bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depth of experiencing and therapeutic alliance: What predicts outcome for whom in emotion‐focused therapy for trauma?
Authors: Harrington Shawn , Pascual‐Leone Antonio , Paivio Sandra , Edmondstone Christopher , Baher Tabarak 
Published: April 2021

ObjectiveThe purpose of this study was to determine the extent to which therapeutic processes – working alliance and depth of experiencing – contributed to outcome.MethodIndividual differences in these processes were examined at the early and working phases to determine their impact on symptom reduction. An archival data set of N = 42 individuals who underwent emotion‐focused therapy for trauma for childhood maltreatment was used to examine the differential quality of client processes throughout treatment.ResultsFor those who had difficulty forming an alliance early in therapy, alliance scores during the working phase were the best predictor of outcome (β = −.42). This was complemented by a process change of improvement in alliance from the early to working phases (d = 1.0). In contrast, for those who had difficulty engaging in deepened experiencing early in therapy, depth of experiencing in the working phase was the best predictor of outcome (β = −.36). This was complemented by an improvement in depth of experiencing from the early to working phases (d = .69).ConclusionsThe findings of this study suggest that focusing on the process that clients have trouble with early in therapy contributes to the best treatment outcome.Practitioner points

Sometimes early treatment sessions reveal an abundance of one kind of processing but limitations to another, which poses a puzzle for treatment planning. Our findings suggest that within the first four sessions, therapists could develop tailored treatments based on the relative presence or absence of critical therapeutic changes processes. When it becomes evident that therapy is progressing with a weaker alliance between client and therapist, therapists should redouble their efforts in alliance‐building. However, when therapy is developing in a fashion that lacks deep emotional experiencing on the part of the client, treatment efforts should aim to facilitate a richer exploration of moment‐by‐moment experience. As such, our findings suggest relying on the existing processing strengths within a dyad (e.g., emphasis on an already strong relationships, or augmenting an existing aptitude for deeper experiencing) while shortcomings exist in another kind of process is not optimal responding. Therapists should focus their work on the process that clients have trouble with early in therapy to facilitate the best treatment outcome.
Barriers to water use efficiency in rural and peri‐urban areas of South Africa
Authors: Onyenankeya Kevin , Onyenankeya Oluwayemisi M. , Osunkunle Oluyinka 
Published: April 2021

AbstractUsing the quantitative method, this paper examined barriers to water‐efficiency behaviour amongst rural and peri‐urban residents in Eastern Cape, South Africa and identify opportunities for promoting it. The result showed positive associations between water‐efficiency behaviour and income, personal capabilities and poor knowledge of efficient water conservation measures. Rural and peri‐urban households identified cost as the overarching barrier to installing water‐efficient appliances. Financial incentives emerged as a significant opportunity for promoting water‐efficient behaviour. The result suggests rural and peri‐urban residents are open to water efficiency behaviour where financial incentives are provided for the voluntary installation of efficient taps and other water‐saving devices. The findings underscore the need to educate the rural populace about the use and benefits of water‐efficient appliances. The study contributes to methodological approaches in household water behaviour studies and provides further insights on water efficiency behaviour within a specific African population often overlooked in mainstream academic endeavours of this kind.
On the Possibility of Aerobic Methane Production by Pelagic Microbial Communities of the Laptev Sea
Authors: Samylina O. S. , Rusanov I. I. , Tarnovetskii I. Yu. , Yakushev E. V. , Grinko A. A. , Zakharova E. E. , Merkel A. Yu. , Kanapatskiy T. A. , Semiletov I. P. , Pimenov N. V. 
Published: April 2021

