bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Self in Meditation
Authors: Frazier Jessica 
Published: February 2021

Abstract
This chapter outlines a theory of meditation as an art of self-shaping, by emphasizing meditation’s efficacy as a tool for sculpting the “plastic” structures of the mind. First, it considers modern views of meditation as a form of healing that brings the mind “back” to its natural functioning. This stands in contrast with most traditional views of meditation as a way to change the self in permanent—and sometimes radical—ways. Second, it sketches a model of the mind’s “architecture of attention”—exploring the role of selective attention in cognitive processing and the cumulative structures of the self. Third, given this model of the mind, it considers some examples of how absorptive, deconstructive, and narrative forms of meditation shape the inner world of the practitioner. From this examination of meditative functions, there emerges an ontology of the self that recognizes its self-creative malleability. Less an atomic individual or an outward-shining power of perception, the self appears as a kind of dynamic weather system that is constantly transformed as it takes up the raw materials of sensory stimulus. On this model, meditation functions as the selective factor that allows different elements of that system to predominate and thereby shape the others. Finally, the chapter reminds that, far from the modern world’s concern with individual autonomy, classical meditation’s subtle artistry aimed to bring the self into alignment with broader realities.
Psychotherapy Integration as an Ethical Practice
Authors: grosse Holtforth Martin , Penedo Juan Martín Gómez , Locher Cosima , Blease Charlotte , Castonguay Louis G. 
Published: February 2021

Abstract
This chapter aims to analyze which ethical challenges clinicians face when practicing different forms of psychotherapy integration. With this purpose, the authors first define psychotherapy integration and differentiate four types of integrative approaches. Drawing on Beauchamp and Childress’s (2013) principles of biomedical ethics, the chapter highlights important common and particular ethical issues in the four types of integrationist psychotherapy practice. Finally, the authors frame questions for future research into integrative-psychotherapy ethics and consider possible clinical responses to ethics issues raised in integrative therapy.
Facial Attractiveness
Authors: Mitrovic Aleksandra , Goller Jürgen 
Published: February 2021

Abstract
Facial attractiveness is one of the most ubiquitous forms of beauty that people encounter and value. It is a unique category in visual aesthetics because of its deep biological foundation and essential significance for social interactions. This chapter gives an overview and discusses the rich history of facial attractiveness research from four perspectives. First, the face itself is discussed, asking what makes a face attractive, with reference to local features such as eye color and spatial configurations, and global characteristics like symmetry and averageness. Attention then turns to the face bearer, and a distinction is drawn between facial attractiveness and personal characteristics like mate quality, familiarity, and the “what is beautiful is good” stereotype. Next, the chapter examines the role of the observer, and how individual characteristics explain differences in taste and effects of facial attractiveness on perception and cognition. Finally, some inherent limitations to this research are addressed.
Physics and biophysics fundamentals of transcranial stimulation
Authors: Wang Boshuo , Aberra Aman S. , Grill Warren M. , Peterchev Angel V. 
Published: February 2021

Abstract
Transcranial stimulation induces or modulates neural activity in the brain through basic physical and biophysical processes. Transcranial electrical stimulation and transcranial magnetic stimulation impose an exogenous electric field in the brain that is determined by the stimulation device and the geometric and electric parameters of the head. The imposed electric field drives an electric current through the brain tissue, which macroscopically behaves as a volume conductor. The electric field polarizes neuronal membranes as described by the cable equation, resulting in direct activation of individual neurons and neural networks or indirect modulation of intrinsic activity. Computational modeling can estimate the delivered electric field as well as the resultant responses of individual neurons. This dosimetric information can be used to optimize and individualize stimulation targeting. The field distributions of transcranial stimulation are well understood and characterized, whereas analysis and modeling of the neural responses require further investigation, especially at the network level.
Computational Methods for Dosimetry
Authors: Thielscher Axel , Madsen Kristoffer H. , Strangman Gary E. , Treeby Bradley E. 
Published: February 2021

