bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relationship of inflammatory indices with left atrial appendage thrombus or spontaneous echo contrast in patients with atrial fibrillation
Authors: Wang Zhao , Wang Bin-Hao , Yang Xiao-Lei , Xia Yun-Long , Zhang Sheng-Min , Che Ying 
Published: June 2024

BACKGROUND
Inflammatory indices derived from complete blood tests have been reported to be associated with poor outcomes in patients with atrial fibrillation (AF). The data about the relationship between inflammatory indices and left atrial appendage thrombus (LAAT) or dense spontaneous echo contrast (SEC) are limited.
AIM
To explore the value of inflammatory indices for predicting the presence of LAAT or dense SEC in nonvalvular AF patients.
METHODS
A total of 406 patients with nonvalvular AF who underwent transesophageal echocardiography were included and divided into two groups based on the presence (study group) or absence (control group) of LAAT or dense SEC. Inflammatory indices, including the neutrophil-to-lymphocyte ratio (NLR), platelet–to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR), were calculated from complete blood analysis. The associations of inflammatory indices with LAAT/dense SEC were analyzed using logistic regression.
RESULTS
LAAT and dense SEC were detected in 11 (2.7%) and 42 (10.3%) patients, respectively. The PLR only showed an association with LAAT/dense SEC in the univariate model. Elevated NLR (odds ratio [OR] = 1.48, 95% confidence interval [CI]: 1.11-1.98, P = 0.007) and reduced LMR (OR = 0.59, 95%CI: 0.41-0.83, P = 0.003) were found to be independent risk factors for the presence of LAAT/dense SEC. The areas under the NLR and LMR curves for predicting LAAT/dense SEC were 0.73 (95%CI: 0.66-0.80, P < 0.001) and 0.73 (95%CI: 0.65-0.81, P < 0.001), respectively, while the cutoff values were 2.8 (sensitivity: 69.8%; specificity: 64.0%) and 2.4 (sensitivity: 71.7%; specificity: 60.6%), respectively.
CONCLUSION
Increased NLR and decreased LMR may predict LAAT/dense SEC in patients with nonvalvular AF.
Effect of continuous nursing on rehabilitation of older patients with joint replacement after discharge
Authors: Qi Xiao-Yan , Zhou Hong-Yan , Xing Yu-Hong 
Published: June 2024

BACKGROUND
Joint replacement is a common treatment for older patients with high incidences of hip joint diseases. However, postoperative recovery is slow and complications are common, which reduces surgical effectiveness. Therefore, patients require long-term, high-quality, and effective nursing interventions to promote rehabilitation. Continuity of care has been used successfully in other diseases; however, little research has been conducted on older patients who have undergone hip replacement.
AIM
To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement.
METHODS
A retrospective analysis was performed on the clinical data of 113 elderly patients. Patients receiving routine nursing were included in the convention group (n = 60), and those receiving continuous nursing, according to various methods, were included in the continuation group (n = 53). Harris score, short form 36 (SF-36) score, complication rate, and readmission rate were compared between the convention and continuation groups.
RESULTS
After discharge, Harris and SF-36 scores of the continuation group were higher than those of the convention group. The Harris and SF-36 scores of the two groups showed an increasing trend with time, and there was an interaction effect between group and time (Harris score: F intergroup effect = 376.500, F time effect = 20.090, F interaction effect = 4.824; SF-36 score: F intergroup effect = 236.200, F time effect = 16.710, F interaction effect = 5.584; all P < 0.05). Furthermore, the total complication and readmission rates in the continuation group were lower (P < 0.05).
CONCLUSION
Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.
Effects of personalized oral hygiene management on oral health status of pregnant women
Authors: Men Xiao-Chen , Du Xiao-Pei , Ji Ying 
Published: June 2024

