bluuebunny/crossref_metadata_2025_split huggingface dataset:
Design and implementation of a novel wideband dual‐polarised transmitarray antenna based on tightly coupled cross dipole cells
Authors: Zhao Yong Heng , Li Yin , Jiang Li Jun , Li Ping 
Published: November 2024

AbstractA novel broadband dual‐polarised transmitarray antenna (TA) utilising tightly coupled cross dipole cells is proposed in this work. The transmitarray cell using the tightly coupling wideband principle comprises two radiation patches designed as two orthogonal planar dipoles with four interdigital capacitors, two meandered parallel plate transmission lines, and a ground. Each cell has a square shape and a dimension of approximately 0.28 where is the wavelength at central frequency 5.5 GHz. The transmitarray cell can achieve 475° phase shift at central frequency and transmission magnitude better than −2.5 dB within the working band. To verify the feasibility of this design, a tightly coupled dual‐polarised transmitarray antenna (TCDPTA) is modelled and manufactured. The transmitarray aperture size is approximately 4.1 4.1 . The simulation and measurement illustrate that the TCDPTA has stable and distortion‐free main beams whose side lobe levels are generally below −10 dB in the band of 3.0–8.0 GHz. The measured gain at central frequency is 16.2 dBi and peak gain is 19 dBi at 7.5 GHz. The working bandwidth is 90.9% and 3 dB gain bandwidth is 66.7%. The measured cross‐polarisation levels are below −15 dB at axial direction. This TA has potential applications for high‐date‐rate communication and high‐revolution radar imaging systems at C‐band.
Swift-XRT follow-up analysis of unidentified hard X-ray sources
Authors: Kosiba M. , Massaro F. , Paggi A. , Peña-Herazo H. A. , Masetti N. , Chavushyan V. , Bottacini E. , Werner N. 
Published: November 2024

Context. It has been established that the sources contributing to the cosmic X-ray background (CXB) emission are mainly nearby active galactic nuclei (AGNs), in particular those that are obscured. Thus, it is important to fully identify the hard X-ray sky source population to accurately characterize the individual contribution of different AGNs to the overall CXB emission.
Aims. We present a follow-up analysis of all 218 sources marked as unidentified in our previous revision of the third release of the Palermo Swift-BAT hard X-ray catalog (3PBC) based on our multifrequency classification scheme. These 218 sources were classified as unidentified in our previous analyses because they lacked an assigned low-energy counterpart.
Methods. We searched for soft X-ray counterparts of these 218 3PBC sources in archival Swift-XRT observations obtained between January 1, 2005, and August 1, 2018. In particular, we found 1213 archival Swift-XRT observations for 192 of the 218 unidentified sources.
Results. We find 93 possible Swift-XRT counterparts within the Swift-BAT positional uncertainty regions. They correspond to 73 3PBC sources, 60 of which have only a single Swift-XRT detection; the rest have multiple detections. We present all the detected possible counterparts of the as-of-yet-unidentified hard X-ray sources to the community as a catalog for future spectroscopic follow-up targets, together with a short catalog of our classification of the ten sources for which there were available spectra.
An Organ-Specific Approach to the Management of Gestational Hypertension: Evidence versus Tradition
Authors: Clark Steven L. , Saade George A. , Tolcher Mary C. , Belfort Michael A. , Rouse Dwight J. , Silver Robert M. , Kapadia Avni , Sundgren Nathan C. , Saridey Sai K. , Sibai Baha M. 
Published: November 2024

The management of hypertensive disease in pregnancy is currently guided by practice recommendations based largely on observational data from a half century ago and has changed only superficially since that time. These recommendations are both narrowly prescriptive (women without traditional features of severe disease should all be delivered at exactly 370/7 weeks) and at the same time frustratingly ambiguous (the presence of epigastric pain unresponsive to repeat analgesics precludes expectant management at any gestational age, regardless of laboratory studies). Guidelines that ignore recent data from the obstetric, pediatric, and internal medicine literature too often lead practitioners to be more aggressive than necessary in the delivery of very premature pregnancies, and, conversely, more complacent than patient safety would support in prolonging pregnancy with advanced fetal maturity. We present here an alternative, organ-specific-based approach to the management of gestational hypertension that allows and encourages practitioners to formulate a management plan based on a thoughtful and, when possible, evidence-based synthesis of the continuous variables of blood pressure, degree of organ dysfunction and response to treatment, gestational age, and patient balancing of maternal and fetal/neonatal risks. Such clinical care is more complex and nuanced than simply basing life-altering critical management decisions, including timing of delivery, on whether the patient does, or does not have any one of the conditions described by box 4 of the current American College of Obstetricians and Gynecologists practice guidelines. Nonetheless, we believe this approach will not only improve care but will also open the door to useful investigations into prevention and management of the various entities traditionally considered as the same disease process.
Key Points
Evaluation of Modified Frailty Index for Predicting Postoperative Outcomes after Upper Extremity Replantation and Revascularization Procedures
Authors: Desai Anshumi , Luo Angela , Borowsky Peter A. , Hemer Valeria B. , Fullerton Natalia , Xu Kyle Y. , Tadisina Kashyap K. 
Published: November 2024

