bluuebunny/crossref_metadata_2025_split huggingface dataset:
Session 10: Addressing Anger (Part II)—Using a Behavioral Approach
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter discusses the session on how to address anger through a behavioral approach. It highlights how the process of suppressing anger often leads to perceptions and beliefs that contribute to chronic negative emotions. The chapter then details the process of asking group members about the success of exposure practices and the A-B-C-D approach. It then introduces assertiveness as a useful behavioral tool to reduce anger and also guide productive interactions when a client is asking someone to change their behavior. Assertiveness refers to the ability to stand up for one's rights, opinions, needs, and feelings without infringing on others.
Session 11: Feeling Down—How to Fight It
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter explains techniques clients can use to fight depression. Some individuals with posttraumatic stress disorder (PTSD) have difficulty acknowledging feelings of depression, as these feelings are interpreted as a sign of weakness. Normalizing depression is important in the context of group cognitive behavioral therapy (CBT), particularly when working with clients who have chronic PTSD. The chapter introduces pleasant activity scheduling, which rests on the idea that there is an imbalance between negative and positive outcomes in the client’s interactions with their environment. The goal is to increase both the quantity and quality of pleasant activities in the client’s life.
Session 13: Planning for the Future
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter describes the importance of developing coping plans for the future after the program ends. Many clients fear that without the support of the group, they will lose the gains they have made during treatment. Becoming aware of potential risk situations will help clients to be prepared if that circumstance comes along; will help clients to anticipate their reactions, thus not leaving them feeling out of control; and will help clients to ensure that a lapse does not turn into a relapse. The therapists will explain the difference between a lapse and a relapse. The chapter provides an overview of the general principles of coping with stress and PTSD-related symptoms.
Session 14: Wrapping Up Group CBT
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter outlines the final session of this program. Since recovery from posttraumatic stress disorder (PTSD) is a process, facilitators should remind clients that the road ahead is best viewed as a journey. Change is rarely linear when it comes to treatment gains, which is something that clients have likely experienced throughout the course of Group CBT. It is normal to still be troubled by the trauma, but this event should not be the guiding force in clients’ lives. Clients should use the coping plans they have developed to remind themselves that they have the skills and the power to address any PTSD symptoms that recur. The chapter then reviews the specific skills covered in this program.
Session 1: Education About PTSD and Group CBT
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter provides education about posttraumatic stress disorder (PTSD) and group cognitive behavioral therapy (CBT) treatment. Group CBT is based on a structured approach to treatment, designed to help you and all the other Veterans in the group build skills for handling posttrauma problems. Moreover, Group CBT involves a small group of Veterans who have experienced at least one traumatic life event and are struggling with the symptoms of PTSD. The chapter provides information about the symptoms of PTSD and describes skills to be learned during the Group CBT program. The importance of confidentiality during the program is emphasized, so the group can be a safe, trusted space.
Session 6: Working with Your Thoughts (Part I)—Coping Self-Statements
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter discusses the importance of thoughts and how thoughts drive our emotions, moods, behaviors, and physical well-being. In this session, Veterans are taught to work with their thoughts, beginning with coping with self-statements. The chapter explores techniques to address negative self-talk and use coping self-statements before, during, and after a stressful event. Coping self-statements can be learned and can challenge the stream of negative self-talk that is common among individuals with PTSD.
Session 8: Working with Your Thoughts (Part III)—Changing the Cycle of Thoughts and Feelings
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter provides Veterans with information about how to change the cycle of thoughts and feelings. It introduces the A-B-C-D approach to help Veterans s learn how to uncover and address their negative beliefs, which are central assumptions people hold about themselves and the world. These negative beliefs tend to get woven into thought processes and influence many different aspects of people's daily lives. The chapter highlights the importance of the downward arrow technique, which slows thinking down and helps clients to examine what the negative thought means to them. It also highlights how the three cognitive skills introduced in this program are different but still complement one another.
Session 10: Addressing Anger (Part II)—Using a Behavioral Approach
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter explores how Veterans can address their anger using a behavioral approach. Triggers for anger vary between people and may be an event or other people's actions. Learning how to be assertive and ask for what is needed is a useful behavioral tool that can guide helpful interactions when asking someone to change their behavior. Assertion is the ability to stand up for one's rights, opinions, needs, and feelings without infringing on other people. The chapter offers practical steps on how to be assertive in different situations, pointing out that the other party may not agree to change their behavior. It also offers details on problem-solving as a means to manage anger.
Session 13: Planning for the Future
Authors: Beck J. Gayle 
Published: January 2025

