Pantoea agglomerans, a gram-negative bacterium, has emerged as an opportunistic pathogen, particularly within neonatal healthcare settings. Initially perceived as an innocuous environmental contaminant, P. agglomerans has been increasingly implicated in a spectrum of clinical infections, including neonatal sepsis and bacteremia. This systematic review conducts an in-depth analysis of the clinical cases published in 2003-2023, elucidating the multifaceted clinical presentations and therapeutic challenges associated with P. agglomerans infections in neonates. In total, 11 case reports and case series of 45 neonates from eight different countries were included. Most of the infected patients (57.8%) were reported in Asian countries (Sri Lanka, India, Kuwait) and involved preterm neonates (64.4%) with extremely low to low birth weight, and concurrent medical conditions including co-infections in a few of them (15.6%). Blood was the main culture source of the pathogen, accounting for 42 cases (91.1%) whereas clinical presentations in neonates exhibited considerable heterogeneity, encompassing common symptoms such as feeding difficulties, respiratory distress, fever, lethargy, and sepsis. Neonatal survival largely depended on the infection\'s origin and the timing of diagnosis. Considering antibiotic susceptibility as a criterion for treatment selection led to a 74% survival rate. Usually, a combination of antibiotics was used. There were 11 neonatal deaths reported, leading to an estimated mortality rate of 24.4%. We conclude that outbreaks within neonatal intensive care units underscore the importance of stringent infection control practices and heightened surveillance, especially considering the rapid disease progression noted in the included studies. Enhanced awareness and understanding of the clinical and microbiological characteristics of P. agglomerans infections are paramount for optimizing outcomes and reducing the burden of disease in neonatal populations.

To demonstrate how post-publication peer reviews-using journal article reporting standards-could improve the design and write-up of kinesiology research, the authors performed a post-publication peer review on one systematic literature review published in 2020. Two raters (1st & 2nd authors) critically appraised the case article between April and May 2021. The latest Journal Article Reporting Standards by the American Psychological Association relevant to the review were used: i.e., Table 1 (quantitative research standards) and Table 9 (research synthesis standards). A standard fully met was deemed satisfactory. Per Krippendorff\'s alpha-coefficient, inter-rater agreement was moderate for Table 1 (k-alpha = .57, raw-agreement = 72.2%) and poor for Table 9 (k-alpha = .09, raw-agreement = 53.6%). A 100% consensus was reached on all discrepancies. Results suggest the case article\'s Abstract, Methods, and Discussion sections required clarification or more detail. Per Table 9 standards, four sections were largely incomplete: i.e., Abstract (100%-incomplete), Introduction (66%-incomplete), Methods (75%-incomplete), and Discussion (66%-incomplete). Case article strengths included tabular summary of studies analyzed in the systematic review and a cautionary comment about the review\'s generalizability. The article\'s write-up gave detail to help the reader understand the scope of the study and decisions made by the authors. However, adequate detail was not provided to assess the credibility of all claims made in the article. This could affect readers\' ability to obtain critical and nuanced understanding of the article\'s topics. The results of this critique should encourage (continuing) education on journal article reporting standards for diverse stakeholders (e.g., authors, reviewers).

BACKGROUND: Extrathyroid implantation or dissemination of thyroid tissue secondary to a thyroid procedure is rare. Most of these belonged to thyroid carcinoma with metastatic potential and uncommon for benign pathologies.
METHODS: We report the case of a 31-year-old female who was identified to have multiple subcutaneous implantation of thyroid tissue 5 years after transoral endoscopic thyroidectomy vestibular approach. A comprehensive literature search on implantation of thyroid tissue secondary to thyroid procedures was performed.
RESULTS: Accidental tearing of the capsule during previous surgery may lead to the subcutaneous implantation. Through literature review, a total 29 articles with 47 patients were identified. 33.3% were benign lesions, and implantation was mostly secondary to fine needle aspiration biopsy (46.5%).
CONCLUSIONS: Subcutaneous or port site implantation after endoscopic thyroid surgery may occur in benign thyroid pathologies and therefore, oncologic principles must be strictly followed during surgery regardless of its histopathological nature.

