bluuebunny/crossref_metadata_2025_split huggingface dataset:
Abstract 14549: Malignant Anomalous LMCA With an Interarterial Course:
Atypical Presentation
Authors: Baker Preston , Elkaronyi Ahmed , Darki Amir 
Published: June 2023

A 42-year-old healthy female presented to the emergency department with coughing and shortness of breath, complicated by syncope. Before loss of consciousness, the patient reported feeling lightheaded, but no chest pain or palpitations were appreciated. Following a negative work up for cardiogenic syncope, she was discharged home with a presumed diagnosis of vasovagal syncope. Over the next 12 months, the patient had recurrent episodes of shortness of breath followed by either a presyncopal prodrome or full syncopal episodes. Each episode came on with coughing and dyspnea without significant exertion. 18 months after the original event, she was re-evaluated for cardiac etiologies of her symptoms, and CT coronary angiogram showed an anomalous left main coronary artery arising from the right coronary cusp (AAOLCA) with an interarterial course, which was subsequently confirmed on coronary angiography (figure 1).
Anomalous Left Coronary Arteries of Aortic Origin (AAOLCA) present a diagnostic dilemma for cardiologist, given their vague presenting symptoms, unknown prevalence in the general population, and high risk for Sudden Cardiac Death (SCD). This patient’s syncopal episodes and presyncopal symptoms that were inconsistent with a cardiac etiology represent an atypical presentation, although there is no classic presentation for which AAOLCA is the most likely diagnosis. AAOLCA’s with an interarterial course, as seen in this patient, account for the majority of SCD caused by anomalous coronary arteries, despite making up just 1.3% of all identified cases. Referral for surgical correction is recommended for all patients AAOLCA with an interarterial course, to reduce risk of SCD. Further research is warranted regarding the true prevalence of AAOLCA in the general population, the risk of SCD associated with various AAOLCA’s, and validated screening tools for utilization of coronary CTA or MRA to identify AAOLCA’s prior to major cardiac events.
Abstract 15341: Persistent Fifth Arch as an Aortopulmonary Connection in a Case of Tetralogy of Fallot
Authors: Negron Garcia Lianela C , Fraint Hannah , Spevak Philip C , Ravekes William J 
Published: June 2023

Persistent fifth aortic arch is a heterogeneous vascular anomaly with variable anatomical presentations and physiological consequences. This unusual embryological remnant represents a management challenge, particularly in critical right sided obstructive heart lesions where accurate delineation of sources of pulmonary blood flow is essential.
This is a newborn 2 kg premature male born at 34 weeks of gestation with prenatally diagnosed tetralogy of Fallot. Post-natal echocardiogram confirmed diagnosis with evidence of moderate-to-severe pulmonary stenosis, restrictive ventricular septal defect, and a right aortic arch. CT angiogram ordered to delineate the head and neck vessel anatomy showed an exceedingly rare finding of an isolated connection of the left subclavian artery (LSCA) to the main pulmonary artery (MPA) via a left sided ductus arteriosus. Blood flowed from the common carotid arteries, through the circle of Willis, and, in a retrograde direction, into the LSCA. Prostaglandin E was initiated due to concern for ductal dependent pulmonary blood flow, but after clinical observation it was discontinued without subsequent onset of cyanosis. Repeat echocardiograms were reassuring in showing persistence of the left ductus arteriosus. The patient was discharged home at 5 weeks-old and at 4 months-old he underwent complete repair after developing progressive desaturations and worsening sub-valvar and valvar pulmonary stenosis. The surgical repair included ventricular septal defect closure, transannular patch, extensive right ventricular myomectomy and reimplantation of LSCA onto the left common carotid artery. The post-operative course was uncomplicated. This rare case of persistent fifth aortic arch with retrograde flow to the LSCA demonstrates the complementary roles of noninvasive imaging modalities in guiding medical therapy and surgical management. This unusual blood flow pattern and initial concern for duct dependent pulmonary blood flow complicated early management, but a conservative approach with repeat imaging allowed for eventual complete repair.
The Semantics of Eucharistic Miracles
Authors: Wierzbicka Anna 
Published: June 2023

