bluuebunny/crossref_metadata_2025_split huggingface dataset:
Seismic resilience index of water distribution networks considering its dependence on other infrastructures using Belief function
Authors: Zarebidaki Zahra , Omidvar Babak 
Published: August 2023

Abstract
Water, as one of the most vital human needs, has always been one of the major challenges facing crisis managers in all past natural or man-made disasters. In some past disasters, it is observed that the performance of the water distribution networks disrupted due to the dependence of the water infrastructure on other infrastructures. People's lives have affected by various disasters in the past and city managers should plan to build resilient communities to reduce human and financial losses. The main goal of this article is to present the resilience indices of the water infrastructure in an urban area after earthquakes, taking into account its dependence on electricity, transportation and telecommunication infrastructures using Belief function otherwise known as the Dempster- Shafer theory of evidence; also, the uncertainty intervals are calculated and some technical and management strategies to increase the resilience of the water distribution networks based on the calculated indices have presented.
Enhancing Photovoltaic Efficiency Through Water Cooling System Design and Analysis
Authors: Polus Sally Afram , Abdullah Ranj Sirwan 
Published: August 2023

Abstract
In this study a front surface spray water cooling system with a zigzag pattern was experimentally and theoretically designed and investigated. Since the effectiveness of any photovoltaic panels can be adversely affected by various weather-related conditions such as solar radiation intensity, ambient temperature and dust accumulation, and the temperature and rate of flow of water that is used for cooling. ANSYS Fluent was utilized to predict the effects of the proposed system on photovoltaic (PV) power production. The findings indicated that the proposed system, when operating at a rate of 5 L/min water, enhanced efficiency of PV by 20.25%, whilst providing a pristine and dust-free surface. The simulation results indicated that the solar radiation is mostly affecting parameter in increasing the power production with implementation of water-cooling system, upon an increase of 100 watt/m2 in solar radiation, the PV power production augmented by 16.6%. Furthermore, decreasing the water inlet temperature by 5°C with a 5 L/min volume flow rate resulted in an increase in panel power production by 2.25%. Though, the ambient temperature has a slight influence on PV power production at all water volume flow rates.
Minimally invasive palliative treatment of malignant tracheoesophageal fistula using cardiac septal occluder: case series analysis
Authors: Teng Lin , Zhou Fei , Xiong Xiaoqi , Zhang Haoyu , Qiao Linchen , Zhang Zaiqiang , Qin Qin , Song Xinyu 
Published: August 2023

Abstract
Tracheoesophageal fistula (TEF), especially advanced malignant TEF (mTEF), is commonly occurs in critically ill patients who require prolonged mechanical ventilation and are not suitable candidates for surgical intervention due to their compromised health status. The Management of these mTEF patients remain a significant challenge. This study aimed to evaluate the safety and efficacy of using a cardiac septal occluder for the closure of mTEF. 8 patients with mTEF underwent closure surgery using atrial/ventricular septal defect (ASD/VSD) septal occluders at the Respiratory Department of HuBei Yichang Central People's Hospital from 2021 to 2023. The procedure involved percutaneous placement of the occluder through the fistula to achieve closure. The study demonstrated that the use of cardiac septal occluder therapy in patients with mTEF can alleviate symptoms, improve quality of life, and enhance survival rates, with no significant complications observed. Furthermore, the study provided comprehensive details on surgical indications, preoperative evaluation and diagnosis, selection of occluder, methods of occlusion, and postoperative care. Our findings indicate that the application of cardiac septal occluder in the treatment of mTEF is a safe and effective palliative treatment. These findings provide valuable guidance for the clinical application of cardiac septal defect occluders in the management of TEF.
A Machine Learning Based Three-Step Framework for Malicious URL Detection
Authors: Chen Qisheng , Omote Kazumasa 
Published: August 2023

