bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medial meniscus posterior root tear reconstructed with gracilis autograft improve healing rate and patient reported outcome measures
Authors: Li Hongbo , Nie Si , Lan Min 
Published: December 2022

Abstract
Background
Many surgeries have not reversed or prevented progressive symptomatic knee arthritis, and there is no consensus regarding the ideal repair or reconstruction technique for meniscal root treatment. Additionally, there is a lack of studies comparing the clinical efficacy evaluation of different repair techniques. The aim of the present study is to compare the clinical efficacy and healing rates of meniscus root in the treatment of medial meniscus posterior root tear (MMPRT) with the arthroscopically assisted meniscus root reconstruction with gracilis autograft and transtibial pull-out technique.

Methods
Patients with MMPRT (type II) who received treatment of posterior meniscus root attachment point through the tibial tunnel between January 2018 and April 2019 were included in this study. Patients were divided into 2 groups (arthroscopically assisted gracilis autograft reconstruction technique: 29 cases; transtibial pull-out technique group: 35 cases) according to the different treatment methods. The mean follow-up period was 26.9 ± 2.3 months. The demographics, functional recovery of the knee, and meniscus root healing rates (assessed using knee magnetic resonance imaging (MRI) at the final follow-up) were compared between the two groups.

Results
There was a statistically significant improvement in the Lysholm score, international knee documentation committee (IKDC) score, and visual analogue scale (VAS) score (P < 0.001 in both groups). Additionally, compared with the transtibial pull-out repair group, the arthroscopically assisted reconstruction with gracilis autograft showed significant improvement in the meniscus root healing rates, Lysholm score, and IKDC score at the end of follow-up (P < 0.05).

Conclusions
Compared with the transtibial pull-out technique, the arthroscopically assisted meniscus root reconstruction with gracilis autograft was advantageous for treating these patients with superior clinical outcome and higher meniscus root healing rates.

Level of evidence
Level III.
Hyperglycemia screening based on survey data: an international instrument based on WHO STEPs dataset
Authors: Moradifar Pooyan , Amini Hossein , Amiri Mohammad Meskarpour 
Published: December 2022

Abstract
Background
Hyperglycemia is rising globally and its associated complications impose heavy health and economic burden on the countries. Developing effective survey-based screening tools for hyperglycemia using reliable surveillance data, such as the WHO STEPs surveys, would be of great importance in early detection and/or prevention of hyperglycemia, especially in low or middle-income regions.

Methods
In this study, data from the nationwide 2016 STEPs study in Iran were used to identify socioeconomic, lifestyle, and metabolic factors associated with hyperglycemia. Furthermore, the ability of five commonly used machine learning algorithms (random forest; gradient boosting; support vector machine; logistic regression; artificial neural network) in the prediction of hyperglycemia on STEPs dataset were compared via tenfold cross validation in terms of specificity, sensitivity, and the area under the receiver operating characteristic curve.

Results
A total of 17,705 individuals were included in this study, of those 29.624% (n = 5245) had (undiagnosed) hyperglycemia. Multivariate logistic regression analysis showed that older age (for the elderly group: OR = 5.096; for the middle-aged group: OR = 2.784), high BMI status (morbidly obese: OR = 3.465; obese: OR = 1.992), having hypertension (OR = 1.647), consuming fish more than twice per week (OR = 1.496), and abdominal obesity (OR = 1.464) were the five most important risk factors for hyperglycemia. Furthermore, all the five hyperglycemia prediction models achieved AUC around 0.70, and logistic regression (specificity = 70.22%; sensitivity = 70.2%) and random forest (specificity = 70.75%; sensitivity = 69.78%) had the optimal performance.

Conclusions
This study shows that it is possible to develop survey-based screening tools for early detection of hyperglycemia using data from nationwide surveys, such as WHO STEPs surveys, and machine learning techniques, such as random forest and logistic regression, without using blood tests. Such screening tools can potentially improve hyperglycemia control, especially in low or middle-income countries.
Association between oral health and oral health-related quality of life in patients before hip and knee endoprosthesis surgery: a cross-sectional study
Authors: Schmalz Gerhard , Fenske Fabian , Reuschel Florentine , Bartl Markus , Schmidt Laura , Goralski Szymon , Roth Andreas , Ziebolz Dirk 
Published: December 2022

Abstract
Objectives
Aim of this cross-sectional study was the assessment of oral health-related quality of life (OHRQoL) health-related quality of life (HRQoL), oral health behaviour and oral health status in patients before hip and knee endoprosthesis (EP) surgery. Moreover, associations between OHRQoL, HRQoL and oral health should be examined.

