bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk factors of postoperative cerebral hyperperfusion syndrome and its relationship with clinical prognosis in adult patients with moyamoya disease
Authors: Shi Zhiyong , Wu Lingyun , Wang Yi , Zhang Huasheng , Yang Yongbo , Hang Chunhua 
Published: April 2023

Abstract
Background
To investigate the incidence, risk factors, and clinical prognosis of cerebral hyperperfusion syndrome (CHS) after superficial temporal artery-middle cerebral artery anastomosis combined with encephalo-duro-arterio-synangiosis (STA-MCA/EDAS) in adult patients with moyamoya disease (MMD).

Methods
The clinical data of 160 adult patients with MMD treated by STA-MCA/EDAS from January 2016 to January 2017 were retrospectively analyzed. According to CHS diagnosis, MMD patients were divided into CHS and non-CHS group. Univariate and multivariate analysis of risk factors and Kaplan-Meier curve of stroke-free survival for CHS were performed.

Results
A total of 12 patients (7.5%) developed postoperative CHS, of which 4 patients (2.5%) presented with cerebral hemorrhage. Univariate and multivariate analysis showed moyamoya vessel on the surgical hemisphere (OR = 3.04, 95% CI = 1.02–9.03, P = 0.046) and left operated hemisphere (OR = 5.16, 95% CI = 1.09–21.34, P = 0.041) were independent risk factors for CHS. The other variables, such as age, gender, presentation, hypertension, diabetes, smoking, mean mRS score on admission, modified Suzuki stage and pre-infarction stage on surgical hemisphere, and bypass patency, had no association with postoperative CHS (P > 0.05). At final follow-up with average 38 months, there were 18 out of 133 patients (13.5%, 4.91% per person year) presented with newly developed complications. There was no significant difference between newly developed complications, mean mRS scores, and Kaplan-Meier curve of stroke-free survival in patients with and without CHS (P > 0.05).

Conclusion
The concentration of moyamoya vessels and left operated hemisphere was independent risk factors for CHS, which could not affect the clinical prognosis if treated timely and properly. The current study offers a new perspective of moyamoya vessels and supporting data for choosing MMD candidates on cerebral revascularization.
High-resolution wildfire simulations reveal complexity of climate change impacts on projected burn probability for Southern California
Authors: Dye Alex W. , Gao Peng , Kim John B. , Lei Ting , Riley Karin L. , Yocom Larissa 
Published: April 2023

Abstract
Background
Wildfire is a major contemporary socio-ecological issue facing the people and natural resources of Southern California, and the prospect that a warming climate could lead to a higher probability of fire in the future is cause for concern. However, connecting climate change to projected burn probability is complex. While most models generally show temperature increasing in the future, changes in humidity and precipitation are less certain, and these changes interact to generate projections of future climates that are sometimes, but not always, more conducive to wildfire. We ran FSim, a stochastic, high-resolution spatial (270 m) and temporal (daily) fire spread model, with projected Energy Release Component (ERC) derived from multiple global climate models (GCMs) under RCP8.5 climate change scenario to explore the impact of a range of future climate trajectories on simulated burn probability and to quantify the uncertainty arising from multiple GCMs.

Results
We observed considerable uncertainty in the future direction of change for burn probability. Future changes were more certain in the Southern Coast region of California, where 75% of simulations projected an increase in burn probability. In the Central Coast region, five out of eight GCM-based simulations projected increased burn probability. Less than 1% of the total burnable study area had unanimous agreement on the projected direction of change. Simulated changes in burn probability were directly correlated to annual projections of changes in ERC, but were also affected by the seasonality of ERC change, as well as interactions between humidity, precipitation, and temperature.

Conclusions
The observed variability offers insights into why, and under what climate conditions, burn probability may increase or decrease in the future. Our study is novel in its examination of a wide range of potential future burn probability projections for Southern California using a regional application of a high-resolution stochastic fire spread model, and the complexity that we demonstrated for Southern California suggests that simple correlations of increasing fire with increasing temperature are likely underestimating the range of plausible future fire scenarios.
Accessory pathways in monozygotic twins with different clinical phenotypes: a case report
Authors: Marzak Halim , Fitouchi Simon , Cardi Thomas , Kanso Mohamad , Schatz Alexandre , Jesel Laurence 
Published: April 2023

Abstract
Background
The atrioventricular reentrant tachycardia (AVRT) is the most common tachycardia associated with accessory pathways (APs). Although sporadic Wolff-Parkinson-White (WPW) syndrome has been well-described, AP occurrence in identical twins with WPW syndrome remains rarely reported.

