bluuebunny/crossref_metadata_2025_split huggingface dataset:
Brazilian Gymnastics in a Crucible: A Media Data Case Study of Serial Sexual Victimization of the Brazilian Men’s Gymnastics Team
Authors: Seanor Michelle E. , Giffin Cole E. , Schinke Robert J. , Coholic Diana A. 
Published: December 2021

Elite gymnastics sport culture is presently under global scrutiny. Largely ignited by the highly publicized case of serial sexual abuses in USA Gymnastics, multiple national gymnastics teams have disclosed stories of athlete abuse. Our author team utilized media data to investigate the serial sexual abuses that occurred on the Brazilian Men’s Gymnastics Team. Using media data to conceptualize athlete maltreatment is novel and facilitated our holistic interpretation of athlete maltreatment across multiple levels of athletes’ developmental systems. The authors traced the media coverage temporally and identified four overarching themes: (a) uncovering the case (subthemes—the Brazilian sport context; the Brazilian men’s gymnastics context; the club context), (b) before abuse was identified (subthemes—the coach–athlete dyad: before disclosure; the athlete: a lost childhood; social connectivity: isolation; the gymnastics system: mechanisms of abuse), (c) when abuse was recognized (subthemes—the coach–athlete dyad: athlete resistance; the athlete: identifying the impact; social connectivity: building connections; the gymnastics system: consequences of abuse), and (d) the legacy of abuse (subthemes—the coach–athlete dyad: ongoing abuses; the athlete: cyclical victimization; social connectivity: expanding connections; the gymnastics system: after abuse). Utilizing media data facilitated our culturally contextualized interpretation of athlete abuse to present tailored recommendations for practitioners.
“All or Nothing”: The Road to the National Hockey League for Five Successful Danish Players Born in 1989
Authors: Bendorff Daniel K.S. , Aggerholm Anders W. , H. Dalsgaard Simon , M. Wrang Christian , Martin Luc J. , Rossing Niels N. 
Published: December 2021

The purpose of this case study was to explore the conditions that contributed to the development of five Danish National Hockey League players born in 1989. Informed by the personal assets framework, we conducted nine semistructured interviews with six players, two parents, and a former head coach. The purpose of these interviews was to explore the conditions that surrounded the athlete’s development and facilitated their ascent to the National Hockey League. Generally, we found that the club coaches identified and targeted the National Hockey League players from an early age, were result oriented in their leadership approach, and provided exclusive training opportunities to identified players. During their specializing years, the players were encouraged to undertake an “all or nothing” approach, whereby they were largely expected to sacrifice opportunities to pursue dual careers. In addition, a relocation to the Swedish hockey gymnasium and club, Frölunda, provided an important developmental stepping-stone for nearly all of them. Furthermore, uncontrollable and fortuitous conditions (e.g., prosperous national sport environment, role models) inspired the players’ ambitions and perceptions of capability. The results of this study are discussed in relation to the literature and practical implications, and we highlight limitations and propose future directions.
Exploring the emplacement of Cretaceous arc granites and dextral shear zones in northwestern Nevada, USA, using the StraboSpot data system
Authors: Trevino* S.F. , Tikoff B. , Van Buer N. , Wyld S.J. , McLachlan H. 
Published: December 2021

