bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fine Particulate Matter Related to Multiple Sclerosis Relapse in Young Patients
Authors: Januel Edouard , Dessimond Boris , Colette Augustin , Annesi-Maesano Isabella , Stankoff Bruno 
Published: May 2021

Objective: Particulate matter (PM) of aerodynamic diameter smaller than 10 μm (PM10) has been associated with multiple sclerosis (MS) relapse. However, the impact of smaller PM with a greater ability to penetrate human organism has never been assessed. We evaluated the impact of PM smaller than 2.5 μm (PM2.5) on the risk of MS relapse.Material and Methods: In a case-crossover study, we included 2,109 consecutive hospitalizations likely due to MS relapse in day hospital in 5 MS centers in the Paris area from January 2009 to December 2013. For each hospitalization, the natural logarithm of the average weekly PM2.5 concentrations (μg/m3) at the patient's residence address during each of the 6 weeks (week[0] to week[−5]) preceding admission was compared with the concentration during the previous week, using a conditional logistic regression adjusted on temperature, flu-like syndrome rate, pollen count, and holiday period.Results: PM2.5 average concentration during week[−3] was significantly associated with the risk of hospitalization for MS relapse [OR = 1.21 (CI 1.01;1.46)]. The association was stronger in patients younger than 30 years [OR=1.77 (CI 1.10; 2.83)].Conclusion: Our study demonstrates an association between exposure to PM2.5 and MS relapse, particularly in young people.
Preoperative Gadoxetic Acid-Enhanced MRI Based Nomogram Improves Prediction of Early HCC Recurrence After Ablation Therapy
Authors: Hu Chengguang , Song Yangda , Zhang Jing , Dai Lin , Tang Cuirong , Li Meng , Liao Weijia , Zhou Yuchen , Xu Yikai , Zhang Yong-Yuan , Zhou Yuanping 
Published: May 2021

PurposeThis study aimed to identify preoperative gadoxetic acid-enhanced MRI features and establish a nomogram for predicting early recurrence (≤ 2 years) of hepatocellular carcinoma (HCC) after ablation therapy.MethodsA total of 160 patients who underwent gadoxetic acid-enhanced MRI and ablation HCC therapy from January 2015 to June 2018, were included retrospectively and divided into a training cohort (n = 112) and a validation cohort (n = 48). Independent clinical risk factors and gadoxetic acid-enhanced MRI features associated with early recurrence were identified by univariate and multivariate logistic regression analysis and used for construction of a nomogram. The performance of the nomogram was evaluated by discrimination, calibration, and clinical utility.ResultsAlpha-fetoprotein (AFP) level, tumor number, arterial peritumoral enhancement, satellite nodule and peritumoral hypointensity at hepatobiliary phases in the training cohort were identified as independent risk factors for early recurrence after ablation. A new nomogram that was constructed with these five features showed an area under the curve (AUC) of 0.843 (95%CI 0.771-0.916) and 0.835 (95%CI 0.713-0.956) in the training and validation cohort, respectively. The calibration curve and decision curve analysis (DCA) suggested that the nomogram had good consistency and clinical utility.ConclusionsA new nomogram that was constructed using four preoperative gadoxetic acid-enhanced MRI features and serum AFP level can predict the risk of early HCC recurrence after ablation therapy with AUC up to 0.843. The strong performance of this nomogram may help hepatologists to categorize patients’ recurrent risk to guide selecting treatment options and improve postoperative management.
Burden of Eating Disorders in China, 1990-2019: An Updated Systematic Analysis of the Global Burden of Disease Study 2019
Authors: Li Zhitao , Wang Lili , Guan Haixia , Han Cheng , Cui Peng , Liu Aihua , Li Yongze 
Published: May 2021

