bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sex-Based Differences in Outcomes With Percutaneous Transcatheter Repair of Mitral Regurgitation With the MitraClip System: Transcatheter Valve Therapy Registry From 2011 to 2017
Authors: Villablanca Pedro A. , Vemulapalli Sreekanth , Stebbins Amanda , Dai Dadi , So Chak-yu , Eng Marvin H. , Wang Dee Dee , Frisoli Tiberio M. , Lee James C. , Kang Guson , Szerlip Molly , Ibrahim Homam , Staniloae Cezar , Gaba Prakriti , Lemor Alejandro , Finn Matthew , Ramakrishna Harish , Williams Mathew R. , Leon Martin B. , O’Neill William W. , Shah Binita 
Published: November 2021

Background:
Women have a higher rate of adverse events after mitral valve surgery. We sought to evaluate whether outcomes after transcatheter edge-to-edge repair intervention by sex have similar trends to mitral valve surgery.

Methods:
The primary outcome was 1-year major adverse events defined as a composite of all-cause mortality, stroke, and any bleeding in the overall study cohort. Patients who underwent transcatheter edge-to-edge repair for mitral regurgitation with the MitraClip system in the Society of Thoracic Surgery/American College of Cardiology Transcatheter Valve Therapy registry were evaluated. Linked administrative claims from the Centers for Medicare and Medicaid Services were used to evaluate 1-year clinical outcomes. Associations between sex and outcomes were evaluated using a multivariable logistic regression model for in-hospital outcomes and Cox model for 1-year outcomes.

Results:

From November 2013 to March 2017, 5295 patients, 47.6% (n=2523) of whom were female, underwent transcatheter edge-to-edge repair. Females were less likely to have >1 clip implanted (
P
<0.001) and had a lower adjusted odds ratio of device success (adjusted odds ratio, 0.78 [95% CI, 0.67–0.90]), driven by lower odds of residual mitral gradient <5 mm Hg (adjusted odds ratio, 0.54 [CI, 0.46–0.63]) when compared with males. At 1-year follow-up, the primary outcome did not differ by sex. Female sex was associated with lower adjusted 1-year risk of all-cause mortality (adjusted hazard ratio, 0.80 [CI, 0.68–0.94]), but the adjusted 1-year risk of stroke and any bleeding did not differ by sex.

Conclusions:
No difference in composite outcome of all-cause mortality, stroke, and any bleeding was observed between females and males. Adjusted 1-year all-cause mortality was lower in females compared with males.
Therapeutic Forgetting and Its Ethical Dimension in the Daoist Zhuangzi
Authors: Wang Youru 
Published: November 2021

Abstract
This article utilizes recent Western approaches to the ethical inquiry into human activities of forgetting, especially the approach represented by Ricoeur’s work on memory and forgetting and their ethical functioning. The three areas of Ricoeur’s investigation includes the therapeutic/pathological area; pragmatic area, which deals with the issue of individual and group’s self-identity in relation to time and otherness; and the more explicitly ethical (social and institutional) area. These three divisions are useful to start with, but Ricoeur’s work shows some narrowness in neglect of positive, productive and healthy forgetting, which has been deemed significant by the Zhuangzi. This paper is the first of the author’s serial writings to apply Ricoeur’s three areas of forgetting to investigate the forgetfulness of the Zhuangzi, and examines therapeutic forgetting and its ethical dimension only.
Ricoeur and Cheng’s Parallel Reconciliations of the Right and the Good
Authors: Mason Joshua 
Published: November 2021

Abstract
Drawing on Paul Ricoeur’s “little ethics” and Chung-ying Cheng’s work on Confucian and Kantian ethics, this essay reinforces the broad outlines of a cross- cultural framework for reconciling conflicts between the good and the right, teleology and deontology, and perfectionism and liberalism so that we can recognize dynamic concerns across the grand sweep of moral life. Ricoeur and Cheng describe roughly parallel sets of relations and highlight similar dynamics among three planes of ethical life.
The Dystopian Plight of Womanhood and Fear in Zoya Pirzad’s Things We Left Unsaid
Authors: Heidari Afsaneh , Sasani Samira 
Published: November 2021

Abstract
Through Judith Butler’s theories, it is depicted that dystopia is embedded within our most precious ideals. Dystopia depicts a world in which the right to choose and self-discovery has lost all meaning, and in which individuals are tools through which ideology is implemented. Zoya Pirzad, in her book, Things We Left Unsaid, talks about the unfairness of cultural values. She questions idealistic attitudes towards life’s realities and invites us towards new definitions of humanity. It is revealed in this research that our attitudes towards humanity can be very rigid and restrictive; in a way that the differences that show humanity’s complexity and beauty are considered unpleasant and unnatural and the result is nothing but pain and unhappiness.
Petitioning the Waqf Cases: Conflict over the Abū Madyan Waqf, Old City of Jerusalem, at the Beginning of the Twentieth Century
Authors: Memiş Şerife Eroğlu 
Published: November 2021

