bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Efficacy of Intensive Short-Term Dynamic Psychotherapy for Social Anxiety Disorder
Authors: Rahmani Fateh , Abbass Allan , Hemmati Azad , Mirghaed Sahar Rezaei , Ghaffari Niloofar 
Published: January 2020

Abstract
This research examined the efficacy of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of social anxiety disorder (SAD) and compared the therapeutic outcomes of ISTDP when feeling focus or defense work is emphasized. A three-group randomized design with 6-month follow-up was used. Forty-one subjects were selected among volunteer college students diagnosed with SAD. They were assigned randomly into three groups; 14 cases to feeling-focused ISTDP (FF-ISTDP) group, 14 cases to defense-focused ISTDP (DF-ISTDP) group, and 13 cases to a control group. All subjects were evaluated at pretest, posttest, and six-month follow-up through clinical interviewing using DSM-5 criteria for SAD along with the Liebowitz Social Anxiety Scale. Each experimental group had a course of 8 to 10 sessions of ISTDP treatment. Analysis of variance showed that ISTDP is an effective treatment for SAD compared with a control group. No outcome differences were found between FF-ISTDP and DF-ISTDP in treating SAD.
Effectiveness of Emergency Department Treatment of Pediatric Headache and Relation to Rebound Headache
Authors: Sheridan David C. , Dhatt Saroop , Narayan Kamil , Lin Amber , Fu Rongwei , Meckler Garth D. 
Published: January 2020

Objective
This study aimed to assess the association between the degree of headache relief obtained in the pediatric emergency department (PED) with abortive treatment and unscheduled return visits to the PED for a recurrent or persistent headache within 72 hours.

Methods
This was a retrospective observational study with 369 patients, all younger than 18 years, who presented to the PED with a primary complaint of either a headache or migraine. Patient and visit details were collected from the medical chart, along with presenting and discharge pain score. Percent pain reduction at discharge was determined through the following calculation: (Presenting Pain Score − Discharge Pain Score)/Presenting Pain Score. Associations were assessed using multivariable logistic regression.

Results
No significant association was found between the percent pain reduction and return to the PED (P = 0.49). Mean presenting pain score at the index visit was statistically higher for those who ended up returning to the PED versus those who did not (8.1 vs 7.4; P = 0.02). A trend toward increase in return visits was seen among patients who had a headache duration greater than 3 days (odds ratio, 1.99) and patients who experienced less than 50% pain reduction in the PED (odds ratio, 1.77).

Conclusions
Complete resolution in the PED may not be necessary, given the lack of association between the degree of pain relief and revisit rates. Perhaps, the goal should be to achieve at least 50% pain reduction before discharge.
What Is That? Innumerable Mysterious Densities Identified on Abdominal Imaging
Authors: Kaiser Nicole , Blackford Martha G. 
Published: January 2020

Abstract
Radiopaque densities can be observed on imaging after the ingestion of either foreign bodies or some medications. Our case report discusses an 11-year-old boy with autism spectrum disorder and attention deficient disorder who presented to the emergency department because of concerns for constipation and dehydration. Incidentally, an abdominal x-ray showed numerous radiopaque densities throughout his intestines in addition to his constipation. He was admitted, and his home regimen was reviewed to attempt to identify a potential source for these radiopaque densities. This case presented an interesting teaching opportunity in the identification of the radiopaque densities and review of pharmacokinetics.
Pioneers in Modern Craniofacial Surgery: Assessing the Academic Impact of Drs. Joseph Gruss and Paul Manson
Authors: Chandawarkar Akash , Birgfeld Craig B. , Yaremchuk Michael J. , Tufaro Anthony P. , Hopper Richard A. , Susarla Srinivas M. 
Published: January 2020

Background:
The authors conducted this study to assess the impact that Drs. Joseph Gruss and Paul Manson have had on craniofacial surgery through their individual contributions and through their trainees.

Methods:
This was a retrospective analysis of fellows trained by either Dr. Gruss or Dr. Manson. Demographic and bibliometric measures were recorded for each fellow. Demographic factors included years since completion of fellowship training, current practice of craniomaxillofacial surgery, academic practice, and academic leadership roles. Bibliometric measures included number of publications, number of citations, and h-index. To adjust for scholarly activity before fellowship training, only contributions published after fellowship training were included.

Results:
Over a 39-year period, a total of 86 surgeons completed fellowship training with either of the two principal surgeons. The mean time since completion of training was 18.7 ± 11.4 years. Seventy-nine percent of surgeons had active practices in craniomaxillofacial surgery; 54 percent had academic practices. The mean number of publications was 26.4 ± 69.3, the mean number of citations was 582 ± 2406, and the average h-index was 6.7 ± 10.6. Among academic surgeons, the average h-index was 10.7 ± 13.1, 89 percent practiced in North America, 89 percent had active practices in craniomaxillofacial surgery, and nearly 50 percent had achieved a leadership role.

