bluuebunny/crossref_metadata_2025_split huggingface dataset:
Substantiation of the parameters of the rotary ripper of the machine for pre-seeding treatment of ridges
Authors: Abdulkhaev Kh G , Barlibaev Sh N 
Published: March 2023

Abstract
Taking into account the fact that the ridge technology of cultivating crops is becoming widespread in the country, and there are no special technical means for pre-sowing treatment, a machine has been developed for processing ridges along their entire profile in one pass, consisting of a frame and support wheels mounted on it, lancet paws, rotary rippers and slatted rollers. The article presents the results of theoretical and experimental studies to substantiate the parameters of the rotary cultivator of the developed machine. According to the results of the research, it was found that for the qualitative implementation of the technological process of processing the slopes of the ridges and ensuring the required quality of soil crumbling on them, the length of the bar of the rotary cultivator must be at least 320 mm, the small and large diameters of its conical rollers, respectively, within 200-250 mm and 400- 450 mm, the number of its slats is 12-14 pieces, the width of the slats is 30-32 mm, as well as the vertical load on it in the range of 0.50-0.60 kN, the longitudinal distance between the lancet share and the rotary ripper is 60 cm .
Improving the efficiency of diesel engines of agricultural machines by adjusting the injectors during operation
Authors: Ivanov I A , Persiyanova G E 
Published: March 2023

Abstract
The article presents the author’s experimental data on changes in the fuel injection pressure of diesel injectors during operation, the nature of the unevenness of such changes for different injectors is revealed, which contributes to the uneven operation of the cylinders. As a result, fuel consumption increases and the service life of the engine decreases. The peculiarity of agricultural machinery engines is that they work for a long time at the nominal mode and there is no possibility to adjust the injectors in repair shops, as this is done on diesel locomotives. In order to find a practical solution to ensure the process of adjusting the injectors without removing the combines from operation and sending them to repair shops, the TRIZ system (Theory of Solving Inventive Tasks) was applied. Technical contradictions were drawn up - TP1 and TP2. To find a technical solution, an organizational technical system of the diesel adjustment process was proposed by replacing the operational injectors with a set of spare ones adjusted at the stands of repair shops. The proposed system will reduce fuel consumption and harmful emissions into the atmosphere during operation and increase the service life of the combine engine.
Co-optimization of integrated energy systems in the presence of renewable energy, electric vehicles, power-to-gas systems and energy storage systems with demand-side management
Authors: Sattar Mahroo , Moghaddam Mahmoud Samiei , Azarfar Azita , Salehi Nasrin , Vahedi Mojtaba 
Published: March 2023

AbstractWith the widespread penetration of renewable energy sources and energy storage systems, the problem of energy management has received increasing attention. One of the systems that network owners consider today is the power-to-gas (P2G) system. This system causes surplus electricity generated from renewable energy resources or batteries in the network to be converted into gas and sold to the gas network. Two reasons for the existence of gas distributed generation resources and P2G systems cause the two power and gas networks to interact. Energy management and profit making considering these two networks, as a co-optimization of integrated energy systems, is a topic that has been discussed in this study to achieve the best optimal answer. Since the production of renewable energy resources and the purchase price of energy are uncertain, a scenario-based method has been chosen for modelling. Demand-side management is also one of the important problems in optimal operation of the electricity network, which can have a significant impact on reducing peak load and increasing profits. In this paper, a mixed-integer quadratic programming model for co-optimization of electric distribution and gas networks in the presence of distributed generation resources, P2G systems, storage facilities, electric vehicles and demand-side management is presented. The 33-bus distribution network is intended to analyse the proposed model. The results of different scenarios show the efficiency of the proposed model. Several key points are deduced from the obtained results: (i) demand-side management is able to reduce the peak load of the network, (ii) the presence of renewable resources and batteries can cause the network to convert excess electricity into gas and sell it to the gas network in the market and (iii) distributed generation can reduce the purchase of energy from the upstream network and cause a 36% reduction in the cost function.
Ultrasound-Guided Placement of Vascular Catheters
Authors: Rawal Harsh , Abdallah Rany T. 
Published: March 2023

