bluuebunny/crossref_metadata_2025_split huggingface dataset:
Making “Women's News”: French Feminists of la Femme nouvelle (1934–36) and the Newsreel Magazine Actualités féminines
Authors: Sidhu Maya 
Published: October 2023

Abstract
This article demonstrates how the interwar French suffragist organization la Femme nouvelle used the platform of the newsreel to make political claims through its collaboration with Pathé’s newsreel magazine Actualités féminines or Women's News. Through the filming of their political actions and educational segments edited together in their newsreel compilation film, Le film de la Femme nouvelle (dir. la Femme nouvelle, France, 1935), the suffragists, led by Louise Weiss, frame themselves as essential workers, fearless political actors, and perfect housewives. These contradictions reveal a strategic manipulation of their gender identity to obtain the vote at all costs. Newsreel making provided the feminists an avenue for political claimsmaking beyond electoral politics. These filmed accounts of their actions give the spectator a sense of being present at the event, which is missing from written accounts of la Femme nouvelle's history. Through this aesthetic liveness, achieved through camera placement and staging in crowd scenes, the suffragists were able to portray themselves as vital political actors. One such filmed protest from 12 May 1935 provides a compelling account of their filmmaking practice, in which the activists march on la place de la Bastille in chains, then break their chains and put them in a bonfire. The French Revolution, referenced by this action, was a popular analogy for the Left, as seen in the film La marseillaise (dir. Jean Renoir, France, 1937). Le film de la Femme nouvelle is significant because it allows for an alternate, feminist history of political filmmaking in the period.
Calculating Couples: Computing Intimacy and 1980s Romance Software
Authors: Hilu Reem 
Published: October 2023

Abstract
In the 1980s, as the market for computing in the home was still emerging, a category of software arose that promised computer-mediated experiences of romance and sex. These programs, which this essay is calling “romance software,” drew on popular psychological and therapeutic discourses to offer couples advice for more satisfying relationships while also managing their interactions with the computer as an intimate or romantic activity. This essay argues that romance software employed the then novel home computer as a tool that could help mediate relational and communication ideals and bolster the heterosexual couple in the context of changing expectations for relationships in the 1980s. Romance software attempted to instantiate computing intimacy — referring not only to the application of computational methods to the management of relationships but also to the romantic or erotic experience of a couple using computers together. Although they amounted to a minor subset of the software introduced during the decade, these programs envisioned computing in the home as a technology to mediate companionate relationships. Romance software demonstrates that some software companies in the 1980s conceived of personal computer users not only as abstracted masculine individuals but rather addressed users within their roles in companionate relationships, in this case as part of a couple. These programs proposed methods through which computing could be used to assist in creating better relationships for couples that had adopted computers into their homes.
Educational Pasts, Enduring Colonial Presents
Authors: Boggs Abigail 
Published: October 2023

Abstract
Taking Indigenous sovereignty as at once axiomatic and constitutively strategic, this article argues that it is necessary to expand the chronology and disrupt the geographic certitude through which the history and present of US higher education and its internationalization are conventionally understood. Colleges and universities in the British colonies and what became the United States, including Harvard, William & Mary, and Dartmouth, were founded and funded with the intention that they would function as a vital technology through which the nation-state and white Christian culture would reproduce and secure themselves, their possessions, and their futures. This project was to be accomplished through the assimilation and at times incorporation of people, often youth, from polities understood as fundamentally other from that of their instructors and benefactors. Assessments of the extent to which such projects were effectuated vary, but it is well established that contemporary universities and colleges are conceptually and financially rooted in colonial educational projects that targeted Indigenous students for incorporation and assimilation. In an era when many of these same institutions are making substantial, if inadequate, efforts to contend with their historical origins, it is necessary to move beyond acknowledgment of these histories and contend, instead, with how such projects materially and epistemologically underwrite the basic functions of the most well-resourced and prestigious higher education institutions of the present.
Presentism, Spectacle, Unreality
Authors: Connolly Brian 
Published: October 2023

Abstract
This essay engages the dismissal of presentism and identity politics by the former president of the American Historical Association. In doing so, the essay argues that his essay shares a rhetorical style with other intellectuals and politicians that can aptly be called the spectacle of transgression. The essay argues that this spectacle works to obscure the material conditions of higher education in general and of history in particular.
Un-resolving frozen shoulder: Are we really treating it?
Authors: Wagan Abrar Ahmed , Surahyo Paras 
Published: October 2023

