bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the horizontal approach to the medial malleolar facet in sagittal talar fractures through dorsiflexion and plantarflexion positions
Authors: Li Xian , Wang Xiao-ke , Han Li-ren , Li Hao , Tian Hui-chao , Yan Jun , Liu Hai-juan 
Published: May 2024

Background
Talar fractures often require osteotomy during surgery to achieve reduction and screw fixation of the fractured fragments due to limited visualization and operating space of the talar articular surface. The objective of this study was to evaluate the horizontal approach to the medial malleolus facet by maximizing exposure through dorsiflexion and plantarflexion positions.

Methods
In dorsiflexion, plantarflexion, and functional foot positions, we respectively obtained the anterior and posterior edge lines of the projection of the medial malleolus on the medial malleolar facet. The talar model from Mimics was imported into Geomagic software for image refinement. Then Solidworks software was used to segment the medial surface of the talus and extend the edge lines from the three positions to project them onto the "semicircular" base for 2D projection. The exposed area in different positions, the percentage of total area it represents, and the anatomic location of the insertion point at the groove between the anteroposternal protrusions of the medial malleolus were calculated.

Results
The mean total area of the "semicircular" region on the medial malleolus surface of the talus was 542.10 ± 80.05 mm2. In the functional position, the exposed mean area of the medial malleolar facet around the medial malleolus both anteriorly and posteriorly was 141.22 ± 24.34 mm2, 167.58 ± 22.36mm2, respectively. In dorsiflexion, the mean area of the posterior aspect of the medial malleolar facet was 366.28 ± 48.12 mm2. In plantarflexion, the mean of the anterior aspect of the medial malleolar facet was 222.70 ± 35.32 mm2. The mean overlap area of unexposed area in both dorsiflexion and plantarflexion was 23.32 ± 5.94 mm2. The mean percentage of the increased exposure area in dorsiflexion and plantarflexion were 36.71 ± 3.25% and 15.13 ± 2.83%. The mean distance from the insertion point to the top of the talar dome was 10.69 ± 1.24 mm, to the medial malleolus facet border of the talar trochlea was 5.61 ± 0.96 mm, and to the tuberosity of the posterior tibiotalar portion of the deltoid ligament complex was 4.53 ± 0.64 mm.

Conclusions
Within the 3D model, we measured the exposed area of the medial malleolus facet in different positions and the anatomic location of the insertion point at the medial malleolus groove. When the foot is in plantarflexion or dorsiflexion, a sufficiently large area and operating space can be exposed during surgery. The data regarding the exposed visualization area and virtual screws need to be combined with clinical experience for safer reduction and fixation of fracture fragments. Further validation of its intraoperative feasibility will require additional clinical research.
Exploring the feasibility of pupillometry training and perceptions of potential use for intracranial pressure monitoring in Uganda: A mixed methods study
Authors: Petitt Zoey , Trillo Ordonez Yesel , Agwu Chibueze , Ott Maura , Shakir Muhammad , Ayala Mullikin Alexandria , Davis Jenna , Khalafallah Adham M. , Tang Alan , Shalita Chidyaonga , Ssembatya Joseph Mary , Deng Di D. , Headley Jennifer , Obiga Oscar , Haglund Michael M. , Fuller Anthony T. 
Published: May 2024

Introduction
Traumatic brain injury (TBI) accounts for the majority of Uganda’s neurosurgical disease burden; however, invasive intracranial pressure (ICP) monitoring is infrequently used. Noninvasive monitoring could change the care of patients in such a setting through quick detection of elevated ICP.

Purpose
Given the novelty of pupillometry in Uganda, this mixed methods study assessed the feasibility of pupillometry for noninvasive ICP monitoring for patients with TBI.

Methods
Twenty-two healthcare workers in Kampala, Uganda received education on pupillometry, practiced using the device on healthy volunteers, and completed interviews discussing pupillometry and its implementation. Interviews were assessed with qualitative analysis, while quantitative analysis evaluated learning time, measurement time, and accuracy of measurements by participants compared to a trainer’s measurements.

