bluuebunny/crossref_metadata_2025_split huggingface dataset:
Imperialism in the Financial Capital Era: Forgotten Contributions from Marxist Dependency Theory
Authors: Nunes Débora Machado 
Published: August 2023

This article argues that the contributions of Marxist Dependency Theory (MDT) can provide theoretical insights for the analysis of financialized capitalism dynamics, contribute to the debate about the rise of a globalized working class, and help guide a transformative praxis in the periphery, therefore being relevant for the debate of contemporary imperialism. I discuss which traditions of dependency theories were most featured in economics literature and why I believe that MDT is marginalized and misinterpreted, focusing on the historical and political aspects of that process. Next, I debate some contributions of contemporary imperialism theory, and conclude that MDT has the potential to advance some of its core concepts and formulate a powerful synthesis. JEL Classification: B51, F54
Shifting Mindsets: The Impact of a Patient Portal on Functioning and Recovery in a Mental Health Setting
Authors: Lo Brian , Shin Hwayeon Danielle , Kemp Jessica , Munnery Mikayla , Chen Sheng , Ma Clement , Jankowicz Damian , Mehta Rohan , Harris Alexandra , Sakal Moshe , Pundit Ryan , Chung Kevin , Kuziemsky Craig , Rossetti Sarah , Strudwick Gillian 
Published: August 2023

Objective This study aims to understand whether higher use of a patient portal can have an impact on mental health functioning and recovery. Method A mixed methods approach was used for this study. In 2019–2021, patients with mental health diagnoses at outpatient clinics in an academic centre were invited to complete World Health Organization Disability Assessment Scale 12 (WHODAS-12) and Mental Health Recovery Measure surveys at baseline, 3 months, and 6 months after signing up for the portal. At the 3-month time point, patients were invited to a semistructured interview with a member of the team to contextualize the findings obtained from the surveys. Analytics data was also collected from the platform to understand usage patterns on the portal. Results Overall, 113 participants were included in the analysis. There was no significant change in mental health functioning and recovery scores over the 6-month period. However, suboptimal usage was observed as 46% of participants did not complete any tasks within the portal. Thirty-five participants had low use of the portal (1–9 interactions) and 18 participants had high usage (10+ interactions). There were also no differences in mental health functioning and recovery scores between low and high users of the portal. Qualitative interviews highlighted many opportunities where the portal can support overall functioning and mental health recovery. Conclusions Collectively, this study suggests that higher use of a portal had no impact, either positive or negative, on mental health outcomes. While it may offer convenience and improved patient satisfaction, adequate support is needed to fully enable these opportunities for patient care. As the type of interaction with the portal was not specifically addressed, future work should focus on looking at ways to support patient engagement and portal usage throughout their care journey.
Multifunctional heating film as susceptor for induction-welded single-lap carbon fiber reinforced polyetherketoneketone thermoplastic composite joints: Thermal and mechanical behavior
Authors: Hoang Van-Tho , Lee Dae-Sung , Kweon Jin-Hwe , Kwak Byeong-Su , Nam Young-Woo 
Published: August 2023

In this study, a novel multifunctional film known as susceptor, containing silver nanoparticles, was proposed to improve the induction welding performance of unidirectional carbon fiber-reinforced polyetherketoneketone (CF/PEKK) thermoplastic composites. A group of Ag/PEKK films was synthesized with different amounts of silver nanoparticles. Good thermal performance was obtained, including the maximum temperature and thermal growth time constant, leading to the selection of films with 60 wt.% and 70 wt.% silver nanoparticles. In addition, the mechanical performance was evaluated for single-lap joints fabricated with the selected films and stainless-steel mesh. Specifically, the highest interlaminar shear strength and single-lap shear strength of 25.2 MPa and 20.9 MPa, respectively, were achieved with a susceptor containing 60 wt.% silver nanoparticles. The mechanism of these increases in thermal and mechanical performance is discussed using numerical and experimental methods (non-destructive test and optical microscope observation). In conclusion, the multifunctional heating film incorporated into the adhesive can improve the thermal and mechanical efficiency of single-lap joints of thermoplastic composites fabricated using the induction welding method.
The Association of Nonmodifiable Patient Factors on Antipsychotic Medication use in the Intensive Care Unit
Authors: Connell Jennifer , McCann Brittany , Feng Xiaoke , Shotwell Matthew S. , Hughes Christopher G. , Boncyk Christina S. 
Published: August 2023