Abstract
Computational methods for dosimetry allow estimating and optimizing the spatial distribution and strength of the induced fields and waves in the brain, based on detailed models of the head anatomy that are derived from medical imaging data. This chapter gives an overview of the computational dosimetry methods for transcranial magnetic, electric, focused ultrasound and light stimulation. It starts with a brief introduction to the employed numerical methods and a summary of the status of the automatic generation of individual head models from magnetic resonance and computed tomography data. For each stimulation method, the basic physical equations underlying the numerical simulations are outlined, followed by a summary of the key results and validation studies. The chapter concludes with an overview of remaining limitations and open questions.
Human Rights Activism, Sexuality, and Gender
Authors: Chua Lynette J. 
Published: February 2021

AbstractThis chapter introduces an anthropological inquiry into human rights activism, sexuality, and gender, and proposes taking an ethnographic approach grounded in love, agency, and humanity to do so. Such an inquiry brings together queer anthropology and the anthropology of human rights to analyse the intersection of human rights and social justice activism for people with non-normative sexualities and genders. Although queer anthropology has illuminated the contingent and multiple ways of doing sexuality and gender, it usually does not examine the processes and patterns that arise out of human rights or the actions and experiences of activists. On the other hand, anthropologists of human rights have generally not focused on non-normative genders or sexualities. The proposed ethnographic approach does not merely pay attention to the interpretation, adaptation, and circulation of the substantive meanings of human rights and such affiliated identities as lesbian, gay, bisexual, and transgender (LGBT); it also analyses the emotions and interpersonal relations that give rise to and emerge from those processes and treats them as inherent to the practices of human rights and LGBT identities. Additionally, this approach is motivated by compassion for the agency and empirical realities of their research subjects. Taking this approach to develop research at the intersection of human rights activism, sexuality, and gender, the field of anthropology can further influence theories of social movements and collective action in the broader social sciences.
South African Legal Culture and its Dis/Empowerment Paradox
Authors: Mnisi Weeks Sindiso 
Published: February 2021

AbstractTwenty-five years since becoming a constitutional democracy, South Africa presents the perplexing paradox of arguably having the most progressive constitution in the world, marked by full-throated socioeconomic rights protection, while also being the most unequal country in the world. This chapter makes the argument that this alarming paradox can be at least partly understood in terms of a ‘dis/empowerment paradox’ endemic to South Africa’s legal culture. It takes a historical view of the formation and impact of South African legal culture and the various levels and ways in which the dis/empowerment paradox argued for has been, and continues to be, characteristic thereof. The chapter traces the contributions of the judiciary to shaping the country’s legally pluralistic culture over the course of history and into the present. It ultimately points to judicial complicity in restraining the full realization of freedom and justice under the law—both before and after the dawn of South Africa’s modern-day Constitution—by under-utilizing law’s potential for liberation. Tracing this historical arc is aimed at helping legal, anthropological, and wider readers not familiar with South Africa’s particular circumstances to better understand the concluding argument: namely, that the purported solution to South Africa’s problems described as ‘transformative constitutionalism’ presents notable pitfalls. While the chapter does not argue that the judiciary is solely, or even mainly, responsible for the dis/empowerment paradox of law, it does argue that the judiciary is somewhat complicit in the limited socioeconomic transformation seen subsequent to adoption of the country’s progressive Constitution.
Terrorism and Theocracy
Authors: Trampedach Kai 
Published: February 2021

Abstract
This chapter discusses a case of ancient terrorism, the fight of the most radical branch of the Judean resistance movement against Roman rule in the first century ce by means of kidnapping and assassination. Ancient Judean terrorism was not only provoked by the foreign occupation, but also fed on the fertile ground of social antagonisms within Judean society. The zealot ideology of the Sicarii was fueled by theocratic, even apocalyptic beliefs, closely intertwined with radically egalitarian visions of society. Spectacular actions against the Roman Empire and its indigenous collaborators finally instigated the Judean War. Though modern terrorism has many different facets, the religiously motivated Islamic type shows parallels with the ancient Judean paradigm—in methods, but even more in ideology, which is based on comparable political and social conditions.
“Deeds, Not Words”
Authors: Schmidt Daniel , Sturm Michael 
Published: February 2021

