bluuebunny/crossref_metadata_2025_split huggingface dataset:
“I think it is woven through me, and sadly that means it is woven through our family life”: the experiences and support needs of mothers with eating disorders
Authors: Chapman Laura , Cartwright-Hatton Sam , Lester Kathryn J. 
Published: August 2023

Abstract
Background
Eating disorders may disrupt parenting, and there is evidence to suggest that the children of parents with eating disorders are at greater risk for the development of eating disorders themselves. This study sought to broaden and extend current understandings of the lived experiences of mothers who have eating disorders.

Method
A qualitative study using thematic analysis was conducted. Eighteen mothers living in the UK, USA, and Australia took part in semi-structured online interviews. Participants were mothers to at least one child aged two years or older, had received a lifetime diagnosis of one or more eating disorders, and reported experiencing symptoms since becoming a parent.

Results
Data were analysed using an inductive approach to reflexive thematic analysis. Four major themes, each with subthemes, were identified. These were: parenthood as a double-edged sword; the eating disorder impacts on parenting; blame and burden; and seeking support.

Conclusions
The lived experiences of mothers indicate a complex relationship between eating disorders and parenthood. While parenting can impact eating disorders, eating disorders can also impact parenting, in a range of ways that extend beyond the domains of food, eating and the body. There is a pressing need for the development of specialised, non-judgemental support options for parents with eating disorders and their families.
Intraperitoneal ropivacaine with dexamethasone versus ropivacaine alone for pain relief after laparoscopic cholecystectomy: a randomized prospective trial
Authors: Jadav Deepa , Wadhawa Reema , Vaishnav Barkha 
Published: August 2023

Abstract
Background
Intraperitoneal instillation of local anesthetics provides effective postoperative pain control after laparoscopic cholecystectomy (LC). This study was aimed to evaluate the analgesic effect and effects on postoperative nausea and vomiting (PONV) of intraperitoneal ropivacaine alone and with dexamethasone in patients undergoing LC. In this randomized, prospective, double-blinded, observational clinical study, a total of 100 patients scheduled for LC were randomized into two equal groups. Group RD (n = 50) received 0.2% ropivacaine 30 ml plus 8 mg dexamethasone, and group RS (n = 50) received 0.2% ropivacaine 30 ml plus 2 ml normal saline intraperitoneally at the end of surgery through the trocar. Pain score was monitored using a numeric rating scale (NRS) at 0, 1, 2, 4, 6, 12, and 24 h postoperatively. The primary objective of the study was to compare the pain intensity between the groups. The secondary objectives were to compare the time to first rescue analgesia, total dose of rescue analgesic in 24 h, incidence of PONV, and side effects if any between the groups.

Results
A significant difference in mean NRS score was observed among two groups at 6, 12, and 24 h. Only 52% in group RD demanded rescue analgesia as compared to 76% in group RS (P = 0.0004). Incidence of PONV was significantly lower in the RD group than in the RS group. No significant adverse effects were found.

Conclusions
The addition of 8 mg dexamethasone to intraperitoneal ropivacaine (0.2%) significantly prolongs the time of first rescue analgesic requirement and reduces the total consumption of rescue analgesic in 24 h. It significantly reduces the incidence of PONV in LC as compared to ropivacaine use alone.

Trial registration
The clinical trial is registered under Clinical Trials Registry—India
Registration no.: CTRI/2021/10/037206
Consequential lightning-caused wildfires and the “let burn” narrative
Authors: Pietruszka Bradley M. , Young Jesse D. , Short Karen C. , St. Denis Lise A. , Thompson Matthew P. , Calkin David E. 
Published: August 2023

Abstract
Background
Current guidance for implementation of United States federal wildland fire policy charges agencies with restoring and maintaining fire-adapted ecosystems while limiting the extent of wildfires that threaten life and property, weighed against the risks posed to firefighters. These ostensibly conflicting goals can make it difficult to clearly communicate specific response objectives of a given incident. Inherent ambiguity can expose land management agencies, like the United States Department of Agriculture Forest Service (USFS), to scrutiny when once remote, lightning-ignited wildfires burn across boundaries and result in damage. One such incident was the 2021 Tamarack Fire, ignited by lightning in a remote USFS wilderness area and ultimately burning 27,776 ha across multiple jurisdictions and destroying 25 structures. Intense sociopolitical interest developed around this incident, reigniting a “let burn” policy debate of the USFS despite this policy not formally existing. We provide a first approximation at quantifying the base rates of potentially consequently lightning-caused fires like the Tamarack Fire. We use multiple sources of fire-reporting data to characterize USFS fires from 2009 to 2020 by management-strategy to identify Tamarack Fire analogs. Within Incident Command System 209 (ICS-209) reports for fires originating on USFS lands, we identified 32 wildfires with similar key characteristics to the Tamarack Fire; nearly half ignited within wilderness areas.

