bluuebunny/crossref_metadata_2025_split huggingface dataset:
Application of the Relative Citation Ratio to Assess Common Characteristics of the Highest Impact Articles in Reconstructive Microsurgery
Authors: Mahmoud Amir-Ala , Falcon Dominick J. , Bustos Valeria P. , Escobar-Domingo Maria J. , Lee Bernard T. 
Published: August 2024

Abstract
Background The purpose of this review is to characterize themes among the five reconstructive microsurgery articles achieving the highest Relative Citation Ratios (RCRs) published in the past 20 years in the top journals. In doing so, researchers may be better informed on how to propose salient research questions to impact the field and understand future directions in plastic surgery.
Methods A cross-sectional study was conducted with articles published in the top three journals based on the Impact Factor: Plastic and Reconstructive Surgery, Journal of Reconstructive Microsurgery, and Annals of Plastic Surgery. A search strategy with controlled vocabulary and keywords was conducted in PubMed to extract all reconstructive microsurgery (RM) articles published between 2002 and 2020. A two-stage screening process to include only RM studies was performed, with a third reviewer moderating discordances. Articles' RCR data were extracted from the National Institutes of Health iCite. The top five articles with the highest RCRs were selected for analysis.
Results We identified three features reflecting educational and clinical trends within RM that might be representative of super-performance in plastic surgery journals. These include (1) relevance to high-yield techniques in RM such as tissue flap procurement, indications, and outcomes, (2) identification of gaps in current knowledge of these topics, and (3) use of media and algorithms to provide clear recommendations.
Conclusion Researchers hoping to have an impactful contribution should pose research questions that address these key themes. The RCR index is a valuable tool to appreciate performance within microsurgery literature and clinical trends within the field.
The Solid Volume Ratio is Better Than the Consolidation Tumor Ratio in Predicting the Malignant Pathological Features of cT1 Lung Adenocarcinoma
Authors: Liu Yu , Jiang Ning , Zou Zhiqiang , Liu Hongxiu , Zang Chuanhang , Gu Jia , Xin Ning 
Published: August 2024

Abstract
Background More effective methods are urgently needed for predicting the pathological grade and lymph node metastasis of cT1-stage lung adenocarcinoma.
Methods We analyzed the relationships between CT quantitative parameters (including three-dimensional parameters) and pathological grade and lymph node metastasis in cT1-stage lung adenocarcinoma patients of our center between January 2015 and December 2023.
Results A total of 343 patients were included, of which there were 233 males and 110 females, aged 61.8 ± 9.4 (30–82) years. The area under the receiver operating characteristic (ROC) curve for predicting the pathological grade of lung adenocarcinoma using the consolidation–tumor ratio (CTR) and the solid volume ratio (SVR) were 0.761 and 0.777, respectively. The areas under the ROC curves (AUCs) for predicting lymph node metastasis were 0.804 and 0.873, respectively. Multivariate logistic regression analysis suggested that the SVR was an independent predictor of highly malignant lung adenocarcinoma pathology, while the SVR and pathological grade were independent predictors of lymph node metastasis. The sensitivity of predicting the pathological grading of lung adenocarcinoma based on SVR >5% was 97.2%, with a negative predictive value of 96%. The sensitivity of predicting lymph node metastasis based on SVR >47.1% was 97.3%, and the negative predictive value was 99.5%.
Conclusion The SVR has greater diagnostic value than the CTR in the preoperative prediction of pathologic grade and lymph node metastasis in stage cT1-stage lung adenocarcinoma patients, and the SVR may replace the diameter and CTR as better criteria for guiding surgical implementation.
Health Information Technology Documentation and Referrals for Intimate Partner Violence and Sexual Assault
Authors: Richardson Joshua E. , Houston-Kolnik Jaclyn , Ramos Stefany , Oxner Devin , Presler-Jur Paige 
Published: August 2024

