bluuebunny/crossref_metadata_2025_split huggingface dataset:
Academic Output in Global Surgery after the Lancet Commission on Global Surgery: A Scoping Review
Authors: Fowler Zachary , Dutta Rohini , Kilgallon John L. , Wobenjo Adili , Bandyopadhyay Soham , Shah Priyansh , Jain Samarvir , Raykar Nakul P. , Roy Nobhojit 
Published: July 2022

AbstractBackgroundThe Lancet Commission on Global Surgery (LCoGS) published its seminal report in 2015, carving a niche for global surgery academia. Six years after the LCoGS, a scoping review was conducted to see how the term ‘global surgery’ is characterized by the literature and how it relates to LCoGS and its domains.MethodsPubMed was searched for publications between January 2015 and February 2021 that used the term ‘global surgery’ in the title, abstract, or key words or cited the LCoGS. Variables extracted included LCoGS domains, authorship metrics, geographic scope, and clinical specialty.ResultsThe search captured 938 articles that qualified for data extraction. Nearly 80% of first and last authors had high‐income country affiliations. Africa was the most frequently investigated region, though many countries within the region were under‐represented. The World Journal of Surgery was the most frequent journal, publishing 13.9% of all articles. General surgery, pediatric surgery, and neurosurgery were the most represented specialties. Of the LCoGS domains, healthcare delivery and management were the most studied, while economics and financing were the least studied.ConclusionA lack of consensus on the definition of global surgery remains. Additional research is needed in economics and financing, while obstetrics and trauma are under‐represented in literature using the term ‘global surgery’. Efforts in academic global surgery must give a voice to those carrying the global surgery agenda forward on the frontlines. Focusing on research capacity‐building and encouraging contribution by local partners will lead to a stronger, more cohesive global surgery community.
Feasibility and Safety of Ambulatory Transoral Endoscopic Thyroidectomy via Vestibular Approach (TOETVA)
Authors: Van Den Heede Klaas , Brusselaers Nele , Gaujoux Sébastien , Menegaux Fabrice , Chereau Nathalie 
Published: July 2022

AbstractBackgroundIn search of an ideal cosmesis, transoral endoscopic thyroidectomy via vestibular approach (TOETVA) has recently been introduced to avoid a visible scar. Although ambulatory thyroid surgery is considered safe in carefully selected patients, this remains unclear for TOETVA.MethodsAll consecutive adult patients who underwent ambulatory TOETVA or open thyroid surgery at a French university hospital were prospectively enrolled from 12/2020 until 11/2021. The primary outcome was postoperative morbidity (recurrent laryngeal nerve (RLN) palsy, re‐intervention for bleeding, wound morbidity, or hospital readmission). The secondary outcome was quality of life (QoL), measured by a survey including a validated questionnaire (SF‐12) and a modified thyroid surgery questionnaire six weeks after surgery.ResultsThroughout the study period, 374 patients underwent a unilateral lobectomy or isthmectomy in ambulatory setting, of which 34 (9%) as TOETVA (including 21 (62%) for a possible malignancy). In the TOETVA group, younger age (median 40 (IQR 35–50) vs. 51 (40–60) years, P < 0.001) and lower BMI (median 23.1 (20.9–25.4) vs. 24.9 (22.1–28.9) kg/m2, P = 0.001) were noted. No cases were converted to open cervicotomy. TOETVA was at least as good as open cervicotomy with nil versus four (1%) re‐interventions for bleeding, one temporary (5%) versus 13 (4%) (temporary) RLN palsies, and one (<1%) wound infection (open cervicotomy group). No hospital readmissions occurred in all ambulatory surgery patients. No differences were found in physical (P = 0.280) and mental (P = 0.569) QoL between TOETVA and open surgery.ConclusionsIn carefully selected patients, the feasibility and safety of ambulatory TOETVA are comparable to open surgery.
Self-implementation of social choice correspondences in Nash equilibrium
Authors: Mukherjee Saptarshi , Peters Hans 
Published: July 2022

