bluuebunny/crossref_metadata_2025 huggingface dataset:
Rapid Color Quality Evaluation of Needle-Shaped Green Tea Using Computer Vision System and Machine Learning Models
Authors: Li Jinsong , Li Qijun , Luo Wei , Zeng Liang , Luo Liyong
Published: August 2024

Color characteristics are a crucial indicator of green tea quality, particularly in needle-shaped green tea, and are predominantly evaluated through subjective sensory analysis. Thus, the necessity arises for an objective, precise, and efficient assessment methodology. In this study, 885 images from 157 samples, obtained through computer vision technology, were used to predict sensory evaluation results based on the color features of the images. Three machine learning methods, Random Forest (RF), Support Vector Machine (SVM) and Decision Tree-based AdaBoost (DT-AdaBoost), were carried out to construct the color quality evaluation model. Notably, the DT-Adaboost model shows significant potential for application in evaluating tea quality, with a correct discrimination rate (CDR) of 98.50% and a relative percent deviation (RPD) of 14.827 in the 266 samples used to verify the accuracy of the model. This result indicates that the integration of computer vision with machine learning models presents an effective approach for assessing the color quality of needle-shaped green tea.
Defining Traceability Attributes and Consumers’ Segmentation Based on Fish Attributes: A Case Study in Italy and Spain
Authors: Saidi Ahmed , Cavallo Carla , Puleo Sharon , Del Giudice Teresa , Cicia Gianni
Published: August 2024

Consumers’ involvement in the development of new goods and services is growing, and thus understanding food motives is crucial for various fisheries stakeholders to manage fish value chains. In addition, traceability is becoming more prominent in guiding consumers’ behaviour. Yet, the latter can be considered a source of confusion, as the multiplicity of certifications and labelling systems can be overwhelming. A national web-based survey was conducted on a representative sample of Italian and Spanish consumers. From the literature, a set of 13 attributes was chosen to identify the most important factors guiding consumers’ choice, and various groups in each population were identified using hierarchical cluster analysis. Our findings provide valuable insights for fish value chain stakeholders, enabling them to optimize fisheries supply chains, educate consumers about diverse fish species, and promote more sustainable decision-making.
The Novel Concept of Synergically Combining: High Hydrostatic Pressure and Lytic Bacteriophages to Eliminate Vegetative and Spore-Forming Bacteria in Food Products
Authors: Shymialevich Dziyana , Wójcicki Michał , Sokołowska Barbara
Published: August 2024

The article focuses on the ongoing challenge of eliminating vegetative and spore-forming bacteria from food products that exhibit resistance to the traditional preservation methods. In response to this need, the authors highlight an innovative approach based on the synergistic utilization of high-hydrostatic-pressure (HHP) and lytic bacteriophages. The article reviews the current research on the use of HHP and lytic bacteriophages to combat bacteria in food products. The scope includes a comprehensive review of the existing literature on bacterial cell damage following HHP application, aiming to elucidate the synergistic effects of these technologies. Through this in-depth analysis, the article aims to contribute to a deeper understanding of how these innovative techniques can improve food safety and quality. There is no available research on the use of HHP and bacteriophages in the elimination of spore-forming bacteria; however, an important role of the synergistic effect of HHP and lytic bacteriophages with the appropriate adjustment of the parameters has been demonstrated in the more effective elimination of non-spore-forming bacteria from food products. This suggests that, when using this approach in the case of spore-forming bacteria, there is a high chance of the effective inactivation of this biological threat.
Mathematical and Physical Analysis of Fractional Estevez–Mansfield–Clarkson Equation
Authors: Qawaqneh Haitham , Alrashedi Yasser
Published: August 2024

This paper presents the mathematical and physical analysis, as well as distinct types of exact wave solutions, of an important fluid flow dynamics model called the truncated M-fractional (1+1)-dimensional nonlinear Estevez–Mansfield–Clarkson (EMC) equation. This model is used to explain waves in shallow water, fluid dynamics, and other areas. We obtain kink, bright, singular, and other types of exact wave solutions using the modified extended direct algebraic method and the improved (G′/G)-expansion method. Some solutions do not exist. These solutions may be useful in different areas of science and engineering. The results are represented as three-dimensional, contour, and two-dimensional graphs. Stability analysis is also performed to check the stability of the corresponding model. Furthermore, modulation instability analysis is performed to study the stationary solutions of the corresponding model. The results will be helpful for future studies of the corresponding system. The methods used are easy and useful.
β–Ulam–Hyers Stability and Existence of Solutions for Non-Instantaneous Impulsive Fractional Integral Equations
Authors: Du Wei-Shih , Fečkan Michal , Kostić Marko , Velinov Daniel
Published: August 2024

