bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of a Broadband and High-Gain Circularly Polarized Array of Multilayer Slot Antennas for X-Band Wireless Communication Networks
Authors: Saghafi Hosein , Kazemi Robab , Hamlbar Gerami Hamed
Published: October 2023

This paper presents a wideband cavity-backed slot antenna array designed for X-band wireless communication systems. The antenna element consists of a circular slot combined with a cross-slotted patch; both are fed by an L-shaped microstrip line through proximity coupling to extend the impedance bandwidth and gain. The reduction of beam squint in the radiation patterns, caused by the asymmetric feed line, is achieved through intelligent optimization of the dimensions and position of the cross slot on the patch. Additionally, a back cavity is included to provide unidirectional radiation and enhance gain. The antenna exhibits right-hand circularly polarized (RHCP) radiation patterns with high gain over a wideband frequency range. To further improve the axial ratio (AR) bandwidth and gain, the antenna is utilized in a

2
×
2

array configuration with a sequential rotation feed network. The overall dimensions of the proposed array are

1.42

λ

0

×
1.42

λ

0

×
0.45

λ

0

, where

λ

0

represents the wavelength at the center frequency of 10 GHz. The fabricated array is then tested, and the measurements show an impedance bandwidth of 60% (7 GHz-13 GHz) with

S

11

<
−
10

 dB, a 3 dB AR bandwidth of 42% (7.45-11.65 GHz), and a peak gain of 11.14 dB. The simulated and measured results exhibit good agreement, validating the effectiveness of the design.
Emerging Therapeutic Potential of Cannabidiol (CBD) in Neurological Disorders: A Comprehensive Review
Authors: Singh Kuldeep , Bhushan Bharat , Chanchal Dilip Kumar , Sharma Satish Kumar , Rani Ketki , Yadav Manoj Kumar , Porwal Prateek , Kumar Shivendra , Sharma Ashwani , Virmani Tarun , Kumar Girish , Noman Abdullah Al
Published: October 2023

Cannabidiol (CBD), derived from Cannabis sativa, has gained remarkable attention for its potential therapeutic applications. This thorough analysis explores the increasing significance of CBD in treating neurological conditions including epilepsy, multiple sclerosis, Parkinson’s disease, and Alzheimer’s disease, which present major healthcare concerns on a worldwide scale. Despite the lack of available therapies, CBD has been shown to possess a variety of pharmacological effects in preclinical and clinical studies, making it an intriguing competitor. This review brings together the most recent findings on the endocannabinoid and neurotransmitter systems, as well as anti-inflammatory pathways, that underlie CBD’s modes of action. Synthesized efficacy and safety assessments for a range of neurological illnesses are included, covering human trials, in vitro studies, and animal models. The investigation includes how CBD could protect neurons, control neuroinflammation, fend off oxidative stress, and manage neuronal excitability. This study emphasizes existing clinical studies and future possibilities in CBD research, addressing research issues such as regulatory complications and contradicting results, and advocates for further investigation of therapeutic efficacy and ideal dose methodologies. By emphasizing CBD’s potential to improve patient well-being, this investigation presents a revised viewpoint on its suitability as a therapeutic intervention for neurological illnesses.
An Embarrassment of Riches: Three FDA-Approved Bispecific Antibodies for Relapsed Refractory Multiple Myeloma
Authors: Firestone Ross , Lesokhin Alexander M. , Usmani Saad Z.
Published: October 2023

In the past year, three new bispecific antibodies have received accelerated FDA approval for the treatment of relapsed/refractory multiple myeloma. In this article, we review the available data for these three agents, teclistamab, elranatamab, and talquetamab, and discuss practical considerations for their use in clinical settings while the medical community awaits randomized phase III clinical trial datasets comparing them to standard-of-care regimens.
Impact of Clinical Parameters and Induction Regimens on Peripheral Blood Stem-Cell Mobilization and Collection in Multiple Myeloma Patients
Authors: Sauer Sandra , Hieke Lennart , Brandt Julia , Müller-Tidow Carsten , Schmitt Anita , Kauer Joseph , Kriegsmann Katharina
Published: October 2023

