bluuebunny/crossref_metadata_2025_split huggingface dataset:
A bi-dimensional compressed Luneburg lens antenna for miniaturization based on transformation optics
Authors: Zang Yadan , Zhu Yongzhong , Xie Wenxuan , Yang Yufei , Bu Lijun , Liu Xiaoyu 
Published: September 2022

Transformed Luneburg lens has been widely employed to provide aberration-free imaging and high-gain antenna system, but whose focal plane and beam scanning range decrease correspondingly. In this paper, a two-dimensional compressed elliptical cylindrical Luneburg lens is presented based on transformation optics (TO) to achieve miniaturization and wide-angle beam steering. The Jacobian matrix and the permittivity tensor are calculated after supposing formulas to compress the focal plane, while maintaining the lens’ inherent performance. The gradient permittivity is achieved by two ring-type periodic unit cells on the basis of the Equivalent Medium Theory. The lens is then attached between a pair of parallel metal plates to further improve its gain and lower the side lobe level (SLL). To demonstrate this assumption, a prototype of this Luneburg lens is manufactured by isotropic material and 3D printing technique. The antenna operates at 3.3–5 GHz with a peak gain of 16.1/15.9 dBi. A 2D beam scanning range of ±50° and ± 20° can be implemented by merely five feeds, the side lobe level keeping less than -16.3/-16 dB. Measured results coincide well with theoretical predictions, offering a beneficial transformation mapping to both microwaves and optics.
Effects of taichi on physical and psychological health of college students: A systematic review
Authors: Qi Fengmeng , Soh Kim Geok , Mohd Nasirudddin Nasnoor Juzaily , Mai Yiqiang 
Published: September 2022

Background: Increasing studies have documented taichi’s usefulness in physical and psychological health in various participants, especially patients or the elderly. However, there is a need for a systematic review to evaluate its effects and health benefits among college students.Objective:The present study aims to evaluate the current literature surrounding the effects of taichi on physical and psychological health among college students and identify the experimental areas for future research to establish guidelines for learning and teaching taichi in university.Methods: The literature search involved several databases (PubMed, EBSCOhost, Web of Science, Scopus, and China National Knowledge Infrastructure). Subsequent research utilised the Preferred Reporting Items for Systematic Reviews and PRISMA checklist. In addition, the “QualSyst” tool assessed the quality of full-text articles.Results: A total of 22 articles were analysed, out of which eight were strong, and 14 were of moderate quality. It is challenging to conduct a meta-analysis since the research contents were distributed differently. The general finding demonstrated that Taichi interventions have beneficial effects on college students. For example, the physical and psychological health benefits compared to other control groups include balance, leg strength, flexibility, cardiopulmonary functions, reducing stress, anxiety, and depression, and improving attention. However, there are some uncertain parameters in a state of poor or no evidence, such as upper strength, mood, and psychoticism.Conclusion: Overall, this study shows that Taichi exercise is beneficial for college students compared to the control group. Evidence of health benefits for females is more than males. In addition, the current evidence showed that the effectiveness of taichi does not match some other sports such as Pilates, Yoga, Mindfulness courses, and even bodybuilding exercise. This research analyzed the mind-body mechanism of included studies. It revealed that it is difficult for college students, as a beginner of Taichi, to regulate an even breathing and quiet mind while maintaining low posture movements. Therefore, this study assumes that relaxation theories and approaches of Taichi that are easier to understand and closer to Chinese traditional Taichi theory are more appropriate in the research trials compared with coordination theory.Systematic review registration:https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021278032.
Utility of sample entropy from intraoperative cerebral NIRS oximetry data in the diagnosis of postoperative cognitive improvement
Authors: Wang Xiaoxiao , Huo Ran , Yuan Wanzhong , Yuan Huishu , Wang Tao , Li Nan 
Published: September 2022

