bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mindfulness and Motivation in Self-Transformation: Thich Nhat Hanh’s Teachings on the Interbeing
Authors: Lim Hui Ling 
Published: January 2023

Abstract
This paper aims to explore the relationship of mindfulness and motivation in self-transformation based on the teachings of Thich Nhat Hanh. It discusses mind and meditation, the application and impact of mindfulness on body and mind, the Buddhist’s roots of motivation in meditation, the dynamics of motivation in mindfulness practice and Thich Nhat Hanh’s teachings on interbeing. He argues that it is not necessary to hold the original Buddhist intention with the goal to attain enlightenment when practicing mindfulness because mindfulness is not only a means but also an end in itself. My discussion will highlight this interconnectedness of mindfulness and motivation where one’s motivation can affect mindfulness and mindfulness practice can further shape one’s motivation. The continuous practice of mindfulness has the ability to develop one’s motivation to change one’s mental state and life perspective, as the transformation will occur when the mind becomes more aware and more insightful.
Contribution of PDO to Decadal Variations of Glaze Dipole Pattern in China
Authors: Liu Yong , Yu Shui , Chen Huopo 
Published: January 2023

Abstract
Based on the in situ observations, reanalysis, and model simulation, the variations in glaze dipole pattern in China and its underlying physical mechanism have been explored. The glaze dipole pattern features an out-of-phase relationship between winter glaze in the south of the Yangtze River valley (YRV) and northern China, accompanied by pronounced interdecadal variation around the late 1970s. The results from synoptic analyses suggest that cold air brought by the northerly winds and warm moist air by the southwesterly winds, as well as the occurrence of inversion layer are vital to the glaze weather in the south of YRV. Further analyses indicate that the interdecadal shift of the Pacific decadal oscillation (PDO) contributes largely to variations in glaze dipole pattern. Specifically, the warm PDO provides a beneficial environment for the occurrence of glaze dipole pattern by stimulating the tropical–extratropical circulation configuration with the deepened East Asian trough, strengthened East Asian westerly jet, anomalous anticyclone over the tropical western Pacific Ocean, and cyclone over the southern Tibetan Plateau at the decadal time scale. Consequently, the enhanced moisture transport brought by southwesterly and cold air intrusion induced by the deepened East Asian trough benefit the glaze weather in the south of YRV, while the decreased precipitation and a much lower temperature in northern China depress the generation of glaze. Moreover, the results from the CAM4 model simulation indicate the atmospheric circulation anomalies forced by PDO-like SST can roughly reproduce the extratropical configuration related to the glaze, but it has difficulties in capturing the tropical circulation anomalies.

Significance Statement
The purpose of this study is to better understand how the glaze dipole pattern in China responds to climate anomalies, which focuses on the spatial–temporal evolution of glaze days and its underlying physical mechanism. This study highlights the important role of Pacific Ocean sea surface temperature anomalies in the interdecadal variations in glaze dipole pattern, and it gives a clear clarification to demonstrate the impacts of Pacific decadal oscillation on the climatological background for the occurrence of glaze. Our results provide a guide on what drives the interdecadal variation in the glaze dipole pattern and help to understand the climate dynamic mechanism of variations in freezing events in China.
Examining Health Disparities in Orthopedic Care During COVID-19
Authors: Pond Kristina , Samuels Kaitlyn , Meinhardt Gerek , Jacobs Cale 
Published: January 2023

