bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics of Kenyan women using HIV PrEP enrolled in a randomized trial on doxycycline postexposure prophylaxis for sexually transmitted infection prevention
Authors: Oware Kevin , Adiema Lydia , Rono Bernard , Violette Lauren R. , McClelland R. Scott , Donnell Deborah , Scoville Caitlin W. , Odoyo Josephine , Baeten Jared M. , Bukusi Elizabeth , Stewart Jenell 
Published: June 2023

Abstract
Introduction
The global incidence of sexually transmitted infections (STIs) has been rapidly increasing over the past decade, with more than one million curable STIs being acquired daily. Young women in sub-Saharan Africa have a high prevalence and incidence of both curable STIs and HIV. The use of doxycycline as a prophylaxis to prevent STIs is promising; however, clinical trials, to date, have only been conducted among men who have sex with men (MSM) in high-income settings. We describe the characteristics of participants enrolled in the first trial to determine the efficacy of doxycycline post-exposure prophylaxis (PEP) to reduce STI incidence among women taking daily, oral HIV pre-exposure prophylaxis (PrEP).

Methods
This is an open-label 1:1 randomized clinical trial on the efficacy of doxycycline PEP compared with standard of care (e.g., quarterly STI screening and treatment) to reduce incident bacterial STIs – Neisseria gonorrhoeae, Chlamydia trachomatis, and Treponema pallidum – among Kenyan women aged ≥18 and ≤30 years. All were also taking HIV pre-exposure prophylaxis (PrEP). We describe the baseline characteristics, STI prevalence, and STI risk perception of participants.

Results
Between February 2020 and November 2021, 449 women were enrolled. The median age was 24 years (IQR 21–27), the majority were never married (66.1%), 370 women (82.4%) reported having a primary sex partner, and 33% had sex with new partners in the three months prior to enrolment. Two-thirds (67.5%, 268 women) did not use condoms, 36.7% reported transactional sex, and 43.2% suspected their male partners of having sex with other women. Slightly less than half (45.9%, 206 women) were recently concerned about being exposed to an STI. The prevalence of STIs was 17.9%, with C. trachomatis accounting for the majority of infections. Perceived risk of STIs was not associated with the detection of an STI.

Conclusion
Young cisgender women using HIV PrEP in Kenya and enrolled in a trial of doxycycline postexposure prophylaxis had a high prevalence of curable STIs and represent a target population for an STI prevention intervention.
Differential molecular pathway expression according to chemotherapeutic response in ovarian clear cell carcinoma
Authors: Yin Min , Lu Chunli , Zhou Huimei , Liu Qian , Yang Jiaxin 
Published: June 2023

AbstractObjectiveOvarian clear cell carcinoma (OCCC) is a distinct entity from epithelial ovarian cancer. The prognosis of advanced and recurrent disease is very poor due to resistance to chemotherapeutic agents. Our aim was to explore the molecular alterations among OCCC patients with different chemotherapeutic responses and to obtain insights into potential biomarkers.MethodsTwenty-four OCCC patients were included in this study. The patients were divided into two groups based on the relapse time after the first-line platinum-based chemotherapy: the platinum-sensitive group (PS) and the platinum-resistant group (PR). Gene expression profiling was performed using NanoString nCounter PanCancer Pathways Panel.ResultsGene expression analysis comparing PR vs. PS identified 32 differentially expressed genes: 17 upregulated genes and 15 downregulated genes. Most of these genes are involved in the PI3K, MAPK and Cell Cycle-Apoptosis pathways. In particular, eight genes are involved in two or all three pathways.ConclusionThe dysregulated genes in the PI3K, MAPK, and Cell Cycle-Apoptosis pathways identified and postulated mechanisms could help to probe biomarkers of OCCC platinum sensitivity, providing a research basis for further exploration of targeted therapy.Graphic abstract
Feeding back of individual genetic results in Botswana: mapping opportunities and challenges
Authors: Kasule Mary , Matshaba Mogomotsi , Wonkam Ambroise , de Vries Jantina 
Published: June 2023

Abstract
Purpose
We explored the views of Botswana stakeholders involved in developing, implementing and applying ethical standards for return of individual study results from genomic research. This allowed for mapping opportunities and challenges regarding actionability requirements that determine whether individual genomic research results should be fed back.

Methods
Using in-depth interviews, this study explored the views of sixteen (16) stakeholders about the extent, nature and timing of feedback of individual genomic research findings, including incidental findings that arise in the context of African genomics research. Coded data was analyzed through an iterative process of analytic induction to document and interpret themes.

