bluuebunny/crossref_metadata_2025_split huggingface dataset:
A scoring system to predict the placenta accreta spectrum: a prospective study
Authors: ÖZTÜRK AĞAOĞLU Merve , ÇAĞLAR Ali 
Published: September 2023

Purpose: The aim of this study was to assess the utility of a scoring system using selected ultrasonographic features to predict placenta accreta spectrum (PAS) and its severity in suspicion of PAS.
Materials and Methods: This prospective study was conducted with a total of 27 pregnant women with placenta previa totalis with suspicion of PAS between 24 and 37 weeks gestation between July 2019 and January 2020. PAS score was calculated with the following parameters: loss of clear zone, number, size, and regularity of placental lacunae, turbulent flow in lacunae, uterovesical or subplacental hypervascularity, bridging vessels, and the number of previous cesarean section. Patients were divided into groups due to PAS scores and the severity of PAS. Receiver operating characteristics curves were performed to assess the performance of the PAS scoring system.
Results: In a total of 27 patients, 7 (25.9%) patients did not have PAS, 5 (18.5%) patients had accreta, 7 (25.9%) patients had increta, and 8 patients (29.6) had percreta. In groups with PAS scores higher than 8, 86% of patients had placenta percreta. PAS score was 2.8±1.4 in the no PAS group, 3.6±1.9 in the accreta group, 5.1±2.4 in the increta group, 9.8±1.6 in the percreta group and statistically higher in the percreta group. The optimal cut-off values of the PAS score to predict abnormal placental invasion was 4.5 (60% sensitivity, 86% specificity), 7.5 for differentiation percreta from increta (87.5% sensitivity, 75% specificity)
Conclusion: A PAS scoring system that combines several ultrasound and clinical characteristics may greatly improve prenatal risk assessment and prediction of PAS.
Effects of passive aquatic therapy WATSU (Water Shiatsu) in pregnancy: Results of a controlled pilot study
Authors: Gajjar Binal , Dali Madhavi 
Published: September 2023

WATSU (Water Shiatsu) are healing situation methods including inactive stretches, alive changes and massage techniques executed in 35°C warm water. Pregnant daughters need cautious forms to weaken pain, stress, and fatigue. Therefore, we conducted a ship study judging the belongings of WATSU on gestation-connected complaints in meaningful wives. Nine athletic significant women at gestational period ≥28 were contained in an attack group (taking WATSU) and distinguished to eight women in a lifeless control group (taking no situation). WATSU was acted on days 1 and 4 of the study. Outcomes include corporal and psychometric in addition to subjective dossier. Participants in the control group achieved questionnaires only. WATSU was found to considerably lower partners’ levels of stress and pain and to better their insane fitness-related status of existence and character. In comparison to the lifeless control group, participants in the invasion group stated decline in seen stress from epoch 1 to day 8 (P=0.036), Cohen’s f=0.57). Qualitative dossier display that WATSU was enjoyed as pleasing and intensely relaxing. No negative aftereffects were stated. Our judgments support the whim that WATSU yields therapeutic benefits for significant mothers and warrant further research.
The effect of 8 weeks of combined exercises (aerobic and resistance) along with supplemental consumption of mulberry leaf extract on serum levels of chemerin and pentraxin 3 in elderly men with type 2 diabetes
Authors: Hajiforoosh Mohammad , Abedi Bahram , Fatolahi Hossein 
Published: September 2023

Introduction: Chemerin and pentraxin 3 are involved in age-related metabolic disorders such as type 2 diabetes. The purpose of this study was to investigate the effect of 8 weeks of combined exercises (aerobic and resistance) along with the consumption of mulberry leaf extract supplement on the serum levels of chemerin and pentraxin 3 in elderly men with type 2 diabetes.
Methods: In a clinical trial with a single-blind design, 40 elderly men with type 2 diabetes were randomly assigned to five groups: control, placebo, extract, exercise, and extract + exercise (8 people in each group). The exercises were done for eight weeks and three sessions for 90 minutes. 3000 ml of mulberry leaf extract per day was prescribed along with three main meals. Camerin and pentraxin 3 values were measured before the intervention and 48 hours after the last training session.
Results: In the exercise, extract and exercise+extract groups, a significant decrease in the levels of chemerin (4/33%) and glucose (12/9%) and a significant increase in pentraxin 3 (4/12%) were observed (P<0/05). The results between groups showed a significant difference in the level of glucose (P=0/001), Chemerin (P=0/001) and Pentraxin 3 (P=0/001) and these changes in the extract + training group compared to the training groups And the extract isbigger.
Conclusion: It seems that the administration of a combined program along with the consumption of mulberry leaf extract in diabetic elderly can have a positive effect on the improvement of cardiovascular inflammatory indicators affecting type 2 diabetes.
Sucesión generacional y continuidad empresarial en las micro y pequeñas empresas familiares del sector textil
Authors: Ticona - Apaza Fiorela , Neira - Ponce Elsa 
Published: September 2023

