bluuebunny/crossref_metadata_2025_split huggingface dataset:
Storytelling as Law: Balkan Legal Culture in the 14th to 18th Centuries
Authors: Naydenova Desislava 
Published: December 2024

Storytelling as Law: Balkan Legal Culture in the 14th to 18th Centuries
The study argues that the Byzantine – and, correspondingly, the Slavonic – legal system should be considered as a unit of legal texts: narrative and legal, translated and original. From the viewpoint of legal history, legal anthropology and legal theory, the study focuses on two canon law collections of which numerous Bulgarian, Serbian, Moldavian, Wallachian, East Slavic and Ruthenian copies emerged in a vast time frame from the 14th to the 19th century: the Pseudozonar Nomocanon (the most probable Byzantine prototype of which was the so called Nomocanon Cotelerii) and Nomokanon pri Velikiya Trebnik (Nomocanon to the Great Euchologion).

Opowiadanie jako prawo. Bałkańska kultura prawna od XIV do XVIII wieku
W artykule zostało pokazane, że bizantyjski – i odpowiednio słowiański – system prawny powinien być traktowany jako zespół tekstów prawnych: narracyjnych i prawnych, przetłumaczonych i oryginalnych. Sytuując się w perspektywie historii prawa, antropologii prawa i teorii prawa, autorka koncentruje się na dwóch zbiorach prawa kanonicznego, które funkcjonowały w wielu bułgarskich, serbskich, mołdawskich, wołoskich, wschodniosłowiańskich i ruskich kopiach w okresie od XIV do XIX wieku: Nomokanon Pseudo-Zonarasa (którego najbardziej prawdopodobnym prototypem bizantyjskim był tzw. Nomocanon Cotelerii) i Nomokanon pri Velikiya Trebnik.
Application comparison of paediatric myocardial protection procedures in arterial switch surgery
Authors: Münch Frank , Kohl Matthias , Kwapil Nicola , Dewald Oliver , Cuomo Michela , Purbojo Ariawan 
Published: December 2024

Background Reliable myocardial protection is essential for a good outcome after arterial switch operation. Patients and Methods We evaluated 56 neonates with arterial switch operation in this retrospective study. Three types of cardioplegia were used: antegrade Custodiol® (CCC) n = 22, antegrade Custodiol® plus paediatric microplegia (mix) n = 14, and antegrade plus retrograde intermittently paediatric microplegia (blood) n = 20. We evaluated the extent of myocardial injury using troponin I, Creatine kinase (CK), CK-MB (CK in myocardial cells) and vasoactive inotrope score (VIS), immediately- and the first postoperative day, as well as outcome parameters. A statistical analysis was conducted using multiple linear regression, with adjustments made for the RACHS score and ischemia time, at a significance level of 5%. Results Preoperative data were comparable between the three groups. Aortic cross clamp time was significantly different between the three groups (CCC: 115 ± 26 min: mix: 162 ± 35 min: blood: 153 ± 31 min). We found significantly lower troponin I release in the blood group 14 ng/mL [CI95 10; 18] versus CCC group 36 ng/mL [CI95 27; 48] and versus mix group 27 ng/mL [CI95 19; 38]; troponin I 24 h blood group 8 ng/mL [CI95 6; 11] versus CCC group 14 ng/mL [CI95 10; 19]. No significant differences were found in CK, CK-MB, VIS, as well as in outcome parameters 30-day mortality, ventilation time, hospital stay or ECMO implantation. Conclusions Intermittent paediatric microplegia led to a significantly lower release of troponin I, despite significantly longer ischemia times than after application of Custodiol®. Paediatric microplegia can be safely performed in neonates and also offers the advantage of miniaturization of the Cardiopulmonary bypass setup.
Delegation Versus Control Mechanism: Impacts on Second-Hand Markets With Product Upgrades
Authors: Srivastava Abhishek , Choi Tsan-Ming , Shkula Shipra , Devi Yashoda 
Published: December 2024