AbstractA social choice correspondence is Nash self-implementable if it can be implemented in Nash equilibrium by a social choice function that selects from it as the game form. We provide a complete characterization of all unanimous and anonymous Nash self-implementable social choice correspondences when there are two agents or two alternatives. For the case of three agents and three alternatives, only the top correspondence is Nash self-implementable. In all other cases, every Nash self-implementable social choice correspondence contains the top correspondence and is contained in the Pareto correspondence. In particular, when the number of alternatives is at least four, every social choice correspondence containing the top correspondence plus the intersection of the Pareto correspondence with a fixed set of alternatives, is self-implementable.
Characterization of industrial low-density polyethylene: a thermal, dynamic mechanical, and rheological investigation
Authors: Poh Leslie , Wu Qi , Chen Yidan , Narimissa Esmaeil 
Published: July 2022

AbstractThe study of commercial low-density polyethylenes (LDPEs) has always focused on the effects of the molecular architecture of the polymer on its shear and extensional rheological properties due to their direct influence on manufacturability. However, the complex morphology of industrial-grade LDPEs also affects the crystallization kinetics and dynamic mechanical properties of the polymers, which are key to the processibility and applications. Therefore, a comprehensive investigation was conducted into the areas of crystallization kinetics, crystallinity, dynamic mechanical, and linear and non-linear shear rheological properties of two industrial-grade LDPEs to build a cohesive insight into the influence of morphology on these material properties. We further analyzed the steady-state and transient shear viscosity data obtained from the two LDPEs in comparison with constitutive model predictions using the hierarchical multi-mode molecular stress function (HMMSF) and found excellent agreement within experimental accuracy between predictions by the HMMSF model and shear stress as well as normal stress data of the LDPEs investigated.
Acute Effect of Bronchodilator on Intrathoracic Airway Wall Compliance in COPD Patients
Authors: Pini Laura , Ziletti Giulia Claudia , Ciarfaglia Manuela , Giordani Jordan , Tantucci Claudio 
Published: July 2022

Abstract
Purpose
In patients with chronic obstructive pulmonary disease (COPD), bronchial responsiveness after acute administration of short acting bronchodilators is conventionally assessed by measuring the improvement of forced expiratory volume in the first second (FEV1) during a maximal forced expiratory maneuver. This study aimed to measure the variation of intrathoracic airway wall compliance (AWC) after acute administration of short acting beta-2 agonist in COPD patients since this might influence the final modification of airway caliber during maximal expiratory effort and the resulting bronchodilation as inferred by FEV1 changes.

Methods
In a group of 10 patients suffering from COPD, intrathoracic AWC was measured at middle (50% of Forced Vital Capacity (FVC) and low (75% of FVC) lung volumes using the interrupter method during forced expiratory maneuver in basal conditions and after acute inhalation of albuterol (salbutamol) (400 mcg by MDI). Ten healthy subjects were examined similarly as a control group.

Results
Lower values of baseline intrathoracic AWC at both lung volumes were found in COPD patients (1.72 ± 0.20 ml/cmH2O and 1.08 ± 0.20 ml/cmH2O, respectively) as compared to controls (2.28 ± 0.27 ml/cmH2O and 1.44 ± 0.22 ml/cmH2O, respectively) (p < 0.001). In COPD patients, AWC increased significantly at both lung volumes after salbutamol, amounting to 1.81 ± 0.38 ml/cmH2O and 1.31 ± 0.39 ml/cmH2O, respectively (p < 0.01), but the relative change was not different from that observed in controls.

Conclusion
In COPD patients, AWC is reduced compared to controls, but after bronchodilator, the intrathoracic airways become more compliant. The consequent increased collapsibility under high positive pleural pressure could limit the airway caliber improvement seen after bronchodilator, as assessed by the FEV1 changes during the forced expiratory maneuver, underestimating the effective bronchodilation achieved in these patients.
How fluid infiltrates dry crustal rocks during progressive eclogitization and shear zone formation: insights from H2O contents in nominally anhydrous minerals
Authors: Kaatz Lisa , Reynes Julien , Hermann Jörg , John Timm 
Published: July 2022

