bluuebunny/crossref_metadata_2025_split huggingface dataset:
The role of higher education in sustainable creative careers: Exploring UK theatre graduates and theatre careers
Authors: de Bernard Manfredi , Comunian Roberta , Jewell Sarah , Salvador Elisa , O’Brien Dave 
Published: July 2023

This paper reflects on the systematic interconnections between creative workers and higher education institutions (HEIs). Despite the latter representing key intermediaries in creative industries’ development and creative workers’ career trajectories, the relationship between the two has rarely been framed in a relational and systemic framework. To do so, we chose the UK theatre sector as the case study and adopted a mixed methodology: UK Higher Education Statistical Agency quantitative data, which informed us on the employment state of workers 6 months after graduation, were combined with 21 semi-structured interviews with actors and actresses to understand the complexity of their relationship with HEIs. HEIs emerge as the initial door to paid jobs and professional networks for graduates and as employers for those in the later stages of their careers: the lack of formal ways to access jobs and the precarious working conditions for performers make hence HEIs a crucial force in shaping workers’ careers. Furthermore, HE remains throughout the career of theatre workers an important part of their portfolio, providing reliable income and more stable working patterns when needed. The paper concludes with the findings’ policy implications and the future role of HEIs in creative and cultural ecosystems.
The efficacy of different anti-vascular endothelial growth factor agents, and dexamethasone implant therapy in patients with serous retinal detachment caused by Irvine-Gass syndrome
Authors: Karasu Buğra , Kesim Enes , Celebi Ali Rıza Cenk 
Published: July 2023

Purpose The aim of this study is to compare the efficacy of intravitreal aflibercept (IVA), bevacizumab (IVB), ranibizumab (IVR), and dexamethasone implant (IVDI) in the treatment of serous retinal detachment (SRD) caused by Irvine-Gass syndrome (IGS). Design Retrospective cohort, comparative study. Methods and Materials The medical records of 128 eyes with no previous history of intravitreal agents in 128 IGS patients with SRD that received IVA, IVB, IVR, and IVDI monotherapy were retrospectively reviewed. The patients were divided into 4 groups, according to treatment. Patients with recurrence and/or were unresponsive following a course of topical steroids and non-steroidal anti-inflammatory drugs (NSAIDs) were included in the study. Best corrected visual acuity (BCVA), central macular thickness (CMT), subfoveal choroidal thickness (SFCT), and SRD were compared between the 4 treatment groups at baseline, at follow-up months 1, 3, 6, and 12, and at the final follow-up visit. Results Serous retinal detachment completely resolved in 74%, 45.7%, 66.4%, and 40.8% of the eyes at month 1 (P = 0.042), 87%, 50.9%, 75.8%, and 80.9% at month 3 (p = 0.031), 88.9%, 50.4%, 75.7%, 80.2% at month 6 (p = 0.028), 81.7%, 72.8%, 68.7%, 80.1% at month 12 (p = 0.580), and 100%, 66.4%, 87.9%, 93.2% (p = 0.478) at final follow-up visit in the IVA, IVB, IVR, and IVDI groups, respectively. BCVA was significantly better in the IVA group at all follow-up time points (month 1: p < 0.001; month 3: p < 0.001; month 6: p = 0.002; month 12: p = 0.009, final follow-up visit: p < 0.001). CMT was significantly lower in the IVA group at months 3 (p = 0.008), 6 (p = 0.011), and 12 (p = 0.010), and at the final follow-up visit (p < 0.001). Recurrence was observed after a longer period of time and fewer injections were needed in the IVDI and IVA groups (p < 0.05). Resolution of CME was most rapid in the IVA group (p = 0.032). Conclusion All intravitreal agents were effective in terms of visual results in the SRD patients; however, eyes treated with IVA and IVDI required fewer injections, as compared to the eyes treated with IVB and IVR. Furthermore, SRD entirely resolved in all eyes in the IVA group at the final follow-up visit.
Relationship Between Serum Vitamin D Level and Disease Severity in Rheumatoid Arthritis
Authors: Soltani Bajestani Farhang , Khajavian Nasim , Salarbashi Davoud , Kafili Mojtaba , Ashori Fatemeh , Hajavi Jafar 
Published: July 2023

