bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dynamic Mixed-Reality Patient-Specific Aneurysm Clipping Simulation for Two Cases—A Feasibility Study
Authors: Joseph Fredrick J. , Cuba Miguel , Murek Michael , Raabe Andreas , Bervini David 
Published: December 2023

BACKGROUND AND OBJECTIVE:
Intracranial aneurysm (IA) clipping is a complex neurosurgical procedure which demands advanced technology to minimize risks and maximize patient outcomes. This study aims to evaluate the feasibility of training patient-specific microsurgical clipping procedures using a mixed-reality physical neurosurgical simulator for unruptured IA.

METHODS:
Two board-certified neurosurgeons were asked to simulate surgery in 2 patient-specific left-side unruptured middle cerebral artery-bifurcation IA models. The study was conducted in the operation theater under realistic conditions using a mixed-reality physical neurosurgical simulator. Time, procedural, and outcome-related information was collected. The participating neurosurgeons were encouraged to attempt all possible clipping strategies, even those deemed suboptimal, reporting the outcome of each strategy. Finally, to evaluate the feasibility and added value of integrating indocyanine green fluorescence angiography (ICG-FA) with the simulator, the ICG-FA videos for each clipping strategy were analyzed and compared with the reported clipping outcomes.

RESULTS:
Between 4 and 8, different clipping strategies were applied per aneurysm model; the number of strategies was higher in Patient Model 1 (6.5 ± 1.5) (more complex aneurysm) than in Patient Model 2 (5.0 ± 1.0). The clipping strategies differed between surgeons. At most, 53.5 minutes were necessary to complete each training session, but more than double the time was spent on the more complex aneurysm. Up to 53.8% (Patient Model 1) and 50% (Patient Model 2) of the attempted strategies were discarded by the neurosurgeons during the simulation. Evaluation of aneurysm occlusion through ICG-FA was specific, although sensitivity was poor.

CONCLUSION:
The present mixed-reality patient-specific simulator allows testing, anticipating, and discarding different aneurysm microsurgical clipping strategies regardless of the pathology complexity. Specific limitations should be considered regarding ICG-FA aneurysm inspection after clipping.
Epidemiology and clinical characteristics of adult patients presenting to a low resource, tertiary care emergency department in Pakistan: Challenges & Outcomes
Authors: Farooq Wasfa , Kazi Kulsum , Saleem Syed Ghazanfar , Ali Saima 
Published: December 2023

Objectives: Emergency Departments (EDs) play a major role in managing acute and chronic illnesses, especially in low-to-middle-income countries like Pakistan, which lacks effective primary healthcare. This study reports the epidemiology and clinical characteristics of patients presenting over a two-year period at the Indus Hospital and Health Network (IHHN) adult ED in Karachi, Pakistan.
Methods: This is a retrospective observational study conducted through chart review of 264,859 patients, aged 16 years and above, who presented to the IHHN ED, Korangi Campus, from January 2019 to December 2020 after obtaining approval from IHHN IRB.
Results: Men were found to be the predominant presenting gender, with a slight rise in the number of women in 2020. The most frequent age group in 2019 was 15-25 (27.7%), whereas it was 25-35 years in 2020 (24.1%), with a decline in total number of elderly visits seen in comparison to previous years. The most frequently seen disposition was ‘referral to clinic’ in 2019 (48.4%) and ‘discharged’ in 2020 (39%). Out of all dispositions, maximum Length of stay (LOS) was seen in patients who left against medical advice in both years. Patient acuity showed the highest number of P3 (moderately ill) patients in both years. Infectious diseases accounted for greater than 10% of patients in both years (17.2% and16.5%), followed by gastrointestinal complaints (15.7% and 11.3%), genitourinary complaints (14.9% and 7.9%), and trauma (11.9% and 12.4%).
Conclusion: Knowledge of epidemiology and clinical characteristics of patients can help facilitate timely planning of staff deployment and allocation of resources to avoid overcrowding, improve patient outcomes, and increase patient satisfaction through timely management.
doi: https://doi.org/10.12669/pjms.40.2(ICON).8975
How to cite this: Farooq W, Kazi K, Saleem SG, Ali S. Epidemiology and clinical characteristics of adult patients presenting to a low resource, tertiary care emergency department in Pakistan: Challenges & Outcomes. Pak J Med Sci. 2024;40(2):S21-S27. doi: https://doi.org/10.12669/pjms.40.2(ICON).8975
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Game Changing Solutions in Healthcare
Authors: Fahim Ammad , Reza Sayyeda Ezra 
Published: December 2023

doi: https://doi.org/10.12669/pjms.40.2(ICON).9128
How to cite this: Fahim A, Reza SE. Game Changing Solutions in Healthcare. Pak J Med Sci. 2024;40(2):S3. doi: https://doi.org/10.12669/pjms.40.2(ICON).9128
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol.
Authors: Callan Fiona , Keating Louise , Casserley-Feeney Sarah , French Helen P. 
Published: December 2023