La sucesión generacional y su continuidad es una de las mayores preocupaciones de las empresas familiares constituyendo este un problema que ha generado la atención de muchos investigadores y consultores; gran parte de los fundadores y directivos de las empresas familiares, se avocan a la cadena de procesos operativos de la empresa, incluyendo planes estratégicos, planes operativos, sistemas de control, etc. y el no preocuparse de planes de sucesión que aseguren la continuidad de la empresa, es sin duda un factor latente de riesgo empresarial. Este trabajo analiza cómo se relaciona la sucesión generacional en la continuidad de las empresas familiares del sector textil, pudiendo atribuir que hay factores internos que afectan la continuidad, sin embargo, podría también asegurarse si, la empresa posee elementos o factores de competitividad y atención a planes de sucesión generacional que generen interés en el ámbito familiar. Luego de la aplicación del instrumento los resultados nos muestran que, en efecto, la sucesión generacional, influyen en la continuidad de empresas familiares en la población estudiada y, por ende, se ha cumplido el propósito planteado en el estudio.
Mortality and vigour based indicators for an early diagnosis of vineyard decline
Authors: Merot Anne , Coulouma Guillaume , Smits Nathalie , Robelot Elsa , Gary Christian , Guerin Dubrana Lucia , Poulmarch Jouanel , Burgun Xavier , Pellegrino Anne , Fermaud Marc 
Published: September 2023

Similar to the forestry industry, the winegrowing sector has experienced a grapevine decline phenomenon over the last twenty years, so that decline is now considered an increasingly widespread problem in many vineyards across the world (De la Fuente et al., 2016). In this work, the relationships between yield, mortality and vegetative vigour were investigated, in both temporal and spatial terms, to identify early diagnosis indicators of vine decline.
Effects of Traditional Chinese Acupoint Massage Combined with Tailored Tai Chi on low back pain in patients with lumbar disc herniation: a randomized controlled trial
Authors: Zhang Shuaipan , Wang Yongchao , Huang Ruixin , Yao Chongjie , Zhou Xin , Guo Guangxin , Li Jianhua , Fang Min , Zhu Qingguang 
Published: September 2023

Abstract
Objective
To determine the clinical efficacy of traditional Chinese acupoint massage (TCAM) combined with tailored tai chi multimodal therapy on low back pain (LBP)in patients with lumbar disc herniation (LDH).
Methods
A total of 72 patients with LBP as the main clinical symptom were randomly divided into the intervention group (IG, TCAM combined with tai chi therapy) and control group (CG, TCAM therapy). Each intervention was conducted three times a week for 4 weeks. The primary outcome was Oswestry Disability Index (ODI) score, the secondary outcomes included Visual Analog Scale (VAS) score, Short-Form Health Survey (SF-36) score, and total effective rate measurements. Changes of trunk muscle group peak torque (PT) and average power (AP) at 60°/s and 90°/s isokinetic tests were also observed in the two groups.
Results
All data were represented as mean and 95% Confidence Intervals(CI), and between-group comparison, it showed that ODI (3.88 [0.5, 7.27], P = 0.026); VAS (8.1 [1.87, 14.34], P = 0.012), and some items of the SF-36, namely, physical functioning (2.3 [0.96, 3.64], P = 0.001), bodily pain (1.11 [0.51, 1.71], P = 0.001), general health (1.0 [0.12, 1.8], P = 0.027), vitality (1.91 [1.2, 2.6], P༜0.001), and mental health (3.2 [2.4, 3.9], P༜0.001), had higher levels of improvement in the IG group than in the CG group (P < 0.001). Within-group comparison showed that both treatments significantly alleviated pain and dysfunction and improved quality of life, consistent with the total effective rate (69.44% versus 72.22%, P = 0.795). The PT and AP at angular velocities of 60°/s and 90°/s were higher in the IG group (P < 0.001), and the mechanical indexes at week 4 significantly increased compared with those at week 0 (P < 0.001).
Conclusion
Both interventions were effective in treating pain and dysfunction and improving the quality of life in patients with LBP. However, TCAM combined with tai chi had higher efficacy than single TCAM, particularly in improving physical and mental states and back muscle strength. The exploratory results showed that the multimodal physical therapy could be used as a complementary and alternative therapy for patients with LBP caused by LDH.
Trial registration
Chinese Clinical Trial Registry (ChiCTR1900023028) on 08/05/2019
URL: http://www.chictr.org.cn/showproj.aspx?proj=38496
Who Influences Cancer Conversations on Twitter in Japan? Comparison of Breast, Lung, and Colon Cancer-Related Tweets in Japanese
Authors: Kusudo Maho , MitsuoTerada Mitsuo , Kureyama Nari , Wanifuchi-Endo Yumi , Fujita Takashi , Asano Tomoko , Kato Akiko , Mori Makiko , Horisawa Nanae , Toyama Tatsuya 
Published: September 2023

