bluuebunny/crossref_metadata_2025_split huggingface dataset:
Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism
Authors: Cohen-Schneider Rochelle , Chan Melodie T. , McCall Denise M. , Tedesco Allison M. , Abramson Ann P. 
Published: February 2020

BackgroundSpeech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” (Hinckley, 2005, p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists.PurposeThis clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes.MethodVignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia.Results and DiscussionBy reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior.ConclusionThis clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.
The Obligation of Listening: Caring for Patients With Chronic Dysphagia Through Illness Narratives
Authors: Xia Jinxu Bridget 
Published: February 2020

PurposeChronic conditions affect the lives of thousands of people in the United States. Dysphagia is a symptom that co-occurs with many chronic conditions. This presents unique challenges to speech-language pathologists (SLPs) who work with patients that are physically and psychosocially burdened by chronic dysphagia. Clinical decisions in chronic care are characterized by context-dependent complexities. There is a theoretical framework in bioethics callednarrative ethics, which suggests that engaging with patients' illness narratives informs patient-centered decision making and that exploring contexts is essential to provision of care.ConclusionUsing a narrative approach in decision making in chronic dysphagia helps contextualize the symptoms and supports clinicians to form individualized treatment plans that better suit patients' health care and psychosocial needs.
Multiband RadioAstron space VLBI imaging of the jet in quasar S5 0836+710
Authors: Vega-García L. , Lobanov A. P. , Perucho M. , Bruni G. , Ros E. , Anderson J. M. , Agudo I. , Davis R. , Gómez J. L. , Kovalev Y. Y. , Krichbaum T. P. , Lisakov M. , Savolainen T. , Schinzel F. K. , Zensus J. A. 
Published: February 2020

Context. Detailed studies of relativistic jets in active galactic nuclei (AGN) require high-fidelity imaging at the highest possible resolution. This can be achieved using very long baseline interferometry (VLBI) at radio frequencies, combining worldwide (global) VLBI arrays of radio telescopes with a space-borne antenna on board a satellite.
Aims. We present multiwavelength images made of the radio emission in the powerful quasar S5 0836+710, obtained using a global VLBI array and the antenna Spektr-R of the RadioAstron mission of the Russian Space Agency, with the goal of studying the internal structure and physics of the relativistic jet in this object.
Methods. The RadioAstron observations at wavelengths of 18 cm, 6 cm, and 1.3 cm are part of the Key Science Program for imaging radio emission in strong AGN. The internal structure of the jet is studied by analyzing transverse intensity profiles and modeling the structural patterns developing in the flow.
Results. The RadioAstron images reveal a wealth of structural detail in the jet of S5 0836+710 on angular scales ranging from 0.02 mas to 200 mas. Brightness temperatures in excess of 1013 K are measured in the jet, requiring Doppler factors of ≥100 for reconciling them with the inverse Compton limit. Several oscillatory patterns are identified in the ridge line of the jet and can be explained in terms of the Kelvin–Helmholtz (KH) instability. The oscillatory patterns are interpreted as the surface and body wavelengths of the helical mode of the KH instability. The interpretation provides estimates of the jet Mach number and of the ratio of the jet to the ambient density, which are found to be Mj ≈ 12 and η ≈ 0.33. The ratio of the jet to the ambient density should be conservatively considered an upper limit because its estimate relies on approximations.
Horizontal shear instabilities in rotating stellar radiation zones
Authors: Park J. , Prat V. , Mathis S. 
Published: February 2020

