bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multidisciplinary management of persistent pain in primary care—A systematic review
Authors: Huttunen Merja H. , Paananen Markus , Miettunen Jouko , Kalso Eija , Marttinen Maiju K. 
Published: January 2024

AbstractBackground and ObjectiveA multidisciplinary approach is the gold standard in the management of persistent pain and is current practice in tertiary pain clinics. However, such approaches seem to be a rarity in primary care, although pain is the most common reason for visiting a primary care physician. A comprehensive systematic review was conducted to explore whether studies on multidisciplinary management programs for persistent pain exist in primary care.Databases and Data TreatmentPubMed, Ovid MEDLINE, Scopus, CINAHL, and PsychINFO were searched from inception to October 2022, and supplementary research was conducted in June 2023. Screening, data extraction, and quality assessment were independently carried out by two researchers. The inclusion criteria were (1) adult patients (age >18 years); (2) non‐cancer pain, persisting over 3 months; (3) multidisciplinary intervention (treatment included ≥3 heathcare professionals); (4) intervention conducted in a primary care setting; and (5) reports published in English.ResultsOf the 1250 initially identified studies, 17 were selected for final analysis. Only studies reporting empirical data were included (cohort, case–control, randomized controlled trial, and observational). The study settings and intervention characteristics showed great heterogeneity. The primary care practices also varied across different countries and cultures. Overall, the quality of the studies was rather low and sample sizes were relatively small.ConclusionsThe review revealed that studies about such treatment interventions for persistent pain patients are scarce. The existing studies were heterogeneous in terms of intervention characteristics, population, outcome variables, and study methodology. Future studies are urgently needed.SignificancePersistent pain is a growing challenge to the health care system, and most patients are treated in primary care. The biopsychosocial concept is the basis for the multidisciplinary management of pain. The review revealed that studies about treatment interventions for persistent pain patients are scarce. Existing studies were heterogeneous in terms of intervention characteristics, population, outcome variables, and study methodology. There is an urgent need for further studies on systematic multidisciplinary treatment protocols for managing persistent pain in primary care.
Beyond activity patterns: The complex process of activity management among individuals with chronic musculoskeletal pain after an orthopaedic trauma
Authors: Mbarga J. , Favre C. , Ribeiro C. , Pichonnaz C. , Ancey C. , Foley R.‐A. , Leger B. , Luthi F. 
Published: January 2024

AbstractContextIndividuals must change the way they perform activities in response to chronic pain. In the literature, three activity patterns are commonly described: avoidance, pacing, and persistence. Many studies have explored these activity patterns. However, little research has delved into the factors that lead people to adopt a particular activity behaviour. This study aimed to explore the relationship that people with chronic musculoskeletal pain have with activity and highlight the factors underlying their practices.MethodsThe qualitative study was conducted by researchers in the social sciences, physiotherapy, psychology, and rehabilitation medicine. Observations of vocational workshops and semi‐structured interviews were conducted with 33 persons undergoing rehabilitation for chronic musculoskeletal pain after an accident.ResultsPatients' declarations and actions show that any one patient will alternate between activity patterns: the same person may adopt a strategy of avoidance, pacing or persistence depending on the context, the importance of the activity, personal objectives, and representations of self, pain, and activity. The decision to engage in a particular behaviour is based on a process of self‐negotiation weighted by the circumstances, the nature of the activity, the importance attached to it, and the individual's perceived ability.ConclusionOur study emphasized the complexity of physical, social, and contextual factors that intervene in the relationship toward activity. Rather than favouring pacing, the therapist's role in rehabilitation might be to reinforce the reflexive process and the patient's adaptability in approaching the activity, to foster the capacity to find flexible solutions.SignificancePatients choose an activity pattern (avoidance, pacing, persistence) according to the challenges they face in their daily lives. Context, representations of self and activity, as well as goals sought influence these choices. Some patients report having learned to adapt their activity management strategies. Therefore, therapeutic approaches in the rehabilitation context could focus on these adaptive capacities to offer patients optimal pain and activity management and develop their ability to use different strategies according to the circumstance.
Ostracizers’ mark of disgrace: Social exclusion increases the actor–observer difference
Authors: Albath Elianne A. , Stephan Elena , Greifeneder Rainer 
Published: January 2024

