bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of a supervisor training on quality of feedback to internal medicine residents: a controlled longitudinal multicentre study
Authors: Renting Nienke , Jaarsma Debbie , Borleffs Jan CC , Slaets Joris P J , Cohen-Schotanus Janke , Gans Rob O B 
Published: September 2023

ObjectivesHigh-quality feedback on different dimensions of competence is important for resident learning. Supervisors may need additional training and information to fulfil this demanding task. This study aimed to evaluate whether a short and simple training improves the quality of feedback residents receive from their clinical supervisors in daily practice.DesignLongitudinal quasi-experimental controlled study with a pretest/post-test design. We collected multiple premeasurements and postmeasurements for each supervisor over 2 years. A repeated measurements ANOVA was performed on the data.SettingInternal medicine departments of seven Dutch teaching hospitals.ParticipantsInternal medicine supervisors (n=181) and residents (n=192).InterventionHalf of the supervisors attended a short 2.5-hour training session during which they could practise giving feedback in a simulated setting using video fragments. Highly experienced internal medicine educators guided the group discussions about the feedback. The other half of the supervisors formed the control group and received no feedback training.Outcome measuresResidents rated the quality of supervisors’ oral feedback with a previously validated questionnaire. Furthermore, the completeness of the supervisors’ written feedback on evaluation forms was analysed.ResultsThe data showed a significant increase in the quality of feedback after the training F (1, 87)=6.76, p=0.04. This effect remained significant up to 6 months after the training session.ConclusionsA short training session in which supervisors practise giving feedback in a simulated setting increases the quality of their feedback. This is a promising outcome since it is a feasible approach to faculty development.
Illuminating the daily life experiences of adolescents with and without ADHD: protocol for an ecological momentary assessment study
Authors: Murray Aja , Speyer Lydia , Thye Melissa , Stewart Tracy , Obsuth Ingrid , Kane Jennifer , Whyte Katie , Devaney John , Rohde Luis Augusto , Ushakova Anastasia , Rhodes Sinead 
Published: September 2023

IntroductionAdolescents with attention-deficit/hyperactivity disorder (ADHD) are at elevated risk of a range of difficulties, among which emotion regulation, peer and co-occurring mental health problems are prominent challenges. To better support adolescents with ADHD, ecologically valid interventions that can be embedded in daily life to target the most proximal antecedents of these challenges are needed. Ecological momentary assessment (EMA) designs are ideally suited to meeting this need.Methods and analysesIn the mental health in the moment ADHD study, we will use an EMA design to capture the daily life experiences of approximately 120 adolescents aged 11–14 years with a clinical diagnosis of ADHD and the same number of age-matched and gender-matched peers without a diagnosis of ADHD. We will combine this with comprehensive information gathered from online surveys. Analysing the data using techniques such as dynamic structural equation modelling, we will examine, among other research questions, the role of emotion regulation and peer problems in mediating the links between characteristics of ADHD and commonly co-occurring outcomes such as anxiety, depression and conduct problems. The results can help inform interventions to support improved peer functioning and emotion regulation for adolescents with ADHD.Ethics and disseminationThis study received a favourable ethical opinion through the National Health Service ethical review board and the University of Edinburgh PPLS Research Ethics panel. The results will be disseminated through journal publications, conferences and seminar presentations and to relevant stakeholders, such as those with ADHD, their families and clinicians.
Health centres and social determinants of health: an analysis of enabling services provision and clinical quality
Authors: Topmiller Michael , McCann Jessica , Hoang Hank , Rankin Jennifer , Grandmont Jene , Pelzer Molly , Sripipatana Alek 
Published: September 2023

