bluuebunny/crossref_metadata_2025_split huggingface dataset:
The perspectives of stroke survivors and health professionals on the use of augmented reality for inpatient stroke rehabilitation: an anticipatory exploration
Authors: Gorman Cassandra , Gustafsson Louise , Gomura Carly 
Published: June 2021

AbstractBackground:Augmented reality is a novel technology with potential to overlay aspects or objects from the home environment into hospital-based training, which may increase relevance and motivation for hospital-based rehabilitation. Consultation with people with lived experience and clinician stakeholders is an important step when exploring possibilities for use of new technology in the hospital environment.Aims:This study sought to understand the need and acceptability of augmented reality from the perspectives of health professionals and stroke survivors during inpatient stroke rehabilitation.Methods:This qualitative descriptive study included stroke survivors (n = 4) and health professionals (n = 10) from a large metropolitan hospital. Data collection was undertaken via focus groups which were transcribed verbatim and analysed using qualitative content analysis.Results:Inductive content analysis revealed three themes: everything is computerised these days; the possibilities are endless…but what about?; and bringing the outside into the hospital. Participants were open to the use of augmented reality for stroke rehabilitation; however there was uncertainty with pragmatic concerns and stroke survivors describing possible applications in building confidence and self-efficacy, and sharing experiences to enhance caregivers understanding.Conclusion:This research identified that there is potential acceptability for augmented reality in stroke rehabilitation. The needs identified by the participants may inform development of current and future technology.
Emotion perception and theory of mind in adolescents with major depression
Authors: Dror Chen , Portnoy Victor , Dayan-Rosenblum Shomrit , Gvion Yari , Bloch Yuval , Boyle Dennis , Maoz Hagai 
Published: June 2021

AbstractBackground:The research of theory of mind (ToM) and emotion perception (EP) in adolescents with major depressive disorder (MDD) is scarce, and no study to date has investigated the association between EP and long-term outcomes of adolescents with MDD. The aim of the current study was to evaluate ToM and EP in adolescents with MDD, as compared to healthy controls (HCs). In addition, we aimed to assess the association between impairment in ToM and EP, depressive symptom severity, and long-term outcome in the MDD group.Methods:We compared the performance of 14 adolescents with MDD and 25 HC in the Facial Expression Recognition Task (FERT) and the Interpersonal Perception Task. We followed up with the MDD group 2 years later to assess the level of their depressive symptoms using the Children’s Depression Rating Scale–Revised (CDRS-R).Results:No differences were found between adolescents with MDD and HC in the ToM and FERT tasks. Also, within the MDD group, there was no association between the severity of depressive symptoms and task performance. In the MDD group, there was a significant correlation between lower levels of accuracy in the FERT during the index depressive episode and lower CDRS-R scores on follow-up 2 years later (r2 = 0.35, p = 0.021).Conclusions:EP impairments in adolescents with MDD might predict worse long-term outcome. Further research is needed to verify our findings and to assess for a possible neurobiological underpinning for the state and trait impairments in EP in adolescents with MDD.
Effects of folic acid and cobalt sulphate supplementation on growth performance, nutrient digestion, rumen fermentation and blood metabolites in Holstein calves
Authors: Liu Yongjia , Zhang Jing , Wang Cong , Liu Qiang , Guo Gang , Huo Wenjie , Chen Lei , Zhang Yanli , Pei Caixia , Zhang Shuanlin 
Published: June 2021

AbstractTo investigate the influences of cobalt (Co) and folic acid (FA) on growth performance and rumen fermentation, Holstein male calves (n 40) were randomly assigned to four groups according to their body weights. Cobalt sulphate at 0 or 0·11 mg Co/kg DM and FA at 0 or 7·2 mg/kg DM were used in a 2 × 2 factorial design. Average daily gain was elevated with FA or Co supplementation, but the elevation was greater for supplementing Co in diets without FA than with FA. Supplementing FA or Co increased DM intake and total-tract nutrient digestibility. Rumen pH was unaltered with FA but reduced with Co supplementation. Concentration of rumen total volatile fatty acids was elevated with FA or Co inclusion. Acetate percentage and acetate to propionate ratio were elevated with FA inclusion. Supplementing Co decreased acetate percentage and increased propionate percentage. Activities of xylanase and α-amylase and populations of total bacteria, fungi, protozoa, Ruminococcus albus, Fibrobacter succinogenes and Prevotella ruminicola increased with FA or Co inclusion. Activities of carboxymethyl-cellulase and pectinase increased with FA inclusion and population of methanogens decreased with Co addition. Blood folates increased and homocysteine decreased with FA inclusion. Blood glucose and vitamin B12 increased with Co addition. The data suggested that supplementing 0·11 mg Co/kg DM in diets containing 0·09 mg Co/kg DM increased growth performance and nutrient digestibility but had no improvement on the effects of FA addition in calves.
Experimental Evidence Against Pyrrhonism: Attacking a Straw Man
Authors: Machuca Diego E. 
Published: June 2021

