bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fuzzy Expert System for Rectal Cancer Based on Possibility Measure
Authors: A. Gardashova Latafat , R. Aliyarov Yusif , A. Ahmadov Shamil 
Published: January 2023

Intestinal infections in common and colorectal cancer in particular are quite widely spread and affect modern population in a significant manner. Therefore, they have been objects of intensive scientific research for quite a long time. It is known that the colorectal cancer’s diagnostics can face some difficulties caused by the uncertainties in patients’ health status and disease data. The uncertainty, in common, can be classified as probabilistic or possibilistic (fuzzy). The goal of this chapter is to analyze a fuzzy-rule-based medical expert system for the colorectal cancer’s diagnostics. In the modeling, fuzzy inference based on possibility measure and knowledge extraction based on fuzzy clustering are applied. During the initial stage of the system’s modeling, the applied parameters of colorectal cancer were defined by using clinical data. During the next stage, the soft-computing-based evaluation of the cancer’s factors is performed. During the third stage, the applied fuzzy inference, based on possibility measure, is introduced and supported by the examples. The knowledge base of the modeled system consists of the case data obtained from 100 patients in the course of 3 years by the National Center of Oncology. The effectiveness of the modeled system was checked on the testing subset of 30 diagnoses, and 22 predictions by the expert system were defined as correct.
The impact of hypertension on the prognosis of patients with hypertrophic cardiomyopathy: a single-center retrospective study
Authors: Wang Ziqiong , Zheng Yi , Ruan Haiyan , Li Liying , Zhang Muxin , Duan Linjia , He Sen 
Published: January 2023

Background
Hypertrophic cardiomyopathy (HCM) and hypertension coexist fairly frequently in clinical practice. However, the evidence about the impact of hypertension on the prognosis of HCM is limited. The present study aims to investigate the impact of hypertension on the prognosis of HCM patients.

Methods
A total of 468 HCM patients were enrolled, and patients were divided into hypertension group (31.8%) and non-hypertension group (68.2%). The primary study endpoint was HCM-related death, consisting of heart failure (HF)-related death, stroke-related death and sudden cardiac death (SCD). Associations between hypertension and HCM-related death were analyzed by Cox regression models with the use of propensity score matching (PSM) as primary analysis.

Results
There were 55 HCM-related death during a median follow-up time of 4.6 years, and the mortality rate was 2.53 per 100 person years. Kaplan-Meier analysis based on the crude cohort or PSM cohort revealed no significant difference regarding the HCM-related death between the two groups. In the crude cohort, both univariable and multivariable Cox regression analysis indicated that hypertension was not significantly associated with HCM-related death with hazard ratios (HR) at 0.74 (95% CI [0.40–1.36], p value: 0.329) and 0.77 (95% CI [0.35–1.71], p value: 0.521), respectively. Similarly, no strong evidence for an association was observed between hypertension and HCM-related death in the PSM cohort with unadjusted HR at 0.90 (95% CI [0.34–2.41]; p value: 0.838) and adjusted HR at 0.77 (95% CI [0.35–1.71]; p value: 0.521), respectively. Other propensity score methods, including overlap weighting and inverse probability treatment weighting demonstrated similar results. Sensitivity analysis also indicated that the concomitant hypertension did not significantly increase the risk of HF-related death, stroke-related death or SCD in HCM patients.

Conclusion
HCM-related death did not significantly differ between hypertension and non-hypertension groups, suggesting a negative impact of hypertension on the clinical prognosis of HCM patients.
Detection of Carbapenemase-Producing Escherichia coli and Klebsiella pneumoniae Implicated in Urinary Tract Infection
Authors: Nomeh Onyinye Lovette , Federica Obodoechi Ijeoma , Joseph Ofonmbuk Victor , Moneth Ezeh Chinonyelum , Ogba Rebecca Chinenye , Nkechi Ohadoma Angela , Peter Ikemesit Udeme , Akpu Peace Oluchi , Edemekong Christiana Inuaesiet , Iroha Ifeanyichukwu Romanus 
Published: January 2023

