bluuebunny/crossref_metadata_2025_split huggingface dataset:
Use of equity-informed social media COVID-19 risk communication tools: a scoping review protocol
Authors: Kothari Anita , Peter Nedra , Donelle Lorie 
Published: October 2022

IntroductionHealth agencies and community organisations play a crucial role in disseminating information to the public about COVID-19 risks and events, providing instructions on how to change behaviour to mitigate those risks, motivating compliance with health directives and addressing false information. Social media platforms are a critical tool in risk communication, providing a medium for rapid transmission of messages as well as providing the opportunity for engagement and immediate feedback. Access to health information, services and support are especially important for marginalised and underserved (‘equity-deserving’) populations who are disproportionately affected by COVID-19. This scoping review aims to review the breadth and depth of the academic and grey literature on equity-informed social media risk communication tools to provide guidance on promising practices and principles for reaching equity-deserving populations through social media.Methods and analysisArksey and O’Malley’s (2005) framework guided the identification of the research question; identification and selection of relevant studies from electronic databases and hand-searches of discipline-specific journals; extraction and charting of the data; and collating and reporting of findings. The results of the screening process will be reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis-Scoping Review guidelines.FindingsWe will identify reported facilitators and barriers to the development of risk communications that target equity-deserving communities. We will also identify recommendations for equity-informed risk communication for COVID-19.Ethics and disseminationThis study does not require ethics approval. We intend to disseminate the results through publication in an open-access peer-reviewed journal, conference presentations, lay summaries (eg, checklists) for health organisations and messages to be shared through social media.
A systematic review of randomised controlled trials of the effects of digital health interventions on postpartum contraception use
Authors: Sze Yik Yan , Berendes Sima , Russel Sophie , Bellam Laura , Smith Chris , Cameron Sharon , Free Caroline J 
Published: October 2022

BackgroundDigital health interventions (DHI) have been used to enhance the uptake of postpartum contraception and reduce unmet contraception needs. We conducted a systematic review of the effectiveness of DHI on postpartum contraceptive use and repeated pregnancy.MethodWe searched MEDLINE, Embase, Global Health, CINAHL and Cochrane CENTRAL (January 1990–July 2020). Randomised controlled trials (RCTs) of DHI promoting contraception among pregnant or postpartum women were included. Two researchers screened articles and extracted data. We assessed the risk of bias, certainty of evidence (CoE) and conducted meta-analyses following Cochrane guidance.ResultsTwelve trials with 5527 women were included. Interventions were delivered by video (four trials), mobile phone counselling (three trials), short message services (SMS) (four trials) and computer (one trial). During pregnancy or the postpartum period, mobile phone counselling had an uncertain effect on the use of postpartum contraception (risk ratio (RR) 1.37, 95% CI 0.82 to 2.29, very low CoE); video-based education may moderately improve contraception use (RR 1.48, 95% CI 1.01 to 2.17, low CoE); while SMS education probably modestly increased contraception use (RR 1.12, 95% CI 1.01 to 1.23, moderate CoE). Mobile phone counselling probably increased long-acting reversible contraception (LARC) use (RR 4.23, 95% CI 3.01 to 5.93, moderate CoE). Both mobile phone counselling (RR 0.27, 95% CI 0.01 to 5.77, very low CoE) and videos (RR 1.25, 95% CI 0.24 to 6.53, very low CoE) had uncertain effects on repeated pregnancy.ConclusionsDuring pregnancy or in the postpartum period, videos may moderately increase postpartum contraception use and SMS probably modestly increase postpartum contraception use. The effects of DHI on repeated pregnancy are uncertain. Further well-conducted RCTs of DHI would strengthen the evidence of effects on contraception use and pregnancy.
Involving young people in sexual health research and service improvement: conceptual analysis of patient and public involvement (PPI) in three projects
Authors: Lewis Ruth , Boydell Nicola , Blake Carolyn , Clarke Zoe , Kernaghan Kirsten , McMellon Christina 
Published: October 2022

