bluuebunny/crossref_metadata_2025_split huggingface dataset:
Administrative burdens as a family affair: Navigating racialized safety‐net systems post‐welfare reform
Authors: Amerikaner Layne , Buck Clayton , Moore Robyn , Martinez Jennifer , Mueller Collin 
Published: January 2025

AbstractObjectiveAnalyzing ethnographic data collected after welfare reform in the United States, this study explores the family‐level consequences of safety‐net administrative burdens.BackgroundAdministrative burdens reproduce racial inequality and have material, psychological, and temporal costs for individuals. Less attention has been paid to how such burdens impose costs not only for the person interfacing with the state but also their families. This study uses an “intersectional family justice” lens to (1) examine the full impact of administrative burdens more broadly, as one component of family burdens and (2) highlight the role of agency in families' heterogeneous, multi‐level response strategies.MethodWe conducted a team‐based, secondary analysis of 35 family profiles from a longitudinal ethnography detailing the perspectives and experiences of low‐income Latinx families with children from 1999 to 2002 at the San Antonio, Texas site of Welfare, Children, and Families: A Three‐City Study. Through multiple stages of coding, we examined how families experienced and responded to administrative burdens in safety‐net systems in the post‐welfare reform context.ResultsFamilies primarily faced two types of barriers when interfacing with safety‐net systems (system‐level and ideological) and engaged in two types of response strategies (individual‐level and network‐level). Both barriers and responses had reverberating implications for family well‐being and processes.ConclusionBecause safety‐net administrative burdens, often rooted in racialized and gendered logics of “deservingness,” can create substantial disruptions for navigating everyday family life, their costs are more fully understood not only as individual‐level burdens but as a family affair.
Automated design prediction for definitive obturator prostheses: A case‐based reasoning study
Authors: Ali Islam E. , Hattori Mariko , Sumita Yuka , Wakabayashi Noriyuki 
Published: January 2025

AbstractPurposeThis study aims to evaluate the effectiveness of a case‐based reasoning (CBR) system in predicting the design of definitive obturator prostheses for maxillectomy patients.Materials and MethodsData from 209 maxillectomy cases, including extraoral images of obturator prostheses and occlusal images of maxillectomy defects, were collected from Institute of Science Tokyo Hospital. These cases were organized into a structured database using Python's pandas library. The CBR system was designed to match new cases with similar historical cases based on specific attributes such as aramany class, abutment details, defect extension, and oronasal connection size. The system's performance was evaluated by clinicians who assessed the accuracy of prosthesis designs generated for 33 test cases.ResultsA correlation analysis demonstrated a significant positive relationship (ρ = 0.84, p < 0.0001) between the CBR system's confidence scores and the number of correct prosthesis designs identified by clinicians. The median precision at five cases was 0.8, indicating that the system effectively retrieved relevant designs for new cases.ConclusionsThe study shows that the developed CBR system effectively predicts the design of obturator prostheses for maxillectomy patients. Clinically, the system is expected to reduce clinician workload, simplify the design process, and enhance patient engagement by providing prompt insights into their final prosthetic design.
Outpatient Mental Health Nurses' Experiences of Suicide Follow‐Up Interventions: A Qualitative Interview Study
Authors: Hultsjö Sally , Jormfeldt Henrika , Allstrin Ester , Karlsson Andreas 
Published: January 2025

ABSTRACTIntroductionSuicide is a leading cause of death worldwide. Following a suicide attempt, many patients receive suicide follow‐up interventions (SFI) from outpatient mental health care services, where outpatient mental health nurses play a crucial role. There is an urgent need to raise awareness of improvements and opportunities for development in this aspect of care to gain insights into potential areas for improvement and opportunities for development.AimTo investigate outpatient mental health nurses' experiences of SFI.MethodA qualitative interview study was conducted with 10 outpatient mental health nurses. Conventional content analysis was used to analyse the data.ResultsThree categories emerged: connecting with and understanding suicidal patients, being dependent on adequate conditions for SFI, and feeling competent but vulnerable in SFI.DiscussionProviding structured training for nurses to address patients with particularly challenging conditions is vital, as SFI entails complex and challenging situations. Training that incorporates proven methods from other interventions, involving the expertise of those with lived experience, employers, and academics, can offer significant advantages. Promoting increased collaboration can enhance the safety of assessments.Implications for PracticeTeam‐based SFI can enhance suicide follow‐up intervention services in psychiatric outpatient care.
Research and design of distributed intelligent electronic pulse barring facility
Authors: Wang Mingwu , Chen Weiheng , Yang Fan , Liang Yingxuan 
Published: January 2025