Background: Clinical specialist physiotherapist-led musculoskeletal triage clinics were introduced nationally in Ireland in 2011 to improve patient care and reduce waiting times for secondary care orthopaedics and rheumatology. Evidence has shown them to be effective in reducing waiting lists, however there are currently no data on longitudinal patient outcomes following clinic attendance. The primary aim of this cohort study is to identify predictors of pain and function outcomes up to one year following musculoskeletal triage review. Secondary aims include measuring self-reported use of healthcare resources over the 12-month follow-up period and to explore musculoskeletal phenotypes based on established prognostic factors for musculoskeletal pain. This is a prospective cohort study. Methods: ADvAnced PhysioTherapy in MuSculosKeletal Triage (ADAPT MSK) will recruit a cohort of 252 adults through musculoskeletal triage clinics across five secondary care sites in Ireland. The STrengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines will be adhered to for future reporting. Adults (≥ 18 years old) attending physiotherapist-led musculoskeletal triage clinics with musculoskeletal pain, who do not require surgical or consultant-led medical care will be considered for participation. Participant demographics, health literacy, healthcare utilisation, and self-report questionnaires on pain, function, musculoskeletal health, musculoskeletal risk stratification, fear of movement, and psychological distress will be obtained at baseline, with follow-ups at three, six, and 12 months. Primary outcomes are pain intensity and function. Secondary outcomes include musculoskeletal risk stratification status, musculoskeletal health, healthcare utilisation, and work-related factors. Descriptive statistics will be used to profile the participants and predictors of outcome will be assessed using multivariable linear regression. Musculoskeletal phenotypes will be explored using latent class analysis. Results: Results will be disseminated via peer-reviewed journal publication and presentation at national and international conferences. Engagement with a public patient involvement (PPI) panel will explore dissemination strategies for public and service user engagement.
„Kolekcja Niemcewiczowska”. Pożytki dla badacza historii literatury romantyzmu
Authors: Dąbrowicz Elżbieta 
Published: December 2023

Dorobek Juliana Ursyna Niemcewicza nie został dotąd edytorsko scalony. Z wielu powodów. Jest obszerny, różnorodny i rozproszony. Ponadto ciążyły na Niemcewiczu opinie pozwalające na marginalizowanie jego miejsca w historii literatury. Widziano w nim głównie pisarza okolicznościowego, a więc literacko ułomnego. Widziano w nim też rusofoba, propagatora żarliwego, lecz źle pojętego patriotyzmu. Zaniedbania edytorskie mają ten skutek, że nie pozwalają na rozpoznanie pozycji Niemcewicza na mapie zjawisk literackich pierwszej połowy XIX wieku. Nieliczne wydania, w których częściowo zebrano jego spuściznę, sporządzili dziewiętnastowieczni edytorzy. Jedynym przedsięwzięciem późniejszym jest „Kolekcja Niemcewiczowska” firmowana przez Bibliotekę Publiczną dzielnicy Ursynów w Warszawie. Jest to jednak seria wydawnicza, nie zaś wielotomowa edycja w ścisłym sensie. Zamiarem inicjatorów „Kolekcji” było przede wszystkim udostępnienie czytelnikom tekstów Niemcewicza zalegających w autografach, wśród nich trzech powieści (Władysław Bojomir, Mniemana sierota, czyli obraz czasów oraz Konstancya, czyliże nieszczęścia występnej zalotności). Pierwotny plan uległ rozszerzeniu: dokonano również kilku przedruków publikacji, niewznawianych od XIX wieku, ponadto dwóch reedycji dzieł biograficznych poświęconych Niemcewiczowi. Ostatni tom zawiera francuski oryginał i przekład Notatek o mojej niewoli w Petersburgu w latach 1794, 1795 i 1796.
„Kolekcja” uprzystępnia wprawdzie zaledwie część spuścizny Niemcewicza, ale mimo to przynosi niemały zysk poznawczy. Pozwala m.in. przyjrzeć się od nowa popularnej w XIX wieku tematyce więziennej, tak ważnej dla polskiego narodowego imaginarium głównie za sprawą Dziadów cz. III. Niemcewicz okazuje się poprzednikiem Mickiewicza na tym polu jako autor wspomnianych Notatek oraz powieści Władysław Bojomir. Tematu więziennego nie wykorzystuje jednak – jak później Mickiewicz – w celach mitotwórczych, lecz w obronie idei państwa prawa.
Attention and Dread: Experimental Evidence on Preferences for Information
Authors: Falk Armin , Zimmermann Florian 
Published: December 2023

