bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of patients diagnosed with “complex pain” and “somatoform pain”
Authors: Cour Peter la 
Published: July 2017

Abstract

Background and aim
Chronic pain conditions can be diagnosed and treated in both somatic and psychiatric settings. It is still a discussed and unanswered question whether the two groups of patients differ. The purpose of this short article is to inform further reflections concerning the classifications of somatoform pain and complex pain.

Method
Sociodemographic and questionnaire data concerning anxiety and depression, perceived injustice, well-being, and levels of psycho-physiological functioning were compared for patients diagnosed with complex pain (somatic diagnosis) at a pain clinic and somatoform pain (psychiatric diagnosis) at a Liaison-psychiatric clinic.

Results
Very little differences were found between patients with complex pain (N = 162) and somatoform conditions (N = 89). Both patient groups were seriously impaired both physically and mentally.

Conclusion
These comparisons lend support to the viewpoint of non-segregation of somatoform and complex pain.

Implications
Pain treatment might be better-managed in common multidisciplinary centers with specialists in both pain treatment and psychiatric aid.
Prehospital Emergency Medicine at the Beach: What Is the Effect of Fins and Rescue Tubes in Lifesaving and Cardiopulmonary Resuscitation After Rescue?
Authors: Abelairas-Gómez Cristian , Barcala-Furelos Roberto , Mecías-Calvo Marcos , Rey-Eiras Ezequiel , López-García Sergio , Costas-Veiga Javier , Bores-Cerezal Antonio , Palacios-Aguilar Jose 
Published: July 2017

Objective To analyze the influence of fins and rescue tube use in a water rescue, assessed by time and distance to salvage position, physiological parameters, and cardiopulmonary resuscitation (CPR). Methods Twenty professional lifeguards (10 men, 10 women) conducted 3 tests: a baseline test of 5 minutes of CPR and 2 water rescues, 1 without rescue equipment (NRE), and the other with fins and rescue tube (FRT). They also had to perform 5 minutes of CPR after each rescue. Time and distance of the rescues, physiological parameters (blood lactate concentration and heart rate), and quality of CPR were analyzed. Results CPR quality worsened by 26 to 28% ( P < .001) after rescue. However, there were no differences using FRT. The use of rescue equipment reduced the time (FRT: 216±57 seconds; NRE: 319±127 seconds; P < .001) and distance covered (FRT: 265±52 m; NRE: 326±41 m; P < .001). No differences were found in lactate levels between FRT and NRE just after the rescues, but there were some after 5 minutes of subsequent CPR (FRT: 10.7±2.2 mmol/L; NRE: 12.6±1.8 mmol/L; P < .001). Comparing women with men, we found significant differences in lactate concentrations only in FRT (women: 9.6±1.4 mmol/L; men: 8.1±1.2 mmol/L; P = .031). Conclusions The use of fins and rescue tube provides a comprehensive benefit in an aquatic emergency. However, FRT did not have any effect on the quality of the postrescue CPR.
Descriptive Epidemiology, Medical Evaluation, and Outcomes of Rock Climbing Injuries
Authors: McDonald James W. , Henrie A. Michael , Teramoto Masaru , Medina Edward , Willick Stuart E. 
Published: July 2017

Objective To gather epidemiologic data on injury type, treatment, and recovery from rock climbing injuries. Methods Design: retrospective cross-sectional study. Setting: web-based survey. Participants: rock climbers who sustained a climbing-related injury during the prior 24 months. Criteria for inclusion: aged ≥18 years; participation in rock climbing at least 4 times per year in the United States. Interventions: none. Main outcome measures: percentage of injured climbers seeking medical care, providers seen, subspecialty referral, development of chronic problems, factors affecting return to climbing, injuries by climbing type, body region, and injury type. Results Data were collected over a 60-day period using the Research Electronic Data Capture (REDCap) survey system. Seven hundred and eight surveys were collected from 553 male and 155 female climbers. Thirteen hundred ninety seven injuries were reported, and 975 injuries were suitable for analysis. The most common provider initially seen was a primary care provider. Subspecialty referral was commonly obtained. Injury patterns differed by climbing type. The percentage of respondents that returned to climbing before their injury was fully healed was 51.1%, and 44.9% of respondents developed chronic problems related to their climbing injury. Twenty-eight percent of respondents were unable to return to their previous level of climbing performance. Several factors were associated with delayed recovery from climbing injury. Conclusions A significant number of climbers sought healthcare after injury. A majority of climbers who sought treatment were referred to subspecialist providers. About one-half of climbers were symptomatic when they returned to climbing and developed chronic problems after injury. Factors associated with slower return to climbing included increasing age, smoking, fractures, and surgery.
Nationwide survey on current management strategies of toddler’s fractures
Authors: Seguin Jade , Brody Daniel , Li Patricia 
Published: July 2017

