bluuebunny/crossref_metadata_2025 huggingface dataset:
Price trends of second-hand Japanese books sold on Amazon Japan
Authors: Lisbon Adam H
Published: September 2024

This study analyzes the pricing trends of second-hand Japanese books on Amazon Japan. Utilizing a data set derived from a library book donation, the research investigates the impact of condition on price, the variability in pricing, and the role of sellers in determining prices. Based on a data set of 3282 listings, the findings indicate that Japanese second-hand books on Amazon Japan are frequently overvalued, and books in lower-quality condition are overvalued most often. The article also makes some initial comparisons of prices on Amazon Japan with Furuhonya, another platform for second-hand Japanese books. The research provides practical recommendations for librarians and individuals seeking to purchase second-hand Japanese books at reasonable prices.
Elder Mistreatment Within Stroke Family Caregiving
Authors: Katigbak Carina , Browning Wesley R. , Savitz Sean , Pickering Carolyn E. Z.
Published: September 2024

This secondary data analysis sought to identify characteristics associated with mistreatment among chronic stroke survivors who transition to dementia. We examined baseline data from a multi-time series survey study ( n = 453; where caregivers of those with stroke n = 107, and those without stroke, n = 346) on caregiving experiences influencing dementia family caregivers’ abusive or neglectful behaviors. Inferential statistical analysis indicated that baseline mistreatment rates were similar across stroke and non-stroke subgroups, though this finding was not significant. Caregiver depression was significantly associated with mistreatment. Multi-morbidity, prescription medication use, and limited mobility were more common among stroke survivors. Stroke-related complications may impose a greater burden of care upon family caregivers whose care recipients also have dementia. Determining timepoints of heightened mistreatment risk for stroke survivors may significantly impact long-term trajectories of stroke management to screen and identify those who may benefit from added support and intervention.
Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal in the Medical Intensive Care Unit (ICU): A Retrospective Cohort Study
Authors: Ingebrigtson Megan , Schang Sarah , Hyzy Robert C. , McSparron Jakob I. , Chen Xi , Tapper Elliot B. , Kenes Michael T.
Published: September 2024

Background: Phenobarbital (PHB) is a safe and efficacious alternative to benzodiazepines (BZD) for treating severe alcohol withdrawal (AWS). However, the safety of utilizing PHB for patients initially treated with BZD is unknown. Objective: To evaluate the safety and efficacy of PBH compared to BZDs in severe AWS in the medical intensive care unit (ICU). Methods: This was a retrospective cohort study comparing critically ill patients admitted for AWS who received BZDs or PHB. The primary outcome was time to persistent resolution of altered mentation. Secondary outcomes included development and duration of delirium, need for mechanical ventilation, development of withdrawal seizures, and ICU and hospital length of stay. Results: Ninety-five patients were evaluated (53 in PHB group, 42 in BZD group). Before study medication, less BZD patients demonstrated abnormal mentation compared with PHB patients (RASS < -2: 2.39% vsvs. 28.12%, respectively, and RASS > +2: 9.9% vsvs. 48.76%; P <0.001 for both). No difference was seen between groups for the primary outcome (1.8 hours for BZD cohort vsvs. 13.81 hours for PHB cohort; P =0.22). More patients in the BZD cohort developed a seizure after study medication administration (5.67% vs 0%, respectively; P =0.02). No significant difference was seen in other secondary outcomes. Conclusions: This study provides support for use of PHB after BZD if patients remain in uncontrolled withdrawal. Despite significant doses of BZDs before PHB, patients in the PHB cohort demonstrated similar clinical and safety outcomes compared to BZD alone.
Influence of milling vibration on blade machining error under thermodynamic coupling
Authors: Wang Chunfeng , Wu Shi , Dou Xueping , Liu Xianli
Published: September 2024

In the process of impeller machining, the blades of the impeller vibrate under the thermodynamic coupling effect encountered during the milling process, leading to a reduction in the machining precision. To reduce the machining error, the influence of blade vibration on the machining error under the effect of thermodynamic coupling effect was analyzed in this study. First, a milling-temperature-field model of the blades was established to determine the internal force and torque required for milling. The dynamic milling force at any position on the blade was obtained based on the Navier–Stokes solution method, and this force was used as the excitation source in the milling dynamic model. A nonlinear dynamic model of a three-degree-of-freedom blade milling system under the thermodynamic coupling effect was established based on the Kirchhoff law–Lagrange method, and simplified into a single-degree-of-freedom model, and an analytical solution for the three-direction vibration displacement at any point on the blade was obtained using the Galerkin method. Based on the vibration response at each position point on the blade, the spectrum and phase plane at each position point under different working conditions were analyzed based on the Fourier transform and phase plane method. Subsequently, a prediction model for the machining error caused by the blade milling vibration was established based on the coordinate transformation of the cutter tooth and workpiece motion chain. The effective values of the milling-edge vibration displacement within one cycle of tool rotation was proposed to represent the vibration displacement of milling edge at position point. Finally, an experiment was conducted on a five-axis CNC machine tool to study the effect of blade milling vibration on machining errors under the action of thermodynamic coupling. The experimental results showed that the errors in the predicted blade milling vibration in the three-direction and predicted machining error were less than 18% and 20%, respectively. The proposed method can effectively predict machining error caused by blade milling vibration.
Assessing the potential and energy distribution calibration of ethanol-biodiesel based RCCI mode of compression ignition engine in a plugin parallel hybrid electric vehicle
Authors: Vignesh Rajasekar , George David Ray , Ashok Bragadeshwaran , Thulasi Vijayakumar , Szpica Dariusz
Published: September 2024