Background and Objectives: Carbapenemase-producing bacteria are super bugs that make Urinary Tract Infections (UTIs) difficult to treat with drug of last resort such as carbapenem and other antibiotic thus limiting the treatment options. Carbapenemase production is increasing in clinical isolates of E. coli and K. pneumoniae, their potential to spread widely among patients necessitates molecular detection of carbapenemase-producing Escherichia coli and Klebsiella pneumoniae implicated in Urinary Tract Infection.
Methodology: A total of twelve (12) non-repeated clinical isolate of Escherichia coli (E1, E2, E3, E4, E5, E6, E7) and Klebsiella pneumoniae (K8, K9, K10, K11, K12) were selected based on their in vitro phenotypic resistant to carbapenem antibiotics from patients diagnosed with urinary tract infection at Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AE-FEUTHA) Ebonyi Sate Nigeria. Escherichia coli and Klebsiella pneumoniae were further confirmed using standard routine microbiological technique for isolation and identification of bacteria. Escherichia coli and Klebsiella pneumoniae strains were further screen for carbapenemase-producing gene by PCR specific primer.
Result: PCR analysis with specific primer for carbapenemase gene revealed the presence and predominant of blaKPC in Escherichia coli and Klebsiella pneumoniae 12(100 %) followed by blaNDM 11(91.7 %), blaIMP 7(58.3 %) and blaVIM 2(16.7) as the least carbapenemase-producing gene in Escherichia coli and Klebsiella pneumoniae. blaKPC was predominant in Escherichia coli 7(58.3 %) followed by blaNDM 6(50.0 %) and blaIMP 5(41.7 %) while both blaOXA and blaVIM (16.7 %) were the least detected carbapenemase gene. Klebsiella pneumoniae harbor high proportion of blaNDM and blaKPC both recording 5(41.7 %) followed by blaOXA and blaIMP both recording 2(16.7 %) but blaVIM gene was not identified in Klebsiella pneumoniae.
Conclusion: The current findings highlight the occurrence of carbapenemase-producing gene in Escherichia coli and Klebsiella pneumoniae implicated in UTI. Since these genes are carried on the bacteria plasmid there is a tendency of cross-species dissemination over time. The detection of carbapenemase-producing gene call for prompt epidemiological surveillance and preventive strategies to limit the spread of these carbapenemase resistant genetic determinant and the need for antibiotic susceptibility testing of available antibiotic agent.
Nutritional and Mineral Composition Analysis of Desert Plants: A case study
Authors: Iqbal Javed , Shaheen Aqeela , Awais Ghan Muhammad , Iqbal Qumer , Azam Muhammad , Ali Basharat , Noor Anam , Anwar Adeel , Bibi Muhammadi , Iqbal Rashid , Anwar Iqra , Aslam Muhammad , Mahmood Imran 
Published: January 2023

The wild arid and semi-arid plants of desert are used as food and medicine by the people of Desert. In this case study, selected plants were characterized physico-chemically for their nutritional and mineral importance by different analytical methods. Analysis showed that crude fibers and protein dominated in plant samples among all nutrients with an average concentration of 38% and 21% respectively. The edible parts of plants generally showed higher concentration of Ca and Mg as compared to Na and K. Calligonum polygonoides found comparatively rich in total sugars and ash contents. Similarly, crude fibers (45%), crude lipids (16%) and phosphorous (32 ppm) were observed higher in Leptadenia pyrotechnica. However, Prosopis cineraria contained higher contents of moisture and protein (24%) among other plants. The statistical presentation by discrimination analysis showed that arid plant found rich in most of the nutrients and minerals except phosphorous and proteins as compared to semi-arid plants with relatively higher moisture contents
Physical and physicochemical characteristics of tomato fruits grown under different irrigation water levels and phosphorus sources and rates
Authors: Lopes Sobrinho Oswaldo Palma , Silva dos Santos Leonardo Nazário , Loureiro Soares Frederico Antonio 
Published: January 2023

