bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of two protocols for the management of post-partum hemorrhage. Retrospective study in two Belgian centers.
Authors: Cordivani Jonathan , Lamy Clotilde , Bouvain Michel , Riera Catherine 
Published: September 2023

Abstract
Post-partum hemorrhage complicates 3 to 5% of deliveries and is the leading cause of morbidity and mortality in the world. Management is often inadequate despite the existence of protocols.
Objective: To compare the results of the management of women with post-partum hemorrhage due to uterine atony in two Belgian centers, one using Sulprostone and the other Misoprostol and Carboprost, in terms of use of 4th level techniques and total blood loss.
Method: This is a retrospective study including patients with post-partum hemorrhage due to uterine atony after vaginal delivery requiring second-line uterotonic administration. The study period was from 1 January 2017 to 31 December 2022. Characteristics of the two populations, total losses, hemoglobin delta and management steps were collected.
Results: In both institutions, patients had similar characteristics. The use of oxytocin, revision of the genital tract, administration of tranexamic acid, and use of fourth-line techniques were similar in both centers. Total losses and hemoglobin delta did not show any significant difference between the two protocols.
Conclusion: The results of the two centers for post-partum hemorrhage due to uterine atony are similar despite the use of two different prostaglandins.
Effect of dexamethasone implant between vitrectomized and non-vitrectomized eyes with diabetic macular edema
Authors: Chen I-Hsien , Tu Hung-Ping , Chen Yi-Hsuan , Lin Hsien-Chung 
Published: September 2023

Abstract
Background
To compare the 3-month foveal thickness, sub-foveal choroidal thickness (SFCT) change and best-corrected visual acuity (BCVA) LogMAR response after a sustained release dexamethasone (DEX) intravitreal implant (Ozurdex®) between non-vitrectomized and vitrectomized eyes with diabetic macular edema (DME).
Methods
Retrospective, comparative, and consecutive review of the medical records of 66 patients with decreased visual acuity, due to refractory DME, who underwent a single and the first injection of Ozurdex® between May 2016 and December 2020 at the teaching hospital of Kaohsiung Medical University. Then, patients were divided into 2 groups: 41 eyes who had undergone standard pars plana vitrectomy (vitrectomized group), and 25 eyes that were not operated on (non-vitrectomized group). Measured outcomes were the change of BCVA LogMAR, foveal thickness, and SFCT from baseline to months 1, 2 and 3.
Results
Forty-one of 66 eyes had prior vitrectomy (62%). Statistically significant improvement in foveal thickness and SFCT was seen at 1, 2 and 3 months with respect to baseline data, after treatment with a DEX implant in either group (P < 0.0001). There was statistically significant difference in SFCT between non-vitrectomized and vitrectomized eyes at month 3 and the trend from baseline to month 3 (P < 0.0001).
Conclusion
In this study, the clinical findings were similar between non-vitrectomized and vitrectomized eyes. Intravitreal treatment with an Ozurdex® implant safely reduced DME both in foveal and SFCT in both groups. However, there was statistically significant difference in the trend of SFCT between non-vitrectomized and vitrectomized eyes from baseline to month 3. A DEX implant could be cleared more rapidly in vitrectomized eyes by early detection from SFCT change.
Changes in anal cancer treatment patterns and the construction of a prognostic nomogram
Authors: Chen Junhao , Chi Pan 
Published: September 2023

