bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of Charlson comorbidity index in predicting the ICU admission in patients with thoracic aortic aneurysm undergoing surgery
Authors: Zhan Yu-fei , Li Feng , Wu Long-chuan , Li Jun-ming , Zhu Can-yan , Han Ming-shuai , Sheng Yi 
Published: November 2023

Abstract
Objectives
This study aimed to explore the value of the Charlson comorbidity index (CCI) in predicting ICU admission in patients with aortic aneurysm (AA).

Methods
The clinical data of patients were obtained from the Medical Information Mart for Intensive Care-IV database. The association between CCI and ICU admission was explored by restricted cubic spline (RCS), threshold effect analysis, generalized linear model, logistic regression, interaction, and mediation analyses. Its clinical value was evaluated by decision curve analysis (DCA), receiver operating characteristic curve (ROC), DeLong's test, and net reclassification index (NRI) analyses.

Results
The ICU admission was significantly associated with the thoracic AA (TAA), unruptured status, and surgery status. Therefore, 288 candidate patients with unruptured TAA who received surgery were enrolled in the further analysis. We found that CCI was independently associated with the ICU admission of candidates (P = 0.005). Further, their nonlinear relationship was observed (adjusted P = 0.008), and a significant turning point of 6 was identified. The CCI had a favorable performance in predicting ICU admission (area under curve = 0.728) and achieved a better clinical net benefit. New models based on CCI significantly improved the accuracy of prediction. Besides the importance of CCI in ICU admission, CCI also exerted important interaction effect (rather than mediating effects) on the association of other variables (such as age and blood variables) with ICU admission requirements (all P < 0.05).

Conclusions
The CCI is an important predictor of ICU admission after surgery in patients with unruptured TAA.
CHMMOTv1 - cardiac and hepatic multi-echo (T2*) MRI images and clinical dataset for Iron overload on thalassemia patients
Authors: Abedi Iraj , Zamanian Maryam , Bolhasani Hamidreza , Jalilian Milad 
Published: November 2023

Abstract
Introduction
Regarding deep learning networks in medical sciences for improving diagnosis and treatment purposes and the existence of minimal resources for them, we decided to provide a set of magnetic resonance images of the cardiac and hepatic organs.

Database description
The dataset included 124 patients (67 women and 57 men) with thalassemia (THM), the age range of (5–52) years. Patients were divided into two groups: with follow-up (1–5 times) at time intervals of about (5–6) months and without follow-up. T2* and, R2* values, the results of the Cardiac and Hepatic overload report (normal, mild, moderate, severe), and laboratory tests including Ferritin, Bilirubin (D, and T), AST, ALT, and ALP levels were provided as an Excel file. Also, the details of the patients’ Echocardiogram data have been made available. This dataset CHMMOTv1) has been published in Mendeley Dataverse and also is accessible through the web at: http://databiox.com.
Undifferentiated carcinoma of the pancreas with osteoclast-like giant cells: a case report
Authors: Chan William , Park Sungmee , Shirkhoda Layla , O’Connell Ryan , Houshyar Roozbeh 
Published: November 2023

Abstract
Background
Undifferentiated carcinomas of the pancreas with osteoclast-like giant cells (UCPOGC) are rare pancreatic neoplasms that account for less than 1% of all pancreatic malignancies. This case report of a 54-year-old male with metastatic UCPOGC adds to the existing literature and further ascertains the clinical and imaging features, treatment options, and prognosis of this rare entity.

Case presentation
We present the detailed clinical course of a 54-year-old Asian male patient with UCPOGC, with focus on the relevant clinical features and imaging findings that are characteristic of this disease entity.

