bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sugar industrialization and distress selling of livestock among the Bodi pastoralists in Ethiopia’s lower Omo valley
Authors: Gebresenbet Fana 
Published: November 2021

AbstractThis article, based on long-term fieldwork, argues that the Bodi, a small agro-pastoral community in Ethiopia’s lower Omo Valley, are experiencing distress selling of livestock and are undergoing collective impoverishment. These processes are a result of the rapid comprehensive transformations unfolding in the valley, which are themselves a product of the state’s aggressive resource extraction interests. These interests mainly relate to the building of the Gilgel Gibe III dam on the Omo River and the establishment of large-scale sugar estates. Increased insecurity in the valley followed these interventions. When combined, these changes resulted in the deterioration of the food security and livelihood situations of the Bodi, and the community attempted to cope by selling animals from their herds. Hence, the main reasons for market engagement relate to (1) coping with hunger, (2) coping with a high incidence of animal diseases and (3) coping with high rates of imprisonment of men. The Bodi also engage in three constrained livelihood alternatives: rain-fed farming, irrigated farming and wage employment. This article recommends that resolving the Bodi’s erosion of livelihoods necessitates addressing insecurity and the related socio-political outcomes, which lie at the heart of the Bodi’s dwindling livelihood situation and impoverishment.
Community engagement in pastoralist areas: Lessons from the public dialogue process for a new refugee settlement in Turkana, Kenya
Authors: Rodgers Cory 
Published: November 2021

AbstractLarge-scale development interventions have long failed to accommodate the needs and preferences of pastoralists or the systems of resource governance and land tenure upon which they rely. However, advocates of rights-based approaches to development emphasise the importance of community participation in planning and agenda-setting, and in Kenya, public participation is a formal constitutional requirement for government decision-making processes. In 2015, the United Nations High Commissioner for Refugees concluded negotiations with local stakeholders about the use of 15 km2of communal rangelands to build a new refugee settlement in Turkana County, Kenya. Negotiations entailed a community dialogue process involving local people living in the vicinity of the proposed settlement. This paper retrospectively examines the inclusivity of the dialogue process, with particular attention to the involvement of pastoralists and the representation of their interests. Interviews and focus groups conducted with a range of key informants and community stakeholders highlighted two key problems. First, negotiations relied upon a simplistic approach to communal land tenure that overlooked the complexity of overlapping and often contested access rights. Second, there was an over-reliance on urban professionals and politicians as intermediaries between rural communities and development actors. Even where elite intermediaries act in good faith, they may introduce an ‘oppidan bias’ into development policies, thereby marginalising the viewpoints of non-urban, non-sedentary demographics, such as pastoralists. I conclude with recommendations for the UNHCR to develop a more explicit strategy for direct engagement with host community stakeholders in Turkana and with increased attention to the interests of livestock producers and the nuances of pastoralist land use.
Effects of development interventions on pastoral livelihoods in Turkana County, Kenya
Authors: Akall Gregory 
Published: November 2021

AbstractTurkana County has a long history of drought and development interventions and remains one of the poorest counties in Kenya. In Turkana, livelihoods are increasingly under threat because of climate change, conflict, and the changing land use and management. There are complex interactions between the multiple drivers of change in landscapes and livelihoods in the region. The question addressed here is: How have external development interventions contributed to the changing pastoralist livelihoods in Turkana? This study is specific to the lower part of the Turkwel River basin, particularly the Nanyee irrigated area in Turkwel, Loima sub-County of Turkana County. This article examines the external development interventions during the colonial, post-independence, and contemporary periods to reveal the ways that land use practices and livelihoods have changed across these periods. Land use practices are changing due to the growing human population, droughts, urbanization, and dispossession of grazing areas through state and donor-supported interventions. It is suggested in this article that the change from a system of customary, unrestricted grazing to one of enclosed pastures has threatened pastoral territories, as well as cultures and livelihoods over the past six decades. The new set of development interventions introduced by international and national actors have failed to support local livelihoods, instead joining the list of existing problems that undermine pastoralism, including drought, livestock diseases, and cattle rustling.
Potential efficacy of parent-infant psychotherapy with mothers and their infants from a high-risk population: a randomized controlled pilot trial
Authors: Mattheß J. , Eckert M. , Becker O. , Ludwig-Körner C. , Kuchinke L. 
Published: November 2021

Abstract
Background
Psychotherapy of mother-child dyads is an intervention which was developed to prevent maltreatment and negative children’s development. There is a lack of good-quality research investigating psychotherapeutic interventions and social care for mothers at high-risk living in Mother-Child Facilities in Germany. The present randomized controlled pilot trial (RCT) aimed to evaluate the need for parent-infant psychotherapy (PIP) and to explore its impact on the mother-infant relationship. Primary feasibility objectives were recruitment and attrition, with potential efficacy defined as the secondary feasibility objective.

