bluuebunny/crossref_metadata_2025_split huggingface dataset:
The potential influence of habitat composition on seasonal lobster movements and their distribution in the Great Bay Estuary, New Hampshire
Authors: Goldstein Jason Seth , III Winsor H. Watson , Grizzle Raymond E. 
Published: February 2024

Abstract

Although estuaries create many physiological challenges for lobsters (Homarus americanus), there may also be some advantages for lobsters residing in these unique systems. While some lobsters in the Great Bay Estuary (GBE) make seasonal migrations into and out of the GBE, many remain year-round, including ovigerous (egg-bearing) females. Furthermore, lobsters that are resident in the GBE tend to aggregate in specific areas. The overall goal of this study was to determine why lobsters (both ovigerous and non-ovigerous) tend to spend more time in certain areas of the GBE. Specifically, we set out to test the hypothesis for two disparate areas of GBE that have features potentially making them conducive habitats for long-term lobster residency. We used a combination of habitat mapping using underwater videography and diver surveys to compare areas where lobsters aggregated compared with those areas where lobster density was known to be low. Areas where lobsters spent the most time in GBE were similar to coastal marine habitats, comprised mostly of rocky (hardbottom) complexes interspersed with macroalgae. In contrast, areas with the fewest lobsters were primarily comprised of sandy, soft sediment. The strong relationship between complex, rocky habitats and lobster residency in GBE suggest that habitat quality in other estuaries might have a strong impact on the distribution, abundance, and residency of lobsters and increases the likelihood that some estuaries may support year-round resident lobster populations.
Design a Smart Medical Service Quality Evaluation System Based on Hybrid Multi-Criteria Decision Model
Authors: Wang Gang , Shao Qigan 
Published: February 2024

Abstract

With the deepening of medical informatization, smart medical (SM) systems and the level of medical services has been greatly improved. However, there is little literature on service quality assessment frameworks based on the context of SM. Based on the hybrid multi-criteria decision model, which combined the best and worst method and VIKOR method, this study proposed a SM service quality evaluation framework. The best and worst method (BWM) is used to obtain the weights of all dimensions and indicators under each dimension. The service quality of hospitals H1, H2 and H3 in Xiamen is evaluated by the VIKOR method. The results show that smart appointment, diagnosis and treatment are three important dimensions to evaluate the service quality of smart medicine in medical institutions. The stability and robustness of the model are proved through sensitivity analysis. Hospitals can strengthen the construction of their appointment information platforms, quality management of internal doctors, and information connection between self-service terminals and information platforms to improve hospital service quality in the construction of smart medicine.
Prognostic value of hibernating myocardium and cardiac remodeling using gated 99mTc-MIBI SPECT and gated 18F-FDG PET in patients with ischemic heart failure and diabetes
Authors: Duan Lili , Meng Jingjing , Zheng Yaqi , Lu Yao , Tian Jing , Bai Yujie , Zhang Xiaoli 
Published: February 2024

