bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cryosphere–Hydrometeorology Observations for a Water Tower Unit on the Tibetan Plateau Using the BeiDou-3 Navigation Satellite System
Authors: Liu Ruishun , Wang Lei , Wang Zhongjing , Li Xiuping , Chen Deliang , Zhou Jing , Qi Jia , Wang Yuanwei , Chai Chenhao , Wang Guangpeng , Xiao Haibang 
Published: January 2024

Abstract
Life and civilization in arid regions depend on the availability of freshwater. Arid alpine river basins, where hydrological processes are highly sensitive to rapid warming, act as vital water towers for lowland oases. However, scientific understanding of precipitation variability and related cryosphere–hydrology processes is extremely limited because of the scarcity of in situ observations. The upper Danghe River basin (UDB; ∼14,000 km2) is an arid and westerly dominated basin on the northeastern Tibetan Plateau and is the water source for the Dunhuang Oasis in China. We have established a comprehensive cryosphere–hydrometeorology observation network in the basin since 2014. At present, the network consists of 21 automatic rain gauges, 22 soil freeze–thaw monitoring stations, 4 automatic weather stations (AWS), and a 50-m gradient meteorological tower with an eddy covariance system. In particular, the 18 sites, located in remote areas without public networks, are equipped with new-generation BeiDou-3 communication terminals that enable the observations to be easily, safely, and reliably read and quality controlled in near–real time from offices in the city or at home. This integrated observation network over the UDB that facilitates the monitoring of cryosphere–hydrology processes, land–atmosphere interactions, and local weather processes. In addition, the observations are helpful for the objective evaluation, and continual improvement, of hydrological models, satellite-retrieval products, and reanalysis datasets. Finally, the network is expected to promote a better understanding of the status and role of water towers in arid zones and to provide basic data support for the sustainable development of the Dunhuang Oasis and the Belt and Road.
Morphometric Analysis of the Tibial Attachment Shape of the Anterior Cruciate Ligament and Its Relationship With the Location of the Anterior Horn of the Lateral Meniscus
Authors: Muro Satoru , Kim Jiyoon , Nimura Akimoto , Tsukada Sachiyuki , Akita Keiichi 
Published: January 2024

Background: The success of anterior cruciate ligament (ACL) reconstruction relies on the accurate replication of the native ACL anatomy, including attachment shapes. The tibial attachment of the ACL exhibits significant shape variations with elliptical, C, and triangular shapes, highlighting the need for objective classification methods and additional information to identify individual anatomic variations. Hypothesis: The location of the attachment of the anterior horn of the lateral meniscus (AHLM) may determine the shape of the ACL attachment. Study Design: Cross-sectional study; Level of evidence, 3. Methods: The study used 25 knees from 17 Japanese cadavers for macroscopic anatomic examination and quantitative analysis. The shape of the ACL attachment was quantified using principal component analysis with elliptical Fourier descriptors, whereas the AHLM location was quantified by measuring its mediolateral and anteroposterior positions on the superior surface of the tibia. Reliability was assessed statistically. Results: The shape of the tibial attachment of the ACL varied among individuals and was classified as elliptical, C-shaped, or triangular. Scatterplots of the principal components of the ACL attachment shape showed overlapping regions of elliptical, C-shaped, and triangular ACL attachments, indicating that a C-shaped attachment is intermediate between elliptical and triangular attachments. The location of the AHLM attachment also varied, with areas in the anterolateral, anteromedial, or posteromedial region. The ACL shape and AHLM location were related, with elliptical, C-shaped, and triangular ACL attachments corresponding to anterolateral, anteromedial, and posteromedial AHLM attachments, respectively. Conclusion: The AHLM attachment location influences the shape of the ACL attachment. Information on the location of the AHLM attachment can aid in predicting the shape of the ACL attachment during ACL reconstruction, potentially improving footprint coverage.
Outcomes and Proportions of Subsequent Contralateral Sports Hernia Repair Following Primary Unilateral Repair
Authors: Rezaie Nima , Ithurburn Matthew P. , Powell Matthew T. , Mussell Eric A. , Kidwell-Chandler Ariel L. , Emblom Benton A. 
Published: January 2024

