bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oral status of outpatients in Suining Central Hospital in post-epidemic era
Authors: Gao Tengmin , 王 怡贵 , Guo Lijuan , Yang Sen 
Published: August 2023

Abstract
Background To investigate the oral status of COVID-19 positive groups in Suining City under the comprehensive implementation of epidemic prevention and control, analyze the prognostic characteristics and related influencing factors, and understand the residual symptoms after recovery from COVID-19 infection in the post-epidemic era, so as to provide reference for the treatment of patients in the post-epidemic era.Methods Based on a 25-question online questionnaire survey, the oral status and prognosis of COVID-19 positive groups in Suining City were reviewed after the comprehensive implementation of epidemic prevention and control measures.Results 1768 valid questionnaires were collected. The data showed that 363 people had oral problems after an infection with novel coronavirus. The oral problems after SARS-CoV‐2 infection mainly focused on gingiva swelling or bleeding (38.57%), toothache (37.74%), oral ulcer (30.30%), bad breath (27.55%), abnormal taste (24.24%) and some infected people had a variety of oral symptoms. A small number of infected people also showed dry mouth, herpes around the mouth, maxillofacial swelling, tongue pain and numbness, dry lip peeling, oral lichen planus, tongue coating black, tongue coating thick white oral symptoms. The incidence of oral symptoms was significantly correlated with sex, age, educational level, place of residence, smoking, basic diseases, long-term saline gargle and vaccination of COVID-19 vaccine. In addition, the age, place of residence, smoking history, basic diseases, and vaccination also showed significant differences in prognosis.Conclusion In the post-epidemic era, the most common oral problems are gingiva swelling or bleeding, toothache, bad breath, oral ulcer, and abnormal taste. And maintaining good living habits is the basis for promoting disease recovery and oral health.
Stress, Isolation, and Sleep Quality among Breast Cancer Survivors throughout the COVID-19 Pandemic: A Longitudinal Study in a Multi-Ethnic Cohort
Authors: Zhao Fangyuan , Freeman Jincong Q. , Jaskowiak Nora , Fleming Gini F. , Nanda Rita , Lauderdale Diane S. , Olopade Olufunmilayo I. , Huo Dezheng 
Published: August 2023

Abstract

Purpose: This study examined how stress, isolation, and sleep quality were impacted throughout the COVID-19 pandemic among breast cancer survivors (BCS).
Methods: BCS enrolled in the Chicago Multiethnic Epidemiologic Breast Cancer Cohort were surveyed in 2020, 2021, and 2022. An 11-item isolation/stress score was repeatedly measured in each survey and its changes were examined through mixed-effects models. Sleep quality was assessed in 2022 by the Insomnia Severity Index (ISI).
Results: In total, 1899 BCS responded (response rate: 62.8%), of whom 69% were White and 24% Black (median time since diagnosis: 5.1 years, IQR: 2.3-9.2). The isolation/stress score decreased significantly from 2020 to 2022 for White BCS, but only started declining for Black BCS in 2022. Consequently, although there were no significant racial difference in 2020, Black BCS had significantly higher isolation/stress scores in 2021 and 2022 (P < .01), while it became nonsignificant after adjusting for socioeconomic factors. BCS who were single, on Medicaid, without a high school degree, or with annual household income <$35,000 had significantly higher isolation/stress scores. Regarding sleep quality, 48% of BCS reported clinically-significant insomnia (ISI ≥ 8), and insomnia was strongly associated with higher isolation/stress scores (P-trend < .001).
Conclusions: Our findings suggested that the isolation/stress level improved among BCS as the pandemic subsided, but this positive trend was not observed equally across racial/ethnic groups potentially due to lack of resources.
Implications for Cancer Survivors: Additional resources, such as access to counseling services and sleep assistance programs, might support the post-pandemic recovery of undersevered BCS.
The structure of rehabilitation care for young patients with acquired brain injury: Similarities and differences among Dutch rehabilitation centres
Authors: Allonsius Florian , de Kloet Arend , Markus-Doornbosch Frederike van , Meyling Christiaan Gmelig , Rentinck Ingrid , Lambregts Suzanne , Bovens Nicole , Huizing Karin , Sinnema Martine , Lei Hannemieke van der , Zuijlekom Amanda van , Renaud Irene , Franssen Suzanne , Gaykema Wietse , Vlieland Thea Vliet , Holst Menno van der 
Published: August 2023

