bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Prospective Investigation of the Impact of Telemedicine and Telemetry on Global Medical Evacuation Rates
Authors: Stilz Imogen , Freire de Carvalho Mary , Toner Sharyn , Berg Johannes 
Published: August 2022

Objectives
This study examines whether the availability of telemedicine on offshore installations reduces medical evacuation rates.

Methods
This is a prospective cohort study on offshore platforms in the United States, Malaysia, and the United Kingdom. Emergency evacuation rates were compared between locations with telemedicine (United States) and 2 control groups without telemedicine (Malaysia, United Kingdom).

Results
Three hundred eighty-four cases in the telemedicine group and 261 cases in the control groups were included. The odds (adjusted and unadjusted) of medical evacuation were significantly higher for assets without telemedicine, contractors, and age older than 60 years. Analysis indicated a shift from emergency evacuation to routine transport for the telemedicine group.

Conclusions
Telemedicine reduces emergency medical evacuations from offshore installations. This reduction is likely due to an increased capacity for transforming emergency care into routine care at the offshore location.
Exercise Training During Working Hours at a Hospital Department
Authors: Molsted Stig , Justesen Just Bendix , Møller Sofie Fønsskov , Særvoll Charlotte Ahlgren , Krogh-Madsen Rikke , Pedersen Bente Klarlund , Fischer Thea Kølsen , Dalager Tina , Lindegaard Birgitte 
Published: August 2022

Objectives
This pilot study tested the use of an exercise offer to hospital employees during working hours and changes in work and health parameters.

Methods
Employees (n = 214) from a medical department on a Danish hospital were invited to 30 minutes' exercise training twice weekly for 12 weeks. Outcomes included health- and work-related parameters.

Results
Eighty employees (mean age, 44.4 [SD, 10.7] years; 81.3% women) completed the study. Intervention adherence was 36.3% (SD, 25.1%). Aerobic capacity increased from 34.6 (95% confidence interval [CI], 32.3 to 36.9) to 36.7 (95% CI, 34.1 to 39.4) mL O2/min per kilogram, P = 0.004. Blood pressure decreased from 120 (95% CI, 117 to 123)/79 (95% CI, 76 to 81) to 116 (95% CI, 112 to 120)/76 (95% CI, 74 to 79) mm Hg, P = 0.003. Waist circumference and musculoskeletal pain decreased. Well-being, social capital, and quality of life increased.

Conclusions
Despite low training adherence, completers improved outcomes related to metabolic and self-rated health.
Near-lossless compression of PET/CT images using singular value decomposition
Authors: Chaudhary Jagrati , Pandey Anil Kumar , Sharma Param D. , Jaleel Jasim , Patel Chetan , Bal Chandra Sekhar , Kumar Rakesh 
Published: August 2022

Aims and objectives
The aim of the study is to compare the single matrix approach and slice-by-slice approach for computing singular value decomposition (SVD) to achieve near-lossless compression of PET/CT images.

Materials and methods
The parameters used for comparison were SVD computation time, percentage compression and percentage difference between ROI counts on compressed and original images. SVD of 49 F-18-FDG PET/CT studies (33 370 PET/CT images) was computed using both approaches. The smaller singular values contributing insignificant information to the image were truncated, and then, the compressed image was reconstructed. A mask (101 × 101pixels) was used to extract the ROI counts from compressed and original images. Two nuclear medicine physicians compared compressed images with their corresponding original images for loss of clinical details and the presence of generated artifacts. Structural Similarity Index Measure, blur, brightness, contrast per pixel and global contrast factor were used for objective assessment of image quality. Wilcoxon test was applied to find a statistically significant difference between the parameters used for comparison at alpha = 0.05.

Results
Nuclear medicine physicians found compressed image identical to the corresponding original image. The values of comparation parameters were significantly larger for the single matrix approach in comparison with the slice-by-slice approach. The maximum percentage error between the compressed image and original image was less than 5%.

Conclusions
Up to 64 % and 44% near-lossless compression of PET and CT images were achieved, respectively using the slice-by-slice approach, and up to 58 and 53% near-lossless compression of PET and CT images were achieved respectively using the single matrix approach.
Psychological treatment for pediatric functional abdominal pain disorders
Authors: Puckett-Perez Stevie , Gresl Brittany 
Published: August 2022

Purpose of review
The purpose of this review is to discuss up-to-date psychological treatment strategies for functional abdominal pain disorders (FAPDs) with practical implications for primary care providers who are the “front line” of treatment for pediatric FAPD.

