bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Management of Cancer Symptoms and Treatment-Induced Side Effects With Cannabis or Cannabinoids
Authors: Sexton Michelle , Garcia Jose M , Jatoi Aminah , Clark Carey S , Wallace Mark S 
Published: September 2021

Abstract
Cannabis and cannabinoids are increasingly being accessed and used by patients with advanced cancer for various symptoms and general quality of life. Specific symptoms of pain, nausea and vomiting, loss of appetite and cachexia, anxiety, sleep disturbance, and medical trauma are among those that have prompted patients with cancer to use cannabis. This conference report from the National Cancer Institute’s “Cannabis, Cannabinoid and Cancer Research Symposium” on the topic of “Cancer Symptom/Treatment Side Effect Management” is an expert perspective of cannabis intervention for cancer and cancer treatment-related symptoms. The purpose of the symposium was to identify research gaps, describe the need for high-quality randomized prospective studies of medical cannabis for palliative care in patients with cancer, and evaluate the impact of medical cannabis on cancer survivors’ quality of life. Further, education of clinicians and affiliated health-care providers in guiding cancer patients in using cannabis for cancer care would benefit patients. Together, these steps will further aid in refining the use of cannabis and cannabinoids for symptom palliation and improve safety and efficacy for patients.
An Equivocal or Unequivocal Bar for Determining Consent to Jurisdiction
Authors: Kunoy Bjørn 
Published: September 2021

Abstract
The legal consequence of the principle of sovereign equality is the fact that the jurisdiction of international courts and tribunals in inter-State disputes is contingent on consent of the disputing States. Consent to jurisdiction may be expressed in different forms but requires in each instance the demonstration of unequivocal acceptance of consent. The case law is abundant on and under which circumstances consent can be considered present. Interestingly, the criteria that are set forward in the case law appear to present two different standards for determining whether consent to jurisdiction has been expressed. This arises unequivocally in the English and French texts of the relevant judicial decisions.
Tenure through Tyranny? Repression, Dissent, and Leader Removal in Africa and Latin America, 1990–2006
Authors: Davenport Christian , RezaeeDaryakenari Babak , Wood Reed M 
Published: September 2021

AbstractWith few exceptions, prior research on leadership survival focuses largely on state institutional characteristics or economic context. We shift this orientation by explicitly considering the important role contentious interactions between the incumbent regime and dissident actors play in determining the duration of leader tenure as well as the manner in which a leader is removed. Specifically, we focus on the severity of the incumbent leader's response to dissident challenges. We contend that the severity of this response represents a critical signal which informs the decisions of specific audiences that ultimately determine the incumbent's survival. To evaluate our argument, we employ detailed information on dissent–repression dynamics and leader survival for a leader-month sample of 69 African and Latin American states between 1990 and 2006. Our results suggest that incumbents are vulnerable to coup d’ état when government repression is perceived as weaker than would normally be expected for a given challenge. By contrast, removal via revolution becomes increasingly likely when repression dramatically exceeds the levels that would normally be warranted given the extant challenge.
Evidentiality in Abductive Reasoning: Experimental Support for a Modal Analysis of Evidentials
Authors: Smirnova Anastasia 
Published: September 2021

AbstractThis paper presents results from two experimental studies that address a theoretical debate in semantics about the meaning of evidentiality and its relation to epistemic modality (Faller 2002; 2011; Izvorski 1997; Koev 2017; Lee 2013; Matthewson et al. 2007; McCready & Ogata 2007; Murray 2010; Smirnova 2013). According to modal analyses, evidentiality, in addition to the information source, encodes that the proposition in the scope of the evidential is possibly/necessarily true. Non-modal analyses postulate that evidential sentences entail the proposition in their scope and have the same semantic strength as non-evidential sentences. The predictions of the two approaches are tested for Bulgarian. In Study 1, I hold knowledge source—inference—constant and vary the type of logical argument, deductive versus abductive (cf. Lassiter & Goodman 2015; Douven & Verbrugge 2010). I find that evidential choices are influenced by both the type of the argument and the perceived subjective strength of the argument. In Study 2, I show that evidential and non-evidential sentences are associated with different degrees of certainty, where certainty can be viewed as an operationalization of semantic strength. These results are predicted by modal analyses but not by the non-modal view.
The structural characteristics and climatic and human impacts of deciduous oak forests in China
Authors: Chen Guoping , Cai Qiong , Fang Wenjing , Feng Yuhao , Zhu Jiangling , Ji Chengjun , Tang Zhiyao , Fang Jingyun 
Published: September 2021