In this paper, we investigate a class of non-instantaneous impulsive fractional integral equations. Utilizing the Banach contraction mapping principle, we establish the existence and uniqueness of solutions for the considered problem. Additionally, employing Schauder’s fixed-point theorem, we demonstrate the existence of solutions within the framework of β-Banach spaces. Moreover, we examine the β–Ulam–Hyers stability of the solutions, providing insights into the stability behavior under small perturbations. An illustrative example is presented to demonstrate the practical applicability and effectiveness of the theoretical results obtained.
Reconstructing Impact of the 1867 Ionian Sea (Western Greece) Earthquake by Focusing on New Contemporary and Modern Sources for Building Damage, Environmental and Health Effects
Authors: Mavroulis Spyridon , Mavrouli Maria , Lekkas Efthymios , Carydis Panayotis
Published: August 2024

The 4 February 1867 Cephalonia (Western Greece) earthquake is the largest in the Ionian Islands and one of the largest in the Eastern Mediterranean. However, it remained one of the least studied historical events. For reconstructing this earthquake, we reevaluated existing knowledge and used new contemporary and modern sources, including scientific and local writers’ reports and books, local and national journals, newspapers, and ecclesiastical chronicles. The extracted information covered the earthquake parameters, population impact, building damage, and earthquake environmental effects (EEEs). The earthquake parameters included the origin time and duration of the main shock, epicenter location, precursors, aftershocks, and characteristics of the earthquake ground motion. The population impact involved direct and indirect health effects and population change. Building data highlighted the dominant building types and the types, grades, and distribution of damage. The EEEs included ground cracks, landslides, liquefaction, hydrological anomalies, and mild sea disturbances. Field surveys were also conducted for validation. The quantitative and qualitative information enabled the application of seismic intensity scales (EMS-98, ESI-07). The study concluded that since the affected areas were mainly composed of post-alpine deposits and secondarily of clay–clastic alpine formations with poor geotechnical properties, they were highly susceptible to failure. Effects and maximum intensities occurred in highly susceptible areas with a rich inventory.
Caregiver Burden among Patients with Influenza or Influenza-like Illness (ILI): A Systematic Literature Review
Authors: Vaghela Shailja , Welch Verna L. , Sinh Anup , Di Fusco Manuela
Published: August 2024

Influenza and influenza-like illness (ILI) pose significant clinical and economic burdens globally each year. This systematic literature review examined quantitative studies evaluating the impact of patients’ influenza/ILI on their caregivers’ well-being, focusing on health-related quality of life (HRQoL), work productivity, and activity impairment. A comprehensive search across six databases, including the Cochrane Database of Systematic Reviews, Embase, MEDLINE via PubMed, Ovid, PsycNet, and Web of Science, yielded 18,689 records, of which 13,156 abstracts were screened, and 662 full-text articles were reviewed from January 2007 to April 2024. Thirty-six studies [HRQoL: 2; productivity: 33; both: 1] covering 22 countries were included. Caregivers of 47,758 influenza or ILI patients across 123 study cohorts were assessed in the review. The mean workday loss among caregivers ranged from 0.5 to 10.7 days per episode, influenced by patients’ influenza status (positive or negative), disease severity (mild or moderate-to-severe), age, viral type (influenza A or B), and vaccination/treatment usage. The HRQoL of caregivers, including their physical and emotional well-being, was affected by a patient’s influenza or ILI, where the severity and duration of a patient’s illness were associated with worse HRQoL. This review shows that the consequences of influenza or ILI significantly affect not only patients but also their caregivers.
Population-Level Impacts of Alcohol Use on Mental and Physical Health Outcomes
Authors: Fanslow Janet L. , Hashemi Ladan , Gulliver Pauline J. , McIntosh Tracey K. D. , Newcombe David A. L.
Published: August 2024

This study explores patterns of alcohol drinking within a representative New Zealand sample (2887 participants (1464 female, 1423 male)). Alcohol use and drinking patterns across the population are described. Multivariable logistic regressions document associations between alcohol use and drinking patterns and the likelihood of experiencing different health outcomes. Alcohol use, early drinking initiation, frequent drinking, and heavy episodic drinking (HED) are prevalent in New Zealand and vary in relation to gender, age, and socioeconomic characteristics. Those who reported alcohol-related problems were more likely to report poor mental health (AOR: 2.21; 95% CI: 1.42–3.46) and disability (AOR: 1.79, 95% CI: 1.06–3.00), and less likely to experience positive mental health (AOR: 0.28, 95% CI: 0.18–0.42). Those who reported HED were also less likely to experience good general health (AOR: 0.61, 95% CI: 0.47–0.81) and positive mental health (AOR: 0.67, 95% CI: 0.53–0.84). Younger age cohorts were more likely to engage in early drinking, and those who initiated regular drinking before age 18 were more likely to report HED and alcohol-related problems. Findings indicate that problem drinking and HED are not only associated with poor physical health, but also reduce the likelihood of individuals experiencing positive mental health. This provides information to enable public health practitioners to target alcohol prevention strategies at the entire population of drinkers.
Therapeutic Obstinacy in End-of-Life Care—A Perspective of Healthcare Professionals from Romania
Authors: Bacoanu Gema , Poroch Vladimir , Aniței Maria-Gabriela , Poroch Mihaela , Froicu Eliza Maria , Pascu Alina Mihaela , Ioan Beatrice Gabriela
Published: August 2024

