bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcomes of Arthrodesis of the Metacarpophalangeal Joint of the Thumb for Sequelae of Collateral Ligament Injuries: A Series of 18 Cases with 6-Year Follow-Up
Authors: VANPOULLE Gaetan , DUCHARNE Louis , IVAN Ioana , CORCELLA Denis , FORLI Alexandra 
Published: May 2024

Background: Untreated or insufficiently treated collateral ligament injuries of the thumb metacarpophalangeal (MP) joint can lead to instability or even osteoarthritis. Arthrodesis is one of the treatment options available for the treatment of the sequelae of collateral ligament injuries. The objective of our study was to evaluate the radiological, clinical and functional outcomes of MP joint arthrodesis performed for sequelae of collateral ligament injuries. Methods: We conducted a retrospective, single-centre study and reviewed the files of patients who had a thumb MP joint arthrodesis following a collateral ligament injury between 2011 and 2019. We collected patient’s demographic data and the results of the radiological and clinical examinations. Results: Eighteen patients were included in the study. The average age was of 53.6 years and the time between injury to arthrodesis averaged 7 years. Four patients (22%) had nonunion. In the remaining 14 patients with solid union at an average of 72 months follow-up, the visual analogue pain score at rest was 0.14, the thumb opposition was 82%, grip strength 85%, tip pinch 92% and key pinch 79% of the contralateral side. Conclusions: The clinical and functional results of patients with a successful arthrodesis are satisfactory with restoration of good grip and pinch strength. Despite a lack of thumb MP joint flexion, stability allowed force transmission and may be preferred for manual workers. Level of Evidence: Level IV (Therapeutic)
Long-Term Outcomes of Wrist Arthroplasty Using the ReMotion™ Implant in Non-inflammatory Wrist Pathology
Authors: REIGSTAD Ole , HOLM-GLAD Trygve , KORSLUND Johanne , MYHRE Cathrine , THORKILDSEN Rasmus , RØKKUM Magne 
Published: May 2024

Background: Wrist arthroplasty is increasingly offered to patients with symptomatic wrist arthritis as an alternative to wrist arthrodesis. The purpose of this study was to present our outcomes with the ReMotion™ wrist arthroplasty in a consecutive series of patients with wrist arthritis from non-inflammatory conditions. Methods: Thirteen (eight women, nine dominant wrists) patients, 68 (44–85) years of age with advanced radiocarpal arthritis due to SLAC/SNAC (11) and Kienbock disease (2) had a ReMotion™ (Stryker, Michigan, USA) wrist arthroplasty implanted, and were prospectively followed for 7 (4–9) years. The outcome measures included patient-rated wrist and hand evaluation (PRWHE) score, disabilities of the arm, shoulder and hand questionnaire (QuickDASH) score, visual analogue pain score (0–10) on the radial and ulnar aspect of the wrist at rest (VASrR/VASuR) and activity (VASrA/VASuA), active wrist range of motion (AROM) including flexion, extension, ulnar and radial deviation, pronation and supination and grip and key-pinch strength measured preoperatively and at yearly follow-ups by independent hand therapists. Results: Six patients had ten re-operations during the follow-up including four revisions to a new arthroplasty. Four were considered loose at follow-up. A significant reduction in PRWHE (63 to 12), radial pain at activity (6 to 1) and increased pronation (85° v 90°) was observed. Conclusions: We found a high complication and reoperation rate, two out of 13 had no complications or reoperations. The ReMotion™ arthroplasty should be used with caution in non-inflammatory wrist patients and the patients followed closely. A high reoperation and revision rate can be expected, and surgeons familiar with revision arthroplasty procedures should perform the surgery. Level of Evidence: Level II (Therapeutic)
Pins and Rubbers Traction System for Treatment of Intraarticular Fractures of Distal Interphalangeal Joint
Authors: KAPLAN G. O. , ÖZDEMİR F. D. M. , UZUN H. , USTUN G. G. 
Published: May 2024