Abstract—
The taxonomic diversity and metabolic activity of microbial communities in the Laptev Sea water column above and outside the methane seep field were studied. The concentrations of dissolved methane in the water column at both stations were comparable until the depth of the pycnocline (25 m). At this depth, local methane maxima were recorded, with the highest concentration (116 nM CH4) found at the station outside the methane seep field. Results of the 16S rRNA gene sequencing and measurements of the rates of hydrogenotrophic methanogenesis indicated the absence of methanogenesis caused by the methanogenic archaea in the pycnocline and in other horizons of the water column. The 16S rRNA-based analysis of microbial phylogenetic diversity, as well as radiotracer analysis of the rates of primary production (PP), dark CO2 assimilation (DCA), and methane oxidation (MO), indicated the functioning of a diverse community of pelagic microorganisms capable of transforming a wide range of organic compounds under oligotrophic conditions of the Arctic basin. Hydrochemical prerequisites and possible microbial agents of aerobic methane production via demethylation of methylphosphonate and decomposition of dimethylsulfoniopropionate using dissolved organic matter synthesized in the PP, DCA, and MO processes are discussed.
Expert consensus on moving towards a value-based healthcare system in the Netherlands: a Delphi study
Authors: Steinmann Gijs , Delnoij Diana , van de Bovenkamp Hester , Groote Rogier , Ahaus Kees 
Published: April 2021

ObjectivesWhile the uptake of value-based health care (VBHC) is remarkable, uncertainty prevails regarding the most important actions and practices in establishing a value-based healthcare system. In this paper, we generate expert consensus on the most important aspects of VBHC.DesignThe Delphi technique was used to reach consensus on the most important practices in moving towards a value-based healthcare system.Setting and participantsA Dutch expert panel consisting of nine members participated in a two-round survey.Primary and secondary outcome measuresWe developed 39 initial items based on the pioneering literature on VBHC and recent health policies in the Netherlands. Experts rated the importance of each item on a 4-point Likert scale. Experts could change items or add new ones as they saw fit. We retained items that were rated (very) important by ≥80% of the panel.ResultsAfter two survey rounds, 32 items (72%) were included through expert consensus. Experts unanimously agree on the importance of shared decision-making, with this item uniquely obtaining the maximum score. Experts also reached consensus on the importance of outcome measurements, a focus on medical conditions, and full cycles of care. No consensus was reached on the importance of benchmarking.ConclusionThis paper provides new insight into the most important actions and practices for establishing a value-based healthcare system in the Netherlands. Interestingly, several of our findings contrast with the pioneering literature on VBHC. This raises the question whether VBHC’s widespread international uptake indicates its actual implementation, or rather that the original concept primarily serves as an inspiring idea.
Practitioners’ perceptions of acceptability of a question prompt list about palliative care for advance care planning with people living with dementia and their family caregivers: a mixed-methods evaluation study
Authors: van der Steen Jenny T , Heck Sten , Juffermans Carla CM , Garvelink Mirjam Marjolein , Achterberg Wilco P , Clayton Josephine , Thompson Genevieve , Koopmans Raymond TCM , van der Linden Yvette M 
Published: April 2021

ObjectivesIn oncology and palliative care, patient question prompt lists (QPLs) with sample questions for patient and family increased patients’ involvement in decision-making and improved outcomes if physicians actively endorsed asking questions. Therefore, we aim to evaluate practitioners’ perceptions of acceptability and possible use of a QPL about palliative and end-of-life care in dementia.DesignMixed-methods evaluation study of a QPL developed with family caregivers and experts comprising a survey and interviews with practitioners.SettingTwo academic medical training centres for primary and long-term care in the Netherlands.ParticipantsPractitioners (n=66; 73% woman; mean of 21 (SD 11) years of experience) who were mostly general practitioners and elderly care physicians.OutcomesThe main survey outcome was acceptability measured with a 15–75 acceptability scale with ≥45 meaning ‘acceptable’.ResultsThe survey response rate was 21% (66 of 320 participated). The QPL was regarded as acceptable (mean 51, SD 10) but 64% felt it was too long. Thirty-five per cent would want training to be able to answer the questions. Those who felt unable to answer (31%) found the QPL less acceptable (mean 46 vs 54 for others; p=0.015). We identified three themes from nine interviews: (1) enhancing conversations through discussing difficult topics, (2) proactively engaging in end-of-life conversations and (3) possible implementation.ConclusionAcceptability of the QPL was adequate, but physicians feeling confident to be able to address questions about end-of-life care is crucial when implementing it in practice, and may require training. To facilitate discussions of advance care planning and palliative care, families and persons with dementia should also be empowered to access the QPL themselves.
Drassanes Exprés: a public and confidential testing service for asymptomatic STIs with same-day result notification
Authors: Hoyos-Mallecot Yannick , Garcia Jorge Nestor , Sulleiro Elena , Esperalba Juliana , Salmeron Paula , Zarzuela Francesc , Blanco Albert , Arando Maider , Descalzo Vicente , Lopez Luis , Vall-Mayans Martí , Barberá María Jesús , Serra-Pladevall Judit , LLinas Montserrat , Almirante Benito , Pumarola Tomas , Espasa Mateu 
Published: April 2021