Methods
This pilot RCT focused on (young) mothers with cumulative risk factors and their infants under 7 months of age living in Mother-Child Facilities. N=32 mother-child dyads were randomly allocated to PIP or Care as usual (CAU). Outcomes were assessed at baseline, 3 months, and 6 months of intervention. The primary potential efficacy outcome was maternal sensitivity. Secondary outcomes were maternal mental health problems, reflective functioning, parenting stress, personality organization, infant’s development, and attachment.

Results
At baseline, all mothers showed low levels of emotional availability, but results revealed improvements in sensitivity, mental health problems, stress, and depressive symptomatology favoring PIP after 6 months. Positive developments in maternal sensitivity, a healthy aspect of mother-child interaction, were only found in the PIP group. Overall attrition was high at 6 months. Some evidence of fewer depressive symptoms and lower maternal distress after 6 months of PIP-intervention exists that did not reach significance.

Conclusion
Findings revealed improvements in the mother’s well-being for both groups, but PIP had a higher impact on the mother-child dyad. In sum, there is some evidence that PIP may represent an effective intervention offer besides the social and pedagogical support in these facilities, but further research is demanded.

Trial registration
DRKS00022485 (retrospectively registered).
Evaluating optical coherence tomography (OCT) findings as potential biomarkers in central nervous system (CNS) lymphoma with or without ocular involvement
Authors: Hassan Muhammad , Halim Muhammad Sohail , Afridi Rubbia , Nguyen Nam V. , Nguyen Quan Dong , Sepah Yasir J. 
Published: November 2021

Abstract
Background
To evaluate spectral domain optical coherence tomography (SD-OCT) findings as biomarkers in primary central nervous system lymphoma (PCNSL) with or without ocular involvement.

Methods
This study was a cross-sectional study and patients with a confirmed diagnosis of PCNSL with or without ocular involvement were included. Patient cohort finder tool was used to identify patients with lymphoma using ICD-10 codes (C82–C88), from January 2004 to October 2017. A total of 14,820 patients were identified. Procedure code (92134) for optical coherence tomography (OCT) was then applied to identify patients who had underdone OCT imaging at ophthalmology clinic. Clinic charts of 460 patients with lymphoma and available OCT were reviewed to identify patients with confirmed diagnosis of PCNSL and divided into two groups (Group 1: with and Group 2: without ocular involvement). OCT scans of patients in both study groups were analyzed for the presence of (1) Hyperreflective deposits in choroid, retinal pigment epithelium (RPE), outer and inner retina; (2) RPE thickening; (3) Vitreous debris; (4) Intraretinal fluid; (5) Ellipsoid zone disruption by masked graders. Chi-square was used to analyze the difference between the groups.

Results
Twenty-two eyes (11 patients) with PCNSL were included this study (Group 1: 6 eyes and Group 2: 16 eyes). Mean age of subjects was 65 years. Five patients (45.45%) were female. There was no statistically significant difference between the groups for the presence of hyperreflective deposits in choroid, RPE, outer and inner retina, and presence of RPE thickening, intraretinal fluid, and ellipsoid zone disruption. Vitreous debris was found more commonly in group 1 subjects (83%) than group 2 (31.25%) (p = 0.029). All subjects in both groups showed hyperreflective deposits in the RPE demonstrating RPE infiltration. However, RPE thickening was noted only in 3 patients (Group1: 1 and Group2: 2).

Conclusions
OCT finding of hyperreflective deposits present in eyes with lymphoma secondary to PCNSL are also observed in eyes with PCNSL without ocular disease. However, the vitreous deposits are more commonly found in eyes with ocular disease. These hyperreflective deposits can serve as biomarkers for early detection of ocular involvement by PCNSL.
Reducing maritime accidents in ships by tackling human error: a bibliometric review and research agenda
Authors: Dominguez-Péry Carine , Vuddaraju Lakshmi Narasimha Raju , Corbett-Etchevers Isabelle , Tassabehji Rana 
Published: November 2021

