bluuebunny/crossref_metadata_2025_split huggingface dataset:
A narrative of my lived experience of a whole series of psychiatric diagnoses and their impacts on me, ending with a discussion of clinical recovery from psychosis
Authors: Tomlinson Peter 
Published: September 2020

Accessible SummaryWhat is known on the subject?

All health service users in Belgium have the right to be informed about their diagnosis.

There is a whole spectrum of prognoses for psychosis, but many practitioners show a bias towards believing that psychosis is always regressive.

What this paper adds to existing knowledge?

This paper is a first person narrative of one thread through my experiences as a mental health service user: the story of my diagnoses.

A case study of the functions and impacts of diagnosis.

What are the implications for practice?

Practitioners need to reflect on the impact diagnosis can have on a person and avoid assumptions that the experience and prognosis is universal.

A diagnosis can play a positive therapeutic role.

AbstractPurposeThe purpose of this paper is to stimulate nurses and other mental health professionals to reflect on what they understand by a psychiatric diagnosis and how they use this understanding.BackgroundI have twenty years’ experience as mental health service user, and in this time, I have received numerous diagnoses which have had a variety of impacts on me.MethodsThe paper began as notes drawn from introspection. I ordered my memories and reflections chronologically to reconstruct this narrative.KeypointsMy case makes the point that psychiatric diagnosis is not an established, universal science like in somatic medicine, but a still evolving complex of contradictions and opinions and should not be treated as authoritative. I aim to challenge what I see as a general overestimation of how much a diagnosis tells you about a person and how you should treat them.
PCP Opinions of Universal Suicide Risk Screening in Rural Primary Care: Current Challenges and Strategies for Successful Implementation
Authors: LeCloux Mary , Aguinaldo Laika D. , Lanzillo Elizabeth C. , Horowitz Lisa M. 
Published: September 2020

AbstractPurposeUniversal suicide risk screening has the potential to address the disproportionately high rates of suicide in the rural United States, as 83% of people who have died by suicide have visited a health care provider in the year prior to their deaths, and rural patients are more likely to visit medical professionals than behavioral health professionals for mental health concerns. This study describes the opinions of primary care providers (PCPs) practicing in a primarily rural state regarding universal suicide risk screening, barriers to implementation, and strategies to increase the feasibility of screening in their practices.MethodsIn‐depth, individual semistructured qualitative interviews were conducted with a sample of PCPs practicing in West Virginia (N = 15). Applied thematic analysis of the data was completed by a team of 3 coders using a consensus‐coding methodology.FindingsThe majority of PCPs supported the practice of screening, but they identified multiple barriers, including a lack of access to mental health and crisis support services, concerns about clinic flow and follow‐up with suicidal patients, cultural beliefs specific to rural Appalachia, and provider discomfort with screening. Strategies suggested to address these barriers included the use of technology for screening, a multidisciplinary team approach, streamlined methods for screening and risk assessment, co‐located behavioral health, and additional trainings for PCPs on the topic of suicide.ConclusionFuture research should examine the efficacy of universal suicide risk screening programs in rural adult primary care that utilize these strategies in diverse samples with longitudinal data.
What does Jerome Powell know that William McChesney Martin did not—And what role did academic research play in that?
Authors: Blinder Alan S. 
Published: September 2020

AbstractMuch has changed over the past 50 years, both in central banking circles and in academic monetary economics. This paper inquires about the interaction between the two: how much and in what ways has academic research influenced the practice of monetary policy, especially by the Federal Reserve? More specifically, the paper takes up five issues: (a) the inflation target, (b) the monetary policy instrument (e.g., interest rate, money supply or “unconventional” instrument?), (c) the model of monetary policy transmission, (d) central bank communications and (e) rules versus discretion.
Genomic evidence of introgression and adaptation in a model subtropical tree species, Eucalyptus grandis
Authors: Mostert‐O'Neill Marja Mirjam , Reynolds Sharon Melissa , Acosta Juan Jose , Lee David John , Borevitz Justin O. , Myburg Alexander Andrew 
Published: September 2020

