bluuebunny/crossref_metadata_2025 huggingface dataset:
The Influence of Childhood Emotional Abuse and Neglect on Love Addiction: The Indirect Effect of Vulnerable Narcissism Among Female and Male Emerging Adults
Authors: Carone Nicola , Muzi Laura , Benzi Ilaria Maria Antonietta , Cacioppo Marco , Parolin Laura Antonia Lucia , Santona Alessandra Maria Roberta , Fontana Andrea
Published: October 2024

Childhood maltreatment is a key precursor to vulnerable narcissism since it likely lead to a narcissistic injury that triggers defenses against rage and abandonment. In later life, this pattern may contribute to a maladaptive model of love relationships. The present study explored the association between different types of childhood maltreatment (i.e., emotional, physical, and sexual abuse; physical and emotional neglect) and love addiction via vulnerable narcissism in a community sample of 505 cisgender emerging adults ( M = 24.90, SD = 2.67; 76.6% assigned female at birth (AFAB); 68.5% heterosexual) residing in Italy. Data collection relied on self-report questionnaires administered online through the Qualtrics platform, and study hypotheses were tested using structural equation modeling. The results showed that childhood emotional abuse and emotional neglect directly influenced love addiction, while physical and sexual abuse, as well as physical neglect, showed no significant effects. Greater childhood emotional abuse and neglect were associated with increased vulnerable narcissism, leading to higher levels of love addiction. Gender differences emerged, with the indirect effect of vulnerable narcissism on the relationship between emotional neglect and love addiction significant only for AFAB. The findings emphasize the risk of love addiction in emerging adults with a history of childhood emotional abuse and neglect, highlighting the importance of addressing childhood emotional maltreatment and vulnerable narcissistic personality traits in interventions to treat this condition.
The Dynamics of Interiority and its Moral Significance in Augustine and Iris Murdoch
Authors: Wu Abraham S-C
Published: October 2024

In this article, I explore the moral significance of human interiority, examining how one's inner life has moral import vis-à-vis external, observable, or public behaviour. Contrary to views that problematize interiority or introspection, pitting them against truthful self-understanding, sociality, or public moral behaviour, I will draw on Augustine and Iris Murdoch as resources for reconsidering interiority's role in moral growth. First, I will show how both depict objective, ‘public’ moral behaviour as being fundamentally contingent upon subjective, ‘personal’ judgement, deliberation, and reflection. Then, I will consider three overlapping areas of interest regarding subjectivity in Augustine and Murdoch: self-examination, humility, and love. In drawing on Augustine and Murdoch as resources for an enriched account of interiority vis-à-vis moral growth, I hope to reaffirm the significance of subjectivity for ‘public’, objective moral behaviour while re-examining settled, conventional characterisations of subjectivity and objectivity by suggesting that our perspectives and responses to questions concerning the good are irreducibly and inextricably personal.
Time-dependent leakage rate prediction method for bolted flange connection based on equivalent stress-temperature
Authors: Bian Di , Sun Yingtao , Wei Zhenhua , Chen Chunhui , Zhou Jianfeng , Shao Chunlei
Published: October 2024

Due to the degradation of material and relaxation of contact stress, the deterioration of sealing performance of bolted flange connection usually occurs, especially when it works under high temperature. Also, the sealing performance is significantly affected by the unevenness of contact stress and temperature distributions in the gasket. To improve the prediction precision of leakage rate, a time-dependent leakage prediction model for bolted flange connections is established in this work, considering the unevenness of contact stress and temperature distribution. The methods for computing equivalent stress and temperature are proposed with respect to the radius-dependent stress and temperature distribution in the gasket. As an example, finite element analysis is carried to obtain the temperature and stress distributions of flexible graphite composite gaskets in bolted flange connections. Then the experimental investigations on sealing performance and ignition loss of flexible graphite composite gasket are carried out and the equivalent contact stress in the gasket is determined. Thereby, a time-dependent leakage rate prediction method is established in consideration of the radial unevenness of contact stress and temperature.
Research on active balancing characteristics for axial thrust of a turbopump
Authors: Jeon Seong M
Published: October 2024

A 10-ton class closed-cycle engine using liquid oxygen and kerosene is being developed as the upper stage engine for the next KSLV (Korea Space Launch Vehicle) model. This engine employs staged combustion to enhance the thrust and specific impulse. In that the turbopump pressure in a staged combustion closed-cycle engine is greatly increased, an active thrust balancing system is required to control the axial force of the turbopump. Two types of active thrust balancing systems with one axial control gap and two axial control gaps were investigated through a pressure and leakage flow analysis in an effort to enhance the axial thrust control capability. A reduced-order computational program was developed to perform the present study. As a result of the analysis, it was confirmed that the two-gap control method is capable of controlling the axial thrust in a wider area compared to the one-gap control method due to the additional control elements.
Characterizing long-acting injectable antiretroviral therapy eligibility and initiation at a safety net academic medical center in the southeastern United States
Authors: Rutstein Sarah E , Lopez Christopher , Davy-Mendez Thibaut , Agarwal Harsh , Huffstetler Hanna , Perhac Angela , Turner Barbarajean , Eron Joseph J , Go Vivian , Farel Claire E , Li Kuo-Ping , Napravnik Sonia
Published: October 2024