Background and Objective: Rheumatoid arthritis is an autoimmune disease that causes joint pain and reduces daily activities. The aim of this study was to evaluate the serum of vitamin D and its relationship with the severity of the disease in patients with rheumatoid arthritis referred to Allameh Hehlool hospital in Gonabad. Design and Methods: This cross-sectional-analytical study was performed on 92 patients referred to the rheumatology clinic of Allameh Behlool Gonabad Hospital in 2021. After obtaining the permission of the ethics committee, the samples were selected based on the desired criteria. Serum vitamin D levels in patients were measured, and data were collected using a patient information checklist and DAS28-CRP activity questionnaire. Data were analyzed using SPSS software version 16 and using statistically appropriate tests at a significance level less than 5%. Results: The mean age of the patients was 53.05 ± 12.33 years and most of them (58.7%) were women. Serum vitamin D level was sufficient in 65.2% of patients and the severity of the disease was in the remission in 48.9% of them. The results of chi-square test showed a significant relationship between serum vitamin D levels and disease severity in patients ( P < .001). Conclusions: Serum vitamin D levels were inversely related to disease severity and in most patients with severe disease severity, serum vitamin D levels were inadequate. vitamin D supplementation is recommended in patients with rheumatoid arthritis.
Anlotinib as Monotherapy or Combination Therapy for Recurrent High-Grade Glioma: A Retrospective Study
Authors: Yin Jun , Yin Wenya , Zheng Linlin , Li Yimin , Luo Cheng , Zhang Shuo , Duan Lei , Zhou Hang , Cheng Kai , Lang Jinyi , Xu Ke 
Published: July 2023

Background: Anlotinib is a multi-target anti-angiogenic agent. The retrospective study was conducted to evaluate the safety and effectiveness of anlotinib as monotherapy or combination therapy for the treatment of recurrent high-grade gliomas. Methods: In this retrospective study, patients with recurrent high-grade glioma (according to the 2021 World Health Organization classification as levels III-IV) at Sichuan Cancer Hospital from June 2019 to June 2022 were included. The patients were divided into an anlotinib-monotherapy group and an anlotinib-combination group, and received oral anlotinib 8 to 12 mg once a day, with 2 weeks on/1 week off. The primary endpoint was progression-free survival (PFS). The Secondary endpoints included overall survival (OS), 6-month PFS rate, objective response rate (ORR), and disease control rate (DCR). Also, adverse events were evaluated using the National Cancer Institute’s Common Terminology Criteria for Adverse Events (CTCAE version 5.0). Results: A total of 29 patients (including 20 glioblastomas, 1 diffuse midline glioma, 5 anaplastic astrocytoma, and 3 anaplastic oligodendroglioma) were included in this study. Of these, 34.48% of the patients were treated with anlotinib alone and 65.52% with anlotinib combination therapy. The median follow-up time was 11.6 months (95% confidence interval [CI]: 9.4-15.7). The median PFS was 9.4 months (95% CI: 6.5-12.3), and the 6-month PFS rate was 62.1%. The median OS was 12.7 months (95% CI: 9.7-15.7), and the 12-month OS rate was 48.3%. Evaluation of treatment response was performed according to RANO (response assessment in neuro-oncology, RANO) criteria, including 21 partial response, 6 stable disease, and 2 PFS events. The ORR and DCR were 72.4%, and 93.1%, respectively. Grade III AEs occurred in 2 patients, and the others were less than grade III. The most common AE was thrombocytopenia, with an incidence rate of 31.0%. All AEs were alleviated and controlled by symptomatic treatment. No treatment-related deaths occurred. Conclusion: Anlotinib had a low incidence of AEs and good safety in the treatment of recurrent high-grade glioma. Moreover, it showed good short-term effectiveness and significantly prolonged the PFS of patients, which may become a promising therapeutic option for recurrent high-grade glioma and lay a foundation for further clinical studies.
Handle transmitted vibration of electrical demolition hammers: Frequency and magnitude investigation in field measurements from different bits
Authors: Monazzam Mohammad Reza , Khavanin Ali , Sarrafzadeh Omid , Parsaeian Mahbobeh , Azrah Keykāvus 
Published: July 2023

