bluuebunny/crossref_metadata_2025_split huggingface dataset:
An investigation of inertia constant in single generator on transient analysis for an isolated electrical network system
Authors: Jamri M. Saifuzam , Kamarudin Muhammad Nizam , Mohd Jamil Mohd Luqma 
Published: September 2021

<p>An isolated electrical network which fed by an independent generator for a low voltage system is considerable in remote and islandic areas. Although the network system has less complexity in term of system structure, its stability level is crucial due to frequency dynamical responses. An influence of initial stability margin on frequency stability study during contingency situation is a thing rather than being ignored. Here the initial transient response inherently delivers important info such as system inertia and momentarily power deficit. In this paper, an investigation of transient stability responses under different inertia values is carried out. The investigation is carried out by modelling the isolated system in MATLAB/Simulink environment which consists of state-space mathematical equations. It is confirmed that the generator system inertia shapes the initial slope, speed droop and oscillation. For a verification purpose, the influence of system inertia is also analyzed using bode diagram in which system gain and frequency margin are evaluated.</p><p> </p>
A comparative and comprehensive study of prediction of Parkinson’s disease
Authors: Prasath N. , Pandi Vigneshwaran , Manickavasagam Sindhuja , Ramadoss Prabu 
Published: September 2021

Objectives: Parkinson's Disease (PD) is a form of neurodegenerative disease that is caused the progressive weakening of dopaminergic nerve cells that affects a large number of people around the world. The event of recent treatment methods principally depends upon the experimental data resulting from assessment balances and patients’ journals that take varied boundaries with reference to legitimacy, inter-rater inconsistency, and incessant monitoring. Methods: Nowadays various techniques and algorithms are utilized in predicting the accuracy in PD. A range of those techniques, including SVM, Artificial Neural Network, Naive Bayes, Kernel based extreme learning through subtractive clustering landscapes, Random Forest, The Multi-Layer Perceptron with Back-Propagation Learning Algorithm are widely applied to form the acceptable decision accurately. During this work, and in-depth review was administered on various techniques proposed by numerous researchers. a replacement system must be proposed which uses DL techniques and considers other attributes of paralysis agitans which can improve the prediction and be an advancement within the medical field. Result: It has been observed that many researches have been done in identifying the PD yet there is a need of suitable method or algorithm to improve the prediction of PD which will help in the clinical management. Conclusion and Future work: Most of the methods have used speech as a major attribute for their research and have produced substantial accuracy. In order to increase the precision approaches involving movements, facial expression and other attributes also be considered for evaluation
Content-based image retrieval for fabric images: A survey
Authors: Tena Silvester , Hartanto Rudy , Ardiyanto Igi 
Published: September 2021

In <span>recent years, a great deal of research has been conducted in the area of fabric image retrieval, especially the identification and classification of visual features. One of the challenges associated with the domain of content-based image retrieval (CBIR) is the semantic gap between low-level visual features and high-level human perceptions. Generally, CBIR includes two main components, namely feature extraction and similarity measurement. Therefore, this research aims to determine the content-based image retrieval for fabric using feature extraction techniques grouped into traditional methods and convolutional neural networks (CNN). Traditional descriptors deal with low-level features, while CNN addresses the high-level, called semantic features. Traditional descriptors have the advantage of shorter computation time and reduced system requirements. Meanwhile, CNN descriptors, which handle high-level features tailored to human perceptions, deal with large amounts of data and require a great deal of computation time. In general, the features of a CNN's fully connected layers are used for matching query and database images. In several studies, the extracted features of the CNN's convolutional layer were used for image retrieval. At the end of the CNN layer, hash codes are added to reduce </span>search time.
Pulmonary function after segmentectomy versus lobectomy in patients with early-stage non-small-cell lung cancer: a meta-analysis
Authors: Wang Xinxin , Guo Haixie , Hu Quanteng , Ying Yongquan , Chen Baofu 
Published: September 2021