Background: Long-acting injectable (LAI) cabotegravir/rilpivirine (CAB/RPV) extends dosing intervals from daily to every 8 weeks. Equitable implementation requires anticipating and addressing barriers to use. We described LAI-CAB/RPV eligibility and initiation among persons with HIV (PWH) receiving care at a Southeastern US academic medical center. Methods: We included PWH ≥18 years, in care 01/01/2020-12/31/2021, and participating in the UNC CFAR HIV Clinical Cohort. We characterized LAI-CAB/RPV eligibility, compared those with and without recent detectable viral load (VL), and described clinical outcomes on LAI-CAB/RPV. Results: Among 1672 PWH, 425 (25.4%) had LAI-CAB/RPV drug-resistance. Among 1238 LAI-eligible PWH, 8.9% had detectable VL. Median age was 53 (interquartile range 40, 61), 54.6% were non-Hispanic Black, and 73.6% male. Over one-third lived >50 miles from clinic, one-fifth were uninsured, and 7.4% reported hazardous alcohol use. Gaps in care (prior 12-month) were more common among PWH with detectable VL versus suppressed (23.1% vs 13.9%, p = 0.03). 6/47 initiated LAI-CAB/RPV had detectable VL prior to injection; >95% sustained suppression and those with detectable VL had a rapid decline in viremia. Conclusions: Three-quarters of PWH were eligible for LAI-CAB/RPV, but equitable implementation may require addressing challenges such as distance to care, inconsistent care engagement, and other comorbid conditions, particularly for PWH with viremia.
Investigations of the unstable Q-H hump characteristic of a nuclear main pump
Authors: Tao Ran , Xiao Ruofu , Liu Weichao
Published: October 2024

As an important component of the nuclear power plant, nuclear main pump has high requirement in terms of the operational stability. An important stability problem of the nuclear main pump unit is the unstable flow-rate-head ( Q-H) hump characteristic, which is a nonmonotonic pump head variation within a specific flow rate range. To understand the unstable Q-H hump characteristic in the nuclear main pump, an engineering case is investigated in this study based on the computational fluid dynamics simulation and experiment in the cold state. In this case, the unstable Q-H hump region is found in a wide design flow rate range from 0.4 to 0.7. According to the hydraulic loss analysis, the Q-H hump is found to be relative to the increase in the hydraulic loss in the stators. When the flow rate decreases below 0.7 design flow rate, vortices occur in the suction chamber. The backflow structure is found near the impeller inlet. Large-scale vortices are also found in the guide vane passage and volute. These undesirable flow structures affect the flow regime, block the flow passage, and cause the increase in the hydraulic loss in all the stators. As a result of the superposition of high hydraulic loss, the increase in the impeller head is strongly counterbalanced. The pump head drops and forms the unstable Q-H hump characteristic. This study reveals the mechanism of the unstable Q-H hump characteristic in the nuclear main pump. The results provide a reference for the no-hump design and operation of the nuclear main pump unit.
Finite-time adaptive dynamic programming control for nonlinear systems based on novel complementary terminal sliding mode surface
Authors: Jia Chao , Li Xinyu , Liu Xiaohua , Shangguan Xuanyue
Published: October 2024

For a nonlinear system, a novel complementary terminal sliding mode surface-based finite-time adaptive dynamic programming optimal control scheme (FT-NCTSMS-ADP) is proposed. To begin with, with the aim to improve convergence speed and tracking precision, a novel complementary terminal sliding mode surface (NCTSMS) is developed. Then, a specific cost function related to the NCTSMS is developed, and the initial control problem is then transformed toward a series of optimal control problems. The Hamilton-Jacobi-Bellman (HJB) problem is then solved by a single critic neural network, yielding the estimated optimal controller. Finally, using the finite-time lemma, we design a Lyapunov function and verify the system’s fast finite-time convergence. Both the simulation and the real-world experiment validate the practical significance of the proposed method.
Collaborative control of the knee-wheeled wheel-legged robot: Considering actuators characteristics
Authors: Pan Zheng , Liu Shaoxun , Zhou Shiyu , Li Boyuan , Niu Zhihua , Wang Rongrong
Published: October 2024

The potential of knee-wheeled wheel-legged robots (KW-WLRs) might be underestimated within the domain of wheel-legged robots (WLRs). When transitioning into legged motion mode, KW-WLRs exhibit passability comparable to traditional legged mobile robots on rough terrain. However, this comes at the cost of reduced flexibility due to the larger inertia of legs, when carrying a redundant knee-wheel. To address this challenge, a wheel-leg cooperation strategy is proposed, that leverages the redundant knee-wheel to enhance legs motion. Analyzing the characteristics of hydraulic actuators for the legs and a permanent magnet synchronous motor (PMSM) for the wheel in our KW-WLR mechanism, we design a delayed nonlinear model predictive controller (DNMPC) to collaboratively control the wheel-leg system. Simulation results demonstrate that our proposed wheel-leg collaborative strategy and controller, which consider the actuators’ characteristics, improve toe-end tracking performance across diverse working conditions and enhance the overall KW-WLR’s locomotion skill.
Sliding mode resilient control for T-S fuzzy systems under unreliable communication environment: Round-robin scheduling strategy
Authors: Wu Yibang , Niu Yugang , Yang Yekai
Published: October 2024

