bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary Repair of Cloacal Exstrophy with a Small Bladder with a Bowel Patch: A Case Report
Authors: Guzman Johann Paulo , Cadete Ivory June , Comuelo Ryan Ed , Tidon Demie 
Published: December 2024

Cloacal exstrophy (CE) is a group of congenital anomalies most commonly affecting the genitourinary, gastrointestinal and skeletal systems. Management of these anomalies requires multidisciplinary care and involves staged surgical reconstruction. We present the case of a newborn male referred due to a midline abdominal mass and imperforate anus noted upon delivery. Physical exam revealed an omphalocele, bladder exstrophy, bifid penis, and imperforate anus. Imaging revealed right renal agenesis and pubic diastasis. The patient underwent repair of cloacal exstrophy, bilateral ureteral stent, bilateral anterior osteotomy, primary repair of bladder with bowel augmentation to increase capacity, perineal urethrostomy, genital reconstruction and end colostomy. He was maintained in a pelvic wrap for the osteotomy to heal. He was discharged well. The surgical management of exstrophy is varied involving multiple approaches. While most authors would do a staged repair of the exstrophy leaving the bladder augmentation later because of high failure rates. Our approach to primarily address a relatively small bladder with a patch during closure in selected patients is feasible. Although long term follow-up is needed to achieve good quality of fecal and urinary incontinence, early surgical bladder correction may suggest earlier achievement of continence among patients. Patient is doing well after three years of this procedure with minimal soiling per urethrostomy. Our future plans include repair of the imperforate anus and urodynamic studies to monitor bladder function.
Pílulas pandêmicas: a ausência corpórea na pandemia e a reconfiguração do corpo pela arte
Authors: Engroff Luiz Gustavo Bieberbach , Brisolara Maria Isabel Teixeira 
Published: December 2024

O presente artigo tem como objetivo problematizar a ausência dos corpos enquanto presentificação durante o período pandêmico da COVID-19, a fim de demonstrar como a arte serviu como meio de resistência e rasura, fazendo com que pudéssemos retornar a enxergar as corporeidades por meio das produções artísticas. Para tanto, o artigo em questão analisa o projeto Pílulas Pandêmicas, trazendo discussões a respeito das fronteiras entre literatura, teatro, leitura, performance, mise-en-scéne e as percepções acerca do corpo imóvel que ora escreve e que se torna presente frente à câmera com sua movimentação. Como base teórica utilizaram-se as pesquisas de Antonin Artaud, David Le Breton e Paul Zumthor.
MONSTRA! - Dramaturgia, corpo e performance
Authors: Duarte Lara 
Published: December 2024

O artigo propõe a noção de Dramaturgia Monstra estabelecendo um paralelo com a dramaturgia performativa, explorando como ambos os conceitos se inter-relacionam a partir de uma perspectiva em que o corpo é o elemento central do acontecimento. Além disso, o monstro e o performativo tensionam a definição de significado e representação. Em paralelo, o artigo aborda a figura do monstro e a monstruosidade em diversos campos do saber, relacionando-os às práticas de criação dramatúrgica. Autoras como Erika Fischer-Lichte e Della Pollock são as interlocutoras principais. A pesquisa analisa também o procedimento “texto-acúmulo”, prática sintetizada pela artista Kenia Dias.
Effect of Salt on <i>Grewia Mollis</i> Gum as Biopolymer Drag Reducing Agent in Slickwater Fracturing
Authors: Sulaiman, A. D. I.  , Adamu, M. B.  , Adamu Yahaya Y. , Hezekiah, O. A.  
Published: December 2024

The search for lower-cost materials that reduce pressure drop in fluid transportation in hydraulic fracturing is of paramount importance. Polymers are known to reduce pressure drop in pipeline flows in a hydraulic fracturing process referred to as friction reducers (drag reducing agents). Drag reducing agents are usually synthetic or natural polymers such as partially hydrolyzed polyacrylamide, polyethylene oxide, Guar gum, xanthan gum. The performance of these polymers as drag reducing agents on pressure gradient (pressure drop; Δp) in pipes are significantly affected by high temperature and salinity. This work focused on the investigation of effects of salinity on a natural polymer - Grewia Mollis gum as a drag reducing agent in slickwater fracturing. The sample of Grewia gum was obtained and mucilage was extracted from the inner stem bark by maceration in distilled water at room temperature. XRF and FTIR were conducted to characterize the sample and then the percentage drag reduction of the polymer were determined in the flow loop setup. To establish the baseline for this work, the percentage drag reduction was conducted first by dissolving the polymer in fresh water and then followed by dissolving in 1000 ppm and 5000 ppm of NaCl. Drag reduction results revealed that the drag reduction performance in freshwater is better with the value of 25% at minimum flow rate of 2.5 m3 / hr and 42.5 % at maximum flow rate of 4.5 m3 /hr in brine solution, the drag reduction performance of 21.25% at 200 ppm in brine solution of 1000 ppm was reduced to 20.60% and reduced to 20 % with increase in brine solution to 5000 ppm at flow rate of 4.5 m3 / hr. It can be concluded that the percentage drag reduction was affected when salts were introduced into flowing fluid.
Advice for chief nurses on integrating LGBTQ+ inclusive practices into the healthcare system through centred qualitative exploration
Authors: Cheirard Nguyen , Gretha Labrag 
Published: December 2024

