bluuebunny/crossref_metadata_2025_split huggingface dataset:
Telepsychiatry Expansion of Inpatient Psychiatry Services During the COVID-19 Pandemic
Authors: Penwill Nicole Y. , Lalisan Alex , Carubia Beau , McNitt Cassidy , Fritsch Sandra , Clark Bryce , Hyle Brenda , Lockwood Justin M. 
Published: February 2025

During the early COVID-19 pandemic, most psychiatric facilities did not admit SARS-CoV-2–positive youth, resulting in prolonged emergency department (ED) boarding and delayed psychiatric care. In response, our hospital enacted a small, single-site, innovative pilot enabling psychiatric admission of SARS-CoV-2–positive patients with lower behavioral acuity to an inpatient medical unit for comprehensive telepsychiatry programming. Patients transferred to the Telepsychiatry Model from our EDs or hospital medicine service after medical clearance. Psychiatrists from our adjacent traditional inpatient psychiatry unit (IPU) provided day-to-day care in partnership with medical nurses, behavioral health specialists, and consulting hospitalists on the general medical unit, and our traditional IPU’s standard treatment protocol, milieu-based group therapy, was delivered via telehealth. Over its first 3 years, 64 patients received care under the Telepsychiatry Model. Behavioral escalations requiring intervention were rare, with 2 staff injuries reported. Most patients discharged home (92%; median length of stay, 7 days). No patients died by suicide within 6 months of discharge, and 12 (19%) received care in a state ED or psychiatric hospital within 30 days of discharge. This pilot successfully operationalized comprehensive telepsychiatry programming from an inpatient medical unit and has potential applications to future infectious outbreaks and delivery of psychiatric services to patients with high medical complexity, during inpatient psychiatry capacity crises, and in geographic locations with limited access to inpatient psychiatric care. To adopt a similar model, other institutions should invest in local infrastructure, partner with local regulatory leaders, and foster strong, collaborative relationships with remote psychiatric partners.
The Effect of Repeated Closing Torque on Torque Loss and Angular Deviation : An in Vitro Study
Authors: Guo Ruoyan , Qian Yantao , Lin GuoHai , Chen Run 
Published: February 2025

Abstract
Information. Loosening and fracturing of the central screw are common mechanical complications after implant restoration. However, the relationship between these complications and the repetitive tightening and loosening of the central screw during the fabrication and maintenance of the implant-supported restorations remains unknown.
Purpose. To evaluate the torque loss after repetitive tightening and loosening of the central screws on implants with different diameters, as well as the changes in the angle deviation of the central screw relative to the implant.
Material and methods. Twenty implants were divided into 2 groups absed on diameter: 3.7 mm(Group A) and 4.5 mm(Group B), with 10 implants in each group. Each group was further subdivided into 4 subgroups: A1, A2, B1, and B2(n=5). A closing torque of 15 N·cm was applied to groups A1 and B1, while a closing torque of 35 N·cm was applied to groups A2 and B2. Reverse torque measurements were taken 10 times for each group. The angular deviation of the central screw relative to the implant was recorded, and the surface wear of the central screw was observed under a scanning electron microscope(SEM). The data were analyzed using repeated measures two-way analysis of variance(α=0.05).
Results. Torque loss showed a significant upward trend across all groups with increased tightening cycle(P&lt;0.05). Implant diameter significantly influenced torque loss, with smaller diameters exhibiting greater torque loss(P&lt;0.05). Besides, the angular deviation of the central screw relative to the implant was not affected by different diameters (P&gt;0.05) but was affected by the closing torque and the cycles of multiple tightening and loosening procedures(P&lt;0.05). Under a 35 N·cm closing torque, initial torque loss ranged from 9.12 N·cm to 10.98 N·cm. Peak torque loss occurred at the 10th cycle, with values of 16.40 N·cm for 3.7 mm implants and 12.42 N·cm for 4.5 mm implants.
Conclusion. Repeated tightening and loosening procedures increased both torque loss and angular deviation.The diameter of the implant may impact the torque loss, with larger diameter showing less torque loss. It is suggested to limit the number of tightening cycles for narrow-diameter implants to reduce the risk of potential complications.
Comparison of the operational difficulty and patient-related outcomes for removing displaced dental implants or tooth roots into the maxillary sinus
Authors: Ozkan Aydin , Samur Erguven Sara , Peker Ozturk Hilal , Senel Bugra 
Published: February 2025

