bluuebunny/crossref_metadata_2025_split huggingface dataset:
Computational Fluid Dynamics Modeling of Nasal Obstruction and Associations with Patient-Reported Outcomes
Authors: Barbarite Eric , Gadkaree Shekhar K. , Melchionna Simone , Zwicker David , Lindsay Robin W. 
Published: October 2021

Background:
Nasal obstruction is a common problem, with significant impact on quality of life. Accurate diagnosis may be challenging because of the complex and dynamic nature of the involved anatomy. Computational fluid dynamics modeling has the ability to identify specific anatomical defects, allowing for a targeted surgical approach. The goal of the current study is to better understand nasal obstruction as it pertains to disease-specific quality of life by way of a novel computational fluid dynamics model of nasal airflow.

Methods:
Fifty-three patients with nasal obstruction underwent computational fluid dynamics modeling based on computed tomographic imaging. Nasal resistance was compared to demographic data and baseline subjective nasal patency based on Nasal Obstructive Symptom Evaluation scores.

Results:
Mean Nasal Obstructive Symptom Evaluation score among all patients was 72.6. Nasal Obstructive Symptom Evaluation score demonstrated a significant association with nasal resistance in patients with static obstruction (p = 0.03). There was a positive correlation between Nasal Obstructive Symptom Evaluation score and nasal resistance in patients with static bilateral nasal obstruction (R
2 = 0.32) and poor correlation in patients with dynamic bilateral obstruction caused by nasal valve collapse (R
2 = 0.02). Patients with moderate and severe bilateral symptoms had significantly higher nasal resistance compared to those with unilateral symptoms (p = 0.048).

Conclusions:
Nasal obstruction is a multifactorial condition in most patients. This study shows correlation between simulated nasal resistance and Nasal Obstructive Symptom Evaluation score in a select group of patients. There is currently no standardized diagnostic algorithm or gold standard objective measure of nasal airflow; however, computational fluid dynamics may better inform treatment planning and surgical techniques on an individual basis.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, V.
Overcoming the Patent Gap: A Guide to Patenting for Plastic Surgeons
Authors: Kisyova Rumi , Kannan Ruben Yap , Nadkarni Prakash , Chandawarkar Rajiv Yatin 
Published: October 2021

Background:
Patenting protects innovation, fosters academic incentives, promotes competition, and generates new revenue for clinician-inventors and their institutions. Despite these benefits, and despite plastic surgery’s history of innovation, plastic surgery–related patent applications are few. The goal of this article was to use unpublished data and formulate a robust discussion.

Methods:
The U.S. Patent and Trademark Office’s boolean search was investigated between the timeline of 1975 and June 23, 2020, to identify patents related to the key phrases to contrast patent (both, issued and filed) tally in each specialty. Queries for two key phrases related to plastic surgery and a core plastic surgical activity, both with and without the added term “plastic surgery,” were performed.

Results:
Total patents with “cardiology” outnumber those with “plastic surgery” by 22,450 versus 7749 (i.e., almost 3:1). The overwhelming number of patents with “cosmetic” are non–plastic-surgery related: 87,910 total versus 2782 for those with plastic surgery. The corresponding numbers for “wound healing” are 36,359 versus 2703. Reasons for the patent gap between clinical innovations in plastic surgery and number of patents in our field are identified. Clear steps to bridge this gap are delineated that include a step-by-step process for patenting, from idea creation through commercialization. The authors propose “breakthrough to bank,” a framework wherein academic medical centers can create an environment of innovative freedom, establish the infrastructure for technological transfer of intellectual property, and generate a pipeline toward commercial applications.

Conclusions:
Innovation and inventions are important hallmarks for the progress of plastic surgery. Using a stepwise process, it may be possible to convert ideas into patents.
Subfascial versus Subglandular Breast Augmentation: A Randomized Prospective Evaluation Considering a 5-Year Follow-Up
Authors: Graf Ruth M. , Junior Ivan Maluf , de Paula Dayane R. , Ono Maria C. C. , Urban Linei A. B. D. , Freitas Renato S. 
Published: October 2021

Background:
Subfascial breast augmentation is becoming popular because of a better understanding of breast anatomy. However, because the subglandular approach is also another popular method, it is critical to assess the influence of the superficial fascia of the pectoralis major muscle on the subfascial and subglandular pockets to determine if one method is superior to another. This study investigated whether there are clinical/radiological differences between subfascial and subglandular pockets following primary breast augmentation.

