bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Multicenter Study on the Relationship of Tumor Lesion Location with Bilateral Parametrial Involvement and Pelvic Lymph Node Metastasis in Cervical Squamous Cell Carcinoma
Authors: Tang Xuedong , Yang Baicai , Bian Wei , Li Kui , Pan Shan , Zhu Weili , Zhou Weigen , Wei Anwen , Cheng Xiaodong 
Published: January 2025

Abstract

Background
This study aimed to explore the relationship of cervical tumor lesion location (CTLL) with bilateral parametrial involvement (PI) and pelvic lymph node metastasis (LNM).

Methods
The study retrospectively analyzed the clinicopathologic and imaging data of patients with cervical squamous cell carcinoma (SCC) retrieved from multiple centers. According to the CTLL, patients were allocated to three groups: a middle one third group, a unilaterally dominant group, and the entire-region group. Uni- and multivariate logistic regression analyses were performed to explore the preoperative risk factors related to PI and pelvic LNM. The rates of PI and pelvic LNM at the tumor-ipsilateral side and the tumor-contralateral side were compared using the Wilcoxon test.

Results
The study enrolled 776 cases. The CTLL was an important preoperative risk factor for both PI and pelvic LNM. Parametrial involvement occurred solely on the tumor-ipsilateral side (3.57 %) in the unilaterally dominant group, whereas the rate of pelvic LNM on the tumor-ipsilateral side was 11.22 %, significantly higher than on the contralateral side (5.1 %), with no pelvic LNM found on the tumor-contralateral side of patients with tumors smaller than 3.5 cm.

Conclusions
Cervical SCC exhibits the characteristic of more accessible tumor-ipsilateral PI and pelvic LNM. When evaluation by magnetic resonance imaging (MRI) shows that the tumor lesion does not involve the contralateral one third of the cervix, a reduction in the resection scope of the contralateral parametrium can be considered, avoiding resection of the para-aortic lymph nodes, and if the tumor is smaller than 3.5 cm, a reduction in the resection scope of the tumor-contralateral pelvic lymph nodes also can be considered.
Posterior Hepatectomy and Inferior Vena Cava Graft Reconstruction for En Bloc Resection of a Hepatocellular Carcinoma: A Tribute to Couinaud’s Liver Anatomy Description
Authors: Le Floc’h Bastien , Livin Marie , Tzedakis Stylianos , Robin Fabien , Jeddou Heithem , Boudjema Karim 
Published: January 2025

Abstract

Background
Hepatocellular carcinoma (HCC) associated with major vasculature tumor extension is considered an advanced stage of disease to which palliative radiotherapy or chemotherapy is proposed.1,2 Surgical resection associated with chemotherapy or chemoembolization could be an opportunity to improve overall survival and recurrence-free survival in selected cases in a high-volume hepatobiliary center.3,4 Moreover, it has been 25 years since Couinaud described the entity of a posterior liver located behind an axial plane crossing the portal bifurcation.5 The aim of this video was to show how to reproduce such a resection technique.

Methods
We report the case of a 72-year-old male presenting with a 6 cm HCC developed in a well-compensated Child–Pugh A alcohol-related cirrhosis and localized in the dorsal liver sector. The tumor invaded the retrohepatic inferior vena cava (IVC) as well as segment 2 and the right posterior section glissonean pedicles. The initial management of the patient was performed outside of a reference center for hepatobiliary surgery and the tumor was initially considered unresectable. Transarterial chemoembolization was judged ineffective due to the size and location of the tumor. Initial treatment included 6 months of atezolizumab–bevacizumab, permitting tumor volume stability and enabling surgical resection.

Results
The procedure included an en bloc posterior hepatectomy (H1267)6 with IVC resection and polytetrafluoroethylene (PTFE) graft replacement. A well-tolerated intermittent pedicle and IVC clamping of 30 min in total was used. The duration of surgery was 240 min, with 30 min of total vascular liver exclusion, and total blood loss was 650 mL. The patient was discharged on postoperative day 8. R0 resection was achieved and the patient was free of disease at 1 year post-surgery.

