bluuebunny/crossref_metadata_2025_split huggingface dataset:
Real-time ultrasound-guided mid-thoracic epidural access using a novel paramedian cross (PX) view and drip infusion technique: a brief technical report
Authors: Sivashanmugam T , Archana Areti , Nandhini P , Rani P 
Published: February 2024

BackgroundReal-time ultrasound guidance (USG) has been applied for lower thoracic epidural access, but the more challenging mid-thoracic epidural (MTE) access remains underexplored. This report presents a technique of real-time US guidance with a novel paramedian cross view, termed “the PX view,” for securing MTE catheters, along with an outcome analysis from a retrospective case series.MethodsMedical records of patients who underwent USG-MTE catheter placement with the PX view and drip infusion technique from January to December 2022 were reviewed. All catheters were placed with patients in the prone position under mild to moderate procedural sedation. The process of acquiring the PX view, in-plane needling technique, and the use of drip infusion to identify loss of resistance were detailed. The incidence of successful PX view attainment, the number of attempts, redirections, failures, and any technique-related complications were recorded.ResultsFifty-one patients underwent USG-MTE catheter attempts, (42 with median sternotomy, 3 fractured ribs, 3 upper abdominal laparotomies, 2 modified radical mastectomies, and 1 thoracotomy). A satisfactory PX view was obtained in all patients, and the epidural space was identified during the first needle entry in 49 cases, resulting in a 96% first-attempt success rate. Seven patients required needle redirections, while two patients needed a second needle entry. No technique-related complications were documented.ConclusionThe combination of the PX view and the drip infusion method proved effective for real-time ultrasound-guided MTE catheter placement.
3D seismic analysis of complex faulting patterns and fluid escape features and their relation to Late Cenozoic Magmatism in the Bass Basin, offshore SE Australia
Authors: Velayatham Tayallen , Holford Simon , Bunch Mark , King Rosalind , Schofield Nick 
Published: February 2024

Abstract
Igneous intrusions in sedimentary petroleum basins are often perceived as having a negative impact on the elements of the petroleum system, though the impact of intrusion-related deformation features on petroleum systems and broader geoenergy applications is not well understood. In this study, we use 3D seismic reflection data to document a variety of deformation styles that are spatially and temporally associated late Cenozoic magmatic activity in the Bass Basin, offshore southeastern Australia; three types of normal fault systems (conjugate faults, concentric faults, radial faults) and fluid escape pipes. These deformation features occur in the overburden up to ∼600 m above underlying igneous intrusions, within the Eocene to Miocene Demons Bluff and Torquay formations. The conjugate faults bound graben and are interpreted to have formed in response to underlying dyke intrusions. The radial faults are interpreted to have formed in response to overburden uplift, though the link between these and associated igneous activity is less clear. We identify 101 fluid escape features that show variation in both the morphology of their surficial depressions and of the seismic reflection characteristics of their infilling deposits. These features are interpreted to be hydrothermal or volcanic vents with underlying pipe-like feeders, depending on their spatial association with adjacent or underlying igneous intrusions. The concentric fault systems are associated with surficial depressions, and quantitative analysis of reflection sags within these depressions suggest that they are a result of subsurface subsidence in response to formation of maar-craters. The intrusion-related deformation features documented in this study may have multiple effects on working petroleum systems, such as providing secondary fluid flow pathways that can either reduce seal integrity, or enabling migration of fluids into shallower reservoirs.
Narrativas de trabalho e resistência socioambiental no assentamento Canudos em Goiás
Authors: Specian Valdir , Chaveiro Eguimar Felício , Soares Fernando Uhlmann 
Published: February 2024

Este artículo tiene como objetivo presentar los conflictos y las resistencias socioambientales en el contexto del trabajo de los colonos en el Proyecto de Asentamiento Rural de Canudos-Palmeiras de Goiás/GO. La observación participante fue la metodología utilizada para la inserción en la vida cotidiana del asentamiento. Los resultados revelan un proceso de transformación del uso de la tierra en las parcelas de asentamiento con la introducción de la agricultura de granos para la exportación con consecuencias directas para las familias, así como las posibilidades de resistencia socioambiental y de conservación del Cerrado en el contexto de la agroecología.
The Influence of Tibial Tubercle–Sparing Slope-Reducing Osteotomy on Patellar Height in Patients Undergoing Revision ACL Reconstruction
Authors: Guy Sylvain , Saithna Adnan , Ferreira Alexandre , Carrozzo Alessandro , Vieira Thais Dutra , Ollivier Matthieu P. , Sonnery-Cottet Bertrand 
Published: February 2024