Abstract
Background
The prognostic value of hibernating myocardium (HM) and left ventricular (LV) remodeling in patients with ischemic heart failure (IHF) and diabetes mellitus (DM) remains undetermined. Therefore, we aimed to evaluate the prognostic value of HM and LV remodeling in such patients.
Methods
A total of 333 consecutive patients with coronary artery disease (CAD) and LV ejection fraction ≤ 35% who underwent gated 99mTc-MIBI single photon emission computed tomography (SPECT) myocardial perfusion imaging (G-MPI) and gated 18F-FDG positron emission tomography (PET) myocardial metabolic imaging at Beijing Anzhen Hospital between April 2016 and February 2019 were enrolled and followed up for a median of 3.6 (range, 0.3–5.1) years. Patients were divided into DM (n = 141) and non-DM (n = 192) groups. HM + was defined as HM > 10%. LV remodeling + was defined as end-systolic volume index ≥ 92 mL/m2 by G-MPI. The endpoint was all-cause death.
Results
More HM was observed in DM than that in non-DM group (18.0 [10.0, 27.0]% vs. 10.0 [0.5, 20.0]%, P < 0.001, respectively). In DM patients, survival for patients with LV remodeling was lower than that for those without LV remodeling (55.1% ± 10.0% vs. 79.9% ± 7.1%, P = 0.007, respectively), but there was no significant difference in survival between HM + and HM- (P > 0.05). Revascularization was associated with better long-term survival than medical therapy in patients with HM+ (DM+, 87.1% ± 7.6% vs. 45.3% ± 10.4%; DM-, 95.7% ± 2.9% vs. 41.9% ± 10.7%, all P value < 0.001), or LV remodeling+ (DM+, 95.2% ± 4.6% vs. 40.3% ± 10.9%, P = 0.001; DM-, 87.1% ± 9.6% vs. 52.3% ± 8.7%, P = 0.004).
Conclusions
HM may be more prevalent in IHF patients with DM compared with those non-DM. Assessing HM and LV remodeling using nuclear imaging techniques allowed for risk stratification and guided strategy decision-making in DM patients.
A comprehensive care bundle reduces harm in patients with central venous access devices: A pre and post intervention study.
Authors: Parikh Harshel , Grove Kelvin , Gudivada Kiran Kumar , Nourse Mary , Bath Jennifer , Chiong Fabian , Deacon Andrew 
Published: February 2024

Abstract
Introduction:
Central line-associated bloodstream infections (CLABSIs) and major vascular injuries (MVIs) are serious but preventable complications in patients requiring central venous access devices (CVADs).
Aims
To determine the effectiveness of a comprehensive care bundle (CCB) in reducing the incidence of CLABSIs and MVI in adult patients with central venous access devices (CVAD) in a major tertiary hospital.
Methods
A pre- and post-intervention study of 9204 patients admitted to The Canberra Hospital ICU between February 1, 2018, and January 31, 2021, using ICU-CLABSI data reported to the Australia and New Zealand Intensive Care Society (ANZICS) and MVI data from a CVAD audit. A preintervention (February 1, 2018, to January 31, 2020) review of CVAD complications indicated significantly greater CLABSIs and MVI than peer hospitals.
Intervention:
At the institutional level, we introduced an evidence-based CCB, checklist, policy and education package through literature review and multidisciplinary collaboration addressing system- and operator-focused changes on February 1, 2020.
Results
The postintervention cohort had a significantly lower CLABSI rate than the preintervention (0.32 vs.1.1 per 1000-line days, 3 incidences per 9283-line days vs. 10 incidences per 9079-line days, P < 0.001) despite significantly higher risk factors in the form of mean CVAD line days (387vs378, P < 0.001), number of patients on mechanical ventilation (1739 Vs. 1687,P = 0.005), immunosuppressive diseases (318 vs.119, P < 0.001), leukaemia (99 Vs. 81, P = 0.038) and hepatic diseases (97 Vs. 71, P = 0.006). No MVI was reported postintervention compared to four in the preintervention cohort.
Conclusions
CCB therapy decreased the incidence of CLABSIs and MVI in patients in a tertiary ICU.
A-B transition in superfluid 3He and cosmological phase transitions
Authors: Hindmarsh Mark , Sauls James A. , Zhang Kuang , Autti Samuli , Haley Richard P. , Heikkinen Petri J. , Mayer Adam J. , Levitin Lev V. , Lopez-Eiguren Asier , Rummukainen Kari , Saunders John , Zmeev Dmitry , Huber Stephan J 
Published: February 2024