Conclusion
To our knowledge, this video reports the first posterior hepatectomy performed in clinical practice and demonstrates liver anatomy as described by Couinaud in 1999.5 Moreover, complex vascular resections for HCC should be considered a valid therapeutic option in selected cases and high-volume hepatobiliary centers.
Coping after the COVID-19 pandemic: nurses' learning intent and implications for the workforce and education
Authors: Brackney Dana E , Lane Susan 
Published: January 2025

Background/aim: Addressing the critical global shortage of nurses requires an understanding of how a global pandemic reshaped nurses' motivations and intentions toward education. This study aimed to describe COVID-19's impact on nurses' intent to pursue additional education. Method: This descriptive study, based in North Carolina in the USA, used content analysis with an inductive approach to examine the responses of nurses to one open-ended question in a large quantitative workforce survey: how has COVID-19 influenced your plans for future education? Responses were coded with counts and organised into themes and subthemes. Findings: Primary themes identified from the data included: stressors, appraisals and coping. There were 10 subthemes, which supported primary themes with direct quotes from nurses. The implications of the themes aligns with concepts from the self-determination theory: autonomy, competence and relatedness. Conclusion: Nurse responses to the pandemic can guide organisations and academic institutions in supporting nurses in times of stress and design programmes that align with their goals. Nursing leaders and educators must support nurses' autonomy, competence and relatedness, addressing issues such as burnout, financial strain, work–life balance and evolving professional demands. Academic institutions should adopt flexible, resilience-focused curricula and invest in skilled nurse educators to support the growing need for advanced education and online learning.
Evaluating spill kits in infection control: perspectives of nurses and health professionals
Authors: Smith Fiona JE , Ferrie Kirstie , Mackay William G 
Published: January 2025

Background: The burden of hospital-acquired infections (HAIs) equates to 3.5 million cases, resulting in more than 90 000 deaths and 2.5 million disability-adjusted life years (DALYs) across Europe. Biological spills pose infection and safety risks for both patients and staff, so spill management is of strategic importance for containment. There is limited evidence as to the efficacy of spill kits currently in use with regard to infection control management. Aim: To understand the perceptions of health professionals when using different spill kit systems. Data collection involved videos and interviews with simulated patients and health professionals (n=24). Simulated spills/scenarios were used to compare the use of both two standard (incumbent) and BIOPERL+ spill kit interventions. Data analysis was iterative and informed by the Framework Method of Analysis. Findings: The BIOPERL+ kit facilitates rapid identification of the appropriate spill kit to use; locating and understanding instructions in both kit types highlight how individuals learn and absorb information; there were positive views on the efficacy of the granules to absorb blood, urine, faeces and vomit of both kit types; the larger scoop of the BIOPERL+ kit was seen as a benefit, facilitating ease of use; concerns were raised over potential cross-contamination and the environmental impact of plastic components used in the kits. Conclusion: The ‘one size fits all’ of the BIOPERL+ kit identified it as the spill kit to use for all biological spills, whereas choice of the two incumbent kits depended on spill type. Locating and understanding instructions in both kit types highlighted how individuals learn and absorb information differently, which may have implications for clinical practice. Participants perceived that all kits had minimal to strong odour, yet the incumbent kits emitted a chlorine-type odour, potentially posing a health risk. The BIOPERL+ large scoop size was seen as more efficacious for spillage containment compared with the smaller plastic scoop of the incumbent kits. Participants also perceived that the incumbent kits could be a source of potential cross-contamination when reusing component parts. The cardboard materials used in the BIOPERL+ kit were perceived as a benefit, potentially having less of an impact on the environment. The study identified that the BIOPERL+ kit is an effective, safe novel intervention that is both appropriate for managing human spills and environmentally friendly.
A multimodal approach to reduce the incidence of peripheral venous cannula bacteraemias and improve patient safety
Authors: Brunn Lydia 
Published: January 2025

