bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Zhu-Lu formula: a machine learning-based intraocular lens power calculation formula for highly myopic eyes
Authors: Guo Dongling , He Wenwen , Wei Ling , Song Yunxiao , Qi Jiao , Yao Yunqian , Chen Xu , Huang Jinhai , Lu Yi , Zhu Xiangjia 
Published: June 2023

AbstractBackgroundTo develop a novel machine learning-based intraocular lens (IOL) power calculation formula for highly myopic eyes.MethodsA total of 1828 eyes (from 1828 highly myopic patients) undergoing cataract surgery in our hospital were used as the internal dataset, and 151 eyes from 151 highly myopic patients from two other hospitals were used as external test dataset. The Zhu-Lu formula was developed based on the eXtreme Gradient Boosting and the support vector regression algorithms. Its accuracy was compared in the internal and external test datasets with the Barrett Universal II (BUII), Emmetropia Verifying Optical (EVO) 2.0, Kane, Pearl-DGS and Radial Basis Function (RBF) 3.0 formulas.ResultsIn the internal test dataset, the Zhu-Lu, RBF 3.0 and BUII ranked top three from low to high taking into account standard deviations (SDs) of prediction errors (PEs). The Zhu-Lu and RBF 3.0 showed significantly lower median absolute errors (MedAEs) than the other formulas (allP < 0.05). In the external test dataset, the Zhu-Lu, Kane and EVO 2.0 ranked top three from low to high considering SDs of PEs. The Zhu-Lu formula showed a comparable MedAE with BUII and EVO 2.0 but significantly lower than Kane, Pearl-DGS and RBF 3.0 (allP < 0.05). The Zhu-Lu formula ranked first regarding the percentages of eyes within ± 0.50 D of the PE in both test datasets (internal: 80.61%; external: 72.85%). In the axial length subgroup analysis, the PE of the Zhu-Lu stayed stably close to zero in all subgroups.ConclusionsThe novel IOL power calculation formula for highly myopic eyes demonstrated improved and stable predictive accuracy compared with other artificial intelligence-based formulas.
Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients
Authors: Torii-Goto Aya , Hirai Kana , Inukai Yuri , Hoshina Yoshimi , Shiomi Kazumi , Ito Junko , Yoshikawa Masae 
Published: June 2023

Abstract
Background
Insulin treatment is widely used not only for type 1 but also for type 2 diabetes patients. Insulin must be injected into the subcutaneous tissue to be effective. The needle length has been shortened for safety and efficiency. However, whether patients use an appropriate needle length is unclear.

Methods
Skin thickness was measured by ultrasound with patients in their usual posture during injection. Furthermore, the effect of the intervention in which the needle length was changed was investigated.

Results
Thirty-eight percent of the patients had fluid leakage and injected the needle intradermally. The average skin thickness was 3.3 mm while sitting, which was greater than that in a previous report including measurements taken while lying down. Consequently, the skin thickness was > 4 mm in 9.5% of the patients who used 4-mm needles. Cases of leakage and intradermal injection decreased when the needle length was changed.

Conclusions
This study identified that the needle length should be considered in patients with thick skin or a lower body mass index due to possibility of intradermal injection.
The core mangrove microbiome reveals shared taxa potentially involved in nutrient cycling and promoting host survival
Authors: Wainwright Benjamin J. , Millar Trevor , Bowen Lacee , Semon Lauren , Hickman K. J. E. , Lee Jen Nie , Yeo Zhi Yi , Zahn Geoffrey 
Published: June 2023