Phosphorus (P) is one of the most limiting nutrients for growth and development of crops, and is important for soil fertility managements, since it affects the quality of fruits. With the hypothesis that different levels of irrigation and phosphorus fertilization interfere in the physical and physicochemical properties of tomatoes, the objective of this experiment was to verify this hypothesis and analyze the behavior of the fruits’ responses. The experiment was conducted in a greenhouse at the Hydraulic and Irrigation Laboratory of the Federal Institute of Education, Science, and Technology of the State of Goiás, in Rio Verde, Goiás, Brazil. A randomized block design was used, with a 4×2×4 split-plot arrangement and three replications, totaling 96 experimental plots. The treatments consisted of four P2O5 rates: 25%, 50%, 100%, and 200% of the recommended rate; two P sources: monoammonium phosphate (MAP) and organo-mineral (OM); and four IWL: 50%, 75%, 100%, and 125% of the field capacity. The fruits were evaluated for longitudinal (FLD) and transversal (FTD) diameters, potential hydrogen (pH), titratable acidity (TA), total soluble solid (TSS) contents, and TSS to TA ratio (TSS/TA). The effect of the interactions between the factors IWL and P rate, IWL and P source, and P rate and source were significant for FLD and FTD, TSS, TA, and TSS/TA. The effects of the interactions between IWL and P rate, and IWL and P source were significant for pH. The MAP source combined with the rate of 25% and IWL of 125% resulted in tomato fruits with larger FLD and FTD. The rate of 25% combined with IWL of 77% and 100% resulted in tomato fruits with higher TSS and pH. The OM source resulted in tomato fruits with higher TA when combined with IWL of 50%, and larger FLD when combined with IWL of 105% and 125%.
(This article belongs to the Special Issue: Agricultural Water Management in Arid and Semi-arid Regions)
Magnetic treatment of irrigation water: Its effect on water properties and characteristics of eggplant (Solanum melongena
Authors: Kishore Gottam , Saxena Chandrakant , Rajwade Yogesh 
Published: January 2023

Poor quality water is a potential source for demand management in irrigated agriculture after essential treatment. Magnetic water treatment (MWT) is one of the emerging technologies among water treatment methods for the above-cited problems without harming the environment. The optimum configuration of the 7000 gauss magnetic treatment device and the effect of magnetized water on the yield parameters of the eggplant in a pot culture experiment were examined in this study. The maximum significant (P< 0.05) changes in physicochemical properties (pH, EC, total hardness, Langelier Saturation Index, Na, etc.) of water occurred at an optimized velocity of 0.8 m/s and less. The mean plant height was maximum under magnetized bore water treatment compared to all other treatments (P< 0.05). In particular, the average yield per plant was increased by 17 per cent in magnetized bore water treatment compared to the control. Overall, the results have shown that an optimum configuration of the water treatment device is needed before the start of the experiment based on magnetic strength. Moreover, magnetically treated irrigation water positively impacted plant growth parameters and the yield of the eggplant.
Keywords: Irrigation, Magnetic water, Total hardness, Langelier Saturation Index, yield per plant
Outcomes and Complications of Pars Plana Vitrectomy for Tractional Retinal Detachment in People With Diabetes
Authors: McCullough Philip , Mohite Ajay , Virgili Gianni , Lois Noemi 
Published: January 2023

ImportanceTractional retinal detachment (TRD) occurs in approximately 5% of people with proliferative diabetic retinopathy and poses a threat to vision. Pars plana vitrectomy (PPV) is the treatment of choice for TRD.ObjectiveTo determine anatomic and functional outcomes of PPV for the treatment of TRD in people with diabetes (dTRD).Data SourcesMEDLINE and Embase were searched systematically from January 1, 2000, to February 20, 2022. In addition, a reference list of eligible studies were screened.Study SelectionEligible studies were those published in English, those reporting outcomes of PPV for dTRD, and those that included more than 25 eyes and with a minimum follow-up of 3 months.Data Extraction and SynthesisPreferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines for data extraction/synthesis were followed, and the National Institute for Health quality assessment tool was used to assess risk of bias. Study eligibility was determined independently by 2 reviewers; data extraction was conducted by 1 reviewer and entries checked for accuracy by another. Data were pooled using a random-effects model.Main Outcomes and MeasuresMain outcomes included rate of failure of retinal reattachment following 1 surgery and final visual acuity (VA). The association of baseline patient characteristics and surgical maneuvers with postoperative surgical outcomes was investigated.ResultsOf the 406 studies identified, 38 (3839 eyes) were eligible and included for analysis. Patients had a median (IQR) age of 52.2 (49.6-55.7) years. In the studies reporting patient sex (31 of 38 studies), 1441 were female individuals (50.1%). The overall failure rate of retinal reattachment after 1 surgery was 5.9% (95% CI, 1.4%-8.3%), and the mean final VA was 0.94 (95% CI, 0.82-1.05) logMAR (approximate Snellen equivalent, 6/53; 95% CI, 6/39-6/71). People with higher preoperative VA achieved higher postoperative vision (0.66 logMAR worse final vision; 95% CI, 0.39-0.84 per 1.0 logMAR worse at baseline; P &amp;lt;.001). On multivariable analysis, no other patient characteristics or surgical variables had a statistically significant association with outcomes.Conclusions and RelevanceResults of this systematic review and meta-analysis suggest that PPV was an effective strategy to achieve retinal reattachment in people with dTRD. Given that higher preoperative VA was the only factor associated with higher postoperative vision, early intervention should be considered and discussed in detail with patients. Overall, final postoperative VA remains low, and patients should be counseled on the guarded prognosis of dTRD.
Mo‐Mediated Transition of the Lattice to Long‐Range Disorder Enables Ultra‐High Current Density Hydrogen Production at Low Potentials
Authors: Cheng Yu , Guo Haoran , Zhang Lifang , Wang Mengfan , Zhou Jinqiu , Qian Tao , Yan Chenglin 
Published: January 2023

