bluuebunny/crossref_metadata_2025_split huggingface dataset:
Humor in radiological breast cancer screening: a way of improving patient service?
Authors: Sartoretti Elisabeth , Sartoretti Thomas , Koh Dow Mu , Sartoretti-Schefer Sabine , Kos Sebastian , Goette Romana , Donners Ricardo , Benz Robyn , Froehlich Johannes M. , Matoori Simon , Dubsky Peter , Plümecke Tino , Forstner Rosemarie , Ruch Willibald , Meissnitzer Matthias , Hergan Klaus , Largiader Selina , Gutzeit Andreas 
Published: October 2022

Abstract
Background
Breast cancer screening is essential in detecting breast tumors, however, the examination is stressful. In this study we analyzed whether humor enhances patient satisfaction.

Methods
In this prospective randomized study 226 patients undergoing routine breast cancer screening at a single center during October 2020 to July 2021 were included. One hundred thirty-two were eligible for the study. Group 1 (66 patients) received an examination with humorous intervention, group 2 (66 patients) had a standard breast examination. In the humor group, the regular business card was replaced by a self-painted, humorous business card, which was handed to the patient at the beginning of the examination. Afterwards, patients were interviewed with a standardized questionnaire. Scores between the two study groups were compared with the Mann-Whitney U test or Fisher’s exact test. P-values were adjusted with the Holm’s method. Two-sided p-values < 0.05 were considered significant.

Results
One hundred thirty-two patients, 131 female and 1 male, (mean age 59 ± 10.6 years) remained in the final study cohort. Patients in the humor group remembered the radiologist’s name better (85%/30%, P < .001), appreciated the final discussion with the radiologist more (4.67 ± 0.73–5;[5, 5] vs. 4.24 ± 1.1–5;[4, 5], P = .017), felt the radiologist was more empathetic (4.94 ± 0.24–5;[5, 5] vs.4.59 ± 0.64–5;[4, 5], P < .001), and rated him as a humorous doctor (4.91 ± 0.29–5;[5, 5] vs. 2.26 ± 1.43–1;[1, 4], P < .001). Additionally, patients in the humor group tended to experience less anxiety (p = 0.166) and felt the doctor was more competent (p = 0.094).

Conclusion
Humor during routine breast examinations may improve patient-radiologist relationship because the radiologist is considered more empathetic and competent, patients recall the radiologist’s name more easily, and value the final discussion more.

Trial registration
We have a general approval from our ethics committee because it is a retrospective survey, the patient lists for the doctors were anonymized and it is a qualitative study, since the clinical processes are part of the daily routine examinations and are used independently of the study. The patients have given their consent to this study and survey.
Two decades of FDG-PET/CT in seminoma: exploring its role in diagnosis, surveillance and follow-up
Authors: Conduit Ciara , Koh Thuan Tzen , Hofman Michael S , Toner Guy C , Goad Jeremy , Lawrentschuk Nathan , Tai Keen-Hun , Lewin Jeremy H , Tran Ben 
Published: October 2022

Abstract
Background
Survivors of testicular cancer may experience long-term morbidity following treatment. There is an unmet need to investigate techniques that can differentiate individuals who need additional therapy from those who do not. 2-18fluoro-deoxy-D-glucose (FDG) positron emission tomography (PET) with computerised tomography (CT) may be helpful in select settings and may be used outside of current evidence-based recommendations in real-world practice.

Methods
A institutional FDG-PET/CT database of scans performed between 2000 and 2020 for adults with testicular seminoma was interrogated. Endpoints of interest included the positive (PPV) and negative (NPV) predictive value of FDG-PET/CT for identifying active seminoma (defined by progressive radiology, response to treatment or biopsy); or no active seminoma within 24-months for patients with stage 1 and advanced seminoma. An exploratory analysis examining predictive role of SUVmax was also performed.

