bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Modified Finescale Parameterization for Turbulent Mixing in the Western Equatorial Pacific
Authors: Liang Chang-Rong , Shang Xiao-Dong , Qi Yong-Feng , Chen Gui-Ying , Yu Ling-Hui 
Published: January 2021

AbstractFinescale parameterizations are of great importance to explore the turbulent mixing in the open ocean due to the difficulty of microstructure measurements. Studies based on finescale parameterizations have greatly aided our knowledge of the turbulent mixing in the open ocean. In this study, we introduce a modified finescale parameterization (MMG) based on shear/strain variance ratio Rω and compare it with three existing parameterizations, namely, the MacKinnon–Gregg (MG) parameterization, the Gregg–Henyey–Polzin (GHP) parameterization based on shear and strain variances, and the GHP parameterization based on strain variance. The result indicates that the prediction of MG parameterization is the best, followed by the MMG parameterization, then the shear-and-strain-based GHP parameterization, and finally the strain-based GHP parameterization. The strain-based GHP parameterization is less effective than the shear-and-strain-based GHP parameterization, which is mainly due to its excessive dependence on stratification. The predictions of the strain-based MMG parameterization can be comparable to that of the MG parameterization and better than that of the shear-and-strain-based GHP parameterization. Most importantly, MMG parameterization is even effective over rough topography where the GHP parameterization fails. This modified MMG parameterization with prescribed Rω can be applied to extensive CTD data. It would be a useful tool for researchers to explore the turbulent mixing in the open ocean.
Can employment in a café change Clientele Attitude towards the staff when they are Persons with Mental Illness?
Authors: Gandhi Sailaxmi - , Jayaraman Sangeetha , Sivakumar Thanapal , John Annie P , Joseph Anoop , Prathyusha Parthipulli Vasuki 
Published: January 2021

Background: Clientele’s attitude toward Persons with Mental Illness (PwMI) changes over a period of time. The aim of this study was to explore and understand how and whether perception about PwMI changes when they are seen working like persons without mental illness among those availing services of ROSes café at NIMHANS, Bengaluru. Methods: The descriptive research design was adopted with purposive sampling. Community Attitude toward Mentally Ill (CAMI) a self -administered questionnaire of was administered to measure the clientele attitude towards staff with mental illness in ROSes Café (Recovery Oriented Services). A total of 256 subjects availing services from the ROSes café recruited in the study. Chi-square and Mann–Whitney U test was computed to see the association and differences on selected variables. Results: The present study results showed that subjects had a positive attitude seen in health care professionals in the domains of benevolence (BE) (28.68 ± 3.00) and community mental health ideology (CMHI) (31.53 ± 3.19), whereas non-health care professionals had showed negative attitude in the domain of authoritarianism (AU) (30.54 ± 3.42) and social restrictiveness (SR) (30.18 ± 3.05). Education, employment, marital, income, and working status were significantly associated with CAMI domains. Conclusion: PwMI also can work like people without mental illness when the opportunities are provided. The community needs to regard mental illness in the same manner as chronic physical illness diabetes mellitus and allow PwMI to live a life of dignity by creating and offering opportunities to earn livelihood which would help them recover with their illnesses.
Baicalin Ameliorates Inflammatory Response in a Mouse Model of Rhinosinusitis via Regulating the Treg/Th17 Balance
Authors: Yang Ming , Zhu Xiaoyan , Fu Feida , Guo Qinghua , Zhu Xiaopu , Xu Yang , Yan Xiaotian , He Xinya , Wang Xu 
Published: January 2021

