bluuebunny/crossref_metadata_2025_split huggingface dataset:
Performance Analysis of Deep-Learning and Explainable AI Techniques for Detecting and Predicting Epileptic Seizures
Authors: Patil Ashwini , Patil Megharani 
Published: December 2023

Epilepsy is one of the most common neurological diseases globally. Notably, people in low to middle-income nations could not get proper epilepsy treatment due to the cost and availability of medical infrastructure. The risk of sudden unpredicted death in Epilepsy is considerably high. Medical statistics reveal that people with Epilepsy die more prematurely than those without the disease. Early and accurately diagnosing diseases in the medical field is challenging due to the complex disease patterns and the need for time-sensitive medical responses to the patients. Even though numerous machine learning and advanced deep learning techniques have been employed for the seizure stages classification and prediction, understanding the causes behind the decision is difficult, termed a black box problem. Hence, doctors and patients are confronted with the black box decision-making to initiate the appropriate treatment and understand the disease patterns respectively. Owing to the scarcity of epileptic Electroencephalography (EEG) data, training the deep learning model with diversified epilepsy knowledge is still critical. Explainable Artificial intelligence has become a potential solution to provide the explanation and result interpretation of the learning models. By applying the explainable AI, there is a higher possibility of examining the features that influence the decision-making that either the patient recorded from epileptic or non-epileptic EEG signals. This paper reviews the various deep learning and Explainable AI techniques used for detecting and predicting epileptic seizures using EEG data. It provides a comparative analysis of the different techniques based on their performance.
Trust based Mechanism for Isolation of Malicious Nodes in Internet of Things
Authors: Zakiya Manzoor Khan Et al. 
Published: December 2023

The Internet of Things systems are prone to the attacks as they have ad-hoc and limited resource structure. IoT-based systems are utilized for managing a large volume of information and assist in services related to industrial and medical applications. Due to this, the IoT attains becomes a target for a multitude of attackers and adversaries namely occasional hackers, cybercriminals, hacktivists, government, etc. The major goal of potential attackers is to steal the sensitive information such as credit card numbers, location data, credential of financial account and information related to health, by hacking the Internet of Things devices. The version number attack is one of malicious activity of IoT which affect network performance to great extend. The version number attack is triggered by the malicious nodes which can flood unlimited hello packets in the network. The hello flood attack raised situation of denial of service in the network. The trust based mechanism is proposed in this research work in which trust value is assigned to each node based on their activities. The node which is least trusted will be marked as malicious and get isolated from the network. The proposed scheme is implemented in NS2 and results are analyzed in terms of throughput, packetloss, energy consumption and delay.
Effect of Aerobic Exercise Versus Vestibular Stimulation on Lipid Profile in Premenstrual Syndrome
Authors: Elbably Eman MI , Awad Mohamed AM , Emara Hala MH , Gabre Amir A 
Published: December 2023

Objective: To determine the effect of aerobic exercise versus vestibular stimulation on lipid profile in premenstrual syndrome. Subjects and Methods: Sixty patients with premenstrual syndrome had regular menstrual cycles were participated in this study. Their ages were ranged between 23-30 year. Their body mass index did not exceed 30 kg/ m2. They were not participating in physical therapy exercise program at the last 3 months. Patients with cardiovascular problems, pulmonary problems and endometriosis are excluded from the study. All patients were divided randomly into two equal groups (A&B). Group A: It consisted of thirty patients with premenstrual syndrome. They were treated by aerobic exercises in the form of treadmill training at moderate intensity of 60- 70% of the maximum heart rate, 3 times per week for 2 months. Group B: It consisted of thirty patients with premenstrual syndrome. They were treated by vestibular stimulation, 3 times per week for 2 months. Outcome measures: Total cholesterol level, HDL, LDL, triglycerides were assessed for all patients before and after treatment in both groups (A&B). Premenstrual syndrome scale was used to confirm the diagnosis of PMS before study and to evaluate the severity of PMS symptoms for all patients in both groups (A&B) before and after treatment. Results: Results revealed that, between groups; pretreatment, there was no significant difference between both groups A and B in total cholesterol, triglycerides, HDL, LDL and premenstrual syndrome scale. While post treatment, there was significant difference between both groups A and B in total cholesterol, triglycerides, HDL, LDL and premenstrual syndrome scale (with favour of group A; more decrease in total cholesterol, triglycerides, LDL and premenstrual syndrome scale and more increase in HDL). Conclusion: Aerobic exercise was found to be effective more than vestibular stimulation on lipid profile in premenstrual syndrome, in relieving stress and symptoms of PMS.
Evaluation of Empirical Ground-Motion Models for the 2022 New Zealand National Seismic Hazard Model Revision
Authors: Lee Robin L. , Bradley Brendon A. , Manea Elena F. , Hutchinson Jesse A. , Bora Sanjay S. 
Published: December 2023