Objective: To perform ultrasound examination in un-resolving frozen shoulder disorder, in Pakistani cohort visiting rheumatology clinic.
Methods: This cross sectional study was carried out at Department of Rheumatology, Indus Medical College Tando Mohhamad Khan, from 16th March 2022 to 30th October 2022. Patients diagnosed as unilateral frozen shoulder on clinical grounds and received intra-articular injection (s) in last six months, never been investigated, still persisting with pain and restricted range of shoulder motion were enrolled. After the demographic details and shoulder examination, ultrasound examination of both shoulder joints was performed by senior musculoskeletal radiologist, to know the exact diagnosis.
Results: In 138 cases on ultrasound examination following injuries were noted: rotator cuff tendinopathy (RCT) (61%), adhesive capsulitis (21%), mixed lesion (rotator cuff tendinopathy and adhesive capsulitis) (14%). In age group < 50 years rotator cuff tendinopathy was the major lesion, while in cases >50 years age group: adhesive capsulitis (AC) was predominant lesion (p-0.05).Rotator cuff tendinopathy had significant association with supraspinatus tears (p<0.5).
Conclusion: In Un-resolving frozen shoulder pain, ultrasound examination of involved joint helps in reaching the exact cause which may differ from the existing diagnosis and guides to further management.
doi: https://doi.org/10.12669/pjms.40.1.7440
How to cite this: Wagan AA, Surahyo P. Un-resolving frozen shoulder: Are we really treating it? Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.7440
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.
Value of serum CRP and IL-6 Assays combined with Pancreatitis activity scoring system for assessing the severity of patients with acute pancreatitis
Authors: Xu Fang , Hu Xin , Li Shu-ling 
Published: October 2023

Objective: To evaluate the accuracy of serum CRP and IL-6 assays combined with the pancreatitis activity scoring system (PASS) in assessing the severity of patients with acute pancreatitis (AP).
Methods: This was a retrospective study of 223 patients with AP admitted to Baoding Lianchi District People’s Hospital between February 2021 and 2023. They were classified into three categories: mild AP (MAP), moderate severe AP (MSAP) and severe AP (SAP). The differences, accuracy and sensitivity of the individual assays, and the three in combination, were compared and analysed in the three groups.
Results: PASS scores, IL-6 and CRP levels were significantly higher in the SAP and MSAP groups compared to those in the MAP group, with statistically significant differences between the three groups. Multi-factorial logistic regression analysis suggested that PASS, IL-6 and CRP were correlated indicators of AP severity. The combination of the three assays was higher than that of the PASS score, IL-6 and CRP alone, suggesting optimal diagnostic efficacy when the three assays were combined. Moreover, the levels of PASS score, IL-6 and CRP showed a positive correlation with the degree of disease severity.
Conclusions: The serum CRP, IL-6 and PASS scores were significantly elevated in AP patients and showed a positive correlation with disease severity, all of which are beneficial for the diagnosis of AP. PASS is superior to CRP and IL-6 in the assessment of AP. The combination of the three assays can achieve a far superior diagnostic efficacy to that of the individual index assays.
doi: https://doi.org/10.12669/pjms.40.1.7550
How to cite this: Xu F, Hu X, Li S. Value of serum CRP and IL-6 Assays combined with Pancreatitis activity scoring system for assessing the severity of patients with acute pancreatitis. Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.7550
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.
Laparoscopic extralevator abdominoperineal resection for low rectal cancer: The myth of reinventing the wheel
Authors: Bakhtiar Nighat , Nasir Dr. Irfan-ul-Islam , Dr. Muhammad Fahd Shah  , Dr. Ihtisham-Ulah  , Dr. Shahid Khattak  , Dr. Aamir Ali Syed  , Dr. Osama Shakeel  
Published: October 2023

Background & Objective: To review oncological outcomes of laparoscopic extralevator abdominoperineal excision (LAP-ELAPE) for low rectal cancer.In locally advanced low rectal cancer, ELAPE which is en-bloc resection of levator muscles along with the tumor in a prone position has significantly decreased the rate of having either positive circumferential resection margin (CRM) or tumor perforation. The aim of the study was to determine the oncological outcomes of laparoscopic extralevator abdominoperineal excision (LAP-ELAPE) for low rectal cancer.
Methods: This retrospective study was performed at Shaukat Khanum Cancer Hospital and Research Centre Lahore. Patients who underwent ELAPE for low rectal and anal cancer from January 2014 to December 2019 were selected. Data was collected using an electronic database through a hospital information system.
Results: A total of 82 patients were included in the study having a median age of 39 years. Clinically preoperative tumor sizes were T2:2, T3:65, T4:15. Neo-adjuvant chemo radiotherapy was administered to 79 (96.3%) patients. Pathologically tumor sizes were T0:12, T2:15, T3:50, T4:5 with 79.2% (n=65) R0 resections. The mean operative time was 340.36±64.51 minutes and the mean blood loss was 99 milliliters. The mean postoperative hospital stay was 6.58±4.64 days. Seventeen (20.7%) cases had pathological circumferential resection margins positive (pCRM<1mm). However, tumor perforation was found in 8(9.8%) patients. Ninety days mortality was none while 36 patients experienced recurrence (local: 23, distant: 30, local + distant 17). The median survival time was 53.00±2.69 months.
Conclusion: For locally advanced low rectal cancer, ELAPE has evolved as a safe oncological procedure with acceptable outcomes.
doi: https://doi.org/10.12669/pjms.40.1.7619
How to cite this: Bakhtiar N, Nasir I, Shah MF, Ihtisham-Ulah, Shakeel O, Khattak S, et al. Laparoscopic extralevator abdominoperineal resection for low rectal cancer: The myth of reinventing the wheel. Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.7619
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.
Ultrasound Doppler findings of a Twin Reversed Arterial Perfusion Sequence (TRAP)
Authors: Amer Saba,a Abdulmalik , Alshoabi Sultan Abdulwadoud , Qurashi Abdulaziz A. , Alhazmi Fahad H. , Al-Rudini Rawda Yehia 
Published: October 2023