Abstract
Background Hospital settings provide a unique opportunity to screen for intimate partner violence (IPV) and sexual assault (SA) yet often lack health information technology (IT) solutions for generating reliable and valid medicolegal documentation via forensic reports.
Objectives The objective of the project was to evaluate a pilot, technology “tool” for documenting cases of IPV and SA that could support forensic nurse examiners and related stakeholders in generating high-quality documentation and coordinating victim support services.
Methods The tool was a digital health intervention implemented for use among forensic nurse examiners, law enforcement, victim support organizations, and more within four counties of California. We conducted a mixed-methods pilot study that captured data around the adoption, use, and impact of having access to the newly implemented tool.
Results The tool successfully went live in all four pilot counties at different time points with different proportions of use by county and form type: exams, referrals, addenda, risk assessments, and other. Participants were motivated to use the tool out of a perceived need for data handling functionalities that went beyond traditional manual (paper) means. Key functionalities included body mapping, data quality controls within validated forms, attaching addenda to already existing case reports, and the means to distribute data to external recipients. Further study and development are needed on functions to incorporate into body maps and forms and understanding the information needs of law enforcement and victim support organizations.
Conclusion Our evaluation demonstrated the feasibility and acceptability of a health IT tool to support forensic nurse documentation of IPV and SA and direct information to multiple legal and support-related stakeholders. Areas of future development include integrating IPV- and SA-related data standards for digitized forms, enhancements to the body mapping feature, and understanding the needs of those who receive digital data from forensic nurse examiners within the tool.
Intravenous Ferric Carboxymaltose-Induced Hypophosphatemia in a Patient with Systemic Lupus Erythematosus: Case Report
Authors: Al Qassimi Sarah , Namas Rajaie , El-Kaissi Samer 
Published: August 2024

AbstractAnemia is the most frequently observed hematological alteration in patients with systemic lupus erythematosus. Parenteral iron infusion is a highly effective treatment for the commonly encountered condition of iron deficiency. We report a case of an iron-deficient patient who developed severe symptoms due to hypophosphatemia following the administration of intravenous ferric carboxymaltose. These symptoms included feelings of dizziness and muscle cramping. The necessity to inform doctors and patients about this potential consequence has intensified. With this case report, we hope to raise awareness of the start of screening for this complication in the United Arab Emirates. Patients should also notify the doctor for follow-up if their fatigue worsens or if they develop any new musculoskeletal problems.
COVID-19 Vaccination Status among People with Epilepsy Attending a Tertiary Care Epilepsy Clinic: A Cross-Sectional Study
Authors: Shyamsundar Mokmod S. , Nair Pradeep P. , Aghoram Rajeswari , Mohan Sam P. , Sinha Sarthak , Wadwekar Vaibhav 
Published: August 2024

Abstract
Objective The vaccine is the greatest weapon in the battle against the coronavirus disease (COVID) pandemic. Even though COVID-19 vaccines are considered safe in people with epilepsy (PWE), a sizable proportion of PWE are concerned about the safety of vaccines such as precipitation of seizures. The aim of this study was to assess the frequency of COVID-19 vaccine administration, factors affecting the vaccine hesitancy, and side effects of vaccine among PWE.
Methods In this cross-sectional analytical study between December 2021 and August 2022, we included PWE > 15 years attending the epilepsy clinic irrespective of gender. We recorded the demographic and clinical details, COVID-19 vaccination status, and vaccine hesitancy. Those who had received two doses were considered as fully vaccinated.
Results We recruited 226 participants with a median age of 31.5 (15) years. Ninety-six (42.5%) PWE were women and 153 (67.7%) were of rural domicile. Only 96 (42%) had received two or more doses of any COVID-19 vaccine. After vaccination, 45 (30.8%) PWE complained of at least one general side effects and five PWE experienced seizures. Fear of precipitating the seizures was the most common reason for hesitancy in 39 (49%), whereas 26 (33%) PWE were deferred by health care workers. None of the factors such as age (p = 0.366), age of onset of seizures, gender (p = 0.167), domicile (p = 0.090), educational status (p = 0.619), and seizure characteristics (p = 0.675) were associated with vaccination status.
Conclusion Only 96 (42%) PWE were fully vaccinated against COVID-19 and fear of worsening of the seizure frequency was the most common reason for the vaccine hesitancy. Vaccination was associated with seizures in five PWE. A multicentric population-based study may give better information.
Seizure-Related Injuries among Patients with Epilepsy at the Douala General Hospital, Cameroon: A Retrospective Cohort Study
Authors: Nkouonlack Cyrille , Mounchili Adrien Yongho , Gams Daniel Massi , Mbinta James Fenibe , Chichom Alain Mefire , Mapoure Yacouba Njankouo 
Published: August 2024

