bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enabling the design of surgical instruments for under-resourced patients through metal additive manufacturing: ulnar shortening osteotomy as an example
Authors: Chen Kuan-Lin , Yin Cheng-Yu , Huang Hui-Kuang , Huang Yi-Chao , Wang Jung-Pan 
Published: May 2024

Abstract
Background
Ulnar shortening osteotomy (USO) has demonstrated good outcomes for patients with ulnar impaction syndrome. To minimize complications such as non-union, precise osteotomy and firm fixation are warranted. Despite various ulnar shortening systems have been developed, current technology does not meet all needs. A considerable portion of patients could not afford those designated USO systems. To tackle this challenge, our team reported successful results in standardized free-hand predrilled USO technique. However, it is still technical demanding and requires sufficient experience and confidence to excel. Therefore, our team designed an ulnar shortening system based on our free-hand technique principle, using metal additive manufacturing technology. The goal of this study is to describe the development process and report the performance of the system.

Methods
Utilizing metal additive manufacturing technology, our team developed an ulnar shortening system that requires minimal exposure, facilitates precise cutting, and allows for the easy placement of a 3.5 mm dynamic compression plate, available to patients at zero out-of-pocket cost. For performance testing, two surgeons with different levels of experience in ulnar shortening procedures were included: one fellow-trained hand and wrist surgeon and one senior resident. They performed ulnar shortening osteotomy (USO) using both the free-hand technique and the USO system-assisted technique on ulna sawbones, repeating each method three times. The recorded parameters included time-to-complete-osteotomy, total procedure time, chip diameter, shortening length, maximum residual gap, and deviation angle.

Results
For the hand and wrist fellow, with the USO system, the time-to-complete osteotomy was significantly reduced. (468.7 ± 63.6 to 260.0 ± 5 s, p < 0.05). Despite the preop goal was shortening 3 mm, the average shortening length was significantly larger in the free-hand group (5 ± 0.1; 3.2 ± 0.2 mm, p < 0.05). Both maximum residual gap and deviation angle reported no statistical difference between the two techniques for the hand surgeon. As for the senior resident, the maximum residual gap was significantly reduced, using the USO system (2.9 ± 0.8; 0.4 ± 0.4 mm, p = 0.02). Between two surgeons, significant larger maximum residual gap and deviation angle were noted on the senior resident doctor, in the free-hand technique group, but not in the USO system group.

Conclusion
The developed USO system may serve as a valuable tool, aiding in reliable and precise cutting as well as fixation for patients undergoing ulnar shortening osteotomy with a 3.5 mm dynamic compression plate, even for less experienced surgeons. The entire process, from concept generation and sketching to creating the CAD file and final production, serves as a translatable reference for other surgical scenarios.
How do students reason about statistical sampling with computer simulations? An integrative review from a grounded cognition perspective
Authors: Gok Sebahat , Goldstone Robert L. 
Published: May 2024

AbstractInteractive computer simulations are commonly used as pedagogical tools to support students’ statistical reasoning. This paper examines whether and how these simulations enable their intended effects. We begin by contrasting two theoretical frameworks—dual processes and grounded cognition—in the context of people’s conceptions about statistical sampling, setting the stage for the potential benefits of simulations in learning such conceptions. Then, we continue with reviewing the educational literature on statistical sampling simulations. Our review tentatively suggests benefits of the simulations for building statistical habits of mind. However, challenges seem to persist when more specific concepts and skills are investigated. With and without simulations, students have difficulty forming an aggregate view of data, interpreting sampling distributions, showing a process-based understanding of the law of large numbers, making statistical inferences, and context-independent reasoning. We propose that grounded cognition offers a framework for understanding these findings, highlighting the bidirectional relationship between perception and conception, perceptual design features, and guided perceptual routines for supporting students’ meaning making from simulations. Finally, we propose testable instructional strategies for using simulations in statistics education.
Early pregnancy loss in IVF: a literature review
Authors: Salame Anastasia A. , Zhaffal Mokhamad J. , Peramo Braulio 
Published: May 2024

