bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interpretation of continuously measured vital signs data of COVID-19 patients by nurses and physicians at the general ward: A mixed methods study
Authors: van Goor Harriët M. R. , Breteler Martine J. M. , Schoonhoven Lisette , Kalkman Cor J. , van Loon Kim , Kaasjager Karin A. H. 
Published: May 2023

Background
Continuous monitoring of vital signs is introduced at general hospital wards to detect patient deterioration. Interpretation and response currently rely on experience and expert opinion. This study aims to determine whether consensus exist among hospital professionals regarding the interpretation of vital signs of COVID-19 patients. In addition, we assessed the ability to recognise respiratory insufficiency and evaluated the interpretation process.

Methods
We performed a mixed methods study including 24 hospital professionals (6 nurses, 6 junior physicians, 6 internal medicine specialists, 6 ICU nurses). Each participant was presented with 20 cases of COVID-19 patients, including 4 or 8 hours of continuously measured vital signs data. Participants estimated the patient’s situation (‘improving’, ‘stable’, or ‘deteriorating’) and the possibility of developing respiratory insufficiency. Subsequently, a semi-structured interview was held focussing on the interpretation process. Consensus was assessed using Krippendorff’s alpha. For the estimation of respiratory insufficiency, we calculated the mean positive/negative predictive value. Interviews were analysed using inductive thematic analysis.

Results
We found no consensus regarding the patient’s situation (α 0.41, 95%CI 0.29–0.52). The mean positive predictive value for respiratory insufficiency was high (0.91, 95%CI 0.86–0.97), but the negative predictive value was 0.66 (95%CI 0.44–0.88). In the interviews, two themes regarding the interpretation process emerged. “Interpretation of deviations” included the strategies participants use to determine stability, focused on finding deviations in data. “Inability to see the patient” entailed the need of hospital professionals to perform a patient evaluation when estimating a patient’s situation.

Conclusion
The interpretation of continuously measured vital signs by hospital professionals, and recognition of respiratory insufficiency using these data, is variable, which might be the result of different interpretation strategies, uncertainty regarding deviations, and not being able to see the patient. Protocols and training could help to uniform interpretation, but decision support systems might be necessary to find signs of deterioration that might otherwise go unnoticed.
Characteristics and predictors of out-of-hospital cardiac arrest in young adults hospitalized with acute coronary syndrome: A retrospective cohort study of 30,000 patients in the Gulf region
Authors: Alsaeed Abdulelah H. , Hersi Ahmed , Kashour Tarek , Zubaid Mohammad , Al Suwaidi Jassim , Amin Haitham , AlMahmeed Wael , Sulaiman Kadhim , Al-Motarreb Ahmed , Alhabib Khalid F. , Alqarawi Wael 
Published: May 2023

Introduction
The characteristics of young adults with out-of-hospital cardiac arrest (OHCA) due to acute coronary syndrome (ACS) has not been well described. The mean age of gulf citizens in ACS registries is 10–15 years younger than their western counterparts, which provided us with a unique opportunity to investigate the characteristics and predictors of OHCA in young adults presenting with ACS.

Methodology
This was a retrospective cohort study using data from 7 prospective ACS registries in the Gulf region. In brief, all registries included consecutive adults who were admitted with ACS. OHCA was defined as cardiac arrest upon presentation (i.e., before admission to the hospital). We described the characteristics of young adults (< 50 years) who had OHCA and performed multivariate logistic regression analysis to assess independent predictors of OHCA.

Results
A total of 31,620 ACS patients were included in the study. There were 611 (1.93%) OHCA cases in the whole cohort [188/10,848 (1.73%) in young adults vs 423/20,772 (2.04%) in older adults, p = 0.06]. Young adults were predominantly males presenting with ST-elevation myocardial infarction (STEMI) [182/188 (96.8%) and 172/188 (91.49%), respectively]. OHCA was the sentinel event of coronary artery disease (CAD) in 70% of young adults. STEMI, male sex, and non-smoking status were found to be independent predictors of OHCA [OR = 5.862 (95% CI 2.623–13.096), OR: 4.515 (95% CI 1.085–18.786), and OR = 2.27 (95% CI 1.335–3.86), respectively].

