bluuebunny/crossref_metadata_2025_split huggingface dataset:
Native Glenoid Depth and Hill-Sachs Lesion Morphology in Traumatic Anterior Shoulder Instability
Authors: Wu Chenliang , Liu Beibei , Xu Caiqi , Zhao Song , Li Yuehua , Xu Junjie , Zhao Jinzhong 
Published: September 2023

Background: Although Hill-Sachs lesions (HSLs) are assumed to be influenced by glenoid characteristics in the context of bipolar bone loss, little is known about how glenoid concavity influences HSL morphology. Purpose: To investigate the relationship between the native glenoid depth and HSL morphological characteristics. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Computed tomography images of bilateral shoulders from 151 consecutive patients with traumatic unilateral anterior shoulder instability were retrospectively reviewed. Patients were categorized into flat (<1 mm), moderate (1-2 mm), and deep (>2 mm) groups based on the native glenoid depth measured from the contralateral unaffected shoulder. The HSL morphological characteristics included size (depth, width, length, and volume), location (medial, superior, and inferior extent), and orientation (rim and center angle). The glenoid characteristics included diameter, depth, version, and bone loss. The patient, glenoid, and HSL morphological characteristics were compared among the 3 depth groups. Subsequently, the independent predictors of some critical HSL morphological characteristics were determined using multivariate stepwise regression. Results: After exclusion of 55 patients, a total of 96 patients were enrolled and classified into the flat group (n = 31), moderate group (n = 35), and deep group (n = 30). Compared with those in the flat group, patients in the deep group were more likely to have dislocation (38.7% vs 93.3%; P = .009) at the primary instability and had a significantly larger number of dislocations (1.1 ± 1.0 vs 2.2 ± 1.8; P = .010); moreover, patients in the deep group had significantly deeper, wider, larger volume, more medialized HSLs and higher incidences of off-track HSLs (all P≤ .025). No significant differences were detected among the 3 groups in HSL length, vertical position, and orientation (all P≥ .064). After adjustment for various radiological and patient factors in the multivariate regression model, native glenoid depth remained the strongest independent predictor for HSL depth (β = 0.346; P < .001), width (β = 0.262; P = .009), volume (β = 0.331; P = .001), and medialization (β = −0.297; P = .003). Conclusion: The current study sheds light on the association between native glenoid depth and the morphology of HSLs in traumatic anterior shoulder instability. Native glenoid depth was independently and positively associated with HSL depth, width, volume, and medialization. Patients with deeper native glenoids were more likely to have off-track HSLs and thus require more attention in the process of diagnosis and treatment.
Recognizing and Adapting to Cultural Differences: Influence of International Educational Programs on Future Nursing and Midwifery Practice
Authors: Johnston Jacqueline , McKenna Lisa , Malik Gulzar , Reisenhofer Sonia 
Published: September 2023

Introduction: International educational programs build cultural humility and safety skills in nursing and midwifery students; however, long-term outcomes of these programs are unclear. The purpose of this study was to explore the impact of international educational programs on nurses’ and midwives’ future professional practice. Method: Using grounded theory informed by Charmaz, 13 general nurses, two mental health nurses, three midwives, and four dual-qualified nurse/midwives across eight different countries were interviewed. Three categories evolved from the analysis. This article reports on the category Recognizing and adapting to cultural differences. Findings: Participants developed cultural safety and awareness from participation in programs extending into future practice. Experiencing and adapting to cultural similarities and differences, they developed culturally congruent practices many years after program completion. Discussion: International programs contributed to participants’ professional practice. Positive and ongoing influences are important for employers to promote patient safety and culturally congruent quality care. Findings are also relevant for education providers to inform quality cultural learning.
Co-occurring ASD Mediates Impact of ADHD on Atopic Dermatitis and Acne: A Retrospective Cohort Study
Authors: Osman Karima M. , Gerard Pauline , Hale Elijah W. 
Published: September 2023

