bluuebunny/crossref_metadata_2025_split huggingface dataset:
Beds in Health Facilities in the Italian Regions: A Socio-Economic Approach
Authors: Leogrande Angelo , Costantiello Alberto , Leogrande Domenico , Anobile Fabio 
Published: September 2023

Abstract
In this article, we consider the determinants of the beds in healthcare facilities-BEDS in the Italian regions between 2004 and 2022. We use the ISTAT-BES database. We use different econometric techniques i.e.: Panel Data with Fixed Effects, Panel Data with Random Effects, Pooled Ordinary Least Squares-OLS, Weighted Least Squares-WLS, and Dynamic Panel at 1 Stage. The results show that the level of BEDS is positively associated, among others, to "General Doctors with a Number of Clients over the Threshold" and "Life Satisfaction", and negatively associated among others, to "Trust in Parties" and "Positive Judgment on Future Prospects". Furthermore, we apply a clusterization with the k-Means algorithm optimized with the Silhouette Coefficient and we find the presence of two clusters in terms of BEDS. Finally, we make a confrontation among eight machine-learning algorithms and we find that the best predictor is the ANN-Artificial Neural Network.
JEL CODE: I11, I12, I13, I14, I15, I18
Attenuating dynamics of strongly interacting fermionic superfluids in SYK solvable models
Authors: Zhou Tian-Gang , Zhang Pengfei 
Published: September 2023

Quench dynamics of fermionic superfluids are an active topic both experimentally and theoretically. Using the BCS theory, such non-equilibrium problems can be reduced to nearly independent spin dynamics, only with a time-dependent mean-field pairing term. This results in persisting oscillations of the pairing strength in certain parameter regimes. However, experiments have observed that the oscillations decay rapidly when the interaction becomes strong, such as in the unitary Fermi gas [Phys. Rev. Res. 3, 023205 (2021)]. Theoretical analysis on this matter is still absent. In this work, we construct an SYK-like model to analyze the effect of strong interactions in a one-dimensional BCS system. We employ the large-NN approximation and a Green’s function-based technique to solve the equilibrium problem and quench dynamics. Our findings reveal that a strong SYK interaction suppresses the pairing order. Additionally, we verify that the system quickly thermalizes with SYK interactions, whether it involves intrinsic pairing order or proximity effect, resulting in a rapid decay of the oscillation strength. The decay rates exhibit different scaling laws against SYK interaction, which can be understood in terms of the Boltzmann equation. This work represents a first step towards understanding the attenuating dynamics of strongly interacting fermionic superfluids.
Effects of Embodiment in Virtual Reality for Treatment of Chronic Pain: Pilot Open-Label Study
Authors: Saby Adam , Alvarez Anthony , Smolins David , Petros James , Nguyen Lincoln , Trujillo Michael , Aygün Oytun 
Published: September 2023

Background
Chronic pain has long been a major health burden that has been addressed through numerous forms of pharmacological and nonpharmacological treatment. One of the tenets of modern medicine is to minimize risk while providing efficacy. Further, because of its noninvasive nature, virtual reality (VR) provides an attractive platform for potentially developing novel therapeutic modalities.

Objective
The purpose of this study was to determine the feasibility of a novel VR-based digital therapy for the treatment of chronic pain.

Methods
An open-label study assessed the feasibility of using virtual embodiment in VR to treat chronic pain. In total, 24 patients with chronic pain were recruited from local pain clinics and completed 8 sessions of a novel digital therapeutic that combines virtual embodiment with graded motor imagery to deliver functional rehabilitation exercises over the course of 4 weeks. Pain intensity as measured by a visual analog scale before and after each virtual embodiment training session was used as the primary outcome measure. Additionally, a battery of patient-reported pain questionnaires (Fear-Avoidance Beliefs Questionnaire, Oswestry Low Back Pain Disability Questionnaire, Pain Catastrophizing Scale, and Patient Health Questionnaire) were administered before and after 8 sessions of virtual embodiment training as exploratory outcome measures to assess if the measures are appropriate and warrant a larger randomized controlled trial.

Results
A 2-way ANOVA on session × pre- versus postvirtual embodiment training revealed that individual virtual embodiment training sessions significantly reduced the intensity of pain as measured by the visual analog scale (P<.001). Perceived disability due to lower back pain as measured by the Oswestry Low Back Pain Disability Questionnaire significantly improved (P=.003) over the 4-week course of virtual embodiment regimen. Improvement was also observed on the helplessness subscale of the Pain Catastrophizing Scale (P=.02).

