bluuebunny/crossref_metadata_2025_split huggingface dataset:
Controlled Burn: Managing the “Forest Fire” of Leaving a Professional Identity in Medical Education
Authors: McMains Kevin C. , Durning Steven J. , Meyer Holly S. 
Published: September 2024

Introduction:
Professional identity formation is central to physicians' identity over their full careers. There is little guidance within military service on how to leave careers as clinician educator faculty in graduate medical education programs. The objective of our study was to explore how leaving this community of practice (COP) affects a clinician educator's professional identity.

Methods:
We used reflexive thematic analysis with Communities of Practice as a sensitizing construct. Fifteen semi-structured interviews were conducted among active-duty clinician educators at the point of their retirement from the military. Interview questions focused participants' lived experiences as clinician educators and professional identity changes leading to and resulting from the decision to retire.

Results:
We found the clinician educators' journey through a time of professional transition led to three connected themes: Loss Precedes Growth, Fallow Season—Liminal Space, and New Growth.

Discussion:
The experiences of military clinician educators retiring from active duty demonstrate how leaving one COP emanates across a range of professional identities. In addition, the decision to leave a professional COP can lead to a sense of disloyalty to that community. Normalizing this transition in a way that honors the community's values offers the opportunity to enable the decision to retire. Understanding retirement as a process that first involves identity loss, followed by the discomfort of a liminal space before achieving new growth creates the opportunity to engage in rituals that celebrate the service of departing community members, releasing them to grow into new identities.
Development of Hand Skills Testing Methodology for O&P Curriculum
Authors: Roach Meghan , Sherman Jeremy 
Published: September 2024

ABSTRACT

Introduction
In orthotics and prosthetics education, there is a need for objective means of tracking and assessing hand skills development. These specialized skills are essential for clinicians when fabricating and modifying patients’ devices but are not learned in the same manner as theoretical knowledge. This research is the foundational step in designing and implementing a Hand Skills Test (HST) methodology and rubric within the context of the Baylor College of Medicine’s Orthotics and Prosthetics program. This study addresses the challenge of objectively evaluating students’ hand skills acquisition and competency, which is a key component of clinical education.

Methods
Trials were administered at the onset and conclusion of participants’ first year at the program. Five tasks common in the field were selected: metal bending, riveting, plastic flaring, foam skiving, and plastic polishing. Rubrics were designed to assess the task products. After reviewing the grading process, revisions were made to increase efficiency, testing content validity, and interrater reliability.

Results
Rubric revision increased grader percent agreement minimally. Percent agreements for all evaluations were in the upper 80s, which is within the acceptable range. Participants’ HST minimum scores increased, and the variance of scores decreased scores between trials 1 and 2. The results follow expected trends, lending credibility to this assessment tool.

Conclusions
This research is the preliminary phase of the study, which will collect testing data for the Baylor College of Medicine’s Orthotics and Prosthetics program cohorts through 2029. Future investigations will examine trends in hand skill development during participants’ time at the program. The goal of this project is to create an assessment tool to help identify how these specialized skills are learned and refined.

Clinical Relevance
By better assessing and understanding the acquisition of hand skills, orthotics and prosthetics clinical education can be enhanced to best meet learners’ needs.
From Design to Clinical Translation: Unraveling Orthotist Perspectives on 3D Printed Accommodative Insoles
Authors: Carranza Christina , Nickerson Kimberly , Gagnon Leo , Muir Brittney C. 
Published: September 2024

ABSTRACT

Introduction
Custom accommodative insoles have become the gold standard for managing plantar pressures and reducing ulceration risk in persons with diabetes. With advances in 3D-printing technologies, methods of fabricating 3D-printed accommodative insoles have emerged. Clinician feedback is imperative to developing a 3D-printed accommodative insole that meets clinical needs and is more effective than the current standard of care (SoC).

Objective
The aim of this study was to inform the development of 3D-printed accommodative insoles by gaining clinician perspective on insole requirements and application of the digital workflow for seamless translation into the clinical setting.

Study Design
This article is a qualitative study.

Materials and Methods
Four focus groups with a total of 16 orthotists were held, prompting discussions on the current SoC accommodative insole and other 3D-printed insoles we have developed. Sessions were recorded and transcribed, and main themes were derived from transcriptions.

