bluuebunny/crossref_metadata_2025_split huggingface dataset:
From toxic bonds to healing relationships. A journey through group analytic theory and practice
Authors: Schlapobersky John 
Published: May 2024

The essentials of therapeutic practice in group analysis are summarised through three basic principles. The conductor is responsible for fostering a climate that allows each of a group’s members to find their own voice; bear witness to the voices of others; and come out of the shadows together through the group’s discourse. These principles are built on the author’s earlier writing about the speech, silence, and the language of the group which can make a home amongst strangers. They are framed in the ordinary language of daily experience and the parallel idiom of musicology to address the most primary of musical instruments—the voice. They incorporate of a range of other terms and concepts that bring our attention to core complexities at the heart of many peoples’ deepest sources of disquiet arising out of unresolved intergenerational trauma. The group’s work is akin to a mourning process set in motion for hitherto unacknowledged grief. Disturbance can move about unpredictably. Our challenge is to locate and translate hidden, buried or displaced injury into the everyday language of human suffering where seeds can be sown for resolution. This multi-modal presentation is illustrated with clinical vignettes from groups at work and with collage and paintings. It opens with a Paul McCartney song, ‘Blackbird’ (1968), whose music and lyrics give historical significance to the struggle for human rights. Its closing vignettes explore ‘tools for conviviality’ with images of lost and found brotherhood and a spontaneous online ceremony of eating together in China. The paintings of Morris Nitsun bring us to an ultimate agency for change generated by small groups—the shifting mood-scape of their dynamic life. One image conveys the tragedy and desolation of the pandemic, and another offers the natural world’s consolation in beauty.
Influence of magnesium and calcium sulfate whisker on crystallization characteristics of poly (butylene adipate-co-terephthalate) and Poly(butylene succinate)
Authors: Mao Hsu-I , Liu Shu-Hui , Chu Jui-Ching , Shiu Jia-Wei , Chen Pei-Yin , Chen Chin-Wen 
Published: May 2024

Inorganic fillers of whisker-like morphology are considered promising materials, and they have gained significant attention in recent years as a substitute for glass fibers due to their fibrous surface characteristics and extremely low bulk density. This study selected magnesium sulfate whiskers (MSWs) containing crystal water and pure calcium sulfate whiskers (CSWs) as fillers. They were physically blended with biodegradable polymers PBAT and PBS in a range of 0.1 wt.% to 2 wt.% to form composite materials. The non-isothermal crystallization behavior of the composite materials was studied using differential scanning calorimetry (DSC). The data indicated that with an increase in whisker content, the crystallization temperature (Tc) of composites increased, and the addition of a small amount of whiskers led to a reduction in the half-crystallization time of the composite materials, indicating the crystallization capacity of the materials has been enhanced to varying degrees. Analysis via POM unveiled a consistent pattern of decreased spherulite size and heightened spherulite count with the introduction of whiskers. This phenomenon is ascribed to the whisker fillers’ function as nucleating agents within the polymer matrices, thereby stimulating the crystallization process. Interestingly, the findings suggest that CSWs exert a more significant influence on crystallization than MSWs, likely due to the distinct single fiber morphology of the former filler.
“A Vulnerable Time To Be a Young Family in an Emergency”: Qualitative Findings From an Exploration of an Emergency Perinatal and Infant Feeding Hotline in Louisiana
Authors: Gross Tyra T. , Ludman Malaika , Woods Barr Alexis 
Published: May 2024

