bluuebunny/crossref_metadata_2025_split huggingface dataset:
Descriptive Epidemiology of Complete ACL Tears in the Skeletally Immature Population: A Prospective Multicenter PLUTO Study
Authors: Christino Melissa A. , Hutchinson Lauren E. , Pennock Andrew T. , Cook Danielle L. , Anderson Christian N. , Busch Michael T. , Chambers Henry G. , Cordasco Frank A. , Edmonds Eric W. , Fabricant Peter D. , Ganley Theodore J. , Green Daniel W. , Heyworth Benton E. , Todd R. Lawrence John , Matava Matthew J. , Micheli Lyle J. , Milewski Matthew D. , Nepple Jeffrey , Parikh Shital N. , Perkins Crystal A. , Saluan Paul M. , Shea Kevin G. , Wall Eric J. , Willimon Samuel C. , Kocher Mininder S. 
Published: January 2025

Background: Anterior cruciate ligament (ACL) injuries are common in pediatric and adolescent patients. Understanding this population's injury characteristics and treatment strategies is vital for managing this high-risk group. Purpose: To report the descriptive epidemiology and treatment strategies of a large cohort of skeletally immature patients with complete ACL tears. Study Design: Cross-sectional study; Level of evidence, 2. Methods: Consecutive skeletally immature patients diagnosed with complete ACL tears were enrolled at 10 institutions across the United States. Treatment was provided by 1 of 23 participating orthopaedic surgeons. Patient characteristics (chronological and skeletal age, sex, race, and ethnicity) as well as anthropometric measures, mechanism of injury, and ACL treatment type were collected. Results: A total of 749 skeletally immature participants were included in the final cohort; the mean chronological age was 12.9 years, and 62% were male. The mean skeletal age (13.2 years) was a mean of 0.34 years (4 months) higher than the mean chronological age ( P < .001). Tanner staging revealed that 18% of participants were Tanner stage 1, 20% were Tanner stage 2, 28% were Tanner stage 3, 30% were Tanner stage 4, and 4% were Tanner stage 5. Five percent of participants reported a previous ipsilateral knee injury, and 30% had a family history of ACL injuries. Sport was the predominant mechanism of injury (89%), with noncontact injuries the most common (64%). The most common sport resulting in an ACL tear among boys was American football (41%) and among girls was soccer (44%). Overall, 99.9% of skeletally immature patients were treated surgically by 1 of 4 reconstruction techniques: transphyseal (53%), partial transphyseal (7%), physeal-sparing all-epiphyseal (13%), and physeal-sparing iliotibial band (ITB) (27%). The most common surgical techniques for patients with a skeletal age <13 years were physeal sparing with ITB (56%) and all-epiphyseal (22%), while in patients with a skeletal age ≥13 years, transphyseal (71%) and physeal sparing with ITB (12%) were the most common. Overall, 57% of patients who underwent ACL reconstruction had arthroscopically documented meniscal tears, with high rates of meniscal repair (90% medial tears and 66% lateral tears). Conclusion: Almost all skeletally immature patients with ACL tears were injured during sports, surgical treatment was overwhelmingly the treatment of choice, and preferred surgical techniques varied based on skeletal ages.
Midterm Survivorship and Clinical Outcomes in Fresh Osteochondral Allograft Transplantation for the Treatment of Large Bipolar Lesions of the Knee
Authors: Bouz Tony S. , Wang Tim , Penn Jordan K. , McCauley Julie C. , Bugbee William D. 
Published: January 2025

