bluuebunny/crossref_metadata_2025_split huggingface dataset:
Audiology, an Important Contributor to Interprofessional Holistic Care: An Interprofessional Collaborative Case Example
Authors: Skinner Kimberly , Maxwell Barbara , Baskerville Amanda , Milanović Jovan 
Published: December 2021

Purpose:
Interprofessional collaboration improves health outcomes, enhances health care satisfaction, and facilitates more effective use of resources. Interprofessional collaborators increasingly understand and value other professions. A.T. Still University provides students from multiple programs with opportunities to develop interprofessional collaboration skills. This research note presents details of one such interprofessional education (IPE) opportunity, a collaborative case. Audiology was part of this case in two ways: Audiologic details of the simulated patient were provided to all students, and audiology students participated in the experience. The results of this involvement are reported. This research note is primarily descriptive in nature; however, the question of whether students viewed their interprofessional competencies as improving following the IPE experience was explored using a validated self-report tool, the Interprofessional Collaborative Competency Attainment Survey (ICCAS).

Method:
A total of 23 students completed the ICCAS. Additionally, student case presentations were reviewed and audiology-based recommendations were tallied.

Results:

Highly significant differences (
p
≤ .01) for all 20 items on the ICCAS were observed for differences in self-assessed interprofessional skills knowledge. All but one of the 12 teams made specific recommendations regarding the communication needs of the patient.

Conclusions:
Students viewed their own competencies related to interprofessional collaboration as improved following the collaborative case experience. Overall, the collaborative case experience was effective in providing students with the opportunity to develop a breadth of skills needed for interprofessional collaboration. Providing audiologic information in the case history prompted all but one team to consider patient communication needs.
Use of goal programing and the fuzzy analytical hierarchy process to obtain the product mix
Authors: Zárate Claudia Noemí , Esteban Alejandra María , Berardi María Betina , Ledesma Frank Keila 
Published: December 2021

AbstractThis study proposes a methodology that integrates Weighted Goal Programing with the Fuzzy Analytical Hierarchy Process to obtain the product mix in a multi‐bottleneck system. The problem is approached by analysing a case of a company that manufactures four products that must pass through six workstations. The opinion of four specialists involved in the decision is considered and goals are set contemplating profit maximisation, the balance between workstations, exploitation of bottleneck resources and customer satisfaction. The prioritisation of these objectives is obtained through the Fuzzy Analytical Hierarchy Process. This methodology takes into account the uncertainty in the evaluation of the experts. From its application, a single crisp vector is obtained, which is transformed into the weights of the goals. The result is a product mix that satisfies the goals, corresponding to the experts' opinions.
Robust controller design for rotary inverted pendulum using H∞$H\infty$ and μ$\mu$‐synthesis techniques
Authors: Pramanik Sourav , Anwar Sohel 
Published: December 2021

AbstractAn controller is designed to control a rotary inverted pendulum in its upright equilibrium position. The key contribution of this work is a robust controller architecture design to accommodate for uncertainty in actuator model. Robust stability and performance for a given degree of actuator and measurement uncertainty is achieved using the well established techniques of ‐synthesis and robust control methods. The design focuses on stabilizing an Inverted Pendulum in an upright position within a tolerable desired angle margin (). A dynamic plant is designed based on already established theories and published papers. It is observed that the plant is completely observable for the pendulum angle and the motor arm link angle. These two signals are also measurable via encoders and is used as an input for the controller. The output of the controller is voltage actuation which drives the motor to stabilize the pendulum in an upright position (= 0 with +/− 10 deg tolerance). A Robust Stability analysis is done along with Robust Performance, to study the stability and performance margins under modelled uncertainties. As a comparative study, a rudimentary pole placement method is also analyzed.
Hyperalgesie induziert durch ultrahohe Dosen von Morphin – eine Kasuistik
Authors: Hofbauer Hannes , Wirz Stefan , Steffen Peter 
Published: December 2021

