bluuebunny/crossref_metadata_2025_split huggingface dataset:
Keepin' It Real With Relationships: Cultural Humility and Therapeutic Relationships With Culturally/Linguistically Diverse Students
Authors: Scott R. Danielle 
Published: September 2024

Purpose:
There is a significant racial, ethnic, and linguistic gap in professional representation in the field of speech-language pathology as compared to the rapidly diversifying special education student population, and this incongruence could have implications for the therapeutic relationship. The purpose of this article is to explore how school-based speech-language pathologists (SLPs) describe and define facilitating and impeding factors for establishing therapeutic relationships with culturally and linguistically diverse (CLD) students.

Method:
In this qualitative descriptive study, 17 school-based SLPs completed individual semistructured interviews. To enhance the trustworthiness of the study, six interview participants engaged in two member-checking focus groups, voting on the extent to which they agreed with the themes, and expanded on those themes with examples. A hybrid inductive–deductive thematic analysis was used to analyze the interview and focus group data.

Results:
Sixteen of the 17 school-based speech-language pathology participants represent racially/ethnically marginalized backgrounds; therefore, results are influenced by their lived experiences. Three themes emerged describing the nature of therapeutic relationships: critical components of therapeutic relationships, the strength of therapeutic relationships, and the therapeutic relationship as empowerment for CLD students. Four themes emerged to describe the factors facilitating and impeding therapeutic relationships: most valuable personality traits for SLPs, critical demand for speech-language pathology education, lacking cultural humility and rapport, and fostering relationships with cultural humility and rapport.

Conclusions:
School-based SLPs build and maintain therapeutic relationships with CLD students with cultural humility and rapport. Clinical and institutional implications are discussed.

Supplemental Material:

https://doi.org/10.23641/asha.26824960
Effectiveness of an Educational Seminar for Older Adults With Hearing Loss
Authors: Gaeta Laura , Ahlquist Julia 
Published: September 2024

Purpose:
Despite the recognized benefits of aural rehabilitation (AR), its adoption has been limited. The purpose of this study was to investigate the effectiveness of group AR through an educational seminar for older adults with hearing loss, “Optimal Hearing,” evaluating the application of various patient-reported outcome measures.

Method:
Participants were older adults with hearing loss. The seminar covered content such as hearing loss and aging, audiogram interpretation, clear speech, lipreading, and hearing aids. Small group activities for personalized instruction also included: the Client Oriented Scale of Improvement (COSI), Communication Confidence Profile (CCP), and, a study-specific measure, the Optimum Hearing Questionnaire (OHQ).

Results:
Participants experienced significant improvements in various areas measured by the COSI. The CCP showed significant change in one item (confidence while conversing with friends in a noisy restaurant), while several items on the OHQ indicated significant changes postintervention.

Conclusion:
The findings suggest the potential clinical utility of these measures in group AR settings and the importance of individualized goal setting.

Supplemental Material:

https://doi.org/10.23641/asha.26824111
Ageing and dynamics of the tailed radio galaxies in Abell 2142
Authors: Bruno L. , Venturi T. , Dallacasa D. , Brienza M. , Ignesti A. , Brunetti G. , Riseley C. J. , Rossetti M. , Gastaldello F. , Botteon A. , Rudnick L. , van Weeren R. J. , Shulevski A. , Lal D. V. 
Published: September 2024

Context. Tailed radio galaxies are shaped by ram pressure that is due to the high-velocity motion of their host through the intracluster medium (ICM). Recent works have reported on the increasing complexity of the phenomenology of tailed galaxies, with departures from theoretical ageing models and novel evidence of re-energising mechanisms that are nonetheless unclear.
Aims. The nearby (z = 0.0894) galaxy cluster Abell 2142 hosts two tailed galaxies, namely T1 and T2, which exhibit peculiar morphological features. We aim to investigate the properties of T1 and T2 and constrain their spectral evolution, dynamics, and interactions with the ICM.
Methods. We combined data from LOw Frequency Array (LOFAR), upgraded Giant Metrewave Radio Telescope (uGMRT), Very Large Array (VLA), and MeerKAT (from 30 MHz to 6.5 GHz) to carry out a detailed spectral analysis of T1 and T2. We analysed the surface brightness profiles, measured integrated and spatially resolved spectral indices. We performed a comparison with single injection ageing models. The Chandra X-ray data were used to search for discontinuities in the ICM properties in the direction of the targets.
Results. The spectral properties of T1 at low frequencies can be predicted by ageing models and provide constraints on the 3D dynamics of the host by assuming a constant velocity. However, a more complex scenario is suggested by the sharp transitions along sub-regions of the tail, local surface brightness enhancements, and a spectral shape at high frequencies that is not predicted by any of the models. This scenario may plausibly involve hydrodynamical instabilities and particle mixing. T2 exhibits unusual morphological and surface brightness features, and its spectral behaviour is not predicted by standard models. The effects of two active galactic nucleus (AGN) outburst events during the infall of T2 towards the cluster centre could potentially explain its characteristic properties.
Comprendre les dynamiques interdisciplinaires des communautés épistémiques à l’interface entre natures et sociétés : une étude comparative de l’Économie écologique, de la Résilience des systèmes sociaux et écologiques et de la Political Ecology
Authors: Arnauld de Sartre Xavier , Bousquet François , Petit Olivier , Vivien Franck-Dominique 
Published: September 2024