The focus of this research is to develop the resilient powertrain to combat the enforcement of stringent emission regulations and elevate its feasibility to power with the sustainable fuels to support the fuel crisis. The current solution in the reliable and adaptability point of view is the low temperature combustion engine-based hybrid electric powertrain powered with sustainable fuel is the better choice. The present work proposes the concept of an ethanol-biodiesel fuel based RCCI plugin parallel hybrid electric vehicles (PHEVs). The significant examination of this work in the aspects of optimal torque structure and injector control parameter calibration. The calibration of the RCCI engine torque structure operation is performed based on the multi-objective constraints of variance of indicated mean effective pressure and the maximum rate of pressure rise for the combustion stability. While the equivalence ratio and combustion temperature with emphasis on limiting the amount of NOx and soot emissions. The maximum ethanol energy share proportion of 66.98% has been achieved. The RCCI engine is most frequently operating in the torque zone of 10 Nm and then 17.81 Nm while the BLDC motor is most frequently operated in the range of 55 Nm even at max torque of 60 Nm. When comparing to a standard diesel hybrid setup, the ethanol-biodiesel fuelled RCCI setup has a 18%–19% reduction in harmful NOx emissions, with an equivalent decrease of 22.7% in fuel economy. This is achieved by only having a 13.4% more CO emission while a minimal increase in soot emission throughout the overall course of the driving cycle. The result of this work shows evidence that implementing an ethanol-biodiesel fuelled RCCI engine in a parallel hybrid configuration achieves a significant reduction in NOx emissions while achieving the performance targets and managing the fuel and battery energy utilization over a driving cycle efficiently.
Artificial neural network-based sound insulation optimization design of composite floor of high-speed train
Authors: Li Ye , Zhang YuMei , Wang RuiQian , Tang Zhao
Published: September 2024

Increasing the speed of high-speed trains requires the lightweight design of vehicles to meet the economic and ecological efficiency requirements of such trains. However, these objectives conflict with the interior noise control in high-speed trains because the sound insulation of panel structures follows the mass law principle. The train floor, the main train body structure of the high-speed train, is vital for interior noise control because its sound insulation performance directly affects the interior noise levels. Owing to the complexity of the composite floor system, reliable measurement and accurate estimation of its sound insulation performance are often time-consuming and laborious. To address this situation, this study proposes an artificial neural network (ANN)-based model to predict the sound insulation characteristics of a composite floor. First, a sound insulation model of the composite floor is built based on statistical energy analysis (SEA). The sound insulation performance of 200 cases of composite floors is calculated by varying the dimensions of the extruded floor, thickness of the webs, sound-absorbing material, and wooden floor to formulate a sound insulation database of composite floors. Next, an ANN model is introduced and trained on the sound insulation database. The sound insulation prediction results obtained using the ANN model are compared to the prediction results obtained using the experiment to validate its effectiveness. Subsequently, the NSGA-II optimization method is used to optimize the sound insulation structure of the composite floor. Compared with the regular composite floor structure, the optimized structure reduced the mass of the composite floor by 10.93 kg and increased the weight of the sound insulation ( Rw) by 6.3 dB. The proposed method can be an effective, economical, and efficient tool for vehicle designers and can help promote the sound insulation optimization design of high-speed train composite floors.
Analyzing the influences of bus driver seat’s suspension system on driver’s comfort level and stability
Authors: Pham Ngoc Dai
Published: September 2024

The influences of the seat suspension on the comfort level, and stability of the bus driver are analyzed using a three-degree-of-freedom (3DOF) quarter-vehicle model. The influences are analyzed through the effects of seat suspension damping ratio ξ se on driver frequency weighted acceleration a w (m/s2) (comfort level) according to ISO 2631:1-1997 standard, the ratio of driver acceleration and gravitational acceleration a/ g (vertical stability). With random excitation according to ISO 8608, considering the same vehicle speed value v (km/h) (in the region of 10 – 20 (km/h)), the decrease of ξ se increases the a w value, this result leads to the reduction of comfort level; Considering the same ξ se value, a w value decreases as increasing v value. With transient excitation according to IRC 99 – 1988, considering the same v value, the smaller ξ se creates the larger a/ g value; Considering the same ξ se, the value of a/ g increases and reaches the extreme in the vehicle speed range 20 – 30 (km/h), outside this speed range the value of a/ g decrease.
Review of rolling bearings performance degradation trend prediction
Authors: Wang Yaping , Lu Kaiting , Dong Renquan , Fan Yuqi , Jiang Xudong
Published: September 2024

