bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of Smart After-Care Program for Patients With Lung Cancer
Authors: Yang Hee Chul , Chung Seung Hyun , Yoo Ji Sung , Park Boram , Choi Jin Ho , Kim Moon Soo , Lee Jong Mog 
Published: October 2021

Abstract
Introduction:

The efficacy of telemedicine in cancer survivors is uncertain. The Smart After-care Program (SAP), which is an interactive, smartphone-based remote health monitoring system, was developed to help individual patients manage their health after leaving the hospital. This study aims to evaluate the efficacy of our remote health care program for lung cancer patients.
Methods

We enrolled 50 lung cancer patients. Self-monitoring devices were supplied to all patients, who were instructed to enter their daily vital signs and subjective symptoms to the Smart After-care app. The app also provided information about rehabilitation exercises and a healthy diet for lung cancer patients. All patients received telephone health counseling once a week and visited an outpatient clinic on the 6th and 12th week to assess satisfaction with the SAP and changes in quality of life and physical performance.
Results

Overall satisfaction with the SAP was very high (very good, 61.9%; good, 26.2%). In the multivariate analysis for factors affecting satisfaction, the distance between the patient’s residence and the hospital was the only independent factor (p = 0.013). Quality of life was improved in all functional scales (p < 0.05). Muscle strength was significantly improved in the lower limbs (p = 0.012). Two-minute walk distance was also significantly improved (p = 0.028).
Conclusion

This study demonstrated that the SAP was acceptable among and supportive of patients with reduced pulmonary function after lung cancer treatment. The study proved that the SAP was more useful for patients living far away from a hospital.
Effects of ‘timing It Right’ on Comprehensive Unmet Needs and Psychological Pain in Radiotherapy Patients: A Randomized Controlled Trial
Authors: LI TENG , Zhang Yin-Ping , Kong JunJuan , Kong Min , Jia Yi-Tong , Shi Wen-Xin 
Published: October 2021

Abstract
Purpose To explore the effects of ‘Timing It Right’ on the comprehensive unmet needs and psychological pain of patients receiving radiotherapy.Design A prospective randomized controlled trial.Methods A randomized controlled trial was conducted, and 140 patients receiving radiotherapy were randomly divided into two groups, with 70 cases in the intervention group and 70 cases in the control group. The intervention group received routine care follow-up and a comprehensive nursing mode intervention based on ‘Timing It Right’, while the control group received routine care and follow-up. The comprehensive needs and psychological pain of radiotherapy patients before intervention, at discharge, 3 months after discharge, and 6 months after discharge were compared.Results A total of 137 patients completed the study. At discharge, 3 months after discharge, and 6 months after discharge, information needs (z=3.369,6.240,6.440, p＜0.01), health and psychological problems (z=2.185, 3.200, 3.380, p＜0.05), health care staff (z=2.829, 4.518, 4.708, p＜0.01), physical symptoms (z=4.167, 5.742, 5.742, p＜0.01), health facilities and services (z=2.829, 4.304, 4.630, p＜0.01), religious/spiritual support (z=2.296, 3.470, 3.470, p＜0.05) of the TIR group were improved compared with the control group. Psychological pain (z=2.115, 2.329, 2.411, p＜0.05) of the TIR group was significantly less than that of the control group. Information needs, health care staff, physical symptoms, health facilities and services differed significantly at points in time, groups, and interactions. In addition to practical support, the remaining indicators of both groups differed significantly at different observation points.Conclusions TIR had positive effects on meeting the needs of radiotherapy patients and improving their psychological pain, therefore supporting TIR’s use as an effective psychological management and intervention strategy in the early stages of long-term rehabilitation of radiotherapy patients.
Causality of Internal and External Linkages of Enterprises' Low-Carbon Strategy From a Configuration Perspective
Authors: Wang Wenxi , Li Ziyi 
Published: October 2021

