bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of factors affecting discharge with the personal consent of hospitalized patients: A cross‐sectional study
Authors: Babaei Zahra , Alizadeh Masoumeh , Shahsawari Soodeh , Jihoni‐Kalhori Azar , Cheraghbeigi Ramin , Sotoudeh Rahman , Mohammadi Ali 
Published: August 2023

AbstractBackground and AimsDischarge by personal satisfaction is a condition in which the patient leaves the hospital before completing the care period against medical advice. Thus, this study aims to identify and analyze the reasons for discharge with the personal satisfaction of hospitalized patients.MethodsThe study was descriptive‐analytical being performed in 2021. The study population was 2869 discharged inpatients with personal satisfaction. Sampling was done by random and census. The data were collected using a checklist and a researcher‐made questionnaire whose validity and reliability were confirmed. The data were analyzed using SPSS24 by K‐Score test for qualitative and variance for quantitative variables.ResultsThe discharge rate by personal satisfaction was 7.01%, the average age was 42 years, and the average length of stay was 4 days. Further, 57.1% of patients were female, 63.7% were married, and 21% were babies. A total of 22.77% of the patients were discharged with the father's consent, of which 13.2% were re‐admitted. The most common reasons for the discharge were feeling of recovery (47.2%), the hospital being educational (30%), and dissatisfaction with the services of doctors (51.6%). Discharge with personal satisfaction had a significant relationship with the length of hospitalization (p < 0.001) and type of hospital (p = 0.04).ConclusionThe feeling of recovery, the educational nature of the hospital, and dissatisfaction with the services of doctors were the most common reasons for discharge with personal satisfaction. Therefore, monitoring the provision of services, establishing proper patient‐doctor communication, and increasing the awareness of patients and parents could reduce this type of discharge and its consequences.
Postmenopausal women's usage of complementary and alternative medicine and its relationship to sexual function: A cross‐sectional study in southeastern Iran
Authors: Dehghan Mahlagha , Isari Zahra , Abbaszadeh Mohammad Hossein , Shafiee Babaei Seyed Amirreza , Kamali Narab Zahra , Malakoutikhah Alireza , Ghonchehpour Asma 
Published: August 2023

AbstractBackground and AimsSexual dysfunction is one of the most common problems in postmenopausal women that affect their lives. Due to the widespread disadvantages and age limit of drug and hormone therapy, the demand for complementary and alternative medicine (CAM) methods has increased.MethodsThis was a descriptive‐analytical study. A total of 297 postmenopausal women who were referred to health centers in Kerman, southeastern Iran, were selected during the years 2020–2021. The use of CAM and sexual function were examined by Complementary and Alternative Medicine Questionnaire and the Female Sexual Function Index, respectively. Data were collected through a combination of face‐to‐face and online forms.ResultsMore than half of the participants used at least one type of CAM in the preceding year for any general reason. The mean satisfaction score for CAM use was 21.7 ± 5.84; Most reasons of use were for improving quality of life, improving physical function, reducing sleep disorders, improving mood status, reducing vasomotor symptom, and improving sexual function, respectively. Most reasons of use were related to sexual dysfunction. Specifically, the mean score for sexual function was 17.96 ± 7.50 which was lower than the scale's midpoint of 28. According to different subscales of sexual function, 52.9% of participants had good desire, 49.5% good arousal, 34.7% good lubrication, 56.9% good orgasm, and 2% had no pain, and 52.5% were satisfied with their sexual function. There were no significant differences between CAM users and nonusers about sexual functions and all its subscales.ConclusionThere were no significant differences between CAM users and nonusers about sexual functions and all its domains. Further research in different communities with different health systems is recommended to investigate the relationship between CAM and sexual function among postmenopausal women.
Predicting and explaining karst spring dissolved oxygen using interpretable deep learning approach
Authors: Zhou Renjie , Zhang Yanyan 
Published: August 2023

