bluuebunny/crossref_metadata_2025_split huggingface dataset:
Advanced Techniques for Ethanol Ablation of Left Ventricular Summit Region Arrhythmias
Authors: Patel Apoor , Nsahlai Michelle , Flautt Thomas , Da-Warikobo Akanibo , Lador Adi , Tapias Carlos , Rodríguez Diego , Carlos Sáenz Luis , Schurmann Paul A. , Dave Amish , Valderrábano Miguel 
Published: August 2022

Background:
Coronary venous ethanol ablation (VEA) can be used as a strategy to treat ventricular arrhythmias arising from the left ventricular summit, but collateral flow and technical challenges cannulating intramural veins in complex venous anatomies can limit its use. Advanced techniques for VEA can capitalize on collateral vessels between target and nontarget sites to improve success.

Methods:
Of 55 patients with left ventricular summit ventricular arrhythmia, advanced techniques were used in 15 after initial left ventricular summit intramural vein mapping failed to show suitable targets for single vein, single-balloon VEA. All patients had previous radiofrequency ablation attempts. Techniques included: double-balloon for distal protection to block distal flow and target the proximal portion of a large intramural vein where best signal was proximal (n=6); balloons in 2 different left ventricular summit veins for a cross-fire multivein VEA (n=4); intramural collateral vein-to-vein cannulation to reach of targeted vein via collateral with antegrade ethanol and proximal balloon block (n=2); prolonged ethanol dwell time for vein sclerosis of large intramural vein and subsequent VEA (n=3); and intramural collateral VEA (n=1).

Results:
Fifteen (8 females) patients (age 60.6±17.6 years) required advanced techniques. Procedure time was 210±49.9 minutes, fluoroscopy time was 25.3±14.1 minutes, and 113±17.9 cc of contrast was utilized. A median of 7 cc of ethanol was delivered (range, 4–15 cc). Intraprocedural radiofrequency ablation was delivered before ethanol in 9 out of 15 patients but failed. Ethanol achieved acute success in all 15 patients. Ethanol was used as the sole treatment in two patients. At a median follow-up of 194 days, one patient experienced recurrence.

Conclusions:
Advanced techniques capitalizing on venous anatomy can enable successful VEA and selective targeting of arrhythmogenic sites, by blocking distal flow, utilization of collaterals between nontarget and target veins and multivein VEA. Understanding individual anatomy is critical for VEA success.
Interpreting Pauline Paradox: A Response to Gorman’s Cruciformity Concept
Authors: White B.G. 
Published: August 2022

Abstract
Michael Gorman’s ‘cruciformity’ concept (recently re-articulated as ‘resurrectional cruciformity’) is commonly used to interpret Paul’s paradox of strength in weakness (e.g., 2 Cor. 4:7, 12:9–10). However, Gorman never discusses the current conceptions of Pauline paradox. An analysis and summary of this literature – with reference to 2 Cor. 12:9–10 – reveals that Gorman’s approach fails to produce a technical articulation of paradox, largely due to its underdeveloped congruence between strength and weakness (cf., v. 9a, 10b). This leaves his work vulnerable to theological distortion, including masochism. In response, it is argued that ‘strength in weakness’ involves two opposed realities occurring simultaneously and mutually qualifying one another, without conflation or isolation – i.e., a coinherent paradox. This model offers a generative, rather than kenotic, reading of strength in weakness, in which the paradox increases human potential. It also offers connections with early Christology that set the paradox in a fresh theological frame.
Encountering Bultmann as a Biblical Theologian
Authors: Blaylock Richard M. 
Published: August 2022

Abstract
In this paper, I seek to provide insight into Rudolf Bultmann’s work by engaging with it through the lenses of biblical theology. To do so, I first describe the presuppositions behind Bultmann’s approach to biblical theology by discussing three polarities crucial to his thinking: (1) mythology versus science, (2) Historie versus Geschichte, and (3) objective knowledge versus revelation. I then explore Bultmann’s exegetical methods under three headings: (1) historical-critical methods, (2) demythologizing, and (3) existentialist interpretation. Lastly, I locate Bultmann within the field of biblical theology by concluding that he was a theologian who (1) rejected the unity of the Scriptures in favor of their diversity, (2) bridged the gap between history and theology through prioritizing Geschichte over Historie, (3) included extra-canonical materials within the scope of biblical theology, and (4) viewed the kerygma as normative in an existentialist fashion.
Intertextuality and Hermeneutic Phenomenology: Finding Hermeneutical Clarity in the Diversity of New Testament Scholarship
Authors: Smith Dain Alexander 
Published: August 2022

