bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does Adjunctive Under-flap CXL Reduce Regression for Hyperopic LASIK?
Authors: Wallerstein Avi , Gauvin Mathieu , Watt Harrison , Trang Nataly , Trottier Pierre , Adiguzel Eser , Cohen Mark 
Published: December 2022

Purpose:
To investigate whether adding accelerated under-flap corneal cross-linking to hyperopic laser in situ keratomileusis (LASIK-ufCXL) affects postoperative stability and regression, visual and refractive outcomes, and subjective quality of vision.

Methods:

This prospective comparative contralateral eye study included 51 patients with hyperopia (102 eyes) who received LASIK-ufCXL in the eye with highest defocus equivalent (DEQ) or randomized when DEQ equal, with the contralateral control eye receiving LASIK alone. After excimer ablation, 0.25% riboflavin was instilled on the stromal bed for 3 minutes. The flap was repositioned, followed by a total irradiation dose of 3.24 J ultraviolet A (UV-A) light administered to the corneal surface, using 18 mW/cm
2
UV-A for 3 minutes. Postoperative hyperopic regression (stability) was the primary outcome measure, defined by the difference in spherical equivalent (SEQ) at 1 week and 24 months postoperatively. Secondary measures reported uncorrected distance visual acuity, corrected distance visual acuity, cylinder vector analysis, subjective quality of vision, subjective night vision disturbances, and corneal haze.

Results:

At 24 months, the SEQ stability (
P
= .4273) and the magnitude of hyperopic regression (
P
= .5613) did not significantly differ between groups, with a small trend showing hyperopic regression of 0.50 diopters or greater being less frequent in LASIK-ufCXL eyes. There were no significant differences in accuracy, efficacy, and safety (
P
> .05), with a small trend of more residual refractive astigmatism in the LASIK-ufCXL group (
P
= .3216, Cohen's
d
: −0.29). Subjective quality of vision trended inferior in LASIK-ufCXL eyes (
P
= .2237, Cohen's
d
: −0.25), with a greater haze grading (
P
= .0466, Cohen's
d
: 0.41).

Conclusions:
Postoperative regression and stability were statistically equivalent between hyperopic LASIK vs LASIK-ufCXL, with identical safety. There were small clinical trends of lower efficacy, accuracy, and subjective quality of vision in LASIK-ufCXL eyes.

[
J Refract Surg
. 2022;38(12):770–779.]
SMILE for Hyperopia With and Without Astigmatism: Results of a Prospective Multicenter 12-Month Study
Authors: Reinstein Dan Z. , Sekundo Walter , Archer Timothy J. , Stodulka Pavel , Ganesh Sri , Cochener Beatrice , Blum Marcus , Wang Yan , Zhou Xingtao 
Published: December 2022

Purpose:
To investigate the safety and effectiveness of small incision lenticule extraction (SMILE) in patients who have hyperopia with or without astigmatism.

Methods:
This was a prospective multicenter trial including 374 eyes of 199 patients treated by SMILE for hyperopia using the VisuMax femtosecond laser (Carl Zeiss Meditec AG). Inclusion criteria were sphere up to +6.00 diopters (D), cylinder up to 5.00 D, and maximum hyperopic meridian up to +7.00 D, with preoperative corrected distance visual acuity (CDVA) of 20/25 or better. The optical zone was 6.3 mm with a transition zone of 2 mm. The minimum lenticule thickness was set at 25 µm in the center and at 10 µm at the edge. Patients were examined at 1 day, 1 week, and 1, 3, 6, 9, and 12 months after surgery. Standard refractive surgery outcomes analysis was performed.

Results:
The preoperative spherical equivalent was +3.20 ± 1.48 D (range: +0.25 to +6.50 D). At the 12-month follow-up visit, 81% of eyes treated were within ±0.50 D and 93% of eyes were within ±1.00 D of intended correction. A total of 1.2% of eyes lost two or more lines of CDVA at the 12-month follow-up visit, and 83% were at least 20/20, corresponding to a safety index of 1.005 at 12 months. Of the 219 eyes with plano target, 68.8% had an uncorrected distance visual acuity of 20/20 or better and 88% were at least 20/25 uncorrected at 12 months. There were no statistically significant changes in contrast sensitivity.

