bluuebunny/crossref_metadata_2025_split huggingface dataset:
The RAF (Rotating Abdominal Flap): a new and simple technique to treat and avoid lower pole contour deformities in breast augmentation.
Authors: Pelle-Ceravolo Mario , Angelini Matteo , Sanese Giuseppe 
Published: February 2023

Background:
Double contour deformity represents a common complication following inframammary fold lowering in augmentation mammaplasty that mostly occurs in patients with short N-IMF distances and/or tight breasts. We describe a technique that consists of exploiting a cranially based abdominal fat flap that is hinged and rotated upward to correct and/or prevent this deformity.

Methods:
A retrospective study of two groups of patients was conducted. Group A comprised 25 patients who presented with visible double contour deformity after breast augmentation; group B comprised 22 patients with a constricted lower pole and short N-IMF distance undergoing primary augmentation.

Results:
Of 25 patients in group 1, 22 showed good outcomes. Two patients experienced bilateral and one unilateral under-correction of the deformity. One patient had a liponecrotic mass that did not need treatment. No patients in group 2 experienced obvious double contour deformities. In group 2, one patient showed unilateral excess volume on the medial breast pole and another developed a postoperative hematoma that reabsorbed within four weeks.

Conclusions:
In many patients, the occurrence of double contour deformities is linked to the difference in thickness between the area above and below the natural breast fold. The rotated abdominal fat flap increases the thickness of the lower pole in the area between the old and new IMF, which lacked volume, thus treating double contour deformities in many patients. The same technique can be used to avoid the risk of these deformities when performing primary augmentation in patients with a short N-IMF distance and/or tight breasts.
High-Frequency Ultrasound-Guided Temporal Fat Transplantation: A Safe and Visualized Approach
Authors: Nie Bing , Jie Xiang , Yang Weiwei , Su Yidan , Zhang Wenjun , Zhao Yaozhong , Xu Weihua , Zhu Lie 
Published: February 2023

Summary:
Autologous fat injection is one of the most popular methods for the treatment of temporal depression, however accurate puncture into the target layer without vascular compromise is hard to achieve. With the aid of high-frequency ultrasonography, we performed autologous fat transplantation after visualization, and did so in five cases with satisfactory results. We observed the course of superficial temporal vessels, the orbitozygomatic artery and sentinel veins preoperatively, and used high-frequency ultrasonography to guide lipotransfer into the desired layer intraoperatively, to avoid intravascular injection. With the aid of high-frequency ultrasonography, we can easily prevent vascular complications and personalize surgical procedures, as anatomical variations of vasculature can also be detected via this method.
Venous Tributaries of the Lip: Implications for Lip Filler Injection
Authors: Moorefield Amanda K. , Rose-Reneau Zak , Wright Barth W. , Surek Christopher C. 
Published: February 2023

Background:Demand for lip filler injection continues to increase. Despite the current literature’s acknowledgement of the role both venous and arterial vasculature play in minor and major side effects, research addressing the venous vasculature of the lower one-third of the face is scarce.Methods:A photographic analysis of the venous vasculature of 26 participants was performed using a vein transilluminator to display the venous flow around the perioral region. The data was analyzed for commonalities among participants then compared to common lip filler injection techniques and locations.Results:Venous tributaries were identified in all patients, with slight variation in pattern, superior to the upper vermillion border between the nasolabial fold and philtral column on each side of the mouth. Venous tributaries were noted about 1 cm-1.5 cm lateral to the oral commissures extending inferiorly to the chin and along the labiomental crease. Four areas of venous pooling were deemed significant: a small area ~2 mm superior to cupid’s bow, along the middle tubercle of the upper lip, along the wet-dry line of the lower lip and centrally along the vermillion border between the lower lip tubercles.Conclusions:Perioral venous mapping provides a guide for injectors performing lip enhancement procedures in identifying areas at risk for injury due to venous pooling. Avoiding these anatomically vulnerable regions can minimize the potential for inflammation and ecchymosis associated with intravenous injection and prevent dissatisfactory aesthetic results due to lumps, excessive bruising, swelling or asymmetry.
Refinements in Component Dorsal Reshaping in Primary Rhinoplasty
Authors: Rohrich Rod J. , Lisiecki Jeffrey L. , Chiodo Michael V. 
Published: February 2023