AbstractGranulites from Holsnøy (Bergen Arcs, Norway) maintained a metastable state until fluid infiltration triggered the kinetically delayed eclogitization. Interconnected hydrous eclogite-facies shear zones are surrounded by unreacted granulites. Macroscopically, the granulite–eclogite interface is sharp and there are no significant compositional changes in the bulk chemistry, indicating the fluid composition was quickly rock buffered. To better understand the link between deformation, fluid influx, and fluid–rock interaction one cm-wide shear zone at incipient eclogitization is studied here. Granulite and eclogite consist of garnet, pyroxene, and plagioclase. These nominally anhydrous minerals (NAMs) can incorporate H2O in the form of OH groups. H2O contents increase from granulite to eclogite, as documented in garnet from ~ 10 to ~ 50 µg/g H2O, pyroxene from ~ 50 to ~ 310 µg/g H2O, and granulitic plagioclase from ~ 10 to ~ 140 µg/g H2O. Bowl-shape profiles are characteristic for garnet and pyroxene with lower H2O contents in grain cores and higher at the rims, which suggest a prograde water influx into the NAMs. Omphacite displays a H2O content range from ~ 150 to 425 µg/g depending on the amount of hydrous phases surrounding the grain. The granulitic plagioclase first separates into a hydrous, more albite-rich plagioclase and isolated clinozoisite before being replaced by new fine-grained phases like clinozoisite, kyanite and quartz during ongoing fluid infiltration. Results indicate a twofold fluid influx with different mechanisms to act simultaneously at different scales and rates. Fast and more pervasive proton diffusion is recorded by NAMs that retain the major element composition of the granulite-facies equilibration where hydrogen decorates pre-existing defects in the crystal lattice and leads to OH increase. Contemporaneously, slower grain boundary-assisted aqueous fluid influx enables element transfer and results in progressive formation of new minerals, e.g., hydrous phases. Both mechanisms lead to bulk H2O increase from ~ 450 to ~ 2500 µg/g H2O towards the shear zone and convert the system from rigid to weak. The incorporation of OH groups reduces the activation energy for creep, promotes formation of smaller grain sizes (phase separation of plagioclase), and synkinematic metamorphic mineral reactions. These processes are part of the transient weakening, which enhance the sensitivity of the rock to deform.
Immunolocalization of zinc transporters and metallothioneins reveals links to microvascular morphology and functions
Authors: Tran Hai B. , Jakobczak Rachel , Abdo Adrian , Asare Patrick , Reynolds Paul , Beltrame John , Hodge Sandra , Zalewski Peter 
Published: July 2022

AbstractZinc homeostasis is vital to immune and other organ system functions, yet over a quarter of the world’s population is zinc deficient. Abnormal zinc transport or storage protein expression has been linked to diseases, such as cancer and chronic obstructive pulmonary disorder. Although recent studies indicate a role for zinc regulation in vascular functions and diseases, detailed knowledge of the mechanisms involved remains unknown. This study aimed to assess protein expression and localization of zinc transporters of the SLC39A/ZIP family (ZIPs) and metallothioneins (MTs) in human subcutaneous microvessels and to relate them to morphological features and expression of function-related molecules in the microvasculature. Microvessels in paraffin biopsies of subcutaneous adipose tissues from 14 patients undergoing hernia reconstruction surgery were analysed for 9 ZIPs and 3 MT proteins by MQCM (multifluorescence quantitative confocal microscopy). Zinc regulation proteins detected in human microvasculature included ZIP1, ZIP2, ZIP8, ZIP10, ZIP12, ZIP14 and MT1-3, which showed differential localization among endothelial and smooth muscle cells. ZIP1, ZIP2, ZIP12 and MT3 showed significantly (p < 0.05) increased immunoreactivities, in association with increased microvascular muscularization, and upregulated ET-1, α-SMA and the active form of p38 MAPK (Thr180/Tyr182 phosphorylated, p38 MAPK-P). These findings support roles of the zinc regulation system in microvascular physiology and diseases.
Evolution of endoscopic vacuum therapy for upper gastrointestinal leakage over a 10-year period: a quality improvement study
Authors: Reimer Stanislaus , Seyfried Florian , Flemming Sven , Brand Markus , Weich Alexander , Widder Anna , Plaßmeier Lars , Kraus Peter , Döring Anna , Hering Ilona , Hankir Mohammed K. , Meining Alexander , Germer Christoph-Thomas , Lock Johan F. , Groneberg Kaja 
Published: July 2022

Abstract
Background
Endoscopic vacuum therapy (EVT) is an effective treatment option for leakage of the upper gastrointestinal (UGI) tract. The aim of this study was to evaluate the clinical impact of quality improvements in EVT management on patients’ outcome.