Abstract
Background Upper extremity (UE) replantation and revascularization are challenging surgical procedures, with survival rates being 50 to 90%. Preoperative risk stratification is challenging yet crucial as patients with comorbid conditions face increased complications. This study assesses the predictive value of the modified 5-item frailty index (5-mFI) for postoperative complications in these procedures.
Methods A retrospective study was done using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2011–2021) for UE replantation/revascularization. The 5-mFI score assigned points for comorbidities including pulmonary disease, heart failure, diabetes, hypertension, and functional status (0–5 scale; 1 point to each). 5-mFI scores stratified patients into <2 (low-risk) or ≥2 (high-risk) categories.
Results Of 2,305 patients, the mean age and body mass index (BMI) were 53.13 years and 28.53 kg/m2, respectively. The 5-mFI ≥2 cohort experienced higher rates of all-cause complications, systemic complications, unplanned readmissions, and return to the operating room on univariate analysis. There was no significant difference in wound complication rates. Multivariable logistic regression showed that a higher 5-mFI was significantly associated with increased risks of all-cause mild and severe systemic complications. Wound complications, length of stay over 30 days, unplanned readmission, and return to the operating room were higher in high-risk patients, however not statistically significant.
Conclusion 5-mFI is an effective tool for evaluating risk in UE replantation and revascularization, correlating high scores with significantly increased postoperative complications. High-risk patients with 5-mFI ≥2 also had more reoperations and readmissions. The use of 5-mFI in preoperative assessments can help personalize management, enhancing patient selection and care quality in these complex reconstructions.
Palladium-Catalyzed Selective Defluoroalkylation of (Trifluoromethyl)arenes
Authors: Lan Yingqi , Bian Tiancen , Zhou Liejin , Zhang Zuxiao , Zhang Fangfang , Liang Yan 
Published: November 2024

AbstractThe selective functionalization of C–F bonds in trifluoromethylated arenes (ArCF3) is essential due to the extensive use of fluorinated compounds in pharmaceuticals, agrochemicals, and materials science, alongside emerging regulatory restrictions on trifluoromethyl groups. Here, we report a hybrid palladium-catalyzed strategy for the selective defluorination and functionalization of ArCF3, featuring intermolecular carboamination of linear conjugated dienes or defluorinative cross-coupling with nonactivated alkenes. This methodology enables the 1,4-addition of dienes with exclusive E-selectivity or the defluoroalkylation of (trifluoromethyl)arenes, providing efficient routes to difluoromethylated compounds and addressing key challenges in synthetic fluorine chemistry.
HTK Solution Cardioplegia in Pediatric Patients: A Meta-analysis
Authors: Galvao Lorhayne Kerley Capuchinho Scalioni , Santos Ana Clara Felix de Farias , Santos Nicole Pimenta dos , Zamora Fernanda Valeriano , Biavatti Belisa Brunow Ventura , Salles João Pedro Costa Esteves Almuinha , Mendonca Horbert Soares 
Published: November 2024

