bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving care for individuals with serious infections who inject drugs
Authors: Kershaw Colleen , Lurie Jon D , Brackett Charles , Loukas Elias , Smith Katie , Mullins Sarah , Gooley Christine , Borrows Melissa , Bardach Shoshana , Perry Amanda , Carpenter-Song Elizabeth , Landsman H. Samuel , Pierotti Danielle , Bergeron Ericka , McMahon Erin , Finn Christine 
Published: December 2022

Background: Hospitalizations for serious infections requiring long-term intravenous (IV) antimicrobials related to injection drug use have risen sharply over the last decade. At our rural tertiary care center, opportunities for treatment of underlying substance use disorders were often missed during these hospital admissions. Once medically stable, home IV antimicrobial therapy has not traditionally been offered to this patient population due to theoretical concerns about misuse of long-term IV catheters, leading to discharges with suboptimal treatment regimens, lengthy hospital stays, or care that is incongruent with patient goals and preferences. Methods: A multidisciplinary group of clinicians and patients set out to redesign and improve care for this patient population through a health care innovation process, with a focus on increasing the proportion of patients who may be discharged on home IV therapy. Baseline assessment of current experience was established through retrospective chart review and extensive stakeholder analysis. The innovation process was based in design thinking and facilitated by a health care delivery improvement incubator. Results: The components of the resulting intervention included early identification of hospitalized people who inject drugs with serious infections, a proactive psychiatry consultation service for addiction management for all patients, a multidisciplinary care conference to support decision making around treatment options for infection and substance use, and care coordination/navigation in the outpatient setting with a substance use peer recovery coach and infectious disease nurse for patients discharged on home IV antimicrobials. Patients discharged on home IV therapy followed routine outpatient parenteral antimicrobial therapy (OPAT) protocols and treatment protocols for addiction with their chosen provider. Conclusion: An intervention developed through a design-thinking-based health care redesign process improved patient-centered care for people with serious infections who inject drugs.
Obesity and associated factors among high school adolescent students in Bahir Dar town, North West Ethiopia: A cross-sectional study
Authors: Hunegnaw Woldeamilak Adamu , Ferede Addisu Gasheneit , Tekalign Tiwabwork , Asres Abiyot Wolie 
Published: December 2022

Objective: The aim of this study was to assess the magnitude and associated factors of obesity among high school adolescent students in Bahir Dar, Ethiopia. Methods: An institution-based cross-sectional study was conducted from 10 September 2019 to 10 October 2019 in Bahir Dar town. A total of 1018 students were enrolled using a multistage sampling procedure. Epidata version 3.1 was used for data entry, and SPSS version 24 was used for data analysis. A bivariable and multivariable logistic regression analysis was performed. Results: The magnitude of obesity among high school adolescents was 8.3%. Attending a private school (adjusted odds ratio = 6.52; 95% confidence interval: 3.13, 13.59), not participating in moderate- to vigorous-intensity activities (AOR = 3.08; 95% confidence interval: 1.44, 6.64), coming from a wealthy family (adjusted odds ratio = 7.03; 95% CI: 2.16, 22.89), and snacking frequency (adjusted odds ratio = 9.64; 95% confidence Interval: 4.79, 19.39) were all associated with obesity. Conclusions: Obesity was prevalent among students in private schools and wealthy families in the research area. Family size, household wealth, participation in moderate-to-striving activities, and snacking frequency were all found to be significant factors of obesity.
A comparison of marker-based estimators of inbreeding and inbreeding depression
Authors: Caballero Armando , Fernández Almudena , Villanueva Beatriz , Toro Miguel A. 
Published: December 2022

