bluuebunny/crossref_metadata_2025_split huggingface dataset:
Między traumą a reifikacją, czyli o estetyzacji reprezentacji przeszłości i schematach pamięci społecznej
Authors: Kajfosz Jan 
Published: December 2020

Between Trauma and Reification, or on Aestheticization of Representations of the Past and on Patterns of Social MemoryThis paper attempts to answer two questions: first, how aestheticization and mediatization of representations of the past affects the possibility of their transmission between milieus distinguished by incompatible social memories, identifications or value and symbolic systems; second, how aestheticization of narratives of the past can affect the ability of their recipients to distinguish between individuals and collectives. The key concept is the degree of reification of collectives and the impact of such reification on the possibility to communicate representations of traumatic experiences of individuals. The author focuses on some feature films and analyses their ability to promote or inhibit dehumanization of individuals. Między traumą a reifikacją, czyli o estetyzacji reprezentacji przeszłości i schematach pamięci społecznejCelem artykułu jest odpowiedzieć na dwa pytania: po pierwsze, w jaki sposób estetyzacja i mediatyzacja reprezentacji przeszłości rzutuje na możliwości ich transmisji między środowiskami społecznymi, które odznaczają się niewspółmiernymi pamięciami społecznymi, tożsamościami zbiorowymi, systemami wartości i systemami symbolicznymi. Po drugie, w jaki sposób estetyzacja opowieści o przeszłości może oddziaływać na zdolność jej odbiorców do rozróżniania między jednostkami i zbiorowościami. Kluczową kategorią, wokół której osnuta jest zawierająca się w tekście argumentacja, jest przerost (hipertrofia) urzeczowienia z poziomu spontaniczności do poziomu refleksyjności, czyli z poziomu postaw przed-teoretycznych do poziomu postaw teoretycznych. Autor koncentruje się na kwestii uzależnienia społecznego przyzwolenia na publiczne ujawnianie przez ofiary przemocy swych traumatycznych doświadczeń od społecznien reprodukowanej tendencji do reifikacji zbiorowości. Sięga do przykładu wybranych filmów fabularnych o tematyce historycznej i autobiograficznej, koncentrując się na ich zdolności do lansowania bądź przeciwstawiania się dehumanizacji.
Changes in North Atlantic Atmospheric Circulation in a Warmer Climate Favor Winter Flooding and Summer Drought over Europe
Authors: Rousi E. , Selten F. , Rahmstorf S. , Coumou D. 
Published: December 2020

AbstractChanges in atmospheric circulation under increasing greenhouse gas concentrations are important because of their implications for weather extremes and associated societal risks. However, uncertainties in models and future projections are still large and drivers behind circulation changes are not well understood. Particularly for Europe, a potential weakening of the Atlantic meridional overturning circulation (AMOC) is considered important as it affects SST patterns and ocean–atmosphere heat fluxes and, subsequently, European climate. Here we detect and characterize changes in atmospheric circulation patterns over the North Atlantic under increasing CO2 concentrations in simulations of a very high-resolution, fully coupled climate model (CM2.6) with a realistic representation of the AMOC. We use an objective clustering technique (self-organizing maps) and validate the model’s clusters against reanalysis data. We compare the frequency of those patterns in a CO2 doubling experiment, characterized by an AMOC decline, with those in a preindustrial run, and find statistically significant changes. The most robust findings are 1) a ~30% increase in zonal flow regimes in February, relevant for flood risk in northwestern Europe, and 2) a ~60% increase in anticyclonic (high pressure) circulation directly west of the United Kingdom in August, relevant for western and central European drought. A robust decrease in the frequency of Scandinavian blocking is also seen across most months and seasons. Despite the uncertainties regarding atmospheric circulation response to climate change, our findings contribute to the increasing evidence for the emergence of robust high-impact changes over Europe.
Explaining the Spatial Pattern of U.S. Extreme Daily Precipitation Change
Authors: Hoerling Martin , Smith Lesley , Quan Xiao-Wei , Eischeid Jon , Barsugli Joseph , Diaz Henry F. 
Published: December 2020

