bluuebunny/crossref_metadata_2025_split huggingface dataset:
Giant right ventricular thrombus as the revealing form of Behçet's disease
Authors: Maaroufi Anass A. , Abouradi Sara S. , Hayar Salah S. , Drighil Abdenacer A. 
Published: April 2023

Abstract
Background
Behçet's disease BD is a rare multisystemic disease, with rare cardiac involvement. This case illustrates a rare cardiac involvement as a giant intracavitary thrombus which was the revealing form of Behçet disease.

Case presentation
An 15-year-old male admitted to the emergency department for progressive dyspnoea, hemoptysis for which an echocardiogram displayed a large echogenic mass in the right ventricle and angio CT revealed associated bilateral pulmonary embolism. The patient was then proposed for surgery for removal and pathological study the later confirmed its fibrin thrombotic nature. Behçet disease was suspected based on past history of recurrent oral aphthosis and confirmed with a positive pathergy test. Further management by anticoagulants, immunosuppressants and corticosteroids seemed effective to avoid relapse.

Conclusions
Cardiac involvement during BD can be life-threatening as it is not always diagnosed in timely manner. However, intracardiac thrombus is uncommon with only few case reports. Echocardiography is the key tool for the diagnosis of intracardiac thrombus.
Evaluation of epicardial adipose tissue by coronary multi-detector computed tomography: an independent predictor of obstructive coronary artery disease
Authors: Moradi Maryam , Talebi Vahid 
Published: April 2023

Abstract
Background
The aim of this retrospective cross-sectional study was to investigate the relationship between epicardial adipose tissue and coronary artery disease and its severity.

Methods
A total of 344 subjects with clinically suspected coronary artery disease underwent 256-slice multi-detector CT coronary angiography and were categorized as follows: no CAD, non-obstructive CAD (luminal narrowing < 50%) and obstructive CAD (luminal narrowing ≥ 50%). Calcium score was quantified using the Agatston method. Mean Epicardial adipose tissue (EAT) and mean pericoronary fat thickness (PCFT) were measured and utilized for data analysis.

Results
There was a significant association between EAT thickness and PCFT with clinical risk factors of CAD including HTN, DM and obesity (P-value: < 0.001) and dyslipidemia (P-value: 0.003, P-value: 0.008 for EAT and PCFT, respectively). EAT thickness and PCFT were significantly higher in obstructive CAD compared to non-obstructive CAD and no CAD categories (P-value: < 0.001). Also, there is positive strong correlation between EAT thickness, PCFT and Calcium score (P-value: < 0.001). Optimal cut-off point of PCFT for estimating obstructive CAD was > 12.87 mm (sensitivity: 77.06%, specificity: 66.06% and AUC:0.76; 95%CI:0.69–0.81) via receiver operating characteristic curve. On multivariate logistic analysis which included conventional risk factors of CAD, PCFT was an independent predictor of obstructive CAD (Odds ratio:1.55; P-value: < 0.001).

Conclusions
EAT thickness and PCFT were significantly increased in coronary artery disease. PCFT is a simple accessible marker for predicting obstructive CAD with acceptable diagnostic performance.
Chimney thoracic endovascular repair for anastomotic leakage after ascending aortic replacement for acute type A aortic dissection: a case report
Authors: Sakatsume Ko , Kudo Yasushi , Yanagiya Kazuaki , Naganuma Masaaki , Hatakeyama Masaharu , Masuda Shinya , Nagaya Koichi 
Published: April 2023

Abstract
Background
Anastomotic leakage at the distal anastomotic site after surgery for acute type A aortic dissection (AAD) occasionally leads to malperfusion or false lumen dilatation in the remnant dissected aorta. Open surgery remains the optimal therapy; however, subsequent surgery with re-sternotomy is excessively invasive in elderly and frail patients.

Case presentation
We report the case of an 81-year-old woman who was treated with chimney thoracic endovascular aortic repair (TEVAR) for anastomotic leakage after ascending aortic replacement for AAD. A pressure difference between the upper and lower limbs appeared after the primary surgery, and a computed tomography scan showed a stenotic true lumen in the descending aorta due to a “new tear” at the distal anastomotic site. Chimney TEVAR was performed to direct blood flow into the aortic true lumen in order to restore compromised blood flow to lower body because open surgery is excessively invasive for elderly and frail patients. No endoleak and a better expanded true lumen were detected after the subsequent surgical intervention.

