bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychiatrische Konsiliartätigkeit in der unfallchirurgischen
Rehabilitation – eine retrospektive deskriptive Kohortenstudie
Authors: Schindl Martin , Schätzner Werner 
Published: July 2024

Zusammenfassung
Hintergrund Psychiatrische Erkrankungen nehmen weltweit und national zu.
Während für deutsche Rehabilitationskliniken Zahlen für die Prävalenz
psychiatrischer Störungen bei Patienten nach körperlichen Traumen vorliegen,
fehlen für Österreich entspreche Daten.
Materialien und Methoden Im Rehabilitationszentrum „Weißer Hof“ der
Allgemeinen Unfallversicherungsanstalt wurde die Anzahl der Patienten, die in
den Jahren 2012 bis 2021 zumindest ein psychiatrisches Konsil erhielten, erhoben
und zusätzlich für die Jahre 2012 und 2021 die Verteilung der einzelnen ICD-10
Diagnosegruppen ermittelt.
Statistik Es wurde eine retrospektive deskriptive Kohortenanalyse
durchgeführt. Unterschiede für metrische Variablen wurden mittels unabhängigem
t-test, Unterschiede zwischen kategorialen Daten mittels Fishers exact Test auf
Signifikanz geprüft. Zur Erhebung des psychiatrischen Betreuungsaufwandes wurde
für die Zahl aller in einem Jahr erbrachten Konsile ein lineares
Trendmodellberechnet.
Ergebnisse Das lineare Trendmodell für den Zeitraum 2012 bis 2021 ergab
eine signifikante Zunahme der erbrachten psychiatrischen Konsile (p=0,002). In
den Jahren 2012 und 2021 stieg der Prozentsatz der Patienten, mit mindestens
einem psychiatrisches Konsil von 6,5% auf 13,8%. (Fischers exact test
p<0,001). Die durchschnittliche Anzahl der erbrachten Konsile pro Patient lag
im Jahr 2012 bei 2,1 und im Jahr 2021 bei 3,2 Konsilen (t[190]=−3,73;
p<0,001, d=0,54). Während im Jahr 2012 mit 37,6% aller gestellten Diagnosen
die Affektiven Störungen (F30−F39) die häufigste Störung darstellte, gefolgt von
der Gruppe der „Neurotischen, Belastungsstörungen und somatoformen Störungen“
(F40−F48) mit 34,1%, drehte sich im Jahr 2021 die Reihenfolge der beiden
Diagnosegruppen um (F40−F48: 38,4%, F30−F39: 32,7%).
Schlussfolgerungen Es konnte erstmals ein Überblick über Umfang und
Betreuungsdichte der psychiatrischen Konsiliartätigkeit in einem stationären
unfallchirurgischen Rehabilitationssetting in Österreich erhoben werden. Von
2012 bis 2021 nahm der Anteil der „konsiliariter“ betreuten Patienten ebenso wie
die Betreuungsdichte signifikant zu. Im Jahr 2021 stellten die ICD-10 Grupp
F40−F48 die häufigste Diagnosegruppe dar. Weitere prospektive Studien sind
geplant.
Orthodontic and Surgical Management of Impacted Maxillary Canines: A Narrative Review
Authors: Selmani Mimoza E. , Duci Shkelzen B. , Gashi Nora Asani , Bukleta Manushaqe Selmani 
Published: July 2024

AbstractMaxillary canine impactions are a significant challenge for orthodontic and oral surgical practices. In this narrative review, we aim to evaluate surgical and orthodontic approaches for treating maxillary canine impactions, evaluate their effectiveness, and compare the two treatment modalities.We reviewed several studies on databases such as Google Scholar, PUBMED, and MEDLINE to update recent knowledge for canine impactions and their treatment. We reviewed and included studies that matched our research objectives, including orthodontic management, open and closed eruption techniques, and contact and tooth alignment surgery.Successful treatment results of canine impactions were reported increasingly in literature, and good clinical outcomes were observed in most cases. However, factors such as the severity of the impaction, patient age, and surgical experience were found to influence the choice of surgical technique and success rates. Complications associated with surgical management of maxillary canine impactions were also reported. These complications, which include tooth resorption, postoperative infection, ankylosis, and damage to adjacent structures, are generally rare but emphasize the importance of careful patient selection, surgical planning accuracy, and emphasis on diligent postoperative care.Findings highlight surgical procedures' effectiveness, outcomes, and challenges to help clinicians make informed decisions and improve patient care. The results underscore the importance of evidence-based decision-making and a multidisciplinary approach for successful clinical outcomes. Future research will focus on long-term stability, patient-reported outcomes, and exploring emerging techniques to further improve the management of maxillary canine impactions.
Reduced Expression of REG4 as a Sign of Altered Goblet Cell Function in Necrotizing Enterocolitis
Authors: Hoffsten Alice , Markasz Laszlo , Lilja Helene Engstrand , Mobini-Far Hamid , Sindelar Richard 
Published: July 2024

