bluuebunny/crossref_metadata_2025_split huggingface dataset:
Real-time enhancement of visual clarity in turbid waters for commercial divers and ROVs
Authors: Upadhyay Sanat , Papadakis Manos 
Published: April 2024

Optimal visual clarity underwater is paramount for both commercial divers and remotely operated vehicles (ROVs) engaged in critical offshore inspections. Water turbidity in ports, rivers, and other inland waters commonly obstructs underwater inspections and navigation, often leading to an increase in inspection costs or even rendering an inspection impossible. Artificially improving underwater visibility makes remote camera inspections realizable at conditions and locations previously thought to be impossible. To this end, we present a novel and unique solution to this problem in the form of our real-time video clarifier software.
Under the supervision of the American Bureau of Shipping, we conducted experiments to test the software’s efficacy. Our experiment, conducted in 13.5 NTU water turbidity at the port of Galveston, evaluated Lolaark Vision Inc.'s groundbreaking video clarifier technology. Using a standard HD SDI camera connected to high-intensity light sources, the trial demonstrated an overall increase of 37% in the horizontal visibility radius. It was found that structures that were previously visible only 9 inches away from the camera, became visible after the application of the Clarifier even at 21 inches of distance between the camera and the object of interest thus yielding a video clarification factor of 2.33. Furthermore, by utilizing the Underwater Image Quality Measure (UIQM), we observed a notable 160% improvement in the UIQM score on average. This score is an objective metric of the visual information content of an image or a frame of a video clip. The video Clarifier works in real-time at maximum 1080p resolution and 30 frames per second.
These findings underscore the transformative potential of Lolaark Vision's video Clarifier in significantly enhancing the efficiency and safety of underwater inspections performed by divers or by ROVs. Our successful experiments enabled the American Bureau of Shipping to award Lolaark Vision Inc. a New Technology Qualification at the “Technology Qualified” maturity level (approximately equivalent to a Level 4 TRL of API RP 17N/Q), further validating the Clarifier’s efficacy and relevance in offshore and inshore operations.
Does Ownership Structure and Financial Health Affect Firm’s Earnings Quality? Evidence from Emerging Economy
Authors: Abbas Asad , Saeed Asif , Abbas Asad 
Published: April 2024

Earnings quality is a demanding attribute of firm and is valued by investors in resource allocation decisions. High earnings quality firms create value for stakeholders and poor earnings quality causes value deterioration. This study takes into account earnings quality attributes of Pakistani corporate sector and investigates impact of ownership structure and financial health on firms’ earnings quality. Earnings quality has been measured by four attributes of accrual quality, earnings persistence, earnings predictability, earnings smoothness. A sample of 325 non-financial PSX listed Firms have been selected and classified into four unique categories on the basis of financial health (healthy and distressed) and ownership (family and non-family). The classification aims to determine level of earnings quality for each category. Results find significant effect of book financial position and ownership structure on earnings quality of firms. Findings reveal Earnings quality for non distressed family (NDF) firms was highest followed by non distressed non family firms (NDNF), while earnings quality for distressed family (DF) firms was poor and poorer for distressed non family (DNF) firms when firms were classified into these four categories. These results provide important implications for investors, analysts, regulators and standard setters.
Visual Analysis of Sanyinjiao(SP6) Studies Based on CiteSpace
Authors: Feng Jingru , Liu Yangjie , Wang Ruobing , Yin Lili 
Published: April 2024