Abstract
This chapter discusses planning for the future after the program ends and suggests ways to manage PTSD symptoms so that a lapse does not become a relapse. Avoidance and other PTSD symptoms limit a person's life, but with awareness and planning people can live their lives without limits. Being aware of risks can help clients to make the transition out of the program. Veterans need to be mindful of being stressed again by specific types of situations and cues. The chapter provides an overview of the general principles of coping with stress, which is a form of action designed to reduce dangers, correct misperceptions, or achieve a planned goal.
Stressors and Support Experienced by Active Duty U.S. Navy Sailors at Sea
Authors: Hurtado Lauren M , Harrison Elizabeth M , Englert Robyn M , Perez Vanessa G , Thomsen Cynthia J , Schmied Emily A 
Published: January 2025

ABSTRACT

Introduction
High occupational stress is generally associated with poorer mental health and reduced performance in military personnel, whereas access to support resources is associated with positive outcomes. However, little research has examined the unique stressors and supports experienced by sailors on ships while underway at sea. The objectives of this study were to (1) identify sailors’ underway stressors and supports and (2) examine how these differ as a function of demographic and operational factors.

Materials and Methods
Active duty U.S. Navy sailors reporting an underway period lasting at least 30 days within the last 5 years (n = 441; 74.7% male, 90% enlisted) completed an anonymous retrospective survey. Sailors completed measures assessing underway stressors (25 items) and supports (9 items), as well as demographic, military, and operational characteristics (sex, rank, ship type, and underway duration). The study protocol was approved by the Naval Health Research Center Institutional Review Board in compliance with all applicable federal regulations governing the protection of human subjects.

Results
Overall, the stressors rated as most problematic were exposure to loud noises, inability to rest when needed, unavailability of quality mental and physical health care, and not having enough people to complete the mission. Sailors perceived the most available supports to be opportunities to socialize, safety while performing duties, and finding ways to relieve stress. Female and enlisted personnel, relative to male and officer personnel, respectively, generally perceived stressors as more problematic and support resources as less available. Nearly half of the sample (48.3%) reported that services and programs to help them deal with stress while at sea were inadequate.

Conclusion
Sailors experience many stressors while underway. Increasing the resources available to underway sailors may be warranted, especially for female and enlisted personnel. Additional research is necessary to develop targeted interventions and resources. Possible recommendations include noise mitigation, berthing area improvements, sleep and/or scheduling interventions, improved access to mental and physical health care, and interventions to reduce the stigma associated with seeking mental health care.
When Prophecy Fails: The Case of the Satmar Rebbe, the Six-Day War, and the Book Al Ha-Geula Ve-Al Ha-Temura
Authors: Keren-Kratz Menachem 
Published: January 2025

