bluuebunny/crossref_metadata_2025_split huggingface dataset:
Różnorodność językowa przesiedleńców z dawnych wschodnich województw II Rzeczypospolitej. Fonetyka
Authors: Augustyniak-Żmuda Gabriela 
Published: December 2021

Linguistic Diversity of People Resettled from the Former Eastern Provinces of the Second Polish Republic: PhoneticsThis article is a summary of a sociolinguistic study conducted in the northern part of the Lubusz region in 2009–2019. The study concerned the linguistic diversity of people resettled after 1945 from the former eastern provinces of the Second Polish Republic to the Lubusz region. The informants were people from the oldest generation who were born between 1911 and 1942 in the former Polish administrative provinces in the east of pre-war Poland: Wilno (Vilnius), Nowogródek (Navahrudak), Polesia, Volhynia, Tarnopol (Ternopil), Lwów (Lviv), Stanisławów (today: Ivano-Frankivsk) and Białystok. As described, the interdisciplinary nature of the study required the use of several research methods: field research, biographical interview, linguistic biography, grounded theory, and methods of idiolect analysis (quantitative analysis). On the basis of the collected sociolinguistic material, the interlocutors are classified according to their self-declared primary language prior to the resettlement. This means that the linguonyms used in the article come from the language of the respondents. Accordingly, the following groups are distinguished: speakers of (1) Ukrainian and Polish, (2) Belarusian and Polish, (3) Polish and Belarusian, (4) Polish and Ukrainian, (5) Polish and Khakhlak. Based on a quantitative analysis, the article presents the linguistic diversity in the Lubusz region. Różnorodność językowa przesiedleńców z dawnych wschodnich województw II Rzeczypospolitej. FonetykaArtykuł jest podsumowaniem socjolingwistycznych badań prowadzonych na terenie północnej części województwa lubuskiego w latach 2009–2019. Badania dotyczyły różnorodności językowej wśród osób przesiedlonych po 1945 r. z dawnych wschodnich województw II Rzeczypospolitej do regionu lubuskiego. Moimi rozmówcami były osoby urodzone w latach 1911–1942 na terenie województw: wileńskiego, nowogródzkiego, poleskiego, wołyńskiego, tarnopolskiego, lwowskiego, stanisławowskiego i białostockiego. Charakter interdyscyplinarnych badań wymagał wykorzystania kilku metod badawczych. W artykule można znaleźć opis metody badań terenowych, metody wywiadu biograficznego, metody biografii językowej, metody teorii ugruntowanej oraz metody analizy idiolektów (analizy ilościowej). Na podstawie zebranego materiału socjolingwistycznego klasyfikowałam rozmówców według deklaracji wskazanego przez nich języka prymarnego przed przesiedleniem. Oznacza to, że lingwonimy użyte w artykule pochodzą z języka respondentów. W taki sposób wyróżniłam grupę deklarującą mówienie 1) po ukraińsku i polsku, 2) po białorusku i polsku, 3) po polsku i białorusku, 4) po polsku i ukraińsku oraz 5) po polsku i chachłacku. Na podstawie analizy ilościowej przedstawiam w artykule różnorodność językową w regionie lubuskim.
Estimating demand for mental health care among Australian children and adolescents: Findings from the Young Minds Matter survey
Authors: Pagliaro Claudia , Pearl Madeleine , Lawrence David , Scott James G , Diminic Sandra 
Published: December 2021