AbstractThe genetic consequences of adaptation to changing environments can be deciphered using population genomics, which may help predict species' responses to global climate change. Towards this, we used genome‐wide SNP marker analysis to determine population structure and patterns of genetic differentiation in terms of neutral and adaptive genetic variation in the natural range of Eucalyptus grandis, a widely cultivated subtropical and temperate species, serving as genomic reference for the genus. We analysed introgression patterns at subchromosomal resolution using a modified ancestry mapping approach and identified provenances with extensive interspecific introgression in response to increased aridity. Furthermore, we describe potentially adaptive genetic variation as explained by environment‐associated SNP markers, which also led to the discovery of what is likely a large structural variant. Finally, we show that genes linked to these markers are enriched for biotic and abiotic stress responses.
Introgression across evolutionary scales suggests reticulation contributes to Amazonian tree diversity
Authors: Schley Rowan J. , Pennington R. Toby , Pérez‐Escobar Oscar Alejandro , Helmstetter Andrew J. , de la Estrella Manuel , Larridon Isabel , Sabino Kikuchi Izai Alberto Bruno , Barraclough Timothy G. , Forest Félix , Klitgård Bente 
Published: September 2020

AbstractHybridization has the potential to generate or homogenize biodiversity and is a particularly common phenomenon in plants, with an estimated 25% of plant species undergoing interspecific gene flow. However, hybridization in Amazonia's megadiverse tree flora was assumed to be extremely rare despite extensive sympatry between closely related species, and its role in diversification remains enigmatic because it has not yet been examined empirically. Using members of a dominant Amazonian tree family (Brownea, Fabaceae) as a model to address this knowledge gap, our study recovered extensive evidence of hybridization among multiple lineages across phylogenetic scales. More specifically, using targeted sequence capture our results uncovered several historical introgression events betweenBrownealineages and indicated that gene tree incongruence inBrowneais best explained by reticulation, rather than solely by incomplete lineage sorting. Furthermore, investigation of recent hybridization using ~19,000 ddRAD loci recovered a high degree of shared variation between twoBrowneaspecies that co‐occur in the Ecuadorian Amazon. Our analyses also showed that these sympatric lineages exhibit homogeneous rates of introgression among loci relative to the genome‐wide average, implying a lack of selection against hybrid genotypes and persistent hybridization. Our results demonstrate that gene flow between multiple Amazonian tree species has occurred across temporal scales, and contrasts with the prevailing view of hybridization's rarity in Amazonia. Overall, our results provide novel evidence that reticulate evolution influenced diversification in part of the Amazonian tree flora, which is the most diverse on Earth.
Molecular detection of the reptile‐associated Borrelia group in Amblyomma dissimile, Mexico
Authors: Colunga‐Salas P. , Sánchez‐Montes S. , Ochoa‐Ochoa L. M. , Grostieta E. , Becker I. 
Published: September 2020

AbstractRecently, the first record of Borrelia associated with reptiles in Mexico was published; however, no studies have been done to assess the role of Mexican ticks as potential vectors of this Borrelia group. Amblyomma dissimile is a hard tick mainly associated with amphibians and reptiles in this country. The aim of this study was to evaluate the presence of Borrelia in A. dissimile from Mexico. We collected 60 A. dissimile individuals attached to 16 Rhinella horribilis. DNA was extracted and all specimens were screened individually for Borrelia by amplification of a fragment of the 16S rDNA and an additional fragment of the flagellin gene. Five ticks were positive for Borrelia, DNA sequences corresponded to Borrelia sp. and group with sequences of the reptile‐associated Borrelia group. This is the first report of Borrelia in A. dissimile and the second report of the reptile‐associated Borrelia group in Mexico. This study also highlights the importance of this tick species as potential vector of this group.
Ideas of caring in nursing practice
Authors: Karlsson Margareta , Pennbrant Sandra 
Published: September 2020