Abstract

In order to solve the shortcomings of using blacklist method to detect malicious URLs, such as slow update speed, the research of using machine learning to detect malicious URLs increasing. These research have proposed their own methods and obtained great accuracy, but the summary research on malicious URLs detection is insufficient. In this paper, we propose a three-step framework for malicious URLs detection, and we overview 14 related works by our three-step framework and find that almost all research on malicious URLs detection using machine learning can be classified by the three-step framework. We evaluate some machine learning models and context-considering methods and their suitability by our three-step framework. According to the results, we verify the importance of considering context and find that context-considering embedding methods are more important and the malicious URLs detection accuracy improved with context-considering methods.
Parity and later life adherence to healthy lifestyles concerning all-cause and cause-specific mortality
Authors: Luo Lan , Li Shen , Liu Yingshu , Li Mian , Wang Tiange , Qin Guijun , Chen Li , Lu Jieli , Xu Yu , Huo Yanan , Chen Lulu , Zeng Tianshu , Xu Min , Chen Yuhong , Zhao Zhiyun , Wang Shuangyuan , Shi Lixin , Tang Xulei , Su Qing , Yu Xuefeng , Yan Li , Wan Qin , Chen Gang , Wang Guixia , Shen Feixia , Luo Zuojie , Zhang Yinfei , Liu Chao , Wang Youmin , Hu Ruying , Ye Zhen , Wu Shengli , Deng Huacong , Yang Tao , Li Qiang , Qin Yingfen , Mu Yiming , Zhao Jiajun , Bi Yufang , Li Xinyu , Ning Guang , Wang Weiqing , Gao Zhengnan 
Published: August 2023

Abstract
Background and Aims: Whether parity related mortality risk can be mitigated by healthy lifestyles in later life remains unclear. We aimed to examine the combined association and interaction between parity and lifestyle factors in later life on all-cause and cause-specific mortality.
Methods: 96,170 women aged ≥ 40 years were included. Parity and lifestyle factors were obtained at baseline. Mortality status was assessed during a follow-up of up to 5 years.
Results: The multivariable adjusted hazard ratio (HR) for all-cause mortality was 1.40 (95% confidence interval (CI), 1.08-1.81) among women with four births and 1.82 (95% CI, 1.38-2.41) among women with five births or more, compared with women with one birth. In parous women, four births or more was associated with the greatest risk of all-cause mortality (HR, 1.79; 95% CI, 1.22-2.62; compared with 1-3 births) among women who with 0-1 healthy lifestyle factor, but such association was substantially attenuated among women with four healthy lifestyle factors (HR, 1.21; 95% CI, 0.74 to 1.97; p-interaction=0.005).
Conclusions:Most mortality risk associated with high-level parity could be modified by a healthier lifestyle in later life among Chinese women.
Socio-economic conditions affect Health-Related Quality of Life, during recovery from acute SARS-CoV-2 infection
Authors: Benatti Simone Vasilij , Venturelli Serena , Buzzetti Roberto , Binda Francesca , Belottii Luca , Soavi Lura , Biffi Ave , Spada Maria Simonetta , Casati Monica , Rizzi Marco 
Published: August 2023

Abstract

BACKGROUND Recovery from acute COVID-19 may be slow and incomplete: cases of Post-Acute Sequelae of COVID (PASC) are counted in millions, worldwide. We aimed to investigate how the pre-existing Socio-economic-status (SES) influences such recovery.METHODS We analyzed a database of 1536 consecutive patients from the first wave of COVID-19 in Italy (February-September 2020), previously admitted to our referral hospital, and followed-up in a dedicated multidisciplinary intervention. We excluded those seen earlier than 12 weeks (the conventional limit for a possible PASC syndrome), and those reporting a serious complication from the acute phase (possibly accounting for symptoms persistence). We studied whether the exposition to disadvantaged SES (estimated through the Italian Institute of Statistics’s model – ISTAT 2017) was affecting recovery outcomes, that is: symptoms (composite endpoint, i.e. at least one among: dyspnea, fatigue, myalgia, chest pain or palpitations); Health-Related-Quality-of-Life (HRQoL- as by SF-36 scale); post-traumatic-stress-disorder (as by IES-R scale); and lung structural damage (as by impaired CO diffusion, DLCO).RESULTS Eight-hundred and twenty-five patients were included in the analysis (median age 59 years; IQR: 50–69 years, 60.2% men), of which 499 (60.5%) were previously admitted to hospital and 27 (3.3%) to Intensive-Care Unit (ICU). The ones still complaining of symptoms at follow-up were 337 (40.9%; 95%CI 37.5–42.2%), and 256 had a possible Post-Traumatic Stress Disorder (PTSD) (31%, 95%CI 28.7–35.1%). DLCO was reduced in 147 (19.6%, 95%CI 17.0–22.7%). In a multivariate model, disadvantaged SES was associated with a lower HRQoL, especially for items exploring physical health (Limitations in physical activities: OR = 0.87; 95%CI = 0.80 to 0.94; p < 0.001; AUC = 0.74 - and Bodily pain: OR = 0.85; 95%CI = 0.78 to 0.93; p < 0.001; AUC = 0.74). We did not observe any association between SES and the other outcomes.CONCLUSIONS Recovery after COVID-19 appears to be independently affected by a pre-existent socio-economic disadvantage, and clinical assessment should incorporate SES and HRQoL measurements, along with symptoms. The socioeconomic determinants of SARS-CoV-2 disease are not exclusive of the acute infection: this finding deserves further research and specific interventions.
Practical Predefined-Time Adaptive Fuzzy Control for Nonlinear Systems With Input Saturation and Deferred Restriction
Authors: Chen peng , Tan jieqing , Yao yangang , Zhang xu , Yao yan 
Published: August 2023