Results
Review and analysis of the transcripts resulted in four main themes: 1) reimbursement, 2) durability, 3) effectiveness, and 4) workflow application in clinic.

Conclusions
The responses showed areas to focus improvements on the 3D-printed insole design and ways to ease the transition into a clinical setting. Clinician support is crucial in the adoption of a new device to clinical practice. Their feedback is essential to ensuring the item meets the clinical needs and the workflow is not disruptive to the clinical setting.

Clinical Relevance
Understanding clinician perspective on current SoC disadvantages and shortcomings, areas for improvement in the 3D-printed insole fabrication, and what is feasible in clinic appointments will help inform insole design and aid in translating new 3D-printing technology to clinical care for improved patient outcomes.
A spontaneous rupture of a simple renal cyst complicated by hemorrhagic shock: a case report
Authors: Taouihar S. , Dergamoun H. , Bouabdallaoui A. , Hadzin Y. , El Gdaouni A. , Haddari FZ. , El Mekkaoui A. , Benlenda O. , Ziouziou I. , Nassik H. 
Published: September 2024

Introduction and importance:
The spontaneous and non-traumatic rupture of renal cysts is a rare clinical condition, which can lead to hemorrhagic shock. In this paper, the authors report a case of spontaneous rupture of a renal cyst and discuss the main features of this condition.

Case report:
A 21-year-old patient presented urgently with hemorrhagic shock with no history or evidence of trauma. Physical examination revealed a swollen left lumbar fossa on palpation. Abdominal CT revealed an abundant retroperitoneal hematoma. Resuscitation measures were urgently initiated to ensure hemodynamic stabilization, followed by a hemostasis nephrectomy. The patient was stabilized, and subsequent postoperative recovery proceeded without complications. He was sent home on the seventh day following his admission.

Discussion:
Spontaneous retroperitoneal hemorrhages may stem from various pathologies, including simple renal cysts, and frequently manifest with Lenk’s triad. Wunderlich syndrome, an infrequent manifestation of such hemorrhages, necessitates prompt recognition and hemodynamic stabilization, with potential treatment including embolization or surgical intervention.

Conclusion:
Although simple renal cysts are generally asymptomatic, they can lead to serious complications such as hemorrhage that could be life-threatening without appropriate medical intervention. The treatment involves performing an emergency nephrectomy for hemostasis, along with implementing resuscitation measures.
Knowledge, attitude, and practice of patients, health care practitioners, and road-traffic safety regulators on patients’ return to driving policy after recovery from musculoskeletal disorders
Authors: Okafor Udoka Chris Arinze , Akinbo Sunday Rufus , Odebiyi Daniel Oluwafemi , Oghumu Saturday Nicholas 
Published: September 2024

Background:
Returning to driving is a major concern for many individuals who had developed the driving skill before injury or disease. This study evaluated the knowledge, attitude, and practice of patients, health care practitioners, and road-traffic safety regulators on patients’ return to driving policy after recovery from musculoskeletal disorders (MSDs).

Methods:
The study was a cross-sectional design. Participants were aged 18–80 years and comprised patients recovering from MSDs, health care practitioners, and road-traffic safety regulators. Questionnaires were distributed to patients who were managed for MSDs, health care practitioners involved in the management of MSDs, and road-traffic safety regulators. Questionnaires seeking relevant information on knowledge, attitude, and practice of patients’ return to driving for each category of participants were distributed in this wise: 320 questionnaires to patients, 355 to health care practitioners, and 300 to road-traffic safety regulators. Descriptive statistics of frequency and percentages were used to summarize the data, while χ2 was used to analyze associations among variables at P < 0.05.

Results:
The health care practitioners’ knowledge of return to driving policy after MSDs was fair (125, 41.8%); however, with a good practice score (259, 86.6%). Both the health care practitioners and road-traffic safety regulators had positive attitudes. The patients exhibited poor knowledge (122, 60.7%), negative attitude (126, 62.4%), and poor practice (160, 79.6%) toward return to driving regulation (P= 0.0001). One hundred seventy-four (58.2%) of the health care practitioner respondents reported determining patients’ return to driving after MSDs, while 137 (68.2%) patient respondents recommended health care practitioners and road-traffic safety regulators collaboration in patient’s return to driving.

