bluuebunny/crossref_metadata_2025_split huggingface dataset:
Design, Implement, and Evaluate the Educational Program based on Dimensions of Quality of Work Life among Emergency Medical Services Employees
Authors: Vasli Parvaneh , Panahi-Qoloub Ali , ZohariAnboohi Sima , Nasiri Malihe 
Published: October 2023

Abstract
Background
Quality of work life is a vital factor for health care providers. This study aimed to design, implement, and evaluate the educational program based on the dimensions of quality of work life among EMS employees.
Methods
The current interventional study was conducted on 100 emergency medical services employees in Tehran, Iran, who were chosen using a convenience sampling method (50 in the intervention group and 50 in the control group). The information was gathered using a Demographic questionnaire and a Walton quality of work life questionnaire with eight dimensions. The research was carried out in three stages: design, implementation, and evaluation of the educational program. During the design phase, the educational needs of the participants were determined in terms of the dimensions of the quality of work life and work and total living space. The educational program on work-life quality was implemented in four virtual group sessions, emphasizing the educational needs identified through uploading educational content to the WhatsApp application. The evaluation was conducted in two stages: before the educational program and three months after the program. With a significance level of 0.05, the data was analyzed using SPSS version 24 software.
Results
The results revealed that an education program on the quality of work life and its dimensions, emphasizing strategies to improve work and total living space, can improve the score of this dimension in the intra-group comparison of both the intervention and control groups (p = 0.046), as well as in the inter-group comparison, at the three-month post-intervention stage, there is a significant difference and a significant increase (p = 0.030), but it does not have a significant effect on the quality of work life and its other dimensions.
Conclusion
It is recommended that emergency medical services managers plan to improve the quality of working life of their employees, particularly in terms of work and total living space.
Early Cretaceous Equisetites from Slovakia
Authors: Kvaček Jiří , Čerňanský Andrej 
Published: October 2023

Abstract
A new find of terrestrial plant Equisetites cf. lyellii is reported from the Early Cretaceous of Slovakia. It comes from the Mráznica Formation of the Rajec Basin in Fatricum, Zbyňov locality, Rajecké Teplice (Žilina district). The presence of a 53 mm long horsetail axis, which cannot float a long distance, provides good evidence of terrestrial environments during sedimentation of the studied strata. According to our interpretation such a plant strongly indicates a moist to wet habitat (even swampy environments) on the presumed dryland from where it was transported. This dryland could represent an isolated unknown small island(s) in the vicinity or the Vindelician-Bohemian Massif that was active as a dryland for the entire period of time from the Triassic through the Late Cretaceous. Note, however, that the exact paleogeographic position of Fatricum during Mesozoic in relation to Vindelician Land is not entirely clear and such an interpretations need to be met with a caution.
Resolvent model for aeroacoustics of trailing-edge noise
Authors: Demange Simon , Yuan Zhenyang , Jekosch Simon , Hanifi Ardeshir , Cavalieri André V. G. , Sarradj Ennes , Kaiser Thomas L. , Oberleithner Kilian 
Published: October 2023

Abstract
This study presents a physics-based, low-order model for the trailing-edge (TE) noise generated by an airfoil at low angle of attack. The approach employs incompressible resolvent analysis of the mean flow to extract relevant spanwise-coherent structures in the transitional boundary layer and near wake. These structures are integrated into Curle's solution to Lighthill's acoustic analogy to obtain the scattered acoustic field. The model has the advantage of predicting surface pressure fluctuations from first principles, avoiding reliance on empirical models, but with a free amplitude set by simulation data.
The model is evaluated for the transitional flow (Re = 5e4) around a NACA0012 airfoil at 3 deg angle of attack, which features TE noise with multiple tones. The mean flow is obtained from a compressible large eddy simulation, and spectral proper orthogonal decomposition (SPOD) is employed to extract the main hydrodynamic and acoustic features of the flow.
Comparisons between resolvent and SPOD demonstrate that the physics-based model accurately captures the leading coherent structures at the main tones' frequencies, resulting in a good agreement of the reconstructed acoustic power with that of the SPOD (within 4 dB). Discrepancies are observed at high frequencies, likely linked to nonlinearities that are not considered in the resolvent analysis. The model's directivity aligns well with the data at low Helmoltz numbers, but it fails at high frequencies where the back-scattered pressure plays a significant role in directivity. This modeling approach opens the way for efficient optimization of airfoil shapes in combination with low-fidelity mean-flow solvers to reduce TE noise.
Evaluation of four ornamental plant extracts as insecticidal, antimicrobial, and antioxidant against the West Nile vector, Culex pipiens (Diptera: Culicidae) and metabolomics screening for potential therapeutics
Authors: Baz Mohamed M. , Mostafa Reham M. , Ebeed Heba Talat , Essawy Heba S. , Dawwam Ghada E. , Darwish Ahmed B. , El-Shourbagy Nancy M. 
Published: October 2023