BackgroundAlthough increasingly recognised as valuable within sexual and reproductive health (SRH) research and service improvement, examples of patient and public involvement (PPI) are underdocumented, including specific issues relating to young people’s involvement. This article aims to contribute to greater transparency about the practical, methodological and ethical considerations of SRH-related PPI with young people, and to offer recommendations for their meaningful involvement.MethodsGuided by a conceptual tool for evaluating youth participation (the ‘7P’ framework), we analysed learning from PPI within three projects (two academic studies and one service improvement project) that workedwithyoung people to shape sexual health research and practice in Scotland.AnalysisCross-project analysis of seven interconnected domains (purpose, positioning, perspectives, power relations, protection, place and process) generated productive dialogue about the nuances of meaningfully involving young people in shaping SRH research and services. Key learning includes the importance of: young people’s early involvement in agenda-setting for SRH improvement; developing trusting partnerships that can support involvement of diverse groups of young people; creating multiple ways for young people to contribute, including those that do not rely on direct conversation; and formative evaluation of young people’s experiences of involvement.ConclusionsMainstreaming young people’s meaningful involvement in shaping SRH research and services requires systems-level change. Resources are required to support SRH researchers and practitioners to share learning and build sustainable multi-sector partnerships, which in turn can increase opportunities for young people from diverse groups to engage with SRH-related PPI activities.
Radiomics to evaluate interlesion heterogeneity and to predict lesion response and patient outcomes using a validated signature of CD8 cells in advanced melanoma patients treated with anti-PD1 immunotherapy
Authors: Sun Roger , Lerousseau Marvin , Briend-Diop Jade , Routier Emilie , Roy Severine , Henry Théophraste , Ka Kanta , Jiang Rui , Temar Nawal , Carré Alexandre , Laville Adrien , Hamaoui Anthony , Laurent Pierre-Antoine , Rouyar Angela , Robert Charlotte , Robert Caroline , Deutsch Eric 
Published: October 2022

PurposeWhile there is still a significant need to identify potential biomarkers that can predict which patients are most likely to respond to immunotherapy treatments, radiomic approaches have shown promising results. The objectives of this study were to evaluate whether a previously validated radiomics signature of CD8 T-cells could predict progressions at a lesion level and whether the spatial heterogeneity of this radiomics score could be used at a patient level to assess the clinical response and survival of melanoma patients.MethodsClinical data from patients with advanced melanoma treated in our center with immunotherapy were retrieved. Radiomic features were extracted and the CD8 radiomics signature was applied. A progressive lesion was defined by an increase in lesion size of 20% or more. Dispersion metrics of the radiomics signature were estimated to evaluate the impact of interlesion heterogeneity on patient’s response. Fine-tuned cut-offs for predicting overall survival were evaluated after splitting data into training and test sets.ResultsA total of 136 patients were included in this study, with 1120 segmented lesions at baseline, and 1052 lesions at first evaluation. A low CD8 radiomics score at baseline was associated with a significantly higher risk of lesion progression (AUC=0.55, p=0.0091), especially for lesions larger than >1 mL (AUC=0.59 overall, p=0.0035, with AUC=0.75, p=0.002 for subcutaneous lesions, AUC=0.68, p=0.01, for liver lesions and AUC=0.62, p=0.03 for nodes). The least infiltrated lesion according to the radiomics score of CD8 T-cells was positively associated with overall survival (training set HR=0.31, p=0.00062, test set HR=0.28, p=0.016), which remained significant in a multivariate analysis including clinical and biological variables.ConclusionsThese results confirm the predictive value at a lesion level of the biologically inspired CD8 radiomics score in melanoma patients treated with anti-PD1-based immunotherapy and may be interesting to assess the disease spatial heterogeneity to evaluate the patient prognosis with potential clinical implication such as tumor selection for focal ablative therapies.
Intravenous thrombolysis upon flow restoration improves outcome in endovascular thrombectomy
Authors: Weller Johannes M , Dorn Franziska , Petzold Gabor C , Bode Felix J 
Published: October 2022

