bluuebunny/crossref_metadata_2025_split huggingface dataset:
The distal tibiofibular joint effusion may be a reliable index for diagnosing the distal tibiofibular syndesmosis instability in ankle
Authors: Sun Shouqi , Chen Chao , Sheng Zhuoqi , Wei Min 
Published: July 2023

Abstract
Purpose
To analyze the accuracy of MRI in diagnosis of distal tibiofibular syndesmosis instability (DTSI) and construct new diagnostic parameters.

Materials and methods
This retrospective study evaluated 212 patients with history of ankle sprains and 3 T MRI and received a final diagnosis of distal tibiofibular syndesmosis instability by ankle arthroscopic surgery from October 2017 and December 2021. We compared the accuracy of syndesmotic injury, qualitative index of distal tibiofibular joint effusion (DTJE), and quantitative index of distal tibiofibular joint effusion (DTJE) in diagnosing distal tibiofibular syndesmosis instability. The criteria for syndesmotic injury were consistent with previous literature, and DTJE was grouped according to the pre-experimental results.

Results
A total of 212 patients (mean age, 35.64 ± 11.79, 74 female and 138 male) were included. Independent predictive MRI features included syndesmotic injury, qualitative index of distal tibiofibular joint effusion, and quantitative index of DTJE including the height, projected area of equal-point method, and projected area of incremental-value method. The quantitative index of DTJE showed a higher area under the receiver operating characteristic curve (0.805/0.803/0.804/0.811/0.817/0.805 > 0.8, P < 0.05; in comparison with all other method). The height measurement method was simpler and easier to operate, that could be gotten only by measuring the DTJE distance of a MRI independent layer, and the cut-off value of the effusion height was 8.00 mm and the Youden index (0.56) was the best.

Conclusions
Our research translated a complicated string of MRI multi-dimensional spatial measurements into a simple measuring process, and established the significance of quantifying DTJE in the diagnosis of DTSI. We found that the 8-mm height of DTJE was a more specific indicator for DTSI and could serve as a novel MRI diagnostic cutoff in clinical practice.
Muscle interconnections in the anterior and posterior arm compartment: a cadaveric case series with possible clinical implications
Authors: Natsis Konstantinos , Tsakotos George , Triantafyllou George , Olewnik Łukasz , Zielinska Nicol , Koutserimpas Christos , Totlis Trifon , Piagkou Maria 
Published: July 2023

Abstract
Purpose
The report describes four cases of accessory bundles (ABs) or fibers connecting the muscles of the anterior with the posterior arm compartment. The ABs morphology (pure muscular or musculofascial or musculoaponeurotic) is described emphasizing their attachment points, characterized as muscles’ interconnections.

Materials and methods
Four formalin-embalmed donated male cadavers were dissected.

Results
The muscles’ interconnections were unilaterally identified. In the first case, the two ABs originated from the coracobrachialis muscle (CB), received fibers from the biceps brachii (BB), and were inserted into the triceps brachii (TB) medial head. The ABs created an arch over the brachial vessels and the median nerve (MN). In the second case, an accessory musculoaponeurotic structure was identified between CB and TB medial head and extended over the brachial vessels. In the third case, the myofascial ABs between the BB short head and the upper arm fascia, coursed anterior to the MN, the brachial artery, and the ulnar nerve, with direction to the TB medial head. In the fourth case, the three muscular ABs originating from the CB superficial and deep heads, in common with the BB short head, joined the upper arm fascia and the TB medial head and possibly entrapped the musculocutaneous nerve, the MN, and the brachial artery.

Conclusion
ABs or musculoaponeurotic extensions may predispose to complications due to their potential compression on nerves and vessels. Clinicians should consider the possible existence of such bridging variants between muscles, in the differential diagnosis of a patient presenting with ischemia, edema, or MN palsy symptoms.
Post-therapeutic microRNA-146a in liquid biopsies may determine prognosis in metastatic gastrointestinal cancer patients receiving 90Y-radioembolization
Authors: Hirner-Eppeneder Heidrun , Öcal Elif , Stechele Matthias , Öcal Osman , Gu Sijing , Kimm Melanie A. , Wildgruber Moritz , Salvermoser Lukas , Kazmierczak Philipp , Corradini Stefanie , Rudelius Martina , Piontek Guido , Pech Maciej , Goldberg S. Nahum , Ricke Jens , Alunni-Fabbroni Marianna 
Published: July 2023

Abstract
Purpose
The role of microRNA-146a (miR-146a) in defining the tumor immune microenvironment (TIME) is well established. The aim of this study was to evaluate circulating miR-146a as an early prognostic marker of 90Y-radioembolization (90Y-RE) in metastatic liver cancer and to assess the correlation between circulating miR-146a and TIME cellular composition in distant, yet untreated metastases.

