bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying competency gaps in intra- and post-learning of a pediatric residency program: a qualitative study
Authors: Putra David Anggara , Sekarhandini Pitra , Moelyo Annang Giri 
Published: January 2025

Background The purpose of the pediatric residency program is for aspiring pediatricians to develop the core competencies needed to care for the children’s health. Upon graduation, pediatricians encounter competency challenges related to diverse populations, cultures, and medical facilities across the nation. Enhancing the efficacy and efficiency of medical education in pediatric residency programs requires identifying and addressing gaps in the post-learning outcomes and intra-learning processes.
Objective To investigate competency gaps between the core competencies taught in the pediatric residency training program and the actual necessitates in the professional experience of pediatricians.
Methods This qualitative study was conducted by a focus group discussion using semi-constructed questions. Twelve pediatricians who graduated from the Pediatric Residency Program of Universitas Sebelas Maret and had professional work experience of 3 to 18 months were included. Focus group discussions were held online and moderated by the research team using guided questions. Two FGD sessions of 5 and 7 subjects each were conducted. The discussions were recorded and transcribed for analysis in a stepwise manner involving data grouping, information labeling, and data coding to identify the main themes.
Results All subjects were working in type B, C, and D hospitals in six different provinces at the time of the study. The competency gaps in intra-residency learning domain covered two topics: curriculum content (core competencies, medicolegal education, effective communication, vaccination, and longitudinal case management) and training (case variations, patient complexity, and affiliated hospital rotations). The smallest competency gaps was core competency; and there was a need for improvement in other topics, particularly in effective communication and vaccination. The competency gaps in the post-learning domain included 4 topics: daily practices (demographic differences, popular topics, and effective communication), health facilities (the gap between individual competency and availability of health facilities), professional relationships with senior/other center colleagues, and strategic plans (continuing medical education). The cultural social background of the population and limited health resources were the main issues in the post-learning are-sxa that need be acknowledged. Effective communication was the theme that emerged and should be to be taught in both ares of learning and post-learning.
Conclusion Pediatric residency graduates should address some gaps in learning after completing the pediatric residency program. Effective communication was identified as a learning gap during and after training. Based on our findings, we recommend for the program to provide additional steps to prepare pediatric residents before their graduation.
Successful management of a 7-year-old-female with juvenile dermatomyositis at a tertiary hospital in low-income country
Authors: Wulandari Desy , Lubis Azwin Mengindra Putera , Hikmah Zahrah , Endaryanto Anang 
Published: January 2025

Juvenile dermatomyositis (JDM) is a rare chronic autoimmune disease belonging to idiopathic inflammatory myopathies. Pathological skin lesions and proximal weakness primarily characterize this entity, but clinical symptoms can be heterogeneous. Children are more likely to have long-term complications such as lipodystrophy, calcinosis, and vasculopathy. Calcinosis is one of the characteristic sequelae of JDM, despite recent advances in the treatment of JDM, about one-third of patients still develop dystrophic calcinosis. In low-income countries, the availability of medicines is very limited. In our case, a 7-year-old female diagnosed with JDM presented with calcinosis. Aggressive and adequate treatment with steroids, methotrexate, hydroxychloroquine, and aluminium hydroxide can treat the complications. It is challenging to establish an early diagnosis, treatment, prevention of long-term complications, and improved prognosis of JDM, which then will improve the patient’s quality of life, especially in low income countries with limited drug availability.
Nonlinear elliptic equations with self-adjoint integro-differential operators and measure data under sign condition on the nonlinearity
Authors: Klimsiak Tomasz 
Published: January 2025

Abstract
We study the existence problem for semilinear equations (E): −Au = f(⋅, u) + μ, with Borel measure μ and operator A that generates a symmetric Markov semigroup. We merely assume that the nonlinear part f is a Carathéodory function satisfying the so-called sign condition. We extend the method of sub and supersolutions for (E) and prove that if such exist, then there exists a solution to (E) (we do not even assume that the subsolution is less than or equal to the supersolution!). We further show that for any μ there exists a unique metric projection

