bluuebunny/crossref_metadata_2025_split huggingface dataset:
ПІСЛЯОПІКОВІ ХОНДРИТИ ВУШНИХ РАКОВИН
Authors: ЗАПОРОЖАН С. Й. , САВЧИН В. С. , АНДРЮЩЕНКО Д. В. , ТУЗЮК Н. В. 
Published: September 2024

Мета роботи: проаналізувати результати лікування пацієнтів з хондроперихондритом, викликаним опіковим ураженням.
Матеріали і методи. Проліковано 18 пацієнтів, які перенесли опіки голови, у 12 (66,66 %) з них перебіг захворювання ускладнився перихондритом, хондроперихондритом – у 6 (33,34 %) хворих. Вік пацієнтів становив від 18 до 67 років. Чоловіків було 16 (88,88 %), жінок – 2 (11,12 %). У 15 (83,33 %) пацієнтів було одностороннє ураження, у 3 (16,67 %) – двостороннє.
Результати. У всіх пацієнтів лікування перихондриту починали з місцевого застосування антисептиків (хлоргексидин, розчин бетадину, октенісепт, декасан, мазі з левомеколем, сульфодіазином срібла та інші). Пацієнтам із поширеними опіками тіла проводили інфузійну терапію для покращення мікроциркуляції в рані сольовими, безсольовими і, за показаннями, білковими препаратами, пацієнти отримували реосорбілакт, рінгер-лактат пентоксифілін, трентал, актовегін, антибактеріальні препарати. При вираженому набряку проводили раннє дренування розрізом із видаленням некротичних тканин. При формуванні некротичного струпа виконували некректомію з видаленням частини хряща в межах здорових тканин. При оголених хрящах, коли формування грануляційної тканини було неможливим, проводили реваскуляризацію оголеного хряща клаптем темпоральної фасції на судинній ніжці. Найпоширенішою причиною глибокого опіку вушної раковини був опік полум’ям. В усіх пацієнтів, у яких розвинувся перихондрит, було діагностовано глибокі опіки. Перихондрит і хондроперихондрит вушної раковини – це дуже складне захворювання, яке вимагає комплексного медикаментозного лікування і швидкого оперативного втручання – дренування. В усіх випадках намагалися зберегти оголений хрящ і закрити його місцевими тканинами, наскільки це було можливо.
O patrimônio cultural e a contribuição do antropólogo: esquemas de percepção e algumas práticas
Authors: Zacchi Marina Sallovitz 
Published: September 2024

The aim of this article is to review the main legal devices and normative instruments that regulate the policy of valuing and promoting of the in-tangible cultural heritage by Instituto do Patrimônio Histórico e Artístico Nacional – IPHAN, in order to identify the main categories by which it was sought to print an anthropological orientation, as well as to reflect on the potentialities, limits, and tensions implied in the transposition of the theoretical-conceptual framework of this discipline. The identification of these categories of thought aimed to serve as a substrate for the analysis of the discourses of anthropologists in the elaboration of dossiers that techni-cally instruct the processes of registration as cultural patrimony of Brazil, in order to understand the implications of the variations observed in their uses in terms of positions, particularly with regard to the meanings attributed to the differences in our social actuality.
Psicanálise e saúde mental infanto-juvenil: uma reflexão sobre o lugar da subjetividade nos CAPSi
Authors: Souza Daniela Marras Dias de , Kyrillos Neto Fuad , Calzavara Maria Gláucia Pires 
Published: September 2024

The aim of this article is to discuss the work of the mental health teams in the Child and Adolescent Psychosocial Care Centers (CAPSi), in order to consider subjectivity as a factor of inclusion. The methodology used was based on applied psychoanalysis. Franco Basaglia's contributions were revisited in order to understand his influence on the Psychiatric Reform in Brazil and to elucidate the current practice of CAPSi. The current impasses in the field of subjectivity in the Psychiatric Reform are discussed and it is proposed to locate transversal surfaces that articulate the presence of a psychoanalytic approach to subjectivity in psychosocial care. The conclusion is that it is important to discuss a psychoanalytic approach to subjectivation in public mental health services, so that treatment in these services is not polarized between biological reductionism and psychosocial care.
Non-Designated Preliminary to Categorical Resident: Is It All About the ABSITE?
Authors: St John Ace , Cooper Laura , Kavic Stephen M. 
Published: September 2024