ABSTRACTBackgroundTibial fractures are common in children less than 3 years old. The traditional management involves immobilization in an above knee cast for both confirmed (positive x-ray) and presumed (normal x-ray) toddler’s fractures. This carries health care implications and causes unnecessary burden for patients and their families. There is a paucity of literature describing the ideal immobilization strategy for this injury.ObjectivesTo determine: 1) the variation between Canadian emergency departments in management of toddler’s fractures; 2) the variation in management between confirmed and presumed toddler’s fractures; 3) the association between demographic variables and immobilization strategies.MethodsThis was an email survey of all members of the Pediatric Emergency Research Canada network. The survey consisted of 2 clinical vignettes followed by multiple-choice questions.ResultsSurvey response rate was 73% (153/211). For confirmed toddler’s fractures, 39% of physicians chose to immobilize with above knee circumferential cast, 27% with below knee circumferential cast and 20% with below knee splint. For presumed toddler’s fractures, 44% of respondents chose to manage without casting, 22% with below knee splint and 14% with above knee circumferential cast. There was significant practice variation between Canadian pediatric emergency departments for both types of fractures and between the management of confirmed and presumed toddler’s fractures.ConclusionsOur study is the first to identify nationwide variation in the management of toddler’s fractures. This variation highlights the need for future research to compare the different management strategies to determine families’ preferences and functional outcomes in children with these injuries.
Implementation of an Antimicrobial Stewardship Program in a Neonatal Intensive Care Unit
Authors: Nzegwu Nneka I. , Rychalsky Michelle R. , Nallu Loren A. , Song Xuemei , Deng Yanhong , Natusch Amber M. , Baltimore Robert S. , Paci George R. , Bizzarro Matthew J. 
Published: July 2017

OBJECTIVETo evaluate antimicrobial utilization and prescription practices in a neonatal intensive care unit (NICU) after implementation of an antimicrobial stewardship program (ASP).DESIGNQuasi-experimental, interrupted time-series study.SETTINGA 54-bed, level IV NICU in a regional academic and tertiary referral center.PATIENTS AND PARTICIPANTSAll neonates prescribed antimicrobials from January 1, 2011, to June 30, 2016, were eligible for inclusion.INTERVENTIONImplementation of a NICU-specific ASP beginning July 2012.METHODSWe convened a multidisciplinary team and developed guidelines for common infections, with a focus on prescriber audit and feedback. We conducted an interrupted time-series analysis to evaluate the effects of our ASP. Our primary outcome measure was days of antibiotic therapy (DOT) per 1,000 patient days for all and for select antimicrobials. Secondary outcomes included provider-specific antimicrobial prescription events for suspected late-onset sepsis (blood or cerebrospinal fluid infection at >72 hours of life) and guideline compliance.RESULTSAntibiotic utilization decreased by 14.7 DOT per 1,000 patient days during the stewardship period, although this decrease was not statistically significant (P=.669). Use of ampicillin, the most commonly antimicrobial prescribed in our NICU, decreased significantly, declining by 22.5 DOT per 1,000 patient days (P=.037). Late-onset sepsis evaluation and prescription events per 100 NICU days of clinical service decreased significantly (P<.0001), with an average reduction of 2.65 evaluations per year per provider. Clinical guidelines were adhered to 98.75% of the time.CONCLUSIONSImplementation of a NICU-specific antimicrobial stewardship program is feasible and can improve antibiotic prescribing practices.Infect Control Hosp Epidemiol2017;38:1137–1143
Ice velocity changes on Penny Ice Cap, Baffin Island, since the 1950s
Authors: SCHAFFER NICOLE , COPLAND LUKE , ZDANOWICZ CHRISTIAN 
Published: July 2017