Abstract
Purpose
The authors sought to quantify changes in treatment patterns for patients with anal cancer in the United States over the past decade, to compare the impact of treatment patterns on the prognosis of different histological subtypes, and to develop a predictive nomogram.
METHODS
Using the SEER database, 15,566 anal cancer patients treated from 2007 to 2018 were analyzed. The paper compares changes in treatment patterns of squamous and adenocarcinomas and survival rates of patients with local tumor stages in different treatment modalities for three time periods: 2007–2010, 2011–2014, and 2015–2018. Univariate and multivariate Cox proportional risk regression analyses were used to identify prognostic factors affecting anal cancer, developed a new predictive model
RESULTS
Adenocarcinoma and squamous carcinoma treatment patterns differed significantly, with an average of 62.3% of patients with anal squamous carcinoma treated with chemothrapy or /and radiotherapy alone, which increased significantly from 59.9% from 2007 to 2010 to 65.5% from 2015 to 2018 P < 0.001. Surgery alone decreased from 13% from 2007 to 2010 to 10.3% from 2015 to 2018 (P < 0.001). The average percentage of anal adenocarcinoma patients treated with Chemotherapy or /and radiotherapy alone was 30.5%., increased significantly from 25.5% from 2007 to 2010 to 40.1% from 2015 to 2018 P < 0.001. Age, gender, marital status, tumour size, stage, grading, histological subtype and treatment modality were significant independent risk factors in patients with anal cancer (p < 0.05). The C-index of the prediction model is 0.735.
CONCLUSIONS
In anal adenocarcinoma, the 5-year survival rate for Chemotherapy or /and radiotherapy alone is much lower than that of patients undergoing surgery, but there has been a further rise in the treatment modality of radiotherapy alone, which may lead to an increase in the mortality rate of anal cancer. Nomograms can help clinicians predict patient prognosis.
The homing behavior of red deer: A GPS assisted translocation experiment
Authors: Silovský Václav , Landler Lukas , Faltusová Monika , Börger Luca , Burda Hynek , Holton Mark , Lagner Ondřej , Malkemper E. Pascal , Olejarz Astrid , Spießberger Magdalena , Váchal Adam , Ježek Miloš 
Published: September 2023

Abstract

BackgroundMany animals move back to their home area (i.e., ‘homing’) after translocation to sites further away. Such translocations have traditionally been used in behavioral ecology to understand orientation and migration behavior of animals. The movement itself can then be followed by marking and recapturing of animals or by tracking, e.g., using GPS systems. Most detailed studies investigating this behavior were conducted with smaller vertebrates (e.g., birds, amphibians and mice), whereas information on larger mammals, such as red deer, is sparse.MethodsWe conducted GPS assisted translocation experiments with red deer at two sites in the Czech Republic. Individuals were translocated over a distance of about 11 km and their home journey was tracked. We used circular statistics to test for significant homeward orientation at 100, 500, 1000 and 5000 m distance to the release site. In addition, we applied a Lavielle trajectory segmentation, identifying different phases of the homing behavior.ResultsThirty-one out of 35 translocations resulted in successful homing with a median time of 4.75 days (range: 1.23 to 100 days). Animals significantly oriented towards home immediately after release and again when they came closer to home; however, they did not show significant orientation at the distances in between. We were able to identify three homing phases, an initial ‘exploratory phase’, followed by a ‘homing phase’ which sometimes was again followed by an ‘arrival phase’. The ‘homing phase’ was characterized by the straightest paths and fastest movements. However, variation between translocation events was considerable.ConclusionsWe show good homing abilities of red deer after translocation. Our results show the feasibility to conduct experiments with environmental manipulations (e.g., to impede the use of sensory cues) close to the release site. The homing behavior of red deer is comparable to other species and might represent general homing behavior patterns in animals. Follow up studies should further dissect and investigate the drivers of the individual variations we observed, and try to identify the sensory cues used during homing.
On algorithmic time and daily contingencies in the gig economy: The lived work of food delivery service
Authors: Xiao Luyao , Fitzgerald Richard , Sandel Todd , Kim Younhee , Abi-Samara Raquel , Moutinho Ricardo 
Published: September 2023