Background: In the event that nonoperative treatment for sports hernia fails, surgical repair may be warranted. Bilateral repair can occur in up to 45% of surgically treated patients. Purpose: To investigate the clinical outcomes of athletes who underwent unilateral sports hernia repair and determine the proportion of patients who required contralateral sports hernia repair. Study Design: Case series; Level of evidence, 4. Methods: We identified patients at our institution who underwent primary unilateral sports hernia repair (rectus abdominis–adductor longus aponeurotic plate repair and adductor lengthening) with a single surgeon between 2015 and 2020. We assessed patient-reported outcomes using the Hip Outcome Score–Sport (HOS–Sport), the Numeric Pain Rating Scale, and an internally developed return-to-play questionnaire. We further collected data regarding subsequent sports hernia procedures on the ipsilateral or contralateral side. We calculated summary statistics for outcomes and examined the association between preinjury patient characteristics and the HOS–Sport score at follow-up or successful return to preinjury sport using linear and logistic regression, respectively. Results: A total of 104 of 128 (81.3%) eligible patients (mean age at surgery, 23.0 ± 6.2 years; 94.2% male; 51.9% American football athletes) completed follow-up at a mean time of 4.4 ± 1.5 years. Overall, 79.8% of athletes (n = 83) were able to return to their preinjury sport/activity, but 90.2% (83/92) who attempted to return were able to do so. When examining reasons for not returning to preinjury sport, only 9 patients reported not returning to preinjury sport because of limitations or persistent symptoms from their original injury. Only 4 patients underwent subsequent sports hernia procedures (3 contralateral, 1 ipsilateral revision) after their index unilateral sports hernia repair. At follow-up, the mean HOS–Sport score was high (94.0 ± 10.8), and the mean Numeric Pain Rating Scale score was low (0.31 ± 1.26). There were no preinjury patient characteristics associated with either the HOS–Sport score at follow-up or the successful return to preinjury sport. Conclusion: Patients with unilateral sports hernia symptoms can undergo repair and return to sport at the preinjury level with little concern for injuries to the contralateral groin. In our cohort, patient-reported hip function and pain outcomes at follow-up were excellent.
A Prospective Randomized Controlled Trial Investigating Quadriceps Versus Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction
Authors: Ebert Jay R. , Calvert Nicholas D. , Radic Ross 
Published: January 2024

Background: Numerous graft options are available when undertaking anterior cruciate ligament (ACL) reconstruction (ACLR), although a lack of high-quality evidence exists comparing quadriceps (QT) and hamstring (HT) autografts. Purpose: To investigate patient outcomes in patients undergoing HT versus QT ACLR. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: After recruitment and randomization, 112 patients (HT = 55; QT = 57) underwent ACLR. Patients were assessed pre- and postoperatively (6 weeks and 3, 6, 12, and 24 months), with a range of patient-reported outcome measures (PROMs), graft laxity (KT-1000 arthrometer; primary outcome variable), active knee flexion and extension range of motion (ROM), peak isokinetic knee extensor and flexor strength, and a 6-hop performance battery. Limb symmetry indices (LSIs) were calculated for strength and hop measures. Secondary procedures, ACL retears, and contralateral ACL tears were reported. Results: All PROMs and knee ROM measures significantly improved ( P < .0001), and no other group differences ( P > .05) were observed—apart from the Anterior Cruciate Ligament Return to Sport after Injury (ACL-RSI) score, which was significantly better in the HT group at 3 ( P = .008), 6 ( P = .010), and 12 ( P = .014) months. No significant changes were observed in side-to-side laxity from 6 to 24 months ( P = .105), and no group differences were observed ( P = .487) at 6 (HT mean, 1.2; QT mean, 1.3), 12 (HT mean, 1.1; QT mean, 1.3), and 24 (HT mean, 1.1; QT mean, 1.2) months. While the HT group demonstrated significantly greater ( P < .05) quadriceps strength LSIs at 6 and 12 months, the QT group showed significantly greater ( P < .05) hamstring strength LSIs at 6, 12, and 24 months. The HT group showed significantly greater ( P < .05) LSIs for the single horizontal (6 months), lateral (6 and 12 months), and medial (6 months) hop tests for distance. Up until 24 months, 1 patient (QT at 22 months) had a retear, with 2 contralateral ACL tears (QT at 19 months; HT at 23 months). Secondary procedures included 5 in the HT group (manipulation under anesthesia, notch debridement, meniscal repair, and knee arthroscopy for scar tissue) and 6 in the QT group (notch debridement, meniscal repair, knee arthroscopy for scar tissue, tibial tubercle transfer, and osteochondral autologous transplantation). Conclusion: Apart from the ACL-RSI, the 2 autograft groups compared well for PROMs, knee ROM, and laxity. However, greater hamstring strength LSIs were observed for the QT cohort, with greater quadriceps strength (and hop test) LSIs in the HT cohort. The longer-term review will continue to evaluate return to sports and later-stage reinjury between the 2 graft constructs. Registration: ACTRN12618001520224p (Australian New Zealand Clinical Trials Registry).
Psychiatric electronic health records in the era of data breaches – What are the ramifications for patients, psychiatrists and healthcare systems?
Authors: Looi Jeffrey CL , Looi Richard CH , Maguire Paul A , Kisely Steve , Bastiampillai Tarun , Allison Stephen 
Published: January 2024