Methods
Consecutive patients before hip and/or knee EP implantation were recruited and referred to the dental clinic for oral examination including: number of remaining teeth, dental findings (DMF-T-Index), periodontal condition (periodontal treatment need, Staging/Grading) and temporomandibular joint screening. OHRQoL was assessed by the German short form of oral health impact profile (OHIP G14), HRQoL by short-form 36 survey.

Results
Hundred and sixty two patients with a mean age of 66.80 ± 11.10 years were included, which had on average 18.22 ± 8.57 remaining teeth and a periodontal treatment need of 84.5%. The OHIP G14 sum score revealed a median of 1 (mean: 2.7 ± 4.4, 25–75th percentile: 0–4) and its dimension oral function of 0 (mean: 0.8 ± 1.8, 25–75th percentile: 0–1), what was also found for psychosocial impact (median: 0, mean: 1.4 ± 2.6, 25–75th percentile: 0–2). The OHIP G14 sum score and both dimensions were significantly associated with mental component summary (p < 0.01). A higher number of remaining teeth as well as remaining molars/premolars were associated with lower OHIP G14 sum score (p = 0.02). This was also found for the dimension oral function (p < 0.01).

Conclusion
Patients prior to hip and knee EP had an unaffected OHRQoL, although they had an insufficient oral health. Individuals before EP implantation need increased attention in dental care, fostering information, sensibilization and motivation of the patients.
Paediatric on-call consultants’ learning within and beyond the objectives of a coherent CPD program
Authors: Holmgren Daniel , Nilsson Maria Skyvell , Wekell Per 
Published: December 2022

Abstract
Background
Evaluations, using questionnaires, of a two-year long CPD program for on-call consultant paediatricians, showed that the overall objective of the program was largely met. We stipulate that the coherency of the CPD program contributed to the learning. To gains a deeper understanding of the participants learning within and beyond the overall objectives of the program, we decided to conduct an interview study enrolling participants from the first two CPD courses.

Methods
Nine experienced paediatric consultants were interviewed 1-4 years after completing a coherent two-year long CPD program, focusing on what and how they learned. The interviews were audio-recorded and transcribed as text, analysed, and categorised using qualitative content analysis.

Results
What the participants learned: improved medical competences, greater confidence in the role of an on-call consultant, better understanding of the role of an on-call consultant and importance of professional networks. Several categories were outside the overall objective, at personal level: an understanding of one’s own and other’s competences, taking responsibility for one’s own CPD and managing things one does not know. At professional level: more secure as an individual and with colleagues.
How it was learned: relevant objectives, preparatory material and case discussions were important. Participants learned by preparing, repeating, reflecting, and participating actively, and by applying what they learned in clinical practice. The participants learned from one other over a period of two years, when they also got to know one another and created networks. A safe learning environment imposed demands and enabled participants to define their competence and learn accordingly.

Conclusions
This study describes what and how on-call consultant paediatricians learned during a coherent two-year long CPD program. The learning took place within and beyond the framework of the overall objectives. The study suggests that evaluation methods based on objectives may be blind to important areas of learning and need to be combined with qualitative methods that examine a broad impact of learning. Taken together, the analysis of what and how the participants learned shows that they were better equipped to work as consultant on call and deal with the things they did not know.
Development of a model for predicting hospital beds shortage and optimal policies using system dynamics approach
Authors: Najibi Seyede Maryam , Seyedi Seyed Hosein , Farhadi Payam , Kharazmi Erfan , Shojaei Payam , Delavari Sajad , Lotfi Farhad , kavosi Zahra 
Published: December 2022

Abstract
Background
Policymakers use simulation-based models to improve system feedback and model the reality of the problems in the system. This study uses the system dynamics approach to provide a model for predicting hospital bed shortages and determine the optimal policy in Shiraz, Southern Iran.

