bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nutritional risk and its relationship with physical function in community-dwelling older adults
Authors: Bloom Ilse , Zhang Jean , Parsons Camille , Bevilacqua Gregorio , Dennison Elaine M. , Cooper Cyrus , Ward Kate A. 
Published: July 2022

Abstract
Background
Malnutrition is a serious concern in older populations. Simple screening approaches are needed to identify signs of early nutritional risk in older people, to allow intervention before overt malnutrition develops, along with the poorer health outcomes associated with it, such as sarcopaenia and frailty. The main aim of this study was to compare nutrition risk scores, calculated from the DETERMINE Checklist (‘Determine Your Nutritional Health’, also known as the Nutrition Screening Initiative Checklist), with physical function variables in a group of community-dwelling older adults. Another aim was to assess the prevalence of nutrition risk using the DETERMINE and the MUST (Malnutrition Universal Screening Tool).

Methods
Participants of the Hertfordshire Cohort Study (HCS) were recruited and visited at home by a trained researcher. Self-reported physical function was assessed using the SF-36 PF (Short Form-36 Physical Function) scale. The Short Physical Performance Battery (SPPB) was performed, which included the assessment of gait speed, chair rise time and standing balance. Handgrip strength was measured using a Jamar dynamometer. Frailty was assessed according to the presence of at least three of the following Fried frailty criteria: unintentional weight loss, weakness, self-reported exhaustion, slow gait speed and low physical activity. Nutrition risk scores were calculated from the DETERMINE checklist (range 0–21). Nutritional risk was also assessed using the MUST. Analyses were adjusted for sex, age, age left education and number of comorbidities.

Results
In the study, 176 participants (94 men and 82 women), median age 83.3 (IQR 81.5–85.7) years, were assessed. Almost half (47%) scored either ‘moderate’ (score 3–5) or ‘high’ (score ≥ 6) nutritional risk (9% were at high risk), using the DETERMINE checklist, whereas 8% were at risk using the MUST. Higher nutrition risk scores, calculated from DETERMINE, were associated with poorer self-reported physical function (difference in SF-36 PF score: − 0.36, 95% CI (− 0.60, − 0.12) SD per unit increase in nutrition risk score, P = 0.004) and higher odds of being frail (odds ratio Fried frailty: 2.23, 95% CI (1.15, 4.33), P = 0.017). There were no significant associations between DETERMINE nutrition risk scores and the other variables examined.

Conclusion
Cross-sectional associations between higher nutrition risk scores, assessed from the DETERMINE checklist, and poorer self-reported physical function and greater likelihood of frailty suggest that this screening tool may have utility for screening older populations. Prospective studies are required to explore the ability of the tool to predict poor physical function and frailty, though these data suggest it has potential for early, simple detection of nutritional problems in community-living older adults.
Phenotypic Overlap of 22q11.2 Microduplication and Noonan Syndrome in a Fetus with Increased NT, Facial Dysmorphism, and Narrow Pulmonary Trunk
Authors: Nerakh Gayatri , Shah Aditi , Seshan Vyshnavi , Ranganath Prajnya 
Published: July 2022

Abstract22q11.2 deletion syndrome is a common microdeletion syndrome with a prevalence of 1 in 2000-6000 live births. Clinical features include conotruncal congenital heart defect (CHD), characteristic facial features, neurodevelopmental delay, and immunological abnormalities. Microduplications of 22q11.2 are rare compared to deletions due to ill-defined variable phenotype. A few cases of 22q duplication have been identified in the prenatal period in fetuses with increased nuchal translucency (NT), cardiac anomalies, cleft palate and micrognathia. We report a case of a fetus with increased NT in ultrasound and facial dysmorphism, narrow pulmonary trunk on autopsy evaluation, diagnosed to have microduplication of 22q11.2.
An MPA-based optimized grey Bernoulli model for China’s petroleum consumption forecasting
Authors: Wu Wen-Ze , Hu Zhiming , Qi Qin , Zhang Tao 
Published: July 2022

AbstractThe remarkable prediction of petroleum consumption is of significance for energy scheduling and economic development. Considering the uncertainty and volatility of petroleum system, this paper
presents a nonlinear grey Bernoulli model with combined fractional accumulated generation operator to forecast China’s petroleum consumption and terminal consumption. The newly designed model introduces a combined fractional accumulated generation operator by incorporating the traditional fractional accumulation and conformable fractional accumulation; compared to the old accumulation, the newly optimized accumulation can enhance flexible ability to excavate the development patterns of time-series. In addition, to further improve the prediction performance of the new model, marine predation algorithm is applied to determine the optimal emerging coefficients such as fractional accumulation order. Furthermore, the proposed model is verified by a numerical example of coal consumption; and this newly established model is applied to predict China’s petroleum consumption and terminal consumption. Our tests suggest that the designed ONGBM(1,1,k,c) model outperforms the other benchmark models. Finally, we predict China’s petroleum consumption in the following years with the aid of the optimized model. According to the forecasts of this paper, some suggestions are provided for policy-makers in the relevant sectors.
Critical success factors of construction projects in Jordan: an empirical investigation
Authors: Albtoush A. M. Faten , Doh S. I. , Rahman R. A. , Al-Momani A. H. 
Published: July 2022