Abstract
Introduction: Differences in care pathways/the delivery of rehabilitation care for young people with acquired brain injury (ABI) across rehabilitation centers (RCs), may lead to unwanted practice variations.
Objective: Identifying potential similarities/differences regarding the care structure across RCs.
Methods: In this cross-sectional study, Healthcare professionals from Dutch RCs that work with young people(<25 years) with ABI were invited to complete a 21-item questionnaire (12 yes/no& nine corresponding open-ended-questions). Questions were divided into three topics: admission/discharge criteria (n=2&2), organization of rehabilitation (n=7&5), and aftercare (n=3&2). Answers to open-ended questions were thematically analyzed/categorized. Differences across RCs were defined as an item being present/described in <75% of the RCs.
Results: Rehabilitation professionals from 12 RCs participated. Similarities and differences were found regarding the structure of rehabilitation care. Concerning admission criteria(present in all RCs), “an ABI diagnosis” was seen by all RCs as an essential criterium, whereas all other admission criteria were described differently. The discharge criterium "goal-attainment" was the only criterium found in ≥75% of the RCs. Regarding the organization of rehabilitation, most RCs (≥75%) described “the presence of specialized teams”&“diagnosis-specific consultation appointments”. Differences were found, e.g., the “presence of transition-teams” for young adults (<75%). Concerning aftercare, similarities were found in the “presence of structural end-reports”&“discharge/follow-up appointments”. However, differences were seen in the “timing between discharge&follow-up”.
Conclusion: Besides similarities between RCs, differences were found regarding the structure of outpatient rehabilitation. Gaining insights into differences across RCs and reducing practice variation could reinforce collaborations between RCs to harmonize/optimize care quality for young people with ABI.
Experiment and simulation analysis of roofing element integrated with phase change material
Authors: R Vighnesh , R Ezhilkumar M , S Vaishnavi Devi 
Published: August 2023

Abstract
Conventional reinforced concrete (CRC) roofing systems contribute close to 40% of the heat ingress into the ambient environment. This heat ingress is responsible for increased mechanical ventilation inside the built environment. Phase Change Material (PCM) roofs could be a solution to counteract the heat ingress since it stores heat energy when it changes their phase at a specific temperature. In this paper, CRC roofs were integrated with PCM and analyzed using COMSOL Multiphysics v5.6. The simulation results were validated using an insulated chamber, where concrete specimens were tested for temperature. Simulations and experiments were done to get the ideal thickness, type, and position of PCM integrated with CRC. All PCM roofs performed better in bottom fibre temperature than CRC roofs. PCM29 was the better option since their phase change cycle was completed throughout the year compared to PCM37 roofs, which can be used for arid climates. PCM integrated with CRC roofs of varying thicknesses were analyzed, and results were proportional to increasing thickness. The results also showed a saturation level in all the PCM roofs of a thickness of 2 cm. The position of PCM was experimented from top to bottom inside CRC. PCM integrated at the top and bottom with CRC showed hot and cold bottom fibre temperatures, respectively. The other position in which PCM was sandwiched with CRC worked out well since the bottom temperatures of the roof were comfortable. The practical application of such materials in conventional construction will reduce the cooling load requirement and create a better energy-efficient structure.
Employing students’ evaluations and tutors’ perceptions to evaluate a faculty development programme on problem-based learning at the Faculty of Medicine, King Abdulaziz University
Authors: Barnawi Ahlam , Sonbol Ahmed M. , Al-Shawwa Lana , Abu-Laban Alwalaa , Asiri Khalil , Bagasi Abdulaziz , Al-Affari Reem , Alamoudi Aliaa Amr 
Published: August 2023

