bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gendered Economic Impacts of the COVID-19 Pandemic and Rural Women’s Livelihood Strategies in Mexico’s Mixteca Alta
Authors: Lorenzen Matthew , Martínez-Reyes Fátima , Orozco-Ramírez Quetzalcóatl 
Published: July 2023

The literature on the economic effects of the COVID-19 pandemic shows that the impacts on women were particularly harsh, as lockdowns increased their household workloads and devastated female-dominated occupations. However, little has been published on the construction of livelihood strategies to offset the impacts of the pandemic. Analysis of the strategies of women in two rural municipalities of the Mixteca Alta region in Mexico shows an increased use of local natural resources, backyard farming, and local trade. It also shows how a gendered lens can be applied to the components of the sustainable-livelihoods framework to produce finer-grained analyses of livelihoods and the factors that influence them. La literatura en torno a los efectos económicos de la pandemia de COVID-19 muestra que los impactos sobre la población femenina fueron particularmente duros, ya que el confinamiento aumentó sus cargas de trabajo doméstico y devastó las ocupaciones dominadas por mujeres. Sin embargo, se ha publicado poco sobre la construcción de estrategias de subsistencia para compensar los impactos de la pandemia. Un análisis de las estrategias de mujeres en dos municipios rurales de la región de la Mixteca Alta en México muestra una expansión del uso de recursos naturales locales, de la agricultura de traspatio y del comercio local. También muestra cómo se puede aplicar una perspectiva de género a los componentes del marco conceptual de los medios de vida sostenible (sustainable-livelihoods framework) y así producir análisis más detallados tanto de dichos medios como de los factores que los influyen.
Towards Dual Interest Theory in Metaeconomics
Authors: Lynne Gary D , Czap Natalia V 
Published: July 2023

The purpose of this article is to expand the economic discourse beyond single interest as the dominant analytical foundation of microeconomics towards dual interest and metaeconomics. Metaeconomics is based on the reality of joint and non-separable self and other-interest arising because of non-allocable goods and non-allocable inputs. Non-allocable goods are explained by the internal tendencies in the mind to a more primal ego-based self-interest tempered by an empathy-based other (shared with the other, while internalised within the own-self-interest). Non-allocable inputs giving joint products and dual interest in the outcomes are explained by thermodynamics: production is internal to and non-separable from the natural system on the Spaceship Earth. Dual Interest Theory (DIT) assumes that self-interest is accompanied by empathy-based other-interest and that individuals tend to balance both interests in their decisions and behaviour. Several empirical tests of DIT demonstrated its advantages in explaining the observed behavioural outcomes as compared to the consideration of self-interest alone. DIT is also more powerful in explaining many other social phenomena than if one relies on the single/self-interest assumption of microeconomics alone. JEL Codes: A20, D11, D21, D62, D64, H41
A comparison of patient-reported outcome measures following technical success and technical failure in the treatment of great saphenous vein incompetence using ClariVein: A subanalysis of a multicenter randomized controlled trial comparing 2% and 3% polidocanol
Authors: Alozai Tamana , Lam Yee Lai , Schreve Michiel A , de Smet André AEA , Vahl Anco C , Terlouw-Punt Liesbeth C , Ünlü Çağdaş , Wittens Cees HA 
Published: July 2023

Objective This study aimed to compare patient-reported outcomes after technical success (TS) and technical failure (TF) in treating great saphenous vein incompetence (GSV) with ClariVein. Methods A subanalysis of a previous trial was conducted on symptomatic GSV incompetence patients who received ClariVein treatment with 2% or 3% polidocanol (POL) and were followed for 6 months. Blinding was implemented for observers and patients, and data from both POL groups were combined. TS was defined as at least 85% occlusion of the treated vein, while TF indicated failure to meet TS criteria. Secondary outcomes included Venous Clinical Severity Score (VCSS), Aberdeen Varicose Vein Questionnaire (AVVQ), and Short-Form 36 Health Survey Questionnaire (SF-36). Results Among the 364 patients included, the TS rate was 64.5%. Comparison of VCSS, AVVQ, and SF-36 scores between TS and TF groups did not yield significant differences. Conclusion This study indicates no significant variation in VCSS, AVVQ, and SF-36 scores between patients experiencing TS and TF following ClariVein treatment for GSV insufficiency.
Onabotulinum toxin A block of the sphenopalatine ganglion in patients with persistent idiopathic facial pain: a randomized, triple-blind, placebo-controlled, exploratory, cross-over study
Authors: Jamtøy Kent A. , Thorstensen Wenche M. , Stovner Lars J. , Rosén Annika , Maarbjerg Stine , Bratbak Daniel , Simpson Melanie R. , Tronvik Erling 
Published: July 2023