AbstractIn a recent article, Mario Attie-Picker maintains that a number of experimental studies provide evidence against Sextus Empiricus's empirical claims about both the connection between belief and anxiety and the connection between suspension of judgement and undisturbedness. In this article, I argue that Sextus escapes unharmed from the challenge raised by the studies in question for the simple reason that he does not make the claims ascribed to him. In other words, I argue that Attie-Picker is attacking a straw man.
Internet of Things-based SCADA system for configuring/reconfiguring an autonomous assembly process
Authors: Fazlollahtabar Hamed 
Published: June 2021

AbstractIndustry 4.0 integrated with robotic and digital fabrication technologies have attracted the attention of manufacturing researchers. Autonomous assembly with supervisory control and data acquisition (SCADA) systems holds the promise of greater scalability, adaptability, and potentially evolved design possibilities helping to maintain efficiency, process data for smarter decisions, and communicate system issues to help mitigate downtime. This paper concerns with developing an intelligent control system based on SCADA in the Internet of Things (IoT) platform to process configuration and reconfiguration of an autonomous assembly system. The implementation study certifies the effectiveness of the proposed IoT-based SCADA control system in autonomous assembly.
Myopericarditis in children and adolescent: is the elevated troponin and chest pain as alarming as we thought?
Authors: Başar Eviç Zeynep , Borakay Dilek , Akalın Figen 
Published: June 2021

AbstractAim:When encountering adolescents with chest pain and a high troponin level but with no underlying coronary artery illness, it is advisable to consider myopericarditis. Though myopericarditis is a self-limiting, benign condition, it nevertheless causes anxiety in the patient and the family.Methods:Thirty-nine patients diagnosed with myopericarditis were included. We retrospectively analysed the demographic and clinical features, laboratory tests, echocardiography, electrocardiograms, MRI findings, coronary CT angiography, and conventional angiography findings in these patients.Results:Of the 39 patients (female/male = 4/35) aged 7–17 years, 66.6% had viral infection in the 2 weeks preceding presentation. Eleven patients were tested for high-sensitivity cardiac troponin I, 28 for high-sensitivity cardiac troponin T, and 10 patients were tested for both biomarkers. The median hs-TnI and hs-TnT values were 6.3 (0.05–29.9) ng/mL and 586 (51–9398) ng/L, respectively. Twenty-three patients showed ST changes on electrocardiography, of whom 11 had ST-elevation in the leads supporting left ventricular involvement. Coronary CT angiography and catheter angiography evaluations performed for differential diagnosis of coronary anomaly and acute coronary syndrome were normal. Cardiac MRI was conducted on 28 patients, and the results in 10 (35.7%) were suggestive of myopericarditis.Conclusions:Myopericarditis is common in the adolescent age group and is generally benign but should be carefully monitored for differential diagnosis and possible complications. Cardiac MRI, which has been used more frequently in recent years, has an important role in differential diagnosis and the follow-up of patients.
Documenting the descent – remote monitoring and adult-onset Catecholaminergic Polymorphic Ventricular Tachycardia associated with ventricular fibrillation and bradycardia
Authors: Halperin Laura F. , Krahn Andrew D. , Laksman Zachary W. 
Published: June 2021

AbstractThis image highlights a 38-year-old female with ventricular fibrillation and spontaneous return to sinus rhythm found on an implantable loop recorder inserted for recurrent syncope. Ultimately, she was diagnosed with catecholaminergic polymorphic ventricular tachycardia, a rare inherited arrhythmia disorder.
Hydraulic and Physical Properties of Managed and Intact Peatlands: Application of the Van Genuchten‐Mualem Models to Peat Soils
Authors: Menberu Meseret Walle , Marttila Hannu , Ronkanen Anna‐Kaisa , Haghighi Ali Torabi , Kløve Bjørn 
Published: June 2021