BACKGROUND
The Cariostat caries activity test (CAT) was used to evaluate the effectiveness of personalized oral hygiene management combining oral health education and professional mechanical tooth cleaning on the oral health status of pregnant women.
AIM
To investigate whether personalized oral hygiene management enhances the oral health status of pregnant women.
METHODS
A total of 114 pregnant women who were examined at Dalian Women’s and Children’s Medical Center were divided into four groups: High-risk experimental group (n = 29; CAT score ≥ 2; received personalized oral hygiene management training), low-risk experimental group (n = 29; CAT score ≤ 1; received oral health education), high-risk control group (n = 28; CAT score ≥ 2), and low-risk control group (n = 28; CAT score ≤ 1). No hygiene intervention was provided to control groups. CAT scores at different times were compared using independent samples t -test and least significant difference t -test.
RESULTS
No significant difference in baseline CAT scores was observed between the experimental and control groups, either in the high-risk or low-risk groups. CAT scores were reduced significantly after 3 (1.74 ± 0.47 vs 2.50 ± 0.38, P < 0.0001) and 6 months (0.53 ± 0.50 vs 2.45 ± 0.42, P < 0.0001) of personalized oral hygiene management intervention but not after oral health education alone (0.43 ± 0.39 vs 0.46 ± 0.33, P > 0.05 and 0.45 ± 0.36 vs 0.57 ± 0.32, P > 0.05, respectively). Within groups, the decrease in CAT scores was significant (2.43 ± 0.44 vs 1.74 ± 0.47 vs 0.53 ± 0.50, P < 0.0001) for only the high-risk experimental group.
CONCLUSION
Personalized oral hygiene management is effective in improving the oral health of pregnant women and can improve pregnancy outcomes and the oral health of the general population.
Status, outcome, and related factors of postpartum hypertension in the Shanghai community
Authors: Wu Ling-Xia , Jin Man , Yang Jian 
Published: June 2024

BACKGROUND
Postpartum hypertension poses a considerable health risk. Despite research on gestational hypertension, comprehensive studies focusing on postpartum hy-pertension in communities are limited. Understanding its prevalence and associated risk factors is crucial for effective prevention and management.
AIM
To provide insights for postpartum hypertension’s prevention and management.
METHODS
In total, 3297 women who gave birth between June 2021 and December 2022 in Xuhui District, Shanghai were selected. Blood pressure was measured thrice within one month post-delivery during home visits. Eighty-six women with hypertension were followed up for four months to analyze hypertension per-sistence and its related risk factors. A predictive model for persistent postpartum hypertension was established and verified using the Nomo diagram model.
RESULTS
Hypertension prevalence 1 month post-delivery was 2.61% (86/3297). Among the 86 pregnant women, 32 (37.21 %) had persistent hypertension at four months post-delivery. Multivariate logistic regression analysis revealed that older age [odds ratio (OR) = 1.212; 95% confidence interval (CI): 1.065–1.380] and higher pre-pregnancy body mass index (BMI) (OR = 1.188; 95%CI: 1.006–1.404) were associated with hypertension (OR = 10.781; 95%CI: 1.006–1.404) during pregnancy. A 95%CI of 1.243–93.480 is a risk factor for persistent postpartum hypertension. The Nomograph model accurately predicted the risk of persistent postpartum hypertension, demonstrating high precision.
CONCLUSION
In Xuhui, older age, higher pre-pregnancy BMI, and gestational hypertension are risk factors for persistent postpartum hypertension. Our prediction model can identify high-risk individuals, thereby improving patient quality of life.
Comparison of ovarian preservation versus oophorectomy on fertility outcomes in patients with endometriosis post-laparoscopic surgery: A prospective study
Authors: Zhou Jin-Jin , Yu Ke , Mao Hai-Yan , Li Cen 
Published: June 2024

BACKGROUND
Endometriosis is a chronic inflammatory condition affecting a significant proportion of women of reproductive age. Although laparoscopic surgery is commonly the preferred treatment, the decision to preserve or remove the ovaries remains controversial. Previous studies have yielded inconsistent results regarding the impact of ovarian preservation vs oophorectomy on fertility outcomes and disease recurrence. This prospective study aimed to address this knowledge gap by comparing the effects of these surgical approaches on spontaneous pregnancy rates, time to pregnancy, recurrence rates, and postoperative pain in patients with endometriosis.
AIM
To compare the reproductive outcomes and recurrence rates between ovarian preservation and oophorectomy in women undergoing laparoscopic surgery for endometriosis.
METHODS
This study was conducted at a tertiary care hospital between January 2019 and December 2023. A total of 312 women aged 18 to 40 years, diagnosed with endometriosis and undergoing laparoscopic surgery, were included. The patients were categorized into the ovarian preservation group (n = 204) and the oophorectomy group (n = 108). The primary outcome measure was the achievement of spontaneous pregnancy within 24 months post-surgery. Secondary outcomes included time to spontaneous pregnancy, recurrence rates, and postoperative pain scores.
RESULTS
The ovarian preservation group exhibited a significantly higher spontaneous pregnancy rate than that in the oophorectomy group (43.6% vs 28.7%, P = 0.006). Moreover, the median time to spontaneous pregnancy was shorter in the ovarian preservation group (8.2 months vs 11.4 months, P = 0.018). Nonetheless, endometriosis recurrence was more prevalent in the ovarian preservation group (22.1% vs 11.1%, P = 0.014). The postoperative pain scores demonstrated similar improvements in both groups, with no significant differences observed. Subgroup analyses indicated that the benefit of ovarian preservation on spontaneous pregnancy rates was more evident among younger women (≤ 35 years) and those with advanced-stage endometriosis.
CONCLUSION
Ovarian preservation is associated with a high spontaneous pregnancy rate and a short time to pregnancy. However, because of the increased risk of recurrence, the decision should be based on age, fertility aspirations, and disease severity.
Primary hepatic lymphoma presenting as pyogenic liver abscess: A case report
Authors: Xu Zhi-Yang , Pan Ying , Ye Wen-Jing , Liu Jin-Liang , Wu Xue-Jie , Tang Cui-Lan 
Published: June 2024