AbstractDissolved oxygen (DO) is one of the most important indicators of water quality and an essential measure for the aquatic organisms and the local ecosystem. DO concentrations in karst spring flow involves complex hydrological processes because of the heterogeneous nature of the karst system. In this study, an interpretable and explainable model that integrates the shapley additive explanations (SHAP) algorithm with the long short‐term memory network model (LSTM) is proposed to evaluate the contributions of karst spring discharge, precipitation, water temperature, and specific conductance to DO concentrations in karst spring flow. The hybrid model can predict the temporal fluctuations of DO levels and provide a robust characterization of DO behaviours. To demonstrate the applicability of the proposed model, we adopted the hydrological and meteorological data from Barton Springs, situated within a highly karstified segment of the Edwards aquifer characterized by extensive fractures and openings. The optimal prediction performance is achieved with a 14‐day time step, which is considered as the effective response time between various hydrological processes and DO concentrations at Barton Springs. It reveals that the influence of karst spring discharge, precipitation, water temperature, and specific conductance in previous 14 days collectively contribute to the current DO concentration in karst spring flow. The SHAP values of input features provide both local and global explanations, demonstrating the magnitude and the direction of each feature's impact on DO levels in karst spring flow. In descending order, the contributions of various hydrological processes to DO are ranked as follows: precipitation, karst spring discharge, temperature, and specific conductance. Precipitation and discharge exhibit positive SHAP values, indicating that increases in these hydrological processes contribute to higher DO levels in the karst flow. Water temperature and specific conductance have negative SHAP values, suggesting that higher water temperature and specific conductance will lead to decreased DO levels in the karst flow.
Seasonal and tidal variations in hydrologic inputs drive salt marsh porewater nitrate dynamics
Authors: Grande Emilio , Seybold Erin C. , Tatariw Corianne , Visser Ate , Braswell Anna , Arora Bhavna , Birgand François , Haskins John , Zimmer Margaret 
Published: August 2023

AbstractSalt marshes remove terrestrially derived nutrients en route to coasts. While these systems play a critical role in improving water quality, we still have a limited understanding of the spatiotemporal variability of biogeochemically reactive solutes and processes within salt marshes. We implemented a high‐frequency sampling system to monitor sub‐hourly nitrate () concentrations in salt marsh porewater at Elkhorn Slough in central California, USA. We instrumented three marsh positions along an elevation gradient subjected to different amounts of tidal inundation, which we predicted would lead to varied biogeochemical characteristics and hydrological interactions. At each marsh position, we continuously monitored porewater concentrations at depths of 10, 30, and 50 cm and porewater levels measured at 70 cm depth over seven deployments of ~10 days each that spanned seasonal wet/dry periods common to Mediterranean climates. We quantified tidal event hysteresis between and water level to understand how concentrations and sources fluctuate across tidal cycles. In dry periods, the ‐porewater level relationship indicated that the source was likely estuarine surface water that flooded the transect during high tides and the salt marsh was a sink. In wet periods, the ‐porewater level relationship suggested the salt marsh was a source of . These findings suggest that tidal and seasonal hydrologic fluxes together control porewater dynamics and export and influence ecological processes in coastal environments.
Control of bleeding from a recurrent tumor at a uretero‐ileal anastomosis by electrocoagulation via an ileal conduit
Authors: Yasujima Rikuto , Nakanishi Yasukazu , Hirose Kohei , Umino Yosuke , Okubo Naoya , Kataoka Madoka , Yajima Shugo , Masuda Hitoshi 
Published: August 2023

IntroductionBladder cancer is characterized by spatial and temporal recurrence in the urinary tract. We describe a case of recurrence at a uretero‐ileal anastomosis after radical cystectomy and nephroureterectomy. It was difficult to control bleeding from the tumor, but hemostasis was achieved.Case presentationA 73‐year‐old man with a history of radical cystectomy and reconstruction of the ileal conduit and right nephroureterectomy was diagnosed with recurrence at the uretero‐ileal anastomosis site. Bleeding from the tumor could not be controlled by flexible gastrointestinal endoscopy. The patient underwent coagulation via an ileal conduit approach using a rigid scope and bipolar electrocautery, which is usually a modality for transurethral resection.ConclusionThis is the first report in which a modality normally used for transurethral resection was used to control bleeding in a patient with an ileal conduit. This application is useful in cases open surgery or additional irradiation might be difficult.
Trading rule discovery using technical analysis and a template matching technique for pattern recognition: Evidence from the Chinese stock market
Authors: Lobão Júlio , Pacheco Luís , Fernandes António 
Published: August 2023

AbstractThis paper examines the potential profit of bull flag trading rules in the Shanghai Stock Exchange Composite Index (SSE) using a template matching technique based on price pattern recognition. This paper fills a gap in the literature by applying a template matching technique for the recognition of bull flag patterns in the Shanghai Stock Exchange Composite Index (SSE) during the period of 1991–2021. To the best of our knowledge, no previous study has applied bull flag trading rules to the Chinese stock market. Our results indicate that bull flag trading rules can correctly predict the price movement direction of the index most of the time, achieving significantly positive excess profits. Moreover, shorter fitting windows and better quality of price fit values for lower holding periods are associated with better performance. This research may have relevant practical implications for investors who opt for this indicator in their asset allocation decisions.
Examining auditors’ ability to evaluate the reasonableness of fair value estimates
Authors: Gong Sabrina , Hao Yamin , Ho Nam 
Published: August 2023