Objective: This research aims to uncover effective strategies for fostering an equitable environment for LGBTQ+ individuals as well as potential barriers to achieving this and classifies these strategies based using the Expert Recommendations for Implementing Change (ERIC) framework.Methods: We conducted a qualitative exploration using in-depth interviews with chief nurses at a selected sample of healthcare organizations throughout Thailand. Thematic analysis was performed to identify recurring themes and classify strategies according to the ERIC framework.Findings: The study highlighted five factors that influenced the application of LGBTQ+-inclusive practices: corporate training programs, clarity in organization policy and directives, support from management, tackling culture in the organization, and (5) staff participation in continuous education. Training programs, as well as clear policy implementation, had the largest hits amongst these. The accessibility of information, combined with cultural and behavioral changes, could be contributing to the recent increase in segregation, the authors argue, and cultural resistance continues to be a significant barrier, suggesting that targeted efforts are needed to address underlying biases. Moreover, through community engagement and a digital learning tocreate breaking routes for inclusivity emerged as one of the innovative ways.Novelty: The study uniquely integrates qualitative exploration and the ERIC-framework to yield actionable recommendations for chief nurses. It draws attention to other seemingly overlooked barriers including cultural resistance and suggests creative solutions customized to the socio-cultural setting of Thailand, not mentioned in other literature.Research Implications: The insights provide practical advice for healthcare executives who want to foster inclusive settings for LGBTQ+ patients. The study highlights many of the necessary conditions tailored strategy, staff training, and policy implementation for achieving equity in health-care delivery.” These themes will provide guidance to chief nurses in Thailand as well as other areas where socio-cultural behaviours can govern clinical activity, and they provide a pathway to wider adoption of inclusive behaviours in global healthcare systems.
« Cabine pressurisée, sérénité totale »
Authors: Castellitti Carolina 
Published: December 2024

À partir d’une perspective phénoménologique qui considère la relation entre le corps, la perception et l’environnement, cet article analyse le sens du travail du personnel navigant commercial en tant que formateur d’une identité singulière. M’appuyant sur une enquête de terrain réalisée dans la ville de Rio de Janeiro (Brésil) avec d’anciens travailleurs de Varig, importante compagnie aérienne privée qui a cessé ses activités en 2006, je prends au sérieux l’expression fréquemment utilisée par eux selon laquelle « les gens qui volent sont différents des gens qui marchent ». L’analyse met en évidence le rôle de l’air comme élément physique et symbolique d’une manière d’habiter le monde à travers le « vol », avec la médiation de l’avion, un dispositif technique qui, malgré sa complexité, devient un espace quotidien de travail. Prendre ces éléments comme point de départ sert ici de coup d’envoi méthodologique et théorique pour considérer la singularité des sens et des pratiques où l’air, le vol et le ciel intègrent une culture environnementale dynamique et créative.
Evidential Belief Function (EBF) Model for Landslide Susceptibility Analysis in Idukki District, Kerala, India
Authors: Laxmi Ch. N Vara , Kumari K. Padma 
Published: December 2024

