bluuebunny/crossref_metadata_2025_split huggingface dataset:
INFLUENCE OF CAPSULE INJUR ON ELBOW RANGE OF MOTION
Authors: WANG FANG , SONG KEHUA , LI MINGXIN , HU JUN , JIA SHUOQI , TIAN BOTIAN , ZHANG JIANGUO , FAN YUBO 
Published: April 2023

Articular capsule tear was common in elbow fractures, but the tissue mechanical environment during the wound repairing was not clear. The objective of this study was to evaluate the effects of different injury conditions on the stability of the elbow through animal experiments and finite element (FE) analysis. Different injury locations and repair conditions were considered in animal experiments: Type Ia (unrepaired anterior capsule), type Ib (repaired anterior capsule), type IIa (unrepaired whole capsule) and type IIb (repaired whole capsule). The elbow valgus angle at 0, 2 and 4 weeks was analyzed, and the tissue stress under different injury conditions (without injury, anterior capsule injury and complete capsule injury) was acquired through a FE model including active behavior of muscle. The maximum valgus angles of repaired elbow were smaller than those of unrepaired elbow. In completely capsule injury, the stress of ulna cartilage altered obviously compared with intact condition, and the peak stress occurred at the flexion angle of 60∘. The stress was about 1.63 times that of intact state. The joint capsule was significantly more stressed than other ligaments and played an important role in the flexion of the elbow joint. This study could provide some advice for surgeons.
Four-dimensional SO(3)-spherically symmetric Berwald Finsler spaces
Authors: Cheraghchi Samira , Pfeifer Christian , Voicu Nicoleta 
Published: April 2023

We locally classify all [Formula: see text]-invariant four-dimensional pseudo-Finsler Berwald structures. These are Finslerian geometries which are closest to (spatially, or [Formula: see text])-spherically symmetric pseudo-Riemannian ones — and serve as ansatz to find solutions of Finsler gravity equations which generalize the Einstein equations. We find that there exist five classes of non-pseudo-Riemannian (i.e. non-quadratic in the velocities) [Formula: see text]-spherically symmetric pseudo-Finsler Berwald functions, which have either a heavily constrained dependence on the velocities, or, up to a suitable choice of the tangent bundle coordinates, no dependence at all on the “time” and “radial” coordinates.
Edge metric dimension and mixed metric dimension of a plane graph Tn
Authors: Shen Huige , Qu Jing , Kang Na , Lin Cong 
Published: April 2023

Let [Formula: see text] be a connected graph where [Formula: see text] is the set of vertices of [Formula: see text] and [Formula: see text] is the set of edges of [Formula: see text]. The distance from the vertex [Formula: see text] to the edge [Formula: see text] is given by [Formula: see text]. A subset [Formula: see text] is called an edge metric generator for [Formula: see text] if for every two distinct edges [Formula: see text], there exists a vertex [Formula: see text] such that [Formula: see text]. The edge metric generator with the minimum number of vertices is called an edge metric basis for [Formula: see text] and the cardinality of the edge metric basis is called the edge metric dimension denoted by [Formula: see text]. A subset [Formula: see text] is called a mixed metric generator for [Formula: see text] if for every two distinct elements [Formula: see text], there exists a vertex [Formula: see text] such that [Formula: see text]. A mixed metric generator containing a minimum number of vertices is called a mixed metric basis for [Formula: see text] and the cardinality of a mixed metric basis is called the mixed metric dimension denoted by [Formula: see text]. In this paper, we study the edge metric dimension and the mixed metric dimension of a plane graph [Formula: see text].
Using Rasch Analysis to Evaluate the Psychometric Properties of the Brief MHQ in Patients with Traumatic Finger Amputations
Authors: JAYARAM Mayank , WANG Chang , YOON Alfred P. , WANG Lu , CHUNG Kevin C. 
Published: April 2023

