bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intraoperative imagining in breast cancer surgery
Authors: Bigdoń Anna , Ćwiek Maciej , Gorczyca Przemysław , Góra Mateusz , Hunek Adrian , Kozłowska Martyna , Kreft Rafał , Sydor Patryk , Wartacz Marcel , Woźniak Aleksander 
Published: August 2023

Breast cancer is the most common cancer in the female population. It is the second leading cause of cancer death in this population. The current technique of nuclear medicine combined with oncological surgery requires the improvement of known imaging methods.
In addition to generally available methods, such as MRI, CT, PET or mammography, scientists try to modify the diagnostic process and treatment of the patient in such a way that it is as effective and the least harmful as possible.
Breast cancer surgery is experiencing an infamous boom due to the increase in diagnoses, but looking at the positive side, it is also experiencing an amazing development: clinical and technological.
Increasingly, surgeons are accompanied by nuclear medicine, which precisely defines the methods of excision of breast tumors with a margin, while giving a satisfactory cosmetic effect, which is especially important for women.
Thanks to the development of these two fields, it is becoming easier to identify specific sentinel lymph nodes (SLNs) that require resection during surgical treatment and to suggest postoperative treatment.
The progress of science and medicine has undoubtedly contributed to the development of methods of intraoperative imaging in breast cancer. Today, practically simultaneously in the conditions of the operating room, a multidisciplinary team can determine the area of resection faster and more accurately.
Based on the research, it was decided to compare several methods used in today's advanced breast cancer surgery, supported by nuclear medicine.
Generation of GHz line-spacing tunable optical frequency combs using Talbot effects
Authors: Yan Juanjuan , Wang Yu , Zeng Hanlei 
Published: August 2023

In this paper, the generation of GHz line-spacing tunable optical frequency combs (OFCs) was demonstrated using an electro-optical (EO) Talbot laser and a phase modulator. In the EO Talbot laser, the frequency shifting was realized with a dual-parallel Mach–Zehnder modulator (DPMZM) working for carrier-suppressed single-sideband modulation. The PM was employed to achieve the spectral Talbot effect and compensate the phase introduced by the temporal Talbot effect in the laser loop. Arbitrary control of OFC line-spacing was realized using temporal and spectral Talbot effects. The principle of this OFC generator was theoretically modeled. In the experiments, the 2 GHz line spacing of an OFC was multiplied to be 4 GHz, 6 GHz, 8 GHz, and 10 GHz. The frequency spacing of the OFC can also be multiplied with a fractional factor of 3/4, 7/2, 8/5, and 10/7, which was confirmed by simulations.
All-glass miniature GHz repetition rate femtosecond laser cavity
Authors: Delgoffe Antoine , Nazir Saood , Hakobyan Sargis , Hönninger Clemens , Bellouard Yves 
Published: August 2023

Free-space optics allows for design freedom and control, but
miniaturization and manufacturability are limited. Here, we present a
method for manufacturing complex miniaturized free-space optical
systems that combines contactless femtosecond laser-activated
alignment with femtosecond laser 3D manufacturing of a substrate
incorporating optomechanical elements. Specifically, we demonstrate a
palm-sized, all-glass GHz femtosecond laser cavity, whose alignment
and lasing operation are permanently tuned in a contactless manner via
laser–matter interaction using another femtosecond laser. The
manufactured Yb:KYW oscillator shows self-starting mode-locking with a
diffraction-limited beam and outputs a stable train of solitons with
182 fs pulse width at 1.0925 GHz repetition rate, for
725 mW incident pump power.
Adenosine triphosphate (ATP) sampling algorithm for monitoring the cleanliness of surgical instruments
Authors: Pontes Daniela Oliveira , Costa Dayane de Melo , da Silva Pereira Priscilla Perez , Whiteley Greg S. , Glasbey Trevor , Tipple Anaclara Ferreira Veiga 
Published: August 2023

Background
Timely detection of cleaning failure is critical for quality assurance within Sterilising Service Units (SSUs). Rapid Adenosine Triphosphate (ATP) testing provides a real time and quantitative indication of cellular contaminants, when used to measure surface or device cleanliness. The aim of this study was to investigate the use of an ATP algorithm and to whether it could be used as a routine quality assurance step, to monitor surgical instruments cleanliness in SSUs prior to sterilisation.