Conclusions:
Modern craniofacial reconstruction has evolved from principles used in trauma and correction of congenital differences. The extensive impact that Drs. Paul Manson and Joseph Gruss have had on the field, and plastic surgery at large, is evident through their primary contributions and the immense impact their trainees have had on the field.
Mechanical Irritation in Vascularized Composite Tissue Allotransplantation Triggers Localized Skin Rejection
Authors: Messner Franka , Fischer Anna-Christina , Runggaldier Elias , Sprung Susanne , Müller Jule , Eiter Sebastian , Gantschnigg Antonia , Zelger Bettina , Zelger Bernhard , Wolfram Dolores , Öfner Dietmar , Hautz Theresa , Schneeberger Stefan 
Published: January 2020

Background.
Mechanical and thermal stress has been observed to trigger skin rejection in hand-transplanted patients. This study aims to investigate this phenomenon.

Methods.
Syngeneic and allogeneic orthotopic hindlimb transplantations were performed using male rats (Brown Norway to Lewis). Using a specially designed device, standardized mechanical skin irritation at a force of 5 N was applied to the planta pedis of the transplanted limb for 10 days, 4 times daily for 10 minutes. Biopsies, taken on day 10 and after a 5-day observational period, were assessed for macroscopic alterations using a standardized scale, by histopathology and immunohistochemistry, and for inflammatory protein expression using Luminex technology.

Results.
Allogeneic animals displayed significant aggravated macroscopic skin alterations compared with naive (P < 0.0001) and syngeneic controls (P = 0.0023). Histopathology showed a trend toward higher rejection/inflammation grades in allogeneic animals compared with syngeneic controls. Minor skin alterations in syngeneic limbs recovered quickly; however, in allogeneic limbs, macroscopic skin alterations were significantly more pronounced (P < 0.0001) 5 days after irritation. Interleukin-1b and interferon-γ levels were upregulated in skin of allogeneic limbs.

Conclusions.
Mechanical skin irritation in vascularized composite allotransplantation can trigger localized skin inflammation consistent with rejection.
Reducing the Risk of Indwelling Catheter–Associated Urinary Tract Infection in Female Patients by Implementing an Alternative Female External Urinary Collection Device
Authors: Eckert Lorena , Mattia Lisa , Patel Shilla , Okumura Rowena , Reynolds Priscilla , Stuiver Ingrid 
Published: January 2020

PURPOSE:
The purpose of this quality improvement project was to reduce catheter-associated urinary tract infection (CAUTI) risk for female patients by implementing a female external urinary collection (FEUC) device with suction as an alternative to indwelling catheter (IDC).

PARTICIPANTS AND SETTING:
Participants were female patients admitted to our 386-bed community hospital in Southern California and who required urinary management.

APPROACH:
We implemented a comprehensive CAUTI prevention program in 2014 that was in place for 1.5 years before this project was started. The CAUTI prevention program was based on the US Center for Disease Control and Prevention's CAUTI prevention recommendations. To supplement our CAUTI prevention efforts in our female patients, we implemented the FEUC device in our intensive care, telemetry, medical-surgical, orthopedic, and acute rehabilitations inpatient care units. Indwelling catheter use and CAUTI cases were identified by our Infection Prevention department.

OUTCOMES:
Prior to introduction of the FEUC device, in 2015, the baseline female IDC utilization rate was 31.7% (7181 IDC device-days/22,656 patient-days) and the female CAUTI rate was 1.11 (8 cases/7181 IDC device-days) per 1000 days. Following introduction of the device, both rates declined. In 2016, the IDC utilization rate was 29.7% (P = .000) and the CAUTI rate was 0% (P =.005). We continued to observe a reduction in 2017 IDC utilization rates of 26% (P = .000); the 2017 CAUTI rate of 0.90 was not significantly different to our prior year rate (P = .726).

IMPLICATIONS FOR PRACTICE:
We found that the introduction of the FEUC device reduced the risk for CAUTI. We will continue to prioritize the use of external devices for urinary management to help reduce the risk of our patients developing CAUTI.
A Descriptive Study Using an Intercept Survey
Authors: Pieper Barbara , Sobeck Joanne , Kaljee Linda , Templin Thomas N. 
Published: January 2020

PURPOSE:
This project examined knowledge, attitudes, beliefs, and behaviors about systemic antibiotic use for persons who reported a wound within the previous year.

DESIGN:
Secondary data analyses of 505 adults from a cross-sectional, prospective, intercept survey where every fifth adult was randomly approached to participate.

SUBJECTS AND SETTING:
Twenty-six participants (5.15% of the parent sample) stated having a wound within the previous year.