Purpose We investigated the association of age, sex, race, and insurance status on antipsychotic medication use among intensive care unit (ICU) patients. Materials and Methods Retrospective study of adults admitted to ICUs at a tertiary academic center. Patient characteristics, hospital course, and medication (olanzapine, quetiapine, and haloperidol) data were collected. Logistic regression models evaluated the independent association of age, sex, race, and insurance status on the use of each antipsychotic, adjusting for prespecified covariates. Results Of 27,137 encounters identified, 6191 (22.8%) received antipsychotics. Age was significantly associated with the odds of receiving olanzapine ( P < .001), quetiapine ( P = .001), and haloperidol ( P = .0046). Male sex and public insurance status were associated with increased odds of receiving antipsychotics olanzapine, quetiapine, and haloperidol (Male vs Female: OR 1.13, 95% CI [1.04, 1.24], P = .0005; OR 1.22, 95% CI [1.10, 1.34], P = .0001; OR 1.28, 95% CI [1.17, 1.40], P < .0001, respectively; public insurance vs private insurance: OR 1.32, 95% CI [1.20, 1.46], P < .0001; OR 1.21, 95% CI [1.09, 1.34], P = .0004; OR 1.15, 95% CI [1.04, 1.27], P = .0058, respectively). Black race was also associated with a decreased odds of receiving all antipsychotics (olanzapine ( P = .0177), quetiapine ( P = .004), haloperidol ( P = .0041)). Conclusions Age, sex, race, and insurance status were associated with the use of all antipsychotic medications investigated, highlighting the importance of investigating the potential impact of these prescribing decisions on patient outcomes across diverse populations. Recognizing how nonmodifiable patient factors have the potential to influence prescribing practices may be considered an important factor toward optimizing medication regimens.
Association of Hospice Agency Location and Neighborhood Socioeconomic Disadvantage in the U.S.
Authors: Osakwe Zainab Toteh , Calixte Rose , Peterson Mandi-Leigh , Young Sean G. , Ikhapoh Izuagie , Pierre Kaydeen , McIntosh Jennifer T. , Senteio Charles , Girardin Jean-Louis 
Published: August 2023

Background Despite the growing increase in the utilization of hospice in the U.S, disparities exist in the utilization of hospice. Accumulating evidence has shown that neighborhood characteristics have an impact on availability of hospice agencies. Objective To assess the association between neighborhood social vulnerability and hospice agency availability. Methods Using the Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) for 2019. Hospice agency addresses were geocoded to the census tract level. Multivariable Poisson regression models were used to assess the association between socioeconomic status SVI theme and hospice agency availability adjusting for number of home health agencies, primary care health profession shortage, per cent Black, and Percent Hispanic at the census tract level and rurality. Results The socioeconomic status SVI subtheme was associated with decreased likelihood of hospice agency availability (adjusted IRR (aIRR), .56; 95% CI, .50- .63; P < .001). Predominantly Black, and predominantly Hispanic neighborhoods had lower rates of hospice agency availability (aIRR, .48; 95% CI, .39-.59; P < .001 and aIRR, .29; 95% CI, .24-.36; P < .001), respectively. Conclusion Neighborhood socioeconomic disadvantage was associated with lower availability of hospice agencies. Policies aimed at increasing access to hospice should be cognizant of neighborhood socioeconomic disadvantage.
Resolution of Macular Edema secondary to rituximab after intravitreal dexamethasone: A case report and a review of the literature
Authors: Maceroni Martina , Minnella Angelo Maria 
Published: August 2023

