bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of preoperative CT‐scan features and clinically relevant postoperative pancreatic fistula after pancreaticoduodenectomy: a meta‐analysis
Authors: Madankan Ahmad , Jaliliyan Ali , Khalili Pantea , Eghdami Shayan , Mosavari Hesam , Ahmadi Seyyed Amir Yasin , Izadi Amirreza , Hosseininasab Ali , Eghbali Foolad 
Published: June 2024

AbstractBackgroundClinically relevant postoperative pancreatic fistula (CR‐POPF) is a significant complication after pancreaticoduodenectomy. CR‐POPF is associated with various adverse outcomes, including high mortality rates. Identifying complication predictors for CR‐POPF, such as preoperative CT scan features, including pancreatic attenuation index (PAI) and pancreatic duct diameter (PDD), is critical. This systematic review and meta‐analysis consolidate existing literature to assess the impact of these variables on CR‐POPF risk.MethodsOur comprehensive search, conducted in May 2023, covered PubMed, Scopus, Embase, and Web of Science databases. Inclusion criteria encompassed peer‐reviewed cohort studies on pancreaticoduodenectomy, focusing on preoperative CT scan data. Case reports, case series, and studies reporting distal pancreatectomy were excluded. The quality assessment of included articles was done using New‐Castle Ottawa Scale for cohort studies. Statistical analysis was carried out using Review Manager 5. This study was registered at the International Prospective Register of Systematic Reviews database (PROSPERO) on 12 May 2023 (registration number: CRD42023414139).ResultsWe conducted a detailed analysis of 38 studies with 7393 participants. The overall incidence of CR‐POPF was 24%. Multiple linear regression analyses revealed that PDD and pancreatic parenchymal thickness were significantly associated with CR‐POPF.ConclusionOur systematic review and meta‐analysis shed light on CT scan findings for predicting CR‐POPF after Whipple surgery. Age, PDD, and pancreatic parenchymal thickness significantly correlate with CR‐POPF.
Causaita Puruntuna (“Let's Plan Life Together”): Planes de Vida / Life Plans and the Political Horizon of Indigenous Planning in the Ecuadorian Amazon
Authors: Grefa Fredy , Alvarado Rosa , Alvarado Tamy , Valdivia Gabriela 
Published: June 2024

AbstractPlanes de Vida (Life Plans) are an initiative in Latin America connecting Indigenous self‐governance with a state vision of a good life for citizens. While Life Plans have been proposed since the mid‐1980s, these are often crafted with the vision and language of states in place of Indigenous ones. Informed by Indigenous Standpoint Theory and Napo Runa living ecologies, we use autoethnography, participant observation, and secondary text analysis to re‐orient the relationship between state and Indigenous planning, and to ask what Amazonian futures would be possible if they started from Indigenous (rather than state) planning. To explore this re‐orientation, we examine the case of the Kichwa organisation FOIN, in the Ecuadorian Amazon. We argue that Life Plans can be indigenised with Kichwa planning philosophies and model ways to centre Indigenous methodologies that can shape the transformational potential of such planning initiatives.
Sonography in the diagnosis of peri‐implant bone defects: An in vitro study on native human mandibles
Authors: Bykhovsky Igor , Hildner Alexander , Kripfgans Oliver D. , Mengel Reiner 
Published: June 2024

