bluuebunny/crossref_metadata_2025_split huggingface dataset:
Phenomenological-Hermeneutic Resources for an Ethics of Psychotherapeutic Care
Authors: Stanghellini Giovanni 
Published: January 2021

Abstract
This chapter introduces and discusses four concepts that seem to be relevant to develop a phenomenologically- and hermeneutically-based ethics for psychotherapeutic care: “dialogue,” “attunement,” “recognition,” and “intimacy.” Dialogue is the essential happening of language, not a mere exchange of information; in it subjectivity is displaced and something new about the interlocutors is revealed. Attunement is a modulation of the emotional field in-between myself and the other. Attunement is also the capacity to coordinate my tempo with that of the other. Attunement—inter-emotionality—inter-temporality are grounded in corporeality as a form of intercorporeality. Recognition is the epistemic and ethic capacity to acknowledge the alterity in myself and of the other person. Self-recognition is the acknowledgment of the pre-individual elements not yet appropriated by myself; other-recognition is the acknowledgment of the other person as a fellow man to whom I attribute value, life, and consciousness. Intimacy is an atmospheric experience of aloneness-togetherness, self- and other-recognition: enveloped in an atmosphere of intimacy I get in touch with myself via getting in touch with each other.
Armenian
Authors: Cowe S. Peter 
Published: January 2021

AbstractRecognizing Hellenism and Greek as the hemispherically dominant culture and language of late antiquity, this chapter applies a dynamic model to chart the incremental Armenian reception of such trends over the fifth–eighth centuries. Acknowledging the contemporary affinity between elite literacy and Christianity’s regional integration, it analyses the resulting bifurcation in Armenian society and literature whereby Persianate aristocratic epic persists in an oral verse repertoire, while the novel written medium largely in prose propagated by a new literate class not only appropriates all the ecclesiastical genres but reconceptualizes the Armenian worldview within a Christian dispensation from a Greek cultural ethos. Adopting the trivium and quadrivium from Antioch and Alexandria, scholars replicate lay schools in Armenia and contribute to those disciplines by their commentaries. Elaborating an indigenous theological literature in continuity with Syria and Egypt, Armenians defend it in dialogue with Constantinople as the eastern Mediterranean littoral enters into the Umayyad Caliphate.
ASASSN-18aan: An eclipsing SU UMa-type cataclysmic variable with a 3.6-hr orbital period and a late G-type secondary star
Authors: Wakamatsu Yasuyuki , Thorstensen John R , Kojiguchi Naoto , Isogai Keisuke , Kimura Mariko , Ohnishi Ryuhei , Kato Taichi , Itoh Hiroshi , Sugiura Yuki , Sumiya Sho , Matsumoto Hanami , Ito Daiki , Nikai Kengo , Akitaya Hiroshi , Ishioka Chihiro , Oide Kohei , Kanai Takahiro , Uzawa Yoshinori , Oasa Yumiko , Tordai Tamás , Vanmunster Tonny , Shugarov Sergey Yu , Yamanaka Masayuki , Sasada Mahito , Takagi Kengo , Nishinaka Yuki , Yamazaki Yuina , Otsubo Ikki , Nakaoka Tatsuya , Murata Katsuhiro L , Ohsawa Ryou , Morita Masahiro , Ichiki Makoto , Dufoer Sjoerd , Mizutani Masanori , Horiuchi Takashi , Tozuka Miyako , Takayama Masaki , Ohshima Tomohito , Saito Tomoki , Dubovsky Pavol A , Stone Geoff , Miller Ian , Nogami Daisaku 
Published: January 2021

