bluuebunny/crossref_metadata_2025_split huggingface dataset:
Atomistic insight into lithospheric conductivity revealed by phonon–electron excitations in hydrous iron-bearing silicates
Authors: Mihailova Boriana , Della Ventura Giancarlo , Waeselmann Naemi , Xu Wei , Schlüter Jochen , Galdenzi Federico , Marcelli Augusto , Redhammer Günther J. , Boiocchi Massimo , Oberti Roberta 
Published: June 2021

AbstractAmphiboles are essential components of the continental crust and subduction zones showing anomalous anisotropic conductivity. Rock properties depend on the physical properties of their constituent minerals, which in turn depend on the crystal phonon and electron density of states. Here, to address the atomic-scale mechanism of the peculiar rock conductivity, we applied in situ temperature-dependent Raman spectroscopy, sensitive to both phonon and electron states, to Fe2+-rich amphiboles. The observed anisotropic resonance Raman scattering at elevated temperatures, in combination with density-functional-theory modelling, reveals a direction-dependent formation of mobile polarons associated with coupled FeO6 phonons and electron transitions. Hence, temperature-activated electron-phonon excitations in hydrous iron-bearing chain and layered silicates are the atomistic source of anisotropic lithospheric conductivity. Furthermore, reversible delocalization of H+ occurs at similar temperatures even in a reducing atmosphere. The occurrence of either type of charge carriers does not require initial mixed-valence state of iron or high oxygen fugacity in the system.
Sub- and supersonic elastic waves in an annular hole phononic metamaterial
Authors: Pouya Caroline , Nash Geoff R. 
Published: June 2021

AbstractSurface acoustic wave (SAW) devices are used in a wide range of applications including sensing and microfluidics, and are now being developed for applications such as quantum computing. As with photonics, and other electromagnetic radiation, metamaterials offer an exciting route to control and manipulate SAW propagation, which could lead to new device concepts and paradigms. In this work we demonstrate that a phononic metamaterial comprising an array of annular hole resonators can be used to realise frequency control of SAW velocity. We show, using simulations and experiment, that metamaterial patterning on a lithium niobate substrate allows control of SAW phase velocities to values slower and faster than the velocity in an unpatterned substrate; namely, to ~85% and ~130% of the unpatterned SAW velocity, respectively. This approach could lead to novel designs for SAW devices, such as delay lines and chirp filters, but could also be applied to other elastic waves.
Shape anisotropic magnetic thrombolytic actuators: synthesis and systematic behavior study
Authors: Zakharzhevskii Maxim A. , Anastasova Elizaveta I. , Kladko Daniil V. , Prilepskii Artur Y. , Gorshkova Maria N. , Vinnik Denis A. , Taskaev Sergey V. , Vinogradov Vladimir V. 
Published: June 2021

We provide a systematic study of rotating magnetic field (RMF)-mediated mechanically-assisted thrombolysis. Different shapes of magnetic actuators are of significant importance for this approach. Even old blood clots can be dissolved with RMF.
Distinguishing Spastic and Dystonic Features in a Patient With a History of Brainstem Encephalitis: A Clinical Case Study
Authors: Clark Heather M. 
Published: June 2021

Purpose
One role of a speech-language pathologist (SLP) is to differentially diagnose motor speech disorders to aid physicians, typically neurologists, in establishing a medical diagnosis. The present case study describes the clinical problem solving undertaken by the SLP to characterize the nature of neurological deficits to develop an appropriate management plan.

Method
The patient is a 29-year-old man with a history of brainstem encephalitis who presented for evaluation of dysarthria, dysphagia, and gait difficulties. The neurological exam characterized a spastic dysarthria. The SLP conducted a motor speech examination expressly for the purpose of differential diagnosis.

Results
The patient exhibited features of spastic dysarthria including strained phonation and hypernasality, equivocally slow rate associated with intermittent interword pauses rather than lengthened segments, and articulatory imprecision in the absence of weakness or slowness of the articulators. Defining features of spastic dysarthria absent from his speech were monopitch and monoloudness, as well as slow alternate motion rates. A diagnosis of hyperkinetic dysarthria associated with dystonia was informed by (a) hypernasality disproportionate to other deviant speech features, with preserved reflexive velar movements and nonspeech movements; (b) adventitious lip pursing; (c) modest improvement in speech with sensory tricks; (d) mild and intermittent phonatory strain; and (e) normal nonspeech oral motor function.

