bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of the Effect of Cluster Nursing in Postoperative Hypertensive Cerebral Hemorrhage
Authors: Zheng Pingxia , Wang Jia , Ma Yan , Xu Jingjing , Zhu Qianping 
Published: December 2021

Hypertensive intracerebral hemorrhage is a common condition in clinic. Due to the improvement of minimally invasive technology, its therapeutic effect is good, but there are still postoperative complications. The corresponding routine nursing intervention is not effective in the rehabilitation of postoperative patients with hypertensive intracerebral hemorrhage. In this paper, cluster nursing was applied to the treatment of postoperative patients with hypertensive intracerebral hemorrhage. For this purpose, a retrospective study or experiment was conducted on 150 patients with hypertensive intracerebral hemorrhage in the hospital specifically from January 2019 to December 2020. According to the nursing strategy, patients were divided into experimental (n = 75) and control groups (n = 75), respectively. The control group adopted routine nursing mode, whereas the experimental group adopted cluster nursing mode. The treatment compliance of patients in the experimental group was 86.67%, while that in the control group was 73.33% (

P

< 0.05). The total incidence of postoperative complications in the experimental group was 3.2%, which was lower than 25% in the control group (

P

< 0.05). The motor function score of the experimental group was better than that of the control group (

P

< 0.05). The application of cluster nursing in postoperative patients with hypertensive intracerebral hemorrhage is feasible, and its nursing effect is significant, which can not only reduce the incidence of postoperative complications but also improve patients’ compliance and quality of life. It has good application value.
Temporal Trends in Characteristics and Outcomes Associated With In‐Hospital Cardiac Arrest: A 20‐Year Analysis (1999–2018)
Authors: Wu Lingling , Narasimhan Bharat , Bhatia Kirtipal , Ho Kam S. , Krittanawong Chayakrit , Aronow Wilbert S. , Lam Patrick , Virani Salim S. , Pamboukian Salpy V. 
Published: December 2021

Background
Despite advances in resuscitation medicine, the burden of in‐hospital cardiac arrest (IHCA) remains substantial. The impact of these advances and changes in resuscitation guidelines on IHCA survival remains poorly defined. To better characterize evolving patient characteristics and temporal trends in the nature and outcomes of IHCA, we undertook a 20‐year analysis of a national database.

Methods and Results

We analyzed the National Inpatient Sample (1999–2018) using
International Classification of Diseases
,
Ninth Revision
and
Tenth Revision, Clinical Modification
(
ICD‐9‐CM
and
ICD‐10‐CM
) codes to identify all adult patients suffering IHCA. Subgroup analysis was performed based on the type of cardiac arrest (ie, ventricular tachycardia/ventricular fibrillation or pulseless electrical activity‐asystole). An age‐ and sex‐adjusted model and a multivariable risk‐adjusted model were used to adjust for potential confounders. Over the 20‐year study period, a steady increase in rates of IHCA was observed, predominantly driven by pulseless electrical activity‐asystole arrest. Overall, survival rates increased by over 10% after adjusting for risk factors. In recent years (2014–2018), a similar trend toward improved survival is noted, though this only achieved statistical significance in the pulseless electrical activity‐asystole cohort.

Conclusions
Though the ideal quality metric in IHCA is meaningful neurological recovery, survival is the first step toward this. As overall IHCA rates rise, overall survival rates are improving in tandem. However, in more recent years, these improvements have plateaued, especially in the realm of ventricular tachycardia/ventricular fibrillation‐related survival. Future work is needed to better identify characteristics of IHCA nonsurvivors to improve resource allocation and health care policy in this area.
Aortic Stiffness, Pulse Pressure, and Cerebral Pulsatility Progress Despite Best Medical Management: The OXVASC Cohort
Authors: Webb Alastair J.S. , Lawson Amy , Wartolowska Karolina , Mazzucco Sara , Rothwell Peter M. ,   on behalf of the OXVASC Study Cohort
Published: December 2021

Background:
Increased cerebral arterial pulsatility is associated with cerebral small vessel disease, recurrent stroke, and dementia despite the best medical treatment. However, no study has identified the rates and determinants of progression of arterial stiffness and pulsatility.

