bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utilization of the Bentley BOS-CM50 Capillary Fiber Membrane Oxygenator with a Bio-Medicus Pump for Long-Term Right Ventricular Assist: A Case Report
Authors: Chrostowski Ann Marie , Palanzo David A. , O’Neill Martin J. , Harrison Lynn H. 
Published: September 2023

Following six vessel coronary artery bypass surgery, a 67-year-old man developed acute hypoxia and severe pulmonary hypertension secondary to a protamine reaction. Right ventricular bypass with oxygenation was required using a Bio-Medicus pump and Bentley BOS-CM50 capillary fiber membrane oxygenator. This helped to lower the pulmonary artery pressure from 36 mmHg to 9 mmHg. Arterial blood gases were maintained with a pH of 7.35-7.50, pCO2 30-40 mmHg, and PO2 60-200 mmHg, and activated clotting times (ACT) were kept above 480 seconds. The oxygenator was used for 14 hours without complications and removed from the circuit when the patient's mean pulmonary artery pressures were kept below 20 mmHg, and pO2s above 60 mmHg with the patient supported on the ventilator. The patient was subsequently weaned off right ventricular bypass after 66 hours of support.
The Bentley CM50 capillary fiber membrane oxygenator was safely used for 14 hours, which was associated with a reduction in pulmonary hypertension in a patient recovering from a protamine reaction.
Klinische Differenzialdiagnostik bei 4–12-jährigen
kieferorthopädischen Patienten
Authors: Medlitsch Astrid , Pittschieler Elisabeth 
Published: September 2023

ZUSAMMENFASSUNGDieser Artikel gibt einen groben Überblick über die klinische Erfahrung
und wissenschaftliche Basis bei der Behandlung von Kindern und Jugendlichen von
4–12 Jahren mit Osteopathie und Kieferorthopädie und beantwortet
folgende Fragen: Worauf kommt es speziell als Osteopath bei der Zusammenarbeit mit
Kieferorthopäden an? Welche osteopathischen Testungen sind zielführend
und sinnvoll?
Wie funktioniert Homöopathie bei Pflanzen?
Authors: Maute Cornelia 
Published: September 2023

ZusammenfassungDie Autorin gibt einen Überblick über die Möglichkeiten
der homöopathischen Behandlung bei Pflanzen. Anhand einiger konkreter
Fälle wird auf die Mittelfindung für diese
„stummen“ Patienten eingegangen. Neben praktischen Dosierungs-
und Anwendungshinweisen werden die Themen Stärkung, Verletzungen,
Fraßschädlinge und Pflanzenkrankheiten angesprochen.
A fast calibration method for distributed measurement systems
Authors: Liu Qing , Lv Jiaming , Zhang Jiaying , Li Jintong , Li Jiapei , Shang Ting 
Published: September 2023

Aiming at the distributed measurement system multi-equipment coordinated measurement, the data measured by each transmitting station are unified under a common coordinate system, which has the problems of complicated operation and high time and cost. In this paper, a fast calibration method for distributed measurement systems based on standard devices is proposed. The method designs a new type of architectural calibration board with non-coplanar measurement nodes, calculates the coordinates of the measurement nodes using geometric relations, solves the initial values of the system parameters, and substitutes the initial values into the L-M least squares algorithm for iterative optimization so that it only needs to carry out one scanning measurement for each reference position in the calibration process to complete the calibration. We designed an experiment in which a distributed measurement system consisting of four transmitting stations measured three standard rods (1650.073, 1156.704, and 875.950 mm) sequentially after calibration in a measuring space of 5 × 5 × 3 m3. The experimental results show that under the premise of ensuring that the measurement accuracy is better than 0.20 mm, the calibration of the parameters of the distributed measurement system can be completed within 20 min.
Setting an upper limit for the total TeV neutrino flux from the disk of our Galaxy
Authors: Vecchiotti V. , Villante F.L. , Pagliaroli G. 
Published: September 2023

