bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of mothers’ emotion‐related responses to adolescent disclosures and adolescent perspective taking on the timing of future disclosures
Authors: Disla Janice , Main Alexandra , Kashi Smitha , Boyajian Jonathan 
Published: December 2018

AbstractAdolescent disclosure to parents is an important feature of high‐quality parent–adolescent relationships and is associated with positive adolescent adjustment. However, no studies have examined parental emotion‐related responses (ERRs) to disclosures and adolescent dispositional characteristics that may facilitate or inhibit adolescent disclosures during real‐time conversations. The present study tested (a) which maternal ERRs to adolescent disclosures predicted quicker subsequent disclosures during mother–adolescent conversations, and (b) whether adolescent perspective taking moderated these associations. Adolescent disclosures and maternal ERRs were coded moment‐to‐moment during a problem‐solving discussion and adolescents reported on their perspective taking. Multilevel Generalized Linear Mixed‐Effects Models revealed that maternal interest and validation predicted the shortest lag times compared with other maternal ERRs, controlling for adolescent age, gender, total durations of maternal ERRs, and total frequency and duration of adolescent disclosures. Adolescent perspective taking moderated associations between maternal ERRs to adolescent disclosures and lag times. Specifically, adolescents high in perspective taking were most likely to make quicker subsequent disclosures when mothers responded to disclosures with interest. This is the first study to examine how contingent parental responses to adolescent disclosures in real time affect the timing of subsequent disclosures during parent–adolescent conversations.
Health facility structure and maternal characteristics related to essential newborn care in Brazil: a cross-sectional study
Authors: Menezes Maria Alexsandra Silva , Gurgel Ricardo , Bittencourt Sonia Duarte Azevedo , Pacheco Vanessa Eufrazino , Cipolotti Rosana , Leal Maria do Carmo 
Published: December 2018

ObjectivesTo assess the use of the WHO’s Essential Newborn Care (ENC) programme items and to investigate how the non-use of such technologies associates with the mothers' characteristics and hospital structure.DesignA cross-sectional observational health facility assessment.SettingThis is a secondary analysis of the ‘Birth in Brazil’ study, a national population-based survey on postnatal women/newborn babies and of 266 publicly and privately funded health facilities (secondary and tertiary level of care).ParticipantsData on 23 894 postnatal women and their newborn babies were analysed.Main outcome measuresThe facility structure was assessed by evaluating the availability of medicines and equipment for perinatal care, a paediatrician on call 24/7, a neonatal intensive care unit (NICU) and kangaroo mother care. The use of each ENC item was assessed according to the health facility structure and the mothers’ sociodemographic characteristics.ResultsThe utilisation of ENC items is low in Brazil. The factors associated with failure in pregnant woman reference were: pregnant adolescents (ORadj1.17; 95% CI 1.06 to 1.29), ≤7 years of schooling (ORadj1.47; 95% CI 1.22 to 1.78), inadequate antenatal care (ORadj1.67; 95% CI 1.47 to 1.89). The non-use of corticosteroids was more frequently associated with the absence of an NICU (ORadj3.93; 95% CI 2.34 to 6,66), inadequate equipment and medicines (ORadj2.16; 95% CI 1.17 to 4.01). In caesarean deliveries, there was a less frequent use of a partograph (ORadj4,93; 95% CI 3.77 to 6.46), early skin-to-skin contact (ORadj3.07; 95% CI 3.37 to 4.90) and breast feeding in the first hour after birth (ORadj2.55; 95% CI 2.21 to 2.96).ConclusionsThe coverage of ENC technologies use is low throughout Brazil and shows regional differences. We found a positive effect of adequate structure at health facilities on antenatal corticosteroids use and on partograph use during labour. We found a negative effect of caesarean section on early skin-to-skin contact and early breast feeding.
Preventing PTSD, depression and associated health problems in student paramedics: protocol for PREVENT-PTSD, a randomised controlled trial of supported online cognitive training for resilience versus alternative online training and standard practice
Authors: Wild Jennifer , El-Salahi Shama , Tyson Gabriella , Lorenz Hjördis , Pariante Carmine M , Danese Andrea , Tsiachristas Apostolos , Watkins Edward , Middleton Benita , Blaber Amanda , Ehlers Anke 
Published: December 2018

