bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Acquisition of Static and Dynamic Intervention Skills by Graduate Speech-Language Pathology Students
Authors: Wolford George W. , Wash Ethan J. , Stowers Matthew P. , McMillon Ashley R. , LaCroix Arianna N. 
Published: March 2024

Purpose:
Speech-language pathology programs use simulated learning experiences (SLEs) to teach graduate student clinicians about fidelity to therapeutic interventions, including static skills (clinical actions that are delivered in a prespecified way regardless of the client's behavior) and dynamic skills (contingent responses formulated in response to a client's behavior). The purpose of this study was to explore student learning of static and dynamic skills throughout SLEs and live clinical practice.

Method:
Thirty-three speech-language pathology graduate students participated in this study. Students were first trained to deliver an intervention before having their treatment fidelity measured at three time points: an initial SLE, actual clinical practice, and a final SLE. Treatment fidelity was first summarized using an overall accuracy score and then separated by static and dynamic skills. We hypothesized that (a) overall accuracy would increase from the initial simulation to treatment but remain steady from treatment to the final simulation and that (b) students would acquire dynamic skills more slowly than static skills.

Results:
In line with our hypotheses, students' overall accuracy improved over time. Although accuracy for static skills was mostly established after the first simulation, dynamic skills remained less accurate, with a slower acquisition timeline.

Conclusions:
These results demonstrate that SLEs are efficacious in teaching students the clinical skills needed for actual clinical practice. Furthermore, we show that dynamic skills are more difficult for students to learn and implement than static skills, which suggests the need for greater attention to dynamic skill acquisition during clinical education.
Wind energy system fault classification and detection using deep convolutional neural network and particle swarm optimization‐extreme gradient boosting
Authors: Lee Chun‐Yao , Maceren Edu Daryl C. 
Published: March 2024

AbstractWind energy is crucial in the global shift towards a sustainable energy system. Thus, this research innovatively addresses the challenges in wind energy system fault classification and detection, emphasising the integration of robust machine learning methodologies. Our study focuses on enhancing fault management through supervisory control and data acquisition (SCADA) systems, addressing imbalanced data representation issues and error vulnerabilities. A key innovation lies in applying particle swarm optimisation‐tuned extreme gradient boosting (XGBoost) on imbalanced SCADA datasets, combining resampled SCADA data with deep learning features produced by deep convolutional neural networks. The novel use of PSO‐XGBoost showcases effectiveness in optimising parameters and ensuring model robustness. Furthermore, our research contributes to supervised and unsupervised anomaly detection models using Seasonal‐Trend decomposition using locally estimated scatterplot smoothing and PSO‐XGBoost, presenting substantial advancements in fault classification and prediction metrics. Overall, the study offers a unique, integrated framework for fault management, demonstrating improved reliability in predictive maintenance architectures. Lastly, it highlights the transformative potential of advanced machine learning in enhancing sustainability within efficient and clean energy production.
Decomposition of unbalanced operation incremented active power loss in distribution network
Authors: Dadashzade Amin , Amirioun Mohammad Hassan , Aminifar Farrokh , Davarpanah Mahdi 
Published: March 2024

AbstractUnbalanced operation of distribution networks, as a crucial but inevitable aspect of power quality, brings about economic and technical issues. The increase in active power loss is more concerning due to the economic and technical implications. Economic sustainability of liberalized distribution networks is hugely tied to the availability of transparent and effective approaches to determine the stakeholders of this sort of phenomenon. This is done by awarding/penalizing them accordingly. Studies in the literature have not considered the incremental losses that unbalanced operations cause to distribution systems. Here, a mathematical approach based on vector analysis in the symmetrical components space is introduced. This approach quantifies the contribution of each unbalanced load to unbalanced operation and increased power losses. This technique discriminates between the mutual effects of different unbalanced loads on the power losses of the entire network. By means of the proposed approach, the best candidate unbalanced load(s)/location(s) to perform the corrective balancing actions and their ranking are precisely specified. Vector representation of the developed method simplifies its understanding, utilization, and expansion. For validation, the proposed method is applied to the IEEE 37‐bus test distribution network under various scenarios. The results confirm the sound results and practical merits of the developed method.
Klassifikation orofazialer Schmerzen
Authors: Gaul Charly , Sanner Frank 
Published: March 2024