ABSTRACTThis article presents an evaluation of empirical ground-motion models (GMMs) for active shallow crustal, subduction interface, and subduction slab earthquakes using a recently developed New Zealand (NZ) ground-motion database for the 2022 New Zealand National Seismic Hazard Model revision. This study considers both NZ-specific and global models, which require evaluation to inform of their applicability in an NZ context. A quantitative comparison between the models is conducted based on intensity measure residuals and a mixed-effects regression framework. The results are subsequently investigated to assess how the models are performing in terms of overall accuracy and precision, as well as to identify the presence of any biases in the model predictions when applied to NZ data. Many models showed reasonable performance and could be considered appropriate for inclusion within suites of models to properly represent ground-motion predictions and epistemic uncertainty. In general, the recent models that are NZ-specific or developed on large international databases performed the best. This evaluation of models helped inform suitable GMMs for the ground-motion characterization model logic tree. In addition, spatial trends in systematic site-to-site residuals to the west of the Taupō Volcanic Zone demonstrated the need for backarc attenuation modifications for slab earthquakes.
Papel del yodo radiactivo en pacientes con cáncer diferenciado de tiroides como parte del tratamiento primario después de la tiroidectomía
Authors: Pérez Zambrano Arleyson Daniel , Cárdenas Gándara Frank Julio 
Published: December 2023

Antecedentes: El cáncer de tiroides (CT) es la neoplasia endocrina más frecuente en el mundo, con una incidencia creciente. Según cifras de la Organización Mundial de la Salud, es la décimo octavo patología cancerosa más común en hombres y mujeres. Este aumento que se presenta en gran parte del mundo se está produciendo notablemente a expensas de la TC de tipo papilar, que representa el 85% de la TC, pero también se ha notado un aumento de tipo folicular.
Objetivo: Discutir el uso de yodo radiactivo para el tratamiento de cáncer de tiroides después de la tiroidectomía inicial dependiendo del riesgo de recurrencia o enfermedad persistente.
Metodología: Con el propósito de profundizar en el conocimiento relacionado con el cáncer diferenciado de tiroides y en la terapia con yodo como uno de los estandartes principales de su manejo se realizó una búsqueda exhaustiva y sistemática de la literatura publicada recientemente sobre todo en las últimas 2 décadas tanto nacional como extranjera. Se consultaron bases de datos de Elsevier y Medline mediante portales de búsqueda como Clinicalkey y Ovid, utilizando los términos de búsqueda Thyroid cáncer, thyroidectomy, endocrinology, Thyroid nodule y sus equivalentes en idioma español. La unidad de análisis de la presente revisión lo constituyó el cáncer diferenciado de tiroides y su manejo postquirúrgico con yodoterapia según su estratificación.
Resultados: Existen en la literatura numerosas evidencias científicas sobre la influencia de la terapia con yodo postquirúrgico en el pronóstico de pacientes con esta patología, lo cual va a depender de la estratificación del riesgo de recidiva.
Conclusión: No se recomienda yodoterapia para pacientes con CDT de bajo riesgo ATA; los pacientes de riesgo intermedio y características agresivas del tumor presentan beneficios en la supervivencia global. Por otro lado, se recomienda de rutina la yodoterapia para pacientes de alto riesgo.
The combination of a point-rating system and distance educational technologies as a means of improving the quality of mathematical training of students of correspondence education
Authors: Шунайлова С.А. 
Published: December 2023

