bluuebunny/crossref_metadata_2025_split huggingface dataset:
Εισαγωγικό Σημείωμα
Authors: Σκούρτου Ελένη , Βρατσάλης Κωνσταντίνος , Σοφός Αλιβίζος 
Published: May 2024

Μιλώντας για τον Άλλο μιλάμε εν τέλει για μας· μιλώντας για παρεμβάσεις σε εκπαιδευτικά περιβάλλοντα με γλωσσική και πολιτισμική ετερογένεια μιλάμε εν τέλει για ολόκληρη την εκπαιδευτική κοινότητα και θίγουμε έτσι γενικότερα παιδαγωγικά ζητήματα. Τα άρθρα που εντάσσονται σε αυτό το τεύχος προσφέρονται για ανάγνωση διαφορετικών πλευρών αυτού του τοπίου: τοποθετημένο στον χάρτη, το τοπίο παραπέμπει κυρίως στην εκπαίδευση στην Ελλάδα (τυπική και άτυπη), ενώ τοποθετημένο στη θεωρία, το τοπίο παραπέμπει σε πολλαπλούς νοητικούς χάρτες, που σηματοδοτούνται από θεωρητικές προσεγγίσεις που τέμνονται και από μερικές, κεντρικές κατηγορίες / ερμηνευτικά εργαλεία. Ως προς τους ερευνητικούς προσανατολισμούς, παρατηρούμε ένα μικτό σχήμα ποσοτικών και ποιοτικών προσεγγίσεων, όπου η ποιοτική έρευνα αναλαμβάνει να πάει σε γνωστές και νεότερες κατευθύνσεις, οι οποίες προσφέρονται για αναστοχασμό, διεύρυνση του παιδαγωγικού προσανατολισμού του σχολείου και ενσωμάτωση σε αυτό εργαλείων και μεθόδων που εφαρμόζονται αρχικά στο περιβάλλον άτυπης εκπαίδευσης.
Υποκείμενο, Διαφορά, Ετερότητα
Authors: Δαμανάκης Μιχάλης 
Published: May 2024

Im folgenden Text werden zunächst Grundbegriffe, wie Subjekt, Differenz, Diversität, dialogische Beziehung, diskutiert und ihre analytische Kraft wird hinterfragt. Danach, ausgehend von der anthropologischen These, dass der Mensch ein vernünftiges und dialogisches Wesen ist, skizziert der Autor die anthropologischen Grundvoraussetzungen und die Menschenbilder, um anschließend auf deren Basis die dialogische Beziehung zwischen den Subjekten zu diskutieren. Dabei wird auf divergierende Subjektbegegnungen fokussiert und die Frage diskutiert, in wieweit ein Konsens zwischen den Subjekten möglich und nötig sei.
Community rehabilitation for people with severe and enduring mental health difficulties: a description and evaluation of a new community enhanced rehabilitation team
Authors: Fenton Kelly , Dave Anjali , Carter Laura , Carter-Marsh Coral , Kidd Katherine , Lord Alex 
Published: May 2024

Background/Aims The community enhanced rehabilitation team was implemented in 2021 as part of the NHS Long Term Plan. This evaluation assesses whether the team is meeting its aims and objectives.. Methods Qualitative and quantitative methods were used to assess the team's progress. This included semi-structured interviews with service users, staff questionnaires and a review of data collected as part of routine clinical care.. Results Findings showed 117 interventions had been provided via the community enhanced rehabilitation team since May 2021. Service user anxiety had reduced following intervention, and service users were less likely to be re-hospitalised if they were under the community enhanced rehabilitation team compared to other teams. Conclusions The community enhanced rehabilitation team is meeting its aims and objectives, suggesting this is an effective model for community rehabilitation teams. Implications for practice Community enhanced rehabilitation teams can be created using this model as an example.
THE ARTHROSCOPIC MANAGEMENT OF TALAR BODY FRACTURES
Authors: Cannon L. 
Published: May 2024

