bluuebunny/crossref_metadata_2025_split huggingface dataset:
A new 5G radio evolution towards 5G-Advanced
Authors: Pang Jiyong , Wang Shaobo , Tang Zhenfei , Qin Yanmin , Tao Xiaofeng , You Xiaohu , Zhu Jinkang 
Published: August 2022

AbstractThe evolution of the fifth-generation (5G) new radio (NR) has progressed swiftly since the third generation partnership project (3GPP) standardized the first NR version (Release 15) in mid-2018. Nowadays, the world’s leading carriers are competing to provide various commercial services over 5G networks. Looking ahead to 2025 and beyond, it is expected that over 6.5 million 5G base stations will be installed to offer services to over 58% of the world’s population via over 100 billion 5G connections. Following the rapid development of 5G, an increasing number of commercialization use cases will drive the 5G network to continuously improve performance and expand capabilities. Hence, it is the right time to consider a well-defined framework and standardization for 5G NR evolution (5G-Advanced) to support commercialization between 2025 and 2030. First, this study addresses the key driving forces, requirements, usage scenarios, and capabilities of 5G-Advanced; then, it highlights the main technological challenges and introduces the top 10 promising technological directions in detail. Finally, other fascinating technological directions in 5G-Advanced are shortly mentioned.
Optimal conditions for mycelial growth of medicinal mushrooms belonging to the genus Hericium
Authors: Gonkhom Didsanutda , Luangharn Thatsanee , Hyde Kevin D. , Stadler Marc , Thongklang Naritsada 
Published: August 2022

AbstractHericium is a well-known genus that comprises edible and medicinal mushrooms with fleshy, distinctive white spines that hang from a tough, unbranched clump, and grows on dying or dead wood. In preparation for the artificial cultivation of these mushrooms in Thailand, an optimization of mycelial growth on different agar culture media, for various conditions (including temperature, pH, cereal grains, and agricultural waste, carbon sources, nitrogen sources, and the ratio of media components) was carried out. For this study, three strains of H. erinaceus (MFLUCC 21-0018, MFLUCC 21-0019, and MFLUCC 21-0020) were favorably grown on OMYA medium, at 25 °C and at a pH of 4–4.5, while one strain of H. erinaceus (MFLUCC 21-0021) grew favorably on CDA medium, at 25 °C and pH 5.5. The favorable condition for H. coralloides (MFLUCC 21-0050) growth was MYPA medium, at 30 °C and pH 5.5. All five strains presented higher mycelial growth on wheat grain. Carbon and nitrogen sources promoted higher rates using molasses and yeast extract respectively, and a ratio of these media components of 10:1 resulted in higher growth rates. The data presented provide growth requirements that will be useful in the future development of the cultivation of Hericium mushrooms.
Exploring the Acceptability of Expanded Perinatal Depression Care Practices Among Women Veterans
Authors: Kroll-Desrosiers Aimee , Kinney Rebecca L. , Marteeny Valerie , Mattocks Kristin M. 
Published: August 2022

Abstract
Background
Veterans receive obstetrical care from community-based providers contracted through the Veterans Health Administration (VA); however, Veterans remain eligible for VA mental healthcare in the perinatal period. To date, few studies have focused specifically on the mental health needs of Veterans during the perinatal period.

Objective
To examine the acceptability of more comprehensive perinatal mental healthcare screening and treatment in VA care, we explored pregnant and postpartum Veteran perspectives of United States Preventive Services Task Force (USPSTF) recommendations that aim to expand mental health counseling for the prevention and treatment of perinatal depression.

Design
Semi-structured interviews with pregnant and postpartum Veterans enrolled in VA care, integrated with quantitative survey data.

Participants
Pregnant and postpartum Veterans (n=27) who had delivered infants or were due by February 2020.

Approach
Framework analysis with an inductive approach was utilized to understand our data, interpret and code our transcripts, and develop themes.