Background: End-of-life care raises ethical, moral, legal and economic dilemmas, especially when physicians have to decide whether to initiate or to stop treatments that may be considered disproportionate and futile. Aim: To explore the opinion of health care professionals involved in end-of-life patient care on interventions considered disproportionate and futile at this stage of care, the causes and factors of pressure leading to such situations, and possible solutions to reduce the phenomenon. Material and method: The study used an adapted, designed questionnaire intended for health professionals caring for patients at the end of life. The 128 respondents were physicians, nurses, psychologists and social workers who expressed their opinions about therapeutic obstinacy in end-of-life care. Results: The results of the research highlight the role of the family as a pressure factor, the causes related to the non-acceptance of the prognosis and diagnosis of a terminal condition, fear of death and ignorance of the patient’s wishes. Interventions considered disproportionate at the end of life were cardiopulmonary resuscitation, mechanical ventilation, transfusion of blood derivatives, complex diagnostic investigations and the establishment of gastrostomy/jejunostomy in the last days of life. Conclusions: End-of-life therapeutic obstinacy is a reality in end-of-life care, and healthcare professionals face many ethical challenges in this process. Care decisions must be made together with the patient and their family, respecting the rights, dignity and respect of all parties involved in the process.
ChatGPT as an Information Source for Patients with Migraines: A Qualitative Case Study
Authors: Schütz Pascal , Lob Sina , Chahed Hiba , Dathe Lisa , Löwer Maren , Reiß Hannah , Weigel Alina , Albrecht Joanna , Tokgöz Pinar , Dockweiler Christoph
Published: August 2024

Migraines are one of the most common and expensive neurological diseases worldwide. Non-pharmacological and digitally delivered treatment options have long been used in the treatment of migraines. For instance, migraine management tools, online migraine diagnosis or digitally networked patients have been used. Recently, applications of ChatGPT are used in fields of healthcare ranging from identifying potential research topics to assisting professionals in clinical diagnosis and helping patients in managing their health. Despite advances in migraine management, only a minority of patients are adequately informed and treated. It is important to provide these patients with information to help them manage the symptoms and their daily activities. The primary aim of this case study was to examine the appropriateness of ChatGPT to handle symptom descriptions responsibly, suggest supplementary assistance from credible sources, provide valuable perspectives on treatment options, and exhibit potential influences on daily life for patients with migraines. Using a deductive, qualitative study, ten interactions with ChatGPT on different migraine types were analyzed through semi-structured interviews. ChatGPT provided relevant information aligned with common scientific patient resources. Responses were generally intelligible and situationally appropriate, providing personalized insights despite occasional discrepancies in interaction. ChatGPT’s empathetic tone and linguistic clarity encouraged user engagement. However, source citations were found to be inconsistent and, in some cases, not comprehensible, which affected the overall comprehensibility of the information. ChatGPT might be promising for patients seeking information on migraine conditions. Its user-specific responses demonstrate potential benefits over static web-based sources. However, reproducibility and accuracy issues highlight the need for digital health literacy. The findings underscore the necessity for continuously evaluating AI systems and their broader societal implications in health communication.
Developing a Theory-Based Instrument for Pre-Exposure Prophylaxis (PrEP) Uptake in People of Color Using a Qualitative Approach
Authors: Raich Siddharth , Johansen Christopher , Bhandari Neeraj , Batra Kavita , Sharma Manoj
Published: August 2024

There is a large disparity in Pre-exposure Prophylaxis (PrEP) utilization among communities of color compared to White Americans. There is also a lack of theory-based survey instruments to measure the underlying reasons for the disparity among communities of color. The purpose of this study was to create an instrument based on a qualitative approach involving community interviews. Semi-structured interviews guided by the Multi-theory Model (MTM) of health behavior change were performed in a sample of 12 members from communities of color. The analysis entailed a directed content analysis along the themes of MTM constructs to develop a survey instrument. The barriers to PrEP that emerged included the cost of PrEP, lack of protection from other sexually transmitted diseases, reduced trust between partners, and the stigma associated with PrEP. The perceived disadvantages included the potential cost of PrEP, partner mistrust when taking PrEP, discussion of sexual behaviors with a provider, and unclear process of acquiring the PrEP prescription. The results guided the development of a survey tool to further investigate aspects of cost, partner relations, stigma, reassurance of safety, and other factors. The tool can be used for future studies as part of guided interventions to increase PrEP uptake.
Factors Affecting Nursing Students’ Perception of Workplace Bullying
Authors: Choi Jeong Sil , Kim Ka Young
Published: August 2024

