bluuebunny/crossref_metadata_2025_split huggingface dataset:
Countercurrents and Counterappropriations
Authors: Salguero C. Pierce 
Published: February 2021

Abstract
While modernization and globalization have been sweeping the Korean medical industry of late, a perhaps seemingly contradictory trend toward more personalized care has also been unfolding in certain circles. This is a brief case study of a traditional Korean medical doctor who integrates Western mindfulness protocols into traditional Korean psychology/psychiatry in order to provide that connection with his patients. This practice report shows that his adaptation of mindfulness represents a Korean counterappropriation of a Western clinical tool that was itself created by appropriating Buddhist techniques. It argues that the multivalent resonances with both science and Buddhist methods give mindfulness utility as a site for this doctor to hybridize different bodies of knowledge, to reinterpret traditional insights in modern idioms, and arrive at new therapeutic innovations for his patients.
Why Study Asian Medicine?
Authors: Alter Joseph S. , Farquhar Judith , Khan M.A. Mujeeb , McGrath William A. , Scheid Volker , Sivin Nathan , Zakaria Faizah , Zysk Kenneth 
Published: February 2021

Abstract
Asian Medicine is inaugurating a new type of article in this issue, the editorial forum. For our launch of this new format, an international range of scholars working on Asian medicine across different geographical, temporal, and disciplinary contexts were invited to respond to the question “Why study Asian medicine?” The perspectives they have expressed here reflect their diverse interests, motivations, and career trajectories across the spectrum of seniority.
Purposes, Politicisation and Pitfalls of Diplomatic Gift-giving to the United Nations
Authors: Sievers Loraine 
Published: February 2021

Summary
Politicisation has characterised diplomatic gift-giving to the United Nations since its early years. Donations of decor and furnishings in some instances can be an equaliser, and in others can accentuate inequalities. Member States’ motives range from altruistic to self-seeking, but larger purposes are served, including increased cross-cultural understanding and community building.
Unraveling Interactions between Asymmetric Tidal Turbulence, Residual Circulation, and Salinity Dynamics in Short, Periodically Weakly Stratified Estuaries
Authors: Wei Xiaoyan , Schuttelaars Henk M. , Williams Megan E. , Brown Jennifer M. , Thorne Peter D. , Amoudry Laurent O. 
Published: February 2021

AbstractAsymmetric tidal turbulence (ATT) strongly influences estuarine health and functioning. However, its impact on the three-dimensional estuarine dynamics and the feedback of water motion and salinity distribution on ATT remain poorly understood, especially for short estuaries (estuarine length ≪ tidal wavelength). This study systematically investigates the abovementioned interactions in a short estuary for the first time, considering periodically weakly stratified conditions. This is done by developing a three-dimensional semi-analytical model (combining perturbation method with finite element method) that allows a dissection of the contributions of different processes to ATT, estuarine circulation, and salt transport. The generation of ATT is dominated by (i) strain-induced periodic stratification and (ii) asymmetric bottom-shear-generated turbulence, and their contributions to ATT are different both in amplitude and phase. The magnitude of the residual circulation related to ATT and the eddy viscosity–shear covariance (ESCO) is about half of that of the gravitational circulation (GC) and shows a “reversed” pattern as compared to GC. ATT generated by strain-induced periodic stratification contributes to an ESCO circulation with a spatial structure similar to GC. This circulation reduces the longitudinal salinity gradients and thus weakens GC. Contrastingly, the ESCO circulation due to asymmetric bottom-shear-generated turbulence shows patterns opposite to GC and acts to enhance GC. Concerning the salinity dynamics at steady state, GC and tidal pumping are equally important to salt import, whereas ESCO circulation yields a significant seaward salt transport. These findings highlight the importance of identifying the sources of ATT to understand its impact on estuarine circulation and salt distribution.
A Simulated Radar Reflectivity Calculation Method in Numerical Weather Prediction Models
Authors: Chen Yuxiao , Chen Jing , Chen Dehui , Xu Zhizhen , Sheng Jie , Chen Fajing 
Published: February 2021