BackgroundWe hypothesized that ongoing IV thrombolysis (IVT) at flow restoration in patients with acute ischemic stroke (AIS) treated with IVT and endovascular thrombectomy (ET) is associated with improved outcome.MethodsWe included patients with IVT and successful recanalization (modified Thrombolysis in Cerebral Infarction score ≥2b) after ET from an observational multicenter cohort, the German Stroke Registry – Endovascular Treatment trial. Procedural characteristics and functional outcome at discharge and 90 days were compared between patients with and without ongoing IVT at flow restoration. To determine associations with functional outcome, adjusted ORs were calculated using ordinal multivariable logistic regression models adjusted for potential baseline confounder variables.ResultsAmong 1303 patients treated with IVT and ET who achieved successful recanalization, IVT was ongoing in 13.8% (n=180) at flow restoration. Ongoing IVT was associated with better functional outcome at discharge (adjusted OR 1.61; 95% CI 1.13 to 2.30) and at 90 days (adjusted OR 1.52; 95% CI 1.06 to 2.18).ConclusionThese results provide preliminary evidence for a benefit of ongoing IVT at flow restoration in patients with AIS treated with ET.
Hospice Care Access: a national cohort study
Authors: de Graaf Everlien , van der Baan Frederieke , Grant Matthew Paul , Verboeket Cathelijne , van Klinken Merel , Jobse Adri , Ausems Marieke , Leget Carlo , Teunissen Saskia 
Published: October 2022

ObjectivesHospice care in the Netherlands is provided in three different types of hospice facilities: volunteer-driven hospices (VDH), stand-alone hospices (SAHs) and hospice unit nursing homes (HU). The organisational structures range from care directed by trained volunteers in VDH to care provided by multiprofessional teams in SAH and HU units.This study aims to characterise the patient populations who access Dutch hospices and describe the patient profiles in different hospice types.MethodsA retrospective cohort study using clinical records of adult hospice inpatients in 2017–2018 from a random national sample of hospices.ResultsIn total 803 patients were included from 51 hospices, mean age 76.1 (SD 12.4). 78% of patients had a primary diagnosis of cancer, 3% identified as non-Dutch cultural background and 17% were disorientated on admission. At admission, all patients were perceived to have physical needs. Psychological needs were reported in 37%, 36% and 34%, social needs by 53%, 52% and 62%, and existential needs by 23%, 30% and 18% of patients in VDH, SAH, HU units, respectively. 24%, 29% and 27% of patients from VDHs, SAHs and HUs had care needs in three dimensions, and 4%, 6% and 3% in all four dimensions.ConclusionsPeople who access Dutch hospices predominantly have cancer, and have a range of physical, psychological, social and existential needs, without substantial differences between hospice types. Patients with non-malignant disease and non-Dutch cultural backgrounds are less likely to access hospice care, and future policy would ideally focus on facilitating their involvement.
Habitat use and growth of yellow-stage European eel in coastal and freshwater ecosystems in Norway
Authors: Rohtla Mehis , Daverat Françoise , Arts Michael T. , Browman Howard I. , Parzanini Camilla , Skiftesvik Anne Berit , Thorstad Eva B. , van der Meeren Terje , Vøllestad Leif Asbjørn , Durif Caroline M.F. 
Published: October 2022

Many anguillid eel species display facultative catadromy. Some eel spend their entire life cycle in marine coastal areas, but the geographical extent of this, especially at the extremes of their distributional ranges, is unknown. We analysed otolith Sr:Ca and Ba:Ca from yellow-stage European eel ( Anguilla anguilla) sampled along the coast of Norway and in several freshwater lakes (58°N–63°N), to infer their initial settlement and later life movement patterns with regards to habitat salinity. Most eel (80%) sampled in marine habitats ( n = 371) had settled and remained in marine water, but 20% had moved between marine and freshwater habitats and were hence classified as inter-habitat shifters. Among freshwater sampled eel ( n = 99), 80% had settled and remained in fresh water, but 20% were classified as inter-habitat shifters. The average growth rates for marine water residents, inter-habitat shifters, and freshwater residents were 35, 27, and 17 mm·year–1, respectively. Northern European shallow marine habitats may serve as important yellow eel growth habitats and may be critical to buffer the European eel population against the general decrease in continental recruitment.
Asymmetric Embedded Benzene Ring in Graphite Carbon Nitride Enhanced Photocatalytic Hydrogen Evolution in Visible Light
Authors: Gong Ming , Wei Zhong , Cui Xiaoqiang 
Published: October 2022