Methods
Twenty-one patients with bilobar liver lesions from gastro-intestinal cancer underwent lobar 90Y-RE. Biopsy of contralateral lobe abscopal tumors was acquired at the onset of a second treatment session at a median of 21 days after initial RE, immediately prior to ablation therapy of the contralateral lobe tumor. miR-146a was measured by RT-qPCR in plasma collected 24 h before (T1) and 48 h after (T2) initial unilobar 90Y-RE. The level of miR-146a was correlated with the infiltration of CD4 + , CD8 + , FoxP3 T cells, CD163 + M2 macrophages and immune-exhausted T cells in the abscopal tumor tissue acquired before the second treatment session.

Results
Plasma samples collected at T2 showed a higher concentration of miR-146a with respect to T1 in 43% of the patients (p = 0.002). In these patients, tumors revealed a pro-tumorigenic immune composition with enrichment of Tim3 + immune exhausted cells (p = 0.021), in combination with a higher infiltration of CD163 + M2 macrophages and a lower infiltration of CD8 + T cells. Patients with a higher level of miR-146a after 90Y-RE showed a trend to shorter OS (p = 0.055).

Conclusion
miR-146a may represent a novel prognostic biomarker for 90Y-radioembolization in metastatic liver cancer.
Resource use and costs of transitioning from pediatric to adult care for patients with chronic kidney disease
Authors: Choukair Daniela , Rieger Susanne , Bethe Dirk , Treiber Dorothea , Hoffmann Georg F. , Grasemann Corinna , Burgard Peter , Beimler Jörg , Mittnacht Janna , Tönshoff Burkhard 
Published: July 2023

Abstract
Background
The structured transition of adolescents and young adults with chronic kidney disease (CKD) from pediatric to adult care is important, but data on the time and resources required for the necessary components of the transition process and the associated costs are lacking.

Methods
In a prospective single-center cohort study of 52 patients with pre-transplant CKD (CKD stage 1, n = 10; stage 2, n = 6; stage 3, n = 5; stage 4 and 5, 1 patient each) or kidney transplant recipients (KTR), resource use and costs were evaluated for the key elements of a structured transition pathway, including (i) assessment of patients’ disease-related knowledge and needs, (ii) required education and counseling sessions, and (iii) compiling an epicrisis and a transfer appointment of the patient with the current pediatric and the future adult nephrologist.

Results
Forty-four of 52 enrolled patients (84.6%) completed the transition pathway and were transferred to adult care. The mean time from the decision to start the transition process until the final transfer consultation was 514 ± 204 days. The process was significantly longer for KTR (624 ± 150 [range, 307–819] days) than for patients with pre-transplant CKD (365 ± 172 [range, 1–693] days; P < 0.0001). The cumulative costs of all counseling and education sessions performed including the transfer appointment were 763 ± 473 Euro; it was significantly higher in KTR (966 ± 457 Euro) than in patients with pre-transplant CKD (470 ± 320 Euro; P < 0.0001).

Conclusions
A structured transition pathway for patients with CKD is resource and time–consuming due to the complexity of the disease and should be sufficiently funded.

Graphical Abstract
Motion capture device reveals a quick learning curve in vascular anastomosis training
Authors: Tsuyuki Shota , Miyahara Kazuhiro , Hoshina Katsuyuki , Kawahara Takuya , Suhara Masamitsu , Mochizuki Yasuaki , Taniguchi Ryosuke , Takayama Toshio 
Published: July 2023

Abstract
Purpose
Surgical procedures are often evaluated subjectively, and an objective evaluation has been considered difficult to make and rarely reported, especially in open surgery, where the range of motion is wide. This study evaluated the effectiveness of surgical suturing training as an educational tool using the Leap Motion Controller (LMC), which can capture hand movements and reproduce them as data comprising parametric elements.

Methods
We developed an off-the-job training system (Off-JT) in our department, mainly using prosthetic grafts and various anastomotic methodologies with graded difficulty levels. We recruited 50 medical students (novice group) and 6 vascular surgeons (expert group) for the study. We evaluated four parameters for intraoperative skills: suturing time, slope of the roll, smoothness, and rate of excess motion.

Results
All 4 parameters distinguished the skill of the novice group at 1 and 10 h off-JT. After 10 h of off-JT, all 4 parameters of the novices were comparable to those of the expert group.