Abstract
This study aims to identify the motivations behind the low-carbon strategy of companies. For this purpose, a fuzzy set qualitative comparative analysis is conducted to explore the linkage effects of internal and external factors such as business environment, industry environment and individual heterogeneity on the company's low-carbon strategy based on a multi-dimensional theoretical perspective. It is found that the low-carbon strategy of companies in a low, medium, and high-level business environment follow the order of " survival maintenance ", "firm foothold", "bigger and stronger", "adapt to the trend", and "value innovation". Further analysis shows that the proper order of the three types of indicators from high to low is: industry environment, individual heterogeneity, and business environment. “The industry is under pressure and has enough power” is a key reason for low-carbon strategies; the competition intensity within the industry is an important external incentive for low-carbon strategy; CEO power is an important internal driving force for low-carbon strategy. This paper shows that a high-level business environment can help to improve managers’ forward-looking decision-making and help companies escape the inherent thinking of the “red sea competition”.
Improving the Performance of Hospital Information System Usage: Adaptive Structuration Theory and Job Demand-Control Perspectives
Authors: Zhu Change , Song Baoxiang , Zhou Lulin 
Published: October 2021

Abstract
Background: More healthcare facilities have been forced to introduce hospital information systems (HISs) aimed at integrating daily clinical and administrative concerns. As a result, China begun to implement HISs with basic functionalities among large and medium-sized hospitals. Although still in the initial stages of HIS usage, the performance of adopting HISs has yet to be evaluated. These applications are suitable for investigating user-system performance issues but seldom been utilized in a healthcare context. Even though models such as the technology acceptance model incorporates the determinants of technology use, the predictors assembled by these models largely focuses on interindividual user characteristics, yet none of them comprehensively exhaust other complex user adaptation characteristics relating to structure and task. We fill this gap by empirically investigating the motivators for improving Chinese physicians’ performance through HIS usage, based on the lens of adaptive structuration theory and job demand-control model.Methods: Using survey methodology, 305 valid responses were collected and analyzed via partial least squares.Results: The eight proposed hypotheses were supported in their entirety. Further, a moderating analysis was undertaken and it was determined that the associations of technology adaptation-task adaptation, technology adaptation-job demand, task adaptation-job demand, and job demand-attitude showed significant differences occurring between residents and attending physicians.Conclusions: Based on the findings, administrators are suggested to increase the training of physicians regarding their use of an HIS, and to grant physicians sufficient discretion necessary to improve the level of job demand and job control. This must be done in order to improve the performance of current HIS usage.
How can a Random Phenomenon between Particles be Synchronized Instantaneously and Independently of the Distance Between Said Particles?
Authors: Mastriani Mario 
Published: October 2021

Abstract
Entanglement is a random phenomenon that is instantly synchronized, regardless of the space that mediates between entangled particles. However, the instantaneous transmission of information using entanglement is impossible. This is because the instantaneity in the synchronization of non-local outcomes as a consequence of quantum measurement (after the distribution of the entangled pairs) cannot be used for an entanglement-based communication system to transmit information instantaneously. This impossibility stems from the following two reasons: a) the difficulty of controlling non-local outcomes through local actions without the intervention of an auxiliary channel (classical), and b) regardless of the previous point, no communication system based on entanglement can be instantaneous due to the distribution of an entangled pair at relativistic speeds, necessary to generate the quantum channel, each time a qubit must be transmitted. Three simple experiments help to clarify this controversial point. In fact, this study establishes what is truly responsible for the impossibility to transmit information instantaneously of any communication system based on entanglement. In this respect, functional models of the internal behavior of quantum measurement, and entanglement were developed, which allow analyzing the instantaneity post-distribution of entangled particles, before and after a quantum measurement, as well as the randomness in the results obtained from a quantum measurement of the entanglement. In this sense, this study establishes a debate about three possible responsible for the aforementioned randomness: the quantum measurement itself, entanglement, and the human intervention. Finally, homology between the entanglement and the double-slit experiment is presented.
Modeling and Proposal of a Black Phosphorus-based Nanostructure for Detection of Avian Influenza Virus in THz Region
Authors: Hoseini Elaheh , Mir Ali , Farmani Ali 
Published: October 2021