Conclusions
This case demonstrates the role speech-language pathology can play in the neurological assessment and management process. The recognition by the SLP of hyperkinetic dysarthria led to additional diagnostic tests and to a broader range of options for medical management.
A global view on star formation: The GLOSTAR Galactic plane survey
Authors: Brunthaler A. , Menten K. M. , Dzib S. A. , Cotton W. D. , Wyrowski F. , Dokara R. , Gong Y. , Medina S.-N. X. , Müller P. , Nguyen H. , Ortiz-León G. N. , Reich W. , Rugel M. R. , Urquhart J. S. , Winkel B. , Yang A. Y. , Beuther H. , Billington S. , Carrasco-Gonzalez C. , Csengeri T. , Murugeshan C. , Pandian J. D. , Roy N. 
Published: June 2021

Aims.Surveys of the Milky Way at various wavelengths have changed our view of star formation in our Galaxy considerably in recent years. In this paper we give an overview of the GLOSTAR survey, a new survey covering large parts (145 square degrees) of the northern Galactic plane using theKarl G. JanskyVery Large Array in the frequency range 4−8 GHz and the Effelsberg 100-m telescope. This provides for the first time a radio survey covering all angular scales down to 1.5 arcsecond, similar to complementary near-IR and mid-IR galactic plane surveys. We outline the main goals of the survey and give a detailed description of the observations and the data reduction strategy.Methods.In our observations we covered the radio continuum in full polarization, as well as the 6.7 GHz methanol maser line, the 4.8 GHz formaldehyde line, and seven radio recombination lines. The observations were conducted in the most compact D configuration of the VLA and in the more extended B configuration. This yielded spatial resolutions of 18″ and 1.5″ for the two configurations, respectively. We also combined the D configuration images with the Effelsberg 100-m data to provide zero spacing information, and we jointly imaged the D- and B-configuration data for optimal sensitivity of the intermediate spatial ranges.Results.Here we show selected results for the first part of the survey, covering the range of 28° <l < 36° and |b|< 1°, including the full low-resolution continuum image, examples of high-resolution images of selected sources, and the first results from the spectral line data.
Do Hernias Contribute to Increased Severity of Aneurysmal Disease among Abdominal Aortic Aneurysm Patients?
Authors: Hinterseher Irene , Miszczuk Milena , Corvinus Florian , Zimmermann Carolin , Estrelinha Mariana , Smelser Diane T. , Kuivaniemi Helena 
Published: June 2021

AbstractBackground Connective tissue disorders could contribute to the pathogenesis of both abdominal aortic aneurysms (AAA) and hernias. We tested the hypothesis that hernias in AAA patients contribute to increased severity of the aneurysmal disease.Methods A questionnaire was used to collect information from 195 AAA patients divided into four groups: (1) survivors (n = 22) of ruptured AAA, (2) patients (n = 90) after elective open repair, (3) patients (n = 43) after elective endovascular repair (EVAR), and (4) patients (n = 40) under surveillance of AAA. The control group consisted of 100 patients without AAA whose abdominal computed tomography (CT) scans were examined for the presence of hernias. Mann–Whitney U-test, Chi-squared (χ 2) test, or Fisher's exact test (as appropriate) were used for statistical analyses. Multivariate logistic regression was used to control for potential confounding variables such as sex and age.Results The prevalence of inguinal hernias was significantly higher in the AAA than the control group (25 vs. 9%, p = 0.001) and did not differ between the AAA subgroups (9, 24, 35, and 23% in subgroups 1 through 4, respectively, p = 0.15) based on univariate analysis. The prevalence of inguinal hernias did not differ (p = 0.15) between the two open surgery groups (groups 1 and 2), or when comparing all three operative procedures as a combined group to group 4 (p = 0.73). The prevalences of incisional hernias were 18 and 24% for groups 1 and 2, respectively, with no significant difference (p = 0.39). Inguinal hernia demonstrated a significant association with AAA on multivariate analysis (p = 0.006; odds ratio [OR] = 4.00; 95% confidence interval [CI] = 1.49–10.66).Conclusions Our study confirms previous observations that patients with AAA have a high prevalence of hernias. Our results suggest that hernias do not contribute to increased severity of the aneurysmal disease.
Transdural Anastomotic Aneurysm in Association with Moyamoya Disease: A Rare and Troublesome Neurosurgical Entity
Authors: Zhao Yuhao , Yu Jinlu , Hou Kun , Xu Kan 
Published: June 2021