Background: Appropriate monitoring and early recognition of postoperative cognitive improvement (POCI) are essential. Near-infrared spectroscopy (NIRS) showed the predictive potential of POCI. Non-linear dynamical analysis is a powerful approach for understanding intraoperative regional cerebral oxygen saturation (rSO2).Objective: We hypothesized that the sample entropy (SampEn) value of intraoperative rSO2 has the potential to predict POCI.Methods: This retrospective cohort study was conducted from June 2019 and December 2020 in a tertiary hospital in Beijing, China. A total of 126 consecutive patients who underwent carotid endarterectomy (CEA) were screened. 57 patients were included in this analysis. The primary outcome was the diagnostic accuracy of rSO2 for the prediction of POCI.Results: 33 patients (57.9%) developed POCI on postoperative day. The SampEn values of rSO2 were significantly higher in the POCI group (p &lt; 0.05). SampEn remained an independent predictor of POCI in multivariate analysis. The area under the ROC curve (AUC) value of SampEn of rSO2 for POCI were 0.706 (95% CI, 0.569–0.843; p = 0.008). Addition of preoperative MoCA assessment and blood pressure-lowering treatment increased the AUC to 0.808 (95% CI, 0.697–0.919; p &lt; 0.001).Conclusions: The SampEn value of rSO2 showed promise as a predictor of POCI. Non-linear analysis could be used as a supplementary method for intraoperative physiological signals.
Increase in peak oxygen uptake and Andersen test performance in children from age six to ten: The Health Oriented Pedagogical Project (HOPP)
Authors: Mamen Asgeir , Lindberg Morten , Fredriksen Per Morten 
Published: September 2022

The increased prevalence of non-communicable disease risk factors among children because of lack of physical activity is concerning. The Health Oriented Pedagogical Project was set up to combine learning activities and physical activity, thus reducing sedentariness during school time. The current study aimed to measure and describe the longitudinal and cross-sectional development of oxygen uptake and running performance in children at ages six and ten. The validity of the Andersen Test in predicting V̇O2peak in these age groups was also evaluated. Eighty-six children (53 boys, 33 girls) with complete datasets at ages 6 and 10 years were included in the longitudinal study, while 192 children (106 boys, 86 girls) were included in the cross-sectional analysis because they missed data from 1 year. Oxygen uptake was measured using a metabolic analyser and maximal treadmill running, while the distance covered during the AT determined running performance. Body mass, height, and waist-to-height ratios were recorded. Multiple regression analysis was used to assess the association between oxygen uptake and running performance. The cross-sectional results did not differ from the longitudinal data for anthropometrical data, oxygen uptake and running performance. Height, body mass and waist-to-height ratio did not differ between the sexes at ages six or ten. Boys had significantly higher peak oxygen uptake than girls at 6 years of age, irrespective of how oxygen uptake was expressed. Allometric scaling of oxygen uptake revealed differences between sexes at both ages. Longitudinal running performance increased in both sexes from 6 to 10 years. Boys ran significantly longer only at age ten. The association between oxygen uptake and running performance varied according to how the oxygen uptake was expressed and with sex and age. Ten-year-old girls had the highest correlations in the longitudinal investigation, from r2 = 0.48 (fV̇O2peak) to 0.65 (rV̇O2peak) between AT and V̇O2peak. The AT was found to be as valid as the 20-m shuttle run test in estimating peak oxygen uptake, with a random measurement error of approximately 11% of mean values.
Ultrasonication affects the melatonin and auxin levels and the antioxidant system in potato in vitro
Authors: Pesti-Asbóth Georgina , Molnár-Bíróné Piroska , Forgács Ildikó , Remenyik Judit , Dobránszki Judit 
Published: September 2022

Melatonin is an ancient hormone whose physiological effects have been extensively studied in animals and human. We now know that it also plays a prominent role in the growth and development of plants. In our present experiment, the relationship between endogenous melatonin and the antioxidant system was investigated in potato plant grown in vitro. Changes in redox homeostasis under ultrasound stress were examined. The concentration of small molecule antioxidants and enzymes of the three-level antioxidant pathway was measured. ELISA method was used to determine the melatonin levels in plant tissues at each growth stage (0 h, 24 h, 48 h, 1 week, and 4 weeks after subculturing the explants) both in control and ultrasound-treated plants. Ultrasound stress activated the three-level defense system and decreased the endogenous melatonin levels. Melatonin was able to provide protection against membrane damage caused by drastic ultrasound treatment. Melatonin at the heart of the redox network is a key component regulating various biochemical, cellular, and physiological responses. It has a dual role, as it is able to act both as a growth regulator and an antioxidant. A close relationship was evidenced between the plant hormone indole-3-acetic acid and melatonin and ascorbic acid.
Long-interval intracortical inhibition in primary motor cortex related to working memory in middle-aged adults
Authors: Redondo-Camós María , Cattaneo Gabriele , Alviarez-Schulze Vanessa , Delgado-Gallén Selma , España-Irla Goretti , Solana-Sanchez Javier , Perellón-Alfonso Ruben , Albu Sergiu , Tormos José M. , Pascual-Leone Alvaro , Bartres-Faz David 
Published: September 2022