Conclusion
We observed a lower prevalence of OHCA in ACS patients in our region as compared to previous literature from other regions. Moreover, OHCA was the sentinel event of CAD in the majority of young adults, who were predominantly males with STEMIs. These findings should help risk-stratify patients with ACS and inform further research into the characteristics of OHCA in young adults.
Improve sleep in critically ill patients: Study protocol for a randomized controlled trial for a multi-component intervention of environment control in the ICU
Authors: Alegria Leyla , Brockmann Pablo , Repetto Paula , Leonard Douglas , Cadiz Rodrigo , Paredes Fabio , Rojas Idalid , Moya Ana , Oviedo Vanessa , García Patricio , Bakker Jan 
Published: May 2023

Introduction
In critically ill patients, sleep and circadian rhythms are greatly altered. These disturbances have been associated with adverse consequences, including increased mortality. Factors associated with the ICU environment, such as exposure to inadequate light and noise levels during the day and night or inflexible schedules of daily care activities, have been described as playing an essential role in sleep disturbances. The main objective of this study is to evaluate the impact of the use of a multifaceted environmental control intervention in the ICU on the quantity and quality of sleep, delirium, and post-intensive care neuropsychological impairment in critically ill patients.

Methods
This is a prospective, parallel-group, randomized trial in 56 critically ill patients once they are starting to recover from their acute illness. Patients will be randomized to receive a multifaceted intervention of environmental control in the ICU (dynamic light therapy, auditory masking, and rationalization of ICU nocturnal patient care activities) or standard care. The protocol will be applied from enrollment until ICU discharge. Baseline parameters, light and noise levels, polysomnography and actigraphy, daily oscillation of plasma concentrations of Melatonin and Cortisol, and questionnaires for the qualitative evaluation of sleep, will be assessed during the study. In addition, all patients will undergo standardized follow-up before hospital discharge and at 6 months to evaluate neuropsychological impairment.

Discussion
This study is the first randomized clinical trial in critically ill patients to evaluate the effect of a multicomponent, non-pharmacological environmental control intervention on sleep improvement in ICU patients. The results will provide data about the potential synergistic effects of a combined multi-component environmental intervention in ICU on outcomes in the ICU and long term, and the mechanism of action.

Trial registration
ClinicalTrials.gov, NCT. Registered on January 10, 2023. Last updated on 24 Jan 2023.
Loss of chondroitin sulfate proteoglycan sulfation allows delayed sympathetic reinnervation after cardiac ischemia–reperfusion
Authors: Blake Matthew R. , Parrish Diana C. , Staffenson Melanie A. , Johnson Morgan A. , Woodward William R. , Habecker Beth A. 
Published: May 2023

AbstractSympathetic nerve loss in the heart predicts the risk of ventricular arrhythmias after myocardial infarction (MI) in patients. Sympathetic denervation after cardiac ischemia–reperfusion is sustained by matrix components chondroitin sulfate proteoglycans (CSPGs) in the cardiac scar. We showed that 4,6‐sulfation of CSPGs was critical for preventing nerve growth into the scar. Promoting early reinnervation with therapeutics reduces arrhythmias during the first 2 weeks after MI, but the longer‐term consequences of restoring innervation are unknown. Therefore, we asked if the beneficial effects of early reinnervation were sustained. We compared cardiac function and arrhythmia susceptibility 40 days after MI in mice treated on Days 3–10 with vehicle or with intracellular sigma peptide to restore innervation. Surprisingly, both groups had normal innervation density in the cardiac scar 40 days after MI, indicating delayed reinnervation of the infarct in vehicle‐treated mice. That coincided with similar cardiac function and arrhythmia susceptibility in the two groups. We investigated the mechanism allowing delayed reinnervation of the cardiac scar. We found that CSPG 4,6‐sulfation, which is elevated early after ischemia–reperfusion, was reduced to control levels allowing reinnervation of the infarct. Thus, remodeling of extracellular matrix weeks after injury leads to remodeling of sympathetic neurons in the heart.
The structure of fuzzy fractals generated by an orbital fuzzy iterated function system
Authors: Savu Irina , Miculescu Radu , Mihail Alexandru 
Published: May 2023

Abstract
In this article, we present a structure result concerning fuzzy fractals generated by an orbital fuzzy iterated function system

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Water-vapour sorption of welded bond-line of European beech and Scots pine
Authors: Vaziri Mojgan , Dreimol Christopher , Abrahamsson Lars , Niemz Peter , Sandberg Dick 
Published: May 2023

