bluuebunny/crossref_metadata_2025_split huggingface dataset:
Women’s Preferences for Body Image Programming: A Qualitative Study to Inform Future Programs Targeting Women Diagnosed With Breast Cancer
Authors: Brunet Jennifer , Price Jenson , Harris Cheryl 
Published: October 2021

Purpose: This paper describes women’s opinions of the attributes of the ideal body image program to inform the design, development, and implementation of future programs for those diagnosed with breast cancer.Methods: Deductive-inductive content analysis of semi-structured interviews with 26 women diagnosed with breast cancer (mean age = 55.96 years; mean time since diagnosis = 2.79 years) was performed.Findings: Participants’ opinions regarding the ideal body image program are summarized into five themes, mapping the where (community-based, hospital-based, or online), when (across the cancer continuum or at specific points), how (peer-led programs, professional help, events, presentations/workshops, resources, support groups), what (self-care, counseling and education for one self, education for others, support for addressing sexuality/sexual health concerns, and concealing treatment-related changes), and who (team approach or delivered by women, health professionals, make-up artists).Conclusion: This study provides useful data on what women believe are the attributes of the ideal body image program, which can contribute to efforts aimed at developing and delivering body image programs for women diagnosed with breast cancer that prioritize their needs and preferences.
Body Image During Pregnancy in the Era of Coronavirus Disease 2019: The Role of Heterogeneous Patterns of Perceived Social Support
Authors: Piȩta Małgorzata , Rzeszutek Marcin , Lendzion Michał , Grymowicz Monika , Piȩta Wojciech , Kasperowicz Agata , Kucharski Marek , Przybył Mateusz , Smolarczyk Roman 
Published: October 2021

Objective: The aim of this study was to explore the profiles of pregnant women on perceived social support with regard to sociodemographic variables, coronavirus disease 2019 (COVID-19)-related distress issues, and body image. We compared the aforementioned relationships within the study variables between pregnant women and a control group of non-pregnant women.Method: The study sample comprised 345 women, 157 pregnant women, and 188 women in the control group. Participants filled out paper-and-pencil or online psychometric questionnaires to assess the variables analyzed in our research.Results: Latent profile analysis revealed six profiles of pregnant women based on perceived social support, which varied in terms of body image evaluation. The high-support profile differed from the profiles with the lowest scores in all support domains. Significant differences in body image between the profiles of pregnant women and the control group were noted.Conclusion: Understanding the mechanisms through which women can attain more body satisfaction during pregnancy is an important research topic that can inspire planning for more effective psychological help, especially in the context of the COVID-19 pandemic and related psychological distress.
Dysfunction of Resting-State Functional Connectivity of Amygdala Subregions in Drug-Naïve Patients With Generalized Anxiety Disorder
Authors: Wang Mei , Cao Lingxiao , Li Hailong , Xiao Hongqi , Ma Yao , Liu Shiyu , Zhu Hongru , Yuan Minlan , Qiu Changjian , Huang Xiaoqi 
Published: October 2021

Objective: Although previous studies have reported on disrupted amygdala subregional functional connectivity in generalized anxiety disorder (GAD), most of these studies were conducted in GAD patients with comorbidities or with drug treatment. Besides, whether/how the amygdala subregional functional networks were associated with state and trait anxiety is still largely unknown.Methods: Resting-state functional connectivity of amygdala subregions, including basolateral amygdala (BLA) and centromedial amygdala (CMA) as seed, were mapped and compared between 37 drug-naïve, non-comorbidity GAD patients and 31 age- and sex-matched healthy controls (HCs). Relationships between amygdala subregional network dysfunctions and state/trait anxiety were examined using partial correlation analyses.Results: Relative to HCs, GAD patients showed weaker functional connectivity of the left BLA with anterior cingulate/medial prefrontal cortices. Significantly increased functional connectivity of right BLA and CMA with superior temporal gyrus and insula were also identified in GAD patients. Furthermore, these functional connectivities showed correlations with state and trait anxiety scores.Conclusions: These findings revealed abnormal functional coupling of amygdala subregions in GAD patients with regions involved in fear processing and emotion regulation, including anterior cingulate/medial prefrontal cortex and superior temporal gyrus, which provide the unique biological markers for GAD and facilitating the future accurate clinical diagnosis and target treatment.
The Prevention of Occupational Heat Stress in Sugarcane Workers in Nicaragua—An Interpretative Phenomenological Analysis
Authors: Pacheco-Zenteno Felipe , Glaser Jason , Jakobsson Kristina , Weiss Ilana , Arias-Monge Esteban , Gyllensten Kristina 
Published: October 2021

