bluuebunny/crossref_metadata_2025_split huggingface dataset:
Abortion in the State of Exception
Authors: Majewska Ewa 
Published: June 2024

Abstract
In the current revival of fundamentalist right-wing politics globally, Poland occupies an important place given the struggles for abortion and reproductive justice that have been ongoing there since 2016. Together with Mexican, Argentinian, South Korean, and Italian women, Polish feminists contributed to creating the International Women's Strike, which later spread throughout the globe, uniting movements in seventy countries. This article discusses the symmetric heroisms imposed by the conservative governments on women, who have to give birth “no matter what,” as well as on men, who are told to “defend their fatherland.” Such acute, gendered demands for heroism also perpetuate the binary heteromatrix, further marginalizing LGBTQIA+ people and groups. Recent Polish struggles have contributed to the shift in feminist proabortion narratives from the liberal one, centered on choice, to others more preoccupied with reproductive justice. This article argues that the recent legal limitations on access to abortion in Poland and other countries are central to the current effort to reestablish the rule of the state of exception. It also analyzes the weak resistance of grassroots feminist movements organizing for reproductive justice. The refusal to participate in heroic politics requires not only work for better access to abortion but also an alternative kind of subject formation, here tentatively defined as “unheroic,” as well as politics of weak resistance.
From Operating Room to Courtroom: Analyzing Malpractice Trajectories in Cranial Neurosurgery
Authors: Gerstl Jakob V. E. , Gupta Saksham , Stenberg Carl E. , Chabros Jeremy , Nonnenbroich Leo F. , Lindberg Rebecca , Altshuler Marcelle S. , Seaver David , Mooney Michael A. , Frerichs Kai U. , Smith Timothy R. , Arnaout Omar 
Published: June 2024

BACKGROUND AND OBJECTIVES:
Nearly all neurosurgeons in the United States will be named defendants in a malpractice claim before retirement. We perform an assessment of national malpractice trends in cranial neurosurgery to inform neurosurgeons on current outcomes, trends over time, benchmarks for malpractice coverage needs, and ways to mitigate lawsuits.

METHODS:
The Westlaw Edge and LexisNexis databases were searched to identify medical malpractice cases relating to open cranial surgery between 1987 and 2023. Extracted data included date of verdict, jurisdiction, outcome, details of sustained injuries, and any associated award/settlement figures.

RESULTS:
Of 1550 cases analyzed, 252 were identified as malpractice claims arising from open cranial surgery. The median settlement amount was $950 000 and the average plaintiff ruling was $2 750 000. The highest plaintiff ruling resulted in an award of $28.1 million. Linear regression revealed no significant relationship between year and defendant win (P-value = .43). After adjusting for inflation, award value increased with time (P-value = .01). The most common cranial subspecialties were tumor (67 cases, 26.6%), vascular (54 cases, 21.4%), infection (23 cases, 9.1%), and trauma (23 cases, 9.1%). Perioperative complications was the most common litigation category (96 cases, 38.1%), followed by delayed treatment (40 cases, 15.9%), failure to diagnose (38 cases, 15.1%), and incorrect choice of procedure (29 cases, 11.5%). The states with most claims were New York (40 cases, 15.9%), California (24 cases, 9.5%), Florida (21 cases, 8.3%), and Pennsylvania (20 cases, 7.9%).

CONCLUSION:
Although a stable number of cases were won by neurosurgeons, an increase in award sizes was observed in the 37-year period assessed. Perioperative complications and delayed treatment/diagnosis were key drivers of malpractice claims.
Combined Petrosal Intertentorial Approach: A Cadaveric Study of Comparison With the Standard Combined Petrosectomy
Authors: Giammattei Lorenzo , Peters David , Cadas Hugues , Fava Arianna , Schranz Sami , George Mercy , Sabatasso Sara , Messerer Mahmoud , Starnoni Daniele , Daniel Roy T. 
Published: June 2024

BACKGROUND AND OBJECTIVES:
The combined petrosal intertentorial approach (CPIA) has been proposed as an alternative to standard combined petrosal approach (SCPA). CPIA has been designed to maintain integrity of the temporal dura with a view to reduce temporal lobe morbidity and venous complications. This study has been designed to perform a quantitative comparison between these approaches.