Abstract
Mosquitoes, one of the deadliest animals on the planet, cause millions of fatalities each year by transmitting several human illnesses. Phytochemicals are possible biological agents for controlling pests that are harmful to both human and animal health as well as crops. Plants contain a wide range of potential phytochemicals that are target-specific, rapidly biodegradable, and eco-friendly. The potential of leaf extracts of Bougainvillea glabra, Delonix regia, Lantana camara, and Platycladus orientalis against Culex pipiens and microbial agents was evaluated. Acetone extracts had more toxic effects against Cx. pipiens larvae (99.0–100%, 72 h post-treatment), and the LC50 values were 142.8, 189.5, 95.4, and 71.1 for B. glabra, D. regia, L. camara, and P. orientalis, respectively. Plant extracts tested in this study showed high insecticidal and antimicrobial potential. L. camara acetone extract inhibited all the tested microbial isolates. D. regia showed higher antioxidant activity than other plant extracts in scavenging free radicals. GC-MS results showed the acetone extract had a higher number of chemical classes, with more terpene compounds. HPLC analysis showed the presence of flavonoids and phenolic compounds in L. camara and P. orientalis acetone extracts, and Sylimarine and Rutin were the most abundant. ADME analysis of elemene, caryophyllene oxide, caryophyllene, and copaene showed drug-likeness and revealed better gastrointestinal absorption and permeation of the blood-brain barrier by all the tested phytochemicals. Our results confirm that the diversity of phytochemicals found in ornamental plants has promising larvicidal activity and is a safe and effective alternative to chemical insecticides and biotechnology.
Diagnostic performance of muscular ultrasound in intensive care unit-acquired weakness: a systematic review and Meta-analysis
Authors: Gu Bin , Zhou Yu , Shi Rui , Miao Shumin , Pei Fei , Yuan Hao , Wang Luhao , Chen Minying , Liu Yongjun , Liu Zimeng , Nie Yao , Teboul Jean-Louis , Si Xiang , Guan Xiangdong , Wu Jianfeng 
Published: October 2023

Abstract
Background
The performance of muscular ultrasound in diagnosing intensive care unit (ICU)-acquired weakness (ICUAW) is debated. We conducted this systematic review and meta-analysis to assess the diagnostic efficacy of muscular ultrasound in ICUAW.
Methods
Three researchers independently searched PubMed, Web of Science, Embase, Cochrane library, CNKI, VIP and Wanfang databases for articles published before May 2023. The Quality Assessment of Diagnostic Accuracy Studies-2 tool was employed to evaluate the methodological quality of the studies. A random-effects model was utilized to drive the summary estimates of sensitivity, specificity, and diagnostic odds ratio (DOR) with 95% confidence interval (CI), and summary receiver operating characteristic (SROC) curve was estimated. Additionally, a Fagan nomogram was constructed to calculate the post-test probabilities. Sources of heterogeneity were explored by subgroup analysis and meta-regression.
Results
This meta-analysis comprised nine prospective studies involving 485 participants, of whom 207 (42.68%) were diagnosed as ICUAW. Overall, the muscular ultrasound exhibited good performance for diagnosing ICUAW, with the area of SROC curve of 0.84 (95%CI 0.81–0.87), sensitivity of 0.76 (95%CI 0.70–0.82), specificity of 0.79 (95%CI 0.73–0.83), and DOR of 11.61 (95%CI 7.43–18.13). The included studies exhibited heterogeneity. Upon subgroup analysis, rectus femoris exhibited significantly superior discriminatory ability in identifying ICUAW when compared to the non-rectus femoris, with higher specificity (0.84 [95%CI 0.76–0.90] versus 0.71 [95%CI 0.64–0.77], p = 0.04) and SROC (0.89 [95%CI 0.86–0.91] versus 0.76 [95%CI 0.72–0.79], p < 0.01). Moreover, cross-sectional area was more effective than thickness, with higher specificity (0.84 [95%CI 0.77–0.89] versus 0.74 [95%CI 0.68–0.79], p = 0.02) and SROC (0.85 [95%CI 0.82–0.88] versus 0.76 [95%CI 0.72–0.80], p < 0.01). Furthermore, the integrated analysis of these two indicators revealed that the cross-sectional area of rectus femoris was statistically superior to the thickness of rectus femoris, with higher SROC (0.87 [95%CI 0.83–0.89] versus 0.80 [95%CI 0.76–0.83], p < 0.01).
Conclusion
Muscular ultrasound has potential to be a reliable tool for ICUAW diagnosis. Comparing to alternative indices, the cross-sectional area of the rectus femoris exhibits superior diagnostic efficacy and may be considered as a valuable parameter for clinical application.
WITHDRAWN: A reliability analysis method for industrial robots based on double hierarchy hesitant fuzzy linguistic term set and TODIM
Authors: Zheng Xiuli , Wang Hui , Dai Jinkun 
Published: October 2023