Results
249 patients met eligibility criteria for the analysis, including 184 patients with stage 1 and 77 patients with advanced testicular seminoma. Of 193 FDG-PET/CT performed in stage 1 seminoma with available follow-up data, 79 were performed during active surveillance. 18 (23%) of these were positive, all of which had confirmed recurrent seminoma (PPV 100%). Of 45 negative FDG-PET/CT during active surveillance, 4 recurrences developed corresponding to a NPV 91%. When clinical suspicion precipitated FDG-PET/CT (n = 36): PPV 100%, NPV 86%. Of 145 FDG-PET/CT in advanced seminoma with available follow-up data, 25 (17%) were performed at baseline (within 2 months of diagnosis), 70 (48%) post-treatment for evaluation of treatment response and 50 (34%) during follow-up following prior curative treatment. 10 (14%) post-treatment FDG-PET/CT were positive corresponding to a PPV 60%. Of 46 negative FDG-PET/CT, 5 recurrences occurred (NPV 89%). During follow-up after prior curative treatment, 24 (50%) FDG-PET/CT were positive corresponding to a PPV 83%; of 20 negative FDG-PET/CT, 1 recurrence occurred, NPV 95%. When clinical suspicion indicated FDG-PET/CT (n = 36): PPV 100%, NPV 94%.

Conclusion
FDG-PET/CT offers high PPV for identifying seminoma and accurately predicts non-recurrence across a clinically relevant 24-months. Notably, FDG-PET/CT may prevent unnecessary treatment in 45% of patients undergoing investigation for clinical suspicion of recurrence during follow-up of advanced seminoma. The use of FDG-PET/CT in selected patients now, may help prevent unnecessary treatment of people with testicular seminoma.
Palliative rehabilitation in end-stage renal failure
Authors: Seng Alfred Wai Ping , Tham Shuen-Loong 
Published: October 2022

Abstract
Background
In end-stage chronic kidney disease (CKD), patients experience disabilities stemming from organ failure. These can be worsened by symptoms and complications of underlying cause(s), and the conditions associated with the CKD. There is a dearth of literature regarding palliative rehabilitation in end-stage CKD. Our case highlights the complex medical and rehabilitative issues that such patients face.

Case presentation
A 64-year-old male had end-stage CKD and declined dialysis. After sustaining a myocardial infarction, he suffered a posterior circulation stroke the following month. Whilst undergoing stroke rehabilitation, his progress was further hampered by symptoms of kidney failure. The patient underwent interdisciplinary rehabilitation for 29 days. Goal-setting was performed with the patient and family to allow contextualization to the patient’s stage of disease, beliefs and environment. Care-giver training was provided to facilitate discharge back home. He demonstrated improvements in physical endurance and function. His Functional Independence Measure score improved from 51 to 82. He outlived his prognosis of 3–6 months and demised 15 months after discharge.

Conclusions
In end-stage CKD without renal replacement therapy, rehabilitation and palliative care efforts align to enhance quality of life, in the face of unlikely cure. While palliative care provides symptom management and supportive care, rehabilitation safeguards physical endurance and ability. It is in the hope of doing so, independence and thence, self-esteem, can be maintained. Future research should explore the benefits of palliative rehabilitation in renal failure.
Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study
Authors: ElShawady Kholoud Bahaa Eldin Abdel Mohsen , Zaki Gamal Fouad Saleh , Abdelhamid Hatem Saeed , Elfawy Dalia Mahmoud Ahmed , Elfar Marwa Mamdoh 
Published: October 2022

Abstract
Background
The aim of this study was to compare the efficacy of ultrasound-guided adductor canal block versus femoral nerve block in postoperative analgesia, as well as their effect on quadriceps muscle strength.

Results
The study included 66 patients who were underwent arthroscopic anterior cruciate ligament reconstruction under general anesthesia. They were randomly divided into 2 groups; A and F, of 33 patients in each. Patients in group A received an adductor canal block, while patients in group F received a femoral nerve block. The primary outcome was the total morphine requirements in the first 24 h after the procedure. Secondary outcomes included time to first analgesic request and the patients’ ability to perform straight leg raise in the post-anesthesia care unit and 2 h later. The straight leg raise was impaired in group F compared with group A both in the post-anesthesia care unit (p value = 0.017) and 2 h postoperatively (p value = 0.020). While there was no differences between both groups regarding time to first analgesic request, and total morphine requirements.

