bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effects of dexmedetomidine for patient-controlled analgesia on postoperative sleep quality and gastrointestinal motility function after surgery: A prospective, randomized, double-blind, and controlled trial
Authors: Sui Xin , Wang Yue , Jin Mingxin , Li Kun , Jiang Ge , Song Ailing , He Zhaoyi , Yin Chengke , Zhao Jingshun , Wang Liping , Han Fei 
Published: October 2022

Background: Postoperative poor sleep quality and decreased gastrointestinal motility function are common clinical problems. This study investigated the effects of dexmedetomidine (DEX) combined with sufentanil for patient-controlled analgesia (PCA) on postoperative sleep quality and gastrointestinal motility function after surgery in patients with colorectal cancer.Methods: Patients undergoing colorectal cancer surgery were randomly divided into three groups, DEX 0, 200, or 400 μg, each combined with sufentanil 150 μg for PCA immediately after surgery. The primary outcome was sleep quality in the first 7 days after surgery based on the Athens Insomnia Scale (AIS) score. The secondary outcome was postoperative gastrointestinal motility recovery evaluated by the time of first flatus, first feces and first diet. Postoperative pain intensity, side effects and the length of postoperative hospital stay were also compared among groups. The study was registered with the Chinese Clinical Trial Registry (https://www.chictr.org.cn/enIndex.aspx, ChiCTR2000032601).Results: Ultimately, 210 cases were included. Sleep quality was better in the DEX 200 μg group and DEX 400 μg group than in the DEX 0 μg group. Overall, in the DEX 200 μg group and DEX 400 μg group, the AIS score (p &lt; 0.05) and the incidence of sleep disturbance (7.3%, 4.5% vs. 19.6%, p &lt; 0.001) were lower than those in the DEX 0 μg group in the first 7 days after surgery. There were no significant differences in postoperative gastrointestinal motility among the three groups in the total surgical categories (p &gt; 0.05). In the laparoscopic surgery patients of each group, the time of postoperative first flatus (p = 0.02) and first feces (p = 0.01) was significantly longer in the DEX 400 μg group than in the DEX 0 μg group. There were no differences in postoperative pain intensity, side effects or length of postoperative hospital stay (p &gt; 0.05).Conclusion: The continuous infusion of DEX (200 or 400 μg) for PCA significantly improved postoperative sleep quality after colorectal cancer surgery. DEX (200 μg) was better at improving postoperative sleep quality without affecting gastrointestinal motility function than DEX (400 μg) in patients who underwent laparoscopic colorectal cancer surgery.
Multi-arrays of 3D cylindrical microdetectors for beam characterization and microdosimetry in proton therapy
Authors: Bachiller-Perea Diana , Zhang Mingming , Fleta Celeste , Quirion David , Bassignana Daniela , Gómez Faustino , Guardiola Consuelo 
Published: October 2022

The present work shows the performance of two new large microdosimetry multi-array systems having two different configurations, namely, pixel and strip configurations. They cover radiation sensitive areas of 1.9 cm × 0.1 cm and 5.1 cm × 0.1 cm, respectively. The microdosimetry systems are based on arrays of 3D cylindrical silicon microdetectors. The 3D electrodes are etched inside the silicon and have a 25 μm diameter and a 20 μm depth. Each of these unit cells is completely isolated from the others and has a well defined 3D micrometric radiation sensitive volume. The pixel-type device consists of 25 × 5 independent silicon-based detectors (500 in total), each one connected to a readout channel, collecting information in 2D in the transverse planes to the particle beam direction. The distance between the individual detectors (pitch) is 200 μm in the horizontal axis and 250 μm in the vertical one. In the case of the strip-type system, we have 512 “columns” (or strips) of 10 detectors per column. Each strip is connected to a readout channel, giving us information in one dimension, but with better statistics than a single pixel. In this system, both the horizontal and vertical pitches are 100 μm.Both systems have been tested under proton beam irradiations at different energies between 6 and 24 MeV to obtain the corresponding microdosimetry quantities along the Bragg peak and distal edge. The measurements were performed at the Accélérateur Linéaire et Tandem à Orsay (ALTO, France). The microdosimetry quantities were successfully obtained with spatial resolutions of 100–250 μm. Experimental results were compared to Monte Carlo simulations and an overall good agreement was found. Both microdetector systems showed a good microdosimetry performance under clinical-equivalent fluence rates along distances of several centimeters. This work demonstrates that the two new systems having different configurations can be clinically used as microdosimeters for measuring the lineal energy distributions in the context of proton therapy treatments. Additionally, they could be also used for beam monitoring.
Hyperbilirubinemia after surgical repair for acute type a aortic dissection: A propensity score-matched analysis
Authors: Wang Zhigang , Xu Jingfang , Cheng Xiaofeng , Zhang Lifang , Wang Dongjin , Pan Jun 
Published: October 2022