ZUSAMMENFASSUNGDie Internationale Klassifikation orofazialer Schmerzen (ICOP) wurde interdisziplinär erarbeitet und strebt an, eine der internationalen Kopfschmerzklassifikation (ICHD-3) vergleichbare Systematik der Mund- und Gesichtsschmerzen zu etablieren, die im klinischen Alltag und für wissenschaftliche Fragestellungen gleichermaßen praktikabel anwendbar sein soll. Ziel ist die Verbesserung und Vereinheitlichung klinischer Diagnostik und Therapie. Die Klassifikation liegt in deutschsprachiger Übersetzung vor.
Anorexia nervosa und danach? Zum Stellenwert einer systematischen Klärung von Werten und Zielen parallel zur kognitiv-verhaltenstherapeutischen Essstörungstherapie
Authors: Göhre Carolin Ulrike , Hillert Sophia , Hillert Andreas , Naab Silke , Surzykiewcz Janusz 
Published: March 2024

ZUSAMMENFASSUNGEine an Anorexia nervosa leidende 17-jährige Patientin kommt, jeweils nach guten stationären Verläufen und schnellen Rückfällen in der Zwischenzeit, zum dritten Mal in die stationäre psychosomatisch-psychotherapeutische Behandlung. Nachdem der Patientin Inhalt und Abläufe der primär auf die Bewältigung der Symptomatik abzielenden Therapien gut bekannt waren, wurde parallel dazu der Fokus auf die Klärung der Lebensperspektive gelegt. Diesbezüglich besuchte sie eine Therapiegruppe zum Thema: „Wo bin ich und wo will ich hin?“. Ausgehend von den vermittelten Inhalten gelang es der Patientin eigene, von den Vorstellungen der Eltern deutlich unterschiedliche Ziele zu definieren und erste Schritte zu deren Umsetzung einzuleiten. Poststationär konnte sie diese umsetzen, parallel zu einer anhaltenden stabilen Remission der Essstörungssymptomatik.Viele Jugendliche haben keine konkreten und verbindlichen Vorstellungen von ihrer privaten und beruflichen Zukunft jenseits des Erreichens eines Schulabschlusses. Dies wird durch gesellschaftliche Entwicklungen begünstigt. Psychosomatisch erkrankte Jugendliche zeigen im Rahmen stationärer Behandlung einen günstigeren Verlauf, wenn diese eine über die „Patientenidentität“ hinausgehende Perspektive haben bzw. entwickeln können, was die Entwicklung spezieller Therapieangebote zum Thema Standortbestimmung und berufliche Zielklärung für jugendliche und adoleszente Patienten nahelegt.
The Current Evidence of Pulmonary Embolism Response Teams and Their Role in Future
Authors: Hobohm Lukas , Farmakis Ioannis T. , Duerschmied Daniel , Keller Karsten 
Published: March 2024

AbstractAcute pulmonary embolism (PE) remains a critical medical condition requiring prompt and accurate management. The introduction and growing significance of pulmonary embolism response teams (PERT), also termed EXPERT-PE teams, signify a paradigm shift toward a collaborative, multidisciplinary approach in managing this complex entity. As the understanding of acute PE continues to evolve, PERTs stand as a linkage of optimized care, offering personalized and evidence-based management strategies for patients afflicted by this life-threatening condition. The evolving role of PERTs globally is evident in their increasing integration into the standard care pathways for acute PE. These teams have demonstrated benefits such as reducing time to diagnosis and treatment initiation, optimizing resource utilization, and improving patient outcomes.
Medicinal Use of Different Cannabis Strains: Results from a Large
Prospective Survey in Germany
Authors: Szejko Natalia , Becher Eva , Heimann Florian , Grotenhermen Franjo , Müller-Vahl Kirsten R. 
Published: March 2024

Abstract
Background Up to now, it is unclear whether different medicinal
cannabis (MC) strains are differently efficacious across different
medical conditions. In this study, the effectiveness of different MC strains was
compared depending on the disease to be treated.
Methods This was an online survey conducted in Germany between June 2020
and August 2020. Patients were allowed to participate only if they received a
cannabis-based treatment from pharmacies in the form of
cannabis flowers prescribed by a physician.
Results The survey was completed by n=1,028 participants. Most
participants (58%) have used MC for more than 1 year, on average, 5.9 different
strains. Bedrocan (pure tetrahydrocannabinol to pure cannabidiol
[THC:CBD]=22:<1) was the most frequently prescribed strain, followed by
Bakerstreet (THC:CBD=19:<1) and Pedanios 22/1
(THC:CBD=22:1). The most frequent conditions MC was prescribed for were
different pain disorders, psychiatric and neurological diseases, and
gastrointestinal symptoms. Overall, the mean patient-reported effectiveness was
80.1% (range, 0–100%). A regression model revealed no association between the
patient-reported effectiveness and the variety. Furthermore, no influence of the
disease on the choice of the MC strain was detected. On average, 2.1 side
effects were reported (most commonly dry mouth (19.5%), increased appetite
(17.1%), and tiredness (13.0%)). However, 29% of participants did not report any
side effects. Only 398 participants (38.7%) indicated that costs for MC were
covered by their health insurance.
Conclusions Patients self-reported very good efficacy and tolerability of
MC. There was no evidence suggesting that specific MC strains are superior
depending on the disease to be treated.
Trial of Labor versus Repeat Cesarean Delivery in Individuals with Morbid Obesity after Previous Cesarean Delivery
Authors: Lee Misooja , Almeida Tawany C. , Saade George , Kawakita Tetsuya 
Published: March 2024