AbstractUndisturbed peatlands are effective carbon sinks and provide a variety of ecosystem services. However, anthropogenic disturbances, especially land drainage, strongly alter peat soil properties and jeopardize the benefits of peatlands. The effects of disturbances should therefore be assessed and predicted. To support accurate modeling, this study determined the physical and hydraulic properties of intact and disturbed peat samples collected from 59 sites (in total 3,073 samples) in Finland and Norway. The bulk density (BD), porosity, and specific yield (Sy) values obtained indicated that the top layer (0–30 cm depth) at agricultural and peat extraction sites was most affected by land use change. The BD in the top layer at agricultural, peat extraction, and forestry sites was 441%, 140%, and 92% higher, respectively, than that of intact peatlands. Porosity decreased with increased BD, but not linearly. Agricultural and peat extraction sites had the lowest saturated hydraulic conductivity, Sy, and porosity, and the highest BD of the land use options studied. The van Genuchten‐Mualem (vGM) soil water retention curve (SWRC) and hydraulic conductivity (K) models proved to be applicable for the peat soils tested, providing values of SWRC, K, and vGM‐parameters (α and n) for peat layers (top, middle and bottom) under different land uses. A decrease in peat soil water content of ≥10% reduced the unsaturated K values by two orders of magnitude. This unique data set can be used to improve hydrological modeling in peat‐dominated catchments and for fuller integration of peat soils into large‐scale hydrological models.
“Candidatus Dechloromonas phosphoritropha” and “Ca. D. phosphorivorans”, novel polyphosphate accumulating organisms abundant in wastewater treatment systems
Authors: Petriglieri Francesca , Singleton Caitlin , Peces Miriam , Petersen Jette F , Nierychlo Marta , Nielsen Per H 
Published: June 2021

Abstract
Members of the genus Dechloromonas are often abundant in enhanced biological phosphorus removal (EBPR) systems and are recognized putative polyphosphate accumulating organisms (PAOs), but their role in phosphate removal is still unclear. Here, we used 16S rRNA gene sequencing and fluorescence in situ hybridization (FISH) to investigate the abundance and distribution of Dechloromonas spp. in Danish and global wastewater treatment plants. The two most abundant species worldwide revealed in situ dynamics of important intracellular storage polymers, measured by FISH-Raman in activated sludge from four full-scale EBPR plants and from a lab-scale reactor fed with different substrates. Moreover, seven distinct Dechloromonas species were determined from a set of ten high-quality metagenome-assembled genomes (MAGs) from Danish EBPR plants, each encoding the potential for polyphosphate (poly-P), glycogen, and polyhydroxyalkanoates (PHA) accumulation. The two species exhibited an in situ phenotype in complete accordance with the metabolic information retrieved by the MAGs, with dynamic levels of poly-P, glycogen, and PHA during feast-famine anaerobic–aerobic cycling, legitimately placing these microorganisms among the important PAOs. They are potentially involved in denitrification showing niche partitioning within the genus and with other important PAOs. As no isolates are available for the two species, we propose the names Candidatus Dechloromonas phosphoritropha and Candidatus Dechloromonas phosphorivorans.
Shot peening increases resistance to cyclic fatigue fracture of endodontic files
Authors: Nino-Barrera Javier , Sanchez-Aleman Jose , Acosta-Humanez Manuel , Gamboa-Martinez Luis , Cortes-Rodriguez Carlos 
Published: June 2021

AbstractThe objective of this study was to assess the resistance to fatigue fracture of conventional nickel–titanium files after undergoing shot peening. Forty NITIFLEX endodontic files, number 30, were divided into two groups; one was submitted to shot peening treatment and the other was not. All instruments were tested for fatigue fracture in simulated canals with a TRI-AUTO ZX endodontic motor. One file of each group was subjected to a residual stress analysis by XRD. Finally, the fractured surface was observed and elemental analysis performed by means of SEM and EDX. Roughness analysis was made by focal variation microscope. The shot peening group showed greater resistance to fatigue fracture; there was no difference in the length of the fractured fragments. XRD results showed the presence of residual compression stresses in the file submitted to shot peening, a decrease in the interplanar spacing, and an increase in the full-width-at-half-maximum and the microstrains. SEM and EDX showed a ductile fracture with zones of fatigue and an equiatomic ratio between the nickel and titanium. Surface roughness increased after the file was subjected to the shot peening procedure. In conclusion, shot peening increases the resistance to fatigue fracture due to the presence of residual compression stresses in files manufactured from a conventional nickel–titanium alloy.
Analysis of Real-World Language Use in a Person With Wernicke's Aphasia
Authors: Suting Louisa B. , Mozeiko Jennifer 
Published: June 2021

Purpose
In this study, we evaluate the use of a technology called the Language ENvironment Analysis (LENA) Pro System to quantify the language of a participant with severe Wernicke's aphasia in their home environment. We aimed to characterize language use at home, particularly as it changed in response to an intensive aphasia treatment.