AbstractMoyamoya disease (MMD) is an idiopathic progressive steno-occlusive disease in the internal carotid artery (ICA) bifurcation. In rare circumstances, transdural anastomotic aneurysm (TAA) could develop during the progression of MMD. We present an illustrative case of TAA in association with MMD. To further explore this rare entity, a comprehensive literature review was also conducted. Our illustrative patient experienced spontaneous remission of the aneurysm during follow-up. By literature review, 12 patients with 13 TAAs, including our case, were identified. The patients aged from 10 to 74 years (46.3 ± 17.4). Eleven (92%) of the patients presented with intracranial hemorrhage, and 1 TAA (8%) was incidentally found. The responsible transdural collaterals were from the middle meningeal artery, occipital artery, internal maxillary artery, and ophthalmic artery in 8 (66.7%), 2 (16.7%), 1 (8%), and 2 (17%) patients, respectively. The anastomosed cerebral arteries were middle cerebral artery, anterior cerebral artery, posterior cerebral artery, and ICA in 5 (42%), 3 (25%), 3 (25%), and 1 (8%) patient, respectively. Eight (67%) patients underwent open surgeries. Two (17%) patients underwent transarterial embolization (TAE) only. Two (17%) patients experienced spontaneous remission of the aneurysm. Seven (58%) patients died or had neurologic deficits. TAAs rarely occur in the progression of MMD, which often presents with intracranial bleeding. Invasive management through open surgery or endovascular treatment is warranted to prevent catastrophic rebleeding. As some individuals might experience spontaneous aneurysm remission, conservative treatment and close imaging follow-up could be considered as an alternative when invasive treatment is risky.
Pineal Apoplexy: A Case Series and Review of the Literature
Authors: Majovsky Martin , Netuka David , Lipina Radim , Mraček Jan , Beneš Vladimír 
Published: June 2021

Abstract
Background Pineal apoplexy is a rare condition, with unknown incidence and clinical significance. To elucidate this clinical condition, we analyzed our own case series and performed a review of the literature.
Methods We enrolled all patients with a hemorrhagic pineal apoplexy who were referred to our department between January 2000 and January 2020. Hemorrhagic pineal apoplexy was defined as the presence of fluid–fluid levels inside the pineal cyst (PC) on an axial or sagittal magnetic resonance scan. In one patient, after PC apoplexy, we performed a circadian melatonin sampling from peripheral blood to determine the function of the pineal gland. The PubMed database was searched for publications using the terms “pineal” and “apoplexy.”
Results Eight patients were enrolled, of which three patients underwent surgical treatment and five patients were managed conservatively. One patient was tested for circadian melatonin secretion. Results confirmed melatonin secretion with preserved physiologic circadian rhythm.Our search of the literature led us to 31 studies that comprised 30 patients with apoplectic PC, 9 with apoplectic pineal tumor, and 1 with bleeding into the normal pineal gland. Most patients presented with headache, nausea, and vomiting, less frequently with acute hydrocephalus and gaze palsy. Twenty patients with a PC underwent resection or aspiration. Two patients underwent shunt placement as the only procedure and five received both shunt and surgical removal. Six patients with a PC were observed without surgical treatment. All the nine patients with a pineal tumor were operated on. In indicated cases, four patients received radiation therapy and one received chemotherapy.
Conclusion Clinical significance of hemorrhagic pineal apoplexy ranges from an asymptomatic course to rapid deterioration and death. In patients with mild symptoms, observation is indicated, whereas surgical treatment is reserved for severe cases presenting with obstructive hydrocephalus and includes cerebrospinal fluid diversion, resection of apoplectic pineal lesions, or both.
History Page: Leaders in MSK Radiology
Authors: Kainberger Franz , Hahn Daniela 
Published: June 2021

AbstractRobert Kienböck (1871–1953) may be regarded as one of the first musculoskeletal radiologists who began his clinical and scientific work 2 years after the discovery of X-rays. He lent his name to Kienböck's disease, a traumatic malacia and osteonecrosis of the lunate, and to several other eponyms of diseases, devices, and parameters in radiology and radiation oncology. With his meticulous analysis of radiographic images of the highest quality, he anticipated many theories that were proposed in later decades.
Physical Examination and Ultrasound Evaluation of Patients with Superficial Venous Disease
Authors: Casadaban Leigh C. , Moriarty John M. , Hoffman Cheryl H. 
Published: June 2021

