bluuebunny/crossref_metadata_2025_split huggingface dataset:
Associations Between Parenting Behaviors and Behavioral Problems in Young Children With Developmental Delays
Authors: Luehring Mathew C. , McIntyre Laura Lee 
Published: October 2023

Abstract
Children with developmental delays (DD) are at heightened risk for developing behavior problems, which contribute to parenting stress and caregiving burden. There is an established relation between parenting behaviors and child developmental outcomes with less known about parent–child interactions in young children with DD. The present study examined the associations between parenting behaviors and child behavior in a sample of 180 families with preschool-aged children with DD. Results indicated that caregivers’ harsh and coercive behaviors were associated with observed challenging behavior in children. Child age, as well as the number of commands issued by caregivers were associated with noncompliance in children. The significance and limitations of these findings are discussed, as well as recommendations for interventions and future research.
A meaningful everyday life experienced by adults with acquired neurological impairments: A scoping review
Authors: Aadal Lena , Hundborg Michele Offenbach , Pallesen Hanne , Steensgaard Randi 
Published: October 2023

Objective
This scoping review explores the characteristics of a meaningful life appraised by adults living with an acquired neurological impairment.

Introduction
Limitations in function, activity or participation following a neurological injury or disease imposes comprehensive changes on the every-day life of the affected person and close relatives. Including patients’ perception of a meaningful life is pivotal to facilitate motivation and individualize rehabilitation efforts to address the patients’ wishes, hopes, needs, and preferences. Surprisingly, only little research has been devoted to illuminating what a meaningful life is from the impaired person’s perspective. Hence, a scoping review of existing knowledge is needed to facilitate person-centered high-quality rehabilitation and research initiatives.

Inclusion criteria
All studies, published in English or Scandinavian languages describing a meaningful life as experienced by adult persons with neurological impairment were included. No search date range filter was selected.

Methods
This review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews according to a published protocol. A three-step search strategy was conducted in the databases PubMed, Cinahl, PsycINFO and Embase. At least two independent researchers conducted inclusions and exclusions, data extraction, and analyses. Covidence software was used to manage the information.

Findings
We identified 307 studies. Of these, 20 were included and quality assessed. Findings are reported in accordance with the PRISMA- SCR checklist and descriptively presented mapped in three main domains and 10 ten sub-domains.

Conclusion
Current literature conveys no clear definition or perception of what a meaningful life is. However, across the 20 included studies, the following main characteristics were stepped forward as particularly significant for adults living with an acquired neurological impairment in regard to achieving a meaningful life: i) to be part of meaningful relationships and meaningful activities; ii) to become confident with one’s perceived identity.
Is there an indication for simultaneous bilateral knee arthroplasty in morbidly obese patients? Should the patients’ request for simultaneous operation be considered?
Authors: Akar Bedrettin 
Published: October 2023

Purpose
This study aimed to analyse the safety of simultaneous bilateral total knee arthroplasty (SBTKA) surgery by comparing morbidly obese (MO) patients with obese patients.

Methods
SBTKA was performed to 494 patients by a single surgeon in a single center between 2014–2020. The patients followed for a mean of 26 months. They were divided into two groups according to body mass index (BMI) as MO (BMI> 40 kg/m2, n = 65) and obese(O) (BMI = 30–39.9 kg/m2, n = 429 patients). The groups were compared in terms of wound healing problems (WHP), mobilization time (MT), operation time (OT), prosthesis infection, aseptic loosening (AL), early complications, revision, and length of hospitalization using univariate and multivariate logistic regression analyses.

Results
Logistic regression analysis revealed significant differences in the clinical outcomes and complications between MO and O patients. Parameters such as length of stay, OT, MT, WHP, debridement, medial retinaculum detachment (MRD) and AL, and short-term complications such as acute kidney injury (AKI), and pulmonary embolism (PE) incidence were significantly higher in the MO group. Among the MO patients, the clinical outcomes were worse than those among the O patients, and the complication incidence was higher.

