bluuebunny/crossref_metadata_2025_split huggingface dataset:
To Follow Bousaadiya
Authors: Tayeb Leila 
Published: October 2023

Abstract
This article takes the figure of Bousaadiya, once performed in varying iterations throughout central North Africa, as an entry point to approach the problematics of mobility and memory in Libya. Bousaadiya performance, a multidimensional set of practices that I read critically as dance, produces an embodied social ground upon which Libyans have enacted and contested racialized practices of belonging and a mobile gravesite where it is possible to interrogate regional histories of enslavement and their material and symbolic legacies. While reading Bousaadiya performance enables an excavation of the trans-Saharan slave trade and its ghostly e/affects, performing Bousaadiya enabled the incomplete burial of these through surrogation, easing particular losses. In this article, I explore both of these aspects of the performativity of Bousaadiya’s dance, which is underscored by the forms of remembering it that continue to proliferate. To follow Bousaadiya is to grapple with the ongoing unresolvedness in Libyan cultural politics of the country’s histories of slave economies and the hierarchies left in their wake and to gesture toward the prospect of repair.
Observations of Tidally Driven Turbulence over Steep, Small-Scale Topography Embedded in the Tasman Slope
Authors: Marques Olavo B. , Alford Matthew H. , Pinkel Robert , MacKinnon Jennifer A. , Voet Gunnar , Klymak Jody M. , Nash Jonathan D. 
Published: October 2023

Abstract
Enhanced diapycnal mixing induced by the near-bottom breaking of internal waves is an essential component of the lower meridional overturning circulation. Despite its crucial role in the ocean circulation, tidally driven internal wave breaking is challenging to observe due to its inherently short spatial and temporal scales. We present detailed moored and shipboard observations that resolve the spatiotemporal variability of the tidal response over a small-scale bump embedded in the continental slope of Tasmania. Cross-shore tidal currents drive a nonlinear trapped response over the steep bottom around the bump. The observations are roughly consistent with two-dimensional high-mode tidal lee-wave theory. However, the alongshore tidal velocities are large, suggesting that the alongshore bathymetric variability modulates the tidal response driven by the cross-shore tidal flow. The semidiurnal tide and energy dissipation rate are correlated at subtidal time scales, but with complex temporal variability. Energy dissipation from a simple scattering model shows that the elevated near-bottom turbulence can be sustained by the impinging mode-1 internal tide, where the dissipation over the bump is O(1%) of the incident depth-integrated energy flux. Despite this small fraction, tidal dissipation is enhanced over the bump due to steep topography at a horizontal scale of O(1) km and may locally drive significant diapycnal mixing.

Significance Statement
Near-bottom turbulent mixing is a key element of the global abyssal circulation. We present observations of the spatiotemporal variability of tidally driven turbulent processes over a small-scale topographic bump off Tasmania. The semidiurnal tide generates large-amplitude transient lee waves and hydraulic jumps that are unstable and dissipate the tidal energy. These processes are consistent with the scattering of the incident low-mode internal tide on the continental slope of Tasmania. Despite elevated turbulence over the bump, near-bottom energy dissipation is small relative to the incident wave energy flux.
Postoperative Urinary Complications in Head and Neck Free Flap Reconstructive Surgery
Authors: Chan Kimberly , Keane Allison , Pradhan Sandeep , King Tonya , Moroco Annie , Goyal Neerav , Choi Karen Y. 
Published: October 2023

