bluuebunny/crossref_metadata_2025_split huggingface dataset:
Flow Diversion for Intracranial Aneurysms With Incorporated Branch: A Subanalysis From the SEASE International Registry
Authors: Dibas Mahmoud , Vivanco‐Suarez Juan , Galecio‐Castillo Milagros , Lopes Demetrius Klee , Hanel Ricardo A. , Rodriguez‐Calienes Aaron , Cortez Gustavo M. , Fifi Johanna T. , Devarajan Alex , Toth Gabor , Patterson Thomas E. , Altschul David , Pereira Vitor M. , Liu Xiao Yu Eileen , Puri Ajit S. , Kühn Anna L. , Guerrero Waldo R. , Khandelwal Priyank , Bach Ivo , Kan Peter T. , Edhayan Gautam , Given Curtis , Gross Bradley A. , Narayanan Sandra , Derakhshani Shahram , Martinez‐Galdamez Mario , Ortega‐Gutierrez Santiago 
Published: October 2024

Background
The presence of an incorporated branch as well as its anatomical relationship to the intracranial aneurysms (IAs) and the parent artery may affect the occlusion outcome following flow diversion. This study evaluated the safety and effectiveness of the cobalt‐chromium Surpass Evolve (Stryker), a 64‐wire flow diversion device for the treatment of IAs with incorporated branches.

Methods
This subanalysis uses data from the SEASE (Safety and Effectiveness Assessment of Surpass Evolve) registry to retrieve data related to IAs with incorporated branches. Those IAs were classified by a core lab into 4 categories based on their anatomical relationship to the parent artery and branch: (A) sidewall anatomic, (B) sidewall hemodynamic, (C) neck branch, and (D) dome branch. We compared the outcomes based on their incorporated branch's relation to the dome (A–C versus D).

Results

This study included 67 patients and IAs. Most IAs were in the posterior communicating artery (46.3%), with a median size of 4.35 mm. Age, sex, comorbidities, baseline functional‐status, and IA features were similar between the 2 groups. Among those, 53 (79.1%) had branches emerging from the dome, and 14 (20.9%) had branches originating from other locations (A = 7, B = 2, and C = 5). At a median imaging follow‐up of 10.5 months, complete occlusion was lower in IAs with a branch from the sac compared with those with the neck (60.8% versus 92.9%;
P
= 0.026), with an overall occlusion of 67.7%. Thromboembolic and hemorrhagic complications, as well as retreatment, were reported in 1.6% and 3.1% of cases, respectively, with no significant differences between groups.

Conclusion
Our analysis underscores the influence of branch origin on occlusion rates, with the neck‐originating branch demonstrating higher occlusion rates. These insights emphasize the role of anatomical considerations in treatment strategies, follow‐up timelines, and designing future clinical trials. Further studies are warranted to explore these variations across different flow diversion technologies.
Child and Youth Friendly Justice for the Climate Crisis: Relying on the UN Convention on the Rights of the Child
Authors: Daly Aoife 
Published: October 2024

Abstract
The climate crisis is a human rights crisis, and one of the worst affected groups is children and youth. This same group has been key to climate action in and outside of the courts. As well as engaging in numerous consultative fora such as cop, and in the introduction of a General Comment on the right of children to a healthy environment, they have gone on to become key litigators in climate cases/applications at both national and international level. These justice processes are, however, notoriously ill suited to the particular needs of children and youth. Child friendly justice is a concept which has been elaborated in recent years by the Council of Europe. Yet climate litigation is very different to the cases (e.g. in family law) in which children have traditionally been parties – amongst other things it can involve very public campaigns. This article considers child and youth friendly justice in the context of the climate crisis through the UN Convention on the Rights of the Child, and through the concepts of access, participation, interests, and judgments.
Roadblocks in Child Participation Practices in Academia and Civil Society
Authors: Demiral Seran , Erdiller-Yatmaz Zeynep , Erdemir Ersoy 
Published: October 2024