Workplace bullying is a critical and prevalent issue that causes serious problems in healthcare settings. However, there is little research on the factors affecting nursing students’ perception of workplace bullying despite their forthcoming transition into the nursing profession. Therefore, this study aimed to identify the factors related to nursing students’ perception of workplace bullying in Korea. A cross-sectional study was conducted among 242 nursing students who had experienced clinical practice. The survey questionnaire included general characteristics, perceived susceptibility and severity of bullying, and perception of workplace bullying. Data were analyzed using multiple regression analysis. In this study, the significant factors affecting nursing students’ perception of workplace bullying included bullying experience in clinical practice and the perceived severity of bullying. Therefore, it is crucial for nursing managers and instructors to have a clear understanding of the bullying situations experienced by nursing students during clinical practice. We should promote the perception of workplace bullying through indirect experiences such as systematic education about workplace bullying for nursing students, which may prevent workplace bullying in clinical practice and work environments. Furthermore, a comprehensive and multifaceted approach is necessary to effectively prevent workplace bullying in clinical practice and work environments. This study reveals that systemic and persistent education and intervention to bullying may improve nursing students’ perception of workplace bullying and prevent workplace bullying in clinical practice and work environments. Furthermore, this study provides basic data on the prevention and management of bullying in nursing students’ clinical practice.
E-Health Interventions to Improve Health Outcomes in Patients with Systemic Lupus Erythematosus: A Systematic Review
Authors: Canal-Pérez Ana , Navas-Otero Alba , Ortiz-Rubio Araceli , Heredia-Ciuró Alejandro , Raya-Benítez Julia , Martín-Núñez Javier , Valenza Marie Carmen
Published: August 2024

Background: Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease that involves damage to one or more organs and systems. E-Health technologies have been used to improve the quality of care and to minimize the cost of rehabilitation services. This study aimed to provide the most recent and convincing evidence on the rehabilitation effects of e-Health interventions compared to conventional treatments. Methods: A systematic review was conducted. Inclusion criteria were defined following PICO recommendations (i.e., populations, intervention, comparison and outcome measures). Methodological quality and risk-of-bias were assessed for each study. Results: Six studies met the inclusion criteria, providing data on 743 individuals with SLE. Results indicated that e-Health interventions improved health outcomes, such as disease management or emotional status. Methodological quality was moderate and low risk-of-bias was found in the majority of the studies included. Conclusions: For patients with SLE, e-Health interventions are a safe rehabilitation intervention to improve health outcomes. However, more high-quality studies with large samples are needed, with a focus on the long-term outcomes of e-Health interventions for patients with SLE.
Spiritual Connectivity Intervention for Individuals with Depressive Symptoms: A Randomized Control Trial
Authors: Leung Judy , Li Kin-Kit
Published: August 2024

Depression is one of the most prevalent mental disorders worldwide. This study examined the effect of a spiritual connectivity intervention on individuals with depression in a randomized waitlist-controlled trial. Fifty-seven participants with mild or moderate depressive symptoms were randomly assigned to either the intervention group (n = 28) or the waitlist control group (n = 29). The intervention comprised eight weekly sessions focusing on divine connection, forgiveness and freedom, suffering and transcendence, hope, gratitude, and relapse prevention. The outcome measures included depressive symptoms, anxiety, hope, meaning in life, self-esteem, and social support. Participants completed self-administered questionnaires at baseline (week 0), post-intervention (week 8), and 3-month follow-up (week 20). Repeated-measures ANOVA and one-way ANCOVA were used to compare the within-group and between-group differences in the changes in outcome variables. Participants in the intervention group showed significant improvements in depression, anxiety, spiritual experience, hope, self-esteem, and perceived social support after the intervention. Effect size statistics showed small to large differences (Cohen’s d, 0.308 to −1.452). Moreover, 85.71% of participants in the intervention group also experienced clinically significant reductions in PHQ-9 scores from baseline to immediate post-intervention. This study highlights the effectiveness of a low-cost, accessible intervention suitable for community implementation by clergy and faith-based organizations.
Comparative Efficacy of Fractional CO2 Laser Combined with Topical Steroid Cream versus Solution for Post-Thyroidectomy Scar Treatment: A Prospective Study
Authors: Huang Ching-Ya , Yen Yuan-Hao , Lin Cen-Hung , Tsai Yueh-Ju , Lin Ko-Chien , Lin Hui-Ping , Hsieh Ching-Hua
Published: August 2024

Backgrounds: Post-thyroidectomy scarring is a common illness impacting patient quality of life. Fractional carbon dioxide (CO2) lasers and topical steroids delivered via laser-assisted drug delivery (LADD) have shown potential for scar treatment. However, ideal steroid formulations (cream vs. solution) when combined with laser therapy remain unclear. Methods: This study included 12 patients receiving fractional CO2 laser on post-thyroidectomy scars. After laser treatment, one scar half received topically applied steroid cream, while the other half received steroid solution. The Patient and Observer Scar Assessment Scale (POSAS) was used to measure the scar conditions at the time prior to the first treatment and one year later by the patients themselves and by the surgeon who did the laser treatment. Scar appearance was photographically assessed at baseline and 6 months post-treatment by four blinded evaluators using scales. Results: This study discovered a modest improvement in the appearance of post-thyroidectomy scars when combining fractional CO2 laser treatment with either topical steroid cream or solution. Patients and treating physicians examined the POSAS scores one year after treatment found significant improvements in all aspects of the scar conditions, with high efficacy and satisfaction levels reported by patients. Conclusions: Fractional CO2 laser combined with topical steroid delivery, either cream or solution form, significantly enhanced post-thyroidectomy scar appearance with modest effect and high patient satisfaction. This approach may represent a promising scar management strategy along with current scar treatment for the post-thyroidectomy scar.
Healthcare Professionals’ Documentation in Supported Accommodation for People with Profound Intellectual Disabilities: An Educational Intervention Study
Authors: Myklebust Kjellaug K. , Ramstad Julia Bogen , Vatnar Solveig Karin Bø
Published: August 2024

