bluuebunny/crossref_metadata_2025 huggingface dataset:
A review of the research during 2010–2019 on evidence‐based treatments for couple relationship distress
Authors: Doss Brian D. , Roddy McKenzie K. , Wiebe Stephanie A. , Johnson Susan M.
Published: December 2021

The current article presents a review of the published research from 2010 to 2019 on the treatment of couple relationship distress; 37 studies met all criteria for inclusion. Behavioral Couple Therapy, Cognitive Behavioral Couple Therapy, Emotionally Focused Therapy, and Integrative Behavioral Couple Therapy meet criteria as “well‐established” approaches, Insight‐Oriented Couple Therapy is a “possibly efficacious” approach, and several other others are “experimental” treatments for treating couple relationship distress (Southam‐Gerow & Prinstein, 2014). Furthermore, several less‐intensive interventions—the Marriage Check‐up, OurRelationship, and Hold Me Tight programs—have generated substantial support for their ability to improve relationships and are classified as “well‐established” or “probably efficacious” interventions. We recommend that future research focus on expanding the reach of evidence‐based interventions across a range of settings and populations, deepening our understanding of the mechanisms of change and underlying factors in the change process across approaches, and improving treatment success through treatment matching and progress monitoring.
Construction of nursing‐sensitive quality indicators for cardiac catheterisation: A Delphi study and an analytic hierarchy process
Authors: Shen Zhiyun , Qin Wei , Zhu Li , Lin Ying , Ling Huaxing , Zhang Yuxia
Published: December 2021

Background

Nursing care can profoundly reduce the risk of emergencies related to cardiac catheterisation. Therefore, identifying nursing‐sensitive quality indicators (NSQIs) to evaluate nursing quality is critical for optimal cardiac catheterisation. However, studies on NSQIs for cardiac catheterisation are scarce.

Objectives

This study was conducted to develop a set of NSQIs for cardiac catheterisation.

Methods

Literature retrieval and expert group discussions were conducted to identify potential NSQIs and compile an inquiry questionnaire. Then, Delphi surveys were used to collect opinions from experts in the field of cardiac catheterisation. The consistency of the consultation results formed the basis on which we conducted the next rounds of consultation. Based on the importance given to each NSQI by the consulted experts in the previous round, we determined the weight coefficient of each indicator with the analytic hierarchy process. This study was performed according to the SRQR guidelines.

Results

We conducted two rounds of expert inquiry. The recovery rates of the first and second questionnaires were 100% and 66.67%, respectively. The average authoritative coefficients were 0.86 and 0.91. The Kendall W values ranged from 0.214~0.361 (p < .001). Consensus was reached on 3 primary indicators, 8 secondary indicators and 20 tertiary indicators.

Conclusions

A set of NSQIs for cardiac catheterisation was developed. However, the effects of these NSQIs on the evaluation and continuous improvement of nursing quality in cardiac catheterisation need to be verified in clinical practice.
Effectiveness of interventions used to prepare preschool children and their parents for day surgery: A systematic review and meta‐analysis of randomised controlled trials
Authors: Kerimaa Heli , Ruotsalainen Heidi , Kyngäs Helvi , Miettunen Jouko , Pölkki Tarja
Published: December 2021

Background

To evaluate how effective preparatory interventions for paediatric day surgery are at reducing parents’ anxiety and stress and children's pain and fear.

Methods

A systematic review was conducted according to Joanna Briggs Institute (JBI) guidelines and reported using the PRISMA 2020 checklist. PubMed, CINAHL (EBSCO), Scopus, Medic and Web of Science were screened for original research published up until December 2020, while Mednar and EBSCO Open Dissertations were used to identify any relevant grey literature. The methodological quality and risks of bias were evaluated according to JBI guidelines by two authors. The eligibility criteria were parents of a preschool (2‐ to 6‐year‐old) child going through day surgery with preparatory interventions, outcomes measured anxiety, stress (parent), fear and pain (child), and randomised controlled trial (RCT).

Results

Two thousand and three hundred and fourteen RCTs were screened. Fifteen studies (including 1514 participants) were chosen for narrative synthesis of parental anxiety and stress and children's fear and pain. Nine studies underwent a meta‐analysis of parental anxiety (n = 970). The interventions were categorised as functional, informative or a combination of both. Four interventions reduced parents' anxiety while two significantly alleviated children's postoperative pain. The interventions found to be effective combined various ways of providing information. The meta‐analysis did reveal a statistically significant impact on parents' anxiety (SMD =0.22, 95% Cl [0.03, 0.41], z = 2.28, p = .023). None of the studies dealt with parental stress or fear in children.

Conclusions

The studied interventions used various preparatory approaches, some of which were effective at reducing parental anxiety. More RCT studies are needed to find the most effective methods for preparing parents and their children for day surgery.