Methods:
Twenty patients were recruited, and each was randomly sorted to the subfascial and/or subglandular pocket per breast. Both patients and surgeons were blinded. Differences were evaluated through five independent surgeons and by magnetic resonance imaging scans. Subsequently, 1-year and 5-year follow-ups were conducted.

Results:
The results of the 5-year follow-up considering the aesthetics of the breast contour were significantly different between groups, with more good and excellent evaluations in the subfascial group. Regarding breast shape, there were also statistical differences, also with more good and excellent evaluations in the subfascial group. For breast consistency, subglandular had 84.20 percent of patients classified into Baker I and II, whereas subfascial had 100 percent. Magnetic resonance imaging scans showed a smaller implant base in the subglandular pockets, which was a significant result. There were no significant differences in implant projection. Comparison of the number of folds revealed significant differences between groups, with more folds in the subglandular group.

Conclusion:
Statistical differences between methods were found regarding breast shape and contour, capsular contracture, implant base, and the number of folds, showing that subfascial breast augmentation is superior to subglandular breast augmentation.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, II.
Identifying value-creating aspects in luxury hotel services via third-party online reviews: a cross-cultural study
Authors: Tsiotsou Rodoula H. 
Published: October 2021

PurposeThe purpose of the study is to identify critical value-creating elements of luxury services expressed in ratings and reviews posted on third-party sites and examine cross-cultural differences. To this end, the research analyzed online ratings and reviews of luxury hotels posted on TripAdvisor from customers of four European regions (East, North, South and West).Design/methodology/approachEight hundred thirty-eight online user-generated ratings and reviews of luxury hotels were analyzed quantitatively using MANOVA and qualitatively using text analysis.FindingsThe study findings support (a) that product and physical evidence are the most critical experiential elements of luxury hotels' offerings and (b) cultural differences among tourists from various regions of Europe in their hotel ratings and reviews. Specifically, Eastern and Northern Europeans are more generous in their review ratings than western and southern Europeans. Moreover, eastern Europeans value the hotel's physical evidence/environment whereas western Europeans prioritize the core product (room and food) followed by the physical environment/servicescape. Southern Europeans and Northern Europeans value most the personnel, followed by the physical environment and the core product, respectively.Practical implicationsCultural differences provide several implications with regard to luxury services segmentation, social media management, service marketing mix development and hotel promotion.Originality/valueThe value of this study originates from studying post–purchase customer behavior in luxury services from a cross-cultural perspective. Moreover, identifying critical aspects of value-creating customer experience in a luxury context adds to the available literature.
PLI cancellation in ECG signal using intrinsic time scale decomposition with adaptive gain control
Authors: B. Sai Bharadwaj , Chennupati Sumanth Kumar 
Published: October 2021

Purpose
The purpose of this manuscript is to detect heart fault using Electrocardiogram. Mutually low and high frequency noises such as electromyography (EMG) and power line interference (PLI) degrades the performance of ECG signals.

Design/methodology/approach
The ECG record depicts the procedural electrical movement of the heart, which is non-invasive foot age obtained by placing surface electrodes on designated locations of the patient’s skin. The main concept of this manuscript is to present a novel filtering method to cancel the unwanted noises in ECG signal. Here, intrinsic time scale decomposition (ITD) is introduced to suppress the effect of PLI from ECG signals.

Findings
In the existing ITD, the gain control parameter is a constant value; however, in this paper it is an adaptive feature that varies according to certain constraints. Simulation outcomes show that the proposed method effectively reduces the effect of PLI and quantitatively express the effectiveness with different evaluation metrics.