ObjectiveIt is well known that social determinants of health (SDOH), including poverty, education, transportation and housing, are important predictors of health outcomes. Health Resources and Services Administration (HRSA)-funded health centres serve a patient population with high vulnerability to barriers posed by SDOH and are required to provide services that enable health centre service utilisation and assist patients in navigating barriers to care. This study explores whether health centres with higher percentages of patients using these enabling services experience better clinical performance and outcomes.Design and settingThe analysis uses organisational characteristics, patient demographics and clinical quality measures from HRSA’s 2018 Uniform Data System. Health centres (n=875) were sorted into quartiles with quartile 1 (Q1) representing the lowest utilisation of enabling services and quartile 4 (Q4) representing the highest. The researchers calculated a service area social deprivation score weighted by the number of patients for each health centre and used ordinary least squares to create adjusted values for each of the clinical quality process and outcome measures. Analysis of variance was used to test differences across enabling services quartiles.ResultsAfter adjusting for patient characteristics, health centre size and social deprivation, authors found statistically significant differences for all clinical quality process measures across enabling services quartiles, with Q4 health centres performing significantly better than Q1 health centres for several clinical process measures. However, these Q4 health centres performed poorer in outcome measures, including blood pressure and haemoglobin A1c control.ConclusionThese findings emphasise the importance of how enabling services (eg, translation services, transportation) can address unmet social needs, improve utilisation of health services and reaffirm the challenges inherent in overcoming SDOH to improve health outcomes.
Pharmaceutical Assessment of the Impact of the Method of Extraction on the Suitability of Pectin from Plantain (Musa paradisiaca) Peels as a Suspending Agent in Oral Liquid Formulations
Authors: Owusu Frederick William Akuffo , Acquah Prince George Jnr , Boakye-Gyasi Mariam E. L. , Johnson Raphael , Yeboah Genevieve Naana , Archer Mary-Ann , Antwi Mercy Birago , Asare Sandra Obenewaa 
Published: September 2023

Natural polymers such as pectin have gained increased utilization in pharmaceutical and biotechnology sectors because they are affordable, easily accessible, nontoxic, and chemically modifiable, with the potential to be biodegradable and biocompatible. Musa paradisiaca (plantain) peels make up 30–40% of the overall weight of the fruit. The extraction of pectin from these residues can therefore be viewed as a possible waste of wealth. This study, therefore, focused on evaluating the suspending properties of pectin obtained from Musa paradisiaca (plantain) peels (through acid and alkaline extraction) and presented an alternative suspending agent in the pharmaceutical formulation of suspensions. The unripe peels of Musa paradisiaca were acquired and authenticated at the Department of Pharmacognosy, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana. Pectin was extracted from the peels using both acid and alkaline extraction processes, respectively, characterized, and evaluated for its phytochemical properties. Different concentrations of the acid and alkaline pectin extracts were employed as a suspending agent in paracetamol suspensions, using acacia gum as a standard. The pectin yields obtained were 4.88% and 7.61% for the acid and alkaline extraction processes, respectively, while phytochemical screening revealed the presence of glycosides, tannins, saponins, and phenols in both extracts. The alkaline pectin extract recorded higher equivalent weight, degree of esterification, ash content, and crude content than the acid pectin extract, while FTIR identified similar functional groups in both acid and alkaline pectin extracts. The test suspensions reported significant differences (

P

< 0.05) in flow rates, ease of redispersion, sedimentation volumes, and rates compared with acacia gum. Moreover, when the acid and alkaline pectin extracts were compared, significant differences (

P

< 0.05) were observed in sedimentation rates and sedimentation volumes, suggesting that the extraction method may affect suspending properties. Ultimately, the alkaline pectin extract had better suspending properties than the acid pectin extract; however, they both can be used as an alternative to acacia gum as a suspending agent.
Coronary Atherosclerosis Across the Glycemic Spectrum Among Asymptomatic Adults: The Miami Heart Study at Baptist Health South Florida
Authors: Patel Kershaw V. , Budoff Matthew J. , Valero-Elizondo Javier , Lahan Shubham , Ali Shozab S. , Taha Mohamad B. , Blaha Michael J. , Blankstein Ron , Shapiro Michael D. , Pandey Ambarish , Arias Lara , Feldman Theodore , Cury Ricardo C. , Cainzos-Achirica Miguel , Shah Svati H. , Ziffer Jack A. , Fialkow Jonathan , Nasir Khurram 
Published: September 2023