Introduction Obtaining a categorical general surgery residency position is recognized as a highly challenging process, and many aspiring surgeons find themselves matching into a preliminary position. The American Board of Surgery In-Training Examination (ABSITE) is relevant as a discriminator, as it is the only national evaluation metric that compares residents between programs. This study examines the correlation between ABSITE performance and the likelihood of obtaining a categorical position for non-designated preliminary surgery residents. Methods Retrospective analysis of preliminary residents who completed the ABSITE between 2011 and 2021 at a single academic training program. Results 108 preliminary residents were included. Among preliminary residents who were successful in securing a categorical position, the average ABSITE percentile was 59 (SD = 26.7). In contrast, those who were not able to secure a categorical position, the average ABSITE percentile was 23.6 (SD = 25.3). There was a strong significant correlation between ABSITE percentile and securing a categorical position ( P < 0.001). There was a significant association between citizenship and gaining a categorical position, with US citizens being significantly more likely to successfully gain a categorical position ( P = 0.01; OR 3.32 (95% CI 1.28-8.56)). There was not a significant correlation between citizenship and ABSITE score. Conclusion This study presents compelling evidence that ABSITE percentile score is positively associated with the probability of securing a categorical position for preliminary general surgery residents. It is therefore imperative that both preliminary residents and their programs place a high value on ABSITE performance to enhance successful career progression.
Characteristics and Outcomes of Operatively Treated Discoid Lateral Meniscus in Pediatric and Young Adult Patients: A Multicenter Study
Authors: Sheasley Jennifer A. , Kirby Julia C. , Niu Emily L. , Gopalan Maya , Carsen Sasha , Stinson Zachary S. , Finlayson Craig J. , Nault Marie-Lyne , Lee R. Jay , Haus Brian M. , Green Daniel W. , Schlechter John A. , Beck Jennifer , Heyworth Benton , Stavinoha Tyler , Nguyen Jie C. , Schmale Gregory A. 
Published: September 2024

Background: Discoid lateral meniscus (DLM) is the most common congenital abnormality of the meniscus. Tears are common; treatment is frequently not definitive, often requiring reoperation. Purpose: To report the clinical manifestations, physical characteristics, operative treatments and findings, complications, and reoperations of DLM in pediatric patients from multiple centers across North America. Study Design: Case series; Level of evidence, 4. Methods: Consecutive patients who underwent treatment for symptomatic DLM at 9 institutions between 2000 and 2020 were included. Patient data, presenting symptoms and signs, surgical findings, treatments rendered, and postoperative complications, including reoperation rates, were collected. Means with ranges and counts with proportions are reported for continuous and categorical variables, respectively, and comparisons were made using either the chi-square or Fisher exact test. Results: In total, 784 patients (867 knees) were included with a mean age at diagnosis of 12 years (range, 1-22 years) and a mean follow-up of 22.6 months (range, 0-154 months). Common preoperative symptoms were locking (33%) and snapping (30%). At surgery, tears in the DLM were present in 647 knees (594 patients [76%]); 95 knees (11%) had multiple tears; and in 140 knees, tears extended into >1 zone. Tears, when present, were more common within the posterior horn (41%) or body (34%) than the anterior horn (25%). Peripheral rim instability was reported in 241 knees (28%). Significantly more knees had instability posteriorly (15%; P = .0004) and anteriorly (9%; P = .0013) than along the body (3%). Tear type was most commonly complex (38%) or horizontal (34%). A total of 358 knees in 333 patients with tears (42% of all patients) underwent repair (55% of knees with tears). A total of 175 complications were reported, occurring in 139 knees in 134 patients (17%); 116 of these knees with complications (83%) had a single complication, while 23 (17%) had >1. Of the 784 patients, 105 (13%) underwent reoperation, undergoing 135 additional procedures related to their DLM. Of those, 60 (44%) were repeat arthroscopy and meniscal trim; 40 (30%), arthroscopy and meniscal repair; and 17 (13%), an articular cartilage procedure. Conclusion: Locking and snapping were common presenting symptoms. Over three-quarters of patients had meniscal tears, which were most often complex and located posteriorly. Seventeen percent of patients experienced complications, and a sixth of patients with complications had >1. Reoperation was typically for persistent symptoms or meniscal retear.
Prevalence and Predictors of Diabetic Retinopathy, Its Progression and Regression in Indian Children and Youth With Type-1 Diabetes
Authors: Oza Chirantap , Khadilkar Anuradha , Bhor Shital , Curran Katie , Sambare Chitra , Ladkat Dipali , Bettiol Alessandra , Quinn Michael , Sproule Alan , Willoughby Colin , Peto Tunde 
Published: September 2024

