bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Narrative Care approach for persons living with dementia in institutional care settings
Authors: Berendonk Charlotte , Blix Bodil H. , Hoben Matthias , Clandinin D. Jean , Roach Pamela M. , Compton Roslyn M. , Cave Marie T. , Caine Vera 
Published: October 2019

AbstractAims and objectivesWe will provide insights in the theoretical background and key concepts of a Narrative Care approach, such as narrative cultures, narrative curiosity, narrative co‐composition and narrative reflective practice.BackgroundCare understood as narrative practice underscores the importance of experiences and how these shape identities. Important to the quality of care in institutional care settings is the ability of care providers to cope with complexities and uncertainties in older adults’ stories, which can be realised by attending to ways that foster and co‐compose evolving and forward‐looking narratives. Recognising these ongoing co‐compositions means that persons living in institutional care settings and care providers live, tell, retell and relive their experiences. A change in the current institutional culture is necessary to implement care as narrative practice. To support such a change, approaches are needed that foster a focus on experiences and relationships and make relational ethics central to care.MethodsThe proposed Narrative Care approach is the result of an iterative development process involving a literature review, interviews with, and observations of, care providers, dialogues with an advisory committee, and consultation with experts.Main contributionsThe proposed Narrative Care approach aims to help care providers (a) to recognise the importance of curiosity in a person's verbal and embodied narratives—especially for those living with dementia; (b) to take note of individual experiences in all of their complexity and uncertainty; (c) to respect these narratives; (d) to open up spaces to co‐compose new narratives; and (e) to allow care providers to engage in narrative reflective practices that shape who they are and are becoming.ConclusionThe introduced approach responds to the need of implementing strategies to think and work narratively in institutional care settings.Implications for practiceNarrative Care has the potential to reshape task‐oriented, technical notions of care. Concepts such as embodied narratives, relational ethics, narrative co‐composition and narrative reflective practice must be integrated in the education of all care providers.
Social interaction patterns, therapist responsiveness, and outcome in treatments for borderline personality disorder
Authors: Signer Silja , Estermann Jansen Rafael , Sachse Rainer , Caspar Franz , Kramer Ueli 
Published: October 2019

ObjectivesInflexible social interaction patterns are defining features of borderline personality disorder (BPD). Specific beliefs about the self and others may be activated across interaction situations, often leading to instable relationships. It may be pivotal to address these difficulties in early treatment phases, through appropriate therapist responsiveness, which means an adaptation of therapist's activity to their client's behaviours using emerging information in the process (Stiles, 2009, Clinical Psychology: Science and Practice, 16, 86).DesignIn this process–outcome study, responsiveness is operationalized by the motive‐oriented therapeutic relationship (Caspar, 2007, Handbook of psychotherapeutic case formulations, 2nd ed., 251–289, Guilford), based on the Plan analysis case formulation. The present study assesses the interplay between social interaction problems and therapist responsiveness, explaining symptoms at discharge and the therapeutic alliance.MethodIn total, N = 50 clients with BPD entered the study, and standard and responsive treatments were compared. Social interaction patterns were assessed by the newly developed Borderline Interaction Patterns Scale (BIPS), applied to recorded material of three sessions per therapy. Outcome was measured by general symptoms (OQ‐45), borderline symptoms (BSL‐23), interpersonal problems (IIP), and the therapeutic alliance (WAI).ResultsResults suggest that in standard treatment, social interaction patterns are neither related to outcome nor the therapeutic alliance. In responsive treatment, more activation of social interaction patterns predicted better outcome on IIP and lower therapist ratings of the alliance.ConclusionsThe conclusions seem promising for specific effectiveness of responsive treatments in particular in the interpersonal problem area of BPD. Identifying social interaction patterns early in treatment may be a crucial pathway to change for BPD.Practitioner points

Responsive therapy activating social interaction patterns may be crucial for better outcome.

Future research should focus on mechanisms of change in early treatment phases for BPD.