Objective: The purpose of this study is to evaluate the postoperative urinary complications and the optimal timing of foley catheter removal in patients who underwent free flap reconstructive surgery for head and neck pathology. Methods: A retrospective case-control study of head and neck patients who underwent free flap reconstructive surgery at a single institution between January 2009 and December 2021 was conducted. Patient risk factors for postoperative urinary retention (POUR) were analyzed. Fisher Exact and Wilcoxon Rank Sum tests were used to evaluate rates of foley replacement, straight catheterization, and catheter-associated urinary tract infection (CAUTI) and associated risk factors. Results: Two hundred and eleven patients were included in this study. Older age, lower BMI, lower intraoperative fluid volumes, and need for straight catheterization were statistically significant for POUR requiring foley replacement. Shorter total ( P = .04) and postoperative ( P = .01) foley duration showed statistical significance for POUR requiring straight catheterization. About 60% of patients who had straight catheterization required a foley replacement ( P < .001). Only one patient (0.5%) developed a urinary tract infection (UTI). Conclusion: Foley catheter duration impacts the risk of POUR requiring straight catheterization and subsequently, foley replacement. Optimal timing for foley catheter removal in the postoperative period remains to be elucidated. Removal of catheters between 21 and 48 hours after surgery may decrease the risk of POUR without increasing the rate of CAUTI in patients with head and neck pathology undergoing free flap reconstructive surgery.
Implementation of a Decision Aid for Hip and Knee Osteoarthritis in Orthopedics: A Mixed-Methods Process Evaluation
Authors: Bossen Jeroen Klaas Jacobus , Wesselink Julia Aline , Heyligers Ide Christiaan , Jansen Jesse 
Published: October 2023

Background In orthopedics, the use of patient decision aids (ptDAs) is limited. With a mixed-method process evaluation, we investigated patient factors associated with accepting versus declining the use of the ptDA, patients’ reasons for declining the ptDA, and clinicians’ perceived barriers and facilitators for its use. Methods Patients with an indication for joint replacement surgery ( N = 153) completed questionnaires measuring demographics, physical functioning, quality of life (EQ-5D-3L), and a visual analog scale (VAS) pain score at 1 time point. Subsequently, their clinician offered them the relevant ptDA. Using a retrospective design, we compared patients who used the ptDA (59%) with patients who declined (41%) on all these measures as well as the chosen treatment. If the use of the ptDA was declined, patients’ reasons were recorded by their clinician and analysed ( n = 46). To evaluate the experiences of clinicians ( n = 5), semistructured interviews were conducted and thematically analyzed. Clinicians who did not use the ptDA substantially (<10 times) were also interviewed ( n = 3). Results Compared with patients who used the ptDA, patients who declined use had higher VAS pain scores (7.2 v. 6.2, P < .001), reported significantly worse quality of life (on 4 of 6 EQ-5D-3L subscales), and were less likely to receive nonsurgical treatment (4% v. 28%, P < .001). Of the patients who declined to use the ptDA, 46% said they had enough information and felt ready to make a decision without the ptDA. The interviews revealed that clinicians considered the ptDAs most useful for newly diagnosed patients who had not received previous treatment. Conclusion These results suggest that the uptake of a ptDA may be improved if it is introduced in the early disease stages of hip and knee osteoarthritis. Highlights Patients who declined the use of a patient decision aid (ptDA) for hip and knee osteoarthritis reported more pain and worse quality of life. Most patients who declined to use a ptDA felt sufficiently well informed to make a treatment decision. Patients who declined the ptDA were more likely to have received prior treatment in primary care. Clinicians found the ptDA to be a helpful addition to the consultation, particularly for newly diagnosed patients.
Comparison of Sepsis-1, 2 and 3 for Predicting Mortality in Septic Patients of a Middle-Income Country: A Retrospective Observational Cohort Study
Authors: Machado Lessa Carem Luana , Branchini Gisele , Moreira Delfino Isabela , Ramos Voos Matheus Henrique , Teixeira Cassiano , Hoher Jorge Amilton , Nunes Fernanda Bordignon 
Published: October 2023