Preventing the high recombination rate of carriers in graphite-carbon nitride (GCN) is essential for hydrogen production. In this work, we break the original symmetry of GCN by embedding benzene ring for enhanced visible-light absorption and carriers transfer efficiency. The new catalyst was prepared by a condensation reaction using dicyandiamide and 5-amino-2,4,6-triiodoisophthalic acid as precursors. It shows photocatalytic hydrogen evolution rate of 690.74[Formula: see text][Formula: see text][Formula: see text]mol[Formula: see text]g[Formula: see text][Formula: see text]h[Formula: see text], 9.3 times enhancement than the original GCN. This work provides a new strategy for designing efficient two-dimensional photocatalytic materials for water splitting.
Impact of Subclinical Hypothyroidism on Clinical, Biochemical, Hormonal and Anthropometrical Profile in Polycystic Ovarian Syndrome
Authors: Reema Sumbul , Khanam Deeba 
Published: October 2022

Objectives: To determine the correlation of subclinical hypothyroidism (SCH) with polycystic ovarian syndrome (PCOS) and to assess its impact on the clinical, biochemical and hormonal features in polycystic ovarian syndrome. Background: PCOS is one of the most common endocrinopathies seen in women of the reproductive age group with a prevalence ranging from [Formula: see text] to [Formula: see text] globally (Joshi et al., 2014) and [Formula: see text] to [Formula: see text] (Malik et al., 2014) in the Indian population. Thyroid disorders are quite commonly seen in PCOS patients, SCH are seen in up to [Formula: see text] of this population (de Medeiros et al., 2018). Its association with PCOS has been insufficiently explored and therefore this study was designed to better understand the correlation. Methodology: This was a cross-sectional study conducted from November 2019 to 2021 in the Department of Obstetrics and Gynecology of Jawaharlal Nehru Medical College and Hospital, Aligarh, India, on 150 PCOS women in the age bracket of 18–35 years. They were divided in two groups: one with normal thyroid levels and the other with SCH. Measurement of clinical, anthropometrical, biochemical and hormonal profile was made in both groups and comparison was made using appropriately matched tests of significance and coefficient of correlations. Results: Notable findings included a positive and statistically significant correlation between SCH and menstrual cycle irregularities ([Formula: see text], [Formula: see text]), infertility ([Formula: see text], [Formula: see text]), body mass index ([Formula: see text], [Formula: see text]), waist to hip ratio ([Formula: see text], [Formula: see text]), testosterone([Formula: see text], [Formula: see text]), total cholesterol ([Formula: see text], [Formula: see text]), triglyceride values ([Formula: see text], [Formula: see text]), fasting insulin ([Formula: see text], [Formula: see text]) and HOMA-IR ([Formula: see text], [Formula: see text]). A positive but statistically insignificant correlation was found with hirsutism ([Formula: see text], [Formula: see text]), luteinizing hormone ([Formula: see text], [Formula: see text]), follicle-stimulating hormone ([Formula: see text], [Formula: see text]), prolactin levels ([Formula: see text], [Formula: see text]), high-density lipoprotein ([Formula: see text], [Formula: see text]), low-density lipoprotein ([Formula: see text], [Formula: see text]) and fasting blood sugar values ([Formula: see text], [Formula: see text]). No statistical significance with systolic blood pressure ([Formula: see text], [Formula: see text]) and diastolic blood pressure ([Formula: see text], [Formula: see text]) was found. Conclusion: The study showed a significant correlation between SCH and multiple variables in PCOS and thereby necessitating thyroid screen in PCOS population.
Speciation of trace elements in the Bowland Shale
Authors: Parnell J. , Nwoko K. , Feldmann J. , Armstrong J. 
Published: October 2022

Abstract
Samples of the Bowland Shale and equivalents in Ireland that represent a range of thermal maturities from the oil window to gas window contain trace elements distributed through multiple residences. The trace element distribution reflects the depositional environment, and influences subsequent element release. Measurements of Se, Cu, As, U and Mo indicate variable retention in loosely bound and strongly bound forms. The trace elements are especially associated with diagenetic pyrite. Shales from Ireland, at higher thermal maturity, have relatively high proportions of loosely bound Se, Cu and As, which may reflect expulsion from the pyrite during recrystallization. The shale samples consistently contain high organic matter contents, reflecting deposition in an anoxic environment. The Se, Mo and U in particular may be bound to organic matter, which may have adverse environmental impacts upon weathering of the shale.
Association of Menopausal Hormone Therapy with Risk of Pancreatic Cancer: A Systematic Review and Meta-analysis of Cohort Studies
Authors: Jang Yeu-Chai , Leung Chi Yan , Huang Hsi-Lan 
Published: October 2022

Abstract

Background:
Although menopausal hormone therapy (MHT) is commonly prescribed, little is known about the association between MHT use and risk of pancreatic cancer.