Conclusion
We do not find SBTKA surgery feasible in morbidly obese patients due to the high complication rate and unsatisfactory clinical outcomes. We suggest that the patient’s request to undergo SBTKA should not be taken into account, and that staged surgery be preferred.
Inter-rater reliability of a novel objective endpoint for benign central airway stenosis interventions: Segmentation-based volume rendering of computed tomography scans
Authors: Ratwani Ankush P. , Chen Heidi , Brown Leah , Schwartz Evan A. , Patel Khushbu , Guttentag Adam , McLaren Thomas A. , Sandler Kim L. , Rickman Otis B. , Shojaee Samira , Lentz Robert J. , Maldonado Fabien 
Published: October 2023

Objectives
To evaluate the reliability of a novel segmentation-based volume rendering approach for quantification of benign central airway obstruction (BCAO).

Design
A retrospective single-center cohort study.

Setting
Data were ascertained using electronic health records at a tertiary academic medical center in the United States.

Participants and inclusion
Patients with airway stenosis located within the trachea on two-dimensional (2D) computed tomography (CT) imaging and documentation of suspected benign etiology were included. Four readers with varying expertise in quantifying tracheal stenosis severity were selected to manually segment each CT using a volume rendering approach with the available free tools in the medical imaging viewing software OsiriX (Bernex, Switzerland). Three expert thoracic radiologists were recruited to quantify the same CTs using traditional subjective methods on a continuous and categorical scale.

Outcome measures
The interrater reliability for continuous variables was calculated by the intraclass correlation coefficient (ICC) using a two-way mixed model with 95% confidence intervals (CI).

Results
Thirty-eight patients met the inclusion criteria, and fifty CT scans were selected for measurement. The most common etiology of BCAO was iatrogenic in 22 patients (58%). There was an even distribution of chest and neck CT imaging within our cohort. The average ICC across all four readers for the volume rendering approach was 0.88 (95% CI, 0.84 to 0.93), suggesting good to excellent agreement. The average ICC for thoracic radiologists for subjective methods on the continuous scale was 0.38 (95% CI, 0.20 to 0.55), suggesting poor to fair agreement. The kappa for the categorical approach was 0.26, suggesting a slight to fair agreement amongst the raters.

Conclusion
In this retrospective cohort study, agreement was good to excellent for raters with varying expertise in airway cross-sectional imaging using a novel segmentation-based volume rendering approach to quantify BCAO. This proposed measurement outperformed our expert thoracic radiologists using conventional subjective grading methods.
Psychological resilience mediates the association between sleep quality and anxiety symptoms: A repeated measures study in college students
Authors: Cai Huangjie , Guo Jianhui , Zhou Jungu , Lai Yingqian 
Published: October 2023

Objective
To explore the association between sleep quality and anxiety symptoms, and the mediation effect of psychological resilience on this association by a repeated measures study.

Methods
In this study, 127 college students were randomly recruited and their sleep quality and psychological status were repeatedly collected using the Pittsburgh Sleep Quality Index (PSQI) scale, Connor-Davidson resilience scale (CD-RISC), and 7-items generalized anxiety disorder scale (GAD-7). Linear mixed-effects models were used to explore the association between sleep quality and anxiety symptoms, and a mediated effects analysis was used to explore the role played by psychological resilience in this association.

Results
This study found a positive association between sleep quality and anxiety symptoms (β = 0.40, 95% confidence interval: 0.27, 0.52). Psychological resilience scores and its various dimensions play a significant mediating role in this association.

Conclusions
Although the role of sleep quality in anxiety disorders is not fully understood, this study highlights the importance of improving sleep quality while enhancing psychological resilience to prevent the onset of anxiety symptoms in college students.
Malaria is the leading cause of acute kidney injury among a Zambian paediatric renal service cohort retrospectively evaluated for aetiologies, predictors of the need for dialysis, and outcomes
Authors: Mwaba Chisambo , Munsaka Sody , Bvulani Bruce , Mwakazanga David , Chiluba Brian Chanda , Fitzwanga Kaiser , Mpabalwani Evans 
Published: October 2023

Background
Whilst malaria is a prominent aetiology associated with acute kidney injury (AKI) in many parts of Africa, a shift in the traditional AKI aetiologies has been witnessed in sections of the continent. Additionally, limited access to dialysis worsens patient outcomes in these low-resource settings. This retrospective cross-sectional study aimed to determine the associated aetiologies, predictors of need for dialysis and malaria-associated AKI (MAKI), and outcomes of AKI and dialysis among children evaluated by the renal service in Lusaka, Zambia.

