bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vertebrobasilar Artery Calcification and Outcomes in Posterior Circulation Large Vessel Occlusion Thrombectomy
Authors: Diprose William K. , Diprose James P. , Tarr Gregory P. , Sutcliffe James , McFetridge Andrew , Brew Stefan , Caldwell James , McGuinness Ben , Wang Michael T.M. , Barber P. Alan 
Published: February 2020

Background and Purpose—
Intracranial carotid artery calcification is associated with worse outcome in anterior circulation stroke patients who undergo endovascular thrombectomy. We investigated the association between vertebrobasilar artery calcification (VBAC) and outcome in patients undergoing endovascular thrombectomy for posterior circulation large vessel occlusion.

Methods—
Consecutive patients treated for posterior circulation large vessel occlusion from a prospective single-center registry were studied. VBAC was manually segmented on computed tomography brain scans. The associations between VBAC and VBAC volume, functional independence (90-day modified Rankin Scale score of 0–2), and 90-day mortality were assessed using propensity score–adjusted logistic regression.

Results—

Sixty-four posterior circulation large vessel occlusion patients were included. Twenty-five (39.1%) patients had VBAC, and of these, the median (interquartile range) VBAC volume was 19.8 (6.65–23.4) mm
3
. VBAC was associated with reduced functional independence (OR, 0.19 [95% CI, 0.04–0.78];
P
=0.03) and increased mortality (OR, 9.44 [95% CI, 2.43–36.62];
P
=0.005). Larger VBAC volumes were a significant predictor of reduced functional independence and increased mortality.

Conclusions—
VBAC is an independent predictor of outcome in patients undergoing endovascular thrombectomy for posterior circulation large vessel occlusion. Considering the presence of VBAC might improve prognostication and shared treatment decision-making between patients, families, and physicians.
What Is the Relationship Among Positive Emotions, Sense of Presence, and Ease of Interaction in Virtual Reality Systems? An On-Site Evaluation of a Commercial Virtual Experience
Authors: Pallavicini Federica , Pepe Alessandro , Ferrari Ambra , Garcea Giacomo , Zanacchi Andrea , Mantovani Fabrizia 
Published: February 2020

Abstract
Scientific knowledge is still limited about the effect of commercial virtual reality content, such as experiences developed for advertising purposes, on individual emotional experience. In addition, even though correlations between emotional responses and perceived sense of presence in virtual reality have often been reported, the relationship remains unclear. Some studies have suggested an important effect of ease of interaction on both emotions and the sense of presence, but only a few studies have scientifically explored this topic. Within this context, this study aimed to: (a) test the effect of inducing positive emotions of a commercial virtual experience developed for the promotion of an urban renewal project, (b) investigate the relationship between positive emotions and the perceived sense of presence, and (c) explore the association between the ease of interaction of the virtual experience with positive emotions and the sense of presence reported by the users. Sixty-one participants were recruited from visitors to the 2017 Milan Design Week “Fuorisalone” event. A survey was administered before and after the experience to collect information about users' demographics, positive emotions, sense of presence, and the ease of interaction with the virtual content. Results give evidence that: (a) the commercial virtual reality experience was able to induce positive emotions; (b) the positive emotions reported by users were associated with the sense of presence experienced in the virtual environment, with a directional effect from emotion to sense of presence; and (c) the easier the interaction, the more the sense of presence and positive emotions were reported by users.
Associations between prenatal diet quality and gestational weight gain
Authors: Schlaff Rebecca A , Baruth Meghan , Deere Samantha J , Boggs Ashley , Odabasic Anya 
Published: February 2020

Background: Improving prenatal diet quality may promote appropriate gestational weight gain (GWG). Aim: To examine relationships between dietary quality in the second and third trimesters of pregnancy and GWG. Methods: Participants’ ( n = 41) dietary intake was assessed at 14–20 and 35 weeks gestation via the Automated Self-Administered 24-h recall (ASA-24). Kilocalories and Healthy Eating Index (HEI-2015) scores were calculated and associations with GWG were explored via linear regression. Results: Participants reported consuming 2139 ± 719 and 2085 ± 704 kilocalories at 18 and 35 weeks, respectively. HEI-2015 total scores at 18 (55.6 ±12.6) and 35 weeks gestation (56.6 ± 14.1) indicated a need for improvement. Greens and beans component score at 35 weeks was the only diet quality score associated with GWG. Conclusions: GWG was not associated with most diet quality indices. However, vegetable intake may help to attenuate GWG. Future research should seek to elucidate relationships between GWG and dietary quality/intake to provide valuable insight for researchers and clinicians.
Prognostic value of [18F]FDG PET/CT parameters in surgically resected primary lung adenocarcinoma: a single-center experience
Authors: Ventura Luigi , Scarlattei Maura , Gnetti Letizia , Silini Enrico Maria , Rossi Maurizio , Tiseo Marcello , Sverzellati Nicola , Bocchialini Giovanni , Musini Luca , Balestra Valeria , Ampollini Luca , Rusca Michele , Carbognani Paolo , Ruffini Livia 
Published: February 2020

