bluuebunny/crossref_metadata_2025_split huggingface dataset:
13. Un théâtre virtuel pour La Nouvelle Orléans
Authors: Leichman Jeffrey M. , Trahan Shea 
Published: October 2024

Cet article présente le prospectus pour un théâtre monumental sur les rives du Mississippi à la Nouvelle-Orléans, proposé en 1805 par l’architecte bordelais Jean-Hyacinthe Laclotte, mais jamais construit. Composé par un architecte étranger qui avait fait sienne la ville et qui allait peindre l’image la plus fidèle de la bataille de la Nouvelle-Orléans en 1815, ce document, redécouvert en 2021, offre un aperçu d’une histoire alternative du théâtre et de l’urbanisation à la Nouvelle-Orléans pendant la période dite « territoriale ». L’architecte Shea Trahan a construit un modèle numérique du théâtre imaginé par Laclotte, à partir des descriptions du prospectus, une restitution informatique virtuelle qui met en lumière les ambitions de Laclotte et de la Nouvelle-Orléans à l’aube du XIXe siècle.
This article describes the prospectus for a monumental playhouse on the Mississippi river in New Orleans, proposed in 1805 by Bordeaux-born architect Jean-Hyacinthe Laclotte but never built. This document, rediscovered in 2021, affords a glimpse into an alternative history of theatre and urban development in territorial New Orleans, proposed by a French-born architect who adopted the city as his own and would go on to paint the most historically accurate image of the 1815 Battle of New Orleans. Architect Shea Trahan, AIA, constructed a digital model of Laclotte’s unbuilt theatre based on the description in the prospectus, a computerized virtual restitution whose elaboration makes manifest the ambitions of both Laclotte and New Orleans at the dawn of the nineteenth century.
Study on thermal-assisted underwater friction stir welding for carbon fiber-reinforced polyetherimide
Authors: Sun Yibo , Li Wenjun , Wang Zhuo , Guan Kainan , Zou Li , Wang Guodong , Yang Xinhua 
Published: October 2024

Friction stir welding (FSW) of carbon fiber-reinforced thermoplastic has shown attractive applications in industrial fields. However, the heat input during the FSW is hard to control, which leads to significant material loss and carbon fiber damage. In this paper, a carbon fiber-reinforced polyetherimide (CF-PEI) plate is joined via thermal-assisted underwater friction stir welding (UFSW). The evaluation of heat-assisted UFSW joints is conducted by studying the surface morphology, microstructure of the weld interface, the state and distribution of carbon fibers, and tensile analysis. The findings indicated that water can reduce heat input, and the water temperature has a significant impact on the weld properties. Specifically, at a water temperature of 60°C, there is a considerable reduction in material loss and carbon fiber damage. The study also reveals that this temperature facilitates the interweaving of carbon fibers into a stable structure at the interface and their integration with the PEI substrate. This reduces the inhibition of the material on carbon fiber elongation, ultimately enhancing the bonding interface and improving tensile shear properties. The maximum tensile strength value of the welds reached 33.6 MPa, equivalent to 79.6% of the CF-PEI sheet. Compared to FSW, joint tensile strength is increased by 45.5%.
Surgeon Alignment With Clinical Practice Guidelines: A Qualitative Analysis of Treatment of Distal Radius Fractures
Authors: Schultz Emily A. , Eppler Sara L. , Shapiro Lauren M. , Kamal Robin N. 
Published: October 2024