Background:Chronic kidney disease of non-traditional origin (CKDnt) is an ongoing epidemic that has taken the lives of tens of thousands of people in Mesoamerica, also affecting other tropical geographies. Occupational heat stress, which will increase worldwide as climate change persists, has been identified as a primary trigger of kidney injury and reduced renal function. At Nicaragua's largest sugarcane mill, the water, rest, and shade (WRS) intervention has proven to reduce the risk of heat stress and kidney injury effectively as assessed by the research and policy NGO La Isla Network (LIN) and their academic partners, who have worked with the sugar mill to improve the design of their intervention system. However, discrepancies between intervention design and implementation have been found. This study explores the perceptions of the WRS intervention in the company from the perspective of positions responsible for the workers' environment and heat stress prevention implementation.Methods:A qualitative design was used in the study. Twenty-one key informants of low and middle management, field assistants, and two members from LIN took part in the study. Semi-structured interviews were used to collect the data. Interviews' transcriptions were analyzed using interpretative phenomenological analysis (IPA).Results:Four main themes were developed in the analysis of the data: “A worthwhile struggle,” “Culture of care”, “Traditional production culture Vs. Culture of care,” and “The importance of the formalization of care.” Each theme contained sub-themes, all of which were further discussed in the light of organizational psychology.Conclusion and Implications:Discretionary differences resulting in low and middle management prioritizing production over health protection appeared to relate to a fair part of the implementation challenges and indicate that more efforts are needed to align operations' production and health goals. Education enhancement might be necessary, while further focus on health metrics for performance assessment might offer an opportunity to level perceived incentives and value of health and production.
Design Strategies for Multi-Unit Residential Buildings During the Post-pandemic Era in China
Authors: Xu Yanqing , Juan Yi-Kai 
Published: October 2021

Objective: The sudden outbreak of COVID-19 has greatly endangered public health and life safety, leading to new changes in people's housing needs. The purpose of this study is to establish design strategies that are suitable for China's Multi-Unit Residential Buildings (MURBs) in the post-pandemic era, and to identify the users' preferences for these strategies.Methods: This study compiles a set of design requirements by means of a literature review and expert interviews. Three hundred ninety-five online and on-site questionnaires, based on the refined Kano model, were distributed to respondents to reveal their preferences for these strategies. The relationship between the different demographic variables, the preferences of design strategies, as well as the housing unit preferences of home-buyers were also verified by means of an actual project.Results: This study summarizes the four dimensions and 26 design strategies of MURBs in China during the post-pandemic era. These strategies are further extracted into 6 highly attractive, 5 high-value-added and 4 critical quality attributes. In terms of demographic variables, males need more social space, and the elderly need less office space and separate bathrooms in the master bedroom. Due to the impact of the epidemic, people with higher education levels are more required to work at home, and the overall demand for a home working environment is also higher.Conclusion: The home-buyers' preference survey reveals that the housing unit designed based on the refined Kano model is more attractive to home-buyers. The proposed approach can help to provide important and customized decisions to design firms, housing developers, and the government for MURBs planning and strategy formulation in the post-pandemic era in China. More in-depth user surveys in other regions and investigations into the cost assessment of these strategies might be further conducted in the future.
The Stepping Threshold Test for Reactive Balance: Validation of Two Observer-Based Evaluation Strategies to Assess Stepping Behavior in Fall-Prone Older Adults
Authors: Adams Michael , Brüll Leon , Lohkamp Monika , Schwenk Michael 
Published: October 2021