Methods:
In consecutive patients within 6 weeks of transient ischemic attack or nondisabling stroke (OXVASC [Oxford Vascular Study]), arterial stiffness (pulse wave velocity [PWV]) and aortic systolic, aortic diastolic, and aortic pulse pressures (aoPP) were measured by applanation tonometry (Sphygmocor), while middle cerebral artery (MCA) peak (MCA-PSV) and trough (MCA-EDV) flow velocity and Gosling pulsatility index (PI; MCA-PI) were measured by transcranial ultrasound (transcranial Doppler, DWL Doppler Box). Repeat assessments were performed at the 5-year follow-up visit after intensive medical treatment and agreement determined by intraclass correlation coefficients. Rates of progression and their determinants, stratified by age and sex, were determined by mixed-effects linear models, adjusted for age, sex, and cardiovascular risk factors.

Results:

In 188 surviving, eligible patients with repeat assessments after a median of 5.8 years. PWV, aoPP, and MCA-PI were highly reproducible (intraclass correlation coefficients, 0.71, 0.59, and 0.65, respectively), with progression of PWV (2.4%;
P
<0.0001) and aoPP (3.5%;
P
<0.0001) but not significantly for MCA-PI overall (0.93;
P
=0.22). However, PWV increased at a faster rate with increasing age (0.009 m/s per y/y;
P
<0.0001), while aoPP and MCA-PI increased significantly above the age of 55 years (aoPP,
P
<0.0001; MCA-PI,
P
=0.009). Higher aortic systolic blood pressure and diastolic blood pressure predicted a greater rate of progression of PWV and aoPP, but not MCA-PI, although current MCA-PI was particularly strongly associated with concurrent aoPP (
P
<0.001).

Conclusions:
Arterial pulsatility and aortic stiffness progressed significantly after 55 years of age despite the best medical treatment. Progression of stiffness and aoPP was determined by high blood pressure, but MCA-PI predominantly reflected current aoPP. Treatments targetting cerebral pulsatility may need to principally target aortic stiffness and pulse pressure to have the potential to prevent cerebral small vessel disease.
At the Margins of the State
Authors: Sahoo Sarbeswar 
Published: December 2021

Abstract
How is Pentecostalism changing the notions and experiences of citizenship at the margins of the state? Addressing this question, the paper argues that in the context of south Rajasthan, the Pentecostal church has played a vital role in combining the values of both pedagogical and governmental paradigms of citizenship not just to fill in the absence of the state but also to create an alternative model of citizenship that goes beyond the mere political rights. This alternative model of ‘Christian citizenship’ has effectively combined development with Pentecostal moral values. Furthermore, the Pentecostal church, by acting as a pedagogical agent, by organising active social ministries, and by developing ethical subjectivities among the Bhils, has engendered new notions of agency, autonomy and citizenship at the margins of the state.
Affective Responses to Image Color Combinations
Authors: Koenderink Jan J. , Braun Doris I. , van Doorn Andrea J. 
Published: December 2021

Abstract
Responses to colored patterns were collected for a group of 60 naive participants. We explicitly aimed at affective responses, rather than aesthetic judgments, so this is not ‘color harmony’ proper. Patterns were mainly spatially highly structured compositions, the color palettes reminiscent of what is found in generic ‘colorist’ art. Color combinations systematically cover mono-, di-, and trichromatic chromatic chords, whereas there was always an additional achromatic component. This sets the research apart from the bulk of the mainstream literature on ‘color harmony.’ Various ways of analysis are compared. Clustering methods reveal that the responses are highly structured through the teal–orange (cool–warm) dimension. Clustering reveals a large group of mutually concordant participants and various small, idiosyncratic groups. When the data is coarse-grained, retaining only a limited red–blue–yellow palette, the group as a whole appears quite concordant. It is evident that responses are systematic, thus the notion of a universal affective response to color combinations gains some credibility. The precise affective responses are specific because constrained by the seven categories used in the experiment. Thus, the systematic structure is perhaps to be understood as the generic result. We discuss tangencies with various traits found with ‘colorist’ art styles.
A new genus Bongotarsonemus with two new species of tarsonemid (Acari: Heterostigmata) mites discovered from the Himalayan forests of West Bengal, India
Authors: MONDAL PRIYANKAR , KARMAKAR KRISHNA 
Published: December 2021

