bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Use of Telehealth to Improve Office Efficiency and Health Care Access Among Patients Being Evaluated for Revision Total Joint Arthroplasty
Authors: Lutz Rex W. , Alexander Tia N. , McCahon Joseph A. S. , Lencer Adam J. , Patrizio Harrison A. , Courtney P. Maxwell , Deirmengian Gregory K. 
Published: August 2024

Background
Patients being evaluated for revision total joint arthroplasty (RTJA) are often referred to tertiary care centers, which may decrease their access to adequate health care and overburden these health care systems. The purpose of this study was to evaluate the feasibility and effectiveness of RTJA patient evaluation via telehealth.

Materials and Methods
We identified a consecutive series of patients newly evaluated for a symptomatic TJA by two academic surgeons during a 1-year period. Clinical records, radiographs, and laboratory values were reviewed to determine whether the patient was indicated for RTJA. Efficiency was determined by calculating the percentage of patients who could have been adequately evaluated with telehealth. We then used the modalities required for diagnosis in each RTJA case to determine the feasibility of evaluating such patients through telehealth.

Results
Of the 381 patients evaluated for RTJA candidacy, 154 (40.4%) were indicated for revision surgery. All 152 patients evaluated for possible hip revision could have been evaluated and diagnosed via telehealth, demonstrating a telehealth efficiency of 100%. Of 229 patients evaluated for possible knee revision, 183 were able to be evaluated and diagnosed via telehealth. The 46 remaining patients were indicated for revision secondary to instability, which would require an in-office examination for diagnosis. The efficiency of telehealth for potential knee revision patients was 79.9%.

Conclusion

Telehealth may be useful in evaluating patients with symptomatic TJA. It may increase the efficiency of in-office evaluations and reduce potential barriers to health care access. [
Orthopedics
. 2024;47(6):372–376.]
Incidence of Parental Requests to Discontinue Growth-Friendly Surgical Lengthening for Early Onset Scoliosis
Authors: Robertson Emily , Murphy Robert F. , Anari Jason B. , Emans John B. , Sponseller Paul D. , Samdani Amer F. , Smith John T. , Barfield William R. , Mooney James F. 
Published: August 2024

Background
The STOP questionnaire was developed to document reasons for discontinuation of growth-friendly (GF) treatment in early onset scoliosis (EOS). This study investigated the incidence of parental request (PR) on the STOP questionnaire and compared clinical information and Early Onset Scoliosis 24-Item Questionnaire (EOSQ-24) scores of PR patients with those whose parents did not request discontinuation (non-parent request [NPR]).

Materials and Methods
An international pediatric spine registry was queried for EOS patients with STOP questionnaires completed by their surgeon. Age at discontinuation, sex, and EOS etiology were recorded. GF device, number of surgical procedures, complications, STOP questionnaire reasons for discontinuation, and definitive treatment were recorded. EOSQ-24 scores and clinical information in the PR cohort were compared with the NPR cohort.

Results

Data for 1326 patients were analyzed. PR was listed on the STOP questionnaires of 46 (3.5%) patients, completed at a mean age of 12 years (SD, 3.2 years). There were no statistical differences in number of procedures or complications when comparing the PR cohort with the NPR cohort. PR patients more frequently had neuromuscular EOS (
P
=.002), more frequently were treated with magnetically controlled growing rods (33% vs 14%,
P
=.036), and more frequently were observed after GF discontinuation (
P
=.628). EOSQ-24 scores for the PR cohort were significantly lower in most domains except pain/discomfort.

Conclusion

For 3.5% of the EOS patients, PR was listed on the STOP questionnaire. They frequently had neuromuscular EOS and frequently were treated with magnetically controlled growing rods. Additionally, these patients had statistically lower EOSQ-24 scores across most domains. [
Orthopedics
. 2024;47(6):e311–e316.]
Assessing the reliability of success predictors in English proficiency among journalism students
Authors: Van Wyk Willem C. , Collins Gary W. , Swanepoel Maria M. 
Published: August 2024