Methods:
We searched PubMed, Embase, and Cochrane Library, from inception until April 20, 2022. The risk of bias was assessed with the Newcastle-Ottawa Quality Assessment Scale. Pooled relative risks (RR) for pancreatic cancer risk were calculated using random-effects models. We computed prediction intervals (PI) and performed subgroup meta-analyses. Meta-regression was performed to investigate the sources of heterogeneity.

Results:
This study included 2,712,313 women from 11 cohort studies. There was no association between MHT and pancreatic cancer risk (RR, 0.92; 95% confidence interval (CI), 0.83–1.02; I2, 64%; 95% PI, 0.68–1.25). Subgroup meta-analyses of four studies stratified by MHT formulations showed inverse associations with the risk of pancreatic cancer (women receiving estrogen-only MHT: RR, 0.77; 95% CI, 0.64–0.94; I2, 57%; estrogen plus progestin MHT: RR, 0.85; 95% CI, 0.75–0.96; I2, 0%). Subgroup analysis defined by recency and duration of treatment did not reveal evidence of associations between MHT and pancreatic cancer risk.

Conclusions:
This study found no association between the overall use of MHT and risk of pancreatic cancer. However, among four studies with data on MHT formulations, subgroup analysis showed a decreased risk of pancreatic cancer among users of estrogen-only and combined estrogen-progestin therapy. Owing to the inconsistent findings between our main and subgroup analyses, future studies stratified by MHT formulations are warranted.

Impact:
The findings of this study indicate that future investigation should focus on MHT formulations.
Left Bundle Branch Pacing Versus Biventricular Pacing for Acute Cardiac Resynchronization in Patients With Heart Failure
Authors: Liang Yixiu , Wang Jingfeng , Gong Xue , Lu Hongyang , Yu Ziqing , Zhang Lei , Li Minghui , Pan Lei , Chen Xueying , Cui Jie , Zhang Weiwei , Li Ruogu , Zhou Xiaohong , Huang Weijian , Su Yangang , Ge Junbo 
Published: October 2022

Background:
Left bundle branch pacing (LBBP) has emerged as an alternative to biventricular pacing (BVP) for delivering cardiac resynchronization therapy. We sought to compare the acute improvement of electrical and mechanical synchrony, and hemodynamics between LBBP and BVP in patients with heart failure and left bundle branch block.

Methods:

LBBP and BVP were performed and compared in a crossover fashion in patients with heart failure and left bundle branch block undergoing cardiac resynchronization therapy implantation. Electrical synchrony was assessed by QRS duration and area, mechanical synchrony by the SD of time to peak velocity of 12 left ventricular segments (Ts-SD) and interventricular mechanical delay, and hemodynamics by the maximum rate of left ventricular pressure rise (dP/dt
max
).

Results:

Twenty-one patient with heart failure and left bundle branch block (mean age 67±10 years, 48% male, and 90% nonischemic cause) were included. Both LBBP and BVP provided significant improvements in electrical and mechanical synchrony, and hemodynamics compared to the baseline. Compared with BVP, LBBP achieved a larger reduction in QRS duration (−11 ms [95% CI, −17 to −4 ms];
P
=0.003) and QRS area (−85 µVs [95% CI, −113 to −56 µVs];
P
<0.001); LBBP achieved a greater decrease in Ts-SD (−14 ms [95% CI, −21 to −7 ms];
P
=0.001), with no significant difference in interventricular mechanical delay (−2 ms [95% CI, −13 to 8 ms];
P
=0.63). The increase in dP/dt
max
from LBBP was significantly higher than that from BVP (6% [95% CI, 2%–9%];
P
=0.002).

Conclusions:
LBBP delivers greater acute electrical and mechanical resynchronization and hemodynamic improvement than BVP in predominantly nonischemic heart failure patients with left bundle branch block.

Registration:

URL:
https://www.clinicaltrials.gov
; Unique identifier: NCT04505384.