Background: ADHD and ASD are associated with dermatologic manifestations, yet little research investigates co-occurring ADHD/ASD and common dermatologic conditions. Objective: To investigate associations between ADHD, ASD, acne vulgaris, and atopic dermatitis. Methods: Using de-identified patient records from the TriNetX database, we created four cohorts on ADHD diagnosis, ASD diagnosis, both, neither. Cohorts were separated into males and females. We balanced each cohort based on age, sex, race, and ethnicity to the baseline cohort with neither ASD or ADHD. Finally, we examined prevalence of acne and eczema. Results: The cohort sizes varied from 19,764 to 345,626. Compared to matched peers, males with ADHD or ADHD/ASD had increased prevalence of acne, and all neurodivergent males had increased prevalence of eczema. Females with ADHD had an increase in both. Females with ADHD/ASD had no significant differences, and females with ASD had a decreased risk of eczema. Limitations: Due to database limitations, we are unable to: analyze symptom severity, skincare routine, or treatment adherence. Conclusions: The decreased risk of eczema in females with ASD and lack of significant difference in incidence of acne or eczema in females with ADHD/ASD compared to matched peers suggests research into approaches to skincare in males versus females with ASD may provide clinically relevant insights.
State Laws on Substance Use Treatment for Incarcerated Pregnant and Postpartum People
Authors: Steely Smith Mollee K , Zielinski Melissa J , Sufrin Carolyn , Kramer Camille T , Benning Sara J , Laine Rosemary , Shlafer Rebecca J 
Published: September 2023

Background: Incarcerated perinatal populations report high rates of substance use in the United States (US). Despite this, substance use disorder (SUD) treatment is not routinely available in carceral settings and state policies related to the provision of substance use screening and treatment are unknown. Methods: We conducted a systematic search in WestLaw through the end of the 2020 legislative session combining the terms “pregnant” and “postpartum” with terms for incarceration and related terms. The search returned 453 statutes from 43 states. A deductive codebook of various maternal health topics was developed. Legislative texts related to SUD screening and treatment were extracted for textual analysis. Results: Of the 43 states identified as having at least 1 state statute pertaining to pregnant or postpartum incarcerated people, 7 states had statutes relevant to SUD screening and treatment. Statutes related to substance use screening, education, treatment and diversion programs, program eligibility, aftercare and release planning, and funding appropriations. Conclusions: The majority of states across the U.S. lack legislation that address SUD screening and treatment among incarcerated perinatal populations. Given the known limited access to SUD treatment for perinatal populations in custody, increasing legislative statutes could increase access to essential care.
Association of MRI leptomeningeal enhancement with disability worsening in progressive multiple sclerosis: A clinical and post-mortem study
Authors: Vercellino Marco , Costantini Gianfranco , Cogoni Maurizio , Lequio Laura , Sciortino Paola , De Negri Federica , Marasciulo Stella , Valentini Consuelo , Bosa Chiara , Garelli Paola , Rolando Anna , Calvo Andrea , Morana Giovanni , Cavalla Paola 
Published: September 2023

Background: Leptomeningeal enhancement (LME) has been described as a biomarker of meningeal inflammation in multiple sclerosis (MS). Objective: The aim of this study was to (1) assess if LME is predictive of disability worsening in progressive MS (pMS) patients and (2) investigate the pathological substrates of LME in an independent post-mortem MS series. Methods: In total, 115 pMS patients were imaged yearly with 1.5T MRI, using post-contrast CUBE 3D FLAIR for LME detection. Endpoint: to identify the baseline variables predictive of confirmed disability worsening (CDW) at 24 months follow-up. Post-mortem, inflammation, and structural changes of the leptomeninges were assessed in 12 MS/8 control brains. Results: LME (27% of patients at baseline) was associated with higher EDSS and lower brain volume (nBV). LME was unchanged in most patients over follow-up. LME at baseline MRI was independently associated with higher risk of 24 months CDW (HR 3.05, 95% CI 1.36–6.84, p = 0.007) in a Cox regression, including age, nBV, T2 lesion volume, high-efficacy treatments, and MRI disease activity. Post-mortem, focal structural changes (fibrosis) of the leptomeninges were observed in MS, usually associated with inflammation (Kendall’s Tau 0.315, p < 0.0001). Conclusions: LME is frequently detected in pMS patients using 1.5T MRI and is independently predictive of disability progression. LME could result from both focal leptomeningeal post-inflammatory fibrosis and inflammation.
“A very different place from when the pandemic started”: Lessons learned for improving systems of care for families of children with medical complexity
Authors: Fong Vanessa C , Baumbusch Jennifer , Basu Khan Koushambhi 
Published: September 2023