Background: Eating disorders, including anorexia nervosa (AN) and bulimia nervosa (BN), are complex mental disorders. A better understanding of the burden of eating disorders is essential for improving their management. Information about the burden of eating disorders at the national level in China remains unclear.Methods: This is a systematic analysis of the Global Burden of Disease Study (GBD) 2019. The sex- and age-specific prevalence, incidence, and disability-adjusted life years (DALYs) of eating disorders in China were estimated by systematically reviewing all available epidemiological data and inputting these data into a Bayesian meta-regression tool (DisMod-MR 2.0). Trends in the age-standardized prevalence, incidence, and DALYs due to AN and BN were assessed from 1990 to 2019.Results: The age-standardized incidence rate (ASIR), prevalence rate (ASPR), and DALY rate per 100,000 population were estimated to be 13.22 (95% UI, 9.35–18.23), 38.08 (95% UI: 26.37–55.73), and 8.38 (95% UI, 4.87–13.35) for AN and 130.05 (95% UI, 84.02–187.13), 75.21 (95% UI, 48.52–105.97), and 16.16 (95% UI, 9.23–25.40) for BN, respectively, in 2019. The prevalence, incidence, and DALY rate of AN peaked at 15–19 years old. The prevalence and DALY rate of BN peaked at 30–34 years old. Females had a higher burden of AN and a lower burden of BN than males. The ASIR, ASPR, and DALY significantly increased by 1.3% (95% CI: 1.3–1.4%), 1.6% (95% CI, 1.5–1.6%), and 1.6% (95% CI, 1.5–1.7%) for AN and 1.4% (95% CI: 1.4–1.4%), 2.0% (95% CI, 2.0–2.1%), and 2.0% (95% CI, 2.0–2.1%) for BN, respectively, from 1990 to 2019 in China. In addition, the increments in all the age-standardized measures of BN were higher in males than in females.Conclusions: The burden of eating disorders in China showed unexpected patterns that varied by sex and age, with increasing trends of AN and BN from 1990 to 2019. More attention should be given to improving the burden of BN in males in China.
Developing a Data-Driven Approach in Order to Improve the Safety and Quality of Patient Care
Authors: Cascini Fidelia , Santaroni Federico , Lanzetti Riccardo , Failla Giovanna , Gentili Andrea , Ricciardi Walter 
Published: May 2021

Objective: To improve the safety and quality of patient care in hospitals by shaping clinical pathways throughout the patient journey.Study Setting: A risk model designed for healthcare organizations in the context of the challenges arising from comorbidity and other treatment-related complexities.Study Design: The core of the model is the patient and his intra-hospital journey, which is analyzed using a data-driven approach. The structure of a predictive model to support organizational and clinical decision-making activities is explained. Data relating to each step of the intra-hospital journey (from hospital admission to discharge) are extracted from clinical records.Principal Findings: The proposed approach is feasible and can be used effectively to improve safety and quality. It enables the evaluation of clinical risks at each step of the patient journey.Conclusion: Based on data from real cases, the model can record and calculate, over time, variables and behaviors that affect the safety and quality of healthcare organizations. This provides a greater understanding of healthcare processes and their complexity which can, in turn, advance research relating to clinical pathways and improve strategies adopted by organizations.
A Scoping Review of Evidence-Informed Recommendations for Designing Inclusive Playgrounds
Authors: Brown Denver M. Y. , Ross Timothy , Leo Jennifer , Buliung Ron N. , Shirazipour Celina H. , Latimer-Cheung Amy E. , Arbour-Nicitopoulos Kelly P. 
Published: May 2021