Objective This study aimed to compare adverse neonatal outcomes associated with the trial of labor after cesarean (TOLAC) at term in pregnancies according to maternal prepregnancy body mass index (BMI; kg/m2) and the presence of previous vaginal delivery (VD).
Study Design This was a repeated cross-sectional analysis of individuals with singleton, cephalic, and term deliveries with a history of one or two cesarean deliveries in the Linked Birth/Infant Death data from 2011 to 2020. Outcomes were examined according to the BMI category including BMI <30, 30 to 39.9, and 40 to 69.9 kg/m2. The primary outcome was a composite neonatal outcome, defined as any presence of neonatal death, neonatal intensive care unit admission, assisted ventilation, surfactant therapy, or seizures. Outcomes were compared between TOLAC and elective repeat cesarean delivery (eRCD) after stratifying by BMI category and previous VD. Log-binomial regression was performed to obtain adjusted relative risk (aRR) with 99% confidence intervals, controlling for covariates.
Results Of 4,055,440 individuals, 2,627,131 had BMI <30 kg/m2, 1,108,278 had BMI 30 to 39.9 kg/m2, and 320,031 had BMI 40 to 69.9 kg/m2. In individuals with no previous VD, VD rates after TOLAC were 66.7, 57.2, and 48.1%, respectively. In individuals with previous VD, VD rates after TOLAC were 81.4, 74.7, and 67.3%, respectively. In individuals without previous VD, compared with those who had an eRCD, those who had TOLAC were more likely to experience composite neonatal outcomes in individuals with BMI < 30 kg/m2 (5.0 vs. 6.5%; aRR = 1.33 [1.30–1.36]), BMI 30 to 39.9 kg/m2 (6.1 vs. 7.8%; aRR = 1.29 [1.24–1.34]), and BMI 40 to 69.9 kg/m2 (8.2 vs. 9.0%; aRR = 1.15 [1.07–1.23]). In individuals with previous VD, there was no difference in the composite neonatal outcomes in BMI < 30 kg/m2 (6.2 vs. 5.8%; aRR = 0.98 [0.96–1.00]), BMI 30 to 39.9 kg/m2 (7.4 vs. 7.1%; aRR = 0.99 [0.95–1.02]), and BMI 40 to 69.9 kg/m2 (9.4 vs. 8.7%; aRR = 0.96 [0.91–1.02]).
Conclusion TOLAC among obese individuals could be offered in selected cases.
Key Points
Influence of the Number of Players on the Load of Soccer Players
During Transition Games
Authors: Asian-Clemente Jose A. , Rabano-Muñoz Alberto , Requena Bernardo , Suarez-Arrones Luis 
Published: March 2024

AbstractThe aims of this study were to determine the effect of different compositions in
transition games (TGs) on the load of soccer players and to evaluate their
performance in physical tests. Using a GPS system, 18 players were monitored
during: 3vs2, 2vs1 and 1vs1. Distance covered (DC), DC
18–20.9 km·h-1, 21–23.9 km·h-1,>24 km·h-1,
peak speed, accelerations (Acc) and decelerations (Dec)>1.0 m·s-2
and>2.5 m·s-2 and rate of perceived exertion (RPE) were
recorded. Before and after each TG, countermovement-jump (CMJ), 15-
(S15) and 30 m (S30) speed tests were assessed.
TG3vs2 showed greater DC and Dec>1.0 m·s-2 than
TG2vs1, and DC, DC 18.0–23.9 km·h-1,
Acc>1.0 m·s-2 and Dec>2.5 m·s-2 than
TG1vs1 (p<0.01). TG2vs1 achieved higher DC,
DC 18.0–23.9 km·h-1, and Acc>2.5 m·s-2
(p<0.01) but lower peak speed (p=0.02) and RPE (p=0.02)
than TG1vs1. Post-intervention, TG1vs1 showed lower CMJ
and higher S15 (p=0.02), while TG3vs2, showed
improvements in CMJ (p<0.01). The three tasks showed large variations
for DC>24 km·h-1, Acc>1.0 m·s-2,
Dec>1.0 m·s-2 and Dec>2.5 m·s-2. The load of TGs
is sensitive to their player composition.
N-Triflyl Phosphoric Triamide (N-TPT) as an Efficient Activator for ‘On-Water’ Accelerated Aquacatalytic Polar Substrate Allylation
Authors: Kim Hyun Jin , Shin Myoung Hyeon , Bae Han Yong , Kim Woo Hee , Park Jin Hyun , Lee Gang Min 
Published: March 2024