Rolling bearings are widely used in rotating machinery in modern industry, and ensuring their stability during operation is one of the prerequisites for the overall safety of the equipment. Predicting performance degradation can play a key role in preventing accidents and extending equipment life. With the development of big data and deep learning, more trend prediction methods are emerging in the field of performance degradation prediction of rolling bearings. Therefore, this paper reviews the evaluation indicators and performance degradation prediction models for rolling bearing performance degradation prediction. The advantages and disadvantages of physical degradation indicators, and virtual degradation indicators are analyzed. It is presented to utilize the powerful feature self-extraction ability and nonlinear function characterization ability of deep learning methods to construct bearing evaluation indicators. It also analyzes the research progress of traditional performance degradation prediction models and deep learning prediction models. In this review, future developments in rolling bearing performance degradation prediction are summarized in this paper as deep learning-based, digital twin correlation, high dimensionality, and adaptive, which guide researchers and practitioners to effectively identify suitable performance degradation prediction models.
Erroneous Automated WBC Differentials—A Case Series
Authors: Soni Mamta , Sundaram Supraja
Published: September 2024

Background and Aims:

Peroxidase deficiency is one of the commonly inherited phagocytic defects. It has been also found to exist as a transient phenomenon in association with some clinical conditions. But that it can interfere and cause erroneous automated differential WBC count is something which is not commonly known.

Materials and methods:

Complete blood counts were analysed using Advia 2120i and Coulter DXH 900 haematology analysers and manually reviewed on peripheral blood smear stained with Leishman stain.

Results:

Peroxidase deficiency in neutrophils and eosinophils resulted in them getting counted as monocytes by the analyser causing pseudomonocytosis, pseudoneutropenia and pseudoeosinopenia. These were detected by a slide review and by reanalysing the samples on an analyser which worked on a different principle.

Conclusion:

There is a need to confirm monocytosis given by analysers working on the peroxidase principle with an alternate method. This will prevent needless medical investigations for pseudoneutropenia, pseudoeosinopenia and persistent monocytosis, thus preventing unwarranted mental agony and financial burden to patients. It also helps to save the laboratory’s reputation. A careful review of instrument flags not only helps reach an accurate result but sometimes they can also aid in the diagnosis of a rare potential genetic disorder like MPO deficiency.
Oncologic Outcome of Patients With Pathologic T0 Esophageal Squamous Cell Carcinoma After Neoadjuvant Chemoradiotherapy
Authors: Chen Shao-bin , Wang Xin , Chen Yu-ping
Published: September 2024

Background and Objective

To investigate the oncologic outcomes of patients with esophageal squamous cell carcinoma (ESCC) who have achieved a pathologic complete response (pCR) of the primary tumor (ypT0) after neoadjuvant chemoradiotherapy (NCRT).

Methods

Patients with thoracic ESCC who underwent scheduled NCRT followed by surgery at our hospital between January 2010 and December 2022 were retrospectively analyzed. Only patients with ypT0 disease were enrolled in this study.

Results

A total of 118 patients were ultimately enrolled in this study. Ninety-two patients achieved pCR in the primary tumor and lymph nodes (ypT0N0), while 26 patients had residual metastatic disease in 52 lymph nodes (ypT0N+). Forty-five of the 52 lymph nodes with residual tumors were abdominal lymph nodes. Positive lymph nodes were more often observed in patients with tumors located in the lower third of the esophagus. The 1-, 3-, and 5-year overall survival (OS) rates for the entire study group were 96.5%, 79.5%, and 77.1%, and the 1-, 3-, and 5-year disease-free survival (DFS) rates were 90.5%, 76.8%, and 69.0%, respectively. According to multivariate analyses, pN classification was an independent predictor of both OS and DFS ( P < 0.05), while sex and cT classification were also found to be independent prognostic factors for DFS ( P < 0.05).

Conclusions

Residual nodal metastatic disease in patients with ypT0 ESCC after NCRT was more often found in the abdominal lymph nodes. pN classification was an independent predictor of both OS and DFS for ypT0 ESCC patients after NCRT.
Does “Consent Matter”? An Evaluation of a Sexual Consent Awareness Campaign for College Students
Authors: Lee Chelsey , Wong Jennifer S.
Published: September 2024

Consent, or lack thereof, is paramount in instances of sexual violence among college students. The current study assessed the impact of the Consent Matters campaign on Canadian undergraduate students’ ( N = 799) attitudes toward sexual consent, perceived behavioral control in obtaining consent, use of indirect methods of obtaining consent, as well as recall of the campaign materials. Results indicate no significant impact of the campaign on student attitudes and beliefs regarding sexual violence and consent but do indicate students hold strongly positive attitudes toward consent. Recommendations for future campaigns and evaluations are discussed.
Clinical characteristics and distinguishing factors of patients with COVID-19 complicated with active pulmonary tuberculosis
Authors: Ma Liangliang , Wu Hailing
Published: September 2024