Case presentation
We report a case of 14-year-old monozygotic twin brothers referred for an electrophysiology (EP) study. Twin A presented with recurrent symptomatic narrow complex tachycardia after exercise, noted for 3 years. His 12-lead surface electrocardiogram (ECG) did not show ventricular pre-excitation. However, an orthodromic AVRT utilizing a concealed right posteroseptal AP was found and successfully ablated. AVRT did not recur 12 months after the procedure. Twin B was asymptomatic. During his medical examination for firefighter volunteerism, his 12-lead ECG showed a spontaneous ventricular pre-excitation. EP study revealed a short anterograde right midseptal AP, which was then successfully eliminated by catheter ablation. His 12-lead ECG showed no ventricular pre-excitation recurrence 12 months after the procedure.

Conclusions
These identical twin brothers had a right-side AP in almost the same place but showed completely different phenotypes. This case clearly illustrates the difficulty in understanding genetic contribution in the origin of atrioventricular APs. Environmental exposure could play a role in their clinical presentations and AP electrophysiological properties.
The impact of culture systems on the gut microbiota and gut metabolome of bighead carp (Hypophthalmichthys nobilis)
Authors: Ye Chen , Geng Shiyu , Zhang Yingyu , Qiu Huimin , Zhou Jie , Zeng Qi , Zhao Yafei , Wu Di , Yu Guilan , Gong Haibo , Hu Beijuan , Hong Yijiang 
Published: April 2023

AbstractBackgroundThe gut microbiota of fish confers various effects on the host, including health, nutrition, metabolism, feeding behaviour, and immune response. Environment significantly impacts the community structure of fish gut microbiota. However, there is a lack of comprehensive research on the gut microbiota of bighead carp in culture systems. To demonstrate the impact of culture systems on the gut microbiome and metabolome in bighead carp and investigate a potential relationship between fish muscle quality and gut microbiota, we conducted a study using 16S ribosomal ribonucleic acid sequencing, gas chromatography-mass spectrometry, and liquid chromatography-mass spectrometry techniques on bighead carp in three culture systems.ResultsOur study revealed significant differences in gut microbial communities and metabolic profiles among the three culture systems. We also observed conspicuous changes in muscle structure. The reservoir had higher gut microbiota diversity indices than the pond and lake. We detected significant differences in phyla and genera, such as Fusobacteria, Firmicutes, and Cyanobacteria at the phylum level,Clostridiumsensu stricto1,Macellibacteroides,Blvii28 wastewater sludge groupat the genus level. Multivariate statistical models, including principal component analysis and orthogonal projections to latent structures-discriminant analysis, indicated significant differences in the metabolic profiles. Key metabolites were significantly enriched in metabolic pathways involved in "arginine biosynthesis" and "glycine, serine, and threonine metabolism". Variation partitioning analysis revealed that environmental factors, such as pH, ammonium nitrogen, and dissolved oxygen, were the primary drivers of differences in microbial communities.ConclusionsOur findings demonstrate that the culture system significantly impacted the gut microbiota of bighead carp, resulting in differences in community structure, abundance, and potential metabolic functions, and altered the host's gut metabolism, especially in pathways related to amino acid metabolism. These differences were influenced substantially by environmental factors. Based on our study, we discussed the potential mechanisms by which gut microbes affect muscle quality. Overall, our study contributes to our understanding of the gut microbiota of bighead carp under different culture systems.
The Sikchi and the recorded cases of Seungjeongwon-Ilgi
Authors: Ko Byoung-Seob 
Published: April 2023