Conclusions:
SMILE was found to be an effective treatment method for the correction of compound hyperopic astigmatism, demonstrating a high level of efficacy, predictability, safety, and stability.

[
J Refract Surg
. 2022;38(12):760–769.]
E-Learning Material of Evidence-Based Medicine for Laypersons
Authors: Okabayashi Satoe , Kitazawa Kyoko , Kawamura Takashi , Nakayama Takeo 
Published: December 2022

Background:
There is a need for evidence-based medicine (EBM) education for laypersons. However, there are few materials or opportunities to learn EBM for Japanese laypersons.

Objective:
The aim of this study was to develop and test the usability of e-learning material on EBM for health-conscious laypersons in Japan.

Methods:
This study was conducted in two steps. First, content elements for the material were identified using purposive evaluation and a prototype of the e-learning material was developed. Following this, usability testing of the material was conducted. A questionnaire survey and qualitative semi-structured focus group interviews were conducted with health-conscious laypersons. Subsequently, the material was refined and finalized.

Key Results:

A total of 217 descriptions related to EBM were extracted from 12 materials and were integrated into 56 major elements. Each element was rated from the viewpoint of usefulness for laypersons and reviewed by four expert panelists, and finally 18 elements were confirmed, most of which were critical appraisal skills related to critical health literacy. For the usability testing after constructing the material, 25 laypersons participated, and 19 (76%) felt
very
/
rather
much interest in the contents of the material in the questionnaire. The results of five focus group interviews showed that the effectiveness of the e-learning material was influenced by the story and characters, and whether the contents of the material were consistent with interviewees' daily interests.

Conclusions:

The e-learning material on EBM was found to be of interest to health-conscious laypersons and appeared to be useful in participants' daily lives. This study successfully developed novel e-learning material on the essential components of EBM for laypersons in Japan. [

HLRP: Health Literacy Research and Practice
. 2022;6(4):e290–e299.

]

Plain Language Summary:
This study developed and tested the usability of e-learning material to encourage health-conscious laypersons in Japan to learn the fundamentals of evidence-based medicine. Most of the contents of the material are related to critical health literacy. The usability testing showed that the material was of interest to non-health professionals and useful for dealing with health information in their daily lives.
Design of a Hand Pose Recognition System for Mobile and Embedded Devices
Authors: Lahiani Houssem , Neji Mahmoud 
Published: December 2022

Today, smart devices such smart watches and smart cell phones are becoming ever-present in all fields that influence the quality of life of the modern people. These on-board systems have revolutionized the behavior of human beings and especially their way of communicating. In this context and to improve the experience of using these devices, we aim to develop a system that recognizes hand poses in the air by a smart device. In this work, the system is based on Histogram of Oriented Gradient (HOG) features and Support Vector Machine (SVM) classifier. The impact of using HOG and SVM on mobile devices is studied. To carry out this study, we used an improved version of the "NUS I" dataset and obtained a recognition rate of approximately 94%. In addition, we conducted run speed experiments on various mobile devices to study the impact of this task on this embedded platform. The main contribution of this work is to test the impact of using the HOG descriptor and the SVM classifier in terms of recognition rate and execution time on low-end smartphones.Today, smart devices such smart watches and smart cell phones are becoming ever-present in all fields that influence the quality of life of the modern people. These on-board systems have revolutionized the behavior of human beings and especially their way of communicating. In this context and to improve the experience of using these devices, we aim to develop a system that recognizes hand poses in the air by a smart device. In this work, the system is based on Histogram of Oriented Gradient (HOG) features and Support Vector Machine (SVM) classifier. The impact of using HOG and SVM on mobile devices is studied. To carry out this study, we used an improved version of the "NUS I" dataset and obtained a recognition rate of approximately 94%. In addition, we conducted run speed experiments on various mobile devices to study the impact of this task on this embedded platform. The main contribution of this work is to test the impact of using the HOG descriptor and the SVM classifier in terms of recognition rate and execution time on low-end smartphones.
Analysis of Pattern Searching Algorithms and Their Application
Authors: Retkoceri Festinë , Idrizi Florim , Ismaili Shpend , Imeri Florinda , Memeti Agon 
Published: December 2022

