bluuebunny/crossref_metadata_2025_split huggingface dataset:
Paradoxes and Pitfalls of Ethnicity in Military History: Understanding the Miao in Fenghuang Through Official Gazetteers
Authors: Tang Jonathan 
Published: November 2024

Abstract
This article uses the 1988 gazetteer for Fenghuang County, Hunan Province, to examine several Chinese depictions of ethnic rebellion by the Miao minority against the Han majority. While this analysis complicates the Han-centric racial nationalism and the civilizational discourse commonly found in the People’s Republic of China today, it concludes that ethnicity matters more in 1988, and clearly in 2024, than it did in 1795 and 1936.
Contrasting Southern Ocean Sea Level Responses to Surface Flux Changes in Eddy-Rich and Eddy-Parameterized Climate Model Configurations
Authors: Wickramage Chathurika , Köhl Armin , Haak Helmuth , Jungclaus Johann , Stammer Detlef 
Published: November 2024

Abstract
The impact of ocean model resolution on sea level projections in the Southern Ocean is investigated using eddy-rich (ER) and eddy-parameterized configurations of the Max Planck Institute Earth System Model under the Shared Socioeconomic Pathway (SSP) 5-8.5 scenario. We employ the Flux-Anomaly Forced Model Intercomparison Project (FAFMIP) experiment—heat, stress, and freshwater perturbations—at both resolutions to pinpoint the sources of these differences. South of 55°S, we found that the changes in thermosteric and halosteric sea levels vary substantially between resolutions due to different responses to freshwater perturbations. In the eddy-parameterized model, the resulting increase in stratification suppresses the mixing of salt and heat from the Circumpolar Deep Water with surface layers. These cause differences in the response of surface fluxes and meridional transports yielding an increase in thermosteric sea levels and a decrease in halosteric sea levels. In the eddy-rich configuration, the main driver of eddy-induced warming and salinification between 40° and 44°S is wind stress perturbations. The efficiency of direct eddy effects in ER is restricted to small areas such as the Agulhas Retroflection, the Brazil–Malvinas confluence zone, the Tasman Sea, and, to some extent, the Antarctic Circumpolar Current (ACC). Contrary to expectations, ACC transport increases in the eddy-rich model while decreasing in the eddy-parameterized model under the SSP5-8.5 scenario. FAFMIP results reveal that this decrease is a result of the overcompensation of wind-induced changes by freshwater flux forcing. These results underscore the critical importance of high-resolution models for capturing the processes in sea level projections in the Southern Ocean and beyond.

Significance Statement
We studied how ocean model resolution affects sea level projections in the Southern Ocean using Max Planck Institute Earth System Model simulations. Higher-resolution models provide a more accurate representation of ocean circulation and its response to changing forcings. We examined how surface heat, momentum, and water fluxes, both separately and combined, shape ocean dynamics. In a strong global warming scenario, significant differences in steric sea level change were observed south of 55°S between the model that simulates eddies and the one that has their effects parameterized. The response to surface freshwater forcing is the primary cause of these differences. Our findings emphasize the critical role of ocean model resolution in accurately understanding and predicting future sea level changes, which is essential for effectively addressing our needs for adaptation.
Mental disorder symptoms and diagnoses are differently associated with labour market attachment and registered income until midlife: The Northern Finland Birth Cohort 1966
Authors: Majuri Tuomas , Huikari Sanna , Jääskeläinen Erika , Ala-Mursula Leena , Rissanen Ina , Korhonen Marko 
Published: November 2024

