bluuebunny/crossref_metadata_2025_split huggingface dataset:
Considering BMI, Body Image and Desired Weight Change for Suitable Obesity Management Options
Authors: Godoy-Izquierdo Débora , González-Hernández Juan , Lara Raquel , Rodríguez-Tadeo Alejandra , Ramírez María J. , Navarrón Estefanía , Ogallar-Blanco Adelaida , López-Mora Clara , Arbinaga Félix 
Published: September 2020

AbstractWith prevalence of obesity increasing worldwide, understanding body image in individuals with excessive weight is important, as unawareness of weight excess can prevent weight loss attempts. We explored the associations among measured and self-reported body mass index (BMI), body image and body satisfaction among Spanish females and males with overweight or obesity, with a special focus in discriminating individuals who are and are not satisfied with their body and wish or not to change their appearance. Just unifying all individuals with excessive weight may lead to uncover or deny different realities and to develop unfitted clinical management options. Updating findings for the Spanish population, we found that most participants correctly estimated their weight, but 3 in 10 underestimated it. Similarly, their body images corresponded to adults with overweight or obesity who desired to be thinner, but in average they reported a perceived body just slightly overweight and a moderate satisfaction with their body. Complementing the existing evidence, BMI and sex-gender interacted for influencing body weight estimation and desired weight change. In addition, three different subgroups were found for desired change of weight and size, depending on their BMI and body satisfaction. Discovering and considering different subjective realities and corporeal experiences among individuals with weight excess will help professionals to develop appropriate therapeutic interventions. Thus, the personal experiences that individuals have with obesity, instead of obesity itself, should be considered for disentangling management efforts.
Dementia Worry and the Perception of Personal Risk
Authors: Martin Kristina , Lang Frieder R. , Rupprecht Roland , Nömer Jessica 
Published: September 2020

Abstract. The research examined dementia worry and the perception of personal dementia risk based on a 2-year longitudinal online study ( N = 129, 21–79 yrs). Participants completed questionnaires on attitudes, experiences, and worries concerning dementia. A fully saturated cross-lagged model was estimated. Results show that dementia worry was moderately stable, and that changes were unrelated to perceived risk or family history. In contrast, perceived dementia risk was more prone to change and was positively associated with prior dementia worry but not vice versa. Having a family history of dementia was cross-sectionally, but not longitudinally, associated with greater worry and higher perceived risk. Because of the limited variability of dementia worry, focusing on perception of personal risk is a promising approach. Future research may benefit from differentiating the plasticity of the two constructs.
Tailoring the lineshapes of coupled plasmonic systems based on a theory derived from first principles
Authors: Lin Jing , Qiu Meng , Zhang Xiyue , Guo Huijie , Cai Qingnan , Xiao Shiyi , He Qiong , Zhou Lei 
Published: September 2020

AbstractCoupled photonic systems exhibit intriguing optical responses attracting intensive attention, but available theoretical tools either cannot reveal the underlying physics or are empirical in nature. Here, we derive a rigorous theoretical framework from first principles (i.e., Maxwell’s equations), with all parameters directly computable via wave function integrations, to study coupled photonic systems containing multiple resonators. Benchmark calculations against Mie theory reveal the physical meanings of the parameters defined in our theory and their mutual relations. After testing our theory numerically and experimentally on a realistic plasmonic system, we show how to utilize it to freely tailor the lineshape of a coupled system, involving two plasmonic resonators exhibiting arbitrary radiative losses, particularly how to create a completely “dark” mode with vanishing radiative loss (e.g., a bound state in continuum). All theoretical predictions are quantitatively verified by our experiments at near-infrared frequencies. Our results not only help understand the profound physics in such coupled photonic systems, but also offer a powerful tool for fast designing functional devices to meet diversified application requests.
Deep-blue organic light-emitting diodes based on a doublet d–f transition cerium(III) complex with 100% exciton utilization efficiency
Authors: Wang Liding , Zhao Zifeng , Zhan Ge , Fang Huayi , Yang Hannan , Huang Tianyu , Zhang Yuewei , Jiang Nan , Duan Lian , Liu Zhiwei , Bian Zuqiang , Lu Zhenghong , Huang Chunhui 
Published: September 2020

