bluuebunny/crossref_metadata_2025_split huggingface dataset:
The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons
Authors: Kermansaravi Mohammad , Lainas Panagiotis , Shahmiri Shahab Shahabi , Yang Wah , Jazi Amirhossein Davarpanah , Vilallonga Ramon , Antozzi Luciano , Parmar Chetan , Kassir Radwan , Chiappetta Sonja , Zubiaga Lorea , Vitiello Antonio , Mahawar Kamal , Carbajo Miguel , Musella Mario , Shikora Scott 
Published: January 2022

AbstractBackgroundBariatric surgery in patients with BMI over 50 kg/m2is a challenging task. The aim of this study was to address main issues regarding perioperative management of these patients by using a worldwide survey.MethodsAn online 48-item questionnaire-based survey on perioperative management of patients with a BMI superior to 50 kg/m2was ideated by 15 bariatric surgeons from 9 different countries. The questionnaire was emailed to all members of the International Federation of Surgery for Obesity (IFSO). Responses were collected and analyzed by the authors.Results789 bariatric surgeons from 73 countries participated in the survey. Most surgeons (89.9%) believed that metabolic/bariatric surgery (MBS) on patients with BMI over 50 kg/m2should only be performed by expert bariatric surgeons. Half of the participants (55.3%) believed that weight loss must be encouraged before surgery and 42.6% of surgeons recommended an excess weight loss of at least 10%. However, only 3.6% of surgeons recommended the insertion of an Intragastric Balloon as bridge therapy before surgery. Sleeve Gastrectomy (SG) was considered the best choice for patients younger than 18 or older than 65 years old. SG and One Anastomosis Gastric Bypass were the most common procedures for individuals between 18 and 65 years. Half of the surgeons believed that a 2-stage approach should be offered to patients with BMI > 50 kg/m2, with SG being the first step. Postoperative thromboprophylaxis was recommended for 2 and 4 weeks by 37.8% and 37.7% of participants, respectively.ConclusionThis survey demonstrated worldwide variations in bariatric surgery practice regarding patients with a BMI superior to 50 kg/m2. Careful analysis of these results is useful for identifying several areas for future research and consensus building.
Robotic left-stapled total intracorporeal bowel anastomosis versus stapled partial extracorporeal anastomosis: operative technical description and outcomes
Authors: Hollandsworth Hannah M. , Li Kevin , Zhao Beiqun , Abbadessa Benjamin , Lopez Nicole E. , Parry Lisa , Ramamoorthy Sonia , Eisenstein Samuel 
Published: January 2022

Abstract
Background
Although there is extensive literature on robotic total intracorporeal anastomosis (TICA) for right colon resection, left total ICA using the da Vinci Xi robotic platform has only been described in short case series previously. In this study, we report on the largest cohort of robotic left total ICA, provide a description of our institution’s techniques, and compare outcomes to robotic left partial extracorporeal anastomosis (PECA).

Methods
Patients who underwent robotic left colectomy for any underlying pathology from July 1, 2016 through April 30, 2020 were identified by procedure code. A technical description is provided for two unique techniques performed at our institution. Outcomes included operative time, length of stay, supply cost, post-operative ileus, post-operative morbidity and mortality and need for complete mobilization of the splenic flexure.

Results
From a review of our institution’s data, 83 robotic TICA cases were identified and 76 robotic PECA cases were identified. Common procedures included low anterior resection, sigmoidectomy, left hemicolectomy, and rectopexy with resection. TICA was associated with significantly shorter intraoperative time compared to PECA.