Abstract
The field of intertextuality in biblical and theological scholarship is theoretically complex and diverse. The prevailing differences among intertextual interpreters produce this question: is there a hermeneutical theory that can clarify the diverse field of intertextuality? In order to answer this question, this essay interacts with hermeneutic phenomenology to demonstrate a common hermeneutical thread that clarifies the diversity of intertextual analysis. First, I delineate the foundations of intertextual theory in order to demonstrate how those foundations lead interpreters in a specific hermeneutical direction. Second, I explain how an intertextual analysis is complemented by Hans-Georg Gadamer and Paul Ricoeur’s contributions to hermeneutics. Third, I demonstrate that Ricoeur’s comments on intertextuality challenge intertextual interpreters to move from intertextual theory into hermeneutical practice. Fourth, I propose that Ricoeur’s three-layered mimesis clarifies the diversity of intertextual analysis. Finally, I conclude by suggesting hermeneutical guidelines for intertextual interpreters in biblical and theological studies.
Dependence of Ice Crystal Size Distributions in High Ice Water Content Conditions on Environmental Conditions: Results from the HAIC-HIWC Cayenne Campaign
Authors: Hu Yachao , McFarquhar Greg M. , Brechner Peter , Wu Wei , Huang Yongjie , Korolev Alexei , Protat Alain , Nguyen Cuong , Wolde Mengistu , Schwarzenboeck Alfons , Rauber Robert M. , Wang Hongqing 
Published: August 2022

Abstract
A new method that automatically determines the modality of an observed particle size distribution (PSD) and the representation of each mode as a gamma function was used to characterize data obtained during the High Altitude Ice Crystals and High Ice Water Content (HAIC-HIWC) project based out of Cayenne, French Guiana, in 2015. PSDs measured by a 2D stereo probe and a precipitation imaging probe for particles with maximum dimension (Dmax) > 55 μm were used to show how the gamma parameters varied with environmental conditions, including temperature (T) and convective properties such as cloud type, mesoscale convective system (MCS) age, distance away from the nearest convective peak, and underlying surface characteristics. Four kinds of modality PSDs were observed: unimodal PSDs and three types of multimodal PSDs (Bimodal1 with breakpoints 100 ± 20 μm between modes, Bimodal2 with breakpoints 1000 ± 300 μm, and Trimodal PSDs with two breakpoints). The T and ice water content (IWC) are the most important factors influencing the modality of PSDs, with the frequency of multimodal PSDs increasing with increasing T and IWC. An ellipsoid of equally plausible solutions in (No–λ–μ) phase space is defined for each mode of the observed PSDs for different environmental conditions. The percentage overlap between ellipsoids was used to quantify the differences between overlapping ellipsoids for varying conditions. The volumes of the ellipsoid decrease with increasing IWC for most cases, and (No–λ–μ) vary with environmental conditions related to distribution of IWC. HIWC regions are dominated by small irregular ice crystals and columns. The parameters (No–λ–μ) in each mode exhibit mutual dependence.
Typhoon Forecasts with Dynamic Vortex Initialization Using an Unstructured Mesh Global Model
Authors: Huang Ching-Yuang , Lin Jia-Yang , Skamarock William C. , Chen Shu-Ya 
Published: August 2022

Abstract
A dynamical vortex initialization (DVI) scheme is implemented on unstructured meshes for the global model MPAS for typhoon forecasts. The DVI extracts the departure vortex within a specified radius of the vortex center and implants this vortex at the observed vortex location in continuously cycled 1-h integrations of the model. The cycling integration is stopped when either the simulated central sea level pressure or maximum wind speed of the typhoon has reached the value in the best track data, denoted as P-match or V-match, respectively. The DVI may spin up the initial vortex with a more contracting eyewall, but still keeping the same size of the outer vortex. Forecasts for 16 typhoons over the western North Pacific in 2015–20 are investigated. Predictions from the experiments with the 60–15-km variable-resolution MPAS mesh show that both P-match and V-match significantly improve the track forecasts, where V-match mostly requires less cycle runs than P-match. Cycling results with P-match or V-match are also dependent on the choice of physics suites within MPAS. Positive impacts are larger for V-match than P-match using the mesoscale reference physics suite, with significantly improved track forecasts and earlier intensity forecasts. Intensity differences resulting from the DVI have gradually decreased with forecast time, which are closely correlated to the differences in the averaged tropospheric potential vorticity of the inner vortex. The DVI with the 60–15–3-km variable-resolution mesh also works well and improves intensity forecasts. The DVI can also help produce asymmetric structures and spin up inner vortex cores for typhoons near high topography, which leads to improved intensity forecasts.
Pharyngesophageal Diverticula Following Anterior Cervical Discectomy and Fusion
Authors: Beesley Hassan , Piraquive Jacquelyn , Jaleel Zaroug , Tracy Lauren F 
Published: August 2022