AbstractCompared to red and green organic light-emitting diodes (OLEDs), blue OLEDs are still the bottleneck due to the lack of efficient emitters with simultaneous high exciton utilization efficiency (EUE) and short excited-state lifetime. Different from the fluorescence, phosphorescence, thermally activated delayed fluorescence (TADF), and organic radical materials traditionally used in OLEDs, we demonstrate herein a new type of emitter, cerium(III) complex Ce-1 with spin-allowed and parity-allowed d–f transition of the centre Ce3+ ion. The compound exhibits a high EUE up to 100% in OLEDs and a short excited-state lifetime of 42 ns, which is considerably faster than that achieved in efficient phosphorescence and TADF emitters. The optimized OLEDs show an average maximum external quantum efficiency (EQE) of 12.4% and Commission Internationale de L’Eclairage (CIE) coordinates of (0.146, 0.078).
Prologue to the Forum: Literacy and Language Issues In Children With Hearing Loss
Authors: Bharadwaj Sneha V. 
Published: September 2020

Purpose
The purpose of this forum is to provide an update on reading outcomes in preschool- and school-age children with hearing loss and to provide guidance on intervention strategies to improve reading skills.

Conclusions
Preschool- and school-age children with hearing loss may show deficits in various reading and reading-related skills depending on their age, duration of deafness, severity of hearing loss, age at which they were fitted with hearing technologies, speech recognition skills, communication mode, and quality of intervention. Several linguistic and cognitive factors also are associated with reading outcomes. Thus, intervention programs must be multicomponent in nature and designed to fit the unique needs of each child.
Design of tunable microstrip diplexer with reconfigurable filtering characteristics based on dual‐mode square loop resonators
Authors: Kursad Gorur Ali , Dogan Engin , Karpuz Ceyhun , Gorur Adnan 
Published: September 2020

A novel compact microstrip diplexer with tunable centre frequencies and reconfigurable filtering characteristics at both channels is presented. The designed diplexer is constructed by coupling two dual‐mode square loop resonators (DMSLRs) having different electrical lengths. The DMSLRs are investigated by virtue of the coupled line analysis to evaluate the resonance frequencies, transmission zeros and out‐band insertion loss level more conveniently. Centre frequencies of both channels can be independently tuned by the varactor diodes utilised instead of perturbation and reference capacitances. Depending on the specialised values of perturbation and reference capacitances, filtering characteristics of both channels can be reconfigured in terms of transmission zeros. The designed diplexer was fabricated and tested for the experimental studies and the measurements were obtained in a good agreement with the predicted results. Tuning ranges of the measured centre frequency in the first channel are between 1.23 and 1.43 and 1.35 and 1.64 GHz for the filtering characteristics with right‐ and left‐side transmission zeros, respectively. In the second channel, they are 2.07–2.31 and 2.14–2.51 GHz for the filtering characteristics with real‐ and imaginary‐axis transmission zeros, respectively. Isolation between two channels has been obtained better than 22 dB.
Qualitätssicherung in der Brustrekonstruktion – Etablierung eines prospektiven nationalen Onlineregisters für mikrochirurgische Brustrekonstruktionen
Authors: von Fritschen Uwe , Grill Barbara , Wagner Juri , Schuster Horst , Sukhova Inesa , Giunta Riccardo E. , Heitmann Christoph , Andree Christoph , Horch Raymund E. , Kneser Ulrich , Germann Günter 
Published: September 2020