Relevance to Clinical Practice

Preparation for day surgery through appropriate interventions can reduce anxiety among parents and postoperative pain in children.
Feasibility of a mobile cardiotocogram device for fetal heart rate self‐monitoring in low‐risk singleton pregnant women
Authors: Tamaru Shunsuke , Jwa Seung Chik , Ono Yoshihisa , Seki Hiroyuki , Matsui Haruka , Fujii Tatsuya , Iriyama Takayuki , Doi Koutarou , Sameshima Hiroshi , Naruse Katsuhiko , Kobayashi Hiroshi , Yoshida Rie , Nishi Hirotaka , Hirata Yoshiyasu , Fukushima Kotaro , Hirakawa Toshio , Nakano Yoshihiro , Asakawa Yasuyuki , Tsunoda Yutaka , Oda Toshimitsu , Nii Shigeru , Fujii Tomoyuki , Kinoshita Katsuyuki , Kamei Yoshimasa
Published: December 2021

Aim

This study aimed to clarify the feasibility of a mobile cardiotocogram (CTG) device for self‐monitoring fetal heart rate (FHR) in low‐risk singleton pregnant women.

Methods

This study was conducted at six university hospitals and seven maternity clinics in Japan. Using a mobile cardiotocogram device (iCTG, Melody International Ltd., Kagawa, Japan), participants of more than 34 gestational weeks measured the FHR by themselves at least once a week until hospitalization for delivery. We evaluated the acquisition rate of evaluable FHR recordings and the frequency of abnormal FHR patterns according to the CTG classification system of the Japan Society of Obstetrics and Gynecology (JSOG). The participants also underwent a questionnaire survey after delivery to evaluate their satisfaction level of self‐monitoring FHR using the mobile CTG device.

Results

A total of 1278 FHR recordings from 101 women were analyzed. Among them, 1276 (99.8%) were readable for more than 10 min continuously, and the median percentage of the total readable period in each recording was 98.9% (range, 51.4–100). According to the JSOG classification system, 1245 (97.6%), 9 (0.7%), 18 (1.4%), and four (0.3%) FHR patterns were classified as levels 1, 2, 3, and 4, respectively. The questionnaire survey revealed high participant satisfaction with FHR self‐monitoring using the iCTG.

Conclusion

The mobile CTG device is a feasible tool for self‐monitoring FHR, with a high participant satisfaction level.
Proposal for determining valence and arousal thresholds: Compromised pleasure threshold, unpleasure threshold, and arousal threshold
Authors: Pinto Vinícius Rodrigues Arruda , Lima Filho Tarcísio , Minim Valéria Paula Rodrigues , Della Lucia Suzana Maria , de Souza Louise Bergamin Athayde , da Silva Fernanda Lopes , Vidigal Márcia Cristina Teixeira Ribeiro , de Carvalho Antônio Fernandes , Perrone Ítalo Tuler
Published: December 2021

Individuals' emotions have been studied for nearly half a century, but the literature has not advanced to the point of estimating the intensity of a stimulus capable of influencing valence and arousal. The aim of this study was to elucidate three new thresholds: the valence thresholds, represented by the compromised pleasure threshold (CPT) and unpleasure threshold (UT), and the arousal threshold (AT). Valence and arousal ratings were obtained through the affective slider (AS), and CPT, UT, and AT were determined for images of moldy Brazilian carrot cake. Results showed CPT occurs after 1.9 days of deterioration and the AT is reached after 10.5 days of deterioration. The moldy carrot cake was valenced negatively, in the low‐arousal region. The methodology was shown to be appropriate for measuring emotion thresholds, which highlights its potential to generate deeper understanding of consumers' perceptions of valence and arousal.

Practical Applications

When it comes to emotion‐driven food choices, emotion thresholds methodology can help in the monitoring of unhealthy food choices, because it will be able to provide thresholds corresponding to variables capable of significantly influencing the consumer's mood. Likewise, they may also be useful to industry, public policymakers, and health professionals, in order to facilitate the identification of the intrinsic and extrinsic factors that improve the mood of the consumer. Mitigation efforts can focus on the relationship between eating disorders and negative emotional states, which affect CPT, UT, and AT and, in turn, decision‐making. We propose that identifying the psychophysiological reactions to comforting stimuli allows us to examine differences in food processing cues among individuals with eating disorders (e.g., compulsive eating, anorexia, and bulimia), and how they shape emotion thresholds. This creates opportunities for psychoeducational interventions and improvements in decision‐making.
Textural properties and consumer preference of functional milk puddings fortified with apricot kernel extracts
Authors: Li Dengyun , Zhang Yifang , Jiang Ru , He Wenmeng
Published: December 2021

