bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of glycemic control on cognitive function in patients with type 1 diabetes mellitus: a systematic review and meta-analysis
Authors: Hua Wenting , Du Zouxi , Lu Tingting , Tian Limin 
Published: January 2024

Abstract
Background
It is controversial whether the level of glycemic control in patients with type 1 diabetes mellitus (T1DM) correlates with reduced cognitive function. This study explored the influence of glycemic management quality on cognitive function in T1DM patients by examining the association between glycemic control level and impaired cognitive function.

Methods
The electronic databases PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, China Science and Technology Journal database, Wanfang database, and China Biology Medicine disc database were systematically searched to identify eligible studies published before January 2023. Search, selection, and data extraction were performed by two independent reviewers. RevMan 5.4 software was used for meta-analysis, and standardized mean difference (SMD) between groups was calculated.

Results
Six studies involving 351 patients with T1DM were included in this study. Compared with T1DM subjects with good glycemic control, those with poor glycemic control performed worse in full-scale intellectual quotient (P = 0.01, SMD = −0.79, 95%CI = −1.42 to −0.17), but no significant differences were observed in verbal intellectual quotient (P = 0.08, SMD = −1.03, 95%CI = −2.20 to 0.13), memory (P = 0.05, SMD = −0.41, 95%CI = −0.82 to 0.00), and attention (P = 0.23, SMD = −0.26, 95%CI = −0.69 to 0.16).

Conclusions
T1DM patients with suboptimal glycemic control may have a worse cognitive function, mainly focusing on the full-scale intellectual quotient. The current study highlights the significance of maintaining satisfactory glycemic control in T1DM patients to improve their health status and quality of life. Standardized tests should be employed in clinical neuropsychological practice to provide early and complete cognitive assessment of individuals with poor glycemic control.

Systematic review registration
The study protocol has been registered in the PROSPERO database (CRD42023390456).
Necessary and sufficient conditions for discrete inequalities of Jensen–Steffensen type with applications
Authors: Horváth László 
Published: January 2024

AbstractIn this paper we give a necessary and sufficient condition for the discrete Jensen inequality to be satisfied for real (not necessarily nonnegative) weights. The result generalizes and completes the classical Jensen–Steffensen inequality. The validity of the strict inequality is studied. As applications, we first give the form of our result for strongly convex functions, then we study discrete quasi-arithmetic means with real (not necessarily nonnegative) weights, and finally we refine the inequality obtained.
Periodic solutions for second-order even and noneven Hamiltonian systems
Authors: Xiao Juan , Chen Xueting 
Published: January 2024

AbstractIn this paper, we consider the second-order Hamiltonian system $$ \ddot{x}+V^{\prime}(x)=0,\quad x\in \mathbb{R}^{N}. $$

x
¨

+

V
′

(
x
)
=
0
,

x
∈

R
N

.
We use the monotonicity assumption introduced by Bartsch and Mederski (Arch. Ration. Mech. Anal. 215:283–306, 2015). When V is even, we can release the strict convexity hypothesis, which is used by Bartsch and Mederski combined with the monotonicity assumption. When V is noneven, we weaken the strict convexity assumption and introduce another hypothesis (see (V10)). Then in both cases, we can build the homomorphism between the Nehari manifold and the unit sphere of some suitable space. Using the Nehari manifold method introduced by Szulkin (J. Funct. Anal. 257:3802–3822 2009), we prove the existence of T-periodic solutions with minimal period T.
The effects of segmentation on cognitive load, vocabulary learning and retention, and reading comprehension in a multimedia learning environment
Authors: Liu Dongyang 
Published: January 2024

Abstract
Background
Segmentation is a common pedagogical approach in multimedia learning, but its effects on cognitive processes and learning outcomes have yet to be comprehensively explored. Understanding the role of segmentation is crucial, as it has the potential to influence the way instructional materials are designed and delivered in digital learning environments.

Objectives
This research aims to fill this gap by examining the impact of segmentation on cognitive load, vocabulary acquisition, retention, and reading comprehension in a multimedia learning context.