Context. Rotational mixing transports angular momentum and chemical elements in stellar radiative zones. It is one of the key processes for modern stellar evolution. In the past two decades, an emphasis has been placed on the turbulent transport induced by the vertical shear instability. However, instabilities arising from horizontal shear and the strength of the anisotropic turbulent transport that they may trigger remain relatively unexplored. The weakest point of this hydrodynamical theory of rotational mixing is the assumption that anisotropic turbulent transport is stronger in horizontal directions than in the vertical one.
Aims. This paper investigates the combined effects of stable stratification, rotation, and thermal diffusion on the horizontal shear instabilities that are obtained and discussed in the context of stellar radiative zones.
Methods. The eigenvalue problem describing linear instabilities of a flow with a hyperbolic-tangent horizontal shear profile was solved numerically for a wide range of parameters. When possible, the Wentzel–Kramers–Brillouin–Jeffreys (WKBJ) approximation was applied to provide analytical asymptotic dispersion relations in both the nondiffusive and highly diffusive limits. As a first step, we consider a polar f-plane where the gravity and rotation vector are aligned.
Results. Two types of instabilities are identified: the inflectional and inertial instabilities. The inflectional instability that arises from the inflection point (i.e., the zero second derivative of the shear flow) is the most unstable when at a zero vertical wavenumber and a finite wavenumber in the streamwise direction along the imposed-flow direction. While the maximum two-dimensional growth rate is independent of the stratification, rotation rate, and thermal diffusivity, the three-dimensional inflectional instability is destabilized by stable stratification, while it is stabilized by thermal diffusion. The inertial instability is rotationally driven, and a WKBJ analysis reveals that its growth rate reaches the maximum value of √f(1 − f) in the inviscid limit as the vertical wavenumber goes to infinity, where f is the dimensionless Coriolis parameter. The inertial instability for a finite vertical wavenumber is stabilized as the stratification increases, whereas it is destabilized by the thermal diffusion. Furthermore, we found a selfsimilarity in both the inflectional and inertial instabilities based on the rescaled parameter PeN2 with the Péclet number Pe and the Brunt–Väisälä frequency N.
Bone Substitutes in Orthopaedic Surgery: Current Status and Future Perspectives
Authors: Busch André , Wegner Alexander , Haversath Marcel , Jäger Marcus 
Published: February 2020

AbstractBone replacement materials have been successfully supplied for a long time. But there are cases, especially in critical sized bone defects, in which the therapy is not sufficient. Nowadays, there are multiple bone substitutes available. Autologous bone grafts remain the “gold standard” in bone regeneration. Yet, donor-site morbidity and the available amount of sufficient material are limitations for autologous bone grafting. This study aimed to provide information about the current status in research regarding bone substitutes. We report on the advantages and drawbacks of several bone substitutes. At the end, we discuss the current developments of combining ceramic substitutes with osteoinductive substances.
Efficacy and safety of endoscopic ultrasound-guided therapy versus direct endoscopic glue injection therapy for gastric varices: systematic review and meta-analysis
Authors: Mohan Babu P. , Chandan Saurabh , Khan Shahab R. , Kassab Lena L. , Trakroo Sushruth , Ponnada Suresh , Asokkumar Ravishankar , Adler Douglas G. 
Published: February 2020

Abstract
Background Gastric variceal bleeding carries significant mortality in the setting of portal hypertension. Among the endoscopic treatment options, endoscopic ultrasound (EUS)-guided glue and/or coil injection is a novel approach, but its role in the treatment of gastric varices is not established due to a lack of robust data.
Methods We conducted a comprehensive search of several databases (inception to June 2019) to identify studies evaluating EUS in the treatment of gastric varices. Our primary goals were to estimate the pooled rates of treatment efficacy, obliteration and recurrence of gastric varices, early and late rebleeding, and adverse events with EUS-guided therapy in gastric varices. We also searched for studies that evaluated direct endoscopic glue (END-glue) injection for treatment of gastric varices, and used the pooled rates as comparators.
Results 23 studies (851 patients) evaluating EUS-guided therapy were included. The pooled treatment efficacy was 93.7 % (95 % confidence interval [CI] 89.5 – 96.3, I
2 = 53.7), gastric varices obliteration was 84.4 % (95 %CI 74.8 – 90.9, I
2 = 77), gastric varices recurrence was 9.1 % (95 %CI 5.2 – 15.7, I
2 = 32), early rebleeding was 7.0 % (95 %CI 4.6 – 10.7, I
2 = 0), and late rebleeding was 11.6 % (95 %CI 8.8 – 15.1, I
2 = 22). The rates were comparable to END-glue therapy (28 studies, 3467 patients) except for obliteration, which was significantly better with EUS-guided therapy. On subgroup analysis, EUS-coil/glue combination showed superior outcomes.
Conclusions EUS-guided therapy demonstrated clinical efficacy for treatment of gastric varices in terms of obliteration, recurrence, and long-term rebleeding, and may be superior to END-glue.
The Financial and Clinical Impact of an Electronic Health Record Integrated Pathway in Elective Colon Surgery
Authors: Austrian Jonathan S. , Volpicelli Frank , Jones Simon , Bernstein Mitchell A. , Padikkala Jane , Bagheri Ashley , Blecker Saul 
Published: February 2020

