bluuebunny/crossref_metadata_2025_split huggingface dataset:
Welche Potenziale und Mehrwerte bieten DiGA für die hausärztliche Versorgung? – Ergebnisse einer Befragung von Hausärzt*innen in Deutschland
Authors: Wangler Julian , Jansky Michael 
Published: October 2022

Zusammenfassung
Hintergrund
Für Ärzt*innen besteht die Möglichkeit, Patient*innen digitale Gesundheitsanwendungen (DiGA) auf Rezept zu verordnen. Bislang fehlen Untersuchungen, die Anwendungsmöglichkeiten von DiGA im hausärztlichen Praxiskontext beleuchten und eine erste Bilanz zum Nutzen sowie Optimierungspotenzial ziehen.

Ziel der Arbeit
Die Studie exploriert hausärztliche Einstellungen, Erwartungen und Erfahrungswerte mit Blick auf die Anwendungspotenziale von DiGA.

Methoden
Im Frühjahr 2022 wurden sämtliche 13.913 als Behandler*innen aktive Hausärzt*innen in Baden-Württemberg, Hessen, Rheinland-Pfalz und im Saarland zu einer Online-Befragung eingeladen. 3829 vollständig ausgefüllte Fragebögen gingen in die Auswertung ein (Rücklauf: 28 %). Zur Ermittlung von signifikanten Unterschieden zwischen 2 Gruppen erfolgten ein t‑Test bei unabhängigen Stichproben sowie eine Faktorenanalyse.

Ergebnisse
Die meisten Befragten erachten DiGA als verlässliche (67 %) und sichere (61 %) Anwendungen. 22 % trauen sich zu, Patient*innen zu DiGA kompetent zu beraten. 14 % haben bereits DiGA verschrieben, 13 % haben dies vor. 83 % der Ärzt*innen mit DiGA-Erfahrung bewerten die verordneten Anwendungen als nützlich. Beobachtete Versorgungseffekte betreffen v. a. die Verbesserung von Therapietreue (95 %), Mobilität (94 %) und Aufklärung (93 %) sowie Gewichtsreduktion (82 %). Angeregt wird u. a. eine weitere Optimierung der Nutzerfreundlichkeit (59 %), die systematische Weiterbildung von Ärzt*innen (52 %) und die verstärkte Aufnahme spielerischer Elemente (49 %).

Diskussion
Hausärzt*innen sollten besser über die Grundlagen des Digitale-Versorgung-Gesetzes (DVG) informiert und Bedenken gezielt adressiert werden. Zentral erscheinen flächendeckende Schulungen, die über Rahmenbedingungen und Vorteile des DiGA-Einsatzes aufklären. Auch besteht Bedarf an fundierteren Informations- und Recherchequellen für Ärzt*innen.
Controls on Pt/Pd ratios in Bushveld magmas and cumulates: a review complemented by new W isotope data
Authors: Maier Wolfgang D. , Mundl-Petermeier Andrea 
Published: October 2022

Abstract
The Bushveld Complex of South Africa is underlain by a fine-grained sill complex which most workers interpret to represent the quenched parent magmas to the intrusion. The sills have unusually high Pt contents (up to ~ 25 ppb) and Pt/Pd ratios (average 1.50) exceeding those in most other mantle magmas globally. Unusually high Pt/Pd is also found in many Bushveld cumulates. Understanding the origin of the high Pt/Pd is important for exploration, in view of the contrasting monetary value of the metals, but also for unravelling the petrogenesis of the intrusion. Here, we review existing platinum-group element (PGE) data and present the first radiogenic W isotope data on a Bushveld rock, to evaluate a range of potential models, including PGE fractionation prior to final magma emplacement and within the Bushveld magma chamber, magma derivation from the sub-continental lithospheric mantle (SCLM), contamination of Bushveld magma with Pt-rich continental crust, and a meteoritic component in the mantle source to the magmas or in the crust with which the magmas interacted. We identify three key processes causing fractionation of metals prior to final magma emplacement and within the Bushveld chamber, namely crystallisation of Pt alloys, partial melting of cumulus sulfides triggered by flux of volatiles followed by sulfide melt percolation, and mobilisation of PGE by percolation of volatiles through the cumulate pile. The currently available W and Ru isotope data are inconsistent with derivation of the Bushveld magmas from mantle or crustal sources containing an enhanced meteoritic component relative to normal post-Hadean mantle.
Optimal design of steel–concrete composite bridge based on a transfer function discrete swarm intelligence algorithm
Authors: Martínez-Muñoz David , García Jose , Martí Jose V. , Yepes Víctor 
Published: October 2022