Abstract
This study takes a praxiological perspective (drawing on ethnomethodology, conversation analysis and membership categorization analysis) to examine the working practices of food delivery service workers in China. The analysis explicates how delivery drivers deal with daily algorithm-generated information and contingencies through the production and mobilization of tacitly assumed conventions to maintain their work-flow. Three intertwined phenomena are identified: (1) coordinating pick up and deliveries involves a high degree of practical interactional work; (2) the job is practice oriented around routine contingencies of time, travel, and waiting, and (3), the job is collaborative and organized through a moral order that involves the mobilization of resources which operate alongside, but separate from the technology. The study shows how a detailed analysis of the lived work of food delivery drivers provides a powerful tool to highlight and examine what is often hidden (and lost) in studies of the gig economy.
Role of structural and diffusion MRI in differentiating between low- and high-grade meningiomas according to the 2021 WHO classification
Authors: PELLETIER Jean-Baptiste , DAL-COL Pierre , GRANGE Sylvain , FOREST Fabien , VASSAL François 
Published: September 2023

Abstract

Background: To determine predictive factors for high-grade (WHO grades 2–3) meningiomas (HGMs), derivable from preoperative MRI.
Methods: We retrospectively reviewed 204 meningiomas (58 HGMs) diagnosed according to the 2021 WHO classification, and assessed a total of 14 variables: location, extradural involvement, shape/sphericity, disruption of the arachnoid layer/tumor-brain interface (TBI), calcifications, heterogeneity on gadolinium-enhanced T1-weighted images (T1Gd), capsular enhancement on T1Gd, necrosis, signal intensity on T2-weighted images, cyst formation, tumor volume (Vt), edema volume (Ve), edema/tumor volume ratio (Vr), and apparent diffusion coefficient (ADC) value.
Results: Convexity location (p = 0.008), irregular shape (p = 0.014), unclear TBI (p = 0.008), necrosis (p < 0.001), larger Vt (p = 0.001) and Ve (p = 0.003), and lower ADC value (p < 0.001) were associated with HGMs. Vt > 21.6 cm3 (p = 0.001), Ve > 7.28 cm3 (p = 0.003), ADC mean value < 0.81 × 10-3 cm2/s (p = 0.001) and normalized ADC value < 1.05 (p = 0.001) were determined as the as the optimal cut-offs for the prediction of HGMs. Multivariate logistic regression analysis confirmed the presence of necrosis (p = 0.024) and larger Ve (p = 0.025) as independent predictors for HGMs. In ROC analyses, the combination of necrosis, edema volume, ADC mean cut-off analysis improved the AUC (0.847).
Conclusion: We found several qualitative and quantitative MRI markers associated with the risk of HGMs, which combination can help in treatment decision-making.
Trial registration number
N° IRB00011687; IRB #1: 2022/04 retrospectively registered
MSTCNN: A Transformer with multi-scale convolutional neural network for multi-focus image fusion
Authors: Zhai Hao , Chen Yun , Zeng Zhi , Luo Nannan , Li Qingyu 
Published: September 2023

Abstract
In the field of multi-focus image fusion, how to efficiently and accurately extract the focus region in the source image is a challenging problem. The existing multi-focus image fusion methods have some problems, such as color distortion, artifacts at the boundary and high computational cost. Therefore, a Multi-Scale Convolu-tional Neural Network Transformer (MSTMCNN) for multi-focus image fusion is proposed in this paper. MSTMCNN is mainly composed of three parts: feature extraction, feature fusion and feature reconstruction. Firstly, down-sampling is used in the feature extraction stage to increase the training speed of the model. feature extraction mainly consists of structure 1 and structure 2. In structure 1, we have designed three different scales of convolution kernels to extract the features of source images. Meanwhile, in order to further improve the performance of the network, the initial module is introduced, which is of great help to the reconstruction of the focus map. Since CNN can extract local information and Transformer can obtain global features, the combination of the two enhances feature extraction capabilities and retains more effective information. In structure 2, we have adopted a network structure called CTR that combines CNN and Transformer. CTR solves the problem of image size limitation and calculation in multi-cluster image fusion with traditional Vision Transformer (Vit). In the feature reconstruction stage, we perform up-sampling for image recovery. Finally, the experimental results of the method are compared with 15 advanced fusion algorithms on Lytro, MFFW2 and MFI-WHU respectively, and the method achieves better fusion performance.
Breaking the Cycle of Stunted Growth: Identifying Key Factors in Indonesian Children Using Indonesia Family Survey (IFLS) 2007 and 2014 Data
Authors: Siramaneerat Issara , Astutik Erni , Agushybana Farid , Bhumkittipich Pimnapat , Lamprom Wanjai 
Published: September 2023