AbstractOver the past decade the number of maritime transportation accidents has fallen. However, as shipping vessels continue to increase in size, one single incident, such as the oil spills from ‘super’ tankers, can have catastrophic and long-term consequences for marine ecosystems, the environment and local economies. Maritime transport accidents are complex and caused by a combination of events or processes that might ultimately result in the loss of human and marine life, and irreversible ecological, environmental and economic damage. Many studies point to direct or indirect human error as a major cause of maritime accidents, which raises many unanswered questions about the best way to prevent catastrophic human error in maritime contexts. This paper takes a first step towards addressing some of these questions by improving our understanding of upstream maritime accidents from an organisation science perspective—an area of research that is currently underdeveloped. This will provide new and relevant insights by both clarifying how ships can be described in terms of organisations and by considering them in a whole ecosystem and industry. A bibliometric review of extant literature of the causes of maritime accidents related to human error was conducted, and the findings revealed three main root causes of human and organisational error, namely, human resources and management, socio-technical Information Systems and Information Technologies, and individual/cognition-related errors. As a result of the bibliometric review, this paper identifies the gaps and limitations in the literature and proposes a research agenda to enhance our current understanding of the role of human error in maritime accidents. This research agenda proposes new organisational theory perspectives—including considering ships as organisations; types of organisations (highly reliable organisations or self-organised); complex systems and socio-technical systems theories for digitalised ships; the role of power; and developing dynamic safety capabilities for learning ships. By adopting different theoretical perspectives and adapting research methods from social and human sciences, scholars can advance human error in maritime transportation, which can ultimately contribute to addressing human errors and improving maritime transport safety for the wider benefit of the environment and societies ecologies and economies.
Informal payments in public hospitals in Malawi: the case of Kamuzu Central Hospital
Authors: Mphande-Namangale Annette , Kazanga-Chiumia Isabel 
Published: November 2021

Abstract
Background
Informal payments in public health facilities act as a barrier to accessing quality health services, especially for poor people. This research aimed to investigate informal payments for health care services at Kamuzu Central Hospital (KCH), a public referral hospital in Malawi. Results of this study provide evidence on the prevalence and influencing factors of informal payments for health care so that relevant policies and strategies may be developed to address this problem.

Methods
This study employed a mixed methods research design. The quantitative study had a sample size of 295 patients and guardians. The qualitative study had 7 key informant interviews (with health workers, health managers and policy makers) and 3 focus group discussions (FGDs) with guardians. Each FGD included 10 participants. Thus, in total, the qualitative sample comprised 52 participants. Quantitative data was analyzed using Excel and STATA. Qualitative data was analyzed using a thematic content analysis approach.

Results
80% of patients and guardians had knowledge of informal payments. Approximately 47% of respondents admitted making informal payments to access health services, and 87% of informal payments were made at the request of a health worker. Lack of knowledge, fear and desperation among patients and guardians, low salaries of health workers, and lack of effective disciplinary measures, were reported as key factors influencing informal payments. Regression analysis results showed that occupation and gender were the main determinants of informal payments.

Conclusions
Informal payments exacerbate inequality in access to free public health services. Particularly, poor people have limited access to health services when informal payments are demanded. This practice is unethical and infringes on people’s rights to universal access to health care. There is a need to strengthen the public health care system by formulating deliberate policies that will deter informal payments in Malawi.
Bilateral subdiaphragmatic kidneys with right-sided renal malrotation
Authors: Elshetry Al Shaimaa Fathi 
Published: November 2021

Abstract
Background
The subdiaphragmatic kidney is a positional variant of the uncommon cephalad renal ectopia, whereas renal malrotation refers to the anomalous renal hilar position. Both anomalies are rare, possibly under-reported, discovered incidentally on radiological examinations since patients are often asymptomatic.

Case presentation
This case report presents a unique renal anatomical variation in a 71-year-old female patient. A bilateral subdiaphragmatic renal ectopia coupled with right-sided renal malrotation, discovered accidentally on abdominal ultrasound (US), and confirmed by abdominal magnetic resonance imaging (MRI).

Conclusions
The presented case of bilateral subdiaphragmatic kidneys associated with right-sided renal malrotation is rare and not previously described in the literature. Radiologists must be familiar with these renal anomalies that can be discovered on imaging performed for other indications. MRI can provide more anatomical data compared to US.
Plantar fasciopathy—looking beyond the obvious? A case report
Authors: Singh Tejinder , Kumar Parijat 
Published: November 2021

Abstract
Background
The biggest challenge in treating this diagnosis is the lack of literature focusing on regional interdependence. The current literature suggests a narrow and localized approach targeting plantar fascia and ankle/foot complex. The literature available on conservative treatment focused on utilizing various inflammatory modalities such as injections and extracorporeal shockwave therapy. The surgical approach targets Baxter’s nerve decompression techniques and releases techniques to the gastrocnemius and plantar fascia. The article focuses on utilizing manual therapy techniques to the lumbosacral spine and plantar fascia. In addition, the neurodynamic flossing targeted lateral plantar nerve mobility.