Purpose to report a case of bilateral macular edema (ME) secondary to Rituximab infusions in a woman affected by IgG4-Related Disease and to review of prior cases of ME related to Rituximab. Observations ME completely resolved after Intravitreal Dexamethasone Implant (IDI). Conclusions and Importance ME is a rare complication after Rituximab infusions and very few cases are reported in the literature. Usually, ME occurs a few weeks after systemic administration and is probably related to a local release of cytokines. It resolves with oral, subtenon or intravitreal steroids. Our case is the first showing that IDI is a safe and effective treatment in ME secondary to Rituximab. Rituximab is not required to be discontinued if treatment for ME is started.
Bilateral effect following off label unilateral intravitreal brolucizumab injection in patient with pseudophakic cystoid macular edema
Authors: Kelkar Aditya , Bolisetty Mounika , Jadhav Apoorva 
Published: August 2023

Purpose To report a bilateral reduction in pseudophakic cystoid macular edema (PCME) after unilateral intravitreal injection (IVI) of brolucizumab. Observations A 64-year-old female with bilateral recalcitrant PCME was treated with one dose of intravitreal ozurdex implant and triamcinolone acetonide each in both the eyes, with an equivocal response. On switching to IVI brolucizumab in the right eye (OD), the patient showed significant improvement in the best-corrected visual acuity (BCVA) with a notable reduction in the intraretinal fluid (IRF) and central subfield thickness (CST) in both the eyes at one month. Conclusions and Importance In conclusion, IVI brolucizumab is effective for the management of recalcitrant PCME with good visual and anatomical outcomes at one month. However, this molecule can also have therapeutic efficacy in the uninjected eye possibly due to systemic escape. More research into the pharmacokinetic properties of this novel molecule is needed to validate our findings.
Spinal fusion and total hip arthroplasty: why timing is important
Authors: Mohamed Nequesha S , Salib Christopher G , Sax Oliver C , Remily Ethan A , Douglas Scott J , Delanois Ronald E 
Published: August 2023

Background: There is increasing debate among orthopaedic surgeons over the temporal relationship between lumbar spinal fusion (LSF) and total hip arthroplasty (THA) for patients with hip-spine syndrome. Few large studies have directly compared the results of patients who undergo LSF prior to THA (LSF-THA) to those who undergo LSF after THA (THA-LSF). The current study matched THA patients with a prior LSF to patients who underwent LSF after THA to assess: 90-day and 1-year (1) medical/surgical complications; and (2) revisions. Methods: We queried a national, all-payer database to identify all patients undergoing THA between 2010 and 2018 ( n = 716,084). The LSF-THA patients and THA-LSF patients were then matched 1:1 on age, sex, Charleson Comorbidity Index, and obesity. Medical/surgical complications and revisions at 90 days and 1 year were recorded. Categorical and continuous variables were analysed utilising t-tests and chi-square, respectively. Results: LSF-THA patients experienced significantly more postoperative dislocations at 90 days and 1 year compared to THA-LSF patients ( p = 0.048 and p < 0.001). There were a similar number of revisions performed for LSF-THA and THA-LSF patients at both 90 days and 1 year ( p = 0.183 and p = 0.426). Furthermore, at 1 year, LSF-THA patients experienced more pneumonia ( p = 0.005) and joint infection ( p = 0.020). Conclusions: Prior LSF has been demonstrated to increase the risk of postoperative dislocation in patients undergoing THA. The results of the present study demonstrate increased dislocations with LSF-THA compared to THA-LSF. For “hip spine syndrome” patients requiring both LSF and THA, it may be more beneficial to undergo THA prior to LSF. Arthroplasty surgeons may wish to collaborate with spinal surgeons to ensure optimal outcomes for this group of patients.
Retention in statutory social work from fast-track child and family programs
Authors: Scourfield Jonathan , Carpenter John , Warner Nell , Maxwell Nina , Venn Laura , Stepanova Evgenia , O’Donnell Chloe , Jones Rebecca , Elliott Martin , Smith Roger 
Published: August 2023