À partir des années 1970, plusieurs groupes de chercheurs, dont ceux qui fondèrent la revue Natures Sciences Sociétés, ont eu l’idée qu’il était nécessaire, pour répondre à la question environnementale, de dépasser les frontières disciplinaires. Nous proposons de comparer ici trois de ces communautés interdisciplinaires que nous qualifions de communautés épistémiques – l’Économie écologique, la Résilience des systèmes sociaux et écologiques, et la Political Ecology –, en présentant leurs trajectoires, les dispositifs qui les structurent et l’appréhension de leur diversité interne. Nous montrons que, si toutes les trois suivent plus ou moins la même temporalité, elles partagent le même diagnostic sur la nature de la crise environnementale mais appréhendent différemment les débats internes quant aux moyens de résoudre cette crise. Nos analyses montrent différentes manières de faire de l’interdisciplinarité : la Résilience des systèmes sociaux et écologiques constitue une forme de communauté épistémique à la fois souple et structurée, quand la Political Ecology est traversée de questions sur l’utilité même de la science et son rapport au politique et à la critique. L’Économie écologique paraît pour sa part tiraillée entre plusieurs courants, qui se distinguent selon leur rapport à l’orthodoxie économique.
Der Stellenwert von Zertifizierungen und Zentren für Patienten bei
der Wahl des Krankenhauses – Ergebnisse einer Patientenbefragung
Authors: Berger Felix , Werner Jens , Matterne Uwe , Apfelbacher Christian , Schlitt Hans Jürgen , Hornung Matthias 
Published: September 2024

Zusammenfassung
Zielsetzung Erhebung der Faktoren, welche für Patienten Krankenhauswahl
wichtig sind, des Stellenwerts von Zertifizierungen und Zentren dabei und des
Wissensstands über ebendiese.
Methodik 2019 wurden 268 Patienten befragt. Eine deskriptive statistische
Auswertung sowie univariate und multivariate Tests wurden durchgeführt.
Ergebnisse 50,0% der Befragten gaben an, dass ihnen Zertifizierung und
Zentren bei der Krankenhauswahl wichtig sind. Im Vergleich zu anderen Faktoren,
die zur Krankenhauswahl führten, bewerteten 68% Zertifizierungen und Zentren als
eher wichtig. Nur 7,5% der Patienten konnten ein zertifiziertes Zentrum ihrer
Station korrekt benennen.
Schlussfolgerung Zertifizierungen und Zentren sind für Patienten wichtig,
aber nicht so wichtig wie beispielsweise die eigene Erfahrung. Bei einer
Wissensabfrage war das spezifische Wissen über die Zertifizierungen und Zentren
gering.
Prädiktoren für die Folgen eines Schlaganfalls: eine systematische
Literaturübersicht für GKV-Routinedatenanalysen
Authors: Aufenberg Birthe , Düvel Juliane , Morthorst Pia , Greiner Wolfgang 
Published: September 2024