Conclusions:
Return to driving policy after recovery from MSDs is a collaborative effort hinged on health care practitioners’ evaluation and a driving retest by the road-traffic safety regulators. Health care practitioners and road-traffic safety regulators have good to fair knowledge of patients return to driving policy, while patients have poor knowledge and negative attitudes to return to driving.
Exploring 3D Printed Implants With Anti-Dropout Function to Overcome Time Constraints in Acute Orbital Fractures for Patient-Specific Implants
Authors: Park Dong Ha , Lee Jun Suk , Jung Yeon Kyo , Lim Hyoseob 
Published: September 2024

Orbital wall reconstruction and implant insertion are crucial procedures for temporarily replacing the orbital walls in cases of significant fractures. Traditional methods using planar orbital implants have faced challenges owing to their flat shape, which increases the risk of dislocation from improper cuts and necessitates the use of screws in the orbital rim. This study aims to improve outcomes by employing customized 3-dimensional implants, thereby reducing complications and risk of dislocation resulting from external shock or implant weight postinsertion. This prospective study included 12 Korean individuals diagnosed with facial fractures (orbital wall injuries). Surgeries were performed on 12 patients, and follow-up CT scans were conducted on 10 of them. Therefore, the authors could only address the results for the 10 patients. The authors used bioactive glass ceramics and medical-grade poly-e-caprolactone to 3D print personalized implants, completing the manufacturing process in an average of 4.6 days. Computed tomography scans guided measurements of orbital volumes and exophthalmos. After surgery, we found that the difference values for bone orbital volumes (<0.1 mL) and exophthalmos (<1 mm except one) decreased compared with presurgery values. Independent t tests and Pearson correlation analysis revealed no significant changes between normal and affected sides in both phases. However, R-values increased in the postsurgery phase. Patients monitored postsurgery at 2 weeks, 3 months, and 6 months showed no complications. The 3D-printed patient-specific implants, customized to individual fracture shapes and featuring distinct implants and locking parts with notches, effectively restore bony orbital volumes and reduce exophthalmos. They have been proven feasible and applicable for reconstructing acute orbital wall fractures.
The Dieffenbach Flap for Reconstruction of Auricular Defects After Mohs Micrographic Surgery
Authors: Niksic Amor , Bennett Anne , Basagaoglu Berkay , Nissan Michael E. , Thornton James F. 
Published: September 2024

Auricle reconstruction is a challenging problem in plastic surgery due to the ear’s prominent location, complex anatomy, and limited local tissue availability. The Dieffenbach flap, a folded postauricular flap, offers a viable flap for reconstruction of larger ear defects. Although the technique has been well defined in previous literature, there are few studies evaluating its outcomes and complications. The authors conducted a retrospective review of patients who underwent auricle reconstruction with the Dieffenbach flap by a single surgeon between 2016 and 2022. Data collection included demographics, medical history, cancer type, defect characteristics, postoperative care, outcomes, and complications. Univariable analyses using the Fischer exact test assessed the association between risk factors (smoking, anticoagulation use, and age) and complication rates, with P ≤ 0.05 considered statistically significant. A total of 40 patients were included in this study, with a mean age of 67.6 and a male prevalence of 77.5%. The mean defect size was 6.5 cm2, with most defects located on the superior helix. The most common complication was postoperative cellulitis (3 patients, 7.5%), followed by contour abnormality that required revision surgery (2 patients, 5.0%). History of smoking had a statistically significant association with complications (P = 0.013). Use of anticoagulants, or older age (defined as >70 years), had no significant association with complication risk. The Dieffenbach flap remains a reliable method for reconstruction of various auricle defects. It is low maintenance, well tolerated by patients, and involves minimal donor site morbidity without the need for cartilage.
Trans-Ancestry GWAS of Hot Flashes Reveals Potent Treatment Target and Overlap with Psychiatric Disorders
Authors: Werwath Kathryn E. , Lawn Rebecca B. , Salem Madeleine T. , Li Tayden , Mitchell Brittany L. , Shen Hanyang , Gordon Scott D. , Kung Benson , Stafford Ciera , Vemuri Mytilee , Ratanatharathorn Andrew , Meijsen Joeri , Shadyab Aladdin H. , Kooperberg Charles , Koenen Karestan C. , Crandall Carolyn J. , Martin Nicholas G. , Duncan Laramie E. 
Published: September 2024