Objective: Mental health service use by individuals without a diagnosed mental disorder is sometimes termed ‘met un-need’. However, provision of services for this group may be necessary to provide appropriate assessment, referral and early intervention. This study quantified child and adolescent use of, and perceived need for, mental health services to inform population-level service planning. Methods: Young people in Australia’s Young Minds Matter survey ( n = 5837, 5–17 years), were categorised into four ‘need’ groups: (1) 12-month mental disorder diagnosis; (2) remitted for more than 12 months (or experiencing a condition not surveyed); (3) 12-month subthreshold mental health problem; and (4) no indication of need for help (i.e. did not meet the requirements of the first three categories). Service demand (use of, or perceived need for, a mental health service) and number of sessions received were estimated for each, separately for children (5–11 years) and adolescents (12–17 years). Results: Some 20.1% (95% CI: [18.6, 21.7]) of children and 32.3% (95% CI: [30.5, 34.2]) of adolescents expressed a demand for mental health services in the past year. Service demand decreased across the need groups. Perceived need without service use was higher among those with a 12-month subthreshold mental health problem (13.8/20.2%) than those who had experienced a mental health problem that had remitted for more than 12 months (or were experiencing a condition not surveyed) (9.3/12.6%). In addition, 23.6% of children and 24.6% of adolescents with a demand for mental health services were classified as experiencing no indication of need for help. Conclusions: This study quantified the number of children and adolescents in Australia who are likely to require mental health services. Findings suggest that not everyone in this group who has an expressed service demand meets diagnostic thresholds, but among those who do, service demand is higher.
Effect of neuromuscular electrical stimulation on functional exercise capacity in patients undergoing cardiac surgery: A randomized clinical trial
Authors: Cerqueira Telma Cristina Fontes , de Cerqueira Neto Manoel Luiz , Cacau Lucas de Assis Pereira , de Araújo Filho Amaro Afrânio , Oliveira Géssica Uruga , da Silva Júnior Walderi Monteiro , Carvalho Vitor Oliveira , de Mendonça José Teles , de Santana Filho Valter Joviniano 
Published: December 2021

Objective To evaluate the effects of neuromuscular electrical stimulation on functional capacity of patients in the immediate postoperative period of cardiac surgery. Design A prospective, randomized controlled trial. Setting A cardiac surgery specialist hospital in Aracaju, Sergipe, Brazil. Subjects: Patients in the postoperative period of cardiac surgery. Intervention The control group received the conventional physiotherapy and the intervention group received neuromuscular electrical stimulation of the rectus femoris and gastrocnemius muscles bilaterally, applied for 60 min, twice a day for up to 10 sessions per patient, in the immediate postoperative period until postoperative day 5. Main measures The primary outcome was the distance walked, which was evaluated using the 6-min walk test on postoperative day 5. Secondary outcomes were gait speed, lactate levels, muscle strength, electromyographic activity of the rectus femoris and Functional Independence Measure, some of them evaluated on preoperative and postoperative period. Results Of 132 eligible patients, 88 patients were included and randomly allocated in two groups, and 45 patients were included in the analysis. No significant difference was found on the distance walked ( p = 0.650) between patients allocated in intervention group (239.06 ± 88.55) and control group (254.43 ± 116.67) as well as gait speed ( p = 0.363), lactate levels ( p = 0.302), knee extensor strength ( p = 0.117), handgrip strength ( p = 0.882), global muscle strength ( p = 0.104), electromyographic activity ( p = 0.179) and Functional Independence Measure ( p = 0.059). Conclusions Although the effects are still uncertain, the use of neuromuscular electrical stimulation carried out in five days didn't present any benefit on functional capacity of patients in the immediate postoperative period of cardiac surgery.
Comparison of inpatient spending and readmission rates for patients treated by male versus female physicians in China: An observational study
Authors: Shen Menghan , Li Linyan , Wu Yushan , Yang Yuanfan 
Published: December 2021