BackgroundSTIs are a major public health concern. Screening programmes for asymptomatic users are key components of STI control. Traditional limitations of screening programmes include low population coverage and delays in treatments, thus reducing the expected impact on STI control. In our centre, the normal time from test to results was 4 days, and 7 days until treatment was established.To reduce time to treatment and to increase population coverage, we developed ‘Drassanes Exprés’, a testing service for asymptomatic STIs. The objectives of this study were to provide a guide for the implementation of a service with these characteristics and to evaluate the results of this intervention.MethodsThe Drassanes Exprés programme was launched in Spain on 07 November 2016 as a public, confidential and free-of-charge testing service for asymptomatic STIs, with same-day result notification. For this walk-in service, confidentiality was obtained by registering all information into the Laboratory Internal Software instead of the Electronic Patient Records. Samples were processed in a point-of-care laboratory and result notification was provided via mail or short message service.Information about workflow, screening protocols and result interpretation is detailed. Additionally, demographic characteristics, STI prevalence, and time from patients’ sample collection to notification and treatment are analysed.ResultsBetween 07 November 2016 and 07 November 2019, 13 993 users attended the Drassanes Exprés screening programme. Of these, 0.5% were transgender people, 29.3% women, 45.2% men who have sex with men and 25.1% men who have sex with women. The median age was 31 years (range: 26–39 years). Overall, 14.6% of users tested positive for at least one STI. The most prevalent infection was Chlamydia trachomatis (8.3%), followed by Neisseria gonorrhoeae (5.7%), syphilis (1.8%), HIV (0.4%) and hepatitis C virus (0.2%). The median time from test to results was 2.4 hours (range: 2–3.1 hours). Of 2049 users diagnosed with an STI, treatment was achieved in 97.0% of cases; the average time to treatment was 2.0 days.ConclusionsDrassanes Exprés is the first public programme for rapid, asymptomatic, STI screening and treatment in Spain. Assessing high-risk practices and providing confidentiality, easy access and rapid results/treatments are key elements in the development of STI screening programmes.
Probing heavy charged Higgs bosons through bottom flavored hadrons in the $$H^+\rightarrow \bar{b}t\rightarrow B+X$$ channel in 2HDM
Authors: Moosavi Nejad S. Mohammad , Sartipi Yarahmadi Pegah 
Published: April 2021

AbstractObserving light or heavy charged Higgs bosons $$H^\pm $$

H
±

, lighter or heavier than the top quark, would be instant evidence of physics beyond the Standard Model. For this reason, in recent years searches for charged Higgs bosons have been in the center of attention of current colliders such as the CERN Large Hadron Collider (LHC). In spite of all efforts, no signal has been yet observed. Especially, the results of CMS and ATLAS experiments have excluded a large region in the MSSM $$m_{H^+}-\tan \beta $$

m

H
+

-
tan
β

parameter space for $$m_{H^+}=80{-}160$$

m

H
+

=
80
-
160

GeV corresponding to the entire range of $$\tan \beta $$

tan
β

up to 60. Therefore, it seems that one should concentrate on probing heavy charged Higgs bosons ($$m_{H^\pm }>m_t$$

m

H
±

>

m
t

) so in this context each new probing channel is welcomed. In this work, we intend to present our proposed channel to search for heavy charged Higgses through the study of scaled-energy distribution of bottom-flavored mesons (B) inclusively produced in charged Higgs decay, i.e., $$H^+\rightarrow t\bar{b}\rightarrow B+X$$

H
+

→
t

b

¯

→
B
+
X

. Our study is carried out within the framework of the generic two Higgs doublet model (2HDM) using the massless scheme where the zero mass parton approximation is adopted for bottom quark.
Low scale leptogenesis in a model with promising CP structure
Authors: Suematsu Daijiro 
Published: April 2021