Цель данной статьи – описание результатов анализа специфики заочного обучения в Российской Федерации, его положительных и отрицательных сторон для студентов и преподавателей, практики применения в процессе обучения студентов-заочников дистанционных образовательных технологий и балльно-рейтинговой системы оценивания результатов учебных достижений. Описывается учебно-методический комплекс для изучения математических дисциплин студентами заочной формы обучения. Проанализирован опыт применения балльно-рейтинговой системы оценивания учебных достижений обучающихся в нескольких высших учебных заведениях, описанный в различных научных статьях. Приводится положительный опыт применения дистанционных образовательных технологий в процессе обучения в сочетании с балльно-рейтинговой системой оценивания. Делается вывод о том, что такое сочетание позволяет увеличить время общения преподавателя и студентов, улучшить контроль самостоятельной работы обучающихся, а также повысить объективность оценки их учебных достижений и качество обучения в целом.
The purpose of this article is to describe the results of the analysis of the specifi cs of distance learning in the Russian Federation, its positive and negative aspects for students and teachers, the practice of using distance learning technologies in the learning process of part-time students and the point-rating system for evaluating the results of educational achievements. An educational and methodological complex for studying mathematical disciplines by students of correspondence courses is described. The experience of using the point-rating system for evaluating the educational achievements of students in several higher educational institutions, described in various scientific articles, is analyzed. The positive experience of using distance learning technologies in the learning process in combination with a point-rating system of assessment is given. It is concluded that this combination allows to increase the time of communication between the teacher and students, improve the control of students’ independent work, as well as increase the objectivity of assessing their educational achievements and the quality of education in general.
The study of the psychological characteristics of self-government of the individual among students of different specialties
Authors: Рожков Д.В. 
Published: December 2023

Рассмотрены психологические особенности самоуправления личности у студентов разных направлений подготовки. Представлено исследование, в котором определены основные различия компонентов самоуправления у обучающихся на технических, гуманитарных и медицинских направлениях. Описаны личностные особенности, определяющие структуру самоуправления личности: саморегуляция, самоконтроль, развитие воли, чувствительность, переживание общего жизненного стресса. Приводится статистический анализ полученных данных для выявления связей между психологическими особенностями студентов разных специальностей. Сделан вывод об отличии различных компонентов самоуправления в зависимости от направления подготовки.
The psychological features of self-management of personality among students of different areas of training are considered. A study is presented that identifies the main differences between the components of self-government among students in technical, humanitarian and medical fields. Personal features are described that determine the structure of self-management of a person: self-regulation, self-control, development of will, sensitivity, experience of general life stress. Statistical analysis of the data obtained is presented to identify the links between the psychological characteristics of students of different specialties. The conclusion is made about the difference between the various components of self-government, depending on the direction of training.
Outcome of office hysteroscopy in postmenopausal women with red flag signs: a single centre-based study from Northern Ireland
Authors: Aggarwal Shikha , Rahim Maryam , Maji Debkalyan , Debnath Parikshit 
Published: December 2023