Conclusions
Chimney TEVAR combined with an arch debranching procedure for sealing the new entry at the distal anastomotic site after ascending aortic replacement for AAD may be a viable option for high-risk patients.
Stroke Rehabilitation and Motor Recovery
Authors: O’Dell Michael W. 
Published: April 2023

ABSTRACT

OBJECTIVE
Up to 50% of the nearly 800,000 patients who experience a new or recurrent stroke each year in the United States fail to achieve full independence afterward. More effective approaches to enhance motor recovery following stroke are needed. This article reviews the rehabilitative principles and strategies that can be used to maximize post-stroke recovery.

LATEST DEVELOPMENTS
Evidence dictates that mobilization should not begin prior to 24 hours following stroke, but detailed guidelines beyond this are lacking. Specific classes of potentially detrimental medications should be avoided in the early days poststroke. Patients with stroke who are unable to return home should be referred for evaluation to an inpatient rehabilitation facility. Research suggests that a substantial increase in both the dose and intensity of upper and lower extremity exercise is beneficial. A clinical trial supports vagus nerve stimulation as an adjunct to occupational therapy for motor recovery in the upper extremity. The data remain somewhat mixed as to whether robotics, transcranial magnetic stimulation, functional electrical stimulation, and transcranial direct current stimulation are better than dose-matched traditional exercise. No current drug therapy has been proven to augment exercise poststroke to enhance motor recovery.

ESSENTIAL POINTS
Neurologists will collaborate with rehabilitation professionals for several months following a patient’s stroke. Many questions still remain about the ideal exercise regimen to maximize motor recovery in patients poststroke. The next several years will likely bring a host of new research studies exploring the latest strategies to enhance motor recovery using poststroke exercise.
The dosage of thiopental as pharmacological cerebral protection during non-shunt carotid endarterectomy: A retrospective study
Authors: Sookplung Pimwan , Suchartwatnachai Pathomporn , Akavipat Phuping 
Published: April 2023

Background: Thiopental has been used as a pharmacological cerebral protection strategy during carotid endarterectomy surgeries. However, the optimal dosage required to induce burst suppression on the electroencephalogram (EEG) remains unknown. This retrospective study aimed to determine the optimal dosage of thiopental required to induce burst suppression during non-shunt carotid endarterectomy. Methods: The Neurological Institute of Thailand Review Board approved the study. Data were collected from 2009 to 2019 for all non-shunt carotid endarterectomy patients who received thiopental for pharmacological cerebral protection and had intraoperative EEG monitoring. Demographic information, carotid stenosis severity, intraoperative EEG parameters, thiopental dosage, carotid clamp time, intraoperative events, and patient outcomes were abstracted. Results: The study included 57 patients. Among them, 24 patients (42%) achieved EEG burst suppression pattern with a thiopental dosage of 26.3+10.1 mg/kg/hr. There were no significant differences in perioperative events between patients who achieved burst suppression and those who did not. After surgery, 33.3% of patients who achieved burst suppression were extubated and awakened. One patient in the non-burst suppression group experienced mild neurological deficits. No deaths occurred within one month postoperative. Conclusions: The optimal dosage of thiopental required to achieve burst suppression on intraoperative EEG during non-shunt carotid endarterectomy was 26.3+10.1 mg/kg/hr.
Philosophical-basic model of personality psychology in penitentiary practice
Authors: Malyshev Konstantin , Lyapin Alexey , Mihaylov Aleksey 
Published: April 2023

