bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association
Authors: Nelson Michelle L.A. , MacEachern Evan , Prvu Bettger Janet , Camicia Michelle , García James J. , Kapral Moira K. , Mathiesen Claranne , Cameron Jill I. ,   on behalf of the American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Quality of Care and Outcomes Research
Published: April 2024

BACKGROUND:
Health care teams along the stroke recovery continuum have a responsibility to support care transitions and return to the community. Ideally, individualized care will consider patient and family preferences, best available evidence, and health care professional input. Person-centered care can improve patient-practitioner interactions through shared decision-making in which health professionals and institutions are sensitive to those for whom they provide care. However, it is unclear how the concepts of person-centered care have been described in reports of stroke transitional care interventions.

METHODS:
A secondary analysis of a systematic review and meta-analysis was undertaken. We retrieved all included articles (n=17) and evaluated the extent to which each intervention explicitly addressed 7 domains of person-centered care: alignment of care with patients’ values, preferences, and needs; coordination of care; information and education; physical comfort; emotional support; family and friend involvement; and smooth transition and continuity of care.

RESULTS:
Most of the articles included some aspects of person-centeredness; we found that certain domains were not addressed in the descriptions of transitional care interventions, and no articles mentioned all 7 domains of person-centered care. We identified 3 implications for practice and research: (1) delineating person-centered care components when reporting interventions, (2) elucidating social and cultural factors relevant to the study sample and intervention, and (3) clearly describing the role of family and nonmedical support in the intervention.

CONCLUSIONS:
There is still room for greater consistency in the reporting of person-centeredness in stroke transitions of care interventions, despite a long-standing definition and conceptualization of person-centered care in academic and clinically focused literature.
Hepatic Ablation Technology: Assessment of Conflicts of Interest in Recent Literature
Authors: Kooragayala Keshav , Moccia Matthew C. , Spitz Frank , Lenart Austin , Gandhi Tanay-Veer , Koneru Manisha , Hong Young 
Published: April 2024

Introduction Collaboration between the health care industry and surgeons is critical in modern medicine. Conflict of interest (COI) has the risk of introducing bias into research studies. We investigated the accuracy of self-disclosed COI for studies that researched the use of microwave ablation for liver metastasis. Methods A literature search identified studies that investigated the use of microwave ablation for liver cancer between 2016 and 2022. We utilized the Open Payments Database to query individual authors’ financial contributions from the industry. The accuracy of the disclosure statement and financial contribution for each study and author was calculated. We compared the amount of financial contribution authors received based on the accuracy of their COI statement. Results Twenty-five studies of interest were identified. The mean number of authors was 8.24. A disclosure statement was present in 52% of studies. Of those, 28% had an incongruent disclosure statement. 9/25 (36%) of studies had a conflict of interest based on financial payments provided by industry. Overall, authors received an average of $440,483.41 (SD $1,889,375.34). We did not find a difference in the financial contribution’s value based on the disclosure statement’s accuracy ( P = .55). Conclusions Over a quarter of studies in our review of microwave ablation literature had discrepancies in the reporting of conflicts of interest, highlighting the need for improved reporting of potential conflicts of interest to protect the integrity of clinical research. Compared to other fields of surgery, we found a lower rate of undisclosed COI, suggesting that the scope of cancer-directed surgery may be more resistant to industry influence.
Prediction of Post-Gastrectomy Pancreatic Complications: A Preoperative Imaging Study Based on Computed Tomography
Authors: Ohi Masaki , Toiyama Yuji , Yasuda Hiromi , Ichikawa Takashi , Uratani Ryo , Kitajima Takahito , Shimura Tadanobu , Imaoka Hiroki , Kawamura Mikio , Morimoto Yuki , Okugawa Yoshinaga , Okita Yoshiki , Yoshiyama Shigeyuki 
Published: April 2024