Background: Fresh osteochondral allograft (OCA) transplantation is an established treatment option for patients with chondral or osteochondral lesions of the knee. Predictably positive outcomes are seen in situations of focal or isolated cartilage defects. However, OCA transplantation may also be performed in more complex joint salvage situations in young patients. Purpose: To evaluate survivorship and outcomes in patients who underwent OCA transplantation for large bipolar lesions of the knee. Study Design: Case series; Level of evidence, 4. Methods: Fresh OCAs were implanted for bipolar chondral lesions in 86 patients (89 knees) between 1983 and 2020. A total of 37 male and 52 female knees with a mean patient age of 37.9 years (range, 14.5-66.0 years) were treated. Surgical indications included degenerative chondral lesions, osteoarthritis, osteochondritis dissecans, traumatic chondral injuries, and previous failed OCAs. The clinical evaluation included the modified Merle d’Aubigné-Postel score, International Knee Documentation Committee (IKDC) score, and Knee Injury and Osteoarthritis Outcome Score (KOOS). Outcomes were collected during outpatient clinic visits or via mail. The minimum follow-up was 2 years. Additional procedures after OCA transplantation were documented. OCA failure was defined as a reoperation that involved removal of the allograft. Results: There were 81 knees (91.0%) that had undergone previous surgery, with a mean of 3.2 previous procedures (range, 1-11). The mean treated defect surface area was 16.7 cm2. Graft failure occurred in 31 knees (34.8%). Reoperations (including failures) occurred in 46 knees (51.7%). The mean time to failure was 4.8 years. Survivorship of the bipolar OCA was 73.8% at 5 years, 66.6% at 10 years, and 58.9% at 15 years. Among the 58 knees (65.2%) in which the OCA was still in situ, the mean follow-up was 11.3 years (range, 2.1-27.6 years). The mean modified Merle d’Aubigné-Postel score improved from 12.4 to 14.8 points; 64.3% of knees (36/56 with available data) were considered successful with a score ≥15. The mean IKDC pain score improved from 6.3 to 4.0, and the mean IKDC function score improved from 2.9 to 6.2. The KOOS symptoms, pain, activities of daily living, sports/recreation, and quality of life subscores all increased postoperatively by a mean of 19.7, 25.9, 27.1, 35.4, and 36.4, respectively. Conclusion: OCA transplantation is a salvage treatment option for large bipolar cartilage lesions of the knee with acceptable survivorship and significant clinical improvement in a challenging patient population.
Predictive ability of systemic coagulation-inflammation index on early fistula failure after radiocephalic arteriovenous fistula creation
Authors: Atasoy Mustafa Selcuk , Muduroglu Ayhan 
Published: January 2025

Introduction: To the best of our knowledge, a possible predictive relationship between the systemic coagulation-inflammation index (SCI) and arteriovenous fistula (AVF) failure following AVF creation has not yet been examined. We therefore designed this study to examine the predictive ability of SCI on postoperative early AVF failure in patients undergoing primary radiocephalic AVF operation. Methods: A total of 189 patients who underwent primary radiocephalic AVF operation for hemodialysis access were included in this retrospective observational cohort study, and then divided into two groups according to whether AVF failure occurred within the first 3 months after the operation; as failed AVF group ( n = 44) and non-failed AVF group ( n = 145). The patients’ baseline clinical characteristics and laboratory parameters were recorded and then compared between the groups. Results: Patients in failed AVF group were significantly older and had higher smoking rate than those in non-failed AF group. The median values of fibrinogen, platelet-to-lymphocyte ratio and SCI were significantly higher in failed AVF group than in non-failed AVF group. With regards to other clinical characteristics and laboratory parameters, no significant differences were detected between the groups in the univariate analyses. Only age and SCI maintained their significances in the multivariate logistic regression analysis, and were therefore considered as the independent predictors of AVF failure. ROC curve analysis revealed that SCI of 37.9 constituted the optimum cut-off value with 97.7% sensitivity and 94.5% specificity rates for predicting AVF failure. Conclusion: The present study demonstrated for the first time in the literature that SCI significantly and independently predicted early AVF failure following radiocephalic AVF creation.
Teaching the Labor Theory of Value in China: Addressing Challenges with Effective Methods
Authors: Mengting Ma 
Published: January 2025

