bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategies to reduce waiting times in outpatient rehabilitation services for adults with physical disabilities: A systematic literature review
Authors: Dupuis Frédérique , Déry Julien , Lucas de Oliveira Fabio Carlos , Pecora Ana Tereza , Gagnon Rose , Harding Katherine , Camden Chantal , Roy Jean-Sébastien , Lettre Josiane , Hudon Anne , Beauséjour Marie , Pinard Anne-Marie , Bath Brenna , Deslauriers Simon , Lamontagne Marie-Ève , Feldman Debbie , Routhier François , Desmeules François , Hébert Luc J , Miller Jordan , Ruiz Angel , Perreault Kadija 
Published: February 2022

Objective Identifying effective strategies to reduce waiting times is a crucial issue in many areas of health services. Long waiting times for rehabilitation services have been associated with numerous adverse effects in people with disabilities. The main objective of this study was to conduct a systematic literature review to assess the effectiveness of service redesign strategies to reduce waiting times in outpatient rehabilitation services for adults with physical disabilities. Methods We conducted a systematic review, searching three databases (MEDLINE, CINAHL and EMBASE) from their inception until May 2021. We identified studies with comparative data evaluating the effect of rehabilitation services redesign strategies on reducing waiting times. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. A narrative synthesis was conducted. Results Nineteen articles including various settings and populations met the selection criteria. They covered physiotherapy ( n = 11), occupational therapy ( n = 2), prosthetics ( n = 1), exercise physiology ( n = 1) and multidisciplinary ( n = 4) services. The methodological quality varied ( n = 10 high quality, n = 6 medium, n = 3 low); common flaws being missing information on the pre-redesign setting and characteristics of the populations. Seven articles assessed access processes or referral management strategies (e.g. self-referral), four focused on extending/modifying the roles of service providers (e.g. to triage) and eight changed the model of care delivery (e.g. mode of intervention). The different redesign strategies had positive effects on waiting times in outpatient rehabilitation services. Conclusions This review highlights the positive effects of many service redesign strategies. These findings suggest that there are several effective strategies to choose from to reduce waiting times and help better respond to the needs of persons experiencing physical disabilities.
Effect of cross-ventilation channel in classrooms with interior corridor estimated by computational fluid dynamics
Authors: Zhang Zhi-Yi , Yin Wei , Wang Tian-Wen , O’Donovan Adam 
Published: February 2022

Natural ventilation can cool down the indoor environment and improve the air quality of buildings without consuming energy. The configuration of an inner corridor with double-sided classrooms is widely used in school buildings because of advantages such as space-saving and compactness. However, the inner doors or windows on the corridor side of these classrooms are often closed due to the dispersion of pollution and noise between classrooms. To introduce more fresh air from the outside, this study proposes a novel design to set up a horizontal airflow channel through the building to provide cross-ventilation for classrooms on both sides. A computational fluid dynamics (CFD) model was verified using experimental data and was employed to predict the airflow rate of the air channel by investigating different, sizes of air channels, wind directions, wind velocities and climate data, to assess the potential of the technology. The implementation of a channel area-to-floor area ratio of 2% (1.8 m2) provided an average increase in the ventilation rate of 215% on an annualized basis when applied and simulated in typical conditions from 10 different cities in China. This technology could be used to improve natural airflow rates in other buildings which use interior corridors in their design.
SUPERA Stenting in the Common Femoral Artery: Early Experience and Practical Considerations
Authors: Tao Mary Jiayi , Gotra Akshat , Tan Kong Teng , Eisenberg Naomi , Roche-Nagle Graham , Mafeld Sebastian 
Published: February 2022