Results
Initial strategies were driven by resource objectives for only six of the 32 wildfires; firefighter hazard mitigation was the primary driver of all others. No fire exhibited every characteristic of the Tamarack Fire. Analog fires accounted for a small percent (3.4%) of large (> 121 ha) USFS lightning-caused ignitions. These fires were responsible for 61.6% of structures destroyed and 25.8% of total personnel commitments of large lightning-caused USFS fires.

Conclusions
Lightning-ignited wildfires that could have resulted in sociopolitical controversy are rare, and those with strategies driven by resource objective are even rarer. More commonly, risks posed to firefighters from terrain, snags, or accessibility are factors driving strategy, even when fires ignite within wilderness areas. These results suggest that simple definitions of strategy such as those reported within the ICS-209 lack clarity and may increase sociopolitical pressure on the agency to continue aggressive fire exclusion strategies.
Genetic and metabolic aspects of non-alcoholic fatty liver disease (NAFLD) pathogenicity
Authors: Samarasinghe Saumya Madushani , Hewage Asanka Sudeshini , Siriwardana Rohan Chaminda , Tennekoon Kamani Hemamala , Niriella Madunil Anuk , De Silva Sumadee 
Published: August 2023

Abstract
Background
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease showing a rising prevalence globally. Genetic predisposition plays a key role in the development and progression of the disease pathogenicity.

Main body
This paper summarizes genetic associations based on their influence on several metabolic aspects such as lipid metabolism, glucose metabolism, hepatic iron accumulation and cholesterol metabolism toward the NAFLD pathogenicity. Furthermore, we present variations in some epigenetic characters and the microRNA profile with regard to NAFLD.

Conclusion
As reported in many studies, the PNPLA3 rs738409 variant seems to be significantly associated with NAFLD susceptibility. Other gene variants like TM6SF2 rs58542926, MBOAT7 rs641738 and GCKR variants also appear to be more prevalent among NAFLD patients. We believe these genetic variants may provide insights into new trends in developing noninvasive biomarkers and identify their suitability in clinical practice in the future.

Graphical abstract
Listening to the experts: person-centred approaches to supporting autistic people and people with an intellectual disability in the mental health system
Authors: Quinn Alexis , Wood Alicia , Lodge Keri-Michèle , Hollins Sheila 
Published: August 2023

SUMMARYDespite numerous UK government policies aimed at reducing the number of autistic people and people with an intellectual disability in mental health hospitals, little progress has been made, with many experiencing lengthy stays that offer little therapeutic benefit. Once admitted, people are at risk of restrictive interventions and significantly delayed discharge, resulting in trauma. This article draws on the cases of four people to illustrate the limitations of current mental health system approaches to the challenges experienced by autistic people and people with an intellectual disability. The importance of relational working and listening to people is explored, and we demonstrate how this can facilitate the provision of bespoke housing and care packages to enable a successful return to life in the community. Finally, we offer recommendations on the changes urgently needed to ensure that autistic people and people with an intellectual disability can live ordinary lives in their own homes, with timely and effective support from mental health services when needed, just like everyone else.
Biology of vascular mural cells
Authors: Siekmann Arndt F. 
Published: August 2023