Objective: Rhinosinusitis is a global health problem affecting millions of people around the world. Baicalin is a bioactive compound isolated from medicinal plant Scutellaria baicalensis Georgi. The present study aims to investigate potential effects of baicalin on clinicopathological changes in nasal/sinus mucosa in a mouse model. Methods: A mouse model of sinonasal inflammation induced by high dose of ovalbumin was applied to evaluate effects of baicalin. Rhinosinusitis symptoms, histopathological features, levels of histamine, immunoglobulin E (IgE), IL-17A, IL-10, and balance of regulatory T cell (Treg)/T-helper 17 (Th17) responses were examined. Results: Baicalin significantly relieved rhinosinusitis symptoms in mice, reduced histopathological changes, and suppressed serum levels of histamine and IgE in a dose-dependent manner. In lymphocytes of mice, baicalin modulated balance of Treg/Th17 proportions by attenuating Th17 cells and enhancing Treg cells, respectively. The serum IL-17A was decreased and IL-10 was increased in mice treated by baicalin. In addition, baicalin promoted levels of Smad protein 3 (p-Smad3) and forkhead box P3 (FOXP3) to promote Treg cells while suppressed levels of p-Stat3 and retineic-acid-receptor-related orphan nuclear receptor γt ( RORγt) to inhibit Th17 cells. Conclusions: These data demonstrate that baicalin effectively ameliorates sinonasal inflammation in a mouse model by recovering the immunological balance of Treg/Th17 responses. Our finding highlights the potential value of baicalin for the treatment of rhinosinusitis.
Migraine and Tension-Type Headache Among Children and Adolescents: Application of International Headache Society Criteria in a Clinical Setting
Authors: Genizi Jacob , Bugdnoskya Vera , Aboud Amer , Segal Idan , Assaf Nurit , Srugo Isaac , Kerem Nogah C. 
Published: January 2021

Introduction: The International Headache Society criteria were written in order to help physicians establish a headache diagnosis. However, sometimes children with headache do not seem to fit any diagnosis. The purpose of our study was to assess the application of the criteria in a clinical setting. Methods: Medical records of children referred for primary headache to the pediatric neurology clinic at Bnai Zion Medical Center from 2008 to 2017 were assessed. Results: A total of 989 patients (range 6-18 years; 53% female) were assessed at our neurology clinic. Twenty-four percent (n = 241) were diagnosed with tension-type headache, 26% (n = 256) with migraine, and 4.5% (45) with mixed headache. In 41.5% (410), we were unable to reach a specific diagnosis. No differences in gender or age were found between the groups. Children in the migraine group used more analgesic treatments to stop the headache attacks compared with the tension-type headache group (50% vs 38%, P = .001). Patients diagnosed with tension-type headache reported having more emotional difficulties ( P = .001). No significant differences were found in headache characteristics (ie, location, sidedness, character), frequency, or intensity between the younger children (ages 6-11) and the adolescents (ages 12-18) within either the tension-type headache or migraine groups. Conclusions: Retrospective application of International Headache Society criteria in a large cohort of children with headaches failed to diagnose a specific type of headache in 41.5% of children. Migraine and tension-type headache were equally prevalent, and both constituted a major burden on our patients’ everyday lives. We found no major differences in frequency, intensity, and characteristics of pain between younger children and adolescents.
Libraries in Colombia and Covid-19: Delivery library services to the public amid limits and uncertainties
Authors: Torres Diana Patricia Restrepo 
Published: January 2021

Covid-19 – or coronavirus disease forced libraries in Colombia to close the doors as well as forced them to strengthen or to create virtual and remote services. Biblioteca Nacional de Colombia (BNC) leads in Colombia the implementation of measures for the library sector during the current health crisis, providing guidelines and recommendations on how to deal with the emergency, as well as giving information resources, and alternatives on how to provide library services, to doing the paperwork, to implement the biosecurity protocols, and the definition of phases for reopening in the future. Also, BNC itself focused on the support BNC researchers throughout virtual services. This article was written during the first months of the health emergency, so that on the date of publication the situation may have changed.
Construction of the Index of Social Work Professional Identity
Authors: Duan Wenjie , Li Yumei , Kong Yansi 
Published: January 2021