Summary:
Dorsal reduction and reshaping is an essential part of many rhinoplasty procedures. The steps of component dorsal reduction have been well-established previously. In this special topic, we refine the process of dorsal reshaping to improve the quality and consistency of results.
Evaluation of Postoperative Outcomes in Two Cleft Palate Repair Techniques without Relaxing Incisions
Authors: Sakran Karim A. , Wu Min , Yin Heng , Wang Yan , Li Chenghao , Alkebsi Khaled , Telha Wael A. , Zheng Qian , Huang Hanyao , Shi Bing 
Published: February 2023

Background:
A modified palatoplasty was established by incorporation the designs of both Sommerlad and Furlow techniques in addition to a novel incision on the medial pterygoid plate's surface, named the Sommerlad-Furlow modified technique. Thus, this study aimed to evaluate the clinical and functional outcomes of the Sommerlad-Furlow modified technique against an accepted standard, the Furlow technique.

Methods:
A retrospective review was conducted for 212 consecutive non-syndromic cleft palate patients who underwent Sommerlad-Furlow (106) and Furlow (106) repairs without relaxing incision on the hard palate between 2011-2016. The success of surgical procedures was estimated by the rate of postoperative fistula, speech outcomes, and velopharyngeal insufficiency-related quality of life (VPI-QOL). The demographic and surgical data, including gender, age, cleft type, cleft width, and follow-up period were recorded.

Results:
There was no statistically significant difference between the two treatment groups regarding demographic and surgical data, except the cleft width (P˂0.001). The incidence of the fistula was 7.5% and 6.6% after the Sommerlad-Furlow and Furlow, respectively. The two groups showed non-significant difference in speech outcomes, with an adequate velopharyngeal function was found in 84% and 82.1% in Sommerlad-Furlow and Furlow, respectively. Besides, the rate of severe VPI was slightly lower in Sommerlad-Furlow (0.9%) than Furlow (2.8%). Moreover, an adequate VPI-QOL was found in 80.4% of the Sommerlad-Furlow group and 78.6% of the Furlow group.

Conclusion:
The Sommerlad-Furlow technique has obtained acceptable postoperative outcomes, which could be a choice for cleft palate repair, especially in wider clefts.
Role of State Insurance Policy in Orthotic Helmet Access for Deformational Plagiocephaly”
Authors: Hauc Sacha C. , Long Aaron S. , Littlefield Timothy R. , Stephan Alicia P. , Junn Adam H. , Rivera Jean Carlo , Dinis Jacob , Junn Alexandra , Persing John A. , Alperovich Michael 
Published: February 2023

Background:Helmet therapy for deformational plagiocephaly has an ideal window for treatment, and timely access to care is vital to achieving optimal benefit. We evaluated the hypothesis that patients insured through Medicaid experience decreased access to helmet therapy.Methods:This was a retrospective analysis of referrals for helmet therapy to Cranial Technologies, Inc. between 2014-2020 across 21 states. Outcome measures were likelihood of receiving a helmet, receiving a second helmet, receiving delayed treatment, and having delayed presentation.Results:From 2014-2020, 219,869 patients were referred and 141,513 of these received a helmet. Patients with Medicaid were less likely to receive treatment (OR: 0.63, p < 0.001) and more likely to present late (OR: 1.55, p < 0.001) or receive delayed treatment (OR: 3.24, p < 0.001) compared to the commercially insured. Patients with Medicaid were less likely to receive helmet therapy in 9 states, with the strongest association in Texas (OR: 0.32, p < 0.001), and more likely to receive helmet therapy in 5 states, with the strongest association in Colorado (OR: 1.89, p < 0.001). Medicaid was associated with late presentation and delayed treatment in all states.Conclusions:Patients with Medicaid presented later and were less likely to receive helmet therapy. Findings reflected state-specific Medicaid policies, with patients in some states more likely to receive a helmet with Medicaid than commercial insurance. However, late presentation and delays in treatment with Medicaid were observed across all states. State-specific Medicaid restrictions are likely a driving factor in determining access to helmet therapy.
Rectal Injury during Penile Inversion Vaginoplasty: An Algorithmic Approach to Prevention and Management
Authors: Morris Martin P. , Wang Chien-Wei , Holan Cole , Lane Megan E. , Sluiter Emily C. , Morrison Shane D. , Kuzon William M. 
Published: February 2023