METHODS:
Five human specimens were used for this study. CPIA was performed on one side and SCPA on the opposite side. The area of exposure (petroclival and brainstem), surgical freedom, and angles of attack to a predefined target were measured and compared.

RESULTS:
SCPA provided a significantly larger petroclival area of exposure (6.81 ± 0.60 cm2) over the CPIA (5.59 ± 0.59 cm2), P = .012. The area of brainstem exposed with SCPA was greater than with CPIA (7.17 ± 0.84 vs 5.63 ± 0.72, P = .014). The area of surgical freedom was greater in SCPA rather than in CPIA (8.59 ± 0.55 and 7.13 ± 0.96 cm2, respectively, P = .019). There was no significative difference between CPIA and SCPA in the vertical angles of attack for the Meckel cave, Dorello canal, and root entry zone of cranial nerve VII. Conversely, the horizontal angles of attack permitted by the CPIA were significantly smaller for the Meckel cave (52.36° ± 5.01° vs 64.4° ± 5.3°, P = .006) and root entry zone of cranial nerve VII (30.7° ± 4.4° vs 40.1° ± 6.2°, P = .025).

CONCLUSION:
CPIA is associated with a reduction in terms of the area of surgical freedom (22%), skull base (18%), brainstem exposure (17%), and horizontal angles of attack (18%-23%) when compared with SCPA. This loss in terms of exposure is counterbalanced by the advantage of keeping the temporal lobe covered by an extra layer of meningeal tissue, thus possibly reducing the risk of temporal lobe injury and venous infarction. These results need to be validated with adequate clinical experience.
Biological and therapeutic insights from animal modeling of fusion-driven pediatric soft tissue sarcomas
Authors: Kucinski Jack P. , Calderon Delia , Kendall Genevieve C. 
Published: June 2024

ABSTRACT
Survival for children with cancer has primarily improved over the past decades due to refinements in surgery, radiation and chemotherapy. Although these general therapies are sometimes curative, the cancer often recurs, resulting in poor outcomes for patients. Fusion-driven pediatric soft tissue sarcomas are genetically defined by chromosomal translocations that create a chimeric oncogene. This distinctive, almost ‘monogenic’, genetic feature supports the generation of animal models to study the respective diseases in vivo. This Review focuses on a subset of fusion-driven pediatric soft tissue sarcomas that have transgenic animal tumor models, which includes fusion-positive and infantile rhabdomyosarcoma, synovial sarcoma, undifferentiated small round cell sarcoma, alveolar soft part sarcoma and clear cell sarcoma. Studies using the animal models of these sarcomas have highlighted that pediatric cancers require a specific cellular state or developmental stage to drive tumorigenesis, as the fusion oncogenes cause different outcomes depending on their lineage and timing of expression. Therefore, understanding these context-specific activities could identify targetable activities and mechanisms critical for tumorigenesis. Broadly, these cancers show dependencies on chromatin regulators to support oncogenic gene expression and co-opting of developmental pathways. Comparative analyses across lineages and tumor models will further provide biological and therapeutic insights to improve outcomes for these children.
Manipulating exciton confinement for stable and efficient flexible quantum dot light-emitting diodes
Authors: Hu Xiaoyun , Yang Jianfang , Tu Yufei , Su Zhen , Zhu Fei , Guan Qingqing , Ma Zhiwei 
Published: June 2024