Conclusions
Our series shows that TICA is a safe and feasible technique that does not increase the risk of adverse outcomes. Using either the anvil-forward or anvil-backward technique, we were able to reliably reproduce this method in a total of 83 patients undergoing left colon resection for either benign or malignant diseases.
A new outranking method for multicriteria decision making with complex Pythagorean fuzzy information
Authors: Akram Muhammad , Zahid Kiran , Alcantud José Carlos R. 
Published: January 2022

AbstractThis article contributes to the advancement and evolution of outranking decision-making methodologies, with a novel essay on the ELimination and Choice Translating REality (ELECTRE) family of methods. Its primary target is to unfold the constituents and expound the implementation of the ELECTRE II method for group decision making in complex Pythagorean fuzzy framework. This results in the complex Pythagorean fuzzy ELECTRE II method. By inception, it is intrinsically superior to models using one-dimensional data. It is designed to perform the pairwise comparisons of the alternatives using the core notions of concordance, discordance and indifferent sets, which is then followed by the construction of complex Pythagorean fuzzy concordance and discordance matrices. Further, the strong and weak outranking relations are developed by the comparison of concordance and discordance indices with the concordance and discordance levels. Later, the forward, reverse and average rankings of the alternatives are computed by the dint of strong and weak outranking graphs. This methodology is supported by a case study for the selection of wastewater treatment process, and by a numerical example for the selection of the best cloud solution for a big data project. Its consistency is confirmed by an effectiveness test and comparison analysis with the Pythagorean fuzzy ELECTRE II and complex Pythagorean fuzzy ELECTRE I methods.
Cradle-to-gate life cycle assessment of beneficiated phosphate rock production in Tunisia
Authors: Issaoui Roukaya , Rösch Christine , Woidasky Jörg , Schmidt Mario , Viere Tobias 
Published: January 2022

AbstractTo improve the sustainable management of phosphorus, numerous LCA studies, using primary data, have been conducted for phosphorus recovery technologies from wastewater, but not for phosphate rock mining.This article addresses this issue by conducting a cradle to gate assessment of beneficiated phosphate rock production using primary data. This study aims to share an updated Life Cycle Inventory dataset of beneficiated phosphate rock production.The studied system is the open-pit mining operations and the wet beneficiation process located in the south of Tunisia. The functional unit is 1 kg of P2O5. Twelve environmental impact categories were assessed using the ReCiPe Midpoint method.The results of Life Cycle Inventory show that the average loss of phosphorus between mining operations, mechanical preparation, and the wet beneficiation is 0.3 kg of P2O5 per 1 kg P2O5. The losses occur mainly during the scrubbing and hydrocycloning. Compared to the production system in Florida, USA, according to the Ecoinvent database 3.4, the production of 1 kg P2O5 in Tunisia has higher Global Warming Potenzial, higher water depletion potential, higher PM10 emission, Photochemical oxidant formation, soil pollution potential, and human toxicity potential.In conclusion, primary data shows comparable results to the generic Life cycle Inventory of wet beneficiation phosphate rock in the Ecoinvent database. This study contributes to enlarge data about sedimentary phosphate rock extraction and beneficiation globally as currently only the USA and Morocco were reported in databases.
Evaluation of novel ZnO–Ag cathode for CO2 electroreduction in solid oxide electrolyser
Authors: Biswas Saheli , Kulkarni Aniruddha P. , Seeber Aaron , Greaves Mark , Giddey Sarbjit , Bhattacharya Sankar 
Published: January 2022

