bluuebunny/crossref_metadata_2025_split huggingface dataset:
Personas as Public, Audience, and Stereotype: A Critical Inquiry
Authors: Prochner Isabel , Godin Danny 
Published: December 2024

Abstract
Personas are a widely used tool in design but have yet to receive much consolidated critical analysis. This article presents a critical inquiry into the creation of personas in design practice and research, culminating in a new way of thinking about persona development. The study employs an integrative literature review of design publications to examine and revisit benefits, potential pitfalls, and accepted wisdom on personas. The article then sets the foundation for a design thinking–based process of persona creation, drawing on persuasive design and participatory design research, and areas for future development of research and inquiry.
Design Templates: Between Empowerment and Control of Amateur Graphic Designers
Authors: Maudet Nolwenn 
Published: December 2024

Abstract
This article proposes to study graphic design templates, a singular digital material object that underpins a large part of our contemporary visual environment. Based on interviews with original template creators for Aldus PageMaker, this article traces the main steps of their evolution from their creation in the desktop publishing industry to how templates on the web came to differ from how they were originally envisioned. Building on this historical inquiry, this article shows how templates have transformed the practice, aesthetic, and even the role of graphic designers. By inverting the role of the graphic designer, who now must invent shapes for content that does not yet exist, templates may be understood as an extension of the design grid or visual identity guidelines which are also key yet invisible graphic design intermediary tools. However, templates’ digital and deterministic nature transforms their effects and brings into play a constant tension between the emancipation and control of amateur graphic designers. While originally intended as an educational tool, they have instead progressively embodied a rigidification of graphic design layout on the web.
Video-Based Lifting Action Recognition Using Rank-Altered Kinematic Feature Pairs
Authors: Jung SeHee , Su Bingyi , Lu Lu , Qing Liwei , Xu Xu 
Published: December 2024

Objective To identify lifting actions and count the number of lifts performed in videos based on robust class prediction and a streamlined process for reliable real-time monitoring of lifting tasks. Background Traditional methods for recognizing lifting actions often rely on deep learning classifiers applied to human motion data collected from wearable sensors. Despite their high performance, these methods can be difficult to implement on systems with limited hardware resources. Method The proposed method follows a five-stage process: (1) BlazePose, a real-time pose estimation model, detects key joints of the human body. (2) These joints are preprocessed by smoothing, centering, and scaling techniques. (3) Kinematic features are extracted from the preprocessed joints. (4) Video frames are classified as lifting or nonlifting using rank-altered kinematic feature pairs. (5) A lifting counting algorithm counts the number of lifts based on the class predictions. Results Nine rank-altered kinematic feature pairs are identified as key pairs. These pairs were used to construct an ensemble classifier, which achieved 0.89 or above in classification metrics, including accuracy, precision, recall, and F1 score. This classifier showed an accuracy of 0.90 in lifting counting and a latency of 0.06 ms, which is at least 12.5 times faster than baseline classifiers. Conclusion This study demonstrates that computer vision-based kinematic features could be adopted to effectively and efficiently recognize lifting actions. Application The proposed method could be deployed on various platforms, including mobile devices and embedded systems, to monitor lifting tasks in real-time for the proactive prevention of work-related low-back injuries.
A Methodological Framework for Descriptive Phenomenological Research
Authors: Abraham Daniel M. , P. Padmakumari 
Published: December 2024