AbstractSikchi begins with mankind's efforts to maintain life while consuming natural food. The history of Korean food, a long experience of adapting to nature, can be found since prehistoric times. For example, Bangudae (a rock picture of hunting whales) showed how individuals gained knowledge on edible things in nature to survive. Also, Korea's specific vegetation, climate, and culture led to development of the Sikchi suitable for Koreans. The myth of Dangun of Gojoseon dynasty demonstrated the first historical record of the Sikchi. Although the Sikchi theory was established in China, Korean food therapy was systematized and developed into a unique diet that reflects our hyangyak (Korean herbal medicine) and constitution. For the king and royal family's health, Seungjeongwon-Ilgi (national-level documents of royal records) and other medical books recorded many examples of Sikchi practice, which were different from China or Japan. The wide spread of the royal Sikchi practice among citizens promoted the notion that food was a useful way to promote health and treat disease. The Sikchi should be seen as not only a kind of life-sustaining method but medicine and food-based medicinal food therapy. Further, the Sikchi refers to the treatment process of adjusting the gaps between medicine and the patient's condition with the mercenary technique called sumgoreugi (take a breather).
Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes
Authors: Abdou Ahmed Mahmoud , Wasfy Mohamed A. , Negm Mohamed , Mawla Walid A. , Gertallah Loay M. , Embaby Ahmed , Gomaa Ahmed Fathy , Sharaf Ahmed Lotfy , Harb Ola A. , Abdel-Razik Abdel-Razik El-Sayed 
Published: April 2023

Abstract
Background
Many studies and organizations described bases of pregnancy timing after bariatric surgeries, but there is still a need for uniform scientific evidence for accurate timing.
We aimed to assess pregnancy outcomes and neonatal findings by timing of surgery to pregnancy to compare adverse perinatal outcomes among women who underwent bariatric surgery prior to pregnancy with those who had not.

Patients and methods
We included 200 pregnant females who previously performed different bariatric surgeries. All pregnant females were divided into three groups: early group of patients who were conceived ≤ 12 months from bariatric surgery included 50 patients (25.0%), middle group of patients who were conceived from 12 to 24 months from bariatric surgery included 50 patients (25.0%) and late group of patients who were conceived > 24 months from bariatric surgery included 100 patients (50.0%).

Results
There is a more liability to preterm deliveries in the early group in comparison with the middle and late group (P = 0.064). Gestational weight gain in the early group was lower than the middle and the late group (P = 0.002). Females in the early group have a more liability to inadequate gestational weight gain in comparison with in the middle and late group P < 0.001).
Neonatal birth weight in the early group was significantly lower than the middle and late group P < 0.001).

Conclusion
We supported recommendations of postponing pregnancy for more than 12 months after performing bariatric surgery which allowed stabilization of maternal weight, allowing adequate gestational weight gain, better fetal and maternal health later on.
Paget’s disease of bone: the first case reported in Iraqi Kurdish
Authors: Hasan Trefa Salih , Faeq Abdulsatar Kamil 
Published: April 2023

Abstract
Background
Paget’s disease of bone (PDB) is a chronic bone disorder which insidiously evolves parallel with the aging process. The affected bone has a distinct imaging appearance, and the clinical manifestations are variable. This disease is ubiquitous among people of Anglo-Saxonian origin. However, it is rarely reported among Asian descents.

Case presentation
Here, the first diagnosed case of Paget’s disease of bone in an Iraqi Kurdish patient, a gentleman in his seventh decade of life underwent sectional imaging for evaluation of spine hopefully to find a potential musculoskeletal or neurological culprit behind his back discomfort. Biochemical confirmation tests were demanded based on the state of the art of the typical radiological judgment, perhaps negating pathological tissue affirmation. Marked geographical variation of the disease occurrence made it seldom to encounter such entity in the Middle East, particularly in Iraq. To the author’s knowledge, scarce cases have been described in Iraq, none in the Kurdish population.

