bluuebunny/crossref_metadata_2025_split huggingface dataset:
Non‐destructive grading technique for mangoes using a flexible impedance sensing system and YOLOv5s_CBAM
Authors: Huang Wentao , Wang Yangfeng , Wang Yunpeng , Zhang Xiaoshuan 
Published: May 2024

AbstractFlexible sensors for food quality control are experiencing rapid development. The purpose of this study is to address the time‐consuming issues associated with traditional fruit grading methods by utilizing a homemade flexible impedance sensing system (FISS). A customized spiral slide system was innovatively designed in the study to simulate the grading process on a fruit assembly line with multimodal features for low power consumption and non‐destructive evaluation. FISS integrated components such as a camera, spiral slider, 3D printed slider, latex ball, flexible impedance electrodes, and back‐end measurement circuits and successfully achieved accurate food quality assessment by using a visual classification model for primary grading based on YOLOv5s‐CBAM and an impedance feature classification model for secondary grading of mangoes based on the coefficient of variation method and threshold coefficient method. With an impressive assessment accuracy of 97.07% and a classification speed of up to 3 s/piece, the system successfully classified mangoes into seven grades covering overripe, fully ripe, ripe, unevenly ripe, unripe, underripe, and rotten states. By eliminating the reliance on complex instruments and expensive equipment, FISS provides a cost‐effective alternative for food quality control, significantly reducing operational costs.Practical applicationsThe purpose of this study is to address the time‐consuming issues associated with traditional fruit grading methods by utilizing a homemade flexible impedance sensing system (FISS). A customized spiral slide system was innovatively designed in the study to simulate the grading process on a fruit assembly line with multimodal features for low power consumption and non‐destructive evaluation. FISS integrated components such as a camera, spiral slider, 3D printed slider, latex ball, flexible impedance electrodes, and back‐end measurement circuits and successfully achieved accurate food quality assessment by using a visual classification model for primary grading based on YOLOv5s‐CBAM and an impedance feature classification model for secondary grading of mangoes based on the coefficient of variation method and threshold coefficient method. With an impressive assessment accuracy of 97.07% and a classification speed of up to 3 s/piece, the system successfully classified mangoes into seven grades covering overripe, fully ripe, ripe, unevenly ripe, unripe, underripe, and rotten states. By eliminating the reliance on complex instruments and expensive equipment, FISS provides a cost‐effective alternative for food quality control, significantly reducing operational costs.
Effect of perioperative oral care on postoperative infections in patients with cancer: A systematic review and meta‐analysis
Authors: Kubo Aoi , Sakai Kumiko , Ueki Shingo , Fujita Kimie 
Published: May 2024

AbstractAimThis systematic review aimed to assess the effect of non‐pharmacologic perioperative oral hygiene care on reduced incidence of postoperative pneumonia (PP), surgical site infection (SSI), and the length of hospital stay in patients with cancer, and to describe the details of oral hygiene care.MethodsWe searched seven databases. Eligibility criteria were based on perioperative oral hygiene care provided by healthcare professionals to patients aged ≥18 years who were surgically treated under general anesthesia and were evaluated for the incidence of PP and SSI. We reported risk ratios (RR) for dichotomous outcomes for PP and SSI using a fixed‐effects model of meta‐analysis.ResultsThe search resulted in 850 articles, among which two were randomized controlled trials (RCTs) and 21 were observational studies. Most studies indicated that dentists and medical care providers performed a combination of oral cleaning, and oral hygiene instructions. In RCTs, perioperative oral hygiene care significantly reduced the incidence of PP (RR, 0.86; p = .60), while in observational studies, perioperative oral hygiene care significantly reduced the incidence of PP (RR, 0.55; p < .001) and SSI (RR, 0.47; p < .001). The length of hospital stay was also significantly reduced (p < .05). However, the effectiveness of nursing intervention was not clear.ConclusionsPerioperative oral hygiene care implemented by healthcare professionals prevented PP and SSI and reduced length of hospital stays for patients after cancer surgery. As daily perioperative oral hygiene care is performed by nurses, it is necessary to research the effects of oral hygiene by nurses in the future.
Healthcare providers' attitudes and associated factors on palliative care referral: A qualitative systematic review and meta‐aggregation
Authors: Zhang Shan , Li Zhaoyu , Yue Peng 
Published: May 2024