Objective To determine whether there are significant differences in costs of treatment and readmission rates for hospital consultations undertaken by female versus male physicians in China. Methods Using data from the Urban Employee Basic Medical Insurance program from January 2018 through October 2019, we investigated spending patterns and clinical outcomes for patients at tertiary hospitals in one of the largest cities in China by the gender of the attending physician. Our sample included 79,085 hospitalizations treated by 3993 physicians in internal medicine departments. We examined the association between physician gender and visit cost using a multivariable linear model. We examined the association between physician gender and 30-days readmission rates using a multivariable probability model. We adjusted for a rich set of patient characteristics, primary diagnosis fixed effects, and hospital fixed effects. In addition, we used patient fixed effects in a robustness analysis. Results Adjusting for primary diagnosis fixed effects, spending per visit was 4.1% higher for patients treated by male physicians than for those treated by female physicians, a statistically significant difference (95% CI [1.5%, 6.7%]). This pattern persisted after further adjusting for hospital fixed effects (3.2% [1.2%, 5.2%]), patient characteristics (3.2% [1.2%, 5.1%]), and patient fixed effects (4.2% [1.8%, 6.7%]). The difference is mainly driven by higher spending on drugs (8.7% [3.9%, 13.6%]) and out-of-pocket costs (3.9% [1.7%, 6.0%]). No statistically significant differences were observed in the readmission rates of patients treated by male and female physicians in any of our three model specifications. Conclusions Spending per visit was significantly higher among patients treated by male physicians than among those treated by female physicians, with the difference mainly driven by spending on drugs and out-of-pocket costs. No significant difference was observed in the hospital readmission rates of patients treated by male and female physicians. These findings have important implications for gender equality in medicine and health care quality and efficiency in developing countries.
Telemedicine for veterans in the setting of the COVID-19 pandemic: Lessons learned from a virtual urgent care center
Authors: Sikka Veronica , King Christian , Klinker Suzanne , Mont Theresa , Sommers-Olson Bonnie , Hunt Bruce E , Davis Stacey , Fonseca Jennifer 
Published: December 2021

Introduction Although telemedicine was predominantly adopted during the COVID-19 pandemic, its impact on healthcare outcomes in the veteran population in achieving first contact resolution, or the ability to safely manage patient care at home from an urgent care perspective, is yet to be determined. Methods This study included 13,090 veteran patient episodes who presented to the Department of Veteran's Affairs Veterans Integrated Services Network 8's Clinical Contact Center, a virtual urgent care organization covering South Georgia, Florida, and U.S. Virgin Islands in providing episodic care, between March 2020 and February 2021. Multivariate logistic regression estimated the probability that veterans with COVID-19-related symptoms stayed at home compared to presenting to the emergency department (ED) or their primary care provider. Results Patients with COVID-related symptoms were 33% less likely to present to the ED compared to patients who presented with non-COVID-related symptoms. Discussion The virtual urgent care center enabled veterans to receive timely care and avoid public places that could potentially lead to a COVID-19 infection or infecting others.
Experimental and numerical study on the lateral torsional buckling of full-scale steel-timber composite beams
Authors: Gao Ying , Xu Feiyang , Meng Xinmiao , Zhang Ye , Yang Hongda 
Published: December 2021

The lateral torsional buckling (LTB) of steel-timber composite (STC) beam with partial interaction was investigated in this paper. The composite beam is constructed by connecting the timber to both flanges of the H-shaped steel with bolts or screws. Twelve push-out specimens were designed to evaluate the shear performance of bolt or screw connectors. It was shown that the slip stiffness and the shear bearing capacity of the connectors increased with the thickness of timber increasing. Then, eight full-scale composite beams with lengths of 6000 mm were studied through bending tests and compared to a bare steel beam. The experimental behaviors of the specimens were identified, including the failure mode, load-deflection relationship and load-strain response. The LTB phenomenon and composite action were discussed by analyzing the strain distribution, stiffness and strength. The results demonstrated that the STC beams fastened with bolts or screws displayed partial composite action. Although the stiffness of the composite beam showed little augmentation, the maximum strength of the composite beam substantially increased by suppressing the LTB phenomenon. A finite element analysis was conducted to reveal the failure mechanism of the specimens with different geometric and physical parameters, including the number of timber layers, the interface shear stiffness and the initial imperfection. It was found that increasing the number of timber layers in the upper flange suppressed the lateral torsional buckling, and the interface shear stiffness was the key factor to control the stiffness and failure modes of STC beams.
Development of fabric electrode for bio-potential signal acquisition in wearable health monitoring and effect of perspiration on signal acquisition
Authors: Yogendra M. S. , Mallikarjuna Reddy M.V. , Kartik S.N. , Mohanvelu K. , Varghese F.V. , Kotresh TM. 
Published: December 2021

