bluuebunny/crossref_metadata_2025_split huggingface dataset:
When parathyroid adenoma meets osteopathia striata, rarest amalgam of bony dysplasia with brown tumors: a case report
Authors: Sultan Moinuddin , Chauhan Rituja , Shukla Abhijeet , Badhe Padma 
Published: December 2023

Abstract
Background
Osteopathia is a benign entity characterized by linear densities along the diaphysis and metaphysis of the longitudinal axes of the long bone. Parathyroid adenoma is a non-malignant parathyroid gland tumor characterized by increased parathormone levels, causing defecting calcium levels leading to multiple brown tumors, renal calculi, bone pains, polyuria, and arrhythmias in the patient. The coexistence of parathyroid adenoma with osteopathia striata has not been reported yet in the literature. To our knowledge, this is the first case of its kind.

Case presentation
An 18-year-old male patient presented to our institution with the complaint of genu valgum deformity in his right knee and was admitted for corrective surgery. While undergoing a preoperative evaluation, we came across multiple focal, lytic lesions in his radiographs and an atypical finding of osteopathia striata in his long bones. Further examination led us to the findings of cranial sclerosis and acro-osteolysis of distal phalanges. The tumor, whose catalyst was unclear, directed us toward an ultrasonographic analysis of the patient’s neck, leading us to a solitary parathyroid adenoma.

Conclusions
Radiological examinations played a very crucial role in the diagnosis of this condition. Though the reason behind osteopathia and the parathyroid lesion in this patient remains unknown, this presentation remains an exceptional and never-reported case of parathyroid adenoma and associated brown tumors in a patient with osteopathia striata.
Working conditions, psychological distress and suicidal ideation: cross-sectional survey study of UK junior doctors
Authors: Teoh Kevin Rui-Han , Dunning Alice , Taylor Anna Kathryn , Gopfert Anya , Chew-Graham Carolyn A. , Spiers Johanna , Appleby Louis , Van Hove Maria , Buszewicz Marta , Riley Ruth 
Published: December 2023

Background
Evidence attests a link between junior doctors’ working conditions and psychological distress. Despite increasing concerns around suicidality among junior doctors, little is known about its relationship to their working conditions.

Aims
To (a) establish the prevalence of suicidal ideation among junior doctors in the National Health Service; (b) examine the relationships between perceived working conditions and suicidal ideation; and (c) explore whether psychological distress (e.g. symptoms of depression and anxiety) mediates these relationships.

Method
Junior doctors were recruited between March 2020 and January 2021, for a cross-sectional online survey. We used the Health and Safety Executive's Management Standards Tool; Depression, Anxiety and Stress Scale 21; and Paykel Suicidality Scale to assess working conditions, psychological distress and suicidality, respectively.

Results
Of the 424 participants, 50.2% reported suicidal ideation, including 6.1% who had made an attempt on their own life. Participants who identified as LGBTQ+ (odds ratio 2.18, 95% CI 1.15–4.12) or reported depression symptoms (odds ratio 1.10, 95% CI 1.07–1.14) were more likely to report suicidal ideation. No direct relationships were reported between working conditions (i.e. control, support, role clarity, strained relationships, demand and change) and suicidal ideation. However, depression symptoms mediated all six relationships.

Conclusions
This sample of junior doctors reported alarming levels of suicidal ideation. There may be an indirect relationship between working conditions and suicidal ideation via depressive symptoms. Clearer research exploring the experience of suicidality in junior doctors is needed, including those who identify as LGBTQ+. Systematic interventions addressing working environment are needed to support junior doctors’ mental health.
On the Peculiar Appendage of Appendicularia, styled “Haus” by Mertens
Authors: Allman Prof. 
Published: December 2023

ABSTRACT
While using the towing-net in the Clyde, near Rothesay, during the last week of April, 1858, I observed among the contents of the net numerous specimens of an Appendicularia, which I cannot, without some doubt, refer to any described species, but which I shall not at present venture to name as distinct, for my attention was at the time rather turned to other points in its economy than to the determination of its specific characters.
Unpacking the Benefits of Team-Based Research in Vietnam: Perspectives from TESOL, EFL, FFL and Linguistics Scholars
Authors: Thao Le Thanh , Thi Nguyen Anh , Yen Phuong Hoang , Thuy Pham Trut , Thu Huynh Thi Anh , Tra Nguyen Huong 
Published: December 2023