Background: Digit amputations affect 45,000 Americans each year and are associated with substantial healthcare expenditures and loss of wages. Few patient-reported outcome measures (PROMs) are validated in patients with digit amputations. The brief Michigan Hand Outcomes Questionnaire (bMHQ) is a 12-item PROM used in several hand conditions. However, its psychometric properties have not been investigated in patients with digit amputations. Methods: The reliability and validity of the bMHQ was investigated using Rasch analysis. Data were collected from the Finger Replantation and Amputation Challenges in Assessing Impairment, Satisfaction, and Effectiveness (FRANCHISE) study. Participants were divided into replantation and revision amputation cohorts and then further separated into single-digit amputation (excluding thumb), thumb-only amputation and multiple-digit amputation (excluding thumb) subgroups. Each of the six subgroups were analysed for item fit, threshold ordering, targeting, differential item functioning (DIF), unidimensionality and internal consistency. Results: All treatment groups demonstrated high unidimensionality (Martin-Löf test = 1) and internal consistency (Cronbach's α > 0.85). The bMHQ is not a reliable PROM in individuals with single-digit or multiple-digit amputations. The aesthetics, satisfaction and two-handed activities of daily living (ADLs) items had the poorest fit to the Rasch model across all categories. Conclusions: The bMHQ is not well-suited for measuring outcomes in patients with digit amputations. We recommend clinicians use more comprehensive assessment tools, such as the complete MHQ, to measure outcomes in these complex patient populations. Level of Evidence: Level III (Diagnostic)
Prognostic Factors for Attempted Finger Replantation and Revascularisation after Traumatic Amputation: A 16-Year Retrospective Cohort Study
Authors: LU Yi-Min , LIN Yu-Te , TSAI Chia-Hsuan , PAN Chun-Hao , CHEN Hsin-Hung , LEE Min-Chao 
Published: April 2023

Background: The aim of this study was to evaluate the impact of variant factors on finger replantation and revascularisation after traumatic amputation, which also included duty shift and the level of main operator. Methods: To determine the prognostic factors for the survival rate of finger replantation and revascularisation after traumatic finger amputation, we retrospectively reviewed the cases of finger replantation conducted from January 2001 to December 2017. Data collected consisted of the basic information of the patients, trauma-related factors, details of the operation and treatment outcomes. Descriptive statistics and data analysis was performed to assess outcomes. Results: In total, 150 patients with 198 replanted digits were enrolled in this study. The median age of the participants was 42.5 years, and 132 (88%) patients were men. The overall successful replantation rate was 86.4%. Seventy-three (36.9%) digits had Yamano type 1 injury; 110 (55.6%), Yamano type 2 injury and 15 (7.6%), Yamano type 3 injury. In total, 73 (36.9%) digits were completely amputated and 125 (63.1%) were not. Half of the replantation procedures (101, 51.0%) were performed during night shift (16:00–00:00), 69 (34.8%) during day shift (08:00–16:00) and 28 (14.1%) during graveyard shift (00:00–08:00). Multivariate logistic regression demonstrated that the trauma mechanism and type of amputation (complete vs. incomplete) significantly affect the survival rate of replantation. Conclusions: The trauma mechanism and type of amputation (complete vs. incomplete) significantly affect the survival rate of replantation. Other factors including duty shift and the level of operator did not reach statistically significance. Further studies must be conducted to validate the results of the current study. Level of Evidence: Level III (Prognostic)
Correlation of Ultrasonography and MRI with Electrodiagnostic Studies in Carpal Tunnel Syndrome
Authors: DALIRI Mahla , AZHARI Amin , MORADI Ehsan , ATAEI Mahdi , AMINZADEH Behzad , MORADI Ali 
Published: April 2023

Background: One controversial question in Carpal Tunnel Syndrome (CTS) diagnosis is whether magnetic resonance imaging (MRI) and Ultrasound (US) imaging tools have any relationship with electrodiagnostic (EDX) study. The objective of this study is to determine the possible correlation between MRI and US measurements with EDX parameters. Methods: Both US and MRI of the median nerve were simultaneously performed in 12 confirmed CTS wrists, at two levels of forearm distal fold (proximal) and the hook of the hamate (distal), to measure various anatomic parameters of the nerve. EDX parameters of median motor distal latency (DL) and median sensory proximal latency (PL) were evaluated in milliseconds. Results: Nerve cross-sectional area (CSA), measured by MRI, correlated with sensory PL at distal level (p = 0.015). At proximal level MRI, nerve width and width to height ratio also correlated with motor DL (p = 0.033 and 0.021, respectively). Median nerve CSA proximal to distal ratio correlated with sensory PL (p = 0.028) at MRI. No correlation was found between US and EDX measurements. Conclusions: Median nerve MRI measurement of nerve CSA at hook of the hamate (distal) level or CSA proximal to distal ratio correlated with EDX parameter of sensory PL. On the other hand, nerve MRI width and width to height ratio at distal level correlated with motor DL in EDX. Level of Evidence: Level III (Diagnostic)
The Outcome of Moderate-to-Severe Complications Related to Peripheral Intravenous Devices at Upper Limb
Authors: GUNASAGARAN Jayaletchumi , ONG Therese Chaye Chui , DEVARAJOOH Cassidy , AHMAD Tunku Sara 
Published: April 2023