Objective Segmentectomy is widely performed for early-stage lung cancer. However, the effects of segmentectomy versus lobectomy on pulmonary function remain unclear. We performed a meta-analysis with the aim of comparing segmentectomy and lobectomy in terms of preservation of pulmonary function in patients with early-stage non-small-cell lung cancer (NSCLC). Methods We conducted a literature search of PubMed using the terms ‘pulmonary function’ AND ‘segmentectomy’ AND ‘lobectomy’. The primary outcomes of interest were the forced expiratory volume in 1 second (FEV1), FEV1 as percent of predicted (%FEV1), change in FEV1 (Δ%FEV1), and the ratio of postoperative to preoperative FEV1. Results Thirteen studies comprising 2027 patients met the inclusion and exclusion criteria and were included for analysis, including 787 patients in the segmentectomy group and 1240 patients in the lobectomy group. Patients in the segmentectomy group showed significantly better preservation of FEV1 and %FEV1 compared with the lobectomy group. The reduction in FEV1 after surgery was significantly less in the segmentectomy group compared with the lobectomy group, and Δ%FEV1 was significantly higher in the segmentectomy group than in the lobectomy group. Conclusion Segmentectomy results in better preservation of pulmonary function compared with lobectomy in patients with early-stage NSCLC.
Assessment of Productivity and Crop Diversification Pattern in Punjab Agriculture
Authors: Rani Poonam , Sahoo Ajeet Kumar 
Published: September 2021

This study examines the structure of agriculture productivity and crop diversification across different zones in Punjab, India during 1966–1967 to 2017–2018. The composite entropy index shows that almost all zones are specialised in few crops but some of them are relatively less or some are more. Hence, we found zones are experiencing a lateral movement toward crop specialisation and crop diversification is not happening. Further, results reveals that accessibility of market and roadhave a positive influenced the level of crop diversification are accessibility of market, roads have found a positive influenced on crop diversification. Whereas more use of fertiliser, intensity of irrigation and rainfall have leads to concentration rather than crop diversification. Similarly, study also analysed the factors that are responsible of variation in productivity by regional factors such as better road, fertiliser, urbanisation, literacy and cropping intensity. As the analysis indicates that there is need to emphasise on agro-climatic regional preparation by clearly identifying the existing resource endowments and constraints of the agro-climatically homogeneous regions. JEL: C23,Q10, Q19
TeleNICU: Extending the reach of level IV care and optimizing the triage of patient transfers
Authors: Jagarapu Jawahar , Kapadia Vishal , Mir Imran , Kakkilaya Venkat , Carlton Kristin , Fokken Micky , Brown Steven , Hall-Barrow Julie , Savani Rashmin C. 
Published: September 2021

Background The use of telemedicine to provide care for critically ill newborn infants has significantly evolved over the last two decades. Children's Health System of Texas and University of Texas Southwestern Medical Center established TeleNICU, the first teleneonatology program in Texas. Objective To evaluate the effectiveness of Tele Neonatal Intensive Care Unit (TeleNICU) in extending quaternary neonatal care to more rural areas of Texas. Materials and methods We conducted a retrospective review of TeleNICU consultations from September 2013 to October 2018. Charts were reviewed for demographic data, reasons for consultation, and consultation outcomes. Diagnoses were classified as medical, surgical, or combined. Consultation outcomes were categorized into transferred or retained. Transport cost savings were estimated based on the distance from the hub site and the costs for ground transportation. Results TeleNICU had one hub (Level IV) and nine spokes (Levels I–III) during the study period. A total of 132 direct consultations were completed during the study period. Most consultations were conducted with Level III units (81%) followed by level I (13%) and level II (6%) units. Some common diagnoses included prematurity (57%), respiratory distress (36%), congenital anomalies (25%), and neonatal surgical emergencies (13%). For all encounters, 54% of the patients were retained at the spoke sites, resulting in an estimated cost savings of USD0.9 million in transport costs alone. The likelihood of retention at spoke sites was significantly higher for medical diagnoses compared to surgical diagnoses (89% vs. 11%). Conclusion Telemedicine effectively expands access to quaternary neonatal care for more rural communities, helps in the triage of neonatal transfers, promotes family centered care, and significantly reduces health care costs.
Prevalence of Mycobacterium tuberculosis infection and rifampicin resistance among presumptive tuberculosis cases visiting tuberculosis clinic of Adare General Hospital, Southern Ethiopia
Authors: Andarge Degineh Belachew , Anticho Tariku Lambiyo , Jara Getamesay Mulatu , Ali Musa Mohammed 
Published: September 2021