Coronavirus disease 2019 (COVID-19) created unprecedented challenges for everyone, but especially families of children with medical complexity (MC) who rely on a comprehensive range of health and social services in their daily lives. Yet despite this, there are limited studies exploring caregiver perspectives regarding access to health and social services during the pandemic. To address this gap, we aimed to explore how health and social services can better meet the needs of children with MC and their families. Sixteen parents residing with their children with MC (from birth to 18 years) in British Columbia, Canada participated in semi-structured interviews between July 2021 and April 2022. Findings revealed two different areas to improve services for families of children with MC, those relating to technology and family-centered care. Parents prioritized expanding the use of digital communication tools to support service navigation and scheduling. Virtual platforms were viewed as being valuable for building connections with other families and their community. In terms of family-centered care, parents emphasized the importance of policies recognizing the physical, emotional, and financial needs of the family. Findings have important implications for improving services to enhance the well-being and quality of life of children with MC and their families.
Effects of seawater on durability of hybrid C/BFRP-confined seawater–sea sand concrete columns under axial compression
Authors: Pan Yunfeng , Chang Bing , Lu Zhongyu , Su Lizhu , Zhu Jian 
Published: September 2023

A carbon-fiber-reinforced polymer (CFRP) sheet is wrapped around the basalt-fiber-reinforced polymer (BFRP) to develop a hybrid carbon/basalt-fiber-reinforced polymer (C/BFRP) so as to protect the basalt fibers in touch with chloride ions. Tensile testing is conducted on the BFRP and hybrid C/BFRP sheets. The effect of the durability of the fiber-reinforced polymer sheet on the behavior of the seawater–sea sand concrete (SSC) columns confined by the BFRP and hybrid C/BFRP sheets is examined using axial compression testing. The tensile strength retention and elongation at break retention of the hybrid C/BFRP sheet improve by 41% and 24% higher than those of the BFRP sheet after 12 months in seawater. The ultimate strength of the BFRP-confined SSC column decline by 40% more than those of the hybrid C/BFRP-confined SSC column respectively, after 12 months of seawater immersion, resulting from the reduction of lateral pressure provided by the BFRP and hybrid C/BFRP sheets in seawater. A formula for calculating the long-term ultimate strength and ultimate strain of the FRP-confined SSC column is proposed, and its predictions agree well with the test results. The hybrid C/BFRP sheet proves more efficient than the BFRP sheet in confining the seawater–sea sand concrete columns.
The effect of flame retardants on the fire technical characteristics of recycled textiles
Authors: Danihelová Anna , Němec Miroslav , Gergeľ Tomáš , Gejdoš Miloš , Lieskovský Martin , Mitterová Iveta , Sčensný Patrik , Igaz Rastislav 
Published: September 2023

The paper deals with the fire technical characteristics of insulation panels made of recycled technical textiles from the automotive industry. The introductory part focuse an of the use of recycled textiles, a description and division of technical textiles, a description of the examined material and its composition, combustion processes, and the method of handling waste textiles. The monitored characteristics were the determination of the ignitability of the material, the gross calorific value as well as the radiant heat resistance. The measurements were carried out on samples from recycled technical textiles before and after their treatment with flame retardants (Isonem Anti-fire Solution, Ecogard B45, HR Prof, woven carbon foil, non-woven carbon foil). The best results in the ignitability test after treatment with liquid flame retardants were obtained after treatment with Ecogard B45. The results show that when flame retardants are used, the released heat during the combustion of the monitored materials treated through the dipping method is significantly lower from 13.7 MJ/kg to 23.7 MJ/kg. The lowest gross calorific values were achieved when using liquid flame retardant HR Prof when applied by dipping. The proportion of material that did not burn was very low (4.61 to 5.63%). After exposure to radiant heat for 10 min, the highest mass loss was 13.6% (dipping in Ecogard B45) and the smallest 1.8% (non-woven carbon foil). Based on results, it shows that flame retardant ECOGARD® B45 for the insulation material Senizol AT XX2 TL60 made from recycled technical textiles is the most suitable fire protection.
Two-Eyed Seeing Application in Research Analysis: An Integrative Review
Authors: Rankin Aric , Baumann Andrea , Downey Bernice , Valaitis Ruta , Montour Amy , Mandy Pat , Bourque Bearskin Danielle 
Published: September 2023