The current study was conducted aimed at exploring the clinical characteristics and distinguishing factors of patients with the novel coronavirus pneumonia (COVID-19) complicated with active pulmonary tuberculosis. A total of 354 patients with COVID-19 in our hospital from November 2022 to February 2023 were included in the present study, of whom 87 patients were also combined with active pulmonary tuberculosis. Significant differences were found in fever, fatigue, nasal congestion, nasal discharge, sore throat, expectoration, and weight loss between the two groups (p < 0.05). There were significant differences in the levels of leukocyte, neutrophil, lymphocyte count, monocyte, hemoglobin, C-reactive protein, and CD4/CD8 between the two groups (p < 0.05). There were significant differences in pulmonary consolidation, multifocal ground-glass opacities in both lungs and infiltrating shadows, “cavity” by CT imaging between the two groups (p < 0.05). The independent variables were set as the indicators with different results of clinical characteristics and CT imaging, including fever, fatigue, nasal congestion, nasal discharge, sore throat, expectoration, weight loss, leukocytes, count neutrophils and lymphocytes, monocytes, hemoglobin, C-reactive protein, CD4/CD8, pulmonary consolidation, multifocal ground-glass opacities in both lungs and infiltration shadows. Our findings have revealed that fever, fatigue, expectoration, leukocytes, neutrophils, monocytes, hemoglobin, C-reactive protein, lymphocytes, CD4/CD8, pulmonary consolidation, multifocal ground-glass opacities in both lungs, and infiltration shadows were the risk factors responsible for the patients with COVID-19 complicated with active pulmonary tuberculosis.
Translational science and related disciplines
Authors: Ioachimescu Octavian C. , Shaker Reza
Published: September 2024

Translational research moves scientific discoveries and innovations across the development spectrum for a particular target or disease, trying to bridge in a multidisciplinary fashion the gap between laboratory scientific discoveries and practical, real-world applications in medicine and in healthcare. Translational research aims to move research findings across settings, specific languages, methodologies, and study designs, from laboratory to clinical practice and ultimately into community- and population-level health benefits. In contrast, translational science is a distinct field, which evolved over time toward a systematic study and practice of operationalizing the translation of content from one language, ecosystem, environment, contextual landscape, culture, discipline, area, or domain into another. It involves systematic and transdisciplinary integration of knowledge from basic science, clinical research and population science to improve human health, better longevity, and to ensure disease- and disability-free lives. Translational science often uses knowledge, operational frameworks, and specific capabilities borrowed from other specialties, disciplines, and fields such as operations management, implementation and dissemination science, quality improvement and management, project management, public health, intervention science, change management and leadership, decision science, design thinking, functional design, data science, communication and marketing science, etc. The main goal of this article is to open a series of thematic reviews in this journal, introducing the reader to the main definitions, contingencies, touchpoints, and overlapping areas between translational science and these related specialties, disciplines, and fields of study. Transdisciplinary capabilities borrowing from these related specialties can create a robust translational science machinery for health systems, research organizations, and innovation hubs.
Doxophylline With Paroxysmal Supraventricular Tachycardia: A Case Report
Authors: Yu Dandan , Liu Min , Tang Wei
Published: September 2024

Purpose:

We report a case of a patient experiencing paroxysmal supraventricular tachycardia after infusing doxophylline.

Methods:

Clinical evaluations and the electrocardiogram were performed by specialists.

Findings:

Our patient felt palpitations and chest distress after intravenous Doxophylline. The electrocardiogram showed paroxysmal supraventricular tachycardia. There was no evidence to prove that there was any problem with his heart, liver, and kidney. According to the Naranjo Adverse Drug Reaction probability scale, paroxysmal supraventricular tachycardia has a probable relationship with Doxophylline.

Implications:

The paroxysmal supraventricular tachycardia is a rare but reasonable adverse reaction of Doxophylline, which should be paid more attention.
Artificial intelligence and health information: A bibliometric analysis of three decades of research
Authors: Aldousari Elham , Kithinji Dennis
Published: September 2024

Information on the application of artificial intelligence (AI) in healthcare is needed to align healthcare transformation efforts. This bibliometric analysis aims to establish the patterns of publication activities on the application of AI in health. A total of 1083 scholarly papers published between 1993 and 2023 were retrieved from the Web of Science and Scopus databases. R Studio and VOSviewer were applied to quantify and illustrate publication patterns and citation rates. Publication rates grew by an average rate of 13% yearly, with each document being cited averagely 12 times. The articles had a mean of five co-authors, with a global co-authorship rate of 10%. COVID-19, artificial intelligence, and machine learning dominated the publications. The US, China, UK, Canada, and India coordinated most of the collaborative research. AI-based health information research is growing steadily. International collaborations can be leveraged to ensure the spread and interoperability of AI-based healthcare innovations globally.
Disobedient anonymity and the politics of protesting violence against women
Authors: Burke Megan , Ferrari Martina
Published: September 2024