Abstract

This paper concentrates upon the practical predefined-time adaptive fuzzy tracking control issue of strict-feedback nonlinear systems subjected to input saturation and deferred restriction. On account of intrinsic physical constraints and performance demands, input saturation and deferred restriction are common problems in practical engineering systems. To solve these issues, a smooth function is utilized to estimate the actuator saturation, and then an improved auxiliary system is introduced to counterbalance the influence of input saturation. Moreover, the Lyapunov function incorporating the deferred-errordependence function is created to work out the issue of deferred restriction. Combining backstepping technology with practical predefined-time stability theorem, a practical predefined-time adaptive fuzzy control algorithm is constructed, under which the boundary of convergence time is capable of being arbitrarily set ahead of schedule by designers, such freedom can be used to improve the finite/fixed-time control results. Two simulation outcomes are offered to validate the usefulness of the control algorithm.
Assessing the Knowledge, Attitudes and Barriers of undergraduate Healthcare students towards Scientific Research: A Cross Sectional Study
Authors: Alwhaibi Reem M. , Omer Asma B , Alamri Lama M. , Alyousef Basmah F. , Aljumaah Nouf K. , Alqahtani Raghad K. , Khan Ruqaiyah 
Published: August 2023

Abstract
Research plays an important role in the development of countries, which positively impacts all sectors, especially health and education. In Saudi Arabia, there are insufficient studies that evaluate knowledge, attitude, and barriers (KAB) towards research among Physical Therapy (PT) undergraduate students. Therefore, this cross-sectional study evaluated the attitude, knowledge and barriers towards research among PT students in five Saudi universities as well as the effects of the socio-demographic characteristics on the above three variables. An online questionnaire for measuring KAB towards research was circulated to PT students in five Saudi universities. Descriptive statistics, independent sample t-test and one-way analysis of variance were used for analysis. The outcomes revealed a positive attitude towards research, but the students lacked research knowledge, and majority of responses to barriers were related to lack of research applications in personal life and professional job. It was found that females have higher knowledge than males (P = 0.021), whereas School of education and household monthly income showed no significant effect on AKB towards research. This study concludes that PT students in Saudi Arabia have moderate positive attitude, lower knowledge, and high barriers towards research.
Association between adherence to Life’s Simple 7 metrics and risk of obstructive sleep apnea among adults in the United States
Authors: Wu Shuang , Yang Yan-min , Zhu Jun , Wang Lu-lu , Xu Wei , Lyu Si-qi , Wang Juan , Shao Xing-hui , Zhang Han 
Published: August 2023