Introduction: High-dose chemotherapy (HDCT) followed by autologous blood stem-cell transplantation (ABSCT) remains the standard consolidation therapy for newly diagnosed eligible multiple myeloma (MM) patients. As a prerequisite, peripheral blood stem cells (PBSCs) must be mobilized and collected by leukapheresis (LP). Many factors can hamper PBSC mobilization/collection. Here, we provide a comprehensive multiparametric assessment of PBSC mobilization/collection outcome parameters in a large cohort. Methods: In total, 790 MM patients (471 [60%] male, 319 [40%] female) who underwent PBSC mobilization/collection during first-line treatment were included. Evaluated PBSC mobilization/collection outcome parameters included the prolongation of PBSC mobilization, plerixafor administration, number of LP sessions, and overall PBSC collection goal/result. Results: 741 (94%) patients received cyclophosphamide/adriamycin/dexamethasone (CAD) and granulocyte-colony-stimulating factor (G-CSF) mobilization. Plerixafor was administered in 80 (10%) patients. 489 (62%) patients started LP without delay. 530 (67%) patients reached the PBSC collection goal at the first LP session. The mean overall PBSC collection result was 10.3 (standard deviation [SD] 4.4) × 106 CD34+ cells/kg. In a multiparametric analysis, variables negatively associated with PBSC mobilization/collection outcomes were female gender, age >60 years, an advanced ISS stage, and local radiation pre-/during induction, but not remission status postinduction. Notably, the identified risk factors contributed differently to each PBSC mobilization/collection outcome parameter. In this context, compared to all other induction regimens, lenalidomide-based induction with/without antibodies negatively affected only the number of LP sessions required to reach the collection goal, but no other PBSC mobilization/collection outcome parameters. In contrast, the probability of reaching a high collection goal of ≥6 × 106 CD34+ cells/kg body weight was higher after lenalidomide-based induction compared to VCD/PAD or VAD – taking into account – that a higher G-SCF dosage was given in approximately one-third of patients receiving lenalidomide-based induction with/without antibodies. Conclusion: Considering the identified risk factors in the clinical setting can contribute to optimized PBSC mobilization/collection. Moreover, our study demonstrates the necessity for a differentiated evaluation of PBSC mobilization/collection outcome parameters.
Unraveling Capnodiaceae species in Northern Thailand
Authors: THUNGDEE SUPITCHAKORN , HAITUK SUKANYA , WITHEE PATCHAREEYA , CHEEWANGKOON RATCHADAWAN , SUWANNARACH NAKARIN , MARASINGHE DIANA S. , HONGSANAN SINANG
Published: October 2023

Sooty mold is a common fungal foliar epiphyte that can significantly impact agricultural crops. In this study, we found four different species of sooty molds belonging to Capnodiaceae occurring on different plants in northern Thailand viz. Broussonetia papyrifera, Carica papaya, Mangifera indica, Manihot esculenta, and Rosa × damascene. These hosts showed dark brown mycelia covering their leaves. Phylogenetic analyses using a combination of LSU, ITS, tef-1α, and rpb2 sequence data showed that the newly obtained sequences belong to Capnodium coartatum, Ca. gamsii, Conidiocarpus caucasicus, and Phragmocapnias betle. The morphological characteristics of these four species concurred with the phylogenetic results. Notably, these four species are reported as new host records. Additionally, we validate Ca. paracoartatum sp. nov., and synonymize Co. asiaticus and Co. siamensis under Co. caucasicus based on morphological and phylogenetic analyses.
Trimelopter cordifolium (Hyacinthaceae subfam. Ornithogaloideae), a new species from South Africa
Authors: MARTÍNEZ-AZORÍN MARIO , PAONESSA GIACOMO , ZAALBERG BERT , CRESPO MANUEL B. , VARGAS MARÍA ÁNGELES ALONSO
Published: October 2023

The study of wild and cultivated material of Trimelopter from the Northern Cape province of South Africa revealed an undescribed species that shows a unique syndrome of morphological characters. We here describe Trimelopter cordifolium based on plants approaching T. psammophorum but differing in its small, cordate, psammophorous leaf, shorter inflorescence and pedicels, smaller flowers and bracts, and more prominently sculptured ovary. We provide a complete morphological description as well as data on ecology and distribution. We also report new data and illustrations of T. psammophorum, which complement its scarce description in the protologue.
Thismia violacea (Thismiaceae), a new mycoheterotrophic species from the Brazilian Cerrado
Authors: SILVA DIEGO FERREIRA DA , BRAGA JOÃO MARCELO ALVARENGA
Published: October 2023

Thismia violacea is described as a new mycoheterotrophic species discovered in an urban fragment semideciduous seasonal forest in the Brazilian Cerrado. Here we provide detailed morphological descriptions, with notes on the habitat, morphology, and a distribution map.
Stachys richardiana nom. nov., a replacement name for S. hypoleuca (Lamiaceae)
Authors: SINGH RAJEEV KUMAR
Published: October 2023

N/A
Distance And Relation: Emerging From Embeddedness In The Other
Authors: Stern Donnel B.
Published: October 2023

Inspired by an essay by Martin Buber (1950), and then by the work of Ernest Schachtel (1959) on the idea of “embeddedness” and emergence from it, this essay is an account of the role of “distance” or “separateness” in clinical psychoanalytic work. We tend to assume that the capacity to appreciate otherness is always already present. We often lose track of the necessity to “set the other at a distance” (Buber), the prerequisite for emergence from embeddedness in the other. The entire process—i.e., setting the other at a distance and then emerging from embeddedness in the other—must take place over and over again in any treatment, and in both directions: patients must disembed from analysts, but it is just as necessary for analysts to disembed from patients. It is the emergence from embeddedness that allows the analyst’s appreciation of the patient’s otherness. Embeddedness in the other is discussed as mutual enactment. This use of these phenomena in treatment is articulated in the theory of witnessing presented elsewhere in recent years (Stern 2009, 2012, 2022b, in press). A detailed clinical illustration is presented.
Racism, Activity, and Passivity in the Analytic Dyad: A Fanonian Meditation
Authors: Schwebach Elliott
Published: October 2023

