bluuebunny/crossref_metadata_2025_split huggingface dataset:
Smart performance optimization of energy‐aware scheduling model for resource sharing in 5G green communication systems
Authors: Sangeetha Sivakumar , Logeshwaran Jaganathan , Faheem Muhammad , Kannadasan Raju , Sundararaju Suganthi , Vijayaraja Loganathan 
Published: February 2024

AbstractThis paper presents an analysis of the performance of the Energy Aware Scheduling Algorithm (EASA) in a 5G green communication system. 5G green communication systems rely on EASA to manage resource sharing. The aim of the proposed model is to improve the efficiency and energy consumption of resource sharing in 5G green communication systems. The main objective is to address the challenges of achieving optimal resource utilization and minimizing energy consumption in these systems. To achieve this goal, the study proposes a novel energy‐aware scheduling model that takes into consideration the specific characteristics of 5G green communication systems. This model incorporates intelligent techniques for optimizing resource allocation and scheduling decisions, while also considering energy consumption constraints. The methodology used involves a combination of mathematical analysis and simulation studies. The mathematical analysis is used to formulate the optimization problem and design the scheduling model, while the simulations are used to evaluate its performance in various scenarios. The proposed EASM reached a 91.58% false discovery rate, a 64.33% false omission rate, a 90.62% prevalence threshold, and a 91.23% critical success index. The results demonstrate the effectiveness of the proposed model in terms of reducing energy consumption while maintaining a high level of resource utilization.
Clinical Case and Literature Review of a Potentially Life-Threatening Complication Derived from Mouth Floor Hematoma after Implant Surgery
Authors: Carreira-Nestares Beatriz , Urquiza-Fornovi Irene , Carreira-Delgado Manuel Carlos , Gutierrez-Díaz Ramón , Sánchez-Aniceto Gregorio 
Published: February 2024

AbstractThe placement of dental implants is a safe and predictable procedure when performed by qualified staff. The incidence of complications derived from this type of surgery has increased due to the greater number of patients undergoing dental rehabilitation treatments in recent years. Floor of the mouth hematoma is a rare, but potentially fatal, complication that every oral surgeon should recognize for early diagnosis. As part of the clinical case presented here, two implants were removed and a hemorrhage in the floor of the mouth was found, which required an urgent intervention to control the bleeding. Two independent researchers conducted an electronic search of the available scientific evidence in relation to bleeding of the floor of the mouth in dental implant surgery. The research included references, which were written in English or Spanish, and published up to December 2022. Case reports, case series, systematic reviews, and meta-analysis were part of the inclusion criteria. Sixty-four bibliographic references were identified, and 39 full-text articles were selected. There were 30 cases of floor of the mouth hematoma in relation to implant surgery. In 13 patients the main location was interforaminal, in 5 in the canine area, in 6 in the incisor area, and in 6 in the molar premolar region. All cases were caused by perforation of the cortical bone or surgical manipulation (disruption of the periosteum, perforation of the sublingual mucosa by the stiff suture). The sublingual artery was most frequently involved. The clinical sign observed in all cases was elevation of the floor of the mouth. In 21 of the cases there was airway involvement, so the main treatment was intubation or tracheostomy. Floor of the mouth hematoma may be one complication associated with implant surgery. Given the seriousness of this clinical picture, early detection by the dentist and hospital referral are essential. Warning signs are sudden swelling of the floor of the mouth or submandibular area, accompanied by dysphagia and dyspnea.
Perioperative Opioid-Related Harms: Opportunities to Minimize Risk
Authors: Alessio-Bilowus Dominic , Luby Alexandra O. , Cooley Samantha , Evilsizer Sarah , Seese Elizabeth , Bicket Mark , Waljee Jennifer F. 
Published: February 2024