The second-hand market (SM) trades used products from the reverse channel. In practice, manufacturers such as Apple Inc. collect used products and sell refurbished products in the SM. However, third-party firms (TPFs) such as Gazelle independently manage the SM. Alternatively, the manufacturer may delegate the responsibility of managing the SM to a TPF under a contract or choose to operate in the SM with a TPF serving as a competitor. The optimal strategy to manage the SM is an important operations issue for the manufacturer as well as the TPF. This decision becomes even more critical when the manufacturer plans to sell the upgraded version, markdown version, and remanufactured version of the product concurrently. In the presence of product competition, SM selling can affect the prices and sales of the markdown product as well as the upgraded product. Therefore, in this study, we analyze impacts of the manufacturer’s choice of delegation. Our analytical findings reveal that the SM selling strongly influences the equilibrium price and the demand for the markdown product offered by the manufacturer under all the mechanisms. However, demand cannibalization of the markdown product is most severe under the delegation mechanism. Additionally, we counter-intuitively reveal that the manufacturer is better-off under the delegation mechanism when the sales commission is low and remanufacturing cost is high. In fact, the delegation mechanism is found to be the most profitable arrangement for the manufacturer as well as the TPF. Interestingly, demand for the upgraded version product remains unaffected by SM sales under the independent TPF mechanism, allowing the manufacturer to launch the upgraded version product without any fear of demand cannibalization. Furthermore, we discover that consumers secure the maximum surplus under the competitive scenario owing to intense price competitiveness. For robustness checking, we further extend our model to consider the cases with variable remanufacturing cost, differential emission cost, environmental cost, and collection rate of used product.
Study on corrugation distribution in metro ramps of curved tracks based on wheel-rail stick-slip characteristics
Authors: Lei Zhenyu , Wang Ziyu , Wang Zhiqiang 
Published: December 2024

It is found that the distribution of corrugation of curved tracks is influenced by ramps: uphill sections have significant corrugation in high rail; downhill sections have more severe corrugation in low rail. To clarify this phenomenon, a vehicle-track rigid-flexible coupling model is developed from the perspective of stick-slip theory to calculate the saturation rate and the overall dispersion rate of adhesion coefficient; a wheel-rail coupling finite element model is developed to perform modal analysis for determining the wavelength fixation condition of ramp corrugation. The results show that: the adhesion coefficient of high rail is close to saturation while that of low rail is small in uphill sections, so high rail is more prone to stick-slip motion further developing into corrugation; the adhesion coefficients of low rail and high rail in downhill sections are close to saturation, so both of them are susceptible to stick-slip motion, and repeated so will induce uneven wear and under the influence of rail irregularity, stick-slip vibration intensity of low rail is more severe and corrugation develops more rapidly. Wheel-rail coupling vibration modes in the range of characteristic frequency of corrugation may provide wavelength fixation condition for the development of corrugation. The parameter analysis shows that: a large uphill gradient will further increase the probability of stick-slip motion in high rail, and a large downhill gradient will sharply increase the probability of stick-slip motion but slow down the rate of development of corrugation in low rail, which, however, will still rapid than that of high rail. For the field study line, slow application of braking/traction force is favorable for ramp corrugation control. The vertical stiffness of fasteners of 40 MN/m is detrimental to corrugation control. The high vertical damping of fasteners has a weak effect on corrugation suppression. Proper deficient super-elevation can alleviate corrugation.
Is Stopping of Testosterone-Lowering Medication in Men Convicted of Sexual Offenses Associated With an Increase in Recidivism Risk?
Authors: Wolba Jochen , Turner Daniel , Briken Peer , Freese Roland , Retz Wolfgang , Tozdan Safiye 
Published: December 2024

