bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predicting surgical factors for unplanned overnight admission in ambulatory arthroscopic surgery of the knee: a prospective cohort in one hundred and eighty four patients
Authors: Saengpetch Nadhaporn , Watcharopas Ratthapoom , Kujkunasathian Chusak , Limitloahaphan Chalermchai , Lertbutsayanukul Chatchawan , Vijittrakarnrung Chaiyanun , Sa-ngasoongsong Paphon , Arnuntasupakul Vanlapa , Sangkum Lisa 
Published: May 2022

Abstract
Purpose
Unplanned overnight admission (UOA) is an important indicator for quality of care with ambulatory knee arthroscopic surgery (AKAS). However, few studies have explored the factors related to the UOA and how to predict UOA after AKAS. This study aimed to evaluate the effectiveness of a standardized peri-operative protocol for the AKAS and identify whether a correlation exists between the peri-operative surgical factors and UOA in the patients undergoing AKAS. We hypothesized that more surgical invasiveness and prolong tourniquet time increase the risk of UOA after AKAS.

Method
A prospective cohort study was conducted between October 2017 and March 2021. All 184 patients operated on standard AKAS protocol. The UOA is defined as overnight hospitalization of a patient undergoing AKAS. Demographic and peri-operative data were recorded, and the procedure was categorized based on the surgical invasiveness based on less invasive (intra-articular soft tissue surgery) (n = 65) and more complex surgery (involving extra-articular soft tissue surgery or ligamentous reconstruction) (n = 119). The clinical risk factors for UOA were identified and analyzed with multivariate analysis.

Results
The incidence of UOA in the more complex group (n = 7, 14.3%) was significantly higher than in the less invasive group (n = 3, 4.6%) (p = 0.049). The peri-operative factors significantly associated with UOA were age, more complex surgery, and longer tourniquet time (p < 0.10 all). However, the multivariate analysis revealed that longer tourniquet time was the only significant predictor for UOA (OR = 1.045, 95% CI = 1.022–1.067, p = 0.0001). The optimal cut-off points of tourniquet time for predicting UOA with the highest Youden index in the less invasive and more complex groups were 56 minutes and 107 minutes, respectively.

Conclusion
The UOA after AKAS is more common in more complex surgery compared to less invasive surgery. This study showed that unplanned admission significantly associated with many factors—as patient factors, surgical invasiveness, and tourniquet time. However, tourniquet time is the only independent predictor for UOA. Therefore, strict perioperative management protocol must be applied in AKAS, and all patients having these risk factors should be prepared for UOA.
Revealing different migration strategies in a Baltic Common Tern (Sterna hirundo) population with light-level geolocators
Authors: Piro Simon , Schmitz Ornés Angela 
Published: May 2022

AbstractThe Common Tern (Sterna hirundo) is one of Germany’s farthest migrating bird species. Ringing studies have shown the use of the East Atlantic flyway, and according to their main wintering areas at the western and southern African coasts, German and European Common Tern populations have been divided into two allohiemic groups. However, first ring recoveries of German Common Terns in Israel indicated that some of the birds breeding in eastern Germany cross central Europe and migrate along the eastern African coast. To investigate the migratory behavior of Common Terns from East Germany, we fitted 40 Common Terns breeding in a colony at the German Baltic coast with light-level geolocators. Twenty-four loggers with analyzable datasets could be retrieved, revealing two different migratory strategies within one population. Seventeen individuals (70.83%) used the eastern Atlantic flyway and spent the winter at the western African coast, the Gulf of Guinea and the southern African coast, while the other individuals (n = 7; 29.17%) crossed central Europe, migrated along the eastern African coast and overwintered in the Mozambique Channel and South African coast. We, therefore, suggest to add a third allohiemic group to complement the picture of European Common Tern migration. Moreover, our results provide new knowledge and open new questions, which can be used for future studies regarding the evolution of different migratory strategies and its consequences in relation to climate change.
Mental Health Gap Action Programme intervention Guide (mhGAP-IG) for Child and Adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A Systematic Review
Authors: Petagna Marta , Marley Charles , Guerra Cristóbal , Calia Clara , Reid Corinne 
Published: May 2022

Abstract
Background
The Mental Health Gap Action Programme (mhGAP) supports engagement of non-specialists in mental health services in Low- and Middle-Income countries. Given this aim, assessment of the effectiveness of approaches under its remit is warranted.