Abstract
Background Seizures can lead to injuries in patients with epilepsy (PWE). This study seeks to determine the 1-year incidence, types, and associated factors of seizure-related injuries in PWE compared with that of patients without epilepsy.
Methods A retrospective cohort study was carried out at the Douala General Hospital, Douala, Cameroon. Patients with active epilepsy within the past 5 years were compared to patients without epilepsy after matching them by age and gender during a 12-month period. Data was collected from patient records using a questionnaire and analyzed using the SPSS version 20 software. The chi-square test was used to compare the proportions of injuries at a significant level of p < 0.05 and a confidence interval (CI) of 95%.
Results A total of 155 participants were recruited in each group. Note that 51.6% were males, and the mean age was 25.46 ± 16.35 years. The 1-year incidence of all injuries was 26.5% in PWE against 16.8% among patients without epilepsy, respectively (p = 0.038; odds ratio = 1.8, 95% CI: 1.03–3.10). Soft tissue injury was higher in PWE (82.9%, p < 0.05) compared to those without epilepsy (50%), whereas patients without epilepsy had more cases of burns compared to PWE (p < 0.05). PWE and having frequent seizures with falls and those on more than one antiseizure medication had an increased risk of injuries (p < 0.05).
Conclusion PWE have a double risk of having mild soft tissue injuries attributed to epileptic seizures. The risk is increased in PWE having seizures with falls and those taking more than one antiseizure medication.
Y90 Radiation Segmentectomy versus Microwave Ablation for Hepatocellular Carcinoma in Locations Suboptimal for Percutaneous Ablation
Authors: Kola Olivia , Cieslak John A. , Chauhan Nirav , Gupta Priya , Shukla Pratik , Kumar Abhishek 
Published: August 2024

Abstract
Purpose The purpose of our study was to evaluate outcomes following percutaneous microwave ablation (MWA) versus yttrium-90 (Y90) radiation segmentectomy (RS) for tumors in suboptimal locations for ablation.
Materials and Methods Retrospective review (January 2014–July 2019) was performed on patients who underwent Y90-RS or MWA (with or without prior transarterial chemoembolization [TACE]) with curative intent for early-stage hepatocellular carcinoma (HCC) lesions in suboptimal locations for percutaneous ablation, defined as locations in which needle placement is within 5 mm of critical structures (liver dome, liver capsule, gallbladder, and hilum). The primary endpoints were treatment response as per the modified Response Evaluation Criteria in Solid Tumors criteria and complications.
Statistical Analysis Fischer's exact test was performed for categorical variables, and Student's t-tests for nominal variables.
Results Twenty-three lesions in 20 patients (13 male, 67 ± 8.8 years) and 30 lesions in 30 patients (18 male, 62.5 ± 10.6 years) were treated with Y90-RS and MWA (19 with prior TACE), respectively. There were no differences in demographics (p > 0.05). Mean tumor diameter was 2.9 ± 1.0 in those treated with Y90-RS and 2.3 ± 0.9 for MWA (p < 0.05). Lesions were located adjacent to the following structures: dome (n = 22), capsule (n = 16), hilum (n = 9), and gallbladder (n = 6). All patients were Eastern Cooperative Oncology Group performance status 0 to 1. Of the MWA cohort, 19 were Child-Pugh class A, 5 were B, and 6 were C and the mean pretreatment laboratory values were as follows: Model for End-stage Liver Disease sodium (MELD-Na) 12.7 ± 4.6, alpha-fetoprotein (AFP) 848 ± 3168.0, aspartate aminotransferase (AST) 71.9 ± 49.1, alanine aminotransferase (ALT) 48.0 ± 32.4, and total bilirubin 2.4 ± 2.7. Of the Y90-RS cohort, 15 were Child-Pugh class A, 4 were B, and 1 was C and pretreatment laboratory values were as follows: MELD-Na 10.5 ± 3.3 (Y90-RS), AFP 762.2 ± 1793.8 (Y90), AST 50.3 ± 30.5 (Y90), ALT 30.1 ± 16.9 (Y90), and total bilirubin 1.6 ± 1.1 (Y90). Complete response rate following Y90 was 96 versus 76% for MWA, with no disease progression after Y90-RS within the follow-up period. Three (13%) lesions demonstrated progression of disease (time to progression 6.3 months) after MWA. No grade > 2 toxicities or procedure-related complications were noted following Y90-RS. There were 7 major (arterioportal fistula with hemoperitoneum, pneumothorax, liver infarction, and capsular burn) and 3 minor complications following MWA.
Conclusion Y90-RS is a valuable alternative to percutaneous MWA as a first-line therapy for early-stage HCC for tumors in suboptimal locations for ablation, offering a favorable treatment response and safety profile.
Unusual “Mini-Rugby Ball” Pattern Solitary Lung Metastasis in Relapsed Ewing's Sarcoma
Authors: Gondhane Abhay , Sonavane Sunita N. , Basu Sandip 
Published: August 2024

