bluuebunny/crossref_metadata_2025_split huggingface dataset:
The mind matters: Psychological factors influence subjective outcomes following unicompartmental knee arthroplasty—A prospective study
Authors: ten Noever de Brauw Gaby V. , Aalders Margot B. , Kerkhoffs Gino M. M. J. , Zuiderbaan Hendrik A. , Keijser Lucien C. M. , Benner Joyce L. 
Published: May 2024

AbstractPurposeThis study aimed to investigate how psychological factors, including pain catastrophizing (PC), anxiety and depression affect preoperative and postoperative subjective outcomes in patients undergoing unicompartmental knee arthroplasty (UKA).MethodsA prospective comparative study was performed among 150 patients undergoing medial or lateral UKA for isolated unicompartmental osteoarthritis. Patients were categorized based on their preoperative PC and Hospital Anxiety and Depression Scale, stratifying them into groups with PC, anxiety or depression, and those without these psychological factors. Patient‐reported outcomes, including the Knee Injury and Osteoarthritis Outcome Score‐Physical function Short form (KOOS‐PS), 5‐level EQ5D Visual Analogue Scale (EQ5D‐VAS), Forgotten Joint Score (FJS) and Numeric Rating Scale for pain (NRS‐pain) were compared between groups preoperatively and at 6‐, 12‐, and 24‐month follow‐up.ResultsAt 24 months, PC patients had inferior outcomes in KOOS‐PS (66.9 ± 16.5 vs. 77.6 ± 14.7, p = .008), EQ5D‐VAS (63.5 ± 19.9 vs. 78.9 ± 20.1, p = .003) and FJS (73.7 ± 14.3 vs. 84.6 ± 13.8, p = .003). Anxiety was associated with inferior KOOS‐PS (65.4 ± 15.2 vs. 78.2 ± 14.5, p = <.001), EQ5D‐VAS (64.2 ± 23.2 vs. 79.3 ± 19.4, p = .002), FJS (75.7 ± 16.8 vs. 84.6 ± 13.4, p = .008) and NRS‐pain (27.4 ± 24.6 vs. 13.7 ± 19.3, p = .023) at 24 months. Depression consistently resulted in inferior outcomes in KOOS‐PS, EQ5D‐VAS, FJS and NRS‐pain across all follow‐up assessments (p = <.05). Additionally, patients with anxiety and depression experienced longer length of hospital stay compared to those without these psychological factors (anxiety: 2.3 ± 2.3 vs. 0.8 ± 0.8 days, p = .006; depression: 2.3 ± 2.4 vs. 0.8 ± 0.8 days, p = .017).ConclusionsPreoperative PC, anxiety and depression are associated with inferior subjective outcomes both prior to and following UKA. Among these factors, depression seemed to exert the most substantial adverse impact on outcomes following UKA. Patients with anxiety and depression had an extended duration of hospitalization lasting over twice as long as patients without these psychological factors. It seems that inferior outcomes primarily stem from the suboptimal preoperative condition rather than an inherent inability to benefit from UKA.Level of EvidenceLevel II, prospective study.
A clinical risk score enables early prediction of dissatisfaction 1 year after total knee arthroplasty
Authors: Strahl André , Delsmann Maximilian M. , Simon Alexander , Ries Christian , Rolvien Tim , Beil Frank Timo 
Published: May 2024