This article accounts for a particular kind of politicised anonymity, namely ‘disobedient anonymity’, that operates as a liberatory response to the longue durée of gender violence. We examine the street performance Un violador en tu camino created by the Chilean feminist theatre collective LASTESIS, to show how disobedient anonymity is an embodied and collective disruption of colonial subjectification and state-sanctioned gender violence. Building on the insights of the Argentinian decolonial feminist scholar Rita Segato's analysis of high-intensity patriarchy as well as discussions of perverse anonymity in critical phenomenology, we examine how disobedient anonymity operates in Un violador as an embodied practice that makes possible a decolonising, feminist liberatory public. We argue that through the deployment of disobedient anonymity, Un violador re-territorialises and re-temporalises colonial fields of sens. In doing so, it institutes a new form of political subjectivity that upends colonial logics.
An adaptive slope entropy combined with hierarchical entropy applied to rolling bearing fault diagnosis
Authors: Zhang Zhe , Liu Yingwei , Han Yuxuan , Huangfu Pengfei , Ma Zhiyuan , Shi Weichen , Feng Ke
Published: September 2024

This article proposed an improved slope entropy (Islope) algorithm. In the original algorithm, the state mode is determined by parameters α and β. However, the wide range of parameter choices and strong randomness in the original algorithm may decrease slope entropy capability when unreasonable parameters are selected. Therefore, an adaptive parameter selection is proposed. In order to better demonstrate that Islope has better extraction ability, a robustness test is carried out, and the Islope can work better in the noise state. On the other hand, the single scale can’t fully express the time series. For this reason, the Islope is combined with the algorithm of hierarchical entropy. A hierarchical improved slope entropy is proposed. This method was applied to two experimental tests. At the same time, the sparrow search algorithm is used to optimize the parameters of the support vector machine, and the final experimental result is verified 100%.
Practical Guidance for Preparing for and Conducting Focus Groups and Interviews with Community Members for Cancer Research
Authors: Bourdaniotis Xanthia E. , Ayre Susannah K. , Zajdlewicz Leah , Goodwin Belinda C. , Johnston Elizabeth A.
Published: September 2024

To support meaningful and productive engagement in cancer research, we provide practical guidance for preparing for and conducting focus groups and interviews with community members. We provide 11 recommendations in two printable resources: (a) a checklist for preparing for focus groups and interviews with community members, and (b) a list of practical strategies to use when conducting the focus groups and interviews. These recommendations are based on our experience facilitating 15 focus groups and 20 interviews with 52 community members to codesign the study materials for a population-wide qualitative survey for understanding the needs and experiences of adults affected by cancer in Queensland, Australia. The checklist includes six recommendations: (1) define and document recruitment procedures, (2) use diverse recruitment methods to recruit a diverse sample, (3) implement multiple strategies to prevent and detect fraudulent participant sign-ups, (4) offer flexible options for research participation, (5) develop and pilot visual session materials, and (6) nominate lead and support facilitators (focus groups only). Practical strategies include five recommendations with examples for how to implement these in practice: (1) allow time to get started, (2) invite focused participation, (3) keep track of time, (4) facilitate productive and insightful conversations, and (5) debrief after sessions for continuous quality improvement. These resources can be used by students, researchers, and health care professionals conducting focus groups and interviews with community members to optimize the consumer’s experience of participation in cancer research. The recommendations presented may also be applicable in health research more broadly.
Clinical Efficiency and Safety of Radiofrequency Ablation for Treating Incompetent Great Saphenous Veins in Aged Patients
Authors: Chen Yang , Zhou Ling , Gu Yuexia , Wang Xinyu , Sun Jian
Published: September 2024

Introduction

Few studies have focused on the safety and efficacy of radiofrequency ablation (RFA) in treating incompetent great saphenous vein (GSV) in aged population. This study was designed to investigate the clinical efficacy of RFA in treating incompetent GSV in the aged patients.

Methods

In this retrospective study, we included 138 consecutive patients (involving 194 limbs) with a mean age of 63.0 years who underwent RFA and microphlebectomy or sclerotherapy due to symptomatic incompetent GSV with saphenofemoral junction reflux. Based on their ages, patients were classified into young group and aged group. Then we compared the preoperative and postoperative Clinical, Etiology, Anatomic, Pathophysiology (CEAP) classification, venous clinical severity score (VCSS) and chronic venous insufficiency questionnaire 14 (CIVIQ-14) score between the 2 groups.

Results

In both the young and aged groups, patients underwent RFA showed significant decrease in the CEAP and VCSS at month 1, 3 and 6 compared with immediately after RFA (month 0) (all P < .001). In addition, in both groups, significant increase was seen in the CIVIQ-14 score at month 1, 3 and 6 compared with month 0 (all P < .001). Compared with the young group, the post-RFA CEAP, VCSS and CIVIQ-14 scores showed no statistical differences in the aged group at the designated time points, respectively (all P > .05).