Background Postoperative pancreas-related complications (PPRCs) are common after laparoscopic gastrectomy (LG) in patients with gastric cancer. We estimated the anatomical location of the pancreas on a computed tomography (CT) image and investigated its impact on the incidence of PPRCs after LG. Methods We retrospectively reviewed the preoperative CT images of 203 patients who underwent LG for gastric cancer between January 2010 and December 2017. From these images, we measured the gap between the upper edge of the pancreatic body and the root of the common hepatic artery. We evaluated the potential relationship between PPRCs and the gap between pancreas and common hepatic artery (GPC) status using an analysis based on the median cutoff value and assessed the impact of GPC status on PPRC incidence. We performed univariate and multivariate analyses to identify predictive factors for PPRC. Result Postoperative pancreas-related complications occurred in 11 patients (5.4%). The median of the optimal cutoff GPC value for predicting PPRC was 0 mm; therefore, we classified the GPC status into two groups: GPC plus group and GPC minus group. Univariate analysis revealed that sex (male), C-reactive protein (CRP) > .07 mg/dl, GPC plus, and visceral fat area (VFA) > 99 cm2 were associated with the development of PPRC. Multivariate analysis identified only GPC plus as independent predictor of PPRC (hazard ratio: 4.60 [95% confidence interval 1.11-31.15], P = .034). Conclusion The GPC is a simple and reliable predictor of PPRC after LG. Surgeons should evaluate GPC status on preoperative CT images before proceeding with laparoscopic gastric cancer surgery.
High intensity focused ultrasound in treating great saphenous vein incompetence: Perioperative and 1-year outcomes
Authors: Casoni Paolo , Bissacco Daniele , Pizzamiglio Matteo , Nanni Emanuele 
Published: April 2024

Background To investigate the use of high intensity focused ultrasound (HIFU) for great saphenous vein (GSV) incompetence. Material and methods Patients with GSV incompetence underwent HIFU. The primary endpoint was the rate of GSV target segment shrinkage or closure after 1 year. Results Out of 188 limbs treated, the GSV treated segment shrinkage/closure rate at 1 week, 3 months, 6 months, and 12 months was 93.3%, 98.2%, 97.6%, and 98.3%, respectively. Conclusion These preliminary results suggest that HIFU holds promise for the treatment of GSV incompetence. Further trials are needed to compare it with other techniques and assess long-term outcomes.
Transient flow and thermodynamics analysis of a scroll compressor based on CFD
Authors: Zhang Ying-li , Yue Xiang-ji , Yang Fan , Ding Jia-nan , Hong Jia-hua , Ba De-chun 
Published: April 2024

The scroll compressor is a kind of positive-displacement compressor applied in refrigeration systems, heat pump systems, and air conditioner systems. Using the spring smoothing method and considering the heat transfer, the numerical simulation model of the scroll compressor is established under standard working conditions. The results show that the CFD model is well validated by the experiment result. The compressor performance and the working process are analyzed. The pre-compression and the over-compression phenomenon are also studied. Moreover, the temperature distribution and velocity distribution of gas flow in the compressor are illustrated. The result shows that the pre-compression can improve the performance of the scroll compressor and the optimization of the suction channel geometry can provide a smoother suction process. Under the combined effect of the pre-compression and heat transfer, the refrigerating capacity is increased by approximately 0.54 kW and the volume efficiency is increased by approximately 2.2%. The additional power loss due to over-compression is 47.6615 W, and the setting of over-compression discharges can reduce the pressure and power loss. This study is helpful to the performance prediction and the structural optimization of the scroll compressor.
Barriers in Cleft Service Access in Sub-Saharan Africa: A Thematic Analysis of Practical Needs of Rural Families
Authors: Taiwo Abdurrazaq Olanrewaju , Lehmann Uta , Scott Vera , Shafi’u Isah , Lawal Suleman Gusau , Abdulmajid Usamatu , Braimah Ramat Oyebummi , Ibikunle Adebayo Aremu , Abubakar Abdullahi Bello , Mujtaba Bala , Ogbeide Mike Eghosa , Labbo-Jadadi Suwaiba , Adigun Olufemi Ibrahim , Ile-Ogedengbe Bruno Oludare 
Published: April 2024