AbstractOne of the most difficult challenges facing contemporary auditors is evaluating the reasonableness of fair value estimates (FVEs) made by management. Both practitioners and academic studies have shown auditors to be deficient when tasked with assessing FVEs. However, it is not well understood whether the root cause of this deficiency lies in auditors’ lack of knowledge to appropriately evaluate estimates or auditors’ lack of willingness to challenge management. Using the setting of common auditors in M&A transactions, this study empirically examines whether the audit deficiency can be resolved by providing auditors with additional knowledge or willingness. Our results show that common auditors significantly outperform their peers when tasked with assessing the reasonableness of FVEs in purchase price allocations and reducing overallocation to goodwill when managers have incentives to do so. Further, the evidence is consistent with common auditors demonstrating improved performance in challenging information environments, but not in scenarios where risks to auditors may be perceived to be higher. The results suggest that it is their greater asset‐specific knowledge that drives mitigation of the audit deficiency and that targeting improvements to knowledge rather than willingness is likely to be more effective in improving auditors’ ability to evaluate FVEs.
Spectrum of ultrasound findings in patients with history of breast conservative treatment
Authors: Katouli Fatemeh Shakki , Bayani Leila , Azizinik Fahimeh , Fathi Somayeh , Seifollahi Akram , Bozorgabadi Fatemeh Zare 
Published: August 2023

AbstractBreast conservative treatment (BCT) is currently accepted as the standard treatment option for breast cancer. Targeted ultrasound helps detect recurrent lesions, postoperative changes, and scarring tissue. In this pictorial essay, we review the ultrasound features of benign (seroma, hematoma, fat necrosis, traumatic neuroma, fibrosis/scarring) and malignant (recurrence, new primary cancer) causes of palpable lumps after BCT and provide images from our patients to illustrate some typical findings of common pathologies. Ultrasound, especially as an adjunct to mammography, can make a specific diagnosis in most cases.
Serum trimethylamine N‐oxide and lipopolysaccharide binding protein levels among children diagnosed with autism spectrum disorder
Authors: Açıkel Sadettin Burak , Kara Aziz , Bağcı Zafer , Can Ümmügülsüm 
Published: August 2023

AbstractIn the literature, there have been several studies available investigating the relationship between autism spectrum disorder and intestinal permeability. In this study, it is aimed to examine the relationship between the levels of trimethylamine N‐oxide (TMAO), which is a parameter associated with intestinal permeability, and lipopolysaccharide binding protein (LBP), which is a marker associated with bacterial translocation from the intestine, in patients with autism spectrum disorder (ASD) and healthy controls. Fifty‐three children with ASD as the patient group and 30 healthy children as the control group have been included in the study. The diagnostic evaluation has been made according to DSM‐5 criteria. According to the obtained results, there has been no significant difference between groups in terms of serum TMAO and LBP levels. Considering the existence of various studies that found different results on ASD and intestinal permeability, it is thought that the studies conducted in this field that did not find statistically different results will also make a contribution to the literature.
Resistance to change, of behavior and of theory
Authors: Craig Andrew R. 
Published: August 2023

AbstractThe persistence of operant behavior when disrupted tends to be positively related to how often reinforcers were delivered in the past. Behavioral momentum theory describes this finding as the outcome of Pavlovian processes. That is, the relation between discriminative stimuli and reinforcers that were delivered in their presence strengthens behavior, thereby making it more likely to persist. If only the story were that simple. A growing number of findings challenge the basic tenets of behavioral momentum theory. Some even call into question whether Pavlovian relations contribute to persistence in the first place. In this paper, I will review behavioral momentum theory and some of the data that have been problematic for the theory. I will argue that despite these very real challenges, the theory provides important utility not only to basic analyses of response persistence but also to clinical interventions directed at long‐term reductions in problem behavior. It, for example, has set the stage for the development of alternative conceptual analyses of resistance to change, two of which will be highlighted for readers. Moreover, behavioral momentum theory may tell us something important about the reasons it continues to have an influence on the field, despite the challenging data that deter it.
Quantitative assessment of lipophilic membrane dye‐based labelling of extracellular vesicles by nano‐flow cytometry
Authors: Chen Chen , Cai Niangui , Niu Qian , Tian Ye , Hu Yunyun , Yan Xiaomei 
Published: August 2023