AbstractPurposeDissatisfaction after total knee arthroplasty (TKA) is a prevalent and clinically relevant problem that affects approximately 10%–20% of patients. The aim of this study is to identify factors associated with dissatisfaction 1 year after TKA.MethodsA total of 236 patients undergoing TKA were included in this prospective cohort study. Demographic data, preoperative clinical parameters (e.g., axial alignment, osteoarthritis severity) and patient‐reported outcome measures (PROMs) were collected preoperatively, at 1 month and 1 year after TKA, encompassing the Knee Society Score (KSS) and Knee injury and Osteoarthritis Outcome Score (KOOS). The primary outcome was dissatisfaction 1 year after TKA, defined as ≤20 points on the KSS satisfaction scale. A risk score based on multiple regression and area under the curve (AUC) analyses was calculated to predict dissatisfaction.ResultsOne year after TKA, 16% of the patients were dissatisfied. Dissatisfied patients were significantly younger (p = 0.023) and had a higher body mass index (BMI) (p = 0.007). No differences were observed in preoperative objective (p = 0.903) and functional KSS (p = 0.346), pain (p = 0.306), osteoarthritis severity (p = 0.358), axial knee alignment (p = 0.984) or psychological distress (p = 0.138). The likelihood of dissatisfaction at 1 year was 3.0, 4.0, 7.4, 4.3 and 2.8 times higher amongst patients aged <63.5 years, with a BMI > 30.1 kg/m2, a KOOSPain < 50%, a KSSFunction < 42 points and a KSSExpectation < 9 points (all at 1 month), respectively. Using these variables, a risk score with a maximum of 7 points was developed, demonstrating a high predictive value for dissatisfaction (AUC: 0.792 [95% confidence interval: 0.700–0.884], p < 0.001).ConclusionDissatisfaction 1 year after TKA can be predicted by a weighted risk score that includes patient age, BMI, pain, subjective functionality and unmet expectation 1 month postoperatively. Using the risk score, early detection of dissatisfaction has the potential to enable targeted interventions and improve patients' quality of life.Level of EvidenceLevel II, Prognostic study.
Meniscal allograft transplantation (MAT) combined with revision ACL reconstruction and lateral extra‐articular tenodesis results in significantly improved outcomes, but patient‐reported knee function is inferior compared to an isolated MAT
Authors: Mitrousias Vasileios , Chalatsis Georgios , Mylonas Theodoros , Siouras Athanasios , Panteliadou Freideriki , Stergiadou Stella , Hantes Michael 
Published: May 2024

AbstractPurposeMeniscal allograft transplantation (MAT) is a valuable option for postmeniscectomy syndrome in young and active patients, which can successfully improve symptoms, function and quality of life. This study aimed to report outcomes and complications in patients treated with isolated MAT or MAT combined with revision anterior cruciate ligament reconstruction (ACLR) and lateral extra‐articular tenodesis (LET).MethodsIn total, 18 patients who were treated with MAT using a soft tissue fixation technique were retrospectively analysed. Patients were allocated into two groups, the isolated MAT group and the MAT plus revision ACLR + LET group (MAT+ group). Both groups were assessed using the following Patient‐Reported Outcome Measures (PROMs): Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), Tegner Activity Scale, Lysholm score, EuroQol 5‐Dimension 5‐level (EQ‐5D‐5L) questionnaire and a patient acceptable symptom state (PASS) statement.ResultsThe mean follow‐up was 3.2 years and the mean age of patients was 29 (±7.6) years. Ten patients were treated with isolated MAT and eight patients were treated with MAT combined with revision ACLR and LET. No complications and no reoperations were reported. In both groups, all PROMs significantly improved postoperatively (p < 0.05), except for the Tegner score in the MAT+ group, which did not reach statistical significance (not significant [n.s.]). No significant difference was found postoperatively in PROMs between the MAT and the MAT+ group; however, differences in the KOOS Symptoms, Sports and Quality‐of‐life subscales reached the minimal clinically important threshold. Mean values were: IKDC 61.2 (±13.9) versus 64.7 (±23.2), KOOS Total 72.8 (±14.9) versus 68.0 (±16.7), Lysholm score 83.2 (±11) versus 84.2 (±8.7) and EQ‐5D‐5L 71.8 (±14.9) versus 72.2 (±22.4). Median values for the Tegner Activity Scale were 4 versus 3. PASS statement was negative in 37.5% of the MAT+ group in comparison to 20% of the MAT group (n.s.).ConclusionIn terms of patient‐reported outcomes, MAT is an effective and safe procedure, even when combined with revision ACLR + LET. Compared to the preoperative assessment, a significant improvement of the postoperative PROMs can be expected either when MAT is performed isolated or in combination with ACLR + LET. However, clinically important differences between the two groups can be noted in favour of the isolated MAT procedure, especially regarding symptoms and sporting activity.Level of EvidenceLevel III.
Datacubes as enabler for advanced decision support systems in land management
Authors: Baumann Peter , Merticariu Vlad , Misev Dimitar , Pham Huu Bang , Langella Giuliano 
Published: May 2024