Both the demand for functional foods and their consumption have increased rapidly in recent years. Apricot kernels, originated in China, are rich in dietary protein, fat, fiber, and exhibit high antimicrobial and antioxidant activities. The effects of the agar–gelatin ratio and milk volume on the texture of apricot kernel milk puddings were evaluated. Texture profile analysis indicated that increasing volumes of agar and milk contributed to the hardness and gumminess but reduced the cohesiveness of puddings. The pudding sample S2 (250 ml of milk, 200 ml of water, 60 g of raw apricot kernels, 30 g of sugar, 5 g of gelatin, and 2 g of agar) was ultimately determined as the essential texture matrix prototype for further development of puddings. The effects of the ratio of raw apricot kernels to roasted apricot kernels and cream content in puddings on consumer preference were determined by quantitative descriptive analysis and consumer testing. Both quantitative descriptive analysis and external preference mapping of all puddings (12 samples) indicated that the pudding sample P6 (250 ml of milk, 200 ml of water, 40 g of raw apricot kernels, 20 g of roasted apricot kernels, 40 g of cream, 30 g of sugar, 5 g of gelatin, and 2 g of agar) showed enhanced consumer acceptance. The properties driving preference for P6 were oral smoothness, overall flavor, degree of roast, and milky taste. P6 was ultimately selected as the prototype to incorporate apricot kernels for the development of functional milk puddings with fortified essential nutrients.
Ligularia pseudolamarum (Asteraceae, Senecioneae), a new species from southeastern Xizang, China
Authors: Guo Xin‐Qiang , Wang Long
Published: December 2021

Ligularia pseudolamarum, a new species from southeastern Xizang, China, is described and illustrated. It is tentatively nested in L. sect. Ligularia ser. Ligularia based on its pinnate–palmate leaf venation, racemose synflorescence and pappus which is as long as or slightly shorter than the tubular corolla. Within the series, it is apparently closely related to both L. lamarum and L. subspicata, however, L. pseudolamarum is easily distinguished from the latter two species by its stem indumentum, leaf margin, bract texture and color, capitulum number and ray floret number and size. In addition, a distribution map and a diagnostic key to all Chinese species of L. ser. Ligularia are also provided.
Performance Analysis of Channels in Adiabatic and Non-Adiabatic Spiral Plate Heat Exchangers: A Thermodynamic Study
Authors: Sabouri Shirazi Amir Hossein , Ghodrat Maryam , Rastan Mohammad Reza , Salehi Fatemeh
Published: December 2021

This paper presents a systematic analysis of the thermodynamic performance of spiral turns in spiral plate heat exchangers (SPHEs), including non-adiabatic sources such as effects of heat leakage to the environment and fluid friction. These sources can reduce the thermal performance and increase the irreversibility of SPHEs. First, the critical factors of the heat loss rate to the environment, internal heat transfer rate (HTR), and channel temperature distributions are specified based on modeling the SPHE with hypothetical heat exchanger networks. Also, this modeling is validated with the results of channel temperature distributions by computational fluid dynamics simulation. Second, besides examining the spiral turns by entropy generation methods, entransy-based parameters are developed to analyze the SPHEs based on generated heat due to fluid viscosity in their channels for the first time. Finally, to show the method applicability proposed, an optimal designed single-phase counter-current SPHE is explored as a case. Three scenarios are introduced to evaluate the performance and irreversibility, namely heat leakage and no heat leakage to the environment and transferring the net heat between the streams. Results highlight the effects of non-adiabatic conditions, such as reductions of around 5.46%, 2.25%, and 2.42%, respectively, in the heat transfer area, total HTR, and overall heat transfer coefficient. Furthermore, findings confirm the performance reductions and irreversibility increments in non-adiabatic conditions and assert the importance of covering the outermost channels appropriately.
Multi-Objective Optimization Under Uncertainty of Part Quality in Fused Filament Fabrication
Authors: Kapusuzoglu Berkcan , Nath Paromita , Sato Matthew , Mahadevan Sankaran , Witherell Paul
Published: December 2021

This work presents a data-driven methodology for multi-objective optimization under uncertainty of process parameters in the fused filament fabrication (FFF) process. The proposed approach optimizes the process parameters with the objectives of minimizing the geometric inaccuracy and maximizing the filament bond quality of the manufactured part. First, experiments are conducted to collect data pertaining to the part quality. Then, Bayesian neural network (BNN) models are constructed to predict the geometric inaccuracy and bond quality as functions of the process parameters. The BNN model captures the model uncertainty caused by the lack of knowledge about model parameters (neuron weights) and the input variability due to the intrinsic randomness in the input parameters. Using the stochastic predictions from these models, different robustness-based design optimization formulations are investigated, wherein process parameters such as nozzle temperature, nozzle speed, and layer thickness are optimized under uncertainty for different multi-objective scenarios. Epistemic uncertainty in the prediction model and the aleatory uncertainty in the input is considered in the optimization. Finally, Pareto surfaces are constructed to estimate the tradeoffs between the objectives. Both the BNN models and the effectiveness of the proposed optimization methodology are validated using the actual manufacturing of the parts.
Dr. Richard C. Nelson: A Water Tower Remembrance
Authors: Shapiro Robert
Published: December 2021

The author recalls his initial introduction to the field of biomechanics in the Penn State Biomechanics Laboratory, known as the Water Tower, and its positive and profound effect on his lifetime career. Under the directorship of Dr. Richard Nelson, Penn State’s biomechanics program provided the author with a variety of both professional and personal learning opportunities. The author credits these experiences as having a direct relationship to his successful development as teacher, mentor, and researcher.
Dr. Richard C. Nelson: Teacher, Researcher, Motivator, Leader, and Incredible Human
Authors: Davis Kathryn Dainty
Published: December 2021

