bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the relationship between clinical and laboratory risk factors in atherosclerosis patients with coronary slow flow: a case–control analysis
Authors: Faramarzzadeh Reza , Fekrat Farin , Haghtalab Arian 
Published: July 2023

Abstract
Background
Coronary slow flow (CSF) is an angiographic entity distinguished by the delayed filling of the epicardial coronary arteries in the lack of significant obstructive artery disease. The pathological causes are still unknown. This study aimed to elucidate the relationship between clinical and laboratory-related risk factors in atherosclerosis patients diagnosed with CSF.

Results
The research encompassed a study group of 142 individuals, with a mean age of 52.47 ± 10.62, and a male representation of 47.7%. A thorough statistical analysis was conducted, indicating that there were no noteworthy variations in age, gender, smoking history, hematocrit, blood sugar, and HDL levels between the groups of cases and controls (P > 0.05). Subsequent analysis of the data indicated that there were significant differences in history of hypertension, LDL, and BMI measurements between the groups of subjects who were designated as cases and those who were designated as controls. Our study revealed that male gender, a history of hypertension, and BMI were identified as independent predictors of CSF (P < 0.05).

Conclusions
After modeling regression, we were able to conclude that male gender, BMI, and history of hypertension are reliable predictors of slow coronary flow. These findings add to our growing understanding of the complex interplay between clinical and laboratory risk factors in the development and progression of CSF.
Unusual pattern of leptomeningeal cyst with herniation of porencephalic cyst
Authors: Arora Suryansh , Vani Kavita 
Published: July 2023

Abstract
Background
Growing skull fracture or leptomeningeal cyst is an uncommon occurrence after severe head trauma in childhood. It is mostly observed in infants and children less than 3 years of age. Another uncommon complication of head trauma is development of porencephalic cyst.

Case presentation
We present an unusual case of post-traumatic type III leptomeningeal cyst in a 9-month-old infant with history of head trauma 3 months ago. CT and MR imaging revealed widening of bony defect compared to previous imaging, and herniation of porencephalic cyst through the defect, leading to formation of a large cystic swelling in scalp. The 3 month delay in evaluation of the scalp swelling was due to lack of patient education after trauma, and no subsequent follow-up.

Conclusions
Knowledge about etiopathogenesis and risk factors of leptomeningeal cyst development after head trauma ensures that close follow-up is done in such cases for early detection and management of growing skull fracture.
A rare cause of dysphagia due to retropharyngeal foregut duplication cyst: case report and review of the literature
Authors: Confuorto Gennaro , D’ Alessio Pasquale , Antonini Pietro , Molteni Gabriele 
Published: July 2023

Abstract
Background
The retropharyngeal space is a deep compartment of the head and neck region which extends from the base of the skull to the mediastinum, between the posterior pharyngeal wall and vertebral muscles, delimited laterally by carotid sheaths. Pathological processes of the retropharyngeal space are rarely encountered, generally are isolated and painless masses often cystic, and they usually originate from branchial arch anomalies, but only in rare cases, they turn out to be foregut duplication cysts. Foregut duplication cyst is rare congenital malformations arising along primitively derived alimentary tract during the first trimester in the developing embryo, mostly seen in the thorax and abdomen, with just few cases reported in the head and neck region. We report an extremely rare case of a foregut duplication cyst lined with respiratory epithelium located in the retropharyngeal space, at the level of the oropharynx, of an adult patient with dysphagia surgically treated, and we also made an analysis of the published literature about this very uncommon condition.

Case presentation
A 63-year-old male patient with chronic dysphagia was diagnosed with a retropharyngeal cystic lesion, which was surgically treated. Final pathologic evaluation confirmed the diagnosis of a rare foregut duplication cyst lined with respiratory epithelium. A review of the pertaining published literature about the head and neck foregut duplication cysts was made, with a particular emphasis on retropharyngeal ones.