Objective: There are very few reports on the prevalence of diabetic retinopathy (DR) in children and youth with type-1 diabetes (T1D). Studies have also found very low rates of referral for DR screening in children and youth with T1D. We conducted this study to determine the prevalence of DR, to study the reliability of ISPAD screening recommendations and to identify predictors of DR, its progression and regression in Indian children and youth with T1D. Methods: This study included 882 children and youth with T1D. Demographic data, anthropometry, blood pressure, sexual maturity rating, ophthalmological examination (slit lamp for cataract) and biochemical measurements were performed using standard protocols. Fundus images were captured using the Forus Health 3netra classic digital non-mydriatic fundus camera by the same experienced operator. De-identified images were assessed by a senior grader and ophthalmologist (Belfast Ophthalmic Reading Center). Severity of DR was graded as per the UK National Health Service (NHS) DR classification scale. Result: We report 6.4% and 0.2% prevalence of DR and cataract in Indian children and youth with T1D, respectively. All the subjects with DR had early non-proliferative DR. We report that amongst subjects with DR, only 2 subjects were aged less than 11 years and had duration of illness less than 2 years. Presence of hypertension and older age were significant predictors of DR ( P < .05). Subjects with DR had significantly higher triglyceride concentrations ( P < .05), of these, 6.9% had progression and 2.9% had regression at 1 year follow up; the change in glycaemic control was a significant positive predictor of progression of DR ( P < .05). None of the participants included in the study progressed to develop sight-threatening DR. Conclusion: DR is not uncommon in Indian children and youth with T1D, thus screening for DR needs to be initiated early, particularly in older individuals with higher disease duration. Controlling blood pressure and triglyceride concentrations may prevent occurrence of DR. Improving glycaemic control may prevent progression of DR in Indian children and youth with T1D.
Three-Dimensional Heart Modeling of Hypertrophic Obstructive Cardiomyopathy for In Situ Patient-Specific Simulation to Optimize Septal Myectomy
Authors: Smits Karin C. , Speekenbrink Ron G. H. , Hekman Edsko E. G. , Koenrades Maaike A. , Heeringa Tijn J. P. , Arens Jutta , Halfwerk Frank R. 
Published: September 2024

Objective: Hypertrophic obstructive cardiomyopathy (HOCM) develops in at least 1 out of 715 young adults. Patients who are refractory to medical therapy qualify for septal myectomy. Due to anatomy, serious complications such as ventricular septal defect and heart block may occur. Establishing cardiovascular magnetic resonance (CMR)–based 3-dimensional (3D) models as part of preoperative planning and training has the potential to decrease procedure-related complications and improve results. Methods: CMR images were used to segment cardiac structures. Left ventricular wall thickness was calculated and projected on top of the in silico model. A 3D model was printed with a red layer indicating a wall thickness exceeding 15 mm and used for preoperative resection planning and patient counseling. To provide preoperative patient-specific in situ simulation, the planned resection volume was replaced with silicone in a second model. For perioperative quality control, resected silicone was compared with resected myocardial tissue. The impact of the models was evaluated descriptively through consultation of both the cardiothoracic surgeon and patients and through patient outcomes. Results: Three-dimensional in silico and 3D-printed heart models of 5 patients were established preoperatively. Since the introduction of the models in October 2020, the surgeon feels better prepared, more confident, and less difficulty with making decisions. In addition, patients feel better informed preoperatively. Conclusions: Using 3D heart models optimized preoperative planning and training, intraoperative quality control, and patient consultation. Reduction of procedure-related complications and clinical outcome should be studied in larger cohorts.
Accuracy of CAD4TB (Computer-Aided Detection for Tuberculosis) on paediatric chest radiographs
Authors: Edem Victory Fabian , Nkereuwem Esin , Agbla Schadrac C. , Owusu Sheila A. , Sillah Abdou K. , Saidy Binta , Jallow Musa B. , Forson Audrey G. , Egere Uzochukwu , Kampmann Beate , Togun Toyin 
Published: September 2024