Journalism’s societal role hinges on effective communication, demanding proficient language skills. This study assesses a South African University of Technology’s Department of Journalism, probing existing selection methods’ efficacy in predicting success in two English modules. Concerns persist about these methods accurately identifying students with essential language proficiency. The research explores alternatives for better assessing language abilities crucial for journalistic proficiency. The literature review underscores language proficiency’s significance in journalism education, especially in African contexts, observing challenges faced by South African universities. Current practices, relying on high school English grades and standardised tests, may not precisely reflect required journalism-specific language skills. Using a non-experimental quantitative design, the study analyses correlations between selection methods and student performance in English modules. Findings indicate a weak correlation, advocating for a more comprehensive approach with alternative assessments. Proposed alternatives include writing samples, portfolio reviews, and situational judgement tests for a holistic selection process. The study suggests future research directions, emphasising broader generalisability and exploring correlations with practical skills and critical thinking. The study emphasises the imperative for journalism departments to reevaluate and enhance selection criteria, aligning them with dynamic professional demands.Contribution: This article contributes to journalism education by illuminating the shortcomings of current selection methods in assessing potential for success in English language-related modules. It proposes alternatives and advocates for a holistic approach, providing practical insights for journalism departments aiming to align their selection criteria with the evolving demands of the profession. Ultimately, this contribution aids in the development of skilled journalists.
Performance Analysis of Nutritional Rehabilitation Centers in Purulia District of West Bengal, India
Authors: Bisai Santanu , Dutta Swati , Sengupta Debjani , Ghosh Pramit 
Published: August 2024

Introduction:
Severe acute malnutrition (SAM) is a life-threatening condition affecting under-five children. Nutritional rehabilitation centers (NRC) were designed to provide comprehensive clinico-social management of SAM children at an institutional setting.

Materials and Methods:
The study was based on record analysis of 6 years between 2014 and 2019 after obtaining ethical and administrative approval. The objectives were to compare indices such as admission rate, bed occupancy, and sex-differentials over time as well as among different NRCs.

Results:
A total of 7316 children were admitted in the 9 NRCs. Quarterly admission ranged between 181 and 389. Gender parity index was higher for girls. Cure rate ranged between 39.8% and 70.9%; subtle modification in diet helped in improving cure rate. Bed-occupancy rate varied from 72.55% to 85.95%.

Conclusion:
Variability of performance of NRCs could be associated with factors such as available manpower, attitude of providers, and supply of logistics. Regular interaction with community and counseling is necessary to increase admission and hospital stay.
Dermatoglyphic pattern is an Indicator for Assessing the Intelligence Quotient (IQ) of Medical Undergraduates in A North Indian Medical College
Authors: Singh Archana , Singh Arun 
Published: August 2024

Introduction:
The intelligence quotient (IQ) levels and dermal ridge patterns on the volar surfaces of digits and palms of different individuals may be related because brain developed from 13th to 21st week and during same time-period the dermal groove developed. Neocortex is a higher center for learning and of intelligence, so there is association between Intelligence level and patterns of fingerprints. So, this study was conducted to find out the different dermatoglyphic patterns of fingers and palms and correlate them to the IQ levels of medical undergraduates.

Materials and Methods:
Fingers and palms prints of both the hands of 150 medical students of 18-24 years were collected with help of ink pad and A4 size of paper. The fingers and palms prints were studied using hand held magnifying lens and their IQ levels assessed using Raven’s Standard Progressive Matrices.

Results:
The most common finger patterns e.g. single whorl in thumb, ulnar loop in index finger and middle finger of both sides and were found on participants having Grade I Intelligence. More males shown higher IQ and belonged to Class A IQ i.e. grade I and Grade II however in lower IQ the males and females were equally distributed and belonged to Class B i.e. Grade III, IV, V. Most common finger patterns i.e. single whorl in thumb and ulnar loop in index on both right and left side were found in the participants having Grade I & II Intelligence.