AbstractThe actor–observer difference describes the tendency to explain own actions with variable and external aspects, but others’ actions with stable and internal characteristics. We test two opposing predictions of how changes in attribution vary as a function of being ignored and excluded. On the one hand, individuals may cope by psychologically distancing themselves from sources of exclusion, potentially producing stable and internal representations of them. On the other hand, excluded individuals are particularly sensitive to social cues, which may foster a more variable and externally motivated representation of sources’ behaviours. Consistent with the first prediction, excluded (vs. included) individuals (total N = 1,052 in four studies) perceived causes for negative hypothetical outcomes as more internal and, to a somewhat lesser extent, more stable for others involved in the interaction. The use of different methodological approaches across studies attests to this conclusion's robustness and addresses alternative explanations.
Towards next generation power grid transformer for renewables: Technology review
Authors: Agarwala Amrita , Tahsin Toki , Ali Md. Firoj , Sarker Subrata K. , Abhi Sarafat Hussain , Das Sajal K. , Das Prangon , Hasan Md. Mehedi , Tasneem Zinat , Islam Md. Manirul , Islam Md. Robiul , Badal Md. Faisal R. , Ahamed Md. Hafiz 
Published: January 2024

AbstractThis paper develops a technical framework for the next‐generation power grid transformer (NGPGT) for grid renewables. This framework is structured to overcome the environmental challenges produced by the explosive use of nonrenewable base energy generation sources. The use of these sources cannot meet the required electricity for the world's growing community due to their availability, cost, and lack of flexibility. However, modern energy systems focus on the use of renewable energy sources, where the grid transformer's interaction plays an essential role in their generation, transmission, and distribution. The lack of centralization, local monitoring, interoperability, authenticity, and precise bi‐directional flow may limit the application of current framework power grid transformers in grid renewables. In this paper, a new technical framework, called NGPGT, is developed by introducing some extended features for addressing the challenges shown in current‐generation transformers. This is structured by enabling some advanced technical features with the existing framework, which includes automatic condition monitoring, intelligent inverters, edge computing, automatic controlling, and intelligent management. This paper also illustrates the benefits and scope of the NGPGT compared to the existing transformer by assembling essential requirements and obligatory components. Additionally, this paper highlights a few difficulties of implementing NGPGT in terms of operational, communication, energy management, and economic points of view, which may enable further research scopes for the researchers.
Forecasting exchange rates: An iterated combination constrained predictor approach
Authors: Alexandridis Antonios K. , Panopoulou Ekaterini , Souropanis Ioannis 
Published: January 2024

AbstractForecasting exchange rate returns is of great interest to both academics and practitioners. In this study, we forecast daily exchange rate returns of six widely traded currencies using combination and dimensionality reduction methods. We propose a hybrid iterated combination with constrained predictor approach. In addition, we examine the impact of positivity constraints on the forecasting ability of each method. Our results indicate that the proposed hybrid method outperforms the simple linear bivariate method and both the iterated combination and the predictor constrained approaches. Positivity constraints significantly improve the forecasting ability of all methods.
Microvascular reconstruction of medication related osteonecrosis of the head and neck
Authors: Sweeny Larissa , Long Sallie M. , Pipkorn Patrik , Wax Mark K. , Thomas Carissa M. , Curry Joseph M. , Yang Sara , Lander Daniel , Chowdhury Farshad , Amin Dev , Kane Anne C. , Miles Brett A. , Salama Andrew , Cannady Steven B. , Tasche Kendall , Mann Derek , Jackson Ryan 
Published: January 2024