AbstractEwing's sarcoma (ES) is a mesenchymal origin malignant neoplasm that affects children and adolescents. It is the second most common type of bone sarcoma and accounts for approximately 1.5% of all childhood cancers with an annual incidence of 1 to 3 cases per million children under 16 years of age. In this article, we present the case of a 16-year-old adolescent girl. Lung metastasis at the initial diagnosis of ES is relatively uncommon but carries significant prognostic implications. Lung metastases in ES can vary significantly in size, ranging from small nodules (just a few millimeters in size) to the largest reported case being 15 cm. The size of the metastases impacts the choice of therapeutic strategies and the prognosis. Approximately 30% of patients with ES experience a relapse, with the lungs being a common site for metastatic disease. Relapsed lung metastasis on follow-up is a critical concern in the long-term management of ES. We describe a relapsed case of ES in a 16-year-old adolescent girl who presented with a solitary large metastatic right lung mass, with the longest dimension of 16 cm on craniocaudal measurement. The primary site of the tumor was the left distal femur, for which the patient received six cycles of neoadjuvant chemotherapy, followed by en bloc tumor excision and rotationplasty of the left distal femur, after which the patient received seven cycles of adjuvant chemotherapy. Subsequent 5 years of regular follow-up was asymptomatic. Later, the patient presented with back pain and cough, and was diagnosed with a solitary large right lung mass. Computed tomography (CT) guided biopsy of the right lung mass revealed a metastatic ES, for which she underwent chemoradiotherapy. This case highlights the large size of solitary lung metastases in relapsed ES.
Development of a Porcine VCA Model Using an External Iliac Vessel-Based Vertical Rectus Abdominus Myocutaneous Flap
Authors: Blades Caitlin M. , Greyson Mark A. , Navarro-Alvarez Nalu , Mathes David W. , Dumanian Zari P. , Yu Jason W. , Wang Yong , Li Bing , Wang Zhaohui , Washington Kia M. , Huang Christene A. 
Published: August 2024

Abstract
Background Vascularized composite allotransplantation (VCA) involves transplanting a functional and anatomically complete tissue graft, such as a hand or face, from a deceased donor to a recipient. Although clinical VCA has resulted in successful outcomes, high rates of acute rejection and increased requirements for immunosuppression have led to significant long-term complications. Of note, immunosuppressed graft recipients are predisposed to infections, organ dysfunction, and malignancies. The long-term success of VCA grafts requires the discovery and implementation of unique approaches that avoid these complications altogether. Here, we describe our surgical technique and initial experience with a reproducible heterotopic porcine VCA model for the preclinical assessment of approaches to improve graft outcomes.
Methods Six heterotopic porcine allogeneic vertical rectus abdominis myocutaneous flap transplants were performed using Sinclair donors and Yucatan recipients. Immunosuppressive therapy was not used. Each flap was based on the left external iliac vessel system. Animals were followed postoperatively for surgery-related complications.
Results The six pigs underwent successful VCA and were euthanized at the end of the study. Each flap demonstrated complete survival following vessel anastomosis. For the allogeneic recipients, on average, minimal erythema and healthy flap color were observed from postoperative days 1 to 4. There were no surgery-related animal deaths or complications.
Conclusion We have developed a reproducible, technically feasible heterotopic porcine VCA model based on the left external iliac vessel system. Our results demonstrate this model's potential to improve VCA graft outcomes by exploring tolerance induction and rejection biomarker discovery in preclinical studies.
Tackling no-shows in fine dining: insights into cancellation policies and consumer awareness campaigns
Authors: Kim Esther L. , Tang Jason 
Published: August 2024