BACKGROUND:
The contemporary burden and characteristics of coronary atherosclerosis, assessed using coronary computed tomography angiography (CCTA), is unknown among asymptomatic adults with diabetes and prediabetes in the United States. The pooled cohort equations and coronary artery calcium (CAC) score stratify atherosclerotic cardiovascular disease risk, but their association with CCTA findings across glycemic categories is not well established.

METHODS:
Asymptomatic adults without atherosclerotic cardiovascular disease enrolled in the Miami Heart Study were included. Participants underwent CAC and CCTA testing and were classified into glycemic categories. Prevalence of coronary atherosclerosis (any plaque, noncalcified plaque, plaque with ≥1 high-risk feature, maximal stenosis ≥50%) assessed by CCTA was described across glycemic categories and further stratified by pooled cohort equations–estimated atherosclerotic cardiovascular disease risk and CAC score. Adjusted logistic regression was used to evaluate the associations between glycemic categories and coronary outcomes.

RESULTS:
Among 2352 participants (49.5% women), the prevalence of euglycemia, prediabetes, and diabetes was 63%, 30%, and 7%, respectively. Coronary plaque was more commonly present across worsening glycemic categories (euglycemia, 43%; prediabetes, 58%; diabetes, 69%), and similar pattern was observed for other coronary outcomes. In adjusted analyses, compared with euglycemia, prediabetes and diabetes were each associated with higher odds of any coronary plaque (OR, 1.30 [95% CI, 1.05–1.60] and 1.75 [1.17–2.61], respectively), noncalcified plaque (OR, 1.47 [1.19–1.81] and 1.99 [1.38–2.87], respectively), and plaque with ≥1 high-risk feature (OR, 1.65 [1.14–2.39] and 2.53 [1.48–4.33], respectively). Diabetes was associated with stenosis ≥50% (OR, 3.01 [1.79–5.08]; reference=euglycemia). Among participants with diabetes and estimated atherosclerotic cardiovascular disease risk <5%, 46% had coronary plaque and 10% had stenosis ≥50%. Among participants with diabetes and CAC=0, 30% had coronary plaque and 3% had stenosis ≥50%.

CONCLUSIONS:
Among asymptomatic adults, worse glycemic status is associated with higher prevalence and extent of coronary atherosclerosis, high-risk plaque, and stenosis. In diabetes, CAC was more closely associated with CCTA findings and informative in a larger population than the pooled cohort equations.
Impact of the dominant competitor on the aggressiveness of host ants toward slave-makers
Authors: Włodarczyk Tomasz 
Published: September 2023

Abstract
Slave-making ants might exert strong pressure on their host populations by pillaging their nests and sometimes destroying the whole colonies. Consequently, host ants have evolved many adaptations reducing the probability of being attacked, resisting an assault or, as a last line of defence, minimising the losses associated with a successful slave-maker invasion. This paper presents the results of a study on a common Palearctic ant species, Formica fusca, which falls victim to slave raids organised by the congeneric F. sanguinea. Slave-making ants were placed close to the nest entrance of the host ants, and the subsequent instances of aggression were recorded. The study was carried out in the context of the influence of the dominant competitor by selecting host colonies located within and outside the territory of the wood ants (F. rufa and F. polyctena). This approach enabled the potential co-evolutionary interplay among three species performing different roles in mutual ecological interactions. The F. fusca ants reacted with aggression to the slave-making ants but not to the dominant competitors. Moreover, the avoidance of the aggression of host ants toward wood ants entails an environment-induced component, besides the presumably inherited one. The impact of the dominant competitor as a territory holder manifests itself in the reduced promptness of F. fusca ants to defend their colonies against slave-makers. The results suggest that this effect is mediated by the negative impact of wood ants on F. fusca colony size.
Hobbes on the Cause of Action: How to Rethink Practical Reasoning
Authors: Pécharman Martine 
Published: September 2023

