bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pre‐operative subjective functional capacity and postoperative outcomes in adult non‐cardiac surgery: a systematic review and meta‐analysis
Authors: Takahashi Kyosuke , Chiba Kyoko , Honda Ayano , Iizuka Yusuke , Yoshinaga Koichi , Deo Alka Sachin , Uchida Tokujiro 
Published: January 2025

SummaryIntroductionAssessment of functional capacity is an essential part of peri‐operative risk stratification. Subjective functional capacity is easier to examine than objective tests of patient fitness. However, the association between subjective functional capacity and postoperative outcomes has not been established.MethodsFour databases were searched for studies describing the associations between subjective functional capacity and postoperative outcomes in adults undergoing non‐cardiac surgery. Meta‐analysis was conducted among studies where functional capacity was expressed in metabolic equivalents. The primary outcome was postoperative major adverse cardiovascular events. Secondary outcomes were mortality and postoperative overall complications. We estimated the ORs of the outcomes in patients with poor functional capacity (< 4 metabolic equivalents) as compared with those with good functional capacity (≥ 4 metabolic equivalents). Random‐effects models were used for the meta‐analysis.ResultsWe identified 7835 abstracts. After screening and a full‐text review, 23 studies were selected. Evaluation methods of functional capacity included: questionnaires (n = 7); specific questions (n = 6); and subjective assessment by anaesthetists (n = 5). The probability of major postoperative adverse cardiovascular events was significantly higher in patients with poor functional capacity (OR 1.84, 95%CI 1.62–2.08) than in those with good functional capacity. Patients with poor functional capacity also had higher odds of mortality (OR 2.48, 95%CI 1.45–4.25) and postoperative complications (OR 1.85, 95%CI 1.34–2.55).DiscussionSubjective functional capacity of < 4 metabolic equivalents was associated with postoperative complications including cardiovascular events and other serious outcomes. The results need to be interpreted with caution due to the diverse measures used to assess functional capacity.
One tube for all: 1‐year outcomes after transition to Paul glaucoma implant at a tertiary centre
Authors: Studsgaard Anne , Nielsen Stine Elkjær , Telinius Niklas 
Published: January 2025

AbstractPurposeTo evaluate the intraocular pressure (IOP) lowering effect and success rate of Paul glaucoma implant (PGI) in refractory glaucoma after changing practice pattern from Ahmed and Baerveldt tubes to PGI.MethodsA prospective observational study of the first 50 consecutive PGI surgeries at a single Danish tertiary centre from January 2022 to October 2023. Primary endpoints were IOP and success rates after 12 months. Secondary endpoints were the use of IOP‐lowering medications and complications. All cases had a risk of failure for traditional glaucoma surgery (neovascular glaucoma, oil‐filled eye or uveitis).ResultsPreoperative IOP was 29.9 ± 8.6 mmHg and the mean number of topical IOP‐lowering medications used was 3.4 ± 0.76 with 14 cases of systemic acetazolamide. Twelve months after surgery IOP was reduced to 11.4 ± 3.1 mmHg and complete success rate with (a) IOP≤21 mmHg was achieved in 43%, (b) IOP≤18 mmHg in 43%, (c) IOP≤15 mmHg in 41% and (d) IOP≤12 mmHg in 33%. Qualified success rate (on topical glaucoma medications) was achieved in (a) 96%, (b) 94%, (c) 86% and (d) 71% of the cases.The number of topical IOP‐lowering medications was 0.9 ± 0.9 after surgery and 47% were medication free. Early (<3 months) and late (>3 months) complications were observed in 22% and 16% of patients respectively.ConclusionThis study indicates that PGI provides a good IOP‐lowering effect after 12 months in a population with risk factors for failure for traditional glaucoma surgery.
Comparisons in Postoperative Endoscopic Findings and Postoperative Weight Change Between Delta‐Shaped Anastomosis and Circular‐Stapled Anastomosis in Laparoscopy‐Assisted Distal Gastrectomy With B‐I Reconstruction
Authors: Oya Shuichiro , Sakuramoto Shinichi , Morimoto Yosuke , Matsui Kazuaki , Nishibeppu Keiji , Ebara Gen , Fujita Shohei , Fujihata Shiro , Lee Seigi , Miyawaki Yutaka , Sugita Hirofumi , Sato Hiroshi , Yamashita Keishi 
Published: January 2025