AbstractThis research aims to identify how fine dining restaurants can effectively implement reservation cancellation policies to address the issue of no-shows by applying equity theory, the dual entitlement principle, and social cognitive theory. Two experiments identified cancellation policy elements that influence restaurant evaluations and reservation behaviors. Findings revealed that cancellation policies negatively influence restaurant evaluations, and that policy strictness and awareness can attenuate this relationship via perceived fairness while enhancing the likelihood to book reservations and honor reservations. This research suggests that restaurants can benefit from implementing lenient cancellation policies and introducing awareness of the adverse impact of no-shows to customers.
Enterprise risk management and performance of the South African insurers: the moderating role of corporate governance
Authors: Horvey Sylvester Senyo , Odei-Mensah Jones 
Published: August 2024

AbstractThis study contributes to the literature by examining the effect of enterprise risk management (ERM) on insurers’ performance (underwriting performance and Return on Assets) and investigating how corporate governance characteristics such as board size, board independence and gender diversity moderate the ERM-performance relationship. The study employs the generalised method of moments on a sample of 63 insurers in South Africa, covering 2015–2019. The study’s findings agree with the literature that a positive relationship exists between ERM and insurers’ performance. This was consistent with both performance indicators. Again, we find that board size, board independence, and gender diversity interact with ERM in affecting insurers’ performance, and the relationship was significantly positive. This implies that corporate governance plays a significant role in promoting ERM effectiveness in affecting performance. Therefore, insurers interested in ensuring a robust ERM system should leverage these governance factors to appreciate the overall impact of ERM on performance.
A model-independent tripartite test of cosmic distance relations
Authors: Matos Isabela , Quartin Miguel , Amendola Luca , Kunz Martin , Sturani Riccardo 
Published: August 2024

Abstract
Cosmological distances are fundamental observables in cosmology. The luminosity (D
L), angular diameter (D
A) and gravitational wave (D
GW) distances are all trivially related in General Relativity assuming no significant absorption of photons in the extragalactic medium, also known as cosmic opacity. Supernovae have long been the main cosmological standard candle, but bright standard sirens are now a proven alternative, with the advantage of not requiring calibration with other astrophysical sources. Moreover, they can also measure deviations from modified gravity through discrepancies between D
L and D
GW. However, both gravitational and cosmological parameters are degenerate in the Hubble diagram, making it hard to properly detect beyond standard model physics. Finally, recently a model-independent method named FreePower was proposed to infer angular diameter distances from large-scale structure which is independent of the knowledge of both early universe and dark energy physics. In this paper we propose a tripartite test of the ratios of these three distances with minimal amount of assumptions regarding cosmology, the early universe, cosmic opacity and modified gravity. We proceed to forecast this test with a combination of LSST and Roman supernovae, Einstein Telescope bright sirens and a joint DESI-like + Euclid-like galaxy survey. We find that even in this very model-independent approach we will be able to detect, in each of many redshift bins, percent-level deviations in these ratios of distances, allowing for very precise consistency checks of ΛCDM and standard physics. It can also result in sub-percent measurements of H
0.
Inverse design of nonlinear phononic crystal configurations based on multi-label classification learning neural networks
Authors: Huang 黄 Kunqi 坤琦 , Lin 林 Yiran 懿然 , Lai 赖 Yun 耘 , Liu 刘 Xiaozhou 晓宙 
Published: August 2024

Abstract
Phononic crystals, as artificial composite materials, have sparked significant interest due to their novel characteristics that emerge upon the introduction of nonlinearity. Among these properties, second-harmonic features exhibit potential applications in acoustic frequency conversion, non-reciprocal wave propagation, and non-destructive testing. Precisely manipulating the harmonic band structure presents a major challenge in the design of nonlinear phononic crystals. Traditional design approaches based on parameter adjustments to meet specific application requirements are inefficient and often yield suboptimal performance. Therefore, this paper develops a design methodology using Softmax logistic regression and multi-label classification learning to inversely design the material distribution of nonlinear phononic crystals by exploiting information from harmonic transmission spectra. The results demonstrate that the neural network-based inverse design method can effectively tailor nonlinear phononic crystals with desired functionalities. This work establishes a mapping relationship between the band structure and the material distribution within phononic crystals, providing valuable insights into the inverse design of metamaterials.