Good-quality relationships in which individuals with profound intellectual disabilities (intelligence quotient, IQ < 20–25) are recognized by healthcare professionals (HPs) are essential for the quality of healthcare and promoting autonomy. This study examines the impact of an educational intervention on documentation of the interplay between HP and individuals receiving services in supported accommodation in Norway. An educational intervention study was designed to encourage HPs to document their approaches and interplay. The Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI) was applied to measure documentation before and after the intervention. Journal notes written over a three-month period before the intervention and a three-month period after the intervention were measured. Prior to the intervention, only 23.1% of the journal notes described the resident’s experiences, increasing by 5.4% (p = 0.041) post-intervention. Practical solutions to individual experiences increased from 0.9% to 8.5% (p < 0.001). The educational intervention demonstrated a significant increase in the documentation of residents’ experiences and the interplay between HPs and residents. Future research should explore the generalizability of these findings. Incomplete documentation of HPs’ relational work conceals important aspects of the healthcare provided, potentially resulting in confining autonomy and participation for individuals with intellectual disabilities.
What Factors Revitalize the Street Vitality of Old Cities? A Case Study in Nanjing, China
Authors: Zheng Yan , Ye Ruhai , Hong Xiaojun , Tao Yiming , Li Zherui
Published: August 2024

Urban street vitality has been a perennial focus within the domain of urban planning. This study examined spatial patterns of street vitality in the old city of Nanjing during working days and weekends using real-time user datasets (RTUDs). A spatial autoregressive model (SAM) and a multiscale geographically weighted regression (MGWR) model were employed to quantitatively assess the impact of various factors on street vitality and their spatial heterogeneity. This study revealed the following: (1) the distribution of street vitality in the old city of Nanjing exhibited a structure centered around Xinjiekou, with greater regularity and predictability in street vitality on working days than on weekends; (2) eight variables, such as traffic location, road density, and functional density, are positively associated with street vitality, whereas the green view index is negatively associated with street vitality, and commercial location benefits street vitality at weekends but detracts from street vitality on working days; and (3) the influence of variables such as traffic location and functional density on street vitality is contingent on their spatial position. Based on these results, this study provides new strategies to enhance the street vitality of old cities.
GLIDE: Multi-Agent Deep Reinforcement Learning for Coordinated UAV Control in Dynamic Military Environments
Authors: Gadiraju Divija Swetha , Karmakar Prasenjit , Shah Vijay K. , Aggarwal Vaneet
Published: August 2024

Unmanned aerial vehicles (UAVs) are widely used for missions in dynamic environments. Deep Reinforcement Learning (DRL) can find effective strategies for multiple agents that need to cooperate to complete the task. In this article, the challenge of controlling the movement of a fleet of UAVs is addressed by Multi-Agent Deep Reinforcement Learning (MARL). The collaborative movement of the UAV fleet can be controlled centrally and also in a decentralized fashion, which is studied in this work. We consider a dynamic military environment with a fleet of UAVs, whose task is to destroy enemy targets while avoiding obstacles like mines. The UAVs inherently come with a limited battery capacity directing our research to focus on the minimum task completion time. We propose a continuous-time-based Proximal Policy Optimization (PPO) algorithm for multi-aGent Learning In Dynamic Environments (GLIDE). In GLIDE, the UAVs coordinate among themselves and communicate with the central base to choose the best possible action. The action control in GLIDE can be controlled in a centralized and decentralized way, and two algorithms called Centralized-GLIDE (C-GLIDE), and Decentralized-GLIDE (D-GLIDE) are proposed on this basis. We developed a simulator called UAV SIM, in which the mines are placed at randomly generated 2D locations unknown to the UAVs at the beginning of each episode. The performance of both the proposed schemes is evaluated through extensive simulations. Both C-GLIDE and D-GLIDE converge and have comparable performance in target destruction rate for the same number of targets and mines. We observe that D-GLIDE is up to 68% faster in task completion time compared to C-GLIDE and could keep more UAVs alive at the end of the task.
AI-Based Visual Early Warning System
Authors: Al-Tekreeti Zeena , Moreno-Cuesta Jeronimo , Madrigal Garcia Maria Isabel , Rodrigues Marcos A.
Published: August 2024