ABSTRACT
The vasculature consists of vessels of different sizes that are arranged in a hierarchical pattern. Two cell populations work in concert to establish this pattern during embryonic development and adopt it to changes in blood flow demand later in life: endothelial cells that line the inner surface of blood vessels, and adjacent vascular mural cells, including smooth muscle cells and pericytes. Despite recent progress in elucidating the signalling pathways controlling their crosstalk, much debate remains with regard to how mural cells influence endothelial cell biology and thereby contribute to the regulation of blood vessel formation and diameters. In this Review, I discuss mural cell functions and their interactions with endothelial cells, focusing on how these interactions ensure optimal blood flow patterns. Subsequently, I introduce the signalling pathways controlling mural cell development followed by an overview of mural cell ontogeny with an emphasis on the distinguishing features of mural cells located on different types of blood vessels. Ultimately, I explore therapeutic strategies involving mural cells to alleviate tissue ischemia and improve vascular efficiency in a variety of diseases.
Effect of a Workplace-Driven Sit–Stand Initiative on Sitting Time and Work Outcomes
Authors: Adeleke Stephen O. , Healy Genevieve N. , Smith Christine , Goode Ana D. , Clark Bronwyn K. 
Published: August 2023

ABSTRACT
Modifications to workplaces, including installation of sit–stand work stations, have been shown to be effective in reducing the amount of time workers spend sitting. This study begins to build practice-based evidence through a pragmatic evaluation of workplace environmental changes aimed at reducing sitting time through installing sit–stand workstations in a workplace with an existing organizational culture of supporting and promoting activity-based work. Participants were recruited from the work site of a single organization, which had sit–stand desks installed for all workers in 2015. Before desk installation, and 3 months after installation, workers were invited to complete a survey, with physical activity over the whole day; sitting, standing, moving, and breaking up sitting time at work; and sitting and standing outside work evaluated. Paired t-tests were used to analyze changes in these activity measures pre- and postinstallation. A total of 157 workers completed the baseline survey (52% of total staff), with 79 workers completing the survey at both baseline and follow-up (82% female, 61% 40+ yr; baseline percent workplace sitting = 77%, SD = 17%). From baseline to follow-up, participants decreased their workplace percent sitting time (mean change = −17%, 95% confidence interval = −22% to −13%, P < 0.01) and increased their workplace percent standing time (mean change = +15%, 95% confidence interval = 11%–19%, P < 0.01). Changes in workplace moving, frequency of breaks from sitting, physical activity over the week, and sitting and standing time outside work hours were small and not statistically significant (P > 0.05). Findings from this natural experiment suggest that the installation of sit–stand workstations into an activity-promoting workplace environment may be effective for reducing sitting time and increasing standing in office workers.
Zirconia implants interfere with the evaluation of peri-implant bone defects in cone beam computed tomography (CBCT) images even with artifact reduction, a pilot study
Authors: Kuusisto Niina , Abushahba Faleh , Syrjänen Stina , Huumonen Sisko , Vallittu Pekka , Närhi Timo 
Published: August 2023

Objectives:
Three-dimensional cone beam computed tomography (CBCT) imaging can be considered, especially in patients with complicated peri-implantitis (PI). Artifacts induced by dense materials are the drawback of CBCT imaging and the peri-implant bone condition may not be assessed reliably because the artifacts are present in the same area. This pilot study investigates the performance of the artifact reduction algorithm (ARA) of the Planmeca Viso G7 CBCT device (Planmeca, Helsinki, Finland) with three different implant materials and imaging parameters.

Methods:
Three pairs of dental implants consisting of titanium, zirconia, and fiber reinforced composite (FRC) were set into a pig mandible. A vertical defect simulating peri-implantitis bone loss was made on the buccal side of one of each implant. The defect was identified and measured by two observers and compared to the actual dimensions. In addition, the bone structure and the marginal cortex visibility between the implants were estimated visually.

Results:
The bone defect and its dimensions with the zirconia implant could not be identified in any image with or without the metal artifact reduction algorithm. The bone defect of titanium and FRC implants were identified with all three imaging parameters or even without ARA. The interobserver agreement between the two observers was almost perfect for all categories analyzed.