AbstractBackgroundThe availability of genome-wide marker data allows estimation of inbreeding coefficients (F, the probability of identity-by-descent, IBD) and, in turn, estimation of the rate of inbreeding depression (ΔID). We investigated, by computer simulations, the accuracy of the most popular estimators of inbreeding based on molecular markers when computingFand ΔID in populations under random mating, equalization of parental contributions, and artificially selected populations. We assessed estimators described by Li and Horvitz (FLH1andFLH2), VanRaden (FVR1andFVR2), Yang and colleagues (FYA1andFYA2), marker homozygosity (FHOM), runs of homozygosity (FROH) and estimates based on pedigree (FPED) in comparison with estimates obtained from IBD measures (FIBD).ResultsIf the allele frequencies of a base population taken as a reference for the computation of inbreeding are known, all estimators based on marker allele frequencies are highly correlated withFIBDand provide accurate estimates of the mean ΔID. If base population allele frequencies are unknown and current frequencies are used in the estimations, the largest correlation withFIBDis generally obtained byFLH1and the best estimator of ΔID isFYA2. The estimatorsFVR2andFLH2have the poorest performance in most scenarios. The assumption that base population allele frequencies are equal to 0.5 results in very biased estimates of the average inbreeding coefficient but they are highly correlated withFIBDand give relatively good estimates of ΔID. Estimates obtained directly from marker homozygosity (FHOM) substantially overestimated ΔID. Estimates based on runs of homozygosity (FROH) provide accurate estimates of inbreeding and ΔID. Finally, estimates based on pedigree (FPED) show a lower correlation withFIBDthan molecular estimators but provide rather accurate estimates of ΔID. An analysis of data from a pig population supports the main findings of the simulations.ConclusionsWhen base population allele frequencies are known, all marker-allele frequency-based estimators of inbreeding coefficients generally show a high correlation withFIBDand provide good estimates of ΔID. When base population allele frequencies are unknown,FLH1is the marker frequency-based estimator that is most correlated withFIBD, andFYA2provides the most accurate estimates of ΔID. Estimates fromFROHare also very precise in most scenarios. The estimatorsFVR2andFLH2have the poorest performances.
Objective hearing threshold identification from auditory brainstem response measurements using supervised and self-supervised approaches
Authors: Thalmeier Dominik , Miller Gregor , Schneltzer Elida , Hurt Anja , Hrabě deAngelis Martin , Becker Lore , Müller Christian L. , Maier Holger 
Published: December 2022

AbstractHearing loss is a major health problem and psychological burden in humans. Mouse models offer a possibility to elucidate genes involved in the underlying developmental and pathophysiological mechanisms of hearing impairment. To this end, large-scale mouse phenotyping programs include auditory phenotyping of single-gene knockout mouse lines. Using the auditory brainstem response (ABR) procedure, the German Mouse Clinic and similar facilities worldwide have produced large, uniform data sets of averaged ABR raw data of mutant and wildtype mice. In the course of standard ABR analysis, hearing thresholds are assessed visually by trained staff from series of signal curves of increasing sound pressure level. This is time-consuming and prone to be biased by the reader as well as the graphical display quality and scale.In an attempt to reduce workload and improve quality and reproducibility, we developed and compared two methods for automated hearing threshold identification from averaged ABR raw data: a supervised approach involving two combined neural networks trained on human-generated labels and a self-supervised approach, which exploits the signal power spectrum and combines random forest sound level estimation with a piece-wise curve fitting algorithm for threshold finding.We show that both models work well and are suitable for fast, reliable, and unbiased hearing threshold detection and quality control. In a high-throughput mouse phenotyping environment, both methods perform well as part of an automated end-to-end screening pipeline to detect candidate genes for hearing involvement. Code for both models as well as data used for this work are freely available.
Health disparity and healthcare utilization inequity among older adults living in poverty in South Korea: a cross-sectional study
Authors: Kim Ah-Young , Seo Moon Sil , Kang Hye-Young 
Published: December 2022

Abstract
Background
Korea has a two-tiered universal health security system: the wage-based National Health Insurance (NHI) program and government-subsidized Medical Aid (MA) program. Beneficiaries of the MA program belong to the lowest economic class. This study aims to investigate the association between economic status—defined as NHI or MA enrollment—and health disparity of older people aged ≥ 65 years in South Korea.

Methods
The claims records of 672,525 older age population from the 2017 Health Insurance Review and Assessment Service-Adult Patient Sample were used to estimate adjusted odds ratios (aORs) of MA vs. NHI beneficiaries for prevalence for common geriatric diseases. Logistic regression and negative binomial regression were used to investigate the association between economic status and prevalence or healthcare utilization for each disease.

Results
MA beneficiaries showed significantly higher prevalence than NHI beneficiaries for seven out of nine diseases (aORs ranging from 1.18 to 1.95). The discrepancy in the prevalence between the two groups was highest among those aged 65–69 years (aORs: 1.34–2.94), and diminished as they got older (aORs: 1.05–1.67). MA beneficiaries had significantly more outpatient visits to treat six diseases (aORs: 1.07–1.28), and more hospitalization to treat seven diseases (aORs:1.08–1.73) than NHI beneficiaries.

