bluuebunny/crossref_metadata_2025_split huggingface dataset:
A survey of diet, exercise and psychological changes in cancer survivors before and after suffering from cancer
Authors: Qiu Li , Zhang Junfeng , Li Chenchen , He Wen , Yin Xuelian , Zhan Lin , Wang Yanli 
Published: June 2023

Abstract
Background: Cancer treatment is a long and arduous process. In order to promote cancer recovery, cancer patients will adjust and improve their diet, exercise and mental state according to their recovery.
Objectives: This article aimed to understand the changes in the diet, exercise and psychological of cancer survivors.
Methods: This study carried out the research by distributing the electronic questionnaire and carried out the statistical analysis.
Results: In terms of diet, the patients' diet taste became light; In terms of exercise, the number of hours of exercise per week increased significantly among cancer survivors, and people's exercise styles became more diversified. After cancer, survivors were able to better control mood swings and reduce negative emotions.
Conclusion: In the process of treatment and rehabilitation, survivors will pay more attention to the balanced combination of diet and nutrition, improve the way of exercise, at the same time, they also pay attention to adjust their mental state to promote the recovery of cancer.
A recommendation algorithm based on fullink consistency optimization
Authors: Lu Wenjie 
Published: June 2023

Abstract
Recommendation systems have evolved into multi-purpose and modular developments. Due to the complexity of the recommendation pipeline, this inevitably leads to inconsistent goals among the modules and the overall pipeline. To improve the consistency of the recommendation systems pipeline, we propose a knowledge-based learning framework for full pipeline consistency (COKA). This is the first work to combine knowledge graphs and apply them to the full recommendation pipeline.First, in order to enhance the precision of the ranking model with the highest accuracy in the recommendation pipeline, we introduce the user's historical comments and use the Named Entity Recognition (NER) system to identify and combine entity linking (EL). The system maps the identified entities in the first step to the corresponding entities in Wikipedia.Next, we construct a subgraph that depends on the extracted entities and related entities. Here we use GCN[1] to represent the contextual information of the subgraph. On this basis, we introduce the infonce loss[2] of contrastive learning to help the model further identify the metric expression of the sample. At the same time, in constructing the sample stream of contrastive learning, we introduce a global extra queue in addition to the batch simple[3] to further help alleviate the SSB[4] problem.Finally, we learn the final ranking of the precision ranking through a small dual-tower and bring the expression of the precision ranking model into the entire pipeline through a simple structure to enhance the overall consistency of the recommendation pipeline.
Autonomic function effects on postoperative sleep disorder: a prospective cohort study
Authors: Fang Yunda , Wang Gang , Kan Mingyun , Liu Fengming , Wei Chen , Deng Zhengming , Jiang Zhiwei 
Published: June 2023

Abstract
Background
Early non-invasive identification of patients at risk of developing postoperative sleep disorder (PSD), which is common after surgery, is an essential step in reducing surgery stress and an important part of enhanced recovery after surgery.
Objective
We used smart HRV patches to (1) explore different HRV parameters as potential PSD biomarkers and (2) develop and validate a prognostic model for the early prediction of PSD including change of autonomic function in early postoperative period.
Methods
This is a prospective cohort study where we assessed autonomic function in a separate sample of 51 patients who underwent DaVinci robotic/laparoscopic radical surgery for gastrointestinal cancer with and without insomnia.
Results
In this study, 22(43.137%) of 51 patients experienced PSD. Multivariate logistic regression analysis showed that ICU, POD3 nocturnal LF/HF and SD daytime pNN50 were risk predictors of postoperative sleep quality. The risk factor prediction model was established using ICU (P = 0.013, OR = 0.030), 120h SDNN (P = 0.072, OR = 0.954), POD3 daytime LF/HF (P = 0.096, OR = 3.894), POD3 nocturnal LF/HF (P = 0.025, OR = 1.235), POD2 24h LF/HF (P = 0.256, OR = 4.370), and SD daytime pNN50 (P = 0.039, OR = 0.828). The AUC was 0.969.
Conclusion
Circadian rhythm and activity of ANS was involved in PSD. HRV based on remote measurement technology and long-range monitor have potential as digital biomarkers for helping predict PSD.
Preventing Data Leakage in Cloud Servers through Watermarking and Encryption Techniques
Authors: Devi B. Padmini , Kannadhasan S. 
Published: June 2023

