of culturally responsive assessment and analysis of multilingual Vietnamese-English–speaking children and their family members using the VietSpeech Protocol involving (a) examining all spoken languages, (b) comparing ambient phonology produced by family members, (c) including dialectal variants in the definition of accuracy, and (d) clustering participants with similar language experience.Method:The VietSpeech participants (N= 154) comprised 69 children (2;0–8;10 [years;months]) and 85 adult family members with Vietnamese heritage living in Australia. Speech was sampled using the Vietnamese Speech Assessment (Vietnamese) and the Diagnostic Evaluation of Articulation and Phonology (English).Results:Children's Vietnamese consonant accuracy was significantly higher when dialectal variants were accepted (percentage of consonants correct–dialect [PCC-D]:M= 87.76,SD= 8.18), compared to when only Standard Vietnamese was accepted as the correct production (percentage of consonants correct–standard [PCC-S]:M= 70.34,SD= 8.78), Cohen'sd= 3.55 (large effect). Vietnamese voiced plosives, nasals, semivowels, vowels, and tones were more often correct than voiceless plosives and fricatives. Children's Standard Australian English consonant accuracy (PCC-S) was 82.51 (SD= 15.57). English plosives, nasals, glides, and vowels were more often correct than fricatives and affricates. Vietnamese word-initial consonants had lower accuracy than word-final consonants, whereas English consonant accuracy was rarely influenced by word position. Consonant accuracy and intelligibility were highest for children with high proficiency in both Vietnamese and English. Children's consonant productions were most similar to their mothers' than other adults or siblings' productions. Adults' Vietnamese consonants, vowels, and tones were more likely to match Vietnamese targets than their children's productions.Conclusions:Children's speech acquisition was influenced by cross-linguistic, dialectal, maturational, language experience, and environmental (ambient phonology) factors. Adults' pronunciation was influenced by dialectal and cross-linguistic factors. This study highlights the importance of including all spoken languages, adult family members, dialectal variants, and language proficiency to inform differential diagnosis of speech sound disorders and identify clinical markers in multilingual populations.Supplemental Material:https://doi.org/10.23641/asha.23290055
Detecting Emotional Prosody in Real Words: Electrophysiological Evidence From a Modified Multifeature Oddball Paradigm
Authors: Kao Chieh , Zhang Yang 
Published: June 2023

Purpose:
Emotional voice conveys important social cues that demand listeners' attention and timely processing. This event-related potential study investigated the feasibility of a multifeature oddball paradigm to examine adult listeners' neural responses to detecting emotional prosody changes in nonrepeating naturally spoken words.

Method:
Thirty-three adult listeners completed the experiment by passively listening to the words in neutral and three alternating emotions while watching a silent movie. Previous research documented preattentive change-detection electrophysiological responses (e.g., mismatch negativity [MMN], P3a) to emotions carried by fixed syllables or words. Given that the MMN and P3a have also been shown to reflect extraction of abstract regularities over repetitive acoustic patterns, this study employed a multifeature oddball paradigm to compare listeners' MMN and P3a to emotional prosody change from neutral to angry, happy, and sad emotions delivered with hundreds of nonrepeating words in a single recording session.

Results:
Both MMN and P3a were successfully elicited by the emotional prosodic change over the varying linguistic context. Angry prosody elicited the strongest MMN compared with happy and sad prosodies. Happy prosody elicited the strongest P3a in the centro-frontal electrodes, and angry prosody elicited the smallest P3a.

Conclusions:
The results demonstrated that listeners were able to extract the acoustic patterns for each emotional prosody category over constantly changing spoken words. The findings confirm the feasibility of the multifeature oddball paradigm in investigating emotional speech processing beyond simple acoustic change detection, which may potentially be applied to pediatric and clinical populations.
Explainable human‐in‐the‐loop healthcare image information quality assessment and selection
Authors: Li Yang , Ercisli Sezai 
Published: June 2023