Objective:
This study reports outcomes in 146 patients that underwent PIV. The results, in conjunction with a systematic review of the literature, were used to develop a treatment algorithm for the prevention, surgical management and postoperative considerations of iatrogenic rectal injuries.

Background:
PIV is a common procedure for transfeminine patients, with the goal of creating a functional vaginal canal and clitoris, as well as a natural-appearing vulva. Creation of the neovagina requires opening of the pre-rectal space, most commonly from a perineal approach, and the reported rates of rectal perforation during this dissection range from 3 to 5%.

Methods:
Adult patients who underwent PIV at our institution were retrospectively identified. Demographics, operative information, and postoperative clinical outcomes were extracted from the electronic medical record.

Results:
Ten of 146 patients experienced a rectal injury (6.8%). All patients underwent an immediate repair (2-layer in 8, 3-layer in 2) with two patients subsequently requiring temporary fecal diversion and two requiring muscle flaps (1.4% each). Literature review identified eighteen relevant publications, with scarce in-depth analysis of management of initial rectal injuries.

Conclusions:
This algorithmic approach to rectal injury during PIV is designed to facilitate decision-making based on preoperative preparation, consistent intraoperative monitoring, feasibility of primary repair of the rectum, and a multidisciplinary approach to longitudinal postoperative care.
Within-Person Temporal Associations Among Self-Reported Physical Activity, Sleep, and Well-Being in College Students
Authors: McGowan Amanda L. , Boyd Zachary M. , Kang Yoona , Bennett Logan , Mucha Peter J. , Ochsner Kevin N. , Bassett Dani S. , Falk Emily B. , Lydon-Staley David M. 
Published: February 2023

ABSTRACT

Objective
A holistic understanding of the naturalistic dynamics among physical activity, sleep, emotions, and purpose in life as part of a system reflecting wellness is key to promoting well-being. The main aim of this study was to examine the day-to-day dynamics within this wellness system.

Methods
Using self-reported emotions (happiness, sadness, anger, anxiousness) and physical activity periods collected twice per day, and daily reports of sleep and purpose in life via smartphone experience sampling, more than 28 days as college students (n = 226 young adults; mean [standard deviation] = 20.2 [1.7] years) went about their daily lives, we examined day-to-day temporal and contemporaneous dynamics using multilevel vector autoregressive models that consider the network of wellness together.

Results
Network analyses revealed that higher physical activity on a given day predicted an increase of happiness the next day. Higher sleep quality on a given night predicted a decrease in negative emotions the next day, and higher purpose in life predicted decreased negative emotions up to 2 days later. Nodes with the highest centrality were sadness, anxiety, and happiness in the temporal network and purpose in life, anxiety, and anger in the contemporaneous network.

Conclusions
Although the effects of sleep and physical activity on emotions and purpose in life may be shorter term, a sense of purpose in life is a critical component of wellness that can have slightly longer effects, bleeding into the next few days. High-arousal emotions and purpose in life are central to motivating people into action, which can lead to behavior change.
Biological Burden of Adverse Childhood Experiences in Children
Authors: de la Rosa Rosemarie , Zablotny David , Ye Morgan , Bush Nicole R. , Hessler Danielle , Koita Kadiatou , Bucci Monica , Long Dayna , Thakur Neeta 
Published: February 2023

Abstract

Objective
Examine relationships between adverse childhood experiences (ACEs) and related life events and allostatic load (AL) – “wear and tear” from chronic stress – in a pediatric population.