Abstract
Introduction Cardioplegia, a therapy designed to induce reversible cardiac arrest, revolutionized cardiovascular surgery. Among the various pharmacological approaches is the histidine-tryptophan-ketoglutarate (HTK) solution. Despite numerous studies, no meta-analysis has investigated the efficacy of the HTK solution in the pediatric population. Therefore, we aim to conduct a meta-analysis comparing HTK and other cardioplegia solutions in pediatric patients undergoing cardiovascular surgery.
Methods PubMed, Embase, and Cochrane databases were searched from inception through April 2024. Endpoints were computed in odds ratios (OR) with 95% confidence intervals (CI) for dichotomous variables, whereas continuous variables were compared using mean differences (MD) with 95% CI.
Results A total of 11 studies comprising 1,349 patients were included, of whom 677 (50.19%) received HTK cardioplegia. The results were similar between groups regarding mortality (OR 0.98; 95% CI 0.29, 3.29), length of hospital stay (MD 0.32 days; 95% CI −0.88, 1.51), Mechanical ventilation (MV) (MD −17.72 hours; 95% CI −51.29, 15.85), arrhythmias (OR 1.27; 95% CI 0.83, 1.95), and delayed sternal closure (OR 0.89; 95% 0.56, 1.43). However, transfusion volume was lower in the HTK group (MD −452.39; 95% CI −890.24, −14.53; p = 0.04).
Conclusion The use of HTK solution was demonstrated to be similar regarding its clinical efficacy to other approaches for cardioplegia, and it may present advantages to patients prone to hypervolemia.
Left Ventricular Assist Device Implantation with Concomitant Replacement of the Ascending Aorta
Authors: Bauer Sebastian Johannes , Sugimura Yukiharu , Immohr Moritz Benjamin , Mehdiani Arash , Lichtenberg Artur , Akhyari Payam 
Published: November 2024

AbstractDilated cardiomyopathy (DCM) is one of the main causes for end-stage heart failure. Until the transplantation, left ventricular assist devices (LVAD) have become an established treatment. We report a case of a 66-year-old patient with ischemic and DCM and suspected aortic ulcer formation. LVAD was implanted in the same session with a supracoronary aortic replacement. Bilateral cannulation of the subclavian arteries omitted the need of circulatory arrest and proximal aortic cross-clamping. Pneumonia-associated decarboxylation failure prolonged the postoperative intensive care period. The patient was finally discharged home on the 115th postoperative day.
Low incidence of deep vein thrombosis after double-balloon endoscopy and colorectal submucosal dissection: Multicenter, prospective study
Authors: Sugiyama Tomoya , Katano Takahito , Shimura Takaya , Ebi Masahide , Ozeki Takanori , Mizushima Takashi , Hirata Yoshikazu , Ito Keisuke , Ozeki Keiji , Yamaguchi Yoshiharu , Ishihara Ryo , Yamamoto Kazuhiro , Mizuno Yusuke , Nagao Kazuhiro , Inagaki Yuki , Kasugai Kunio , Kataoka Hiromi 
Published: November 2024

Abstract
Background and study aims Although deep vein thrombosis (DVT) and pulmonary embolism (PE) are major postoperative complications, risk of DVT/PE after endoscopic procedures remains unknown. This study aimed to identify risks of DVT/PE after colorectal endoscopic submucosal dissection (ESD) and double-balloon endoscopy (DBE).
Patients and methods Patients who were scheduled to undergo DBE and colorectal ESD were prospectively enrolled in this study. Before enrollment, all patients were confirmed to have no DVT on whole-leg ultrasonography (US) or contrast-enhanced computed tomography (CECT). All patients routinely underwent whole-leg US after ESD or DBE. The primary endpoint was incidence of DVT after colorectal ESD and DBE. The preplanned sample size was 170 patients in the colorectal ESD group and 75 in the DBE group.
Results Between September 2020 and June 2022, 170 patients who had colorectal ESD and 75 who had DBE were recruited for this study; however, 238 patients (ESD, n = 167; DBE, n = 71) were analyzed. Of these 238 patients, DVT occurred in only one patient after colorectal ESD and incidence of DVT was 0.4% (95% confidence interval [CI] 0–1.2) in total, including 0.6% (95% CI 0–1.8) after colorectal ESD and 0% after DBE. Conversely, no PE occurred in the entire cohort.
Conclusions This prospective study demonstrated that risk of DVT/PE following highly invasive endoscopic procedures including colorectal ESD and DBE is very low.
Approaches to Cheek Reconstruction following Mohs Surgery
Authors: McAllister Lauren , Thornton James F. 
Published: November 2024

