bluuebunny/crossref_metadata_2025_split huggingface dataset:
S06-4: How is organised the exercise training of the outpatient phase III cardiac rehabilitation in the Greater Region?
Authors: Lion Alexis , Feiereisen Patrick , Delagardelle Charles 
Published: September 2024

Abstract

Purpose
The phase III cardiac rehabilitation includes lifestyle modifications and exercise training. While the phase III cardiac rehabilitation is recommended, there is no clear recommendation regarding its organisation. To investigate how exercise training in phase III cardiac rehabilitation was organized, we conducted a pilot study in the Greater Region (an international region composed by territories from Belgium, France, Germany, and Luxembourg).

Methods
We emailed and called five organisations offering or coordinating the exercise training of the phase III cardiac rehabilitation in the Greater Region and investigated different parameters: status of the contacted organisations, profile of their participants, recruitment process, organisation of the exercise training classes. We also screened the websites and registration forms of the different contacted organisations.

Results
Non-profit organisations organised exercise training in phase III cardiac rehabilitation in all 4 territories of the Greater Region. The profile of the participants in the exercise training varied across the different territories from participants with cardiac diseases only to everybody. For the 1st registration, participants should provide a medical clearance or/and a referral letter from a medical doctor or a cardiologist. In some territories, a stress test was additionally required for participants with cardiac diseases and participants presenting risk factors for cardiovascular disease. Annual medical clearance was not mandatory in some territories. In two territories, participants may be referred into a starter programme at the beginning of phase III cardiac rehabilitation. After this starter programme, participants were invited to continue into the regular programme. In most cases, exercise training was supervised by physiotherapists or sports therapists. The medical surveillance of the exercise training by a medical doctor and/or a nurse was often recommended but rarely and heterogeneously implemented.

Conclusions
The exercise training of the outpatient phase III cardiac rehabilitation is organised differently in the 4 territories of the Greater Region. Variation exists in implementation of referrals, medical clearance, and medical surveillance. Guidelines based on the evidence and the good practice should be elaborated. It will help non-profit organisations to better organise and administrate exercise training of the phase III cardiac rehabilitation.
S10-4: Facilitating new interdisciplinary collaborations for active mobility: The Academic Observatory for Cycling and Active Mobilities (OUVEMA)
Authors: Gelius Peter , Rérat Patrick , Kayser Bengt 
Published: September 2024

Abstract

Purpose
Although the current social, environmental, and health-related challenges call for a reflection of the place of mobility in tomorrow’s world, modern societies continue to be shaped by decades of motorization. Most European countries, including Switzerland, have not yet overcome this dependence. Exploring these issues requires finding ways to facilitate the collaboration between researchers from different backgrounds, e.g. geography, sport science, psychology, political science, and medicine, and a closer interaction between research and civil society.

Project or policy description
Founded in 2020, the University Observatory for Biking and Active Mobility (OUVEMA) at the University of Lausanne has two missions: First, it aims to provide opportunities for collaboration of researchers from different disciplines to explore four main aspects of biking and active mobility: practices and behaviors; promotional policies; the built environment; and health issues. Specifically, the observatory provides an institutional framework for interdisciplinary research projects and publications related to active mobility, and connects researchers via its scientific and strategic committees. Second, the observatory seeks to connect research and civil society: It interacts with various civil society networks y in French-speaking Switzerland, as well as from European academic institutions pioneering research on the issue. To this end, OUVEMA organizes two annual series of lectures with changing topics, publishes a monthly newsletter sent to 2000 stakeholders, and disseminates information to media outlets.

Conclusions
In the first three years of its existence, OUVEMA has shown that the topics of active mobility and biking open up the possibility for new collaborations between researchers in health, physical activity promotion, and other disciplines interested in human behavior and the built environment. OUVEMA might serve as a blueprint for the establishment of similar institutions across Europe. At the same time, it is crucial to further strengthen the collaboration between such centers of competence in active mobility across Europe to speed up the research and action required to tackle the upcoming global challenges.
S11-4: Reaching people with a disability in a small town–a practice perspective
Authors: Nugent Seamus 
Published: September 2024

Abstract

Purpose
It is well documented that people living with a disability often have restricted opportunities to participate in physical activity and may face significant barriers. This presentation provides a practice perspective on reaching, and providing inclusive, meaningful physical activity opportunities for children and adults living with disability in Ireland.

Project or policy description
While significant efforts have been made in Ireland and elsewhere to facilitate access, this presentation will provide insights from a Sports Inclusion Development Officer, working in a town in Ireland, on how providing facilitators (funding streams and a varied programme of activities) does not necessarily remove barriers for people with disability to access physical activity and participate.

