bluuebunny/crossref_metadata_2025_split huggingface dataset:
Voice–Gender Incongruence and Voice Health Information–Seeking Behaviors in the Transgender Community
Authors: Kennedy Evan , Thibeault Susan L. 
Published: June 2020

Purpose
Voice–gender incongruence has predominantly been investigated in the past through the perspective of feminine-identifying individuals seeking feminine-sounding voices. The purpose of this study was to determine the prevalence of self-reported voice–gender incongruence in the transgender, nonbinary, and gender-nonconforming (TNG) community and to describe health information–seeking behaviors exhibited when individuals attempt to address their voice and communication challenges.

Method
An online survey was designed with questions targeting the self-reported prevalence of voice–gender incongruence, characteristics of this complaint, and health information–seeking behaviors. Valid standardized measures, including the Voice Handicap Index and the Barriers to Help-Seeking Scale, were also included.

Results

Four hundred five participants were sorted into three groups based on gender identity (feminine, masculine, gender-neutral) to facilitate comparative analysis. Ninety-six percent of participants reported the experience of voice–gender incongruence in the past, and 88% reported that they currently experience voice–gender incongruence. There were no significant differences in reported voice–gender incongruence between groups. Voice Handicap Index scores were significantly higher for those who currently experience voice–gender incongruence (
p
< .0001) and reflected differences in how much this concern bothers participants, as rated on a Likert scale, ranging from
no problem
to
a very big problem
(
p
< .0001). Barriers to Help-Seeking Scale scores indicated that the masculine group perceived greater barriers to seeking help as compared to the feminine group.

Discussion
We present foundational evidence for the prevalence of voice–gender incongruence within the TNG community and barriers encountered when individuals attempt to access care. Future work should investigate the specific needs of subgroups within the TNG community and whether those who desire feminine-, masculine-, and/or androgynous-sounding voices experience voice–gender incongruence and access to services differently.

Supplemental Material

https://doi.org/10.23641/asha.12462422
Applying Item Response Theory Modeling to Identify Social (Pragmatic) Communication Disorder
Authors: Yuan Haiying , Dollaghan Christine 
Published: June 2020

Purpose

No diagnostic tools exist for identifying social (pragmatic) communication disorder (SPCD), a new
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
category for individuals with social communication deficits but not the repetitive, restricted behaviors and interests (RRBIs) that would qualify them for a diagnosis of autism spectrum disorder (ASD). We explored the value of items from a widely used screening measure of ASD for distinguishing SPCD from typical controls (TC; Aim 1) and from ASD (Aim 2).

Method

We applied item response theory (IRT) modeling to Social Communication Questionnaire–Lifetime (
Rutter, Bailey, & Lord, 2003
) records available in the National Database for Autism Research. We defined records from putative SPCD (
n
= 54), ASD (
n
= 278), and TC (
n
= 274) groups retrospectively, based on National Database for Autism Research classifications and Autism Diagnostic Interview–Revised responses. After assessing model assumptions, estimating model parameters, and measuring model fit, we identified items in the social communication and RRBI domains that were maximally informative in differentiating the groups.

Results
IRT modeling identified a set of seven social communication items that distinguished SPCD from TC with sensitivity and specificity > 80%. A set of five RRBI items was less successful in distinguishing SPCD from ASD (sensitivity and specificity < 70%).

