bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determining the Relationship Between Regional Epithelial Thickness, Corneal Toricity, and Corneal Power in Normal Corneas
Authors: Dutra Barbara A. L. , Hammoud Bassel , Schumacher Justin S. , Susanna Bianca N. , Asroui Lara , Tarib Imane , Sampaio Lycia P. , Scarcelli Giuliano , Roberts Cynthia J. , Randleman J. Bradley 
Published: February 2025

Purpose
To determine the relationship between regional epithelial thickness and corneal toricity and estimate the epithelium's impact on corneal power in normal corneas.

Methods
This was a retrospective case-control study evaluating 200 eyes from 200 patients categorized into one of three groups based on corneal toricity obtained with Scheimpflug imaging: (1) 80 non-toric (NT) eyes (< 0.50 diopters [D] in any meridian), (2) 80 with-the-rule (WTR) eyes (⩾ +1.50 D @90 ± 22.5°), and (3) 40 against-the-rule (ATR) eyes (⩾ +1.50 D @180 ± 22.5°). Epithelial thickness maps (9 mm) were generated using anterior segment optical coherence tomography (ASOCT) imaging (Avanti RTVue XR; Optovue, Inc). Mathematical modeling was used to evaluate the epithelium's impact on corneal power.

Results
There were no differences in mean curvature between groups (range: 43.2 to 43.7 µm). Average epithelial thickness profile within the central 9-mm zone varied by approximately 2 µm or less laterally but was thinner superiorly than inferiorly in all three groups (52.45 to 53.36 vs 56.01 to 56.48 µm) with no significant differences between groups. There were no differences in any measured epithelial metric at any location nor any deviation in overall epithelial thickness pattern between groups. There were minimal average variations (< 4 µm) across the cornea between central and peripheral values in any meridian. The modeled impact on corneal optics was a net reduction in curvature by approximately 0.30 D with less than 0.10 D of possible variation resulting from differences in regional thickness.

Conclusions
Regional epithelial thickness was unrelated to underlying corneal toricity and had minimal impact on corneal power in normal eyes. There was no evidence that normal epithelium significantly masks underlying normal stromal toricity, nor does the epithelium significantly contribute to corneal power under normal conditions.

[
J Refract Surg
. 2025;41(2):e91–e101.]
Sur l’écriture de Différence et Répétition comme pensée de l’avenir – « Le temps approche où il ne sera plus possible d’écrire un livre de philosophie comme on en fait depuis si longtemps »
Authors: Wiame Aline 
Published: February 2025

Cet article examine l’affirmation de l’avant-propos de Différence et Répétition selon laquelle la recherche de nouveaux moyens d’expression philosophiques doit se faire en rapport avec le renouvellement de certains autres arts. Il prend pour interlocuteurs privilégiés Beckett, Artaud et Proust, et envisage les thèmes du théâtre du mouvement réel, de la dramatisation des Idées, ainsi que les reprises deleuziennes singulières du roman policier et de la science-fiction. Tout au long de notre investigation, nous défendons l’idée que le style d’écriture de Différence et Répétition est indissociable de son ontologie, et vise à atteindre le temps « dramatique » ou « phantastique » de l’avenir de la pensée, enfin libérée de ses fonctions de représentation et de recognition.
La répétition et l’inconscient. De la métapsychologie à la métaphysique
Authors: Farge Marion 
Published: February 2025

Dans le deuxième chapitre de Différence et répétition, Deleuze interroge le rapport de l’inconscient aux trois synthèses du temps qu’il a par avant dégagées, afin de penser un inconscient non plus représentationnel mais « différentiel et itératif, sériel, problématique et questionnant ». Cet article interroge les enjeux de cette refondation de l’inconscient, eu égard à la psychanalyse. Nous insistons en particulier sur les conséquences topiques, dynamiques et énergétiques de cette entreprise, par laquelle Deleuze entend substituer à la métapsychologie freudienne une approche ontologique de l’inconscient. Nous montrons ce que cette élaboration doit à la thématisation lacanienne d’un ordre symbolique, dont Deleuze propose toutefois une interprétation originale. Ce faisant, nous entendons réinscrire son travail dans le contexte d’une discussion avec la psychanalyse initiée en amont de sa thèse de doctorat et dont la résolution provisoire précipitera sa rencontre avec Guattari.
Le double romanesque et la conversion. Le Sarrasin, le Juif et le Grec dans les romans allemands (xiie-xiiie siècles)
Authors: Gîrbea Cătălina 
Published: February 2025