Purpose Endovascular therapy in the management of de novo common femoral disease remains controversial. Considerable interest has been generated in recent years due to recent technological advancement in the design of vascular stents. In particular, SUPERA (Abbot Vascular Inc, Santa Clara USA) stents are designed to offer increased flexibility and less adverse interactions with the arterial wall, thus making it potentially better suited for common femoral lesions. However, despite such theoretical advantages, there is lack of data in its use in clinical practice. This study provides illustrative examples of SUPERA stents in different clinical settings and contributes to important clinical data for the overall efficacy and safety profile of endovascular interventions in common femoral artery (CFA) disease. Materials and Methods Retrospective analysis of all endovascular CFA procedures between January 1, 2011, and December 31, 2019, was conducted. Data collected included demographics, clinical symptoms, medical comorbidities, procedural characteristics, and immediate and short-term complications. Detailed analysis was performed on the stenting cohort. Results During our study period, a total of 69 patients underwent endovascular interventions involving the CFA at our institution, of which 16 patients had stenting procedures for a total of 18 stent deployments. Technical success was achieved in all stenting procedures. A total of 15 SUPERA stents were placed in 13 patients. No stent fractures were observed. Overall primary patency rate of SUPERA stents at the time of 12-month follow-up was 100% in patients who had a follow-up assessment (n = 12 stents). Conclusion Endovascular intervention of the CFA is an evolving topic in the interventional radiology and vascular surgery community. Recent development of newer generation of devices such as SUPERA peripheral stents offers significant potential benefits given their inherent design. Despite the theoretically promising design of the SUPERA, there is a lack of data to support its use. This study contributes important patient-level data for SUPERA stent deployments.
Recurrent Pneumothorax Following First Rib Resection and Anterior Scalenectomy
Authors: Adkins Mary Katherine , Faber Lydia , Freischlag Julie 
Published: February 2022

In this report, we describe a 35-year-old female with neurogenic thoracic outlet syndrome (NTOS) who presented with a post-pull pneumothorax following first rib resection and anterior scalenectomy (FRRAS). During the FRRAS, a large amount of scar tissue was observed surrounding the first rib, resulting in a tear in the pleura as the rib was resected. This created a pneumothorax which required chest tube placement and observation overnight. The patient was discharged 1 day post-operatively, feeling well but was then re-admitted 2 days later due to the presence of a recurrent pneumothorax. A chest tube was placed again, and the patient was monitored until symptom resolution. The occurrence of a post-pull pneumothorax has never been reported following FRRAS in TOS patients. The patient’s symptoms have improved 4 months post operation.
Health-related quality of life in patients with long-standing ulcerative colitis in remission
Authors: Mavroudis Georgios , Simrén Magnus , Öhman Lena , Strid Hans 
Published: February 2022

Introduction: Ulcerative colitis (UC) contributes to impaired health-related quality of life (HRQoL). Although disease activity is the most important factor, reduced HRQoL has been reported even in quiescent UC. We aimed to determine HRQoL, and identify predictors thereof, in patients with long-standing UC in remission. Methods: In total, 66 patients with inactive UC were included 10 years after the disease onset. Clinical assessment including rigid sigmoidoscopy was performed to ensure remission. Data on demographic, clinical, treatment-related, and psychological determinants of HRQoL were obtained with a structured interview and self-assessment questionnaires measuring gastrointestinal (GI) and psychological symptoms and fatigue. HRQoL was measured with the Short Form Health Survey (SF-36). Results: The SF-36 domains were comparable to the general Swedish population, except for Vitality, where UC patients scored lower. Gender, smoking, comorbidity, or disease phenotype had no impact on HRQoL. In contrast, corticosteroid use and sick leave during the previous year were independently associated with Physical Functioning and Bodily Pain domains of SF-36; persisting GI symptoms during remission with Bodily Pain; and fatigue with Role Physical, General Health and Vitality. For all other SF-36 domains reflecting mental HRQoL (Social Function, Role Emotional, Mental Health), only psychological distress contributed uniquely. Conclusions: Although overall HRQoL in long-standing UC in remission is comparable to the general population, previous disease activity as well as persisting GI symptoms, fatigue, and psychological distress are associated with a lower HRQoL among these patients. Improved HRQoL may allow for better UC patient health and reduced costs for health care.
Monitoring tumor growth rate to predict immune checkpoint inhibitors’ treatment outcome in advanced NSCLC
Authors: Dall’Olio Filippo G. , Parisi Claudia , Marcolin Laura , Brocchi Stefano , Caramella Caroline , Conci Nicole , Carpani Giulia , Gelsomino Francesco , Ardizzoni Stefano , Marchese Paola Valeria , Paccapelo Alexandro , Grilli Giada , Golfieri Rita , Besse Benjamin , Ardizzoni Andrea 
Published: February 2022