Conclusions
There are problems in areas with low population density – small numbers of people with specific disabilities leading to no specific activities for specific disabilities. Clubs are providing options, in some instances, but they are often not easy to implement as the volunteer base has declined and many sports clubs focus on performance rather than participation. Sometimes they are difficult for those with disabilities to access and participate. Often, the policy and willingness for change is there at organisational level but at intervention level there are difficulties in implementation.
Daily Limited Future Time Perspective Is Associated With More Health Behavior Within Older Adults
Authors: Hill Kyrsten C , Allemand Mathias , Hill Patrick 
Published: September 2024

Abstract

Objectives
Cross-sectional studies suggest that individuals who perceive a broader future horizon may be more likely to consider the future consequences of their actions and, as a result, engage in healthy lifestyle behaviors. However, research has yet to consider how this association plays out on the daily level.

Methods
The present study used daily diary data from a sample of 198 older adults aged 60 years and older (M = 63.34, SD = 3.29) to investigate the relationship between daily future time perspective (FTP) and daily health behavior. Participants reported on sociodemographic characteristics during baseline surveys and completed daily diary measures of FTP and health behavior (e.g., nutrition, exercise, social/leisure activity) across 14 days. Multilevel modeling was used to examine within- and between-person associations between daily FTP and health behavior.

Results
Daily FTP was significantly associated with daily health behavior at the within- but not at the between-person level. Counter to past cross-sectional work, results revealed that individuals showed increased engagement in health behavior on days when they reported a more limited FTP.

Discussion
Findings highlight the importance of moving beyond the between-person level to consider how FTP fluctuates from day-to-day and relates to health behavior in everyday life. Older adults who view a more limited time horizon may be motivated to increase that future through healthier activities.
Absolute quantification of BACH1 and BACH2 transcription factors in B and plasma cells reveals their dynamic changes and unique roles
Authors: Kurasawa Takeshi , Muto Akihiko , Matsumoto Mitsuyo , Ochiai Kyoko , Murayama Kazutaka , Igarashi Kazuhiko 
Published: September 2024

Abstract
Changes in the absolute protein amounts of transcription factors are important for regulating gene expression during cell differentiation and in responses to changes in the cellular and extracellular environment. However, few studies have focused on the absolute quantification of mammalian transcription factors. In this study, we established an absolute quantification method for the transcription factors BACH1 and BACH2, which are expressed in B cells and regulated by direct heme binding. The method used purified recombinant proteins as controls in western blotting and was applied to mouse naïve B cells in the spleen, as well as activated B cells and plasma cells. BACH1 was present in naïve B cells at approximately half the levels of BACH2. In activated B cells, BACH1 decreased compared to naïve B cells, whilst BACH2 increased. In plasma cells, BACH1 increased back to the same extent as in naïve B cells, whilst BACH2 was not detected. Their target genes, Prdm1 and Hmox1, were highly induced in plasma cells. BACH1 was found to undergo degradation with lower concentrations of heme than BACH2. Therefore, BACH1 and BACH2 are similarly abundant in B cells but differ in heme sensitivity, potentially regulating gene expression differently depending on their heme responsiveness.
3E Approach to Psychopathology
Authors: Aftab Awais , Nielsen Kristopher 
Published: September 2024

Abstract
Kristopher Nielsen, PhD, is a clinical psychologist based in Wellington, New Zealand. He completed his PhD in Psychology at Te Herenga Waka—Victoria University of Wellington in 2020. His thesis concerned the development of a conceptual model of mental disorder grounded in enactivism and explored how we might explain mental disorders from this perspective. He is the author of 3E Psychopathology: Reimagining Mental Disorder in an Embodied, Embedded, and Enactive Mind (Palgrave Macmillan, 2023). Nielsen’s framework of psychopathology emphasizes organizational causality, naturalized normativity, contextuality, complex dynamic networks, and explanatory pluralism. This interview explores how he applies the embodied, embedded, and enactive conceptual framework to psychiatry, and how his approach differs from the enactive framework developed by Sanneke de Haan.
Institutional Corruption and Social Justice in Psychiatry
Authors: Aftab Awais , Cosgrove Lisa 
Published: September 2024

Abstract
Lisa Cosgrove, PhD, is a Clinical Psychologist and Professor of Counseling and School Psychology at University of Massachusetts Boston. She is a former research fellow at the Edmond J. Safra Center for Ethics at Harvard University. Her research addresses ethical and medical-legal issues that arise in organized psychiatry because of academic–industry relationships. She is the co-author of Psychiatry Under the Influence: Institutional Corruption, Social Injury, and Prescriptions for Reform (Palgrave Macmillan, 2015). Cosgrove’s research work has focused on how pharmaceutical industry influence and academic guild interests have shaped the evolution of psychiatry, which she discusses using the framework of institutional corruption. She is a critic of industry influence on psychiatric research and practice and advocates for a social justice and rights-based approach to psychiatry. This interview explores her views on institutional corruption, depression screening recommendations, medicalization, and a social justice approach to medicine.
Critical and Relational Psychiatry
Authors: Aftab Awais , Double Duncan 
Published: September 2024