Conclusion
Our education system using the LMC is relatively inexpensive and easy to set up, with a free application for analyses, serving as an effective and ubiquitous educational tool for young surgeons.
Clinical Features of Takotsubo Syndrome and Its Differential Diagnostic Criteria in Clinical Nursing Practice: A Review of the Literature
Authors: Lezzi Pierluigi , Lupo Roberto , Cimarelli Noemi , Conte Luana , De Nunzio Giorgio , Botti Stefano , Calcagnile Alessandro , Del Coco Ciro , Calabro Antonino , Rubbi Ivan , Carvello Maicol , Vitale Elsa 
Published: July 2023

Abstract

Purpose of Review
Takotsubo cardiomyopathy (TCM) is a heart disease that mimics the symptoms of a myocardial infarction (MI). The exact cause of TCM is unknown, but the main theory is that the syndrome is triggered by an excessive release of catecholamines, a consequence of factors related to stress or severe emotional distress. The aim of this review is to summarize the various scientific journal articles on the nursing differential diagnosis of TCM, on the specific nurse training (particularly the role of the Advanced Practice Nurse, APN), and on the nursing educational support for the patient after hospital discharge.

Recent Findings
A literature review was conducted on Medline (via PubMed), Web of Science (WoS), Scopus, and Google Scholar databases. Relevant indexed articles that investigated the elements characterizing TCM in nursing differential diagnosis and the role of the APN were identified.

Results
Sixteen studies were included in the review; they highlighted the role of the nurse in identifying and educating patients with TCM.

Summary
Nurses must have a thorough understanding of the syndrome, the onset symptoms, the unusual characteristics, and the probable etiology of TCM in order to recognize and promptly treat patients affected by this syndrome and have the opportunity to educate them after hospital discharge to reduce the possibility of recurrence.

Graphical Abstract
Are older individuals predisposed to habitual control more resilient?
Authors: Brinkhof Lotte P. , Ridderinkhof K. Richard , Bieleke Maik , Murre Jaap M. J. , Krugers Harm J. , de Wit Sanne 
Published: July 2023

AbstractBased on evidence for age-related impairments in flexible, goal-directed control, the formation of habits has been recognized as an opportune route for behavioural adjustment that promotes resilience among older adults. The present study set out to examine how individual differences in quality of life (QoL) and mental well-being (MWB) in older adults (N = 1116, 55 – 92 years old) relate to the inclination to engage in strategic planning and lifestyle regularity. Importantly, the beneficial effects of these two habit predisposing factors on MWB and QoL were found to be mediated by conscientiousness, a personality trait characterized by a tendency to be goal-oriented, organized, responsible and disciplined, and to plan for the future. These results emphasize the benefits of conscientiousness for resilience in later life and suggest that both habit-predisposing factors may offer promising and concrete target points to elicit more conscientious behaviour, and thereby support QoL and MWB. Longitudinal and experimental research may help to establish the flow of causality in the intriguing dynamics between these variables.
Picosecond dissipative soliton generation from an ytterbium-doped fiber laser based on a BP/SnSe2-PVA mixture saturable absorber
Authors: Ouyang Yuting , Zhang Jiayu , Sun Wanggen , Li Mengxiao , Chen Tao , Zhang Haikun , Tang Wenjing , Xia Wei 
Published: July 2023

Abstract
Stable picosecond dissipative soliton pulses were observed in an ytterbium-doped fiber laser employing a high-quality mixture of BP/SnSe2-PVA saturable absorber (SA). The modulation depth, saturation intensity, and non-saturable loss of the mixture of BP/SnSe2-PVA SA were measured with values of 5.98%, 18.37 MW/cm2, and 33%, respectively. Within the pump power range of 150–270 mW, stable dissipative soliton pulses were obtained with an output power of 1.68–4 mW. When the minimum pulse duration is 1.28 ps, a repetition rate of 0.903 MHz, center wavelength of 1064.38 nm and 3 dB bandwidth of 2 nm were obtained. The maximum pulse energy of 4.43 nJ and the signal-to-noise ratio up to 72 dB were achieved at pump power of 270 mW. The results suggest that the BP/SnSe2-PVA mixture SA has outstanding nonlinear saturable absorption characteristics and broad ultrafast laser applications.

Graphical Abstract
Effects of Resistance Training on Academic Outcomes in School-Aged Youth: A Systematic Review and Meta-Analysis
Authors: Robinson Katie , Riley Nicholas , Owen Katherine , Drew Ryan , Mavilidi Myrto F. , Hillman Charles H. , Faigenbaum Avery D. , Garcia-Hermoso Antonio , Lubans David Revalds 
Published: July 2023

Abstract
Background
The primary aim of our systematic review and meta-analysis was to investigate the effect of resistance training on academic outcomes in school-aged youth.