AbstractBecause traditional barring facilities have difficulty in controlling the water surface and have low intelligence degree, a new type of intelligent electronic pulse barring facility was developed. The system established a dynamic charging and discharging model, an electric field strength calculation model, and a forward reverse rotation conduction model. The facility used a controller area network field bus to realize cooperative operation between one master machine and multiple slave machines that was suitable for fish blocking in various water areas. By using insulated gate bipolar transistors instead of thyristors, the electrode adopted an instantaneous rotational conduction mechanism that was efficient, safe, reliable, and resulted in low noise pollution. The system realized the application of the Internet of Things and an automatic fault phone alarm function in the aquaculture industry such that users could use phones or computers for real‐time remote monitoring. A failure of the fish barring facility would immediately trigger an alarm, such that corresponding measures could be taken to avoid the escape of many fish and complete the unattended aquaculture industry. After multiple freshwater fish arresting tests, the load capacity of the whole machine was 0.5 Ω, and the power consumption was 0.3–2 kW; this could save 65% more electricity than traditional thyristors and had a maximum interception area of 1200 m2. This has significant practical application value in improving the digitalization, automation, and intelligence level of the aquaculture industry.
Trade Variations due to Time Zones Related Distance and Delaying Costs: A Theoretical Exposition
Authors: Mandal Biswajit , Das Maitrayee 
Published: January 2025

ABSTRACTThis paper constructs a competitive trade model involving countries in two distinct time zone locations. Our results suggest that geographical distance positively impact service trade, in contrast to its harmful nature for goods trade. These results are not in line with the traditional gravity arguments of international trade. Our model also reveals an intriguing relationship: an increase in distance between trading nations results in higher skilled wages and lower rent in case of service trade, while goods trade yields the opposite effect. We then connect distance with delaying cost and find the effects of delaying cost on trade and factor prices. We further extend our basic model to introduce informal sector and government manufacturing sector. Despite these additions, the consistency in the effects of distance on factor prices and output persists.
Worldwide variation in shape and size of orca (Orcinus orca) saddle patches
Authors: Mäkeläinen Pirjo H. , Visser Ingrid N. , Cooper Tracy E. , Cusson Mathieu 
Published: January 2025

AbstractThe global distribution of Orcinus orca (orcas/killer whales) encompasses populations which differ from each other. Saddle patch shapes and sizes were compared for nearly 4,000 individuals, in 48 geographically or ecologically divided groups/populations/ecotypes (GP/E), in four Ocean Basins. Some Antarctic GP/E had five shapes, contrary to previous studies, which found only one shape in these Southern GP/E. Pacific Resident ecotypes had the highest variation in saddle patch shapes. Globally, the most common shape was the ‘Smooth’ category. Saddle patch sizes were measured using a ratio of the width of the saddle patch compared to the width of the dorsal fin base and averaged within each GP/E. The narrowest saddle patches were observed in New Zealand waters. The widest saddle patches were observed at the Crozet Islands and the Falkland Islands (Islas Malvinas). Globally, we found that the shape and size of saddle patches helped to define various GP/E, reinforcing earlier predictions that this pigmentation may be indicative of population divisions. Our findings may help with describing poorly defined or undescribed ecotypes. Such results may therefore aid assessments by management authorities/policy makers and provide levels of guidance in the creation of conservation or recovery plans.
Burden of Fungal Skin Diseases in Five East Asian Countries: An Analysis of the Global Burden of Disease Study 2021
Authors: Wang Ye , Tang Shanshan , Ma Ting , Zhang Lidan , Xiao Yufeng , Chen Shaojie 
Published: January 2025