Results
Most participants (79%) reported a positive perception of pupillometry. Participants described the value of pupillometry in the care of patients during examination, monitoring, and intervention delivery. Commonly discussed concerns included pupillometry’s cost, understanding, and maintenance needs. Perceived implementation challenges included device availability and contraindications for use. Participants suggested offering continued education and engaging hospital leadership as implementation strategies. During training, the average learning time was 13.5 minutes (IQR 3.5), and the measurement time was 50.6 seconds (IQR 11.8). Paired t-tests to evaluate accuracy showed no statistically significant difference in comparison measurements.

Conclusion
Pupillometry was considered acceptable for noninvasive ICP monitoring of patients with TBI, and pupillometer use was shown to be feasible during training. However, key concerns would need to be addressed during implementation to aid device utilization.
The delivery of creative socially prescribed activities for people with serious mental health needs during lockdown: Learning about remote, digital and hybrid delivery
Authors: Bishop-Edwards Lindsey , Taylor Buck Elizabeth , Weich Scott 
Published: May 2024

Background
Social prescribing interventions connect mental health service users to community resources, to support physical and mental wellbeing and promote recovery. COVID-19 restrictions impacted the delivery of socially prescribed activities, preventing face to face contact for long periods.

Aims
The aim of this study was to understand how Voluntary Community and Social Enterprise (VCSE) organisations working with a local NHS mental health Trust responded to the challenges of social distancing during the COVID-19 pandemic. This understanding will be used to make recommendations for future practice, post-lockdown.

Methods
Using a convergent mixed methods design, we surveyed VCSE providers of socially prescribed activities intended to be accessible and appropriate for people with severe mental health needs. Follow-up interviews explored further how they adapted during the first year of the pandemic, the challenges they faced, and how they sought to overcome them. The survey and interview data were analysed separately and then compared to identify convergent and divergent findings.

Results
Twenty VCSE representatives completed the survey which provided a snapshot of changes in levels of connection and numbers reached during lockdown. Of 20 survey respondents, 11 participated in follow-up interviews. Interviews revealed that lockdown necessitated rapid change and responsive adaptation; activities were limited by resource, funding, safeguarding and government restrictions; no single format suited all group members; connection was key; and impact was difficult to gauge.

Conclusions
VCSE organisations commissioned to deliver creative socially prescribed activities during the pandemic rapidly adapted their offer to comply with government restrictions. Responsive changes were made, and new knowledge and skills were gained. Drawing on experiences during lockdown, VCSE organisations should develop bespoke knowledge, skills and practices to engage service users in future hybrid delivery of arts, sports, cultural and creative community activities, and to ensure that digital activities offer an equivalent degree of connection to face-to-face ones. Additionally, more effective methods of gaining feedback about patient experience of hybrid delivery is needed.
Patient-reported pain and physical health for acupuncture and chiropractic care delivered by Veterans Affairs versus community providers
Authors: O’Hanlon Claire E. , Zeliadt Steven B. , DeFaccio Rian , Gaj Lauren , Bokhour Barbara G. , Taylor Stephanie L. 
Published: May 2024

Background
Acupuncture and chiropractic care are evidence-based pain management alternatives to opioids. The Veterans Health Administration (VA) provides this care in some VA facilities, but also refers patients to community providers. We aimed to determine if patient-reported outcomes differ for acupuncture and chiropractic care from VA versus community providers.

Materials and methods
We conducted an observational study using survey outcome data and electronic medical record utilization data for acupuncture and chiropractic care provided in 18 VA facilities or in community facilities reimbursed by VA. Study participants were users of VA primary care, mental health, pain clinic, complementary and integrative therapies, coaching or education services in 2018–2019. Patients received 1) 4+ acupuncture visits (N = 201) or 4+ chiropractic care visits (N = 178) from a VA or community provider from 60 days prior to baseline to six-months survey and 2) no acupuncture or chiropractic visits from 1 year to 60 days prior to baseline. Outcomes measured included patient-reported pain (PEG) and physical health (PROMIS) at baseline and six-month surveys. Multivariate analyses examined outcomes at six months, adjusting for baseline outcomes and demographics.