AbstractInformed, wise, land management has been a challenge since a long time, but has gained extra importance through the need for responding to climate change effects. The European Green Deal is one example of a concertation effort in a world where data availability, sharing options, and just‐in‐time exploitation are not entirely solved. The LandSupport service responds to this challenge through a combination of a Spatial Decision Support System on top of a datacube management and analytics engine. In this paper, we specifically focus on this datacube engine and how it can contribute to a better decision making through an ordered multidimensional data management paired with strictly standards‐compliant interfaces. Further, the approach described shows a remedy against the current fragmentation of services: through a location‐transparent federation a single common pool of information is established, including distributed fusion allowing an unlimited mix‐and‐match of data regardless of their location.
Remote 3D Imaging and Classification of Pelagic Microorganisms with A Short‐Range Multispectral Confocal LiDAR
Authors: Santos Joaquim , Jakobsen Hans H. , Petersen Paul M. , Pedersen Christian 
Published: May 2024

AbstractPlankton is essential to maintain healthy aquatic ecosystems since it influences the biological carbon pump globally. However, climate change‐induced alterations to oceanic properties threaten planktonic communities. It is therefore crucial to monitor their abundance to assess the health status of marine ecosystems. In situ optical tools unlock high‐resolution measurements of sub‐millimeter specimens, but state‐of‐the‐art underwater imaging techniques are limited to fixed and small close‐range volumes, requiring the instruments to be vertically dived. Here, a novel scanning multispectral confocal light detection and ranging (LiDAR) system for short‐range volumetric sensing in aquatic media is introduced. The system expands the inelastic confocal principle to multiple wavelength channels, allowing the acquisition of 4D point clouds combining near‐diffraction limited morphological and spectroscopic data that is used to train artificial intelligence (AI) models. Volumetric mapping and classification of microplastics is demonstrated to sort them by color and size. Furthermore, in vivo autofluorescence is resolved from a community of free‐swimming zooplankton and microalgae, and accurate spectral identification of different genera is accomplished. The deployment of this photonic platform alongside AI models overcomes the complex and subjective task of manual plankton identification and enables non‐intrusive sensing from fixed vantage points, thus constituting a unique tool for underwater environmental monitoring.
Enhancing X‐Ray Excited Persistent Luminescence in Lanthanide‐Doped Fluoride Nanoparticles via a Versatile Acid Pickling Strategy
Authors: Zhang Shuning , Wang Yubin , Deng Degang , Zhou Su , Xu Shiqing , Lei Lei 
Published: May 2024

AbstractX‐ray excited persistent luminescence (XEPL) of lanthanide‐doped fluoride nanoparticles (NPs) holds promise for applications in back‐ground free bio‐medicine and flexible 3D imaging. However, it remains a daunting challenge to develop a universal and convenient route to greatly improve the XEPL performance of most fluoride nanosystems. Herein, for the first time, a versatile acid pickling strategy is proposed to greatly enhance the XEPL intensity of lanthanide‐doped fluoride NPs with different chemical compositions and activator types. Especially, after treatment with diluted HCl, the XEPL intensity of the NaYF4: Tb NPs with a mean particle size of ≈ 7 nm is enhanced ≈17.4 times. Mechanistic studies indicate the trap density in the NPs upon X‐ray irradiation is greatly enhanced after HCl treatment, contributing to the enhanced XEPL intensity. By integrating the HCl‐treated NPs into a scintillation film, the X‐ray image resolution is significantly increased from 6.3 to 11 lp mm−1, and the quality of delayed X‐ray images improved, particularly at low‐dose irradiation rates. These findings are expected to advance the development of high‐performance X‐ray‐activated persistent fluoride NPs and their applications for low‐dose high‐resolution X‐ray imaging.
From ugly to attractive: Leveraging anthropomorphism to increase demand for irregular‐appearing produce
Authors: Kim Kacy , Ryoo Yuhosua , Manika Danae , Yoon Nathan , Yoon Sukki 
Published: May 2024