METHODS:
Participants were “interviewed” using the Facilitators and Barriers to Consumer Use of Antibiotics questionnaire that included demographics, health, information sources, antibiotic knowledge, attitudes, beliefs, and behavior questions. Hierarchical agglomerative cluster analysis was used to find clusters of items on the attitude, beliefs, and behavior questions.

RESULTS:
Sample demographics included 15 women and 11 African Americans, and 17 had some college education. Knowledge about antibiotics had a mean correct score of 10 out of 15 (67%) questions. Higher antibiotic knowledge was significantly related to higher education (r
s = 0.69, P < .001). There were 2 attitude and beliefs clusters: most participants (>85%) recognized the need for medical supervision of antibiotic use (cluster 1), and beliefs about the need for antibiotics to prevent illness or treat wounds varied in 27% to 62% of participants (cluster 2). There were 4 behavior clusters: almost all participants 96% (cluster 1) filled and took the antibiotic if prescribed; greater than 71% (cluster 2) disagreed with unapproved methods of obtaining antibiotics; greater than 87% (cluster 3) used prescribed antibiotics correctly; and 36% of participants heard about antibiotic resistance through television or radio or Internet (40%) (cluster 4).

CONCLUSIONS:
Knowledge about antibiotics was low, while attitudes were positive. These findings support the need for research and evidence-based information on the role of antibiotics in wound care.
Dual mechanisms of ictal high frequency oscillations in rhythmic onset seizures
Authors: Smith Elliot H. , Merricks Edward M. , Liou Jyun-You , Casadei Camilla , Melloni Lucia , Friedman Daniel , Doyle Werner , Emerson Ronald G. , Goodman Robert R. , McKhann Guy M. , Sheth Sameer A. , Rolston John D. , Schevon Catherine A. 
Published: January 2020

ABSTRACTObjectiveHigh frequency oscillations (HFOs) recorded from intracranial electrodes during epileptiform discharges have been proposed as a biomarker of epileptic brain sites and may also be a useful feature for seizure forecasting, with mixed results. Currently, pathological subclasses of HFOs have been defined primarily by frequency characteristics. Despite this, there has been limited investigation into the spatial context of HFOs with recruitment of local cortex into seizure discharging. We sought to further understand the biophysical underpinnings of ictal HFOs.MethodsHere we examine ictal HFOs from multi-scale electrophysiological recordings during spontaneous human rhythmic onset seizures. We compare features of ictal discharges in both the seizure core and penumbra, as defined by multiunit activity patterns.ResultsWe show marked differences in spectral features, unit coupling, and information theoretic characteristics of HFOs during ictal discharges before and after local seizure invasion. Furthermore, we tie these timing-related differences to different spatial domains of seizures, showing that eccentric, penumbral discharges are widely distributed and less useful for seizure localization, which may explain the variable utility of HFOs in seizure localization and forecasting.InterpretationWe thus identify two distinct classes of ictal HFOs, implying two different mechanisms underlying pathological HFOs with contrasting significance for seizure localization.
An end-to-end workflow for statistical analysis and inference of large-scale biomedical datasets
Authors: Heidari Elyas , Sadeghi Mohammad Amin , Balazadeh-Meresht Vahid , Ahmadi Nastaran , Sadr Mahmoud , Sharifi-Zarchi Ali , Mirzaei Masoud 
Published: January 2020

AbstractThroughout time, as medical and epidemiological studies have grown larger in scale, the challenges associated with extracting useful and relevant information from these data has mounted. General health surveys provide a good example for such studies as they usually cover large populations and are conducted throughout long periods in multiple locations. The challenges associated with interpreting the results of such studies include: the presence of both categorical and continuous variables and the need to compare them within a single statistical framework; the presence of variations in data resulting from the technical limitations in data collection; the danger of selection and information biases in hypothesis-directed study design and implementation; and the complete inadequacy of p values in identifying significant relationships. As a solution to these challenges, we propose an end-to-end analysis workflow using the MUltivariate analysis and VISualization (MUVIS) package within R statistical software. MUVIS consists of a comprehensive set of statistical tools that follow the basic tenet of unbiased exploration of associations within a dataset. We validate its performance by applying MUVIS to data from the Yazd Health Study (YaHS). YaHS is a prospective cohort study consisting of a general health survey of more than 30 health-related measurements and a questionnaire with over 300 questions acquired from 10050 participants. Given the nature of the YaHS dataset, most of the identified associations are corroborated by a large body of medical literature. Nevertheless, some more interesting and less investigated connections were also found which are presented here. We conclude that MUVIS provides a robust statistical framework for extraction of useful and relevant information from medical datasets and their visualization in easily comprehensible ways.
IT governance enablers in relation to IoT implementation: a systematic literature review
Authors: Henriques David , Pereira Ruben Filipe , Almeida Rafael , Mira da Silva Miguel 
Published: January 2020

Purpose
The purpose of this paper is to obtain a list of recommendations addressed by the information technology (IT) governance enablers in relation to IoT implementation. The reason behind this it is the lack of information about these instances which could the organizations to be more effective when implementing IoT.

