bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of artificial intelligence to the veterinary radiologist's diagnosis of canine cardiogenic pulmonary edema
Authors: Kim Eunbee , Fischetti Anthony J. , Sreetharan Pratheev , Weltman Joel G. , Fox Philip R. 
Published: January 2022

AbstractApplication of artificial intelligence (AI) to improve clinical diagnosis is a burgeoning field in human and veterinary medicine. The objective of this prospective, diagnostic accuracy study was to determine the accuracy, sensitivity, and specificity of an AI‐based software for diagnosing canine cardiogenic pulmonary edema from thoracic radiographs, using an American College of Veterinary Radiology‐certified veterinary radiologist's interpretation as the reference standard. Five hundred consecutive canine thoracic radiographs made after‐hours by a veterinary Emergency Department were retrieved. A total of 481 of 500 cases were technically analyzable. Based on the radiologist's assessment, 46 (10.4%) of these 481 dogs were diagnosed with cardiogenic pulmonary edema (CPE+). Of these cases, the AI software designated 42 of 46 as CPE+ and four of 46 as cardiogenic pulmonary edema negative (CPE−). Accuracy, sensitivity, and specificity of the AI‐based software compared to radiologist diagnosis were 92.3%, 91.3%, and 92.4%, respectively (positive predictive value, 56%; negative predictive value, 99%). Findings supported using AI software screening for thoracic radiographs of dogs with suspected cardiogenic pulmonary edema to assist with short‐term decision‐making when a radiologist is unavailable.
Association Between Endovascular Therapy Time to Treatment and Outcomes in Patients With Basilar Artery Occlusion
Authors: Joundi Raed A. , Sun Jie-Lena , Xian Ying , Alhanti Brooke , Nogueira Raul G. , Bhatt Deepak L. , Fonarow Gregg C. , Saver Jeffrey , Schwamm Lee H. , Smith Eric E. 
Published: January 2022

Background:
Basilar artery occlusion (BAO) is a devastating condition without definitive evidence to guide treatment. Whereas the association between faster treatment times with endovascular therapy (EVT) and better outcomes in anterior circulation is well established, whether this relationship exists for patients with BAO is not well delineated.

Methods:
We used individual-level patient data from the Get With The Guidelines–Stroke nationwide US registry prospectively collected from January 2015 to December 2019. We identified individuals with BAO treated with EVT within 24 hours of symptom onset. The primary outcomes examined were in-hospital mortality, discharge home, ambulatory at discharge, independent at discharge (modified Rankin Scale score 0 to 2), substantial reperfusion (modified Thrombolysis in Cerebral Infarction score 2b or 3), and symptomatic intracranial hemorrhage. Using logistic regression models, we evaluated the association between time from symptom onset to treatment with EVT and outcomes.

Results:

Among 3015 patients with BAO treated with EVT, the mean age was 65.9 years, 38.8% were women, and the median National Institutes of Health Stroke Scale score at presentation was 17 (interquartile range, 8–26). Median onset to EVT time was 406 minutes (interquartile range, 252–688). From 2015 to 2019, there was an overall increase in the median onset to EVT times (380–411 minutes;
P
=0.016) but no significant change in the proportion of patients treated within 6 hours of symptom onset (48.4%–44.0%;
P
=0.17). After risk adjustment for patient and hospital-level factors, there were significantly lower odds of in-hospital mortality (adjusted odds ratio [aOR], 0.55 [95% CI, 0.45–0.68]) and symptomatic intracranial hemorrhage (aOR, 0.52 [95% CI, 0.32–0.84]) and significantly higher odds of ambulation at discharge (aOR, 1.72 [95% CI, 1.37–2.16]), discharge home (aOR, 2.19 [95% CI, 1.73–2.77]), and independence at discharge (aOR, 2.21 [95% CI, 1.66–2.95]) when onset to EVT time was ≤6 hours compared with >6 hours. The fastest decay in good outcomes per hour occurred within 6 hours of symptom onset.

