bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pelvic organ prolapse after hysterectomy: A 10‐year national follow‐up study
Authors: Kuittinen Tea , Tulokas Sari , Rahkola‐Soisalo Päivi , Brummer Tea , Jalkanen Jyrki , Tomas Eija , Mäkinen Juha , Sjöberg Jari , Härkki Päivi , Mentula Maarit 
Published: April 2023

AbstractIntroductionHysterectomy may have an effect on the pelvic floor. Here, we evaluated the rates and risks for pelvic organ prolapse (POP) surgeries and visits among women with a history of hysterectomy for benign indication excluding POP.Material and methodsIn this retrospective cohort study 3582 women who underwent hysterectomy in 2006 were followed until the end of 2016. The cohort was linked to the Finnish Care Register to catch any prolapse‐related diagnoses and operation codes following the hysterectomy. Different hysterectomy approaches were compared according to the risk for a prolapse, including abdominal, laparoscopic, laparoscopic‐assisted vaginal and vaginal. The main outcomes were POP surgery and outpatient visit for POP, and Cox regression was used to identify risk factors (hazard ratios [HR]).ResultsDuring the follow‐up, 58 women (1.6%) underwent a POP operation, of which a posterior repair was the most common (n = 39, 1.1%). Outpatient visits for POP symptoms occurred in 92 (2.6%) women of which posterior wall prolapses (n = 58, 1.6%) were the most common. History of laparoscopic‐assisted vaginal hysterectomy were associated with risk for POP operation (HR 3.0, p = 0.02), vaginal vault prolapse operation (HR 4.3, p = 0.01) and POP visits (HR 2.2, p < 0.01) as compared to the approach of abdominal hysterectomy. History of vaginal deliveries and concomitant stress urinary continence operation were associated with the risk for a POP operation (HR 4.4 and 11.9) and POP visits (HR 3.9 and 7.2).ConclusionsRisk for POP operations and outpatient visits for POP symptoms in hysterectomized women without a preceding POP seems to be small at least 10 years after hysterectomy. History of LAVH, vaginal deliveries and concomitant stress urinary incontinence operations increased the risk for POP operations after hysterectomy. These data can be utilized in counseling women considering hysterectomy for benign indication.
Clinical characteristics and oncological outcomes of recurrent adult granulosa cell tumor of ovary: A retrospective study of seventy patients
Authors: Gu Yu , Wang Dan , Jia Congwei , Chen Lihua , Cang Wei , Wan Xirun , Yang Junjun , Xiang Yang 
Published: April 2023

AbstractIntroductionThis study aimed to describe the clinicopathological characteristics of recurrent adult granulosa cell tumor and identify the risk factors for recurrence.Material and methodsSeventy recurrent adult granulosa cell tumor patients treated in Peking Union Medical College Hospital between 2000 and 2020 were retrospectively reviewed. The primary outcomes were progression‐free survival after first recurrence (PFS‐R), overall survival after first recurrence (OS‐R) and recurrence frequency. The Kaplan–Meier analysis, univariate and multivariate Cox proportional hazard analysis, and the Prentice, Williams and Peterson counting process (PWP‐CP) model were adopted.ResultsThere were 70 patients included in the study, and recurrence occurred twice in more than 71% of patients, and 49.9% of patients relapsed ≥ three times. The recurrence pattern in over half of the patients at first recurrence was multifocal and distant disease, and abdominal or pelvic mass and liver metastasis were the most common. The 5‐year PFS‐R was 29.3%, and the 10‐year PFS‐R was 11.3%; the 5‐year OS‐R was 94.9%, and the 10‐year OS‐R was 87.9%. Kaplan–Meier analysis demonstrated that patients with distant recurrence and PFS1 (PFS when first recurrence occurred) ≤60 months had worse PFS‐R (p = 0.017, 0.018), and patients with PFS‐R ≤ 34 months had worse OS‐R (p = 0.023). It demonstrated that PFS1 ≤ 60 months (hazard ratio, HR 1.9, 95% confidence interval [CI]: 1.1–3.4, p = 0.028) was an independent risk factor for PFS‐R, and local lesion at recurrence (HR 0.488, 95% CI: 0.3–0.9, p = 0.027) was an independent protective factor for PFS‐R. In addition, it demonstrated that PFS‐R ≤ 33 months (HR 5.5, 95% CI: 1.2–25.3, p = 0.028) was an independent risk factor for OS‐R. The PWP‐CP analysis showed that laparoscopic operation (at each operation) could significantly increase recurrence times (p = 0.002, HR = 3.4), and no existence of gross residual lesion (R0) at each recurrence operation could significantly decrease recurrence frequency (p < 0.001, HR <0.001).ConclusionsThe recurrence pattern in patients with recurrent adult granulosa cell tumor was characterized as late and repeated, multifocal, and distant relapse. It has been demonstrated that PFS1 ≤ 60 months and distant lesion at recurrence are independent risk factors for PFS‐R, and PFS‐R ≤ 33 months is an independent risk factor for OS‐R. The PWP‐CP model showed that the transabdominal approach and surgery reaching R0 could significantly decrease the recurrence frequency.
‘So Help Me God’? Does oath swearing in courtroom scenarios impact trial outcomes?
Authors: McKay Ryan T. , Gervais Will , Davis Colin J. 
Published: April 2023