Twin reversed arterial perfusion (TRAP) sequence is a rare pregnancy complication occurs in an identical twin pregnancy that share a single placenta. TRAP sequence is a twin’s pregnancy includes a normal-developed viable pump fetus and an abnormal usually nonviable acardiac fetus. The nonviable acardiac fetus depends on the pump fetus for his blood supply and put the pump fetus at risk of high cardiac output heart failure and congenital anomalies with high mortality rate. Gray-scale ultrasound and color and pulsed Doppler imaging is a noninvasive accessible imaging modality for the diagnosis of TRAP sequence.
Early diagnosis of such conditions is mandatory in order to apply the proper therapeutic measures and to help the normal developed pump fetus to survive. The main goal of management is to interrupt blood supply to the nonviable acardiac fetus to reduce the strain on the heart of the pump fetus thus, increase the chance of survival.
doi: https://doi.org/10.12669/pjms.40.1.8088
How to cite this: Amer SA, Alshoabi SA, Qurashi AA, Alhazmi FH, Al-Rudini RY. Ultrasound Doppler findings of a Twin Reversed Arterial Perfusion Sequence (TRAP). Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.8088
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.
Time to treat the climate and nature crisis as one indivisible global health emergency
Authors: Zielinski Chris 
Published: October 2023

doi: https://doi.org/10.12669/pjms.40.1.8841
How to cite this: Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Pak J Med Sci. 2024;40(1):---------. doi: https://doi.org/10.12669/pjms.40.1.8841
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.
Foundation for implementing a comprehensive vascular access excellence initiative organization-wide to improve vascular access device insertion and standardize care: best practice for an acute care hospital
Authors: Campos Cheryl , Lopez Megan , Irwin-Nieto Vanessa , Richards Randy , Deen Melissa R. , Lalata Agnes 
Published: October 2023

Introduction: In 2016, a 263-bed public district hospital in California trialed a peripheral intravenous catheter (PIVC) inserted using ultrasound, with the potential to increase first attempt success in difficult intravenous access (DIVA) patients. This led to the implementation of a hospital-wide initiative to improve nursing vascular access skills and expedite vascular access device (VAD) placement. Methods: To trial a PIVC and ultrasound-guided (USG) insertion, a training program was developed and led to a doctoral Capstone project piloting an evidence-based nurse-driven protocol for the identification of DIVA patients. A Vascular Access Committee was established to achieve vascular access excellence throughout the hospital by increasing the number of nurses with advanced skills in VAD placement and by developing a central venous access device (CVAD) insertion and maintenance bundle to decrease the incidence of central line-associated bloodstream infections (CLABSI). With ongoing support of nursing leadership and achievement of ANCC Magnet Recognition® in 2021, the hospital developed a comprehensive initiative to provide patients with a consistent level of nursing expertise for VAD placement across all shifts. Results: Requests for USGPIVCs increased throughout the hospital, DIVA patients themselves requested ultrasound guidance be used for PIVC insertions, and there were fewer requests for Emergency Department (ED) physicians to insert CVADs. From the related Doctor of Nursing Practice (DNP) Capstone project, there were higher first-attempt cannulation successes, longer PIVC dwell times, and a reduction in devices and supplies utilized. The CVAD bundles resulted in the number of central line-associated bloodstream infections decreasing from four in 2019 to one in 2020. Since the initiative's inception, a total of 92 nurses completed the USGPIVC insertion training, and patient access to advanced-skilled clinicians is now available around the clock. Discussion: This manuscript discusses the initiative implemented to standardize patient care through a collaborative multidisciplinary approach and has potential generalizability to other acute care hospitals to reduce associated healthcare costs and to prevent poor patient outcomes by expediting the arrival of a vascular access nurse for DIVA patients. Conclusion: The vascular access excellence initiative implemented provided an effective strategy to enhance the skills and confidence of nurses in VAD placement and improved efficiency in processes to expedite the arrival of an advanced skilled nurse to place VADs on DIVA. Targeted educational initiatives improved patient outcomes by reducing catheter-related bloodstream infections.
Efficacy and safety of patients with chronic kidney disease undergoing left atrial appendage closure for atrial fibrillation
Authors: Liu Chaofan , Han Shaojie , Cui Kaijun , Wang Fang 
Published: October 2023