AbstractObserved United States trends in the annual maximum 1-day precipitation (RX1day) over the last century consist of 15%–25% increases over the eastern United States (East) and 10% decreases over the far western United States (West). This heterogeneous trend pattern departs from comparatively uniform observed increases in precipitable water over the contiguous United States. Here we use an event attribution framework involving parallel sets of global atmospheric model experiments with and without climate change drivers to explain this spatially diverse pattern of extreme daily precipitation trends. We find that RX1day events in our model ensembles respond to observed historical climate change forcing differently across the United States with 5%–10% intensity increases over the East but no appreciable change over the West. This spatially diverse forced signal is broadly similar among three models used, and is positively correlated with the observed trend pattern. Our analysis of model and observations indicates the lack of appreciable RX1day signals over the West is likely due to dynamical effects of climate change forcing—via a wintertime atmospheric circulation anomaly that suppresses vertical motion over the West—largely cancelling thermodynamic effects of increased water vapor availability. The large magnitude of eastern U.S. RX1day increases is unlikely a symptom of a regional heightened sensitivity to climate change forcing. Instead, our ensemble simulations reveal considerable variability in RX1day trend magnitudes arising from internal atmospheric processes alone, and we argue that the remarkable observed increases over the East has most likely resulted from a superposition of strong internal variability with a moderate climate change signal. Implications for future changes in U.S. extreme daily precipitation are discussed.
Mesoscale Energy Balance and Air–Sea Interaction in the Kuroshio Extension: Low-Frequency versus High-Frequency Variability
Authors: Yang Haiyuan , Wu Lixin , Chang Ping , Qiu Bo , Jing Zhao , Zhang Qiuying , Chen Zhaohui 
Published: December 2020

AbstractUsing eddy-resolving Community Earth System Model (CESM) simulations, this study investigates mesoscale energetics and air–sea interaction at two different time-scale windows in the Kuroshio Extension (KE) region. Based on an energy budget analysis, it is found that both baroclinic and barotropic pathways contribute to eddy energy generation within the low-frequency window (longer than 3 weeks) in this region, while both air–sea heat fluxes and wind stresses act as prominent eddy killers that remove energy from the ocean. In contrast, within the high-frequency window oceanic variability is mainly fed by baroclinic instability and regulated by turbulent thermal wind (TTW) processes, while the positive wind work is derived primarily from ageostrophic flow, i.e., Ekman drift, and along with air–sea heat fluxes has little influence on geostrophic mesoscale eddies.
Characteristics and Dynamics of Density Fronts over the Inner to Midshelf under Weak Wind Conditions
Authors: Wu Xiaodong , Feddersen Falk , Giddings Sarah N. 
Published: December 2020

AbstractHere, we explore the kinematics and dynamics of coastal density fronts (within 10 km from shore and <30-m depth), identified using an edge detection algorithm, in a realistic high-resolution model of the San Diego Bight with relatively weak winds and small freshwater input. The density fronts have lengths spanning 4–10 km and surface density gradients spanning 2–20 × 10−4 kg m−4. Cross-shore-oriented fronts are more likely with northward subtidal flow and are 1/3 as numerous as alongshore-oriented fronts, which are more likely with onshore surface baroclinic diurnal flow. Using a subset of the cross-shore fronts, decomposed into cross-front mean and perturbation components, an ensemble front is created. The ensemble cross-front mean flow is largely geostrophic in the cross- and alongfront directions. The ensemble cross-shore front extends several kilometers from shore, with a distinct linear front axis and downwelling (upwelling) on the dense (light) side of the front, convergent perturbation cross-front flow within the upper 5 m, strengthening the ensemble front. Vertical mixing of momentum is weak, counter to the turbulent thermal wind mechanism. The ensemble cross-shore front resembles a gravity current and is generated by a convergent strain field acting on the large-scale density field. The ensemble front is bounded by the shoreline and is alongfront geostrophic and cross-front ageostrophic. This contrasts with the cross-front geostrophic and alongfront ageostrophic balances of classic deformation frontogenesis, but is consistent with semigeostrophic coastal circulation.
Factors Associated with Death Anxiety Among Rural Chinese Older Adults: The Terror Management Perspective
Authors: Pei Yaolin , Cong Zhen , Silverstein Merril , Li Shuzhuo , Wu Bei 
Published: December 2020