A Geo-statistical Dempster-Shafer Theory Evidential Belief Function (DST-EBF) model is selected for Landslide susceptibility evaluation. The aim of the study is to delineate zones prone to landslides within the Idukki district, Kerala using the EBF model and Geographical Information System (GIS) Technique. The objective is to integrate diverse datasets to assess and predict the landslide-prone areas, providing valuable insights for risk management and mitigation startgies. Topographical, Anthropogenic, and Geological factors are considered Landslide Conditioning Factors (LCFs), and Landslide Inventory data are used to establish and validate the Suscebtlity zones. Landslide inventory data is randomly divided into Training(70%) and Testing (30%) data. The resultant Landslide Susceptibility map is categorized into five zones using natural breaking classification method: Very low (20.96%), Low (29.71%), Medium (24.50%), High (18.63%), and Very high (6.20%), respectively, within the study area. The success rate and prediction rate were calculated using the AUC_ROC method and the EBF Model achieved the highest precision with a success rate of 0.935, and a prediction rate of 0.943 in the current study.
Optically pumped magnetoencephalography in epilepsy
Authors: Vivekananda Umesh , Mellor Stephanie , Tierney Tim M. , Holmes Niall , Boto Elena , Leggett James , Roberts Gillian , Hill Ryan M. , Litvak Vladimir , Brookes Matthew J. , Bowtell Richard , Barnes Gareth R. , Walker Matthew C. 
Published: February 2020

AbstractWe demonstrate the first use of Optically Pumped Magnetoencephalography (OP‐MEG) in an epilepsy patient with unrestricted head movement. Current clinical MEG uses a traditional SQUID system, where sensors are cryogenically cooled and housed in a helmet in which the patient’s head is fixed. Here, we use a different type of sensor (OPM), which operates at room temperature and can be placed directly on the patient’s scalp, permitting free head movement. We performed OP‐MEG recording in a patient with refractory focal epilepsy. OP‐MEG‐identified analogous interictal activity to scalp EEG, and source localized this activity to an appropriate brain region.
Strategies for Designing Antithermal‐Quenching Red Phosphors
Authors: Wei Yi , Yang Hang , Gao Zhiyu , Liu Yixin , Xing Gongcheng , Dang Peipei , Kheraif Abdulaziz A. Al , Li Guogang , Lin Jun , Liu Ru‐Shi 
Published: February 2020

AbstractNowadays, red phosphor plays a key role in improving the lighting quality and color rendering index of phosphor‐converted white light emitting diodes (w‐LEDs). However, the development of thermally stable and highly efficient red phosphor is still a pivotal challenge. Herein, a new strategy to design antithermal‐quenching red emission in Eu3+, Mn4+‐codoped phosphors is proposed. The photoluminescence intensity of Mg3Y2(1−y)Ge3O12:yEu3+, Mn4+ (0 ≤ y ≤ 1) phosphors continuously enhances with rising temperature from 298 to 523 K based on Eu3+ → Mn4+ energy transfer. For Mg3Eu2Ge3O12:Mn4+ sample, the integrated intensity at 523 K remarkably reaches 120% of that at 298 K. Interestingly, through codoping Eu3+ and Mn4+ in Mg3Y2Ge3O12, the photoluminescence color is controllably tuned from orangish‐red (610 nm) to deep‐red (660 nm) light by changing Eu3+ concentration. The fabricated w‐LEDs exhibit superior warm white light with low corrected color temperature (CCT = 4848 K) and high color rendering index (Ra = 96.2), indicating the promising red component for w‐LED applications. Based on the abnormal increase in antistokes peaks of Mn4+ with temperatures, Mg3Eu2Ge3O12:Mn4+ phosphor also presents a potential application in optical thermometry sensors. This work initiates a new insight to construct thermally stable and spectra‐tunable red phosphors for various optical applications.
Progression of liver fibrosis in a type 2 biliary atresia female baby before hepatoportoenterostomy
Authors: Chang Chia‐Ming , Chang Mei‐Hwei , Wu Jia‐Feng 
Published: February 2020

AbstractType 2 biliary atresia is a relatively rare type of biliary atresia, and it is sometimes difficult to differentiate it from choledochal cysts. This report describes a female newborn with prenatal diagnosis of choledochal cyst who had intermittent clay color stool after birth. The transient elastography showed progressive liver stiffness before surgery, and the intraoperative cholangiogram confirmed the diagnosis of type 2 cystic type biliary atresia. The baby then received hepatoportoenterostomy, and the liver stiffness also declined smoothly after the operation.
Endoscopic submucosal dissection for superficial pharyngeal squamous cell carcinoma
Authors: Lee Jyong‐Hong , Chen Kwei Ming , Chang Chi‐Hsien , Liu Yu‐Tsai , Yang Chi‐Chieh 
Published: February 2020