Nowadays data is growing tremendously. Therefore, there is a great need to store and process data. The problem of Pattern Searching has different applications. When searching for text or words in computer application systems, Pattern searching is used to display the search results. The purpose of Pattern searching is to find text within another text. For example, searching for text in books will take a long time and is hard work. Using Pattern searching will save you time and effort. If similar words are found within the requested text, it will underline the word similar to what was requested, otherwise it does not display any matches if there are no similar words within a text. This paper presents comparisons of the speed of different Pattern searching algorithms, precisely the Naive, KMP, Rabin-Karp, Finite Automata, Boyer-Moore, Aho-Corasick, Z Algorithm algorithms. We will test the time complexity of these algorithms in the three programming languages C#, Java and Python using three different CPUs. According to the results that appear in this comparison, we are able to perform the comparison between the programming languages and the comparison between the CPUs used in this research.
Pandémie et continuité pédagogique : peut-on faciliter le passage à distance ?
Authors: Molle Nicolas , Chateau Anne , Kalyaniwala Carmenne 
Published: December 2022

La crise sanitaire a engendré de nombreuses conséquences sur la vie quotidienne de l’ensemble des citoyens. Ce fut le cas pour le monde de l’éducation et de l’enseignement supérieur. Du jour au lendemain, sans préparation, les étudiants et le personnel des universités ont déserté les campus et fait l’expérience de l’enseignement complètement en ligne. Des enquêtes journalistiques ou de terrain ont démontré les impacts négatifs que ce basculement du présentiel au distanciel a pu avoir sur les apprentissages : perte de repères, démotivation, isolement, etc. Cependant, dans l’établissement qui sert de contexte à cette étude, des formations semblent avoir facilité le passage au distanciel pour leurs apprenants. Il s’avère que certains éléments d’une formation hybride (carnet de bord, tâches, autonomisation…) ont accompagné les apprenants vers le distanciel sans obstacles majeurs, alors qu’un enseignement conçu en présentiel et transposé en distanciel déstabilise davantage les étudiants. L’accompagnement, l’habitude du format hybride, des outils numériques et le recours à une pédagogie autonomisante semblent être autant d’éléments rendant le passage au distanciel plus aisé pour les apprenants.
Deploying Internationalisation at Home During Lockdown
Authors: Reynolds Alexandra 
Published: December 2022

This is a report on a variety of internationalisation at home (IaH) initiatives coordinated by Bordeaux University since 2020 (the start of the COVID pandemic). IaH is understood as “the purposeful integration of international and intercultural dimensions into the formal and informal curriculum for all students within domestic learning environments” (Beelen and Jones 69). On site, IaH programmes are defined in the following ways: 1) The opportunity for domestic students to study with incoming international students enrolled at Bordeaux University. 2) The opportunity to study with students from other universities through multi-institutional or bilateral virtual exchange. The institutional framework was provided by the NewDEAL project (open, student-centered and connected programmes, within a framework of transformative learning). We are therefore in a position to consider how IaH can best be deployed at University. We aim to discuss the merits and challenges of our IaH offer.
Are Only a Few Hours Adequate for Hospitalisation Following Mini-Incision Open Appendectomy in Paediatric Patients?
Authors: Sookpotarom Paiboon , Na Ayudhya Vichack Chakrapan , Tangsirapat Vorapatu 
Published: December 2022

Background:
A very short hospital length of stay following an open appendectomy in children with acute simple appendicitis has never been mentioned yet in the literature. The authors reviewed the outcome of these paediatric patients who were treated with the open technique.

Materials and Methods:
In this analytical cohort observational study, we retrospectively reviewed the medical records of the 115 consecutive patients who underwent open appendectomy from June 2017 to July 2021.