Introduction The diagnosis of sepsis is based on expert consensus and does not yet have a “gold standard.” With the aim of improving and standardizing diagnostic methods, there have already been three major consensuses on the subject. However, there are still few studies in middle-income countries comparing the methods. This study describes the characteristics of patients diagnosed with sepsis and evaluates and compares the performance of Sepsis-1, 2, and 3 criteria in predicting 28 days, and in-hospital mortality. Patients and Methods A retrospective observational cohort study was conducted in the intensive care unit of a tertiary hospital. All admissions between January 1, 2018, and December 31, 2019, were reviewed. Patients diagnosed with sepsis were included. Results During the study period, 653 patients diagnosed with sepsis (by any of the studied criteria) were included in the study. The 28 days mortality rate was 45.8%, and the in-hospital mortality rate was 59.7%. We observed that 72.1% of patients met the minimum criteria for diagnosing sepsis according to the three protocols, and this group also had the highest mortality rate. Age and comorbidities such as cancer and liver cirrhosis were significantly associated with in-hospital mortality. The most common microorganisms were Escherichia coli, Klebsiella spp., and Staphylococcus spp. Conclusions The study found that most patients met the diagnostic criteria for sepsis using the three methods. Sepsis-2 showed greater sensitivity to predict mortality, while Sequential Organ Failure Assessment showed low accuracy, but was the only significant one. Furthermore, quick Sequential Organ Failure Assessment (qSOFA) had the highest specificity for mortality. Overall, these findings suggest that, although all three methods contribute to the diagnosis and prognosis of sepsis, Sepsis-2 is particularly sensitive in predicting mortality. Sepsis-3 shows some accuracy but requires improvement, and qSOFA exhibits the highest specificity. More research is needed to improve predictive capabilities and patient outcomes.
Practical psychiatry: On therapeutic equipoise – Principles of a balanced approach to psychiatric treatments
Authors: Looi Jeffrey CL , Allison Stephen , Woon Luke , Bastiampillai Tarun 
Published: October 2023

Objective There are many burgeoning treatments, and a large range of therapeutic options for 21st century psychiatry. This paper briefly comments upon considerations for balancing treatment to suit the patient, their illness, and their milieu. Conclusions Therapeutic equipoise, for psychiatric care, is an aspiration rather than a position easily achieved. In day-to-day clinical practice, there will be unexpected demands and barriers that cannot always be accommodated or surmounted. Psychiatrists can work collaboratively with patients, carers, and colleagues in conceptualising and care-planning to avoid extremes of therapeutic hubris and despair, and to adapt evidence-based care more effectively so that it is suited to the patient and their circumstances.
Development of oral oncolytic nonadherence estimator (ORACLE): A pretreatment nonadherence risk assessment for oral oncolytics
Authors: Signorelli Jessie , Tran Thuy , Sirek Marie E , Díaz-Rohena Yarelis , Taraba Jodi L , Muluneh Benyam , Basu Nayanika , Lilly Jennifer , Darling Julianne 
Published: October 2023

Introduction To date, there is no adherence estimator to identify risk of nonadherence prior to initiating oral oncolytics. Methods A workgroup was assembled through the National Community Oncology Dispensing Association and tasked with creating a tool to meet this need. Tool constructs were defined after a review of the literature identifying top barriers to adherence. A second literature search was conducted to identify questions targeting specific barriers from validated adherence questionnaires. Once a finalized draft was complete, the risk assessment tool was built into an electronic survey where a risk category can be automatically calculated for the patient. Results The six most impactful factors affecting compliance to oral oncolytics were identified as patient's confidence, health literacy, perception of treatment, quality of life, social support, and complexity of chemotherapy regimen. A six-item questionnaire was created with five patient-directed questions and one clinician-directed question. Examples and descriptions were provided for clinicians to consider when categorizing complexity of a regimen. The tool was designed for responses to each question to be indexed into categories through a 10-point system. Results will be stratified into low, moderate, or high risk for nonadherence. Conclusion The creation of a tool to predict nonadherence prior to starting therapy is an unmet need for patients initiating oral oncolytics. The aim of this tool is to meet those needs and better guide clinicians to provide patients with strategies to better manage nonadherence. Next steps include tool validation and piloting in clinical practice.
Recovery course of persistent posterior subretinal fluid after successful repair of rhegmatogenous retinal detachment
Authors: Mansour Ahmad M , López-Guajardo Lorenzo , Belotto Silvana , Lima Luiz H , Charbaji Abdul Razzak , Schwartz Stephen G , Wu Lihteh , Smiddy William E , Ascaso Javier , Jürgens Ignasi , Foster Robert E , Elnahry Ayman G , Sinawat Suthasinee , Pinilla Isabel , Pérez-Salvador García Eduardo , Suarez Leoz Marta , Olivier Pascual Nuria , Zago Ribeiro Lucas , Arroyo Castillo Rosa , Navea Amparo , Kadayifcilar Sibel , Ellabban Abdallah A , Rey Amanda , Mansour Hana A , Tripathy Koushik , Kozak Igor , Uwaydat Sami H , Valero María Sacramento , Cobo-Soriano Rosario , Díaz-Barreda María Dolores , Monje Fernández Laura , González del Valle Fernando , López Liroz Irene , Vazquez Cruchaga Erika , Fonollosa Alex , Esteban Floria Olivia , Relimpio Lopez Maria Isabel , Shah Gaurav , Wingelaar Maxwell J , Ravani Raghav , Donate-López Juan , Rubio Velázquez Elena , Parodi Maurizio ,   for the Collaborative Postsurgical Residual Subretinal Fluid Study Group
Published: October 2023