ABSTRACT
This field trip traverses the Sahwave and Nightingale Ranges in central Nevada, USA, and northward to Gerlach, Nevada, to the Granite, northern Fox, and Selenite Ranges. Plutonic bodies in this area include the ca. 93–89 Ma Sahwave nested intrusive suite of the Sahwave and Nightingale Ranges, the ca. 106 Ma Power Line intrusive complex of the Nightingale Range, the ca. 96 Ma plutons in the Selenite Range, and the ca. 105–102 Ma plutons of the Granite and Fox Ranges. Collectively these plutons occupy nearly 1000 km2 of bedrock exposure. Plutons of the Sahwave, Nightingale, and Selenite Ranges intrude autochthonous rocks east of the western Nevada shear zone, while plutons of the Granite and Fox Ranges intrude displaced terranes west of the western Nevada shear zone. Integrated structural, geochemical, and geochronological studies are used to better understand magmatic and deformation processes during the Early Cretaceous, correlations with Cretaceous plutons in adjacent areas of Idaho and California, and regional implications.
Field-trip stops in the Sahwave and Nightingale Ranges will focus on: (1) microstructure and orientation of magmatic and solid-state fabrics of the incrementally emplaced granodiorites-granites of the Sahwave intrusive suite; and (2) newly identified dextral shear zones hosted within intrusions of both the Sahwave and Nightingale Ranges. The Sahwave intrusive suite exhibits moderate to weak magnetic fabrics determined using anisotropy of magnetic susceptibility, with magnetic foliations that strike NW-NE and magnetic lineations that plunge moderately to steeply. Microstructural analysis indicates that these fabrics formed during magmatic flow. The older Power Line intrusive complex in the Nightingale Range is cross-cut by the Sahwave suite and contains a N-S–trending solid-state foliation that reflects ductile dextral shearing. Field-trip stops in the plutons of the Gerlach region will focus on composition, texture, and emplacement ages, and key differences with the younger Sahwave suite, including lack of evidence for zoning and solid-state fabrics. The field trip will utilize StraboSpot, a digital data system for field-based geology that allows participants to investigate the relevant data projects in the study areas.
Moho carbonation at an ocean-continent transition
Authors: Coltat Rémi , Boulvais Philippe , Branquet Yannick , Richard Antonin , Tarantola Alexandre , Manatschal Gianreto 
Published: December 2021

Abstract
Carbonation of mantle rocks during mantle exhumation is reported in present-day oceanic settings, both at mid-ocean ridges and ocean-continent transitions (OCTs). However, the hydrothermal conditions of carbonation (i.e., fluid sources, thermal regimes) during mantle exhumation remain poorly constrained. We focus on an exceptionally well-preserved fossil OCT where mantle rocks have been exhumed and carbonated along a detachment fault from underneath the continent to the seafloor along a tectonic Moho. Stable isotope (oxygen and carbon) analyses on calcite indicate that carbonation resulted from the mixing between serpentinization-derived fluids at ~175°C and seawater. Strontium isotope compositions suggest interactions between seawater and the continental crust prior to carbonation. This shows that carbonation along the tectonic Moho occurs below the continental crust and prior to mantle exhumation at the seafloor during continental breakup.
Quantifying metasomatic high-field-strength and rare-earth element transport from alkaline magmas
Authors: Sokół Krzysztof , Finch Adrian A. , Hutchison William , Cloutier Jonathan , Borst Anouk M. , Humphreys Madeleine C.S. 
Published: December 2021

Abstract
Alkaline igneous rocks host many global high-field-strength element (HFSE) and rare-earth element (REE) deposits. While HFSEs are commonly assumed to be immobile in hydrothermal systems, transport by late-stage hydrothermal fluids associated with alkaline magmas is reported. However, the magnitude of the flux and the conditions are poorly constrained and yet essential to understanding the formation of REE-HFSE ores. We examined the alteration of country rocks (“fenitization”) accompanying the emplacement of a syenite magma at Illerfissalik in Greenland, through analysis of changes in rock chemistry, mineralogy, and texture. Our novel geochemical maps show a 400-m-wide intrusion aureole, within which we observed typically tenfold increases in the concentrations of many elements, including HFSEs. Textures suggest both pervasive and structurally hosted fluid flow, with initial reaction occurring with the protolith's quartz cement, leading to increased permeability and enhancing chemical interaction with a mixed Ca-K-Na fenitizing fluid. We estimated the HFSE masses transferred from the syenite to the fenite by this fluid and found ~43 Mt of REEs were mobilized (~12% of the syenite-fenite system total rare-earth-oxide [TREO] budget), a mass comparable to the tonnages of some of the world's largest HFSE resources. We argue that fenite can yield crucial information about the tipping points in magma evolution because retention and/or loss of volatile-bonded alkali and HFSEs are key factors in the development of magmatic zirconosilicate-hosted HFSE ores (e.g., Kringlerne, at Ilímaussaq), or the formation of the syenite-hosted Nb-Ta-REE (Motzfeldt-type) roof-zone deposits.
Intervention targeted at physicians’ treatment of musculoskeletal disorders and sickness certification: an interrupted time series analysis
Authors: Kausto Johanna , Rosenström Tom Henrik , Ervasti Jenni , Pietiläinen Olli , Kaila-Kangas Leena , Rahkonen Ossi , Harkko Jaakko , Väänänen Ari , Kouvonen Anne , Lallukka Tea 
Published: December 2021

