bluuebunny/crossref_metadata_2025_split huggingface dataset:
A nonbifurcating cervical carotid artery with a remnant of the proximal internal carotid artery that mimicked an aneurysm on magnetic resonance angiography
Authors: ウ チノアキラ , Ishihara Shoichiro 
Published: July 2023

Abstract
Purpose To describe a case of a nonbifurcating cervical carotid artery with remnant of the proximal internal carotid artery (ICA).Methods A 47-year-old man with unruptured cerebral aneurysm underwent magnetic resonance (MR) angiography of the neck region and intracranial region. The MR machine was a 3-T scanner. Catheter angiography was performed for the treatment of the aneurysm by coil embolization.Results The proximal main trunk of the left external carotid artery (ECA) was absent, and branches arose separately, indicative of a nonbifurcating cervical carotid artery. At the level of the ICA origin, aneurysmal protrusion was found on MR angiography. On catheter angiography, this protrusion was not an aneurysm but a remnant of the proximal ICA.Conclusion The configuration of the nonbifurcating cervical carotid artery lacks the proximal ECA; however, segmental agenesis of the proximal ICA forms this rare cervical arterial variation. The present case had remnants of the proximal ICA. We speculate that the ICA channel, except for the origin, was occluded after the development of EC-ICA anastomosis, and a nonbifurcating cervical carotid artery with a remnant of the ICA may have formed. Including our patient, only four cases have been reported in the relevant English-language literature.
CORM-2 and Ifenprodil improved joint oedema-associated mobility via the inhibition of thalamic P2X4 receptor-induced microglia activation in chronic polyarthritis rats
Authors: Khir Nurul Ajilah Mohamed , Noh Ain ’ Sabreena Mohd , Zin Anani Aila Mat , Long Idris , Yusop Norhayati , Ismail Che Aishah Nazariah 
Published: July 2023

Abstract

Pain derived from rheumatoid arthritis (RA) is the most debilitating symptom suffered by patients although inflammation is successfully controlled. It is the main concern that is frequently overlooked due to unclear understandings of its occurrence. Medications to alleviate pain are limited and produce severe side effects. This study aimed to uncover possible involvement of nociceptive signalling N-methyl-D-aspartate-2B receptor (NMDAR-2B) or P2X4 receptor (P2X4R)-induced microglial activation at thalamus of chronic polyarthritis rat mimicking RA upon CORM-2 (selective P2X4R antagonist) and ifenprodil (non-competitive NMDAR-2B antagonist) administrations. Eighty Sprague-Dawley male rats were randomly assigned into five groups (n = 16): non-arthritic control(C), arthritic control(A), arthritic rats treated with either diclofenac (positive control) (A + Diclofenac), CORM-2 (A + CORM-2), or ifenprodil (A + Ifenprodil). The rat was induced with complete Freund’s adjuvant into chronic polyarthritis state for 15 days. Treatment of either sodium diclofenac, ifenprodil, CORM-2 or saline (as vehicle) was performed for seven days intrathecally. Bilateral ankle joint diameter and spontaneous behaviour activity (mobility) were evaluated to assess oedema-induced pain responses. Thalamus tissue was collected for qRT-PCR and immunohistochemistry analyses. Results revealed a significant reduction in ankle joint diameter and improved mobility in groups treated with CORM-2 and ifenprodil. The treatments significantly attenuated mRNA level and protein expression of thalamic P2X4R and activated microglia of arthritic rats. This study deduced possible contribution of thalamic NMDAR-2B-P2X4R-induced microglial activation in pathogenesis of RA pain. It also provides insights to understand the pathogenesis of RA pain and suggests CORM-2 and ifenprodil as possible new therapeutics in RA pain management.
Did Physical Activity Prevent Burnout Among Family Physicians in Slovenia During the COVID-19 Pandemic?
Authors: Bunc Ksenija Tušek , Selič-Zupančič Polona , Uplaznik Janja 
Published: July 2023