μ

̂

$\hat{\mu }$

of μ onto the set of good measures, i.e. Borel measures for which there exists a solution to (E).
Follow-up contributions for collaboratively accomplishing peer feedback in video-mediated L2 interactions
Authors: Ekşi Kübra , Can Daşkın Nilüfer 
Published: January 2025

Abstract
A micro-level analysis of second language (L2) peer feedback interactions specifically aimed at improving interactional abilities is lacking. Drawing on multimodal Conversation Analysis to examine 20 h of screen-recorded interactions of L2 learners in a video-mediated study group setting, this study demonstrates that in the collaborative accomplishment of L2 feedback in talk-in-interaction, peers’ follow-up contributions expand others’ feedback turns and open up space for further sequences of talk simultaneously. The follow-up contributions are realized through four interactional practices: (1) advising, (2) reformulating, (3) counterclaiming and (4) clarification-seeking. It is through such follow-up contributions that L2 learners change speakership, build turns contingent on previous contributions, perform diverse social actions, from resisting to clarifying, display their understanding and contribute to the ongoing feedback talk. We argue that being able to produce follow-up contributions is a crucial part of one’s L2 Interactional Competence (IC) and becomes a valuable interactional practice in securing intersubjectivity among the participants. The findings inform L2 language pedagogies about increasing learners’ sensitivity to the intricacies of dialogic and collaborative feedback talk from a micro-analytic perspective.
Behind the scenes of EQA – characteristics, capabilities, benefits and assets of external quality assessment (EQA)
Authors: Buchta Christoph , Marrington Rachel , De la Salle Barbara , Albarède Stéphanie , Badrick Tony , Bietenbeck Andreas , Bullock David , Cadamuro Janne , Delatour Vincent , Dusinovic Enes , Geilenkeuser Wolf-Jochen , Gidske Gro , Griesmacher Andrea , Haliassos Alexander , Holzhauser Derek , Huggett Jim F. , Karathanos Serafeim , Pezzati Paola , Sandberg Sverre , Sarkar Aditi , Solsvik Anne Elisabeth , Spannagl Michael , Thelen Marc , Restelli Veronica , Perrone Lucy A. 
Published: January 2025

Abstract
This is the first in a series of five papers that detail the role and substantial impact that external quality assessment (EQA) and their providers‘ services play in ensuring in-vitro diagnostic (IVD) performance quality. The aim is to give readers and users of EQA services an insight into the processes in EQA, explain to them what happens before EQA samples are delivered and after examination results are submitted to the provider, how they are assessed, what benefits participants can expect, but also who are stakeholders other than participants and what significance do EQA data and assessment results have for them. This first paper presents the history of EQA, insights into legal, financing and ethical matters, information technology used in EQA, structure and lifecycle of EQA programs, frequency and intensity of challenges, and unique requirements of extra-examination and educational EQA programs.
Impact of cholesterol in encapsulated vitamin E acetate within cocoliposomes
Authors: Hudiyanti Dwi , Hidayati Salma Nur , Siahaan Parsaoran , Ngadiwiyana Ngadiwiyana , Nur Abidin , Sari Ratna Indria , Amalia Indrian Rizka , Christa Sherllyn Meida , Patrechia Amanda Chindy , Maharani Adinda Eka 
Published: January 2025

Abstract
Vitamin E acetate (VEA) is commonly used in manufacturing pharmaceuticals, food additives, and animal feeds. However, VEA possesses disadvantages, including low water solubility, low bioavailability, and susceptibility to degradation and oxidation. This study investigated the use of cocoliposomes for encapsulating VEA (VEACL). The cocoliposomes consisted of coconut phospholipids (CocoPLs) and cholesterol (Chol). Several parameters, such as functional groups, transition temperature, encapsulation efficiency (EE), release profile, particle size, polydispersity index, and zeta potential, were analyzed to evaluate the impact of cholesterol inclusion on the cocoliposome membrane. The results show that the Fourier transform infrared spectra of VEACL do not exhibit any new, distinct peaks that differ from the peaks of its constituent composition. Therefore, it confirmed that no chemical reactions occurred during the manufacturing of VEACL. Cholesterol in the system raises the transition temperature of phospholipids and enhances the stability of VEACL. The EE remains above 80% despite a 20% increase in cholesterol levels. The release rate of VEA from cocoliposomes was slower with VEACL–20%Chol compared to VEACL–0%Chol. The cholesterol level leads to a decrease in particle size and an increase in the negative zeta potential of the cocoliposomes. Data show that cocoliposomes are effective carriers for VEA encapsulation.
Proposal of a novel index in assessing perinatal mortality in prenatal diagnosis of Sacrococcygeal Teratoma
Authors: Llancarí Pedro , Velarde-García Diego , Novoa Rommy H. , Ventura Walter 
Published: January 2025