Abstract
This article analyzes twenty-two petitions, held at the Ottoman Imperial Archives (boa) in Istanbul, submitted to the Council of State Registers (Şūrā-yi Devlet) at the beginning of the twentieth century by the mutawallīs (supervisors) of the Abū Madyan waqf, as well as by residents and representatives of the Maghāriba neighborhood in Jerusalem. These petitions concern the alleged mismanagement of the waqf by the mutawallīs, including the embezzlement of funds and violation of the conditions stipulated in the waqf’s endowment deed (waqfiyya). Through this analysis, the study aims to show how the waqf’s supervisors and the representatives of local political and religious authorities contributed to the confiscation of property, allocated to a waqf, for personal gain or to serve common interests, and, thus to the gradual disintegration of the waqf system in early twentieth-century Jerusalem. It also sheds light on the networks between local citizens (Maghribīs), waqf mutawallīs, local qāḍīs, and the central Ottoman administration and the sultan.
The “Constitutive Relevance of Models” (CRoM) Test
Authors: Hornbeck Ryan G. , Barrett Justin L. 
Published: November 2021

Abstract
This paper introduces a tool designed to mitigate a longstanding challenge to developing social anthropological theories of ritual – how to generate enough comparable case studies for rigorously testing the predictive strength and generalizability of the theory under scrutiny. Our “constitutive relevance of models” (CRoM) test identifies structural continuities between anthropological and psychological theoretical models of ritual phenomena that would justify sharing some analytical tools between models. With this test, anthropologists can in certain cases draw on a psychological theory construct’s superior empirical tractability to more efficiently identify instances of ritual phenomena that are suitable for developing and testing their own anthropological models. To demonstrate, we apply a CRoM test to validate the use of a construct developed under a psychological theory of ritual, Lawson and McCauley’s “ritual form hypothesis,” to search for case studies suitable for assessing the theoretical claims that anthropologist Roy Rappaport made for “highly sacred” rituals.
Josephus’s Paraphrase Style and the Testimonium Flavianum
Authors: Goldberg Gary J. 
Published: November 2021

Abstract
The controversial account of Jesus in Josephus’s Jewish Antiquities 18.63–64, known as the Testimonium Flavianum, has puzzling similarities to Luke 24.18–24, a portion of the Emmaus narrative. This article proposes an explanation based on established research into Josephus’s methods of composition. Through a phrase-by-phrase study, this article finds that the Testimonium can be derived from the Emmaus narrative using transformations Josephus is demonstrated to have employed in paraphrasing known sources for the Antiquities. Precedents are identified in word adoption/substitution and content modification. Consequently, I submit that the Testimonium is Josephus’s paraphrase of a Christian source. This result also resolves the difficulties that have raised doubts about the Testimonium’s authenticity, with implications for the understanding of the historical Jesus.
Cardiovascular Autonomic Function Tests in Patients of Obsessive–Compulsive Disorder: A Cross-Sectional Study
Authors: Sandhya M.  , Mittal Sunita , Kathrotia Rajesh , Rawat Vikram Singh , Singh Yogesh , Srikant S.  , Agrawal Megha , Mohan Latika 
Published: November 2021

Background: Patients with psychiatric disorders are at an increased risk of developing cardiovascular disease, reducing life expectancy. Autonomic dysfunction has been linked to this increased risk; many studies have found reductions in heart rate variability (HRV). Only a few studies have systematically explored the relationship between obsessive–compulsive disorder (OCD) and autonomic function, and they have found contradicting results. The present study is intended to explore comprehensive autonomic functions in OCD patients and compare them with healthy controls. Methods: A total of 18 OCD patients meeting Diagnostic and Statistical Manual of Mental Disorders - 5 (DSM-5) criteria were enrolled to undergo comprehensive autonomic function testing, and the results were compared with 25 age- and sex-matched healthy controls. Results: Time-domain parameters of HRV such as standard deviation of the RR intervals, coefficient of variance of RR intervals, standard deviation of differences between adjacent RR intervals, root square of the mean of the sum of the squares of differences between adjacent RR intervals, and percentage of number of RR interval differences ≥ 50 ms were significantly lower in OCD patients, indicating lesser parasympathetic tone. Frequency-domain parameters such as total power and very low frequency were significantly lower in OCD patients, indicating a significant decrease in autonomic tone. Nonlinear parameters such as dispersion of points perpendicular to the line of identity and dispersion of points along the line of identity were significantly lower in OCD patients, indicating altered vagal and sympathetic tone. In autonomic reactivity tests, the fall in systolic blood pressure during the lying to standing test and change in diastolic blood pressure during the cold pressor test were significantly altered in OCD patients, indicating abnormal sympathetic reactivity. There was no significant correlation between autonomic parameters and the severity of OCD. Conclusion: OCD is characterized by a decreased parasympathetic tone and abnormal sympathetic reactivity compared to normal controls.
Changes in computed tomography perfusion parameters and maximum contrast enhancement in patients having hydrocephalus with a ventriculoperitoneal shunt: a pilot study
Authors: Lee Dongjun , Kim Eun Soo , Lee Yul , Lee Sang Min , Yoon Dae Young , Ju Young-Su , Chang In-Bok 
Published: November 2021