Objective: Multidrug-resistant Mycobacterium tuberculosis is a public health threat in resource-limited countries where it is easily disseminated and difficult to control. The aim of this study was to determine the prevalence of tuberculosis, rifampicin-resistant/multidrug-resistant Mycobacterium tuberculosis, and associated factors among presumptive tuberculosis cases attending the tuberculosis clinic of Adare General Hospital located in Hawassa city. Methods: A hospital-based cross-sectional study was conducted among 321 tuberculosis suspected patients from April to July 2018. Socio-demographic, environmental, and behavioral data were collected using a structured questionnaire. Sputum specimens were analyzed using GeneXpert. Data entry was made using Epi info version 7 and analyzed by SPSS version 20. Logistic regression models were used to determine the risk factors. A p-value less than 0.05 was taken as a cut point. Results: In this study, the prevalence of Mycobacterium tuberculosis was 98 (30.5%) with 95% confidence interval (25.5–35.8), and the prevalence of rifampicin-resistant/multidrug-resistant Mycobacterium tuberculosis among the 98 Mycobacterium tuberculosis confirmed cases was 4 (4.1%). The prevalence of rifampicin-resistant/multidrug-resistant Mycobacterium tuberculosis among the tuberculosis suspected patients was 1.24%. Participants who had a history of treatment with anti-tuberculosis drugs were more likely to develop rifampicin-resistant/multidrug-resistant Mycobacterium tuberculosis. Conclusions: This study identified relatively high rifampicin-resistant/multidrug-resistant Mycobacterium tuberculosis among tuberculosis suspected patients in the study area. Early detection of drug-resistant Mycobacterium tuberculosis should be given enough attention to strengthen the management of tuberculosis cases and improve direct observation therapy short-course and eventually minimize the spread of rifampicin-resistant tuberculosis strain in the community.
Clinical characteristics and outcomes of critically ill patients with acute COVID-19 with Epstein-Barr virus reactivation
Authors: Xie Yun , Cao Song , Dong Hui , Lv Hui , Teng Xiaolei , Zhang Jiaxiang , Wang Tao , Zhang Xiaoyan , Qin Yun , Chai Yujing , Yang Luyu , Liu Jun , Wang Ruilan 
Published: September 2021

Abstract
Background
Our goal is to further elucidate the clinical condition and prognosis of patients with severe acute COVID-19 with EBV reactivation.

Method
This is a retrospective single-center study of COVID-19 patients admitted to the intensive care unit of Wuhan No. 3 Hospital (January 31 to March 27, 2020). According to whether Epstein-Barr virus reactivation was detected, the patients were divided into an EBV group and a Non-EBV group. Baseline data were collected including epidemiological, larithmics, clinical and imaging characteristics, and laboratory examination data.

Results
Of the 128 patients with COVID-19, 17 (13.3%) were infected with Epstein-Barr virus reactivation. In the symptoms,the rate of tachypnoea in the EBV group was apparently higher than that in the Non-EBV group. In lab tests, the lymphocyte and albumin of EBV group decreased more significantly than Non-EBV group, and the D-dimer and serum calcium of EBV group was higher than Non-EBV group. Regarding the infection index, CRP of EBV group was apparently above the Non-EBV group, and no significant difference was found in procalcitonin of the two groups. The incidence of respiratory failure, ARDS, and hypoproteinaemia of EBV group had more incidence than Non-EBV group. The 28-day and 14-day mortality rates of EBV group was significantly higher than that of Non-EBV group.

Conclusions
In the COVID-19 patients, patients with EBV reactivation had higher 28-day and 14-day mortality rates and received more immuno-supportive treatment than patients of Non-EBV group.
Oral care practices in stroke: findings from the UK and Australia
Authors: Bangee Munirah , Martinez-Garduno Cintia Mayel , Brady Marian C. , Cadilhac Dominique A. , Dale Simeon , Hurley Margaret A. , McInnes Elizabeth , Middleton Sandy , Patel Tahera , Watkins Caroline L. , Lightbody Elizabeth 
Published: September 2021

Abstract
Aims
To examine current practice, perceptions of healthcare professionals and factors affecting provision for oral care post-stroke in the UK and Australia.