Conclusion
The IRT modeling approach and the Social Communication Questionnaire–Lifetime item sets it identified may be useful in efforts to construct screening and diagnostic measures for SPCD.
Combined Effects of Single Nucleotide Polymorphisms (SNPs) within
C-reactive Protein (CRP) and Environmental Parameters on Risk and Prognosis for
Diabetic Foot Osteomyelitis Patients
Authors: Wang Shanjin , Xu Haowei , Zhou Ningfeng , Zhao Weidong , Wu Desheng , Shen Bin 
Published: June 2020

Abstract
Purpose This study was aimed to discover the combined effects of single
nucleotide polymorphisms (SNPs) within the C-reactive protein (CRP) gene and
potential environmental factors on the risk and prognosis for diabetic foot
osteomyelitis (DFO).
Methods A total of 1734 diabetes mellitus patients, 681 with DFO and 1053
without DFO, were successfully recruited, as well as 1261 healthy control
individuals. Participants data were recorded regarding age, gender, smoking and
drinking history, body mass index (BMI), hypertension, cacosmia, and ulceration.
A total of 11 SNPs within the CRP gene were designated for exploration, by
logistic regression analyses, of how they might interact with environmental
factors to affect susceptibility to DFO.
Results Frequencies of smoking and drinking, and incidence of
hypertension, cacosmia, or ulceration displayed marked differences (all
P<0.05) between DFO and non-DFO patients. Furthermore, allele G
of rs11265260 (A>G), allele G of rs1800947 (C>G), and allele T
of rs3093059 (T>C) and rs1130864 (C>T) exhibited a trend to
increase risk of DFO (all P<0.05). Allele G of rs11265260
(A>G), allele G of rs1800947 (C>G) and rs3093068 (G>C),
and allele T of rs1130864 (C>T) were significant predictors of poor
prognosis among DFO patients (P<0.05). In addition, genotypes of
rs11265260 (i.e., GG and AG), rs1800947 (i.e., CG and GG), rs3093059 (i.e., TT)
and rs113084 (i.e., CT and TT) amplified the influence of smoking, alcohol
consumption, cacosmia, and ulceration on progression from non-DFO to DFO (all
γ>1).
Conclusion Genetic mutations within CRP functioned interactively with
external factors to affect DFO risk.
Männer mit depressiven Erkrankungen in der stationären Behandlung: Bedarf und Behandlungsziele aus Sicht psychiatrischer Fachkräfte
Authors: Stiawa Maja , Müller-Stierlin Annabel , Staiger Tobias , Kilian Reinhold , Becker Thomas , Götzl Christian , Gündel Harald , Beschoner Petra , Grinschgl Achim , Frasch Karel , Schmauß Max , Krumm Silvia 
Published: June 2020

ZusammenfassungZiel der Studie Befragung psychiatrischer Fachkräfte zu geschlechtsspezifischen Bedarfen depressiver Männer und Behandlungsziele für die stationäre Versorgung.Methodik Semistrukturierte Interviews.Ergebnisse Männergruppen ermöglichen die Reflexion von Geschlechtsrollenerwartungen. Aktivitätsbezogene Angebote helfen betroffenen Männern, ihre Leistungsfähigkeit einzuschätzen und bieten Erfolgserlebnisse. Sie sind im Behandlungsspektrum unzureichend abgebildet.Schlussfolgerung Die Bedeutung normativer Rollenerwartungen sollte in der Ausbildung psychiatrischer Fachkräfte berücksichtigt werden.
Einfluss beruflicher Problemlagen auf den Beschäftigungsstatus sechs Monate nach stationärer neurologischer Rehabilitation
Authors: Flemmer Stella , Boltzmann Melanie , Schmidt Simone , Rollnik Jens D. 
Published: June 2020