Key Results
Fewer than half (44%) of the women reported seeing a mental health provider at the beginning of their pregnancy. We found that Veterans support USPSTF recommendations in the VA, consider mental healthcare to be very important during the perinatal period, would like better access to mental healthcare resources and peer support networks, and suggest that perinatal depression screening could be more extensive.

Conclusions
These findings support the implementation of more comprehensive perinatal depression prevention policies and practices within VA care. Understanding the real-world feasibility and prevailing barriers to comprehensive perinatal depression care is needed to inform implementation of the USPSTF recommendations or a similar intervention tailored for VA care.
State of the Knowledge of VA Military Sexual Trauma Research
Authors: Galovski Tara E. , Street Amy E. , Creech Suzannah , Lehavot Keren , Kelly Ursula A. , Yano Elizabeth M. 
Published: August 2022

AbstractDespite substantial efforts to counter sexual assault and harassment in the military, both remain persistent in the Armed Services. In February 2021, President Biden directed the U.S. Department of Defense to establish a 90-day Independent Review Commission on Sexual Assault in the Military (IRC) to assess the department’s efforts and make actionable recommendations. As servicemembers discharge from the military, effects of military sexual trauma (MST) are often seen in the Veterans Health Administration (VA). In response to an IRC inquiry about VA MST research, we organized an overview on prevalence, adverse consequences, and evidence-based treatments targeting the sequelae of MST. Women are significantly more likely to experience MST than their male counterparts. Other groups with low societal and institutional power (e.g., lower rank) are also at increased risk. Although not all MST survivors experience long-term adverse consequences, for many, they can be significant, chronic, and enduring and span mental and physical health outcomes, as well as cumulative impairments in functioning. Adverse consequences of MST come with commonalities shared with sexual trauma in other settings (e.g., interpersonal betrayal, victim-blaming) as well as unique aspects of the military context, where experiences of interpersonal betrayal may be compounded by perceptions of institutional betrayal (e.g., fear of reprisal or ostracism, having to work/live alongside a perpetrator). MST’s most common mental health impact is posttraumatic stress disorder, which rarely occurs in isolation, and may coincide with major depression, anxiety, eating disorders, substance use disorders, and increased suicidality. Physical health impacts include greater chronic disease burden (e.g., hypertension), and impaired reproductive health and sexual functioning. Advances in treatment include evidence-based psychotherapies and novel approaches relying on mind-body interventions and peer support. Nonetheless, much work is needed to enhance detection, access, care, and support or even the best interventions will not be effective.
Opportunities to More Comprehensively Assess Sexual Violence Experience in Veterans Health Administration Medical Records Data
Authors: Hollis Brittany F. , Kim Nadejda , Youk Ada , Dichter Melissa E. 
Published: August 2022

Abstract
Introduction
Experience of sexual violence (SV) is prevalent among the Veteran population and associated with many negative mental and physical health outcomes including suicidal behavior, obesity, post-traumatic stress disorder, anxiety, depression, and poor sexual and reproductive functioning. Although Veterans of any gender may experience SV, women Veterans are particularly at risk. Research on SV among Veterans has focused primarily on the experience of SV during military service (military sexual trauma, MST), although Veterans may also experience SV prior to and following military service. The aim of the current study was to construct a more comprehensive method of identifying SV among Veterans Health Administration (VHA) patients as documented in medical records in a national cohort of 325,907 Veterans who used VHA care between 2000 and 2018 in order to inform future research in this area.

Method
We used three indicators to identify SV in VHA medical records: (a) the MST screen, (b) the sexual violence item of the intimate partner violence (IPV) screen, and (c) International Classification of Disorders (ICD) codes (versions 9 and 10) representing adult sexual abuse and assault. Univariate descriptive analyses were conducted to determine the exclusivity and overlap of the SV measures.

Results
The universal MST screen was the most commonly identified indicator of SV in the data. However, including the IPV and ICD indicators identified an additional 5% of Veterans who had experienced SV, accounting for thousands of patients.