Abstract
This article discusses the potential and pitfalls of children’s participation in academic and non-academic settings through a child participation project in Turkey by questioning various forms of childism from child and adult perspectives. We first and foremost acknowledge and emphasise the child’s position as a form of political resilience in a world where adult centrism has been the norm, regardless of differences in childhood experiences across cultures, social classes and age groups. Guided by this understanding, we engaged with two distinct fieldwork processes over the years and took steps toward achieving child participation at citizenship action level. In particular, we aimed to create a safe and open space for children from diverse backgrounds to come together, share their life issues, develop strategies to address their everyday problems and build a child-to-child participation network. However, we encountered several roadblocks to fully involving children in these processes. This article illustrates the perceptional and practical limitations we faced on the road that stem from competing dispositions held by children and stakeholders. To showcase the potential impact of our project, we highlight such obstacles as adultism among child participants, challenges of engaging academic research with stakeholders, and variations in motivation and interest among different social actors in the field of childhood. The obstacles are discussed with their implications in ways that they could be overcome.
Salome’s Dance and the Question of Historical Plausibility
Authors: Cook John Granger 
Published: October 2024

Abstract
The Markan account of Salome’s dance before the Herodian court is historically plausible. There is a logical gap, however, between what is historically plausible and what is historically probable. Roman (i.e., pagan) and Jewish individuals that were high born and low born – both men and women – could occasionally dance. Sometimes those dances were seen as transgressive according to Roman mores. Sometimes they occurred in the context of festivals. Mark describes Salome’s dance in such a context. The narrative explains Herod’s puzzlement about Jesus’ identity and his view that Jesus is Iohannes redivivus and is significant for historical Jesus research because Mark uses it to foreshadow Jesus’ own death for seditio.
Dose-response effects of starch in sterilised and unsterilised chicken excreta on Musca domestica larval growth and bioconversion efficiency
Authors: Pisa L.W. , Oonincx D.G.A.B. , Bosch G. , Hendriks W.H. 
Published: October 2024

Abstract
Housefly (Musca domestica L.) larvae can convert animal manure into valuable protein and fat but little is known about their nutritional requirements. We assessed the effects of differential starch content in unsterilised (UE) and heat sterilised (SE) chicken excreta on larval performance and bioconversion. Gelatinized corn starch was added to excreta resulting in 11 diets with 0 to 50% starch of dry mass. Individual larval mass increased from (mean ± SD) 12 ± 0.2 (UE) and 13 ± 0.4 (SE) mg at 0% starch up to 18 ± 0.4 (UE) and 18 ± 0.5 (SE) mg at 15% starch and decreased to 5 ± 0.4 (UE and SE) mg in 50% starch. Higher starch concentrations resulted in non-normal distributions of individual larva mass. Larval wet yield showed a curvilinear relation with starch content, with maxima of 39 ± 2.3 g in UE at 10% starch, and 43 ± 2.8 g in SE at 15% starch. The decrease in yield after the maxima was faster in UE compared to SE. Larval survival was highest in 0% starch, 80 ± 8% (UE) and 72 ± 13 % (SE), linearly decreasing to 14 ± 7% (UE) and 18 ± 3% (SE) in 50% starch. Dry matter bioconversion increased from 4 ± 0.1% (UE) and 4 ± 0.3% (SE) in 0% starch to 6 ± 0.2 in UE with 10% starch and 7 ± 0.3 in SE with 15% starch, decreasing to close to 0 in 50% starch. Highest nitrogen bioconversion was 15 ± 0.5% in UE with 10% starch and 15 ± 0.5% in SE with 15% starch. Optimal starch inclusions increased nitrogen bioconversion with 40% (UE) and 100% (SE) compared to pure excreta. Finally, around 20 to 25% starch uric acid and ammonia contents, pH, and diet residue C/N decreased, indicating a tipping point. In conclusion, adding starch to chicken excreta can substantially increase larval yield and bioconversion while reducing ammonia content in the substrate residue.
Exploring the reliability and profile of frequent mental health presentations using different methods: An observational study using statewide ambulance data over a 4-year period
Authors: Hew Anthony , Young Jesse T , Rowland Bosco , Scott Debbie , Nehme Ziad , Arunogiri Shalini , Lubman Dan I 
Published: October 2024

