bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ultrasound-Guided Hydrodissection Provides Complete Symptom Resolution in Radial Tunnel Syndrome: A Case Series and Scoping Review on Hydrodissection for Radial Nerve Pathology
Authors: Gill Benjamin , Rahman Rafid , Khadavi Michael 
Published: September 2022

Abstract
This study analyzes the effectiveness of ultrasound-guided hydrodissection (HD) perineural as a treatment for radial tunnel syndrome (RTS). A literature search was performed along with retrospective analysis of local cases to assess outcomes and safety of this procedure. In the case series, surgical candidates, defined as cases with over 80% but temporary relief after diagnostic injection, were treated with ultrasound-guided HD. Of 22 patients who received ultrasound-guided diagnostic injections, 11 proceeded to HD. All HD patients experienced complete and lasting symptom resolution for a minimum of 2 years, and none required surgery. Thorough literature review provided seven studies, which fulfilled inclusion criteria. Sixty-one patients are represented in the literature. All studies reported significant benefit to pain symptoms with HD of radial nerve, with five specifying over 90% improvement. No adverse effects from HD were noted in any study. Ultrasound-guided HD of the radial tunnel has potential to be a surgery sparing treatment for RTS.
Prone Lachman with Ultrasound: A Literature Review and Description of the Technique
Authors: Raja Altamash E. , Meyer Ryan , Tunis Brandon G. , Moreland Michael L. , Tunis Justin G. 
Published: September 2022

Abstract
Magnetic resonance imaging is the current gold standard imaging modality for diagnosing anterior cruciate ligament (ACL) tears. However, ultrasound has grown in popularity for detecting ACL injuries because of its low cost, portability, and dynamic assessment capabilities. Recent studies demonstrate high sensitivity and specificity for diagnosing isolated ACL tears via ultrasound, but tremendous heterogeneity remains for optimal technique including patient positioning, transducer placement, and dynamic versus static ultrasound usage. As ultrasound becomes ubiquitous in clinics, training rooms, and on the sidelines, identifying objective and sensitive measurements to appropriately screen athletes for significant knee injuries is imperative. This article aims to review the current role of diagnostic ultrasound in ACL injuries and propose a standardized version of the Prone Lachman with Ultrasound test, which is an objective, reliable, and easily reproducible technique to evaluate ACL competency. Developing a standardized protocol will expand the use of point-of-care ultrasound, which may reduce cost and improve efficiency in care.
Rural Cardiac Screening: Leveraging Technology from a Previously Established Echocardiographic Network
Authors: Johnson Theresa , Skipper Eric R. , Robicsek Francis 
Published: September 2022

Objectives: The authors review the history of two cardiac programs in Guatemala and Belize that were initiated by the late Dr. Francis Robicsek. Building upon his legacy, the aim of the rural cardiac screening program is to further extend the reach to those individuals disenfranchised from cardiac services.
Methods: Complementary to the Nan Van Every Cardiology Diagnostic Network, screening stations are organized once a year at two cardiac echo stations in Guatemala and two clinics in Belize. Demographic information and medical history are collected; limited physical and diagnostic tests performed; and results are reviewed by a cardiologist and relayed to the participant. Participants with a suspected heart issue are referred to one of the cardiology and cardiac programs in Guatemala or Belize for in-depth evaluation. Education on cardiovascular diseases, signs, symptoms, and risk factors is provided, as well as healthy lifestyle habits.
Results: Building upon successful cardiac programs in low resource settings lends the ability to expand the cardiovascular screening and awareness reach. Heart disease is brought to the forefront in communities where there is no previously known access and clinicians are educated to identify heart problems.
Conclusion: The success of Unidad de Cirugía Cardiovascular de Guatemala (UNICAR) in Guatemala City, and the cardiology and cardiac surgical programs at Karl Heusner Memorial Hospital Authority in Belize, and the Nan Van Every Cardiology Diagnostic Network, are the cornerstones to scaling the expansion and encounter individuals who have little, if any, knowledge about cardiac diseases, signs, symptoms and prevention.
Review of sustainable Paediatric Cardiac Surgery Program based on Humanitarian Principles at Govt. Medical College, Goa
Authors: Kolwalkar Jagannath , Agarwal Ravi , Borkar Shirish , Sunil Vidya Sagar , Vijay Madhan 
Published: September 2022