Discussion
The results of the current study indicate that using the three-pronged approach of SV collection is a more comprehensive method of identifying patient SV experience through VHA medical records and contributes uniquely to the methodology of studying social factors’ impact on health care. Clinical screening and documentation of SV allow for the assessment of health impacts and trends through examination of medical records data.
Unintended Pregnancy and Abortion in the US Navy, 2016
Authors: Grindlay Kate , Seymour Jane , Fix Laura , Grossman Daniel 
Published: August 2022

Abstract
Background
The unintended pregnancy rate in the US military is higher than among civilians. While 42% of unintended pregnancies end in abortion among civilian women, there are no data on the prevalence of abortion in the military overall or by service branch.

Objective
This analysis was conducted to estimate unintended pregnancy rates and the percentage of unintended pregnancies that resulted in abortion among active-duty US Navy members aged 44 years or younger reporting female gender in 2016.

Design
Cross-sectional survey data from the 2016 Navy Pregnancy and Parenthood Survey, collected from August to November 2016.

Participants
Our sample included 3,423 active-duty US Navy members aged 44 years or younger reporting female gender, generated from a stratified random sample of 38% of all active-duty Navy women in pay grades E2-E9 and O1-O5 in 2016; the survey had a 20% response rate for females.

Main Measures
We calculated pregnancy and unintended pregnancy rates, the percentage of pregnancies that were unintended, and the percentage of unintended pregnancies resulting in birth and abortion in the prior fiscal year.

Key Results
Overall, the self-reported unintended pregnancy rate was 52 per 1,000 participants and 38.1% of pregnancies were unintended. The adjusted unintended pregnancy rate accounting for abortion underreporting was 68 per 1,000 participants. Unintended pregnancy rates were highest among individuals who were younger (aged 18–24) and in enlisted pay grades, compared to their counterparts. Six percent reported their unintended pregnancy resulted in abortion. Six respondents reported becoming pregnant while deployed; none of these pregnancies resulted in abortion.

Conclusions
In this first study to report on abortion prevalence among US servicemembers, we found the proportion of unintended pregnancies resulting in abortion among a sample of US Navy members in 2016 was much lower than civilians, yet unintended pregnancy rates were higher.
Women Veterans’ Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings
Authors: Sheahan Kate L. , Goldstein Karen M. , Than Claire T. , Bean-Mayberry Bevanne , Chanfreau Catherine C. , Gerber Megan R. , Rose Danielle E. , Brunner Julian , Canelo Ismelda A. , Darling MSHS Jill E. , Haskell Sally , Hamilton Alison B. , Yano Elizabeth M. 
Published: August 2022

Abstract
Background
The Veterans Health Administration (VA) is the largest integrated health system in the US and provides access to comprehensive primary care. Women Veterans are the fastest growing segment of new VA users, yet little is known about the characteristics of those who routinely access VA primary care in general or by age group.

Objective
Describe healthcare needs, utilization, and preferences of women Veterans who routinely use VA primary care.

Participants
1,391 women Veterans with 3+ primary care visits within the previous year in 12 VA medical centers (including General Primary Care Clinics, General Primary Care Clinics with designated space for women, and Comprehensive Women’s Health Centers) in nine states.

Methods
Cross-sectional survey (45% response rate) of sociodemographic characteristics, health status (including chronic disease, mental health, pain, and trauma exposure), utilization, care preferences, and satisfaction. Select utilization data were extracted from administrative data. Analyses were weighted to the population of routine users and adjusted for non-response in total and by age group.

Key Results
While 43% had health coverage only through VA, 62% received all primary care in VA. In the prior year, 56% used VA mental healthcare and 78% used VA specialty care. Common physical health issues included hypertension (42%), elevated cholesterol (39%), pain (35%), and diabetes (16%). Many screened positive for PTSD (41%), anxiety (32%), and depression (27%). Chronic physical and mental health burdens varied by age. Two-thirds (62%) had experienced military sexual trauma. Respondents reported satisfaction with VA women’s healthcare and preference for female providers.