Objective Defective Goblet cells have been proposed to be involved in necrotizing enterocolitis (NEC). The aim was to study the expression of the Goblet cell marker REG4 and its potential involvement in NEC in preterm infants with and without NEC.
Study Design Seventy histologically intact intestinal biopsies were studied: 43 were collected during surgery due to NEC (NEC group: 26.5 ± 3.0 weeks' gestational age [wGA]), and 27 from individuals who underwent surgery due to other conditions (Control group; 36.1 ± 4.5 wGA). The tissue samples were immunohistochemically stained for REG4. REG4 expression was quantified with a semiautomated digital image analysis and with clinical data compared between the groups.
Results REG4 expression was lower in the NEC group than in the Control group (p = 0.035). Low REG4 expression correlated to the risk of NEC (p = 0.023). In a multivariable logistic regression analysis including GA and REG4 expression for NEC risk, only GA (p < 0.001) and not REG4 expression (p = 0.206) was associated with NEC risk.
Conclusion This study concludes that Goblet cell dysfunction may be involved in NEC development, as low expression of the Goblet cell marker REG4 was related to an increased NEC risk in preterm infants. Maturity could however not be excluded as a potential confounder for REG4 expression.
Key Points
A síndrome compartimental crônica em atletas
Authors: Jorge Pedro Baches , Toledo Mariana Belaunde , Mari Flora Chaves , Toledo Rodrigo Ruas Floriano de , Lima Marcos Vaz de , Sprey Jan Willem Cerf 
Published: July 2024

ResumoA síndrome compartimental crônica (SCC) pode ser definida como uma elevação da pressão dentro de um espaço fibro-ósseo não expansível, que surge por meio de atividades físicas contínuas e intensas, com sintomas que geralmente melhoram com repouso ou redução da atividade. É uma causa importante de dor nos membros inferiores em atletas, sendo a segunda causa mais comum de dores nas pernas relacionada ao esforço, embora existam relatos menos comuns em compartimentos paravertebrais lombares, na mão, no antebraço, na coxa e no pé. É mais frequentemente observada em corredores de longa distância; porém, outros esportes também têm sido associados a essa entidade, como lacrosse, futebol, basquete, esqui e hóquei de campo. A tensão muscular, cãibras, piora dos sintomas com o exercício físico, dor e redução da sensibilidade na parte superior do pé são os principais sintomas relacionados a essa síndrome, sendo o diagnóstico essencialmente clínico. Embora controversa e com algumas limitações, a medição da pressão intracompartimental após o exercício tem sido utilizada para o diagnóstico da SCC. No entanto, novas ferramentas estão sendo estudadas como alternativa, especialmente aquelas que são menos invasivas, como a imagem de ressonância magnética (RM) após protocolo de exercício. A fasciotomia aberta foi porvários anos o tratamento mais relevante para SCC em atletas, porém novas técnicas cirúrgicas estão ganhando importância, como a fasciotomia minimamente invasiva e o procedimento endoscópico. Alguns tratamentos conservadores são promissores como alternativas possíveis para aqueles que não desejam a cirurgia, mas ainda há falta de evidências robustas para sustentá-los, especialmente para atletas.
Extensive Multiorgan and Neurological Involvement on F-18 FDG PET-CT in a Case of Rosai-Dorfman Disease
Authors: Polisetty Sireesha , R. Ramyapriya , D.S Hema latha , Kalawat Tekchand 
Published: July 2024