Abstract
This study compares the operational difficulty and patient-related outcomes of removing a dental implant or tooth root displaced into the maxillary sinus. The study was conducted on 19 patients [median age, 22 years; female, 8 (42.11%)] whose dental implants or tooth roots remained in the maxillary sinus for over 6 months. Nine patients had dental implants in their maxillary sinuses (Group 1), and 10 had tooth roots migrated into the maxillary sinus during tooth extraction (Group 2). All patients were operated on under local anesthesia. The maxillary sinus was accessed by opening a lateral bone window osteotomy on the sinus wall (Caldwell-Luc technique). Age, gender, operation time, smoking habit, duration after displacement, displacement region, operational difficulty reported by the surgeon and patient-related outcomes such as pain, swelling, post-nasal drip, and nasal obstruction were collected retrospectively. The mean age was 43.47 years. The mean age of the patients in the Group 2 was significantly lower (p=0.037). There was no statistically significant relation between the operational difficulty in groups. However,there was a statistically significant difference in operation time between groups. The mean total operation time for Groups 1 and 2 were 66.22 minutes and 35.4 minutes, respectively (p=0.001). Patient-related outcomes such as pain after the operation, nasal obstruction, post-nasal drip and facial swelling were not different between groups (p&gt;0.05). It was determined that the operation time for removing the dental implants from the maxillary sinus was longer than the tooth root. However, operational difficulty and patient-related outcomes were similar.
Analysis of International Measures to Reduce the Environmental Pollution caused by Oil Tankers
Authors: Ansari Mahyari Alireza , Mahmoudi Hadi 
Published: February 2025

Due to the high use of the sea and the diversity and speed of discharge of pollutants into the sea nowadays, the self-purification capacity of marine ecosystems is reduced, and the effects of the entry of these substances can hardly be neutralized. Various human activities through maritime transport have led to the entrance of oil pollutants through current ship operations and maritime accidents. This paved the way for the emergence of a global mindset on the need to protect the marine environment from oil pollution and take actions to prevent, cooperate and deal with pollution, and, ultimately, to compensate the victims of these accidents. The purpose of this study is to research the impact of international actions taken to reduce the environmental pollution from oil tankers. This article has been carried out using a descriptive-analytical method. Based on studies conducted, the authors conclude that international rules and regulations have defined the limits of the rights and obligations of governments and international organizations in reducing environmental pollution from oil tankers. What needs to be done is to find universal support for these rules and regulations and their implementation. The perfect implementation of International Conventions for the proper transportation, collection, recycling, treatment, processing, and disposal of these materials will have a significant effect on the reduction of marine pollution caused by maritime transport.
CAIXAS QUE ARMAZENAM HISTÓRIAS: raça em Caixa Brasil (1968) e Tintas Polvo (2013)
Authors: REIS MIGUEL LUCIO DOS 
Published: February 2025

Este artigo analisa duas caixas de arte produzidas por artistas brasileiras na contemporaneidade: Caixa Brasil (1968) e Tintas Polvo (2013), de Lygia Pape (1927-2004) e Adriana Varejão (1964), respectivamente. Além da compatibilidade na linguagem e no suporte, os dois objetos artísticos também partem de uma mesma temática, as histórias em torno das relações raciais no Brasil. Nesse percurso, Pape evoca a história das três raças brasileiras do Instituto Histórico e Geográfico Brasileiro (IHGB) em 1844, enquanto Varejão se volta mais para a autoidentificação da população no censo de 1976, pela Pesquisa Nacional por Amostra de Domicílios (PNAD). A partir da decomposição dos aspectos históricos de cada obra, tal como o historiador da arte alemão Erwin Panofsky, o objetivo deste estudo é evidenciar como a arte dialoga e é influenciada pela história, na mesma medida em que se analisa comparativamente a produção das caixas de arte deste artigo.
Understanding the Unmet Needs of People Living with Type 2 Diabetes in Self-Managing Their Condition
Authors: Sarapis Katerina , Cao Yingting , Abou Chakra Melissa , Nunn Jack , Weber Mark , Albuquerque Carlyle , Chapman Maryse , Barr Richard , Gilfillan Christopher P. , Skouteris Helen , Oldenburg Brian , Brukner Peter , Beauchamp Alison , Moschonis George 
Published: February 2025