Objective To explore the experiences and perceptions of barriers of parents and family members of patients with cleft lip and palate in accessing cleft services in remote northwest Nigeria. Design Face-to-face semi-structured audio recorded interviews were used to obtained qualitative textual data. Thematic analysis using interpretative descriptive techniques was employed to understand the participants’ lived experiences with barriers and accessibility to cleft services. Setting Participants were from Sokoto, Kebbi and Zamfara states in remote northwest, Nigeria. Participants Consisted of 22 caregivers (17 parents and 5 extended family members) were purposively sampled between 2017 and 2020 Main outcome measures Barriers experienced while accessing cleft services were identified during thematic analysis. Result Over three quarter of the respondents had patients with both cleft lip and palate and without any previous family history (n = 20). About two-thirds of the participants (n = 15) were females. Most of the interviews were conducted before the surgeries (n = 15). Five themes emerged lack of information, financial difficulty, misrepresentation from health workers, multiple transportation and previous disappointment. Conclusions Areas of poor awareness, misinformation from primary health care workers, financial hurdles, multiple transportation logistics and others were identified. Aggressive broadcasting of information through radio, timely treatment and collaboration with influential religious leaders were emphasized. Support, grants and subsidies from government and voluntary agencies are encouraged to mitigate the huge out of pocket cost of cleft care in the region.
Design of multifunctional polymethacrylimide foam sandwich with excellent radar absorption capability and compressive performance
Authors: Song Shijun , Xiong Chao , Yin Junhui , Han Chao , Zhao Fang , Yang Zhaoshu , Liu Lei 
Published: April 2024

A composite multifunctional radar absorption polymethacrylimide (RAPMI) foam sandwich (MRAPS) was constructed. Analytical models for out-of-plane and in-plane compression of the MRAPS were established. Three-dimensional failure mechanism maps and specific strength cubic cloud maps were drawn. Finally, a multiobjective particle swarm optimization (MOPSO) algorithm was used to achieve an integrated design, and a specific calculation example was tested and verified through experiments. The resulting sandwich with a 43.0 mm thickness core and 0.13 g/cm3 density achieves 90% effective absorption above broadband (RL ≤ −10 dB) in the 2–18 GHz range. As a radar absorption absorber, the MRAPS increased the engineering value and strategic importance of PMI foam for structural components in the military and aerospace sectors.
Low revision rate throughout the adoption of the direct superior approach in primary total hip arthroplasty: an analysis based on 1551 total hip arthroplasties from the Dutch Arthroplasty Register
Authors: Bos Pelle , Dooren Bart-Jan van , Peters Rinne M , Ettema Harmen B , Bolder Stefan B T , van den Berg Frank P , Veeger Nic J G M , Schreurs B Willem , Zijlstra Wierd P 
Published: April 2024

Background: Recently, surgeons introduced a minimally invasive modification on the classic posterolateral approach (PLA) in total hip arthroplasty (THA): the direct superior approach (DSA). We investigated the association between surgeon’s experience and the risk of early revision of the DSA in primary THA, using data from the Dutch Arthroplasty Register (LROI). Methods: We retrieved all primary THAs performed using the DSA in 4 hospitals between 2016 and 2022 ( n = 1551). Procedures were sorted in 5 groups using the date of operation and number of previous procedures per surgeon: 1–25; 26–50; 51–75; 76–100; >100. Subsequently, data from different surgeons were pooled together and the risk of revision was calculated via a multilevel time-to-event analysis. Results: The overall revision rate was 1.5% after a mean follow-up of 2 years. Patients from the 1–25 group had comparable risks of revision compared to patients in the >100 group (hazard ratio [HR] 1.0 [CI, 0.3–3.2]). The risk for patients in groups 26–50, 51–75 and 75–100 was also not statistically different from the >100 group (resp. HR 1.5 [CI, 0.5–5.0], 1.8 [CI, 0.5–6.4] and 0.5 [CI, 0.1–4.0]). Main reasons of revision were dislocation (0.5%) and infection (0.4%). Conclusions: We did not identify an association between the surgeon’s experience and the early risk of revision for the DSA in primary THA in the Netherlands. The DSA seems safe in the early adoption phases with a low risk of revision due to dislocation and revision for all other causes.
Beyond the Jump: A Scoping Review of External Training Load Metrics in Volleyball
Authors: Rebelo André , Pereira João R. , Nakamura Fábio Y. , Valente-dos-Santos João 
Published: April 2024