Abstract
Background Enhanced Recovery after Surgery (ERAS) pathways have been shown to reduce length of stay, but there have been limited evaluations of novel electronic health record (EHR)-based pathways. Compliance with ERAS in real-world settings has been problematic.
Objective This article evaluates a novel ERAS electronic pathway (E-Pathway) activity integrated with the EHR for patients undergoing elective colorectal surgery.
Methods We performed a retrospective cohort study of surgical patients age ≥ 18 years hospitalized from March 1, 2013 to August 31, 2016. The primary cohort consisted of patients admitted for elective colon surgery. We also studied a control group of patients undergoing other elective procedures. The E-Pathway was implemented on March 2, 2015. The primary outcome was variable costs per case. Secondary outcomes were observed to expected length of stay and 30-day readmissions.
Results We included 823 (470 and 353 in the pre- and postintervention, respectively) colon surgery patients and 3,415 (1,819 and 1,596 in the pre- and postintervention) surgical control patients in the study. Among the colon surgery cohort, there was statistically significant (p = 0.040) decrease in costs of 1.28% (95% confidence interval [CI] 0.06–2.48%) per surgical encounter per month over the 18-month postintervention period, amounting to a total savings of $2,730 per patient at the 1-year postintervention period. The surgical control group had a nonsignificant (p = 0.231) decrease in monthly costs of 0.57% (95% CI 1.51 to – 0.37%) postintervention. For the 30-day readmission rates, there were no statistically significant changes in either cohort.
Conclusion Our study is the first to report on the reduced costs after implementation of a novel sophisticated E-Pathway for ERAS. E-Pathways can be a powerful vehicle to support ERAS adoption.
Classical Cesarean Section
Authors: Kan Amano 
Published: February 2020

AbstractCesarean section is the most common surgery in obstetrics. Several techniques are proposed according to the indication and the degree of urgency. Usually laparotomy followed by hysterotomy with a low transverse incision is preferable. However, in cases in which it is difficult to access the lower uterine segment, such as that in preterm labor, dense adhesion, placenta previa/accrete a vertical hysterotomy (classical cesarean section) may be needed. Although a smooth and gentle delivery of the fetus is possible through the vertical incision, uterine closure is technically difficult. To decrease the risks of hemorrhage and adhesion, a speedy and skillful technique is mandatory. The most serious risk of vertical incision in the contractile corpus is uterine rupture in the subsequent pregnancy. Therefore, cases of prior classical cesarean section are contraindicated for trial of labor after cesarean section.
Clinical Results of Combined ACL and Anterolateral Ligament Reconstruction: A Narrative Review from the SANTI Study Group
Authors: Saithna Adnan , Daggett Matt , Helito Camilo Partezani , Monaco Edoardo , Franck Florent , Vieira Thais Dutra , Pioger Charles , Kim Jin Goo , Sonnery-Cottet Bertrand 
Published: February 2020

