bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical factors influencing long-term survival in a real-life cohort of early stage non-small-cell lung cancer patients in Spain
Authors: Torrente Maria , Sousa Pedro A. , Guerreiro Gracinda R. , Franco Fabio , Hernández Roberto , Parejo Consuelo , Sousa Alexandre , Campo-Cañaveral José Luis , Pimentão João , Provencio Mariano 
Published: February 2023

BackgroundCurrent prognosis in oncology is reduced to the tumour stage and performance status, leaving out many other factors that may impact the patient´s management. Prognostic stratification of early stage non-small-cell lung cancer (NSCLC) patients with poor prognosis after surgery is of considerable clinical relevance. The objective of this study was to identify clinical factors associated with long-term overall survival in a real-life cohort of patients with stage I-II NSCLC and develop a prognostic model that identifies features associated with poor prognosis and stratifies patients by risk.MethodsThis is a cohort study including 505 patients, diagnosed with stage I-II NSCLC, who underwent curative surgical procedures at a tertiary hospital in Madrid, Spain.ResultsMedian OS (in months) was 63.7 (95% CI, 58.7-68.7) for the whole cohort, 62.4 in patients submitted to surgery and 65 in patients submitted to surgery and adjuvant treatment. The univariate analysis estimated that a female diagnosed with NSCLC has a 0.967 (95% CI 0.936 - 0.999) probability of survival one year after diagnosis and a 0.784 (95% CI 0.712 - 0.863) five years after diagnosis. For males, these probabilities drop to 0.904 (95% CI 0.875 - 0.934) and 0.613 (95% CI 0.566 - 0.665), respectively. Multivariable analysis shows that sex, age at diagnosis, type of treatment, ECOG-PS, and stage are statistically significant variables (p&lt;0.10). According to the Cox regression model, age over 50, ECOG-PS 1 or 2, and stage ll are risk factors for survival (HR&gt;1) while adjuvant chemotherapy is a good prognostic variable (HR&lt;1). The prognostic model identified a high-risk profile defined by males over 71 years old, former smokers, treated with surgery, ECOG-PS 2.ConclusionsThe results of the present study found that, overall, adjuvant chemotherapy was associated with the best long-term OS in patients with resected NSCLC. Age, stage and ECOG-PS were also significant factors to take into account when making decisions regarding adjuvant therapy.
Safety and feasibility of robotic-assisted thoracic surgery after neoadjuvant chemoimmunotherapy in non-small cell lung cancer
Authors: Zeng Jun , Yi Bin , Chang Ruimin , Chen Yufan , Yu Zhongjie , Gao Yang 
Published: February 2023

ObjectivesThis study aimed to evaluate the safety and feasibility of robotic-assisted thoracic surgery (RATS) after neoadjuvant chemoimmunotherapy in NSCLC.MethodsWe retrospectively collected data for NSCLC patients who received thoracic surgery after neoadjuvant chemoimmunotherapy from May 2020 to August 2022. Surgery details, pathological response, and perioperative outcome were compared between video-assisted thoracic surgery (VATS) group and RATS group. Inverse probability of treatment weighting (IPTW) was used to equal the baseline characteristics.ResultsA total of 220 patients were divided into 78 VATS patients and 142 RATS patients. There was no 90-day mortality in either group. RATS patients demonstrated better results in conversion rate to thoracotomy (VATS vs. RATS: 28.2% vs. 7.5%, P &lt; 0.001), number of lymph node stations harvested (5.63 ± 1.75 vs. 8.09 ± 5.73, P &lt; 0.001), number of lymph nodes harvested (13.49 ± 9.325 vs. 20.35 ± 10.322, P &lt; 0.001), yield pathologic-N (yp-N) assessment (yp-N0, 88.5% vs. 67.6%; yp-N1, 7.6% vs. 12.6%; yp-N2, 3.8% vs. 19.7%; P &lt; 0.001), and visual analog scale pain score after surgery (4.41 ± 0.93 vs. 3.77 ± 1.21, P=0.002). However, there were no significant differences in pathological response evaluation for neoadjuvant chemoimmunotherapy (P = 0.493) and complication rate (P = 0.803). After IPTW-adjustment, these results remained constant.ConclusionsRATS reduced the risk of conversion to thoracotomy, provided a better yp-N stage evaluation, and improved pain score; this suggests that RATS is safe and feasible for NSCLC patients after neoadjuvant chemoimmunotherapy.
Global scientific trends in laparoscopy and gastric cancer in the 21st century: A bibliometric and visual mapping analysis
Authors: Han Hongmin , Wang Zhanwei , Zhao Xiaodan , Li Guosheng , Fu Yuan , Wang Zhongqing , Wang Hongyan 
Published: February 2023