Introduction: Paediatric cardiac surgery and paediatric cardiology set-up is an arduous task, in developing countries, like India (4). Access to advanced cardiac care is unavailable in majority of developing countries (5). Due to high fertility rates in India, the annual estimate of CHD is approximately 150,000–200,000 children per year (6, 10). Of these, approximately a third to a quarter (∼50,000) would need early intervention to survive the first year of life (7, 10). Goa is a small state of India situated along the western coast of Indian peninsula. Goa medical college (GMC) is the only tertiary level institute, providing medical facilities in the state. There were no cardiology or cardiac surgical facilities available at GMC, prior to 2014. The cardiac surgical unit at Goa Medical College was started in April 2014. It provides cardiac surgical services absolutely free of cost to all the citizens of the state. Initially only adult cardiac surgical cases were being performed, but from September 2014, we initiated the paediatric cardiac surgical program, for which we availed the facility of a paediatric cardiac surgeon. Materials and Methods: From 26th Sep 2014 to 11th Jan 2020, we operated a total of 90 cases, during 18 visits of the visiting paediatric cardiac surgeon, who operated an average of 5 cases per visit. Mean age of operated children was 3.2 years. We operated 34 cases of VSD’s, 26 cases of TOF, 8 cases of Tricuspid atresia, 9 cases of ASD, 3 cases of MV repair, 1 case of ASD+PS, 5 cases of TAPVC, 3 PA banding & PDA ligation and one permanent pacemaker implantation. Patients were managed initially in a 5 bedded ICU and after extubation were shifted to a step-down ICU for further recovery. Results: The average duration of ventilation was 36hrs and average length of ICU stay was 5 days. Mean CPB time was 92.46 mins and mean aortic cross clamp time was 59.5 mins. Overall mortality was 5.55%. One patient underwent a redo MV repair, as there was moderate residual MR in post operative period. Conclusion: This model of cardiac surgical program has worked well for the state of Goa and has benefitted lot of people from within the state as well as neighbouring states, where easy and affordable access to cardiac surgical facilities are missing. It has produced excellent outcomes for adult cardiac surgery and has encouraged us to extend the facility to paediatric population. Gradually, our local team is getting confident to do these paediatric cases.
Keywords: Congenital heart disease, India, Goa medical college (GMC), Paediatric cardiac surgical care.
Prevalence, causes and impacts of human trafficking in Asian countries: A scoping review
Authors: Khan Zeeshan , Kamaluddin Mohammad Rahim , Meyappan Saravanan , Manap Jamiah , Rajamanickam Ramalinggam 
Published: September 2022

Background: In Asian countries, human trafficking is often encountered as forced labor, forced marriage, sex trafficking, men, women, and children exploitation. This review points out how human trafficking activities are prevalent in Asian countries and also reveals different causes that are the basis of increasingly human trafficking in Asian countries such as poverty, unemployment, political uncertainty, war, natural disaster, corruption and weak policies. Human trafficking also creates huge health, physical, psychological and social implications on individuals and the overall society. Methods: The purpose of this study is to collect evidence on human trafficking in Asian countries. A scoping review methodology was used to systematically search online databases including Sage Journals Online, Wiley Online, Hein Online, Taylor & Francis Online, Web of Science, and Scopus literature to amalgamate information on this issue. For the purposes of this article, 64 studies met the inclusion criteria after searching and screening a total number of 1,278 studies. Results: The findings of this study were classified under three categories: prevalence of human trafficking in Asia, causes of human trafficking in Asia (poverty and unemployment, environmental and manmade disaster, weak policies and corruption), and impacts of human trafficking including social, health, physical, psychological impacts. Conclusion: Keeping in mind the prevalence and impacts of human trafficking, the author also recommends some meaningful and practical steps for policymakers and researchers to effectively tackle human trafficking in Asian countries.
Overexcitability in children aged 8 and 9 in parents’ perception. Does sex matter?
Authors: Limont Wiesława Anna , Łukasiewicz-Wieleba Joanna Teresa , Demianowska Agnieszka , Jabłonowska Małgorzata 
Published: September 2022

Wzmożone pobudliwości psychiczne (OE) przejawiające się w intensywnym, emocjonalnym i głębokim przeżywaniu, są częścią potencjału rozwojowego w Teorii Dezintegracji Pozytywnej Kazimierza Dąbrowskiego. Większość badań OE prowadzona jest z osobami uzdolnionymi z wykorzystaniem samooceny. Niniejsze badanie przeprowadzono wśród dzieci losowo dobranych z ogólnoszkolnej populacji, z wyłączeniem selektywnego kryterium wybitnych zdolności. Za pomocą Overexcitability Inventory for Parents (OIP-II) zebrano opinie rodziców na temat profili OE ich dzieci. OIP-II składa się z sześciu skal: psychomotorycznej, sensualnej, wyobrażeniowej, intelektualnej OEs oraz wrażliwości emocjonalnej i empatii emocjonalnej. W badaniu wzięło udział 116 rodziców dzieci w wieku 8 lat (n=42, 26% dziewczynek) i 9 lat (n=74, 50% dziewczynek). Wielowymiarowa analiza wariancji (MANOVA) wykazała, że dziewczęta uzyskały statystycznie istotnie wyższe wyniki niż chłopcy w sensualnej OE (p<.05) i empatii emocjonalnej (p<.01). Starsze dziewczęta uzyskiwały wyższe wyniki (p<.01) w sensualnej OE, a młodsze w empatii emocjonalnej. Nie znaleziono profilu OE chłopców. Nowością w niniejszym badaniu jest losowy dobór dzieci z ogólnej populacji oraz wykorzystanie OIP-II. W dyskusji prezentowane są możliwe wyjaśnienia i interpretacje wyników, w tym sugestie kierunku dalszych badań.
Relationships of the Big Five Personality with Self-Esteem and Emotion Understanding in Students from Visual Arts High Schools and General Education High Schools
Authors: Kuśpit Małgorzata , Tychmanowicz Anna 
Published: September 2022