AbstractLateral extraarticular procedures (LEAPs) in the anterior cruciate ligament (ACL)-injured knee were widely abandoned in the 1990s but have seen a recent resurgence. The aim of this review was to demonstrate that anterolateral ligament reconstruction (ALLR) is associated with evidence of significant advantages and no evidence of historical concerns. A narrative review of the literature was performed. Combined ACL + ALLR is associated with improved outcomes when compared against isolated ACL reconstruction, including a significantly lower risk of ACL graft rupture (hazard ratio [HR]: 0.327, 95% CI: 0.130–0.758), a significantly lower risk of reoperation for secondary meniscectomy following medial meniscal repair at the time of ACL reconstruction (HR: 0.443, 95% CI: 0.218–0.866), significantly increased likelihood of return to the preinjury level of sport following primary (odds ratio [OR]: 1.938, 95% CI: 1.174–3.224) and revision ACL reconstruction (57.1 vs. 25.6%, respectively; p = 0.008), and in chronic ACL injuries, less residual pivot shift (9.1 vs. 35.3%, p = 0.011), and better IKDC (92.7 ± 5.9 vs. 87.1 ± 9.0, p = 0.0013) and Lysholm (95.4 ± 5.3 vs. 90.0 ± 7.1, p < 0.0001) scores, and no evidence of historical concerns. Combined ACLR + ALLR is associated with excellent clinical outcomes with no evidence of the adverse events that led to the historical widespread abandonment of other types of LEAP. Specifically, comparative series have demonstrated significant advantages of ALLR when compared against isolated ACLR with respect to reduced rates of ACL graft rupture, secondary meniscectomy, persistent instability, and significantly improved functional outcomes and improved return to sport metrics.
Elongation factor-Tu can repetitively engage aminoacyl-tRNA within the ribosome during the proofreading stage of tRNA selection
Authors: Morse Justin C. , Girodat Dylan , Burnett Benjamin J. , Holm Mikael , Altman Roger B. , Sanbonmatsu Karissa Y. , Wieden Hans-Joachim , Blanchard Scott C. 
Published: February 2020

Significance
Elongation factor Tu (EF-Tu) facilitates rapid and accurate selection of aminoacyl-tRNA (aa-tRNA) by the bacterial ribosome during protein synthesis. We show that EF-Tu dissociates from the ribosome as aa-tRNA navigates the accommodation corridor en route to peptide bond formation. We find that EF-Tu’s release from the ribosome during aa-tRNA selection can be reversible. We also demonstrate that new ternary complex formation, accompanied by futile cycles of GTP hydrolysis, can occur on aa-tRNA bound within the ribosome. These findings inform on the decoding mechanism, the contributions of EF-Tu to the fidelity of translation, and the potential consequences of reduced rates of peptide bond formation on cellular physiology.
Give constructions in Korean EFL learner
writing
Authors: Nam Yunjung 
Published: February 2020

Abstract
This study aims to investigate constructions of
the verb give used by Korean EFL learners, along
with an in-depth analysis of ditransitive use and L1 influences. The
use of give in a Korean EFL learner corpus and a
reference native speaker corpus is analyzed in terms of different
construction types and their frequencies. In-depth analysis of
ditransitive use of give was conducted using three
factors: pronominality, weight, and semantic classes. L1 influence
was discussed and a Korean language corpus was used to provide
evidence to strengthen the arguments. This study concludes with the
discussion of limitations, and future directions for understanding
Korean EFL learners’ developmental trajectory of construction
acquisition within the usage-based framework.
Lexical bundles across disciplines
Authors: Reppen Randi , Olson Shannon B. 
Published: February 2020