AbstractWe consider a simple extension of the standard model, which could give a solution to its CP issues through both the Peccei–Quinn mechanism and the Nelson–Barr mechanism. Its low energy effective model coincides with the scotogenic model in the leptonic sector. Although leptogenesis is known not to work well at lower reheating temperature than $$10^9$$

10
9

GeV in simple seesaw and scotogenic frameworks, such low reheating temperature could be consistent with both neutrino mass generation and thermal leptogenesis via newly introduced fields without referring to the resonance effect. An alternative dark matter candidate to axion is prepared as an indispensable ingredient of the model.
A Green’s function perspective on the nonequilibrium thermodynamics of open quantum systems strongly coupled to baths
Authors: Bergmann Nicolas , Galperin Michael 
Published: April 2021

AbstractWe give a nonequilibrium Green’s function (NEGF) perspective on thermodynamics formulations for open quantum systems that are strongly coupled to baths. A scattering approach implying thermodynamic consideration of a supersystem (system plus baths) that is weakly coupled to external superbaths is compared with the consideration of thermodynamics of a system that is strongly coupled to its baths. We analyze both approaches from the NEGF perspective and argue that the latter yields a possibility of thermodynamic formulation consistent with a dynamical (quantum transport) description.
Spatial distribution of Palaeolithic sites in relation to raw material sources in the central Narmada Valley, India
Authors: Singh Vivek 
Published: April 2021

Abstract
Landscape adaptation in central India is quite exceptional, as more than 300 Lower Palaeolithic occurrences have been reported in different contexts. The present work deals with these assemblages and associated raw material sources in the central Narmada Valley. The central Narmada Valley is rich in various rock types that were used as raw material by various hominin populations. The Narmada River divides the region into northern and southern parts. In the north, there are mainly the Vindhyan Supergroup and Deccan Trap, whereas, in the south, there are primarily the Gondwana Supergroup, the Deccan Traps and the Mahakoshal Group. Along the river, there are exposures of the Vindhyan Supergroup and thick deposits of Quaternary alluvium. The main raw material types in the north of Narmada are quartzite and sandstone (Vindhyan Supergroup), whereas, in the south of Narmada, the main raw materials are quartzite (Gondwana Supergroup) and chert (Deccan Trap). Acheulean sites are mostly found along the foothills of Vindhyan, as well as along the banks of the Narmada River and its tributaries. In this chapter, the author has tried to link these raw material sources with the occurrences of Palaeolithic sites in order to have a better understanding of past hominin land-use patterns and ecological adaptations.
Geoarchaeology in India in the 21st Century: an Outsider's Perspective
Authors: Dennell Robin 
Published: April 2021

Abstract
Progress over the last 20 years in establishing reliable benchmarks in the Paleolithic of India has been uneven but major successes have been the dating of the earliest Acheulean assemblages in India; the dating of the onset of the Middle Stone Age; the dating of the earliest microlithic assemblages in India; and the dating of the antiquity of human occupation of rain forests in South India and Sri Lanka. Also important is our greater understanding of the Younger Toba Tuff and the impact of the Toba megaeruption 74 ka ago on hominin populations in India. Major uncertainties persist over when the genus Homo first entered South Asia; when our own species, H. sapiens first entered South Asia; the age of the earliest blade assemblages in India; and the antiquity of its rock art.
Face Recognition with Frame size reduction and DCT compression using PCA algorithm
Authors: Vijaykumar Padmaja , Mani Jeevan K 
Published: April 2021

<p><span>Face recognition has become a very important study of research because it has a variety of applications in research field such as human computer interaction, pattern recognition (PR). A successful face recognition procedure, be it mathematical or numerical, depends on the particular choice of the features used by the classifier. Feature selection in pattern recognition consists of the derivation of salient features present in the raw input data in order to reduce the amount of data used for classification. For the successful face recognition, the database images must have sufficient information so that when presented with the probe image, the recognition must be possible. Majority of times, there is always excess information present in the database images, leads higher storage, hence optimum size of the images needs to be stored in the database for good performance, are compressed with reduction in frame size and then compressed with that of the </span>DCT.</p><p> </p>
Automated handwriting analysis based on pattern recognition: a survey
Authors: Samsuryadi Samsuryadi , Kurniawan Rudi , Susilawati Mohamad Fatma 
Published: April 2021