Frantz Fanon’s reception within psychoanalysis has been hindered by an interpretive “snag” that vexes discussions of his work and relevance. This “snag” misleadingly situates Fanon’s clinical approach as necessarily outside, or antithetical to, treatment as conceived and practiced in the Freudian tradition. As a result, analytic educators, students, and therapists are prone to position Fanon on one side of a conceptual boundary and “analytic neutrality” on the other. This reading is not only misguided but detrimental to the healing potential and continued development of psychoanalysis. A closer look at one of Fanon’s oft-repeated rallying cries, in which its context is examined and its intent unpacked, allows for a disambiguating of “analytic neutrality” and affords a number of takeaways that can help readers recognize the stakes of Fanon’s contributions to psychoanalysis and appreciate their pertinence for dyadic clinical treatment. A major implication is the importance for psychoanalysis, in both pedagogy and clinical practice, to take coloniality (the continued legacies of colonial domination, including especially white supremacy) far more seriously.
A mesoscopic constitutive model for woven fabrics with large deformation
Authors: Huang Bin , Zhou Helezi , Wang Jichong , Yu Tianyu , Peng Xiongqi , Zhou Huamin
Published: October 2023

The meso-structure of woven fabrics plays a pivotal role in enabling significant deformations. To precisely characterize the deformation behavior of woven fabrics, a mesoscale model based on their meso-structure is developed. In this model, the fiber yarn is represented as a Timoshenko beam with fluctuations described by the shape function. A novel approach is proposed to establish the relationship between the macroscopic mechanical response and the infinitesimal strain of the beam, employing the principle of virtual work. The shearing behavior of woven fabrics is characterized by considering friction energy dissipation and transverse compression among fiber yarns. The general applicability of the proposed model is validated through its application to glass fiber woven fabrics and jute fiber woven fabrics. The model parameters are determined through uniaxial tensile and bias-extension experiments. The accuracy of the model is verified using bias-extension and picture frame experiments. The results demonstrate that the proposed model can effectively simulate the large deformation of woven fabrics.
Research progress of the electromagnetic shielding material of metal fiber: issues and future scope
Authors: Wu Jiangxing , Gao Yantao
Published: October 2023

With the widespread adoption of electronic technology, electromagnetic (EM) interference has become increasingly severe, adversely affecting the normal operation of electronic systems and posing significant threats to human health. EM shielding materials can effectively suppress various EM waves and EM interference generated through space by improving the EM compatibility of electronic systems and electronic devices. Recently, fiber-structure materials have been widely used for EM shielding due to their softness, thinness, and superior shielding efficiency. Therefore, this paper focused on fiber-based EM shielding materials, discussed the basic principles of EM shielding, the types of EM shielding fibers, the efficiency factors of EM shielding fabrics, and presented prospects for the future development of such materials.
Study on planar compression properties of multi-layered spacer fabrics
Authors: Liu Xiao , Du Zhaoqun , Lee Heow Pueh , Zhong Yueqi , Chen Junli
Published: October 2023

Due to the thickness of the spacer fabric, it is usually assembled in a multi-layered manner as a cushion material. However, few studies have been conducted on the compression properties of the multi-layered spacer fabrics. Firstly, this paper analyzes the factors affecting the compression properties of multi-layered spacer fabrics, and explains the influencing mechanisms. Results show that the fixing condition between the sample and the indenter, the fixing condition between layers, the overlaying direction and the compression speed have little effect on the compression property. However, when overlaying spacer fabrics with different moduli, a better compression property can be obtained by placing the fabric with a higher modulus on top. Secondly, this paper focuses on the relationship between the layers and the compression property of the spacer fabrics. It shows that the relation between the compression work and the number of layers is linear, with a high correlation coefficient. The relationship between the modulus and the number of layers is in the form of a cubic function with a good correlation coefficient. Finally, the Kelvin model is modeled and is found to be suitable for characterizing the stage II compressive properties of multi-layered spacer fabrics. The above quantitative analysis provides theoretical support for the design of cushion materials with different moduli and support performance in different regions, and has practical guiding significance.
Bearing performance degradation assessment using adversarial fusion convolutional autoencoder based on multi-source information
Authors: Wang Enxiu , Zhou Haoxuan , Wen Guangrui , Huang Ziling , Liu Zimin , Chen Xuefeng
Published: October 2023

Bearing operation states will directly determine the performance of the equipment; thus, monitoring operation status and degradation indicators is the key to ensuring continuous and healthy operation of the equipment. However, most of the research uses single-source information data, which makes it difficult to model when dealing with multi-source information, complex data distribution, and noise. In this paper, a bearing performance degradation assessment method based on multi-source information is proposed to comprehensively utilize the data signals of different structures, spaces, types, and sources. First, the adversarial fusion convolutional autoencoder is constructed for obtaining the degradation index of the bearing, while the adversarial learning strategy is applied to achieve the effect of enhancing the robustness and sensitivity of the degradation indicators extracted by the network. Then the degradation index is input into the support vector data description to determine the fault anomalies of the degradation index adaptively and the fuzzy c-means algorithms to obtain the final rolling bearing performance degradation evaluation results. Through the verification results of two experiment datasets, it is found that the proposed model can achieve accurate evaluation and quantitative analysis of the performance degradation process of bearings. As a result, the entire network ensures the reconstruction accuracy of normal samples while simultaneously stretching the reconstruction error of abnormal samples to achieve accurate monitoring of degradation onset.
Language-specific properties and overt pronoun interpretation:The case of L2 Japanese
Authors: Nagano Marisa , Martohardjono Gita
Published: October 2023