AbstractHigh‐current hydrogen production at low potential toward hydrogen evolution reaction (HER) is a fatal factor restricting the large‐scale production of green hydrogen. Here, a Mo‐mediated nickel‐based chalcogenides electrocatalyst (U‐MoNiS) with long‐range disordering through heterogeneous atom‐mediated strategies, is proposed. The optimal U‐MoNiS is scalable to meet the urgent application needs and it requires an extermely low overpotential (305 mV) to achieve ultra‐high current density of 2243 mA cm‐2, which is 16.6‐fold higher than the noble Pt/C (135 mA cm‐2). Strikingly, the U‐MoNiS can function well under an ultra‐high current up to ~5 A. Operando experiments and calculations reveal the Mo‐mediated transition of lattice model to a long‐range disordering and regulate the microenvironment of dominant crystal plane, and the surface energy of (110) and (211) drops from 0.180 and 0.165 to 0.077 and 0.100 eV Å‐2, respectively. Which exceedingly minimizes the free energy barrier and then accelerates the H* adsorption, and fundamentally contributes to the achievement of efficient hydrogen production at high current density. The proposed strategy to produce hydrogen at ultra‐high current would fulfill the dream to create ‘a high effiective catalyst designed as simply as possible'.
Piezocatalytic Medicine: An Emerging Frontier using Piezoelectric Materials for Biomedical Applications
Authors: Chen Si , Zhu Piao , Mao Lijie , Wu Wencheng , Lin Han , Xu Deliang , Lu Xiangyu , Shi Jianlin 
Published: January 2023

AbstractEmerging piezocatalysts have demonstrated their remarkable application potential in diverse medical fields. In addition to their ultrahigh catalytic activities, their inherent and unique charge‐carrier‐releasing properties can be used to initiate various redox catalytic reactions, displaying bright prospects for future medical applications. Triggered by mechanical energy, piezocatalytic materials can release electrons/holes, catalyze redox reactions of substrates, or intervene in biological processes to promote the production of effector molecules for medical purposes, such as decontamination, sterilization, and therapy. Such a medical application of piezocatalysis is termed as piezocatalytic medicine (PCM) herein. To pioneer novel medical technologies, especially therapeutic modalities, this review provides an overview of the state‐of‐the‐art research progress in piezocatalytic medicine. First, the principle of piezocatalysis and the preparation methodologies of piezoelectric materials are introduced. Then, a comprehensive summary of the medical applications of piezocatalytic materials in tumor treatment, antisepsis, organic degradation, tissue repair and regeneration, and biosensing is provided. Finally, the main challenges and future perspectives in piezocatalytic medicine are discussed and proposed, expecting to fuel the development of this emerging scientific discipline.
Concentration‐dependent Cycling of Phenothiazine‐based Electrolytes in Nonaqueous Redox Flow Cells
Authors: Preet Kaur Aman , Neyhouse Bertrand J. , Shkrob Ilya A. , Wang Yilin , Harsha Attanayake N. , Kant Jha Rahul , Wu Qianwen , Zhang Lu , Ewoldt Randy H. , Brushett Fikile R. , Odom Susan A. 
Published: January 2023

AbstractIncreasing redox‐active species concentrations can improve viability for organic redox flow batteries by enabling higher energy densities, but the required concentrated solutions can become viscous and less conductive, leading to inefficient electrochemical cycling and low material utilization at higher current densities. To better understand these tradeoffs in a model system, we study a highly soluble and stable redox‐active couple, N‐(2‐(2‐methoxyethoxy)ethyl)phenothiazine (MEEPT), and its bis(trifluoromethanesulfonyl)imide radical cation salt (MEEPT‐TFSI). We measure the physicochemical properties of electrolytes containing 0.2–1 M active species and connect these to symmetric cell cycling behavior, achieving robust cycling performance. Specifically, for a 1 M electrolyte concentration, we demonstrate 94% materials utilization, 89% capacity retention, and 99.8% average coulombic efficiency over 435 h (100 full cycles). This demonstration helps to establish potential for high‐performing, concentrated nonaqueous electrolytes and highlights possible failure modes in such systems.
Influence of Water on Gel Electrolytes for Zinc‐Ion Batteries
Authors: Liu Xiangjie , Li Xin , Yang Xiaotong , Lu Jingqi , Zhang Xuan , Yuan Du , Zhang Yizhou 
Published: January 2023