Introduction: Radiological response assessment to immune checkpoint inhibitor is challenging due to atypical pattern of response and commonly used RECIST 1.1 criteria do not take into account the kinetics of tumor behavior. Our study aimed at evaluating the tumor growth rate (TGR) in addition to RECIST 1.1 criteria to assess the benefit of immune checkpoint inhibitors (ICIs). Methods: Tumor real volume was calculated with a dedicated computed tomography (CT) software that semi-automatically assess tumor volume. Target lesions were identified according to RECIST 1.1. For each patient, we had 3 measurement of tumor volume. CT-1 was performed 8–12 weeks before ICI start, the CT at baseline for ICI was CT0, while CT + 1 was the first assessment after ICI. We calculated the percentage increase in tumor volume before (TGR1) and after immunotherapy (TGR2). Finally, we compared TGR1 and TGR2. If no progressive disease (PD), the group was disease control (DC). If PD but TGR2 < TGR1, it was called LvPD and if TGR2 ⩾ TGR1, HvPD. Results: A total of 61 patients who received ICIs and 33 treated with chemotherapy (ChT) were included. In ICI group, 18 patients were HvPD, 22 LvPD, 21 DC. Median OS was 4.4 months (95% CI: 2.0–6.8, reference) for HvPD, 7.1 months (95% CI 5.4–8.8) for LvPD, p = 0.018, and 20.9 months (95% CI: 12.5–29.3) for DC, p < 0.001. In ChT group, 7 were categorized as HvPD, 17 as LvPD and 9 as DC. No difference in OS was observed in the ChT group (p = 0.786) Conclusion: In the presence of PD, a decrease in TGR may result in a clinical benefit in patients treated with ICI but not with chemotherapy. Monitoring TGR changes after ICIs administration can help physician in deciding to treat beyond PD.
Minimally Invasive Repair of Subacute Achilles Tendon Ruptures: A Report of 2 Cases
Authors: Black Natalie R. , Chen Jie , Schweitzer Karl M. 
Published: February 2022

Minimally invasive repair techniques are typically reserved for the surgical treatment of acute Achilles tendon ruptures, with surgery performed within 2 weeks of injury. We present 2 successful cases of percutaneous Achilles tendon repair performed in the subacute setting. At final follow-up (15 and 18 months, respectively), both patients had American Orthopaedic Foot and Ankle Society hindfoot scale scores of 100 and had returned to their normal and recreational activities. Percutaneous Achilles tendon repair techniques may have expanded use in the subacute setting, which may mitigate wound issues and infection rates associated with more open approaches, while still providing a quality repair to allow for the most optimal functional outcome. Level of Evidence: Level IV: Case report
Location of Hamstring Injuries Based on Magnetic Resonance Imaging: A Systematic Review
Authors: Grange Sylvain , Reurink Gustaaf , Nguyen Anh Quoc , Riviera-Navarro Camille , Foschia Clément , Croisille Pierre , Edouard Pascal 
Published: February 2022