AbstractHuman reproduction is an imperfect process despite years of evolution. It is estimated that only 30% of conceived pregnancies end up with a live birth (Hum Reprod Update 8:333-343, 2002). Although the IVF cycle clinical pregnancy rate is estimated to be above 60%, the actual live birth rate is still well below 50% (Reprod Biomed Online 40:201-206, 2004). Errors of implantation, embryonic genetic mutations, structural as well as chromosomal abnormalities, endometrial aberrances as well as abnormal sites of implantation are all conditions that could be associated with a positive pregnancy test yet a non-viable pregnancy outcome. In this extensive literature review, we detailed the different risk factors hindering a successful reproductive outcome post-IVF in terms of early pregnancy loss. We also reviewed the different treatment modalities available to improve the prognosis of such patients.
Impact of successful antegrade and retrograde CTO PCI on short-term prognosis
Authors: Etriby Khaled Adel El , Okasha Nireen Khalifa , Zahran Mohamed El-Sayed , Mohamed Tarek Rashid 
Published: May 2024

AbstractBackgroundChronic total occlusion (CTO) percutaneous coronary intervention (PCI) carries risk of complications and should be attempted when the anticipated benefits exceed the potential risks. The primary indication for CTO–PCI is symptom improvement. However, the impact of CTO–PCI on angina and subsequent incidence of major adverse cardiovascular event (MACE) rate remains controversial. Our aim was to study the impact of technically successful elective CTO–PCI on the procedural success rate and short-term MACE. The current study was a prospective cohort study that included a total of 80 patients who were referred to our center (Ain Shams University Hospitals) for elective CTO–PCI and underwent technically successful CTO–PCI. Data were collected on patient arrival to our department, and then, the patients were observed during hospital admission to record any In-Hospital MACE. These patients were then followed up for 6 months to record improvement or worsening of their symptoms and to assess occurrence of any MACE including hospitalization and undergoing symptom-driven coronary angiography.ResultsThe mean age of our patients was 56 ± 9.6 years, and 73 patients (91%) were men. Sixty-two patients (77.5%) were done via an antegrade approach, and 18 patients (22.5%) were done via a retrograde approach with an overall procedural success rate of 91.25% (antegrade 93.5%, retrograde 83.3%). The overall mean procedure time was 102 min, the mean contrast volume used was 371 ml, and the mean cumulative air kerma dose was 7.2 Gy. The retrograde group required longer procedure times, larger volumes of contrast and higher exposure to radiation. The overall in-hospital MACE was 8.75%. Sixty-five patients in our study (81.25%) showed an improvement in the grade of their exertional dyspnea or angina within the 6-month follow-up period. Thirteen patients in our study (16.25%) needed re-hospitalization within a 6-month period after PCI. The overall target lesion revascularization rate at 6 months was 8.75%.ConclusionsTechnically successful CTO PCI in a well-equipped center with highly qualified CTO operators resulted in high procedural success rates and low incidence of short-term MACE.
Evaluation of the physical characteristics of reinforced concrete subject to corrosion using a poro-elastic acoustic model inversion technique applied to ultrasonic measurements
Authors: Beaujean Pierre-Philippe , Shaffer Samuel R. , Presuel-Moreno Francisco , Brogden Matthew 
Published: May 2024