Methods
We conducted a systematic search of six electronic databases (CINAHL Complete, PsycINFO, SCOPUS, Ovid MEDLINE, SPORTDiscus and EMBASE) with no date restrictions. Studies were eligible if they: (a) included school-aged youth (5–18 years), and (b) examined the effect of resistance training on academic outcomes (i.e., cognitive function, academic achievement, and/or on-task behaviour in the classroom). Risk of bias was assessed using the appropriate Cochrane Risk of Bias Tools, funnel plots and Egger’s regression asymmetry tests. A structural equation modelling approach was used to conduct the meta-analysis.

Results
Fifty-three studies were included in our systematic review. Participation in resistance training (ten studies with 53 effect sizes) had a small positive effect on the overall cognitive, academic and on-task behaviours in school-aged youth (standardized mean difference (SMD) 0.19, 95% confidence interval (CI) 0.05–0.32). Resistance training was more effective (SMD 0.26, 95% CI 0.10–0.42) than concurrent training, i.e., the combination of resistance training and aerobic training (SMD 0.11, 95% CI − 0.05–0.28). An additional 43 studies (including 211 effect sizes) examined the association between muscular fitness and cognition or academic achievement, also yielding a positive relationship (SMD 0.13, 95% CI 0.10–0.16).

Conclusion
This review provides preliminary evidence that resistance training may improve cognitive function, academic performance, and on-task behaviours in school-aged youth.

PROSPERO Registration
CRD42020175695.
Statistical aspects of mean field coupled intermittent maps
Authors: BAHSOUN WAEL , KOREPANOV ALEXEY 
Published: July 2023

AbstractWe study infinite systems of mean field weakly coupled intermittent maps in the Pomeau–Manneville scenario. We prove that the coupled system admits a unique ‘physical’ stationary state, to which all absolutely continuous states converge. Moreover, we show that suitably regular states converge polynomially.
Contentious Institutionalization of Protests under Democracy: The Evidence from Taiwan, 1986–2016
Authors: Ho Ming-sho , Ting Yun-Chung 
Published: July 2023

AbstractWhile many scholarly works are concerned with how social protests promote democratization, this article addresses the causally reverse question: how democratization shapes the landscape of street protests. We use a unique database of 31 years of protest events in Taiwan, a smooth and successful case of authoritarianism-to-democracy transition, to engage in a dialogue with political transition theory, the institutionalization thesis and networked movement theory. The logistic regression analysis indicates that protest violence persists under consolidated democracy, but it is marginalized. We find an indirect effect from the growth of social movement organizations that foster the adaptation of festive and performative tactics, which are less confrontational in nature. Politicians' involvement, however, remains a constant source of disruptiveness. Our conclusion of contentious institutionalization finds that late-democratizing countries also gravitate towards becoming a ‘social movement society’ as advanced democracies do, but in a highly compressed period of time.
Afro-Asian resonances: Staging the Congo Crisis in 1960s’ Chinese theatre
Authors: Hao Yucong 
Published: July 2023

AbstractIn the first half of the 1960s China witnessed an unprecedented florescence of theatrical works on Third World decolonization, which aimed to disseminate the ideology of Maoist internationalism and cultivate transnational and interracial solidarity among the Chinese public. Existing scholarship on Maoist internationalist theatre tends to understand the phenomenon as the domestication of Third World decolonization for China’s political ends. This article, by focusing on the heterogeneous processes of production, adaptation, and reception, illuminates the practical and epistemological challenges of representing an internationalist subject, the imperfect performance of foreign culture and history, and the porous process of meaning-making for Chinese performers and audiences. Using previously untapped historical materials, such as performance programmes, personal recollections, and newspapers, this article explores the staging of the Congo Crisis (1960–1965)—a widely mediated international event in Maoist China and a central conflict in the global Cold War—in the spoken drama War Drums on the Equator (1965), its many local variations, and a dance drama adaptation, The Raging Congo River (1965). By mediating and enacting ‘embodied and affective knowledge’ about Congo, these theatrical works made the political motif of internationalist solidarity into sonorous and kinaesthetic artefacts that engendered plural meanings to Chinese performers and audiences. This article further reveals flawed perceptions, processes of corrections, and the epistemological limitations in the performance of the Congo Crisis in Maoist China.
Effects of speaking task and proficiency on the midclause pausing characteristics of L1 and L2 speech from the same speakers
Authors: Huensch Amanda 
Published: July 2023

