University Center Research Articles

Promoting intergenerational learning in higher education: participants’ perspectives on co-management and project-based learning

ABSTRACT Intergenerational (IG) practices foster understanding among diverse age groups, enhancing active ageing and social cohesion. Universities, as key stakeholders in lifelong learning, are pivotal in IG initiatives. Hence, this study investigates IG practices, rooted in project-based learning and co-management, in an international collaboration of universities. It explores participants’ views on IG learning experiences, emphasising generational perspectives and institutional situatedness. The research was conducted in 2022/2023 across Central and Eastern European universities, involving 45 participants (25 older learners, 20 students). Focus group interviews were employed, using a hybrid deductive-inductive approach. Results reveal age-related differences in IG learning perceptions: younger participants emphasised self-expression and connections, while older adults reported view changes about younger generations. Project-based collaboration and effective communication were key facilitators. Institutional situatedness was also identified as a relevant perspective. Participants at Mendel University emphasised the social engagement of older adults; at Eötvös Loránd University, the focus was on the choice of topics and roles; while at University of Split, there was an emphasis on fostering creativity and cooperation. The study thus underscores IG learning’s complexity and advocates for inclusive IG practices in universities, leveraging project-based and co-management principles.

Genetic Variants Affecting Iron Metabolism in Healthy Adults: A Systematic Review to Support Personalized Nutrition Strategies

Background/Objectives: Increased interest in personalized nutrition has led to a growing focus on exploring genetic variants and their impact on nutritional uptake (nutrigenomics). Nevertheless, no systematic review to date has compiled scientific evidence on genetic variants (such as single-nucleotide polymorphisms (SNPs)) affecting mineral metabolism in humans. This review aims to fill this gap and enable optimized personalized nutrition recommendations in health care. Methods: Cochrane, Embase and MEDLINE databases were systematically searched for English and German studies published between 2007 and 2023, focusing on genetic variants linked to nutrition. Studies on overweight, diseased, or underage individuals were excluded. Papers with verified findings were assessed for methodological quality using the Joanna Briggs Institute critical appraisal tool. Results: Twenty-one scientific papers on SNPs associated with mineral metabolism were included. The majority were observational studies (n = 19) conducted on Caucasian populations. Women outnumbered men (37.4%) women, 18.9% men, 43.7% sex not reported. All identified SNPs linked to minerals influenced iron parameters, with the TMPRSS6 gene showing the strongest correlation. Two HFE SNPs (rs1800562 and rs1799945) and one TF SNP (rs1799852) exhibited protective effects, while the other 11 SNPs were linked to increased risk of iron deficiency, suggesting potential benefits from iron supplementation for individuals with those genetic variants. Conclusions: This review provides comprehensive insights into the association between genetic variants and mineral metabolism, and the findings highlight the relevance of genetic makeup in optimizing health through nutritional interventions. The generalizability of the findings may be limited to Caucasians, warranting future research with diverse populations. This review was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY) on 12 July 2022, under INPLASY202270068 and funded by the University Centre for Prevention and Sports Medicine at Balgrist University Hospital Zurich and the Swiss Innovation Agency Innosuisse, Switzerland.

Impact of fast-track on recurrence and malignant transformation of patients with inverted papilloma

Background Inverted papilloma is a benign epithelial tumour located in the sinonasal tract with a high recurrence rate and a potential of malignant transformation. From 2017, patients with IP were included in our fast-track regime similar to head and neck cancer patients, including follow-up at 2, 6, 12, 18 and 24 months after surgery, then yearly for a total of 5 years. Aims/objectives This study aims to compare the recurrence rate and malignant transformation of patients with IP treated at a university centre following the implementation of a fast-track regime including a close follow-up. Methods A retrospective study was performed on all patients with IP diagnosed between 2018 and 2022. Results The study included 125 patients, all surgically treated for IP. Eight patients (6%) also presented with SCC at the time of diagnosis. The recurrence rate of benign IP was 17%. Most tumours originated in the maxillary sinus (48/117, 41%). No cases of metachronous cancer were seen during the follow-up. Conclusions and significance The majority of recurrences (90%) occurred within the first 2 years after treatment. No cases of malignant transformation were seen in the follow-up period. The rigorous follow-up program potentially contributed to the detection of recurrence before malignant transformation.