Conclusions
UCPOGC is an extremely rare pancreatic tumor with a unique histopathology and clinical course. It is often difficult to distinguish UCPOGCs from other pancreatic tumors, such as traditional pancreatic ductal adenocarcinomas (PDAC), on imaging, and it therefore remains a pathological diagnosis. Surgery is generally regarded as the first-line treatment option, and the roles of chemotherapy and radiation are unclear. Due to the exceeding rarity of this tumor, large-scale clinical studies are not feasible. Therefore, it is important to share individual insights and experiences to improve our understanding and care for patients with this devastating disease.
Does haste make waste? Prevalence and types of errors reported after publication of studies of COVID-19 therapeutics
Authors: Chatterton Brittany , Ascher Simon B. , Duan Naihua , Kravitz Richard L. 
Published: November 2023

Abstract
Background
The COVID-19 pandemic spurred publication of a rapid proliferation of studies on potential therapeutic agents. While important for the advancement of clinical care, pressure to collect, analyze, and report data in an expedited manner could potentially increase the rate of important errors, some of which would be captured in published errata. We hypothesized that COVID-19 therapeutic studies published in the early years of the pandemic would be associated with a high rate of published errata and that, within these errata, there would be a high prevalence of serious errors.

Methods
We performed a review of published errata associated with empirical studies of COVID-19 treatments. Errata were identified via a MEDLINE and Embase search spanning January 2020 through September 2022. Errors located within each published erratum were characterized by location within publication, error type, and error seriousness.

Results
Of 47 studies on COVID-19 treatments with published errata, 18 met inclusion criteria. Median time from publication of the original article to publication of the associated erratum was 76 days (range, 12–511 days). A majority of errata addressed issues with author attribution or conflict of interest disclosures (39.5%) or numerical results (25.6%). Only one erratum contained a serious error: a typographical error which could have misled readers into believing that the treatment in question had serious adverse effects when in fact it did not.

Conclusions
Despite accelerated publication times, we found among studies of COVID-19 treatments the majority of errata (17/18) reported minor errors that did not lead to misinterpretation of the study results. Retractions, an indicator of scientific misdirection even more concerning than errata, were beyond the scope of this review.
The multisensory mind: a systematic review of multisensory integration processing in Anorexia and Bulimia Nervosa
Authors: Brizzi Giulia , Sansoni Maria , Di Lernia Daniele , Frisone Fabio , Tuena Cosimo , Riva Giuseppe 
Published: November 2023

AbstractIndividuals with Anorexia Nervosa and Bulimia Nervosa present alterations in the way they experience their bodies. Body experience results from a multisensory integration process in which information from different sensory domains and spatial reference frames is combined into a coherent percept. Given the critical role of the body in the onset and maintenance of both Anorexia Nervosa and Bulimia Nervosa, we conducted a systematic review to examine multisensory integration abilities of individuals affected by these two conditions and investigate whether they exhibit impairments in crossmodal integration. We searched for studies evaluating crossmodal integration in individuals with a current diagnosis of Anorexia Nervosa and Bulimia Nervosa as compared to healthy individuals from both behavioral and neurobiological perspectives. A search of PubMed, PsycINFO, and Web of Sciences databases was performed to extract relevant articles. Of the 2348 studies retrieved, 911 were unique articles. After the screening, 13 articles were included. Studies revealed multisensory integration abnormalities in patients affected by Anorexia Nervosa; only one included individuals with Bulimia Nervosa and observed less severe impairments compared to healthy controls. Overall, results seemed to support the presence of multisensory deficits in Anorexia Nervosa, especially when integrating interoceptive and exteroceptive information. We proposed the Predictive Coding framework for understanding our findings and suggested future lines of investigation.
Rehabilitation strategies for managing urinary incontinence in COPD: a review of literature
Authors: Sundus Habiba , Khan Nahid , Mohammad Noor 
Published: November 2023

Abstract
Background
Urinary incontinence (UI) is linked to an increase in social disengagement, fractures and falls, depression, lack of concentration, elevated anxiety, and nursing home admissions, which has a significant negative impact on quality of life and the economy. Respiratory illness is regarded as a risk factor for urinary incontinence as coughing, and dyspnea raises the intra-abdominal pressure and results in an additional strain on the bladder. If the pelvic floor muscles (PFM) are weak, this might then cause leaking.

Methods
A literature search was conducted using multiple databases for physiotherapeutic treatment options for urinary incontinence in COPD for the present review.

Results
A keyword search yielded 9081 articles of which 11 articles were included in the present review according to the inclusion and exclusion criteria.