AbstractBridge optimization can be complex because of the large number of variables involved in the problem. In this paper, two box-girder steel–concrete composite bridge single objective optimizations have been carried out considering cost and CO$$_{2}$$2emissions as objective functions. Taking CO$$_{2}$$2emissions as an objective function allows to add sustainable criteria to compare the results with cost. SAMO2, SCA, and Jaya metaheuristics have been applied to reach this goal. Transfer functions have been implemented to fit SCA and Jaya to the discontinuous nature of the bridge optimization problem. Furthermore, a Design of Experiments has been carried out to tune the algorithm to set its parameters. Consequently, it has been observed that SCA shows similar values for objective cost function as SAMO2 but improves computational time by 18% while also getting lower values for the objective function result deviation. From a cost and CO$$_{2}$$2optimization analysis, it has been observed that a reduction of 2.51 kg CO$$_{2}$$2is obtained by each euro reduced using metaheuristic techniques. Moreover, for both optimization objectives, it is observed that adding cells to bridge cross-sections improves not only the section behavior but also the optimization results. Finally, it is observed that the proposed design of double composite action in the supports allows to remove continuous longitudinal stiffeners in the bottom flange in this study.
Changes in beer bitterness level during the beer production process
Authors: Klimczak Krystian , Cioch-Skoneczny Monika 
Published: October 2022

AbstractBeer has been enjoyed by consumers for years. Today, hops are inextricably associated with this beverage. Although they have been the subject of research for decades, knowledge of their bittering components and interactions during the beer production process is still incomplete. Current literature clearly indicates that the bitterness experienced in beer comes from a much wider range of compounds than just iso-α-acids. Although compounds that can be classified into β-acids, humulinones, hulupones, hard resins, and polyphenols are characterized by lower levels of bitterness and are present in hops in lower quantities than α-acids, they might determine, together with them, the final level of bitterness in beer. Unlike α-acids, the influence of compounds from these groups, their transformations, changes in their content during the beer production process and factors that affect their final concentration in beer have not yet been thoroughly studied. In case of α-acids, it is known that factors, such as chemical composition of wort, its extract and pH, amount of hops added and α-acids’ content, boiling time, and temperature at which hops were added influence the level of bitterness. This phenomenon is further complicated when dry hopping is used. Due to the presence of humulinones, polyphenols, and α-acids, a relatively simple spectrophotometric determination of IBU can give erroneous results. IBU determination, especially in dry-hopped beers, should be coupled with HPLC analysis, taking into account appropriate bitterness coefficients.
The Medical Historical Cultural Foundations of Western Nasal Surgery from Ancient Greece to the Middle Ages
Authors: Marinozzi Silvia , Carbonaro Riccardo , Messineo Daniela , Raposio Edoardo , Codolini Luca , Sanese Giuseppe , Cervelli Valerio 
Published: October 2022

Abstract
The manuscript aims to clarify the origins of Western rhinosurgery through the ancient texts of the greatest physicians of the past, up to the Byzantine Era, focusing on the “exchange of knowledge” between peoples. This excursus is carried out by quoting the texts of the greatest doctors of the past, such as Hippocrates, Galen and Celsus and by analysing the works of Byzantine authors such as Oribasius, Aetius, Antillus, which, more than others, represent the moment of fusion and interpenetration of Ancient Medical knowledge, paving the way for the Medieval Scholae Medicae in the West. The aim, therefore, is to fill that sort of "great gap" (from the foundation of Constantinople in the 4th century AD to the early Arab culture in the 11th century AD) due to the fact that figures such as Branca, Vianeo and, finally, Tagliacozzi, are considered direct actors of a recovery of the “ancient knowledge” of classic authors. This literature tends to less evaluate, instead, that important and huge cultural exchange -literally osmotic- in medical and surgical knowledge between peoples and civilizations, that find a trait d'union in the application of medical knowledge and surgical practical techniques matured in the Byzantine, Arab and Early Medieval period. In final analysis, through the History of Rhinosurgery, this paper aims to highlight how Western medical knowledge is made up of the ensemble of cultures which are apparently distant and different from each other, which merge themselves in a truly universal and transcultural knowledge: the Medical knowledge.

Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Endoscopic Anterior Component Separation and Transversus Abdominus Release are not Associated with Increased Wound Morbidity Following Retromuscular Incisional Hernia Repair
Authors: Gaspar Freia J. L. , Midtgaard Helle G. , Jensen Anna K. , Jørgensen Lars N. , Jensen Kristian K. 
Published: October 2022

AbstractIntroductionTraditional anterior component separation during incisional hernia repair (IHR) is associated with a high rate of postoperative wound morbidity. Because extensive subcutaneous dissection is avoided by endoscopic anterior component separation (eACS) or open transversus abdominis release (TAR), we hypothesized that these techniques did not increase the incidence of surgical site occurrence (SSO) compared to IHR without component separation (CS).Material and methodThis was a retrospective single‐center cohort study of patients undergoing open retromuscular IHR comparing patients with or without the use of CS. Retromuscular mesh repair was performed in all patients, and CS was obtained by eACS or TAR. The primary outcome was 90‐day incidence of postoperative SSO. Secondary outcomes included length of stay (LOS), 90‐day readmission, 90‐day reoperation rate and 3‐year recurrence rate.ResultsA total of 321 patients underwent retromuscular repair, 168 (52.3%) of whom received either eACS or TAR. The addition of eACS or TAR was associated neither with development of SSO (odds ratio: 1.80, 95% confidence interval: 0.94–3.46, P = 0.077) nor with hernia recurrence (hazard ratio 0.77, 0.26–2.34, P = 0.648). There was no significant difference between the groups regarding the frequencies of 90‐day readmission or 90‐day reoperation.ConclusioneACS or TAR as adjuncts to open retromuscular IHR were not associated with increased wound morbidity or hernia recurrence.
The prevalence of foot health problems in people living with a rheumatic condition: a cross-sectional observational epidemiological study
Authors: Stolt Minna , Laitinen Anne-Marie , Kankaanpää Katja , Katajisto Jouko , Cherry Lindsey 
Published: October 2022

AbstractThis study aimed to determine the prevalence of foot health problems in people living with any rheumatic condition and explore potential associations with exposure variables. A cross-sectional observational epidemiological design was applied. The participants were recruited from one regional patient association in southwest Finland. The data were collected in January–February 2019 and included the Self-reported Foot Health Assessment Instrument (S-FHAI) and demographic questions. In total, 495 responses were obtained. Overall, participants had many foot problems. The point prevalence of self-reported foot problems was 99 per 100 people living with a rheumatic condition. The most prevalent problems were foot pain (73%), dry soles (68%), thickened toenails (58%) and cold feet (57%). Lower educational attainment, increased amount of daily standing and accessing medical or nursing care for foot problems were associated with poorer foot health. The results reveal a high frequency of foot pain among people with rheumatic conditions. The study highlighted the importance of person-centred care and the biological focus that underpins and impacts foot health (what we understand, what we do, and our health-seeking behaviour). Interventions to promote biopsychosocial approaches to personalised foot care could advance people’s readiness, knowledge and skill to care for their own feet.
Low frequency-to-intensity noise conversion in a pulsed laser cavity locking by exploiting carrier envelope offset
Authors: Canella Francesco , Suerra Edoardo , Giannotti Dario , Galzerano Gianluca , Cialdi Simone 
Published: October 2022