Objective To investigate the efficacy and safety of injecting onabotulinum toxin A (BTA) towards the sphenopalatine ganglion (SPG) using the MultiGuide® in patients with persistent idiopathic facial pain (PIFP). Methods This cross-over, exploratory study compared the injection of 25 units BTA versus placebo in patients who met modified ICDH-3 criteria for PIFP. Daily pain diaries were registered for a 4-week baseline, a 12-week follow-up after each injection, and an 8-week conceptual washout period in between. The primary efficacy endpoint was the change from baseline to weeks 5–8 in average pain intensity using a numeric rating scale. Adverse events were recorded. Results Of 30 patients who were randomized to treatment, 29 were evaluable. In weeks 5–8, there was no statistically significant difference in average pain intensity between BTA versus placebo (0.00; 95% CI = −0.57 to 0.57) ( P = 0.996). Following both BTA and placebo injections, five participants reported at least a 30% reduction in average pain during weeks 5–8 ( P = 1.000). No serious adverse events were reported. Post-hoc analyses indicated a possible carry-over effect. Conclusions Injection of BTA toward the SPG with the MultiGuide® did not appear to provide a reduction in pain reduction at 5–8 weeks, although this finding may be influenced by a carry-over effect. The injection appears to otherwise be safe and well-tolerated in patients with PIFP. Trial Registration: The study protocol is registered in ClinicalTrial.gov (NCT03462290) and EUDRACT (number: 2017-002518-30).
Beneficial effect of repeated participation in breast cancer screening upon survival
Authors: Duffy Stephen W , Yen Amy Ming-Fang , Tabar Laszlo , Lin Abbie Ting-Yu , Chen Sam Li-Sheng , Hsu Chen-Yang , Dean Peter B , Smith Robert A , Chen Tony Hsiu-Hsi 
Published: July 2023

Objectives The benefit of mammography screening in reducing population mortality from breast cancer is well established. In this paper, we estimate the effect of repeated participation at scheduled screens on case survival. Methods We analysed incidence and survival data on 37,079 women from nine Swedish counties who had at least one to five invitation(s) to screening prior to diagnosis, and were diagnosed with breast cancer between 1992 and 2016. Of these, 4564 subsequently died of breast cancer. We estimated the association of survival with participation in up to the most recent five screens before diagnosis. We used proportional hazards regression to estimate the effect on survival of the number of scheduled screens in which subjects participated prior to the diagnosis of breast cancer. Results There was successively better survival with an increasing number of screens in which the subject participated. For a woman with five previous screening invitations who participated in all five, the hazard ratio was 0.28 (95% confidence interval (CI) 0.25–0.33, p < 0.0001) compared to a woman attending none (86.9% vs 68.9% 20-year survival). Following a conservative adjustment for potential self-selection factors, the hazard ratio was 0.34 (95% CI 0.26–0.43, p < 0.0001), an approximate three-fold reduction in the hazard of dying from breast cancer. Conclusion For those women who develop breast cancer, regular prior participation in mammography screening confers significantly better survival.
Beware of Extreme Investor Sentiments! Indian Evidence on the Performance of Neuro-specific Options Volatility Trading Strategies on the Facets of COVID-19
Authors: Royit Ansu , Jose Babu , Varghese James 
Published: July 2023