Influence of Major Abiotic Factors on the Population Trend of Tetranychusurticae Koch on Okra at Samastipur, Bihar, India

Field experiments were conducted to study the population fluctuation of the phytophagous mite (Tetranychus urticae Koch) in okra and its relation with different abiotic factors under field conditions during summer 2023 at Rajendra Prasad Central Agricultural University, Pusa, Samastipur, Bihar. The population of T. urticae in okra commenced from the first fortnight of March and reached its peak of 34.60 mites/ 2.5cm2 leaf areas on the first fortnight of June. There was a positive and significant correlation of the population of T. urticae with maximum temperature (r = 0.779**) and minimum temperature (r = 0.699*).

Radiomics analysis in differentiating osteosarcoma and chondrosarcoma based on T2-weighted imaging and contrast-enhanced T1-weighted imaging

This study was performed to investigate the diagnostic value of radiomics models constructed by fat suppressed T2-weighted imaging (T2WI-FS) and contrast-enhanced T1-weighted imaging (CET1) based on magnetic resonance imaging (MRI) for differentiation of osteosarcoma (OS) and chondrosarcoma (CS). In this retrospective cohort study, we included all inpatients with pathologically confirmed OS or CS from Second Xiangya Hospital of Central South University (Hunan, China) as of October 2020. Demographic and imaging variables were extracted from electronic medical records and compared between OS and CS group. Totals of 530 radiomics features were extracted from CET1 and T2WI-FS sequences based on MRI. The least absolute shrinkage and selection operator (LASSO) method was used for screening and dimensionality reduction of the radiomics model. Multivariate logistic regression analysis was performed to construct the radiomics model, and receiver operating characteristic curve (ROC) was generated to evaluate the diagnostic accuracy of the radiomics model. The training cohort and validation cohort included 87 and 29 patients, respectively. 8 CET1 features and 15 T2WI-FS features were screened based on the radiomics features. In the training group, the area under the receiver-operator characteristic curve (AUC) value for CET1 and T2WI-FS sequences in the radiomics model was 0.894 (95% CI 0.817–0.970) and 0.970 (95% CI 0.940–0.999), respectively. In the validation group, the AUC value for CET1 and T2WI-FS sequences in the radiomics model was 0.821 (95% CI 0.642–1.000) and 0.899 (95% CI 0.785–1.000), respectively. In this study, we developed a radiomics model based on T2WI-FS and CET1 sequences to differentiate between OS and CS. This model exhibits good performance and can help clinicians make decisions and optimize the use of healthcare resources.

Segmentation-based truncated-SVD for effective feature extraction in hyperspectral image classification