<span>Handwriting analysis has wide scopes include recruitment, medical diagnosis, forensic, psychology, and human-computer interaction. Computerized handwriting analysis makes it easy to recognize human personality and can help graphologists to understand and identify it. The features of handwriting use as input to classify a person’s personality traits. This paper discusses a pattern recognition point of view, in which different stages are described. The stages of study are data collection and pre-processing technique, feature extraction with associated personality characteristics, and the classification model. Therefore, the purpose of this paper is to present a review of the methods and their achievements used in various stages of a pattern recognition system. </span>
Basic FBG apodization functions effects on the filtered optical acoustic signal
Authors: Eid Mahmoud M. A. , Rashed Ahmed Nabih Zaki 
Published: April 2021

<span>This article clarified the basic fiber Bragg grating (FBG) apodization functions effects on the filtered optical acoustic signal (AS). Max optical acoustic power variations after acousto optic filter is clarified with the spectral wavelength variations. FBG apodization functions are uniform, Gaussian, and Tanh. We have tested the max optical acoustic power variations after various apodization FBG functions with the spectral wavelength variations. The max AS power amplitude after the electrical combiner is reported based various Apodization FBG functions. The max optical AS after FBG is studied with various FBG lengths for various FBG apodization functions at the central wavelength of 1.55 μm. The max electrical power after power combiner unit is demonstrated with different FBG lengths for various FBG apodization functions at the central frequency of 193.1 THz. </span>
Heterogeneity of the Predictive Polygenic Risk Scores for Coronary Heart Disease Age-at-Onset in Three Different Coronary Heart Disease Family-Based Ascertainments
Authors: Feitosa Mary F. , Kuipers Allison L. , Wojczynski Mary K. , Wang Lihua , Barinas-Mitchell Emma , Kulminski Alexander M. , Thyagarajan Bharat , Lee Joseph H. , Perls Thomas , Christensen Kaare , Newman Anne B. , Zmuda Joseph M. , Province Michael A. 
Published: April 2021

Background:
Polygenic risk scores (PRS) for coronary heart disease (CHD) may contribute to assess the overall risk of CHD. We evaluated how PRS may influence CHD risk when the distribution of age-at-onset, sex, and family health history differ significantly.

Methods:

Our study included 3 family-based ascertainments: LLFS (Long Life Family Study, N
Individuals
=4572), which represents a low CHD risk, and Family Heart Study, which consists of randomly selected families (FamHS-random, N
Individuals
=1806), and high CHD risk families (FamHS-high risk, N
Individuals
=2301). We examined the effects of PRS, sex, family ascertainment, PRS interaction with sex (PRS*sex) and with family ascertainment (PRS*LLFS and PRS*FamHS-high risk) on CHD, corrected for traditional cardiovascular risk factors using Cox proportional hazard regression models.

Results:

Healthy-aging LLFS presented ≈17 years delayed for CHD age-at-onset compared with FamHS-high risk (
P<
1.0×10
−4
). Sex-specific association (
P
<1.0×10
−17
) and PRS*sex (
P
=2.7×10
−3
) predicted prevalent CHD. CHD age-at-onset was associated with PRS (hazard ratio [HR], 1.57;
P
=1.3×10
−5
), LLFS (HR, 0.54;
P
=2.6×10
−5
), and FamHS-high risk (HR, 2.86;
P
=6.70x10
−15
) in men, and with PRS (HR, 1.76;
P
=7.70×10
−3
), FamHS-high risk (HR, 4.88;
P
=8.70×10
−10
), and PRS×FamHS-high risk (HR, 0.61;
P
=3.60×10
−2
) in women. In the PRS extreme quartile distributions, CHD age-at-onset was associated (
P
<0.05) with PRS, FamHS-high risk, and PRS interactions with both low and high CHD risk families for women. For men, the PRS quartile results remained similar to the whole distribution.

Conclusions:
Differences in CHD family-based ascertainments show evidence of PRS interacting with sex to predict CHD risk. In women, CHD age-at-onset was associated with PRS, CHD family history, and interactions of PRS with family history. In men, PRS and CHD family history were the major effects on the CHD age-at-onset. Understanding the heterogeneity of risks associated with CHD end points at both the personal and familial levels may shed light on the underlying genetic effects influencing CHD and lead to more personalized risk prediction.