Methods
The study sampled all children aged 16 years or below, diagnosed with AKI between 2017 and 2021, by the renal unit at the University Teaching Hospitals- Children’s Hospital (UTH-CH), and retrospectively abstracted their records for exposures and outcomes. AKI was defined using the Kidney Disease Improving Global Outcomes (KDIGO) 2012 criteria. Frequency and percentage distributions were used to describe the occurrence of AKI aetiologies and treatment outcomes. Predictors of the need for dialysis, MAKI, and poor treatment outcome were identified by using multivariable logistic regression models.

Results
A total of 126 children diagnosed with AKI were included in this study. Malaria was the most frequent aetiology of AKI(61.1% (77/126, 95% Confidence Interval (CI): 52.0%-69.7%)). Of the 126 children with AKI, 74.6% (94) underwent dialysis. Predictors of the need for dialysis were oliguria (p = 0.0024; Odds ratio (OR) = 7.5, 95% CI: 2.1–27.7) and anuria (p = 0.0211; OR = 6.4, 95% CI = 1.3, 30.7). A fifth (18.3%, 23/126) of the children developed chronic kidney disease (CKD), 5.6% (7/126) died and, a year later, 77% (97/126) were lost to follow-up.

Conclusion
At UTH-CH, malaria is the most frequent aetiology among children with AKI undergoing dialysis and children from low-medium malaria incidence areas are at risk; a considerable proportion of children with AKI need dialysis and Tenchoff catheter use in AKI is advocated.
The caring experiences of family caregivers for patients with advanced cancer in Uganda: A qualitative study
Authors: Najjuka Sarah Maria , Iradukunda Angelique , Kaggwa Mark Mohan , Sebbowa Anastacia Nabyonga , Mirembe Joy , Ndyamuhaki Kennedy , Nakibuule Catherine , Atuhaire Joan Patience , Nabirye Elizabeth , Namukwaya Elizabeth , Kiguli Sarah 
Published: October 2023

Background
Cancer morbidity and mortality is rising in sub-Saharan Africa. Given this rise, family caregivers play an integral role in provision of quality cancer care services. This study explored the family caregivers (FCGs)/relatives’ experiences of caring for patients with advanced cancer (stage 3 or stage 4) in Uganda.

Methods
This was a descriptive qualitative study exploring the lived experiences of FCGs of patients with advanced cancer attending care at the Uganda cancer institute. We purposively recruited twelve FCGs and conducted face-to-face in-depth interviews using an interviewer-guided semi-structured questionnaire. Data were analyzed by thematic analysis

Results
The age range of participants was 19 to 49 years. Most participants were children of the patients (n = 7), had attained tertiary education (n = 7), and had taken care of their loved ones for at least one year (n = 10). Six themes emerged from data analysis; (i) caring roles, (ii) caring burdens, (iii) role conflict, (iv) health system tensions, (v) support and motivation, (vi) caring benefits, lessons and recommendations.

Conclusion
Study findings highlight the fundamental role of FCGs in the care of their loved ones, and illuminate the neglected physical, psychological and social challenges of family caregivers amidst health system tensions and conflicting roles. The needs of family caregivers should be embedded within cancer care, prevention and control programs particularly in low resource settings.
Gender-based differences in decision making, quality of life and survival among patients undergoing left ventricular assist device evaluation
Authors: Kim Joseph M. , Maqsood Muhammad H. , Makuvire Tracy , McIlvennan Colleen K. , Thompson Jocelyn S. , Matlock Daniel D. , Allen Larry A. , Warraich Haider J. 
Published: October 2023

Background
Women are less likely to receive left ventricular assist devices and are more likely to experience poor outcomes. However, how gender impacts LVAD decision-making regarding LVAD implantation and the effects of that decision remains unknown.

Methods
We performed a sub-group analysis from the stepped-wedge DECIDE-LVAD trial, which tested a decision-support intervention for patients considering LVAD therapy.