Flexible quantum dot light-emitting diodes (QLEDs) show great promise for the next generation of flexible, wearable, and artificial intelligence display applications. However, the performance of flexible QLEDs still lags behind that of rigid substrate devices, hindering their commercialization for display applications. Here we report the superior performance of flexible QLEDs based on efficient red ZnCdSe/ZnS/ZnSe QDs (A-QDs) with anti-type-I nanostructures. We reveal that using ZnS as an intermediate shell can effectively confine the exciton wavefunction to the inner core, reducing the surface sensitivity of the QDs and maintaining its excellent emission properties. These flexible QLEDs exhibit a peak external quantum efficiency of 23.0% and a long lifetime of 63,050 h, respectively. The anti-type-I nanostructure of A-QDs in the device simultaneously suppresses defect-induced nonradiative recombination and balances carrier injection, achieving the most excellent performance of flexible QLEDs ever reported. This study provides new insights into achieving superior performance in flexible QD-based electroluminescent devices.
Antibiotics affect the pharmacokinetics of n-butylphthalide in vivo by altering the intestinal microbiota
Authors: Li Xiangchen , Guo Xiaoli , Liu Yixin , Ren Feifei , Li Shan , Yang Xiuling , Liu Jian , Zhang Zhiqing 
Published: June 2024

Objective
N-butylphthalide (NBP) is a monomeric compound extracted from natural plant celery seeds, whether intestinal microbiota alteration can modify its pharmacokinetics is still unclear. The purpose of this study is to investigate the effect of intestinal microbiota alteration on the pharmacokinetics of NBP and its related mechanisms.

Methods
After treatment with antibiotics and probiotics, plasma NBP concentrations in SD rats were determined by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). The effect of intestinal microbiota changes on NBP pharmacokinetics was compared. Intestinal microbiota changes after NBP treatment were analyzed by 16S rRNA sequencing. Expressions of CYP3A1 mRNA and protein in the liver and small intestine tissues under different intestinal flora conditions were determined by qRT-PCR and Western Blot. KEGG analysis was used to analyze the effect of intestinal microbiota changes on metabolic pathways.

Results
Compared to the control group, the values of Cmax, AUC0-8, AUC0-∞, t1/2 in the antibiotic group increased by 56.1% (P<0.001), 56.4% (P<0.001), 53.2% (P<0.001), and 24.4% (P<0.05), respectively. In contrast, the CL and Tmax values decreased by 57.1% (P<0.001) and 28.6% (P<0.05), respectively. Treatment with antibiotics could reduce the richness and diversity of the intestinal microbiota. CYP3A1 mRNA and protein expressions in the small intestine of the antibiotic group were 61.2% and 66.1% of those of the control group, respectively. CYP3A1 mRNA and protein expressions in the liver were 44.6% and 63.9% of those in the control group, respectively. There was no significant change in the probiotic group. KEGG analysis showed that multiple metabolic pathways were significantly down-regulated in the antibiotic group. Among them, the pathways of drug metabolism, bile acid biosynthesis and decomposition, and fatty acid synthesis and decomposition were related to NBP biological metabolism.

Conclusion
Antibiotic treatment could affect the intestinal microbiota, decrease CYP3A1 mRNA and protein expressions and increase NBP exposure in vivo by inhibiting pathways related to NBP metabolism.
Influence of frailty on cardiovascular events and mortality in patients with Chronic Obstructive Pulmonary Disease (COPD): Study protocol for a multicentre European observational study
Authors: Verduri Alessia , Clini Enrico , Carter Ben , Hewitt Jonathan 
Published: June 2024

Background
Frailty is a clinical state that increases susceptibility to minor stressor events. The risk of frailty is higher in chronic conditions, such as Chronic Obstructive Pulmonary Disease (COPD). Recent studies on COPD have shown that patients living with frailty have an increased risk of mortality. The presence of cardiovascular diseases or conditions are common in COPD and may increase the risk of death.

Methods
This protocol describes a European prospective cohort study of community-based people, in a stable condition with diagnosis of COPD (as defined by GOLD guidelines) across hospitals in Italy and UK. Frailty prevalence will be assessed using the Clinical Frailty Scale. At 1- and 2-year follow up, primary outcome will be the impact of frailty on the number of cardiovascular events; secondary outcomes: the influence of frailty on cardiovascular mortality, all-cause mortality, and deaths due to COPD. For the primary outcome a zero-inflated Poisson regression will compare the number of cardiovascular events at 1 year. Secondary outcomes will be analysed using the time to mortality.