IntroductionEmergency workers dedicate their lives to promoting public health and safety, yet suffer higher rates of post-traumatic stress disorder (PTSD) and major depression (MD) compared with the general population. They also suffer an associated increased risk for physical health problems, which may be linked to specific immunological and endocrine markers or changes in relevant markers. Poor physical and mental health is costly to organisations, the National Health Service and society. Existing interventions aimed at reducing risk of mental ill health in this population are not very successful. More effective preventative interventions are urgently needed. We first conducted a large-scale prospective study of newly recruited student paramedics, identifying two cognitive factors (rumination and resilience appraisals) that predicted episodes of PTSD and MD over a 2-year period. We then developed internet-delivered cognitive training for resilience (iCT-R), a supported online intervention, to modify cognitive predictors. This protocol is for a randomised controlled trial to evaluate the efficacy of the resilience intervention.Methods and analysis570 student paramedics will be recruited from participating universities. They will be randomly allocated to iCT-R or to supported online training of an alternative, widely available intervention or to training-as-usual. Follow-up will occur after the intervention/standard practice period and at 6, 12 and 24 months. Primary outcomes include rates of PTSD and MD and subsydnromal PTSD and MD, measured by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fifth edition, the Patient-Health Questionnaire-9 and the Post-traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Secondary outcomes include measures of resilience, rumination, anxiety, psychological distress, well-being, salivary cortisol, plasma levels of C-reactive protein, smoking and alcohol use, weight gain, sleep problems, health-related quality of life, health resource utilisation and productivity.Ethics and disseminationThe Medical Sciences Inter-Divisional Research Ethics Committee at the University of Oxford granted approval, reference: R44116/RE001. The results will be published in a peer-reviewed journal. Access to raw data and participant information will be available only to members of the research team.Trial registration numberISRCTN16493616; Pre-results.
“Tell them you smoke, you’ll get more breaks”: a qualitative study of occupational and social contexts of young adult smoking in Scotland
Authors: Delaney Hannah , MacGregor Andrew , Amos Amanda 
Published: December 2018

ObjectiveTo explore young adults’ perceptions and experiences of smoking and their smoking trajectories in the context of their social and occupational histories and transitions, in a country with advanced tobacco control.DesignIndepth qualitative interviews using day and life grids to explore participants’ smoking behaviour and trajectories in relation to their educational, occupational and social histories and transitions.SettingScotland.ParticipantsFifteen ever-smokers aged 20–24 years old in 2016–2017.ResultsParticipants had varied and complex educational/employment histories. Becoming and/or remaining a smoker was often related to social context and educational/occupational transitions. In several contexts smoking and becoming a smoker had perceived benefits. These included getting work breaks and dealing with stress and boredom, which were common in the low-paid, unskilled jobs undertaken by participants. In some social contexts smoking was used as a marker of time out and sociability.ConclusionsThe findings indicate that while increased tobacco control, including smokefree policies, and social disapproval of smoking discourage smoking uptake and increase motivations to quit among young adults, in some social and occupational contexts smoking still has perceived benefits. This finding helps explain why smoking uptake continues into the mid-20s. It also highlights the importance of policies that reduce the perceived desirability of smoking and that create more positive working environments for young adults which address the types of working hours and conditions that may encourage smoking.
Evaluation of types of poisoning exposure calls managed by the Malaysia National Poison Centre (2006–2015): A retrospective review
Authors: Tangiisuran Balamurugan , Jiva Maryam , Ariff Adilah Mohamed , Abdul Rani Noor Afiza , Misnan Asdariah , Rashid Sazaroni Md , Majid Mohamed Isa Abdul , Dawson Andrew H 
Published: December 2018