AbstractAimThe aim of this study on native human cadavers was to compare clinical, sonographic, and radiological measurements of fenestrations, dehiscences, and 3‐wall bone defects on implants.Materials and MethodsThe examination was carried out on five human mandibles. After the insertion of 27 implants, dehiscences (n = 14), fenestrations (n = 7) and 3‐wall bone defects (n = 6) were prepared in a standardized manner. The direct measurement of the bone defects was carried out with a periodontal probe and the radiological examination was carried out using digital volume tomography (DVT). The ultrasound examination (US) was performed using a clinical 24‐MHz US imaging probe. Means and standard deviations of the direct, US, and DVT measurements were calculated. Measurements were statistically compared using the Pearson correlation coefficient and Bland–Altman analysis.ResultsBone defects were on average 3.22 ± 1.58 mm per direct measurement, 2.90 ± 1.47 mm using US, and 2.99 ± 1.52 mm per DVT assessment. Pairwise correlations of these measurements were R = .94 (p < .0001) between direct and US, R = .95 (p < .0001) between DVT and US, and R = .96 (p < .0001) between direct and DVT. The mean differences of the measurements (and 95% CI) between direct and US was 0.41 (−0.47 to 1.29), US and DVT 0.33 (−0.30 to 0.97), and direct and DVT 0.28 (−0.50 to 1.07).ConclusionAll peri‐implant bone defects could be identified and sonographically measured. US measurements showed a strong correlation with direct and DVT measurements. The sonographic measurement accuracy was highest for dehiscences, followed by fenestrations and 3‐wall bone defects.
Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention: The Feel4Diabetes‐study
Authors: Kourpas Elias , Makrilakis Konstantinos , Dafoulas George , Iotova Violeta , Tsochev Kaloyan , Dimova Roumyana , Cardon Greet , González‐Gil Esther M. , Moreno Luis , Kivelä Jemina , Lindström Jaana , Rurik Imre , Antal Emese , Timpel Patrick , Schwartz Peter , Mavrogianni Christina , Manios Yannis , Liatis Stavros ,   the Feel4Diabetes‐study Group
Published: June 2024

AbstractAimsCommunity‐ and school‐based lifestyle interventions are an efficient method of preventing type 2 diabetes in vulnerable populations. Many participants, however, fail to complete the necessary follow‐ups. We investigated factors affecting the continuous participation in follow‐up evaluations during the Feel4Diabetes‐study, a multilevel intervention programme implemented across Europe.MethodsSocioeconomic, sociodemographic and clinical factors were assessed for 2702 participants within six participating countries: Bulgaria and Hungary (low‐to‐middle‐income countries, LMIC), Belgium and Finland (high‐income countries, HIC) and Greece and Spain (high‐income countries under austerity measures, HICAM).ResultsStatistically significant differences were detected with respect to sex, control group, education level, employment status, BMI and blood pressure measurements (systolic and diastolic blood pressure). Post hoc analysis revealed significant differences within socioeconomic regions. Higher levels of education were associated with significantly lower attrition in HIC (p < 0.05) and HICAM (p < 0.001), higher employment status was associated with lower attrition in HICAM (p < 0.001) and being female was associated with lower attrition in LMIC (p < 0.001). Surprisingly, the intervention group exhibited higher‐than‐expected attrition in HIC (p < 0.001) and HICAM (p = 0.003), and lower attrition in LMIC (p = 0.007). When tested together in the same multivariable predictive model, all sociodemographic and socioeconomic variables along with higher BMI retained their statistical significance, while systolic and diastolic blood pressure failed to remain significant.ConclusionsKey socioeconomic and sociodemographic factors along with BMI play a significant role in determining continuous participation in follow‐up evaluations during school‐ and community‐based intervention programmes.
Asking women with diabetes about sexual problems: An exploratory study of NHS professionals' attitudes and practice
Authors: Murphy Joanna Clare , Cooke Debbie , Griffiths David , Setty Emily , Winkley‐Bryant Kirsty 
Published: June 2024

AbstractAimsTo explore UK healthcare professionals' practice and attitudes towards asking women with diabetes about sexual health problems, including symptoms of female sexual dysfunction (FSD).MethodsAn online questionnaire to address the study aims was developed, piloted by ten healthcare professionals (HCPs) and completed by 111 eligible HCPs, recruited via professional networks and social media. Free text data were analysed and reported thematically. Two questions were analysed to test the hypothesis of differences between men's and women's responses.ResultsThe majority of respondents did not ask women with diabetes about sexual problems. Multiple barriers to inquiry were reported, including inadequate training, time constraints, competing priorities, the perceived likelihood that questions will cause surprise or distress (especially for certain groups of women), the belief that sexual problems are to be expected as women age, and the belief that FSD is complex or untreatable, with unclear management pathways. Exploratory findings indicated significant differences in men and women's responses (men disagreed more strongly with prioritisation, and fewer reported routine inquiry about sexual problems in their usual practice).ConclusionsHCPs reported not asking women with diabetes about sexual problems during routine care. They described multiple factors reinforcing the silence about sexual health, including inadequate education and perceived social risk for individual HCPs who deviate from the patterns of topics usually discussed in diabetes consultations.
Unraveling the impact of economic policy uncertainty on environmental efficiency: How do institutional quality and political orientation matter?
Authors: Barra Cristian , Falcone Pasquale Marcello 
Published: June 2024