Conclusion
This case report elicits an extremely rare metabolic osseous disease that was radiologically diagnosed at venture when bone window computed tomography (CT) is performed for an unrelated indication.
Short-Term Effects of an American Football Game on Cognitive Function, Memory, and Brain Functional Connectivity
Authors: Amedi Roee , Hoffman Jay R. , Ostfeld Ishay , Zamir Amit , Tavor Ido , Tik Niv , Barazany Daniel , Fonville Tate R. , Horstemeyer Mark F. , Gepner Yftach 
Published: April 2023

ABSTRACT

Introduction/Purpose
Head impacts associated with American football have been associated with short- and long-term disrupted cognitive performance. In this study, we aimed to determine the effects of an acute game of American football on cognitive function, memory, morphological changes, and functional connectivity in the brain.

Methods
Twelve members (mean ± standard deviation: age, 26.8 ± 5.2 yr; height, 183 ± 6.5 cm; weight, 98.8 ± 23.6 kg) of the Israel National American Football team were assessed 1 wk before (PRE) and 24-h post (24P) game. No head injuries to any of the players participating in the study occurred. All study participants were scanned using a Siemens Prisma 3-T magnetic resonance imaging (MRI) scanner to determine changes in resting-state functional MRI (fMRI) by measuring each participant’s connectivity of subcortical regions. In addition, brain-derived neurotrophic factor (BDNF) concentration and cognitive function were measured at each assessment.

Results
A significant increase in BDNF concentration (33%, P = 0.007) was noted at 24P. In addition, significant increases (p < 0.05) in cerebral connectivity within the hippocampus, amygdala, and the connections between the hippocampus and the somatomotor areas were noted between PRE and 24P. Elevations in hippocampus connectivity were correlated with changes in acute memory (r = 0.72, P = 0.03), and decreases in somatomotor–hippocampus connectivity were significantly correlated with a greater change in BDNF concentration (r = −0.67, P = 0.01). No significant changes were found in brain volume, cognitive function, or between brain connectivity and other regions.

Conclusions
The fMRI results suggested that, even during an American football game in which no known head injury occurred, changes in neurotrophin concentrations were correlated with morphological changes in the parietal and frontal regions of the brain.
Artificial and Post-Artificial Texts
Authors: Bajohr Hannes 
Published: April 2023

In contrast to the times of Höllerer and Zemanek, we are now truly on the threshold of being surrounded by texts that are entirely artificial—while at the same time we continue to merge with our language technologies in our own writing, so that our text production is increasingly supported, extended, and partially taken over by assistance systems. Therefore, I want to discuss—quite speculatively, but always with an eye on the state of the art—two questions: first, what happens when we are confronted with artificial texts in addition to natural ones? How do we read a text that we can no longer be sure was not written by an AI? And second, what direction might this development take if, at some point, the distinction between natural and artificial itself becomes obsolete, so that we no longer even ask about it and instead read post-artificial texts?
Consent and the role of the dental nurse
Authors: Wake Charlotte 
Published: April 2023

Charlotte Wake outlines the background and importance of the consent process. Aim To gain a better understanding of the consent process and the dental nursing role. Objectives To learn about ‘Montgomery v Lanarkshire Health Board legal case’ To learn about the principle of consent To learn about the dental nurses role in contemporaneous record keeping. This article meets GDC development outcomes A,B,C,D
Risk factors for unplanned reoperation after corrective surgery for adult spinal deformity
Authors: Ryu Seung-Jun , So Jae-Young , Ha Yoon , Kuh Sung-Uk , Chin Dong-Kyu , Kim Keun-Su , Cho Yong-Eun , Kim Kyung-Hyun 
Published: April 2023

AimsTo determine the major risk factors for unplanned reoperations (UROs) following corrective surgery for adult spinal deformity (ASD) and their interactions, using machine learning-based prediction algorithms and game theory.MethodsPatients who underwent surgery for ASD, with a minimum of two-year follow-up, were retrospectively reviewed. In total, 210 patients were included and randomly allocated into training (70% of the sample size) and test (the remaining 30%) sets to develop the machine learning algorithm. Risk factors were included in the analysis, along with clinical characteristics and parameters acquired through diagnostic radiology.ResultsOverall, 152 patients without and 58 with a history of surgical revision following surgery for ASD were observed; the mean age was 68.9 years (SD 8.7) and 66.9 years (SD 6.6), respectively. On implementing a random forest model, the classification of URO events resulted in a balanced accuracy of 86.8%. Among machine learning-extracted risk factors, URO, proximal junction failure (PJF), and postoperative distance from the posterosuperior corner of C7 and the vertical axis from the centroid of C2 (SVA) were significant upon Kaplan-Meier survival analysis.ConclusionThe major risk factors for URO following surgery for ASD, i.e. postoperative SVA and PJF, and their interactions were identified using a machine learning algorithm and game theory. Clinical benefits will depend on patient risk profiles.Cite this article: Bone Joint Res 2023;12(4):245–255.
Industry Contribution: Digital signature as a method to strengthen enterprise risk management practices across the US government
Authors: Santiago David , Nery Israel 
Published: April 2023

