bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Affecting the Clinical Outcomes of Surgically Treated Ankle Fractures Associated with the Posterior Malleolar Fragment
Authors: Kuyumcu Mehmet , Bilgin Emre , Bombacı Hasan 
Published: December 2021

Background
This study was performed to determine the factors that influence the clinical outcomes of surgically treated ankle fractures associated with the posterior malleolus (PM).

Methods
We evaluated 42 fractures of 42 patients. Posterior malleolus fracture size was calculated using computed tomography. Posterior malleolar fractures with a size less than 10% were left nonfixated. The decision for larger fragments was performed using fluoroscopy following the fixation of other components. If the joint was found to be congruent, the PM was left nonfixated. Otherwise, the PM was reduced and fixated. Clinical outcomes were evaluated based on Weber, Freiburg, and American Orthopaedic Foot and Ankle Society scores. Ankle osteoarthritis was determined according to the Canadian Orthopaedic Foot and Ankle Society classification. The effect of PM fixation, age, PM fragment size, waiting period before surgery, presence of ankle dislocation, and number of injured malleoli on clinical outcomes were assessed. Statistical significance was set at a value of P < .05.

Results
The mean patients age was 48.5 ± 14.9 years (range, 20–84 years) and the mean follow-up was 23.7 ± 8.6 months (range, 12–56 months). Fixation of the PM was performed solely in 12 patients. Postoperative displacement of the PM and articular step were less than 2 mm in all fractures. Statistically significant worse outcomes were demonstrated based on functional scores in the patients with a PM size greater than or equal to 25% (P = .042, P = .038, and P = .048, respectively) and in patients aged 60 years or older (P = .005, P = .007, and P = .018, respectively). However, there was no significant difference between functional scores and the other factors. Ankle osteoarthritis was observed at a higher rate in patients with PM size greater than or equal to 25% and in patients aged 60 years or older.

Conclusions
Clinical outcomes of the patients are mainly influenced by the patient's age and PM fragment size. However, if the tibiotalar joint is congruent, comparable results can be obtained in PM fixated or nonfixated patients.
Does the Nonweightbearing Foot Position Replicate the Neutral Calcaneal Stance Position in an Adult Population?
Authors: Walker Hayley , Scharfbillig Rolf , Jones Sara 
Published: December 2021

Background
The neutral calcaneal stance position (NCSP), despite its known issues, is currently used as an “ideal” measure compared with the resting stance position in clinical podiatric medicine. The nonweightbearing (NWB) foot position, as used in the foot mobility magnitude (FMM), can provide an alternative comparative position, which is partially validated, if a significant correlation between the NCSP and the NWB position exists. This study aimed to establish the correlation between the component measures of the FMM in the NCSP and the NWB foot position of the FMM.

Methods
Eighty participants were recruited. Measures of dorsal arch height (DAH) and midfoot width (MFW) were obtained at the 50% total foot length mark in the NCSP and the NWB position by two examiners using the apparatus described by McPoil et al.

Results
Reliability analysis with intraclass correlation coefficients (ICCs) indicated intrarater results of 0.90 to 0.99 for DAH and 0.96 to 0.99 for MFW and interrater results of 0.90 for DAH and 0.96 for MFW in the NWB position. Using a Pearson product moment correlation coefficient analysis, there was a significant correlation between the NCSP and the NWB position for DAH (r = 0.82) and MFW (r = 0.86).

Conclusions
A significant correlation between the NCSP and the NWB position was evident when the measures of DAH and MFW were conducted. Therefore, clinically, the NWB position can potentially replace the NCSP as the ideal position for clinical treatment.
The Charcot Reconstruction Preoperative Prognostic Score's Evaluation with Complication Rate and Functional Outcome
Authors: Yontar Necip Selcuk , Aslan Lercan , Can Ata , Ogut Tahir 
Published: December 2021

Background
Charcot's neuroarthropathy (CN) treatment is still controversial, and the results are controversial. Owing to patient comorbidities, surgical intervention carries a high risk of complications. Thus, foreseeing the possible results of planned treatment is crucial. We retrospectively evaluated the Charcot Reconstruction Preoperative Prognostic Score (CRPPS) in patients with surgically treated CN.

Methods
Twenty-two feet of 20 patients were included in the study. Two groups were formed according to their CRPPS. Twelve patients with values less than 4 were defined as group A, and eight patients with values of 4 or greater were defined as group B. Mean follow-up was 61 months (range, 5–131 months). Groups were compared according to American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Disability Index (FADI) scores, and complication rates.

Results
Group A and B mean AOFAS scores were 76.83 (range, 71–85) and 70.5 (range, 20–85), respectively. All of the patients were improved according to AOFAS and FADI scores, but no correlation was found with the CRPPS. None of the group A patients required additional intervention, but five patients in group B underwent revision surgery. No amputations were performed.