AbstractDeciduous oak forest is one of the typical vegetation types in temperate and subtropical mountain zones in China. However, the patterns and determinants of the structural characteristics of these forests remain poorly understood. We investigated 682 oak forest plots across China to characterize the community structures of the oak forests and analyze the underlying factors controlling their spatial patterns. Across all plots, the overall mean values were 13.7 cm, 10.0 m, 1468 stems/ha and 24.3 m2/ha for the diameter at breast height (DBH), height, stem density and total basal area (TBA) of trees, respectively. The average species richness was 6 species/600 m2, 10 species/100 m2 and 4 species/1 m2 for the tree, shrub and herb layers, respectively. As latitude increased, the mean tree height, stem density, TBA, tree species richness and shrub species richness decreased, and the mean DBH did not show a significant trend, while species richness of herbs increased significantly. Climatic and anthropogenic variables could explain more variations in mean DBH, mean tree height, TBA, tree species richness, shrub species richness than those in stem density and herb species richness. Further analysis showed that precipitation-related climatic factors were major factors shaping the spatial patterns of community structures. Our findings provide a basis for recognizing the biogeographic patterns of oak forest structures and their responses to global change in China.
Life after violence in North India: Islamic relief organizations and transactional relationships in a plural humanitarian space
Authors: Larouche Catherine 
Published: September 2021

AbstractReligious humanitarianism is often closely scrutinized, as it is either viewed as exerting a positive influence in post-conflict contexts—through peace-building and sense-making—or a negative one—through proselytism and division. This article contends that both these (negative and positive) perspectives on the role played by religious organizations overemphasize, to a certain extent, their transformative power in post-conflict contexts, at least in the short term. Based on ethnographic fieldwork with both Islamic and non-confessional humanitarian organizations supporting internally displaced people—victims of anti-Muslim violence in Muzaffarnagar, India—I suggest that the inherent plurality and competitive dimension of the humanitarian field leads to a form of transactional relationship between displaced people and organizations and tends to reduce the importance of ideological differences between organizations. Paying attention to this particularity of the humanitarian field and how displaced people deal with it can provide us with a better understanding of the actual influence of religious humanitarianism in post-conflict contexts.
How Does Multi-Level Governance Create Capacity to Address Refugee Needs, and with What Limitations? An Analysis of Municipal Responses to Syrian Refugees in Istanbul
Authors: Polat Rabia Karakaya , Lowndes Vivien 
Published: September 2021

Abstract
A multi-level governance (MLG) framework is used to investigate how municipalities in Turkey have coped with the arrival of 3.6 million Syrians amid limited resources, an ambiguous legal framework, and changing national policy priorities. Qualitative research in Istanbul, which hosts the largest number of refugees, shows how municipalities have generated capacity by working with actors at other governance levels and in non-governmental spaces, via formal and informal networks. MLG arrangements did not however imply the retreat of a powerful central state. Rather, they were decisively influenced by existing power relations and governing traditions, specifically a strong state, weak local government, and mistrust of civil society. The research illuminates the complex, and sometimes surprising, relationships between tiers and spheres of governance in shaping local responses to refugee needs. The research demonstrates the explanatory power of MLG in a highly centralized unitary state, outside of the democratic (and mostly federal) contexts where it is usually applied.
Rapidly growing sclerosing angiomatoid nodular transformation of the spleen
Authors: Sohail Amir Humza , Eze Anthony , Sohail Sachal , Hadi Yousaf Bashir , Haider Zishan , Maurer James 
Published: September 2021