BackgroundComputer-aided detection (CAD) systems hold promise for improving tuberculosis (TB) detection on digital chest radiographs. However, data on their performance in exclusively paediatric populations are scarce.MethodsWe conducted a retrospective diagnostic accuracy study evaluating the performance of CAD4TBv7 (Computer-Aided Detection for Tuberculosis version 7) using digital chest radiographs from well-characterised cohorts of Gambian children aged <15 years with presumed pulmonary TB. The children were consecutively recruited between 2012 and 2022. We measured CAD4TBv7 performance against a microbiological reference standard (MRS) of confirmed TB, and also performed Bayesian latent class analysis (LCA) to address the inherent limitations of the MRS in children. Diagnostic performance was assessed using the area under the receiver operating characteristic curve (AUROC) and point estimates of sensitivity and specificity.ResultsA total of 724 children were included in the analysis, with confirmed TB in 58 (8%), unconfirmed TB in 145 (20%) and unlikely TB in 521 (72%). Using the MRS, CAD4TBv7 showed an AUROC of 0.70 (95% CI 0.60–0.79), and demonstrated sensitivity and specificity of 19.0% (95% CI 11–31%) and 99.0% (95% CI 98.0–100.0%), respectively. Applying Bayesian LCA with the assumption of conditional independence between tests, sensitivity and specificity estimates for CAD4TBv7 were 42.7% (95% CrI 29.2–57.5%) and 97.9% (95% CrI 96.6–98.8%), respectively. When allowing for conditional dependence between culture and Xpert assay, CAD4TBv7 demonstrated a sensitivity of 50.3% (95% CrI 32.9–70.0%) and specificity of 98.0% (95% CrI 96.7–98.9%).ConclusionAlthough CAD4TBv7 demonstrated high specificity, its suboptimal sensitivity underscores the crucial need for optimisation of CAD4TBv7 for detecting TB in children.
Effectiveness of NSW health get healthy telephone coaching in adults screened from general practices
Authors: Attia John , Weaver Natasha , Peel Roseanne , Fleming Kerry , Holliday Elizabeth , Rissel Chris , Bauman Adrian , Wiggers John , Acharya Shamasunder , Luu Judy , Reeves Penny , McEvoy Mark , Hure Alexis 
Published: September 2024

Abstract
Background
The effectiveness of the NSW Health “Get Healthy Information and Coaching Service®”(Get Healthy) to facilitate weight loss on a population scale has been documented, but this was based on self-reported measures. Our study aims to test the effectiveness of the Get Healthy Service on objectively measured weight, BMI, waist circumference, and changes in other health behaviours, including nutrition, physical activity and alcohol intake.

Methods
Men and women aged 40–70 years (n = 154) with pre-diabetes (5.7% < HbA1c < 6.5%) were referred from GP Practices to the Get Healthy Service, NSW Health. A subset (n = 98) participated in the “Zinc In Preventing the Progression of pre-Diabetes” (ZIPPeD) trial (ACTRN12618001120268).