Background Research approaches used to understand Indigenous people in Canada have predominately used Western approaches and have not reflected Indigenous ways of knowing, protocols, or worldviews. The landscape of research involving Indigenous people is changing with a growing number of Indigenous scholars reclaiming and revitalizing Indigenous knowledge. Two-Eyed Seeing provides a framework whereby conscious and deliberate conversations and research approaches are determined prior to and throughout the research process by the research team to guide a balance of each knowledge. However, Two-Eyed Seeing approaches or methods used during data analysis within the literature remains sparse necessitating this integrative review. Purpose To review the literature where Two-Eyed Seeing has been applied and to identify the approaches or methods used during data analysis and discuss the implications for research with Indigenous communities worldwide. Methods The five-stage approach outlined by Whittemore and Knafl (2005) was used to guide this integrative review. Results A total of 321 articles were reviewed from four databases, yielding 32 articles. Conclusions This integrative review is novel in that it is the first review known to specifically explore the use and application of a Two-Eyed Seeing framework during data analysis. Five main themes are presented including (1) Indigenous community member involvement with analysis, (2) Co-Learning during data analysis, (3) Visual or symbolic conceptualizations to guide analysis, (4) Statement acknowledging Indigenous knowledge during data analysis, and (5) Sharing of Traditional stories to guide data analysis. Additionally, five Two-Eyed Seeing approaches less commonly used during data analysis are provided.
Evaluation of mechanical thrombectomy in acute ischemic stroke related to a distal arterial occlusion: A randomized controlled trial
Authors: Clarençon Frédéric , Durand-Zaleski Isabelle , Premat Kévin , Baptiste Amandine , Chabert Emmanuel , Ferrier Anna , Labeyrie Marc-Antoine , Reiner Peggy , Spelle Laurent , Denier Christian , Tuilier Titien , Hosseini Hassan , Rodriguez-Régent Christine , Turc Guillaume , Fauché Cédric , Lamy Matthias , Lapergue Bertrand , Consoli Arturo , Barbier Charlotte , Boulanger Marion , Bricout Nicolas , Henon Hilde , Gory Benjamin , Richard Sébastien , Rouchaud Aymeric , Macian-Montoro Francisco , Eker Omer , Cho Tae-Hee , Soize Sébastien , Moulin Solène , Gentric Jean-Christophe , Timsit Serge , Darcourt Jean , Albucher Jean-François , Janot Kévin , Annan Mariam , Pico Fernando , Costalat Vincent , Arquizan Caroline , Marnat Gautier , Sibon Igor , Pop Raoul , Wolff Valérie , Shotar Eimad , Lenck Stéphanie , Sourour Nader-Antoine , Radenne Anne , Alamowitch Sonia , Dechartres Agnès 
Published: September 2023

Rationale: Mechanical thrombectomy (MT) associated with the best medical treatment (BMT) has recently shown efficacy for the management of acute ischemic stroke (AIS) secondary to a large vessel occlusion. However, evidence is lacking regarding the benefit of MT for more distal occlusions. Aim: To evaluate the efficacy in terms of good clinical outcome at 3 months of MT associated with the BMT over the BMT alone in AIS related to a distal occlusion. Methods: The DISCOUNT trial is a multicenter open-label randomized controlled trial involving French University hospitals. Adult patients (⩾18 years) with an AIS involving the anterior or posterior circulation secondary to a distal vessel occlusion within 6 h of symptom onset or within 24 h if no hyperintense signal on fluid attenuation inversion recovery acquisition will be randomized 1:1 to receive either MT associated with the BMT (experimental group) or BMT alone (control group). The number of patients to be included is 488. Study outcomes: The primary outcome is the rate of good clinical outcome at 3 months defined as a modified Rankin scale (mRS) ⩽2 and evaluated by an independent assessor blinded to the intervention arm. Secondary outcomes include recanalization of the occluded vessel within 48 h, angiographic reperfusion in the experimental group, 3-month excellent clinical outcome (mRS ⩽ 1), all adverse events, and death. A cost utility analysis will estimate the incremental cost per quality-adjusted life year (QALY) gained. Discussion: If positive, this study will open new insights in the management of AISs. Trial registration: ClinicalTrials.gov: NCT05030142 registered on 1 September 2021.
The frequency of imaging markers adjusted for time since symptom onset in intracerebral hemorrhage: A novel predictor for hematoma expansion
Authors: Song Lei , Cheng Jun , Zhang Cun , Zhou Hang , Guo Wenmin , Ye Yu , Wang Rujia , Xiong Hui , Zhang Ji , Ke Ren , Tang Dongfang , Fu Yufei , He Zhibing , Zou Liwei , Wang Longsheng , Kuang Lianghong , Qiu Xiaoming , Guo Tingting , Yu Yongqiang 
Published: September 2023