AbstractWe report photometric and spectroscopic observations of the eclipsing SU UMa-type dwarf nova ASASSN-18aan. We observed the 2018 superoutburst with 2.3 mag brightening and found the orbital period (Porb) to be 0.149454(3) d, or 3.59 hr. This is longward of the period gap, establishing ASASSN-18aan as one of a small number of long-Porb SU UMa-type dwarf novae. The estimated mass ratio, [q = M2/M1 = 0.278(1)], is almost identical to the upper limit of tidal instability by the 3 : 1 resonance. From eclipses, we found that the accretion disk at the onset of the superoutburst may reach the 3 : 1 resonance radius, suggesting that the superoutburst of ASASSN-18aan results from the tidal instability. Considering the case of long-Porb WZ Sge-type dwarf novae, we suggest that the tidal dissipation at the tidal truncation radius is enough to induce SU UMa-like behavior in relatively high-q systems such as SU UMa-type dwarf novae, but that this is no longer effective in low-q systems such as WZ Sge-type dwarf novae. The unusual nature of the system extends to the secondary star, for which we find a spectral type of G9, much earlier than typical for the orbital period, and a secondary mass M2 of around 0.18 M⊙, smaller than expected for the orbital period and the secondary’s spectral type. We also see indications of enhanced sodium abundance in the secondary’s spectrum. Anomalously hot secondaries are seen in a modest number of other CVs and related objects. These systems evidently underwent significant nuclear evolution before the onset of mass transfer. In the case of ASASSN-18aan, this apparently resulted in a mass ratio lower than typically found at the system’s Porb, which may account for the occurrence of a superoutburst at this relatively long period.
Shared and unique neural circuitry underlying temporally unpredictable threat and reward processing
Authors: Radoman Milena , Lieberman Lynne , Jimmy Jagan , Gorka Stephanie M 
Published: January 2021

Abstract
Temporally unpredictable stimuli influence behavior across species, as previously demonstrated for sequences of simple threats and rewards with fixed or variable onset. Neuroimaging studies have identified a specific frontolimbic circuit that may become engaged during the anticipation of temporally unpredictable threat (U-threat). However, the neural mechanisms underlying processing of temporally unpredictable reward (U-reward) are incompletely understood. It is also unclear whether these processes are mediated by overlapping or distinct neural systems. These knowledge gaps are noteworthy given that disruptions within these neural systems may lead to maladaptive response to uncertainty. Here, using functional magnetic resonance imaging data from a sample of 159 young adults, we showed that anticipation of both U-threat and U-reward elicited activation in the right anterior insula, right ventral anterior nucleus of the thalamus and right inferior frontal gyrus. U-threat also activated the right posterior insula and dorsal anterior cingulate cortex, relative to U-reward. In contrast, U-reward elicited activation in the right fusiform and left middle occipital gyrus, relative to U-threat. Although there is some overlap in the neural circuitry underlying anticipation of U-threat and U-reward, these processes appear to be largely mediated by distinct circuits. Future studies are needed to corroborate and extend these preliminary findings.
Intra-urban differentials of congenital and acquired syphilis and syphilis in pregnant women in an urban area in northeastern Brazil
Authors: de Souza Talita Araujo , Teixeira Karen Kaline , Santana Reginaldo Lopes , Penha Cinthia Barros , Medeiros Arthur de Almeida , de Lima Kenio Costa , Barbosa Isabelle Ribeiro 
Published: January 2021

AbstractBackgroundCurrently syphilis is considered an epidemic disease worldwide. The objective of this study was to identify intra-urban differentials in the occurrence of congenital and acquired syphilis and syphilis in pregnant women in the city of Natal, in northeast Brazil.MethodsCases of syphilis recorded by the municipal surveillance system from 1 January 2011 to 30 December 2018 were analysed. Spatial statistical analyses were performed using the kernel density estimator of the quadratic smoothing function (weighted). SaTScan software was applied for the calculation of risk based on a discrete Poisson model.ResultsThere were 2163 cases of acquired syphilis, 738 cases of syphilis in pregnant women and 1279 cases of congenital syphilis. Kernel density maps showed that the occurrence of cases is more prevalent in peripheral areas and in areas with more precarious urban infrastructure. In 2011–2014 and 2015–2018, seven statistically significant clusters of acquired syphilis were identified. From 2011 to 2014, the most likely cluster had a relative risk of 3.54 (log likelihood ratio [LLR] 38 895; p&lt;0.001) and from 2015 to 2018 the relative risk was 0.54 (LLR 69 955; p&lt;0.001).ConclusionsIn the municipality of Natal, there was a clustered pattern of spatial distribution of syphilis, with some areas presenting greater risk for the occurrence of new cases.
Does Keloid Histology Influence Recurrence?
Authors: Nangole Ferdinand W. , Ouyang Kelsey , Anzala Omu , Ogeng'o Julius , Agak George W. , Zuriel Daniel 
Published: January 2021