ZusammenfassungEine 38-jährige Patientin mit umfangreich metastasiertem Mammakarzinom fiel durch eine ausgeprägte Hyperalgesie sowie Angst und Unruhe unter ultrahohen intravenösen Morphindosen bis 56 mg/h auf. Die Hinzunahme von Esketamin als NMDA-Rezeptorantagonist bei angenommener opioidinduzierter Hyperalgesie sowie Midazolam konnte keine Verbesserung erzielen. Erst die Umstellung auf Levomethadon führte zu ausreichender Analgesie und Verbesserung der Unruhe und Angst. Unter dieser Medikation verstarb die Patientin mit ausreichender Analgesie und mit nur im finalen Stadium beeinträchtigter Kognition.Chronische Opioideinnahme kann eine opioidinduzierte Hyperalgesie auslösen, wobei v. a. NMDA-Rezeptorantagonisten neben einem Entzug als Therapieoption empfohlen werden. Da Esketamin unzureichend wirkte, ist als möglicher Auslöser aber eher der neuroexzitatorische Morphinmetabolit Morphin-3-Glukuronid anzunehmen, der vermutlich trotz normaler Nierenfunktion diese Nebenwirkung aufgrund der extrem hohen Dosis ausgelöst hat. Bei hohen Morphindosen sollte dies als mögliche Ursache bedacht und somit ein Opioidwechsel erwogen werden.
Fixação intramedular com parafusos de compressão versus técnica do buquê em fraturas instáveis do colo do metacarpo em pacientes ativos: Ensaio clínico randomizado
Authors: Aita Marcio Aurelio , Oliveira Ricardo Kaempf de , Biondi Bruno Gianordoli , Brunelli João Pedro Farina , Ruggiero Gustavo Mantovanni , Delgado Pedro Jose 
Published: December 2021

Resumo
Objetivo Comparar a amplitude de movimento (ADM), o tempo de retorno de trabalho, a pontuação na escala visual analógica (EVA), o escore no questionário abreviado incapacidade do braço, ombro e mão (QuickDASH, na sigla em inglês) e os resultados radiográficos de dois métodos de fixação interna definitiva em pacientes ativos com fraturas do boxer; operados na primeira semana.
Métodos Este foi um ensaio prospectivo randomizado, no qual 50 pacientes, com idade mediana na faixa de 18 a 40 anos, foram randomizados e tratados com fixação intramedular definitiva utilizando 2 parafusos de compressão (n = 20) ou buquê (2 ou 3 fios de Kirschner) (n = 20). Os pacientes foram avaliados em relação ao tempo de retorno ao trabalho, à ADM, ao desfecho relatado pelo paciente no questionário QuickDASH, à EVA e à avaliação radiográfica aos 6 meses.
Resultados Aos 6 meses, não houve diferenças entre os 2 grupos em termos de ADM, dor pós-operatória (EVA) ou escore no QuickDASH. A taxa global de complicações foi de 4,76% no grupo de fixação com parafusos, em comparação com 5% no grupo de fixação com a técnica do buquê.
Conclusões Parafusos de compressão e fixação com buquês provaram ser tratamentos seguros e confiáveis para pacientes ativos com fraturas instáveis. Os resultados foram semelhantes nos dois grupos.
Avaliação clínica comparativa de duas técnicas no tratamento artroscópico das lesões parciais articulares do manguito rotador
Authors: Sella Guilherme do Val , Silva Luciana Andrade da , Checchia Caio Santos , Marmille Hector Carmona , Santili Cláudio , Miyazaki Alberto Naoki 
Published: December 2021

Resumo
Objetivos Avaliar os resultados clínicos dos pacientes submetidos ao tratamento artroscópico da lesão parcial da porção articular do manguito rotador pelas técnicas de sutura transtendão e após completada a lesão e comparar o tempo de recuperação pós-operatório das duas técnicas.
Método Estudo retrospectivo baseado na identificação de todos os casos com lesão parcial da porção articular do manguito rotador submetidos a tratamento artroscópico no período de outubro de 1999 a dezembro de 2016 pelo Grupo de Ombro e Cotovelo da nossa instituição. Foram incluídos 39 pacientes divididos em 2 grupos: os que foram submetidos à técnica transtendínea e os outros em que a lesão foi completada. Os dois grupos foram estatisticamente semelhantes. Foi realizada a análise dos respectivos prontuários, da identificação da técnica aplicada, dos resultados pós-operatórios e das complicações relacionadas. A avaliação funcional foi realizada através do escore da University of California at Los Angeles (UCLA).
Resultados Não houve diferença estatisticamente relevante entre os grupos, com escore UCLA médio de 32, não havendo diferença também no tempo necessário para reabilitação.
Conclusão Não houve diferença entre o resultado clínico dos pacientes, independente da técnica empregada para o reparo das lesões parciais da porção articular do manguito rotador com resultados satisfatórios em 93% dos casos.
Can Prenatal and Postnatal Cell Phone Exposure Increase Adverse Maternal, Infant and Child Outcomes?
Authors: Ashrafinia Farzaneh , Moeindarbari Somayeh , Razmjouei Parisa , Ghazanfarpour Masumeh , Najafi Mona Najaf , Ghalibaf Amir Ali Moodi , Abdi Fatemeh 
Published: December 2021