US government agencies employ a variety of techniques to manage risk, but often struggle with maintaining appropriate documentation about their risk-based decision-making processes. Many of the most important decisions made in government agencies are done through manual and paper-based processes that complicate the way decisions are documented, stored, and reported on, and inadvertently add risk to the enterprise. This is where workflow-driven digital signatures can add value, by helping to streamline and automate the way that decisions are documented for transparency and accountability purposes.
Index words: United States of America; government agencies; risk; management; digital signatures
The Pierced Colon: When Biliary Stents Go the Wrong Way
Authors: Rybinski Florian , Heinrich Henriette , Zimmerli Marius , Kahl Stefan 
Published: April 2023

ABSTRACT
Bowel perforation of biliary stents is a rare complication of biliary stenting. We report the successful endoscopic treatment of a 78-year-old man with a straight biliary plastic stent perforating the ascending colon without underlying structural abnormality in the affected segment. Perforation was detected incidentally during computed tomography; the patient had been under continued antibiotic therapy for liver abscess. Stent extraction was performed by using an endoscopic snare; the site of perforation was closed with through-the-scope clips. The patient remained asymptomatic. In addition, we reviewed published cases of perforated biliary stents and outlined that most perforations are caused by straight plastic stents.
Place and Time at Trypillia Mega-Sites: Towards a New Synthesis of Analyses and Social Theory - Appendices
Authors: Gaydarska Bisserka , Millard Andrew , Buchanan Brian , Chapman John 
Published: April 2023

<p>The Trypillia mega-sites (‘TMS’) form an exceptional aspect of the broader Cucuteni–Trypillia group in the Balkan and East European Neolithic and Chalcolithic. The TMS are currently the largest sites and the earliest urban complexes in Eurasia in the fourth millennium cal. BC. In this article, we chart the trajectories of theoretical and methodological development of TMS research. We build on the social implications of the Visibility Graph Analysis of Nebelivka and Bayesian modelling of three significant TMS. In the key section, we examine TMS in the light of three points made in Graeber and Wengrow’s book The Dawn of Everything: cultural schismogenesis, the three elementary forms of freedom and those of domination. The integration of the latest analytical results and political theory provides a new platform for future investigations of TMS.</p>
<p>Dataset to: Bisserka Gaydarska, Andrew Millard, Brian Buchanan, and John Chapman, ‘Place and Time at Trypillia Mega-Sites. Towards a New Synthesis of Analyses and Social Theory’, Journal of Urban Archaeology, 7 (Turnhout: Brepols, 2023), 115–145 </p>
Green nanomaterials and nanocomposites for corrosion inhibition applications
Authors: Alghamdi Maha D. 
Published: April 2023

Abstract
Corrosion of metals is considered a global dilemma that is attracting an increasing number of researchers in the scientific community. One of the fundamental solutions against corrosion is using corrosion inhibitors. Corrosion inhibitors are the substances added to the medium or the metal to inhibit corrosion through different mechanisms, most commonly by the formation of a protective layer on the metal surface. Organic corrosion inhibitors constitute most of the known and used corrosion inhibitors, however, due to the toxicity and cost of synthesis, green replacements are needed. Green nanomaterials corrosion inhibitors provide a green and sustainable solution for corrosion. The low toxicity, availability, and cost-effectiveness of green nanoparticles made them a growing research field. This review article highlights the synthesis, use, and application of green nanomaterials in corrosion inhibition. Moreover, the article provides insight into the different types of green nanomaterials inhibitors and their common characterization techniques.