bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nonverbal Executive Functioning in Relation to Vocabulary and Morphosyntax in Preschool Children With and Without Developmental Language Disorder
Authors: Everaert Emma , Boerma Tessel , Selten Iris , Gerrits Ellen , Houben Michiel , Vorstman Jacob , Wijnen Frank 
Published: September 2023

Purpose:
Developmental language disorder (DLD) is characterized by persistent and unexplained difficulties in language development. Accumulating evidence shows that children with DLD also present with deficits in other cognitive domains, such as executive functioning (EF). There is an ongoing debate on whether exclusively verbal EF abilities are impaired in children with DLD or whether nonverbal EF is also impaired, and whether these EF impairments are related to their language difficulties. The aims of this study were to (a) compare nonverbal performance of preschoolers with DLD and typically developing (TD) peers, (b) examine how nonverbal EF and language abilities are related, and (c) investigate whether a diagnosis of DLD moderates the relationship between EF and language abilities.

Method:

A total of 143 children (
n
DLD
= 65,
n
TD
= 78) participated. All children were between 3 and 6.5 years old and were monolingual Dutch. We assessed nonverbal EF with a visual selective attention task, a visuospatial short-term and working memory task, and a task gauging broad EF abilities. Vocabulary and morphosyntax were each measured with two standardized language tests. We created latent variables for EF, vocabulary, and morphosyntax.

Results:
Analyses showed that children with DLD were outperformed by their TD peers on all nonverbal EF tasks. Nonverbal EF abilities were related to morphosyntactic abilities in both groups, whereas a relationship between vocabulary and EF skills was found in the TD group only. These relationships were not significantly moderated by a diagnosis of DLD.

Conclusions:
We found evidence for nonverbal EF impairments in preschool children with DLD. Moreover, nonverbal EF and morphosyntactic abilities were significantly related in these children. These findings may have implications for intervention and support the improvement of prognostic accuracy.

Supplemental Material:

https://doi.org/10.23641/asha.24121287
An efficient coprime integer sets based rendezvous algorithm for distributed cognitive radio networks
Authors: Wei Zongheng , Liu Qinglin , Lin Zhiyong , Wen Qingji , Wen Jianfeng , Liu Hai , Wu Wenjun 
Published: September 2023

AbstractMultichannel blind rendezvous problem is a fundamental problem in cognitive radio networks (CRNs). It refers to how to ensure that any two secondary users can meet on a common available channel at the same time. In this paper, an efficient channel hopping algorithm, called CISR (Coprime Integer Sets based Rendezvous), is designed for asymmetric role model (i.e. users can be divided into two types of roles, say, sender/leader and receiver/follower) in distributed CRNs. CISR can guarantee the rendezvous of the leader and follower and lowers the upper bound of both the maximum time to rendezvous and expected time to rendezvous by carefully constructing two coprime integer sets. The simulation results show that CISR has the near‐optimal performance.
MFFN: Multi‐path feedback fusion network for lightweight image super resolution
Authors: Xue LiXia , Shen JunHui , Wang RongGui , Yang Juan 
Published: September 2023

AbstractRecently, convolutional neural network (CNN) has shown great power in single image super resolution (SISR) reconstruction, and achieving significant improvements over traditional methods. Despite the great success of these CNN‐based methods, direct application of these methods to some edge devices is impractical due to the large computational overhead required. To address this problem, a novel, lightweight SISR network focusing on speed and accuracy, called the multi‐path feedback fusion network (MFFN), has been designed in this paper. Specifically, in order to extract features more effectively, the authors propose a novel fusion attention feedback block (FAFB) as the main building block of MFFN. The FAFB consists of a backbone branch and several hierarchical branches. The backbone branch is composed of stacked enhanced pixel attentional blocks (EPAB), which are responsible for incremental deep feature learning on the feature map. And the hierarchical branches are responsible for extracting feature maps with different sizes of receptive fields and fusing these feature maps with the features extracted from the trunk branches to achieve multi‐scale feature learning, which the authors refer to this design as the multi‐scale fusion block (MSFB). Extra enhancement information (EIE) is added to each EPAB input, which enables the backbone branch to learn more effectively. On the other hand, the outputs of the cascade branches are further complemented by an additional feedback fusion enhancement block (FFEB) before being fused with the output of the trunk branches to achieve more comprehensive and accurate feature learning. Numerous experiments have shown that MFFN achieves higher accuracy than other state‐of‐the‐art methods on benchmark test sets.
A single‐layered balanced filtering crossover with high selectivity based on square patch resonator
Authors: Li Yi , Wang Jianpeng , Zhu Lei , Wu Wen 
Published: September 2023

