bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awake intubation for thoracic aortic aneurysm causing esophageal stenosis with food residues and compression of the pulmonary artery and left bronchi: a case report
Authors: Suda Yasuhiro , Sugawara Ami , Kanao-Kanda Megumi , Shirasaka Tomonori , Kamiya Hiroyuki , Kanda Hirotsugu 
Published: June 2022

Abstract
Background
Anesthetic management of thoracic aortic aneurysms (TAAs) is sometimes difficult due to fatal complications, including hypovolemic shock secondary to aneurysm rupture. We report the successful management of an impending rupture of a TAA with associated esophageal stenosis and compression of the pulmonary artery and left bronchi.

Case presentation
An 83-year-old woman, diagnosed with an impending rupture of the ascending TAA, was scheduled to undergo emergency total aortic arch replacement. Computed tomography showed esophageal stenosis with significant amounts of food residues in the thoracic esophagus and compression of the pulmonary artery and bronchi. We performed awake intubation and superior laryngeal nerve block with light sedation to prevent aspiration and aneurysmal rupture, respectively. General anesthesia was induced immediately after the intubation. No intraoperative complications occurred.

Conclusions
Performing awake intubation with a superior laryngeal nerve block and sedation may prevent aspiration of food residues and hemodynamic changes that may lead to rupture.
Postoperative respiratory depression in patients on sublingual buprenorphine: a retrospective cohort study for comparison between postoperative continuation and discontinuation of buprenorphine
Authors: Komatsu Ryu , Singleton Michael D. , Peperzak Katherin A. , Wu Jiang , Dinges Emily M. , Bollag Laurent A. 
Published: June 2022

Abstract
Background
We tested the hypothesis that patients who continued buprenorphine postoperatively experience postoperative respiratory depression less frequently than those who discontinued buprenorphine.

Methods
This is a retrospective cohort study of patients who were on buprenorphine preoperatively. The primary outcome was postoperative respiratory depression as defined by respiratory rate < 10/minute, oxygen saturation (SpO2) < 90%, or requirement of naloxone for 48 h postoperatively. The secondary outcome was the composite of postoperative respiratory complications. The associations between postoperative buprenorphine continuation and respiratory depression and respiratory complications were estimated using separate multivariable logistic regression models, including demographic, intraoperative characteristics, and preoperative buprenorphine dose as covariates.

Results
Postoperative buprenorphine continuation was not associated with postoperative respiratory depression (adjusted odds ratio (OR), 1.11, 95% confidence interval (CI), 0.61 to 1.99, P=0.72). In subanalysis stratified by the preoperative buprenorphine dose, buprenorphine continuation was not associated with postoperative respiratory depression either when preoperative buprenorphine dose was high (≥16 mg daily) or low (<16 mg daily). Postoperative buprenorphine continuation was associated with lower incidence of postoperative respiratory complications (adjusted OR, 0.43, 95% CI, 0.21 to 0.86, P=0.02).

Conclusions
Continuing buprenorphine was not associated with respiratory depression, but it was associated with a lower incidence of respiratory complications.
What matters in the annuitization decision?
Authors: Abou Daya Mohamad Hassan , Bernard Carole 
Published: June 2022

AbstractWe perform a simultaneous test for several rational and behavioral factors known to affect the uptake of life annuities in a sample of Americans. We also investigate whether analysts’ short-term stock market expectations affect the decision to annuitize retirement wealth. We find that facing such expectations without trusting them lowers the purchase of annuities. Moreover, we find that individuals who trusted financial analysts’ expectations were less likely to purchase annuities. We attribute these findings to the availability heuristic and present bias, respectively. Finally, we discuss the mediating role of annuity antipathy. Our results provide guidance for policy-makers and annuity providers and offer venues for future research.
The burden of polypharmacy and potentially inappropriate medication in Nigeria: a clarion call for deprescribing practice
Authors: Borodo Safiya Bala , Jatau Abubakar Ibrahim , Mohammed Mustapha , Aminu Nafiu , Shitu Zayyanu , Sha’aban Abubakar 
Published: June 2022