Objectives: The aim of this study was to examine how the factors suggested by the Terror Management Theory are associated with death anxiety among rural Chinese older adults. Method: Data were derived from a longitudinal survey of older adults aged 60 and above, had at least one living child, and were living in rural areas of Anhui Province. The working sample included 1,362 older adults. Two-level random effects models were used. Results: Children’s financial support was negatively related to death anxiety, whereas emotional closeness with children was positively related to death anxiety. Older women reported more death anxiety than older men. Functional limitations were positively associated with death anxiety, and the widowed reported less death anxiety than the married. We did not find a significant association between religious belief and death anxiety. Discussion: The study highlights the importance of culture in shaping death anxiety among older adults in rural China.
A comparison of prefabricated and custom made resting hand splints for individuals with cervical spinal cord injury: A randomized controlled trial
Authors: Frye Sara Kate , Geigle Paula Richley 
Published: December 2020

Objective: To compare prefabricated and custom resting hand splints and establish the feasibility of splinting research for larger scale trials. Design: A Randomized controlled pilot study where the randomization unit was each hand, rather than each individual. Setting: Thirty-two-bed spinal cord injury and multi-trauma rehabilitation unit in an urban academic rehabilitation center. Subjects: Thirty-six hands from 19 individuals with cervical spinal cord injury were enrolled during their acute rehabilitation stay. Interventions: Each eligible hand was randomized to receive a custom or prefabricated resting hand splint for night use. Main measures: The Graded Redefined Assessment of Strength, Sensation and Prehension (GRASSP) was completed at both admission and discharge, and a structured interview was completed at discharge. Results: No difference existed in GRASSP outcomes or user preference between custom and prefabricated resting hand splints. Mann-Whitney tests indicated that there was no significant difference in qualitative prehension scores (U = 141, P = 0.522) nor quantitative prehension scores (U = 135, P = 0.382) between groups. Adherence to the splinting program was high (18 out of 19 participants), and no adverse effects occurred. Four themes emerged from the participant comments: the participants felt splints were helpful in their recovery; they found it challenging to direct their caregivers to help with the splints; they needed to take ownership for managing their splints; and they wished they received more education on splint rationale. Conclusion: There was no obvious difference in outcome or user preference between prefabricated and custom resting hand splints.
Value of urinary kidney injury molecule-1 levels in predicting acute kidney injury in very low birth weight preterm infants
Authors: Unal Ebru Turkoglu , Ozer Esra Arun , Kahramaner Zelal , Erdemir Aydin , Cosar Hese , Sutcuoglu Sumer 
Published: December 2020

Objective This study aimed to evaluate the significance of urinary kidney injury molecule-1 (uKIM-1) levels in predicting acute kidney injury (AKI) and mortality in very low birth weight (VLBW) preterm infants. Methods This prospective, observational cohort study was conducted on 39 VLBW preterm infants. Serum creatinine (SCr) and uKIM-1 levels were measured in the first 24 and 48 to 72 hours of life. The estimated glomerular filtration rate (eGFR) was calculated. Levels of uKIM-1 were measured with an enzyme-linked immunosorbent assay. Results Among 39 VLBW infants, 9 (23%) developed AKI. The mortality rate was 17.9% (n = 7 neonates). There was no significant difference in SCr levels, uKIM-1 levels, or the eGFR obtained in the first 24 hours in the AKI group compared with controls. However, significant differences were found in SCr and uKIM-1 levels, and the eGFR rate at 48 to 72 hours between the groups. Levels of uKIM-1 were significantly higher in non-survivors than in survivors in the first 24 and 48 to 72 hours of life. Conclusion The level of uKIM-1 can be used as a simple noninvasive diagnostic method for predicting AKI and mortality, especially within 48 to 72 hours of life. Clinical trial registration: We do not have a clinical trial registration ID. In Turkey, clinical trial registration is not required for non-drug, noninvasive, clinical studies.
The Influence of HeartMath® on Resilience and Empowerment in Female College Athletes
Authors: Miller Alexandra , France Nancey E. M. 
Published: December 2020

