bluuebunny/crossref_metadata_2025_split huggingface dataset:
549 The Quality of TikTok Videos in the Education, Prevention, and Management of Burn Injuries
Authors: Sheikh-Oleslami Sara , Tuen Young Ji , Hynes Sally 
Published: May 2023

Abstract

Introduction
Most burn injuries are preventable, and appropriate first aid post-injury results in improved outcomes for the patient as well as a reduced burden on the healthcare system. Many patients turn to internet resources for education and management approaches for their burn injuries. With the rising popularity of social media platforms for the promotion of health information, this creates a more accessible educational realm for those who may not know where to otherwise access informational resources. However, most content on social media is not validated or reliable. Previous studies have investigated the quality of online burn prevention, education, and management videos on platforms such as YouTube. In this study, we attempt to assess the quality of such videos on TikTok, a newer and rapidly growing platform.

Methods
Videos on TikTok were searched for using 27 keywords (hashtags) such as #burn, #education, #prevention, #management, and #firstaid. The first 30 videos for each hashtag were reviewed. The Global Quality Scale (GQS) was used to assess the quality of the videos that fell within the inclusion criteria. Metrics such as views, viewer engagement, commentary, and likes were also examined.

Results
Of 525 reviewed videos, 72 met inclusion criteria. 47.2% (n=34) were on first aid or medical management, 33.4% (n=31) were on basic information, and 9.7% (n=7) were on prevention. Only 5.6% (n=4) videos cited sources. The mean GQS score was 2.45. 50% of videos (n=36) were made by creators with medical training, and of those videos, the GQS score was 3.13, whereas content made by creators with no medical training had a mean GQS of 1.81 (p &lt; 0.001). The excluded videos (n=453) fell into 6 main categories: unrelated (n=273), burn wounds (n=106), personal experiences (n=49), advertisements (n=8), questions (n=2), and non-English videos (n=15). Viewership varied from 41 to 4.2 million views.

Conclusions
Overall, information regarding burns on TikTok is unsatisfactory. Additionally, viewers are more drawn to lower quality videos. While quality varies amongst the different sources and is dependent on the creator, there is a significant gap in reliable content regarding burns, demonstrating an opportunity for validated content creation in this realm. Patients must exert caution and be selective when using TikTok as an educational resource regarding burns.

Applicability of Research to Practice
This review addresses key gaps in the knowledge base on TikTok for reliable burn information. This will later be used as a framework to create a series of educational videos for patients.
707 Comparing VTE Prophylaxis Strategies in Thermal Injuries: Don't Get Burned by Heparin!
Authors: O'Neil Christopher , Ramsey Walter , Meece Matthew , Proctor Kenneth , Satahoo Shevonne , Kaufman Joyce , Pizano Louis , Schulman Carl 
Published: May 2023

Abstract

Introduction
Burn patients are at high risk of venous thromboembolism (VTE) as well as bleeding complications, thus choosing the best option for thromboprophylaxis can be challenging. Previous studies have analyzed the preferred antithrombotic agent in trauma patients, but this has not been established in burns. We hypothesize that low molecular weight heparin (LMWH) is associated with better outcomes than unfractionated heparin.

Methods
The Trauma Quality Improvement Project (TQIP) dataset was used to identify all patients with second- or third-degree burns that were administered VTE prophylaxis. Cases with missing data, &lt; 24-hour hospital length of stay, other serious traumatic injuries (any AIS &gt;3), interhospital transfer, history of kidney disease, or pre-hospital history of anticoagulant use were excluded. Bleeding complications were defined as hemorrhage control surgery, embolization procedures, or blood transfusion occurring after the initiation of thromboprophylaxis, consistent with other studies analyzing bleeding complications in TQIP. Rates of VTE and bleeding complications were compared between those who received heparin versus LMWH. Propensity score matching was performed to control for age, total body surface area percent (TBSA%) burned, and ICU admission (Table 1).

Results
The analysis included 9,857 patients (69% male). Median age was 50 (34-62) years. LWMH was associated with fewer complications including pulmonary embolism, any VTE, and bleeding (Table 2). Initiation of thromboprophylaxis within 24 hours of arrival was associated with a lower risk of VTE (1.0% vs 2.1%, p&lt; 0.001) without showing a significant difference in bleeding complications (6.4% vs 7.2%, p=0.206).