As one of the early graduate students of the Penn State Biomechanics Laboratory (1970–1974), I had the pleasure of being involved in the lab developed under the direction of Dr. Richard Nelson. His vision of applying engineering principles to human movement, particularly through the vehicle of sport analysis, inspired many to commit to a career of biomechanical exploration of the many aspects of human movement. By bringing many international scholars to the lab, he exposed his students to innovative and unique approaches to research. By developing technical applications, he made biomechanical inquiry more scientific and applicable. By caring for and mentoring a new generation of scientists and providing them the direction and tools they would need to establish their own labs and careers, he helped us become teachers, researchers, consultants, and mentors for a new generation of students. His love of life inspired us all to further the groundbreaking work he had begun and continued throughout his amazing career. His contributions to the field of biomechanics through his visionary establishment of societies, journals, collegial relationships, and consulting skills have served our community well. It was an honor and a privilege to know and learn from him.
Reshaping our understanding on structure formation with the quantum nature of the dark matter
Authors: Argüelles C. R. , Becerra-Vergara E. A. , Krut A. , Yunis R. , Rueda J. A. , Ruffini R.
Published: December 2021

We study the nonlinear structure formation in cosmology accounting for the quantum nature of the dark matter (DM) particles in the initial conditions at decoupling, as well as in the relaxation and stability of the DM halos. Different from cosmological N-body simulations, we use a thermodynamic approach for collisionless systems of self-gravitating fermions in general relativity, in which the halos reach the steady state by maximizing a coarse-grained entropy. We show the ability of this approach to provide answers to crucial open problems in cosmology, among others: the mass and nature of the DM particle, the formation and nature of supermassive black holes in the early Universe, the nature of the intermediate mass black holes in small halos, and the core-cusp problem.
Adaptive Artificial Intelligent Technique to Improve Acquisition of Knowledge in the Educational Environment
Authors: Zang Juanjuan , Gowthami J. , Anilkumar Chunduru
Published: December 2021

It is now possible to make the logical thinking of humans, computer-controlled robots, and technology on the educational Environment platform by using artificial intelligence. These method-based robotic systems begin replacing human resources in all industries, which helps resolve various characteristic difficulties that include emotional skills, creative thinking, cognitive, and depletion in the educational platform. The Adaptive Artificial Intelligence Technique (AAIT) has been refined in this study to fulfill the learning objective of increased higher-order learning and skill acquisition in the Educational Environment. It enables more intelligent decision-making by taking into account all essential aspects of a company. As a result, big data plays a crucial role in today’s businesses. A powerful tool for proactive and automated management when combined with artificial intelligence (AI). Saving time and money by automating and optimizing routine tasks may be possible for your business with the right AI technology. Productivity and operational efficiencies will be increased. Use cognitive technologies to make faster business decisions. Therefore, the learning achievement model (LAM) and Risk Student Model (RSM) are established on the educational environment platform. As well as optimizing interpersonal resilience, the Learning Achievement Model is also utilized to increase innovative abilities in the Educational Platform. In the Danger Class Diagram, the Estimation Algorithm reduces the risk of learning failure, enhances cognition, and deprives the recognizing platform. Experiments and simulations are conducted to determine the reliability of the proposed framework based on the accuracy, F-Means, Sensitivity, specificity, and Performance (SSP).
Machine Learning in Human Emotion Detection from the Speech
Authors: Qiu Xiaoli , Li Wei , Li Yang , Gu Hongmei , Song Fei , Sabitha R.
Published: December 2021

The identification of speech emotions is amongst the most strenuous and fascinating fields of machine learning science. In this article, Chinese emotions are classified as a disruptive atmosphere that classifies several feelings into four major emotional organizations: pleasure, sorrow, resentment, and neutrality. A machine learning in human emotion detection (ML-HED) framework is proposed. The technology suggested removing prosodic and spectrum elements of an audio wave, such as a pulse, power, amplitude, Cepstrum melt frequency correlations, linearly fixed Cepstral, and identification with a template. In all, 87,75% of performers’ statements and 93% of women’s actors were given reliability. The research findings show that the revolutionary technology achieves greater precision by accurately interpreting the feelings, which contrasts with current speech emotion recognition approaches. Besides, the derived characteristics were contrasting with various classification techniques in this study for the comprehensive idea.
15-Lipoxygenase worsens renal fibrosis, inflammation, and metabolism in a murine model of ureteral obstruction
Authors: Montford John R. , Bauer Colin , Rahkola Jeremy , Reisz Julie A. , Floyd Deanna , Hopp Katharina , Soranno Danielle E. , Klawitter Jelena , Weiser-Evans Mary C. M. , Nemenoff Raphael , Faubel Sarah , Furgeson Seth B.
Published: December 2021

15-Lipoxygenase (15-LO) has both pro- and anti-inflammatory functions in leukocytes, and its role in kidney injury and repair is unexplored. Our study showed that 15-LO worsens inflammation and fibrosis in a rodent model of chronic kidney disease using genetic and pharmacological manipulation. Silencing 15-LO promotes an increase in M2c-like wound-healing macrophages in the kidney and alters kidney metabolism globally, protecting against anaerobic glycolysis after injury.
Analysis of Urban Residents' Sports Consumption Demand Based on Intercepted Regression Model
Authors: Liu Qing
Published: December 2021