Recent models assume that the anticipation of future consumption can have direct utility consequences. This gives rise to preferences over the timing and structure of information. Using a novel and purposefully simple setup, we study the determinants of preferences for sooner versus later information. Our main results are as follows. We find that the majority of subjects prefer receiving information sooner. This preference, however, is not uniform but depends on the context. When the environment allows subjects to not focus attention on (negative) consumption events, later information becomes more attractive. Finally, variations in prior beliefs do not seem to have strong effects on information preferences. This paper was accepted by Marie Claire Villeval, behavioral economics and decision analysis. Funding: This work was funded by the Deutsche Forschungsgemeinschaft [Germany’s Excellence Strategy EXC 2126/1 Grant 390838866 and Grant CRC TR 224 Project A01]. Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2023.4975
Eva Palmer Sikelianos: A Life in Ruins, Artemis Leontis (2019)
Authors: Papargyriou Eleni 
Published: December 2023

Review of: Eva Palmer Sikelianos: A Life in Ruins, Artemis Leontis (2019)
Princeton, NJ: Princeton University Press, 339 pp.,
ISBN 978-0-69117-172-2, h/bk, $37.00
ISBN 978-0-69121-076-6, p/bk, $27.95

Eva Palmer Sikelianos: Yfainontas Ton Mytho Mias Zois (‘Eva Palmer Sikelianos: Weaving a Life’s Myth’), Artemis Leontis, K. Schina (Trans.) (2022)
Athens: Patakis, 480 pp.,
ISBN 978-9-60166-920-5, p/bk, €22.20
Comparative analysis of the water regime of irises of the subgenus Xyridion
Authors: Beksheneva L. F. , Reut A. A. 
Published: December 2023

The article presents the results of an experimental assessment of the features of the water regime of 11 taxa of the genus Iris L. growing in the South-Ural Botanical Garden-Institute of Ufa Federal Research Center of the Russian Academy of Sciences. The purpose of the work is to study and compare some features of the water regime of irises of the subgenus Xyridion with local species. The studies were carried out during the growing seasons of 2019-2022 using generally accepted physiological techniques (the method of saturation and artificial wilting). A detailed analysis of the daily and seasonal dynamics of three parameters of the water regime was made total water content, water-holding capacity, water deficit. Between the studied species, similarities and differences in the characteristics of the water regime were established, and the dependence of indicators on weather conditions was revealed. It was revealed that in the flora of the Republic of Bashkortostan there are species both with a wide range of variability in water-retaining capacity (I. pumila) and with a rather conservative one (I. pseudacorus, I. sibirica). Introduced taxa of Xyridion also adhere to one or another strategy, which can serve as an indicator of successful introduction. The study contributes to the identification of ecological and physiological adaptations of introduced species in comparison with native species, which can become the basis for assessing the prospects of cultivation in culture and the conservation of rare and endangered species.
"UM CORPO SEM AMPARO”
Authors: Dória de Assis Amanda , Da Silva Tavares Natacha , Schultz Wittizorecki Elisandro 
Published: December 2023

Neste trabalho visamos discutir elementos que atravessam e constituem as experiências de meninas nos anos iniciais do Ensino Fundamental de escolas da Rede Municipal de Ensino de Porto Alegre (RMEPOA). Metodologicamente trata-se de uma pesquisa qualitativa que tem como instrumentos de pesquisa entrevistas semiestruturadas realizadas com professoras. A partir disso, compreendemos que alguns elementos, como: deboches relacionados aos cabelos, exclusão, currículo eurocêntrico - afetam a experiência das meninas negras nas escolas.
COTIDIANO ESCOLAR DA EDUCAÇÃO INFANTIL E SUAS ARTES DE FAZER:
Authors: Batista Moreira de Andrade Fernanda , Torres Marco Antônio 
Published: December 2023