AbstractIn countries such as Britain and the US, court witnesses must declare they will provide truthful evidence and are often compelled to publicly choose between religious (“oath”) and secular (“affirmation”) versions of this declaration. Might defendants who opt to swear an oath enjoy more favourable outcomes than those who choose to affirm? Two preliminary, pre‐registered survey studies using minimal vignettes (Study 1, N = 443; Study 2, N = 913) indicated that people associate choice of the oath with credible testimony; and that participants, especially religious participants, discriminate against defendants who affirm. In a third, Registered Report study (Study 3, N = 1821), we used a more elaborate audiovisual mock trial paradigm to better estimate the real‐world influence of declaration choice. Participants were asked to render a verdict for a defendant who either swore or affirmed, and were themselves required to swear or affirm that they would try the defendant in good faith. Overall, the defendant was not considered guiltier when affirming rather than swearing, nor did mock‐juror belief in God moderate this effect. However, jurors who themselves swore an oath did discriminate against the affirming defendant. Exploratory analyses suggest this effect may be driven by authoritarianism, perhaps because high‐authoritarian jurors consider the oath the traditional (and therefore correct) declaration to choose. We discuss the real‐world implications of these findings and conclude the religious oath is an antiquated legal ritual that needs reform.
Seed removal, seed dispersers, and the allocation of tissues in Myrtaceae seeds
Authors: Béllo Carvalho Rodrigo , Pizo Marco A. 
Published: April 2023

AbstractTo avoid seed predation, plants may invest in protective seed tissues. Often related to seed size, allocation in seeds' physical defenses can also be influenced by dispersers. We explore the relationships between seed traits (seed mass and hardness) and seed removal in 22 Myrtaceae species of the Brazilian Atlantic Forest, a dominant and diverse fleshy‐fruited taxon dispersed by birds, rodents, and other mammals. Our goal is to understand how seed traits influence seed removal rates, and whether dispersers can affect tissue allocation in the seed coat. Seeds were exposed to field removal experiments. In the laboratory, total seed mass and seed coat mass were obtained. To evaluate the influence of seed traits on removal, we performed Kruskal–Wallis and Simple Linear Regression tests. We assessed seed coat and seed mass covariation through standardized major‐axis allometric regressions. Harder seeds were larger than softer ones. Seed traits affect removal rates, as tougher and heavier seeds had lower removal. Seed mass significantly predicts seed coat proportion in seven of the 14 species tested. Bird‐dispersed species tend to exhibit lower proportions of seed coat as seed mass increases, whereas rodent‐dispersed species apparently present the opposite trend, with seed coat proportion increasing with seed mass. Such difference may be caused by the contrasting seed predation pressure represented by birds and rodents. Energy allocation for defense, expressed in seed coat proportion, is greater in large seeds, as these are mostly dispersed by rodents whose propensity to cache and disperse seeds is greater for large and well‐protected seeds.
Brazilian sleeping beauty: First evidence of hibernation by a bat in South America
Authors: Odon Anderson , Freire Carolina A. , Brigham R. Mark , Bordignon Marcelo O. , Monteiro‐Filho Emygdio L. A. 
Published: April 2023