Abstract:
Keloids are fibroproliferative disorders characterized by high recurrence rates, with few factors known to influence the same. We conducted a study to determine whether keloid histology influences recurrence. This was a prospective longitudinal study to determine whether histopathological parameters of keloid influence recurrence. Patients with keloids managed by surgical excision were followed up at Kenyatta National Hospital between August 2018 and July 2020. The excised keloids were processed for histology using hematoxylin,/eosin, Masson, and trichrome stains. The slides were analyzed for inflammatory cells, fibroblasts, and capillary density using the hot spot technique and correlated to keloid recurrence. Postoperative follow-up was for a minimum of 1 year. A total of 90 patients with 104 keloids were recruited in the study. Overall keloid recurrence rate was 28.6%. There was a correlation between the absolute count of more than 50 per High power field of lymphocytes, fibroblasts, and macrophages with recurrence of the disease. The sensitivity and specificity for the above parameters were lymphocytes 48% and 81%, macrophages 57% and 83%, mast cells 32% and 33%, and fibroblasts 41% and 91%, respectively. There was no correlation between mast cells and vascularity status with recurrence. Routine histology should, therefore, be performed to determine these parameters. Close monitoring and second-line therapy should be considered for patients with elevated macrophages and/or lymphocytes so as to reduce the risk of recurrence.
Expected numbers of embryos to transfer in in vitro fertilization: what affects?
Authors: Cui Linlin , Liu Yizhou , Meng Yueru , Zhang Bingqian , Tang Rong , Chen Zi-Jiang 
Published: January 2021

Introduction:
Increased multiple pregnancy rate and resultant complications are some of the greatest concerns for in vitro fertilization (IVF) due to the practice of multiple embryo transfer. Although in some countries elective single embryo transfer has already been mandatory, in majority of other countries, clinical counsel still plays very important role to affect expected number of embryos transferred (ENET). Here we aim to explore the impact factors for ENET of IVF patients in order to provide scientific suggestions for clinical counsel before ET.

Methods:
We performed a survey of impact factors on ENET using a self-designed questionnaire in a total of 1154 IVF couples. Questions about policy change, medical concerns, and social-cultural information were included.

Results:
When the policy for restriction of family size was lifted, the percentages for double embryos transferred (77.8% vs. 63.7%) and multiple embryos transferred (8.0% vs. 3.9%) decreased significantly, while more tended to choose single embryo transfer (SET) (14.2% vs. 32.4%, P<0.01). Patients of more advanced age were more likely to choose SET (12.9% for 18–24 y, 11.8% for 25–29 y, 12.0% for 30–34 y, 22.4% for 35–39 y, and 28.6% for over 40 y, P=0.01). More subjects with previous labor preferred SET than those without (23.3% vs. 12.4%, P<0.01). In addition, the proportion of SET choice was significantly decreased with infertility duration prolonged (1 vs. 2 y vs. 3 vs. ≥4 y: 24.2% vs. 14.9% vs. 11.1% vs. 11.2%, P<0.01). On the basis of further investigation for reasons of ENET, specific formula including individual weighted policy, medical, and social-cultural factors was derived.

Conclusions:
Collectively, ENET for IVF patients is a complex, multi-factorial decision. The heterogeneity between patients due to differential policy restriction, medical concerns, and social-cultural background should be fully considered in clinical counsel about ENET.
Exploring the prevalence of high-risk obstetric conditions diagnosed by point-of-care ultrasound evaluation in a rural Ugandan population: a cohort study
Authors: Dougherty Anne , Kasten Miriam , McDonald Maureen , Angela Njeri , Kawooya Michael , Matovu Alphonsus , Destigter Kristen 
Published: January 2021

Objective:
The aim of this study was to determine the prevalence of high-risk obstetric conditions identified by point-of-care ultrasound in a rural Ugandan community and compare them with known rates in high-income settings.

Methods:
Pregnant women in a rural Ugandan clinic were offered a screening obstetric ultrasound at a late second or third trimester antenatal visit (Clearvue 350). Appropriate follow-up was determined by a preset algorithm. Placental abnormalities, multiple gestations, and fetal malpresentation were recorded. Descriptive statistics were used for analysis.