AbstractBackgroundEarly referral to palliative care has been viewed as providing opportunity for accomplishing end‐of‐life care goals of life closure, comfortable dying and effective grieving. However, previous studies have shown that palliative care referrals are being made too late. Healthcare providers play important role in helping terminally ill patients to early access and being referred to palliative care. It is necessary to understand healthcare providers' attitudes on palliative care referral and associated factors regarding referrals.ObjectivesThis review aimed to identify and synthesise healthcare providers' attitudes and associated factors on palliative care referrals systematically.DesignA systematic review of qualitative evidence and meta‐aggregation was conducted and guided according to PRISMA guideline.Data sourcesPubMed, CINAHL, PsycINFO, EMBASE, Web of Science and Cochrane databases from inception to 24 October 2022.ResultsDatabase searches yielded 5856 references. Twenty‐two studies met eligibility criteria and of moderate to high methodological quality were included. Studies occurred in USA, UK, Australia and France with 716 healthcare providers participants were included. A total of 378 codings were finally extracted and integrated into 41 categories, forming three synthesised findings: (1) Healthcare providers' attitudes towards palliative care referrals, (2) the influence of subjective norms on palliative care referral behaviour and (3) perceived behavioural control on palliative care referral behaviour.ConclusionThis review demonstrates a series of factors that affect the palliative care referrals, including the attitudes of healthcare providers, the participation of patients and families, the support of colleagues and supervisors, inter‐professional collaboration, the availability of hospice resource, disease trajectory and socio‐economic factors. Further research that addresses these factors and design relevant trainings on improving healthcare providers' attitudes, enhancing patient and family engagement, strengthening support networks and optimising resource allocation may aid to meet increasing demands of patients.Relevance to Clinical PracticeThis review not only guides healthcare providers in making better decisions about patient referrals by identifying and addressing barriers but also aids in the development of effective interventions that facilitate the early initiation of referrals.Patient or Public ContributionNo patient or public contribution.
Identifying the contributors to nursing caring success stories
Authors: Conroy Tiffany , Grimmett James , Boylan Sheree , Feo Rebecca 
Published: May 2024

AbstractAimsTo (a) seek examples of nursing caring success stories and (b) identify the common contributors to these successes. By focusing on the successes of nursing care rather than critically examining failures, this research seeks to provide examples of proven and feasible approaches and processes for improving care.DesignThis study used a narrative inquiry design.MethodsData were collected through group interviews. Four interviews were conducted with a total of 20 nurse participants working in inpatient settings in South Australian hospitals. A thematic analysis approach was used to analyse the data.ResultsTwo dominant themes concerning the contributors to caring success were identified. These contributors were (1) the provision of holistic care and (2) the influence of the caring community, which includes family members and other patients. The findings also indicated that the definition of caring success according to nurses is not aligned with organisational performance indicators but is more closely represented by caring values.ConclusionSuccess, according to nurses, is not exclusively defined by patient outcomes but includes the approach to, and process of, care delivery.Implications for the Profession and/or Patient CareNurses value the caring process while working in an environment that primarily values clinical and systems‐level outcomes. Nurses want patients and their families, allied health professionals and hospital executives to be involved and invested in the process of care.ImpactThis study addressed a gap in the current literature to identify commonalities in nursing success stories, the contributors informing these successes and how these contributors can facilitate improved patient care. Understanding nursing definitions of caring success provides an opportunity to expand upon current accepted industry definitions and perspectives such as key performance indicators.Reporting MethodConsolidated Criteria for Reporting Qualitative Research (COREQ) checklist.Patient or Public ContributionNo direct patient or public contribution.
Perioperative patient safety indicators—A Delphi study
Authors: Nyberg Anette , Jirwe Maria , Fagerdahl Ami , Otten Volker , Haney Michael , Olofsson Birgitta 
Published: May 2024