Background: Descriptive phenomenological research is crucial in nursing for understanding individuals’ experiences, perceptions, and relationships, which are essential for person-centered healthcare. However, a common critique is that researchers often use phenomenological methods without fully comprehending their historical and philosophical foundations. Existing literature highlights discrepancies in the application of phenomenological principles by nurse researchers, particularly in their presentation of philosophical underpinnings and methodological details. Aim: This article aims to provide a comprehensive methodological framework for descriptive phenomenological research in nursing, addressing both theoretical and practical aspects to guide novice researchers. Data Sources: This framework synthesizes existing scholarship on descriptive phenomenology. Discussion: Starting from Husserl, this article provides a detailed overview of the history, foundations, and philosophical assumptions of the methodology. It also includes key terms and a comprehensive detailing of all aspects of the research process. Conclusion: This framework enriches existing scholarship by offering a streamlined, step-by-step methodological guide for researchers embarking on descriptive phenomenological studies. It emphasizes the importance of establishing minimum, yet critical criteria for publishing research employing this methodology. Implications for Research: Future nurse researchers are encouraged to enhance methodological transparency in their descriptive phenomenological studies to facilitate rigorous evaluation of method effectiveness and study quality. This framework aims to alleviate potential apprehensions and provide clarity and structure to novice researchers in the field.
Ultrasound-guided foam sclerotherapy using physician-compounded foam: Position statement from the American vein and lymphatic society
Authors: Cartee Todd , Friedmann Daniel P. , Blebea John , Daugherty Stephen , Vayuvegula Satish , Mishra Vineet 
Published: December 2024

Background: Chronic venous disease has a major impact on the quality of life of millions of patients. Large randomized controlled trials have established ultrasound-guided foam sclerotherapy (UGFS) as a safe and effective treatment option for both saphenous vein insufficiency and tributary disease. Ultrasound guidance is a critical component of sclerotherapy of non-visible veins. Method: An expert panel of the American Vein and Lymphatic Society (AVLS) was convened to review the literature and write a Position Statement with recommendations for the use of UGFS with physician-compounded foam for patients with venous insufficiency. Result: Consensus recommendations from the expert panel highlight the advantages and safety of high-quality physician-compounded foam. These recommendations were reviewed, edited and approved by the Guidelines Committee of the AVLS. Conclusion: UGFS with in-office, physician-compounded foam is a safe primary treatment option for varicose, tributary, and truncal veins of the lower extremities and is an important adjunct therapy for tributary disease following or concomitant to endovenous ablation procedures.
Systematic Assessment of Eras: Effectiveness and Application in Surgical Interventions for Colorectal Cancer
Authors: Tyagi Gaurav , Kai Yin , Zhang Xu 
Published: December 2024

Background: Over the past 20 years, Enhanced Recovery After Surgery (ERAS) has gained popularity in colorectal cancer surgery. In addition, single-port laparoscopic surgery has been shown to have advantages. In colon cancer surgery, single-port laparoscopic surgery and ERAS can improve short-term results. However, whereas the former depends on surgical ability, the latter requires multidisciplinary teamwork. Aim: The goal of this project is to investigate the application and outcomes of ERAS protocols throughout the whole continuum of care for colorectal cancer surgery. Examine the details of how ERAS protocols enhance surgical results, with an emphasis on comprehending the subtleties of its use in the treatment of colorectal cancer and the possible obstacles to its broad adoption. Materials and Methods: A literature review was conducted, spanning Medline, Embase, and Cochrane Library databases for research conducted between January 2007 and June 2022 and involved specific keywords. The analysis included studies that had to meet two essential criteria: least investigation period of 30 days and compliance with a minimum of four out of the five core components of ERAS. Results: Following a comprehensive assessment, five studies satisfied the inclusion criteria. Among these studies, there were two ‘Randomized Controlled Trials’ (RCTs) and three Observational studies. These studies collectively encompassed 1454 patients: 820 patients treated following ERAS protocols, and 634 patients treated with non-ERAS protocols. Conclusion: The evidence supporting ERAS’s potential to enhance patient outcomes and its implementation challenges is compiled in this article. That allows to guide future research, enhance treatment following colorectal cancer surgery, and influence clinical practice.
Which is the Superior Thoracolumbar Injury Classification Tool? TLICS Versus AOSpine 2013: A Systematic Review
Authors: Pidd Kristina T. , Sadauskas David , Tomatis Vanesa , Knight Ema J. 
Published: December 2024