Zusammenfassung
Hintergrund Der Verlust der weiblichen Brust ist für betroffene Frauen extrem traumatisierend. Obwohl sich freie Lappenplastiken zum Goldstandard in der rekonstruktiven Brustchirurgie entwickelt haben, ist es bisher nicht gelungen, ihre Überlegenheit im Hinblick auf die alternativen konventionellen Techniken zweifelsfrei zu belegen. Bis heute existieren keine Daten zur Versorgungssituation in Deutschland. Durch den Aufbau eines prospektiven Onlineregisters zur Brustrekonstruktion sollten die Versorgungsstruktur und -qualität systematisch erfasst und transparent dargestellt werden, um Defizite zu verbessern und mittelfristig eine flächendeckende Versorgung auf hohem Niveau zu ermöglichen.
Methoden Hierfür hat die Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC) eine internetbasierte Datenbank zur anonymisierten Erfassung der Behandlungsdaten aufgebaut. Im Rahmen einer Zertifizierung wurden die Strukturqualität, Erfüllung der Vorgaben und die Stringenz der eingegebenen Daten im Abgleich mit der krankenhausinternen Dokumentation überprüft. Bei positiver Bewertung wird das Qualitätssiegel der DGPRÄC vergeben.
Ergebnisse Seit ihrer Einführung im Jahr 2012 liefert die Datenbank validierte Informationen. Waren zu Anfang nur wenige Abteilungen zur transparenten Darstellung ihrer Resultate bereit, wuchs deren Zahl in den vergangenen Jahren stetig an. Die Qualitätsdarstellung konnte bundesweit eine Vorreiterfunktion übernehmen und wird von Patienten und Kollegen als seriöse und verlässliche Informationsquelle genutzt. Die Internetseite der DGPRÄC weist die Zentren nach ihrer jeweiligen Qualifikation aus. Inzwischen ist es gelungen, in akzeptabler Nähe zu jedem onkologischen Brustzentrum einen qualifizierten plastisch-chirurgischen Ansprechpartner auszuweisen. Auch zeigen die Daten, dass in Deutschland auf einem international vergleichbaren Spitzenniveau gearbeitet wird.
Schlussfolgerung Die Datenbank liefert einen Überblick über die verschiedenen Operationstechniken und damit die Möglichkeit einer seriösen Selbstkontrolle und wissenschaftlichen Analyse. Dies hat dazu geführt, dass die Akzeptanz mikrochirurgischer Eingriffe und die Stellung der plastischen Chirurgie in der rekonstruktiven Brustchirurgie erheblich gestiegen sind. Die notwendige finanzielle und personelle Ausstattung zur Etablierung der Datenbank wurde jedoch deutlich zu gering eingeschätzt.
Outcomes of anterior versus posterior peroral endoscopic myotomy 2 years post-procedure: prospective follow-up results from a randomized clinical trial
Authors: Ichkhanian Yervant , Abimansour Jad P. , Pioche Mathieu , Vosoughi Kia , Eleftheriadis Nicholas , Chiu Philip Wai Yan , Minami Hitomi , Ogihara Kumi , Sanaei Omid , Jovani Manol , Khashab Mouen A. 
Published: September 2020