Objective To conduct a visual analysis of literature around the Sanyinjiao (SP6), and to explore the research process, hot spots and future development trend of the Sanyinjiao (SP6) in the past 20 years. Methods CNKI was used as the data source, and the basic and clinical research literature collected from January 2000 to December 2022 were visually analyzed by using citespace software, and the relevant maps of keywords, authors and institutions were drawn. Results In the basic study, 287 articles were included, and 9 keywords were clustered, with the highest acupuncture centrality (0.46), the author with the highest number of publications was Zhu Jiang (33 articles), and the institution with the largest number of publications was the School of Acupuncture and Tuina of Beijing University of Chinese Medicine (42 articles). The clinical study included 1794 articles, and 9 keyword clusters were obtained, Yinlingquan had the highest centrality (0.46), the authors with the most publications were Zhu Jiang, Wang Pei, Hu Shangqing, Ma Yuxia (7 articles), and the institution with the largest number of publications was Guangzhou University of Chinese Medicine (59 articles). Conclusion The dynamics and trends of the number of literature changes in basic and clinical research are revealed, and the research content and research hotspots of Sanyinjiao(SP6) in basic and clinical applications are analyzed.
Analysis of Influencing Factors of Postoperative Quality of Life in Patients with Renal Cancer under the Continuing Care Model Based on the Omaha System
Authors: Wang Xiaowei , Hua Lingna , Hong Xiaosi , Xu Xiaoqun , Huang Chunxia 
Published: April 2024

Background: Scientific nursing is of great significance for improving negative emotions, self-management ability and quality of life of patients after cancer surgery. The Omaha system has been widely used in the field of care in many countries and regions, and although it helps to improve the quality of life of cancer patients after surgery, there are still large differences between different patients. This study examines factors affecting postoperative quality of life in renal cancer patients under the continuous care Omaha system, aiming to refine nursing plans.
Methods: We retrospectively analyzed clinical data from 108 renal cancer patients undergoing radical treatment, all of whom received care via the Omaha system. The score for quality of life and the scores for Strategies Used by People to Promote Health (SUPPH), Social Support Rate Scale (SSRS), and Medical Coping Modes Questionnaire (MCMQ) of patients with different baseline data were compared.
Results: Patients with spouses as primary caregivers scored higher across psychological, physical, physiological, and societal dimensions of quality of life than those with children or others as caregivers (p < 0.001). Patients without underlying diseases have higher physiological, societal dimensions, overall satisfaction total score for quality of life (compared to those with underlying diseases, p < 0.001), patients with clinical stage III have lower physiological, societal dimensions, overall satisfaction, and total score for quality of life (compared to stage I/II, p < 0.001). The physiological, societal dimensions, overall satisfaction, and total quality of life score for patients with medical or commercial insurance as the settlement method for medical expenses are higher (compared to self-funded, p < 0.001). In the SUPPH scale, the positive attitude score, stress reduction score, making decisions score, and total score were positively correlated with the total score for quality of life (p < 0.001, p < 0.001, p = 0.008, p < 0.001, respectively). In the SSRS scale, the objective support score, subjective support score, useless support score, and total score were positively correlated with the total score for quality of life (all p < 0.001). In the MCMQ scale, the confrontation score was positively correlated with the total score for quality of life (p < 0.001). The acceptance-resignation and avoidance scores were negatively correlated with the total score for quality of life (p < 0.001).
Conclusion: The quality of life of patients is not only affected by primary caregivers, underlying diseases, clinical staging, and medical expense settlement methods, but also positively correlated with self-efficacy and social support, and negatively correlated with coping styles.
Efficacy of the Craniopharyngioma Resection via Expanded Endoscopic Endonasal Transsphenoidal Approach in the Treatment of Complex Craniopharyngioma and Its Effect on Pituitary Function and Complications of Patients
Authors: Bu Xiongjian 
Published: April 2024