Zusammenfassung
Ziel der Studie Durch die Identifikation beruflicher Problemlagen (BPL) können frühzeitig berufsbezogene Maßnahmen in die neurologische Rehabilitation integriert und somit die Return-to-Work-Rate erhöht werden. In der vorliegenden Studie soll untersucht werden, ob zu Rehabilitationsbeginn identifizierte BPL mit dem Erwerbsstatus sechs Monate nach Abschluss stationärer neurologischer Rehabilitation assoziiert sind.
Methodik Aus der Klinikdatenbank wurden retrospektiv 122 Rehabilitanden ausgewählt, die in der BDH-Klinik Hessisch Oldendorf eine Anschlussrehabilitation absolvierten. Berufliche Problemlagen wurden mittels Selbstbeurteilung (Würzburger Screening [WS]) und einer ICF-konformen ärztlichen Einschätzung („d850“) zu Rehabilitationsbeginn identifiziert. Zusätzlich wurden sechs Monate nach Abschluss der Rehabilitation Daten zur aktuellen beruflichen Situation der Patienten erhoben.
Ergebnisse Zu Beginn der Rehabilitation wiesen 25% der Rehabilitanden eine hohe BPL und 26% der Rehabilitanden eine sehr hohe BPL auf. Zum Katamnesezeitpunkt sechs Monate nach Abschluss der stationären Rehabilitation waren 63% der Rehabilitanden mit hohen oder sehr hohen BPL erwerbstätig. Die Return-to-Work-Rate lag insgesamt bei 73%. Während die im WS identifizierte BPL mit dem Erwerbsstatus zum Katamnesezeitpunkt assoziiert war (r = −0,288; p = ,007), gab es keinen Zusammenhang zwischen der ärztlichen Einschätzung der beruflichen Beeinträchtigung und dem Erwerbsstatus. In binär logistischen Regressionsmodellen zur Vorhersage des Erwerbsstatus erwiesen sich die Dauer der Arbeitsunfähigkeit, das Alter, das Geschlecht und die leistungsmedizinische Beurteilung zu Rehabilitationsende als Prädiktoren für den Erwerbsstatus.
Schlussfolgerung Berufliche Problemlagen sind mit dem Erwerbsstatus sechs Monate nach stationärer neurologischer Rehabilitation assoziiert. Da diese in der Behandlungsplanung berücksichtigt werden, wird der Einfluss auf die Return-to-Work-Rate in der aktuellen Untersuchung möglicherweise unterschätzt.
The Relationship Between the Impairment of Endothelial Function and
Thyroid Antibodies in Hashimoto’s Thyroiditis Patients with
Euthyroidism
Authors: Hu Yanjin , Yao Zhi , Wang Guang 
Published: June 2020

AbstractEndothelial dysfunction is the important early step in the development of
atherosclerosis. Hypothyroidism caused by Hashimoto’s thyroiditis and
other thyroid disease is one of the risk factors of endothelial dysfunction. The
present study tried to investigate the endothelial function and its associated
factors in Hashimoto thyroiditis with euthyroidism. A total of 95 newly
diagnosed Hashimoto’s thyroiditis patients with euthyroidism and 45
healthy controls were studied. Hashimoto’s patients were divided into 3
subgroups namely, single thyroglobulin antibody (TGAb) positive subgroup, single
thyroid peroxidase antibody (TPOAb) positive subgroup, and both TGAb and TPOAb
positive subgroup. Endothelial function was tested by the reactive hyperemia
index (RHI). Hashimoto’s thyroiditis patients had lower RHI than healthy
controls (1.73±0.42 vs 1.96±0.51, p<0.05).
Hashimoto’s thyroiditis with single TGAb positive patients had higher
RHI than single TPOAb positive (1.98±0.57 vs. 1.69±0.33,
p<0.05) and TGAB + TPOAb positive patients (1.98±0.57
vs. 1.68±0.42, p<0.05). RHI were negatively associated with
total cholesterol (TC, r=−0.215, p<0.05), low density
lipoprotein cholesterol (LDL-C, r=−0.268, p<0.05),
triglyceride (TG, r=−0.192, p<0.05), and TPOAb
(r=−0.288, p<0.05). In the regression analysis, LDL-C
(β=−0.146, p<0.05), TG
(β=−0.034, p<0.05) and TPOAb
(β=−0.001, p<0.05) were independently associated
with RHI. Hashimoto’s patients had poor endothelial function. TPOAb
levels were negatively associated with endothelial function.
Extending the Concept of Advance Care Planning to the Perinatal
Period
Authors: Garten Lars , von der Hude Kerstin , Strahleck Thomas , Krones Tanja 
Published: June 2020