ABSTRACT Remote sensing hyperspectral images (HSIs) are rich sources of information about land cover captured across hundreds of narrow, contiguous spectral wavelength bands. However, using the entire original HSI for practical applications can lead to suboptimal classification accuracy. To address this, band reduction techniques, categorized as feature extraction and feature selection methods, are employed to enhance classification results. One commonly used feature extraction approach for HSIs is Principal Component Analysis (PCA). However, PCA may fall short of capturing the local and specific characteristics present in the HSI data. In this paper, we introduce two novel feature extraction methods: Segmented Truncated Singular Value Decomposition (STSVD) and Spectrally Segmented Truncated Singular Value Decomposition (SSTSVD) to improve classification performance. Segmentation is carried out based on highly correlated bands’ segments and spectral bands’ segments within the HSI data. Our study evaluates and compares these newly proposed methods against classical feature extraction methods, including PCA, Incremental PCA, Sparse-PCA, Kernel PCA, Segmented-PCA (SPCA), and Truncated Singular Value Decomposition (TSVD). We perform this analysis on three distinct HSI datasets, namely the Indian Pines HSI, the Pavia University HSI, and the Kennedy Space Center HSI, using per-pixel Support Vector Machine (SVM) and Random Forest (RF) classification. The experimental results demonstrate the superiority of our proposed methods for all three datasets. The best-performing feature extraction methods when classification is performed using an SVM classifier are STSVD3 (89.03%), SSTSVD2 (95.55%), and STSVD3 (97.74%) for the Indian Pines, Pavia University, and Kennedy Space Center datasets, respectively. Similarly, for the RF classifier, the best-performing feature extraction methods are SSTSVD4 (88.98%), SSTSVD3 (96.04%), and SSTSVD4 (96.09%) for Indian Pines, Pavia University, and Kennedy Space Center datasets, respectively.

Diagnosis and treatment of medullary thyroid cancer in four Hungarian university centers (2000-2023)

Diagnosis and treatment of medullary thyroid cancer in four Hungarian university centers (2000-2023)

Causal mediation analysis of factors influencing physical activity and community access among people with mild to moderate Parkinson's disease

ObjectiveTo examine how known causal factors (exercise self-efficacy, balance, walking capacity) affect outcomes (moderate intensity physical activity, community access) in people with Parkinson's disease (PD): through a direct pathway, indirectly through potential mediators (non-motor impairments), or through combined direct and mediated paths. DesignCausal mediation analyses using baseline and three-month data from pooled treatment groups in a randomized controlled trial. SettingData were collected at two university clinical research centers. ParticipantsOne hundred thirty-eight people with PD. InterventionsHome and community-based walking and strength exercise program. Main Outcome Measure(s)Exposures were exercise self-efficacy, walking ability, and balance. Potential mediators included pain, fatigue, mood (anxiety, depression, affect, apathy), stigma, and cognition (executive function and cognitive flexibility). Outcomes were physical activity and community access behaviour at three-month follow-up. Separate models were developed for each causal factor-mediator-outcome combination. To minimise bias, all models were adjusted for known confounders (comorbidities, freezing of gait, severity of motor impairments, and/or age) and baseline values of the outcomes. ResultsSelf-efficacy of walking duration had a causal relationship with moderate intensity physical activity through direct and combined paths (p<.001). Walking capacity had a causal relationship with community access through direct (p=.03-.04) and combined (p=.02-.03) paths. Balance did not affect community access (p>.05). There were no significant mediation effects through indirect pathways for either outcome. ConclusionsThe effect of known causal factors on physical activity and community access was not mediated by non-motor impairments. Walking self-efficacy and walking capacity remain the primary intervention targets for improving physical activity and community access, respectively, in people with PD.

Identification and Validation of a Novel PANoptosis-related Gene Signatured for Osteosarcoma as Prognostic Model.

To construct and validate a prognostic model for osteosarcoma prognostication and therapeutic potential of PANoptosis- related genes. Observational study. Place and Duration of the Study: Department of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China, from August 2021 to January 2024. Transcriptomic data from the GEO and TARGET databases were utilised to construct and validate a prognostic model for osteosarcoma. The analysis involved the use of the LASSO Cox-regression method with the Glmnet R package to identify key PANoptosis-related genes. Differential gene expression analysis was conducted using the Limma R package, and model validation was performed using Kaplan-Meier survival analysis and time-dependent ROC curves. This model, derived from five key PANoptosis-related genes, demonstrated significant predictive capability for patient survival across training and validation cohorts. Further analysis confirmed the model's effectiveness and identified metastasis stage and risk scores as the robust independent prognostic indicators. The prognostic model offers a novel tool for osteosarcoma prognostication and underscores the therapeutic potential of targeting PANoptosis-related pathways. PANoptosis-related genes, Osteosarcoma, Prognosis, Bioinformatics, Tumour micro-environment.