Conclusions:
Among patients receiving EVT for BAO, faster treatment from symptom onset was associated with improved outcomes. These findings support efforts to achieve rapid treatment with EVT for patients with BAO.
Instabilities in the Shallow-Water System with a Semi-Lagrangian, Time-Centered Discretization
Authors: Subich Christopher 
Published: January 2022

Abstract
Conventional wisdom suggests that the combination of semi-Lagrangian advection and an implicit treatment of gravity wave terms should result in a combined scheme for the shallow-water equations stable for high Courant numbers. This wisdom is well justified by linear analysis of the system about a uniform reference state with constant fluid depth and velocity, but it is only assumed to hold true in more complex scenarios. This work finds that this conventional wisdom no longer holds in more complicated flow regimes, in particular when the background state is given by steady-state flow past topography. Instead, this background state admits a wide range of instabilities that can lead to noise in atmospheric forecasts.

Significance Statement
This work shows that solutions to the shallow-water equations with a semi-Lagrangian treatment of advection and an implicit, time-centered treatment of gravity wave terms can be unstable when there is a background state of flow over topography. This basic algorithm is used by many operational weather-forecasting models to simulate the meteorological equations, and showing an instability in the simplified, shallow-water system suggests that a similar mechanism may be responsible for “noise” in operational weather forecasts under some circumstances. If this problem can be addressed, it could allow numerical weather models to operate with less dissipation, improving forecast quality.
2022 National Standards for Diabetes Self-Management Education and Support
Authors: Davis Jody , Fischl Amy Hess , Beck Joni , Browning Lillian , Carter Amy , Condon Jo Ellen , Dennison Michelle , Francis Terri , Hughes Peter J. , Jaime Stephen , Lau Ka Hei Karen , McArthur Teresa , McAvoy Karen , Magee Michelle , Newby Olivia , Ponder Stephen W. , Quraishi Uzma , Rawlings Kelly , Socke Julia , Stancil Michelle , Uelmen Sacha , Villalobos Suzanne 
Published: January 2022

Purpose: The National Standards for Diabetes Self-Management Education and Support (DSMES) provide guidance and evidence-based, quality practice for all DSMES services. Due to the dynamic nature of health care and diabetes research, the National Standards are reviewed and revised approximately every 5 years by key stakeholders and experts within the diabetes care and education community. For each revision, the Task Force is charged with reviewing the current National Standards for appropriateness, relevance, and scientific basis and making updates based on current evidence and expert consensus. In 2021, the group was tasked with reducing administrative burden related to DSMES implementation across diverse care settings. Conclusion: The evidence supporting the 2022 National Standards clearly identifies the need to provide person-centered services that embrace cultural differences, social determinants of health, and the ever-increasing technological engagement platforms and systems. Payers are invited to review the National Standards as a tool to inform and modernize DSMES reimbursement requirements and to align with the evolving needs of people with diabetes (PWD) and physicians/other qualified health care professionals. The American Diabetes Association and the Association of Diabetes Care & Education Specialists strongly advocate for health equity to ensure all PWD have access to this critical service proven to improve outcomes both related to and beyond diabetes. The 2022 National Standards update is meant to be a universal document that is easy to understand and can be implemented by the entire health care community. DSMES teams in collaboration with primary care have been shown to be the most effective approach to overcome therapeutic inertia.
Management strategies following slightly out-of-range INRs: watchful waiting vs dose changes
Authors: Remer Hallie B. , Gu Xiaokui , Haymart Brian , Barnes Geoffrey D. , Ali Mona A. , Kline-Rogers Eva , Alexandris-Souphis Tina , Kozlowski Jay H. , Froehlich James B. , Shah Vinay , Krol Gregory D. , Kaatz Scott 
Published: January 2022

Abstract
Patients’ international normalized ratios (INRs) often fall slightly out of range. In these cases, the American College of Chest Physicians (ACCP) guidelines suggest maintaining the current warfarin dose and retesting the INR within the following 2 weeks (watchful waiting). We sought to determine whether watchful waiting or dose changes for slightly out-of-range INRs is more effective in obtaining in-range INRs at follow-up. INRs and management strategies of warfarin-treated patients within the Michigan Anticoagulation Quality Improvement Initiative registry were analyzed. Management strategies included watchful waiting or dose changes. INRs slightly out of range (target range 2.0-3.0) and their associated management were identified. Multilevel mixed-effects logistic regression was used to estimate the probability of the next INR being in range, adjusted for clustering due to multiple out-of-range INRs per patient. A total of 45 351 slightly out-of-range INRs (ranging 1.50-1.99 and 3.01-3.49) from 8288 patients were identified. The next INR was slightly less likely to be in range with watchful waiting than with a dose change (predicted probabilities 58.9% vs 60.0%, P = 0.024). Although a significant statistical difference was detected in the probabilities of the next INR being back in range when managed by a dose change compared with watchful waiting following a slightly out-of-range INR, the magnitude of the difference was small and unlikely to represent clinical importance. Our study supports the current guideline recommendations for watchful waiting in cases of slightly out-of-range INRs values.
Comparison of gut microbial communities, free amino acids or fatty acids contents in the muscle of wild Aristichthys nobilis from Xinlicheng reservoir and Chagan lake
Authors: Lu Yuting , Zhang Peijun , Li Wei , Liu Jia , Shang Xinchi , Cheng Yi , Li Yuehong 
Published: January 2022