Abstract

Objectives We aimed to explore the impact of adherence to Life's Simple 7 (LS7) metrics on risk of obstructive sleep apnea (OSA), and the impact of inflammation on the association, in adults in the United States.Methods Data from 13,825 community-dwelling adults aged ≥ 20 years recruited in the National Health and Nutrition Examination Surveys (NHANES) 2005–2008, 2015–2018 was analyzed. The LS7 score was calculated based on the AHA definition of LS7 metrics. The diagnosis of OSA was based on self-reported symptoms of sleep disturbance using a standard questionnaire. The Multivariable Apnea Prediction (MAP) Index score was also calculated to assess the risk of OSA. Log-binominal regression and negative binomial regression were performed to estimate the associations between LS7 and OSA and MAP index, with odds ratios (ORs) and prevalence ratios (PRs) and their 95% confidence intervals (CIs) calculated. Mediation analysis was performed to estimate the mediating effects of inflammatory indicators on the associations.Results A total of 4473 participants (32.4%) had OSA, and the mean MAP index was 0.39. In fully adjusted log-binominal regression models, with total score < 6 as the reference, the ORs (95% CIs) for risk of OSA were 0.90 (0.73, 1.10), 0.76 (0.65, 0.89), 0.78 (0.64, 0.95), and 0.45 (0.38, 0.54) for total score = 6, total score = 7, total score = 8, and total score > 8, respectively (P for trend < 0.001). When LS7 score was analyzed as a continuous variable, each 1-point increase in LS7 score was associated with a 15% decrease in OSA risk (P < 0.001). In negative binominal regression models, the adjusted PRs (95% CIs) for the MAP index were 0.93 (0.90, 0.97), 0.87 (0.84, 0.91), 0.80 (0.77, 0.84), and 0.55 (0.53, 0.57) for total score = 6, total score = 7, total score = 8, and total score > 8, respectively (P for trend < 0.001). For each 1-point increase in LS7 score, the risk of OSA decreased by 13% (P < 0.001). Consistent results were observed in subgroup analysis. Mediation analysis indicated that inflammatory factors, including blood cell count, neutrophil count, and C-reactive protein, positively mediated the association of LS7 with OSA, with a mediation proportion of 0.022 (P = 0.04), 0.02 (P = 0.04), and 0.02 (P = 0.02), respectively.Conclusions In a nationally representative sample of US adults, adherence to LS7 metrics was independently associated with reduced OSA risk. Inflammation plays a mediating role in the association between LS7 and OSA.
Identification of novel bacterial species in the blood of patients with neonatal sepsis
Authors: WU YI , Gong Weiming , Wang Zhenni 
Published: August 2023

Abstract

Background
The clinical diagnosis of neonatal sepsis remains difficult because of various challenges, such as culturing the bacteria and avoiding contamination. Therefore, this study aimed to identify bacterial pathogens in patients with clinically diagnosed neonatal sepsis by next-generation sequencing (NGS).
Methods
High-throughput NGS and traditional culture identification were performed by comparing samples from newborns with neonatal sepsis with healthy control infants. All blood samples were separately inoculated into anaerobic and aerobic bottles and incubated for 7 days at 37°C; the positive specimens were then identified. Novel bacteria identified through high-throughput NGS were analysed using polymerase chain reaction (PCR); PCR products were verified by Sanger sequencing. Wilcoxon rank-sum and chi-square tests were performed to assess the significance of differences in species abundance between groups. Subjects were clinically diagnosed and hospitalized at the Pediatrics Department of Yantian Hospital of the Southern University of Science and Technology and Pediatrics Department of the Longhua Branch of Shenzhen People’s Hospital. Experiments were performed at the Shenzhen Seventh People’s Hospital. The experimental group comprised 45 newborns clinically diagnosed with neonatal sepsis (age: 0–28 days; 28 males, 17 females). Fifteen normal newborns aged 0–28 days (7 males, 8 females) were included as the control group.
Results
High-throughput NGS showed a positivity rate of 44% (20/45) for bacteria in patients clinically diagnosed with neonatal sepsis, whereas traditional bacterial culture identification showed a positivity rate of 0% (0/45). The four main bacterial species identified were Anoxybacillus kestanbolensis, Geobacillus vulcani, Klebsiella oxytoca, and Acinetobacter guillouiae.
Conclusions
A. kestanbolensis, G. vulcani, K. oxytoca, and A. guillouiae, newly discovered bacteria in patients with neonatal sepsis, were identified with high-throughput NGS. Owing to a lack of methods to culture these bacteria, their role in neonatal sepsis remains unclear. A definite diagnosis cannot rely solely on bacterial culture identification for patients with a suspected diagnosis and clinical diagnosis of neonatal sepsis and should involve other effective diagnostic techniques.
The Determinants of Suicidal Ideation in Workers: A Structural Equation Modeling Approach
Authors: Palma Tarciso F. , Araújo Tânia M. , Teixeira Jules R. B. 
Published: August 2023

