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Longitudinal follow-up, resource utilization, and health disparities are top congenital heart research and care priorities. Medicaid claims include longitudinal data on inpatient, outpatient, emergency, pharmacy, rehabilitation, home health utilization, and social determinants of health-including mother-infant pairs.The New York Congenital Heart Surgeons Collaborative for Longitudinal Outcomes and Utilization of Resources linked robust clinical details from locally held state and national registries from 10 of 11 New York congenital heart centers to Medicaid claims, building a novel, statewide mechanism for longitudinal assessment of outcomes, expenditures, and health inequities.The authors included all children 18 years of age undergoing cardiac surgery in The Society of Thoracic Surgeons Congenital Heart Surgery Database or the New York State Pediatric Congenital Cardiac Surgery Registry from 10 of 11 New York centers, 2006 to 2019. Data were linked via iterative, ranked deterministic matching on direct identifiers. Match rates were calculated and compared. Proportions of the linked cohort trackable over 3, 5, and 10 years were described.Of 14,097 registry cases, 59% (n = 8,322) reported Medicaid use. Of these, 7,414 were linked to New York claims, at an 89% match rate. Of matched cases, the authors tracked 79%, 74%, and 65% of children over 3, 5, and 10 years when requiring near-continuous Medicaid enrollment. Allowing more lenient enrollment criteria, the authors tracked 86%, 82%, and 76%, respectively. Mortality over this time was 7.7%, 8.4%, and 10.0%, respectively. Manual validation revealed ∼100% true matches.This establishes a novel statewide data resource for assessment of longitudinal outcome, health expenditure, and disparities for children with congenital heart disease.

The recent digitization of complete count census data is an extraordinary opportunity for social scientists to create large longitudinal datasets by linking individuals from one census to another or from other sources to the census. We evaluate different automated methods for record linkage, performing a series of comparisons across methods and against hand linking. We have three main findings that lead us to conclude that automated methods perform well. First, a number of automated methods generate very low (less than 5 percent) false positive rates. The automated methods trace out a frontier illustrating the trade-off between the false positive rate and the (true) match rate. Relative to more conservative automated algorithms, humans tend to link more observations but at a cost of higher rates of false positives. Second, when human linkers and algorithms use the same linking variables, there is relatively little disagreement between them. Third, across a number of plausible analyses, coefficient estimates and parameters of interest are very similar when using linked samples based on each of the different automated methods. We provide code and Stata commands to implement the various automated methods. (JEL C81, C83, N01, N31, N32)

BACKGROUND: The thin-walled regions (TIWRs) of intracranial aneurysms have a high risk of rupture during surgical manipulation. They have been reported to be predicted by wall shear stress and pressure (PS) based on computational fluid dynamics analysis, although this remains controversial. In this study, we investigated whether the oscillatory shear index (OSI) can predict TIWRs. METHODS: Twenty-five unruptured aneurysms were retrospectively analyzed; the position and orientation of the computational fluid dynamics color maps were adjusted to match the intraoperative micrographs. The red area on the aneurysm wall was defined as TIWR, and if most of the regions on the color map corresponding to TIWR were OSI low (lower quartile range), time-averaged wall shear stress (TAWSS) high, or PS high (upper quartile range), each region was defined as a matched region and divided by the total number of TIWRs to calculate the match rate. In addition, the mean values of OSI, TAWSS, and PS corresponding to TIWRs were quantitatively compared with those in adjacent thick-walled regions. RESULTS: Among 27 TIWRs of 25 aneurysms, 23, 10, and 14 regions had low OSI, high TAWSS, and high PS regions (match rate: 85.2%, 37.0%, and 51.9%), respectively. Receiver operating characteristic curve analysis demonstrated that OSI was the most effective hemodynamic parameter (area under the curve, 0.881), followed by TAWSS (0.798). Multivariate analysis showed that OSI was a significant independent predictor of TIWRs (odds ratio, 18.30 [95% CI, 3.2800e102.00], P < 0.001). CONCLUSIONS: OSI may be a unique predictor for TIWRs. Low OSI strongly corresponds with TIWRs of intracranial aneurysms.

