bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Apotheosis of Mountains: Sacred Space, Symbolic Landscape, and National Consciousness in Ch’oe Namsŏn’s T’aebaek Poetry
Authors: Stampton Owen 
Published: October 2024

Abstract
Ch’oe Namsŏn was a key figure in the introduction of geography into the print media culture of early twentieth-century Chosŏn. Ch’oe used geography as a tool, creating a new territorial consciousness for national cohesion, and this article explores how this greatly shaped his poetic landscape. Locating itself between the boundaries of literary studies and cultural geography, this work looks at Ch’oe’s underexplored T’aebaek poetry, in which his interests in geography, history, and national identity significantly converge. Drawing on “Mount Taebaek” of Korea’s past, Ch’oe fashions the mountain into a pseudo-religious icon of nationhood. A symbolic landscape, evocative of a uniquely Korean past yet rising as a global icon going into a modern world, Ch’oe’s poetry creates a godlike figure for the Korean people to look to in a changing time of imperialism, nationalism, and modern progress. Through various iterations of T’aebaek—benevolent deity, bringer of modernity, omnipotent ruler of the world—one sees the mountain play a vital role in the shaping of Ch’oe’s nationalist project, which would have continued influence on his writings later in life.
Partial role of volatile organic compounds in behavioural responses of mice to bedding from cancer-affected congeners
Authors: Gouzerh Flora , Dormont Laurent , Buatois Bruno , Hervé Maxime R. , Mancini Maicol , Maraver Antonio , Thomas Frédéric , Ganem Guila 
Published: October 2024

ABSTRACT
Tumours induce changes in body odours. We compared volatile organic compounds (VOCs) in soiled bedding of a lung adenocarcinoma male mouse model in which cancer had (CC) versus had not (NC) been induced by doxycycline at three conditions: before (T0), after 2 weeks (T2; early tumour development), after 12 weeks (T12; late tumour development) of the induction. In an earlier study, wild-derived mice behaviourally discriminated between CC and NC soiled bedding at T2 and T12. Here, we sought to identify VOCs present in the same soiled bedding that could have triggered the behavioural discrimination. Solid phase micro-extraction was performed to extract VOCs from 3 g-sample stimuli. While wild-derived mice could discriminate the odour of cancerous mice at a very early stage of tumour development (T2), the present study did not identify VOCs that could explain this behaviour. However, consistent with the earlier behavioural study, four VOCs, including two well-known male mouse sex pheromones, were found to be present in significantly different proportions in soiled bedding of CC as compared to NC at T12. We discuss the potential involvement of non-volatile molecules such as proteins and peptides in behavioural discrimination of early tumour development (T2), and point-out VOCs that could help diagnose cancer.
The Efficacy of Blood Flow Restriction Training to Improve Quadriceps Muscle Function after Anterior Cruciate Ligament Reconstruction
Authors: ERICKSON LAUREN N. , OWEN MEREDITH K. , CASADONTE KELSEY R. , JANATOVA TEREZA , LUCAS KATHRYN , SPENCER KYLIE , BRIGHTWELL BENJAMIN D. , GRAHAM MEGAN C. , WHITE MCKENZIE S. , THOMAS NICHOLAS T. , LATHAM CHRISTINE M. , JACOBS CALE A. , CONLEY CAITLIN E. , THOMPSON KATHERINE L. , JOHNSON DARREN L. , HARDY PETER A. , FRY CHRISTOPHER S. , NOEHREN BRIAN 
Published: October 2024

ABSTRACT

Background
Blood flow restriction training (BFRT) is a popular rehabilitation intervention after anterior cruciate ligament reconstruction (ACLR). However, there are a lack of clinical trials establishing the efficacy of using BFRT during rehabilitation to improve quadriceps muscle function.

Purpose
The purpose of this study is to evaluate the efficacy of blood flow restriction training to improve quadriceps muscle strength, morphology, and physiology, and knee biomechanics in individuals after ACLR in a double-blind, randomized, placebo-controlled clinical trial (NCT03364647).