AbstractThe native features of the cheek allow for a variety of approaches when considering reconstruction following Mohs surgery. Selecting the best approach requires consideration of deficit size and location, skin laxity, surrounding anatomy, aesthetic outcomes, and specific patient factors. Reconstruction options vary based on the zone of the cheek affected, but direct closure remains the gold standard. When direct closure is not suitable, the use of the cervicofacial advancement flap, biologic agents, or a combination of the two should adequately address the majority of cheek deficits resulting from Mohs surgery. During cheek reconstruction, great care should be taken to maintain and support the surrounding anatomy, most notably the lower eyelid. Postoperative management is mostly comprised of scar management, as immediate, urgent complications are rare. Options to address postoperative scarring range from silicone sheeting to revisional surgery, but most deficits will settle well if given adequate time and are properly cared for with noninvasive measures.
Challenges and Strategies in Post-Mohs Reconstructive Surgery
Authors: McAllister Lauren , Thornton James F. 
Published: November 2024

AbstractFacial reconstruction following Mohs excision presents many challenges. The unpredictable nature of Mohs surgery can yield surprising deficits that require far more extensive reconstructions than originally anticipated. It is up to the reconstructive surgeon to guide the patient through the shock of the excision, initial reconstruction, definitive reconstruction, and postoperative management. It is essential to approach a post-Mohs patient with the understanding that a rushed, same-day reconstruction carries a greater risk for the patient and the outcome than that of a delayed, planned reconstruction. Considering factors beyond the deficits, such as the patient's means, health literacy, and comorbidities, is essential to ensuring a methodical reconstruction with favorable results. Often, deficits will need to be temporized until the patient is optimized and the details of the reconstruction have been established. The specifics of the reconstruction are heavily influenced by the patient's desires, understanding, and ability to participate multistage operations. Once the best suited reconstruction is selected, reviewing expectations and the possible associated contingencies is crucial for patient satisfaction. Despite the surgeon's great effort in ensuring a satisfactory reconstruction, many patients will further benefit from close follow-up and postoperative scar management. The combination of patient optimization, meticulous surgical planning, and postoperative wound management enables the surgeon to obtain favorable outcomes, even in the most unpredictable reconstructions.
Ear Reconstruction following Mohs Micrographic Surgery
Authors: Mohan Vamsi C. , Owens Winston R. , Schmidt Josephine L. , Burns Heather R. , Buchanan Edward P. 
Published: November 2024

AbstractRelative to other regions of the body, the ear has a high risk of developing cutaneous malignancies that often necessitate Mohs micrographic surgery (MMS) for removal. This procedure can create defects that are immediately noticeable if left untreated. Reconstructive techniques are often needed to restore the appearance of the affected ear and its symmetrical relationship to the contralateral ear. However, achieving optimal aesthetic results can be challenging due to the subtle intricacies of the external ear. Therefore, careful planning and execution should be implemented prior to managing the acquired defect. Additionally, depending on the size and location of the defect, various options aligning with the reconstructive ladder can provide desired outcomes. The purpose of this article was to highlight and discuss the different techniques used in ear reconstruction following MMS.
Postoperative Grip Strength and Range of Motion Correlated with Better Patient-Reported Outcomes Following Surgical Management of Distal Radius Fractures
Authors: Yaakobi Dor , Ron Itay , Agbaria Hanan , Yelton Mitchell J , Peskin Bezalel , Ghrayeb Nabil , Norman Doron , Shapira Jacob 
Published: November 2024

Abstract
Background The common methods for assessing postoperative outcomes in patients with distal radius fractures (DRFs) are mostly observational. In contrast to these traditional assessment tools, postoperative assessments based on patient-reported outcomes (PROs) are becoming more popular. The aim of this study was to analyze the postoperative radiological measurements and physical examination measures as predictive measures for patient-reported satisfying outcomes defined by the Disabilities of the Arm, Shoulder, and Hand (DASH) score and the Gartland and Werley score.
Purpose The aim of this study was to inspect whether postoperative radiological and physical examination measurements are associated with better PROs. This correlation would be beneficial to assess surgery's success and predict patient's recovery process, helping with coordination of patient's expectations postsurgery.
Study Design This is a retrospective cohort study.
Methods Eligible patients were those who underwent Open Reduction Internal Fixation (ORIF) of DRFs and answered the DASH and Gartland and Werley questionnaires with a minimal follow-up period of 6 months and a 2-year median follow-up time; during follow-up, physical examination measures and radiographic measures were taken.
Results This study has found that older patients have a higher probability to achieve better PROs postsurgery and ROM has been found as a factor correlated with DASH score and Gartland and Werley score. A model combining grip strength, supination, and extension was able to predict the DASH score with 63% of variance: DASH score = 88.864–(0.288 × grip strength) – (0.371 × supination) – (0.270 × extension).
Conclusions Due to the high prevalence of DRFs and their debilitating effect on patients' functionality, a credible assessment tool must be defined to predict postsurgery patient satisfaction and help in the patient selection process.
Level of Evidence III.
Nosocomial Sepsis Triggered by Pluralibacter gergoviae in a Pediatric Intensive Care Unit: A Case Report and Literature Review
Authors: Özel Abdulrahman , Kutlu Nurettin Onur , Yüce Servet , Ozdalgicoglu Cenk , Erol Meltem 
Published: November 2024