Conclusions
Compared with femoral nerve block, the adductor canal block may be an effective analgesic alternative with the advantage of sparing the quadriceps muscle strength in anterior cruciate ligament reconstruction surgeries.
Atrial depolarization abnormalities in pulmonary sarcoidosis
Authors: Paul Amal , Paul Akhil , Subhash Immanuel , Yadav Bijesh , Jacob John Roshan , Christopher D. J. , Balamugesh T. 
Published: October 2022

Abstract
Background
Cardiac sarcoidosis, often manifested as sudden death, can be the first manifestation of sarcoidosis. Since 12-lead electrocardiogram (ECG) is recommended as an initial screening tool for cardiac sarcoidosis, the recognition of subtle abnormalities assumes utmost significance. The objective of this study was to identify the electrocardiographic abnormalities in patients with pulmonary sarcoidosis.

Results
A detailed analysis of 12-lead ECGs obtained from sixty patients with histopathologically proven pulmonary sarcoidosis and no overt cardiac involvement was done. The findings were compared with those of an age-matched control group. Varying degrees of intraventricular conduction defects were common in the study group [67%], as well as the control group [57%] [P = 0.23]. There was a higher prevalence of biphasic P wave [P = 0.003] and bifid P wave [P = 0.029] in lead III and rsr’ in lead aVF [P = 0.03] in the study group as compared to the control group.

Conclusions
Our study demonstrates a greater prevalence of subtle ECG abnormalities in patients with pulmonary sarcoidosis as compared to patients with other forms of pulmonary disease. Atrial depolarization abnormalities were commoner in patients with pulmonary sarcoidosis.
Demystifying the effect of social media eWOM on revisit intention post-COVID-19: an extension of theory of planned behavior
Authors: Azhar Mohd , Ali Ruksar , Hamid Sheeba , Akhtar Mohd Junaid , Rahman Mohd Nayyer 
Published: October 2022

AbstractThe present study intends to unwrap the influence of social media electronic word of mouth (eWOM) on revisit intention post-COVID-19 applying the theory of planned behavior (TPB). Two additional constructs, viz., eWOM and destination image, have been undertaken in the present study to enhance the robustness of the TPB model. An online questionnaire was employed to collect data, and the research relied upon 301 correct and useable responses. The survey's population includes potential tourists who intend to revisit India post-COVID-19. SPSS 20 and AMOS 22.0 were used to analyze the data. The posited model was validated using confirmatory factor analysis (CFA) and structural equation modeling (SEM). The findings indicate that all of the constructs under study, namely "electronic word of mouth (eWOM), destination image (DI), attitude (ATT), subjective norm (SN), and perceived behavioral control (PBC)," significantly and positively influence "tourists' revisit intention (RI)" post-COVID-19. These constructs explained approximately 71% (R2 = 0.709) of the variance in the revisit intention post-COVID-19. A number of theoretical and practical implications can be delineated to make recommendations to the ministry of tourism, tour and travel agencies, central and state government-owned tourism departments, marketers and promoters of travel destinations. The distinctiveness of the present study lies in the fact that it measures the influence of eWOM on revisit intention post-COVID-19 in the Indian context by incorporating destination image with the TPB model.
Effectiveness of learning complex motor activity and the model of manual dexterity in children aged 9-10 years
Authors: Matczak Dawid , Wieczorek Marta 
Published: October 2022

Introduction
Learning is a complex and multi-dimensional process that depends on cognitive and emotional processes and the development of functional systems of the human body. One type of learning is motor learning. Its course and effects depend on many factors. One of the factors may be lateralization. Differences between intellectual and motor learning tend to be blurred when learning a complex motor activity takes place.
Purpose
The cognitive aim of the study is to assessment of the effectiveness (speed, efficiency, durability) of learning complex motor activity in relation to the selected aspect of physical development (the model of manual dexterity) of a selected group of girls and boys.
Materials and methods:
The study was conducted among 73 children (44 boys and 29 girls) aged 9 - 10 years. Authors used the pedagogical experiment method and the research tool was the program for learning how to juggle three tennis balls. To assess the selected aspects of physical development we chose the direct categorized observation method. As research tools Authors used the Vienna Test System (VTS)
Results:
Most of the examined girls and boys were characterized by an established model of manualness.Subjects with a fixed model of manualness learned faster and more effectively than people with an undetermined model of manualness. The examined girls with a fixed model of manuality achieved more lasting learning outcomes than girls with an unspecified model. Such a relationship was not observed in the group of boys.
Conclusions:
Boys and girls who are characterized by a fixed model of handedness achieve a higher effectiveness of learning a complex motor activity.
Landscape tree species recognition using RedEdge-MX: Suitability analysis of two different texture extraction forms under MLC and RF supervision
Authors: Liu Huaipeng , Su Xiaoyan , Zhang Chuancai , An Huijun 
Published: October 2022