Abstract
This chapter focuses on the manifestations and characteristics of right-wing terrorism in twentieth-century Europe, particularly on developments in Germany and Italy. When viewed from a comparative perspective, a central characteristic for right-wing terrorism is the Tatglaube, the faith in deeds. Although the worldview justifying such terrorism is grounded in racism, ethnocentrism, and nationalistic concepts of superiority, the decisive factor is violence as an end in itself, a violence that generally forgoes any justifying pattern of argument and strives to annihilate the enemy physically. The repertoire of actions taken and the formulized language of right-wing terrorism have remained largely unchanged throughout the twists and turns of twentieth-century history. Nevertheless, it is possible to differentiate various phases of right-wing terrorism, which were also influenced, in turn, by the political and societal environment. Despite the ethnocentric and nationalistic worldview from which this terrorism springs, it also becomes evident here that right-wing terrorism has always been marked by transnational influences, particularly since the end of the twentieth century.
Is the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire Adequate to Assess Individuals With Subacromial Pain Syndrome? Rasch Model and International Classification of Functioning, Disability and Health
Authors: Almeida Rafaela F , Pereira Natalia D , Ribeiro Larissa P , Barreto Rodrigo Py G , Kamonseki Danilo H , Haik Melina N , Camargo Paula R 
Published: February 2021

Abstract

Objective
The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is widely used to assess patients with symptoms of subacromial pain syndrome (SPS). No study has analyzed the DASH by using the Rasch model in these patients and related the level of difficulty of the items with the International Classification of Functioning Disability and Health (ICF) domains. The purpose of this study was to evaluate the measurement properties of the DASH in individuals with SPS and to describe which ICF components are influenced by SPS based on the DASH.

Methods
The full version of the DASH was used to assess upper limb pain and function in individuals with SPS. Responses were assessed using the Rasch model. DASH items were grouped according to the level of difficulty and associated with the ICF domains to identify the most compromised aspect in these individuals.

Results
Reliability and internal consistency for the DASH were shown to be 0.93 and 0.95, respectively. Item 3 (“Turn a key”) was the easiest and 25 (“Pain during specific activity”) the most difficult. Only item 30 (“Less capable/confident/useful”) was as an erratic item. Item 15 (“Put on a sweater”) showed differential functioning by age and item 11 (“Carry a heavy object”) by sex. Seven items showed differential functioning related to the angular onset of pain during arm elevation. Sixty percent of the most difficult items belonged to the “Body function” domain of the ICF.

Conclusion
Although some psychometric properties of the DASH are adequate according to the Rasch model, adjustments to some items are necessary for individuals with SPS. Clinicians should be cautious when interpreting the DASH, especially in patients with angular onset of pain above 120 degrees of arm elevation.

Impact
The information contained in this study should be used by clinicians to interpret the results of the DASH when assessing individuals with SPS. The DASH may not be adequate to assess those with shoulder pain above 120 degrees of arm elevation. These results are not generalizable to other shoulder pathologies.
Low-dose glucocorticoids should be withdrawn or continued in systemic lupus erythematosus? A systematic review and meta-analysis on risk of flare and damage accrual
Authors: Ji Lanlan , Xie Wenhui , Zhang Zhuoli 
Published: February 2021

Abstract

Objective
To assess the risk of flare and damage accrual after discontinuation of low-dose glucocorticoids (GCs) in SLE.

Methods
We performed a comprehensive literature search of the PubMed, Embase, Cochrane Library and Scopus databases from inception to July 2020 for studies concerning relapses/damage accrual in SLE patients. Pooled incidence rates of flare and time to flare with their 95% CIs after GC withdrawal were calculated. The summary risk ratio (RR) and 95% CI of flare/organ damage accrual risk were computed using a random- or fixed-effects model.