Results
Excluding 9 patients who withdrew from assessments, of the 239 patients analyzed, 203 (85%) were men and 36 (15%) were women. More men received LVADs (70%) than women (61%) and more men were alive at 6 months compared to women, both among those who received LVADs (87% vs 82%) and those who did not (74% vs 50%) (p = 0.002). Compared to men, women were more likely to have decision regret, depressive symptoms and perceived stress at baseline but not at follow-up. At 6-month follow-up, men experience improvements in decisional conflict, acceptance of illness, struggle with illness, and perceived stress–none of those improvements were noted amongst women. Compared to men who received LVADs, women receiving LVADs had worse decision regret and depressive symptoms at baseline and worse acceptance of illness and perceived stress at six months. Men who received LVADs experienced improvement in decisional conflict and perceived stress, while women did not experience these improvements. Both men and women who received LVADs experienced improvement in depressive symptoms. Quality of life as assessed by EuroQol visual analog scale improved for both men and women who received LVADs but not for those who did not receive LVADs; no gender differences in quality of life were noted.

Conclusion
Women require greater decisional support at time of decision to undergo LVAD implantation and subsequently might benefit from more intensive psychosocial support.
Resonant Bodies in Contemporary European Art Cinema, Emilija Talijan (2022)
Authors: Baker Nate 
Published: October 2023

Review of: Resonant Bodies in Contemporary European Art Cinema, Emilija Talijan (2022)
Edinburgh: Edinburgh University Press, 200pp., ISBN: 9781474483452 (hbk), $110.00, ISBN: 9781474483483 (ebk), $100.00, ISBN: 9781474483476 (pdf), $100.00
This Is Not a Burial, It’s a Resurrection (2019)
Authors: Albright Kathryn 
Published: October 2023

Review of: This Is Not a Burial, It’s a Resurrection (2019)
South Africa/Italy/USA/Kingdom of Lesotho
Director Lemohang Jeremiah Mosese
Runtime 122 minutes
Blu-ray
USA, 2023
Distributed by The Criterion Collection (region A/1)
Design Validation and Reliability Assurance of Electronic Systems Using the Next Generation RGT Models
Authors: Basha Mustaq , Ware Nilesh R. 
Published: October 2023

Arrhenius Accelerated Growth Model (AAGT) is the next generation accelerated testing models used for design validation and reliability assurance of electronics systems. These models are used in design and manufacturing phases towards reliability enhancement of the system respectively. AAGT Models uses Highly Accelerated Stresses for screening of the components towards uncovering Compared to traditional qualification test methods, design flaws, latent defects, component selection problems, and manufacturing flaws can be detected fast. The procedure includes thermal dwells and quick temperature changes while subjecting the test unit to increasing degrees of stress. Dynamic stresses (Pseudo-Random Vibration covering all 6DOF systems) and a combination of thermal and dynamic PSD stresses towards quickly precipitating inherent/hidden defects quickly. These Accelerated models used to qualify modern active array radar modules like Transmit Receive Modules (TRMs) which will be in large numbers and It will be difficult and time-consuming to filter these modules individually using the traditional way. To increase the quality and dependability of electronic devices, much accelerated life tests have been extensively adopted. However, extremely accelerated life tests may only be used as a qualitative approach to assess a product's dependability; they cannot be used to quantify a product's reliability, such as MTBF/MTTF. Consequently, in order to efficiently assess the level of product reliability while improving product reliability in a timely manner. HALT/HASS uses Arrhenius Accelerated Growth Model that is an effective technique used for screening of the module with in short period. This paper discuss in detail with a case study on active array modules deliberating about the test methodology, challenges faced during Using Arrhenius accelerated test models, rapid testing and assessment of these Four channel TRMs used for airborne Fire Control Radar for combat operations.
ROMO1 – a potential immunohistochemical prognostic marker for cancer development
Authors: Tsoneva Eva , Vasileva-Slaveva Mariela B. , Kostov Stoyan G. , Yordanov Angel D. 
Published: October 2023

Abstract
Reactive Oxygen Species Modulator 1 (ROMO1) was first discovered in 2006, and its structural characteristics were elucidated by Lee et al. in 2018. This novel protein resides in the inner mitochondrial membrane and exerts control over the production of reactive oxygen species (ROS) by modulating membrane potential and permeability. ROS, in turn, plays a multifaceted role in cancer progression: at low concentrations, it serves as a critical player in cell signaling, influencing tumor suppression and immune system maintenance; at moderate concentrations, it promotes cancer progression, while high concentrations induce apoptosis. ROMO1, as a key regulator of intracellular ROS, significantly impacts cancer cell invasion and growth. Existing literature demonstrates that overexpression of ROMO1 is strongly associated with lymph node metastasis and a dismal prognosis in cancer patients, making it a promising prognostic factor for solid malignant tumors. ROMO1 can be investigated by various methods including immunohistochemistry (IHC) which is one very suitable method in our opinion.
Promoting antibacterial activity of polyurethane blend films by regulating surface-enrichment of SiO2 bactericidal agent
Authors: Li Guanglong , Shi Shenwei , Zhang Lexing , Li Ting , Wang Yang , Dong Weifu 
Published: October 2023

