bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden
Authors: Sato Kenji , Otaka Eri , Ozaki Kenichi , Shiramoto Kenta , Narukawa Rie , Kamiya Takeshi , Kamiya Masaki , Shimotori Daiki , Kamizato Chiaki , Itoh Naoki , Kagaya Hitoshi , Kondo Izumi 
Published: December 2024

Background
Home-based rehabilitation involves professional rehabilitation care and guidance offered by physical, occupational, and speech therapists to patients in their homes to help them recuperate in a familiar living environment. The effects on the patient’s motor function and activities of daily living (ADLs), and caregiver burden for community-dwelling patients are well-documented; however, little is known about the immediate benefits in patients discharged from the hospital. Therefore, we examined the effects of continuous home-based rehabilitation immediately after discharge to patients who received intensive rehabilitation during hospitalization.

Methods
We retrospectively reviewed 150 patients [mean (standard deviation, SD) = 81 (9) years] discharged from the convalescent rehabilitation and community-based integrated care wards undergoing tailored home-based rehabilitation for 6 months (provided by physical or occupational therapists: 1–2 sessions of 40–60 min each per week). The outcome measures at baseline and after 3 and 6 months were compared.

Results
The participants included in this study had orthopedic (n = 76), cerebrovascular (n = 50), neuromuscular (n = 11), cardiovascular (n = 5), respiratory (n = 3), cancer (n = 3) and other diseases (n = 2). The mean (SD) time from discharge to the start of rehabilitation was 4 (4) days. One-way analysis of variance and post-hoc comparisons showed significant improvements at 3 months from baseline in grip strength (p = 0.002), 5-repetition sit-to-stand test (p < 0.001), Standing test for Imbalance and Disequilibrium test (p = 0.025), Functional Independence Measure (p < 0.001), modified Frenchay Activities Index (p < 0.001). Additionally, a statistically significant improvement was observed in the Japanese Zarit Caregiver Burden Interview score at 6 months from baseline (p < 0.001).

Conclusions
Home-based rehabilitation improves motor function, ADLs, and instrumental ADLs even after intensive inpatient rehabilitation and decreases the burden of the caregiver in the long term. Hence, tailored home-based rehabilitation should be continuously implemented after the completion of intensive inpatient rehabilitation.
Small-Bowel Metastatic Melanoma From Primary Mucosal Melanoma of the Anus: A Comprehensive Case Report
Authors: Gomez Pons Andrea , Lukens Frank J. , Osagiede Osayande 
Published: December 2024

ABSTRACT
Anorectal mucosal melanoma (ARMM) is exceptionally rare, highly malignant, and characterized by a poor prognosis. We present the case of a 76-year-old woman with ARMM and recurrent gastrointestinal (GI) bleeding/anemia caused by small-bowel metastases, which was successfully managed with laparoscopic resection. ARMM is an aggressive type of cancer that has the potential to metastasize to the GI tract approximately 4.5 years after the primary diagnosis. Intussusception and GI bleed are potential complications. Small-bowel metastatic melanoma typically goes undiagnosed until autopsy and requires a multidisciplinary approach. Key treatment options include surgery and immunotherapy to improve patient outcomes.
Severe Diffuse Ulcerative Esophagitis Caused by Epstein-Barr Virus/Cytomegalovirus Coinfection in an Immunocompetent Individual
Authors: Mathur Kartikeya , Birda Chhagan Lal , Singh Satyam Kumar , Uppuv Vvienodd , Kashyap Shubham , Agarwal Ashish 
Published: December 2024

ABSTRACT
Cytomegalovirus (CMV) and Epstein-Barr virus (EBV) are important causes of viral esophagitis mainly in immunocompromised individuals. Both viruses lead to development of focal ulcerations in the esophagus. While there have been rare case reports of esophagitis in immunocompetent individuals, there has not been a single reported case of coinfection with both CMV and EBV in an immunocompetent individual and presenting with diffuse esophageal ulceration. We report a case of severe diffuse ulcerative esophagitis caused by EBV/CMV coinfection in an immunocompetent individual.
Matrix Representation of Generalized Quadranacci Number Sequences
Authors: Verma K. L. 
Published: December 2024