Background Demographics and socioeconomic status affect the delivery of medical care resulting in healthcare disparities. The purpose of this study was to investigate the impact of COVID-19 on existing healthcare disparities, including access to healthcare in the outpatient orthopedic surgery clinic. Methods The medical records of 3006 patients treated at the University of Kentucky Orthopedic Surgery Department prior to COVID-19 (April 2018, 2019), and during the COVID-19 pandemic (2020) were retrospectively reviewed for demographic data, distance to clinic, and type of visit. We then compared the total number of patient visits, new patient visits, telehealth visits, and the patient’s insurance provider (public or private) between the time period prior to and during the pandemic. Results During the COVID-19 pandemic, there were significant declines in the number of patients seen, new patient presentations, and publicly insured patients. Thirty-three percent of visits were telemedicine visits in 2020 compared to 0% pre-COVID ( P < .0001). There was a lower proportion of initial visits in 2020 ( P < .0001). The majority of patients paid via private/commercial insurance (1798, 59.8%), with a greater proportion paying via private/commercial insurance in 2020 ( P < .001). The median average household income was increased in 2020 ( P < .001). Discussion While COVID-19 resulted in a significant decline in overall access to care, there were negative ramifications particularly on patients with new complaints and those of lower socioeconomic status. Future endeavors should be focused on correcting the obstacles to accessing care, exacerbated by the pandemic, that these vulnerable populations face.
Depressive symptoms and social support among Australian men: A 7-year longitudinal study
Authors: Rowland Bosco , Swami Neha , Prattley Jennifer , Duffy Jacob , Macdonald Jacqui A , Perales Francisco , Mansour Kayla A , Quinn Brendan 
Published: January 2023

Background: Mental health disorders are ranked globally as the single largest contributor to non-fatal ill-health. Social support can be a means of reducing and managing depression. However, depression can also impact on a person’s level of social support. Objective: As men typically have fewer sources of social support than females, this study investigated the bi-directional associations between depressive symptoms and perceived levels of social support among Australian males, aged 18–63. Methods: Three waves of panel data from Ten to Men: The Australian Longitudinal Study on Male Health collected over 7 years (2013–2020) were used. A random intercept cross-lagged panel analysis with 5112 participants was undertaken. Mediating effects and indirect and total effects for lagged and cross-lagged pathways were also examined. Results: Over time, greater social support was found to be associated with lower depression levels, and simultaneously greater levels of depression was found to be associated with lower levels of social support. Standardised cross-lagged effects between waves were mostly similar (β = 0.10). However, mediation analyses identified that only the total effect size of the association for depression at wave 1 predicting social support at wave 3 (β = −0.29) was significant. Mediated effects of social support at wave 1 predicting depression at wave 3 were not significant. Limitations: These include the number of years between each wave, and data were collected during the COVID pandemic. Conclusion: The study provides robust longitudinal evidence supporting the notion that social support and depression are both a cause and consequence of the other. However, the long-term effects of depression reducing social support were longer lasting than the effects of social support reducing depression.
Comparison of diagnostic quality of 3D ultrashort-echo-time techniques for pulmonary magnetic resonance imaging in free-breathing
Authors: Metz Corona , Weng Andreas Max , Böckle David , Heidenreich Julius Frederik , Slawig Anne , Benkert Thomas , Kraus Sabrina , Köstler Herbert , Veldhoen Simon 
Published: January 2023

BackgroundUltrashort-echo-time (UTE) sequences have been developed to overcome technical limitations of pulmonary magnetic resonance imaging (MRI). Recently, it has been shown that UTE sequences with breath-hold allow rapid image acquisition with sufficient image quality. However, patients with impaired respiration require alternative acquisition strategies while breathing freely.PurposeTo compare the diagnostic performance of free-breathing three-dimensional (3D)-UTE sequences with different trajectories based on pulmonary imaging of immunocompromised patients.Material and MethodsIn a prospective study setting, two 3D-UTE sequences performed in free-breathing and exploiting non-Cartesian trajectories—one using a stack-of-spirals and the other exploiting a radial trajectory—were acquired at 3 T in patients undergoing hematopoietic stem cell transplantation. Two radiologists assessed the images regarding presence of pleural effusions and pulmonary infiltrations. Computed tomography (CT) was used as reference.ResultsA total of 28 datasets, each consisting of free-breathing 3D-UTE MRI with the two sequence techniques and a reference CT scan, were acquired in 20 patients. Interrater agreement was substantial for pulmonary infiltrations using both sequence techniques (κ = 0.77 − 0.78). Regarding pleural effusions, agreement was almost perfect in the stack-of-spirals (κ = 0.81) and moderate in the radial sequence (κ = 0.59). No significant differences in detectability of the assessed pulmonary pathologies were observed between both 3D-UTE sequence techniques ( P > 0.05), and their level of agreement was substantial throughout (κ = 0.62–0.81). Both techniques provided high sensitivities and specificities (79%–100%) for the detection of pulmonary infiltrations and pleural effusions compared to reference CT.ConclusionThe diagnostic performance of the assessed 3D-UTE MRI sequences was similar. Both sequences enable the detection of typical inflammatory lung pathologies.
Improved outcomes following addition of bedaquiline and clofazimine to a treatment regimen for multidrug-resistant tuberculosis
Authors: Yao Ge , Zhu Muxin , Nie Qi , Chen Nanshan , Tu Shengjin , Zhou Yong , Xiao Fan , Liu Yuan , Li Xi , Chen Hua 
Published: January 2023