Conclusions
This propensity score matched analysis of nearly ten thousand burn patients has demonstrated that low molecular weight heparin is associated with reduced risk of VTE and bleeding compared to heparin. Initiation of thromboprophylaxis within 24 hours is linked to lower rates of VTE. In burn patients without contraindications, thromboprophylaxis with LMWH should be started within 24 hours.

Applicability of Research to Practice
Venous thromboembolism is an important complication in burn patients, which may negatively impact patient outcomes. These patients regularly receive DVT prophylaxis and it is important for their care team to be able to select the proper agents.
709 Augmented Renal Clearance (ARC) is Highly Prevalent in Critically Ill Burn Patients
Authors: O'Neil Christopher , Ramsey Walter , Cohen Brianna , Lyons Nicole , Namias Nicholas , Satahoo Shevonne , Kaufman Joyce , Pizano Louis , Schulman Carl , Proctor Kenneth , Lineen Edward 
Published: May 2023

Abstract

Introduction
Augmented renal clearance (ARC) has been reported to occur across many critical illnesses but has not been evaluated in critically ill burn patients. The impact of ARC on clinical outcomes within this population remains unknown. We hypothesize that ARC is prevalent in critically ill burn patients and is associated with improved survival.

Methods
We retrospectively reviewed a prospectively-maintained registry of Burn ICU patients from July 2021 – September 2022 at an academic burn center. We included patients in whom 24-hour urine creatinine collection was performed on admission and excluded patients in whom accurate collection was not performed within 48 hours of admission. Creatinine clearance was calculated for all patients who met inclusion criteria. ARC was determined to occur when creatine clearance exceeded 130 mL/min/1.73m2. Clinical outcomes were compared between patients with and without ARC.

Results
The analysis included 24 patients (67% male, median age 42 [31-55] years). The median percentage of total body surface area (TBSA) burned was 25 [10-38]. ARC was present in 17 patients (71%). Mean creatinine clearance was 162 ml/min/1.73m2 (range 37-313), and 7 patients (29%) had creatinine clearance greater than 200. Complication rates were low and were similar between patients with and without ARC (all p &gt;0.05).

Conclusions
ARC appears to be a common phenomenon among critically injured burn patients. While the presence of ARC could be particularly meaningful in this population of patients that often receives massive volumes of resuscitative fluids, the sample size of our study did not permit the detection of statistically significant differences in outcomes between burn patients with and without ARC. Further work must be undertaken to assess the impact of ARC on fluid resuscitation strategies and medication dosing including that of antibiotics and thromboprophylaxis agents.

Applicability of Research to Practice
Augmented renal clearance (ARC) has never before been characterized in the population of critically injured burn patients. This topic merits further research, as it could have far-reaching clinical impact relating to fluid resuscitation practices and dosing of renally-cleared medications (antibiotics, thromboprophylaxis, etc.).
755 3D Printed Mouth Stretcher
Authors: Almendinger Jana , Rosenstiel Jennifer 
Published: May 2023

Abstract

Introduction
Microstomia can impede eating, speech, dental care, and surgical procedures (intubation). MPAs (microstomia preventative appliance/apparatus) are often used to manage burns around the mouth where there can be tightness in the oral commissures (microstomia). MPAs, however, are becoming more difficult to attain. Burn center therapy departments have been trying to find, or develop, a comparable replacement. Having been able to procure a 3D printer, our department is now able to print this new design. It has been trialed with a patient who reports the device is comfortable to wear and easy to use.

Methods
In developing a device to incrementally spread the oral commissures, different “garage tools” (C-clamp, caliper, wrench, etc) were trialed. From these ideas, this ratcheting slide version was determined to be the most durable and simple to use. The “clamp” ends were replaced with interchangeable “spools”. It is printed with a plastic filament called PLA (polylactic acid) and took between 100 minutes to 200 minutes to print all pieces of the mouth stretcher depended on the size of the device. The total cost to print ranges from $1.00 to $2.00 per device depending on the size. The main support, the slider, and the spools each need their own STL file, but were designed synchronously so that the parts all fit together properly. This mouth stretcher can be resized via different sized spools or made on a smaller scale for a pediatric version. It can also be used as a horizontal mouth stretcher (instead of using layers of tongue depressors).