Background: Clinical practice guidelines (CPGs) are developed to guide physicians in providing consistent high-quality care. Despite availability of evidence-based guidelines for the treatment of distal radius fractures, prior work suggests many patients receive treatment that is misaligned with the CPG. We sought to explore barriers and facilitators of guideline-aligned care for distal radius fractures. Methods: We conducted semistructured interviews of a purposive sample of surgeons who treat distal radius fractures. Our interview guide was based on the Theoretical Domains Framework (TDF). Interviews were transcribed and coded using a deductive analytical approach within the 14 TDF domains. Belief statements underlying similar codes were developed to describe barriers and facilitators of guideline-aligned care. A content analysis was performed to count the frequency of each TDF domain. Results: We interviewed 14 surgeons. The most common TDF domains were beliefs about consequences (110), knowledge (49), and social influences (29). Belief statements representative of barriers of concordance to the CPGs included, “I am more likely to deviate from the CPGs when the CPGs differ from my professional opinion,” which was coded under beliefs about consequences. Similar belief statements were created for each theme within TDF domains. Conclusion: Decision-making for patients with distal radius fractures is driven by beliefs about consequences, knowledge, and social influences. Strategies to address these beliefs in other fields such as including patient factors in a further structured shared decision-making process, developing implementation toolkits as part of the CPG development process, and implementing payment programs may improve CPG alignment.
Assessing acceptance and feasibility of a conversational agent to support individuals living with post-traumatic stress disorder
Authors: Han Hee Jeong , Mendu Sanjana , Jaworski Beth K , Owen Jason E , Abdullah Saeed 
Published: October 2024

Objective Post-traumatic stress disorder (PTSD) is a pervasive health concern affecting millions of individuals. However, there remain significant barriers to providing resources and addressing the needs of individuals living with PTSD. To address this treatment gap, we have collaborated with clinical experts to develop PTSDialogue—a conversational agent (CA) that aims to support effective self-management of PTSD. In this work, we have focused on assessing the feasibility and acceptance of PTSDialogue for individuals living with PTSD. Methods We conducted semi-structured interviews with individuals living with PTSD ([Formula: see text]). Participants were asked about their experiences with the PTSDialogue and their perceptions of its usefulness in managing PTSD. We then used bottom-up thematic analysis with a qualitative interpretivist approach to analyze the interview data. Results All participants expressed that PTSDialogue could be beneficial for supporting PTSD treatment. We also uncovered key opportunities and challenges in using CAs to complement existing clinical practices and support longitudinal self-management of PTSD. We highlight important design features of CAs to provide effective support for this population, including the need for personalization, education, and privacy-sensitive interactions. Conclusion We demonstrate the acceptability of CAs to support longitudinal self-management of PTSD. Based on these findings, we have outlined design recommendations for technologies aiming to reduce treatment and support gaps for individuals living with serious mental illnesses.
Interprofessional team training via telemedicine in medical and nursing education
Authors: Härgestam Maria , Morian Hanna , Lindgren Lenita 
Published: October 2024

Abstract
Background
The use of information communication technologies such as telemedicine has increased over the years, offering access to specialized healthcare even in remote locations. However, telemedicine in interprofessional team training is seldom included in medical or nursing programs, and little is known about how to practise these scenarios. This study aimed to explore how medical and nursing students experience teamwork when one team member is participating remotely and digitally.

Methods
Following interprofessional team training in which one team member participated remotely, focus group interviews were conducted with three teams, each comprising one medical student and two nursing students (n = 9 students in total). The focus group interviews were analysed with thematic content analysis. The Systems Engineering Initiative for Patient Safety model was applied as a theoretical framework and served as a lens in the analysis.

Results
Three themes were identified in the analysis: challenging the dynamic of leadership, becoming familiar with a new setting, and finding new strategies to communicate.

Conclusions
The results of this study suggest that future physicians and nurses need to enhance their knowledge of practicing teamwork through telemedicine during their education, as the use of telemedicine continues to grow.
Slow and steady—small, but insufficient, changes in food and drink availability after four years of implementing a healthy food policy in New Zealand hospitals
Authors: Mackay Sally , Rosin Magda , Kidd Bruce , Gerritsen Sarah , Shen Stephanie , Jiang Yannan , Te Morenga Lisa , Ni Mhurchu Cliona 
Published: October 2024

Abstract
Background
A voluntary National Healthy Food and Drink Policy (the Policy) was introduced in public hospitals in New Zealand in 2016. This study assessed the changes in implementation of the Policy and its impact on providing healthier food and drinks for staff and visitors in four district health boards between 1 and 5 years after the initial Policy introduction.

Methods
Repeat, cross-sectional audits were undertaken at the same eight sites in four district health boards between April and August 2017 and again between January and September 2021. In 2017, there were 74 retail settings audited (and 99 in 2021), comprising 27 (34 in 2021) serviced food outlets and 47 (65 in 2021) vending machines. The Policy’s traffic light criteria were used to classify 2652 items in 2017 and 3928 items in 2021. The primary outcome was alignment with the Policy guidance on the proportions of red, amber and green foods and drinks (≥ 55% green ‘healthy’ items and 0% red ‘unhealthy’ items).

