bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tutorial: The Speech-Language Pathologist's Role in Return to Work for Adults With Traumatic Brain Injury
Authors: Meulenbroek Peter , O'Neil-Pirozzi Therese M. , Sohlberg McKay Moore , Lemoncello Rik , Byom Lindsey , Ness Bryan , MacDonald Sheila , Phillips Brian 
Published: December 2021

Purpose:Return to work (RTW) is a major life participation metric used for persons with a traumatic brain injury (TBI). Speech-language pathologists (SLPs) have clinical expertise in the cognitive-communication aspects of TBI. This clinical focus article aims to support the clinical practice of SLPs by summarizing key interprofessional vocational rehabilitation (VR) models and illustrating the role of the SLP throughout the RTW process with a case study.Method:This clinical focus article was written by the Academy of Neurologic Communication Disorders and Sciences TBI Research Group along with a VR expert. Authors engaged in deliberative, agenda-based discussions beginning with a literature review based on previous systematic studies. Discussions explored relevant VR and SLP practices.Results:This clinical focus article presents key VR models in parallel with SLP assessment and treatment to illustrate best practice patterns in an RTW field with a dearth of SLP-specific literature. We summarize general VR approaches and four evidence-supported VR models for adults with TBI. We highlight how a model of interprofessional assessment can assist with planning and communication of important work-related concerns. We illustrate how the chronological model of work return can assist with developing goals and planning treatment.Conclusions:SLPs play an important role in identifying, managing, and collaborating with an RTW team following TBI. A working knowledge of VR models can assist with improving the dialogue between SLPs and VR professionals and can inform practice when working with persons with TBI who have work return as a goal.
Is Old Age Just a Number in Language Skills? Language Performance and Its Relation to Age, Education, Gender, Cognitive Screening, and Dentition in Very Old Finnish Speakers
Authors: Alantie Sonja , Tyrkkö Jukka , Makkonen Tanja , Renvall Kati 
Published: December 2021

Purpose:This study reports on how very old (VO) Finnish people without dementia perform in the Western Aphasia Battery (WAB) and two verbal fluency tasks and which demographic factors predict the performance.Method:The study included fifty 80- to 100-year-old community-dwelling Finnish speakers with no dementing illnesses or speech-language disabilities, who completed the WAB and two verbal fluency tasks. Multifactorial statistical analyses with recursive partitioning were carried out to determine the significant predictors out of five predictor variables (age, gender, education, dentition, and Mini-Mental State Examination [MMSE]) for four response variables (WAB Aphasia Quotient [AQ], Language Quotient [LQ], semantic, and phonemic word fluencies).Results:Overall, individual variation was notable in VO speakers. All predictor variables were statistically significantly associated with one or more of the language skills. Age was the most significant predictor; the critical age of 85–86 years was associated with a decline in WAB-AQ and semantic fluency. Poor dentition and the MMSE score both predicted a decline in WAB-LQ and phonemic fluency. A high level of education was positively associated with the skills of the best-performing individuals in WAB-AQ, WAB-LQ, and semantic fluency.Conclusions:VO age is a significant factor contributing to language performance. However, a younger age, a good cognitive performance, intact teeth, and a higher educational level also seem to have a preservative power as regards language skills. Gender differences should be interpreted with caution. The results of this study provide culture- and language-specific normative data, which aids in differentiating typical aging from the signs of acute or degenerative neuropathology to ensure appropriate medical and therapeutic interventions.
The Rise of Social Media and Digital Content in Auditory Rehabilitation: Quantifying the Reach and Effectiveness of New Distribution Channels
Authors: Kroll Nicholas , Claridge Rebecca , Teakle Natalie 
Published: December 2021

Purpose:
The primary aim of this study was to investigate the effectiveness of actively distributing auditory rehabilitation materials through digital channels, with a focus on quantifying overall reach and qualifying user experience. The secondary aim was to assess users' experience and satisfaction with each platform.

Method:
A retrospective analysis of website traffic to two digital properties: (a) a blog where readers may comment on articles (with active distribution through social media) and (b) a static website with no comment function (with passive organic distribution) from March 2017 to October 2018 was performed. Two key metrics were analyzed across these pages: users and pageviews.

Results:
The blog received 48.4% more users and 97.0% more pageviews than the static website over the entire 20-month study period. Users were significantly more satisfied with the ease of finding the information and its quality via the blog.