Conclusions
The CRPPS is focused on feasibility. The data needed to fill the scoring system is easily obtainable from medical records even retrospectively, and the score is helpful to predict a patient's outcome after CN-related surgery. Herein, CRPPS values of 4 or greater were related to high complication rates and lower functional outcomes.
Toe Support Pattern as a New Predictive Factor Associated with Falls in Older People with Psychiatric Disorders
Authors: Pico Ana María Pérez , Sánchez María José Iglesias , Tejedor Félix Marcos , Acevedo Raquel Mayordomo 
Published: December 2021

Background
Maintaining autonomy is one of the principal objectives for seniors and people with psychiatric disorders. Podiatric medical care can help them maintain autonomy. This work aimed to characterize and quantify the support of the toes in a psychiatric population by analyzing the influence of psychotropic medications and toe and foot support parameters on the prevalence of falls.

Methods
We conducted a cross-sectional descriptive study in 67 participants (31 people with psychiatric disorders and 36 without diagnosed disorders [control population]). Toe support pattern was analyzed with a pressure platform. Variables were measured in static and dynamic loading and related to falls and psychotropic medication use.

Results
The psychiatric population fell more than the control population and presented less toe-ground contact in static measurements, although it has more foot-ground contact time. Maximum toe pressure during toe-off is also less intensive in the psychiatric population and is related to people who take psychotropic medications.

Conclusions
Toe support pattern could be used as a predictive factor for falls and to improve stability in these populations.
Ivan Karamazov as a Philosophical Type—but which one?
Authors: Mjør Kåre Johan 
Published: December 2021

The article analyses a set of philosophical statements made by and attributed to Ivan Karamazov in Dostoevsky's The Brothers Karamazov, in order to answer the question as to what kind of philosophy Ivan may be said to express in the novel. My close reading reveals that there is a significant distinction between, on the one hand, Ivan's most radical statements, that is his rational egoism and the idea that "everything is permitted," which are always given in reported speech, and on the other the “Ivan of direct speech,” a character characterized by far more moral sensibility (e.g. in the Pro et contra part). On the basis of these findings the article seeks to bring together two traditions in the reception of Dostoevsky—the philosophical and the narratological. By letting these approaches inform one another I suggest ways in which the structural organization of the text is itself a bearer of philosophical meaning. Moreover, the article takes seriously Bakhtin's claim that Dostoevsky's heroes are not merely stable representations of ideas, but engage with them through dialogue and encounters with others, as exemplified by Ivan Karamazov himself as well as by other characters' responses to his articulations.
Forecast of oil slick drift from Ulysse/ CSL Virginia and Grande America accidents
Authors: Daniel Pierre , Paradis Denis , Gouriou Vincent , Le Roux Anne , Garreau Pierre , Le Roux Jean-François , Louazel Stéphanie 
Published: December 2021

Abstract number 1141410
Two recent accidents with a significant oil spill occurred near the French coast. One in the Mediterranean Sea and the other in the Bay of Biscay.
On October 7, 2018, the Tunisian ro-ro vessel Ulysses collided with the Cypriot container ship CSL Virginia at anchor off northern Corsica. The spilled bunker oil could not be fully recovered by the French and Italian anti-pollution vessels due to unfavourable weather conditions. Pellets and highly viscous patties arrived on the beaches of the French Riviera on October 16, 2018. The beaching dates and locations of the main slicks were perfectly predicted using the MOTHY drift model combined with the currents of the CMEMS MED-Currents system.
On March 12, 2019, the merchant ship Grande America sank at a depth of 4600 m, 350 km off the French coast, in the Bay of Biscay. It caused a spill of bunker oil and loss of containers. The MOTHY drift model is used daily during the aerial surveillance and recovery at sea period. It provides drift forecasts for oil slicks and containers up to 3 days in deterministic mode and up to 10 days in probabilistic mode. Long-term modelling of residual diffused pollution is also carried out, in particular to manage continuous leakage from the wreck. A technical committee of experts meets daily to evaluate drift observations and forecasts. It focuses on the best choices of available ocean models. Drift forecasts did not indicate any oil arrival to the coast. This allowed the authorities to organise the response at sea without mobilising resources ashore. Indeed, no pollution was observed on the coasts.
The level of oil spill risk in Northwest Pacific and regional cooperation activities of NOWPAP MERRAC on marine pollution preparedness and response.
Authors: Kang Seong-Gil , Joung Tae Hwan , Lee Siyeon , Lee Joung-Yun , You Young 
Published: December 2021