Abstract
Ultrasound (US) guidance in the placement of vascular catheters is gaining popularity. A key reason is the safety associated with visualization in real time. There is mounting evidence showing reduced number and severity of complication rates associated with the procedure. The use of US in vascular catheter placement ranges from internal jugular (IJ), subclavian, femoral, to sometimes difficult arterial insertions. Ultrasound has also been used in dialysis catheter placement. There has been a steady increase in preference of US compared to anatomical and landmark-oriented method in Europe and the United States across multiple specialties due to better outcomes and fewer complications.
Point-of-Care Ultrasound (POCUS)
Authors: Rawal Harsh , Abdallah Rany T. 
Published: March 2023

Abstract
Point-of-care ultrasound (POCUS) has become a valid and reliable tool in clinical decision-making besides being a timely intervention modality for patient care. It is not a replacement for echocardiography and computed tomographic (CT) scan for complex decision-making. However, it is a crucial tool for evaluation of cardiac, thoracic, and abdominal pathology at the bedside under appropriate circumstances. Technological advances have improved the portability of equipment, enabling ultrasound imaging to be executed at bedside and thus helping internists to make timely diagnosis and perform ultrasound (US) guided procedures. The use of POCUS can immediately narrow differential diagnoses by building on clinical information revealed by the traditional physical examination and refining clinical decision making for further management. The utility of POCUS is dependent on the skill and experience of the operator in addition to equipment availability, costs and training.
I’m So Anxious About My Headache that I Can’t Breathe
Authors: Bernstein Carolyn 
Published: March 2023

Abstract
Anxiety can contribute to headaches, and it’s challenging for the clinician to sort out red flags and then address the salient triggers. Careful history-taking, involvement of collaterals for elucidation, and evidenced anxiety-evaluation tools are useful. Once other concerns are ruled out, treatment can be focused on calming anxiety and helping to improve quality of life. Anxiety can be incapacitating, and can profoundly affect quality of life. Patients may be reluctant to discuss with their clinician; an open and safe space must be provided to generate a good discussion, and to allow for shared-decision making around treatment. There must be open dialogue and trust in order to focus the treatment appropriately.
From Shadows Down to the Abyss
Authors: de Dhaem Olivia Begasse , Bernstein Carolyn 
Published: March 2023

Abstract
The chapter “From Shadows Down to the Abyss” examines the diagnosis and management of cluster attacks. Cluster is less common than migraine or tension-type headache, but as common as multiple sclerosis. It affects more men than women. It is characterized by excruciating unilateral pain associated with ipsilateral autonomic signs and/or a sense of agitation or restlessness. Attacks last between 15 and 180 minutes and can happen from every other day to 8 times per day. Acute treatment includes high-flow 100% oxygen at a rate of 12–15 liters per minute for 15 minutes through a firm plastic non-rebreathing facial mask and subcutaneous sumatriptan. Bridge therapy includes ipsilateral greater occipital nerve block and a prednisone taper. Preventive treatments include galcanezumab, verapamil, lithium, melatonin, topiramate, and vitamin D. Other options include using occipital nerve stimulation and investigating whether the patient can enroll in a clinical trial, as other treatments are being evaluated such as ketamine and non-hallucinogen 2-bromo-lysergic acid diethylamide.
A Blow to the Head
Authors: Bernstein Carolyn 
Published: March 2023

Abstract
Post-traumatic headache can take many different forms, depending on a multitude of factors including preexisting headache history if any. The headache may be acute or can be chronic, and this guides classification. Even minor head trauma can trigger a headache, so careful history-taking is important. At this time, there are no evidenced medications for treatment, although some off-label drugs may help. Rest and overall wellness should be the recovery focus. Patients need reassurance and careful evaluation. A discussion about previous trauma is important. The evaluation must be carefully explained to minimize patient worrying. Post-traumatic headache is common and clinicians will encounter it frequently.
My Arteriovenous Malformation Is Clipped but My Head Still Hurts
Authors: Bernstein Carolyn 
Published: March 2023