AbstractThe construction sector is considered one of the most important engines of the national economy in any country; in addition to that, it clearly contributes to improving the quality of life of individuals. In the construction industry, project success is crucial, because it reflects positively on the growth of the national economy, in partnership with other sectors related to it directly and indirectly. However, construction projects often come with disappointment in completion within time, cost, and quality, for multiple reasons throughout the project life cycle. The aim of this study is to determine the factors that affect the success of construction projects, based on realistic project data. To achieve this goal, data were collected and analyzed from the final reports of a number of projects that had been implemented in 15 years. The result illustrates that the most significant and vital factors for the success of the construction project are: quality-related factors, cost-related factors, time-related factors, contract-related factors, and related external factors. Results help project stakeholders improve construction project performance by identifying factors that have affected project success. This allows them to take appropriate measures for every worker to ensure the success of their projects. In addition, this study contributes to the current body of knowledge by being one of the few studies that analyze project data to identify critical success factors for construction projects in developing countries.
Effects of a trailing-edge flap on stall cell characteristics of a NACA0012 wing
Authors: De Voogt Francis , Ganapathisubramani Bharathram 
Published: July 2022

In this case study, we examine the effect of airfoil shape/camber on the formation and existence of stall cells. A series of experiments using a NACA0012 wing with a trailing-edge flap has been carried out over a range of angles of attack (

$11.5^\circ$

–

$21^\circ$

), flap angles (

$0^\circ$

,

$5^\circ$

,

$10^\circ$

) and chord-length-based Reynolds numbers (100 000–500 000). The influence of these parameters on stall cell formation has been explored. Tufts have been used to identify the flow behaviour near the surface, while forces have been measured to relate the surface flow behaviour and wing performance. The results from the tuft analysis on the wing indicated that two different Reynolds-number regimes exist with respect to stall cell formation criteria. A preliminary estimate of the airfoil shape influence on stall cell formation is presented. A data-driven approach is used to relate the aerodynamic parameters (lift coefficient and lift-curve slope) to the formation criteria of stall cells for the wing (and flap angles). The lift coefficient can be used to implicitly take into account the change in airfoil shape in addition to the angle of attack and the Reynolds number. It is hoped that the results presented in this case study could be extended to various other airfoil shapes and that the stall cell formation angle of attack can be deduced from just the mean lift behaviour.
Making the medical mask: surgery, bacteriology, and the control of infection (1870s–1920s)
Authors: Schlich Thomas , Strasser Bruno J. 
Published: July 2022

AbstractThis article examines the introduction of the medical mask in the late nineteenth century at the intersection of surgery, bacteriology and infection control. During this important episode in the longer history of the medical mask, respiratory protection became a tool of targeted germ control. In 1897, the surgeon Johannes Mikulicz at the University of Breslau (now Wroclaw, Poland), drawing on the bacteriological experiments of his colleague Carl Flügge, used a piece of gauze in front of his nose and mouth as a barrier against microorganisms moving from him to his patients. This article explores the social, cultural and medical contexts of this particular use of the mask, in connection with germ theory and surgeons’ struggle with wound infection. It explores the alignment of the new aseptic surgery with the emerging field of bacteriology in a local milieu that favoured interdisciplinary cooperation. The account also follows the uptake of the mask outside of surgery for other anti-infectious purposes and shows how the new type of anti-infectious mask spread simultaneously in operating rooms as well as in hospitals and sanatoria, and eventually in epidemic contexts.
Cannabidiol attenuates insular activity during motivational salience processing in patients with early psychosis
Authors: Gunasekera Brandon , Wilson Robin , O'Neill Aisling , Blest-Hopley Grace , O'Daly Owen , Bhattacharyya Sagnik 
Published: July 2022

