bluuebunny/crossref_metadata_2025_split huggingface dataset:
The development and clinical application of a novel schizophrenia screening system using yoga-induced autonomic nervous system responses
Authors: Inoue Tomoko , Shinba Toshikazu , Itokawa Masanari , Sun Guanghao , Nishikawa Maho , Miyashita Mitsuhiro , Suzuki Kazuhiro , Kariya Nobutoshi , Arai Makoto , Matsui Takemi 
Published: October 2022

Background: In severe cases, schizophrenia can result in suicide and social isolation. Diagnosis delay can lead to worsening symptoms, and often results in prolonged therapy. An estimated 50%–80% of patients with schizophrenia are unaware of their condition. Biomarkers for schizophrenia are important for receiving a diagnosis from a psychiatrist at an early stage. Although previous studies have investigated near-infrared spectroscopy as a biomarker for schizophrenia, the required equipment is expensive and not designed for home use. Hence, we developed a novel home-use schizophrenia screening system that uses a wearable device to measure autonomic nervous system responses induced by yoga, which is frequently adopted in rehabilitation for schizophrenia.Materials and methods: The schizophrenia screening system automatically distinguishes patients with schizophrenia from healthy subjects via yoga-induced transient autonomic responses measured with a wearable wireless electrocardiograph (ECG) using linear discriminant analysis (LDA; Z score ≥ 0 → suspected schizophrenia, Z-score &lt; 0 → healthy). The explanatory variables of LDA are averages of four indicators: components of heart rate variability (HRV): the very low-frequency (VLF), the low-frequency (LF), HR, and standard deviation of the NN intervals (SDNN). In the current study, HRV is defined as frequency domain HRV, which is determined by integrating RRI power spectrum densities from 0.0033 to 0.04 Hz (VLF) and 0.04–0.15 Hz (LF), and as time domain HRV, SDNN of which is calculated as the mean of the standard deviations of the RR intervals. These variables were measured before (5 min), during (15 min), and after (5 min) yoga in a 15-min mindfulness-based yoga program for schizophrenia (MYS). The General Health Questionnaire-28 (GHQ28) score was used to assess the severity of mental disorders for patients with schizophrenia and healthy volunteers. Twelve patients with schizophrenia (eight female and four male, 23–60 years old) and 16 healthy volunteers (seven female and nine male, 22–54 years old) were recruited.Results: The schizophrenia screening system achieved sensitivity of 91% and specificity of 81%. Z-scores of LDA were significantly correlated with GHQ28 scores (r = 0.45, p = 0.01).Conclusion: Our proposed system appears to be promising for future automated preliminary schizophrenia screening at home.
Genome-wide identification and expression of TIFY family in cassava (Manihot esculenta Crantz)
Authors: Zheng Linling , Wan Qi , Wang Honggang , Guo Changlin , Niu Xiaolei , Zhang Xiaofei , Zhang Rui , Chen Yinhua , Luo Kai 
Published: October 2022

Plant-specific TIFY [TIF(F/Y)XG] proteins serve important roles in the regulation of plant stress responses. This family encodes four subfamilies of proteins, JAZ (JASMONATE ZIM-domain), PPD (PEAPOD), ZML (Zinc-finger Inflorescence-like), and TIFY. In this work, a total of 16 JAZ, 3 PPD, 7 ZML, and 2 TIFY genes were found in cassava (Manihot esculenta Crantz) at the genome-wide level. The phylogenetics, exon-intron structure, motif organization, and conserved domains of these genes were analyzed to characterize the members of the JAZ, PPD, and ZML subfamilies. Chromosome location and synteny analyses revealed that 26 JAZ, PPD, and ZML genes were irregularly distributed across 14 of the 18 chromosomes, and 18 gene pairs were implicated in large-scale interchromosomal segmental duplication events. In addition, JAZ, PPD, and ZML gene synteny comparisons between cassava and three other plant species (Arabidopsis, Populus trichocarpa, and rice) uncovered vital information about their likely evolution. The prediction of protein interaction network and cis-acting elements reveal the function of JAZ, PPD, and ZML genes. Subsequently, expression patterns of JAZ, PPD, and ZML genes were validated by qRT-PCR as being expressed in response to osmotic, salt, and cadmium stress. Moreover, almost all JAZ subfamily genes were responsive to jasmonic acid (JA) treatment. In particular, MeJAZ1, MeJAZ13, and MeJAZ14, were highly up-regulated by three treatments, and these genes may deserve further study. This comprehensive study lays the groundwork for future research into TIFY family genes in cassava and may be valuable for genetic improvement of cassava and other related species.
Lasting increases in trait mindfulness after psilocybin correlate positively with the mystical-type experience in healthy individuals
Authors: Søndergaard Anna , Madsen Martin Korsbak , Ozenne Brice , Armand Sophia , Knudsen Gitte Moos , Fisher Patrick MacDonald , Stenbæk Dea Siggaard 
Published: October 2022