Abstract
Due to the increasing utilization of various systems, services, and applications, sharing multimedia data has become a vital component of individuals' daily routines. However, data leakage is a common problem in cloud storage systems, which poses a significant threat to the confidentiality and copyright protection of multimedia information. To address this issue, digital watermarking has been suggested as an effective method for protecting copyright. The recommended approach combines watermarking and Proxy Re- (PRE) to ensure secure multimedia material exchange. Encryption techniques are also used to protect data from unauthorized access. The proposed method includes encrypting a secret key with a certain key, then combining it with encrypted key data, and ultimately embedding it into an image via the Least Significant Bit (LSB) technique. Once the sensitive information is inserted, the image can be encoded using the ECC Encryption method.Built-in data to the verification method allows authenticated individuals to recover the decryption key, which can identify unauthorized access and restrict content redistribution. The proposed application has the potential to prevent unauthorized access in cloud environments and ensure the security of sharing multimedia data.
Nurses’ knowledge and attitudes about adult post-operative pain assessment and management: cross sectional study in Qatar
Authors: Samara Haya , O’Hara Lily , Singh Kalpana 
Published: June 2023

Abstract

Aim To assess the knowledge and attitudes of nurses in Qatar about adult post-operative patients’ pain assessment and management, and the factors that may be associated with such knowledge and attitudes. Background Pain is a complex and challenging phenomenon. People have different pain experiences but everyone has the right to effective pain management. Pain assessment and management are integral components of a nurse’s role. Methods Post-operative registered nurses from all perioperative areas at Hamad Medical Corporation participated in a cross-sectional online survey using a self-administered questionnaire. A knowledge and attitudes (K&A) score was calculated. Associations between K&A and potential explanatory variables were assessed using t tests and one-way ANOVA. Results A total of 151 post-operative nurses participated in the study (100% response rate). The mean knowledge and attitudes (K&A) score was 19.6 ± 4.5 out of 41 (48%), indicating a large deficit in nurses’ knowledge and attitudes about adult post-operative pain. There were no statistically significant differences in the mean K&A scores of participants based on gender, nationality, education level, marital status, workplace facility, current job designation, or hours of pain education. Conclusion There is a significant deficit in post-operative nurses’ knowledge and attitudes about pain across the nursing workforce in post-operative care. Implications for nursing education and policy: Evidence-based, innovative nursing education courses are needed to improve nurses’ knowledge and attitudes about pain assessment and management. Health service policy is required to ensure that evidence-based in-service education on pain management is compulsory for all nurses.
Incidence and risk factors of proximal junctional kyphosis in adolescent idiopathic scoliosis after correction surgery: a meta-analysis and systematic review
Authors: Ji XingHua , Wei LinDong , Xing ZeJun , Duan YuChen 
Published: June 2023

Abstract
Aim
To analyze the risk factors of proximal junctional kyphosis (PJK) after correction surgery in patients with adolescent idiopathic scoliosis (AIS).
Methods
PubMed, Medline, Embase, Cochrane Library, Web of Science, CNKI, and EMCC databases were searched for retrospective studies utilizing all AIS patients with PJK after corrective surgery to collect preoperative, postoperative, and follow-up imaging parameters, including thoracic kyphosis (TK), lumbar lordosis (LL), proximal junctional angle (PJA), the sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), pelvic incidence-lumbar lordosis (PI-LL), sacral slope (SS), rod contour angle (RCA) and upper instrumented vertebra (UIV).
Results
Nineteen retrospective studies were included in this meta-analysis, including 550 patients in the intervention group and 3456 patients in the control group. Overall, sex (OR 1.34, 95% CI (1.03,1.76), P = 0.03), larger preoperative TK(WMD 6.82, 95% CI (5.48,8.16), P＜0.00001), larger follow-up TK(WMD 8.96, 95% CI (5.62,12.30), P＜0.00001), larger postoperative LL(WMD 2.31, 95% CI (0.91,3.71), P = 0.001), larger follow-up LL(WMD 2.51, 95% CI (1.19,3.84), P = 0.0002), great change in LL(WMD − 2.72, 95% CI (-4.69,-0.76), P = 0.006), larger postoperative PJA(WMD 4.94, 95% CI (3.62,6.26), P＜0.00001), larger follow-up PJA(WMD 13.39, 95% CI (11.09,15.69), P＜0.00001), larger postoperative PI-LL (WMD − 9.57, 95% CI (-17.42,-1.71), P = 0.02), larger follow-up PI-LL(WMD − 12.62, 95% CI (-17.62,-7.62), P＜0.00001), larger preoperative SVA(WMD 0.73, 95% CI (0.26,1.19), P = 0.002), larger preoperative SS(WMD − 3.43, 95% CI (-4.71,-2.14), P＜0.00001), RCA(WMD 1.66, 95% CI (0.48,2.84), P = 0.006) were identified as risk factors for PJK in patients with AIS.
Conclusion
The incidence of PJK in patients with AIS was 19%. Sex, larger preoperative TK, larger follow-up TK, larger postoperative LL, larger follow-up LL, great LL change, larger postoperative PJA, larger follow-up PJA, larger postoperative PI-LL, larger follow-up PI-LL, larger preoperative SVA, larger preoperative SS and RCA were identified as risk factors for PJK in AIS post-correction surgery.
Utilization of [Ga68]FAPI PET/CT in the Evaluation of Thyroid Nodules with 'Suspected' or ‘Malignant’ FNAB: Preliminary Results
Authors: Elboga Umut , Maralcan Gokturk , Bastemir Mehmet , Sahin Ertan , Okuyan Merve , Sokucu Mehmet , Mutlu Melis , Cayirli Yusuf Burak , Celen Yusuf Zeki 
Published: June 2023