Objective To update psychiatrists and trainees on the realised risks of electronic health record data breaches. Methods This is a selective narrative review and commentary regarding electronic health record data breaches. Results Recent events such as the Medibank and Australian Clinical Labs data breaches demonstrate the realised risks for electronic health records. If stolen identity data is publicly released, patients and doctors may be subject to blackmail, fraud, identity theft and targeted scams. Medical diagnoses of psychiatric illness and substance use disorder may be released in blackmail attempts. Conclusions Psychiatrists, trainees and their patients need to understand the inevitability of electronic health record data breaches. This understanding should inform a minimised collection of personal information in the health record to avoid exposure of confidential information and identity theft. Governmental regulation of electronic health record privacy and security is needed.
Psychedelics in Psychiatry, the Nursing Influence, and the Future of Psychedelic Therapies
Authors: Spotswood Carlton J. 
Published: January 2024

OBJECTIVE: Psychedelics and psychedelic-assisted therapies (PATs) are on the cusp of becoming medicalized treatment modalities within the United States, both as potential U.S. Food and Drug Administration (FDA)-approved treatment and therapeutic options outside the medical model, through decriminalization efforts within individual states. Bringing with it a paradigm shift in the delivery of health care for both physical and mental health treatment. A workforce of highly trained facilitators will be needed to meet the anticipated demand for this type of treatment and nurses can play a key role in meeting this demand. This article serves to introduce psychedelic-assisted therapies to psychiatric-mental health nurses as we start to see this new field emerge. METHOD: Review of published literature and other media. RESULTS: Results based on historical data, modern applications, and future considerations. CONCLUSIONS: Nurses have been involved with psychedelic-assisted therapies in the past and are fully capable of providing a wide range of roles upon the anticipated approval as a treatment modality.
Impacts on Human Health Potentially Caused by Exposure to an Unprecedented Ostreopsis spp Bloom in the Bay of Biscay, French Basque Coast
Authors: Paradis Camille , Chomérat Nicolas , Vaucel Jules-Antoine , Antajan Elvire , Labes Patrice , Rappoport Marc , Labadie Magali 
Published: January 2024

Introduction In recent years, climate change and human activity have modified marine biotopes, including the widening distribution of harmful algal blooms (HABs). Bloom events predominated by microalgae of the genus Ostreopsis have been described on the French Mediterranean coast, but in 2021 an unprecedented bloom occurred on the French Basque coast. The objective of this study is to describe the health impact of the Ostreopsis spp bloom that occurred on the French Basque coast in 2021. Methods A historical cohort was conducted, including cases of possible exposure to Ostreopsis spp registered at the Centre Antipoison de Nouvelle-Aquitaine between July 1 and September 30, 2021. Results Of 674 patients with possible toxicity due to Ostreopsis spp, 96.9% had bathed in contaminated waters. Most of them developed respiratory tract symptoms (64.4% of patients). The time to the onset of symptoms was <6 h for 73.6% of 174 short-term (<24 h) exposed patients. The median duration of symptoms was 7.5 days for occupational (e.g., lifeguards and surfing instructors) and 3 days for recreational exposures. There were no severe cases. In total, 3% of the cases were of moderate severity, and 97% were of minor severity, according to the Poisoning Severity Score. Conclusion Toxic reactions caused by Ostreopsis spp are mostly benign. The clinical picture is similar to that described following exposures to Ostreopsis cf. ovata blooms in the Mediterranean area since the end of the 20th century. Ostreopsis spp are present on the Basque coast. The ecological factors promoting its blooms remain to be clarified.
Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 1: working patterns 2021–2022
Authors: Lewis Benjamin RK , Spicer Olivia J , McLaughlin William S , Moons Kirstie 
Published: January 2024