New scale for assessing social interaction patterns specific to borderline personality disorder.
Cutaneous polyarteritis nodosa in pediatric patients successfully treated with TNF‐α inhibitor and methotrexate: Case series and literature review
Authors: Do Ngan , Ringold Sarah , Brandling‐Bennett Heather 
Published: October 2019

AbstractCutaneous polyarteritis nodosa (CPAN) is a rare necrotizing vasculitis affecting small‐ to medium‐sized arteries. Reported treatments include oral corticosteroids alone or in combination with non‐steroidal antiinflammatory drugs, intravenous immunoglobulins, cyclophosphamide, azathioprine, colchicine, or dapsone. However, some patients with CPAN do not respond to such treatments and continue to experience exacerbations over prolonged periods. This series provides support for the use of TNF‐α inhibitors in the treatment of recalcitrant CPAN in pediatric patients.
Public Policy and Behavior Change
Authors: Tummers Lars 
Published: October 2019

AbstractChanging behavior is often necessary to tackle societal problems, such as obesity, alcohol abuse, and debt problems. This article has two goals. First, it aims to highlight how governments can try to change the behavior of citizens. Government can use policy instruments to do so, including incentives, bans and mandates, information campaigns, and nudges. However, the government should not be a manipulator that applies policy instruments without societal support. Therefore, the second goal of the article is to provide a conceptual framework that helps analyze whether public policies to stimulate behavior change are effective and supported by key stakeholders. This conceptual framework has five criteria indicating the extent to which there is effective and supported behavior change: the policy is (1) effective and (2) efficient, and there is support for the policy among (3) politicians, (4) implementing organizations, and (5) citizens. The article ends with suggestions to study public policy aimed at behavior change.
On the Symmetry of Case in Conjunction
Authors: Weisser Philipp 
Published: October 2019

AbstractIn this article, I argue that all of the conjuncts in nominal conjunction always bear the same case. Apparent counterexamples, where conjuncts seem to differ in morphological case marking, are due either to a misanalysis of the underlying syntactic structure or to superficial morphological processes that create the impression of a difference in case marking. Once we control for phenomena of this sort (namely &P clitics, suspended affixation, and allomorphy), we find that case marking in nominal conjunction is always symmetric. This finding is in stark contrast to the phenomenon of ϕ agreement, which is known to exhibit asymmetries in conjunction. I show that the Chomskyan account of case assignment, according to which case arises only as a reflex of ϕ agreement, cannot account for this mismatch without stipulative assumptions. The pattern follows straightforwardly, however, if we assume that case assignment proceeds on the basis of syntactic structure while ϕ agreement can be either syntactic or postsyntactic. Finally, I show that the generalization established can be used as a simple diagnostic to distinguish syntactic case‐marking alternations from morphological ones.
The influence of stomatal morphology and distribution on photosynthetic gas exchange
Authors: Harrison Emily L. , Arce Cubas Lucia , Gray Julie E. , Hepworth Christopher 
Published: October 2019

SummaryThe intricate and interconnecting reactions of C3 photosynthesis are often limited by one of two fundamental processes: the conversion of solar energy into chemical energy, or the diffusion of CO2 from the atmosphere through the stomata, and ultimately into the chloroplast. In this review, we explore how the contributions of stomatal morphology and distribution can affect photosynthesis, through changes in gaseous exchange. The factors driving this relationship are considered, and recent results from studies investigating the effects of stomatal shape, size, density and patterning on photosynthesis are discussed. We suggest that the interplay between stomatal gaseous exchange and photosynthesis is complex, and that a disconnect often exists between the rates of CO2 diffusion and photosynthetic carbon fixation. The mechanisms that allow for substantial reductions in maximum stomatal conductance without affecting photosynthesis are highly dependent on environmental factors, such as light intensity, and could be exploited to improve crop performance.
Computed tomographic lymphangiography of the thoracic duct by subcutaneous iohexol injection into the metatarsal region
Authors: Kim Kitae , Cheon Sangkyung , Kang Kyuyong , Hwang Yawon , Oh Dayoung , Yoon Junghee , Choi Mincheol 
Published: October 2019