Background: Both the symptoms and diagnoses of mental health disorders affect individuals’ occupational status and income. However, studies that compare the impact of differences between symptoms and diagnoses on occupational outcomes are lacking. Aims: This study aimed to compare labour market attachment and income until midlife between individuals with different histories of mental disorder symptoms and diagnoses. Method: Utilizing the Northern Finland Birth Cohort 1966 with linkages to national registers and self-reported mental disorder symptoms at the age of 31, we compared labour market attachment and income until midlife among individuals with neither mental disorder symptoms nor a diagnosis (reference group), symptomatic undiagnosed mental disorder, asymptomatic diagnosed mental disorder, and with symptomatic diagnosed mental disorder by using cross-tabulations and regression analyses. We stratified our analysis by sex. Results: Compared to the reference group, males but not females with symptomatic undiagnosed mental disorder had an increased risk for poor labour market attachment, with Odds Ratios (95% Confidence intervals) 2.26 [1.41, 3.63] and 0.87 [0.63, 1.19], respectively. The analogous risk was heightened for both males and females with asymptomatic diagnosed mental disorders or symptomatic diagnosed mental disorders. Regarding income, having mental disorder symptoms, a diagnosis, or both was associated with lower earnings irrespective of sex. Conclusions: Mental disorder symptoms and diagnoses are differently associated with labour market attachment and income. Our findings suggest that interventions should be offered not only based on diagnoses but also based on symptoms as they may serve as predictors of future challenges related to work careers.
Job satisfaction and turnover intention: A comprehensive review of the shared determinants
Authors: Jogi Swati , Vashisth Kamal Kant , Srivastava Supriya , Alturas Bráulio , Kumar Devesh 
Published: November 2024

Background Human capital is a critical asset for organizations, impacting financial performance and market value. Maintaining a stable, committed workforce is challenging. Job satisfaction emerges as a pivotal factor influencing employees’ intentions to leave or turnover intention. However, both encompass diverse dimensions that can exert positive or negative effects. Objectives To explore the common factors affecting job satisfaction and turnover intention, focusing on the significant positive and negative relationships. Method A systematic review based on the PRISMA framework has been conducted. The data has been precisely identified, evaluated, and extracted from the SCOPUS database based on set benchmarks. Result The investigation revealed a variety of determinants that exhibit a significant correlation with job satisfaction and turnover intention, manifesting in both positive and negative associations. Furthermore, these elements have been linked to established motivational theories, suggesting a theoretical underpinning for the observed relationships between workplace dynamics and employee behavior. Conclusion The result intended to provide a comprehensive understanding of the factors by offering a framework for studying job satisfaction and turnover intention guiding future research in the field of knowledge.
Study of erosion wear by solid particle of a PMMA/SiO2 hybrid coating with graphene oxide applied on a composite laminate
Authors: Govea Paz Luis Issai , Martínez Pérez Armando Irvin , Vera Cárdenas Edgar Ernesto , Moreno Ríos Marisa , González Carmona Juan Manuel 
Published: November 2024

This study reports the tribological performance of a family of PMMA/SiO2 hybrid coatings with graphene oxide applied on composite laminate substrates. The transformation from graphite to graphene oxide was carried out using a high-energy mill for 90 minutes. The composite laminates of epoxy resin matrix and layers of bidirectional carbon fiber were obtained through the vacuum infusion process. The coatings were applied on the composite laminates using the dip-coating method. To disperse the graphene oxide in the hybrid solutions, an ultrasonic bath (40 kHz) was used during the immersion of the substrate. Tribological tests of erosive wear by solid particle impact (beach sand) were performed on a horizontal erosion test platform under conditions of pressure of 45 psi, impact velocity of 6 m/s, distance between nozzle and specimen of 10 mm and impact angle of 90°. The results showed that coatings with graphene oxide increase their protection against erosion by 50 (9-PMMA/1-SiO2-2GO) to 54% (9-PMMA/1-SiO2-1GO) more than the coating without graphene oxide. The results obtained could be considered for using this type of coating as an alternative protection on the leading edge of wind turbine blades that are exposed to conditions of erosion wear by solid particle impact.
Health services delivery factors affecting HIV retesting among pregnant women at 34 weeks gestation in Saboba District, Northern region, Ghana
Authors: Abanga Williams Azumah , Klu Desmond , Dery Maxwell , Fusheini Iddrisu , Dwomoh Salifu , Kubio Chrysantus , Tagbor Harry Kwami 
Published: November 2024