AbstractA new design of single‐layered balanced filtering crossover with high selectivity based on square patch resonator is proposed. Originated from the degenerate modes, that is, TM12 and TM21 on square patch resonators, the feasibility of intrinsic common‐mode (CM) suppression and channel isolation is conceived. For demonstration, a first‐order balanced crossover prototype is designed. Afterwards, to enhance selectivity, a square patch resonator is subtly divided into two identical parts and then introduced into the prototype. Hence, a balanced filtering crossover with a fifth‐order Chebyshev response is formed. Furthermore, stubs are deployed between adjacent patch resonators to introduce mixed couplings. Thus, two controllable transmission zeros are obtained, and better out‐of‐band suppression is achieved. Ultimately, the proposed crossover is fabricated and measured. High performance in terms of differential‐mode filtering response, in‐band CM suppression and channel isolation demonstrates the feasibility of the proposed method.
Bioassay-Guided Fractionation and Biological Activity of Cardenolides from Streptocaulon juventas
Authors: Xu Yunhui , Xu Jian , Zhu Wanfang , Yan Yanling , Jiang Xueyang , Xie Zijian , Feng Feng , Zhang Jie 
Published: September 2023

AbstractThe discovery that Na/K-ATPase acts as a signal transducer led us to investigate the structural diversity of cardiotonic steroids and study their ligand effects. By applying Na/K-ATPase
activity assay-guided fractionation, we isolated a total of 20 cardiotonic steroids from Streptocaulon juventas, including an undescribed juventasoside B (10) and 19 known
cardiotonic steroids. Their structures have been elucidated. Using our platform of purified Na/K-ATPase and an LLC-PK1 cell model, we found that 10, at a concentration that induces
less than 10% Na/K-ATPase inhibition, can stimulate the Na/K-ATPase/Src receptor complex and selectively activate downstream pathways, ultimately altering prostate cancer cell growth. By
assessing the ligand effect of the isolated cardiotonic steroids, we found that the regulation of cell viability by the isolated cardiotonic steroids was not associated with their inhibitory
potencies against Na/K-ATPase activity but reflected their ligand-binding affinity to the Na/K-ATPase receptor. Based on this discovery, we identified a unique active cardiotonic steroid,
digitoxigenin (1), and verified that it can protect LLC-PK1 cells from hypoxic injury, implicating its potential use in ischemia/reperfusion injury and inducing collagen synthesis in
primary human dermal fibroblast cells, and implicating that compound 2 is the molecular basis of the wound healing activity of S. juventas.
Epidural Interlay Graft for Pituitary Surgery: A 4-Year Institutional Experience
Authors: Snyder Rita , Lee Sungho , Athukuri Prazwal , Ngo Emmeline Monique Tan , Fox Meha Goyal , Fakhri Samer , Takashima Masayoshi , Force Bahar Kapoor , Samson Susan Leanne , Gallagher Kathleen Kelly , Yoshor Daniel , Jalali Ali 
Published: September 2023