There is some evidence that testosterone-lowering medications (TLM) may be an effective treatment for men convicted of sexual offenses by attenuating paraphilic sexual fantasies and behaviors and reducing the recidivism risk. To date, however, only little is known about the effects of TLM stopping on risk-relevant aspects. Therefore, the current study aimed at examining the recidivism risk as measured by Stable-2007 as well as official records of reoffenses in 29 men having stopped TLM treatment as compared to 37 men with ongoing TLM treatment. The Stable-2007 was rated retrospectively at 4 time points: committal to forensic treatment (T1), starting (T2) and stopping of TLM treatment (T3), and at reporting date (T4). There was a significant decrease in Stable-2007 scores over time, but there were no significant group differences. Within the stopped-TLM group, there were no significant differences between T3 and T4, implying that the recidivism risk remained stable over an average observation period of 4.5 years after TLM stopping. In addition, there was no significant difference in actual reoffending rates between the groups. For sexual reoffending, the percentages were 17.2% for the stopped-TLM group and 10.8% for the ongoing-TLM group. However, although the current results suggest that there is at least no increase in risk assessment (i.e., Stable-2007) after having stopped TLM, the actual reoffending rates of both groups were higher than expected. This once again demonstrates that TLM stopping decisions remain very difficult to make. Further studies are urgently needed to draw clearer conclusions.
Design, methodology, and early findings of an autism registry program: ABBILAR project
Authors: Shahrokhi Hassan , Malek Ayyoub , Norouzi Sanaz , Amiri Shahrokh , Noorazar Seyed Gholamreza , Heidarabadi Seifollah , Bahari Gharehgoz Ali , Dastgiri Saeed , Zali Mahsa , Gholipour Kamal , Barzegar Mohammad , Shahrokhi Raha , Broumand Sahand , Iezadi Shabnam 
Published: December 2024

This study aims to outline the establishment of an autism registry program in the East Azerbaijan province of Iran, delineate its components, present the initial descriptive analysis results of the registered cases, and outline potential opportunities for further utilization of registry data. The children and adolescents of age ⩽18 years, who met the Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders or Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders criteria for autism spectrum disorder, were eligible for inclusion in the autism spectrum disorder registry program. A total of 1120 cases were registered from January 2015 to December 2023. The majority of the participants were male (81.60%), diagnosed with autism spectrum disorder between the ages of 3 and 7 years (41.90%), born through cesarean delivery (73.56%), and received their primary diagnosis from a psychiatrist (85.49%). According to the Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders criteria, approximately 83% of the cases were diagnosed with autistic disorder, 3% with Asperger’s disorder, and 13% with pervasive developmental disorder not otherwise specified. The autism spectrum disorder registry has the potential to contribute significantly to the development of effective policies for diagnosis and treatment services. By linking children’s clinical and treatment data, it can help shape healthcare policies and services on a broader scale. Lay abstract The autism spectrum disorder (ASD) registry program presents a unique opportunity to facilitate advanced research in various aspects of ASD, particularly in low-resource countries like Iran. Given the international significance of autism research, registry programs play a critical role in data sharing. ASD registry programs have been effectively established in high-income countries over a few decades; however, there are limited examples from low- and middle-income countries. This study presents a firsthand description of the design and primary findings of a 9-year established ASD registry program from the northwest of Iran. It elucidates the program’s feasibility for other low-income settings, providing valuable insights for researchers and policymakers.
Wh-questions in the grammar of heritage Egyptian speakers
Authors: Albirini Abdulkafi , Benmamoun Elabbas 
Published: December 2024

Aims and objectives: Despite the growth in research on heritage grammars, very few studies focused on heritage speakers’ knowledge of the syntax of wh-questions. This paper examines heritage Egyptian speakers’ knowledge of wh-questions in their L1 with particular focus on their knowledge of (1) the four main strategies of wh-question formation (three movement strategies and one in situ strategy) and (2) the unmarkedness of the in situ strategy compared to the movement strategy. Design: This study implements a cross-sectional design comparing an experimental group (30 heritage Egyptian speakers) and a control group (22 native Egyptian speakers) with respect to the issues under investigation. Data and analysis: Besides a proficiency measure and a background questionnaire, the participants completed three tasks: an elicited oral production task, an acceptability judgment task, and a preference task. The data from the oral production task were transcribed verbatim and coded in an Excel sheet. The data from the other two tasks were coded in two separate Excel sheets. Descriptive and inferential statistics were used to describe and analyze the data from the three tasks. Findings: Heritage speakers had robust knowledge of the core aspects of wh-questions, including word order, strategies of wh-question formation, and resumption. They also realize the difference between marked and unmarked forms and often opt for the unmarked in situ strategy. However, they diverge from the controls in errors and patterns that mostly reflect transfer effects from their dominant L2 (English). Originality: This study is the first to explore wh-questions in heritage Arabic. Although very few studies focused on wh-questions in other languages, most of the issues examined here are unique because Egyptian Arabic deploys multiple strategies in constructing wh-questions. Implications: The findings corroborate the hypothesis that the core aspects of syntax are less susceptible to language loss. The results also demonstrate that heritage grammar is unique as it diverges from the grammar of L1 speakers in significant respects.
Exploring robotic advances, applications, and challenges in neuroendovascular surgery: A scoping review of the CorPath GRX system
Authors: Gomez-Paz Santiago , King Patrick , Gomez Alwyn , Grandhi Ramesh 
Published: December 2024

