bluuebunny/crossref_metadata_2025_split huggingface dataset:
Redheads: Detangling the Myths
Authors: Maclean Libby , Maclean Jane 
Published: September 2024

Dentists have historically approached redheaded patients with some caution owing to their reputation for heightened bleeding, lower pain tolerance and increased requirement for anesthesia and pain relief. This article examines the evidence and dispells any misconceptions. CPD/Clinical Relevance: Updating evidence-based knowledge with regard to red-headed patients and its relevance to dental treatment.
User-dedicated optical path switching with optical-wireless cooperative control for low-latency and seamless handover
Authors: Miyamoto Kenji , Ujikawa Hirotaka , Shimada Tatsuya , Yoshida Tomoaki 
Published: September 2024

We propose a user-dedicated optical path switching technique for low-latency and seamless handover in the radio access network (RAN) with the all-photonic network (APN). The APN is a network that connects end points directly with optical paths of dedicated wavelengths assigned to each user and provides large-capacity and low-latency connections. As mobile systems beyond 5th generation (5G) and 6th generation (6G) will require extremely low latency, applying the APN to the RAN is promising to achieve this. However, the RAN with the APN has a challenge in optical path switching during the handover procedure of mobile systems because optical switches that compose the APN do not have an Internet protocol (IP) layer function that enables routing control for handover in the conventional router network. Our proposed optical path switching technique to solve this challenge utilizes optical-wireless cooperative control and switches an optical path dedicated to user equipment (UE) executing handover in conjunction with its handover procedure. The key point of the proposed technique is that a next generation node B (gNB) transmits an optimal-timing optical path switching trigger to the optical switch. We experimentally demonstrated the generation of a dedicated optical path for UE in the RAN with the APN as a premise to enable the proposed optical path switching technique. To evaluate the feasibility and effectiveness of the proposed optical path switching technique, we experimentally compared the optical switch and router in terms of latency performance, packet loss, and packet misdirection in the path switching during handover. The results indicated successful optical path switching during handover without packet loss and packet misdirection while reducing the latency per single network equipment by 99%, from 4 µs for the router to 45 ns for the optical switch.
Deciphering the explanatory potential of blood pressure variables on post-operative length of stay through hierarchical clustering: A retrospective monocentric study
Authors: Cartailler Jérôme , Beaucote Victor , Trillat Bernard , Gayat Etienne , Le Guen Morgan , Vallee Alexandre , Fischler Marc 
Published: September 2024

Objective
Mean arterial pressure is widely used as the variable to monitor during anesthesia. But there are many other variables proposed to define intraoperative arterial hypotension. The goal of the present study was to search arterial pressure variables linked with prolonged postoperative length of stay (pLOS).

Design
Retrospective cohort study of adult patients having received general anesthesia for a scheduled non-cardiac surgical procedure between 15th July 2017 and 31st December 2019.

Methods
pLOS was defined as a stay longer than the median (main outcome), adjusted for surgery type and duration. 330 arterial pressure variables were analyzed and organized through a clustering approach. An unsupervised hierarchical aggregation method for optimal cluster determination, employing Kendall’s tau coefficients and a penalized Bayes information criterion was used. Variables were ranked using the absolute standardized mean distance (aSMD) to measure their effect on pLOS. Finally, after multivariate independence analysis, the number of variables was reduced to three.

Results
Our study examined 9,516 patients. When LOS is defined as strictly greater than the median, 34% of patients experienced pLOS. Key arterial pressure variables linked with this definition of pLOS included the difference between the highest and lowest pulse pressure values computed throughout the surgery (aSMD[95%CI] = 0.39[0.31–0.40], p<0.001), the accumulated time pulse pressure above 61mmHg (aSMD = 0.21[0.17–0.25], p<0.001), and the lowest MAP during surgery (aSMD = 0.20[0.16–0.24], p<0.001).

Conclusions
By applying a clustering approach, three arterial pressure variables were associated with pLOS. This scalable method can be applied to various dichotomized outcomes.
Skull-femoral traction followed by osteotomy correction is a safe and effective treatment for severe scoliosis with split cord malformation
Authors: Zhao Mengyan , Yuan Fei , Lv Chunjiang , Shen Xiaogang , Qi Hongzhe , Gao Gan , Guo Tao 
Published: September 2024

Objective
This study aimed to evaluate the safety and efficacy of skull-femoral traction followed by osteotomy correction in patients with severe spinal scoliosis and split cord malformation.