Abstract
The term “Eucharistic miracles” refers to some seemingly inexplicable phenomena which have been observed at many times in Catholic churches in various countries. (“Eucharist” is the central element of Christian worship in general and Catholic worship in particular). According to Wikipedia, “reported Eucharistic miracles usually consist of unexplainable phenomena such as consecrated hosts visibly transforming into myocardium [heart] tissue”.
From a believer’s point of view, a “Eucharistic miracle” can be read as a message – a message which doesn’t force belief but which does “want to be believed”; and which, first of all, “wants to be understood”. As such, these phenomena present a task for a semanticist: what meaning can be plausibly attributed to them by people open to faith and how can this message be best articulated?
In this paper, the author, a semanticist with a special interest in the semantics of religion (Wierzbicka, 2001, 2019) takes a look at “Eucharistic miracles” from a semantic point of view. Her goal is to explore these phenomena through Minimal English anchored in universal human concepts (Wierzbicka, 1996, 2014; Goddard and Wierzbicka, 2014; Goddard, 2018, 2021).
Flying, Floating, Hurtling – a Corpus-Assisted Study of astromotion Verbs in American English
Authors: Törmä Kajsa 
Published: June 2023

Abstract
This paper establishes and explores the lexical field of astromotion (motion in outer space) from a Cognitive Linguistic perspective by investigating verb collocates of space, outer space and deep space from the Corpus of Contemporary American English (coca). The primary focus is on the moving figure and the manner of motion involved. The paper accounts for prototypical uses of the verbs and puts the results in dialogue with previous research into motion events on earth. The main findings are that (1) astromotion is primarily lexicalized by general motion verbs or relexicalizations from other domains of motion; (2) transitive verb constructions are more common than in previously studied domains of motion and; (3) control and speed are important disambiguating properties. The paper also illustrates how the lexical field has been influenced by our empirical knowledge, imagination, and embodied experiences.
PPAR-alpha/gamma agonists, glucagon-like peptide-1 receptor agonists and metformin for non-alcoholic fatty liver disease: A network meta-analysis
Authors: Zhang Zhuo-Ya , Yan Qi , Wu Wen-Hao , Zhao Yuan , Zhang Hua , Li Jin 
Published: June 2023

Objective To undertake a network meta-analysis to compare the relative efficacy of a dual peroxisome proliferator-activated receptor (PPAR)α and PPARγ agonist, glucagon-like peptide-1 receptor agonists (GLP-1RAs) and metformin in patients with non-alcoholic fatty liver disease (NAFLD). Methods Electronic databases, including Embase®, PubMed® and The Cochrane Library, were searched systematically for eligible studies from inception to 20 July 2022. Randomized controlled trials (RCTs) that investigated aspartate aminotransferase, alanine aminotransferase (ALT) and triglyceride levels were considered for inclusion. Data were extracted using a standardized data collection table. A network meta-analysis was performed. Relative risk and 95% confidence interval were calculated for continuous data and I2 was used to assess the heterogeneity of studies. Results A total of 22 RCTs involving 1698 patients were eligible for inclusion in the analysis. Both direct analysis and indirect analysis showed that saroglitazar was significantly superior to GLP-1RAs in improving ALT levels. Metformin improved ALT levels, but the effect was not as good as saroglitazar. Conclusion Saroglizatar was the most effective drug for improving NAFLD. INPLASY registration number: INPLASY202340066
Street Renaming as a Means of Symbolic Insult and a Diplomatic Slap in International Relations
Authors: Birnbaum Enav 
Published: June 2023

This article finds that states can use street renaming as an act of retaliation against other international actors (states and international organizations). Specifically, it shows how states can employ street renaming to symbolically insult and thus diminish their opponent’s sense of self. After situating the practice of retaliatory street renaming within the study of emotions in international relations (IR), and symbolic insults in diplomacy, in particular, the article surveys a multitude of cases in which states used street renaming to humiliate and defy other international actors. To further substantiate this thesis, the article then delves into one illustrative case: Israel’s 1975 decision to rename all streets carrying the name of the United Nations ‘Zionism Street’ in response to UN General Assembly Resolution 3379, which determined that ‘Zionism is a form of racism and racial discrimination’. The article concludes by calling for more scholarly attention to street renaming and other symbolic acts in IR. La dénomination des rues comme insulte symbolique et gifle diplomatique en relations internationales
Identification of Ziziphi Spinosae Semen from its Adulterants Based on RAPD
Authors: Xia Fu-Long , Cao Hong-Wei , Gao Li-Xia , Qing-Kong  , Mei-Li  , Wang Chuan-jie , Yang-Niu  
Published: June 2023