Abstract
OBJECTIVE: Fine needle aspiration biopsy (FNAB) is the standard diagnostic approach for identifying thyroid cancer. However, there are challenges with FNAB, such as its invasiveness and the need for repeat procedures based on suspected cytology results. Stroma-targeted PET imaging, using 68Ga-FAPI PET/CT, has shown promising results in detecting tumors and may be a less invasive tool to differentiate between malignant and indeterminate thyroid nodules.
METHODS: This prospective registry study included twenty two patients with tweny four nodules. 68Ga-FAPI PET/CT was performed after fine needle aspiration biopsy (FNAB). Any non-physiological uptake greater than adjacent normal tissue background on 68Ga-FAPI PET/CT was included in the study. The TBR (tumor to background ratio) was defined as the ratio of the lesions’ SUVmax and the SUVmax of healthy thyroid parenchyma tissue determined for each reconstruction algorithm. All the patients had undergone thyroidectomy to confirm the results of FNAB. The post operation histological specimen were also taken as the reference standard. Post-op histopathology, FNAB results and TBR values on 68Ga-FAPI FAPI PET/CT were compared.
RESULT: The study found that malignant thyroid nodules had significantly higher mean SUVmax values compared to benign nodules. However, there was no significant difference in activity uptake between the backgrounds of the nodules. The tumor-to-background ratio (TBR) was higher in malignant nodules, although statistical significance was not reached. Non-follicular types of malignant nodules exhibited significantly higher SUVmax and TBR values compared to follicular variants and benign nodules. There was no significant difference in activity uptake in the backgrounds. Non-follicular types consistently showed higher SUVmax and TBR values, while follicular variants did not display significant activity uptake compared to benign nodules.
CONCLUSION: Due to highly significant SUVmax correlation between benign nodules and background, TBR could be more reliable point of reference in evaluation of thyroid nodules. Non-follicular types of PTC showed significantly higher SUVmax values and prominent TBR compared to follicular variants and benign nodules. After re-categorization, 68Ga-FAPI PET/CT showed 100% sensitivity and NPV in detection of non-follicular types of PTC.
Comparison of effects of curcumin and beta-carotene on ovarian damage caused by cisplatin
Authors: Ceyhan Ayse , Baran Munevver , Suna Pinar Alisan , Cengiz Ozge , Yay Arzu 
Published: June 2023

Abstract
We investigated the potential protective effects of curcumin (CUR) and beta-carotene (BC) against cisplatin (CIS)-induced ovarian damage using histological and immunohistochemical methods. We used 56 female Wistar albino rats, divided randomly into seven groups. Control rats did not receive any treatment; the sham group was administered 1 ml/kg sesame oil by gavage; the CIS group was administered 5 mg/kg CIS; the CUR group was administered 200 mg/kg CUR; the BC group was administered 200 mg/kg BC; the CUR + CIS group was administered CIS after administration of CUR; the BC + CIS group was pretreated with BC before CIS injection, then administered CIS. The ovaries of all groups were excised five days after the last application. We assessed histopathology and counted and classified follicles. Expression of anti-Mullerian hormone (AMH) and nuclear factor-kappa B (NF-κB) was detected immunohistochemically. Apoptosis was evaluated using the TUNEL method. We found that CUR and BC are protective against decreased numbers of primordial, primary, preantral, secondary, and tertiary follicles caused by CIS. AMH immunoreactivity was nearly the same for the control and CUR + CIS groups; both Cur and BC decreased ovarian NF-κB levels compared to controls. Apoptotic cell counts indicated that CUR exerts a stronger anti-apoptotic effect than BC.
A CPT modified interval type-2 hesitant fuzzy PROMETHEE II model to prioritize risks in self-driving vehicles
Authors: Chai Naijie , Zhou Wenliang , Lodewijks Gabriel 
Published: June 2023