Background: Playgrounds provide children with many sensory, motor, and socioemotional experiences that are critical to child development. Unfortunately, playgrounds also represent an environment where children with disabilities experience barriers to accessing play. Structures and materials that are prominently found in almost all playground designs (e.g., swings, slides, sand) can present as obstacles for many children with disabilities to engage in independent play.Aims: This scoping review engaged in the empirical literature to address the research question, “What are the evidence-informed recommendations for designing inclusive playgrounds to enable participation for children with disabilities?” Consideration was given not only to the physical design of playgrounds, but also the playgrounds' surrounding built and social environments.Methods: A systematic search of Medline, PsycINFO, CINAHL, EMBase, ERIC and Scopus was conducted. Only peer-reviewed literature published in English between January 1990 and January 2021, with a primary focus on inclusive playground structure design related to any type of disability were included. Data extraction included the study author(s), year of publication, country of origin, purpose, disability types considered, methods, sample characteristics and key findings. Key findings were synthesized into evidence-informed recommendations, which were later collated, using inductive content analysis, into five broader thematically congruent groups.Results: Thirty-five studies were included using case study (n = 17); observational (n = 6); survey (n = 5); experimental (n = 4); and multiple study (n = 3) designs. Thirteen evidence-based recommendations and one promising practice were categorized into five broad playground elements: entry points; surfacing and paths; features to foster inclusive play; staffing/supervision; and design process.Conclusion: These recommendations build upon previous design-based best-practices that focused exclusively on the physical design of the playground. Our recommendations have implications for how future playgrounds should be designed to maximize usability and inclusiveness and the overall playground experiences for children with disabilities.
Assessment of Risk Factors for the Occurrence of a High-Output Ileostomy
Authors: Seifarth Claudia , Augustin Leonard N. , Lehmann Kai S. , Stroux Andrea , Lauscher Johannes C. , Kreis Martin E. , Holmer Christoph 
Published: May 2021

Background: Ileostomy is often required in patients undergoing bowel resections for inflammatory bowel diseases (IBD), colorectal cancer, and emergencies. Unfortunately, some patients develop a high-output stoma (HOS). This condition affects homeostasis and may be life threatening. We aimed to identify possible risk factors for the development of HOS.Patients and methods: From 2012 to 2018, 296 patients who underwent ileostomy at Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin were retrospectively analyzed. Emergency operations were included. Diverting ileostomy, end ileostomies and anastomotic stomata with at least part ileum, were examined. HOS was defined as stoma output of more than 1,000 mL per day for more than 3 days. Univariate and multivariable analyses were used to detect potential risk factors for the development of HOS.Results: 41 of 296 patients developed HOS (13.9%). Mortality was 0.3%. In the univariate analysis, age (p &lt; 0.002), diagnosis (Crohn's disease, p = 0.005), arterial hypertension (p = 0.023), surgical procedure (right-sided colectomy, small bowel resection, p &lt; 0.001), open technique (p &lt; 0.002), emergencies (p = 0.014), and anastomotic ileostomy (p &lt; 0.001) were identified as risk factors. In the multivariable logistic regression, older age, diagnosis (Crohn's disease) and surgical procedure (right-sided colectomy, separate ileostomy, small bowel resection) remained significant risk factors.Conclusion: The occurrence of HOS is a relevant problem after ileostomy. The identification of risk factors for a high-output may be helpful for monitoring, early diagnosis and initiation of therapy as well as in the planning of close follow-up care.
HUMAN UNCONSCIOUS PROCESSES AS A FACTOR OF FORMATION OF THE OUTSIDE WORLD AND SOCIAL INTERACTIONS
Authors: Shylina N. 
Published: May 2021

The article is devoted to the problem of the formation of personality in the modern information society and the influence of the unconscious person on the surrounding world. The author analyzes the psychoanalytic approach to the consideration of the personality by Z. Freud. The author also considers the conflict between the principle of pleasure and the principle of rationality and its influence on the interaction of personality and society. The author characterizes the psychoanalytic approach of J. Frankl. The problem of the mutual influence of personality and society, namely the processes of interiorization and exteriorization, is revealed. The theory of E. Neumann about the influence of the unconscious on the functioning of consciousness is described in the article.E. Edinger’s scientific work is also analyzed by the author. Parallels between the alchemical processes of the unconscious person and their reflection in the behavior and activities of the individual were made. The author analyzes also the modern view on the problem of person and reality in quantum mechanics. In this context, A. Puzikov’s approach is considered. The problem of objective and subjective realities has been raised. The concept of proto-reality is revealed in the article. The influence of the choice of personality from the endless options on the formation of actual reality is explained in the article.
TYPES OF INDIVIDUAL MEN EROTIC CODE
Authors: Sedykh K. , Zozul T. 
Published: May 2021