Context: Volleyball is a complex sport involving multifaceted movements and high-velocity actions, leading to diverse external training loads (ETLs) that have profound implications for player performance and injury risk. Objective: To provide a comprehensive overview of the measurement of ETL in volleyball, identify gaps in current understanding, and offer valuable insights for stakeholders in the field. Data Sources: The literature search was conducted across the following electronic databases: PubMed/Medline, Scopus, Web of Science, and SPORTDiscus. Study Selection: Studies were selected based on their relevance to the measurement of ETL in volleyball. Study Design: A scoping review methodology was chosen to map and summarize the broad body of literature related to ETL measurement in volleyball. Level of Evidence: Level 4. Data Extraction: Data related to ETL measurements in volleyball were extracted and analyzed from the selected studies, focusing on metrics utilized, player positions examined, and technologies employed. Results: A total of 18 studies related to ETL in volleyball were identified and examined for this review. Despite the importance of sagittal plane movements in volleyball, the review identified a substantial research gap regarding ETL measurements beyond this plane, as well as a lack of focus on the unique demands of different player positions like the liberos. The use of technologies such as inertial measurement units was prevalent, but more comprehensive measurement methods are needed. Conclusion: There is a critical need for diversified ETL metrics in volleyball, extending beyond the conventional sagittal plane measurements. The findings highlight a substantial research gap in addressing the unique demands of different player positions, notably the liberos. This study underscores the importance of incorporating multiplanar movement data, player-specific roles, and advanced measurement technologies to develop more tailored training programs and injury prevention strategies.
Endovascular treatment of intracranial dural arteriovenous fistulas with Onyx: A consecutive series of 62 patients from a single-center
Authors: Ma Yihui , Li Zejin , Feng Yu , Zhang Tingbao , Chen Xinjun , Zhao Wenyuan 
Published: April 2024

Objective Intracranial intracranial dural arteriovenous fistulas (DAVFs) are mainly treated with an endovascular approach and various embolic agents. The aim of this study was to investigate the efficacy and safety of Onyx embolization in the treatment of DAVFs and characterize the factors as sociated with complete obliteration. Methods This retrospective study was based on 62 patients with DAVFs who underwent endovascular treatment with Onyx alone or in combination with coils at our institution. Clinical and imaging data were collected and analyzed. Results A total of 62 patients with 64 DAVFs were treated with endovascular embolization. The most common primary symptom was ophthalmological signs with a rate of 37.1%. Cognard type III was the most commonly seen subtype (32.8%). The immediate complete occlusion and follow-up rate was 92.2% and 93.5%, respectively. Transvenous balloon-assisted sinus protection was used in 12 patients (18.8%). The pressure cooker technique was used in eight patients (12.5%). Complications were seen in five patients including intracerebral hemorrhage ( n = 2), venous thrombotic events ( n = 2), and glued microcatheter ( n = 1). Conclusions Endovascular Onyx alone or in combination with coils embolization is a safe and effective therapy for DAVFs. Favorable angiographic and clinical outcomes can be achieved using different endovascular approaches. Transvenous balloon-assisted sinus protection and the pressure cooker technique may help achieve complete occlusion of DAVFs.
Outcomes of pediatric extracranial germ cell tumors: A single center experience in a developing country
Authors: Saliyeva Symbat , Boranbayeva Riza , Bulegenova Minira , Zhumadullayev Bakhram , Nurzhanova Gaukhar , Manzhuova Lyazat 
Published: April 2024

