bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nasal alar rim redraping method to prevent alar retraction in rhinoplasty for Asian men: A retrospective case series
Authors: Choi Jun Ho , Yoo Hyokyung , Kim Byung Jun 
Published: January 2021

Background For an attractive and natural tip contour in Asian rhinoplasty, insertion of a nasal implant and reinforcement of the cartilaginous framework are essential. However, scar contracture, which often results from augmentation with implant insertion and inadequate soft tissue coverage of the framework, is one of the most common causes of alar retraction. This study reports a novel method of redraping soft tissue along the alar rim to prevent alar retraction in Asians.
Methods Twenty young Asian men who underwent primary rhinoplasty with septoplasty were retrospectively reviewed. After the usual rhinoplasty procedures, alar rim redraping was conducted for the soft tissue along the transcolumellar and bilateral infracartilaginous incisions. The longest axis of the nostril (a) and the height of the nostril from that axis (b) were measured in anterior-posterior and lateral views. The preoperative and postoperative ratios (b/a) were analyzed using the paired t-test.
Results All 20 patients showed natural contours of the nasal tip, nostrils, and alae after a mean follow-up of 53.6 weeks (range, 52–60 weeks). The ratio of the nostril axes significantly decreased postoperatively in all patients except one, by an average of 11.08%±6.52% in the anterior-posterior view and 17.74%±8.49% in the lateral view (P<0.01). There were no complications, including asymmetry, contracture, subdermal plexus injury, flap congestion, or infection.
Conclusions A quantitative analysis of alar retraction by evaluating the ratio of nostril axes showed that alar rim redraping is a simple and effective adjuvant technique for preventing alar retraction in rhinoplasty for young Asian men.
The pedicled anterolateral thigh flap for trochanteric pressure sore reconstruction: Technical notes to optimize surgical outcomes
Authors: Hifny Mahmoud A. 
Published: January 2021

Background The pedicled anterolateral thigh (ALT) flap has become more popular for the reconstruction of soft-tissue defects in neighboring areas. Nonetheless, few studies in the literature have explored the use of this flap for trochanteric ulcer reconstruction. The aim of our study is to present the author’s experience of utilizing the ALT flap, with a focus on technical elements regarding the flap design and the tunneling method to maximize the reach of the flap.
Methods The medical records of patients who received pedicled ALT flaps for the reconstruction of trochanteric pressure sores were retrospectively reviewed. The patients’ demographic data, operative details, and postoperative complications were evaluated.
Results Between October 2018 and December 2019, 10 consecutive patients (age range, 13–45 years) underwent 11 pedicled ALT myocutaneous flaps for trochanteric pressure sore reconstruction. Each flap was designed around the most distal cutaneous perforator that was included in the proximal third of the skin paddle. The flaps ranged in size from 11×6 to 14×8 cm. The ALT flap was transposed through a lateral subcutaneous tunnel in five patients, while the open tunnel technique was used in six patients. All flaps survived, and no vascular compromise was observed.
Conclusions The pedicled ALT flap is a safe and reliable option for reconstructing trochanteric pressure sores. An appropriate flap design and a good choice of the tunneling method are crucial for successful flap transposition.
Case-control study of the treatment of postaxial polysyndactyly of the foot: Comparison of surgical results after removal of the fifth or sixth toe
Authors: Woo Soo Jin , Kim Byung Jun , Kwon Sung Tack 
Published: January 2021

Background In postaxial polysyndactyly of the foot, the choice of which toe to excise is controversial. It is often treated by resection of the fifth toe to save the lateral neurovascular bundles of the sixth toe. However, the sixth toe is often short and laterally deviated, which may require wedge osteotomy, potentially shortening the phalanx and compromising circulation. This study outlines an individualized method to spare the length and axis of the fifth toe in polysyndactyly with a short and deviated sixth toe.
Methods We retrospectively analyzed 38 patients who underwent surgery between 2006 and 2019. The fifth toe was spared in 18 cases, and the sixth toe in 20 cases. The ratios of the forefoot width, angle difference, and toe length were compared between the affected and unaffected sides postoperatively. Complications and subjective judgments on cosmetic results were recorded and compared.
Results No significant between-group differences were observed for sex, age at surgery, or the follow-up period. The forefoot width ratio did not significantly differ between the groups. However, the angle difference and toe length ratios showed significantly better results in the fifth toe-spared group than in the sixth toe-spared group (P<0.05 and P<0.01, respectively). There were no cases of impaired circulation, and subjective evaluations revealed satisfactory results in the fifth toe-spared group.
Conclusions In cases with short and deviated sixth toes, sparing the fifth toe is an effective method of cosmetic treatment. The surgical results were satisfactory, with an improved appearance and no residual deformities.
Inferomedially impacted zygomatic fracture reduction by reverse vector using an intraoral approach with Kirschner wire
Authors: Jang Jin Woo , Cho Jaeyoung , Burm Jin Sik 
Published: January 2021