Methods
We retrospectively analyzed ten cases of severe spinal scoliosis with Pang I type split cord malformation treated between August 2012 and August 2023. Patients underwent skull-femoral traction prior to osteotomy correction. We assessed changes in height, weight, coronal and sagittal Cobb’s angles, and physiological indicators such as vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and blood gas levels before, during, and after treatment.

Results
Traction duration ranged from 9 to 19 days, with height and weight showing significant increases post-treatment. The coronal Cobb’s angle improved from pre-treatment to post-corrective surgery and remained stable at the final follow-up. Similar improvements were observed in the sagittal plane. Physiological indicators such as VC, FVC, and FEV1, as well as blood gas levels, normalized after treatment. Nutritional status, indicated by triceps skinfold thickness, albumin, and transferrin concentrations, also improved. No neurological complications or device-related complications occurred during or after treatment.

Conclusion
Skull-femoral traction followed by osteotomy correction is a safe and effective treatment for severe spinal scoliosis with split cord malformation, offering an alternative to high-risk procedures.
Research inefficiencies in external validation studies of the Framingham Wilson coronary heart disease risk rule: A systematic review
Authors: Ban Jong-Wook , Abel Lucy , Stevens Richard , Perera Rafael 
Published: September 2024

Background
External validation studies create evidence about a clinical prediction rule’s (CPR’s) generalizability by evaluating and updating the CPR in populations different from those used in the derivation, and also by contributing to estimating its overall performance when meta-analysed in a systematic review. While most cardiovascular CPRs do not have any external validation, some CPRs have been externally validated repeatedly. Hence, we examined whether external validation studies of the Framingham Wilson coronary heart disease (CHD) risk rule contributed to generating evidence to their full potential.

Methods
A forward citation search of the Framingham Wilson CHD risk rule’s derivation study was conducted to identify studies that evaluated the Framingham Wilson CHD risk rule in different populations. For external validation studies of the Framingham Wilson CHD risk rule, we examined whether authors updated the Framingham Wilson CHD risk rule when it performed poorly. We also assessed the contribution of external validation studies to understanding the Predicted/Observed (P/O) event ratio and c statistic of the Framingham Wilson CHD risk rule.

Results
We identified 98 studies that evaluated the Framingham Wilson CHD risk rule; 40 of which were external validation studies. Of these 40 studies, 27 (67.5%) concluded the Framingham Wilson CHD risk rule performed poorly but did not update it. Of 23 external validation studies conducted with data that could be included in meta-analyses, 13 (56.5%) could not fully contribute to the meta-analyses of P/O ratio and/or c statistic because these performance measures were neither reported nor could be calculated from provided data.

Discussion
Most external validation studies failed to generate evidence about the Framingham Wilson CHD risk rule’s generalizability to their full potential. Researchers might increase the value of external validation studies by presenting all relevant performance measures and by updating the CPR when it performs poorly.
An Unusual Cause of Refractory Bleeding in Cirrhosis
Authors: Alvarado Meagan , Li Darrick K. 
Published: September 2024

ABSTRACT
Acquired hemophilia A (AHA) is a rare bleeding disorder caused by the development of antibodies against factor VIII. AHA has previously been reported in association with malignancy and autoimmune disorders, but rarely with liver disease. A prolonged activated partial thromboplastin time is the initial laboratory manifestation of this condition but may be challenging to interpret in the setting of abnormal markers of coagulation typically seen in cirrhosis. We present a case of AHA in a patient with decompensated cirrhosis resulting in refractory bleeding and highlight the complexities of interpreting abnormal coagulation factors in patients with cirrhosis.
Current advances of anticancer drugs based on solubilization technology
Authors: Wu Min , Wang LiPing , Li Xiaofang , Zhang Feng , Jin Xuewen 
Published: September 2024