Abstract
Background Peroral endoscopic myotomy (POEM) is considered a primary treatment modality for achalasia. It can be performed using either the anterior or posterior approach. A previous randomized clinical trial (RCT) showed that the posterior approach was noninferior to the anterior approach at 1 year post-POEM in terms of clinical success, rate of adverse event, and risk of gastroesophageal reflux disease (GERD). The aim of this post-RCT study was to compare outcomes at ≥ 2 years post-POEM.
Methods Patients who previously completed the 1-year follow-up were contacted and their Eckardt, dysphagia, and GERD questionnaire (GERDQ) scores and frequency of proton pump inhibitor use were recorded. Clinical success was defined as an Eckardt score < 3.
Results 150 patients were initially randomized and 138 completed the 1-year follow-up. Of the 138, 111 (anterior group 54, posterior group 57) also completed ≥ 2 years of follow-up, with an overall clinical success decrease from 89 % to 82 %. At ≥ 2 years post-POEM, clinical success was achieved in 46/54 (85 %) and 45/57 (79 %) in the anterior and posterior groups, respectively (P = 0.43). A similar decrease in clinical success was noted in both groups at ≥ 2 years (anterior: 90 % to 85 %; posterior 89 % to 79 %; P = 0.47). GERDQ score was 6 (interquartile range 6 – 8; P = 0.08) in both treatment groups.
Conclusions The anterior and posterior POEM techniques remained equally effective at 2 years and decreases in efficacy were similar between the two approaches over time. GERD outcomes were also similar in both groups during medium-term follow-up.
Neonatal Adrenal Hemorrhage: A Case Series
Authors: Tognato Eleonora , Ceratto Simone , Enrico Giorgia , Fiorica Lorenzo , Spola Roberta , Loperfido Bruna , Cimminelli Lina , Militello Maria A. , Eshraghy Mohammad R. , Savino Francesco , Giuliani Francesca , Perona Anna , Manzoni Paolo 
Published: September 2020

Neonatal adrenal hemorrhage (NAH) in newborn infants is a rare event that is associated with specific anatomical and vascular characteristics. It is more common in term infants and occurs more often in neonates who feature perinatal asphyxia. Symptoms that more frequently prompt to diagnosis are prolonged jaundice, detection of an abdominal mass, anemia, scrotal discoloration and/or swelling, hypotonia, lethargy, and hypertension. However, NAH may also occur without symptoms with its detection being occasional. Imaging through ultrasound scans is the cornerstone of diagnosis and follow-up monitoring over time. Here we report on a small NAH case series comprising three full-term, macrosomic infants who were born by vaginal delivery. The first and second ones showed clear signs of birth asphyxia, whereas the third was completely asymptomatic. In all three patients, only the right adrenal gland was involved, in line with what happens in 70% of cases. NAH is usually self-limiting and prone to a progressive resolution in a time ranging between 3 weeks and 6 months and so did in our three patients.Key Points
Respiratory Support of Neonate Affected by Bronchiolitis in Neonatal Intensive Care Unit
Authors: Bresesti Ilia , Lista Gianluca 
Published: September 2020

Acute respiratory infections are very common medical emergency in early infancy, often requiring hospitalization. The most frequent respiratory infection at this stage of life is bronchiolitis, with a benign course in the majority of cases. However, especially during neonatal period, infants are at higher risk for developing complications, and ventilatory support of various degrees is needed. The two most widespread methods to provide noninvasive respiratory support are heated humidified high-flow nasal cannula and nasal continuous positive airway pressure. They are both used in neonatal intensive care unit to treat respiratory distress syndrome of the premature infants, and the main concept of recruiting and distending alveoli is valid also for respiratory failure occurring during bronchiolitis. However, there is still ongoing debate about the superiority of one method, and their real efficacy still need to be confirmed. Once respiratory failure does not respond to noninvasive ventilation, more intensive care must be provided in the form of conventional mechanical ventilation or high-frequency ventilation. There is currently no evidence of the optimal ventilation strategy to use, and a deeper comprehension of the pulmonary mechanics during bronchiolitis would be desirable to tailor ventilation according to the degree of severity. Further research is then urgently needed to better clarify these aspects.Key Points
Quality Improvement to Reduce Neonatal CLABSI: The Journey to Zero
Authors: Pearlman Stephen A. 
Published: September 2020