Background Vertical transmission of HIV is a major global public health issue, particularly due to maternal HIV acquisition during pregnancy, challenges in enrolling pregnant women living with HIV into antiretroviral therapy programmes, and loss to follow-up. The factors influencing HIV retesting in pregnant women with an initial HIV-negative results are understudied. The study examined health service delivery factors affecting HIV retesting among pregnant women. Methods A cross-sectional study was conducted in six health facilities in the Saboba District in 2023. Pregnant women who initially tested HIV-negative and were attending antenatal clinics at 34 weeks gestation or later were randomly selected. Data was analyzed using Stata version 15.0. Logistic regression was used to examined the health service factors affecting HIV retesting at a 0.05 significant level. Results Out of 445 pregnant women initially HIV-negative, only 21.1% were retested at 34 weeks gestation. Pregnant women receiving antenatal care at health centers were less likely to be retested [aOR = 0.34; CI: 0.14–0.84], while those who spent less time during ANC were more likely to retest [aOR = 2.58; CI: 1.33–5.01]. Conclusions Improvement in HIV retesting requires reproductive health units to develop strategies to enhance coverage and reduce waiting times at health centers could encourage more pregnant women to retest for HIV.
Retrospective analysis of the etiology and drugs for vitreous hemorrhage caused by non-diabetic retinopathy and non-traumatic factors
Authors: Dong MingXia , Xiao Qing , Mei YunTeng , Fan Bao Liang , Liu ChenWei 
Published: November 2024

Objective To retrospectively analyze the etiology of non-diabetic retinopathy (DR) and non-traumatic vitreous haemorrhage (VH), and the effects of different anti-vascular endothelial growth factor (VEGF) drugs. Methods A retrospective analysis was conducted on VH patients diagnosed as non-diabetic retinopathy or trauma. Among 101 patients treated with anti-VEGF drugs, there were 48 cases in the Conbercept group and 53 cases in the Ranibizumab group. The causes of bleeding and gender distribution of the included cases were analyzed. Results In cases of retinal vein occlusion, the proportion of males was much higher than females ( p < 0.05). After treatment, the best corrected visual acuity (BCVA), intraocular pressure, central macular thickness (CMT), aqueous humor VEGF, TNF-α, IL-10, and IL-6 of the two groups showed a decreasing trend ( p < 0.05). The Conbercept group had markedly lower CMT than the Ranibizumab group ( p < 0.05). In addition, there existed no significant statistical differences between the two groups in terms of BCVA, intraocular pressure, aqueous humor VEGF, TNF-α, IL-10, IL-6, incidence of adverse reactions, and recurrence rate ( p > 0.05). Conclusion In patients with non-DR and traumatic VH, retinal vein occlusion, perivenous retinitis, retinal tears/detachment, exudative AMD, and polypoidal choroidal vasculopathy were the main etiologies. Conbercept and Ranibizumab had comparable efficacy and could effectively improve visual acuity and aqueous humor inflammation, with high safety and low recurrence rate. Conbercept had a more pronounced effect on the reduction of CMT in patients.
Single centre implementation of the Paediatric Anaesthesia Emergence Delirium scale
Authors: Hajdini Hasima , Otey Tamara , Guelbert Christopher , Sanofsky Benjamin 
Published: November 2024

Purpose: Early recognition of paediatric emergence delirium (ED) by post-anaesthesia care unit (PACU) nurses is critical for the effective management and prevention of complications. This project aimed to enhance nursing education and standardise the use of the Paediatric Anaesthesia Emergence Delirium (PAED) scale as a reliable tool for assessing ED. Design: This project involved an educational intervention for PACU nurses to train them in using the PAED scale for ED evaluation. The effectiveness of the PAED scale was compared with the more commonly used Face, Legs, Activity, Cry, Consolability (FLACC) scale in the evaluation of postoperative paediatric patients. Methods: An educational programme was designed for PACU nurses, with pre-and post-surveys administered to assess the impact of the educational intervention on their knowledge, confidence, and familiarity with ED and the PAED scale. This project included time trials comparing the use of the PAED and FLACC scales during patient simulations after the educational intervention. Findings: Following the educational programe, nurses demonstrated increased confidence and familiarity with ED and the PAED scale. Furthermore, the use of the PAED scale following the educational intervention significantly reduced the time required to evaluate patients and initiate treatment for ED compared with the FLACC scale. Conclusion: Equipping nurses with the knowledge and skills to effectively implement the PAED scale improves ED’s timely recognition and treatment, leading to safer, more efficient care for postoperative paediatric patients. This project demonstrates the importance of evidence-based tools and targeted nursing education.
Bleeding and surgical time in knee arthroplasty using robotic assistance with and without the use of a tourniquet
Authors: Guerreiro JPF , Balan JVD , Vilhena MMH , Filho SGMV , Bignardi PR , Danieli MV 
Published: November 2024