AbstractThe simulated radar reflectivity used by current mesoscale numerical weather prediction models can reflect the grid precipitation but cannot reflect the subgrid precipitation generated by a cumulus parameterization scheme. To solve this problem, this study developed a new simulated radar reflectivity calculation method to obtain the new radar reflectivity corresponding to the subgrid-scale and grid-scale precipitation based on the mesoscale Global/Regional Assimilation and Prediction System (GRAPES) model of the China Meteorological Administration. Based on this new method, two 15-day forecast experiments were carried out for two different time periods (11–25 April 2019 and 1–15 August 2019), and the radar reflectivity products obtained by the new method and previous method were compared. The results show that the radar reflectivity obtained by the new simulated radar reflectivity calculation method gives a clear indication of the subgrid-scale precipitation in the model. Verification results show that the threat scores of the improved experiments are better than those of the control experiments in general and that the reliability of the simulated radar reflectivity for the indication of precipitation is improved. It is concluded that the new simulated radar reflectivity calculation method is effective and significantly improves the reflectivity products. This method has good prospects for providing more information about forecasting precipitation and convective activity in operational models.
Is plasma concentration of coenzyme Q10 a predictive marker for left ventricular remodelling after revascularization for ST-segment elevation myocardial infarction?
Authors: Fontaine Fanny , Legallois Damien , Créveuil Christian , Chtourou Mohamed , Coulbault Laurent , Milliez Paul , Hodzic Amir , Saloux Eric , Beygui Farzin , Allouche Stéphane 
Published: February 2021

Background Left ventricular remodelling that frequently occurs after acute myocardial infarction is associated with an increased risk of heart failure and cardiovascular death. Although several risk factors have been identified, there is still no marker in clinical use to predict left ventricular remodelling. Plasma concentration of coenzyme Q10, which plays a key role in mitochondrial energy production and as an antioxidant, seems to be negatively correlated with left ventricular function after acute myocardial infarction. Objective The goal of our study was to determine whether the plasma coenzyme Q10 baseline concentrations at time of the ST-elevation myocardial infarction (STEMI) could predict left ventricular remodelling at six months’ follow-up. Methods Sixty-eight patients who were admitted to hospital for STEMI and successfully revascularized with primary percutaneous coronary intervention were recruited. All patients underwent a 3D-echocardiography examination within the first four days after percutaneous coronary intervention and six months later then divided into two groups based on the presence or not of left ventricular remodelling. Plasma coenzyme Q10 concentration at the time of percutaneous coronary intervention was determined using high-performance liquid chromatography-tandem mass spectrometry. Results While we found similar plasma coenzyme Q10 concentrations compared with other studies, no association was evidenced between coenzyme Q10 concentrations and left ventricular remodelling ( P = 0.89). Conclusion We found no evidence for using plasma coenzyme Q10 concentration as an early prediction marker of left ventricular remodelling after STEMI.
Association Between Design Elements of Concussion Laws and Reporting of Sports-Related Concussions Among US High School Athletes, 2009-2017
Authors: Yang Jingzhen , Harvey Hosea H. , Sullivan Lindsay , Huang Lihong , Dawn Comstock R. 
Published: February 2021

Objectives Studies that evaluate the effectiveness of concussion laws often use only a single variable (ie, presence of the law), failing to account for law complexity. We examined the association between multiple design elements of state concussion laws and rates of sports-related concussion reporting among US high school athletes. Methods We derived 3 design elements of concussion laws from the 2009-2017 LawAtlas database: (1) strength of law, (2) number of law revisions, and (3) speed of law adoption. We examined the association between these design elements and rates of new and recurrent sports-related concussion reporting from the 2009-2010 through 2016-2017 academic years in a nationally representative sample of high school athletes participating in High School Report Information Online, an online data collection tool. Results A total of 7064 sports-related concussions (6332 [89.6%] new and 732 [10.4%] recurrent concussions) were reported during the study period, with an overall rate of 39.7 sports-related concussions per 100 000 athletic exposures (eg, game or practice). Rates of new concussion reporting were higher among high schools in states with medium- or high-strength concussion laws than in states with low-strength concussion laws and in states with at least 1 concussion law revision than in states with no concussion law revisions. Rates of recurrent concussion reporting were lower among high schools in states with ≥2 concussion law revisions than in states with <2 concussion law revisions. Early law adoption was associated with higher rates of new and recurrent concussion reporting, and late law adoption was associated with lower rates of new and recurrent concussion reporting. Conclusion Our findings may help inform legislators of the public health effect of concussion laws.
Comparison of real-life data from patients with NGS panel negative and KRAS mutation positive metastatic lung adenocarcinoma
Authors: Gökyer Ali , Küçükarda Ahmet , Köstek Osman , Gökmen İvo , Özcan Erkan , Sayın Sezin , Taştekin Ebru , Hacıoğlu Bekir , Erdoğan Bülent , Uzunoğlu Sernaz , Çiçin İrfan 
Published: February 2021