Background: Birthmark Doula Collective, a cooperative that provides doula and lactation services in the Greater New Orleans area, mounted an emergency response after two Category 4 storms: Hurricane Laura (2020) and Hurricane Ida (2021). The response included activating a no-cost emergency perinatal and infant feeding hotline. Both disasters coincided with a resurgence of COVID-19 infections in Louisiana. Research Aim: The aim of this study is to understand how an emergency perinatal and infant feeding hotline supported infant and young child feeding in emergencies during hurricanes in Louisiana. Method: This study used a cross-sectional, retrospective qualitative design in a population with low breastfeeding rates. We conducted a content analysis of 97 hotline call logs from Hurricanes Laura and Ida, focus groups with lactation support providers who staffed the hotline during either storm ( n = 5), and interviews with mothers who called during Hurricane Ida ( n = 2). Focus groups and interviews lasted 30 and 60 minutes, respectively. Transcripts were analyzed using thematic analysis techniques. Results: Call logs revealed infant feeding needs (e.g., mastitis, low milk supply, relactation, and infant formula requests) and non-infant feeding needs (e.g., infant supplies, perinatal and infant care referrals, shelter information). Infant formula was the most requested supply during both hurricanes. Maternal participants discussed family vulnerabilities during Hurricane Ida. Staff described training and strategies to provide support while maintaining their own well-being. Conclusion: Providing a free emergency hotline service is one way to support pregnant and postpartum people and their families seeking infant feeding advice, supplies, and support in the immediate aftermath of a disaster.
Growth arrest-specific protein 6 as a marker of nephritis in systemic sclerosis and juvenile systemic lupus erythematosus patients
Authors: Ahmed Alshymaa A , Said Dina , Sami May M 
Published: May 2024

Background: Renal impairments commonly occur as a complication of autoimmune connective tissue diseases (CTDs). Therefore, early nephritis prediction is vital for patient outcomes. Growth Arrest-Specific Protein 6 (GAS6) was found to be upregulated in many types of inflammatory renal disease, including diabetic nephropathy. Aim: To evaluate GAS6 as a predictor of renal impairment in adults with systemic sclerosis (SSc) and children with systemic lupus Erythematosus (SLE). Methods: The study included 60 patients with SSc and 40 children with SLE. The serum level of GAS6 was measured using the ELISA technique. In adults with SSc, total proteins in 24-h urine concentration of >300 mg/24 h indicated renal inflammation, while in children with SLE, nephritis was diagnosed by abnormal renal pathology. Results: In SSc patients, GAS6 significantly increased in patients with proteinuria. GAS6 is an independent predictor of nephritis with an odds ratio (OR) of 1.06 and a 95% confidence interval (CI) of 1.0-1.1. at cutoff 12.2 ng/mL GAS6 predicted proteinuria with sensitivity 86.7% (95% CI: 59.5% to 98.3%), specificity 57.8% (95% CI: 42.1% to 72.3%), positive predictive value 40.6% (95% CI: 31.5% to 50.4%), negative predictive value 92.9% (95% CI: 77.7% to 97.73%), and accuracy 65.0% (95% CI: 51.6% to 76.9%). In SLE patients, Serum GAS6 did not differ significantly between children with and without lupus nephritis. Conclusion: GAS6 is an independent predictor of nephritis in patients with SSc. However, there is no association between GAS6 and nephritis in juvenile patients with SLE.
An Educational Game to Learn Picking Techniques in Warehousing – WareMover
Authors: Franke Sven , Hermes Sandro , Roidl Moritz 
Published: May 2024

Background Serious games and game-based learning are widely used in education. Gaming in logistics education relies on serious gaming with no or less consideration on enjoyment. Intervention This study examines in a first step whether and if so, how (serious) games are used as part of logistics majors’ curricula at German universities. Based on the findings, an entertainment game about warehousing is developed and validated. Methods Warehousing is an application-based discipline in which the operation of different picking techniques has an impact on the order picking. To help students understand the impact of such techniques, the 2D game WareMover was developed. The open-access game combines education and entertainment with different gamification objects and can be played in singleplayer or multiplayer mode. In this competitive 2D game, the objective is to pick orders by navigating around the warehouse towards the right shelf and to click on the correct storage compartment. The player has to achieve the highest score, which is determined by the fastest and least erroneous delivery. Four different picking techniques can be used in two game modes. Results The results of a 14-player game session are presented. All players played both game variants with all picking techniques and completed a questionnaire. The players rated the game as user-friendly, entertaining, didactically useful, suitable for teaching and education, and engaging. In addition, the majority of players would play the game again and recommend it to others. Conclusion The open-source game WareMover can contribute to studies in the field of warehousing by teaching students about picking techniques and the differences between these techniques. The novel game approach of interpreting a serious game as an entertainment game can increase the enjoyment and motivation of the players.
Anatomy of the Flexor Hallucis Longus and Its Relationship With Hallux Valgus: A Cadaveric Study
Authors: Ahumada Ximena , Ortiz Cristián , Carcuro Giovanni , Pellegrini Manuel , Butteri Ana , Albarrán Carlos , Chaparro Felipe 
Published: May 2024