Objectives: Development of traction pharyngesophageal diverticula following anterior cervical discectomy and fusion (ACDF) is a rare but morbid cause of dysphagia and the optimal surgical management is unclear. Methods: PubMed, GoogleScholar, Embase database reviews of “traction diverticula/um + anterior cervical/ACDF.” Patient demographics, presenting symptoms, surgical technique, and outcomes were compared. Results: Seventeen manuscripts reported 21 cases of pharyngesophageal diverticulum (PED) following ACDF (10 F:11 M, mean age 45 years). Presenting symptoms included dysphagia (n = 18), regurgitation (n = 10), and weight loss (n = 6). The average interval to presentation was 4.5 years after ACDF (range: 6 months-18 years) and ACDF levels most commonly involved were C5-C6 and/or C6-C7 (n = 12). Open diverticulectomy with (n = 12) and without (n = 6) cricopharyngeal myotomy was the most common approach and reinforcement with vascularized tissue was used in 6 patients (29%). Attempted endoscopic diverticula repair was successful in 1 patient, was converted to open repair in 5 patients, and 1 patient did not have surgical repair. ACDF hardware was removed in 11 cases (52%) and was routinely removed when concomitant infection was present. Complications following repair were reported in 6 patients (30%). Conclusion: Traction pharyngesophageal diverticula are a rare cause of dysphagia which occur after a variable interval following ACDF. Open surgical diverticulectomy yields superior outcomes compared to the endoscopic approach. In the setting of infection hardware removal is recommended. Vascularized tissue reinforcement can limit potential esophageal leak; however, the risk of post-operative complications remains high.
Retroperitoneal lymph-node dissection (RPLND) as upfront management in stage II germ-cell tumours: Evaluation of safety and efficacy
Authors: Nicolai Nicola , Nazzani Sebastiano , Tesone Antonio , Macchi Alberto , Piva Luigi , Salvioni Roberto , Stagni Silvia , Torelli Tullio , Agostini Edoardo , Celso Francesco , Giannatempo Patrizia , Procopio Giuseppe , Avuzzi Barbara , Lanocita Rodolfo , Cattaneo Laura , Catanzaro Mario , Biasoni Davide 
Published: August 2022

Introduction: Patients with stage II germ-cell tumours (GCT) usually undergo radiotherapy (seminoma only) or chemotherapy. Both strategies display a recognised risk of long-term side effects. We evaluated retroperitoneal lymph node dissection (RPLND) as exclusive treatment in stage II GCT. Methods: Between 2008 and 2019 included, 66 selected stage II GCT patients underwent primary open (O-) or laparoscopic (L-)RPLND. Type of procedure and extent of dissection, operative time, node rescue, hospital stay, complications (according to Clavien-Dindo), administration of chemotherapy, relapse and site of relapse were evaluated. Results: Five patients had pure testicular seminoma. Nineteen (28.8%) had raised markers prior to RPLND; 48 (72.7%), 16 (24.2%) and two (3.0%) were stage IIA, IIB and IIC, respectively. O-RPLND and unilateral L-RPLND were 36 and 30 respectively. Six stage II A patients (12.5%) had negative nodes. Four patients underwent immediate adjuvant chemotherapy. One patient was lost at follow-up. After a median follow-up of 29 months, 48 (77.4%) of the 62 patients undergoing RPLND alone remained recurrence-free; one patient had an in-field recurrence following a bilateral dissection. According to procedure, number of rescued nodes (O-RPLND: 25. IQR 21-31; L-RPLND: 20, IQR 15-26; p: 0.001), hospital stay (L-RPLND: 3 days, IQR 3-4; O-RPLND: 6 days, IQR 5-8; p: .001) and grade ≥2 complications (L-RPLND 7%, O-RPLND 22%; p: 0.1) were the only significant differences. Conclusion: Primary RPLND is safe in stage II GCT, including seminoma, and may warrant a cure rate greater than 70%. When feasible, L-RPLND may be as effective as O-RPLND with better tolerability.
Tele-assessment of core performance and functional capacity: Reliability, validity, and feasibility in healthy individuals
Authors: Güngör Feray , Ovacık Uğur , Ertan Harputlu Özge , Yekdaneh Ayşe Asena , Kurt İrem , Ertürk Uzunoğlu Gamze , Polat İlgüz Başak , Aküzüm Funda , Akbaba Yıldız Analay 
Published: August 2022