Abstract
Duncan Double, MB BChir, MRCPsych, is a retired consultant psychiatrist who worked in this role in the UK National Health Service for over 27 years, mostly in Norfolk and Suffolk NHS Foundation Trust. He was also Honorary Senior Lecturer at University of East Anglia. He is a founding member of the Critical Psychiatry Network (www.criticalpsychiatry.co.uk) and editor of the book Critical Psychiatry: The Limits of Madness (Palgrave Macmillan, 2006). This interview discusses how Double understands the critical psychiatry movement and its essential message, the international evolution of the movement, disagreements within the Critical Psychiatry Network, biological explanations of mental illness, the influence of Adolf Meyer and George Engel, and Double’s adoption of the term relational psychiatry.
Psychoanalysis and the Re-enchantment of Psychiatry
Authors: Aftab Awais , Shedler Jonathan 
Published: September 2024

Abstract
Jonathan Shedler, PhD, is Clinical Professor of Psychiatry at University of California San Francisco and is known internationally as an author, researcher, and clinician educator. His 2010 article ‘The efficacy of psychodynamic psychotherapy’ won worldwide acclaim for establishing psychodynamic therapy as an evidence-based treatment. He is co-creator of the Shedler–Westen Assessment Procedure (SWAP), a clinician-completed psychological test for personality assessment and clinical case formulation, and co-author (with Nancy McWilliams) of the Personality Syndromes section of the Psychodynamic Diagnostic Manual (PDM-2) (Guilford Press, 2017). Shedler is an articulate and prominent defender of the psychoanalytic tradition of psychotherapy, and he has been on a mission to remedy the misconceptions around psychodynamic thinking. This interview discusses the relationship between the psychoanalytic worldview and the medical model, and re-examines the role of psychodynamic psychotherapy in contemporary psychiatry and psychology.
Surgical Instruments
Authors: Sagarwala Salman , Kim Brian Y. , Kim David H. 
Published: September 2024

Abstract
Surgical equipment and preparation are vital aspects of success for any operative procedure. They include operating room setup and equipment check, team check, preoperative optimization, and intraoperative equipment and usage. The operating room setup, equipment check, and team check involve checking the classification of the setting that the procedure will take place in, as well as ensuring that key required equipment and elements are present. Examples of key required equipment are basic anesthetic monitors, airway equipment, medications, table (and positioning), and a ventilator device. From the surgical perspective, basic operating equipment and techniques include lighting, cautery, suction, draping, and intraoperative imaging. Operating room team member preoperative check, a formalized procedure time out, and team introduction are necessary. Surgical instruments are myriad, and no single chapter could cover the breadth of available instruments, applications, and uses completely. Briefly, instruments include surgical scalpels, blades, scissors, forceps, clamps, needle holders, suture needles, suture threads, skin closure devices, retractors, suction devices, electrosurgery tools, and orthopedic instruments. Each category encompasses a large variety and subtypes of instruments, each with common tool variants as well as specific basic applications and uses.
Perioperative Considerations
Authors: Kim Brian Y. 
Published: September 2024

Abstract
Chronic pain is a common, debilitating condition globally, with significant socioeconomic impacts on afflicted individuals and the healthcare system. In a 2016 National Health Survey by the Centers for Disease Control and Prevention, 50,009,000 people in the United States had chronic pain, and of that total, 19,611,000 people had high-impact chronic pain, defined as chronic pain limiting life or work activities on most days or every day during a 6-month period. The overall total of direct medical costs, lost productivity, and disability was estimated to be $560 billion each year. With such a high-impact medical condition, emphasis has been placed on development of evidence-based means of chronic pain management. Over the past two decades, large strides have been made in minimally invasive spine surgeries, including neuromodulation, vertebral augmentation therapies, and implanted pain devices, with concomitant increasing interventional invasiveness. The increase in invasiveness incurs the need for increased vigilance about patient safety and care. The perioperative considerations for minimally invasive spine procedures are discussed here.
Minimally Invasive Lumbar Decompression
Authors: Jain Sameer , Jassal Navdeep Singh 
Published: September 2024

Abstract
Lumbar spinal stenosis (LSS) is widespread in the elderly population; its prevalence is estimated to be greater than 20% in individuals 60 to 69 years old. LSS presents clinically as neurogenic claudication, which is usually described as gluteal and/or leg pain, numbness, weakness, or fatigue with walking and standing that is alleviated with sitting and/or lumbar flexion. One of the most common causes of LSS is ligamentum flavum hypertrophy (LFH), which may lead to both central and foraminal stenosis. This chapter describes in detail the minimally invasive lumbar decompression (MILD) procedure designed to treat this condition. The indications, safety/efficacy data, and procedure are reviewed, and both standard and streamlined techniques are described.
Indirect Lumbar Decompression
Authors: Jameson Jessica , Li Sean , Bhutra Steven , Kohan Lynn , Ori Arti 
Published: September 2024