ObjectiveAccidental or intentional poisoning is a public health concern requiring intervention. The current study designs to evaluate the types of poisoning exposure calls received by the Malaysia National Poison Centre (NPC) over a 10-year period.Settings and data sourcesThe poisoning enquiries database (2006–2015) from the Malaysia NPC was used for the analysis.ParticipantsThe NPC records all telephone calls that it manages using a validated and standardised form. Demographics and types of the poisoning exposure calls were extracted and descriptive analysis was applied.Primary and secondary outcomesThe primary outcome of this study is to evaluate NPC data for trends in the poisoning exposure calls based on the types and modes of poisoning over a 10-year period. The secondary outcome is to evaluate the characteristics of human exposure cases based on the calls received by the NPC.ResultsThere was a notable increase in the number of poisoning exposure calls noticed during the 10-year period but dropped significantly in 2012. The highest number of poisoning exposure calls came from Selangor (21.0%), Perak (18.0%) and Negeri Sembilan (9.8%). More than half of the exposure was intentional (53.8%) involving more women (50.3%) as compared with men (41.9%), and in the 20–29 years age group category (33.5%). Exposure mostly occurred at home (96%) through the ingestion route (94.1%). Pharmaceutical products (40.5%), pesticides (31.7%) and household products (20.1%) were the common agents implicated for intentional exposure.ConclusionsThere is an increasing trend in enquiries on poisoning exposure calls made to the NPC. Most of the intentional poisoning exposures occurred among younger women and involved pharmaceuticals, pesticides or household products. Poisoning safety education and other interventions are needed to curb poisoning incidents.
Efficacy of a guided internet-based intervention (iSOMA) for somatic symptoms and related distress in university students: study protocol of a randomised controlled trial
Authors: Hennemann Severin , Böhme Katja , Baumeister Harald , Bendig Eileen , Kleinstäuber Maria , Ebert David Daniel , Witthöft Michael 
Published: December 2018

IntroductionPersistent and distressing somatic symptoms are common in younger age cohorts such as university students. However, the majority does not receive adequate psychosocial care. Internet-based and mobile-based interventions may represent low threshold and effective extensions to reduce somatic and associated mental symptom severity. The planned study aims to investigate the feasibility and efficacy of an internet-based intervention in reducing somatic and psychological symptoms in an international population of university students with somatic symptom burden.Methods and analysisThis parallel two-armed randomised controlled trial evaluates an 8-week guided intervention, including web-based consecutive modules based on cognitive behavioural therapy (CBT) principles against a waitlist control group. Guidance will be provided by trained psychologists with weekly written supportive feedback. As part of the ‘Studicare’ project, the present study aims to recruit n=154 university students indicating somatic symptom burden at baseline in German-speaking universities. Self-report assessments will take place at baseline and after intervention completion (8, 16 weeks after randomisation). The primary outcome will be the severity of somatic symptoms and associated mental distress. Secondary outcomes include depression, (health) anxiety, disability, intervention satisfaction and adherence.Ethics and disseminationEthics approval has been granted. Results from this study will be published in peer-reviewed journals and presented at international conferences.Trial registration numberDRKS00014375; Pre-results.
Association of autonomic symptoms with disease progression and survival in progressive supranuclear palsy
Authors: Oliveira Marcos C B , Ling Helen , Lees Andrew J , Holton Janice L , De Pablo-Fernandez Eduardo , Warner Thomas T 
Published: December 2018