AbstractBackgroundPolypharmacy and potentially inappropriate medications (PIMs) could cause adverse drug events leading to poor health outcomes. This burden is addressed through deprescribing practice. However, data on deprescribing practices are lacking in Nigeria, where the healthcare systems are fragile.AimThis review aimed to summarise the literature on the burden of polypharmacy and PIMs and identify the need for deprescribing practice in Nigeria.MethodA systematic search of the literature was conducted on MEDLINE through PubMed (Public Medline), Google Scholar, and a manual search of included articles to identify information on deprescribing, polypharmacy, and PIMs in Nigeria from the inception of the database to date. Relevant information from the articles was summarised and presented as subsections in the manuscript.ResultsIn this review, we reported the burden of polypharmacy, PIMs, and the need for deprescribing practice in Nigeria. The estimated prevalence of polypharmacy was up to 23.8% among older patients with chronic disorders. Polypharmacy and PIMs have been reported to be a significant cause of medication non-adherence, drug addiction, drug interactions, adverse drug reactions, hospitalisation, morbidity, and mortality. Thus, there is the need to consider deprescription practice in the country.ConclusionThis review revealed that polypharmacy and PIMs are common in Nigeria. Therefore, there is a need for deprescribing practice to improve drug safety in the country. This could be achieved through patient education, increasing awareness of deprescribing practice among the healthcare professionals, and ensuring adherence to the core prescribing indicators of the World Health Organization (WHO) and National Standard Treatment Guidelines.
Role of transperineal ultrasound in evaluation of patients with perianal inflammatory disorders
Authors: Roman Boles Mary Salah , Awadallah Maryse Youssef , Shawali Haney Ahmed Sami , Farag Ahmed , El-Sayed Rania Farouk 
Published: June 2022

Abstract
Background
The aim of this study was to study the degree of accuracy of transperineal ultrasound (TPUS) in pre-operative evaluation and follow-up of cases with perianal inflammatory disorders in relation to MRI findings. Thirty patients with symptoms and signs of perianal inflammatory disorders underwent TPUS and pelvic MRI examinations. The radiologist who performed the TPUS was blinded to MR findings and was asked to comment on the site of the internal opening and extension of the tract, any related side branches or collections.

Results
The overall accuracy of TPUS in detection of the site of internal opening of perianal tracts was 83.33%, with sensitivity of 91.30%. TPUS showed sensitivity, specificity and accuracy of 100% in detection of horseshoe collections. The overall accuracy of TPUS in detection of perianal abscesses was 93.33% with specificity of 100%. TPUS showed sensitivity of 50.00%, specificity of 92.31% and accuracy of 86.67% in visualization of side branches. TPUS showed sensitivity of 33.33%, specificity of 88.89% and overall accuracy of 83.33% in detection of supralevator extension of perianal tracts. TPUS correctly classified (23/30) perianal tracts with accuracy of 76.7%.

Conclusions
TPUS can be used as a first diagnostic tool in patients with perianal inflammatory disorders and related pathologies, particularly horseshoe collections which can change the operative decision made by the surgeon. TPUS can be used in repeated follow-up during the course of management of perianal inflammatory disorders or when other imaging modalities are unavailable or contra-indicated.
Implementation strategies to promote measurement-based care in schools: evidence from mental health experts across the USA
Authors: Connors Elizabeth H. , Lyon Aaron R. , Garcia Kaylyn , Sichel Corianna E. , Hoover Sharon , Weist Mark D. , Tebes Jacob K. 
Published: June 2022

Abstract
Background
Despite an established taxonomy of implementation strategies, minimal guidance exists for how to select and tailor strategies to specific practices and contexts. We employed a replicable method to obtain stakeholder perceptions of the most feasible and important implementation strategies to increase mental health providers’ use of measurement-based care (MBC) in schools. MBC is the routine use of patient-reported progress measures throughout treatment to inform patient-centered, data-driven treatment adjustments.

Methods
A national sample of 52 school mental health providers and researchers completed two rounds of modified Delphi surveys to rate the relevance, importance, and feasibility of 33 implementation strategies identified for school settings. Strategies were reduced and definitions refined using a multimethod approach. Final importance and feasibility ratings were plotted on “go-zone” graphs and compared across providers and researchers to identify top-rated strategies.