Research on second language (L2) pronoun use in null-argument languages has traditionally focused on whether or not a speaker’s first language (L1) also allows null pronouns. However, recent studies have pointed out that it is equally important to consider the specific linguistic properties of overt pronouns in the L1 and L2, which may differ even across two null-argument languages. This study investigates the interpretation and processing of overt pronouns in Japanese by speakers whose L1 (English) and L2 (Japanese) differ not only in whether they allow null arguments, but also in the relative involvement of structural and pragmatic constraints on overt pronoun interpretation. This combination of languages is particularly interesting because English and Japanese overt third-person subject pronouns can be considered at extreme ends of a spectrum: in English they are largely structurally constrained and show a consistent preference for a local subject antecedent, while in Japanese they are loosely constrained by pragmatic factors and show no consistent interpretation preference. Both interpretation and eye-tracking data is recorded, with results suggesting that the unique nature of overt pronouns in Japanese, including their rarity in the input, leads to partial knowledge of them on the lexical level rather than implicating the larger syntactic system or syntax–pragmatics interface.
Ultrasound versus computed tomography-guided transthoracic biopsy for pleural and peripheral lung lesions: a systematic review and meta-analysis
Authors: Li Xuemei , Kong Lan
Published: October 2023

Background

An accurate diagnosis of peripheral lung and pleural lesions using image-guided transthoracic biopsy procedure becomes a good diagnostic performance protocol.

Purpose

To examine the difference between ultrasonography (USG)-guided versus computed tomography (CT)-guided transthoracic biopsy for pleural and peripheral lung lesions by pooling data from published studies.

Material and Methods

PubMed, CENTRAL, Scopus, Web of Science, and Embase were searched for comparative studies up to 20 February 2023 irrespective of the language of publication. The outcomes were adequacy of the sample and complications (pneumothorax and hemothorax).

Results

Two randomized controlled trials (RCTs) and eight non-RCTs were eligible. The total sample size was 1618. Meta-analysis showed that there was no difference in the adequacy of the sample obtained by USG- or CT-guided biopsies; however, an analysis of only non-RCTs indicated better adequacy with USG. On pooled analysis of any pneumothorax, there was a lower risk associated with USG-guided biopsies, but the risk of pneumothorax requiring interventional treatment was not different in the two groups. Similarly, the pooled analysis also demonstrated a reduced risk of hemothorax with USG-guided biopsies.

Conclusion

While there seems to be no difference in the adequacy of the sample obtained with either imaging modality, retrospective data show that USG guidance offers better diagnostic yield compared to CT guidance for peripheral lung and pleural biopsies. The risk of pneumothorax and hemothorax is also significantly lower with USG-guided biopsies. Results should be interpreted with caution owing to selection bias among studies. There is a need for large-scale RCTs to enhance current evidence.
The Entrepreneurial Public Servant: Unlocking Employee Potential Through Recognition and Inclusion
Authors: Vivona Roberto , Lewis Jenny M.
Published: October 2023

Can public sector employees act as entrepreneurs and help solve some of the world’s most pressing problems? Amid crises such as COVID-19, rising inflation, and climate disasters, governments worldwide are facing credibility and legitimacy crises, and the need for innovation and entrepreneurship in the public sector has never been more critical. To understand how to make public servants more entrepreneurial, this study explores the relationship between human resource management (HRM) practices, person-environment fit theory, and attitudes toward public sector entrepreneurship. Based on data from the 2019 Australian Public Service census survey ( n = 92,128), this study finds the practices of promoting employee recognition and inclusion exhibit the strongest effects on entrepreneurial attitudes of public servants, via person-job and person-organization fit respectively. However, practices such as performance appraisal and trainings show irrelevant effects. Overall, this article suggests that public managers should instill a culture of inclusion, innovation, and participation within their organizations to unleash the entrepreneurial public servant, while they need to rethink their performance appraisal systems to serve better the purpose of improving employees fit with their tasks.
Describing an Online Co-development Process of VAWG Prevention Intervention Activities With Young High School Learners, in Eastern Cape Province, South Africa
Authors: Ndungu Jane , Ngcobo-Sithole Magnolia , Gibbs Andrew
Published: October 2023

Evidence suggests that co-developed participatory interventions to prevent violence against women and girls (VAWG) may support behavior change. Yet, adolescents are often excluded from intervention development. Moreover, there remains a gap in understanding if intervention co-development can occur online. Our study explored the feasibility of undertaking an online co-development process for a participatory VAWG prevention intervention. We worked with a small group of high school learners (18–19 years), from the Eastern Cape Province, South Africa. We collected session notes and audio recorded sessions. Adolescents enjoyed the level of autonomy and their depth of involvement in the process. They were eager to be involved, and they appreciated being “heard.” Adolescents found it easy to build rapport online amongst each other, and with the facilitator. There were also challenges, the main one being young people’s, and facilitator’s, histories of didactic communication. Understanding the strengths and limitations of online co-development processes is crucial, to strengthen them.
Rural and Urban Family Business Portfolio Growth: The Role of Entrepreneurial Legacy
Authors: Sieger Philipp , Akhter Naveed , Chirico Francesco
Published: October 2023