This article explores effective teaching methods for the labor theory of value in Chinese economic education, with a focus on addressing students’ negative perceptions of Marxist economics. While Marxist economics remains one of the most widely taught heterodox approaches in Chinese universities, its prevalent treatment as ideological-political education has led to students’ stereotypical perceptions of the subject. To address this issue, the teaching design prioritizes the concept of surplus and uses the video game “Don’t Starve” as a scenario to illustrate the distribution of total social labor under various production relations. This approach highlights the social dimensions of the labor theory of value, enhancing engagement, and rectifying stereotypical misconceptions. Pre-course and post-course surveys indicate that these methods improve students’ understanding and critical thinking regarding the labor theory of value. JEL Classification: A22, B51
Institutions of Care: A Qualitative Study with Ancestral Black Nova Scotian Nurses in Healthcare
Authors: Jefferies Keisha , Martin-Misener Ruth , Murphy Gail Tomblin , Gahagan Jacqueline , Bernard Wanda Thomas 
Published: January 2025

Background Ancestral Black Nova Scotian (ABNS) nurses are a culturally distinct group yet, little is known about their experiences. Available literature suggests that ABNS nurses are underrepresented in nursing and that they encounter discrimination throughout the health system. Understanding the experiences of ABNS nurses facilitates addressing antiBlack racism in nursing and healthcare. Purpose This study sought to critically examine the leadership experiences of ABNS nurses in healthcare. Methods This qualitative study was guided by Black feminist theory and involved one-on-one semi-structured telephone interviews with eighteen ABNS nurses. Critical Discourse Analysis was applied in the reading of interview transcripts to examine words used by participants in relation to nursing and healthcare. The findings are presented in two conceptual themes. Results Black Tax in Nursing captures the added physical, mental, and spiritual strain experienced by ABNS nurses navigating nursing and healthcare. Black Tax encompassed everyday microaggressions and systemic processes, including intra-profession tensions. Integrating into nursing was made increasingly difficult by a reinforcing network of gatekeepers, policies, and structural design. Nova Scotia Healthcare as an Archaic Institution depicts an antiquated “broken” paternalistic system that did not empower patients nor promote health. Additionally, nursing education was accused of reinforcing negative stereotypes, competency gaps, and mistrust with patients. Conclusions Institution of Care show how ABNS nurses challenge institutional standards and norms in their approach to nursing. ABNS nurses navigate nursing and the health system by maintaining a community-oriented approach to health. Addressing anti-Black racism in nursing and healthcare requires attention to multi-level processes within institutions.
30 Years of Nursing Ethics: Reflections on progress in the field
Authors: Gallagher Ann 
Published: January 2025

Background The field of formal nursing ethics is not new, with literature primarily from North America, dating back to the 1880s. The establishment of the international journal Nursing Ethics in 1994 served to stimulate, curate and disseminate research and scholarship in this evolving field. Three decades on, it is timely to review progress and to make recommendations for the future focus of the field. Purpose This article reviews 182 issues of Nursing Ethics over 30 years, focusing on: regions of origin of published articles; methodologies; and topic themes. Research design The process involved documentary analysis, by hand, summarising: (1) regions of origin; (2) most common methodologies - qualitative; quantitative; mixed methods; argument-based; and reviews; and (3) themes relating to topic areas. Ethical considerations The manuscript was reviewed by members of the Nursing Ethics Editorial Board and revised in accord with reviewers’ feedback. The research did not involve human participants nor require consent from individuals. Findings There has been an escalation of scholarship in nursing ethics with significant shifts over 3 decades, as evidenced in the journal Nursing Ethics. This paper focuses on trends relating to: (1) Regions of origin of published papers – initially manuscripts were primarily from Europe and North America and there is now more geographical diversity; (2) Methodologies – there is strong evidence of the ‘empirical turn’ from an initial focus on philosophical perspectives to empirical research, particularly quantitative research; and (3) Topic areas – whilst there is rich diversity, there has been increasing focus on areas such as moral distress, ethical climate and ethics education. Conclusion This review is intended to stimulate reflection on progress made and approaches to future directions. This includes more critical focus on: the meaning and purpose of nursing ethics; impact on practice, education and research; and potential to respond to care challenges.
Thyme and Basil Essential Oils Attenuate Hydrogen Peroxide-induced Hepatic Damage in Rats
Authors: Qahl Safa H. 
Published: January 2025