AbstractBackgroundMicrobes have fundamental roles underpinning the functioning of our planet, they are involved in global carbon and nutrient cycling, and support the existence of multicellular life. The mangrove ecosystem is nutrient limited and if not for microbial cycling of nutrients, life in this harsh environment would likely not exist. The mangroves of Southeast Asia are the oldest and most biodiverse on the planet, and serve vital roles helping to prevent shoreline erosion, act as nursery grounds for many marine species and sequester carbon. Despite these recognised benefits and the importance of microbes in these ecosystems, studies examining the mangrove microbiome in Southeast Asia are scarce.cxsResultsHere we examine the microbiome ofAvicenia albaandSonneratia albaand identify a core microbiome of 81 taxa. A further eight taxa (Pleurocapsa,Tunicatimonas,Halomonas,Marinomonas,Rubrivirga,Altererythrobacte,Lewinella,andErythrobacter) were found to be significantly enriched in mangrove tree compartments suggesting key roles in this microbiome. The majority of those identified are involved in nutrient cycling or have roles in the production of compounds that promote host survival.ConclusionThe identification of a core microbiome furthers our understanding of mangrove microbial biodiversity, particularly in Southeast Asia where studies such as this are rare. The identification of significantly different microbial communities between sampling sites suggests environmental filtering is occurring, with hosts selecting for a microbial consortia most suitable for survival in their immediate environment. As climate change advances, many of these microbial communities are predicted to change, however, without knowing what is currently there, it is impossible to determine the magnitude of any deviations. This work provides an important baseline against which change in microbial community can be measured.
Lesions and pathogens found in pigs that died during the nursery period in five Danish farms
Authors: Barington Kristiane , Eriksen Esben Østergaard , Kudirkiene Egle , Pankoke Karen , Hartmann Katrine Top , Hansen Mette Sif , Jensen Henrik Elvang , Blirup-Plum Sophie Amalie , Jørgensen Benjamin Meyer , Nielsen Jens Peter , Olsen John Elmerdahl , Goecke Nicole Bakkegård , Larsen Lars Erik , Pedersen Ken Steen 
Published: June 2023

Abstract
Background
Diagnosing and treatment of diseases in pigs are important to maintain animal welfare, food safety and productivity. At the same time antimicrobial resistance is increasing, and therefore, antibiotic treatment should be reserved for individuals with a bacterial infection. The aim of the study was to investigate gross and histological lesions and related pathogens in pigs that died during the nursery period in five Danish farms. In addition, high throughput, real-time qPCR monitoring of specific porcine pathogens in fecal sock and oral fluid samples were carried out to investigate the between-farm and between-batch variation in the occurrence of pathogens.

Results
Twenty-five batches of nursery pigs from five intensive, indoor herds were followed from weaning (approximately four weeks) to the end of nursery (seven to eight weeks post weaning). Gross and histological evaluation of 238 dead and 30 euthanized pigs showed the highest prevalence of lesions in the skin, respiratory system, gastrointestinal tract, and joints. Gross and histological diagnoses of lung and joint lesions agreed in 46.5% and 62.2% of selected pigs, respectively. Bacteriological detection of Escherichia coli, Streptococcus suis or Staphylococcus aureus infections in joints, lungs and livers was confirmed as genuine infection on immunohistochemical staining in 11 out of 70 tissue sections. The real-time qPCR analysis of pooled samples showed that most pathogens detected in feces and in oral fluid in general followed the same shedding patterns in consecutive batches within herds.

Conclusions
Gross assessment should be supplemented with a histopathological assessment especially when diagnosing lesions in the lungs and joints. Moreover, microbiological detection of pathogens should optimally be followed up by in situ identification to confirm causality. Furthermore, routine necropsies can reveal gastric lesions that may warrant a change in management. Real-time qPCR testing of fecal sock samples and oral fluid samples may be used to monitor the infections in the individual herd and testing one batch seems to have a good predictive value for subsequent batches within a herd. Overall, optimal diagnostic protocols will provide a more substantiated prescription of antibiotics.
Sex and age estimation with machine learning algorithms with parameters obtained from cone beam computed tomography images of maxillary first molar and canine teeth
Authors: Senol Deniz , Secgin Yusuf , Duman Burak Suayip , Toy Seyma , Oner Zulal 
Published: June 2023

Abstract
Background
The aim of this study is to obtain a highly accurate and objective sex and age estimation by using the parameters of maxillary molar and canine teeth obtained from cone beam computed tomography images in the input of machine learning algorithms. Cone beam computed tomography images of 240 people aged between 25 and 54 were randomly selected from the archive systems of the hospital and transferred to Horos Medikal. 3D curved multiplanar reconstruction was applied to these images and a 3D image was obtained. The resulting image was brought to the orthogonal plane and the measurements were made by superimposing them.