AimsTo use visual mapping and bibliometrics to analyze and summarize the valuable information on laparoscopic surgery for gastric cancer (GC) obtained in the last 20 years, so as to determine the research hotspots and trends in this field.MethodsWe screened all literature on laparoscopic surgery for GC in the Web of Science published from 2000 to 2022 and analyzed the research hotspots and trends in this field using VOSviewer.ResultsA total of 2796 reports from 61 countries and regions were selected. Japanese researchers published the most papers (n=946), followed by those from China (n=747) and South Korea (n=557). Papers from Japan also had the most citations (n=21,836). Surgical Endoscopy and Other Interventional Techniques published the most reports on laparoscopic surgery for GC (n=386) and also had the highest total number of citations (n=11,076), making this journal the most authoritative in this field. Among the institutions, researchers from Seoul National University in South Korea had the highest numbers of published papers and citations. The keywords of the articles could be divided into five categories: surgical methods for GC, short-term and long-term efficacy of laparoscopic surgery, guiding role of laparoscopy in the treatment of advanced GC, diagnosis and treatment of early gastric cancer (EGC), and lymph node dissection. Keywords such as “laparoscopic proximal gastrectomy”, “surgical outcomes”, and “esophagogastric junction” have emerged recently, and relevant studies on laparoscopic surgery for adenocarcinoma of esophagogastric junction(AEG)have gradually become a hot topic and trend.ConclusionThis study adopted bibliometric analysis to identify the current research hotspots and research trends in the field of laparoscopic surgery for GC. Five main research hotspots of laparoscopic surgery for GC were also identified. Laparoscopic surgery for AEG may become an important research focus in the future.
Prognostic factors and models to predict pediatric sepsis mortality: A scoping review
Authors: Yuniar Irene , Hafifah Cut Nurul , Adilla Sharfina Fulki , Shadrina Arifah Nur , Darmawan Anthony Christian , Nasution Kholisah , Ranakusuma Respati W. , Safitri Eka Dian 
Published: February 2023

IntroductionSeveral scoring systems are available to assess the severity of sepsis in pediatric patients in diverse settings worldwide. This study investigates the quality and applicability of predictive models for determining pediatric sepsis mortality, especially in acute care and limited-resource settings.Data sourcesMortality prediction factors and models were searched in four databases using the following criteria: developed for pediatric health care, especially in acute settings, and with mortality as an outcome.Study selectionTwo or more reviewers performed the study selection to ensure no bias occurred. Any disagreements were solved by consensus or by the decision of a third reviewer.Data extractionThe authors extracted the results and mapped the selected studies qualitatively to describe the prognostic properties of the risk factors and models proposed in the study.Data synthesisThe final analysis included 28 mortality prediction models. Their characteristics, analysis, and performance measures were summarized. Performance was described in terms of calibration and discrimination, including assessing for risk of bias and applicability. A modified version of the PRISM-III score based on physiologic criteria (PRISM-III-APS) increased its predictive value to 0.85–0.95. The vasoactive-inotropic score at 12 h had a strong independent association with death. Albumin had an excellent predictive value when combined with other variables. Lactate, a biomarker widely measured in patients with sepsis, was highly associated with mortality. The bioimpedance phase angle was not considered applicable in our setting. Measurement using more straightforward methods, such as mid-upper arm circumference, was feasible in numerous health care facilities.ConclusionLeveraging prognostic models to predict mortality among pediatric patients with sepsis remains an important and well-recognized area of study. While much validation and development work remains to be done, available prognostic models could aid clinicians at the bedside of children with sepsis. Furthermore, mortality prediction models are essential and valuable tools for assessing the quality of care provided to critically ill pediatric patients.
Real pandemic world results of pharmacokinetic-tailored personalized prophylaxis of bleeds in Polish children and adolescents with severe hemophilia A
Authors: Urasiński Tomasz , Paczóska Klaudia , Badowska Wanda , Bobrowska Halina , Dakowicz Łucja , Dobaczewski Grzegorz , Latos-Grażyńska Elżbieta , Karolczyk Grażyna , Klukowska Anna , Kołtan Andrzej , Wojdalska Magdalena , Łaguna Paweł , Niedźwiedzki Maciej , Pietrys Danuta , Radoń-Proskura Julia , Radwańska Monika , Rurańska Iwona , Szczepański Tomasz , Wasiński Dariusz , Woźnica-Karczmarz Irena , Zielezińska Karolina , Królak Aleksandra , Ociepa Tomasz 
Published: February 2023