Dans les romans allemands des xiie et xiiie siècles, le païen est non seulement valorisé, mais aussi représenté comme exemplaire, souvent supérieur au chrétien dont il est un double spéculaire, une sorte de Doppelgänger avant la lettre. Compris tout de même en tant qu’altérité spirituelle, le Sarrasin est une projection du chrétien issue d’un autre espace, mais surtout d’un autre temps, d’un temps mythique et biblique, comme un double du chrétien avant l’avènement du christianisme, un juste d’avant la Révélation. En dépit de sa perfection morale, sa conversion devient ainsi nécessaire d’une part pour des raisons d’intégration dans une temporalité historique, d’autre part parce qu’elle constitue un prétexte pour la métanoïa du chrétien qui, au contact du non-chrétien se transforme et s’améliore.
Les théophanies composites des arcs absidaux et la liturgie eucharistique
Authors: Angheben Marcello 
Published: February 2025

Depuis les premières décennies du ve s. jusqu’à la fin du xiie s., la plupart des arcs absidaux et triomphaux ont accueilli des théophanies composites, au même titre que les absides. Il y a un peu plus de dix ans, Ursula Nilgen a soutenu que les programmes italiens se référaient à la liturgie eucharistique. Le présent article vise à prolonger cette étude tout en y apportant certaines nuances. Avant d’aborder les arcs absidaux et triomphaux, il rappelle que de nombreux programmes iconographiques coptes, byzantins, paléochrétiens et romans se rattachent à l’eucharistie à travers des thèmes extrêmement divers, les plus importants étant, pour l’Occident, les théophanies composites et les paradigmes vétérotestamentaires. Il présente ensuite les programmes italiens et leurs spécificités par rapport aux théophanies absidales. Le cœur de cette étude réside cependant dans une confrontation des différents thèmes composant ces théophanies avec l’hypothèse eucharistique, dans l’Italie paléochrétienne, carolingienne et romane d’abord, dans l’ensemble du monde roman ensuite. Il apparaît ainsi que de nombreux indices corroborent ou confirment cette hypothèse : l’Agneau couché sur un trône en forme d’autel, versant son sang dans un calice ou encensé par des anges, des archanges ou des séraphins entonnant le sanctus, les Vieillards de l’Apocalypse tendant un calice, des paradigmes vétérotestamentaires ou des scènes liées à la Passion accompagnées de séraphins ou d’anges thuriféraires. Les composantes clairement eucharistiques demeurent cependant exceptionnelles dans les premiers siècles de l’art chrétien et augmentent progressivement à mesure que l’on se rapproche du xiie s. On peut donc supposer sans pouvoir trancher que la dimension eucharistique a d’abord été implicite ou qu’elle ne s’est au contraire imposée que tardivement.
Translanguaging in conversations for people with aphasia living in Greater Johannesburg, South Africa
Authors: Bortz Mellissa , Goral Mira 
Published: February 2025

Background: Challenges associated with language assessment in multilingual people with aphasia include the lack of linguistically and culturally appropriate assessment tools. Moreover, most multilingual people with aphasia are assessed in each of their languages separately. However, many multilingual people use elements from their complete linguistic repertoire rather than communicate in one language at a given conversation.Objectives: We aimed to examine language production in multilingual speakers with aphasia within a translanguaging approach to assessment, that is, without specifying a single target language. Our four research questions inquired about the characteristics of translanguaging in elicited language production and about the influence of task, topic and individual variables on translanguaging patterns.Method: We elicited individual monologues and group conversations from seven people with aphasia living in the Johannesburg Metropolitan Municipality in South Africa. We coded their language output in terms of the number of words used and the languages selected.Results: Participants used translanguaging to varying degrees. Five participants used both isiZulu and English in their responses; two participants each used only one language (isiZulu or English). Topic and context of conversation did not seem to affect the pattern of language use.Conclusion: Seven multilingual people with aphasia demonstrated the use of translanguaging during elicited language testing. An assessment procedure that allows for the use of multiple languages without restricting the conversation to one language is a feasible approach to assessing people from multilingual communities.Contribution: The study introduces an alternative approach to assessing multilingual people with aphasia and demonstrates its feasibility.
Beyond traditional techniques: PriciGuide® and PriciPost® systems – A glimpse into the future of endodontics
Authors: Prabhuji Varun , Srirekha A. , Pai Veena , Archana S. 
Published: February 2025