AbstractAlthough substantial attention has been given to opioid prescribing in the United States, opioid-related mortality continues to climb due to the rising incidence and prevalence of opioid use disorder. Perioperative care has an important role in the consideration of opioid prescribing and the care of individuals at risk for poor postoperative pain- and opioid-related outcomes. Opioids are effective for acute pain management and commonly prescribed for postoperative pain. However, failure to align prescribing with patient need can result in overprescribing and exacerbate the flow of unused opioids into communities. Conversely, underprescribing can result in the undertreatment of pain, complicating recovery and impairing well-being after surgery. Optimizing pain management can be particularly challenging for individuals who are previously exposed to opioids or have critical risk factors, including opioid use disorder. In this review, we will explore the role of perioperative care in the broader context of the opioid epidemic in the United States, and provide considerations for a multidisciplinary, comprehensive approach to perioperative pain management and optimal opioid stewardship.
Likely Vertical Transmission of Neonatal SARS CoV-2 Infection
Authors: Robinson Andre A. , Feder Samantha , Krishna Sushma , Brustman Lois 
Published: February 2024

AbstractMaternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect placental function, but the possibility of intrauterine transmission has been debated. Several authors have published inclusion criteria for vertical transmission, but few reports exist that are able to meet the suggested requirements. Despite the fact that the majority of fetuses born to infected mothers do well, others become critically ill. We present a case of likely intrauterine transmission of a neonate born to a mother who was recently symptomatic with a positive SARS CoV-2 polymerase chain reaction (PCR). The parturient complained of decreased fetal movement and presented at 312/7 weeks' gestation with a biophysical profile score of 2/10 and required an emergency cesarean delivery. The neonate went on to develop severe leukopenia with signs of sepsis with a positive SARS CoV-2 PCR on day 4 of life and an otherwise pan-negative workup. Meeting criteria for transplacental transmission requires timely collection of several diagnostic studies that are not standard of care. Further research is needed to support the notion that intrauterine/transplacental infection is possible. Collection swabs should be obtained soon after delivery to help diagnose neonatal infection because early diagnosis is crucial to help identify opportunities for intervention.
Urinary Tract Infection and Progression to Pyelonephritis: Group B Streptococcus versus E. coli
Authors: Sachdeva Sarika , Rosett Heather A. , Krischak Madison K. , Weaver Kristin E. , Heine R. Phillips , Denoble Anna E. , Dotters-Katz Sarah K. 
Published: February 2024

Abstract
Objective Group B Streptococcus (GBS) colonization of the lower urinary tract in pregnancy is associated with severe infections such as chorioamnionitis, endometritis, and pyelonephritis. The objective of this study was to compare rates of progression to pyelonephritis between GBS and Escherichia coli lower urinary tract infections (LUTIs), as well as compare infectious and obstetric morbidity secondary to these pathogens.
Study Design Retrospective cohort of pregnant women with LUTIs (asymptomatic bacteria or acute cystitis [AC]) from a single health system between July 2013 and May 2019. Demographic, infectious, antepartum, and intrapartum data were abstracted from medical records of women with GBS or E. coli LUTI. The primary outcome was progression to pyelonephritis. Secondary outcomes included pyelonephritis-related anemia, sepsis, pyelonephritis length of stay (LOS), median gestational age (GA) at delivery, preterm delivery, and low birth weight (LBW). Logistic regression was used to calculate the adjusted odds of the primary outcome.
Results Of 729 pregnant women with urinary colonization, 433 were culture positive for one of the aforementioned bacteria, with 189 (43.6%) having GBS and 244 (56.4%) having E. coli. Women with E. coli were more likely to be younger, use tobacco, have a history of AC, and have a history of preterm birth. Rates of progression to pyelonephritis were markedly higher with E. coli (15.6%) than with GBS (1.1%; p < 0.001). Median LOS for pyelonephritis and pyelonephritis-related morbidities did not differ. Median GA at delivery, preterm delivery, and LBW rates also did not differ. In adjusted analysis, controlling for history of AC, insurance status, tobacco use, prior preterm birth, primary infection type, and maternal age, women with GBS LUTI had markedly decreased odds of developing pyelonephritis in pregnancy compared with those with E. coli (adjusted odds ratio: 0.04, 95% confidence interval: 0.01–0.28).
Conclusion Escherichia coli infections progress to pyelonephritis in pregnancy at markedly higher rates than GBS, although obstetric outcomes are similar.
A Pregnant Adolescent with COVID-19 and Multisystem Inflammatory Syndrome in Children
Authors: Trostle Megan E. , Grossman Tracy B. , Penfield Christina A. , Phoon Colin K. L. , Raabe Vanessa N. , Sloane Mark F. , Roman Ashley S. 
Published: February 2024