Discussion
This multicentre study will assess the association between frailty and cardiovascular events and mortality in population with COPD. Data collection is prospective and includes routine clinical data. This research will have important implications for the management of patients with COPD to improve their quality of care, and potentially prognosis.

Trial registration number
NCT05922202 (www.clinicaltrials.gov).
The realization logic of rural revitalization: Coupled coordination analysis of development and governance
Authors: Xiang Hongxun , Zhai Boleng , Yang Yang 
Published: June 2024

Background
Socialism with Chinese characteristics has entered a new stage. The principal social contradiction is the uneven development of urban and rural areas. The rural revitalization strategy has emerged as time has required. The realization of rural revitalization not only requires development to lay the foundation of the countryside but also requires governance to lead the development of the countryside. Development and governance are two indispensable aspects of rural revitalization. However, China’s rural areas have long been in a state of development without governance, and this situation must change. Therefore, systematically exploring the relationship between development and governance is the key to solving the current shortcomings in rural areas.

Methods
Based on the data from the statistical yearbook, the study constructed a set of evaluation indicators for rural development governance and revitalization and verified the model’s effectiveness.The entropy method and the assessment model were used to calculate the comprehensive score of rural development, governance, and revitalization. The relationship between rural development and governance was analyzed using a coupled coordination model. The regression analysis model was used to explore the relationship between the coupling results of rural development, governance, and rural revitalization.

Results
From the comprehensive results, both development and governance show an upward trend, but the upward trend of development is better. From the analysis of coupling coordination between development and governance, the C value is in good condition, the T value fluctuates wildly, and the D fluctuates with the fluctuation of T. Judging from the comprehensive score of rural revitalization, it also shows an upward trend year by year. Judging from the regression analysis results of coupling coordination degree and rural revitalization comprehensive score, coupling coordination degree will significantly impact the rural revitalization evaluation value.

Conclusions
The study found that current rural development and governance present a spiral coupling coordination relationship, and the degree of coupling coordination significantly correlates with rural revitalization. Based on the research conclusions, the study further proposes three paths to promote the coupling and coordination of development and governance. The first is an organizational isomorphism, which builds a coupled coordination system for rural development and governance. The second is to tilt resources and improve the supply of connected and coordinated factors for rural development and governance. The third is the operating mechanism to optimize rural development and governance’s coupling and coordination path.
The characteristics and risk of obesity central and concomitant impaired fasting glucose: Findings from a cross-sectional study
Authors: Liberty Iche Andriyani , Septadina Indri Seta , Mariana  , Novita Emma , Amalia Resi , Ananingsih Esti Sri , Hasyim Hamzah , Hanifah Laily 
Published: June 2024

Introduction
Obesity is associated with concomitant chronic conditions. An early metabolic consequence of obesity is disruption of glucose and insulin homeostasis. One of the consequences is impaired fasting glucose (IFG). Visceral fat is metabolically more harmful than subcutaneous fat, but few information is available regarding the association between the risk of abnormal glucose in increased waist circumference.

Methods
This study is based on a cross sectional of 1,381 population-based from Palembang, Indonesia.
The eligibility requirements subject were to be older than 18 and consent to taking fasting glucose and lipid profile tests as well as physical exams measuring their body weight, height, blood pressure, abdominal circumference, and waist circumference.

Results
The number of subjects consisting of 798 noncentral obesity with normoglycemia, 376 central obesity with normoglycemia, and 207 central obesity with concomitant IFG. The prevalence central obesity with concomitant IFG was 35.51%. In subjects with central obesity, there were significant differences in proportions based on sex, age, marital status, education, and occupation. In multivariate analysis show that the risk factors that contribute to having a significant association with central obesity with concomitant IFG are sex (female), age (>40 years), blood pressure (hypertension), and HDL-C <50 mg/dL (p<0.001). The analysis also founded that there was a significant difference in the dietary pattern of sweet foods (p = 0.018), sweet drinks (p = 0.002), soft drinks (p = 0.001) and smoking habit (p<0.001) between subjects with obesity central and concomitant IFG compared to subjects with noncentral obesity. The majority of subjects with obesity central and concomitant IFG had consuming these risky foods >6 times/week.