Conclusions

RFA of GSV was effective for treating GSV in the aged population, which improved the CEAP, VCSS and CIVIQ-14.
Using Fragments to Uncover Connections Through Call and Response, Resonance, and Dissonance
Authors: Garland Mary Catherine , Brown Laurinda , Dunlop Melissa , Laidler Carol , Liebmann Marian , Puntil Donata , Sakelliaradis Artemi , Speedy Jane
Published: September 2024

CANI-net (Collaborative Artful Narrative Inquiry Network) has evolved over the last thirty years from being a research center and network at the University of Bristol to holding online monthly “open inquiry space” sessions attended by scholars, educators, and artists around the world. The sessions are flexible, encouraging the presentation of work in progress, ideas just emerging, middling, in a warm, friendly, supportive atmosphere with students and academics and others engaging, collaborating, and offering feedback to one another. Each session usually offers the opportunity for those present to write into the shared space, and to then share that writing. In the sharing, other spaces are opened up; the emergent writing is sometimes crafted into a journal paper. This article is an exemplar of CANI-net’s increasing publications. The writing in this paper is inspired by a session facilitated by Laurinda Brown. With three “calls and responses,” not all participants could share their writing for each call in the session. With no obligation to share, some responses remain absent. The responses in this paper appear together for the first time, thus exemplifying how participants riff off the work of others in these CANI-net sessions.
The Effect of Weight Distribution in the Foot on Balance and Plantar Pressure in Female Adolescent Athletes
Authors: Cerezci-Duygu Senay , Sarak-Kucukosmanoglu Hazal , Aytar Aydan
Published: September 2024

Background:

It is widely reported that the weight distribution in each foot is approximately 60% in the rearfoot and 40% in the forefoot. For balance training, it is recommended to transfer some weight to the forefoot. However, it is still unclear whether fore-rear foot weightbearing ratio affects balance and plantar pressure parameters.

Hypothesis:

There is a relationship between the forefoot weightbearing ratio and balance and plantar pressure in female adolescent athletes.

Study Design:

Cross-sectional study.

Level of Evidence:

Level 3.

Methods:

A total of 91 adolescent female athletes aged between 10 and 19 years were included in the study. Weightbearing ratios of the forefoot, balance, and plantar pressure were assessed using a plantar pressure platform (FootWork, AMCube IST). In the static and stabilometric evaluation, the weightbearing ratio (%), mean and maximum plantar pressure (kPa), center of pressure (CoP) total, antero-posterior and medio-lateral sway length (cm), CoP surface area (cm2), and length over area (cm-1) were recorded. In the dynamic evaluation, the maximum pressure (kPa) acting on each foot was recorded.

Results:

Two groups with forefoot weightbearing ratio <40% and ≥40% were compared. Maximum pressure values in static conditions, CoP anteroposterior, and total sway length were significantly different between these groups. In addition, as the amount of load transferred to the forefoot increased, CoP total and anteroposterior sway length increased postural stability.

Conclusion:

Although postural control mechanisms are quite complex, plantar pressure and postural control parameters can be varied by optimizing rear-to-fore foot weight transfer.

Clinical Relevance:

This study will contribute to the development of appropriate training and rehabilitation strategies to optimize athlete performance and reduce injury risk.
The Use of Sucroferric Oxyhydroxide Prior to Sigmoidoscopy in Patients With End-Stage Kidney Disease: A Case Report
Authors: Horwitz Jennifer , Roberts Katelyn , Canning Stephanie , Mcintosh Douglas , Zimmerman Deborah
Published: September 2024

Rationale:

Sucroferric oxyhydroxide is an iron-based phosphate-binding medication that has been approved for the treatment of hyperphosphatemia in patients with end-stage kidney disease. Given the low overall iron release from the polynuclear iron(III)-oxyhydroxide molecule, recommendations regarding its use prior to colonoscopy/sigmoidoscopy have not been developed.

Presenting concerns of the patient:

A 51-year-old male with a known history of end-stage renal disease treated with hemodialysis was referred to Gastroenterology for consideration of colonoscopy to rule out malignancy because of a history of rectal bleeding. This was to be completed prior to proceeding with a living-donor kidney transplant.

Diagnoses:

Flexible sigmoidoscopy done after non-diagnostic colonoscopy demonstrated diffuse “charcoal-like” material that prevented adequate visualization of the bowel despite standard bowel preparation. The findings were believed to be secondary to the use of sucroferric oxyhydroxide prescribed for hyperphosphatemia.

Interventions:

The patient was subsequently instructed to discontinue sucroferric oxyhydroxide for 2 weeks prior to his repeat sigmoidoscopy procedure.

Outcomes:

The patient’s repeat sigmoidoscopy after discontinuing sucroferric oxyhydroxide allowed for adequate bowel visualization that revealed only a benign lipoma.

Teaching Points:

This case demonstrates the potential for sucroferric oxyhydroxide use to result in poor bowel preparation and resulting inadequate visualization on lower gastrointestinal endoscopy. It serves to highlight the clinical implications leading to the need for repeated procedures, which contributes to resource waste and unnecessary costs to the healthcare system, as well as delays in diagnostic evaluation required for transplantation; patient frustration was evident.
Knowledge and attitude of Iranian dental practitioners toward teledentistry: A web-based descriptive survey
Authors: Saberi Zahra , Rahimi Alireza , Soheili Leila , Khodadadi Fatemeh Sadat Tabatabaei
Published: September 2024

Background

It is necessary to improve the knowledge and attitude of dental practitioners toward teledentistry for its implementation in the oral healthcare system. The objective of the current study was to investigate the knowledge and attitude of Iranian dental practitioners toward teledentistry.

