bluuebunny/crossref_metadata_2025_split huggingface dataset:
The impact of race and ethnicity on acute telestroke care: A multistate experience
Authors: McDonald Mark , Sevilis Theresa , Boudreau Michelle , Chen Hsiong , Boyd Caitlyn , Avila Amanda , Zaman Mohammed , Heath Gregory , Gao Lan , Devlin Thomas 
Published: April 2023

Introduction Previous analyses suggest that ethnic and racial differences exist in acute stroke care including thrombolytic treatment rates. The current study evaluates ethnic or racial differences in acute stroke treatment within a multi-state telestroke program. Methods Acute telestroke consultations seen in the Emergency Department in 203 facilities and 23 states were extracted from the Telecare by TeleSpecialistsTM database. Cases were reviewed for age, race, ethnicity, sex, last known normal time, arrival time, treatment with thrombolytic therapy, door-to-needle (DTN) time, and baseline National Institutes of Health Stroke Scale score. Race was defined as Black, White, or Other; ethnicity was defined as Hispanic or non-Hispanic. Results The current study included 13,221 acute telestroke consultations consisting of 9890 White, 2048 Black, and 1283 patients classified as Other. A total of 934 patients were Hispanic and 12,287 patients were non-Hispanic. There were no statistically significant differences noted in thrombolytic treatment rates when comparing White (7.9%) patients with non-White patients (7.4%), p = 0.36, or comparing Black (8.1%) with non-Black patients (7.8%), p = 0.59. In addition, there were no statistically significant differences in treatment rates comparing Hispanic (6.3%) with non-Hispanic (7.9%) patients, p = 0.072. We noted no measurable differences in DTN times by race or ethnicity. Conclusions Contrary to previous reports, we failed to detect any significant differences in thrombolytic treatment rates and DTN times by race or ethnicity among stroke patients in a multistate telestroke program. These findings support the hypothesis that telestroke may mitigate racial and ethnic disparities which may be attributable to local variability in stroke procedures or access to healthcare.
Long-Term Follow-up of Subjects With Iliac Occlusive Disease Treated With the Viabahn VBX Balloon-Expandable Endoprosthesis
Authors: Holden Andrew , Takele Elleni , Hill Andrew , Sakhuja Rahul , Metzger Christopher , Gray Bruce H. , Cavadino Alana 
Published: April 2023

Introduction: This physician-initiated study provides 5-year (i.e., long-term) treatment durability data from 3 top recruitment sites that participated in the prospective, multicenter, nonrandomized, single-arm VBX FLEX clinical study (ClinicalTrials.gov identifier: NCT02080871). It evaluates the long-term treatment durability of the GORE VIABAHN VBX Balloon Expandable Endoprosthesis (VBX Stent-Graft) in the treatment of subjects with de novo or restenotic aortoiliac lesions. Materials and Methods: A total of 59 subjects with 94 treated lesions were enrolled at the 3 participating sites from the original 140 intent-to-treat subjects in the VBX FLEX study. The primary durability endpoint was long-term primary patency. Secondary long-term outcomes included freedom from target lesion revascularization (TLR), freedom from target vessel revascularization (TVR), as well as resting ankle-brachial index (ABI), Rutherford category, EuroQol 5 Dimensions, and Walking Impairment status. Results: Fifty-nine subjects participated and twenty-eight (47.5%) were available through the end of the study at 5-year follow-up (the median follow-up time was 6.6 years due to complications resulting from COVID-19 precautions). At 3 and 5 years, the Kaplan-Meier estimates for freedom from all-cause mortality were 94.5% and 81.7%, respectively. The Kaplan-Meier estimates for primary patency at 3 and 5 years were 94.0% and 89.5% (by lesion) and 91.7% and 84.4% (by subject). Primary assisted patency at 3 and 5 years were 93.3% and 93.3%. Kaplan-Meier estimate for freedom from TLR at 5 years was 89.1%. The majority of subjects were asymptomatic (Rutherford category 0) at 3 years (29/59; 72%), and at 5-year follow-up (18/28; 64%). The 5-year mean resting ankle-brachial index was 0.95±0.18, an improvement of 0.15±0.26 from the baseline (p<0.001). Quality of life measures also showed sustained improvement through long-term follow-up. Conclusion: The 5-year long-term follow-up data underscore the robustness and durability of the Viabahn Balloon-Expandable Endoprosthesis for treating aortoiliac occlusive disease. Clinical Impact Durable improvement after endovascular treatment of iliac occlusive disease is clinically important because many of these patients are claudicants with significant life expectancy. This study is the first to evaluate the long-term outcomes in patients with iliac occlusive disease treated with the Viabahn VBX balloon-expandable endopirostheses. The study reports excellent long-term patency outcomes with prolonged clinical benefit. These durable results are likely to be an important consideration for clinicians undertaking iliac artery revascularization procedures.
An examination of cannabis-related information typically asked by consumers at retail cannabis locations: A Canadian survey of budtenders and managers
Authors: Cameron Jameason , Dhalla Rahim , Lougheed Taylor , Blanc Ariane , Vaillancourt Régis 
Published: April 2023