Multiple myeloma (MM) is a malignant disease associated with clonal plasma cell proliferative disorder, characterized by extensive infiltration of clonal plasma cells in the bone marrow, for which a proportion of patients suffer poor outcome and exhibit no obvious symptoms in the early stages. Amyloidosis is a rare condition caused by MM. Immunoglobulin light chain amyloidosis (AL) is caused by the secretion of specific toxic light chain proteins from proliferating clonal B cells or plasma cells. These light chain proteins accumulate in human tissues and cause organ dysfunction and failure. Oral manifestations of amyloidosis include macroglossia, prominent lingual margins, coloured papules, purpura, and nodular protrusions. To describe and summarize the oral manifestations associated with AL amyloidosis in order to achieve an accurate clinical diagnosis. We present a case of AL amyloidosis associated with multiple myeloma and review the literature on other related cases identified from the inception of Medline. A female patient visited our clinic with a deep tongue ulcer. After oral biopsy and tissue staining, combined with the examination results from the Department of Haematology, the patient was diagnosed with oral AL amyloidosis related to multiple myeloma. This is the first case study of AL amyloidosis secondary to latent MM presenting as a solitary tongue ulcer. Chronic oral refractory ulcers may be associated with systemic diseases and should be considered in future clinical practice.

Pumps as Turbines (PATs) are known for their ability to replace conventional turbines in Pico/micro-hydropower plants. However, selecting a suitable pump and estimating its performance in reverse mode is a challenging task. The overall efficiency of PATs is also lower when compared to purpose-made turbines. Numerous attempts have been made to analyze the performance of PAT in power-generating applications, and many scholars have presented their research on performance improvement and economic analysis. In this paper, a detailed review is conducted to show the historical development and current status of PAT technology. The review also presents the findings of performance prediction, performance improvement techniques, and economic analysis. The results of the literature survey demonstrate that the choice of an appropriate pump for a specific application significantly affects the performance of the PAT system. Among the various options, the Shear Stress Transport (SST) k-ω and standard k-ε turbulence models are widely used for simulating the pump as a turbine. Blade grooving and blade tip rounding are recognized as the most promising techniques for improving efficiency, with gains of 4.91% and 4.00%, respectively. Except for impeller diameter trimming, blade modification techniques proposed by various scholars have a significant impact on the efficiency of PATs; however, further research is needed to investigate the economic advantages of impeller modification.

UNASSIGNED: Anterior acetabular wall fractures that extend into the anterior inferior iliac spine are more likely to be unstable, and more likely to require surgical fixation.
UNASSIGNED: Conventional acetabular anterior wall fractures originate below the anterior inferior iliac spine (AIIS) level and involve the pelvic brim. Since surgical treatment is preserved for instability and hip incongruency, atypical variation of this fracture usually jeopardizes hip stability. We report on a 33-year-old case of an acetabular anterior wall fracture extending to the anterior inferior iliac spine. He was prepared for the stress test and hip stability checked, that was unstable in extension and external rotation. The joint was exposed with the Smith-Peterson approach. Hip congruency was restored, and the AIIS fragment was stabilized by open reduction. Acetabular anterior wall fracture involving AIIS with preservation of pelvic brim is a rare equivalent of anterior wall fracture that jeopardizes hip stability and should be managed surgically. Anterior approaches are preferred in order to visualize the joint.