Purpose: The present study applied the Dynamic Systems Model of Role Identity to construct an index of social work professional identity. Methods: The data were obtained from a longitudinal study of social work in China in 2019. Exploratory structural equation modeling and multigroup confirmatory factor analysis were used to confirm the factor structure. Independent samples t test was adopted to test the difference among different groups. Results: The four-factor (i.e., social, role, target, and action perceptions) index of social work professional identity showed acceptable reliability and good validity. Measurement invariance was observed across different groups (i.e., gender, education background, professional certification, job position, and work seniority). Differences were observed on professional identity among different genders, educational backgrounds, and professional certification groups. Conclusions: The index of social work professional identity can contribute to policymaking, educational curriculum design, and evidence-based interventions aimed at promoting professional identity.
The Embedded Paradox of Organizational Turnover and Professional Autonomy
Authors: Zheng Guanghuai , Liu Haijuan , Wang Yean , Chen Beili 
Published: January 2021

Purpose: This study aims to investigate the effects of professional autonomy (PA) and person–environment fit (person–job [PJ] fit and person–organization [PO] fit) on turnover intention (TI). Methods: We take a total of 1,133 professional social workers with formal educational background from the China Social Work Longitudinal Study 2019 as our sample and use structural equation modeling as our analysis method. Results: We find that an increase in person–environment fit is significantly associated with a decrease in Chinese social workers’ organizational TI, and this relationship is mediated by PA. However, PA has greater power to buffer the effects of PJ fit than those of PO fit on TI. Conclusions: This finding improves existing understanding of the paradox of social workers embedded in the community. An occupational environment that promotes PA is urgently needed to address this paradox and to prevent social workers’ TI.
Implementation of a Multi-Modal Palliative Care Curriculum for Pediatric Residents
Authors: Romanos-Sirakis Eleny , Demissie Seleshi , Fornari Alice 
Published: January 2021

Objectives: To evaluate the feasibility and efficacy of a new multi-modal pediatric palliative care curriculum. We sought to determine the effect on comfort in palliative care, knowledge, and change in behavior by utilizing these skills with patients, and determine which modalities were most effective for residents. Study Design: 25 pediatric residents were exposed to the 4-part curriculum. The modalities utilized in this curriculum included didactics, role-play, videos, case-discussion, small group activities, simulation, poetry and reflection. Results: The pediatric residents self-reported an increase in comfort and knowledge of the components of pediatric palliative care after this curriculum. In addition, 74% of residents were able to identify a patient experience in which a component of the palliative care curriculum was utilized directly in patient care. The effectiveness of techniques utilized in this multimodal curriculum varied; residents reported that the poetry and reflection components were less effective, as compared with the role-play, simulation and other active learning components. Conclusions: Implementation of a multi-modal palliative care curriculum was effective in increasing knowledge in palliative care, comfort in breaking bad news, and caring for patients with palliative care needs. This can be translated into a change in behavior to utilize these new skills in the care of various patients in pediatrics. Among the various techniques used to teach this curriculum, residents reported that the techniques that most incorporated active learning and were directly applicable to the professional role of the resident were rated most valuable. This curriculum was well received, feasible and effective for pediatric residents.
Three-Dimensional Distance and Coverage Maps in the Assessment of Peritalar Subluxation in Progressive Collapsing Foot Deformity
Authors: Dibbern Kevin N. , Li Shuyuan , Vivtcharenko Victoria , Auch Elijah , Lintz Francois , Ellis Scott J. , Femino John E. , de Cesar Netto Cesar 
Published: January 2021

Background: Progressive collapsing foot deformity (PCFD), formerly termed adult-acquired flatfoot deformity, is a complex 3-dimensional (3D) deformity of the foot characterized by peritalar subluxation (PTS). PTS is typically measured at the posterior facet, but recent studies have called this into question. The objective of this study was to use 3D distance mapping (DM) from weightbearing computed tomography (WBCT) to assess PTS in patients with PCFD and controls. We hypothesized that DMs would identify the middle facet as a superior marker for PTS. Methods: We analyzed WBCT data of 20 consecutive stage I patients with PCFD and 10 control patients with a novel DM technique to objectively characterize joint coverage across the entire peritalar surface, including both articular and nonarticular regions. Joint coverage was defined as the percentage of articular area with DMs <4 mm and impingement when distances were <0.5 mm. Comparisons were performed with independent t tests or Wilcoxon tests. P values <.05 were considered significant. Results: Overall, coverage was decreased in articular regions and impingement was increased in nonarticular regions of patients with PCFD with a significant increase in uncoverage in the middle (46.6%, P < .001) but not anterior or posterior facets. Significant increases in sinus tarsi coverage were identified (98.0%, P < .007) with impingement in 6 of 20 patients with PCFD. Impingement of the subfibular region was noted in only 1 of 20 cases but narrowing greater than 2 standard deviations was noted in 17 of 20 patients. Conclusion: Objective DMs identified significant markers of PTS in the middle but not posterior or anterior facets. We confirmed prior 2-dimensional data that suggested uncoverage of the middle facet provided a more robust and consistent measure of PTS than measures in the posterior facet. Level of Evidence: Level III, case-control study.
Internal limiting membrane peeling without vitrectomy for laser-induced macular holes in two children
Authors: Chen Nan , Zheng Kunkun 
Published: January 2021