This work deal with the sliding mode control (SMC) issue for T-S fuzzy systems under unreliable communication environment. As a way to alleviate the transmission burden in communication networks, the round-robin protocol (RRP) is utilized for information exchange between sensors and controller. The transmitted state components via scheduling protocol may be subject to network-induced disturbances and random denial-of-service (DoS) attacks. To attenuate the adverse factors, a sliding mode controller depending on the fuzzy rules is constructed, and by employing the membership-function-dependent (MFD) technique, appropriate sufficient conditions are derived to ensure both the stochastic stability and the reachability. Finally, simulation results are presented to prove the proposed SMC strategy.
Transplantation-mediated alloimmune thrombocytopenia successfully treated by retransplantation
Authors: Aranda Escaño Elena , Prieto Calvo Mikel , Perfecto Valero Arkaitz , Ruiz Irastorza Guillermo , Gastaca Mateo Mikel , Valdivieso López Andrés
Published: October 2024

Introduction

Transplantation-mediated alloimmune thrombocytopenia (TMAT) is a rare complication affecting the recipient of an organ from a donor with immune thrombocytopenia (ITP).

Methods

We present a case of TMAT following liver transplantation successfully treated by retransplantation, along with a review of previously published cases. Clinical presentation: The liver donor had lupus and ITP and died from an intracranial hemorrhage. The recipient’s platelet count fell to 2x109/L on postoperative day 2. Due to the lack of response to medical treatment, emergency retransplantation was undertaken with a steady recovery of the platelet count within a few days.

Discussion

Six additional cases of transplantation-mediated alloimmune thrombocytopenia after liver transplantation have been reported. In all cases, severe thrombocytopenia ensued within 3 days after liver transplantation. Four patients suffered hemorrhagic complications. Three patients died. Early retransplantation was needed in three out of four patients receiving a graft from a donor with ITP and splenectomy. All recovered shortly after the new graft was in place.

Conclusion

Severe refractory transplantation-mediated alloimmune thrombocytopenia can develop in liver recipients from donors with ITP, especially those with previous splenectomy. Early retransplantation should be considered if there is no rapid response to medical therapy.
Assessment of renal response in Tunisian patients with proliferative lupus nephritis under three different induction immunosuppressive agents: A prognostic retrospective study
Authors: Somai Mehdi , Daoud Fatma , Arbaoui Ibrahim , Boukhzar Rihem , Ben Dhaou Besma , Bellali Hedia , Boussema Fatma , Rachdi Imene , Aydi Zohra
Published: October 2024

Objective

The aim of our study was to evaluate the renal response (RR) of three immunosuppressive protocols in the induction treatment of proliferative lupus nephritis (PLN) in a Tunisian population.

Methods

We performed a retrospective prognostic cohort study in the Internal Medicine Department of the Habib Thameur University Hospital in Tunis from January 2000 to December 2023, and included kidney biopsy proven proliferative lupus nephritis patients. Three induction treatments were compared: High CYP regimen: glucocorticoids (GC) + IV cyclophosphamide (CYP) in monthly pulses of 0.7 g/m2 for 6 months; Low CYP regimen: GC + IV CYP in biweekly pulses of 500 mg for 3 months; and MMF regimen: GC + oral MMF 1.5 g twice daily for 6 months. The primary endpoint was the incidence of RR (complete and partial remission) at one year post-diagnosis. The additional outcomes were end-stage kidney disease (ESKD), severe adverse events (AEs) and death.

Results

Our study included 78 PLN patients (High CYP: 17, Low CYP: 40, MMF: 21). The study found that 94.1% of patients receiving High CYP achieved the primary endpoint, RR, compared to 67.5% of those receiving Low CYP and 61.9% in the MMF group. For the additional outcomes, there were 3 cases of ESKD, all in the Low CYP group, 5 cases of death (4 in the Low CYP group and 1 in the MMF group), and 20 cases of severe AEs, all of which were severe infections (5 in the High CYP group, 12 in the Low CYP group, and 3 in the MMF group). Multivariate analysis showed that the High CYP regimen was more associated with RR than the MMF regimen, with an adjusted OR of 9.846 (95% CI: 1.087–98.210); p = 0.042. Multivariate analysis did not show statistically significant differences between the High CYP regimen and the Low CYP regimen in terms of RR.

