bluuebunny/crossref_metadata_2025_split huggingface dataset:
Safety of simultaneous bilateral carotid artery stenting for bilateral carotid artery stenosis
Authors: Oshita Jumpei , Sakamoto Shigeyuki , Okazaki Takahito , Ishii Daizo , Kurisu Kaoru 
Published: August 2019

Background Bilateral carotid artery stenting (BCAS) is often performed in two stages (staged BCAS) but it is also an option to be performed in one stage (simultaneous BCAS). To confirm the safety of simultaneous BCAS, we retrospectively analyzed perioperative and postoperative course of simultaneous BCAS compared with staged BCAS. Materials and methods Patients with symptomatic stenosis of ≥50% or asymptomatic stenosis of ≥80% of bilateral carotid arteries underwent BCAS. Procedure time, symptomatic ischemic complications, presence/absence of high-intensity spots on postoperative diffusion-weighted image, duration of postoperative hospital stays and 30 days outcome of patients performed with simultaneous BCAS (group A, 8 patients with 16 stenotic lesions (8 procedures)) were compared with those of staged BCAS (group B, 4 patients with 8 stenotic lesions (8 procedures)). Results In groups A and B, procedure time was 146.0 ± 53.8 and 103.5 ± 39.4 min; intraoperative hypotension was observed in 62.5% and 50.0%; postoperative hypotension occurred in 37.5% and 50.0%; diffusion-weighted image showed high-intensity spots in 37.5% and 12.5%; and duration of postoperative hospital stays was 5.1 ± 1.8 and 5.3 ± 2.3 days. No patients suffered symptomatic ischemic complications. In simultaneous BCAS, there was a tendency that procedure time was longer and high-intensity spots on postoperative diffusion-weighted image was more frequent, but there was no increase in symptomatic ischemic complications and duration of hospital stays compared to staged BCAS. Conclusions Safety of simultaneous BCAS may not be inferior to staged BCAS. In terms of duration of hospital stays, simultaneous BCAS can be superior to staged BCAS for patients with bilateral carotid artery stenosis.
Optimal delay time to initiate anticoagulation after ischemic stroke in atrial fibrillation (START): Methodology of a pragmatic, response-adaptive, prospective randomized clinical trial
Authors: King Benjamin T , Lawrence Patrick D , Milling Truman J , Warach Steven J 
Published: August 2019

Rationale An estimated 15% of all strokes are associated with untreated atrial fibrillation. Long-term secondary stroke prevention in atrial fibrillation is anticoagulation, increasingly with non-vitamin K oral anticoagulants. The optimal time to initiate anticoagulation following an atrial fibrillation-related stroke that balances hemorrhagic conversion with recurrent stroke is not yet known. Aims To determine if there is an optimal delay time to initiate anticoagulation after atrial fibrillation-related stroke that optimizes the composite outcome of hemorrhagic conversion and recurrent ischemic stroke. Sample size estimates The study will enroll 1500 total subjects split between a mild to moderate stroke cohort (1000) and a severe stroke cohort (500). Methods and design This study is a multi-center, prospective, randomized, pragmatic, adaptive trial that randomizes subjects to four arms of time to start of anticoagulation. The four arms for mild to moderate stroke are: Day 3, Day 6, Day 10, and Day 14. The time intervals for severe stroke are: Day 6, Day 10, Day 14, and Day 21. Allocation involves a response adaptive randomization via interim analyses to favor the arms that have a better risk–benefit profile. Study outcomes The primary outcome event is the composite occurrence of an ischemic or hemorrhagic event within 30 days of the index stroke. Secondary outcomes are also collected at 30 and 90 days. Discussion The optimal timing of direct oral anticoagulants post-ischemic stroke requires prospective randomized testing. A pragmatically designed trial with adaptive allocation and randomization to multiple time intervals such as the START trial is best suited to answer this question in order to directly inform current practice on this question.
Investigating the functional grip strength of elderly fallers in Singapore
Authors: Mat Jais Ita Suzana , Nadkarni Nivedita Vikas , NG Yee Sien , Seow Dennis Chuen Chai , Wong Ting Hway 
Published: August 2019