The article is devoted to the current definition and justification of the men’s individual erotic code typology. Significant expansion and development of psychologists’ professional activity necessitate creating of generalized classification of individuals and married couples’ behavioral erotic types. The study of sexual- psychological characteristics of behavioral patterns of men in erotic relationships is very important in this regard.The new material on the topic under study is generalized. Erotic imagination functions and erotic images impact the process of forming a fixed erotic Image of a sexual partner in men are determined. The impact of early life experience (imprinting) influenced on the individual erotic code formation is described.Attention is concentrated on analysis of the phenomenon individual men erotic code. The types of men individual erotic code, based on the concept of archetypes (K. G. Jung, D. S. Bolen) study are defined. Types of individual erotic code were named after the ancient Greek gods: Zeus, Apollo, Hermes, Ares, Hephaestus, Dionysus, Hades. The attention is focused on the deep analysis of individual women erotic code stages realization, such as, the genesis of erotic impulse, the tempting process, the sexual act behavior, the pregnancy, the caring of posterity.
DYNAMICS OF ADOLESCENT’S FROM INFORMAL UNIONS MEANING SPHERE INDICATORS IN THE TRAINING PROCESS
Authors: Lavrinenko V. 
Published: May 2021

The article analyzes the features of value-meaning sphere development program participants meaning sphere dynamics indicators. The role of subcultures in modern society, directions of scientific research in the field of adolescents meaning sphere formation in informal associations current scientific research are presented.
The adolescent’s from informal unions value-meaning consciousness in the context of their communicative experience in subcultures integration development program purpose and content are described. The meaning orientations, meaning sphere structural and content characteristics and the severity of the meaning crisis of adolescents who took part in the approbation of the program dynamics indicators are analyzed.
The program approbation results proved its effectiveness by increasing the meaningfulness of adolescent’s from informal unions life, their reflexivity, quantitative characteristics of the meanings system while reducing the meaning of life crisis and negativism manifestations.
GENDER DIFFERENCES IN READINESS FOR MARRIAGE OF HIGH SCHOOL PUPILS
Authors: Тykhonenko N. 
Published: May 2021

The article is devoted to the analysis of gender differences in readiness for marriage of high school pupils. It systematizes the factors of psychological readiness of young men and women for family life in today’s conditions. Adolescence, as a time of individual’s vital self-determination, is characterized by the experience of various social roles and activities. Psychological readiness for family life includes a stable positive motivation to start a family, the development of personal qualities of the family man, the ability to empathically understand the partner, constructive and self-affirming behavior in marriage.
Theoretical analysis of the peculiarities of personality formation in adolescence, the specifics of readiness for marriage and family-role expectations of senior school age pupils; methodical bases and methods of research are described. The results of an empirical study of gender differences in marriage readiness of high school pupils, their focus on understanding, emotional attraction and authority in marriage are analyzed.
It was found that girls are characterized by a strong motivational willingness to start a family, more focused on understanding with a partner and emotional involvement in the relationship. They are clearly aware of the specifics of family responsibilities, their own role in family life, the specifics of the organization of married life. Instead, for boys, the process of exercising authority and taking a dominant position in communication is more important. Girls consider the most important to be the achievement of a common point of view, acceptance from a partner, demonstration to him of acceptance of his position. In the success of family interaction, they pay special attention to emotional interaction and intimacy, manifestations of love and support.
The boys, on the other hand, strive to realize their authority and dominance in family relations, expect the woman to submit to their position and views, without giving a special role to issues of understanding and emotional inclusion. They have no intrinsic motivational need to start a family. Young people think little about the relationship between family roles, the organization of family life and building a system of support for family life.
SPIRITUAL AND MORAL ASPECTS OF PROFESSIONAL SOCIALIZATION OF PSYCHOLOGY STUDENTS
Authors: Koniaieva L. 
Published: May 2021