Methods
Forty-eight athletes (20 females/28 males) were randomly assigned to low-load strength training with active BFRT or standard of care strength training with a sham unit. Treatment occurred for 1-month pre-surgery and 4 to 5 months post-surgery with both groups following the same standard rehabilitation protocol. Outcome variables were measured at baseline and 4 to 5 months post-surgery. Quadriceps muscle strength (isometric and isokinetic peak torque and rate of torque development) was measured on an isokinetic dynamometer. Quadriceps muscle morphology (physiological cross-sectional area, fibrosis) was determined using magnetic resonance imaging. Quadriceps muscle physiology (fiber type, fiber cross-sectional area, satellite cell abundance, collagen content, fibrogenic/adipogenic progenitor cells) was evaluated with muscle biopsies of the vastus lateralis. Knee extensor moment and knee flexion angle were measured via three-dimensional gait analysis. Change scores were calculated as: post-intervention – baseline. Two-sample t-tests were then used to assess between-group differences for each outcome variable.

Results
No significant between-group differences were found for any outcome variable.

Conclusions
The addition of BFRT to a rehabilitation program for athletes pre- and post-ACLR was no more effective than standard rehabilitation for improving quadriceps muscle function. Clinicians should consider the value of BFRT relative to the cost, time, and discomfort for patients in light of these results.
O bem-assessorado: o caso da cidade de Sucupira
Authors: Amaral Alexandre Ribeiro , Souza Antônio José Inácio de , Oliveira Daniele Cecília Frota , Araújo Hugo Tavares 
Published: October 2024

Informamos que as notas de ensino dos casos possuem acesso restrito e são exclusivas para docentes e instrutores vinculados à uma instituição acadêmica. Saiba mais.
Sucupiraprev
Authors: Silva Carlos Alves da , Soares Francisco Alberto de Oliveira , Araujo João Afonso da Silva , Freitas Márcio Osório de , Santos Marcos Malcher 
Published: October 2024

Informamos que as notas de ensino dos casos possuem acesso restrito e são exclusivas para docentes e instrutores vinculados à uma instituição acadêmica. Saiba mais.
1989 in Poland (Up to the June Elections) in the Journalism of Le Monde
Authors: Gancewski Mateusz Piotr 
Published: October 2024

The article aims to show how one of the most influential centre-to-left French journal Le Monde assessed the political developments in Poland from the end of 1988 until the Solidarity victory in the June elections. The attitude of Le Monde towards the changes in the Soviet Union and its external empire is considered as well but it serves only as a contextual backdrop. The French newspaper observed the irreversible nature of the ongoing processes in the Soviet Union that marked a significant change in Gorbachev’s foreign policy approach. The political developments of all members of the Eastern Bloc were closely examined by the daily but the changing dynamics in the Polish People’s Republic directed most of the magazine’s focus towards the situation in that country. It may seem astonishing that the journal analysed the puzzling murders of Polish priests and scrutinised the reforms introduced by M. Rakowski in significant detail. However, these issues were considered intertwined with the progress of Poland’s political transformation. The agreements made at the Round Table and the results of the June elections were viewed as significant accomplishments. The Solidarity was commended for abstaining from abrupt actions that could threaten the agreement with the authorities. Le Monde opines that such actions could be hazardous owing to the present geopolitical situation and the likelihood of resistance within the party.
Informações de Contexto e Requisitos Não-Funcionais nos Modelos de Processos de Negócio das Organizações Púublicas
Authors: Sukar Amora , Alencar Fernanda , Monteiro Higor , Pereira Tarcísio 
Published: October 2024

Essa pesquisa tem como objetivo apresentar um diagnóstico sobrecomo são consideradas informações de contexto e a influência dos Requisitos Não-Funcionais durante a configuração dos processos de negócio no setor púublico. Para isso, uma Revisão Sistemática da Literatura foi realizada com objetivo de identificar e avaliar abordagens existentes que tratem essas informações em conjunto na modelagem de processos. Também foram realizadas entrevistas em organizações públicas, para analisar como aqueles conceitos são ou podem ser considerados de fato na prática. Ao fim da pesquisa, buscou-se apontar evidências sobre a necessidade de adaptação da modelagem dos processos de negócio atuais.
Correcting orthodontic imperfections: aesthetic and functional refinements with composite resin
Authors: Ibrahim Mahmoud , Gulati Jasneet 
Published: October 2024