Results
The results were grouped in four different age groups (25–30, 31–36, 37–49, 50–54) and recorded. As a result of our study, the highest accuracy rate was found as 0.81 in sex estimation with ADA Boost Classifier algorithm, while in age estimation, the highest accuracy rate was found as 0.84 between 25–30 and 31–36 age groups with random forest algorithm, as 0.74 between 25–30 and 37–49 age groups with random forest and ADA Boost Classifier algorithms and as 0.85 between 25–30 and 50–54 age groups with random forest algorithm.

Conclusions
Our study differs from other studies in two aspects; the first is the selection of a sensitive method such as cone beam computed tomography, and the second is the selection of machine learning algorithms. As a result of our study, the highest accuracy rate was found as 0.81 in sex estimation and as 0.85 in age estimation with parameters of maxillary canine and molar teeth.
Susceptibility of processed and stored cassava, plantain, yam, and cocoyam to coffee bean weevil (Araecerus fasciculatus De Geer)
Authors: Adeoti Joy Oluwafunke , Ogungbite Olaniyi Charles , Salami Olufemi Samson , Odeyemi Olusola Olasumbo 
Published: June 2023

AbstractBackgroundCoffee bean weevil (Araecerus fasciculatusDeGeer) (Coleoptera: Anthribidae) infestation is a major challenge affecting processed, dried, and stored foods globally. However, the growth performance of this insect pest in processed and stored cassava, plantain, yam, and cocoyam is poorly understood. Resolving this will guide future biotechnological efforts on these food products. In the study, the susceptibility rate of the processed and stored product of cassava, yam, cocoyam, and plantain to the growth performance of the coffee bean weevil at laboratory conditions (20 ± 5 °C and 70 ± 5% R.H.) was investigated. The anti-nutritional (phytate, alkaloids, saponin, tannin, and oxalate) contents of this stored food were used to characterize the survival rate ofA. fasciculatus.The study was carried out for 6 months between December 2012 and May 2013.ResultsResults show that the adult longevity, growth, and feeding of the adultA. fasciculatusdecrease in order from Cassava, Plantain, Yam to Cocoyam. Cocoyam has the highest tannin, alkaloid, and phytate values, which are possible factors that inhibited the growth of the larvae, pupae, and adults’A. fasciculatus. The highest weight loss occurred in cassava followed by plantain. The anti-nutritional factors determine the hatchability of theA. fasciculatuseggs and throughout its development stages. This study revealed that processed and stored products (e.g., cocoyam) with high anti-nutritional factors can surviveA. fasciculatusunder prolonged storage.ConclusionsFrom this study, it is observed that high anti-nutritional compounds in the stored food products inhibit the growth ofAraecerus fasciculatus, especially in cocoyam. The result is important in food security and management in developing countries where food insecurity has become a major challenge.
Isolation and characterization of three bacteriophages infecting Erwinia amylovora and their potential as biological control agent
Authors: Hassan Wessam , Ahmed Osman , Hassan Rasha E. , Youssef Sahar A. , Shalaby A. A. 
Published: June 2023

Abstract
Background
Fire Blight, incited by Erwinia amylovora, is one of the most damaging pear and apple diseases in the world. Fire blight was introduced to Egypt in the 1960 and threatens the Egypt’s costs for pear industry. Currently, Phage therapy is considered to be secured biological method for controlling plant bacterial diseases. This investigation aimed to isolate and identify molecularly for bacteria causing fire bright disease. As well as isolation and identification bacteriophages via spot and plaque assay techniques from pear fire blight lesions and soil. On the other hand, bacteriophages were identified based on plaque morphology, virion morphology, physical characters, profile of DNA restriction and protein.