Um trabalho pedagógico escolar de qualidade se estabelece a partir de um bom projeto, baseado em referências do campo teórico. Ainda, um projeto pedagógico só se efetiva quando há diálogo entre os membros do corpo docente. No entanto, parece haver, entre professoras de educação infantil da Rede Municipal de Belo Horizonte, certo modo de fazer: utilizarem de astúcias e fazerem o que desejam em sala de aula, apesar das orientações da gestão escolar e das recomendações teóricas. Esta pesquisa se propõe analisar a prática dessas professoras, procurando compreender: o que essa prática produz como efeito? Como essa experiência acontece no cotidiano escolar? Para tanto, utilizamos as análises propostas por Foucault, para quem uma experiência é o modo como sujeitos se constituem a si mesmos a partir das relações que estabelecem com as possibilidades da cultura. Utilizamos também a ideia de “astúcias”, elaborada por Certeau como uma arte de fazer o cotidiano: o último recurso do fraco.
Palavras-chave: Educação Infantil. Experiência Docente. Michel Foucault. Cotidianos Escolares. Estudos de Gênero.
MULHERES E O DIREITO À VOZ: ESTRATÉGIAS PEDAGÓGICAS DE FAZER FALAR EM OBRAS ESCRITAS POR ELAS
Authors: De Oliveira Gomes Fabiana , Seffner Fernando 
Published: December 2023

O artigo analisa algumas relações de poder estabelecidas na sociedade como norma, particularmente aquelas ligadas aos marcadores de gênero e sexualidade, e se utiliza de obras literárias e jornalísticas para discutir a noção de direito à voz. As normas que regulam nossa sociedade possuem marcadores específicos, e estabelecem de muitos modos quem tem o direito de ter sua existência registrada e quem pode contar sua própria história. Muitas vozes foram silenciadas ao longo da história para que algumas poucas pudessem se expressar. O artigo investiga como artefatos culturais produzidos por mulheres podem atuar como estratégias pedagógicas de resistência do leitor no enfrentamento da violência contra as mulheres. As obras ‘Histórias de morte matada contadas feito morte morrida’, de Niara de Oliveira e Vanessa Rodrigues (2021) e ‘garotos obedientes’, de autoria de Natasha Centenaro (2018) são analisadas utilizando as pedagogias de gênero e de sexualidade como ferramentas de análise.
Asociación entre la alteración de la autopercepción del estado nutricional estilo y calidad de vida: Estudio transversal de la Encuesta Nacional de Salud de Chile 2016-2017
Authors: Espinosa Alejandra , Pettinelli Paulina , Viviani Paola , Argüello Graciela 
Published: December 2023

Introducción. La alteración de la autopercepción del estado nutricional (EN) es la discordancia entre el EN objetivo según índice de masa corporal (IMC), y la percepción del individuo. Los programas que se implementan en Chile con el objetivo de dar respuesta a las estrategias de promoción y prevención de salud, así como la vigilancia nutricional de la población bajo control del sistema público, utilizan el IMC como indicador del EN objetivo. Este estudio analizó la asociación entre la alteración de la autopercepción del EN el estilo y la calidad de vida en Chile.
Metodología. Estudio transversal analítico de datos secundarios de 5.483 participantes de la Encuesta Nacional de Salud (ENS) 2016-2017 de ≥15 años. El EN fue determinado por IMC, y la autopercepción, la calidad y los estilos de vida se determinaron mediante auto reporte.
Resultados. Se incluyeron 5.483 participantes representativo de 14,449,868 [95% IC 13.540.101-15.359.635] ≥15 años residentes en Chile. Se observó que el 51% de la población presenta discordancia del EN, 47% [95%CI 46.96 – 47.04] subestima su EN y 4.1% [95%CI 3.3-5.1] lo sobreestima. Quienes tuvieron un EN percibido y objetivo concordante, presentaron mejor percepción de la calidad de vida y mejor cumplimiento de algunas de las recomendaciones de las Guías Alimentarias Basadas en Alimentos (GABAs). Ser hombre > 30 años y tener < 8 años de escolaridad fueron los factores más influyentes en la discordancia de la autopercepción del EN.
Conclusión. La discordancia del EN está asociada a un mayor riesgo de mala calidad de vida e incumplimiento de las GABAs en la población chilena de ≥ 15 años. Estos resultados sugieren la necesidad de considerar la autopercepción del EN como un determinante del comportamiento en salud en los programas y políticas públicas.
CARPET WASTE, AN EXPENSIVE LUXURY WE MUST DO WITHOUT!
Authors: Miraftab Mohsen , Horrocks Richard , Woods Colin 
Published: December 2023