Background: A posterior tibial slope (PTS) >12° is an independent risk factor for anterior cruciate ligament (ACL) graft rupture, and a high tibial osteotomy (HTO) for slope correction can help avoid it. Management of patellar height is of major concern when performing HTO. Purpose: To evaluate the effect of tibial tubercle–sparing anterior closing-wedge osteotomy on patellar height in revision ACL reconstruction (ACLR). Study Design: Case series; Level of evidence, 4. Methods: Patients who underwent arthroscopic revision ACLR combined with retro–tibial tubercle anterior closing-wedge HTO (ACW-HTO) between January 1, 2016, and March 31, 2021, were assessed for eligibility. Patellar height was measured on full weightbearing lateral radiographs according to the Insall-Salvati index (ISI) and Caton-Deschamps index (CDI) or frontal radiographs using the femoral patellar height index. The PTS was evaluated using the proximal anatomic axis of the tibia on standard short lateral radiographs. The delta (postoperative – preoperative) and the ratio (preoperative/postoperative) of the 3 patellar height indices and PTS were calculated. Preoperative and postoperative patellar heights were compared using independent t tests for each index. Also investigated was whether patients changed patellar height category (baja, normal, or alta) after slope osteotomy. Results: Among 475 revision ACLRs, 47 tibial tubercle–sparing ACW-HTOs were retained for analysis. No significant difference in patellar height was found between pre- and postoperative radiographs regardless of the index (preoperative – postoperative) (ISI: 1.0 ± 0.2 – 0.9 ± 0.2, P = .1729; CDI: 1.0 ± 0.2 – 1.0 ± 0.2, P = .4034; femoral patellar height index: 1.5 ± 0.2 – 1.5 ± 0.2; P = .5130). Fifteen patients (31.9%) exhibited a postoperative change in their patellar height category when measured by the ISI (6 moved up a category, 9 moved down one), and 18 patients (38.3%) changed category according to the CDI (10 moved up a category, 8 moved down one). No significant difference was found between pre- and postoperative patellar height among these patients (ISI: P = .2418; CDI: P = .3005). Conclusion: Changes in patellar height ratio are common after tibial tubercle–sparing ACW-HTO in patients undergoing revision ACLR. The clinical effect of these changes is unknown, and further study is needed to investigate whether they may result in patellofemoral symptoms.
Gamification as a Tool for Promoting Physical Exercise and Healthy Eating Habits in Healthcare Worker Women: Effects on Cardiometabolic Health and Physical Fitness at Workplace
Authors: Gimenez Lucas B. , Teixeira do Amaral Vanessa , Locato Gabriel , Marçal Isabela R. , Ferron Artur J. T. , Ciolac Emmanuel G. 
Published: February 2024

Purpose To evaluate the effectiveness of gamified versus nongamified health promotion interventions on cardiometabolic health and fitness parameters in healthcare worker women. Design Randomized parallel group trial. Setting A public outpatient health center in Brazil. Subjects Women employees (included: n = 29; lost to follow-up: n = 1; analyzed: n = 28). Interventions 8 weeks of gamified (n = 15) or nongamified (n = 13) interventions, consisting of health lectures, nutritional counseling, and supervised exercise training. The gamified group was divided into teams that received points based on completion of health goals/tasks. Measures Anthropometric, cardiometabolic and physical fitness parameters. Analysis Two-way ANOVA with repeated measures (group vs. time), and Bonferroni post hoc tests. Results Body mass (-1.5 ± 1.5 kg), waist circumference (-1.6 ± 3.0 cm), HbA1C (-.2 ± .3%), triglycerides (-21.5 ± 48.2 mg/dl), systolic (-11.1 ± 7.9 mmHg) and diastolic (-7.1 ± 5.8 mmHg) blood pressure, as well as sit and reach (3.9 ± 3.0 cm) and six-minute walking (56 ± 37 m) performance improved ( P < .05) only after the gamified intervention. Sit-to-stand performance improved after both the gamified (-1.18 ± 1.24 s) and nongamified (-1.49 ± 1.87 s) interventions. Conclusion The gamified intervention was more effective than the nongamified intervention for improving cardiometabolic and physical fitness parameters, suggesting that gamification may be an effective tool for promoting health in healthcare worker women.
Immune Thrombocytopenic Purpura and Intracranial Stenting
Authors: Pathan Sophia 
Published: February 2024