Abstract
With the increasing development of self-driving vehicles, there are various substantial risks in the interaction between automated driving technology and conventional transport system along with users, how to prioritize the risks involved in self-driving vehicles is regarded as a considerably complex multi-criteria decision making (MCDM) problem. In response to this, this study aims to propose a novel hybrid MCDM method for quantitatively identifying and prioritizing major types of risks related to self-driving vehicles, and addressing the main issues in the decision process, including information loss, criteria attribute and risk preference. The interval type-2 hesitant fuzzy linguistic term set is used to express double uncertainties on the mutual influence degree among criteria performances associated with each alternative. A combination weight method is developed to measure criteria weight and to investigate the interaction between criteria. And a cumulative prospect theory modified PROMETHEE II model considering criteria properties and risk preference simultaneously is developed to prioritize risks in self-driving vehicles. The findings of this study indicate that the Cyber Attack Risk (A2), Reputational Risk (A1) and Internet Outage Risk (A3) are specified as the top three prioritized risks. The sensitivity analysis illustrates that the final prioritization of risks is influenced by changing criteria weight, criteria properties and risk preference. The comparative analysis demonstrates that the proposed model turns out to be very practicable and feasible, due to its large distinction degree.
Stability, continuability, and boundedness for solutions to the second order stochastic delay integro-differential equation
Authors: Mahmoud Ayman M. 
Published: June 2023

Abstract
In this paper, we investigate the sufficient conditions that guarantee the stability, continuability and boundedness of solutions for a type of second order stochastic delay integro-differential equation (SDIDE).
To demonstrate the main result, we employ the Lyapunov functional. An example is provided to demonstrate the applicability of the obtained result, which includes the results of this paper and obtains better results than those available in the literature.
MSC 2020. 34C11; 34K20; 34D20; 34K50; 60H35.
Outcomes of Pediatric End Stage Renal Disease Patients with Moderate To Severe Covid-19 Infection Who Underwent Hemodialysis With Hemoperfusion In A Tertiary Subspecialty Hospital In Metro Manila: A Retrospective Single Center Study
Authors: Roberto Kathrine S 
Published: June 2023

Abstract
BACKGROUND
SARS-COV 2 became a pandemic in the early part of 2020 affecting individuals of all ages. Patients with End Stage Renal Disease who have COVID-19 infection are at higher risk for morbidity and mortality. There are studies on the use of of hemoperfusion in patients with COVID, however, data on its use in the pediatric population are scarce and conflicting.
OBJECTIVE
The objective of this study is to determine the clinical outcomes of pediatric end stage renal disease patients with moderate to severe COVID-19 infection who underwent hemodialysis with hemoperfusion in a tertiary subspecialty hospital in Metro Manila
METHODS
Retrospective cohort study was done. All eligible patients were included in the study. Data collection was conducted through chart review of medical records of ESRD patients <19 years of age admitted at the National Kidney and Transplant Institute from March 1, 2020 to March 1, 2022, presenting with moderate to severe COVID infection. Inflammatory markers and Chest xray were repeated to compare the values from baseline after 1-4 sessions of hemoperfusion. Clinical outcomes were determined in terms of discharge, duration of hospital stay, resolution of symptoms, progression of the severity of COVID infection, and final disposition either death or discharged.
RESULTS
C-Reactive Protein (CRP), Erythrocyte Sedimentation Rate (ESR), Lactate Dehydrogenase (LDH), and Ferritin decreased after 2-3 sessions of hemodialysis with hemoperfusion but the results were not statistically significant. Procalcitonin significantly decreased after the second session (p=0.046). Pneumonia on Chest xray decreased across all sessions. All patients showed clinical resolution of symptoms and were discharged.
CONCLUSION
The combined use of hemodialysis and hemoperfusion can be used as adjunct treatment for moderate to severe COVID infection after maximizing supportive and medical management. Should it be employed, 2-3 sessions are safe to improve the patient’s clinical status. Keywords: End Stage Renal Disease, COVID-19 infection, hemoperfusion, inflammatory markers
Incidence and Risk Factors of Remnant Gastric Cancer after Gastrectomy for Gastric Cancer: A Population-Based Study from the SEER Database (2000-2020)
Authors: Yan Shangcheng , Cheng Ming , Peng Wei , Liu Tianhua , Zhang Jingyu , Sheng Mengchao , Ren Rui , Chen Qiang , Gong Wei , Xing Chungen , Wu Yongyou 
Published: June 2023