Background/Objectives: Type 2 diabetes (T2D) prevalence is rising worldwide. Despite numerous efforts to tackle T2D, many initiatives fail due to poor engagement. Consumer involvement in healthcare design is increasingly recognized as an effective strategy for managing diabetes. Aim: To understand the unmet needs of people with T2D in self-managing their condition through the development of a Consumer Reference Group (CRG). Methods: The CRG was established using a standardized approach advised by Monash Partners, with specific terms of reference for consumer engagement. A face-to-face training workshop was conducted to develop consumers&#039; skills in co-designing T2D interventions. Two focus groups were also conducted to identify consumers’ unmet needs and proposed solutions for effective T2D management. Inductive thematic analysis was used to extract themes. Results: Ten adults (3 females/7 males; 58-78 years old) with T2D participated. The thematic analysis highlighted four main themes: (1) misinformation; (2) limited guidance; (3) self-management; (4) prevention and screening. Consumers reported unmet needs in maintaining motivation, managing T2D alongside other commitments, and addressing mental health issues. They felt misinformed about self-management and lacked guidance from healthcare professionals and organizations, often relying on conflicting information. Those from culturally and linguistically diverse (CALD) backgrounds noted a lack of tailored dietary information. Proposed solutions included training primary care providers, reinforcing the role of diabetes nurse educators, providing targeted mental health support, and collaborating with CALD communities for culturally appropriate dietary information. Conclusions: These findings are crucial for informing consumer-driven intervention programs for T2D management, developed by and for people living with T2D.
Adapting RIACT for Ice Storm Resilience of the Hydro-Québec Grid: A City-Level Approach
Authors: Rezvani Seyed MHS , Morissette Marc , Komljenovic Dragan , Falcão Silva Maria João , de Almeida Nuno Marques 
Published: February 2025

This paper presents an adaptation and application of the Risk-Informed Asset-Centric (RIACT) process to analyze the resilience of a portion of Hydro-Québec&#039;s electric power grid against extreme ice storm risks, when supplying the densely populated Greater Montreal area, one of the power system’s major load centers. The key aspect consists in avoiding widespread or major blackouts and maintaining the functional performance of the area’s critical and essential services. The study identifies critical risks and asset exposures, analyzes potential solutions. The evaluation is aimed at deploying, on an urban grid, measures based on the PERA resilience stages: i) Preparation; ii) Endurance (Absorption); iii) Recovery; and iv) Adaptation. The proposed PERA plan aims to provide insights in implementing effective preventive measures while emphasizing the importance of monitoring, communication, and reporting throughout the process. By integrating resilience and asset management practices, this approach provides a simplified framework for managing risks associated with extreme weather events, ensuring the continuity of essential services.
Anterior Attachments of the Medial Patellofemoral Ligament
Authors: Cheng Jing , Alam Shah M. Adeel , Wang Jia-Wei , Jiang Wen-Bin , Zhang Xu-Hui , Sui Hong-Jin , Zheng Nan , Yu Sheng-Bo 
Published: February 2025

Background:
The medial patellofemoral ligament (MPFL) is the most important passive restraint of the medial patella and provides approximately 53% to 80% of medial soft-tissue restraints, although its relationship to the parapatellar structures is still not completely understood.

Methods:
Twenty-six formalin-fixed knees (13 for P45 plastination, 10 for dissection, and 3 for histology) were obtained from cadavers donated to the Department of Anatomy at Dalian Medical University. The mean age of the donors was 78.1 years (range, 52 to 95 years). These specimens were obtained from 4 women and 10 men. The integration of the anterior end of the MPFL with the extensor apparatus of the knee was observed, and the morphological observations were captured using a digital camera.