BackgroundPsilocybin-induced mystical-type experiences are associated with lasting positive psychological outcomes. Recent studies indicate that trait mindfulness is increased 3 months after psilocybin intake, preceded by decreases in neocortical serotonin 2A receptor (5-HT2AR) binding. However, the association between psilocybin-induced mystical-type experiences and subsequent changes in trait mindfulness remains unexplored, as does the association between pre-drug trait mindfulness and 5-HT2AR binding in the healthy brain.AimWe evaluated whether psilocybin induced lasting increases in trait mindfulness in healthy volunteers, and whether the mystical-type experience was associated with this increase. We further examined the association between pre-drug trait mindfulness and 5-HT2AR binding in neocortex and selected frontolimbic regions.Materials and methodsForty-six medium-high dose psilocybin sessions were conducted in 39 healthy individuals. The mystical-type experience was measured with the Mystical Experience Questionnaire (MEQ) at the end of the session. Trait mindfulness was measured using the Mindful Attention and Awareness Scale (MAAS) at baseline and 3 months after the psilocybin session. Thirty-two of the participants completed pre-drug [11C]-Cimbi-36 positron emission tomography (PET) to assess 5-HT2AR binding in neocortex and, post-hoc, in the frontolimbic regions amygdala, frontal cortex, and anterior cingulate cortex.ResultsThe MAAS score was significantly increased at 3-month follow-up (p = 3.24 × 10–6), a change positively associated with the MEQ score (p = 0.035). Although the association between pre-drug MAAS score and neocortex 5-HT2AR binding was not significant (p = 0.24), post-hoc analyses revealed a significant negative association between MAAS and right amygdala 5-HT2AR binding (pFWER = 0.008).ConclusionWe here show that lasting changes in trait mindfulness following psilocybin administration are positively associated with intensity of the mystical-type experience, suggesting that the acute phenomenology of psilocybin facilitates a shift in awareness conducive for mindful living. We furthermore show that higher pre-drug trait mindfulness is associated with reduced 5-HT2AR binding in the right amygdala.
Depression, anxiety, stress, and physical activity of Australian adults during COVID-19: A combined longitudinal and repeated cross-sectional study
Authors: Zhao Wei , Vandelanotte Corneel , Khalesi Saman , Alley Stephanie J. , Williams Sue L. , Thwaite Tanya L. , Fenning Andrew S. , Stanton Robert , To Quyen G. 
Published: October 2022

BackgroundThe COVID-19 pandemic has led to a worsening of mental health and health behaviors. While physical activity is positively associated mental health, there is limited understanding of how mental health and physical activity evolve throughout the COVID-19 pandemic. This study aimed to examine changes in depression, anxiety and stress and physical activity, and associations between depression, anxiety, and stress with physical activity in Australian adults across three-time points during the COVID-19 pandemic.Materials and methodsThis study collected both longitudinal and cross-sectional data at three-time points during the COVID-19 pandemic in Australia (i.e., April, July/August, and December 2020). Australians aged 18 years and over were invited to complete online surveys hosted on Qualtrics survey platform. Linear mixed models with random subject effect and general linear models were used to analyze the longitudinal and repeated cross-sectional data respectively.ResultsThe number of participants in cross-sectional surveys and longitudinal surveys was 1,877 and 849, respectively. There was an overall reduction between time 2 vs. time 3 in depression (d = 1.03, 95% CI = 0.20, 1.85), anxiety (d = 0.57, 95% CI = 0.02, 1.12), and stress (d = 1.13, 95% CI = 0.21, 2.04) scores but no significant differences in physical activity across three-time points. On average, participants who met the physical activity guidelines had lower depression (d = −2.08, 95% CI = −2.90, −1.26), anxiety (d = −0.88, 95% CI = −1.41, −0.34), and stress (d = −1.35, 95% CI = −2.13, −0.56) scores compared to those not meeting the guidelines.ConclusionIn the context of the ongoing COVID-19 pandemic, both governments and service providers should continue to provide the public with timely mental health support and promote the benefits of physical activity, as a cost-effective strategy to improve mental health and wellbeing.
Prednisone for the prevention of tuberculosis-associated IRIS (randomized controlled trial): Impact on the health-related quality of life
Authors: Wouters Edwin , Stek Cari , Swartz Alison , Buyze Jozefien , Schutz Charlotte , Thienemann Friedrich , Wilkinson Robert J. , Meintjes Graeme , Lynen Lutgarde , Nöstlinger Christiana 
Published: October 2022

BackgroundTuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) is an important complication in patients with HIV-associated tuberculosis (TB) starting antiretroviral treatment (ART) in sub-Saharan Africa. The PredART-trial recently showed that prophylactic prednisone reduces the incidence of paradoxical TB-IRIS by 30% in a population at high risk. This paper reports the impact of the intervention on health-related quality of life (HRQoL), a secondary endpoint of the trial, measured by an amended version of the PROQOL-HIV instrument—the instrument’s validity and reliability is also assessed.MethodsA total of 240 adult participants (antiretroviral treatment (ART)-naïve, TB-HIV co-infected with CD4 count ≤100 cells/μL) were recruited and randomized (1:1) to (1) a prednisone arm or (2) a placebo arm. In this sub-study of the PredART-trial we evaluated (1) the performance of an HIV-specific HR-QoL instrument amended for TB-IRIS, i.e., the PROQOL-HIV/TB in patients with HIV-associated TB starting ART (reliability, internal and external construct validity and invariance across time) and (2) the impact of prednisone on self-reported HR-QoL in this population through mixed models.ResultsThe PROQOL-HIV/TB scale displayed acceptable internal reliability and good internal and external validity. This instrument, including the factor structure with the eight sub-dimensions, can thus be applied for measuring HR-QoL among HIV-TB patients at high risk for TB-IRIS. Prophylactic prednisone was statistically significantly associated only with the ‘Physical Health and Symptoms’-subscale: a four-week course of prednisone resulted in an earlier improvement in the physical dimension of HR-QoL compared to placebo.ConclusionWe demonstrated that the PROQOL-HIV/TB scale adequately measures different aspects of self-reported HR-QoL in HIV-TB patients. Although more research is needed to understand how other domains related to HR-QoL can be improved, targeting patients at high risk for developing TB-IRIS with a four-week course of prednisone has a beneficial effect on the physical aspects of patient-reported quality of life.
The relationship between Internet addiction and childhood trauma in adolescents: The mediating role of social support
Authors: Sheng Xuanlian , Yang Meng , Ge Menglin , Zhang Ling , Huang Cui , Cui Shu , Yuan Qiuyu , Ye Mengting , Zhou Ruochen , Cao Panpan , Peng Ran , Zhang Kai , Zhou Xiaoqin 
Published: October 2022

BackgroundAdolescents are at high risk of Internet addiction (IA). Previous studies have shown that the occurrence of IA may be associated with childhood trauma and social support to varying degrees. This study aimed to investigate the pathogenesis of IA in adolescents. Further, to explore the potential mediating role of social support in childhood trauma and IA. This study provides theoretical support for future interventions targeting IA in adolescents.MethodsThis study used a descriptive cross-sectional design. The Childhood Trauma Questionnaire (CTQ), Social Support Rating Scale (SSRS), and Young’s Internet Addiction Test (IAT) were used to conduct an anonymous questionnaire survey among randomly selected adolescents aged less than 18 years old in two cities in southern Anhui Province. Descriptive statistics and correlation analysis were used to test the correlation between IA and other variables. A binary logistic regression model was used to explore the influencing factors of IA. Multiple regression models were examined with process macro and bootstrapping to confirm significant mediating effects.ResultsA total of 844 adolescents, equally divided between males and females, participated in this study, and the prevalence of IA in the region was 23.0%. Through the mediation test, the direct effect of childhood trauma on IA was 0.20 (95% CI [0.12, 0.27], p &lt; 0.001), and the mediating effect of social support on childhood trauma and IA was 0.09 (95% CI [0.06, 0.14]).ConclusionThe study showed that childhood trauma significantly affected the incidence of IA in adolescents. Social support had a significant mediating effect on childhood trauma and IA and attenuated its negative effects.
Autoimmune antibodies in first-episode psychosis with red flags: A hospital-based case-control study protocol
Authors: Wang Jianjun , Liu Xuan , Lian Jie , Zheng Haotao , Cai Dongbin , Cai Haobin , Zhou Dan , Lin Songjun , Kong Fanxin , Qin Xiude , Bi Jianqiang 
Published: October 2022