1. ABSTRACT
The Northwest Pacific region, covering the four member states namely, People's Republic of China, Japan, Republic of Korea and Russian Federation, has been severely exposed to oil and HNS spills due to its high shipping density and high levels of industrial and economic growth and became a hotspot worldwide. Since member states are geographically close to each other, it is possible to cause transboundary issue affecting neighboring countries when oil and HNS spill incidents occur. In accordance with the need, the NOWPAP member states adopted the Regional oil and HNS spill Contingency Plan (RCP) in 2008, which provides the technical and operational framework for regional cooperation on major spill accidents, is a major achievements among the various regional cooperation activities. This was the first agenda actually adopted in the NOWPAP region and shows a national level of cooperation to protect the marine and coastal environment of the region. Particularly, to enhance the response capacities under the RCP, since 2006, member states jointly conduct oil and HNS spill response exercises (DELTA exercise) biannually, mobilizing actual response resources from the member states in a rotational basis. The 7th NOWPAP DELTA exercise was organized by Japan and Russia in Maizuru city, Japan (Oct. 2018). In addition to this, 19 communication exercises (BRAVO exercise) have also been implemented to test joint operational response procedures and associated communication tools in case of major spills. To further facilitate the exchange of information on marine pollution and preparedness in the region, MERRAC developed and operates the online pollution reporting system (POLREP) since 2015, which enables real-time exchange of information not only with the emails and fax but also through personal mobile phones of competent national authorities of member states. During the Sanchi spill incident (Jan 2018), the member states and MERRAC exchanged almost 300 notifications through POLREP concerning the location and trajectory of the spill and response operations. Furthermore, Member states exchange information on their national policies and response resources and has been building regional cooperation to strengthen its capabilities. In order to establish and maintain such regional cooperation system, MERRAC has been holding Focal Points meetings every year and Expert meetings every two years to exchange information on oil and HNS spill preparedness and response and implement Specific projects for various purposes by the national experts from the member states. In this presentation, we will review the oil and HNS risk levels in the NOWPAP region and examine the various cooperative activities and achievements and discuss the future prospects which MERRAC should go in through.
Towards Transparency in Oil Spill Management in Africa: Nigeria As A Case Study
Authors: *Ekperusi Abraham O. , Ekperusi Omesiri H. 
Published: December 2021

ABSTRACT (684687)
Oil spill is an inevitable occurrence in the production, transportation and processing of crude oil. Either in drilling platforms, oil tankers and interstate pipelines, oil spill incidence can occur, no matter the safeguard and precautionary practices in the oil and gas industry. Despite significant improvement over the years in oil spill prevention, preparedness, response, and restoration, oil spill management remains one of the most controversial issues across the world. In many developing countries including Nigeria, the management of oil spill is poorly coordinated, complicated and lacks transparency between the oil industry, spill contractors, regulators, environmental agencies, affected communities and other interested parties. From decision making to mobilization, post-impact assessment, spill response and mitigative approaches, there is a high level of laxity, mistrust, opacity and deliberate misinformation in dealing with oil spill issues. These practices in the oil industry is supported by a weak institutional and regulatory framework which affects the management of oil spill. Such lapses are creating a delicate system leading to the degradation of the natural environment, threatening ecological life support systems for biodiversity and indigenous people. There is a need for a comprehensive overhaul in oil spill practices and to adopt global best practices for oil spill management in developing regions of the world including Nigeria.
Massachusetts DEP Marine Oil Spill Prevention and Response Program: Geographic Response Plan Development, Testing, and Training Program
Authors: Hutcheson Julie , Popovich Mike , Packard Rich 
Published: December 2021

ABSTRACT
This program reached a milestone in 2018 which marked the tenth consecutive year of conducting training and exercises. The MassDEP GRP Field Testing and First Responder Training began in 2009 and since then, 66 field exercises have been conducted throughout coastal Massachusetts with over 1,700 first responders trained to date. Beyond the obvious enhancement of overall response capability and capacity at the local, state and federal levels, this long-term HSEEP-compliant training and exercise program has resulted in numerous improvements in both intra and inter-town operational coordination and communication, as well as enhancements to the pre-positioned equipment caches and training delivery and content.
Oil Spill Response in Remote Inland Locations
Authors: Dyer Nick 
Published: December 2021

Abstract
There are many factors that contribute to the complexity of co-ordinating effective oil spill response in remote locations. This poster will focuses on the complexities associated with unique risks encountered in remote locations, with an emphasis on water resources.
The hydrogeological setting must be understood if oil spill response organisations (OSRO) are to co-ordinate a response that affords the environment and local populations the best level of protection.
The relationship between communities and their environment should be clearly understood as part of preparedness work. This will facilitate the implementation of a suitable and timely response with pre-defined ‘end-points’.
High Viscosity Land Based Oil Flow Model
Authors: Mendelsohn Daniel , Comerma Eric , Bernardo Matt , Fontenault Jeremy , Baboolal Sitara 
Published: December 2021