Applying an inductive case study approach, we analyze four Pakistani family business portfolios and reveal that rural-based family business portfolios tend to grow internally (organically) and through related diversification. In contrast, urban-based portfolios rather grow externally through acquisitions and partnerships and pursue unrelated diversification. The family’s entrepreneurial legacy and how it is transferred to members of the next generation through grooming and imprinting in rural versus urban contexts emerge as a key underlying mechanism.
Consumer values, perspectives and experiences of psychological health when living with dialysis at home: An in-depth interview study
Authors: Walker Rachael C , Walker Curtis , Reynolds Annie , Haselden Rachel , Hay Sandra , Palmer Suetonia C
Published: October 2023

Background:

People treated with home dialysis report social and emotional isolation, fear of catastrophic events and concern about being a burden. There is a paucity of research exploring psychological well-being among consumers dialysing at home. We aimed to explore the psychological health issues related to home dialysis, and how these issues may impact on sustaining home-based treatment.

Methods:

We conducted a qualitative interview study with 36 consumers. We included patients with experience of home dialysis and caregivers. Thirteen participants had experienced peritoneal dialysis, seven home haemodialysis, seven had experienced both and nine caregivers. Data were analysed inductively to generate themes and a conceptual framework.

Results:

We identified four themes and subthemes: overwhelming isolation and disconnection (devastating isolation of home dialysis; abandoned from support; escalating anxiety; compounding impact of feeling like a burden); importance of support systems (impact on relationships; need for emotional support; reassurance through shared experiences; valuing trustworthy and committed clinicians); burden of distress (individualised feelings of low mood; grappling with stigma surrounding diagnosis; contemplating treatment withdrawal and suicide); seeking mental health support (normalising mental health support as a distinct entity in dialysis care; overcoming barriers to seeking mental health support; additional tools for mental health support and connection).

Conclusion:

Consumers may experience intense psychological distress during home-based dialysis care. Increasing clinician and health services literacy about the management of psychological impacts of home-based dialysis may improve consumer safety, quality of life and sustainability of home treatment.
The Effect of Spiritual Emotional Freedom Technique (SEFT) on Pain Intensity of Advanced Breast Cancer Patients in X Hospital Tangerang
Authors: Rumambi Magda Fiske , Suprapti Fitriana , Susilo Wilhelmus Hary
Published: October 2023

This study aimed to analyze the effect of spiritual emotional freedom techniques (SEFTs) on pain intensity of advanced breast cancer patients. The study used a quasi-experiment design with one pre–posttest group. The sample was selected using a consecutive sampling technique with total of 45 respondents. The respondents were given SEFT intervention for 3 (three) days using set-up, tune-in, and tapping techniques. The evaluation was carried out on the third day after the intervention by measuring the pain intensity using Brief Pain Inventory (BPI). This research used Wilcoxon and ordinal logistic regression for data analysis. The results showed a difference in pain intensity before and after SEFT intervention in patients with advanced breast cancer with a p-value of .001 ( p < .05) with a change in intensity from severe to mild pain. This study's novelty is that SEFT intervention can be used as a nonpharmacological therapy for pain management in patients with advanced breast cancer. The limitations are only limited to measuring the patient's pain and less analysis related to the patient's emotional and spiritual problems. The application of SEFT intervention is recommended as a nurse's independent intervention in the management of advanced breast cancer pain.
Proximal fibular axis is a reliable landmark for tibial coronal alignment in patients with or without knee osteoarthritis: A radiological comparative study
Authors: Tang Shangkun , Pan Xuelin , Xu Renyuan , Shi Xiaojun
Published: October 2023

Background

Proper coronal alignment of the limb is of vital importance in the progression of knee osteoarthritis even in the long-term survivorship of component after total knee arthroplasty (TKA). Nevertheless, to the best of our knowledge, the relationship between coronal fibular axis and tibial mechanical axis had not reached a consensus in the literatures available. The current study aimed to explore the anatomic relationship between tibia and fibula alignment.

Methods

A total of 100 patients with knee osteoarthritis scheduled for total knee arthroplasty were enrolled in this study (Group A), and radiographic measurement was compared to a control group of 100 healthy volunteers without knee osteoarthritis (Group B). Full-length standing hip-to-ankle radiographs were used to assess limb alignment. The angle between coronal proximal fibular anatomic axis and tibia mechanical axis (PFTA) was used to represent the anatomic relationship between tibia and fibula alignment. A negative value indicates fibula varus relative to tibia mechanical axis, while a positive value indicates fibula valgus.

Results

The mean PFTAs were −0.9° ± 0.9° and −1.0° ± 0.8° in Groups A and B. There was no significant difference between the two groups. No significant difference was detected in PFTA distribution in the group A and B. When the mean value of PFTA is used as baseline data, the percentage of subjects in which the PFTA deviation was within 0.5°, 1°, and 1.5° was 51%, 84%, and 94% in Group A and 53%, 87%, and 96% in Group B. There was also no significant difference in distribution deviation between the two groups. No patient-specific factors were correlated with the PFTA.