AbstractSystematic and standardized evaluation of superficial venous disease, guided by knowledge of the various clinical presentations, venous anatomy, and pathophysiology of reflux, is essential for appropriate diagnosis and optimal treatment. Duplex ultrasonography is the standard for delineating venous anatomy, detecting anatomic variants, and identifying the origin of venous insufficiency. This article reviews tools and techniques essential for physical examination and ultrasound assessment of patients with superficial venous disease.
Performance of Cornell Assessment of Pediatric Delirium Scale in Mechanically Ventilated Children
Authors: Gupta Neha , Talathi Saurabh , Woolley Allison , Wilson Stephanie , Franklin Mildred , Robbins Johanna , Colston Candice , Hayes Leslie 
Published: June 2021

AbstractAccuracy of delirium diagnosis in mechanically ventilated children is often limited by their varying developmental abilities. The purpose of this study was to examine the performance of the Cornell Assessment of Pediatric Delirium (CAPD) scale in these patients. This is a single-center, prospective, observational study of patients requiring sedation and mechanical ventilation for 2 days or more. CAPD scale was implemented in our unit for delirium screening. Each CAPD assessment was accompanied by a physician assessment using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria. Sensitivity analysis was performed to determine the best cut-off score in our target population. We also evaluated ways to improve the accuracy of this scale in patients with and without developmental delay. A total of 837 paired assessments were performed. Prevalence of delirium was 19%. Overall, CAPD score ≥ 9 had sensitivity of 81.8% and specificity of 44.8%. Among typically developed patients, the sensitivity and specificity were 76.7 and 65.4%, respectively, whereas specificity was only 16.5% for developmentally delayed patients. The best cut-off value for CAPD was 9 for typically developed children and 17 for those with developmental delay (sensitivity 74.4%, specificity 63.2%). Some CAPD questions do not apply to patients with sensory and neurocognitive deficits; upon excluding those questions, the best cut-off values were 5 for typically developed and 6 for developmentally delayed children. In mechanically ventilated patients with developmental delay, CAPD ≥ 9 led to a high false-positive rate. This emphasizes the need for either a different cut-off score or development of a delirium scale specific to this patient population.
Imaging Modalities for Evaluation of Intestinal Obstruction
Authors: Nelms David W. , Kann Brian R. 
Published: June 2021

AbstractIt is essential for the colon and rectal surgeon to understand the evaluation and management of patients with both small and large bowel obstructions. Computed tomography is usually the most appropriate and accurate diagnostic imaging modality for most suspected bowel obstructions. Additional commonly used imaging modalities include plain radiographs and contrast imaging/fluoroscopy, while less commonly utilized imaging modalities include ultrasonography and magnetic resonance imaging. Regardless of the imaging modality used, interpretation of imaging should involve a systematic, methodological approach to ensure diagnostic accuracy.
Primary Dural Repair Using Titanium Microclips Following Lateral Skull Base Surgery
Authors: Milton Camille K. , Bien Alexander G. , Krempl Greg A. , Sanclement Jose A. , Mhawej Rachad , Glenn Chad A. 
Published: June 2021

Abstract
Objective Standard techniques for primary dural repair following lateral skull base surgery are both technically challenging and time consuming without the potential for primary dural repair. Inadequate closure may result in postoperative cerebrospinal fluid (CSF) leak infectious sequalae. Traditional methods of dural repair rely on secondary obliteration of the CSF fistula. We hypothesized that the use of nonpenetrating titanium microclips may serve as a useful adjunct in primary dural repair or the establishment of an immobile repair layer following lateral skull base surgery.
Methods Here, we report a novel technique for primary dural repair using nonpenetrating titanium microclips as an adjunct to standard techniques in a series of six patients with lateral skull base pathologies.
Results A total of six consecutive lateral skull base tumor patients with titanium microclip dural reconstruction were included in our case series. Lateral skull base pathologies represented in this group included two jugular foramen schwannomas, one vestibular schwannoma, one petroclival meningioma, one glomus jugulare paraganglioma, and one jugular foramen chordoid meningioma.
Conclusion To our knowledge, this is the first report on the use of microclips in repairing dural defects following lateral skull base surgery. Surgical outcomes for this small case series suggest that dural repair of the later skull base with nonpenetrating titanium microclips is a useful adjunct in dural repair following lateral skull base surgery.
Hematological Profile of HIV-Infected Patients on First-Line Highly Active Antiretroviral Therapy and Its Correlation With CD4 Count
Authors: Princy John Jospeh Diamond , Singh Kshetrimayum Birendra , Biplab Ningthoujam , Reema Ningthoukhongjam , Boini Rajesh , Gowde Ajay 
Published: June 2021