Background: Intravenous access is very crucial in administration of fluids, medications and nutrition. Almost all inpatients will require it and the simplest and quickest access is peripheral with the preferred sites being either dorsum hand, radial wrist or forearm. It has its complications, of which most are avoidable. Literature has emphasised the complications and reported on preventive measures but lacks the sequelae of the complications related to peripheral intravenous devices (PIVD). We report on the sequelae of moderate-to-severe complications of these patients.Methods: Thirty-three patients had moderate-to-severe complications related to PIVD in a tertiary centre from January 2017 to December 2017. All data were obtained from electronic medical report (EMR).Results: Majority had extravasation (45.5%) and abscess (39.4%), whereas two patients had thrombophlebitis (6.1%) and three patients developed necrotising fasciitis (9.1%). All patients with abscess and necrotising fasciitis underwent surgical intervention (n = 16); four patients had multiple debridements. All infections were treated with empirical antibiotics and changed after culture results were obtained. Seven patients had sepsis/bacteraemia wherein two of them passed away. A total of 31 patients were discharged. Two patients had secondary suturing of the wound, one had split-thickness skin grafting (SSG) coverage and the others had daily dressing until the wound healed by secondary intention.Conclusions: PIVD-related complications can be debilitating and may occur despite strict preventive measures. Early clinical diagnosis and prompt treatment of these complications can decrease its morbidity.Level of Evidence: Level IV (Prognostic)
Outcomes Associated with Moberg and Modified Moberg Flaps in Thumb Reconstruction: A Systematic Review
Authors: ELSEWIFY Omar , BARONE Natasha , ELHAWARY Hassan , DAS DE Soumen , EFANOV Johnny I. 
Published: April 2023

Background: Appropriate thumb function is critical as it is makes up approximately 40% of the hand's function leading to the greatest influence in activities of daily living (ADLs). Local flaps are the primary option for thumb reconstruction, of which the Moberg flap has been reported to have the added advantage of its advancement capacity relative to other flaps. This systematic review aims to describe the outcomes of the Moberg advancement flap and its associated modifications for coverage of palmar thumb defects. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for the conduct of this systematic review. Medline, Embase, CINAHL and Cochrane Library were systematically searched to retrieve relevant citations. Title and abstract as well as full-text assessment were performed in duplicate. Full texts were extracted by one reviewer and data extracted was confirmed by a second. Complication rates and overall means were calculated for the appropriate outcomes. Results: A total of 1,794 citations were retrieved; 15 papers were retained, including 169 patients. The overall mean follow-up was 28.6 months (n = 5 studies). In 136 patients, there was 100% flap viability (n = 12 studies). With regard to thumb aesthetics, 92% (59/64 patients) had favourable outcomes (n = 6 studies). No evidence of postoperative flexion contractures (n = 0/56 patients, 5 studies) was found. Cold intolerance occurred at a rate of 29.8% (n = 17/57, 4 studies) and the infection rate was 10.3% (6/58 patients, 3 studies). Conclusions: Moberg/modified Moberg flaps are a safe option for thumb reconstruction given their associated postoperative outcome and complication profile. Level of Evidence: Level III (Therapeutic)
Comparison of the Outcomes of Flexor Tendon Repair in Zone II Using the Original and Adjusted Strickland Scores and the 400-Points Hand Test
Authors: LOZANO Aude , FOISNEAU Anne , TOUILLET Amélie , HOSSU Gabriela , ATHLANI Lionel 
Published: April 2023

Background: The purpose of this study was to report the outcomes of flexor tendon repair in zone II and compare two analytic tests – the original and adjusted Strickland scores – and a global hand function test, the 400-points test. Methods: We included 31 consecutive patients (35 fingers) with a mean age of 36 years (range 19–82 years) who underwent surgery for a flexor tendon repair in zone II. All patients were treated in the same healthcare facility by the same surgical team. All the patients were followed and evaluated by the same team of hand therapists. Results: At 3 months after the surgery, we found a good outcome in 26% of patients with the original Strickland score, 66% with the adjusted one and 62% with the 400-points test. Among the 35 fingers, 13 of them were evaluated at 6 months after the surgery. All the scores had improved with 31% good outcomes in the original Strickland score, 77% in the adjusted Strickland score and 87% in the 400-points test. The results were significantly different between the original and adjusted Strickland scores. Good agreement was found between the adjusted Strickland score and the 400-points test. Conclusions: Our results suggest that flexor tendon repair in zone II remains difficult to assess based solely on an analytic test. It should be combined with an objective global hand function test, such as the 400-points test, which appears to correlate with the adjusted Strickland score. Level of Evidence: Level IV (Therapeutic)
Occult Lunotriquetral Ligament Injuries in Adolescent Golfers
Authors: KARPUDEWAN Jeyasilan , BADIA Alejandro 
Published: April 2023