Abstract
Background
Malnutrition is a significant global health issue, with stunting being a primary cause of death in children under the age of 5 worldwide. Despite efforts to address malnutrition and hunger, many people in underdeveloped countries continue to face challenges related to food security. The direct cause of stunting is inadequate food intake, but underlying causes include lack of education, poverty, and social and cultural reasons.
Methods
This study aimed to analyze the factors associated with stunting among children aged 24–60 months in Indonesia using cross-sectional data from the Indonesian Family Life Survey (IFLS) 2 and 5. Child factors, maternal factors, father factors, household factors, and community factors were analyzed. The stunting variable was measured using the Z-Score calculation of the child's height and age based on the child's gender. Descriptive and inferential analyses were used to analyze the data.
Results
The study found that child age, low birth weight, incomplete antenatal care, poor health sanitation, provision of complementary food, and absence of the Mother and Child Health Book or Health Card were significantly associated with stunting. The findings suggest that targeted interventions are needed to improve maternal nutrition, promote exclusive breastfeeding, enhance access to healthcare and sanitation, and increase household expenditure on animal-source and non-grain foods to reduce the prevalence of stunting among Indonesian children.
Conclusions
The study highlights the importance of further research to identify additional factors contributing to stunting and develop effective interventions to address this crucial public health issue. It also emphasizes the need for more comprehensive solutions to address food-related problems in underdeveloped countries, including improved access to nutritious foods, better healthcare, and increased education on healthy eating habits. Addressing malnutrition and stunting in children is crucial for improving child health outcomes and reducing the risk of non-communicable diseases later in life.
On the tree models of mildly dissipative maps
Authors: Correa Javier , Flores Elizabeth 
Published: September 2023

Abstract

We study the tree models of mildly dissipative diffeomorphisms on the disk D. This models, are one dimensional dynamical systems with the ergodic aperiodic data as well as some properties of the original dynamics. Our focus in this work is their quality as dynamical invariant in both the topological and the ergodic sense.
Mathematics Subject Classification (2020) MSC 37C15 · MSC 37D25 · MSC 37D45 · MSC 37E25
Facilitators and Barriers to Vaccination Uptake in Pregnancy: A Qualitative Systematic Review
Authors: Razai Mohammad S , Mansour Rania , Ravindran Kavi , Freeman Samuel , Mason-Apps Charlotte , Morris Joan , Majeed Azeem , Ussher Michael , Hargreaves Sally , Oakeshott Pippa 
Published: September 2023