Background: Static grip strength has been a reliable method for assessing the functional capacity of the individual and can be a useful marker for identifying elderly people at risk of functional deterioration leading to a fall. However, static grip strength alone may not represent the true maximum strength that an individual could exert in his/her daily life, especially if the task requires simultaneous forces from gripping and a forearm twisting action, which is termed as functional isometric grip strength. Hence, the objectives of this study were to determine the differences in the fallers’ grip strengths at static-neutral grip position and during isometric forearm pronation/supination, as well as the differences between the maximum and sustained isometric grip strengths. Methods: Data were analysed from 31 elderly people (11 males and 20 females) aged 70 and over. Using a custom-made hand strength measurement device, three measurements were taken: (1) grip strength in neutral forearm position; (2) grip strength during isometric forearm pronation; and (3) grip strength during isometric forearm supination. Results: Elderly fallers could only achieve approximately 60%–80% of the maximum normative strength. Additionally, it was found that their functional isometric grip strengths were generally weaker than their static maximal grip strength, especially during isometric supination as either maximum or sustained isometric supination grip strengths (Dominant hand: 10.6 kg and 8.5 kg, respectively (males); 6.0 kg and 4.4 kg, respectively (females)). Conclusion: Elderly fallers are weaker when their grip is subjected to additional torque, endurance or both. Hence, these findings have potential implications for designing better screening tools for the geriatric population.
Evaluating the use of machine learning in the assessment of joint angle using a single inertial sensor
Authors: Argent Rob , Drummond Sean , Remus Alexandria , O’Reilly Martin , Caulfield Brian 
Published: August 2019

Introduction Joint angle measurement is an important objective marker in rehabilitation. Inertial measurement units may provide an accurate and reliable method of joint angle assessment. The objective of this study was to assess whether a single sensor with the application of machine learning algorithms could accurately measure hip and knee joint angle, and investigate the effect of inertial measurement unit orientation algorithms and person-specific variables on accuracy. Methods Fourteen healthy participants completed eight rehabilitation exercises with kinematic data captured by a 3D motion capture system, used as the reference standard, and a wearable inertial measurement unit. Joint angle was calculated from the single inertial measurement unit using four machine learning models, and was compared to the reference standard to evaluate accuracy. Results Average root-mean-squared error for the best performing algorithms across all exercises was 4.81° (SD = 1.89). The use of an inertial measurement unit orientation algorithm as a pre-processing step improved accuracy; however, the addition of person-specific variables increased error with average RMSE 4.99° (SD = 1.83°). Conclusions Hip and knee joint angle can be measured with a good degree of accuracy from a single inertial measurement unit using machine learning. This offers the ability to monitor and record dynamic joint angle with a single sensor outside of the clinic.
Voice hoarseness in a patient with underlying Eisenmenger's syndrome: A case report
Authors: Suryavanshi Palak , Parameswaran Sreejit , Sharma Nishant , Murphy Russell A. , Sharma Anil R. 
Published: August 2019

Background The natural history of patients diagnosed with Eisenmenger's Syndrome typically revolve around the pediatric population. Medical advances have allowed these patients to live longer and present with a different subset of symptoms as a result of the progression of their disease process. Case presentation In this case report, we discuss a 77-year-old Caucasian female with Eisenmenger's Syndrome presenting with hoarseness. Clinical and imaging studies reveal a left vocal cord paralysis secondary to a progressively enlarging patent ductus arteriosus (PDA) and dilation of pulmonary arteries causing mass effect on the left recurrent laryngeal nerve. Conclusion From a clinical perspective, this case highlights the need for otolaryngologists to be aware of the pathophysiology of Eisenmenger's Syndrome as it progresses with age.
Development and Testing of the CAHPS Cancer Care Survey
Authors: Evensen Christian T. , Yost Kathleen J. , Keller San , Arora Neeraj K. , Frentzel Elizabeth , Cowans Tamika , Garfinkel Steven A. 
Published: August 2019