MICROMORPHOLOGICAL STUDIES (ACHENE / CYPSELA) ON SELECTED ASTERACEAE TAXA NATIVE TO TURKIYE

With this study fruit width-length measurements, weights and surface morphologies of some taxa belonging to Asteraceae family distributed in Türkiye were studied. The aim of the study was to reveal the fruit morphological characteristics and differences between the taxa of Tragopogon buphthalmoides, Dittrichia viscosa, Dittrichia graveolens, Tripleurospermum caucasicum, Kemulariella caucasica, Leontodon hispidus subsp. hispidus, Jurinea consanguinea and Jurinea moschus. Widths and lengths of the fruits were measured with Leica EZ4 microscope and digital caliper. Fruit weights were weighted out with Dikomsan precision scales. The stereomicroscope to determine the morphological characteristics of the fruits was also used. Scanning Electron Microscopy (SEM) in USKIM (Center for University and Industry Collaboration) was used to determine the surface morphology of the fruits. The smallest fruits were determined in Dittrichia graveolens (0.40 mm wide and 1.23 mm long), while the largest fruits were determined in Tragopogon buphthalmoides (25.88 mm long and 1.62 mm wide). The heaviest fruits were measured in Jurinea consanguinea (0.0065 gr) and the slightest fruits in Dittrichia graveolens (0.000062 gr) taxa.

Next steps for the East, Central and Southern Africa College of Family Physicians (ECSA-CFP).

No abstract available.

AVALIAÇÃO PARASITOLÓGICA DE ALFACE EM FEIRAS E MERCADOS NO MUNICÍPIO DE RIO BRANCO, ACRE.

Introduction: The search for a healthy diet has grown over the last few decades, making the population opt for natural products, resulting in the intake of raw vegetables, with lettuce (Lactuca sativa L.) being one of the most consumed in the world; hygiene is necessary to reduce risks. The main contamination is due to poor sanitary conditions in the irrigation of vegetables, planting and inadequate handling of these leafy vegetables. The topic is relevant because they represent a serious public health problem. Objectives: to carry out a parasitological evaluation of lettuce (Lactuca sativa L.) sold in the municipality of Rio Branco, Acre. Methods: Lettuce samples of the species (Lactuca sativa L.) sold in 3 open-air markets were collected: Mercado Municipal Elias Mansour, Central de Abastecimento de Rio Branco (Ceasa) and Feira Livre and in different supermarkets X and Y in the municipality of Rio Branco , Ac. Methods: Lettuce samples of the species (Lactuca sativa L.) sold in 3 open-air markets were collected: Mercado Municipal Elias Mansour, Central de Abastecimento de Rio Branco (Ceasa) and Feira Livre and in different supermarkets X and Y in the municipality of Rio Branco , Ac. 5 samples were collected from each of the 5 units, totaling 25 samples per month and 250 between the months of July/2022 to November/2022 and February/2023 to June/2023. Subsequently, transported to the Parasitology Laboratory of the Uninorte University Center (UNINORTE). Leaves were established as the sampling unit for vegetables. 200g of leaf was weighed, sliced and separated for parasitological analysis and hygiene technique. To search for enteroparasites, the leaves were washed with 500 ml of distilled water containing 0.5 ml of neutral detergent. The liquid was used for the Spontaneous Sedimentation and Faust techniques. For the hygiene technique, 200g of leaves were submerged in a solution containing 1000 ml of distilled water and 10 ml of sodium hypochlorite (2%), homogenized for 10 min. Subsequently, the liquid was used to perform the spontaneous sedimentation technique. Results: To analyze diversity, the Shannon Wiener indices were used. In parasitological techniques, 51 parasitic agents were identified, with Balantidium coli (7.2%), Entamoeba coli (6.8%), Endolimax nana (4.4%), Larva of Strongyloides stercoralis (0.8%), followed by of Entamoeba histolyrica (0.4%), Arcella vulgaris (0.4%), and Enterobius vermicularis larvae (0.4%). Among the lettuce sales units, those with the highest prevalence were: Supermercado Y (27.5%), Mercado X (23.6%), Feira Livre (25.4%), CEASA (15.7%) and Elias Mansour (7.8%). Protozoa represented (94.1%) and Helminths (5.9%). Faust represented (56.8%) of the parasites found, compared to (43.2%) from the spontaneous sedimentation technique. No parasitic forms were found after the sodium hypochlorite cleaning technique. Conclusions: Lettuces sold in Rio Branco/AC contained different types of protozoa and helminths, with the most common enteroparasites being Balantidium coli and Entamoeba coli. The hygiene technique proved to be effective in eliminating these agents. Ingesting raw lettuce may present a potential risk to consumers, and it is recommended to clean it before consumption.