Bongotarsonemus unicornus gen. nov., sp. nov. (Tarsonemidae: Tarsoneminae) is described from adult females and males collected on leaves of Sweet Cherry, Prunus avium L. (Rosaceae). Another species, Bongotarsonemus bicornus sp. nov. is described from adult females collected on leaves of a mountain fern Arthromeris wallichiana (Spreng.) Ching (Polypodiaceae). Both species were collected from the Himalayan forests of Darjeeling district in the State of West Bengal, India. Adult females of this new genus are unusual in having a median raised section of the prodorsum which is delimited by elongated tubercles bearing setae v1 and sometimes sc2. This area is ornamented with sclerotized ridges or elevated strial thickenings; and has a single or bifurcated spear-shaped horn between bases of setae v1. The new genus also has a characteristically bipartite sejugal apodeme and seta d on tibia I often reaching beyond the claw. Adult males are characterized by seta sc2 subequal to sc1; tarsus II with baciliform seta pl'' longer than half the length of the segment, and a conspicuously enlarged solenidion on tarsus IV. Both sexes are unique in having a fish-hook shaped claw on leg I with an elongated shank and strongly curved apex, and seta l' on femur I plumose.
Defending the Traditional Polish Way of Life: The Role of Fantasies
Authors: Melito Francesco 
Published: December 2021

Defending the Traditional Polish Way of Life: The Role of FantasiesThe current escalation of the cultural conflict in Poland is described as a cultural war between neo-traditionalist and liberal worldviews. Drawing on psychoanalytic political theory and Poststructuralist Discourse Theory (PDT), fantasmatic narratives are deemed as an instrument to conceal the non-necessary character of identities. Based on the direct observation of the counter-marches against LGBT parades in Kalisz, Lublin, and Kraków (2019–2020), this article shows how fantasies define the ‘authentic Polish way of life’: from the traditional family in an idyllic scenario (beatific fantasy) to the ‘LGBT virus’ (horrific fantasy), fantasies sustain a neo-traditionalist conception of Polishness and exclude antagonistic visions. Also, religious symbols are sublimated to embody the lost unity: a harmonious society without the conflict generated by the liberal value system. The fantasmatic logic analyzed in the article explains how neo-traditionalist fantasies strengthen identities and provide the necessary ideological ground to resist the emancipatory impetus of liberalism. Broniąc tradycyjnego polskiego stylu życia. Rola fantazjiAktualnie zaostrzający się konflikt kulturowy w Polsce określa się mianem wojny kulturowej między światopoglądem neotradycjonalistycznym a liberalnym. Odwołując się do psychoanalitycznej teorii politycznej i poststrukturalistycznej teorii dyskursu, autor uznaje fantazmatyczne narracje za narzędzie maskujące niekonieczny (non-necessary) charakter tożsamości. Na podstawie bezpośredniej obserwacji kontrmanifestacji organizowanych jako sprzeciw wobec marszów równości w Kaliszu, Lublinie i Krakowie (2019–2020) w artykule zaprezentowano, w jaki sposób fantazje definiują „prawdziwy polski styl życia”: poczynając od obrazu tradycyjnej rodziny w sielankowym otoczeniu (beatific fantasy), na „wirusie LGBT” (horrific fantasy) kończąc, fantazje podtrzymują neotradycjonalistyczną koncepcję polskości i wykluczają jej odmienne wizje. Z kolei symbole religijne zinstrumentalizowano tak, by ucieleśniały utraconą jedność – harmonijne społeczeństwo bez konfliktów wywoływanych przez liberalny system wartości. Fantazmatyczna logika analizowana w artykule pozwala wyjaśnić, jak neotradycjonalistyczne fantazje wzmacniają tożsamości i dostarczają niezbędnej podstawy ideologicznej, aby stawić opór emancypacyjnemu naporowi liberalizmu.
Solar Monitoring of the NEXRAD WSR-88D Network Using Operational Scan Data
Authors: Holleman Iwan , Huuskonen Asko , Taylor Brandon 
Published: December 2021

