bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of the efficacy of subxiphoid and intercostal uniportal video-assisted thoracoscopic surgery in patients with early-stage non-small cell lung cancer
Authors: Fu Zhiqiang , Wang Liguo , Hu Weigao , Zhou Yi , Zhou Qi 
Published: January 2025

Objective: To compare the efficacy of subxiphoid and intercostal uniportal video-assisted thoracoscopic surgery (VATS) in patients with early-stage non-small cell lung cancer (NSCLC).
Methods: We performed a retrospective chart review of patients with early-stage NSCLC who underwent subxiphoid uniportal video-assisted thoracic surgery (SA-VATS) or intercostal uniportal VATS (IA-VATS) at Shidong Hospital in Shanghai from November 2020 to May 2023. Perioperative conditions including surgical duration, intraoperative blood loss, postoperative catheterization duration, time to first off-bed activities, and number of lymph node dissected were compared between the groups. Degree of pain, preoperative and postoperative lung function, prognosis, and incidence of complications were also compared between the groups.
Results: Records of a total of 128 patients were included. Of them, 72 patients underwent SA-VATS and 56 patients underwent IA-VATS. The duration of SA-VATS was longer, while the intraoperative blood loss and catheterization times were lower compared to those of IA-VATS (P<0.05). Visual analogue scale (VAS) score of patients after SA-VATS was significantly lower than after IA-VATS (P<0.05). There was no significant difference in forced expiratory volume in one second (FEV1) between the two groups before the surgery, and one- and 12 months after the surgery (P>0.05). The prognosis and the incidence of complications were comparable in the two groups after the surgery (P>0.05).
Conclusions: Compared with IA-VATS, SA-VATS is associated with lower intraoperative blood loss, shorter postoperative catheterization and time to first off-bed activities, and less postoperative pain in surgical treatment for early-stage NSCLC. However, there was no significant difference in prognosis and complications between the two approaches.
doi: https://doi.org/10.12669/pjms.41.2.11096
How to cite this: Fu Z, Wang L, Hu W, Zhou Y, Zhou Q. Comparison of the efficacy of subxiphoid and intercostal uniportal video-assisted thoracoscopic surgery in patients with early-stage non-small cell lung cancer. Pak J Med Sci. 2025;41(2):359-365. doi: https://doi.org/10.12669/pjms.41.2.11096
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Primary lymphoma arising in Paget’s disease in a patient with primary hyperparathyroidism
Authors: De La Fuente Mercedes , Arroyo Marina , Collado Ana S. , Gallardo Elena C. , Montes Santiago , Olmos Jose M. 
Published: January 2025

Background: Paget’s disease of bone (PDB) is characterized by a disturbance of the balance between bone formation and bone resorption at one or more bone sites. Its neoplastic transformation to osteosarcoma of the bone has been widely cited in the literature; however, association with non-Hodgkin’s lymphoma (NHL) is very uncommon. In addition, whereas the pathophysiological relationship between PDB and secondary hyperparathyroidism is well established, there is much debate about the association between PDB and primary hyperparathyroidism (PHPT). Case Report: We present a case of NHL arising in pagetoid bone in a 56-year-old man, who was subsequently diagnosed with primary hyperparathyroidism (PHPT). Discussion: The malignant potential of pagetoid bone is well known, with sarcomatous degeneration being the most common neoplasm. Therefore, when pain recurred in our patient, 3 years after treatment of PDB, the presumptive diagnosis was a sarcomatous degeneration of the pagetoid bone. However, bone biopsy revealed a primary lymphoma, an extremely rare association that has been described only in a few cases. In addition, PHPT is rarely associated with PDB, although a link between PHPT and an increased risk of malignancy has been suggested. Conclusion: To the best of our knowledge, this is the first case of these three different bone diseases in the same patient. Further studies are needed to understand the possible molecular basis of the association among these diseases.
Which Fair Trade principles travel to distant sectors? An analysis of social and sustainability enterprises and entrepreneurship in the legal cannabis (marijuana) sector
Authors: Bennett Elizabeth A. 
Published: January 2025