Context: Hamstring muscle injury location using magnetic resonance imaging (MRI) is not so well described in the literature. Objective: To describe the location of hamstring injuries using MRI. Data Sources: PubMed, Web of Science, Scopus, SPORTDiscus, Cochrane Library. Study Selection: The full text of studies, in English, had to be available. Case reports and reviews were excluded. Included studies must report the location of hamstring injuries using MRI within 8 days of the acute injury. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: A first screening was conducted based on title and abstract of the articles. In the second screening, the full text of the remaining articles was evaluated for the fulfillment of the inclusion criteria. Results: From the 2788 references initially found in 5 databases, we included 34 studies, reporting a total of 2761 acute hamstring injuries. The most frequent muscle head involved was the long head of the biceps femoris (BFLH) (70%), followed by the semitendinosus (ST) (15%), generally associated with BFLH. The most frequent tissue affected was the myotendinous junction (MTJ) accounting for half the cases (52%). Among all lesions, the distribution between proximal, central, and distal lesions looked homogenous, with 34.0%, 33.4% and 32.6%, respectively. The stretching mechanism, while only reported in 2 articles, represented 3% of all reported mechanisms, appears responsible for a specific lesion involving the proximal tendon of the semimembranosus (SM), and leading to a longer time out from sport. Conclusion: BFLH was the most often affected hamstring injuries and MTJ was the most affected tissue. In addition, the distal, central, and proximal locations were homogeneously distributed. We also noted that MRI descriptions of hamstring injuries are often poor and did not take full advantage of the MRI strengths. Systematic Review Registration: Before study initiation, the study was registered in the PROSPERO International prospective register of systematic reviews (registration number CRD42018107580).
Program Report: Can-SOLVE CKD Network Presents an Inclusive Method for Developing Patient-Oriented Research Tools
Authors: Getchell Leah E. , Fowler Elisabeth , Reich Marian , Allu Selina , Boucher Chantal , Burns Kevin , Desjarlais Arlene , L’Esperance Audrey , Elliott Meghan , Robinson-Settee Helen , Chiu Helen Hoi-Lun , Rosenblum Norman D. , Settee Craig , Murdoch Alicia , Dew Simone , Green Amanda , Franson Linnea , Bernstein Eva , Sparkes Dwight , Turner Catherine , Fernandez Nicolas , Sapir-Pichhadze Ruth 
Published: February 2022

Purpose of program: Given the growing interest in patient-oriented research (POR) initiatives, there is a need to provide relevant training and education on how to engage with patients as partners on research teams. Sources of information: As part of its mandate to develop appropriate training materials, the patient-oriented renal research network, Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD), established a training and Mentorship Committee (TMC). Methods: The committee brings together a unique combination of Indigenous and non-Indigenous patient partners (including caregivers, family members, and living donors), researchers, as well as patient engagement and knowledge translation experts, combining a multitude of perspectives and expertise. Following an assessment of training needs within the network, the TMC undertook the co-development of 5 learning modules to address the identified gaps. Subsequently, the committee divided into working groups tasked with developing content using a consultive and iterative approach informed by the DoTTI framework for building web-based tools for patients. In addition, the TMC embodied the guiding principles of inclusiveness, support, mutual respect, and co-building as set out by the Patient Engagement Framework through the Strategy for Patient-Oriented Research (SPOR) of the Canadian Institutes of Health Research. Key findings: The 5 new modules include: A Patient Engagement Toolkit, Storytelling for Impact, Promoting Kidney Research in Canada (KidneyPRO), Wabishki Bizhiko Skaanj Learning Pathway, and Knowledge Translation. The TMC’s approach to developing these modules demonstrates how a diverse group of stakeholders working together can create tools to support high-quality POR. This also provides a roadmap for other health research entities interested in developing similar tools within their unique domains. Limitations: The landscape of patient engagement in research is constantly evolving. This underscores the need for sustained resources to keep POR tools and training relevant and up-to-date. Sustaining such resources may not be feasible for all research entities. Implications: Collaborative approaches integrating patients in the development of POR tools ensure the content is relevant and meaningful to patients. Broader adoption of such approaches has great potential to address existing gaps and enhance the Canadian POR landscape.
Effect of Overweight and Obesity on Periodontal Treatment Intensity
Authors: Kaye E. , McDonough R. , Singhal A. , Garcia R.I. , Jurasic M. 
Published: February 2022