AbstractIn nursing practice, awareness of ethical inner values and a common understanding of nursing and caring are needed. It is therefore important to highlight ideas of caring in nursing practice. The aim of this paper was to illuminate nursing, caring and ethical inner values in caring and caring in nursing practice. By being attentive, open, respectful and treating the patient as a person, nurses can enhance both their own and the patient's sense of personal meaning in the caring relationship. Nurses can use self‐reflection to create an awareness of nursing, caring and ethical inner values in caring.
Pathologic assessment of endoscopic resection specimens with superficial carcinoma of the esophagus: current practice and practical issues
Authors: Marginean Esmeralda Celia , Dhanpat Jain 
Published: September 2020

AbstractEndoscopic resection (ER) has become the first‐line therapy for early esophageal cancer and offers a treatment alternative to surgery, owing to less morbidity and better quality of life. ER techniques include endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). EMR is faster, simpler, and cheaper than ESD, but limited by its ability to resect lesions larger than 1.5 centimeters. Piecemeal EMR has limitations, including a high local recurrence rate and a suboptimal specimen for an accurate pathologic assessment. ESD, on the other hand, allows en bloc resections with negative (R0) margins, irrespective of lesion size, providing an excellent pathologic specimen, however, is technically challenging with a higher risk of complications. The evaluation of ER specimens in pathology varies slightly from institution to institution. Our review summarizes the current practices and issues in the pathologic assessment of esophageal ER specimens, which highlights the necessity of a systematic approach and standardization of both macroscopic and microscopic evaluation. There is a need for a comprehensive and standardized pathology report that will allow for uniform terminology for endoscopists, surgeons, and pathologists, which, in turn, will result in better treatment guidance.
Clinical outcomes of His‐Purkinje conduction system pacing
Authors: Muthumala Amal , Vijayaraman Pugazhendhi 
Published: September 2020

AbstractHis‐Purkinje conduction system pacing (HPCSP) in the form of His bundle pacing (HBP) and left bundle branch pacing (LBBP) allows normal left ventricular activation, thereby preventing the adverse consequences of right ventricular pacing. HBP has been established for several years with centers from China, Europe, and North America reporting their experience. There is international guidance as to how to implant such systems with the differing patterns of His bundle capture clearly described. LBBP is a more recent innovation with potential advantages including improved pacing parameters. HPCSP has been extensively studied in a variety of indications including cardiac resynchronization therapy, atrioventricular node ablation, and bradycardia pacing. This review will focus on the clinical outcomes of HPCSP including mortality and morbidity of heart failure hospitalization and symptoms.
The anatomical features of an ultrasound‐guided erector spinae fascial plane block in a cadaveric neonatal sample
Authors: Govender Sabashnee , Mohr Dwayne , Bosenberg Adrian , Van Schoor Albert Neels 
Published: September 2020

AbstractBackgroundSince its inception, the erector spinae plane block has been used for a variety of truncal surgeries with success in both adults and children. However, the anatomical features, route of spread, and dermatomal coverage are still not fully understood in a pediatric population.ObjectivesTo identify the anatomical features of the erector spinae fascial plane space by replicating an erector spinae plane block in a fresh neonatal cadaveric sample. The primary aim was to determine the spread of the dye within the fascial plane, while the secondary aims were to determine whether the needle direction or entry site affected the spread.MethodsThe block was replicated bilaterally using 0.1 mL/kg of iodinated contrast dye in nine fresh unembalmed preterm neonatal cadavers. The dye was introduced under ultrasound guidance at vertebral level T5 and T8. Additionally, the needle was oriented cranial‐caudal vs caudal‐cranial to determine if the needle orientation influenced the spread of dye. The block was also replicated midway between the adjacent transverse processes as opposed to the lateral tip of the transverse process to determine the spread.ResultsFrom the total sample size, 14 “blocks” were successfully replicated, while 4 “blocks” were either incomplete or failed blocks. Contrast dye was found in the paravertebral, intercostal, and epidural spaces, including posteriorly over the neural foramina. Results revealed that the needle direction or entry site did not influence the spread within the fascial plane.ConclusionContrast material was found in the paravertebral, epidural, and intercostal spaces over an average of 5 vertebral levels when using 0.1 mL/kg.
Genomic interventions for sustainable agriculture
Authors: Bohra Abhishek , Chand Jha Uday , Godwin Ian D. , Kumar Varshney Rajeev 
Published: September 2020