AbstractThe development of sustainable, functional-group-tolerant catalysis is highly significant from the perspectives of safety, user-friendliness, and cost-effectiveness. We report herein the triple hydrogen-bonding donor activator N-triflyl phosphoric triamide (
N-TPT) for the synergistic Brønsted acid aquacatalysis of multicomponent allylation ‘on-water’. The reaction demonstrated remarkable efficiency in converting polar diol substrate, such as 1,3-dihydroxyacetone, into α-tertiary amine derivative incorporating homoallylic amine functionalities using bulk water as the reaction medium. The single crystal X-ray structure and control experiments highlighted the crucial role of multiple hydrogen bonds in enabling this aqueous reaction.
Management of Wound Myiasis through Homoeopathy: A Case Report
Authors: Nahar Laijun , Choubey Gurudev 
Published: March 2024

AbstractThe parasitic invasion of live mammals by fly larvae (maggots), known as myiasis, is a rare pathology. The fly invades the host tissue and feeds on it to grow. No documentation has been found on homoeopathic intervention for wound myiasis management. A 52-year-old female presented with complaints of ulceration on the left leg with maggot formation, clinically diagnosed as a case of wound myiasis. Calendula officinalis 30CH was prescribed based on the acute symptomatology and keynote symptoms. The case was completely managed within 21 days. The wound was cleaned and dressed regularly with Calendula officinalis Q. This instance illustrates the effectiveness of homoeopathic medication in rapidly and efficiently treating wound myiasis.
Virtual Reality Planning of Microvascular Decompression in Trigeminal Neuralgia: Technique and Clinical Outcome
Authors: Fabrig Oliver Dietmar , Serra Carlo , Kockro Ralf Alfons 
Published: March 2024

Abstract
Background A neurovascular conflict (NVC) is considered the cause of trigeminal neuralgia (TN) in 75% of cases, and if so, a microvascular decompression (MVD) can lead to significant pain relief. A reliable preoperative detection of NVC is essential for clinical decision-making and surgical planning, making detailed neuroradiologic imaging an important component. We present our experiences and clinical outcomes with preoperative planning of the MVD procedure in a virtual reality (VR) environment, based on magnetic resonance imaging (MRI) including magnetic resonance angiography (MRA) and magnetic resonance venography (MRV) sequences.
Methods We analyzed the data of 30 consecutive MVDs in patients treated for TN, in a retrospective single-surgeon (R.A. Kockro) study. Out of the 30 cases, 26 were included. Preoperatively, MRA/MRV and MRI series were fused and three dimensionally reconstructed in a VR environment. All critical structures such as the trigeminal nerve as well as the arteries and veins of the cerebellopontine angle, the brainstem, the neighboring cranial nerves, and the transverse and sigmoid sinus were segmented. The NVC was visualized and a simulation of a retrosigmoid approach, with varying trajectories, to the NVC was performed. The intraoperative findings were then compared with the data of the simulation. The clinical outcome was assessed by a detailed review of medical reports, and follow-up-interviews were conducted in all available patients (20/26).
Results The VR planning was well integrated into the clinical workflow, and imaging processing time was 30 to 40 minutes. There was a sole arterial conflict in 13 patients, a venous conflict in 4 patients, and a combined arteriovenous conflict in 9 patients. The preoperative simulations provided a precise visualization of the anatomical relationships of the offending vessels and the trigeminal nerves as well as the surrounding structures. For each case, the approach along the most suitable surgical corridor was simulated and the exact steps of the decompression were planned. The NVC and the anatomy of the cerebellopontine angle as seen intraoperatively matched with the preoperative simulations in all cases and the MVC could be performed as planned. At follow-up, 92.3% (24/26) of patients were pain free and all the patients who completed the questionnaire would undergo the surgery again (20/20). The surgical complication rate was zero.
Conclusion Current imaging technology allows detailed preoperative visualization of the pathoanatomical spatial relationships in cases of TN. 3D interactive VR technology allows establishing a clear dissection and decompression strategy, resulting in safe vascular microsurgery and excellent clinical results.
Hip Resurfacing in the Setting of Retained Proximal Femoral Instrumentation or Complex Deformity
Authors: Premkumar Ajay , Ren Renee , Spaan Jonathan , Su Edwin P. 
Published: March 2024