AbstractWe set an upper limit for the total TeV neutrino flux expected from the disk of our Galaxy in the region |l| < 30° and |b| < 2° probed by the ANTARES experiment. We include both the diffuse emission, due to the interaction of cosmic rays with the interstellar medium, and the possible contribution produced by gamma-ray Galactic sources. The neutrino diffuse emission is calculated under different assumptions for the cosmic ray spatial and energy distribution in our Galaxy. The source contribution is instead constrained by analysis of the gamma-ray TeV sources included in the H.G.P.S. catalog. In particular, we assume that the total gamma-ray flux produced by all the sources, resolved and unresolved by H.E.S.S., is produced via hadronic interaction and, hence, is coupled with neutrino emission. We compare our total neutrino flux with the recent ANTARES measurement of the neutrino from the Galactic Ridge. We show that the ANTARES best-fit flux requires the existence of a large source component, close to or even larger than the most optimistic predictions obtained with our approach.
Tunable dual-plasmon induced transparency based on monolayer black phosphorus metamaterial and its sensing performance
Authors: Shi Rongrui , Lei Cheng , Liang Ting , Wang Taolong , Liu Shilin 
Published: September 2023

Abstract
In this study, we propose a monolayer periodic structure of black phosphorus (BP) metamaterials in the mid-infrared region to achieve tunable dual-plasmon-induced transparency (PIT). The dual PIT effect was regulated by changing the carrier concentration of BP. The results obtained using the finite-difference time-domain method are very similar to those obtained using coupled modal theory. More importantly, the proposed structure shows great potential for sensing, with a maximum sensitivity of 6.67 THz/RIU. Therefore, our study provides a new method for the development of sensor devices with excellent refractive index sensing.
Optical modulation in Er-doped fiber laser delivering dark pulse utilizing side polished fiber coated with Ti3AlC2 as saturable absorber
Authors: Chang Seong Hong , Tan Sin Jin , Diblawe Abdulkadir Mukhtar , Tiu Zian Cheak , Cheng Xiau San , Ahmad Fauzan , Harun Sulaiman Wadi 
Published: September 2023

Abstract
Dark pulse mode-locked Erbium doped fiber laser (EDFL) was demonstrated in this work by employing side polished fiber (SPF) coated with Ti3AlC2 solution using drop casting method. The modulation depth of fabricated SPF coated with Ti3AlC2 solution was characterized at 2.2%. This SPF coated structure allowed the formation of dark mode-locked pulse with improved the birefringence and nonlinearity in EDFL. The dark pulse generated was cubic-quintic nonlinear Schrödinger equation (CQNLSE) dark pulse with center wavelength at 1558.935 nm, repetition rate 1.839 MHz and pulse width 170.2 ns. Pulse stability was examined, revealing a high signal to noise ratio (SNR) of 65.86 dB. This work could serve as a foundation for the development of sustainable industry, innovation and infrastructure.
149 Power-agers: the effect of Progressive Resistance Training (PRT) on sarcopenia status of community dwelling older adults
Authors: Farrell E , Fox S 
Published: September 2023

Abstract

Background
The primary aim of this study is to establish whether the sarcopenia status of community-dwelling older adults could be improved using Progressive Resistance Training (PRT) in a gym-based, physiotherapy-led intervention for 7 weeks.

Methods
This is a non-randomised study, all participants completed the intervention. 24 participants attended the programme, n = 2 lost to follow up. Participants attended twice weekly for 7 weeks; 2 assessment sessions and 12 exercise sessions. The assessment consisted of Bioelectrical Impedance Analysis, Timed Up and Go (TUAG), five time Sit-to-Stand (5 x STS), 10 metre walk test, grip strength and Short Physical Performance Battery (SPPB). Each group had 5–7 participants complete 6 exercises in circuit; (1) weighted sit-to-stand, (2) modified deadlift, (3) farmer walks, (4) overhead press, (5) cable row, and (6) cable chest press.

Results
Data were analysed using SPSS. Pre-intervention 87.5% (n = 21) were identified as ‘probable sarcopenic’; post-intervention this decreased to 77.3% (n = 17). Sarcopenia status was not found to be significantly associated with the intervention by Chi-squared tests. No participants were classified as ‘confirmed sarcopenia’, as all were above the cut off scores for muscle mass. There was a statistically significant change in the SPPB and TUAG scores (p &lt; 0.0041), with large effect sizes; Eta squared = 0.481 (SPPB), and 0.341 (TUAG). Improvements in 5xSTS and right grip strength had alpha values of less than p &lt; 0.05, with large effect sizes, however they did not reach statistical significance.