Abstract
The term “Cognitive Dissonance” describes a psychological process that aims to reduce mental tension between conflicting understandings. Such conflicts happen, for example, when an individual or a group discovers that certain events contradict previous assumptions or beliefs. The greater the gap between reality and the presupposition, the greater the dissonance. So, when a fundamental religious belief is confronted with facts that seem to totally contradict it, there is a tremendous psychological pressure to find a way to alleviate that tension. This article reviews how the Satmar Rebbe reacted after realizing that his greatest fundamental beliefs were contradicted by a series of historical happenings. On the one hand, he wholeheartedly believed that Zionism was a great sin that forced God to punish His beloved people with the Holocaust. On the other hand, however, it appeared that God not only allowed the establishment of Israel, the pinnacle of the Zionist quest, but also blessed it with success to overcome the many obstacles it faced during its early years. Israel’s greatest achievement was its outstanding victory in the Six-Day War and the liberation of the holy places in Jerusalem’s old city. This article examines how the Satmar Rebbe sought to resolve the discrepancy between his fierce anti-Zionist stance and Israel’s triumph that even the Haredim believed was a heavenly miracle.
Incidence of ANCA associated vasculitis and polyarteritis nodosa in Norfolk, UK, from 2011-2020
Authors: Fordham Sarah , Ashurst Karen , Bartoletti Alice , Coath Fiona L , Ducker Georgina , Kamath Ajay , Mushtaq Warda , Naeem Hassan , Nicholls Isabelle , Sheehy Claire , Sisson Katherine , Watts Richard , Mukhtyar Chetan B 
Published: January 2025

Abstract

Objective
To report the annual and age-specific incidence of ANCA associated vasculitis and polyarteritis nodosa in the adult population of Norfolk County, UK.

Methods
Individuals newly diagnosed with ANCA associated vasculitis or polyarteritis nodosa between 1st Jan 2011 and 31st December 2020, residing in the postal areas of NR1-NR30 were included. Patients were classified according to the European Medicines Agency algorithm. Population data were available from the Office of National Statistics, UK.

Results
164 patients were diagnosed with ANCA associated vasculitis or polyarteritis nodosa over 4.7-million-person years. The annual incidence (95% CI) of ANCA associated vasculitis was 34.3 (29.2, 40)/million person years. The annual incidence for granulomatosis with polyangiitis, microscopic polyangiitis, and eosinophilic granulomatosis with polyangiitis was 18.9 (15.2, 23.3), 12.8 (9.7, 16.4), and 2.6 (1.3, 4.5)/million person years respectively. The annual incidence for polyarteritis nodosa was 0.6 (0.1, 1.9)/million person years. The age specific incidence of granulomatosis with polyangiitis and microscopic polyangiitis rose with each decade of life and was highest in the 8th decade for granulomatosis with polyangiitis (53.2 (95% CI 36.2, 75.6) per million) and in the 9th decade for microscopic polyangiitis (48.4 (95% CI 27.1, 79.8) per million).

Conclusions
The incidence of ANCA associated vasculitis, specifically that of granulomatosis with polyangiitis and microscopic polyangiitis is slowly rising over time. It is most notable amongst the elderly population where incidence rates for granulomatosis with polyangiitis and microscopic polyangiitis peak. There may be a 4-year incidence cycle which needs confirmation in a longer study.
A multi-omics study of the association between insomnia with objective short sleep duration phenotype and high blood pressure
Authors: Dai Yanyuan , Vgontzas Alexandros N , Chen Le , Zheng Dandan , Chen Baixin , Wu Jun , Shao Ruifan , Li Yun 
Published: January 2025

Abstract

Study Objectives
Insomnia with objective short sleep duration is associated with increased hypertension risk. We aimed to explore the mechanism underlying the association between objective short sleep duration and hypertension in patients with chronic insomnia disorder (CID) by multi-omics.

Methods
CID was defined according to International Classification of Sleep Disorders-3, and objective short sleep was based on the median value of total sleep time of the overall subjects during an overnight polysomnography. We used the mean values of measured nighttime and morning systolic (SBP) and diastolic blood pressure (DBP) for analysis. Serum metabolomics and fecal 16S rDNA amplicon sequencing were used to explore characteristic metabolites and analyze gut microbiota distribution, respectively.