Method
The participant was trained to use a wearable recording device pre and post 30 hr of intensive aphasia treatment. LENA software was used to process the language data and to determine word counts and conversational turns and compared to manual analysis. Various communication variables were coded for all conversation samples.

Results
The participant operated the device independently and provided 30 hr of recordings for analysis. Posttreatment, the participant demonstrated a 78.4% increase in adult word count, a 27.5% increase in conversational turn count, an increase in the number of communication partners, and in the diversity of communication environments. There was a 26% decrease in the amount of time spent on electronics and a 140% increase in the number of instances conversing in a social setting. Manual and automated measures showed poor agreement for this particular participant.

Conclusions
In this study, we establish the feasibility of using LENA to collect language samples in a participant with severe Wernicke's aphasia in their home environment. Using this method, we were able to characterize and quantify language samples in multiple dimensions before and after language treatment.
Interdisziplinäre Behandlung der Non-Cystic-Fibrosis-Bronchiektasie – State of the Art
Authors: Mertsch Pontus , Merhej Hayan , Zardo Patrick 
Published: June 2021

ZusamenfassungBronchiektasien, die nicht durch eine Zystische Fibrose bedingt sind, sind eine ätiologisch äußerst heterogene Erkrankung. Dieser Beitrag gibt einen Überblick über die Ursachen, das diagnostische Vorgehen und die therapeutischen Optionen bei dieser nicht seltenen Lungenerkrankung.
Preoperative perihilar cholangiocarcinoma assessment using virtual endoscopic imaging magnetic resonance cholangioscopy
Authors: Okuno Mitsuru , Mukai Tsuyoshi , Iwata Shota , Tezuka Ryuichi , Mita Naoya , Uemura Shinya , Iwashita Takuji , Maruta Akinori , Iwata Keisuke , Tomita Eiichi , Shimizu Masahito 
Published: June 2021

Abstract
Background and study aims Preoperative assessment of the superficial ductal spread (SDS) of perihilar cholangiocarcinoma (PCCA) is important for determining its resectability. A virtual endoscopic imaging method, magnetic resonance cholangioscopy (MRCS), wherein a three-dimensional image is created from magnetic resonance imaging (MRI) data, can evaluate all aspects of arbitrary bile ducts.
Patients and methods Overall, 15 patients with PCCA who underwent preoperative MRI were enrolled. All patients underwent surgical treatment.
Results MRCS could be performed based on preoperative MRI data in all patients. MRCS could not be used in one patient due to debris in the obstructed bile duct. The remaining 14 patients (93 %) were diagnosed with obstructed bile duct or irregular surface of the bile duct, signifying tumor invasion. The accuracy rate of diagnosing the SDS was 93 % (14/15). Seven patients underwent preoperative peroral cholangioscopy; the scope could not pass through the tumor in three patients. In these three patients, MRCS was able to be use dtoevaluate the obstructed side of the bile duct and faciliated accurate diagnosis of SDS.
Conclusions MRCS can be used to noninvasively evaluate the bile duct in all directions. This novel method makes it easy to create virtual images and can be useful for diagnosing the preoperative SDS of PCCA.
Ayurveda und Yoga in der Behandlung von Erkrankungen des Lymphsystems
Authors: Gupta Hedwig H. 
Published: June 2021