AbstractCO2 and steam/CO2 electroreduction to CO and methane in solid oxide electrolytic cells (SOEC) has gained major attention in the past few years. This work evaluates, for the very first time, the performance of two different ZnO–Ag cathodes: one where ZnO nanopowder was mixed with Ag powder for preparing the cathode ink (ZnOmix–Ag cathode) and the other one where Ag cathode was infiltrated with a zinc nitrate solution (ZnOinf –Ag cathode). ZnOmix–Ag cathode had a better distribution of ZnO particles throughout the cathode, resulting in almost double CO generation while electrolysing both dry CO2 and H2/CO2 (4:1 v/v). A maximum overall CO2 conversion of 48% (in H2/CO2) at 1.7 V and 700 °C clearly indicated that as low as 5 wt% zinc loading is capable of CO2 electroreduction. It was further revealed that for ZnOinf –Ag cathode, most of CO generation took place through RWGS reaction, but for ZnOmix–Ag cathode, it was the synergistic effect of both RWGS reaction and CO2 electrolysis. Although ZnOinf –Ag cathode produced trace amount of methane at higher voltages, with ZnOmix–Ag cathode, there was absolutely no methane. This seems to be due to strong electronic interaction between Zn and Ag that might have suppressed the catalytic activity of the cathode towards methanation.
Shear wave speed measurement bias in a viscoelastic phantom across six ultrasound elastography systems: a comparative study with transient elastography and magnetic resonance elastography
Authors: Kishimoto Riwa , Suga Mikio , Usumura Masashi , Iijima Hiroko , Yoshida Masahiro , Hachiya Hiroyuki , Shiina Tsuyoshi , Yamakawa Makoto , Konno Kei , Obata Takayuki , Yamaguchi Tadashi 
Published: January 2022

Abstract
Purpose
To quantify the bias of shear wave speed (SWS) measurements in a viscoelastic phantom across six different ultrasound (US) systems and to compare the SWS with those from transient elastography (TE) and magnetic resonance elastography (MRE).

Methods
A viscoelastic phantom of stiffness representing fibrotic liver or healthy thyroid was measured with nine (linear probe) and 10 (convex probe) modes of six different US-based shear wave elastography (SWE) systems using linear and convex probes. SWS measurements of three regions of interest were repeated thrice at two focal depths, coupling the probe to the phantom using a jig. An MRE system using three motion-encoding gradient frequencies of 60, 90, and 120 Hz and TE were also used to measure the stiffness of the phantom.

Results
The SWS from different SWE systems had mean coefficients of variation of 9.0–9.2% and 5.4–5.6% with linear and convex probes, respectively, in viscoelastic phantom measurement. The focal depth was a less significant source of SWS variability than the system. The total average SWS obtained with US-SWE systems was 19.9% higher than that obtained with MRE at 60 Hz, which is commonly used in clinical practice, and 31.5% higher than that obtained with TE using the M probe.

Conclusions
Despite the measurement biases associated with the SWE systems, biases were not necessarily consistent, and they changed with the probes used and depth measured. The SWS of the viscoelastic phantom obtained using different modalities increased according to the shear wave frequency used.
The effect of Rényi entropy on Hawking radiation
Authors: Liu Yang 
Published: January 2022

AbstractIt is widely believed that Hawking radiation originates from excitations near the horizons of black holes (Hawking in Commun Math Phys 43:199, 1975, Giddings in Phys Lett B 754:39, 2016, Mathur in Class Quantum Gravity 26:224001, 2009). However, Giddings (Phys Lett B 754:39, 2016) proposed that the Hawking radiation spectrum that characterizes evaporating semi-classical black holes originates from a quantum “atmosphere”, which extends beyond the horizon of a black hole. Although several research projects have been conducted in this field, they have not yet taken into account the effect of Rényi entropy. In the present article, we will therefore consider the effect of Rényi entropy on Hawking radiation power. We assume that if the effect of Rényi entropy is very small, we suggest that the Hawking radiation should originate from the quantum “atmosphere” which extends beyond the black hole’s horizon for finite dimensions. That is, that Giddings’ suggestion is the more likely of the above possibilities. However, for infinite dimensions, both suggestions are equally credible. We briefly consider the very large effect of Rényi entropy on Hawking radiation power as well. We find that if the effect of Rényi entropy is very large and $$\omega /T_{BH}$$

ω
/

T

BH

is very small, then the power spectral density $$S_R$$

S
R

is proportional to the power spectral density $$S_{BH}$$

S

BH

.
Sigmoid Type Neuromorphic Activation Function Based on Saturable Absorption Behavior of Graphene/PMMA Composite for Intensity Modulation of Surface Plasmon Polariton Signals
Authors: Tari Hamed , Bile Alessandro , Moratti Francesca , Fazio Eugenio 
Published: January 2022