IntroductionExcitability of the primary motor cortex measured with TMS has been associated with cognitive dysfunctions in patient populations. However, only a few studies have explored this relationship in healthy adults, and even fewer have considered the role of biological sex.MethodsNinety-seven healthy middle-aged adults (53 male) completed a TMS protocol and a neuropsychological assessment. Resting Motor Threshold (RMT) and Long-Interval Intracortical Inhibition (LICI) were assessed in the left motor cortex and related to attention, episodic memory, working memory, reasoning, and global cognition composite scores to evaluate the relationship between cortical excitability and cognitive functioning.ResultsIn the whole sample, there was a significant association between LICI and cognition; specifically, higher motor inhibition was related to better working memory performance. When the sample was broken down by biological sex, LICI was only associated with working memory, reasoning, and global cognition in men. No associations were found between RMT and cognitive functions.ConclusionGreater intracortical inhibition, measured by LICI, could be a possible marker of working memory in healthy middle-aged adults, and biological sex plays a critical role in this association.
Changes in gray matter volume following electroconvulsive therapy in adolescent depression with suicidal ideation: A longitudinal structural magnetic resonance imaging study
Authors: Li Xiao , Chen Xiaolu , Yu Renqiang , Dai Linqi , Ai Ming , Huang Qian , Zhou Yi , Chen Wanjun , Guo Jiamei , Zheng Anhai , Kuang Li 
Published: September 2022

ObjectiveWe aimed to investigate changes in whole-brain gray matter volumes (GMVs) before and after electroconvulsive therapy (ECT) in adolescents with major depressive disorder (MDD) and suicidal ideation (SI).MethodsThirty adolescents with MDD and SI were observed, and structural magnetic resonance imaging (sMRI) was performed at baseline and after ECT for each patient. But Twenty-five healthy controls (HCs) were scanned only at baseline. The voxel-based morphometry (VBM) techniques were used to examine GMVs.ResultsCompared with HCs, MDDs at baseline showed decreased GMVs in the left middle temporal gyrus, right superior temporal gyrus, right middle temporal gyrus, left precuneus, right precuneus, and left superior frontal gyrus. After ECT, MDDs showed increased GMVs in the right superior frontal gyrus and right superior temporal gyrus. Pearson’s correlation found that Beck Scale for Suicide Ideation (BSSI) scores at baseline were negatively correlated with GMVs in the left superior frontal gyrus and HAMD and BSSI scores after ECT were negatively correlated with GMVs in the right superior temporal gyrus.ConclusionFrontal–temporal–precuneus structure changes may be a potential cause of depressive and suicidal symptoms in adolescents. ECT may improve depressive and suicidal symptoms in adolescents by regulating brain structures to compensate original defects.
Course of psychotic experiences and disorders among apprentice traditional health practitioners in rural South Africa: 3-year follow-up study
Authors: van der Zeijst Martine C. E. , Veling Wim , Makhathini Elliot M. , Mbatha Ndukuzakhe D. , Shabalala Sinethemba S. , van Hoeken Daphne , Susser Ezra , Burns Jonathan K. , Hoek Hans W. 
Published: September 2022