AbstractObjectiveTo evaluate the efficacy of subcutaneous iohexol injection into the metatarsal region for thoracic duct lymphangiography in dogs and to determine the minimum effective dose.Study designExperimental study and clinical report.AnimalsFive healthy beagle dogs and one dog with chylothorax.MethodsFor the experimental study, iohexol was injected subcutaneously into the metatarsal region of five dogs at three doses (0.5, 0.75, and 1 mL/kg), and the injection sites were massaged gently. Computed tomography (CT) was performed 1, 3, 5, 7, 10, 15, and 20 minutes after iohexol injection. Subjective quality was assessed, and Hounsfield unit values were measured at several regions of interest (T1, T4, T8, T13, and L3). In the dog with chylothorax, iohexol (1.0 mL/kg) was injected into the right metatarsal region prior to CT.ResultsThe thoracic duct was visualized and enhanced by contrast in all dogs after injection of 0.75 and 1.0 mL/kg of iohexol, and in two dogs after injection of 0.5 mL/kg at 3, 5, and 7 minutes. The thoracic duct was gradually attenuated with increasing doses of iohexol. In the dog with chylothorax, the entire thoracic duct was well enhanced and dilated, and tortuous cranial mediastinal lymphatics were detected.ConclusionThe thoracic duct was visualized when at least 0.75 mL/kg of iohexol was injected subcutaneously into the metatarsal region of dogs.Clinical significanceSubcutaneous injection of iohexol into the metatarsal region offers a simple alternative to conventional thoracic duct lymphangiography.
Oman corals suggest that a stronger winter shamal season caused the Akkadian Empire (Mesopotamia) collapse
Authors: Watanabe Takaaki K. , Watanabe Tsuyoshi , Yamazaki Atsuko , Pfeiffer Miriam 
Published: October 2019

Abstract
The Akkadian Empire was the first united empire in Mesopotamia and was established at 4.6 kyr B.P. (where present is A.D. 1950). The empire abruptly collapsed in 4.2 ± 0.2 kyr B.P. Seasonal-scale climatic dynamics behind this collapse have not yet been resolved. Here, we present monthly climatic parameters (temperature and hydrology) inferred from fossil Omani corals that lived between 4.5 and 2.9 kyr B.P. Winter temperatures derived from a modern Omani coral correlate with winter shamal (western Asian dust storm) frequency. A fossil coral from 4.1 kyr B.P. shows a prolonged winter shamal season with frequent shamal days. This likely caused agricultural failures in Mesopotamia and contributed to the Akkadian Empire collapse, as this region depends on winter rainfall.
Pharmacovigilance assessment of the association between Fournier’s gangrene and other severe genital adverse events with SGLT-2 inhibitors
Authors: Fadini Gian Paolo , Sarangdhar Mayur , De Ponti Fabrizio , Avogaro Angelo , Raschi Emanuel 
Published: October 2019