Background: Inflammation and oxidative stress are known to participate in the pathogenesis of hyperbilirubinemia. It has been known that acute type A aortic dissection (ATAAD) surgical repair often associates with complications which might affect the long-term prognosis. However, the clinical significance of postoperative hyperbilirubinemia (PH) has not been evaluated. Here in this study, we examined the incidence, risk factors, and prognosis of PH after ATAAD surgery.Methods: This retrospective study enrolled a total of 970 patients who received ATAAD surgical repair from January 2014 to December 2019. PH was defined as serum total bilirubin &gt;3.0 mg/dl within the first week after the surgery. Propensity score matching was used to reduce selection bias and eliminate potential confounding factors. Kaplan–Meier survival and Cox proportional hazards regression analyses were conducted to explore the association between PH and postoperative long-term survival.Results: Development of PH (183 patients) was associated with a higher 30-Day mortality (20.8% vs. 9.0%, p &lt; 0.001). Advanced age [odds ratio (OR) 1.538, p = 0.006], higher baseline total bilirubin level (OR 1.735, p = 0.026), preoperative pericardial tamponade (OR 3.192, p = 0.024), prolonged cardiopulmonary bypass (CPB) duration (OR 2.008, p = 0.005), and elevated postoperative central venous pressure (CVP) level (OR 2.183, p &lt; 0.001) were associated with PH. The Kaplan-Meier analysis showed patients who developed PH were associated with poor long-term survival (p = 0.044). Cox analysis showed that the presence of PH (hazard ratio 2.006, p = 0.003) was an independent risk factor for increased mortality.Conclusion: PH is a common complication in patients undergoing ATAAD surgical repair that associates with worse short- and long-term prognosis. Our data indicated that age, preoperative total bilirubin level, pericardial tamponade, CPB duration, and postoperative CVP level were risk factors for the development of PH.
Temporal regulation of cold transcriptional response in switchgrass
Authors: Ranaweera Thilanka , Brown Brianna N.I. , Wang Peipei , Shiu Shin-Han 
Published: October 2022

Switchgrass low-land ecotypes have significantly higher biomass but lower cold tolerance compared to up-land ecotypes. Understanding the molecular mechanisms underlying cold response, including the ones at transcriptional level, can contribute to improving tolerance of high-yield switchgrass under chilling and freezing environmental conditions. Here, by analyzing an existing switchgrass transcriptome dataset, the temporal cis-regulatory basis of switchgrass transcriptional response to cold is dissected computationally. We found that the number of cold-responsive genes and enriched Gene Ontology terms increased as duration of cold treatment increased from 30 min to 24 hours, suggesting an amplified response/cascading effect in cold-responsive gene expression. To identify genomic sequences likely important for regulating cold response, machine learning models predictive of cold response were established using k-mer sequences enriched in the genic and flanking regions of cold-responsive genes but not non-responsive genes. These k-mers, referred to as putative cis-regulatory elements (pCREs) are likely regulatory sequences of cold response in switchgrass. There are in total 655 pCREs where 54 are important in all cold treatment time points. Consistent with this, eight of 35 known cold-responsive CREs were similar to top-ranked pCREs in the models and only these eight were important for predicting temporal cold response. More importantly, most of the top-ranked pCREs were novel sequences in cold regulation. Our findings suggest additional sequence elements important for cold-responsive regulation previously not known that warrant further studies.
The public information needs of COVID-19 vaccine: A study based on online Q&A communities and portals in China
Authors: Wang Lin , Xian Zuquan , Du Tianyu 
Published: October 2022