At this stage, broadening the consumer market, upgrading the consumption system and gradually establishing a consumption-led development concept are key factors in promoting high-quality economic development. At the same time, China's macro economy is also experiencing another test. The rapid development of China's real estate market in recent years has attracted a large number of investors, and real estate prices have produced irrational and substantial increases. Behind the boom of the real estate market is a social system crisis driven by profiteering and the growing seriousness of real estate financial bubble. So exploring the mechanism of the influence of real estate prices on the upgrading of residents' consumption is important for the current stage of China. Therefore, it is important to investigate the mechanism of real estate price impact on consumer upgrading for the coordinated development of real estate industry and national economy. In this paper, we analyze and examine the theory on the consumption improvement by the literature survey method. We also summarize the present research on the correlation and the influence mechanism of the real estate price and the consumption improvement and choose the index which reflects the present state of the real estate industry and the consumption of the inhabitant. Besides the input indicators that qualitatively manage the impact of housing prices on the improvement of residents' consumption, we first use the descriptive statistics method to understand the level of the Chinese real estate market and improve consumer spending. Based on this, the descriptive statistical method is applied to define the current state of China's real estate market and the level of improvement in consumption, and to define the standard for improving consumption in China. On the other hand, based on the spatial and spatial spillover points of view, we use spatial analysis framework combined with exploratory spatial data analysis and GIS to investigate spatial correlation between consumption structure and housing price, and accurately reflect the spatial clustering status of the index by drawing. Moran dispersion plot and Lisa cluster plot, then the spatial Darwinian model, are used to investigate the impact of real estate prices on the increase in occupant consumption from a macro perspective.
Effect of Admission Hyperglycemia on Short-Term Prognosis of Patients with Non-ST Elevation Acute Coronary Syndrome without Diabetes Mellitus
Authors: Liu Wei , Li Zhijuan , Xing Shiying , Xu Yanwei
Published: December 2021

Objective. To evaluate the effect of admission hyperglycemia on the short-term prognosis of patients with non-ST elevation acute coronary syndrome (NSTE-ACS) without diabetes mellitus. Methods. The clinical data of 498 patients with NSTE-ACS admitted to the Department of Cardiology of the First Affiliated Hospital of Henan University of Science and Technology between March 2018 and November 2020 were analyzed. Based on the blood glucose (BG) level at admission, patients were divided into three groups: A (

BG
<
7.8

 mmol/L), B (

7.8
 
mmol
/
L
≤
BG
<
11.1
 
mmol
/
L

), and C (

BG
≥
11.1

 mmol/L). The clinical data of the three groups were compared. Results. There was no significant difference between the three groups in terms of age, sex, hypertension, hyperlipidemia, smoking, and history of myocardial infarction (

p
>
0.05

). However, there were significant differences in the incidences of multivessel disease, renal insufficiency, pump failure, and emergency percutaneous coronary intervention, and levels of high-sensitivity C-reactive protein, cardiac troponin T, and creatine kinase isoenzyme MB among the three groups (

p
<
0.05

for all). The incidences of severe pump failure, malignant arrhythmias, and death were significantly higher in groups B and C compared to group A (

p
<
0.05

). Additionally, the incidences of severe pump failure, malignant arrhythmias, and death were significantly higher in group C compared to group B (

p
<
0.05

). Multivariate logistic regression analysis showed that hyperglycemia, renal insufficiency, Killip grade III/IV, and age were risk factors of in-hospital death. Conclusion. Hyperglycemia at admission is a risk factor for adverse in-hospital clinical outcomes in patients with NSTE-ACS.
The Effect of Flipped Classroom on Iranian Adolescents: Elementary EFL Learners’ Vocabulary Recall and Retention
Authors: Soltanabadi Masoumeh Izadpanah , Izadpanah Siros , Namaziandost Ehsan
Published: December 2021

Vocabulary as an inseparable part of language learning has a vital role in communication, which requires to be taught in new approaches. A quasi-experimental method was used to achieve the aims of the current study. In doing this, 48 Iranian female adolescent elementary learners (13–17) were assigned based on the Oxford Quick Placement Test from 70 female students to take part in 4 sessions of treatment. The participants were randomly divided into two groups: an experimental group (n = 24) and a control group (n = 24). The experimental group was taught using the flipped classroom, while the control group was exposed to the conventional methods. Research instruments involving an English language placement test, vocabulary pretest, immediate posttest, and delayed test (the study lasted for 9 weeks). A list of 28 target words was given to both groups. Words were selected by the Lawshe content validity ratio (CVR) and content validity index (CVI) to have validity. The findings of ANCOVA indicated that conducting the flipped classrooms has significant impacts on Iranian adolescent elementary students’ vocabulary recall and retention. Hence, it is an applicable approach that carries important implications for teachers, foreign language syllabus designers, and curriculum planners.
Application of Microspectral Imaging in Motor and Sensory Nerve Classification
Authors: Xu Du
Published: December 2021