Using a demolition hammer among the power tools is one of the most challenging job tasks for the operators of these tools, which exposes users to high levels of hand-transmitted vibrations. The focus of this study was for finding the vibration levels transmitted to the handles, the frequency content transmitted by the tool, and the effect of using insert bits with different tip shapes and lengths using conventional demolition hammers under controlled operating conditions on typical concrete slabs in the field. Three demolition hammers (weighing between 14 and 27 kg) with two handles installed were subjected to simultaneous measurements based on ISO 5349 as the field measurement technique. The findings demonstrated that even while the vertical axis dominated, several samples also produced equivalent x-axis results. The impact energy of the tools employed and the transmitted vibration to the tool handles are not significantly correlated with each other. All mean values were higher in the slabs with a thickness of 15 than those with 10 cm. The mean values of the total results for the two forms of flat and point tip inserted bits were 16.85 and 15.86 m/s2, respectively, and in the samples with the same operating factors, this difference was more than 3 m/s2 ( p < .03). The a wrms ( frequency-weighted root mean square acceleration) produced at tools using 60 cm bits were more than those with a length of 40 cm, both for the average of the total results and the average of the results of each hammer. The difference between the average bit length groups over samples with the same factors reached 4.65 m/s2 ( p = .02). Frequency analysis for the flat and point insert bits with 60 cm length in the concrete slabs with a thickness of 15 cm showed that the dominant frequencies detected at lower frequencies for point bits. This difference is almost two frequency parts of 1/3 octave band.
Sino-orbital aspergillosis with obstructive cervical lymphadenopathy in a cat caused by Aspergillus viridinutans complex
Authors: Wang Zhe , Daniels Joshua B , Lappin Michael , Aboellail Tawfik , Shropshire Sarah 
Published: July 2023

Case summary This report describes an indoor-only cat with a rare form of sino-orbital aspergillosis (SOA) with cervical lymphadenopathy causing local obstruction. Extensive work-up on initial presentation failed to identify the underlying etiology and the diagnosis was not determined until the disease progressed during a prolonged course of glucocorticoid therapy. Relevance and novel information SOA caused by Aspergillus viridinutans complex is increasingly recognized as a significant cause of mortality in cats in recent years, with most cases reported in Australia, Europe and Asia. Feline SOA carries a poor prognosis owing to its invasive nature and resistance to antifungal therapy. This case demonstrates the importance of clinical awareness of SOA as a differential for cats with chronic nasal signs and exophthalmos in the USA. Moreover, it demonstrates a rare form of presentation and potential difficulty in achieving a correct diagnosis.
‘My words become my hands’: Yoga instructors’ experiences of adapting teleyoga in the SAGE fall prevention trial—A qualitative analysis
Authors: Gilchrist Heidi , Haynes Abby , Oliveira Juliana S , Sherrington Catherine , Clementson Lana , Glenn Janetta , Jones June , Sesto Romina , Tiedemann Anne 
Published: July 2023

Objective This research identifies practical lessons regarding the delivery of teleyoga. Our objectives are to (1) describe challenges and opportunities experienced by yoga instructors when moving the Successful AGEing (SAGE) yoga programme online, and (2) describe how yoga instructors adapted to manage the challenges and leverage opportunities presented by teleyoga. Methods This study is a secondary analysis of the data from a previous realist process evaluation of the SAGE yoga trial. The SAGE yoga trial is testing the effect of a yoga-based exercise programme on falls among 700 community-dwelling people aged 60+ years. We draw on focus groups and interviews with four SAGE yoga instructors which we analysed using previously developed programme theories combined with inductive coding and an analytical workshop. Results The concerns of the yoga instructors about teleyoga can be characterised into four broad issues: threats to safety, altered interpersonal dynamics, facilitating mind–body connection and difficulties with technology. The SAGE instructors identified eight modifications they used to manage these challenges: a 1:1 participant interview prior to programme commencement, more descriptive verbal instructions, increased focus on interoception, increased attention and support, slower more structured class flow, simplifying poses, adapting the studio environment and IT support. Conclusions We have created a typology of strategies for addressing challenges in the delivery of teleyoga for older people. As well as maximising engagement with teleyoga, these manageable strategies could be applied by other instructors to a wide range of telehealth classes, improving the uptake and adherence of beneficial online programmes and services.
The relationship between media use and sports participation behavior: A meta-analysis
Authors: Tian Yu , Yang Pengfei , Zhang Desheng 
Published: July 2023