Abstract
The chapter “My Arteriovenous Malformation Is Clipped but My Head Still Hurts” discusses the diagnosis and management of acute and persistent headache attributed to craniotomy. Headache post-craniotomy, both acute and chronic, are well-described but may be underrecognized. Clinicians should be vigilant about screening post-surgery for this type of headache and should be careful not to attribute it to stress. At the same time, it is important to be looking for other causes of headache such as infection or cerebrospinal fluid (CSF) leak. Patients describing headache post-craniotomy must be carefully evaluated and referred back to neurosurgery as appropriate. Always be open to other causes of headache.
A Question of Headache and Hemorrhage
Authors: Sheikh Huma U. 
Published: March 2023

Abstract
Cerebral amyloid angiopathy is a vascular condition that is characterized amyloid deposits in the vascular system, mainly in cerebral arteries. The main symptoms of this vascular condition include dementia and increased risk for hemorrhagic stroke. The pattern of the intracerebral hemorrhage can be a clue to his condition. It is most commonly seen in the older population and can be genetic in some cases. Cerebral amyloid angiopathy increases the risk of hemorrhage in the brain due to its vasculopathy. This can be a difficult condition to treat especially in cases where patients may also need anti-platelets or anticoagulation for other reasons. Its diagnosis is based mainly on history and imaging, although definitive diagnosis is only with brain tissue specimens. Currently, there are no effective treatments.
All My Stress Goes to My Neck
Authors: Gharedaghi Mohammad Hadi , Huang-Lionnet Julie H. 
Published: March 2023

Abstract
The first step in the approach to neck pain/tension radiating to the head is a thorough history and exam to rule out secondary causes such as arterial dissection, meningitis, or neoplasm. A careful history will also help differentiate from primary headache disorders in the differential. If there are no red flags nor abnormalities on exam, refer to neck physical therapy with perhaps low-dose tizanidine or trigger point injections, and plan for a close follow-up to reevaluate. If the pain persists, consider a cervical spine MRI without contrast and referral to an interventional pain specialist for a diagnostic blockade. Radiofrequency denervation is the standard treatment for facet joint pain.
Shooting Pains Behind the Head
Authors: Wang Victor C. 
Published: March 2023

Abstract
The chapter “Shooting Pains Behind the Head” examines the diagnosis, work-up, and treatment of occipital neuralgia. Occipital neuralgia can mimic several other headache types, but in general presents as recurring in paroxysmal attacks of pain, tingling, shooting, burning, or other paresthesia in the distribution of the greater and/or lesser occipital nerve starting from the top of the neck and radiating forward toward the forehead and/or ears respectively, lasting from a few seconds to minutes. The pain is severe in intensity, associated with dysesthesia and/or allodynia during stimulation of the scalp, and with neck tenderness in the base of the skull/upper neck. To meet diagnostic criteria, the pain should improve with anesthetic nerve blockade. Treatment mostly relies on occipital nerve blocks and pharmacological management with medications such as NSAIDs, muscle relaxants, gabapentin, and low-dose amitriptyline.
Farmers’ preference for digital credit: Does the delivery channel matter?
Authors: Sarfo Yaw , Musshoff Oliver , Weber Ron , Danne Michael 
Published: March 2023

AbstractPrevious studies highlight the limited credit access for farmers compared to non-agricultural firms in sub-Saharan Africa. A new innovation that has the potential to serve the financing needs of farmers in sub-Saharan Africa is digital credit. However, empirical studies on farmers’ preferences for digital credit are limited. Formal financial institutions and mobile network operators are two different delivery channels for digital credit with different loan characteristics. We apply a discrete choice experiment to investigate smallholder farmers’ preferences for digital credit in Madagascar. Our results show that digital credit is more attractive for farmers if it offers a lower interest rate per month, longer loan duration, and flexible repayment conditions adapted to farmers’ production needs. Our results highlight the potential of digital credit for rural farmers if mobile network operators could provide digital credit with longer loan maturities, and formal financial institutions could offer digital credit with more flexible repayment conditions.
Effective Strategies for Teaching Evidence-Based Practice in Undergraduate Nursing Programs
Authors: Silva Clarissa , Lopez Tracy 
Published: March 2023

Background:
Literature shows that nursing program graduates cannot apply skills related to evidence-based practice (EBP) on graduation. However, the influence of EBP on quality and safety in nursing is well documented and shows that innovative strategies for teaching the content need to be explored.