The problem of the present study was defined as follows: What personality characteristics were predictors of emotion understanding and self-esteem in students of visual arts high schools and general education high schools. The problems discussed in this article have important implications for the effective functioning of artistically gifted youth in the school environment and for the optimization of their development in various areas of activity. Students of visual arts and general education high schools (N = 440) aged 15–18 (M = 16.88, SD = 0.81) in Poland were surveyed. The participants completed Costa and McCrae’s NEO-FFI, Rosenberg’s Self-Esteem Scale (SES), and Matczak and Jaworowska’s Emotion Understanding Test (TRE). Enter regression analysis was conducted. The results showed that in the group of visualarts high school students neuroticism, extraversion, and conscientiousness were significant predictors of self-esteem, while neuroticism and openness to experience were predictors of emotion understanding. In the group of high school students who pursued a general educationcurriculum, self-esteem was statistically significantly predicted by neuroticism and conscientiousness. Significant predictors of emotion understanding in this group of students included neuroticism, extraversion, openness to experience, and agreeableness. These findings demonstrate that the students functioned differently in the school setting depending on the educational curriculum they were following. The results of the present study can be used to formulate practical educational guidelines.
A Combined Simulation-Optimization Approach for Robust Timetabling on Main Railway Lines
Authors: Högdahl Johan , Bohlin Markus 
Published: September 2022

Performance aspects such as travel time, punctuality, and robustness are conflicting goals of utmost importance for railway transports. To successfully plan railway traffic, it is therefore important to strike a balance between planned travel times and expected delays. In railway operations research, a lot of attention has been given to construct models and methods to generate robust timetables—that is, timetables with the potential to withstand design errors, incorrect data, and minor everyday disturbances. Despite this, the current state of practice in railway planning is to construct timetables manually, possibly with support of microsimulation for robustness evaluation. This paper aims to narrow the gap between the state-of-the-art optimization-based research approaches and the current state of practice to construct timetables by combining simulation and optimization. The paper proposes a combined simulation-optimization approach for double-track lines, which generalizes previous work to allow full flexibility in the order of trains by including a new and more generic model to predict delays. By utilizing delay data from simulation, the approach can make socioeconomically optimal modifications of a given timetable by minimizing predicted disutility—the weighted sum of scheduled travel time and total predicted delay. In a large simulation experiment on the heavily congested Swedish Western Main Line, it is demonstrated that compared with a real-life, manually constructed timetable, large reductions of delays as well as improvements in punctuality could be obtained for a small cost of marginally longer travel times. The cost of scheduled in-vehicle travel time and mean delay was reduced by 5% on average, representing a large improvement for a highly utilized railway line. Furthermore, a separate scaling experiment indicates that the approach can also be suitable for larger problems. Funding: This research was funded by Trafikverket [Grants TRV 2016/5090 and TRV 2020/72690].
Simply structured polarization-independent high efficiency multilayer dielectric gratings
Authors: Cho Hyun-Ju , Kim Suk-Jun , Kim Kyung-Duck , Cho Sung-Pil , Tak In-Sun , Kim Gwan-Ha , Moon Byung-Joon , Kim Dong Hwan , Lee Yong-Soo , Kim Sang-In , Kim Hyun Tae , Cho Joonyong 
Published: September 2022

A polarization-independent multilayer dielectric diffraction grating with a low aspect ratio and high diffraction efficiency was designed and fabricated. The diffraction grating designed with a grating density of 1200 lines/mm had an aspect ratio of 0.59, mean polarization-independent diffraction efficiency in the Littrow angle of

±

2.5

∘

, and 1030–1080 nm wavelength range of 97.2%. The designed grating was fabricated using ion assisted deposition and reactive ion etching techniques. The mean polarization-independent diffraction efficiency of the fabricated grating was 96.1%, and its standard deviation was 0.68%. The fabricated diffraction grating was irradiated with a 1064 nm cw laser, with a power density of

30

k
W

/

c
m

2

, for 1 min to measure the temperature change before and after the laser application. It was verified that the temperature variation of the diffraction grating without heat treatment was 8.8°C, and the temperature variation after heat treatment at 400°C decreased to 2.3°C.
People with Parkinson’s perspectives and experiences of self-management: Qualitative findings from a UK study
Authors: Shah Ria , Read Joy , Davies Nathan , Nimmons Danielle , Pigott Jennifer , Schrag Anette , Walters Kate , Armstrong Megan 
Published: September 2022

Introduction
Parkinson’s prevalence is growing, and more people are being impacted by the condition than ever before. Self-management has been proposed as one way to enable people living with the condition to improve or maintain their quality of life and wellbeing whilst living at home.