AbstractAimTo identify, define and achieve consensus on perioperative patient safety indicators within a Swedish context.DesignA modified Delphi method.MethodsA purposeful sample of 22 experts, all experienced operating room nurse specialists, was recruited for this study. A questionnaire was constructed incorporating statements derived from a preceding study. The experts were asked to rate the importance of each statement concerning patient safety during the perioperative phase. The data collection occurred through an online survey platform between November 2022 and April 2023. The CREDES checklist guided the reporting of this study.ResultsThe three‐round Delphi study resulted in consensus on 73 statements out of 103, encompassing 74% process indicators and 26% structure indicators. Key areas of consensus included the use of the Surgical Safety Checklist and optimizing the operating room environment.ConclusionConsensus was reached on perioperative safety indicators, underscoring the intricate challenges involved in ensuring patient safety in the operating room. It emphasizes the important integration of both structure and process indicators for comprehensive safety assessment during surgical procedures. Recognizing the difficulty in measuring factors like teamwork and communication, essential for patient safety, the study offers practical guidance. It underlines a balanced approach and specific consensus areas applicable in clinical practice to enhance perioperative patient safety.Implications for the profession and patient careThis study provides concrete practice guidance and establishes a structured framework for evaluating perioperative care processes. It emphasizes the critical role of professionals having the necessary skills and being present during surgical procedures. Additionally, the study underscores the paramount importance of effective communication and teamwork within the operating room team, substantively contributing to overall patient safety enhancement.ImpactThe study focused on addressing the challenge of ensuring patient safety in operating rooms, acknowledging the persistent complications related to surgery despite global efforts to eliminate avoidable harm in healthcare. Consensus was reached on 73 crucial indicators for perioperative patient safety, emphasizing a balanced approach integrating both process and structure indicators for a comprehensive assessment of safety during surgical procedures. The study has a broad impact on professionals and healthcare systems, providing concrete guidance for practice and offering a structured process for evaluating perioperative care.Reporting MethodThe study is reported informed by ‘Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations derived from a methodological systematic review’.Patient or Public ContributionNo patient or public contribution.
Investigating solitude as a tool for downregulation of daily arousal using ecological momentary assessments
Authors: Nguyen Thuy‐vy T. , Konu Delali , Forbes Samuel 
Published: May 2024

AbstractObjectiveThis research explored arousal levels as a motivating factor for solitude‐seeking. We hypothesized that solitude becomes more desirable when high‐arousal emotions were heightened and individual differences in extraversion and neuroticism would moderate this pattern.MethodWe tracked individuals' hourly experiences throughout a day. We assessed their high‐arousal positive (e.g., excitement) and negative emotions (e.g., tension), whether they were alone or with others, and their preferred situation at the time of the signal. We gathered 4338 surveys from 362 participants, with 103 participants completing all hourly surveys.ResultsPreference for and incidence of solitude changed throughout the day. Contrary to our hypotheses, lagged analyses did not indicate high‐arousal emotions predicting reports of being alone an hour later. However, individuals were more likely to express a preference for solitude while experiencing high‐arousal negative emotions, and less so while experiencing positive emotions. Younger individuals display stronger preference for solitude during experiences of high‐arousal negative emotions. Extraversion and neuroticism did not moderate these patterns.ConclusionsThe results highlight the distinctive appeal of solitude as a space for young adults to deal with negative emotions. We discussed how these findings are connected to existing literature and implications for future research.
Short colon syndrome in cats
Authors: King Audrey P. , Donovan Taryn A. , Cohen Eli , Marin Jenny , Le Roux Alexandre B. 
Published: May 2024