Conclusion
There is a lack of studies involving both conditions; for treatment, we can combine some physiotherapy interventions of UI with COPD to achieve the desired result and as suitable for the patient.
Surgically treated purulent pericarditis induced by ingested fish bone: a case report
Authors: Itoda Yoshifumi , Fukushima Toshiya , Kawamoto Shuhei , Shimozawa Motoharu , Tateishi Retsu , Haba Fumiya , Ono Shunya , Nakahara Yoshinori , Kanemura Takeyuki 
Published: November 2023

Abstract
Background
Aspiration of fish bones is common, but perforation of the gastrointestinal tract is very rare. Once perforation occurs, fatal complications such as mediastinitis and cardiac tamponade can occur. Here, we present a case of acute pericarditis due to perforation of a fish bone.

Case presentation
A 66-year-old woman was referred to our hospital with shortness of breath. Blood tests showed high C-reactive protein, and contrast-enhanced computed tomography showed a large amount of pericardial fluid as well as a foreign body with high bone density in the pericardial sac. Upper gastrointestinal endoscopy showed no evidence of penetration of the esophageal or gastric mucosa. Emergency open chest surgery was performed, and the pericardial sac was filled with copious amounts of pus. The fish bone-like foreign body was found to penetrate the pericardial membrane from the diaphragmatic side. The foreign body was removed, a drainage tube was placed, and the chest was closed. After 2 weeks of postoperative antibiotics, the patient was discharged from the hospital in stable general condition. Three months after the surgery, the patient had no recurrence of pericarditis.

Conclusions
We reported a rare case of gastrointestinal perforation by a fish bone, resulting in pericardium, which was treated by surgical drainage.
Cumulative Absolute Risk of Subsequent Colorectal Cancer After Abdominopelvic Radiotherapy Among Childhood Cancer Survivors: A PanCareSurFup Study
Authors: Heymer Emma J. , Jóźwiak Katarzyna , Kremer Leontien C. , Winter David L. , de Vathaire Florent , Sunguc Ceren , Sugden Elaine , Kok Judith L. , van der Pal Helena J.H. , Hjorth Lars , Jakab Zsuzsanna , Maule Milena M. , Haupt Riccardo , Bagnasco Francesca , Terenziani Monica , Diallo Ibrahima , Gunnes Maria W. , Sommer Grit , Zadravec Zaletel Lorna , Kuehni Claudia E. , Winther Jeanette F. , Lähteenmäki Päivi M. , Gudmundsdottir Thorgerdur , Allodji Rodrigue S. , Skinner Roderick , Ronckers Cécile M. , Hawkins Michael M. , Reulen Raoul C. , Teepen Jop C. 
Published: November 2023

PURPOSE Childhood cancer survivors are at the risk of developing subsequent colorectal cancers (CRCs), but the absolute risks by treatment modality are uncertain. We quantified the absolute risks by radiotherapy treatment characteristics using clinically accessible data from a Pan-European wide case-control study nested within a large cohort of childhood cancer survivors: the PanCareSurFup Study. METHODS Odds ratios (ORs) from a case-control study comprising 143 CRC cases and 143 controls nested within a cohort of 69,460 survivors were calculated. These, together with standardized incidence ratios for CRC for this cohort and European general population CRC incidence rates and survivors' mortality rates, were used to estimate cumulative absolute risks (CARs) by attained age for different categories of radiation to the abdominopelvic area. RESULTS Overall, survivors treated with abdominopelvic radiotherapy treatment (ART) were three times more likely to develop a subsequent CRC than those who did not receive ART (OR, 3.1 [95% CI, 1.4 to 6.6]). For male survivors treated with ART, the CAR was 0.27% (95% CI, 0.17 to 0.59) by age 40 years, 1.08% (95% CI, 0.69 to 2.34) by age 50 years (0.27% expected in the general population), and 3.7% (95% CI, 2.36 to 7.80) by age 60 years (0.95% expected). For female survivors treated with ART, the CAR was 0.29% (95% CI, 0.18 to 0.62) by age 40 years, 1.03% (95% CI, 0.65 to 2.22) by age 50 years (0.27% expected), and 3.0% (95% CI, 1.91 to 6.37) by age 60 years (0.82% expected). CONCLUSION We demonstrated that by age 40 years survivors of childhood cancer treated with ART already have a similar risk of CRC as those age 50 years in the general population for whom population-based CRC screening begins in many countries. This information should be used in the development of survivorship guidelines for the risk stratification of survivors concerning CRC risk.
A comparative analysis of postoperative visual outcomes following cataract surgery with different brands of Monofocal Intraocular Lenses
Authors: Memon Muhammad Saleh , Mahmood Tauseef , Ahsan Shahid , Qidwai Umair , Arslan Muhammad , Fahim Muhammad Faisal 
Published: November 2023

