bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pituitary apoplexy associated with gram-negative meningitis following transsphenoidal surgery
Authors: Malikov Azad , Daglar Zeynep , Aygun Kaan , Divanlioglu Denizhan 
Published: November 2023

Abstract
Background
Pituitary apoplexy (PA) is a rare but potentially life-threatening condition. While it is uncommon, it can present with findings that are clinically indistinguishable from acute bacterial meningitis. We report an unusual case of simultaneous coexistence of bacterial meningoencephalitis and pituitary apoplexy following transsphenoidal surgery (TSS) for pituitary macroadenoma, emphasizing the possibility of coexistence of the two entities.

Case presentation
A 62-year-old man was admitted with a moderate headache, gait disturbance, and progressively decreasing vision. Sellar magnetic resonance imaging showed a giant pituitary tumor of 4 × 5 cm with invasion of the cavernous sinus bilaterally, and a mass effect on the optic chiasm. The patient underwent a TSS and partial resection of a giant pituitary tumor. On postoperative day 11, he presented with an acute, severe headache and altered sensorium. An urgent computed tomography (CT) scan revealed hemorrhagic swelling of the residual. A complete analysis of the anterior pituitary hormones revealed panhypopituitarism. Administering steroid ameliorated the clinical features, but after decreasing the dose, the patient continued to deteriorate in his neurological status, a high fever, and marked stiffness were noted on postoperative day 14. Given the neck stiffness, leukocytosis, and high C-reactive protein level, acute meningitis was suspected, and the cerebrospinal fluid (CSF) was tested, which was consistent with acute bacterial meningitis. In the results of the bacterial cultures of the CSF, E. coli was identified and switched to ceftriaxone. The patient's neurological status and body temperature improved gradually. CSF test results returned to normal levels, and ceftriaxone was discontinued on day 10.

Conclusions
This is a report on a case of a giant pituitary tumor that developed late postoperative PA after having undergone a partial tumor resection. A postoperative CT scan showed hemorrhagic expansion of the residual tumor mass. Further, the patient exhibited typical symptoms of acute meningoencephalitis, the result of the cultures of the CSF was positive, and the patient's general condition deteriorated. In addition, laboratory findings indicated leukocytosis, an elevated C-reactive protein level, and neutrophilic pleocytosis. We highlighted diagnostic challenges and therapeutic delays arising as a result of rare concomitance.
Empowering Precision Medicine: The Impact of 3D Printing on Personalized Therapeutic
Authors: Alzoubi Lorca , Aljabali Alaa A. A. , Tambuwala Murtaza M. 
Published: November 2023

AbstractThis review explores recent advancements and applications of 3D printing in healthcare, with a focus on personalized medicine, tissue engineering, and medical device production. It also assesses economic, environmental, and ethical considerations. In our review of the literature, we employed a comprehensive search strategy, utilizing well-known databases like PubMed and Google Scholar. Our chosen keywords encompassed essential topics, including 3D printing, personalized medicine, nanotechnology, and related areas. We first screened article titles and abstracts and then conducted a detailed examination of selected articles without imposing any date limitations. The articles selected for inclusion, comprising research studies, clinical investigations, and expert opinions, underwent a meticulous quality assessment. This methodology ensured the incorporation of high-quality sources, contributing to a robust exploration of the role of 3D printing in the realm of healthcare. The review highlights 3D printing's potential in healthcare, including customized drug delivery systems, patient-specific implants, prosthetics, and biofabrication of organs. These innovations have significantly improved patient outcomes. Integration of nanotechnology has enhanced drug delivery precision and biocompatibility. 3D printing also demonstrates cost-effectiveness and sustainability through optimized material usage and recycling. The healthcare sector has witnessed remarkable progress through 3D printing, promoting a patient-centric approach. From personalized implants to radiation shielding and drug delivery systems, 3D printing offers tailored solutions. Its transformative applications, coupled with economic viability and sustainability, have the potential to revolutionize healthcare. Addressing material biocompatibility, standardization, and ethical concerns is essential for responsible adoption.
Graphical Abstract
Novel perturbation mechanism underlying the network fragility evolution
Authors: Hou Songan , Fan Denggui , Wang Qingyun 
Published: November 2023