Conclusions
This study provides evidence that functional rehabilitation exercises delivered in VR are safe and may have positive effects on alleviating the symptoms of chronic pain. Additionally, the virtual embodiment intervention may improve perceived disability and helplessness of patients with chronic pain after 8 sessions. The results support the justification for a larger randomized controlled trial to assess the extent to which virtual embodiment training can exert an effect on symptoms associated with chronic pain.

Trial Registration
ClinicalTrials.gov NCT04060875; https://clinicaltrials.gov/ct2/show/NCT04060875
Predicting the Risk of Sleep Disorders Using a Machine Learning–Based Simple Questionnaire: Development and Validation Study
Authors: Ha Seokmin , Choi Su Jung , Lee Sujin , Wijaya Reinatt Hansel , Kim Jee Hyun , Joo Eun Yeon , Kim Jae Kyoung 
Published: September 2023

Background
Sleep disorders, such as obstructive sleep apnea (OSA), comorbid insomnia and sleep apnea (COMISA), and insomnia are common and can have serious health consequences. However, accurately diagnosing these conditions can be challenging as a result of the underrecognition of these diseases, the time-intensive nature of sleep monitoring necessary for a proper diagnosis, and patients’ hesitancy to undergo demanding and costly overnight polysomnography tests.

Objective
We aim to develop a machine learning algorithm that can accurately predict the risk of OSA, COMISA, and insomnia with a simple set of questions, without the need for a polysomnography test.

Methods
We applied extreme gradient boosting to the data from 2 medical centers (n=4257 from Samsung Medical Center and n=365 from Ewha Womans University Medical Center Seoul Hospital). Features were selected based on feature importance calculated by the Shapley additive explanations (SHAP) method. We applied extreme gradient boosting using selected features to develop a simple questionnaire predicting sleep disorders (SLEEPS). The accuracy of the algorithm was evaluated using the area under the receiver operating characteristics curve.

Results
In total, 9 features were selected to construct SLEEPS. SLEEPS showed high accuracy, with an area under the receiver operating characteristics curve of greater than 0.897 for all 3 sleep disorders, and consistent performance across both sets of data. We found that the distinction between COMISA and OSA was critical for accurate prediction. A publicly accessible website was created based on the algorithm that provides predictions for the risk of the 3 sleep disorders and shows how the risk changes with changes in weight or age.

Conclusions
SLEEPS has the potential to improve the diagnosis and treatment of sleep disorders by providing more accessibility and convenience. The creation of a publicly accessible website based on the algorithm provides a user-friendly tool for assessing the risk of OSA, COMISA, and insomnia.
Movement Component Analysis of Reaching Strategies in Individuals With Stroke: Preliminary Study
Authors: Ota Hirofumi , Mukaino Masahiko , Inoue Yukari , Matsuura Shoh , Yagi Senju , Kanada Yoshikiyo , Saitoh Eiichi , Otaka Yohei 
Published: September 2023

Background
Upper limb motor paresis is a major symptom of stroke, which limits activities of daily living and compromises the quality of life. Kinematic analysis offers an in-depth and objective means to evaluate poststroke upper limb paresis, with anticipation for its effective application in clinical settings.

Objective
This study aims to compare the movement strategies of patients with hemiparesis due to stroke and healthy individuals in forward reach and hand-to-mouth reach, using a simple methodology designed to quantify the contribution of various movement components to the reaching action.

Methods
A 3D motion analysis was conducted, using a simplified marker set (placed at the mandible, the seventh cervical vertebra, acromion, lateral epicondyle of the humerus, metacarpophalangeal [MP] joint of the index finger, and greater trochanter of the femur). For the forward reach task, we measured the distance the index finger’s MP joint traveled from its starting position to the forward target location on the anterior-posterior axis. For the hand-to-mouth reach task, the shortening of the vertical distance between the index finger MP joint and the position of the chin at the start of the measurement was measured. For both measurements, the contributions of relevant upper limb and trunk movements were calculated.