Background Excessive levels of oxidative radicals injure organs by directly reacting with macromolecules [proteins, lipids, and deoxyribonucleic acid (DNA)]. Anti-oxidant supplements with compounds rich in anti-oxidants, such as essential oils, combat oxidative radicals. Purpose This investigation aimed to assess the theory that supplementation with thyme essential oil (TEO) and basil essential oil (BEO) lessen the harmful consequences of hepatic oxidative stress that occur when hydrogen peroxide (H2O2) is added to drinking water. Methods Rats were randomly divided into four groups: normal control (NC) received a basal diet; positive control (PC) was intraperitoneally injected with a single dose of 3% H2O2; and TEO or BEO groups were PC groups received 200 mg/kg of TEO or BEO for 30 days. Results BEO demonstrated a higher capacity for radical scavenging than TEO in 2,2-diphenyl-1-picrylhydrazyl (DPPH) and H2O2 assays. Treatment with BEO and TEO significantly improved various liver functions, including total protein, total bilirubin, albumin, and liver enzymes [alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), and alkaline phosphatase (ALP)] with BEO preferred over TEO. TEO and BEO administration significantly reduced oxidative stress and inflammation by lowering malondialdehyde (MDA) values and enhancing superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase (CAT) activities, and maintaining normal levels of myeloperoxidase (MPO) and nitrite production in H2O2-treated rats. TEO and BEO also repaired the deformed liver structure to the normal. Conclusion These results provide critical insight into how thyme and basil essential oils might protect the liver from H2O2-induced oxidative stress and inflammation.
The relationship among heart health attitudes, socioeconomic factors, and HbA1c levels in adolescents with type 1 diabetes
Authors: Gurbuz Funda , Geckil Emine , Gurbuz Ahmet Seyfeddin , Eklioglu Beray Selver 
Published: January 2025

Background Type 1 Diabetes is important chronic health problem that incidence increasing between the ages of 4–6 and 10–15, has multi-dimensional etiological factors. Cardiovascular diseases may develop due to diabetes and cause significant morbidity and mortality. Diabetes cause deterioration of vascular structure, and sudden onset of heart disease through various pathophysiological mechanisms. Controlling factors, especially diabetes management, is very important in preventing cardiovascular diseases. Objective The study aimed to investigate the relationship between heart health attitudes, socioeconomic factors, and HbA1c levels in adolescents with Type 1 Diabetes. Methods The study included 10–15-year-old adolescents with Type 1 Diabetes treated in pediatric endocrinology outpatient clinic provided they met the inclusion and exclusion criteria. Adolescents’ heart health attitudes were evaluated with the cardiovascular health promotion attitude scale for children. HbA1c levels and socioeconomic characteristics of the adolescents were recorded. Results The independent predictors of the group with favorable heart health attitudes were exercise duration, meal frequency, low economic status, and HbA1c levels. HbA1c levels were positively associated with nutrition, exercise, sedentary life, and smoking subscale scores as well as total scale scores. However, it was not associated with the scores of self-love and stress subscales. Low self-love and stress subscale scores were independent predictors of low economic status and explain why low economic status is a predictor of favorable heart health attitudes. Conclusions The cardiovascular health promotion attitude scale scores are associated with HbA1c levels, which is a predictor of increased cardiovascular diseases. This predictive ability of the scale makes its use meaningful.
Trends in work-absenteeism and return-to-work among people with spine pain in middle income countries: A need for evidence
Authors: Mullerpatan Rajani , Jadhav Kshitija 
Published: January 2025