Results:
The MPFL was found to be attached to the extensor apparatus in 3 ways: its main fibers ran deep to the vastus medialis obliquus (VMO) tendon and ultimately inserted into it; its upper portion extended from, and was reinforced by, the vastus intermedius (VI) tendon; and its lower portion merged weakly into the parapatellar tendon. No direct attachment to the patella was found.

Conclusions:
The MPFL attachments to the extensor apparatus occur in 3 locations: the VMO tendon, the VI tendon, and the parapatellar tendon—and not the patella. No direct attachment to that bone was identified. This study provides a comprehensive anatomical relationship between the MPFL and the extensor apparatus of the knee (the patella and quadriceps). Clinically, we suggest that reconstruction of the MPFL be performed with fixation of its anterior end to the VMO rather than to the patella.
Effect of adaptive-fluidics on intraoperative lens-iris diaphragm retropulsion syndrome in cataract surgery: randomized clinical trial
Authors: Georgiev Stefan , Dana-Fişuş Andreea , Zeller Kristina , Palkovits Stefan , Ruiss Manuel , Pilwachs Caroline , Leisser Christoph , Findl Oliver 
Published: February 2025

Abstract

To assess the impact of an adaptive fluidics system (AFS) compared to a gravity fluidics system (GFS) on lens-iris diaphragm retropulsion syndrome during cataract surgery in myopic eyes using continuous intraoperative swept source optical coherence tomography (SS-OCT) measurements. In this explorative, randomized, patient-masked, study with intra-individual comparison, myopic cataract patients had the first operated eye allocated to the AFS or GFS groups using the same phacoemulsification platform (Stellaris/Stellaris Elite, Bausch & Lomb, Rochester, NY, USA). Fifty-four eyes of 27 patients were analyzed. Intraoperative anterior and posterior capsular bag distances were measured and compared at various timepoints during cataract surgery via an intraoperative SS-OCT prototype. Additionally, patients’ subjective discomfort was analyzed. Although intraoperative measurement failure rates were high (39.5%), we found that at the onset of phacoemulsification with irrigation in place, the mean anterior capsule deepening relative to baseline measurements was significantly less pronounced using the AFS (0.63 mm) compared to the GFS (1.19 mm, P = 0.02). While patient discomfort during surgery was also less pronounced after entering the phaco-probe with irrigation on in the AFS group, overall subjective patient discomfort during surgery revealed no statistically significant difference (P = 0.70). Our study suggests that adaptive fluidics during lens surgery appears to measurably reduce lens-iris diaphragm retropulsion syndrome compared to gravity-based fluidics at the initiation of phacoemulsification in myopic cataract patients.
WITHDRAWN: Cognitive behavioural therapy improves sleep quality in nursing students: results from a randomized controlled trial
Authors: Perez-Manchon David , Azpeleta-Noriega Clara , Gal-Iglesias Beatriz , Ruiz-Zaldibar Cayetana 
Published: February 2025

Abstract

The full text of this preprint has been withdrawn by the authors due to author disagreement with the posting of the preprint. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.
Fractal Characterization of Cavitation Erosion in Glycerol-Water Mixtures: Role of Viscosity in Aluminum Surface Failure
Authors: Osman Osman Omran , Abouel-Kasem A. , Heshmat M. , Saleh B. , Ahmed S. M. 
Published: February 2025