Results
In unadjusted analyses, pain and physical health improved for patients receiving community-based acupuncture, while VA-based acupuncture patients experienced no change. Unadjusted analyses also showed improvements in physical health, but not pain, for patients receiving VA-based chiropractic care, with no changes for community-based chiropractic care patients. Using multivariate models, VA-based acupuncture was no different from community-based acupuncture for pain (-0.258, p = 0.172) or physical health (0.539, p = 0.399). Similarly, there were no differences between VA- and community-based chiropractic care in pain (-0.273, p = 0.154) or physical health (0.793, p = 0.191).

Conclusions
Acupuncture and chiropractic care were associated with modest improvements at six months, with no meaningful differences between VA and community providers. The choice to receive care from VA or community providers could be based on factors other than quality, like cost or convenience.
Gut-Directed Hypnotherapy May Pose Specific Challenges in Gender-Diverse Patients: A Review of 3 Patients
Authors: Tawde Prianca , Walters Oakland C. , Salwen-Deremer Jessica K. 
Published: May 2024

ABSTRACT
Disorders of gut-brain interaction are common and often characterized by chronic symptom courses. While gut-directed hypnotherapy is effective for refractory disorders of gut-brain interaction, the required internal awareness and vulnerability may be challenging. Driven by our own clinical experiences, we conducted qualitative interviews with patients who identified as transgender or gender diverse and who had discontinued gut-directed hypnotherapy. Four main themes were generated from these interviews related to distress resulting from body awareness, difficulty with vulnerability, the importance of gender-affirming supports, and external barriers. Providers are encouraged to consider gender diversity, and more broadly body image, in discussion of hypnosis treatment.
Leis modais em sistemas multivalorados
Authors: Feitosa Hércules de Araujo , De Freitas Romulo Albano , Soares Marcelo Reicher 
Published: May 2024

Desde Dugundji, é conhecido que não há semântica matricial finita para lógicas modais entre S1 e S5. No entanto, ainda é interessante saber o que pode ser válido entre as leis modais em relação à matrizes multivaloradas. A lógica PM4N foi introduzida por Jean-Yves Beziau como um sistema modal de 4 valores, planejado para aceitar várias leis modais. A partir dessa semântica matricial, o artigo apresenta alguns resultados válidos. Neste artigo, comparamos o sistema PM4N com duas lógicas bem conhecidas: o sistema modal usual S5 e a lógica paraconsistente J3. Mostramos que o conjunto de teoremas de S5 está propriamente incluso no conjunto de teoremas de PM4N; e todo teorema de PM4N é teorema de J3.
Pomegranate (Punica granatum L.) growth and biochemical alterations in response to meloidogyne incognita infection, minerals, and nano-fertilizers
Authors: Kesba Hosny , El-Ganainy Sherif , Elmenofy Wael , Sayed Samy , Abdel- Rahman Abdullah , Diab Shaimaa 
Published: May 2024

The effects of four inoculum levels (500, 1,000, 2,000, or 4,000 second-stage juveniles (J2) per plant) of the root-knot nematode, Meloidogyne incognita, on two pomegranate cultivars (‘Manfalouty’ and ‘Wonderful’) were investigated under greenhouse conditions in response to plant inorganic and organic chemical concentrations. Furthermore, the effects of six commercial chemical fertilizers (inorganic fertilizers and nano-fertilizers) on plant growth and nematode reproduction were also studied. Both cultivars recorded the highest gall formation, embedded stages, and final nematode population at the inoculum dosage of 2,000 J2/plant. The highest reproductive rate was achieved with 500 J2/plant, while the lowest rate was observed with 4,000 J2/plant on both cultivars. ‘Wonderful’, at all M. incognita inoculum levels, was more sensitive to nematode infestation than ‘Manfalouty’. ‘Wonderful’ showed a greater reduction in fresh and dry plant weights than ‘Manfalouty’ at 2,000 and 4,000 J2/plant. In both cultivars, the concentrations of N, P, and K decreased with increasing nematode inoculum levels. This decline was more pronounced in ‘Manfalouty’ than in ‘Wonderful’. The nano-fertilizers, Hyper Feed®, and Hyper Feed Solo® reduced all nematode parameters but only in ‘Wonderful’. Treatment with Hyper Feed® resulted in the highest percentage increases in all plant growth parameters in ‘Wonderful’. Total carbohydrate concentration was increased in ‘Manfalouty’ treated with the nano-fertilizers, especially with Hyper Feed®. Also, concentrations of total phenols and tannins increased in ‘Wonderful’ when treated with either nano-fertilizer. Generally, both nano-fertilizers showed an increase in plant N levels. We recommend using nano-fertilizers in integrated pest management (IPM) programs on pomegranate where they improved plant growth parameters and reduced nematode multiplication parameters more markedly than inorganic fertilizers.
Mosaico do Jalapão: perspectivas e desafios para a implementação dos Objetivos de Desenvolvimento Sustentável (ODS)
Authors: Iwamoto Helga Midori , Leal Viviane de Araújo , Cançado Airton Cardoso 
Published: May 2024