Results
Our adult patient was able to improve his oral commissure measurements and he reports the device was comfortable and he was even able to sleep with it. The patient was able to increase the horizontal opening of his mouth 1 cm and vertical opening of his mouth 1.25 cm with inconsistent use over 9 months as he needed to take breaks due to another eye surgery during this time.

Conclusions
Stretching the oral commissures can be done cost-effectively (once a 3D printer is available) and easily used with minimal instruction for the patient. It could be trialed with varying sizes and shapes of “spools” for improving patient comfort and to minimize any areas of tissue breakdown (pressure sores) in the mouth. Past use of microsomia splints have been very beneficial, increasing mouth ROM which can diminish likelihood of surgical reconstruction and decrease the possibility of eversion of lower lip.

Applicability of Research to Practice
It may be difficult to provide for patients due to the expense of procuring a 3D printer and requires knowledge of 3D printing. However, as 3D printing becomes more commonplace in schools, hospitals, and homes, there will be increasing opportunity for further creativity, innovation, and use in the burn world.
Anti-deforestation npr-PPMs and Carbon Border Measures: Thinking About the Chapeau of Article XX GATT in Times of Climate Crisis
Authors: Leonelli Giulia Claudia 
Published: May 2023

ABSTRACT
This article enquires into the extent to which the elusive Chapeau of Article XX of the General Agreement on Tariffs and Trade (GATT) may constrain the ability of regulating Members to tackle environmental externalities via unilateral regulatory action. It employs an analysis of recent European Union regulatory measures to assess the rationale of different ‘indicators’ of compliance with the Chapeau and unpack their implications. The article illustrates that a good faith–centred interpretation of the Chapeau criteria helps identify aspects in the practical application of a measure that may afford protection to domestic products or result in country-based discrimination. It also preserves the margins of action of regulating Members and can improve the regulatory design and environmental effectiveness of unilateral measures. An expansive interpretation of ‘situational’ discrimination and ‘coercion’, by contrast, captures significant distortions of competitive opportunities between ‘like’ products, broadening market access and stretching the Chapeau beyond a good faith–centred focus. Furthermore, this interpretative approach can indirectly impact the regulatory design of the measures and undermine their environmental effectiveness. Against this backdrop, the article argues that the dispute settlement organs should carefully delimit the scope of the Chapeau conditions and adhere to a good faith–centred interpretative approach.
Teaching Mammalogy online: lessons learned from the COVID-19 pandemic and their application to the future
Authors: Beckmann Sean 
Published: May 2023

Abstract
Educators of natural history have long resisted incorporating digital technology into their pedagogy for several reasons, including a perceived loss of biophilia tied to the near-ubiquitous use of digital tools. Simultaneously, a push to embrace educational technology exists for several reasons, including expanding access to educational opportunities, increasing resource availability, addressing diverse learning modalities, and approaching ‘digital natives’ in a familiar space. While the debate continues, the COVID-19 pandemic forced nearly all educators, including mammalogists, to transition rapidly to digital education and to use technology to teach students effectively. While exceedingly difficult in some respects, this pivot to remote learning provided the opportunity to identify and to use online resources to enhance student learning. I propose that this integration of technology into Mammalogy courses resulted in the development of pedagogical tools that introduced students to skills and resources that they may not have accessed in traditional learning environments and that may have enhanced the educational experience of these same students. I present the results of a survey of online mammalogy education during the pandemic, provide examples of pedagogical tools developed during the pandemic, and propose that these tools should be integrated into Mammalogy courses in the future, but not supplant traditional lab and field experiences. These online resources are particularly useful for programs with limited resources and budgets or with limited geographic access to field experiences with live mammals.
Response to commentators on Gareth B. Matthews, The Child’s Philosopher (2022)
Authors: Gregory Maughn Rollins , Laverty Megan Jane 
Published: May 2023