Abstract
Social enterprises, social entrepreneurship and sustainable business models are increasingly common in sectors where Fair Trade does not have a strong presence (e.g. mobile phones and software). This research asks: To what extent do social and sustainability enterprises and entrepreneurship (SSEEs) in these ‘distant’ sectors engage the principles of Fair Trade? It draws on an in-depth, multi-method case study of SSEEs in the legal cannabis sector in Portland, Oregon, US. It analyzes data from magazine advertisements, public and industry events, and visits to 85 cannabis retailers. The results suggest that SSEEs in distant sectors may not be engaging some of the principles that are at the heart of Fair Trade. These include transparency, accountability, collaborative price-setting, pre-payment, honouring contracts, inclusive governance and worker organizing. SSEEs appear more engaged with the environment and buy-cotting (privileging) small producers, sustainable businesses and marginalized groups. How can Fair Trade encourage and empower SSEEs in distant sectors to engage more principles of Fair Trade?
Teaching how to critically read Indo-Caribbean bodies in nineteenth-century postcards
Authors: Pillai Rupa 
Published: January 2025

Abstract
Starting in 2017, the Kislak Center at the University of Pennsylvania has collected postcards dating from the late nineteenth century that depict Indo-Caribbean life and culture in Trinidad, British Guiana, Suriname and Jamaica. From village scenes to Indo-Caribbean women in studio portraits, the bodies featured in these postcards appear in ethnographic views to promote perceptions of Indo-Caribbeans as being exotic and different. However, as I demonstrate, these postcards are valuable pedagogical tools to help students appreciate how race is constructed visually across locations and time. Drawing upon my use of this postcard collection in the past six years in my course on ‘The Asian Caribbean’, I will discuss how I prepare students to critically read Indo-Caribbean bodies featured in these postcards. From learning the history of indenture in the Caribbean to looking at similar colonial representations from the South Asian subcontinent, the students better appreciate how colonial ideologies of race, gender and progress are produced and reinforced through the visual.
Embodied performances of (post-)indenture: Creolization of Indian dance, music and nadrons in Guadeloupe
Authors: Soukaï Sandrine 
Published: January 2025

Abstract
42,473 Indian indentured workers were transported to the French Caribbean archipelago of Guadeloupe between 1854 and 1889. Yet, until recently, the legacy of indenture was marginalized in public memory. The 1970s marked a turning point, with the emergence of Indianité, a French Caribbean cultural project aimed at valourizing the Indian components of the region’s culturally diverse and creolizing landscape. Drawing on still underdeveloped scholarship on Indianité, theories of creolization, studies on embodied memory of past trauma, I analyze how the descendants of Indian indentured labourers reconstruct and transmit the heritage and memory of indenture in Guadeloupe through embodied performances of Indian dance, music and, in particular, the danced and sung theatre known as nadrons (from Tamil nādagam), formerly staged on plantations. My study interweaves close readings of Indo-Guadeloupean writer, cultural activist and politician Ernest Moutoussamy’s tryptic novel Marianne: fée de notre République du sang-mêlé (Marianne: The Fairy of our Mixed-Blood Republic, 2018) and his poetry collection A la recherche de l’Inde perdue (In Remembrance of Lost India, 2004) with interviews conducted with Guadeloupean Indian language and dance cultural associations. Combining an analysis of literary texts on the one hand, and cultural activists’ projects and experiences on the other, I tease out the paradoxes at the heart of Indian song and dance performances, demonstrating how they oscillate between a return to an ancestral Hindu India, a recognition of the creolization at work in French Caribbean Indianness and, more recently, an opening to the global Indian culture popularized by Bollywood.
The art of co-creation: service innovation in Europe
Authors: Fox Chris , Baines Susan 
Published: January 2025