Abstract
Polyurethane (PU) blended with nano-bactericidal agents was one of the most ways to obtain PU with antimicrobial properties. However, the bactericidal agent nanoparticles cannot effectively enrich the PU surface to reduce their antimicrobial properties. In this study, nano-silica particles with a large number of polar quaternary ammonium salt (N,N-dimethyl-3-aminopropyl-12-alkyl-ammonium bromide trimethylsilyl, denoted as QAC) can easily enrich the PU surface to endow PU with excellent antibacterial properties after they were blended with PU film. The QAC on the surface of silica with different diameters (denoted as SiO2-Q-X) can endow silica with antimicrobial properties and improve the repulsion between silica and PU to enhance the enrichment on PU surface of silica. A series of SiO2-Q-X/PU blend films were prepared and applied to inhibit the growth of the bacterial colony. The SiO2-Q-X/PU films can inhibit the growth of Gram-negative Escherichia coli and Gram-positive Staphylococcus epidermidis. The SiO2-Q-X with more polar QAC was easily enriched on the surface of PU and had a better bactericidal effect than those of SiO2-Q-X with a minor polar QAC. Moreover, the aging of the SiO2-Q-X/PU films did not affect their antibacterial effect.
Convergence at Poverty Point: a revised chronology of the Late Archaic Lower Mississippi Valley
Authors: Grooms Seth B. , Ward Grace M.V. , Kidder Tristram R. 
Published: October 2023

AbstractThe Poverty Point site, located in the Lower Mississippi Valley of the south-eastern United States, is commonly considered a centre of innovation that exported new material culture, practices and identity to presumably contemporaneous sites in the region. Recent radiocarbon data, however, show that Jaketown, previously interpreted as a peripheral expression of Poverty Point culture, is earlier than the type-site. Using the revised chronology at Jaketown as a case study, the authors argue that assuming a radial diffusion of cultural innovations biases our understanding of social change and obfuscates complex histories. Their study demonstrates how examining local sequences can challenge generalised models of regional cultural change.
Evaluation of Mechanical Performance of Asphalt Emulsion Stabilized Base Course Composed of Reclaimed Asphalt Pavement and Asphaltenes
Authors: Jhora Nusrat Nazim , Kamran Farshad , Baghaee Moghaddam Taher , Hashemian Leila 
Published: October 2023

Abstract
Reclaimed asphalt pavement (RAP) is a material that is produced by milling old asphalt pavement that can be mixed with virgin asphalt binder and aggregates to fabricate a recycled asphalt mixture. Using RAP in pavement structure can promote sustainability and reduce construction costs. In this study, asphaltenes, which is a waste material derived from oil sands deasphalting operation, was added as a modifier to recycled mixtures composed of different contents of RAP. A proctor test was conducted to determine the optimum fluid contents. Mix designs were performed for mixtures with 50 %, 75 %, and 100 % RAP with asphalt emulsion and different asphaltenes contents. Mechanical properties of the modified mixtures were evaluated by conducting the indirect tensile strength (ITS) test, creep compliance and strength test, indirect tensile asphalt cracking test (IDEAL-CT), and Hamburg wheel tracking test. The optimum emulsion content was determined to be 1.5 % based on sample performance using the ITS test. The results indicate that asphaltenes improves the strength up to the design-specified limits. The asphaltenes-modified samples show lower creep compliance and fracture energy (FE) values than the unmodified sample, indicating these samples are potentially more prone to cracking. Further, statistical analysis shows the difference in FE is significant at the lowest testing temperatures (−20°C). Asphaltenes-modified mixtures have greater cracking resistance at the intermediate temperature (25°C) and rutting performance at high temperature (40°C) than the unmodified mixture. However, based on FE and rutting resistance index, the improvements are not significant. Overall, the 100 % RAP mix with 1 % asphaltenes had the best tensile strength, cracking resistance, rutting resistance, and low temperature properties compared to other modified mixes.