bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Forming Partnerships”: Extramarital Songs and the Promotion of China's 1950 Marriage Law
Authors: Gibbs Levi S. 
Published: December 2017

AbstractShortly after a push to promote China's 1950 Marriage Law in 1953, scholars from the Chinese Music Research Institute on a collection trip to a small locality in northern China encountered a large number of folksongs about extramarital affairs. They interpreted this as evidence of the need for marriage reform. The folksong lyrics highlighted controversial aspects of the Marriage Law by espousing one of the law's central tenets – free love – while also expressing women's desires to leave their husbands. In this article, I explore how the researchers placed the song lyrics in a liminal moral-temporal category between “feudal” arranged marriage and the new marriage system before declaring the songs to be relics of the victimization of women in a “feudal” past. I argue that additional light-hearted elements complicate the researchers’ conclusion and suggest that when the promotion of social agendas in the 1940s and 1950s cast songs about illicit affairs as morally ambiguous, Chinese scholars chose to ascribe the songs’ “roots” to other groups or to the “feudal” past of the people they sought to praise and/or transform.
Evaluating the ≤10:1 wholegrain criterion in identifying nutrient quality and health implications of UK breads and breakfast cereals
Authors: Ghodsian Bahar , Madden Angela M 
Published: December 2017

AbstractObjectiveTo evaluate the nutrient quality of breads and breakfast cereals identified using the wholegrain definition of ≤10:1 carbohydrate:fibre ratio.DesignFollowing a cross-sectional study design, nutritional information was systematically gathered from food labels of breads and breakfast cereals that met the ≤10:1 carbohydrate:fibre criterion. The median nutrient content was compared with the UK Food Standards Agency’s nutrient profiling standards and the associations between carbohydrate:fibre ratio and other nutrients were analysed. Subgroup analyses were undertaken for products with and without fruit, nuts and/or seeds.SettingProducts from four major supermarket stores in the UK.SubjectsBreads (n 162) and breakfast cereals (n 266).ResultsBreads which met the ≤10:1 criterion typically contained medium fat, low saturated fat, low sugar and medium Na. Breakfast cereals typically contained medium fat, low saturated fat, high sugar and low Na. In both groups, as the carbohydrate:fibre ratio decreased, fat content increased (bread: P=0·029, r=−0·171; breakfast cereal: P=0·033, r=−0·131) and, in breakfast cereals, as the ratio increased, sugar content increased (P<0·0005, r=0·381). Breakfast cereals with fruit, nuts and/or seeds contained, per 100 g, more energy (P=0·002), fat, saturated fat and sugar (all P<0·0005), while seeded breads had more energy, fat and saturated fat (all P<0·0005).ConclusionsOverall, breads and breakfast cereals meeting the ≤10:1 criterion have good nutritional quality, suggesting that the criterion could be useful in public health and/or food labelling. The utility of applying the ≤10:1 criterion to products containing fruit, nuts and/or seeds is less clear and requires further research.
Physicians’ experiences of SBIRT training and implementation for SUD management in primary care in the UAE: a qualitative study
Authors: Pflanz-Sinclair Christiane , Matheson Catriona , Bond Christine M. , Almarzouqi Amna , Lee Amanda J. , Batieha Anwar , Ghaferi Hamad Al , El Kashef Ahmed 
Published: December 2017