Abstract
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is a rare benign vascular lesion with unknown pathogenesis and no definitive pathognomonic radiological features. The majority of patients with SANT are asymptomatic, and the lesion is an incidental finding on cross-sectional imaging performed for unrelated reasons or during intra-abdominal surgery. However, in the symptomatic minority, abdominal pain is the most commonly reported symptom. SANT generally remains stable or has very slow growth, making it amenable to surveillance using serial cross-sectional imaging. Herein, we report the unusual case of SANT in a 30-year-old female with rapid growth from 6.0 × 5.6 × 4.4 cm to 8.0 × 6.6 × 7.2 cm over 21 months. Given the rapid growth, it was imperative to rule out malignancy. Thus, the patient underwent a laparoscopic total splenectomy. For SANT, splenectomy serves the dual purpose of diagnosis and definitive therapy.
Laparoscopic management of strangulated paracaecal hernia causing small bowel obstruction. Case report and review of the literature
Authors: Al-Ardah Mahmoud , Sisodia Heena , Rottenburg Hannah , Clarke Michael 
Published: September 2021

Abstract
Paracaecal hernia is a rare type of internal hernia usually presenting with a picture of small bowel obstruction. In this report we present a 68-year-old woman who was admitted with colicky lower abdominal pain, vomiting and abdominal distention. A computed tomography scan of her abdomen and pelvis demonstrated multiple dilated small bowel loops with a transition point in the right iliac fossa. After a trial of conservative treatment, the patient was taken to theatre where she underwent laparoscopic reduction of a strangulated paracaecal hernia. The patient had an uneventful post-operative recovery and was discharged home.
Despite being a rare cause for small intestinal obstruction, this should be part of the differential diagnosis especially in the absence of previous abdominal operations. Early recognition and prompt surgical treatment is the key to prevent complications. A laparoscopic approach is feasible if expertise is available.
Delayed mesh infection after inguinal hernia repair: a case report
Authors: Ito Homare , Matsumoto Kenji , Terauchi Toshiaki , Kimata Masaru , Lefor Alan Kawarai , Shinozaki Hiroharu 
Published: September 2021

Abstract
Delayed deep mesh infection is a rare complication and the precise mechanism of its development is unknown. We report a case of delayed deep mesh infection after inguinal hernia repair. A 65-year-old man was admitted for treatment of colon cancer. He had a history of bilateral hernioplasty repaired with mesh-plugs 6 years previously. Fluorine-18 fluorodeoxyglucose positron emission tomographic scan showed positive findings in the right inguinal region similar to cancer. He had no complaints or findings to suspect mesh infection. Postoperative computed tomography scan over time revealed a fluid collection with inflammation. Eleven years after hernia repair, the patient presented with inflammation in the right inguinal region and emergency operation was performed. An abscess cavity was found and the mesh-plug covered with granulation tissue was removed. The patient remains free of recurrence of inguinal hernia or inflammatory changes after 3 years of follow-up.
Surgical management of spinal tuberculosis with a two-stage posterior instrumentation with bridging: a case report
Authors: Konbaz Faisal Mohammedsaleh , Alassiri Suhail Saad , Al Eissa Sami Ibrahim , Abaalkhail Majed Salah , Khdary Hassan Nezar , Albuijan Abdulrahman Khalid 
Published: September 2021

Abstract
Tuberculosis (TB) affects millions of people every year. Spinal TB is a common extrapulmonary manifestation of the disease. Spinal TB can be devastating and carries an unfortunate outcome. Herein, we present an atypical spinal TB that was treated initially based on intraoperative cultures with posterior decompression and instrumentation of T11–L3 with directed antibiotic therapy. Recurrence of the lesion and failure of instrumentation necessitated further investigation and intervention 1 year later. Using a two-stage surgical procedure leaving the infected spine to heal first with directed anti-TB medications. The patient was managed using posterior instrumentation with bridging from T5 to the pelvis, spanning the destructed area and utilizing a bridging technique with multiple rod constructs across the infected spine. Here, we present the benefit of using the bridging technique to promote bone healing and achieve a solid fixation.
A delayed diagnosis of obturator hernia hoodwinked by previous laparoscopic inguinal hernia repair
Authors: Mercado Melanie , Diab Jason , Loi Ken 
Published: September 2021