Abstract
Objective To determine the association between maternal mobile phone use and adverse outcomes in infants, children, and mothers.
Method In March 202, we conducted a search on the MEDLINE, Embase, and Scopus databases. Data extraction and an assessment of the quality of the studies were performed by two authors. The quality of the studies was assessed using the checklist of the Newcastle-Ottawa scale.
Results Studies assessing behavioral problems in infants aged 6 to 18 months reported null findings. However, an increased risk of emotional and behavioral disorders was observed in children aged between 7 and 11 years whose mothers had been exposed to cell phones. The findings regarding the association between maternal cell phone exposure and adverse outcomes in children aged 3 to 5 are controversial. A study found a significant association between the call time (p = 0.002) or the history of mobile phone use (in months) and speech disorders in the children (p = 0.003). However, another study found that maternal cell phone use during pregnancy was not significantly associated with child psychomotor and mental developments. Inconclusive results were observed about the adverse outcomes in fetuses, such as fetal growth restriction or t scores for birth weight in cell phone users as opposed to non-users. On the contrary, the children of mothers who were cell phone users had a lower risk of scoring low on motor skills. Similar results were observed regarding the adverse outcomes of cell phone use in infants, such as fetal growth restriction or low birth weight, and the risk of preeclampsia was lower among subjects with medium and high cell phone exposure, as opposed to those with low exposure.
Conclusion Studies on behavioral problems have reported different postnatal results, such as null findings among infants and a positive association in children.
Estratégia para o tratamento conservador da camptodactilia de tipo III em criança com síndrome de Beals-Hecht
Authors: Oliveira Maria da Conceição Soares de , Almeida Saulo Fontes , Monteiro Anderson Vieira , Oliveira Maria Caroliny Soares de , Figueiredo Felipe Soares , Aguiar Diego Pinheiro 
Published: December 2021

ResumoOs autores apresentam um caso bem-sucedido no tratamento conservador da camptodactilia de tipo III em paciente com síndrome de Beals-Hecht. A camptodactilia é uma deformidade em flexão da articulação interfalangeana proximal (IFP), no sentido anteroposterior, indolor, e bilateral em 2/3 dos casos. A de tipo III é a forma mais grave e incapacitante, pois geralmente acomete vários dedos e está associada a síndromes e outras malformações. O caso apresentado teve a correção alcançada com o uso sistemático de órteses estáticas iniciado aos 7 meses de idade e concluído após 23 meses e meio de intervenção.
Teleoncology Orientation of Low-Income Breast Cancer Patients during the COVID-19 Pandemic: Feasibility and Patient Satisfaction
Authors: Miziara Roberta Amparado , Maesaka Jonathan Yugo , Matsumoto Danielle Ramos Martin , Penteado Laura , Anacleto Ariane Andrade dos Santos , Accorsi Tarso Augusto Duenhas , Lima Karine De Amicis , Cordioli Eduardo , D´Alessandro Gabriel Salum 
Published: December 2021