Results
A total of 20 healthy individuals and 10 patients with stroke participated in this study. In the forward reach task, the contribution of shoulder or elbow flexion was significantly smaller in participants with stroke than in healthy participants (mean 52.5%, SD 24.5% vs mean 85.2%, SD 4.5%; P<.001), whereas the contribution of trunk flexion was significantly larger in stroke participants than in healthy participants (mean 34.0%, SD 28.5% vs mean 3.0%, SD 2.8%; P<.001). In the hand-to-mouth reach task, the contribution of shoulder or elbow flexion was significantly smaller in participants with stroke than in healthy participants (mean 71.8%, SD 23.7% vs mean 90.7%, SD 11.8%; P=.009), whereas shoulder girdle elevation and shoulder abduction were significantly larger in participants with stroke than in healthy participants (mean 10.5%, SD 5.7% vs mean 6.5%, SD 3.0%; P=.02 and mean 16.5%, SD 18.7% vs mean 3.0%, SD 10.4%; P=.02, respectively).

Conclusions
Compared with healthy participants, participants with stroke achieved a significantly greater distance via trunk flexion in the forward reach task and shoulder abduction and shoulder girdle elevation in the hand-to-mouth reach task, both of these differences are regarded as compensatory movements. Understanding the characteristics of individual motor strategies, such as dependence on compensatory movements, may contribute to tailored goal setting in stroke rehabilitation.
The Significance of Hematuria in Podocytopathies
Authors: Marchel Dorota , Trachtman Howard , Larkina Maria , Helmuth Margaret , Lai Yee Jennifer Y. , Fermin Damian , Bomback Andrew S. , Canetta Pietro A. , Gipson Debbie S. , Mottl Amy K. , Parekh Rulan S. , Saha Manish K. , Sampson Matthew G. , Lafayette Richard A. , Mariani Laura H. ,   Nephrotic Syndrome Study Network (NEPTUNE) and Cure Glomerulonephropathy (CureGN)
Published: September 2023

Background
Hematuria is frequently present in podocytopathies, but its significance and prognostic value is not well described in these proteinuric kidney diseases. This study describes the prevalence and association between hematuria and kidney-related outcomes in these disorders.

Methods
Hematuria was assessed at the initial urinalysis in participants with the following podocytopathies—membranous nephropathy, minimal change disease, and FSGS—in the Nephrotic Syndrome Study Network and Cure Glomerulonephropathy cohorts with >24 months of follow-up. Multivariable Cox proportional hazards models were fit for time to composite outcome (kidney failure or 40% decline in eGFR and eGFR <60 ml/min per 1.73 m2) and proteinuria remission (urine protein-to-creatinine ratio [UPCR] <0.3 mg/mg).

Results
Among the 1516 adults and children in the study, 528 participants (35%) had FSGS, 499 (33%) had minimal change disease, and 489 (32%) had membranous nephropathy. Median (interquartile range) time from biopsy until the initial study urinalysis was 260 (49–750) days, and 498 participants (33%) were positive for hematuria. Participants with hematuria compared with those without were older (37 [16–55] versus 33 [12–55] years), more likely to have an underlying diagnosis of membranous nephropathy (44% versus 27%), had shorter time since biopsy (139 [27–477] versus 325 [89–878] days), and had higher UPCR (3.8 [1.4–8.0] versus 0.9 [0.1–3.1] g/g). After adjusting for diagnosis, age, sex, UPCR, eGFR, time since biopsy, and study cohort, hematuria was associated with a higher risk of reaching the composite outcome (hazard ratio, 1.31; 95% confidence interval, 1.04 to 1.65; P value, 0.02) and lower rate of reaching proteinuria remission (hazard ratio, 0.80; 95% confidence interval, 0.65 to 0.98; P value, 0.03).

Conclusions
Hematuria is prevalent among participants with the three podocytopathies and is significantly and independently associated with worse kidney-related outcomes, including both progressive loss of kidney function and remission of proteinuria.
COMPARATIVE STUDY OF ERECTOR SPINAE PLANE BLOCK VERSUS SYSTEMIC ANALGESIA FOR INTERLOCKING NAIL IN INTERTROCHANTERIC FRACTURE OF FEMUR: A RANDOMIZED CONTROLLED INTERVENTIONAL STUDY
Authors: MANGAL VANDANA , MEENA KHUSHBOO , MEENA CHANDRASHEKAR , MISTRY TUHIN 
Published: September 2023