Conclusion:
Students with Grade I and II IQ has higher incidence of whorl followed by loop whereas in participants with IQ level of Grade III onwards, loop was the most common pattern followed by whorl. Asymmetry in patterns on both the side of fingerprint was evident in lower IQ levels. Higher values of mean ‘a-b’ ridge count and mean ‘atd’ angle was higher in individuals with low IQ level. So, it can be concluded that the dermatoglyphic pattern and IQ levels are associated.
Top 100 pemphigus papers of the highest citation
Authors: Zhang Yaxin , Jiang Guan 
Published: August 2024

Background:
There have been several papers published about pemphigus. Bibliometric analysis is useful in determining the most significant research in a certain topic. By bibliometric research, we were able to determine the 100 most frequently reference articles in pemphigus.

Aims and Objective:
Using bibliometric tools to find and evaluate the top 100 most reference papers in pemphigus.

Materials and Methods:
On 19 February 2023, the Web of Science database was utilized to launch a title-specific search. Publications were listed in degrading order on the basis of their total citations. We examined the top 100 most reference pemphigus publications.

Results:
The years of publication varied from 1971 to 2020, with the 1990s being the most active. According to diverse study objectives, the 100 publications were separated into clinical aspects and diagnosis (20%), pathophysiology (52%), therapy (13%), epidemiology (8%), related disorders (1%) and others (6%). The 100 papers were published in 37 different publications. The top 100 reference articles included 54 first authors of 11 nations, most of whom came from North America and Europe. Stanley, J R, from Uniformed Services University of the Health Sciences, was the principal author.

Conclusions:
A thorough bibliometric research of the top 100 publications in pemphigus was provided by the research, which may be useful for future research.
Development of Consensus Recommendations on the Management of Vitiligo and the Role of Decapeptide in Vitiligo by the Delphi Method
Authors: Parsad Davinder , Kandhari Sanjeev , Dhurat Rachita , Shah Bela , Majid Imran , Yadalla Harikishan Kumar , Sakhiya Jagdish , Poojary Shital , Jagadish P. , Banotkar Pravin D. , Babu Ravindra , Shivakumar Y. M. , Bose S. K. , Jamadar Saleem , Shah Monal , Tank Bharat , Dhabhai Ravindra , Mittal Sanjay Kumar , Bhushan Premanshu , Pandita Akshi , Barve Vaibhav 
Published: August 2024

Background:
Treatment of vitiligo is still a challenge in dermatology. Literature is sparse on the definitive clinical role of basic fibroblast growth factor (bFGF) in vitiligo patients.

Aims:
We decided to generate a consensus in an attempt to answer some critical questions related to the management of vitiligo and the role of bFGF.

Materials and Methods:
A Delphi method among 21 experts across India was conducted. A consensus (agreement was 75% or greater) was taken on 27 statements on the prevalence, epidemiology, and treatment of vitiligo and the role of bFGF in the management of vitiligo. The consensus process was completed after two rounds.

Results:
Topical corticosteroid therapy is the first-line therapy for vitiligo; however, its adverse effects are widely known, especially in sensitive areas. Topical calcineurin inhibitors are preferred in stable vitiligo of the face, neck, genitals, or intertriginous regions as an alternative to topical corticosteroids. Topical bFGF is a relatively newer therapy with a promising role in stable vitiligo. bFGF is safe and effective in inducing repigmentation of vitiligo lesions. Combination therapy of bFGF with other topical therapies, phototherapy, and surgical procedures can be beneficial in patients of vitiligo.

Conclusion:
This consensus would complement the currently available literature on bFGF and help the practitioner to recognize the unmet need in the treatment of vitiligo.
Analyses of the clinical and immunological characteristics of patients with lupus erythematosus
Authors: Deng Min , Wu Ruifang , Zhou Xingyu , Su Yuwen , Li Yaping 
Published: August 2024

Background:
Lupus erythematosus (LE) is a broad-spectrum, heterogeneous disease. At one end of the spectrum is the cutaneous LE (CLE) without systemic involvement, and at the other end is the systemic LE (SLE) with multisystem involvement. Analyses of clinical and immunological indicators and pathological examinations are helpful for early diagnosis, differential diagnosis, and prognosis of LE.

Aim and Objectives:
We described the clinical and laboratory characteristics of patients with LE and assessed the diagnostic value of immunohistochemical detection of C3d, C4d, IgG, IgG4, and CD123 in skin lesions of LE.