Methods
All patients treated by EVT at our center during 2012–2021 were divided into two consecutive and equal-sized cohorts (period 1 vs. period 2). Over time several quality improvement strategies were implemented including the earlier diagnosis and EVT treatment and technical optimization of endoscopy. The primary endpoint was defined as the composite score MTL30 (mortality, transfer, length-of-stay > 30 days). Secondary endpoints included EVT efficacy, complications, in-hospital mortality, length-of-stay (LOS) and nutrition status at discharge.

Results
A total of 156 patients were analyzed. During the latter period the primary endpoint MTL30 decreased from 60.8 to 39.0% (P = .006). EVT efficacy increased from 80 to 91% (P = .049). Further, the need for additional procedures for leakage management decreased from 49.9 to 29.9% (P = .013) and reoperations became less frequent (38.0% vs.15.6%; P = .001). The duration of leakage therapy and LOS were shortened from 25 to 14 days (P = .003) and 38 days to 25 days (P = .006), respectively. Morbidity (as determined by the comprehensive complication index) decreased from 54.6 to 46.5 (P = .034). More patients could be discharged on oral nutrition (70.9% vs. 84.4%, P = .043).

Conclusions
Our experience confirms the efficacy of EVT for the successful management of UGI leakage. Our quality improvement analysis demonstrates significant changes in EVT management resulting in accelerated recovery, fewer complications and improved functional outcome.
Optimizing laparoscopic training efficacy by ‘deconstruction into key steps’: a randomized controlled trial with novice medical students
Authors: Widder A. , Backhaus J. , Wierlemann A. , Hering I. , Flemming S. , Hankir M. , Germer C.-T. , Wiegering A. , Lock J. F. , König S. , Seyfried F. 
Published: July 2022

Abstract
Background
Simulator training is an effective way of acquiring laparoscopic skills but there remains a need to optimize teaching methods to accelerate learning. We evaluated the effect of the mental exercise ‘deconstruction into key steps’ (DIKS) on the time required to acquire laparoscopic skills.

Methods
A randomized controlled trial with undergraduate medical students was implemented into a structured curricular laparoscopic training course. The intervention group (IG) was trained using the DIKS approach, while the control group (CG) underwent the standard course. Laparoscopic performance of all participants was video-recorded at baseline (t0), after the first session (t1) and after the second session (t2) nine days later. Two double-blinded raters assessed the videos. The Impact of potential covariates on performance (gender, age, prior laparoscopic experience, self-assessed motivation and self-assessed dexterity) was evaluated with a self-report questionnaire.

Results
Both the IG (n = 58) and the CG (n = 68) improved their performance after each training session (p < 0.001) but with notable differences between sessions. Whereas the CG significantly improved their performance from t0 –t1 (p < 0.05), DIKS shortened practical exercise time by 58% so that the IG outperformed the CG from t1 -t2, (p < 0.05). High self-assessed motivation and dexterity associated with significantly better performance (p < 0.05). Male participants demonstrated significantly higher overall performance (p < 0.05).

Conclusion
Mental exercises like DIKS can improve laparoscopic performance and shorten practice times. Given the limited exposure of surgical residents to simulator training, implementation of mental exercises like DIKS is highly recommended. Gender, self-assessed dexterity, and motivation all appreciably influence performance in laparoscopic training.
Perinatal depression screening: a systematic review of recommendations from member countries of the Organisation for Economic Co-operation and Development (OECD)
Authors: El-Den Sarira , Pham Lily , Anderson Isobel , Yang Shan , Moles Rebekah J. , O’Reilly Claire L. , Boyce Philip , Raine Karen Hazell , Raynes-Greenow Camille 
Published: July 2022