ABSTRACTIntroductionThe unique natural and social environments of East Asia may shape the characteristics of fungal skin diseases. However, there is a notable absence of thorough comparative analyses on this subject.MethodsThis research undertook a comprehensive analysis of the epidemiology and disease burden of fungal dermatoses across five East Asian countries (China, Japan, Republic of Korea, Democratic People's Republic of Korea and Mongolia) via the Global Burden of Disease (GBD) database from 1990 to 2021. Descriptive statistical analyses, joinpoint analyses and age‐period‐cohort (APC) modelling techniques were applied. Systematic assessments were conducted for trends in the incidence, prevalence and disability‐adjusted life‐years (DALYs) of fungal skin diseases within each country.ResultsThis study revealed an overall declining trend in the burden of fungal skin diseases across five East Asian countries from 1990 to 2021, with a particularly marked decrease from 2000 to 2010. In China, the average annual percentage change (AAPC) was −0.1333%, whereas in Japan, it was −0.0281%. However, a notable rise in DALYs among individuals aged 70 and above, particularly in China and Japan. Conversely, Democratic People's Republic of Korea and Mongolia experienced less substantial declines in incidence. These shifts underscore marked intercountry differences, illustrating the influence of socioeconomic factors and health policies.ConclusionFungal skin diseases remain a public threat in East Asian countries. It is important to develop regional, targeted strategies for the prevention and control of fungal skin diseases, with the potential to improve the effectiveness of public health interventions and reduce the regional burden of disease.
Deep Learning‐Based Three‐Dimensional Analysis Reveals Distinct Patterns of Condylar Remodelling After Orthognathic Surgery in Skeletal Class III Patients
Authors: Barone Selene , Cevidanes Lucia , Bianchi Jonas , Goncalves Joao Roberto , Giudice Amerigo 
Published: January 2025

ABSTRACTObjectiveThis retrospective study aimed to evaluate morphometric changes in mandibular condyles of patients with skeletal Class III malocclusion following two‐jaw orthognathic surgery planned using virtual surgical planning (VSP) and analysed with automated three‐dimensional (3D) image analysis based on deep‐learning techniques.Materials and MethodsPre‐operative (T1) and 12–18 months post‐operative (T2) Cone‐Beam Computed Tomography (CBCT) scans of 17 patients (mean age: 24.8 ± 3.5 years) were analysed using 3DSlicer software. Deep‐learning algorithms automated CBCT orientation, registration, bone segmentation, and landmark identification. By utilising voxel‐based superimposition of pre‐ and post‐operative CBCT scans and shape correspondence, the overall changes in condylar morphology were assessed, with a focus on bone resorption and apposition at specific regions (superior, lateral and medial poles). The correlation between these modifications and the extent of actual condylar movements post‐surgery was investigated. Statistical analysis was conducted with a significance level of α = 0.05.ResultsOverall condylar remodelling was minimal, with mean changes of < 1 mm. Small but statistically significant bone resorption occurred at the condylar superior articular surface, while bone apposition was primarily observed at the lateral pole. The bone apposition at the lateral pole and resorption at the superior articular surface were significantly correlated with medial condylar displacement (p < 0.05).ConclusionThe automated 3D analysis revealed distinct patterns of condylar remodelling following orthognathic surgery in skeletal Class III patients, with minimal overall changes but significant regional variations. The correlation between condylar displacements and remodelling patterns highlights the need for precise pre‐operative planning to optimise condylar positioning, potentially minimising harmful remodelling and enhancing stability.
Surgical Treatment of Coronoid Fracture With Elbow Varus Posteromedial Rotatory Instability: An Instructional Review
Authors: Zhang Xinan , Wang Yongqing , Li Xiaohui 
Published: January 2025