AbstractBackgroundMost women experience hot flashes (hot flushes) during the menopause transition. Menopausal hot flashes typically persist for years. For a sizeable minority of women, hot flashes are severe and substantially impairing. It is worthwhile to further investigate the genetic underpinnings of hot flashes.MethodWe conducted the largest trans-ancestry genome-wide association study (GWAS) of hot flashes available to date (N=149,560). We used self-assessment of hot flashes in the Nurses’ Health Study, Nurses’ Health Study II, Women’s Health Initiative, and Queensland Institute of Medical Research samples (total n=42,489). In one sample (UK Biobank, n=107,071) direct assessment of hot flashes was not available, so menopausal hormone therapy was used as a proxy variable. We estimated the heritability of hot flashes and genetic correlations with psychiatric phenotypes using linkage disequilibrium score regression (LDSR).ResultsIn component analyses and our trans-ancestry meta-analysis, the top locus was on chromosome 4 in the neurokinin 3 receptor gene (TACR3, position 104,556,732, trans-ancestryp=7.2×10−41). A second novel locus was identified (LINC02428, p=3.5×10−8). Gene results implicatedTACR3, GRID1, NUDT4, andPHF21B. Using the hot flash GWAS meta-analysis (n=42,489; i.e., no proxy variable), SNP heritability was estimated:h2liab=.08 (h2SNP=.04,se=.02). Genetic correlations were statistically significant between hot flashes and posttraumatic stress disorder (PTSD,rg=0.25,p=0.01), schizophrenia (rg=0.17,p=0.02), and depression (rg=0.21,p=0.01).DiscussionThese genomic findings are consistent with independent, robust basic science research which led to a novel treatment for hot flashes, namely, neurokinin 3 receptor antagonists. This new class of hot flash drugs blocks the receptor (neurokinin 3 receptor) coded for by the top locus for hot flashes (TACR3). This GWAS of hot flashes provides an uncommonly clear example of how GWAS findings can point to potent treatment targets for complex brain phenotypes. We also found that the proxy variable (menopausal hormone therapy) pointed to the same target (TACR3), and that exclusively intronic and intergenic variants signaled this target.
Stabilization of U
5f2
configuration in
UTe2
through U
6d
dimers in the presence of Te2 chains
Authors: Christovam Denise S. , Sundermann Martin , Marino Andrea , Takegami Daisuke , Falke Johannes , Dolmantas Paulius , Harder Manuel , Gretarsson Hlynur , Keimer Bernhard , Gloskovskii Andrei , Haverkort Maurits W. , Elfimov Ilya , Zwicknagl Gertrud , Andreev Alexander V. , Havela Ladislav , Bordelon Mitchell M. , Bauer Eric D. , Rosa Priscila F. S. , Severing Andrea , Tjeng Liu Hao 
Published: September 2024

We investigate the topological superconductor candidate UTe2 using high-resolution valence-band resonant inelastic x-ray scattering at the U M4,5 edges. We observe atomiclike low-energy excitations that support the correlated nature of this unconventional superconductor. These excitations originate from the U 5f2 configuration, which is unexpected since the short Te2-Te2 distances exclude Te2 being 2−. By utilizing the photoionization cross-section dependence of the photoemission spectra in combination with band structure calculations, we infer that the stabilization of the U 5f2 configuration is due to the U 6d bonding states in the U dimers acting as a charge reservoir. Our results emphasize that the description of the physical properties should commence with a 5f2 ansatz.