Patients with immune thrombocytopenic purpura (ITP) presenting with indications for dual antiplatelet therapy (DAPT) can be difficult to manage due to the precarious balance of managing the need for increased platelet counts as well as inhibition of platelet activity. This case represents a 65 year old woman with ITP who presented with a bilateral subarachnoid hemorrhage secondary to a left ophthalmic aneurysm that required placement of a pipeline embolization device (PED) necessitating DAPT. After treatment of her ITP with pulse dexamethasone for four days, she was safely discharged on one month of DAPT with aspirin and ticagrelor then switched to aspirin monotherapy without any immediate complications. During her period of DAPT, she did not receive additional medical treatment for her ITP. This case successfully presents a high-risk ITP patient requiring DAPT for a neurosurgical procedure and illustrates that these patients can be safely and successfully treated with DAPT once their ITP is stabilized.
Müller-Weiss Disease: Midfoot Arthrodesis in Reduction vs Malreduction
Authors: Bai Wenbo , Xu Jingcheng , Zhang Hongning , Li Xue , Zou Yunxuan , Shen Guodong , Zhu Yongzhan 
Published: February 2024

Background: Midfoot arthrodesis is regarded as the main surgical approach for treating Müller-Weiss disease (MWD). This study aimed to investigate the incidence of postoperative pain during MWD treatment through midfoot reduction or malreduction during arthrodesis and to explore the factors influencing postoperative pain in patients with MWD. Methods: A total of 67 patients with MWD were recruited and divided into two groups according to whether midfoot alignment was reduced: reduction group ( n = 38) and malreduction group ( n = 29). Demographic characteristics before the operation and at the last follow-up, as well as clinical and radiographic parameters, were compared between the two groups. Clinical parameters included the American Orthopaedic Foot & Ankle Society score and visual analog scale score, whereas radiographic parameters included the calcaneal pitch angle, lateral Meary’s angle, talometatarsal-1 angle dorsoplantar (TMT1dp), talocalcaneal angle dorsoplantar (Kite angle), talonavicular coverage angle, and medial navicular pole extrusion. Postoperative complications and incidence of midfoot pain were evaluated at the last follow-up visit. Results: The reduction group exhibited better clinical and radiological parameters, including the TMT1dp and medial navicular pole extrusion, than the malreduction group at the last follow-up (all P < .05). However, the calcaneal pitch angle, lateral Meary’s angle, Kite angle, and talonavicular coverage angle did not significantly differ between the two groups (all P > .05). The overall incidence of midfoot pain was 26.4%. The reduction group showed a lower incidence of medial pain than the malreduction group (15.7% vs. 40.0%, P < .05). Regression analysis revealed that midfoot abduction, represented by the TMT1dp, was a critical factor for midfoot arthrodesis failure and that medial navicular pole extrusion was not correlated with postoperative midfoot pain. Conclusion: Midfoot reduction arthrodesis yields better clinical outcomes than malreduction arthrodesis. The TMT1dp, representing midfoot abduction, is a key factor for midfoot arthrodesis failure. The extruded medial navicular bone may not affect postoperative medial midfoot pain. Level of Evidence: Level III, retrospective comparative study.
Correlation Between Life Satisfaction and Symptoms of ADHD in Dental Students: The Mediation of Resilience
Authors: Sun Yuwei , Miao Lei , Chen Siying , Piao Zhenya , Tong Chi 
Published: February 2024