Objective: To ascertain the working patterns of the NHS orthodontic workforce in Wales and any possible future changes. Design: Descriptive cross-sectional survey. Participants: NHS orthodontic practitioners in Wales. Methods: An anonymised email distributed an electronic two-part survey of the Welsh NHS orthodontic workforce. The survey consisted of three sections: (1) demographic information; (2) respondents’ working pattern (part 1); and (3) perceptions of professional satisfaction (part 2). Results: Part 1 of the survey yielded a 70.5% response rate (n = 79); 65.8% of the respondents were women. Of the respondents, 45.6% (n = 36) worked full time (F/T), 39.2% (n = 31) worked less than F/T and 15.2% (n = 12) worked more than F/T. Of the male respondents, 81.5% (n = 22) worked 10 sessions or more compared to 50% (n = 26) of women. The respondents undertook 508.5 orthodontic clinical sessions per week within Wales; of these sessions, 87.6% (n = 445.5) delivered NHS orthodontic care. Of the respondents, 8.4% (n = 7) were planning to increase their orthodontic clinical time within the next 2 years, 24.1% (n = 19) were planning to decrease it and 20.3% (n = 16) were unsure. One-quarter of respondents indicated that they were planning to stop clinical orthodontic activity within the next 5 years, including 53.3% (n = 8) of DwSIs, 37% (n = 10) of primary care specialists and 13.3% (n = 2) of consultants. The pandemic was an influencing factor for 80% of these clinicians. Conclusions: Part 1 of the survey suggested that the majority of the orthodontic workforce was female, were working full time or more, and spent most sessions delivering NHS care. One-quarter of respondents were planning to cease undertaking orthodontic activity within the next 5 years.
Prospective single-center study on the reliability of ipsilateral cerebral oximetry using near-infrared spectroscopy as a predictor for selective shunting during carotid endarterectomy
Authors: Alhaizaey Abdullah , Yousif Mohamed , Azazy Ahmed , Saber Abdelgawad , Safan Mohamed , Elgamal Galal A , Almalki Yahya , Alhazmi Barrag 
Published: January 2024

Objective Many techniques are available for the intraoperative assessment of brain perfusion during carotid endarterectomy, such as carotid stump pressure, near-infrared spectroscopy, somatosensory evoked potentials, transcranial Doppler, electroencephalography, and clinical assessment. The decision for selective carotid shunt insertion is dependent on clinical deterioration or the detection of cerebral hypoperfusion after cross-clamping of the internal carotid artery. Monitoring cerebral oximetry using near-infrared spectroscopy is a noninvasive technique for cerebral oxygen saturation measurement, reflecting changes in cerebral blood flow during carotid endarterectomy. The aim of this study was to evaluate the reliability of near-infrared spectroscopy as a predictor of selective shunting during carotid endarterectomy. Methods In total, 47 conventional carotid endarterectomy surgeries were performed at our hospital between March 2016 and December 2021. All surgeries were performed under a regional cervical block supplemented with local infiltration anesthesia. All patients were monitored by cerebral oximetry using bilateral near-infrared spectroscopy probes and clinical assessment through communication with the patient (numerical, visual, and verbal) to indicate a selective shunt. Near-infrared spectroscopy values were recorded before and after internal carotid cross-clamping and after declamping. Any decrease in ipsilateral cerebral oximetry-near-infrared spectroscopy values equal to or more than 20% from the pre-clamping baseline reading associated with deterioration in neurological status (hemiparesis, aphasia, or deterioration in level of consciousness) after internal carotid artery cross-clamping was considered an indication for intraluminal carotid shunting Results After internal carotid artery cross-clamping, 5 of 47 patients (10.6%) developed a significant drop in cerebral oxygen saturation associated with obvious clinical assessment deterioration in verbal communication and weakness in contralateral arm power. A Pruitt-Inahara carotid shunt was subsequently inserted, and 42 patients remained stable throughout surgery. The average decline in ipsilateral near-infrared spectroscopy values was 23.8% in patients with clinical deterioration. The average decline was 8.6% in patients who remained stable. Conclusions Monitoring ipsilateral cerebral oximetry using near-infrared spectroscopy is an easy and reliable method for indicating selective shunting during carotid endarterectomy. A 20% decrease in ipsilateral brain tissue oximetry after internal carotid artery cross-clamping provides a reliable cut-off value for selective intraluminal carotid shunting during carotid endarterectomy.
Measuring uterine cavity volume with sonohysterography: A new objective method
Authors: Elsayed Mortada , Amer Mohamed I , Gamal Rania , Haggag Aly , Mashaly Ahmed R , Absi Tamer El , Elsayed Walaa 
Published: January 2024