AbstractMultisystem inflammatory syndrome in children (MIS-C), a new condition related to coronavirus disease 2019 (COVID-19) in the pediatric population, was recognized by physicians in the United Kingdom in April 2020. Given those up to the age of 21 years can be affected, pregnant adolescents and young adults are susceptible. However, there is scant information on how MIS-C may affect pregnancy and whether the presentation differs in the pregnant population. We report a case of a pregnant adolescent with COVID-19 and MIS-C with a favorable outcome. This case highlights the considerations in managing a critically ill pregnant patient with a novel illness and the importance of a multidisciplinary team in coordinating care.
Spontaneous Heterotopic Cesarean Scar Triplet Gestation Following Uterine Ablation
Authors: Aldrich Zane Frazer , Ow Rena , Modii Khyaati , O'Leary Timothy 
Published: February 2024

Heterotopic triplet pregnancy, cesarean scar ectopic pregnancy, and pregnancy following uterine ablation are all rare events that confer significant morbidity including spontaneous abortion, intrauterine fetal demise, preterm labor, abnormal placentation, and uterine rupture. A woman in her 30s, G6P4014, with a history of uterine ablation presented with delayed menses and vaginal spotting with imaging showing two intrauterine pregnancies (one with cardiac activity) and one live pregnancy at the cesarean scar. The patient was extensively counseled on risk to her and to the pregnancies; treatment options were discussed including expectant management and termination of pregnancy. The patient underwent an uncomplicated dilation and curettage with bilateral salpingectomy and was discharged home the day of the procedure in stable condition. This case highlights the potential compound effect of comorbid conditions that can pose difficulty in counseling and management.
Key Points
Unwarranted: The OfS Review of Assessment Practices and the Erosion of Institutional Autonomy
Authors: Molyneux Liz 
Published: February 2024

AbstractIn England, the relationship between the higher education regulator (OfS) and those it purports to regulate is highly strained. A 2023 parliamentary inquiry into the OfS published an excoriating report which found, among other issues, problems with the execution of its statutory duty to protect institutional autonomy. An OfS policy which evidences this is the requirement for universities to assess spelling, punctuation and grammar. In imposing this mandate, the OfS appears to be ultra vires as it has a statutory duty to protect institutional autonomy, specifically defined to include the freedom to determine assessment practices. This paper uses an adapted form of Hyatt’s Critical Higher Education Policy Analysis Framework to examine the policy steers and socio-political contexts from which the assessment mandate emerged. The warrants for the policy are analysed with reference to three epistemic beliefs relating to declining literacy, higher education quality and employment. This paper also analyses the OfS’s interpretations of its statutory duties in issuing this policy. Despite the highly critical findings of the inquiry, no substantive change in regulatory approach looks likely.
Spatial and temporal changes in population distribution and population projection at county level in China
Authors: Sang Mei , Jiang Jing , Huang Xin , Zhu Feifei , Wang Qian 
Published: February 2024