Introduction: Measurement of reactive balance is critical for fall prevention but is severely underrepresented in the clinical setting due to the lack of valid assessments. The Stepping Threshold Test (STT) is a newly developed instrumented test for reactive balance on a movable platform, however, it has not yet been validated for fall-prone older adults. Furthermore, different schemes of observer-based evaluation seem possible. The aim of this study was to investigate validity with respect to fall risk, interpretability, and feasibility of the STT using two different evaluation strategies.Methods: This study involved 71 fall-prone older adults (aged ≥ 65) who underwent progressively increasing perturbations in four directions for the STT. Single and multiple-step thresholds for each perturbation direction were determined via two observer-based evaluation schemes, which are the 1) consideration of all steps (all-step-count evaluation, ACE) and 2) consideration of those steps that extend the base of support in the direction of perturbation (direction-sensitive evaluation, DSE). Established balance measures including global (Brief Balance Evaluations Systems Test, BriefBEST), proactive (Timed Up and Go, TUG), and static balance (8-level balance scale, 8LBS), as well as fear of falling (Short Falls Efficacy Scale—International, FES-I) and fall occurrence in the past year, served as reference measurements.Results: The sum scores of STT correlated moderately with the BriefBEST (ACE: r = 0.413; DSE: r = 0.388) and TUG (ACE: r = −0.379; DSE: r = −0.435) and low with the 8LBS (ACE: r = 0.173; DSE: r = 0.246) and Short FES-I (ACE: r = −0.108; DSE: r = −0.104). The sum scores did not distinguish between fallers and non-fallers. No floor/ceiling effects occurred for the STT sum score, but these effects occurred for specific STT thresholds for both ACE (mean floor effect = 13.04%, SD = 19.35%; mean ceiling effect = 4.29%, SD = 7.75%) and DSE (mean floor effect = 7.86%, SD = 15.23%; mean ceiling effect = 21.07%, SD = 26.08). No severe adverse events occurred.Discussion: Correlations between the STT and other balance tests were in the expected magnitude, indicating convergent validity. However, the STT could not distinguish between fallers and non-fallers, referring to a need for further studies and prospective surveys of falls to validate the STT. Current results did not allow a definitive judgment on the advantage of using ACE or DSE. Study results represented a step toward a reactive balance assessment application in a clinical setting.
Comparison Between Single-Use Flexible Ureteroscope and Reusable Flexible Ureteroscope for Upper Urinary Calculi: A Systematic Review and Meta-Analysis
Authors: Meng Chunyang , Peng Lei , Li Jinze , Li Yunxiang , Li Jinming , Wu Ji 
Published: October 2021

Objective: This article explores the differences in the effectiveness and safety of the treatment of the upper urinary calculi between single-use flexible ureteroscope (su-fURS) and reusable flexible ureteroscope (ru-fURS).Methods: We systematically searched PubMed, Embase, Cochrane Library, Scopus database, and CNKI databases within a period from the date of database establishment to November 2020. Stata 16 was used for calculation and statistical analyses.Results: A total of 1,020 patients were included in the seven studies. The statistical differences were only found in the Clavien–Dindo grade II postoperative complication [odds ratio (OR) 0.47; 95% CI 0.23–0.98; p = 0.04]. No significant statistical differences were observed in operative time (OT), estimated blood loss (EBL), length of hospital stay (LOS), and stone-free rate (SFR).Conclusion: Our meta-analysis results demonstrate that su-fURS, compared with ru-fURS, has similar effectiveness and better security for treating upper urinary calculi.
The Impact of Skip vs. Non-Skip N2 Lymph Node Metastasis on the Prognosis of Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis
Authors: Wang Xinxin , Guo Haixie , Hu Quanteng , Ying Yongquan , Chen Baofu 
Published: October 2021