Introduction: The uterine cavity is a potential space with limited methods for evaluating its volume, limiting the evaluation of interventions’ effectiveness in various uterine conditions. This study aims to objectively measure the uterine cavity volume using sonohysterography coupled with a Foley catheter to provide a normative model of age and parity-related uterine cavity volume. Methods: The research included 35 women (group 1) with a total abdominal hysterectomy and 150 women (group 2) who underwent sonohysterography for various gynecologic indications. Saline infusion sonography was administered to all patients. The most common shape obtained after the saline infusion was taken to measure the uterine cavity’s dimensions and volume. The uterine cavity volumes, as measured by sonohysterography, and the volumes of saline injected after the hysterectomy were compared. Results: A significant association exists between uterine cavity volumes measured by sonohysterography and true volumes measured immediately after hysterectomy ( p = 0.001). The association between uterine cavity volume measured by sonohysterography and using only a Foley catheter balloon was statistically insignificant ( p = 0.13). A statistically significant positive association was observed between the uterine cavity volume and the patient’s age and parity ( p ⩽ 0.05). Conclusion: Measuring the uterine cavity volume using a paediatric Foley catheter balloon coupled with sonohysterography offers an objective approach to measuring a normal (without gross pathologies) uterus volume. This technique would improve the diagnostic accuracy and the management of women with distinct uterine cavity morphologies.
Gender-based differential management of acute low back pain in the emergency department: A survey based on a clinical vignette
Authors: Schilter Léa V , Le Boudec Joana AE , Hugli Olivier , Locatelli Isabella , Staeger Phillippe , Della Santa Vincent , Frochaux Vincent , Rutschmann Olivier , Bieler Sandra , Ribordy Vincent , Fournier Yvan , Decosterd Dumeng , Clair Carole 
Published: January 2024

Background: Women may receive suboptimal pain management compared with men, and this disparity might be related to gender stereotypes. Objectives: To assess the influence of patient gender on the management of acute low back pain. Design: We assessed pain management by 231 physicians using an online clinical vignette describing a consultation for acute low back pain in a female or male patient. The vignette was followed by a questionnaire that assessed physicians’ management decisions and their gender stereotypes. Methods: We created an online clinical vignette presenting a patient with acute low back pain and assessed the influence of a patient’s gender on pain management. We investigated gender-related stereotyping regarding pain care by emergency physicians using the Gender Role Expectation of Pain questionnaire. Results: Both male and female physicians tended to consider that a typical man was more sensitive to pain, had less pain endurance, and was more willing to report pain than a typical woman. These stereotypes did not translate into significant differences in pain management between men and women. However, women tended to be referred less often for imaging examinations than men and were also prescribed lower doses of ibuprofen and opioids. The physician’s gender had a modest influence on management decisions, female physicians being more likely to prescribe ancillary examinations. Conclusion: We observed gender stereotypes among physicians. Our findings support the hypothesis that social characteristics attributed to men and women influence pain management. Prospective clinical studies are needed to provide a deeper understanding of gender stereotypes and their impact on clinical management.