Facial expressions are a universally recognised means of conveying internal emotional states across diverse human cultural and ethnic groups. Recent advances in understanding people’s emotions expressed through verbal and non-verbal communication are particularly noteworthy in the clinical context for the assessment of patients’ health and well-being. Facial expression recognition (FER) plays an important and vital role in health care, providing communication with a patient’s feelings and allowing the assessment and monitoring of mental and physical health conditions. This paper shows that automatic machine learning methods can predict health deterioration accurately and robustly, independent of human subjective assessment. The prior work of this paper is to discover the early signs of deteriorating health that align with the principles of preventive reactions, improving health outcomes and human survival, and promoting overall health and well-being. Therefore, methods are developed to create a facial database mimicking the underlying muscular structure of the face, whose Action Unit motions can then be transferred to human face images, thus displaying animated expressions of interest. Then, building and developing an automatic system based on convolution neural networks (CNN) and long short-term memory (LSTM) to recognise patterns of facial expressions with a focus on patients at risk of deterioration in hospital wards. This research presents state-of-the-art results on generating and modelling synthetic database and automated deterioration prediction through FEs with 99.89% accuracy. The main contributions to knowledge from this paper can be summarized as (1) the generation of visual datasets mimicking real-life samples of facial expressions indicating health deterioration, (2) improvement of the understanding and communication with patients at risk of deterioration through facial expression analysis, and (3) development of a state-of-the-art model to recognize such facial expressions using a ConvLSTM model.
A Review of Five Existing Hornet-Tracking Methods
Authors: Wang Chengzhi , Huang Jiaxing , Wan Xia , Guo Zhanbao
Published: August 2024

Hornet is a general term for insects of the genus Vespa (Hymenoptera: Vespidae). Hornets are predatory insects distributed worldwide. They often appear at apiaries in groups to prey on honey bees, and cause incalculable losses in the honey bee industry. In the face of hornet intrusion, tracking a homing hornet to find its nest is the most efficient way to discover and eliminate the hornets around an apiary. Here, five hornet-tracking methods (hornet tag tracking, triangulation, thermal imaging technology, harmonic radar, and radio telemetry) are reviewed. The advantages, disadvantages and feasibility of each method are discussed to improve the strategies for tracking hornets. Therefore, this review provides ideas for the development of hornet-tracking technology and for improving honey bee protection.
Textbook Outcome in Colorectal Surgery for Cancer: An Italian Version
Authors: Sofia Silvia , Degiuli Maurizio , Anania Gabriele , Baiocchi Gian Luca , Baldari Ludovica , Baldazzi Gianandrea , Bianco Francesco , Borghi Felice , Cavaliere Davide , Coco Claudio , Coppola Roberto , D’Ugo Domenico , Delrio Paolo , Fumagalli Romario Uberto , Guerrieri Mario , Milone Marco , Morino Mario , Muratore Andrea , Navarra Giuseppe , Pedrazzani Corrado , Persiani Roberto , Petz Wanda , Rosati Riccardo , Roviello Franco , Scabini Stefano , Sica Giuseppe , Solaini Leonardo , Spinelli Antonino , Spolverato Gaya , Urso Emanuele , Reddavid Rossella
Published: August 2024

Background/Objectives: The textbook outcome (TO) is a composite tool introduced to uniform surgical units and regulate surgical quality and outcomes. A patient is considered TO only if all predetermined items are met. In colorectal surgery, TO represents a new tool that can achieve important results given the prevalence of colorectal cancers. However, at present, there is a lack of uniformity in the TO’s definition. This study utilized the Delphi process to define an Italian version of the TO in colorectal cancer. Methods: The survey consisted of two rounds of online questionnaires submitted to an expert panel in colorectal oncological surgery, renowned academic surgeons, who had attended multiple scientific conferences and who were authors of papers on this specific topic. Five main topics with 26 questions were investigated through an online modified Delphi method. Items with almost 75% agreement achieved consensus. Results: Twenty-eight Italian experts were selected and participated in the two rounds. The Italian version of the textbook outcome in colorectal surgery was defined as the presence of 90-day postoperative survival, negative margins and at least 12 lymph nodes, a minimally invasive approach, ostomy fashioning if preoperatively planned, postoperative complication < Clavien–Dindo 3b, at least 10 ERAS items, no readmission, proper CHT and RT regimens, complete colonoscopy after or before surgery and Tumor Board Evaluation. Conclusions: The textbook outcome in colorectal cancer patients is a quality instrument providing a complete overview of the care of such patients, from diagnosis to treatment. We hereby propose an Italian version of the TO with outcomes chosen by an expert panel.
Taking a Closer Look: “Evaluating Online Video Content for Rehabilitation after Distal Radius Fracture”
Authors: Laggner Roberta , Huber Dominikus , Hasenoehrl Timothy , Sternik Julia , Stoffer Marx Michaela , Weber-Stallecker Rita , Crevenna Richard , Thalhammer Gerhild , Heisinger Stephan
Published: August 2024