This study investigates the dynamic relationship between noise trader sentiment and excessive volatility in the Indian financial market during the COVID-19 outbreak. It proposes novel options trading strategies to ensure profitability in times of irrational exuberance and to satisfy diverse investment requirements of volatility traders, which arise from the varying levels of stimulating neurotransmitters, namely dopamine and serotonin in the human body. Empirical results show that the incremental information content of sentiment measures is vital in forecasting future volatility and the proposed options trading strategies effectively accomplish the neuro-specific intentions of the traders during extreme volatility in the Indian equity market. JEL Codes: G12, G13
Person-centred growth-oriented language and care: Fundamental to successful mental health reform
Authors: McLure James , Forrester-Bowling Tari , Peeters Anna , Berk Michael , Moylan Steven , Carolin Renae 
Published: July 2023

Objective Person-centred growth-oriented language and care are considered vital for achieving favourable outcomes in mental health care. Personal testimonies detailed in the Final Report of the Royal Commission into Victoria’s Mental Health System (RCVMHS) illustrate the need for a more compassionate and hope filled system, and demonstrate the opportunity to achieve this through embedding best practice person-centred growth-oriented language. A current gap exists in understanding the process and language involved in individuals growing to mental health. Recovery has long been the paradigm for people in the mental health system ‘returning to baseline’, a stark contrast to our lived experience. We experienced a new beginning post decline, daily personal growth and healing, aiming for constant improvement as we work towards mental health, a status that many may not have even experienced before becoming unwell. Conclusions Person-centred growth-oriented care includes healing, supportive relationships with the ‘caregivers’ ideally being transformation specialists; knowing and understanding the process of daily personal growth. While the system is metamorphosing, it is highly recommended to embed person-centred growth-oriented language and care to aid in the transformation of individuals in the service.
Subtalar Arthrodesis in Patients With Prior Tibiotalar Arthrodesis for Posttraumatic Osteoarthritis
Authors: Theunissen Laetitia , Deleu Paul-André , Birch Ivan , Reymond Nils , Devos Bevernage Bernhard , Maldague Pierre , Gombault Vincent , Malherbe Corentin , Leemrijse Thibaut 
Published: July 2023

Background: The tibiotalar arthrodesis for end-stage ankle osteoarthritis is a surgical procedure that leads to a modification of the kinematics of the adjacent joints and may result in the development of secondary osteoarthritic degeneration of the subtalar joint. It has previously been observed that subtalar arthrodesis in this context shows a lower fusion rate than isolated subtalar arthrodesis. This retrospective study reports the results of subtalar joint arthrodesis with previous ipsilateral tibiotalar arthrodesis and suggests some factors that may compromise the fusion of the joint. Methods: Between September 2010 and October 2021, 15 arthrodeses of the subtalar joint with screw fixation were performed in 14 patients, with a fusion of the ipsilateral tibiotalar joint. Fourteen of 15 cases used an open sinus tarsi approach, 13 were augmented with iliac crest bone graft, and 11 had supplemental demineralized bone matrix (DBM). The outcome variables were fusion rate, time to fusion, and revision rate. Fusion was assessed by radiographs and computed tomography scan. Results: Twelve of the 15 subtalar arthrodeses (80%) fused at the first attempt with an average fusion time of 4.7 months. Conclusion: In this limited retrospective case series, compared to the fusion rate of isolated subtalar arthrodesis reported in the literature, the rate of subtalar fusion in the presence of an ipsilateral tibiotalar arthrodesis was found to be lower. Level of Evidence: Level IV, retrospective case series.
Prevalence of cannabidiol (CBD) consumption and cancer patients’ expectations in one oncology day-hospital: A cross-sectional study and questionnaire validation
Authors: Le Bozec Antoine , Guédon Marie , Brugel Mathias , Laurent Maeliss , Carlier Claire , Hettler Dominique , Perrier Marine , Aubert Léa , Slimano Florian , Mongaret Céline , Bouché Olivier 
Published: July 2023