Abstract
Various cancer-related information is spreading on social media. Our study aimed to examine the account types associated with cancer-related tweets on Twitter in Japan, specifically focusing on breast, lung, and colon cancer. Using the Twitter application programming interface, we collected tweets containing keywords of the three cancers type in August–September 2022. The accounts were categorized into seven types: Survivor, Patient’s family, Healthcare provider, Public organization, Private organization, News, and Other according to account name and texts. We analyzed the sources of the top 50 most liked and retweeted tweets. Out of 7,753 identified tweets, breast cancer represented the majority (62.8%), followed by lung cancer (20.8%) and colon cancer (16.3%). Tweets came from 4,976 accounts. Account types varied depending on the cancer type, with breast cancer topics more frequently from Survivor (16.0%) and lung cancer from Patient’s family (16.3%). Healthcare provider and Public organization had minimal representation across three cancer types. The trends in the top 50 tweets mirrored the distribution of accounts for each cancer type. Breast cancer-related tweets had the highest frequency. There were few from public organizations. These findings emphasize the need to consider the characteristics of cancer-related information sources when sharing and gathering information on social media.
Novel HPD mutation causes A new transient form of Hawkinsinuria? Case report
Authors: Liang Rujia , Liu Fang , Cui Liru 
Published: September 2023

Abstract
Background Hawkiniuria is a rare group of autosomal dominant tyrosine metabolic diseases, usually caused by HPD gene mutations. So far, only a few cases of Hawkiniuria have been reported due to HPD gene mutations, and clinical symptoms usually resolve spontaneously around the age of 1 year.
Case report Dizygotic twins were screened in 4 days old for inherited metabolic diseases using gas chromatography-tandem mass spectrometry (GC–MS/MS), and the elevated tyrosine in the blood and significantly elevated 4-hydroxyphenylpyruvate, 4-hydroxyphenyllactic acid and 4-hydroxyphenylacetic acid in the urine were significantly increased. At follow-up, the twins' blood tyrosine and urine levels of hawkinsin metabolites dropped significantly to normal levels at 80 days without special intervention. A new mutation in the HPD gene was found in the patient, the first time it has been found in the Chinese population.
Conclusion A new missense mutation of HPD gene has been detected in 2 cases of children diagnosed as hawkinsinuria, which is a possible pathogenic mutation and has not been reported at home and abroad. The clinical manifestations of the patients we reported are also different from previous literature reports. Our case enriches the clinical manifestations and gene mutation spectrum of hawkinsinuria, providing new insights for further research on hawkinsinuria.
SGLT-2 inhibitors in patients with heart failure and a preserved ejection fraction: a systematic review and meta-analysis of five randomized controlled trials
Authors: Sun Yue , Zhou Yiting , Ding Xu , Liu Min , Yu Zhiming 
Published: September 2023