Abstract
Background The COVID-19 pandemic amplified the existing problem of burnout among healthcare workers. Physical activity has positive effects on the entire body and mental health, and may prevent burnout.
Objectives: Determine the relationship between physical activity and prevalence of burnout among Slovenian family physicians (FPs) and family medicine trainees (FMTs) during the COVID-19 pandemic.
Methods: Cross-sectional observational study of Slovenian FPs and FMTs addressing sociodemographic variables, type and duration of physical activity and assessing burnout using the Maslach Burnout Inventory. Data was analysed using various bivariate statistical tests.
Results: 1230 FPs and FMTs were invited to participate in the study, 282 completed the survey (22.9% response rate), 243 (86.2%) FPs and 39 (13.8%) FMTs. Total burnout score (MBITOT) during the COVID-19 pandemic was high in 48.6% of the FPs and FMTs; 62.8% scored high for emotional exhaustion (EE), 40.1% high for depersonalization (DP) and 53.5% low for personal accomplishment (PA). Compared to FMTs, EE and MBITOT was higher in FPs (p < 0.001 and p = 0.010, respectively). There was no difference when comparing physical activity and burnout during the COVID-19 pandemic.
Conclusions: No relationship was found between physical activity and burnout. FPs experienced significantly more burnout than FMTs.
Sensor Spoofing Detection On Autonomous Vehicle Using Channel-spatial-temporal Attention Based Autoencoder Network
Authors: Zhou Man , Han Lansheng 
Published: July 2023

Abstract
Autonomous vehicles rely on various sensors to evaluate the driving environment and issue essential control commands. Nonetheless, these sensors are susceptible to false data injection and spoofing attacks, which could easily be launched wirelessly and remotely by attackers. This paper proposes a channel-spatial-temporal attention-based autoencoder network to detect sensor spoofing attacks on autonomous vehicles. The network utilizes the reconstruction error based on the autoencoder to detect abnormalities in input time series data of multiple sensors. The proposed model consists of a memory-augmented based spatial-attention block and PSE-Res2Net block based encoder and decoder. PSE-Res2Net block initially adopts Res2Net module to generate multi-scale feature graph and enhance multi-dimensional representation ability of neural network, then applies the PSENet module to capture location-aware channel information and channel-sensitive spatial information through the interaction of channel attention and spatial attention. Moreover, the memory-augmented based temporal-attention block is developed to integrate multi-scale features and gather global sequence information of sensor measurements. The results of the experimental evaluation on the comma2k19, KITTI, and CCSAD datasets illustrate that the proposed detection model is superior to the baseline technologies in terms of mPre, mRec, mF1 score and achieves stronger robustness against noise.
Unobserved heterogeneity and temporal instability in an analysis of household water consumption under block rate pricing
Authors: Altarabsheh Ahmad , Abraham Dulcy , Altarabsheh Ibrahim 
Published: July 2023

Abstract

There is a lack of studies investigating household water consumption while considering the possible heterogeneity in the observed data and its temporal instability, often resulting in inconsistent and biased parameter estimations and, as a result, inaccurate forecasting of household water consumption. To address these constraints, the current study investigates temporal shifts in the household water consumption pattern and the effects of different socioeconomic factors on forecasting household water consumption. Using the results of a household survey performed seasonally in three major cities in Northern Jordan over a 4-year period, separate seasonal models of water consumption are estimated using three alternate modeling approaches to account for possible unobserved heterogeneity. Likelihood ratio tests were performed to investigate the temporal stability of the models' estimations over different seasons across the 4-year period. The findings of these tests indicated that the data are temporally stable over two datasets (the summer and winter seasons). Also, the findings revealed that household water consumption is influenced by a variety of factors, with the impact of many of these factors varying across observations. Finally, the findings highlight the need for additional research into how unobserved heterogeneity can be best modeled in temporal contexts for accurate water consumption forecasting.
Using Clinician-Patient WeChat Group Communication Data to Identify Symptom Burdens in Patients With Uterine Fibroids Under Focused Ultrasound Ablation Surgery Treatment: Qualitative Study
Authors: Zhang Jiayuan , Xu Wei , Lei Cheng , Pu Yang , Zhang Yubo , Zhang Jingyu , Yu Hongfan , Su Xueyao , Huang Yanyan , Gong Ruoyan , Zhang Lijun , Shi Qiuling 
Published: July 2023

Background
Unlike research project–based health data collection (questionnaires and interviews), social media platforms allow patients to freely discuss their health status and obtain peer support. Previous literature has pointed out that both public and private social platforms can serve as data sources for analysis.