Background Ziziphi spinosae semen (ZSS), dry mature seeds of Ziziphus jujuba Mill. var. spinosa (Bunge) Hu ex H.F. Chow., are widely used in the treatment of insomnia, fright palpitations, and profuse dreaming in medical treatments. The counterfeit species of ZSS, Ziziphi mauritianae semen (ZMS), and Hovenia dulcis Thunb (HDT) are seeds from Ziziphus incurva Roxb. and Hovenia acerba Lindl., respectively. However, the pharmacopeia is not recorded for ZMS and HDT. In this article, we reviewed the identification methods of ZSS, ZMS, and HDT. Materials and Methods The random amplified polymorphic DNA (RAPD) technique was used to identify the ZSS and its copies. Plant genome DNA was extracted from Z. jujuba Mill., Z. incurva Roxb., and H. acerba Lindl. Random primers were designed to amplify the genome. The amplified products were detected by agarose gel electrophoresis. Results By analyzing the polymorphism of the amplified product DNA fragment, the DNA fingerprint maps of Z. jujuba Mill., Z. incurva Roxb., and H. acerba Lindl. were successfully constructed.
The relationship between children’s food allergies and family mealtimes: A systematic review
Authors: Sampige Ritu , Frankel Leslie Ann 
Published: June 2023

Food allergy prevalence is increasing among children; however, it is not clear how children’s food allergy status impacts family mealtimes. This study’s purpose was to systematically synthesize research regarding the relationship between children’s food allergies, parental meal-centered stress, and family mealtime dynamics. Data sources for this study include peer-reviewed, English language sources from CINAHL, MEDLINE, APA PsycInfo, Web of Science, and Google Scholar. Five keyword categories (child, food allergies, meal preparation, stress, and family) were utilized to identify sources regarding how food allergies of children (from birth–12 years) relate to family mealtime dynamics or parental meal-centered stress. All 13 identified studies determined that pediatric food allergies relate to either increased parental stress, meal preparation issues, mealtime problems, or changes to family meals. Studies also indicate that meal preparation takes longer, requires more vigilance, and is more stressful due to children’s food allergies. Limitations include that most studies were cross-sectional and based on maternal self-report. Children’s food allergies are associated with parental meal-centered stress and mealtime issues. However, there is a need for research to account for specific changes to family mealtime dynamics and parent feeding behaviors so that pediatric health care professionals can alleviate parental meal-centered stress and provide guidance towards optimal feeding behaviors.
Health care registers can be instrumental for endpoint capture in clinical diabetes trials: example of microvascular complications in Swedish patients with type 2 diabetes
Authors: Lundqvist Martin H , Patsoukaki Vagia , Jansson Stefan , Norman Henrietta , Granstam Elisabet , Svensson Maria K , Sundström Johan , Eliasson Björn , Eriksson Jan W 
Published: June 2023

Aims SMARTEST is a register-based randomized clinical trial (RRCT) that compares dapagliflozin to metformin in early-stage type 2 diabetes. The primary outcome includes progression of microvascular complications based on data from the Swedish National Diabetes Register (NDR). In this sub-study, the aim was to validate microvascular complication variables in the NDR against electronic health records (EHRs). Methods Data were extracted from EHRs of 276 SMARTEST participants with a median observation period of 3 years in the Uppsala, Örebro and Sörmland counties and compared with NDR data. Agreement was determined for all corresponding data entries as well as for progression of microvascular complications after randomization. Results The agreement for all corresponding data entries was 98.9% (Intraclass Correlation Coefficient 0.999) for creatinine and eGFR, 95.1% for albuminuria, 91.6% for foot-at-risk and 98.2% for retinopathy status (Kappa 0.67-0.91). The agreement for progression of microvascular complications was 98.0% for CKD stage, 98.9% for albuminuria grade, 96.3% for foot-at-risk grade and 99.6% for retinopathy grade progression (Gwet’s AC1 0.96-1.00). Conclusion Microvascular complication variables in the NDR show good agreement with EHR data. The use of a well-established national health care registry, exemplified by the NDR, for endpoint collection in RRCTs such as SMARTEST is supported by this study.
Microscopic colitis is a risk factor for low bone density: a systematic review and meta-analysis
Authors: Rancz Anett , Teutsch Brigitta , Engh Marie Anne , Veres Dániel Sándor , Földvári-Nagy László , Erőss Bálint , Hosszúfalusi Nóra , Juhász Márk Félix , Hegyi Péter , Mihály Emese 
Published: June 2023