SummaryAgricultural production faces a Herculean challenge to feed the increasing global population. Food production systems need to deliver more with finite land and water resources while exerting the least negative influence on the ecosystem. The unpredictability of climate change and consequent changes in pests/pathogens dynamics aggravate the enormity of the challenge. Crop improvement has made significant contributions towards food security, and breeding climate‐smart cultivars are considered the most sustainable way to accelerate food production. However, a fundamental change is needed in the conventional breeding framework in order to respond adequately to the growing food demands. Progress in genomics has provided new concepts and tools that hold promise to make plant breeding procedures more precise and efficient. For instance, reference genome assemblies in combination with germplasm sequencing delineate breeding targets that could contribute to securing future food supply. In this review, we highlight key breakthroughs in plant genome sequencing and explain how the presence of these genome resources in combination with gene editing techniques has revolutionized the procedures of trait discovery and manipulation. Adoption of new approaches such as speed breeding, genomic selection and haplotype‐based breeding could overcome several limitations of conventional breeding. We advocate that strengthening varietal release and seed distribution systems will play a more determining role in delivering genetic gains at farmer’s field. A holistic approach outlined here would be crucial to deliver steady stream of climate‐smart crop cultivars for sustainable agriculture.
Individual and dyadic associations among relational self‐expansion potential, affect, and perceived health
Authors: Stanton Sarah C. E. , Spence Katie , Kähkönen Jenni E. , Dobson Kiersten 
Published: September 2020

AbstractA growing body of literature suggests that specific markers of relationship quality are meaningfully linked to health outcomes. We tested whether relational self‐expansion potential might be one of these markers in cross‐sectional samples of individuals and romantic couples. Study 1 found that greater self‐expansion potential was linked to better perceived physical health via both higher positive affect (PA) and lower negative affect (NA). Study 2 replicated these findings for PA (but not NA) and revealed both actor and partner effects of self‐expansion potential. Results remained robust when statistically accounting for gender, age, body mass index, agreeableness, neuroticism, and perceived partner responsiveness. These findings identify a new relationship‐level “active ingredient” associated with health and have implications for future physical health studies.
Risk factors for secondary poor graft function after bone marrow transplantation in children with acquired aplastic anemia
Authors: Hama Asahito , Muramatsu Hideki , Narita Atsushi , Nishikawa Eri , Kawashima Nozomu , Nishio Nobuhiro , Kojima Seiji , Takahashi Yoshiyuki 
Published: September 2020

AbstractIn patients with acquired AA, PGF is a major cause of cytopenia after hematopoietic stem cell transplantation. An increased incidence of PGF, especially sPGF, has been noted after the introduction of the FLU/CY regimen in children with acquired AA. To clarify the risk factors for sPGF, the clinical data of 49 patients (median age, 11 years; range, 1‐19 years) with AA who received allogeneic BMT at Nagoya University Hospital from 1997 to 2016 were analyzed. Out of the 49 patients, 7 developed sPGF, and the 5‐year CI was 0.15 (95% CI, 0.04‐0.25). Five received the FLU/CY regimen, and the 5‐year CI of sPGF was significantly higher in patients who received the regimen (0.36; 95% CI, 0.12‐0.62) than in those who were conditioned with the non‐FLU/CY regimen (0.06; 95% CI, 0.01‐0.17; P = .01). The multivariate analysis confirmed that the FLU/CY regimen (hazard ratio, 6.12; 95% CI, 1.16‐32.4; P = .03) was a significant risk factor for sPGF. sPGF improved spontaneously without stem cell boost infusions in 5 patients, ranging from 460 to 3539 days after BMT. The 10‐year CI of the spontaneous trilineage recovery was 0.83 (95% CI, 0.00‐0.97), and all 7 patients are alive. The FLU/CY regimen was identified as a risk factor for the sPGF development in patients with AA. The establishment of the optimal conditioning regimens for children with AA is warranted.
Effect of Protective Measures on Eye Exposure to Solar Ultraviolet Radiation
Authors: Deng Yan , Zhang Chuan , Zheng Yang , Li Rui , Hua Hui , Lu Yingjie , Gurram Namratha , Chen Rentong , OuYang NanNing , Zhang Shumin , Liu Yang , Hu Liwen 
Published: September 2020