Conclusions
Women Veterans who routinely utilize VA primary care have significant multimorbid physical and mental health conditions and trauma histories. Meeting women Veterans’ needs across the lifespan will require continued investment in woman-centered primary care, including integrated mental healthcare and emphasis on trauma-informed, age-specific care, guided by women’s provider preferences.
Getting Connected: a Retrospective Cohort Investigation of Video-to-Home Telehealth for Mental Health Care Utilization Among Women Veterans
Authors: Lindsay Jan A. , Caloudas Alexandra , Hogan Julianna , Ecker Anthony H. , Day Stephanie , Day Giselle , Connolly Samantha L. , Touchett Hilary , Weaver Kendra R. , Amspoker Amber B. 
Published: August 2022

Abstract
Background
Increasingly, women are serving in the military and seeking care at the Veterans Health Administration (VHA). Women veterans face unique challenges and barriers in seeking mental health (MH) care within VHA. VA Video Connect (VVC), which facilitates video-based teleconferencing between patients and providers, can reduce barriers while maintaining clinical effectiveness.

Objective
Primary aims were to examine gender differences in VVC use, describe changes in VVC use over time (including pre-COVID and 6 months following the beginning of COVID), and determine whether changes over time differed by gender.

Design
A retrospective cohort investigation of video-to-home telehealth for MH care utilization among veterans having at least 1 MH visit from October 2019 to September 2020.

Participants
Veterans (236,268 women; 1,318,024 men).

Interventions (if applicable)
VVC involves face-to-face, synchronous, video-based teleconferencing between patients and providers, enabling care at home or another private location.

Main Measures
Percentage of MH encounters delivered via VA Video Connect.

Key Results
Women veterans were more likely than men to have at least 1 VVC encounter and had a greater percentage of MH care delivered via VVC in FY20. There was an increase in the percentage of MH encounters that were VVC over FY20, and this increase was greater for women than men. Women veterans who were younger than 55 (compared to those 55 and older), lived in urban areas (compared to those in rural areas), or were Asian (compared to other races) had a greater percentage of MH encounters that were VVC since the start of the pandemic, controlling for the mean percentage of VVC MH encounters in the 6 months pre-pandemic.

Conclusions
VVC use for MH care is greater in women veterans compared to male veterans and may reduce gender-specific access barriers. Future research and VVC implementation efforts should emphasize maximizing patient choice and satisfaction.
Medication Review and Enhanced Information Transfer at Discharge of Older Patients with Polypharmacy: a Cluster-Randomized Controlled Trial in Swiss Hospitals
Authors: Grischott Thomas , Rachamin Yael , Senn Oliver , Hug Petra , Rosemann Thomas , Neuner-Jehle Stefan 
Published: August 2022

Abstract
Background
Medication safety in patients with polypharmacy at transitions of care is a focus of the current Third WHO Global Patient Safety Challenge. Medication review and communication between health care professionals are key targets to reduce medication-related harm.

Objective
To study whether a hospital discharge intervention combining medication review with enhanced information transfer between hospital and primary care physicians can delay hospital readmission and impact health care utilization or other health-related outcomes of older inpatients with polypharmacy.

Design
Cluster-randomized controlled trial in 21 Swiss hospitals between January 2019 and September 2020, with 6 months follow-up.

Participants
Sixty-eight senior physicians and their blinded junior physicians included 609 patients ≥ 60 years taking ≥ 5 drugs.

Interventions
Participating hospitals were randomized to either integrate a checklist-guided medication review and communication stimulus into their discharge processes, or follow usual discharge routines.

Main Measures
Primary outcome was time-to-first-readmission to any hospital within 6 months, analyzed using a shared frailty model. Secondary outcomes covered readmission rates, emergency department visits, other medical consultations, mortality, drug numbers, proportions of patients with potentially inappropriate medication, and the patients’ quality of life.