Background: Microscopic colitis (MC) is a chronic inflammatory disease of the large bowel characterized by watery diarrhea, substantially decreasing the patient’s quality of life. Scarce data suggest that MC is associated with low bone density (LBD). Objectives: We aimed to assess whether MC is a risk factor for LBD and the proportion of patients with MC having LBD. Design: A systematic review and meta-analysis of studies reporting bone density measurements in MC patients. Data Sources and Methods: We systematically searched five databases from inception to October 16, 2021 (Pubmed, Embase, Cochrane, Scopus, and Web of Science). We used the random-effect model to calculate pooled odds ratios (ORs) and pooled event rates with 95% confidence intervals (CIs). To ascertain the quality of evidence of our outcomes, we followed the recommendations of the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group. Results: The systematic search yielded a total of 3046 articles. Four articles were eligible for quantitative synthesis. All of them used age- and sex-matched controls to evaluate LBD occurrence among patients with MC. The odds of having LBD were twofold increased (OR = 2.13, CI: 1.42–3.20) in the presence of MC, the odds of osteopenia occurrence were 2.4 (OR = 2.45, CI: 1.11–5.41), and of osteoporosis 1.4 (OR = 1.42, CI: 0.65–3.12). The proportion of LBD was 0.68 (CI: 0.56–0.78), osteopenia was 0.51 (CI: 0.43–0.58), and osteoporosis was 0.11 (CI: 0.07–0.16) among the MC population. Our findings’ certainty of the evidence was very low following the GRADEPro guideline. Conclusion: Our data demonstrate that MC is associated with a twofold risk for LBD. Based on our findings, we suggest screening patients for bone mineral density upon diagnosis of MC. Further prospective studies with higher patient numbers and longer follow-up periods on this topic are needed. Registration: Our protocol was prospectively registered with PROSPERO (CRD42021283392).
Using Policy Briefs to Communicate Dental Research Findings to Policymakers
Authors: Lee J.N. , Hill C.M. , Chi D.L. 
Published: June 2023

Objectives: New scientific knowledge is not always available to decision makers. Policy briefs are a way that dental researchers can communicate research findings to policymakers. This study compares usefulness of 2 types of policy briefs about sugar-sweetened beverage (SSB) intake and tooth decay. Methods: We developed 2 policy brief types (data focused and narrative focused) and emailed a randomly assigned policy brief to 825 policymakers and staff from 3 levels of government (city, county, and state) in Washington State. Participants completed a 22-item online questionnaire. There were 4 study outcomes: whether the brief was understandable, whether the brief was credible, likelihood of use, and likelihood to be shared (each measured on a 5-point Likert-like scale). The t test was used to evaluate whether outcomes differed by policy brief type and government level (α = 0.05). Results: There were 108 respondents (adjusted response rate 14.6%). About 41.6% of participants were in city government, 26.9% were in county government, and 29.6% were in state government. Participants reported that both data- and narrative-focused briefs were understandable (mean rating [MR] and standard deviation [SD]: 4.15 ± 0.68 and 4.09 ± 0.81, respectively; P = 0.65) and credible (MR and SD: 4.13 ± 0.70 and 4.09 ± 0.70, respectively; P = 0.74), but they were not likely to use (MR and SD: 2.71 ± 1.15 and 2.55 ± 1.28, respectively; P = 0.51) or share it (MR and SD: 2.62 ± 1.04 and 2.66 ± 1.30, respectively; P = 0.87). The likelihood of sharing briefs differed significantly by level of government ( P = 0.017). Participants at the state level were more likely to share information from the briefs (mean rating and SD: 3.10 ± 0.80) than city- and county-level participants (MR and SD: 2.62 ± 1.27, and 2.24 ± 1.21, respectively). Conclusion: Both data- and narrative-focused policy briefs may be a useful way to communicate dental research findings to policymakers, but additional steps are needed to ensure that briefs are used and shared. Knowledge Transfer Statement: Researchers should disseminate their research findings to maximize scientific impact. Our study findings indicate that policy briefs may be a useful way to communicate dental research findings to policymakers, but additional research is needed on the best ways to disseminate findings.
Are New York City Sonographers a Diverse Group? Exploring Diversity and Perceptions Related to Culture Among the City’s Sonography Clinicians and Educators
Authors: Struk Iryna , Donawa Destinii , Irving Shaian 
Published: June 2023