AbstractRecognizing that the waste of imperfect produce contributes to the global environmental crisis, the authors conduct three studies examining whether retailers can use anthropomorphizing marketing techniques to make irregular‐appearing produce more attractive and increase purchase intentions. Based on the exemplar model theory, Study 1 shows that when retailers place googly eyes on pictures of irregular‐appearing produce, consumers judge the product according to multiple exemplars as they do when they evaluate humans. The multiple esthetic cues cause them to perceive irregular produce as more attractive. Study 2 replicates Study 1 by using human names as the anthropomorphic cues, demonstrating that anthropomorphism can increase purchase intentions toward irregular‐appearing produce. Study 3 further shows that the anthropomorphism effects hold for irregular‐appearing produce from corporate farms and not from local farms. The differences occur because consumers expect corporate farms to conform to standardized esthetic norms but expect local farms to market irregular‐appearing produce. When expectations are aligned, anthropomorphism is more likely to cause consumers to diversify esthetic cues, but not when expectations are disassociated. The article concludes with suggestions for promotion strategies that use anthropomorphizing to change attitudes and increase purchase intentions toward irregular‐appearing produce.
Cholecystitis following the initiation of glucagon‐like peptide‐2 analogue for short bowel syndrome: A case report
Authors: Goto Yudai , Masumoto Kouji , Jimbo Takahiro , Sasaki Takato , Tanaka Yasunari , Shirane Kazuki 
Published: May 2024

AbstractPatients with short bowel syndrome (SBS) have a risk for cholelithiasis and cholecystitis, particularly those who have received long‐term parenteral nutrition (PN). Teduglutide (Revestive), a glucagon‐like peptide‐2 (GLP‐2) analogue, is the first effective therapy approved for treating patients with SBS via self‐subcutaneous injection. It also pharmacologically inhibits gallbladder contraction, which may increase the risks for cholelithiasis and cholecystitis. Here, we report a case of cholecystitis occurring after the introduction of a GLP‐2 analogue in a patient with SBS and cholelithiasis. A 16‐year‐old girl, with a residual intestinal anatomy of 5 cm jejunum and left colon, was referred to our hospital for further treatment of SBS. She underwent jejunocolic anastomosis 2 months later. After that, she received PN for 2.5 years. Teduglutide treatment was initiated to reduce PN dependence. Several asymptomatic gallbladder stones were found during a routine ultrasound examination before drug initiation. On day 31 of teduglutide treatment, right subcostal pain with fever occurred, and the patient was diagnosed with acute cholecystitis. GLP‐2 analogue treatment was temporarily discontinued. The patient underwent gallbladder drainage followed by cholecystectomy 3 weeks later. Histopathological findings illustrated mucosal hyperplasia of the gallbladder. Her postoperative course was uneventful, and teduglutide was restarted 2 weeks postoperatively. GLP‐2 analogues promote gallbladder refilling and epithelial hyperplasia, which may be a risk factor for cholecystitis in patients with cholelithiasis, as observed in our patient. Based on our experience, patients with SBS and established asymptomatic cholelithiasis may be considered for prophylactic cholecystectomy before the administration of GLP‐2 analogues.
Predisposing, Enabling, and Need Factors Driving Palliative Care Use in Head and Neck Cancer
Authors: Fereydooni Soraya , Valdez Caroline , Williams Lauren , Malik Devesh , Mehra Saral , Judson Benjamin 
Published: May 2024

AbstractObjectiveCharacterizing factors associated with palliative care (PC) use in patients with stage III and VI head and neck cancer using Anderson's behavioral model of health service use.Study DesignA retrospective study of the 2004 to 2020 National Cancer Database.ggMethodsWe used multivariate logistic regression to assess the association of predisposing, enabling, and need factors with PC use. We also investigated the association of these factors with interventional PC type (chemotherapy, radiotherapy, surgery) and refusal of curative treatment in the last 6 months of life.ResultsFive percent of patients received PC. “Predisposing factors” associated with less PC use include Hispanic ethnicity (adjusted odds ratio [aOR], 086; 95% confidence interval [CI], 0.76‐0.97) and white and black race (vs white: aOR, 1.14; 95% CI, 1.07‐1.22). “Enabling factors” associated with lower PC include private insurance (vs uninsured: aOR, 064; 95% CI, 0.53‐0.77) and high‐income (aOR, 078; 95% CI, 0.71‐0.85). “Need factors” associated with higher PC use include stage IV (vs stage III cancer: aOR, 2.25; 95% CI, 2.11‐2.40) and higher comorbidity index (vs Index 1: aOR, 1.58; 95% CI, 1.42‐1.75). High‐income (aOR, 0.78; 95% CI, 0.71‐0.85) and private insurance (aOR, 0.6; 95% CI, 0.53, 0.77) were associated with higher interventional PC use and lower curative treatment refusal (insurance: aOR, 0.82; 95% CI, 0.55, 0.67; income aOR, 0.48; 95% CI, 0.44, 0.52).ConclusionLow PC uptake is attributed to patients' race/culture, financial capabilities, and disease severity. Culturally informed counseling, clear guidelines on PC indication, and increasing financial accessibility of PC may increase timely and appropriate use of this service.
Surgical Management Strategies for Carotid Artery Invasion by Head and Neck Cancer: Ligation Versus Reconstruction
Authors: Sun Kai , Zhang Haidong , Wang Chao , Gong Shanchun , Pan Yufei , Han Xiao , Li Jing , Liu Kai , Yu Zhenkun 
Published: May 2024