ObjectiveAn intervention was carried out at the occupational healthcare services (OHS) of the City of Helsinki beginning in 2016. We investigated the association between the intervention and employee sick leaves using interrupted time series analysis.DesignRegister-based cohort study with a quasi-experimental study design.SettingEmployees of the City of Helsinki.ParticipantsWe analysed individual-level register-based data on all employees who were employed by the city for any length of time between 2013 and 2018 (a total 86 970 employees and 3 014 075 sick leave days). Sick leave days and periods that were OHS-based constituted the intervention time series and the rest of the sick leave days and periods contributed to the comparison time series.InterventionRecommendations provided to physicians on managing pain and prescribing sick leave for low back, shoulder and elbow pain.Outcome measuresNumber of sick leave days per month and sick leave periods per year.ResultsFor all sick leave days prescribed at OHS, there was no immediate change in sick leave days, whereas a gradual change showing decreasing number of OHS-based sick leave days was detected. On average, the intervention was estimated to have saved 2.5 sick leave days per year per employee. For other sick leave days, there was an immediate increase in the level of sick leave days after the intervention and a subsequent gradual trend showing decreasing number of sick leave days.ConclusionsThe intervention may have reduced employee sick leaves and therefore it is possible that it had led to direct cost savings. However, further evidence for causal inferences is needed.
Acute subdural haematoma in the elderly: to operate or not to operate? A systematic review and meta-analysis of outcomes following surgery
Authors: Manivannan Susruta , Spencer Robert , Marei Omar , Mayo Isaac , Elalfy Omar , Martin John , Zaben Malik 
Published: December 2021

ObjectivesAcute subdural haematoma (ASDH) is a devastating pathology commonly found on CT brain scans of patients with traumatic brain injury. The role of surgical intervention in the elderly has been increasingly questioned due to its associated morbidity and mortality. Therefore, a systematic review and meta-analysis of the literature to quantify the mortality and functional outcomes associated with surgical management of ASDH in the elderly was performed.Design/settingA multidatabase literature search between January 1990 and May 2020, and meta-analysis of proportions was performed to quantify mortality and unfavourable outcome (Glasgow Outcome scale 1–3; death/ severe disability) rates.ParticipantsStudies reporting patients aged 60 years or older.InterventionsCraniotomy, decompressive craniectomy, conservative management.Outcome measuresMortality and functional outcomes (discharge, long-term follow-up (LTFU)).Results2572 articles were screened, yielding 21 studies for final inclusion and 15 for meta-analysis. Pooled estimates of mortality were 39.83% (95% CI 32.73% to 47.14%; 10 studies, 308/739 patients, I2=73%) at discharge and 49.30% (95% CI 42.01% to 56.61%; 10 studies, 277/555 patients, I2=63%) at LTFU. Mean duration of follow-up was 7.1 months (range 2–12 months). Pooled estimate of percentage of poor outcomes was 81.18% (95% CI 75.61% to 86.21%; 6 studies, 363/451 patients, I2=45%) at discharge, and 79.25% (95% CI 72.42% to 85.37%; 8 studies, 402/511 patients, I2=66%) at LTFU. Mean duration of follow-up was 6.4 months (range 2–12 months). Potential risk factors for poor outcome included age, baseline functional status, preoperative neurological status and imaging parameters.ConclusionsOutcomes following surgical evacuation of ASDH in patients aged 60 years and above are poor. This constitutes the best level of evidence in the current literature that surgical intervention for ASDH in the elderly carries significant risks, which must be weighed against benefits.PROSPERO registration numberCRD42020189508.
Positive impact of the COVID-19 pandemic? A longitudinal study on the impact of the COVID-19 pandemic on physicians’ work experiences and employability
Authors: Leeuwen Evelien H van , Taris Toon , van Rensen Elizabeth L J , Knies Eva , Lammers Jan-Willem 
Published: December 2021