Abstract
Background
Fish is favored by consumers, while amino acids and fatty acids are the main nutrients of muscle. At present, it has been found that the gut microbial community may be involved in the regulation of host material anabolism. Juvenile and adult bighead carp (A. nobilis) from Chagan lake and Xinlicheng reservoir were selected, and divided into four groups to compare the differences of gut microbial communities, free amino acid and fatty acids in muscle.

Results
The results showed that fish in different lakes or ages contained specific microbiota, the gut microbial structure was similar, but the microbial content was significantly different. Gut microbial abundance of juvenile fish in Chagan lake was significantly higher than that of other groups. Phylum level analysis Proteobacteria was the dominant gut bacteria of fish in both adult and juvenile fish from two separate lakes. Actinobacteria was another dominant bacterial phylum in juvenile fish in both lakes. Contents of free amino acids and fatty acids in muscle were detected, and the relationships between them and gut microbial communities were analyzed. Bighead carp grew from juvenile to adult, Actinobacteria abundance decreased (P < 0.05) and Proteobacteria increased (P < 0.05). Proteobacteria was positively correlated with the contents of Thr, Lys, Pro, Asp, Gly and Glu, Actinobacteria was negatively correlated with Met and His. Meanwhile, EPA and DHA were positively correlated with Proteobacteria, EPA and DHA were not significantly associated with Actinobacteria.

Conclusion
It was speculated that the contents of free amino acids and fatty acids in muscle might be affected by the difference of gut microbiota, thus affecting the taste and nutritional quality.
Dexmedetomidine versus magnesium sulfate as adjunct to general anesthesia in patients undergoing video-assisted thoracoscopy
Authors: Menshawi Mohammed Abdelsalam , Fahim Hany Magdy 
Published: January 2022

Abstract
Background
This study was designed to evaluate the effects of infusion of magnesium sulfate compared to dexmedetomidine on the postoperative analgesic consumption and pain control in patients scheduled for video-assisted thoracoscopic surgeries (VATS). The intraoperative hemodynamics, anesthesia requirements, and recovery profile were also evaluated.

Results
The mean arterial pressure (MAP) and heart rate (HR) recordings were significantly lower in group D than in groups C and M. The MAP recordings were significantly lower in group M than in group C with no significant difference as regards the HR recordings between both groups. Intraoperative sevoflurane and fentanyl requirements were significantly lower in groups D and M than in group C and in group D than in group M. The atracurium consumption was significantly lower in group M than in groups C and D. The time to reach modified Aldrete score ≥ 9 was significantly longer in groups D and M than in group C and in group D than in group M. Postoperative Ramsay sedation scores were significantly higher in groups D and M than in group C throughout the PACU stay and in group D than in group M in the 1st h postoperatively. The VAS score recordings were significantly lower in groups D and M than in group C and in group D than in group M except at 24-h postoperative recordings. The postoperative nalbuphine and ketorolac requirements were significantly lower in groups D and M than in group C and in group D than in group M.

Conclusions
During VATS, patients who received dexmedetomidine had better hemodynamic stability, less intraoperative anesthetic consumption with better quality of postoperative analgesia, and less postoperative analgesic consumption but longer postoperative anesthesia recovery and higher postoperative sedation scores compared with magnesium sulfate.
Pr¨adiktive Energieflussregelung
Authors: Hesselmann Frederik , Obergfell Micha , Ding Steven 
Published: January 2022