Abstract
In this paper, a multilayer/monolayer black phosphorus (BP)-based nanostructure is presented to detect the avian influenza virus. The nanostructur is a grating arrangement made of BP over SiO2 or Al2O3 substrate. To achieve the transmission spectrum, depend on the changes in the lateral length of BP, namely (L = 100, 150, 170 nm) as well as the complex refractive index of each of three viruses types (H1N1, H5N2, H9N2) in the THz range, the structure is numerically simulated by 3D Finite Difference Time Domain (3D-FDTD) method. The change in resonance frequency is greater for the H9N2 virus because the real part of its refractive index is relatively larger. Here, too, the rate of change is examined based on the different thicknesses of the H9N2 virus. Also, changes in the refractive index of the environment have been used to calculate important parameters in the sensors, such as sensitivity, FWHM, and figure of merit. Overall, this platform provides a promising platform for detecting influenza viruses.
Finding Optimal Nutrients With Farming Techniques to inﬂuence Maize Productivity, and Mitigate Global Warming Potential Under Water-saving Agriculture in Semi-arid Regions
Authors: Zhang Tiejun , xi yueling , Ma Xiengchang 
Published: October 2021

Abstract
Background and aims: Effective nutrients management under various farming techniques is critical for improving maize productivity and ensuring the long-term protection of water-saving agriculture under semi-arid regions. However, the impacts have not been well documented in determining the features of soil greenhouse gas intensity (GHGI) emissions and the driving factors of nutrients fertilization is important for optimizing crop-land nutrients management under various farming techniques.Methods: The nutrients with farming techniques strategies were investigated under water-saving agriculture of maize during 2019-20 years, using the following nine treatments: BF: ridges covered with biodegradable film; CF: soil crust ridges; TF: conventional flat planting; 0: N:P at 0:0 kg ha-1, 1: N:P at 120:60 kg ha-1, 2: N:P at 280:140 kg ha-1. Results: Our results showed that the nutrients fertilization with various cultivation strategies had a significant influence on the GHG emissions. The BF2 treatment considerably increase soil water storage, soil respiration rate as a result of decreased ET rate and GHG emissions compared with the other treatments. The BF1 treatment significantly mitigated GWP, CH4, N2O, and CO2 emissions, changes in CH4, N2O, and CO2 cumulative emissions. The GHGI differently responded to nutrients with farming techniques strategies. Under the BF2 improved (25.0%) the average net GWP than that of TF2, but reduced GHGI, due to improved (18.5%) biomass productivity. The BF2 and BF1 farming methods results in greater N2O, CO2 emissions, GWP, and changes in cumulative CH4, N2O, and CO2 emissions, as a result, have an adverse effect on the soil than that of CF and TF treatments. Conclusions: However, obtained the higher area-scaled GWP (42.1%), WUEg (96.7%), WUEb (65.4%), and (41.1%) grain yield under the BF2 which may offset the negative environmental effects linked with climate change. Thus, it is recommended to use the BF2 treatment in water-saving agriculture under semi-arid regions for cleaner and more efficient maize production.
Electrocardiogram and CMR to Differentiate Tachycardia-induced Cardiomyopathy From Dilated Cardiomyopathy in Patients Admitted for Heart Failure
Authors: Vera Alberto , Cecconi Alberto , Martínez-Vives Pablo , Olivera María José , Hernández Susana , López-Melgar Beatriz , Rojas-González Antonio , Díez-Villanueva Pablo , Salamanca Jorge , Telejo Julio , Caballero Paloma , Jiménez-Borreguero Luis Jesús , Alfonso Fernando 
Published: October 2021