Abstract
With the continuous development of the medical field, drugs for cancer treatment are emerging in an endless stream. Many kinds of natural plant, animal, and microbial extracts and some specific screened and synthesized drugs have been identified in vitro with anticancer biological activity. However, the application of 90% of newly developed solid drugs with anticancer effects is limited because of their low solubility and low bioavailability. On the one hand, improving the solubility and bioavailability of drugs scientifically and rationally can enhance the therapeutic effect of cancer; on the other hand, it can promote the rational use of resources. At present, great progress has been made in the ways to improve the solubility of drugs, which play an important role in anticancer effects. We will focus on the classification and application of the solubilization methods of anticancer drugs and provide an effective guide for the next drug research in this review.
Vladimir Solovyov and Orthodox Natural Theology
Authors: Moore Harry James 
Published: September 2024

Abstract
This paper examines the work of one of Russia’s greatest philosophers, Vladimir Solovyov (1853–1900), from the perspective of natural theology and attempts to distil the original natural theological arguments which we find in his work. Solovyov’s arguments are rarely presented in clarity or with a detailed critical analysis. The current paper thus hopes to offer some amendment to this unfortunate deficiency in the secondary literature. It will become evident that Solovyov’s relation to natural theology contained two distinct layers. There is, on the one hand, the external polemical and publicist layer of discourse, where Solovyov rejects natural theology outright. On the other hand, there is the deeper metaphysical layer, where Solovyov’s own arguments, hidden within his elaborate metaphysical structures, can themselves be considered as a form of natural theology. The paper will conclude that, despite the overall failure of his arguments, Solovyov can still provide inspiration for Orthodox theologians by attempting a form of natural theology within an Orthodox context.
ХУДОЖНІ ПРИЙОМИ ТА ОРАТОРСЬКА МАЙСТЕРНІСТЬ
Authors: Кропивко І. 
Published: September 2024

Постановка проблеми. Риторика використовує набутки різних дисциплін, зокрема літературознавства. Переважно дослідники зауважують специфіку формування образів на рівні художньої мови як засобів, якими активно послуговуються оратори. Популярність серед промовців прийому сторітелінгу свідчить про те, що для вдосконалення їхньої ораторської майстерності не менш важливим може виявитися досвід письменників у створенні художніх наративів, зокрема в тому, як заволодіти й підтримувати тривалий час увагу аудиторії чи то написаним текстом, чи під час інтерв’ю, чи в живому спілкуванні на зустрічі з читачами.
Мета статті – продемонструвати, що техніки вибудовування наративу та ведення нарації, якими користуються письменники для створення текстів, можуть стати вагомим інструментом для оратора.
Методи дослідження. У статті використано базові методи наратології та рецептивної естетики з урахуванням засад міждисциплінарного дослідження.
Основні результати дослідження. Оратору однаково важливо як виробити концепцію виступу й дібрати впливові аргументи, так і вирішити, як подати їх, як розповісти – з чого почати, про що промовчати, а на чому зупинитися детальніше, показати з однієї перспективи чи з різних. Якщо вибудовувати спілкування з аудиторією з використанням наративних технік, які застосовують письменники, то слухач, як і читач, буде вимушений задіяти власну уяву, завдяки чому слово, яке він чує, доповнюватиметься його власним досвідом і стане власною набутою інформацією, а не чужою. Механізм емпатії вмикає в реципієнта його власну емоцію, котра накладається на аналітичну процедуру зіставлення різних перспектив оцінювання одного явища. Чужа думка привласнюється, бо виявляється пропущеною крізь власний досвід, емоцію та роздум. Ці процеси відбуваються автоматично, завдяки чому прийом сторітелінгу стає ефективним.
Висновки і перспективи. Використання письменницьких наративних технік дозволить оратору оптимізувати виконання завдання донести інформацію, сформувати власний образ як авторитетної особи, до чиєї експертної думки варто дослухатися, та досягти головного ефекту – емоційного й інтелектуального відгуку реципієнта, змусити його подумки повертатися до осмислення промови після її завершення. Тому письменницький досвід спілкування за допомогою історій буде корисним для будь-якого оратора, який прагне підвищити власну майстерність у досягненні запланованого впливу на слухачів та в збереженні встановленого контакту на високому рівні їхньої активності упродовж усього виступу. Крім того, звичайне прочитання текстів виявляється пасивною формою набуття риторичних навичок, а якщо оратор свідомо оцінюватиме їх (тексти) з наративної перспективи, то зуміє не лише інтуїтивно, а й цілеспрямовано використовувати наративні прийоми у своїй діяльності.
Teachers' assessment literacy: A descriptive literature review
Authors: Hull Piseth , Vígh Tibor 
Published: September 2024