The purpose of this study was to analyze the outcomes of extracranial GCT in children in a developing country and to assess prognostic factors. The data on 141 children (<18 years old) with extracranial GCT, confirmed histopathologically, collected over the past 9 years (from February 2013 to June 2022) were retrospectively studied. The patients underwent the same therapy with platinum-containing chemotherapy regimens. In the malignant GCT group, OS and EFS were 81.0 ± 4% and 73 ± 5%, respectively. OS and EFS in the teratoma group were 90 ± 5% and 85 ± 6%. In univariate analysis, parameters like stage of disease, tumor localization, AFP level ≥10,000 ng/mL, serum AFP kinetics and resection status were found to be statistically significant prognostic factors. In the multivariate analysis, the significant adverse factors were the resection status, initial AFP level ≥10,000 ng/mL and serum AFP kinetics slow down ( p = .000). Good survival rates can be achieved in developing countries with adequate compliance with treatment protocols. The analysis demonstrates high efficacy of platinum-containing chemotherapy regimens. In our opinion, the protocol used in high-income countries can be implemented in low-income countries with the financial support from the government. The qualification of specialists is also important.
Elevated uric acid in gestational diabetes and its risk on pregnancy outcomes
Authors: Ahmed Marwa Mostafa , Saad Nagwa Eid , Abbas Shimaa Mohamed , El Azizi Tarek Mohamed Saeed , El Sayed Inas 
Published: April 2024

Background: Over the past few years, gestational diabetes mellitus has become more common. According to earlier research, gestational diabetes mellitus is linked to higher uric acid levels, and gestational hyperuricemia is linked to poor maternal and neonatal outcomes. Aim and objectives: To assess the influence of elevated uric acid >5 mg/dl on pregnancy outcomes such as neonatal weight, respiratory distress, preterm delivery, neonatal intensive care unit admission, premature membrane rupture, oligohydramnios, cesarean section, and intensive care admission for mothers. Setting and methods: It is a prospective cohort study, carried out at obstetric/family medicine outpatient clinics, Cairo University Hospitals on 221 pregnant females with gestational diabetes mellitus in their third trimester of pregnancy, selected by random sampling, performed structured interviews, and tested for serum uric acid level and were separated into two groups, those with elevated uric acid >5 mg/dl (121) and those without elevated uric acid ⩽5 mg/dl (100) patients and then followed up until delivery in Cairo University Hospitals for collecting pregnancy outcome data. Results: There were statistically significant differences between the antepartum uric acid and neonatal complications, maternal complications, preterm, macrosomia, neonatal intensive care unit admission, premature rupture of membranes, oligohydramnios, and cesarean section between both groups. Conclusions: This study showed that elevated serum uric acid >5 mg/dl can predict the incidence of maternal and neonatal problems in gestational diabetes mellitus including preterm, macrosomia, neonatal intensive care unit admission, premature rupture of membranes, oligohydramnios, and cesarean section.
A Comparative Study of Chinese/Korean Faculty and British/American Faculty in Japanese Universities
Authors: Huang (黄福涛) Futao , Chen (陈丽兰) Lilan 
Published: April 2024

Purpose The study aims to explore the demographics, perceptions, and predictors of job satisfaction of Chinese/Korean faculty and American/British faculty at Japanese universities. Design/Approach/Methods The data from a national survey of these faculty conducted in Japan was analyzed. Findings The study suggests that Chinese/Korean faculty tend to be distributed across all the disciplines with senior positions and have higher scientific achievements and Japanese language proficiency, contributing to their better recognition and engagement at Japanese universities. Their job satisfaction was more inclined to be influenced by the intangible factors from the environmental conditions. Whereas American/British faculty were mainly hired in Humanities and Social sciences at mid to high positions, having lower Japanese proficiency and scientific achievement, which results in their perceived lower recognition and participation at Japanese universities. However, they tend to have a higher evaluation of working conditions at Japanese universities and express higher job satisfaction. Their job satisfaction was predicted by various factors, including intangible factors and tangible factors. Originality/Value The study was the first attempt to explore international faculty's job satisfaction in Japan. The key findings shed light on the situation of international faculty in Japan and help to better support international faculty practically.