Abstract
The wood–water interactions of welded bond-lines of European beech (Fagus sylvatica L.) and Scots pine (Pinus sylvestris L.) were in this paper studied for the first time with dynamic vapour sorption equipment. The aim of this study was to characterize the water sorption in the welded bond-line and to define to which extent it deviates from water sorption of the unwelded wood. The objective was to provide deepened knowledge about water sorption of the welded bond-line, which could be used to improve the moisture resistance of welded wood in the future. The welded wood generally had lower equilibrium moisture contents than the unwelded wood. The welded bond-lines of beech and pine showed greater hysteresis than the unwelded wood from 0 to 55 % relative humidity. All specimens showed faster adsorption than desorption. However, the welded wood showed slower adsorption but faster desorption than unwelded wood. The time to complete half of the fractional change in moisture content (E(t) = 0.5) increased as the moisture content increased. The adsorption diffusion coefficients of beech and welded beech were higher than those of pine and welded pine up to 50 % and 40 % RH, respectively. In desorption, pine had a higher diffusion coefficient than beech in the whole range of 85–0 % RH. Analogously, welded pine had a higher diffusion coefficient than welded beech in the range of 85–5 % RH. In contrast to the desorption, the welded wood always had lower adsorption diffusion coefficients than the corresponding unwelded wood. The diffusion coefficients showed irregular patterns in some ranges of the RH. Therefore, it was hard to make a clear conclusion about the water-sorption behaviour of the specimens based on the defined diffusion coefficients.
Randomized graph cluster randomization
Authors: Ugander Johan , Yin Hao 
Published: May 2023

Abstract
The global average treatment effect (GATE) is a primary quantity of interest in the study of causal inference under network interference. With a correctly specified exposure model of the interference, the Horvitz–Thompson (HT) and Hájek estimators of the GATE are unbiased and consistent, respectively, yet known to exhibit extreme variance under many designs and in many settings of interest. With a fixed clustering of the interference graph, graph cluster randomization (GCR) designs have been shown to greatly reduce variance compared to node-level random assignment, but even so the variance is still often prohibitively large. In this work, we propose a randomized version of the GCR design, descriptively named randomized graph cluster randomization (RGCR), which uses a random clustering rather than a single fixed clustering. By considering an ensemble of many different clustering assignments, this design avoids a key problem with GCR where the network exposure probability of a given node can be exponentially small in a single clustering. We propose two inherently randomized graph decomposition algorithms for use with RGCR designs, randomized 3-net and 1-hop-max, adapted from the prior work on multiway graph cut problems and the probabilistic approximation of (graph) metrics. We also propose weighted extensions of these two algorithms with slight additional advantages. All these algorithms result in network exposure probabilities that can be estimated efficiently. We derive structure-dependent upper bounds on the variance of the HT estimator of the GATE, depending on the metric structure of the graph driving the interference. Where the best-known such upper bound for the HT estimator under a GCR design is exponential in the parameters of the metric structure, we give a comparable upper bound under RGCR that is instead polynomial in the same parameters. We provide extensive simulations comparing RGCR and GCR designs, observing substantial improvements in GATE estimation in a variety of settings.
Islamische Seelsorge von der Praxis zur Disziplin: Gegenstand, Zugangsweisen und Rolle in der pluralen Gesellschaft
Authors: Abdallah Mahmoud 
Published: May 2023