Originality/value
The results found by the proposed method are compared with Fourier decomposition technique and eigen value decomposition methods (EDM) to validate the effectiveness of the proposed method.
The cross-impact of corruption and consumer culture
Authors: Burmakin Vladislav , Dudareva Marianna , Egorov Andrey , Latysheva Valentina , Salimova Svetlana 
Published: October 2021

Purpose
The purpose of this paper is to study the relationship between corruption and consumption culture from the perspective of their mutual influence on the example of the Russian Federation.

Design/methodology/approach
The research methodology was based on the use of theoretical, empirical and experimental approaches aimed at studying the mutual influence of indicators of corruption and factors that may be associated with it.

Findings
The performed analysis revealed that the total number of crimes registered under corruption-related articles of the Criminal Code of the Russian Federation (Article 285 – Abuse of Power, Article 290 – Receiving a Bribe, Article 291 – Giving a Bribe) is in moderate correlation with monthly consumer spending per capita and the volume of taxes, fees and other obligatory payments to the budget.

Originality/value
The practical application of the research results is possible in formation of recommendations for improving anti-corruption legislation and effective measures to prevent its causes.
Deblending and merging of 3D multi‐sweep seismic blended data
Authors: Jeong Woodon , Tsingas Constantinos , Almubarak Mohammed S. 
Published: October 2021

ABSTRACTSeismic blended source acquisition, also referred to as simultaneous source acquisition, is a cost‐effective technology that achieves a significant reduction in acquisition cycle time and increases seismic crew field productivity. The dispersed source array is a blended acquisition field technique that simultaneously employs sources emitting different types of sweeps (i.e. multi‐sweep), in terms of frequency bandwidth and length, which ultimately will result in a full broadband seismic data. In this paper, deblending of 3D multi‐sweep seismic blended data and the subsequent merging of the data volumes having different frequency bandwidths will be discussed. In specific data domains where the signal component is coherent, interference shots (i.e. blending noise) are randomly distributed in the data space according to its own shot firing time. Therefore, the deblending process, which separates interference shots from a signal component, becomes a noise attenuation problem. A sparse inversion methodology is applied in the frequency–wavenumber–wavenumber (f–kx–ky) domain to attenuate blending noise. By applying this deblending methodology to both dispersed source array's low‐ and mid‐high‐frequency bandwidths, we obtained high‐quality deblending results. For both frequency bandwidths of the deblended dispersed source array data, additional effort was made to combine the two datasets to a single broadband data volume. Consequently, deblending and merging of the dispersed source array blended data generated a broadband, deblended and well‐balanced seismic volume suitable for further processing and reservoir characterization applications.
Does regulatory under‐compliance with governance standards lead to bank instability? An exploration using Indian data
Authors: Gulati Rachita 
Published: October 2021

AbstractThe paper looks at whether under‐compliance with governance standards leads to bank instability. The empirical analysis is executed using a novel and unique panel dataset on the governance of Indian banks from 2009 to 2018. The study gauges the governance compliance on 48 norms, covering six key dimensions of corporate governance: board effectiveness, audit function, risk management, remuneration, shareholder rights and information, and disclosure and transparency. A measure of bank stability is obtained using 14 important financial ratio indicators, encompassing five critical dimensions of stability: soundness, asset quality, profitability, management efficiency and liquidity. The composite indices for both governance compliance and bank stability are constructed using the innovative non‐parametric constrained “Benefit‐of‐the‐Doubt (BoD)” approach. The governance compliance‐stability nexus is tested econometrically using the panel ordered probit regression. Empirical results are found to be robust and suggest that governance compliance emphatically explains bank stability in India. The most significant policy implication, which emerges from the empirical findings, is that any sort of regulatory under‐compliance with selected governance norms by banks would be costly and may have a destabilising effect on the banking system.
The Effectiveness of Harnessing Human Rights: The Struggle over the Ilısu Dam in Turkey
Authors: Tezcür Güneş Murat , Schiel Rebecca , Wilson Bruce M. 
Published: October 2021