BACKGROUND
Primary hepatic lymphoma (PHL) is a lymphoproliferative disorder confined to the liver without peripheral lymph node involvement and bone marrow invasion. PHL is extremely rare in clinical practice. The etiology and pathogenesis of PHL are largely unknown. There are no common standard protocols or guidelines for the treatment of PHL.
CASE SUMMARY
We report the case of a 66-year-old man who presented with fever and abdominal pain for three weeks. Computed tomography and magnetic resonance imaging scans showed a pyogenic liver abscess. The patient underwent a right posterior hepatectomy. The surgical pathology revealed aggressive B-cell lymphoma, with a primary consideration of diffuse large B-cell lymphoma of non-germinal center origin.
CONCLUSION
This article reviews the characteristics, mechanism and treatment of PHL and provides insight into the diagnosis of PHL.
Norwegian scabies presenting as erythroderma: A case report
Authors: Chen Hai-Ju , Lu Chun-Ying , Huang Guo-Mei , Tang Lu-Lu 
Published: June 2024

BACKGROUND
Norwegian scabies (NS) is a serious parasitic skin condition. Although NS is one of the causes of erythroderma, it is frequently overlooked. Therefore, it is essential to raise awareness regarding NS presenting as erythroderma.
CASE SUMMARY
We present a case of NS that persisted for more than 3 years. After following nonstandard treatment, the patient’s rash worsened and gradually progressed into erythroderma. Finally, NS was diagnosed by skin microscopy and pathology.
CONCLUSION
When patients with pruritic dermatosis have high-risk factors such as prolonged bed rest and immunodeficiency, clinicians need to enhance their awareness of NS and ensure prompt diagnosis and treatment.
Hepatoid adenocarcinoma of the lung: A case report
Authors: Mo Yi-Jun , Lin Li-Na , Tao Jing-Li , Zhang Tao , Zhang Jian-Hua 
Published: June 2024

BACKGROUND
Hepatoid adenocarcinoma of the lung (HAL) is a rare type of non-small cell lung cancer (NSCLC), histologically similar to hepatocellular carcinoma. HAL has high malignancy and poor prognosis, and a better treatment plan needs further study.
CASE SUMMARY
In order to deeply understand the occurrence and development of HAL, here we report a case of HAL with extensive metastasis of alpha fetoprotein negative KRAS A146T mutation. The patient refused chemotherapy and received one course of treatment (immune checkpoint inhibitors), and died three months later due to progressive disease.
CONCLUSION
HAL is a special type of NSCLC. The surgical treatment of HAL in the limited stage can achieve long-term survival, but most of them were in the advanced stage when they were found, and the prognosis was poor, which requires multidisciplinary comprehensive treatment.
Fifteen acute retrobulbar optic neuritis associated with COVID-19: A case report and review of literature
Authors: Li Rong-Rong , Zhang Bao-Ming , Rong Su-Ran , Li Huan , Shi Peng-Fei , Wang Yun-Chang 
Published: June 2024