AbstractWe report on the dependence of the frequency-to-intensity noise conversion in the locking of an ultrafast laser against a high-finesse optical enhancement resonator from the carrier envelope offset frequency. By a proper combination of the cavity finesse and laser carrier envelope offset frequency, it is possible to optimize the signal-to-noise ratio of the laser intensity trapped into the optical resonator. In this paper, we describe the effect of the laser-enhancement cavity coupling on the intracavity power relative noise, and we demonstrate both theoretically and experimentally its reduction.
Diagnosis and treatment of benign adipocytic tumors in children
Authors: Pérez Daza Laura Daniela , González Villarreal Laura Camila , Sánchez Rodríguez Laura Camila , Molina Ramírez Iván Darío , Quintero Canasto Edna Margarita 
Published: October 2022

Abstract
Purpose
To describe demographic, clinical, diagnostic and therapeutic aspects of pediatric patients with benign adipocytic tumors admitted to a high complexity teaching hospital from 2007 to 2021.

Methods
Retrospective observational descriptive study. Patient information was retrieved from clinical records. A descriptive analysis was carried out for qualitative data and frequencies were calculated for quantitative data.

Results
76 patients were included with a mean age of 7.5 years old where 60.5% were boys. The main symptom was a mass (73.7%) mostly found in the lower limbs (23.6%). Congenital birth defects were identified in 48.6% of the cases. Preoperative imaging was available in 78.9% of the patients allowing characterization of lesions or differential diagnosis. The therapeutic goal was resection with negative margins, which was feasible in all cases except for one case. The histopathological diagnosis was lipoma in 68.4% of the cases followed by lipoblastoma in 13.1%. The mean follow-up period was 17.9 months. 79.7% of the patients were asymptomatic at their last out-patient visit.

Conclusion
Benign adipocytic tumors constitute a wide spectrum of lesions, which involve diverse anatomic segments from the neural axis to the inguinoscrotal region. The present work contributes to the general understanding of the clinical presentation and differential diagnosis for these infrequent neoplasms.
Development and validation of a nomogram to predict overall survival in young non-metastatic rectal cancer patients after curative resection: a population-based analysis
Authors: Jia Zhenya , Wu Huo , Xu Jing , Sun Guoping 
Published: October 2022

Abstract
Purpose
This study aimed to establish and validate a nomogram for predicting overall survival (OS) in young non-metastatic rectal cancer (RC) patients after curative resection.

Methods
Young RC patients (under 50 years of age) from 2010 to 2015 were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Those patients randomly assigned to a training cohort and a validation cohort at a ratio of 7:3. The independent prognostic factors for OS were identified by univariate and multivariate Cox regression analysis. A nomogram model was built based on the independent prognostic variables and was evaluated by concordance index (C-index), receiver operating characteristics (ROC) curves, calibration plot, and decision curve analysis (DCA).

Results
A total number of 3026 young RC patients were extracted from SEER database. OS nomogram was constructed based on race, histological type, tumor grade, T stage, N stage, carcinoembryonic antigen (CEA) level, and number of lymph nodes (LN) examined. C-index, ROC curves, calibration plot, and DCA curves presented satisfactory performance of the above nomogram in predicting the prognosis of young non-metastatic RC patients after curative resection. The nomogram can identify three subgroups of patients at different risks, which showed different prognostic outcomes both in the training cohort and validation cohort.

Conclusion
We successfully established a reliable and insightful nomogram to predict OS for young non-metastatic RC patients after curative resection. The nomogram may provide accurate prognosis prediction to guide individualized follow-up and treatment plans.
Influence of light conditions (colour temperature and illuminance) on the evaluation of root translucency for the application of Lamendin’s age-at-death estimation technique
Authors: Viciano Joan , Icaro Iuri , Tanga Carmen , Tripodi Domenico 
Published: October 2022

Abstract
Estimation of age-at-death represents a central focus in forensic human identification, as it is a key parameter used in the identification of unidentified bodies. In 1992, Lamendin et al. published a simple technique for estimating the age-at-death of adult skeletal remains based on two dental criteria: the gingival regression and the extent of dentine translucency. Although Lamendin’s technique is widely used in forensic contexts and the evaluation of root translucency is a key element in the technique, the light conditions for measuring this parameter have not been adequately established. The aim of the present study is to analyse the influence of colour temperature and illuminance level of a LED light source when root translucency is evaluated to optimize the use of Lamendin’s technique for age-at-death estimation. The results describe how light settings may affect the visual perception of root translucency by different examiners and, therefore, affect the accuracy of the age-at-death estimation methods and techniques based on this parameter.
A century of exercise physiology: lung fluid balance during and following exercise
Authors: Miserocchi Giuseppe , Beretta Egidio 
Published: October 2022