Abstract
The size of the texture extraction window impacts image tree species classification, and the determination of the optimal texture extraction window requires the supervision of a specific classifier for accuracy. Therefore, it is necessary to analyse which kind of classifier is more suitable and should be to choose. In this study, we extracted eight types of textures, namely mean, variance, homogeneity, contrast, dissimilarity, entropy, second moment and correlation, changed the window size by gradient increase and used maximum likelihood classification (MLC) and random forest (RF) to supervise and determine their optimal extraction windows, respectively. Finally, the optimised time consumption and classification accuracy for tree species classification was identified. The time consumption of MLC was significantly less than that of RF; however, neither was very long; for most textures, the optimal texture extraction window determined by MLC supervision was larger than that determined by RF supervision; in the classification of most feature sets, the overall accuracy obtained by MLC was less than that of RF. Because the time consumption of the texture extraction was much greater than that of the image classification, the comprehensive trade-off indicates that using RF supervision to determine the optimal window for texture extraction was more conducive to tree species recognition.
Forms of land access in the sugarcane agroindustry: A comparison of Brazilian and Peruvian cases
Authors: de Almeida Patrícia José , Salinas Carlos T. , Ramos Lucas , de Carvalho Celso Albano 
Published: October 2022

Abstract
Currently, many sugarcane mills face the challenge of obtaining sufficient raw material. This work analyzes and compares the land access forms to cane production in Brazil (big producer) and Peru (small producer). Data from Agricultural Censuses of the two countries are used. In the analyzed period, there was an increase in sugarcane production in both countries. It is observed that in Brazil, the tendency is for sugar mills to use land leasing or sharecropping contracts. In Peru, new sugarcane mills mainly use their own land. The access to land through agrarian contracts can be a factor of sustainability of the sugarcane agribusiness.
Buildings on Paper
Authors: Luengo Pedro 
Published: October 2022

Abstract
The transmission of European engravings to China had significant artistic consequences during the eighteenth century, at a key moment in the development of relations between the Chinese emperor and the pope. In Buildings on Paper: A 1713 Inventory of European Engravings for the Chinese Emperor, Pedro Luengo analyzes a previously unknown collection of architectural and artistic books inventoried in 1713 in connection with the papal legation of Cardinal Charles-Thomas Maillard de Tournon (1668–1710). The sources in the inventory contrast with those preserved by the Jesuits in Beijing, until now regarded as the only references for European artistic and architectural influence in the Chinese capital. Luengo evaluates the engravings and books listed in the 1713 inventory in terms of their impact on art and architecture in China, especially in the construction of palaces in the capital.
Caracterización del feminicidio en Manizales entre los años 2008 – 2017
Authors: Gomez Arias Fabian , De la Portilla Sonia 
Published: October 2022

Feminicidio es el homicidio de mujeres por su condición de ser mujer, es la consecuencia más severa de la violencia de género, a nivel mundial hasta pocos años era un fenómeno ignorado, minimizado e invisiblilizado. Pero, debido a los actuales cambios sociales, al empoderamiento de la mujer tanto en el plano individual como colectivo, con nuevas legislaciones que protegen de manera prioritaria los derechos humanos, con énfasis en la violencia de género; el feminicidio como delito ha logrado mayor visibilización, vigilancia extrema y respuestas inmediatas de la sociedad.
En Manizales, existe un vacío de conocimiento acerca de ¿cuál es la prevalencia del delito de feminicidio en los últimos 10 años y que factores lo caracterizan? La investigación tiene por objetivo caracterizar el feminicidio en Manizales entre 2008 – 2017.
La investigación es de tipo descriptiva, la población asciende a 187 mujeres que han sido víctimas de muerte violenta en hechos ocurridos en el municipio Manizales – Colombia y la muestra seleccionada fueron 43 mujeres víctimas de homicidio cuyas características enmarcan dentro del concepto de feminicidio.
Evaluating the Effects of Clinical Characteristics and Therapeutic Regimens on Mortality in Hospitalized Patients with Severe COVID-19
Authors: Karimpour-razkenari Elahe , Boskabadi Javad , Ghazaeian Monireh , Samaee Hamidreza , Azizi Hanieh , Esfandiari Fatemeh , Mousavi Seyed Abdollah , Fallah Sahar , Talebi Sekineh 
Published: October 2022