Methods

This descriptive, cross-sectional survey was performed among 387 dental practitioners working in two big cities in Iran. An online self-structured questionnaire that included 34 questions was applied to collect information about the general profile of participants (age, sex, work experience, city of work, and dental specialty), their knowledge, and attitude about teledentistry.

Results

Most participants were males (57.9%) and general practitioners (79.6%). Dental practitioners expressed poor knowledge and only 23.50% of them were familiar with teledentistry. However, most of the participants, mainly in Zahedan city, expressed agreement on the potential benefits of teledentistry for patient care and access. More than 80% of dental practitioners agreed with the statement on the application of teledentistry in enhancing access to guidelines, recommendations, and preventive dentistry. However, the majority of dental practitioners believe that the diagnosis by teledentistry is not as accurate as the diagnosis in clinical practice.

Conclusion

Our study reveals a positive attitude toward teledentistry among Iranian dentists with a significant knowledge gap. This knowledge gap may be a barrier to teledentistry adoption. Educational programs tailored to address these knowledge gaps are necessary to pave the way for the successful integration of teledentistry into routine dental practice.
Impact of behavior and mood of people with specific needs on quality and feasibility of teledentistry: A five years retrospective study
Authors: Inquimbert Camille , Sabourin Céline , Sepashvili Nicolas , Valcarcel Jean , Bossouf Abid , Giraudeau Nicolas
Published: September 2024

Background

The e-DENT program, initiated by Montpellier University Hospital's Department of Dentistry, seeks to enhance dental care access for individuals with special needs through teledentistry. This five-year retrospective study focuses on the program's impact, particularly assessing patients’ mood and behavior during telemedicine dental examinations and the influence of these factors on diagnostic quality and feasibility.

Methods

This retrospective, multicentric observational study analyzed data from January 1, 2018, to April 24, 2023, involving residents of medico-social institutions who participated in the e-DENT program. The study utilized a scoring system based on the PANAS scale, which is used to brief measures of positive and negative affects. We aimed to evaluate mood and behavior. The statistical analysis was conducted using R software, incorporating mixed logistic and linear regressions to assess the impact of various factors on patient behavior, mood scores, and the quality and feasibility of diagnoses.

Findings

The study included 682 patients, revealing that the majority exhibited cooperative behavior during their telemedicine consultations, with a median mood score of 2.5. Analysis showed a significant improvement in mood scores from the first to subsequent consultations. The mood score positively correlated with diagnostic feasibility and negatively with visit duration. Specific factors such as type of disability, fear of dental instruments, and patient cooperation significantly influenced the quality of videos taken and the feasibility of diagnoses. Facilities catering to different disability types showed varied mood scores, suggesting tailored approaches may be necessary.

Interpretation

The findings underscore the efficacy of teledentistry in providing dental care to individuals with special needs, highlighting the importance of patient mood and behavior in improving diagnostic outcomes. The study suggests that teledentistry can be a well-accepted and effective mode of dental care delivery for this patient group, with implications for optimizing telemedicine practices in medico-social settings.
Effectiveness of cognitive rehabilitation in comparison with routine rehabilitation methods in patients with multiple sclerosis: A systematic review and meta-analysis
Authors: Rayegani Seyed Mansoor , Heidari Saeed , Seyed-Nezhad Maryam , Kiyani Narges , Moradi-Joo Mohammad
Published: September 2024

Introduction

Cognitive rehabilitation includes a set of programs to train the brain, which leads to the improvement of mental and neuro-psychological functions. This meta-analysis was conducted with the aim of investigating the effectiveness of cognitive rehabilitation in comparison with routine rehabilitation methods in patients with multiple sclerosis (MS).

Methods

The Cochrane Library, ProQuest, PubMed, PsycINFO, and Web of Science databases were searched from inception to August 2022. Google Scholar was used to find relevant sources and complete the search coverage. Two authors independently selected studies based on predefined inclusion criteria. Data analysis was performed using RevMan (version 5.3).

Results

Out of the 578 studies found, 20 studies were finally included in this review. The results of the meta-analysis on four outcomes (Paced Auditory Serial Addition Test (PASAT), Brief Visuospatial Memory Test (BVMT), MS Neuropsychological Screening Questionnaire (MSNQ), and Beck Depression Inventory (BDI)) indicated that the outcome was significant in favor of the cognitive rehabilitation group. However, for five outcomes (Controlled Oral Word Association Test (COWAT), California Verbal Learning Test (CVLT), Everyday Memory Questionnaire (EMQ), Symbol Digit Modalities Test (SDMT), and Expanded Disability Status Scale (EDSS)), the differences between the two groups were not significant.