BackgroundResearch is increasingly identifying an overlap between psychosis and immunological dysregulation. Certain autoantibodies are being identified in a small but probably relevant subgroup of patients with psychosis. The term “autoimmune psychosis” (AIP) and its corresponding red-flag signs present the opportunity for a new field in psychiatry to promote diagnostic workup and immunomodulating therapy in individual cases.ObjectivesThe present protocol aims to determine the seroprevalence of autoantibodies in first-episode psychosis (FEPs) using AIP red flag signs, and to explore the frequency of autoantibody subtypes and potential mediating confounders.Methods/designThis is a hospital-based case-control study. All participants will be consecutively selected from the main tertiary psychiatric hospital in Shenzhen City, China. Individuals admitted to the psychiatric ward and diagnosed with FEPs will be enrolled. Based on recent consensus, participants with red flags of AIPs will be defined as cases, while the remainder will be matched as controls. Seropositive antibodies will be detected and verified in cerebrospinal fluid (CSF) samples based on the fixed cell-based assay (CBA) method. The propensity score-adjusted odds ratios will be determined to investigate the key mediating confounders regarding autoantibody subtypes and red flag subsets.DiscussionThe results of this study will facilitate the early identification of AIPs in FEP patients using the red flag sign and help identify key mediators that improve the accuracy of diagnostic algorithms. It will have clinical significance to focus on serum antibodies that have been verified in CSF samples, due to its consistency with clinical practices in current psychiatry.
The relationship between duration of subjective poverty and health among Chinese adults: Evidence from the China Family Panel Study
Authors: Cao Dan , Zhou Zhongliang , Ren Yangling , Deng Qiwei , Zhai Xiaohui , Liu Guanping , Zhao Dantong , Zhao Yaxin , Shen Chi 
Published: October 2022

IntroductionThe disadvantaged socioeconomic status could have accumulated negative effects on individual. In the Chinese context, studying subjective and relative poverty is more important under the implementation of the Targeted Poverty Alleviation campaign. This study aims to provide evidence of the relationship between the duration of subjective poverty and both physical and mental health among Chinese adults, using nationally longitudinal data from 2010 to 2018.Materials and methodsData were extracted from a nationally representative survey database—the China Family Panel Study (CFPS). The total sample size contains 12,003 adults, with 3,532 in the urban area and 8,471 in the rural area. Self-rated health and depressive symptoms were set as indicators of physical health and mental health, respectively. The duration of subjective poverty was measured by self-rated income level in the local area from 2010 to 2016. A series of ordinary least square regression was adopted to measure the relationship between duration of subjective poverty and health.ResultsFor the urban residents, the average duration of subjective poverty is 1.99 time points, while 1.98 time points for the rural residents. Net of objective poverty, duration of subjective poverty has a significantly negative association with individual's self-rated health in the rural sample (Coef. = −0.10, p &lt; 0.001). Compared with those who have not experienced subjective poverty, the self-rated health score of people who experienced four time points is likely to decrease by 0.54 in the rural area and 0.30 in the urban area. In terms of mental health, 1 unit increase in the duration of subjective poverty is related to 0.15 unit increase in Center for Epidemiologic Studies Depression Scale-8 (CES-D8) scores in the urban sample and 0.46 in the rural sample. Compared with those who have not experienced subjective poverty, the CES-D8 scores of people who experienced four time points are likely to increase by 1.47 in the rural area and 0.95 in the urban area.ConclusionA longer duration of subjective poverty has a cumulatively negative effect on Chinese residents' physical and mental health, especially in rural area. Our study advocates researchers and policymakers pay more attention to the cumulative effect of subjective poverty on health.
The use and future perspective of Artificial Intelligence—A survey among German surgeons
Authors: Pecqueux Mathieu , Riediger Carina , Distler Marius , Oehme Florian , Bork Ulrich , Kolbinger Fiona R. , Schöffski Oliver , van Wijngaarden Peter , Weitz Jürgen , Schweipert Johannes , Kahlert Christoph 
Published: October 2022