Abstract
In this article we respond to the reviews, which appear in this issue, by Harry Brighouse, David Bakhurst, and Sheron Fraser-Burgess of our edited book Gareth B. Matthews, The Child’s Philosopher (Routledge 2022a). We are grateful for their sympathetic yet critical perspectives, which we take to be the very kind of engagement the philosophy for children movement requires in order to become more integrated with professional philosophical and educational theory and practice. We particularly value this opportunity to dialogue with scholars outside the movement, which has generated the insights we address here. In what follows, we think with our reviewers about what Matthews’ work reveals about areas of promise and of concern in the movement.
Democratizing philosophy for children: of difference and diverse ideas in Gareth Matthews’ Corpus
Authors: Fraser-Burgess Sheron 
Published: May 2023

Abstract
Maughn Rollins Gregory and Meghan Jane Laverty’s Gareth B. Matthews, The Child’s Philosopher explores the Philosophy for Children movement, and the way the work of Gareth B. Matthews carried forward its key components. In this paper, I consider the impact of Matthews’ embeddedness within a Western philosophical tradition, even as he strives mightily to propose a broad-minded approach to P4C. I draw upon the work of Amasa Philip Ndofirepi to explore the tensions and possibilities in reconciling Western and non-Western approaches to P4C. I argue that the social contexts of culture, ethnicity, and nationality can serve to broaden P4C curricula and pedagogy, making it fit for schools in a liberal democratic society.
Multivariate sensitivity analysis for a large-scale climate impact and adaptation model
Authors: Oyebamiji Oluwole Kehinde , Nemeth Christopher , Harrison Paula A , Dunford Robert W , Cojocaru George 
Published: May 2023

AbstractWe apply a new efficient methodology for Bayesian global sensitivity analysis for large-scale multivariate data. A multivariate Gaussian process is used as a surrogate model to replace the expensive computer model. To improve the computational efficiency and performance of the model, compactly supported correlation functions are used. The goal is to generate sparse matrices, which give crucial advantages when dealing with large data sets. The method was applied to multivariate data from the IMPRESSIONS Integrated Assessment Platform version 2. Our empirical results on Integrated Assessment Platform version 2 data show that the proposed methods are efficient and accurate for global sensitivity analysis of complex models.
Digynic monoandric triploidy in the setting of recurrent pregnancy loss: a case report and literature review
Authors: Raymond Caitlin , Han Song , Huang Gengming , Clement Cecilia , Thaker Harshwardhan , Dong Jianli 
Published: May 2023

Abstract
Triploidy is a genetic occurrence in which the chromosome count is 3n = 69 with a double (2n) chromosomal contribution to the conceptus from one parent. Such pregnancies are usually nonviable and are estimated to account for approximately 1% of recognized conceptions and 10% of recognized miscarriages. Majority opinion is that fetal losses due to triploidies are caused by the presence of 2 copies of paternal chromosomes. In this study, we present a digynic monoandric triploid miscarriage from a 32-year-old G7P1051 at approximately 13 weeks gestation, in which 2 copies of the maternal chromosomes are present in the fetus. This unusual phenomenon is supported by nonmolar placental histology, chromosomal microarray, and short tandem repeat assays, with the latter 2 being discussed in detail. Furthermore, this study includes discussion of recurrent miscarriage, recurrent triploidy, and long-term clinical follow-up of the patient.
Still a private matter? Evaluating the Irish State’s response to domestic abuse
Authors: Leahy Susan 
Published: May 2023

Abstract
The Domestic Violence Act 2018 (DVA 2018) reformed Irish law on domestic abuse, providing some welcome advancements on the preceding law in this area (eg criminalizing coercive control). However, while the Act represents an improvement on the previous legislation, there remains an orientation towards private, civil law responses to domestic abuse, rather than a promotion of proactive State-led responses which recognize domestic abuse as a public wrong. Consequently, this article argues that the so-called ‘public–private dichotomy’ traditionally associated with domestic abuse is still evident in Ireland. The article begins with an analysis of evidence of the public–private dichotomy in operation in Irish domestic abuse law and policy. Prevailing efforts to recognize domestic abuse as a public wrong are then examined via a discussion of the provisions of the DVA 2018 and an evaluation of the current response of the criminal justice system to domestic abuse. This examination highlights shortcomings in Irish legislation, policy, and practice, which result in domestic abuse still being treated primarily as a private problem. Consequently, the article concludes by suggesting law and policy reforms that would promote a more effective recognition of domestic abuse as a public wrong which requires a proactive, State-led response.
A New Chromosome-Assigned Mongolian Gerbil Genome Allows Characterization of Complete Centromeres and a Fully Heterochromatic Chromosome
Authors: Brekke Thomas D , Papadopulos Alexander S T , Julià Eva , Fornas Oscar , Fu Beiyuan , Yang Fengtang , de la Fuente Roberto , Page Jesus , Baril Tobias , Hayward Alexander , Mulley John F 
Published: May 2023