Conservation agriculture and nutrient management strategies for enhancing crop performance, productivity and nutrient uptake under rice-wheat cropping system

Understanding the relationship between tillage and nutrient management strategies is crucial for maintaining the long-term sustainability of the rice-wheat cropping system (RWCS). Therefore, a field experiment was conducted from 2022 to 2024 at Dr. Rajendra Prasad Central Agricultural University in Pusa, Samastipur, Bihar to study the effect of nutrient management strategies under conservation agriculture (CA) for enhancing crop growth performance, protein content and productivity of RWCS. The experiment was conducted in a split-plot design replicated thrice with 3 different tillage and crop establishment methods [zero tillage direct seeded rice (ZTDSR)-zero tillage wheat (ZTW), puddled DSR (PDSR)-ZT with rice residue retention (ZT + RR) and puddled transplanted rice (PTR)-conventional tillage wheat (CTW)] in main plots and four nutrient management strategies [Farmer’s Fertilizer Practices (FFP), Nutrient Expert recommended dose of fertilizer (NE-RDF), RDF + spray of nanourea (NU) and Customized fertilizer (CF)] in sub plots. In both years, crop growth attributes at harvest in rice were found maximum under PDSR while in wheat it was under ZT + RR. In wheat, ZT + RR recorded maximum grain yield which was 13 % and 14.5 % higher than CTW in 2022-23 and 2023-24 respectively. A decline in rice grain yield of 8.3 % and 8.9 % was recorded under FFP over NE-RDF in 2022 and 2023 respectively. Hence, PDSR followed by ZT+RR coupled with NE-RDF can increase agronomic performance and productivity under RWCS.

Choanal Atresia about Two Cases at the Hospital and University Center Gabriel Toure from Bamako (Mali)

Choanal atresia is a congenital defect in the permeabilization of the posterior end of the nasal cavities. Its bilateral form is responsible for respiratory distress that can be life-threatening. The unilateral form was suspected in view of the permanent unilateral right nasal obstruction. We report the observation of two clinical cases admitted to the Radiology and Medical Imaging department, CHU GT of Bamako (Mali). The aim of our study was to highlight the importance of screening for this condition at birth. Surgical treatment allowed us to obtain an overall success rate of 100%. Divulsion was used to pass the emergency stage after short-term palliative medical treatment in the case of bilateral choanal atresia. The operative techniques used were divulsion and nasal endoscopic route.