PurposeThis study analyzes the topic and distribution features of public information needs for the COVID-19 vaccine from Chinese online Q&amp;A communities and portals. It aims to identify the features and differences in public COVID-19 vaccine information needs at different periods.Design/MethodologyA total of 14,296 questions about the COVID-19 vaccine from four Chinese mainstream online communities and portals were studied following five procedures: data collection, data processing, K-means clustering, LDA topic model analysis, and needs identification.FindingsThe study identified the topical features of public information needs for the COVID-19 vaccine during the first pandemic outbreak, pre-listing period, and post-listing period. It constructed a framework of public vaccine information needs. The information needs can be classified into 8 main categories and 16 subcategories. The eight main categories are vaccination (53.72%), evaluation and impact of other social events (17.90%), vaccine R&amp;D and listing (9.49%), vaccine side effects and countermeasures (5.63%), vaccination necessity (4.98%), vaccine patent exemption (3.26%), vaccination effectiveness (2.94%), and essential knowledge of vaccine (2.08%), where percentage refers to the distribution of information needs data under various categories.ImplicationsOnline communities and portals should provide dynamic and tailored information services according to changing public vaccine information needs. The public information needs regarding vaccination is prominent and should be addressed first. In the follow-up booster vaccination efforts, government health departments should prioritize susceptible groups, such as overseas students, airport workers, and healthcare workers.Originality/ValueWe built a conceptual framework using data mining techniques and analyzed the COVID-19 vaccine information needs distribution at different time points and among different social groups, focusing on the theme of public information needs for the COVID-19 vaccine. It makes recommendations for government health departments and online platforms to improve the quality of COVID-19 vaccine information services for the public and provide a reference for the vaccination of COVID-19 booster shots.
Clinical symptoms and their relationship with cognitive impairment in elderly patients with depressive disorder
Authors: Wu Zhenguo , Su Guanli , Lu Wenting , Liu Lin , Zhou Zixuan , Xie Bingchuan 
Published: October 2022

ObjectiveTo evaluate the correlation between clinical symptoms and cognitive impairment in elderly patients with depressive disorder.MethodsIn this retrospective study, a total of 123 elderly patients with depressive disorder admitted to our hospital from January 2020 to February 2021 were included. Patients' cognitive function was assessed by the Montreal Cognitive Assessment Scale (MoCA). According to the combination of cognitive impairment or not, patients were divided into the combined group (64 cases) and the depressive disorder group (59 cases). In addition, 70 healthy people who came to our hospital for physical examination during the same period were randomly selected as the healthy group.ResultsThe incidence of severe cognitive impairment in the combined group (33, 51.56%) was significantly higher than that in the depression group (19, 32.20%), the difference was statistically significant (P = 0.003). The incidence of somatization symptoms, suicidal tendency, retardation of thinking, diminution of energy, anxiety and sleep disorder in the combined group were higher than that in the depressive disorder group with significant difference [30 (56.88%) vs. 16 (27.12%), P = 0.024; 12 (18.75%) vs. 3 (5.08%), P = 0.021; 33 (51.56%) vs. 14 (23.73%), P = 0.002; 37 (57.81%) vs. 23 (38.98%), P = 0.029; 42 (65.63) vs. 25 (42.37), P = 0.011; 50 (78.13) vs. 42 (71.19), P = 0.031, respectively]. Spearman rank correlation analysis suggested that somatic symptom, mood change, suicidal tendency, retardation of thinking, diminution of energy, anxiety, and sleep disorder were negatively correlated with cognitive impairment, respectively (r =-0.161, −0.672, −0.262, −0.871, −0.421, −0.571, −0.512, P &lt; 0.001).ConclusionThe clinical symptoms of depressive disorder were negatively correlated with cognitive impairment. Somatic symptoms, suicidal tendency, retardation of thinking, diminution of energy, anxiety, and sleep disorder were the risk factors for cognitive impairment.
Talk-based approaches to support people who are distressed by their experience of hearing voices: A scoping review
Authors: Burr Christian , Schnackenberg Joachim K. , Weidner Frank 
Published: October 2022