Für zukunftsweisende Quartiersversorgungen ist die Energieflussregelung von Systemen mit Kraft-Wärme-Kopplung in Kombination mit Photovoltaik und Batteriespeicher von besonderer Relevanz. Eine solches System wurde im Rahmen des Verbundprojektes „GreenEnergyFirst“ praktisch umgesetzt und liefert die Daten für eine simulationsgestützte Demonstration desRegelungskonzeptes. Dieses ist in der Lage die Komplexität des Regelungsproblems mit dem Fokus auf die wirtschaftlichste Anlagenfahrweise geeignet abzubilden. Es ist dabei skalierbar und flexibel anwendbar für Topologien mit zentralem Informationszugriff.
Evaluation of the rational use of the cytological method in the diagnostics of the breast diseases using the Yokohama system
Authors: Grigoruk O. G. , Ilinskiy V. K. , Moskvina T. A. , Bazulina L. M. , Sigitova E. S. , Stepanova A. S. , Ponomareva T. V. , Tsoy D. A. , Sinkina T. V. 
Published: January 2022

Retrospective analysis of the usage of fine needle aspiration breast cytolology has been represented in the present work. The potentialities of cytological diagnostics according to Yokohama system with characteristics of C1–C5 categories were estimated. The results of cytological conclusions of 4778 patients with breast lesions who had been examined in the Altay oncological dispensary during the year were studied. Fine needle aspiration breast cytology was used of outpatients in 89.6 % cases. The largest number of patients with pathological changes in the breast was noted in category C2 with benign processes (75.7 % of all cases). Difficult cases for cytological study, where the method could not guarantee the accuracy of the diagnosis, belong to the C3 and C4 categories (1.9 % of all cases). The cytological conclusion recommended the compulsory usage of the core biopsy. Malignant tumors were identified in 853 (19.9 %) patients with an indication of the histological type of tumors.Thus, the cytological technique (as a part of Triple test) should be chosen for outpatients with breast diseases using the Yokohama writing system (C1–C5 categories) of fine needle aspiration cytology.
Subnotificação de Doenças Transmitidas por Alimentos em Januária-MG
Authors: Oliveira Juciara Aparecida da Silva , Ferreira Luiz Carlos 
Published: January 2022

As Doenças Transmitidas por Alimentos (DTA) são causadas pela ingestão de alimentos ou bebidas contaminados, podendo afetar a saúde do consumidor. Este trabalho objetivou analisar os casos de notificação de Doenças Transmitidas por Alimentos no município de Januária-MG. Foi utilizado como base de dados o Sistema de Informação de Agravos de Notificação (SINAN) do Ministério da Saúde, além de informações obtidas na Secretaria Municipal de Saúde do Município de Januária. Foram utilizadas séries históricas dos casos de DTA, no município de Januária. A análise descritiva da base de dados do SINAN foi referente ao período entre 2007 a 2017. Também foi aplicado um questionário aos profissionais de saúde e ao público atendido pelas Unidades Básicas de Saúde sobre questões relacionadas às doenças transmitidas por alimentos. Foi possível observar que muitos dos dados constantes nas fichas de notificação estavam repetidos de um ano para o outro, ficando evidente a precária qualidade dos dados disponíveis de domínio público. No município de Januária, é evidente a baixa qualidade dos dados sobre notificações de DTA, revelando um quadro elevado de subnotificações. Despreparo, descuido ou negligência no preenchimento e encaminhamento das fichas de notificações podem estar relacionados com o reduzido número de notificações de DTA no município.
Palavras-chave: DTA. Notificação. Informação.

Abstract
Foodborne Diseases (DTA) are caused by the ingestion of contaminated food or beverages, which can affect the consumer’s health. This study aimed to analyze the cases of notification of Foodborne Diseases in the municipality of Januária-MG. The Ministry of Health's Notifiable Diseases Information System (SINAN) was used as a database, in addition to information obtained from the Municipal Health Secretariat of the Municipality of Januária. Historical series of DTA cases in the municipality of Januária were used. The descriptive analysis of the SINAN database was for the period from 2007 to 2017. A questionnaire was also applied to health professionals and the public served by basic health units on issues related to foodborne diseases. It was possible to observe that many of the data contained in the notification forms were repeated from one year to the next, making evident the precarious quality of the data available in the public domain. In the municipality of Januária, the low quality of data on DTA notifications is evident, revealing a high level of underreporting. Unpreparedness, carelessness or negligence in filling and forwarding notification forms may be related to the reduced number of DTA notifications in the municipality.