Abstract
Faculty development programmes are crucial for promoting continuous learning, enhancing teaching effectiveness and encouraging professional growth among medical educators. Problem-based learning was introduced as a teaching strategy in our Faculty of Medicine in 2007. Thereafter, several rounds of a faculty development programme were conducted to help teachers recognize their role as facilitators and assess areas for improvement. We conducted a mixed-methods study with a sample of 284 third-year medical students answering a questionnaire and 21 faculty members participated in focus groups. A validated 13-item questionnaire was used to investigate the students’ evaluation of their tutors’ performance in problem-based learning. Three sessions were conducted then with faculty members involved in problem-based learning to gain in-depth insights into their experiences and perspectives. The mean performance ranking for tutors awarded by the students was above halfway. There was a significant positive correlation between tutors’ performance ranking and all five of the learning approaches examined herein: constructive/active learning, self-directed learning, contextual learning, collaborative learning and intra-personal behaviour (p < 0.05). The data from the focus groups were analysed under five broad themes: tutors’ insights into their strengths and weaknesses, challenges, tutors’ ways of preparing for the sessions, feedback and suggestions for improving problem-based learning workshops. This study recommends improvements and future directions for advanced programme evaluation. Faculty development programmes can be tailored to effectively address students and faculty members goals and needs, which can benefit the teaching and learning process and foster a culture of continuous improvement and professional growth.
A Weighted-Average-Ensembling Based Hybrid CNN Model for Improved Covid-19 Detection
Authors: Patel Sitaram , Khan Nikhat Raza 
Published: August 2023

Abstract
People are at a much higher risk now because of the new coronavirus that causes COVID-19 disease. The virus is quickly spreading evetywhere in the world. Therefore, it is crucial that we create rapid diagnostic tools to identify infected people and stop the virus from spreading. The development of ML would allow us for early diagnosis of COVID-19, allowing for preventive measures to be taken as soon as feasible. But because of small sample numbers, especially in chest X-rays, it is harder to find this condition. Recent work has developed CNN approaches that can recognise COVID-19 from X-ray images. In the real world, it's preferable to acquire the input of many medical professionals before making a major healthcare decision. The reliability of a medical diagnosis is improved when doctors reach a consensus. Since all of the prevalent CNN models are conceptually similar, we advocated for their combined usage. They have learned to infer things on their own. The models are then integrated using a cutting-edge technique called weighted average ensembling to forecast a class value. The new method of assembly should result in a more precise estimate. Our strategy utilises three pre-trained CNN models: DenseNet201, Resnet50V2, and VGG-19. We have also used the Discrete Wavelet Transform (DWT) method for denoising, U-Net for Image segmentation, SMOTE for data balancing, Keras Tuner for hyperparameter optimisation for better accuracy in result when applied to X-ray pictures, our suggested model successfully have achieved 99.17\% of accuracy while detecting COVID-19.
Malaria drug resistance landscape in the Democratic Republic of the Congo: a spatial mapping systematic review of molecular surveillance surveys
Authors: Kalenda Nadine Kayiba , Tshibangu-Kabamba Evariste , Kido Yasutoshi , Speybroeck Niko 
Published: August 2023

Abstract
Context: The Democratic Republic of Congo (DRC), one of the most malaria-affected countries worldwide, is a potential hub for global drug-resistant malaria. This study aimed at summarizing and mapping surveillance surveys of malaria parasites carrying molecular markers of drug-resistance across the country.
Methods: A systematic mapping review was carried out before July 2023 by searching for relevant articles through seven databases (PubMed, Embase, Scopus, African Journal Online, African Index Medicus, Bioline and Web of Science).
Results: We identified 1541 primary studies of which 29 fulfilled inclusion criteria and provided information related to 6385 Plasmodium falciparumclinical isolates (collected from 2000 to 2020). We noted the PfCRT K76T mutation encoding for chloroquine-resistance in median 32.1% [interquartile interval, IQR: 45.2] of analyzed malaria parasites. The proportion of parasites carrying this mutation decreased overtime but wide geographic variations persisted. A single isolate had encoded the PfK13 R561H substitution that is invoked in artemisinin-resistance emergence in the Great Lakes region of Africa. Parasites carrying various mutations linked to resistance to the sulfadoxine-pyrimethamine combination were widespread and reflected a moderate resistance profile (PfDHPS A437G: 99.5% [IQR: 3.9]; PfDHPS K540E: 38.9% [IQR: 47.7]) with median 13.1% [IQR: 10.3] of them being quintuple IRN-GE mutants (i.e., parasites carrying the PfDHFR N51I-C59R-S108Nand PfDHPS A437G-K540E mutations). These quintuple mutants tended to prevail in eastern regions of the country. Among circulating parasites, we did not record any parasites harboring mutations related to mefloquine-resistance, but we could suspect those with decreased susceptibility to quinine, amodiaquine, and lumefantrine based on corresponding molecular surrogates.
Conclusion: Drug resistance poses a serious threat to existing malaria therapies and chemoprevention options in the DRC. This review provides a baseline for monitoring public health efforts as well as evidences for decision-making in support of national malaria policies and for implementing regionally tailored control measures across the country.
Vaccine Inequity: A Threat to Africa’s Recovery from COVID-19
Authors: Wei Calvin R. , Kamande Samuel , Lang'at Godwin C. 
Published: August 2023