AbstractObjectiveWhether ligation or reconstruction should be performed after radical resection of the tumor and carotid artery in patients with head and neck cancers invading the carotid artery (HNC‐CA) has been controversial. This paper provides a review and meta‐analysis of the efficacy of these 2 modalities.Data SourcesPubMed, Cochrane, Web of Science, Scopus, and Ovid databases were searched through August 2023.Review MethodsDescriptive, graphical, tabular, and quantitative data were extracted. The statistical outcomes (risk difference, RD) were synthesized under a random‐effects model. This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses reporting guidelines.ResultsA total of 22 papers and 337 patients met the inclusion criteria for the literature review. Statistical analysis showed that the RD of overall survival (OS) rate at 1‐year was 32% (95% confidence interval [CI]: 21%‐42%) for ligation and 70% (95% CI: 65%‐76%) for reconstruction (P < .05). The RD for OS rate at 2‐year was 16% (95% CI: 7%‐26%) for ligation and 39% (95% CI: 30%‐47%) for reconstruction (P < .05). The RD for disease‐free survival rate at 1‐year was 27% (95% CI: 17%‐38%) for ligation and 60% (95% CI: 51%‐70%) for reconstruction (P < .05). There were no statistically significant differences (P > .05) between the 2 surgical modalities in terms of locoregional recurrence rate, carotid blowout rate, surgery‐related complications rate, neurological complications rate, and perioperative mortality rate.ConclusionThis review demonstrates the significant advantage of carotid artery reconstruction surgery in short‐term patient survival, thus making it a recommended option for HNC‐CA patients undergoing radical surgery.
Health Disparities Research in Facial Plastic and Reconstructive Surgery: A Scoping Review
Authors: Barr Jeremy , Mackie Aaron , Gorelik Daniel , Buckingham Hannah , Clark Delaney , Brissett Anthony E. 
Published: May 2024

AbstractObjectiveHealth disparities contribute significantly to disease, health outcomes, and access to care. Little is known about the state of health disparities in facial plastic and reconstructive surgery (FPRS). This scoping review aims to synthesize the existing disparities research in FPRS and guide future disparities‐related efforts.Data SourcesPubMed, Embase, Web of Science.Review MethodsWe conducted a scoping review in adherence with the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews checklist. Our search included all years through March 03, 2023. All peer‐reviewed primary literature of any design related to disparities in FPRS was eligible for inclusion.ResultsOf the 12283 unique abstracts identified, 215 studies underwent full‐text review, and 108 remained for final review. The most frequently examined topics were cleft lip and palate (40.7%), facial trauma (29.6%), and gender affirmation (9.3%). There was limited coverage of other areas. Consideration of race/ethnicity (68.5%), socioeconomic status (65.7%), and gender/sex (40.7%) were most common. Social capital (0%), religion, occupation, and features of relationships were least discussed (0.01% each). The majority of studies were published after 2018 (59.2%) and were of nonprospective designs (95.4%). Most studies focused on disparity detection (80.6%) and few focused on understanding (13.9%) or reducing disparities (5.6%).ConclusionThis study captures the existing literature on health disparities in FPRS. Studies are concentrated in a few areas of FPRS and are primarily in the detecting phase of public health research. Our review highlights several gaps and opportunities for future disparities‐related focus.