AbstractSmart healthcare applications cannot be separated from healthcare data analysis and the interactive interpretability between data and model. A human‐in‐the‐loop active learning approach is introduced to reduce the cost of healthcare data labelling by evaluating the information quality of unlabelled medical data and then screening the high informative samples. Specifically, focused on the extracted feature tensor of medical images, a new evaluation metric was proposed, called local feature information distance. Then, the whole feature information distance between two images can be obtained by seeking optimal matching of local feature information correlation based on the feature spatial traversal. Further, the feature information distance entropy (FIDE) method was proposed from the perspective of feature spatial distribution, which outperformed other related works. Many comparison and ablation experiments were carried out; the results showed that the proposed method can well distinguish the information quality of the unlabelled samples even facing different datasets. The stability, robustness, and generalisation of the proposed method were verified. Thus, this study provides some inspirations for healthcare data analysis and efficient management, such as eliminating redundancy and selective annotation.
CTHP: Selection for adoption of open‐source bioinformatics software based on a customised ISO 25010 quality model, three‐way decision and Delphi hierarchy process
Authors: Li Yuqi , Bian Yixin , Zhang Ziheng , Zhao Song , Liu Yiqi 
Published: June 2023

AbstractThe ever‐growing open‐source software tools in different domains increase the difficulty of software selection from the end‐users perspective. The process of evaluating, comparing, and selecting open‐source solutions is far from trivial. Especially, when additional requirements need to be considered, the existing methodologies will fail to adapt to the new tasks. The objective of this study is to present a solution for dealing with this issue. A novel approach, CTHP, is presented for the evaluation and selection of open‐source software in the Bioinformatics domain. First, the ISO 25010 quality model is chosen as the basis. This model is customised according to the special characteristics of the Bioinformatics applications. The customisation is done by extracting the quality factors from the Bioinformatics applications, weighting these factors from the viewpoints of both developers and end‐users, and adding them to the model. After that, Three‐way Decision and Delphi Hierarchy Process are integrated to assist in the selection for adoption. Finally, as a case study, the proposed approach is applied to assist the decision‐making process of two popular natural language processing frameworks in the Bioinformatics area. Our study is a valuable contribution since it provides a systematic way to document the decision‐making process and help the researchers and practitioners of Bioinformatics to make better decisions among the alternatives.
Peripartum Haemorrhage, Diagnosis and Therapy. Guideline of the
DGGG, OEGGG and SGGG (S2k, AWMF Registry No. 015-063, August 2022)
Authors: Schlembach Dietmar , Annecke Thorsten , Girard Thierry , Helmer Hanns , Kainer Franz , Kehl Sven , Korte Wolfgang , Kühnert Maritta , Lier Heiko , Mader Silke , Mahnken Andreas , Maul Holger , Pfanner Georg , Ramsell Andrea , Surbek Daniel , Tiebel Oliver , Zinßer Laura , von Heymann Christian 
Published: June 2023

Abstract
Aim This official guideline was coordinated and published by the German Society of
Gynaecology and Obstetrics (DGGG). The guideline aims to provide a consensus-based
overview of the diagnosis and management of peripartum bleeding based on an evaluation of
the relevant literature.
Methods This S2k-guideline was developed by representative members from different
medical professions on behalf of the guidelines commission of the DGGG, OEGGG and SGGG
using a structured consensus process.
Recommendations Recommendations for the definition, risk stratification,
prevention, treatment (general emergency procedures, medications, uterine tamponade,
surgical measures, interventional-radiological procedures, haemostasis, and coagulation
management), transportation, documentation and debriefing as well as training are
presented. In addition, a PPH algorithm for action, “PPH 2022”, is recommended.
Involuntary Movements in Cobalamin Deficiency
Authors: Özyürek Hamit , Ince Hulya , Tasdemir Haydar Ali , Aydin Omer Faruk 
Published: June 2023