AbstractAlthough lipophilic membrane dyes (LMDs) or probes (LMPs) are widely used to label extracellular vesicles (EVs) for detection and purification, their labelling performance has not been systematically characterized. Through concurrent side scattering and fluorescence detection of single EVs as small as 40 nm in diameter by a laboratory‐built nano‐flow cytometer (nFCM), present study identified that (1) PKH67 and PKH26 could maximally label ∼60%–80% of EVs isolated from the conditioned cell culture medium (purity of ∼88%) and ∼40%–70% of PFP‐EVs (purity of ∼73%); (2) excessive PKH26 could cause damage to the EV structure; (3) di‐8‐ANEPPS and high concentration of DiI could achieve efficient and uniform labelling of EVs with nearly 100% labelling efficiency for di‐8‐ANEPPS and 70%–100% for DiI; (4) all the four tested LMDs can aggregate and form micelles that exhibit comparable side scatter and fluorescence intensity with those of labelled EVs and thus hardly be differentiate from each other; (5) as the LMD concentration went up, the particle number of self‐aggregates increased while the fluorescence intensity of aggregates remained constant; (6) PKH67 and PKH26 tend to form more aggregated micelles than di‐8‐ANEPPS and DiI, and the effect of LMD self‐aggregation can be negligible at optimal staining conditions. (7) All the four tested LMDs can label almost all the very‐low‐density lipoprotein (VLDL) particles, indicating potential confounding factor in plasma‐EV labelling. Besides, it was discovered that DSPE‐PEG2000‐biotin can only label ∼50% of plasma‐EVs. The number of LMP inserted into the membrane of single EVs was measured for the first time and it was confirmed that membrane labelling by lipophilic dyes did not interfere with the immunophenotyping of EVs. nFCM provides a unique perspective for a better understanding of EV labelling by LMD/LMP.
Critical properties of bipartite permutation graphs
Authors: Alecu Bogdan , Lozin Vadim , Malyshev Dmitriy 
Published: August 2023

AbstractThe class of bipartite permutation graphs enjoys many nice and important properties. In particular, this class is critically important in the study of clique‐ and rank‐width of graphs, because it is one of the minimal hereditary classes of graphs of unbounded clique‐ and rank‐width. It also contains a number of important subclasses, which are critical with respect to other parameters, such as graph lettericity or shrub‐depth, and with respect to other notions, such as well‐quasi‐ordering or complexity of algorithmic problems. In the present paper we identify critical subclasses of bipartite permutation graphs of various types.
Review on synthetic approaches towards barbituric acids‐based furo[2,3‐d]pyrimidines
Authors: Olyaei Abolfazl , Sadeghpour Mahdieh 
Published: August 2023

AbstractPyrimidine annulated five‐membered heterocyclic scaffolds containing oxygen as furopyrimidine, particularly furo[2,3‐d]pyrimidine derivatives are an important class of heterocyclic compounds in pharmaceutical discovery research. Furo[2,3‐d]pyrimidines are generally synthesized either from a pyrimidine derivative by constructing a furan ring on the parent pyrimidine ring or from a suitably functionalized furan ring by generating the pyrimidine ring on the parent furan ring. Moreover, there is a wide range of multicomponent reactions that include barbituric acids as starting material for the synthesis of these compounds. Also, the reaction of barbituric acids with alkenes, alkynes, aldehydes, ketones, ninhydrin, and chloroacetylchloride, and Cloke–Wilson rearrangement of spirocyclopropyl barbiturates afforded furo[2,3‐d]pyrimidine derivatives. This review is an attempt to compile the literature of various synthetic procedures toward barbituric acids‐based furo[2,3‐d]pyrimidine and spirofuro[2,3‐d]pyrimidines.
繰り返す誤嚥性肺炎に合併した肺化膿症による感染性鎖骨下動脈瘤破裂のため喀血した1例(Hemoptysis caused by ruptured subclavian artery pseudoaneurysm related to lung suppuration following recurrent aspiration pneumonia)
Authors: 智也 阿部 , まりこ 守屋 , 貴久 加藤 , 成明 大竹 , 健也 鈴木 , 武郎 奈倉 , 秀史 佐野 , 純也 弦切 
Published: August 2023