ObjectiveThe COVID-19 pandemic places an enormous demand on physicians around the world. The aim of this study was to examine the impact of the COVID-19 pandemic on physicians’ work experiences and their ability and willingness to continue working in their profession until retirement (ie, their employability).DesignA longitudinal comparative design was used. Survey data were collected on three moments: before (May 2019), in the early phase (May 2020) and in a later phase (November 2020) of the COVID-19 pandemic. Time effects were tested using repeated-measures analyses of variance and one-way analyses of variance.SettingThis study took place among physicians of two hospitals in a large city in the Netherlands.Participants165 hospital physicians with surgical, medical and other specialties participated in this study.ResultsPhysicians’ employability significantly increased from the time prior to the COVID-19 pandemic, compared with the period during this pandemic. Employability differs among physicians with surgical, medical and other specialties. Furthermore, physicians experienced a lower emotional, physical and quantitative workload during the first peak of the COVID-19 pandemic, compared with before the pandemic. Moreover, physicians experienced the most stress from the impact of COVID-19 on their work in general and from combining work and private life.ConclusionsThis study shows that physicians’ employability and work experiences are affected by the COVID-19 pandemic. Work experiences vary for physicians with different specialties. These varieties stress the importance of attention for physicians’ individual needs and challenges regarding working during the COVID-19 pandemic and the possibility of continuing work in the aftermath of this crisis. Based on this, physicians can be offered tailor-made solutions. This is important to maintain a healthy and employable workforce, which is essential for a sustainable healthcare system.
Cost-effectiveness of bedaquiline, pretomanid and linezolid for treatment of extensively drug-resistant tuberculosis in South Africa, Georgia and the Philippines
Authors: Gomez Gabriela Beatriz , Siapka Mariana , Conradie Francesca , Ndjeka Norbert , Garfin Anna Marie Celina , Lomtadze Nino , Avaliani Zaza , Kiria Nana , Malhotra Shelly , Cook-Scalise Sarah , Juneja Sandeep , Everitt Daniel , Spigelman Melvin , Vassall Anna 
Published: December 2021

ObjectivesPatients with highly resistant tuberculosis have few treatment options. Bedaquiline, pretomanid and linezolid regimen (BPaL) is a new regimen shown to have favourable outcomes after six months. We present an economic evaluation of introducing BPaL against the extensively drug-resistant tuberculosis (XDR-TB) standard of care in three epidemiological settings.DesignCost-effectiveness analysis using Markov cohort model.SettingSouth Africa, Georgia and the Philippines.ParticipantsXDR-TB and multidrug-resistant tuberculosis (MDR-TB) failure and treatment intolerant patients.InterventionsBPaL regimen.Primary and secondary outcome measures(1) Incremental cost per disability-adjusted life years averted by using BPaL against standard of care at the Global Drug Facility list price. (2) The potential maximum price at which the BPaL regimen could become cost neutral.ResultsBPaL for XDR-TB is likely to be cost saving in all study settings when pretomanid is priced at the Global Drug Facility list price. The magnitude of these savings depends on the prevalence of XDR-TB in the country and can amount, over 5 years, to approximately US$ 3 million in South Africa, US$ 200 000 and US$ 60 000 in Georgia and the Philippines, respectively. In South Africa, related future costs of antiretroviral treatment (ART) due to survival of more patients following treatment with BPaL reduced the magnitude of expected savings to approximately US$ 1 million. Overall, when BPaL is introduced to a wider population, including MDR-TB treatment failure and treatment intolerant, we observe increased savings and clinical benefits. The potential threshold price at which the probability of the introduction of BPaL becoming cost neutral begins to increase is higher in Georgia and the Philippines (US$ 3650 and US$ 3800, respectively) compared with South Africa (US$ 500) including ART costs.ConclusionsOur results estimate that BPaL can be a cost-saving addition to the local TB programmes in varied programmatic settings.
Study protocol for the ETMED-L project: longitudinal study of mental health and interpersonal competence of medical students in a Swiss university using a comprehensive framework of empathy
Authors: Berney Alexandre , Carrard Valerie , Berney Sylvie , Schlegel Katja , Gaume Jacques , Gholam Mehdi , Bart Pierre-Alexandre , Preisig Martin , Wac Katarzyna , Schmid Mast Marianne , Bourquin Céline 
Published: December 2021