Introduction: A disproportionate number of mental health presentations to emergency services are made by frequent presenters. No current consensus definition of a frequent presenter exists. Using a statewide population-based ambulance database, this study (i) applied previous statistical methods to determine thresholds for frequent presenters, (ii) explored characteristics of the identified frequent presenter groups compared to non-frequent presenters and (iii) assessed the reliability of these methods in predicting continued frequent presenter status over time. Methods: Statistical methods utilised in previous studies to identify frequent presenters were applied to all ambulance attendances for mental health symptoms, self-harm and alcohol and other drug issues between 1 January 2017 and 31 December 2020 in Victoria, Australia. Differences in characteristics between identified frequent and non-frequent presenter groups were determined by logistic regression analysis. The consistency of agreement of frequent presenter status over time was assessed using intraclass correlation coefficients. Results: Thresholds for frequent presenters ranged from a mean of 5 to 39 attendances per calendar year, with groups differing in size, service use and characteristics. Compared to non-frequent presenters, frequent presenters had greater odds of being female, presenting with self-harm, experiencing social disadvantage or housing issues, involving police co-attendance and being transported to hospital. All frequent presenter definitions had poor reliability in predicting ongoing frequent presentations over time. Conclusion: A range of methods can define frequent presenters according to thresholds of yearly service use. Reasons for identifying frequent presenters may influence the method chosen. Future studies should explore definitions that capture the dynamic nature of presentations by this group.
Evaluation and Revision of Historical ESSENCE Syndromic Surveillance Definition Used to Identify Work-Related Emergency Department Visits
Authors: Harduar Morano Laurel , Kite Powell Aaron , Luckhaupt Sara E. 
Published: October 2024

Objectives: Occupational health surveillance programs have rarely incorporated syndromic surveillance. We documented a process for evaluating and revising syndromic surveillance definitions, using the example of work-related emergency department (ED) visits. Materials and Methods: Of 140 331 481 ED visits in the National Syndromic Surveillance Program from May 15, 2016, through October 31, 2017, we extracted 391 827 records for phase 1 that met the previously unevaluated original work-related definition or included a work-related employment status ICD-10-CM code (Y99.0/Y99.1; International Classification of Diseases, Tenth Revision, Clinical Modification). Also for phase 1, we evaluated the performance of the original work-related definition using ICD-10-CM work-related employment status codes as a reference standard. In phase 2, we extracted 99 109 records containing candidate work-related keywords. Finally, in phase 3, we examined individual keywords and developed and evaluated a revised definition. Results: The revised work-related definition identified 259 153 visits by keyword alone, 104 342 visits by ICD-10-CM work-related employment status codes alone, and 16 385 ED visits by both methods. Sensitivity (13.6% vs 11.3%) and positive predictive value (5.9% vs 4.8%) were higher for the revised definition than for the original work-related definition. Manual review indicated that 91.3% (95% CI, 89.6%-93.0%) of visits identified by the revised definition keywords met the study criteria for work-related visits as compared with 75.5% (95% CI, 73.0%-78.4%) of visits for the original work-related definition. Practice Implications: The original work-related definition performed suboptimally because keywords were not sufficiently specific. The revised definition is an improvement but requires testing in real-world scenarios. The presented methods for developing a syndromic surveillance definition are useful, not only for occupational health, but for identification of other subpopulations treated in the ED.
Effects of six antipsychotic drug treatment regimens on short-term heart rate variability in patients with schizophrenia
Authors: Huang Lifen , Wei Chaoyang , Qin Qinghua 
Published: October 2024