Objective: The objective of the study is to explore diversity and perceptions related to culture among New York City sonography clinicians and educators and determine whether this specific workforce is keeping pace with the changing demographics of the city population. Materials and Methods: An 18-question survey, which addressed demographics, work environment, and perceptions about diversity and inclusion in the workplace, was disseminated to sonography educators and hospitals in the five boroughs of New York City. Results: A total of 112 sonographers responded and 50% were White/Caucasian, 34.16% represented Asian/Pacific Islander (17.5%), Black/African American (10.83%), Hispanic/Latino (5%), and Native American/Alaskan Native (0.83%) populations, as well as 15.83% preferred not to respond. Most sonographers identified their gender as female. The 21 to 30 years age group was the least represented, and the age group 31 to 51+ years represented over three-quarters of the workforce. Most respondents worked with culturally diverse staff and were satisfied with their work environment. However, the Black/African American group showed the lowest average satisfaction score, and their responses were the least positive. Conclusion: In this cohort of respondents, Black/African, Hispanic, and Native American ethnicities were underrepresented compared with the city’s reported diverse population. Consequently, new programs and initiatives should be considered to increase ethnic and racial inclusivity, to respond to the needs of citizens of New York City.
COV-MobNets: a mobile networks ensemble model for diagnosis of COVID-19 based on chest X-ray images
Authors: Eshraghi Mohammad Amir , Ayatollahi Ahmad , Shokouhi Shahriar Baradaran 
Published: June 2023

Abstract
Background
The medical profession is facing an excessive workload, which has led to the development of various Computer-Aided Diagnosis (CAD) systems as well as Mobile-Aid Diagnosis (MAD) systems. These technologies enhance the speed and accuracy of diagnoses, particularly in areas with limited resources or remote regions during the pandemic. The primary purpose of this research is to predict and diagnose COVID-19 infection from chest X-ray images by developing a mobile-friendly deep learning framework, which has the potential for deployment in portable devices such as mobile or tablet, especially in situations where the workload of radiology specialists may be high. Moreover, this could improve the accuracy and transparency of population screening to assist radiologists during the pandemic.

Methods
In this study, the Mobile Networks ensemble model called COV-MobNets is proposed to classify positive COVID-19 X-ray images from negative ones and can have an assistant role in diagnosing COVID-19. The proposed model is an ensemble model, combining two lightweight and mobile-friendly models: MobileViT based on transformer structure and MobileNetV3 based on Convolutional Neural Network. Hence, COV-MobNets can extract the features of chest X-ray images in two different methods to achieve better and more accurate results. In addition, data augmentation techniques were applied to the dataset to avoid overfitting during the training process. The COVIDx-CXR-3 benchmark dataset was used for training and evaluation.

Results
The classification accuracy of the improved MobileViT and MobileNetV3 models on the test set has reached 92.5% and 97%, respectively, while the accuracy of the proposed model (COV-MobNets) has reached 97.75%. The sensitivity and specificity of the proposed model have also reached 98.5% and 97%, respectively. Experimental comparison proves the result is more accurate and balanced than other methods.

Conclusion
The proposed method can distinguish between positive and negative COVID-19 cases more accurately and quickly. The proposed method proves that utilizing two automatic feature extractors with different structures as an overall framework of COVID-19 diagnosis can lead to improved performance, enhanced accuracy, and better generalization to new or unseen data. As a result, the proposed framework in this study can be used as an effective method for computer-aided diagnosis and mobile-aided diagnosis of COVID-19. The code is available publicly for open access at https://github.com/MAmirEshraghi/COV-MobNets.