Abstract
Studies have shown that fragility is an effective marker for seizures and seizure onset zone (SOZ). Through analysis and simulation of a probabilistic neural network under different inputs, the regularization mechanism of external input perturbations on the fragility is explored. It is theoretically found that the fragility of a perturbed node within seizure network is inversely associated with the received perturbation input, while the fragility of the other unperturbed nodes always oppositely changes with this perturbed node. By terming the node with high fragility as the fragile node (FN), it is interestingly shown that the FN would evolve to the node with the smallest input. Then, the network fragility is further investigated. Results show that the non-uniform perturbation inputs can more easily impact the network fragility. In addition, noise-induced variations of network connection can degrade the network fragility to some extent. Finally, the real data from a patient with epilepsy have verified the universality of the above obtained findings. These results may provide possible insights into stimulation strategies for seizure control in clinic.
Potential photocell based on cobalt sulfide quantum dots and nanographene oxide for energy applications
Authors: de Souza Bernardes Micheli , Parada Savino Rafael , Tamires Santos Renata , Soares Silva Carlos Mateus , Teixeira Silva Carla Jeany , do Amparo Madureira Jhonatan , G. L. Medeiros Borsagli Fernanda 
Published: November 2023

Abstract
Climate change and all environmental advances have caused much worry in society. Then, the development of sustainable materials using materials from renewable sources is a great challenge. In this sense, various sources have been implemented for energy applications, like solar energy, using a diversity of materials, including graphene oxide. Therefore, the decorating process of graphene using different semiconductor nanoparticles has been performed to improve their performance in different technologies. In this sense, present research has evaluated the production of a new photocell system using ITO (In2O3/SnO2) loaded nanographene oxide and cobalt sulfide quantum dots (CoS QD) for potential energy applications. Spectroscopy analysis (FTIR, Raman, UV Vis), X-ray diffraction, and morphological analysis (SEM, TEM, BET) were used to characterize this system. The results showed that the CoS presented a size of 3 nm with good electrical potential for application in energy areas, demonstrating a low-cost and environmentally friendly chemical route. In addition, the chemical groups that stabilized the CoS QD were the carboxylates. Moreover, the photocell system was conducted well, changing the radiation absorption spectrum of the photocell. Furthermore, photocell production provided a potential application of these materials to renewable energy sources.
Green Care in Poland. Essence, limitations and development opportunities with the kujawsko-pomorskie province as an example
Authors: Kamiński Ryszard , Marcysiak Tomasz 
Published: November 2023

Abstract
An ageing society has triggered the development of new intervention mechanisms and the engagement of both state and non-governmental institutions. It can be said that, for each group of persons, place-of-residence and social-structure-specific social security models must be designed. In Poland, such innovative actions include the initiative of launching care farms, known as green care. This article presents the results of the current study and observations of the operation of such farms in the kujawsko-pomorskie province. The study mostly involved the use of qualitative methods: interviews with carers, a covert participant observation and the analysis of the opinions of the psychologist coordinating the care farm therapy. The study shows that the idea of green care is quite easily implemented in the rural areas of Poland, with plenty of potential clients and farms which, with sometimes inconsiderable investment inputs, can be adapted to welcome that specific group of guests. However, one must note many barriers, especially a lack of permanent sources of green care financing, in many places a profound distrust of the local community for changes and innovations, and uncertainty regarding the continued care prospect, which can result in an even greater social withdrawal of the clients and an abandoning of the efforts by the carers and farm owners for a further operation to be continued.
Tooth wear: intrinsic and extrinsic mechanical factors
Authors: Al-Ani Ziad 
Published: November 2023