AbstractThis study explored the effect of speaking task on midclause pausing characteristics in the L1 and L2 speech of the same speakers to gain further insights into the potential relationship between pause location and stages of speech production. Participants included English L1 learners of L2 French (n= 29) or Spanish (n= 27) from the publicly available, longitudinal LANGSNAP corpus. Participants completed two oral tasks in their L1 and L2: a picture-based narrative and a semistructured interview. The rate, duration, and proportion of midclause pauses were compared between tasks in the L1 as well as in the L2 before and during residence abroad. In the L1, results indicated more fluent performance in the narrative task except for rate. When speaking in their L2, participants showed improvement on each measure in the narrative task but ultimately remained less fluent in their L2 in comparison to their L1. In the interview task, the only measure of midclause pausing that consistently differentiated L1 from L2 speech was midclause pause rate. The findings call for a nuanced interpretation of connections between midclause pausing and formulation and suggest that midclause pause rate is least influenced by speaking task.
Toward A Logical Theory Of Fairness and Bias
Authors: BELLE VAISHAK 
Published: July 2023

AbstractFairness in machine learning is of considerable interest in recent years owing to the propensity of algorithms trained on historical data to amplify and perpetuate historical biases. In this paper, we argue for a formal reconstruction of fairness definitions, not so much to replace existing definitions but to ground their application in an epistemic setting and allow for rich environmental modeling. Consequently we look into three notions: fairness through unawareness, demographic parity and counterfactual fairness, and formalize these in the epistemic situation calculus.
Two sub-Neptunes around the M dwarf TOI-1470
Authors: González-Álvarez E. , Zapatero Osorio M. R. , Caballero J. A. , Béjar V. J. S. , Cifuentes C. , Fukui A. , Herrero E. , Kawauchi K. , Livingston J. H. , López-González M. J. , Morello G. , Murgas F. , Narita N. , Pallé E. , Passegger V. M. , Rodríguez E. , Rodríguez-López C. , Sanz-Forcada J. , Schweitzer A. , Tabernero H. M. , Quirrenbach A. , Amado P. J. , Charbonneau D. , Ciardi D. R. , Cikota S. , Collins K. A. , Conti D. M. , Fausnaugh M. , Hatzes A. P. , Hedges C. , Henning Th. , Jenkins J. M. , Latham D. W. , Massey B. , Moldovan D. , Montes D. , Panahi A. , Reiners A. , Ribas I. , Ricker G. R. , Seager S. , Shporer A. , Srdoc G. , Tenenbaum P. , Vanderspek R. , Winn J. N. , Fukuda I. , Ikoma M. , Isogai K. , Kawai Y. , Mori M. , Tamura M. , Watanabe N. 
Published: July 2023

Aims. A transiting planet candidate with a sub-Neptune radius orbiting the nearby (d = 51.9 ± 0.07 pc) M1.5 V star TOI-1470 with a period of ~2.5 d was announced by the NASA Transiting Exoplanet Survey Satellite (TESS), which observed the field of TOI-1470 in four different sectors. We aim to validate its planetary nature using precise radial velocities (RVs) taken with the CARMENES spectrograph.
Methods. We obtained 44 RV measurements with CARMENES spanning eight months between 3 June 2020 and 17 January 2021. For a better characterization of the parent star activity, we also collected contemporaneous optical photometric observations at the Joan Oró and Sierra Nevada Observatories, and we retrieved archival photometry from the literature. We used ground-based photometric observations from MuSCAT and also from MuSCAT2 and MuSCAT3 to confirm the planetary transit signals. We performed a combined photometric and spectroscopic analysis by including Gaussian processes and Keplerian orbits to simultaneously account for the stellar activity and planetary signals.
Results. We estimate that TOI-1470 has a rotation period of 29 ± 3d based on photometric and spectroscopic data. The combined analysis confirms the discovery of the announced transiting planet, TOI-1470 b, with an orbital period of 2.527093 ± 0.000003 d, a mass of 7.32-1.24+1.21M⊕, and a radius of 2.18-0.04+0.04R⊕. We also discover a second transiting planet that was not announced previously by TESS, TOI-1470 c, with an orbital period of 18.08816 ± 0.00006 d, a mass of 7.24-2.77+2.87M⊕, and a radius of 2.47-0.02+0.02R⊕ . The two planets are placed on the same side of the radius valley of M dwarfs and lie between TOI-1470 and the inner border of its habitable zone.