Basic psychology and philosophy of personality is a new psychological and philosophical direction, which is based on the basic design of information about personality. Design is the modeling, construction and transformation of information. A basis is a set of elements having "completeness", "order" and "measure". The elements can be factors, types, functions, etc. The factor basis is a dichotomous (E) symmetric (C) unity (E) of factors. The basis is a function (D, C, E), i.e. a function of three variables (from three arguments - factors). Basic design is the modeling, construction and transformation of information in accordance with complete, ordered and measurable information. Let's build a three-dimensional basic design in the field of science functions (cognitive, ideological, systematizing, industrial, social, cultural, informational). All these functions are realized in the scientific activity of the individual.
We have three three-dimensional bases (1), (2), (3). (1) Image, word, number (here the "substrate" will be "operands of thinking" - "reflection of relationships"), (2) Factors, diagnostics, evaluation (here the "substrate" will be "psychodiagnostic concepts" - "regulation of mappings"), (3) Completeness, order, measure (here the "substrate" will be "criteria-characteristics" from the definition of the basis – "transformation implementation"). By the way, a factor - dichotomous three-dimensional "completeness" appears here: F(1) (+,-), F(2) (+,-), F(3(+,-).
Based on the definition of the main functions of science, it is possible to make triads of diagnostic judgments for each of the six types of functions (3x6 = 18) and thereby construct a basic three-dimensional test–18, consisting of 18 diagnostic judgments and measuring the profile - hexagram of individual preference for specific functions in the scientific activity of the individual. The creation of such a basic three-dimensional test is connected with the third criterion of "measure", which is included in the definition of "basis". It is possible to use "constructive" and "criterion" validity for the future new test-18. We will not do this in line with this article and this task is waiting for its researcher!
Cystic fibrosis - Ways to improve the quality of life of patients
Authors: Świercz Kamila , Majcher Magdalena , Górska Dominika , Majcher Monika , Karwańska Aleksandra , Pikulicka Agata , Sierpień Małgorzata , Brzychczy Piotr , Kulbat Aleksandra , Kulbat Mateusz 
Published: April 2023

Introduction
Cystic fibrosis (CF) is a serious, multi-system disease. In the Caucasian population CF is the most common autosomal recessive disease, which happens for 1 person in 3,500 births [1]. In the course of CF, there is a dysfunction of many organs, mainly the respiratory and digestive systems. Symptomatic treatment of cystic fibrosis is very important. The change in daily eating habits, the use of proper breathing techniques and psychotherapy also have an impact on improving the quality of life of patients.
In the past patients died at a young age. The progress in the diagnosis and treatment of cystic fibrosis has meant that nowadays more and more people are reaching adulthood. In recent years, the median survival of patients has increased to 46.2 years. [2]
Purpose
The aim of this review is to present the current state of knowledge about ways to improve the quality and length of life of patients with CF.
Methods
The literature available in the Pubmed and Google Scholarship databases was reviewed using key phrases.
Results
Additional methods of treatment, such as: learning the correct breathing technique, oxygen therapy, physical exercise or proper nutrition, significantly improve the living conditions of patients.
Normative Study on English Translation of Metro Public Signs in China under the Cognitive Translatology
Authors: Liu Haiou , Teng Luyan , Kong Lingcui 
Published: April 2023

With the acceleration of its internationalization, China is faced with epochal task of optimizing its international-standard linguistic environment, which is especially impending for Chengdu, the host city for the Universiade. The neo-analysis, at first, sorts out and analyzes different versions of official translation norms for toponyms through document research, as well as from the first-hand resources on public signs of rail transit from TFL and MTA, and then, continues the empirical case study under the theoretical guidance of Cognitive Translatology. This paper has proposed several translation principles and a new method - Conceptual Motivation Mapping - for public signs, attempting to explore the way to build up its international discourse system consistent with the status of Chengdu as a global hub.
The National Basketball Association’s (NBA) Digital Transformation: An Explanatory Case Study
Authors: Santomier James , Dolles Harald , Kunz Reinhard 
Published: April 2023

Purpose. Digital transformation in the global sport industry has resulted in digitally focused business strategies, innovative business models, targeted social media marketing strategies, increased consumer, and sponsor demand, accelerated growth in women’s sports, and streaming media (OTT) worldwide. This paper aims to study the case of the U.S.-based National Basketball Association’s (NBA) digital transformation, including multiple interactions of actors in the digital transformation process. A key aim is understanding the synergies resulting from the league’s integration of digital technologies, its business strategy, the evolution of its hybrid business model and the increase in revenue and global branding.

Design/methodology/approach. An explanatory case study design was selected to examine the NBA’s integration of digital technologies, digital and social media marketing strategies, business model innovation, multimedia partnerships, and strategic sponsorships. Data was derived from: (1) academic journals; (2) research based white papers; (3) sport industry reports and periodicals; (4) selected sport industry websites; and (5) recorded interviews with selected NBA officials. Gleaned content was analysed with a theory-oriented triangulation approach. The study period was from 2000 to 2023.