Objective: To evaluate the prognostic role of maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) measured by FDG–positron emission tomography (PET)/computed tomography (CT) in patients with primary lung adenocarcinoma undergoing surgical resection. Methods: All consecutive patients undergoing curative surgery for primary lung adenocarcinoma at the Thoracic Surgery Unit of the University Hospital of Parma between January 2009 and December 2014 were retrospectively analyzed. The cutoff point of each continuous PET parameter was determined through receiver operating characteristic curve and Youden index, using overall survival (OS) as the classification status. Univariate and multivariate Cox proportional hazards models were applied to evaluate the association between OS and potential prognostic variables, including SUVmax, MTV, and TLG. Results: A total of 193 patients were considered eligible for this study. The mean 5-year OS rate was 70.5 ± 3.5%. Acinar and lepidic patterns were more frequently associated with absent or low (<2.5) SUVmax values [18F]FDG uptake. At univariate analysis, male sex, advanced stage, micropapillary and solid pattern, lymphatic, blood vessels and pleural invasion, high SUVmax, MTV, and TLG were significantly associated with poorer OS. Multivariate analyses revealed that only sex, stage, and TLG were independent factors for OS, with male sex, stage 3+4, and high TLG value ( p = 0.041) significantly associated with poorer OS. Conclusions: In this study, [18F]FDG PET/CT parameters SUVmax, MTV, and TLG were prognostic factors in patients with surgically resected lung adenocarcinoma, able to predict OS and helping to further stratify these patients into prognostic subsets. Elevated TLG was also an independent predictor for shorter OS.
The Therapeutic Waiting Room: Therapist and Service User Perspectives on the Psychologically Supportive Dimensions of Architectural Space
Authors: Liddicoat Stephanie 
Published: February 2020

Background: Waiting areas in healthcare settings play an important role in reassuring or potentially further distressing service users. The effects of the designed environment on mental health service users specifically are regarded by health professionals as having a considerable influence on treatment outcomes, experiences, and perceptions of care. Purpose: The purpose of this article is to explore service user and practicing therapist perspectives of waiting areas in mental health service settings and how the design of these spaces affects anxiety levels, comfort, therapeutic relationships, outcomes, and perceptions of care. Methods: The methodology for this exploratory phenomenological study was developed in order to preserve the integrity of participant voices in the essences of experiences, during explorations of their encounters with therapeutic waiting areas. Fieldwork undertaken by the author involved a series of focused in-depth interviews with service users of mental health services and practicing therapists, counselors, and psychologists. Results: Key themes identified through data analysis include (1) space acting as symbolism, (2) interpersonal relations which are threatening, and (3) sensory modulation. Design implications in relation to each theme are presented. Conclusions: This study uncovered a set of findings in relation to symbolic content inferred by spatial design aspects and the ways in which design can afford, or mitigate, development of interpersonal agencies, psychological safety, and negative stigmas. Future transdisciplinary research directions are suggested, including (1) examination of other relationships, beyond the service user–therapist dyad, which may influence waiting area experiences and (2) examination of the applicability of design suggestions to different contexts.
Geography, China's Path and State-Society Relations: Redressing Western Misinterpretations
Authors: Parenti Fabio Massimo 
Published: February 2020

The complexity of China's state-society relations is often underestimated, or completely neglected, by Western commentators, journalists, politicians and, at times, academics. There especially seems to be a lack of theoretical ideas and systematic analysis in geographical studies. The overall outcome of said underestimation is the proliferation of misinterpretations on the meaning-sense of evolving relational configurations between power, people and places in China. Hence the Western ability (institutions and common people) to understand and judge, as objectively as possible, ongoing socio-economic and political trends in China, its hybrid experimental path and general development trajectory, is concretely invalidated. Starting from this standpoint and drawing from different sources, this paper first suggests that the changing characteristics of the current Chinese multi-scalar politico-socio-economic processes cannot be simply reduced to “capitalism.” Secondly, to get a better understanding of China in a comparative perspective — by analyzing the country's direction of development and governance — I summarize some instructive traits of state-society relations, arguing that the nature and significance of these differ, when they are not quite the reverse, from the prevailing (mis) interpretations by Western agents. I specifically refer to the need to (re)interpret two points from a comparative standpoint: a) the state's popular legitimacy and socio-economic dynamism, and b) the variegated modes of conflict resolution and financial governance.
Darly and Her Battle with the Sand-Mining Mafia: Tracing a Feminist Geopolitics of Fear in the Production of Nature
Authors: Binoy Parvathy 
Published: February 2020