Background: The pins and rubber traction system (PRTS) has proven effective in managing intra-articular fractures of the proximal interphalangeal joint. However, there is scant evidence in the literature regarding its efficacy in treating distal interphalangeal joint (DIPJ). This study aims to investigate the outcomes of PRTS in the treatment of comminuted intra-articular fractures of the DIPJ. Methods: We conducted a retrospective review of patients with comminuted intra-articular fractures of the DIPJ treated with PRTS between 2017 and 2021. At the final follow-up, we measured and compared the active range of motion (ROM) in both affected and non-injured contralateral fingers. The subjective evaluation utilised the Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire and the Visual Analogue Scale (VAS). Results: Ten patients with a mean follow-up of 13.2 months (range: 12–17) were included in the study. Fracture locations included the base of the distal phalanx in two patients, the condyle of the middle phalanx in seven and both in one patient. At the final follow-up, the average VAS score was 0.5 (range: 0–2). The average active motion of the DIPJ was 61° (range: 50°–70°) for the injured side and 76° (range: 75°–80°) for the opposite side. The mean range of DIPJ movement was 80% (range: 68%–87%) of the non-injured side. Extension deficits were observed in five patients, with a median deficit value of 10° (range: 5°–10°). The average Quick-DASH score was 2.9 (range: 0–11.3). Conclusions: The PRTS can be considered as an effective surgical technique in managing comminuted intra-articular fractures of the DIPJ. Level of Evidence: Level IV (Therapeutic)
Outcomes of the Transungual Approach in 56 Consecutive Digital Subungual Glomus Tumours
Authors: BISWAS Debashis , SIKDAR Saurav , ISLAM Takbirul 
Published: May 2024

Background: Glomus tumour is a painful small tumour of the glomus body commonly located under the nail bed. The aim of this study is to evaluate the correlation of clinical diagnosis with MRI findings, determine the prevalence of the tumour at different subungual locations and determine the differences in outcomes (if any) between a longitudinal and a transverse nail bed incision for excision of the tumour. Methods: This retrospective study of 56 subungual glomus tumour was conducted from May 2010 to December 2021. Data with regard to gender, age at presentation, digit involved, presenting symptoms, duration of symptoms, clinical signs, need for MRI, anatomical location, surgical approach (longitudinal versus transverse), histopathology result, period of follow-up and complications were recorded. Results: All 56 (100%) patients presented with classic triad of symptoms. The average duration of symptoms was 52.9 months (range: 3–204 months). Eleven (20%) tumours were in the sterile matrix, 38 (68%) at the junction of sterile and germinal matrix and 7 (12%) in the germinal matrix. The tumours were excised through the longitudinal incision in 31 (55.3%) patients and transverse incision in 25 (44.7%). One (1.8%) tumour was intraosseous that was diagnosed intraoperatively and excised successfully. Average follow-up was 35.4 months (range: 6–120 months). There was no difference in outcomes (pain or nail deformity) between the two incisions. One patient (1.8%) has persistent pain that was due to a missed satellite lesion in the same digit. This was excised later with resolution of symptoms. There were no recurrences and all patients were cured after excision of tumour. Conclusions: Diagnosis of glomus tumour is usually clinical, and most are located at junction of sterile and germinal matrix. Tumour can be excised either by longitudinal or transverse nail bed incisions without any change of treatment outcome. Level of Evidence: Level IV (Therapeutic)
Optimization of an inset-fed calculations for rectangular microstrip antenna
Authors: Dase Sulwan , Razak Irawati 
Published: May 2024