ABSTRACT
Although conventional root canal therapy is generally successful, it often faces challenges in preserving the tooth structure during access cavity preparation, particularly in cases of pulp canal obliteration, dental prostheses, and postrelated procedures. We examined the PriciGuide® and PriciPost® systems, novel patented guided endodontic innovations by Roots to Cusps® Private Limited (Bengaluru, India), which leverage cone-beam computed tomography (CBCT) data, computer-aided design, and three-dimensional (3D) printing to overcome these challenges. The systems use CBCT data and intraoral scans to establish the drilling direction for the tooth, resulting in a 3D-printed template with sleeveless guides. The system includes a guide rail attached to an air rotor. These guide rails pass through sleeveless guides, orienting the air rotor such that the bur moves in a predetermined direction to drill the tooth. These systems aim to revolutionize endodontics by making root canal treatments more predictable, efficient, and successful by enhancing the preservation of tooth structure through minimally invasive access cavities, increasing the fracture resistance of teeth posttreatment, accelerating treatment procedures, reducing chairside time, expanding versatility in addressing complex clinical cases, and minimizing iatrogenic errors. A recent study that compared the PriciGuide® system with conventional sleeve-based systems demonstrated significantly lower deviation in results in the PriciGuide® system. Published case reports validate the efficacy of both systems in negotiating calcified canals and performing prosthesis root canal treatments and minimally invasive access openings.Furthermore, these systems hold the potential for application in dental implantology, enabling precise, and efficient implant placement.
Calcified Amorphous Tumor of the Mitral Valve Causing Stroke: A Rare Case of Heart Tumor
Authors: Dumani Selman , Dibra Laureta , Likaj Ermal , Ikonomi Majlinda , Kuci Saimir , Baboci Arben , Veshti Altin 
Published: February 2025

Abstract
Calcified amorphous tumor (CAT), first described in 1997, is a rare primary cardiac tumor with a lifetime incidence of 0.0017%–0.02%, accounting for approximately 2.5% of all primary cardiac tumors. CAT can be discovered incidentally or following neurological events. Here, we report a poststroke patient diagnosed with filamentous formation on the mitral valve. After the surgery, the biopsy identified it as a CAT. There was a debate among colleagues regarding the indication for surgery due to the small mass. The prevalence of valvular strands is from 5.5% in the general population to 40% in patients with unexplained stroke. The incidence of systemic embolism, including cerebral, retinal, and transient ischemic attacks, is reported at 53%. Considering the significant risk of cerebrovascular accidents associated with calcified amorphous or similar masses, especially in patients with a history of stroke, surgery remains the treatment of choice.
Worry, Fear, or Attention? Is Generation Z Getting Metabolically Older Prematurely Due to Obesity?
Authors: Shah Shashank S. , Kanani Elmutaz Abdalla Mekki , Kharat Sushil Kumar , Shah Poonam S. , Shah Radhika Milind 
Published: February 2025

Abstract

Background:
Childhood obesity is on the rise and is becoming a health challenge. This is the first study in Asia to evaluate the metabolic health of Generation Z (Gen Z) (patients born between 1997 and 2012) with moderate-to-severe obesity.

Subjects and Methods:
One hundred and eighty-four patients aged between 12 and 27 years old, 89 males and 95 females, with obesity grade ≥I, visiting a single bariatric center between 2015 and 2023 were investigated before any intervention, and the parameters were subsequently statistically analyzed using SPSS version 29:0. Statistically significant (P < 0.05) findings were subjected to subgroup correlation.