Talar body fractures are high energy intraarticular injuries that are best management by anatomical reduction and secure fixation to improve outcomes. The talus is relatively inaccessible surgically and requires extensive soft tissue dissection and/or osteotomies to gain adequate open visualisation. There are a small number of case reports on arthroscopic assisted fixation in the literature. This case series reports on the technique and early outcomes of six patients all of whom presented with significant intraarticular displacement and who were managed entirely arthroscopically.The fractures were of the main body of the talus involving the ankle and subtalar joints and all had preoperative CT scans. All six patients underwent posterior ankle and subtalar arthroscopy with cannulated screws used to stabilise the fractures after reduction. Visualisation of the fracture reduction was excellent. After 10 days in a backslab, the patients were protected in a boot and encouraged to actively move their ankles. Weight bearing was permitted once union appeared complete.There were no early complications of infection, avascular necrosis or VTE. There was one patient that had a non-clinically significant migration of a screw. Two patients were lost to follow up early due to being visitors. The mean length of follow up was 12 months in the remainder. The remaining four patients all returned to their preoperative level of activity. All had demonstrable subtalar stiffness. There was no early post-traumatic arthritis.This series represents the largest so far published. The main flaw in this report is the lack of long term follow up. While this report cannot state superiority over open techniques it is a safe, effective and acceptable technique that has significant conceptual benefits.
SHORT-TERM OUTCOME OF COMPLEX REVISION TOTAL ANKLE ARTHROPLASTY
Authors: Nurm T. , Ramaskandhan J. , Nicolas A. , Siddique M. 
Published: May 2024

IntroductionTotal ankle arthroplasty (TAA) is an increasingly popular treatment option for patients with end-stage ankle arthritis. However, for most implant systems, failure rates of 10–20% have been reported within the first 10 years after primary TAA. Pain is the primary symptom that indicates failure of TAA but cause of it can be difficult to establish.MethodsAll patients who underwent a primary TAA at our center were included in the study. The clinical outcomes were studied for patients requiring a further revision procedure following primary TAA. The reasons for revision surgery and outcomes of surgery were analyzed using appropriate inferential statistical tests.ResultsBetween 2007 and 2018, 42 primary TAA required revisions in 40 patients. There were 25 men (59.5%) and 15 women (35.7%) with mean age of 57.5 years the time of primary TAA. All patients had undergone primary procedure at a mean duration of 3.5 years previously (range: 3 months to 10 years). Of the total revision procedures, 12/40 (30%) of revisions were carried out due to malalignment, 10/42 (23.8%) due to loosening of the implants or bone subsidence, 5/42 procedures (11.9%) following infection, 4/42 (9.5%) due to polyethylene migration, 1/42 (2.3%) due to fracture and 1/42 (2.3%) due to Charcot arthropathy. In 9/42 (21.4%) cases, imaging showed no objective reason for pain. 50% of patients who underwent revision TAA reported 78.5% satisfaction with results of surgery at 2 years follow up post-operatively.ConclusionMajor reasons for revising primary TAR at our centre are mal-alignment, implant loosening / bone subsidence and suspicion of infection and pain. In-spite of undergoing a complex revision surgery, patients report 78.5% satisfaction from outcomes of surgery.
OUTCOMES OF REVISION TOTAL ANKLE ARTHROPLASTY: A MINIMUM OF TWO-YEAR FOLLOW-UP
Authors: Nicolas A. Pujol , Ramaskandhan J. , Nurm T. , Siddique M. 
Published: May 2024

IntroductionTotal ankle replacement as a valid treatment for end stage ankle arthritis, is gaining popularity and every year there is an increasing number of procedures. With revision rates as high as 21% at 5 years and 43% at 10 years there is a need for understanding and reporting the outcome of revision ankle replacement. Our aim was to study the patient reported outcomes following revision TAR with a minimum of 2 year follow up.MethodsAll patients that underwent a revision total ankle replacement between 2012 and 2016 were included in the study. All patients received a post-operative questionnaire comprising of MOX-FQ score, EQ-5D (UK) and Foot and Ankle outcomes scores (FAOS) and patients satisfaction questionnaire with a minimum of 2 years follow up.Results33 patients had a revision total ankle replacement between 2012 and 2016. 2 patients were deceased therefore 31 patients were included in the study. 4 patients declined participation for completing questionnaires. We received 15/27 (55.5%) completed questionnaires. The mean MOX-FQ average domain score for pain was (50.6 ± 26.9), walking/standing (62.4 ± 36.5) and social function was (43.7± 31.0). The mean FAOS scores were (52.5 ± 30.6; pain), (54.5 ± 29.2; symptoms), (62.1 ± 30.5; ADL) and (35.5 ± 28.2; for quality of life). The mean overall health score today for EQ-5D was 73.9/100. 50% of patients were satisfied with the pain relief and return to sports and recreation obtained following the operation, 57% were satisfied with the improved in daily activities. 78.5% were overall satisfied with the results from surgery.ConclusionRevision total ankle replacement gives overall satisfactory results demonstrated from patients reported outcomes at a minimum of 2 years following surgery.
PREVALENCE OF VENOUS THROMBOEMBOLISM IN PATIENTS WITH TOTAL CONTACT CAST
Authors: Widnall J. , Tonge X. , Jackson G. , Platt S. 
Published: May 2024