AbstractThe use of reinforced concrete is foundational to modern infrastructure. Acknowledging this, it is imperative that health monitoring techniques be in place to study corrosion within these structures. By using a non-destructive method for detecting the early formation of cracks within reinforced concrete, the method presented in this paper seeks to improve upon traditional techniques of monitoring corrosion, within reinforced concrete structures. In this paper, the authors present a method to evaluate the physical characteristics of reinforced concrete subject to corrosion using a poro-elastic acoustic model inversion technique applied to a set of ultrasonic measurements, which constitutes a novel approach to the problem of observing the impact of corroding rebars and resulting concrete damage. A non-contact ultrasonic transducer is operated at a carrier frequency of 500 [kHz], with a layer of saltwater separating the sensor from the concrete surface. Following this non-contact measurement collection of the surface and rebar echo responses, a poro-elastic model is used to model the sound propagation, through an adapted version of the Biot-Stoll model. At first, a set of default parameters, obtained from the physical characteristics of the reinforced concrete, are used to match experimental and simulated acoustic signature of the sample. Performing statistical averaging along the corroding rebar within three samples over a period of nearly nine months, a small but monotonous increase in the distance between the concrete surface and the top of the rebar, indicating gradual corrosion of the rebar. Next, a non-linear optimization algorithm is used to optimize the match between measured and simulated echoes. Through the implementation of this model parameter optimization, the root mean square error between measured and simulated responses was reduced by 63.7% for the full signal, and 62.6% for the rebar echo.
Convulsive Transfers in the Work of César Moro
Authors: Rodríguez Josué 
Published: May 2024

Abstract
This article explores the poetry and essays of Peruvian surrealist poet César Moro (1903–56) in relation to the French surrealist aesthetic of convulsive beauty as defined by André Breton (1896–1966). By examining Moro’s textual construction of a speaker who privileges nature as a poetic agent, the author argues that his historical role as an agent of cultural transfer emerges. Using the aesthetic of convulsive beauty as a case study, the author shows how Moro’s poetic mythification of Peru’s colonial legacy creates a hybrid surrealist canon through metonymic techniques that reflect Amerindian notions of animism. In particular, Moro’s renditions of diamonds, precious stones, animals, plants, and other natural forms challenge the subject-object divide that limits the European modernist aesthetic. What emerges in this global process of cultural transfer is a translational poetics that avoids the binaries of source and target audiences, thereby allowing the emergence of nonlinear and dynamic modes of contact.
Evaluating protein prenylation of human and viral CaaX sequences using a humanized yeast system
Authors: Hildebrandt Emily R. , Sarkar Anushka , Ravishankar Rajani , Kim June H. , Schmidt Walter K. 
Published: May 2024

ABSTRACTPrenylated proteins are prevalent in eukaryotic biology (∼1-2% of proteins) and are associated with human disease, including cancer, premature aging and infections. Prenylated proteins with a C-terminal CaaX sequence are targeted by CaaX-type prenyltransferases and proteases. To aid investigations of these enzymes and their targets, we developed Saccharomyces cerevisiae strains that express these human enzymes instead of their yeast counterparts. These strains were developed in part to explore human prenyltransferase specificity because of findings that yeast FTase has expanded specificity for sequences deviating from the CaaX consensus (i.e. atypical sequence and length). The humanized yeast strains displayed robust prenyltransferase activity against CaaX sequences derived from human and pathogen proteins containing typical and atypical CaaX sequences. The system also recapitulated prenylation of heterologously expressed human proteins (i.e. HRas and DNAJA2). These results reveal that substrate specificity is conserved for yeast and human farnesyltransferases but is less conserved for type I geranylgeranyltransferases. These yeast systems can be easily adapted for investigating the prenylomes of other organisms and are valuable new tools for helping define the human prenylome, which includes physiologically important proteins for which the CaaX modification status is unknown.
A young female with a hepatic epithelioid hemangioendothelioma
Authors: Jevdokimova Natalija , Jevdokimov Denis , Ivanova Jelena , Isajevs Sergejs , Staka Aiga , Pukitis Aldis 
Published: May 2024