Problem:
Teaching EBP in nursing programs is challenging due to students' attitudes and lack of engagement. These challenges are compounded when the program is accelerated or an undergraduate completion program.

Approach:
A literature search was conducted to identify best practices for improving the quality of EBP courses. The findings, along with the application of EBP 7 steps, were identified and implemented in the course redesign.

Conclusions:
A structured and sequential approach to learning core skills related to EBP may be an effective method of improving course quality and application of EBP skills upon graduation.
Testing the Impact of an Asynchronous Online Training Program With Repeated Feedback
Authors: Woda Aimee , Bradley Cynthia Sherraden , Johnson Brandon Kyle , Hansen Jamie , Loomis Ann , Pena Sylvia , Singh Maharaj , Dreifuerst Kristina Thomas 
Published: March 2023

Background:
Learning to effectively debrief with student learners can be a challenging task. Currently, there is little evidence to support the best way to train and evaluate a debriefer's competence with a particular debriefing method.

Purpose:
The purpose of this study was to develop and test an asynchronous online distributed modular training program with repeated doses of formative feedback to teach debriefers how to implement Debriefing for Meaningful Learning (DML).

Methods:
Following the completion of an asynchronous distributed modular training program, debriefers self-evaluated their debriefing and submitted a recorded debriefing for expert evaluation and feedback using the DML Evaluation Scale (DMLES).

Results:
Most debriefers were competent in DML debriefing after completing the modular training at time A, with DMLES scores increasing with each debriefing submission.

Conclusion:
The results of this study support the use of an asynchronous distributed modular training program for teaching debriefers how to implement DML.
Low Cancer Occurrence Rate Following Prophylactic Nipple-Sparing Mastectomy
Authors: Boyd Carter J. , Ramesh Sruthi , Bekisz Jonathan M. , Guth Amber A. , Axelrod Deborah M. , Shapiro Richard L. , Hiotis Karen , Schnabel Freya R. , Karp Nolan S. , Choi Mihye 
Published: March 2023

Background:
Nipple sparing mastectomies (NSM) have become widely available for breast cancer prophylaxis. There is limited data on its long-term oncologic safety. The objective of this study was to determine the incidence of breast cancer in patients who underwent prophylactic NSM.

Methods:
All patients undergoing prophylactic NSM at a single institution from 2006-2019 were retrospectively reviewed. Patient demographic factors, genetic predispositions, mastectomy specimen pathology, and oncologic occurrences at follow-up were recorded. Descriptive statistics were performed where necessary to classify demographic factors and oncologic characteristics.

Results:
871 prophylactic NSMs were performed on 641 patients, with median follow-up of 82.0 months (standard error 1.24). 94.4% (n=605) of patients underwent bilateral NSMs, though only the prophylactic mastectomy was considered. The majority of mastectomy specimens (69.6%) had no identifiable pathology. 38 specimens (4.4%) had cancer identified in mastectomy specimens, with ductal carcinoma in situ being the most common (92.1%, n=35). Multifocal or multicentric disease was observed in 7 (18.4%) cases and lympho-vascular invasion was identified in 2 (5.3%). 1 patient (0.16%) was found to have breast cancer 6.5 years after prophylactic mastectomy. This patient was a BRCA2 carrier.

Conclusions:
Overall primary oncologic occurrence rates are very low in high-risk patients undergoing prophylactic NSM. In addition to reducing the risk of oncologic occurrence, prophylactic surgery itself may be therapeutic in a small proportion of patients. Continued surveillance for these patients remains important to assess at longer follow-up intervals.
Streptomyces longhuiensis sp. nov, a novel species isolated from soil of Lilium brownii in Hunan Province, PR China
Authors: Li Kaiqin , Man Yilong , Chen Xi , Liu Jia , Jiang Huidan , Liu Zheming , Ma Haihao , Zhu Hang , Zhou Yong , Zhang Chengjia , Zhou Xiaomao 
Published: March 2023

An actinobacterium strain, designated BH-MK-02T, was isolated from the soil of Lilium brownii. The taxonomic position was determined using a polyphasic approach. Strain BH-MK-02T grew well on International