BackgroundVenous Thrombo-Embolism is a recognized complication of lower limb immobilization. In the neuropathic patient total contact casting (TCC) is used in the management of acute charcot neuroathropathy and/or to off-load neuropathic ulcers, frequently for long time periods. To our knowledge there is no literature stating the prevalence of VTE in patients undergoing TCC. We perceive that neuropathic patients with active charcot have other risk factors for VTE which would predispose them to this condition and would mandate the use of prophylaxis. We report a retrospective case series assessing the prevalence of VTE in the patients being treated with TCCs.MethodsPatients undergoing TCC between 2006 and 2018 were identified using plaster room records. These patients subsequently had clinical letters and radiological reports assessed for details around the TCC episode, past medical history and any VTE events.ResultsThere were 143 TCC episodes in 104 patients. Average age at cast application was 55 years. Time in cast averaged 45 days (range 5 days – 8 months, median 35 days). 3 out of 4 patients had neuropathy as a consequence of diabetes. One TCC related VTE (0.7% of casting episodes) was documented. This was a proximal DVT confirmed on USS 9 days following cast removal. No patient received VTE prophylaxis while in TCC.ConclusionDespite these complex patients having a multitude of co-morbidities the prevalence of VTE in the TCC setting remains similar to that of the general population. This may be due to the fact that TCCs permit weight bearing. This case series suggests that, while all patients should be individually VTE risk assessed as for any lower limb immobilization, chemical thromboprophylaxis is not routinely indicated in the context of TCCs.
HIGH ANKLE SPRAINS WITH SYNDESMOSIS INSTABILITY: TIME TO MRI MATTERS
Authors: Marsland D. , Randell M. , Ballard E. , Forster B. , Lutz M. 
Published: May 2024

IntroductionEarly clinical examination combined with MRI following a high ankle sprain allows accurate diagnosis of syndesmosis instability. However, patients often present late, and for chronic injuries clinical assessment is less reliable. Furthermore, in many centres MRI may be not be readily available. The aims of the current study were to define MRI characteristics associated with syndesmosis instability, and to determine whether MRI patterns differed according to time from injury.MethodsRetrospectively, patients with an unstable ligamentous syndesmosis injury requiring fixation were identified from the logbooks of two fellowship trained foot and ankle surgeons over a five-year period. After exclusion criteria (fibula fracture or absence of an MRI report by a consultant radiologist), 164 patients (mean age 30.7) were available. Associations between MRI characteristics and time to MRI were examined using Pearson's chi-square tests or Fisher's exact tests (significance set at p< 0.05).ResultsOverall, 100% of scans detected a syndesmosis injury if performed acutely (within 6 weeks of injury), falling to 83% if performed after 12 weeks (p=0.001). In the acute group, 93.5% of patients had evidence of at least one of either PITFL injury (78.7%), posterior malleolus bone oedema (60.2%), or a posterior malleolus fracture (15.7%). In 20% of patients with a posterior malleolus bone bruise or fracture, the PITFL was reported as normal. The incidence of posterior malleolus bone bruising and fracture did not significantly differ according to time.ConclusionFor unstable ligamentous syndesmosis injuries, MRI becomes less sensitive over time. Importantly, posterior malleolus bone oedema or fracture may be the only evidence of a posterior injury. Failure to recognise instability may lead to inappropriate management of the patient, long term pain and arthritis. We therefore advocate early MRI as it becomes more difficult to ‘grade’ the injury if delayed.
OUTCOMES OF PERONEAL TENDOSCOPY: THE BRISTOL EXPERIENCE
Authors: Senthi S. , Miller D. , Hepple S. , Harries W. , Winson I. 
Published: May 2024