The current biodiversity crisis calls for rapid and wide-ranging surveys to assess living organisms. However, some taxa are more elusive than others, making monitoring challenging. This is the case for soil invertebrates, but new molecular technologies such as eDNA metabarcoding could help to alleviate this problem. In this study, we evaluated the feasibility of using an eDNA approach to survey dung beetles, adapting existing monitoring methods for surveying dung fauna to enable eDNA collection in a non-destructive way. The main design idea is to capture species secretions and excretions from a serum-soaked nonwoven compress in a baited non-destructive trap. While the attractiveness of the device to dung beetles and the sampling protocol would benefit from further development, eDNA allowed the identification of more than 68% of trapped species and an identification of relative abundance match rate of 79%. The results of the study demonstrate the effectiveness of eDNA-based detection tools for the monitoring of dung beetles compared to standard surveying and identification techniques. Moreover, the adapted collecting device developed for the study could be used for similar surveys of other terrestrial invertebrates or even re-adapted. Ultimately, we hope this study encourages more non-invasive studies of insects by enabling others to utilize these emerging, non-destructive molecular techniques and therefore foster wide insect monitorings and conservation programs. Standardization and optimization of sampling protocols for inventorying and monitoring is key to unlock invertebrates’ studies and conservation evaluations. Here we show how molecular tools, such as eDNA, are a promising way to gather rapidly ecological information without killing targeted populations by adapting traditional inventory tools. Newly developed NDC traps for dung beetles, inspired by CSR traps, allowed qualitative and quantitative information gathering in temperate agropastoral ecosystems opening the way to large scale eDNA monitoring to inform management and conservation schemes.

In order to enhance the reliability of the application to clinical practice of the TLICS classification, we retrospectively reviewed the patients with thoracolumbar spine injuries who underwent magnetic resonance imaging (MRI) and analyzed the validity of the TLICS classification and the necessity of MRI. We enrolled 328 patients with thoracolumbar spine injury who underwent MRI. All patients were classified into conservative and operative treatment groups. The TLICS score of each group was analyzed and the degree of consistent with the recommended treatment through the TLICS classification was examined. Of the total 328 patients, 138 patients were treated conservatively and 190 patients were treated by surgery. Of the 138 patients who underwent conservative treatment, 131 patients (94.9%) had a TLICS score of 4 points or less, and matched with the recommendation score for conservative treatment according to the TLICS classification (match rate 94.9%, 131/138). Of the 190 patients who underwent operative treatment, 160 patients (84.2%) had a TLICS score of 4 points or more (match rate 84.2%, 160/190). All of 30 mismatched patients with a TLICS score of 3 points or less (15.8%) had stable burst fracture without neurological deficit. We retrospectively reviewed the validity of the TLICS classification for the injuries of the thoracolumbar spine, based on MRI in a large group of patients. Treatment with TLICS classification showed high validity, especially in conservative group, and MRI should be an essential diagnostic tool for accurate evaluation of posterior ligamentous complex injury.

We estimate the impact of a matched savings account program on high school students’ college enrollment and persistence through a randomized controlled trial carried out in Italy. The tested program (Percorsi) provided low-income high school students with a 4:1 match rate for savings dedicated to higher education expenditures and required that they attended financial education classes. The program increased rates of enrollment and persistence in university by about nine percentage points. Effects were even larger for vocational school students, who have poorer social backgrounds and lower academic preparation. Incentivized savings programs have potential to reduce social disparities in higher education participation, though the lower saving capacity of poorer households can generate regressivity in program design.

The researchers extracted a disproportionate stratified random sample from 40 years of thesis bibliographic records at Concordia University in Montreal, Quebec. Match rates for thesis authors in th...

This paper presents an extern program, developed 10 years ago, which recruited unmatched medical graduates and involved them in publishing articles in academic journals, presenting poster presentations, writing grants, and networking with psychiatrists. The study examined how involvement in the extern program affected the candidates’ Match reapplication outcome. Respondents were previous externs who joined the extern program. They were sent questionnaires on how the program affected their Match reapplication outcome. Out of 22 externs surveyed, 15 completed the questionnaire. Results showed that the externship offered graduates opportunities in academic and clinical work, which improved their chances of getting a Match. The 15 respondents had a 100% match rate into a psychiatry residency program upon completing an average of 16 months of academic work in the externship. Respondents agreed that the extern program was beneficial, and they would highly recommend it to struggling medical graduates. Unmatched graduates urgently need guidance during the critical gap year. They should be given options and interventional plans, such as Dr. Rahn K. Bailey’s extern program. The externship provides participants exposure to research and the scientific underpinnings of clinical medicine. It continues to expand and grow, serving unmatched medical graduates and students who need help getting into medical school or a PhD program. Further studies should be conducted on unmatched candidates, in particular, international medical graduates, who reapply and eventually match. This will provide information and insight into what they can do to advance themselves during the intervening period.