Publications on lunotriquetral interosseous ligament (LTIL) injuries among adolescent professional golfers are scarce. Inconclusive clinical and radiographic imaging in rendering a definitive treatment may inform the lack of documentation in literature. In this case study, we present three case series of highly competitive adolescent golfers who presented with persistent and intractable ulnar-sided wrist pain. While the physical examination was clinically suspicious for lunotriquetral (LT) ligament injury, plain radiographs and MRI imaging did not elucidate the cause. The diagnosis was confirmed solely via wrist arthroscopy. Although most ulna-sided wrist pain can be treated conservatively, without a proper diagnosis, a missed LTIL injury can be disastrous to an adolescent golfers' future. This case series aims to create awareness of the diagnosis and stress the advantages of utilising wrist arthroscopy. Level of Evidence: Level V (Therapeutic)
Entrapment of the Extensor Digitorum Communis Tendon Following a Closed Metacarpal Fracture
Authors: THACOOR Amitabh , MOLEDINA Jamil 
Published: April 2023

We report a unique patient with extensor digitorum communis (EDC) tendon entrapment following a closed metacarpal fracture. A 19-year-old male presented after punching a metal pole with his right hand. The diagnosis of a closed metacarpal fracture of the right middle finger was made, and the patient managed nonoperatively. Following subsequent worsening range of motion, further investigation was performed, and a portable ultrasound scan revealed entrapment of the right middle finger EDC tendon into the fracture site. This was confirmed intraoperatively, and the patient made a satisfactory recovery following surgical release of the entrapped tendon. We were unable to find a report of a similar injury in literature and it highlights the importance of a high index of suspicion for this rare aetiology, the role of ultrasonography as a useful adjunct in its diagnosis and the benefit of early surgical intervention in its management. Level of Evidence: Level V (Therapeutic)
Olfactory Loss and Brain Connectivity after COVID-19: Structural Follow-Up at One Year
Authors: Esposito Fabrizio , Cirillo Mario , De Micco Rosa , Caiazzo Giuseppina , Siciliano Mattia , Russo Andrea G. , Monari Caterina , Coppola Nicola , Tedeschi Gioacchino , Tessitore Alessandro 
Published: April 2023

The structural connectivity from the primary olfactory cortex to the main secondary olfactory areas was previously reported as relatively increased in the medial orbitofrontal cortex in a cohort of 27 recently SARS-CoV-2-infected (COV+) subjects, of which 23/27 had clinically confirmed olfactory loss, compared to 18 control (COV-) normosmic subjects, who were not previously infected. To complement this finding, here we report the outcome of an identical high angular resolution diffusion MRI analysis on follow-up data sets collected in 18/27 COV+ subjects (10 males,

mean

age
±
SD

:

38.7
±
8.1

years) and 10/18 COV- subjects (5 males,

mean

age
±
SD

:

33.1
±
3.6

years) from the previous samples who repeated both the olfactory functional assessment and the MRI examination after ~1 year. By comparing the newly derived subgroups, we observed that the increase in the structural connectivity index of the medial orbitofrontal cortex was not significant at follow-up, despite 10/18 COV+ subjects were still found hyposmic after ~1 year from SARS-CoV-2 infection. We concluded that the relative hyperconnectivity of the olfactory cortex to the medial orbitofrontal cortex could be, at least in some cases, an acute or reversible phenomenon linked to the recent SARS-CoV-2 infection with associated olfactory loss.
PENGGUNAAN BANDAGE CONTACT LENSES SEBAGAI TERAPI SIMPTOMATIS PADA PASIEN PSEUDOPHAKIC BULLOUS KERATOPATHY: SEBUAH LAPORAN KASUS
Authors: Wikananda I Dewa Ayu Rayna Nareswari , Triharpini Ni Nyoman 
Published: April 2023