Design/methodology/approach
The objectives will be obtained using the methodology – systematic literature review.

Findings
During the research, a list of recommendations was created on each IT governance enabler in relation to IoT implementation, showing the flaws that exist at the literature level for each enabler.

Originality/value
The state of art of this research is a creation of a list of recommendations according to IT governance enablers to be applied on an IoT implementation.
The march towards infinity – the impending era of deep thinking
Authors: Dasgupta Shiladitya , Sanyal Debashish 
Published: January 2020

Purpose
The theory of dynamic capabilities (DC) was originally proposed as an improved alternative to the existing resource-based view theory of strategy to address the issue of renewing competences in fast changing environments. However, in an era of transition, how will the theory address the multiple challenges arising on technology, social and energy regime front? The paper aims to address this issue.

Design/methodology/approach
This paper takes the approach of theoretical proposition building, supported by real-life examples.

Findings
Findings include a set of managerial practices that will help building DCs in rapidly changing environments.

Research limitations/implications
The theoretical propositions offer further scope of research for other scholars to test and build the theory further.

Practical implications
The interplay of three forces outlined in the paper has significant strategic implications for firms.

Originality/value
The paper proposes a framework called deep thinking which has not been proposed before and which particularly addresses how firms can meet the challenge of transitioning into a new era with the help of this framework.
Uncovering the relationship between whistleblowing and organizational identity
Authors: Palumbo Rocco , Manna Rosalba 
Published: January 2020

PurposeWhistleblowing – i.e. the employees’ decision to report illegal, immoral and/or illegitimate practices performed by peers, supervisors and/or subordinates – involves a contestation of the existing organizational power. Therefore, it challenges the whistleblower’s identification with the organization. Nevertheless, whistleblowing has been rarely related to organizational identity. The purpose of this paper is to fill this gap, investigating employees’ whistleblowing intentions in the context of higher education.Design/methodology/approachA quantitative, exploratory analysis concerning the whistleblowing episodes that occurred in the whole population of Italian publicly owned universities and higher education institutions was performed (n=69). Secondary data about whistleblowing were retrieved from the annual reports arranged by the supervisor for the prevention of corruption and the promotion of transparency.FindingsMost of Italian publicly owned higher education institutions did not experience whistleblowing. Conversely, less than a quarter of the sample reported at least ones whistleblowing procedure. The homogeneity of organizational identity seemed to discourage the willingness of academic employees to report organizational wrongdoings. ICT-based and anonymized whistleblowing systems were found to support the propensity of academics to blow the whistle.Practical implicationsTailored interventions are needed to address the interplay between organizational identity and academic employees’ whistleblowing intentions. The culture of silence predominating in institutions characterized by a hegemonic organizational identity should be overwhelmed. Prevention measures intended to guarantee the whistleblower’s anonymity through the use of ICT-based platforms are useful to support the academic employees’ willingness to blow the whistle in case of organizational misconduct.Originality/valueThis is one of the first attempts to investigate the interplay between organizational identity and whistleblowing in public sector organizations.
Impact of food price volatility on child health and education attainment
Authors: Zehra Nigar 
Published: January 2020

Purpose
The purpose of this paper is to find the impact of food price volatility on child health and education attainment in urban areas of Pakistan. This research also compares the two variables among the two time periods: the period of low volatile food prices (2014‒2015) and the period of high volatile food prices (2013‒2014). The rate of child immunization and the rate of child school attendance are used as proxies for child health and child education, respectively.

Design/methodology/approach
This study employs propensity score matching (PSM) technique introduced by Rosenbaum and Rubin (1983), to overcome the selection bias problem in the observational studies.

Findings
The closing part of the paper concludes that both the rate of child immunization and the rate of child school attendance are significantly poorer for the households of Pakistan in the control period (of high food price volatility) as compared to the treated period (of low food price volatility). After controlling the problem of selection bias through PSM technique, it is found that there is a further increase in the rate of child immunization and the rate of child school attendance. It proves that the data were biased before applying the matching technique.

Originality/value
This study lengthens the literature by identifying the impact of food price volatility on child health and education of urban households of Pakistan, using high frequency data of PSLM/HIES, with the help of semi-parametric technique of matching. This type of micro-level research has not been conducted (nationally or internationally) so far; therefore, it would possibly open a sphere for policy makers to implement the suitable policies.

Peer review
The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-04-2019-0275.