bluuebunny/crossref_metadata_2025_split huggingface dataset:
Brief digital self-care intervention for health anxiety in a Swedish Medical University Clinic: a prospective single-group feasibility study
Authors: Österman Susanna , Hentati Amira , Forsell Erik , Axelsson Erland , Hedman-Lagerlöf Erik , Lindefors Nils , Ivanov Volen Z , Kraepelien Martin 
Published: December 2023

ObjectivesIn routine psychiatric care in Stockholm, Sweden, a comprehensive therapist-guided intervention for clinically significant health anxiety is implemented. However, there is a need for more easily accessible self-care interventions to improve treatment dissemination. This study aimed to transform an existing therapist-guided digital intervention into a self-care intervention, reducing patient burden and used clinical resources while maintaining quality and safety.DesignAn uncontrolled feasibility study.SettingConducted at Karolinska Institutet, a medical university in Sweden, with nationwide recruitment trough online advertisements.ParticipantsTwenty-five adults used the self-care intervention and underwent telephone assessments, along with completing self-rated questionnaires.InterventionThe newly developed 8-week self-care intervention was designed to be user-friendly without therapist guidance, and to facilitate high levels of behavioural engagement.Primary and secondary outcome measuresIndicators of quality and safety, including changes in health anxiety severity (primary), clinician time, participant adherence, perceived credibility/satisfaction with the intervention and adverse events, were benchmarked against a previous study of the more comprehensive intervention it was based on.ResultsCompared with the original guided intervention, the self-care intervention was condensed in terms of text (up to 70% less reading), duration (8 weeks instead of 12) and number of exercises. Quality indicators were similar to the original version. Most participants worked actively with core components in the self-care intervention. Within-group effects on health anxiety from pretreatment to the 3-month follow-up were large (g=1.37; 95% CI 0.74 to 2.00). No serious adverse events were reported.ConclusionsThis brief digital self-care intervention shows potential for increasing access to treatment for individuals with health anxiety while reducing the burden on patients and clinical resources. Future studies should investigate the optimal type of intervention and support for different individuals, and if non-inferiority can be established.Trial registration numberNCT05446766.
Interpregnancy weight change and risks of stillbirth and infant mortality: a protocol of a systematic review and meta-analysis
Authors: Tang Yu , Islam Nabil , Luo Rong , Wen Shi Wu , Guo Yanfang 
Published: December 2023

IntroductionInterpregnancy weight change may impact two important adverse perinatal outcomes: stillbirth and infant mortality. This systematic review aims to synthesise the existing evidence on the association between interpregnancy weight change and stillbirth and infant mortality.Methods and analysisThis systematic review and meta-analysis will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols guidelines and has been registered in the International Prospective Register of Systematic Reviews (PROSPERO). A comprehensive literature search of four online databases (Embase, Cochrane Libraries, Web of Science and Medline) will be conducted from inception to October 2023. Observational (longitudinal, cohort, case–control) and randomised controlled trials will be included. Interpregnancy weight/body mass index change between two consecutive pregnancies will be the exposure. The primary outcomes will be the incidence of stillbirth and infant mortality in subsequent pregnancy. The Cochrane Risk of Bias tool will be used to assess the risk of bias in the randomised controlled studies and the Risk of Bias in Non-Randomised Studies of Interventions tool will be used for observational studies. If there are sufficient data, a meta-analysis will be conducted to estimate the pooled effect size. Otherwise, qualitative descriptions of individual studies will be summarised. The heterogeneity will be statistically assessed using a χ2test and I2statistic.Ethics and disseminationEthics approval is not required for this study as all results will be based on published papers. No primary data collection will be needed. Study findings will be presented at scientific conferences or published in a peer-reviewed scientific journal.Trial registration numberA registration for this review has been submitted to PROSPERO under CRD42020222977.
Quality improvement collaboratives as part of a quality improvement intervention package for preterm births at sub-national level in East Africa: a multi-method analysis
Authors: Mandu Rogers , Miller Lara , Namazzi Gertrude , Twum-Danso Nana , Achola Kevin Jacton Abidha , Cooney Isabella , Butrick Elizabeth , Santos Nicole , Masavah Leakey , Nyakech Alphonce , Kirumbi Leah , Waiswa Peter , Walker Dilys 
Published: December 2023