Conclusion
The prevalence of central obesity with IFG is quite high. There are significant differences in the characteristics, lipid profile, blood pressure, dietary pattern, and smoking habit of central obesity with concomitant IFG was confirmed in this population-based observational study.
Association between plant-based dietary index and gallstone disease: A cross sectional study from NHANES
Authors: Li Luyang , Liu Chengli , Xia Tian , Li Haoming , Yang Jun , Pu Meng , Zhang Shuhan , Ma Yingbo , Zhang Tao 
Published: June 2024

Background
The relationship between plant-based diets and gallstone disease has been debated. This study aimed to shed light on the association between plant-based dietary index and the risk of developing gallstone disease.

Methods
Eligible participants were selected from National Health and Nutrition Examination Survey (NHANES) 2017–2020. Three plant-based diet indexes (PDI, healthy PDI, unhealthy PDI) were calculated using data from two NHANES 24-h dietary recall interviews. Restricted Cubic Spline and multivariate logistic regression were used to analyze the associations. Subgroup analysis was adopted to make the results more robust.

Results
A total of 5673 eligible participants were analyzed. After adjusting for various confounding variables, uPDI was positively associated with gallstone disease (OR = 1.53, 95%CI: 1.02–2.29). No association was found between PDI/hPDI and gallstone disease (p > 0.05). The results of subgroup analysis did not show any positive association between uPDI and gallstones in specific groups.

Conclusion
Our study shows that the elevated uPDI are linked to a higher risk of gallstone disease.
Acceptance of physical activity virtual reality games by residents of long-term care facilities: A qualitative study
Authors: Hosseini Marjan , Thomas Roanne , Pilutti Lara , Fallavollita Pascal , Jutai Jeffrey W. 
Published: June 2024

Background
Little is known about the experience and the social and contextual factors influencing the acceptance of virtual reality (VR) physical activity games among long-term care (LTC) residents. Our study aims to address this research gap by investigating the unique experience of older adults with VR games. The findings will provide valuable insights into the factors influencing VR acceptance among LTC residents and help design inclusive VR technology that meets their needs and improves physical activity (PA) and well-being.

Objective
We aimed to: (1) investigate how participants experience VR exergames and the meaning they associate with their participation; and (2) examine the factors that influence the participant’s experience in VR exergames and explore how these factors affect the overall experience.

Methods
We used a qualitative approach that follows the principles of the Interpretive Description methodology. Selective Optimization and Compensation (SOC) theory, Socioemotional Selectivity theory (SST) and technology acceptance models underpinned the theoretical foundations of this study. We conducted semi-structured interviews with participants. 19 Participants of a LTC were interviewed: five residents and ten tenants, aged 65 to 93 years (8 female and 7 male) and four staff members. Interviews ranged from 15 to 30 minutes and were transcribed verbatim and were analyzed using thematic analysis.

Results
We identified four themes based on older adults’ responses that reflected their unique VR gaming experience, including (1) enjoyment, excitement, and the novel environment; (2) PA and motivation to exercise; (3) social connection and support; and (4) individual preferences and challenges. Three themes were developed based on the staff members’ data to capture their perspective on the factors that influence the acceptance of VR among LTC resident including (1) relevance and personalization of the games; (2) training and guidance; and (3) organizational and individual barriers.

Conclusions
VR gaming experiences are enjoyable exciting, and novel for LTC residents and tenants and can provide physical, cognitive, social, and motivational benefits for them. Proper guidance and personalized programs can increase understanding and familiarity with VR, leading to a higher level of acceptance and engagement. Our findings emphasize the significance of social connection and support in promoting acceptance and enjoyment of VR gaming among older adults. Incorporating social theories of aging helps to gain a better understanding of how aging-related changes influence technology acceptance among older adults. This approach can inform the development of technology that better meets their needs and preferences.