Objective The use of media profoundly affects people's sports participation behavior. Past research has presented mixed results on the relationship between media use and sports participation behaviors. Therefore, the relationship between media use and sports participation behavior should be revisited. Methods A meta-analysis of 17 independent studies from 12 literature was conducted to determine whether (a) media use positively influences sports participation behaviors, and (b) form of media, media measurement methods, study subjects, and culture moderated these relationships. Pearson's correlation was used to conduct a random-effects meta-analysis and examine the moderating effects. Results The results showed a positive correlation between media use and sports participation behaviors ( r  =  0.193, 95% CI  =  [0.047,0.329]). Traditional media showed stronger correlations and moderating effects than new media; however, the time variable (in media measurement methods) and primary and secondary school students (in study subjects) showed negative correlations between media use and sports participation behavior. The positive and moderating effects on this relationship were higher in Eastern cultures than in Western cultures. These results suggest that media use and sports participation behavior were positively correlated, moderated by the form of media, media measurement methods, study subjects, and culture within studies. Conclusions From the effect test results, a significant positive relationship was found between media use and sports participation behavior (both physical participation behavior and consumption behavior). The two were influenced by several moderating variables including the form of media, media measurement methods, study subjects, and culture, and the influence of media measurement methods was the greatest.
Validating the Educational Leaders’ Knowledge of School Counseling Inventory
Authors: Sabella Russell A. , Bixler Krista M. , Ungarean Maureen , Koklu Onder , Tilman Ann L. 
Published: July 2023

Some evidence shows that educational leaders have become more aware and knowledgeable of school counseling programs since the ASCA National Model was released more than 20 years ago. However, such research is based on self-reported perceptions and experiences. This study aimed to develop an inventory to objectively assess the level of knowledge about comprehensive school counseling programs among educational leaders. After developing the Educational Leaders’ Knowledge of School Counseling Inventory (ELKSCI), we collected validity and reliability data among school counseling experts and leaders.
Outcomes After Superior Capsular Reconstruction With an Achilles Tendon–Bone Allograft Using the Modified Keyhole Technique: A 2-Year Follow-up of a Novel Technique for Irreparable Rotator Cuff Tears
Authors: Joo Min-Su , Lee Sung-Hyun , Kim Do-Kyun , Cho Yang-Hun , Kim Jeong-Woo 
Published: July 2023

Background: Despite improved outcomes, failure or nonhealing of graft materials has been reported after superior capsular reconstruction (SCR) for massive irreparable rotator cuff tears. Purpose: To evaluate the short-term clinical and radiological outcomes of a novel technique for SCR using an Achilles tendon–bone allograft. Study Design: Case series; Level of evidence, 4. Methods: We performed a retrospective review of patients who underwent SCR using an Achilles tendon–bone allograft with the modified keyhole technique and who had a minimum follow-up of 2 years. The visual analog scale score for pain, American Shoulder and Elbow Surgeons score, and Constant score were evaluated as subjective outcomes, while range of motion of the shoulder joint and isokinetic strength were evaluated as objective outcomes. The acromiohumeral interval (AHI), bone-to-bone healing of the allograft and humeral head on computed tomography, and graft integrity on magnetic resonance imaging were evaluated as radiological outcomes. Results: This study included 32 patients with a mean age of 56.8 ± 4.2 years and a mean follow-up of 28.4 ± 6.2 months. A significant improvement from preoperatively to the last follow-up was seen in the mean visual analog scale score for pain (from 6.7 to 1.8), American Shoulder and Elbow Surgeons score (from 42.7 to 83.8), Constant score (from 47.2 to 78.5), and AHI (from 4.8 to 8.2 mm) ( P < .001 for all) as well as range of motion in forward elevation and internal rotation ( P < .001 for both). Medial-to-lateral graft integrity was good in all patients. Nonunion at the fitting zone of the keyhole on the greater tuberosity was diagnosed in 1 case (3.1%), and failure of incorporation between the allograft and remnant tendon at the site of posterior margin convergence was observed in 4 cases (12.5%). Conclusion: The outcomes after SCR using an Achilles tendon–bone allograft and the keyhole technique improved, with an increased AHI and excellent integrity in the medial and lateral directions compared with preoperatively. This technique is a reasonable option for the surgical treatment of irreparable rotator cuff tears.
Prediction of Foot Ulcers Using Artificial Intelligence for Diabetic Patients at Cairo University Hospital, Egypt
Authors: Mousa Khadraa Mohamed , Mousa Farid Ali , Mohamed Helalia Shalabi , Elsawy Manal Mohamed 
Published: July 2023