Aims
We evaluated mhGAP approaches relating to child and adolescent mental health, focusing on provider / child outcomes, and barriers / facilitators of implementation.

Methods
Thirteen databases were searched for reviews and primary research on mhGAP roll out for child and adolescent mental health.

Results
Twelve studies were reviewed. Provider-level outcomes were restricted to knowledge gains, with limited evidence of other effects. Child-level outcomes included improved access to care, enhanced functioning and socio-emotional well-being. Organisational factors, clients and providers? attitudes and expectations, and transcultural considerations were barriers.

Conclusions
Further attention to the practical and methodological aspects of implementation of evaluation may improve the quality of evidence of the effectiveness of approaches under its remit.
Peptide-coating combating antimicrobial contaminations: a review of covalent immobilization strategies for industrial applications
Authors: Stillger Lena , Müller Daniela 
Published: May 2022

AbstractMany corrosion problems are caused by the presence of microorganisms, so-called microbiologically influenced corrosion (MIC). A major representative of MIC-causing bacteria includes the group of sulfate-reducing bacteria (SRB), which accumulate in biofilms on the surface. Removal of biofilm inhabiting bacteria is much more complex compared to planktonic cell removal, in particular, based on the formation of an extracellular polymeric substance matrix (EPS layer). Current control strategies mainly involve the use of biocides. The development of resistance is a major problem caused by the limited number of suitable biocides and their frequent use. A consequence is a requirement of even elevated concentrations, which in worst-case scenarios results in a complete loss of efficacy. Recently, the use of antimicrobial peptides (AMPs) especially in the field of medical devices has been distinguished, including the coating of implants with AMPs for retarding or even completely preventing biofilm formation. Transferring AMPs to technical applications as MIC controlling agents offers high potential, therefore. However, based on open circuits, e.g. MIC on ship trunks or in wastewater pipes, immobilization of AMPs on surfaces is quite important, while keeping the AMPs active. This article presents various immobilization strategies established for this purpose, with a special focus on covalent AMP immobilization on metal surfaces.
Graphical abstract
“A fog that impacts everything”: a qualitative study of health-related quality of life in people living with HIV who have cognitive impairment
Authors: Alford Kate , Daley Stephanie , Banerjee Sube , Hamlyn Elizabeth , Trotman Daniel , Vera Jaime H. 
Published: May 2022

Abstract
Background
Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14–28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprising HRQoL in PLWH with CI have not been assessed.

Objective
We sought to contribute evidence toward an understanding of HRQoL and identify domains of HRQoL in PLWH with CI.

Methods
Qualitative interviews with 25 PLWH with objective CI related to HIV disease were conducted with participants attending HIV clinics in the UK. Clinically significant CI was defined based on The European AIDS Clinical Society guidelines, requiring: (i) subjective reporting of cognitive symptoms; (ii) symptoms to be related to HIV (e.g. potentially confounding non-HIV related conditions have been excluded or are being optimally managed) and; (iii) formal neuropsychological assessment confirming CI. Median age was 56 years (range 35–80); 18 participants were men (72%); 11 (44%) were white British and 8 (32%) were Black African; 14 (56%) were men that have sex with men and 10 (40%) were heterosexual; median number of years living with HIV was 17 (range 1–34); and all participants were on combination antiretroviral therapy. Analyses employed techniques from grounded theory, underpinned by an inductive, collaborative team-based approach.

Results
Findings revealed seven interrelated domains comprising HRQoL experiences were identified: Physical function, Cognition, Social connectedness, Physical and mental health, Stigma, Self-concept, and Control and acceptance, and each was defined by specific descriptive components.