OS EFEITOS DA LASERTERAPIA EM CICATRIZAÇÃO MAMILAR PARA MULHERES NO PROCESSO DE AMAMENTAÇÃO

INTRODUCTION: Breast milk is a great source of nutrients for the baby's immunological and psychological development, and has a strong impact on infant mortality. It all starts in the thirty-second week of gestation, as this is the time when the fetus begins to show sucking reflexes. The breastfeeding process can be very difficult, since if there is no monitoring, there may be cracks in the breasts, making the process very painful. METHODS: This is a descriptive and qualitative study, which took place in person and virtually in the city of Porto Velho/RO at the Physiotherapy School Clinic of the São Lucas University Center, with the objective of hearing reports from women/mothers who are or have been exclusively breastfeeding. Thirty-eight female women, aged 20 years and older, were selected to report their breastfeeding process as lactating women. RESULTS AND DISCUSSION: One of the reasons for this development is the incorrect breastfeeding process. The main risk factors identified were: the baby's latch on to the mother's breast, where there is incompatibility between mother and child, primary and race/color of the mother defined as white or yellow. Many lactating women end up thinking that all they have to do is let the baby latch on to the breast and perform the suction, since even the positioning of the child interferes in the process. It was also evident in the interviews that most of the women did not perform the procedure due to lack of knowledge, often not being instructed by the health professional, or for fear of the effects of the procedure, since most of the women interviewed are very young and from lower social classes, they end up having this transgression of low performance of the procedure. CONCLUSION: Laser therapy has been shown to be an effective and safe intervention in the treatment of breast fissures, a common complication during breastfeeding that can cause intense pain and difficulties in breastfeeding. By using low-level laser therapy, it is possible to promote healing of injured tissues, relieve pain and reduce inflammation, providing greater comfort to mothers and encouraging continued breastfeeding. The importance of this treatment lies in its rapid and non-invasive effect, offering an alternative to traditional therapies, such as ointments and dressings, which often do not provide immediate or complete relief. In addition, laser therapy helps to prevent early weaning, contributing to the well-being of the baby and the mother, since exclusive breastfeeding is essential in the first months of life.

Baguio Central University Retirees: Their Journey after Retirement

Baguio Central University Retirees: Their Journey after Retirement

Quantitative Effects of Ecuadorian Silicon-Aluminum Materials on the Degradation Rate and Mechanical Strength Enhancement of Recycled Polyethylene

This study presents an innovation in the use of a native Ecuadorian nanoporous material known as allophane for the reprocessing of greenhouse plastics to obtain a functional polymer that allows for reuse, improving its mechanical properties and/or increasing its lifespan. By achieving this objective, three problems are simultaneously addressed: 1) the need to recycle used plastics in a prominent Ecuadorian flower company committed to environmental preservation, 2) the scientific viability work carried out by the Central University of Ecuador, and 3) the industrial application of recycled plastics and pellet production. Blown film extrusion was used to prepare low-density polyethylene sheets with different amounts of Ecuadorian allophane microparticles (30&amp;plusmn;5 micrometers) (0.1%, 0.3%, and 0.5% by weight). Mechanical property studies were conducted following ASTM D 882 standards, and thermal stability was characterized using thermogravimetry. The results showed an increase in elongation at break and Young&amp;#39;s modulus percentages as the concentration of the additive increased, demonstrating its physical-chemical compatibility. Additionally, the effect on the polymer&amp;rsquo;s thermal degradation was analyzed, resulting in a directly proportional relationship between activation energy and the concentration of the material. Finally, these results demonstrate that allophane as an additive enhances the mechanical properties of recycled low-density polyethylene (12-36%) and accelerates its thermal degradation process, reducing environmental impact.

How to make virtual field guides, and use them to bridge field- and classroom teaching