Abstract
Solar monitoring is a method in which solar interferences, recorded during operational scanning of a radar, are used to monitor antenna pointing, identify signal processor issues, track receiver chain stability, and check the balance between horizontal and vertical polarization receive channels. The method is used by EUMETNET to monitor more than 100 radars in 20 European countries and it has been adopted by many national weather services across the world. NEXRAD is a network of 160 similar S-band weather radars (WSR-88Ds), which makes it most suitable for assessing the capability of the solar monitoring method on a continental scale. The NEXRAD level-II data contain radial-by-radial noise power estimates. An increase in this estimate is observed when the antenna points close to the sun. Our decoding software extracts these noise power estimates for the horizontal and vertical receive channels (converted to solar flux units) and other relevant metadata, including azimuth, elevation, observation time, and radar location. Here we present results of analyzing one year of solar monitoring data generated by 142 radars from the contiguous United States. We show monitoring results, geographical maps, and statistical outcomes on antenna pointing, solar fluxes, and differential reflectivity biases. We also assess the quality of the radars by defining a figure of merit, which is calculated from the solar monitoring results. The results demonstrate that the solar method provides great benefit for routine monitoring and harmonization of national and transnational operational radar networks.
Using Structural Topic Modeling to Explore the Role of Framing in Shaping the Debate on Liquefied Natural Gas Terminals in Oregon
Authors: Stelmach Greg , Boudet Hilary 
Published: December 2021

The drastic increase in domestic production of natural gas due to the fracking boom prompted efforts to develop a robust infrastructure in the U.S. to export natural gas. Given environmental concerns over increased fossil fuel development, significant opposition mobilized to “keep it [fossil fuels] in the ground” by acting to prevent not only natural gas production but also its transportation via pipelines and shipping via export terminals. Our analysis focuses on the latter component, specifically examining the long history of proposed liquefied natural gas infrastructure in two coastal communities in Oregon. Members of the public engaged in the formal siting processes and mobilized both opposition and support. We examine their use of collective action frames in both comments at public hearings and letters to the editor in local newspapers ( N = 4618) over the 16 years that these proposals were under consideration, quantifying the dynamic nature of framing using computational text analysis. We find that both groups vary their use of framing over time and by venue, reacting to exogenous events (e.g., September 11th, Fukushima) and tailor their messages to the context (e.g., an in-person hearing or a letter to the editor). Opponents concentrated on potential threats, initially emphasizing local impacts like tanker and pipeline safety but eventually focusing on climate concerns. Supporters, meanwhile, stressed the economic benefits of the projects but alternated their specific framing based on venue—focusing on employment when talking to regulatory agencies and community economic benefits in letters. While this juxtaposition of economic benefits and environmental threats was a key part of public discourse, opponents also expanded their framing to questions of local sovereignty and governance, allowing a broader coalition to develop and ultimately succeeding in defeating the proposals.
Laparoscopic Resection of Pediatric Solid Pseudopapillary Tumors of the Pancreas
Authors: Niec Jan A. , Ghani Muhammad O.A. , Hilmes Melissa A. , McKay Katlyn G. , Correa Hernan , Zamora Irving J. , Lovvorn Harold N. 
Published: December 2021

Background Solid pseudopapillary tumors (SPTs) of the pancreas arise rarely in children, are often large, and can associate intimately with splenic vessels. Splenic preservation is a fundamental consideration when resecting distal SPT. Occasionally, the main splenic vessels must be divided to resect the SPT with negative margins, but the spleen can be preserved if the short gastric vessels remain intact (ie, Warshaw procedure). The purpose of this study was to evaluate outcomes of distal pancreatectomy (DP) for SPT in children and to highlight 2 cases of splenic preservation using the Warshaw procedure. Methods Patients 19 years and younger who were treated at a single children’s hospital between July 2004 and January 2021 were examined. Patient characteristics were collected from the electronic medical record. A pediatric radiologist calculated SPT and pre- and post-operative (ie, non-infarcted) splenic volumes. Results Eleven patients received DP for SPT. Six DPs were performed open and 5 laparoscopically. The spleen was preserved in 3 open and 4 laparoscopic DPs. A laparoscopic Warshaw procedure was performed in 2 patients. Laparoscopic resection associated with less frequent epidural use ( P = .015), shorter time to full diet ( P = .030), and post-operative length of stay ( P = .009), compared to open resection. Average residual splenic volume after the laparoscopic Warshaw procedure was 70% of preoperative volume. Discussion Laparoscopic DP for pediatric SPT achieved similar oncologic goals to open resection. Splenic preservation was feasible with laparoscopy in most cases and was successfully supplemented with the Warshaw procedure, which has not been previously reported for SPT resection in children.
Tracheostomy Outcomes in COVID-19 Patients in a Low Resource Setting
Authors: Tang Liyang , Kim Celeste , Paik Connie , West Jonathan , Hasday Steven , Su Peiyi , Martinez Eduardo , Zhou Sheng , Clark Bhavishya , O’Dell Karla , Chambers Tamara N. 
Published: December 2021