Conclusion
This study provides valuable insights on the factors that drive HRQoL in PLWH with CI and contribute to a body of evidence which provides targets for the development of targeted interventions to maintain or improve quality of life.
Recodifying the Law: A Metalinguistic Inquiry into the Recodification of Belgian Law Between 2014–2019
Authors: Liégeois Vince , Akkermans Jitte 
Published: May 2022

AbstractLegal scholars attribute a great deal of importance to the linguistic dimension behind recodification. According to them, language contributes greatly to the improvement of both the accessibility and clarity of the law. Nevertheless, little research on the linguistic aspects of (re)codification exists within both linguistics and legal theory. Consequently, it seems worthwhile to study this linguistic dimension more in depth. To this aim, the recent legislative proposals to recodify various economic, civil and criminal codes in Belgium serve as a useful case study to improve our understanding of the linguistic challenges of recodification. In this article we will look at the linguistic comments made by the Belgian Council of State, a state organ which offers technical advice to the legislator, on the relevant proposals and consider (i) the type of linguistic comments made, and (ii), their implementation by the legislator. On the one hand, such an analysis allows us to single out the linguistic problems accompanying the Belgian recodification and, on the other, to elaborate on them with the help of the insights provided by legal theory. In doing so, we hope for our analysis to be a useful point of reference both for research on the Belgian recodification and other legal/linguistic approaches to recodification in general.
Co-designing a pedagogical framework and principles for a hybrid STEM learning environment design
Authors: Mäkelä Tiina , Fenyvesi Kristóf , Kankaanranta Marja , Pnevmatikos Dimitris , Christodoulou Panagiota 
Published: May 2022

AbstractThe importance of engaging and effective learning environments for science, technology, engineering and mathematics (STEM) has been internationally recognised. However, no comprehensive pedagogical frameworks exist that support STEM learning environment design. In this study, a pedagogical framework and principles for STEM learning environment design were created based on participatory focus groups involving 10–18-year-old students, teachers, school directors, parents, university students and STEM professionals. Representatives of key stakeholder groups in Belarus, Finland, Germany, Greece and Spain (total n = 132) were invited to focus group discussions in which their wishes related to the pedagogical framework were collected. A second focus group discussion session, engaging the same stakeholder groups (total n = 137), was implemented to validate the framework. A final review for the framework and its design principles was conducted in online focus group sessions, involving 20 experts in curriculum, STEM, educational policy and/or educational technology from all participant countries. The co-designed framework, which is strengthened by the research literature, entails the following design principle categories: (1) General principles, (2) Cross-curricular skills, (3) Ways of teaching and learning, (4) Socio-emotional aspects and (5) Educational compatibility. The design principles created in this study have been employed in developing a hybrid (virtual, physical, formal, non-formal and informal) STEM environment, but they can be employed in any (STEM) learning environment design. Instead of focusing on singular design principles, we recommend considering a wide range of different design principles in order to support multiple ways of teaching and learning and to develop both subject-related and cross-curricular competencies.
Journalismus und Plattformen als vermittelnde Dritte in der digitalen Öffentlichkeit
Authors: Neuberger Christoph 
Published: May 2022

ZusammenfassungDer digitale Wandel hat öffentliche Beobachtungs- und Beeinflussungsbeziehungen grundlegend verändert. In den traditionellen Massenmedien vermittelt der professionelle Journalismus zwischen Quellen und Publikum und trifft alleine Publikationsentscheidungen. Im Internet wird dieses Gatekeeper-Paradigma teilweise durch ein auf Plattformen gestütztes Netzwerk-Paradigma ersetzt, in dem Konstellationen vielfältiger, dynamischer und häufig auch unvermittelt sind. Diskutiert wird die Rolle vermittelnder Dritter in Akteurskonstellationen sowie in intra- und intersystemischen Beziehungen. Dabei wird in zweifacher Weise an Georg Simmel angeknüpft: Soziale Formen oder Interaktionsmodi helfen, die Dynamik zwischen Akteuren zu systematisieren. Zudem wurde Simmels Hinweis auf den vermittelnden Dritten aufgegriffen. Im Netzwerk-Paradigma umfasst die Vermittlung neben der Nachrichtenversorgung zusätzlich Moderation und Navigation. Zahlreiche Krisensymptome der digitalen Öffentlichkeit werfen die Frage nach dem Reformbedarf für Journalismus und Plattformen auf.
Comparison of genetic impact on growth and wood traits between seedlings and clones from the same plus trees of Pinus koraiensis
Authors: Liu Xiaoting , Lu Zhimin , Wu Jingui , Yang Yuchun , Li Shuchun , Wu Lin , Xu Qingshan , Yu Qi , Zhao Li , Sun Jian , Zheng Wei , Tigabu Mulualem , Zhao Xiyang 
Published: May 2022