AimThe objective of this paper is to present a qualitative study of introducing substance misuse screening using the Screening Brief Intervention and Referral to Treatment (SBIRT) model, in primary care in Abu Dhabi.BackgroundSubstance misuse in the UAE is an increasing problem. However religious beliefs and fear of legal consequences have prevented this topic from being openly discussed, risk levels identified through screening and treatment options offered.MethodsA controlled trial was undertaken which included a qualitative process study which is reported here. Qualitative interviews with primary care physicians from two intervention clinics were undertaken to explore their views, experiences and attitudes towards substance misuse management in their clinic. Physicians were trained on SBIRT and on the research project process and documentation. At completion of the project, 10 months after the training, physicians (n=17) were invited to participate in an interview to explore their experiences of training and implementation of SBIRT. Interviews were recorded and transcribed. Inductive thematic coding was applied.FindingsIn total, 11 physicians were interviewed and three main themes emerged: (1) The SBIRT screening project, (2) cultural issues and (3) patient follow-up. Findings revealed a general willingness toward the concept of screening and delivering brief interventions in primary care although increased workload and uncertainties about remuneration for the service may be a barrier to future implementation. There was a perceived problem of substance misuse that was not currently being met and a strong perception that patients were not willing to reveal substance use due cultural barriers and fear of police involvement. In conclusion this qualitative process evaluation provided essential insight into implementing SBIRT in the Middle East. In conclusion, despite physician willingness and a clinical need for a substance misuse care pathway, the reluctance among patients to admit to substance use in this culture needs to be addressed to enable successful implementation.
Subclinical thiamine deficiency in patients with abdominal cancer
Authors: Onishi Hideki , Ishida Mayumi , Tanahashi Iori , Takahashi Takao , Taji Yoshitada , Ikebuchi Kenji , Furuya Daisuke , Akechi Tatsuo 
Published: December 2017

AbstractObjectiveThiamine is an essential coenzyme for oxidative metabolisms; however, it is not synthesized in the human body, and the average thiamine storage capacity is approximately 18 days. Therefore, thiamine deficiency (TD) can occur in any condition of unbalanced nutrition. If TD is left untreated, it causes the neuropsychiatric disorder Wernicke encephalopathy (WE). Although WE is a medical emergency, it is sometimes overlooked because most patients with WE do not exhibit all of the typical symptoms, including delirium, ataxia, and ophthalmoplegia. If all of the typical clinical symptoms of WE are absent, diagnosis of TD or WE becomes more difficult.MethodFrom a series of cancer patients, we reported three patients who developed TD without the typical clinical symptoms of WE.ResultA 69-year-old woman with pancreatic body cancer receiving chemotherapy with paclitaxel and gemcitabine for six months. Her performance status (PS) was 1. A detailed interview revealed that she had appetite loss for six months. Another 69-year-old woman with ovarian cancer received nedaplatin; her PS was 0. A detailed interview revealed that she had appetite loss for three months. A 67-year-old woman with colon cancer receiving ramucirumab in combination with second-line fluorouracil with folinic acid and irinotecan. Her PS was 1. A detailed interview revealed that she had appetite loss for three weeks. None exhibited typical clinical signs of WE, but they developed appetite loss for six months, three months, and three weeks, respectively. The diagnosis of TD was supported by abnormally low serum thiamine levels.Significance of the resultsThis report emphasizes the possibility of TD in cancer patients even when patients do not develop typical clinical signs of WE. The presence of appetite loss for more than two weeks may aid in diagnosing TD. Patients receiving chemotherapy may be at greater risk for developing TD.
Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients
Authors: Petrinec Amy B. , Martin Bradley R. 
Published: December 2017

AbstractObjectiveFamily members of critically ill patients can suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and posttraumatic stress disorder (PTSD) with a diminished quality of life. Our aim was to examine the relationship between coping strategies used by family decision-makers (FDMs) of critically ill patients and the severity of PICS-F symptoms and to examine the relationship between FDM PICS-F symptoms and health-related quality of life (HRQOL).MethodA single-center, prospective, longitudinal descriptive study was undertaken of FDMs of intensive care unit (ICU) patients admitted to a large tertiary care hospital. PICS-F symptoms and coping strategy use were measured upon ICU admission (T1), 30 days (T2) after ICU admission, and 60 days (T3) after ICU admission. HRQOL was measured by the Short Form-36 version 2 at T1 and T3.ResultsWe found a significant prevalence of anxiety (45.8%), depression (25%), and PTSD (11.1%) symptoms among FDMs over the course of the study. The patient mortality rate in our sample was 50%. The HRQOL mental summary score in FDMs was low at T1 and decreased to M = 41.72 (standard deviation = 12.47) by T3. Avoidant coping demonstrated moderate relationships with PTSD symptoms and anxiety at T3. A previous history of anxiety, depression, or PTSD was a significant predictor of PICS-F symptom severity and prevalence. PICS symptom severity at T3 explained 75% of the variance in HRQOL mental summary score.Significance of resultsThis study describes a significant prevalence of PICS-F symptoms in FDMs with a diminished mental HRQOL.
Criterion validity and inter-rater reliability of a palliative care screening tool for patients admitted to an emergency department intensive care unit
Authors: Corrêa da Costa Ribeiro Sabrina , Tavares de Carvalho Ricardo , Aparecida Rocha Juraci , Daglius Dias Roger 
Published: December 2017