Abstract
Objective The present study aims to assess the feasibility and patient satisfaction of teleoncology orientation in a vulnerable population of breast cancer patients assessed in a government health system during the coronavirus pandemic in 2020.
Methods Eligible patients received an invitation to receive remote care to minimize exposure to an environment in which the risk of respiratory infection was present. The means of communication was telephone through an application that allows free conversation with no charge. An anonymous-response questionnaire based on a Likert-type scale was sent through a cell phone application or e-mail directly to each patient or close relative of the patient immediately after teleconsultation. Responses to the questions, which addressed utility, facility, interface quality, interaction quality, reliability, satisfaction, and interest in future evaluation, were compiled and analyzed.
Results A total of 176 eligible patients scheduled for consultation were evaluated and 98 were included. Seventy (71.4%) successfully undertook the teleorientation. The questionnaire was submitted by 43 (61.4%) patients. The overall teleoncology orientation was classified as very positive by 41 (95.3%) patients. Specifically, regarding the questionnaire items, 43 (100%) patients scored 4 or 5 (agreed that the teleconsultation was beneficial) concerning the facility, followed by 42 (97.2%) for the interface quality, 41 (95.3%) for both utility and interaction quality, 40 (93%) for satisfaction and interest in future evaluation, and, finally, 39 (90.6%) for reliability.
Conclusion Teleoncology orientation of low-income breast cancer patients is most feasible and leads to high patient satisfaction.
Designing Lateral Thoracic Wall Perforator Flaps for Breast Reconstruction Using Ultrasound
Authors: Salgarello Marzia , Visconti Giuseppe 
Published: December 2021

Abstract
Background Lateral thoracic flaps represent a precious source for partial and total breast reconstruction, in some cases as first option and in other cases as alternative of free flaps. This article describes the ultrasound (US)-based planning of the lateral thoracic wall perforator adipocutaneous flaps and it reports our experience on 52 consecutive flaps.
Methods From November 2018 to May 2021, 52 consecutive lateral thoracic wall perforator flaps were performed using the US-based method for reconstruction of partial breast defects and total breast reconstruction. High-frequency US was performed in all cases prior to surgery to select the best perforator and design the flap.
Results Of the 52 cases, 41 were lateral intercostal artery perforator flaps (78.8%), and 11 were thoracodorsal artery perforator (TDAP) flaps. Of the 11 TDAP flaps, 2 cases were based on the direct cutaneous branch. Moreover, in two other cases clinically scheduled for lateral thoracic perforator flaps due to the presence of an appropriate axillary roll, no suitable local/regional perforators were detected with the preoperative US examination and the latissimus dorsi myocutaneous flap was performed.
Conclusion Preoperative planning of these flaps using US speeds the surgery and makes it easier and more efficient. Therefore, it is reasonable that the color duplex ultrasound is the operative surgeon's tool for mapping the lateral thoracic wall perforators and to appropriately plan each flap.
Economic Impact of Refinements in ERAS Pathways in DIEP Flap Breast Reconstruction
Authors: Rodnoi Pope , Teotia Sumeet S. , Haddock Nicholas T. 
Published: December 2021

Abstract
Introduction Enhanced recovery after surgery (ERAS) protocols at our institution have led to an expected decrease in hospital length of stay and opioid consumption for patients treated with deep inferior epigastric perforator (DIEP) flaps for breast reconstruction. We look to examine the economic patterns across these years to see the impact of costs for the patient and institution.
Methods This study retrospectively evaluated consecutive patients treated with bilateral DIEP flaps for breast reconstruction between October 2015 and August 2020. We categorized the cases into three categories: pre-ERAS, ERAS, ERAS + bupivacaine. Primary outcomes observed included the contribution margin per operating suite case minute and total cost to the patient. An analysis of variance determined whether there was a difference between the three groups and a Tukey post-hoc analysis made pairwise comparisons. A p-value < 0.05 was significant.
Results A total of 268 cases of bilateral DIEPs performed by the two senior authors were analyzed in this study. Seventy-four cases were pre-ERAS, 72 were ERAS, and 122 were ERAS + bupivacaine. There was a statistical difference between the contribution margin per operating minute. A Tukey post hoc test revealed that the average contribution margin per operating suite case minute was significantly higher for the ERAS and ERAS + bupivacaine compared with the pre-ERAS groups.There was a statistically significant difference between the total cost to the patients. A Tukey post hoc test revealed that the average total cost to the patient was statistically significantly lower for the ERAS and ERAS + bupivacaine compared with the pre-ERAS group.
Conclusion Implementation of ERAS and continued improvements in ERAS resulted in significantly decreased costs for the patient and increased profitability for the hospital. Investing in improvements to ERAS protocols can improve profitability for the institution while simultaneously improving costs and access to care for patients in need of breast reconstruction.
Combining chemical and biological parameters to assess the ecological quality of a coastal ecosystem in the Levantine Basin
Authors: Ghsoub Myriam , Fakhri Milad , Courp Thierry , Lteif Myriam , Khalaf Gaby , Ludwig Wolfgang 
Published: December 2021