Occasionally, treatment modalities fall short of the expected outcomes. In the case study presented, the patient's orthodontic treatment had to be abandoned abruptly owing to excessive root resorption affecting the upper and lower incisors. This left the patient with unsatisfactory aesthetics and a suboptimal occlusal set up. The signs of tooth wear, combined with reduced periodontal support as a result of resorption, meant that occlusal management in this case was just as important for long-term success and stability as aesthetic planning. CPD/Clinical Relevance: The case presented demonstrates how to plan and execute both aesthetic and occlusally focused treatments in a minimally invasive and predictable manner.
Impact of lifestyle interventions in cardiac rehabilitation for individuals with ischaemic heart disease: a prospective cohort study
Authors: Stendal Maja , Pedersen Charlotte Gjørup , Taps Julie , Sevel Claus Theilgaard , Pedersen Pernille 
Published: October 2024

Background/Aims Lifestyle interventions are recommended in cardiac rehabilitation guidelines to reduce cardiovascular risk and prevent heart attacks. Therefore, it is important to investigate their effectiveness in primary healthcare settings to improve outcomes in individuals with ischaemic heart disease. The aim of this study was to examine the association between adherence and completion of cardiac rehabilitation and outcomes related to waist circumference and physical performance in primary healthcare settings. Methods A total of 514 individuals diagnosed with ischaemic heart disease were enrolled from ten primary healthcare settings in the Central Denmark Region to participate in cardiac rehabilitation. Participants were categorised based on the completion of a dietary intervention. Changes in waist circumference from baseline to the 12-week follow-up were measured. Adherence to the exercise intervention was assessed based on participation in ≥80% or <80% of training sessions. Changes in physical performance, specifically a 10% improvement in the Watt-max bicycle test, were evaluated over the same period. Linear and logistic regression analyses were conducted, both crude and adjusted for potential confounders. Results Of the 514 participants, 317 (70.8%) who completed the dietary intervention experienced an average reduction of –1.32 cm (95% confidence interval: –1.91 to –0.74 cm) in waist circumference, compared to –0.50 cm for non-completers (P=0.019). Additionally, 276 (56.2%) participants adhered to ≥80% of the exercise intervention, with 237 (66.7%) showing an improvement of ≥10% in Watt-max from baseline to follow-up. Individuals who adhered to ≥80% of the exercise intervention were twice as likely to achieve a ≥10% improvement in Watt-max compared to those with <80% adherence (P=0.334). Conclusions Both dietary and exercise interventions administered in primary healthcare settings were associated with positive changes in waist circumference and physical performance. Implications for practice Dietitians should focus on motivating patients to complete dietary interventions, which can significantly reduce waist circumference. Physiotherapists should emphasise the importance of adherence to exercise programmes. Encouraging patients to meet adherence targets, both in structured rehabilitation and home-based activities, is vital to achieve long-term health benefits.
Paramedic management of patients with mental health issues: a scoping review
Authors: Evans Adam , Rolfe Ursula , Phillips Peter , Iannelli Hannah 
Published: October 2024

Background: Since the COVID-19 pandemic and the introduction of the National Partnership Agreement: Right Care, Right Person in the UK, paramedics spend about 1.8 million hours per year managing people with mental health issues. The UK health service needs to address the urgent training requirements for paramedics to provide mental healthcare in emergency care provision. Aims: To identify and examine current research on how paramedics manage people with mental health issues. Methods: A scoping review was carried out using the five stages of Arksey and O'Malley's framework. A research question—’How do paramedics manage patients with mental health issues?’—was developed, databases searched, studies identified and data charted, summarised and reported. Findings: Fifteen papers were included, and five themes identified: perceptions and expectations; call triage and inter-service collaboration; communication skills; lack of education and training; and assessment and evidence-based interventions. Conclusions: There is global evidence of the deficiencies in paramedic education around mental health presentation and a need for evidence-based education and interventions to improve patient outcomes.
Changes in health-related quality of life in young-old and old-old patients undergoing elective orthopedic surgery: A systematic review
Authors: Chen Yun Jin , Lau Justine , Alhamdah Yasmin , Yan Ellene , Saripella Aparna , Englesakis Marina , He David , Chung Frances 
Published: October 2024

Background
There is a significant gap in research exploring changes in postoperative health-related quality of life (HRQoL) among patients aged 65 years and older undergoing hip or knee arthroplasty.