BACKGROUND
A subtype of the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is suggested to be responsible for the outbreak in Northern China since the quarantine was lifted in December 2022. The coronavirus disease 2019 virus is primarily responsible for the development of respiratory illnesses, however, it can present a plethora of symptoms affecting a myriad of body organs. This virus has been theorized to be linked to demyelinating lesions of the peripheral and central nervous system including transverse myelitis and acute retrobulbar optic neuritis (ARON). For example, magnetic resonance imaging (MRI) of the orbit and brain showed enlargement of the retrobulbar intraorbital segments of the optic nerve with high T2 signal, and no abnormalities were seen in the brain tissue. In this case series, we analyzed the connection between SARS-CoV-2 infection and the onset of ARON.
CASE SUMMARY
Fifteen patients, and a teenage boy who did not have any pre-existing ocular or demyelinating diseases suddenly experienced a loss of vision after SARS-CoV-2 infection. The patients expressed a central scotoma and a fever as the primary concern. The results of the fundus photography were found to be normal. However, the automated perimetry and MRI scans showed evidence of some typical signs. Out of the 15 patients diagnosed with ARON after SARS-CoV-2 infection, only one individual tested positive for the aquaporin-4 antibody.
CONCLUSION
Direct viral invasion of the central nervous system and an immune-related process are the two primary causes of SARS-CoV-2-related ARON.
Intracranial hypertension as the primary symptom of malignant melanoma: A case report
Authors: Xie Hai-Ting , An Ding-Hao , Wu Duo-Bin 
Published: June 2024

BACKGROUND
The etiological diagnosis of intracranial hypertension is quite complicated but important in clinical practice. Some common causes are craniocerebral injury, intracranial space-occupying lesion, subarachnoid hemorrhage, and hydrocephalus. When a patient presents with intracranial hypertension, the common causes are to be considered first so that other causes would be dismissed. With the morbidity lower than 9%, neuromelanin is very rare. Common symptoms include nerve damage symptoms, epilepsy, psychiatric symptoms, and cognitive disorders.
CASE SUMMARY
We present a patient with melanoma which manifested with isolated intracranial hypertension without any other neurological signs. A 22-year-old male had repeated nausea and vomiting for 2 mo with Babinski sign (+) on both sides, nuchal rigidity, and subarachnoid hemorrhage. He had been diagnosed with melanoma and was given surgery and whole-brain radiation. Ultimately, the patient died 2 mo later.
CONCLUSION
Malignant melanoma should be taken into consideration in the differential diagnosis of intracranial hypertension.
Combustion Synthesis and Study of Crystallographic and Luminescence Aspects of Double Perovskite Ba2BiYO6:Sm3+ Nanocrystal for Modern Lighting Applications
Authors: Garg Ojas , Kumar Mukesh , Dalal Hina , Devi Poonam , Sehrawat Neeraj , Solanki Diksha , Dahiya Sunita 
Published: June 2024

A Sm3+-activated double perovskite Ba2BiYO6 nanocrystal system exhibiting a strong orange-red luminescence was prepared using an energy-efficient solution combustion synthetic procedure. The crystal structures were found to be cubic and belong to the Fm3m (225) space group with irregular shapes having a mean diameter of 51 nm. The surface aspects were explored via scanning and transmission electron microscopic (SEM and TEM) techniques. After exposure to UV energy (410 nm), the nanocrystals emit a active reddish-orange light at 16447 cm-1, caused by the transition from the 4G5/2→6H7/2 electronic state. The effects of energy transfer were also considered. The highest photoluminescence emission intensity occurs at a concentration of 3.0 mol% Sm3+ ions after which starts declining owing to the formation of d-d interactions of concentration quenching. The colour coordinates, based on the chromaticity chart, fall within the reddish region and the correlated colour temperature (CCT) value was measured at 1715 K for optimal sample Ba2BiY0.97Sm0.03O6. Consequently, these nanocrystals are well-suited for use in white lighting emitting (WLED) manufacturing and designed primarily for the purpose of constructing attractive modern lighting components.
The Development of an Integrated Physics Module with Augmented-Assisted-Qur'an for Measurement Material
Authors: Handayani Fitria , Idrus Hadiyati , Chandra Artha Nesa , Agustiyanto Frans Rizal 
Published: June 2024

The main problems of current research are the limited measuring tools, handout-based teaching materials and 2D illustrated textbooks that are less varied, and the lack of integration of Al-Qur'an material with technology-based applications. In the educational field, one of the technological advancements is Augmented Reality (AR) which provides a shifting experience from 2D images to 3D. Therefore, technological integration is important to realize a physics module about measurement material and the Al-Qur’an to make students interested in learning by associating the teaching material and the everyday life context. This R&D applied the 4D model (Define, Design, Development, Dissemination). However, this research is limited to the practical development stage. The researchers used validation sheets from 3 aspects: material and media validation by 3 validators, and interpretation validation by 2 validators. The researchers distributed the practicality sheets to 2 teachers and 28 students The results of data analysis of material validation, media validation and expert interpretation obtained percentages consecutive percentages of 94.5%, 83.3%, and 91.6% with the category of very valid. Meanwhile, the practicality of the module based on the educators and students was 98.6% and 86.4% with the category of very practical.
Giuseppe Verdi and Politics: A socio-political study of Verdi’s Operas
Authors: Yazar İlhan Uğur 
Published: June 2024