Background: Primary hepatic epithelioid hemangioendothelioma (HEHE) is an extremely rare tumour of vascular origin with an incidence of <0.1 cases per 100,000 people worldwide. Case description: A 29-year-old female with the history of epigastric pain and unintentional weight loss (3 kg over six months) was referred for upper endoscopy. The examination was without visual pathological findings, but a rapid urease test was positive. First-line treatment with clarithromycin-containing triple therapy for Helicobacter pylori infection was given. After completion of eradication therapy, diffuse abdominal pain developed. An abdominal computed tomography (CT) showed multiple liver nodules. Three consecutive core liver biopsies were performed and were inconclusive. A subsequent surgical liver nodule resection was performed. Histopathology of the specimen revealed grade 2 hepatocellular carcinoma; bone scintigraphy was negative for metastasis. A multidisciplinary team (MDT) recommended giving the patient sorafenib, which was poorly tolerated. The histology was reviewed using immunohistochemistry staining at the request of the oncologist, which showed expression of CD31 and CD34. Based on clinical, morphological and immunohistochemistry findings, a diagnosis of hepatic epithelioid hemangioendothelioma was made. Based on the multidisciplinary team's findings, liver transplantation was indicated as the only curative treatment. Conclusion: Because of the rarity of this disease, combining clinical, radiological and histopathological methods as well as an MDT approach can help to reach the correct final diagnosis. As demonstrated in this clinical case, it is crucial to perform immunohistochemistry of a liver biopsy to confirm a HEHE diagnosis.
Unmasking a case of sitosterolaemia: an approach for diagnosis and management
Authors: Elbanna Mostafa , Eid Fahad , Zaalouk Mostafa , Latifi Ahmad Nawid , Sharma Gaurav 
Published: May 2024

This report presents a 57-year-old female with a history of dyslipidaemia, intolerant to statins and currently managed on evolocumab. Despite a healthy lifestyle, lipid panel abnormalities persisted, leading to an investigation that revealed heterozygous mutations in the ABCG8 gene, confirming a diagnosis of sitosterolaemia. The patient’s unique response to lipid-lowering medications typified this rare disorder, necessitating specialised genetic testing for diagnosis. Management involved dietary modifications and the introduction of ezetimibe, evolocumab and atorvastatin, demonstrating the personalised nature of treatment. The case underscores the importance of considering sitosterolaemia in unexplained lipid abnormalities and highlights the challenges in diagnosis and management. Ongoing research is crucial for refining diagnostic and therapeutic strategies for this clinically significant disorder, emphasising the need for a multidisciplinary approach to patient care.
Non-destructive electroluminescence inspection for LED epitaxial wafers based on soft single-contact operation
Authors: Su Hao , Qiu Jiawen , Li Junlong , Chen Rong , Le Jianbi , Lei Xiaoyang , Zhang Yongai , Zhou Xiongtu , Guo Tailiang , Wu Chaoxing 
Published: May 2024

Non-destructive and accurate inspection of gallium nitride light-emitting diode (GaN-LED) epitaxial wafers is important to GaN-LED technology. However, the conventional electroluminescence inspection, the photoluminescence inspection, and the automated optical inspection cannot fulfill the complex technical requirements. In this work, an inspection method and an operation system based on soft single-contact operation, namely, single-contact electroluminescence (SC-EL) inspection, are proposed. The key component of the SC-EL inspection system is a soft conductive probe with an optical fiber inside, and an AC voltage (70V
pp
, 100 kHz) is applied between the probe and the ITO electrode under the LED epitaxial wafer. The proposed SC-EL inspection can measure both the electrical and optical parameters of the LED epitaxial wafer at the same time, while not causing mechanical damage to the LED epitaxial wafer. Moreover, it is demonstrated that the SC-EL inspection has a higher electroluminescence wavelength accuracy than photoluminescence inspection. The results show that the non-uniformity of SC-EL inspection is 444.64%, which is much lower than that of photoluminescence inspection. In addition, the obtained electrical parameters from SC-EL can reflect the reverse leakage current (I
s
) level of the LED epitaxial wafer. The proposed SC-EL inspection can ensure high inspection accuracy without causing damage to the LED epitaxial wafer, which holds promising application in LED technology.
Inflammatory biomarkers and perinatal depression: A systematic review
Authors: Silva-Fernandes Anabela , Conde Ana , Marques Margarida , Caparros-Gonzalez Rafael A. , Fransson Emma , Mesquita Ana Raquel , Figueiredo Bárbara , Skalkidou Alkistis 
Published: May 2024

Background
Approximately 10 to 20% of pregnant women worldwide experience perinatal depression (PND), a depressive episode with onset during pregnancy or after childbirth. We performed a systematic review to identify, summarize and discuss studies on inflammatory biomarkers described in relation to PND.