Recent findings
Positive diagnosis, pain education, and access to multidisciplinary care improve outcomes for FAPD patients. Cognitive behavioral therapy (CBT) and hypnosis continue to have the strongest evidence in psychological treatments, but educational interventions and other nonpharmacological approaches show promise as well. There are innovative programs that combine these tools into group or internet-based treatments to expand access to care. Additionally, nonpharmacological tools, including neurostimulation and virtual reality programs, are increasing in popularity.

Summary
FAPD is prevalent across pediatric practices, yet there is no standard medical or dietary approach, and there are many barriers to diagnosis and treatment. It is important for patients to have positive encounters around diagnosis and education, access to multidisciplinary care, and integrated psychological support. Consistently, studies show that psychology continues to be a vital component of care. This review discusses supported uses of psychology, innovative programming for increasing access to care, and how primary care providers can incorporate lessons learned from psychology in FAPD care.

Video Abstract

http://links.lww.com/MOP/A67.
Impact of Allogeneic Hematopoietic Stem Cell Transplantation on Nutritional Status and Intake in Children
Authors: Kvammen Janne Anita , Thomassen Rut Anne , Buechner Jochen , Sitsabesan Ajiitha , Bentsen Beint Sigmund , Bechensteen Anne Grete , Henriksen Christine 
Published: August 2022

Objectives:This study aimed to describe the impact of allogeneic/haploidentical hematopoietic stem cell transplantation on nutritional status and intake in a group of children aged 2 to 18 years.Methods:In an observational study, data were collected prospectively. Patients were prescribed individual nutritional support by hospital routines. Anthropometrics were measured pre‐transplant at hospital admission and weekly from the day of transplant (day 0) until day +28. z scores for weight, height, and BMI were calculated using Norwegian growth references to assess nutritional status. Pre‐transplant diet was assessed on the day of hospitalization. Nutrient provision from enteral nutrition (EN = oral and tube) and parenteral nutrition (PN) was assessed by daily records from day +1 until day +28, or previous discharge, and compared with recommendations (RI) from the Nordic Nutrition Recommendations and ESPGHAN guidelines. Total energy intake was presented as the percentage (%) of basal metabolic rate (BMR) calculated by the Schofield equation. Macro‐ and micronutrient provisions were presented as medians (interquartile range) and the % of RI.Results:Twenty‐eight patients, mean age 10.3 years (range 3.5–16.6), were included. Two‐thirds (n = 18) had malignant diseases. At admission, mean weight Z‐score was −0.3, height z scores −0.7, and BMI Z‐score 0.1. Eighteen percent (n = 5) were stunted and 25% (n = 7) had overweight. At admission, 25% (n = 7) had established tube feeding, and 7% (n = 2) also had PN. No significant changes in weight z scores were detected during the studied weeks (P = 0.454). The median daily energy provision was 115% (110–123) of BMR and proteins 1.5 (1.3–1.8) g/kg. EN was provided during a median of 93% of the studied days and provided 21% of the energy. PN was given on a median of 96% of the studied days and provided 79% of energy. RI for vitamins, magnesium, and zinc was met. Provision of copper, iodine, selenium, calcium, and phosphate was below RI.Conclusions:Combined EN and PN providing 115% of BMR and 1.5 g/kg protein ensured stable weight by day +28 and covered RI, except for trace elements and minerals.
Ambulatory Oncology Nurses Weigh in About 12-Hour Shifts
Authors: Jabaley Terri , Bagley Janet , Beardslee Brian , Hammer Marilyn J. 
Published: August 2022

BACKGROUND
Studies conducted in hospital settings have associated negative clinical outcomes with 12-hour shifts. Despite this, 12-hour shifts are common in nursing and popular among nurses. Little is known about outcomes associated with 12-hour shifts in ambulatory care settings.

OBJECTIVE
A mixed-methods, quality improvement project was conducted in a large, ambulatory cancer center to evaluate oncology nursing staff perspectives on 12-hour shift work.

METHODS
One hundred ambulatory oncology nurses completed surveys and 11 participated in focus group interviews.

FINDINGS
Nurses expressed predominately positive perspectives about 12-hour shift work in ambulatory oncology care.