ABSTRACTPredicting the velocity response of glaciers to increased surface melt is a major topic of ongoing research with significant implications for accurate sea-level rise forecasting. In this study we use optical and radar satellite imagery as well as comparisons with historical ground measurements to produce a multi-decadal record of ice velocity variations on Penny Ice Cap, Baffin Island. Over the period 1985–2011, the six largest outlet glaciers on the ice cap decelerated by an average rate of 21 m a−1 over the 26 year period (0.81 m a−2), or 12% per decade. The change was not monotonic, however, as most glaciers accelerated until the 1990s, then decelerated. A comparison of recent imagery with historical velocity measurements on Highway Glacier, on the southern part of Penny Ice Cap, shows that this glacier decelerated by 71% between 1953 and 2009–11, from 57 to 17 m a−1. The recent slowdown of outlet glaciers has coincided with increases in mass loss, terminus retreat and an inferred reduction in basal sliding. Measured decelerations are greater than the total short-term variability measured from both seasonal and interannual fluctuations, and support the hypothesis that glacier thinning and/or increased meltwater production promotes a long-term reduction in ice motion.
Serum and tissue 25-OH vitamin D3 concentrations do not predict bone abnormalities and molecular markers of vitamin D metabolism in the hypovitaminosis D kyphotic pig model
Authors: Amundson Laura A. , Hernandez Laura L. , Crenshaw Thomas D. 
Published: July 2017

AbstractThe hypovitaminosis D kyphotic pig provides a model to study maternal vitamin D (D) carryover on gross and molecular characteristics of bone abnormalities in offspring. Excess maternal D is proposed to protect offspring under nutritional challenges from developing bone abnormalities. Relationships between D sufficiency parameters and bone abnormalities were characterised. Sows (n 37) were fed diets with 0 (−D), 8·125 (+D) or 43·750 (++D) µg D3/kg throughout gestation and lactation. At weaning (3 weeks) pigs were fed diets with 0 (−D) or 7·0 (+D) µg D3/kg, each with 75 and 95 % (LCaP) or 150 and 120 % (HCaP) of the Ca and P requirements. Pigs were euthanised before colostrum consumption at birth (n 27), 3 weeks (n 27) or after the nursery period (7 weeks, n 71) for tissue analysis. At 7 weeks, differences due to maternal D were detected (P≤0·05) in pig growth, serum parameters and mRNA expression regardless of nursery diet. Prevalence of kyphosis in pigs at 13 weeks was affected by maternal D, but not prevented by only HCaP or +D nursery diets. Increased (P≤0·05) serum 25-OH-D3 concentrations in sows fed +D or ++D diets were not reflected by similar magnitudes of 25-OH-D3 in colostrum, 18-d milk, or serum and tissue concentrations in pigs. The mode of action by which maternal dietary D influences development of skeletal abnormalities warrants further investigation.
Disturbance induced dynamics of a tritrophic novel ecosystem
Authors: Lakatos K.T. , László Z. , Tóthmérész B. 
Published: July 2017

AbstractNovel ecosystems formed by invasive plants provide a good opportunity to get insight into early dynamics and pattern formation of these ecosystems. The invasive black locust as host plant, Bruchophagus robiniae as host-specific seed predator and its parasitoids were the components of the studied tritrophic system. To investigate disturbance-driven dynamics of this system we created seed-vacated host plant patches in a field experiment. We removed all pods from selected patches of black locust resulting in an induced local extinction of seed predators and their parasitoids. We hypothesized that disturbance enhances top-down control by parasitoids; this enhanced top-down control decreases seed predation, facilitating the host plant's spread. We found that disturbance modified only parasitism after controlling with year effect: in vacated patches median parasitism was higher than in control patches. Seed predation exceeded its initial level in vacated patches in the third year after the disturbance, but in the fourth year it dropped again presumably due to the strong top-down control. Our findings also suggested that the seed predator was also affected by the bottom-up control of its host plant's density. We found that in the studied new ecosystem the top-down control was strengthened by the disturbance. Since the host plant of the tritrophic system is an invasive species, partial habitat disturbance of such species may increase the severity of parasitoid top-down control, which may reduce seed predation by the herbivores.
SINGING HEAVEN ON EARTH: COPTIC COUNTERPUBLICS AND POPULAR SONG AT EGYPTIANMŪLIDFESTIVALS
Authors: Ramzy Carolyn M. 
Published: July 2017