Methods
Cleanliness monitoring using rapid ATP testing was undertaken in the SSUs of four hospitals located in the western (Amazonia) region of Brazil. ATP testing was conducted (Clean Trace, 3M) on 163 surgical instruments, following manual cleaning. A sampling algorithm using a duplicate swab approach was applied to indicate surgical instruments as (i) very clean, (ii) clean, (iii) equivocal or (iv) fail, based around a ‘clean’ cut-off of 250 Relative Light Units (RLU) and a ‘very clean’ <100 RLU.

Results
The four cleanliness categories were significantly differentiated (P≤0.001). The worst performing locations (hospitals A & C) had failure rates of 39.2% and 32.4%, respectively, and were distinctly different from hospitals B & D (P≤0.001). The best performing hospitals (B & D) had failure rates of 7.7% and 2.8%, respectively.

Conclusion
The ATP testing algorithm provides a simple to use method within SSUs. The measurements are in real time, quantitative and useful for risk-based quality assurance monitoring, and the tool can be used for staff training. The four-tiered approach to the grading of surgical instrument cleanliness provides a nuanced approach for continuous quality improvement within SSU than does a simple pass/fail methodology.
Trialling an optimised social groups intervention in services to enhance social connectedness and mental health in vulnerable young people (TOGETHER): Study protocol for a feasibility randomised controlled trial
Authors: Vella Claire , Berry Clio , Easterbrook Matthew J. , Bibby-Jones Anna-Marie , Michelson Daniel , Bogen-Johnston Leanne , Fowler David 
Published: August 2023

Background
Calls have been made to rethink the mental health support currently available for young people. This study aims to help re-focus and reduce the inaccessibility of mental health services by offering an adapted version of a theoretically-driven, evidence-based, guided psychosocial intervention known as ‘Groups 4 Health’ (G4H). To date, the G4H intervention has mainly been trialled in Australia, with promising positive effects on social connection, mental health and well-being. The present study examines the feasibility of running a randomised controlled trial when delivering the G4H intervention for young people in the UK.

Methods
The TOGETHER study is a feasibility randomised controlled trial of an adapted version of the G4H intervention. Participants are aged 16–25, currently experiencing mental health difficulties and recruited from mental health services. The target sample size is 30, with 15 in each trial arm. Participants are randomly allocated to either G4H plus treatment as usual, or treatment as usual alone. The primary outcomes of interest are the feasibility of recruitment, randomisation, data collection and retention to the study at 10 and 14 week follow up, as well as the acceptability, and accessibility of the study protocol and G4H intervention.

Discussion
The results of this study will indicate if further optimisation is required to improve the feasibility, acceptability and accessibility of the intervention and study protocol procedures as perceived by end users and practitioners. This offers a significant opportunity to support the local and national demand for accessible, innovative, and effective psychosocial youth mental health support.

Trial registration
ISRCTN registry (ISRCTN12505807). Registration date: 11/04/2022.
What determines the performance of low-carbon cities in China? Analysis of the grouping based on the technology—Organization—Environment framework
Authors: Chen Weidong , Cai Quanling , Di Kaisheng , Li Dongli , Liu Caiping , Wang Mingxing , Liu Sichen , Di Zhensheng , Shi Qiumei 
Published: August 2023

Background and objectives
Addressing climate change and reducing greenhouse gas emissions have emerged as shared global objectives. Enhancing the development performance of low-carbon cities has become an urgent and widely acknowledged concern for both government policy-making departments and academics. Drawing upon the complex grouping perspective and resource allocation theory, this study investigates how varying conditions related to technology, organization, and environment in Chinese low-carbon pilot cities can effectively allocate resources to shape the governance performance of low-carbon cities.