This paper offers an alternative solution to produce a formula to calculate the inset-fed (????????) feed distance from the edge of the patch in order to obtain the impedance of a rectangular patch microstrip antenna as close to 50 Ohm as possible. The basic calculation refers to Ramesh's calculation formula to calculate the inset-fed (????????) on a rectangular patch microstrip antenna. From this research it is hoped that a number of correction factors will be obtained which will be multiplied by the Ramesh formula in order to obtain an inset-fed calculation which results in a lower return loss (????????????) and voltage standing wave ratio (VSWR). From several calculation attempts, the approximate value for the correction factor is s=0.83477. This s correction factor is then multiplied by Ramesh's calculation formula. In this experiment, a microstrip antenna was simulated using an FR4 epoxy printed circuit board (PCB) with a relative permittivity, ???????? = ????. ????, with a thickness of h=1.6 mm. The specified antenna nominal input impedance is 50 Ohms. The transmission line used is a microstrip line with a characteristic impedance of 50 Ohm. The test method used is to compare the results of simulation calculations using the Ramesh formula with the results of simulation calculations using the Ramesh formula multiplied by the correction factor. Tests are carried out using varying working frequencies. From the experimental results it can be seen that the average Return Loss (????????????) and VSWR of the antenna are lower when using the Ramesh formula with a correction factor compared to the original Ramesh formula.
Prediction of 24‐Hour Urinary Sodium Excretion Using Machine‐Learning Algorithms
Authors: Hamaya Rikuta , Wang Molin , Juraschek Stephen P. , Mukamal Kenneth J. , Manson JoAnn E. , Tobias Deirdre K. , Sun Qi , Curhan Gary C. , Willett Walter C. , Rimm Eric B. , Cook Nancy R. 
Published: May 2024

Background
Accurate quantification of sodium intake based on self‐reported dietary assessments has been a persistent challenge. We aimed to apply machine‐learning (ML) algorithms to predict 24‐hour urinary sodium excretion from self‐reported questionnaire information.

Methods and Results
We analyzed 3454 participants from the NHS (Nurses' Health Study), NHS‐II (Nurses' Health Study II), and HPFS (Health Professionals Follow‐Up Study), with repeated measures of 24‐hour urinary sodium excretion over 1 year. We used an ensemble approach to predict averaged 24‐hour urinary sodium excretion using 36 characteristics. The TOHP‐I (Trial of Hypertension Prevention I) was used for the external validation. The final ML algorithms were applied to 167 920 nonhypertensive adults with 30‐year follow‐up to estimate confounder‐adjusted hazard ratio (HR) of incident hypertension for predicted sodium. Averaged 24‐hour urinary sodium excretion was better predicted and calibrated with ML compared with the food frequency questionnaire (Spearman correlation coefficient, 0.51 [95% CI, 0.49–0.54] with ML; 0.19 [95% CI, 0.16–0.23] with the food frequency questionnaire; 0.46 [95% CI, 0.42–0.50] in the TOHP‐I). However, the prediction heavily depended on body size, and the prediction of energy‐adjusted 24‐hour sodium excretion was modestly better using ML. ML‐predicted sodium was modestly more strongly associated than food frequency questionnaire‐based sodium in the NHS‐II (HR comparing Q5 versus Q1, 1.48 [95% CI, 1.40–1.56] with ML; 1.04 [95% CI, 0.99–1.08] with the food frequency questionnaire), but no material differences were observed in the NHS or HPFS.

Conclusions
The present ML algorithm improved prediction of participants' absolute 24‐hour urinary sodium excretion. The present algorithms may be a generalizable approach for predicting absolute sodium intake but do not substantially reduce the bias stemming from measurement error in disease associations.
Acoustic tones generated by impinging jets: Differences between laminar and highly-disturbed nozzle-exit boundary layers
Authors: Varé Mathieu , Bogey Christophe 
Published: May 2024

The differences between the acoustic tones generated by impinging jets with laminar and highly-disturbed nozzle-exit boundary layers are investigated. For that, jets at Mach numbers between 0.6 and 1.3 impinging on a flat plate at a distance of 8 nozzle radii from the nozzle exit are computed using large-eddy simulations. The amplitudes of the tones generated by the jets through feedback loops establishing between the nozzle and the plate are found to be significantly affected by the exit turbulent disturbances. In the present study, overall, they are lower for the initially laminar jets than for the initially disturbed ones. The level decrease varies from a few dB up to 15 dB, depending on the tones, which can change the frequencies of the dominant tones and the numbers and azimuthal structures of their associated feedback modes. For Mach numbers 0.75 and 0.8, for instance, the dominant tone frequencies are approximately two times lower for the initially laminar jets than for the other ones, yielding a better agreement with experiments of the literature in the former case. For a Mach number of 1.1, as a second example, the dominant tone is associated with the axisymmetric third feedback mode in the laminar case but with the helical fifth feedback mode in the disturbed case. The differences in the tone amplitude are finally discussed by estimating the power gains of the shear-layer instability waves between the nozzle and the plate using linear stability analysis for the axisymmetric mode. In most cases, at the frequency of a specific tone, the higher the gain, the stronger the acoustic tone.
Insights on the Transition to Leadership: The Power of Onboarding and Networking
Authors: Williams Sheri S. , Heileman Jeri M. 
Published: May 2024