Keywords: DTA. Notification. Information.
.
Mapa da Literatura e Oportunidades de Pesquisas para o Tema Gestão de Riscos de Acidentes de Trabalho na Indústria da Construção Civil | Map of Literature and Research Opportunities for the theme Management of Occupational Accident Risks in Civil Construction Industry
Authors: Ensslin Leonardo , Ensslin Sandra Rolim , Dutra Ademar , Gonçalves Alex 
Published: January 2022

A singularidade, uso de mão de obra de baixa qualificação, a importância de competir por baixos custos, a centralidade do foco estar no produto final em detrimento dos meios utilizados para sua consecução, tem feito da construção civil uma das atividades críticas quanto ao número e gravidade de acidentes de trabalho. Apesar das melhorias alcançadas, os índices de acidentes ainda são maiores do que das outras indústrias. Para reverter este cenário, as organizações demandam de novas abordagens para garantir o desempenho esperado. O objetivo da pesquisa é proceder ao mapeamento da literatura internacional sobre o tema Gestão de Riscos de Acidentes de Trabalho na Indústria da Construção Civil por meio da construção do Mapa da Literatura e pela identificação de oportunidades de pesquisas futuras com base na percepção dos pesquisadores. Para tanto, utilizou-se o instrumento de intervenção Knowledge Development Process-Constructivist (ProKnow-C). O Portfólio Bibliográfico – PB foi composto por 25 artigos. Os resultados revelaram a identificação de quatro clusters como as perspectivas ou áreas estratégicas: (i) Política de Segurança do Trabalho, (ii) Aspectos Comportamentais, (iii) Práticas de Segurança do Trabalho e (iv) Avaliação de Desempenho. Estes temas estabeleceram a temática do PB de acordo a Lei de Zipf. Para estes temas, identificou-se 18 tópicos para operacionalizá-los, além de identificar os conhecimentos já consolidados e os conhecimentos ainda por desenvolver, ou seja, as lacunas de conhecimento ou oportunidades de pesquisa. =====================================DOI: 10.18226/23190639.v9n2.03 Leonardo Ensslin*, Universidade do Sul de Santa Catarina (UNISUL),Brasil. E-mail: rogerlacerda@gmail.com Sandra Rolim Ensslin, Universidade Federal de Santa Catarina(UFSC), Brasil. E-mail: mayaralbernardes@gmail.com Ademar Dutra, Universidade do Sul de Santa Catarina (UNISUL),Brasil. E-mail: anasimoesribeiro@gmail.com Alex Gonçalves, Universidade do Sul de Santa Catarina (UNISUL),Brasil. E-mail: stangarlin.anelise@gmail.com Submetido: Outubro 2020Aceito: Janeiro 2021 *Contato para Correspondência
Diretrizes iniciais para o desenvolvimento de comportamentos científicos em educadores
Authors: Beltramello Otávio , Kawasaki Hindira Naomi 
Published: January 2022

Objetivo. Apresentar diretrizes iniciais que possam auxiliar educadores e pesquisadores na produção de conhecimento científico na Educação.Desenvolvimento. Dada a importância dos educadores no desenvolvimento das novas gerações, o conhecimento científico desses profissionais é essencial para garantir uma educação de qualidade. Portanto, é fundamental fornecer condições para que esses profissionais desenvolvam o comportamento de avaliar a validade e a confiabilidade das informações com base em conhecimentos lógicos e científicos.Implicações. As informações apresentadas neste texto podem auxiliar a Educação formal e continuada de educadores, desenvolvendo seu comportamento científico e aumentando a qualidade das atividades educacionais. Ressalta-se também a importância de que os cursos de formação incluam o desenvolvimento desse repertório como objetivos pedagógicos para uma formação comprometida com a ciência e a ética.Palavras-chave. Comportamentos científicos; Educadores; Ciência; Formação de professores; Educação científica. AbstractObjective. Present initial guidelines that may help educators and researchers produce scientific knowledge in Education.Development. Given the importance of educators on new generations' development, the scientific knowledge of these professionals is essential to ensure quality education. Therefore, it is fundamental to provide conditions for these professionals to develop the behavior of evaluating the validity and reliability of information based on logical and scientific knowledge.Implications. The information presented in this text can help educators' formal and continuing Education by developing their scientific behavior and, consequently, increasing the quality of educational activities. It is also highlighted the importance that training courses include the development of this repertoire as teaching objectives to provide training committed to science and ethics.Keywords. Scientific behaviors; Educators; Science; Teacher’s education; Scientific education.