Background: Assessment of postmenopausal women with red flag signs like postmenopausal bleeding/ endometrial thickness ≥5 mm is needed for early detection of any pathology. Early-stage endometrial cancer detection through office hysteroscopy is one of crucial modality for effective management. Objective was to assess the outcome of office hysteroscopy in postmenopausal women with red flag sign and correlated with histopathology findings.
Methods: A prospective observational study at a single facility in Northern Ireland involving 122 post-menopausal women aged ≥45 years subjected to AUB/increased endometrial thickness. Advance diagnostic examination by office hysteroscopy followed by histopathology to detect and rule out endometrial cancer and related ailments.
Results: The mean age of the study population was 63.07±10.317 SD years and 91.8% were over-weight. 71.3% women had endometrial thickness <5 mm. Hysteroscopic reported for 8.2% (10 cases) endometrial cancers having diagnostic accuracy of 98.36%. The histological and hysteroscopic diagnoses were having significantly similar outcomes. Office hysteroscopy has 100% specificity and positive predictive value in detecting normal endometrium whereas 98.25% specificity and 100% negative predictive value in case for cancer detection.
Conclusions: In Irish women, office hysteroscopy proved helpful in determining the pathologies that cause postmenopausal bleeding. Correlating hysteroscopic and histological findings with red flag indications should be the focus of future explorations.
Cross-Cultural Adaptation and Psychometric Evaluation of the Persian Version of Hearing Handicap Questionnaire for the Elderly
Authors: Azadi Faezeh , Fatahi Farzaneh , Farahani Saeid , Jalaie Shohreh , Nazeri Ahmad Reza 
Published: December 2023

Background and Aim: Hearing handicap, as one of the common health problems among older people, affects life activities. The Hearing Handicap Questionnaire (HHQ) is one of the scales that provide criteria for social withdrawal, participation restriction, and emotional distress. The present study aims to translate the HHQ into Persian and determine its psychometric properties.
Methods: After translation into Persian, the content validity of the questionnaire was determined based on the Lawashe’s method. Then, the Persian HHQ (P-HHQ) and the Persian Hearing Handicap Inventory for Elderly-Screening version (P-HHIE-S) were completed by 110 hearing-impaired seniors (49 females) over 60 years. The concurrent validity was determined by Spearman correlation test, and the discriminant validity was analyzed by Kruskal-Wallis test and independent t-test. The test-retest reliability was assessed in 47 subjects after two weeks by Spearman correlation test and paired t-test.
Results: The P-HHQ had high face validity. The mean total score of P-HHQ was 1.89±1.05. It had a significant positive correlation with the score of P-HHIE-S (r=0.87) and pure tone average of the better ear (r=0.72). There was a significant difference between three groups of elderly with different degrees of hearing impairment (p<0.001). Cronbach’s α values were in the range of 0.94–0.97. There was a strong correlation between test and retest scores of P-HHQ (r=0.97) which indicates a high test-retest reliability.
Conclusion: The P-HHQ has acceptable validity and reliability and can be used as a suitable instrument to evaluate hearing handicap of the elderly in research studies and clinical settings.

Keywords: Elderly; handicap; hearing handicap questionnaire; presbycusis; self-report
Effect of Vestibular Rehabilitation Therapy on the Daily Life Aspects of Military Men with Persistent Postural- Perceptual Dizziness: A Clinical Trial
Authors: Taghavi Seyyed Mohammad Reza , Mehrabi Farzad , Cheraghipour Parsa , Mousavi Seyed Meead , Nezhadi Akram 
Published: December 2023

Background and Aim: Persistent Postural-Perceptual Dizziness (PPPD) is a type of chronic dizziness without rotation, confusion, or unsteadiness, usually exacerbated by standing, active/passive movements, and complex or moving visual stimuli. Vestibular Rehabilitation Therapy (VRT) is an effective treatment for people with this disease. This study aimed to determine effect of VRT on the daily life aspects of military men with PPPD.
Methods: In this clinical trial, participants were 56 military men with PPPD. They underwent VRT that included exercises for gaze stabilization, adaptation, and habituation. The impact of balance problems caused by PPPD on different physical, emotional, and functional aspects of daily life was evaluated using the Dizziness Handicap Inventory (DHI) before and one month after the intervention.
Results: There was a significant decrease in functional, emotional, physical, and total scores on the DHI after VRT (p<0.001). The DHI scores at baseline showed a moderate handicap (48.64%) which decreased to a mild handicap (24.53%) after VRT. The lowest score at baseline was related to the functional aspect, which showed the highest improvement after VRT.
Conclusion: The VRT can improve all aspects (physical, emotional, and functional) of daily life in military men with PPPD and diminishes the severity of symptoms. Therefore, this treatment can be used as a suitable treatment for these patients.
IRCT Registration Number: IRCT20230520058237N1