Zusammenfassung
Zielsetzung Ermittlung unabhängiger Variablen (UVs) des
Schlaganfallrezidivs, der Mortalität und der Kosten nach Schlaganfall oder
transitorisch-ischämischer Attacke, abbildbar in Routinedaten der Gesetzlichen
Krankenversicherung.
Methodik Durchführung einer systematischen Literaturrecherche in PubMed
und Embase unter Anwendung festgelegter Auswahlkriterien.
Ergebnisse Von 1 982 Treffern wurden 23 eingeschlossen. Robuste UVs für
Rezidiv und Mortalität waren Alter, Schlaganfalltyp, Diabetes mellitus und
Vorhofflimmern. Bei Mortalität waren zudem Geschlecht, stationärer
Aufnahmezeitpunkt und Stroke Unit-Behandlung relevant. Für Kosten war die
Evidenzlage zu gering.
Schlussfolgerung Eine Übersicht zu UVs des Rezidivs und der Mortalität
wurde gegeben. Folgestudien sollten einheitliche Ansätze hinsichtlich
Schlaganfall- und Outcomedefinitionen sowie Evaluationszeiträumen wählen.
Pathophysiology of Hyponatremia in Preterm Infants with Relative Adrenal Insufficiency after the Early Neonatal Period
Authors: Akita Mitsuyo , Tomotaki Seiichi , Hanaoka Shintaro , Araki Ryosuke , Motokura Kouji , Tomobe Yutaro , Tomotaki Hiroko , Iwanaga Kougoro , Takita Junko , Kawai Masahiko 
Published: September 2024

Objective Preterm infants often develop relative adrenal insufficiency (RAI) not only within the early neonatal period but also beyond this period. RAI is commonly accompanied by hyponatremia, but the pathogenesis of hyponatremia with RAI has not been clarified. This study aimed to investigate the pathophysiology of hyponatremia in infants with RAI.
Study Design This is a single-centered retrospective cohort study. Preterm infants born at <30 weeks of gestation or birth weight <1,000 g were enrolled. They were divided into the RAI group and the non-RAI group. The data of serum and urine examination, the amount of sodium intake, and fractional excretion of sodium (FENa) were compared between the two groups. In the RAI group, data before and after the administration of hydrocortisone were also compared.
Results Sixteen infants in the RAI group and 35 infants in the non-RAI group were included in the analysis. In the RAI group, hyponatremia was common and preceded other clinical symptoms, such as oliguria and decreased blood pressure, therefore, hyponatremia with RAI was not likely to be caused by dilution due to oliguria. There was no difference in the FENa between the two groups (adjusted for postconceptional age at examination), therefore, it is not likely that hyponatremia with RAI was mainly caused by excessive renal sodium loss. Since sodium intake was rather higher in the RAI group than in the non-RAI group, it is unlikely that insufficient sodium supplementation was the cause of RAI. Hyponatremia with RAI was considered to be likely caused by vascular hyperpermeability.
Conclusion Hyponatremia is a common symptom among preterm infants with RAI and its pathogenesis can be vascular hyperpermeability.
Key Points
First-Trimester Cell-Free DNA Fetal Fraction and Birth Weight in Twin Pregnancies
Authors: Siegel Molly R. , James Kaitlyn , Bromley Bryann , Koelper Nathanael C. , Chasen Stephen T. , Griffin Laurie , Roman Ashley S. , Limaye Meghana , Ranzini Angela , Clifford Caitlin , Biggio Joseph R. , Subramaniam Akila , Seasely Angela R. , Page Jessica M. , Nicholas Sara S. , Idler Jay , Rao Rashmi , Shree Raj , McLennan Graham , Dugoff Lorraine ,   on behalf of the Twin cfDNA Study Consortium
Published: September 2024

Objective The relationship between fetal fraction and birth weight in twin gestations is poorly understood. This study aimed to investigate the relationship between first-trimester cell-free DNA (cfDNA) fetal fraction and birth weight <10th percentile in twin gestations.
Study Design This is a planned secondary analysis of the Twin cfDNA Study, a 17-center retrospective cohort of twin pregnancies screened for aneuploidy using cfDNA in the first trimester from December 2011 to February 2022, excluding those with positive screen results for chromosomal aneuploidy. cfDNA testing was performed by a single laboratory using massively parallel sequencing. Baseline characteristics and birth weight of pregnancies with normal fetal fraction were compared with those with low (<5%) and high (>95%) fetal fraction using univariable analyses and multivariable regression.
Results A total of 1,041 twin pregnancies were included. Chronic hypertension, elevated body mass index, and self-identified Black race were associated with fetal fraction <5th percentile. There was no difference in median fetal fraction between those with birth weight <10th percentile in at least one twin (median [interquartile range (IQR)] fetal fraction: 12.2% [9.8, 14.8] vs. those with normal birth weight (≥10th percentile) in both twins (median [IQR] fetal fraction: 12.3% [9.7, 15.2] for normal birth weight, p = 0.49). There was no association between high or low fetal fraction and birth weight <10th percentile for one (p = 0.45) or both (p = 0.81) twins, and there was no association between high or low fetal fraction and birth weight <5th percentile for one (p = 0.44) or both (p = 0.74) twins. The results were unchanged after adjustment for potential confounders.
Conclusion In this large cohort, there was no association between the extremes of cfDNA fetal fraction and birth weight <10th percentile, suggesting that first-trimester fetal fraction may not predict impaired fetal growth in twin gestations.
Key Points
Obstetrical Management of Severe Hypertriglyceridemia in Pregnancy: A Case Report
Authors: Madden Nigel , Kamal Nevin , Friedman Jared , Freaney Priya , Gerber Susan E. , Szmuilowicz Emily D. 
Published: September 2024