Abstract
Objective Sellar repair techniques with varying complexity and effectiveness have been employed to reduce the incidence of postoperative cerebrospinal fluid (CSF) leaks following endoscopic transsphenoidal pituitary surgery. This study describes our institutional experience with a minimalistic, highly effective approach to sellar repair.
Methods The authors performed a retrospective review of consecutive cases of transsphenoidal pituitary surgery performed at our institution. All included subjects underwent sellar repair with an epidural interlay graft. Relationships between patient and tumor characteristics, incidence of CSF leak, adjunct repair techniques, and endocrine outcomes were examined.
Results Three hundred and thirty-four (334) cases were included. Intraoperative CSF leak was encountered in 116 cases (34.7%), and postoperative CSF leak occurred only once (0.3%) early in the series. Seventy intraoperative CSF leaks were successfully repaired with an epidural interlay alone, including 13 high-flow leaks. Our rate of fat graft use (1.2%), nasoseptal flap (3.0%), and lumbar drain placement (6.6%) in the second half of the series showed a significant decline compared with the first half, indicating increased reliance on the interlay graft over time. Our 65% functional macroadenoma remission rate compares favorably with large historical series.
Conclusion Simple sellar repair using an epidural interlay graft is highly effective in preventing postoperative CSF leaks, including cases of high-flow intraoperative leaks. More complex repair techniques are reserved for select high-risk cases or those with inadequate sellar bony ledges. With this technique, there has been no postoperative CSF leak at our institution in over 300 consecutive transsphenoidal pituitary surgeries.
Implementation of a Short-term Treatment Protocol in Anemic Patients before Cardiac Surgery
Authors: Leviner Dror B. , Abraham Dana , Shiner Maayan , Schwartz Naama , Lavon Ophir , Sharoni Erez 
Published: September 2023

Abstract
Background We assessed whether implementation of an immediate preoperative treatment in anemic patients could result in fewer perioperative packed red blood cell (PRBC) transfusions and improved outcomes in a real-world setting.
Methods From January 1, 2020, to November 31, 2022, we implemented a perioperative protocol for anemic patients (hemoglobin (Hb) level in women <11.5 g/dL, men <12.5 g/dL), which included subcutaneous erythropoietin α, intravenous Iron, and intramuscular vitamin B12 (all given preoperatively) and per os iron and folic acid given once a day postoperatively. We retrospectively compared all patients receiving the protocol to all eligible patients who were operated upon in the 4 years prior to implementation of the protocol. Primary outcome was amount of PRBC transfusions during surgery and index admission.
Results In the months after protocol implementation, 114 patients who received the treatment protocol were compared with 236 anemic patients in the 4 years prior to who did not receive the protocol. The treatment reduced total PRBC use (control group median 4 [2–7] units vs. treatment 2 [1–3] units, p < 0.0001) and the incidence of postoperative blood products transfusions (treatment group 58 patients, 50.88% vs. control group 177 patients, 75%, p < 0.0001). Hb prior to discharge was higher among the protocol group (treatment median 9 g/dL [8.3–9.5 g/dL] vs. control 8.6 g/dL [8.1–9.1 g/dL], p = 0.0081).
Conclusion Despite some differences compared with previously described protocols, the implementation of a perioperative treatment protocol for anemic patients was associated with a reduction in PRBC transfusion in a real-world setting.
The Potential of Berberine to Target Telocytes in Rabbit Heart
Authors: Yang Min , Yang Tong , Mei Lu , Zhang Yingxing , Liang Chunhua , Bai Xuebing , Zhang Zhenwei , Shi Yonghong , Chen Qiusheng 
Published: September 2023

AbstractA brand-new class of interstitial cells, called telocytes, has been detected in the heart. Telocytes can connect and transmit signals to almost all cardiomyocytes; this is highly
interrelated with the occurrence and development of heart diseases. Modern studies have shown that berberine has a therapeutic effect on cardiovascular health. However, berberineʼs mechanism
of action on the cardiovascular system through cardiac telocytes is unclear. Interestingly, 5 µm of berberine remarkably decreased the concentration of intracellular calcium and membrane
depolarization in cultured telocytes, upregulated the expression of CX43 and β-catenin, and downregulated the expressions of TRPV4 and TRPV1. Here, telocytes were identified in the
vascular adventitia and intima, endocardium, myocardium, adventitia, and heart valves. Moreover, telocytes were broadly dispersed around cardiac vessels and interacted directly through gap
junctions and indirectly through extracellular vesicles. Together, cardiac telocytes interact with berberine and then deliver drug information to the heart. Telocytes may be an essential
cellular target for drug therapy of the cardiovascular system.
Association between Benign Paroxysmal Positional Vertigo and Thyroid Diseases: Systematic Review and Meta-Analysis
Authors: Lima Cyntia Machado , Paiva Daniel Felipe Fernandes , Corona Ana Paula , Lessa Marcus Miranda 
Published: September 2023