Abstract
Background: The purpose of this systematic review and meta-analysis was to determine the effects of SGLT2 inhibitors on major heart failure outcomes (such as HHF and CVD) in patients with heart failure and preserved ejection fraction
Methods: We searched four English databases from inception to February 14, 2023. The primary efficacy outcome was a composite of hospitalization for HF (HHF) or cardiovascular death (CVD). Two reviewers independently screened literature and extracted data. Fixed-effects models were used to estimate pooled Hazard risks (HRs) for binary outcomes, and weighted mean differences for continuous outcomes with 95% confidence intervals.
Results: We included data from five randomized controlled trials (RCTs) comprising data for 15733 patients. The composite outcome of hospitalization for HF (HHF) or cardiovascular death (CVD) was reduced with SGLT2 inhibitor therapy compared with placebo (HR 0.80, 95%CI 0.74–0.87,P<0.00001). Similar results were observed for HHF. However, compared with placebo, there were no significant changes in CVD and all-cause mortality (P>0.05).
Conclusions: SGLT2 inhibitors can significantly reduce the hospitalization rate for heart failure and the composite endpoint of cardiovascular mortality or hospitalization for heart failure in patients with heart failure and preserved ejection fraction. Further RCTs with sufficient representation of patients in this population are warranted to corroborate our analysis.
Boosting all-weather atmospheric water vapor harvesting with a solar-driven membrane system
Authors: Jin Yong , Ghaffour Noreddine 
Published: September 2023

Abstract
Atmospheric water vapor harvesting (AVH) is vital to supply fresh water in arid regions. Sorbent-based harvesting stands out because it can adapt to weather conditions and utilize lowgrade energy. Current harvesting research focuses on sorbent material preparation (especially solid sorbents, such as MOFs) without integrating them into advanced water production systems. Moreover, solid sorbents show poor adaptability to changing relative humidities and temperatures in real-world applications. Here, we propose a novel AVH membrane system (AVH-MS) driven by solar energy to address these challenges. Liquid hygroscopic solutions were utilized as the working fluid in the AVH-MS to avoid the solid sorbents’ limitations. The advanced design of the AVH-MS helped boost water production and adapt to all weather conditions simultaneously. The feasibility of the system was demonstrated both theoretically and experimentally. The system could produce 6.27, 2.41, and 0.82 kg freshwater/m2/day at relative humidities of 69%, 35%, and 19% at 25 °C, respectively, using solar energy. The production improved by almost 700% compared with the reported study under the same weather condition. Our system's converted water production capacity (kg/J) is also the highest under various relative humidities compared with the reported studies.
Associations of Five Blood Heavy Metals with Hepatitis B Virus Infection and Immunity in Adults: A Cross-Sectional Study
Authors: Li Xinpeng , Bi Lei , Han Lu 
Published: September 2023

Abstract
Background Heavy metal pollution has emerged as a significant concern for human health, prompting increased awareness of its potential adverse effects. While previous research has established a connection between heavy metals and liver function biomarkers, the specific relationship between heavy metals and HBV infection remains unexplored. This cross-sectional study aims to investigate the potential correlations between five blood heavy metals - lead, cadmium, mercury, manganese, and selenium - and the presence of HBsAg, HBsAb, and HBcAb in adults.
Methods The study utilized data from NHANES 2007-2018. Participants were classified into four groups based on their infectious status, and the association between heavy metals and HBV infection was analyzed using multiple logistic regression and stratification analysis.
Results A total of 8431 participants were included, with 5 436 classified as Susceptible, 1 765 as Vaccinated, 865 as Natural Infection, and 103 as Acute/Chronic HBV Infection. The Vaccinated group exhibited a lower mean age (34.52 ± 14.16 years) compared to the other groups. Statistically significant differences in heavy metal concentrations (except selenium) were observed among the groups (P < 0.001). After adjusting for covariates, lead was significantly associated with HBV infection (Q2: OR 2.37, 95%CI 1.04-5.39; Q3: OR 2.34, 95%CI 1.01-5.40), and positive trends were observed for high blood concentrations of mercury (Q4: OR 3.03, 95%CI 1.31-7.04) and manganese (Q4: OR 2.52, 95%CI 1.20-5.28). Furtherly, the presence of lead reduced the protection of HBsAb (Q2: OR 0.84, 95%CI 0.73-0.97; Q3: OR 0.77, 95%CI 0.66-0.90; Q4: OR 0.83, 95%CI 0.70-0.98). Subgroup analysis indicated that cadmium was associated with an increased risk of HBV infection in Asians (OR 1.36, 95%CI 1.03-1.78) and individuals with a BMI range of 25 to 30 (OR 1.60, 95%CI 1.17-2.18).
Conclusions The findings of this study suggest a correlation between elevated blood lead concentrations and an increased risk of HBV infection. Additionally, higher blood lead levels appear to potentially undermine the protective efficacy of hepatitis B surface antibodies. Consequently, emphasizing hepatitis B vaccination is crucial, particularly in regions affected by heavy metal pollution.
Directed Energy Deposition of PH 13-8 Mo Stainless Steel: Microstructure and Mechanical Properties Analysis
Authors: KAŞ Mustafa , Muslim Talha , Yilmaz Oguzhan , Karagoz Taner , Turedi Enbiya , Gumus Serap , Bayram Alperen 
Published: September 2023