Background
Poor oral care has negative health consequences for people post-stroke. Little is known about oral care practice in hospital for people post-stroke and factors affecting provision in different countries.

Design
A cross-sectional survey.

Methods
Questionnaires were mailed to stroke specialist nurses in UK and Australian hospitals providing inpatient acute or rehabilitation care post-stroke. The survey was conducted between April and November 2019. Non-respondents were contacted up to five times.

Results
Completed questionnaires were received from 150/174 (86%) hospitals in the UK, and 120/162 (74%) in Australia. A total of 52% of UK hospitals and 30% of Australian hospitals reported having a general oral care protocol, with 53% of UK and only 13% of Australian hospitals reporting using oral care assessment tools. Of those using oral care assessment tools, 50% of UK and 38% of Australian hospitals used local hospital-specific tools. Oral care assessments were undertaken on admission in 73% of UK and 57% of Australian hospitals. Staff had received oral care training in the last year in 55% of UK and 30% of Australian hospitals. Inadequate training and education on oral care for pre-registration nurses were reported by 63% of UK and 53% of Australian respondents.

Conclusion
Unacceptable variability exists in oral care practices in hospital stroke care settings. Oral care could be improved by increasing training, performing individual assessments on admission, and using standardised assessment tools and protocols to guide high quality care. The study highlights the need for incorporating staff training and the use of oral care standardised assessments and protocols in stroke care in order to improve patient outcomes.
Brief report: The uricase mutation in humans increases our risk for cancer growth
Authors: Fini Mehdi A. , Lanaspa Miguel A. , Gaucher Eric A. , Boutwell Brian , Nakagawa Takahiko , Wright Richard M. , Sanchez-Lozada Laura G. , Andrews Peter , Stenmark Kurt R. , Johnson Richard J. 
Published: September 2021

AbstractBackgroundRecent studies suggest that fructose, as well as its metabolite, uric acid, have been associated with increased risk for both cancer incidence and growth. Both substances are known to cause oxidative stress to mitochondria and to reduce adenosine triphosphate (ATP) production by blocking aconitase in the Krebs cycle. The uricase mutation that occurred in the Miocene has been reported to increase serum uric acid and to amplify the effects of fructose to stimulate fat accumulation. Here we tested whether the uricase mutation can also stimulate tumor growth.MethodsExperiments were performed in mice in which uricase was inactivated by either knocking out the gene or by inhibiting uricase with oxonic acid. We also studied mice transgenic for uricase. These mice were injected with breast cancer cells and followed for 4 weeks.ResultsThe inhibition or knockout of uricase was associated with a remarkable increase in tumor growth and metastases. In contrast, transgenic uricase mice showed reduced tumor growth.ConclusionA loss of uricase increases the risk for tumor growth. Prior studies have shown that the loss of the mutation facilitated the ability of fructose to increase fat which provided a survival advantage for our ancestors that came close to extinction from starvation in the mid Miocene. Today, however, excessive fructose intake is rampant and increasing our risk not only for obesity and metabolic syndrome, but also cancer. Obesity-associated cancer may be due, in part, to a mutation 15 million years ago that acted as a thrifty gene.
Evaluating latent content within unstructured text: an analytical methodology based on a temporal network of associated topics
Authors: Camilleri Edwin , Miah Shah Jahan 
Published: September 2021

AbstractIn this research various concepts from network theory and topic modelling are combined, to provision a temporal network of associated topics. This solution is presented as a step-by-step process to facilitate the evaluation of latent topics from unstructured text, as well as the domain area that textual documents are sourced from. In addition to ensuring shifts and changes in the structural properties of a given corpus are visible, non-stationary classes of cooccurring topics are determined, and trends in topic prevalence, positioning, and association patterns are evaluated over time. The aforementioned capabilities extend the insights fostered from stand-alone topic modelling outputs, by ensuring latent topics are not only identified and summarized, but more systematically interpreted, analysed, and explained, in a transparent and reliable way.
Endovascular therapy for severely calcified plaque at the superficial femoral artery using myocardial biopsy forceps
Authors: Hirano Shojiro , Funatsu Atsushi , Nakamura Shigeru , Ikeda Takanori 
Published: September 2021