CONCLUSIONS
Ambulatory oncology nurses perceived benefits to quality, safety, and satisfaction for both nurses and patients related to 12-hour shifts. Further evaluation of patient, nurse, and organizational outcomes unique to ambulatory settings is essential for nurse executives in formulating data-driven staffing plans. The incorporation of 12-hour shifts should be considered.
BREAST-Q Breast-Conserving Therapy Module: Normative Data From A Dutch Sample of 9059 Women
Authors: Oemrawsingh Arvind , Clarijs Marloes E. , Pusic Andrea L. , Lingsma Hester F. , Verhoef Cornelis , Hazelzet Jan A. , Koppert Linetta B. 
Published: August 2022

Background:
The BREAST-Q, a patient-reported outcome measure for cosmetic and reconstructive breast surgery, is widely used in both clinical research and practice. The aim of this study was to acquire normative data of the BREAST-Q’s Breast-Conserving Therapy module from a Dutch population sample and to compare it to existing normative BREAST-Q values.

Methods:
Flyers with QR-codes, WhatsApp, and one academic center’s Facebook and LinkedIn platforms were used to direct participants to self-complete an online version of four domains of the preoperative BREAST-Q Breast-Conserving Therapy module. BREAST-Q domain scores were log transformed to normalize the distribution. Univariable regression analyses were used to assess (non-linear) associations between age and BREAST-Q domain scores.

Results:
Overall, 9 059 questionnaire responses were analyzed. Median BREAST-Q domain scores were 64.0±SD 18.0 (“Satisfaction with Breasts”), 69.0±SD 21.0 (“Psychosocial Wellbeing”), 92.0±SD 20 (“Physical Wellbeing”) and 59.0±SD 15.0 (“Sexual Wellbeing”). Age as a linear term was associated with log-transformed “Satisfaction with Breasts”, “Psychosocial Wellbeing” and “Physical Wellbeing”, while “Sexual Wellbeing” was a quadratic functions of age. Prior non-breast cancer-related surgery was a significant predictor for higher log-transformed “Satisfaction with Breasts” (β=0.04, p<0.001) and higher “Sexual Wellbeing” (β=–0.05, p<0.001) scores. Compared to previously published normative data, small differences were found in mean BREAST-Q domain scores (mean differences ranging between 2.45 – 6.24).

Discussion:
Normative Dutch BREAST-Q scores follow similar patterns across domains in comparison to previously published normative data. Normative Dutch BREAST-Q data enables future comparisons in breast-related satisfaction and quality of life issues of Dutch breast cancer patients against their age-matched peers.
A Prospective, Randomized Comparison of Clinical Outcomes with Different Processing Techniques in Autologous Fat Grafting
Authors: Hanson Summer E. , Garvey Patrick B. , Chang Edward I. , Reece Gregory P. , Liu Jun , Baumann Donald P. , Butler Charles E. 
Published: August 2022

Introduction:
Autologous fat grafting is a useful tool in breast reconstruction. The authors have previously demonstrated a difference in the rate of processing adipose grafts in a randomized time and motion clinical trial. The purpose of this study is to compare clinical outcomes in commonly used grafting systems.

Methods:
Three methods to prepare adipose grafts were compared: a passive washing-filtration system (PureGraft TM system–PF), an active washing-filtration system (Revolve TM system–AF) or centrifugation (Coleman technique, C). Postoperative complications, rates of fat necrosis, revision procedures, and additional imaging were recorded.

Results:
Forty-six patients were included in the prospective, randomized study (15 AF, 15 PF and 16 C). The mean age was 54 years and mean body mass index was 28.6 kg/m2. The mean length of follow-up was 16.9 ± 4 months. The overall complication rate was 12.1%. The probability of fat necrosis was no different between the groups (AF=15% versus PF=14.3% versus C=8%; p=0.72). Fat necrosis was highest in patients with breast conservation prior to grafting (60%, p=0.011). There was no significant difference in contour irregularity (AF=40% versus PF=38% versus C=36%, p=0.96) or additional grafting (AF=40% versus PF=24% versus C=32%, p=0.34).

Conclusions:
This is the first prospective, randomized study to compare clinical outcomes of adipose graft preparation. There is no significant difference in early complications, fat necrosis or rates of additional grafting among the study groups. There was significantly higher risk of fat necrosis in patients with prior breast conservation treatment regardless of processing technique.
How does oncoplastic surgery compare with standard partial mastectomy? A systematic review of patient reported outcomes.
Authors: Char Sydney , Bloom Joshua A. , Erlichman Zachary , Jonczyk Michael , Chatterjee Abhishek , Guo Lifei 
Published: August 2022

Introduction:
Many breast conservation surgical options exist for breast cancer. Surgical choices can have lasting impacts on a patient’s life, so patient satisfaction is important to assess. Patient reported outcome measures (PROMs) provide important tools when evaluating surgical modalities. This systematic review aims to evaluate how patients describe breast conservation surgical choices in standard partial mastectomy and oncoplastic surgery options.