Tooth wear, the progressive loss of dental hard tissue not caused by decay or trauma, is a multi-faceted phenomenon with implications for oral health and aesthetics. This article provides a comprehensive overview of both intrinsic and extrinsic mechanical factors contributing to tooth wear. Intrinsic mechanical wear from direct tooth-to-tooth contact leading to attrition, such as in bruxism, and extrinsic mechanical wear resulting from external actions, such as parafunctional habits including biting nails, chewing on pens, or the consumption of rough food elements and the use of overly abrasive dental products and aggressive toothbrushing, leading to abrasion. CPD/Clinical Relevance: Understanding the complex relationship between intrinsic and extrinsic mechanical factors is essential for clinicians to provide holistic dental care.
Dento-legal considerations in the management of patients with tooth wear
Authors: Mukar Sandeep , D'Cruz Len 
Published: November 2023

Tooth wear is increasing in prevalence in both the younger and older population, and general dental practitioners have a duty of care to examine patients carefully, diagnose the condition and manage it with patient input. The article briefly covers the elements of examination, diagnosis and decision-making about how to manage it from a dento-legal perspective. CPD/Clinical Relevance: Dentists with their teams need to understand their legal obligations in managing this among their patient base.
Mother blame and emotion work: a sociological study on Swedish mothers of children with long-term school absenteeism
Authors: Laurin Emma 
Published: November 2023

Building on interviews with 31 Swedish mothers and drawing on the concepts of emotion work, feeling rules, and cultural, economic and social capital, the article examines the emotion management mothers of neurodivergent and school-absent children carry out as they navigate school and care systems to improve their children’s situation. Three main findings are presented: (1) the mothers were left with a burdensome individual responsibility to obtain support for their children in the education and care sectors, and while doing so, they were expected to follow feeling rules emphasising reason, calmness and a constructive attitude; (2) the emotion work the mothers carried out in relation to the feeling rules was underscored by mother blame; and (3) the mothers’ emotion work was marked by their cultural, economic and social capital, though not always in a straightforward way.
The article contributes to research on mother blame by illuminating the underexplored issue of emotion work among mothers experiencing mother blame. The results also add to previous research on mother blame and social class by demonstrating when and how mothers’ cultural, economic and social capital helps them fend off mother blame and when such resources play a more ambiguous role.
Indium-doped perovskite-related cesium copper halide scintillator films for high-performance X-ray imaging
Authors: Liu Rui , Liu Zhiyong , Lin Chengxu , Niu Guangda , Zhang Xuning , Sun Bo , Shi Tielin , Liao Guanglan 
Published: November 2023

Scintillators are widely utilized in high-energy radiation detection in view of their high light yield and short fluorescence decay time. However, constrained by their current shortcomings, such as complex fabrication procedures, high temperature, and difficulty in the large scale, it is difficult to meet the increasing demand for cost-effective, flexible, and environment-friendly X-ray detection using traditional scintillators. Perovskite-related cesium copper halide scintillators have recently received multitudinous research due to their tunable emission wavelength, high photoluminescence quantum yield (PLQY), and excellent optical properties. Herein, we demonstrated a facile solution-synthesis route for indium-doped all-inorganic cesium copper iodide (Cs3Cu2I5) powders and a high scintillation yield flexible film utilizing indium-doped Cs3Cu2I5 powders. The large area flexible films achieved a PLQY as high as 90.2% by appropriately adjusting the indium doping concentration, much higher than the undoped one (73.9%). Moreover, benefiting from low self-absorption and high PLQY, the Cs3Cu2I5:In films exhibited ultralow detection limit of 56.2 nGy/s, high spatial resolution up to 11.3 lp/mm, and marvelous relative light output with strong stability, facilitating that Cs3Cu2I5:In films are excellent candidates for X-ray medical radiography. Our work provides an effective strategy for developing environment-friendly, low-cost, and efficient scintillator films, showing great potential in the application of high-performance X-ray imaging.
10  Gb/s classical secure key distribution based on temporal steganography and private chaotic phase scrambling
Authors: Gao Zhensen , Deng Zhitao , Zhang Lihong , Gao Xulin , An Yuehua , Wang Anbang , Fu Songnian , Li Zhaohui , Wang Yuncai , Qin Yuwen 
Published: November 2023

