bluuebunny/crossref_metadata_2025_split huggingface dataset:
Description of Specialty Practice—10 Years Onward: The Changes in Geriatric Physical Therapy
Authors: De Vera Barredo Ronald , Beato Morris , Childers Christine , Chui Kevin , Doerhoff William Scott , Ganz Sandy , Gravano Tamara , McGonigle Tim , Peters Karma 
Published: July 2023

Background:
An analysis of practice is conducted by the American Board of Physical Therapy Specialties (ABPTS) every 10 years to revalidate, update, and revise the description of specialty practice (DSP) for each specialty. The Geriatric Specialty Council recently conducted an analysis of practice and revised its content consistent with established procedures by the ABPTS.

Purpose:
The purpose of this article is threefold: first, to describe the process of the most recent practice analysis; second, to report revisions to the description of specialty practice based on the analysis of practice; and third, to identify elements of practice that define current specialist practice in geriatric physical therapy.

Methods:
A 10-member committee of subject matter experts (SMEs) and a psychometric consultant developed a survey instrument addressing geriatric physical therapy specialty practice areas. The survey was initially pilot-tested and subsequently administered online to a sample of 801 board-certified geriatric clinical specialists. The consultant facilitated the consensus process to determine decision rules in selecting the final competencies describing current geriatric physical therapy specialty practice.

Results:
A total of 372 respondents fully or partially completed the survey, resulting in a response rate of 46.4%. Based on a priori decision rules regarding survey data, consensus of the group of SMEs, and input from the ABPTS, the DSP for geriatric physical therapy specialty practice was revised. Revisions (elimination [−] of prior items and addition [+] of new items) were made in Section 1: Knowledge Areas (−8 and +6), in Section 2: Professional Roles, Responsibilities, and Values (−14 and +4), and Section 3: Practice Expectations (−53 and +28).

Conclusion:
The revised DSP will be used as the basis for the development of the examination blueprint for the specialist examination in geriatric physical therapy and the curricula for residency programs in geriatric physical therapy.
High‐throughput metabarcoding of SAR11 assemblages from the southwest Atlantic shelf and arid Patagonia: richness and associated rank abundance distributions
Authors: Jones Leandro R. , Manrique Julieta M. 
Published: July 2023

The SAR11 clade is likely the most abundant microbial lineage on earth. Here, we provide detailed analyses of the group’s richness and AD in poorly studied Southern microbiomes. This requires whole community composition analyses to be performed, which are also provided in conjunction with the SAR11‐specific studies. In this way, the work describes unknown aspects of the diversity of an outstanding bacterial lineage and novel data on remote and relatively little‐studied microbial communities.BackgroundMassively parallel sequencing of environmental DNA allows microbiological studies to be performed in greater detail than was possible with first‐generation sequencing. For example, it facilitates the use of approaches hitherto largely applied to flora and fauna, such as rank abundance distribution (RAD) analyses.MethodsHere, we set out to advance the knowledge on Ca. Pelagibacterales (SAR11) communities from southern South America using environmental sequences from the open ocean in the Argentine sea, the uncharted Engaño Bay, as well as a river and an oligohaline shallow lake from the Patagonian Steppe ecoregion. The structures of the SAR11 assemblages present in these ecosystems were dissected by direct and rarefaction‐based estimates of species richness, and evaluations of the corresponding abundance distributions (ADs), which was addressed by RAD analyses.ResultsMicrobial community composition analyses revealed that the studied SAR11 assemblages coexist with 27 bacterial phyla. SAR11 richness was in general very high, but ADs turned out to be highly uneven. The results were compatible with prior knowledge, and similar to that derived from point estimates of diversity. However, our comprehensive dissection allowed for more detailed quantitative comparisons to be made between the environments surveyed, and revealed differences regarding both richness and the underlying ADs.ConclusionsDespite SAR11 assemblages being extremely rich, their ADs are very uneven. Richness and ADs can vary, not only between fresh and salt water, but also between oceanic and coastal marine environments. The obtained results provide insights on general topics such as adaptation and the contrast between marine and freshwater radiations.
Contrast-enchanced ultrasound navigation in glioma surgery
Authors: Shimansky V. N. , Poshataev V. K. , Denisova G. A. , Tanyashin S. V. , Kobyakov G. L. , Shevchenko K. V. , Karnaukhov V. V. 
Published: July 2023