AbstractIn this study, ocular biologically effective exposure to solar ultraviolet radiation (UVBE) is investigated with six kinds of sun protective measures (spectacle lenses, sunglasses, cap, bonnet, straw hat and under parasol). Ocular UV exposure measurements were performed on manikins during the summer period in Shenyang city (41.64° N, 123.50° E, 66 m a.s.l.), China. The measurements include the ocular UV exposure of an unprotected eye and the ambient UV as a control concurrently. Based on the relative spectral weighting factors of the International Commission on Non‐Ionizing Radiation Protection (ICNIRP), the ocular biologically effective UV is calculated and compared with the 8‐h exposure limits of ICNIRP (30 J m−2). The UV index (UVI) of the measurement days is 0–8, and the 8‐h (8:00–16:00 China Standard Time, CST) cumulated UVBE of the unprotected eye is 452.0 J m−2. The 8‐h cumulated UVBE of the eye with spectacle lenses, sunglasses, cap, bonnet, straw hat and under parasol are 364.2, 69.1, 51.4, 49.0, 56.8 and 110.2 J m−2, respectively. Importantly, it should be noted that the eye could be exposed to risk despite protective measures. The 8‐h cumulated UVBE of the eye with protection is ca 1.6–15.1 times the exposure limit, respectively. As indicated in the present study, during summer months, high exposure to the sun for more than 30 min without eye protection and more than 1 h with eye protection is not advisable. The protection measures could effectively reduce the UVBE reaching the eye, yet there is still a high degree of risk when compared with the ICNIRP 8‐h exposure limits.
Surface moisture increases microcracking and water vapour permeance of apple fruit skin
Authors: Khanal B. P. , Imoro Y. , Chen Y. H. , Straube J. , Knoche M. 
Published: September 2020

Abstract

Surface moisture induces microcracking in the cuticle of fruit skins. Our objective was to study the effects of surface moisture on cuticular microcracking, the permeance to water vapour and russeting in developing ‘Pinova’ apple fruit.

Surface moisture was applied by fixing to the fruit a plastic tube containing deionized water. Microcracking was quantified by fluorescence microscopy and image analysis following infiltration with acridine orange. Water vapour permeance was determined gravimetrically using skin segments (ES) mounted in diffusion cells.

Cumulative water loss through the ES increased linearly with time. Throughout development, surface moisture significantly increased skin permeance. The effect was largest during early development and decreased towards maturity. Recovery time courses revealed that following moisture treatment of young fruit for 12 days, skin permeance continued to increase until about 14 days after terminating the moisture treatment. Thereafter, skin permeance decreased over the next 28 days, then approaching the control level. This behaviour indicates gradual healing of the impaired cuticular barrier. Nevertheless, permeance still remained significantly higher compared with the untreated control. Similar patterns of permeance change were observed following moisture treatments at later stages of development. The early moisture treatment beginning at 23 DAFB resulted in russeting of the exposed surfaces. There was no russet in control fruit without a tube or in control fruit with a tube mounted for 12 days without water.

The data demonstrate that surface moisture increases microcracking and water vapour permeance. This may lead to the formation of a periderm and, hence, a russeted fruit surface.
Class or caste? A study on the role of caste and wealth status in school choice decision
Authors: Bhattacharya Sukanta , Dasgupta Aparajita , Mandal Kumarjit , Mukherjee Anirban 
Published: September 2020

AbstractThere is a strong political opinion in India in favour of replacing caste based affirmative action with an economic class based one. We contribute to this debate by looking at the interaction of caste and wealth in school choice. We show that too rich and too poor parents behave in the same way irrespective of their caste identities—rich parents sending their children to private schools while poor parents choosing public schools for their children. The caste identity, we find, plays a role for the school choice decision made by the parents belonging to the economic middle class. Among the economic middle class parents, the ones from the privileged castes send their children to private schools, while the children of the parents from the disadvantaged castes are sent to public schools. The result is robust to alternative definitions of privileged and disadvantaged castes. For school quality choice, however, we find a monotonic relationship between wealth and school quality.