Summary Two fast-track child and family social work training programs have been established in England — Step Up to Social Work and Frontline. Trainees’ financial support is far higher than for mainstream social work degrees. One of the reasons claimed for setting up these programs is addressing retention, although critics (of Frontline) predicted graduates would not stay in social work. A 4-year study assessed retention and reasons for leaving social work. Attrition rates from statutory social work were calculated from responses ( n = 2543) to annual surveys, plus looking up non-respondents in the professional register. Interviews were conducted with fast-track graduates ( n = 80) and employers ( n = 29). Findings The overall rate of social work graduates not in statutory social work at 18 months post-qualification was 12% for fast-track programs, and Higher Education Statistics Agency survey data show attrition at 15 months post-qualification as 18% for all social work routes. Frontline's original national recruitment approach was less successful for retention than Step Up to Social Work's regional approach. Perceived local authority support and intrinsic job satisfaction were associated with attrition in longitudinal bivariate analysis. Fast-track graduates leaving statutory social work typically moved to work in social care (including policy roles), health, or education. Applications Early-career attrition appears to be somewhat lower from fast-track programs than from all social work graduates. Longer-term comparison is not yet possible. In promoting retention, employers should be aware of the importance of staff perceptions of the local authority as supportive, and of their intrinsic job satisfaction.
Antegrade Crossing Techniques for Hard Proximal Occlusion Caps Without the Use of Dedicated Chronic Total Occlusion Devices: A Pictorial Review
Authors: Patrone Lorenzo , Ysa August , Covani Marco , Lichaa Hady 
Published: August 2023

One of the main skillsets required to tackle endovascular revascularization of complex peripheral chronic total occlusions (CTOs) is wire crossing into the distal true lumen. There are a lot of factors that influence the use of specific catheter and wire strategies, and these include vessel calcification, occlusion length, previous stents, vessel reconstitution zone, availability of retrograde access, operator experience, and available equipment of the shelf. More than the last 2 decades, various dedicated CTO devices have been developed to meet these specific clinical needs; however, their widespread use has been limited by the lack of availability around the world and considerable cost. Hence, the ability to cross complex lesions with the use of widely available simple catheters and wires is crucial for effective limb salvage in this significantly undertreated patient population. The customization of specific techniques to treat individual patients and anatomical subsets is one of the most creative and innovative aspects of the endovascular revascularization field. Clinical Impact Infra-inguinal Chronic Total Occlusions recanalisation is considered technically challenging. The conventional manipulation of standard guidewires and catheters has proven to be successful in a considerable percentage of cases but success rate could dramatically drop in presence of challenging lesions. The additional use of retrograde access and re-entry devices could increase technical success but could negatively affect procedural time and overall costs. Twenty different techniques of Chronic Total Occlusions antegrade crossing are hereby described with appropriate schematic representations. The aim is to help operators to apply them in specific anatomy subsets and clinical presentations and ultimately to increase procedural success rate.
A Rare Case of Brachial Artery Aneurysm in a 9-Month-Old Infant
Authors: Lee Chung Yan Vernon , Natalwala Ibrahim , Tahir Nasim , Bains Robert D. 
Published: August 2023

An otherwise healthy 9-month-old infant was treated for a true aneurysm of the proximal brachial artery. The swelling was first noted at seven months of age. An ultrasound scan showed a 2 cm × 2 cm aneurysm of the left brachial artery at the level of the mid-upper arm. Whole-body magnetic resonance angiography (MRA) confirmed this was a true aneurysm of the brachial artery; there was good distal runoff and no other aneurysms elsewhere. Vasculitis screen was negative. Surgical excision of the aneurysm and reconstruction of the brachial artery was performed with a reversed cephalic vein graft. The patient made an uneventful recovery and was discharged home. We present an overview of the workup report and emphasise that a multi-disciplinary team approach is imperative for assessing and managing this rare condition.
The Effect of Botulinum Toxin Type A Injection in the Rectus Femoris in Stroke Patients Walking With a Stiff Knee Gait: A Randomized Controlled Trial
Authors: Tenniglo Martin J. B. , Nene Anand V. , Rietman Johan S. , Buurke Jaap H. , Prinsen Erik C. 
Published: August 2023