Study Design Systematic Literature Review. Objectives To address whether TLICS or AOSpine is best used in clinical practice through assessment of interobserver and intraobserver reliability, agreement, and imaging modality performance. Methods This systematic literature review was reported in accordance with PRISMA 2020 guidelines. Articles were included based on meeting eligibility criteria: studies evaluating TLICS, AOSpine, and/or TL AOSIS through reliability, agreement, or imaging modality performance with adult patients (≥18) suffering from traumatic thoracolumbar fractures. Articles were acquired in April 2023 from Medline, CINAHL, and Scopus. Risk of bias was assessed through a modified COSMIN checklist. Tabulated results were separated by classification tool (TLICS or AOSpine/TL AOSIS) and reliability, agreement, or imaging modality results. Results Twenty-one studies were included in the final review. Interobserver and intraobserver AOSpine morphology reliability was on average superior to TLICS. Increased familiarity with the tool positively influenced both AOSpine and TLICS performance. For surgical treatment recommendation, AOSpine differentiated between stable and unstable burst fractures and guided clinician’s more accurately than TLICS. Regarding conservative treatment, both TLICS and AOSpine reported similar clinical accuracy. TLICS performed significantly better when MRI was incorporated compared to CT alone. CT was sufficient as an imaging modality for AOSpine/TL AOSIS performance. Conclusions AOSpine outperformed TLICS in surgical reliability, agreement and did not require additional MRI imaging to improve accuracy. Limitations of evidence include low quality of available studies and significant heterogeneity in patient and observer number. Future prospective multicentre research is recommended. This study was not funded and not registered on PROSPERO.
Prospects of e-Coaching as a Platform for Empowering Families of Person With Mental Disorder: A Qualitative Study
Authors: Arifin Mokhamad , Sekarwana Nanan , Mediawati Ati Surya , Susilaningsih F Sri 
Published: December 2024

Introduction In all countries, the burden of mental disorders (MDs) spans the entire life course. Smartphones are currently widely used by families with a history of MD looking for the required mental health information. The use of digital media is an alternative to improving the ability of families to care for person with MD at home. Objectives This study aimed to explore the opportunity and the benefits of e-coaching as a method and media for empowering families of MD person. Methods This study was a qualitative study that recruited 21 participants. The mean age was 45.7 years old, male 42.9%, and female 47.1%. They were divided into four groups: families who have a family member with MD, nurses who provide mental health services, mental health cadres, and government elements in Pekalongan, Central Java, Indonesia. An in-depth interview was applied to collect data. Further, the data were analyzed using thematic content analysis using Colaizzi's frame. Results There were four themes related to the possibility of using e-coaching to empower families with a family member with MD: menus, needs, supporting factors, and hindering factors. The use of information technology can be used to improve the ability to take care of families, especially in treating MDs at home with the e-coaching application. Conclusions The findings show that developing e-coaching as a method and media is beneficial for person, families, and healthcare providers. In an effort to increase families’ capacity to treat MD at home, the findings of this study might be used to create an easy-to-use smartphone e-coaching application. Recommendation It is essential to establish e-coaching through a smartphone-based application in the Indonesian context. Additionally, to better treat MD person, nurses who provide mental health care should consider utilizing the mobile application.
Foot and Ankle Soft Tissue Sarcomas – Treatment and Oncologic Outcomes: A Systematic Review of the Literature
Authors: Fanfan Dino , Alvarez Juan , Shae Jillian , Gonzalez Marcos , Larios Felipe , Pretell-Mazzini Juan 
Published: December 2024