Results
One hundred three patients with CID and 70 normal sleepers were included. We found 52 objective short sleep duration insomnia phenotype (ISSD)-related serum metabolites. Among the 52 ISSD-related serum metabolites, indoxyl sulfate was positively correlated with BP after adjusting for confounding factors (SBP: β=0.250, p=0.028; DBP: β=0.256, p=0.030) in ISSD. In addition, the level of serum indoxyl sulfate was significantly correlated with the genera Prevotella 9 (r=0.378, p=0.027), CAG-56 (r=-0.359, p=0.037), Ruminiclostridium 9 (r=-0.340, p=0.049) and Ruminococcus 2 (r=-0.356, p=0.039) in ISSD.

Conclusions
Our study suggests that the ISSD phenotype is associated with significant changes in serum metabolic profile, including high levels of indoxyl sulfate. The latter molecule correlates both with BP and gut microbiota in patients with the ISSD phenotype, suggesting that indoxyl sulfate may be the molecular path resulting in increased hypertension risk in this phenotype.
Pedicle Screw Placement in Pediatric and Adolescent Spinal Deformity Surgery: Does Tapping of the Pedicle Screw Tract Increase Safety?
Authors: Tate Asha , Brouillet Kirsten , Braithwaite IV Hilton C. , Luhmann Scott J. 
Published: January 2025

Introduction:
Since the development of pedicle screw fixation in the spine, safe placement has remained a crucial component in maximizing patient outcomes and mitigating pedicle screw-related complications. The purpose of this study is to investigate the utility of pedicle tapping in identifying pedicle breaches.

Methods:
A pediatric spine surgery database was queried to identify a consecutive series of patients who underwent spinal deformity surgery utilizing pedicle screw fixation between May 2019 and October 2022. A “breached pedicle” was defined as a pedicle with intact walls after initial manual cannulation but found to have a breach upon probing after tapping 1 mm smaller than the planned screw diameter. The number of screws placed and breached was prospectively recorded, along with patient demographics and procedural data.

Results:
There were 288 patients (68% female) with a mean age of 14.3 years (range: 3.7 to 23.3). Diagnoses included idiopathic (129), neuromuscular (76), syndromic (38), congenital (23), kyphosis (9), spondylopathy (12), and trauma (1). The mean upper and lower instrumented vertebrae were T3 and L3, respectively, with an average of 1.4 posterior column osteotomies (PCOs) (range: 0 to 8). Posterior spinal fusion and segmental instrumentation (PSFSI) was the most common procedure (254 cases, 88%). Of 4796 attempted screw placements, 20 (0.4%) pedicles were breached: medial (17), lateral (1), inferior (1), and inferolateral (1). Fourteen screws were abandoned, 3 redirected, and 3 replaced by hooks. T1 (14.3%) and T6 (1.2%) had the highest breach rates. No associations were found between breached pedicles and age (P=0.099), sex (P=0.795), or PCOs (P>0.05). Congenital scoliosis had the highest breach rate at 1.6%.

Conclusion:
A total of 4796 pedicle screws were placed, with 1 of every 250 (0.4%) of pedicle screw insertions (n=20) having “breached pedicles” identified only after tapping. The technical step of pedicle screw tapping potentially mitigated the chance of a misplaced pedicle screw. Surgeons need to assess the value of this information in their surgical workflow and risk assessment.

Level of Evidence:
Level III.
Ventral Rectopexy: An International Expert Panel Consensus and Review of Contemporary Literature
Authors: Perry William R. G. , Christensen Peter , Collinson Rowan J. , Cornish Julie A , D’Hoore Andre , Gurland Brooke , Mellgren Anders , Ratto Carlo , Ris Frederic , Stevenson Andrew R. L , Bordeianou Liliana ,   The Ventral Rectopexy Working Group
Published: January 2025

BACKGROUND:
Ventral rectopexy has become increasingly utilized in the surgical management of rectal prolapse. There is a need for a contemporary evaluation of the role of the procedure and description of its use in clinical practice.

OBJECTIVE:
To create an international consensus on ventral rectopexy.