Objective: The geriatric population is prone to multiple comorbidities, and their fragile bones and unsteadiness make them susceptible to fractures, commonly observed in the wrist and proximal end of the femur. Internal fixation of fractures under central neuraxial block allows for early mobilization. However, the presence of comorbidities in elderly patients puts them at higher risk for anesthesia and surgery.
Methods: To manage postoperative pain following surgery for proximal femur fracture, opioid-sparing multimodal analgesia techniques are employed. Regional anesthesia techniques such as fascia iliaca block, femoral nerve block, and quadratuslumborum block are utilized as part of a multimodal approach. Pain is subjective, and the inability to communicate does not negate the need for appropriate pain relief.
Results: Postoperative pain, if poorly managed, can result in complications, prolonged recovery, and chronic pain with reduced quality of life. Effective pain relief enhances patient satisfaction, reduces hospital stays and costs. Inadequate pain control activates the sympathetic nervous system, increases hormonal response, and contributes to adverse events. Opioids, though common, pose risks and adverse effects.
Conclusion: The erector spinae plane block (ESPB) is a safe and easy-to-perform technique for postoperative pain management. It involves ultrasound-guided deposition of local anesthetic, allowing effective spread. Previous studies have shown its effectiveness for thoracic pain relief. This study evaluated lumbar ESPB and compared it with systemic analgesics in terms of ease of positioning and postoperative pain control.
COMPARISION OF AUTOLOGOUS PLATELET GEL AND CONVENTIONAL DRESSING IN THE HEALING OF CHRONIC WOUNDS
Authors: REDDY D. VENKATESHWAR , TEJASWI CHADA 
Published: September 2023

Objective: The aim of the present research is to compare the effectiveness of autologous platelet gel with conventional technique for epithelialization and wound reduction in chronic wounds.
Methods: The out-patient who attended on regular basis for the treatment or those who were admitted as inpatients for the management of chronic wounds in a tertiary care teaching hospital from October 2019 to October 2021 were included in the study. A total of 120 patients were examined; 60 cases received betadine dressing for chronic wounds and 60 cases were randomly selected for investigation with autologous platelet gel.
Results: Autologous platelet gel demonstrated quicker and better rates of healing in the present study. In the study group, the mean area wound reduction was statistically significant. The study group has no negative side effects or responses from using autologous platelet gel.
Conclusion: This study provided solid evidence that autologous platelet gel dressings are a safe and affordable way to speed up the healing of chronic wounds while lowering hospital costs and morbidity.
The first attempt to study the habitat-related distribution of the owlet moths (Lepidoptera: Noctuoidea) in the mountains of Central Asia using low-power UV-sources
Authors: Корб С.К. 
Published: September 2023

С помощью маломощных источников УФ-излучения впервые изучено стациальное распределение совкообразных чешуекрылых в центральной части северного склона Киргизского хребта. Выявлено 174 вида, распределенных по 7 стациям: 78 в полынно-типчаковой степи, 111 в разнотравно-ковыльной степи, 94 на ксерофитном лугу, 49 на субальпийском лугу, 49 в зарослях кустарников, 40 в смешанном лесу, 13 в хвойном лесу. Показано, что фауны Noctuoidea большинства стаций на исследованной территории несходны, однако близкие по условиям стации (оба типа степей и ксерофитный луг, заросли кустарников и смешанный лес) объединяются в кластеры. Количество эврибионтных видов среди отмеченных для исследованного локалитета составляет 85%. Доля среднеазиатских эндемиков среди стенобионтных видов составляет более 57%.
For the first time, the habitat-related distribution of the owlet moths in the central part of the northern slope of the Kyrgyz Mountain Range was studied with the help of low-power UV-sources. In total, 174 species in seven types of habitats were identified: 78 species in the sagebrush-fescue steppe, 111 species, in the forb-feather grass steppe, 94, in the xerophytic meadow, 49, in the subalpine meadow and in the thickets of shrubs each, 40, in the mixed forest, and 13 species in the coniferous forest. The fauna of Noctuoidea at most stations in the study area are not similar, but the stations that are similar by conditions (both types of steppes and a xerophytic meadow, thickets of shrubs and mixed forest) are combined into clusters. The number of eurybiont species among those noted for the studied locality is 85%. The share of Central Asian endemics among stenobiont species exceeds 57%.
Pengaruh Sistem Pemeliharaan Terhadap Produktivitas Induk Domba Garut
Authors: Lusi Dede , Yurmiati Husmy , Ramdani Diky 
Published: September 2023