Background: Incidence of peripheral venous cannula (PVC) bacteraemia have been rising in a trust in the south-west of England, with a 267% increase noted over the 2022/23 financial year compared with the previous year. Aim: To use a multimodal approach to reduce the incidence of PVC bacteraemia and improve patient safety. Methods: The initiative consisted of an educational poster highlighting the severity of infection associated with PVCs alongside key prevention messages rooted in Trust policy. Teaching sessions, complementing the poster, were delivered by the infection prevention and control team to each clinical area. Findings: The data showed that the provision of further educational resources and wider support resulted in a 54.5% decrease in the incidence of PVC bacteraemia in 2023/24 compared with the previous year. An audit undertaken in the fourth quarter of 2023/24 (January−March) found zero cases of PVC bacteraemia for the first time in 2 years. Conclusion: Dedication and collaborative working are vital for securing the success of quality improvement projects. PVC-related bacteraemias and the severity of infection remain an under-acknowledged and under-recognised topic within health care, with further research required.
Implementation of the I-DECIDED® tool for PIVC assessment and decision making: discussion paper
Authors: Ray-Barruel Gillian , Silva Thiago Lopes , Rocha Patrícia Kuerten 
Published: January 2025

HIGHLIGHTS PIVCs often cause pain, irritation, or infection. Regular and careful catheter checks can decrease complications and improve patient outcomes. Implementation of the I-DECIDED® tool led to fewer idle catheters and complications. We present ideas for implementing the tool and how to overcome some common barriers. Introduction: Peripheral intravenous catheter (PIVC) assessment and decision making should be evidence based to minimize risks and enhance patient care. Exploring implementation strategies from successful outcome studies can raise health care professionals' awareness, boost adherence to evidence-based protocols, and elevate PIVC care standards. Aim: To describe the implementation of the I-DECIDED® device assessment and decision tool for PIVC management in the Australian and Brazilian contexts. Methods: The Promoting Action on Research Implementation in Health Services (PARIHS) framework (evidence, context, facilitation) was used to prospectively plan the implementation of the tool in adult inpatient units in Australia and to retrospectively analyze the implementation of the tool in a pediatric inpatient unit in Brazil. Similarities and differences in the implementation studies were explored. Results: Implementation of the tool in Australia and Brazil demonstrated that prevention and early detection of PIVC complications is achievable with standardized assessment and decision prompts. Both contexts witnessed a reduction in idle PIVCs, decreased insertion site complications, improved dressing quality, and significant improvements in documentation following implementation. Common implementation strategies included champions, education, badge cards, and posters. Enabling flexibility and context-specific education strategies was essential. Conclusion: Standardization of PIVC assessment and decision making using the I-DECIDED® tool reduced the prevalence of idle catheters and complications in Australia and Brazil. Implementation of the tool in different contexts confirms its utility and relevance for PIVC management in diverse health care settings. Promotion and adoption of the tool as a PIVC management bundle could increase patient safety and reduce health care costs.
A randomized control trial to compare Quiet Eye training efficacy to traditional technical training with undergraduate student nurses' peripheral intravenous cannulation performance: a protocol
Authors: Parker Shannon I. A. , Wilkins Jessica , Inayat Shahzad , Hollingsworth Noah , Causer Joe , Virani Shane , Caird Jeff K. 
Published: January 2025

Introduction: Peripheral intravenous cannulation (PIVC) is a common and complex procedure with low first-attempt success rates, causing patient suffering and increased healthcare costs. Quiet Eye (QE) training, a gaze-focused approach, has shown promise in improving procedural PIVC skills. We will examine the effectiveness of traditional technical training (TT) and QE training (QET) on student nurse PIVC performance. Methods: Forty-four participants will be randomly assigned to either the TT or QET groups using a blocked randomization method to ensure balanced group sizes. Blinded outcome assessments will minimize bias. Data will be collected using a structured questionnaire and a mobile eye tracker to simultaneously record gaze and hand movements. Participants will complete pre-intervention, post-intervention, and one-week retention tests using a light-skinned manikin arm. A transfer task, utilizing a dark-skinned manikin arm, will assess participants' skills post-trials. The TT group will receive traditional instruction on hand movement improvement; the QET group will receive feedback on their gaze behaviours. The primary outcome measure will be PIVC first attempt success defined as being able to flush the inserted catheter with 10 mL (maximum) normal saline into the vessel. A trial will be considered unsuccessful if more than gentle pressure on the syringe plunger is needed to flush the catheter or if the participant abandoned the attempt before attempting the flush. Other dependent variables will be QE duration (%), number of fixations, total movement time(s), and movement phase time(s). We will analyze data with descriptive and inferential statistics, including mixed model ANOVA and Chi-Square tests. Discussion: This study examines the significance of improving PIVC first attempt success rates and highlights QET potential as an intervention. Emphasis is placed on critical implications for health care, particularly the importance of integrating QET into nursing education programs. Future research utilizing large-scale trials and longitudinal designs is recommended.
A Fractured Coalition
Authors: Battistoni Alyssa , Cottom Tressie McMillan , Rana Aziz , Shenk Timothy , Iber Patrick 
Published: January 2025