Abstract
PurposeIn patients admitted for heart failure (HF) with reduced left ventricular dysfunction and a concomitant supraventricular tachyarrhythmia (SVT) it is a challenge to predict LVEF recovery and differentiate tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DC). The role of cardiac magnetic resonance (CMR) and the electrocardiogram (ECG) in this acute setting remains unsettled. Methods Forty-three patients admitted for HF due to SVT and LVEF<50% undergoing CMR in the acute phase were retrospectively included. Those who had LVEF>50% at follow up were classified as TIC and those with LVEF<50% were classified as DC. Clinical, CMR and ECG findings were analyzed to predict LVEF recovery. ResultsTwenty-five (58%) patients were classified as TIC. Patients with DC had wider QRS (121.2±26 vs 97.7±17.35 ms;p=0.003). On CRM the TIC group presented with higher LVEF (33.4±11 vs 26.9±6.4%;p=0.019) whereas late gadolinium enhancement (LGE) was more frequent in DC group (61 vs 16%;p=0.004). On multivariate analysis, QRS duration≥100 ms (p=0.027), LVEF<40% on CMR (p=0.047) and presence of LGE (p=0.03) were independent predictors of lack of LVEF recovery. Furthermore, during follow-up (median 60 months) DC patients were admitted more frequently for HF (44% vs 0%;p<0.001) than TIC patients.Conclusion In patients with reduced LVEF admitted for HF due to SVT, QRS≥100 ms, LVEF<40% and LGE are independently associated with lack of LVEF recovery and worse clinical outcome.
Performance Evaluation and Enhancement of M-Ary DPPM Modulation for WDM-PON/FSO Systems Impaired by Atmospheric Turbulence, Interchannel Crosstalk, and ASE Noise
Authors: Elsayed Ebrahim E. , Yousif Bedir B. , Singh Mehtab 
Published: October 2021

Abstract
This paper analyses and enhances the performance of moment generating function (MGF) techniques, in particular, Chernoff bound (CB) and modified Chernoff bound (MCB). Also, we improve the M-ary digital pulse-position modulation (M-ary DPPM) systems performance of a wavelength division multiplexing (WDM) based on the passive optical network (PON) free-space optical (FSO) communications in the presence of the atmospheric turbulence (AT), amplified spontaneous emission (ASE) noise, and interchannel crosstalk (ICC). This is a technology that can have extended leverage, higher data rates, power-efficient, and is considered an ideal option for the provision of bandwidth for potential access networks. The MCB exceeds the Gaussian approximation at high gain (G = 30) and gives the tightest bound upon the bit-error-rate (BER) compared to the CB at a low gain (G = 8). In the absence of AT and at a data rate of 2.5 Gbps on the 1550 nm wavelength, DPPM scheme with coding level (M) of 2 provide about 2.9 dB improvement in average power over at a BER of \({\text{10}}^{-\text{9}}\)compared with an equivalent on-off keying (OOK) non-return-to-zero (NRZ) in the WDM-PON/FSO system. The sensitivity of M-ary DPPM modulation remains improved over OOK even though the ICC is present. The lower power penalty (PP) is predicted to be approximately 0.2-3.0 dB in WDM-FSO systems for low coding (M) 2. At a target BER of \({\text{10}}^{-\text{12}}\), the hybrid OOK-NRZ/M-ary DPPM offers about 4-8 dB optical signal-to-noise-ratio improvements over M-DPPM of the ST for the WDM-FSO link. Finally, the use of the M-ary DPPM and the optical relaying amplification technique is a powerful treatment for mitigating the impacts of ASE noise, AT, and ICC.
Development of Time Delay Estimation Algorithm Using Fuzzy Based Optimized Iterative Unscented Kalman Filter
Authors: Jagadesh T. , B Sheela Rani 
Published: October 2021

Abstract
In radar-based applications, Time Delay Estimation (TDE) is an essential criterion. Because of non-stationary behaviour, estimating the time delay between two turbulent signals is difficult. Existing delay estimation methods such as the cross correlation technique are restricted to stationary signals. The non-stationary signals are either fractal or periodic signal. The accuracy of this method is more reliable for fractal signals than for periodic signals. With a cost function at hand it is sensible to check whether the state correction results in a cost decrease in the first place, new parameter is optimized using Fuzzy Elephant Herding Optimization (FEHO). Further this paper incorporates ADAM based neural network (ADAM-NN) model for efficient time delay estimation. The study resulted in significant improvement upto 21.5% in estimating the time delay when compared with conventional methods.
Influence of Continuous Application of Radioactive Cs Contaminated Farmyard Manure Compost to Radioactive Cs Contaminated Soils on the Forage Corn
Authors: Asagi Naomi , Takahashi Rika , Ysue Takeshi , Nishiwaki Junko , Nitta Youji , Shiotsu Fumitaka , Komatsuzaki Masakazu 
Published: October 2021