Results:
There were 84 patients whose appendices were inflammatory or suppurative and appendectomies were done only through McBurney's point. Of these, the average age was 9.11 ± 2.67 years. The mean length of the incision was 1.95 ± 0.48 cm. Nearly one-third (25/85) were discharged within 3 h following surgery. Of the remaining cases, nine patients were discharged within the same day. There were increased percentages of patients who were eligible for early discharge in each consecutive year.

Conclusion:
The idea of immediate discharge within 3 h seems to be feasible for children with acute simple appendicitis who were treated with open appendectomy. We believe that the practice will be widely acknowledged and proceed to reduce the resources and the expenses in the hospital.
Prolonged hospitalization of persons with mental disorders in state-funded tertiary care psychiatric hospitals and unaccounted public health implications
Authors: Angothu Hareesh , Philip Sharad , Jayarajan Deepak , Rachana Arun , Jagannathan Aarti , Prasad M. Krishna 
Published: December 2022

Introduction:
National strategy for an inclusive and community-based living (NSCIL) for persons with mental health issues 2019 report informs us that the length of stay (LOS) of 36% of inpatients in 43 state-funded tertiary care psychiatric hospitals (TCPHs) is above one year. This is concerning and its public health implications are not studied.

Objectives:
This study was carried out to estimate the average duration of hospitalization by persons with prolonged hospitalization (PPH) in TCPH and to estimate the number of additional inpatient admissions that could have been offered.

Methodology:
We analyzed the data in NSICL for calculating cumulative hospitalization years and the mean duration of stay by all PPH under each state. Based on the presumption that each psychiatric bed could cater to at least four admissions, a prediction is made on the number of additional inpatient admissions that could have been offered.

Results:
The mean duration LOS of 4869 people in these TCPHs is 9.6 years (range 1 – more than 25 years) with significant variation between the states. An additional 190,153 persons could have been offered inpatient care in these TCPHs over 25 years duration, and a minimum of 7606 additional admissions could be accommodated every year.

Conclusions:
Our predictions suggest a need for research on the possibility of deferred inpatient care to others with acute mental health needs and the scope for inpatient care to as many as in need by unblocking these beds.
Patient-reported outcome measures in spine surgery
Authors: Beighley Adam , Zhang Allen , Huang Brendan , Carr Christopher , Mathkour Mansour , Werner Cassidy , Scullen Tyler , Kilgore Mitchell D. , Maulucci Christopher M. , Dallapiazza Robert F. , Kalyvas James 
Published: December 2022

Background:
Steadily increasing expenditure in the United States health-care system has led to a shift toward a value-based model that focuses on quality of care and cost-effectiveness. Operations involving the spine rank among some of the most common and expensive procedures performed in operating rooms nationwide. Patient-reported outcomes measures (PROMs) are a useful tool for reporting levels of outcome and analyzing patient recovery but are both under-utilized and nonstandardized in spine surgery.

Methods:
We conducted a systematic review of the literature using the PubMed database, focusing on the most commonly utilized PROMs for spine disease as well as spinal deformity. The benefits and drawbacks of these PROMs were then summarized and compared.

Results:
Spine-specific PROMs were based on the class of disease. The most frequently utilized PROMs were the Neck Disability Index and the modified Japanese Orthopaedic Association scale; the Oswestry Disability Index and the Roland-Morris Disability Questionnaire; and the Scoliosis Research Society 22-item questionnaire (SRS-22) for cervicothoracic spine disease, lumbar spine disease, and spinal deformity, respectively.

Conclusion:
We found limited, though effective, use of PROMs targeting specific classes of disease within spine surgery. Therefore, we advocate for increased use of PROMs in spine surgery, in both the research and clinical settings. PROM usage can help physicians assess subjective outcomes in standard ways that can be compared across patients and institutions, more uniquely tailor treatment to individual patients, and engage patients in their own medical care.
Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection
Authors: Cloney Michael Brendan , Roumeliotis Anastasios G. , Azad Hooman A. , Prasad Nikil , Shlobin Nathan A. , Hopkins Benjamin S. , Jahromi Babak S. , Potts Matthew B. , Dahdaleh Nader S. 
Published: December 2022

Background:
Traumatic vertebral artery dissections (tVADs) occur in up to 20% of patients with head trauma, yet data on their presentation and associated sequelae are limited.