Conclusions:
We conclude that social media–focused active distribution was indeed effective because it resulted in more total traffic, a greater number of users, more frequent access, and an overall high level of satisfaction with the quality of information and resources. This may have useful implications for improving the distribution of educational health care resources through digital channels.
Job Satisfaction of Arab Speech-Language Pathologists in Different Work Settings in Kuwait Using the Job Satisfaction Survey
Authors: Al-Khaledi Maram 
Published: December 2021

Purpose:Job satisfaction impacts employee work performance, productivity, and retention. We investigated levels of job satisfaction among Arab speech-language pathologists (SLPs) across different work settings in Kuwait. The aims were to determine the differences between work settings for SLPs in terms of job satisfaction and the reasons behind SLPs' migration from one setting to another and to identify the variables that contribute significantly to job satisfaction in each work setting.Method:A 36-item Job Satisfaction Survey (JSS) questionnaire was used to evaluate job satisfaction based on responses to a 6-point Likert-type scale distributed to SLPs across school, hospital, and private clinic settings. Overall JSS score and subscale category ratings were computed and compared between different work settings to assess the influence of variables such as pay, promotion, supervision, benefits, and nature of work on job satisfaction among SLPs working in Kuwait.Results:According to JSS normative data, the highest job satisfaction scores were obtained from SLPs working in private clinics, with average satisfaction scores among those working in government, school, and medical settings. The highest job satisfaction scores for supervision, coworkers, and nature of work subscale categories were similar for SLPs in each setting. The lowest satisfaction scores of subscale categories differed between settings: “promotion” in schools, “fringe benefits” in government medical settings, and “operating conditions” in private clinics.Conclusions:While the need exists to attract SLPs to work in government medical settings (hospitals and clinics) in Kuwait, increased opportunity for professional development courses that are relevant to the discipline, and improved communication among SLPs and departmental heads, is necessary to both attract and retain them. Changes in the government setting need to be made in order to prevent the migration of SLPs from government hospitals to private hospitals where they are desperately needed.
An integrated market solution to enable active distribution network to provide reactive power ancillary service using transmission–distribution coordination
Authors: Chen Houhe , Li Haoyuan , Lin Chuqiao , Jin Xiaolong , Zhang Rufeng , Li Xue 
Published: December 2021

AbstractThe active distribution network (ADN) can provide the reactive power ancillary service (RPAS) to improve the operations of the transmission network operations (such as voltage control and network loss reduction) as distribution generation grows. In this context, an RPAS market is required to motivate the ADN to provide the RPAS to the transmission network since the transmission system operator (TSO) and the distribution system operator (DSO) are different entities. Hence, to obtain the TSO–DSO coordination in the RPAS market, this study proposes a two‐stage market framework on the basis of the successive clearing of the energy and RPAS markets. Additionally, a distributed market‐clearing mechanism based on an alternating direction method of multipliers (ADMM) is adopted to guarantee TSO's and DSO's information privacy. Furthermore, a binary expansion (BE) method is used to linearise the non‐convex bilinear terms in the market‐clearing model. The effectiveness of the proposed RPAS market framework and distributed market‐clearing mechanism is validated using two different test systems with different system scales.
The Effects of Match Congestion on Physical Performance in Football
Referees
Authors: Moreno-Perez Víctor , Courel-Ibáñez Javier , Del Coso Juan , Sánchez-Sánchez Javier 
Published: December 2021