Objective: The skip N2 metastases were frequent in non-small-cell lung cancer (NSCLC) and the better prognosis of NSCLC with a skip over non-skip N2 lymph node metastases is controversial. The primary aim of this study is to investigate the prognosis effect of skip N2 lymph node metastases on the survival of NSCLC.Setting: A literature search was conducted in PubMed, EMBASE, and Cochrane Library with the term of “N2” or “mediastinal lymph node” or “mediastinal nodal metastases”, and “lung cancer” and “skip” or “skipping” in the title/abstract field. The primary outcomes of interests are 3- and 5-year survival in NSCLC.Participants: Patients who underwent complete resection by lobectomy, bilobectomy, or pneumonectomy with systemic ipsilateral lymphadenectomy and were staged as pathologically N2 were included.Primary and Secondary Outcome Measures: The 3- and 5-year survival of NSCLC was analyzed. The impact of publication year, number of patients, baseline mean age, gender, histology, adjuvant therapy, number of skip N2 stations, and survival analysis methods on the primary outcome were also analyzed.Results: A total of 21 of 409 studies with 6,806 patients met the inclusion criteria and were finally included for the analysis. The skip N2 lymph node metastases NSCLC had a significantly better overall survival (OS) than the non-skip N2 NSCLC [hazard ratio (HR), 0.71; 95% CI, 0.62–0.82; P &lt; 0.001; I2 = 40.4%]. The skip N2 lymph node metastases NSCLC had significantly higher 3- and 5-year survival rates than the non-skip N2 lymph node metastases NSCLC (OR, 0.75; 95% CI, 0.66–0.84; P &lt; 0.001; I2 = 60%; and OR, 0.78; 95% CI, 0.71–0.86; P &lt; 0.001; I2 = 67.1%, respectively).Conclusion: This meta-analysis suggests that the prognosis of skip N2 lymph node metastases NSCLC is better than that of a non-skip N2 lymph node.
Redundant laboratory testing on referral from general practice to the outpatient clinic: a post-hoc analysis
Authors: Vrijsen Bram EL , ten Berg Maarten J , van Solinge Wouter W , Westerink Jan 
Published: October 2021

BackgroundInappropriately repeated laboratory testing is a commonly occurring problem. However, this has not been studied extensively in the outpatient clinic after referral by GPs.AimThe aim of this study was to investigate how often laboratory tests ordered by the GP were repeated on referral to the outpatient clinic, and how many of the normal test results remained normal on repetition.Design & settingThis is a post-hoc analysis of a study on laboratory testing strategies in patients newly referred to the outpatient clinic between April 2015 and April 2017.MethodAll patients who had a referral letter including laboratory test results ordered by the GP were included. These results were compared with the laboratory test results ordered in the outpatient clinic.ResultsData were available for 295 patients, 191 of which had post-visit testing done. In this group, 56% of tests ordered by the GP were repeated. Tests with abnormal results were repeated more frequently than tests with normal results (65% versus 53%;P<0.001). A longer test interval was associated with slightly smaller odds of tests being repeated (odds ratio [OR] 0.97, 95% confidence interval [CI] = 0.95 to 0.99;P= 0.003). Of the tests with normal test results that were repeated, 90% remained normal. This was independent of testing interval or testing strategy.ConclusionLaboratory tests ordered by the GP are commonly repeated on referral to the outpatient clinic. The number of test results remaining normal on repetition suggests a high level of redundancy in laboratory test repetition.
Deaths from cardiovascular disease involving anticoagulants: a systematic synthesis of coroners’ case reports
Authors: Anis Ali , Heneghan Carl , Aronson Jeffrey K , DeVito Nicholas J , Richards Georgia C 
Published: October 2021

BackgroundThe global burden of cardiovascular disease (CVD) is forecast to increase, and anticoagulants will remain important medicines for its management. Coroners' Prevention of Future Death reports (PFDs) provide valuable insights that may enable safer and more effective use of these agents.AimTo identify CVD-related PFDs involving anticoagulants.Design & settingCase series of coronial reports in England and Wales between 2013 and 2019.MethodA total of 3037 PFDs were screened for eligibility. PFDs were included where CVD and an anticoagulant caused or contributed to the death. Included cases were descriptively analysed and content analysis was used to assess concerns raised by coroners and who had responded to them.ResultsThe study identified 113 CVD-related PFDs involving anticoagulants. Warfarin (36%,n= 41), enoxaparin (11%,n= 12), and rivaroxaban (11%,n= 12) were the most common anticoagulants reported. Concerns most frequently raised by coroners included poor systems (31%), poor communication (25%), and failures to keep accurate medical records (25%). These concerns were most often directed to NHS trusts (29%), hospitals (10%), and general practices (8%). Nearly two-thirds (60%) of PFDs had not received responses from such organisations, which are mandatory under regulation 28 of the Coroners' (Investigations) Regulations 2013. A publicly available tool has been created by the authors (https://preventabledeathstracker.net), which displays coroners’ reports in England and Wales to streamline access, and identify important lessons to prevent future deaths.ConclusionNational organisations, healthcare professionals, and prescribers should take actions to address the concerns of coroners in PFDs to improve the safe use of anticoagulants in patients with CVD.
Les Mollusques du gisement pléistocène moyen des Abîmes de la Fage à Noailles (Corrèze)
Authors: Vilain Robert 
Published: October 2021