AbstractThis study aims to synthesize teachers' assessment literacy (AL) reviews of past studies to find how AL is conceptualized, measured, and developed and formulate recommendations for further empirical studies. As AL is important for teachers to contribute to teaching and learning improvement, a growing body of teacher AL research has been established in the literature. The present study identifies, assesses, synthesizes, and describes the characteristics of reviews on AL from 2014 to 2023. The results show that studies used different terms and definitions for AL. Researchers apply different forms of instruments to measure AL in various aspects of assessment. AL is influenced by mediating factors, including assessment conceptions and efficacy. It can be effectively developed through training workshops, assessment courses, and teachers' self-reflection on assessment practices. The review suggests that further AL studies are needed among in- and pre-service teachers at different levels and contexts and directional relationships between assessment-related constructs that encompass AL.
Selection of optimal schemes for the inerting process of cargo tanks of gas carriers
Authors: Matieiko Oleksii 
Published: September 2024

Recommendations are given for choosing the optimal schemes for the process of inerting cargo tanks of ships carrying liquefied gases. It was determined that one of the tasks that arise during the transportation of hydrocarbon cargoes (crude oil, petroleum products, and liquefied gases) is to ensure fire safety and prevent accidental explosions of cargo vapors in cargo tanks. Processes that occur during cargo operations on ships transporting oil products and liquefied gases are considered. The critical composition of the mixture of oxygen (entering the cargo tanks with air) and cargo vapors (remaining in the tanks after the cargo is unloaded) is indicated, at which a flash and explosion may occur. It was determined that the main technological operation that prevents spontaneous ignition of cargo vapors in cargo tanks is their inerting using nitrogen. The main advantages and disadvantages of the schemes for inerting cargo tanks are considered and determined: cascade, semi-cascade and parallel. The effective use of these schemes is based on the consumption of nitrogen, the amount of which is necessary for inerting, as well as the duration of the inerting process. The results of determining these indicators for a group of gas carriers with a cargo capacity of 38,646–62,233 m3 are given. At the same time, it is stated that the lowest consumption of nitrogen is necessary to ensure the process of inerting according to the cascade scheme. It was established that semi-cascade and parallel inerting schemes require an increase in the amount of nitrogen by 1.74–2.42 times and by 1.28–1.83 times, respectively. It was also established that the cascade scheme of inerting requires more time for its implementation. The duration of inerting according to the semi-cascade and parallel scheme is reduced and is 0.43–0.64 and 0.58–0.75 times in comparison with the cascade scheme.
Sprawozdanie z całkowitych dochodów w świetle regulacji FASB/IASB
Authors: Bek-Gaik Bogusława 
Published: September 2024

The basic objective of financial statements, which provide useful information to a wide audience (the role of the information report), has for years been the subject of discussion among organisations responsible for the accounting regulations in the world. The activities of entities were a matter of particular importance to the Accounting Standards Board that implemented the concept of comprehensive income from 1 January 2009. The article focuses on the requirements and form of presentation of the statement of comprehensive income according to FAS 130 and IAS 1.
Subjective evaluation of the benefits of the Samba 2 Vibrant Soundbridge middle ear implant processor compared to the older generation processors
Authors: Ratuszniak Anna , Lorens Artur , Obrycka Anita , Skarżyński Piotr H. , Skarżyński Henryk 
Published: September 2024