Secure distribution of high-speed digital encryption/decryption keys over a classical fiber channel is strongly pursued for realizing perfect secrecy communication systems. However, it is still challenging to achieve a secret key rate in the order of tens of gigabits per second to be comparable with the bit rate of commercial fiber-optic systems. In this paper, we propose and experimentally demonstrate a novel solution for high-speed secure key distribution based on temporal steganography and private chaotic phase scrambling in the classical physical layer. The encryption key is temporally concealed into the background noise in the time domain and randomly phase scrambled bit-by-bit by a private chaotic signal, which provides two layers of enhanced security to guarantee the privacy of key distribution while providing a high secret key rate. We experimentally achieved a record classical secret key rate of 10 Gb/s with a bit error rate lower than the hard-decision forward error correction (HD-FEC) over a 40 km standard single mode fiber. The proposed solution holds great promise for achieving high-speed key distribution in the classical fiber channel by combining steganographic transmission and chaotic scrambling.
Characterization of patients receiving surgical versus non-surgical treatment for infective endocarditis in West Virginia
Authors: Bhandari Ruchi , Abdulhay Noor , Alexander Talia , Rubenstein Jessica , Meyer Andrew , Annie Frank H. , Kaleem Umar , Wiener R. Constance , Sedney Cara , Thompson Ellen , Irfan Affan 
Published: November 2023

Background
Infective endocarditis (IE) has increased in rural states such as West Virginia (WV) with high injection drug use. IE is medically managed with antimicrobial treatment alone or combined with surgical treatment. This study aimed to characterize the predictors associated with surgical treatment and rates of inpatient mortality and readmission among IE patients in WV’s rural centers.

Methods
This retrospective review of electronic health records includes all adults hospitalized for IE at major rural tertiary cardiovascular centers in WV during 2014–2018. Descriptive statistics were presented on demographics, history of injection drug use, clinical characteristics, and hospital utilization by surgery status, and multivariable logistic regression examined the association of surgery with key predictor variables, generating odds ratios (OR).

Results
Of the 780 patients with IE, 38% had surgery, with a 26-fold increase in patients undergoing surgery between 2014–2018. Comparing surgery and non-surgery patients revealed significant differences. Surgery patients were significantly younger (median age 35.6 vs. 40.5 years; p<0.001); had higher rates of drug use history (80% vs. 65%; p<0.001), psychiatric disorders (57% vs. 31%; p<0.001), and readmissions (18% vs.12%; p = 0.015). Surgery patients had lower rates of discharge against medical advice (11% vs.17%; p = 0.028) and in-hospital mortality (5% vs.12%; p<0.001). In the multivariable logistic regression, surgery was associated with injection drug use (OR: 1.9; 95% CI:1.09–3. 3), indications for surgery (OR: 1.68; 95% CI:1.48–1.91), left-sided IE (OR: 2.14; 95%CI:1.43–3.19) and later years (OR:3.75; 95%CI:2.5–5.72).

Conclusion
This study characterizes the predictors associated with surgical treatment and rates of inpatient mortality and readmission among IE patients across rural WV. The decision to perform cardiac surgery on IE patients is complex. Results with increased injection drug use-associated IE emphasize the importance of comprehensive care by a multidisciplinary team for optimal management of patients with IE.
Assessing the Impact of Climate Risk Stresses on Life Insurance Portfolios
Authors: Dong Michelle , Bruhn Aaron , Shang Han Lin , Hui Francis 
Published: November 2023