AbstractPurposeThis review recalls the principles developed over a century to describe trans-capillary fluid exchanges concerning in particular the lung during exercise, a specific condition where dyspnea is a leading symptom, the question being whether this symptom simply relates to fatigue or also implies some degree of lung edema.MethodData from experimental models of lung edema are recalled aiming to: (1) describe how extravascular lung water is strictly controlled by “safety factors” in physiological conditions, (2) consider how waning of “safety factors” inevitably leads to development of lung edema, (3) correlate data from experimental models with data from exercising humans.ResultsExercise is a strong edemagenic condition as the increase in cardiac output leads to lung capillary recruitment, increase in capillary surface for fluid exchange and potential increase in capillary pressure. The physiological low microvascular permeability may be impaired by conditions causing damage to the interstitial matrix macromolecular assembly leading to alveolar edema and haemorrhage. These conditions include hypoxia, cyclic alveolar unfolding/folding during hyperventilation putting a tensile stress on septa, intensity and duration of exercise as well as inter-individual proneness to develop lung edema.ConclusionData from exercising humans showed inter-individual differences in the dispersion of the lung ventilation/perfusion ratio and increase in oxygen alveolar-capillary gradient. More recent data in humans support the hypothesis that greater vasoconstriction, pulmonary hypertension and slower kinetics of alveolar-capillary O2 equilibration relate with greater proneness to develop lung edema due higher inborn microvascular permeability possibly reflecting the morpho-functional features of the air–blood barrier.
The spread of SARS-CoV-2 at school through the different pandemic waves: a population-based study in Italy
Authors: Pistellato Ilaria , Fonzo Marco , Calzavara Andrea , Sorrentino Paola , Selle Vittorio , Sbrogiò Luca Gino , Bertoncello Chiara 
Published: October 2022

AbstractProactive school closures are often considered an effective strategy by policy-makers and the public to limit SARS-CoV-2 transmission. While evidence on the role of students in the spread is debated, the effects of closures on children's well-being are well known. In the light of this, we aimed to assess viral spread in educational settings, by calculating the rate of secondary infections per school class and identifying factors associated with cluster generation. We conducted a combined longitudinal and cross-sectional population-based study between October 2020 and November 2021. Secondary screening was conducted whenever a SARS-CoV-2 positive subject had been in the school environment in 48 h prior to symptoms onset or on the date of swab, if asymptomatic. The effect of selected variables on COVID-19 cluster generation was assessed by logistic regression. We identified 1623 primary COVID-19 cases. Of these, 72.5% resulted in no secondary case, 15.6% in 1, and 11.9% in 2 + . The probability of generating a 2 + cluster was lower when the index case was a student, rather than school staff (AOR = 0.42; 95%CI: 0.29–0.60). The number of clusters per week was in line with COVID-19 incidence trend in the general population.Conclusions: Index cases at school led to no secondary case in about three out of four times and only to a secondary case in about 15%. School environment does not facilitate viral spread, but rather reflects circulation in the community. Appropriate measures and timely monitoring of cases make school a safe place. Given the effects on children’s learning and well-being, it is essential to favour school attendance over distance learning.

What is Known:• During the COVID-19 pandemic, most European countries resorted to school closures to counter viral transmission.• Although the scientific debate on the suitability of school closures as a non-pharmaceutical intervention is still open and the role of school children in facilitating the spread of SARS-CoV-2 is not supported by unequivocal evidence, there is now a growing awareness of the impact on children's well-being.

What is New:• The contribution of educational settings and students in facilitating viral spread appears limited, as exposure to a positive individual in the school environment led to no secondary cases among students in 72% of cases and only one secondary case in about 15%.• The likelihood of generating school clusters was approximately halved when the index case was a student compared to teachers or other school personnel.