Objective Many antipsychotic drugs have cardiac side effects due to their pharmacological actions. Heart rate variability (HRV) analysis can be used as a potential indicator of cardiotoxicity in cases where a decrease in HRV occurs after the administration of antipsychotics such as clozapine. The purpose of this study was to explore the effects of 6 antipsychotic drug regimens on short-term HRV in patients with schizophrenia. Methods Data from 164 patients with schizophrenia between January 2018 and June 2023 were retrospectively analysed. Based on the drug used for treatment, the patients were categorised into clozapine combination (clozapine combined with aripiprazole, risperidone or ziprasidone), clozapine alone, olanzapine, aripiprazole, ziprasidone or risperidone groups. Heart rate variability indices were calculated using time domain analysis, including the standard deviation of the RR intervals (SDNN), the root mean square of successive RR interval differences (RMSSD) and the percentage of successive RR intervals over 50 ms (PNN50). Results Compared with the pretreatment period, the SDNN, RMSSD and PNN50 were significantly lower in the clozapine combination, clozapine, olanzapine and aripiprazole groups at the end of weeks 2 and 4 of treatment ( P < 0.05). However, these indicators in ziprasidone and risperidone groups did not show this significant decrease ( P > 0.05). Conclusion The effects of clozapine combination and clozapine on HRV were greater than for olanzapine, aripiprazole, ziprasidone or risperidone. Attention should be paid to controlling the dosage of clozapine combination and clozapine and monitoring the patient’s electrocardiogram during administration.
Single Strength Training Session Improves Short-Term Memory in Cognitively Preserved Older Adults
Authors: Griebler Nathália , Schröder Nadja , Vieira William dos Santos , Fagundes Mariana Ghignatti , Beraldo Lucas Menghin , Machado Gustavo Dalto Barroso , Pietta-Dias Caroline 
Published: October 2024

The purpose of the present study was to examine the acute effect of a single aerobic or strength training session on memory of cognitively preserved older adults. In this randomized controlled clinical trial, in the first visit the participants (52.2% men, aged 68.65 ± 2.81 years-old, BMI 26.94 ± 4.09), were randomly allocated in one of three groups: AG (aerobic exercise group), SG (strength exercise group, submitted to five exercises with 15 repetitions each), and CG (control group). Participants had a short-term memory assessment (word list memory test) followed by a single exercise session, and were retested immediately after. 24 h later, participants were submitted to a long-term memory assessment about the story that was presented in the previous day. Results showed that the SG group had a significant improvement in the word list test, when comparing pre- and post-intervention scores, suggesting that a single strength training session significantly enhances short-term memory in this population.
Protective effects of electroacupuncture on senile osteoporosis in rats
Authors: Zhou Jun , Wang Jinling , Qu Mengjian , Wang Qian , Wang Liqiong , Liu Sijia , Liu Jing , Sun Guanghua , Zhong Peirui , Huang Xiarong , Liu Danni , Yin Linwei , He Chengqi 
Published: October 2024

Objectives: The objectives were to explore the protective effects of electroacupuncture (EA) on senile osteoporosis in aged rats and investigate the underlying mechanisms. Methods: This study included aged (24-month-old; n = 16) and young (3-month-old; n = 8) male Sprague–Dawley rats. Aged rats were further randomized 1:1 to an aged control group (Aged; n = 8) and an EA treatment group (EA; n = 8). The 3-month-old rats served as young controls (Young). EA rats received EA at ST36, SP6, GB34 and SP10 bilaterally for 30 min a day, 5 days a week, for 8 weeks. Results: EA significantly increased serum markers of bone formation in Aged rats. There were no significant differences in serum markers of bone resorption between EA and Aged rats. Deterioration of bone mineral density (BMD) and trabecular bone architecture was observed in the Aged group, while EA significantly increased BMD of the left femur and L5 vertebral body in aged rats. Aging-induced deterioration of trabecular bone architecture was partially reversed in EA rats. Runx2 and Osterix mRNA and protein levels were significantly increased and peroxisome proliferator-activated receptor (PPAR)γ was significantly decreased in bone marrow cells in EA compared with Aged groups. The mRNA and protein levels of core constituents of the Wnt/β-catenin signaling pathway (Wnt3a, low-density lipoprotein receptor-related protein (LRP)5 and β-catenin) were significantly increased and Dickkopf 1 was significantly decreased in bone marrow cells in EA compared with Aged groups. Conclusion: EA may prevent bone loss and deterioration in aged rats by promoting osteogenesis via a mechanism that may involve activation of the Wnt/β-catenin signaling pathway. EA may represent a therapeutic option for senile osteoporosis.
Wilderness Medicine Curricula in US Multidisciplinary Training Courses
Authors: Holstrom-Mercader Maria , Flamm Avram 
Published: October 2024