Purpose: To describe a technique of internal limiting membrane (ILM) peeling without vitrectomy for the treatment of laser-induced macular holes in two children. Methods: ILM peeling was performed under the vitreous hyaloid, and the vitreous was retained. Slit lamp and optical coherence tomographic examinations were performed before and after surgery. Results: Macular holes were closed with different patterns at different time in the two patients, while visual acuity improved significantly in both of them eventually. Conclusion: The technique of ILM peeling in the absence of vitrectomy can promote the closure of laser-induced macular holes and minimize the surgical procedure, with few vitrectomy complications in pediatric patients. The closure pattern may vary on account of different injury sources and extents.
The effects of ocular surface disease on optical coherence tomography test results in patients with glaucoma
Authors: Oktay Özgün , Dursun Özer , Yılmaz Ayça 
Published: January 2021

Purpose: To evaluate the effects of current ocular surface disease (OSD) on OCT signal quality and peripapillary retinal nerve fiber layer (RNFL) thickness measurements in patients treated with antiglaucomatous medications and the changes in these test results by dry eye treatment. Methods: Fifty-five patients, diagnosed with primary open-angle glaucoma (POAG) and OSD, who were treated for glaucoma with topical medications for at least 6 months were included in this study. Patients were treated with topical preservative free polyvinyl alcohol + povidone artificial tear drops four times a day for at least 20 days and topical loteprednol etabonate drops four times a day for 1 week. Patients were divided into groups according to the number of active substances in their glaucoma drops, daily drop numbers, and duration of drug utilizations. OCT signal quality and mean RNFL thickness measurements were evaluated within these groups before and after OSD treatment. Results: Pre-treatment mean OCT signal quality was 19.15 ± 3.739 and mean RNFL thickness was 93.07 ± 13.931µ; post-treatment mean OCT signal quality was 23.93 ± 3.839 and mean RNFL thickness was 98.27 ± 14.863 µ ( p < 0.05). Post-treatment measurements were significantly improved compared to pre-treatment measurements in our patients, but the differences among subgroups were not statistically significant. There was a strong positive correlation between pre-treatment signal quality measurements and Schirmer II test values ( p < 0.0001). Conclusion: Treatment of OSD in glaucoma patients being treated with long-term anti-glaucoma medications, seem to improve the quality and reliability of OCT test results.
Choroidal structural changes in different intermediate AMD patterns
Authors: Viggiano Pasquale , Toto Lisa , Ferro Giada , Evangelista Federica , Porreca Annamaria , Mastropasqua Rodolfo 
Published: January 2021