Background: Hallux valgus (HV) is a complex deformity, with many associated risk factors. The flexor hallucis longus (FHL) tendon is a dynamic and potentially deforming force as it bowstrings laterally with HV. We hypothesized that FHL is more laterally inserted in the distal phalanx in cadavers with HV; therefore, it might be also a primary destabilizing force. We aim to compare the FHL distal insertion morphology and its relationship with osseous structures in cadavers with and without HV. Methods: Sixteen cadaver specimens, 8 with HV and 8 without (N-HV) were dissected. We evaluated FHL distal morphology in terms of its insertional footprint location and FHL long-axis position in relation to osseous anatomy. Results: Both the HV and N-HV groups displayed a laterally inserted footprint at the distal phalanx, with the HV group exhibiting median lateral translation of the footprint 6% greater than the N-HV group ( P < .01). Both groups also demonstrated a laterally displaced position for the FHL long axis. The median FHL long axis for HV vs N-HV specimens 1 cm proximal to the IP joint was 9% more laterally displaced from the midaxis ( P < .01), and at 1 cm proximal to the MTP joint was measured to be 15% more laterally displaced from the midaxis ( P < .01). Conclusion: FHL demonstrated an eccentric position in terms of insertion and trajectory in both the HV and N-HV groups, with greater lateralization in specimens exhibiting HV deformity. This eccentricity potentially creates a greater deforming force vector contributing to the development of HV. Clinical Relevance: The etiology and progression of HV deformity may include a lateralized insertion of the FHL tendon. Treatment implications remain unknown at this time.
Unveiling the mystery of the responsiveness of inbound tourism to economic policy uncertainty: New evidence from Australia
Authors: Gong Yuting , Chang Chia-Hsun , Lee Paul Tae-Woo , Yin Jingbo , Shi Wenming 
Published: May 2024

Using a time-varying parameter vector autoregressive (TVP-VAR) model, this study analyzes how inbound tourist arrivals (TOUR) respond to EPU in Australia. Empirical results show that EPU can Granger cause TOUR in most cases before COVID-19, whereas little evidence supports this finding after the pandemic. At the national level, it is found that EPU was the net risk transmitter before COVID-19 but became the net risk receiver after COVID-19, while TOUR was the net risk receiver over March 2007-March 2020 but became the net risk transmitter in the remaining months. The impulse response functions reflect that a 2.81% decline in the total TOUR was observed due to a 1% increase in EPU, which gradually decayed within 9 months for the sub-sample before COVID-19. Similar findings hold at the state/territory level. These findings provide profound evidence for the national and state/territory governments to allocate tourism resources and formulate supportive tourism policies.
Evaluating the between-day reliability and likelihood of change of a test battery incorporating vastus lateralis muscle thickness, ankle-brachial pressure index, maximal voluntary torque, and six-minute walk test in patients with claudication
Authors: Parkington Thomas , Broom David , Maden-Wilkinson Thomas , Nawaz Shah , Klonizakis Markos 
Published: May 2024