AbstractBackgroundThe mechanisms underlying the antipsychotic potential of cannabidiol (CBD) remain unclear but growing evidence indicates that dysfunction in the insula, a key brain region involved in the processing of motivationally salient stimuli, may have a role in the pathophysiology of psychosis. Here, we investigate whether the antipsychotic mechanisms of CBD are underpinned by their effects on insular activation, known to be involved in salience processing.MethodsA within-subject, crossover, double-blind, placebo-controlled investigation of 19 healthy controls and 15 participants with early psychosis was conducted. Administration of a single dose of CBD was compared with placebo in psychosis participants while performing the monetary incentive delay task, an fMRI paradigm. Anticipation of reward and loss were used to contrast motivationally salient stimuli against a neutral control condition.ResultsNo group differences in brain activation between psychosis patients compared with healthy controls were observed. Attenuation of insula activation was observed following CBD, compared to placebo. Sensitivity analyses controlling for current cannabis use history did not affect the main results.ConclusionOur findings are in accordance with existing evidence suggesting that CBD modulates brain regions involved in salience processing. Whether such effects underlie the putative antipsychotic effects of CBD remains to be investigated.
Altered developmental trajectories of verbal learning skills in 22q11.2DS: associations with hippocampal development and psychosis
Authors: Latrèche Caren , Maeder Johanna , Mancini Valentina , Bortolin Karin , Schneider Maude , Eliez Stephan 
Published: July 2022

AbstractBackgroundThe cognitive profile in 22q11.2 deletion syndrome (22q11.2DS) is often characterized by a discrepancy between nonverbal vs. verbal reasoning skills, in favor of the latter skills. This dissociation has also been observed in memory, with verbal learning skills described as a relative strength. Yet the development of these skills is still to be investigated. We thus aimed to explore verbal learning longitudinally. Furthermore, we explored verbal learning and its respective associations with hippocampal alterations and psychosis, which remain largely unknown despite their high prevalence in 22q11.2DS.MethodsIn total, 332 individuals (173 with 22q11.2DS) aged 5–30 years completed a verbal-paired associates task. Mixed-models regression analyses were conducted to explore developmental trajectories with threefold objectives. First, verbal learning and retention trajectories were compared between 22q11.2DS vs. HC. Second, we examined hippocampal volume development in 22q11.2DS participants with lower vs. higher verbal learning performance. Third, we explored verbal learning trajectories in 22q11.2DS participants with vs. without positive psychotic symptoms and with vs. without a psychotic spectrum disorder (PSD).ResultsOur findings first reveal lower verbal learning performance in 22q11.2DS, with a developmental plateau emerging from adolescence. Second, participants with lower verbal learning scores displayed a reduced left hippocampal tail volume. Third, participants with PSD showed a deterioration of verbal learning performance, independently of verbal reasoning skills.ConclusionOur study challenges the current view of preserved verbal learning skills in 22q11.2DS and highlights associations with specific hippocampal alterations. We further identify verbal learning as a novel cognitive marker for psychosis in 22q11.2DS.
English at the center of the periphery: ‘Chicken nuggets’, chronotopes, and scaling English in Bahraini youth
Authors: Al-Alawi Wafa 
Published: July 2022

AbstractWith the spread of English in Bahrain, ‘chicken nugget’ emerged as a term aimed at English-dominant, typically private-school-educated youth. Drawing on data from Bahraini youth, I show how participants orient to different timespaces as they negotiate their identities relative to the ‘chicken nugget’ figure of personhood. Applying discourse analytic methods to participants’ metacommentaries, I demonstrate how they utilize scaling to elevate this label to a fractally recursive bundle of discursive processes, deeming a wider range of people as chicken nuggets depending on the chronotopic conditions of different timespaces. I further show how speakers evoke different exogenous and endogenous styles of English to allow for complex identification processes: the English of chicken nuggets is excessive and exaggerated, as opposed to English as a necessary communication tool in neoliberal contexts. Thus, this article has implications for our understandings of fractal recursivity, English use in globalized contexts, and the sociolinguistics of identity. (Scales and scaling, chronotope, center-periphery, English/Englishes, authenticity, bilingualism, Bahrain, Arabic)*
The economic space of cities: an analysis of leather tanners in eighteenth- and nineteenth-century Rome
Authors: Lelo Keti , Stemperini Giuseppe 
Published: July 2022

AbstractThe aim of this article is to examine the use of suitable archive sources for the study of the economic space of cities in the eighteenth and nineteenth centuries. The research is based on the integration and critical analysis of cartographic, descriptive and quantitative sources of an administrative and fiscal nature, developed by using Geographic Information Systems. The advantage of adopting this approach includes, in addition to the study of spatial relationships amongst economic activities and the urban space, the possibility of investigating discrepancies between the sources, thus facilitating their interpretation.
Primary Care as Primary Target: A Review of Terrorist Attacks Against Primary Care Providers and Their Offices
Authors: Wirken Bart , Barten Dennis G. , De Cauwer Harald , Mortelmans Luc J.M. , Tin Derrick , Cals Jochen 
Published: July 2022