Domba Garut sangat potensial sebagai sumber daging dibandingkan domba lokal atau bangsa domba lain. Namun, produktivitasnya masih rendah karena sistem pemeliharaan yang bersifat tradisional. Produktivitas Domba Garut dapat dilihat dari performa anaknya yang meliputi jumlah anak sekelahiran (litter size), bobot lahir, dan bobot sapih. Tujuan dari penelitian ini untuk mengetahui pengaruh sistem pemeliharaan intensif dengan umbaran dan tanpa umbaran terhadap produktivitas induk (litter size, bobot lahir dan bobot sapih) Domba Garut. Penelitian ini dilaksanakan selama tiga bulan mulai Februari hingga April 2022. Objek penelitian yang digunakan adalah 20 ekor induk Domba Garut berumur 12 - 18 bulan dalam kondisi bunting pada kelahiran pertama. Data yang diperoleh di analisis menggunakan uji banding, yaitu uji t. Berdasarkan hasil analisis statistik menunjukkan bahwa sistem pemeliharaan intensif dengan umbaran dan tanpa umbaran tidak berpengaruh (P>0.05) terhadap litter size, bobot lahir, dan bobot sapih Domba Garut. Hasil tersebut menunjukkan sistem pemeliharaan intensif dengan umbaran dan tanpa umbaran menghasilkan litter size, bobot lahir dan bobot sapih yang sama pada Domba Garut. Kata kunci: Produktivitas, Domba Garut, Litter size, Bobot Lahir, Bobot Sapih
Possibilities of using mussels (Mytilus galloprovincialis) to predict rotavirus contamination in Albania
Authors: Lugaj Arta , Korro Kastriot , Tolomeo Anna Maria , Bakiu Rigers , Santovito Gianfranco 
Published: September 2023

Abstract

Introduction
Rotaviruses are non-enveloped viruses that each consist of 11 double-stranded RNA molecules. These viruses are able to persist in the environment, and therefore play a fundamental role in the epidemiology of gastroenteritis and severe diarrhoea in children worldwide. While mussels have been primarily used as indicators of chemical pollution, they can also be used to monitor viral contamination. The purpose of this study was to demonstrate that the Mytilus galloprovincialis mussel can also be used to detect microbial contamination, owing to its tendency to naturally concentrate viruses and other pathogens.

Material and Methods
A total of 102 Mytilus galloprovincialis mussel samples from Albania were collected over a three-year period: 37 samples off the Cape of Stillo in 2015, 39 samples from Butrinti Lake in 2019 and 26 samples from Butrinti Lake in 2021.

Results
The presence of rotavirus in the Cape of Stillo samples in 2015 was noted in 47% of samples from site 1, 33% from site 2, and 52% from site 3. In Butrinti Lake the percentage of infected individuals in 2019 was 33% from site 1, 41% from site 2, and 33% from site 3, whereas in 2021, it was 50% from site 1, 19% from site 2, and 0% from site 3. In total the percentage of infected individuals off the Cape of Stillo in 2015 was 44%, in Butrinti Lake in 2019 it was 36%, and in Butrinti Lake in 2021 it was 23 %.

Conclusion
These results indicate the presence of rotavirus in the shellfish specimens tested, and further analysis is needed to assess the potential health risks associated with consuming these shellfish. This study also indicates that mussels can be used in marine virological surveillance programmes.
Comparison of Organisational Structures of Selected Passenger Railway Transport Companies and their Impact on Strategic Goals of Companies
Authors: Hlavatý Jozef , Ližbetin Ján , Fázik Jozef 
Published: September 2023

Abstract
Establishing an appropriate organizational structure is an essential condition for the successful implementation of a corporate strategy. According to current strategists, strategy and structure are interrelated and should be developed in parallel. There is no definitive organizational structure of a company. Based on theories and research on the organizational structure of selected passenger rail transport organizations, it has been shown that an appropriate organizational structure is an important prerequisite for the implementation of the selected strategy. New organizational structures can provide new and interesting opportunities for managers and employees. However, these structures may pose a threat to employees due to the scale of work and, possibly, they may threaten their job. Developing new organizational structures without considering the consequences for those affected is surely inappropriate. At a time of liberalization and increasing competition, an effective organizational strategy is becoming a significant competitive advantage for rail passenger transport organizations.