Results
A total of 738 SLE patients with GC discontinuation in 17 publications were eligible for the final analysis. In the primary meta-analysis, the pooled incidence of flare was 24% (95% CI 21, 27) and 13% (95% CI 8, 18) for global and major flares, respectively. Pooled time to flare was 21.08 months (95% CI 9.32, 32.85). In the secondary meta-analysis, GC discontinuation showed an increased risk of flare compared with GC continuation [RR 1.38 (95% CI 1.01, 1.89)], but the risk of major flares was not increased [RR 1.77 (95% CI 0.40, 7.83)]. Moreover, GC withdrawal was associated with a borderline risk reduction in the SLICC/ACR damage index increase compared with GC continuation [RR 0.64 (95% CI 0.38, 1.09)].

Conclusion
GC discontinuation leads to a slightly increased risk of flare, however, no increase in major flare and a borderline reduction of risk in further damage in SLE patients. Baseline screening for candidate patients and long-term follow-up after GC withdrawal are needed to reliably evaluate the organ damage increase.
Quality, proximate composition, and sensory characteristics of Dorper, domestic commercial crossbred, and Australian sheep meat: a comparative study
Authors: Villatoro K M , Yang F , Duarte T , Phillips C R , Woerner D R , Chao M D , Yang X 
Published: February 2021

Abstract
The objective of this study was to compare the proximate, quality, and sensory attributes of Dorper sheep meat (Dorper), domestic commercial crossbred (DCC) and Australian commercial crossbred (ACC). A total of 60 untrimmed loins from the three sheep sources were purchased (20 sheep loins/source) and processed. The objective color, objective tenderness [Warner–Bratzler Shear Force (WBSF)], and proximate composition of the sheep meat were evaluated. A consumer panel and a trained sensory panel were also conducted to evaluate the sensory attributes. Dorper had greater (P = 0.04) carbohydrate content compared to DCC, but was not (P = 0.86) different from ACC. In addition, Dorper had the greatest WBSF value, followed by DCC, with ACC having the least WBSF out of the three (P &lt; 0.0001). For the consumer panel, Dorper was rated to be less tender than ACC (P = 0.01), but was not different from DCC (P = 0.76). Dorper was also rated with lower flavor acceptability compared to DCC (P = 0.02), but was not different from ACC (P = 0.86). In addition, Dorper had the lowest overall acceptance rating by the consumers (P = 0.01). Trained sensory panel results followed the same trend as the consumer panel results which rated Dorper to be less tender than ACC (P = 0.002), but was not different from DCC (P = 0.10). Dorper was also rated with greater off-flavor intensity compared to DCC (P = 0.009), but was not different from ACC (P = 0.53). Finally, no differences were found for all other attributes evaluated among the sheep sources. The results indicated that consumers did not prefer Dorper over ACC and DCC. However, additional research with a more controlled environment is needed to shed light on the true palatability traits of Dorper.
Nephrotoxicity and neurotoxicity following star fruit (Averrhoa carambola) ingestion: a narrative review
Authors: Yasawardene Pamodh , Jayarajah Umesh , De Zoysa Ishan , Seneviratne Suranjith L 
Published: February 2021

Abstract
In recent times, star fruit (Averrhoa carambola) nephrotoxicity and neurotoxicity have been increasingly reported, both in individuals with pre-existing renal disease and those with previously normal renal function. We summarise the clinical findings of star fruit toxicity in humans and outline the important pathogenetic insights provided by animal studies. Google Scholar, EMBASE, Scopus and PubMed were searched from 1995 through July 2020 for case reports/series on renal or neurological manifestations of star fruit toxicity in humans and mechanisms of star fruit toxicity in animal studies. Ten case series and 28 case reports in humans (total number of individuals=136) were included and 8 animal studies were analysed. Ninety-four (69.1%) patients had prior renal impairment. Renal histology showed acute oxalate nephropathy with tubulointerstitial nephritis or tubular necrosis. Neurotoxicity manifestations ranged from hiccups to status epilepticus. Oxalate and caramboxin are considered the main substances causing nephrotoxicity and neurotoxicity. Caramboxin inhibits GABA binding and activates the glutamatergic receptors. Haemodialysis improved outcomes in neurotoxicity. Nephrotoxicity and neurotoxicity need to be looked for with star fruit toxicity, both in individuals with abnormal or normal renal function. Once star fruit intoxication is identified, early renal replacement therapy should be considered. Further studies on the mechanisms of star fruit toxicity are needed.
Impact of Early Intervention in Pain Management in Cancer Patients
Authors: Gulia Abhity , Dhamija Ekta , Kumar Mukesh , Thulkar Sanjay P. , Bhatnagar Sushma 
Published: February 2021

Objectives:
The present study aimed to assess the role of early intervention of nerve blocks in the management of cancer pain. We also aimed to study its effect on the quality of life and the opioid requirement.