Objective
This study aimed to use natural language processing (NLP) techniques to identify concerns regarding the postoperative quality of life and symptom burdens in patients with uterine fibroids after focused ultrasound ablation surgery.

Methods
Screenshots taken from clinician-patient WeChat groups were converted into free texts using image text recognition technology and used as the research object of this study. From 408 patients diagnosed with uterine fibroids in Chongqing Haifu Hospital between 2010 and 2020, we searched for symptom burdens in over 900,000 words of WeChat group chats. We first built a corpus of symptoms by manually coding 30% of the WeChat texts and then used regular expressions in Python to crawl symptom information from the remaining texts based on this corpus. We compared the results with a manual review (gold standard) of the same records. Finally, we analyzed the relationship between the population baseline data and conceptual symptoms; quantitative and qualitative results were examined.

Results
A total of 408 patients with uterine fibroids were included in the study; 190,000 words of free text were obtained after data cleaning. The mean age of the patients was 39.94 (SD 6.81) years, and their mean BMI was 22.18 (SD 2.78) kg/m2. The median reporting times of the 7 major symptoms were 21, 26, 57, 2, 18, 30, and 49 days. Logistic regression models identified preoperative menstrual duration (odds ratio [OR] 1.14, 95% CI 5.86-6.37; P=.009), age of menophania (OR –1.02 , 95% CI 11.96-13.47; P=.03), and the number (OR 2.34, 95% CI 1.45-1.83; P=.04) and size of fibroids (OR 0.12, 95% CI 2.43-3.51; P=.04) as significant risk factors for postoperative symptoms.

Conclusions
Unstructured free texts from social media platforms extracted by NLP technology can be used for analysis. By extracting the conceptual information about patients’ health-related quality of life, we can adopt personalized treatment for patients at different stages of recovery to improve their quality of life. Python-based text mining of free-text data can accurately extract symptom burden and save considerable time compared to manual review, maximizing the utility of the extant information in population-based electronic health records for comparative effectiveness research.
Comparing the Effectiveness of a Web-Based Application With a Digital Live Seminar to Improve Safe Communication for Pregnant Women: 3-Group Partially Randomized Controlled Trial
Authors: Kötting Lukas , Derksen Christina , Keller Franziska Maria , Lippke Sonia 
Published: July 2023

Background
Medical internet interventions such as asynchronous apps and synchronous digital live seminars can be effective behavior change interventions. The research question of this study was whether digital interventions based on the Health Action Process Approach can improve pregnant women’s safe communication and patient safety in obstetric care.

Objective
This study aims to compare a digital live seminar with a web-based application intervention and a passive control group and to identify which social cognitive variables determine safe communication behavior and patient safety.

Methods
In total, 657 pregnant women were recruited, and hereof, 367 expectant mothers from 2 German university hospitals participated in the pre-post study (live seminar: n=142; web-based app: n=81; passive control group: n=144). All interventions targeted intention, planning, self-efficacy, and communication of personal preferences. The 2.5-hour midwife-assisted live seminar included exercises on empathy and clear communication. The fully automated web-based application consisted of 9 consecutive training lessons with the same content as that of the live seminar.

Results
Controlled for sociodemographic characteristics, repeated measures analyses of covariance revealed that pregnant women significantly improved their self-reported communication behavior in all groups. The improvement was more pronounced after the digital live seminar than after the web-based application (P<.001; ηp2=0.043). Perceived patient safety improved more for pregnant women participating in the live seminar than for those participating in the web-based application group (P=.03 ηp2=0.015). A regression analysis revealed that social cognitive variables predicted safe communication behavior.