Conclusion
The improvements in physical performance measures (SPPB & TUAG) are encouraging and may indicate that PRT can play a role in the long-term management of sarcopenia and promotion of independence in older adults. However, due to the lack of a control, it is difficult to ascribe the changes to the intervention itself. Further research with suitable controls and follow-up is needed to gain insights into which PRT interventions are the most effective in managing sarcopenia in older community dwellers.
170 Improving illness collaboration, communication and confidence in adults with heart failure and their spouse/partners: results from an early-phase intervention
Authors: Lyons K , Whitlatch C L , Vest A , Upshaw J , Johnson S H , Lee C 
Published: September 2023

Abstract

Background
Older adults with Heart Failure (HF) and their spouse/partner experience significant negative impact on their health and relationship. Yet, few interventions focus on the HF couple. Informed by the Theory of Dyadic Illness Management, the Taking Care of Us© (TCU) intervention was designed to improve illness collaboration, communication, and confidence within older couples living with HF.

Methods
A randomised controlled trial was used to explore this early-phase psychosocial intervention in comparison to an education attention-control condition. Both programs were delivered virtually over two months to couples in the United States. Thirty seven couples (adults with heart failure [AwHF] and their spouse/partners) were randomised (18 to TCU and 19 to attention-control) with 24 couples completing the follow-up assessment (12 couples per condition). AwHF were on average 69.9 (SD = 9.6) years of age, predominantly male (70%) and reported being in NYHA Stage II/III (73%). Between-group effect sizes are reported due to small sample.

Results
At follow-up, TCU AwHF reported bigger declines in dyspnoea (d = 0.66), pain interference (d = 1.23) and fatigue (d = 0.18) than the educational condition. Additionally, TCU couples reported greater improvements in collaborative HF management (d = 0.17 for AwHF; d = 0.40 for spouses), collaborative coping (d = 0.68 for AwHF; d = 0.49 for spouses), shared physical activity (d = 0.72 for AwHF), shared fun activities (d = 0.70 for AwHF; d = 0.52 for spouses), and communication as a couple (d = 0.38 for AwHF; d = 0.20 for spouses). TCU AwHF reported being more likely to reduce fluid (d = 0.35) and take a diuretic (d = 0.22) when needed; TCU spouses reported being more likely to recommend reducing salt (d = 0.37), fluid (d = 0.16), and taking a diuretic (d = 0.54) when needed. Finally, AwHF in the attention-control condition reported bigger improvements in confidence to manage HF (d = 0.18) than TCU AwHF.

Conclusion
Preliminary data of the TCU© program shows promise for improving collaboration, communication, and health in older couples with HF.
336 Exploring the barriers and facilitators to screening in Emergency Departments (ED): a qualitative evidence synthesis using the theoretical domains framework
Authors: Barry L , Galvin R , Leahy A , Egan S , Fitzgerald C , Ryan D , O’Connor M , Griffin A , Tighe S Murphy , Meskell P 
Published: September 2023

Abstract

Background
Validated screening tools, such as the Identification of Seniors At-Risk tool, can be utilised to detect early disease processes, risk factors and the risk of adverse outcomes. Identifying individuals in need of early intervention and targeted assessment can be achieved by implementing screening in the ED. Successful implementation can be impacted by a lack of resources and ineffective integration of screening into the clinical workflow. Tailored implementation processes and staff training, which are contextually specific to the ED setting, are facilitators to effective implementation. This review identified barriers and facilitators to screening in the ED to underpin implementation processes. Furthermore, this review focused on synthesising the experience of healthcare workers who are routinely involved in this process.

Methods
A rigorous search strategy was employed and reported using PRISMA. Subsequently, an a-priori framework of themes was formulated to facilitate the interpretation of search results. A conceptual model was then formed using ‘Best fit’ framework synthesis, this assisted in the organisation of data from relevant studies during data extraction. Dual blind screening of results was undertaken using RAYYAN as a platform. Thirty studies met the inclusion criteria. Dual appraisal of full text articles was completed using CASP, GRADE CERQual assessed confidence of findings and data extraction was performed by two reviewers collaboratively.