AbstractBackgroundShortening of the colon has been described in cats, but its imaging and clinicopathological features remain poorly understood.ObjectivesDescription of the signalment, clinical presentation, imaging, endoscopic and histological features of short colon syndrome in cats.AnimalsNinety‐three cats diagnosed with short colon.MethodsMulti‐institutional, descriptive, retrospective case series study. Medical records were searched for a diagnosis of short colon on abdominal ultrasonography, computed tomography, endoscopy, autopsy, or a combination of these modalities.ResultsThe median age of included cats was 12 years at the time of diagnosis. Diarrhea was the most common clinical sign (60/92; 65%), followed by vomiting (36/92; 39%), weight loss (36/92; 39%), and inappetence (24/92; 26%). Thirteen percent of cats (12/92) had no signs of gastrointestinal disease at the time of diagnosis. In addition to a shortened colonic length, 79% (66/84) of cats had concomitant colonic thickening on ultrasonographic examination. On colonoscopy, mucosal ulcerations of the colonic wall were seen in 39% (9/23) of cats. Histopathologically, all cats but 1 (diagnosed simultaneously with colonic small cell lymphoma) had lymphoplasmacytic colitis, and when small intestinal biopsies were performed, concurrent lymphoplasmacytic enteritis or small cell lymphoma of the small intestine.Conclusions and Clinical ImportanceLymphoplasmacytic colitis is seen commonly in cats with short colon, suggesting a potential link between these entities.
Bioeconomics of juvenile seahorse (Hippocampus erectus) culture: Optimal harvest time
Authors: Sánchez‐Becerril Omar , Seijo Gutiérrez Juan Carlos , Vela Magaña Miguel A. , Mascaró Maite , Simões Nuno 
Published: May 2024

AbstractThe culture of seahorses Hippocampus erectus in captivity represents a window of opportunity for the diversification of the aquaculture activity in the ornamental industry. In this study, we have constructed a bioeconomic model to evaluate the optimal harvest time (OHT) over a culture period of 562 days. The bioeconomic model was integrated with three submodels: biological, technological, and economic. Three different mortality rates were used for different periods in culture, registering a higher survival in the period from 0 to 60 days with a rate of 53.4%. The sensitivity analysis showed that the mortality rate in this period was the parameter with the greatest influence on the benefits. The Von Bertalanffy growth model was indicated to describe the growth of H. erectus given its statistical significance using Theil's inequality coefficient, registering parameters of (L∞ = 141.62 mm) and (k = 0.0049 month‐1). The bioeconomic model determined the OHT in the 4th month of culture, the time when the maximum profit is recorded. It is concluded that the culture presents challenges to be addressed although the bioeconomic model allows for demonstrating the OHT.
Effectiveness of optical treatment in amblyopia and validation of measuring spectacle compliance with the ODM
Authors: Kadhum Aveen , Tan Emily T. C. , Wenner Yaroslava , Joosse Maurits V. , Loudon Sjoukje E. 
Published: May 2024