ABSTRACTBackgroundLaparoscopy‐assisted distal gastrectomy (LADG) with Billroth I (B‐I) reconstruction is frequently performed for gastric cancer. However, the difference between the circular stapler technique (CS) and delta‐shaped anastomosis (DA) remains unclear, especially regarding the postoperative endoscopic physiological findings.MethodsThree hundred and one patients including 150 CS patients and 151 DA patients during LADG with B‐I reconstruction between 2013 and 2019 at Saitama Medical University International Medical Center were chosen as study subjects. Postoperative endoscopic findings (1‐year post‐surgery) in the remnant stomach were evaluated according to the residue, gastritis, and bile‐reflux classification, and the first‐year postoperative weight changes were also recorded.ResultsThe incidences of Grade 2 or higher remnant gastritis, bile reflux, and postoperative exacerbated reflux esophagitis were significantly higher in the DA group, while the amount of residual food was higher in the CS group. Multivariate analysis also revealed the higher risks of Grade 2 or higher gastritis and the postoperative existence or exacerbation of erosive reflux esophagitis in the DA group (OR [95% CI] was 2.737 [1.566–4.783], 3.533 [1.101–11.34], and 3.749 [1.021–13.76], respectively). However, none of these endoscopic differences but the broader extent of gastritis was the only endoscopic factor associated with severe postoperative weight loss.ConclusionThere was a trend toward more exacerbation of residual gastritis and reflux esophagitis with the DA technique and more food remnants with the CS technique. Although the difference in the anastomotic technique did not directly result in weight loss, attention should be paid to prevent extensive residual gastritis.
Overcoming low status or maintaining high status? A multinational examination of the association between socioeconomic status and honour
Authors: Sánchez‐Rodríguez Ángel , O'Dea Conor , Uskul Ayse K. , Kirchner‐Häusler Alexander , Vignoles Vivian , Chobthamkit Phatthanakit , Achmad Rendy Alfiannoor , Andrianto Sonny , Kristanto Andreas Agung , Ardi Rahkman , Lesmana Cokorda Bagus Jaya , Castillo Vanessa A. , Chaleeraktrakoon Trawin , Zhi Alfred Chan Huan , Choompunuch Bovornpoch , Cross Susan E. , Nguyen Son Duc , Fernandez Elaine Frances , Purba Fredrick Dermawan , Reyes Marc Eric S. , Yalçın Meral Gezici , Siswadi Ahmad Gimmy Prathama , Harb Charles , Hashim Intan Hashimah Mohd , Husnu Shenel , Hutapea Bonar , Le Hoang The Huy , Ishii Keiko , Ismail Rozmi , Ito Kenichi , Suryani Luh Ketut , Kaewyodthiwat Tinnaphat , Kafetsios Konstantinos , Karamaouna Panagiota , Kateri Evangelia , Khan Aqeel , Khieowan Nuannut , Lufityanto Galang , Macapagal Ma. Elizabeth J. , Marappan Deviga a/p , Matamoros‐Lima Juan , Miniesy Rania , Yusoff Ahmad Mustaqim , Na Jinkyung , Özkan Zafer , Pagliaro Stefano , Psaltis Charis , Rabie Dina , Reinhart Mitchell , Ridfah Ahmad , Rodriguez‐Bailón Rosa , Ishak Mai Sumiyati , Teresi Manuel , Tengco‐Pacquing Ma. Criselda , Thongpibul Kulvadee , Tri Minh Thuy Thi , Zwagery Rika Vira , Wisayanti Suci , Hoon Chang Yau , Uchida Yukiko 
Published: January 2025

AbstractWe examined the relationship between socioeconomic status (SES) and endorsement of honour. We studied the SES‐honour link in 5 studies (N = 13,635) with participants recruited in different world regions (the Mediterranean and MENA, East Asian, South‐East Asian, and Anglo‐Western regions) using measures that tap into various different facets of honour. Findings from these studies revealed that individuals who subjectively perceived themselves as belonging to a higher (vs. lower) SES endorsed various facets of honour more strongly (i.e. defence of family honour values and concerns, self‐promotion and retaliation values, masculine honour beliefs, emphasis on personal and family social image, the so‐called street code). We discuss implications of these findings for the cultural dynamics linked to SES.
Metabolic syndrome is associated with postoperative complications after holmium laser enucleation of the prostate
Authors: Edmonds Victoria S. , Heidenberg Daniel J. , Mayes Connor , Mead‐Harvey Carolyn , Humphreys Mitchell R. 
Published: January 2025