Abstract
Introduction Benign paroxysmal positional vertigo (BPPV) is the peripheral vestibular dysfunction that most affects people worldwide, but its etiopathogenesis is still not fully understood. Considering the etiological diversity, some studies highlight the association between BPPV and thyroid diseases.
Objective To investigate the association between thyroid diseases and BPPV.
Data Synthesis Systematic review and meta-analysis of epidemiological studies searched in the PubMed, Web of Science, Embase, Cochrane Library, and Scopus databases. Studies that were fully available and investigated the association between BPPV and thyroid diseases were selected. The articles that composed the meta-analysis were analyzed using the dichotomous model, the Mantel-Haenszel statistical test, odds ratio (OR), and a 95% confidence interval (CI). Of the 67 articles retrieved from the databases, 7 met the eligibility criteria of the systematic review, and 4 had data necessary to perform the meta-analysis. Qualitative analysis revealed that the studies were conducted in the European and Asian continents. The predominant methodological design was the case-control type, and thyroid dysfunctions, hypothyroidism, and Hashimoto thyroiditis occurred more frequently. The meta-analysis showed no association between hypothyroidism and BPPV; however, there was a statistically significant relationship between Hashimoto thyroiditis and BPPV.
Conclusion The meta-analysis results suggest a possible association between BPPV and Hashimoto thyroiditis. Nevertheless, we emphasize the need for further studies to elucidate the evidence obtained.
Rabson–Mendenhall Syndrome with Severe Insulin Resistance Type A: The Need to Act Faster than the Disease
Authors: Muammar Tawfik , Helal Radwa 
Published: September 2023

Abstract
Introduction Rabson–Mendenhall syndrome (RMS) is an autosomal disorder where severe insulin resistance is observed. Insulin levels decrease over time and suppress gluconeogenesis in the liver. Fatty acid oxidation is affected, leading to frequent episodes of ketoacidosis. The changes in RMS are much faster than in patients with type 2 diabetes. RMS patients have a significantly reduced life expectancy and may die during adolescence or early adulthood.
Case Presentation A 15-year-old girl presented with poorly controlled diabetes. She was diagnosed with RMS at the age of 50 days, and her genetic study showed a homozygous mutation for R141W in the INSR gene. Her insulin level was high at 737 μIU/mL, insulinoma antigen 2 and glutamic acid decarboxylase antibodies were negative, and C-peptide was > 18 ng/mL. There is a strong family history of RMS on her mother's side. Her hyperglycemia was treated with an insulin pump (requiring up to 300 units of insulin/day) and oral rosiglitazone for the first 6 years. Rosiglitazone was replaced by oral insulin-like growth factor 1 (IGF1). Over the last 3 years, she had four further episodes of diabetic ketoacidosis triggered by infections and severe lipodystrophy. A trial of leptin and subcutaneous IGF1 has failed. The patient has a closed-loop insulin pump MiniMed 780G with a total daily dose of 261 units (4.6 U/kg/day).
Results During the past 15 years, the patient suffered many health, psychological, family, and school issues. These issues were due to RMS itself, complications of diabetes, side effects of medications, and technology failure. Our multidisciplinary team tackled all issues by providing the most appropriate care, mediation, and technology.
Conclusion To act faster than the disease progression, we need to know the whole list of issues our patient could face, as this will help us to look at the entire picture rather than treating different pieces separately. Effective cooperation between the teams is crucial and needs to be organized through a family physician or by the team involved the most in patient care. Although technology has limitations, it still helps when used appropriately.
A Guide to Writing Case Series in Homeopathy: A Supplement to Part 2 of the Research Method Series
Authors: Dutta Abhijit 
Published: September 2023

AbstractWriting a case series in homeopathy is a valuable endeavour that contributes to the advancement of knowledge and understanding within the field. This article serves as a concise guide providing essential insights on how to effectively compose case series in homeopathy. It highlights key considerations, including study design, case selection, data collection, analysis, manuscript preparation, ethical considerations, and addressed common misconceptions surrounding case series. By adhering to this guidance, homeopathic practitioners and researchers can document their clinical experiences, share valuable insights and contribute to the ongoing development of homeopathic practice.
Updates in Butterfly Graft Technique
Authors: Miller Jonas R. , Clark Joseph Madison 
Published: September 2023