Category: Ankle; Other Introduction/Purpose: Foot and ankle soft tissue sarcomas (STS) are rare neoplasms associated with a high risk of local recurrence and metastasis. Although amputation is often performed, its impact on prognosis remains unknown. The aims of our systematic review were identifying risk factors for (1) disease-specific death, (2) local recurrence, (3) metastasis, and assessing (4) whether the type of surgery (amputation or limb-salvage) affected disease-specific survival. Methods: This systematic review was conducted following PRISMA guidelines. The PubMed, Embase and Scopus databases were searched. Our study was registered in PROSPERO (ID: 415624). Quality appraisal was done using STROBE guidelines. Results: A total of 7 studies and 123 patients were included. Metastasis was the only risk factor for disease-specific death (OR=107.85, p< 0.001). Previous unplanned excision (OR=22.29, p=0.009) and positive margins (OR=64.48, p=0.011) were associated with higher risk local of recurrence. Patients with high-grade tumors (OR=13.22, p=0.023) and tumors ≥ 6 cm (OR=7.40, p=0.022) were more likely to develop metastases. After adjusting for confounders (age, sex, and presence of metastasis), amputation was not associated with poorer disease-specific survival. Conclusion: Metastasis was the single most important risk factor for death with foot and ankle soft tissue sarcoma. Positive margins and history of previous unplanned excision are risk factors for local recurrence. The most important risk factors for metastasis are tumor grade and size ≥ 6 cm. Amputation was not associated with poorer disease-specific survival.
Occupational Noise Exposure in Foot and Ankle Surgery and the Risk of Noise Induced Hearing Loss
Authors: Kohring Adam , McCahon Joseph A.S , Bridges Tiffany N. , Kwan Stephanie , Parekh Selene G. , Daniel Joseph N. 
Published: December 2024

Category: Other; Basic Sciences/Biologics Introduction/Purpose: Occupational exposure to high levels of noise increases the risk of noise induced hearing loss (NIHL), resulting in significant long term quality of life implications. Hearing protection is recommended if occupational noise exposure routinely exceeds 85 dB. The purpose of this study was to determine if foot and ankle surgeons are exposed to excessive levels of noise, thus putting them at an increased risk for NIHL. Methods: A prospective review was conducted of intraoperative recordings during a variety of foot and ankle procedures. Recordings were categorized into three sub-groups: trauma, deformity correction and degenerative conditions, and soft tissue procedures. Noise levels were reported as maximum dB level (MDL), defined as the highest sound pressure level during the measurement period, and time-weighted average (TWA), defined as the average dB level projected over an 8-hour period. Dose was reported as the percentage of allowable daily noise, with projected dose reported as the measured dose projected over an 8-hours period. Results: 193 recordings consisting of 45.5% deformity correction and degenerative conditions, 27.2% soft tissue procedures, and 29.2% trauma cases. Maximal and average noise exposures were similar for all procedures (p=0.077 and p=0.090, respectively), with an average MDL of 98.9 dB and TWA of 60.5 dB. Procedures also did not significantly differ in dose (p=0.273), even when projected over an 8-hour period (p=0.362). The average MDL of TAA and arthrodesis procedures was 102.0 dB, with 52% of all deformity correction and degenerative procedures having an MDL over 100dB. Conclusion: Foot and ankle surgeons are typically not exposed to dangerous levels of occupational noise; however, specific procedures such as arthrodesis and TAA routinely achieve dangerous noise levels. Implementing protective measures is crucial for those who regularly perform these types of procedures due to the increased risk of developing NIHL.
Outcomes Following Conversion of Ankle Fusion to Transfibular Total Ankle Arthroplasty in Complex Patients
Authors: Wood Thomas , Arthur Mark , Schon Lew C. , Motsay Morgan , Zhang Zijun 
Published: December 2024