AbstractEconomic policy uncertainty significantly influences governmental decisions regarding environmental sustainability, particularly in CO2 emissions reduction efforts. This study examines the impact of economic policy uncertainty on environmental inefficiency across 136 emergent and non‐emerging countries from 1990 to 2018, using an unbalanced and heterogeneous sample. Additionally, we explore the moderating effects of institutional quality and political orientation on this relationship. Employing a directional distance function in a parametric context, our analysis reveals that economic policy uncertainty exacerbates environmental inefficiency. However, we find that institutional quality and political orientation act as important moderating factors, fostering greater environmental sustainability. Sensitivity analyses support these empirical findings, providing insights into potential implications for economic policy and guiding regulatory and policymaking efforts toward achieving enhanced environmental sustainability.
A comparison of acoustic tag sizes on wild Atlantic salmon Salmo salar L. smolt migration success and behaviour
Authors: Lothian Angus J. , Rodger Jessica , Wilkie Lorna , Walters Marcus , Miller Richard , Muller Karen , Adams Colin E. 
Published: June 2024

AbstractTracking of animal migrations using telemetry technologies needs to take into consideration the burden that the tag exerts on the animal. Here, we examined the potential impacts of acoustic tags of two sizes (nominally a ‘V6’ [smaller] and ‘V7’ [larger]) on the downstream riverine migration success and behaviour of wild Atlantic salmon (Salmo salar L.) smolts. One hundred fish were tagged with either a V6 or V7 tag. Tag burden (tag: fish weight) ranged from 1.88% to 7.39% and differed significantly between fish tagged with the V6 (mean [SD] = 3.63% [0.51%]) and the V7 tags (mean [SD] = 5.84% [0.95%]). There was no significant difference in the in‐river migration failure between the two groups when tested with a time‐to‐event analysis. There were also no differences in other elements of the migratory behaviour (rate of movement, time of detection and residency time) between the two tagging groups. These data support the use of acoustic tracking for monitoring smolt migration and highlight that tagging of smaller smolts at up to 7.39% tag burden to gain a more representative understanding of migration success and behaviours across a smolt population.
Preschool teachers' assessments of behavioural problems, impact on daily life, and engagement in children with neurodevelopmental symptoms: A Swedish comparative, intervention study
Authors: Gustafsson B. M. , Sund Levander M. 
Published: June 2024

AbstractThe interprofessional, interagency model PLUSS offers education for preschool teachers on how to detect and support preschool children with neurodevelopmental symptoms. A total of 119 preschool teachers used the Strengths and Difficulties Questionnaire (SDQ) to assess behavioural problems and the Children's Engagement Questionnaire (CEQ) to evaluate engagement and social interaction in 119 preschool children, before and after their PLUSS education. After education, the preschool teachers rated fewer behavioural problems (total SDQ p < .001) and increased engagement and social interactions (CEQ p < .001). In conclusion, the PLUSS preschool teachers' education and screening with the SDQ and the CEQ facilitate assessment of behavioural problems, engagement and social interaction in preschool children. Increased understanding of neurodevelopmental symptoms seems to influence how preschool teachers manage a child's behaviour, which indirectly changes the child's engagement and social interactions for the better. The preschool teachers expressed perceived needs, especially to learn how to deal with a child's emotions and behavioural regulation, and their interactions with other children.
Lessons from the field: Jail experiences of pregnant incarcerated women in a home visiting program
Authors: Reyes‐Vargas Maria , Walsh Bridget A. 
Published: June 2024