Methodology
Participants were selected from two language schools in Zhengzhou through a multi-stage random sampling method. Ninety teenage students were randomly assigned to six experimental groups. The study utilized a 2 × 3 factorial design to examine segmentation and textual augmentation effects. Four assessment instruments were employed: a Reading Comprehension Test, a Vocabulary Assessment Test, a Cognitive Load Assessment Scale, and a Prior Knowledge Test. The experiment comprised four stages: pre-test, Instruction, post-test, and follow-up. Data analysis was performed using SPSS 22 software, involving descriptive statistics, one-way, and multi-way analysis of variance.

Results
Results indicated that high segmentation significantly impacts cognitive load, vocabulary learning, retention, and reading comprehension across various aspects of multimedia learning. In essence, segmentation reduces cognitive load, supports learning efficiency, and facilitates more profound understanding, vocabulary learning, and retention.

Conclusions and implications
High segmentation in multimedia learning significantly impacts cognitive load, vocabulary learning, comprehension, and retention. Educators should prioritize segmentation for more effective and engaging e-learning experiences.
Effect of tactile and/or kinesthetic stimulation therapy of preterm infants on their parents’ anxiety and depressive symptoms: A systematic review
Authors: Guittard Cassandre , Eutrope Julien , Caillies Stéphanie , Loron Gauthier 
Published: January 2024

Abstract
Background
In the case of preterm birth, the idealized postnatal period is replaced by an anxious and even traumatic experience for parents. Higher prevalence of parental anxiety, postnatal depression, and posttraumatic stress disorder has been observed in mothers of preterm infants up to 18 months after childbirth. There is increasing evidence that proprioceptive stimulation has a beneficial effect on preterms’ short-term outcomes. Could this care also have an impact on parental anxiety and depressive symptoms? We reviewed recent publications on the impact on parents’ anxiety and depressive symptoms of delivering tactile and/or kinesthetic stimulation to their premature newborn.

Methods
We conducted a systematic review by searching the PubMed, PsycInfo, Scopus, ScienceDirect and Google Scholar databases for English-language publications from the past 10 years. We focused on the mothers or fathers of infants born preterm (before 37 weeks of gestation) who provided tactile and/or kinesthetic stimulation to their premature newborn in the neonatal intensive care unit. Relevant outcomes were the parents’ anxiety, stress, depressive symptoms, and symptoms of posttraumatic stress disorder, assessed with reliable standardized inventories.

Results
Eleven articles were included in the systematic review. Results suggested a beneficial effect of parents’ early tactile and kinesthetic stimulation of their preterm infants.

Conclusions
These interventions may act as protective factors against the occurrence of anxiety and depressive symptoms in parents and deserve to be studied further in this population.
That head lag is impressive! Infantile botulism in the NICU: a case report
Authors: Wardinger Jaimie E , Darwish Nada , Amatya Shaili 
Published: January 2024

Abstract
Background
Infantile botulism (IB) is a devastating and potentially life-threatening neuromuscular disorder resulting from intestinal colonization by Clostridium botulinum and the resultant toxin production. It can present with constipation, descending paralysis, and, potentially, respiratory failure. Botulism is a diagnosis that is more commonly seen in the pediatric intensive care unit (PICU) or on the general pediatric wards and would not typically be managed in the neonatal intensive care unit (NICU), and therefore requires high clinical suspicion to ensure prompt diagnosis and treatment.

Case presentation
We discuss a case where an infant from central Pennsylvania presented to a Level IV NICU rather than to the PICU for an evaluation for sepsis and was uniquely diagnosed with IB. The infant presented with poor oral feeding and reduced oral intake, hypothermia, and lethargy. His symptoms progressed into hypoxia and acute respiratory failure. Interestingly, this infant had no known exposure to honey or any other identifiable sources of botulism contact. The infant’s twin brother and the other infants who attended the mother’s in-home daycare remained asymptomatic. This infant was initially evaluated and managed for a potential infectious etiology. However, a diagnosis of IB was suspected, and was later confirmed through the detection of botulinum toxin in the infant’s stools. A high level of suspicion allowed for timely treatment with Botulism Immune Globulin neutralizing antibodies (BabyBIG), even prior to confirmatory testing. We describe the process of obtaining BabyBIG, as well as the natural course of illness after treatment in our patient who ultimately made a complete recovery.