ObjectivesTo compare postoperative complication rates of patients with metabolic syndrome (MetS) with patients without MetS after holmium laser enucleation of the prostate (HoLEP) for management of benign prostatic hyperplasia (BPH).Patients and MethodsWe retrospectively reviewed patients aged >40 years who underwent HoLEP at our institution from 2007 to 2022. Criteria for MetS were diagnoses of at least three of the following: diabetes mellitus, hypertension, hyperlipidaemia, or obesity (body mass index ≥30 kg/m2). Uni‐ and multivariable logistic regression were used to compare the likelihood of immediate, 30‐day, and 90‐day complications between groups.ResultsA total of 1500 patients were included with a median (interquartile range) age of 70 (65–76) years. Patients with MetS were more likely to develop complications at both 30 and 90 days, including urinary incontinence, irritative voiding symptoms, and bleeding (P < 0.001). After adjusting for potential confounders, patients with MetS had a greater than three times odds of both 30‐ and 90‐day complications compared to patients without MetS (30‐day adjusted odds ratio [aOR] 3.32, 95% confidence interval [CI] 2.21–5.01, P < 0.001; and 90‐day aOR 3.64, 95% CI 2.49–5.31, P < 0.001).ConclusionMetabolic syndrome was associated with a three‐fold likelihood of 30‐ and 90‐day complications after HoLEP. This could be an important factor to consider in preoperative counselling and patient selection.
Penicillin Allergy Management in India and Sri Lanka: Current Challenges
Authors: Moitra Saibal , Liyanage Guwani , Tonkin‐Crine Sarah , Powell Neil , Jani Yogini , Dasanayake Dhanushka , Badanasinghe Nadisha , Haque Mohammad Ziaul , Kudagammana Wasana , Kumar Raj , Mahesh Padukudru Anand , Thong Bernard Yu‐Hor , Meng Juan , Christopher Devasahayam Jesudas , Krishna Mamidipudi Thirumala 
Published: January 2025

ABSTRACTData regarding Penicillin allergy labels (PALs) from India and Sri Lanka are sparse. Emerging data suggests that the proportion of patients declaring an unverified PAL in secondary care in India and Sri Lanka (1%–4%) is lesser than that reported in High Income Countries (15%–20%). However, even this relatively small percentage translates into a large absolute number, as this part of the world accounts for approximately 25% of the global population. There is a huge unmet need for allergy specialists in India and Sri Lanka. Penicillin allergy management is further compromised by unavailability of skin test reagents, lack of formal training in drug allergy, pre‐emptive, non‐standardised and unregulated skin testing by untrained operators and a weak health service framework. This has an adverse impact on antimicrobial stewardship, particularly in the management of rheumatic fever, rheumatic heart disease, bacterial endocarditis, syphilis and other sexually transmitted infections. This narrative review highlights the burden of PALs in India and Sri Lanka, as well as gaps in the published literature. It describes current challenges and a pragmatic, cautious and staged bespoke mitigation approach to improve and standardise antimicrobial stewardship in accordance with the World Health Organisation AWaRe guidance.
Proxy means test for targeting welfare benefits in Jamaica
Authors: Blake Garfield O. , Gibbison Godfrey 
Published: January 2025