Background: The coronavirus disease 2019 (COVID-19) is highly contagious and has turned into a global health problem. In this study, we investigated the role of clinical and laboratory characteristics along with administered therapeutic agents in patients with COVID-19, and identified some effective factors on the mortality of these individuals.
Methods: In this retrospective study, we evaluated the data from all the hospitalized patients who had been diagnosed with COVID-19 between February 23 and May 23, 2020. The data were obtained from medical records. Additionally, a checklist was used to record demographic, clinical, laboratory, imaging, and treatment data for each patient.
Results: Totally, 478 patients were involved in this study, and their median age was 58.5 years. Of these, 53.3% patients were male. The most common pre-existing underlying disease was hypertension (37.9%), and the mortality group had significantly more comorbidities (85.4%). Higher neutrophil lymphocyte ratio (NLR), lymphopenia, and reduced hemoglobin were more frequent in the mortality group (p < 0.001). Similarly, the need to be admitted to the intensive care unit was significantly greater in the mortality group (p<0.001). The most frequently administered therapeutic regimens included hydroxychloroquine and lopinavir/ritonavir, which did not have any correlation with survival outcome.
Conclusion: Older age, opioid addiction, cardiovascular disease, kidney disease, baseline NLR and hemoglobin, and ICU admission were independently associated with COVID-19 mortality. On the other hand, hydroxychloroquine and lopinavir/ritonavir indicated no beneficial effects on patients’ outcome.
Comparative Performance and Evaluation of Two Molecular Assays and Conventional Detection of Theileria annulata in Bovines
Authors: Ntesang K. , Kaur P. , Arora J.S. , Kashyap N. , Singla L.D. 
Published: October 2022

Background: Theileria annulata is predominant and of utmost economical importance tick borne pathogen of bovines in the region which is routinely diagnosed based on the microscopic examination of Romanowsky stained thin blood smears. Present study was intended to evaluate and analyze the detection efficacy of a commercial polymerase chain reaction kit based assay in comparison to conventional PCR assay and classical microscopy for detection of T. annulata from blood samples of bovines from Punjab state. Methods: In this comparative study 360 bovine blood samples from various districts of agro-climatic zones in Punjab were first screened for T. annulata by Giemsa-stained thin blood smear (GSTBS) examination. The same panel of blood samples was tested for T. annulata by a commercial PCR kit Bovi-TheiDX Theileria annulata (Genext Genomics) (PCR1) and established conventional PCR assay targeting merozoite piroplasm surface antigen (Tams1) gene of T. annulata (PCR2). Result: Out of 360 samples screened, positivity of T. annulata by GSTBS was found to be 12.5% (45/360) with a sensitivity of 37.20% and specificity of 96.00% when compared with commercial kit (PCR1), the difference was statistically significant (p less than .0001). The detection prevalence by PCR1 29.70% (107/360) and PCR2 assay 33.90% (122/360) showed significant (p less than .0001) difference. The conventional PCR targeting the Tams1 gene (PCR2) was found to be more sensitive (84.6%) (p less than 0.001) than PCR1 (69.7%).
Intelligent voltage regulation system in the distribution electrical network based on fuzzy logic
Authors: Rysev Pavel V. , Peshko Mikhail S. , Shepelev Alexander O. 
Published: October 2022

The paper considers the issues of voltage regulation in the distribution network. The possibility of using fuzzy logic implemented in a fuzzy controller for voltage control is shown.
The purpose of the study: to increase the resource of switches of voltage regulators of power transformers when controlling voltage and reactive power modes of distribution electrical networks.
Subject of research: the introduction of a fuzzy controller in the voltage level control system in the distribution electrical network.
Methods and objects of research: the study was conducted using numerical simulation, fuzzy logic methods. The objects of the study were the distribution electrical network as well as power transformers equipped with voltage regulators, adjustable compensating devices working together under the control of a fuzzy controller.
Results of research: based on the conducted experiments, it was shown that the joint use of voltage regulation means (transformers, compensating devices) in the distribution electrical network when controlling a fuzzy controller allows to increase the resource and extend the service life of transformer switching devices.