Results
Pathogenicity test revealed that healthy seedlings and pear fruits were responsive to fire blight E. amylovora. Considering the relatively wide host range and greatest protein and genetic variability, using restriction enzyme pattern, the three diversity phage isolates named, EAP1, EAP2 and EAP3 showed a lack of diversity out of five were fatherly characterized. The phages confirmed the close relation of EAP1, EAP2 to Siphoviridae (hexagonal head and long flexible non-contractile tail) and EAP3 to Myoviridae (icosahedral head and contractile tail). The phages retained higher lytic competence of 90.4; 92.68 and 95.25% for EAP1, EAP2 and EAP3, respectively. The phages were stable at strong alkaline (pH 10) 2% salt solution conditions and UV spectra. While EAP3 phage revealed the hexagonal head and very short tail that belongs to Myoviridae family. Bacteriophages were characterized by digestion of the phage DNA with three restriction endonucleases and were placed into three groups based on the patterns. Bacteriophages were 9 used for reducing bacterial infection populations and severity on pear. In a bioassay, the biocontrol of E. amylovora was evaluated using disks of immature pear fruit. On the pear disk surface, bacterial exudate was considerably suppressed by all phage isolates. According to measurements of the bacterial population still present on the disk surface, phage therapy could reduce it by up to 97%. Bacteriophages reduced pear fire blight disease severity on pear fruit trails.

Conclusion
The results indicated that bacteriophage isolates may demonstrate variable reactivity against E. amylovora. Bacteriophages reduced pear fire blight disease severity on pear fruit trials. The results indicated that bacteriophage isolates may demonstrate variable reactivity against E. amylovora.
The effects of continuous catheter adductor canal block for pain management in knee replacement therapy: a meta-analysis
Authors: Jabur Aiden , Nam Hyun Jae , Dixon Asher , Cox Tynan , Randall Hayden , Sun Jing 
Published: June 2023

Abstract
Purpose
Adductor canal block has emerged as a favourable element of multimodal analgesia regimens for total knee arthroplasty, due to the exclusive sensory blockade it provides. However, it is controversial as to whether a single shot or continuous technique adductor canal block is superior. This meta-analysis examined the effect of both these techniques on pain management associated with total knee arthroplasty.

Methods
All randomised controlled trials published on Cochrane Library, PubMed, and EMBASE, Scopus, and PsychINFO were systematically searched. The PEDro scale was used to assess the quality of studies. A total of 8 articles, 2 of which were split by subgroup analyses to create 10 studies, with 828 adults were selected for inclusion in the analysis. The mean difference and effect size with a 95% confidence interval (CI) were analysed for the pooled results.

Results
Statistically significant pooled effects of analgesia technique in favour of catheter use were found in the reduction of pain scores and VAS scores, and total rescue analgesia dosage. No significant changes were observed in the hospital stay time. Subgroup analysis revealed that patients with BMI 30 or more reported higher pain scores than those with BMI below 30.

Conclusion
Based upon studies that are currently available, our meta-analysis appears to demonstrate that continuous administration of analgesia through an adductor canal catheter provides greater pain reduction in total knee arthroplasty than single shot analgesia. Despite these current findings, future studies with larger sample sizes and greater control of study parameters are required to confirm the current findings.
Synthesis of biologically active sulfonamide-based indole analogs: a review
Authors: Mushtaq Irfan , Ahmed Adnan 
Published: June 2023

AbstractThe class of heterocyclic compounds exhibits a variety of pharmacological actions, long employed as an active ingredient in drug design and production. Indole and its derivatives are crucial in medicinal chemistry. Due to its physiological action, it has been gaining a lot of interest by exhibiting antibacterial, anticonvulsant, antifungal, antimalarial, antidiabetic, antidepressant, anticancer, and antimicrobial properties. The indole moiety constitutes a benzene ring fused with a pyrrole ring to form a bicyclic structure with a nitrogen atom as the major component and is produced by a variety of techniques. The sulfonamide analogs of indole usually referred to as sulfa medicines have recently been produced and exhibit strong antimicrobial actions. The goal of this work is to present the most recent methods for synthesizing indole-sulfonamide derivatives, together with data on their reported activities and synthetic scheme from 2010 to 2023. We anticipate that this review will help medicinal chemists rationally develop pharmacologically active derivatives of indole with sulfonamide scaffolds.
Graphical Abstract
Study of pulmonary hypertension in post-COVID-19 patients by transthoracic echocardiography
Authors: Taha Heba Abdelhady , Elshafey Basem Ibrahim , Abdullah Taimor Mostafa , Salem Heba Ahmed 
Published: June 2023

Abstract
Background
A devastating medical disorder, the coronavirus pandemic infection (COVID-19), produced by the coronavirus 2 (SARSCoV-2), is primarily characterized by severe pneumonia. Pulmonary hypertension (PH), which may cause right ventricular (RV) involvement and dysfunction, can occur as a result of lung parenchymal injury and disturbed pulmonary circulation. Transthoracic echocardiography (TTE) is a very reliable noninvasive approach to determining the severity of PH. Similar to that, thorax computer tomography (TCT) can effectively detect the severity of lung damage during the acute phase of a COVID-19 infection.