Materials and Methods:
Clinical and laboratory data of 62 patients with LE were collected. The expression levels of C3d, C4d, IgG, IgG4, and CD123 in skin lesions of LE were detected by immunohistochemistry (IHC).

Results:
Clinical manifestations such as hematological involvement, C3, C4, ESR, hematuresis, proteinuria, anti-Sm, anti-ribosomal P-protein, anti-U1-RNP, anti-histone, and anti-nucleosome antibodies are helpful for classificatory diagnosis of LE. The positive rate of C3d and/or C4d along the basement membrane zone in LE skin lesions by IHC was 74.6%, which was higher than that by direct immunofluorescence (47.5%) (P = 0.002). The expression of CD123 protein and the number of CD123+ plasmacytoid dendritic cells (PDCs) in skin lesions of patients with LE were higher than those of dermatomyositis (DM), while the distributed form of CD123 + PDCs in the dermis was different between LE and DM.

Conclusions:
The diagnosis of CLE and SLE requires a combination of clinical manifestations, laboratory indicators, and pathological examination. Immunohistochemical detection of C3d, C4d, and CD123 in skin lesions is important for the classificatory diagnosis of LE.
Analysis of efficacy and safety for the combination of tislelizumab and regorafenib in advanced hepatocellular carcinoma: A prospective clinical study
Authors: Sun Pengfei , Zhang Ying , Tian Shilin , Cui Kai , Zhong Jingtao , Zhang Chengsheng , Wang Dongxu , Zhang Bo , Shi Xuetao , Li Zhongchao 
Published: August 2024

ABSTRACT

Backgrounds:
Programmed death receptor 1 (PD-1) monoclonal antibody has been approved for the first and second-line treatments of hepatocellular carcinoma (HCC). This study aimed to evaluate the efficacy and safety of tislelizumab + regorafenib as a second-line treatment option for advanced HCC.

Methods:
Treatment-related adverse events (TRAEs) were the primary endpoints in this clinical trial comprising 28 patients with advanced HCC. The secondary endpoints included objective response rate (ORR), disease control rate (DCR), and progression-free survival (PFS).

Results:
According to the mRECIST 1.1 evaluation criteria, the ORR was 28.6%. Complete and partial response were observed in 3 and 5 patients, respectively; stable disease was observed in 12 patients (DCR, 71.4%). The median PFS was 6.4 months. The incidence of grade 1–2 and 3–4 TRAEs was 57.1% and 39.3%, respectively.

Conclusion:
This study suggests that tislelizumab + regorafenib can be used as a second-line treatment for advanced HCC.
Dynamic changes in brain glymphatic function during preoperative chemotherapy in breast cancer patients
Authors: Gao Yajuan , Wang Yang , Lu Jiabin , Lian Jingge , Yang Liu , Liu Jing , Wang Aibo , He Qingyuan , Han Hongbin 
Published: August 2024

ABSTRACT

Objective:
The current study aimed to investigate the dynamic changes in brain glymphatic function during chemotherapy in breast cancer patients (BCP) and their correlation with cognitive function.

Materials and Methods:
A total of 40 healthy female participants (control group) and 80 female BCP were included. Various cognitive assessment tools were used to evaluate cognitive function. Diffusion tensor imaging along the perivascular space was employed to measure brain glymphatic function.

Results:
Following chemotherapy, BCP exhibited a significant decline in various cognitive scores. After chemotherapy, the along the perivascular space index, a parameter indicating brain glymphatic function, was slightly higher than that at baseline and the control group levels and was correlated with cognitive scores.

Conclusion:
This study unveiled a close relationship between the dynamic changes in brain glymphatic function after chemotherapy and cognitive function in BCP. Our findings contribute to a deeper understanding of the brain mechanisms underlying chemotherapy-related cognitive impairment and provide a theoretical basis for future interventions and treatments. In addition, they offer a new perspective for exploring the relationship between brain function and cognitive states.
Analysis of the gamma index using an indigenously developed anthropomorphic heterogeneous female pelvis (AHFP) phantom
Authors: Yadav Neha , Singh Manisha , Mishra Atul , Mishra Surendra Prasad 
Published: August 2024

ABSTRACT

Background:
It is essential in modern radiotherapy treatment practices to evaluate the quality assurance (QA) of the treatment plan prior to the exclusion of patient from treatment. The typical suitable tools used for patient pretreatment QA are phantoms representing the human anatomy. An anthropomorphic heterogeneous female pelvic (AHFP) phantom has been developed to represent the real female pelvic structure.