Objectives
To investigate the variations in HRQoL improvement, as evaluated by patient-reported outcome measures following total hip arthroplasty, total knee arthroplasty, and partial knee arthroplasty between the young-old and old-old adults.

Methods/Design
We searched six online databases (including MEDLINE, Embase) from their inception dates to May 15, 2023. We included studies using a validated HRQoL assessment tool to evaluate changes in HRQoL in patients aged ≥65 years undergoing hip or knee arthroplasty. These include the EuroQol five-dimension (EQ-5D), Short Form 36 (SF-36) and Short Form 12 (SF-12). The primary outcomes were postoperative HRQoL changes between young-old (65–74 years) and old-old groups (≥75 years). The secondary outcomes included complications, length of stay, and mortality.

Results
The search yielded 12,229 articles; twelve studies (n = 103,613) were included. Studies using EQ-5D found no significant differences between young-old and old-old patients after hip and knee arthroplasty. Analyses of SF-36 and SF-12 scales showed no significant age-related differences in postoperative improvements in physical and mental health. Our review of four studies that included multivariable analyses revealed inconsistent associations between age and EQ-5D. Comparisons between the young-old and old-old age groups in postoperative complications, hospital length of stay, and mortality revealed no associated age-related changes in HRQoL.

Conclusions
The young-old and old-old patients exhibited comparable improvement in HRQoL following hip or knee arthroplasty. The older patients did not have higher postoperative complications rates, longer hospital length of stay, and increased mortality. While chronological age should be considered when planning hip and knee arthroplasty, greater emphasis should be placed on assessing the comorbidities and functional status of patients.
Cost effectiveness of a vascular access education and training program for hospitalized emergency department patients
Authors: Bahl Amit , Xing Yuying , Gibson S. Matthew , DiLoreto Emily 
Published: October 2024

Objective
Education and training in vascular access is a critical component to delivering quality vascular access care. Given that organizations must invest resources to implement and sustain high-quality vascular access programming, we aimed to demonstrate the cost effectiveness of a program (Operation STICK (OSTICK)) in the emergency department (ED).

Methods
This was an observational cohort study conducted at a tertiary care academic center with 120,000 ED visits. Consecutive hospitalized adults with ultrasound-guided (DIVA) and traditionally-placed (non-DIVA) peripheral intravenous catheters (PIVC) in the ED were included in the analysis. Two groups (OSTICK and non-OSTICK) were compared in the analysis: OSTICK PIVCs were inserted by clinicians with formal, standardized training in peripheral venous access while non-OSTICK PIVCs were inserted by staff with basic departmental training in PIVC care. Cost factors included number of procedures, wait time to establish a PIVC, complications, and training. Effect was complication-free PIVC functionality. Multiple linear regressions were used to estimate incremental cost (ΔC), incremental effect (ΔE), and incremental net benefit (INB) of the OSTICK program.

Results
From 10/1/2022 thru 3/31/2023, 21,259 PIVCs including 1681 OSTICK and 19,578 non-OSTICK PIVCs were included in the analysis. Average age was 64.8 and 53.7% were female. The estimate of incremental cost (ΔC) for each patient was -$83.175 (95% CI: -$103.953 to -$62.398; p<0.001), indicating that the OSTICK group saves money compared to the non-OSTICK group. The OSTICK group is also more effective at increasing the proportion of catheter dwell time relative to hospital length of stay (ΔE), with an estimate of 0.037 (95% CI: 0.016 to 0.059; p<0.001), compared to those in the non-OSTICK group. The estimated incremental cost-effectiveness ratio (ICER) for the OSTICK group compared with the non-OSTICK group was −$221.964 (95% CI: -$177.400 to -$381.716) per ten percentage points of PIVC dwell time to hospital length of stay increase.