AbstractThis article explores the performative politics of devotional soundscapes at Coptic Christianmūlidfestivals. Echoing the state's reformist efforts in the 1990s to transform Muslim saint festivals into utilitarian spaces and their goers into “modern” Egyptian citizens, today the Coptic Church works to refashion these popular festivals from places of debauchery into morally productive spaces. Aided by affluent Cairene-based volunteers, church choirs travel from Cairo's poshest neighborhoods to these festivals to actively sing, disseminate, and teach popular religious songs (taratīl) in an effort to develop poorer Christian pilgrims into modern, pious, and more audible “citizens of heaven.” Through the analysis of one church choir'staratīlministry at themūlid, I illustrate how middle-class spiritual volunteers disrupt and, at times, reinscribe the Coptic Church's disciplinary efforts on the festival's poorer pilgrims, particularly as they look to modernize popular festivity into grounds of Christian ethical transformation.
THE SOCIAL LIFE OF ACADEMIC DISCOURSE: REFLECTIONS ON THE ANALYSIS OF PIETY POLITICS
Authors: Cakir Dunya D. 
Published: July 2017

AbstractExamining the writings of prominent Islamist women intellectuals in Turkey, including Fatma Barbarosoğlu, Cihan Aktaş, Yıldız Ramazanoğlu, and Nazife Şişman, this article explores the repercussions of their intellectual activism for how scholars understand and study piety politics. These Islamist women intellectuals, whose discourse and subjectivities have been translated into analytical categories by scholars of piety politics, contest the terms of their encounters with academics and, more broadly, the conversion of Muslim women into objects of research. Their writings shed light on the complex interpretative interplay between academic and lay discourse when the objects of scholarly study speak back to social scientists. I argue that these kinds of critical engagements between Islamist women intellectuals and social scientific discourses attest to the mobility and circularity of social scientific categories, which have infused and reconstituted Islamist debates in Turkey. Rather than uncritically endorse or dispute these intellectuals’ interpretations of social scientific accounts, I leverage their claims to underscore the social life of academic discourse and to promote an enriched vision of piety politics and reflexive methodology.
CLEANSING THE NATION OF THE “DOGS OF HELL”: ʿALI JUMʿA'S NATIONALIST LEGAL REASONING IN SUPPORT OF THE 2013 EGYPTIAN COUP AND ITS BLOODY AFTERMATH
Authors: Warren David H. 
Published: July 2017

AbstractThis article contributes to an emerging scholarly debate over the support displayed by key Azhari ʿulamaʾ for the 3 July 2013 coup in Egypt and the subsequent massacres of anticoup protesters. I focus on the Islamic legal justifications articulated by the former grand mufti of Egypt ʿAli Jumʿa, which academics have contextualized primarily in relation to quietist precedents from late medieval Islamic political thought or his Sufi background. By contrast, I consider Jumʿa's justifications as representative of a nationalist discourse that has its historical origins in the protonationalism of Rifaʿa al-Tahtawi (d. 1873). My argument has wider implications for our conceptualization of the contemporary Islamic tradition. If, as scholars have argued, the Islamic tradition is a framework for inquiry rather than a set of doctrines, then in the 19th century a concern for the nation and its future became a key part of that framework. I contend that these additions came to redefine the worldview and politics of the ʿulamaʾ in terms of national progress and its horizon of expectations.
Assessing body image in anorexia nervosa using biometric self-avatars in virtual reality: Attitudinal components rather than visual body size estimation are distorted
Authors: Mölbert S. C. , Thaler A. , Mohler B. J. , Streuber S. , Romero J. , Black M. J. , Zipfel S. , Karnath H.-O. , Giel K. E. 
Published: July 2017