Conclusions
Retropharyngeal foregut duplication cysts are a very rare congenital cyst of the head and neck. Clinical symptoms such as dysphagia and dyspnea should be evaluated with fibrolaryngoscopy, and CT and MRI scans are of great significance for definitive diagnosis, which should include the possibility of a foregut duplication cyst in the differential diagnosis. Surgical excision is the elective treatment for this lesion, in order to prevent complications including infection and compression symptoms or eventually malignant transformation.
The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study
Authors: Taşkıran Nihal , Turk Gulengun 
Published: July 2023

Background
Intensive care units are directly associated with the competency level of nurses and are units where ethical problems are frequently experienced. This research aims to determine the relationship between intensive care nurses’ ethical attitudes and holistic competence levels.

Methods
This study was conducted as a cross-sectional design using self-report questionnaires distributed to 131 intensive care nurses in Turkey. The data of the study were collected with the “Nurses Information Form,” “Holistic Nursing Competence Scale” and “Ethical Attitude Scale for Nursing Care”.

Results
The total mean score of the Holistic Nursing Competence of the nurses was 6.89±0.95. Holistic Nursing Competence level was significantly lower for those who had experienced less than one year in the profession, and it was higher for those who worked in the emergency intensive care unit and the nurses whose clinics had 21 and above nurses. The total mean score of the nurses’ ethics attitude toward nursing care was 59.36±29.09. Ethical Attitude for Nursing Care was significantly lower for those who had a master’s degree, and the nurses whose clinics had 21 and above nurses scored higher. There was a weak and negative correlation between the nurses’ Holistic Nursing Competence Scale and the total mean score of the Ethical Attitude Scale for Nursing Care. The ethical attitude was predicted in 13.2% of the Holistic Nursing Competence of nurses.

Conclusions
It was concluded that nurses’ holistic competence levels were high, their ethical attitudes were negative, and there was a weak negative correlation between their holistic competence levels and their ethical attitudes toward care.
Effects of electroacupuncture therapy on intractable facial paralysis: A systematic review and meta-analysis
Authors: Zhou Yihao , Dong Xu , Xing Yating , Wang Ruoyu , Yang Siyu , Han Yixiao , Wang Dongyan 
Published: July 2023

ObjectiveThis systematic review and meta-analysis aimed to assessment effects of electroacupuncture (EA) therapy on intractable facial paralysis.MethodsThe articles of EA treatment for intractable facial paralysis were retrieved from seven databases, the publication period was from its inception to November 30, 2022. Primary measure was the total effective rate, and other measures included the cure rate, Portmann scores, House-Brackmann scores, Sunnybrook scores and adverse events. The effect size of meta-analysis was expressed using relative risk (RR) or standardized mean difference (SMD) with 95% confidence interval (CI).ResultsA total of 18 studies with 1,119 participants were included, all of them had various aspects of bias risk. Meta-analysis results revealed that EA ways improved total effective rate more effectively compared with non-EA counterparts (RR 1.23, 95% CI 1.17–1.31,I2= 0%, 18 studies, 1119 participants), and improved cure rate more significantly than non-EA groups (RR 2.04, 95% CI 1.70–2.44,I2= 0%, 18 studies, 1119 participants). None of studies reported adverse events.ConclusionEA therapy is more beneficial for patients with intractable facial paralysis than non-EA, but we lack sufficient evidence to evaluate its safety and follow-up effect. Therefore, more clinical trials with high quality methodologies are needed to further verify long-term effects of EA for IFP and improve the level of evidence.Trial registrationRegistration number:CRD42021278541.
DRUG INDUCED ACUTE PANCREATITIS: AN EVIDENCE BASED CLASSIFICATION (REVISED)
Authors: Saini Jasmine , Marino Daniel , Badalov Nison , Vugelman Melanie , Tenner Scott 
Published: July 2023

Abstract
We previously published an “Evidence Based Classification System” on Drug-Induced Acute Pancreatitis widely used by clinicians. Unfortunately, this prior analysis based only on published case reports has been misunderstood. The prior review did not include studies with higher evidentiary value, such as randomized trials, case control studies and/or pharmacoepidemiologic studies. Despite the extensive list of drugs included in our prior classification and review, which defined classes by the case reports showing rechallenges and latency, the value to clinicians and applicability to patients with unexplained acute pancreatitis is profoundly limited. The use of the prior classification system has led to many patients inappropriately labeled as having a drug-induced acute pancreatitis. We now propose a “Revised” Evidence Based Classification System for the purpose of determining which drugs cause acute pancreatitis based on the GRADE Criteria.
PENGARUH PROGRAM KELUARGA HARAPAN (PKH) TERHADAP PENGELUARAN PENDIDIKAN DAN KONSUMSI KELUARGA PENERIMA MANFAAT PKH DI KECAMATAN AMPELGADING KABUPATEN PEMALANG
Authors: Khasanah Uswatun 
Published: July 2023