Findings. The NBA’s digital transformation, led by an entrepreneurial management team contributed to a successful business strategy aimed at engaging with digitally focused consumers across multiple media channels. The NBA developed an ecosystem-based consumer-focused hybrid business model, content-focused digital assets, and partnerships with media, brands, and cultural events. Its media partnerships and strategic sponsorships are synergistic with its business and marketing objectives, digital initiatives, and acquisitions. By the 2017-2018 season, the NBA had validated its position as a successful global entertainment property.

Originality/value. This paper examined the NBA’s digital transformation, including how the league integrated digital technologies with its business strategy and model to increase revenue and create a global brand. The analysis examined how the NBA’s digital transformation facilitated the league’s business strategy, enhanced the NBA fan experience, generated revenue from innovative digital products and services, and transformed its business model. The NBA’s business strategy and hybrid business model provide an exemplar for professional teams, leagues, and federations worldwide seeking to digitally transform their enterprises.
20 ANOS DAS DIRETRIZES CURRICULARES NACIONAIS DA EDUCAÇÃO DE JOVENS E ADULTOS - CONVERSA COM CARLOS ROBERTO JAMIL CURY
Authors: Fernandes Andrea Da Paixão , Julião Elionaldo Fernandes 
Published: April 2023

Esta conversa com o Professor Carlos Roberto Jamil Cury relator do famoso Parecer CNE/CEB nº 11/2000 que estabeleceu as “Diretrizes Curriculares Nacionais para a Educação de Jovens e Adultos”, ocorre como marco dos 20 anos de aprovação das Diretrizes para este dossiê temático de e-Mosaicos. Trata-se de um diálogo sobre o documento que contribuiu para delinear importantes conquistas no campo da EJA nos anos subsequentes e que ainda se constitui como referência para o campo da educação para pessoas jovens e adultas no Brasil.
Robust mechanical squeezing beyond 3  dB in a quadratically coupled optomechanical system
Authors: Banerjee Priyankar , Kalita Sampreet , Sarma Amarendra K. 
Published: April 2023

We demonstrate the dissipation-enabled generation of strong mechanical squeezing in a cavity optomechanical system by periodically modulating the amplitude of a single-tone laser driving the system. The Bogoliubov mode of the quadratically coupled mechanical oscillator cools down to its ground state due to optomechanical sideband cooling, which contributes to strong squeezing exceeding the 3 dB standard quantum limit. This sideband cooling mechanism is further optimized by numerically maximizing the ratio of the coupling sidebands. Then we look at the crucial role of the cavity mode dissipation in inducing enhanced squeezing. We also verify our results with the analytical solution (under adiabatic approximation) and the exact numerical solution. Compared with previous setups, the quadratic coupling between the mechanical oscillator and the optical mode gives rise to robust mechanical squeezing and strong optomechanical entanglement even for a large thermal occupancy of the mechanical mode.
Misconceptions and beliefs around hormone replacement therapy after childhood hematopoietic stem cell transplantation: A qualitative study among women leukemia survivors
Authors: Vergier Julia , Reynaud Rachel , Michel Gerard , Auquier Pascal , Courbiere Blandine 
Published: April 2023

Purpose
After childhood leukemia and hematopoietic stem cell transplantation, hormone replacement therapy is often required to induce puberty because of premature ovarian insufficiency. Observance of this kind of treatment in adolescents and young women seems quite poor, and literature about its acceptance remains scarce; in order to learn about their experience and to better understand their attitude towards hormone replacement therapy, we used qualitative methods.

Design and patients
13 young women childhood cancer survivors completed an individual interview.

Results
We report that the negative experience of leukemia may cause rejection of the treatment, closely related to infertility unacceptance. Misconceptions and lack of adequate information of hormonal treatment effects are also major barriers to a good compliance.