Introduction. In the surgery of gliomas, various techniques are currently being applied that allow the maximum resection of the tumor while maintaining a good or satisfactory functional status of the patients. A rare method is intraoperative contrast‑enhanced ultrasound imaging (CEUI) of the brain substance.Aim. To present the first experience of using contrast‑enhanced ultrasound imaging CEUI in surgery of brain tumors (large hemispheres and cerebellum), as well as an assessment of the prospects of the technique in routine use in a neurosurgical hospital.Materials and methods. The features of the application of the technique CEUI, its advantages over routine ultrasound studies and the limitations identified during testing of the technique in 5 patients with various brain tumors.Results. In some cases, the CEUI allows for the intraoperative detection of a tumor, which is similar in sensitivity to magnetic resonance imaging. This greatly facilitates both the search for the neoplasm, and the formation of the optimal trajectory of surgery. In the case of benign brain tumors, ultrasound contrasting of the tumor is not always observed, but it often helps to determine the boards of the tumor with greater accuracy than the routine ultrasound search.Conclusion. The use of CEUI in the surgery of brain tumors seems to be a promising direction. A pilot study has confirmed its effectiveness, but more cases are needed to fully study the problem.
Determination of the cost of treatment of patients with complicated spinal injury at the thoracic and lumbar levels in a multidisciplinary hospital
Authors: Kordonsky A. Yu. , Perminov A. Yu. , Fomenko N. S. , Samarin A. R. , Khamurzov V. A. , Gretskikh K. V. , Grin’ A. A. 
Published: July 2023

Introduction. The dramatic increase in the cost of treating patients with spinal cord injury is associated with the currently accepted active surgical tactics, as well as the use of new technologies, more expensive implants. Currently, a standardized method for calculating the costs of treating patients has not been developed, which may in the future lead to an incorrect assessment of the economic effectiveness of a particular treatment strategy.Aim. To assess the cost of diagnosis and treatment of patients with spinal injury of the thoracic and / or lumbar spine in a multidisciplinary emergency hospital.Materials and methods. The study was carried out in the Clinic of Emergency Neurosurgery of the N. V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department during 2018–2021. A working group was formed from the doctors of the neurosurgical department. Further, a model of the therapeutic and diagnostic process was compiled with a reflection of all its characteristics: 1) compilation of a mo dified operogram, 2) transformation of the operogram into a technological map, 3) comparison of the obtained characteristics of the process of diagnosis and treatment of patients with spinal injury with actual data, correction.Results. The operogram included 136 steps of the process from the moment of admission of a patient with spinal injury to the emergency department to the moment of discharge (surgery is the 77th step), and also reflected the interactions of 38 participants in the process and took into account the variety of possible methods and tactics of treatment, taking into account the average frequency of their use. Based on the developed process model, a technological map was prepared, which combined quantitative parameters for all key resource characteristics of the process.Conclusions. Hospital costs for the treatment of a patient with isolated complicated spinal injury at the level of the thoracic and lumbar spine in a specialized hospital amount to 600,652.41 rubles. Out of the total amount of expenses, surgical intervention costs amount to 48.7 %.
Enhanced recovery after surgery: the current state in spinal neurosurgery
Authors: Sayfullin A. P. , Bokov A. E. , Mordvinov A. A. , Mlyavykh S. G. 
Published: July 2023

The last decade of the XXI century was marked by the active development and introduction into clinical practice of the technology of Enhanced recovery after surgery. It allows you to ensure a quick and high‑quality recovery after surgery, reduce the number of complications, reduce the time of hospitalization and medical costs without increasing repeated hospitalizations, postoperative morbidity and the need for observation in the intensive care unit, minimize differences in the provision of perioperative care in various medical institutions and improve the quality of medical care to the population.Aim. To describe the history of development and current state of Enhanced recovery after surgery (ERAS or fast‑track), to present the ERAS Society protocol for spine surgery in adults and a consolidated protocol in children, and also have determined the results of the implementation of ERAS in various sections of spinal neurosurgery.
Características e indicações clínicas dos dispositivos para estomia padronizados pela secretaria de Saúde do Estado de Santa Catarina-SES-SC
Authors: Perfoll Ronaldo , Wagner Janete 
Published: July 2023