Background: Fractures of the distal radius are among the most common bone injuries, and their frequency is constantly increasing, leading to an elevated need for subsequent rehabilitation. This growing need has led to the emergence of online content aimed at providing guidance on rehabilitation. Nonetheless, unreviewed online content raises concerns about its reliability; therefore, the objective of this study was to evaluate the quality, reliability, and comprehensiveness of online videos concerning rehabilitation following a distal radius fracture. Methods: A total of 240 YouTube videos were screened, identifying 33 videos that met the inclusion criteria. These selected videos were evaluated by five independent experts from various professional groups, using the Global Quality Scale, the DISCERN reliability tool, and the JAMA Benchmark Score, as well as a structured set of questions to assess their comprehensiveness and coverage of pertinent aspects. Results: The observers’ assessment of the Global Quality Scale exhibited a broad spectrum of viewpoints, indicating considerable variability in evaluations. In most cases, therapy aligned well with the diagnosed condition, and most raters deemed the indication and instruction in the videos acceptable. A proportion of 87% of the videos was deemed suitable for home training by at least three raters. However, a concerning trend emerged, as potential risks and pitfalls were scarcely addressed. Conclusions: The moderate overall quality of the videos and the divergence in expert opinions highlight the need for a regulatory authority to ensure adherence to guidelines and maintain high-quality content. Additionally, our results raise concerns about the applicability of established assessment tools in this context.
The Relationship between the Length/Width of the Face and the Length/Width of the Crown of the Permanent Upper Central Incisors
Authors: Dervarič Tilen , Fekonja Anita
Published: August 2024

Background: The face, with its attractiveness, is positively connected with self-esteem and interpersonal relationships, and the maxillary central incisors are the most noticeable teeth and crucial for smile aesthetics. The aim of this study is to examine facial and permanent upper central incisors’ clinical crown dimensions and their correlations to establish whether there is a relationship between the length/width of the face and the length/width of the clinical crown of the permanent upper central incisors. Methods: This study included 100 subjects (43 males and 57 females) with a mean age of 17.5 ± 3.4 years before orthodontic treatment. Facial length and width were measured using a cephalometer by the same orthodontist and the upper central incisors’ clinical crown lengths and widths were measured using a sliding calliper by the same dental student. Data were analysed using SPSS version 29.0, presenting descriptive statistics for age, facial and upper central incisor crown dimensions, and indices. Pearson’s correlation coefficient assessed the relationship between facial features and the upper central incisors’ crown. The significance level was p ≤ 0.05. Results: Males exhibit a slightly higher mean value of the face length (11.6 ± 0.8 cm) compared to females’ face length (11.2 ± 1.1 cm) and a statistically significant (p < 0.05) higher mean value of the face width (11.7 ± 0.8 cm) compared to females (11.1 ± 0.6 cm). The facial index shows no statistically significant gender difference (males: 99.1 ± 8.4; females: 101.2 ± 11.9, p > 0.05). The upper central incisor crown dimensions are without statistically significant differences between gender and tooth side: males have mean value clinical crown lengths of 10.2 ± 1.1 mm (left) and 10.1 mm ± 1.2 (right) while females have 9.9 ± 1.0 mm (left) and 9.8 ± 0.7 mm (right). Clinical crown widths are also comparable (males: left 9.0 ± 0.7, right 8.9 ± 0.6 and females: left 8.8 ± 0.7, right 8.8 ± 0.7), with no statistically significant differences observed. The tooth index shows no statistically significant difference but there is a statistically significant (p < 0.05) correlation between the facial index and tooth index. Conclusions: Knowledge of the presented data is important for diagnosis and treatment planning and may be useful for restorative dentists, orthodontists, prosthodontists, and maxillofacial surgeons to achieve an aesthetic result. Clinically, our study supports the development of more personalized treatment plans.
Mid-Term Clinical and Radiological Changes in the Ankle Joint in Varus Knee Osteoarthritis Following Total Knee Arthroplasty
Authors: Nazlıgül Ali Said , Doğan Metin , Duran İsmail , Moya-Angeler Joaquín , Akkaya Mustafa
Published: August 2024

Background/Objectives: In patients with varus knee osteoarthritis, compensatory changes occur in the foot and ankle joints to compensate for the varus deformity of the knee. The aim of the study was to investigate the changes in the ankle of patients whose knee alignment was corrected with total knee arthroplasty (TKA) and to explore the clinical implications of these findings. Methods: In this retrospective observational study, we analyzed 204 knees of 179 patients who had regular follow-ups out of 431 patients who underwent TKA for varus knee osteoarthritis between January 2019 and July 2021. Patient demographics, body mass index, follow-up time, and radiographs were studied. The hip–knee–ankle (HKA) angle, joint line convergence angle (JLCA), talar tilt (TT) angle, ground talar dome (GT) angle, ground tibia plafond (GP) angle, and the American Orthopaedic Foot & Ankle Society (AOFAS) score were assessed preoperatively and at the last follow-up. Results: A total of 204 knees of 179 patients with a mean follow-up time of 32.50 ± 6.68 months were evaluated. It was found that the change in the HKA had a positive effect on the AOFAS score and a negative effect on the TT, GT, and GP angles. While the clinical score improved in 82 patients, it worsened in 8 patients. The age difference between the groups whose AOFAS score improved and worsened was statistically significant. Conclusions: The correction of the varus malalignment in the knee was shown to also improve the compensatory valgus in the foot and ankle over the mid-term, with a statistically significant improvement in the patients’ clinical ankle scores.
Clinical and Surgical Outcomes of Shoulder Arthrodesis
Authors: Sobhi Salar , Bochat Kieran , Booth Grant , Mattin Andrew , Moniz Sheldon
Published: August 2024