AbstractObjectiveThe use of palliative care (PC) screening criteria to trigger PC consultations may optimize the utilization of PC services, improve patient comfort, and reduce invasive and futile end-of-life care. The aim of the present study was to assess the criterion validity and inter-rater reliability of a PC screening tool for patients admitted to an emergency department intensive care unit (ED-ICU).MethodObservational retrospective study evaluating PC screening criteria based on the presence of advanced diagnosis and the use of two “surprise questions” (traditional and modified). Patients were classified at ED-ICU admission in four categories according to the proposed algorithm.ResultA total of 510 patients were included in the analysis. From these, 337 (66.1%) were category 1, 0 (0.0%) category 2, 63 (12.4%) category 3, and 110 (21.6%) category 4. Severity of illness (Simplified Acute Physiology Score III score and mechanical ventilation), mortality (ED-ICU and intrahospital), and PC-related measures (order for a PC consultation, time between admission and PC consultation, and transfer to a PC bed) were significantly different across groups, more evidently between categories 4 and 1. Category 3 patients presented similar outcomes to patients in category 1 for severity of illness and mortality. However, category 3 patients had a PC consultation ordered more frequently than did category 1 patients. The screening criteria were assessed by two independent raters (n = 100), and a substantial interrater reliability was found, with 80% of agreement and a kappa coefficient of 0.75 (95% confidence interval = 0.62, 0.88).Significance of resultsThis study is the first step toward the implementation of a PC screening tool in the ED-ICU. The tool was able to discriminate three groups of patients within a spectrum of increasing severity of illness, risk of death, and PC needs, presenting substantial inter-rater reliability. Future research should investigate the implementation of these screening criteria into routine practice of an ED-ICU.
A European late starter: lessons from the history of reform in Irish health care
Authors: Wren Maev-Ann , Connolly Sheelah 
Published: December 2017

AbstractThe Irish health care system is unusual within Europe in not providing universal, equitable access to either primary or acute hospital care. The majority of the population pays out-of-pocket fees to access primary health care. Due to long waits for public hospital care, many purchase private health insurance, which facilitates faster access to public and private hospital services. The system has been the subject of much criticism and repeated reform attempts. Proposals in 2011 to develop a universal health care system, funded by Universal Health Insurance, were abandoned in 2015 largely due to cost concerns. Despite this experience, there remains strong political support for developing a universal health care system. By applying an historical institutionalist approach, the paper develops an understanding of why Ireland has been a European outlier. The aim of the paper is to identify and discuss issues that may arise in introducing a universal healthcare system to Ireland informed by an understanding of previous unsuccessful reform proposals. Challenges in system design faced by a late-starter country like Ireland, including overcoming stakeholder resistance, achieving clarity in the definition of universality and avoiding barriers to access, may be shared by countries whose universal systems have been compromised in the period of austerity.
More Talk, Less Need for Monitoring: Communication and Deterrence in a Public Good Game
Authors: Kingsley David C. , Muise Daniel 
Published: December 2017

AbstractThis paper investigates the impact of communication in a public good game with a central authority. The central authority includes a fixed cost that increases with the level of monitoring which in turn determines the level of deterrence. The level of monitoring is both exogenously and endogenously determined. Across three treatments subjects either have no opportunity to communicate, communicateonlywhen the level of monitoring is exogenously imposed, or communicateonlywhen the level of monitoring is endogenously selected. Results suggest that, in both treatments, average earnings are significantly higher with the opportunity to communicate. Most significantly, with the opportunity to communicate prior to endogenous selection, groups practically eliminate monitoring (imposing a low cost, non-deterrent, central authority), while maintaining a high level of contributions. Communication appears to make groups less dependent on institutional deterrence and allows them to reduce the costs of central authority.
The Roles of Vowel Fronting, Lengthening, and Listener Variables in the Perception of Vocal Femininity
Authors: Shport Irina A. 
Published: December 2017

Purpose
The goal of this study was to test whether fronting and lengthening of lax vowels influence the perception of femininity in listeners whose dialect is characterized as already having relatively fronted and long lax vowels in male and female speech.