BackgroundCulture is inevitably linked with the experience, interpretation and course of what modern biomedicine understands to be psychotic symptoms. However, data on psychoses in low- and middle-income countries are sparse. Our previous study showed that psychotic and mood-related experiences, symptoms and disorders are common among individuals who had received the ancestral calling to become a traditional health practitioner (THP) in rural KwaZulu-Natal, South Africa. Our related ethnographic study suggested thatukuthwasa(the training to become a THP) may positively moderate these calling-related symptoms. As far as we know, no research has been conducted into the course of psychiatric symptoms among apprentice THPs.ObjectiveWe studied the course of psychotic experiences, symptoms and disorders among apprentice THPs. We also assessed their level of functioning and expanded our knowledge onukuthwasa.Materials and methodsWe performed a 3-year follow-up of a baseline sample of apprentice THPs (n= 48). Psychiatric assessments (CAPE, SCAN), assessment of functioning (WHODAS) and a semi-structured qualitative questionnaire were completed for 42 individuals.ResultsAt 3-year follow-up, psychotic experiences were associated with significantly less distress and there was a reduction in frequency of psychotic symptoms compared to baseline. The number of participants with psychotic disorders had decreased from 7 (17%) to 4 (10%). Six out of seven participants (86%) with a psychotic disorder at baseline no longer had a psychiatric diagnosis at follow-up. Although the mean level of disability among the (apprentice) THPs corresponded with the 78th percentile found in the general population, 37 participants (88%) reported no or mild disability. Forty-one participants (98%) reported thatukuthwasahad positively influenced their psychiatric symptoms.ConclusionIn rural KwaZulu-Natal, psychotic experiences, symptoms and disorders have a benign course in most individuals who are undergoing the process of becoming a THP.Ukuthwasamay be an effective, culturally sanctioned, healing intervention for some selected individuals, potentially because it reframes distressing experiences into positive and highly valued experiences, reduces stigma, and enhances social empowerment and identity construction. This implies that cultural and spiritual interventions can have a positive influence on the course of psychosis.
How do children with Tourette’s syndrome and their caregivers live with the disorder? A systematic review of qualitative evidence
Authors: Suh Hyo-Weon , Yoon Seok-In , Hong Sunggyu , Lee Hyun Woo , Lee Misun , Kim Jong Woo , Chung Sun-Yong 
Published: September 2022

BackgroundTourette’s syndrome (TS) is a childhood neurodevelopmental disorder characterized by sudden, repetitive, involuntary, and irregular muscle movement and vocalization. Recently, non-pharmaceutical methods, such as behavioral therapy, psychotherapy, and deep brain stimulation, have been introduced as alternatives to pharmacological treatment for TS. This study aimed to systematically review and synthesize qualitative evidence on the experiences of children with TS and their caregivers. A meta-synthesis of qualitative evidence could help provide a comprehensive understanding of the challenges experienced by children with TS and their caregivers with the aim of providing more effective treatment and services for them.Materials and methodsA systematic search was conducted using MEDLINE/PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, PsycARTICLES, and three Korean databases (Korean Medical Database, Research Information Sharing Service, and ScienceON) in July 2021. Studies were included if they collected and analyzed qualitative data from children with tic disorder or TS, or their caregivers. Qualitative research findings on the experiences and perspectives of children with TS and their caregivers were critically appraised and synthesized using the Joanna Briggs Institute methodology.ResultsEight eligible studies were included. The findings from these studies (i.e., themes or subthemes of qualitative research) were aggregated into categories (a group of similar findings) and synthesized findings (a group of categorized findings). Ultimately, the 60 findings were aggregated into 15 categories. Finally, four synthesized findings were derived from the 15 categories: (i) continuation of challenging daily life, (ii) denying that TS causes emotional distress, (iii) accepting and understanding TS as part of oneself, and (iv) looking to the future.ConclusionChildren with TS and their caregivers experience physical and psychological distress and social deprivation. Avoiding and suppressing TS causes secondary distress such as guilt. However, seeking social support and accepting the disorder reduce the distress caused by symptoms and lays the foundation for later growth. Even in the face of adversity, children with TS and their caregivers find personal value and acquire a more open and optimistic attitude toward life. This review shows that acceptance-based therapy and social support should be provided for the treatment and management of TS.
Loss to follow-up in “test and treat era” and its predictors among HIV-positive adults receiving ART in Northwest Ethiopia: Institution-based cohort study
Authors: Bantie Berihun , Seid Awole , Kerebeh Gashaw , Alebel Animut , Dessie Getenet 
Published: September 2022