BackgroundQuality improvement collaboratives (QIC) are an approach to accelerate the spread and impact of evidence-based interventions across health facilities, which are found to be particularly successful when combined with other interventions such as clinical skills training. We implemented a QIC as part of a quality improvement intervention package designed to improve newborn survival in Kenya and Uganda. We use a multi-method approach to describe how a QIC was used as part of an overall improvement effort and describe specific changes measured and participant perceptions of the QIC.MethodsWe examined QIC-aggregated run charts on three shared indicators related to uptake of evidence-based practices over time and conducted key informant interviews to understand participants’ perceptions of quality improvement practice. Run charts were evaluated for change from baseline medians. Interviews were analysed using framework analysis.ResultsRun charts for all indicators reflected an increase in evidence-based practices across both countries. In Uganda, pre-QIC median gestational age (GA) recording of 44% improved to 86%, while Kangaroo Mother Care (KMC) initiation went from 51% to 96% and appropriate antenatal corticosteroid (ACS) use increased from 17% to 74%. In Kenya, these indicators went from 82% to 96%, 4% to 74% and 4% to 57%, respectively. Qualitative results indicate that participants appreciated the experience of working with data, and the friendly competition of the QIC was motivating. The participants reported integration of the QIC with other interventions of the package as a benefit.ConclusionsIn a QIC that demonstrated increased evidence-based practices, QIC participants point to data use, friendly competition and package integration as the drivers of success, despite challenges common to these settings such as health worker and resource shortages.Trial registration numberNCT03112018.
Role of community-based health clubs in promoting patients’ health education for diabetes self-care management: an interventional qualitative study in a Ugandan urban setting
Authors: Lubega Martin , Ogwok James , Nabunya Brenda , Mbalinda Scovia Nalugo 
Published: December 2023

BackgroundSelf-care management support is a core component of the Chronic Care Model that emphasises the need for empowering and preparing patients to manage their healthcare. In diabetes mellitus (DM) management, health education towards self-care empowers patients to make day-to-day decisions on their own disease and live with a healthy lifestyle. Although several strategies have been undertaken to improve the management of DM in Uganda, little has been done to empower patients to manage their own health. Community-based health clubs have been suggested as a novel way of improving diabetes management especially in settings with uneven distribution of healthcare facilities and inaccessibility to healthcare services that limit patients’ awareness of the disease and self-care management. This interventional study was aimed at exploring the role of community-based health clubs in promoting patients’ health education for diabetes self-care management.MethodsA cross-sectional qualitative study was conducted among 20 participants using focus group discussions with each having six to eight members. Only patients with diabetes who seek routine diabetes healthcare services at Wakiso Health Centre IV and had participated in the 8-week community-based health clubs’ health education sessions were recruited for the study. The audio-recordings were transcribed verbatim and translated into English; thematic data analysis was conducted to generate codes and themes. Similar codes were merged and a group consensus was reached on coding discrepancies.ResultsThree major themes on the role of health clubs in promoting patients’ health education were merged from the study. These include promoting sharing of experiences among patients, improving awareness of healthy self-care practices and offering sufficient patient–health worker interaction time.ConclusionsThis is the first publication reporting on the role of community-based health clubs in promoting patients’ health education towards diabetes self-care management in Uganda. The ability to share experiences among patients, improve patients’ awareness on healthy living practices and the increased health worker–patient interaction time contribute heavily to the capacity-building for self-care among patients.
Commentary on oncolytic viruses: past, present, and future
Authors: Larson Christopher , Oronsky Bryan , Reid Tony R 
Published: December 2023

Whither oncolytic viruses? From the peak of their popularity in the early 2000s, when the ONYX-015 adenovirus had just entered the clinic, and then again in 2015 when the Food and Drug Administration-approved talimogene laherparepvec (also known as OncoVEXGM-CSF), which briefly revived interest, oncolytic viruses (OVs) have mostly fallen out of favor despite the many pharmaceutical companies with OVs in development.This commentary enumerates and addresses the core conceptions, perceptions, and misconceptions that characterize the current ‘trough of disillusionment’ in which the field of anticancer virotherapy finds itself and suggests reasons for optimism.
Real-world evaluation of Brainomix e-Stroke software
Authors: Mallon Dermot , Fallon Matthew , Blana Eirini , McNamara Cillian , Menon Arathi , Ip Chak Lam , Garnham Jack , Yousry Tarek , Cowley Peter , Simister Robert , Doig David 
Published: December 2023