Abstract
First order phase transitions in the very early universe are a prediction of many extensions of the Standard Model of particle physics and could provide the departure from equilibrium needed for a dynamical explanation of the baryon asymmetry of the Universe. They could also produce gravitational waves of a frequency observable by future space-based detectors such as the Laser Interferometer Space Antenna (LISA). All calculations of the gravitational wave power spectrum rely on a relativistic version of the classical nucleation theory of Cahn-Hilliard and Langer, due to Coleman and Linde. The high purity and precise control of pressure and temperature achievable in the laboratory made the first-order A to B transition of superfluid 3He ideal for test of classical nucleation theory. As Leggett and others have noted the theory fails dramatically. The lifetime of the metastable A phase is measurable, typically of order minutes to hours, far faster than classical nucleation theory predicts. If the nucleation of B phase from the supercooled A phase is due to a new, rapid intrinsic mechanism that would have implications for first-order cosmological phase transitions as well as predictions for gravitational wave (GW) production in the early universe. Here we discuss studies of the A-B phase transition dynamics in 3He, both experimental and theoretical, and show how the computational technology for cosmological phase transition can be used to simulate the dynamics of the A-B transition, support the experimental investigations of the A-B transition in the QUEST-DMC collaboration with the goal of identifying and quantifying the mechanism(s) responsible for nucleation of stable phases in ultra-pure metastable quantum phases.
Screen time as a health determinant for kindergarten children in the Australian Capital Territory (including a comparison of First Nations and non-Indigenous children): analysis of a cross-sectional complete enumeration survey
Authors: Bannerman Clair , O'Brien Kathleen , Ciszek Karen , Douglas Kirsty A 
Published: February 2024

Abstract

Background
Australian First Nations children have poorer outcomes across a range of health measures. High levels of screen time are associated with a range of adverse health outcomes. Relatively little is known on the association between screen time and health outcomes for different demographic groups, including First Nations children. We aimed to describe the screen time behaviours of First Nations and non-Indigenous kindergarten children in the Australian Capital Territory (ACT), identify disparities in key health outcomes, and explore whether screen time was a risk factor for these outcomes.
Methods
5,516 children participated in the cross-sectional population-based ACT Kindergarten Health Check (KHC) survey, including 146 First Nations children. The association between screen time of more than two hours per day and health outcomes (body mass index, respiratory health, development and wellbeing) was assessed for both First Nations and non-Indigenous cohorts using comparative statistics.
Results
Non-Indigenous children who had an average of more than two hours of screen time per day were 1.5 (95% CI, 1.3–1.7) times more likely to be overweight/obese, 1.2 (95% CI, 1.0-1.4) times more likely to have had a wheeze/whistle in their chest in the 12 months before the KHC, 1.5 (95% CI, 1.3–1.7) times more likely to have developmental concerns and 1.5 (95% CI, 1.3–1.8) times more likely to have reduced wellbeing measures compared to non-Indigenous children with screen time of two hours or less per day. None of these associations were statistically significant amongst First Nations children.
Conclusions
Screen time more than two hours per day is associated adverse health outcomes in non-Indigenous children, including overweight/obesity, respiratory problems, developmental concerns, and reduced wellbeing. Further analysis is required to enable a more robust assessment of the effect of screen time on health outcomes for First Nations children.
Effects of perceived nursing delivery type, errors in handover, and missed nursing care on the nursing performance of hospital nurses
Authors: Ko Yukyung , Lee Eunkyo , Lee Youngjin 
Published: February 2024

Abstract
Background
In clinical practice, the prioritization of task-oriented care over patient-centered care, due to nursing staff shortages, highlights the need for an effective handover process to prevent adverse patient outcomes. This study aims to assess the current state of the nursing delivery system, focusing on handover errors, missed nursing activities, and their effect on nursing performance—including turnover intention.
Methods
This study performed a survey involving 300 clinical nurses. The survey, conducted using both online and paper questionnaires, comprised a structured self-reporting tool covering various aspects, including nursing delivery system type, turnover intention, and nursing performance. SPSS 25.0 software was used for the analysis.
Results
Factors influencing turnover intention included high labor intensity, low wages, and workplace relationships. Missed nursing activities negatively affected performance, while higher education and advanced positions demonstrated positive effects. Handover errors emerged as a significant factor impacting turnover intention, with module nursing exerting the most significant influence.
Conclusions
Based on the findings, this study recommends nursing management interventions to address missed activities and enhance overall performance. The findings provide valuable insights for managers to identify causes of poor performance and nurses’ turnover, and implement targeted strategies to lay the groundwork for future research on the intricate relationship between the type of nursing delivery system and nursing performance. This study contributes to the ongoing discourse on optimizing nursing care in the face of staffing challenges, emphasizes the critical role of effective handovers, and suggests practical avenues for improvement in nursing service quality.
Non-traumatic gallbladder hemorrhage with shock in Asia；A case report
Authors: Tu Chung Yang 
Published: February 2024