IntroductionIn 2020, the new nationwide protocol of prophylaxis in Polish plasma-derived FVIII (pdFVIII) previously treated patients (PTPs) with severe hemophilia A (sHA) was introduced, resulting in the necessity of switching from pdFVIII to recombinant FVIII (octocog-alpha; rFVIII). The study aimed to: (1) assess the safety of switching from pdFVIII to rFVIII, (2) assess the safety and efficacy of pharmacokinetically based (PK-based) personalized prophylaxis in severe hemophilia A.Patients and methods151 children and adolescents receiving prophylaxis with a standard dose (40 U/kg 3 x weekly) of pdFVIII were included in this study. Annualized bleeding rate (ABR) and annualized joint bleeding rate (AJBR) were analyzed for all patients before enrollment. Using myPKFiT application, pharmacokinetic (PK) analysis followed by the selection of the optimal model of prophylaxis was performed in all patients. Two possible models of prophylaxis (standard-dose rFVIII versus PK-based rFVIII) were discussed, with parents leaving the choice to their decision. Parents reported all episodes of bleeds. Screening for inhibitor was performed every 3 months. ABR and AJBR were prospectively analyzed again after a minimum follow-up time of 26 weeks.Results141/151 (93.4%) patients completed the study. 34 patients decided to continue standard prophylaxis with rFVIII (Group I), whereas 107 were switched to PK-based prophylaxis (Group II). The risk of inhibitor development could be assessed in 137/151 (90.7%) patients. Only 2/137 (1.47%) patients (both on PK-based prophylaxis) developed low-titer inhibitor with its spontaneous elimination. The retrospective analysis of bleeds during the last 12 months of standard pdFVIII prophylaxis revealed that patients who decided to continue standard prophylaxis had historically lower ABR and AJBR than those who started PK-based personalized prophylaxis. After a minimum of 26 weeks, ABR and AJBR improved significantly in both groups. There was no significant difference in ABR and AJBR between Group I and Group II during the follow-up period. However, the rate of reduction of ABR and AJBR was higher in patients on PK-based personalized prophylaxis.Conclusion(1) Switching from pdFVIII to rFVIII (octocog-alpha) in PTPs with sHA is safe, (2) PK-based personalized prophylaxis may decrease ABR and AJBR in children and adolescents with sHA.
Research and application of intelligent image processing technology in the auxiliary diagnosis of aortic coarctation
Authors: Yan Taocui , Qin Jinjie , Zhang Yulin , Li Qiuni , Han Baoru , Jin Xin 
Published: February 2023