Abstract
Aims We investigated the influence of continuous application of two cattle farmyard manure composts (FYMCs), with high and low radioactive Cs contents, to two soils (top soil with high Cs and subsoil with low Cs contents) on the productivity of forage corn and on the fate of Cs in the soil and plant system. Methods The two soils were placed in separate containers. For each soil type, the following three fertilization treatments with four replicates each were established: no manure compost, FYMC with low radioactive Cs, and FYMC with high radioactive Cs. Forage corn seeds were sown in each container and cultivated in 2013, 2014, and 2015.Results The aboveground dry weight of the forage corn at harvest was higher in the top soil than in the subsoil. The dry weight of corn increased with the application of cattle FYMC. Moreover, radioactive Cs concentration in corn and transfer factor increased with the application of the FYMC contaminated with high radioactive Cs. However, with the application of the high Cs contaminated FYMC for 3 years, the radioactive Cs concentration in the corn did not exceed the provisional regulation value for radioactive Cs in cattle roughage (100 Bq kg-1 fresh matter). Conclusion The cattle FYMC with radioactive Cs　less than 2316 Bq kg-1 fresh matter can improve subsoil productivity by maintaining the Cs concentrations in forage corn well under the provisional regulation value for radioactive Cs in cattle roughage.
The Influence of Microwave Irradiation on Physicochemical Characteristics of Nitrogen-Enriched Carbon and Its Performance in Biogas Desulfurization
Authors: Nor Norhusna Mohamad , Chung Lau Lee , Mohamed Abdul Rahman 
Published: October 2021

Abstract
In this work, palm shell activated carbon (PSAC) was functionalized with nitrogen groups via urea impregnation, followed by the synthesis of microwave (MW) and conventional heating (TH) at temperature of 950 °C, 500 ml/min of N2 flow rate and 30 minutes of heating time. The effects of MW and TH heating on the modified PSAC adsorbent were analyzed and compared towards hydrogen sulfide (H2S) removal. The efficiency of H2S removal was calculated based on adsorption capacity of the adsorbent samples. Nitrogen-functionalized PSAC that was synthesized via MW heating (PSAC-MW) has shown better performance with adsorption capacity of 356.94 mg/g. The chemical and physical characteristics of all adsorbent samples were studied and analyzed by using CHNS elemental analysis, N2 adsorption-desorption analysis, SEM, TGA and FTIR analysis. The adsorbent sample that was synthesized via MW heating showed significant characteristics, such as high surface area with sponge-like structure, in which there are additional pores developed inside the existing pores. Instead of that, there was an observation on ‘hot spot’ appearance during the MW heating process, which is believed to be responsible for the development of physical and chemical characteristics of the PSAC-MW adsorbent. These characteristics indirectly contribute to the high removal of H2S.
Dyadic illness management: the influence of symptom severity on the informal caregivers of palliative care patients
Authors: Valero-Cantero Inmaculada , Casals Cristina , Carrión-Velasco Yolanda , Barón-López Francisco Javier , Martínez-Valero Francisco Javier , Vázquez-Sánchez María Ángeles 
Published: October 2021

Abstract
Background

This study anlyzed whether informal caregivers of patients with advanced cancer suffer impaired sleep quality, increased strain, reduced quality of life and/or increased care burden due to the presence and heightened intensity of symptoms in the person being cared for.
Method

A total of 41 patient-caregiver dyads (41 caregivers and 41 patients with advanced cancer) were recruited at six primary care centres. Data were obtained over a seven-month period. Caregiver’s quality of sleep, caregiver’s quality of life, caregiver strain, patients’ symptoms and their intensity, and sociodemographic, clinical and care-related data variables were assessed. The associations were determined using non-parametric Spearman correlation.
Results

Informal caregivers of patients with advanced cancer are impacted in negative ways by the presence and intensity of the patients’ symptoms. Accordingly, the optimum control of these symptoms benefits not only the patient but also the caregiver.
Conclusions

Informal caregivers for patients with advanced cancer suffer negative consequences from the presence and intensity of these patients’ symptoms. Therefore, optimising the control of symptoms would benefit not only the patients but also their caregivers. Thus, interventions should be designed to improve the outcomes of patient-caregiver dyads in such cases.