PurposeClinical abundance of artificial intelligence has increased significantly in the last decade. This survey aims to provide an overview of the current state of knowledge and acceptance of AI applications among surgeons in Germany.MethodsA total of 357 surgeons from German university hospitals, academic teaching hospitals and private practices were contacted by e-mail and asked to participate in the anonymous survey.ResultsA total of 147 physicians completed the survey. The majority of respondents (n = 85, 52.8%) stated that they were familiar with AI applications in medicine. Personal knowledge was self-rated as average (n = 67, 41.6%) or rudimentary (n = 60, 37.3%) by the majority of participants. On the basis of various application scenarios, it became apparent that the respondents have different demands on AI applications in the area of “diagnosis confirmation” as compared to the area of “therapy decision.” For the latter category, the requirements in terms of the error level are significantly higher and more respondents view their application in medical practice rather critically. Accordingly, most of the participants hope that AI systems will primarily improve diagnosis confirmation, while they see their ethical and legal problems with regard to liability as the main obstacle to extensive clinical application.ConclusionGerman surgeons are in principle positively disposed toward AI applications. However, many surgeons see a deficit in their own knowledge and in the implementation of AI applications in their own professional environment. Accordingly, medical education programs targeting both medical students and healthcare professionals should convey basic knowledge about the development and clinical implementation process of AI applications in different medical fields, including surgery.
Biomechanical knee energy harvester: Design optimization and testing
Authors: Gad Moran , Lev-Ari Ben , Shapiro Amir , Ben-David Coral , Riemer Raziel 
Published: October 2022

Biomechanical energy harvesters are designed to generate electrical energy from human locomotion (e.g., walking) with minimal or no additional effort by the users. These harvesters aim to carry out the work of the muscles during phases in locomotion where the muscles are acting as brakes. Currently, many harvesters focus on the knee joint during late swing, which is only one of three phases available during the gait cycle. For the device to be successful, there is a need to consider design components such as the motor/generator and the gear ratio. These components influence the amount of electrical energy that could be harvested, metabolic power during harvesting, and more. These various components make it challenging to achieve the optimal design. This paper presents a design of a knee harvester with a direct drive that enables harvesting both in flexion and extension using optimization. Subsequently, two knee devices were built and tested using five different harvesting levels. Results show that the 30% level was the best, harvesting approximately 5 W of electricity and redacting 8 W of metabolic energy compared to walking with the device as a dead weight. Evaluation of the models used in the optimization showed a good match to the system model but less for the metabolic power model. These results could pave the way for an energy harvester that could utilize more of the negative joint power during the gait cycle while reducing metabolic effort.
Large-scale monitoring of Indo-Pacific finless porpoises (Neophocaena phocaenoides) using multiple static acoustic sensors
Authors: Caruso Francesco , Giorli Giacomo , Dong Lijun , Zhao Likun , Liu Mingming , Lin Mingli , Li Songhai 
Published: October 2022

The distribution of Indo-Pacific finless porpoise (IPFP, Neophocaena phocaenoides) around the Hainan Island (China) is unknown, but evidences for a resident population have recently emerged. Passive acoustic data were collected from 10 locations along the south-west area of the island using static sensors (about 200 km of coastline), over a total period of 476 days from 25th February 2018 to 16th June 2019 (154,884 5-min recordings). A supervised machine learning technique was used to classify IPFP clicks and acoustic features were measured for 2,654 short-narrowband pulses detected within 47 days across the 10 sites. Detections were verified by a trained operator using spectrogram analysis and the detection range of the clicks was estimated using a Transmission Loss (TL) model. The animals were not detected at all locations and the site with the highest number of detections was characterized by low levels of ambient noise, abundance of soniferous fishes and the presence of another marine mammal species, the Indo-Pacific humpback dolphin (Sousa chinensis). The northernmost region had no detections and only two recorded files containing IPFP clicks were found at the two nearby locations (one file each). In general, the low number of detections in the study area are most likely a result of the limited detection range (about 200 m) of IPFP echolocation signals. This is a nationally protected species and the Hainan population is increasingly subject to many threats. The large-scale and long-term monitoring approach provides information regarding the spatial acoustic occurrence of this vulnerable, nearshore and small-size cetacean.