Background In inferomedially rotated zygomatic fractures sticking in the maxillary sinus, it is often difficult to achieve complete reduction only by conventional intraoral reduction. We present a new intraoral reduction technique using a Kirschner wire and its clinical outcome.
Methods Among 39 inferomedially impacted zygomatic fractures incompletely reduced by a simple intraoral reduction trial with a bone elevator, a Kirschner wire (1.5 mm) was vertically inserted from the zygomatic body to the lateral orbital rim in 17 inferior-dominant rotation fractures and horizontally inserted to the zygomatic arch in nine medial-dominant and 13 bidirectional rotation fractures. A Kirschner wire was held with a wire holder and lifted in the superolateral or anterolateral direction for reduction. Following reduction of the zygomaticomaxillary fracture, internal fixation was performed.
Results Fractures were completely reduced using only an intraoral approach with Kirschner wire reduction in 33 cases and through an additional lower lid or transconjunctival incision in six cases. There were no surgical complications except in one patient with undercorrection. Postoperative 6-month computed tomography scans showed complete bone union and excellent bone alignment. Four patients experienced difficulty with upper lip elevation; however, these problems spontaneously resolved after manual tissue lump massage and intralesional steroid (Triamcinolone) injection.
Conclusions We completely reduced infraorbital rim fractures, zygomaticomaxillary buttresses, and zygomaticofrontal suture fractures in 84% of patients through an intraoral approach alone. Intraoral Kirschner wire reduction may be a useful option by which to obtain effective and powerful reduction motion of an inferomedially rotated zygomatic body.
Narratives of Loss: Exploring Grief through Photography
Authors: Jiménez-Alonso Belén , De Luna Ignacio Brescó 
Published: January 2021

Grief is not an exclusively private and intrapsychic phenomenon but a dynamic process whereby the bereaved negotiates the meaning of the loss in a way that may challenge his/her personal self-narrative. Drawing on a social constructionist model of grief, this paper features a case study where we analyse narratives of mourning elicited through a personal photographic project. The visual-based narrative methodology used in our study (photo-production) not only allows for multi-modal forms of expression and communication in the study of grief, but it also serves as an aid for individuals to scaffold further meaning-making processes which cannot be conveyed through narrative alone. The paper concludes with an invitation to reflect on the use of photography as both a possible methodological tool to explore narratives of grief and a therapeutic tool for the construction of meanings and continuing bonds with the deceased.
Mothering Death: A Psychosocial Interpretation of Breast Cancer Biography
Authors: Gripsrud Birgitta Haga 
Published: January 2021

In this article I take as my point of departure a puzzle presented by a woman who had an apparently ‘bizarre’ reaction to a breast cancer diagnosis. In the clinic, she had exclaimed: “I would rather die than lose the breast!”. My aim is to unpack layers in this woman’s embodied and enculturated experience, with a view towards developing a psychosocial interpretation of breast cancer biography. The single case on which the present study is based, was extracted from a larger longitudinal data set which allowed me to follow ‘Ella’s’ transition from diagnosis to survivorship. I relied on five sources of data to unfold the case: two participant-generated texts (expressive writing and a Breast Biography), two interviews, and my own field notes. The two texts that Ella wrote provided a participant-led frame for depth-hermeneutic group interpretation sessions, the first of which, synergistically, produced a scenic voicing of latent content in the sub-text of Ella’s expressive writing: the fantasy of mothering death. This subsequently became a lead for my further interpretation of the case, and for methodological reflections on the value of shared thinking in qualitative data interpretation. Crucially, and with some bearing on the current healthcare context, this interpretive study sheds light on what goes on beneath the surface of an apparently ‘irrational’ and ‘recalcitrant’ patient, evidenced by Ella’s entry into what I call a ‘vortex of suffering’. Findings point towards her suffering as an expression of a psychosocial reality, against the backdrop of hope and ideals contained within a psychosocial imaginary that revolves around biomedical cure and reparation.