Background and purpose
Brainomix e-Stroke is an artificial intelligence-based decision support tool that aids the interpretation of CT imaging in the context of acute stroke. While e-Stroke has the potential to improve the speed and accuracy of diagnosis, real-world validation is essential. The aim of this study was to prospectively evaluate the performance of Brainomix e-Stroke in an unselected cohort of patients with suspected acute ischaemic stroke.

Methods
The study cohort included all patients admitted to the University College London Hospital Hyperacute Stroke Unit between October 2021 and April 2022. For e-ASPECTS and e-CTA, the ground truth was determined by a neuroradiologist with access to all clinical and imaging data. For e-CTP, the values of the core infarct and ischaemic penumbra were compared with those derived from syngo.via, an alternate software used at our institution.

Results
1163 studies were performed in 551 patients admitted during the study period. Of these, 1130 (97.2%) were successfully processed by e-Stroke in an average of 4 min. For identifying acute middle cerebral artery territory ischaemia, e-ASPECTS had an accuracy of 77.0% and was more specific (83.5%) than sensitive (58.6%). The accuracy for identifying hyperdense thrombus was lower (69.1%), which was mainly due to many false positives (positive predictive value of 22.9%). Identification of acute haemorrhage was highly accurate (97.8%) with a sensitivity of 100% and a specificity of 97.6%; false positives were typically caused by areas of calcification. The accuracy of e-CTA for large vessel occlusions was 91.5%. The core infarct and ischaemic penumbra volumes provided by e-CTP strongly correlated with those provided by syngo.via (ρ=0.804—0.979).

Conclusion
Brainomix e-Stroke software provides rapid and reliable analysis of CT imaging in the acute stroke setting although, in line with the manufacturer’s guidance, it should be used as an adjunct to expert interpretation rather than a standalone decision-making tool.
Compact stars in $$f(T) = T +\xi T^\beta $$ gravity
Authors: de Araujo J. C. N. , Fortes H. G. M. 
Published: December 2023

AbstractThe Teleparallel Theory is equivalent to General Relativity, but whereas in the latter gravity has to do with curvature, in the former gravity is described by torsion. As is well known, there is in the literature a host of alternative theories of gravity, among them the so called extended theories, in which additional terms are added to the action, such as for example in the f(R) and f(T) gravities, where R is the Ricci scalar and T is the scalar torsion, respectively. One of the ways to probe alternative gravity is via compact objects. In fact, there is in the literature a series of papers on compact objects in f(R) and f(T) gravity. In particular, there are several papers that consider $$f(T) = T + \xi T^2$$

f

(
T
)

=
T
+
ξ

T
2

, where $$\xi $$
ξ
is a real constant. In this paper, we generalise such extension considering compact stars in $$f (T ) = T + \xi T^\beta $$

f

(
T
)

=
T
+
ξ

T
β

gravity, where $$\xi $$
ξ
and $$\beta $$
β
are real constants and looking out for the implications in their maximum masses and compactness in comparison to the General Relativity. Also, we are led to constrain the $$\beta $$
β
parameter to positive integers which is a restriction not imposed by cosmology.
Cem anos da Escola de Frankfurt: uma conversa com Martin Jay
Authors: Estevez Lucas Fiaschetti 
Published: December 2023

Em 2023, o Instituto de Pesquisa Social de Frankfurt completa cem anos. Desde então, a “Escola de Frankfurt” realizou um amplo diagnóstico da perenidade do capitalismo e de suas contradições. Até meados dos anos 1960, entretanto, o mundo anglófono ainda estava relativamente alheio ao importante legado dessa experiência. Amplamente responsável pela reversão dessa situação, surge em 1973 a obra A Imaginação Dialética: História da Escola de Frankfurt e do Instituto de Pesquisas Sociais 1923-1950, de Martin Jay. Nessa conversa com o autor, discorremos sobre a história e os pressupostos da teoria crítica, a relação dela com demais correntes de pensamento e, por fim, sua atualidade e relevância para se pensar a periférica situação brasileira.
Modernismo brasileiro à italiana: Brás, Bexiga e Barra Funda e La divina increnca
Authors: Pereira Helena Bonito 
Published: December 2023