Method
Sixteen English words containing the /ɪ ɛ ʊ ɑ/ vowels were produced by a male speaker with 2 degrees of vowel fronting. Then, the vowel duration was manipulated in 3 steps. Thirty-nine listeners from the Southern United States judged how feminine each word sounded to them on an interval scale.

Results
The results of mixed-effects modeling showed that the words with more fronted and longer variants of the vowels were perceived as more feminine than the same words with less fronted and shorter variants of the vowels. These effects, however, were modulated by the vowel type, listener's area of upbringing, and gender.

Conclusions
Fronting (except for /ʊ/) and lengthening of lax vowels make words sound more feminine for Southern listeners, which has implications for clients who wish to modify the perception of femininity invoked by their speech. The relative strength of the gender and regional associations of these vowel characteristics should be further examined across dialects.
Lesión osteocondral extensa de cóndilo femoral; tratamiento en un tiempo con matriz colágena y concentrado de médula ósea – reporte de un caso
Authors: Calvo R Rafael , Figueroa P David , Morales C Nelson , Figueroa B Francisco , Calvo M Rafael 
Published: December 2017

ResumenEl tratamiento de las lesiones osteocondrales de gran tamaño y profundidad resultan un desafío debido a que las técnicas habituales (microfractura o transplante osteocondral autólogo), son insuficientes para cubrir el defecto; eso es particularmente importante en pacientes jóvenes, pues se debe intentar técnicas que generen la menor comorbilidad posible. Presentamos un caso de un paciente de 18 años con una lesión osteocondral de 6 cm2 por 14 mm de profundidad, tratado mediante autoinjerto óseo, concentrado de médula ósea y matriz colágena, con resultados satisfactorios tanto en lo funcional como en lo imagenológico. Esa técnica presenta la ventaja de realizarse en un tiempo y con una fuente de células troncales mesenquimáticas (Médula ósea), validada en la literatura y altamente reproducible.
Evaluación biomecánica de reparación de roturas del tendón patelar: ¿Es mejor doble Bunnell paralelo o perpendicular?
Authors: Vaisman Alex , Guiloff Rodrigo , Uauy Pablo , Taborga Rodolfo , Abello Nikola , Joannon Jorge , Guzmán Rodrigo , Calvo Rafael , Figueroa David 
Published: December 2017

Introducción En tendón patelar, se ha probado que agregar un segundo punto Bunnell dispuesto perpendicular al punto clásico, es más resistente, sin embargo, esa técnica dispuesta paralelamente no ha sido evaluada.
Propósito Comparar la resistencia entre la técnica doble Bunnell dispuesta en perpendicular y en paralela.
Método 28 muestras frescas de tendones patelares porcinos, asignadas aleatoriamente a 2 grupos. Grupo 1: 14 muestras reparadas con doble Bunnell perpendicular. Grupo 2: 14 muestras reparadas con doble Bunnell paralelo. Todas realizadas con la misma sutura ultrarresistente. Con una máquina computarizada de tracción, se aplicó tracción axial continua hasta el fallo. Se registró el punto máximo de fallo (PMF) y el modelo de falla mecánica. Análisis estadístico con t-student (p < 0,05).
Resultados Grupo 1: PMF = 342 ± 50,7 Newton. Todas las muestras sufrieron avulsión central, preservando fibras perimetrales. Grupo 2: PMF = 358 ± 34,1 Newton. Todas las muestras sufrieron un split longitudinal del tendón. Sin diferencia significativa entre los grupos (p = 0,340).
Conclusión Este estudio no demostró diferencias significativas en la resistencia de una técnica de doble Bunnell paralelo versus perpendicular, aplicada en un modelo experimental de tendón patelar.
Relevancia Clínica Ambas técnicas tienen propiedades biomecánicas similares y dejan un remanente de tejido tendinoso luego del fallo que permitiría una segunda reparación directa, potencialmente sin necesidad de requerir el uso de injertos.
Nivel de Evidencia Estudio de Laboratorio Controlado - Nivel IV.
Causes and consequences of decreasing atmospheric organic aerosol in the United States
Authors: Ridley D. A. , Heald C. L. , Ridley K. J. , Kroll J. H. 
Published: December 2017