Results
The initial 33 strategies were rated as “relevant” or “relevant with changes” to MBC in schools. Importance and feasibility ratings were high overall for both survey rounds; on a scale of 1 to 5, importance ratings (3.61–4.48) were higher than feasibility ratings (2.55–4.06) on average. Survey 1 responses resulted in a reduced, refined set of 21 strategies, and six were rated most important and feasible on Survey 2: (1) assess for readiness and identify barriers and facilitators; (2) identify and prepare champions; (3) develop a usable implementation plan; (4) offer a provider-informed menu of free, brief measures; (5) develop and provide access to training materials; and (6) make implementation easier by removing burdensome documentation tasks. Provider and researcher ratings were not significantly different, with a few exceptions: providers reported higher feasibility and importance of removing burdensome paperwork than researchers, providers reported higher feasibility of train-the trainer approaches than researchers, and researchers reported higher importance of monitoring fidelity than providers.

Conclusions
The education sector is the most common setting for child and adolescent mental health service delivery in the USA. Effective MBC implementation in schools has the potential to elevate the quality of care received by many children, adolescents, and their families. This empirically derived, targeted list of six implementation strategies offers potential efficiencies for future testing of MBC implementation in schools.
The impact of macroeconomic factors on food price inflation: an evidence from India
Authors: Samal Asharani , Ummalla Mallesh , Goyari Phanindra 
Published: June 2022

AbstractThe present study investigates the impact of macroeconomic factors on food price inflation in India utilizing the monthly time series during January 2006–March 2019. The long-run relationship is confirmed among the variables using the ARDL bounds testing approach to cointegration. The coefficients of long-run estimates show that per capita income, money supply, global food prices, and agricultural wages are positively and significantly impacted food price inflation in both the short and long-run. While food grain availability has a negative and significant impact on food price inflation in both the short-run and long run. Further, the short-run estimates revealed that real exchange rate positively impacts food price inflation. However, the coefficient is insignificant in the short-run. The Granger causality estimates show that a short-run bidirectional causality is confirmed among per capita income, the exchange rate, per capita net availability of food grain and food price inflation. Further, there is evidence of unidirectional causality running from global food prices to food price inflation. However, there is no causal relationship running from money supply and agricultural wages to food price inflation in the short-run.
Clinicopathological Features and Mortality in Patients With Kaposi Sarcoma and HIV: A Retrospective Analysis of a Thirty-Year Study From a Peruvian Oncologic Center
Authors: Cuellar Luis E. , Meza Kelly , Holguín Alexis Manuel , Velarde Juan , Portillo-Alvarez Diana , Castro Victor , Sulca-Huamani Oliver , Intimayta-Escalante Claudio , Gaby-Pérez Rushmely , Patel Arpan 
Published: June 2022

PURPOSE Kaposi's sarcoma (KS) is a multifocal angioproliferative disease. In Peru, the implementation of the highly active antiretroviral treatment (HAART) program was in 2005, the model for treating patients with HIV-positive KS shifted to a potential cure. In this study, we aim to compare clinicopathological characteristics and prognostic factors associated with outcomes in patients with HIV-positive KS. METHODS We developed a retrospective cohort study that includes patients with HIV/AIDS and KS seen in the Instituto Nacional de Enfermedades Neoplasicas between 1987 and 2017. Patients were divided into two groups according to the implementation of HAART in our country: the non-HAART group and those treated with HAART after 2005. Multivariate analysis for overall survival (OS) was performed with the Cox proportional hazard regression model. RESULTS There was a greater visceral compromise and more extensive oral cavity involvement in the non-HAART group (60% 31.7%, P < .01). Regarding the immune status, there was a significant difference from the CD4 count at 1-year follow-up (73 v 335, P = .01). The CD4/CD8 rate were significant different before QT (0.23 v 0.13, P = .01) and at 1-year follow-up (0.12 v 0.32, P = .03.). The estimated 5-year OS rate was significantly lower ( P = .0001) for the non-HAART group (41.7%; 95% CI, 25.9 to 56.9) compared with the HAART group (79.3%; 95% CI, 66.8 to 87.5). In the multivariate model for OS, full-HAART regimen and previous diagnosis of HIV/AIDS ( P < .01) were significantly associated with longer survival. CONCLUSION Clinical and demographic characteristics of our patients are compatible with the literature, but we report a higher rate of gastrointestinal involvement. Furthermore, our findings provide evidence for the importance of HAART and its ability to reduce KS-related mortality.
Density-induced BCS-Bose evolution in gated two-dimensional superconductors: The role of the interaction range in the Berezinskii-Kosterlitz-Thouless transition
Authors: Shi Tingting , Zhang Wei , Sá de Melo C. A. R. 
Published: June 2022