As tecnologias em dispositivos coletores evoluíram muito após a descoberta acidental, em 1954, do pó de Karaya por Turnbull. Foram incorporados aos poucos, de forma igualitária após a criação do SUS, pelas Portarias federais e com recursos suplementares do Estado de Santa Catarina, 44 tipos de dispositivos para estomia que são fornecidos através do Serviço de Atenção à Saúde da Pessoa Estomizada – SES/SUR/SC aos pacientes estomizados. Eles representam um complemento para a melhoria da qualidade de vida dos pacientes e possibilidade de reabilitação, porém recursos que orientam os profissionais na assistência nos municípios, especialmente os enfermeiros, precisam ser implementados. Dada a necessidade de oferecer orientações a pratica, o objetivo deste estudo qualitativo foi buscar na literatura de suporte as características e indicações clinicas dos dispositivos para estomias padronizados pela SES/SUR-SC. Divididos em três grupos eles incorporam as bolsas coletoras, bases adesivas e matérias adjuvantes. As bolsas coletoras de uma ou duas peças, aberta, fechada e com sistema antirrefluxo, são indicadas conforme a fase do pós-operatório, habilidade física e mental do paciente ou cuidador, tipo de estoma, complicação e atividade realizada. Em situações complexas, quando são identificados problemas no estoma, irregularidade nos contornos, alterações da superfície do perístoma induzidos pelo movimento e variações no tônus muscular, a convexidade deve ser considerada. Os materiais adjuvantes de proteção, segurança e controle intestinal auxiliam e potencializam a ação dos dispositivos coletores. Pode-se observar neste estudo que são muitos os aspectos a ser considerado no momento da indicação que sustentam o processo de reabilitação.
Relação entre alterações intestinais e tireoidite de hashimoto
Authors: Luciano Thaís Fernandes , Mondo Rejane Savi 
Published: July 2023

Introdução: Na tireoide ocorre a produção de hormônios importantes para funcionamento de todo o organismo. Dentre as diversas alterações que podem ocorrer, a manifestação autoimune chamada tireoidite de Hashimoto é a mais comum, nos diversos gatilhos identificados na literatura há evidências que pessoas com doenças autoimunes são mais prováveis em indivíduos com disbiose intestinal. Objetivo: verificar a relação entre a disbiose intestinal e hipotireoidismo de Hashimoto. Materiais e método: Realizou-se revisão da literatura utilizando os bancos de dados MEDLINE, SCIELO e PUBMED, sendo selecionados artigos nacionais e internacionais abordando os temas disbiose intestinal, tireoidite de Hashimoto e microbiota. A pesquisa bibliográfica incluiu artigos originais, artigos de revisão e diretrizes escritos nas línguas inglesa e portuguesa. Resultados e conclusão: Os diferentes estudos selecionados para a construção do presente estudo permitiram compreender que tanto a homeostase periférica da tireoide pode ser sensível as alterações da microbiota, como também há evidências de que a gênese e a progressão de distúrbios autoimunes da tireoide podem ser significativamente afetada por uma alteração na composição microbiana intestinal. Palavras-chave: Tireoidite de Hashimoto. Disbiose intestinal. Microbiota.
Recurrent Post-traumatic Posterior Hip Dislocation Treated Using a Bone Block Technique
Authors: Amer Mohammad H. , Dunlop Douglas G. 
Published: July 2023

Case:
A 26-year-old man presented with recurrent native hip dislocation after an initially traumatic posterior right hip dislocation. The combined soft-tissue and bony deficiency was addressed using an autologous bone block technique, as previously popularized for shoulder instability. Thirteen years postoperatively, no subsequent dislocations occurred, and the patient has an excellent functional outcome.