This paper draws on the testimonials and writings of Darly and other environmental activists based in the South Indian state of Kerala to illuminate the workings of the sand mining industry in contemporary India. Darly is a 65-year-old woman from Olathani, a village located along the Neyyar River in Southern Kerala, who has voiced her opposition to the operations of the sand mining industry for several years. Due to her actions, she endured several years of physical and psychological abuse from local authorities and individuals affiliated with the industry, which had taken a serious toll on her mental and physical health. I draw upon Darly's testimonial and writings on the effects of sand mining in the Neyyar, along with the work of Anitha Sharma, an environmentalist based in Kerala, to argue for the need to understand uneven development, and the production of nature, as conceptualized by Neil Smith (2010) in the context of contemporary India through lived, embodied articulations and experiences of fear wrought by this process. Darly's own work I argue, illuminates the ways in which the production of nature as an abstract concept is actually experienced, lived and struggled with through an everyday emotional geopolitics of fear; an emotional geopolitics that is not only reflective of the crucial affective dimensions of the production of nature facilitated by capitalist accumulation, but also reflective of struggles and practices that claim ecological citizenship. Here I draw on Tolia-Kelly's (2008) concept of ecological citizenship to contextualize from Darly's practices and lived experiences of trying to fight and stand in opposition entities involved in the sand-mining business in Olathani.
Disconnecting from Technology on Hare Krishna Farms
Authors: Lestar Tamas 
Published: February 2020

This paper is part of a comprehensive study made on three Hare Krishna farms in the context of climate change and sustainability transitions. The overall purpose was to identify enabling and disabling factors for the wider diffusion of sustainable Krishna practices. This work reports only on one aspect of the research, namely de-technologizing tendencies, and their reasons, in Hare Krishna communities. Ethnographic research was carried out on three Hare Krishna eco-farms — Scotland, England and Hungary. Apart from observations and participatory action, twenty-nine interviews were conducted to tease out details of Hare Krishna practices such as land cultivation, cow protection, eating and food sharing. The tenets of a ‘New Economics’ or ‘postgrowth’ literature were applied to analyse the community's de-technologizing practices. Findings reveal that first: a radical de-technologizing characterises the lived experience of community members on Hare Krishna eco-farms. Second: Krishna practices harmonise with a New Economics concept which promotes simplification and demand-side resource reduction as a precondition for transitioning to a sustainable future. Academic publications studying the Hare Krishna community have largely focused on the group's religiosity, but this paper positions it as an environmental movement. To date, the connection between Hare Krishna lifestyle practices and sustainability transitions has not been presented. Connecting the believers’ lived experience to the tenets of the New Economics notion is a unique contribution to the sustainability transitions literature and related fields.
Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance
Authors: Erdoganoglu Yildiz , Pepe Murad , Kaya Defne , Tagrikulu Bilgehan , Aksahin Ertugrul , Aktekin Cem Nuri 
Published: February 2020

Study design: This study is a prospective study. Aim: Lower extremity malalignment is an important etiologic factor in patellofemoral pain syndrome (PFPS). We hypothesized that lower limb malalignment may affect dynamic balance and physical function. This prospective study was conducted to investigate the relationship between the lower limb alignment and the dynamic balance and physical function in patients with PFPS. Methods: The study included 62 individuals with unilateral PFPS. Pain severity was assessed by the numerical pain scale and the pain duration was recorded. Lower extremity bone alignment was evaluated by the lateral distal femoral angle (LDFA) and the medial proximal tibia angle. Dynamic postural balance was assessed by the star excursion balance test. The functional status of the patients was evaluated by the 30-second chair stand test. Results: The mean duration of the pain was 24.2 ± 31.5 months and the mean pain severity was 8.1 ± 1.4. Although there was a significant difference found between the affected and unaffected LDFA values of lower extremities ( p < 0.05), there was no difference found with regard to the dynamic balance values of the lower extremities ( p > 0.05). However, significant changes of posterolateral balance were identified at a painful side without causing a postural dynamic imbalance ( p < 0.05). Conclusion: In our study, we found a valgus deformity as a deterioration in the lower limb alignment of patients with PFPS which may cause a deterioration of posterolateral balance only. However, no change in postural dynamic balance was observed in the comparison of affected side and unaffected side. Dynamic postural balance has been influenced by many kinematic changes related to lower extremities including pelvis, hip, and ankle. Thus, reciprocal mechanisms in the anatomical structures may compensate the postural balance dynamically.
Transcriptome profiles of Quercus rubra responding to increased O3 stress
Authors: Soltani Nourolah , Best Teo , Grace Dantria , Nelms Christen , Shumaker Ketia , Romero-Severson Jeanne , Moses Daniela , Schuster Stephan , Staton Margaret , Carlson John , Gwinn Kimberly 
Published: February 2020