Results:
Fetal malpresentation in the third trimester was found in 15% [confidence interval (CI), 11.7–18.6] of pregnancies. Rates of multiple gestations and placental location abnormalities were 4% (CI, 2.7–5.2) and 1.7% (CI, 0.8–2.5), respectively. Overall, prevalence of abnormal placentation was comparable to published rates, although persistent fetal malpresentation was higher than in the United States. The rate of multiple gestations is on par with United States data despite lack of access to artificial reproductive technology.

Conclusions:
Given that placental abnormalities, multiple gestations, and fetal malpresentation in a rural Ugandan population are at least as common as in high-income countries, and emergency obstetric care is more difficult to access in Uganda, the contribution of these conditions to maternal mortality is likely higher in rural Uganda. Ultrasound can be used to identify and refer patients to higher-level facilities for safe delivery.
SMALL-GAUGE TECHNIQUES FOR REMOVING A FLUOCINOLONE ACETONIDE IMPLANT
Authors: Knight Darren K. , Wang Angeline L. , Tsao Sean W. , Carter Steven L. , Mehta Mitul C. 
Published: January 2021

Purpose:
Long-acting injectable fluocinolone releasing implants are used in clinical practice. Although limited in scope, situations may arise where removal of the implant is warranted. We set out to describe possible explantation techniques and to determine whether these implants can be safely removed from a standard sclerotomy or eliminated using a vitrectomy system.

Methods:
A vitreoretinal surgery system was designed using a porcine eye model. A fluocinolone implant was injected into the vitreous cavity. Pars plana vitrectomy was performed and the vitreous cavity was infused with balanced salt solution. The injected implants were removed from 23-Gauge (G) and 25-Gauge (G) vitrectomy cannulas with 27-G forceps. The implants were examined under the microscope for induced defects. Implants were injected into the eye model and eliminated using a 23-G and 25-G vitrector system.

Results:
The implant was removed from both the 23-G and 25-G vitrectomy cannulas with only mild structural damage to the implant. During implant extraction through the 25-G sclerotomy, the cannula was dislodged from the incision along with the implant. The most technically challenging portion involved aligning the implant coaxially to allow for removal en bloc through the sclerotomy site. Implants could be eliminated using both the 23-G and 25-G vitrector using a low-cut rate.

Conclusion:
The fluocinolone implant was removed safely via standard 23-G or 25-G vitrectomy systems. It is unknown whether intraocular manipulation will affect pharmacokinetics of drug delivery if the implant is not explanted.
Early-onset Exfoliation Syndrome: A Literature Synthesis
Authors: Mayro Eileen L. , Ritch Robert , Pasquale Louis R. 
Published: January 2021

Precis:
We conducted a literature review of younger patients with exfoliation syndrome (XFS) in an attempt to identify case similarities and better understand disease etiology.

Purpose:
XFS that predisposes to secondary glaucoma is a strongly age-related condition. We performed a literature review of XFS and exfoliation glaucoma (XFG) in patients aged younger than 40 years to examine potential common characteristics and gain clues to its etiology.

Methods:
We conducted a broad literature search with appropriate keywords and manually extracted key demographic and ocular features on younger XFS and XFG cases. Articles that did not provide past ocular history on early-onset XFS/XFG were excluded.

Results:
We identified 12 cases of XFS and XFG in patients from 13 to 40 years old (8 females; 11 White; 5 from Iran). All had past ocular history remarkable for intraocular surgery for other glaucoma conditions (7 cases), other ocular diseases (3 cases), or ocular trauma (2 cases).

Conclusions:
All reported early-onset XFS and XFG cases arise in the setting of events that produced a significant disruption of the blood-aqueous barrier. Understanding the metabolic alterations of aqueous humor from such cases could provide clues regarding how exfoliation material forms.
Axillary Botulinum Toxin Injection for the Treatment of Moderate to Severe Hyperhidrosis
Authors: Baghchechi Mohsen , Macknet Kenneth D. , Jacob Sharon E. 
Published: January 2021

ABSTRACT
Primary focal hyperhidrosis can cause lifelong distress in everyday activities. Some patients cannot adequately decrease excessive perspiration with over-the-counter or prescription-strength antiperspirants. Oral glycopyrrolate is an anticholinergic medication that can decrease perspiration but may also lead to intolerable systemic side effects. Botulinum toxin injected into the axilla provides immediate symptomatic relief that lasts for approximately 6 months. Offering patients botulinum toxin as a second-line agent for treatment-resistant axillary hyperhidrosis can markedly improve quality of life with minimal side effects.
Self-Regulated Learning On Program Entry in Doctor of Physical Therapy Students: A Pilot Study
Authors: Martin Jennifer G. , Smith Nancy S. , Wendt Chris 
Published: January 2021