Abstract
Vaccine inequity is a reality facing the Sub-Saharan Africa region as vaccine nationalism from the high income countries (HICs) leads to limited access to the life saving vaccines needed to end the pandemic. In Africa, a significant portion of the population has yet to be vaccinated against Covid-19; however, the barrier to access such vaccines, including capacity challenges, still persist despite the implementation of the COVAX facility meant to support the LMICs to boost vaccination. In this systematic review, we report that vaccine nationalism remains a challenge for LMICs as the HICs still hoard the vaccines and even bypass COVAX to procure doses directly from the manufacturers. Factors that promote vaccine hesitancy in Africa include misinformation regarding the Covid-19 vaccine, a lack of trust in politicians and the pharmaceutical industry, and concerns about vaccine safety and efficacy. The policies implemented to enhance vaccine coverage in Africa, such as mandates, community engagement, and partnerships, all seek to promote equity of vaccination and ending Covid-19.
Data Analysis of the Wave Energy Acquisition Scheme for an Anchored Underwater Suspended Body Supporting a Surface Floating Body
Authors: Chu Zheng 
Published: August 2023

Abstract
In recent years, the research of wave energy has attracted much attention, and the research of wave energy collection power plays a vital role in its actual commercialization. This paper presents a mechanical wave energy harvesting scheme for an underwater suspended body anchored by the seabed to provide a fulcrum for the interaction force of the sea surface floating body. The principle of collecting wave energy by using the connection between the surface floating body and the piston rod to drive the rotor to generate torque Compared with the traditional method, the data and quantization values in the experiment are simpler and more intuitive. The offshore scheme is used to obtain the shore-type fulcrum support, which supports the floating body to move up and down at a minimum of 0.2 meters in irregular waves, providing an effective way to capture wave energy. In a word, This paper provides a new viewpoint and idea for high efficiency and large-scale collection of wave energy in the case of low wave values.
The complete chloroplast genome of Syzygium grijsii (Myrtaceae)
Authors: Zhou Yonggang , Zhang mengjie , Yang Xiuyao 
Published: August 2023

Abstract
Syzygium grijsii roots and leaves can be used as medicine, and the fruits are rich in many nutrients, which have many research and application prospects. By analyzing the chloroplast genome of S. grijsii by analyzing the chloroplast genome of S. grijsii, it can help to evaluate its phylogenetic relationships and provide a theoretical basis for the development and application of S. grijsii. In this study, we first sequenced the complete chloroplast genome of S. grijsii to investigate its phylogenetic position in the Myrtaceae. The chloroplast genome of S. grijsii is 158,591 bp in size, including a large single-copy region of 88,046 bp, a small single-copy region of 18, 409 bp, and a reverse repeat region; a total of 129 genes were detected, 84 protein-coding genes, 37 tRNA genes and eight rRNA genes, with a total GC content of 37.0%. In S. grijsii, a total of 84 SSR loci were detected, and it has a strong A/T bias. Phylogenetic analysis showed that S. grijsii was closest related to S. jambos, S. forrestii and S. cumini. The analysis of the chloroplast genome and phylogeny analysis of S. grijsii provides a theoretical basis for the identification of S. grijsii species resources identification and exploitation.
Mass transfer process in the removal of Congo Red (CR) onto Natural Clay (NC): Kinetic, isotherm modeling, and thermodynamic study
Authors: Abbas Moussa , Trari Mohamed 
Published: August 2023