Abstract
Background
Gallbladder hemorrhage, rared and caused by trauma, iatrogenic factors, or underlying conditions like liver/kidney dysfunction or cancer, presents with symptoms such as right upper abdominal pain and fever. In severe cases, blood from the gallbladder may enter the gastrointestinal tract, causing melena or hematemesis. Blood clots may also cause blockage and inflammation, requiring surgical intervention for effective management. Failure to promptly address this can lead to life-threatening hemorrhagic shock. Diagnosing rare diseases in the emergency room is challenging and crucial. Delayed diagnosis may lead to life-threatening conditions, especially hemorrhagic shock. Ultrasound is vital for diagnosing this disease.
Case presentation
A 64-year-old female presented with three days of epigastric pain and nausea, denying trauma, fever, respiratory or chest symptoms, but with unstable vital signs. Blood tests showed no abnormalities, while an Ultrasound revealed a distended gallbladder without stones. Following cholecystectomy, the diagnosis confirmed acute hemorrhagic cholecystitis, attributed to chronic cholecystitis. This case highlights the pivotal role of ultrasound in diagnosing hemorrhagic cholecystitis.
Conclusion
Gallbladder hematoma, a rare condition with vague symptoms, poses diagnostic challenges, often linked to trauma, tumors, anticoagulant use, or liver/renal disease. Common symptoms include right upper quadrant pain, tenderness, nausea, and vomiting, initially resembling cholecystitis. Persistent bleeding may result in dark or bloody stools. While laboratory tests may reveal abnormalities, their sensitivity is limited. Diagnosis is complex, and delayed recognition in the emergency department can lead to severe shock and increased mortality. The literature review emphasizes the association with liver/kidney dysfunction and anticoagulant use, presenting symptoms akin to gallbladder inflammation and occasional gastrointestinal bleeding. Ultrasound is pivotal for diagnosis, showcasing distinctive features like uneven echoes and localized wall thickening. Treatment approaches vary, with some cases opting for deferred surgical intervention after conservative treatment, though surgery remains a common outcome. In summary, non-traumatic gallbladder hematoma is primarily linked to risk factors like liver/kidney diseases and chronic anticoagulant use. Gallbladder inflammation and gastrointestinal bleeding symptoms coexist, underscoring the crucial role of timely ultrasound diagnosis. This study establishes early detection and diagnosis protocols for future reference in emergency room settings.
Endometrial Gene Expression Profiles of Infertile Women with Thin Versus Normal Endometrial Thickness on The Day of Oocyte Retrieval: A cross-sectional study
Authors: Humart Pavarit , Tungprasertpol Kittima , Klaymook Supatra , Sukthanarak Chonlaphat , Petyim Somsin 
Published: February 2024

Abstract
To compare the expression of the endometrial FUT4, CDH2, SOX9, LGR5, POU5F1, PDGFRB, SUSD2, and MCAM genes, which are associated with different endometrial locations, between the thin endometrium and normal endometrial thickness. Between May 2022 and February 2023, we collected tissue samples from 20 infertile women who underwent controlled ovarian stimulation. The samples consisted of 10 thin endometrium (< 7 mm) samples and 10 normal endometrial thickness (≥ 7 mm) samples collected on the day of oocyte retrieval. The expression levels of the endometrial genes were analyzed using quantitative real-time polymerase chain reaction. There were no significant differences in the expression levels of FUT4, CDH2, SOX9, LGR5, POU5F1, PDGFRB, SUSD2, and MCAM genes between both groups (p = 0.912, p = 0.529, p = 0.481, p = 0.123, p = 0.796, p = 0.247, p = 0.063, p = 0.853 respectively). There were also no significant differences in gene expression profiles between the groups according to the history of endometrial surgery, estradiol level, type of gonadotropin, and drug used for oocyte triggering. The endometrial gene expression profiles associated with different endometrial locations on the day of oocyte retrieval were not different between thin and normal endometrial thickness groups.
Validation of a New 2-Channel Portable Sleep Staging Device: Quantitative Analysis of Electroencephalography, Electromyography, and Electrooculography
Authors: Ogino Hiroyuki , So Mirai , Hashimoto Sora , Suenaga Kazue , Endo Takuro , Nishino Seiji , Mimura Masaru 
Published: February 2024