Pendahuluan: Pseudophakic Bullous Keratopathy (PBK) merupakan suatu komplikasi dari operasi ekstraksi katarak disertai implantasi lensa intraokular yang menyebabkan rasa nyeri pada mata, penurunan tajam penglihatan, edema dan erosi kornea serta bula pada lapisan epitel dan subepitel kornea. Terapi yang diberikan meliputi terapi medikamentosa, non medikamentosa, dan tindakan pembedahan. Tulisan ini dibuat untuk mengetahui efektivitas penggunaan bandage contact lenses (BCL) sebagai terapi pada kasus PBK.
Laporan Kasus: Metode yang digunakan adalah dengan studi kasus. Pasien laki-laki berusia 60 tahun datang dengan keluhan nyeri pada mata kanan disertai penurunan tajam penglihatan. Diperoleh tajam penglihatan OD 0.5/60 dan OS 6/9. Pemeriksaan oftalmologi mata kanan ditemukan Conjunctival Vascular Injection (CVI) dan Pericorneal Vascular Injection (PCVI), edema, erosi, dan bula pada kornea, bilik mata depan (BMD) dalam, pupil ireguler, iris atropi, reflek pupil negatif, dan lensa intraokular terpasang di belakang iris. Tes fluorescein mata kanan diperoleh positif.
Pembahasan: Mata kanan pasien diberi terapi tetes mata Levofloksasin 6x1 tetes, tetes mata Eyefresh sebanyak 1 tetes setiap jam, tetes mata Noncort 3x1 tetes, Parasetamol tablet 3x500mg, dan Vitamin C 2x500mg, serta penggunaan BCL. Setelah menggunakan BCL selama 3 bulan, pasien dapat beraktivitas tanpa terganggu rasa nyeri dan keluhan penglihatan buram dirasakan membaik.
Kesimpulan: Dapat disimpulkan bahwa penggunaan BCL efektif sebagai terapi pada kasus PBK.
A Hidden God: Isaiah 45’s Amun Polemic and Message to Egypt
Authors: Hays Christopher B. 
Published: April 2023

Abstract
This article demonstrates that Isa 45:1–19 is a pro-Persian oracle of well-being, promising the Achaemenid emperor that he will conquer Egypt, and subsequently impugning the theological ignorance of the Egyptians. The Egyptians misspeak in saying that Yhwh is a “Hidden God” like their own Amun (45:15). The unique title, the only reference to divine hiding that uses the reflexive hithpael, was chosen to echo the reflexive formulations in Egyptian texts (including during the early Persian Period) describing Amun’s self-hiding. Two other aspects of Amun’s mythology as creator are also alluded to: His close association with the primordial chaos (45:18–19) and his identification as the divine potter (45:9). Each would have been understandable to an audience in Egypt that lived among the cults of its deities in a very hybridized religious culture. They also would have been clear to elites in Jerusalem who were in regular contact with the Egyptian diaspora.
The Rendering of Unclean Birds in an Arabic Translation of Leviticus 11 and Deuteronomy 14
Authors: Bischofberger Aurélie C. 
Published: April 2023

Abstract
This article examines the lists of unclean birds (Lev 11:13–19; Deut 14:12–18) based on a Christian Arabic translation found in twenty medieval manuscripts. While previous research has discussed the bird lists in the Hebrew and Greek traditions, very few studies have analysed the Syriac and Arabic versions. The present essay first demonstrates that the tradition represented by these manuscripts goes back to a single translation, which is itself a fairly literal rendering of the Peshitta. Since the Arabic list, like the Syriac, omits five prohibited birds, the article then turns to explain their omission by comparing the Syriac list with other late antique and early medieval Jewish sources. Finally, it draws several conclusions for the transmission of the bird lists and more generally for the study of Arabic Bible translations.
2 Kings 14:28—A Proposal for Solution
Authors: Bloch Yigal 
Published: April 2023

Abstract
Based on the use of the Hebrew verb שוב in Isa 29:17 and the parallel Akkadian verb târu in SAA 12 19, this note suggests that 2 Kgs 14:28 refers to a change in the political status of Damascus and Hamath, which Jeroboam II made similar to that of Judah vis-à-vis Israel.
Confused Language in Ezra 10:44
Authors: Byun Paul 
Published: April 2023

Abstract
Ezra 10:44 has been known to be notoriously difficult to translate due to its awkward syntax and unconventional use of words. Contrary to various scholarly assessments, this article will argue that the author deliberately constructed this verse in a confusing manner. The context of Ezra 10 and the wordplay embedded within the verse all point towards the fact that Ezra 10:44 is an example of confused language. The use of confused language, thus, suggests that the ending of Ezra is purposely not made clear. The reader is left with no clarity as to the eventual outcome of the foreign wives and their children .