BackgroundBody image disturbance (BID) is a core symptom of anorexia nervosa (AN), but as yet distinctive features of BID are unknown. The present study aimed at disentangling perceptual and attitudinal components of BID in AN.MethodsWe investigated n = 24 women with AN and n = 24 controls. Based on a three-dimensional (3D) body scan, we created realistic virtual 3D bodies (avatars) for each participant that were varied through a range of ±20% of the participants’ weights. Avatars were presented in a virtual reality mirror scenario. Using different psychophysical tasks, participants identified and adjusted their actual and their desired body weight. To test for general perceptual biases in estimating body weight, a second experiment investigated perception of weight and shape matched avatars with another identity.ResultsWomen with AN and controls underestimated their weight, with a trend that women with AN underestimated more. The average desired body of controls had normal weight while the average desired weight of women with AN corresponded to extreme AN (DSM-5). Correlation analyses revealed that desired body weight, but not accuracy of weight estimation, was associated with eating disorder symptoms. In the second experiment, both groups estimated accurately while the most attractive body was similar to Experiment 1.ConclusionsOur results contradict the widespread assumption that patients with AN overestimate their body weight due to visual distortions. Rather, they illustrate that BID might be driven by distorted attitudes with regard to the desired body. Clinical interventions should aim at helping patients with AN to change their desired weight.
Revisiting subcortical brain volume correlates of autism in the ABIDE dataset: effects of age and sex
Authors: Zhang W. , Groen W. , Mennes M. , Greven C. , Buitelaar J. , Rommelse N. 
Published: July 2017

BackgroundAutism spectrum disorders (ASD) are characterized by substantial clinical, etiological and neurobiological heterogeneity. Despite this heterogeneity, previous imaging studies have highlighted the role of specific cortical and subcortical structures in ASD and have forwarded the notion of an ASD specific neuroanatomy in which abnormalities in brain structures are present that can be used for diagnostic classification approaches.MethodA large (N = 859, 6–27 years, IQ 70–130) multi-center structural magnetic resonance imaging dataset was examined to specifically test ASD diagnostic effects regarding (sub)cortical volumes.ResultsDespite the large sample size, we found virtually no main effects of ASD diagnosis. Yet, several significant two- and three-way interaction effects of diagnosis by age by gender were found.ConclusionThe neuroanatomy of ASD does not exist, but is highly age and gender dependent. Implications for approaches of stratification of ASD into more homogeneous subtypes are discussed.
Formation and suppression of acoustic memories during human sleep
Authors: Andrillon Thomas , Pressnitzer Daniel , Léger Damien , Kouider Sid 
Published: July 2017

AbstractSleep and memory are deeply related, but the nature of the neuroplastic processes induced by sleep remains unclear. Here, we report that memory traces can be both formed or suppressed during sleep, depending on sleep phase. We played samples of acoustic noise to sleeping human listeners. Repeated exposure to a novel noise during Rapid Eye Movements (REM) or light non-REM (NREM) sleep leads to improvements in behavioral performance upon awakening. Strikingly, the same exposure during deep NREM sleep leads to impaired performance upon awakening. Electroencephalographic markers of learning extracted during sleep confirm a dissociation between sleep facilitating memory formation (light NREM and REM sleep) and sleep suppressing learning (deep NREM sleep). We can trace these neural changes back to transient sleep events, such as spindles for memory facilitation and slow waves for suppression. Thus, highly selective memory processes are active during human sleep, with intertwined episodes of facilitative and suppressive plasticity.
Compositionally-distinct ultra-low velocity zones on Earth’s core-mantle boundary
Authors: Li Mingming , McNamara Allen K. , Garnero Edward J. , Yu Shule 
Published: July 2017

AbstractThe Earth’s lowermost mantle large low velocity provinces are accompanied by small-scale ultralow velocity zones in localized regions on the core-mantle boundary. Large low velocity provinces are hypothesized to be caused by large-scale compositional heterogeneity (i.e., thermochemical piles). The origin of ultralow velocity zones, however, remains elusive. Here we perform three-dimensional geodynamical calculations to show that the current locations and shapes of ultralow velocity zones are related to their cause. We find that the hottest lowermost mantle regions are commonly located well within the interiors of thermochemical piles. In contrast, accumulations of ultradense compositionally distinct material occur as discontinuous patches along the margins of thermochemical piles and have asymmetrical cross-sectional shape. Furthermore, the lateral morphology of these patches provides insight into mantle flow directions and long-term stability. The global distribution and large variations of morphology of ultralow velocity zones validate a compositionally distinct origin for most ultralow velocity zones.