Abstract
Indirect lumbar decompression is a valuable tool for the treatment of lumbar spinal stenosis. It offers many patients a minimally invasive treatment for symptomatic neurogenic claudication. This chapter covers the evidence for the procedure, the periprocedural considerations that should be addressed, postoperative care, and management of the potential complications.
Vertebroplasty
Authors: Goree Johnathan , Malinowski Mark 
Published: September 2024

Abstract
Vertebral compression fractures are a common cause of severe back pain in osteoporotic geriatric patients. Vertebroplasty is a safe, effective, low-cost way to reduce pain and to improve mortality risk in these patients. This chapter discusses the indications, risks, contraindications, and literature behind this procedure. It also discusses the procedural technique in detail and provide pearls for successful treatment.
Legal Issues
Authors: Manoharan Senthil Vel Rajan Rajaram , Walia Jessy , Bozman Mack 
Published: September 2024

Abstract
This chapter discusses legal and ethical issues that healthcare providers often face when caring for older adults. These challenges may involve balancing autonomy and safety concerns in both community and nursing home settings. Healthcare providers who work with elderly patients often encounter clinical challenges related to cognitive deficits, including questions of decision-making capacity, power of attorney/guardianship, and end-of-life care. Healthcare providers treating older adults must navigate a complex array of medical and psychosocial issues that give rise to ethical dilemmas concerning autonomy, patient welfare, and social justice. Potentially disabling effects of neuropsychiatric conditions, which disproportionately affect older adults, may compromise their autonomy. This chapter covers legal issues and challenges in both the criminal justice system and long-term care settings, which require healthcare providers to be familiar with the legal framework to act in the best interest of patients.
Capital Punishment—Executions
Authors: Bulger Jeffrey W. 
Published: September 2024

Abstract
Abstract: Capital punishment or the death penalty is a government-sanctioned punishment for committing a capital offense and is legal in 24 states, American Samoa, the federal government, and the military. The American Medical Association and the American College of Physicians prohibit practitioner involvement in execution, including determining competence, administering drugs, and monitoring vital signs. The healthcare profession’s principles of beneficence (do good) and nonmaleficence (do no harm) would be violated by participation in an execution, which has no regard for the principle of patient autonomy. A political ideology of retribution should not redefine the healthcare profession’s ideology as a healing art, and practitioners must prioritize patient-centered care to maximize the patient’s best interests regarding healing.
Disagreements
Authors: Bulger Jeffrey W. 
Published: September 2024

Abstract
Abstract: Healthcare is a collaborative effort that involves legal, institutional, professional, and evidence-based decision-making. Conflicts may arise in the patient–practitioner relationship due to different interpretations of facts, values, and priorities. Still, these disagreements should be resolved through respectful communication between the licensed practitioner and other healthcare providers. The ultimate responsibility for patient care rests with the licensed practitioner. If a disagreement may harm the patient, it may be necessary to bring the issue to higher levels of institutional policy for reporting. However, patients should not be informed about the disagreement, which could damage their trust in the healthcare team. Residents must not practice medicine independently and must comply with the attending practitioner’s decisions.
Do Not Resuscitate Order, Do Not Attempt Resuscitation Order, and Allow Natural Death Order
Authors: Bulger Jeffrey W. 
Published: September 2024

Abstract
Abstract: A do not resuscitate (DNR) order is a patient’s or surrogate’s decision not to undergo resuscitative procedures if they experience cardiopulmonary arrest. It is important for practitioners to have discussions with patients about cardiopulmonary resuscitation (CPR) procedures while patients still have decisional capacity. Without such a discussion or a living will, the standard of care is to perform CPR. However, CPR should not be performed if a DNR order is in place. It is a misperception that a DNR order means a patient will receive less care. The patient should receive the same care as a non-DNR patient, excluding CPR.
Healthcare Records
Authors: Bulger Jeffrey W. 
Published: September 2024

Abstract
Abstract: Patients have the legal right to access and copy the information in their healthcare records because it belongs to them. Because it would be a violation of the Health Insurance Portability and Accountability Act, healthcare facilities cannot release protected health information to outside parties without the patient’s consent or a court order. The autonomy principle is reflected in patients’ informed consent to disclose confidential information. There are some professional exceptions to this confidentiality, such as therapeutic privilege, where withholding information is allowed to avoid harm to the patient. Society has laws to protect the confidentiality and privacy of healthcare records based on the principle of justice (be fair). However, in certain circumstances, such as public safety or court order, the practitioner may be legally mandated to disclose the healthcare record information.