Abstract
Introduction Human immunodeficiency virus (HIV) infection is a state of profound immunodeficiency. Disorders of hematopoietic system are a common but often overlooked complication of HIV infection. This can manifest at any stage of the disease but more commonly in the advanced stage with low CD4 count. Anemia is the most common hematological abnormality in HIV patients and prevalence ranges from 1.3 to 95%. As HIV disease progresses, the prevalence and severity of anemia also increase. Hence, this study was undertaken to assess the hematological parameters of HIV-infected patients on highly active antiretroviral therapy (HAART) at different treatment durations with the hope to improve the HAART outcome in HIV patients and its correlation with CD4 count.
Methods This prospective longitudinal study enrolled 134 HIV-infected patients admitted to or attending the OPD in the Department of Medicine or Antiretroviral Therapy (ART) Center (Center of Excellence), Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, from 2018 to 2020. Complete hemogram, CD4 count, and other related-blood investigations were studied.
Results The mean age of the study population was 39.9 ± 11.04 years. Of the 134 patients, 75 (56%) were males and 59 (44%) were females. Twelve (9%) patients had a history of injecting drug use (IDU). TLE (tenofovir, lamivudine, efavirenz) regimen was started on 112 (83.6%) patients and the majority of them (69/134 [51.5%]) had a CD4 count of 200 to 499 cells/mm3, which increased significantly 6 months after HAART to 99 to 1,149 cells/mm3, with a mean of 445 ± 217 cells/mm3. There were significant improvements in hemoglobin (Hb) levels, total leukocyte count (TLC), absolute neutrophil count (ANC), and absolute lymphocyte count (ALC) after HAART indicating a positive correlation with CD4 count (p < 0.05). Thrombocytopenia was observed higher after HAART when compared to baseline. There was a positive correlation between platelet count and CD4 count. However, the mean corpuscular volume (MCV) and erythrocyte sedimentation rate (ESR) had a negative correlation with CD4 count.
Conclusion The study inferred a strong positive correlation between CD4 and Hb levels, TLC, ANC, ALC, and platelet count after HAART with improvement in these values as CD4 count increases. Specific treatment intervention based on the changes in the immunohematological profile trends can help prevent most of the adverse effects on HIV patients in our community.
Direct Clipping of Paraclinoid Aneurysm in Conjunction with Extradural Anterior Clinoidectomy: Technical Nuance and Functional Outcome
Authors: Tsunoda Sho , Inoue Tomohiro , Takeuchi Naoko , Akabane Atsuya , Saito Nobuhito 
Published: June 2021

Abstract
Objective Because of their anatomical features, treatment for paraclinoid aneurysms has remained to be challenging. Thus, the aim of this report is to prove the validity of our surgical method for unruptured paraclinoid aneurysms, together with surgical videos.
Study Design Between August 2017 and November 2019, we were able to perform surgical clipping for 11 patients with unruptured paraclinoid aneurysm using a completely unified method. This study investigated the effect of surgery on multiple measures, including visual impairment, brain contusion, temporalis muscle atrophy, and multiple neurocognitive functions.
Results Of the 67 unruptured aneurysms treated at our hospital, 17 were identified to be paraclinoid aneurysm, and 11 of them were treated by direct clipping using anterior clinoidectomy. Three were ophthalmic artery aneurysms, three were superior hypophyseal artery aneurysms, and five were anterior carotid wall aneurysms without branch projection. Only one patient had asymptomatic mild enlargement of the Marriott blind spots postoperatively. No brain contusion and temporalis muscle atrophy were observed in any cases. Only the Trail Making test (TMT) showed a significant worsening in the acute postoperative period: mean pre- and postoperative TMT scores were 59.1 ± 29.1 and 72.7 ± 37.3 for Part A (p = 0.018) and 80.5 ± 35.5 and 93.8 ± 39.9 for Part B (p = 0.030), respectively. However, it improved in the chronic phase.
Conclusion We can conclude that our surgical method is safe and can be considered an acceptable treatment. Although surgical stress can cause temporary executive dysfunction shortly after surgery, this decline is temporary.