Objectives To compare bleeding and surgical time in patients undergoing Total Knee Arthroplasty (TKA) with robotic assistance with and without the use of a tourniquet. Methods Retrospective study with analysis of medical records. Patients were divided into two groups: one group in which robotic-assisted TKA was performed using a tourniquet and the other without. Hemoglobin change and hematocrit at 24 hours after surgery, the volume of bleeding, number of transfusions and surgical time were compared. Results 108 patients were included. The group using a tourniquet totaled 59 patients and the group without a tourniquet 49 patients. There was no difference between the mean hemoglobin and hematocrit values ​​between the groups, preoperatively (p = 0.287 and p = 0.508) and 24 hours (p = 0.252) after surgery. There was also no difference between the volume of bleeding in each group (p = 0.265). Surgical time was not different between groups (p = 0.179). There was no need for transfusions in any patient. Conclusion TKA surgeries with robotic assistance performed with and without the use of a tourniquet showed no significant difference in Hb change and Ht levels 24 hours after surgery, estimated bleeding volume, transfusions and surgical time.
Incidence of Meniscal Ramp Lesions in Anterior Cruciate Ligament Reconstructions players
Authors: Abreu FGA 
Published: November 2024

Objectives To evaluate the incidence and epidemiological aspects of meniscal ramp injuries in patients undergoing anterior cruciate ligament (ACL) reconstruction, and determine the related risk factors. Methods 824 patients who underwent ACL reconstruction were retrospectively analyzed. Patients who presented medial meniscal instability underwent evaluation of the posteromedial compartment of the knee. In case of injury, surgical repair was performed. Potential risk factors associated with injuries were analyzed. Results The overall incidence of ramp injuries in the study was 10.6% (87 injuries in 824 patients). Multivariate analysis using the Chi-Square test demonstrated that the presence of meniscal ramp injuries was significantly associated with the following risk factors: right laterality and chronic injuries. Sex, age and sporting activity were not statistically significant. Football was the most frequent cause of sports-related ramp injuries, accounting for 78.2% of cases. However, it did not prove to be a risk factor. The annual incidence ranged from 4.0% to 20.6%. Conclusion The incidence of meniscal ramp lesions was 10.6% in ACL reconstruction, being more frequent in chronic injuries. The increasing annual incidence ranged from 4.0% in 2014 to 20.6% in 2019.
Keblish’s Lateral Surgical Approach Enhances Patellar Tilt In Valgus Knee Arthroplasty
Authors: Campos GC , Tonelli Filho JR , Passarelli MC , Piedade SR , Miranda JB , Zorzi AR 
Published: November 2024

Objectives To compare clinical and radiological outcomes of conventional medial and lateral approaches for total knee replacement in the valgus osteoarthritic knee. Methods In this randomized controlled trial, twenty-one patients with valgus knee osteoarthritis were randomized to either receive a total knee replacement through medial or lateral approach. Primary outcome was radiographic patellar tilt. Secondary outcomes were visual analogue scale of pain, postoperative levels of hemoglobin and clinical aspect of the operative wound. Results Groups were comparable. Mean lateral tilt of the patella was 3.1 degrees in lateral approach group (Standard Deviation ± 5.3) and 18 degrees in the medial approach group (Standard Deviation ± 10.2), with p=0.02. There were no differences within secondary outcomes. Conclusion Lateral approach provided better patellar tilt following total knee replacement in valgus osteoarthritic knee.
Posterolateral Corner Reconstruction: Modification of the LaPrade Technique Using Autologous Hamstring Tendon Grafts – “The Popliteofibular Loop"
Authors: Mestriner MB , Oliveira VM , Gugliemetti LGB , Aihara LJ , Severino NR , Cury RPL 
Published: November 2024

Objectives The purpose of this paper is to describe a modification of the LaPrade technique for PLC reconstruction using autologous hamstring tendon grafts. Methods The surgical technique is described to ensure reproducibility, with particular emphasis on the proposed modifications: the use of autologous grafts (gracilis and semitendinosus tendons); the configuration in which they are used to increase the thickness of the reconstructed structures; and the exclusive fixation with widely available interference screws. Results A modification of the LaPrade technique is describe in detail. In the case of a study describing a surgical technique, there are no results to show. Conclusion A modification of the LaPrade technique is describe in detail. In the case of a study describing a surgical technique, there is no conclusion to show.
Effects of Depressive Disorder on the Results of Total Knee Arthroplasty
Authors: Guerreiro JPF , Danieli JF , Bellini LZ , Bocatti T , Bignardi PR , Danieli MV 
Published: November 2024

