bluuebunny/crossref_metadata_2025_split huggingface dataset:
Instrumented gait analysis defines the walking signature of CACNA1A disorders
Authors: Indelicato Elisabetta , Raccagni Cecilia , Runer Sarah , Hannink Julius , Nachbauer Wolfgang , Eigentler Andreas , Amprosi Matthias , Wenning Gregor , Boesch Sylvia 
Published: November 2021

Abstract
Background
Gait disturbances are a frequent symptom in CACNA1A disorders. Even though, data about their severity and progression are lacking and no CACNA1A-specific scale or assessment for gait is available.

Methods
We applied a gait assessment protocol in 20 ambulatory patients with genetically confirmed CACNA1A disorders and 39 matched healthy controls. An instrumented gait analysis (IGA) was performed by means of wearable sensors in basal condition and after a treadmill/cycloergometer challenge in selected cases.

Results
CACNA1A patients displayed lower gait speed, shorter steps with increased step length variability, a reduced landing acceleration as well as a reduced range of ankle motion compared to controls. Furthermore, gait-width in patients with episodic CACNA1A disorders was narrower as compared to controls. In one patient experiencing mild episodic symptoms after the treadmill challenge, the IGA was able to detect a deterioration over all gait parameters.

Conclusions
In CACNA1A patients, the IGA with wearable sensors unravels specific gait signatures which are not detectable at naked eye. These features (narrow-based gait, lower landing acceleration) distinguish these patients from other ataxic disorders and may be target of focused rehabilitative interventions. IGA can potentially be applied to monitor the neurological fluctuations associated with CACNA1A disorders.
State-of-the-art surgery for pancreatic cancer
Authors: Nießen Anna , Hackert Thilo 
Published: November 2021

Abstract
Background
The d
evelopment of surgical techniques and specialization and specifically complication management in pancreatic surgery have improved surgical outcomes as well as oncological results in pancreatic surgery in recent decades. Historical morbidity and especially mortality rates of up to 80% have decreased to below 5% today. This review summarizes the current state of the art in pancreatic cancer surgery.

Methods
The present literature and clinical experience are summarized to give an overview of the present best practice in pancreatic surgery as one of the most advanced surgical disciplines today.

Results
Based on the available literature, three important aspects contribute to best patient care in pancreatic surgery, namely, surgical progress, interdisciplinary complication management, and multimodal oncological treatment in case of pancreatic cancer. In addition, minimally invasive and robotic procedures are currently fields of development and specific topics of research.

Conclusion
In experienced hands, pancreatic surgery—despite being one of the most challenging fields of surgery—is a safe domain today. The impact of multimodal, especially adjuvant, therapy for oncological indications is well established and evidence-based. New technologies are evolving and will be evaluated with high-evidence studies in the near future.
A component-free Lagrangian finite element formulation for large strain elastodynamics
Authors: Stickle Miguel Martín , Molinos Miguel , Navas Pedro , Yagüe Ángel , Manzanal Diego , Moussavi Saeid , Pastor Manuel 
Published: November 2021

AbstractStandard finite element formulation and implementation in solid dynamics at large strains usually relies upon and indicial-tensor Voigt notation to factorized the weighting functions and take advantage of the symmetric structure of the algebraic objects involved. In the present work, a novel component-free approach, where no reference to a basis, axes or components is made, implied or required, is adopted for the finite element formulation. Under this approach, the factorisation of the weighting function and also of the increment of the displacement field, can be performed by means of component-free operations avoiding both the use of any index notation and the subsequent reorganisation in matrix Voigt form. This new approach leads to a straightforward implementation of the formulation where only vectors and second order tensors in $${\mathbb {R}}^3$$

R

3

are required. The proposed formulation is as accurate as the standard Voigt based finite element method however is more efficient, concise, transparent and easy to implement.
The Sociability Argument for the Burqa Ban: A Qualified Defence
Authors: de Vries Bouke 
Published: November 2021

AbstractOver the past decade, countries such as France, Belgium, Denmark, Austria, Latvia, and Bulgaria have banned face-coverings from public spaces. These bans are popularly known as ‘burqa bans’ as they seem to have been drafted with the aim of preventing people from wearing burqas and niqabs specifically. The scholarly response to these bans has been overwhelmingly negative, with several lawyers and philosophers arguing that they violate the human right to freedom of religion. While this article shares some of the concerns that have been raised, it argues that banning face-coverings in public is morally justified under certain conditions with the exception of facemasks that are necessary for the containment of infectious diseases, such as COVID-19. The reason for this is that those who publicly cover their face make it very difficult for other members of society to socially interact with them, especially for those who are deaf or hard-of-hearing, which is problematic in an age where many people are chronically lonely or at risk of becoming chronically lonely. As such, this article can be understood as a more elaborate, and arguably more sophisticated, defence of the justification that France offered for its face-covering ban before the European Court of Human Rights, namely that covering one’s face undermines the conditions for ‘living together’.
Kerley A-lines represent thickened septal plates between lung segments in patients with lymphangitic carcinomatosis: confirmation using 3D-CT lung segmentation analysis
Authors: Tsuchiya Nanae , Tsubakimoto Maho , Nishie Akihiro , Murayama Sadayuki 
Published: November 2021