AbstractFor an optical technology to be feasible as a substitution of electronics one for neuromorphic applications, it is required the waveguides in which are capable of confining and directing light signals in much smaller dimensions than the operating wavelength of the light, i.e., subwavelength optical components must be realized. Hybrid nature of surface plasmon polariton addresses the problem with the diffraction limit of regular photonic components. Here, the authors present a two-dimensional numerical simulation of a passive photonic element based on a saturable absorber material as a hardware base analogy to the biological activation function existed at the cell body of neurons. They demonstrate that at telecom wavelengths, a highly confined SPP mode can be modulated in a nonlinear fashion by considering the carrier dynamics of graphene/PMMA polymeric composite as a two-level system. The hardware base sigmoid type nonlinear activation function derived from this study further characterized; and the parameters which appeared to be effective on the performance of the structure, such as saturation intensity, modulation depth, and thickness of the synaptic part as a Fabry–Pérot structure, have been studied.
Measuring and evaluating standardization of scrub nurse instrument table setups: a multi-center study
Authors: Glaser Bernhard , Schellenberg Tobias , Neumann Juliane , Hofer Mathias , Modemann Susanne , Dubach Patrick , Neumuth Thomas 
Published: January 2022

Abstract

Objectives

In-depth knowledge about surgical processes is a crucial prerequisite for future systems in operating rooms and the advancement of standards and patient safety in surgery. A holistic approach is required, but research in the field of surgical instrument tables, standardized instrument setups and involved personnel, such as nurses, is sparse in general. The goal of this study is to evaluate whether there is an existing standard within clinics for an instrument table setup. We also evaluate to which extent it is known to the personnel and whether it is accepted.

Materials and Methods

The study makes use of the Nosco Trainer, a scrub nurse training and simulation system developed to analyze various aspects of the workplace of scrub nurses. The system contains a virtual instrument table, which is used to perform and record instrument table setups. We introduce a metric which delivers a measurable score for the similarity of surgical instrument table setups. The study is complemented with a questionnaire covering related aspects.

Results

Fifteen scrub nurses of the Otolaryngology departments at three clinics in Germany and Switzerland performed a table setup for a Functional Endoscopic Sinus Surgery intervention and completed the questionnaire. The analysis of the developed metric with a leave one out cross-validation correctly allocated 14 of the 15 participants to their clinic.

Discussion

In contrast to the identified similarities of table setups within clinics with the collected data, only a third of the participants confirmed in the questionnaire that there is an existing table setup standard for Functional Endoscopic Sinus Surgery interventions in their facility, but almost three quarters would support a written standard and acknowledge its possible benefits for trainees and new entrants in the operating room.

Conclusions

The structured analysis of the surgical instrument table using a data-driven metric for comparison is a novel approach to gain deeper knowledge about intra-operative processes. The insights can contribute to patient safety by improving the workflow between surgeon and scrub nurse and also open the way for goal-oriented standardization.
Asthma Attacks in Children—Challenges and Opportunities
Authors: Jones Helena , Lawton Adam , Gupta Atul 
Published: January 2022

AbstractAsthma is the most common chronic disease of childhood worldwide, and is responsible for significant morbidity and mortality in children and young people (CYP). Given the inherent dangers of a child experiencing even a single asthma attack, it is essential to identify and manage modifiable risk factors at every clinical opportunity. Following an attack, there is an opportunity to prevent future attacks by assessing compliance and optimizing asthma control. Careful questioning will allow physicians to identify asthma triggers, barriers to good asthma control, and health beliefs or socioeconomic obstacles that may have contributed to this attack. The vast majority of children with asthma can achieve good symptom control with appropriate use of low-dose inhaled corticosteroids.
Nederlandse preventie-uitgaven onder de loep
Authors: van Gils Paul F. , Suijkerbuijk Anita W.M. , Polder Johan J. , de Wit G. Ardine , Koopmanschap Marc 
Published: January 2022