In this paper, we present a matrix representation for the generalized Quadranacci number sequence, defined by the 4th-order generalized recurrence relation, initial terms , and constant coefficients , The parameters , and are arbitrarily chosen real numbers. Fundamental results based on this definition are established in general symbolic form. A generalized companion matrix, associated with the recurrence relation, is introduced to analyze the properties of Quadranacci numbers. Subsequently, is derived in a generalized form, enabling the application of matrix techniques to study the properties of Quadranacci number sequences. By appropriately specifying the initial values, and the constant coefficients,, several existing results are shown to be special cases of the derived results. Moreover, all the results obtained are implicitly applicable to the generalized Tribonacci and Fibonacci sequences, which are governed by lower-order recurrence relations.
Improving Time to Completion of Medical Student Clerkship Evaluations
Authors: Veters Michelle D. , May Brian , Wu Chang L. , Schmit Erinn O. , Berger Stephanie 
Published: December 2024

BACKGROUND AND OBJECTIVES
Medical student clinical clerkship evaluations provide feedback for growth and contribute to the clerkship grade and the student’s residency application. Their importance is expected to increase even more with the recent change of the US Medical Licensing Examination Step 1 to a pass/fail designation. Timely completion of medical student clerkship evaluations is a problem. In this study, the authors aimed to increase the percentage of student evaluations completed by pediatric hospital medicine physicians within 14 days of assignment from 45% to 75% or greater using quality improvement (QI) methodology over a 1-year period (January through December 2021).

METHODS
The evaluation program generated reports every 2 months. Control charts were used to analyze the data. Plan-Do-Study-Act cycles were performed. Interventions included education, baseline data knowledge, gamification, standardization, quarterly data updates, and weekly announcement of incomplete evaluations. Balancing measures included word count of narrative comments in the evaluation and percentage of clinical honors awarded.

RESULTS
Intervention implementation was associated with special cause variation of the primary outcome, with the average timely completion rate increasing from a baseline of 45% to 79%, which remained consistent during the 8-month sustainment period. Word count of narrative comments and percentage of honors designation had no special cause variation or shifts.

CONCLUSIONS
Using QI methods, timely completion of medical student clerkship evaluations was improved through several interventions, including weekly announcements of incomplete evaluations and gamification with quarterly recognition awards. QI methodology is an effective and practical way to improve timely completion of medical student clerkship evaluations.
Perpetuation of Colonialism, Resistance by Pueblos Originarios and Maya Women
Authors: Chirix García Emma Delfina 
Published: December 2024

Abstract
In this essay, Emma Chirix discusses historical and contemporary dynamics informing coloniality and the exclusion of Maya women from knowledge production, grounded in the specific example of Iximulew (Guatemala). Chirix takes up the ways in which colonial history, the state, educational institutions, and movements such as white feminism reproduce extractive practices at both material and epistemic levels. Preceded by a translator's note that situates the essay within the broader scope of the author's work, this essay serves as a vital resource for educators, students, and scholars in the global North. It invites critical reflection on the implications for higher education and advanced research.
This is an English language translation of “La perpetuación del colonialismo, la resistencia de los pueblos y de las mujeres mayas” a plenary address delivered at the XI Congreso Internacional Mayistas “Tradiciones y Reelaboraciones” in Chetumal, Quintana Roo, on June 27, 2019, and later published online by Divergencia Colectiva on November 29, 2022. Dr. Ignacio Carvajal Regidor prepared this translation. Permission was granted by Dr. Emma Delfina Chirix.
Anterior cruciate ligament reconstruction using peroneus longus tendon auto-graft: functional results
Authors: Khamis Ahmed Refaat , Aziz Mohamed Tarek Abdel , El Sayed Magdy Mohamed , Baky Mohamed Ahmed Abdel 
Published: December 2024