Development of a gel-free bio-potential electrode for the wearable health monitoring applications is a challenging goal. A conductive fabric electrode can replace the traditional conductive gel electrode. This paper describes the development of a conductive fabric electrode with regard to its potential use for electrocardiogram (ECG) acquisition. Since direct contact between the conductive fabric and human skin will be involved, an investigation on the effect of perspiration on the electrical conductivity of fabric is critical. Hence, the developed electrode was treated with alkaline (pH=8.0) and acidic (pH=4.3) perspiration for 3, 8 and 40 h to study the effect of perspiration on the conductivity and surface morphology. The acquired ECG signals were analysed with respect to morphology and frequency distribution. Conductivity tests were carried out on the perspiration-treated test electrodes by two probe method and surface resistivity meter. The ECG signals of volunteers were also recorded. The results showed a slight decrease in conductivity but without affecting the morphology and the quality of ECG signal. Leached silver content in the acid perspiration-treated solution was found to be 0.117 ppm as determined by Atomic absorption spectroscopy. The result shows that soft conducting textile materials can indeed be used as an electrode for ECG acquisition. This is a novel type of gel-free fabric electrode for long term wearable health monitoring applications including space application.
The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis
Authors: Lee Chihua , Langford Phillip N. , Sullivan Graham E. , Langford Matthew A. , Hogan Christopher J. , Ruland Robert T. 
Published: December 2021

Background: Diagnosis of de Quervain’s tenosynovitis is made clinically. Finkelstein’s and Eichoff’s tests are commonly utilized examination maneuvers. Their specificity has been questioned due to a propensity to provoke pain in asymptomatic patients. Using the principle of synergism, the novel radial synergy test takes advantage of isometric contraction of the first dorsal compartment with resisted abduction of the small finger. Methods: Electromyography was performed on 3 authors and the first dorsal compartment sampled during the maneuver. Sensitivity evaluation was performed via retrospective chart review for patients diagnosed with de Quervain’s from 2013 to 2018. Inclusion criteria were documented radial synergy test, Eichoff’s test, and ≥90% pain relief after lidocaine/corticosteroid injection. We enrolled 222 patients with 254 affected extremities. Specificity evaluation was performed via a prospective cohort of volunteers undergoing radial synergy and Eichoff’s tests. Inclusion criterion was lack of preexisting wrist pain. Score > 0 on Visual Analog Scale was considered positive. We enrolled 48 volunteers with 93 tested extremities. Results: Electromyography revealed positive recruitment of the first dorsal compartment. Sensitivity of the radial synergy test was inferior to Eichoff’s test (97% vs 91%, relative risk [RR] = 0.93 [95% confidence interval [CI] = 0.89-0.97], P < .01). Specificity of the radial synergy test was superior to Eichoff’s test (99% vs 74%, RR = 1.33 [95% CI = 1.18-1.51], P < .001). Conclusions: We describe and evaluate the radial synergy test, a novel examination maneuver to aid the diagnosis of de Quervain’s. This serves as an adjunct for future diagnostic evaluations with its high specificity. Level of Evidence: Level II, diagnostic study.
A 15-Year Review of Clinical Practice Patterns and Evidence-Based Medicine in Carpometacarpal Joint Arthroplasty
Authors: Shah Nikhil D. , Yuksel Selcen , Sasson Daniel C. , Kearney Aaron M. , Neumeister Michael W. , Gosain Arun K. 
Published: December 2021