Introduction: Shoulder arthrodesis is typically seen as a salvage procedure with limited functional objectives. In appropriately selected patients, it may effectively alleviate pain, provide stable motion, and offer patient function satisfaction. However, there have been few reports on the outcomes following shoulder arthrodesis. Methods: A multicenter, retrospective chart review of patients undergoing shoulder arthrodesis between 2001 and 2023 in Western Australia was conducted. Clinical records and imaging were then reviewed to determine patient demographics. A cross-sectional analysis of Visual Analogue (VAS), Oxford Shoulder (OSS), and American Shoulder and Elbow Surgeons Shoulder (ASES) Scores, satisfaction and complication rates was conducted. Results: In total, 14 patients with a mean age of 39.5 years (range 22–52 years, 71% male) with a mean follow-up of 7.4 years (range 3 months–18 years) were identified. The most common indications for arthrodesis included osteoarthritis (8, 57%) and instability (6, 43%). Major contributory factors were recurrent seizures (5, 36%) and multiple surgeries (4, 29%). Radiographic union was observed in 13 (93%) patients. The mean VAS was 2.8 (range 0–7), mean OSS was 33.0 (range 23–42) and ASES score was 55.4 (range 37–82). In total, 11 patients (79%) reported being satisfied. Five (36%) patients returned to theatre for complications. Conclusions: In this patient series, shoulder arthrodesis demonstrates a notable efficacy in pain reduction, high satisfaction, acceptable function, and complication rates.
Biomarker Profiling with Targeted Metabolomic Analysis of Plasma and Urine Samples in Patients with Type 2 Diabetes Mellitus and Early Diabetic Kidney Disease
Authors: Mogos Maria , Socaciu Carmen , Socaciu Andreea Iulia , Vlad Adrian , Gadalean Florica , Bob Flaviu , Milas Oana , Cretu Octavian Marius , Suteanu-Simulescu Anca , Glavan Mihaela , Balint Lavinia , Ienciu Silvia , Iancu Lavinia , Jianu Dragos Catalin , Ursoniu Sorin , Petrica Ligia
Published: August 2024

Background: Over the years, it was noticed that patients with diabetes have reached an alarming number worldwide. Diabetes presents many complications, including diabetic kidney disease (DKD), which can be considered the leading cause of end-stage renal disease. Current biomarkers such as serum creatinine and albuminuria have limitations for early detection of DKD. Methods: In our study, we used UHPLC-QTOF-ESI+-MS techniques to quantify previously analyzed metabolites. Based on one-way ANOVA and Fisher’s LSD, untargeted analysis allowed the discrimination of six metabolites between subgroups P1 versus P2 and P3: tryptophan, kynurenic acid, taurine, l-acetylcarnitine, glycine, and tiglylglycine. Results: Our results showed several metabolites that exhibited significant differences among the patient groups and can be considered putative biomarkers in early DKD, including glycine and kynurenic acid in serum (p < 0.001) and tryptophan and tiglylglycine (p < 0.001) in urine. Conclusions: Although we identified metabolites as potential biomarkers in the present study, additional studies are needed to validate these results.
Window of Opportunity: Rate of Referral to Infertility Providers among Reproductive-Age Women with Newly Diagnosed Gynecologic Cancers
Authors: Frisch Emily H. , Yao Meng , Kim Hanna , Neumann Olivia , Chau Danielle B. , Richards Elliott G. , Beffa Lindsey
Published: August 2024

Background/Objective: Fertility preservation is an important part of oncologic care for newly diagnosed gynecologic cancers for reproductive-age women, as many treatment options negatively impact fertility. The goal of this study is to examine factors that influence access to fertility specialists for women with newly diagnosed gynecologic cancer. Methods: This institutional review board approved a retrospective cohort study investigating the impacting factors on the referral rate from gynecologic oncologists (GO) to reproductive endocrinologists and infertility (REI) specialists at a single academic institution between 2010–2022 for patients age 18–41 at diagnosis. Electronic medical records were used to identify demographics and referral patterns. Mixed logistic models were utilized to control cluster effects of the physicians. Results: Of 816 patients reviewed, 410 met the criteria for inclusion. The referral rate for newly diagnosed gynecologic malignancies was 14.6%. Younger patients were more likely to have an REI referral (p < 0.001). The median time from first GO visit to treatment was 18.5 days, and there was no significant difference in those who had REI referrals (p = 0.44). Only 45.6% of patients had fertility desire documented. A total of 42.7% had fertility-sparing treatment offered by a GO. REI referral did not significantly change the time to treatment (p = 0.44). An REI referral was more likely to be placed if that patient had no living children, no past medical history, or if the referring GO was female (OR = 11.46, 6.69, and 3.8, respectively). Conclusions: Fertility preservation counseling is a critical part of comprehensive cancer care; yet, the referral to fertility services remains underutilized in patients with newly diagnosed gynecologic cancer. By demonstrating these biases in REI referral patterns, we can optimize provider education to enhance fertility care coordination.