Conclusion
The higher prevalence of common geriatric diseases among MA than NHI beneficiaries confirms unfavorable health disparity in the elderly living in extreme poverty. Similar or higher healthcare utilization in treating the same conditions among MA beneficiaries suggests a low possibility of inequity for access to healthcare resources covered by the universal health security system due to poor economic status. Greater excess use of inpatient than outpatient care by MA beneficiaries implies that the condition of poor older adults might be more severe when diagnosed with the same disease.
IMNI PRECISION trial protocol: a phase II, open-label, non-inferior randomized controlled trial of tailoring omission of internal mammary node irradiation for early-stage breast cancer
Authors: Qi Wei-Xiang , Cao Lu , Zheng Siyue , Xu Cheng , Cai Rong , Xu Haoping , Cai Gang , Chen Jiayi 
Published: December 2022

Abstract
Background
Since the publication of MA-20 and EORTC-22922 trials, chest wall (CW)/ whole breast (WB) irradiation + comprehensive regional nodal irradiation (RNI) with internal mammary node irradiation (IMNI) has been the standard adjuvant treatment for early-stage breast cancer (BC). However, one size does not fit all BC, and the risk of recurrence significantly varies among this patient population. In addition, whether all BC patients presented with one to three positive lymph nodes (pN1) could benefit from IMNI remains controversial. Thus, the optimal adjuvant RNI volume for early-stage BC with T1-2N1 remains undetermined.

Methods
The IMNI PRECISION trial is a single institute, open-labeled, non-inferior, randomized controlled trial. A total of 214 clinically “high risk” BC patients which is characterized as having at least two of the five clinically adverse factors (age ≤ 40, three positive LN, T2 stage, grade 3 and Ki-67 index ≥ 14%), but genomic score “low risk” (the genomic score ≤ 44) N1 breast cancers are randomly assigned to omitting IMNI group (experimental group) or with IMNI (control group) with a 1:1 ratio. The primary endpoint of this trial is event-free survival, and secondary endpoints include overall survival and locoregional recurrence-free survival.

Discussion
The IMNI PRECISION design allows promising clinical-genomic model to stratify the individualized risk of developing recurrence and guides the optimal RNI treatment for early-stage (pT1-2N1) BC patients. We anticipate that our results would provide high-level evidence to tailor IMNI according to individualized recurrence risk of BC.

Trial registration
ClinicalTrials.gov Identifier NCT04517266. Date of registration: August 18, 2020. Status: Recruiting.
Detecting subtle signs of depression with automated speech analysis in a non-clinical sample
Authors: König Alexandra , Tröger Johannes , Mallick Elisa , Mina Mario , Linz Nicklas , Wagnon Carole , Karbach Julia , Kuhn Caroline , Peter Jessica 
Published: December 2022

AbstractBackgroundAutomated speech analysis has gained increasing attention to help diagnosing depression. Most previous studies, however, focused on comparing speech in patients with major depressive disorder to that in healthy volunteers. An alternative may be to associate speech with depressive symptoms in a non-clinical sample as this may help to find early and sensitive markers in those at risk of depression.MethodsWe includedn = 118 healthy young adults (mean age: 23.5 ± 3.7 years; 77% women) and asked them to talk about a positive and a negative event in their life. Then, we assessed the level of depressive symptoms with a self-report questionnaire, with scores ranging from 0–60. We transcribed speech data and extracted acoustic as well as linguistic features. Then, we tested whether individuals below or above the cut-off of clinically relevant depressive symptoms differed in speech features. Next, we predicted whether someone would be below or above that cut-off as well as the individual scores on the depression questionnaire. Since depression is associated with cognitive slowing or attentional deficits, we finally correlated depression scores with performance in the Trail Making Test.ResultsIn our sample,n = 93 individuals scored below andn = 25 scored above cut-off for clinically relevant depressive symptoms. Most speech features did not differ significantly between both groups, but individuals above cut-off spoke more than those below that cut-off in the positive and the negative story. In addition, higher depression scores in that group were associated with slower completion time of the Trail Making Test. We were able to predict with 93% accuracy who would be below or above cut-off. In addition, we were able to predict the individual depression scores with low mean absolute error (3.90), with best performance achieved by a support vector machine.ConclusionsOur results indicate that even in a sample without a clinical diagnosis of depression, changes in speech relate to higher depression scores. This should be investigated in more detail in the future. In a longitudinal study, it may be tested whether speech features found in our study represent early and sensitive markers for subsequent depression in individuals at risk.
Motivations for nutrition information-seeking behavior among Belgian adults: a qualitative study
Authors: Vrinten Jules , Van Royen Kathleen , Pabian Sara , De Backer Charlotte , Matthys Christophe 
Published: December 2022

Abstract
Background
Nutrition information-seeking behavior is highly prevalent even though it can be challenging to find reliable nutrition information in the current media landscape. Previous quantitative research has identified which population segments use which sources, yet little is known about motivations underpinning nutrition information-seeking behavior. Understanding motivations for seeking nutrition information can increase the efficacy of future nutrition education efforts. The present study aims to identify motivations for nutrition information-seeking behavior among Belgian adults.

Methods
In-depth qualitative interviews were conducted with 20 adults (n women = 15, n men = 4, n other = 1). Audio-recorded interviews were transcribed verbatim and analyzed in NVivo 12 using inductive thematic analysis. The coding process involved open and axial coding combined with constant comparison to identify themes.