AbstractWe examined the changes in performance during congested (two matches within a
7-day interval) and non-congested (one match within≥7-day interval)
fixtures in 17 elite football (soccer) referees during 181 official matches.
External demands comprised 20 GPS-based metrics. Internal load was assessed by
heart rate and rating of perceived exertion. Compared to non-congested fixtures,
referees decreased their running distance at
21–24 km·h−1
(p=0.027, effect size [ES]=0.41) and
> 24 km·h−1
(p=0.037, ES=0.28), the number of sprints
(p=0.012, ES=0.29), and distance sprinting
(p=0.022, ES=0.29) in congested matches. Most play
metrics were lower in congested versus non-congested fixtures with
low-to-moderate ES. During the 2nd half of non-congested fixtures, referees
covered larger distances at low-speed running (p=0.025,
ES=0.47). Match congestion due to officiating two matches less than a
week apart caused a notable decrease in match running activity in professional
football referees, especially at above
21 km·h−1. These data reiterate the need
for specific conditioning and post-match recovery strategies in high-level
referees to ensure optimal judgment performance favouring the quality of the
competition. Governing bodies should take these outcomes into account when
designating referees for a match.
Best Practice Guideline – DEGUM Recommendations on Breast Ultrasound
Authors: Bader Werner , Vogel-Minea Claudia Maria , Blohmer Jens-Uwe , Duda Volker , Eichler Christian , Fallenberg Eva , Farrokh André , Golatta Michael , Gruber Ines , Hackelöer Bernhard-Joachim , Heil Jörg , Madjar Helmut , Marzotko Ellen , Merz Eberhard , Müller-Schimpfle Markus , Mundinger Alexander , Ohlinger Ralf , Peisker Uwe , Schäfer Fritz K. W. , Schulz-Wendtland Ruediger , Solbach Christine , Warm Mathias , Watermann Dirk , Wojcinski Sebastian , Hahn Markus 
Published: December 2021

AbstractFor many years, breast ultrasound has been used in addition to mammography as an important method for clarifying breast findings. However, differences in the interpretation of findings continue to be problematic 1
2. These differences decrease the diagnostic accuracy of ultrasound after detection of a finding and complicate interdisciplinary communication and the comparison of scientific studies 3. In 1999, the American College of Radiology (ACR) created a working group (International Expert Working Group) that developed a classification system for ultrasound examinations based on the established BI-RADS classification of mammographic findings under consideration of literature data 4. Due to differences in content, the German Society for Ultrasound in Medicine (DEGUM) published its own BI-RADS-analogue criteria catalog in 2006 3. In addition to the persistence of differences in content, there is also an issue with formal licensing with the current 5th edition of the ACR BI-RADS catalog, even though the content is recognized by the DEGUM as another system for describing and documenting findings. The goal of the Best Practice Guideline of the Breast Ultrasound Working Group of the DEGUM is to provide colleagues specialized in senology with a current catalog of ultrasound criteria and assessment categories as well as best practice recommendations for the various ultrasound modalities.
Challenges in the Management of Lung Cancer: Real-World Experience from a Tertiary Center in South India
Authors: Gopal Vishnu , Dubashi Biswajit , Kayal Smita , Penumadu Prasanth , Rajaram Manju , Karunanithi Gunaseelan , Adithan Subathra , Toi Pampa Ch , Ganesan Prasanth 
Published: December 2021

AbstractLung cancer is one of the most common cancers and an important cause of cancer-related mortality. Recent advances in targeted therapy and immunotherapy have improved outcomes, but these have limited penetration in resource-constrained situations. We report the real-world experience in treating patients with lung cancer in India. A retrospective analysis of baseline characters, treatment and outcomes of patients with lung cancer seen between January 2015 to December 2018 (n = 302) at our center was carried out. Survival data were censored on July 31, 2019. A total of 302 patients (median age: 57 years [range, 23–84 years]; males [n = 203; 67.2%]) were registered. Adenocarcinoma was the most common histology (n = 225, 75%). The testing rate of epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) mutation analysis in stage IV adenocarcinoma (n = 191) was 67% and 63%, respectively. Systemic therapy (chemotherapy/gefitinib) was started after a median of 62 days (range, 1–748) from presentation and 38 days (range, 1–219 days) from diagnosis. The median progression-free survival (PFS) and overall survival (OS) were 4.3 months (95% CI, 3.2–5.4) and 9.0 months (95% CI, 7.6–10.5), respectively in the 141 patient without targetable mutations who started palliative chemotherapy. Of the 58 patients who tested positive for EGFR mutation, 41 (71%) started an EGFR tyrosine kinase inhibitor (TKI), and the median PFS and OS in these patients were 8.5 months (95% CI, 5.6–11.4) and 18.4 months (95% CI, 12.2–24.6), respectively. Only 1 out of 10 patients with stage IV ALK-positive adenocarcinoma was started on ALK inhibitor. On multivariate analysis of OS for patients who started on palliative chemotherapy, response to first-line treatment, long distance from the center, use of second line therapy, and a delay of > 40 days from diagnosis to treatment predicted improved survival. Despite providing free diagnostic and treatment services, there was considerable delay in therapy initiation, and a significant proportion of treatment noninitiation and abandonment. Measures should be taken to understand and address the causes of these issues to realize the benefits of newer therapies The apparent paradox of improved survival in those with long delay in initiation of treatment could be explained based on a less aggressive disease biology.
Dental Caries and Associated Risk Indicators among Married Saudi Women
Authors: Bokhari Syed Akhtar Hussain , Almumtin Kawthar , Alhashiem Wala Mohammed , Albandar Duaa youssef , Alyahya Zainab Nouh , Alsaad Ebtihal 
Published: December 2021