Abstract
Background Pregnant people with baseline hypertriglyceridemia are at increased risk of severe hypertriglyceridemia and the associated complications, yet there are no formal recommendations to guide management of these patients during pregnancy.
Case We report a case of a patient with presumed familial hypertriglyceridemia who was taken off triglyceride-lowering medications preconception and developed acute pancreatitis at 23 weeks of gestation. She was managed with a very-low-fat diet, exercise, fenofibrate, omega-3-fatty acids, pravastatin, insulin infusion, and plasmapheresis. She delivered at 33 weeks of gestation after presenting with a placental abruption and subcapsular liver hematoma associated with HELLP (hemolysis, elevated liver enzyme levels, and low platelet) syndrome.
Conclusion While rare in pregnancy, severe hypertriglyceridemia is associated with serious maternal risks. Preconception and antepartum obstetric management should incorporate shared decision-making considering both the potential fetal risks of treatment and the objective maternal risks of untreated disease.
Does Resurfacing the Patella Increase the Risk of Extensor Mechanism Injury within the First 2 Years after Total Knee Arthroplasty?
Authors: DeMik David E. , Lizcano Juan D. , Jimenez Emily , Mullen Kyle J. , Lonner Jess H. , Krueger Chad A. 
Published: September 2024

AbstractExtensor mechanism injury (EMI) following total knee arthroplasty (TKA) is a potentially catastrophic complication and may lead to significant morbidity or need for revision reconstructive procedures. Patellar resurfacing (PR), while commonly performed during TKA, reduces overall patella bone stock and may increase the risk of EMI after TKA. The purpose of this study was to assess if PR in elderly patients raises the risk for subsequent EMI.The American Joint Replacement Registry (AJRR) was queried to identify Medicare patients ≥65 years old undergoing primary elective TKA for osteoarthritis between January 2012 and March 2020. Patient age, sex, and Charlson Comorbidity Index (CCI) were collected. Records were subsequently merged with Medicare claims records and evaluated for the occurrence of patella fracture, quadriceps tendon rupture, or patellar tendon rupture based on International Classification of Diseases 9 and 10 (ICD 9/10) diagnosis codes within 2 years of TKA. Patients were stratified based on whether PR occurred or not (NR). Logistic regression was used to determine the association between PR and EMI.A total of 453,828 TKA were eligible for inclusion and 428,644 (94.45%) underwent PR. The incidence of PR decreased from 96.06% in 2012 to 92.35% in 2022 (p < 0.001). Patients undergoing PR were more often female (60.93 vs. 58.50%, p < 0.001) and had a lower mean CCI (3.09 [1.10] vs. 3.16 [1.20], p < 0.001). Odds for EMI did not differ based on whether PR was performed (odds ratio [OR]: 0.85, 95% confidence interval [CI]: 0.65–1.11, p = 0.2246). Increasing age (OR: 1.06, 95% CI: 1.05–1.07, p < 0.0001]) and CCI (OR: 1.06, 95% CI: 0.95–1.19, p = 0.0009) were associated with EMI.PR is commonly performed during TKA in the United States and was not found to increase odds for EMI within 2 years of TKA in patients ≥65 years old. Increased age and medical comorbidity were associated with higher odds for subsequent EMI.
Anatomy of Inferior Temporal Arteries in Relation to Middle Cranial Fossa Structures: A Postmortem Computed Tomography Angiography Study
Authors: Bubenikova Adela , Giammattei Lorenzo , Bruguier Christine , Dunet Vincent , Starnoni Daniele , Gonzalez-Lopez Pablo , George Mercy , Peters David , Cossu Giulia , Benes Vladimir , Messerer Mahmoud , Magnin Virginie , Grabherr Silke , Daniel Roy Thomas 
Published: September 2024