AbstractRosai-Dorfman disease (RDD) is a rare benign proliferative disorder. Lymph nodes are the usual and common sites of involvement. Involvement of the extranodal site is also documented in the literature. 18F-fluorodeoxyglucose positron emission tomography computed tomography (F18-FDG PET CT) is a valuable whole-body imaging modality in staging and treatment response of various lymphoproliferative and solid organ malignancy. Similarly, PET CT survey can detect the involved sites of various body systems, infective or inflammatory diseases, and provide guidance for biopsy and to reach to diagnosis. Here, we present a case of RDD, who presented with neurological manifestations and on F18-FDG PET CT, diagnosed with multiorgan involvement.
Lawsuits against the Brazilian Unified Health System regarding Bladder/Ureteral Cancer
Authors: Korkes Fernando , Silveira Mariana Avelar da , Tocci Flavio , Pedrotti Carlos , Teich Vanessa Damazio , de-Barros Luciana Holz Camargo , Glinas Sidney 
Published: July 2024

Abstract
Objective To evaluate the technical notes (TNs) issued by the Center for Technical Support of the Judiciary (Núcleo de Apoio Técnico do Poder Judiciário, NAT-Jus, in Portuguese) of the Brazilian Ministry of Justice regarding lawsuits against the Brazilian Unified Health System (Sistema Único de Saúde, SUS, in Portuguese) concerning bladder/ureteral cancer, in order to better advise the formulation of public policies regarding oncologic care.
Materials and Methods A cross-sectional study on the TNs issued by NAT-Jus regarding lawsuits from patients against SUS from 2019 to 2023 concerning bladder or ureteral cancer.
Results A total of 137 TNs were issued. Most plaintiffs were male patients (70.8%), with a mean age of 69.1 ± 17.6 years. The lawsuits were filed in an attempt to obtain medications (67%), medical care or procedures (26%), or other health products (7%).The most common medications requested were immuno-oncology (IO) therapeutic agents, in 66 cases (pembrolizumab, avelumab, nivolumab, and atezolizumab), followed by the Bacillus Calmette-Guerin (BCG) vaccine (n = 13), chemotherapeutic agents in 5 cases, erdafitinib in 2 cases, and enfortumab vedotin in 1 case.Pembrolizumab was the medication most frequently requested by patients undergoing treatment for bladder or ureteral cancer. Out of more than 50 thousand TNs, there were 1,349 requests for this medication. Bladder or ureteral cancer was responsible for 3.4% of all the demands for pembrolizumab.It is also notable that lawsuits were more common in the Southern (n = 47), followed by the Southeastern (n = 26), Northeastern (n = 20), and Midwestern (n = 6) regions. The lawsuits in the South were more often related to expensive medications. In the Northeast and Midwest, there were proportionally more lawsuits demanding medical procedures. The Brazilian Federal Government lost the lawsuits, representing expenses of BRL 42.1 million with these novel medications within the period evaluated.
Conclusion Bladder cancer treatment within SUS faces obstacles and shortages of essential medications. Moreover, advanced and costly therapies are not widely available, straining the public healthcare system and resulting in increasing legal costs. Collaboration among the government, the scientific community, and patient advocacy organizations is crucial to ensure the sustainability of SUS in the face of these challenges.
Dealing with Diversity in Digital Psychological Interventions for Young People: A Structured Review
Authors: Jahedi Farzad , Henman Paul W. Fay , Ryan Jillian C. 
Published: July 2024

AbstractIn recent years, despite significant progress in digital psychological interventions (DPIs), the prevalence of psychological issues among young adults remains a concern. While research on the feasibility and effectiveness of DPIs is extensive, there's a growing recognition of the need for a sociotechnical approach to enhance user engagement. This review aims to highlight the importance of integrating diversity, especially sociodemographic characteristics, into DPI design and implementation.The review meticulously examined literature from six academic databases focused on DPIs tailored for users aged 12 to 26, spanning the period between 2009 and 2019. The data extraction process specifically targeted biosocial factors such as gender and ethnicity, as well as sociocultural elements like remoteness and labor force status among users. Among the initial pool of 879 articles, a refined selection of 25 underwent detailed analysis. Intriguingly, 14 of these studies did not treat sociodemographic factors as independent variables, leaving only 11 that did. Notably, gender and ethnicity emerged as the most frequently studied factors, with remoteness and labor force considerations receiving comparatively less attention.Despite the acknowledged importance of user engagement in DPI effectiveness, the review highlights a critical gap: insufficient consideration of young adults' sociodemographic characteristics in intervention design and implementation. Therefore, the findings strongly support further mixed-method studies to fully understand the complex social factors influencing user engagement with DPIs. Closing this gap will undoubtedly refine and optimize DPIs to better meet the diverse needs of young adults dealing with psychological challenges.
From “transitions” to “trajectories”: towards a holistic interactionistic analysis of educational inequality in contemporary China
Authors: Bi Xiangyang , Liu Xueling 
Published: July 2024