Keywords: breast cancer biography; the breast; psychosocial studies; depth-hermeneutics; vortex of suffering; psychosocial reality
Study on Ammonia-induced Catalyst Poisoning in the Synthesis of Dimethyl Oxalate
Authors: Liu Hua-wei , Qian Sheng-tao , Xiao Er-fei , Liu Ying-jie , Lei Jun , Wang Xian-hou , Kong Yu-hua 
Published: January 2021

On an industrial plant, we observed and examined the ammonia-poisoning catalyst for the synthesis of dimethyl oxalate (DMO). We investigated the catalytic activity in response to the amount of ammonia and revealed the mechanism of such poisoning by X-ray photoelectron spectroscopy (XPS) characterization. Our results show that only 0.002% ammonia in the feed gas can significantly deactivate the Pd-based catalyst. Two main reasons were proposed: one is that the competitive adsorption of ammonia on the active component Pd hinders the carbon monoxide (CO) coupling reaction and the redox cycle between Pd0 and Pd2+; and the other is that the high-boiling nitrogen-containing amine compounds formed by reacting with ammonia have adsorbed on the catalyst, which hinders the progress of the catalytic reaction. The deactivation caused by the latter is irreversible. The catalytic activity can be completely restored by a low-temperature liquid-phase in-situ regeneration treatment. Copyright © 2021 by Authors, Published by BCREC Group. This is an open access article under the CC BY-SA License (https://creativecommons.org/licenses/by-sa/4.0).
Evaluating the use of marine protected areas by endangered species: A habitat selection approach
Authors: Roberts Kelsey E. , Smith Brian J. , Burkholder Derek , Hart Kristen M. 
Published: January 2021

Abstract1. Optimizing the design of marine protected area (MPA) networks for the conservation of migratory marine species and their habitats involves a suite of important considerations, such as appropriate scale requirements and the distribution of anthropogenic impacts. Often, a fundamental component of the conservation planning process is delineating areas of high use or high biodiversity within a region of interest.2. However, basing conservation strategies off merely the number of individuals in an ecosystem is outdated and potentially subject to arbitrary thresholds. To be effective at protecting marine megafauna, MPAs would ideally encompass habitats used by focal species. Through satellite‐tracking studies, evidence of whether species actually use protected areas is emerging.3. Here, we present a multispecies perspective on habitat selection within existing MPAs throughout the Floridian ecoregion, which encompasses coastal Florida and the Gulf of Mexico. Using an 11‐year satellite‐tracking dataset on 235 marine turtles, we used integrated step selection analysis to quantify the effects of sea turtle behavioural state (identified by a switching state‐space model), protected area status, chlorophyll and bathymetry on habitat selection.4. Our results show that sea turtles do select for existing protected areas, specifically multi‐use zones, while controlling for the effects of depth and primary productivity. However, our analysis revealed that turtles showed no selection for the no‐take zones within MPAs, during either transiting or foraging.5. These findings contribute to the existing literature base of MPA use for highly mobile, imperilled species and could inform management of existing MPAs or changes to zoning, specifically multi‐use to no‐take. Our use of a robust spatial modelling framework to evaluate habitat selection relative to MPAs could be incorporated into conservation planning to build MPA networks designed to accommodate migratory species.
Kubaba
Authors: Mora Clelia 
Published: January 2021

AbstractKubaba was the principal goddess of Carchemish during the late second and early first millenniabce. The name Kubaba (writtenKu‐ba‐baorKu‐pa‐pa) is attested in several cuneiform tablets found at Hattusa, the Hittite capital, including lists of gods in rituals, descriptions of festivals, and prayers. A number of references to the goddess in the Luwian hieroglyphic inscriptions of Carchemish testify to the importance of her cult in the first centuries of the first millenniumbce.
Scapegoat rituals (Greece and Rome)
Authors: Petrovic Andrej 
Published: January 2021