Conclusion

The results of this meta-analysis showed that cognitive rehabilitation has an effect on improving the performance of patients with MS. However, further studies with more accurate methodologies are required to determine which of the outcomes cognitive rehabilitation has a greater effect on.
Unified Approach to Treating Exogenous Endophthalmitis With Immediate Vitrectomy
Authors: Loh Graeme K. , Mishra Amit V. , Seamone Mark , Tennant Matthew
Published: September 2024

Purpose: To analyze the outcomes and complications of immediate (within 24 hours) small-gauge (23-gauge, 25-gauge) pars plana vitrectomy (PPV) for all causes of exogenous endophthalmitis. Methods: A retrospective case series was evaluated. Results: The study included 107 patients who had immediate PPV for exogenous endophthalmitis between 2016 and 2022. The primary outcome measures were the change from baseline best-corrected visual acuity (BCVA) to the final follow-up and the complications after PPV. Causes of exogenous endophthalmitis included intravitreal injections (62.6%), PPV (18.7%), cataract surgery (11.2%), glaucoma surgery (5.6%), and trauma (1.9%). The most common complications were retinal detachment (17.8%) and secondary glaucoma (9.3%). The mean logMAR BCVA improved significantly from the initial diagnosis to the final follow-up (2.26 vs 1.21) ( P < .0001). Conclusions: In most cases, immediate small-gauge vitrectomy for exogenous endophthalmitis leads to an improvement in VA, regardless of the VA at presentation. Patients should be counseled about the potential risks associated with PPV surgery.
Laboratory-based surveillance of nontuberculous mycobacterial pulmonary disease in Japan
Authors: Hamaguchi Yuko , Morimoto Kozo , Mitarai Satoshi
Published: September 2024

Background

Intractable pulmonary diseases with nontuberculous mycobacteria (NTM-PDs) and antimicrobial resistance have become increasingly concerning worldwide. Nevertheless, a surveillance system for NTM has not been established in most countries, thus requiring repeated, intermittent and time-consuming cross-sectional nationwide surveys.

Methods

To establish a nationwide surveillance system for NTM-associated diseases, we aimed to develop a prototype computer system primarily designed to continuously estimate NTM-PD incidence using a bacteriological case-defining algorithm through an automatic process of integrating bacteriological data collected from microbiology laboratories across Japan. To validate the accuracy of our study results, we compared the distribution of pulmonary tuberculosis cases between our laboratory data and the national surveillance data, which is representative of the Japanese population.

Results

Our estimates implied a 17.7% increase in NTM-PD incidence from 15.8 (14.9–16.8) in 2013 to 19.2 (18.2–20.4) in 2017, per 100 000 population. Moreover, 93.0% of the identified NTM-PD cases were dominated by theMycobacterium avium-intracellularecomplex, and the proportion ofM. abscessusspecies exceeded that ofM. kansasiifor the first time in Japan. We also revealed significant age and sex differences in NTM-PDs. Notably, we found similar characteristics between our laboratory data and national surveillance data covering almost the entire Japanese population.

Conclusion

These findings, despite being laboratory-based, are extrapolatable to the general population in Japan and provide evidence that supports our system as a viable alternative to the nationwide NTM surveillance system.
A framework for modelling whole-lung and regional transfer factor of the lung for carbon monoxide using hyperpolarised xenon-129 lung magnetic resonance imaging
Authors: Pilgrim-Morris Jemima H. , Smith Laurie J. , Marshall Helen , Tahir Bilal A. , Collier Guilhem J. , Stewart Neil J. , Wild Jim M.
Published: September 2024

Background

Pulmonary gas exchange is assessed by the transfer factor of the lungs (TL) for carbon monoxide (TLCO), and can also be measured with inhaled xenon-129 (129Xe) magnetic resonance imaging (MRI). A model has been proposed to estimateTLfrom129Xe MRI metrics, but this approach has not been fully validated and does not utilise the spatial information provided by three-dimensional129Xe MRI.

Methods

Three models for predictingTLfrom129Xe MRI metrics were compared: 1) a previously-published physiology-based model, 2) multivariable linear regression and 3) random forest regression. Models were trained on data from 150 patients with asthma and/or COPD. The random forest model was applied voxel-wise to129Xe images to yield regionalTLmaps.

Results

Coefficients of the physiological model were found to differ from previously reported values. All models had good prediction accuracy with small mean absolute error (MAE): 1) 1.24±0.15 mmol·min−1·kPa−1, 2) 1.01±0.06 mmol·min−1·kPa−1, 3) 0.995±0.129 mmol·min−1·kPa−1. The random forest model performed well when applied to a validation group of post-COVID-19 patients and healthy volunteers (MAE=0.840 mmol·min−1·kPa−1), suggesting good generalisability. The feasibility of producing regional maps of predictedTLwas demonstrated and the whole-lung sum of theTLmaps agreed with measuredTLCO(MAE=1.18 mmol·min−1·kPa−1).

Conclusion

The best prediction ofTLCOfrom129Xe MRI metrics was with a random forest regression framework. Applying this model on a voxel-wise level to create parametricTLmaps provides a useful tool for regional visualisation and clinical interpretation of129Xe gas exchange MRI.