Abstract
Objective The inferior temporal arteries (ITAs), branches of the posterior cerebral artery (PCA), are critical vascular structures encountered during subtemporal surgical approaches. Anatomical data based on multiphase postmortem computed tomography angiography (MPMCTA) are provided as a tool for preoperative surgical planning to lower the risk of ITA injury.
Methods Adult (≥18 years) cases that underwent MPMCTA during 2015 to 2023 and whose cause of death did not involve the cerebral circulation were included in the study. Standardized measurements on four predefined coronal slices in relation to the posterior clinoid process (PCP) were established with references to projections in axial and sagittal planes. The main aim was to assess the presence, width, and course of anterior ITA (AITA), middle ITA (MITA), and posterior (PITA) particularly within the individual established quadrants of the middle cranial fossa.
Results A total of 74 hemispheres were studied among 37 patients with the mean age of 52 ± 20.2 years. PITA was present in 98.7% of studied hemispheres, followed by MITA in 90.7% and AITA in 89.2%. The course of PITA was straight (65.8%) or oblique (34.3%), with significant difference in mean width (p = 0.050), branching angle (p < 0.001), distance to tentorial hiatus (p < 0.001), and superior petrosal sinus (p < 0.001). A pattern of PITA loop was defined as a twisting of its course within the collateral sulcus. Significant relationship between the presence of AITA and MITA (p < 0.001) along with the co-presence of AITA and PITA (p = 0.029) was found.
Conclusion Knowledge of ITA characteristics and their relationship to surrounding anatomical structures is vital in subtemporal neurosurgical interventions. Preoperative inspection of the collateral sulcus and its relation to the surgical trajectory is critical to prevent PITA injury.
Developing PRISM: A Pragmatic Institutional Survey and Bench Marking Tool to Measure Digital Research Maturity of Cancer Centers
Authors: Albiñana Carlos Berenguer , Pallocca Matteo , Fenton Hayley , Sopwith Will , Eden Charlie Van , Akre Olof , Auranen Annika , Bocquet François , Borges Marina , Calvo Emiliano , Corkett John , Di Cosimo Serena , Gentili Nicola , Guérin Julien , Jor Sissel , Kazda Tomas , Kolar Alenka , Kuschel Tim , Lostes Maria Julia , Paratore Chiara , Pedrazzoli Paolo , Petrovic Marko , Raid Jarno , Roche Miriam , Schatz Christoph , Thonnard Joelle , Tonon Giovanni , Traverso Alberto , Wolf Andrea , Zedan Ahmed H. , Mahon Piers 
Published: September 2024

Abstract
Background Multicenter precision oncology real-world evidence requires a substantial long-term investment by hospitals to prepare their data and align on common Clinical Research processes and medical definitions. Our team has developed a self-assessment framework to support hospitals and hospital networks to measure their digital maturity and better plan and coordinate those investments. From that framework, we developed PRISM for Cancer Outcomes: PRagmatic Institutional Survey and benchMarking.
Objectives The primary objective was to develop PRISM as a tool for self-assessment of digital maturity in oncology hospitals and research networks; a secondary objective was to create an initial benchmarking cohort of >25 hospitals using the tool as input for future development.
Methods PRISM is a 25-question semiquantitative self-assessment survey developed iteratively from expert knowledge in oncology real-world study delivery. It covers four digital maturity dimensions: (1) Precision oncology, (2) Clinical digital data, (3) Routine outcomes, and (4) Information governance and delivery. These reflect the four main data types and critical enablers for precision oncology research from routine electronic health records.
Results During piloting with 26 hospitals from 19 European countries, PRISM was found to be easy to use and its semiquantitative questions to be understood in a wide diversity of hospitals. Results within the initial benchmarking cohort aligned well with internal perspectives. We found statistically significant differences in digital maturity, with Precision oncology being the most mature dimension, and Information governance and delivery the least mature.
Conclusion PRISM is a light footprint benchmarking tool to support the planning of large-scale real-world research networks. It can be used to (i) help an individual hospital identify areas most in need of investment and improvement, (ii) help a network of hospitals identify sources of best practice and expertise, and (iii) help research networks plan research. With further testing, policymakers could use PRISM to better plan digital investments around the Cancer Mission and European Digital Health Space.