Abstract

Introduction
Vaccination during pregnancy protects both the mother and the foetus from vaccine-preventable diseases. However, uptake of the recommended vaccines (influenza, pertussis, COVID-19) by pregnant women remains low in Europe and USA. Understanding the reasons for this is crucial to inform strategies to increase vaccination rates in pregnant women. This qualitative systematic review aimed to identify the barriers and facilitators to vaccination against influenza, pertussis and COVID-19 during pregnancy and identify strategies to increase vaccination during pregnancy.
Methods
We conducted a comprehensive search of electronic databases, including Medline, PsycINFO, CINAHL, Web of Science, WHO database, Embase and grey literature to identify qualitative studies that explored barriers and facilitators to vaccine uptake among pregnant women (PROSPERO CRD42023399488). The search was limited to studies published between 2012 and 2022 conducted in high-income countries with established vaccination programmes during pregnancy. Studies were thematically analysed and underwent quality assessment using the Joanna Briggs Institute validated critical appraisal tool for qualitative research.
Results
Out of 2681 articles screened, 28 studies (n = 1431 participants) were eligible for inclusion. Five overarching themes emerged relating to personal, provider and systemic factors. Barriers to vaccine uptake included concerns about vaccine safety efficacy, lack of information about the vaccine, fear of adverse effects on the foetus and low perception of disease severity. Facilitators included recommendations from trusted healthcare providers, easy access to vaccination, clear and consistent communication on the benefits of vaccination, and positive social influences from family and friends. Strategies for increasing vaccination uptake included strong and proactive vaccine recommendations by trusted healthcare professionals, provision of vaccines during routine antenatal care, clear and consistent communication about vaccines and addressing pregnant women’s concerns.
Conclusion
This review highlights the need for interventions that address the identified barriers to vaccine uptake among pregnant women. Provider recommendation can play a significant role in promoting vaccine uptake, as can clear and consistent risk and benefit communication and convenient access to vaccination. Addressing concerns about vaccine safety and providing accurate information about vaccines is also important.
Biochar and mycorrhiza enhance soil carbon storage and reduce CO2 emissions in wastewater-irrigated turf
Authors: Sahin Ustun , Cakmakci Talip , Yerli Caner 
Published: September 2023

AbstractIrrigation with recycled wastewater can reduce freshwater demand and improve soil fertility, but it can also increase CO2 emissions from soil and contribute to global warming. This study investigated whether biochar and mycorrhiza can reduce CO2 emissions and enhance soil quality in wastewater-irrigated turf. A factorial experiment was conducted with four levels of biochar (0, 0.5, 1, and 1.5%), two mycorrhiza (with and without), and two types of irrigation water (freshwater and recycled wastewater). Soil CO2 and H2O emissions, moisture and temperature, and chemical and physical properties were measured for 3 months. Biochar and mycorrhiza treatments significantly reduced CO2 emissions by 19.4–45.0% compared to the control treatment. The combination of biochar at a 1.5% level with mycorrhiza had the highest emission-reducing effect. Biochar and mycorrhiza treatments also reduced H2O emissions by 8.1–14.6%, increased soil organic matter, carbon, and total nitrogen, regulated soil EC and pH, and improved soil porosity and aggregate stability. The results suggest that biochar and mycorrhiza can be effective strategies to mitigate CO2 emissions and improve soil quality in wastewater irrigation. The combination of biochar with mycorrhiza can have synergistic benefits for soil carbon storage and conservation.
Synthesis and performance of ultrafiltration membranes incorporated with different oxide nanomaterials: experiments and modeling
Authors: Bin Darwish Nawaf , AlAlawi Abdulrahman , AlRomaih Hamad , Alotaibi Nasser , AlEid Musaad 
Published: September 2023

Abstract
In membrane filtration technology, membrane fouling is the primary obstacle to optimizing efficiency and results in a short membrane lifetime and high operating costs. By incorporating nanomaterials into the membrane synthesis process, a mixed-matrix membrane with significantly enhanced characteristics and performance may be obtained. Graphene oxide (GO), aluminum oxide (Al2O3), tin oxide (SnO2), and titanium oxide (TiO2) were incorporated into a polyethersulfone (PESU) membrane. The water permeability of the modified membranes showed improvements when compared with the pure membrane. It increased from 65 L/m2 h bar for the pristine membrane (PES-1) to 143.6, 83.68, 92.12, 75.43 L/m2 h bar for Al2O3 (PES-2), TiO2 (PES-3), SnO2 (PES-4), and GO (PES-5) membranes, respectively. It was discovered that the membrane's surface hydrophilicity was significantly and directly affected by the incorporation of nanoparticles. Fouling parameters include Rr (Reversible fouling ratio), Rir (irreversible fouling ratio), Rt (total fouling ratio), and Frr (flux recovery ratio) and were measured to determine the membrane's fouling tendency. The results showed that the membrane's propensity for fouling could be reduced when nanoparticles were incorporated into it. The experimental results are best explained by the cake layer and both standard and intermediate blocking mechanism models, as determined by the traditional single fouling models.