Abstract
Understanding climate-related risks and stresses is an emerging area of interest for life insurers globally. However, there are complexities in quantifying climate risk stress impacts due to the long-term nature of these risks, and the interactions between physical and transition risks over time. In this paper, we build on understanding the financial impacts of climate risk stresses for life insurers in Australia, by identifying key climate-related mortality risks, and quantifying these by applying short- and long-term stresses from existing literature to two synthetic life insurers. We perform sensitivity tests to demonstrate the variability and range of plausible results. Overall, results show that the expected financial impacts from short-term events in isolation are small relative to expected long-term changes in mortality. Furthermore, the value of a mortality hedge is even more apparent given the increased mortality risk for yearly renewable-term insurers in the short to medium term.
Evaluating early pandemic response through length-of-stay analysis of case logs and epidemiological modeling: A case study of Singapore in early 2020
Authors: Sreevalsan-Nair Jaya , Mubayi Anuj , Chhabra Janvi , Vangimalla Reddy Rani , Ghogale Pritesh Rajesh 
Published: November 2023

Abstract
It is now known that early government interventions in pandemic management helps in slowing down the pandemic in the initial phase, during which a conservative basic reproduction number can be maintained. There have been several ways to evaluate these early response strategies for COVID-19 during its outbreak globally in 2020. As a novelty, we evaluate them through the lens of patient recovery logistics. Here, we use a data-driven approach of recovery analysis in a case study of Singapore during January 22–April 01, 2020, which is effectively the analysis of length-of-stay in the government healthcare facility, National Center for Infectious Diseases. We propose the use of a data-driven method involving periodization, statistical analysis, regression models, and epidemiological models. We demonstrate that the estimates of reproduction number in Singapore shows variation in different age groups and periods, indicating the success of early intervention strategy in the initial transmission stages of the pandemic.
Generalized Hausdorff operator on Bergmann spaces
Authors: Perumal Sasikala , Kamalakkannan Kalaivani 
Published: November 2023

Abstract
In this article, we considered the generalized Hausdorff operator

ℋ

μ
,
ϕ
,
a

{{\mathcal{ {\mathcal H} }}}_{\mu ,\phi ,a}

on Bergmann space and determined the conditions on

ϕ

\phi

and

a

a

so that the operator is bounded. In addition, we studied the action of the Hausdorff operator on the truncated domain to estimate norm

ℋ

μ
,
ϕ
,
a

{{\mathcal{ {\mathcal H} }}}_{\mu ,\phi ,a}

and established a relation with quasi-Hausdorff operator on Bergmann space.
Characterization of pre-idempotent Copulas
Authors: Chamnan Wongtawan , Sumetkijakan Songkiat 
Published: November 2023

Abstract
Copulas

C

C

for which

(

C

t

C

)

2

=

C

t

C

{({C}^{t}C)}^{2}={C}^{t}C

are called pre-idempotent copulas, of which well-studied examples are idempotent copulas and complete dependence copulas. As such, we shall work mainly with the topology induced by the modified Sobolev norm, with respect to which the class

ℛ

{\mathcal{ {\mathcal R} }}

of pre-idempotent copulas is closed and the class of factorizable copulas is a dense subset of

ℛ

{\mathcal{ {\mathcal R} }}

. Identifying copulas with Markov operators on

L

2

{L}^{2}

, the one-to-one correspondence between pre-idempotent copulas and partial isometries is one of our main tools. In the same spirit as Darsow and Olsen’s work on idempotent copulas, we obtain an explicit characterization of pre-idempotent copulas, which is split into cases according to the atomicity of its associated

σ

\sigma

-algebras, where the nonatomic case gives all factorizable copulas and the totally atomic case yields conjugates of ordinal sums of copies of the product copula.
Uniformity in Tophet Ceramics?
Authors: Braekmans Dennis , Garnand Brien , Greene Joseph , Degryse Patrick 
Published: November 2023

Abstract
Burial urns and lids found in the Carthage tophet precinct play a pivotal role in our understanding of material trajectories. Significant differences in macroscopic features present problems as to where and how these vessels were made. In general, issues in sourcing north African ceramic materials stem from their compositional homogeneity, having mostly sand and calcareous fractions varying to a greater or lesser degree. In this paper we present the results of a petrographic study of ceramic materials in order to understand the different fabrics present within the tophet assemblage, with the ultimate aim of determining whether or not their production took place in Carthage itself and to trace transformations in local and regional ceramic fabric types.