AbstractTo evaluate the relationships among clones and open pollinated families from the same plus trees and to select elite breeding materials, growth, and wood characteristics of 33-year-old Pinus koraiensis clones and families were measured and analyzed. The results show that growth and wood characters varied significantly. The variation due to clonal effects was higher than that of family effects. The ratio of genetic to phenotypic coefficient of variation of clones in growth and wood traits was above 90%, and the repeatability of these characteristics was more than 0.8, whereas the ratio of genetic to phenotypic coefficient of variation of families was above 90%. The broad-sense heritability of all characteristics exceeded 0.4, and the narrow-sense family heritability of growth traits was less than 0.3. Growth characteristics were positively correlated with each other, but most wood properties were weakly correlated in both clones and families. Fiber length and width were positively correlated between clones and families. Using the membership function method, eleven clones and four families were selected as superior material for improved diameter growth and wood production, and two families from clonal and open-pollinated trees showed consistently better performance. Generally, selection of the best clones is an effective alternative to deployment of families as the repeatability estimates from clonal trees were higher than narrow-sense heritability estimates from open pollinated families. The results provide valuable insight for improving P. koraiensis breeding programs and subsequent genetic improvement.
Meter-scale variation within a single transect demands attention to taxon accumulation curves in riverine microbiome studies
Authors: Liu Bingdi , Zhang Lin , Knouft Jason H. , Ling Fangqiong 
Published: May 2022

AbstractMicrobial communities inhabiting river ecosystems play crucial roles in global biogeochemical cycling and pollution attenuation. Spatial variations in local microbial assemblages are important for detailed understanding of community assembly and developing robust biodiversity sampling strategies. Here, we intensely analyzed twenty water samples collected from a one-meter spaced transect from the near-shore to the near-center in the Meramec River in eastern Missouri, USA and examined the microbial community composition with 16S rRNA gene amplicon sequencing. Riverine microbiomes across the transect exhibited extremely high similarity, with Pearson’s correlation coefficients above 0.9 for all pairwise community composition comparisons. However, despite the high similarity, PERMANOVA revealed significant spatial differences between near-shore and near-center communities (p = 0.001). Sloan’s neutral model simulations revealed that within-transect community composition variation was largely explained by demographic stochasticity (R2 = 0.89). Despite being primarily explained by neutral processes, LefSe analyses also revealed taxa from ten families of which relative abundances differed directionally from the bank to the river center, indicating an additional role of environmental filtering. Notably, the local variations within a river transect can have profound impacts on the documentation of alpha diversity. Taxon-accumulation curves indicated that even twenty samples did not fully saturate the sampling effort at the genus level, yet four, six and seven samples were able to capture 80% of the phylum-level, family-level, and genus-level diversity, respectively. This study for the first time reveals hyperlocal variations in riverine microbiomes and their assembly mechanisms, demanding attention to more robust sampling strategies for documenting microbial diversity in riverine systems.
Associations of adiposity and weight change with recurrence and survival in breast cancer patients: a systematic review and meta-analysis
Authors: Pang Yuanjie , Wei Yuxia , Kartsonaki Christiana 
Published: May 2022

Abstract
Background
Adiposity and weight change among patients with breast cancer are associated with mortality, but there is limited evidence on the associations with distant recurrence or other causes of death or on central adiposity. Moreover, the relationship with breast cancer subtypes and by menopause status is unclear.