AbstractEasier access to prenatal diagnostic procedures led to its widespread use as a
screening measure. Hence, today it is more common for life-limiting illnesses to
be diagnosed during fetal life. The concept of Advance Care Planning (ACP)
provides a framework for caregivers, families and their multidisciplinary teams
to anticipate and plan ahead for potential future medical decisions so that the
affected children are reliably treated according to their parents’
individual values and wishes. In the perinatal context, ACP also has the
potential to tackle the needs of unborn or newborn children with life-limiting
illnesses and their families better, avoid unnecessary and burdensome measures
and focus upon goals that are valuable and meaningful to both child and
family.
Effect of echoendoscope angle on success of guidewire manipulation during endoscopic ultrasound-guided hepaticogastrostomy
Authors: Ogura Takeshi , Nishioka Nobu , Ueno Saori , Yamada Tadahiro , Yamada Masanori , Imoto Akira , Hakoda Akitoshi , Higuchi Kazuhide 
Published: June 2020

Background With endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS), guidewire manipulation might be a critically limiting step for nonexperts. However, the causes of difficult guidewire manipulation remain unclear. The aim of this study was to evaluate factors associated with successful guidewire manipulation.
Methods This retrospective cohort study included consecutive patients who underwent EUS-HGS between October 2018 and October 2019. We measured scope angle between the long and needle axes of the echoendoscope using still fluoroscopic imaging immediately after puncturing the intrahepatic bile duct. Factors associated with successful guidewire insertion were assessed by multivariable analysis using logistic regression.
Result The influence of the angle between the fine-needle aspiration (FNA) needle and echoendoscope on failed guidewire insertion was assessed using receiver operating characteristic (ROC) curves. Area under the ROC curve was 0.86 (95 % confidence interval [CI] 0.00 – 0.76), and an angle of 135° offered 88.0 % sensitivity and 82.9 % specificity for predicting successful guidewire insertion. According to multivariable analysis, only angle between the FNA needle and echoendoscope > 135° was independently associated with successful guidewire insertion (odd ratio 0.03, 95 %CI 0.01 – 0.14; P < 0.05), whereas sex, puncture site, and diameter of puncture site were not significant factors. After multivariable analysis, all variables were adjusted using age ≥ 70 or < 70 years, yielding the same results.
Conclusion The angle between the FNA needle and echoendoscope might be associated with successful guidewire manipulation during EUS-HGS. Adjusting this angle to 135° before puncturing the intrahepatic bile duct might be helpful in achieving successful guidewire manipulation during EUS-HGS.
The mass quadrupole moment of compact binary systems at the fourth post-Newtonian order
Authors: Marchand Tanguy , Henry Quentin , Larrouturou François , Marsat Sylvain , Faye Guillaume , Blanchet Luc 
Published: June 2020

Abstract
The mass-type quadrupole moment of inspiralling compact binaries (without spins) is computed at the fourth post-Newtonian (4PN) approximation of general relativity. The multipole moments are defined by matching between the field in the exterior zone of the matter system and the PN field in the near zone, following the multipolar-post-Minkowskian (MPM)-PN formalism. The matching implies a specific regularization for handling infra-red (IR) divergences of the multipole moments at infinity, based on the Hadamard finite part procedure. On the other hand, the calculation entails ultra-violet (UV) divergences due to the modelling of compact objects by delta-functions, that are treated with dimensional regularization (DR). In future work we intend to systematically study the IR divergences by means of dimensional regularization as well. Our result constitutes an important step in the goal of obtaining the gravitational wave templates of inspiralling compact binary systems with 4PN/4.5PN accuracy.
Effects of gas adsorption on monolayer Si2BN and implications for sensing applications
Authors: Babar Vasudeo , Murat Altynbek , Schwingenschlögl Udo 
Published: June 2020

