Explainable unsupervised anomaly detection for healthcare insurance data.

Background: Waste and fraud are important problems for health insurers to deal with. With the advent of big data, these insurers are looking more and more towards data mining and machine learning methods to help in detecting waste and fraud. However, labeled data is costly and difficult to acquire as it requires expert investigators and known care providers with atypical behavior.

Implementing a workplace participatory approach to support working caregivers in balancing their work, private life and informal care: results of a process evaluation.

Background: Many organizations are faced with growing numbers of employees who combine their jobs with informal caregiving responsibilities. To support working caregivers in maintaining a good balance between work, private life and informal care, a workplace participatory approach (PA) intervention was implemented in four Dutch organizations. This study's aims were to evaluate the degree of PA implementation, contextual factors influencing implementation, and stakeholder experiences with the PA.

Optimal Strategy for Complete Revascularization in ST-Segment Elevation Myocardial Infarction and Multivessel Disease: A Network Meta-Analysis.

Background: In patients with ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease, most but not all randomized trials have reported that complete revascularization (CR) offers advantages over culprit vessel-only revascularization. In addition, the optimal timing and assessment methods for CR remain undetermined.

Objectives: The purpose of this study was to identify the optimal revascularization strategy in patients with STEMI and multivessel disease, using a network meta-analysis of randomized controlled trials.

It's Getting Better All the Time: Decreased Cumulative Incidence of Waitlist Mortality in Pediatric Candidates Following 2018 Heart Allocation Policy Change.

Purpose: In October 2018, the OPTN changed adult heart transplant (HT) allocation policy, increasing the number of adult candidates that had higher priority than pediatric candidates, potentially disadvantaging pediatric waitlist registrants.

Methods: To understand the impact of this policy change, we used SRTR data to identify 1469 pre-policy (7/2016-9/2018) and 2901 (10/2018-12/2022) post-policy pediatric (< 18 years) HT registrants. We quantified mortality and transplant risks using weighted cause-specific hazard models, and then using weighted competing risks regression.

Health behaviours and mobile intervention use in patients recruited from general practitioners' practices in rural Bavaria.

Individuals living in rural areas report poorer health outcomes, including obesity, compared to individuals living in urban areas. Amongst others, this is due to restricted access to opportunities for healthy eating and physical activity. Interventions are urgently needed to address this gap.

Influence of Persistently Elevated LDL Values on Carotid Intima Media Thickness in Elite Athletes.

Introduction: Carotid IMT is a recognized marker for early atherosclerotic changes and a predictor of future CV events. Previous studies showed 11% increased risk of myocardial infarction with each 0.1 mm incremental increase of carotid IMT.

Deep learning-based encryption scheme for medical images using DCGAN and virtual planet domain.

The motivation for this article stems from the fact that medical image security is crucial for maintaining patient confidentiality and protecting against unauthorized access or manipulation. This paper presents a novel encryption technique that integrates the Deep Convolutional Generative Adversarial Networks (DCGAN) and Virtual Planet Domain (VPD) approach to enhance the protection of medical images. The method uses a Deep Learning (DL) framework to generate a decoy image, which forms the basis for generating encryption keys using a timestamp, nonce, and 1-D Exponential Chebyshev map (1-DEC).

QRFP43 modulates the activity of the hypothalamic-pituitary-thyroid axis in female sheep.

Since the early discovery of QRFP43, intensive research has been primarily focused on its role in the modulation of food intake. As is widely recognised, the regulation of the body's energy status is a highly complex process involving numerous systems, hormones and neurotransmitters. Among the most important regulators of energy status, alongside the satiety and hunger centre located in the hypothalamus, is the HPT axis, which directly and indirectly affects the regulation of metabolism in all cells of the body.

Negligible contribution of body density to in-water vertical jump performance in elite male water polo players.

The aim of this study was to investigate the associations among in-water vertical jump and various dry-land physical measures by taking the law of Archimedes into consideration, and by normalizing the dry-land measures both to body density and body mass. Seventeen elite water polo players from Hungarian first league were tested for dry-land counter movement and squat jump mechanical impulse, isometric squat force, and in-water vertical jump height. Body density was estimated by anthropometric measurements.

Study on the microstructural evolution mechanism of the angular contact ball bearing rings during the quenching and tempering process.

Since the rings of the angular contact ball bearings (ACBBs) are typical highly sensitive quenching thin-walled structure, the microstructure and properties variation of the rings during the heat treatment process are often difficult to be controlled precisely, and then the service life of the bearings is reduced. Therefore, in this study, the combination of the numerical simulation and experimental was carried out during the quenching and tempering process of ACBBs (7008C), the phase transformation of the inner and outer ring during the heat treatment process were explored, and the law of the microstructure evolution and the mechanical properties variation were revealed. Firstly, based on the multi-field coupling theory of temperature, microstructure and stress-strain field, the numerical simulation model of the heat treatment process of the bearing rings was established.

Construction of a 'civilised smoking environment': a novel strategy undermining tobacco control efforts in China.

Objective: In 2018, the Chinese tobacco industry initiated the nationwide 'civilised smoking environment' campaign via a 5-year action plan. The goal of this study was to analyse content of reports regarding this topic as evidence to policy-makers to prevent interference from the tobacco industry.

Methods: A search of WiseNews, a Chinese media information service provider, for reports regarding the 'civilised smoking environment' between January 2018 and December 2022.

Direct oral anticoagulants or warfarin in patients with left ventricular thrombus after ST-elevation myocardial infarction: a pilot trial and a prespecified meta-analysis of randomised trials.