Results
The distribution of the classification of items as red, amber and green changed from 2017 to 2021 (p < 0.001) overall and in serviced food outlets (p < 0.001) and vending machines (p < 0.001). In 2021, green items were a higher proportion of available items (20.7%, n = 815) compared to 2017 (14.0%, n = 371), as were amber items (49.8%, n = 1957) compared to 2017 (29.2%, n = 775). Fewer items were classified as red in 2021 (29.4%, n = 1156) than in 2017 (56.8%, n = 1506). Mixed dishes were the most prevalent green items in both years, representing 11.4% (n = 446) of all items in 2021 and 5.5% (n = 145) in 2017. Fewer red packaged snacks (11.6%, n = 457 vs 22.5%, n = 598) and red cold drinks (5.2%, n = 205 vs 12.5%, n = 331) were available in 2021 compared to 2017. However, at either time, no organisation or setting met the criteria for alignment with the Policy (≥ 55% green items, 0% red items).

Conclusions
Introduction of the Policy improved the relative healthiness of food and drinks available, but the proportion of red items remained high. More dedicated support is required to fully implement the Policy.
A rare case of IgG4-related aortitis in the thoracic aorta mimicking an intramural hematoma: navigating the diagnostic labyrinth
Authors: Alemany Victor S. , Fortier Jacqueline , Gupta Himanshu , Zaider Arik , Grau Juan , Burns Paul , Jabagi Habib 
Published: October 2024

AbstractA 54-year-old female presented with recurrent abdominal pain and new onset chest pain. Chest computed-tomography angiogram detected a thoracic aortic aneurysm with suspected Type A intramural hematoma (IMH) versus aortitis. Initially, conservative management was pursued while awaiting a definitive diagnosis. Differential workup was negative, while additional imaging modalities favored IMH, prompting expedited surgical intervention. During ascending aortic and hemiarch replacement, severe aortitis was unexpectedly discovered without evidence of IMH. Histopathological examination of the aortic specimens identified transmural aortic inflammation with lymphoplasmacytic infiltrate and irregular fibrosis. Numerous IgG4-positive plasma cells were present with IgG4/IgG ratio of 40–50% suggesting IgG4-related disease (IgG4-RD). Subsequent analysis revealed B cells positive for clonal IgH gene rearrangement, and bone marrow biopsy then revealed the same clonal B cells. She was ultimately diagnosed with CLL, the most common phenotype of monoclonal B-cell lymphocytosis, thought to account for the IgG4-predominant plasma cells causing aortitis. Although rare, this case highlights the importance of considering IgG4-related disease (IgG4-RD) as a cause of aortitis when assessing symptomatic patients with aortic pathologies, emphasizing the complexities involved in diagnosing due to a variety of imaging presentation, differentiating, and managing large-vessel vasculitides. Moreover, it underscores the importance of Multidisciplinary Aortic Team care and the use of multiple diagnostic modalities in evaluating ambiguous aortic pathologies.
Can probiotics trigger a paradigm shift for cleaning healthcare environments? A narrative review
Authors: Denkel Luisa A. , Voss Andreas , Caselli Elisabetta , Dancer Stephanie J. , Leistner Rasmus , Gastmeier Petra , Widmer Andreas F. 
Published: October 2024

Abstract
Background
The environment of healthcare institutions plays a major role in the transmission of multidrug resistant organisms (MDRO) and likely in subsequent healthcare-associated infections (HAIs). Probiotic cleaning products are a novel option for environmental cleaning. They represent a sustainable and biodegradable alternative to conventional chemical disinfectants for controlling microbial bioburden, and preventing pathogen transmission in hospital environments. High-quality studies including randomized clinical trials (RCT) triggered a summary with expert recommendations until further studies allow a critical review and meta-analysis of the data.

Methods
Infection control experts from five European countries summarized available data as of June 2023. Authors presented their published RCTs, reviewed the existing literature on probiotic cleaning, summarized the results and identified knowledge gaps and subsequent research needs.