BackgroundThe positive effects of both antipsychotic medication and cognitive behavioral therapy in psychosis (CBTp) for people who are distressed by their experience of hearing voices remain limited. As a result, there has been a recent surge in talk-based individual approaches. Many of these continue not to be very well known nor implemented in practice. Some of the approaches may focus more on understanding and dealing constructively with voices, an element that has been identified as potentially helpful by voice hearers. Existing barriers to a wider implementation include both the widespread pathologization of hearing voices and a lack of mental health professionals who have been trained and trusted to carry out these new interventions.MethodsThis scoping review aimed to identify and describe a current synthesis of talk-based individual approaches for people who hear voices, including studies independently of method of study or approach, diagnosis of voice hearers nor of the professional background of interventionists.ResultsNine different talk-based approaches were identified. These included: (1) Cognitive Behavioral Therapy for Psychosis (CBTp); (2) AVATAR therapy; (3) Making Sense of Voices (MsV) aka Experience Focused Counselling (EFC); (4) Relating Therapy; (5) Acceptance and Commitment Therapy; (6) Smartphone-based Coping-focused Intervention; (7) Prolonged and Virtual Reality Exposure Therapy; (8) Eye Movement Desensitization and Reprocessing, and (9) Individual Mindfulness-based Program for Voice Hearing. The different approaches differed greatly in relation to the number of sessions, length of time offered and the scientific evidence on efficacy. Psychologists represented the main professional group of interventionists. CBTp and the MsV/EFC approach also included health professionals, like nurses, as implementers. Most of the approaches showed positive outcomes in relation to voice related distress levels. None identified overall or voice specific deteriorations.ConclusionThere appears to be a strong case for the implementation of a broader heterogeneity of approaches in practice. This would also be in line with recommendations for recovery focused services and requirements of voice hearers. A greater emphasis on whole systems implementation and thus the involvement of frontline staff, like nurses, in the delivery of these approaches would likely reduce the research-practice implementation gap.
Rapid investigation of BA.4/BA.5 cases in France
Authors: Kouamen Alain-Claude , Da Cruz Helena , Hamidouche Mohamed , Lamy Anais , Lloyd Anna , Castro Alvarez Javier , Roussel Mathilde , Josset Laurence , Enouf Vincent , Felici Charlotte , Dos Santos Georges , Schaeffer Justine , Maisa Anna ,   Regional COVID-19 Investigation Group,   Laboratory Group
Published: October 2022

AimWe aimed to describe the characteristics of individuals infected by BA.4 or BA.5 in France in comparison to BA.1, and analyze the factors associated with hospitalization among BA.4 and BA.5 cases.MethodsA standardized questionnaire was used to collect information on confirmed and probable Omicron cases. Hospitalization risk factors among BA.4/BA.5 cases were analyzed using Poisson regression. Variables with a p-value below 0.2 in the univariate analysis and a priori confounders were included in the multivariable regression model.ResultsThe median age of the 301 cases investigated was 47 years and 97% of cases were symptomatic. The most common clinical signs were asthenia/fatigue (75.7%), cough (58.3%), fever (58.3%), headache (52.1%) and rhinorrhea (50.7%). Twelve cases were hospitalized, and 27.1% reported risk factors. No admissions to intensive care and no deaths were reported. Vaccination status was available for 292 cases, 20.9% were unvaccinated, 1.4% had received one dose, 38.3% two doses and 39.4% three doses. Cases presenting at least one risk factor were almost seventeen times more likely to be hospitalized than those with no risk factors (aRR = 16.72 [95% CI2.59–326.86]).ConclusionDespite the longer duration of and the differences in symptoms and their possible immune escape, BA.4/BA.5 Omicron sub-lineages globally showed no severe clinical presentation. The presence of at least one risk factor for severe disease significantly increased the risk of hospitalization for those infected with BA.4 or BA.5.
Night shifts in interns: Effects of daytime napping on autonomic activity and cognitive function
Authors: Fan Jieyi , Wang Liang , Yang Xiaotian , Zhang Xiangbo , Song Ziyao , Wu Sifan , Zou Linru , Li Xi , Zhao Xingcheng , Li Chenfei , Pan Yikai , Tie Yateng , Wang Yongchun , Luo Zhengxue , Sun Xiqing 
Published: October 2022