ABSTRACT: Patrick Iber: Let’s start where AOC started a few days after the election. On Instagram, she asked people who had voted both for her and for Donald Trump to explain themselves. the answers were various. Some people mentioned Gaza. Others said things like, “You are focused on the real issues people care about”; “Trump and you care for the working class”; “I feel like Trump and you are both real”; “Voted Trump but I like you and Bernie.” What do we make of this cluster of justifications?
Art Psychotherapy Groups in the Hostile Environment of Neoliberalism: Collusion or Resistance?, Sally Skaife and Jon Martyn (eds) (2022)
Authors: Nash Gary , Bird Jamie 
Published: January 2025

Review of: Art Psychotherapy Groups in the Hostile Environment of Neoliberalism: Collusion or Resistance?, Sally Skaife and Jon Martyn (eds) (2022)
New York: Routledge, 220 pp.,
ISBN 978-0-36761-984-8, p/bk, $36.95
If Colors Could Be Heard: Narratives About Racial Identity in Music Education, C. Cayari, J. D. Thompson and R. S. Rajan (eds) (2025)
Authors: Zamora-Pasquier Jarelys 
Published: January 2025

Review of: If Colors Could Be Heard: Narratives About Racial Identity in Music Education, C. Cayari, J. D. Thompson and R. S. Rajan (eds) (2025)
Bristol: Intellect, 288 pp.,
ISBN 978-1-83595-167-5, h/bk, $124.95
Grain size characterization of nickel alloy 718 with optimized metallographic sample preparation route followed by a novel etching technique
Authors: Saha S. , Wiese G. 
Published: January 2025

Abstract
A suitable etching technique can distinguish the appearance of microscopic features such as grain boundaries (GBs), annealing twins (TBs), and precipitates, unlike nonmetallic inclusions, voids, and microcracks, which are visible in as-polished conditions. The difficulties arise when a semi-automatic or automatic grain size (GS) analyzer detects the TBs in addition to GBs concurrently. This study introduces a novel etching technique that has selectively highlighted the GBs without or faintly emphasizing TBs in heat-treated additively manufactured (AM) and wrought nickel alloy 718, respectively. The authors then measured the GS using the comparison and intercept procedure (lineal and Abrams three-circle) according to ASTM E112-2013. Moreover, the comparative study identified the comparison procedure as the most effective approach based on accuracy, post-processing, and time consumption. However, it had limitations in terms of precision and applicability. In contrast, the intercept procedure emerged as the preferred choice for higher accuracy demands.
High-resolution microscopy of biofilm and bacteria on titanium implants
Authors: Friso F. , Jung A. , Halatsch M.-E. , Alfieri A. , Radis R. 
Published: January 2025

Abstract
Implant-associated spine infection (IASI) is related to bacteria and the formation of biofilm. Numerous analyses on the formation mechanism of biofilm have been reported based on in vitro studies. However, the available literature is lacking detailed high-resolution characterization of biofilms on surgically removed implants.
The present work deals with the development of a simplified fixation protocol applied on ex-situ Ti-6Al-4V implants. High-resolution scanning electron microscopy was applied for detailed characterization of various types of bacteria as well as biofilm structures. Erythrocytes and Staphylococci as well as fibrin networks were observed on implants removed from different patients. Moreover, the application of the new fixation protocol together with high-resolution microscopy revealed fully developed biofilms totally covering the bacteria as well as very fine structures attaching the bacteria to the implant surfaces, corresponding to early stages of biofilm formation.
Microstructural characteristics and mechanical properties of WAAM components
Authors: Sommer K. , Pfennig A. , Sammler F. , Heiler R. 
Published: January 2025