Abstract

Industrial growth and technological advancement have led to the worldwide introduction of pollutants of diverse nature into water bodies including pollutants such as dyes and organic contaminants. Their presence in industrial effluents or drinking water is a public health problem. The aim of this study was to evaluate the adsorption of Congo Red (CR) onto Natural Clay (NC) realized in a batch system. The effects of contact time, initial pH, stirring speed, temperature, adsorbent dose, and initial CR concentration on the adsorption capacity were investigated. The NC was characterized by the FTIR, DRX, BET, and point of zero charge. The experimental isotherm data follow well the Langmuir equation, providing a better fit of the equilibrium adsorption data. Under optimized conditions, up to 212.766 mg/g at 25 °C is removed from the solution. The adsorptions kinetics were found to follow rather a pseudo second-order kinetic model with a determination coefficient (R2) of 0.999. The adsorption isotherms at different temperatures have been used for the determination of thermodynamic parameters, i.e., the negative free energy ΔG0 (10.081 to 1.087 kJ/mol), positive enthalpy change ΔH0 Q5 (64 = 175 kJ/mol) values indicate that the overall CR adsorption is spontaneous and endothermic in nature.
Testosterone and Peripheral Arterial Disease
Authors: Blinc Aleš , Schernthaner Gerit Holger , Poredoš Pavel , Anagnostis Panagiotis , Jensterle Mojca , Studen Katica Bajuk , Antignani Pier Luigi , Mikhailidis Dimitri P. , Šabović Mišo 
Published: August 2023

Abstract:
Testosterone levels in men begin declining in the early years of adulthood, with a 1-2%
reduction/year. Low testosterone levels in men are associated with obesity, metabolic syndrome, diabetes
mellitus, dyslipidaemia, hypertension and increased cardiovascular mortality. However, observational
studies of testosterone levels in males and their relationship with peripheral arterial disease (PAD) have
yielded mixed results; only some cohorts show a clear association with low free testosterone levels. This
discrepancy may, in part, be due to methodological issues with estimating free testosterone but also to
different effects of testosterone on the vessel wall and metabolism. While testosterone improves
glycaemic control, has anti-obesity effects and induces vasodilation, it also stimulates platelet aggregation
and increases the haematocrit. Androgen deprivation treatment for advanced prostate cancer may be
associated with elevated cardiovascular risk, as is testosterone abuse for performance enhancement. On
the other hand, judicious treatment of male hypogonadism or testosterone treatment of trans-men
appears to be safe.
Miniaturization of Nucleic Acid Assemblies in Nanodevice: Nano-Oddities
Authors: Keerthana Vedhantham , Metkar Sanjay Kisan , Girigoswami Agnishwar , Girigoswami Koyeli 
Published: August 2023

Abstract:
In the past decades, it has been evident that nano miniaturization technology plays a vital
role in innovations, biomedical and industrial applications. Most importantly, the use of Lab on chip
(LOC) is revolutionizing and highly replacing the use of conventional technologies due to its advantages
that include reliability, biocompatibility, tunability, portability, controllability, cost-effective,
low time, and energy consumption with more accurate results. The different nucleic acid structures
formed by non-classical ways of pairing can result in highly stable structures, known as nano-oddities.
These nucleic acid nano-oddities could be fabricated for a wide range of applications with unique
properties. This review encompasses the major findings, advances, fabrication, miniaturization, applications,
and the future prospects of nucleic acid assemblies in different kinds of nanodevices.
Classification of Organic and Inorganic Waste Types Based on Neural Networks
Authors: Arifin Fatchul , Habiburrahman M. , Gusti Wahyu Ramadhani 
Published: August 2023

Garbage is the residue of unused industrial production and household consumption. In Indonesia, waste is divided into 2 types, namely organic and inorganic waste. The two types of waste can be recycled in diverse ways, so they must be separated. So far, it is often difficult for the community to sort waste. This paper presents the process of recognizing and sorting waste automatically by utilizing Artificial Intelligence technology, especially Artificial Neural Networks (ANN). The ANN architecture used in this study consists of 4 layers. The number of neurons in each layer consists of 3 neurons in the input layer, 4 neurons in the hidden layer-1, 4 neurons in the hidden layer-2 and 1 neuron in the output layer. The ANN model that has been designed is trained, so that the best weight and bias model will be obtained, which in turn gives the ANN the ability to be able to sort waste properly. The best weights and biases will then be implanted into the Arduino UNO Microcontroller hardware. In this developed system, the microcontroller is given input obtained from 3 kinds of sensors, namely capacitive proximity, inductive proximity, and photodiode. While the input consists of 2 pieces of organic or in organic waste conditions. From the test results, it was found that the system has 100% training accuracy and 100% test accuracy.