Objective The study aims to evaluate the between-day reliability of a proposed test battery for patients with claudication that can be used for monitoring the effectiveness of exercise interventions and other therapeutic strategies tailored to this patient population. Methods Twenty-five men with claudication were recruited. The test battery consisted of the Vastus Lateralis muscle thickness (VL-MT), ankle-brachial pressure index (ABI), unilateral isometric knee extension maximal voluntary torque (MVT) and 6-minute walk test (6MWT). A single investigator conducted the tests for each patient on two separate testing sessions (T1 and T2) 5–7 days apart. Results Good to excellent reliability was observed for VL-MT (ICC = 0.95, 95% LOA = ±3.10 mm, SEM = 0.81 mm), ABI (ICC = 0.97, 95% LOA = ±0.10, SEM = 0.02), MVT (ICC = 0.97, 95% LOA = ±24.0 N·m, SEM = 6.31 N·m), 6MWT distance (ICC = 0.99, 95% LOA = ±39.6 m, SEM = 11.0 m), 6MWT time to claudication (ICC = 0.99, 95% LOA = ±30.8 s, SEM = 7.8 s), and 6MWT ratings of pain (ICC = 0.87, 95% LOA = ±2.4 CR-10+, SEM = 0.7 CR-10+ ). Analysis derived from reliability data indicates a change of 1.4 mm for VL-MT, 0.14 for ABI, 12 N·m for MVT, 25 m for 6MWT distance, 15 s for 6MWT time to claudication and 1 CR-10+ for 6MWT ratings of pain is required to be interpreted as the minimum ‘likely’ change (76% chance). Conclusions The test battery provides a reliable assessment of patients with claudication and can be widely used to evaluate the effects of exercise programmes and other therapeutic interventions. For the individual, changes in VL-MT, ABI, MVT, and 6MWT greater than the minimum likely change as a result of an exercise programme or an intervention are likely changes and less influenced by error associated with the test.
Intravascular lithotripsy-assisted percutaneous deep vein arterialization for no-option chronic limb-threatening patients and heavily calcified tibial occlusive disease
Authors: Kapetanios Dimitrios , Czihal Michael , Tsilimparis Nikolaos , Torsello Giovanni , Rieck Julian , Stavroulakis Konstantinos 
Published: May 2024

Purpose To report the first chronic limb-threatening ischemia (CLTI) patients who underwent an intravascular lithotripsy (IVL)-assisted percutaneous deep vein arterialization (pDVA). Case Report 1 An 81-year-old patient presented with CLTI and a heavily calcified lesion of the popliteal artery and tibioperoneal trunk (TPT), with a distal tibial and foot arch occlusion. The patient underwent IVL and drug-coated balloon angioplasty for the distal popliteal artery and of the TPT to improve the inflow prior to pDVA. The wound situation remained stable without secondary procedure until the patient`s deaths due to complications of urosepsis 3 months later. Case Report 2 A 64-year-old patient with rest pain of the left limb with a single-vessel tibial run-off (peroneal artery) and occluded pedal arch was treated with 3.5 mm IVL followed by a successful pDVA as mentioned above. IVL performed in the proximal posterior tibial artery to optimize the inflow to the circuit and change the compliance of the crossing point from the arterial to the vein system. The patient underwent repeat angioplasty of the plantar vein arch 5 months after the index procedure and thereafter remained asymptomatic during 2 years of follow-up. Conclusion The combined use of IVL and pDVA could improve the patency of the reconstruction with clinical benefits in no-option CTLI patients.
Investigating the effect of an online enhanced care program on the emotional and physical wellbeing of patients discharged from hospital with acute decompensated heart failure: Study protocol for a randomised controlled trial: Enhanced care program for heart failure
Authors: Fakes Kristy , Hobden Breanne , Zwar Nick , Collins Nick , Oldmeadow Christopher , Paolucci Francesco , Davies Allan , Fernando Irosh , McGee Michael , Williams Trent , Robson Cameron , Hungerford Robert , Ooi Jia Ying , Sverdlov Aaron L , Sanson-Fisher Rob , Boyle Andrew J 
Published: May 2024