We are living in the age of rapid change characterised by an ageing population, mass immigration, digitalisation, interconnectedness and transformation of the political landscape. The pace of the change is fast and it poses new challenges for the design of public services, but also many new opportunities. This chapter is based on the findings of the Horizon 2020 CoSIE project, building on the idea that public sector innovations can be best achieved by creating collaborative partnerships between service providers (public sector agencies, third sector organisations, private companies) and citizens who benefit from services either directly or indirectly. The goal is to contribute to democratic renewal and social inclusion through co-creating public services by engaging diverse citizen groups and stakeholders in varied public services. This chapter draws together ideas about co-creation, social innovation, social investment and individual and collective values and shows the relationship between these concepts and how they can support innovation in public services.
Solutions in Ownership
Authors: Boeger Nina 
Published: January 2025

Chapter 4 examines solutions to public outsourcing problems that rely on a specific form of supplier ownership. These include, on the one hand, the possibility of insourcing public services – taking them back in-house – to reinstate public ownership. Public ownership comprises variations beyond traditionally centralized administrative control, including, for example, the majority state-owned company. But, on the other hand, the state may select private providers that commit to a sustainable corporate ownership form in which internal governance elements relating to purpose (beneficiary rights), power (control rights) and profit (economic rights) are reconfigured so as to temper financialization within the firm, ensuring that the governance incentives of public and private contracting partners align more closely and reducing exploitation and formalization of outsourcing contracts.
What Can Art Do? "Visible: Art As Policies for Care. Socially Engaged Art (2010-ongoing)"
Authors: Saviotti Alessandra 
Published: January 2025

This paper reviews the book Visible: Art As Policies for Care. Socially Engaged Art (2010-ongoing). The publication, edited by Martina Angelotti, Matteo Lucchetti, and Judith Wielander, explores the evolution and transformative potential of socially engaged art practices from 2010 to the present. Organized into five sections, the book provides a comprehensive overview of diverse artistic manifestations, featuring insights from artists, anthropologists, activists, and the constituencies they engage. This review examines the key themes addressed in the research, alongside the methodological approaches employed, which include storytelling and subjective perspectives, in line with the framework of autoethnographic writing.
Knowledge, attitude, and practice toward coronary heart disease secondary prevention among coronary heart disease patients in Shanghai, China
Authors: Wang Hao , Wu Bo , Guan Wenqi , Zhou Tan , Wang Hongbao , Li Wei , He Xueqin 
Published: January 2025

Background
This study aimed to investigate knowledge, attitude, and practice (KAP) toward coronary heart disease (CHD) secondary prevention among CHD patients.

Methods
This web-based cross-sectional study enrolled patients with CHD who visited the Yangpu District Central Hospital in Shanghai (China) between October 18, 2022, and March 25, 2023. The administered questionnaire assessed demographic information and KAP; factors associated with good practice were identified by multivariate logistic regression.

Results
A total of 507 participants were included in the study, with 361 (71.2%) being male. In terms of education, 125 (24.7%) had a junior high school level or below. The mean scores for knowledge, attitudes, and practices were 31.28 ± 7.30 (possible range: 0–42), 54.09 ± 3.33 (possible range: 12–60), and 35.48 ± 3.36 (possible range: 11–55), respectively. For specific knowledge items on CHD, 57.6% of participants correctly identified that women are more susceptible to CHD. Physical labor and emotional excitement as triggers for CHD were correctly recognized by 94.1%. The need for long-term medication and follow-up after a CHD diagnosis had the highest correctness rate at 98.8%. Additionally, 84.6% correctly understood that recurrence of CHD is possible after PCI surgery. Multivariate analysis indicated that smoking and diabetes status were significantly associated with Practice scores. Current smokers reported lower practice levels than never smokers (OR = 2.858, 95% CI: 1.442–5.662, P = 0.003). Participants with diabetes reported higher practice levels than those without diabetes (OR = 4.169, 95% CI: 2.329–7.463, P < 0.001).

Conclusions
Patients with CHD in Shanghai, China, demonstrated good knowledge and positive attitudes toward CHD secondary prevention, although there were some gaps in actual practice behaviors. Enhancing targeted educational interventions and support systems in clinical settings may help bridge these gaps and improve adherence to recommended preventive practices.
Transfer accuracy of partially enclosed single hard vacuum-formed trays with 3D-printed models for lingual bracket indirect bonding: A prospective in-vivo study
Authors: Nguyen Viet Anh , Nguyen Thuy Anh , Doan Hong Le , Pham Thi Hanh , Doan Bich Ngoc , Pham Thi Thanh Thuy , Hoang Viet 
Published: January 2025

Objective
This study aims to evaluate the clinical transfer accuracy of partially enclosed single hard vacuum-formed trays based on three-dimensional (3D) printed models for lingual bracket indirect bonding.