AbstractThis study employs sequence analysis to explore the educational pathways of individuals born in China between 1976 and 1988, a cohort that witnessed substantial educational expansion. The study constructs a typology for classifying these educational trajectories and quantifies the prevalence of each category within the cohort. Utilizing decision tree analysis, the study investigates the relationship between different educational pathways and various background characteristics. Unlike the “waning coefficients” commonly observed in Mare model and its variants, this approach unveils the substantial influence of cumulative advantage and disadvantage in shaping educational trajectories, a process heavily impacted by individuals’ social backgrounds. Despite some exceptions and complexities, several discernible patterns become apparent. For instance, individuals hailing from rural settings generally exhibit a decreased likelihood of progressing along superior educational trajectories throughout their academic endeavors when juxtaposed with their urban counterparts. Moreover, elevated levels of parental education persistently enhance children’s prospects for accessing superior educational pathways, irrespective of their urban or rural origins. This methodology serves as a valuable instrument for scrutinizing the general features and diversity of educational trajectories, providing a complementary perspective to existing research on educational stratification and inequality.
Use of two different methods for glucose determination in sheep under normoglycemic, hypoglycemic, and hyperglycemic conditions: an evaluation of practical diagnostic methods in ovines
Authors: Chenard Marina Galindo , Bastos Jade de Menezes Paes , Valle Matheus Dias , Magalhães da Cunha Isabelle , Alencar Nayro Xavier de , Lessa Daniel Augusto Barroso , Souza Guilherme Nunes de , Cunha Nathalie Costa da , Helayel Michel Abdalla 
Published: July 2024

Context Animals can present abnormal blood glucose concentrations because of various diseases or pathological conditions, stress, or hunger. Early diagnosis prevents complications, economic losses, and death. The use of a portable glucometer (PGM) has been shown to be a good, simple, and practical alternative method with good precision and accuracy for assessing blood glucose in humans and companion animals. Aims The objective of this work was to evaluate the accuracy and reliability of a portable glucometer (PGM) for assessing glycemia in normoglycemic, hypoglycemic, and hyperglycemic sheep. Methods Blood glucose was evaluated in 60 normoglycemic, 15 hypoglycemic, and 15 hyperglycemic sheep. Blood samples were collected and analysed within 2 h by using PGM and the enzymatic method (EM). Each test was evaluated for sensitivity, specificity, and the area under the receiver operating characteristic (ROC) curve for two cutoff points, namely, one for hypoglycemia and the other for hyperglycemia. Key results The results of the Kolmogorov–Smirnov test (P < 0.05) for all groups evaluated did not show a normal distribution for the values evaluated by PGM and EM. Despite the significant difference found between the medians of the methods and the low homogeneity according to the coefficient of variation (CV), there was a homogeneous and linear dispersion of the results. The Bland–Altman test showed that the mean difference between the two methods was close to zero, denoting good agreement, precision, and accuracy of PGM when compared to EM. Conclusions PGM presents high accuracy and precision for assessing glycemia in sheep, providing satisfactory and reliable results when compared with EM. Implications The use of PGM facilitates the veterinarian’s routine, promoting early diagnosis, field examinations, and monitoring of metabolic diseases.
Resonant Raman Auger spectroscopy on transient core-excited Ne ions
Authors: Mazza Tommaso , M Baumann Thomas , Boll Rebecca , De Fanis Alberto , Dold Simon , Ilchen Markus , Mullins Terry , Ovcharenko Yevheniy , E Rivas Daniel , Senfftleben Björn , Usenko Sergey , Ismail Iyas , D Bozek John , Simon Marc , Fritzsche Stephan , Meyer Michael 
Published: July 2024

Abstract
Short-lived core-ionized neon atoms were investigated by measuring under resonant Raman conditions the Auger decay following the excitation of a second core electron into a Rydberg state. Making use of intense and narrow bandwidth x-ray free-electron laser pulses, the photoexcitation spectrum of the femtosecond-lived Ne

+

1

s
0

2

s
2

2

p
6

n
p

series was characterized. Energy position and lifetimes of the lower-lying Rydberg states were determined and the final state configurations following the decay of the Ne