Results
Overall, respondents were of the view that feedback of actionable individual genomic results was an important outcome that could benefit participants. However, a number of themes surfaced that pointed to opportunities and challenges that exist in Botswana that could help in planning for feeding back of individual genomic results that were mapped. Some of the opportunities cited by the respondents included the existence of good governance; democracy and humanitarianism; universal healthcare system; national commitment to science; research and innovation to transform Botswana into a knowledge-based economy; and applicable standard of care which could promote actionability. On the other hand, contextual issues like the requirement for validation of genomic research results in accredited laboratories, high cost of validation of genomic results, and linkage to care, as well as lack of experts like genomic scientists and counselors were considered as challenges for return of individual results.

Conclusion
We propose that decisions whether and which genomic results to return take into consideration contextual opportunities and challenges for actionability for return of results in a research setting. This is likely to avoid or minimize ethical issues of justice, equity and harm regarding actionability decisions.
Family physicians’ experiences with an innovative, community-based, hybrid model of in- person and virtual care: a mixed-methods study
Authors: Fitzsimon Jonathan , Patel Kush , Peixoto Cayden , Belanger Christopher 
Published: June 2023

Abstract
Background
Rural, remote, and underserved communities have often struggled to provide adequate access to family physicians. To bridge this gap in Renfrew County, a large, rural region in Ontario, Canada, a community- based, hybrid care model was implemented, combining virtual care from family physicians and in-person care from community paramedics. Studies have demonstrated the clinical and cost effectiveness of this model but its acceptability to physicians has not been examined. This study investigates the experiences of participating family physicians.

Methods
A mixed-methods study, combining physician questionnaire response data and qualitative thematic analysis of focus group interview data.

Results
Data was collected from n = 17 survey respondents and n = 9 participants in two semi-structured focus groups (n = 4 and n = 5 respectively). Physicians reported high satisfaction, driven by skills development and patient gratitude, and felt empowered to reduce ED visits, care for unattached patients, and address simple medical needs. However, physicians found it difficult to provide continuous care and were sometimes unfamiliar with local healthcare resources.

Conclusion
This study found that a hybrid model of in-person and virtual care from family physicians and community paramedics was associated with positive physician experiences in two main areas: clinical impacts, especially avoiding unnecessary ED visits, and physician satisfaction with the service. Potential improvements for this hybrid model were identified, and include better support for patients with complex needs, and more information about local health-system services. Our findings should be of interest to policymakers and administrators seeking to improve access to care through a hybrid model of in-person and virtual care.
Feasibility, validity and reliability of the ASCOT-Proxy and ASCOT-Carer among unpaid carers of people living with dementia in England
Authors: Silarova Barbora , Rand Stacey , Towers Ann-Marie , Jones Karen 
Published: June 2023

Abstract
Background
People with dementia living at home represent a growing group of social care services users in England. Many are unable to complete questionnaires due to cognitive impairment. The ASCOT-Proxy is an adapted version of an established measure, ASCOT, which was developed as a way of collecting social care-related quality of life (SCRQoL) data from this group of service users, either alone or alongside the ASCOT-Carer, a measure of SCRQoL for unpaid carers. The ASCOT-Proxy includes two perspectives, the proxy-proxy perspective (‘My opinion: What I think’) and proxy-person perspective (‘What I think the person I represent thinks’). We aimed to establish the feasibility, construct validity and reliability of the ASCOT-Proxy and ASCOT-Carer, with unpaid carers of people with dementia living at home unable to self-report. We also aimed to establish structural characteristics of the ASCOT-Proxy.

Methods
Cross-sectional data were collected using self-administered questionnaire (paper or online) among unpaid carers living in England between January 2020 and April 2021. Unpaid carers could take part if they supported someone living with dementia who was unable to self-complete a structured questionnaire. The person living with dementia or their unpaid carer had to use at least one social care service. We used the proportion of missing data to establish feasibility, ordinal exploratory factor analysis to establish structural characteristics, Zumbo’s ordinal alpha for internal reliability, and hypothesis testing for construct validity. We also conducted Rasch analysis.

Results
We analysed data for 313 carers (62.4(± 12.0) years, 75.7% (N=237) females). We were able to calculate the ASCOT-Proxy-proxy overall score for 90.7% of our sample, the ASCOT-Proxy-person overall score for 88.8% of our sample and in case of the ASCOT-Carer for 99.7% of our sample. As there was an issue with structural characteristics of the ASCOT-Proxy-proxy we conducted Rasch, reliability and construct validity analysis for the ASCOT-Proxy-person and ASCOT-Carer only.