PURPOSE: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cancer Care Survey is a systematic assessment of health care experiences of patients with cancer. It supports comparisons among all cancer treatment settings and modalities. METHODS: Formative research included 16 focus groups with patients receiving treatment and family members; advice from a panel of oncology and quality improvement experts; and interviews with stakeholders representing oncology associations, accredited cancer centers, and community oncology practices. We conducted cognitive tests of the instrument and field tests at six cancer centers and four community oncology practices, after which the survey was finalized and obtained the CAHPS trademark. RESULTS: The survey includes 56 questions that form six core composite measures (Getting Timely Care; Supporting Patient Self-Management; Available to Provide Care and Information; Provider Communication; Care Coordination; and Courteous Office Staff); two single-item measures of family participation in care and interpreter services; and two global ratings of cancer care and the treatment team. Sixteen additional items form three supplemental composite measures: Shared Decision-Making, Keeping Patients Informed, and Access to Care. CONCLUSION: Mail-only, mail-telephone mixed-mode, and Web-mail mixed-mode data collection methods are recommended. The questionnaires and instructions for use are free and available in English and Spanish on the CAHPS Website ( www.ahrq.gov/cahps ).
Adhering to evidence-based clinical practice guidelines results in lower readmission rates in Brazilian private hospitals
Authors: Geiger Sebastian Naschold , Japiassu André Miguel , Filho Hugo Tannus Mendonça , Rose Alexandre Maximiliano , Coudry Daniel , Wilson Margareth-Mary 
Published: August 2019

Background/Aims In clinical practice, an evidence-based approach is viewed as a pathway to creating a sustainable healthcare system. As such, many leaders in private hospitals still regard evidence-based approaches as tools to curtail length of stay. This article aimed to evaluate the impact of evidence-based clinical practice guidelines on the quality of care in Brazilian private hospitals. Methods The adherence to evidence-based clinical practice was compared to hospital readmission rates through a linear regression model. A machine learning clustering algorithm was applied to classify the hospitals according to these measures. Results The linear regression model showed a reverse correlation between adherence to evidence based clinical practice and readmission rates. The algorithm distributed the 83 hospitals into two groups, following the same pattern, with an additional finding suggesting an optimal hospital size for quality measures. Conclusions This article suggests that an evidence-based approach is associated with higher quality of care, by showing that hospitals following evidence-based guidelines have lower readmission rates than those who do not.
Orthopaedic diagnoses in patients with Klippel-Trenaunay syndrome
Authors: Schoch J. J. , Nguyen H. , Schoch B. S. , Anderson K. R. , Stans A. A. , Driscoll D. , Tollefson M. 
Published: August 2019

Purpose Klippel-Trenaunay syndrome (KTS) is a rare combined vascular malformation composed of capillary malformation, lymphatic and/or venous malformation and limb overgrowth, which commonly affects the extremities. Due to limb involvement, it is not uncommon for these patients to require referral to an orthopaedic surgeon. Herein we reviewed the prevalence of orthopaedic diagnoses in a large cohort of KTS patients and described the associated surgical interventions. Methods Between 1976 and 2012, 410 patients fulfilling strict criteria for KTS were evaluated at a single institution. Patient charts were reviewed for demographic information, details of the clinical evaluation, orthopaedic consultation and surgical interventions. Results A total of 264 of 410 patients (64%) with confirmed KTS required orthopaedic evaluation. Of these 264 patients, 84% had documented limb-length discrepancy. Other common diagnoses included: angular deformities (10%), scoliosis (9%), osteopenia/osteoporosis (7%), pathological fractures (6%), joint contracture (5%), degenerative joint disease (4%) and limb/joint pain (4%). Of the 264 patients evaluated by orthopaedic surgery, 133 patients (50.4%) underwent 169 surgeries. Surgery was most commonly performed for limb-length discrepancy (62%). Multivariable analysis confirmed an orthopaedic condition was more likely in patients with lymphatic malformation (odds ratio (OR) 3.78; p < 0.001), as well as in those with bone and/or soft-tissue hypertrophy of the lower extremity (OR 7.51; p < 0.001) or foot (OR 3.23; p < 0.001). Conclusion Orthopaedic conditions are common in patients with KTS and approximately 50% require surgical intervention. Those with a lymphatic malformation and/or soft-tissue hypertrophy of the lower extremity are more likely to need surgery. Level of Evidence Level IV, Descriptive Case Series
Paediatric anterior cruciate ligament tears: Management and growth disturbances. A survey of EPOS and POSNA membership
Authors: Accadbled F. , Gracia G. , Laumonerie P. , Thevenin-Lemoine C. , Heyworth B. E. , Kocher M. S. 
Published: August 2019