Tendoscopy in the treatment of peroneal tendon disorders is becoming an increasingly safe, reliable, and reproducible technique. Peroneal tendoscopy can be used as both an isolated procedure and as an adjacent procedure with other surgical techniques. The aim of our study was to review all peroneal tendoscopy that was undertaken at the AOC, by the senior authors (IGW, SH), and to determine the safety and efficacy of this surgical technique.MethodsFrom 2000 to 2017 a manual and electronic database search was undertaken of all procedures by the senior authors. Peroneal tendoscopy cases were identified and then prospectively analysed.Results51 patients (23 male, 28 female) were identified from 2004–2017 using a manual and electronic database search. The mean age at time of surgery was 41.5 years (range 16–83) with a mean follow-up time post operatively of 11.8 months (range 9–64 months). The main indications for surgery were lateral and/or postero-lateral ankle pain and lateral ankle swelling. The majority of cases showed unstable peroneal tendon tears that were debrided safely using tendoscopy. Of the 51 patients, 23 required an adjacent foot and ankle operation at the same time, 5 open and 17 arthroscopic (12 ankle, 5 subtalar). Open procedures included 2 first ray osteotomies, 2 open debridements of accessory tissue, one PL to PB transfer. One patient also had an endoscopic FHL transfer. Complication rates to date have been low: 2 superficial wound infections (4%) and one repeat tendoscopy for ongoing pain. A small proportion of patients with ongoing pain were treated with USS guided steroid injections with good results.ConclusionOur series of peroneal tendoscopy has a low complication rate with high patient satisfaction at discharge. Results of tendoscopic treatment are similar to open techniques, however its advantages make tendoscopic procedures an excellent method to treat peroneal tendon disorders.
Education to cybersecurity in polish schools as an attempt to satisfy the need for security in the virtual world
Authors: Banaszak Edyta 
Published: May 2024

Modern human being spends a significant part of his or her life in virtual reality. Therefore, it is necessary for him or her to feel safe in it. For this to be possible, a person must be prepared to function safely in the virtual world. This preparation may take place in various areas and one of the entities responsible for it is the Polish education system. The work deals with the subject of education for security in cyberspace.
Parents' expectations of a student with Special Educational Needs (SEN) regarding the competencies of the educator during the period of contemporary educational transformations
Authors: Lewandowska Hanna 
Published: May 2024

Undoubtedly, the profession of a teacher is burdened with the responsibility for the success of the student. The student’s success, in turn, determines the future of the entire society. The teacher points out appropriate paths, contributes to choices, influences the psyche, and behavior of the child (Muszkieta, 2001). A teacher in early education plays the role not only of an educator, leader, therapist, but also a friend, and sometimes even a parent (Gawlik, 2021). In the modern period of educational transformations, parents’ expectations towards their child’s educator can be an important indication of the direction in which the education of future educators should go. In the context of working with students with special educational needs, this seems to be even more important. Such education requires a range of soft skills and individualization of pedagogical interventions. This publication is a report on research conducted among parents of students with Special Educational Needs (SEN) regarding their expectations towards educators. They were an attempt to outline the most important competencies of a pedagogue, according to guardians, necessary for working with a student requiring adjustment of methods and forms of work.
Exploring evidence use and capacity for health services management and planning in Swiss health administrations: A mixed-method interview study
Authors: Baumann Aron , Wyss Kaspar 
Published: May 2024

Background
Health administrations require evidence, meaning robust information, data, and research, on health services and systems. Little is known about the resources and processes available within administrations to support evidence-informed policymaking. This study assessed Swiss health administrations’ capacity for evidence use and investigated civil servants’ needs and perspectives regarding the role and use of evidence in health services management and planning.

Methods
In this mixed-method study, we interviewed civil servants from Swiss German-speaking cantonal health administrations. We quantitatively assessed administrations’ organization-level capacity by applying six structured interviews using an existing measurement tool (ORACLe). Individual-level needs and perspectives regarding evidence use and capacity were qualitatively explored with twelve in-depth interviews that were analyzed using the framework method.