Abstract
Using density functional theory, we investigate the adsorption behavior of CO, NH3, and NO molecules on monolayer Si2BN. The energetically favorable structural configurations along with their adsorption energies, charge transfers, and electronic properties are discussed. The CO and NH3 molecules show physisorption with moderate adsorption energies, whereas the NO molecule is subject to chemisorption. We further calculate the current–voltage characteristics using the non-equilibrium Green’s function formalism. Significant anisotropy is observed for the armchair and zigzag directions, consistent with the anisotropy of the electronic band structure. Pronounced enhancement of the resistivity upon gas adsorption indicates that monolayer Si2BN is promising as gas sensing material.
Impurity-dependent gyrotropic motion, deflection and pinning of current-driven ultrasmall skyrmions in PdFe/Ir(111) surface
Authors: Fernandes Imara Lima , Chico Jonathan , Lounis Samir 
Published: June 2020

Abstract
Resting on multi-scale modelling simulations, we explore dynamical aspects characterizing magnetic skyrmions driven by spin-transfer-torque towards repulsive and pinning 3d and 4d single atomic defects embedded in a Pd layer deposited on the Fe/Ir(111) surface. The latter is known to host sub-10 nm skyrmions which are of great interest in information technology. The Landau–Lifshitz–Gilbert equation is parametrized with magnetic exchange interactions extracted from the ab-initio all-electron full potential Korringa–Kohn–Rostoker Green function method, where spin–orbit coupling is added self-consistently. Depending on the nature of the defect and the magnitude of the applied magnetic field, the skyrmion deforms by either shrinking or increasing in size, experiencing thereby elliptical distortions. After applying a magnetic field of 10 T, ultrasmall skyrmions are driven along a straight line towards the various defects which permits a simple analysis of the impact of the impurities. Independently from the nature of the skyrmion-defect complex interaction, being repulsive or pinning, a gyrotropic motion is observed. A repulsive force leads to a skyrmion trajectory similar to the one induced by an attractive one. We unveil that the circular motion is clockwise around pinning impurities but counter clockwise around the repulsive ones, which can be used to identify the interaction nature of the defects by observing the skyrmions trajectories. Moreover, and as expected, the skyrmion always escapes the repulsive defects in contrast to the pinning defects, which require a minimal depinning current to observe impurity avoidance. This unveils the richness of the motion regimes of skyrmions. We discuss the results of the simulations in terms of the Thiele equation, which provides a reasonable qualitative description of the observed phenomena. Finally, we show an example of a double track made of pinning impurities, where the engineering of their mutual distance allows to control the skyrmion motion with enhanced velocity.
New opportunities at the next-generation neutrino experiments I: BSM neutrino physics and dark matter
Authors: Argüelles C A , Aurisano A J , Batell B , Berger J , Bishai M , Boschi T , Byrnes N , Chatterjee A , Chodos A , Coan T , Cui Y , de Gouvêa A , Denton P B , De Roeck A , Flanagan W , Forero D V , Gandrajula R P , Hatzikoutelis A , Hostert M , Jones B , Kayser B J , Kelly K J , Kim D , Kopp J , Kubik A , Lang K , Lepetic I , Machado P A N , Moura C A , Olness F , Park J C , Pascoli S , Prakash S , Rogers L , Safa I , Schneider A , Scholberg K , Shin S , Shoemaker I M , Sinev G , Smithers B , Sousa A , Sui Y , Takhistov V , Thomas J , Todd J , Tsai Y-D , Tsai Y-T , Yu J , Zhang C 
Published: June 2020