ZusammenfassungIm Ayurveda werden sieben Grundgewebearten beschrieben. Die Lymphe wird als zu rasa – den klaren Flüssigkeiten im Körper – gezählt. rasa wird aus ayurvedischer Vorstellung direkt aus der Ernährung gebildet. Erkrankungen der Lymphe sind als Störungen der Qualität, der Menge oder des Transports klassifiziert. Hier setzt die ayurvedische Therapie an. Sie besteht aus Vermeidung der verursachenden Faktoren, stoffwechselstabilisierenden Maßnahmen, Ernährungstherapie, Verhaltensempfehlungen, Yoga-, Phyto- sowie ausleitender Therapie.Ein Patientinnenfall aus der Praxis der Autorin zeigt exemplarisch das Vorgehen bei einem kombinierten Lipolymphödem: Die Ursachen (familiäre Neigung zu Lipolymphödem, Verschlechterung in der Schwangerschaft) konnten in diesem Fall z.T. nicht verändert werden. Mit Ernährungsberatung, Yogatherapie, Tagesroutinen und Phytotherapie ließen sich die Beschwerden der Patientin jedoch deutlich bessern.
Peroral endoscopic myotomy (POEM) vs pneumatic dilation (PD) in treatment of achalasia: A meta-analysis of studies with ≥ 12-month follow-up
Authors: Ofosu Andrew , Mohan Babu P. , Ichkhanian Yervant , Masadeh Maen , Febin John , Barakat Mohamed , Ramai Daryl , Chandan Saurabh , Haiyeva Gulara , Khan Shahab R. , Aghaie Meybodi Mohamad , Facciorusso Antonio , Repici Alessandro , Wani Sachin , Thosani Nirav , Khashab Mouen A. 
Published: June 2021

AbstractBackground and study aims Peroral endoscopic myotomy (POEM) is increasingly being used as the preferred treatment option for achalasia. The aim of this systematic review and meta-analysis was to compare the efficacy and safety of POEM versus pneumatic balloon dilation (PD).Methods We performed a comprehensive review of studies that reported clinical outcomes of POEM and PD for the treatment of achalasia. Measured outcomes included clinical success (improvement of symptoms based on a validated scale including an Eckardt score ≤ 3), adverse events, and post-treatment gastroesophageal reflux disease (GERD).Results Sixty-six studies (6268 patients) were included in the final analysis, of which 29 studies (2919 patients) reported on POEM and 33 studies (3050 patients) reported on PD and 4 studies (299 patients) compared POEM versus PD. Clinical success with POEM was superior to PD at 12, 24, and 36 months (92.9 %, vs 76.9 % P = 0.001; 90.6 % vs 74.8 %, P = 0.004; 88.4 % vs 72.2 %, P = 0.006, respectively). POEM was superior to PD in type I, II and III achalasia (92.7 % vs 61 %, P = 0.01; 92.3 % vs 80.3 %, P = 0.01; 92.3 %v 41.9 %, P = 0.01 respectively)Pooled OR of clinical success at 12 and 24 months were significantly higher with POEM (8.97; P = 0.001 & 5.64; P = 0.006). Pooled OR of GERD was significantly higher with POEM (by symptoms: 2.95, P = 0.02 and by endoscopic findings: 6.98, P = 0.001). Rates of esophageal perforation (0.3 % vs 0.6 %, P = 0.8) and significant bleeding (0.4 % vs 0.7 %, P = 0.56) were comparable between POEM and PD groups.Conclusions POEM is more efficacious than PD in the treatment of patients with achalasia during short-term and long-term follow-up, albeit with higher risk of abnormal esophageal acid exposure.
Update Breast Cancer 2021 Part 3 – Current Developments in the Treatment of Early Breast Cancer: Review and Assessment of Specialised Treatment Scenarios by an International Expert Panel
Authors: Fehm Tanja N. , Stickeler Elmar , Fasching Peter A. , Janni Wolfgang , Kolberg-Liedtke Cornelia , Kolberg Hans-Christian , Lüftner Diana , Müller Volkmar , Schütz Florian , Thomssen Christoph , Belleville Erik , Behrens Annika , Bader Simon , Untch Michael , Welslau Manfred , Würstlein Rachel , Thill Marc , Krug David , Hartkopf Andreas D. 
Published: June 2021

AbstractThe continuous availability of findings from new studies repeatedly results in updated treatment recommendations and guidelines. In the case of breast carcinoma in particular, several studies have been published in the last few years that have transformed how early and advanced breast carcinoma is being treated. However, this by no means means implies that there is agreement among all experts on specific issues. It is precisely the diversity of interpretation of guidelines and study findings that reflects the constantly changing available data and its complexity, as well as the availability of new drugs. In recent years, new substances such as pertuzumab, T-DM1, neratinib and capecitabine have become available to treat patients with early stages of breast carcinoma. Furthermore, the first results on the use of CDK4/6 inhibitors for adjuvant treatment have now been published. Last but not least, the use of multigene tests to avoid the necessity of chemotherapy in certain
patients is still under discussion. This review summarises the state of the data and publishes the results of the survey completed by experts at the 2021 St. Gallen Breast Cancer Conference on early-stage breast cancer.