+

1

s
0

2

s
2

2

p
6

3
p

double-core hole resonance were partially resolved.
Geometric and electronic properties of anionic precious metal gold doped boron clusters AuB
n
− (n = 10–20)
Authors: Fu Peixin , Chen Bole , Ding Kewei , Lu Cheng 
Published: July 2024

Abstract
Recently, the Au–B covalent bonds in gold doped boron clusters has attracted great attention. However, there are fewer theoretical reports on exploration their ground state structures and stabilities, especially for the medium sizes. Here, we study the structural evolution and electronic properties of the anionic Au doped boron clusters with medium sizes of n from 10 to 20 using the unbiased cluster structural searches combined with density functional theory (DFT) calculations. The results reveal that the quasi-planar AuB18
− (1A, C
1) cluster shows excellent stability and a large vertical separation energy (VDE) of 4.25 eV. The good consistency between the computationally simulated photoelectron spectra and the experimental spectra strongly supports the correctness of our low-lying structures. Further bonding analyses show that the well-stabilized aromatic AuB18
− cluster is due to the active σ interactions between Au atom (6s orbitals) and B units (2p orbitals), as well as the large number of σ–bonds in the B18
− moiety with π-aromaticity. These findings enriched the family of Au-B alloy clusters and metal-doped boron-based aromatic clusters, which provide valuable information for the experimental characterization and preparation of boron-rich alloy nanoclusters in the future.
A compact electron beam ion source for highly charged ion experiments at large-scale user facilities
Authors: Thima D , Niggas A , Werl M , Szabo G L , Laux P , Schmidt M , Zschornack G , Aumayr F , Wilhelm R A 
Published: July 2024

Abstract
Probing and manipulating of 2D materials and their heterostructures using slow highly charged ions (HCIs) is currently a hot topic due to the ultimate surface sensitivity of electronic sputtering with profound implications for fundamental research and technological applications. To study surface modifications without the complications of sample transport from ion irradiation to complex microscopic or spectroscopic analysis tools, the development of compact and thus portable ion sources is essential. In this paper we present the first results of the electron beam ion source-Compact version 1 (EBIS-C1), a novel and highly compact source for highly charged ions manufactured by D.I.S Germany GmbH. The main focus of this paper is to demonstrate the suitability of the EBIS-C1 as an ideal source for ion scattering experiments at surfaces and at gas/liquid jet targets by presenting the first charge state spectra of extracted neon, argon and xenon ions. The results highlight the potential of this portable EBIS to become a versatile platform for the study of HCI-surface interactions, allowing investigations to be carried out at user terminals in different laboratory environments.
The time evolution of electrical and thermodynamic characteristics of surface dielectric barrier discharge caused by dielectric degradation
Authors: Wang An , Tian Zunyi , Peng Yang , Wang Haitao , Zhang Mengmeng , Sun Shuobei , Hou Zhongyu 
Published: July 2024

Abstract
The degradation of the dielectric layer is a common issue in dielectric barrier discharge (DBD). The performance of DBD devices may suffer from instability due to potential corrosion of the dielectric layer caused by discharge, which could even result in structural failure. To gain a comprehensive understanding of the degradation of DBD devices during discharge, the evolution of the performance of DBD devices with various dielectric materials over time is studied. Periodic patterns are found to form on the dielectric surface along the edge of the high-voltage electrode. The electrical data, emission spectra, and surface morphologies of DBD devices with three different dielectric materials, namely ceramics, glass, and PCB, are obtained during an eight-hour discharge. The electrical and thermodynamic characteristics of DBD devices with the three dielectric materials are found to initially decrease by about 20%∼40%. Subsequently, they remain stable in devices with ceramics and PCB dielectric layers but increase in devices with glass dielectric layers until the end. Surface morphologies reveal that periodic patterns consisting of metal accumulations, etching pits, and metal depositions form on the surfaces of ceramics, glass, and PCBs, respectively. Some organic compounds vaporize from the surface of PCBs. The deposition, etching, and vaporization could be reasons for changes in the electrical and thermodynamic characteristics. It shows that degradation occurs not only in organic dielectrics like polymers but also in inorganic dielectrics such as ceramics and glass. To enhance stability and prevent potential failures and overestimations, electrical and optical measurements could be utilized as diagnostic methods in applications involving DBD devices.