Conclusions
Overall, the web-based application intervention appeared to be less effective than the digital live training in terms of communication behavior. Application interventions addressing communication behaviors might require more face-to-face elements. Improving intention, coping planning, and coping self-efficacy appeared to be key drivers in developing safe communication behavior in pregnant women. Future research should include social learning aspects and focus on the practical application of medical internet interventions when aiming to improve pregnant women’s communication and patient safety in obstetrics.

Trial Registration
ClinicalTrials.gov NCT03855735; https://clinicaltrials.gov/ct2/show/NCT03855735
The Senior Companion Program Plus for African American Caregivers of Persons With Alzheimer Disease and Related Dementias: Protocol for a Randomized Controlled Trial
Authors: Fields Noelle L , Xu Ling , Williams Ishan C , Gaugler Joseph E , Cipher Daisha J 
Published: July 2023

Background
Alzheimer disease and related dementias (ADRD) pose significant challenges as chronic health conditions in the United States. Additionally, there are notable disparities in the diagnosis and prevalence of ADRD among diverse populations. Specifically, African American populations have a higher risk of developing late-onset ADRD than White people, and missed diagnoses of ADRD are more common among older African American populations than older White populations. These disparities also impact African American ADRD family caregivers.

Objective
The overall goal of this project is to develop a culturally informed, lay provider psychoeducational intervention named Senior Companion Program Plus (SCP Plus), which is specifically designed for African American ADRD caregivers and is potentially accessible, affordable, and sustainable.

Methods
In the proposed explanatory sequential mixed methods study, a randomized controlled trial will be used that includes 114 African American family caregivers of a relative with ADRD who will participate in the 3-month SCP Plus program.

Results
The study was funded on September 15, 2018, by the National Institutes of Health (1R15AG058182-01A1). Data collection began on May 16, 2019, but due to COVID-19 restrictions, ended 12 months into the planned 27-month recruitment period on March 31, 2023. The study was completed in June 30, 2023, and currently the results are being analyzed.

Conclusions
The SCP Plus offers promise as an intervention that utilizes an existing platform for the delivery of a lay provider intervention and offers a novel approach for addressing gaps in accessible, community-based support for caregivers of people with ADRD.

Trial Registration
ClinicalTrials.gov NCT03602391; https://classic.clinicaltrials.gov/ct2/show/NCT03602391

International Registered Report Identifier (IRRID)
RR1-10.2196/49679
EFFORTS TO IMPROVE MATHEMATICAL CREATIVE THINKING ABILITY OF STUDENTS IN CLASS VIII-A SMP BPK PENABUR HOLIS BANDUNG IN MATERIALS OF GEOMETRY FLAT SIDE OF SOLID FIGURE THROUGH REALISTIC MATHEMATICS EDUCATION APPROACH
Authors: Pertiwi Citra Megiana , Desti Ratna Maria 
Published: July 2023

This research aimed to analyze the role of Realistic Mathematics Education (RME) approach in enhancement, and achievement of Mathematical Creative Thinking Ability (MCTA) in flat side of solid figure of Â Pyramid dan Prism learning of Junior High School studentsâ€™ would improve studentsâ€™ mathematical creative thinking in terms of students' minimum criteria of mastery learning (KKM). The method used was classroom action research with planning, implementation of the action, evaluation, and reflection design in 3 cycle. The subject of this research was 8th-A graders in SMP BPK Penabur Holis Bandung. The instrument used an essay test on MCTA, observation sheets, and interview sheets. Data analysis was done quantitatively, in quality and descriptive basis. The results showed that: (1) Students ' learning through RME was better than their previous grades, (2) MCTA of students whose study used the RME approach enhancement 32.28% from cycle I to cycle II and 6.45% from cycle II to cycle III, (3) Students' MCTA in each indicator have equalization
IMPROVING MATHEMATIC COMMUNICATION ABILITY CLASS OF VII A STUDENTS SMP NEGERI 11 CIMAHI ON FLAT BUILDING MATERIALS FOUR THROUGH THINK-TALK -WRITE (TTW) APPROACHES
Authors: Minokti Tupa , Purwandari Andriana Siwi 
Published: July 2023