AbstractObjectiveIn this report, we share results of a qualitative study of the experiences of pregnant incarcerated women (PIW), released women (RW), and home visitors who participated in an Early Head Start Home‐Based Option (EHS‐HBO) program that was delivered in a jail. We discuss the challenges of researching and supporting PIW's experiences and offer lessons learned.BackgroundCarceral environments such as jails present challenges for PIW that can compromise pregnancy outcomes. Research supports the efficacy of targeted interventions, such as EHS‐HBO, for other populations (e.g., people who use substances); however, these interventions have not yet reached incarcerated populations.MethodThrough separate focus groups for PIW (n = 6) and home visitors (n = 5), and semistructured interviews with RW (n = 3), study participants shared their experiences as PIW and the carceral context.ResultsThemes, determined inductively through thematic analysis, included (a) emotional pain from postdelivery separation, (b) struggles accessing help, (c) lack of faith in medical care, and (d) social support in and out of jail.ConclusionResults from this study elucidate recommendations for home visitors visiting PIW in jail and training jail personnel about maternal health.ImplicationsOur study highlights the need to further develop home visiting programs and support for PIW and RW. Opportunities for training of jail and home visiting personnel were identified through the focus groups and interviews conducted. The information shared will help professionals working with PIW learn about remarks, attitudes, challenges, and standards of care impacting PIW and maternal mental health.
Multiaxial creep–fatigue failure mechanism and life prediction of a turbine blade based on a unified numerical solution approach
Authors: Zhang Xin‐Hao , Xu Le , Wang Run‐Zi , Lu Ti‐Wen , He Lei , Itoh Takamoto , Zhang Xian‐Cheng 
Published: June 2024

AbstractExposure of turbine blades to cyclic torsional loading at high temperature, stemming from pre‐torque installation and the aerodynamic forces during operation, has the potential to induce substantial creep–fatigue damage, thereby contributing to the likelihood of premature failure. Investigating the deformation mechanisms and proposing a reliable life prediction method aiming at torsional loading is critical to ensure the structural integrity of turbine blades. This study conducted strain‐controlled fatigue and creep–fatigue tests on Inconel 718 superalloy, employing a multiaxial servo‐hydraulic testing machine. Electron backscattering diffraction elucidated deformation and damage mechanisms, forming a basis for subsequent constitutive modeling and life prediction. The lack of creep–fatigue mechanical behavior and microscopic failure mechanism when stress triaxiality equal to 0 is filled, which provides the theoretical basis and data support for the life design and damage assessment of this material under extreme service conditions. The unified viscoplasticity constitutive model effectively characterized macroscopic deformation under torsional loading. Prediction of creep–fatigue life under torsional loading, utilizing the multiaxial ductility factor‐modified strain energy density exhaustion model, demonstrated excellent alignment with experimental findings. Finally, parametric analyses of stress distribution and damage assessment under different conditions were carried out for the example of a turbine blade with relatively rarely considered aerodynamic loading as a variable. It is expected to be popularized and applied in life design and damage assessment of high‐temperature structures under multiaxial loading in engineering.
Ratio of von Willebrand factor to ADAMTS13 is a useful predictor of esophagogastric varices progression after sustained virologic response in patients with hepatitis C virus‐related liver cirrhosis
Authors: Iwai Satoshi , Akahane Takemi , Takaya Hiroaki , Kubo Takahiro , Tomooka Fumimasa , Shibamoto Akihiko , Suzuki Junya , Tsuji Yuki , Fujinaga Yukihisa , Nishimura Norihisa , Kitagawa Koh , Kaji Kosuke , Kawaratani Hideto , Namisaki Tadashi , Matsumoto Masanori , Yoshiji Hitoshi 
Published: June 2024