Results:
The study analyzed a population with a mean body mass index of 41.7 ± 7.3 kg/m2, waist circumference of 118 ± 16.9 cm, and hemoglobin A1C of 6.0% ±1.3%. Blood sugar and insulin levels, total cholesterol, triglycerides, high-density lipoproteins, low-density lipoproteins, Vitamin B12, and Vitamin D3 levels were measured. Clinically, 92% had gynecomastia, 39.3% had pseudohypogonadism, and 63.4% had polycystic ovarian disease. Hypothyroidism was present in 12.5% of patients. Obstructive sleep apnea was prevalent in 54.9%, joint pain was 37%, and psychological disturbances were 25.5%. About 75.5% of the patients had more than 3 comorbidities.

Conclusion:
Gen Z’s early metabolic abnormalities raise concerns about long-term complications and obesity-induced diseases, necessitating an action plan for prevention and treatment to ensure their well-being.
Teoria Ator-Rede para pesquisa antropológica em Educação Matemática
Authors: Santos Adriano Junio Gama dos , Oliveira Luiz Antonio Ribeiro Neto de 
Published: February 2025

Este artigo apresenta um ensaio teórico acerca da instauração de etnografias problematizadoras para estudos em Educação Matemática. Para essa instauração, adotaram-se as perspectivas da Teoria Ator-Rede e das Práticas Matemáticas Indisciplinares, estruturadas nas seguintes etapas: buscar uma porta de entrada, identificar os porta-vozes, acessar os dispositivos de inscrição, identificar a prática matemática, analisar seus efeitos e afetos e mapear as ligações da rede. A coleta de dados foi realizada por meio do fotovoz, e a Cartografia de Controvérsias foi aplicada na exploração de petróleo na foz do rio Amazonas. Espera-se que essa proposta seja modelo para atividades a serem debatidas em sala de aula, fomentando uma Matemática ética, estética e voltada para a promoção da cidadania.
Human Resource Shortages Caused by the Emigration of Moroccan Health Professionals to Canada: A Focus on Sdgs, With Particular Emphasis on SDG 3 To Ensure Healthy Living and Well-Being at All Ages
Authors: Bardai Jaafar El , Ouakhzan Brahim , Barkat Asmaa , Aouane El Mahjoub , Aomari Amina 
Published: February 2025

Aim: The aim of this study is to analyse and determine the key factors influencing the decision of Moroccan nurses, health technicians and midwives to immigrate to Canada, despite the shortage of human resources suffered by the Moroccan health ministry, which could undermine the achievement of the 3rd Sustainable Development Goal, aimed at guaranteeing a healthy life and promoting well-being for all at all ages for sustainable societies.

Materials and Methods: This research was based on an exploratory study carried out over 2-year period, between janvier 2022 and janvier 2024, targeting nurses health technicians, and midwives who had begun their administrative procedures with the health department to immigrate to Canada.

Results: The results showed the existence of several factors that influenced the decision of these health professionals. Based on the literature, interviewees' responses were categorized into four key factors, namely, economic, occupation, organizational, and other factors. In addition, this study allowed us to demonstrate what are the predominant factors that affect the decision to emigrate to Canada health professionals, as an example of working conditions considered unfavorable, low remuneration, and especially the opportunity to practice in Canada that attracts these professionals. The results of this study illustrated several factors that influence the decision to leave health professionals to practice in Canada.

Discussion: This is the first study to examine the factors influencing the departure of Moroccan healthcare professionals to practice in Canada. its results will provide a roadmap for decision-makers to implement human resources management tools and mechanisms to retain healthcare professionals, with the ultimate aim of limiting this hemorrhagia that hinders the proper functioning of the care facilities.
Digital Twin-Assisted Deep Learning with Model Fusion for Detecting Multiple Sclerosis in MRI Modalities
Authors: Palaniappan Ramya , Rathinavelayutham Siva 
Published: February 2025