O objetivo deste artigo foi avaliar o estágio de implementação dos ODS nos municípios que pertencem ao Mosaico do Jalapão (MJ), explorando as oportunidades e obstáculos à concretização dos ODS neste território. A base metodológica ocupa-se de uma abordagem quantitativa de clusters hierárquicos e matriz de correlação com base em dados secundários, identificando os ODS mais relevantes para a região e os desafios para sua efetivação. O estudo revela 15 ODS com alta relevância para o MJ, com destaque para os ODS 1 (Fim da Pobreza), 2 (Fome Zero), 3 (Saúde de Qualidade), 4 (Educação de Qualidade), 8 (Trabalho Decente e Crescimento Econômico), 10 (Redução das Desigualdades), 13 (Ação Climática), 15 (Vida Terrestre) e 16 (Paz, Justiça e Instituições Sólidas). No entanto, diversos desafios impedem a plena implementação desses objetivos, como a escassez de recursos financeiros e humanos, as acentuadas desigualdades sociais, a degradação ambiental, as fragilidades na governança e a baixa participação social. Os resultados mostraram que os municípios da região estão distantes de cumprir as metas da Agenda 2030, apesar de terem desempenho alto em ODSs do Eixo Econômico. Apesar dos obstáculos, o estudo também apresenta perspectivas positivas para o futuro do TCJ. A região possui um rico potencial para o desenvolvimento sustentável, impulsionado por sua rica biodiversidade e recursos naturais. Além disso, o crescente interesse pelo turismo ecológico na região pode gerar oportunidades para o desenvolvimento local. Para superar os desafios e alcançar os ODS no TCJ, o estudo apresenta algumas recomendações, como o aumento de investimentos em políticas públicas sociais e ambientais, o fortalecimento da governança local e da participação social, a promoção da educação ambiental e da valorização da cultura local, e o apoio ao desenvolvimento de atividades econômicas sustentáveis. Como considerações finais, propõe-se que os gestores e stakeholders locais sejam capacitados para a compreensão destas metas, de forma a nortear políticas públicas, de maneira que os municípios observem as melhores práticas dentro e fora do Tocantins para o Desenvolvimento Socioeconômico. Além disso, as conclusões e recomendações do estudo podem ser úteis para a formulação de políticas públicas mais eficazes e para a promoção do bem-estar das populações locais, contribuindo para a construção de um futuro mais próspero e sustentável para a região.
Die altehrwürdige Universitätsbibliothek Rostock erwacht zu neuem Leben
Authors: Hoffmann Peter 
Published: May 2024

Zusammenfassung
Der Verfasser beginnt seine bibliothekarische Laufbahn als Seiteneinsteiger an der Hochschule für Seefahrt Warnemünde/Wustrow. Nach dem Mauerfall erfolgt der Wechsel zur Universitätsbibliothek Rostock als Direktor. Er beschreibt die schwierigen Startbedingungen für die Erneuerung der Bibliothek und die erfolgreichen Aktivitäten in der Verbundkatalogisierung, der Einführung der Informationstechnik und der Raumentwicklung bis hin zum Bibliotheksneubau. Eine Erfolgsgeschichte der Zusammenarbeit Ost und West.
Encoding indefinite human reference without indefinite pronouns: the case of Chinese presentationals
Authors: Lena Ludovica 
Published: May 2024