Results
This is the first known synthesis of qualitative research, focused on screening in the ED. Predominantly, the findings illustrate that screening in the ED is perceived as a complex and challenging process. The barriers and facilitators identified can be broadly categorised as identifying preconditions to screen, recognising motivations to screen and acknowledging the required knowledge and skills to screen.

Conclusion
Competing interests in the ED, environmental stressors such as overcrowding and an organisational culture that resists screening were clear barriers. Adequate resources and tailored education to underpin the screening process were facilitators.
6 Exploring professional-robot interactions in care settings: a case of adopting an Irish air-disinfection device in a nursing home in Japan
Authors: Kodate N , Obayashi K , Maeda Y , Scott R , Kurishima S , Okamoto Y , Ishii Y , Yu W , Suwa S , Sakata N , Masuyama S 
Published: September 2023

Abstract

Background
Digital welfare technologies are increasingly expected to perform a broader set of functions and roles. The worldwide COVID-19 pandemic further underscored use of technology, as it heightened the need for security and safety in care settings, with cleanliness and infection control becoming an even more important aspect of care delivery. While there are great expectations for digitalization and automation of care work, bringing new technologies such as robots into a workplace remains a challenge in terms of acceptance and usability, as well as a reflection of user preferences and needs.

Methods
An original air-disinfection ‘robot’ was developed for a cross-cultural research project, and was introduced to a residential nursing home in Japan. Prior to its instalment, seven main users (physiotherapists, nurses and social care professionals) were trained by the developer. Semi-structured interviews and focus groups were conducted before, during and after the trial in order to understand care professionals’ needs regarding and impressions of the device. The System Usability Scale (SUS) was also used to test professionals’ experience with the device.

Results
Overall, the users had a positive experience of using the robot (SUS score of 74.3/100). During the trial, the team of users changed the inorganic appearance of the robot by adding a face, hair, hands and music to it. The qualitative data reveal how additional efforts were made to transform a piece of air-disinfection equipment into an interactive and accessible robot for older adults. The appropriate size and the level of automation were also raised as essential points for design consideration.

Conclusion
There is great potential for a variety of care robots to be deployed and evaluated beyond cultural boundaries, but local knowledge and professional expertise are crucial to smooth implementation. The study ‘Harmonisation towards the establishment of Person-centred, Robotics-aided Care System’ was supported by the Toyota Foundation (D18-ST-0005, 2019–2022).
9 Impact of finding Incidentalomas in neuro-imaging in patients with acute stroke: a retrospective review
Authors: Thomas C , McSorley A 
Published: September 2023

Abstract

Background
Incidental Findings (IFs) appear to be increasing in frequency, which is mostly secondary to the increased use of imaging and improved imaging techniques. We endeavoured to ascertain if IFs are appropriately managed and whether the impacted inpatient care. Our review focused on neuroimaging completed in patients admitted with symptoms suggestive of acute stroke.

Methods
300 reports of CT Head and CT angiography in patients presenting with symptoms of acute stroke were reviewed retrospectively, along with the notes. Data collected included: Sex, age, Number of arterial occlusions, and number of IFs. Attempts were made to ascertain if Ifs were appropriately actioned and if this led to an increased Length-of-Stay (LOS).

Results
Of 300 cases reviewed, 53% were male, 81% were older than 60. 24% had occlusion on CT angiogram (of which &gt;49% were in the MCA). 59% of patients had IFs. However, the total number of IFs in 300 patients was 272 (8.8% Vascular). Significant Ifs accounted for 18.4% of the total number. The commonest significant Ifs were thyroid abnormality (25%), Lung abnormality (25%), and aneurysm (25%). Insignificant IFs were identified as those that were previously known and remained stable, pulmonary nodule &lt;5mms, thyroid nodule &lt;1 cm, and degenerative spinal disease.