The purpose of this study was to compare factors that contribute to increased match rates into general surgery.Survey study.University of Kansas School of Medicine Campuses.A survey assessing experiences and perceptions during their surgical clerkship was sent to graduating medical students from a single university with a hybrid (academic-affiliated community-based) campus, and an academic campus. Specific questions were asked with regard to residents and attendings, procedural experiences, perceived lifestyle, and general interest in surgery before and after clerkship.The match rate into general surgery was significantly higher on the hybrid campus (14.7% vs 4.0%, p = 0.215). Factors that were positively correlated with interest in surgery included interactions with attendings (0.86) and residents (0.63), time spent in the OR (0.77), participation in the OR (0.62), and complexity of cases (0.61). Students on the hybrid campus spent more weeks on general surgery services (6 vs 4, p0.001). More students from the hybrid campus were "Not interested at all" in surgery prior to their surgery clerkship (26.5% vs 16.0). Significantly more academic students indicated they were "Not interested at all" in surgery after their surgery clerkship (52.0 vs 17.6%), while more students on the hybrid campus indicated they were "extremely interested" (29.4 vs 12.0%, p = 0.005) after their surgery clerkship.The rate of students matching into general surgery between the 2 campuses are different, with the hybrid campus having nearly 4 times the rate of students matching into general surgery. Programs may be able to increase their match rate by allowing students more opportunities to participate in the operating room, spending more time on a general surgery service, and by ensuring that medical students are included as members of the surgical team.

Tourists' need for experience activities on farms has increased over the past decade; thus, this study adopted a co-branding perspective to examine the best match between farm image and experience activities, and examined whether farm marketers can design farm experience activities based on different source. A total of 706 samples were collected. The results indicate: (1) When a farm's promotional image and the perceptions of tourists visiting that farm are the same, a higher optimal match rate between farm imagery and farm experience activities is achieved, which results in more positive tourist responses. (2) When tourists and farm operators both identify a farm's image as the same, it results in the farm's image being identified as a particular kind of farm, whether by farm operators or tourists, resulting in an optimal match rate between farm imagery and experience activities, with both resulting in a positive tourist response. This study contributes further insights into the farm marketing strategy based on these research findings.

BACKGROUND Overlapping surgery is a long-standing practice that has not been well studied. The aim of this study was to assess whether overlapping surgery is associated with untoward outcomes for orthopaedic patients. METHODS Coarsened exact matching was used to assess the impact of overlap on outcomes among elective orthopaedic surgical interventions (n = 18,316) over 2 years (2014 and 2015) at 1 health-care system. Overlap was categorized as any overlap, and subcategories of exclusively beginning overlap and exclusively end overlap. Study subjects were matched on the Charlson comorbidity index score, duration of surgery, surgical costs, body mass index, length of stay, payer, and race, among others. Serious unanticipated events were studied. RESULTS A total of 3,395 patients had any overlap and were matched (a match rate of 90.8% of 3,738). For beginning and end overlap, matched groups were created, with a match rate of 95.2% of 1043 and 94.7% of 863, respectively. Among matched patients, any overlap did not predict an unanticipated return to surgery at 30 days (8.2% for any overlap and 8.3% for no overlap; p = 0.922) or 90 days (14.1% and 14.1%, respectively; p = 1.000). Patients who had surgery with any overlap demonstrated no difference compared with controls with respect to reoperation, readmission, or emergency room (ER) visits at 30 or 90 days (a reoperation rate of 3.1% and 3.2%, respectively [p = 0.884] at 30 days and 4.2% and 3.5% [p = 0.173] at 90 days; a readmission rate of 10.3% and 11.0% [p = 0.352] at 30 days and 5.5% and 5.2% [p = 0.570] at 90 days; and an ER visit rate of 5.2% and 4.6% [p = 0.276] at 30 days and 4.8% and 4.3% [p = 0.304] at 90 days). Patients with surgical overlap showed reduced mortality compared with controls during follow-up (1.8% and 2.6%, respectively; p = 0.029). Patients with beginning and/or end overlap had a similar lack of association with serious unanticipated events; however, patients with end overlap showed an increased unexpected rate of return to the operating room after reoperation at 90 days (13.3% versus 9.7%; p = 0.015). CONCLUSIONS Nonconcurrent overlapping surgery was not associated with adverse outcomes in a large, matched orthopaedic surgery population across 1 academic health system. LEVEL OF EVIDENCE Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