This article explores the close relationship between the operas of Giuseppe Verdi and the political context of 19th-century Italy. It examines how Verdi, through his musical and dramatic choices, reflected and influenced the Risorgimento movement, the struggle for Italian unification. While acknowledging the complexities of interpreting artistic works through solely political lenses, the article argues that Verdi's operas cannot be fully understood without considering their embeddedness within the turbulent political landscape of his time.
Verdi, revered as the national composer of Italy, lived at the heart of a period of immense political upheaval. The Risorgimento, a movement seeking to unify Italy into a single nation, deeply shaped his life and artistic expression. This article delves into how Verdi's operas served as both mirrors and megaphones, reflecting the anxieties and aspirations of the Italian nation in flux while simultaneously influencing the public opinion and galvanizing support for the national unification cause.
(Extended English summary is at the end of this document)

Özet
Bu makale, Giuseppe Verdi'nin operaları ile 19. yüzyıl İtalya'sının siyasi bağlamı arasındaki yakın ilişkiyi araştırmaktadır. Bu bağlamda, Verdi'nin dramatik müzikal eserleriyle, İtalyan ulusal birleşme mücadelesi olan Risorgimento hareketini nasıl yansıttığı ve yansıtmaktan da öteye geçerek nasıl motive ettiği incelenmektedir. Makalede, sanatsal eserlerin yalnızca siyasi bakış açısıyla yorumlamanın karmaşıklığı kabul edilirken, Verdi'nin operalarının, kendi zamanının çalkantılı siyasi ortamı ile iç içe geçmiş olduğu dikkate alınmadan tam olarak anlaşılamayacağını vurgulanmaktadır.
İtalya'nın ulusal bestecisi olarak büyük saygı duyulan Giuseppe Verdi, yabancı yönetimi altındaki parçalı bir ülke içinde ve ciddi bir siyasi çalkantı döneminin kalbinde yaşadı. İtalya'yı tek bir ulus halinde birleştirmeyi amaçlayan bir hareket olan Risorgimento, onun hayatını ve sanat eserlerinin ortaya koyduğu ifadeyi derinden şekillendirdi. Bu makale, Verdi'nin operalarının toplumsal anlamda nasıl hem bir ayna hem de bir seslendirici görevi gördüğünü, bu bağlamda değişim halindeki bir ulusun endişelerini ve isteklerini yansıtırken aynı zamanda kamuoyunu da nasıl etkilediğini ve İtalya’daki ulusal birleşme davasına yönelik halkın desteğini nasıl harekete geçirdiğini ele almaktadır.
Energy efficiency in cooling systems: integrating machine learning and meta-heuristic algorithms for precise cooling load prediction
Authors: Xu Kunming 
Published: June 2024

Abstract
Since cooling load estimation directly impacts air conditioning control and chiller optimization, it is essential for increasing the energy efficiency of cooling systems. Machine learning outshines traditional regression analysis by efficiently managing vast datasets and discerning complex patterns influenced by various factors like occupancy, building materials, and meteorology. These capabilities greatly enhance building management and energy optimization. The primary objective of this study is to introduce a framework based on ML algorithms to accurately predict cooling loads in buildings. The Decision Tree model was chosen as the core algorithm for this purpose. Furthermore, as an innovative approach, four metaheuristic algorithms – namely, the Improved Arithmetic Optimization Algorithm, Prairie Dog Optimization, Covariance Matrix Adaptation Evolution Strategy, and Coyote Optimization Algorithm – were employed to enhance the predictive capabilities of the Decision Tree model. The dataset which utilized in this study derived from previous studies, the data comprised of eight input parameters, including Relative Compactness, Surface Area, Wall Area, Roof Area, Overall Height, Orientation, Glazing Area, and Glazing Area Distribution. With an astonishing R
2 value of 0.995 and a lowest Root Mean Square Error value of 0.660, the DTPD (DT + PDO) model performs exceptionally well. These astounding findings demonstrate the DTPD model’s unmatched precision in forecasting the results of cooling loads and point to its potential for useful implementation in actual building management situations. Properly predicting and managing cooling loads ensures that indoor environments remain comfortable and healthy for occupants. Maintaining optimal temperature and humidity levels not only enhances comfort but also supports good indoor air quality.