Abstract
The combination of the high intensity proton beam facilities and massive detectors for precision measurements of neutrino oscillation parameters including the charge-parity violating (CPV) phase will open the door to help make beyond the standard model (BSM) physics reachable even in low energy regimes in the accelerator-based experiments. Large-mass detectors with highly precise tracking and energy measurements, excellent timing resolution, and low energy thresholds will enable the searches for BSM phenomena from cosmogenic origin, as well. Therefore, it is also conceivable that BSM topics in the next-generation neutrino experiments could be the dominant physics topics in the foreseeable future, as the precision of the neutrino oscillation parameter and CPV measurements continue to improve.This paper provides a review of the current landscape of BSM theory in neutrino experiments in two selected areas of the BSM topics—dark matter and neutrino related BSM—and summarizes the current results from existing neutrino experiments to set benchmarks for both theory and experiment. This paper then provides a review of upcoming neutrino experiments throughout the next 10 to 15 year time scale and their capabilities to set the foundation for potential reach in BSM physics in the two aforementioned themes. An important outcome of this paper is to ensure theoretical and simulation tools exist to carry out studies of these new areas of physics, from the first day of the experiments, such as Deep Underground Neutrino Experiment in the U.S. and Hyper-Kamiokande Experiment in Japan.
Postmortem investigation of a human cortical visual prosthesis that was implanted for 36 years
Authors: Towle Vernon L , Pytel Peter , Lane Frank , Plass John , Frim David M , Troyk Philip R 
Published: June 2020

Abstract

Objective
Postmortem analysis of the brain from a blind human subject who had a cortical visual prosthesis implanted for 36 years (Dobelle 2000 Asaio J.
46 3–9)

Approach
This provided insight into the design requirements for a successful human cortical visual prosthesis by revealing, (a) unexpected rotation of the electrode array 25 to 40 degrees away from the midsagittal plane, thought to be due to the torque of the connecting cable, (b) degradation of the platinum electrodes, and (c) only partial coverage of the primary visual cortex by the rectangular array. The electrode array only overlapped with the anterior 45% of primary visual cortex (identified by the line of Gennari), largely missing the posterior foveal representation of visual cortex.

Main results
A significantly greater proportions of electrodes outside of V1 elicited phosphenes than did electrodes within of V1. Histology did not reveal appreciable loss of neurons in cortex that surrounded the migrated array, perhaps due to the very slow rotation of this implant.

Significance
This pioneering effort to develop a cortical visual prosthesis suggests that to maximize efficacy, the long-term effects of implanted alien materials on nervous tissue, and vice versa, need to be considered in detail, and that electrode array design considerations need to optimally match the electrodes to the patient’s cortical anatomy. Modern pre-implant imaging can help optimize future implants by identifying the location and extent of bridging veins with MRI and even map the location of the V1/V2 border in vivo with PET.
Effect of post-weld heat treatment on microstructure and mechanical properties of 7055 aluminum alloy electron beam welded joint
Authors: Wang Zheng , Wang Shaogang , Zhang Chengcong , Wang Zhiguo 
Published: June 2020

Abstract
The spray forming 7055 aluminum alloy is welded by electron beam welding (EBW). After welding, the single solution treatments under different temperatures and then aging treatment (STA) and the stepped solution treatment and then aging treatment (SSTA) are carried out for the welded joints respectively. The effect of different post-weld heat treatment (PWHT) procedures on the microstructure and mechanical properties of welded joints is systematically investigated. Results show that, in as-welded condition, the fusion zone mainly consists of α-Al phase, and there are some precipitated phases such as Mg32(Al,Zn)49, Al7Cu2Fe, Al2CuMg, and a small amount of phase MgZn2 in weld metal. After PWHT, the continuous network structures at grain boundary disappear. There are only a few isolated particle phases at grain boundary, and many ellipsoidal η′ phases and rod-like η phases are precipitated within grains. The mechanical property of welded joint is improved after PWHT. Compared with that of in STA condition, the strengthening effect to welded joint is more obvious after SSTA. In SSTA condition, the hardness of weld zone is close to that of base metal (BM), and the tensile strength of welded joint reaches 486.2 MPa, which is 85.6% of that of BM. There are many equiaxed dimples on the tensile fracture surface, and the joint mainly presents the characteristic of ductile fracture.