Introduction: Obesity is associated with greater utilization of medical resources, but it is unclear if a similar relationship exists for dental care. Objectives: This retrospective cohort study compared periodontal disease treatment among obese, overweight, and normal-weight patients attending an urban US dental school clinic. Methods: Periodontal, demographic, and medical history data for 3,443 adult patients examined between July 1, 2010, and July 31, 2019, were extracted from electronic health records. Body mass index (BMI) was computed from self-reported height and weight and categorized as obese (≥30 kg/m2), overweight (25–29.9 kg/m2), or normal (18–24.9 kg/m2). Periodontal disease was categorized using clinical probing measures. Procedure codes defined treatment type (surgical, nonsurgical, local chemotherapeutics, or none). Logistic regression models controlling for initial periodontal disease severity, age, gender, tobacco use, history of diabetes, dental insurance type, and follow-up (log of days) estimated odds ratios (ORs) and 95% confidence intervals (CIs) of any treatment among obese and overweight relative to normal-weight patients. The association between BMI and a periodontal treatment intensity score, based on treatment type, number of teeth treated, and number of visits, was evaluated with multivariable negative binomial regression. Results: Mean age at baseline was 44 ± 15 y, and severe periodontal disease was present in 32% of obese, 31% of overweight, and 21% of normal-weight patients. Average follow-up was 3.9 ± 1.6 y. Obese and overweight patients were more likely to have nonsurgical scaling and root planing or surgical procedures than normal-weight patients. Adjusted odds of any treatment were higher among obese (OR = 1.34; 95% CI, 1.14–1.72) and overweight (OR = 1.18; 95% CI, 0.97–1.42) relative to normal weight. Obese and overweight patients had 40% and 24% higher treatment intensity scores, respectively, than normal-weight patients. Conclusion: These results indicate obese and overweight individuals require more intensive periodontal treatment compared to normal-weight individuals, independent of initial disease severity. Knowledge of Transfer Statement: The results of this study can be used by dental providers and policymakers to better understand patient characteristics that influence the variability in frequency and length of periodontal treatment. Knowledge of a patient’s body mass index may be useful in identifying patients who possibly will have a poorer periodontal prognosis.
Precise Compound Control of Loading Force for Electric Load Simulator of Electric Power Steering Test Bench
Authors: Dai Changhua , Chen Guoying , Zong Changfu , Zhang Buyang 
Published: February 2022

AbstractElectric load simulator (ELS) systems are employed for electric power steering (EPS) test benches to load rack force by precise control. Precise ELS control is strongly influenced by nonlinear factors. When the steering motor rapidly rotates, extra force is directly superimposed on the original static loading error, which becomes one of the main sources of the final error. It is key to achieve ELS precise loading control for the entire EPS test bench. Therefore, a three-part compound control algorithm is proposed to improve the loading accuracy. First, a fuzzy proportional–integral plus feedforward controller with force feedback is presented. Second, a friction compensation algorithm is established to reduce the influence of friction. Then, the relationships between each quantity and the extra force are analyzed when the steering motor rapidly rotates, and a net torque feedforward compensation algorithm is proposed to eliminate the extra force. The compound control algorithm was verified through simulations and experiments. The results show that the tracking performance of the compound control algorithm satisfies the demands of engineering practice, and the extra force in the ELS system can be suppressed by the net torque corresponding to the actuator’s acceleration.
Generation and Selection of Driver-Behavior-Based Transferable Motion Primitives
Authors: Guan Haijie , Wang Boyang , Wei Jiaming , Lu Yaomin , Chen Huiyan , Gong Jianwei 
Published: February 2022

AbstractTo integrate driver experience and heterogeneous vehicle platform characteristics in a motion-planning algorithm, based on the driver-behavior-based transferable motion primitives (MPs), a general motion-planning framework for offline generation and online selection of MPs is proposed. Optimal control theory is applied to solve the boundary value problems in the process of generating MPs, where the driver behaviors and the vehicle motion characteristics are integrated into the optimization in the form of constraints. Moreover, a layered, unequal-weighted MP selection framework is proposed that utilizes a combination of environmental constraints, nonholonomic vehicle constraints, trajectory smoothness, and collision risk as the single-step extension evaluation index. The library of MPs generated offline demonstrates that the proposed generation method realizes the effective expansion of MP types and achieves diverse generation of MPs with various velocity attributes and platform types. We also present how the MP selection algorithm utilizes a unique MP library to achieve online extension of MP sequences. The results show that the proposed motion-planning framework can not only improve the efficiency and rationality of the algorithm based on driving experience but can also transfer between heterogeneous vehicle platforms and highlight the unique motion characteristics of the platform.