Aims and Objectives:
To characterize the tVAD population and identify factors associated with clinical outcomes.

Materials and Methods:
We retrospectively analyzed all cases of tVAD at our institution from January 2004 to December 2018 with respect to mechanism of injury, clinical presentation, anatomic factors, associated pathologies, and relevant outcomes.

Results:
Of the 123 patients with tVAD, the most common presenting symptoms were neck pain (n=76, 67.3%), headache (57.5%), and visual changes (29.6%). 101 cases (82.1%) were unilateral, and 22 cases (17.9%) were bilateral. V2 was the most involved anatomic segment (83 cases, 70.3). 30 cases (25.4%) led to stroke, and 39 cases (31.7%) had a concomitant cervical fracture. The anatomic segment and number of segments involved, and baseline clinical and demographic characteristics were not associated with risk of stroke. Patients with associated fractures were older (50.3 years v. 36.4 years, p=0.0233), had a higher comorbid disease burden (CCI 1 vs. CCI 1, p<0.0007), were more likely to smoke (OR 3.0 [1.2178, 7.4028], p=0.0202), be male (OR 7.125 [3.0181, 16.8236], p<0.0001), and have mRS≥3 at discharge (OR 3.0545 [1.0937, 8.5752], p=0.0449). On multivariable regression, only fracture independently predicted mRS≥3 at discharge (OR 5.6898 [1.5067, 21.4876], p=0.010).

Conclusion:
tVADs may be associated with stroke and/or cervical fracture. Presenting symptoms predict stroke, but baseline demographic and clinical characteristics do not. Comorbid cervical fractures, not stroke, drive negative outcomes
Lumbar facet joint stabilization for symptomatic spinal degenerative disease
Authors: Musso Sofia , Buscemi Felice , Bonossi Lapo , Silven Manikon Poulley , Torregrossa Fabio , Iacopino Domenico Gerardo , Grasso Giovanni 
Published: December 2022

Objective:
Lumbar spinal degenerative disease (LSDD), unresponsive to conservative therapy, is commonly treated by surgical decompression and interbody fusion. Since facet joint incompetence has been suggested as responsible for the entire phenomenon of spinal degeneration, facet stabilization can be considered as an alternative technique to treat symptomatic spinal degenerative disease. The purpose of this study was to systematically review the literature for studies utilizing lumbar facet joint fixation techniques for LSDD to assess their safety and efficacy.

Methods:
A systematic literature review was performed following the preferred reporting items for systematic reviews and meta-analyses statement, with no limits in terms of date of publication. Demographic data, inclusion criteria, clinical and radiological outcome, frequency of adverse events (AEs), and follow-up time were evaluated.

Results:
A total of 19 studies were included with a total of 1577 patients. The techniques used for facet arthrodesis were Goel intra-articular spacers in 21 patients (5.3%), Facet Wedge in 198 patients (15.8%), facet screws fixation techniques in 1062 patients (52.6%), and facet joints arthroplasty in 296 patients (26.3%). Clinical outcomes were assessed through the evaluation of pain relief and improvement in functional outcome. Radiological outcomes were assessed by the evaluation of proper positioning of instrumentation, solid bony fusion rate, and preservation of disk height. AE's mainly observed were pseudoarthrosis, reoperation, instrumentation displacement/malpositioning/migration, neurological impairment, deep vein thrombosis, and infections. The mean follow-up time ranged from 6 months to 11.7 years.

Conclusion:
Our data demonstrate that facet joint arthrodesis appears to be effective in managing LSDD. These findings, however, are limited by the small sample size of patients. Accordingly, larger series are needed before formal recommendations can be made.