Background: The peroneus longus tendon is a promising autograft alternative to the others tendons in ACL reconstruction. It offers the advantages of being expendable, having adequate length and strength, sparing morbidity from other donor sites, and allows early rehabilitation.
Methods: The study was on 30 patients with isolated ACL complete tear treated by arthroscopic reconstruction using the PL tendon in Benha university hospital in the period from July 2022 till June 2023. The patients were assessed pre-operatively and post-operatively with the IKDC score and clinical tests of instability. The ankle was also assessed pre-operatively and post-operatively though AOFAS and clinical tests of instability. Patients were followed up for 12 months.
Results: The age of patients was 18-45 years. The preoperative IKDC score ranged 49-72 with a mean SD of±14.02. The post-operative IKDC score ranged 89-100 with a mean SD of±3.5 showing marked improvement of knee function with 93.3% of patients regained normal knee function. The pre-operative AOFAS score ranged 99-100 with a mean SD of±0.16 and the post-operative score ranged 89-100 with a mean SD of±3.5 denoting minimal affection of ankle functions.
Conclusions: The peroneus longus serves as a suitable autograft for ACL reconstruction as an alternative to the others tendons based on its ability to restore knee function and the minimal morbidity at the donor site.
Evaluation of functional outcome of arthroscopic isolated anterior cruciate ligament reconstruction with quadriceps tendon
Authors: Hossain M. Saklayen , Chowdhury Abu Z. , Mahmud Chowdhury I. , Hossain Silvia , Alam M. Shamsul 
Published: December 2024

Background: The anterior cruciate ligament (ACL) is one of the most important intra-articular ligaments in the knee joint. It is regarded as the main barrier preventing the tibia from anteriorly translating onto the femur. The greatest incidence occurs in 15 to 25-year-old participants of work and pivoting sports. This study aimed to assess the functional outcome of arthroscopic isolated ACL reconstruction with quadriceps tendon.
Methods: This was a prospective interventional study conducted in the Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period from March 2020 to August 2022. In our study, we included 30 patients with anterior cruciate ligament injuries who attended the orthopaedic department within the study period.
Results: The preoperative Lysholm score was found to be poor in all cases. Nine months after arthroscopic isolated ACL reconstruction with quadriceps tendon Lysholm score was found as excellent in 18 (60%) cases, good in 8 (26.7%), and fair in 4 (13.3%) cases. During the last follow-up of 9 months after arthroscopic isolated ACL reconstruction with quadriceps tendon, 26 (86.7%) patients were found as satisfactory results, and only 4 (13.3%) patients were found as unsatisfactory. A significant difference was observed between preoperative and postoperative functional outcomes.
Conclusions: In our study, we found that arthroscopic isolated ACL reconstruction with quadriceps tendon showed satisfactory functional outcomes for the treatment of ACL injury, and all the functions of the knee were improved in compared with their pre-operative status.
Mesenteric hemangiolymphangioma: A rare entity with unusual location
Authors: Thomas Elisa T S , Pattanshetty Gouri , Prakash Preeti , C R Preethi 
Published: December 2024

Hemangiolymphangioma is a rare venolymphatic vascular malformation characterized by networks or proliferations of vascular spaces—such as lymphatics, capillaries, veins, or arteries—lined by bland endothelium and embedded in connective tissue stroma. The mesentery is a specialized tissue structure in the abdomen that supports the intestines and contains blood vessels, lymphatic vessels, and nerves that are essential for gastrointestinal function. Mesenteric hemangiolymphangiomas are exceedingly rare in this anatomical location, as vascular malformations more commonly occur in other parts of the body, particularly in the skin, subcutaneous tissues, or organs like the liver, lungs, or brain. The rarity of mesenteric hemangiolymphangiomas is attributable to their unusual anatomical location, the coexistence of both hemangiomatous and lymphangiomatous vascular components, the limited number of documented cases in medical literature, the diagnostic difficulties they pose, and their infrequent occurrence in pediatric populations.This case report details an 8-year-old girl who presented with abdominal distension since past 1.5 years. Imaging modalities, including ultrasonography and CECT of the abdomen, suggested a mesenteric cyst. The patient underwent exploratory laparotomy and excision of the mesenteric cyst. Histopathological analysis of the specimen confirmed the diagnosis of hemangiolymphangioma of the mesentery, further validated by immunohistochemistry. This case highlights the key aspects and histopathological features of this rare condition. Mesenteric hemangiolymphangiomas are intriguing because of their rarity, unique dual vascular origin and diagnostic difficulties. These features make them a valuable subject of study for clinicians and researchers.
“Welcome to our Coastal Community”: Field Notes from Abu Dhabi’s Maritime Heritage Festival Circuit
Authors: Erich Scott 
Published: December 2024