Conclusion:
Peri-implantitis defect of the zirconia implant and the peri-implant bone structure of the zirconia implants cannot be recognized reliably with any ARA levels, or any imaging parameters used with the Planmeca Viso G7. The need for ARA when imaging the peri-implant bone condition of the titanium and FRC implants may be unnecessary.
A psychotherapist online. In search of professional psychotherapy – preliminary report
Authors: Wrzesień Katarzyna , Kudła Klaudiusz Krzysztof , Bańdur Anna , Pilecki Maciej 
Published: August 2023

Cel pracyArtykuł jest próbą wstępnego opisu sposobu prezentacji usług psychoterapeutycznych w sieci internetowej oraz odpowiedzi na pytanie, na ile osoby poszukujące usług specjalistów za pomocą wyszukiwarek internetowych będą w stanie uzyskać profesjonalną i adekwatną pomoc.MetodaW okresie od 18.11.2020 do 25.02.2021 do wyszukiwarki internetowej Google wpisano hasło – „psychoterapia Kraków”, a następnie, w oparciu o autorską ankietę, dokonano analizy i oceny danych zawartych na stronach internetowych. Analizie poddano 55 profili internetowych osób proponujących prowadzenie psychoterapii.WynikiAnaliza stron internetowych pozwoliła wyróżnić informacje, które umieszczają terapeuci reklamujący swoje usługi w sieci. Najwięcej analizowanych profili należało do kobiet (70%). Większość terapeutów miało wykształcenie wyższe magisterskie (92%), najczęściej psychologiczne (73%). Również większość reklamujących się terapeutów była w trakcie (58%) lub ukończyła (20%) całościowe szkolenie terapeutyczne, dawała możliwość rejestracji online oraz udostępniała cennik usług. Niewielki procent profili podawał informacje dotyczące przynależności do towarzystw i stowarzyszeń psychoterapeutycznych, jak również doświadczenia zawodowego. Część profili dawała możliwość oceny przez pacjentów/klientów, które niemal w całości były pozytywne (98%).WnioskiWiększość przeanalizowanych profili spełniała kryteria sugerujące możliwość uzyskania profesjonalnej opieki terapeutycznej. Najłatwiej jest uzyskać informację dotyczącą wykształcenia terapeuty, sposobu rejestracji czy cennika usług. Na wielu stronach brakowało informacji dotyczących doświadczenia terapeutów, przynależności do towarzystw naukowych lub zawodowych i dostępu do superwizji. Niewielu terapeutów umieszcza je na stronie lub nie należy do żadnego towarzystwa zrzeszającego psychoterapeutów.
Federated Optimization Under Intermittent Client Availability
Authors: Yan Yikai , Niu Chaoyue , Ding Yucheng , Zheng Zhenzhe , Tang Shaojie , Li Qinya , Wu Fan , Lyu Chengfei , Feng Yanghe , Chen Guihai 
Published: August 2023

Federated learning is a new distributed machine learning framework, where numerous heterogeneous clients collaboratively train a model without sharing training data. In this work, we consider a practical and ubiquitous issue when deploying federated learning in mobile environments: intermittent client availability, where the set of eligible clients may change during the training process. Such intermittent client availability would seriously deteriorate the performance of the classical federated averaging algorithm (FedAvg). Thus, we propose a simple distributed nonconvex optimization algorithm, called federated latest averaging (FedLaAvg), which leverages the latest gradients of all clients, even when the clients are not available, to jointly update the global model in each iteration. Our theoretical analysis shows that FedLaAvg achieves guaranteed convergence and a sublinear speedup with respect to the total number of clients. We implement FedLaAvg along with several baselines and evaluate them over the benchmarking MNIST and Sentiment140 data sets. The evaluation results demonstrate that FedLaAvg achieves more stable training than FedAvg in both convex and nonconvex settings and reaches a sublinear speedup. Source code and online supplement are available at the IJOC GitHub site ( http://dx.doi.org/10.1287/ijoc.2022.0057.cd , https://github.com/INFORMSJoC/2022.0057 ). History: Accepted by Ram Ramesh, Area Editor for Data Science & Machine Leaning. Funding: This work was supported by the National Key R&D Program of China [Grant 2022ZD0119100], the National Natural Science Foundation of China (NSFC) [Grants 61972252, 61972254, 62072303, 62025204, 62132018, 62202296, and 62202297], the Alibaba Innovation Research (AIR) Program, and the Tencent Rhino Bird Key Research Project. Supplemental Material: The software that supports the findings of this study is available within the paper and its Supplemental Information ( https://pubsonline.informs.org/doi/suppl/10.1287/ijoc.2022.0057 ) as well as from the IJOC GitHub software repository ( https://github.com/INFORMSJoC/2022.0057 ). The complete IJOC Software and Data Repository is available at https://informsjoc.github.io/ .
Comorbidity of Borderline Personality Disorder and Disordered Eating: A Difficult Challenge for Psychiatry?
Authors: Pellegrini Luca , M. Cioni Riccardo , Atti Anna Rita , Ronchi Diana De , D’Adda Francesca , Pozzi Euro , Gadelkarim Wafaa , Lovett Tanya , Berardi Domenico , Fineberg Naomi A. , Menchetti Marco 
Published: August 2023