Background: Since cannabis has been legalized in Canada for medicinal and recreational use, there has been an increased demand on pharmacists for cannabis counselling. The aim of the study was to examine typical questions posed by consumers to managers and budtenders working at licensed recreational cannabis stores in Canada and to assess how often consumers seek unlicensed medical advice to treat various conditions using cannabis. Methods: An online survey was synthesized, consisting of 22 questions capturing demographics and Likert scale responses to survey questions, and was distributed online across Canada from January to June 2021. Results: There were 211 survey respondents: 91 budtenders and 120 managers. A total of 87.7% ( n = 185) of respondents indicated that they receive questions related to cannabis use for medical purposes and/or perceived medical benefit, with the same number indicating that they have been told by a customer that their physician sent them to obtain a cannabis-containing product for medical purposes. The most common cannabis component asked about in an average day was THC (42% of responses). Conclusion: An alarming proportion of budtenders and managers in Canada report that they are fielding medical cannabis questions. This situation has the potential to put individuals at risk for drug-drug interactions and drug-disease interactions and to increase unnecessary hospitalizations due to adverse effects.
When the Light Goes Out: Ignorance and Multiplicity in Teaching and Learning
Authors: Brohinsky Jais 
Published: April 2023

Purpose If education is the movement from dark to light, what does it mean for the light to go out? Following this question, this paper examines how conceptions of ignorance inform and are embedded in ideas of learning and pedagogy. Design/Approach/Methods Through historical and contemporary examples, I ask how an understanding of ignorance as absence frames some forms of teaching and learning, how ignorance might be understood differently, and how a different formulation of ignorance creates possibilities for imagining teaching and learning otherwise. Findings The framing of ignorance as absence articulates a distance between knowing and not knowing that defines what I call explicatory spacetime. This arrangement positions ignorance as a social problem and schooling as a solution aimed at closing the gap. I point to ways this framing persists today in research and practices that posit the acquisition of positive knowledge and the eradication of negative ignorance as a foremost educational responsibility. Originality/Value Engaging work across science and technology studies, psychoanalysis, and the philosophy of education, I argue that alternative conceptions of ignorance often maintain associations with absence. Building from this scholarship, I ask how reframing ignorance through multiplicity, that is, within a field of possibility out of which a thing called knowledge can cohere, offers a different framework and pedagogical arrangements. Finally, I explore how reframing ignorance in a spacetime of multiplicity opens possibilities for understanding and enacting pedagogical encounters.
Forearm Pronation at Foot Contact: A Biomechanical Motion-Capture Analysis in High School and Professional Pitchers
Authors: Manzi Joseph E. , Dowling Brittany , Wang Zhaorui , Sudah Suleiman Y. , Quan Theodore , Moran Jay , McElheny Kathryn L. , Carr James B. , Gulotta Lawrence V. , Dines Joshua S. 
Published: April 2023