Samenvatting
Inleiding
We hebben berekend hoeveel er in 2015 aan preventie is uitgegeven. We maakten onderscheid tussen gezondheidsbescherming, gezondheidsbevordering en ziektepreventie. Bij de berekening van de uitgaven beperkten we ons tot universele, selectieve en geïndiceerde preventie. Zorggerelateerde preventie kan nauwelijks onderscheiden worden van curatieve zorg. De uitgaven aan preventie zijn berekend vanuit een maatschappelijk perspectief.

Methode
We hebben gevarieerde bronnen gebruikt om de uitgaven aan preventie te onderzoeken. Voor zover de kosten onderdeel waren van de uitgaven aan zorg zijn de berekeningen gebaseerd op de gegevens van het CBS. Voor het overige is gebruikgemaakt van jaarrapporten en jaarrekeningen van ministeries en andere organisaties. Ook uitgaven van consumenten, het bedrijfsleven, ngo’s en verzekeringsmaatschappijen zijn opgenomen.

Resultaten
In 2015 werd 12,5 miljard euro (1,8% van het bruto binnenlands product) uitgegeven aan preventie: 2,4 miljard aan ziektepreventie (18,8%), 0,6 miljard aan gezondheidsbevordering (5,2%) en 9,5 miljard aan gezondheidsbescherming (76%). Dit is 17% minder dan er in 2007 is uitgegeven, het laatste jaar dat een dergelijk onderzoek is uitgevoerd.

Conclusie
De uitgaven aan preventie zijn relatief laag vergeleken met de totale uitgaven aan zorg. Het grootste gedeelte gaat naar gezondheidsbescherming. In de komende jaren is er mogelijk een stijging aan uitgaven voor gezondheidsbevordering door regeringsbeleid, zoals het Nationaal Preventieakkoord.
Roken en alcoholgebruik onder Nederlandse scholieren
Authors: Tuithof Marlous , van Dorsselaer Saskia , Rombouts Marieke , Kleinjan Marloes , Monshouwer Karin 
Published: January 2022

SamenvattingDe afgelopen decennia is sterk ingezet op het terugdringen van tabaks- en alcoholgebruik onder jongeren. Monitoring is belangrijk om te toetsen of uitgezet beleid gepaard gaat met het gewenste resultaat. Met gegevens van het Peilstationsonderzoek Scholieren wordt onderzocht hoe het tabaks- en alcoholgebruik onder scholieren van twaalf tot en met zestien jaar tussen 1999 en 2019 veranderd is, met specifieke aandacht voor (1) verschillen naar geslacht en leeftijd, en (2) veranderingen in de populatiesamenstelling over tijd. Roken en alcoholgebruik zijn in deze periode sterk gedaald (lifetime-prevalentie roken van 53,9% in 1999 naar 17,0% in 2019; lifetime-prevalentie alcoholgebruik van 71,9% naar 46,6%). De daling heeft zich vooral tot 2015 voorgedaan en lijkt sindsdien tot stilstand gekomen. De trends zijn voor jongens en meisjes vrijwel hetzelfde, maar de daling is voor jongere leeftijdsgroepen groter dan voor oudere leeftijdsgroepen. Ook na controle voor sociaal-demografische kenmerken bleef de daling in roken en alcoholgebruik bestaan. Daarnaast is het drinken van vijf glazen of meer bij één gelegenheid (bingedrinken) onder degenen die de afgelopen maand dronken van 64,1% in 2003 gestegen naar 70,6% in 2019. Een nieuwe impuls lijkt nodig om het gebruik van tabak en alcohol onder scholieren verder terug te dringen.
Van weelde naar waarde
Authors: Bussemaker Jet , Kramer Anneke 
Published: January 2022