Background: Surgical resection is the most effective method for craniopharyngioma, with complex operations and a high incidence of complications, especially for complex craniopharyngioma. The study focuses on selecting a proper surgical method to treat complex craniopharyngioma. A clinical study was conducted in this direction to explore the efficacy of expanded endoscopic endonasal transsphenoidal approach (EETS) and transcranial approach (TCA) in the treatment of complex craniopharyngioma and their effects on pituitary function and complications of patients.
Methods: The clinical data of 73 patients with complex craniopharyngioma in Baoding No.2 Central Hospital from December 2017 to December 2022 were retrospectively analyzed. 13 patients who did not meet the admission criteria were excluded, and 60 patients were finally included. The included patients were divided into the TCA and EETS groups according to the treatment method. The surgical conditions, total tumor resection rate, clinical remission rate, and complications of patients in two groups were compared. The pituitary function of all patients, including thyroid stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and human growth hormone (hGH), was compared.
Results: A total of 60 patients were finally included in the study, including 30 cases in the EETS group and 30 cases in the TCA group. The two groups had no statistical difference in baseline demographic characteristics and pathological types (p > 0.05). Compared with the TCA group, the EETS group had less intraoperative blood loss, operation time, tumor resection time, and hospitalization time (p < 0.001) and had a significantly higher total tumor resection rate and clinical remission rate (p < 0.05). The EETS group had higher ACTH and hGH levels than the TCA group (p < 0.05). There was no statistical difference between the two groups incidence of complications and disease recurrence rate (p > 0.05).
Conclusion: The craniopharyngioma resection via EETS has a significant therapeutic effect in complex craniopharyngioma with a high total tumor resection rate and clinical remission rate, which can protect the pituitary function of patients and provide more benefits for patients.
To Compare the Anesthetic Effect of Remimazolam and Propofol in Painless Hysteroscopic Minimally Invasive Surgery
Authors: Gao Fei , Xie Yanjun , Zhu Hengwei , Chen Chen , Fu Hongyan 
Published: April 2024

Objective: Hysteroscopic surgery will stimulate the autonomic nerves innervating the uterus, causing intense discomfort and pain in the examined person, and in severe cases, it will cause blood pressure drop, heart rate slowing, arrhythmia and even cardiac arrest, so most patients need anesthetic intervention. This study to retrospectively compare the anesthetic effect of remimazolam and propofol in minimally invasive painless hysteroscopic surgery and to explore the safety and efficacy of remimazolam.
Methods: The clinical data of 110 female patients who underwent painless hysteroscopic minimally invasive surgery in our hospital from January 2023 to June 2023 were collected. The patients were divided into the remimazolam group (group R, n = 55) and the propofol group (group P, n = 55) according to the main anesthetic drugs used during the operation. The changes in heart rate (HR), mean arterial pressure (MAP), blood oxygen saturation (SpO2), and respiratory rate (RR) at the time of entry (T0), modified vigilance/sedation score (MOAA/S) 0 (T1), cervical dilation (T2), end of the operation (T3) and anesthesia recovery (T4) were compared between the two groups. Anesthesia induction time, operation time, and anesthesia recovery time were compared between the two groups, and the incidence of intraoperative and postoperative adverse reactions was compared between the two groups.
Results: HR, MAP, and SpO2 in group R were significantly higher than those in group P at T1, T2, T3, and T4 (p < 0.05), and there was no significant difference in RR between the two groups (p > 0.05). HR, MAP, and SpO2 at T1 and T2 were significantly lower than those at T0 in group R (p < 0.05), and RR at different time points in the group had no significant difference (p > 0.05). HR, MAP, and SpO2 at T1, T2, T3, and T4 were significantly lower than those at T0 in group P (p < 0.01), and RR at different time points in the same group had no significant difference (p > 0.05). The anesthesia induction time in group R was more prolonged than in group P, and the anesthesia recovery time in group R was shorter than in group P (p < 0.05). The incidences of hypotension, bradycardia, low oxygen saturation, respiratory depression, and injection pain in group R were significantly lower than those in group P (p < 0.05).
Conclusion: Intravenous induction of remimazolam at 6 mg·kg-1·h-1 and maintenance of anesthesia at 1–2 mg·kg-1·h-1 have less effect on hemodynamics, faster recovery time and lower incidence of adverse reactions compared with propofol when used in minimally invasive hysteroscopic surgery. Remimazolam can be safely and effectively used in this kind of surgery.
Implications of Pretreatment Serum Carcinoembryonic Antigen Levels and Perineural Invasion with Staging, Prognosis, and Management in Stage I-III Colon Cancer after Surgery: A Retrospective Cohort Study in the SEER Database
Authors: Zhang Qing , Wang Li , Sun Ruirui , Gao Jian , Liu Tingting 
Published: April 2024