Results
Probiotic cleaning was similarly effective for reducing HAI-related pathogens, enveloped viruses such as SARS-CoV-2 and MDRO in environmental samples compared to conventional chemical disinfectants. More importantly, probiotic cleaning was non-inferior to disinfectants in terms of preventing HAI in a large RCT. In addition, probiotic cleaning has also been shown to reduce antimicrobial resistance genes (ARG), costs and antimicrobial consumption in other hospital trials. They are biodegradable, do not require any protection for chemical hazards, and are compliant with occupational health. A paradigm shift, however, requires a very strong evidence to justify for such a change. In the past, this evidence was limited by the heterogeneity of study design, products, protocols, and few studies on clinical outcomes used in the trials. Furthermore, the regulatory, safety, and quality aspects of probiotic cleaning products are not, yet, completely defined and require clearing by authorities.

Conclusion
To date, probiotic cleaning is a breakthrough technology and a biological alternative for chemical disinfectant when treating hospital environment. It may also have a positive effect on MDRO transmission. However, the different compositions of probiotic products will require standardization, and more robust data should be generated to support these promising results on different compositions. This may trigger a paradigm shift in cleaning of healthcare institutions from chemical to biological control of the hospital environment.
Soluble PD-L1 as a novel biomarker predicts poor outcomes and disease progression in de novo myelodysplastic syndromes
Authors: Yang Xingcheng , Jiang Lijun , Zhang Xiaoying , Peng Juan , Qian Hu , Huang Lifang , He Shaolong , Wang Zhiqiong , Chen Liting , Zhang Yicheng , Ma Ling , Chen Yuan , Wei Jia 
Published: October 2024

AbstractThe role of the compromised immune microenvironment, including immune checkpoints, in myelodysplastic syndromes (MDS) has been identified as critical This study aimed to investigate the expression patterns of immune checkpoints, particularly soluble PD-1/PD-L1 (sPD-1/sPD-L1) as well as PD-1 on effector T cell subsets, and assess their prognostic value and potential regulatory roles in MDS. 161 MDS patients were enrolled, including 129 patients were primarily diagnosed with de novo MDS, together with 59 MDS patients who underwent hypomethylating agents (HMAs) therapy. Plasma sPD-L1 level was elevated in newly diagnosed MDS patients, which was also found to be associated with MDS disease progression that further increase in higher IPSS-R score group. Patients with increased sPD-L1 expression at diagnosis exhibited notably poorer overall survival, and multivariate Cox analysis indicated that elevated sPD-L1 was an independent risk factor. Furthermore, the levels of multiple cytokines and membrane-bound PD-1 on T cells were found to correlate with sPD-1/sPD-L1 levels in plasma. Importantly, we also found sPD-L1 levels significantly increased in MDS patients who showed progression of disease following HMAs therapy. In conclusion, we found elevated plasma sPD-L1 levels in MDS patients are associated with disease progression and poorer overall survival. This study showed that sPD-L1 is a potential biomarker for prognosis and a target for immunotherapy in MDS.
Predictive biomarkers in colorectal adenocarcinoma – a Brazilian perspective on current and future practices
Authors: Campos Antonio Hugo José Fróes Marques , Auresco Luciana Campi , Marins Lidiane Vieira , Divino Paulo Henrique do Amor , Sabbaga Jorge , Hoff Paulo Marcelo 
Published: October 2024

AbstractPredictive biomarkers of response to therapy are fundamental for the personalized therapeutic management of patients with colorectal carcinoma (CRC). The main predictive biomarkers related to CRC are the mismatch repair proteins/microsatellite instability status (MMR/MSI status), RAS/RAF mutation status and HER2 status. We discuss the scenarios in which these biomarkers are used and address different aspects that may affect the evaluation of each biomarker. We also address the increasingly recognized importance of circulating tumor DNA (ctDNA) testing in the management of stage II-III CRC as well as the role of the pathologist in this setting.
Bearing fault diagnosis based on enhanced Canberra distance feature in SDP image
Authors: Peng Jigang , Wang Wei , Sun Yongjian 
Published: October 2024