AbstractCounties in China play a pivotal role in economic and social development, acting as essential leadership hubs for large and medium-sized cities, contributing to rural revitalization, and facilitating urban-rural integration. Using ArcGIS spatial analysis, this study examines the population distribution spatial and dispersion patterns in Chinese counties based on 40 years of data from the first to the seventh national population census. Results reveal noticeable growth trends and regional disparities in county populations, with an increase in large-population counties and a decrease in small-population ones. Recent population growth concentrates in urban agglomerations, metropolitan areas, and southeastern coastal regions, while reductions occur in the northeastern and Inner Mongolia border areas. Furthermore, the study identifies “high-high” agglomerations around provincial capitals and “low-low” agglomerations in economically underdeveloped western and northeastern border regions. China’s population distribution spatial agglomeration has been increasing, with acceleration toward specific areas. The first through seventh census show rapid growth at low density, followed by growth at medium density, stable growth, and eventually negative growth. This suggests a likely slowdown and potential reversal in China’s future population growth. Additionally, an Auto Regression Integrated Moving Average (ARIMA) model is employed to forecast China’s total population, projecting a decline to 1343.68 million by 2035. The emergence of “population loss counties” in contemporary China underscores the need for a rational understanding of their development status and trends to optimize population development strategies and promote economic and social progress.
Recommendations for uniform terminology in animal-assisted services (AAS)
Authors: Binder Amy Johnson , Parish-Plass Nancy , Kirby Meg , Winkle Melissa , Skwerer Daniela Plesa , Ackerman Laura , Brosig Cindy , Coombe Wendy , Delisle Esther , Enders-Slegers Marie-Jose , Fowler Jo-Ann , Hey Laura , Howell Tiffani , Kaufmann Michael , Kienast Mariana , Kinoshita Miyako , Ngai Debbie , Wijnen Brigitte 
Published: February 2024

AbstractThrough the years, the range of services involving animals benefiting people, often described as “animal-assisted interventions” (AAIs), has been plagued with confusing and inconsistent taxonomy, terminology, and definitions. This has caused difficulties for the delineation of roles of service providers, for the recipients of services, as well as for the preparation, training, and expectations of the animals that work in different roles. It can be argued that these difficulties have compromised the development of the field in terms of establishing agreed standards of practice, qualifications, and competencies and adopting good animal welfare practices. It has also likely limited the base of evidence, as search terms used to access studies are not consistent, and study protocols are difficult to compare, lacking uniformity in terminology. Additionally, the current terminology cannot accommodate the expansion and diversification of programs in recent years, which is likely to continue as the field evolves. Establishing internationally agreed upon uniform taxonomy, terminology, and definitions is crucial to more accurately reflect the key features of different approaches, to define the scope and competencies for different service providers and their animals, to provide transparency about services for recipients, and to ensure the appropriate preparation, training, and support of the animals that work with them.The recommendations in this article are the result of an international work group that convened over the course of two years. The umbrella term animal-assisted services (AAS) is proposed, defined as services that arefacilitated, guided or mediated by a health or human service provider or educator, who works with and maintains the welfare of a specially alongside a specially qualifying animal to provide therapeutic, educational, supportive and/or ameliorative processes aimed at enhancing the well-being of humans.AAS are further categorized into three main areas: treatment, education, and support programs. A recommendation for provider-specific terminology is also suggested. The aim of these proposals is to set clear expectations and boundaries for each specialty of practice, without compromising the richness and diversity of each approach. The adoption of this new umbrella term and its categories is intended to improve clarity for all involved in the receipt and delivery of services, as well as for those who study their effects.
Transdisciplinary Research as a Means of Protecting Human Health, Ecosystems and Climate by Engaging People to Act on Air Pollution
Authors: Büker Patrick , West Sarah E. , Bowyer Cressida J. , Apondo William , Cinderby Steve , Gray Cindy M. , Hahn Matthew , Lambe Fiona , Loh Miranda , Medcalf Alexander , Muhoza Cassilde , Muindi Kanyiva , Njoora Timothy Kamau , Twigg Marsailidh M. , Waelde Charlotte , Walnycki Anna , Wainwright Megan , Wendler Jana , Wilson Mike , Price Heather D. 
Published: February 2024

Abstract
Air pollution harms the health of humans, nature and wildlife, agricultural crops and livestock and climate. As a result, it hinders the attainment of Sustainable Development Goals 3 (Good Health and Wellbeing), 7 (Affordable and Clean Energy), 11 (Sustainable Cities and Communities) and 13 (Climate Change). In order to improve human and (agro-)ecosystem health, One Health approaches for better air quality must account for local knowledge, cultural practices and priorities. People with lower socio-economic status often have limited awareness of air pollution yet are affected most through personal exposure and increased food prices. This case trialled a new, co-created transdisciplinary approach to air pollution awareness raising in the Mukuru community in Nairobi, Kenya. The pilot study used interviews, storytelling, participatory mapping, theatre, playful activities and music with the aim of discovering affected communities’ perceptions of air pollution, increasing understanding and empowering people to demand that policy makers develop and implement effective, inclusive air pollution abatement policies.