Conclusions
Strategic investment in vascular access education and training can yield impressive financial returns while simultaneously enhancing vascular access outcomes. It is imperative for organizations to recognize the significant impact of such initiatives and prioritize the implementation of comprehensive programs.
Practice variation in induction of labor: A critical document analysis on the contribution of regional protocols
Authors: Zondag Dirkje C. , Offerhaus Pien M. , Keulen Judit K. J. , van Haaren–ten Haken Tamar M. , Nieuwenhuijze Marianne J. 
Published: October 2024

Rationale
Despite national guidelines with recommendations on induction of labor (IOL), large variation in the use of this intervention exists between regions in the Netherlands. Guidelines are translated into protocols, which give a contextual description of medical practice provided in a given region. Possibly, protocols developed by regional multidisciplinary maternity care networks (MCNs) contribute to the regional variation in IOL.

Aims and objectives
The aim of this study was to assess the variation between regional protocols and national guidelines regarding recommendations on IOL and the extent to which this contributes to practice variation.

Method
We performed a systematic document analysis using the Ready materials, Extract data, Analyze, Distil (READ) approach. National guidelines (n = 4) and regional protocols (n = 18) from six MCNs on topics linked to IOL were assessed between October 2021 and April 2022. An analytical framework was used to extract data for the comparison of regional protocols.

Results
Some MCNs followed all the recommendations of national guidelines in their regional protocols, others developed their own recommendations, and for some this varied per topic. When developing their own recommendations, MCNs with a high percentage of IOL added additional risk factors and stricter cut-off values. In contrast, MCNs with a low percentage of IOL added more care options for continuing midwife-led care. No clear relationship was observed between the Appraisal of Guidelines for Research & Evaluation (AGREE) scores of the national guidelines and the extent to which regional protocols complied with the recommendations.

Conclusion
The translation of national guidelines to regional protocols seemed arbitrary and not very systematic. To reduce unwarranted practice variation in the use of IOL, guidance is needed to better align regional protocols with national guidelines, while including appropriate contextual factors and allowing women’s preferences. Additionally, healthcare providers should be trained in practicing evidence-based medicine instead of using evidence.
Performance replication of the Hospital Mental Health Risk Screen in ethnoracially diverse U.S. patients admitted through emergency care
Authors: Carlson Eve B. , Barlow M. Rose , Palmieri Patrick A. , Shieh Lisa , Mellman Thomas A. , Cooksey Erika , Parker Jada , Williams Mallory , Spain David A. 
Published: October 2024

Background
Patients admitted to hospitals after emergency care for injury or acute illness are at risk for later mental health problems. The American College of Surgeons Committee on Trauma Standards for care of injured patients call for mental health risk screening, and the Hospital Mental Health Risk Screen (HMHRS) accurately identified at-risk patients in a developmental study that included patients from five ethnoracial groups. Replication of these findings is essential, because initial positive results for predictive screens can fail to replicate if the items were strongly related to outcomes in the development sample but not in a new sample from the population the screen was intended for.

Study design
Replication of the predictive performance of the 10-item HMHRS was studied prospectively in ethnoracially diverse patients admitted after emergency care for acute illness or injury in three hospitals across the U.S.

Results
Risk screen scores and follow-up mental health outcomes were obtained for 452 of 631 patients enrolled (72%). A cut score of 10 on the HMHRS correctly identified 79% of the patients who reported elevated levels of depression, anxiety, and PTSD symptoms two months post-admission (sensitivity) and 72% of the patients whose symptoms were not elevated (specificity). HMHRS scores also predicted well for patients with acute illness, for patients with injuries, and for patients who reported an Asian American/Pacific Islander, Black, Latinx, Multirace, or White identity.

Conclusions
Predictive performance of the HMHRS was strong overall and within all five ethnoracial subgroups. Routine screening could reduce suffering and health care costs, increase health and mental health equity, and foster preventive care research and implementation. The performance of the HMHRS should be studied in other countries and in other populations of recent trauma survivors, such as survivors of disaster or mass violence.