Objective Depression is highly prevalent and associated with increased hospitalisations and mortality among patients with heart failure (HF). This study will evaluate the effectiveness and cost-effectiveness of an online wellbeing program for patients discharged from hospital with acute decompensated heart failure (ADHF) in (i) improving emotional and physical wellbeing, and (ii) decreasing healthcare utilisation. Methods Two-arm randomised controlled trial. Eligible patients with ADHF will be recruited pre-discharge from two hospitals. Five hundred and seventy participants will be randomised to receive the intervention (online enhanced care program for HF: ‘Enhanced HF Care’) or usual care. Enhanced HF Care includes health education (11 micro-learning modules) and monitoring of depression and clinical outcomes via fortnightly/monthly surveys for 6 months, with participants offered tailored advice via video email and SMS. Cardiac nurses track real-time patient data from a dashboard and receive automated email alerts when patients report medium- or high-risk levels of depression or clinical symptoms, to action where needed. General practitioners also receive automated alerts if patients report medium- or high-risk survey responses and are encouraged to schedule a patient consultation. Results Sixty-five participants enrolled to-date. Co-primary outcomes (‘Minnesota Living with Heart Failure Questionnaire’ Emotional and Physical subscales) and healthcare utilisation (secondary outcome) at 1- and 6-month post-recruitment will be compared between treatment arms using linear mixed effects regression models. Conclusions This study has the potential to reduce the burden of depression for patients with HF by prioritising urgent mental health needs and clinical symptoms while simultaneously empowering patients with self-care knowledge. Trial registration The trial was prospectively registered via the Australian New Zealand Clinical Trials Registry: ACTRN12622001289707. Issue date: 4 October 2022.
Validation of gait analysis using smartphones: Reliability and validity
Authors: Tao Shuai , Zhang Hao , Kong Liwen , Sun Yan , Zhao Jie 
Published: May 2024

Objective This study aims to validate the reliability and validity of gait analysis using smartphones in a controlled environment. Methods Thirty healthy adults attached smartphones to the waist and thigh, while an inertial measurement unit was fixed at the shank as a reference device; each participant was asked to walk six gait cycles at self-selected low, normal, and high speeds. Thirty-five cerebral small vessel disease patients were recruited to attach the smartphone to the thigh, performing single-task (ST), cognitive dual-task (DT1), and physical dual-task walking (DT2) to obtain gait parameters. Results The results from the healthy group indicate that, regardless of whether attached to the thigh or waist, the smartphones calculated gait parameters with good reliability (ICC2,1 > 0.75) across three different walking speeds. There were no significant differences in the gait parameters between the smartphone attached to the thigh and the IMU across all three walking speeds ( P > 0.05). However, significant differences were observed between the smartphone at the waist and the IMU during the stance phase, swing phase, stance time, and stride length at high speeds ( P < 0.05). At the same time, measurements of other gait parameters were similar (P > 0.05). Patients demonstrated significant differences in the cadence, stride time, stance phase, swing phase, stance time, stride length, and walking speed between ST and DT1 ( P < 0.05). Significant differences were observed in the stance phase, swing phase, stride length, and walking speed between ST and DT2 ( P < 0.05). Conclusions This study demonstrates the feasibility of using built-in smartphone sensors for gait analysis in a controlled environment.
Feasibility and acceptability of a novel digital therapeutic combining behavioral and pharmacological treatment for opioid use disorder
Authors: Monico Laura B. , Eastlick Megan , Michero Darcy , Pielsticker Peyton , Glasner Suzette 
Published: May 2024

Objective Despite the worsening of the opioid epidemic, access to quality treatment for opioid use disorder (OUD) including buprenorphine remains a challenge. With the onset of the COVID-19 public health emergency, temporary regulatory changes and expanded reimbursement for telehealth services allowed for the rapid expansion of remote treatment for OUD and increased access to buprenorphine, but limited research exists to support this revolutionary shift in care delivery. This study evaluates the feasibility and acceptability of a novel digital therapeutic intervention for OUD combining buprenorphine and behavioral therapy. Methods Adults ( n = 27) with OUD received treatment with daily sublingual buprenorphine and psychosocial treatment delivered digitally via a smartphone app over 12 weeks. Participants were evaluated monthly for continued opioid use, medication adherence, anxiety and depression indicators, abstinence self-efficacy, craving, and overall well-being, as well as a one-time measure of treatment acceptability. Results Participants reported increased opioid abstinence days from baseline ( M = 8.2, SD = 8.6) to 12 weeks per 30 days ( M = 24.9, SD = 10.1), t(20) = −6.5, p < .000, with strong medication adherence across study waves (96.2%). Anxiety and depression indicators, and opioid craving significantly decreased, and abstinence self-efficacy and overall well-being significantly increased following the intervention. Participants also demonstrated high rates of treatment engagement. Conclusions As current public health emergency regulatory changes are reviewed for permanency, this feasibility and acceptability study of a novel digital therapeutic intervention for OUD including buprenorphine adds to the growing evidence that supports maintaining telehealth access for quality OUD treatment.