BackgroundPeople living with HIV/AIDS are enrolled in lifelong Anti-Retroviral Treatment (ART) irrespective of their clinical staging as well as CD4 cell count. Although this “Universal Test and Treat” strategy of ART was found to have numerous benefits, loss from follow-up and poor retention remained a long-term challenge for the achievement of ART program targets. Hence, this study is aimed at addressing the much-needed effect of the test and treat strategy on the incidence of loss to follow-up (LTFU) in Ethiopia.Method and materialsAn institution-based follow-up study was conducted on 513 adults (age ≥15) who enrolled in ART at a public health institution in Bahir Dar City, Northwest Ethiopia. Data were extracted from the charts of selected patients and exported to Stata 14.2 software for analysis. Basic socio-demographic, epidemiological, and clinical characteristics were described. The Kaplan–Meier curve was used to estimate the loss to follow-up free (survival) probability of HIV-positive adults at 6, 12, 24, and 48 months of ART therapy. We fitted a multivariable Cox model to determine the statistically significant predictors of LTFU.ResultThe incidence density of LTFU was 9.7 per 100 person-years of observation (95% CI: 7.9–11.9 per 100 PYO). Overall, LTFU is higher in the rapid ART initiation (24% in rapid initiated vs. 11.3% in lately initiated, AHR 2.08, P = 0.004), in males (23% males vs. 14.7% females, AHR1.96, P = 0.004), in singles (34% single vs. 11% married, with AHR1.83, P = 0.044), in non-disclosed HIV-status (33% non-disclosed 11% disclosed, AHR 2.00 p = 0.001). Patients with poor/fair ART adherence were also identified as another risk group of LTFU (37% in poor vs. 10.5% in good adherence group, AHR 4.35, P = 0.001).ConclusionThe incidence of LTFU in this universal test and treat era was high, and the highest figure was observed in the first 6 months. Immediate initiation of ART in a universal test and treat strategy shall be implemented cautiously to improve patient retention and due attention shall be given to those high-risk patients.
Barriers in reaching new-borns and infants through home visits: A qualitative study using nexus planning framework
Authors: Deshmukh Vaishali , John Shibu , Pakhare Abhijit , Dasgupta Rajib , Joshi Ankur , Chaturvedi Sanjay , Goswami Kiran , Das Manoja Kumar , Mukhopadhyay Rupak , Singh Rakesh , Shrivastava Pradeep , Dhingra Bhavna , Bingler Steven , Hill Bobbie Provosty , Arora Narendra K. 
Published: September 2022

BackgroundHome visitation has emerged as an effective model to provide high-quality care during pregnancy, childbirth, and post-natal period and improve the health outcomes of mother- new born dyad. This 3600 assessment documented the constraints faced by the community health workers (known as the Accredited Social Health Activists, ASHAs) to accomplish home visitation and deliver quality services in a poor-performing district and co-created the strategies to overcome these using a nexus planning approach.MethodsThe study was conducted in the Raisen district of Madhya Pradesh, India. The grounded theory approach was applied for data collection and analysis using in-depth interviews, and focus group discussions with stakeholders representing from health system (including the ASHAs) and the community (rural population). A key group of diverse stakeholders were convened to utilize the nexus planning five domain framework (social-cultural, educational, organizational, economic, and physical) to prioritize the challenges and co-create solutions for improving the home visitation program performance and quality. The nexus framework provides a systemic lens for evaluating the success of the ASHAs home visitation program.ResultsThe societal (caste and economic discrimination), and personal (domestic responsibilities and cultural constraints of working in the village milieu) issues emerged as the key constraints for completing home visits. The programmatic gaps in imparting technical knowledge and skills, mentoring system, communication abilities, and unsatisfactory remuneration system were the other barriers to the credibility of the services. The nexus planning framework emphasized that each of the above factors/domains is intertwined and affects or depends on each other for home-based maternal and newborn care services delivered with quality through the ASHAs.ConclusionThe home visitation program services, quality and impact can be enhanced by addressing the social-cultural, organizational, educational, economic, and physical nexus domains with concurrent efforts for skill and confidence enhancement of the ASHAs and their credibility.