Methods:
A PubMed PRISMA search was performed for studies discussing standard partial mastectomy (PM) or oncoplastic surgery (OPS) and measurement of preoperative and postoperative patient-reported outcomes using the BREAST-Q or other validated PROMs. We further categorized OPS into volume displacement and volume replacement categories. Articles in non-English languages, not involving PM or OPS, or not measuring patient-reported outcomes were excluded. Weighted proportions were generated and analyzed with a welch t-test.

Results:
Of 390 articles, 43 articles met inclusion criteria, and 8784 patients were included in a pooled database. While standard PM scored well, OPS performed significantly better than PM in all postoperative BREAST-Q categories: satisfaction with breasts (74.3 vs. 65.7), psychosocial well-being (81.3 vs. 78.0), sexual well-being (61.6 vs. 54.9), and satisfaction with outcome (85.4 vs. 62.2). Level 2 volume displacement surgery had the most favorable scores.

Conclusions:
Breast conservation surgical choices that include a variety of OPS and PM all score well in PROMs, with OPS significantly preferred over PM. OPS should be considered in all cases and the appropriate breast conservation surgical choice should depend on the patient’s tumor presentation and anatomy.
Prepectoral direct-to-implant breast reconstruction without placement of acellular dermal matrix or mesh after nipple sparing mastectomy
Authors: Urban Cicero , Gonzales Eduardo , Fornazari Alessandra , Berman Gastón , Spautz Cléverton , Kuroda Flávia , Anselmi Karina Furlan , Rabinovich Iris , Dória Maíra , Nissen Leonardo , Junior Eduardo Schünemann , Sobreiro Bernardo , Lima Rubens 
Published: August 2022

Objective:
The aim of this study was to report the results of prepectoral direct-to implant (DTI) reconstruction in nipple-sparing mastectomy (NSM), without acellular dermal matrices (ADM) or mesh.

Methods:
Multicenter cohort of patients, from 2013 to 2020, where all sizes and types of breasts, either for prophylactic or therapeutic surgical purposes were included, except those with previously failed reconstruction, previous radiotherapy with severe skin damage, locally advanced breast cancer, gigantomasty, severe degree of ptosis, tumors closer to NAC (<1cm on MRI), and combined autologous-based reconstruction.

Results:
280 immediate breast reconstructions were performed in 195 patients. The mean age was 45, and 32.8% were post-menopausal. The mean follow-up was 16.5 (±17.43) months. Eighty-five (43.6%) underwent bilateral mastectomy; 116 (41.4%) mastectomies were prophylactic and 164 (58.6%) were therapeutic. Sixty-eight (24%) reconstructions had at least one acute complication, the most common was implant explantation (9.2%), which were more frequent in smokers. Late complications like rippling grades III and IV, were observed in 7 (3.8%) cases, capsular contracture Baker II-IV in 29 (15.7%), being 22 as Baker II (11.9%), 6 Baker III (3.3%) and 1 Baker IV (0.5%). One implant rotation was observed. No deformity animation was observed. Cosmetic results were considered good or excellent in 87.3%.

Conclusions:
Overall complications were like ADM, mesh, or subpectoral reported series, except by a higher explantation rate. This technique is safe and economically advantageous, as it is a one-stage technique without ADM and mesh. However, this is a preliminary data and larger and comparative studies are required.
Aging of the nose: a quantitative analysis of nasal soft tissue and bone on computed tomography
Authors: Wang Dawei , Xiong Shixuan , Wu Yiping , Zeng Ning 
Published: August 2022

Background:
Morphological and anatomical changes of the aging nose affect the surgical strategy of rhinoplasty in the elderly, but age-related changes in noses have yet to be fully characterized. This study aimed to determine the evolution of nasal soft tissue and bone in aging noses utilizing computed tomography (CT).

Methods:
The CT images of two hundred Asian patients were included. The study population was divided into two groups according to age and sex: young group aged 20 to 35 years, and old group aged 65 to 80 years. The measurements of nasal soft tissue and bone on CT were performed by software Osirix 9.0.