Background
The relative safety and efficacy of left atrial appendage closure (LAAC) for atrial fibrillation (AF) in patients with chronic kidney disease (CKD) have not been well defined. To evaluate the results in this cohort, we conducted a systematic review and meta-analysis of observational studies.

Methods
We searched the PubMed, EMBASE, Web of Science, and Cochrane Library databases from inception to January 2023 for all relevant studies. Our inclusion criteria were met by twelve observational studies that included 61324 patients altogether.

Results
Compared with no CKD group, in-hospital mortality (OR: 2.84, 95% CI: 2.12–3.81, p<0.01, I2 = 0%), acute kidney injury (AKI) (OR: 4.39,95% CI:4.00–4.83, P<0.01, I2 = 3%), major bleeding events (OR: 1.44, 95% CI: 1.29–1.60, p<0.01 I2 = 0%), and pericardial effusion/tamponade (OR 1.30; 95% CI 1.13–1.51, p < 0.01; I2 = 0%) were more common in the CKD group, especially in patients with end-stage renal disease (ESRD). No significant difference was observed in the occurrence of stroke (OR: 1.24, 95% CI: 0.86–1.78, P = 0.25, I2 = 0%), LAAC success rates (OR: 1.02, 95% CI: 0.33–3.16, p = 0.97, I2 = 58%) and vascular access complications (OR: 1.13, 95% CI: 0.91–1.39, p = 0.28, I2 = 0%) between the two groups. During the follow-up, there was no difference in the risk of stroke between the two groups.

Conclusions
CKD patients who receive LAAC have a greater risk of in-hospital mortality, AKI, pericardial effusion/tamponade, and major bleeding events than those without CKD, especially in patients with ESRD. No significant difference in the risk of stroke was found in the long-term follow-up after LAAC between the two groups, demonstrating a similar efficacy of LAAC to prevent stroke in CKD patients.
Utilizing principal component analysis in the identification of clinically relevant changes in patient HLA single antigen bead solid phase testing patterns
Authors: Cornaby Caleb , Weimer Eric T. 
Published: October 2023

Background
HLA antibody testing is essential for successful solid-organ allocation, patient monitoring post-transplant, and risk assessment for both solid-organ and hematopoietic transplant patients. Luminex solid-phase testing is the most common method for identifying HLA antibody specificities, making it one of the most complex immunoassays as each panel contains over 90 specificities for both HLA class I and HLA class II with most of the analysis being performed manually in the vendor-provided software. Principal component analysis (PCA), used in machine learning, is a feature extraction method often utilized to assess data with many variables.

Methods & findings
In our study, solid organ transplant patients who exhibited HLA donor-specific antibodies (DSAs) were used to characterize the utility of PCA-derived analysis when compared to a control group of post-transplant and pre-transplant patients. ROC analysis was utilized to determine a potential threshold for the PCA-derived analysis that would indicate a significant change in a patient’s single antigen bead pattern. To evaluate if the algorithm could identify differences in patterns on HLA class I and HLA class II single antigen bead results using the optimized threshold, HLA antibody test results were analyzed using PCA-derived analysis and compared to the clinical results for each patient sample. The PCA-derived algorithm had a sensitivity of 100% (95% CI, 73.54%-100%), a specificity of 75% (95% CI, 56.30%-92.54%), with a PPV of 65% (95% CI, 52.50%-83.90%) and an NPV of 100%, in identifying new reactivity that differed from the patients historic HLA antibody pattern. Additionally, PCA-derived analysis was utilized to assess the potential over-reactivity of single antigen beads for both HLA class I and HLA class II antibody panels. This assessment of antibody results identified several beads in both the HLA class I and HLA class II antibody panel which exhibit over reactivity from 2018 to the present time.

Conclusions
PCA-derived analysis would be ideal to help automatically identify patient samples that have an HLA antibody pattern of reactivity consistent with their history and those which exhibit changes in their antibody patterns which could include donor-specific antibodies, de novo HLA antibodies, and assay interference. A similar method could also be applied to evaluate the over-reactivity of beads in the HLA solid phase assays which would be beneficial for lot comparisons and instructive for transplant centers to better understand which beads are more prone to exhibiting over-reactivity and impact patient care.