AbstractThe early detection rate of superficial pharyngeal squamous cell carcinoma (SPSCC) by using narrow‐band imaging is increasing. Importantly, endoscopic submucosal dissection (ESD) provides promising outcomes by experienced endoscopists. The aims of this study were to clarify the feasibility of ESD for SPSCC and its safety and outcomes. In total, 10 patients with 11 lesions were treated by ESD between January 2015 and June 2019. We assessed tumor size, macroscopic type, endoscopic methods, procedure time, histopathologic results, resection results, local recurrence, and adverse events. En bloc resection rate and complete resection rate are 91% (10/11) and 36% (4/11), respectively. Two patients encountered laryngeal edema and one had subcutaneous emphysema. All the three patients recovered after conservative treatment and discharged uneventfully. There was one patient with local recurrence but all 10 of our patients survived (100%) during follow‐up. ESD for superficial pharyngeal cancer is a safe and feasible treatment with satisfactory and promising outcome.
The prevalence and etiology of elevated aminotransferase levels in northeastern Taiwan: A community‐based study
Authors: Chien Cheng‐Hung , Yu Chia‐Ying , Chen Li‐Wei , Lin Chih‐Lang , Shyu Yu‐Chiau , Chen Shuo‐Wei , Hu Ching‐Chih , Chien Rong‐Nan 
Published: February 2020

AbstractThe northeastern coastal regions of Taiwanare a hyperendemic area for hepatitis B (HBV) and hepatitis C (HCV) infection. We investigated the prevalence of elevated aminotransferase levels and assessed the potential influence of various risk factors among those with elevated levels. We conducted a community‐based study from October 2012 to July 2014. Blood tests included liver biochemistry, glucose, lipids, HBsAg, and anti‐HCV. The degree of fatty liver disease was evaluated by hepatic ultrasound. A total of 2981 participants were analyzed. The overall prevalence of elevated AST and ALT levels was 10.1% and 14.7%, respectively. On multiple logistic regression analysis, male gender and excess alcohol consumption were independently associated with an elevated AST level. Only male gender, BMI ≥ 27 kg/m2, excess alcohol consumption, and moderate or severe fatty liver were significantly associated with an elevated ALT. The adjusted odds ratio (95% confidence interval) for an elevated AST level was 2.27 (1.44‐3.66, P = .001) for excess alcohol consumption alone, 2.45 (1.81‐3.30, P < .001) for either HBsAg or anti‐HCV seropositivity, and 4.04 (1.90‐8.60, P < .001) for both excess drinking and a viral infection.Our results indicate that a fatty liver, especially moderate or severe, is the commonest risk factor in individuals with an elevated ALT level, with or without another identifiable cause of chronic liver disease. Viral hepatitis and excess alcohol consumption have synergic effect on an elevated AST level, someone who has viral hepatitis should avoid excess alcohol consumption.
Outcomes of acute myeloid leukemia with myelodysplasia related changes depend on diagnostic criteria and therapy
Authors: Montalban‐Bravo Guillermo , Kanagal‐Shamanna Rashmi , Class Caleb A. , Sasaki Koji , Ravandi Farhad , Cortes Jorge E. , Daver Naval , Takahashi Koichi , Short Nicholas J. , DiNardo Courtney D. , Jabbour Elias , Borthakur Gautam , Naqvi Kiran , Issa Ghayas C. , Konopleva Marina , Khoury Joseph D. , Routbort Mark , Pierce Sherry , Do Kim‐Anh , Bueso‐Ramos Carlos , Patel Keyur , Kantarjian Hagop , Garcia‐Manero Guillermo , Kadia Tapan M. 
Published: February 2020

AbstractAcute myeloid leukemia with myelodysplasia‐related changes (AML‐MRC) is a heterogeneous disorder defined by multilineage dysplasia, myelodysplastic syndrome (MDS)‐related karyotype, or history of prior MDS. We evaluated 415 patients with AML‐MRC treated from 2013 to 2018 and analyzed their clinical outcomes based on the diagnostic criteria of AML‐MRC, therapy type and mutation profile. Criteria for AML‐MRC included: cytogenetic abnormalities (AML‐MRC‐C) in 243 (59%), prior history of MDS in 75 (18%) including 47 (11%) with previously untreated MDS (AML‐MRC‐H) and 28 (7%) with previously treated MDS (AML‐MRC‐TS), and 97 (23%) with multilineage dysplasia (AML‐MRC‐M). Median age was 70 years (range 18‐94). Among 95 evaluable patients, a total of 37 (39%) had secondary‐type (ASXL1, BCOR, EZH2, SF3B1, SRSF2, STAG2, U2AF1, ZRSR2) mutations. Mutations in ASXL1, BCOR, SF3B1, SRSF2, and U2AF1 tended to appear in dominant clones. By multivariate analysis, AML‐MRC subtype, age and serum LDH levels were independent predictors of outcome, with patients with AML‐MRC‐M (HR 0.56, CI 0.38‐0.84, P = .004) and AML‐MRC‐H having better OS. Compared to a cohort of 468 patients with AML without MRC, patients with AML‐MRC‐M/AML‐MRC‐H had similar outcomes to those with intermediate risk AML by European LeukemiaNet criteria. Intensive therapy was associated with improved OS in patients with AML‐MRC‐M (HR 0.42, CI 0.19‐0.94, P = .036) and with improved EFS in AML‐MRC‐M and AML‐MRC‐H (HR 0.26, CI 0.10‐0.63, P = .003). This data suggests that not all diagnostic criteria for AML‐MRC define high‐risk patients and that specific subgroups may benefit from different therapeutic interventions.
Occupational exposure to manganese and risk of creatine kinase and creatine kinase‐MB elevation among ferromanganese refinery workers
Authors: Huang Sifang , Liu Zhenfang , Ge Xiaoting , Luo Xiaoyu , Zhou Yanting , Li Defu , Li Longman , Chen Xiang , Huang Lulu , Cheng Hong , Hou Qingzhi , Zan Gaohui , Tan Yanli , Liu Chaoqun , Zou Yunfeng , Yang Xiaobo 
Published: February 2020