Background; Disordered eating is common in individuals with Borderline Personality Disorder (BPD). Both BPD and certain forms of disordered eating are known to be associated with poor impulse control. Our aim is to identify the clinical and psychometric characteristics of patients with BPD and disordered eating, with particular emphasis on impulsivity.
Methods; A convenience sample of patients with DSM-IV BPD was enrolled from five Italian outpatient mental health services. The BPD sample was divided into two groups according to the presence of clinically significant disordered eating and compared with a third group of outpatients with only disordered eating.
Results; In the BPD sample, 52% had disordered eating. Patients with BPD+disordered eating had more lifetime suicide attempts (p=0.046) and hospitalizations (p=0.038) and showed higher impulsivity on the Barratt-Impulsiveness-Scale (p=0.026) specifically in the domain of attentional impulsivity (p<0.001), as well as greater depressive symptoms on the Beck-Depression-Inventory (p=0.006). A correlation was found between attentional impulsivity and all of the Eating-Disorder-Examination-Questionnaire subscales apart from the restriction one.
Conclusions; Disordered eating is common among individuals with BPD and these patients represent a significantly more impulsive subgroup with a higher rate of suicidality, and therefore a challenge for clinicians. Attentional impulsivity could represent a novel treatment target for this group of individuals.
Psychotherapeutic Options for Post-Pandemic Stress Syndrome
Authors: Łaskawiec-Żuławińska Daria , Grajek Mateusz , Krupa-Kotara Karolina , Korzonek-Szlacheta Ilona 
Published: August 2023

The COVID-19 pandemic and the traumatic events associated with it have triggered many negative emotional reactions, including anxiety, fear, stress and even depressive disorders in many people, especially among health care workers who risked their health and lives fighting on the front lines of the fight against the pandemic. Many of them, after a period of extreme stress and uncertainty associated with the condition, developed the so-called post-pandemic stress syndrome, affecting many aspects of mental health and often making it difficult to function normally in daily life.
Adequate psychological support for medics in the post-pandemic period is crucial, as it affects the functioning of the health care system worldwide. Currently, there are a variety of therapies for post-pandemic stress syndrome. These include cognitive behavioral therapy (CBT), cognitive processing therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR) therapy, group therapy, Prolonged Exposure Therapy (PE), or Solution-Focused Brief Therapy (SFBT). The choice of the appropriate one depends on the therapist, who selects the method for each patient's individual needs.
Toward Equity in Research on Intellectual and Developmental Disabilities
Authors: Kover Sara T. , Abbeduto Leonard 
Published: August 2023

Abstract
Lack of diversity in IDD research is typically conceptualized only in terms of (1) recruitment of samples that do not appropriately represent the sociodemographics of the population, or (2) the limited number of researchers from historically marginalized backgrounds. Critically, the field also suffers from over-reliance on perspectives and social systems of dominant culture—both in how disability is regarded and in relation to other dimensions of identity and culture. These lenses lead to research findings that reinforce, rather than reduce, social inequities. We propose a framework that minimizes reliance on diagnostic categories, shifts from deficit- to person-centered models, acknowledges people’s multiple identities, and includes self-advocates and diverse communities as partners in the research enterprise. The systems change necessary to support this framework is described.
The Equity Agenda in Intellectual and Developmental Disabilities Research
Authors: Johnson Khalilah Robinson 
Published: August 2023

Abstract
This commentary on Kover and Abbeduto (2023) underscores the critical importance of naming and framing toward an equity agenda in intellectual and developmental disabilities research. More specifically, I briefly outline (1) why racialization is an important anchor in IDD discourse; (2) whiteness as a necessary point of discussion; and (3) the adoption of critical inquiry and critical praxis.