Objective. It aimed to explore the application of the microscopic hyperspectral technique in motor and sensory nerve classification. Methods. The self-developed microscopic hyperspectral acquisition system was applied to collect the data of anterior and posterior spinal cord sections of white rabbits. The joint correction algorithm was employed to preprocess the collected data, such as noise reduction. On the basis of pure linear light source index, a new pixel purification algorithm based on cross contrast was proposed to extract more regions of interest, which was used for feature extraction of motor and sensory nerves. Besides, the ML algorithm was employed to classify motor and sensory nerves based on feature extraction results. Results. The joint correction algorithm was adopted to preprocess the data collected by the microscopic hyperspectral technique, so as to eliminate the influence of the incident light source and the system and improve the classification accuracy. The axon and myelin spectrum curves of the two kinds of nerves in the stained specimens had the same trend, but the values of all kinds of spectrum of sensory nerves were higher than those of motor nerves. However, the myelin sheath spectrum curves of motor nerves in the unstained specimens were greatly different from the curves of sensory nerves. The axon spectrum curves had the same trend, but the axon spectrum values of sensory nerves were higher than those of motor nerves. The ML algorithm had high accuracy and fast speed in motor and sensory nerve classification, and the classification effect of stained specimens was better than that of unstained specimens. Conclusion. The microscopic hyperspectral technique had high feasibility in sensory and motor nerve classification and was worthy of further research and promotion.
Gender Differences in Teaching and Research Performance of University Teachers Based on Discrete Data Analysis
Authors: Ding Hong
Published: December 2021

Numerous studies have found that there were obvious differences between men and women in research performance, but there is little analysis on teaching. At the same time, the existing studies did not classify the teacher sample but only analyzed the overall sample. This study takes both teaching and research into account, and the sample teachers from a certain university in China are divided into three groups such as outstanding teachers in teaching, outstanding teachers in research, and weak teachers in both teaching and research through cluster analysis based on the discrete data analysis of teaching and research workload from 2018 to 2020. The gender differences in teaching and research performance of male and female teachers in every group are analyzed. It is found that there are obvious differences between male and female teachers in the three groups. By analyzing the correlation between male and female teaching and research performance and gender, age, education, and degree of three groups, it is also found that there are differences between men and women in the correlation of individual factors such as degree and type of graduation university. Based on the results, this paper provides several policy recommendations.
Time-Aware Cross-Platform IoT Service Recommendation with Privacy Preservation
Authors: Zhang Can , Wu Junhua , Yan Chao , Li Guangshun
Published: December 2021

IoT service recommendation techniques can help a user select appropriate IoT services efficiently. Aiming at improving the recommendation efficiency and preserving the data privacy, the locality-sensitive hashing (LSH) technique is adopted in service recommendation. However, existing LSH-based service recommendation methods ignore the intrinsic temporal feature of IoT services. In light of this challenge, we integrate the temporal feature into the conventional LSH-based method and present a time-aware approach with the capability of privacy preservation for IoT service recommendation across multiple platforms. Experiments on a real-world dataset are conducted to validate the advantage of our proposed approach in terms of accuracy and efficiency in recommendation.
Ethical Implications of the Fecal Microbiota Transplantation: Disclosure of a False-Positive HIV Test
Authors: Hollingshead Caitlyn , Ciricillo Jacob , Kammeyer Joel
Published: December 2021

Fecal microbiota transplantation (FMT) has gained popularity as an effective therapeutic option for Clostridioides difficile infection (CDI). Since its FDA recognition as a treatment modality for recurrent CDI in 2013, screening protocols for FMT donor stool have been in flux. However, extensive health questionnaires, in combination with serological and stool assays, have become mainstays in the donor screening process, although ethical implications are yet to be thoroughly considered. Herein, we present the case of a family member found to have a false-positive HIV test during the donor screening process and discuss potential ethical ramifications associated with FMT stool donation.
Importance of Imaging in Congenital Unilateral Vocal Fold Paralysis: A Case of Neck Neuroblastoma Presenting with Unilateral Vocal Fold Paralysis
Authors: Yeo W. X. , Chan C. Y. , Tan K. K. H.
Published: December 2021

Congenital vocal fold paralysis (VFP) is an important cause of respiratory compromise in infants. It can either be unilateral or bilateral, while imaging is routinely performed for bilateral VFP to evaluate for potential neurological causes, and such a practice may not be routine for unilateral VFP. While many of the unilateral VFP cases are idiopathic, the cause may occasionally be more sinister in nature, such as tumors. Therefore, unless an obvious cause of unilateral VFP is present (such as cardiac surgery or birth trauma), routine imaging of the brain, neck, and mediastinum should be performed for congenital unilateral VFP. We describe a rare case of a cervical neuroblastoma presenting with unilateral VFP that was detected only on imaging, thus highlighting its value and importance.
Experimental Study on the Mechanical Property of Loess Mixed with Bentonite‐HDTMA
Authors: Ming Zhang , Guozhou Chen , Yang Liu , Shouhai Huang
Published: December 2021