IntroductionPhysician interpersonal competence is crucial for patient care. How interpersonal competence develops during undergraduate medical education is thus a key issue. Literature on the topic consists predominantly of studies on empathy showing a trend of decline over the course of medical school. However, most existing studies have focused on narrow measures of empathy. The first aim of this project is to study medical students’ interpersonal competence with a comprehensive framework of empathy that includes self-reported cognitive and affective empathy, performance-based assessments of emotion recognition accuracy, and a behavioural dimension of empathy. The second aim of the present project is to investigate the evolution of mental health during medical school and its putative link to the studied components of interpersonal competence. Indeed, studies documented a high prevalence of mental health issues among medical students that could potentially impact their interpersonal competence. Finally, this project will enable to test the impact of mental health and interpersonal competence on clinical skills as evaluated by experts and simulated patients.Methods and analysisThis project consists of an observational longitudinal study with an open cohort design. Each year during the four consecutive years of the project, every medical student (curriculum years 1–6) of the University of Lausanne in Switzerland will be asked to complete an online questionnaire including several interpersonal competence and mental health measures. Clinical skills assessments from examinations and training courses with simulated patients will also be included. Linear mixed models will be used to explore the longitudinal evolutions of the studied components of interpersonal competence and mental health as well as their reciprocal relationship and their link to clinical skills.Ethics and disseminationThe project has received ethical approval from the competent authorities. Findings will be disseminated through internal, regional, national and international conferences, news and peer-reviewed journals.
Quality of life and disease experience in patients with heart failure with reduced ejection fraction in Spain: a mixed-methods study
Authors: Rubio Raül , Palacios Beatriz , Varela Luis , Fernández Raquel , Camargo Correa Selene , Estupiñan María Fernanda , Calvo Elena , José Nuria , Ruiz Muñoz Marta , Yun Sergi , Jiménez-Marrero Santiago , Alcoberro Lidia , Garay Alberto , Moliner Pedro , Sánchez-Fernández Lydia , Soria Gómez María Teresa , Hidalgo Encarna , Enjuanes Cristina , Calero-Molina Esther , Rueda Yolanda , San Saturnino Maite , Garcimartín Paloma , López-Ibor Jorge V , Segovia-Cubero Javier , Comin-Colet Josep 
Published: December 2021

ObjectivesTo gather insights on the disease experience of patients with heart failure (HF) with reduced ejection fraction (HFrEF), and assess how patients’ experiences and narratives related to the disease complement data collected through standardised patient-reported outcome measures (PROMs). Also, to explore new ways of evaluating the burden experienced by patients and caregivers.DesignObservational, descriptive, multicentre, cross-sectional, mixed-methods study.SettingSecondary care, patient’s homes.ParticipantsTwenty patients with HFrEF (New York Heart Association (NYHA) classification I–III) aged 38–85 years.MeasuresPROMs EuroQoL 5D-5L (EQ-5D-5L) and Kansas City Cardiomyopathy Questionnaire and patient interview and observation.ResultsA total of 20 patients with HFrEF participated in the study. The patients’ mean (SD) age was 72.5 (11.4) years, 65% were male and were classified inNYHA functional classes I (n=4), II (n=7) and III (n=9). The study showed a strong impact of HF in the patients’ quality of life (QoL) and disease experience, as revealed by the standardised PROMs (EQ-5D-5L global index=0.64 (0.36); Kansas City Cardiomyopathy Questionnaire total symptom score=71.56 (20.55)) and the in-depth interviews. Patients and caregivers often disagreed describing and evaluating perceived QoL, as patients downplayed their limitations and caregivers overemphasised the poor QoL of the patients. Patients related current QoL to distant life experiences or to critical moments in their disease, such as hospitalisations. Anxiety over the disease progression is apparent in both patients and caregivers, suggesting that caregiver-specific tools should be developed.ConclusionsPROMs are an effective way of assessing symptoms over the most recent time period. However, especially in chronic diseases such as HFrEF, PROM scores could be complemented with additional tools to gain a better understanding of the patient’s status. New PROMs designed to evaluate and compare specific points in the life of the patient could be clinically more useful to assess changes in health status.