Abstract
Objective Neurologic problems are frequently described in infants with
nutritional vitamin B12 (cobalamin) deficiency.Major neurologic consequences of
infantile cobalamin deficiency include delays or regression in neurodevelopment
and the occurrence of involuntary movements
Methods We reviewed the medical records of infants with cobalamin
deficiency and divided infants with involuntary movements into two groups as
those, who developed involuntary movements during vitamin B12 supplementation
(Group I) and those, who developed involuntary movements prior to
supplementation therapy (Group II).
Results We evaluated a total of 32 infants with the diagnosis of cobalamin
deficiency. Involuntary movements were observed in 12 out of 32 infants. Group I
and Group II consisted of 6 infants each. Of the infants with involuntary
movements, five were exclusively breastfed until the time of diagnosis. The
majority of infants in Group II had choreoathetoid movements; twitching and
myoclonus in the face, tongue, and lips, and tremor in the upper extremities.
These involuntary movements disappeared in one to three weeks after clonazepam
therapy. In Group I; shaking movements, myoclonus, tremor, and twitching or
protrusion were observed in patients’ hands, feet, tongue, and lips on
the 3rd-5th day of cobalamin supplementation. These involuntary movements
disappeared within 5–12 days of clonazepam therapy.
Conclusion Recognition of nutritional cobalamin deficiency is important to
perform a differential diagnosis of the condition from seizures or other causes
of involuntary movements and avoid aggressive therapy and over treatment.
Sustaining Traditional Ethnomedicinal Knowledge and Protected Areas in Synergy: A Case Study of Overa-Aru Wildlife Sanctuary in Kashmir Himalaya
Authors: Islam Tajamul , Nawchoo Irshad A. , Magray Junaid A. , Khuroo Anzar Ahmad 
Published: June 2023

AbstractThe ethnic communities living near protected areas are critically dependent on medicinal plants for their healthcare. Although several ethnomedicinal studies are available from the
Himalaya, quantitative studies focusing on protected areas in this region are largely overlooked. In this study, we aimed to document the ethnomedicinal plants of the Overa-Aru wildlife
sanctuary in Kashmir Himalaya. We conducted a systematic field survey in the study area during 2020 – 2021 to collect primary data from 110 participants through semi-structured interviews
and questionnaires. The data was analyzed using quantitative indices and Pearsonʼs correlation. We recorded 64 plant species used against 8 human disease categories, including some
first-time reports from the region. Asteraceae and Lamiaceae were the most dominant families and herbs were the dominant growth form. The most common plant part used were leaves, and the
main method of preparation was decoction. Plant species with the highest relative frequency of citation was Achillea millifolium (0.83). Informant consensus factor for each disease
category ranged from 0.94 to 0.97. We found a strong positive correlation between participantsʼ age and citations (r = 0.85), but a negative correlation between the participantsʼ
education status and citations (r = − 0.11). Our results revealed that the younger generation possesses the least ethnomedicinal information. We recommend that the species with high
use values and fidelity level merit priority in phytochemical and pharmaceutical studies. Our findings highlight that protected areas, besides their prime importance in biodiversity
conservation, play a pivotal role in providing the healthcare provisioning ecosystem services to the ethnic communities.
Reconstruction of a Severe Open Tibiofibular Fracture using an Ipsilateral Vascularized Fractured Fibula with a Thoracodorsal Artery Perforator Free Flap
Authors: Chang Lan Sook , Kim Dae Kwan , Park Ji Ah , Hwang Kyu Tae , Kim Youn Hwan 
Published: June 2023

AbstractThe Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.
Synthesis of Aliphatic Nitriles via Desulfonylative Smiles Rearrangement
Authors: Abe Masahiro , Inamoto Kiyofumi , Jitsumatsu Honoka , Araki Mikoto , Mizukami Akiho , Kimachi Tetsutaro 
Published: June 2023

AbstractHerein, we demonstrate the synthesis of aliphatic nitriles from N-acyl (2-nitrophenyl)sulfonamides via a desulfonylative Smiles rearrangement. The developed reaction routes provide a variety of aliphatic nitriles containing primary, secondary, and tertiary carbon centers in good-to-excellent yields. Our method requires the use of the easy-to-handle reagent potassium acetate and solvent 1,3-dimethyl-2-imidazolidinone, and it does not rely on toxic metal cyanides or transition metals. The process is suitable for large-scale reaction and for one-pot syntheses starting from an acyl chloride or a carboxylic acid.