Abstract
Purpose
Kerley A-lines are generally apparent in patients with pulmonary edema or lymphangitic carcinomatosis. There are two main thoughts regarding the etiology of Kerley A-lines, but no general agreement. Specifically, the lines are caused by thickened interlobular septa or dilated anastomotic lymphatics. Our purpose was to determine the anatomic structure represented as Kerley A-lines using 3D-CT lung segmentation analysis.

Materials and methods
We reviewed 139 charts of patients with lymphangitic carcinomatosis of the lung who had CT and X-ray exams with a maximum interval of 7 days. The presence of Kerley A-lines on X-ray was assessed by a radiologist. The A-lines on X-ray were defined as follows: dense; fine (< 1 mm thick); ≥ 2 cm in length, radiating from the hilum; no bifurcation; and not adjacent to the pleura. For cases with Kerley A-lines on X-ray, three radiologists agreed that the lines on CT corresponded with Kerley A-lines. The incidence of A-lines and the characteristics of the lines were investigated. The septal lines between lung segments were identified using a 3D-CT lung segmentation analysis workstation. The percentage of agreement between the A-lines on CT and lung segmental lines was assessed.

Results
On chest X-ray, 37 Kerley A-lines (right, 16; left, 21) were identified in the 22 cases (16%). Of these, 4 lungs with 12 lines were excluded from analysis due to technical reasons. Nineteen of the 25 lines (76%) corresponded to the septal lines on CT. Of these, 11 lines matched with automatically segmented lines (intersegmental septa, 4; intersubsegmental septa, 7) by the workstation. Two lines (8%) represented fissures. Four lines corresponded to the bronchial wall/artery (3 lines, 12%) or vein (1 line, 4%).

Conclusion
Kerley A-lines primarily represented thickened and continued interlobular septal lines that corresponded to the septa between lung segments and subsegments.
Burned or engaged teachers? The role of mindfulness, self-efficacy, teacher and students’ relationships, and the mediating role of intrapersonal and interpersonal mindfulness
Authors: Moyano Nieves , Perez-Yus Maria C. , Herrera-Mercadal Paola , Navarro-Gil Mayte , Valle Sandra , Montero-Marin Jesus 
Published: November 2021

AbstractThis study had the goal to examine factors that are associated with burnout and engagement among teachers from diverse educational stages. Among these factors, we analyzed socio-demographic aspects, such as gender, age and years of experience, and other psychological teacher-related variables like teacher’s self-efficacy and teacher-student relationships. We also considered the potential mediating role of mindfulness in these relationships. The sample was made up by 425 Spanish teachers who answered an online survey. We administered the following measures: Revised version of the Teacher’s Burnout Questionnaire, Utrecht Work Engagement Scale, Mindfulness in Teaching Scale –which distinguished between intrapersonal and interpersonal mindfulness-, Teacher’s Sense of Self-efficacy Scale, and some questions related to the relationships between students and teachers in the classroom. We conducted a mediational analysis through structural equation modeling (SEM). Our findings indicated that both intrapersonal and interpersonal mindfulness mediated the relation between self-efficacy, which played a direct and an indirect role, the teacher-student relationship, and burnout and engagement. The socio-demographic variables of gender and years of experience played a significant role in mindfulness. The teachers with more self-efficacy were more likely to pay attention to their daily activity and to show more receptivity with their students, which resulted in lower burnout and more engagement. In addition, better relationships with students led to higher intrapersonal mindfulness levels, which mediated the relation with burnout and engagement. These relations varied depending on specific burnout and engagement dimensions. We discuss the implications of these findings for improving teachers´ implication in the education field.
Sexuality-based Stigma and Inclusion Among Southern Protestant Religious Leaders
Authors: Mosley Elizabeth A. , Narasimhan Subasri , Blevins John , Dozier Jessica L. , Pringle Johanna , Clarke Lasha S. , Scott Cherisse , Kan Mary , Hall Kelli Stidham , Rice Whitney S. 
Published: November 2021