ObjectiveTo explore the application of the proposed intelligent image processing method in the diagnosis of aortic coarctation computed tomography angiography (CTA) and to clarify its value in the diagnosis of aortic coarctation based on the diagnosis results.MethodsFifty-three children with coarctation of the aorta (CoA) and forty children without CoA were selected to constitute the study population. CTA was performed on all subjects. The minimum diameters of the ascending aorta, proximal arch, distal arch, isthmus, and descending aorta were measured using manual and intelligent methods, respectively. The Wilcoxon signed-rank test was used to analyze the differences between the two measurements. The surgical diagnosis results were used as the gold standard, and the diagnostic results obtained by the two measurement methods were compared with the gold standard to quantitatively evaluate the diagnostic results of CoA by the two measurement methods. The Kappa test was used to analyze the consistency of intelligence diagnosis results with the gold standard.ResultsWhether people have CoA or not, there was a significant difference (p &lt; 0.05) in the measurements of the minimum diameter at most sites using the two methods. However, close final diagnoses were made using the intelligent method and the manual. Meanwhile, the intelligent measurement method obtained higher accuracy, specificity, and AUC (area under the curve) compared to manual measurement in diagnosing CoA based on Karl's classification (accuracy = 0.95, specificity = 0.9, and AUC = 0.94). Furthermore, the diagnostic results of the intelligence method applied to the three criteria agreed well with the gold standard (all kappa ≥ 0.8). The results of the comparative analysis showed that Karl's classification had the best diagnostic effect on CoA.ConclusionThe proposed intelligent method based on image processing can be successfully applied to assist in the diagnosis of CoA.
Susceptibility of pruning wounds to grapevine trunk diseases: A quantitative analysis of literature data
Authors: Rosace Maria Chiara , Legler Sara Elisabetta , Salotti Irene , Rossi Vittorio 
Published: February 2023

IntroductionPruning wounds are the main entry points for fungi causing grapevine trunk diseases (GTDs). Several studies identified factors influencing the temporal dynamics of wound susceptibility, which include the fungal species and inoculum dose, weather conditions, grape variety, pruning date, and so forth. Here, we conducted a quantitative analysis of literature data to synthesise outcomes across studies and to identify the factors that most affect the length of pruning wound susceptibility.MethodsWe extracted data on the frequency at which the inoculated wounds showed GTD symptoms or an inoculated pathogen was reisolated following artificial inoculation at the time of pruning or in the following days. A negative exponential model was fit to these data to describe changes in wound susceptibility as a function of time since pruning, in which the rate parameter changed depending on specific factors.Results and DiscussionThe results show that wound susceptibility is high at the time of pruning, and they remain susceptible to invasion by GTD fungi for months after pruning. Infection incidence on wounds was higher for fungi associated with Botryosphaeria dieback than those associated with Eutypa dieback or Esca complex, and wound susceptibility decreased faster for Eutypa dieback than for other GTD agents. Grapevine variety and pruning season also affected the wound susceptibility period. Sauvignon Blanc remains susceptible to GTDs longer than other varieties. We also found that the time of pruning can affect infection dynamics, especially for more susceptible varieties. The results increase our understanding of GTD epidemiology and should help growers control infections.
EADD-YOLO: An efficient and accurate disease detector for apple leaf using improved lightweight YOLOv5
Authors: Zhu Shisong , Ma Wanli , Wang Jianlong , Yang Meijuan , Wang Yongmao , Wang Chunyang 
Published: February 2023

IntroductionCurrent detection methods for apple leaf diseases still suffer some challenges, such as the high number of parameters, low detection speed and poor detection performance for small dense spots, which limit the practical applications in agriculture. Therefore, an efficient and accurate model for apple leaf disease detection based on YOLOv5 is proposed and named EADD-YOLO.MethodsIn the EADD-YOLO, the lightweight shufflenet inverted residual module is utilized to reconstruct the backbone network, and an efficient feature learning module designed through depthwise convolution is proposed and introduced to the neck network. The aim is to reduce the number of parameters and floating point of operations (FLOPs) during feature extraction and feature fusion, thus increasing the operational efficiency of the network with less impact on detection performance. In addition, the coordinate attention module is embedded into the critical locations of the network to select the critical spot information and suppress useless information, which is to enhance the detection accuracy of diseases with various sizes from different scenes. Furthermore, the SIoU loss replaces CIoU loss as the bounding box regression loss function to improve the accuracy of prediction box localization.ResultsThe experimental results indicate that the proposed method can achieve the detection performance of 95.5% on the mean average precision and a speed of 625 frames per second (FPS) on the apple leaf disease dataset (ALDD). Compared to the latest research method on the ALDD, the detection accuracy and speed of the proposed method were improved by 12.3% and 596 FPS, respectively. In addition, the parameter quantity and FLOPs of the proposed method were much less than other relevant popular algorithms.DiscussionIn summary, the proposed method not only has a satisfactory detection effect, but also has fewer parameters and high calculation efficiency compared with the existing approaches. Therefore, the proposed method provides a high-performance solution for the early diagnosis of apple leaf disease and can be applied in agricultural robots. The code repository is open-sourced at https://github.com/AWANWY/EADD-YOLO.
The mediating role of self-efficacy between workplace violence and PTSD among nurses in Liaoning Province, China: A cross-sectional study
Authors: Lu Jiachen , Yu Yingying , Wang Bin , Zhang Yanni , Ji Haoqiang , Chen Xu , Sun Meng , Daun Yuxin , Pan Yuanping , Chen Yunting , Yi Yaohui , Dou Xiaofeng , Zhou Ling 
Published: February 2023