ABSTRACTUnder what conditions can a human rights‐based approach be successfully utilized? This article argues that the efficacy of a human rights discourse is, in large part, determined by the nature of the arena in which rights are claimed. Utilizing process tracing, involving content analysis and in‐depth interviews, the article examines the decades‐long struggle to block the construction of a large dam in southeastern Turkey. The analysis focuses on the struggle's three core dimensions: (a) international activism to influence foreign financial stakeholders; (b) domestic activism targeting the government; and (c) regional conflict over international water flows. Each of these dimensions is characterized by vastly different degrees of discursive rights consensus and leverage. In the international dimension, activists achieved both discursive consensus and leverage and were able to successfully thwart the Turkish government's goal of building a major dam. However, this ultimately proved to be a pyrrhic victory when the Turkish government secured domestic financing for the project. The loss of leverage in the domestic arena rendered anti‐dam activists’ rights discourse ineffectual. Finally, the lack of regional consensus on water sharing and Iraq's lack of leverage enabled Turkey to complete the dam.
Kynurenine inhibits melanogenesis in human melanocyte‐keratinocyte co‐cultures and in a reconstructed 3D skin model
Authors: Ferreira Branquinho Maryana Stephany , Silva Maysa Braga Barros , Castilho Gabriela Ansanelo , Cavalcante Jacqueline , Barros Silvia Berlanga de Moraes , Clara Renan Orsati , Maria‐Engler Silvya Stuchi , Campa Ana 
Published: October 2021

AbstractKynurenine (KYN), the most abundant metabolite of tryptophan, is classically associated with immune tolerance and tumor immune escape. In the last years, KYN is in the spotlight in other biological processes. Here, we showed that KYN inhibited tyrosinase expression and melanin content in primary human melanocyte and keratinocyte co‐cultures. Furthermore, KYN decreased melanosome content in a 3D human skin reconstruction model. In these experiments, we used tyrosine + NH4Cl to induce pigmentation. We compared the inhibitory effect of KYN on melanogenesis with the already known inhibitory effect promoted by IFN‐γ. Since increased KYN production depends on the IFN‐γ‐inducible enzyme indoleamine‐2,3‐dioxygenase (IDO), we propose that part of the effect of IFN‐γ on melanogenesis involves KYN production. From that, we tested if, during melanogenesis, changes in tryptophan metabolism would occur. For this purpose, we measured tryptophan, KYN and downstream products along with pigmentation. There were no significant changes in Trp metabolism, except for the high consumption of kynurenic acid. Our data identify the skin as a potential target for the action of KYN relevant for skin physiology and pigmentation. The results are discussed concerning the high production of KYN in skin inflammatory disorders and cancer.
Internet of healthcare things security vulnerabilities and jamming attack analysis
Authors: Sharma Kavita 
Published: October 2021

AbstractWith the advent of the internet in the recent past, communication and transferring data are no longer challenging. The internet of things (IoT) and many other mobile devices are another paradigm that has evolved lately and plays a significant role in communications. Smart healthcare has been a field of incredible change and growth in the age of smart houses, smart communities and the digital era. Technological expertise and electronics devices have fused, resulting in the internet of healthcare things (IoHT). It is considered to be one of the most required technological progress. However, the IoHT devices, wireless transmission of sensitive patient data poses some obvious security concerns. In addition, with the widespread use of IoHT devices, the foremost challenge is to manage and ensuring security while using IoHT for clinical applications. In this paper, the security and privacy challenges and associated threats in the domain of IoHT are thoroughly reviewed. A real‐time collaborative jamming detection algorithm is proposed, which caters to all the significant challenges being faced. A jamming attack is a sub‐type of denial of service (DoS) attack due to free Wi‐Fi access points (APs) that executes on both mobile devices and Wi‐Fi AP. The proposed algorithm investigates the strength of the received signal and the ratio of packet loss in the mobile devices, whereas the number of connected clients disrupted by the jammer is considered Wi‐Fi AP. The approach aims to mitigate the causes of false alarms by connecting the originator present in the network, interfering with communication between the mobile devices and the Wi‐Fi AP. This approach can be used to detect the presence of a jammer, which may hamper mobile device communication and prevent confidential information, that can be acquired via fake Wi‐Fi AP.
Estimating discard survival of European sea bass (Dicentrarchus labrax) in the UK commercial hook‐and‐line fishery
Authors: Lamb Philip D , Randall Peter , Weltersbach Marc Simon , Andrews Barnaby , Hyder Kieran 
Published: October 2021