Abstract
Background.
Gastric cancer (GC) constitutes a major health problem in the U.S., of which remnant gastric cancer (RGC) occurs less frequently. The rate of RGCs after gastrectomy for GC is increasing recently due to improved survival and screening, however, their incidence and risk have not been reported in the U.S. population. The objective of this study was to evaluate the incidence and elevated risk of RGC after GC gastrectomy in the U.S., and to identify the risk factors.
Methods.
Patients diagnosed with first primary GC in 2000–2015 and those who developed RGC were identified from Surveillance, Epidemiology and End Results (SEER) database. Fine-Gray regression was used to estimate the cumulative incidence and to identify risk factors. Standardized incidence ratios (SIRs) were calculated by Poisson regression to compare the risk with the general population.
Results.
Among 21566 patients included in the cohort, 227 developed RGC. The 20-year cumulative incidence of RGC was 1.88%. Multivariate analysis showed that hazard ratios were significantly higher in patients with age over 55 years, widowed and single marital status, unspecified tumor site, and T4 tumor, but lower in patients with diagnosis in 2010–2015, female sex, and $75000 + income. SIR was 7.70 overall and > 4.5 in each stratum.
Conclusions.
Cumulative incidence and risk for RGCs increased continuously in patients underwent GC gastrectomy. Earlier diagnosis, older age, male sex, marital status, lower income, and invasion depth are independent risk factors for RGC development. Close and lifelong endoscopy surveillance should be recommended for these patients.
Association of Metabolic Syndrome and Ischemic Changes in ECG: Result from a Population-Based Study
Authors: Soflaei Sara Saffar , Varasteh Naeemeh , Pourali Ghazal , Azarkar Setareh , Ghalibaf AmirAli Moodi , Mohammadi-Bajgiran Maryam , Ebrahimi Mahmoud , Alimi Hedieh , Shahri Bahram , Izadi-Moud Azadeh , Yadollahi Asal , Bijari Moniba , Ferns Gordon A. , Esmaily Habibollah , Ghayour-Mobarhan Majid , Moohebati Mohsen 
Published: June 2023

Abstract

Background Metabolic syndrome (MetS) is a set of metabolic impairments that are all risk factors for cardiovascular diseases (CVDs). To distinguish and anticipate the CVD risk, an electrocardiogram (ECG) can be utilized. While the exact association between MetS components and ECG abnormalities isn’t well established yet, we designed this study to verify the association between MetS components and ischemic ECG presentations. Methods This cross-sectional study was conducted on individuals aged 35–65 years as part of the population-based Mashhad stroke and heart atherosclerotic disorder (MASHAD) study. International Diabetes Federation (IDF) criteria were utilized to categorize the participants into two groups: those with and without MetS. ECGs were coded using the Minnesota coding system. The association between each MetS component and every single ischemic ECG presentation was analysed separately. Results Among the 9035 available ECG data, the general prevalence of ischemic ECG presentation was significantly higher in those with MetS than in those without (p < 0.05), except for minor ischemia (P = 0.787). Multiple logistic regression analysis showed that MetS was independently associated with major ischemia presentation in ECG (OR = 1.254, 95% Cl: 1.103–1.425, P < 0.001), but there wasn’t any association found with minor ischemia, after adjustment for age, sex, smoking, CVD family history, and physical activity level. Among Mets components, triglycerides, fasting blood glucose, waist circumference, and systolic and diastolic blood pressures had significantly positive associations with ischemic ECG presentations in the case of any association. Elevated high-density lipoprotein cholesterol level had negative associations with ischemic ECG presentations, while it had a significant positive association only with ST-segment elevation (OR = 1.021, 95% Cl: 1.011–1.031, P < 0.001). Conclusions MetS and its components showed an association with ischemic ECG presentations, but these associations were diverse, based on each MetS component and ischemic ECG abnormality.