Results
The interviews revealed a diverse spectrum of motivations for nutrition information-seeking behavior. Five categories of motivations centered on health management, cognitive needs, affective needs, social integrative needs, and personal identity. Participants indicated seeking nutrition information to regain a sense of control over their health and it also helped them express their autonomy. Additionally, participants sought nutrition information out of curiosity or out of a long-standing interest. Nutrition information-seeking was also used as a form of emotion regulation with participants actively engaging in seeking behavior to pursue enjoyment, diversion, confirmation, inspiration, and even relaxation. Furthermore, nutrition information-seeking enabled participants to meet social integrative needs by helping them connect to others, gather social support, help others, and sometimes convince others. Lastly, participants indicated a need for nutrition information to express or defend their identity.

Conclusions
Our results indicate that beneath the surface of a more apparent need for nutrition information lies a range of motivations demonstrating that nutrition information serves more complex needs than simply information needs. To improve the efficacy of future nutrition education efforts, communication strategies must be tailored to a diverse range of motivations.
Comparison of CT values in traditional trajectory, traditional cortical bone trajectory, and modified cortical bone trajectory
Authors: Liu Dongshan , Kahaer Alafate , Wang Yixi , Zhang Rui , Maiaiti Abulikemu , Maimaiti Xieraili , Zhou Zhihao , Shi Wenjie , Cui Zihao , Zhang Tao , Li Longfei , Rexiti Paerhati 
Published: December 2022

Abstract
Background
To compare the CT values and length of the screw tracks of traditional trajectory (TT), cortical bone trajectory (CBT), and modified cortical bone trajectory (MCBT) screws and investigate the effects on the biomechanics of lumbar fixation.

Methods
CT scan data of 60 L4 and L5 lumbar spine were retrieved and divided into 4 groups (10 male and 10 female cases in the 20–30 years old group and 20 male and 20 female cases in the 30–40 years old group). 3-dimentional (3D) model were established using Mimics 19.0 for each group and the placement of three techniques was simulated on the L4 and L5, and the part of the bone occupied by the screw track was set as the region of interest (ROI). The mean CT value and the actual length of the screw track were measured by Mimics 19.0.

Results
The CT values of ROI for the three techniques were significantly different between the same gander in each age group (P < 0.05). The difference of screw track lengths for CBT and MCBT in the male and female is significant (P < 0.05).

Conclusions
According to the CT values of the three screw tracks: MCBT > CBT > TT, the MCBT screw track has greater bone-screw surface strength and longer screw tracks than CBT, which is easier to reach the anterior column of the vertebral body contributing to superior biomechanical properties.
Exploring nursing faculty, managers, newly graduated nurses, and students’ experiences of nursing internship program implementation in Iran: a descriptive qualitative study
Authors: Shahzeydi Amir , Taleghani Fariba , Moghimian Maryam , Farzi Sedigheh , Yazdannik Ahmadreza , Farzi Kolsoum 
Published: December 2022

Abstract
Background
Nursing students are required to acquire the necessary clinical knowledge and skills to provide safe and quality care. The method of providing training, particularly for final-year nursing students, is of utmost importance. An internship is a program during which students work in shifts similar to nurses employed in a hospital; however, the number of their shifts and patients is less than nurses; a nurse and the faculty supervise the care they provide, and they are paid a monthly salary. This study was conducted to explore nursing faculty, managers, new graduates, and students’ experiences of nursing internship program implementation.

Methods
This descriptive qualitative study was conducted from November 2021 to March 2022. The participants were selected from among nursing managers, newly graduated nurses, nursing internship students (final-year undergraduate), and faculty of Iran. Data were collected using in-depth semi-structured interviews. The qualitative content analysis approach was used for data analysis.

Results
Participants in this study included 17 nursing internship students, 12 nursing managers, three faculty members, ten nursing preceptors, and five newly graduated nurses from the internship program, 47 participants in total. After analyzing the data, five themes, including ‘facilitation of socialization process,’ ‘filling the gap between theory and practice,’ ‘improving self-confidence and independence,’ ‘an opportunity for clinical skill training,’ and ‘Achilles’ heel of the clinical setting,’ and nineteen subthemes were extracted from the participants’ experiences.

Conclusion
Implementation of an internship program for final-year nursing students plays a role in preparing them for better professional performance, enhancing clinical skills, increasing self-confidence and independence, inspiring the nursing profession, strengthening professional commitment, and improving the chances of employment after graduation. In order to alleviate the identified challenges of the internship program, holding a briefing meeting with managers, supervisors, and faculty to determine working hours, performance standards, and amenities such as lunch, dinner, and resting place is efficient.