Conclusion:
The bone block technique for hip stabilization can be used to address focal acetabular deficiencies with promising long-term follow-up.
General Optimization Framework of Water Huff-n-Puff Based on Embedded Discrete Fracture Model Technology in Fractured Tight Oil Reservoir: A Case Study of Mazhong Reservoir in the Santanghu Basin in China
Authors: Xiang Yangyue , Wang Lei , Si Bao , Zhu Yongxian , Yu Jiayi , Pan Zhejun 
Published: July 2023

Summary
Water injection huff-n-puff (WHnP) is currently an important technology to improve the recovery of tight reservoirs. On the one hand, this technology can replenish the formation energy, and on the other hand, it can effectively replace the oil in a tight reservoir. In this paper, the effect of WHnP on cumulative oil production and oil increase rate is simulated and analyzed by comparing depleted development and WHnP scenarios, using numerical simulation methods. A field-scale numerical simulation was modeled based on typical fluid, reservoir, and fracture characteristics of Mazhong tight oil, coupled with geomechanical effects, stress sensitivity, and embedded discrete fractures. The result of different WHnP cycles is studied, and the limiting WHnP cycle is determined to be four cycles. The WHnP efficiency is compared for different permeability scales from 0.005 to 1 md, and it is determined that WHnP at a permeability of 0.01 md resulted in the largest production enhancement. Subsequently, sensitivity studies are conducted using an orthogonal experimental design for six uncertain parameters, including the WHnP cycle, production pressure difference, permeability, natural fracture density, hydraulic fracture half-length, and conductivity. The results show that throughput period and permeability are important parameters affecting cumulative oil production, and permeability and natural fracture density are important parameters affecting oil increase rate. In addition, contour plots of permeability and WHnP cycle, hydraulic fracture half-length, and conductivity are generated. Based on these plots, the optimal conditions with better enhanced recovery results in different WHnP scenarios can be easily determined. This study can better solve the problems encountered in WHnP of tight reservoirs and provide a theoretical basis for stable and efficient development.
Enhancing Fracture Conductivity in Soft Chalk Formations With Diammonium Phosphate Treatment: A Study at High Temperature, Pressure, and Stresses
Authors: Desouky Mahmoud , Aljawad Murtada Saleh , Abduljamiu Amao , Solling Theis , Abdulraheem Abdulazeez , AlTammar Murtadha J. , Alruwaili Khalid M. 
Published: July 2023

Summary
This study aims to address the problem of fracture hydraulic conductivity decline in soft formations using a diammonium hydrogen phosphate (DAP) solution. A naturally weak carbonate, Austin chalk was chosen as an ideal specimen. Flat chalk samples with reduced elastic modulus and roughness were evaluated before and after aging with 1 M DAP for 72 hours at 75°C and 1,000 psi. The fracture gas conductivity of DAP-aged and untreated samples was measured at various flow rates and stresses while recording sample compaction using linear variable differential transformers (LVDTs). The study found that DAP aging increased the reduced elastic modulus of chalk specimens up to 330% of the original value, improving their resistance to deformation and failure under stress by 200 psi. The hydraulic conductivity of DAP-aged samples was at least twice that of untreated samples, with an extended hydraulic fracture conductivity seven times higher than that of the untreated ones. Scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) analysis revealed that DAP reacted with the chalk to form hydroxyapatite (HAP), which binds the calcite grains, yielding a stiffer, more deformation-resisting rock surface. Overall, the study demonstrates the potential of chemically enhancing and extending the fracture hydraulic conductivity of weak carbonates using DAP.
Model to reduce DevOps Pipeline execution time using SAST
Authors: Saurabh Shobhit Kumar , Kumar Deepak 
Published: July 2023

Abstract

Static code analysis (SAST is a well-known concept) to identify security flaws in the code to improve software product quality. A SAST tool called SonarQube which can scan source code of an application and identify the vulnerabilities present in software. It can also find the RCA of the vulnerabilities found in software products. it helps in rehabilitating the securities flaws found in analysis of the software products. SAST tools analyses upside-down for an application. It does not need s system to be in running state to perform analysis. The scan provides instant feedback to developers in terms of reducing security risks for an application. It helps to resolve issues which was present during development and helps developers to increase their knowledge. As a result, developers become competent about knowledge of security for software product. The sonar analysis report provides on demand access to all recommendations. The user can navigate to line-of-code which have vulnerabilities and they can do faster discovery and auditing. And hence the developers can write more code which is less vulnerable. This way they have more secure and quality product delivered. To conduct static analysis, the author(s) has used SonarQube as a tool, which compile and measure the code quality for the code kept in repositories. As Devops/DevSecOps standards, SonarQube is used to create different pipelines which normally increases the build pipeline execution time. In the proposed solution, the author(s) tried to reduce build pipeline execution time by conducting static analysis early Devops phases. Proposed solution uses GitHub open-source project written in C Sharp.Net language, Azure Devops, dotnet sonar scanner tool and SonarQube to conduct static analysis and testing. The authors(s) tried to enhance the software quality in early Devops phases which will be helpful in reducing the build time and cost. Proposed framework will be helpful in increasing reliability, efficiency, and performance of software project.
Leachates from waste milk plastics and their impacts on terrestrial crop plants
Authors: Mondal Naba Kumar , Roy Susmita Singha , Koley Rajesh , Shaw Vikky , Mondal Anupam 
Published: July 2023