Methods and data
This paper employs a comprehensive grouping analysis perspective, treating the research object as a combination of various ways between condition variables. It integrates the advantages of case studies and variable studies, and investigates the collective relationships between elemental groupings and outcomes using the fsQCA analysis method. This approach facilitates the understanding of multiple concurrent causal relationships within the technology-organization-environment (TOE) framework, accounting for different performance levels in Chinese low-carbon pilot cities, as well as addressing complex causal issues such as asymmetry and multiple scenario equivalence. Data from 30 representative low-carbon pilot cities in China were employed to validate the TOE theoretical framework.

Conclusion
No single element alone can be considered a necessary condition for low-carbon city governance performance. However, environmental enhancement plays a more prominent role in the governance performance of low-carbon cities. Additionally, the presence of "multiple concurrent" technical, organizational, and environmental conditions leads to a diverse range of governance performance in Chinese low-carbon pilot cities. In other words, the driving paths of low-carbon city performance exhibit distinct pathways.

Contribution
The findings of this study can assist low-carbon pilot city managers in generating effective governance ideas, facilitating the successful implementation of low-carbon city pilot projects, and drawing valuable lessons from the experience of low-carbon city development in China.
Predictors of hospital admission when presenting with acute-on-chronic breathlessness: Binary logistic regression
Authors: Hutchinson Ann , Pickering Alastair , Williams Paul , Johnson Miriam 
Published: August 2023

BackgroundBreathlessness due to medical conditions commonly causes emergency department presentations and unplanned admissions. Acute-on-chronic breathlessness is a reason for 20% of emergency presentations by ambulance with 69% of these being admitted. The emergency department may be inappropriate for many presenting with acute-on-chronic breathlessness.AimTo examine predictors of emergency department departure status in people with acute-on-chronic breathlessness.Design, setting and methodSecondary analysis of patient-report survey and clinical record data from consecutive eligible attendees by ambulance. Variables associated with emergency department departure status (unifactorial analyses; p<0.05) were included in a binary logistic regression model. The study was conducted in a single tertiary hospital. Consecutive survey participants presenting in May 2015 with capacity were eligible. 1,212/1,345 surveys were completed. 245/1,212 presented with acute-on-chronic breathlessness, 171 of whom consented to clinical record review and were included in this analysis.ResultsIn the final model, the odds of admission were increased with every extra year of age [OR 1.041 (95% CI: 1.016 to 1.066)], having talked to a specialist doctor about breathlessness [9.262 (1.066 to 80.491)] and having a known history of a heart condition [4.177 (1.680 to 10.386)]. Odds of admission were decreased with every percentage increase in oxygen saturation [0.826 (0.701 to 0.974)].ConclusionOlder age, lower oxygen saturation, having talked to a specialist, and having history of a cardiac condition predict hospital admission in people presenting to the emergency department with acute-on-chronic breathlessness. These clinical factors could be assessed in the community and may inform the decision regarding conveyance.
Mental health and suicide risk among homosexual males in Bangladesh
Authors: Mozumder Muhammad Kamruzzaman , Jasmine Umme Habiba , Haque Md. Ashikul , Haque Shamsul 
Published: August 2023

Background
Homosexual individuals are at high risk of suicide, but there is a shortage of data from developing countries to confirm this. Estimates on mental health and suicide risk among male homosexuals in Bangladesh are needed to generate awareness and to plan services accordingly.

Method
We assessed mental health and suicidal behavior of 102 self-identified homosexual males from a community-based organization that works with the sexual minority population.

Results
One-third of the participants (32.4%) had experienced attempted suicide, and almost half (47.1%) had a history of suicidal ideation and self-harm (40.2%). Compared to a heterosexual sample, homosexual males had poorer mental health as they scored higher on Beck Hopelessness Scale (Cohen’s d = 0.29) and General Health Questionnaire (GHQ) (Cohen’s d = 0.57). The results revealed positive correlations between self-harm, suicidal ideation and suicide attempt scores. Participants with history of suicide attempt, suicide ideation and self-harm reported worse general health, more social dysfunction, and severe depression than those without such history.