AbstractBackgroundMedication related osteonecrosis of the jaw (MRONJ) requiring free flap (FF) reconstruction is uncommon with limited reported findings.MethodsMulticenter, retrospective case series of 49 consecutive adult patients presenting with advanced MRONJ requiring FF reconstruction from 2010 to 2022. Perioperative complications and outcomes were analyzed.ResultsEighty‐two percent (n = 40) of cases were of the mandible and 18% (n = 9) were of the maxilla. The mean follow‐up was 15 months (±19.6). The majority of FF survived (96%, n = 47). FF reconstructions of the maxilla were more likely to require postoperative debridement (56%, 95% CI [27, 81%] vs. 15%, 95% CI [7, 25%], p = 0.008) or develop intraoral bone exposure (56%, 95% CI [27, 81%] vs. 18%, 95% CI [9, 27%], p = 0.02). Most patients (71%, n = 35) received preoperative antibiotics which was associated with a higher rate of FF survival (100% vs. 86%, 95% CI [60, 96%], p = 0.02) and fewer complications.ConclusionsPatients undergoing FF reconstruction for MRONJ do well with high rates of FF success. MRONJ of the maxilla have a higher rate of some complications. Preoperative antibiotics correlated with higher FF survival and fewer postoperative complications.
Impact of cervical lymph node metastasis on transoral surgery for hypopharyngeal squamous cell carcinoma: A retrospective multicenter study
Authors: Ushiro Koji , Watanabe Yoshiki , Kishimoto Yo , Kawai Yoshitaka , Fujimura Shintaro , Asato Ryo , Tsujimura Takashi , Hori Ryusuke , Kumabe Yohei , Yasuda Kaori , Tamaki Hisanobu , Iki Takehiro , Kitani Yoshiharu , Kurata Keisuke , Kojima Tsuyoshi , Takata Kuniaki , Kada Shinpei , Takebayashi Shinji , Shinohara Shogo , Hamaguchi Kiyomi , Miyazaki Masakazu , Ikenaga Tadashi , Maetani Toshiki , Harada Hiroyuki , Haji Tomoyuki , Omori Koichi 
Published: January 2024

AbstractBackgroundHypopharyngeal carcinoma is likely to spread to the lymph nodes, but there is no established strategy for management in transoral surgery.MethodsWe compared oncologic and functional outcomes in a retrospective multicenter study of patients who underwent transoral surgery for hypopharyngeal carcinoma between 2015 and 2021.ResultsTwo‐hundred and thirty‐two patients were included. Comparing patients with and without adjuvant radiotherapy, 3‐year regional recurrence‐free survival (RRFS) was not significantly different in pN2b and pN2c, but was significantly worse in pN3b without adjuvant radiotherapy. In patients without neck dissection, the 3‐year RRFS was 85.6%, 76.8%, and 70.0% for T1, T2, and T3 primary lesions, respectively, and was significantly worse for T2 or higher (p = 0.035).ConclusionsIn the absence of extracapsular invasion, regional control did not deteriorate without adjuvant therapy. If prophylactic neck dissection is not performed, careful follow‐up is necessary if the primary lesion is T2 or greater.
Fasciocutaneous and jejunal free flaps for circumferential hypopharyngeal defect reconstruction: A 22‐year multicenter cohort study
Authors: Tonsbeek Anthony M. , Hundepool Caroline A. , Smit Merel M. , Verduijn Pieter S. , Duraku Liron S. , Sewnaik Aniel , Wijnhoven Bas P. L. , Mureau Marc A. M. 
Published: January 2024

AbstractBackgroundIt remains unclear whether a tubed fasciocutaneous or jejunal free flap (FCFF and JFF) is preferable for reconstruction of circumferential pharyngolaryngoesophageal defects.MethodsAll consecutive patients with circumferential pharyngolaryngoesophageal defects reconstructed with an FCFF or JFF between 2000 and 2022 were included. Outcomes of interest were rates of fistulas, strictures, and donor‐site complications.ResultsIn total, 112 patients were included (35 FCFFs and 77 JFFs). Fistula and stricture rates were significantly lower following JFF compared to FCFF reconstructions, with 12% versus 34% (p = 0.008) and 29% versus 49% (p = 0.04), respectively. Severe donor‐site complications leading to surgical intervention or ICU admittance only occurred after JFF reconstructions (18%, p = 0.007).ConclusionsThe high fistula and stricture rates in FCFF reconstructions and the rate of severe abdominal complications in JFF reconstructions illustrate inherent procedure‐specific advantages and disadvantages. Relative pros and cons should be carefully weighed when tailoring treatments to the individual needs of patients.
Factors associated with infant feeding intention among usual‐risk pregnant women
Authors: Magalhães Sales Nirvana , Almeida de Oliveira Anny Karolyne , Sousa da Silva Francisco Maurício , Nascimento Oliveira Larissa , Maciel Abreu Victórya Suéllen , Pires Gadelha Ivyna , Reis Ferreira Uly , Amorim Lessa Soares Paula Renata , Ribeiro Samila Gomes , de Souza Aquino Priscila 
Published: January 2024