This study aims to increase the mathematical communication skills of students at class VII A on rectangular flat material through the Think-Talk-Write (TTW) approach in SMP Negeri 11 Cimahi. This type of research is CAR or Classroom Action Research Â using a model from Kemmis and McTaggart with spiral research, the population sample are all students of class VII A Cimahi 11 Public Middle School consisting of 36 students. This study to be composed of 3 cycles in which each cycle to be composed of the 3 stages that is planning, implementation, and observation reflection, before and after the study was given an instrument test in the form of a description test. In each cycle there is an activity observation sheet. The results of this study indicate that students' mathematical communication skills can be increase through the Think-Talk-Write (TTW) approach application.
Mathematical Problem Solving and Disposition: Experiment with Tenth Grade Students Using MEAs
Authors: Mellyana Mellyana , Sumarmo Utari , Kustiana Asep 
Published: July 2023

This reseach is a pre test-post test experimental control group design having a goal to examine Â the role of Model Eliciting Activities (MEAs) approach, on studentâ€™s mathematical problem solving ability (MPSA) and disposition (MD). The research involved 59 tenth grade students of a Senior High School in Garut Inodonesia, a MPSA test, and aÂ MD Â scale. The researchÂ found MEAs took greater role than SA on improving studentâ€™s MPSA and its N<Gain>.Â Students getting treatment with MEAs obtained MPSA higher grade than the grade of students taught by SA, however those both grades were at low grade level, and students encountered many difficulties on solving MPSA tasks. In addition to,Â there were no different grades on studentâ€™s MD, and the grades were at fairly good level, and there was strong association between MPSA and MD. Other findings was thatÂ students declared positive opinion on MEAsÂ and they peformed active learning during the lessons.Â Keywords:mathematical problem solving, disposition, MEAs approach,
The Effect of Exploration Approach on Studentsâ€™ Mathematical Creative Thinking Ability and Disposition
Authors: Suwartini Imas , Sumarmo Utari , Kustiana Asep 
Published: July 2023

This article reported the findings of an experiment having a goal to enchance studentsâ€™ mathematical creative thinking ability (MCTA) and disposition (MD) by using exploration approach (EA). Subjects of thisÂ research were 60 seventh grade students which selected puposivelyÂ from 5 classes in a Yunior High School in Garut. The instruments of this research were test of an essay MCTA test, and a MD scale, The research found that the grades of MCTA of students getting treatment with EA were higher than the grades of students taught by scienctific approach (SA), however there was no different grades on studentâ€™s MD.Â Beside that, stdudents in both classess still realized some difficulties on solving MCTA tasks, and there was moderate association between studentâ€™s MCTA and studentâ€™s MDKeyword: mathematical creative thinking ability, mathematical disposition, exploration approach
The Effect of Inductive- Deductive Approach on Studentsâ€™ Mathematical Creative Thinking Ability and Self-Efficacy
Authors: Mahmudin Cecep , Sumarmo Utari , Kustiana Asep 
Published: July 2023

This research was a pre test-post test experimental control group design having a goal to analyze Â the role of Inductive-Deductive Approach (IDA) on improving Â studentsâ€™ mathematical creative thinkingÂ ability (MCTA) and self efficacyÂ (MSE). Subjects of this research were Â 70 Â eleventh grade students from two classes selected purposively in a Senior High School in Garut. Instruments of this research were a MCTA test, and a MSE scale. The research found that the role of IDA was greater than the role of scientific approach (SA) on improving Â studentsâ€™ MCTA and MSE. Students getting treatment with IDA approach obtainedÂ MCTA and MSE at good grades qualification. While students taught by SA attained MCTA and MSE at low-moderate grades level. Â Apart of those findings, the research found that students getting treatment with IDA encountered a litle bit difficulty Â in solving MCTA tasks. In contrast students taught by SA experienced in allmost items of MCTA tasks.Â In addition, the research also found there was no assocition between MCTA and MSE and students performed good and active learning during IDA lessons.Keyword: mathematical creative thinking,Â mathematical self efficacy, model eliciting activities (IDA)