Purpose:
The objective of the current study is to assess the findings of relative dosimetry carried out utilizing an electronic portal imaging device (EPID) on the AHFP phantom fabricated.

Methods:
The planning target volume (PTV) was created on CT slices of an AHFP phantom to confirm the tool’s ability to represent female pelvic anatomy and serve as a QA tool. In order to assess the dose received by healthy organs during radiotherapy, organs at risk such as the bladder and rectum were additionally drawn alongside the PTV. Rapid Arc and Intensity modulated radiation therapy (IMRT) were both used to create the treatment plan on treatment planning system, and the Anisotropic Analytical Algorithm Version 11.0.31 was used to calculate the dose.

Results:
The results obtained for the average gamma value in RapidArc plans are 0.26, 0.27, and 0.28 (g ≤1) and IMRT plans are 0.39, 0.40, and 0.46 (g ≤1) for target 1, target 2, and target 3, respectively.

Conclusion:
According to the findings of the current study, the AHFP phantom was used to explore the potential of relative dosimetry using EPID as a QA tool, which was found to be suitable.
Welfare Assessment of Arable Crop Farmers in Ibarapa East Local Government Area Oyo State, Nigeria
Authors: Oyekale T.O. , Adekunle C.P. , Ugbekile P.C. , Owolabi D.S. 
Published: August 2024

Enhancement of rural households’ welfare is a concurrent policy objective in Nigeria. This study analyzed the determinants of welfare among arable crop farmers in the study area. The data for the study were collected from 120 randomly selected farming households and analyzed using descriptive statistics and censored Tobit regression model. Description of the welfare indicators revealed that the respondents were in the low to middle-income earning group. Most of the respondents used corrugated iron sheets, cement walls, and concrete floors. The respondents had little concern for the environment as evidenced by their poor waste disposal and drainage practices. Results from the regression analysis revealed that, of all the explanatory variables modeled to influence household expenditure per capita, farm size, household size, and years of schooling were the only significant predictors. Based on the outcome of this study, a key recommendation is that the government and other key stakeholders ought to emphasize the need for obtaining a high level of education since education impacted the farmers’ welfare. This will affect their capacity to adopt new technology and their perception of growing their household size to hire family labor given its significant impact on their expenditure level and, as a result, their general welfare.
Proximate Composition and Consumer Acceptability of Powdered Fermented Locust Bean and Soybean Condiments
Authors: Alabi D.L. , Napoleon R.B. 
Published: August 2024

Most rural households in Nigeria are more familiar with the use of the traditional locust bean condiment in meal preparation than that of the soybean. This study was carried out to improve the shelf life of the condiments, increase the consumption of soybean for enhanced nutrition among the resource poor rural households and determine consumers’ acceptability of the powdered locust bean and soybean condiments. Three samples were developed namely: powdered fermented locust bean, powdered fermented soybean and their composite (50:50 locust and soybean) condiments. Both the proximate composition and sensory assessment of the condiments were determined. The proximate attributes investigated include protein, carbohydrate, fibre, lipid, ash and moisture contents of the samples while the sensory evaluation parameters include condiments’ aroma, appearance, colour, taste and texture as well as the overall acceptability. Results showed that powdered fermented soybean condiment has the highest protein (51.63%), lipid (35.40%) and ash (11.64%) contents. The composite also has higher protein (51.19%) than locust bean (47. 25%). On the other hand, powdered locust bean condiment has the highest carbohydrate (4.44%) contents while the composite condiment has the highest fibre content (10.27%). No significant difference was observed in the overall acceptability of the three samples implying that they are equally acceptable among the consumers. It can be concluded that the production process of powdered soybean and the composite condiment should be taught to women in rural areas to enhance protein intake among the low-income rural households who may not be able to afford other expensive sources of protein.