Abstract
Objective The aim of this study was to evaluate decayed, missing, and filled teeth (DMFT) experience among married females in Saudi Arabia and provide an exploratory data for subsequent primary prevention.
Materials and Methods A cross-sectional quantitative study was conducted at a general hospital in Hofuf, Saudi Arabia. All married women attending the general hospital from March 1st to April 15th, 2021 were requested to participate. Data was collected on a validated self-reported questionnaire consisting of sociodemographic factors, medical history, dietary pattern, and DMFT. Descriptive and regression analyses were performed using p ≤0.050.
Results Four hundred forty-eight married females with the mean age of 30.81 ± 6.11 years, mean duration of marriage of 9.55 ± 6.58 years, and having average number of children 2.32 ± 1.69 participated in the study. 61.7% mothers had ≥10 years of education. 63.6% were non-working and 56.5% were found with low family income. 66% participants reported of doing exercise less or more often yet 51.7% were ≥overweight. Consumption of energy drinks and dairy products was found significantly associated with increasing number of DMFT. Use of fluoridated toothpaste and dental visits was also found associated with increasing number of dental caries. Increasing age (p = 0.040), increasing number of children, and middle family income were also significantly associated with higher DMFT, respectively (p = 0.002, p = 0.022). In multi-logistic adjusted analysis, only consumption of dairy products, dental visits, and the unsure status of the use of fluoridated toothpaste were significantly associated with DMFT ≥1.
Conclusion DMFT status in married Saudi women was associated with participants' dietary habits, oral health-related practices, family income, married years, and number of children.
A eficácia do ácido tranexâmico tópico em pacientes com fraturas no pescoço femoral submetidos a hemiartroplastia bipolar cimentada: Um ensaio controlado duplo-cego randomizado
Authors: Hongnaparak Theerawit , Binlateh Fatin , Iamthanaporn Khanin , Tanutit Pramot , Yuenyongviwat Varah 
Published: December 2021

Resumo
Objetivo O ácido tranexâmico (TXA) é um antifibrinolítico amplamente utilizado para diminuir as taxas de perda de sangue e de transfusão de sangue na artroplastia total do quadril. No entanto, há evidências limitadas de uso tópico de TXA na hemiartroplastia do quadril para fraturas no pescoço femoral. O presente estudo teve como objetivo avaliar os efeitos do TXA tópico na perda de sangue e transfusões de sangue em pacientes com fratura femoral que foram submetidos a hemiartroplastia bipolar cimentada.
Métodos Vinte e seis pacientes com fraturas no pescoço femoral e programados para artroplastia cimentada bipolar foram randomizados em dois grupos. O primeiro grupo de 12 pacientes recebeu TXA tópico durante a operação; no segundo grupo, 14 pacientes receberam placebo. O hematócrito foi medido às 6 e 24 horas no pós-operatório. Também foram registradas transfusões de sangue e complicações pós-operatórias.
Resultados A perda total de sangue não foi diferente entre o grupo TXA e o grupo controle (grupo TXA: 459,48 ± 456,32 ml; e grupo controle: 732,98 ± 474,02 ml; p = 0,14). No entanto, não houve pacientes dentro do grupo TXA que necessitaram de transfusão de sangue, enquanto 4 pacientes no grupo controle fizeram transfusões de sangue halogênicas (p = 0,044). Não houve complicações pós-operatórias, tais como complicação da ferida, tromboembolismo venoso ou complicações cardiovasculares dentro de qualquer grupo.
Conclusão O TXA tópico não conseguiu diminuir a perda total de sangue, mas foi capaz de reduzir as taxas de transfusão, em pacientes submetidos a hemiartroplastia de quadril bipolar cimentada em fraturas no pescoço femoral. Outros estudos com doses de TXA tópico em um tamanho amostral maior seriam benéficos.
Nível de Evidência II.
Tratamento da lesão da sindesmose tibiofibular distal associada às fraturas do tornozelo com suture button
Authors: Oliveira Junior Adilson Sanches de , Pigossi Beatriz D'Andrea , Saito Guilherme Honda , Nishikawa Danilo Ryuko Cândido , Mendes Alberto Abussamra Moreira , Prado Marcelo Pires 
Published: December 2021