Conclusion

As an induction treatment for PLN, the High CYP regimen was strongly associated with a higher rate of RR than the MMF regimen. There were no statistically significant differences between the High CYP regimen and the Low CYP regimen in terms of RR.
Enhancing DHA supplementation adherence: A Bayesian approach with finite mixture models and irregular interim schedules in adaptive trial designs
Authors: Dutta Sreejata , Boyd Samuel , Carlson Susan E , Christifano Danielle N , Lee Gene T , Smith Sharla A , Gajewski Byron J
Published: October 2024

Docosahexaenoic acid (DHA) supplementation has proven beneficial in reducing preterm births. However, the challenge lies in addressing nonadherence to prescribed supplementation regimens—a hurdle that significantly impacts clinical trial outcomes. Conventional methods of adherence estimation, such as pill counts and questionnaires, usually fall short when estimating adherence within a specific dosage group. Thus, we propose a Bayesian finite mixture model to estimate adherence among women with low baseline red blood cell phospholipid DHA levels (<6%) receiving higher DHA doses. In our model, adherence is defined as the proportion of participants classified into one of the two distinct components in a normal mixture distribution. Subsequently, based on the estimands from the adherence model, we introduce a novel Bayesian adaptive trial design. Unlike conventional adaptive trials that employ regularly spaced interim schedules, the novelty of our proposed trial design lies in its adaptability to adherence percentages across the treatment arm through irregular interims. The irregular interims in the proposed trial are based on the effect size estimation informed by the finite mixture model. In summary, this study presents innovative methods for leveraging the capabilities of Bayesian finite mixture models in adherence analysis and the design of adaptive clinical trials.
Sensuous modernity: The linguistic construction of femininity in the fashion content of early 1920s Vogue
Authors: Federici Annalisa
Published: October 2024

This essay adopts a Critical Stylistic approach to disclose the linguistic mechanisms of creation of (counter-)ideological meaning in a specific type of gendered text, that is the female-targeted periodical Vogue at the beginning of the twentieth century. In particular, it investigates the linguistic construction of femininity in the fashion content of the twenty-four issues of the magazine published in 1922. In a period characterised by the gradual emergence of new identities and roles for women, Vogue chiefly employed evocative depictions of the latest trends in clothing to convey transformative notions of womanhood and defy gender categories. A Critical Stylistic analysis of Vogue’s fashion features demonstrates that this periodical favoured alluring conceptions of female assertiveness and autonomy through the use of a sensuous language of desire and feeling, describing pleasurable, multisensory encounters with fashion and modernity. Vogue’s discursive strategies show that the magazine employed linguistic form, along with visual and verbal content, to encourage women to embrace both a confident longing for personal pleasure and self-fulfilment, and the progressive gender ideology deftly woven into a periodical where female agency, physicality and modernity were favoured rather than repressed. This essay, therefore, builds on foundational research in language and gender identity that highlights the discursive construction of gender ideologies, with a view to expanding the range of scholarly interest (generally focused on content rather than linguistic form) in women’s magazines as composite cultural products which played a fundamental role in mediating new conceptions of femininity in the interwar period.
Cheating in Iran: An Examination of Academic Dishonesty Through the Lens of Situational Action Theory
Authors: Shadmanfaat Seyyedeh Masoomeh (Shamila) , Kabiri Saeed , Donner Christopher M. , Rahmati Mohammad M. , Maddahi Javad , Yousefvand Saman , Hardyns Wim , Safiri Khadijeh
Published: October 2024

Academic dishonesty has recently attracted the attention of scholars worldwide in the aftermath of severe breaches of academic rules of conduct. As today's students are tomorrow's leading academics and professionals, it continues to be of importance to understand the basic explanatory mechanisms of academic dishonesty. The present cross-cultural inquiry explores academic dishonesty through the lens of situational action theory (SAT). Specifically, this paper explores the connection between criminogenic propensity and criminogenic exposure, and its impact on academic misconduct. We analyze self-reported data from a random sample of 378 Iranian students. Multivariate regression results, examining both direct and interactional relationships, demonstrate that the key propensity–environment hypotheses of SAT are generally supported as morality, self-control, and perceived deterrence all play a role in explaining academic misconduct. Specific findings, study limitations, and directions for future research are discussed.
SUNDIALS time integrators for exascale applications with many independent systems of ordinary differential equations
Authors: Balos Cody J , Day Marcus , Esclapez Lucas , Felden Anne M , Gardner David J , Hassanaly Malik , Reynolds Daniel R , Rood Jon S , Sexton Jean M , Wimer Nicholas T , Woodward Carol S
Published: October 2024

Many complex systems can be accurately modeled as a set of coupled time-dependent partial differential equations (PDEs). However, solving such equations can be prohibitively expensive, easily taxing the world’s largest supercomputers. One pragmatic strategy for attacking such problems is to split the PDEs into components that can more easily be solved in isolation. This operator splitting approach is used ubiquitously across scientific domains, and in many cases leads to a set of ordinary differential equations (ODEs) that need to be solved as part of a larger “outer-loop” time-stepping approach. The SUNDIALS library provides a plethora of robust time integration algorithms for solving ODEs, and the U.S. Department of Energy Exascale Computing Project (ECP) has supported its extension to applications on exascale-capable computing hardware. In this paper, we highlight some SUNDIALS capabilities and its deployment in combustion and cosmology application codes (Pele and Nyx, respectively) where operator splitting gives rise to numerous, small ODE systems that must be solved concurrently.
Research on snow distribution of long-span flat roof considering interference effect
Authors: Li Huyang , Feng Ruoqiang , Zhong Changjun , Lin Tao
Published: October 2024