Abstract
Pluralibacter gergoviae is a rare opportunistic gram-negative Bacillus in humans and exhibits resistance to preservatives in cosmetic products. In this case report, we present nosocomial P. gergoviae sepsis that developed through contamination from a cleaning product in a previously healthy child without known chronic diseases, during pediatric intensive care unit care. Contamination with the same microorganism was detected even in unused samples of the cleaning product, leading to a recall of these items. This report highlights the case of hospital-acquired P. gergoviae sepsis to emphasize the importance of adherence to antiseptic protocols by health care workers, as well as the necessity for medical materials used in treatment and patient care to be produced and stored in compliance with appropriate regulations.
The History of Rare Bleeding Disorders
Authors: Dorgalaleh Akbar , Tavasoli Behnaz , Hassani Saeed , Ramezanzadeh Narjes , Fathalizade Kimia , Hashemi Farzaneh , Feily Zahra , Khademi Melika , Kohzadi Zhino , Mahalleh Roghayeh Gholizadeh Doran , Torkamandi Mohammad S. , Yassini Mahya S. 
Published: November 2024

AbstractDeficiencies in coagulation factors I (FI), FII, FV, combined FV and FVIII (CF5F8) and vitamin K-dependent coagulation factors FVII, FX, FXI, and FXIII have been referred to as rare bleeding disorders (RBDs), rare coagulation factor deficiencies (RCFDs), or recessively inherited coagulation disorders. Fibrinogen was most likely the first member of this group to be identified, with reports of its discovery spanning from 1859 to 1966. If not, then the first coagulation factor to be identified was prothrombin in 1894, and the last coagulation factor to be found was FX in 1956, about 60 years later. The first patient to be diagnosed with an RBD was a 9-year-old boy with afibrinogenemia in 1920 and the vitamin K-dependent coagulation factors deficiency was the most recent RBD in this group to be identified in a 3-month-old child in 1966. The initial therapeutic option for nearly all patients with RBDs was whole blood transfusion; this was replaced in 1941 by fresh frozen plasma (FFP), and then in later years by cryoprecipitate and coagulation factor concentrates. Fibrinogen concentrate was the first coagulation factor concentrate produced in 1956. Coagulation factor concentrate is now available for FI, FVII, FX, FXI, and FXIII; however, FFP and/or platelet transfusion are the only treatments available for FV deficiency. The only recombinant concentrates available for RBDs are for FVII and FXIII, which date from 1988 and the 2000s, respectively. Even though the clinical presentations, diagnosis, and management of lesser-known bleeding disorders have improved significantly in recent decades, more studies are needed to reveal the hidden aspects of these disorders in order to overcome diagnostic and therapeutic challenges and ultimately improve the quality of life for those who are affected.
The cycle of applicative in Tibetic
Authors: Bialek Joanna , Simon Camille 
Published: November 2024

Abstract
This paper investigates the grammaticalization and subsequent pragmaticization of an applicative construction in
Tibetic. Based on linguistic data ranging from the 8th century to modern times, we show how successive linguistic changes link a
verb phrase originally meaning ‘to act as a companion (of sb.)’ to an imperative marker, through an applicative construction.
Despite the scarcity of data, we document the different stages of evolution of this particular construction: the lexicalization of
a verb phrase; its grammaticalization into a sociative-benefactive applicative marker; the pragmaticization of particular use
patterns of this applicative construction into markers of complaints, wishes and commands; and eventually a secondary
grammaticalization into an imperative marker. As they developed, most of these stages have been retained in the modern Tibetic
languages and co-exist with lexicalized units based on the same morphological material. Our analysis adds to the recently
discussed cross-linguistic data by demonstrating that applicative markers can directly grammaticalize from nouns without an
intermediate stage of noun incorporation or adposition. We also show that the range of functions taken over by this construction
in synchrony can only be understood by referring to its diachronic evolution.