Conclusion
Suicidality and mental health conditions among homosexual males in Bangladesh have appeared to be alarming. Given the concerns, we offer some recommendations for practitioners and social workers who are serving this population in Bangladesh.
Persistent pain management in an oncology population through pain neuroscience education, a multimodal program: PaiNEd randomized clinical trial protocol
Authors: Fernández-Gualda Miguel Ángel , Ariza-Vega Patrocinio , Lozano-Lozano Mario , Cantarero-Villanueva Irene , Martín-Martín Lydia , Castro-Martín Eduardo , Arroyo-Morales Manuel , Tovar-Martín Isabel , Lopez-Garzon Maria , Postigo-Martin Paula , González-Santos Ángela , Artacho-Cordón Francisco , Ortiz-Comino Lucía , Galiano-Castillo Noelia , Fernández-Lao Carolina 
Published: August 2023

Introduction
Pain is one of the most persistent symptoms after cancer treatment. The central nervous system can erroneously stay in its alarm phase, altering the pain experience of patients who have cancer. Pain neuroscience education (PNE) with multimodal approaches may benefit these patients.

Objective
This protocol aims to determine the effectiveness of a PNE tool on pain, physical function and quality of life, as a supplement to a multimodal rehabilitation (MR) program in patients who had breast cancer (BC).

Methods
An 8-week double-blinded randomized controlled trial will be conducted, including 72 participants who had BC and who have persistent pain, randomized into three groups: PNE program + MR program, traditional biomedical information + MR program and control group. The PNE program will include educational content that participants will learn through a mobile app and the MR program will include a concurrent exercise program and manual therapy. The primary outcome will be the perceived pain assessed using the Visual Analogue Scale and secondary outcomes are others related to pain, physical function and quality of life. All outcomes will be evaluated at baseline, at the end of the intervention and 6 months after the end of intervention.

Discussion
The proposed study may help BC patients with persistent pain improve their pain experience, quality of life and provide for more adaptive pain-coping strategies. This protocol could propose an action guide to implement different integral approaches for the treatment of sequelae. This treatment option could be offered to this patient profile and it could be easily implemented in the healthcare systems due to its low costs.

Trial registration
ClinicalTrials.gov, NCT04877860. (February18, 2022).
Work factors affect work stress among lecturers: study in Indonesia
Authors: Multamasatika D. F. , Akbar K. A. , Hartanti R. I. , Kallawicha K. 
Published: August 2023

Work stress is a discrepancy between the workload and the individual's ability to do their job. Work stress factors that cause work stress are individual, work, and outside the work/environment. There is no data and research about work stress from work factors, mainly focusing on lecturers or universities.Objective. This study aimed to analyze the relationship between work factors in the form of type of faculty, workload, type of professor, and interpersonal relationships with the work stress of lecturers.Material and methods. This research was conducted using a cross-sectional study. The research sample consisted of 100 lecturers with active status selected by quota sampling. Data were collected using a questionnaire filled out online and analyzed using the Chi-square test and the Contingency Coefficient Test.Results. The result showed that most participants had moderate stress (score: 59–92) and moderate workload (score: 50–80). Most of the participants were Associate professors (52%) and had good interpersonal relationships in the workplace (59%). There is a relationship between interpersonal relationships and work stress of lecturers. However, there was no relationship between type of faculty, workload, and type of professor with lecturers' work stress.Conclusion. In conclusion, interpersonal relationships are significantly related to job stress on lecturers. A good interpersonal relationship will reduce the possibility of work stress on the participant.
Psychosocial factors and sleep disorders in the population aged 25–64 years in Russia/Siberia (International WHO MONICA-Psychosocial Programme)
Authors: Gafarov V. V. , Gromova E. A. , Panov D. O. , Gagulin I. V. , Gafarova A. V. 
Published: August 2023