Introduction Wilderness medicine (WM) is the study of medicine in austere environments. There are several US multidisciplinary courses that teach WM to people from varying medical backgrounds. However, WM topics are covered to different extents. This study's purpose was to compare WM components among US multidisciplinary training courses. Methods The American College of Emergency Physicians WM fellowship curriculum's 19 components and the Fellowship of the Academy of Wilderness Medicine's 12 core and 16 elective competencies and their credits were used as two control lists. Curricula from 10 US multidisciplinary courses were analyzed for WM components. Using descriptive analysis, each course curriculum was compared with the controls. Results This study examines WM components in 10 courses. The greatest number of American College of Emergency Physicians WM fellowship topics (14 of 19) was covered by the Paramedic course and the fewest number (4 of 19) by the Tactical Combat Casualty Care–Combat Lifesaver course. The greatest number of Fellowship of the Academy of Wilderness Medicine core credits (56) was offered by the Paramedic course and the fewest number (24) by the Tactical Combat Casualty Care–Medical Personnel course. The greatest number of Fellowship of the Academy of Wilderness Medicine elective credits (83) was offered by the Paramedic course and the fewest number (25) by the Tactical Combat Casualty Care–Combat Lifesaver course. Conclusion This research analyzed WM components in US multidisciplinary courses and demonstrated that each covers WM topics to varying extents. This shows an opportunity for these courses to expand their WM education within their scope. It also demonstrates competencies offered by different courses for interested trainees.
A New Technique for Creation of Femoral Vein Monocusp Neovalve for Patients With Primary Deep Vein Incompetence
Authors: Sekar Natarajan , Rajan Archana , Sima Rahul 
Published: October 2024

Chronic venous insufficiency due to deep vein incompetence (DVI) is difficult to treat and is prone for failure and recurrence of venous ulcers. A variety of techniques have been tried to create valve competency but majority of them have been difficult to perform and have not shown long term results. Opie reported a technique for construction of a monocusp neo valve. We have modified this procedure and successfully corrected the deep vein reflux in a patient with primary DVI. Methods Monocusp valve was created by folding the vein wall flap so that both sides of the valve will have intimal surface. Result Patient had excellent symptomatic improvement. The venous ulcer healed with skin grafting and had not recurred at 30 months follow up. Descending venogram and duplex scan showed mild reflux. Conclusion Monocusp neo valve creation for primary DVI is a simple procedure with good long-term result.
DWI lesions after intracranial aneurysm treatment with contour or WEB—does the device matter?
Authors: Gärtner Friederike , Klintz Tristan , Peters Sönke , Mahnke Justus , Mostafa Karim , Bueno Neves Fernando , Hensler Johannes , Larsen Naomi , Jansen Olav , Wodarg Fritz 
Published: October 2024

Objective In this study, we report our experience with the occurrence of diffusion-weighted imaging (DWI) lesions following aneurysm treatment with Woven EndoBridge (WEB) device and Contour Neurovascular System in elective settings. We compared both techniques in a retrospective single-center analysis, to investigate whether there are significant differences in the incidence of microemboli depending on the device used. Materials and methods Sixty-two cases treated with Contour were retrospectively compared with 84 WEB cases. Postinterventional MRI was performed in all patients within five days after the angiographic procedure. Only DWI lesions in the dependent vascular territory of the treated aneurysm were considered. Data on occurrence of DWI lesions, device implantation times as well as device change or repositions maneuvers were compared. Results A total of 146 patients were included in this study. Postinterventional DWI lesions were detected in 33 of the 62 (53.2%) Contour cases and in 36 of the 84 (42.8%) WEB cases with an average lesion number of 1.70 ± 3.45 in our WEB group and 1.68 ± 2.53 in our Contour cohort. Neither periinterventional device changes nor device reposition maneuvers had a significant impact on the occurrence of DWI lesions. Although four patients experienced transient neurological deterioration, the DWI lesions were not clinically relevant at the time of discharge, as the patients’ NIHSS remained stable compared to the preintervention NIHSS in the entire cohort. There was no statistically significant difference between the implantation times of WEB and Contour, although Contour could be implanted slightly faster. Conclusion Aneurysm treatment with WEB or Contour results in a comparable numbers of procedure-related DWI lesions. This effect was consistent after adjustment for other demographic or technical variables.