Abstract
Obturator hernia is a rare and diagnostically challenging type of pelvic hernia with associated high morbidity and mortality. It is frequently seen in frail, elderly female multiparous patients with non-specific symptoms and signs that may be clouded by multiple gastrointestinal or musculoskeletal comorbidities. This report discusses the case of an 84-year-old woman with refractory groin pain and previous laparoscopic inguinal hernia repair that was misdiagnosed leading to a delayed diagnosis and mortality. Previous laparoscopic repair was a misleading factor that hoodwinked clinicians and surgeons until computed tomography (CT) imaging proved otherwise. In emaciated, elderly female patients presenting with non-specific abdominal or hip pain, early CT imaging can assist in diagnosis when signs or symptoms are unclear. Clinical vigilance and serial examination are important in elderly patients who are often under the care of geriatricians allowing early discovery and treatment of this hernia.
Solitary pleural tuberculoma diagnosed by thoracoscopic surgical resection
Authors: Sumiya Ryusuke , Nagasaka Satoshi , Ikeda Takeshi , Miyazaki Hideki 
Published: September 2021

Abstract
Tuberculoma is a manifestation of pleural tuberculosis. Although the clinical manifestation of tuberculoma has been widely reported, the pathogenesis of this condition still remains unclear. An abnormal shadow was detected on the chest radiograph of a 44-year-old man with a history of pulmonary tuberculosis. Computed tomography revealed a well-defined, elliptical 44 mm nodule located in the right posterior thoracic cavity. Thoracoscopic surgery was performed to rule out malignant tumors. Although loose adhesions were observed throughout the thoracic cavity, a nodule was found between the visceral pleura and parietal pleura. En bloc resection was performed, and the patient was pathologically diagnosed with tuberculoma. An acid-fast bacterium culture was negative, and the patient’s recovery was uneventful without chemotherapy. Surgical resection should be considered to rule out malignancy, because tuberculomas are difficult to distinguish from malignant pleural tumors.
Single-session laparoscopic cystectomy and nephroureterectomy: is it real and useful choice of treatment or fiction?
Authors: Baio Raffaele , Molisso Giovanni , Pane Alessandro , Di Mauro Umberto , Intilla Oliviero , Sanseverino Roberto 
Published: September 2021

Abstract
Patients with recurrent high grade and/or muscle-invasive bladder cancer and concomitant upper urinary tract disease, e.g. urothelial tumors or afunctional hydronephrotic kidneys, may be candidates for simultaneous laparoscopic cystectomy and nephroureterectomy. So, such patients, especially when affected by multiple comorbidities, can benefit from the avoidance of extended laparotomy. We report our experience with simultaneous laparoscopic radical cystectomy and right nephroureterectomy in a 67-year-old-male patient affected by recurrent polyfocal high grade bladder cancer and an associated right upper tract carcinoma. This laparoscopic approach was technically successful without the need for conversion to open surgery. More than a year after the surgery, the patient is still alive, showing no tumor relapse of at the established instrumental controls. This laparoscopic approach, performed in a single session, can be safe and feasible in selected cases as an alternative approach to the open surgery, offering good oncological and functional results.
A comparison of transhepatic versus transperitoneal cholecystostomy for acute calculous cholecystitis: a 5-year experience
Authors: Bennett Stephen , Shaida Nadeem , Godfrey Edmund , Safranek Peter , O’Neill J Robert 
Published: September 2021

Abstract
Percutaneous cholecystostomy is a treatment for acute calculous cholecystitis used in patients where surgery is high risk or challenging either to allow for surgical optimisation or as definitive treatment. In this case series we compare the outcomes of a transhepatic versus transperitoneal approach in patients undergoing percutaneous cholecystostomy for acute calculous cholecystitis. A retrospective review of patients from 2014 to 2019 was conducted and included demographics, percutaneous cholecystostomy route, complications and outcome. Fifty-one patients were included. Percutaneous cholecystostomy was placed transhepatically in 15 cases; transperitoneal in 30 cases; 6 cases had undetermined route. The transhepatic cohort had 43.5% fewer readmissions due to biliary sepsis, 32.5% fewer drain-related complications, and were less likely to require further treatment (32.5% reduction) compared to the transperitoneal cohort. In our experience, the transhepatic route is preferred due to fewer complications, fewer readmissions and a reduction in the need for further treatment.
Chylous ascites as a marker for intestinal viability in a small bowel obstruction: a case report
Authors: Morosin Tia , De Robles M Shella 
Published: September 2021