Category: Ankle Arthritis; Ankle Introduction/Purpose: Ankle fusion takedown with conversion to total ankle arthroplasty (TAA) shows promising results with regards to patient satisfaction and functional outcomes. The objective of this study is to present the results of tibiotalar fusion takedown via a lateral approach with conversion to TAA in complex patients with prior lateral approaches or compromised anterior tissues. Methods: A retrospective review was completed using the senior author’s total ankle replacement database. 16 patients underwent an ankle fusion takedown (TD) with conversion to transfibular TAA. 9/16 patients had prior tiobiotalar fusions; 7/16 patients had either a pantalar or tibiotalar calcaneal fusion. A matched cohort of patients who underwent primary transfibular TAA (TF TAA) was compared. Patient demographics, complication profiles, subjective pain questionnaires, and radiographic parameters were collected. Patient reported outcome measures (PROMs) were analyzed with Short Form-12 (SF-12), Visual Analog Scale (VAS), and the Ankle Osteoarthritis Scale (AOS). Radiographic parameters included plantarflexion and dorsiflexion range of motion (PF,DF) measured by tibiopedal excursion on standing flexion-extension radiographs. Radiographic indicators of implant subsidence (alpha, beta, and gamma angles) were measured. Results: Average age was 56.81 ± 13.11 years with 3.23 ± 1.46 years of follow-up. ASA was 2 or 3 in 15/16 TD and 16/16 TF TAA. Operative time was longer in TD due to additional procedures (6:04 ± 0.4 vs 4:55 ± 1.0, p=0.004). 6/16 per group underwent reoperation(s), most commonly fibular hardware removal (p=1). Radiographic parameters of TD revealed a 2°change in the beta angle (p=0.02) and increased plantarflexion 7.89 (5.65) to 13.51 (9.09) degrees (p=0.02). Compared to TD, TF TAA had greater PF 17.61 ± 6.52 vs 7.89 ± 5.65 (p = 0.002) and DF 18.95 ± 6.70 vs 12.48 ± 5.61 (p=0.011). Postoperative PROMs showed no significant difference between groups. There was no significant difference in cyst formation or lucency between groups. Conclusion: Tibiotalar fusion conversion to a lateral total ankle replacement in complex patients with prior lateral approaches or compromised anterior tissues appear to be a safe and effective surgery. When compared to primary lateral ankle replacements, ankle fusion takedown with conversion to total ankle arthroplasty yields similar patient reported outcomes, radiographic results, and complication rates at 3.2 years follow-up. Although technically challenging, transfibular total ankle replacement following ankle fusion takedown is a reasonable treatment option for symptomatic ankle, pantalar, or tibiotalar calcaneal fusion.
Initial pesticide residue concentrations in nectar and pollen after spray application on flowering plants for assessing impacts on pollination
Authors: Trapp Stefan , Rein Arno , Fantke Peter 
Published: December 2024

Abstract
Background
Pesticide application is one of the factors reported to contribute to the decline of pollinators, such as honey bees and bumble bees, and guidelines for risk assessment have been established recently. We collected a total of 1720 data sets of pesticide residue levels in pollen and nectar from EFSA documents and from the scientific literature, covering 71 different chemicals and 20 different crops. Out of this data set, 164 events for nectar with 27 different chemicals and 161 events for pollen with 32 different chemicals were chosen that describe the initial (t = 0–1 day) residue per unit dose (RUD) after spray application. Median RUD values were calculated to describe the typical realistic initial applied dose.

Results
Overall, we can confirm earlier findings found in the frame of risk assessment of plant protection products on bees. RUD pollen is higher than RUD nectar, and there is a wide variability of results. Polar pesticides had higher median RUD values, in particular in nectar, but the explained variability of substance properties is generally small (≤10%). There are clear indications that the setup and the conditions during the experiment override substance-specific differences. Factors contributing to the observed differences in RUD were identified: spray direction (up/sideward > downward), sampling method of nectar and pollen (from flower > by traps > from bees), experimental setting (greenhouse > field or tunnel) and geometry of flowers (Fabaceae had highest RUD nectar).

Conclusions
A goal of the study was to find a prediction method for initial pesticide residues in nectar and pollen after spray application to flowers and plants. Thus, median RUD values for the different conditions were provided. However, nothing can be said about how combinations of the mentioned factors affect RUD values.
Accounting for qualification in mismatch unemployment
Authors: Bauer Anja 
Published: December 2024

AbstractThe paper shows how important it is to consider the requirement level when measuring mismatch unemployment. While the mismatch between occupations decreases over time, the imbalances in the distribution of unemployed workers and vacant jobs across requirement levels increased, which, in sum, led to a stagnation of mismatch on the combined occupation-requirement level. Furthermore the paper shows that mismatch unemployment emerges especially at the level of un- and semi-skilled activities, as there is excess supply regardless of the occupations. And, more importantly, the excess supply is rising recently.