Abstract
Objective: To analyze the direct and indirect effects of the determinants of suicidal ideation in workers, focusing on global dissatisfaction as the main exposure.
Methods: A cross-sectional study, with secondary data from a cohort of a population aged 15 or over, and resident in the urban zone of a large municipality of Bahia, Brazil. We applied a structured questionnaire, including socio-demographic and work data. Leisure activities and occupational stressors were evaluated; we measured global dissatisfaction and suicidal ideation. We processed the structural equation modeling, with consideration of complex samples.
Results:The frequency of suicidal ideation (SI) was 5% in the sample of 1,629 workers studied. Significant direct effects for SI were observed for global dissatisfaction (β=0.72; p-value=0.001), and a high emotional demand of work (β=0.27; p=0.007). Being female, having a low monthly income, the absence of leisure activities, excessive commitment to work, and a high emotional demand of work presented significant indirect effects, mediated by global dissatisfaction.
Conclusion:The surveillance of workers’ health depends on information which enables protective intervention actions to be planned. The paths indicated by this study provide an understanding of a chain of events which leads workers to an unbearable level of suffering, and to consider suicide as the solution to their problems.
Cognitive ageing and perceptual complexity interact to challenge compensatory strategies in road crossing decisions
Authors: Nicholls Victoria I. , Wiener Jan , Meso Andrew Isaac , Miellet Sebastien 
Published: August 2023

Abstract
Cognitive abilities decline with healthy ageing which can have a critical impact on day-to-day activities. One example is road crossing where older adults (OAs) disproportionally fall victim to pedestrian accidents. The current research examined two virtual reality experiments that investigated how the complexity of the road crossing situation impacts OAs and younger adults (YAs) with a range of executive functioning abilities (EFs). Overall, we found that OAs were able to make safe crossing decisions, and were more cautious than YAs. This continued to be the case in high cognitive load situations. In these situations, safe decisions were associated with an increase in head movements for participants with poorer attention switching than participants with better attention switching suggesting these groups developed compensation strategies to continue to make safe decisions. In situations where participants had less time to make a crossing decision all participants had difficulties making safe crossing decisions which was amplified for OAs and participants with poorer EFs. Our findings suggest more effort should be taken to ensure that road crossing points are clear of visual obstructions and more speed limits should be placed around retirement or care homes, neither of which are legislated for in the UK and Australia.
Strengthening Surgical Care through Adoption of the World Health Organization Surgical Safety Checklist: A prospective cohort study
Authors: Gasoma ElMuhtadi B. Y. , Marouf Mohamed A. 
Published: August 2023

Abstract
Background:
Globally, surgical care plays a vital role in healthcare. Unfortunately, complications arise in approximately 5-18% of surgical procedures. However, research has shown that following the surgical safety checklist provided by the World Health Organization (WHO) can significantly reduce these complications and surgery-related fatalities. The objective of this study was to assess the accuracy and completion of the WHO Surgical Safety Checklist.
Method:
From September 3, 2022, to February 28, 2023, a comprehensive observational study was conducted involving 300 patients who underwent elective and emergency surgeries. The completion rates for the different stages of surgery, namely sign-in, time-out, and sign-out, were determined using the SPSS 22.0 software.
Result:
In our research, we specifically examined the completion of the checklist for 300 patients who underwent important procedures within a span of five months. For each patient, we ensured that their identities, procedures, and consent were verified with a 100% success rate. Additionally, we thoroughly checked the anesthesia equipment and drugs for safety in every case. Furthermore, all essential images were consistently displayed for each patient, achieving a 100% adherence to this crucial aspect of the process.
Conclusion:
In general, the level of completeness of the checklist was satisfactory across the sign-in, time-out, and sign-out phases. While this study did not assess the specific outcomes, it is presumed that incomplete data may have exposed patients to potential perioperative complications.