Methods
This study was designed based on Sterman's system dynamic modeling (SDM) process. Firstly, we determined the main variables affecting bed distribution using a mixed qualitative and quantitative study which includes scoping review, expert panel, Delphi, and DANP. Then, dynamic hypotheses were designed. Subsequently, we held several expert panels for designing the causal and stock-flow models, formulating and testing a simulation model, as well as developing various scenarios and policies.

Results
Dynamic modeling process resulted in four scenarios. All of the scenarios predicted a shortage of national hospital beds over a 20-year time horizon. Then, four policies were developed based on the changes in the number of beds and capacity of home care services; finally, the optimal policy was determined.

Conclusions
Due to the high cost of setting up hospital beds, developing and supporting cost-effective home care services, strengthening the insurance coverage of these services, and improving the quantity and quality of community care, considering the real needs of the community could be considered as an optimal option for the future of the city.
Molecular and serological survey of paratuberculosis in cattle in selected districts of Western Uganda
Authors: Ssekitoleko Judah , Ojok Lonzy , Omala Saint Kizito , Mukhtar Mohammed Elwasila , Eltom Kamal H. , Eltayeb El Sagad , Kankya Clovice , Kisekka Magid , Truyen Uwe , Czerny Claus-Peter , El Wahed Ahmed Abd , Okuni Julius Boniface 
Published: December 2022

AbstractKnowledge of Mycobacterium avium subsp. paratuberculosis (MAP) herd infection status is important to plan appropriate control and prevention strategies for Paratuberculosis (PTB); however, in Uganda MAP infection status of most herds is unknown. This study aimed at determining the MAP infection status of cattle herds and the associated risk factors for MAP infection in six western districts of Uganda. The survey covered a total of 93 herds where faecal and blood samples were collected from 1814 cattle. A Recombinase Polymerase Amplification (RPA) and an antibody-based (ELISA) assays were used to test for the presence of MAP DNA in faeces and MAP antibodies in serum, respectively. The apparent cow-level prevalence of MAP infection was 3.2 and 2.7% using ELISA and RPA respectively and the true cow-level prevalence using ELISA and RPA was 4.9 and 3% respectively. A herd-level prevalence of 43% (ELISA) and 40.8% (RPA) and a within-herd prevalence of 3.8 ± 2.1% based on ELISA were obtained. Among the risk factors investigated, long dry spells were significantly associated with high MAP infection (p < 0.05). These results indicate that MAP is actively present in most areas where surveillance was carried out. This poses a serious threat to the livestock industry and potentially to public health as MAP is highly suspected to play a role in the pathogenesis of several diseases in humans. Other areas of the country are to be surveyed as well in order to establish full data on MAP infection status to enable interventions for the control and prevention of the disease.
Fractional evolution equation with Cauchy data in $L^{p}$ spaces
Authors: Phuong Nguyen Duc , Baleanu Dumitru , Agarwal Ravi P. , Long Le Dinh 
Published: December 2022

AbstractIn this paper, we consider the Cauchy problem for fractional evolution equations with the Caputo derivative. This problem is not well posed in the sense of Hadamard. There have been many results on this problem when data is noisy in$L^{2}$L2and$H^{s}$Hs. However, there have not been any papers dealing with this problem with observed data in$L^{p}$Lpwith$p \neq 2$p≠2. We study three cases of source functions: homogeneous case, inhomogeneous case, and nonlinear case. For all of them, we use a truncation method to give an approximate solution to the problem. Under different assumptions on the smoothness of the exact solution, we get error estimates between the regularized solution and the exact solution in$L^{p}$Lp. To our knowledge,$L^{p}$Lpevaluations for the inverse problem are very limited. This work generalizes some recent results on this problem.
Current endoscopic diagnosis treatment strategy for superficial nonampullary duodenal tumours
Authors: Li Aichun , Shen Jianwei 
Published: December 2022

Abstract
Background
Preoperative endoscopic diagnosis and timely treatment are important for the clinical management of sporadically superficial nonampullary duodenal epithelial tumours (SNADETs), including adenoma and adenocarcinoma limited to the submucosal layer.