Purpose The therapeutic algorithm of paediatric anterior cruciate ligament (ACL) tears remains controversial. The primary aim of the study was to describe variations in practice patterns among European Paediatric Orthopaedic Society (EPOS) and Pediatric Orthopaedic Society of North America (POSNA) members with respect to management of ACL tears in skeletally immature patients. The secondary objective was to determine the number, type and severity of growth disturbances associated with ACL reconstruction (ACLR). Methods An email invitation to complete a 52-question survey was sent to all members of POSNA and EPOS. Data were collected automatically. Descriptive statistics were applied. Results In all, 305 (25.4%) surgeon members responded. Only 182 (60%) of the participants treated ACL injuries in skeletally immature patients and completed the survey. A total of 17% of EPOS and 70% of POSNA members recommended ACLR within three months for a prepubescent paediatric ACL tear. In total, 61% of POSNA and 83% of EPOS members recommended ACLR within three months for a pubescent paediatric ACL tear. Epiphyseal tunnels were the preferred technique in prepubescent children (43% at the tibia and 49% at the femur), while transphyseal tunnels were recommended preferentially in pubescent children (85% at the tibia and 63% at the femur). In all, 5.5% of participants reported growth disturbances after ACLR. Conclusion Current practice patterns across the Atlantic remain varied and controversial. Consensus remains elusive; as such, research collaboration among societies will be important to develop an evidence-based treatment algorithm. The use of transphyseal tunnels has been reinforced. The number of cases of significant growth disturbance is minimal, yet worrisome. Level of Evidence II
O close-up e o sujeito reinventado: À procura do personagem de cinema
Authors: Leal João Vitor 
Published: August 2019

Este artigo pretende investigar o primeiro cinema em busca de marcas da “invenção” do personagem cinematográfico e, de modo correlato, da “invenção” do ator de cinema. Analisaremos diversas estratégias de enunciação e de figuração que revestem o corpo filmado de sua carga narrativa, tornando significativas suas aparições no decorrer do filme. Dentre essas estratégias, ressaltaremos o plano aproximado do rosto do ator – de Chapeaux à transformations (Lumière, 1895) a Fantômas (Feuillade, 1913), o close-up se mostra a principal ferramenta que permite ao espectador antecipar e projetar na figura humana uma identidade individual dotada de certa consistência psicológica e apta a desempenhar as funções narrativas que passam a ser exigidas pelos filmes. Veremos todavia que, apesar de sua essencial contribuição para o processo de “integração narrativa”, o close-up também preserva o rosto como uma “atração” à parte. Tal força atracional, já presente em obras de Méliès (Le roi du maquillage, 1904) e A. E. Weed (Photographing a female crook e Subject for the rogue’s gallery, 1904), chega renovada ao momento contemporâneo através de filmes que, investindo em metamorfoses e multiplicações dos personagens, complicam a relação entre corpo e identidade. Assim, o retorno ao close-up no primeiro cinema se revela crucial para a compreensão das origens e complexidades do personagem cinematográfico para além das órbitas da literatura e do teatro.
Integrated Subsurface Temperature Modeling beneath Mt. Lawu and Mt. Muriah in The Northeast Java Basin, Indonesia
Authors: B. Nurhandoko Bagus Endar , Kurniadi Rizal , Susilowati  , Triyoso Kaswandhi , Widowati Sri , Asmara Hadi M. Rizka , Abda M. Rizal , K. Martha Rio , Fatiah Elfa , Rizal Komara Insan 
Published: August 2019