Objectives: COVID-19 predominately affects safety net hospitals. Tracheostomies improve outcomes and decrease length of stay for COVID-19 patients. Our objectives are to determine if (1) COVID-19 tracheostomies have similar complication and mortality rates as non-COVID-19 tracheostomies and (2) to determine the effectiveness of our tracheostomy protocol at a safety net hospital. Methods: Patients who underwent tracheostomy at Los Angeles County Hospital between August 2009 and August 2020 were included. Demographics, SARS-CoV-2 status, body mass index (BMI), Charlson Co-morbidity Index (CCI), length of intubation, complication rates, decannulation rates, and 30-day all-cause mortality versus tracheostomy related mortality rates were all collected. Results: Thirty-eight patients with COVID-19 and 130 non-COVID-19 patients underwent tracheostomies. Both groups were predominately male with similar BMI and CCI, though the COVID-19 patients were more likely to be Hispanic and intubated for a longer time ( P = .034 and P < .0001, respectively). Both groups also had similar, low intraoperative complications at 2% to 3% and comparable long-term post-operative complications. However, COVID-19 patients had more perioperative complications within 7 days of surgery ( P < .01). Specifically, they were more likely to have perioperative bleeding at their tracheostomy sites ( P = .03) and long-term post-operative mucus plugging ( P < .01). However, both groups had similar 30-day mortality rates. There were no incidences of COVID-19 transmission to healthcare workers. Conclusions: COVID-19 tracheostomies are safe for patients and healthcare workers. Careful attention should be paid to suctioning to prevent mucus plugging. Level of Evidence: 3
Active Fathers in the United States: Caught Between De-Gendering Care and Caring Masculinities
Authors: Adler Marina A. 
Published: December 2021

The United States occupies a unique position among OECD countries because the US provides little policy support for working parents. Despite the resulting extreme time scarcity, US fathers perform similar amounts of child care as European fathers under more family-friendly policy conditions. Using recent national time use survey data, this paper examines whether time scarcity among American working parents, coupled with limited access to affordable child care and traditional masculine identity ideas, is associated with American fathers’ involvement in the daily care of their young children. Results show that fathers do one third of all care activities, contribute one third of the care time, and perform over one half of the 10 activities analyzed here daily. Multivariate analysis indicates that time scarcity, lack of alternative child care options, and traditional masculine identity affect the degree of fathers’ involvement in daily care activities with their under five year olds. Implications for the development of caring masculinities are discussed.
Increased muscle fiber fractional anisotropy value using diffusion tensor imaging after compression without fiber injury
Authors: Yokohama Takumi , Iwasaki Motoyuki , Oura Daisuke , Furuya Sho , Niiya Yoshimasa 
Published: December 2021

Background Recent studies have indicated that injuries such as muscle tears modify the microstructural integrity of muscle, leading to substantial alterations in measured diffusion parameters. Therefore, the fractional anisotropy (FA) value decreases. However, we hypothesized that soft tissue, such as muscle tissue, undergoes reversible changes under conditions of compression without fiber injury. Purpose To evaluate the FA change due to compression in muscle tissue without fiber injury. Material and Methods Diffusion tensor imaging (DTI) was performed on both feet of 10 healthy volunteers (mean age = 35.0 ± 10.39 years; age range = 23–52 years) using a 3.0-T magnetic resonance imaging (MRI) scanner with an eight-channel phased array knee coil. An MRI-compatible sphygmomanometer was applied to the individuals’ lower legs and individuals were placed in a compressed state. Then, rest intervals of 5 min were set in re-rest state after compression. The FA value, apparent diffusion coefficient (ADC), and eigenvalues (λ1, λ2, λ3) of the gastrocnemius and soleus muscle were measured at each state. Results The mean FA values increased in all muscles in a compressed state, while the mean λ3 decreased. In all muscles, significant differences were found between the rest and compressed states in terms of mean FA and λ3 ( P < 0.0001). Conclusion We confirmed the reversibility of the DTI metrics, which suggests that there was no muscle injury during this study. In cases of compression without fiber injury, the FA value increases, because fibers are strongly aligned in the longitudinal direction.