<p style="text-align: justify;">This study investigates the benefits of formulating research teams within the context of Vietnam, focusing particularly on researchers specializing in Teaching English to Speakers of Other Languages (TESOL), English as a Foreign Language (EFL) teaching and learning, French as a Foreign Language (FFL) teaching and learning, and Language and Linguistics. Through semi-structured interviews with 12 researchers of varied experiences, Grounded Theory and thematic analysis were utilized to unravel key benefits. The findings reveal that team-based research offers advantages including enhanced knowledge sharing, skills diversification, improved decision-making, expanded research scope, access to greater resources, increased accountability, opportunities for leadership and teamwork skills, and more. The study underlines the immense potential of collaborative research in the Vietnamese context. The conclusions drawn emphasize the necessity for institutions to encourage and facilitate team-based research practices, offering important insights for policy formulation. While providing nuanced understanding of the Vietnamese research context, the study acknowledges limitations, including its narrow disciplinary focus and reliance on participant interviews. Recommendations for future research include exploring challenges within research teams, conducting cross-cultural and interdisciplinary studies, examining the impact of technology and leadership styles on team dynamics, and exploring the role of institutional support.</p>
Hollow-core terahertz Bragg waveguide based on a helical support structure
Authors: Ding Li-Sha , Dong Zhe-Yan , Dai Zi-Jie , Chen Ming-Yang 
Published: December 2023

A helical structural support scheme is proposed to mechanically support dielectric
layers in a hollow-core terahertz Bragg waveguide by means of an
axially rotating wrap-around strip structure. The helical-strip
supported waveguide samples are fabricated using 3D printing
technology, and the waveguide samples are experimentally tested using
a terahertz time-domain spectroscopy system. The results show that
choosing a suitable helix period can obtain loss characteristics close
to those of an ideal Bragg waveguide, with a low transmission loss of
less than 0.097 dB/m in the range of 0.57–0.58 THz.
Risk factors and clinical features for pulmonary paragonimiasis-associated pneumothorax
Authors: Song Yunhong , Lee Jeongmin , Hahn Wonchang , Jang Yujeong , Na Seungwon , Oh Sang-Min , Hwang Joo-Hee , Lee Chang-Seop , Choe Yeong Hun , Hwang Jeong-Hwan 
Published: December 2023

Background
Pulmonary paragonimiasis, a food-borne zoonotic helminthiasis, is a parasitic disease of the lung caused by infection with trematodes species of the genus Paragonimus. Although pneumothorax has been reported as occuring with paragonimiasis, to date no study has been performed concerning the clinical features and predictive risk factors for this condition.

Methods
This retrospective study, which aims to fill this gap, was conducted at Jeonbuk National University Hospital. All patients (aged ≥19 years) were diagnosed with paragonimiasis between May 2011 and December 2021. Medical records were reviewed and information concerning age, sex, vital signs, underlying diseases, clinical signs and symptoms, laboratory findings, radiologic findings, treatment, and clinical outcomes was collected. An odds ratio (OR) for the risk factors associated with pneumothorax was calculated using the binary logistic regression model.

Results
Among 179 consecutive patients diagnosed with pulmonary paragonimiasis, the postive rate of pneumothorax was 10.6% (19/179). Pneumothorax occurred mostly in the right lung (78.9%, 15/19), and intrapulmonary parenchymal lesions showed an ipsilateral relationship with pneumothorax (94.7%, 18/19). Fifteen patients (78.9%, 15/19) of pneumothorax associated with pulmonary paragonimiasis are accompanied by pleural effusion. Most of patients with pneumothorax (89.5%, 17/19) underwent chest tube insertion as a first treatment. Three patients (15.8%) showed relapses but in no case was a death recorded. Asthma (odds ratio [OR] 8.10, 95% confidence interval [CI] 1.43–45.91), chest pain (OR 8.15, 95% CI 2.70–24.58), and intrapulmonary lesions (OR 8.94, 95% CI 1.12–71.36) were independent risk factors for pulmonary paragonimiasis-associated pneumothorax.