AbstractBackground:Violence against primary care providers (PCPs) has increased during the current pandemic. While some of these violent acts are not defined as terrorist events, they are intentional events with an aim to disrupt, kill, or injure. Despite their pivotal role in health care, little is known about the risk for PCPs as targets of terrorism.Methods:Data collection was performed using a retrospective database search through the Global Terrorism Database (GTD). The GTD was searched using the internal database search functions for all terrorist attacks against PCPs and their offices from January 1, 1970 - December 31, 2019. Years 2020 and 2021 were not yet available at the time of the study. Primary attack and weapon type, location (country, world region), and number of deaths and injuries were collated. Results were exported into an Excel spreadsheet (Microsoft Corp.; Redmond, Washington USA) for analysis.Results:There were 29 terrorist attacks against PCPs and their offices from 1970-2019. The majority of attacks occurred during or after 2010. There were 58 fatalities, 52 injured, and 13 hostages. Most documented attacks took place in Pakistan, the United States, and Sri Lanka. Bombings concerned 55% of cases and 21% were hostage-takings.Conclusion:Although less common than attacks on other health care related targets, terrorist attacks against PCPs have occurred. The majority of attacks occurred during the last decade. Future studies are warranted to further assess the risk of terrorist attacks against PCPs: before, during, and beyond the current pandemic.
Derivational awareness in late bilinguals increases along with proficiency without a clear influence of the suffixes shared with L1
Authors: Menut Amélie , Brysbaert Marc , Casalis Séverine 
Published: July 2022

AbstractMorphological awareness contributes to vocabulary acquisition and reading in bilingual children who learned English after their native language. In line with these considerations, we further investigated L2 processing in late adult bilinguals where questions related to morphology need to be clarified. French–English speakers (N = 92) were assessed for three morphological awareness stages: lexical semantic knowledge, syntactic knowledge, and distributive knowledge. We investigated whether the evolution of morphological awareness was related to L2 proficiency and whether it was facilitated by the presence of suffixes shared in L1 and L2. Our results confirmed the influence of language proficiency at each stage of morphological awareness. However, the hypothesis of an advantage of suffixes shared between French and English was not confirmed as no clear advantage was found for those suffixes. Our findings are discussed in line with the morphological congruence hypothesis and compared with the previous results in the literature.
Advancing multimorbidity management in primary care: a narrative review
Authors: Aramrat Chanchanok , Choksomngam Yanee , Jiraporncharoen Wichuda , Wiwatkunupakarn Nutchar , Pinyopornpanish Kanokporn , Mallinson Poppy Alice Carson , Kinra Sanjay , Angkurawaranon Chaisiri 
Published: July 2022

Abstract

Background:
Multimorbidity, defined as the coexistence of two or more chronic conditions in the same individual, is becoming a crucial health issue in primary care. Patients with multimorbidity utilize health care at a higher rate and have higher mortality rates and poorer quality of life compared to patients with single diseases.

Aims:
To explore evidence on how to advance multimorbidity management, with a focus on primary care. Primary care is where a large number of patients with multimorbidity are managed and is considered to be a gatekeeper in many health systems.

Methods:
A narrative review was conducted using four major electronic databases consisting of PubMed, Cochrane, World Health Organization database, and Google scholar. In the first round of reviews, priority was given to review papers summarizing the current issues and challenges in the management of multimorbidity. Thematic analysis using an inductive approach was used to build a framework on how to advance management. The second round of review focused on original articles providing evidence within the primary care context.

Results:
The review found that advancing multimorbidity management in primary care requires a health system approach and a patient-centered approach. The health systems approach includes three major areas: (i) improves access to care, (ii) promotes generalism, and (iii) provides a decision support system. For the patient-centered approach, four key aspects are essential for multimorbidity management: (i) promoting doctor-patient relationship, (ii) prioritizing health problems and sharing decision-making, (iii) supporting self-management, and (iv) integrating care.
Advancement of multimorbidity management in primary care requires integrating concepts of multimorbidity management guidelines with concepts of patient-centered and chronic care models. This simple integration provides an overarching framework for advancing the health care system, connecting the processes of individualized care plans, and integrating care with other providers, family members, and the community.
Promoting Well-Being in Students Through an Art-of-Living Intervention
Authors: Tavakoli Rebekka , Müller Ronja , Jeske Enya , Schäfbuch Nina , Schmitz Bernhard 
Published: July 2022

Abstract. During secondary school, students’ well-being is challenged in manifold ways and declines continuously. To address this issue, we designed and evaluated a six-day online art-of-living intervention to foster eighth and ninth graders’ ( N = 69) well-being. Art-of-living (AoL) is based on empirical evidence and conceptualizes strategies that lead to well-being. We tested the effectiveness of the AoL training and investigated the possible contribution of body-related AoL exercises to cognitive exercises by comparing two intervention groups (cognitive training vs. cognitive and body-focused training) and a waitlist control group. Levels of AoL and well-being at pretest, posttest, and two-week follow-up showed that both significantly increased in the intervention groups. No significant differences were found between the cognitive and combined training. We discuss methodological issues of the study and propose that the approach to enhance student well-being by using art-of-living exercises is fruitful for application in school and should be explored further.