Abstract
This chapter reports on a study that examined
over 700 four-word lexical bundles (Biber et al., 1999) identified from a
multi-disciplinary corpus of over 25 million words from introductory
courses across nine disciplines. Two types of bundles were
identified: cross-disciplinary (occurring in at least four of the
nine disciplines), and discipline-specific (occurring in only one or
two disciplines). Results indicate that these bundle types typically
serve different functions. The cross-disciplinary bundles function
as discourse frames providing sign posts for readers, while
discipline-specific bundles are often content-specific. Analyses
also identified bundles with variable slots that could be completed
with various fillers. The chapter concludes with ideas and examples
for teaching lexical bundles that can enhance teaching and promote
fluency for learners.
Stance in unpublished student writing
Authors: Becker Kimberly , Feng Hui-Hsien 
Published: February 2020

Abstract
This exploratory study investigates modal verbs
as stance features in the Physical Sciences sub-corpus of the
Michigan Corpus of Upper-Level Student Papers (MICUSP). The study
adopts Biber’s (2006)
stance framework, including modal verbs in three categories:
possibility, necessity, and prediction. Focusing on one feature
within one sub-corpus afforded closer consideration of the units of
analysis (discipline, level of study, nativeness, and register) that
could contribute to variation in the use of modals as stance
features. The findings show that possibility and prediction modals
are the most common in the Physical Sciences sub-corpus. The study
provides a description of student academic writing and considers
future research directions and pedagogical implications of stance in
Physical Science disciplines, student levels, nativeness, and
registers.
The protective effect of Hederagenin on pulmonary fibrosis by regulating the Ras/JNK/NFAT4 axis in rats
Authors: Ma Wenjing , Huang Qingsong , Xiong Guofu , Deng Lijun , He Yan 
Published: February 2020

ABSTRACT
As a respiratory disease with high morbidity and mortality, pulmonary fibrosis (PF) has been a serious threat to people’s health. Hederagenin (HDG) is a pentacyclic triterpenoid saponin widely distributed in various plants. This study explored the role of HDG in Bleomycin (BLM)-induced PF and the molecular mechanism. The results showed that HDG reduced BLM-induced pulmonary dysfunction, pathological damage in a dose-dependent manner. Besides, HDG reduced BLM-induced collagen deposition by decreasing the levels of α-SMA, Collagen I and hydroxproline. Furthermore, HDG reduced the levels of inflammatory cytokines (TNF-α and IL-6), TGF-β1 and connective tissue growth factor (CTGF) in bronchoalveolar lavage fluid (BALF) or serum. Further mechanism analysis indicated that HDG inhibited the expression of Ras and phosphorylation of JNK and NFAT4 in a dose-dependent manner. However, the JNK pathway activator Anisomycin reversed this inhibitory effect. In conclusion, these findings suggest that HDG may be a potential target drug for PF therapy.
An alternative supply system for stump biomass – coarse grinding combined with sieving of the produced hog fuel
Authors: Anerud  , von Hofsten  , Eliasson  
Published: February 2020

Transport costs are one of the major costs in the supply chain of stumps for fuel. Stump parts are bulky and it is impossible to achieve full tonnages on trucks and trailers even though the load space is completely full. The transport economy for stumps is also negatively affected by
the large amount of contaminants in the loads. Grinding the stumps at the landing and sieving of the produced hog fuel has the potential to increase load weights and reduce both the amount of contaminants and the transport costs. To evaluate such a system a series of studies were made. Results
show that coarse grinding and sieving reduced both moisture and ash content in the produced fuel, thus increasing the heating value per ton delivered fuel and transforming a soil contaminated material to an acceptable fuel. Transport payloads increased substantially compared to transports
of stump parts, but a transport distance of 110 km was needed before the coarse grinding system provided lower cost than the standard system with transports of stump parts and grinding at the heating plant. Further studies are needed to evaluate the total energy efficiency in the two
systems. Coarse grinding and sieving is a feasible way to increase fuel quality and improve transport economy. However, total costs will in most cases be higher than for the loose stump system which renders the method preferable only in cases where the sieving process converts a non-acceptable
material into an acceptable fuel.