Abstract
Background
Currently, the success rate of EVT for treating CTO of the SFA is high; however, EVT is still found to be insufficient in treating CTOs with severely calcified lesions. Even if the guidewire crosses the lesion, the calcifications may still cause difficulties during stent expansion.

Main text
A 78-year-old male had been reported to have intermittent claudication with chronic total occlusion (CTO) of the right superficial femoral artery (SFA). Angiography revealed severely calcified plaque (Angiographic calcium score: Group4a [1]) at the ostium of the SFA. Stenting posed a risk of underexpansion, causing the plaque to shift to the deep femoral artery. we decided to remove the calcified plaque using biopsy forceps. After removing the extended calcified plaque, the guidewire could cross easily, and the self-expandable stent was well dilated without causing the plaque to shift to the DFA.

Conclusions
Biopsy forceps may be used in some endovascular cases to remove severely calcified lesions.
To ensure the safety of the patient, the physician must be adept at performing this technique before attempting it.
Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study
Authors: Abd El-samad Asmaa Ahmed , El-Meniawy Gehan Hassan , Nour El-Din Sahar Mohamed , Mohamed Nanees Essam 
Published: September 2021

Abstract
Background
In children with spastic diplegia, efficient use of the upper extremity especially the hands play an important role in participation in daily living. Hands can perform heavy activities and also enable to perform extremely gentle, skillful, and precise activities. Inadequate hand strength and fine motor skills may lead to functional limitations. This study was planned to investigate the pinch grip strength and fine manual control in children with spastic diplegic cerebral palsy and to determine if there is a relation between them. Thirty children with diplegic cerebral palsy and 30 normal developed children from both sexes between 5 and 10 years old were included in this study as diplegic and control groups. For all children, pinch grip strength measured by Baseline Mechanical Pinch Gauge and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition used to evaluate fine manual control.

Results
Children with diplegic cerebral palsy have significant impairment in the pinch grip strength (tip, tripod, and key) and the fine manual control (fine motor precision and integration) compared to their healthy peers of the same age. There was large positive significant correlation (r > 0.5, p < 0.05) between tip and tripod pinch strength, and fine motor precision and medium positive significant correlation (r = 0.47, p < 0.05) between key pinch and fine motor precision in children with spastic diplegia. Also, there was large positive significant correlation between tip pinch and fine motor integration (r = 0.54, p < 0.05). The correlations are small and medium positive between tripod and key pinch strength, and fine motor integration respectively but they are not statistically significant.

Conclusions
Pinch grip strength and fine manual skills are affected in children with spastic diplegia. Also, there is a significant correlation between the pinch strength and activities require precise control of the hand.
Trans Aesthetics and Similes of Oppression
Authors: Miller Shae (Shaeleya) D. 
Published: September 2021

Abstract
Because we live in a cisnormative society, trans inclusion is often filtered through cis subjectivities, allowing real or potential allies to “make sense” of transness without decentering their own experiences. This article investigates these dynamics through analysis of “trans aesthetics”—the symbols, language, and cultural meanings stereotypically associated with transness—when used by cisgender queer college students to signal trans-inclusive investments and forge solidarity with trans peers. This study examines three deployments of trans aesthetics: 1) using queer to signal trans-inclusive identities and community, 2) routinizing pronoun introductions, and 3) formulating “similes of oppression” that link trans and cisgender queer people's experiences of heterosexism. While potentiating opportunities for trans solidarity and inclusion, these practices simultaneously reinscribe cisnormative understandings and articulations of gender by empowering cisgender students to filter transness through their own lenses, and to construct hybrid cis subjectivities in the process. Ultimately, this research extends trans and critical allyship studies through empirical analysis of how cisnormativity infuses ostensibly trans-inclusive discourses.