Conclusions
This case highlights the importance of considering infantile botulism as a diagnostic possibility even in the absence of risk factors, and the need for vigilance in diagnosing and treating this rare but potentially life-threatening condition. With timely recognition, subsequent treatment with BabyBIG, and supportive care, infants with infantile botulism can be expected to recover completely. This information is particularly important for neonatologists providing care for infants outside the neonatal period, especially during times of high patient census and resulting overflow of pediatric admissions in the NICU.
Preoperative visualization of mammary artery for breast reduction surgery based on computed tomography angiography
Authors: Li Xiaoshi , Geng Jigang , Jin Dayong , Zhu Yinhu , Li Xin , Wang Lei , Qin Yue 
Published: January 2024

Abstract
Background
Macromastia, characterized by an increase in breast size, poses challenges such as elevated body burden and chest oppression, potentially leading to cardiac and pulmonary overload. A crucial aspect of addressing these challenges involves preoperative planning, aiming to acquire detailed images and a 3D model of the internal mammary artery with minimal radiation exposure.

Purpose
This study aimed to explore the clinical significance of computed tomography angiography (CTA) of the mammary artery in preoperative planning for breast reduction surgery.

Methods
Retrospective analysis was conducted on CT images from 60 patients scheduled for breast reduction surgery in the plastic surgery department. These images were processed using a post-processing workstation to extract internal mammary arteries for subsequent 3D modeling. Radiologists and plastic surgeons collaborated to perform preoperative planning based on the 3D model and associated measurement parameters. Subsequent follow-up examinations occurred 4 to 9 months post-surgery, evaluating necrosis rates and complications of the nipple-areola complex (NAC).

Results
A total of 206 blood vessels were reconstructed and extracted in 60 patients, including 156 main arteries and 50 arterioles. There were no instance of NAC necrosis, complications, or infections in the 4–9 months follow-up period.

Conclusions
Preoperative Mammary artery CTA emerged as a valuable tool, facilitating a comprehensive understanding of the internal mammary arteries and the primary blood supply in the NAC region. This approach effectively minimizes the risk of NAC supply artery injury during surgery, thereby preserving the functionality of the nipple and areola.
Epidemiologic data on acute gastrointestinal bleeding in Albania: an overview of upper and lower GI bleeding
Authors: Sadiku Edite , Cuko Liri , Pasho Ina , Jucja Orion , Taci Stela , Hoti Kliti , Kraja Bledar 
Published: January 2024

Abstract
Background
Acute gastrointestinal bleeding (GIB) is a significant medical condition that poses a considerable burden on healthcare systems worldwide. To effectively manage and improve outcomes for patients, it is essential to have comprehensive epidemiologic data on GIB, including its various aspects such as upper and lower GIB, treatment modalities, and overall mortality rates.

Aim
The objective of this study is to present the first epidemiological data on acute gastrointestinal bleeding in our country, which includes a comprehensive analysis of upper and lower AGIB, as well as the use of endoscopic and surgical treatments, and an assessment of overall mortality rates for the year 2015.

Material and methods
A retrospective analysis of medical records and databases was conducted to gather epidemiologic data related to acute GIB cases during the specified period. Patient demographics, clinical characteristics, diagnostic findings, treatment approaches (including endoscopic and surgical interventions), and overall mortality rates were evaluated and analyzed.