Background Acute hydrocephalus may decrease cerebral perfusion by increasing intracranial pressure. Computed tomography perfusion (CTP) has become a significant adjunct in evaluating regional and global cerebral blood flow (CBF). Purpose To investigate the changes in cerebral perfusion parameters and maximum contrast enhancement (MCE) in patients with hydrocephalus with ventriculoperitoneal shunt (VPS). Material and Methods We performed brain CTP in 45 patients, including those with subarachnoid hemorrhage (SAH)-induced hydrocephalus with VPS (n = 14, G1), hydrocephalus (not related to SAH) with VPS (n = 11, G2), SAH-induced hydrocephalus without VPS (n = 10, G3), and hydrocephalus (not related to SAH) without VPS (n = 10, G4). We measured the cerebral perfusion in the frontal white matter (FWM), centrum semiovale, basal ganglia (BG), and eight cortical lesions of interest and compared the differences in CTP parameters among the groups. Results Between the four groups, cerebral blood volume and MCE in the left FWM and CBF in the right FWM increased significantly in G1 and G2 who underwent VP shunt compared to G3 and G4, whereas perfusion significantly reduced in G3 and G4 who did not undergo VP shunt compared to G1 and G2. MCE in the left BG significantly increased in G2 and decreased in G3 and G4. SAH-induced hydrocephalus showed a lower perfusion than hydrocephalus (not related to SAH) in FWM. Conclusions Perfusion changes in patients with hydrocephalus after VP shunt were seen in the FWM and BG, which appears to be the result of the hydrocephalus reducing brain perfusion in the deep part of the brain. We concluded that SAH slows brain perfusion recovery.
Impact of Organisational, Personal and Interpersonal Factors on Employee Performance in Small and Medium Size Enterprises
Authors: Parray Zahoor Ahmad 
Published: November 2021

The purpose of this study is to examine the impact of organisational level factors (management support, dynamic environment and organisational culture), personal level factors (personal effectiveness, locus of control) and interpersonal level factors (transactional styles and conflict management styles) on employee performance. The study also examines the interrelation between organisational, personal and interpersonal factors. In this study, organisational, personal and interpersonal level factors are included in a single model using data from small- and medium-scale enterprises. The structural equation modelling is used to examine the proposed model describing the relationship between employee performance and three-level factors. The results of this study indicate that management support and personal effectiveness have the strongest impacts (direct and indirect) on employee performance, while locus of control and transactional styles directly affect job performance. Overall 29% (first-level analysis) and 38% (second-level analysis) of employee performance (EP) variance can be explained. The findings of this study have implications for practitioners, academicians and policy makers for effective decision making as organisations are facing intense competition for survival and sustenance in the turbulent business environments. The employee performance is considered one of the important factors and there is a need to identify the factors affecting the performance of employees.
Retrospective analysis of failures of ambulatory elastomeric pumps containing 5-FU in a hospital pharmacy unit
Authors: Chefchaouni Ali Cherif , Ouedraogo Jean-Marie , Bechar Hafsa , Belahcen Mohammed Jaouad , Rahali Younes 
Published: November 2021

Introduction Ambulatory chemotherapy is an important and major advance in clinical oncology practice since it allows the administration of chemotherapy in the comfort of the patient's home without the assistance of a health professional by means of an elastomeric pump. However, these pumps are not without risks and can be the cause of incidents due to technical failures. Our objective is to study the technical failures of elastomeric pumps in the Cytotoxic Preparation Unit and in the patient's home, to evaluate the possible impact of these failures on the patient and on the staff and to propose measures to reduce them. Materials and methods This is a retrospective study conducted at the pharmacy of the National Institute of Oncology in Rabat. It gathered all the specific reports on elastomeric pumps issued during the period (January 2017–May 2021) by the cytotoxic preparation unit to the materiovigilance cell via a notification form. Results 205 cases of elastomeric pump materialovigilance were identified during the study period. The main technical failures were: chemotherapy product leakage (44%), flow rate anomalies (30%) and injection difficulties (20%). Following these incidents, certain actions were undertaken such as alerts sent to the supplier and letters sent to the competent health authorities. Conclusion Despite the failures that may have occurred, elastomeric pumps have revolutionized home chemotherapy delivery. They are considered reliable, consistent, easy to use and handle, and are well accepted in the population.
The relationship between ethical climate and moral distress from the perspective of operating room staff: A correlational study
Authors: Esmaelzadeh Fatemeh , Rajabdizavandi Fatemeh , Nematollahi Monirsadat 
Published: November 2021