要旨繰り返す誤嚥性肺炎は肺膿瘍，膿胸を合併しやすい。今回我々は，繰り返す誤嚥性肺炎から肺化膿症を合併し，喀血した症例を経験した。喀血の原因を左鎖骨下動脈本幹から胸腔内に突出する不整形の仮性動脈瘤であると同定し，同日，感染性鎖骨下動脈動脈瘤に対してコイル塞栓術を施行した。塞栓修了後，喀血は消失し，第9病日に自宅退院した。本邦における感染，とくに炎症性肺疾患に伴う感染性動脈瘤，あるいは仮性動脈瘤破裂の報告は一般的に肺動脈で生じており，鎖骨下動脈の報告は稀である。鎖骨下動脈に近接した炎症性肺疾患がある患者が喀血した際には，感染性鎖骨下動脈動脈瘤の可能性も考慮する必要が示唆された。
COVID–19禍における救急科臨床実習についての現状～学生と教員の視点から～(Clinical clerkship in the emergency department during the COVID–19 pandemic: perspectives of medical students and faculty)
Authors: 篤 上畠 , 飛鳥 土谷 , 真吾 飯島 , 誠司 守田 , 儀英 中川 
Published: August 2023

要旨【目的】コロナウイルス感染症2019（COVID–19）のパンデミックは世界中の医学教育に大きな影響を及ぼした。様々な制限下に行われる医学臨床実習に，医学生の意見や考えがどの程度反映されているかは不明であり，医学生と教員の視点の相違は十分に検討されていない。医学生と教員の双方の視点から教育評価を行うことで，パンデミック下での臨床実習のあり方を検討する。【対象】2020年1月から2021年6月（第1～5波）までに救命救急科をローテーションした全医学生と全救命救急科教員を対象として，COVID–19禍における診療参加型臨床実習に関するアンケート調査を横断的に行った。【結果】アンケート回収率・有効回答数は，医学生は65%（157 / 242），教員は100%（27 / 27）。診療に不安を感じる医学生は半数近くいた。一方，教員は診療参加を是とする意見は約半数であった。また陽性患者の診察は病室外見学が医学生・教員ともに最多回答で，感染が確定していない場合は見学にすべきとの回答があった。【結語】7割近くの医学生はCOVID–19診療に不安を感じているが，教職員の約半数はCOVID–19診療に参画すべきであると考えていた。診断のついていない患者を診察するのが救急科の特徴であり，医学生の安全を担保する目的でも救急初療では未知の感染性疾患に対しては『非接触型実習』を，診断確定後，安全が確保された環境下では『接触型実習』が望まれる。教職員は医学生の安全な環境作りをすることが求められる。
Analysis of cam location characteristics in FAI syndrome patients from 3D MR images demonstrates sex‐specific differences
Authors: Bugeja Jessica M. , Xia Ying , Chandra Shekhar S. , Murphy Nicholas J. , Crozier Stuart , Hunter David J. , Fripp Jurgen , Engstrom Craig 
Published: August 2023

AbstractCam femoroacetabular impingement (FAI) syndrome is associated with hip osteoarthritis (OA) development. Hip shape features, derived from statistical shape modeling (SSM), are predictive for OA incidence, progression, and arthroplasty. Currently, no three‐dimensional (3D) SSM studies have investigated whether there are cam shape differences between male and female patients, which may be of potential clinical relevance for FAI syndrome assessments. This study analyzed sex‐specific cam location and shape in FAI syndrome patients from clinical magnetic resonance examinations (M:F 56:41, age: 16–63 years) using 3D focused shape modeling‐based segmentation (CamMorph) and partial least squares regression to obtain shape features (latent variables [LVs]) of cam morphology. Two‐way analysis of variance tests were used to assess cam LV data for sex and cam volume severity differences. There was no significant interaction between sex and cam volume severity for the LV data. A sex main effect was significant for LV 1 (cam size) and LV 2 (cam location) with medium to large effect sizes (p < 0.001, d > 0.75). Mean results revealed males presented with a superior‐focused cam, whereas females presented with an anterior‐focused cam. When stratified by cam volume, cam morphologies were located superiorly in male and anteriorly in female FAI syndrome patients with negligible, mild, or moderate cam volumes. Both male and female FAI syndrome patients with major cam volumes had a global cam distribution. In conclusion, sex‐specific cam location differences are present in FAI syndrome patients with negligible, mild, and moderate cam volumes, whereas major cam volumes were globally distributed in both male and female patients.