This article contextualizes and explores two important cultural heritage festivals in the Emirate of Abu Dhabi: The Abu Dhabi Maritime Heritage Festival and the Dalma Historic Race Festival. These festivals are distinctly maritime in nature, and are noteworthy manifestations of broader trends in the regional cultural heritage landscape. As such, they are ideal sites to study – and shape – educational efforts about the region’s past. After offering commentary on some temporal and spatial aspects of these festivals, this article offers suggestions for increased reach and educational effectiveness of the events, focusing on their pedagogical strategies and their emplacement along the UAE’s coastline.
Computational Analysis of Towed Solar Platform Aircraft
Authors: Suppes Galen J. , Suppes Adam B. 
Published: December 2024

Abstract

The use of single-sheet planform areas on aircraft can enable both lighter weight construction by eliminating internal wing structures and increased solar power collection through use of bifacial photovoltaic sheets (“bifacial sheets”); the result is > 4X Watts of collected solar energy per kilogram of structure. For single-sheet construction, structural constraints teach toward low aspect ratio designs that do not rely on lift forces being transferred crosswise across wingspans, enabled by towed platform technology. The challenge is developing good aerodynamic lift at aspect ratios of 1.0 and lower. Simulation of digital prototypes identified that the distributed propulsion technologies of Lift Span Tech and cross-over propulsor are particularly effective in single-sheet planform designs. Towed platform technology enables flexible designs that are robust. The combination of robustness and good performance enable 24/7 flight and day missions from the same design. When combined with distributed propulsion, bifacial sheets can displace battery weight, increase lift, prevent boundary layer separation, enable lower-aspect-ratio aircraft at high L/D efficiency, and enable takeoff and landing over shorter and more-diverse surfaces.
Hyperspectral remote sensing image classification based on enhanced pseudo 3D features and salient band selection
Authors: Li Ningyang 
Published: December 2024

Abstract

Hyperspectral classification is a research hotspot in the field of remote sensing. Recently, 3D convolutional neural networks (CNNs) have achieved better classification performances than traditional machine learning algorithms. However, because of the large kernel size and spectral redundancy, the classification accuracy and efficiency of existing CNN-based methods are still restrained. In this paper, a lightweight model based on the enhanced pseudo 3D features and salient band selection is proposed for HSI classification. Specifically, an enhanced pseudo 3D convolution block is constructed to extract spectral-spatial features with less parameters. Then, a salient band selection block without parameters is designed to relieve the spectral redundancy. To obtain the diverse spectral dependency, a local-connected layer is introduced to explore the interactions between adjacent bands. By integrating these blocks, deep spectral-spatial pseudo 3D features can be well prepared for classification. Experiments on three HSI data sets show that the proposed model outperforms the state-of-the-arts. Source code is available at https://github.com/ningyang-li/EP3FEN.
Projected Evolution of the Urban Climate and Heatwaves using an Ensemble of Convection-Permitting Regional Climate Models
Authors: Michau Yohanna , Lemonsu Aude , Lucas-Picher Philippe , Bastin Sophie , Caillaud Cécile , de Vries Hylke , Adinolfi Mariana , Raffa Mario , Katragkou Eleni , Coppola Erika 
Published: December 2024