Introduction The growing interest of cannabidiol (CBD) in medical care prompted French health authorities to explore the potential of CBD in cancer-related severe symptoms. This study aimed to assess the prevalence of CBD use among cancer patients with potential associated factors and to measure the cancer patient's health literacy (HL) on CBD consumption. Methods In a prospective study in oncology day-care hospital including patients from 29 October to 20 December 2021, we collected demographic, biological, and oncological characteristics. Patient CBD HL was measured by the hetero-questionnaire 8-item-CBD HL scale (HLS-8-CBD) whose conception has been validated by a psychometric analysis. Results Among 363 participants, 20 patients (5.5%) reported CBD use. Factors associated with CBD use were: age <60 years (odd ratio = 7.80[1.36–13.32], p < 10−4 versus ≥60 years), smoking history (OR = 5.53[1.81–16.88], p < 0.01), and no smoking cessation (OR = 5.07[1.66–15.46], p < 0.01). CBD use was also associated with a better CBD total HL score than non-users ( p-value = 0.02). Conclusion Identification of factors associated with CBD use and a relatively high patient CBD HL in CBD users showed that CBD use in cancer patients care represented a new concern and should enhance health professionals to consider CBD with its associated drug-related problems.
Mental Health Status and Quality of Life in Lower-Limb Amputees With Diabetes
Authors: Camilleri Annelise , Gatt Alfred , Papanas Nikolaos , Formosa Cynthia 
Published: July 2023

Aim To compare mental health status and quality of life in lower-limb amputees versus nonamputees among participants with diabetes mellitus. Methods We included 38 participants with prior minor amputation (group 1) and 38 participants without amputation /history of amputation (group 2). These were interviewed twice using 2 questionnaires to screen for mental health status and quality of life ( Self Reporting Questionnaire 20—SRQ20 and EQ-5D-5L). Interviews were carried out 1 week and 6 months after amputation. Results The mean SRQ20 score for group 1 at 1 week postamputation was 8.50 (diagnostic of a mental health disorder), while it was 1.34 for group 2. At 6 months, mean SRQ20 for group 1 decreased to 5.42, indicating a decrease in psychological distress. A significant difference in the mean values for each dimension of the EQ-5D-5L between groups 1 and 2 indicated that amputees had a poorer quality of life at 1 week and at 6 months. Conclusion Mental health and quality of life are negatively affected at 1 week after minor lower-limb amputation in diabetes. At 6 months, some improvement in mental health distress was seen, indicating that these individuals had adapted to the disability.
Aneurysm Sac Shrinkage After EVAR Can Lead to Complications: A Case Report of Complete Endograft Thrombosis Due to Kinking
Authors: González Canga Carmen , Alonso Pastor Alba , Zanabili Al-Sibbai Amer , Vaquero Lorenzo Fernando , Álvarez Marcos Francisco , Alonso Pérez Manuel 
Published: July 2023

Background Bilateral limb occlusion after endovascular repair of abdominal aortic aneurysms (EVAR) is an uncommon entity. The relationship between graft kinking and unilateral limb occlusion is widely described in the literature. Our aim is to report a case of complete endograft thrombosis due to bilateral limb kinking secondary to aneurysm sac shrinkage, treated by endovascular means. Case report A 67 year-old male with history of EVAR with an Incraft® endograft (Cordis, Bridgewater, NJ, USA) four years before, presented at the emergency department with disabling claudication of the right lower extremity and a better tolerated 10-month left extremity claudication. Complete endograft thrombosis with bilateral limb kinking and a remarkable reduction of the aneurysm sac was observed in the computed tomography angiography. An endovascular repair was performed, through bilateral open femoral access and with angiographic control through percutaneous left brachial access. Bilateral recanalization was achieved and the endograft was re-lined with two 10x150 mm Viabahn (WL Gore & Ass., Flagstaff, AZ, USA). Both sides were extended with a 11 × 50 mm Viabahn (WL Gore & Ass., Flagstaff, AZ, USA). The final angiographic control showed bilateral patency with no residual stenosis and the patient recovered distal pulses. Follow-up showed complete patency and no complications at 17 months. Conclusions Bilateral limb occlusion is a rare complication with technically challenging treatment options. Aneurysm sac shrinkage can affect the endograft configuration, leading to limb distortion and occasionally to bilateral limb occlusion after EVAR. Special attention should be put on imaging follow-up to detect these complications before occlusion occurs.
Development and Validation of the Ankle-GO Score for Discriminating and Predicting Return-to-Sport Outcomes After Lateral Ankle Sprain
Authors: Picot Brice , Lopes Ronny , Rauline Gauthier , Fourchet François , Hardy Alexandre 
Published: July 2023