Purpose To investigate best corrected visual acuity (BCVA), subretinal fluid (SRF) absorption time or ellipsoid zone (EZ) restoration time and various variables in patients with persistent SRF after successful primary repair of rhegmatogenous retinal detachment (RRD). Methods This retrospective multicenter study allowed independent analysis of the healing pattern by two observers based on composite of serial cross-sectional macular optical coherence tomography (OCT) scans. Univariate and multivariate analyses were implemented. Results One hundred and three cases had persistent SRF after pars plana vitrectomy, scleral buckling, or pneumatic retinopexy. By univariate analysis, SRF resolution time correlated positively with the number of retinal breaks ( p < 0.001) and with increased myopia ( p = 0.011). Using multivariate analysis, final BCVA (log MAR) correlated positively with age, duration of RRD, initial BCVA (OR = 3.28; [95%CI = 1.44–7.47]; p = 0.015), and SRF resolution time (OR = 0.46 [95%CI 0.21–1.05]; p = 0.049). EZ restoration time was longer with increasing number of retinal tears (OR = 0.67; [95%CI 0.29–1.52]; p = 0.030), worse final BCVA, and presence of macula-off RRD (OR = 0.26; [95%CI 0.08–0.88]; p = 0.056). SRF resolution time correlated marginally with prone position. Conclusions Residual posterior SRF is more common in eyes with multiple breaks or in myopic eyes. Final BCVA is better in younger subjects and in eyes with shorter duration of RRD. Persistent SRF is a self-limited disorder with a mean resolution of 11.2 months with good visual prognosis improving from a mean baseline logMAR of 1.08 to 0.25 at one year.
Outcomes and cost analysis of single-embryo transfer versus double-embryo transfer
Authors: Wong Ker Yi , Tan Heng Hao , Allen John Carson , Chan JKY , Ee Tat Xin , Chua Ka-Hee , Liu Shuling , Phoon Jessie Wai Leng , Viardot-Foucault Veronique , Nadarajah Sadhana , Tan Tse Yeun 
Published: October 2023