AbstractTorpor and hibernation are energy‐saving heterothermic strategies widespread among mammals, and bats have reports of hibernation in North America, Europe, Asia, Oceania, and Africa. However, to date, there was no evidence of hibernation by bats in South America. We tagged four individuals of Eptesicus brasiliensis and one remained torpid for 13 consecutive days in a tree cavity roost in southern Brazil, showing evidence that bats can hibernate in South America.
Thermo‐SPT: A new skin prick test evaluation framework based on low‐cost, portable smartphone thermography
Authors: Goktas Polat , Can Bostan Ozge , Gulseren Duygu , Cakmak Mehmet Erdem , Kaya Saltuk Bugra , Damadoglu Ebru , Karakaya Gul , Kalyoncu Ali Fuat 
Published: April 2023

AbstractBackgroundAlthough the skin prick test (SPT) is a reliable procedure to confirm IgE‐dependent allergic sensitization in patients, the interpretation of the test is still performed manually, resulting in an error‐prone procedure for the diagnosis of allergic diseases.ObjectiveTo design and implement an innovative SPT evaluation framework using a low‐cost, portable smartphone thermography, named Thermo‐SPT, to significantly improve the accuracy and reliability of SPT outcomes.MethodsThermographical images were captured every 60 s for a duration of 0 to 15 min using the FLIR One app, and then analysed with the FLIR Tool®. The definition of ‘Skin Sensitization Region’ area was introduced to analyse the time‐lapse thermal changes in skin reactions over several time periods during the SPT. The Allergic Sensitization Index (ASI) and Min–Max Scaler Index (MMS) formulae were also developed to optimize the identification of the peak allergic response time point through the thermal assessment (TA) of allergic rhinitis patients.ResultsIn these experimental trials, a statistically significant increase in temperature was detected from the fifth minute of TA for all tested aeroallergens (all values ). An increase was observed in the number of false‐positive cases, where patients with clinical symptoms not consistent with SPT were evaluated as positive on TA assessment, specifically for patients diagnosed with Phleum pratense and Dermatophagoides pteronyssinus. Our proposed technique, the MMS, has demonstrated improved accuracy in identifying P. pratense and D. pteronyssinus compared with other SPT evaluation metrics, specifically starting from the fifth minute. For patients diagnosed with Cat epithelium, although not statistically significant initially, an increasing trend was determined in the results at the 15 min (ΔT (T15 − T0), ; ASIT15, ).ConclusionsThis proposed SPT evaluation framework utilizing a low‐cost, smartphone‐based thermographical imaging technique can enhance the interpretability of allergic responses during the SPT, potentially reducing the need for extensive manual interpretation experience as standard SPTs.
Seizure onset patterns predict outcome after stereo‐electroencephalography‐guided laser amygdalohippocampotomy
Authors: Michalak Andrew J. , Greenblatt Adam , Wu Shasha , Tobochnik Steven , Dave Hina , Raghupathi Ramya , Esengul Yasar T. , Guerra Antonio , Tao James X. , Issa Naoum P. , Cosgrove Garth R. , Lega Bradley , Warnke Peter , Chen H. Isaac , Lucas Timothy , Sheth Sameer A. , Banks Garrett P. , Kwon Churl‐Su , Feldstein Neil , Youngerman Brett , McKhann Guy , Davis Kathryn A. , Schevon Catherine A. 
Published: April 2023