Findings
Respondents indicated moderate evidence-use capacity in all administrations. Administrations displayed a similar pattern of high and low capacity in specific capacity areas, generally with considerable variation within administrations. Most administrations indicated high capacity for producing or commissioning evidence and close relationships with research. They showed limited capacity in the documentation of processes and availability of tools, programs, or training opportunities. Administrations place the responsibility for engagement with evidence at the level of individual civil servants rather than at the organizational level. Although administrations highly value evidence-informed policymaking and consider it vital to effective health services management and planning, they face significant constraints in accessing evidence-specific resources and receive little organizational support. Administrations rely on external capacity to compensate for these limitations and engage with evidence pragmatically.

Conclusion
Our findings indicate moderate and improvable capacity for evidence use in Swiss health administrations that place limited value on organizational support. Besides strengthening organizational support, leadership buy-in, particular staff needs, and balancing the implementation of specific measures with the provision of more general resources should be considered to unlock the potential of strengthened engagement with evidence.
Beyond individual responsibility: Exploring lay understandings of the contribution of environments on personal trajectories of obesity
Authors: Serrano-Fuentes Nestor , Rogers Anne , Portillo Mari Carmen 
Published: May 2024

Introduction
Reversing the upward trajectory of obesity requires responding by including the multiple influences on weight control. Research has focused on individual behaviours, overlooking the environments where individuals spend their lives and shape lifestyles. Thus, there is a need for lay understandings of the impact of environments as a cause and solution to obesity. This research aimed to understand the influence of environments on the adoption of health practices in adults with obesity and to identify lay strategies with which to address environmental barriers to behaviour change.

Methods
Nineteen adults with a history of obesity living in the United Kingdom were interviewed through video conferencing between May 2020 and March 2021. Semi-structured interviews and socio-demographic questionnaires were used, and data analysed through hermeneutic phenomenology informed reflexive thematic analysis.

Results
Three main themes were created: living with convenience and normalcy: the increased accessibility of unhealthy food, people interacting with digital media for positive practice change, and the need to prioritise prevention in schools, the National Health Service and the food industry.

Conclusions
The food environment was the major barrier, while interactions with social media was the most important opportunity to adopt healthy practices. The National Health Service was considered an obesogenic environment, something relevant since it has been traditionally recognised as an obesity management system. The perceptions from individuals with a history of obesity provide new suggestions on the influence of previously overlooked environments to design more adequate and effective interventions and policies that consider, more than in the past, the environments where people spend their lives.
Development and initial testing of a brief, generic self-reported disability questionnaire: The Universal Disability Index
Authors: Evans David William 
Published: May 2024

Background
Disability is an important multifaceted construct. A brief, generic self-reported disability questionnaire that promises a broader and more comparable measure of disability than disease-specific instruments does not currently exist. The aim of this study was to develop and evaluate such a questionnaire: the Universal Disability Index (UDI).

Methods
An online survey was used to collect general population data. Data were randomly divided into training and validation subsets. The dimensionality and structure of eight UDI questionnaire items were evaluated using exploratory factor analysis (EFA, training subset) followed by confirmatory factor analysis (CFA, validation subset). To assess concurrent validity, the UDI summed score from the full dataset was compared to the Groningen Activity Restriction Scale (GARS) and the Graded Chronic Pain Scale (GCPS) disability scores. Internal consistency and discriminant validity were also assessed. Bootstrapping was used to evaluate model stability and generalisability.

Results
403 participants enrolled; 364 completed at least one UDI item. Three single-factor versions of the UDI were assessed (8-item, 7-item, and 6-item). All versions performed well during EFA and CFA (182 cases assigned to each), but none met the RMSEA (Root Mean Square Error of Approximation) criterion (≤ 0.08). All versions of the UDI had high internal consistency (Cronbach’s α > 0.90), were strongly correlated (Pearson’s r > 0.7) with both GARS and GCPS disability scores, indicating concurrent validity, and could accurately discriminate between upper and lower quartiles of these comparators. Confidence intervals of estimates were narrow, suggesting model stability and generalisability.

Conclusions
A brief, generic self-reported disability questionnaire was found to be valid and to possess good psychometric properties. The UDI has a single factor structure and either a 6-item, 7-item or 8-item version can be used to measure disability. For brevity and parsimony, the 6-item UDI is recommended, but further testing of all versions is warranted.