Objective To investigate if the addition of bedaquiline and clofazimine to a treatment regimen for multidrug-resistant tuberculosis (MDR-TB) could improve patient outcomes. Methods A prospective, randomized, controlled study was conducted in patients with MDR-TB. Treatment was for 18 months. Patients in the experimental group received bedaquiline and clofazimine in addition to their regular treatment regimen whereas patients in the control group did not. Results 68 patients with MDR-TB were randomised to treatment, 34 to each group. At the end of treatment, cure rates were statistically significantly greater for the experimental group compared with the control group (82% vs. 56%). There was no difference between groups in the number of severe adverse events (3[9%]) in both groups and none were skin-related. Conclusions The addition of bedaquiline and clofazimine to the treatment regimen significantly improves outcomes for patients with MDR-TB. Clinicians should be aware of the clinical benefits of this addition but be mindful of contraindications and adverse effects.
Surgical Neonate: The ABC of Care
Authors: Upadhyay Amit , Gupta Gaurav 
Published: January 2023

Variability and changing pathophysiological factors make each newborn surgical patient unique and necessitate that management be individualized and flexible. Because the outcome depends on the type of disease and time of presentation, early diagnosis followed by prompt customized care should be provided. This article emphasizes the management of a surgical neonate and covers in addition to preoperative and intraoperative care, the optimal surgical care for individual surgical entities along with post operative care.
Impact of Prenatal Care on Newborn Complications for Infants with Cleft Lip with or Without Cleft Palate
Authors: Loomis-Goltl Evy , Briley Patrick , Kotlarek Katelyn J. 
Published: January 2023

Objective To determine the association between prenatal care and cleft lip with or without cleft palate (CL ± P) and examine differences in newborn complications among infants diagnosed with CL ± P as a function of prenatal care Design Population-based retrospective cohort study Setting 2018 United States National Vital Statistics System—Natality component (NVSS-N) was used to examine nationwide birth certificate data Participants 3,414,338 infants from the 2018 National Vital Statistics System, of which 1,699 had CL ± P Main Outcome Measure Diagnosis of CL ± P and presence of newborn complications as a function of prenatal care Results Significant differences were found among various infant- and mother-specific variables when baseline comparisons were made between infants with and without CL ± P. After controlling for baseline differences, results indicated decreased odds of a diagnosis of CL ± P in cases where overall adequate prenatal care was obtained (OR = .841; 95% CI .757, .934), including prenatal care beginning in the 1st trimester (OR = .839; 95% CI .750, .939) and an adequate number of prenatal visits received (OR = .864; 95% CI .764, .976). Of infants with CL ± P, reduced odds of the infant admitted to the neonatal intensive care unit (OR = .777; 95% CI .613, .985) or transferred (OR = .601; 95% CI .407, .888) were apparent when adequate prenatal care was received. Conclusion Results suggest adequate prenatal care not only reduces the likelihood of CL ± P in infants but may also decrease the severity of negative outcomes in infants diagnosed with CL ± P. These findings emphasize necessity for adequate prenatal care.
Endoscope-navigation-assisted orbital decompression for graves’ orbitopathy
Authors: Zhang Shuo , Wu Yu , Wang Yang , Sun Rou , Sun Jing , Fan Xianqun , Li Yinwei , Zhou Huifang 
Published: January 2023