Conclusions

The proximal fibular anatomic axis is a reliable landmark for tibial mechanical axis in the coronal plane in patients with or without knee osteoarthritis.
Does the Body Keep the Score After the Game Is Over? Personal Identity and Perfection in the Resurrected Body
Authors: Jenson Matt
Published: October 2023

In The Body Keeps the Score, Bessel van der Kolk gives language to what has become a cross-disciplinary consensus—that our bodies and minds are profoundly, often surprisingly, involved with one another, and that traumatic events often mark people for life. In this article, I ask after the implications of this contemporary consensus for the resurrected body, in light of traditional claims about the body's perfection and persistence of identity in the resurrection. I widen the focus to include various ways in which the body might keep the score. In addition to trauma, I consider martyrdom, disfigurement, and disability. Whatever else it may mean, bodily resurrection must entail the completion of one's earthly life. In light of this, while there will be no debilitating signs of sin and death, it seems reasonable to suppose there may be salutary and doxologically oriented reminders of sin and death in the resurrected body.
Value of Acid-Fast Bacilli and Fungal Cultures in Foot and Ankle Surgery in a US Hospital System
Authors: Dean Robert S. , El-Zein Zein , Bohr Margaret , Audet Megan , Fortin Paul T. , Vaupel Zachary M.
Published: October 2023

Background:

Acid-fast bacilli(AFB) and fungi are generally slow-growing, difficult to culture, and rarely the cause of infection. The goal of this study was to evaluate the value of routinely obtaining AFB and fungal cultures in foot and ankle surgery at a US hospital.

Methods:

A retrospective review was conducted to determine the number of positive AFB and fungal cultures out of the total number of foot and ankle samples tested. Between 2014 and 2019, patients who underwent surgery for a foot and ankle infection for soft tissue infection, septic arthritis, infectious postoperative complications were identified. Charts were reviewed to identify the results of the microbiological tests performed. To determine the value of running AFB and fungal cultures, the costs of each were provided by the microbiology lab at our institution.

Results:

Of the 322 patient charts reviewed, there were 434 AFB and 525 fungal cultures performed. None of these cultures were indicated to be positive for AFB (0%), and 22 (4.19%) were positive for fungi. The total labor and material costs were calculated to be $38 767. The AFB cultures cost $23 967, the positive fungal cultures cost $2371, and the negative fungal cultures cost $36 395.36.

Conclusion:

This 322-case series of surgically managed foot and ankle infections showed 0% and 4.1% positivity rates of AFB and fungal cultures, respectively. Additionally, only 20% of cases with positive cultures were identified as pathologic requiring antifungal treatment. Further analysis is needed to determine best practices for obtaining vs declining to culture for AFB or fungal species, including assessing patient outcomes in the series of culture-positive(fungal-only) cases. Our results suggest that in our clinical setting of a US hospital system, routine fungal and AFB cultures may not be necessary but should be considered for chronic/recalcitrant infections, immunocompromised patients, and those with high surgeon suspicion.

Level of Evidence:

Level IV, case series.
Antithrombin Therapy: Current State and Future Outlook
Authors: Rodgers George M. , Mahajerin Arash
Published: October 2023

Antithrombin (AT) is a natural anticoagulant pivotal in inactivating serine protease enzymes in the coagulation cascade, making it a potent inhibitor of blood clot formation. AT also possesses anti-inflammatory properties by influencing anticoagulation and directly interacting with endothelial cells. Hereditary AT deficiency is one of the most severe inherited thrombophilias, with up to 85% lifetime risk of venous thromboembolism. Acquired AT deficiency arises during heparin therapy or states of hypercoagulability like sepsis and premature infancy. Optimization of AT levels in individuals with AT deficiency is an important treatment consideration, particularly during high-risk situations such as surgery, trauma, pregnancy, and postpartum. Here, we integrate the existing evidence surrounding the approved uses of AT therapy, as well as potential additional patient populations where AT therapy has been considered by the medical community, including any available consensus statements and guidelines. We also describe current knowledge regarding cost-effectiveness of AT concentrate in different contexts. Future work should seek to identify specific patient populations for whom targeted AT therapy is likely to provide the strongest clinical benefit.
Pediatric Dermatology in Canada: A Broad Review of Population Needs, Workforce and Training With Proposed Solutions
Authors: Pope Elena , Lara-Corrales Irene , Rehmus Wingfield , Ramien Michele , Spring Shanna , McCuaig Catherine , Fiorillo Loretta , Sibbald Cathryn , Bergman James
Published: October 2023

Introduction

The need for pediatric dermatology services is increasing across Canada. In parallel, the complexity of treatment with novel targeted therapeutics has increased. Currently, there is no accredited and limited non-accredited fellowship training access to pediatric dermatology in Canada.

Hypothesis

Understanding the current state of pediatric dermatology training in Canada will provide insight into opportunities for strategic improvement.

Methods

A survey was distributed to 44 pediatric dermatology providers. In addition, a review of the burden of pediatric skin disease and education/training in Canada was performed.