Abstract
Wire arc additive manufacturing (WAAM) is a process enabling the deposition of components with complex geometries while using high deposition rates. The WAAM process is associated with specific thermal process conditions resulting in inhomogeneities in the microstructure and thus, anisotropic properties within a component.
Using a WAAM component made of high-alloy steel 1.4370 as an example, correlations between the microstructural gradients and the mechanical properties will be studied based on hardness measurements. To this end, the phases and characteristic features present in the microstructure will be linked to hardness profiles measured in different regions of the WAAM component.
Failure analysis of LCF cracked medium-voltage switch bellows
Authors: Fischer B. , Giller M. , Neidel A. 
Published: January 2025

Abstract
Three cracked spring bellows used for medium voltage switches were subjected to materialographic examinations. They were installed in switches that were tested in the test facility performing simulated switching cycles and failed prematurely. The number of load cycles until crack initiation is not known. However, it was well under 10,000. The cause of the crack was low-cycle fatigue (LCF) induced by wall thinning wear resulting from a relative movement between the bellow and the inner polytetrafluoroethylene (PTFE) sleeve. Hot cracking characteristics or evidence of other fracture mechanisms were not found.
La Inteligencia Artificial en el transhumanismo y el posthumanismo: retos, desafíos y oportunidades
Authors: Cabrera Fernández Marta 
Published: January 2025

La premisa transhumanista de conseguir la mejora de las capacidades humanas más allá de sus límites naturales a través de la tecnología está intrínsecamente relacionada con la Inteligencia Artificial, la cual constituye uno de sus principales instrumentos. Gracias a ella, intervenciones como la implantación de electrodos cerebrales, que hasta ahora solo tenían fines terapéuticos, van camino de cobrar importancia como métodos de perfeccionamiento de capacidades físicas, cognitivas y memorísticas. Ante la inminencia de tales avances, es menester identificar las desigualdades que puedan ocasionar. Por ejemplo, la coexistencia con personas que se hayan servido de esta tecnología para potenciar sus capacidades llevaría a una competitividad injusta en ámbitos como el académico o el laboral. Algo similar se da desde hace años en los certámenes deportivos de élite, que se enfrentan al desafío del uso de esteroides anabolizantes que afectan a la competición igualitaria.
Será el objetivo de este trabajo presentar la situación actual de la Inteligencia Artificial con fines transhumanistas y posthumanistas para dilucidar si su completa implantación es compatible con la justa competitividad en los ámbitos mencionados. Se identificarán de esta manera los retos a los que se enfrentan las sociedades democráticas a la hora de abordar la regulación legislativa de estas circunstancias, tanto en lo relacionado al contenido de esa normativa como a su forma e incluso a su mera existencia.
RENDIMIENTO DE PARADEPORTISTAS CON SÍNDROME DE DOWN EN DOS TEST AERÓBICOS DE CAMPO
Authors: Torres Buelvas Cristian David , Mestra Salgado José Carlos , Pérez Támara Sergio Daniel , Garces Garces Francisco Miguel 
Published: January 2025

El síndrome de Down es un trastorno cromosómico que afecta el desarrollo corporal y cognitivo, con una incidencia de 1 en 1.000 a 1.100 nacidos vivos. Este estudio evaluó el rendimiento aeróbico de para deportistas con síndrome de Down en atletismo de medio fondo adaptado, utilizando el Test de 1.000 metros y el Test de Cooper. El estudio incluyó a 9 participantes de FUNDISDOWN en Sincelejo, con edades entre 18 y 50 años. Las pruebas se realizaron en condiciones controladas para asegurar una correcta hidratación y descansos adecuados. Se implementaron protocolos de seguridad con personal capacitado y equipo de primeros auxilios. La prueba de 1.000 metros mide la capacidad aeróbica basándose en el tiempo empleado para recorrer la distancia, mientras que el Test de Cooper evalúa la distancia recorrida en 12 minutos. Los resultados mostraron que los participantes tenían una edad promedio de 35,1 años, un peso promedio de 62,1 kg y una estatura media de 1,49 metros. En el Test de 1.000 metros, el tiempo promedio fue de 874,3 segundos, y en el Test de Cooper, la distancia media recorrida fue de 582,1 metros. En conclusión, se recomienda la replicación del estudio con una muestra más amplia y diversa para validar los hallazgos y proporcionar una visión más completa del rendimiento aeróbico en personas con síndrome de Down.