Abstract
We discuss the evolution from Bardeen-Cooper-Schrieffer (BCS) to Bose superconductivity vs. carrier density n in two-dimensional (2D) gated superconductors and address the fundamental role that the interaction range plays in the Berezinskii-Kosterlitz-Thouless transition. We investigate the density dependence of the critical temperature (T

c
), superfluid density, order parameter modulus, chemical potential and pair size. Our most important finding is that it is absolutely essential to include classical and quantum phase fluctuations, as well as finite-ranged interactions to explain the non-monotonic behavior of T

c

vs. n and to guarantee that the upper bound on T

c
is not exceeded in 2D superconductors, as experimentally observed in

(Nakagawa Y. et al., Science, 372 (2021) 190), a lithium-intercalated layered nitride, and in magic-angle twisted trilayer graphene (Park J. M. et al., Nature, 590 (2021) 249). Furthermore, we show that we can extract, from measurements of T

c
and the order parameter modulus, the effective mass of charge carriers and their interaction strength and range.
Cost Comparison of Microsurgery vs Endovascular Treatment for Ruptured Intracranial Aneurysms: A Propensity-Adjusted Analysis
Authors: Labib Mohamed A. , Rumalla Kavelin , Karahalios Katherine , Srinivasan Visish M. , Nguyen Candice L. , Rahmani Redi , Catapano Joshua S. , Zabramski Joseph M. , Lawton Michael T. 
Published: June 2022

BACKGROUND:
In specialized neurosurgical centers, open microsurgery is routinely performed for aneurysmal subarachnoid hemorrhage (aSAH).

OBJECTIVE:
To compare the cost of endovascular vs microsurgical treatment for aSAH at a single quaternary center.

METHODS:
All patients undergoing aSAH treatment from July 1, 2014, to July 31, 2019, were retrospectively reviewed. Patients were grouped based on primary treatment (microsurgery vs endovascular treatment). The primary outcome was the difference in total cost (including hospital, discharge facility, and all follow-up) using a propensity-adjusted analysis.

RESULTS:
Of 384 patients treated for an aSAH, 234 (61%) were microsurgically treated and 150 (39%) were endovascularly treated. The mean cost of index hospitalization for these patients was marginally higher ($9504) for endovascularly treated patients ($103 980) than for microsurgically treated patients ($94 476) (P = .047). For the subset of patients with follow-up data available, the mean total cost was $45 040 higher for endovascularly treated patients ($159 406, n = 59) than that for microsurgically treated patients ($114 366, n = 105) (P < .001). After propensity scoring (adjusted for age, sex, comorbidities, Glasgow Coma Scale score, Hunt and Hess grade, Fisher grade, aneurysms, and type/size/location), linear regression analysis of patients with follow-up data available revealed that microsurgery was independently associated with healthcare costs that were $37 244 less than endovascular treatment costs (P < .001). An itemized cost analysis suggested that this discrepancy was due to differences in the rates of aneurysm retreatment and long-term surveillance.

CONCLUSION:
Microsurgical treatment for aSAH is associated with lower total healthcare costs than endovascular therapy. Aneurysm surveillance after endovascular treatments, retreatment, and device costs warrants attention in future studies.
Lumbar Giant Disk Herniations Treated With a Unilateral Approach for Bilateral Decompression
Authors: Sommer Fabian , McGrath Lynn , Kirnaz Sertac , Goldberg Jacob , Medary Branden , Schmidt Franziska A. , Shtayer Lior , Gadjradj Pravesh S. , Härtl Roger 
Published: June 2022

BACKGROUND:
Disk herniations that obstruct the spinal canal by more than 50% are named “giant disk herniations” (GDHs). GDHs are challenging to treat from a surgical perspective because of their size and the risk of iatrogenic manipulation during resection resulting in additional neurological compromise. As a result, the appropriateness of minimally invasive tubular approaches for the treatment of lumbar GDHs remains controversial.

OBJECTIVE:
To report our experience in treating lumbar GDHs using tubular minimally invasive surgery.