Conclusions and implications for cancer survivors
Observance of hormone replacement therapy for young women childhood cancer survivors can be improved with a confidential patient-physician relationship, patient education, choice of galenic formulation according to personal preference, and psychological support during the long-time follow up.
Long term outcomes of gastro-esophageal reflux surgery in children: Single center

experience
Authors: Toumi Afef , Ben Youssef Sabrine , Deghaies Rim , Ben Fredj Myriam , Sfar Sami , Ksia Amine , Sahnoun Lassaad , Mekki Mongi , Belghith Mohsen 
Published: April 2023

Introduction: Gastro-esophageal reflux (GER) is one of the most prevalent foregut diseases in pediatric patients. When medical treatment fails, the surgical approach is the gold standard. The aim of our study is to assess the long term outcomes of fundoplication performed in our center.
Methods :A Retrospective study at the department of pediatric surgery from 2014 to 2022 was conducted. An analysis of the data of all patients operated for GER with a minimum retreat of 4years.
Results :
Among 40 patients operated for GER only 32 patients were included. Sex Ratio H/F was 0, 62. The median age was 28 months and the median weight was 11, 5 kg. Five patients had neurological
impairments and no neuromuscular disorders were reported.
Conclusion:Laparoscopic antireflux surgery is of value in children. Long-term results after surgical treatment of GER by Nissen fundoplication are satisfactory with notably a progressive improvement of symptoms.
ASSESSMENT OF THE WATER VOLUME STORAGE IN RESERVOIRS FROM THE BRAZILIAN SEMIARID REGIONS
Authors: Crioni Pedro Luiz Becaro , Cunha Caroline Favoreto da , Teramoto Elias Hideo , Chang Hung Kiang 
Published: April 2023

Semiarid regions comprise a significant portion of the Earth and they are characterized by lack of water resources. Due to low water availability, surface water is commonly stored in small reservoirs that serve as a primary source of water supply and agriculture. The water volume stored in these reservoirs may be estimated by use of area-volume model, which estimates the volume per flooded area of the reservoir. The area of reservoirs can be easily estimated by computation of Normalized Difference Water Index (NDWI) using satellite imagery. Because of the vital importance of water availability estimation in small to medium reservoirs (0.1 to 15 Km2) of the Brazilian semiarid region, the suitability of some previous area-volume models developed for semiarid was evaluated. Additionally, a new area-volume model valid for the Brazilian semiarid region was developed using non-linear regressions. The fitted model provides estimates close to the measured volumes, indicating the ability of these models to predict the volume of water in these reservoirs. The proposed model was applied to evaluate the change of stored water in a watershed in the Brazilian semiarid region, allowing to verify a substantial reduction in the water volume during a prolonged drought. Consequently, this work points out useful strategies to monitor the water availability in the Brazilian semiarid region.
Enhanced cutoff energies for direct and rescattered strong-field photoelectron emission of plasmonic nanoparticles
Authors: Saydanzad Erfan , Powell Jeffrey , Summers Adam , Robatjazi Seyyed Javad , Trallero-Herrero Carlos , Kling Matthias F. , Rudenko Artem , Thumm Uwe 
Published: April 2023

Abstract
The efficient generation, accurate detection, and detailed physical tracking of energetic electrons are of applied interest for high harmonics generation, electron-impact spectroscopy, and femtosecond time-resolved scanning tunneling microscopy. We here investigate the generation of photoelectrons (PEs) by exposing plasmonic nanostructures to intense laser pulses in the infrared (IR) spectral regime and analyze the sensitivity of PE spectra to competing elementary interactions for direct and rescattered photoemission pathways. Specifically, we measured and numerically simulated emitted PE momentum distributions from prototypical spherical gold nanoparticles (NPs) with diameters between 5 and 70 nm generated by short laser pulses with peak intensities of 8.0 × 1012 and 1.2 × 1013 W/cm2, demonstrating the shaping of PE spectra by the Coulomb repulsion between PEs, accumulating residual charges on the NP, and induced plasmonic electric fields. Compared to well-understood rescattering PE cutoff energies for strong-field photoemission from gaseous atomic targets (10× the ponderomotive energy), our measured and simulated PE spectra reveal a dramatic cutoff-energy increase of two orders of magnitude with a significantly higher contribution from direct photoemission. Our findings indicate that direct PEs reach up to 93 % of the rescattered electron cutoff energy, in contrast to 20 % for gaseous atoms, suggesting a novel scheme for the development of compact tunable tabletop electron sources.