Purpose To compare the surgical outcomes of endoscope-navigation (EN)-assisted orbital decompression and non-EN-assisted orbital decompression for Graves’ orbitopathy (GO) and to assess the potential clinical advantage of EN in orbital decompression surgery. Methods This retrospective cohort study was performed on 227 orbits of 147 GO patients who underwent EN-assisted orbital decompression (185 orbits) or non-EN-assisted orbital decompression (42 orbits). Assessment included proptosis reduction, best-corrected visual acuity (BCVA), diplopia, ocular restriction and surgical complications. Results The proptosis reduction in the EN group was 0.9 mm greater than that in the non-EN group in the entire cohort ( p  =  0.004) and 1.0 mm greater than that in the non-EN group in the propensity score matching cohort ( p  =  0.025) at 2 years postoperatively. In all, 78.2% of orbits with sight-threatening GO in the EN group and 52.6% of orbits in the non-EN group showed BCVA improvement ( p  =  0.026). The proportion of patients with improvement in diplopia was significantly greater in the EN group than in the non-EN group ( p  =  0.026). Conclusions EN offers anatomical localization and deep-seated tissue visualization in orbital decompression and significantly improves the surgical outcomes for GO.
Faecal indicator bacteria on indoor floors linked to exterior sidewalk contamination in New York City
Authors: Leri Alessandra C , Khan Marjan 
Published: January 2023

Although sources of faecal pathogens abound in urban environments, faecal bacteria on city streets remain largely unquantified. The extent to which faecal pathogens transfer between outdoor and indoor environments is also poorly understood. We use defined substrate analysis to quantify enterococci and coliform faecal indicator bacteria (FIB) on interior floor surfaces in a New York City institutional building, on shoe soles of building occupants and on exterior sidewalks. Enterococci and faecal coliforms are ubiquitous on interior floors, varying with foot traffic and floor surface type. Mean enterococci counts are highest in the heavily trafficked building entryway compared with less trafficked interior locations, and counts are significantly higher on carpets than on adjacent uncarpeted flooring. Enterococci and faecal coliforms appear on shoe soles of building occupants as well. Susceptibility of shoe sole bacteria to antimicrobial agents is commensurate with that of cultivated E. coli, E. faecalis and S. aureus strains. In pooled rainwater on city sidewalks, enterococci average 31,000 per 100 mL. Overall, our evidence indicates ubiquity of FIB on sidewalks, a translocation pathway via shoe soles and accumulation on indoor floor surfaces, particularly carpeted areas. These findings present ample opportunity for human exposure to faecal pathogens in the indoor environment.
Kidney autotransplantation as a key solution for a BEVAR type IIIb endoleak
Authors: Mendes Daniel , Machado Rui , Almeida Rui 
Published: January 2023

Objectives Target vessel endoleaks are one of the most common causes of revision procedures after a fenestrated or branched endovascular aneurysm repair. Usually, a redo stenting is an effective therapy, however, not always feasible. We present a case of a hybrid treatment for a type IIIb endoleak using the renal autotransplantation technique. Methods A 60-year-old man with a thoracoabdominal aortic aneurysm has been treated with a custom-made branched endoprosthesis. Occlusion of the bridging stent to the right renal artery with total infarction of the right kidney was identified one week later and conservatively managed. After four years, a type IIIb endoleak was identified. Endovascular treatment was attempted unsuccessfully. So, the endoleak was corrected using a hybrid strategy with the kidney autotransplantation technique. Results A left kidney autotransplantation followed by an aortic stent-graft relining with a tubular graft has been done uneventfully, in a phased manner. Postoperative computed tomography angiography confirmed the patency of vascular reconstructions with no endoleaks. No adverse events occurred during one year of follow-up. Conclusion Our case highlights kidney autotransplantation as a viable solution for a hybrid treatment of target vessel endoleaks and shows that this technique can assist complex endovascular aortic reconstructions.
Compressibility of Osteochondral Autograft Transfer Donor Grafts: A Comparison of Different Donor Regions and How Much Shortening Occurs of Plugs After Impaction
Authors: Massey Patrick A. , Kushner Rachel , Miller Cole , Lowery Michael , Barton Richard S. , Solitro Giovanni F. 
Published: January 2023