Abstract

This study investigates how fluid viscosity modulates cavitation erosion in Al-99.92 aluminum surfaces by employing fractal analysis to quantify degradation patterns in water and glycerol-water mixtures (10–40 cSt). Fractal dimensions, calculated from power spectral density (PSD) slopes of SEM-derived surface topographies, correlate strongly with traditional erosion metrics (mean depth penetration, MDP). Both fractal dimension and MDP exhibit a viscosity-dependent decline, revealing reduced cavitation intensity in high-viscosity fluids. Critically, fractal trends remain scale-invariant across magnifications, confirming that viscosity governs surface texture complexity independently of imaging resolution. Detached particle morphology and surface features (cracks, plastic deformation) identify fatigue failure as the dominant erosion mechanism, with liquid viscosity exerting secondary influence. By bridging fractal metrics to mechanical erosion outcomes, this work establishes fractal analysis as a robust tool for predicting viscosity-dependent cavitation damage in aluminum alloys, offering insights for material selection in high-viscosity hydraulic systems.
Preoperative positioning of robot-assisted tracheal intubation system in intensive care unit
Authors: Odekhe Randolph Osivue , Shi Huiping , Xia Hongji , Cao Qixin 
Published: February 2025

Abstract

Patients with infectious diseases often exhibit severe respiratory distress and breathing difficulties in isolation wards. Tracheal intubation is performed manually to secure the airway by health care providers wearing personal protective equipment to prevent infection spread and getting infected. This paper presents the navigation and preoperative positioning of an autonomous mobile intuba-tion robot capable of independently moving to the patient’s bed, positioning the intubation device inside the mouth while the operator completes the intubation procedure remotely, and the robot exits the location independently. The mobile base navigation module includes mapping, localization and path planning using the R3 live multi-sensor fusion algorithm utilizing sensor imputs from lidar, inertia measurement unit (IMU) and RGB-D camera, YOLOv5s object detection and avoidance algorithm and improved A* global path planning algorithm together with time elastic band (TEB) local path planning algorithm respectively. The preoperative positioning module based on facial pose estimation using retinaface algorithm combined with 6DRepNet to obtain facial pose. This is validated in simulation and physical experiments. The system’s navigation time and positioning accuracy compared with related indicators of endotracheal intubation surgery obtained significantly improved results.
Analisis Financial Distress Dengan Altman Z-Score
Authors: Lubis Haikal Yasin , Aisjah Siti 
Published: February 2025

The objective of this quantitative descriptive study is to analyze the indication of financial distress in cigarette manufacturing companies listed on the Indonesia Stock Exchange (IDX) during the 2019-2022 period. The indication was based on the increments in cigarette excise tax. Altman Z-Score was used since the samples are public manufacturing companies. The results of the analysis indicate that PT Gudang Garam Tbk and PT HM Sampoerna Tbk was never under financial distress during the research period. However, their Z-Scores were fluctuating, which suggest them to improve and enhance several financial ratios. Further, PT Wismilak Inti Makmur Tbk also never had any financial distress during the period. In fact, its Z-Scores were stable and tended to increase, requiring the company to maintain and even increase its financial performance. PT Bentoel Internasional Investama Tbk and PT Indonesian Tobacco Tbk were once in grey area and experienced financial distress for two consecutive years during the research period.

Abstrak
Penelitian ini bertujuan untuk menganalisis indikasi financial distress pada perusahaan manufaktur sub sektor rokok yang terdaftar di Bursa Efek Indonesia (BEI) periode 2019-2022 yang didasarkan atas fenomena peningkatan tarif cukai rokok. Penelitian ini termasuk penelitan deskriptif dengan pendekatan kuantitatif. Alat analisis yang digunakan adalah Altman Z-Score (1968) karena dibuat dengan menggunakan perusahaan manufaktur go public sebagai sampel. Hasil penelitian menunjukkan bahwa PT Gudang Garam Tbk dan PT HM Sampoerna Tbk tidak mengalami financial distress pada periode 2019-2022 tetapi memiliki Z-Score yang mengalami penurunan sehingga perlu memperbaiki dan meningkatkan beberapa rasio keuangan. PT Wismilak Inti Makmur Tbk juga tidak mengalami financial distress pada periode 2019-2022 tetapi memiliki Z-Score yang relatif stabil dan meningkat sehingga harus mempertahankan maupun meningkatkan kinerja keuangannya. Di sisi lain, PT Bentoel Internasional Investama Tbk dan PT Indonesian Tobacco Tbk pernah berada di grey area dan mengalami financial distress selama 2 tahun berturut-turut pada periode 2019-2022.