Abstract

With climate change, the challenges associated with extreme heat in cities are becoming ever more pressing. There is a need for accurate climate change projections for cities, and for robust quantification of changes in extreme temperatures under the combined effect of global warming and urban heat effect. The present study takes advantage of an ensemble of existing high-resolution climate simulations for a multi-model analysis of the urban climate and its evolution in the Paris region (France). Seven members, based on different Convection-Permitting Regional Climate Models (CP-RCM), provide 10-year simulations for a common historical period and two future periods with the RCP8.5 greenhouse gas emission scenario. The ensemble was analyzed to evaluate the CP-RCMs depending on the configuration, especially the surface database and land-surface modeling including or not a dedicated urban parameterization (based on a slab approach or an urban canopy model). All urbanized CP-RCMs capture the urban heat island (UHI) and its seasonal variations. A more precise assessment of CP-RCMs according to the type of parameterization remains tricky, and very sensitive to the type and resolution of land cover database. The analysis of projections indicates that all models agree with an increase in heatwave occurrences over Paris region, with greater signal on the natural areas surrounding the city. Most projections suggest a significant mitigation in the daytime UHI at seasonal scale in summer, and a decrease in nighttime UHI during heatwaves. The multi-model approach therefore makes it possible to confirm previous results already obtained by analyses based on a single model.
Granular Soil Particle Breakage Prediction Model Based on Population Evolution Theory
Authors: Long Yao , Chen Junhua , Xiao Yuanjie , Peng Youquan 
Published: December 2024

Abstract

A novel particle breakage model for granular soils was developed based on population evolution theory. The relationship between population evolution and particle breakage was first established, introducing key parameters such as the migration rate, comprehensive environmental impact coefficient, energy dissipation ratio, and effective constraint coefficient, with detailed explanations of their physical significance and calculation methods. The model's characteristics were analyzed, highlighting its ability to account for monodispersity, the equilibrium of extreme grain groups, and the inclusivity of over-limit particle groups. Parameters including fractal dimension and crushing coefficient were derived to further quantify the breakage process. Validation was conducted using experimental data from single-particle and multi-particle size group tests under varying soil conditions and stress states, demonstrating the model's capability to accurately describe the evolution of particle breakage across diverse scenarios.
Ehrlichia and Rickettsia species in a diverse tick community found on wild birds and bird workers in the Rio Grande Valley (Texas, USA)
Authors: Gonzalez Julia , Conway Mark , Hamer Sarah A. 
Published: December 2024

Abstract

Background
The tropical climate and diverse vector community allows the Rio Grande Valley (RGV) of south Texas to support many vector-borne pathogen transmission cycles. It is a key area for monitoring bird ticks, since most of the migratory birds fly through this corridor to move for south tropical latitudes. Some of the tick species that infest birds in Texas can also transmit tick-borne pathogens that concern public health.
Methods
During bird banding activities in 2019–2024, ticks were collected opportunistically from local and migrant birds as well as from outdoor recreationalists to explore the presence of tick-borne pathogens. Applying PCR-DNA sequencing approach, ticks were tested for Ehrlichia and Rickettsia species.
Results
Of 375 ticks, eight tick species were identified, including species regarded as locally established (Amblyomma inornatum, A. maculatum, A. mixtum, A. tenellum, Dermacentor variabilis), neotropical species imported by migratory birds (A. geayi, A. longirostre), and for the first time in Texas, Ixodes keiransi, formerly the North American lineage of Ixodes affinis. Amblyomma tenellum was the most abundant tick species (89.3%). All ticks were screened for Ehrlichia, resulting in E. chaffeensis detection in three A. tenellum ticks found on humans, and one positive for E. ewingii in an A. inornatum nymph collected off a Clay-colored Thrush (Turdus grayi). Both bacteria can cause human ehrlichiosis, which is infrequently reported in Texas. The Rickettsia screening of ticks resulted in detection of Rickettsia amblyommatis, a potentially pathogenic spotted fever group Rickettsia, in nine ticks: eight A. inornatum ticks, seven of which were collected off Long-billed Thrashers (Toxostoma longirostre), and an A. longirostre engorged nymph from an Acadian flycatcher (Empidonax virescens).
Conclusions
Our results highlight the importance of occupational exposure to ticks and potential public health impact of the relatively neglected human-biting vector, A. tenellum. There is also a critical need to investigate the fate of bird-imported A. inornatum and A. longirostre and the pathogens they carry.