Neonatal infections, including those associated with central lines, continue to be a major cause of morbidity and mortality despite many other improvements in neonatal outcomes. Over the past decades, significant advances have been made to reduce central line-associated bloodstream infections (CLABSIs) using quality improvement methodology. This article will review pertinent studies that used both the Institute for Healthcare Improvement Model for Improvement and other innovative techniques such as orchestrated testing and health care failure mode and effects analysis. These studies, by applying best practices, have demonstrated substantial and sustainable reductions in CLABSI. Some initiatives have been able to achieve rates of zero CLABSI for prolonged periods of time. While neonates often require prolonged central venous access and suffer from impaired immunity which increases the risk of CLABSI, this review demonstrates the journey to zero is feasible.
Key Points
Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study
Authors: Macêdo Sandra Rebouças , Vasconcelos Neto José Ananias , Tamanini José Tadeu Nunes , Bezerra Leonardo , Castro Rodrigo Aquino 
Published: September 2020

Abstract
Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL).
Methods We conducted a cross-sectional study that included women > 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires.
Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR] = 1.07, 95% confidence interval [CI] 1.03–1.12) and post-menopausal status (OR = 2.28, 95% CI 1.08–4.8) were negatively associated with SA. Being married (OR = 0.43, 95% CI 0.21–0.88) was associated with SA. Pelvic organ prolapse (OR = 1.16, 95% CI 0.81–1.68) and UI (OR = 0.17, 95% CI 0.08–0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p = 0.012). Two King's Health Questionnaire domains in NSA women, impact of UI (p = 0.005) and personal relationships (p < 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL.
Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSA women with POP exhibited compromised QoL.
Do Neonatal Infections Require a Positive Blood Culture?
Authors: Bromiker Ruben , Elron Eyal , Klinger Gil 
Published: September 2020

Neonatal sepsis is a major cause of worldwide morbidity and mortality. Blood cultures are considered the gold standard for diagnosis, but results are often delayed for 24 to 48 hours, and sensitivity, although improved by modern techniques, such as automated blood cultures, is variable and affected by the bacterial load. For these reasons, empiric antibiotics are frequently administered to avoid potential devastating consequences of untreated sepsis. Unnecessary antibiotic treatment has been associated with increased mortality and other adverse outcomes; therefore, antibiotics should be discontinued as soon as sepsis has been ruled out. Negative cultures pose a challenge to clinicians, who must distinguish between real sepsis and sepsis-like conditions (noninfectious or viral) which do not require antibiotics. Focal infections with negative blood cultures do require antibiotic treatment. Ultra-low bacteremia, primary or secondary to recent antibiotic exposure, is often associated with negative cultures, and some consider a short course of empiric antibiotics sufficient for clearing of bacteremia. Biomarkers and molecular methods based on polymerase chain reaction are important add-ons to clinical signs or symptoms for establishing the diagnosis of sepsis. Other promising future potential adjuvants are metabolomics. Antibiotic stewardship should be implemented to avoid or discontinue unnecessary treatment. Prevention of infection still remains the most important step for dealing with neonatal sepsis.
Key Points
Antenatal Infections and Respiratory Outcome in Preterm Infants
Authors: Bancalari Eduardo 
Published: September 2020

Fetal exposure to infection and inflammation can result in accelerated lung maturation and simultaneously altered lung development. This alteration is characterized by reduced alveolar and vascular formation that is one of the hallmarks of the changes observed in animal models and in infants with bronchopulmonary dysplasia (BPD). These opposite effects on maturation and on lung development can explain the reduced severity of respiratory distress syndrome (RDS) but increased incidence of BPD observed in infants exposed to antenatal infections. This also explains why infants born to mothers with chorioamnionitis or colonized with ureaplasma urealitycum have an increased risk of lung injury and BPD. Despite the negative effects of infection on lung development, there is no clear evidence that antibiotic therapy improves the respiratory course in these infants. While the administration of azithromycin to ureaplasma colonized infants is effective in eradicating airway colonization, the effect on BPD is inconclusive. One of the few interventions that have been shown to improve respiratory outcome and reduce BPD in infants with severe RDS is the modulation of inflammation by the administration of systemic or intratracheal steroids early after birth.Key Points