Objective: To compare visual outcomes after cataract surgery using three intraocular lenses (IOL) of different prices but similar properties.
Methods: A comparative study with retrospective data of patients operated for phacoemulsification with monofocal IOL implants was carried out at Al-Ibrahim Eye Hospital (AIEH) from April 2021 to Feb 2022. Patients with diabetes, any preoperative ocular morbidity and unclear diagnosis were excluded from the study. Pre and post-operative best corrected visual acuity (BCVA) on 1st day, 7th day and 4-6 weeks were analyzed. IOLs were categorized on the basis of price into economical, standard and premium lenses. To minimize surgical bias, data was further stratified on the basis of surgical expertise.
Results: Data of 3237 patients was analyzed. Economical lens (A) was implanted in 2647, standard (B) in 254 and premium (C) in 336 patients. On average BCVA (6/6 to 6/12) was achieved in 88.2% of patients. No significant difference was found at third follow up among BCVA of three IOls operated by senior surgeon, χ2(2) = 3.216, p = 0.20, with median (IQR) is 0.2(0.2) logMAR for Group-A, 0.1(0.2) logMAR for Group-B and 0.2(0.1) logMAR for Group-C. When results of the rest of the surgeons was considered, significant difference was found among BCVA at 3rd followup, χ2(2) = 6.661, p = 0.036, with median (IQR) is 0.3(0.2) logMAR for Group-A, 0.2(0.1) logMAR for Group-B and 0.2(0.3) logMAR for Group-C.
Conclusion: When surgical factors mainly, surgeon bias is removed, all three types of monofocal IOL had similar visual outcomes.
doi: https://doi.org/10.12669/pjms.40.1.8157
How to cite this: Memon MS, Mahmood T, Qidwai U, Ahsan S, Arslan M, Fahim MF. A comparative analysis of postoperative visual outcomes following cataract surgery with different brands of Monofocal Intraocular Lenses. Pak J Med Sci. 2024;40(1):195-199. doi: https://doi.org/10.12669/pjms.40.1.8157
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A extensão universitária em uma perspectiva de discentes de cursos das áreas tecnológicas
Authors: Curi Filho Wagner Ragi , Silva Ana Beatriz Oliveira , Fernandes Laura Gomes , Ventura Marna Laís Bride , Saravia Edgard Gregory Torres 
Published: November 2023

Este artigo apresenta um diagnóstico sobre como discentes extensionistas de cursos das áreas tecnológicas compreendem a extensão universitária e suas diretrizes, a saber: dialogicidade; interprofissionalidade, indissociabilidade entre ensino, pesquisa e extensão; impacto na formação do estudante e impacto na transformação social. Para realização do trabalho foram analisadas 40 respostas de estudantes que participaram de ações de extensão no ano de 2020. Os estudantes responderam um questionário composto por perguntas objetivas e um campo para comentários. Todos os respondentes eram alunos de uma unidade acadêmica de cursos das áreas tecnológicas de uma universidade pública brasileira, situada no interior de Minas Gerais. As respostas foram agrupadas em nove blocos conforme organização do questionário, estruturado de forma pregressa à sua aplicação. Os resultados sugerem que a prática efetiva da dialogicidade ainda é um grande desafio para os estudantes, embora a comunicação seja de grande preocupação para os respondentes. Buscar desenvolvimento pessoal e técnico é uma das principais motivação para a participação de ações de extensão, apesar do foco no impacto na transformação social. Melhorar a comunicação deve ser um dos objetivos da gestão da extensão universitária, pois os meios institucionais não alcançam sequer a comunidade acadêmica, ainda que as redes sociais tenham ampliado esse alcance.
Single or pluralistic? The game and balance of China’s community governance policy tools
Authors: Xiang Hongxun , Bu Yangfan , Wang Xunhua 
Published: November 2023

Background
Policy tools embody policy concepts and are essential to achieving policy objectives. The effective allocation of policy tools directly impacts the effectiveness of community governance and determines the modernization process of grassroots governance. We aim to analyze the logic of community governance policy tool selection, and then provide assistance for the modernization of grassroots governance.