AbstractPurposeThe improvement in visual acuity (VA) was determined during optical treatment in children with amblyopia before their participation in a randomised clinical trial comparing the effect of dichoptic video gaming using virtual reality goggles with occlusion therapy.MethodsChildren aged 4–12 years with an interocular VA difference ≥0.20 logMAR and an amblyogenic factor: strabismus <30Δ, ≥1.00 D anisometropia, astigmatism ≥1.50 D and/or hypermetropia ≥1.50 D were eligible for 16 weeks of optical treatment. Children with previous amblyopia treatment were excluded. Compliance with spectacle wear was measured electronically over 1 week using the occlusion dose monitor (ODM). The reliability of these measurements was verified. The main outcome was an increase in amblyopic eye VA from baseline to 16 weeks.ResultsSixty‐five children entered the optical treatment period. Mean age was 6.0 ± 2.2 years (range: 4–12 years; IQR 4.5–6.7 years). Amblyopia was caused by anisometropia in 53 (82%) children, strabismus in 6 (9%) and combined mechanism in 6 (9%). After optical treatment, mean VA improved by 0.20 logMAR (SD 0.28; p < 0.001) and 0.07 in the amblyopic and fellow eye, respectively (SD 0.20; p = 0.03). This resulted in 24 children (37%) with an interocular VA difference <0.20 logMAR and in 17% of children with VA at the start of 0.30 logMAR or worse. Poor VA in the amblyopic eye at baseline (p = 0.001) and high anisometropia (p = 0.001) were associated with VA improvement. On average, spectacles were worn 9.7 ± 2.4 h/day (range: 2.3–13.6 h); mean compliance was 73% ± 18% of estimated wake time. Only ambient temperature ≥ 31°C or when spectacles were worn on top of the head prevented a reliable ODM measurement.ConclusionsVA improved by two lines resulting in more than a third of the children being treated sufficiently with spectacles alone and no longer being classified as amblyopic. The ODM proved to be a reliable method of measuring compliance with spectacle wear.
Performance on clinical outcomes, activities of daily living and user experience on head‐mounted displays for people with vision impairment
Authors: van der Aa Hilde P. A. , Garcia‐Piña Fernanda , van Nispen Ruth M. A. , Hoogland Jeroen , Roberts Calvin , Seiple William 
Published: May 2024

AbstractPurposeTo compare the objective performance, acceptance and usability of head‐mounted displays (HMDs) to provide evidence‐based data that could be used to increase the efficiency of device referrals based upon a person's vision loss and functional needs.MethodsA cross‐sectional, counterbalanced, individually controlled crossover study was performed on 15 adults with various eye conditions. Performance was measured when using four HMDs: eSight4, Eyedaptic EYE3, Eyedaptic EYE4 and IrisVision Inspire. Performance on clinical visual acuity tests and contrast were assessed, as well as vision‐related activities of daily living (ADL) which were divided into three categories: Reading, Searching & Identifying and Eye–hand Coordination. User‐experience was also assessed. Logistic regression analyses, Friedman one‐way repeated measure analyses of variance by ranks and multivariate permutation testing were used for analysis.ResultsThere was a significant improvement in visual acuity when using all devices. For contrast tasks, only the eSight4 and Eyedaptic EYE3 improved performance relative to baseline. For most Reading and Searching & Identifying tasks, the odds of being able to perform the tasks were significantly higher while using the devices. However, the actual performance with most devices (e.g., number of words read or reading speed) did not improve significantly over baseline for most tasks. For the Eye–hand Coordination tasks, participants performed equivalent to or significantly poorer than baseline when using the devices. No demographic or clinical predictors of outcomes were identified. Participants expressed dissatisfaction with the devices' effectiveness, acceptability and usability.ConclusionsWhile performance on clinical tests was better when using the devices, performance on most real‐world ADLs was equal to or worse than baseline. No single device improved performance on all tasks, and performance on any one task was not improved with all the devices. The overall dissatisfaction with the devices paralleled the lack of objective improvement in the performance of real‐world tasks.
Quantitative RUBY reporter assay for gene regulation analysis
Authors: Liu Jia , Li Hao , Hong Conghao , Lu Wanqing , Zhang Wei , Gao Hongbo 
Published: May 2024

AbstractVarious reporter genes have been developed to study gene expression pattern and gene regulation. The RUBY reporter gene was recently developed and widely used, because of its visible and noninvasive advantages. However, quantitative analysis of RUBY gene expression levels was lacking. In this study, we introduce a novel betalain quantification method in combination with the tobacco transient expression system. The betalain produced in tobacco leaves was extracted and purified, and its concentration was quantitatively measured. We successfully applied this approach in studying the transcriptional regulation of ARC5 gene by transcription factors CPD25 and CPD45. Furthermore, with this method, we showed that the gene expression of RCA and Rbcs1A gene were regulated by light, transcription factors HY5 and PIFs through G‐box and I‐box elements. The development of this betalain quantification approach with the tobacco transient expression system offers a cost‐effective and intuitive strategy for studying the regulatory mechanism of gene expression.