At the University Centre in Svalbard (UNIS), fieldwork is an important part of all courses, but the transition from theory in the classroom to the arctic reality is a challenge. Other common challenges with course-related fieldwork are insufficient preparation, no possibilities to revisit a location to repeat difficult issues or resolve misunderstandings, and lack of suitable assessment methods of field-related learning outcomes. To narrow the gap between theory and practice and improve the alignment between field-related learning outcomes, activities, and assessment, we created a set of virtual field guides (VFG) from different locations in Svalbard based on 360-Degrees photographs collected during summer 2019. The VFGs were intended for use in combination with fieldwork in terrestrial biology courses the following years. Due to COVID-19, all courses were cancelled in 2020, and UNIS had reduced activity in 2021. The VFGs were therefore tested and evaluated by former students that had visited the locations the VFGs represented, but had not used VFGs as an integrated tool to prepare their field course. Evaluation data were collected through an anonymous survey. Eight of 16 students responded. We also collected experiences from arranging a post-fieldwork learning activity (16 students) that required knowledge of “reading landscapes,” a typical field skill. The current feedback indicates that VFGs provide students with a more realistic picture of what awaits them in the field, and aid preparing, planning, and recapitulation activities of fieldwork, but cannot substitute for fieldwork. However, VFGs can be used to practice and assess certain field-related skills. The learning potential in fieldwork is huge, but rarely fully utilized. We provide a “how to” guide for making VFGs, and argue that these rather simple digital tools improve field learning and better utilization of investments in field activities.

Chest Wall Hydatid Disease: Surgical management and risk Factors for Recurrence and Mortality

Background Hydatidosis of the thoracic wall differs from other hydatid localizations in its pathophysiology, diagnostic, and therapeutic management. It is a little-studied entity. The objectives of our work were to describe its surgical management and to analyze the factors that may influence recurrence and mortality. Methods A retrospective, descriptive, longitudinal, and multicenter study on four university hospital surgical centers of Tunis, from January 1995 to December 2022 including operated hydatid cysts of the thoracic wall. Overall survival (OS) and cumulative recurrence rates were calculated. Univariate and multivariable Cox regression analyses were performed to identify recurrence and mortality risk factors. Results Forty-nine patients were included. The mean age was 41 ± 17 years [8-76]. The main presenting sign was thoracic parietal swelling (n=22). Chest ultrasound and CT scan showed multivesicular formation in 17 and 33 cases, respectively. Muscle involvement was in the intercostal (n=4), paravertebral (n=13), and pectoralis major (n=3) muscles. Bone involvement was vertebral (n=11), costal (n=12), costo-vertebral (n=21) and sternal (n=2). A posterolateral thoracotomy was performed (n=20). Surgical excision at various levels of the chest wall with spinal stabilization (n=15) was performed. Sixty-three percent of the patients received antiparasitic medical treatment. Recurrence occurred in 37% of cases. Four patients died from hydatidosis-related complications. Factors could be independently associated with recurrence such as male gender, and vertebral involvement. The presence of a visceral hydatid cyst located at a distance from the parietal lesion at the time of diagnosis and the occurrence of postoperative infectious complications could increase mortality. Conclusions Chest wall hydatidosis represents a rare medical condition where surgery remains the preferred treatment modality. However, it carries a substantial burden of morbidity and mortality, influenced by various factors. Further large-scale studies are necessary to gain a deeper understanding of these factors and to optimize management strategies accordingly.

Cultural Conversations in Therapy: How Often Clients Talk About Their Identities.

The purpose of this study was to examine how often clients report discussing cultural identities during counseling sessions; the extent to which discussion of cultural identities during treatment varies across therapists; whether identifying as BIPOC (Black, Indigenous, and people of color) predicts clients' discussion of cultural identities in sessions; and whether differences in the frequency of cultural conversations (i.e., dialogue that focuses on client cultural identities) across client groups depend on the therapist. This study examined variation in reports of engagement in cultural conversations during sessions (N=10,731) with 1,997 clients and 72 therapists from a university counseling center. Data were analyzed by using Bayesian multilevel models. Overall, clients reported having cultural conversations in 48.4% of sessions. Cultural conversations were much more likely to occur in sessions with BIPOC clients than with White clients: 66.2% of sessions with BIPOC clients involved conversations about cultural identities, compared with only 39.8% of sessions with White clients. Of note, the magnitude of this difference varied by therapist. Cultural conversations were more likely to occur in treatment with BIPOC clients than with White clients, and the presence of cultural conversations in treatment varied by therapist.