Abstract
The article is concerned with the ritual scapegoating in the Graeco‐Roman world. After an introduction to the issues of terminology and definition, the article turns to the matter of classification of such rituals, then to their geographical and historical spread. Following this, the focus turns to the extant evidence for scapegoat rituals in Greek and Roman religions, lays out complexities associated with the nature of the evidence and reconstruction of the rituals, and ends with a short overview of the most prominent interpretative approaches to these rituals.
Largely reduced OAR doses, and planning and delivery times for challenging robotic SBRT cases, obtained with a novel optimizer
Authors: Giżyńska Marta K. , Rossi Linda , den Toom Wilhelm , Milder Maaike T. W. , de Vries Kim C. , Nuyttens Joost , Heijmen Ben J. M. 
Published: January 2021

AbstractRecently, VOLO™ was introduced as a new optimizer for CyberKnife® planning. In this study, we investigated possibilities to improve treatment plans for MLC‐based prostate SBRT with enhanced peripheral zone dose while sparing the urethra, and central lung tumors, compared to existing Sequential Optimization (SO). The primary focus was on reducing OAR doses. For 25 prostate and 25 lung patients treated with SO plans, replanning with VOLO™ was performed with the same planning constraints. For equal PTV coverage, almost all OAR plan parameters were improved with VOLO™. For prostate patients, mean rectum and bladder doses were reduced by 34.2% (P < 0.001) and 23.5% (P < 0.001), with reductions in D0.03cc of 3.9%, 11.0% and 3.1% for rectum, mucosa and bladder (all P ≤ 0.01). Urethra D5% and D10% were 3.8% and 3.0% lower (P ≤ 0.002). For lung patients, esophagus, main bronchus, trachea, and spinal cord D0.03cc was reduced by 18.9%, 11.1%, 16.1%, and 13.2%, respectively (all P ≤ 0.01). Apart from the dosimetric advantages of VOLO™ planning, average reductions in MU, numbers of beams and nodes for prostate/lung were 48.7/32.8%, 26.5/7.9% and 13.4/7.9%, respectively (P ≤ 0.003). VOLO™ also resulted in reduced delivery times with mean/max reductions of: 27/43% (prostate) and 15/41% (lung), P < 0.001. Planning times reduced from 6 h to 1.1 h and from 3 h to 1.7 h for prostate and lung, respectively. The new VOLO™ planning was highly superior to SO planning in terms of dosimetric plan quality, and planning and delivery times.
Unraveling the C−H Arylation of Benzo‐Fused Cycloalkanones: Combined Experimental and Computational Evidence
Authors: Large Benjamin , Prim Damien 
Published: January 2021

AbstractThe C−H functionalization of benzo‐fused cycloalkanones represents a synthetic challenge, since such scaffolds display different activation sites, at sp2 and sp3 carbons, a bicyclic structure, and various sizes of the cycloalkanone ring. Anticipating the outcome of C−H functionalization and the impact of the presence and size of the cycloalkanone ring would help to foresee synthetic routes to more complex molecular architectures. The mechanism of C−H arylation was studied using DFT calculations for tetralone, benzosuberone, and indanone and compared to acetophenone. Comparison of energetic profiles allowed identifying key steps of the process. Analysis of the topology of key intermediates allowed correlating the deformation of palladacycles to the potential reactivity of the benzo‐fused cycloalkanone family members. The experimental results were in full agreement with the trend provided by the theoretical study. A wide panel of diversely substituted benzo‐fused cycloalkanones has been successfully obtained using optimized conditions. Moreover, an approach towards polycyclic molecules has been illustrated featuring a C−H arylation and a second step taking advantage of the remaining ketone fragment and its ability to undergo diverse transformations leading to alternative pathways to more complex molecular architecturesmagnified image
Wearable and Implantable Intraocular Pressure Biosensors: Recent Progress and Future Prospects
Authors: Yang Cheng , Huang Xinshuo , Li Xiangling , Yang Chengduan , Zhang Tao , Wu Qianni , liu Dong , Lin Haotian , Chen Weirong , Hu Ning , Xie Xi 
Published: January 2021