Introduction.
The transition to graduate study can be difficult for entry-level physical therapist (Doctor of Physical Therapy [DPT]) students to make. One factor that may support this transition is the development of self-regulated learning (SRL). SRL has been associated with academic success in graduate health professions programs. Despite previous academic achievement, some DPT students struggle with first semester coursework. It is unknown whether these students have adequate SRL skills. Therefore, this study examined students' perceived SRL skills on program entry.

Methods.
Participants enrolled in their first semester of a DPT program were recruited from a medium-sized historically minority serving institution in the Southeastern United States. Doctor of Physical Therapy students (N = 28) completed the Learning and Study Strategies Inventory (LASSI) instrument to discover perceived abilities in SRL. The LASSI is a valid and reliable instrument that assesses skills, strategies, and behaviors of SRL and has been used in other graduate health professions. Demographic data and LASSI scores were evaluated using descriptive statistics, and between-group comparisons were performed using nonparametric independent tests and analysis of variance. Significance was set at an alpha level of <.05.

Results.
Entering students perceived a need for moderate or high levels of support in most areas of SRL as measured by the LASSI. Statistically significant demographic differences in scale scores found within the cohort included minority status, undergraduate institution, and gender.

Discussion/Conclusion.
This study provides insights into the areas of support DPT students need for SRL that may have implications for early academic support. Diverse students may have different supportive needs. Further research is needed to discover SRL development needs in DPT students.
Navigator-Guided Motion and B0 Correction of T2*-Weighted Magnetic Resonance Imaging Improves Multiple Sclerosis Cortical Lesion Detection
Authors: Liu Jiaen , Beck Erin S. , Filippini Stefano , van Gelderen Peter , de Zwart Jacco A. , Norato Gina , Sati Pascal , Al-Louzi Omar , Kolb Hadar , Donadieu Maxime , Morrison Mark , Duyn Jeff H. , Reich Daniel S. 
Published: January 2021

Background
Cortical lesions are common in multiple sclerosis (MS). T2*-weighted (T2*w) imaging at 7 T is relatively sensitive for cortical lesions, but quality is often compromised by motion and main magnetic field (B0) fluctuations.

Purpose
The aim of this study was to determine whether motion and B0 correction with a navigator-guided gradient-recalled echo sequence can improve cortical lesion detection in T2*w magnetic resonance imaging.

Materials and Methods
In this prospective study, a gradient-recalled echo sequence incorporating a navigator allowing for motion and B0 field correction was applied to collect T2*w images at 7 T from adults with MS between August 2019 and March 2020. T2*-weighted images were acquired in 1 to 3 partially overlapping scans per individual and were reconstructed using global average B0 correction (“uncorrected”) or motion correction and spatially linear B0 correction (“corrected”). Image quality rating and manual segmentation of cortical lesions were performed on uncorrected and corrected images. Lesions seen on a single scan were retrospectively evaluated on the complementary scan. The association of cortical lesions with clinical disability was assessed. Mixed models were used to determine the effect of correction on lesion detection as well as on the relationship between disability and lesion count.

Results
A total of 22 T2*w scans were performed on 11 adults with MS (mean [SD] age, 49 [11] years; 8 women). Quality improved for 20 of 22 scans (91%) after correction. A total of 69 cortical lesions were identified on uncorrected images (median per scan, 2; range, 0–11) versus 148 on corrected images (median per scan, 4.5; range, 0–25; rate ratio [RR], 2.1; P < 0.0001). For low-quality uncorrected scans with moderate to severe motion artifact (18/22, 82%), there was an improvement in cortical lesion detection with correction (RR, 2.5; P < 0.0001), whereas there was no significant change in cortical lesion detection for high-quality scans (RR, 1.3; P = 0.43).

Conclusions
Navigator-guided motion and B0 correction substantially improves the overall image quality of T2*w magnetic resonance imaging at 7 T and increases its sensitivity for cortical lesions.