Abstract
Feature enhancement is important in mechanical equipment fault diagnosis. A limited set of characteristic parameters is insufficient for diagnosing bearing signals with multiple fault types. The presence of noise increases the difficulty of extracting fault features from images. To address the challenge of diagnosing rolling bearing faults in complex environments, this study presents an enhanced weighted image fusion framework aimed at enhancing fault features within the images, which enables accurate diagnosis of bearing faults using a limited number of features. The proposed method encompasses four distinct stages. In the first stage, a symmetrized dot pattern method is employed to transform one-dimensional time-series data into two-dimensional images, visualizing the signal in a 2D format. In the second stage, image binarization and an improved weighted fusion method are utilized to simplify subsequent processing and enhance the image features. The third stage involves extracting the image’s contrast and maximum singular value to improve the Canberra distance calculation. Finally, the enhanced Canberra distance is used for classifying bearing faults. Performance testing of the image feature enhancement is conducted on various datasets containing rolling bearings. Comparative experiments with alternative enhancement methods demonstrate the superiority of the proposed improved weighted image fusion framework. Comparative experiments with the original Canberra distance validate the effectiveness of the enhanced Canberra distance. Additionally, experiments conducted in noisy environments confirm the robustness of the proposed approach. Furthermore, the image feature enhancement method is applied to other bearing datasets, and the experimental results demonstrate its effectiveness in enhancing fault feature representation and achieving accurate diagnosis of rolling bearings.
Sliding hip screw versus intramedullary nail for trochanteric hip fracture regarding death within 120 days and ability to return to independent living
Authors: Greve Katarina , Ek Stina , Bartha Erzsébet , Modig Karin , Hedström Margareta 
Published: October 2024

AimsThe primary aim of this study was to compare surgical methods (sliding hip screw (SHS) vs intramedullary nailing (IMN)) for trochanteric hip fracture in relation to death within 120 days after surgery and return to independent living. The secondary aim was to assess whether the associations between surgical method and death or ability to return to independent living varied depending on fracture subtype or other patient characteristics.MethodsA total of 27,530 individuals from the Swedish Hip Fracture Register RIKSHÖFT (SHR) aged ≥ 70 years, admitted to hospital between 1 January 2014 and 31 December 2019 with trochanteric hip fracture, were included. Within this cohort, 12,041 individuals lived independently at baseline, had follow-up information in the SHR, and were thus investigated for return to independent living. Death within 120 days after surgery was analyzed using Cox regression with SHS as reference and adjusted for age and fracture type. Return to independent living was analyzed using logistic regression adjusted for age and fracture type. Analyses were repeated after stratification by fracture type, age, and sex.ResultsOverall, 2,171 patients (18%) who were operated with SHS and 2,704 patients (18%) who were operated with IMN died within 120 days after surgery. Adjusted Cox regression revealed no difference in death within 120 days for the whole group (hazard ratio 0.97 (95% CI 0.91 to 1.03)), nor after stratification by fracture type. In total, 3,714 (66%) patients who were operated with SHS and 4,147 (64%) patients who were operated with IMN had returned to independent living at follow-up. There was no significant difference in return to independent living for the whole group (odds ratio 0.95 (95% CI 0.87 to 1.03)), nor after stratification by fracture type.ConclusionNo overall difference was observed in death within 120 days or return to independent living following surgery for trochanteric hip fracture, depending on surgical method (SHS vs IMN) in this recent Swedish cohort, but there was a suggested benefit for SHS in subgroups of patients.Cite this article: Bone Jt Open 2024;5(10):843–850.
Sensitivity-enhanced optical fiber probe-type humidity sensor based on CaAlg film
Authors: Cheng Yufei , Bian Ce , Pan Jing , Yan Juanzhi 
Published: October 2024

Optical fiber probe-type humidity sensors based on calcium alginate (CaAlg) hydrogel films are proposed. The sensor is based on the Michelson interferometer (MI) and constructed by splicing a tapered multimode fiber (MMF) in the middle of two single-mode fibers (SMFs). One of the 1.5 cm long SMFs is coated with CaAlg hydrogel film and can be regarded as the sensor probe. The sensitivity of the sensor is 0.31015 nm/%RH. The high sensitivity, low temperature crosstalk, compact probe structure, and stability of the sensor allow it to be used for humidity monitoring in a variety of complex environments.