The advancement of technologies such as IoT, Big Data, Data Science, Augmented Reality/Virtual Reality, and cloud computing has transformed the manufacturing sector through the Digital Twin (DT), serving as a potent instrument for simulating concepts into practice. Recently, artificial intelligence has been merged with digital technology to conduct research in the healthcare sector, facilitating judgments on the planning of patients’ clinical courses and the allocation of available medical resources. DTs can be utilized in the medical industry to facilitate clinical decision-making, providing prognoses and personalized treatment for patients. Multiple sclerosis (MS) is an autoimmune neurological disorder that impacts the central nervous system, potentially resulting in neurological impairment and mortality if left untreated. [X1]. In this research study, magnetic resonance imaging (MRI) samples collected from the E-Health lab and IXI databases are used to construct the DT empowered with artificial intelligence for the diagnosis of MS in a robust manner. We propose a hybrid CNN-RNN model for detecting MS in two phases. In the first phase, the deep features of the MRI modalities are extracted by two transfer learning models, m-InceptionV3 and m-DenseNet121. In the second phase, the classification of extracted features to either healthy or MS is performed by the Long Short-Term Memory RNN model. Deep learning metrics like precision, recall, F1 score, and accuracy are used to validate the performance of the proposed model. The proposed model outperformed the other state-of-the-art models achieving a good performance of 99.67% in validation accuracy. This healthcare DT pipeline may assist in clinical decision-making for MS detection and planning post-MS rehabilitation.

Received: 19 September 2024 | Revised: 26 November 2024 | Accepted: 2 January 2025

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
The data that support the findings of this study are openly available in IXI Dataset at https://brain-development.org/ixi-dataset/.

Author Contribution Statement
Ramya Palaniappan: Conceptualization, Methodology, Software, Validation, Formal analysis, Writing – original draft, Writing – review & editing. Siva Rathinavelayutham: Investigation, Resources, Data curation, Visualization, Supervision, Project administration.
Hydrographic section along 55° E in the Indian and Southern oceans
Authors: Katsumata Katsuro , Aoki Shigeru , Ohshima Kay I. , Yamamoto-Kawai Michiyo 
Published: February 2025

Abstract. A hydrographic section along 55° E, south of 30° S, was visited from December 2019 to January 2020 as the first occupation under the Global Ocean Ship-based Hydrographic Investigations Program. The water column was measured from the sea surface to 10 dbar above the bottom with eddy-resolving station spacings and state-of-the-art accuracy. The upper profile was characterised by a conspicuous front between 42.5 and 43° S and a cold-core eddy at 39° S. The front was identified as the confluence of Subtropical and Subantarctic fronts. The Agulhas Return Current front was found at 41.6° S. When combined with the section north of 30° S observed in 2018, another subsurface front was found in dissolved oxygen around 28° S at depths of 1500 to 3000 dbar. In the eastern Weddell–Enderby Abyssal Plain, no obvious large-scale flow was observed at depths greater than 3000 dbar. We used transient tracers to estimate isopycnal diffusivity there to be 72±16 m2 s−1. Antarctic Bottom Water in the basin consisted of water masses originating from the Cape Darnley region (0 %–35 %) and Weddell Sea Deep Water (5 %–75 %) diluted by Lower Circumpolar Deep Water above. These snapshot observations not only confirm hydrographic features reported earlier in the Madagascar and Crozet basins, but also describe the diffusive nature of the deep to bottom circulation in the Weddell–Enderby Abyssal Plain.
Efficacy of Intraoral and Extraoral Low-Level Laser Therapy (LLLT) in Managing Pain and Swelling After Surgical Removal of Impacted Mandibular Third Molar
Authors: Hameed Abdulhameed Salim , Hentati Hajer Ali Ahmed 
Published: February 2025

Objective: Postoperative edema and pain are common third molar surgery side effects, that normally happens with local anesthesia. The low-level laser (LLLT) method has been universally recognized as a cell bio-modulator that is employed to accomplish optimum beneficial effects. It reduces the pain reaction, stimulates local microcirculation and wound healing, and promotes a fast healing, thus enhancing the patient's quality of life. We intended to ascertain the LLLT efficacy in improving mouth opening following the impacted third molar extraction in this research.
Methods: This randomized clinical trial was carried out on ninety cases who had impacted mandibular third molars in similar positions. Group A was allocated to intra-oral LLLT, Group B to extra-oral LLLT, and Group C to the control group. All participants were evenly divided into these three categories. The outcome that was assessed was the pain degree, alongside the postoperative edema and recovery at the operation site.
Results: Postoperative pain and edema were calculated on 1st and 7th day. All these parameters were lower in LLLT patients (p>0.05).
Conclusions: After the impacted mandibular lower wisdom tooth surgical extraction, the LLLT application was effective in mitigating postoperative complications, for instance facial edema and pain.