This study employs Computational Fluid Dynamics (CFD) to perform numerical simulations of snow distribution on two categories of long-span flat roofs considering interference effect. Initially, through a comparative analysis of simulation results with field measurements documented in prior literature, the feasibility of the modified Eulerian-Eulerian method was validated. Building upon the foundation of model validation, an exploration was undertaken into the snow distribution on the superimposed-shaped long-span flat roof, considering varying wind velocities and directions. The finding revealed a notable reduction in snow accumulation on most roof areas, while an increased accumulation phenomenon was observed at the roof surface overlap position (maximum snow distribution coefficient reached 1.49). Subsequently, an investigation was conducted into snow distribution on the complex-shaped long-span flat roof, considering the presence or absence of surrounding architectural interference. The result indicated a significant impact of surrounding structures on the distribution of roof snow accumulation, with the maximum snow distribution coefficient recorded at 1.48 (compared to 1.38 without surrounding architectures). Moreover, a comparison was performed between CFD numerical simulation results and prevailing snow load standards. It is evident that ISO 4355:2013 offers accurate predictions with a maximum error of 2%. The predictions of other standards are conservative or unsafe. The results in this paper can provide a reference for predicting snow loads on long-span flat roofs.
Deep learning-based structural health monitoring through the infusion of optical photos and vibration data
Authors: Al-Qudah Saleh , Bai Xin , Yang Mijia , Gao Zhili
Published: October 2024

This paper reports an investigation of deep learning techniques in structural damage identification that can overcome the limitations of traditional visual inspection. First, a vibration-based deep learning model is established to locate the damage in a beam and a truss structure. Then an optical photo-based model is established and used to classify different defects. Based on the satisfactory outcomes of these two models, a new structural health monitoring technique is proposed through the infusion of optical photos and vibration data. Vibration signals and true structural images for a truss are used to demonstrate the capability of the proposed method. It was found that the infusion of vibration data and optical photos can enhance damage identification significantly and overcome the drawbacks in the existing deep learning models due to incomplete vibration signals or blurred optical photo inputs.
Fixed-time adaptive control for nonstrict-feedback nonlinear systems with sensor faults and input saturation
Authors: Kharrat Mohamed , Alhazmi Hadil
Published: October 2024

This paper addresses the challenge of fixed-time adaptive control for nonstrict-feedback nonlinear systems with input saturation and sensor faults. The difficulty arising from the non-smooth saturation nonlinearity is to overcome by employing a smooth non-affine function to estimate the saturation signal. For systems with unknown functions, radial basis function neural networks (RBFNN) are utilized to approximate these unknown nonlinearities. Using the backstepping technique, an adaptive fixed-time control (FxTC) strategy is developed based on the Lyapunov function method. This approach ensures that all signals within the closed-loop system remain bounded, and the system output tracks the desired signal to a bounded compact set within a fixed time. Moreover, the convergence time of the tracking error is independent of the system’s initial states. The proposed approach is validated using a pendulum system and one-link manipulator system as examples. Additionally, comparative results are presented in the simulation section to demonstrate the superiority of the proposed method.
A technology of multiple-harmonic magnetic field excitation and its signal-processing method for noncontact steel pipeline defect detection
Authors: Yang Lin , Wang Xinhua , Sun Tao , Wang Yuexin , Qi Yongsheng , Hu Naixiang , Yang Xuyun , Rasool Ghulam
Published: October 2024

Harmonic magnetic field focus detection technology has been utilized for in-service pipeline defect detection due to its advantage in providing high-sensitivity and noncontact detection. However, this technology encounters interference from background signals and noise during high lift-off detection, which limits the accuracy of defect signal extraction. To quickly and robustly identify pipe defects, this work discloses a novel defect signal extraction method for multiple-harmonic magnetic field detection technology. The proposed method is insensitive to noise interference, effectively extracting defect signals even under high-intensity noise conditions. A pipe defect model based on magnetic dipole moments is established for simulation analysis, and a pipeline test platform is built for experimental validation. The results demonstrate that the proposed method can identify defects from signals with a low signal-to-noise ratio of 5.7 dB and locate pipes, welds, and defects with high resolution.
Use of Branched EVAR in Treatment of Juxtarenal Aortic Aneurysm and Essential Accessory Renal Artery: Another Tool on the Shelf? A Case Report
Authors: Opulskis Donatas , Ritonga Imam T. P. , Franke Philipp , Austermann Martin J. , Usai Marco Virgilio
Published: October 2024

Objective

We present the case of a 58-year-old male patient referred to our department from a smaller facility for further evaluation and treatment strategy regarding the choice between open or endovascular surgery. The patient was diagnosed with a 6 cm asymptomatic juxtarenal aortic aneurysm and a 5 mm diameter accessory renal artery (ARA) supplying the lower half of left kidney. Further diagnostic assessments indicated that the left ARA was perfusing over 40% of the left kidney.

Methods

Given the patient’s significant pre-existing medical conditions and elevated perioperative risk, the decision was made to proceed with minimally invasive endovascular surgery using a custom-made 5-branches stent graft (BEVAR).

Results

In the early postoperative period, the patient reported left flank pain. A subsequent CT scan identified a partial infarction in the left kidney due to the occlusion of an early small branch from the upper left renal artery. However, laboratory results showed no significant change in renal function compared to preoperative values. The patient was discharged 6 days post-surgery, with no additional complications observed during the early postoperative period.