Abstract

Failure mode and effect analysis (FMEA) is the most commonly used method for quality and reliability analysis of industrial robots. FMEA is important for improving the quality and reliability of industrial robots by identifying potential failure modes and analyzing possible consequences. In order to enable FMEA method to solve relevant engineering problems in complex and uncertain working environment of industrial robots, this paper proposes a reliability analysis method based on double hierarchy hesitant fuzzy linguistic term set(DHHFLTS) and tomada de decisao interativa e multicritevio (TODIM). First, in complex and uncertain environments, we use a DHHFLTS for failure mode evaluation, which can truly portray people's hesitation in this particular environment. Then, the weights of each influencing factor are calculated according to the maximum deviation method of evaluation information. The maximum deviation method allows for capability gaps between evaluation members, i.e., it does not need to calculate the weight of evaluation members separately, which simplifies the calculation process of the method. Finally, the relative dominance and global dominance of failure modes are calculated by TODIM, and then the failure modes are ranked according to the global dominance. At the end of the paper, an example of failure mode analysis for a six-axis industrial robot is used to show the specific implementation process of this method and to prove the practicability and reliability of this method.
Supramolecular Catalyst with [FeCl4] Unit Boosting Photoelectrochemical Seawater Splitting via Water Nucleophilic Attack Pathway
Authors: Zhang Kan , Miao Jiaming , Lin Cheng , Yang Yan , Li Zhaosheng 
Published: October 2023

Abstract
Propelled by the structure of water oxidation co-catalysts in natural photosynthesis, molecular co-catalysts have been believed for a long time to possess the developable potential in artificial photosynthesis. However, the interfacial complexity between a light absorber and the molecular co-catalyst limits its structure stability against pH value and charge transfer efficiency. To overcome the challenge, a supramolecular scaffold with the catalytic unit instead of the molecular structure is, for the first time, reported. It is found that the [FeCl4] catalytic sites in the supramolecular matrix (polythiophene, polyaniline, or polypyrrole) undergo a water-nucleophilic attack defining the rate-limiting step of the water oxidation reaction, while the supramolecular matrix can be in situ grown on the surface of photoelectrode to enable a strongly coupled interface. A well-defined BiVO4 photoanode surface hybridized with [FeCl4] catalytic sites in polythiophene matrix reaches 4.72 mA cm− 2 at 1.23 V vs reversible hydrogen electrode under AM 1.5 G illumination, which also exhibits great stability for photoelectrochemical seawater splitting due to the restraint on chlorine evolution reaction by [FeCl4] unit, the anti-corrosion ability of polythiophene as well as the strongly coupled interface. This work provides a novel solution to the challenge of the interface charge transfer of molecular co-catalyst hybridized photoelectrode.
The Buffer Role of Emotions in International Conflict: Theoretical Evidence Supporting for Patriotic Education
Authors: Zhang Zhengping 
Published: October 2023