Abstract
Laser metal deposition (LMD) is of the directed energy deposition (DED) process which is widely used for producing large scale, dense, and functional parts in the field of Additive Manufacturing (AM). This research work investigates the microstructure and mechanical properties of PH 13 − 8 Mo martensitic stainless-steel parts produced via LMD. The workshop trials were conducted using an LMD system collaborated with a robotic arm to deposit single-track thin walls and horizontal blocks. The microstructural characteristics of the additively manufactured parts were analyzed using scanning electron microscopy (SEM) and X-ray diffraction (XRD). The mechanical properties were evaluated through hardness measurements and uniaxial tensile tests. The influence of energy density and powder deposition density on the characteristic geometry of straight walls was also investigated. The microstructural analysis showed that the microstructure consisted of columnar dendrites that grew epitaxially from the substrate, with primary austenite cells containing intercellular ferrite and martensite laths that were roughly parallel with the retained austenite. When the energy density increased from 43 J/mm² to 86 J/mm² (a doubling of energy density), there was an increase in secondary dendritic arm spacing (SDAS) by approximately 250% in the first layer and approximately 90% in the top layer. The difference in SDAS change between the first and top layers can be attributed to the difference in cooling rates experienced by each layer during the additive manufacturing process. Increasing powder deposition density from 0.5 g/min to 1 g/min results in a decrease in porosity from 3% to less than 1%, and an increase in strength from 800 MPa to over 1000 MPa. The hardness of the deposits was found to range from 300 HV to 400 HV. This variation in hardness can be attributed to differences in microstructure resulting from changes in cooling rates at different heights.
Potential distribution of Batocera horsfieldi (Hope) in Sichuan based on species distribution models
Authors: Wu Sijun , Qiao Tianmin , Li Shujiang , Hu Binhong , Zhu Hanmingyue , Zhu Tianhui 
Published: September 2023

Abstract
Batocera horsfieldi (Hope) is a highly destructive pest in the forestry sector, causing significant damage to forests in Sichuan. This study aimed to assess the potential distribution of B. horsfieldi(Hope) in Sichuan under different CO2 emission scenarios (SSPs126, SSPs245, SSPs370, SSPs585) from 2021 to 2100, using field surveys and climate data. Nine key environmental variables that strongly influenced the distribution of B. horsfieldi (Hope) were identified based on their high contribution and low correlation coefficients. The most suitable model, determined by the highest AUC value, was used to predict the suitable areas for B. horsfieldi (Hope) in Sichuan. The total suitable area was calculated, and the offset angle and distance were marked. The results indicated that under the projected climatic conditions from 2021 to 2100, the nine critical environmental variables were Alt (450m-850m), Slope (40–60°), Prec06 (180mm-200mm), Prec07 (250mm-300mm), Bioc07 (25–28), Tmax01 (11–14°C), Tmax02 (12–15°C), Bioc17 (55mm-62mm), and Ve (600–800). Among the three models compared(BIOCLIM, GARP, MaxEnt), MaxEnt exhibited the highest AUC value (0.845) and the best accuracy. The potential suitable areas for B. horsfieldi (Hope) in Sichuan were classified into four categories: unsuitable area (316,731.36km2 and 65.17%), low suitable area (86,890.74km2 and 17.88%), medium suitable area (56,362km2 and 11.6%), and high suitable area. The high suitable areas were mainly concentrated in Lezhi and Yanjiang, with a general trend of north to south distribution. The SSPs126 scenario (2061–2080) had the largest area of high suitability, while the 2081-2100-SSPs585 scenario had the lowest latitudinal extent.