The study of molluscs has been made on rudimentary shells of Limacidae and Gastropoda gathered during the excavation or during the sorting of the deposit after it has been washed. Thus it is almost sure the population studied here is not quite faithful to reality. However, the examination of the remains has been undertaken not only from the point of view of association but also from the morphology of the shell, by comparison with the present-day species living in the neighbourhood of la Fage.
The only layers 2, 3 and 5 have yielded, with remains of vertebrates, malacological material enough to give yet some idea about landscape during the ages when these layers were deposited : meadows interrupted by hedges, groves and rocky outcrops. The climate was rather wet but certainly warmer than it is to day under this latitude.
Les dalles à empreintes de pas de reptiles du Muséum d'Histoire naturelle de Lyon
Authors: Demathieu Georges 
Published: October 2021

Le Muséum d'Histoire naturelle de Lyon possède trois dalles qui portent des contre-empreintes de pas de Reptiles.
Deux proviennent des grès inférieurs du Trias de la bordure nord-est du Massif Central français datés du Muscheîkalk moyen (Courel, 1964) ; l'une du Mont d'Or lyonnais présente une voie de Chirotherium barthii accompagnée d'une empreinte peu nette attribuable au genre Brachychirotherium, l'autre du Méconnais porte le type de l'espèce Brachychirotherium lorteti.
La troisième dalle, beaucoup plus grande que les deux autres, provient des grès du Trias de Lodève datés du début du Trias moyen (Aubague, 1967). Elle porte de nombreuses empreintes de Chirotherium gaîlicum formant pour la plupart d'entre elles des voies dont deux sont accompagnées des traces du frottement de la queue sur le sol. Quelques petites traces de Rhynchosauroîdes assez rares sont également visibles.
Le tégument des autopodes a laissé assez souvent son empreinte sous forme de papilles sub-circulaires.
Bien que d'âges différents, les traces imprimées sur ces plaques témoignent d'une faune vraisemblablement importante de Reptiles assez grands, Archosauriens, vraisemblablement Pseudocuchiens, par les caractères de leurs pistes, qui peuplaient les plages du Trias moyen, accompagnés pour certains de petits Lépidosauriens.
La grotte de Cottier à Retournac (Haute-Loire). Etude préhistorique
Authors: Virmont Jacques 
Published: October 2021

Les nouvelles fouilles qui ont eu lieu de 1967 à 1971 sur le gisement de Cottier ont mis en évidence de haut en bas trois niveaux archéologiques distincts :
— le niveau I, dont il ne restait que peu de choses, contient une industrie qui correspond au Magdalénien terminal, mais sans aucun caractère azilien ;
— le niveau II dont la datation est de 18 550 ± 550 B.P. (LY 719) correspond à un climat froid de montagne, et contient une industrie badegoulienne, mais sans burin sur encoche ;
— le niveau III contient trop peu d'industrie lithique pour qu'une attribution précise puisse lui être donnée. Il est associé à un climat de montagne, et l'habitat qu'il contient (ainsi que dans une certaine mesure celui du niveau II) ne semble guère avoir été que très limité et saisonnier.
Le gisements pléistocène supérieur de Jaurens à Nespouls, Corrèze, France : Les amphibiens et les reptiles
Authors: Rage Jean-Claude 
Published: October 2021

The herpetofauna from the Upper Pleistocene of Jaurens includes only two Anurans (Bufo calamita and Rana temporaria) and two Squamates {Lacerta sp. and Vipera sp.).
One humerus, assigned to R. temporaria, displays the typical features of the « form » mehelyi. This fauna only demonstrates that the biota was not dry.