Case presentation
The patient is a 54-year-old African American female seen for right heel pain at Texas’s outpatient orthopedic physical therapy clinic. The patient had the diagnosis of plantar fasciopathy with negative Windlass testing. The patient was provided manual therapy interventions to the lumbosacral spine and plantar fascia to improve weight-bearing patterns and overall functional outcomes.

Conclusion
The manual therapy interventions to the lumbosacral spine and plantar fascia and flossing techniques to the lateral plantar nerve improved symptoms of heel pain. The patient showed improved outcomes with this approach.
Out-patient triple chronotherapy for the rapid treatment and maintenance of response in depression: feasibility and pilot randomised controlled trial
Authors: Veale David , Serfaty Marc , Humpston Clara , Papageorgiou Andriani , Markham Sarah , Hodsoll John , Young Allan H. 
Published: November 2021

Background
Triple chronotherapy (sleep deprivation for 36 h, followed by 4 days of advancing the time of sleep and daily morning bright-light therapy for 6 months) has demonstrated benefits for the rapid treatment of depressive symptoms in four small controlled trials of in-patients.

Aims
To test the feasibility of recruitment and delivery of triple chronotherapy for out-patients with depression (ISRCTN17706836; NCT03405493).

Method
In a single-blind trial, 82 participants were randomised to triple chronotherapy or a control intervention. The primary outcome was the number of participants recruited per month and adherence to the protocol. Secondary outcomes included the 6-item Hamilton Rating Scale for Depression (HRSD-6) at 1 week. Timings of observer ratings were baseline and 1, 2, 4, 8 and 26 weeks after randomisation.

Results
The triple chronotherapy group stayed awake for the planned 36 h and 89.9% adhered to the plan of phase advance of their sleep over the following 4 days. We achieved our recruitment target (60 participants completed the trial within 13 months). There were no reported adverse side-effects. We found a significant difference between the groups by intention-to-treat analysis for the HRSD-6 at weeks 1, 8 and 26. There was a large effect size of Cohen's d = 0.8 on HRSD-6 score at week 1, increasing to d = 1.30 at week 26. A response (≥50% reduction in symptoms) was achieved by 33.3% in the triple chronotherapy group and 16.2% in the control group. This stayed relatively steady until week 26 (35.9 v. 13.9%).

Conclusions
Triple chronotherapy produced a significant and rapid benefit after 1 week in out-patients with depression that was sustained at 26 weeks. Cost-effectiveness trials with a larger clinical sample are required.
Incidence of suicidality in people with depression over a 10-year period treated by a large UK mental health service provider
Authors: Francis Emma R. , Fonseca de Freitas Daniela , Colling Craig , Pritchard Megan , Kadra-Scalzo Giouliana , Viani Natalia , Chaturvedi Jaya , Denee Tom R. , Kerr Cicely , Desai Mitesh , Scott Gemma , Shetty Hitesh , Broadbent Mathew , Chandran David , Downs Johnny , Velupillai Sumithra , Khondoker Mizanur , Stewart Robert , Dutta Rina , Hayes Richard D. 
Published: November 2021

Summary
We describe the incidence of suicidality (2007–2017) in people with depression treated by secondary mental healthcare services at South London and Maudsley NHS Trust (n = 26 412). We estimated yearly incidence of ‘suicidal ideation’ and ‘high risk of suicide’ from structured and free-text fields of the Clinical Record Interactive Search system. The incidence of suicidal ideation increased from 0.6 (2007) to 1 cases (2017) per 1000 population. The incidence of high risk of suicide, based on risk forms, varied between 0.06 and 0.50 cases per 1000 adult population (2008–2017). Electronic health records provide the opportunity to examine suicidality on a large scale, but the impact of service-related changes in the use of structured risk assessment should be considered.
Time to put a spotlight on out-patient chronotherapy for depression
Authors: Kallestad Havard , Scott Jan 
Published: November 2021

Summary
The challenge of identifying efficacious out-patient treatments for depression is amplified by the increasing desire to find interventions that reduce the time to sustained improvement. One potential but underexplored option is triple chronotherapy (TCT). To date, use of TCT has been largely restricted to specialist units or in-patients. Recent research demonstrates that it may be possible to undertake sleep deprivation in out-patient settings, raising the possibility of delivering TCT to broader populations of individuals with depression. Emerging evidence suggests that out-patient TCT is a high-benefit, low-risk intervention but questions remain about how to target TCT and its mechanisms of action. Like traditional antidepressants, TCT probably acts through several pathways, especially the synchronisation of the ‘master clock’. Availability of reliable and valid methods of out-patient measurement of intra-individual circadian rhythmicity and light exposure are rate-limiting steps in the wider dissemination of TCT.