The article highlights the actual problem of spiritual and moral aspects of professional socialization of modern student youth, and in particular psychology students. The concepts of professional socialization, morality, spirituality are analyzed. The materialistic and religious points of view in understanding spirituality are considered.
It was found that student youth is in the most intensive phase of socialization, which is associated with studying at a higher educational institution, and the important factors of professional socialization of students are the motivation and moral orientation of the individual, professional worldview, the values of professional activities of specialists and the system of value orientations. A theoretical analysis of the literature has shown that value orientations are a spiritual phenomenon, the essential basis of a person, a mechanism for self-organization of her spiritual world, and a person's moral self-determination is closely related to the level of his spiritual development. The connection of universal human moral values with personal and professional is the driving force behind the development of a specialist, and the conscious development of value orientations in students and the purposeful formation of spiritual and moral values in them are necessary for their successful professional socialization.
The profession of a psychologist requires increased attention to the moral side of the functions performed, since his professional activity is directly related to interaction with people, influence on their inner world. Therefore, the ethics of his work is based on universal human moral values. In the professional activity of a psychologist, the main ones are the ideals of the free and all-round development of the personality and its respect, the rapprochement of people and a pronounced orientation towards the value of another person. Therefore, spiritual and moral development is a priority in the process of professional socialization of psychology students, during which special attention should be paid to the formation of the moral self-concept of personality, virtues, empathy, self-esteem and the assimilation of moral values of the professional activity of psychologists, taking into account their ethical code.
Популізм і вибори в контексті глобалізаційних змін
Authors: Кіянка І. , Левицька Н. 
Published: May 2021

Акцентовано увагу на особливостях популізму та виборах у контексті глобалізаційних процесів. Звернено увагу на феномен популізму та популістських ідеологій у соціально-політичному житті багатьох країн світу. Зазначено, що на відміну від традиційних ідеологічних систем, популізм залежить від особливостей різних національних політичних культур, конкретної сукупності обставин соціально-економічного та політичного життя певної країни. Проведено аналіз виборів та виборчих кампаній, які використовують популістські гасла щодо отримання влади та вплив глобалізаційних процесів на сучасне політичне життя.
Paulo Freire y su legado político pedagógico en la sistematización de experiencias emancipatorias
Authors: Ruiz Muñoz María Mercedes 
Published: May 2021

En este trabajo se presenta la recuperación del pensamiento freireano a la luz de la reconstrucción de experiencias a partir de la voz de los sujetos. La marca de Paulo Freire en el campo de la investigación educativa juega de manera significativa en la producción del conocimiento y en los saberes que emergen de los procesos de constitución de sujetos. La mirada analítica de la imbricación de lo político y lo pedagógico opera como una lógica de intelección para analizar los procesos educativos que se dan más allá de la escuela y al interior de la misma. De acuerdo con Paulo Freire, no se puede aludir a lo educativo sin lo político y a lo político sin lo educativo. En este sentido, la sistematización de experiencias opera bajo estos registros y otorga un sentido particular a la narrativa de los sujetos.
Paulo Freire y los aportes anticoloniales de Frantz Fanon, Albert Memmi y Amílcar Cabral
Authors: Fernández Moujan Inés 
Published: May 2021

En este artículo analizo la dimensión de “lo político” en la pedagogía freireana. Para ello focalizo en los aportes teóricos de tres intelectuales anticoloniales: Frantz Fanon, Albert Memmi y Amílcar Cabral. Las narrativas políticas de estos tres pensadores influyeron de manera preponderante en la escritura de Paulo Freire. Sitúo mi análisis en el período del exilio de Paulo Freire (1964-1982), momento en el cual tiene una producción intelectual prolífica, al mismo tiempo que participa activamente en los debates y revoluciones de los pueblos latinoamericanos, caribeños y africanos. Me interesa destacar en este escrito las influencias políticas de los pensamientos de estos intelectuales en la teoría freireana. Respecto a Fanon, me centro en el aspecto político epistémico y racial, es decir las categorías que le provee a Freire referidas a la “conciencia dual”, “lo racial” y la “descolonización”; en relación a Memmi, presento el problema de la “deshumanización” del colonizadx; en cuanto a Amílcar Cabral, refiero a su posición anticolonial y a su idea de “descolonización de las mentes” y “resistencia cultural”. Estas categorías le permitieron a Freire reformular sus presupuestos iniciales sobre la liberación y proponer una pedagogía “con” los oprimidos.