Background: Osteochondral autograft transfer (OAT) is a useful technique for full-thickness cartilage lesions of the distal femur. Various techniques recommend harvesting a plug 2 mm longer than the recipient hole to allow for graft impaction. Grafts with limited compressibility may not sit flush when impacted. Purpose: To compare the compressibility/shortening of OAT donor plug regions from the distal femur of human cadaveric knees after impaction. Study Design: Controlled laboratory study. Methods: A total of 20 cadaveric knees (mean age, 70.3 ± 8.4 years) were divided into 4 donor regions: medial intercondylar (IC) notch, lateral IC notch, medial trochlea, and lateral trochlea. Each region was subdivided into 4 zones: far superior (FSZ), middle superior (MSZ), middle inferior (MIZ), and far inferior (FIZ). A total of 320 grafts (6-mm diameter, 15-mm depth) were extracted, and a custom-built machine was used to strike the graft 5 times using a predetermined energy of 0.11 J. The graft length was measured initially and after each impact. Statistical analysis of the compressibility for each of the 4 regions and all 16 zones was performed utilizing analysis of variance, with post hoc testing using the Fisher’s least significant difference. Results: Compression in the lateral IC notch, medial IC notch, medial trochlea, and lateral trochlea was 2.4 ± 1.5, 2.1 ± 0.7, 3.1 ± 2.2, and 2.1 ± 0.6 mm, respectively, with significant differences between the 4 regions ( P < .01) and the most compression in the medial trochlea ( P < .01). Subgroup analysis showed that the lateral trochlea had higher compressibility for FIZ versus MIZ ( P = .02) and the lateral IC notch had higher compressibility for FSZ versus FIZ and MIZ ( P < .05 for both). Conclusion: Compressibility varied between OAT donor sites in the distal femur. OAT donor grafts showed the highest compressibility in the medial trochlea (3.1 mm) and lateral IC notch FSZ (3.0 mm). Clinical Relevance: The lateral trochlea, medial IC notch, and the lower zones of the lateral IC notch grafts should not be oversized more than 2 mm in length, as these grafts may not compress adequately.
Peripheral blood monocyte status is a predictor for judging occurrence and development on sepsis in older adult population: a case control study
Authors: Gao Qian , Yang Li , Teng Fei , Guo Shu‑Bin 
Published: January 2023

Abstract
Background
Peripheral blood monocytes are important immune modulatory cells that change during aging. Previous studies on sepsis and monocytes did not distinguish between age groups, especially in the older adult population. The mechanisms of monocyte subsets and function are not well-understood in the aging context with sepsis.

Methods
Monocyte subsets were measured using flow cytometry in 80 sepsis patients and 40 healthy controls. Plasma cytokine levels were measured using cytokine antibody arrays.

Results
The percentage of MO3 (CD14 + CD16 + +)/monocytes was higher in sepsis patients than in controls (P = 0.011), whereas the percentage of MO1 (CD14 +  + CD16 −)/monocytes was higher in septic shock patients and 28-day death group than in those without shock and 28-day survival group (P = 0.034, 0.038). Logistic regression analysis showed that the percentage of MO3/monocytes (OR = 1.120, P = 0.046) and plasma level of monocyte chemoattractant protein (MCP)-1 (OR = 1.006, P = 0.023) were independently associated with the occurrence of sepsis, whereas the percentage of MO1/monocytes (OR = 1.255, P = 0.048) was independently associated with septic shock. The receiver operating characteristic (ROC) curve showed that the area under the curve (AUC) of MO3/monocyte percentage in combination with MCP-1 plasma level (AUC = 0.799) for predicting sepsis was higher than that of each parameter alone (P < 0.001). The AUC of MO1/monocyte percentage with the value 0.706 (P = 0.003) was lower than the AUC of SOFA (sequential organ failure assessment) score with the value 0.966 (P < 0.001) for predicting septic shock, but the value of the two AUCs were similar for predicting 28-day mortality (AUC = 0.705, 0.827; P = 0.020, P < 0.001). The AUC of MO1/monocytes percentage in combination with SOFA score for predicting 28-day mortality was higher than that of each parameter alone (AUC = 0.867, P < 0.001). Using a cut-off of 58.5% (for MO1/monocytes determined by ROC) could discriminate between survivors and non-survivors on Kaplan–Meier curves for 28-day mortality with a positive predictive value of 77.4%.

Conclusion
The MO3/monocyte percentage and plasma MCP-1 level were independent predictors of sepsis occurrence, whereas the percentage of MO1/monocytes was an independent predictor of prognosis in the Chinese Han older adult population.

Trial registration
Registration number: ChiCTR2200061490, date of registration: 2022–6-26 (retrospectively registered).