Objective: This study explores the correlation between life satisfaction and ADHD symptoms. It also discusses whether resilience mediates the correlation between ADHD symptoms and life satisfaction. Method: We surveyed 297 dental students. A total of 291 completed a self-report scale consisting of the Adult ADHD Self-Report Scale, Wender Utah Rating Scale, Life Satisfaction Scale, and Conner–Davidson Resilience Scale. The study used hierarchical linear regression analysis, resampling, and asymptotic strategies for data processing. Results: The ADHD screening results of the self-report scale were positive for 6.87% of the students. This positive rate differed among participants of diverse ages and varying paternal education levels. ADHD symptoms were negatively correlated with life satisfaction and resilience. Life satisfaction was observably positively associated with resilience. Resilience serves as a mediating role between life satisfaction and the two symptoms of ADHD. Conclusion: Resilience intervention programs can enhance the life satisfaction of dental students, especially those with positive ADHD symptoms screening.
The Cutler-Beard flap for upper eyelid reconstruction: Surgical indications revisited
Authors: Franzolin Elia , Quaranta Leoni Flavia , Quaranta Leoni Francesco M. 
Published: February 2024

Purpose To present the long-term outcome of the Cutler-Beard two-stage technique in patients with large full-thickness upper eyelid defects after tumor excision. Methods The medical records of 24 patients with large full-thickness upper eyelid defects reconstructed with the Cutler-Beard technique from January 2000 to January 2021 were retrospectively reviewed. All the defects involved ≥ 60% of the horizontal length of the upper eyelid and extended vertically for at least 15 mm from the eyelid margin. Patients with follow-up < 24 months were excluded. Long-term postoperative complications, functional outcome, and patient's satisfaction at the end of the follow-up were evaluated. Results Patients’ age ranged from 36 to 88 (mean 66.0  ±  10.7 years) and 58.3% were females. Seven patients (29.2%) had had previous eyelid surgeries. The most common diagnosis was basal cell carcinoma (62.5%), followed by sebaceous gland carcinoma (12.5%), squamous cell carcinoma (8.3%), and Merkel cell carcinoma (8.3%). The mean duration of follow-up was 53.0  ±  16.9 months. Eleven patients (45.8%) developed upper eyelid entropion: 9 were treated conservatively with a therapeutic contact lens, 2 patients required a third operating stage. Most patients achieved a satisfactory functional and aesthetical outcome at the end of the follow-up. Conclusions Although non-bridging techniques are usually favored to reconstruct large upper eyelid defects, the Cutler-Beard bridge flap is a valuable technique in case of large horizontal defects where the vertical gap is greater than 15 mm. Further surgical steps are rarely necessary; however, alternative techniques should be considered following excision of highly malignant tumors.
Clinical and optical coherence tomography biomarkers as prognostic factors in dexamethasone intravitreal implant for diabetic macular edema
Authors: Oliverio Giovanni William , Meduri Alessandro , Brancati Valentina Urzì , Ingrande Irene , De Luca Laura , Raimondo Enrico Di , Minutoli Letteria , Aragona Emanuela , Aragona Pasquale 
Published: February 2024

Purpose Aim of the study was to evaluate the efficacy of dexamethasone (DEX) 0.7 mg intravitreal implant in patients with diabetic macular edema (DME) and serous retinal detachment (SRD), and to study the prognostic factors on a follow up of 12 months. Methods Forty eyes of twenty- six patients with centre involving DME and SRD, who underwent DEX implant, were enrolled. Best-corrected visual acuity (BCVA), Swept source OCT imaging and intraocular pressure were evaluated. Central macular thickness (CMT), vitreomacular adhesion (VMA), disorganization of retinal inner layers (DRILs), hyperreflective dots (HRD), SRD and ellipsoid zone (EZ) disruption were included in the analysis at baseline and 12 months after implant. Results According to our parametric analysis, at 12 months, BVCA improvement from 48.6 ± 23.4 letters to 53.3 ± 24.5 letters was statistically significant ( p = 0.04), CMT decreased from 460 ± 99.52 μm to 322.9 ± 117 μm. The presence at baseline of VMA ( p = 0.01), EZ disruption ( p = 0.03) and DRILs ( p = 0.04), were associated with poor BCVA improvement at the end of follow-up. Conclusion In conclusion, OCT biomarkers can be considered significant prognostic factors for treatment outcome in patients with DME undergoing DEX intravitreal implant.
Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study
Authors: Lewinski Allison A , Shapiro Abigail , Crowley Matthew J , Whitfield Chelsea , Jones Joanne Roman , Jeffreys Amy S , Coffman Cynthia J , Howard Teresa , McConnell Eleanor , Tanabe Paula , Barcinas Susan , Bosworth Hayden B 
Published: February 2024

Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans’ experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. regimen, emotional, interpersonal, healthcare provider) informed the interview guide and analysis (structural coding using thematic analysis). The mean age of the cohort ( n = 36) was 59.1 years (SD 10.4); 8.3% of patients were female and 63.9% were Black or Mixed Race; mean A1C was 8.8% (SD 2.0); and mean DDS score was 2.4 (SD 1.1), indicating moderate distress. Veterans described DD and challenges to T2DM self-management across the four domains in the Diabetes Distress Scale. We found that (1) Veterans’ challenges with their T2DM self-management routines influenced DD and (2) Veterans experienced DD across a wide range of domains, indicating that clinical interventions should take a “whole-person” approach. Trial Registration: NCT04587336
Differences in Lumbopelvic Alignment in Adolescent Male Soccer Players With Bilateral and Unilateral Lumbar Bone Stress Injuries: An MRI Evaluation
Authors: Tsutsui Toshiharu , Kamikubo Toshinao , Sakamaki Wataru , Takei Seira , Maemichi Toshihiro , Torii Suguru 
Published: February 2024

Background: Differences in the physical characteristics of bilateral and unilateral lumbar bone stress injuries (BSIs) are unknown. Purpose: To compare bilateral and unilateral lumbar BSIs in adolescent male soccer players, with a focus on lumbopelvic alignment. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 78 players (age range, 12-15 years) from a local soccer club who had magnetic resonance imaging (MRI) evaluations were included in the study. Lumbopelvic alignment and lumbar BSI were evaluated using short-tau inversion recovery and 3-dimensional LAVA on 3-T MRI; lumbar BSI was defined as the presence of bone marrow edema and/or the complete and incomplete fracture in the pars region on the MRI. Pelvic tilt (PT) and pelvic outflare angles were assessed on the kicking and pivoting sides, and asymmetry for each parameter was calculated by subtracting the kicking side from the pivoting side. In addition, the lumbar lordosis (LL), sacral slope (SS), and SS relative to LL (calculated by subtracting LL from the SS) were assessed. One-way analysis of variance was performed to compare lumbopelvic alignment in players with bilateral BSI, unilateral BSI, or no abnormal findings (controls). Results: No significant differences were found regarding lumbopelvic alignment between the players with bilateral versus unilateral lumbar BSI. PT asymmetry was significantly greater in both players with bilateral lumbar BSI and unilateral lumbar BSI compared with controls ( P = .018 and P = .016, respectively). In addition, SS relative to LL was significantly greater in players with bilateral lumbar BSI compared with controls ( P < .001). Conclusion: Although there were no significant lumbopelvic alignment differences between bilateral and unilateral BSI, players with bilateral BSI exhibited increased sacral anterior tilt relative to the LL, and the pelvis was more posterior on the pivoting side than on the kicking side in both players with bilateral BSI and unilateral BSI. Our results suggest that lumbopelvic alignment assessment may contribute to the management strategy for players with lumbar BSI and to the identification of players at high risk of lumbar BSI.
From Digital Human Modeling to Human Digital Twin: Framework and Perspectives in Human Factors
Authors: He Qiqi , Li Li , Li Dai , Peng Tao , Zhang Xiangying , Cai Yincheng , Zhang Xujun , Tang Renzhong 
Published: February 2024

AbstractThe human digital twin (HDT) emerges as a promising human-centric technology in Industry 5.0, but challenges remain in human modeling and simulation. Digital human modeling (DHM) provides solutions for modeling and simulating human physical and cognitive aspects to support ergonomic analysis. However, it has limitations in real-time data usage, personalized services, and timely interaction. The emerging HDT concept offers new possibilities by integrating multi-source data and artificial intelligence for continuous monitoring and assessment. Hence, this paper reviews the evolution from DHM to HDT and proposes a unified HDT framework from a human factors perspective. The framework comprises the physical twin, the virtual twin, and the linkage between these two. The virtual twin integrates human modeling and AI engines to enable model-data-hybrid-enabled simulation. HDT can potentially upgrade traditional ergonomic methods to intelligent services through real-time analysis, timely feedback, and bidirectional interactions. Finally, the future perspectives of HDT for industrial applications as well as technical and social challenges are discussed. In general, this study outlines a human factors perspective on HDT for the first time, which is useful for cross-disciplinary research and human factors innovation to enhance the development of HDT in industry.