Results
The self-reported outcomes showed a statistically significant improvement from baseline to 12 months in weight (mean 2.7 kg loss, p < 0.001), BMI (mean 1 unit reduction, p < 0.001), and waist circumference (mean 4.3 cm reduction, p < 0.001). However, in the objectively measured outcomes from ZIPPeD, the differences were more modest, with point estimates of 0.8 kg mean weight loss (p = 0.1), 0.4 unit reduction in BMI (p = 0.03), and 1.8 cm reduction in waist circumference (p = 0.04). Bland-Altman plots indicated that discrepancies were due to a small number of participants who dramatically underestimated their weight or BMI. There were minimal changes in nutrition, physical activity, and alcohol.

Conclusions
The potential benefits of Get Healthy should be interpreted with caution as we have shown significant differences between self-reported and objectively measured values. More valid and objective evidence is needed to determine the program’s effectiveness and cost-effectiveness.
Transforming researchers into writers through a series of semi-structured writing retreats: a mixed methods study
Authors: Bonnamy James , Bugeja Lyndal , Morphet Julia , Russo Philip L. , Brand Gabrielle 
Published: September 2024

Abstract
Aim
To evaluate the experience and effectiveness of six semi-structured writing retreats on research publication quantity and quality for nursing and midwifery academics and research students.

Background
Research publications are necessary to develop a track record to gain competitive funding and for promotion. Publications also improve the standing of universities because their performance is measured in-part by research outputs. However, there are challenges to writing for publication, especially for new nursing and midwifery academics and research students. Therefore, four of the authors initiated semi-structured writing retreats to support nursing and midwifery academics and research students to overcome these challenges.

Methods
A mixed methods exploratory sequential design consisting of two distinct phases and data collection methods. In phase one, an online evaluation was administered to collect participant experiences which were then analysed using content analysis. In phase two, data about the quantity and quality of publications arising from each retreat was collected, and descriptive statistics performed.

Results
A total of 70 participants responded to the online evaluation. Qualitative analysis of their responses demonstrated that the writing retreats were highly valued as they offered a collaborative environment with dedicated time to focus on writing for publication. Quantitative analysis identified 81 publications were planned over the six writing retreats. Of these, 60 have been published, 5 are under review, 5 have not yet been submitted, and 11 were abandoned.

Conclusions
Findings demonstrated that our six semi-structured writing retreats enabled and developed nursing and midwifery academics and research students writing for publication. Semi-structured writing retreats are a research investment that enabled preparation of high-quality publications by offering protected time to write, expert peer review and collaboration and networking opportunities.
Public service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective study
Authors: Mbuthia Daniel , Zhao Yingxi , Gathara David , Nicodemo Catia , McGivern Gerry , Nzinga Jacinta , English Mike 
Published: September 2024

Abstract
Background
Kenya grapples with a paradox; severe public sector workforce shortages co-exist with rising unemployment among healthcare professionals. Medical schools have increased trainee outputs, but only 45% of newly qualified/registered doctors were absorbed by the public sector during 2015–2018. In such a context, we explore what influences doctors’ career choices at labour market entry, specifically understanding the role of public service motivation (PSM).

Methods
We conducted a cross-sectional and prospective study of interns and recently graduated doctors to examine PSM, their intention to work in the public sector and their final employment sector and status. We surveyed them on their PSM and job intentions and conducted a prospective follow-up survey of the interns, around one year later, to understand their employment status.

Findings
We recruited 356 baseline participants and followed up 76 out of 129 eligible interns. The overall PSM score was high among all participants (rated 4.50/5.00) irrespective of sector preferences. 48% (171/356) of the participants preferred to work in the public sector immediately after internship, alongside 16% (57/356) preferring direct entry into specialist training—commonly in the public sector. Only 13% (46/356) and 7% (25/365) preferred to work in the private or faith-based sector. Despite the high proportion of interns preferring public sector jobs, only 17% (13/76) were employed in the public sector at follow-up and 13% (10/76) were unemployed, due to lack of job availability.

Conclusion
High PSM scores irrespective of sector preferences suggest that doctors are generally committed to serving the ‘public good’. Many intended to work in the public sector but were unable to due to lack of job opportunities. Policymakers have an opportunity to tackle workforce gaps in the public sector as young doctors continue to express a preference for such work. To do this they should prioritise creating adequate and sustainable job opportunities.