Problem In the rapidly changing future of work, advances in human resources are needed to develop individual leadership expertise and further the collective aims of the organization. This article explores the challenges and opportunities in the transition to leadership for new and early-career leaders across interdisciplinary and interorganizational contexts. Solution Two high-impact strategies are proposed to facilitate the leadership transition, namely, strategic onboarding and intentional networking. These methods expand conventional approaches in leadership development. When new leaders are primed with onboarding and networking structures, they are better prepared to partner with internal and external stakeholders in a culture of shared leadership for equitable and thriving organizations and their communities. Stakeholders The article may be of interest to a diversity of human resource development scholars and practitioners who seek to further their understandings and practices in the training, mentoring, and career development of new leaders for workforce performance and organizational integrity.
Potential impact of blood cholesterol guidelines on statin treatment in the U.S. population using interrupted time series analysis
Authors: Yew Pui Ying , Loth Matt , Adam Terrence J. , Wolfson Julian , Liang Yue , Tonellato Peter J. , Chi Chih-Lin 
Published: May 2024

Abstract
Background
The 2013 ACC/AHA Guideline was a paradigm shift in lipid management and identified the four statin-benefit groups. Many have studied the guideline’s potential impact, but few have investigated its potential long-term impact on MACE. Furthermore, most studies also ignored the confounding effect from the earlier release of generic atorvastatin in Dec 2011.

Methods
To evaluate the potential (long-term) impact of the 2013 ACC/AHA Guideline release in Nov 2013 in the U.S., we investigated the association of the 2013 ACC/AHA Guideline with the trend changes in 5-Year MACE survival and three other statin-related outcomes (statin use, optimal statin use, and statin adherence) while controlling for generic atorvastatin availability using interrupted time series analysis, called the Chow’s test. Specifically, we conducted a retrospective study using U.S. nationwide de-identified claims and electronic health records from Optum Labs Database Warehouse (OLDW) to follow the trends of 5-Year MACE survival and statin-related outcomes among four statin-benefit groups that were identified in the 2013 ACC/AHA Guideline. Then, Chow’s test was used to discern trend changes between generic atorvastatin availability and guideline potential impact.

Results
197,021 patients were included (ASCVD: 19,060; High-LDL: 33,907; Diabetes: 138,159; High-ASCVD-Risk: 5,895). After the guideline release, the long-term trend (slope) of 5-Year MACE Survival for the Diabetes group improved significantly (P = 0.002). Optimal statin use for the ASCVD group also showed immediate improvement (intercept) and long-term positive changes (slope) after the release (P < 0.001). Statin uses did not have significant trend changes and statin adherence remained unchanged in all statin-benefit groups. Although no other statistically significant trend changes were found, overall positive trend change or no changes were observed after the 2013 ACC/AHA Guideline release.

Conclusions
The 2013 ACA/AHA Guideline release is associated with trend improvements in the long-term MACE Survival for Diabetes group and optimal statin use for ASCVD group. These significant associations might indicate a potential positive long-term impact of the 2013 ACA/AHA Guideline on better health outcomes for primary prevention groups and an immediate potential impact on statin prescribing behaviors in higher-at-risk groups. However, further investigation is required to confirm the causal effect of the 2013 ACA/AHA Guideline.
Perception of the compatibility of Quebec residency program characteristics with the advanced access model: a cross-sectional study
Authors: Boulais Marie-Ève , Deville-Stoetzel Nadia , Racine-Hemmings François , Perrier David , Martin Élisabeth , Boyer-Richard Étienne , Di Zazzo Raffaele , Labbe Eve , Breton Mylaine , Gaboury Isabelle 
Published: May 2024