Abstract
The subsurface temperature has many impacts on geological phenomena such as hydrocarbon generation, geothermal energy, mineralization, and geological hazards. The Northeast Java Basin has various interesting phenomena, such as many oil fields, active faults, mud eruptions, and some active and dormant volcanoes. We measured temperature data from tens of wells along a 130 km survey line with an average spacing of 5 km. We also measured the thermal conductivity of rocks of various lithologies along the survey line to provide geothermal heat flow data. We propose integrated modeling for profiling the subsurface temperature beneath the survey line from Mt. Lawu to Mt. Muriah in the Northeast Java Basin. The modeling of subsurface temperature integrates various input data such as a thermal conductivity model, surface temperature, gradient temperature, a geological model, and geothermal heat flow. The thermal conductivity model considers the subsurface geological model. The temperature modeling uses the finite difference of Fourier’s law, with an input subsurface thermal conductivity model, geothermal heat flow, and surface temperature. The subsurface temperature profile along with survey line shows some interesting anomalies which correlate with either subsurface volcanic activity or the impact of fault activity.
Effects of a 12-Week Resistance Training Program on Arterial Stiffness: A Randomized Controlled Trial
Authors: Werner Timothy J. , Pellinger Thomas K. , Rosette Vincent D. , Ortlip Austin T. 
Published: August 2019

Abstract
Werner, TJ, Pellinger, TK, Rosette, VD, and Ortlip, AT. Effects of a 12-week resistance training program on arterial stiffness: a randomized controlled trial. J Strength Cond Res 35(12): 3281–3287, 2021—Arterial stiffness is an indicator of disease and is an independent predictor of cardiovascular events. Some reports indicate that resistance training increases indices of arterial stiffness, whereas others report no association. This study sought to determine the association between 2 common resistance training models and indices of arterial stiffness. We recruited 30 male, untrained subjects (18–30 years) and randomized them into 1 of 3 groups: control (CON, n = 10), high-intensity resistance exercise (HI, n = 10), and high-volume resistance exercise (HV, n = 10). Subjects randomized to the resistance training groups were required to perform whole-body strength training exercises 3–5 days a week for 12 weeks. The exercise regimen consisted of 2–3 sets of 3–8 repetitions (80–90% of 1 repetition maximum [1RM]) for the HI group and 3–4 sets of 10–15 repetitions (50–70% of 1RM) for the HV group. Anthropometry, carotid artery diameters, peripheral and central blood pressure, and maximal dynamic strength were measured before and after the 12-week study period. Subjects were instructed to maintain their normal diet and avoid aerobic exercise during the study. After the intervention, both the HI and HV groups increased their maximal strength on the back squat, bench press, and seated row (all p < 0.05). However, there were no changes in arterial stiffness indices between the groups. Using a randomized controlled trial with validated measurements of arterial stiffness, chronic resistance training does not appear to influence central arterial stiffness, regardless of training volume and load.
Unboxing co-creation with students
Authors: Lystbæk Christian Tang , Harbo Karen , Hansen Christian Højbjerg 
Published: August 2019

Co-creation has received increasing interest as a way of develop products and services in collaboration with customers and clients. Recently, co-creation has been introduced in higher education; however, there is no general agreement about what this entails, and while the concept of co-creation has been used in a number of differing contexts, descriptions tend to focus on potentials only and not the tensions inherent in this kind of collaboration.
In this paper we describe a conceptual model for co-creation with students and explore the potentials as well as the tensions inherent in co-creation with students at academic libraries. Through a case study at The Royal Danish Library, Aarhus University Library we develop a conceptual model for co-creation with students that identifies the key aspects of co-creation with students and indicates its key potentials and tensions.
NVivo courses in the library
Authors: Røddesnes Sara , Faber Hege Charlotte , Jensen Magnus Rom 
Published: August 2019

In 2017, we started a project with the goal of offering a new service to academic staff and PhD candidates at the NTNU University Library: courses and guidance in the use of NVivo, a software to alleviate the workload in structuring and analysing qualitative research data.
Such software is useful for a plethora of subjects, like geography, anthropology, sociology, but also subjects like art history. Faculty members and PhD-candidates at NTNU have expressed enthusiasm when contacted about future courses in NVivo. Some employees have experience with NVivo, while others have tried to make their own tools and systems for analysis to fulfil their needs. Based on their feedback, experiences and valuable suggestions, we will offer the course in the fall 2018, either as a standalone library course or as a joint venture with one or more departments in the Humanities and Social Sciences faculties.
Our article will focus on how we have identified a new skillset and how we developed a new course for our patrons in close cooperation with them. In our article we will walk you through our ongoing project. We are very interested in feedback and hope to spark a discussion on the creation of new services in the libraries.