AbstractTotal hip arthroplasty (THA) in the setting of significant retained femoral instrumentation or complex proximal femoral deformity may be challenging and published reports of THA in this setting reveal sobering results. Hip resurfacing arthroplasty (HRA) is an alternative to THA and may avoid complex hardware removal or deformity correction at the time of hip arthroplasty. Twenty-three patients who underwent elective HRA in the setting of significant proximal femoral deformity and/or retained femoral instrumentation were identified from a prospectively maintained registry. Pre- and postoperative Lower Extremity Assessment Scores (LEAS), modified Harris Hip Scores (mHHS), Hip Disability and Osteoarthritis Outcome Scores for Joint Replacement (HOOS, JR) scores, Visual Analog Scale (VAS) pain levels, and metal ion levels were obtained. Median (interquartile range [IQR]) follow-up was 5.03 (2.07 − 7.91) years, and no patients had undergone revision surgery at their latest follow-up. The mean (standard deviation [SD]) surgical duration was 94.40 (12.00) minutes, and postoperative length of stay was 1.74 (1.80) days. There were no intraoperative complications, and all patients were discharged home. Median (IQR) postoperative LEAS, VAS pain scale, mHHS, and HOOS, JR scores were 13.00 (9.25 − 13.00), 2.50 (0.75 − 10.00), 92.60 (92.40 − 100.00), and 92.34 (85.26 − 100.00), respectively. Fourteen patients completed postoperative serum metal ion level testing at a mean (SD) of 4.24 (2.85) years, where cobalt and chromium levels were 1.22 (0.36) and 2.01 (0.80) parts per billion, respectively. HRA is a viable option for patients with significant proximal femoral deformity or retained instrumentation, and excellent results at mid-term follow-up can be achieved utilizing this strategy in this complex patient population.
Anticoagulation in the Management of Acute Pulmonary Embolism—A Review
Authors: del Toro Mijares Raul , Rojas Murguia Adrian , Porres-Aguilar Mateo , Mukherjee Debabrata 
Published: March 2024

AbstractVenous thromboembolism (VTE) is a very frequent cardiovascular entity that encompasses deep vein thrombosis and pulmonary embolism (PE). This last entity represents a major cause of cardiovascular morbidity and mortality. The incidence of PE and the rate of PE-related morbidity significantly increase with age, race, and underlying medical conditions, such as malignancy. Given the recent advances in diagnostic strategies and algorithms, patients can be risk assessed and treated promptly to avoid disease progression. Anticoagulation is the mainstay of treatment for acute PE that is not hemodynamically unstable. Direct oral anticoagulants, such as apixaban, rivaroxaban, or edoxaban, are currently the preferred agents for the treatment of patients who present with acute PE or for long-term treatment. Treatment duration should be continued for at least 3 months, and all patients should be assessed for extended duration of therapy based on the precipitating factors that led to the development of the VTE. Novel anticoagulant agents targeting factor XI/XIa are currently being investigated in phases 2 and 3 clinical trials, representing an attractive option in anticoagulation therapies in patients with VTE. For hemodynamically unstable patients, systemic thrombolysis is the treatment of choice, and it may also be of benefit—in reduced dose—for patients with intermediate to high risk who are at risk of hemodynamic collapse.
Should I Stay or Should I Go? The Interplay Between Scientific and Entrepreneurial Passion in Shaping the Frustration–Intention Relationship in the Academia
Authors: Balzano Marco , Bortoluzzi Guido , Bunjak Aldijana , Černe Matej 
Published: March 2024

AbstractAcademic careers come with many joys but are frequently accompanied by frustration. In the present study, we provide a multi-dimensional measure of academic frustration. Using a sample of 312 differently frustrated academics across the globe, our study develops a new perspective on academic frustration and academics’ intention to stay or leave academia. We empirically investigate the interaction between academic frustration and scientific and entrepreneurial passion in predicting four different intention outcomes: spin-off, startup, leaving academia, and changing university. Our findings indicate that scientific passion positively determines the intention to stay in academia, whereas entrepreneurial passion prompts academics to opt out of academic careers when overly frustrated. This study contributes to multiple literature and offers practical implications for academics and institutions. From a policy perspective, we seek to provide guidance on how to deal with the intentions and actions of frustrated academics.