AbstractBackgroundElevated exposure to manganese (Mn) could induce cardiovascular dysfunction. However, limited research is available on the effects of occupational Mn exposure on myocardial enzymes. We aimed to evaluate the relationships between Mn exposure and myocardial enzyme elevation among Mn‐exposed workers.MethodsData were from a follow‐up investigation of a Mn‐exposed workers healthy cohort in 2017. A total of 744 workers were divided into low‐exposure and high‐exposure groups according to Mn time‐weighted average (Mn‐TWA) of less than or equal to 0.15 mg/m3 or greater than 0.15 mg/m3, respectively. Serum levels of myocardial enzymes, including creatine kinase (CK) and creatine kinase‐MB (CK‐MB), lactic dehydrogenase, α‐hydroxybutyrate dehydrogenase, and aspartate transaminase, were assessed, as well as airborne Mn exposure levels.ResultsAfter adjustment for sex, body mass index, seniority, education, current smoking status, current drinking status, and hypertension, Mn‐TWA levels were positively associated with the risk of CK elevation (odds ratio [OR] = 1.47 (95% confidence interval [CI]: 1.18‐1.83) per interquartile range [IQR] increase), and risk of CK‐MB elevation [OR = 1.57 (95% CI: 1.03‐2.38) per IQR increase]. In a stratified analysis, Mn‐TWA levels were positively correlated with CK elevation in workers of seniority greater than 19 years, male workers, current smokers, and drinkers.ConclusionOur results suggest that occupational exposure to Mn is associated with increased risk of CK and CK‐MB elevation. The potential mechanisms of the associations between airborne exposure to Mn and increased risk of these myocardial enzyme elevations warrant further investigation.
Do radiologists need to review abdominal ultrasound examinations reported as ‘normal’ by the sonographer?
Authors: Necas Martin , Shen Yi , Ong Qi Hao , Prout Kara , Wackrow Wendy 
Published: February 2020

AbstractIntroductionSonographers demonstrate a high standard of diagnostic performance and work with a considerable degree of professional independence. In Australasia, sonographers typically generate a preliminary report which is reviewed by the radiologist who issues a final report. The aim of this study was to determine whether radiologist's review is required in cases reported as normal by the sonographer.MethodsThis study was a retrospective review of 1000 abdominal US examinations considered normal by sonographers that were subsequently reported by radiologists. Any findings reported by radiologists that were not reported by sonographers were analysed and separated into errors or discrepancies according to commonly accepted definition.ResultsThe 1000 abdominal examinations included 244 complete abdominal, 200 hepatobiliary, 506 urinary tract and 50 other abdominal examinations. Patients’ age ranged from < 1 to 94 years (mean = 35 years, median = 32 years). US examinations were performed by any one of 14 sonographers with 1–21 years (mean = 6 years, median = 7 years) of clinical experience. Two diagnostic errors were made by sonographers and two errors by radiologists. In no single case did the radiologist uncover a case of an acute or serious illness, illness requiring admission or urgent clinical review, nor did the radiologist identify the cause for the presenting symptoms. Eighteen discrepancies were found, but these were of trivial nature and most were rated by specialist clinicians as irrelevant.ConclusionSonographers are accurate in distinguishing normal abdominal US examinations. The involvement of a radiologist in a second reading of normal abdominal US examinations is unnecessary.