AbstractIntroductionSexuality-based stigma is prevalent in the USA and is, in part, based on religious and gender norms. In the South—compared to other regions—religiosity is more salient, gender norms are more conservative, and sexual and reproductive health (SRH) inequities are more prevalent.MethodsGuided by a stakeholder Advisory Committee, the researchers conducted 20 in-depth interviews with Protestant religious leaders in Georgia from 2018 to 2019 to explore how faith leaders describe sexuality-based stigma, including toward abortion and sexual and gender minorities. Interviews were transcribed and thematically analyzed using team-based, iterative coding.ResultsReligious leaders held a wide range of abortion and sexuality attitudes and norms. Some described traditional judgment around the “sins” of abortion, “homosexuality,” and/or “transgender people” based on Scripture and constructs of the cisgender binary and sexual purity. But the researchers noted tension between that judgment and Christian ideologies of “love” and “all people[being]welcomed…[no]matter who you are.” Several participants provided counter-examples for building supportive and empathic abortion and sexuality norms—including LGBTQ inclusivity—through de-stigmatizing testimony and personal relationships.ConclusionsThere are linkages between abortion stigma and stigma against sexual/gender minorities among Southern religious leaders. However, there is also support for abortion and LGBTQ inclusivity. We assert that assets-based engagement of religious leaders is critical for building effective, inclusive faith-based SRH programming.Policy ImplicationsThese findings demonstrate the need for national, state, and local policies that protect comprehensive sex education, abortion access, and LGBTQ people.
Promoting Junior School Students’ Anti-bullying Beliefs with the CATZ Cross-age Teaching Zone Intervention
Authors: Boulton Michael J. , Macaulay Peter J. R. , Atherton Siobhan , Boulton Louise , Colebourne Tracey , Davies Melanie , Down James , Garner Ian , Harriss Bethan , Kenton Laura , Lomas Bethan , Marx Hedda , Scattergood Samantha , Turner Claire 
Published: November 2021

AbstractIn tackling the widespread problem of bullying victimisation, researchers have acknowledged the value of focusing on changing bullying-related beliefs and using peer-based interventions. In three studies (N = 419, 237 intervention and 182 controls), we tested the effectiveness of the CATZ cross-age teaching programme by inviting small groups of 11-year-olds to incorporate information supporting positive beliefs (concerning non-physical forms of bullying, the value of disclosing being bullied to adults, and helping victims) into a lesson they devised for themselves and to deliver that to small groups of 9-year-olds. Specifically, we examined if the intervention would promote that (i) non-physical forms of bullying are unacceptable (study 1), (ii) disclosing bullying to adults and getting the right kind of help have value and importance (study 2), and (iii) victims can be assisted in safe ways (study 3). Self-reports of nine specific aspects of these beliefs were collected from CATZ tutors and age-matched controls prior to and following the intervention, and at five-week follow-up in one study, using both open and closed questions. Results indicated significant positive effects of CATZ on all nine outcome variables, with mostly medium and high effect sizes. These findings support the use of CATZ to foster positive anti-bullying beliefs, and issues related to its wider uptake are discussed.
Who Will Watch the Watchmen? The Ethico-political Arrangements of Algorithmic Proctoring for Academic Integrity
Authors: Henry Jade Vu , Oliver Martin 
Published: November 2021

AbstractCritics of artificial intelligence have suggested that the principles of fairness, accountability and transparency (FATE) have been used for ‘ethics washing’, in order to appease industrial interests. In this article, we develop this relational and context-dependent analysis, arguing that ethics should not be understood as abstract values or design decisions, but as socio-technical achievements, enacted in the practices of students, teachers and corporations. We propose that the ethics of using AI in education are political, involving the distribution of power, privilege and resources. To illustrate this, we trace the controversies that followed from an incident in which a student was misclassified as a cheat by an online proctoring platform during the Covid-19 lockdown, analysing this incident to reveal the socio-technical arrangements of academic integrity. We then show how Joan Tronto’s work on the ethics of care can help think about the politics of these socio-technical arrangements — that is, about historically constituted power relations and the delegation of responsibilities within these institutions. The paper concludes by setting the immediate need for restorative justice against the slower temporality of systemic failure, and inviting speculation that could create new relationships between universities, students, businesses, algorithms and the idea of academic integrity.
Mechanisms of cognitive-behavioral therapy effects on symptoms of body dysmorphic disorder: a network intervention analysis
Authors: Bernstein Emily E. , Phillips Katharine A. , Greenberg Jennifer L. , Curtiss Joshua , Hoeppner Susanne S. , Wilhelm Sabine 
Published: November 2021