Materials and Methods:
Sixty patients with cancer having pain, 18 to 75 years were randomised and divided into an intervention group and analgesic titration with opioids group. Patients in the intervention group received nerve block and residual pain managed with opioids. Control group patients were managed with opioids alone.

Results:
The mean visual analog scale score showed statistically significant improvement in both the groups (8.56±1.07 to 2.5±0.63 in the intervention group, 9.3±0.74 to 3.3±0.75 in the control group at 1 month (P=0.000). This was associated with a decrease in the opioid requirement in the intervention group at 1 week (P=0.014) with only 4 patients receiving morphine at the end of 1 month.
The change in the Karnofsky scale was statistically significant from baseline to 1 month in both groups.

Discussion:
Interventional pain management has a definitive role in palliative setup for pain management. Pain relief was obtained in both groups, but the quality of pain relief was better in the intervention group with an associated reduction in the opioid requirement.
Mutuality in Motor Neuron Disease: A Mixed-Method Study
Authors: Cilluffo Silvia , Bassola Barbara , Lusignani Maura 
Published: February 2021

ABSTRACT

BACKGROUND: Mutuality, a positive relationship between caregiver and care receiver that affects patient's health and caregiver's burden, stress, and well-being, has never been investigated in motor neuron disease. METHOD: We conducted a mixed-method study with convergent parallel design. Quantitative data were collected with the Mutuality Scale, and qualitative data were collected using deep interviews. The sample was composed of 30 people with motor neuron diseases and 24 family caregivers. RESULTS: Deductive, qualitative content analysis of the interviews confirmed the presence of mutuality and its 4 dimensions. The average score of patients' Mutuality Scale was 3.07 (SD, 0.79; range, 1.3–4), and that of the caregivers was 3.16 (SD, 0.53; range, 2.2–3.9). The dimensions “love” and “shared values” had the highest scores, whereas the dimension “shared pleasurable activities” had the lowest score. Patients' and caregivers' answers correlated. CONCLUSION: Mutuality concept and its 4 dimensions had content validity in motor neuron disease people. Nurses should consider the level of mutuality and adopt strategies to increase and preserve it.
Treatment of Anastomotic Leaks With EndoVac After Low Anterior Resection in Colorectal Cancers
Authors: Sürek Ahmet , Bozkurt Mehmet A. , Gemici Eyüp , Kocataş Ali , Ferahman Sina , Seyhun Cemal , Binboğa Sinan , Aliş Halil 
Published: February 2021

Introduction:
Endoscopic drainage should preferably be tried unless the abscess caused by the anastomotic leak is generalized and disseminated into the abdominal cavity. The aim of this study was to evaluate the results of patients treated with EndoVac.

Patient and Methods:
The medical records of patients who underwent low anterior resection and were treated using the EndoVac therapy system due to the detection of an anastomotic leak were retrospectively evaluated.

Results:
Thirty-three of the patients with detection of anastomotic leaks were treated using EndoVac therapy system. The mean number of application of the EndoVac therapy system was 5.8 (1 to 12) for each patient. Mean duration of hospitalization of the patients was 24.5 (9 to 92) days. Five patients underwent a second operation during the follow-up period after application of the EndoVac therapy system. In our study, the number of patients recovering without the need for additional treatment is 30 (30/33). Our success rate was 90.1%.

Conclusions:
The EndoVac therapy system is an alternative and helpful system in the treatment of colorectal anastomotic leaks without reoperation needed. It can also prevent permanent stoma.