BackgroundDevelopment of autonomic failure is associated with more rapid disease course and shorter survival in patients with Parkinson’s disease and multiple system atrophy. However, autonomic symptoms have not been specifically assessed as a prognostic factor in progressive supranuclear palsy (PSP). We evaluated whether development of autonomic symptoms is associated with disease progression and survival in PSP.MethodsA retrospective review of clinical data from consecutive patients with autopsy-confirmed PSP from the Queen Square Brain Bank between January 2012 and November 2016 was performed. Time from disease onset to four autonomic symptoms (constipation, urinary symptoms, erectile dysfunction and orthostatic hypotension) were noted. Time from diagnosis to five disease milestones and survival were calculated to assess disease progression, and their risk was estimated through a Cox proportional hazards model.ResultsA total of 103 PSP patients were included. Urinary symptoms and constipation were present in 81% and 71% of cases, respectively. Early development of constipation and urinary symptoms were associated with higher risk of reaching the first disease milestone (respectively, HR: 0.88; 95% CI 0.83 to 0.92; p<0.001; and HR: 0.80; 95% CI 0.75 to 0.86; p<0.001) and with a shorter survival in these patients (respectively, HR: 0.73; 95% CI 0.64 to 0.84; p<0.001; and HR: 0.88; 95% CI 0.80 to 0.96; p=0.004). On multivariate analysis, Richardson syndrome phenotype was the other variable independently associated with shorter survival.ConclusionsEarlier urinary symptoms and constipation are associated with a more rapid disease progression and reduced survival in patients with PSP.
Rationale and design of the Coronary Microvascular Angina Cardiac Magnetic Resonance Imaging (CorCMR) diagnostic study: the CorMicA CMR sub-study
Authors: Corcoran David , Ford Thomas J , Hsu Li-Yueh , Chiribiri Amedeo , Orchard Vanessa , Mangion Kenneth , McEntegart Margaret , Rocchiccioli Paul , Watkins Stuart , Good Richard , Brooksbank Katriona , Padmanabhan Sandosh , Sattar Naveed , McConnachie Alex , Oldroyd Keith G , Touyz Rhian M , Arai Andrew , Berry Colin 
Published: December 2018

IntroductionAngina with no obstructive coronary artery disease (ANOCA) is a common syndrome with unmet clinical needs. Microvascular and vasospastic angina are relevant but may not be diagnosed without measuring coronary vascular function. The relationship between cardiovascular magnetic resonance (CMR)-derived myocardial blood flow (MBF) and reference invasive coronary function tests is uncertain. We hypothesise that multiparametric CMR assessment will be clinically useful in the ANOCA diagnostic pathway.Methods/analysisThe Stratified Medical Therapy Using Invasive Coronary Function Testing In Angina (CorMicA) trial is a prospective, blinded, randomised, sham-controlled study comparing two management approaches in patients with ANOCA. We aim to recruit consecutive patients with stable angina undergoing elective invasive coronary angiography. Eligible patients with ANOCA (n=150) will be randomised to invasive coronary artery function-guided diagnosis and treatment (intervention group) or not (control group). Based on these test results, patients will be stratified into disease endotypes: microvascular angina, vasospastic angina, mixed microvascular/vasospastic angina, obstructive epicardial coronary artery disease and non-cardiac chest pain. After randomisation in CorMicA, subjects will be invited to participate in the Coronary Microvascular Angina Cardiac Magnetic Resonance Imaging (CorCMR) substudy. Patients will undergo multiparametric CMR and have assessments of MBF (using a novel pixel-wise fully quantitative method), left ventricular function and mass, and tissue characterisation (T1 mapping and late gadolinium enhancement imaging). Abnormalities of myocardial perfusion and associations between MBF and invasive coronary artery function tests will be assessed. The CorCMR substudy represents the largest cohort of ANOCA patients with paired multiparametric CMR and comprehensive invasive coronary vascular function tests.Ethics/disseminationThe CorMicA trial and CorCMR substudy have UK REC approval (ref.16/WS/0192).Trial registration numberNCT03193294.
Time is money: quantifying savings in outpatient appendectomy
Authors: Bernard Elise Taylor , Davenport Daniel L , Collins Courtney M , Benton Bethany A , Bernard Andrew C 
Published: December 2018

BackgroundLaparoscopic appendectomy can be performed on a fast-track, short-stay, or outpatient basis with high success rates, low morbidity, low readmission rates, and shorter length of hospital stay. Cost savings from outpatient appendectomy have not been well described. We hypothesize that outpatient laparoscopic appendectomy is associated with cost savings.MethodsWe performed an original retrospective cohort analysis of patients undergoing laparoscopic appendectomy between June 2013 and April 2017 at our academic medical center before and after implementation of an outpatient protocol which began on January 1, 2016. We assessed appendicitis grade, length of stay (LOS), cost, net revenue, and profit margin.ResultsAfter protocol implementation, the percentage of patients discharged from the the postanesthesia care unit (PACU) increased from 3.7% to 29.7% (χ2 p<0.001). The proportion of inpatient admissions and admissions to observation decreased by 5.7% and 20.3%, respectively. On average, PACU-to-home patients had a total hospital cost of $4734 compared with $5781 in patients admitted to observation, for an estimated savings of $1047 per patient (p<0.001). Comparing the time periods, the mean LOS decreased for all groups (p<0.001). Appendicitis grade was higher in those who required inpatient admission, but could not distinguish which patients required an observation bed.DiscussionOutpatient appendectomy saves approximately $1000 per patient. Adoption of an outpatient appendectomy pathway is likely to be gradual, but will result in incremental improvement in resource utilization immediately. Grade does not predict which patients should be observed. Considering established safety, our data support widespread implementation of this protocol.Level of evidenceIII.
The current use of the past imperfect tense in Albanian and Serbian – a case study
Authors: Sejdiu-Rugova Lindita , Krijezi Merima 
Published: December 2018