Background The integration of robotics into neuroendovascular surgery has the potential to revolutionize the field by enhancing precision, reducing procedure-related risks, and improving patient outcomes. The CorPath GRX system represents a significant advancement in this domain. In this systematically conducted scoping review, we explore the current applications, advances, and challenges associated with robot-assisted neuroendovascular surgery. Methods A comprehensive literature search was conducted across PubMed, Scopus, Embase, and Web of Science, covering publications from January 2015 to December 2024. Relevant data were extracted from studies involving human subjects and reporting the use of robotic guidance with the CorPath GRX system for neuroendovascular procedures for review and discussion. Results We identified 14 studies with a total of 336 patients who underwent robot-assisted neuroendovascular procedures, including both diagnostic (48.2%) and therapeutic (51.8%) applications. Among the therapeutic interventions, 140 patients were treated for hemorrhagic pathology, including 128 procedures for unruptured intracranial aneurysms and 12 for ruptured aneurysms. These procedures primarily involved stent-assisted coiling or flow diversion therapy. Additionally, 34 patients were treated for ischemic pathology, primarily carotid artery stenosis, involving balloon angioplasty and stent placement. A tumor was addressed in 1 intervention via coil embolization of tumor feeders, showcasing the versatility of robot-assisted interventions. Technical success rates were high across the studies, with most procedures achieving 100% success. Manual conversions were for device malfunctions or anatomical challenges. Complications reports varied, with some studies detailing specific device malfunctions and others providing less specific accounts. Conclusions Overall, the CorPath GRX system demonstrated high feasibility and safety for neuroendovascular procedures, indicating significant potential benefits, particularly if integrated into telemedicine practices. The CorPath GRX system shows promise in facilitating precise and safe neuroendovascular procedures. Current evidence highlights a wide range of benefits; however, further research is needed to investigate long-term outcomes and other potential areas of impact.
“Cerebral Edema Leading to Subfalcine and Uncal Herniation in a Patient With Retinal Vasculopathy With Cerebral Leukoencephalopathy and Systemic Manifestations”
Authors: Hughes Parker , Lu Liang , Shi Michael , Syed Danial 
Published: December 2024

Deterioration of a patient’s state of consciousness is among the most concerning signs encountered in clinical practice. The evaluation of this finding carries a broad initial differential diagnosis and must account for any relevant medical history. We describe the case of a 41-year-old male with known retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations (RVCL-S) who presented with progressive mental status decline and acute onset intractable headache. Head computed tomography (CT) revealed extensive vasogenic edema, resulting in right to left shift of 11 millimeters at the level of the lateral ventricles, with associated uncal and subfalcine herniation. He was treated with a 5-day course of methylprednisolone, leading to resolution of his lethargy and headache. Follow up neuroimaging with magnetic resonance (MRI) brain demonstrated interval improvement with the midline shift reduced to 3 millimeters after completion of high dose corticosteroids. Neurosurgical intervention was considered, but ultimately not required given his improvement. This case describes the management of life-threatening cerebral edema as a complication of RVCL-S disease progression. Due to the rarity of this disease, there are no standardized guidelines for treatment and the care for such patients relies on expert opinion, case studies, and extrapolation of principles learned from related conditions. Our intention is that the reporting of this case will contribute to the limited body of literature and aid those affected by this condition.
Cost-Effectiveness Analyses of Bone Morphogenetic Protein 2 (rhBMP-2) in Spinal Fusion: A Systematic Review
Authors: Nunna Ravi S. , Gruber Maxwell D. , Karuparti Sasidhar , Taylor Zachary , Genovese Sabrina , Jumah Fareed , Godolias Periklis , Tataryn Zachary , Hollern Douglas , Oskouian Rod , Chapman Jens R. 
Published: December 2024