WstępImplant ucha środkowego Vibrant Soundbridge (VSB) to dostępne w Polsce od ponad 20 lat częściowo wszczepialne urządzenie dla pacjentów z różnymi rodzajami ubytków słuchu. Składa się z części wewnętrznej (wszczepianej pod skórę za uchem) oraz zewnętrznej (procesora dźwięku). Wraz z postępem technologicznym procesory dźwięku są stale udoskonalane, co zwiększa możliwości komunikacyjne i poprawia funkcjonowanie ich użytkowników.Materiał i metodyCzterdziestu pięciu doświadczonych użytkowników VSB (średni czas użytkowania 9 lat, <i>SD</i> = 2), u których wymieniono dotychczas używany procesor (D404, Amadé, Samba 1) na model Samba 2. Średni wiek badanych wynosi 56 lat, <i>SD</i> = 20 lat. Celem badania jest porównanie subiektywnych korzyści płynących ze stosowania procesora Samba 2 i procesorów starszej generacji. Oceny dokonano za pomocą kwestionariuszy SSQ12 i APSQ.WynikiWyniki oceny kwestionariuszowej potwierdzają korzyści z zastosowania najnowszego procesora dźwięku w porównaniu do procesorów starszej generacji.WnioskiNowy procesor dźwięku subiektywnie jest oceniany lepiej niż procesory starszej generacji. Dostęp do nowoczesnych technologii dla pacjentów z implantami VSB przynosi wymierne korzyści.
Prevention of screw penetration of the dorsal cortex in volar plating of distal end radius fracture by using dorsal tangential view
Authors: Shaikh Mujahidpasha Javed , Naser M. A. , Patel Mujtaba Hussain , Salve Amol , Tupe Pramod , Parkar Mehnaaz 
Published: September 2024

Background: The dorsal cortex penetration by a screw can leads to irritation and attritional extensor tendon injury in volar plating of distal end radius fracture. Our method in this study was to use dorsal tangential view (DTV) intraoperatively to detect screw protrusions in the dorsal cortex and replace these screws with screws of appropriate size.
Methods: We have enrolled 60 patients from in patient department of orthopaedics in a rural tertiary care institute (Indian Institute of Medical Science and Research Warudi, Ta. Badnapur, Dist. Jalna, Maharashtra) having distal end radius fracture above 18 years of age planned for volar plating. DTV other than standard PA, lateral view was taken to evaluate the dorsal cortex penetration.
Results: Seven patients required AP and lateral view while 14 patients needed DTV with 80% power (α=0.05, β=0.2).
Conclusions: Our study concluded that additional DTV apart from standard AP and lateral view will detect the dorsal penetration of screws and can be changed intraoperatively. Thus, DTV is advised to minimise the iatrogenic extensor tendon injury by dorsal screw penetration which might be missed in lateral view.
Primary extra – nodal DLBCL at rare sites: A case series
Authors: Vijayakumar Shruti , Kuruvilla Shalini , Parameswaran Kavitha Kanjirakkattu Mana , Hameed Shahin 
Published: September 2024

: Lymphomas can originate from either nodal or extra-nodal sites, with an increasing number of patients presenting with extra-nodal non-Hodgkin's lymphoma (NHL). Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of primary extra-nodal NHL, constituting 71–81.3% of cases. DLBCL, a prevalent aggressive NHL, can manifest in various extranodal locations such as the gastrointestinal tract, thyroid, testis, breast, and skin. It can also originate in lymph nodes before spreading to extranodal sites. The heterogeneity of extranodal DLBCL leads to varied clinical presentations and prognoses depending on the affected organs.: This case series examines instances of primary extra-nodal DLBCL occurring at rare sites. Through detailed clinical evaluations and pathological examinations, the series aims to highlight the diagnostic challenges and therapeutic approaches for these uncommon presentations. In this case series we have described primary extra-nodal DLBCL in rare sites like thyroid, cervix, liver, breast and intraventricular region. Each case is meticulously documented, focusing on the patient's clinical history, the site of lymphoma involvement, diagnostic procedures, treatment modalities, and outcomes.: The discussion addresses the complexities of diagnosing primary extra-nodal DLBCL due to its rarity and diverse presentation. The series underscores the importance of thorough clinical and pathological assessments in identifying these cases. The heterogeneity in clinical outcomes emphasizes the need for tailored therapeutic strategies. Moreover, the series explores the immunohistochemical profiles and genetic markers that might aid in better understanding the disease's behavior and improving patient management. Primary extra-nodal DLBCL at rare sites presents significant diagnostic and therapeutic challenges. This case series contributes valuable insights into the clinical and pathological spectrum of the disease, advocating for personalized treatment approaches to enhance patient outcomes.