Abstract
The Chinese sequence yǒu rén [exist person] is both the minimal existential-presentational construction and the functional equivalent of indefinite pronouns in encoding indefinite human reference. This dual characteristic prompts the question of whether yǒu rén functions as a presentational construction comparable to similar forms in other languages. Building on a literary corpus of Chinese contemporary novels, this study aims to determine if yǒu rén displays the behavioral properties of presentational constructions. First, presentational yǒu rén constructions are distinguished from both locative-existential and generic-existential ones based on a set of features including predicate selection in the coda, presence and function of the locative expression, and the co-dependent interpretation of the nominal rén. Next, the discourse function of yǒu rén is examined by assessing its contrast with regular nonpresentational sentences and the anaphoric potential of the entity it introduces. While establishing the boundaries between the three construction types, the study also analyzes the co-expression pattern observed within a gradient and compositional approach.
Addressing incomplete tile phenomena in image tiling: Introducing the grid six-intersection model
Authors: Zhang Ling , Yu Jinsongdi , Tong Ruiju , Wei Dandan , Fan Yu 
Published: May 2024

Abstract
With the continuous development of Earth Observation technology, resolution of imagery and gridded data has significantly increased, leading to a rapid increase in data volume. To efficiently acquire and analyze these vast amounts of imagery and gridded data, image tiling technology has been developed to effectively access data of interested areas. Tiling technology divides large-scale image data into smaller tiles, providing fast, accurate, and efficient access support for imagery and gridded data. The spatial grid model, as the foundational framework of the new generation of geographic spatial information, plays a critical role in the retrieval, integration, services, and applications of imagery and gridded data resources. When tiling image data based on the spatial grid model, it always generates both complete and incomplete tiles. Particularly, when conducting image tile retrieval using the same rule-based grid in the retrieval area, incomplete tile phenomena along the boundary regions of the retrieved images often occur, resulting in gaps within the retrieval area. To tackle this issue, in this study, we present a new topological model called the Grid Six-Intersection Model (G-6IM), specifically designed for regular rectangular grids, to accurately represent boundary issues in image tiling. Through a practical case study, we demonstrate the effectiveness and practical application potential of the proposed G-6IM model, providing new insights and guidance for the improvement and optimization of imagery and gridded data tiling technology.
Fiction meets fact: exploring human-machine convergence in today’s cinematographic culture
Authors: Endres Christoph , Frieß Frederic , Hermann Isabella 
Published: May 2024

Abstract
This article explores the theme of human-machine convergence as portrayed in modern science fiction movies and TV/streaming series and compares them to real-world advancements in robotics, artificial intelligence (AI), and virtual reality (VR). It examines how science fiction often depicts humanoid robots and AI with human-like emotions and intentions, contrasting with the actual technological challenges and ethical considerations in developing intelligent machines. The text discusses the evolution of humanoid robots from fictional portrayals to real-life examples like Boston Dynamics’ Atlas and Tesla’s Optimus. The paper also explores the reverse interaction, where humans become avatars in virtual worlds, and briefly discusses the ethical implications of simulating deceased individuals in digital form. Through this examination, the paper emphasizes the complexity of human-machine convergence and the importance of considering social, ethical, and emotional aspects in technological progress. It concludes by suggesting that while science fiction provides insights into societal fears and hopes regarding technology and thus into ethical and regulative necessities, the real trajectory of human-machine convergence cannot be predicted through film but will be determined by ongoing and after all incidental developments in the real world.
Actuality, indexicality, and knowledge
Authors: Davis Wayne A. 
Published: May 2024

Abstract
After summarizing linguistic evidence against the thesis that actuality terms are indexical, I examine conceptual and epistemological arguments offered in favor of an indexical analysis. I argue that an indexical semantics provides no explanation of how we know what is actually the case, and no grounds for postulating a contingent a priori. Truth in every context, or in every model, does not imply knowledge of the fact a sentence expresses nor how we know it if we do. Moreover, descriptive analyses also predict that ‘I exist in the actual world’ and instances of ‘p ≡ Actually p’ are true in every context.