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One Health approach to the diagnosis and management of feline rabies: A case report from Ebonyi State, Nigeria
Authors: Orum Terese Gabriel , Tekki Ishaya Sini , Ogbonneya Okoronkwo Magdalene , Luka Helen Gyang , Oiza Magaji Gloria , Mkpuma Nicodemus , Olabisi Oladeji Bolutife , Zhakum Ponfa Nde , Luka Pam Dachum , Olushola Dorcas Alaga , Ajifken Jonah , Al-Mustapha Ahmad Ibrahim , Alex Davou Joseph , Oguji Nwokporo Michael , A. Nwenyi Okoro , Nwanga Ephraim 
Published: February 2024

Abstract
Rabies, a disease with an almost 100% fatality rate, continues to be endemic and neglected in Nigeria. This case report presents the rare confirmation of feline rabies in July 2022 in Ebonyi State, South Eastern Nigeria. Direct Fluorescent Antibody Test and Reverse-Transcription Polymerase Chain Reaction confirmed that the cat was infected with rabies a few weeks after it was obtained by the owner. The two cat-scratched victims (owner and another in-contact person) opted for unorthodox management with a local traditional healer without seeking conventional medical care. Further outbreak investigations into the incidents involved multiple observational visits and interviews with key informants revealed the existence of risk factors that could have facilitated the transmission of the disease. A one-health approach, which considers the interconnectedness of human, animal, and environmental health, is favourable to achieve sustainable rabies control and was used in outbreak response. Implementing active rabies surveillance, raising awareness about dog and cat vaccination, and discouraging unorthodox management is essential to control rabies within the community. Additionally, improving access to post-exposure prophylaxis is crucial in preventing rabies-related fatalities and achieving zero human rabies deaths by 2030.

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Improving Cultural Sustainable Tourism: Evidence of Saba Budaya Baduy from Baduy Tribe, Indonesia
Authors: Praptika I Putu Gede Eka , Natasanti Amanda , Saputri Della Ade , Azzulfa Muhammad Ibnu , Mahen Brigita Talentiana , Prihantoro Fahmi 
Published: February 2024

Summary

Baduy Cultural Tourism is the activity of visiting the Baduy Tribes in Indonesia, which potentially threatens the resilience of the Baduy’s culture. Responding to this, the Baduy Customary Institution changed the nomenclature of Baduy Cultural Tourism to
Saba Budaya Baduy
. This case study explores the value and specialty of
Saba Budaya Baduy
as the identity of Baduy Tribes, to analyze the potential of threats and the cultural resilience from the usage of Baduy Cultural Tourism and
Saba Budaya Baduy
nomenclatures. It explores the values of
Saba Budaya Baduy
as the effort of cultural resilience to realize cultural sustainable tourism. This qualitative research is based on tourism anthropology and social psychology perspectives in line with the interpretative phenomenological analysis (IPA) technique. The initial findings indicate that Saba Budaya Baduy is guided by the principle of fostering a strong relationship between hosts and guests, rooted in the cultural values of the Baduy Tribe. This approach aims to enhance the representation of the Baduy Tribe and improve the overall experience for visitors engaging in activities with the tribe. The results also highlight how psychological resilience, in responding to external threats, is reflected in the Baduy indigenous people, who are obedient in maintaining and implementing their ancestral traditions. Finally,
Saba Budaya Baduy
is oriented toward the social, cultural, tourism economy, and environmental resilience dimension of visiting activities within the Baduy Tribe. Therefore,
Saba Budaya Baduy
can realize and improve cultural sustainable tourism which is oriented toward cultural resilience and sustainable tourism activities.

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© The Authors 2024