Purpose: The purpose of this pilot study was to examine the influence of HeartMath® on female college athletes’ abilities to holistically care for self as assessed through resiliency and power. Design: The descriptive design used mixed methods and was approved by the university’s institutional review board. The purposive sample was female college student athletes who were currently enrolled in a university program of study and played in a National Collegiate Athletic Association sanctioned sport. Method: There were eight weekly sessions where the holistic intervention HeartMath® was taught and reinforced. Participants completed two tools to measure resilience and power Weeks 1, 4, and 8: the Connor–Davidson Resilience Scale and the Power as Knowing Participation in Change Tool. At Session 8, a focus group interview was conducted to explore perception of how HeartMath® influenced caring for self as a student athlete. Findings: Although no statistical significance, emergent themes support that with HeartMath®, participants experienced an increase in resilience and power influencing their holistic caring for self. Conclusions: Findings support the need for additional research on the influence of HeartMath® on student athlete resilience and power in any team on and off the playing field.
Understanding a Diverse Cancer Center Catchment Area: A Qualitative Needs Assessment Built on a Theoretical Framework
Authors: Reyes Clara , Thompson Beti , Briant Katherine J. , Mendoza Jason 
Published: December 2020

INTRODUCTION: Quantitative approaches to the cancer incidence and mortality of a geographic region may lack understanding of the human context in the region thereby affecting how relevant cancer prevention and control activities can best be targeted to a cancer center’s catchment area. OBJECTIVES: The objective of this study was to obtain and analyze qualitative data that described the barriers and facilitators in a cancer center’s catchment area. A further objective was to use the assessment to plan a comprehensive approach to cancer prevention and control activities in the region. METHODS: Extensive qualitative data were gathered from 32 key informants in the 13 county catchment area. We used the Warnecke Model for Analysis of Population Health and Health Disparities to analyze the qualitative data. We coded factors affecting cancer prevention and control using a directed content analysis approach guided by the Warnecke Model. RESULTS: Four outcome types included fundamental barriers such as political environment and discrimination, gaps in resources, and lack of coordinated activities. Social and physical barriers included distrust, diverse language and cultures, and geographic distance. Individual barriers included lack of system negotiation, health literacy, and poverty. Biological barriers were disparate disease rates in specific groups. CONCLUSION: The analysis and assessment led to the creation of a catchment area wide coalition that used the results to formulate a comprehensive strategic plan to address the barriers in the region.
Comparison of data sources on alcohol problems: An exploratory exercise using surveys vs. national healthcare registers
Authors: Mäkelä Pia , Kuussaari Kristiina , Partanen Airi , Rautiainen Elina 
Published: December 2020