Streptomyces

Project series media and formed well-developed, branched substrate hyphae and aerial mycelium that differentiated into straight spore chains with a wrinkled surface. The diagnostic diamino acid was ll-diaminopimelic acid. The major menaquinones were MK-9(H4), MK-9(H6) and MK-9(H8). The polar lipids were diphosphatidylglycerol, phosphatidylethanolamine, phosphatidylinositol mannosides, phosphatidylglycerol and unidentified lipid spots. The predominant fatty acids were anteiso-C15 : 0, iso-C16 : 0, C16 : 0 and C16 : 1
ω7c/C16 : 1
ω6c. The phenotypic characteristics of strain BH-MK-02T indicated that it belonged to the genus

Streptomyces

. Phylogenetic analysis based on the 16S rRNA gene sequence indicated that strain BH-MK-02T was most closely related to

Streptomyces aureus

CGMCC 4.1833T (99.7 %). However, the average nucleotide identity and digital DNA–DNA hybridization values between the whole-genome sequences of strain BH-MK-02T and

S. aureus

CGMCC 4.1833T were 78.1 and 23.2 %, respectively, below the 96.7 and 70 % cut-off points respectively recommended for delineating

Streptomyces

species. Furthermore, the novel isolate could be distinguished from

S. aureus

CGMCC 4.1833T by morphological, physiological and biochemical characteristics. Based on all these data, strain BH-MK-02T (=MCCC 1K06237T=JCM 34789T) clearly represents a novel species within the genus

Streptomyces

, for which the name Streptomyces longhuiensis sp. nov. is proposed.
Parapedobacter tibetensis sp. nov., isolated from shore soil of saline lake in Tibet of China and its genome mining of secondary metabolite
Authors: Wang Rui , Xue Lu , Liu Zi-Xuan , Li Dong-Yang , Liu Hong-Can , Li Ai-Hua , Zhou Yu-Guang 
Published: March 2023

Five aerobic, Gram-stain-negative, non-motile, non-spore-forming, short rod bacteria strains, designated as C3-1-R+6T, C3-2-M9, B3-2-R-7, B3-2-R-21 and C3-2-M2, were isolated from shore soil of LungmuCo Lake in Tibet of China. The 16S rRNA gene sequence comparisons confirmed their affiliation to the genus

Parapedobacter

of the family

Sphingobacteriaceae

, and showed that they were most closely related to

Parapedobacter lycopersici

KACC 18788T with 94.26 % similarities. The average nucleotide identity (ANI), average amino acid identity (AAI) and digital DNA–DNA hybridization (dDDH) values between them and the validly published

Parapedobacter

species were all below the thresholds for delineating species, supporting that they were novel species of genus

Parapedobacter

. The ANI, AAI and dDDH values between strains C3-1-R+6T and

Parapedobacter lycopersici

KACC 18788T were 72, 75, and 18% respectively. Meanwhile, the ANI/AAI and dDDH values between these five isolates were higher than the threshold values, showing that they belonged to the same species of

Parapedobacter

. According to genome comparison, the novel isolates have some special biosynthetic gene clusters of secondary metabolites including bacteriton, aryl-polyene, lantipeptide and t1pks, which were absent from their most related phylogenetic neighbours

P. lycopersici

KACC 18788T and

P. pyrenivorans

CGMCC 1.12195T. The main polar lipids contained phosphatidylethanolamine, one unidentified phospholipid, one unidentified aminolipid, one unidentified glycolipid and five unidentified lipids. The predominant respiratory quinone was MK-7. The major cellular fatty acids were iso-C15 : 0, summed feature 3 (C16 : 1
ω7c and/or C16 : 1
ω6c) and iso-C17 : 0 3-OH. The genome size of strain C3-1-R+6T was 5 984 948 bp, and its genomic DNA G+C content was 46.21 mol%. To sum up, the five strains were identified as a novel species of the genus

Parapedobacter

, for which the name Parapedobacter tibetensis sp. nov. was proposed. The type strain was C3-1-R+6T (=CGMCC 1.19194T=KCTC 92150T).