Methods
Children were screened with the PEARLS tool, a 17-item questionnaire capturing experiences of abuse, neglect, household challenges, and related life events. Biologic data was available for 207 participants and AL was operationalized using clinical or empirical cutoff points across 4 physiologic systems (i.e., cardiac, metabolic, inflammatory, neurologic). Covariate-adjusted multivariable regression models were used to examine associations between AL with adversity and health.

Results
Children (Mean age = 6.5 years, range = 1-11 years) had an average AL score of 1.9 (SD 1.7), and a U-shaped relationship was observed with child’s age. Continuous PEARLS and original ACE scores were not associated with AL. However, children with a reported PEARLS score of 1-2 or original ACEs score of 1-3 had 1.5 (IRR 1.50; 95% CI 1.09, 2.08) and 1.4 (IRR 1.41; 95% CI 1.08, 1.84) times greater AL, respectively, compared to participants with none reported. In secondary analyses, caregiver mental illness was associated with higher child AL (adjusted IRR 1.27; 95% CI 1.01, 1.58). AL was also associated with poorer perceived child general health (aß = -0.87, 95% CI: -1.58, -0.15) and greater odds of child obesity (aOR 1.51; 95% CI: 1.23, 1.89).

Conclusions
Measuring AL in a pediatric population requires careful consideration of age. Higher AL was associated with a greater number of reported adversities and worse child health.
Exploration of Ward-Based Nurses’ Perspectives on Their Preparedness to Recognize Clinical Deterioration: A Scoping Review
Authors: Mikhail John , King Lindy 
Published: February 2023

Background
Despite initiatives in the early recognition of clinical deterioration, the incidence of failure to recognize clinical deterioration in patients continues to occur contributing to the ongoing rise of in-hospital mortality and morbidity.

Objective
The aim of the study was to explore and appraise the research evidence that related to ward-based nurses’ preparedness to recognize the clinically deteriorating patient.

Methods
A scoping review was undertaken as this approach enabled the researchers to investigate the breadth of the available evidence through broad inclusion criteria. A comprehensive database search was conducted through the Cochrane Library; Cumulative Index to Nursing and Allied Health Literature; MEDLINE; ProQuest; PubMed; and Wiley Online Library. Each article was critically appraised and analyzed using a critical appraisal tool and thematic analysis, respectively. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews checklist.

Results
Twelve primary sources of literature met the eligibility criteria. Through thematic analyses 6 primary themes were identified: implication of experience on preparedness; interprofessional and intraprofessional relationships; knowledge of calling criteria, process and procedures; requirement for a supportive system and culture; existence of hierarchy within healthcare impacting care; and clinical deterioration as an education opportunity.

Conclusions
This review identified central issues that impacted on ward-based nurses’ preparedness. Further development of collaborative, supportive professional relationships across-and-within disciplines is needed. Effective use of clinical deterioration situations as educational opportunities would also assist nurses’ preparedness through skill and knowledge development. However, more research evidence will be needed because of the limited data available on the topic.
Communicating Patient Safety Information Through Video and Oral Formats—A Comparison
Authors: Bånnsgård Margareta , Nouri Arazoo , Finizia Caterina , Engström My , Moreno Johanna , Roos Ulrika , Tubic Bojan 
Published: February 2023

Objective
One way to decrease adverse events is to increase patient participation in their own care. Sahlgrenska University Hospital has introduced a patient safety advisory, consisting of an animated video and structured oral information. This article investigates how the animated video and structured oral information regarding was perceived by the patients and determines which communication method the patients preferred.

Method
In this study, we compared patients’ attitudes toward patient safety information delivered in video or oral format. Data were collected after intervention through a survey consisting of 5 questions.

Results
One hundred thirty-four patients were recruited to the study. Ninety-two patients either watched the video or received oral information. Forty-two patients were given both oral information and viewed the video. Information received by the patients was rated as good or very good by 90% of those viewing the video and by 100% who received the oral presentation (P = 0.007). Of the 42 participants who received both formats, 74% preferred the oral presentation (P < 0.001).