Abstract

Objectives
To describe obstetric characteristics and perinatal outcomes in a serie of fetuses with Sacrococcygeal Teratoma (SCT) and propose a novel index to assess postnatal mortality based on the THC ratio and the addition of the presence of polyhydramnios.

Methods
A retrospective study in a referral teaching hospital between 2013 and 2023. A descriptive analysis and a receiver operating characteristic (ROC) curve were performed to the determine the optimal cutoff value of the THC plus polyhydramnios based on optimal sensitivity and specificity.

Results
Eleven out of 15 fetuses were included in our series during the study period. The median gestational age at prenatal diagnosis was 30.9 weeks and the median gestational age at birth was 35.8 weeks. Seven patients developed polyhydramnios. There was no intrauterine death. There were four deaths after birth (36.4 %). A cutoff value of THC plus polyhydramnios higher than 3.0 was associated with postnatal mortality with 100 % sensitivity and 86 % specificity. There was no significant difference comparing TFR with THC plus polyhydramnios.

Conclusions
We report a high postnatal mortality of 36 % among fetuses with diagnosis of Sacrococcygeal Teratoma. Additionally, we propose a potential useful index associated with postnatal mortality based on the THC and the addition of polyhydramnios with a sensitivity of 100 %.
Selenium compounds for cancer prevention and therapy – human clinical trial considerations
Authors: Lü Junxuan , Jiang Cheng , Hu Hongbo 
Published: January 2025

Abstract
Selenium (Se) is an essential trace mineral crucial for human health. Nearly a dozen human clinical trials with seleno-methionine (SeMet) and selenized-yeast (contains mostly SeMet) for the prevention of non-cutaneous solid organ cancers in North America and European countries conclusively refuted their utility. We have articulated two lessons from these trials: (1) the anti-oxidant hypothesis was tested in inappropriate Se-adequate populations, and (2) the selection of these Se forms was not supported by cell culture and animal efficacy data. Nevertheless, preclinical studies of proximal methylselenol precursors (“methyl Se”) have shown many desirable attributes, involving crucial molecules and pathways in cancer epithelial cells, vascular endothelial, immune and inflammatory cells in the tumor microenvironment, for potential use as chemopreventive and therapy agents. Methylseleninic acid and Se-methylselenocysteine are prototypical methyl-Se, yet not equal in their targets. Selenate, selenite and selenious acid had been recently studied in human clinical trials, providing novel safety data, but, missing critical genotoxicity assessments. Given the popularity of Se-enriched foods in China and a continued presence of nutritional Se deficiency in many localities, we discuss recommendations for clinical studies of Se forms for cancer therapy or chemoprevention in China and other countries with similar Se nutrition predicament.
“God Who Brought us Close and Then Repented”: Hester Panim and Revelation in Avraham Ben-Yitzhak’s Writings
Authors: Ben-Zur Yarden 
Published: January 2025

Abstract
In the following article, I propose a comprehensive exploration of Abraham Ben-Yitzhak’s poetry, centering on the dialectics of revelation and concealment, often referred to as “hester panim” in Hebrew. This concept, deeply rooted in traditional Jewish theology, signifies God’s concealment and exile from the human realm, where He hides His face and turns His back on His people. By examining Ben-Yitzhak’s poetry through the lens of “hester panim” we gain valuable insights into his work. This concept is not a mere theoretical framework; it is intricately woven into his early Hebrew poems and undergoes a significant evolution in his post-World War One German writings, dated around 1925.
A fiber-pigtailed quantum dot device generating indistinguishable photons at GHz clock-rates
Authors: Rickert Lucas , Żołnacz Kinga , Vajner Daniel A. , von Helversen Martin , Rodt Sven , Reitzenstein Stephan , Liu Hanqing , Li Shulun , Ni Haiqiao , Wyborski Paweł , Sęk Grzegorz , Musiał Anna , Niu Zhichuan , Heindel Tobias 
Published: January 2025