Malan loess in the middle and lower reaches of the Yellow River after mixed with different bentonite and HDTMA ratios was selected to carry out shear and consolidation tests for discussing the influence of bentonite‐HDTMA on the mechanical property of loess lining material in landfills. Studies have shown that, after mixing 6% to 14% bentonite, the cohesive force of modified loess is significantly increased, the friction angle is reduced and remains stable, and the shear strength is improved. The compressibility of materials slightly decreases with the increase of bentonite ratio. The addition of 2%–4% HDTMA weakens the increment for the cohesive force caused by bentonite, but the friction angle is effectively recovered. The compressibility of materials increases with the increase of HDTMA ratio. As the dry density increases, the shear strength of the modified loess increases, and the compressibility coefficient decreases. The mechanical property of loess lining material can be optimized by adding 6%–14% bentonite. The incorporation of 2%–4% HDTMA does not have a significant negative impact on the optimization effect of bentonite. From the perspective of the mechanical property, it is recommended that the dry density of modified loess is 1.70 g/cm3, the bentonite ratio is 10%–14%, and the HDTMA ratio is 2%–4%.
Estimation of the Conditional Probability Using a Stochastic Gradient Process
Authors: Labriji Ali , Bennar Abdelkrim , Rachik Mostafa
Published: December 2021

The use of conditional probabilities has gained in popularity in various fields such as medicine, finance, and imaging processing. This has occurred especially with the availability of large datasets that allow us to extract the full potential of the available estimation algorithms. Nevertheless, such a large volume of data is often accompanied by a significant need for computational capacity as well as a consequent compilation time. In this article, we propose a low-cost estimation method: we first demonstrate analytically the convergence of our method to the desired probability and then we perform a simulation to support our point.
Evaluation of the Effect of Intensive Nursing Intervention Based on Process Analysis
Authors: Zhang Zhiying , Zhu Huiju
Published: December 2021

In order to achieve significant improvements in the evaluation of key indicators such as speed, quality, cost, and service, this paper fundamentally rethinks and completely redesigns the business process, and recreates a new business process. This study combines the particularity of AMI with emergency nursing to construct an in-hospital AMI emergency nursing process to further standardize the AMI rescue work. The implementation of the process helps to clarify the responsibilities and requirements of nurses in the AMI emergency process, reduce the delay time of AMI emergency, and improve the efficiency and effectiveness of emergency. In addition, after refactoring the business process, this paper builds an intelligent digital critical illness monitoring system. This system combines the original work flow of the ICU medical staff, optimizes the work flow of the medical staff through computer technology and information technology, and designs and completes the digital intensive nursing system software to run and use in the hospital and obtain significant results.
Study on Deformation Evolution Characteristics of Reverse‐Dip Rock Slope under the Influence of Rainfall
Authors: Zhang Jiabing , Xie Liangfu , Liu Xuejun , Qin Yongjun , Wu Liming
Published: December 2021

In Southwestern China, there exists deep river valleys and abundant rainfall, which leads to a large number of reverse‐dip rock slopes. In order to investigate the evolution characteristics of toppling deformation of reverse‐dip slope under the influence of rainfall, and a typical reverse‐dip slope was taken as an engineering case. Firstly, the temporal and spatial evolution nephogram of toppling displacement under different rainfall was obtained based on the discrete surface displacement monitoring data of bank slope. Then, taking bank slope, gully buffer zone, and development degree of bank slope as development characteristics based on geological field survey, afterward, the evolution characteristics in different strong deformation zones were analyzed by superimposing the development characteristic partition and the spatial and temporal displacement nephogram. The results showed that the horizontal displacement mainly occurred on the right front and middle rear of the bank slope while large vertical displacement occurred on the middle of the bank slope under the influence of rainfall. As the rainfall increased to the maximum, the toppling deformation reached the peak, and vertical displacement was more sensitive to the rainfall than horizontal displacement. After the superposition, the largest strong deformation zone was located in the middle and rear part of the bank slope, which is characterized by medium and high slope and mature stage and 50 m gully buffer zone. This paper explores the deformation and failure process of reverse‐dip rock slope considering the change of rainfall through real displacement monitoring data and focuses on the real deformation evolution law of each characteristic zone combined with different development characteristics partition.
Antimalarial, Antioxidant Activities and Chemoprofile of Sansevieria liberica Gerome and Labroy (Agavaceae) Leaf Extract
Authors: Orabueze Ifeoma Celestina , Uzor Sarah Chiamaka , Ndiaye Bou , Uba Desire , Ota Duncan Azubuike. , Agbedahusi Joseph
Published: December 2021

Background. Sansevieria liberica Gerome and Labroy (Agavaceae) is a religious and ornamental perennial plant with highly valued medicinal usage in Nigeria. Sansevieria liberica is used in the management of malarial fever. The ease of development of resistance to available antimalarial drugs has resulted in increased clinical failure and mortality. The study investigated the antimalarial effects of Sansevieria liberica (SL) leaf extract in mice infected with Plasmodium berghei. Materials and Methods. The ability of SL leaf extract to suppress the growth of malaria parasites in early (suppressive) and established (curative) infections was established using animal models. The mean survival time (MST) was determined. The antioxidant potential was established using two standard in vitro models. High-performance liquid chromatography (HPLC) and phytochemical analysis methods were used to create a chemoprofile fingerprint of SL hydroethanolic leaf extract. Results. At 200, 400, and 400·mg kg−1, SL produced 68.71, 70.74, and 75.09% parasite suppression in the suppressive model while the curative model gave a percentage of cure of 71.09, 72.60, and 62.09, respectively. The animals lived longer compared to both negative and positive controls but were not fully protected. The IC50 values of SL and vitamin C were calculated to be 3.599 µg mL−1 and 3.08 µg mL−1, respectively. The reducing power of vitamin C was significantly (