Methods
We conducted a systematic review and meta-analysis of prospective studies of breast cancer patients investigating the associations of general and central adiposity (body mass index [BMI] and waist circumference [WC], respectively), before and after diagnosis, and weight change, with all-cause mortality, breast cancer-specific mortality (BCSM), and recurrence.

Results
173 studies (519,544 patients, 60,249 deaths overall, and 25,751 breast cancer deaths) were included. For BMI  < 1 year post diagnosis, compared with normal weight women, the summary relative risk (RR) for obese women was 1.21 (1.15–1.27) for all-cause mortality, 1.22 (1.13–1.32) for BCSM, 1.12 (1.06–1.18) for recurrence, and 1.19 (1.11–1.28) for distant recurrence. Obesity was associated with all-cause mortality and BCSM in patients with ER+ or HER2+ tumors, whereas no clear association was observed in patients with triple-negative tumors. Similar associations were observed by menopausal status. Stronger associations were observed in East Asians than Europeans. Central adiposity was associated with all-cause mortality, while large weight gain was associated with all-cause mortality, BCSM, and recurrence.

Conclusion
Higher adiposity is associated with all-cause mortality, BCSM, recurrence, and distant recurrence in breast cancer patients, with similar associations by menopausal status and some evidence of heterogeneity by subtypes. Weight gain is also associated with recurrence and survival among breast cancer patients.
Understanding Laughter in Dialog
Authors: Koutsombogera Maria , Vogel Carl 
Published: May 2022

AbstractThis work explores laughter within a corpus of three-party, task-based dialogs with native and non-native speakers of English, each consisting of two players and a facilitator, in relation to whether the laughter is perceived as serving discourse functions or rather as genuinely mirthful according to a small number of annotators’ (2) inspection of a substantical multimodal dialog corpus (18 interactions of approximately 10 min each). We test the hypothesis that those different types of laughter have occurrence patterns that relate in different ways to the topical structure of the conversations, with discourse laughter showing a stronger tendency to occur at topic termination points. All laughter events (569) are assigned to one of three values, discourse, mirthful or ambiguous, and are studied with respect to their distribution across the dialog topic sections. The analysis explores interactions among laughter type and section type, also with respect to other variables such as the facilitators’ feedback and the speakers’ conversational role and gender. Discourse laughter is more frequent at topic termination points than at topic beginnings, also in comparison to mirthful laughter. Discourse laughter is also highly associated with facilitators’ feedback type, especially at topic ends. Finally, there are few distinctive effects of gender, and an interaction among speaker role and laughter type. The results strengthen the hypothesis of the discourse function of laughter, indicating a systematicity in discourse laughter, in that it is more predictable and highly associated with the dialog topic termination points, and, on the contrary, a less systematic distribution of mirthful laughter, which shows no particular pattern in relation to topic boundaries.
Does socioeconomic status impact the relationship between school absence and outcomes?
Authors: Mooney Anna , Redmond Gerry , Kaambwa Billingsley 
Published: May 2022

AbstractAbsence from school, especially frequent or prolonged absence, is acknowledged as a potential factor in school dropout and suboptimal academic achievement. The issue of absence from school took on added significance in 2020 with the onset of the COVID-19 crisis, which resulted in schooling interruptions in several jurisdictions. However, there is little agreement in the literature on the exact relationship between absence and school outcomes as a function of socioeconomic status (SES). Using nationally representative pre-COVID longitudinal data of young Australians aged 12–13 and 14–15, this paper examines the relationship between absence from school on the one hand and school belonging and academic achievement (numeracy and reading test scores) on the other. The paper also examines whether SES intersects this relationship. Controlling for gender, prior educational achievement, computer access, and time spent doing homework, the study finds that absence impacts belonging, but that SES does not significantly influence this relationship. The effect of absence on reading is not significant either. However, absence is associated with numeracy outcomes, with the strongest associations among low SES young people at age 14. Policy implications of these findings are discussed.