Abstract
Sleep scores obtained using a 2-channel portable telemetry polysomnographic (PSG) system, named SleepGraph, demonstrated an almost perfect correlation when compared to standard laboratory PSG. The components of sleep-stage dependent electroencephalographic (EEG), electromyographic (EMG), and electrooculographic (EOG) results were strikingly consistent between the SleepGraph and the standard PSG. The distinct EEG components were elucidated using the EEG power spectrum. What sets the SleepGraph apart is its innovative approach to EMG and EOG derivation from the lower eyelid to the opposite chin. This unique configuration not only reduces the number of required facial electrodes but also enhances the sleep stage specificity of both EMG and EOG measurements. By using digital band-pass filters, the EMG and EOG records were distinctly separated. The specificity of the EEG power in the δ, α, spindle, and β ranges, along with the EMG integral and the EOG variance, proves to be particularly strong, suggesting their potential as reliable parameters for the development of artificial intelligence-based sleep diagnostic algorithms.
A novel method for evaluating shale gas preservation conditions in an area on a regional scale
Authors: Liu Yuzuo , Shi Wanzhong , Feng Qian , Yuan Kun , Wang Ren , Zhang Xiaoming , Bai luheng 
Published: February 2024

Abstract

The Youjiang Basin is the main area of the Middle Devonian shale gas resources in southern China, with complex geological conditions, diverse stratigraphic structures, low level of exploration and limited hydrocarbon geological data. In this study, a method is proposed for evaluating the regional shale gas preservation conditions, by which it is easy to obtain information (using available data from regional geological maps) and to process data (processed by computer software). This method was applied to the evaluation of the preservation conditions of the Middle Devonian shale gas in the Youjiang Basin. Information extracted from geologic maps includes exposed stratum, magmatic rock distribution, stratigraphic occurrence and surface fracture distribution. Evaluation criteria for three indexes (stratigraphy index, dip angle index and fracture index) were established to classify the preservation conditions into five types from good to bad. Based on the calculated values of comprehensive index (CI), the comprehensive evaluation each area: 11621.23 km2 for CI of 0.7 - 1.0, 37162.67 km2 for CI of 0.5 - 0.7, 57784.43 km2 for CI of 0.3 - 0.5, 69303.77 km2 for CI of 0.1 - 0.3, and 69303.77 km2 for CI of 0.0 - 0.1, accounting for 3.19%, 10.19%, 15.84%, 18.99% and 51.80% of the whole area, respectively. These results are highly consistent with the actual exploration discoveries, showing that in the northern and central parts of the Guizhong Basin, the southern part of the Xidamingshan Uplift, and the northern part of the Qiannan Basin, there are large areas with good shale gas preservation conditions.
Association between serum Calcium and 28-day mortality in Pediatric Pneumonia: Insights from a PICU Retrospective Cohort
Authors: Zhao Jinling , Liu Meihong , Yu Dan , Zhang Ying-ying 
Published: February 2024

Abstract

This study investigates the impact of serum calcium levels on the 28-day hospital mortality rate in children with pneumonia, a topic not extensively explored previously. Analyzing data from 414 patients at Zhejiang University Medical College's Children's Hospital (2010–2019), the study categorized patients by serum calcium levels for 28-day mortality monitoring. Results show that each 1mmol/dL increase in serum calcium reduced 28-day mortality risk by 26% (HR: 0.74, 95% CI: 0.65–0.85). Patients with higher serum calcium levels had a 63% lower mortality rate compared to those with lower levels (HR: 0.37, 95% CI: 0.16–0.85). These findings, consistent across various subgroups, highlight serum calcium as a significant prognostic marker for pediatric pneumonia, influencing clinical decisions and pointing to the need for further research in this area.