AbstrakProgram Keluarga Harapan adalah program bantuan tunai bersyarat yang diberikan kepada Keluarga Miskin yang ditetapkan sebagai Keluarga Penerima Manfaat. Tujuan penelitian ini adalah untuk menganalisis pengaruh PKH terhadap perubahan Pengeluaran Pendidikan. Data yang digunakan adalah data primer yang diperoleh melalui observasi, wawancara dan kuesioner. Metode analisis yang digunakan dalam penelitian ini adalah Metode Difference in Difference. Hasil penelitian menunjukkan bahwa pada model Difference in Difference pertama, Program Keluarga Harapan secara signifikan meningkatkan pengeluaran pendidikan sebesar 215.060 rupiah per bulan dalam kondisi carteris paribus. Pada Model Difference in Difference kedua diketahui bahwa Program Keluarga Harapan secara signifikan meningkatkan Pengeluaran Konsumsi sebesar 734.720 rupiah per bulan dalam kondisi carteris paribus. Kata Kunci: Keluarga Penerima Manfaat, Pengeluaran Konsumsi, Pengeluaran Pendidikan, Program Keluarga HarapanJEL Classification: H23, H24
Indexing whiteness: practices of categorization and racialization of social relations among Maroons in French Guiana
Authors: Léglise Isabelle , Léobal Clémence , Migge Bettina 
Published: July 2023

AbstractThis article investigates racial/ethnic categorizations designating the majority in a minority language and their uses and meanings in everyday interactions to grasp the dynamics of racialization from the perspective of minoritized people. The investigation focuses on the varieties of the language called Businenge(e) Tongo locally or Eastern Maroon Creoles spoken by Maroon populations living in French Guiana and Suriname. We first examine the different terms used to refer to whiteness, such asbakaa,wetimanandpoyte, from a historical perspective using historical documents before examining their uses in contemporary conversations. The analysis in the final part focuses on interactions at the hospital of Saint-Laurent-du-Maroni. The paper combines two approaches: the sociology of social relations and social approaches to language rooted in ethnography. The distinction between the three terms allows considering race as indexing power relations. Naming whiteness is thus a way of providing a critical perspective on the social order.
International students and their raciolinguistic sensemaking of aural employability in Canadian universities
Authors: Ramjattan Vijay A. 
Published: July 2023

AbstractInternational students in Canadian universities are deemed valuable immigrants for the Canadian nation as they are equipped with formal credentials easily recognizable for local employers. Despite having desired technical skills and knowledge, the English of these students is perceived as hindering their ability to voice this expertise. This then forces international students to think about how language can affect their employability during their studies. Drawing on a narrative analysis of the experiences of 14 international students in Ontario and focussing on speech accent, this article explores how they make sense ofaural employability, the ability to be heard as employable, through participating in Canadian higher education. The students connected aural employability with ‘sounding Canadian’ throughraciolinguistic sensemaking, a type of sensemaking that interprets the linguistic world with various ideologies of whiteness. Such sensemaking speaks to how Canadian universities, as sites of workplace language learning, cannot be divorced from the white settler logics that pervade these institutions.
Detection of Sarcopenia in a Community-Dwelling Older Population in China
Authors: Zhang Hai Yan , Chong Mei Chan , Tan Maw Pin , Chua Yan Piaw , Zhang Jin Hua 
Published: July 2023