Conclusion
This retrospective review confirms that the prevalence of IFs is common at 59%. However, only 18.4% of the total number of Ifs required further action. Further review of the notes is suggested to ascertain if the increased length of stay, which most certainly negatively impacts patient care, in 3.6% of the total number of patients was necessary. Ifs will continue to appear as we increasingly perform complex imaging on patients. The key is to ascertain those that require follow up. It is the role of the healthcare professional to remain diligent to ensure this is done in a way that will not impact patient care.
19 General practitioners’ perspectives on advance care planning: a qualitative study
Authors: McAlister E , Foley T 
Published: September 2023

Abstract

Background
An Advance Care Plan (ACP) outlines patient preferences for future treatment for a time when capacity is lacking. With our ageing population and rising dementia prevalence, ACPs are of increasing relevance and importance; however, very few are created each year. This study aims to explore General Practitioner (GP) perspectives on ideal timing, facilitators, and barriers to ACPs.

Methods
To date, ten GPs with a range of clinical experience have been purposely sampled from the Irish College of General Practitioners database. Semi-structured interviews were conducted by phone, video call, or in person, concurrently recorded, and subsequently transcribed. The Braun and Clarke method of thematic analysis was utilised, and coding was performed using NVivo software.

Results
All GPs spoke to the importance of ACPs for care of those with dementia and believed GPs are ideally placed to have these discussions. Two themes arose regarding timing of discussion: (1) routine proactive discussion prior to potential cognitive issues arising and (2) discussion within a few appointments of diagnosis. Identified barriers to ACP include: (1) lack of patient awareness of ACPs, (2) lack of GP education on ACPs, (3) difficulty predicting disease progression, (4) poor family dynamics, (5) short appointment times, and (6) lack of remuneration. Identified facilitators include: (1) patient’s acceptance of death and understanding of diagnosis, (2) use of an established template to guide discussion, (3) presence of a trusted family member, (4) long appointment times and (5) remuneration.

Conclusion
There was universal agreement on the importance of ACPs. Inclusion of ACP teaching in the curriculum for undergraduate medical education and postgraduate GP training should be strongly considered. There is need for heightened public awareness of the Assisted Decision-Making Act and ACPs. Further qualitative and quantitative research is needed to explore this issue nationally and identify how it has been resolved internationally.
31 Stroke early supported discharge: continuing to improve patient and organisational outcomes
Authors: Carney M , O'Connor S , O'Reilly J , Shaw D N , Hanley J , Hickey P 
Published: September 2023

Abstract

Background
Approximately 6,000 people in Ireland had a stroke in 2020. Early Supported Discharge (ESD) is an international model of care for stroke patients. ESD improves patient outcomes while facilitating a faster discharge, through provision of stroke specific rehab at home. ESD can be expected to improve disability outcomes, quality of life and reduce length of hospital stay. A pilot ESD service was introduced in an acute hospital in 2021 and continues to provide stroke rehab for patients living within a 30-minute drive from an acute hospital.

Methods
A retrospective re-audit on routine data from 113 patients who partook in ESD from January 2021 to December 2022 from an acute hospital. Data was extracted from the ESD database and analysed.

Results
Implementation of an ESD service over 24 months between 2021 and 2022 achieved the following: (i) 50% increase in number of bed saving days between 2021 and 2022; (ii) In both 2021 and 2022, the percentage of stroke patients discharged with ESD was 25% of the total number of stroke patients; (iii) The average LOS of a stroke patient accepted to the ESD service continues to decrease. In 2021, average LOS for ESD patients was 11.7 days; 2022 it was 11 days; (iv) The number of stroke patients accepted by ESD service remains relatively unchanged. In 2021, 57 patients and in 2022, 56 patients were accepted to ESD and (v) Total FIM/FAM scores from admission to discharge with ESD continue to increase. In 2021, 8.1% increase in functional outcomes were recorded. In 2022, that increased to 9.5% demonstrating an improving independence levels when discharged with ESD.

Conclusion
The ESD service in an acute hospital continues to demonstrate Organisational and patient benefits. Participation in ESD rehabilitation impacted positively on functional performance as captured using the FIM-FAM. Ongoing implementation of ESD aims to continue to have a positive impact on length of patient stay, bed saving days and functional outcomes.