ObjectiveSodium glucose cotransporter-2 inhibitors (SGLT2i) exert cardiorenal protection in people with diabetes. By inducing glycosuria, SGLT2i predispose to genital infections. In addition, rare occurrence of Fournier’s gangrene (FG) has been reported. We aimed to investigate such association through the U.S. Food and Drug Administration (FDA) adverse event (AE) reporting system (FAERS).Research design and methodsWe mined the FAERS up to 2018q3 (before FDA warning about SGLT2i-associated FG) to retrieve reports including FG as an AE and SGLT2i as suspect or concomitant drugs, and calculated proportional reporting ratios (PRR).ResultsWe retrieved 47 cases of FG and 17 cases of other severe AEs of the genital area associated with SGLT2i. Patients with FG were ~10 years older than those with other severe genital AEs. Overall, 77% occurred in men. Three patients were concomitantly treated with systemic immunosuppressive drugs. Increased reporting frequency emerged for SGLT2i compared with other drugs, with a PRR ranging from 5 to 10. The disproportional reporting of FG with SGLT2i remained robust and consistently significant when restricting to the period when SGLT2i were available, to reports filed for glucose-lowering medications or for drugs with the diabetes indication, and after refining the definition of FG. FG was disproportionally associated with psoriasis and with the combination of immunosuppressants and SGLT2i.ConclusionsAlthough causality cannot be demonstrated, SGLT2i may predispose to FG and other severe genital AEs. Since the use of SGLT2i is expected to increase significantly, clinicians should be aware of these severe, although rare, AEs and their predisposing factors.
Systematic identification and referral of smokers attending HIV ambulatory care highlights the failure of current service provision in an at-risk population
Authors: Brown James , Kyriacou Christianna , Pickett Elisha , Edwards Kelly , Joshi Hemal , Stewart Nafeesah , Melville Andrew , Johnson Margaret , Flint Jan , Bartley Angela , Rodger Alison , Lipman Marc 
Published: October 2019

IntroductionPeople living with HIV (PLWH) are more likely to smoke than the general population and are at greater risk of smoking-related illness. Healthcare services need to address this burden of preventable disease.MethodsWe evaluated the impact of a brief intervention that asked service users about smoking when they attended for ambulatory HIV care in London, UK, and offered referral to smoking cessation.ResultsOverall, 1548 HIV-positive individuals were asked about their smoking status over a 12-month period. Of this group, 385 (25%) reported that they were current smokers, 372 (97%) were offered referral to smoking cessation services and 154 (40%) accepted this. We established an outcome of referral for 114 (74%) individuals. A total of 36 (10% of smokers) attended stop smoking clinics and 16 (4%) individuals were recorded as having quit smoking.DiscussionThe simple intervention of asking PLWH about tobacco smoking and offering referral to smoking cessation services rapidly identified current smokers, 40% of whom accepted referral to smoking cessation services. This highlights the importance of promoting behaviour and lifestyle changes with every contact with health services. However, a large proportion of those referred were either not seen in local services or the outcome of referral could not be ascertained. If the risk of smoking-related morbidity among PLWH is to be reduced, more sustainable referral pathways and ways of improving uptake of smoking cessation services must be developed.
Balloon-expandable transfemoral transcatheter aortic valve implantation with or without predilation: findings from the prospective EASE-IT TF multicentre registry
Authors: Schymik Gerhard , Rudolph Tanja , Jacobshagen Claudius , Rothe Jürgen , Treede Hendrik , Kerber Sebastian , Frank Derk , Sykorova Lenka , Okamoto Maki , Thoenes Martin , Deutsch Cornelia , Bramlage Peter , Butter Christian 
Published: October 2019

BackgroundPredilation of the native valve has long been deemed necessary in transfemoral transcatheter aortic valve implantation (TF-TAVI), despite little trial evidence to support its clinical use. As most evidence is derived from retrospective analyses of observational studies, we conducted a two-armed, prospective multicentre registry.MethodsPatients undergoing TF-TAVI with the Edwards SAPIEN 3 valve, with or without balloon aortic valvuloplasty (BAV), were included and their procedural characteristics, short-term safety and short-term efficacy outcomes compared. We hypothesised that BAV may be safely omitted in many patients and omission could be associated with procedural benefits.ResultsOverall, 196 consecutive patients underwent TF-TAVI, 56 with BAV and 140 without. The mean age was 81.2±6.2 years, and the mean logistic EuroSCORE I was 17.1±13.6. Device success according to Valve Academic Research Consortium-2 (VARC-2) was achieved in 96.4%. The median procedural duration was shorter without BAV (56 min vs 90 min; p=0.001), as was fluoroscopy time (10 min vs 13 min; p=0.001). The need for balloon postdilation was less frequent in patients without BAV (15.7% vs 30.4%, p=0.029). There was no difference in the proportion of patients meeting the VARC-2 defined composite safety endpoint at 30 days (9.3% without vs 8.9% with BAV; adjusted OR (adjOR) 2.55; 95% CI 0.56 to 18.84) and at 6 months (15.2% without vs 16.4% with BAV; adjOR 1.66; 95% CI 0.49 to 6.55).ConclusionsIn the majority of patients, BAV can be safely omitted from the TAVI procedure without adverse effects. The omission of BAV is associated with shorter procedural duration and could be advantageous for the majority of patients.Trial registration numberNCT02760771.
On the effect of resonances in the quark-photon vertex
Authors: Miramontes Ángel S. , Sanchis-Alepuz Hèlios 
Published: October 2019