Introduction In Egypt, diabetic foot ulcers markedly contribute to the morbidity and mortality of diabetic patients. Accurately predicting the risk of diabetic foot ulcers could dramatically reduce the enormous burden of amputation. Objective The aim of this study is to design an artificial intelligence-based artificial neural network and decision tree algorithms for the prediction of diabetic foot ulcers. Methods A case–control study design was utilized to fulfill the aim of this study. The study was conducted at the National Institute of Diabetes and Endocrine Glands, Cairo University Hospital, Egypt. A purposive sample of 200 patients was included. The tool developed and used by the researchers was a structured interview questionnaire including three parts: Part I: demographic characteristics; Part II: medical data; and Part III: in vivo measurements. Artificial intelligence methods were used to achieve the aim of this study. Results The researchers used 19 significant attributes based on medical history and foot images that affect diabetic foot ulcers and then proposed two classifiers to predict the foot ulcer: a feedforward neural network and a decision tree. Finally, the researchers compared the results between the two classifiers, and the experimental results showed that the proposed artificial neural network outperformed a decision tree, achieving an accuracy of 97% in the automated prediction of diabetic foot ulcers. Conclusion Artificial intelligence methods can be used to predict diabetic foot ulcers with high accuracy. The proposed technique utilizes two methods to predict the foot ulcer; after evaluating the two methods, the artificial neural network showed a higher improvement in performance than the decision tree algorithm. It is recommended that diabetic outpatient clinics develop health education and follow-up programs to prevent complications from diabetes.
Knowledge and Associated Factors of Nursing Professionals Toward Colostomy Care at Borumeda and Dessie Comprehensive Specialized Hospital, South Wollo Zone, Northeast, Ethiopia, 2022
Authors: Belay Mulusew Zeleke , Negash Abrham , Yirdaw Lehulu Tilahun , Tefera Birhanu Desu , Wondyifraw Endalk Birrie 
Published: July 2023

Introduction A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. Approximately 100,000 people in incidence in the United States undergo operations that result in a colostomy or ileostomy each year. Objective To assess knowledge and associated factors toward colostomy care among staff Nurses working at Dessie Town governmental hospitals, Ethiopia 2022. Methods Institutional-based cross-sectional study design was conducted at governmental hospitals in Dessie Town from August 1, 2022 to August 25, 2022. A simple random sampling technique was deployed using a self-administered questionnaire. Descriptive statistics analyses such as frequencies, percentage, and mean were used to summarize the results. Both bivariable and multivariable logistic regressions were employed to identify factors associated with participants’ knowledge of colostomy care. A p-value of <.05 and 95% confidence interval (CI) was used to declare statistical significance. Results A total of 265 nurses participated making a response rate of 98.1%. About 57.6% (157) of the participants had good knowledge of providing colostomy care. Having a clinical experience of 4–6 years (adjusted odds ratio [AOR] = 2.4 95% CI: 1.186, 5.513), 6–8 years (AOR = 2.5, 95% CI: 1.981, 6.177), and >8 years (AOR = 3.3, 95% CI: 1.481, 7.394), providing colostomy care for 6–10 patients (AOR = 2.6, 95% CI: 1.186, 5.512) and 10 or more patients (AOR = 3.3, 95% CI: 1.480, 7.394), and routine reading of professional (AOR = 1.83, 95% CI: 1.062, 3.153) were significantly associated with good knowledge of colostomy care. Conclusion and recommendation Knowledge of colostomy care was not satisfactory among nurse professionals working in governmental hospitals in Dessie town. Participation in the training of colostomy care, having more than eight years of experience, providing colostomy care for more than seven patients, attending scientific colostomy meetings, and reading professional literature were significant factors associated with good knowledge of providing colostomy care. Thus, capacity-building in-service training is required to enhance the knowledge of colostomy care.