Conclusions
The patients thought the patient safety information to be good and beneficial. An informative video can complement the oral information, but not replace, when informing patients about patient safety. Providing patients with information in a manner they prefer may increase patient’s involvement in their care and possibly reduce the risk of adverse events.
Characteristics and clinical manifestations of monkeypox among people with and without HIV in the United States: a retrospective cohort
Authors: Chastain Daniel B. , Motoa Gabriel , Ortiz-Martínez Yeimer , Gharamti Amal , Henao-Martínez Andrés F. 
Published: February 2023

Objectives:
To compare characteristics and clinical manifestations of monkeypox (MPX) between people with and without HIV in the United States.

Design:
Retrospective cohort study using TriNetX, a federated research network.

Methods:
Patients 18 years and older with MPX were identified based on the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis code B04 and divided into two groups: people with HIV (PWH) and people without HIV. Differences in baseline characteristics, clinical manifestations, and all-cause healthcare utilization were examined between groups. Outcomes were reported before and after propensity score matching.

Results:
Of 322 cases of MPX included, 29% (n = 93) were PWH. Baseline characteristics were similar, but PWH were more likely to identify as Black or African American persons (24% vs. 11%, P = 0.0303) or as Hispanic or Latino persons (24% vs. 11%, P = 0.0345) and more likely to report lifestyle factors affecting health status. Rash and rectal pain were more common in PWH (25% vs. 11%, P < 0.01, and 25% vs. 10%, P < 0.001, respectively). In addition, PWH had higher rates of anal or rectal abscesses (11% vs. 0%, P < 0.0001), phimosis (11% vs. 0%, P < 0.0001), and pneumonia (11% vs. 0%, P < 0.0001). More PWH required urgent care visits (53% vs. 29%, P < 0.0001) and hospitalizations (11% vs. 4%, P = 0.0314), but not emergency department visits (42% vs. 58%, P = 0.0085).

Conclusion:
PWH had higher rates of clinical manifestations and required greater utilization of healthcare resources for any reason compared with those without HIV.
Effect of HIV stigma on depressive symptoms, treatment adherence, and viral suppression among youth with HIV
Authors: Mugo Cyrus , Kohler Pamela , Kumar Manasi , Badia Jacinta , Kibugi James , Wamalwa Dalton C. , Kapogiannis Bill , Agot Kawango , John-Stewart Grace C. 
Published: February 2023

Objective:
We estimated the effects of HIV stigma on mental health and treatment outcomes for youth with HIV (YWH).

Design:
Secondary analysis of data for YWH ages 15–24 years in Western Kenya.

Methods:
Participants completed a longitudinal survey (baseline, months 6 and 12) assessing socio-demographics, antiretroviral therapy (ART) adherence, depressive symptoms (PHQ-9), and HIV stigma (10-item Wright scale). First viral load (VL) after enrollment was abstracted from records. We estimated risk of depressive symptoms (score > 4), nonadherence (missing ≥2 days of ART in a month), and detectable VL (≥50 copies/ml) for each standard deviation (SD) increase in HIV stigma score, adjusted for age and sex (and regimen in VL model). The generalizing estimating equation models included measures for the three visits.

Results:
Median age for the 1011 YWH was 18 years. At baseline, frequency of nonadherence, depressive symptoms and detectable VL was 21%, 21%, and 46%, respectively. Mean stigma score was 25 (SD = 7.0). Each SD stigma score increment was associated with higher risk of depressive symptoms {adjusted relative risk [aRR] 1.31 [95% confidence interval (CI): 1.20–1.44]}, nonadherence [aRR 1.16 (CI: 1.05–1.27)] and detectable VL [aRR 1.20 (CI: 1.08–1.32)]. Experienced and anticipated stigma were associated with detectable VL [aRR 1.16 (CI: 1.10–1.22) and aRR 1.23 (CI: 1.12–1.35), respectively]. Internalized and perceived community stigma were associated with depressive symptoms [aRR 1.31 (CI: 1.21–1.40) and aRR 1.24 (CI: 1.13–1.36), respectively].

Conclusions:
Stigma was associated with depressive symptoms, nonadherence and detectable VL. Interventions to decrease stigma may improve virologic and mental health outcomes in YWH.