ABSTRACTVarus posteromedial rotatory instability (VPMRI) of the elbow is one of the complex elbow instability. The primary sites of injury encompass fractures of the anteromedial coronoid process and injuries to the lateral collateral ligament of the elbow. Some patients may present with involvement of the medial collateral ligament of the elbow. Owing to its distinctive injury mechanism and imaging characteristics, this condition is infrequent in clinical practice and susceptible to misdiagnosis and missed diagnosis. Literature reviews indicate that conservative management of VPMRI is associated with numerous complications, such as persistent pain, traumatic arthritis, and chronic elbow instability. Consequently, surgical intervention has emerged as the recommended treatment modality. Nonetheless, the lack of systematic research on VPMRI in clinical practice has been inconclusive regarding the optimal internal fixation techniques and surgical approaches. Therefore, investigating the treatment modalities, surgical techniques, and internal fixation strategies for VPMRI associated with coronoid fractures holds substantial importance for informing clinical management. In this review, we systematically synthesize the existing literature on coronoid fractures with VPMRI for offering a valuable reference for future clinical treatment.
Low preoperative estimated glomerular filtration rate level is a risk factor for postoperative cognitive dysfunction in elderly undergoing elective total hip replacement: a prospective observational study
Authors: Zheng Huiwen , Zhang Jingyue , Liu Tianya , Wang Zhiping 
Published: January 2025

AbstractBackgroundPostoperative cognitive dysfunction (POCD) is a postoperative complication of the central nervous system, especially in elderly patients. Growing evidence shows a close relationship between the kidney and cognition. This study aimed to evaluate the relationship between the subsequent risk of POCD and indicators related to the kidney.MethodsA total of 93 eligible patients (≥65 years old) undergoing elective total hip replacement were enrolled. Before and 1 day after surgery, blood samples were collected from enrolled patients. Mini‐Mental State Examination and Montreal Cognitive Assessment were conducted 1 day before surgery and 1 week after surgery or at discharge. The receiver operating characteristic curve was used to examine the predictive value of the estimated glomerular filtration rate (eGFR) for POCD. Univariate and multiple logistic regression models were used to analyze the risk factors of POCD.ResultsThirty patients (32.26%) were assessed for POCD 1 week after surgery. The preoperative eGFR level in the POCD group was significantly lower than in the non‐POCD group (P < 0.001). The area under the curve of eGFR was 0.739 (95% CI, 0.630–0.848; P < 0.001). The multivariable logistic regression analysis results showed that preoperative eGFR was independently associated with POCD (odds ratio = 0.965, 95% CI = 0.935–0.996, P = 0.028) after adjustment for mixed factors.ConclusionLow eGFR is associated with an increased risk of POCD in patients undergoing elective total hip replacement surgery. Low eGFR is an effective predictor of incident POCD.
Inter‐Session Reliability of Functional Performance and Muscle Power in Adults With Severe Obesity
Authors: Gam Søren , Petz Anders K. , Bjerre Lukas R. , Bøgild Jeppe , Nielsen Anders B. , Sørensen Rikke N. , Kolind Mikkel I. , Gram Bibi , Hansen Stinus , Aagaard Per 
Published: January 2025

ABSTRACTReliable and sensitive testing of physical function is crucial for assessing the effects of treatment or exercise intervention in various patient populations. The present study investigated the test–retest reliability and sensitivity (smallest detectable difference: SDD) of selected physical performance tests commonly used in clinical rehabilitation, including tests of habitual and maximal walking speed, walking endurance capacity, handgrip strength (HGS), and lower limb muscle power (Sit‐to‐Stand (STS), stair climb) in adults with severe obesity meeting the criteria for bariatric surgery. Thirty‐two adults (BMI 43.8 ± 6.6 kg/m2) were enrolled in the study. Participants were assessed in three separate test sessions performed at the same time of day (±2 h) separated by 3 to 7 days. Habitual and maximal walking speed, walking endurance capacity, lower limb muscle power evaluated by stair climb and STS performance, and HGS demonstrated good‐to‐excellent inter‐session reproducibility (ICC: 0.84–0.98, CV and SEM: 2.9%–11.3%) with individual sensitivity (SDD) ranging from 11.8% to 31.2%. Systematic learning effects from test session 1–2 were observed for the STS test and the 3‐ and 10‐m habitual walk speed tests, manifested by increases of 6%–9%, 7%, and 3%, respectively (p < 0.05). Performing a familiarization session (test 1) fully prevented these learning effects (test 2 vs. 3). A majority of physical function tests showed improved reproducibility and sensitivity after the familiarization session. In conclusion, physical function can be assessed in a reliable manner in adults with severe obesity. Further, familiarization sessions prior to actual testing result in improved test–retest reliability and increased sensitivity.
Quantifying the Rhythm of Ice Accumulation in East Antarctica With Varying Temperature
Authors: Srivastava Radhendushka , Sengupta Debasis , Ghosh Prosenjit 
Published: January 2025