Background: The role of direct oral anticoagulants (DOACs) in the treatment of left ventricular thrombus (LVT) after ST-elevation myocardial infarction (STEMI) remains uncertain.

Aims: We aimed to compare the effect of rivaroxaban versus warfarin in patients with STEMI complicated by LVT.

Methods: Adult patients with STEMI and two-dimensional transthoracic echocardiography showing LVT were assigned to rivaroxaban (15 mg once daily) or warfarin (international normalised ratio goal of 2.

Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria.

Objectives: Long-acting reversible contraception (LARC) provides continuous pregnancy prevention to women for a period of 3 to 12 years, and it is very safe and effective. The aim of this study was to determine the prevalence, determinants and willingness to use LARC among undergraduate female students attending public and private universities in Ekiti State, Southwest Nigeria DESIGN: This survey employed a cross-sectional comparative study design.

Setting: Public and private universities in Ekiti State, Southwest Nigeria.

Predicting pain and its association with mortality in patients with stroke.

Background And Objectives: Poststroke pain (PSP) is a prevalent and severe consequence of stroke, encompassing central, neuropathic, and nonneuropathic pain. In this study, we aimed to investigate clinical factors associated with PSP three months after stroke and concurrently explore the association between PSP and one-year mortality.

Methods: This registry-based study comprised data from stroke patients admitted to three hospitals in Sweden between November 2014 and June 2019.

Quantitative Study on the Charge-Dependent Uptake of Ultrasmall Fluorescent Gold Nanoclusters in 3D Spheroids of Cancer Cells.

Gold nanoclusters (AuNCs) have garnered significant attention in biomedical applications, particularly in biosensing, cancer therapy, and imaging, due to their unique optical property, good biocompatibility, and distinct bioactivity. Understanding the cellular uptake behavior of AuNCs is critical to improve the efficacy of their applications, whose mechanism has not been adequately validated. In this work, we synthesized AuNCs with varying surface modifications to quantify the exact law of surface charge on the cellular uptake of AuNCs in a multidimensional manner by using 3D multicellular tumor spheroids of both HeLa cells and MCF-7 cells as the model system.

From Psychoactivity to Antimicrobial Agents: Multifaceted Applications of Synthetic Cathinones and Extracts.

The emergence of new psychoactive substances (NPS) in the global drug market since the 2000s has posed major challenges for regulators and law enforcement agencies. Among these, synthetic cathinones have gained prominence due to their stimulant effects on the central nervous system, leading to widespread recreational use. These compounds, often marketed as alternatives to illicit stimulants such as amphetamines and cocaine, have been linked to numerous cases of intoxication, addiction and death.

New Insight into the Crayfish (Girard, 1852) (Crustacea, Cambaridae): A Morphometric Combined Approach to Describe the Case of a Mediterranean Population.

We adopted a morphometric approach to provide statistical support for the description of two different morphotypes (I, reproductive, II, non-reproductive) firstly observed in specimens caught in a population from Sardinia Island (western Mediterranean). The morphometric study was preceded by molecular taxonomic identification using the mitochondrial Cytochrome C Oxidase subunit I (COI) gene. The presence or absence of the pathogen , responsible for the plague, was also investigated using the ribosomal Internal Transcribed Spacer (ITS) marker.

Emergy-based valuation of glacier ecosystem services: A case from the Tibetan Plateau.

Glaciers provide multiple ecosystem services (ES) to human society. Due to the continued global warming, the valuation of glacier ES is of urgent importance because this knowledge can support the protection of glaciers. However, a systematic valuation of glacier ES is still lacking, particularly from the perspective of ES contributors.

Moral distress, ethical climate, and compassion fatigue among oncology nurses: the mediating role of moral distress.

Background: Oncology nurses have a vital role in providing care for individuals with cancer. Ethical dilemmas arise for oncology nurses caring for these patients. Nurses experience moral distress when work conflicts with personal beliefs, leading to inappropriate responses or uncertainty about ethics.

Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.

Background: There are hardly any data on the extent to which nursing home residents are provided with palliative homecare. We want to add evidence by comparing nursing home residents (who had been living in a nursing home for at least one year) and nursing-care-dependent community dwellers in terms of utilization and quality of palliative homecare.

Methods: We conducted a population-based study with nationwide claims data from deceased beneficiaries of a large German health insurance provider.

Low versus high initial oral glucocorticoid dose for lupus nephritis: a pooled analysis of randomised controlled clinical trials.

Objective: Traditional initial treatment regimens for lupus nephritis (LN) used oral glucocorticoids (GC) in starting doses up to 1.0 mg/kg/day prednisone equivalent with or without a preceding intravenous methylprednisolone pulse. More recent management guidelines recommend lower starting oral GC doses following intravenous pulse therapy.

University students' health-related quality of life and its determinants. Results from a cross-sectional survey during the COVID-19 pandemic.

Being a university student is a vulnerable period marked by transitions and uncertainties which can impair their physical and mental well-being as well as overall quality of life. The existing literature suggests that certain groups of students might be particularly affected by that. In addition, quality of life might have been further affected by the COVID-19 pandemic.

Exploring pet owners' attitudes toward compounded and human approved medicines: a questionnaire based pilot study.

With the growing global pet population and increased spending on veterinary care, compounded medications offer customized, often more suitable and affordable treatment options compared to the limited available veterinary medications. This research aims to understand pet owners' attitudes towards compounded medications, focusing on their challenges and needs. A total of 300 respondents from the territory of Novi Sad, province of Vojvodina, Republic of Serbia completed the questionnaire, through face-to-face interviews at veterinary clinics.