Keywords: Persistent postural-perceptual dizziness; dizziness handicap inventory; vestibular rehabilitation; military
Investigating the Effect of Persian Phonemic Synthesis Program in Cochlear Implant Users with Phoneme Processing Dificulities
Authors: Hasanalifard Mahdieh , Saeedi Masoumeh , Ajalloueyan Mohammad , Abolghasemi Reyhaneh , Shushtari Sahar Shomeil , Amizadeh Maryam 
Published: December 2023

Background and Aim: Children with severe to profound sensory-neural hearing loss who use a hearing aid or a Cochlear Implant (CI) are likely to have Decoding (DEC) problems. Various studies recommend auditory processing training to improve auditory processing difficulties in CI users. The aim of the present study was to evaluate phoneme processing difficulties in CI users and to investigate the efficacy of the Persian version of the Phonemic Synthesis Program (P-PSP) in improving phonological abilities in this population.
Methods: A total of 28 prelingually hearing-impaired children aged 8–12 who underwent unilateral (right ear) cochlear implantation were included in this study. They were divided into experimental and control groups. The P-PSP was implemented on the experimental group, and the results were analyzed over three phases: baseline, intervention, and follow- up.
Results: The present study’s results indicate that P-PSP training is suitable for CI children, particularly for the DEC subcategory. Moreover, the Persian Phonemic Synthesis Test (P-PST) results significantly improved after the intervention phase compared to the baseline evaluations (p<0.05). There was no significant difference between the intervention and follow-up phases’ results (p>0.05), indicating no recurrence of auditory processing difficulties after discontinuing training.
Conclusion: Based on the study’s findings, the Persian version of PSP enhances phonological processing abilities in CI users. Therefore, the use of auditory phonological training in post- implantation rehabilitation programs appears to be highly important.

Keywords: Auditory processing; decoding disorder; cochlear implant; auditory training
Clinical Characteristics and Hearing Aid Uptake Rate of Patients Seen at the Community Hearing Clinic: A Model of Upstream Preventive Care and Earlier Intervention
Authors: Chua Kenneth Wei De , Yuen Heng Wai 
Published: December 2023

Background and Aim: Presbyacusis is one of the most common causes of hearing loss for seniors age above 60 years. Yet diagnostic hearing tests are not readily accessible to seniors in the community. Since 2018, the Ministry of Health in Singapore started a pilot program to screen them for their visual, oral, and hearing health in the community and improve accessibility to hearing healthcare. We describe the clinical characteristics of seniors presenting to Community Hearing Clinic (CHC) and compared hearing aid uptake rates with patients seen at a tertiary hospital.
Methods: Retrospective cross-sectional descriptive study on Singaporeans with hearing
difficulties presenting to the community clinics.
Results: Attendance rates were generally positive at more than 80% and is comparable to the specialist outpatient clinic at the tertiary hospital. Hearing aid uptake rates were comparable between CHC and tertiary hospital at 61.9% and 66.9% respectively. Despite having better accessibility with direct access to the audiologists, and more financial subsidies, the eventual uptake rates of hearing aids are not clinically different at the CHC.
Conclusion: CHC may be a viable model of improving accessibility to hearing healthcare with audiologists providing the 1st level of triaging safely. However, the cost-effectiveness of this model remains to be seen. Further health service research studies are warranted to determine the cost-effectiveness of sandbox CHC. Right-siting and expanding the sandbox to include access to hearing aid subsidies in private clinics may further help with this move beyond hospital to the community in line with our public health vision.

Keywords: Community health services; audiology; hearing aids; financing; governmental