Results

Thirty-four specialists responded to the survey (77% response rate). One third of current pediatric dermatology providers are over 50 years old and half of these (15%) plan to retire within the next 5 years. Half of respondents were dermatologists, 35% were pediatricians, and 11% were double boarded. Almost all respondents practiced in an academic setting (94%). Most had further fellowship training in pediatric dermatology (82.4%) but only 57% achieved this training in Canada, due to lack of accredited or non-accredited funded fellowship positions.

Conclusion

There is a high and growing need for pediatric dermatology specialty care in a diverse range of settings. The current provider population and training programs are insufficient to meet current and future demands. We highlighted solutions to close this gap between supply and demand including increased double board certification in Pediatrics and Dermatology, a protected pediatric stream within existing Dermatology residency training programs and accredited fellowships in Pediatric Dermatology for both dermatologists and pediatricians.
Thermal analysis and optimization of bionic cooling channels of gas foil thrust bearings
Authors: Zhao Qi , Yan Shaohang , Qiang Mingchen , Hou Yu , Lai Tianwei
Published: October 2023

Under high-temperature conditions, heat evacuation of foil bearing has a significant impact on bearing performance, including loading performance and reliability. During bearing operation, viscous dissipative heat in the lubricant gas film is the main source of heat generation. For foil bearings, enhancing the heat evacuation efficiency is essential to extend the bearing service life in high-temperature environments. For heat evacuation, foil-side cooling is a very effective method. For more in-depth analysis of thermal characteristics of the foil bearing, a three-dimensional (3D) thermal-elasto-hydrodynamic (TEHD) coupling model of multi-leaf thrust foil bearing (MLTFB) with cooling channel is established in this paper. In view of the good heat transfer performance and more uniform gas velocity distribution in bionic flow channels, various bionic cooling channels of foil bearings are proposed and the structural parameters are optimized. The effects of cooling channel type, cooling channel width, span ratio, cooling gas supply mode, and rotational speed on the thermal and loading performance of foil bearings are investigated. The studies demonstrate that the spider net round cooling channel exhibits higher heat transfer performance and improved uniformity of temperature. Compared to the cooling gas supply from inner edge, the cooling gas supply from the outer edge proves to be more effective. The maximum temperature of lubricant gas film can be greatly reduced with wider cooling channels and a smaller channel span at the outer edge. The maximum temperature of lubricant gas film and bearing load are reduced as the Reynolds number of cooling gas increases. There exists an optimal Reynolds number that can achieve the highest uniformity of temperature.
The intellectual structure of destination image research in tourism (2001–2023): Background, pre-pandemic overview, shifts during COVID-19 and implications for the future
Authors: Torres-Pruñonosa Jose , Batlle Alex Araujo , De Esteban Curiel Javier , Díez-Martín Francisco
Published: October 2023

We aim to map the intellectual structure of destination image (DI) research and its theoretical development in two longitudinal periods: firstly, from 2001 and before the outbreak of Covid-19 and approval of vaccines (2001–2020); and secondly, during Covid-19 (2021–2023). This is the first article to use co-citation analysis that focuses solely on DI, identifying the main clusters, intellectual turning points, and citation burst papers in this field. Studying bibliometrics pre- and during Covid-19 can help to understand the impact of the pandemic on research output and the shift in research focus. This methodology expands tourism science by recognising the intrinsic nature of DI from an evaluative and relational point of view. Co-citation refers to the cited not the citing papers. The results in the first period show: 1) theoretical background on DI associated with branding from Destination Management Organisations (DMO); 2) the components of DI and their relationship with visitor behaviour; 3) how the Internet and User-Generated Content (UGC) have become the main sources to perceive DI. Whereas, in the second period, two main shifts have been identified: 1) the impact of the pandemic on tourism and perceived travel risk; 2) the emergence of a new approach focusing on the engagement of people with the destination through life experiences. The conclusions could help suppliers, DMOs, and policymakers to understand the components of DI before and during the pandemic, as well as provide valuable insights for the tourism industry to adapt to the new normal.
The Materiality of Power and Bodily Matter(ing): Embodied Resistance in Palestine
Authors: Rexer Gala
Published: October 2023

To resist the Israeli military occupation of the West Bank, Palestinian prisoners are smuggling sperm samples out of Israeli prisons to enable their wives to undergo fertility treatment. Bodies and bodily matter figure as central actors in this practice of resistance. In this article, I draw from fieldwork I conducted with Palestinian women and medical staff in the occupied West Bank to examine the tension between carcerality and matter(ing). I argue that bodies and bodily matter are constitutive of the relationship between oppression and resistance. I analyze how Israeli military authorities assign evidentiary status to Palestinian bodies and illustrate how Palestinian families challenge the Israeli carceral system through new modes of embodied resistance. This article demonstrates how intersecting forms of oppression shape and are being shaped by bodies and their materiality. It also suggests that theorizing the materiality of power from Palestine offers new ways of understanding the political work that bodies do.
Opportunities for clinical decision support targeting medication safety in remote primary care management of chronic kidney disease: A qualitative study in Northern Australia
Authors: Tan Madeleine SA , Patel Bhavini K , Roughead Elizabeth E , Ward Michael , Reuter Stephanie E , Roberts Gregory , Andrade Andre Q
Published: October 2023

Introduction

This study aimed to identify opportunities for clinical decision support targeting medication safety in remote primary care, by investigating the relationship between clinical workflows, health system priorities, cognitive tasks, and reasoning processes in the context of medicines used in people with chronic kidney disease (CKD).