SamenvattingDe Nederlandse zorg behoort tot de beste van de wereld. Toch is er onvrede, vooral in de eerste lijn. Vijf jaar na de decentralisatie komt de samenwerking tussen zorg en welzijn nog steeds maar moeizaam op gang. Het lukt ons niet meer te doen aan preventie, terwijl dat in het kader van gezondheidsbevordering en kostenbeheersing noodzakelijk is. Zorgmedewerkers ervaren weinig professionele ruimte en veel administratieve werkdruk, en willen minder gaan werken. Een alarmerend vooruitzicht, gezien de vergrijzing. Is het mogelijk tegen deze achtergrond inspiratie op te doen in een land waar men een fractie uitgeeft van de Nederlandse zorgkosten en dat een tekort kent aan medicijnen en instrumenten? Ja, dat kan, zo zagen we in Cuba, toen een multidisciplinaire groep gezondheidswerkers (in opleiding) daar in januari op studiereis was. De groep kreeg veel energie van de Cubaanse aanpak gericht op preventie en gezondheidsbevordering, kleinschalige, integrale zorg en een organisatie die dat ondersteunt. In dit artikel schetsen we de gezondheidszorg in Cuba aan de hand van onze ervaringen, met een focus op de ouderenzorg, en vergelijken deze met Nederland.
COVID-19: over welke mensen maken we ons extra zorgen?
Authors: Kraaij-Dirkzwager Marleen M. , Tromp M. U. Yke , van der Torn Pieter 
Published: January 2022

SamenvattingCOVID-19 raakt de samenleving in zijn geheel. Het blijkt lastig om een goede balans te vinden tussen de risico’s van een infectie met SARS-CoV‑2 en de schade door de uitbraakbeheersing (verder: COVID-maatregelen). Meer bescherming voor de één betekent soms meer risico voor het leven, levensonderhoud en samenleven van een ander. Zicht op kwetsbare groepen is nodig om de zorg en ondersteuning te kunnen afstemmen op hun risico’s en behoeften. Dit artikel gaat na welke groepen extra kwetsbaar zijn voor negatieve neveneffecten van COVID-maatregelen. We willen daarmee een discussie op gang brengen over optimale ondersteuning van deze en vergelijkbare groepen mensen tijdens en na deze crisis.
Streefwaarden voor de volksgezondheid
Authors: Mierau Jochen O. , Toebes Brigit C.A. 
Published: January 2022

SamenvattingIn deze bijdrage breken wij een lans voor wettelijk verankerde streefwaarden voor de volksgezondheid, analoog aan de milieuwetgeving. Aanknopingspunten hiertoe zijn te vinden in internationale en nationale beleidsafspraken, zoals de Duurzame ontwikkelingsdoelen en het Nationaal Preventieakkoord. Wettelijke verankering is minder vrijblijvend en biedt een mogelijkheid om de overheid ter verantwoording te roepen.
Kwetsbaarheid tijdens de zwangerschap is meer dan een disbalans tussen risicofactoren en beschermende factoren
Authors: Feijen-de Jong Esther I. , Warmelink J. Catja , Dalmaijer Maria , van der Stouwe Relinde A. 
Published: January 2022

SamenvattingHet concept kwetsbaarheid tijdens de zwangerschap is een complex en veelzijdig begrip. Om meer inzicht te krijgen in de complexiteit van kwetsbaarheid gebruiken de onderzoekers van de vakgroep Verloskundige wetenschap in Groningen in hun onderzoek naar interventies voor kwetsbare zwangeren het model van Briscoe et al. In dit model interacteren bedreigingen, herstelmogelijkheden en barrières met elkaar. Willen de interventies die ontwikkeld zijn voor kwetsbare zwangeren optimaal gebruikt worden, dan is meer aandacht nodig voor barrières die de toegang tot de juiste zorg of hulp in de weg staan.