Objectives Evaluation of the degree of satisfaction and functional outcome in the postoperative period was correlated with the incidence of depression in patients undergoing total knee arthroplasty. Methods Prospective study applying questionnaires to patients undergoing TKA before, 2, and 6 months after surgery. Results 49 patients were included in the study. WOMAC and VAS values ​​were not different between patients diagnosed with depression or without a diagnosis in preoperative assessments. In the 6th postoperative month, the VAS value was 4.42 in the group with Depression and 2.33 in the group without Depression (p= 0.016). Regarding the WOMAC questionnaires, 2 months after surgery, the average for the Depression group was 34.4; and for patients without Depression, 35.2 (p= 0.887). After 6 months, 29.1 in the first group and 21.8 in patients without the Disorder (p= 0.182). Conclusion We observed less pain control in patients with Depression only 6 months after surgery. We found no significant differences regarding knee function after surgery between groups.
Evaluation of adductor canal blockage in postoperative analgesia and early functional results in arthroscopic reconstruction of the anterior cruciate ligament (ACL)
Authors: Milhomem PAM , Da Costa EL , Braga CLM , Ribeiro GG , De Souza TAC , De Araújo ID 
Published: November 2024

Objectives This study aimed to evaluate the effects of adductor canal block on postoperative analgesia and early functional outcomes in patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction. Methods A prospective study design was used with a group of patients undergoing arthroscopic ACL reconstruction with adductor canal block and another control group without the block. Postoperative pain levels, the need for additional analgesics, knee function and range of motion were assessed. Results Patients undergoing adductor canal block had significantly lower levels of postoperative pain (mean of 2.3 ± 0.5 on the pain scale) compared to the control group (mean of 4.1 ± 0. 7 on the pain scale). Furthermore, the adductor block group had a lower need for additional analgesics in the first 24 hours after surgery. Regarding functional results, there was no significant difference in knee function or range of motion between the groups. Conclusion Adductor canal block has been shown to be effective in reducing postoperative pain in patients undergoing arthroscopic ACL reconstruction, reducing the need for additional analgesics in the first hours after surgery. However, there was no significant impact on early knee functional outcomes. This study provides moderate-level evidence on the usefulness of adductor block for postoperative analgesia in ACL surgery.
Comparison of Different Techniques for Measuring Posterior Tibial Slope
Authors: MW Guesser , RE De Paula , PG Cruz , LZ Vasquez , AP Mozella , A Cordeiro 
Published: November 2024

Objectives: The posterior tibial slope assessment is crucial in preoperative planning for various surgeries. Different measurement methods exist, but no study has compared them. This study aims to verify the equivalence of four techniques for measuring the posterior tibial slope in lateral knee radiographs and assess inter-observer reliability among evaluators with different academic training levels. Methods: Forty-three lateral knee radiographs from patients with osteoarthritis and ligament injuries who had indications for tibial osteotomy were evaluated. Three evaluators with varying levels of academic training performed measurements using four parameters: anterior cortex, posterior cortex, anatomical axis of the proximal tibia, and anatomical axis of the proximal fibula. Results were expressed as mean values ± standard deviation, and a p-value < 0.05 was considered statistically significant. Results: The average degree values were 12.6±4.4 for the anterior cortex, 10.1±3.8 for the tibial axis, 7.8±4.1 for the posterior cortex, and 11.6±4.6 for the fibular axis. There was a significant difference between all these measurements, except for the comparison between the anterior cortex and the fibular axis. In terms of the tibial axis, the evaluator with the lowest level of training showed significant variation compared to the other two evaluators. Conclusion: The four methods for measuring the posterior tibial slope are not equivalent, except for the anterior cortex and fibular axis measurements. Lower-level trained professionals had difficulty performing tibial axis measurements. Further studies are needed to determine the most accurate technique for assessing posterior tibial slope angulation