ABSTRACT
Highly viscous oil does not behave the same as other regular liquid hydrocarbon mixtures. To evaluate the effects of a potential land-based blowout on the surrounding environment, RPS implemented a multi-step approach to simulate the trajectory and fate of high viscosity oil downslope flow. If spilled on land, initially warm oil cools and tends to gel, implying a non-Newtonian flow. To predict the behavior of high viscosity oil as it flows downslope, spreads and cools, RPS developed a new unique land-based spill model. The behavior of highly viscous crude oil has many similarities to volcanic lava flows, particularly the stark changes in oil viscosity and shear stress as the fluid cools. This study describes a “lava” flow numerical model developed to simulate the response of high viscosity oils.
The viscous flow model is based on the lava model of Griffiths (2000) which simulates the unconfined motion of a Bingham fluid down a plane of constant slope. The model allows all physical and chemical parameters to vary continuously downslope. The lateral flow is assumed to cease when the cross-slope pressure gradient is balanced by the basal-yield stress also giving the height of the flow (H) on the center line of the flow as a function of shear stress. For oil flow motion the downslope pressure gradient must be greater than the oil shear stress and hence there is a critical height, based on the local oil shear stress and slope, below which there will be no downslope motion. An atmospheric heat transfer equation was applied to the oil surface as the surface boundary condition.
The model was applied to a hypothetical on land release of highly viscous oil in a one-dimensional, downslope form, where the ground slope was assumed constant along the flow path. As the oil progresses downslope, its temperature was updated each time step in each cell and used to calculate new oil properties for density, specific heat, viscosity, and shear stress. The model results provide information about the rate and total distance travelled and time for the downslope flow to stop.
Communicating Internally and Externally during a Response: Life's Lessons Over 32+ years…
Authors: Levine Ed 
Published: December 2021

ABSTRACT
The author has served over 32 years with the National Oceanic and Atmospheric Administration (NOAA) first in the role of Scientific Support Coordinator (SSC) for 28 years and then as a supervisor of SSCs for five years. During this period, he participation in hundreds of actual emergency response events and exercises. He had numerous opportunities to witness both effective and not-so-effective methods of communicating, within a command post situation with other responders and incident command staff, and externally with the general public and media. The effective delivery of a message is greatly affected by circumstances under which you are operating, with whom you are talking, the information or message you are conveying, and the situation surrounding the event. Over many years, the author has gained practical experience through a variety of learning opportunities including professional development programs and on-the-job. His insights on effective communications are provided in this paper to show how messages can be delivered effectively, heard clearly and understood. Practical “tips,” best practices, anecdotes, and concrete examples will be shared to help ensure your message is heard and understood. The author provides examples drawn from actual incidents including the Deepwater Horizon, MT Heibi Spirit, TS Athos I, as well as exercises including PREPs, EcoCanal, and SONS. In addition to these incidents, exercises and drills, the author has continued to expand his knowledge through classes presented by leading subject matter experts involved with the Alan Alda Center for Communicating Science, National Academy of Science, US Coast Guard, and NOAA.
The Biodegradation of Dispersed Oil Does Not Induce Toxicity
Authors: Prince Roger C. , Hedgpeth Bryan M. , Redman Aaron D. , Butler Josh D. 
Published: December 2021

ABSTRACT
The acute toxicity of dispersed oil is well understood, and oil dilutes to levels below those of acute concern within hours of dispersion whether oil is dispersed by waves or by lower energy turbulence in the presence of chemical dispersants. Once dispersed, the hydrocarbon components of the spilled oil are degraded promptly by the native microbes in seawater, typically with an apparent half-life of 7–30 days even under Arctic conditions. Nevertheless, concern has been raised that this biodegradation might increase the oil's acute toxicity by generating and releasing toxic by-products. We show here, using Americamysis bahia as the test species, that this does not occur when dispersed oil is present at environmentally-relevant concentrations (initially 3 ppm oil dispersed with Corexit 9500 at a dispersant to oil ratio of 1:20). The guidelines for this toxicity test mandate a temperature of 26 ± 1C, rather warmer than the temperature of collection of the seawater from the New Jersey shore that we used as our experimental medium, so it is not surprising that biodegradation was especially rapid with a half-life for the loss of detectable hydrocarbons of approximately 4 days. We conducted sequential 4-day acute toxicity tests for 20 days, by which time the indigenous microorganisms had removed almost 80% of the detectable hydrocarbons in the lightly weathered crude oil. We saw no mortality in any of the five sequential tests.