Materials and methods
Thirty-two consecutive patients receiving lingual orthodontic treatment were enrolled. Digital models with ideal bracket positions were 3D-printed, followed by fabrication of partially enclosed single hard vacuum-formed trays. Digital impressions captured actual bracket positions and were compared to the ideal positions. One-tailed t-tests assessed if errors were within clinically acceptable thresholds of 0.5 mm for linear measurements and 2° for angular measurements.

Results
Mean bracket transfer errors were 0.052 mm, 0.076 mm, 0.106 mm, 0.795°, 1.344°, and 2.485° for mesiodistal, buccolingual, occlusogingival, rotation, tip, and torque, respectively. Transfer errors were statistically below the clinically acceptable thresholds for all dimensions except torque. Frequencies of acceptable transfer errors were 100%, 100%, 99.3%, 93.1%, 78.3%, and 54.0%, respectively.

Conclusion
Partially enclosed single hard vacuum-formed trays with 3D-printed models transfer lingual brackets with high accuracy in the mesiodistal, buccolingual, and occlusogingival dimensions, rotation, and tip. However, the transfer of torque remains questionable.
In vivo mapping of sodium homeostasis disturbances in individual ALS patients: A brain 23Na MRI study
Authors: Grapperon Aude-Marie , El Mendili Mohamed Mounir , Maarouf Adil , Ranjeva Jean-Philippe , Guye Maxime , Verschueren Annie , Attarian Shahram , Zaaraoui Wafaa 
Published: January 2025

Objective
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by significant heterogeneity among patients. 23Na MRI maps abnormal sodium homeostasis that reflects metabolic alterations and energetic failure contributing to the neurodegenerative process. In this study, we investigated disease severity at the individual level in ALS patients using brain 23Na MRI.

Methods
1H and 23Na brain MRI were collected prospectively from 28 ALS patients. Individual map of abnormal total sodium concentration (TSC) was computed using voxel-based statistical mapping for each patient compared to a local database of 62 healthy controls. Clinical data included the revised ALS functional rating scale (ALSFRS-R), ALSFRS-R slope, ALSFRS-R at 6-month and survival time.

Results
Individual maps quantifying voxels with TSC increase evidenced a high heterogeneity between patients consistent with clinical presentation. The main areas involved were the corticospinal tracts. Half of patients showed abnormal TSC increase within more than 1% of whole brain voxels. Patients with TSC increase had worse clinical severity: higher ALSFRS-R slope (p = 0.02), lower ALSFRS-R at 6-month (p = 0.04), and shorter survival (p = 0.04). ALS patients with limited TSC increase had slower progression of disability or predominant lower motor neuron phenotype or shorter disease duration.

Discussion
This study mapping sodium homeostasis disturbances at the individual level in ALS patients through 23Na MRI evidenced heterogeneity of TSC increase among patients associated with clinical presentation and disease severity. These findings suggest that TSC increase detected at the individual level by 23Na MRI may be a useful marker of the clinical heterogeneity of ALS patients, a factor that is likely to greatly influence the results of therapeutic trials.
Automated extracellular volume fraction measurement for diagnosis and prognostication in patients with light-chain cardiac amyloidosis
Authors: Hwang In-Chang , Chun Eun Ju , Kim Pan Ki , Kim Myeongju , Park Jiesuck , Choi Hong-Mi , Yoon Yeonyee E. , Cho Goo-Yeong , Choi Byoung Wook 
Published: January 2025

Aims
T1 mapping on cardiac magnetic resonance (CMR) imaging is useful for diagnosis and prognostication in patients with light-chain cardiac amyloidosis (AL-CA). We conducted this study to evaluate the performance of T1 mapping parameters, derived from artificial intelligence (AI)-automated segmentation, for detection of cardiac amyloidosis (CA) in patients with left ventricular hypertrophy (LVH) and their prognostic values in patients with AL-CA.