AbstractDespite the implementation of technical management measures to facilitate stock recovery of European sea bass, Dicentrarchus labrax (L.), the survival rate of discarded hook‐and‐line caught sea bass remains unknown. This makes the effectiveness of management measures that result in discarding difficult to assess. Therefore, a questionnaire was distributed to 421 UK‐based commercial hook‐and‐line fishers (65 respondents) to characterise how sea bass are caught, handled and released. Responses suggested fishing was selective with a reported estimated mean discard rate of 12.9% (±3.3% SE). Low rates of foul and deep hooking, and short periods of air exposure were reported. Combined with data from a post‐release mortality experiment using hook‐and‐line caught captive sea bass, a fleet‐wide discard survival rate of 89.3% (±2.6% SE) was calculated for the UK commercial hook‐and‐line sea bass fishery. This survival rate suggests that technical management measures, for example minimum conservation reference sizes and catch limits, could be effective tools for managing the sea bass hook‐and‐line fishery.
Du Rana Plaza au COVID‐19: handicaps et atouts pour un nouveau système de gouvernance du travail dans les chaînes d'approvisionnement mondiales de l'habillement
Authors: FRENKEL Stephen J. , SCHUESSLER Elke S. 
Published: October 2021

RésuméEn 2013, la tragédie du Rana Plaza mettait en lumière les défaillances de la réglementation du travail dans les chaînes d'approvisionnement mondiales de l'habillement. Qu'en est‐il aujourd'hui, à l'ère du COVID‐19? Et les travailleurs, comment s'en sortent‐ils? Pour les auteurs, le système de gouvernance du travail (SGT), concept qu'ils définissent précisément, reste insuffisant, malgré le renforcement des règles de sécurité, et, sous l'angle des salaires, du temps de travail et des relations avec l'encadrement, la situation ne s'est guère améliorée. Cependant, la pandémie, facteur aggravant, pourrait jouer un rôle de détonateur en vue d'un renforcement du SGT. Les auteurs font plusieurs recommandations à cet effet.
Del Rana Plaza a la COVID‐19. Deficiencias y oportunidades de renovación del sistema de gobernanza del trabajo en las cadenas mundiales de suministro de la confección
Authors: FRENKEL Stephen J. , SCHUESSLER Elke S. 
Published: October 2021

ResumenEl derrumbe del Rana Plaza en 2013 puso de relieve la deficiente regulación laboral en las cadenas mundiales de valor del sector de la confección. Ocho años después, en plena pandemia por COVID‐19, los autores se plantean, utilizando el concepto de sistema de gobernanza del trabajo (SGT), qué ha cambiado y con qué consecuencias para los trabajadores. Con datos de entrevistas, observan mejoras en la seguridad de los edificios, pero no en salarios, horas de trabajo y derechos procedimentales. La pandemia ha exacerbado las deficiencias, pero podría convertirse en un nuevo evento focalizador para mejorar el sistema, para lo cual se formulan propuestas de políticas.
Using ethnodrama to support parents in sense‐making after prenatal or neonatal diagnosis of a child's disabling condition
Authors: Eaton Jacqueline , Cheek‐O'Donnell Sydney , Johnson Erin , Clark Lauren 
Published: October 2021

AbstractBackground/AimsThis study describes the process of developing video vignettes to meet the parent‐expressed need for balanced, meaningful messages about what life may be like for parents who have a child with a disability. Each vignette teaches a general audience salient concepts derived from a grounded theory of the parental process of Rescuing Hope after a child's diagnosis with a developmental disability.MethodsUsing ethnodrama methodology, we completed a secondary analysis of 21 interviews with parents who learned of their child's diagnosis of Down syndrome.ResultsUnderstanding the grounded theory of Rescuing Hope has the potential to help parents construct meaning and purpose as they adapt to parenting a child with a disability.DiscussionThe short dramatic vignettes may be placed across platforms, settings and partnerships, with relevance for teachers, clinicians, family members, caregivers. Designed for wide distribution, video vignettes may reach the people who most need sense‐making support.