AbstractMotivationThe proxy means test (PMT) has become the predominant targeting mechanism for social assistance schemes in many low‐ and lower‐middle income countries, including Jamaica. It has many powerful advocates amid claims that it can accurately and cost‐effectively target the poor. However, recently, there have been concerns expressed by beneficiary groups, government stakeholders, and civil society on the selection of households for benefits under Jamaica's Programme of Advancement Through Health and Education (PATH).PurposeAn evaluation of PATH suggests that it covers only about 71% of households ranked in the poorest quintiles, while 23% of programme beneficiaries are from households considered to be non‐poor (ranked in the top two quintiles). This study introduces innovations to the current PMT model with the objective of improving targeting of the poor for social protection benefits.Approach and methodsWe draw on data collected by the Statistical Institute of Jamaica (STATIN) regarding the PATH programme to show that an application of the poverty‐weighted least squares regression estimation method improves coverage of households ranked in the poorest quintiles. Poverty‐weighted least squares places higher weights on the squared errors of poor households, which avoids the tendency of least squares regression to increase the predicted consumption of the poor.FindingsUsing data compiled by the STATIN through the annual Jamaica Survey of Living Conditions, we showed that the construction of a national model estimated using poverty‐weighted least squares, and adjusting predicted consumption to the lower limit of the 95% confidence interval, improves coverage of the poorest households from 71% to over 85%. Achieving this high rate of coverage among the poor came at a cost, in the form of high coverage among the non‐poor and, particularly, an increase in inclusion errors.Policy implicationsWe believe these results demonstrate that in certain contexts it is possible to improve upon the Basic PMT model and meet the goals the PMT was intended to achieve, efficiently directing social assistance to the poor, minimizing leakage to the non‐poor, and maintaining integrity in the overall social assistance mechanism.
The use of the Crohn's disease exclusion diet (CDED) in adults with Crohn's disease: A randomized controlled trial
Authors: Pasta Andrea , Formisano Elena , Calabrese Francesco , Apollonio Monica , Demarzo Maria Giulia , Marabotto Elisa , Furnari Manuele , Giannini Edoardo Giovanni , Pisciotta Livia , Bodini Giorgia 
Published: January 2025

AbstractBackgroundThe Crohn's disease exclusion diet (CDED) has been shown to induce remission in adult Crohn's disease (CD) patients. The aim of the study is to provide additional evidence‐based validation.MethodsWe conducted an open‐label, randomized trial on adult CD patients with mild‐to‐moderate symptoms to assess CDED efficacy in inducing symptomatic remission using Mediterranean diet as control. We evaluate demographic data, body mass index (BMI), Harvey‐Bradshaw Index (HBI), faecal calprotectin, and serum inflammatory indices at baseline, 12, and 24 weeks. Bioelectrical impedance analysis (BIA) was used to ensure the safety of the CDED group every 12 weeks.ResultsTwenty‐four patients were assigned to CDED, and 21 to controls, with no baseline differences among the parameters considered. Five CDED patients dropped out due to intolerance within the first 6 weeks. At 12 weeks, CDED patients showed significantly lower HBI and higher remission rates than controls. By 24 weeks, remission rates increased (70.8% vs. 38.1% at 12 weeks and 79.2% vs. 42.9% at 24 weeks; p = .027 and p < .0001, respectively), with significantly lower fibrinogen levels in the CDED group. The administration of CDED was associated with a significant decrease in BMI (25.8 kg/m2–24.5 kg/m2, p = .047), although BIA analysis showed a decrease in fat mass (18.2%–15.5%, p < .0001), while fat‐free mass and body cellular mass significantly increased at 12 weeks (p = .001 and p = .042, respectively) and remained stable at 24 weeks.ConclusionsThe CDED was effective in inducing remission among patients with mild‐to‐moderate CD and appeared to be safe and well‐accepted.
Finitude and the Good Will
Authors: Englander Alex 
Published: January 2025

AbstractAccording to Kant, both finite (human) and non‐finite (divine) wills are subject to the moral law, though the manner of their subjection differs. The fact that the law expresses an ‘ought’ for the human will is a function of our imperfection. On this picture, a non‐finite will thus enjoys a certain explanatory priority vis‐à‐vis its finite counterpart: we can understand the practical constraint that binds the latter by seeing how contingent limitations differentiate it from the former. However, a reading of Kant's principle of autonomy that inextricably ties the achievement of willing to the adoption of a practical standpoint, gives us reasons for doubting this order of explanation. It suggests instead that we might best understand the practical ‘ought’ by taking the human will as explanatorily primitive. And if we do so, we can question the coherence of taking a will for which the law is not normative to furnish a paradigmatic exemplification of the relation that lies at the heart of Kant's notion of autonomy: namely, the relation between free volition and moral necessity.
Purely Intentional Modal Fictionalism
Authors: Jakha Hicham 
Published: January 2025