Methods
This review explores current endoscopic diagnosis and endoscopic resection technology for SNADETs. We compare endoscopic diagnosis accuracy using white light imaging, narrow band imaging, and magnification endoscopy alone or in combination. In addition, we review the current endoscopic resection methods for SNADETs and discuss the limitations and applicable future directions of each technology.

Results
A simple scoring system based on the endoscopic findings of white light imaging or magnified endoscopy combined with image-enhanced techniques was applied for the prediction of the histological grade of SNADETs. Benign or low-grade adenoma can be followed up without biopsy, and high-grade adenoma and adenocarcinoma should be resected by endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or surgery. EMR frequently leads to a piecemeal resection, while ESD ensures a high en bloc resection rate with a high risk of complications. Covering or closing post-ESD ulcers is an effective strategy to reduce the risk of delayed perforation and bleeding. Laparoscopic endoscopic cooperative surgery is a promising treatment for SNADETs with excellent rates of en bloc resection and a low risk of complications, although it is expensive and requires many specialists.

Conclusions
Early endoscopic diagnosis and optimal treatment selection for SNADETs may improve the poor prognosis of duodenal cancer.
Rheological, textural and structural properties of dairy cream as affected by some natural stabilizers
Authors: Biglarian Niloofar , Rafe Ali , Shahidi Seyed-Ahmad , Lorenzo Jose M. 
Published: December 2022

AbstractThe effects of whey protein, basil seed gum (BSG), and κ-carrageenan (CGN) on the structure–rheology interactions of low- and high-fat cream were investigated. Pseudoplastic and thixotropic behavior of cream was found for all the samples and the pseudoplasticity was increased with an increased level of stabilizers. The apparent viscosity (ηa) of the forward curves is greater than that of the backward ones, which may be the result of the breakdown of the fat globule structure under shear stress. The viscosity of cream was reduced, while using a stabilizer (BSG/CGN) can be related to the water binding of hydrocolloid molecules contributing to resistance in flow. For all samples, elastic modulus was greater than viscous modulus, indicating a greater contribution from elastic characteristics. With the increase of BSG/CGN levels, the molecules may be competitively adsorbed onto the surface of fat droplets, thereby changing its surface tension and decreasing its particle size. Increases in whey proteins, fat, and BSG also significantly increased hardness, whereas increases in CGN significantly decreased it. The globular aggregates in the microstructure of high-fat dairy cream were smaller than those in low-fat dairy cream, allowing more water to be retained in the high-fat samples. Therefore, synergistic interactions between polysaccharides and proteins may encourage the formation of a cross-linked network.
A falcotentorial dural arteriovenous fistula presented as carotid cavernous fistula clinically treated by transarterial embolization: case report
Authors: Shi Yuan , Liu Peixi , Liu Yingtao , Quan Kai , Tian Yanlong , Zhu Wei 
Published: December 2022

Abstract
Background
Dural arteriovenous fistulas (DAVF) represent almost 10–15% of intracranial malformations that cause intracranial hemorrhage and focal neurological deficits. Seldom tentorial DAVF cases present with ocular manifestations initially, which occur frequently in carotid–cavernous fistula (CCF) and cavernous sinus DAVF (CS DAVF).

Case presentation
We report an unusual falcotentorial DAVF case draining via the superior and inferior ophthalmic veins that caused left-side increased intraocular pressure. The patient’s chief complaint was swelling on the left side, pain and conjunctival congestion. He received endovascular embolization via a transarterial approach, and postoperative angiography demonstrated that the falcotentorial DAVF was occluded completely.

Conclusion
Except for CCF and CS DAVF, some specific subtypes of DAVF should be considered if the patient initially presents with ocular symptoms. Differential diagnosis and definitive treatment are mandatory to avoid a delayed diagnosis and irreversible symptoms.
The manner of death in a case with two stab wounds caused by two weapons: case report
Authors: Kasim Abdurrab A. A. , Alzubaidi Faisal M. , Zakari Yahya H. , Shatwan Almaha A. A. , Mulla Sahar Saleh , Alasmari Abdulaziz , Ibrahim Samah F. 
Published: December 2022

Abstract
Background
Stabbing is a relatively uncommon method of suicide. Typical suicide is usually associated with tentative wounds. Self-stabbing using two sharp weapons to produce two stab wounds without tentative marks is an uncommon incidence.