Abstract
In the U.K. the carpet industry accounts for £935 million of income each year. About 7% or £65 million of would-be extra earning is annually lost in the form of waste produced during manufacturing processes and fittings. In a recent confidential study made under the Environmental Technology Best Practice Programme landfill was identified as the main destination for most carpet waste with incineration a close second. Cost of disposal to landfill is currently estimated at about £750,000 a year. However, with increasing public concern for the environment, this figure is already rising due to introduction of large tax duties on the use of landfill. Manufacturers are consequently under pressure to reduce waste and find alternative means of utilising their waste. This paper, in the first instance, investigates the sources of waste along the entire carpet manufacturing route and assesses their quantitative measurement. It then critically reviews the current methods of dealing with processed and post consumer wastes, exploring the various methodologies applied. In conclusion the paper recommends short and long term solutions with respect to current legislative and environmental issues and calls for novel and prime quality products utilising carpet wastes as valuable raw materials rather than cheap secondary implants.
Investigations of the structure and process parameters of sewing operation
Authors: Zavec Daniela , Dragcevic Zvonko , Rogale Dubravko , Geršak Jelka 
Published: December 2023

Abstract
Original measuring equipment is presented, together with the systems aimed at investigating process parameters of the operation structure and establishing optimal working methods to evaluate properly real working conditions of the man-machine system in garment engineering and technologies. The measuring equipment consists of the system for measuring and storing data on process parameters and bi-plane system of video recording. The system for measuring and data storage is equipped with four sensors, which measure rotation speed of the main shaft, arm movements in the taking and laying-off zones, as well as the movements of pedal regulator, used to manage and control the overall sewing dynamics, all in a simultaneous and contactless manner. Bi-plane system of video recordings is used to record simultaneously the working movement systems (working methods) at the workplace analysed. The operation of seam sewing on the front part of a ladies’ costume is analysed on a designed workplace, using the above described measuring equipment and system of measuring. The whole cycle of recording the technological operation included 10 consecutive executions, while the operation is performed by an operator of an average level of skill (KPZ = 1,00, coefficient of proficiency). On the basis of process parameter measurements, employing computer processing of the signals from the sensors, graphs are obtained for the technological operation structure, with the duration of individual suboperations indicated, and also showing the changes occurring in the course of sewing caused by pedal regulator movements (which manage and control the overall dynamics of sewing and the function of the processing microcomputer of the sewing machine. Bi-plane video recording system is used to investigate the working method employed, basic movements and optimal logical sets of movements, as well as the cyclograms of the movements, used to define spatial and temporal values. The results obtained are compared with the system of synthetic normal time (MTM) and indicate negligible discrepancies.
Dynamics of yarn tension on knitting machines
Authors: Pusch T. , Wünsch I. , Offermann P. 
Published: December 2023

Abstract
The submitted paper reports a study of investigation of the dynamics of yarn tension, i.e. to the time dependence of the yarn tension on large-diameter circular knitting machines (LCKM). The special feature of this study is the fact that predictions are made for the course of the yarn tension during a single stitch-forming process. Only the yarn tension in the area of the yarn feeder and the yarn guide eye can be measured. Some results of such experimental investigations have already been published [1,2]. In this paper, additional results of theoretical model calculations are presented. In particular, by these calculations it will be possible to determine the structure of the yarn tensile force at the knitting point, i.e. in the region between knitting needles. The calculation of the yarn tension required a numerical solution of a system of non-linear differential equations. The special difficulty lies in the formulation of the non-equilibrium state of the running yarn, especially in the formulation of the robbing-back effect.
FULLY FASHIONED BIAXIAL WEFT KNITTED FABRICS
Authors: Cebulla H. , Diestel O. , Offermann P. 
Published: December 2023

Abstract
Advanced composite manufacturing processes demand the use of fully fashioned near-net shape preforms. Flat knitting technology is especially suited for the production of such products. Research work which has been carried out at the ITB proved the possibility to obtain biaxial reinforced multilayer weft knitted fabrics with fixed fabric edges, by varying the number of stitches in wale direction. The capability of this method is shown for an open cuboid and a spherical shell.