Este trabalho estabelece aproximações entre as narrativas Brás, Bexiga e Barra Funda, de António de Alcântara Machado (1927), e os poemas paródicos de La divina increnca (1924), obra publicada por Juó Bananére, pseudônimo de Alexandre Ribeiro Marcondes Machado, inspiradas no cotidiano na cidade de São Paulo no início do século passado. Ambos exerceram (não só) atividades em jornais e revistas durante a eferverscência do modernismo que trouxe incontáveis inovações à literatura brasileira. Curiosamente, ambos vinham de conhecidas famílias paulistas, sem nenhum vínculo direto com a comunidade italiana que se instalava aos poucos na cidade, e pela qual sentiam uma espécie de fascínio, em especial por sua linguagem e seu modo de expressão. A espontaneidade das personagens que povoam o pequeno núcleo em bairros paulistanos inspirou a obra de Alcântara Machado. Por sua vez, Juó Bananére encantou-se com a saborosa mescla entre a língua portuguesa e a italiana, ouvida nos bairros próximos, o que o levou reescrever paródias e sátiras de poemas românticos e parnasianos da literatura brasileira, e de outros tempos e de outras literaturas, como sonetos de Camões ou Edgar Allan Poe.
A Bargaining-Theoretic Approach to Moral Uncertainty
Authors: Greaves Hilary , Cotton-Barratt Owen 
Published: December 2023

Abstract
Nick Bostrom and others have suggested treating decision-making under moral uncertainty as analogous to parliamentary decision-making. The core suggestion of this “parliamentary approach” is that the competing moral theories function like delegates to the parliament, and that these delegates then make decisions by some combination of bargaining and voting. There seems some reason to hope that such an approach might avoid standard objections to existing approaches (for example, the “maximise expected choiceworthiness” (MEC) and “my favourite theory” approaches). However, the parliamentary approach is so far extremely underspecified, making it largely indeterminate how such a model will in fact behave in the respects that those concerned with moral uncertainty care about.
This paper explores one way of making it precise. We treat predicaments of moral uncertainty as analogous to bargaining situations alone (setting aside voting), and apply a version of the Nash solution that is standard in bargaining theory. The resulting model does indeed perform in many of the hoped-for ways. However, so also does a version of MEC that employs a structural approach to intertheoretic comparisons. It seems to us an open question which, regarding this version of MEC and the bargaining-theoretic approach, is superior to the other. We identify the key points on which the two differ.
Robust Normativity and the Argument from Weirdness
Authors: Moberger Victor 
Published: December 2023

Abstract
J. L. Mackie argued that moral thought and discourse involve commitment to an especially robust kind of normativity, which is too weird to exist. Thus, he concluded that moral thought and discourse involve systematic error. Much has been said about this argument in the last four decades or so. Nevertheless, at least one version of Mackie’s argument, specifically the one focusing on the intrinsic weirdness of the relevant kind of normativity, has not been fully unpacked. Thus, more needs to be said about the issue of how to interpret Mackie’s argument. Moreover, I argue that by looking closely at Mackie’s discussion, we can extract two distinct versions of the argument which together present a tougher, and also more precise, challenge for moral realism than extant versions. In this paper I thus revisit Mackie’s discussion with an eye to making progress on an important issue in contemporary metaethics.
La traduction comme style de pensée chez Lévi-Strauss
Authors: Colmart Jules 
Published: December 2023