Conclusion

This case report demonstrates that BEVAR is acceptable technique with satisfactory early postoperative outcomes for treating juxtarenal aortic aneurysms with an accessory renal artery in patients who are high-risk candidates for open repair and anatomically unsuitable for FEVAR or Ch-EVAR procedures.
Electroencephalography can Ubiquitously Delineate the Brain Dysfunction of Neurodegenerative Dementia by Both Visual and Automatic Analysis Methods: A Preliminary Study
Authors: Sato Kei , Hitomi Takefumi , Kobayashi Katsuya , Matsuhashi Masao , Shimotake Akihiro , Kuzuya Akira , Kinoshita Ayae , Matsumoto Riki , Takechi Hajime , Sugi Takenao , Nishida Shigeto , Takahashi Ryosuke , Ikeda Akio
Published: October 2024

Introduction: The aim was to examine the differences in electroencephalography (EEG) findings by visual and automated quantitative analyses between Alzheimer's disease (AD) and dementia with Lewy bodies (DLB) and Parkinson's disease with dementia (PDD). Methods: EEG data of 20 patients with AD and 24 with DLB/PDD (12 DLB and 12 PDD) were retrospectively analyzed. Based on the awake EEG, the posterior dominant rhythm frequency and proportion of patients who showed intermittent focal and diffuse slow waves (IDS) were visually and automatically compared between the AD and DLB/PDD groups. Results: On visual analysis, patients with DLB/PDD showed a lower PDR frequency than patients with AD. In patients with PDR <8 Hz and occipital slow waves or patients with PDR <8 Hz and IDS, DLB/PDD was highly suspected (PPV 100%) and AD was unlikely (PPV 0%). On automatic analysis, the findings of the PDR were similar to those on visual analysis. Comparisons between visual and automatic analysis showed an overlap in the focal slow wave commonly detected by both methods in 10 of 44 patients, and concordant presence or absence of IDS in 29 of 43 patients. With respect to PDR <8 Hz and the combination of PDR <8 Hz and IDS, PPV and NPV in DLB/PDD and AD were not different between visual and automatic analysis. Conclusions: As the noninvasive, widely available clinical tool of low expense, visual analysis of EEG findings provided highly sufficient information to delineate different brain dysfunction in AD and DLB/PDD, and automatic EEG analysis could support visual analysis especially about PD.
Growth mindset in Chinese societies: Introduction to the special issue
Authors: Chiu Chi-yue , Chan Hiu-Sze , Lee Sau-Lai , Huang Zhen , Tong Yuk-Yue
Published: October 2024

The JPRP Special Issue on Growth Mindset in Chinese Context was put together to address three questions. First, is the growth mindset less popular among the Chinese than Americans and Europeans? Second, is the growth mindset less relevant to human performance and psychological well-being in Chinese societies than in Western societies? Third, can the effectiveness of growth-mindset interventions in Chinese societies be enhanced, and if yes, how? In this editorial article, we review the research literature on growth mindset in the Chinese context. Our review focuses on articles published in the last five years (2019–2024). Most of these articles were published in English outlets. This review aims to situate the 13 articles included in the present issue in a broader theoretical background. The present editorial article consists of five sections: (1) the relative prevalence of the growth mindset in Chinese and Western societies; (2) evidence for the beneficial psychological and achievement effects of growth mindset in Chinese societies; (3) the supportive conditions for the development of a growth mindset; (4) the effectiveness of growth mindset interventions in Chinese societies; and (5C) future directions for growth mindset research in the Chinese context.
The Ghost in the Machine: Artificial Intelligence in Neurocardiology Will Advance Stroke Care
Authors: Saini Harneel , Rose David Z.
Published: October 2024

Background: Innovations in artificial intelligence (AI) and machine learning (ML) are poised to transform stroke care, particularly for Neuro-Cardiac Programs (NCP) within both academic and community hospital systems. Purpose: Given AI’s success in large-vessel occlusion (LVO) detection and perfusion mapping delivered to our smartphones, the next leap for this “Ghost in the Machine” technology seems to be into the world of NCP: AI-enhanced logistics have started to help with cardiac monitoring after cryptogenic, large-artery and small-vessel stroke, looking for atrial fibrillation (AF) with an insertable loop recorder (ILR) and/or external patch. Results: The ‘CONNECT’ study from UCSD demonstrated that AI can increase protocol efficiency and reduce patient wait-times for ILR; with more AF detected, fewer strokes may result as more patients receive anticoagulation or Left Atrial Appendage Closure (LAAC). Conclusion: Therefore, organically, the next AI and ML-enhanced NCP frontier may involve inter-departmental “Shared Decision-Making” (SDM) process with LAAC, and/or Patent Foramen Ovale (PFO), in appropriately selected patients. In this editorial, we explore AI’s capability to disrupt current antiquated siloed communication tools, refine and streamline SDM processes and tailor patient-specific treatment plans, nevertheless advocating for intercalation of AI into NCP pathways in a secure, ethically-guided manner.
Risperidone ISM®: review and update of its usefulness in all phases of schizophrenia
Authors: Messer Thomas , Bernardo Miquel , Anta Lourdes , Martínez-González Javier
Published: October 2024