Aims
The goal of this research is to examine PH and altered right ventricular function by TTE in post-COVID-19 cases.

Patients and methods
This retrospective case–control study was conducted at Tanta Chest University Hospital, Tanta, Egypt. The study started from October 2021 to September 2022 on 50 post-COVID-19 cases with one or more clinical manifestations of PH. These cases underwent TTE (group I showed normal PAP “control group,” groups II & III with PH further subdivided according to PaO2).

Results
Risk factors of age, BMI, diabetes mellitus, and smoking were substantially raised in group III, but sex and hypertension were insignificant. Symptoms of chest pain, dyspnea, and palpitation were worse in group III. Levels of LDH, d-dimer, ESR, and serum bilirubin were substantially increased in group III in comparison to the other groups. Post-COVID-19-associated lung fibrosis and embolism were higher in group III. Mean values of estimated systolic pulmonary artery pressure (esPAP) and right atrial and right ventricular diameters were substantially increased in groups III and II in comparison to group I. Mean values of RV-GLS and TAPSE were lower in groups III and II in comparison to group I. FEV1, FVC, PEFR, and FEF25–75% percentage of the predicted were significantly low in groups II and III. FEV1/FVC ratio was substantially lower in group II in comparison to groups I and III.

Conclusions
The incidence of pulmonary hypertension in post-COVID-19 patients with suspected manifestations of PH is 70%. Increased age, BMI, DM, smoking, decreased PaO2, increased CORADS score, and abnormal spirometry are risk factors for PH in post-COVID-19 patients. Patients with post-COVID-19 PH stay more either in ICU or ward.
African agri-entrepreneurship in the face of the COVID-19 pandemic
Authors: Kadzamira Mariam A. T. J. , Ogunmodede Adewale , Duah Solomon , Romney Dannie , Clottey Victor Attuquaye , Williams Frances 
Published: June 2023

Abstract
Background
The African continent is known for high entrepreneurial activity, especially in the agricultural sector. Despite this, the continent's economic development is below expectations, due to numerous factors constraining the growth and sustainability of agricultural SMEs. These constraints have been exacerbated by the COVID-19 pandemic. The purpose of this study was to understand the pathways through which the pandemic affected agri-SMEs, with specific focus on assessing the differentiated effects arising from the size of the agri-SME and the gender of the owner-manager.

Methods
Data was collected from over 100 agri-SMEs, ranging in size from sole proprietorships with one employee to agri-SMEs employing up to 100 people, in six African countries. Mixed methods were used to analyse the data with changes in business operations arising from changing market access, regimented health and safety guidelines and constrained labour supply assessed using visualisations and descriptive statistics. Logistic regression modelling was employed to determine the set of variables contributing to agri-SME business downturn during the COVID-19 pandemic.

Results
All surveyed agri-SMEs were negatively affected by COVID-19-associated restrictions with the size of the firm and gender of the owner-managers resulting in differentiated impacts. The smallest agri-SMEs, mainly owner-managed by women, were more likely to experience disruptions in marketing their goods and maintaining their labour supply. Larger agri-SMEs made changes to their business operations to comply with government guidelines during the pandemic and made investments to manage their labour supply, thus sustaining their business operations. In addition, logistic regression modelling results show that financing prior to the pandemic, engaging in primary agricultural production, and being further from urban centres significantly influenced the likelihood of a firm incurring business losses.

Conclusions
These findings necessitate engendered multi-faceted agri-SME support packages that are tailored for smaller-sized agri-SMEs. Any such support package should include support for agri-SMEs to develop sustainable marketing strategies and help them secure flexible financing that considers payment deferrals and debt moratorium during bona fide market shocks such as the COVID-19 pandemic.