AbstractBackgroundClimate plays an essential role in forest health, and climate change may increase forest productivity losses due to abiotic and biotic stress. Increased temperature leads to the increased formation of ozone (O3). Ozone is formed by the interaction of sunlight, molecular oxygen and by the reactions of chemicals commonly found in industrial and automobile emissions such as nitrogen oxides and volatile organic compounds.Although it is well known that productivity of Northern red oak (Quercus rubra) (NRO), an ecologically and economically important species in the forests of eastern North America, is reduced by exposure to O3, limited information is available on its responses to exogenous stimuli at the level of gene expression.ResultsRNA sequencing yielded more than 323 million high-quality raw sequence reads. De novo assembly generated 52,662 unigenes, of which more than 42,000 sequences could be annotated through homology-based searches. A total of 4140 differential expressed genes (DEGs) were detected in response to O3stress, as compared to their respective controls. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses of the O3-response DEGs revealed perturbation of several biological pathways including energy, lipid, amino acid, carbohydrate and terpenoid metabolism as well as plant-pathogen interaction.ConclusionThis study provides the first reference transcriptome for NRO and initial insights into the genomic responses of NRO to O3. Gene expression profiling reveals altered primary and secondary metabolism of NRO seedlings, including known defense responses such as terpenoid biosynthesis.
Health-promoting factors in higher education for a sustainable working life – protocol for a multicenter longitudinal study
Authors:   Impact within the Swedish framework for “Health Research in Collaboration”, Lindmark U. , Ahlstrand I. , Ekman A. , Berg L. , Hedén L. , Källstrand J. , Larsson M. , Nunstedt H. , Oxelmark L. , Pennbrant S. , Sundler A. , Larsson I. 
Published: February 2020

Abstract
Background
The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work.

Methods
This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions.

Discussion
This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study’s findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.
Development of a fall-risk assessment profile for community-dwelling older adults by using the National Health Interview Survey in Taiwan
Authors: Chen Ping-Ling , Lin Hsiao-Yu , Ong Jiann Ruey , Ma Hon-Ping 
Published: February 2020

Abstract
Background
Falls represent a global health issue among older adults and cause a considerable burden on medical systems. In this study, a fall-risk assessment profile was developed for community-dwelling older adults.

Method
The data of survey participants aged > 65 years were obtained from three rounds (2005, 2009, and 2013) of the National Health Interview Survey in Taiwan. In total, 8356 older participants were included in this study. Logistic regression analyses were used to determine potential predictors associated with falls. The regression coefficients of the predictors in the final model were translated into scores (by multiplying by 5) and then summed to obtain a total risk-score for falls. A receiver operating characteristic (ROC) curve was used to evaluate the discriminative performance of the risk assessment profile.

Result
Self-reported falls within 1 year accounted for 19.1% of the total falls. The predictors that were included in the risk profile according to the logistic regression analysis results were as follows: female sex (adjusted odds ratio = 1.57; risk-score = 2), living alone (adjusted odds ratio = 1.56; risk-score = 2), urinary incontinence (adjusted odds ratio = 1.36; risk-score = 2), perceived unhealthiness (adjusted odds ratio = 1.32; risk-score = 1), perceived pain (adjusted odds ratio = 1.51; risk-score = 2), hospital admission in the past year (adjusted odds ratio = 2.42; risk-score = 4), low activity of daily living (ADL) scores (adjusted odds ratio = 1.29; risk-score = 1), and low mobility function scores (adjusted odds ratio = 1.68; risk-score = 3). At a total risk-score cutoff point of 6 (range 0–17), the model predicted falls with a sensitivity and specificity of 75.16 and 52.75%, respectively (area under the ROC curve = 0.70).

Conclusion
The fall-risk assessment profile comprising eight predictors—female sex, living alone, incontinence, perceived unhealthiness, perceived pain, hospital admission in the past year, low ADL scores, and low mobility function scores—may serve as an assessment tool for identification of older adults with a high risk of falling, and assessment results can be used to facilitate community-based intervention.