AbstractObjectiveStereotactic laser amygdalohippocampotomy (SLAH) is an appealing option for patients with temporal lobe epilepsy, who often require intracranial monitoring to confirm mesial temporal seizure onset. However, given limited spatial sampling, it is possible that stereotactic electroencephalography (stereo‐EEG) may miss seizure onset elsewhere. We hypothesized that stereo‐EEG seizure onset patterns (SOPs) may differentiate between primary onset and secondary spread and predict postoperative seizure control. In this study, we characterized the 2‐year outcomes of patients who underwent single‐fiber SLAH after stereo‐EEG and evaluated whether stereo‐EEG SOPs predict postoperative seizure freedom.MethodsThis retrospective five‐center study included patients with or without mesial temporal sclerosis (MTS) who underwent stereo‐EEG followed by single‐fiber SLAH between August 2014 and January 2022. Patients with causative hippocampal lesions apart from MTS or for whom the SLAH was considered palliative were excluded. An SOP catalogue was developed based on literature review. The dominant pattern for each patient was used for survival analysis. The primary outcome was 2‐year Engel I classification or recurrent seizures before then, stratified by SOP category.ResultsFifty‐eight patients were included, with a mean follow‐up duration of 39 ± 12 months after SLAH. Overall 1‐, 2‐, and 3‐year Engel I seizure freedom probability was 54%, 36%, and 33%, respectively. Patients with SOPs, including low‐voltage fast activity or low‐frequency repetitive spiking, had a 46% 2‐year seizure freedom probability, compared to 0% for patients with alpha or theta frequency repetitive spiking or theta or delta frequency rhythmic slowing (log‐rank test, p = .00015).SignificancePatients who underwent SLAH after stereo‐EEG had a low probability of seizure freedom at 2 years, but SOPs successfully predicted seizure recurrence in a subset of patients. This study provides proof of concept that SOPs distinguish between hippocampal seizure onset and spread and supports using SOPs to improve selection of SLAH candidates.
An attention‐based Logistic‐CNN‐BiLSTM hybrid neural network for credit risk prediction of listed real estate enterprises
Authors: Zhang Xinsheng , Ma Yulong , Wang Minghu 
Published: April 2023

AbstractEnterprise credit risk prediction is to predict whether enterprises will default in the future, according to a variety of historical data by establishing a corresponding relationship between historical operating conditions and default status. To improve the accuracy of credit risk prediction of listed real estate enterprises and effectively reduce difficulty of government management, we propose an attention‐based CNN‐BiLSTM hybrid neural network enhanced with features of results of logistic regression, and constructs the credit risk prediction index system of listed real estate enterprises from five characteristic dimensions: profitability, debt‐paying ability, growth ability, operating ability and enterprise basic information. This study uses data from the 2017–2020 annual reports of listed real estate enterprises on China's Shanghai and Shenzhen stock exchanges. A five different verifications yields average sensitivity, specificity, and quality index of 99.28%, 94.57% and 97.15%, respectively. The results show that our approach achieves better experimental results than previous works, by comparing PSO‐SVM model, RS‐PSO‐SVR model and PSO‐BP model. We conclude that the Logistic‐CNN‐BiLSTM‐att model is more effective for the credit risk prediction of listed real estate enterprises.
Bee functional traits and their relationship to pollination services depend on many factors: A meta‐regression analysis
Authors: Chase Marissa H. , Fraterrigo Jennifer M. , Harmon‐Threatt Alexandra 
Published: April 2023

Abstract
Understanding relationships between organisms and the ecosystem services they provide is crucial for predicting the impacts of continued biodiversity changes. Functional traits of organisms can affect ecosystem properties and are thus increasingly used to predict long‐term ecosystem functioning.
Bees are ideal taxa for using functional approaches given their role in pollination for many plant species and wide diversity of traits. Although distributions of bee functional traits are being documented in the literature, there is a clear lack of understanding of how they relate to ecosystem functioning (i.e. pollination).
To address this knowledge gap, we conducted a meta‐regression analysis with the following objectives: (1) quantify the effects of bee functional traits on pollination and (2) assess sources of heterogeneity to identify variables that might explain variation across studies. Seventeen studies met our criteria for inclusion, yielding 45 individual effect sizes for six traits (body size, tongue length, diet breadth, nesting, parasitism, and sociality).
Overall, bee functional traits had a significant effect on pollination; however, effect sizes were weak with high variability across studies. Sources of heterogeneity included the metrics used to quantify pollination, the number of bee genera analysed in a study, and whether traits were measured categorically or continuously. These results indicate a need for more research to improve understanding of trait–pollination relationships. For some bee traits, effects on pollination may be dependent on other factors like bee abundance, environmental context, and the plant species evaluated in studies.
Investigating the effect of the pH of foot care product formulations on pedal skin in diabetic and non‐diabetic subjects
Authors: Fitzner Andreas , Knuhr Katrin , Brandt Marianne , Bielfeldt Stephan 
Published: April 2023