Significance
Ambient particulate matter (PM) was responsible for four million premature deaths globally in 2012. The deleterious health impacts of PM motivated the US Environmental Protection Agency (EPA) to curtail emission of PM and precursor gases. The 2011 EPA report to Congress on the efficacy of the Clean Air Act estimated a dramatic reduction in human mortality resulting from these emissions controls. Surface measurements from 1990 to 2012 indicate a significant US-wide decline in the organic portion of the PM, not accounted for in the EPA report. We show that the decline in organic aerosol is mediated primarily through changes in vehicle and residential fuel-burning emissions, indicating that the Clean Air Act is even more beneficial to US air quality than currently appreciated.
Evaluating the contribution of rare variants to type 2 diabetes and related traits using pedigrees
Authors: Jun Goo , Manning Alisa , Almeida Marcio , Zawistowski Matthew , Wood Andrew R. , Teslovich Tanya M. , Fuchsberger Christian , Feng Shuang , Cingolani Pablo , Gaulton Kyle J. , Dyer Thomas , Blackwell Thomas W. , Chen Han , Chines Peter S. , Choi Sungkyoung , Churchhouse Claire , Fontanillas Pierre , King Ryan , Lee SungYoung , Lincoln Stephen E. , Trubetskoy Vasily , DePristo Mark , Fingerlin Tasha , Grossman Robert , Grundstad Jason , Heath Alison , Kim Jayoun , Kim Young Jin , Laramie Jason , Lee Jaehoon , Li Heng , Liu Xuanyao , Livne Oren , Locke Adam E. , Maller Julian , Mazur Alexander , Morris Andrew P. , Pollin Toni I. , Ragona Derek , Reich David , Rivas Manuel A. , Scott Laura J. , Sim Xueling , Tearle Rick G. , Teo Yik Ying , Williams Amy L. , Zöllner Sebastian , Curran Joanne E. , Peralta Juan , Akolkar Beena , Bell Graeme I. , Burtt Noël P. , Cox Nancy J. , Florez Jose C. , Hanis Craig L. , McKeon Catherine , Mohlke Karen L. , Seielstad Mark , Wilson James G. , Atzmon Gil , Below Jennifer E. , Dupuis Josée , Nicolae Dan L. , Lehman Donna , Park Taesung , Won Sungho , Sladek Robert , Altshuler David , McCarthy Mark I. , Duggirala Ravindranath , Boehnke Michael , Frayling Timothy M. , Abecasis Gonçalo R. , Blangero John 
Published: December 2017

Significance
Contributions of rare variants to common and complex traits such as type 2 diabetes (T2D) are difficult to measure. This paper describes our results from deep whole-genome analysis of large Mexican-American pedigrees to understand the role of rare-sequence variations in T2D and related traits through enriched allele counts in pedigrees. Our study design was well-powered to detect association of rare variants if rare variants with large effects collectively accounted for large portions of risk variability, but our results did not identify such variants in this sample. We further quantified the contributions of common and rare variants in gene expression profiles and concluded that rare expression quantitative trait loci explain a substantive, but minor, portion of expression heritability.
Low-lying excited states in crystalline perylene
Authors: Rangel Tonatiuh , Rinn Andre , Sharifzadeh Sahar , da Jornada Felipe H. , Pick André , Louie Steven G. , Witte Gregor , Kronik Leeor , Neaton Jeffrey B. , Chatterjee Sangam 
Published: December 2017

Significance
Molecular solids are an important class of highly tunable, chemically diverse, cheap-to-process materials with promise for next-generation organic optoelectronics. Bound largely by noncovalent interactions, these materials harbor unique charge carrier generation and transport phenomena distinct from conventional semiconductors, an understanding of which requires a detailed description of the excited-state properties of molecular solids. Recent advances in synthetic techniques, ab initio theory, and spectroscopic measurements have enabled such a description, and here we perform quantitative theoretical calculations and high-resolution measurements on a high-quality single-crystal thin film of perylene, an exemplar molecular solid. We obtain excellent agreement between theory and experiment, and a clear picture of the low-lying excitations in perylene responsible for its distinctive optical properties.