Results:
With regard to soft tissue changes, the nasal SSTE thickness at rhinion, supratip, and nasal tip significantly increased with aging in either sex. Besides, the increase of the nasal depth and the decrease of nasolabial angle were significant in either sex. The nasal length and nasofrontal angle showed significant age-related increases in men, as well as the decrease of nasal tip angle and the increase of pyramidal angle were significant in women. With regard to nasal bone changes, the bone length decreased significantly in women, and the bone thickness decreased significantly in either sex. Also, the nasofrontal angle in men and the pyramidal angle in women increased significantly.

Conclusion:
These results suggest that the aging process leads to drooping of the nasal tip, thickened nasal skin and soft tissue, and resorption of the nasal bone, providing a reference for rhinoplasty in the elderly.
Complications and Functional Outcomes following Trigger Finger Release: a Prospective Cohort Study of 1879 Patients
Authors: Koopman Jaimy E. , Hundepool Caroline A. , Duraku Liron S. , Smit Jeroen M. , Zuidam J. Michiel , Selles Ruud W. ,   the Hand-Wrist study group, Wouters Robbert M. 
Published: August 2022

Background:
Although Trigger Finger Release (TFR) is considered a safe procedure, large cohort studies reporting consistent complication rates and functional outcomes are scarce. Further insight into outcomes of this commonly performed procedure is essential for adequate treatment evaluation and patient counseling. Therefore, the aim of this study was to assess the complication rates and functional outcomes following TFR.

Methods:
This is an observational prospective multi-center cohort study of patients undergoing TFR. The primary outcome included the occurrence of complications. The secondary outcome was change in hand function (Michigan Hand outcomes Questionnaire [MHQ]) from baseline to three months postoperatively.

Results:
Complications were observed in 17.1% of 1879 patients. Most complications were minor, requiring hand therapy or analgesics (7.0% of all patients), antibiotics or steroid injections (7.8%). However, 2.1% required surgical treatment and 0.2% developed Complex Regional Pain Syndrome. The MHQ total score improved from baseline to three months postoperatively with 12.7 points, although we found considerable variation in outcomes with less improvement in patients with better baseline scores.

Conclusions:
This study demonstrates that TFR results in improved hand function, although complications occur in 17%. Most complications are minor and can be treated with non-surgical therapy, resulting in improved hand function as well. However, additional surgical treatment is required in 2% of patients. In addition, we found that change in hand function depends on the baseline score, with less improvement in patients with better baseline scores. Future studies should investigate factors that contribute to the variability in treatment outcomes following TFR.
Multidetector-row Computed Tomography Analysis of the Superficial Palmar Branch of Radial Artery Perforator Flaps: A Retrospective Anatomical Study
Authors: Nguyen Doan Tien Linh , Ono Shimpei , Akiyama Goh , Cho Hoyu , Hayashi Hiromitsu , Ogawa Rei 
Published: August 2022

Background:
Soft-tissue defects in the hand and digits can be effectively covered by using the free superficial palmar branch of radial artery (SPBRA) flap, which is harvested from the radial volar wrist. Since previous anatomical studies on this flap are limited, multidetector-row computed tomography (MDCT) angiography of the upper limbs was conducted to characterize the three-dimensional anatomical structure of the SPBRA and its perforators in living patients.

Methods:
This retrospective anatomical study was conducted in 2014–2019. All DICOM data were analyzed by DICOM viewer. SPBRA diameter and the location where it bifurcated from the radial artery were recorded, as were the number, location, branching patterns, and diameters of its perforators and their lengths.

Results:
In total, 30 patients met all eligibility criteria. All had the SPBRA. The vessel bifurcated from the radial artery on average 13.2 mm proximally from the radial styloid process. The 30 patients had 40 SPBRA perforators in total. Their average SPBRA-to-dermis length was 6.43 mm. All patients had at least one direct cutaneous perforator. Nine and one also had one musculocutaneous perforator and another direct perforator, respectively. All direct cutaneous perforators were located inside a 16.4 mm-diameter circle with an origin on the scaphoid tubercle. The mean diameters of the SPBRA and its perforators were 1.12 and 0.62 mm, respectively.

Conclusion:
All patients had at least one reliable SPBRA perforator in the radial volar wrist. Our results suggest that plastic surgeons can easily and safely plan the SPBRA flap design, potentially without preoperative perforator mapping.