Background: Pretreatment levels of serum carcinoembryonic antigen (CEA) and perineural invasion (PNI) are related to poor prognosis in colon cancer. We analyzed the CEA and PNI (defined as incorporation of carcinoembryonic antigen and perineural invasion (CP)-stage), which are included in the Tumor-Node-Metastasis (TNM) staging system of the American Joint Committee on Cancer (AJCC), and evaluated the survival prognosis of patients treated with surgery in I-III stage colon carcinoma.
Materials and Methods: We employed a retrospective study for eligible colon carcinoma patients obtained from the Surveillance, Epidemiology, and End Results (SEER) database between 2010 and 2015. Kaplan-Meier curve and Multivariate Cox regression analysis were used to analyze different TNM-CP stages for the cancer-specific survival (CSS) probabilities in colon cancer.
Result: In our study, CEA levels and PNI were significant prognostic factors (p < 0.05), and the newly proposed CP-stage was an independent prognostic index in stage I-III colon carcinoma after surgery. Multivariate Cox regression analyses indicated that CP1-stage was related to a 63.9% increased risk of cancer-specific mortality (hazard ratio (HR): 1.639, 95% confidence interval (CI): 1.544–1.739, p < 0.001), compared with CP0-stage in colon cancer. In respective TNM stages, the CP0-stage had an advantage over the CP1-stage for CSS (p < 0.001). Moreover, CP1-stage patients with node-negative colon cancer were contacted with similar or worse survival in comparison to CP0-stage patients with node-positive.
Conclusion: For postoperative patients with stage I-III colon cancer, our study indicated that the CP stage is a significant prognostic factor for CSS, which deserves more clinical attention. It's worth noting that including the CP stage in the AJCC TNM staging system of colon carcinoma is beneficial to the survival prediction and clinical treatment.
The Intraperitoneal Use of Cephazolin: A Novelty in the Prevention of Intra-abdominal Abscess after Laparoscopic Appendectomy in Children
Authors: Frediani Simone , Aloi Ivan Pietro , Krzysztofiak Andrzej , D’Angelo Tommaso , Bertocchini Arianna , Madafferi Silvia , Accinni Antonella , Pardi Valerio , Inserra Alessandro 
Published: April 2024

Background: Laparoscopic appendectomy followed by postoperative intravenous (IV) antibiotics is the standard of care for acute appendicitis and postoperative prevention of intra-abdominal abscesses. The aim of or study was to determine if intraperitoneal irrigation with antibiotics could help prevent intra-abdominal abscess formation after laparoscopic appendectomy for complicated appendicitis in pediatric patients.
Methods: A retrospective study was conducted on consecutive pediatric patients with acute appendicitis who had appendectomy in our Pediatric Surgery Department between August 2020 and February 2022. We compared two groups with similar age and symptoms. The first group (A) was treated with the normal standard of care, i.e., laparoscopic appendectomy and postoperative IV antibiotic therapy. For the second group (B) intraperitoneal cefazoline irrigation was added at the end of the laparoscopic procedure. Postoperative intra-abdominal abscess was diagnosed with ultrasound examination, performed after clinical suspicion/abnormal blood test results.
Results: One hundred sixty patients (males:females 109:51; median age 10.5 years [range 3–17 years]) who had laparosopic appendectomy for complicated appendicitis were included, 82 in group A and 78 in group B. In the first 7 days after surgery, 18 patients in group and 5 in group B developed an intra-abdominal abscess (p < 0.005). Drains were positioned in 38 patients in group A vs. 9 in group B. One patient in group A had a different complication which was infection of the surgical incision.
Conclusions: Intraperitoneal cefazoline irrigation at the end of the laparoscopic appendectomy in pediatric patients significantly reduces the formation of intra-abdominal abscesses
Competency and factor associated with recruitment of community public health professional personnel in public health organization in Thailand
Authors: Thammasarn Krittiyanee , Laohasiriwong Wongsa , Bangchuad Paisan , Boukam Tasanee , Timtub Anak , Hawhere Sauyba , Paotui Mana 
Published: April 2024