Abstract
Solid-state quantum light sources based on semiconductor quantum dots (QDs) are increasingly employed in photonic quantum information applications. Especially when moving towards real-world scenarios outside shielded lab environments, the efficient and robust coupling of nanophotonic devices to single-mode optical fibers offers substantial advantage by enabling “plug-and-play” operation. In this work we present a fiber-pigtailed cavity-enhanced source of flying qubits emitting single indistinguishable photons at clock-rates exceeding 1 GHz. This is achieved by employing a fully deterministic technique for fiber-pigtailing optimized QD-devices based on hybrid circular Bragg grating (hCBG) micro-cavities. The fabricated fiber-pigtailed hCBGs feature emission lifetimes of

<
80

${< } 80$

ps, corresponding to a Purcell factor of ∼9, a suppression of multi-photon emission events with g
(2)(0) < 1 %, a photon-indistinguishability

>
80

${ >} 80$

% and a measured single-photon coupling efficiency of 53 % in a high numerical aperture single-mode fiber, corresponding to 1.2 Megaclicks per second at the single-photon detectors under 80 MHz excitation clock-rates. Furthermore, we show that high multi-photon suppression and indistinguishability prevail for excitation clock-rates exceeding 1 GHz. Our results show that Purcell-enhanced fiber-pigtailed quantum light sources based on hCBG cavities are a prime candidate for applications of quantum information science.
Bismuthyl chloride/poly(m-toluidine) nanocomposite seeded on poly-1H pyrrole: Photocathode for green hydrogen generation
Authors: Alnuwaiser Maha Abdallah , Rabia Mohamed , Elsayed Asmaa M. 
Published: January 2025

Abstract
A novel photocathode has been developed for H2 gas generation from sewage water, utilizing a bismuthyl chloride–poly m-toluidine (BiOCl–PMT) nanocomposite supported on poly-1H pyrrole (P1HP). X-Ray photoelectron spectroscopy analysis confirms the formation of bismuth oxide intercalated within the polymer network through a chemical reaction, resulting in the creation of bismuth oxide chloride (BiOCl). This photocathode exhibits strong absorption in the UV region, extending into the visible spectrum, with a bandgap of 2.75 eV, enabling effective interaction with photons and efficient energy transfer to the photocatalyst nanomaterials. The material’s crystalline size is limited to 39 nm, and it features a highly porous polymer structure with a pore size of 20 nm, aggregating into larger structures approximately 300 nm thick. When employed as the working electrode in a three-electrode cell, the BiOCl/PMT/P1HP photocathode shows a measured photocurrent density (J
ph) of −0.046 mA/cm² under illumination, which drops to −0.032 mA/cm² when the light is turned off. The resulting photocurrent of 0.012 mA/cm² reflects the photocathode’s efficient photoelectrochemical behavior. The performance of the photocathode during sewage water splitting can be adjusted by varying the photon energies between 3.6 and 1.7 eV, using filters to control photon wavelengths. This variation is evident in the linear sweep voltammetry curves, with J
ph values ranging from −0.045 mA/cm² at 3.4 eV to about −0.042 mA/cm² at 1.7 eV under an applied bias voltage of −0.7 V. The photocathode’s high efficiency is further demonstrated by its ability to produce 15 µmol/h of H2 gas for a 10 cm² area. This promising performance, combined with cost-effectiveness, makes the BiOCl/PMT/P1HP photocathode an attractive option for green chemistry and industrial applications.
“Dwell on every detail and its possible meaning”
Authors: Pradhan Pritika 
Published: January 2025