AbstractNasal obstruction is a significant challenge greatly affecting individual quality of life. It is one of the most common presentations in the otolaryngology clinic, often persisting despite medical and, at times, surgical intervention. The butterfly graft has proven to be a veritable option addressing nasal valve collapse. Herein, we describe our most recent operative technique, highlight its application in ethnic rhinoplasty and revision cases, and discuss incorporation of dorsal preservation techniques in functional rhinoplasty.
Rare Case of Chronic Limb-Threatening Ischemia in a 32-Year-Old Patient with Nephrotic Syndrome: A Case Report
Authors: Afandy Jonathan Edbert , Taofan Taofan , Indriani Suci , Batubara Edwin Adhi Darmawan , Adiarto Suko 
Published: September 2023

AbstractChronic limb-threatening ischemia represents the end stage of peripheral artery disease (PAD), primarily affecting individuals over 60 years old. While quite rare, nephrotic syndrome (NS) is recognized for increasing the susceptibility to arterial thromboembolism (ATE). A 32-year-old male complained of resting pain in his left leg and pain after walking 50 meters with his right leg. He had a 9-year history of NS confirmed through biopsy and was on a daily regimen of 2 × 360 mg mycophenolic acid and 1 × 8 mg methylprednisolone. He had no history of hypertension, diabetes, or smoking. Atrophy and ulcers were observed on his left leg. Laboratory tests revealed elevated D-dimer and borderline high cholesterol levels. The right ankle-brachial index was 0.5, and for the left, it was 0.33. Computed tomography angiography identified occlusion in the left external iliac artery and right superficial femoral artery (SFA). The patient underwent percutaneous transluminal angioplasty with a plain balloon on both legs and an additional drug-eluting stent on the left SFA. He was discharged on rivaroxaban, clopidogrel, aspirin, simvastatin, mycophenolic acid, and methylprednisolone, with no complaints. The mechanism behind NS-caused ATE remains unclear, although it is associated with the loss of anticoagulants in urine, increased procoagulant activity, altered fibrinolytic systems, thrombocytosis, and enhanced platelet activation. Prolonged corticosteroid therapy in NS management also amplifies the risk of thromboembolism by promoting a hypercoagulable state. We suspected NS and the prolonged use of corticosteroids as risk factors for ATE, manifested as PAD in our patient. While optimal NS therapy may reduce the risk of PAD, prolonged corticosteroid use should be closely monitored.
A high-sensitivity fiber Bragg grating sensor for displacement measurement in structural health monitoring
Authors: Yao Zhenjing , Li Mingyang , Li Guangmin , Xing Mengtao , Chen Ning 
Published: September 2023

Displacement measurement is of great significance to monitor the crack variation and ensure the health of building structures. Aiming at the problems of low sensitivity and high temperature error of fiber Bragg grating (FBG) displacement sensors in displacement monitoring, this paper presents an adjustable cantilever beam displacement sensor with the FBGs as the sensing element. The sensor adds double FBGs on the relative surfaces of the equal-strength cantilever beam, which increases the bending deformation on the FBG of the beam surface to improve the sensitivity and realize the temperature compensation of the sensor. By adding an adjustable external rod structure between a flexible spring and a fixed foot stand, the sensor can regulate the range of initial crack width for different occasions. A theoretical analysis of the displacement sensor is performed, and the simulation analysis and optimization design for the structural parameters of the cantilever beam elastic sensitive element are implemented by adopting SolidWorks and ANSYS software. Finally, a displacement testing platform is constructed to test its performance. Experimental results show that this design has a high sensitivity coefficient of 39.47 pm/mm and a temperature coefficient of 1.04 pm/°C in the range of initial crack width from 0 to 110 mm or from 0 to 130 mm depending on different monitoring situations. Furthermore, good linearity, hysteresis delay, repeatability, and temperature compensation performance have also been demonstrated.