Zusammenfassung
Die Islamische Seelsorge machte in den letzten Jahrzehnten eine große Erfahrung in der Begleitung und Betreuung von Menschen in Notlagen. Aus den Pilotprojekten und ehrenamtlichen Tätigkeiten sind ein professionales und (teilweise) hauptamtliches Berufsfeld in säkularen Institutionen sowie universitäre Studiengänge hervorgegangen. Für das neue Berufs- und Forschungsfeld stellt sich die Frage nach der Professionalisierung und dem Profil, dem Selbstverständnis und Gegenstand, nach seiner Wissenschaftstheorie sowie nach dem Bezug zur islamischen Glaubenspraxis in Deutschland und der interdisziplinären Zusammenarbeit.
Dieser Beitrag möchte in drei Schritten – in Anlehnung an die Systemtheorie Luhmanns – zeigen, (1) wie sich die neue Disziplin Islamische Seelsorge als eigenständiges Wissenssystem innerhalb des akademischen Kontextes positionieren kann, d. h. wie sie ihre Verhältnissetzung und ihren Beitrag zu anderen Subdisziplinen der islamischen Theologie entwickelt (intradisziplinäre Zusammenarbeit), (2) wie sie die Wechselbeziehung zur Wirklichkeit, zum gelebten Islam und zu den anderen Humanwissenschaften versteht (interdisziplinäre Zusammenarbeit) und (3) wie Islamische Seelsorge ihren Beitrag für das gemeinsame Leben in der wertepluralen Gesellschaft definiert (interreligiöse Zusammenarbeit).
Theoretical and experimental insights into the C-steel aqueous corrosion inhibition at elevated temperatures in 1.0 M HCl via multi-carbonyl Gemini cationic surfactants
Authors: El-Basiony Nasser M. , Sliem Mostafa H. , Abd-Elaal Ali A. , Abdullah Aboubakr M. , Al-Qahtani Noora H. , Zaki ElSayed. G. , Okonkwo Paul C. , Elyan Salah S. , Shaban Samy M. 
Published: May 2023

Abstract
Despite corrosion being an inevitable process, researchers strive to control corrosion. In this study, our goal was to prepare two amido Gemini cationic surfactants, LAPG and MAPG, each with different alkyl chains and multiple carbonyl groups as rich electronic rich centers. We aimed to evaluate these surfactants as potential corrosion inhibitors for carbon steel (CS) in 1 M HCl at temperatures of 25–55 ± 0.1 °C. In theoretical investigations, DFT parameters and Mont Carlo simulation were run to predict the adsorption affinity and reactive sites of the LAPG and MAPG molecules. Their efficacy was investigated experimentally considering weight loss and electrochemical techniques. The Tafel polarization revealed that at 0.1 mM of LAPG and MAPG, the corrosion current density (i
corr) of CS was reduced to the lowest extent (75.56 and 53.82 μA cm−2) compared to 529.3 μA cm−2 in the absence of the inhibitors. EIS data suggests the enhancement of the thickness of the adsorbed layers of the studied compounds from the decrease of the double-layer capacitance C

dl
values. The Langmuir isotherm explained the adoption phenomena of these compounds at 25–55 ± 0.1 °C. Activation and adsorption thermodynamic parameters predicted the chemisorption behavior of these molecules onto the steel surface. AFM and XPS tools confirm the CS surface protection due to these inhibitors’ adsorbed layer. A parallel study showed the superiority of these corrosion inhibitors in HCl compared with those reported earlier, making these compounds highly promising corrosion inhibitors, especially in high-temperature acidic environments.
Interaction of Carthamus oil, chromium picolinate and glyburide in blood glucose and its impact on liver enzymes and lipid profile in diabetes-induced rats
Authors: Silva Gonçalve Gisele Mara , Barros Pedro Paulo , Da Silva Gustavo Henrique , Watanabe Júlia Ferreira , Eisinger André Bernardo de Camargo 
Published: May 2023

Introduction: Carthamus oil is a compound that has the potential to be used in numerous applications due to its anti-inflammatory, antioxidant, immunomodulatory and neuroprotective effects. Chromium picolinate has been indicated for the control of insulin resistance. Aim: To evaluate the effect of Carthamus oil (30 mg/kg) and chromium picolinate (5 µg/kg) interaction with oral glyburide in chemically diabetes-induced Wistar rats and its influence on drug therapy. Method: Diabetes mellitus was induced with streptozotocin, and the animals were randomized into experimental groups (n= 6/group), who received gastric gavage treatments for ten days, G1: control, G2: diabetic and received glyburide, G3: diabetic and received the interaction of Carthamus oil and chromium picolinate, G4: diabetic and received the interaction of glyburide, Carthamus oil and chromium picolinate. After the treatment period, fasting blood glucose, post-sucrose blood glucose, total cholesterol and triglyceride levels, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in blood serum were compared, in addition to urine analysis. Results: In this study, the only altered parameters were the post-sucrose blood glucose measurement with the lowest result for G4 (P <0.05), and the ALT measurement, with lower values for G4 (P <0.05) compared to G1. Conclusion: It can be concluded that the unprecedented interaction of Carthamus oil, chromium picolinate and glyburide contributed to the reduction of blood glucose and serum levels of ALT in diabetic rats and is promising for future studies in humans.
SNP fingerprinting and farmer criteria for selection, multiplication, and traceability of cacao in Nicaragua
Authors: Bordeaux Melanie , Castillo Jonny Alonso , Castro Olivas Abner , Jiménez Oswalt R. 
Published: May 2023