Conclusions
This was a first study to explore psychometric characteristics of the ASCOT-Proxy and ASCOT-Carer with unpaid carers of people with dementia living at home unable to self-report. There are some aspects of the psychometric characteristics of the ASCOT-Proxy and ASCOT-Carer that warrant further investigation in future.
Trial registration
NA
Single-trial extraction of event-related potentials (ERPs) and classification of visual stimuli by ensemble use of discrete wavelet transform with Huffman coding and machine learning techniques
Authors: Amin Hafeez Ullah , Ullah Rafi , Reza Mohammed Faruque , Malik Aamir Saeed 
Published: June 2023

Abstract
Background
Presentation of visual stimuli can induce changes in EEG signals that are typically detectable by averaging together data from multiple trials for individual participant analysis as well as for groups or conditions analysis of multiple participants. This study proposes a new method based on the discrete wavelet transform with Huffman coding and machine learning for single-trial analysis of evenal (ERPs) and classification of different visual events in the visual object detection task.

Methods
EEG single trials are decomposed with discrete wavelet transform (DWT) up to the $$4{th}$$

4

th

level of decomposition using a biorthogonal B-spline wavelet. The coefficients of DWT in each trial are thresholded to discard sparse wavelet coefficients, while the quality of the signal is well maintained. The remaining optimum coefficients in each trial are encoded into bitstreams using Huffman coding, and the codewords are represented as a feature of the ERP signal. The performance of this method is tested with real visual ERPs of sixty-eight subjects.

Results
The proposed method significantly discards the spontaneous EEG activity, extracts the single-trial visual ERPs, represents the ERP waveform into a compact bitstream as a feature, and achieves promising results in classifying the visual objects with classification performance metrics: accuracies 93.60$$\pm {6.5}$$

±

6.5

, sensitivities 93.55$$\pm {4.5}$$

±

4.5

, specificities 94.85$$\pm {4.2}$$

±

4.2

, precisions 92.50$$\pm {5.5}$$

±

5.5

, and area under the curve (AUC) 0.93$$\pm {0.3}$$

±

0.3

using SVM and k-NN machine learning classifiers.

Conclusion
The proposed method suggests that the joint use of discrete wavelet transform (DWT) with Huffman coding has the potential to efficiently extract ERPs from background EEG for studying evoked responses in single-trial ERPs and classifying visual stimuli. The proposed approach has O(N) time complexity and could be implemented in real-time systems, such as the brain-computer interface (BCI), where fast detection of mental events is desired to smoothly operate a machine with minds.
Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful
Authors: van Dellen Florian , Aurich-Schuler Tabea , Hesse Nikolas , Labruyère Rob 
Published: June 2023

AbstractIntroductionRobot-assisted gait therapy is frequently used for gait therapy in children and adolescents but has been shown to limit the physiological excursions of the trunk and pelvis. Actuated pelvis movements might support more physiological trunk patterns during robot-assisted training. However, not every patient is expected to react identically to actuated pelvis movements. Therefore, the aim of the present study was to identify different trunk movement patterns with and without actuated pelvis movements and compare them based on their similarity to the physiological gait pattern.Methods and resultsA clustering algorithm was used to separate pediatric patients into three groups based on different kinematic reactions of the trunk to walking with and without actuated pelvis movements. The three clusters included 9, 11 and 15 patients and showed weak to strong correlations with physiological treadmill gait. The groups also statistically differed in clinical assessment scores, which were consistent with the strength of the correlations. Patients with a higher gait capacity reacted with more physiological trunk movements to actuated pelvis movements.ConclusionActuated pelvis movements do not lead to physiological trunk movements in patients with a poor trunk control, while patients with better walking functions can show physiological trunk movements. Therapists should carefully consider for whom and why they decide to include actuated pelvis movements in their therapy plan.
Palm Sunday in central Mexico: among sellers, palms and syncretism
Authors: Briseño-Tellez Jocelyn M. , Pulido Silva María Teresa , Bautista Karen , García Mera Amairani , Larios-Lozano Omar , López Gutiérrez Berenice Nathaly , López López Yazmín Alejandra , Mendoza Cruz Yesenia , Monzalvo René , Ortega-Meza Daniela , Sánchez Trejo Edith Carmina , Zepeda-Hernández Zeltzin K. 
Published: June 2023

Abstract
Background
Domingo de Ramos, or Palm Sunday, is a traditional Christian religious event where devotees use ramos, which are bouquets currently elaborated from palm leaves and other natural elements. In various countries, it is assumed this use of biodiversity leads to the depletion of the species involved. However, other important aspects must be considered, including the role of the people who produce and sell these ramos, the associated symbolism that has been overlooked, as well as commercial aspects that have barely been documented. This ethnobotanical study evaluates the regional-scale cultural, biological and socioeconomic aspects associated with Domingo de Ramos in central Mexico from an emic perspective.