AbstractGel electrolytes are being intensively explored for aqueous rechargeable zinc‐ion batteries, especially towards high performance and multi‐functionalities. Water plays a central role on the fundamental properties, interface reaction/interaction, and performance of the gel‐type zinc electrolyte. In this review, the influence of water on the physiochemical properties of gel electrolytes is focused on. The correlation between water activity and the fundamental properties of zinc electrolytes is presented. Current approaches and challenges in manipulating water activity and the consequent influence on the electrochemical stability, transport, and interface kinetics of gel electrolytes are summarized. An outlook on approaches to tuning and investigating water activity is provided to shed light on the design of advanced gel electrolytes.
Roadmap zur klimaoptimierten Transportbetonherstellung – Quantifizierte Betrachtung von Handlungsoptionen zur Steigerung der Nachhaltigkeit und Ressourceneffizienz
Authors: Schack Tobias , Deiters Macielle , Neubaur Konrad , Oberhoff Tessa , Klemt‐Albert Katharina , Haist Michael 
Published: January 2023

AbstractDer Bauindustrie und insbesondere der Zement‐ und Betonindustrie kommt sowohl bei der Begrenzung der globalen Erwärmung als auch beim Schutz der natürlichen Ressourcen eine wichtige Rolle zu. Zentral ist dabei die Frage, wie es zum einen gelingt, die bei der Herstellung, Verwendung und dem Recycling von Beton einhergehenden CO2‐Emissionen zu reduzieren und gleichzeitig den Ressourcenkreislauf zu schließen. Dabei sind enorm vielfältige Wege zum klimaoptimierten und ressourceneffizienten Betonbau denkbar und möglich. Die einzelnen Wege unterscheiden sich jedoch relativ stark in den dafür notwendigen technischen Maßnahmen, den normativen Voraussetzungen und nicht zuletzt in den erforderlichen Investitionen. Der vorliegende Beitrag gibt einen Überblick über den aktuellen Stand zum klimaverträglichen und nachhaltigen Bauen mit Beton und zeigt mögliche Potenziale hin zur Klima‐ und Ressourcenoptimierung bei der Betonherstellung auf. Der Fokus des Beitrags liegt auf dem Transportbetonsektor bzw. dem Ortbetonbau. Das Potenzial verschiedener Verfahren oder Maßnahmen zur CO2‐Minderung und zum Ressourcenschutz wird nicht nur für eine einzelne Betonsorte, sondern anhand eines typischen Transportbetonwerks mit einem angenommenen jährlichen Betonproduktionsvolumen von 21.300 m3 anhand von Literaturangaben quantifiziert, um Anlagenbetreibern eine einfache Einschätzung der Wirksamkeit einzelner oder kombinierter Maßnahmen zu ermöglichen.
Stakeholder pressures and sustainability practices in manufacturing: Consideration of the economic development context
Authors: Bello‐Pintado Alejandro , Machuca José A. D. , Danese Pamela 
Published: January 2023

AbstractIn the context of global concern for the environment and considering the observation that very few manufacturing companies have taken a more proactive position on sustainability, it has been suggested that the stakeholder approach can contribute to the study of sustainability management. Hence, this paper analyzes the relationship between a set of individual stakeholders pressures (STP) from different groups and the adoption and implementation of some specific sets of sustainability practices (SP) in manufacturing: internal and external monitoring and external collaborative. It also contributes to the open debate around the “monolithic” versus differentiated reaction to perceived STP, showing that companies respond selectively to the different stakeholder groups. Finally, this research also considers the possible influence of different country development contexts (developed vs. emerging countries), which may be very informative in the context of the growing globalization of operations. Using a large, worldwide, multicountry, and multi‐informant sample of manufacturing plants from three industry sectors located in 15 emerging and developed countries, this study shows that the different stakeholders play different roles in the adoption and implementation of different sustainability practices, thus contributing to the open debate around a suitable balance of stakeholder pressures. This research further contributes to the debate around the convergence and divergence perspectives by supporting the “universal” adoption of sustainability practices (convergence perspective) as no statistical differences are found in stakeholder pressures in different country development contexts.