ABSTRACTWe present evidence of a strong linkage between temperature and the apparent rate of accumulation of ice at three sites in East Antarctica over the past 800 kiloyears. The conclusions emerge from statistical analysis of an empirical model based on ice core data. The model permits the apparent accumulation rate (AAR) to be tempered by an unspecified thinning process of ice over the ages. It is robust to misspecification of the age scale and does not require the accumulation rate to be delineated from thinning. Records show a 5%–8% increase in the AAR for 1°C rise in temperature. This is consistent with the expected rise in moisture absorption capacity of the atmosphere with a rise in temperature.
Use of Cobalt–Chromium 64 Wires Surpass Evolve for the Treatment of Remnant Intracranial Aneurysms: A Subanalysis From the SEASE International Registry
Authors: Dibas Mahmoud , Vivanco‐Suarez Juan , Lopes Demetrius Klee , Hanel Ricardo A. , Rodriguez‐Calienes Aaron , Cortez Gustavo M. , Fifi Johanna T. , Devarajan Alex , Toth Gabor , Patterson Thomas E. , Altschul David , Pereira Vitor M. , Liu Xiao Yu Eileen , Puri Ajit S. , Kühn Anna L. , Guerrero Waldo R. , Khandelwal Priyank , Bach Ivo , Kan Peter T. , Edhayan Gautam , Martinez‐Galdamez Mario , Given Curtis , Gross Bradley A. , Narayanan Sandra , Galecio‐Castillo Milagros , Derakhshani Shahram , Ortega‐Gutierrez Santiago 
Published: January 2025

BACKGROUND
The use of the Surpass Evolve flow diverter for intracranial aneurysms (IAs) has shown promising results, but there are no studies that evaluated its effectiveness for remnant previously treated IAs. This study aimed to evaluate the safety and effectiveness of Surpass Evolve for previously treated IAs.

METHODS
This subanalysis is derived from the SEASE (Safety and Effectiveness Assessment of Surpass Evolve) registry, a retrospective, multicentric, international cohort conducted across 15 academic institutions in North America and Europe between July 2020 and October 2022. Adult patients undergoing Surpass Evolve implantation for single saccular IAs were grouped into those with previously treated IAs by coiling or intrasaccular‐devices and those with untreated IAs. Baseline characteristics and outcomes were compared.

RESULTS

This study included 257 patients with IAs. Of those, 66 patients had previously treated IAs (median time between diagnosis and initial treatment and retreatment: 6.28 months), and 191 patients had untreated IAs. Of the 246 patients with 10.5 months of imaging follow‐up, the core lab adjudicated complete occlusion was less in previously treated IAs compared with untreated IAs (59.7% versus 72.3%; adjusted odds ratio, 0.43 [95% CI, 0.21–0.88];
P
= 0.022). Furthermore, we found similar rates of adequate occlusion between previously treated IAs (83.9%) and untreated IAs (82.1%,
P
= 0.746). There was no difference in rates of major stroke (1.5% versus 2.6%,
P
>0.999), mortality (1.5% versus 1.0%,
P
>0.999), modified Rankin Scale score 0–2 (93.7% versus 95.7%,
P
= 0.504), and retreatment (1.6% versus 3.3%,
P
= 0.684) between the 2 groups.

CONCLUSION
Our results revealed reasonable rates of occlusion and an acceptable safety profile for the use of Surpass Evolve to treat previously treated IAs. Future prospective studies with longer follow‐ups are warranted to explore the findings further.