Published by the American Physical Society
2024
Historical high prices and seasoned equity offerings: evidence from China
Authors: Xia Yu , Guo Shuxin 
Published: September 2024

PurposeWe are the first to investigate the relationship between seasoned equity offerings (SEOs) and anchoring on historical high prices in China.Design/methodology/approachWe use the ratio of the recent closing price to its historical high in the previous 12–60 months (anchoring-high-price ratio) to study its impact on the market timing of SEOs.FindingsEmpirical results show that the anchoring-high-price ratio significantly and positively affects the probability of additional stock issuances. Contrary to the USA market, the Chinese stock market reacts negatively to the SEOs at historical highs. Moreover, the anchoring-high-price ratio exacerbates the negative effect of announcements and leads to long-term underperformance. Finally, we investigate the impact of the anchoring-high-price ratio on a company’s capital structure, showing that the additional issuance anchoring on historical highs reduces the company’s leverage ratio in the long run. Overall, our findings support the anchoring theory and can help understand better the anchoring behavior of managers and the company’s decision on additional stock issuances.Originality/valueWe are the first to use the anchoring-high-price ratio to study the timing of SEOs. We find that the anchoring-high-price ratio positively affects the probability of SEOs. Unlike the USA, the Chinese stock market reacts negatively to SEOs at high prices. SEOs anchoring on historical highs reduce a firm’s leverage ratio in the long run. Finally, our results support the anchoring theory.
The impact of leadership behaviors on organizational innovative performance and learning in AI-driven Industry 5.0 environments
Authors: Alshaibani Elham , Bakir Ali , Al-Atwi Amer 
Published: September 2024

Purpose
Our aim was to elucidate how leaders’ behaviors may impact innovation and organizational learning in a fast-changing, human-centric and sustainability responsive AI-driven Industry 5.0 environment.

Design/methodology/approach
An unsystematic narrative review of relevant literature was conducted focusing on the influence of leadership behaviors on innovation and learning in Industry 5.0 environment.

Findings
We found that leadership behaviors that align with Industry 5.0 demands and values must emphasize collaboration, empathy, and continuous learning. The translation of leaders’ actions into desired outcomes requires a psychologically safe work environment, ensuing team cohesion, empowering team members, promoting a learning culture, engendering trust, and vision and goal alignment.

Research limitations/implications
Being aware of leadership qualities required in Industry 5.0 environment, characterized by machine–human collaboration, sustainable innovations, and continuous learning, enables organizations to focus their recruitment efforts on leaders’ characteristics that align with this environment. It also helps them design suitable leaders’ training and development programs. This study requires further expansion and empirical testing to validate the proposed model.

Originality/value
There is a plethora of studies on leadership in various contexts; however, there is very little research on the type of leadership that maybe effective in the fast changing and AI-driven Industry 5.0 environment. The findings of this paper shed light on such a leadership.
Moderating effects of country-level institutional quality and cultural dimensions on CSR-stock price crash risk relationship: a meta-analysis study
Authors: Ali Waris , Wilson Jeffrey , Al-Kwifi Osama Sam , ElAlfy Amr 
Published: September 2024

PurposeThis study uses meta-analysis to examine the relationship between corporate sustainability reporting (CSR) and stock price crash risk (SPCR) and to discern the moderating effects of country-level institutional quality and cultural dimensions on this link.Design/methodology/approachThe study used mean correlation coefficients to test the relationship between CSR and SPCR and meta-regressions to test the moderating effects. The analysis considers 65 effect sizes from 24 empirical studies.FindingsThe results showed that CSR reduces the chances of SPCR. The inverse relationship between CSR and SPCR is stronger in masculine, high power distance and long-term oriented cultures and is less pronounced in individualistic, uncertainty avoidance and indulgent cultures. The inverse relationship is also stronger in countries where high-quality institutions exist.Research limitations/implicationsThis study is based on correlation coefficient analysis and excludes studies publishing only regression results. Furthermore, it provides guidance to lessen SPCR. Findings suggest that such initiatives may mitigate the risk of stock price crashes for firms. Through meta-analysis, this research investigates the correlation between environmental, social and governance (ESG) disclosure and stock price crash occurrences, offering insights with significant implications for the European financial landscape and globally.Originality/valueThis is a pioneer meta-analysis that investigates the link between CSR and SPCR and the moderating effects of country-level institutional quality and cultural dimensions. Our study sheds light on the potential impact of promoting a sustainable and responsible business environment in Europe through comprehensive ESG disclosure under the Corporate Sustainability Reporting Directive (CSRD).