Objective: To evaluate clinical and demographic characteristics and the results of cytotoxic treatments of KRASG12C, KRASother, and next-generation sequencing (NGS) panel negative patients. Methods: NGS data of 1264 patients with non-small cell lung cancer were retrospectively evaluated. Among these patients, the mutation distributions of 1081 patients with metastatic lung adenocarcinoma were analyzed. A total of 150 patients with negative NGS panel or mutant KRAS followed up in our clinic were included. Clinical features, overall survival, first-line chemotherapy responses, and progression-free survival of NGS panel negative, KRASG12C, and KRASother groups were compared. Results: In 1081 patients who underwent NGS from tumor tissue with the diagnosis of metastatic lung adenocarcinoma, 296 (27%) NGS panel negative and 276 (26%) KRAS mutant patients were detected. Among these patients, 150 patients whose data were available were 71 (47.3%) NGS panel negative, 54 (36%) KRASother, and 25 (16.7%) KRASG12C. Clinical features, brain metastasis, and first-line chemotherapy response were similar among groups. Bone metastases were detected more often in the NGS panel negative group ( p = 0.03). The median follow-up was 8.4 months. Overall, 107 deaths had occurred at the time of analysis. There was no difference in overall survival ( p = 0.56) or progression-free survival ( p = 0.71) among NGS panel negative, KRASother, and KRASG12C patients. Conclusion: There is no difference in overall survival, first-line chemotherapy response, or progression-free survival among patients with NGS panel negative, KRASG12C, or KRASother metastatic lung adenocarcinoma. Bone metastases were observed more frequently in the NGS panel negative group.
Tapentadol and Sleepwalking: A Case Report
Authors: Ko Elena (You Jung) , Tupper Michael W. 
Published: February 2021

Objective: This is a case report of a patient with sleepwalking likely caused by tapentadol ER secondary to higher than the recommended dose for the treatment of pain. Methods: This report presents the relevant patient history, laboratory data and literature review on possible causes of this patient’s sleepwalking. Results: A 39-year-old female reported sleepwalking as the dose of tapentadol increased above the recommended maximum provided in the package insert. The mechanism of action of tapentadol involving norepinephrine reuptake inhibition affecting the central nervous system, higher dosage and drug interactions with other home medications likely contributed to her sleepwalking. Conclusion: This case highlights the importance of adhering to the recommended dosage of a medication and if it is clinically warranted to exceed the maximum recommended dose, the importance of diligent monitoring for any adverse effects.
Evaluation of the Use of a Diabetes Risk Test to Identify Prediabetes in an Employee Wellness Screening
Authors: Ward Eileen D. , Hopkins Whitney A. , Shealy Kayce 
Published: February 2021

Background: The American Diabetes Association (ADA) Diabetes Risk Test (DRT) is a screening tool to identify people at risk for developing diabetes. Individuals with a DRT score of 5 or higher may have prediabetes or diabetes and should see a healthcare provider. Objective: To determine how many additional employees are identified as being at risk for developing diabetes during an employee wellness screening by using a more stringent DRT cutoff score of 4 instead of 5. Methods: During an annual employee wellness screening event, a hemoglobin A1C (A1c) was drawn for participants with a DRT score of > 4 or by request regardless of risk score. A1C values were classified as normal (<5.7%), prediabetes (>5.7 and <6.5%) or diabetes (>6.5%). Risk scores and A1C values were analyzed using descriptive statistics. Cost of additional laboratory testing was also reviewed. Results: An A1C was collected for 158 participants. Fourteen of 50 (28%) participants with a DRT of 4 had A1c values in the prediabetes range and no history of diabetes or prediabetes. Using the lower DRT score of 4 resulted in an additional expenditure of $305 with $85.40 resulting in the identification of an otherwise unaware person at risk for developing diabetes. Conclusion: Using a DRT cutoff score of 4 as part of an employee wellness screening program resulted in additional laboratory costs to identify persons at risk for developing diabetes but also allowed for earlier education to slow or stop the progression to diabetes which may reduce healthcare costs over time.
Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation
Authors: Rietkerk Wanda , de Jonge-de Haan Jannet , Slaets Joris P. J. , Zuidema Sytse U. , Gerritsen Debby L. 
Published: February 2021

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.
Distribution of IgG subclass anti-nuclear antibodies (ANAs) in systemic lupus erythematosus
Authors: Zeng Yanli , Zhang Yan , Chen Qinggui , Huang Qinghe , Lin Yiqiang , Wang Xuelian , Wang Jia Jia , Jiang Longcan , Xiao Yun 
Published: February 2021