Abstract
Perinatal depression (PND) screening recommendations are made by national, state-based and professional organisations; however, there is disagreement regarding screening timing, provider responsible, screening setting, screening tool as well as the follow-up and referral pathways required post-screening. This systematic review aimed to identify, describe and compare PND screening recommendations from member countries of the Organisation for Economic Co-operation and Development (OECD). Publications were identified through systematically searching PubMed, Google and the Guidelines International Network (GIN). Recommendations regarding PND screening endorsement, timing, frequency, responsible provider, tools/assessments and follow-up and referral were extracted. Twenty-one publications, including guidelines, from five countries were included. Most made recommendations in support of PND screening using the Edinburgh Postnatal Depression Scale. Details differed regarding terminology used, as well as frequency of screening, follow-up mechanisms and referral pathways. A broad range of health providers were considered to be responsible for screening. This is the first review to identify and compare PND screening recommendations from OECD member countries; however, only online publications published in English, from five countries were included. Heterogeneity of publication types and inconsistency in definitions rendered quality assessment inappropriate. While most publications generally endorsed PND screening, there are exceptions and the associated details pertaining to the actual conduct of screening vary between and within countries. Developing clear, standardised recommendations based on current evidence is necessary to ensure clarity amongst healthcare providers and a comprehensive approach for the early detection of PND.
Study of protease-mediated processes initiating viral infection and cell–cell viral spreading of SARS-CoV-2
Authors: Thaingtamtanha Thanawat , Baeurle Stephan A. 
Published: July 2022

Abstract
Viral-cell entry and cell–cell viral spreading processes of SARS-CoV-2 are subjected to fast evolutionary optimization because of its worldwide spreading, requiring the need for new drug developments. However, this task is still challenging, because a detailed understanding of the underlying molecular processes, mediated by the key cellular proteases TMPRSS2 and furin, is still lacking. Here, we show by large-scale atomistic calculations that binding of the ACE2 cell receptor at one of the heteromers of the SARS-CoV-2 spike leads to a release of its furin cleavage site (S1/S2), enabling an enhanced furin binding, and that this latter process promotes the binding of TMPRSS2 through the release of the TMPRSS2 cleavage site (S2′) out of the ACE2-binding heteromer. Moreover, we find that, after proteolytic cleavage, improved furin binding causes that parts of the S2 subunit dissociate from the complex, suggesting that furin promotes the fusion of the S2 subunit with the cell membrane before transfer of the viral RNA.
Graphical abstract
Here we show by computational means that binding of the ACE2-cell receptor at one of the heteromers of the SARS-CoV-2 spike leads to an enhanced binding of the protease furin, promoting the binding of the protease TMPRSS2. Moreover, we show that, after proteolytic cleavage, improved furin binding causes that parts of the heteromer dissociate from the spike.
The entire lifetime of a distinct double-diffusive staircase in crater Lake Nyos, Cameroon
Authors: Wüest Alfred , Issa  , Dinkel Christian , Halbwachs Michael , Müller Beat 
Published: July 2022

AbstractLake Nyos, a deep crater lake, located in the north-west of Cameroon, was permanently stratified below 50 m depth due to subaquatic sources supplying warm, salty and CO2-enriched water into the deepest reaches. The high CO2 content in these source waters caused the 1986 limnic eruption. The deep inflowing water is denser than the hypolimnetic water and maintains the stability of the water column, which is double-diffusively stratified. During the dry season in Feb 2002, cooling triggered the formation of a double-diffusive (DD) staircase, a sequence of homogeneously mixed layers separated by distinct stable interfaces. The initiation of the staircase was slightly below the permanent chemocline at ~ 50 m depth, from where the staircase expanded vertically in a diffusion-type manner for ~ 750 days to a maximal vertical extension of ~ 37 m. The staircase pattern caused the upward heat fluxes to increase which depleted the driving temperature gradient. Subsequently, the density ratio increased and reduced the upward heat flux divergence until DD progressively weakened and finally the staircase structure eroded. Based on 39 CTD profiles, we describe the DD phenomenon, explain the three distinct phases of this unique DD event, which lasted for ~ 850 days, and discuss the vertical extension of the DD zone in relation to the rates of new layer formation and layer decay. To our knowledge, this is the only observation over the entire lifespan—“from birth to death”—of a DD event in a natural water body.