Background: The development of health manpower is an important issue for the aim of the population to receive health services with quality, efficiency, and equity. Thus, it is necessary to have a plan to create public health academics who are capable in applying academic knowledge and managing tasks that are assigned to them effectively in planning, evaluation, and research development to be consistent with the changing situations at present.
Objectives: This cross-sectional study was aimed to describe the situation, distribution, job characteristics, competency and identify factors associated with recruitment in public health organization of community public health professional in Thailand.
Method: A total of 2,085 community public health professional staff were selected by multi-stage random sampling method to response the self-administered structured questionnaire. Multivariable analysis was performed to identify the factors associated with recruitment in public health organization among community public health professional in Thailand.
Results: The results indicated that among 2,085 community public health professionals, factors associated with recruitment in public health organizations were; Bachelor of Public Health graduates (AOR=4.81, 95% CI: 2.99-7.76; P-value < 0.001), Bachelor of Science (Public Health) graduates (AOR=3.46, 95% CI: 2.06 – 5.84; P-value < 0.001), working in community hospital (AOR=1.99, 95% CI: 1.43 - 2.75; P-value < 0.001), work characteristics were corresponds with their degrees (AOR=1.67, 95% CI: 1.12 - 2.47; P-value < 0.001), graduated from public health college (AOR=5.27, 95% CI: 3.42 - 8.13; P-value < 0.001), graduated from public university (AOR=3.71, 95% CI: 2.41 - 5.72; P-value < 0.001), graduated from Rajabhat University (AOR=1.37, 95% CI: 1.00 - 2.02; P-value < 0.001), organization had position (AOR=2.49, 95% CI: 2.05 - 3.04; P-value < 0.001), organization employed correspondent with the graduated field (AOR=1.89, 95% CI: 1.17 - 3.04; P-value < 0.001) and employed close to the graduated field (AOR=2.21, 95% CI: 1.43 - 3.40; P-value < 0.001) respectively.
Conclusion: Community public health professional personnel suggested that their profession development should be supported by promoting to a higher position with the same position code.
Hyperemesis Gravidarum: fetal and maternal complications in a Tertiary Hospital in Nepal
Authors: Mahato Sweta , Shrestha Abha , Younjan Sanjeev , Mahato Anamika , Mahaseth Adarsha , Gautam Resham 
Published: April 2024

Background: Hyperemesis gravidarum (HG) is a syndrome that occurs in the first half of pregnancy and is manifested by severe vomiting. The vomiting can cause weight loss, dehydration, ketonuria and electrolyte imbalances. Several studies have evaluated the outcome of pregnancies 'complicated' by nausea and vomiting. The purpose of the present study was to evaluate the association between the clinical course, obstetric complications and birth outcome in pregnant women with HG, and to determine the epidemiological characteristics of these women.
Objective: To evaluate maternal characteristics and pregnancy outcomes among women with hyperemesis gravidarum.
Method: A total of 75(case)i.e. pregnancy with hyperemesis and 75(control) i.e. women with normal pregnancy without hyperemesis were studied. A case control study was conducted in Dhulikhel hospital in Nepal. It was a hospital-based study and the data were collected during 10th August 2022 to 1st May 2023. The pre-structured questionnaire was used for history taking and examination of all participants.
Result: This study identified that maternal and fetal complications were higher in women with hyperemesis gravidarum. The maternal complications like Hypertensive Disorders (OR 2.49, 95%CI :1.04-5.94, P=0.031), Anemia (OR 2.07, 95%CI:1.07-4.02, P=0.031), Preterm Labor (OR 2.28, 95%CI:1.15-4.52, P=0.018), PPH (OR 2.65, 95%CI:1.07-6.54, P=0.036) and P-v leaking (OR 0.89, 95%CI: 0.36-2.25) were associated more with the pregnancies complicated with hyperemesis gravidarum. The fetal complications like low birth weight (OR 2.42, 95%CI :1.07-5.43, P=0.03), NICU admission (OR 3.27, 95%CI:1.48-7.25, P=0.003), low APGAR score (OR 2.32, 95%CI:1.05-5.11, P=0.034) and Neonatal Death (OR 3.72, 95%CI:1.15-12.01, P=0.04) were associated more with pregnancies complicated with hyperemesis gravidarum.
Conclusion: The women with hyperemesis gravidarum were found to have increased risk of maternal and fetal complications. Thus, timely identification and management of hyperemesis is recommended to prevent long term complications.