BACKGROUND: Posttraumatic stress disorder (PTSD) can induce an elevation in sympathetic tone; however, research pertaining to the cardiac cycle in patients with PTSD is limited.
METHODS: A literature review was conducted with PubMed, MEDLINE and Web of Science. Articles discussing changes and associations in echocardiography and PTSD or related symptoms were synthesized for the current review. We have also included data from a case report of a male participant aged 33 years experiencing potentially psychologically traumatic events, who wore a noninvasive cardiac sensor to assess the timing intervals and contractility parameters of the cardiac cycle using seismocardiography. The intervals included systolic time, isovolumic contraction time (IVCT) and isovolumic relaxation time (IVRT). Calculations of systolic (IVCT/systole), diastolic (IVRT/systole) and myocardial [(IVCT+IVRT)/systole] performance indices were completed.
RESULTS: The review identified 55 articles, 14 of which assessed cardiac function using echocardiography in patients with PTSD symptoms. Cardiac dysfunction varied across studies, with diastolic and systolic impairments found in patients with PTSD. Our case study showed that occupational stress elevated cardiac performance indices, suggesting increased ventricular stress and supporting results in the existing literature.
CONCLUSIONS: The literature review results suggest that a controlled approach to assessing cardiac function in patients with PTSD is required. The case study results further suggest that acute bouts of stress can alter cardiac function, with potential for sustained occupational stress to induce changes in cardiac function. Cardiac monitoring can be used prospectively to identify changes induced by potentially psychologically traumatic event exposures that can lead to the development of PTSD symptoms.
BACKGROUND: Alors qu’on sait que le trouble de stress post-traumatique (TSPT) peut entraîner une augmentation du tonus sympathique, ses effets sur le cycle cardiaque ont été peu étudiés.
UNASSIGNED: Nous avons réalisé une revue de la littérature en interrogeant les bases de données PubMed, MEDLINE et Web of Science. Les articles traitant des modifications de nature échocardiographique en lien avec le TSPT ou des symptômes connexes et traitant des associations entre les deux ont été synthétisés pour cette revue de la littérature. Nous avons également inclus les données d’une étude de cas dans laquelle les intervalles de temps et les paramètres de contractilité du cycle cardiaque ont été évalués par séismocardiographie chez un participant âgé de 33 ans qui portait un capteur cardiaque non invasif et qui a été exposé à des événements potentiellement traumatiques sur le plan psychologique. Les intervalles évalués étaient le temps de systole, le temps de contraction isovolumique (TCIV) et le temps de relaxation isovolumique (TRIV). Nous avons calculé les indices de performance systolique (TCIV/systole), diastolique (TRIV/systole) et myocardique [(TCIV+TRIV)/systole].
UNASSIGNED: La revue de la littérature a permis de recenser 55 articles, dont 14 portant sur l’évaluation de la fonction cardiaque par échocardiographie chez des patients présentant des symptômes de TSPT. La dysfonction cardiaque variait selon les études, avec la présence d’atteintes diastoliques et systoliques chez des patients ayant un TSPT. L’étude de cas montre que le stress lié au travail augmente les indices de performance cardiaque, ce qui évoque un stress ventriculaire accru et vient confirmer les résultats dont on dispose dans la littérature.
CONCLUSIONS: D’après les résultats de notre revue de la littérature, l’évaluation de la fonction cardiaque chez les patients atteints de TSPT devrait faire l’objet d’une approche contrôlée. Quant à l’étude de cas, les résultats laissent penser que les épisodes de stress aigu peuvent altérer la fonction cardiaque et que le stress prolongé lié au travail pourrait induire des changements dans la fonction cardiaque. Il est possible d’utiliser la surveillance cardiaque de façon prospective pour déceler les changements provoqués par une exposition à des événements potentiellement traumatiques sur le plan psychologique, cette exposition pouvant conduire au développement de symptômes de TSPT.
Research on cardiac cycle timing intervals and posttraumatic stress disorder (PTSD) is very limited. Systolic and diastolic dysfunction is documented in PTSD; however, there is much variation in the literature on cardiac function in PTSD. Potentially psychologically traumatic events (PPTE) can increase myocardial performance index, in part due to shortened systolic time. PPTE can result in elevated cardiac stress, and this can be easily and noninvasively monitored using seismocardiography.
Il y a peu de recherche sur les intervalles de temps du cycle cardiaque et le trouble de stress post-traumatique (TSPT). Des dysfonctions systoliques et diastoliques ont été observées en lien avec un TSPT, mais la littérature s’intéressant à la fonction cardiaque en contexte de TSPT est très hétéroclite. L’exposition à des événements potentiellement traumatiques sur le plan psychologique peut entraîner une augmentation de l’indice de performance myocardique, laquelle relève en partie d’une réduction du temps de systole. L’exposition à des événements potentiellement traumatiques sur le plan psychologique est susceptible de mener à une hausse du stress cardiaque, ce que la séismocardiographie permet de surveiller facilement et de manière non invasive.