Abstract
Chromosome-scale genome assemblies based on ultralong-read sequencing technologies are able to illuminate previously intractable aspects of genome biology such as fine-scale centromere structure and large-scale variation in genome features such as heterochromatin, GC content, recombination rate, and gene content. We present here a new chromosome-scale genome of the Mongolian gerbil (Meriones unguiculatus), which includes the complete sequence of all centromeres. Gerbils are thus the one of the first vertebrates to have their centromeres completely sequenced. Gerbil centromeres are composed of four different repeats of length 6, 37, 127, or 1,747 bp, which occur in simple alternating arrays and span 1–6 Mb. Gerbil genomes have both an extensive set of GC-rich genes and chromosomes strikingly enriched for constitutive heterochromatin. We sought to determine if there was a link between these two phenomena and found that the two heterochromatic chromosomes of the Mongolian gerbil have distinct underpinnings: Chromosome 5 has a large block of intraarm heterochromatin as the result of a massive expansion of centromeric repeats, while chromosome 13 is comprised of extremely large (&gt;150 kb) repeated sequences. In addition to characterizing centromeres, our results demonstrate the importance of including karyotypic features such as chromosome number and the locations of centromeres in the interpretation of genome sequence data and highlight novel patterns involved in the evolution of chromosomes.
‘Sharing is caring’: positive impacts of achievement as ‘The First Indonesian who becomes an Associate Editor of Heliyon Psychology (Elsevier—Scopus Q1)’ on mental health
Authors: Situmorang Dominikus David Biondi 
Published: May 2023

Abstract
In this article, the author describes the positive impacts of happiness-sharing activities, especially regarding achievement. These activities are essential in maintaining and improving mental health. In addition, the author inspires so that many people can do positive things, infect many people and create a more positive world.
Private Renegotiations and Government Interventions in Credit Chains
Authors: Glode Vincent , Opp Christian C 
Published: May 2023

Abstract
We propose a model of strategic renegotiation in which businesses are sequentially interconnected through their liabilities. This financing structure, which we refer to as a credit chain, gives rise to externalities, as each lender’s willingness to provide concessions to its borrower depends on how this lender’s own liabilities are expected to be renegotiated. We highlight how government interventions aimed at preventing default waves should account for private renegotiation incentives and interlinkages. In particular, we contrast the consequences of targeted subsidy and debt reduction programs following economic shocks, such as pandemics and financial crises.
Partial dissociative identity disorder and gender incongruence: a case report
Authors: Hasler Roland , Pache Jérôme , Köhl John , Soldati Lorenzo 
Published: May 2023

Abstract

Introduction
Gender incongruence (GI) is characterized by a marked and persistent incongruence between an individual’s experienced gender and assigned sex, which often leads to a desire to “transition” and a demand for medical treatments. Dissociative identity disorder and partial dissociative identity disorder (PDID) are poorly known mental disorders whose clinical presentation can be confused with GI.

Aims
To provide a case report of a patient with PDID and GI who required treatment for GI.

Methods
A case report and follow-up were described.

Results
The case report describes a person suffering from PDID and GI and asked for hormonal treatment for GI. In view of the complexity of the case, it was decided to start a follow-up to investigate the gender experience of the different personalities. After 4 months of follow-up, the symptomatology changed, and the patient waived treatment for GI and continued psychotherapeutic treatment for PDID.

Conclusion
Our case report shows the complexity of providing treatment for patient with PDID and GI.