Abstract.
A calculation of hadronic timelike form factors in the Poincaré-covariant Bethe-Salpeter formalism necessitates knowing the analytic structure of the non-perturbative quark-photon vertex in the context of the Poincaré-covariant Bethe-Salpeter formalism. We include, in the interaction between quark and antiquark, the possibility of non-valence effects by introducing pions as explicit degrees of freedom. These encode the presence of intermediate resonances in the Bethe-Salpeter interaction kernel. We calculate the vertex for real as well as complex photon momentum. We show how the vertex reflects now the correct physical picture, with the rho resonance appearing as a pole in the complex momentum plane. A multiparticle branch cut for values of the photon momentum from $ -4m_{\pi}^{2}$-4mπ2 to $ -\infty$-∞ develops. This calculation represents an essential step towards the calculation of timelike form factors in the Bethe-Salpeter approach.
Contraction of cold neutron star due to in the presence a quark core
Authors: Eslam Panah B. , Yazdizadeh T. , Bordbar G. H. 
Published: October 2019

Abstract
Motivated by importance of the existence of quark matter on structure of neutron star. For this purpose, we use a suitable equation of state (EoS) which include three different parts: (i) a layer of hadronic matter, (ii) a mixed phase of quarks and hadrons, and, (iii) a strange quark matter in the core. For this system, in order to do more investigation of the EoS, we evaluate energy, Le Chatelier’s principle and stability conditions. Our results show that the EoS satisfies these conditions. Considering this EoS, we study the effect of quark matter on the structure of neutron stars such as maximum mass and the corresponding radius, average density, compactness, Kretschmann scalar, Schwarzschild radius, gravitational redshift and dynamical stability. Also, considering the mentioned EoS in this paper, we find that the maximum mass of hybrid stars is a little smaller than that of the corresponding pure neutron star. Indeed the maximum mass of hybrid stars can be quite close to the pure neutron stars. Our calculations about the dynamical stability show that these stars are stable against the radial adiabatic infinitesimal perturbations. In addition, our analyze indicates that neutron stars are under a contraction due to the existence of quark core.
Super-resolution microscopy based on parallel detection
Authors: Zhang Zhimin , Liu Shaocong , Xu Liang , Han Yubing , Kuang Cuifang , Liu Yong , Hao Xiang , Yang Hongqin , Liu Xu 
Published: October 2019

Image scanning microscopy based on pixel reassignment can improve the confocal resolution limit without losing the image signal-to-noise ratio (SNR) greatly [C. J. R. Sheppard, “Super-resolution in confocal imaging,” Optik 80(2) 53–54 (1988). C. B. Müller, E. Jörg, “Image scanning microscopy, “Phys. Rev. Lett. 104(19) 198101 (2010). C. J. R. Sheppard, S. B. Mehta, R. Heintzmann, “Superresolution by image scanning microscopy using pixel reassignment,” Opt. Lett. 38(15) 2889–2892 (2013)]. Here, we use a tailor-made optical fiber and 19 avalanche photodiodes (APDs) as parallel detectors to upgrade our existing confocal microscopy, termed as parallel-detection super-resolution (PDSR) microscopy. In order to obtain the correct shift value, we use the normalized 2D cross correlation to calculate the shifting value of each image. We characterized our system performance by imaging fluorescence beads and applied this system to observing the 3D structure of biological specimen.