Abstract

Accumulation of waste plastics from municipal and industrial sources into landfills and landfills leachates are the reservoir of microplastics and other toxic substances. Present work demonstrated the leachates production from commercial soft milk packet (LDPE) under various simulated conditions (cold water, boiling water, exposure of UV-A, B, and C and sun irradiation) and leachate characterization was performed by physico-chemical analysis and FTIR study. The phyto-toxicity of the synthesized leachates were evaluated with respect to germination, morphophysiology and biochemical analysis and cytotoxicity study was performed with Allium cepa root tip assay. The results revealed that the treatment with either 50% (T2) or 100% (T3) leachates has adverse impact on germination. However, it has also adverse impact on morpho-physiology including root and shoot length and both fresh and dry weight of root and shoot. On the other hand, leachates has negative impacts on chlorophyll a, chlorophyll b, total chlorophyll and carotenoids. Root ion leakage also adversely affected with leachate prepared from boiling condition and exposer of UV-B. Both enzyme content and superoxide radical were also affected under different simulated leachate. The cytotoxic effect of various leachate on Allium cepa root tip revealed that a dose dependent decrease (p < 0.05) of MI under all leachate treatments as compared to control along with highest chromosomal abnormality index (CAI) was recorded for all leachate treatments. Finally, it may be concluded that LDPE plastic leachate has adverse effects on growth and development of Cicer arietinum L. However, in order get more insight, further extensive long-term study is needed and leachate can apply for other main agricultural crops such as rice, potato etc. for better understanding its food-chain contamination pattern.
Faecal microbiota transplant restores intestinal barrier function and augments ammonia metabolism in patients with cirrhosis: a randomised single-blind placebo-controlled trial
Authors: Shawcross Debbie , Edwards Lindsey , Woodhouse Charlotte , Lee Sunjae , Mullish Benjamin , Learoyd Annastazia , Portlock Theo , Flach Clare , Douiri Abdel , Zamalloa Ane , Meoli Lilianeleny , Kronsten Victoria , Yang Xiaoping , Lynham Steven , Merrick Blair , Ribière Céline , Lelouvier Benjamin , Holmes Sia , Takis Panteleimon , Marchesi Julian , Tranah Thomas , Patel Vishal , Shoaie Saeed , Goldenberg Simon 
Published: July 2023

Abstract
Patients with cirrhosis have reduced gut-bacterial diversity and microbiota enriched with pathobionts. This enrichment, coupled with increased gut permeability and bacterial translocation, increases susceptibility to infection and death. Faecal microbiota transplant [FMT] previously restored gut diversity and improved hepatic encephalopathy (HE) in small phase-I-trials, but its impact upon the disease process in cirrhosis is unexplored. We performed a randomised, placebo-controlled feasibility trial of jejunal FMT transplant in 32 advanced cirrhosis patients. The primary endpoint assessed safety, feasibility, and tolerability of FMT; secondary endpoints explored efficacy and mechanism. FMT was safe and well-tolerated with no serious adverse events. Deep-faecal-metagenomic sequencing confirmed FMT increased recipient species richness with significant donor engraftment. FMT reduced intestinal barrier damage and systemic inflammation. FMT decreased microbial-associated ammonia production and augmented ammonia excretion viaanaerobic metabolism of L-aspartate to hippurateproviding proof of concept that FMT enhances ammonia metabolism, central in the pathogenesis of HEin cirrhosis.