Abstract
Background
The advanced access (AA) model is among the most recommended innovations for improving timely access in primary care (PC). AA is based on core pillars such as comprehensive planning for care needs and supply, regularly adjusting supply to demand, optimizing appointment systems, and interprofessional collaborative practices. Exposure of family medicine residents to AA within university-affiliated family medicine groups (U-FMGs) is a promising strategy to widen its dissemination and improve access. Using four AA pillars as a conceptual model, this study aimed to determine the theoretical compatibility of Quebec’s university-affiliated clinics’ residency programs with the key principles of AA.

Methods
A cross-sectional online survey was sent to the chief resident and academic director at each participating clinic. An overall response rate of 96% (44/46 U-FMGs) was obtained.

Results
No local residency program was deemed compatible with all four considered pillars. On planning for needs and supply, only one quarter of the programs were compatible with the principles of AA, owing to residents in out-of-clinic rotations often being unavailable for extended periods. On regularly adjusting supply to demand, 54% of the programs were compatible. Most (82%) programs’ appointment systems were not very compatible with the AA principles, mostly because the proportion of the schedule reserved for urgent appointments was insufficient. Interprofessional collaboration opportunities in the first year of residency allowed 60% of the programs to be compatible with this pillar.

Conclusions
Our study highlights the heterogeneity among local residency programs with respect to their theoretical compatibility with the key principles of AA. Future research to empirically test the hypotheses raised by this study is warranted.
The association between healthy eating index-2015 with anthropometric, cardiometabolic and hepatic indices among patients with non-alcoholic fatty liver disease
Authors: Hosseini Seyed Ahmad , Shayesteh Ali Akbar , Hashemi Seyed Jalal , Rahimi Zahra , Saki Nader , Bavi Behbahani Hossein , Cheraghian Bahman , Alipour Meysam 
Published: May 2024

AbstractBackgroundObesity, cardiovascular diseases, and metabolic disorders are common problems among participants with non-alcoholic fatty liver disease (NAFLD). However, the association between these problems and the healthy eating index-2015 (HEI-2015) remains unknown. Although the HEI-2015 originated from American dietary guidelines, its comprehensive evaluation of diet quality provides valuable insights for various populations, including Iranians. Therefore, the objective of this study was to investigate the association between anthropometric, hepatic, and cardio-metabolic indices with HEI-2015 scores in participants with NAFLD.MethodsWe conducted a cross-sectional analysis of data from the Hoveyzeh Cohort Study, which included adults aged 35 to 70 years between 2016 and 2018. A total of 664 participant with NAFLD (452 females and 212 males) were included in the analysis. The HEI-2015 was assessed using the Food Frequency Questionnaire (FFQ). Various indices, including the body shape index (ABSI), atherogenic index of plasma (AIP), visceral adiposity index (VAI), lipid accumulation product (LAP), cardiometabolic index (CMI), lipoprotein combine index (LCI), AST/ALT ratio, ALD/NAFLD index, and hepatic steatosis index (HSI), were calculated.ResultsNo significant differences were observed in anthropometric, cardio-metabolic, and hepatic indices across the quartiles of HEI-2015. However, among participants with NAFLD, men had significantly higher AIP and LCI levels, while women had significantly higher BMI, ABSI, VAI, LAP, and CMI levels. Additionally, women with NAFLD exhibited higher AST/ALT and HSI levels but lower ALD/NAFLD levels compared to men with NAFLD. Linear regression analysis among men with NAFLD revealed a significant negative correlation between HEI-2015 score and HSI in both the unadjusted model (β=-0.131, SE = 0.058,p = 0.024) and the adjusted model for energy intake (β=-0.129, SE = 0.058,p = 0.028).ConclusionThe present study demonstrated a correlation between lower HEI-2015 scores and an increased risk of steatosis in men with NAFLD. Moreover, our findings highlighted gender-related differences in NAFLD and cardio-metabolic disorders.