Results
The study included a total of 926 patients with acute gastrointestinal bleeding during 2015. Among them, 70% presented with upper gastrointestinal bleeding (UGIB), while 30% had lower gastrointestinal bleeding (LGIB). The remaining cases involved both upper and lower GIB.
Regarding treatment modalities, 80% of patients with UGIB underwent endoscopic interventions, which included various techniques such as endoscopic hemostasis, band ligation, and sclerotherapy. On the other hand, 60% of patients with LGIB required surgical intervention due to the severity or complexity of their bleeding.
The overall mortality rate for acute GIB during the study period was calculated to be 8%. Subgroup analysis revealed that patients with UGIB had a mortality rate of 5%, while patients with LGIB had a mortality rate of 10%.

Conclusions
This study provides important epidemiologic data on acute gastrointestinal bleeding, focusing on upper and lower GIB, endoscopic and surgical treatment approaches, and overall mortality rates during the year 2015 in Albania. It refers to the first data, not published and gathered on this therapeutic field, that can be used as a reference for comparison in the latest publications and reports.
Our study results showed that the higher incidence of UGIB compared to LGIB highlights the need for focused attention on upper gastrointestinal pathologies as significant contributors to GIB cases. The utilization of endoscopic interventions as the primary treatment modality for UGIB indicates the effectiveness and importance of timely endoscopic evaluation and intervention in controlling bleeding and improving patient outcomes.
Based on the findings of this initial study, our future research endeavors were primarily focused on investigating patients within the upper gastrointestinal bleeding (UGIB) cohort.
The influence of environment-based reputation on cooperation in spatial prisoner's dilemma game
Authors: Huang S. , Hu Y. , Liu X. , Fu X. 
Published: January 2024

Abstract
Research has shown that reputation mechanism can be effective in facilitating the generation and maintenance of cooperation in social dilemmas. In the traditional reputation mechanism, the amount of change in reputation is fixed. However, in real life, people's impression scores of a player are often influenced by the environment in which he lives. In other words, we prefer to celebrate the cooperative heroes who are surrounded by defectors and spurn the defectors who are hidden among the many cooperators. Thus, this paper proposes an environment-based reputation model, in which the increment of a player's reputation will be influenced by the local and global environment. The results of the research indicate that the greater the intensity of the environmental influence, the more it promotes the evolution of cooperation. It is worth noting that the local and global environmental focus shows peculiarities. Focusing on the global environment can improve the fraction of cooperators at low defection temptations while focusing on the local environment will facilitate cooperators’ survival at higher defection temptations.
Orthostatic Hypotension Promotes the Progression From Mild Cognitive Impairment to Dementia in Type 2 Diabetes Mellitus
Authors: Xiong Qiao , Li Fang , Chi Haiyan , Yang Yachao , Li Mengfan , Liu Yingxiao , Zhang Yupan , Leng Bing , Qi Xiaoxiao , Sun Hairong , Li Zhenguang , Zhang Jinbiao 
Published: January 2024

Abstract

Context
In type 2 diabetes mellitus (T2DM), orthostatic hypotension (OH) is associated with cognition, but the mechanisms governing the link between OH and cognition are still unclear.

Objective
We sought to analyze Alzheimer’s disease (AD) biomarkers and the part of complement proteins in modulating the association of OH with cognitive impairment and examine whether OH could accelerate the clinical progression of mild cognitive impairment (MCI) to dementia in T2DM.

Methods
We recruited patients with T2DM with MCI and collected general healthy information and blood samples. Complement proteins of astrocyte-derived exosomes were isolated and AD biomarkers of neuronal cell-derived exosomes isolated were quantified by enzyme-linked immunosorbent assay. Cognitive assessments were performed at patient enrollment and follow-up.

Results
Mediation analysis showed that the influence of OH on cognition in T2DM was partly mediated by baseline AD biomarkers and complement proteins. Cox proportional-hazards regression proved the OH group had a higher risk of developing dementia compared to the T2DM without OH group.