Abstract
In the free-will discussion between Hobbes and Bramhall, Hobbes’s principle that actions are necessary is not immediately action-theoretic. The fundamental theoretical context of Hobbes’s explanation of action lies in an understanding of causation more generally. However, Hobbes’s action theory is not simply modeled after the account of cause and effect in his First Philosophy. It introduces a temporal qualification which ranks necessitarianism higher than First Philosophy does: not only a voluntary action, but also the determinate moment when the mental act of volition is formed, is necessitated. My paper argues that this strengthening of causal necessity is due to the Hobbesian scheme of deliberation, which must be analyzed in terms of one distinctive kind of ‘mental discourse’ and practical reasoning, not merely in terms of a series of passions. For Hobbes, the impossibility of a direct representation of the future requires the mediation of a mental construction.
Reisen als Grenzüberwindung?
Authors: Ubl Linus 
Published: September 2023

Abstract
On several layers, Fortunatus can be described as a liminal text. This does not only apply to the level of materiality or the readership of the novel but in particular to content and structure. Using an anthropological perspective and assessing the numerous transitions which the main protagonists, Fortunatus and his son Andolosia, undergo, this article demonstrates that these transitions ultimately result in the different outcomes for the two generations. In addition, the woodcuts of the text’s first edition undermine this reading through their arrangement. In conclusion, the structural order in combination with its figurative elaboration shape the character of the text as a negotiation of rites of passage.
Subjective Audibility Modulates the Susceptibility to Sound-Induced Flash Illusion: Effect of Loudness and Auditory Masking
Authors: Ito Yuki , Matsumoto Hanaka , Kobayasi Kohta I. 
Published: September 2023

Abstract
When a brief flash is presented along with two brief sounds, the single flash is often perceived as two flashes. This phenomenon is called a sound-induced flash illusion, in which the auditory sense, with its relatively higher reliability in providing temporal information, modifies the visual perception. Decline of audibility due to hearing impairment is known to make subjects less susceptible to the flash illusion. However, the effect of decline of audibility on susceptibility to the illusion has not been directly investigated in subjects with normal hearing. The present study investigates the relationship between audibility and susceptibility to the illusion by varying the sound pressure level of the stimulus. In the task for reporting the number of auditory stimuli, lowering the sound pressure level caused the rate of perceiving two sounds to decrease on account of forward masking. The occurrence of the illusory flash was reduced as the intensity of the second auditory stimulus decreased, and was significantly correlated with the rate of perceiving the two auditory stimuli. These results suggest that the susceptibility to sound-induced flash illusion depends on the subjective audibility of each sound.
The theory of the public sphere as a cognitive theory of modern society
Authors: Trenz Hans-Jörg 
Published: September 2023

The Structural Transformation of the Public Sphere is a key contribution to political philosophy, media history, democratic theory and political economy – published almost 60 years ago – that left a deep imprint on the process of democratic consolidation of the Federal Republic of Germany. At the same time, the Habermasian model of the public sphere was used to test out the possibilities of democratisation beyond the nation-state. The theory of the public sphere was, however, mainly discussed as a contribution to normative political theory and, as such, the applicability of its normative standards remained contested. In this article, I focus instead on a second sociological reading of Habermas’ theory of the public sphere as an exploration of the cognitive foundations of modern society. The relevance of this approach can be shown in an exemplary way by discussing the functioning of publicity, which, by creating social visibility and facilitating public opinion formation, on the one hand, provides the knowledge base of a shared social world and, on the other hand, becomes the main driver of social change through critical self-reflection. The article goes on to take a look at recent public sphere transformations in the context of digitalisation and globalisation, and argues that public sphere principles are both undermined and gain new relevance when facing the challenges of new and digital media.
Surfboard riders are at risk of low energy availability – A pilot study
Authors: Baker Mackenzie , Magee Pamela , Williamson Josh 
Published: September 2023