BACKGROUND Pediatric orthopaedic surgery fellowships in North America have been organized, assigned, and administered through the San Francisco Match Program since 2011. However, trends in application numbers and match rates have not been assessed to this point. The purpose of this study is to describe these trends and applicants' perspective of the fellowship match. METHODS The San Francisco Match databank was queried for program and applicant data from 2011 to 2018. Specifically, we obtained data regarding the number of applicants, programs, match rates, and match results. Each year, applicants also completed an anonymous post-match survey administered by the Pediatric Orthopaedic Society of North America fellowship committee, which included information on the number of applications, interview process, estimated costs, and suggested changes. Descriptive statistics were used to summarize the data, and univariate statistics were used to assess differences in categorical and continuous variables. RESULTS From 2011 to 2018, 524 applicants participated in the pediatric orthopaedic fellowship match, and the mean number of annual applicants was 66 (range, 55 to 76). The mean number of fellowship programs and available positions during the same time period was 43 (range, 40 to 47) and 69 (range, 63 to 74), respectively. Each fellowship interview was estimated by the applicant to cost a mean of $458 (range, $372 to $566), and annual application costs across all applicants were extrapolated to be over $200,000/year. The mean overall match rate was 81% (range, 74% to 91%). The mean match rate for North American applicants was 98.7% and international applicants were 40.9% (P

Introduction: The purpose of this study was to (1) determine the incidence of a research gap year (RGY) in orthopaedic residency applicants at a single institution over a seven-year span; (2) compare applicant characteristics between applicants who did a RGY with those who did not, and (3) report variables associated with match success for RGY applicants. Methods: Applicants who reported taking a year out from medical school to pursue research on their Electronic Residency Application Service to a single institution from 2014 to 2015 through 2020 to 2021 were reviewed. Results: A strong positive correlation was noted between the percentage of applicants who participated in a RGY and time (Pearson correlation: r = 0.945 [95% confidence interval (CI), 0.666­0.992], P = 0.001). Over the study period, 11% of applicants had done a RGY, most commonly after their third year of medical school (82.7%). Most RGY applicants matched orthopaedics (72.8%) and 19.4% matched at the same institution they did their RGY. Conclusion: The percentage of RGY applicants to the study institution nearly doubled between 2014 to 2015 and 2020 to 2021. RGY applicants had a higher match rate than nationally published match rates. Further study is needed on a national level.

Background The reliability of DeepL Translator (DeepL GmbH, Cologne, Germany) for the translation for medical articles has not been verified yet. In this study, we investigated the accuracy of machine translation from Japanese to English for a medical article using the DeepL Translator. Methodology The subject of this study was an English-language medical article translated from Japanese, which had already been published. The original Japanese manuscript was translated into English using DeepL Translator. The translated English article was then back-translated into Japanese by three researchers. In turn, three other researchers compared the back-translated Japanese sentences with the original Japanese manuscript and calculated the percentage of sentences that retained the intended meaning. Results The mean ± standard deviation of the match rate for the entire article was 94.0 ± 2.9%. The match rate in the Results section was significantly higher than that in the other sections; while the match rate in the Materials and Methods section was significantly lower than the rate in the other sections. Compound sentences and sentences with an unclear subject and predicate appeared to be significant predictors for mismatched translation. Conclusions The translation for a medical article from Japanese to English was performed accurately by DeepL Translator.

Objective: The objective of this study was to analyze the match rates of psychology predoctoral internship applicants by disability type. Method: Through the use of publicly available data from the 2008, 2011, 2012, 2015, and 2016 Association of Psychology Postdoctoral and Internship Centers internship applicant surveys, differences in match rate for applicants with different types of disabilities, as compared with nondisabled applicants, were analyzed. Additionally, trends in match rates for applicants with different disability types over time were analyzed. Results: Across disability type, applicants with disabilities tended to have lower match rates than did applicants without disabilities. These differences were particularly large in applicants with physical/orthopedic disabilities and learning disabilities. These gaps in match rates were narrowing for some types of disabilities but widening for others. Conclusion: Disabled internship applicants experience consistent, negative disparities internship match rates compared with their nondisabled peers. Psychologists must take action to identify and ameliorate the causes of these disparities and address the chronic underrepresentation of psychologists with disabilities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

INTRODUCTION AND OBJECTIVE:Urology is historically a highly selective residency, and the 2021 urology match rate of 74% was the lowest in 5 years. It is unclear whether this is a result of COVID-re...

This paper is the first to explore the question of whether images that are classified incorrectly by a face analytics algorithm (e.g., gender classification) are any more or less likely to participate in an image pair that results in a face recognition error. We analyze results from three different gender classification algorithms (one open-source and two commercial), and two face recognition algorithms (one open-source and one commercial), on image sets representing four demographic groups (African-American female and male, Caucasian female and male). For impostor image pairs, our results show that pairs in which one image has a gender classification error have a better impostor distribution than pairs in which both images have correct gender classification, and so are less likely to generate a false match error. For genuine image pairs, our results show that individuals whose images have a mix of correct and incorrect gender classification have a worse genuine distribution (increased false non-match rate) compared to individuals whose images all have correct gender classification. Thus, compared to images that generate correct gender classification, images that generate gender classification errors do generate a different pattern of recognition errors, both better (false match) and worse (false non-match).