Background: Lateral ankle sprain (LAS) is the most common sports-related injury. However, there are currently no published evidence-based criteria to guide the patient’s return to sport (RTS) and this decision is generally time-based. The aim of this study was to assess the psychometric properties of a new score (Ankle-GO) and its predictive ability for RTS at the same level of play after LAS. Hypothesis: The Ankle-GO is robust for discriminating and predicting RTS outcomes. Study Design: Prospective diagnostic study Level of Evidence: Level 2. Methods: The Ankle-GO was administered to 30 healthy participants and 64 patients at 2 and 4 months after LAS. The score was calculated as the sum of 6 tests for a maximum of 25 points. Construct validity, internal consistency, discriminant validity, and test-retest reliability were used to validate the score. The predictive value for the RTS was also validated based on the receiver operating characteristic (ROC) curve. Results: The internal consistency of the score was good (Cronbach’s alpha coefficient of 0.79) with no ceiling or floor effect. Test-retest reliability was excellent (intraclass coefficient correlation = 0.99) with a minimum detectable change of 1.2 points. The 2-month scores were significantly lower than 4-month and control group scores (7.7 ± 4, 13.9 ± 4.6, and 19.6 ± 3.4 points, respectively, P < 0.01). Ankle-GO values were also significantly higher in patients who returned to their preinjury level at 4 months compared with those who did not ( P < 0.01). The predictive value of the 2-month Ankle-GO score was fair for a RTS at the same or higher than preinjury level at 4 months (area under ROC curve, 0.77; 95% CI, 0.65-0.89; P < 0.01). Conclusion: The Ankle-GO appears to be a valid and robust score for clinicians to predict and discriminate RTS in patients after LAS. Clinical Relevance: Ankle-GO is the first objective score to help in the decision-making of the RTS after LAS. At 2 months, patients with an Ankle-GO score <8 points are unlikely to RTS at the same preinjury level.
Characteristics of Team Physicians in the National Football League: The Road to Success and a Call for Diversity
Authors: Gillikin Tyler B. , Lanzetta Nicholas J. , Swiatek Peter R. , Gerlach Erik B. , Terry Michael A. , Tjong Vehniah K. 
Published: July 2023

Background: The role of team physician (TP) in professional sports is a highly coveted position within sports medicine. There is currently limited research on the demographic characteristics of TPs within the National Football League (NFL). Purpose: To identify demographic characteristics and educational backgrounds of NFL head TPs (HTPs) and assistant TPs (ATPs). Study Design: Cross-sectional study. Methods: A list of TPs was identified through the National Football League Physicians Society (NFLPS). Variables investigated include age, gender, race, medical specialty, location and year of residency and fellowship training, leadership among medical societies and editorial boards, academic rank, and personal Scopus Hirsch index (h-index). Linear regression was performed to determine correlation, and t tests were used to assess differences in the h-index. Results: Of the 170 TPs, 21.2% were HTPs and 78.8% were ATPs. TPs were 97.6% male, 91.2% were non-Hispanic White, and 60% had attained an academic rank. The mean ages of the HTPs and ATPs were a 56.2 ± 9.6 and 52.6 ± 9.6 years, respectively ( P = .047). Among orthopaedic surgeons, the most common subspecialties were sports medicine (70.5%), foot and ankle (7.6%), and spine (5.7%). Of the TPs, 48.2% and 32.9% worked for a team in the same state in which they graduated residency and fellowship, respectively. HTPs and ATPs had been in the NFLPS for a mean of 16.9 ± 10.8 and 8.8 ± 8.3 years, respectively ( P < .001). Further, TPs holding an academic rank had a mean h-index of 14.0 ± 19.3, while those without an academic rank had a mean h-index of 6.2 ± 8.8 ( P < .01). HTPs and ATPs had mean h-indices of 15.7 ± 15.9 and 9.6 ± 16.3 ( P = .0503), respectively. Conclusion: TPs in the NFL are typically White men in their mid-50s who have trained at specific high-ranking institutions and obtained a fellowship in sports medicine. HTPs were likely to be older with longer tenures within the NFLPS and with more impactful research than their ATP counterparts.