AbstractObjectiveThe use of skin care formulations with acidic pHs is seen as an effective method to maintain the acidic mantel of the skin; however, because the skin pH varies depending on the area of the body and as data are lacking for the skin pH of the feet, there was a need to examine whether this assumption holds true for skin care formulations designed for the foot. Thus, three foot creams formulated with a neutral, acidic or alkaline pH were compared with each other as well as to an untreated control group in order to analyse their impact on skin pH, hydration and general skin condition.MethodsAn exploratory clinical investigation with 60 enrolled subjects, half of whom had a diagnosis of diabetes (type 1 or type 2), was undertaken. The investigation followed a randomized, double‐blind, balanced incomplete block design (BIBD) including intra‐individual comparison (before and after treatment). Evaluations of skin pH and hydration were carried out using a pH meter and a Corneometer respectively. Objective evaluation of skin condition for efficacy assessment was performed by a trained grader. For tolerability evaluation, objective and subjective dermatological assessments were performed.ResultsAt the end of the treatment period, the skin pH was largely unchanged at five out of six of the test areas, with the mean value for each treatment group using test products showing similar fluctuations as the untreated control group. Furthermore, the skin condition parameters studied all improved by a comparable magnitude for each of the treatment groups using the test products, whereas the untreated control group experienced a worsening of the skin condition parameters.ConclusionsThe results of this investigation suggest that where the skin of the foot is concerned, the pH of skin care formulations has no (physiologically) relevant influence on the skin's pH in either diabetic or non‐diabetic subjects. Furthermore, the expectation that acidic formulations would be more beneficial for the skin's condition was not found to hold true for the skin of the foot, as no significant difference was observed between the performance of the three test products investigated in this study.
Research of numerical simulation for HVAF thermal spraying process on rotational roll
Authors: Li Chang , Chen Xinxue , Han Xing , Jiang Haisheng , Liu Zhaotai 
Published: April 2023

AbstractHVAF thermal spraying has the characteristics of low spraying temperature, high coating density, and strong corrosion resistance. It is widely used in the aerospace, iron–steel metallurgy, national defense and military industry, petrochemical industry, and other fields for manufacturing protection and repair strengthening, which has achieved significant economic benefits. In this study, a numerical model of HVAF thermal spraying on a circular roll was established by the computational fluid dynamics method. The characteristics of the spraying flame, evolution of the gas composition mass fraction, and influence of the spraying parameters on particle flight behaviors were calculated and revealed. Based on the dynamic mesh method, the effect of roll speed on the spraying flame characteristics and particle flight behaviors was analyzed. Calculations show that the spraying flame is extruded at the Laval nozzle and the speed rapidly increases to 805 m/s, which increases to a supersonic speed through the barrel. The flame flow rises rapidly reaching the surface of the roll, which is 780 m/s. The highest temperature is in the combustion chamber, and the flame temperature of the airshed is a damped vibration. The flame covers the surface of the roll to preheat it, and the flame temperature there decreases layer by layer from the inside to outside. The particle diameter significantly effects the powder flight behavior. The flame velocity increases with the barrel length increasing. The flame temperature up to the peak when the barrel length is 190 mm. As the rotation speed of the roll increases, the temperature, velocity, and pressure of the flame flow on the roll surface change in a certain extent. The particle spatter will be increased with the rotational speed increasing of the roll, which little affects the particle temperature.
Towards an integrated debiasing framework for consumer financial decisions: A reflection on debiasing research
Authors: Jugnandan Shreeya , Willows Gizelle D. 
Published: April 2023

AbstractConsumers are subject to cognitive biases, which impede the rationality of their financial decisions. This is problematic, given the onus on the individual to make investment and savings decisions. Thus, there is an impetus for research to identify mitigation strategies. This qualitative review surveys the debiasing literature to identify the prevalent debiasing approaches and proposes an integrated model towards debiasing. The identified core debiasing strategies (education and training, decision support systems, information aspects, experience, and financial advice) are organized and integrated into a single model using the ‘Antecedents, Decisions, Outcomes’ format developed by Paul and Benito. We also propose an agenda for future debiasing research.