AbstractObjectiveTo identify the factors associated with infant feeding intention among usual‐risk pregnant women.MethodsA quantitative cross‐sectional study was conducted in two primary healthcare institutions in Fortaleza, Ceará, Brazil, with usual‐risk pregnant women. A non‐probabilistic convenience sampling method was used, and 119 pregnant women participated. Data collection took place from May 2022 to February 2023. The data collection process involved using forms and the Infant Feeding Intention Scale. Ethical considerations were strictly adhered to.ResultsThe study revealed statistically significant differences in the infant’s means. The majority of pregnant women (96.6%) declared that they would breastfeed after giving birth. The intention to breastfeed exclusively was statistically higher in mothers with younger children and previous experience of breastfeeding or complications in the current pregnancy.ConclusionThis study clarified that the intention to breastfeed up to 6 months is influenced by variables encompassing the age of the youngest child, previous breastfeeding experience, and pregnancy complications, emphasizing the intricate nature of the determinants of intention to breastfeed.
Modelling land suitability and development potential options for irrigable and rainfed agricultural scenarios in Ethiopia
Authors: Desta Hailu Shiferaw 
Published: January 2024

AbstractDespite being a significant sector in Ethiopia, agriculture is mainly run in rainfed system. However, it is imperative to look for irrigation systems and their suitability to the country's agriculture. The study's objectives were to (1) map areas appropriate for irrigable and rainfed agriculture and examine gaps with current active areas, (2) model possible development for irrigation and rainfed scenarios, and (3) offer evidence‐based decision support for agricultural investment. Land features, agroecology, population density, market accessibility and length of growing seasons were considered as important indicators when determining land suitability for each scenario. Geographically weighted regression was used to model these indicators. The results show that approximately 359,360 (34%) and 13,802 km2 (1.6%) are highly suitable areas for irrigation and rainfed agriculture, respectively. However, Ethiopia's production depends on areas moderately suitable for rainfed agriculture, but these areas are highly suitable for irrigation rather, indicating that it is unfortunate that the areas suitable for irrigation are used for rainfed agriculture so far. In terms of development potential, areas of approximately 71,317 (7%) and 347,435 km2 (33%) had the highest and a high irrigation potential, respectively, while areas with rainfed agriculture had approximately 33,821 (3%) and 105,013 km2 (10%) with the highest and a high development potential, respectively. These analyses suggest that the country has untapped potential for agricultural development in both scenarios, but this remains within the scope identified in this study.
A systematic review focused on lubricant use and sperm quality: Improving human reproductive success by informing lubricants toxicity
Authors: Molin Eloiza Adriane Dal , Leite Gabriel Adan Araújo , Lazzari Virgínia Meneghini 
Published: January 2024

AbstractLubricants play a pivotal role in human reproductive health, particularly concerning their impact on sperm parameters. In this systematic review, we assess the implications of both synthetic and natural or organic lubricants on sperm health and fertility, based on a compilation of 20 distinct studies. Synthetic lubricants, including K‐Y Jelly, Replens, and Astroglide, predominantly containing ingredients like methylparaben and glycerin, have been linked to detrimental effects on sperm motility and chromatin integrity. Chemical characteristics, notably osmolality and pH, are central to understanding these effects. Despite the World Health Organization's osmolality recommendation of 380 mOsm/kg, many commercial products surpass this. Natural solutions offer varied results, while olive oil exhibits unfavorable effects on sperm health, egg white proves non‐toxic, potentially benefitting sperm health. Conversely, Pre‐Seed, widely endorsed in the research community, generally demonstrates minimal adverse impact on sperm. The review highlights the significance of lubricant selection in evidence‐based reproductive strategies.
Influence of skeletal muscle and intermuscular fat on postoperative complications and long‐term survival in rectal cancer patients
Authors: Nie Tong , Wu Feihong , Heng Yixin , Cai Wentai , Liu Zhihao , Qin Le , Cao Yinghao , Zheng Chuansheng 
Published: January 2024