Conclusions
Our findings suggest that clinicians should keep in mind the possibility of pneumothorax when approached by patients with pulmonary paragonimiasis complaining of chest pain, accompanied by intrapulmonary lesions or with asthma as an underlying disease.
A mixed method evaluation of a theory based intervention to reduce sedentary behaviour in contact centres- the stand up for health stepped wedge feasibility study
Authors: Sivaramakrishnan Divya , Baker Graham , Parker Richard A. , Manner Jillian , Lloyd Scott , Jepson Ruth 
Published: December 2023

Introduction
Contact centres have higher levels of sedentary behaviour than other office-based workplaces. Stand Up for Health (SUH) is a theory-based intervention developed using the 6SQuID framework to reduce sedentary behaviour in contact centre workers. The aim of this study was to test acceptability and feasibility of implementing SUH in UK contact centres.

Methods
The study was conducted in 2020–2022 (pre COVID and during lockdown) and used a stepped-wedge cluster randomised trial design including a process evaluation. The intervention included working with contact centre managers to develop and implement a customised action plan aligning with SUH’s theory of change. Workplace sedentary time, measured using activPAL™ devices, was the primary outcome. Secondary outcomes included productivity, mental wellbeing, musculoskeletal health and physical activity. Empirical estimates of between-centre standard deviation and within-centre standard deviation of outcomes from pre-lockdown data were calculated to inform sample size calculations for future trials. The process evaluation adopted the RE-AIM framework to understand acceptability and feasibility of implementing the intervention. Interviews and focus groups were conducted with contact centre employees and managers, and activity preferences were collected using a questionnaire.

Results
A total of 11 contact centres participated: 155 employees from 6 centres in the pre-lockdown data collection, and 54 employees from 5 centres post-lockdown. Interviews and focus groups were conducted with 33 employees and managers, and 96 participants completed an intervention activity preference questionnaire. Overall, the intervention was perceived as acceptable and feasible to deliver. Most centres implemented several intervention activities aligned with SUH’s theory of change and over 50% of staff participated in at least one activity (pre-lockdown period). Perceived benefits including reduced sedentary behaviour, increased physical activity, and improved staff morale and mood were reported by contact centre employees and managers.

Conclusions
SUH demonstrates potential as an appealing and acceptable intervention, impacting several wellbeing outcomes.

Trial registration
The trial has been registered on the ISRCTNdatabase: http://www.isrctn.com/ISRCTN11580369.
Prevalence of chronic pulmonary aspergillosis along the continuum of pulmonary tuberculosis care: A protocol for a living systematic review and meta-analysis
Authors: Bongomin Felix , Olum Ronald , Kibone Winnie , Namusobya Martha , van Rhijn Norman , Denning David W. 
Published: December 2023

Introduction
Chronic pulmonary aspergillosis (CPA) is a debilitating disease estimated to affect over 3 million people worldwide. Pulmonary tuberculosis (PTB) is the most significant risk factor for CPA. However, the true burden of CPA at the time of PTB diagnosis, during, and after PTB treatment remains unknown. In this paper, we present a protocol for a living systematic review aimed at estimating the current burden of CPA along the continuum of PTB care.

Materials and methods
We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines to formulate this protocol, which is registered with the International Prospective Register of Systematic Reviews (PROSPERO: CRD42023453900). We will identify primary literature through various electronic databases, including CINAHL, Ovid MEDLINE, MEDLINE (PubMed), EMBASE, Google Scholar, Cochrane Database of Systematic Reviews, and African Journal Online. The search will encompass articles from inception to December 31st, 2023, using medical subject heading search terms "pulmonary tuberculosis" AND "chronic pulmonary aspergillosis". Two reviewers will independently assess titles, abstracts, and full texts for eligibility using the Covidence web-based software. The eligible studies will comprise original observational research that reports on the prevalence of CPA diagnosed in individuals with PTB, based on established criteria, without language or geographic restriction. We intend to exclude single case reports and case series with fewer than 10 participants, as well as review articles, guidelines, and letters to the editors. Cochrane Risk of Bias Tools (ROB2 and ROBINS-I) will used to assess study quality and risk of bias and the quality of the evidence will be rated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool. Our data syntheses will encompass meta-analysis and meta-regression, conducted using STATA version 18 and R- Studio version 4.0.2. This systematic review will be updated every 3–5 years as more data emerges.