One of the most important challenges in the management of patients with schizophrenia is to ensure adherence to antipsychotic treatment. The contribution of long-acting injectables (LAI) is undeniable in this matter, but there are still some unmet medical needs not covered by these drugs (e.g. quick onset of action for patients with acute exacerbation of schizophrenia). This article summarises the pharmacokinetics, efficacy and safety of Risperidone ISM ( in situ microparticles). The aim of this review is to provide information about the potential uses of this new LAI formulation of risperidone for the treatment of schizophrenia, contextualising and diving into the published evidence. Risperidone ISM shows a rapid release which allows achieving within 12 h risperidone active moiety levels similar to those observed in the steady-state for oral risperidone treatment, achieving a mean average concentration of 38.63 ng/mL. The plasma concentration of active moiety achieved by Risperidone ISM comes with a predictable dopamine D2 receptor occupancy above 65% throughout the 28-day dosing period, which is accepted as a threshold for the efficacy of the antipsychotic treatment. This can be associated with the positive efficacy findings throughout its clinical development. In the short term, it provides an early and progressive reduction of symptoms in adult patients with acute exacerbation of schizophrenia without the need for loading doses or oral risperidone supplementation, which could contribute to reinforcing the therapeutic alliance between the patient and the psychiatrist. In addition, long-term treatment was effective, safe and well tolerated regardless of the initial disease severity or whether patients were previously treated with Risperidone ISM during an acute exacerbation or switched from stable doses of oral risperidone. Improvement and maintenance of personal and social functioning and health-related quality of life were observed in each setting, respectively. All these findings endorse Risperidone ISM as a useful and valuable treatment for the acute and maintenance management of patients with schizophrenia.
An Interdisciplinary Timbral Analysis of “ringtone,” by 100 gecs
Authors: Reymore Lindsey
Published: October 2024

In this close analysis of the song “ringtone” by 100 gecs, I unpack the dialectic of noisy and clean timbres, exploring this theme narratively, acoustically, and cognitively. My account, which serves as both a music theoretical and methodological case study, explains how two opposing timbral qualities—the clear, clean sound of the ringtone motive and the noisy, distorted timbres in the bass and voice—underscore the dynamic emotional contour of the lyrical narrative, at first supporting it and later, undermining it.

I apply music theoretical approaches in conjunction with Wallmark's ASPECS model (Act, Sound, Perception, Experience, Conceptualization, Sign) as a framework for integrated analysis. First, I offer a timbral reading of “ringtone” using formal and functional layer analyses. Correspondences between my perceptions as an analyst and measurable features of sound are then examined via audio feature extraction using Timbre Toolbox and MIR Toolbox, revealing relationships between perceptual and acoustical noisiness, as represented by inharmonicity, auditory roughness, and normalized spectral centroid. Next, I adopt perspectives from embodied cognition and psychology to illustrate timbre's multivalence, explaining how the distortion in “ringtone” can simultaneously signify emotional distress and be experienced as pleasurable for listeners. I address conceptualization and signification through discussion of the contrast between the corporeality of inharmonic, noisy timbres and the immateriality of the virtual world as represented by the sine quality of the ringtone motive.

More broadly, the analysis demonstrates how timbre conveys meaningful information that can engage with a lyrical narrative. Integrating methods from multiple disciplines (music theory, cognitive science, music informatics, and semiotics) provides emergent insight into the semantic flexibility of timbre that is not available via any single disciplinary perspective.
Preoperative Joint Line Convergence Angle as an Indicator of Clinical Outcomes and Accuracy of Alignment Correction After Double-Level Osteotomy
Authors: Onishi Shintaro , Iseki Tomoya , Kanto Ryo , Ukon Ryosuke , Kambara Shunichiro , Yoshiya Shinichi , Tachibana Toshiya , Nakayama Hiroshi
Published: October 2024

Background:

The relationship between postoperative alignment and clinical outcomes after double-level osteotomy (DLO) has not been clarified.

Purpose:

To examine the radiological and clinical outcomes after DLO and specifically evaluate the influence of the joint-line convergence angle (JLCA) on the accuracy of alignment correction and surgical outcomes.

Study Design:

Case-control study; Level of evidence, 3.

Methods:

Included were 74 knees in 51 patients (mean age, 61.0 years) who underwent DLO for varus osteoarthritic knees and who had a minimum of 2 years of follow-up. The target hip-knee-ankle angle (HKAA) for the intended limb alignment was set to 1° valgus. The lateral distal femoral angle, medial proximal tibial angle, JLCA, and HKAA were measured on preoperative and postoperative radiographs. Outliers in alignment correction were defined as a deviation of ≥3° from the originally intended HKAA. Clinical outcomes were assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS). In the data analysis, the influence of the radiological parameters on the postoperative outcomes was statistically assessed.

Results:

Radiological and clinical evaluation at 2-year follow-up showed significant improvement from preoperative values ( P < .001). The HKAA was corrected from 13.4°± 3.0° varus preoperatively to 0.5°± 2.8° varus at 2 years, indicating a slight undercorrection. Regarding clinical outcomes, significant pre- to postoperative improvement was found on the KOOS (from 185.0 ± 71.2 to 387.9 ± 70.5; P < .001). Overall, 22 of the 74 knees (29.7%) were deemed to be outliers at the 2-year follow-up (19 knees [25.7%] in undercorrection, 3 knees [4.1%] in overcorrection). Postoperative KOOS values were significantly worse in the outliers than in the nonoutliers (344.4 ± 77.7 vs 405.8 ± 59.3; P < .001), and both pre- and postoperative JLCA was significantly larger in the outlier group. The receiver operating characteristic curve analysis indicated a preoperative cutoff JLCA of 6.0° for predicting postoperative alignment outliers.