Resumo
Objetivo Avaliar os resultados obtidos do tratamento cirúrgico das fraturas maleolares do tornozelo associadas a lesão da sindesmose tibiofibular distal (STFD) submetidas a procedimento cirúrgico convencional de fixação da fratura e fixação da STFD pelo suture button (SB).
Métodos Avaliou-se retrospectivamente 49 pacientes com uma média de idade de 45 anos e seguimento médio de 34,1 meses. A avaliação clínica e funcional foi baseada na escala visual analógica (EVA) e na escala American Foot and Ankle Society Score (AOFAS, na sigla em inglês) para tornozelo e retropé, retorno às atividades da rotina e retorno ao esporte.
Resultados As médias pós-operatórias das escalas AOFAS e EVA foram, respectivamente, 97,06 (índice de confiança [IC 95%: 95,31 – 98,81] e 0,16 [IC 95% 0,04 – 0,29]. Todos os pacientes retornaram às atividades prévias do cotidiano, sendo que apenas 12 apresentaram algum sintoma residual. Não se verificou instabilidade pós-operatória em nenhum paciente. Ao todo, 46 pacientes retornaram às atividades desportivas e, destes, apenas 1 não retornou ao nível prévio à lesão. Apenas dois pacientes apresentaram alterações relacionadas ao SB. Não houve relato de insatisfação.
Conclusão Em fraturas maleolares do tornozelo com lesão da STFD, a fixação da sindesmose com o SB demonstrou excelentes resultados pós-operatórios.
Nível de Evidência IV, série de casos retrospectiva.
Factors Affecting 30-Day Mortality following Primary Elective Total Knee Arthroplasty: A Database Study of 326,157 Patients
Authors: Zhai Kevin , Orr Melissa , Grits Daniel , Emara Ahmed K. , Rothfusz Christopher A. , Piuzzi Nicolas S. 
Published: December 2021

AbstractDespite its rarity, the risk of mortality following primary elective total knee arthroplasty (TKA) is a critical component of surgical decision-making and patient counseling. The purpose of our study was to (1) determine the overall 30-day mortality rate for unilateral primary elective TKA patients, (2) determine the 30-day mortality rates when stratified by age, comorbidities, and preoperative diagnosis, and (3) identify the distribution of (i) patient demographics, (ii) baseline comorbidities, and (iii) preoperative diagnoses between mortality and mortality-free cohorts. A total of 326,157 patients underwent primary elective TKA (2011–2018) were identified through retrospective review of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Patients were divided into 30-day mortality (n = 320) and mortality-free (n = 325,837) cohorts. Patient demographics, preoperative comorbidities, and preoperative diagnoses were compared. Age group, American Society of Anesthesiology (ASA) score, and modified Charlson Comorbidity Index (CCI) scores were normalized per 1000 and stratified by preoperative diagnosis. The overall mortality rate was 0.098%. Older age (p < 0.001) and male gender (p < 0.001) were associated with increased mortality. There was no association between mortality and race (p = 0.346) or body mass index (BMI) class (p = 0.722). All reported comorbidities except smoking status were significantly greater in the mortality cohort (p < 0.05). For ASA scores of I, II, III, and IV, the number of deaths per 1,000 were 0.16, 0.47, 1.4, and 4.4, respectively. For CCI scores of 0, 1, 2, 3, 4, and 6, mortality rates per 1,000 were 0.76, 2.1, 7.0, 11, 29, and 7.6, respectively. Mortality rates for a preoperative diagnosis of osteoarthritis (OA) versus non-OA were, respectively, 0.096% and 0.19% (p < 0.001). Increased age, male gender, increased comorbidity burden, and non-OA preoperative diagnoses are associated with higher rates of 30-day postoperative mortality. There were no significant associations between BMI or race and 30-day mortality. These findings aid in identifying of higher-risk patients, who can then receive appropriate counseling or preoperative interventions to reduce the risk of perioperative mortality.