Background: It has previously been speculated that baseball pitchers who display excessive forearm pronation at foot contact (FC) have a higher propensity toward ulnar collateral ligament injury and subsequent surgery. Purpose: To evaluate the association between degree of forearm pronation/supination at FC and throwing arm kinetics in high school and professional pitchers, at both the individual (intrapitcher) and the group (interpitcher) level. Study Design: Descriptive laboratory study. Methods: High school (n = 41) and professional (n = 196) pitchers threw 8 to 12 fastballs while being assessed with a 3-dimensional motion-capture system (480 Hz). Pitchers at each playing level were divided into a supination or pronation subgroup depending on degree of forearm pronation at FC. Regression models were built to observe the relationship between forearm pronation at FC and kinetic and kinematic parameters of interest. Results: At both the individual and the group level of high school and professional pitchers, there was no significant correlation between forearm pronation at FC and elbow varus torque ( P min = .21). For every 10° increase in forearm pronation at FC in the individual high school pitcher, elbow flexion at FC decreased by 5°, whereas maximum elbow extension velocity was achieved 0.6% later in the pitch. In addition, elbow medial force increased by 4.1 N and elbow varus torque increased by 0.8 N·m for every 10° increase in forearm supination at FC. For every 10° increase in forearm supination in the individual professional pitcher, ball velocity increased by 0.5 m/s, shoulder external rotation at FC decreased by 11°, and elbow medial force decreased by 5.5 N. Conclusion: Supination- or pronation-predominant forearm motion during the pitch did not significantly differ between playing levels. Excessive forearm pronation at FC was not a significant risk factor for increased throwing arm kinetics for high school or professional pitchers. There was a weak positive association between forearm supination at FC and elbow varus torque in the individual high school pitcher. Ultimately, coaches and pitchers may be better served by redirecting their focus to other mechanical aspects of the pitch that may have stronger associations with injury risk implications as well as performance.
Self-Triage Use, Subsequent Healthcare Utilization, and Diagnoses: A Retrospective Study of Process and Clinical Outcomes Following Self-Triage and Self-Scheduling for Ear or Hearing Symptoms
Authors: North Frederick , Jensen Teresa B , Stroebel Robert J , Nelson Elissa M , Johnson Brenda J , Thompson Matthew C , Pecina Jennifer L , Crum Brian A 
Published: April 2023

Background Self-triage is becoming more widespread, but little is known about the people who are using online self-triage tools and their outcomes. For self-triage researchers, there are significant barriers to capturing subsequent healthcare outcomes. Our integrated healthcare system was able to capture subsequent healthcare utilization of individuals who used self-triage integrated with self-scheduling of provider visits. Methods We retrospectively examined healthcare utilization and diagnoses after patients had used self-triage and self-scheduling for ear or hearing symptoms. Outcomes and counts of office visits, telemedicine interactions, emergency department visits, and hospitalizations were captured. Diagnosis codes associated with subsequent provider visits were dichotomously categorized as being associated with ear or hearing concerns or not. Nonvisit care encounters of patient-initiated messages, nurse triage calls, and clinical communications were also captured. Results For 2168 self-triage uses, we were able to capture subsequent healthcare encounters within 7 days of the self-triage for 80.5% (1745/2168). In subsequent 1092 office visits with diagnoses, 83.1% (891/1092) of the uses were associated with relevant ear, nose and throat diagnoses. Only 0.24% (4/1662) of patients with captured outcomes were associated with a hospitalization within 7 days. Self-triage resulted in a self-scheduled office visit in 7.2% (126/1745). Office visits resulting from a self-scheduled visit had significantly fewer combined non-visit care encounters per office visit (fewer combined nurse triage calls, patient messages, and clinical communication messages) than office visits that were not self-scheduled (−0.51; 95% CI, −0.72 to −0.29; P < .0001). Conclusion In an appropriate healthcare setting, self-triage outcomes can be captured in a high percentage of uses to examine for safety, patient adherence to recommendations, and efficiency of self-triage. With the ear or hearing self-triage, most uses had subsequent visit diagnoses relevant to ear or hearing, so most patients appeared to be selecting the appropriate self-triage pathway for their symptoms.
Side Effects Comparison of Coronavirus Vaccines Among Healthcare Workers in Shoushtar, Iran
Authors: Nabizadeh Edris , Honarmandpour Fatemeh , Mashhadizade Rezvan , Honarmandpour Azam 
Published: April 2023