Introduction. Genetic diversity, registration, and traceability of cacao planting material are the essential tripod to support its sustainable cultivation. In Nicaragua, cocoa planting material is mostly obtained from seeds, which leads to great variability in yield, bean quality, and tolerance to pests and diseases. Farmers, technical staff, development projects, and investors depend on a limited supply of elite trees as a reliable source of genetic material to support new cacao fronts and meet market quality standards. Therefore, the development of a national genetic improvement program and a planting material traceability system in Nicaragua are necessary to improve the sustainability of cacao cultivation. Objective. To evaluate the genetic resources on farms and provide information for future breeding programs, as well as to lay foundation for a national traceability and certification system. Materials and methods. Fourty-nine elite trees selected by farmers in the main producing regions in Nicaragua between 2018 and 2020 were sampled. Ninety-three SNP markers were used to characterize them and resolve their genetic origins. Results. The evaluated cacao trees had a narrow genetic background, mainly composed of hybrids with Amelonado (36 %), Criollo (17 %) and Iquitos (15 %) origins. A set of trees with high genetic diversity that could be incorporated into a selection and breeding program was identified. Conclusion. Fingerprinting with SNP markers was a useful tool for evaluating the genetic links of cultivated cacao and can be used for varietal identity test at the farm level. The study provided the basis for developing both a breeding program and a traceability system of cacao planting material in Nicaragua.
A települési és mezőgazdasági vízgazdálkodás azbeszt okozta kockázati tényezői a krizotil-azbeszt vonatkozásában
Authors: Macher Gergely Zoltán , Torma András , Beke Dóra 
Published: May 2023

Az azbesztszálak kimutatására szolgáló vizsgálatok középpontjában a levegőszennyezettségi értékek álltak, de a 21. században felmerült az igény a problémakör kiterjesztésére. Az elmúlt években megjelent nemzetközi tudományos szakirodalmak megcáfolták az évtizedeken át fennálló feltételezést, miszerint az azbeszt csupán a levegőterheltség révén vált ki kockázatot. Vízminőségi és talajminőségi kutatások által teret nyert az azbesztszálak, különösen a krizotilszálak alternatív transzportútjainak vizsgálatát célzó kutatásterület. Annak ellenére, hogy mind a települési, mind pedig a mezőgazdasági vízgazdálkodás potenciálisan érintett a krizotil-azbeszt jelenléte kapcsán, nincs nemzetközi szinten egységes és elfogadott módszer vagy küszöbérték az egyes vízforrások biztonságára vonatkozóan. A kutatások nyilvánvaló korlátja, hogy csekély mennyiségű és minőségű tudás érhető el. Az azbesztszálak megjelenése az egyes vízbázisokban jelentősen megváltoztatja mind a mezőgazdasági, mind a települési vízgazdálkodás környezeti hatásoknak való kitettségéről alkotott eddigi ismereteinket. Az öntözővizzel és a gyűjtött csapadékkal kijuttatott azbesztszálak hatásainak palettája mára túlhaladta a humán- és állategészségügyi hatásokat, immár figyelmet kell fordítani a vegetációs hatásokra is. Annak érdekében, hogy nagyobb betekintést nyerjünk az azbeszttoxicitás növényekre gyakorolt hatásaiba, sokkal több tudományos eredményre van szükség.Jelen összefoglaló tanulmányban bemutatjuk az azbeszt, különös tekintettel a krizotil azbeszt legfontosabb tulajdonságait, humán-, állat- és növényegészségügyi kockázatait. Rávilágítunk arra, hogy ismereteink rendkívül hiányosak, valamint felhívjuk a figyelmet a települési és mezőgazdasági vízgazdálkodás érintettségének egyes faktoraira, közvetlen és közvetett kockázati tényezőire, valamint arra, hogy ezek miként hatnak az élőlényekre, kiemelt tekintettel a növényekre.