PurposeNurses are at high risk for workplace violence, which can lead to psychological problems. The purpose of this study was to determine the relationship between workplace violence, self-efficacy, and PTSD, and to further explore whether self-efficacy mediates the relationship between workplace violence and PTSD among Chinese nurses.Materials and methodsThis cross-sectional study was conducted in Liaoning Province, China in 2020. A total of 1,017 valid questionnaires were returned. Each questionnaire included the Workplace Violence Scale, the General Self-Efficacy Scale, the Post-traumatic Stress Disorder Scale (PTSS-10), and demographics information. A hierarchical multiple regression approach was used to explore the mediating role of self-efficacy in the relationship between workplace violence and PTSD. The mediation model was then tested by the PROCESS macro in SPSS.ResultsA total of 1,017 nurses were included in this study, and the average score of PTSD among Chinese nurses was 26.85 ± 13.13 (mean ± SD). After further adjustment for control variables, workplace violence was positively associated with PTSD, explaining 13% of the variance. High self-efficacy was associated with low PTSD, explaining 18% of the variance. Self-efficacy partially mediated the role of workplace violence and PTSD.ConclusionThe high scores of PTSD among Chinese nurses demand widespread attention. Workplace violence is an important predictor of PTSD in nurses. Self-efficacy is a significant factor in improving PTSD in nurses and mediates the relationship between workplace violence and PTSD. Measures and strategies to improve self-efficacy may mitigate the effects of workplace violence on PTSD in nurses.
High-risk group and functional subtypes of non-suicidal self-injury in young adults with mental disorders
Authors: Yan Huiru , Zhang Yuyanan , Lu Zhe , Li Mingzhu , Ge Yuqi , Mei Dongli , Kang Zhewei , Sun Yaoyao , Li Qianqian , Yan Hao , Yang Lei , Song Peihua , Shi Chuan , Shang Shaomei , Yue Weihua 
Published: February 2023

BackgroundIdentifying high-risk groups of non-suicidal self-injury (NSSI) with multiple risk factors and different functional subtypes contribute to implementing person-centered interventions.MethodsWe investigated NSSI profiles among a sample of 258 psychiatric inpatients aged 18–25 years. All participants completed well-validated measures of internal personal and external environmental characteristics. One-hundred and ninety patients reported a lifetime history of NSSI and completed an additional NSSI assessment. A k-means cluster analysis was conducted to extract characteristics of risk factors and functional subtypes. Independent sample t-test, analysis of variance and χ2 test were used to test the difference of demographic statistical factors, risk factors and functional scores among groups with different frequency of NSSI.ResultsThe clustering of risk factors analyses supported 4-clusters. The proportion of repeat NSSI patients was the highest (67.1%) in the group with unfavorable personal and unfavorable environmental characteristics. Functional subtype clustering analyses supported 5-clusters. Among patients with repeated NSSI, those with depression were mainly accompanied by the “Sensation Seeking” subtype (39.7%), bipolar disorder mainly supported the “Anti-suicide” subtype (37.9%), and eating disorders were mostly “Social Influence” subtype (33.3%). There was an interaction between functional subtypes and mental disorders.LimitationsAll participants were in treatment in a psychiatric service and the results may not be generalizable to a community sample. The data included retrospective self-report which may be inaccurate due to recall bias.ConclusionIt is necessary to identify high-risk groups of NSSI who with unfavorable personal and environmental characteristics and clinical interventions need to consider the heterogeneity of patients’ functional subtypes of NSSI.