AbstractAimEsophagogastric varices (EGV) are a serious complication of hepatitis C virus (HCV)‐related liver cirrhosis (HCV‐LC). In most cases, portal hypertension improves after a sustained virologic response (SVR) is achieved with direct‐acting antiviral (DAA) treatment; however, in some cases, EGV exacerbation occurs after HCV elimination. We investigated whether von Willebrand factor (VWF) and a disintegrin‐like metalloproteinase with thrombospondin type‐1 motif 13 (ADAMTS13) can predict EGV progression with HCV‐LC after SVR achievement.MethodsThis retrospective study enrolled 47 patients with HCV‐LC who achieved an SVR after DAA treatment. Eighteen patients experienced EGV progression after the SVR was achieved (EGV progression group). Twenty‐nine patients did not experience EGV progression after the SVR was achieved (non‐EGV progression group). Plasma VWF antigen levels and ADAMTS13 activity were measured the day before DAA treatment.ResultsThe EGV progression group had significantly higher plasma VWF antigen levels (p = 0.00331) and VWF‐to‐ADAMTS13 ratios (p = 0.000249) than the non‐EGV progression group. Multivariate logistic regression models found that a VWF‐to‐ADAMTS13 ratio >2.3 was the only risk factor for EGV progression after the SVR was achieved (hazard ratio [HR], 18.4; 95% confidence interval [CI], 3.08–109; p = 0.00138). During the observation period, patients with a VWF‐to‐ADAMTS13 ratio >2.3 had a significantly higher cumulative incidence of EGV progression after SVR achievement than patients with a VWF‐to‐ADAMTS13 ratio ≤2.3 (HR, 6.4; 95% CI, 1.78–22.96; p = 0.0044).ConclusionsThe VWF‐to‐ADAMTS13 ratio before DAA treatment for HCV could predict EGV progression after SVR achievement.
Seeds for Reclaiming Art in Education
Authors: Atkinson Dennis 
Published: June 2024

AbstractThe concern of this paper is to provide a number of ‘seeds’ for a reclaiming of art in education by placing emphasis upon art's pedagogy or art's education. The notion of reclaiming does not infer a return to a utopian past or to a halcyon future, but it invokes a reaffirmation of the adventure of events of art practice that can take us beyond ourselves towards new creative assemblages and possibilities for becoming‐with. Such reclaiming requires a culture of trust, care and response‐ability. In relation to art's pedagogy the paper calls for opening up what is formally recognised as ‘practice’ in art education to a sensing towards what might be obscured by such recognition and in doing so reshape our ideas and modes of practice.
A gray zone: Role of transesophageal echocardiography before atrial tachycardia catheter ablation
Authors: Saribas Halenur , Cay Serkan , Ozeke Ozcan , Kara Meryem , Cetin Hande , Kaplan Elmas , Tufekcioglu Omac , Topaloglu Serkan 
Published: June 2024

AbstractIntroductionThere is a lack of studies in the literature directly investigating the relationship between atrial tachycardia (AT) and left atrial (LA)/left atrial appendage (LAA) thrombus, and current guidelines do not provide strong recommendations regarding the use of transesophageal echocardiography (TEE) before AT catheter ablation. This study aims to elucidate the relationship between AT and the presence of LA/LAA thrombus and contribute to the literature on the use of TEE before AT catheter ablation.MethodsThis single‐center retrospective observational study screened patients who underwent TEE between February 10, 2019, and February 10, 2023. Patients were assigned to the AT patient and control groups. TEE was conducted to exclude thrombus in the AT ablation group. The control group included patients who underwent TEE for interatrial septum evaluation and had LA imaging during TEE but did not have atrial arrhythmia. To mitigate bias between the AT patient group and the control group, they were randomized 1:1 using propensity‐score matching (PSM). Following randomization, each group consisted of 49 patients.ResultsAll analyses were conducted after PSM. There were no statistically significant differences between the AT patient and control groups in terms of baseline clinical characteristics and echocardiographic features. Additionally, no significant differences were found between the blood viscosities calculated at low and high shear rates in both groups. The study revealed a significant difference between the two groups in the presence of LA spontaneous echo contrast (SEC) (24.5% in AT group vs 0% in Control group, p = .001), but not in the presence of thrombi (8.2% in AT group vs 0% in Control group, p = .117).ConclusionCompared to the control group, the presence of SEC was significantly higher in the AT patient group. The increased frequency of SEC in AT patients suggests the hypothesis that AT may contribute to LA stasis. The routine use of TEE before AT catheter ablation remains controversial, despite the presence of LA thrombus and SEC in the AT patient group. The clinical assessment of thrombus presence before the procedure must be conducted on a patient‐specific basis.