The current use of the past imperfect tense in Albanian and Serbian – a case studyThe article deals with the indirect influence of Albanian grammar among the native speakers of Serbian who study Albanian as a foreign language as an awareness and transformation process when translating the past imperfect forms from Albanian as a foreign language into their mother tongue Serbian, more specifically the past imperfect of Albanian into Serbian as their mother tongue. The emphasize that while translating, the students are guided not by knowledge of formal grammar but by actual by real usage of this tense in Albanian and Serbian. Współczesne użycie imperfectum w języku serbskim i albańskim Artykuł dotyczy bezpośredniego wpływu gramatyki albańskiej na język serbski wśród Serbów uczących się języka albańskiego jako obcego. Przedmiotem opisu jest przekład albańskich form imperfektywnych w tłumaczeniu z albańskiego na serbski, w którym ta forma werbalna nie jest już używana. Autorki podkreślają, że studenci, tłumacząc, nie kierują się formalną wiedzą gramatyczną na temat funkcjonowania imperfectum w obu językach, ale realnymi zastosowaniami tej formy temporalnej.
“Chomskyan revolution” in Bulgarian socio-cultural and linguistic environment
Authors: Venkova Tzvetomira 
Published: December 2018

Chomskyan revolution in Bulgarian socio-cultural and linguistic environment The term Chomskyan revolution, referring to the innovative current in modern American linguistics and Noam Chomsky as it’s leading figure, permeated the metaphorical imagery of the popular linguistic and socio-cultural spheres in the USA. This term actually surpassed specialized linguistic circles, where it designated Chomsky’s transformational-generative grammar model and normally appeared in quotation marks. However, although Chomskyan revolution came to occupy a central position in the American network of unquestioned cultural mythologemes, its Bulgarian reception was different. The overall impression in Bulgarian linguistic and socio-cultural circles regarding the revolutionary leap has been rather skeptical and reserved, although the Chomskyan grammar model itself has been introduced into research practice. Such a difference in attitudes towards the status of transformational-generative grammar in the source and a target country is discussed here in terms of motivations and basic positions. Rewolucja Chomsky’ego w bułgarskim środowisku społeczno-kulturowym i lingwistycznymTermin „rewolucja Chomsky'ego”, odnoszący się do całkowicie nowatorskiego nurtu współczesnego językoznawstwa amerykańskiego i Chomsky'ego jako jego wiodącej postaci, przeniknął do popularnej sfery językowej i społeczno-kulturowej w USA jako część ich metaforycznego imaginarium. Przekroczył on niejako granice wyspecjalizowanych środowisk lingwistycznych, które standardowo zapisywały go w cudzysłowie, i ostatecznie wyznaczył model gramatyki transformacyjno-generatywnej Chomsky'ego. Chociaż „rewolucja Chomsky’ego” stała się centralnym elementem amerykańskiej siatki niekwestionowanych mitologemów kulturowych, środowisko bułgarskie zareagowało inaczej. Ogólna opinia bułgarskich środowisk językoznawczych i społeczno-kulturowych na temat rewolucyjnego skoku była dość sceptyczna i pełna zastrzeżeń, chociaż sam model gramatyki Chomsky'ego został wprowadzony do praktyki badawczej. Przedmiotem artykułu jest właśnie ta odmienność postaw pod względem motywacji i stanowisk zajmowanych wobec statusu gramatyki transformacyjno-generatywnej w kraju źródłowym i kraju odbiorcy.