Study Design Systematic Review Study. Objectives The objective of this study is to assess the cost-effectiveness and cost-utility of rhBMP-2 in spine surgeries. Methods PubMed, MEDLINE, OVID and CENTRAL (Cochrane Central Register of Controlled Trials) databases were systematically searched for studies reporting the use of rhBMP-2 for spinal procedures in comparison to autograft and/or allograft and alternative graft materials under consideration of cost-effectiveness, cost-benefit, cost minimization, and/or cost-utility analysis. Relevant data points were extracted and compiled. The standardization of the selected studies was graded using the CHEERS criteria. Results Of the 88 eligible publications, 17 met the inclusion criteria. Overall, 8 studies showed a favorable cost-analysis profile. Three studies performed cost-consequence analyses, none of which reported positive findings. Among 7 cost-utility analyses and 7 cost-effectiveness analyses, 3 and 5, respectively, reported a likely benefit to the usage of rhBMP-2. The CHEERS scores for the included studies ranged from 15 to 23 out of 24 points, with a median score of 19. Conclusions There is no consensus regarding the cost-effectiveness or cost-utility of rhBMP-2 in spinal fusion. rhBMP-2 may function as a cost-effective adjunct in spinal fusion surgeries in select cases.
Evaluation of Pain Relief and Opioid Consumption With the Addition of an Erector Spinae Plane Catheter Block After an Interscalene Nerve Block in Arthroscopic Rotator Cuff Repair
Authors: Hsu Wei-Kuo , Liu Shu-Cheng , Chuang Hao-Chun , Wang Chi-Hsiu , Kuan Fa-Chuan , Hsu Kai-Lan , Su Wei-Ren , Hong Chih-Kai 
Published: December 2024

Background: The effects of the erector spinae plane (ESP) block and interscalene nerve block (ISNB) on arthroscopic rotator cuff repair (RCR) have been investigated separately. Purpose: To evaluate whether additional catheterization for the ESP block can decrease acute postoperative pain and opioid consumption above the ISNB and multimodal oral analgesics in patients after arthroscopic RCR. Study Design: Cohort study; Level of evidence, 3. Methods: Included were patients who underwent primary arthroscopic RCR between January 1 and December 31, 2021, and received either ISNB (ISNB group) or additional ESP block catheterization (ESP block group) as part of their pain management. Patients who underwent concomitant shoulder procedures were excluded. Patient characteristics, surgical details, pre- and postoperative numerical pain rating scale (NPRS) scores, rescue analgesic use, and possible opioid-related side effects were recorded. The primary outcome was the NPRS score immediately after surgery; secondary outcomes included rescue opioid use and opioid-related side effects until patients were discharged the next day. The Mann-Whitney U test or the chi-square test was used for between-group comparisons. Multiple linear regression analysis was conducted to examine predictors for total opioid consumption. Results: A total of 54 patients were included—21 in the ISNB group and 33 in the ESP block group. The ESP block group exhibited significantly lower postoperative NPRS scores (2 ± 0.3 vs 3 ± 1.6 for ISNB; P = .003), reduced opioid consumption during hospitalization (0.5 ± 1.3 vs 6.1 ± 8.3 morphine milligram equivalent [MME] for ISNB; P < .001), and fewer opioid-related side effects (0 vs 3 for ISNB; P = .022). Multiple linear regression analysis indicated that the analgesic protocol (β = 5.750; P < .001) and the number of anchors used (β = 1.609; P = .022) were independently correlated with higher opioid consumption. Subgroup analysis revealed that additional ESP block significantly reduced opioid consumption during repairs involving ≥2 tendons (7.6 ± 9 vs 0.5 ± 1.4 MME; P < .001). Conclusion: The study findings indicated that additional catheterization for the ESP block reduced postoperative pain, opioid consumption, and opioid-related side effects during the acute postoperative period of arthroscopic RCR when the ISNB and multimodal oral analgesics had already been administered. Future studies are needed to evaluate this treatment protocol.