Objective: Vaccination is one of the effective ways to fight against COVID-19 disease. Various vaccines have been designed during the coronavirus pandemic. Each of the used vaccines has beneficial effects as well as side effects. Healthcare workers were among the first vaccinated persons against COVID-19 in different countries. The current study aims to compare the side effects of AstraZeneca, Sinopharm, Bharat, and Sputnik V on healthcare workers in Iran. Methods: This descriptive study was conducted from July 2021 to January 2022 on 1639 healthcare workers who received the COVID-19 vaccines. Data were collected using a checklist that contained questions related to systemic, local, and severe side effects of the vaccine. The collected data were analyzed using the Kruskal-Wallis, Chi-square, and trend chi-square. P < .05 was regarded as a significant statistical difference. Results: The most commonly injected vaccines were Sinopharm (41.80%), Sputnik V (36.65%), AstraZeneca (17.75%), and Bharat (3.80%), respectively. At least 37.5% of participants reported one complication. The most common side effects after 72 hours of the first and second doses were as follows: injection site pain, fatigue, fever, myalgia, headache, and chill. Overall complication rates were reported as follows: AstraZeneca (91.4%), Sputnik V (65.9%), Sinopharm (56.8%), and Bharat (98.4%). Bharat showed the highest overall side effects, while Sinopharm had the lowest overall side effects. Also, our results indicated that individuals with a previous history of positive COVID-19 infection had a higher rate of overall complications. Conclusions: The majority of participants did not show life-threatening side effects after the injection of 1 of the 4 studied vaccines. Since it was well accepted and tolerable by the participants, it can be used widely and safely against SARS-CoV-2.
Calcioancylite-(La), (La,Ca)2(CO3)2(OH,H2O)2, a new member of the ancylite group from Gejiu nepheline syenite, Yunnan Province, China
Authors: Wang Yanjuan , Gu Xiangping , Dong Guochen , Hou Zengqian , Nestola Fabrizio , Yang Zhusen , Fan Guang , Wang Yufei , Qu Kai 
Published: April 2023

AbstractCalcioancylite-(La), ideally (La,Ca)2(CO3)2(OH,H2O)2, has been discovered from nepheline syenite of the Gejiu alkaline complex in the Honghe Hani and Yi Autonomous Prefecture, Yunnan Province, China. The mineral occurs as aggregates of subhedral grains, and the size of single crystals varies between 5–20 μm. Calcioancylite-(La) is colourless to pale pinkish grey and has transparent to translucent lustre. It is brittle with a Mohs hardness of 4. The calculated density is 4.324 g/cm3. The mineral is biaxial (−), with α =1.662, β = 1.730, γ = 1.771, 2Vmeas. = 70°(1) and 2Vcalc. = 73°. Electron microprobe analysis for holotype material yielded an empirical formula of (La0.58Ce0.55Pr0.14Nd0.10Ca0.39Sr0.20K0.04)Σ2.00(CO3)2[(OH)1.25F0.06⋅0.69H2O]Σ2.00. Calcioancylite-(La) is orthorhombic, with space group Pmcn, a = 5.0253(3) Å, b = 8.5152(6) Å, c = 7.2717(6) Å, V = 311.17(4) Å3 and Z = 2. By using single-crystal X-ray diffraction, the crystal structure has been determined and refined to a final R1 = 0.0652 on the basis of 347 independent reflections (I > 2σ). The seven strongest powder X-ray diffraction lines [d in Å (I) (hkl)] are: 2.334 (100) (013), 2.970 (80) (121), 4.334 (75) (110), 3.678 (68) (111), 2.517 (55) (200), 2.647 (47) (031) and 2.077 (44) (221). Calcioancylite-(La) is the La-analogue of calcioancylite-(Ce) and is a new member of ancylite-group minerals. The mineral and its name have been approved by the Commission on New Minerals, Nomenclature and Classification of the International Mineralogical Association (IMA2021-090).
Bystrite, Na7Ca(Al6Si6O24)S52–Cl–: formula redefinition and relationships with other four-layer cancrinite-group minerals
Authors: Chukanov Nikita V. , Sapozhnikov Anatoly N. , Kaneva Ekaterina V. , Varlamov Dmitry A. , Vigasina Marina F. 
Published: April 2023