Background: Studies had compared single-embryo transfer to double-embryo transfer with cleavage stage embryos and found that while single-embryo transfer was less costly, it was also associated with a lower live birth rate than double-embryo transfer. A single blastocyst transfer has been shown to improve the live birth rate per cycle compared to single-embryo transfer at cleavage stage. Objectives: To compare live birth rates and real costs of elective single-embryo transfer to double-embryo transfer and to determine the incremental cost-effectiveness ratio of these two strategies in an unselected pool of women in a single center. Design: Retrospective study. Methods: We analyzed data of 4232 women who underwent their first fresh in vitro fertilization/intra-cytoplasmic sperm injection cycles with at least two embryos available for transfer in KK Women’s and Children’s Hospital from 2010 to 2017. Results: Five hundred and sixty-four women underwent elective single-embryo transfer and 3668 women underwent double-embryo transfer. One hundred and fifty-six women who failed to achieve a live birth in their fresh elective single-embryo transfer cycle underwent a sequential thaw single-embryo transfer cycle. Live birth rate of fresh elective single-embryo transfer was significantly higher at 41.3% than that of double-embryo transfer at 32.6%. Cumulative live birth rate for sequential elective single-embryo transfer (fresh elective single-embryo transfer + thaw single-embryo transfer) was 47.9%. After accounting for variables which may affect live birth rates such as age and stage of embryo transfer, the odds of achieving a live birth from double-embryo transfer was 24% lower than that from sequential single-embryo transfer, although not statistically significant. For every live birth gained from an elective single-embryo transfer compared to double-embryo transfer, cost savings were S$20,172 per woman. If a woman had to have a sequential single-embryo transfer after a failed single-embryo transfer in her fresh cycle, cost savings were reduced to S$1476 per woman. Conclusion: Single-embryo transfer is a dominant strategy in an unselected population and adopting it in assisted reproductive treatments (ART) can produce cost savings without compromising on live birth rates.
Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland
Authors: Breslin G , Wills W , Bontoft C , Fakoya O , Greco H-A , Lloyd N , Wagner AP , Wellings A , Harding S , Brown KE 
Published: October 2023

Aims: Obesity contributes to morbidity and early mortality, affecting people of all ages and sociodemographic backgrounds. Despite attempts to address obesity, efforts to date have only had limited success. Adopting a whole systems approach (WSA) may potentially address obesity and emphasise complex inter-relating factors beyond individual choice. This study aimed to assess implementation of WSA to diet and healthy weight in two council areas of Scotland, longitudinally exploring enablers and barriers. One area followed a Leeds Beckett WSA model (LBM) of implementation, while the other used a hybrid model incorporating existing working systems. Methods: To assess the process of implementing a WSA, interviews and focus groups were conducted after initiation and 1 year later. Results: Main enablers included: belief in WSA effectiveness; positive relationships between key personnel; buy-in at community and national levels; funding availability; the working group responsible for coordinating the system development comprising individuals with diverse expertise; good communication; and existing governance structures. Barriers included: insufficient funding; high staff turnover; inadequate training in WSA methodology; engaging all relevant stakeholders and reverting to ‘old ways’ of non-WSA working. The LBM provided a framework for system setup and generating an action plan. Conclusion: This study provides the first independent longitudinal process evaluation of WSAs that have incorporated Leeds Beckett methodology, and offers insights into how a WSA can be implemented to address diet and healthy weight.
Exploring the Relationship Between Burnout, Resilience, and Dropout Intention Among Nursing Students During Clinical Training in Saudi Arabia
Authors: Altharman Hanin A. , Alnaqi Rawan I. , Buanz Shmayil F. , Alsenayien Abrar Y. , Siraj Rayan A. 
Published: October 2023

Background The issue of burnout syndrome among health discipline students is gaining heightened attention due to its serious effects, which causes them to have the intention to quit. Despite this, limited studies are available on the extent of burnout and its association with resilience and intention to drop out among clinical-level nursing students. Objective To explore the relationship between burnout, resilience, and intention to quit among nursing students. Methods An online questionnaire was used to conduct a cross-sectional study, targeting nursing students at the clinical level through a nonprobability sample. The participants were required to provide their sociodemographic, Maslach Burnout Inventory, and Connor-Davidson Resilience Scale. Data was analyzed using descriptive, inferential, and correlation tests. Results The study included a group of 564 nursing students and interns, the majority of whom were female at a percentage of 78.9%. Among this group, 65% experienced a high level of burnout, with 42% experiencing emotional exhaustion, 54% experiencing depersonalization (DP), and 77% reporting low personal achievement. A total of 48% of clinical-level students were considering quitting the nursing program. Moreover, the students reported low scores of resilience, with negative correlations observed with DP ( r = −.12, p = .04) and positive correlation with low personal achievement ( r = .43, p < .001). Conclusion Nursing students and interns faced a significant amount of burnout and showed a desire to drop out nursing program. Their level of resilience was moderately low, and it correlated with burnout subscales DP and personal accomplishment. A collaborative intervention is needed to promote resiliency and alleviate burnout symptoms during clinical training.