Abstract
Some scholars express concerns that patriotic education may increase the risk of international conflict by making people more emotional. However, their research may overlook other countries’ challenges to the status quo before international disputes. In this research, we use the behavioural economic paradigm and introduce four emotions into a two-stage bargaining model to study the role of emotions in forming and preventing international conflict. By comparing the subgame perfect Nash equilibria of the bargaining game, we draw the following conclusions: when the strength of two countries matches their initial resource shares, neither side has the incentive to initiate a conflict. However, one side is motivated to provoke a dispute when a mismatch occurs. The negative emotions arising from compromising with other countries and facing other countries’ resistance serve as a buffer to some extent. Patriotic education elicits national-dignity-related emotions among the populace, thereby reducing the occurrence of conflict to some extent. This research may contribute to the field of international relations through the lens of behavioural game theory and offer some game-theoretical insights into the impact of patriotic education and emotions on international conflict.
Evaluation of the efficacy and safety of preoperative intravitreal triamcinolone acetonide combined with internal limiting membrane peeling for the treatment of idiopathic macular epiretinal membrane
Authors: Wang Jie , Liu Yuyan , Chu Yanhua , Han Gouge , Han Quanhong 
Published: October 2023

Abstract
Purpose
To assess the efficacy and safety of preoperative intravitreal triamcinolone acetonide (IVTA) combined with internal limiting membrane (ILM) peeling for idiopathic epiretinal membrane (IMEM).
Methods
This was a retrospective study. Thirty-six phakic eyes of 35 patients were included in this study. IVTA was administered to 18 patients (18 eyes, Group IVTA) 7 days before vitrectomy, while the other 17 patients (18 eyes, Group no-IVTA) only underwent vitrectomy and ILM peeling. Patients were followed up for at least 6 months. Data on best-corrected visual acuity (BCVA), intraocular pressure (IOP), central macular thickness (CMT), inner retinal thickness (IRT), vascular parameters (measured by optical coherence tomography angiography, OCTA), mean macular sensitivity (MMS), 63% bivariate contour ellipse area (BCEA) and P1 (measured by macular integrity assessment, MAIA) were collected.
Results
There were significant differences in BCVA and IRT between the IVTA group and the no-IVTA group at 6 months after surgery (P = 0.000 and P = 0.010). The CMT and MMS of the two groups significantly changed from the preoperative values; however, there were no differences between the 2 groups during the entire study period (P = 0.242 and P = 0.849). The changes in vascular parameters, including foveal avascular zone (FAZ) area and vessel densities of superficial and deep capillary plexus (SCP VD and DCP VD), in the two groups were not statistically significant. There were no statistically significant differences in 63% BCEA and P1 either.
Conclusion
Macular morphology and macular integrity improved after vitrectomy combined with ILM peeling surgery. Compared with the no-IVTA group, preoperative intravitreal triamcinolone acetonide can improve best corrected visual acuity and accelerate the absorption of intraretinal fluid in terms of a significant reduction in IRT.
Thrombospondin-1 promotes liver fibrosis by enhancing TGF-β action in hepatic stellate cells
Authors: Imamori Makoto , Hosooka Tetsuya , Imi Yukiko , Hosokawa Yusei , Yamaguchi Kanji , Itoh Yoshito , Ogawa Wataru 
Published: October 2023

Abstract
Insulin resistance in adipose tissue is thought to be a key contributor to the pathogenesis of various metabolic disorders including metabolic dysfunction-associated steatotic liver disease /metabolic dysfunction-associated steatohepatitis (MASLD/MASH), but the mechanism underlying this contribution to MASLD/MASH has remained unknown. We previously showed that dysregulation of the PDK1-FoxO1 signaling axis in adipocytes plays a role in the development of MASLD/MASH by analysis of adipocyte-specific PDK1 knockout (A-PDK1KO) and adipocyte-specific PDK1/FoxO1 double-knockout (A-PDK1/FoxO1DKO) mice. We here focused on the role of the extracellular matrix protein thrombospondin-1 (TSP-1) as a secreted factor whose expression in adipose tissue is increased in A-PDK1KO mice and normalized in A-PDK1/FoxO1DKO mice. Genetic ablation of TSP-1 markedly ameliorated liver fibrosis in A-PDK1KO mice fed a high-fat diet. With regard to the potential mechanism of this effect, TSP-1 augmented the expression of fibrosis-related genes induced by transforming growth factor–β (TGF-β) in LX-2 human hepatic stellate cells. We also showed that TSP-1 expression and secretion were negatively regulated by insulin signaling via the PDK1-FoxO1 axis in cultured adipocytes. Our results thus indicate that TSP-1 plays a key role in the pathogenesis of liver fibrosis in MASH, and they implicate TSP-1 as an important adipokine linking adipose tissue insulin resistance to MASH.
The causal relationship between Emotions and Osteoarthritis: A Bidirectional Mendelian Randomization study
Authors: Pan Yu , Jin Xiaoliang , Zhou Qiujun , Jin Minwei 
Published: October 2023