Introduction Many assessment methods are used in physiotherapy to analyze the fitness level and injury risk in athletes, and to determine the general health status and the effectiveness of the treatment applied in patients. Considering the need for telehealth use, it is essential to determine the usability of tests performed as tele-assessment. This study aimed to examine the intra-rater reliability, validity, and feasibility of the tele-assessment version of core strength and endurance and functional capacity assessments in healthy individuals. Methods “Curl-up,” “Modified Push-up,” “Plank,” and “Lateral Bridge” tests were used for core strength and endurance performance assessment, and “Timed Up and Go,” “30 second Sit to Stand,” and “Functional Reach Test” tests were used for functional capacity assessment in healthy individuals. Participants were evaluated first by tele-assessment, then one hour later on the same day, all assessments were repeated face-to-face procedures by the researchers thus the validity of the tele-assessment method was determined. All tests were applied as tele-assessment one week later to determine the intra-rater reliability of the tele-assessment method. The system usability scale was applied to evaluate the usability of our tele-assessment method. Results Eighty healthy people were enrolled. Intraclass correlation coefficients ranged between 0.91 and 0.97 for core performance tests and between 0.95 and 0.97 for functional tests. All tele-assessment versions of the core performance and functional tests were highly correlated with the face-to-face versions. Discussion Core strength-endurance and functional tests performed via tele-assessment were reliable, valid, and feasible for practically measuring the performance of healthy young adults. This study supports the tele-assessment versions of these tests. Trial registration number and trial register Clinicaltrials.gov: NCT04899804
Health-related quality of life outcomes in adolescent Scheuermann’s kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls
Authors: Suominen Eetu N , Saarinen Antti J , Syvänen Johanna , Diarbakerli Elias , Helenius Linda , Gerdhem Paul , Helenius Ilkka 
Published: August 2022

Purpose: To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann’s kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls. Methods: Twenty-two consecutive adolescents (mean age = 16.7 years) undergoing posterior spinal fusion for Scheuermann’s kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6 months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2 years of follow-up. Results: The mean maximal thoracic kyphosis improved from 79° (range = 75°–90°) to 55° (range = 45°–75°) ( p < 0.001), and the mean lumbar lordosis was reduced from 71° (range = 51°–107°) to 52° (range = 34°–68°) ( p < 0.001) after 2 years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up ( p = 0.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls ( p = 0.023 for self-image and p < 0.001 for function). Conclusion: Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann’s kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.
Pediatric phalanx fractures: A retrospective study and review of the literature
Authors: Schizas Stephanie , Lutz Nicolas , Vardar Elif , Merckaert Sophie , Zambelli Pierre-Yves , Samara Eleftheria 
Published: August 2022

Purpose: Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings in the standard radiographic examinations of finger injuries in pediatric patients in a Level 1 trauma center systematically. Methods: We conducted a retrospective study on all children 0–16 years old admitted for acute finger injury in the Emergency Department of a University Hospital during the first semester of 2019 and received a radiographic examination. Their demographic characteristics, fracture pattern, and treatment were then analyzed and interpreted. Results: Out of 478 finger injuries reviewed in this cohort, 160 X-rays revealed positive for a fracture giving a fracture rate of 33.5%. More than half of them (51.9%) occurred in the age group of adolescents (11–16 years). Among all finger fractures, only 3.8% of them treated surgically. Conclusion: In this study, a relevant amount of standard finger radiographs revealed a low fracture rate and a rare operative indication of 3.8%. Therefore, indications for X-rays should be reviewed properly and alternative procedures should be discussed. Clinical decision rules should be developed and the necessary pathways must be implemented to minimize radiation exposure, waiting time, and costs. Level of evidence: level IV
Bone transport in the management of post-osteomyelitis femoral defects in children: A case series with a minimum of 10-year follow-up in Uganda
Authors: Loro Antonio , Loro Francesca , Franceschi Fulvio , Brown Niall 
Published: August 2022

Purpose: The aim of this study was to evaluate the long-term outcomes of the bone transport technique in the management of post-infectious segmental femoral bone defects in children in a low-income country. Methods: Eleven children were included in this case series. All had a femoral defect secondary to osteomyelitis managed with the internal bone transport technique using an external fixator alone. Bone and functional results were evaluated and complications recorded after a minimum follow-up period of 10 years (range: 10–16). Results: The mean age of the patients was 7.8 years, and the average size of the bone defect was 10.8 cm. At the latest follow-up, bone results were excellent in three, good in five, and fair in three, while the functional results were excellent in three, good in four, fair in three, and poor in one. Limb length discrepancy was observed in 10 cases while hip and/or knee joint disorder was recorded in six cases. At the last follow-up, only one patient had a recurrence of infection. Conclusion: The bone transport technique has proven to be a valid option for eradicating infection and filling large bone defects in children. However, it is a technically difficult and lengthy procedure that is prone to unique complications. Level of Evidence: IV-Case series