METHODS:
A total number of 228 disk herniations were evaluated for the criteria of GDH. In addition, the presence of neurological deficits such as cauda equina syndrome, pain as measured by a visual analog scale, operating time, complications, estimated intraoperative blood loss, and number of surgical revisions were assessed. The standard tubular diskectomy technique was modified to include unilateral laminectomy for bilateral decompression before the diskectomy to create a sufficient working space for removal of the disk fragments.

RESULTS:
Twenty-three (10%) patients met the criteria for GDH. Clinically significant motor weakness was present in 21 patients (91.3%) before surgery, and 3 patients (13%) presented with cauda equina syndrome. The average mean visual analog scale (±SD) for the preoperative pain score was 8.3 and decreased to 2.4 at follow-up after surgery. All cases of cauda equina syndrome resolved postoperatively.

CONCLUSION:
Unilateral tubular minimally invasive surgery diskectomy seems to be a safe and effective treatment alternative for lumbar GDHs, combined with the “over-the-top” decompression, which provides bilateral decompression and working space.
Suboccipital Craniotomy and Transventricular Resection of a Trigonal Medullary Cavernous Malformation: 2-Dimensional Operative Video
Authors: Srinivasan Visish M. , Lee Katriel E. , Catapano Joshua S. , Lawton Michael T. 
Published: June 2022

Brainstem cavernous malformations (CMs) account for 15% to 18% of CMs and are associated with higher hemorrhage rates than other intracranial CMs.
1,2
A recent systematic review demonstrated successful long-term outcomes after resection of brainstem CMs in 84% of patients.
2
We present a teenage girl with multiple CMs occupying the entire medulla to the C1 cervical spinal cord. This lesion was a trigonal medullary subtype. The patient presented with respiratory distress and new quadriparesis. She had no prior surgical interventions for her lesions. The patient's guardians provided informed consent for the procedure.
A suboccipital craniotomy and transventricular resection were performed. The exophytic component of the lesion was immediately visible on the dorsal cervicomedullary junction. The upper pole was obscured by the cerebellar tonsils. Incising the inferior medullary velum and freeing arachnoid adhesions allowed for mobilization of tonsils and widening of the surgical space. The pia was directly incised at the surface presentation. The hematoma was removed piecemeal to reveal the capsule of the CM. Using sharp round knives can help define the plane between the hematoma and the CM, enabling piecemeal resection. Satellite lesions were then removed. A developmental venous anomaly was encountered, which was obscured on preoperative imaging by the large CM. The developmental venous anomaly should be preserved. It rarely affects the operative approach, although it slightly increases the operative risk.
3
Intraoperatively, a large amount of viable medulla remained, despite little being seen on preoperative MRI. The postoperative MRI revealed no residual CM. The patient experienced no new postoperative neurological complications.
Video used with permission from Barrow Neurological Institute.
Subtemporal Transcollateral Sulcus Approach for Temporal Horn Tumors: 2-Dimensional Operative Video and Description of the Technique
Authors: Cavagnaro María José , Orenday-Barraza José Manuel , Jabre Roland , Georges Joseph , Lee Michaela , Nakaji Peter 
Published: June 2022

INTRODUCTION:
Purely temporal intraventricular tumors are uncommon. Given their deep location, access to these brain tumors can be challenging in terms of preserving brain tissue. The subtemporal approach spares the lateral temporal cortex and is a less traumatic corridor to reach intraventricular temporal tumors.

OBJECTIVE:
To describe and assess the feasibility of the subtemporal transcollateral approach for the removal of a temporal horn tumor.

METHODS:
We describe the subtemporal transcollateral sulcus operative technique detailed step-by-step and depicted through both video and illustrations to surgically resect a left intraventricular temporal mass in a 44-year-old woman who presented with worsening memory deficits. The surgery was performed under general anesthesia and with the use of a microscope and neuronavigation.

RESULTS:
The patient did not suffer from any postoperative complications. Her vision was intact, and her memory deficit was unchanged. A brain MRI showed complete removal of the tumor. The pathological examination revealed a World Health Organization grade I meningioma.

CONCLUSION:
The subtemporal transsulcal approach seems to be an efficient and safe way to access intraventricular lesions within the temporal horn while avoiding any disruption of the optic radiations and temporal language areas.