Background: The purpose of this study was to help understand national practice patterns in carpometacarpal (CMC) arthroplasty and how they have evolved with evidence-based recommendations over the past 15 years. Methods: The American Board of Plastic Surgery (ABPS) started collecting practice data on primary CMC joint arthroplasty in 2006 as a portion of its continuous certification (CC) process. Data on primary CMC arthroplasty from May 2006 through December 2013 were reviewed and compared to those from January 2014 to March 2020. National practice trends observed in these data were evaluated. Comprehensive evidence-based medicine reviews published in 2008, 2011, 2013, and 2017 were reviewed alongside the CC data. Results: In all, 570 primary CMC joint arthroplasty cases were included from May 2006 to March 2020. The average age at the time of repair was 62 years and the patient population was predominantly female (79%). Most cases were done under general anesthesia (69%), and there was an increase in the use of regional anesthesia with nerve block when our 2 cohorts were compared (27% vs 37%; P = .020). A trapezium excision with flexor carpi radialis tendon ligament reconstruction was the most popular technique (72%) and an increase in the use of simple trapeziectomy was observed (6% vs 14%; P = .001). One-third of patients did not receive any form of deep vein thrombosis prophylaxis. Conclusions: The ABPS CC data provide a databank that allows for direct observation of national practice trends and sheds light on potential avenues for improvement in patient care.
A Threshold QuickDASH Score for Estimating a Diagnosis of Major Depression in Patients With Fingertip Injuries in the American and Dutch Population
Authors: Oflazoglu Kamilcan , Verheul Elfi M. , Pong Taylor M. , Ritt Marco J. F. P. , Rakhorst Hinne , Chen Neal C. 
Published: December 2021

Background: The aim was to determine the threshold Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score that estimates a diagnosis of major depression in patients with fingertip injuries in American and Dutch patients. Methods: In this observational cross-sectional study, 112 patients with a recent fingertip injury measured symptoms of depression with the Patient Health Questionnaire and upper extremity disability with the QuickDASH. Results: In the US cohort, 8 of 56 patients had an estimated diagnosis of major depression. A threshold value of QuickDASH of 50 showed a sensitivity of 88% and a specificity of 81%, with a negative predicting value (NPV) of 95% for an estimated diagnosis of major depression. In the Dutch cohort, 7 of 56 patients had an estimated diagnosis of major depression. The same threshold score of 50 had a sensitivity of 71%, a specificity of 63%, and an NPV of 94%. Conclusions: We have found a correlation between experienced loss of function and an estimated diagnosis of major depression in patients with a fingertip injury. Referral to the primary care physician for further evaluation of depression in these patients is advised.
Improving Assessment of Disease Severity and Strategies for Monitoring Progression in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 4]
Authors: Tetreault Lindsay , Garwood Philip , Gharooni Aref-Ali , Touzet Alvaro Yanez , Nanna-Lohkamp Laura , Martin Allan , Wilson Jefferson , Harrop James S. , Guest James , Kwon Brian K. , Milligan James , Arizala Alberto Martinez , Riew K. Daniel , Fehlings Michael G. , Kotter Mark R. N. , Kalsi-Ryan Sukhvinder , Davies Benjamin M. 
Published: December 2021

Study design Narrative Review. Objective To (i) discuss why assessment and monitoring of disease progression is critical in Degenerative cervical myelopathy (DCM); (ii) outline the important features of an ideal assessment tool and (iii) discuss current and novel strategies for detecting subtle deterioration in DCM. Methods Literature review Results Degenerative cervical myelopathy is an overarching term used to describe progressive injury to the cervical spinal cord by age-related changes of the spinal axis. Based on a study by Smith et al (2020), the prevalence of DCM is approximately 2.3% and is expected to rise as the global population ages. Given the global impact of this disease, it is essential to address important knowledge gaps and prioritize areas for future investigation. As part of the AO Spine RECODE-DCM (Research Objectives and Common Data Elements for Degenerative Cervical Myelopathy) project, a priority setting partnership was initiated to increase research efficiency by identifying the top ten research priorities for DCM. One of the top ten priorities for future DCM research was: What assessment tools can be used to evaluate functional impairment, disability and quality of life in people with DCM? What instruments, tools or methods can be used or developed to monitor people with DCM for disease progression or improvement either before or after surgical treatment? Conclusions With the increasing prevalence of DCM, effective surveillance of this population will require both the implementation of a monitoring framework as well as the development of new assessment tools.