Abstract
Chylous ascites (CA) is the uncommon extravasation of triglyceride-rich fluid into the abdominal cavity as a result of the disruption of the abdominal lymphatic system. A patient who had previously undergone a subtotal colectomy presented with a closed-loop small bowel obstruction (SBO), underwent an emergency laparotomy with adhesiolysis and had intra-operative findings of milky intra-abdominal free fluid confirmed on analysis as CA. His post-operative period was complicated by a prolonged ileus, and following resolution, he was subsequently discharged home. Here, we present a case of a closed-loop SBO in which CA may be an indicator of intestinal viability.
Small lymphocytic lymphoma and lung malignancy coincidence in a male patient: a case report and literature review
Authors: Kakos Christos D , Geropoulos Georgios , Loufopoulos Ioannis , Martzivanou Eirini , Nicolae Robert , Khiroya Reena , Panagiotopoulos Nikolaos , Mitsos Sofoklis 
Published: September 2021

Abstract
Lung carcinoma management secondary to chronic lymphocytic leukemia could be quite challenging. We report a case of a 60-year-old male with several co-morbidities, who presented with shortness of breath and persistent cough. A chest imaging showed a right pleural effusion and complete white-out of the right chest cavity. A computed tomography scan revealed consolidation of the right upper lobe with a 6-cm lesion in hilum with complete occlusion of right lobe bronchus. The patient underwent a video-assisted thoracoscopic surgery, drainage of pleural effusion and pleural and lung biopsy. Talc pleurodesis as well as a flexible bronchoscopy of the endobronchial lesion was performed. Histopathological examination showed a small B-cell lymphoma of the right pleura and an invasive non-small cell carcinoma of the right lung. Dual neoplasms are challenging in terms of diagnosing, and they usually require a multidisciplinary team for the right treatment strategy, including surgery and chemotherapy.
Case report of ureteric transection of lower moiety in high-speed road traffic collision
Authors: McCorgray Carol-Ann , Ragupathy Senthil , Beaumont Alexander , El Mokadem Ismail , Khadhouri Sinan , Athanasiadis Grigorios 
Published: September 2021

Abstract
Ureteric injuries from blunt trauma are rare in adults requiring prompt diagnosis and management. To our knowledge this is the second case report of a complete transection of the ureter due to blunt injury at the pelvi-ureteric junction in an adult. Following a high-speed road traffic collision, a 26-year-old female with bilateral duplex kidneys was admitted with complete transection of the lower moiety of her right collecting system confirmed on computed tomography Urogram. This was repaired successfully with a minimally invasive laparoscopic technique in keeping with European Association of Urology guidelines. A 3-month follow-up MAG 3 renogram indicated adequate drainage from the right kidney with no evidence of obstruction. This successful outcome demonstrates a laparoscopic repair is achievable and favourable, improving post-operative recovery and reduction of inpatient length of stay. We recommend that a laparoscopic approach should be attempted unless laparotomy is indicated for other injuries.
Colonic leiomyoma mimicking a liver tumor: an unusual diagnosis after en-block robotic resection
Authors: Dreifuss Nicolás H , Mangano Alberto , Aguiluz Gabriela , Mehta Vikas , Koppe Sean , Berkelhammer Charles , Giulianotti Pier C 
Published: September 2021

Abstract
Colonic leiomyomas are rare. Their clinical presentation ranges from asymptomatic polyps detected on endoscopy to large symptomatic abdominopelvic masses. Imaging findings are usually non-specific, and percutaneous biopsy might help with differential diagnosis. However, radical surgery with negative margins is ultimately needed to rule out malignancy. We describe an uncommon presentation of a colonic leiomyoma mimicking a right hepatic lobe tumor on preoperative imaging. The robotic approach allowed a precise abdominal exploration with confirmation of colonic and hepatic infiltration and subsequent oncological en-block resection. Surgeons operating on hepatic tumors close to the right colic flexure should be aware of this diagnosis.