Purpose: To report variation of choroidal thickness (CT) and choroidal vascularity index (CVI) in subjects with drusen and subjects with reticular pseudodrusen (RPD) compared with healthy individuals using the Spectral-domain (SD)-Optical Coherence Tomography with enhanced depth imaging (EDI) system. Design: A prospective, observational, cross-sectional study. Subjects: Eighty-four participants. Methods: The patients were imaged using the Heidelberg Spectralis device (Heidelberg Engineering, Heidelberg, Germany) with EDI mode. EDI-OCT images were exported and then imported into image analysis ImageJ software (National Institutes of Health, Bethesda) and a semiautomated algorithm was used for subsequent quantitative analysis. Main outcome measures: This study evaluated two choroidal parameters: (i) choroidal thickness (CT); (ii) choroidal vascularity index (CVI). Results: CT analysis was performed in three different regions: (i) foveal region, (ii) parafoveal region; (iii) perifoveal region. All the analyzed regions were significantly decreased in RPD pattern, as compared with both the drusen group ( p < .005) and healthy eyes ( p < .005). CVI was significantly decreased in the RPD pattern, as compared with healthy eyes ( p < 0.001). However, the drusenoid pattern did not have statistical significance in comparison with the control group suggesting the lower incidence of this pattern on choroidal vasculopathy. Conclusions: We report CT and CVI difference in RPD and drusen eyes. The RPD pattern seems to be a consequence of an alteration in the choroidal vascularity resulting in severe ischemia and excessive hypoxia inducing an increased risk of late AMD compared to the drusenoid pattern.
Systemic thrombolysis and anticoagulation therapy for catheter-related right atrial thrombosis caused by TIVAP: A case report and review of the literature
Authors: Zhang Yanshou , Shi Jie , Li Jia-jia , Zhang Lu , Li Yuntao 
Published: January 2021

Introduction: As an under-reported, severe, and life-threatening complication, catheter-related right atrial thrombosis (CRAT) can appear at any age with any type of central venous catheter (CVC). However, most reports are limited to hemodialysis patients with CVC. Totally implantable venous access port (TIVAP) is widely used for the infusion of high-concentration chemotherapeutic drugs in cancer patients. However, these catheters may cause CRAT. Case Description: A 27-year-old female patient with TIVAP was referred for neoadjuvant chemotherapy because of breast cancer. At 60 days after TIVAP implantation, routine transthoracic ultrasound examination confirmed a mass of 3.4 × 2.5 cm in the right atrium (RA). The mass was attached to the atrial wall and close to the catheter tip. Initially, we chose systemic anticoagulation therapy, but it failed. Subsequently, we decided to adopt a combination of systemic thrombolysis and anticoagulation therapy via a cubital vein. After 9 days of treatment, the thrombus disappeared, and the TIVAP was eventually removed. Conclusions: Systemic thrombolysis and anticoagulation therapy seemed to be safe and effective for asymptomatic patients who had TIVAP-induced CRAT. We should position the catheter tip at the junction of the Superior Vena Cava with the Right Atrium during the implantation procedure in cancer patients undergoing chemotherapy.
Sanitation, Obesity, and Low Body Mass Index as Risk Factors for Bacterial Skin Infections
Authors: Aggarwal Pushkar , Muddasani Suraj , Fleischer Alan B. 
Published: January 2021

Background Bacterial skin infections can cause significant disability and can lead to mortality with inadequate treatment. Objective To determine whether sanitation and body mass index (BMI) are statistically significant risk factors for the incidence and prognosis of bacterial skin infections. Methods Country-level data regarding the age-standardized rates of incidence, prevalence, and years lived with disability (YLD) from bacterial skin infection per 100 000 persons from the Global Burden of disease dataset, and country-level data on age-standardized prevalence of obesity (BMI ≥30) and low BMI (BMI <18.5) from World Health Organization Global Health Observatory data repository were analyzed. Regression models were created to examine the effects of sanitation, obesity, and low BMI on the burden of bacterial skin infections. Results The percentage of population using basic sanitation services was positively associated with incidence, prevalence, and YLD from bacterial skin infections ( P < .05). After controlling for sanitation, in countries with more than 50% of the population using basic sanitation services, obesity was positively associated with incidence, prevalence, and YLD from bacterial skin infections ( P < .05). In countries with less than or equal to 50% of the population using basic sanitation services, low BMI was positively associated with incidence, prevalence, and YLD from bacterial skin infections ( P < .05). Conclusions Improving sanitation access in all countries, reducing the percentage of obese population in countries with good sanitation/hygiene techniques, and addressing malnutrition in countries with poor sanitation/hygiene techniques may help to reduce the burden of bacterial skin infections.