Case presentation
A 42-year-old Austronesian descent male with a history of family troubles was found dead by his friend inside a clothing store; two kitchen knives were present on both sides of the body. There were two stab wounds in the chest and the abdomen without any superficial hesitation cuts. At the crime scene, there were two blood pools.

Conclusion
The number of injuries with the absence of hesitation injuries raised suspicions of an atypical case of suicide that necessitated further forensic investigations. However, the circumstantial evidence and autopsy findings demonstrated that suicide was the cause of death.
The Commencement of Jean-Luc Nancy
Authors: Dwivedi Divya 
Published: December 2022

Abstract
Jean-Luc Nancy was concerned with commencement at several levels, of several kinds, in several senses, because he could speak of commencement with affirmation, which means with audacity. From the hospital in July 2021 he completed his last essay, which was intended to commence the project of “the other beginning of philosophy” envisaged by him, Shaj Mohan, and Divya Dwivedi, and he titled it “The End of Philosophy and the Task of Thinking.” In and through it are gathered all of Nancy’s critical reflections on destiny, on the antisemitic components of the Heideggerian history of being, on the ends of philosophy that we must reckon with, on origins and archaeophilia, on the an-archique essence of philosophy and democracy—and this means for us, on another sense of commencement than arche, which could allow us to prepare another beginning of philosophy than the Heideggerian one, and to respond to Nancy’s wager “Pourquoi pas en finir?” Nancy has not left us; rather, we are only now commencing with Nancy.
Η ανάπτυξη ιστοριών με την Ιστοριογραμμή του Ταξιδιού του Ήρωα με Μαθητές/τριες της Β’ Τάξης του Δημοτικού Σχολείου
Authors: Λαμπροπούλου Νίκη , Πλώτα Αικατερίνη 
Published: December 2022

Η ανάπτυξη συγκεκριμένων διδακτικών προσεγγίσεων και παιδαγωγικών μεθοδολογιών για τη δημιουργική αφήγηση μπορούν να υποστηρίξουν και να αξιοποιήσουν δυναμικά τη μάθηση, τις δεξιότητες των μαθητών/τριών και την αυτοέκφρασή τους. Σε αυτό το άρθρο προτείνεται η εφαρμογή του καινοτομικού εκπαιδευτικού σεναρίου με την αξιοποίηση της ‘Ιστοριογραμμής του Ταξιδιού του Ήρωα’ μέσω 2 μνημονικών εργαλείων με την ατομική συμμετοχή των μαθητών/τριών λόγω των περιορισμών Covid-19. Στην έρευνα περίπτωσης πήραν μέρος 15 μαθητές/τριες δημιουργώντας ιστορίες πριν και μετά τη διδασκαλία των δύο μνημονικών εργαλείων, του ‘Αστεριού της Αφήγησης’ και του ‘Ρολογιού του Ταξιδιού του Ήρωα’. Σύμφωνα με τα αποτελέσματα, η παρέμβαση με το ‘Αστέρι της Αφήγησης’ δεν είχε ουσιαστικές διαφορές ενώ η παρέμβαση με το ‘Ρολόι του Ήρωα’ ήταν επιτυχημένη. Παρ’ όλα αυτά η έρευνα έδειξε μεγάλο αντίκτυπο των υπαρχόντων παραμυθιών και ταινιών στις μικρές ηλικίες καθώς οι μαθητές/τριες άλλαξαν υπάρχουσες ιστορίες με υπάρχοντες ήρωες χωρίς να δημιουργήσουν, με ελάχιστες εξαιρέσεις, εντελώς αυθεντικές ιστορίες. Επειδή η έρευνα είναι μελέτη περίπτωσης με τη συμμετοχή μικρού αριθμού μαθητών/τριών χρειάζεται περαιτέρω έρευνα με στόχο την ανάπτυξη της φαντασίας των παιδιών για τη δημιουργία πρωτότυπων ιστοριών, κόσμων και ηρώων.