Background: Hematoma expansion (HE) is common in patients with intracerebral hemorrhage (ICH) and associated with a worse outcome. Imaging makers and shorter time from symptom onset are both associated with HE, but prognostic scores based on these parameters individually have not been satisfactory. We hypothesized that a score including both imaging markers of expansion, and time of onset, would improve prediction. Methods: Patients with supratentorial ICH within 6 h after onset were consecutively recruited from six centers between January 2018 and August 2022. Three markers were used: hypodensities, the blend sign, and the island sign. We first defined frequency of imaging markers (FIM) as the relationship between the number of imaging markers and onset-to-CT time (OCT). The time-adjusted FIM was defined as the ratio of the number of imaging markers to the onset-to-initial imaging time. Multivariate analysis was performed to determine the relationship between FIM and HE. Receiver operating curve analysis was used to identify potential threshold values of FIM that optimally predict HE. In addition, the sensitivity, specificity, positive and negative predictive values (PPVs and NPVs), and the area under the curve (AUC) of the optimal cut-off in predicting HE were calculated. Results: In total, 1488 patients were eligible for inclusion, of whom 418 had incident HE. Multivariate analysis showed that age, male sex, baseline Glasgow Coma Scale score, presence of intraventricular hemorrhage, and FIM were independent predictors of HE (odds ratio (OR) = 0.98, 95% confidence interval (CI) = 0.97–0.99; OR = 1.73, 95% CI = 1.28–2.35; OR = 0.87, 95% CI = 0.83–0.92; OR = 0.42, 95% CI = 0.28–0.62; OR = 7.82, 95% CI = 5.86–10.42, respectively). The optimal cut-off point for FIM in predicting HE was 0.63, with sensitivity, specificity, PPV, NPV, and AUC values of 0.69, 0.89, 0.71, 0.88, and 0.83, respectively. Conclusion: The FIM adjusted for time since symptom onset is a significant predictor of HE. Its use may allow improved prediction of those patients with ICH who develop HE, and the score may be clinically applicable in the management of patients with ICH.
Anaesthetic management in a cat undergoing emergency craniotomy for meningioma excision
Authors: Marchionne Giulia , Alcoverro Emili , Spinillo Simone , Louro Luis Filipe 
Published: September 2023

Case summary A 15-year-old female spayed domestic shorthair cat underwent an emergency craniotomy to remove an intracranial meningioma causing marked midline shift, caudal transtentorial and foramen magnum herniation. Because intracranial structures are enclosed in the cranium, any volume-occupying lesions might raise intracranial pressure (ICP), compromising cerebral perfusion. Relevance and novel information This case report discusses the anaesthetic management of a cat that presented with marked bradycardia and concomitant hypotension. Cushing’s reflex (CR) is a well-recognised cardiovascular reflex following sudden ICP increase, and it features an irregular breathing pattern and increased arterial blood pressure with reflex bradycardia. However, CR is reported to have a low sensitivity for the detection of raised ICP in humans with traumatic brain injury. In a previous study reporting seven cats undergoing surgical removal of intracranial meningioma, ICP was measured in four cases and, in these patients, CR was not observed during surgery. Because bradycardia was not secondary to hypertension, in this case, it might have been the result of direct compression of the nucleus of the vagus nerve. Based on the literature search, there is paucity of reports of cardiovascular changes in cats with increased ICP and their perianaesthetic management.