Résumé
Cet article est une approche stylistique de l’oeuvre de Claude Lévi-Strauss. Partant de l’hypothèse que pour lui le discours des sciences humaines doit rechercher l’homologie structurale avec son objet et le traduire, nous nous proposons d’étudier, dans Tristes tropiques, les Mythologiques et Regarder écouter lire, le style de pensée de Lévi-Strauss dans l’étude des productions artistiques. Or si un discours doit traduire la structure et la forme de mythes comme d’objets non-discursifs tels que des oeuvres plastiques, quelle forme doit-il adopter ? Cette recherche est aussi bien formelle que théorique, puisque Lévi-Strauss entend trouver un mode d’écriture qui traduise et rende visible le fonctionnement de l’esprit dans la création. Cet article tente de répondre à cette question en décrivant comment Lévi-Strauss altère progressivement ses modèles stylistiques, plaçant d’abord son écriture sous l’égide de l’analyse structurale, puis de la musique et du mythe, et enfin du collage.
The Economic Implications of Air Pollution: A Case of Two Cities
Authors: Chowdhury Soumi Roy , Pohit Sanjib , Singh Rishabh 
Published: December 2023

Many cities in urban India, particularly the metros, are major hotspots of air pollution with a PM2.5 concentration level ranging above the permissible limits defined by the World Health Organisation for most of the year. Since the transport sector is a main source of air pollution in urban India, the Government of India adopted BS-VI emission standards in 2016 for all major on-road vehicle categories. The rollout of clean fuel (BS-VI) in India began in the capital city of Delhi, one of the most polluted cities of India. In this context, the primary objective of the article is to analyse the economic cost of air pollution in Delhi/Haryana through a primary survey of occupational groups exposed to ambient air pollution. The secondary objective is to provide suggestive evidences of the implications of the roll-out of cleaner fuel in Delhi while the same was not yet implemented in the neighbouring city of Narnaul in Haryana. We measure the economic cost of air pollution using three approaches, namely, the cost of illness approach, the productivity loss approach and also by undertaking a contingent valuation (CV) exercise. Through a first-of-its-kind CV survey administered in India, the welfare analysis uses the Indian estimates of the value of life years (VOLYs) to arrive at the welfare loss figures. We found that the economic costs in terms of health expenditure and productivity loss were ₹4.08 billion and ₹31.28 billion, respectively, for New Delhi, which remained higher than Narnaul. Although the cost of pollution decreased during the second phase of the survey towards the end of 2019, we argue that a longer time period analysis is needed to understand the true impact of introduction of the cleaner BS-VI fuel in reducing the impact of air pollution within the city. However, if one considers the value of LYs for Narnaul as a proxy for Haryana, we find that the welfare loss is higher in Haryana than in New Delhi. JEL Codes: I18, Q51, Q52, Q53, Q58
Acute Effect of Kinesiology Taping on Muscle Activation, Functionality and Proprioception in Patients With Knee Osteoarthritis: A Randomized Controlled Trial
Authors: Ataş Aylin , Abit Kocaman Ayşe , Karaca Şahika Burcu , Kasikci Çavdar Merve 
Published: December 2023

Data on the mechanism of kinesiology taping (KT) for providing mechanical support, facilitating or inhibiting muscles, and increasing functionality in the treatment of knee osteoarthritis (OA) have been contradictory, with no study evaluating acute muscle activation. Our aim in this study was to determine the acute effect of KT applied to the rectus femoris muscle on this muscle’s activation, functionality and proprioception in patients with knee osteoarthritis. We divided 40 individuals diagnosed with knee osteoarthritis into two groups: (a) KT group (taping with tension facilitation) and (b) a placebo group (taping with no tension facilitation). We applied taping to the participants’ left and right side rectus femoris muscles for 30 minutes, but with muscle facilitation in the KT group and without tension in the placebo group. We assessed participants for muscle activation with surface electromyography (sEMG), for functionality with the Timed Up and Go Test (TUG), and for proprioception/joint sense with the Five Times Sit-to-Stand Test (5TSTS) before and after taping. Demographic and clinical characteristics of the groups before these interventions were similar ( p > .05). Muscle activation did not change significantly in either group compared to before taping ( p > .05), but there were improvements in both knees for proprioception/joint sense ( p < .05). Both groups were similar in terms of functionality (5TSTS, TUG) results ( p > .05). We concluded that KT applied bilaterally to the rectus femoris did not affect rectus femoris muscle activation and functionality in patients with knee OA, but it did improve proprioception.