AbstractBystrite is redefined as a four-layer cancrinite-group mineral with the four-layer Losod-type framework and the end-member formula Na7Ca(Al6Si6O24)S52–Cl–. The mineral is known only at the Malo–Bystrinskoe gem lazurite deposit, Baikal Lake area, Siberia, Russia. The associated minerals are calcite, lazurite, sodalite, fluorapatite, phlogopite, diopside, dolomite and plagioclase. Bystrite is brittle, with the Mohs hardness of 5 and distinct cleavage on {10$\bar{1}$0}. The yellow colour of bystrite is due to the presence of S52– anions occurring in Losod (LOS) cages of the aluminosilicate framework with the ABAC stacking sequence. Measured and calculated density is, respectively, 2.43(1) and 2.412 g cm–3 for the holotype and 2.42(1) and 2.428 g cm–3 for the cotype sample. Bystrite is uniaxial (+), ɛ = 1.660(2) and ω = 1.584(2). The mineral was characterised by infrared and Raman spectra. The empirical formulae of the holotype and cotype samples are Na6.97K0.04Ca0.98(Si6.03Al5.97O24)(S52–)0.93[(SO42–)0.15Cl0.83] and Na6.75K0.04Ca1.11(Si6.09Al5.91O24)(S52–)1.04[(HS–)0.17Cl0.85], respectively. Bystrite is trigonal, space group P31c. The unit-cell parameters are: a = 12.8527(6) Å, c = 10.6907(5) Å, V = 1529.4(1) Å3 and Z = 2. The strongest lines of the powder X-ray diffraction pattern [d, Å (I, %) (hkl)] are: 4.821 (32) (102), 3.915 (38) (211), 3.712 (100) (300), 3.307 (50) (212), 2.782 (18) (400), 2.692 (22) (401), 2.673 (30) (004) and 2.468 (23) (402). Isomorphism and genesis of bystrite-type minerals is discussed. Bystrite and its K,HS-analogue sulfhydrylbystrite, Na5K2Ca(Al6Si6O24)S52–(HS)–, are indicators of highly reducing conditions.
Post-tuberculosis lung impairment: systematic review and meta-analysis of spirometry data from 14 621 people
Authors: Ivanova Olena , Hoffmann Verena Sophia , Lange Christoph , Hoelscher Michael , Rachow Andrea 
Published: April 2023

BackgroundA substantial proportion of tuberculosis patients remain with pulmonary symptoms and reduced physical capacity despite successful treatment. We performed a systematic review to analyse the burden of post-tuberculosis lung impairment measured by lung function testing.MethodsWe searched the PubMed database for articles published between database inception and November 2020 and performed meta-analyses to estimate the prevalence, type and severity of lung impairment among drug-susceptible and multidrug-resistant tuberculosis survivors. Methodological quality of included studies was assessed using the Newcastle–Ottawa scale.Results54 articles were included in this review. For subjects with former drug-susceptible tuberculosis, the combined estimated mean was 76.6% (95% CI 71.6–81.6) of predicted for forced expiratory volume in 1 s (FEV1) and 81.8% (95% CI 77.4–86.2) for forced vital capacity (FVC). In former patients with multidrug-resistant tuberculosis, it was 65.9% (95% CI 57.1–74.7) for FEV1and 76.0% (95% CI 66.3–85.8) for FVC, respectively. The analysis of impairment types in former patients with drug-susceptible and multidrug-resistant tuberculosis showed that 22.0%versus19.0% had obstructive, 23.0%versus22.0% restrictive and 15.0%versus43.0% had mixed impairment type, respectively. In the majority of studies, at least 10–15% of tuberculosis survivors had severe lung impairment.ConclusionsThis systematic review showed long-term abnormal spirometry results in a significant proportion of tuberculosis survivors.
Development of revised ResNet-50 for diabetic retinopathy detection
Authors: Lin Chun-Ling , Wu Kun-Chi 
Published: April 2023

AbstractBackgroundDiabetic retinopathy (DR) produces bleeding, exudation, and new blood vessel formation conditions. DR can damage the retinal blood vessels and cause vision loss or even blindness. If DR is detected early, ophthalmologists can use lasers to create tiny burns around the retinal tears to inhibit bleeding and prevent the formation of new blood vessels, in order to prevent deterioration of the disease. The rapid improvement of deep learning has made image recognition an effective technology; it can avoid misjudgments caused by different doctors’ evaluations and help doctors to predict the condition quickly. The aim of this paper is to adopt visualization and preprocessing in the ResNet-50 model to improve module calibration, to enable the model to predict DR accurately.ResultsThis study compared the performance of the proposed method with other common CNNs models (Xception, AlexNet, VggNet-s, VggNet-16 and ResNet-50). In examining said models, the results alluded to an over-fitting phenomenon, and the outcome of the work demonstrates that the performance of the revised ResNet-50 (Train accuracy: 0.8395 and Test accuracy: 0.7432) is better than other common CNNs (that is, the revised structure of ResNet-50 could avoid the overfitting problem, decease the loss value, and reduce the fluctuation problem).ConclusionsThis study proposed two approaches to designing the DR grading system: a standard operation procedure (SOP) for preprocessing the fundus image, and a revised structure of ResNet-50, including an adaptive learning rating to adjust the weight of layers, regularization and change the structure of ResNet-50, which was selected for its suitable features. It is worth noting that the purpose of this study was not to design the most accurate DR screening network, but to demonstrate the effect of the SOP of DR and the visualization of the revised ResNet-50 model. The results provided an insight to revise the structure of CNNs using the visualization tool.