P
<
0.05

) higher than that of SL extract. Some flavonoids were established as possible marker compounds for SL leaf extract. Discussion and Conclusions. The antimalarial assay results demonstrated that the use of SL in folk medicine may have scientific support.
Stress, Anxiety, and Depression among Medical Undergraduate Students and Their Coping Strategies
Authors: Melaku Leta , Bulcha Guta , Worku Deressa
Published: December 2021

Background. Students’ mental health deteriorates after they enter medical school and continues to deteriorate throughout their training. Every individual has a certain number of coping resources, and once these coping resources are challenged, mental illness usually results. Objective. We aimed to determine the prevalence and severity of depression, anxiety, and stress as well as coping strategies used by medical undergraduate students enrolled in Arsi University. Methods. Institution-based, cross-sectional design was conducted on 265 sampled medical students. Participants were selected by a systematic, random-sampling technique. Data were collected by pretested, structured, and self-administrated questionnaires. Afterwards, logistic regression analysis was employed, and statistical significance was accepted at

p
<
0.05

. Results. In the present study, 5 questionnaires were rejected for incompleteness, resulting in a response rate of 98.1%. The mean age of the respondents was 22.03 (SD = 2.074) years. The current prevalence rates of depression, anxiety, and stress were 52.3%, 60.8%, and 40.4%, respectively. The proportion of respondents who had extremely severe symptoms of depression, anxiety, and stress was 6.2%, 16.2%, and 2.3%, respectively. Depression was specifically associated with monthly income and residency. Anxiety was significantly associated with residency and educational level. Stress was associated with monthly income, educational level, and residency. The main coping strategy adopted by the respondents was religion with a mean (±SD) of 5.94 (1.85). The coping mechanisms of denial, substance use, behavioral disengagement, venting, and self-blame were significantly associated with depression, anxiety, and stress. Conclusion. Overall prevalence rate of depression, anxiety, and stress is alarmingly high. Therefore, implementing stress reduction interventions and establishing a student counseling center are highly recommended.
Exploring the Policies Applied to Pharmaceutical Care Practice for Type 2 Diabetes over the Last Decade in European Community Pharmacies
Authors: Pizarro Ângela Maria Vilaça Pereira de Araújo , Martins Maria Rosário O. , Simões Jorge Almeida
Published: December 2021

In the last decade (2010–2020), more than half of European countries have improved their health policies within the primary care for type 2 diabetes mellitus. Community pharmacies have been and could continue to be essential actors in this evolution of fighting the disease by providing a set of pharmacotherapeutic follow-up services for the person with diabetes. These services, designated by the Pharmaceutical Group of the European Union as “diabetes management” and “glucose measurement”, have aimed to optimize adherence to therapy and improve health outcomes. However, to follow the European guidelines of Good Pharmacy Practice, providing these services implies having a normative framework or a legal basis. Thus, this study sought to analyze the normative and regulatory framework on which community pharmacies in 28 European countries were based on providing this health care over the last decade.
Asia Pacific Stroke Conference 2021
Authors: Venketasubramanian Narayanaswamy
Published: December 2021

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Handling of Hilar Vasculature in Living Donor Right Hepatectomy Using Extrahepatic Glissonean Approach
Authors: Chiba Naokazu , Shimazu Motohide , Ochiai Shigeto , Gunji Takahiro , Kobayashi Toshimichi , Sano Toru , Tomita Koichi , Kawachi Shigeyuki
Published: December 2021

Donor hepatectomy is one of the most important procedures in LDLT because it affects the safety of donors and the outcome of the recipients. We standardized a method of securing the important vessels at the hepatic hilum while advancing the dissection toward the central direction. This research introduces our technique of handling hilar vasculature in living donor hepatectomy, using the extrahepatic Glissonean approach, and discusses its efficacy. At first, after the extrahepatic right Glissonean approach, the resected hepatic artery and portal vein are secured on the same line as with the secured Glisson. The resected hepatic artery and portal vein are followed in the central direction, and the surrounding area is dissected. The dissection is continued up to the main brunch of the hepatic artery and portal vein. The bile duct can be secured by subtracting the hepatic artery and portal vein from the tape that secured the Glissonean pedicle. The bile duct, hepatic artery, and the portal vein are dissected in this order, before dissecting the right hepatic vein, completing the surgery. This method of dissection approaching the extrahepatic Glisson carried out toward the central direction suggests to acquire minimal tissue removal and to shorten operative time. This could result in adequate perfusion to the remaining liver and donor safety, taken together effective results on the recipient.