Abstract
Background
Osteoarthritis is a global joint disease and its prevalence is still rising. At the same time, emotion disorder is also a huge problem in the whole world, previous studies suggested the relationship between emotion disorder and osteoarthritis. However, the causality effect is still unknown.
Method
A bidirectional Mendelian randomization study was designed to estimate the causality effect of emotion on osteoarthritis. The instrument single nucleotide polymorphisms were screened from open Genome-Wide Association Study summary (GWASs) datasets. The Inverse-Variance Weighted was deemed as the main effect, and the MR_Egger, Weighted Medium, Weighted mode, and Simple Mode were performed to complement the results.
Results
The emotions of depression, anxiousness, and feeling hurt were genetic effects of the development of osteoarthritis. Among them, the anxiousness was relegated to the risk of osteoarthritis (Odds Ratio [OR] 0.49, 95% Confidence Interval [CI] 0.26–0.91). The emotion of depression (OR 2.16, 95% CI 1.61–2.90) and hurt (OR 1.73, 95% CI 1.09–2.75) promoted the risk of osteoarthritis at the genetic level.
Conclusion
The emotion was genetic effect the risk of osteoarthritis, especially depression and feeling hurt.
Long time consequences after STARR procedure: report of 15 years experience and medico-legal perspective
Authors: Andreoli Remo , Zampieri Nicola , Orlandi Simone , Geccherle Andrea , Castellani Roberto L 
Published: October 2023

Abstract
Introduction
Stapled transanal rectal resection is the most surgical procedure used for obstructed defecation syndrome , rectal prolapse , rectocele and rectal intussusception worldwide.
The aim of this study is to report our experience and long time consequences and to offer a new medico-legal perspective.
Materials and methods
We retrospective review medical charts of patients treated between 2006 and 2021 by the same team directed by the same senior surgeon. We consider major complications and long time sequelaeses as main object for the discussion. Inclusion and exclusion criteria were created. IRB approved the study. After revision a medico-legal perspective was done based on major complications.
Results
During the study period 1726 patients, ages between 18 and 71 years old, were treated with 1280 STARR procedures and 446 “Longo”[was stopped on 2012]; all procedures were performed by the senior surgeon and visited by the team at the same control visit at 7days, 30 days and 12 and 18 months after surgery. All patients had 100% compliance at 30 days, while 85% had long time visit (more than 18 months). During the study period 6% (104subjects) of patients had minor complications while 1 patient (42 yrs female) reported total fecal incontinence after 18 months (0,05%). This patient had mental disorder treated with drugs unknown before surgery and long time mental disorder after surgery. We focused on this last case to discuss long time complications.
Conclusions
This survey reports some interesting clinical data; respect to standard complications minor complications such as pain, bleeding and anal discomfort represent less than 10% of procedures that is a good results in this perineal surgery. For those working with rectal mucosal prolapse, obstructed defecation syndrome, rectocele or rectal intussusception is essential to distinguish these diagnosis to have a good counselling with patient before surgery (at least 1 month before). It is essential to check these patients with a close follow-up especially after surgery, to avoid any other mental discomfort related to fecal incontinence; long time fecal incontinence, without anatomical disorders as our case, could be associated and related to drugs consumption or mental disorder, or perineal insensitivity due to surgical procedure. In conclusion it is essential to have good clinical practice to suggest STARR procedure, having idea about different diseases, different surgical approaches and different long time complications.