Background Surfing is a rapidly growing sport and recreational activity. The previously reported, intermittent high-intensity energetics of surfing place athletes and recreational participants at risk of low energy availability (LEA). Aim As such, this pioneering study aims to be the first to investigate LEA risk and the second to investigate dietary intake in surfers. Methods Twenty-one intermediate and advanced surfers (female – 5, male – 16) were recruited to complete an online self-administered questionnaire and 4 consecutive 24-hour food logs to establish LEA risk and asses dietary intake. The Low Energy Availability in Female Questionnaire and Eating Disorder Examination Questionnaire were used to identify at-risk individuals in females and males, respectively, with respective cut-off's of ≥8 and ≥2.3. Results Fifty-seven percent were classed as at-risk of LEA (50% and 80% in males and females, respectively). No significant relationship of competitive status, surfing ability and body mass index on risk classification was found. However, a non-significant medium effect of age was observed (p = 0.338, R = 0.549). And 77% of the 70 total analysed food records showed inadequate carbohydrate (CHO) consumption. Conclusion In summary, an alarmingly high portion of surfers are at risk of LEA and dietary inadequacy. Future studies should confirm whether surfing organisations need to intervene, by addressing limitations of the present study including a small sample, which was heavily biased away from female and high-level competitors.
Outcomes of Total Ankle Arthroplasty in Postfracture Ankle Arthritis
Authors: Kim Jaeyoung , Radkievich Ruben , Mizher Rami , Shaffrey Isabel , O’Malley Martin , Deland Jonathan , Demetracopoulos Constantine , Ellis Scott 
Published: September 2023

Background: Ankle arthritis that develops after fracture accounts for a significant portion of ankle arthritis necessitating total ankle arthroplasty (TAA). It remains unknown whether TAA in postfracture patients produces equivalent outcomes to those without fracture history. The purpose of this study was to evaluate the medium-term outcomes of TAA in postfracture ankle arthritis compared to those without fracture history. Methods: This study reviewed 178 ankles from 171 consecutive patients who underwent TAA in our institution between 2007 and 2017 and completed a minimum 5-year follow-up. Four different TAA systems were utilized by 6 surgeons. Based on fracture history, patients were divided into 2 groups: the postfracture group (n = 63; median age 65.7 years; median follow-up 5.9 years) and the nonfracture group (n = 115; median age 64.4 years; median follow-up 6.2 years). Types and rates of complications including revision and reoperation were compared. Minimum 5-year Foot and Ankle Outcome Score (FAOS) and postoperative improvement were investigated. A subgroup analysis was performed to determine whether outcomes differ between intraarticular fracture patients (n = 43) and extraarticular fracture patients (n = 20). Results: Both groups exhibited comparable postoperative improvement and final FAOS scores. The postfracture group had a significantly higher reoperation rate than the nonfracture group (20 of 63, 31.7%, vs 17 of 115, 14.8%; P = .011), with gutter impingement being the most common cause. There were 3 revisions in each group. In the subgroup analysis, we found no evidence of statistical difference between the intraarticular fracture group and the extraarticular fracture group in terms of FAOS scores, revision, and reoperation rates. Conclusion: In this single-center, retrospective comparative study, we found total ankle arthroplasty in patients with a history of fractures around the ankle joint had no evidence of statistical difference in patient-reported outcomes and implant survivorship but led to a higher rate of nonrevision reoperation following surgery. In the much smaller subset of patients with previous fracture, we did not find that those with a history of intraarticular fracture had inferior outcomes after TAA when compared to those with a history of extraarticular fracture. Level of Evidence: Level III, case-control study.