Background Over activity of the rectus femoris is often cited as a main cause for stiff knee gait (SKG). Botulinum toxin (BoNT) can be used to reduce this over activity. Inconsistent results for the effect of BoNT injections were found in literature which can possibly be explained by the study design as these were uncontrolled or non-randomized studies. Objective To conduct a randomized controlled trial (RCT) to investigate the effect of botulinum toxin type A (BoNT-A) injections in the rectus femoris on gait kinematics and functional outcome in adult stroke patients. Methods Twenty-six participants were included in this triple-blind cross-over RCT. The intervention consisted of an injection with BoNT-A. Placebo is an injection with saline. Besides knee and hip kinematics, functional outcomes were measured. Results Comparison of the effect of BoNT-A injection to placebo injection showed a significant increase in peak knee flexion and knee range of motion of 6.7° and 4.8° respectively. There was no difference in hip kinematics. In functional outcomes, only the 6 Minute Walking Test showed a significant increase of 18.3 m. Conclusions BoNT-A injections in the rectus femoris is a valuable treatment option for stroke patients walking with a SKG to improve knee kinematics. To study the effect on functional outcome more research is necessary with different functional outcome measures that can capture the effect in kinematics. It is important to use kinematic measurements to demonstrate effects in quality of movement that are not captured by commonly used functional outcome measurements post stroke. Clinical Trial Registration: https://trialsearch.who.int/Trial2.aspx?TrialID=NTR2169
Children With Bilateral Cerebral Palsy Exhibit Bimanual Asymmetric Motor Deficits and EEG Evidence of Dominant Sensorimotor Hemisphere Overreliance During Reaching
Authors: Phillips Connor , Kline Julia , Stanley Christopher J. , Bulea Thomas C. , Damiano Diane L. 
Published: August 2023

Background Reaching is a fundamental motor skill often impaired in cerebral palsy (CP). Studies on manual function, intervention, and underlying brain mechanisms largely focus on unilateral CP. This first electroencephalography (EEG) evaluation of reaching exclusively in bilateral CP aims to quantify and relate brain activation patterns to bimanual deficits in this population. Methods A total of 15 children with bilateral CP (13.4 ± 2.9 years) and 13 with typical development (TD: 14.3 ± 2.4 years) performed 45 reaches per hand while recording motion capture and EEG data. The Box and Blocks test was administered bilaterally. Cortical sources were identified using independent component analysis and clustered using k-means. Alpha (8-12 Hz) and beta (13-30 Hz) band event-related desynchronization (ERD) values were compared across groups and hands within clusters, between dominant and non-dominant sensorimotor clusters, and related to reach kinematics and the Box and Block test. Results The group with CP demonstrated bimanual motor deficits with slower reaches, lower Box and Blocks scores, and stronger hand preference than in TD. Beta ERD, representing motor execution, was notably higher in the dominant sensorimotor cluster in CP compared to TD. Both groups demonstrated more contralateral than ipsilateral activity in both hands and clusters, with CP showing a less lateralized (more bilateral) alpha response. Higher brain activation was generally related to better function. Conclusion Bimanual deficits in bilateral CP and related EEG differences warrant more clinical and research attention particularly earlier in life when greater potential for neural and functional recovery exists.
The effect of increasing exercise in the intellectually disabled community
Authors: Ghattas Yasmine S , Cassinat Joshua , Foley Davelaar Cassidy M 
Published: August 2023

Background Intellectually disabled individuals have been observed to lead sedentary lifestyles resulting in poor health. Physical fitness has been positively correlated to better health outcomes with small changes in fitness translating to major health changes among unfit older adults with intellectual disability. However, there is currently no literature on safe exercise regimens for the intellectually disabled population. Methods In this article, a retrospective review was conducted using the Special Olympics Athlete database and analyzed the mean differences of various performance metrics based on self-reported exercise frequency. Results These results demonstrated that those who exercised daily performed significantly better in flexibility, static balance and functional strength as compared to those who did not exercise. No statistically significant differences were found among athletes and self-reported exercise frequency for aerobic fitness. Conclusion Overall, these findings suggest that 3-6 days-a-week of moderate exercise would be a recommended exercise dose to see significant improvement in performance and physiological adaptations.