For a better evaluation of the ecological status of aquatic ecosystems, especially at the land–sea interface, a multidisciplinary holistic approach is crucial and various indices should be taken into account. The combined use of chemical and biological indices may be an efficient way to determine ecological status in highly dynamic coastal ecosystems. Therefore, the present study analysed grain size composition, organic carbon (OC), major and trace elements and macroinvertebrate communities in surface sediment samples collected from the coastal marine area facing the Ibrahim River. The stations studied were slightly contaminated by trace elements with no effect on biota. Based on the chemical indices and the polychaetes : amphipods ratio, the ecological status of the stations studied was considered good.
Identifying gaps in dual protection from sexually transmissible infections and unintended pregnancies among Australian women: an observational study
Authors: Watchirs Smith Lucy , Liu Bette , Degenhardt Louisa , Richters Juliet , Bateson Deborah , Yeung Anna , Guy Rebecca 
Published: December 2021

Background Dual protection refers to the simultaneous prevention of sexually transmissible infection (STI) and unintended pregnancies. Optimal contraception and STI prevention strategies sometimes fail to align. Methods Using data from a large nationally representative population-based survey, we analysed the contraception and STI prevention behaviours at the last vaginal intercourse among 2420 heterosexually active women aged 16–34 years who had participated in the Second Australian Study of Health and Relationships, 2012–13. Results At their last vaginal intercourse, most women (95%) used contraception and half (49%) used condoms, either as a sole multipurpose method or in conjunction with another type of contraception. Condom use was highest (72%) among women whose most recent partner was a casual or occasional partner, followed by women with a regular partner (59%) and women with a cohabiting regular partner (40%). One-third of the women (34%) used condoms as a sole method, and 14% used oral contraceptives together with a condom. Few women used implants or intrauterine devices (8%) and, among them, very few women also used condoms (<1%). Among the women who used a condom at their last vaginal intercourse, 49% reported both the correct use for STI prevention and consistent condom use during the previous 6 months. Among women using condoms, correct and consistent use was also highest among women whose most recent partner was a casual or occasional partner (76%). Conclusions Although almost all women used contraception and half used dual protection, few benefited from the protective effects of using condoms together with highly effective contraception.
Revisiting translation in the age of digital globalization
Authors: You Wu 
Published: December 2021

Abstract
Globalization has gone digital and presents a new type of connectivity virtually today. Digital globalization has transformed the landscape of translation theory and practice, exerting considerable influence on translation studies and the profession of translators. The translation practice evolves with the change of literary expectations driven by the digital revolution. New translation modes have been cultivated by incorporating two essential features of the age, known as technology and participation. Against this backdrop, Chinese web fiction is going global with establishing and developing overseas volunteer translation websites. With this in mind, this paper analyzes the translation model of Chinese web fiction with respect to digital globalization and argues that the fan-based volunteer translation has emerged as a new paradigm that features the “user participation turn” in translation studies.
Grammatical and cognitive factors shaping the conceptualization of motion events
Authors: Zaychenko Katharina 
Published: December 2021

AbstractMotion event construal gives insight into the nature of the linguistic and conceptual representations underlying the encoding of events. Studies show that event descriptions differ cross-linguistically due to, amongst other factors, the absence or presence of grammatical aspect. While speakers of aspect languages generally focus on the process, speakers of non-aspect languages tend to perceive the event holistically and focus on endpoints. This investigation examines visualendpoint salienceas a further factor that shapes event encoding. Thus, in this model, grammatical aspect is seen as a part of a more complex system of factors that determine event construal. The analyses, which cover German speakers, English speakers, and German-speaking learners of English, involve linguistic production data and results from memory performance tests. The findings show that the focus on endpoints increases for salient stimuli. While German speakers and learners of English show a tendency to focus on endpoints, a clear preference for focusing on the process can be observed in English speakers. Verbalizing endpoints correlates with the ability to remember them in a memorization task. The implications of these outcomes are discussed in the context of two factors which shape event encoding: grammatical aspect and endpoint salience.