Aim
To explore the views and experiences of how people living with Parkinson’s self-manage their condition and identify areas needed to be incorporated into self-management resources or interventions.

Method
Twenty people with Parkinson’s from across London and Hertfordshire, UK took part in semi-structured interviews on self-management. Interviews were transcribed and analysed using thematic analysis to identify themes.

Results
Three main themes were identified: (1) Management of physical symptoms, which included engaging in physical activities, adapting their lifestyles, managing medication and using e-health resources; (2) Management of emotional impact, which involved using a range of cognitive and practical strategies, and seeking talking therapies and medication; and (3) barriers to self-management such as accessing accurate information, experiencing stigma towards their condition which impacted their self-esteem and identity, in turn impacting on their ability to self-manage.

Conclusion
Holistic and person-centred self-management programmes or interventions should be developed incorporating components such as medication and emotional support, individualised planning of exercise regimes, and accessible, timely and accurate information. Furthermore, more public health knowledge on Parkinson’s is needed to help reduce stigma.
Colorectal cancers with a residual adenoma component: Clinicopathologic features and KRAS mutation
Authors: Lee Hyoun Wook , Song Boram , Kim Kyungneun 
Published: September 2022

Background/Aim
Colorectal cancer is well known for its “adenoma-carcinoma” sequential carcinogenesis. Some colorectal cancers demonstrate a residual adenoma component during progression from adenoma to invasive carcinoma. However, the clinicopathological significance of residual adenoma component remains unclear. In this study, we aimed to investigate the clinicopathologic and molecular characteristics including the KRAS mutation in colorectal cancers containing a residual adenoma component.

Materials and methods
In this study, 498 surgically resected colorectal cancer patients were enrolled. Their detailed clinicopathologic features and results of molecular study including KRAS mutation test and microsatellite instability were analyzed.

Results
A residual adenoma component was identified in 42 (8.4%) patients with colorectal cancer. The presence of a residual adenoma component was associated with a high frequency of the KRAS mutation (65%, p = 0.031) as well as indolent clinicopathological features, including polypoid gross type (p < 0.001), well-differentiated histology (p < 0.001), low pT (p < 0.001) and pN stage (p = 0.003), absence of vascular invasion (p = 0.005), and a better progression-free prognosis (p = 0.029). The cases with an adenoma component had a 35.7% discordance rate on the KRAS mutation tests in their adenoma and carcinoma regions.

Conclusion
In conclusion, colorectal cancer with a residual adenoma component showed indolent clinicopathologic features and frequent KRAS mutations. Due to the discordance in the incidence of the KRAS mutation between the adenoma and carcinoma components, the adenoma component should be documented in the pathology report, and care should be taken not to include the adenoma component when collecting samples for molecular testing.
The relative importance of macro versus micro geographical scale in explaining suicide variation in Seoul, South Korea 2014–2016
Authors: Lee Hwa-Young , Kim Rockli , Jang Soong-Nang , Kawachi Ichiro 
Published: September 2022

BackgroundAs ecological factors are getting attention as important determinants of suicide, it is important to identify the unit at which the largest variation exists for more tailed strategy to prevent suicide. We examined the relative importance of two administrative levels for geographic variation in the suicide rate between 2014–2016 in Seoul, the capital city of Korea.MethodsTwo-level linear regression with Dongs (level 1) nested within Gus (level 2) was performed based on suicide death data aggregated at the Dong-level. We performed pooled analyses and then year-stratified analyses. Dong-level socioeconomic status and environmental characteristics were included as control variables.ResultsThe overall age- and sex- standardized suicide rate across all Dongs decreased over time from 24.9 deaths per 100,000 in 2014 to 23.7 deaths in 2016. When Dong and Gu units were simultaneously considered in a multilevel analysis, most of the variation in suicide rate was attributed to within-Gu, between-Dong differences with a contribution of Gu-level being small and decreasing over time in year (Variance partitioning coefficient of Gu = 5.3% in 2014, <0.1% in 2015 and 2016). The number of divorce cases per 100,000 explained a large fraction of variation in suicide rate at the Dong-level.ConclusionsFindings from this study suggest that ecological micro-area unit is more important in reducing the geographic variation in the suicide rate. More diverse ecological-level data needs to be collected for targeted area-based suicide prevention policies in Korea.