AbstractBackgroundThe body composition of patients with rectal cancer potentially affects postoperative outcomes. This study explored the correlations between skeletal muscle and adipose tissue quantified by computed tomography (CT) with postoperative complications and long‐term prognosis in patients with rectal cancer after surgical resection.MethodsThis retrospective cohort study included patients with rectal cancer who underwent surgical resection at the Wuhan Union Hospital between 2014 and 2018. CT images within 3 months prior to the surgery were used to quantify the indices of skeletal muscle and adipose tissue at the levels of the third lumbar vertebra (L3) and umbilicus. Optimal cut‐off values for each index were defined separately for males and females. Associations between body composition and postoperative complications, overall survival (OS), and disease‐free survival (DFS) were evaluated using logistic and Cox proportional hazards models.ResultsWe included 415 patients (240 males and 175 females; mean age: 57.8 ± 10.5 years). At the L3 level, a high skeletal muscle density (SMD; hazard ratio [HR]: 0.357, 95% confidence interval [CI]: 0.191–0.665, P = 0.001; HR: 0.571, 95% CI: 0.329–0.993, P = 0.047) and a high skeletal muscle index (SMI; HR: 0.435, 95% CI 0.254–0.747, P = 0.003; HR: 0.568, 95% CI: 0.359–0.897, P = 0.015) were independent prognostic factors for better OS and DFS. At the umbilical level, a large intermuscular fat area (IMFA; HR: 1.904, 95% CI: 1.068–3.395, P = 0.029; HR: 2.064, 95% CI: 1.299–3.280, P = 0.002) was an independent predictive factor for worse OS and DFS, and a high SMI (HR: 0.261, 95% CI: 0.132–0.517, P < 0.001; HR: 0.595, 95% CI: 0.387–0.913, P = 0.018) was an independent prognostic factor for better OS and DFS. The models combining body composition and clinical indicators had good predictive abilities for OS. The receiver operating characteristic areas under the curve were 0.848 and 0.860 at the L3 and umbilical levels, respectively (both P < 0.05).ConclusionsNo correlations existed between CT‐quantified body composition parameters and postoperative complications. However, a high SMD and high SMI were significantly associated with longer OS and DFS at the L3 level, whereas a large IMFA and low SMI were associated with worse OS and DFS at the umbilical level. Combining CT‐quantified body composition and clinical indicators could help physicians predict the prognosis of patients with rectal cancer after surgery.
Small‐scale and scale‐up bioleaching of Li, Co, Ni and Mn from spent lithium‐ion batteries
Authors: Panda Sandeep , Dembele Seydou , Mishra Srabani , Akcil Ata , Agcasulu İsmail , Hazrati Edris , Tuncuk Aysenur , Malavasi Pierre , Gaydardzhiev Stoyan 
Published: January 2024

AbstractBACKGROUNDA bioleaching process could offer the advantage of higher metal recovery in a sustainable manner even from lithium‐ion battery (LIB) samples with very low metal concentrations. In recent years, there has been a significant increase in the use of secondary resources such as LIBs for various purposes including transportation, large‐scale energy storage and use in portable devices.RESULTSThe adaptation of a mixed culture of acidophilic microorganism (lab stock culture) to a representative LIB sample allowed the setting of 0.5% of the pulp density under lab scale conditions. The maximum metal dissolution by bioleaching in a 1‐L bioreactor for the as‐received and thermally treated samples was found to be Li (67% & 49%), cobalt (81% & 86%), nickel (99% & 87%) and manganese (86% & 75%). Likewise, on the 10‐L scale, the dissolutions observed were: Li (80% & 67%), Co (75%), Ni (91% & 88%) and Mn (63% & 75%) for the as‐received and heat‐treated samples, respectively.CONCLUSIONParameters such as particle size, leaching time, pH and iron ions (Fe2+) affect the efficiency of acidophilic bioleaching of Li, Co, Ni and Mn from spent LiBs. © 2024 The Authors. Journal of Chemical Technology and Biotechnology published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry (SCI).