Methods
We selected 100 national and provincial government work reports and 63 policy documents related to community governance during China’s “12th Five-Year Plan” to “14th Five-Year Plan” period as analysis samples. And build an analysis framework based on the three dimensions of time, space, and tools. We used Nvivo.20 software for text encoding analysis.

Results
Based on the model framework, we analyze the results as follows. From the perspective of the time dimension, among the five types of policy tools, the proportion of command-type policy tools used showed a downward trend, from 88.16% in the 12th Five-Year Plan to 83.50% in the 14th Five-Year Plan. However, motivation-type and persuasion-type tools showed an upward trend, rising from 1.34% and 5.26% in the 12th Five-Year Plan period to 3.40% and 8.74% in the 14th Five-Year Plan respectively. The system-change-type policy tools decreased from 1.32% in the 12th Five-Year Plan to 0.97% in the 14th Five-Year Plan. The proportion of capacity-building-type policy tools has gradually increased from 2.63% in the 12th Five-Year Plan to 4.85% in the 14th Five-Year Plan. From the perspective of spatial dimension, apart from command and persuasion policy tools, the usage frequency of the other three types of policy tools in the three major regions all display a “growth-decline-growth” trend. From the perspective of tool dimension, command-type policy tools are dominant in China’s community governance, with a cumulative frequency of 1405 times and a high proportion of 81.75%. Apart from command policy tools, persuasive policy tools and capacity-building policy tools have a relatively high proportion, with usage frequencies of 186 and 78 respectively.

Conclusions
We found that current community governance policy tools mainly consist of command tools. However, there is a trend towards combining tools such as command, persuasion, incentive, capacity building, and system change in the future. There is a typical contradiction between instrumental rationality and value rationality, indicating an evolution from instrumental rationality to the integration of instrumental and value rationality. This study addresses the conflict of policy tools through rational guidance of values, the rational guarantee of tools, and cooperation to achieve the goal of high-quality development of community governance.
Incidence and risk factors for unplanned readmission after colorectal surgery: A meta-analysis
Authors: D’Souza Joel , Richards Simon , Eglinton Timothy , Frizelle Frank 
Published: November 2023

Background
Unplanned readmissions (URs) after colorectal surgery (CRS) are common, expensive, and result from failure to progress in postoperative recovery. These are considered preventable, although the true extent is yet to be defined. In addition, their successful prediction remains elusive due to significant heterogeneity in this field of research. This systematic review and meta-analysis of observational studies aimed to identify the clinically relevant predictors of UR after colorectal surgery.

Methods
A systematic review was conducted using indexed sources (The Cochrane Database of Systematic Reviews, MEDLINE, and Embase) to search for published studies in English between 1996 and 2022. The search strategy returned 625 studies for screening of which, 150 were duplicates, and 305 were excluded for irrelevance. An additional 150 studies were excluded based on methodology and definition criteria. Twenty studies met the inclusion criteria and for the meta-analysis. Independent meta-extraction was conducted by multiple reviewers (JD & SR) in accordance with PRISMA guidelines. The primary outcome was defined as UR within 30 days of index discharge after colorectal surgery. Data were pooled using a random-effects model. Risk of bias was assessed using the Quality in Prognosis Studies tool.

Results
The reported 30-day UR rate ranged from 6% to 22.8%. Increased comorbidity was the strongest preoperative risk factor for UR (OR 1.39, 95% CI 1.28–1.51). Stoma formation was the strongest operative risk factor (OR 1.54, 95% CI 1.38–1.72). The occurrence of postoperative complications was the strongest postoperative and overall risk factor for UR (OR 3.03, 95% CI 1.21–7.61).

Conclusions
Increased comorbidity, stoma formation, and postoperative complications are clinically relevant predictors of UR after CRS. These risk factors are readily identifiable before discharge and serve as clinically relevant targets for readmission risk-reducing strategies. Successful readmission prediction may facilitate the efficient allocation of healthcare resources.