AbstractThis article brings two outstanding figures into conversation about the problem of fictional entities and their indeterminacies: Roman Ingarden and David Lewis. Lewis's account of fiction lacks an adequate ontology of ficta‐qua‐objects. Relying on his modal realism does not help, for it would make ficta “concrete” entities that merely indexically differ from our world's entities. In this regard, I refer to Ingarden's “purely intentional entities.” I read Lewis's possible worlds in terms of Ingarden's ontology; hence establishing what I term “Purely Intentional Modal Fictionalism.” In so doing, the demarcation between fiction and actuality is preserved. In return, Lewis's “Analyses” adequately account for Ingarden's “spots of indeterminacy.” Therefore, my proposal reconciles Ingarden's ficta with Lewis's possibilist approach to truth in fiction. This approach grounds Lewis's account in a less problematic ontology with a distinct sui generis status for ficta and provides Ingarden's ficta with better determination principles.
Dynamic harmony: Unveiling therapeutic attunement in emotionally focused couples therapy via machine learning
Authors: Başer Gökçenay , Başer Oğuzhan , Kafescioğlu Nilüfer , Erdem Gizem 
Published: January 2025

AbstractObjectiveThe goals of the study were to examine therapists' and clients' emotional states and expressions in an emotionally focused therapy (EFT) couple session, to assess therapeutic attunement between the clients and the therapist, and to explore its alignment with EFT techniques.BackgroundTherapeutic attunement is crucial for fostering a therapeutic alliance in couples therapy, yet examining triadic relationships between therapist and partners is methodologically challenging. This case study introduces a novel computational social science approach to capture attunement in an EFT session.MethodA full‐length, publicly available EFT session video was analyzed. We generated text, audio, and image data for computerized tracking and conducted a multimodal analysis of emotions using mixture of experts machine learning models.ResultsSeven emotion states were analyzed: anger, fear, surprise, disgust, joy, sadness, and neutral. The results indicated a close alignment between the couple and the therapist's emotions, suggesting high attunement. Three types of attunement by timing were identified: on time, therapist initiated, and delayed. Attunement peaks aligned with EFT techniques.ConclusionHigh levels of therapeutic attunement, facilitated by EFT techniques, can be effectively captured and analyzed using machine learning.ImplicationsThis study highlights the feasibility of using machine learning to track attunement dynamics and aids therapists in exploring therapeutic ruptures.
Emotional Entanglements and Intersectional Language Teacher Identities in Critical Autoethnographic Narratives
Authors: Yazan Bedrettin 
Published: January 2025

ABSTRACTIn this study, I employ critical autoethnographic narrative (CAN) as a teacher‐learning activity that pedagogizes identity in teacher education. I specifically rely on a white US‐born teacher candidate's (Robert's) data, which included the following: four installments of CAN writing, four recorded individual feedback meetings, one discussion board post, visual mapping of CAN, recorded rubric co‐construction, and recorded final CAN presentation. I utilized narrative inquiry procedures to analyze Robert's data to examine how his emotions entangled with his intersectional identities and surrounding ideologies as he constructed his English as a second language teacher in his CAN writing. I present my findings around four major themes with illustrative excerpts from Robert: (1) emotions entangled with intersectional identities, (2) emotional responses to dominant ideologies, (3) emotional engagement in acts of agency, and (4) identity tensions as loci of emotional entanglement. I discuss those findings in relation to the use of CAN in teacher education, the emotional dimensions of teachers’ intersectional identities, and identity tensions in understanding the relationship between identity, agency, and ideologies. I also share the implications of my findings for teacher educators who consider using CAN or incorporating identity, emotions, and agency in their practices.
Adopting Voluntary Simplicity: A Netnographic Study
Authors: Soares Ana Maria , Rebouças Raquel , Heath Teresa Pereira 
Published: January 2025

ABSTRACTVoluntary simplicity (VS), a lifestyle centred on frugality, reduction of consumption, and the search for non‐materialistic sources of fulfilment, has been gaining popularity and has the potential to advance sustainable resource use. This study considers the drivers, practices and consumer decisions of those aspiring to live more simply, based on a netnography of 21,198 comments on 635 posts from an online community of VS. We focus on people in the early stages of becoming simplifiers. Findings are organised into four main topics: meanings of VS according to early‐stage simplifiers; main drivers to lifestyle adoption; practices; and buying decision process of these simplifiers. Insights from this study enhance our understanding of why people simplify their lives voluntarily, what this means to them, and the practices and processes involved in becoming a voluntary simplifier. In particular, the flexibility of how VS was understood by the members of the subreddit and how the community was able to accommodate multiple paths to simplifying provide valuable insights into the process of negotiating a lifestyle change. We propose a research framework mapping VS adoption, and suggestions for further studies, and finally discuss implications for theory and practice.