Aims: Both survey and healthcare register data struggle as data sources to capture the phenomenon of alcohol problems. We study a large group of people for whom survey data and two types of register data are available, and examine the overlaps of similar or related measures in the different data sources to learn about potential weaknesses in each. We also examine how register-based data on the prevalence of alcohol problems change depending on which register data are used. Design: We use data from the Regional Health and Wellbeing Study (ATH) of the adult Finnish population collected in 2013 and 2014 ( n = 69,441), individually linked with data on two national healthcare registers (Care Register for Health Care; Register of Primary Health Care visits) for the survey year and previous year. Results: The prevalence of substance-abuse-related healthcare was almost two-fold if data on outpatient primary care visits were included in addition to hospitalisations. Forty-six per cent of the survey respondents self-reporting substance-abuse-related healthcare service use were identified in the registers, and 22% of all respondents with such service use according to registers reported this in the survey. Records of substance-abuse-related healthcare service use, controlled for self-reported alcohol use and self-reported substance-abuse-related service use, were found more often for men, the middle-aged, people with basic education only, and the non-employed. Conclusions: The results are suggestive of underreporting in both data sources. There is an evident need to develop recording practices in the healthcare registers regarding substance use disorders.
Thermal Processes in Bile Ducts During Laparoscopic Cholecystectomy with Monopolar Instruments. Experimental Study Using Real-Time Intraluminal and Surface Thermography
Authors: Nechay Taras , Sazhin Alexander , Titkova Svetlana , Anurov Mikhail , Tyagunov Alexander , Sheptunov Sergey , Yakhutlov Umar , Nakhushev Rahim , Sannikov Alexander 
Published: December 2020

Introduction. A significant rate of complications during laparoscopic cholecystectomy (LC) occurs due to thermal injury caused by monopolar electrosurgery (MES) equipment. Most of them manifest weeks and months after surgery with the common bile duct (CBD) and large duodenal papilla strictures, some in the early postoperative period with bile leaks. Objective. To study thermal processes occurring in the lumen and on the surface of the bile ducts during monopolar coagulation in a porcine model of LC. Methods. The temperature of the bile ducts was measured using instrumentation consisted of biliary stent with temperature sensors, which was inserted in the porcine CBD, signal amplifier, and current sense transformer. Surface temperature was measured with a scientific grade thermal camera. Cholecystectomy was performed using a standard “critical view of safety” (CVS) approach with 5 mm monopolar laparoscopic instruments. Results. Application of MES caused significant tissue heating. Lateral thermal spread and the rate of tissue heating depended on the duration of energy application and the initial tissue temperature. In 5 out of 6 experiments, the intraluminal temperature rose up to the critical threshold, and the exposure time ranged from 54 to 560 seconds. A sensor positioned at the papilla site was heated in all the experiments but still below the cell damage inducing threshold. The analysis of thermographic charts revealed the presence of the “current channeling” effect and the pedicle effect. Conclusion. There is a possibility of a direct and delayed thermal injury to the bile ducts during LC.
Anthroposophic Medicine: A Short Monograph and Narrative Review—Foundations, Essential Characteristics, Scientific Basis, Safety, Effectiveness and Misconceptions
Authors: Bartelme Ricardo R 
Published: December 2020

Introduction Anthroposophic medicine is a form of integrative medicine that originated in Europe but is not well known in the US. It is comprehensive and heterogenous in scope and remains provocative and controversial in many academic circles. Assessment of the nature and potential contribution of anthroposophic medicine to whole person care and global health seems appropriate. Methods Because of the heterogenous and multifaceted character of anthroposophic medicine, a narrative review format was chosen. A Health Technology Assessment of anthroposophic medicine in 2006 was reviewed and used as a starting point. A Medline search from 2006 to July 2020 was performed using various search terms and restricted to English. Books, articles, reviews and websites were assessed for clinical relevance and interest to the general reader. Abstracts of German language articles were reviewed when available. Reference lists of articles and the author’s personal references were also consulted. Results The literature on anthroposophic medicine is vast, providing new ways of thinking, a holistic view of the world, and many integrating concepts useful in medicine. In the last ∼20 years there has been a growing research base and implementation of many anthroposophical concepts in the integrated care of patients. Books and articles relevant to describing the foundations, scientific status, safety, effectiveness and criticisms of anthroposophic medicine are discussed. Discussion An objective and comprehensive analysis of anthroposophic medicine finds it provocative, stimulating and potentially fruitful as an integrative system for whole person care, including under-recognized life processes and psychospiritual aspects of human beings. It has a legitimate, new type of scientific status as well as documented safety and effectiveness in some areas of its multimodal approach. Criticisms and controversies of anthroposophic medicine are often a result of lack of familiarity with its methods and approach and/or come from historically fixed ideas of what constitutes legitimate science.