Background Spine pain is a leading cause of functional disability and work absenteeism globally. Multiple prognostic factors influencing return-to-work(RTW) among people with spine pain are reported from high-income-countries. However, findings from high-income-countries with 16 percent world's population, cannot be extrapolated to low-middle-income countries (LMICs) which constitutes 84 percent world's population. Hence, paucity of evidence from LMICs motivated present literature review. Objective To study work absenteeism and RTW profile of people with spine pain in LMICs, including intrinsic and extrinsic factors influencing RTW and time taken to RTW. Methods Literature search in scientific databases: PubMed, Scopus, CINAHL, Cochrane and Google Scholar yielded 3 articles from middle-income countries; including 2 cohort studies and 1cross-sectional study. No study was identified from low-income countries. Results Review findings reported cessation of work or work absenteeism due to spine-pain; factors influencing RTW; proportion of people returning to work and period of RTW. Intrinsic factors which influenced work absenteeism and RTW included-age, gender, BMI, stage of spine pain and pain severity. Extrinsic factors were heavy physically demanding occupation, informal employment, compensatory leave and lack of access to rehabilitation services at primary and secondary healthcare levels. Conclusions Scarce evidence on work absenteeism and RTW among people with spine pain is available only from middle-income countries. Trends of work practice underpinned by pain-coping strategies among people with spine pain in LMICs with inadequate access to evidence-based spine-care, out-of-pocket health expenditure and lack of compensation guidelines warrant urgent research attention.
Comparison of travel distance of center of pressure using the footscan system in individuals with and without flatfoot
Authors: Eo Hyoshin , Park Donghwi , Jun Kwangohk , Woo Sungho , Koo Won Mo , Kim Jong Min , Lee Byung Joo , Chang Min Cheol 
Published: January 2025

Background Diagnosis and treatment of flatfoot are often overlooked. Current diagnostic methods, such as lateral foot radiography and physical examination, primarily assess simple static foot conditions. The Footscan test can be employed to evaluate the static and dynamic balance of patients with flatfoot; however, the precise reference value for various Footscan test results remains undetermined. Objective This study aimed to contribute to the body of knowledge regarding flatfoot diagnosis by identifying objective differences between patients with and without flatfoot. Methods This study focused on individuals aged 19–50 years without ankle injuries or surgeries that could affect balance. The Footscan system was used to evaluate static balance using the total travel distance (TD) of the center of pressure in the standing position for 10 s. For dynamic balance indices, the sole was divided into forefoot, midfoot, and hindfoot zones by the system, and the contact distribution of each zone was quantified as a percentage during a 1-min walking period. Statistical analysis was performed to compare the normal and flatfoot groups, leading to the determination of cutoff values for clinically significant indices. Results The study included 116 feet of 58 healthy individuals and 56 feet of 28 patients with flatfoot. Significant differences were found between the two groups for all static and dynamic balance variables. Logistic regression analysis identified TD ( p = 0.001) and midfoot contact distribution ( p < 0.001) as significant risk factors of flatfoot. Receiver operating characteristic analysis determined the cut-off values with the highest sum of sensitivity and specificity for diagnosis: TD ≥ 20.5 mm and midfoot contact distribution ≥ 18.95%. Conclusions The Footscan test indices showed significant differences in static and dynamic balance between patients with flatfoot and normal individuals. TD and midfoot contact distribution emerged as meaningful indicators of diagnostic potential.
Clinical assessment of lumbar mobility: Height of the lumbar spine and localization of L1 by ultrasound
Authors: Jacquemin D. , Demoulin C. , Dorban G. , Tubez F. , Vanderthommen M. 
Published: January 2025

Background Various tools for clinical assessment of lumbar mobility in the sagittal plane coexist. Their validity has been called into question in particular because of their fixed distances between their skin markers whatever the height of the subject. Objective To measure the distance between the lower margin of the Postero Superior Iliac Spines (PSIS) and the middle of the L1 spinous process and to analyze the characteristics that influence it. To check whether these new skin marks could be more reliable for developing a new clinical assessment tool for lumbar mobility. Method The distance between the lower margin of the PSIS and the L1, located by ultrasound, was taken in the standing position and analyzed on 200 participants. Results The mean PSIS-L1 distance was 13.3 ± 1.8 cm, influenced mainly by standing height. A ratio or the regression line equation, based on the relationship between standing height and PSIS-L1, were highlighted. Conclusions The actual mode of placement of skin markers for the clinical assessment tools to evaluate lumbar mobility is not valid. The PSIS-L1/standing height ratio or the regression equation are the most effective ways for predicting the location of the upper skin marker (L1) for developing a new tool.