Methods
Ethnographic and commercial information was obtained through interviews with ramos sellers in 28 municipalities in the state of Hidalgo, Mexico. We specifically sought sociodemographic data regarding the interviewees, as well as information pertaining to the ramos themselves and the palms. These aspects were explored with all of the sellers. The free list method was used to describe the uses and key elements associated with the ramos.

Results
Although the ramos are used for religious purposes, they have eight different uses in the daily life of the sellers, the main one being “protection.” They serve to protect families, crops and animals, as well as against several diseases. Likewise, they are considered valuable for diminishing strong storms. This belief in the protection conferred by the ramos preserves pre-Hispanic concepts and is combined with their use in blessing corresponding to Western beliefs. Ramos are made from 35 introduced and native plant species and comprise a base (made of palm, wheat or sotol), a “reliquia” (palm, rosemary, chamomile and laurel) and natural or artificial flowers. The ramos sellers are mostly adult women of indigenous origin and heads of family.

Conclusions
This study of Domingo de Ramos, carried out at a regional scale, highlights a syncretism that is reflected in both the symbolic importance of ramos palm and in the species used, as well as socioeconomic aspects that had not previously been identified in the study area and reflect the occurrence of complex relationships in non-timber forest products that remain little addressed.
Ethnobotany of wild edible plants in Soro District of Hadiya Zone, southern Ethiopia
Authors: Hankiso Mulatu , Warkineh Bikila , Asfaw Zemede , Debella Asfaw 
Published: June 2023

Abstract
Background
Despite their paramount importance all over the globe in supporting food security, information about wild edible plants is generally patchy. In this study, we investigated the wild edible plants used by the local people in the Soro District of Hadiya Zone, southern Ethiopia. The main purpose of the study was to document and analyze the indigenous and local knowledge of the people on their abundance, diversity, use and management.

Methods and materials
Purposive sampling and systematic random sampling were used to identify informants who can give information about the wild edible plants of the area. Data were collected by interviewing 26 purposively sampled key informants and 128 systematically randomly sampled general informants using semi-structured interviews. Guided observations and 13 focus group discussions (FGDs) consisting of 5–12 participants/discussants at each FGD session were also undertaken. Statistical analyses (mainly descriptive statistics approaches) and common analytical tools of ethnobotany including informant consensus, informant consensus factor, preference ranking, direct matrix ranking, paired comparison and index of fidelity level were applied to the data sets.

Results
A total of 64 wild edible plant species belonging to 52 genera and 39 families were recorded. All of these species are indigenous, 16 are new additions to the database and seven of them, including Urtica simensis and Thymus schimperi, are endemic to Ethiopia. In about 82.81% of the species, the edible plant part is also used in the Ethiopian traditional herbal medicine. It is striking to see that almost all wild edible plants recorded from the study area are nutraceutical plant species, serving multiple roles as food and therapeutic sources for the local people. We recorded five growth habits of 34.38% trees, 32.81% herbs, 25% shrubs, 6.25% climbers, and 1.56% liana. We found the Flacourtiaceae, Solanaceae, and Moraceae to be families that represented more species (4 each), followed by Acanthaceae, Apocynaceae, Amaranthaceae, and Asteraceae, which accounted for 3 species each. Fruits (53.13%) and leaves (31.25%) were consumed in more proportions than other edible parts (15.63%); mostly the ripe, raw fruit is eaten upon simple processing, followed by leaves eaten after boiling, roasting and cooking.

Conclusion
The frequency and intensity of consumption of these plants varied significantly (P < 0.05) with gender differences, key and general informants, and people’s religious backgrounds. We postulate that priority setting for in situ and ex situ conservation of multipurpose wild edible plants in human-inhabited landscapes is essential to warrant sustainable use and conservation of the species as well as the use of new modes of application and valorization.
Partial inactivation of songbird auditory cortex impairs both tempo and pitch discrimination
Authors: Kim Gunsoo , Sánchez-Valpuesta Miguel , Kao Mimi H. 
Published: June 2023

AbstractNeuronal tuning for spectral and temporal features has been studied extensively in the auditory system. In the auditory cortex, diverse combinations of spectral and temporal tuning have been found, but how specific feature tuning contributes to the perception of complex sounds remains unclear. Neurons in the avian auditory cortex are spatially organized in terms of spectral or temporal tuning widths, providing an opportunity for investigating the link between auditory tuning and perception. Here, using naturalistic conspecific vocalizations, we asked whether subregions of the auditory cortex that are tuned for broadband sounds are more important for discriminating tempo than pitch, due to the lower frequency selectivity. We found that bilateral inactivation of the broadband region impairs performance on both tempo and pitch discrimination. Our results do not support the hypothesis that the lateral, more broadband subregion of the songbird auditory cortex contributes more to processing temporal than spectral information.