Conclusion:

A preoperative JLCA of ≥6° was found to be a significant prognostic factor affecting the radiological and clinical outcomes after DLO for varus osteoarthritic knees by compromising the accuracy of deformity correction, resulting in suboptimal postoperative alignment.
Rate and Timing of Revision and Contralateral Anterior Cruciate Ligament Reconstruction Relative to Index Surgery
Authors: Halperin Scott J. , Dhodapkar Meera M. , McLaughlin William M. , Hewett Timothy E. , Grauer Jonathan N. , Medvecky Michael J.
Published: October 2024

Background:

After anterior cruciate ligament (ACL) reconstruction (ACLR), ipsilateral ACL graft reinjury or contralateral ACL injury has been reported. The rate and predictors of such subsequent ACL injuries have not been reported in recent years and in large patient cohorts.

Purpose:

The current study utilized a large, national, multi-insurance, administrative database to assess subsequent ACLR and factors associated with its occurrence.

Study Design:

Cross-sectional study; Level of evidence, 3.

Methods:

Using the PearlDiver M151 database, patients who underwent ACLR within the United States between 2015 and 2021 were abstracted. All included patients had ≥3 years of evaluation after initial ACLR. Patients who underwent a subsequent reconstruction (ipsilateral or contralateral) within 3 years were determined and the timing assessed. Using univariable and multivariable logistic regression, the factors associated with having a subsequent ACLR and the factors associated with returning for ipsilateral versus contralateral ACLR were examined.

Results:

In total, 40,151 patients who underwent initial ACLR during the study period were identified. Of these, subsequent ACLR was performed for 1689 patients (4.2%). These included ipsilateral revision for 1018 (60.3%) and contralateral reconstruction for 671 (39.7%) patients. Patients returning for ipsilateral reconstruction did so sooner than patients needing a contralateral reconstruction. On multivariable analysis, the only factor independently associated with subsequent ACLR was younger age (odds ratio [OR] = 4.17 for 10-14 years relative to 25-29 years; P < .0001). Factors associated with returning for an ipsilateral revision ACLR as opposed to contralateral ACLR were earlier revision (OR = 1.49 within 1.5 years relative to after 1.5 years; P = .0001) and female sex (OR = 0.62 relative to male sex; P < .0001).

Conclusion:

The overall rate of requiring a subsequent ACLR was found to be 4.2%, with 60.3% of these being to the ipsilateral ACL. This information may be helpful for evolving injury-prevention programs and patient counseling.
Ancient Cultural Models from Informal Learning Structures That Can Transform Developments in Africa: This Ndịgbo Discuss
Authors: Ikpo C. V. , Akowuah E. K. , Boateng K. O. , Kponyo J. J. , Nunoo-Mensah H. , Appiah Y. S.
Published: October 2024

The innovation for entrepreneurial systems and the advocacy to enact policies that institutionalise it had recently flooded the literature. Every system has fundamental principles responsible for their state, progress and change; such is the impact of the Igbo apprenticeship scheme on the entrepreneurial system. This has recently resulted in many scholars calling for government involvement through enacting policies that will make the scheme all-inclusive for sustainable economic growth in developing economies. Amongst the huge body of literature in its advocacy, none has addressed the question of the underlying principles for reproducing the relations in terms of the mathematical phenomena that the system embodies. This work shows that the success of the Ndịgbo apprenticeship hinges on certain defined underlying metaphorical mathematical functional patterns responsible for the strategic informal management behavioural model. The symbolic characteristics derived from the informal discipleship learning mode are activated for commerce, by young males and their hands-on in trading, with persistent cooperation, integrity, communication and collective purposeful attempts to succeed. The evidence of the model described is extracted from the explorative and exploitative trajectories that emerged from their goal-pursuing dedications to satisfy customer needs, with optimal methods for managing resources and building economies of scale, emerge. This is known as Ịgba-ọsọ-ahịa. This work reveals that Ịgba-ọsọ-ahịa embodies attributes of models that have shaped world-class productive systems such as (a) the geometrical Mandelbrot model, (b) Markov Chain variant with a backoff process, (c) stochastic nonlinear models, (d) network spatial model and (e) system computational model. Finally, a simplistic novel stochastic model of the socio-economic processes is developed to solve complex engineering decisions and hyperparameter optimisation problems in this work.
CHARACTERIZATION OF BLOWN FILM MORPHOLOGY
Authors: Fruitwala H. , Shirodkar P. , Nelson P. J. , Schregenberger S. D.
Published: October 2024

Wide angle X-ray analysis (WAXS) and transmission electron microscopy (ТЕМ) were used to evaluate the molecular orientation of two polyolefin films in three principal planes. It was shown that X-ray analysis can be valuable in the development of new resins.