Objectives Our study purpose was to detect the distribution of anti-nuclear antibody (ANA) IgG subclasses in patients with systemic lupus erythematosus (SLE) and to evaluate their influence on the inflammatory process in SLE. Methods We determined the serum levels of ANA IgG subclasses from 70 SLE patients, 25 patients with other autoimmune diseases (OAD), and 25 healthy controls using ELISA. The serum level of total ANA IgG and the avidity of ANA IgG, dsDNA IgG, and dsDNA IgG subclasses were analysed by ELISA. Results The results indicated that levels of four ANA IgG subclasses (IgG1, IgG2, IgG3 and IgG4) and total IgG were significantly higher in SLE patients than in OAD patients and healthy controls ( p < 0.001). Moreover, the level of each ANA IgG subclass and the prevalence of high-avidity IgG ANAs (HA IgG ANAs) were significantly higher in the active cases than in the inactive cases of SLE and LN. Furthermore, level of ANA IgG subclasses decreased as level of dsDNA IgG subclasses decreased in 30 patients with SLE. In comparison, ANA IgG3 was significantly effective in high-dose prednisone combined with hydroxychloroquine ( p = 0.025). Additionally, it revealed that level of dsDNA IgG had a significant influence on four ANA IgG subclasses, especially on ANA IgG3 (β coefficient = 0.649, p < 0.001). Level of ANA IgG3 was also positively related to the serum level of dsDNA IgG (r = 0.729, p < 0.001) and RAI of HA IgG ANAs (r = 0.504, p < 0.001). However, the level of ANA IgG4 was positively related to the serum level of albumin (r = 0.572, p < 0.001) and RAI of HA IgG ANAs (r = 0.549, p < 0.001). Moreover, the results revealed that cutaneous and renal involvement were mainly associated with the ANA IgG1 and IgG4 subclasses. Although, arthritic involvement was mainly associated with ANA IgG3. Conclusions First, we demonstrated that the ANA IgG subclasses were diagnostic tools in SLE patients. Furthermore, HA IgG ANAs might affect the distribution of ANA IgG3 and IgG4. Moreover, ANA IgG3 might play a particular role in the activity of SLE disease and therapy. Therefore, an altered ANA IgG subclass distribution might be a risk factor influencing the inflammatory process in SLE.
Social Work Digital Storytelling Project: Digital Literacy, Digital Storytelling, and the Makerspace
Authors: La Rose Tara , Detlor Brian 
Published: February 2021

Purpose: The Social Work Digital Storytelling project was a research study undertaken to (1) enhance digital literacy of practitioners and students through digital storytelling training, (2) diversify engagement in a local public library technology hub (the “makerspace”), and (3) understand and enhance social work leadership knowledge among students and practitioners through the creation and sharing of leadership-focused digital stories. Method: Free hands-on digital storytelling workshops where social workers/students created stories about leadership exposed social workers to technologies accessible in the community and provided hands-on experience using hardware (e.g., IMac computers, digital cameras, portable data recorders, and a recording booth) and software (e.g., Adobe Photoshop, I-Movie, and GarageBand) as well as online social media platforms (e.g., Flickr, YouTube, and Facebook). Results: Before and after the workshops, participants completed a brief online qualitative self-evaluation survey through which they reflected on their skills, values, and beliefs about digital technology in practice. Participants gained knowledge of perspectives of online ethical tenants and exposure to Creative Commons Copyright and the NASW Technology Standards of Practice. Discussion: Prior to participation, the social workers reported fear and hesitancy using technology. After workshop completion, workers experienced a greater sense of confidence using digital technology as well as identifying organizational and systemic issues, which hindered field-based technological engagement.
Correlates of Medical Mistrust Among Minority Women at Risk for HIV and Their Networks
Authors: Johnson Laura M. , Green Harold D. , Koch Brandon , Harding Robert , Stockman Jamila K. , Wagner Karla D. 
Published: February 2021

Background Medical mistrust is a barrier to engaging in HIV prevention and treatment, including testing and adherence to antiretroviral therapy. Research often focuses on how race and experiences of discrimination relate to medical mistrust, overlooking the role that other characteristics may play (e.g., history of physical abuse, diagnosis of mental illness). Furthermore, studies are often restricted to samples of men who have sex with men and findings may not generalize to other at-risk groups. Aims The current study explores a range of demographic, cognitive, behavioral, and social network correlates of medical mistrust. Method This study employed an egocentric network design among a racially diverse sample of at-risk women and women in their social networks ( n = 165). Results Results from multivariable linear regressions stratified by race (Black vs. others) indicate that medical mistrust is associated with both individual-level and network-level characteristics. Across both groups, age and experiences of racial discrimination were associated with higher medical mistrust. Having a regular sex partner and having a higher proportion of network members who are family was significantly associated with medical mistrust among non-Black women. Discussion Individual-level and network-level variables were significantly associated with medical mistrust. Therefore, interventions that attempt to mitigate medical mistrust as a barrier to HIV prevention and treatment should consider how mistrust may be related to characteristics of individuals and broader contexts. Conclusion Health interventions may benefit from conceiving of medical mistrust as a complex, rational response to cumulative discriminatory life experiences and a reflection of the networks within which individuals are embedded.