Conclusion
In T2DM with MCI patients, AD biomarkers and complement proteins mediate the effects of OH on cognitive impairment and OH may be a risk factor of progression from MCI to dementia in T2DM.
Case study of cost efficiency in selected business entities in Poland in light of current economic conditions
Authors: Moskwa-Bęczkowska Daria 
Published: January 2024

Motivation: Current economic conditions, including, but not limited to, the rising inflation rate, changes in electricity prices or changes in tax law significantly affect the manner of operation of business entities in Poland. The economic impact of these changes varies greatly depending on the type of business, industry or economic sector represented. These changes are also reflected in the level and structure of the entities’ own costs — primarily in the when considering costs by type. The multitude of changes that Polish companies now face also indicates the importance and relevance of the concept of effective cost management in these difficult economic conditions. Therefore, the need to adapt the business to the peculiarities of the new economic reality created the basis for a thorough identification of cost information needs coming in from the cost accounting systems used in companies. This became one of the prerequisites for undertaking research on evaluating the usefulness of cost accounting systems used in business entities for effective management of their costs.Aim: The purpose of this article is to analyze and assessment the cost effectiveness of selected entities representing production, commercial and service activities in the context of recent changes in economic in Poland.Results: The main conclusion of the analysis is that the current economic conditions have a significant impact on the level and structure of own costs in business entities. Therefore, these entities need specialized economic tools to improve the efficiency of their cost management. It is because the traditional full-cost accounting system used by most business entities in Poland is proving to be inadequate in this regard.
Some Remarks on the Logic of Probabilistic Relevance
Authors: Fazio Davide , Mascella Raffaele 
Published: January 2024

In this paper we deepen some aspects of the statistical approach to relevance by providing logics for the syntactical treatment of probabilistic relevance relations. Specifically, we define conservative expansions of Classical Logic endowed with a ternary connective ⇝ - indeed, a constrained material implication - whose intuitive reading is “x materially implies y and it is relevant to y under the evidence z”. In turn, this ensures the definability of a formula in three-variables R(x, z, y) which is the representative of relevance in the object language. We outline the algebraic semantics of such logics, and we apply the acquired machinery to investigate some termdefined weakly connexive implications with some intuitive appeal. As a consequence, a further motivation of (weakly) connexive principles in terms of relevance and background assumptions obtains.
„Ci, którzy strzegą przykazań Boga i mają świadectwo Jezusa”. O dojrzałości chrześcijańskiej w świetle Ap 12,17; 14,12
Authors: Kotecki Dariusz 
Published: January 2024

Autor artykułu zadaje pytanie, co znaczy być dojrzałym chrześcijaninem. Jest to pytanie fundamentalne w obliczu galopującej sekularyzacji i dechrystianizacji w świecie zachodnim, w tym także w Polsce. W odpowiedzi na to pytanie autor analizuje teksty Ap 12,17 i 14,12, które określają tożsamość chrześcijan: „ci którzy strzegą przykazań Boga i mają świadectwo Jezusa” (12,17); „ci, którzy strzegą przykazań Boga i wiary Jezusa” (14,12). W oparciu o przeprowadzone analizy autor dochodzi do wniosku, że pomiędzy syntagmami „strzec przykazań Boga” a „mieć świadectwo Jezusa” i „strzec wiary Jezusa” zachodzi paralelizm synonimiczny progresywny, w którym drugi człon uzupełni, dopowiada czy precyzuje znaczenie pierwszego członu. Wszystkie trzy syntagmy odnoszą się do życia, egzystencji Jezusa, całego dzieła Jezusa, które osiąga swój punkt kulminacyjny w Jego misterium paschalnym. W tej perspektywie dojrzały chrześcijanin oznacza tego, który sposób egzystowania Jezusa, logikę Jego życia przyjmuje za swoją. Autor w kluczu aktualizacji tekstu biblijnego dochodzi do wniosku, że przyjęcie przez chrześcijan przesłania Ap 12,17 i 14,10 w codziennym życiu domaga się powrotu do inicjacji chrześcijańskiej, która w starożytności przyjmowała formę katechumenatu. Jak dwa przykłady jego realizacji podaje formację w ramach Ruchu „Światło – Życie” oraz Drogi Neokatechumenatu.