Background and Purpose:Sarcopenia is a common muscle disease among the older population, posing an increased risk for functional decline and leading to loss of independence in daily living. Early detection of sarcopenia among older people before functional decline would be beneficial in enhancing their quality of life. The Asian Working Group for Sarcopenia (AWGS) 2019 recommends the use of 3 screening methods for community-based sarcopenia detection: calf circumference (CC), or the Strength, Assistance in walking, Rise from a chair, Climb stairs, and Falls (SARC-F) questionnaire, or the SARC-F in combination with CC (SARC-CalF) questionnaire. This study aims to compare the relative performance of these 3 methods as screening tools for sarcopenia within a community-dwelling older population.Methods:A total number of 700 community-dwelling older adults participated in the current study. Muscle mass, muscle strength, and physical performance were measured with bioelectrical impedance analysis, handgrip strength, and gait speed, respectively. The AWGS 2019 criteria were considered the criterion standard. The sensitivity/specificity, receiver operating characteristic (ROC) curve, and area under the receiver operating characteristic curve (AUROC) analyses were determined for CC, SARC-F, and SARC-CalF to determine their relative diagnostic performance.Results:Sarcopenia was identified in 21.4% of participants according to the AWGS2019 criteria. The overall prevalence of sarcopenia was 56.6%, 14.7%, and 22.9% according to CC, SARC-F, and SARC-CalF, respectively. Calf circumference showed the highest sensitivity but lowest specificity based on AWGS 2019 as the gold standard regardless of age, gender, and body mass index. The SARC-CalF showed better sensitivity but similar specificity than the SARC-F. The AUROC of CC was significantly better than that of SARC-F and SARC-CalF. The AUROCs of CC, SARC-F, and SARC-CalF were statistically significant in all populations, as well as in the categories of age, gender, and body mass index (P< .05).Conclusions:Calf circumference is useful in ruling out the presence of sarcopenia while the SARC-F is more effective in ruling in sarcopenia, especially in the context of population-based screening. Future studies should be carried out to investigate the value of population-based sarcopenia detection using these screening tools.
Comparison of Field and Standard Random Vibration for Small-Sized and Stacked Shipments during Parcel Delivery
Authors: Molnár Bence , Németh Zsófia , Koltai László , Böröcz Péter 
Published: July 2023

Abstract
In recent years, the volume of parcel shipments has increased significantly because of the rise in popularity of online shopping. This article focuses on the last mile segment of the parcel shipment, especially on the vibration behavior of the packages and van platform during transportation and the laboratory simulation of transportation vibration circumstances. The goal of this study is to measure in the field the vibration levels of small, stacked parcels and compare the results with measured vibration levels from the same measuring setup in the laboratory using ASTM D7386-16, Standard Practice for Performance Testing of Packages for Single Parcel Delivery Systems, vibration test method. For the measurements, three-layers of stacked small boxes with data recorder were set up into a delivery van to observe the vibration levels for the boxes inside and on the platform of the van, along different road conditions. The power spectral density spectra and overall Grms values of vibration intensity were presented and compared in four sections of frequency range between 1–200 Hz. The results indicate that the proposed vibration simulation does not correlate well with typical field vibration levels of the van platform and stacked packages. Based on the results, the packaging testing process can be developed as a more realistic preshipment testing process to avoid under-testing or over-testing of small parcels, thereby eliminating unnecessary packaging costs or damages.
Patronin/CAMSAP promotes reactivation and regeneration of Drosophila quiescent neural stem cells
Authors: Gujar Mahekta R , Gao Yang , Teng Xiang , Ding Wei Yung , Lin Jiaen , Tan Ye Sing , Chew Liang Yuh , Toyama Yusuke , Wang Hongyan 
Published: July 2023

AbstractThe ability of stem cells to switch between quiescent and proliferative states is crucial for maintaining tissue homeostasis and regeneration. Drosophila quiescent neural stem cells (qNSCs) extend a primary protrusion that is enriched in acentrosomal microtubules and can be regenerated upon injury. Arf1 promotes microtubule growth, reactivation (exit from quiescence), and regeneration of qNSC protrusions upon injury. However, how Arf1 is regulated in qNSCs remains elusive. Here, we show that the microtubule minus‐end binding protein Patronin/CAMSAP promotes acentrosomal microtubule growth and quiescent NSC reactivation. Patronin is important for the localization of Arf1 at Golgi and physically associates with Arf1, preferentially with its GDP‐bound form. Patronin is also required for the regeneration of qNSC protrusion, likely via the regulation of microtubule growth. Finally, Patronin functions upstream of Arf1 and its effector Msps/XMAP215 to target the cell adhesion molecule E‐cadherin to NSC‐neuropil contact sites during NSC reactivation. Our findings reveal a novel link between Patronin/CAMSAP and Arf1 in the regulation of microtubule growth and NSC reactivation. A similar mechanism might apply to various microtubule‐dependent systems in mammals.
Should Your Chatbot Joke? Driving Conversion Through the Humour of a Chatbot Greeting
Authors: Lekaviciute Vaida , Auruškevičienė Viltė , Reardon James 
Published: July 2023