Conclusions
The findings of this proposed systematic review will summarize the available evidence on the occurrence of CPA, at the time of PTB diagnosis, during and after PTB treatment. The study results have the potential to guide healthcare policies regarding screening for CPA, enhance clinical decision-making, and catalyse further research into understanding the interplay between PTB and CPA. By shedding light on the current burden of CPA along the continuum of PTB care, we aspire to contribute to the betterment of patient care, disease management, and global health outcomes.

PROSPERO registration
CRD42023453900.
Genomics-informed nursing strategies and health equity: A scoping review protocol
Authors: Dordunoo Dzifa , Limoges Jacqueline , Chiu Patrick , Puddester Rebecca , Carlsson Lindsay , Pike April 
Published: December 2023

Objective
The objective of this scoping review is to map the available evidence on strategies that nurses can use to facilitate genomics-informed healthcare to address health disparities.

Introduction
Advancements in genomics over the last two decades have led to an increase in the delivery of genomics-informed health care. Although the integration of genomics into health care services continues to enhance patient outcomes, access to genomic technologies is not equitable, exacerbating existing health disparities amongst certain populations. As the largest portion of the health workforce, nurses play a critical role in the delivery of equitable genomics-informed care. However, little is known about how nurses can help address health disparities within the context of genomics-informed health care. A review of the literature will provide the necessary foundation to identify promising practices, policy, and knowledge gaps for further areas of inquiry.

Inclusion criteria
We will include papers that explore strategies that nurses can undertake to facilitate genomics-informed care to address health disparities.

Methods
This review will be conducted using JBI methodology for scoping reviews. We will search electronic databases including MEDLINE (OVID), EMBASE, Cochrane Library, PsychInfo, and CINAHL for quantitative and qualitative studies, systematic reviews and grey literature. Theses, books, and unavailable full-text papers will be excluded. The search will be limited to papers from 2013 and beyond. Two reviewers will screen titles and abstracts followed by full-text and disagreements will be resolved by a third reviewer. We will use a data extraction tool using Microsoft Excel and analyse data using descriptive statistics and conventional content analysis. Findings will be presented in the form of evidence tables and a narrative summary. We will report findings using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).

Discussion
Genomics will continue to transform all aspects of health care across the wellness continuum from prevention, assessment, diagnosis, management, treatment, and palliative care. The identification of nursing strategies to address health disparities will build the foundation for policy and practice to ensure that the integration of genomic technologies benefits everyone.
Digital health interventions for cervical cancer care: A systematic review and future research opportunities
Authors: Razzak Md Abdur , Islam Muhammad Nazrul , Aadeeb Md Shadman , Tasnim Tasfia 
Published: December 2023

Background
Cervical cancer is a malignancy among women worldwide, which is responsible for innumerable deaths every year. The primary objective of this review study is to offer a comprehensive and synthesized overview of the existing literature concerning digital interventions in cervical cancer care. As such, we aim to uncover prevalent research gaps and highlight prospective avenues for future investigations.

Methods
This study adopted a Systematic Literature Review (SLR) methodology where a total of 26 articles were reviewed from an initial set of 1110 articles following an inclusion-exclusion criterion.

Results
The review highlights a deficiency in existing studies that address awareness dissemination, screening facilitation, and treatment provision for cervical cancer. The review also reveals future research opportunities like explore innovative approaches using emerging technologies to enhance awareness campaigns and treatment accessibility, consider diverse study contexts, develop sophisticated machine learning models for screening, incorporate additional features in machine learning research, investigate the impact of treatments across different stages of cervical cancer, and create more user-friendly applications for cervical cancer care.