Key Results
At admission, 609 patients (mean age 77.5 (SD 8.6) years, 49.4% female) took a mean of 9.6 (4.2) drugs per patient. Time-to-first-readmission did not differ significantly between study arms (adjusted hazard ratio 1.14 (intervention vs. control arm), 95% CI [0.75–1.71], p = 0.54), nor did the 30-day hospital readmission rates (6.7% [3.3–10.1%] vs. 7.0% [3.6–10.3%]). Overall, there were no clinically relevant differences between study arms at 1, 3, and 6 months after discharge.

Conclusions
The combination of a structured medication review with enhanced information transfer neither delayed hospital readmission nor improved other health-related outcomes of older inpatients with polypharmacy. Our results may help researchers in balancing practicality versus stringency of similar hospital discharge interventions.

Study Registration
ISRCTN18427377, https://doi.org/10.1186/ISRCTN18427377
Real-world effectiveness of osteoporosis treatments in Germany
Authors: O’Kelly James , Bartsch Robert , Kossack Nils , Borchert Julia , Pignot Marc , Hadji Peyman 
Published: August 2022

Abstract

Summary

This observational study assessed the impact on the fracture incidence of osteoporosis medications in postmenopausal women in Germany. Continued treatment with osteoporosis medications was associated with reductions of fracture rates in a real-world setting.

Purpose
The efficacy of osteoporosis medications has been demonstrated in clinical trials, but a lack of evidence exists of their real-world effectiveness. This real-world study assessed the treatment patterns and impact on the fracture incidence of osteoporosis medications in postmenopausal women in Germany.

Methods
This cohort study used data from the WIG2 benchmark database, a German anonymised healthcare claims database. All women ≥ 50 years of age with ≥ 1 prescription for osteoporosis medication between 1 January 2013 and 31 December 2017 were included. The primary outcome was treatment effectiveness, evaluated as the change in fracture incidence after initiating treatment. Fracture types included all fractures, clinical vertebral, hip and wrist/forearm. Fracture incidence was assessed during the early-treatment period (0–3 months) and the on-treatment period (4–12, 13–24, 25–36 and 37–48 months).

Results
Baseline covariates and treatment patterns were determined for 41,861 patients. The median duration of therapy was longer with denosumab (587 days) than with intravenous ibandronate (451 days), intravenous zoledronate (389 days) or oral bisphosphonates (258 days). The baseline incidence rate of all fractures was higher in patients receiving denosumab than in those receiving other treatments (87.6, 78.2, 56.6 and 66.0 per 1000 person-years for denosumab, oral bisphosphonates, intravenous ibandronate and intravenous zoledronate, respectively). Rates of all fractures declined with continued denosumab (by 38%, 50%, 56% and 67% at 12, 24, 36 and 48 months, respectively) and oral bisphosphonates (by 39%, 44%, 49% and 42%, respectively) treatment.

Conclusion
Continued treatment with osteoporosis medications was associated with reductions of fracture rates in a real-world setting.
Enhancing empowerment in young adults during the COVID-19 era in Italy through the Photovoice technique
Authors: Rania Nadia , Coppola Ilaria , Brucci Marta , Pinna Laura 
Published: August 2022

AbstractThe spread of COVID-19 has led to increasingly stringent containment measures. After the first period of lockdown, there has been an easing of measures worldwide. However, this choice has helped bring about a second wave to be faced by many states. The present research was conducting during the period in which it was necessary for the population to find strategies for living with COVID-19. The proposed action research envisaged the use of Photovoice and, due to social distancing, was carried out online. A total of 250 young adults were involved with the aim of bringing out individual and community solutions for effective coexistence with COVID-19. The data, collected through a triangulation process, were analysed on the basis of grounded theory and the support of NVivo 12. The results highlight how online Photovoice is an effective tool for implementing individual and community empowerment and for identifying solutions to live with COVID-19.