Methods

This qualitative study involved one-on-one, semistructured interviews. The participants were healthcare professionals employed in a clinical or managerial capacity with clinical work experience in a remote health setting for at least 1 year.

Results

Twenty-five clinicians were interviewed. Of these, four were rural medical practitioners, nine were remote area nurses, eight were Aboriginal health practitioners, and four were pharmacists. Four major themes were identified from the interviews: (1) the need for a clinical decision support system to support a sustainable remote health workforce, as clinicians were “constantly stretched” and problems may “fall through the cracks”; (2) reliance on digital health technologies, as medical staff are often not physically available and clinicians-on-duty usually “flick an email and give a call so that I can actually talk it through to our GP”; (3) knowledge gaps, as “it takes a lot of mental space” to know each patient's renal function and their medication history, and clinicians believe “mistakes can be made”; and (4) multiple risk factors impacting CKD management, including clinical, social and behavioural determinants.

Conclusions

The high prevalence of CKD and reliance on digital health systems in remote primary health settings can make a clinical decision support system valuable for supporting clinicians who may not have extensive experience in managing medicines for people with CKD.
Capital struggles in security networks: A theoretical framework
Authors: Patriarca Gabriel , Lopes Cleber da Silva
Published: October 2023

The theme of networks is at the forefront of studies on plural policing, but concepts, typologies and theories focus more on collaborations than on conflicts. Based on a case study of the largest port complex in South America, the Brazilian port of Santos, this article proposes a theoretical framework for understanding capital struggles in security networks. It explores how struggles emerge from dynamics in which the network is at stake, such as membership and principles, or the forms of capital within it, which are claimed, contested, disputed or abdicated.
“Under threat”: handling threats during ethnographic fieldwork
Authors: Dumont Guillaume
Published: October 2023

I make two points about the role of threats for ethnographic fieldwork in contexts suffused by interpersonal violence. First, the experience of implicit and explicit threats operates as a powerful cultural agent that significantly transforms fieldworkers’ relationship with the field. Second, subjecting oneself to threats can become a central component of the ethnographic immersion into the field. The notion of “threat wisdom” connects these two points by capturing the emerging competence to handle threats and resulting from “becoming threatened,” “becoming threatful,” and “becoming threat wise.” To develop this argument, I discuss insights from my fieldwork with homeless people using cocaine, crack cocaine, heroin, and methamphetamine, in Barcelona.
‘If not now, then never’: Conceptualising the grad trip
Authors: Cheong Yinn Shan , Sin Harng Luh , Chang Tou Chuang
Published: October 2023

The grad trip entails travelling overseas with one’s closest group of friends to commemorate the completion of tertiary and formal education and is bookended by the carefree freedom in one’s youth and the commencement of an adulthood defined by formal employment. This article conceptualises the grad trip as a phenomenon in youth tourism, based on empirical study of how it is experienced in Singapore. Our conceptualisation of the timing and duration that defines a grad trip demonstrates the dominance of time productivity reflective of Singapore’s work culture. Drawing on a precedence of studies based in the Western concept of the gap year, we reveal commonalities in employment society’s influence on time for youth tourism. While the gap year seeks to maximise the length of time offered by a ‘gap’, the grad trip contrarily minimises the culturally perceived wastefulness of a prolonged break.
Neurological Outcomes of Chemotherapy-Induced Peripheral Neuropathy in Patients With Cancer: A Systematic Review and Meta-Analysis
Authors: Suzuki Katsuyoshi , Morishita Shinichiro , Nakano Jiro , Okayama Taro , Inoue Junichiro , Tanaka Takashi , Fukushima Takuya
Published: October 2023

Background:

This systematic review and meta-analysis aimed to determine whether chemotherapy-induced peripheral neuropathy (CIPN) affects the risk of falls and physical function in patients with cancer.

Methods:

A literature search was conducted in the CINAHL, Scopus, and PubMed databases for articles published from January 1950 to April 2022. Seven review authors retrieved studies using predetermined eligibility criteria, extracted the data, and evaluated the quality.

Results:

Nine studies were included in the analysis. Patients with CIPN had a significantly higher risk of falls than those without CIPN (risk ratio = 1.38, 95% confidence interval [CI] =1.18-1.62). Patients with CIPN had lower grip strength (standardized mean difference [SMD] =−0.42, 95% CIs = −0.70 to −0.14, P = .003), longer chair stand time (SMD = 0.56, 95% CIs = −0.01 to 1.17, P = .05), worse timed up and go test time (SMD = 0.79, 95% CIs = 0.41 to 1.17, P < .0001), and lower mean Fullerton Advanced Balance scale score (SMD = −0.81, 95% CIs = −1.27 to −0.36, P = .005) than patients without CIPN. There were no significant differences in gait speed ( P = .38) or Activities-specific Balance Confidence Scale score ( P = .09) between patients with and without CIPN.

Conclusions:

This systematic review and meta-analysis demonstrated that patients with CIPN are prone to falls and impaired balance function and muscle strength.