AbstractBackgroundBody dysmorphic disorder (BDD) is a severe and undertreated condition. Although cognitive-behavioral therapy (CBT) is the first-line psychosocial treatment for this common disorder, how the intervention works is insufficiently understood. Specific pathways have been hypothesized, but only one small study has examined the precise nature of treatment effects of CBT, and no prior study has examined the effects of supportive psychotherapy (SPT).MethodsThis study re-examined a large trial (n = 120) comparing CBT to SPT for BDD. Network intervention analyses were used to explore symptom-level data across time. We computed mixed graphical models at multiple time points to examine relative differences in direct and indirect effects of the two interventions.ResultsIn the resulting networks, CBT and SPT appeared to differentially target certain symptoms. The largest differences included CBT increasing efforts to disengage from and restructure unhelpful thoughts and resist BDD rituals, while SPT was directly related to improvement in BDD-related insight. Additionally, the time course of differences aligned with the intended targets of CBT; cognitive effects emerged first and behavioral effects second, paralleling cognitive restructuring in earlier sessions and the emphasis on exposure and ritual prevention in later sessions. Differences in favor of CBT were most consistent for behavioral targets.ConclusionsCBT and SPT primarily affected different symptoms. To improve patient care, the field needs a better understanding of how and when BDD treatments and treatment components succeed. Considering patient experiences at the symptom level and over time can aid in refining or reorganizing treatments to better fit patient needs.
Novel metaphor translation is modulated by translation direction
Authors: Jankowiak Katarzyna , Lehka-Paul Olha 
Published: November 2021

AbstractPrevious translation process research has pointed to an increased cognitive load when translating metaphoric compared to literal language. Yet, studies conducted thus far have not examined the role of translation direction (i.e., L1–L2 vs. L2–L1) in novel metaphor translation and have not tested whether and how this process might be modulated by the linguistic form of a novel meaning. In the present study, Polish (L1) – English (L2) translation students translated novel nominal metaphors (A is B), novel similes (A is like B), and literal sentences, in either L1–L2 or L2–L1 translation directions, while their translation behavior was recorded using a keystroke logging method. The results revealed longer translation durations for both metaphors and similes relative to literal utterances. Furthermore, we found slower translation times for novel nominal metaphors compared to novel similes and literal sentences, yet only in the L2–L1 translation direction. Such results might indicate that novel meaning translation is more cognitively taxing in the case of novel nominal metaphors, which require a more robust activation of comparison mechanisms, relative to novel similes. Importantly, this effect might be stronger when translating in the direction in which access to semantic representations is potentially more automatic (i.e., L2–L1 translation).
‘Keeping up appearances’ – negotiating identities of being fit in older age: a multi-site ethnographic study of daily life in contemporary day centres
Authors: Øye Christine , Norvoll Reidun , Vabø Mia 
Published: November 2021

AbstractAs governments adapt to ‘active ageing’ policies, care services are increasingly oriented towards helping older adults to stay active in order to maintain their physiological and cognitive capacity. Day centres for the frail old adults are adding more planned activities to their conventional social programmes. Although evidence indicates that they may benefit from physical fitness sessions and brain training, little is known about the way in which the activation agenda influences social interaction among participants. The article aims to fill this knowledge gap by exploring how staff and participants manoeuvre between the new activation agenda and processes of coming to terms with the functional decline of ageing bodies. We draw on ethnographic data, collected in four day centres in Denmark and Norway, constituting participant observation of 18 days, 19 interviews with older participants and 18 interviews with staff members. With reference to the dramaturgical approach of Erving Goffman, we demonstrate how different fitness identities are negotiated on different social stages. Firstly, we identify a social stage at a crossroad between staff acting as motivators in training sessions and older participants as active contributors. We demonstrate how day-care staff assist participants in keeping up appearances as fit for one's age by recognising their performance and concealing flawed performances. Secondly, we identify a social stage where participants socialise with co-participants around the lunch table and other social events. Here the act of ‘keeping up appearances’ turns into a complex art whereby people strive to retain their fitness identity by comparing themselves with peers. Finally, based on observation ‘backstage’, we reveal how participants distance themselves from the functional decline of old age by claiming that they are fit enough. We conclude that day centres are contested sites for active-ageing policies.
Code-Switching patterns differentially shape cognitive control: Testing the predictions of the adaptive control hypothesis
Authors: Ng Gilaine , Yang Hwajin 
Published: November 2021

AbstractBilinguals engage in qualitatively different code-switching patterns (alternation, insertion, and congruent lexicalization) to different degrees, according to their engagement in different types of interactional contexts (single-language context, dual-language context, and dense code-switching context). Drawing on the adaptive control hypothesis, we examined whether bilinguals’ code-switching patterns would differentially shape multiple aspects of cognitive control (interference control, salient cue detection, and opportunistic planning). We found that a dense code-switching context, which predominantly involves insertion and congruent lexicalization, was positively associated with verbal opportunistic planning but negatively associated with interference control and salient cue detection. In contrast, a dual-language context, which predominantly involves alternation, was not associated with interference control or salient cue detection, but with significantly reduced response times for opportunistic planning. Our findings partially corroborate the theoretical predictions of the adaptive control hypothesis. Altogether, our study illustrates the importance of bilinguals’ disparate code-switching practices in shaping cognitive control outcomes.