Methods and results
A total of 300 consecutive patients who underwent CMR for differential diagnosis of LVH were analyzed. CA was confirmed in 50 patients (39 with AL-CA and 11 with transthyretin amyloidosis), hypertrophic cardiomyopathy in 198, hypertensive heart disease in 47, and Fabry disease in 5. A semi-automated deep learning algorithm (Myomics-Q) was used for the analysis of the CMR images. The optimal cutoff extracellular volume fraction (ECV) for the differentiation of CA from other etiologies was 33.6% (diagnostic accuracy 85.6%). The automated ECV measurement showed a significant prognostic value for a composite of cardiovascular death and heart failure hospitalization in patients with AL-CA (revised Mayo stage III or IV) (adjusted hazard ratio 4.247 for ECV ≥40%, 95% confidence interval 1.215–14.851, p-value = 0.024). Incorporation of automated ECV measurement into the revised Mayo staging system resulted in better risk stratification (integrated discrimination index 27.9%, p = 0.013; categorical net reclassification index 13.8%, p = 0.007).

Conclusions
T1 mapping on CMR imaging, derived from AI-automated segmentation, not only allows for improved diagnosis of CA from other etiologies of LVH, but also provides significant prognostic value in patients with AL-CA.
Comparative safety and effectiveness of oral anticoagulants in key subgroups of patients with non-valvular atrial fibrillation and at high risk of gastrointestinal bleeding: A cohort study based on the French National Health Data System (SNDS)
Authors: Lip Gregory Y. H. , Benamouzig Robert , Martin Anne-Céline , Pesce Giancarlo , Gusto Gaelle , Quignot Nadia , Khachatryan Artak , Dai Feng , Sedjelmaci Fouad , Chaves Jose , Subash Rupesh , Mokgokong Ruth 
Published: January 2025

Background
Risk factors and comorbidities can complicate management of non-valvular atrial fibrillation. We describe and compare real-world safety and effectiveness of direct oral anticoagulants (DOACs; apixaban, rivaroxaban, dabigatran) and vitamin K antagonists (VKAs) in subgroups of patients with non-valvular atrial fibrillation at high risk for gastrointestinal (GI) bleeding, utilizing data from a national quasi-exhaustive French database.

Methods
Anticoagulant-naïve adults with non-valvular atrial fibrillation with ≥1 gastrointestinal bleeding risk factor, initiating anticoagulant treatment January 2016–December 2019, and covered by the French national health data system were eligible. The following subgroups were evaluated: patients age ≥75 years, receiving concomitant medications, HAS-BLED score ≥3, and chronic kidney disease stage 3–4. Outcomes included major bleeding and stroke/systemic embolism. Patient characteristics were balanced using propensity score matching.

Results
A total of 314,184 patients were identified; characteristics were similar for propensity score-matched subgroups in VKA/DOAC and DOAC/DOAC comparisons. DOACs showed lower risk of major bleeding versus VKAs in all subgroups evaluated (p<0.0001 for all). Apixaban showed lower risk of major bleeding and gastrointestinal bleeding versus rivaroxaban in all subgroups (p≤0.05 for all) and versus dabigatran in elderly patients, patients with HAS-BLED score ≥3, and those receiving concomitant medications (p<0.05 for all). Stroke/systemic embolism risk was lower with apixaban versus rivaroxaban in elderly patients, those with HAS-BLED ≥3, and those receiving concomitant medications; risks were similar for other comparisons.

Conclusions
DOACs were associated with improved safety and effectiveness when compared to VKAs among subgroups of non-valvular atrial fibrillation patients at high risk of gastrointestinal bleeding. Apixaban was associated with lower risks of major bleeding, gastrointestinal bleeding, and stroke/systemic embolism versus rivaroxaban as well as lower risk of major bleeding, gastrointestinal bleeding bleed and similar risk of stroke/systemic embolism versus dabigatran among several of these patient subgroups.