The aim of this paper is two-fold: firstly, to provide an overview of emerging digital practices that support collaborative learning, competency development, and digital literacy for student-centered learning environments in higher education during the rapid digital transition caused by pandemic-related lockdowns across the world, and secondly, to analyze and discuss how systematic reviews of generalized themes and trends can be combined with contextualized experiences and the lessons learned from the Covid-19 crisis to inform the digital transformation of higher education, with a particular focus on bridging the gap between campus-based teaching and online learning and on the identification of the digital competencies that teachers and students must acquire during the continuing shift into a \'new normal\' for post-pandemic educational practices. This study was motivated by questions and findings emerging from an early reactive case study conducted by three of this paper\'s co-authors (Lyngdorf et al., 2021a). By reviewing the full texts of 18 articles, this study provides a systematic literature review which maps the general landscape of the online, hybrid, and blended digital practices applied in existing student-centered learning environments in higher education since the onset of the pandemic. Furthermore, this mapping is used to revisit data and findings from the earlier reactive study of emerging digital practices in a specific problem- and project-based learning (PBL) environment. This study\'s findings highlight critical factors and barriers related to emerging practices which support students\' interactions with teachers, content, and each other, as well as the emerging competencies that these practices will require. The paper concludes with a discussion of the main findings and their implications for further research and practice.

OBJECTIVE: This research examines the implementation of the Icelandic Prevention Model (IPM) in Canada to identify opportunities revealed by the COVID-19 pandemic to re-design our social eco-system to promote wellbeing. This paper has two objectives: 1) to provide a conceptual review of research that applies the bioecological model to youth substance use prevention with a focus on the concepts of time and physical space use and 2) to describe a case study that examines the implementation of the IPM in Canada within the context of the COVID-19 pandemic.
METHODS: Study data were collected through semi-structured qualitative interviews with key stakeholders involved in implementing the IPM.
RESULTS: Findings are organized within three over-arching themes derived from a thematic analysis: 1) Issues that influence time and space use patterns and youth substance use, 2) Family and community cohesion and influences on developmental context and time use and 3) Opportunities presented by the pandemic that can promote youth wellbeing.
CONCLUSIONS: We apply the findings to research on the IPM as well as the pandemic to examine opportunities that may support primary prevention and overall youth wellbeing. We use the concepts of time and space as a foundation to discuss implications for policy and practice going forward.

To date, cerebellar contribution to language is well established via clinical and neuroimaging studies. However, the particular functional role of the cerebellum in language remains to be clarified. In this study, we present the first systematic review of the diverse language symptoms in spoken language after cerebellar lesion that were reported in case studies for the last 30 years (18 clinical cases from 13 papers), and meta-analysis using cluster analysis with bootstrap and symptom co-occurrence analysis. Seven clusters of patients with similar language symptoms after cerebellar lesions were found. Co-occurrence analysis revealed pairs of symptoms that tend to be comorbid. Our results imply that the \"linguistic cerebellum\" has a multiform contribution to language function. The most possible mechanism of such contribution is the cerebellar reciprocal connectivity with supratentorial brain regions, where the cerebellar level of the language network has a general modulation function and the supratentorial level is more functionally specified. Based on cerebellar connectivity with supratentorial components of the language network, the \"linguistic cerebellum\" might be further functionally segregated.