Pritika Pradhan, “‘Dwell on every detail and its possible meaning’: The Subjective Particulars of Middlemarch” (pp. 182–224)
This essay examines the engagement with details in George Eliot’s Middlemarch (1871–72) as a conduit for capturing emotional interiority. Details in Eliot’s novels—and in nineteenth-century realism in general—are identified with empirical observation and scientific objectivity. However, for Eliot, the representation of details signifies the advent of a modern subjectivity that closely attends to details and infuses them with emotion and significance. I trace Eliot’s enlivening of details to her engagement with nineteenth-century aesthetics, specifically Hegel’s Aesthetics (1835), which describes the profuse details of genre painting and poetry to be generated and animated by a reflective, inward modern subjectivity. Hegel’s thought converges with Eliot’s use of details to represent the growing inner complexity of her heroine, Dorothea Brooke, through her increasing engagement with details of the everyday world. Dorothea’s passionate, if misguided, perception and charging of details with emotion reflects her inner subjectivity, enacted by Eliot’s third-person narrator through metaphorical images that diffuse details into felt experience. In this scenario, Eliot’s diffusive metaphorical details render palpable an emotional interiority and complexity that eludes direct representation.
The structure, process and outcomes of interprofessional care among knee osteoarthritis patients: a scoping review
Authors: Lee Jessica Hiu Toon , Kan Mandy Ming Pui , Wong Arkers Kwan Ching 
Published: January 2025

Knee osteoarthritis (OA) is a common chronic condition that leads to joint pain and disability among older adults. An interprofessional collaborative approach has nowadays been widely advocated in knee OA management although little is known about the characteristics of care, roles and responsibilities of healthcare providers and how they collaborate as a team to optimise treatment outcomes.The Donabedian structure–process–outcome framework was used in the review. Six databases were searched from February 2013 to March 2023.A total of 26 articles that met our inclusion criteria were reported. All studies (n = 26) identified the physiotherapist as a critical member of the interprofessional team. Several studies (n = 5) have offered training to healthcare providers in the management of knee OA. The intervention components in most studies included disease-based education (n = 21) and exercise therapy (n = 16).A comprehensive understanding of the existing interprofessional knee OA care in this review could potentially assist the government and healthcare organisations in developing interprofessional practice guidelines and designing intervention programmes that maximise their benefits.
Complications after knee derotational osteotomies in patients with anterior knee pain and/or patellofemoral instability: a systematic review with meta-analysis
Authors: Figueiredo Inês , Valente Cristina , Ribeiro Ricardo , Ferreira Bárbara , Gomes Eluana , Delgado Diego , Sánchez Mikel , Andrade Renato , Espregueira-Mendes João 
Published: January 2025

PurposeInvestigate intra- and post-operative complications and revisions following distal femoral and/or high tibial derotational osteotomies to correct rotational malalignments of the lower limb in patients with anterior knee pain (AKP) and/or patellofemoral instability (PFI).MethodsA literature search was conducted on PubMed, EMBASE and Web of Science (until 30 September 2023), including studies reporting complications, reinterventions and revisions following knee derotational osteotomies. Incidence rates were collected for each level of derotational osteotomy (distal femur, high tibia or double-level). A meta-analysis using the Freeman–Tukey double arcsine transformation was conducted to estimate the pooled proportions with their 95% confidence intervals (CIs).ResultsTwenty-one studies involving 564 osteotomies (n = 484) were included, with a mean follow-up of 45.6 ± 15.7 months. The overall complication proportion was 7.5% (95% CI: 3.9–11.8%). Postoperative residual AKP was seen in a pooled proportion of 7.6% (95% CI: 0.7–18.8%), and persistent PFI was not common (0.1%; 95% CI: 0.0–1.7%). Intraoperative complications occurred in a pooled proportion of 3.8% (95% CI: 2.4–6.0%), with peroneal nerve injury being the most common (1.3%) after derotational high tibial osteotomy. Reintervention was needed in a pooled proportion of 13.0% (95% CI: 2.9–27.2%), primarily for hardware removal (n = 158; 28.3%). There was a pooled proportion of knees requiring revision procedures of 12.3% (95% CI: 2.6–26.1%).ConclusionsDistal femur and high tibial derotational osteotomies exhibit a considerable incidence of intra- and post-operative complications. Peroneal nerve injury, although infrequent, is a significant complication, underscoring the importance of implementing intraoperative preventive measures during derotational high tibial osteotomy.