Despite the increasing number of companies employing chatbots for tasks that previously needed human involvement, researchers and managers are only now beginning to examine chatbots in customer-brand relationship-building efforts. Not much is known, however, about how managers could modify their chatbot greeting, especially incorporating humour, to increase engagement and foster positive customer–brand interactions. The research aims to investigate how humour in a chatbot welcome message influences customers’ emotional attachment and conversion-to-lead through the mediating role of engagement. The findings of the experiment indicate that conversion-to-lead and emotional attachment rise when chatbots begin with a humorous (vs neutral) greeting. Engagement mediates this effect such that a humorous (vs neutral) greeting sparks engagement and thus makes users more emotionally attached and willing to give out their contact information to the brand.
The study contributes to the existing research on chatbots, combining and expanding previous research on human–computer interaction and, more specifically, human–chatbot interaction, as well as the usage of humour in conversational marketing contexts. This study provides managers with insight into how chatbot greetings can engage consumers and convert them into leads.
Potential of NT-proBNP and sST2 rapid tests in patients with acute myocardial infarction
Authors: Ryabov V. V. , Kruchinkina E. V. , Vyshlov E. V. , Gusakova A. M. , Darya A. V. , Panteleev O. O. , Margolis Na. Y. , Suslova T. E. 
Published: July 2023

Aim. To compare two methods for the determination of N-terminal pro-brain natriuretic peptide (NT-proBNP) and soluble ST2 (sST2): rapid immunochemical methods and standard enzyme immunoassay (ELISA), as well as to determine the possibility of rapid tests for determining these biomarkers in acute myocardial infarction (AMI).Material and methods. This open, non-randomized, single-center observational study included 41 patients: 20 with non-ST-elevation myocardial infarction (non-STEMI) and 21 with ST-elevation myocardial infarction (STEMI), without cardiogenic shock and active inflammatory process. During hospitalization, all patients underwent the level of NT-proBNP using an immunological fluorometric analyzer AQT90 FLEX (Radiometer, Germany) and sST2 immunological method for assessing lateral flow using an ASPECT Reader™ T2 analyzer (Critical diagnostics, USA). Then, studies of these biomarkers by standard ELISA were delayed.Results. The Spearman correlation coefficient for rapid NT-proBNP and NT-proBNP-ELISA was 0,5937 (p=0,00000087). At the same time, the proportion of patients with an NT-proBNP level >300 pg/ml in the rapid test was significantly higher than in the ELISA: 90% vs 44% (p<0,05). In a comparative analysis of two methods for sST2, the Spearman correlation coefficient for rapid sST2 and sST2-ELISA is 0,9561 (p=0,0000007). The proportions of patients with sST2 >35 ng/ml with rapid and ELISA methods did not differ significantly and amounted to 53 and 55%. Rapid NT-proBNP were significantly different between Killip I and Killip III (p=0,043): Me=1375,00 (669,00; 3140,00) vs Me=3660,00 (1815,00; 6890,00). There were no significant changes in the rapid sST2 level depending on Killip class.Conclusion. Correlations were found between rapid and ELISA methods in patients with AMI: medium in strength for NT-proBNP and strong for sST2. The proportion of patients with NT-proBNP levels >300 pg/mL in the rapid test was significantly higher than in the ELISA. Therefore, a conversion formula is needed, for which the available data are insufficient. The proportion of patients with sST2 >35 ng/ml in the rapid and ELISA methods did not differ significantly. A direct relationship between the level of rapid NT-proBNP and Killip class was found. No dependence of the level of rapid sST2 on Killip class was found.