ObjectiveNight shifts have adverse cognitive outcomes that might be attenuated by daytime napping. The neurovisceral integration model suggests that resting vagally mediated heart rate variability (vmHRV) is linked with cognitive function. This study investigated the relationship between resting vmHRV and cognitive function after different nap durations in interns after shift work.MethodsA total of 105 interns were randomly allocated to one of three groups (non-nap, n = 35; 15-min nap, n = 35; 45-min nap, n = 35) to perform cognitive tests and resting vmHRV at 12:00, 15:00 and 18:00. Information processing (digit symbol substitution test; DSST), motor speed (finger tapping test; FTT), response selection (choice reaction time; CRT), and attention shifts (shifting attention test; SAT) were assessed. Resting vmHRV was assessed at baseline and during each cognitive task across groups.ResultsCompared with the non-nap control, the 15-min and 45-min naps improved all outcome measures (including subjective sleepiness and cognitive performance) at 15:00, with some benefits maintained at 18:00. The 15-min nap produced significantly greater benefits on the FTT at 15:00 after napping than did the 45-min nap. Resting vmHRV was significantly correlated with DSST and SAT performance. In addition, FTT performance was the only significant predictor of DSST performance across different nap durations.ConclusionOur results demonstrate links between daytime napping (in particular, a 15-min nap) and improved cognitive control in relation to autonomic activity after shift work in interns. These results indicated that autonomic activity when awake plays a crucial role in DSST and SAT performance and facilitated the understanding of differences in neurocognitive mechanisms underlying information processing after different nap durations.
Knowledge, attitude, and acceptance regarding COVID-19 vaccines in Sudan
Authors: Mohmmed Hazeem A. , Alawad Ragda Abdalmonem , Awad Ahmed K. , Alobied Abdalaziz Awad 
Published: October 2022

BackgroundCOVID-19 is a respiratory disease caused by SARS-CoV-2, a new coronavirus discovered in December 2019 in China. COVID-19 symptoms are similar to those of viral flu but may be more severe, these symptoms can be defended by vaccines, the most distributed 6 candidate vaccines are Pfizer, BioNTech, Moderna, Johnson &amp; Johnson/Janssen AstraZeneca, Sinopharm, Sinovac. In Sudan, the virus has rapidly spread in the country, causing a total of 37,138 confirmed cases with 2,776 deaths till July 21, 2021. We are targeting health workers, medical students, and the general public to assess their behavior regarding COVID-19 vaccines in Sudan, recognize the determinants of their behavior, and identify the factors increasing vaccine acceptance among them.MethodsWe conducted a pretested cross-sectional online survey involving healthcare workers, medical students, and the general population in Sudan in July and August. We collected the data by sending the survey to social media platforms (e.g., Facebook and WhatsApp). The survey was conducted anonymously without identity-related data. We used both convenience sampling and snowball sampling methods as the participants were asked to forward the survey link to their contacts. The sample size was calculated using Slovin's formula and we estimated the sample size to be 400.ResultsOf our 400 participants, 36.8% (n = 147) were males and 63.2% (n = 253) were females, the mean age of the participants was 24.17 ± 8.07. The overall vaccine acceptance rate was 48.2% (n = 193) and “Occupation” was the only sociodemographic domain significantly associated with vaccine acceptance, showing a higher acceptance rate among health care workers (p = 0.009). “Afraid of unknown side effects” was the most commonly reported barrier to vaccination (p = 0.33).ConclusionThe vaccine acceptance rate is low, and public health authorities and the government in Sudan have a heavy mission for implementing successful vaccination programs with high coverage.