Background The organizational climate in the operating room is special due to the specific conditions of the patient, and the ethical climate may affect moral distress of the operating room staff. Objective This study determined the relationship between ethical climate and moral distress from staff working in operating rooms of hospitals affiliated to Mashhad University of Medical Sciences. Method This analytical study was performed on 169 operating room staff in Mashhad, Iran. The operating room staff was selected using stratified random sampling. The data were collected via Olson's Hospital Ethical Climate Survey and the Corley Moral Distress Scale and analyzed with IBM Statistical Package for the Social Sciences (SPSS) software version 21. Results The results showed no relationship between the ethical climate, the frequency, and intensity of moral distress of the operating room staff ( p > 0.05). In addition, the mean score of the ethical climate was 3.32 ± 0.48, indicating the average ethical climate in the operating room. The mean frequency and intensity of moral distress were 36.36 ± 11.68 and 48.8 ± 15.92, showing a moderate rate. There was a significant inverse relationship between the dimensions of ethical climate, the relationship with physicians, and the intensity of moral distress ( p <0.05). A significant relationship was found between the intensity of moral distress, the level of education, and field of study ( p <0.05). Conclusion The results of the current study showed that interventional programs should be implemented to reduce moral distress and improve the ethical climate in the operating room.
Role of dynamic ultrasound in assessment of the snapping elbow and distal biceps tendon injury
Authors: Ooi Michelle Wei Xin , Tham Jun-Li , Al-Ani Zeid 
Published: November 2021

Introduction Ultrasound is useful in assessing patients with snapping syndromes around the elbow joint. The dynamic nature of the examination allows for direct visualisation of the underlying causative factor. Topic description: We discuss the role of dynamic ultrasound in assessing various snapping syndromes around the elbow, such as ulnar nerve instability, snapping triceps and less commonly, snapping brachialis. Ultrasound is also useful in evaluating the distal biceps tendon, particularly in differentiating partial from complete tendon injury. Discussion Ulnar nerve instability and snapping triceps can be assessed via a medial approach with the transducer placed transversely between the medial epicondyle and the olecranon. In ulnar nerve instability, the nerve can be seen crossing over the medial epicondyle on elbow flexion. In snapping triceps syndrome, both the ulnar nerve and the distal triceps can be seen dislocating over the medial epicondyle. Dynamic assessment of the distal biceps tendon using a lateral approach minimises anisotropy artefact often seen on the anterior approach. Passive pronation and supination of the forearm will reveal little or no movement in a completely torn tendon whereas moving tendon fibres will be appreciated in partial tears. In a snapping brachialis, the medial portion of brachialis will be seen abnormally translocating anterolateral to the medial border of the trochlea during elbow flexion and snapping back into its normal position on elbow extension. Conclusion Dynamic ultrasound of the elbow is valuable in diagnosing patients with snapping sensations around the joint and in evaluating the integrity of the distal biceps tendon.
Empowering refugee families in transit: the development of a culturally competent and compassionate training and support package
Authors: Papadopoulos Irena , Lazzarino Runa , Sakellaraki Ourania , Dadãu Victor , Apostolara Paraskevi , Kuckert-Wöstheinrich Andrea , Mauceri Manuela , Kouta Christiana 
Published: November 2021

Background Refugee parents who fled conflicts suffered violence and traumas and face huge challenges in supporting the health and welfare of their children while in transit. Aims To describe the development of a culturally competent and compassionate training and support package (TSP) for nurses, social and health care workers and volunteers, with a focus on parenting needs among unsettled refugees fleeing conflict. Methods The multi-method approach included: a scoping review covering parenting needs of refugees fleeing conflict zones; collection of stories from refugee parents, healthcare workers and volunteers via a mobile application; discussions between team members; a piloted and evaluated curriculum. Results High levels of family distress and deterioration of parental identity were identified. Informed by these results, the curriculum is articulated along 20 bite-sized learning units, covering four age stages of childhood as well as targeting adults’ well-being. Pilot training was evaluated positively, confirming feasibility and usefulness of the TSP. Conclusions Unsettled refugee parents fleeing conflicts face psycho-social and practical difficulties negatively affecting their parenting skills. The care workforce should be trained in order to provide culturally competent and compassionate support to help these families. Open access digital platforms are promising as autodidactic and self-help tools among hard-to-reach populations.