Conclusions
The findings of this study can contribute to mitigating the adverse effects of cervical cancer and improving patient outcomes. It also highlights the untapped potential of Artificial Intelligence and Machine Learning, which could significantly impact our society.
Prevenção e gestão de conflitos através de cortesia linguística
Authors: Carapinha Conceição , Martins Cristina , Duarte Telma 
Published: December 2023

Inerentemente articulados com rituais sociais específicos de cada comunidade, os atos expressivos são instrumentos ao serviço da cortesia linguística, desempenhando um papel crucial na regulação das relações interpessoais e, portanto, na evitação de conflitos.
Neste estudo, apresentam-se os fundamentos subjacentes ao desenho de uma unidade didática de um curso de ensino a distância, centrado no desenvolvimento da competência sociopragmática em português europeu (PE) e destinado a migrantes e refugiados com um nível de proficiência intermédio. Nesta unidade, focada na cortesia linguística, aborda-se um conjunto de atos de fala de natureza expressiva com claras implicações na prevenção dos conflitos que podem surgir na interação entre falantes nativos e aprendentes tardios do PE.
Decifrar o caos nas narrativas de ordem
Authors: Gomes de Almeida Isabel , Rosa Maria de Fátima 
Published: December 2023

A peça conhecida como ‘Vaso de Uruk’ assume-se como uma narrativa de ordem, por excelência. Contudo, um olhar mais atento à disposição e conjugação dos seus diversos elementos iconográficos, em diálogo íntimo com o próprio objecto, assim como com as suas funções cúltico-ritualísticas permite decifrar uma latência de caos que tão profundamente atemorizava os mesopotâmios.
Focando a nossa atenção nos conflitos implícitos nesta peça, com este artigo procuramos reflectir sobre a dialéctica entre os conceitos de ordem e caos cuja constante tensão definia e dava sentido às existências humana, natural e cósmica.
A propósito de uma gravura de arma da Citânia de Briteiros (Norte de Portugal)
Authors: Cruz Gonçalo 
Published: December 2023

Foi identificado recentemente um motivo gravado na estrutura conhecida como "Casa do Conselho", na Citânia de Briteiros (Guimarães, Norte de Portugal). Trata-se de um punhal afalcatado do final da Idade do Ferro, gravado na superfície do banco corrido interior da referida construção. Depois de uma contextualização do espaço, apresenta-se aqui uma caracterização do objeto representado, mencionam-se eventuais paralelos iconográficos e procura-se uma possível interpretação para a gravura. A gravação deste motivo decorativo estará relacionada com a utilização desta casa, possível espaço de comensalidade, celebração, cerimónia ou atividade política. Propõe-se a sua interpretação como sinalizador de estatuto e de hierarquia, entre as pessoas que se sentavam no recinto.
Cytomegalovirus-Related Gastritis in an Immunocompetent Host Presenting With Infectious Gastroparesis
Authors: Solito Sonia , Vadalá di Prampero Salvatore Francesco , Bulajic Milutin , Battista Serena , Tomassini Giulia , Panic Nikola , Jankovic Katarina , Marino Marco 
Published: December 2023

ABSTRACT

Cytomegalovirus (CMV) infection is usually asymptomatic or causes a mild mononucleosis-like syndrome, whereas severe symptoms are rarely reported. We report a case of a 70-year-old woman who was admitted to our center because of severe clinical presentation with anorexia, epigastric pain, nausea, postprandial vomiting, and significant weight loss. Esophagogastroduodenoscopy with biopsies showed ulcerative chronic gastritis with scattered large cells with inclusion bodies. Immunohistochemistry and polymerase chain reaction for CMV-DNA resulted positive. A gastric emptying of solid scintigraphy showed severe gastroparesis. The patient was discharged after 2 months of antiviral therapy completely asymptomatic. To the best of our knowledge, this is the first case of CMV-related gastroparesis in an immunocompetent patient, successfully treated with antiviral therapy.