DESIGN:
An expert panel undertook a scoping review of the literature to identify subject domains of interest. Literature reviews were completed for each domain with subsequent development of evidence-based and practice-based statements. These were compiled and reviewed by the group over a total of nine meetings. Once statements were confirmed, supportive text was finalized, and an anonymous vote was completed using REDCap to record consensus.

SETTING:
An international expert panel comprising colorectal surgeons who perform ventral rectopexy in a high-volume center.

MAIN OUTCOME MEASURES:
Statements and associated expert consensus.

RESULTS:
Eleven experts identified ten domains for review: indications, contraindications, assessment and planning, consent, operative details, prostheses, complications, follow-up, recurrence and reoperative surgery and specific considerations. After round-table review, there were 17 resultant statements for consideration. Experts agreed unanimously with the thirteen of the statements and their accompanying text, with different experts disagreeing each with four statements (91% consensus each).

LIMITATIONS:
Paucity of high-quality data.

CONCLUSION:
This international group developed 17 statements with high consensus. These statements provide an up-to-date summary of the literature, identify key areas for research development and a reference point for colon and rectal surgeons who undertake ventral rectopexy as part of their practice. See Video Abstract.
ORUS: Ultrasonic Ostemodeling for Body Contouring
Authors: Avilez Jesua Emmanuel , Noriega Daniel Rodolfo , Martínez Cesar Edwin , Quisilema Jonathan Mauricio 
Published: January 2025

Background:
An attractive waist–hip ratio leads to a favorable aesthetic appearance in women and can be achieved through the osteo remodelación ultrasónica simplificada (ORUS) technique, which consists of the controlled fracture of the floating ribs through a small incision in the back based on an umbrella’s functioning (open-semiclosed).

Methods:
The ORUS technique was performed on 120 patients between 18 and 50 years of age. Patients were grouped according to the surgical procedure performed: ORUS (11 patients), ORUS + liposuction (n = 87), and ORUS + abdominoplasty (n = 22). Demographic and clinical preoperative and postoperative data were recorded in all patients included. Measurements of waist–hip index and body mass index were done in centimeters, and at 90 days, a computed tomography with 3-dimensional reconstruction was indicated.

Results:
The surgery time depended on the procedure and varied from 30 minutes in the ORUS procedure to 180 minutes when it was combined with an abdominoplasty. A waist reduction was achieved with median preoperative measurements ranging from 89.0–110.0 to 65.0–69.0 cm depending on the procedure. The size of the incision did not exceed 1.2 cm, and only 2 patients had symptomatic atelectasis. The median total Body-QoL score ranged between 97 and 99 points from a maximum of 100 points.

Conclusions:
The proposed ORUS technique achieved a waist and waist–hip index reduction with minor complications, a minimum scar, and a high satisfaction level.
Integration of Rapid Cycle Deliberate Practice Into Prelicensure Nursing Curricula
Authors: Castro Helen , Stephens Katie , Ortiz Myralyn , Vanderzwan Kathryn 
Published: January 2025

Background:
Nursing students are not consistently trained on how to care for patients experiencing sudden cardiac arrest. In rapid cycle deliberate practice (RCDP), learners perform a simulation with micro-debriefs interjected by the instructor.

Problem:
RCDP has been used to train health care students on how to respond during a sudden cardiac arrest, but its application to prelicensure nursing students is underreported.

Approach:
A curricular innovation was implemented based on RCDP and Vygotsky’s Zone of Proximal Development (ZPD) to educate prelicensure nursing students on how to care for patients experiencing sudden cardiac arrest. The outcome of the curricular innovation was evaluated via assessment of students’ perceptions following participation in the curriculum innovation.

Outcomes:
Eighty-four prelicensure nursing students completed the curricular innovation survey, with most student perceptions favorable.

Conclusion:
Evaluation supports the integration of this curricular innovation into nursing curricula for sudden cardiac arrest training.