AbstractBiosensors worn on or implanted in eyes have been garnering substantial attention since being proven to be an effective means to acquire critical biomarkers for monitoring the states of ophthalmic disease, diabetes. Among these disorders, glaucoma, the second leading cause of blindness globally, usually results in irreversible blindness. Continuous intraocular pressure (IOP) monitoring is considered as an effective measure, which provides a comprehensive view of IOP changes that is beyond reach for the “snapshots” measurements by clinical tonometry. However, to satisfy the applications in ophthalmology, the development of IOP sensors are required to be prepared with biocompatible, miniature, transparent, wireless and battery‐free features, which are still challenging with many current fabrication processes. In this work, the recent advances in this field are reviewed by categorizing these devices into wearable and implantable IOP sensors. The materials and structures exploited for engineering these IOP devices are presented. Additionally, their working principle, performance, and the potential risk that materials and device architectures may pose to ocular tissue are discussed. This review should be valuable for preferable structure design, device fabrication, performance optimization, and reducing potential risk of these devices. It is significant for the development of future practical IOP sensors.
Chiral Systems Made from DNA
Authors: Winogradoff David , Li Pin‐Yi , Joshi Himanshu , Quednau Lauren , Maffeo Christopher , Aksimentiev Aleksei 
Published: January 2021

AbstractThe very chemical structure of DNA that enables biological heredity and evolution has non‐trivial implications for the self‐organization of DNA molecules into larger assemblies and provides limitless opportunities for building functional nanostructures. This progress report discusses the natural organization of DNA into chiral structures and recent advances in creating synthetic chiral systems using DNA as a building material. How nucleic acid chirality naturally comes into play in a diverse array of situations is considered first, at length scales ranging from an individual nucleotide to entire chromosomes. Thereafter, chiral liquid crystal phases formed by dense DNA mixtures are discussed, including the ongoing efforts to understand their origins. The report then summarizes recent efforts directed toward building chiral structures, and other structures of complex topology, using the principle of DNA self‐assembly. Discussed last are existing and proposed functional man‐made nanostructures designed to either probe or harness DNA's chirality, from plasmonics and spintronics to biosensing.
A novel wellness intervention: A virtual hangout from coast to coast using video conferencing platforms to increase physician wellness during the COVID‐19 pandemic
Authors: Richman Noella , McNaughton Candace D. , Wolfe Carmen , Overbeeke Tara M. , McCoin Nicole 
Published: January 2021

AbstractWithin the context of the evolving SARS‐CoV‐2 pandemic, we sought to design a project to increase social connectivity among emergency medicine physicians with ties to Vanderbilt University Medical Center. Our project aimed to promote physician wellness through fostering and maintaining community at one large academic institution.
Association between C‐reactive protein response to influenza vaccine during pregnancy and birth outcomes
Authors: Kidd Monica G. , McDade Thomas W. 
Published: January 2021

AbstractObjectiveA growing body of evidence suggests inflammatory markers can help predict poor outcomes in pregnancy. We evaluated C‐reactive protein (CRP)—a key biomarker of inflammation—before and after a safe immune provocation (the seasonal influenza vaccine) during pregnancy. We evaluated predictors of the magnitude of response, as well as the association between CRP response and birth outcomes.MethodsNonrandomized prospective cohort trial measuring CRP before and 3 days after administering seasonal flu vaccine to low‐risk obstetrical patients in Calgary, Alberta.ResultsWe analyzed 27 prevaccination/postvaccination samples. Body mass index (BMI) was positively associated with CRP at Day 0, and women with higher prepregnancy BMI had a less robust response to vaccination than did leaner women. There was a strong positive association between CRP response and infant birth weight; women who had the greatest response to vaccination (by tertile) gave birth to babies that weighed, on average, 256.2 g more than babies born to women with the lowest response.ConclusionsHigher BMI in pregnant women was associated with higher baseline CRP and less pronounced CRP response to vaccination. Stronger CRP response was associated with higher birth weight. These findings underscore the potential value of a more dynamic approach to studying the regulation of inflammation during pregnancy and its implications for birth outcomes. This study was registered as a clinical trial in clinicaltrials.gov (ID: REB15/1418).