Method
Inclusion criteria defined the selection of observational studies written in English, French, Spanish or Portuguese, that evaluate analytical levels of inflammatory molecules (protein levels) in biological fluids in women, with a diagnosis of depression using ICD/DSM diagnostic criteria or depressive symptoms assessed by standardized psychometric instruments, during pregnancy and/or postpartum. Case reports, experimental studies, reviews, qualitative analysis, meta-analysis, gray literature or replicated data were excluded. Three electronic databases were used for search (Pubmed, Web of Science and PsychInfo) and quality assessment of selected studies were performed using the Newcastle-Ottawa Scale. Data extraction included study design; number of subjects; obstetric information; tools and timepoints of depression and inflammatory markers assessment.

Results
56 studies (sample size for cross-sectional and case-control studies ranging from 10 to 469; sample size for longitudinal studies ranging from 26 to 467), where the major aim was to analyze the association between depression and inflammatory biomarkers during pregnancy and postpartum period were included in this systematic review. Overall, the findings of our systematic review lend support to the hypothesis that several inflammatory markers may be associated with peripartum depressive symptoms. The associations were somewhat different looking at pregnancy compared to the delivery time-point and postpartum, and mainly referred to increased levels of IL-6, IL-8, CRP and TNF-α among depressed.

Discussion
In summary, our systematic review findings provide evidence supporting the hypothesis that several inflammatory markers may correlate with peripartum depressive symptoms. However, our work also highlighted notable differences in the timing of biological sampling for inflammatory markers and in the methodologies used to assess depression during the perinatal period. Additionally, variations were observed in how inflammatory biomarkers and depression were approached, including their classification as exposure or outcome variables, and the timing of assessments. It is essential for future research to investigate the influence of biological fluids and the timing of assessments for both inflammatory biomarkers and depression to gain a deeper understanding of their association. This comprehensive exploration is pivotal for elucidating the intricate relationship between inflammation and perinatal depression.
Dysregulation of miR-122, miR-574 and miR-375 in Egyptian patients with breast cancer
Authors: Elghoroury Eman A. , Abdelghafar Esmat E. , Kamel Solaf , Awadallah Eman , Shalaby Aliaa , EL-Saeed Gamila S. M. , Mahmoud Eman , Kamel Mahmoud M. , Abobakr Asmaa , Yousef Rasha Nazih 
Published: May 2024

BackgroundThe early detection of breast cancer (BC) is receiving global attention, creating an urgent need for more sensitive and comprehensive strategies for preventive intervention, therapy assessment, and prognosis prediction. Aberrant expression of miRNAs has been observed in various malignancies and may be potential targets for therapy. Our study aims to examine the expression profiles ofmiR-375,miR-574-3p, andmiR-122in the sera of Egyptian women with BC, benign breast lesions, and a control group. We hope to determine if these miRNAs can serve as minimally invasive biomarkers for BC.MethodsThis is a case-control study in which 77 patients with newly diagnosed BC, 20 patients with benign breast tumors, and 30 normal healthy subjects as controls were recruited from the outpatient clinic of the National Cancer Institute. The assessment of miRNAs was conducted using RT-PCR (Applied Biosystems).ResultsThe expression level ofmiRNA-122was significantly upregulated in the BC group, while the expression levels ofmiRNA-574andmiRNA-375showed significant downregulation in BC patients. SerummiR-122andmiRNA-375were able to distinguish breast cancer from the benign and control groups in ROC curve analysis, with AUCs of 0.786 and 0.796, respectively. Our results also showed that serummiR-122andmiR-574are significant predictor variables in the multivariate analysis, after adjusting for age.ConclusionsOur findings suggest thatmiR-122may act as an onco-microRNA, whilemiR-574andmiR-375may have a main tumour suppressor role. The studied miRNAs may serve as minimally invasive biomarkers for cases of breast cancer and as promising potential therapeutic targets for breast cancer.