Objective: to determine the main psychosocial factors associated with sleep disorders in an open population aged 25–64 years in Novosibirsk.Material and methods. Screening studies were conducted on representative samples of the population aged 25–64 years: in 2013–2016. (V screening: 427 men, mean age 34±0.4 years, response rate 71%; 548 women, mean age 35±0.4 years, response rate 72%); in 2015–2018 (VI screening: 275 men, mean age – 49±0.4 years, response rate – 72%; 390 women, mean age – 45±0.4 years, response rate – 75%) (budget topic No. АААА-А17-117112850280-2) using the protocol of the WHO international program “MONICA-psychosocial”. The Jenkins questionnaire was used in the population survey to investigate sleep disorders. To examine personal anxiety, a form of the Spielberger Self-Assessment Scale was used; to determine depression, life exhaustion, and hostility, the MOPSY-test was used; and to examine social support, the Berkman-Syme test was used.Results. In the open population aged 25 to 64 years, sleep disorders were found in 47.6% of men and 51.2% of women. Among those with sleep disorders, we found high levels of: anxiety (HLA) in 61.8% of men (χ2=56.169; df=4; p<0.001) and 68.1% of women (χ2=36.535; df=4; p<0.001); depression (HLD) – in 18.2% of men (χ2=26.609; df=4; p<0.001) and 20% of women (χ2=41.041; df=4; p<0.001); vital exhaustion (VE) – in 63.6% of men (χ2=93.378; df=4; p<0.001) and 59.3% of women (χ2=124.115; df=4; p<0.001); hostility (HLH) – in 52.7% of men (χ2=17.598; df=4; p<0.001) and 39.3% of women (χ2=13.139; df=4; p<0.01).We found no statistically significant differences between groups of men and women, who differed in sleep self-essessment and indicators of the index of close contacts and the index of social ties.Sleep disturbances increased the likelihood of developing of VE (OR 2.301; 95% СI 1.774–2.984; p<0.0001), HLA (OR 1.882; 95% CI 1.199–2.955; p<0.006), depression (OR 1.423; 95% CI 1.099–1.842; p<0.007). In men, sleep disturbances contributed to: HLA (OR 2.477; 95% CI 1.303–4.709; p<0.006), VE (OR 2.282; 95% CI 1.529–3.404; p<0.0001). In the group of women with sleep problems, the probability of VE increased (OR 2.37; 95% CI 1.669–3.366; p<0.0001).Conclusion. The study found that in an open population aged 25–64 years with sleep disorders, there was a high level of psychosocial factors and that the presence of sleep disorders increased the likelihood of developing psychosocial factors.
Modern concept of vascular vertigo
Authors: Zhiznevskiy D. V. , Zamergrad M. V. , Grachev S. P. 
Published: August 2023

Among the various causes of acute vestibular vertigo, vascular factors are of particular importance. Numerous studies show that the diagnosis of vascular vertigo remains inadequate, often leading to overdiagnosis of stroke and transient ischemic attacks in patients with peripheral vestibular disorders and vestibular migraine, on the one hand, and underestimation of the importance of cerebrovascular pathology, especially in patients with the first attack of persistent vestibular vertigo, on the other.The International Barany Society has developed and published diagnostic criteria for vascular vertigo. These criteria are intended to facilitate the identification of vascular causes of acute vestibular syndrome. Particular emphasis is placed on clinical signs because imaging techniques often do not allow detection of foci small in volume and area, especially in cases when stroke is manifested by an isolated vestibular syndrome. Key clinical signs to analyze when a vascular etiology of acute vestibular syndrome is suspected include nystagmus, corrective saccades on the Halmagyi test, smooth visual pursuit, visual saccades, severity of trunk ataxia, and hearing loss.
Agonism, decision, power – The art of working unfinished
Authors: Pløger John 
Published: August 2023

The current debate on agonism has become fixed in an institutional approach: How can an agonistic design institutionally become a tool against forms of domination? An agonistic space needs decisions that do not silence dissensual voices with a finite decision. This paper suggests that this agonistic approach needs de-cisions or simply put, temporary decisions drawn from seeing a decision as a solution for now. A de-cision is not a no-decision, but a decision recognised as temporary. The paper proposes ‘the sketch’ as an appropriate mode for working de-cisionally and unfinished. By having a sketch and working de-cisionally, planners are able to invite agonistic positions to ongoing talks and to act progressively, adaptably, or rationally in the face of emerging circumstances and uncertainty. To work unfinished from a sketch transforms the planning process from being a matter of reaching a finite decision to a strife about how to understand the present and which temporary contours and directions to move on from. The paper as such thus deals with difficult praxis questions, for instance: How is it possible to allow dissent to inform planning praxis in praxis? How can quarrelling and working unfinished empower planning democracy?