bluuebunny/crossref_metadata_2025_split huggingface dataset:
An analysis of the barriers and enablers to implementing the Safewards model within inpatient mental health services
Authors: Knauf Sarah Anne , O'Brien Anthony John , Kirkman Allison Margaret 
Published: June 2023

AbstractMental health inpatient units can provide a sanctuary for people to recover from mental illness. To support a therapeutic environment, the safety and well‐being of service users and staff need protection through reduced conflict and containment rates. The Safewards model identifies 10 interventions to prevent conflict and containment. This paper aims to present barriers and enablers to implementing Safewards by analysing current literature on the Safewards model. It will also compare the Safewards model to New Zealand's Six Core Strategies. In a systematic search of 12 electronic databases following the PRISMA flow chart, 22 primary studies were included in this analysis. JBI tools were used for quality appraisal and deductive content analysis was used to organize and interpret data. Four categories were identified: (a) designing the Safewards interventions and implementation; (b) staff participation and perception of Safewards; (c) healthcare system influences on Safewards implementation; (d) service user participation and perception of Safewards. To support successful Safewards implementation in future practice, this review recommends that Safewards implementation is enabled through robust design of the Safewards interventions and implementation methods; staff participation and positive perception of the Safewards model; a resourced healthcare system that prioritizes Safewards implementation; service user awareness and participation in Safewards interventions. Interactionist perspectives may support the implementation of Safewards. This analysis is limited by research settings mostly being inpatient adult services and inadequate capturing of the service user voice. An ongoing review of barriers and enablers is important for supporting future Safewards implementation.
Influenza‐like illness in individuals treated with immunosuppressants, biologics, and/or systemic corticosteroids for autoimmune or chronic inflammatory disease: A crowdsourced cohort study, France, 2017–2018
Authors: Greffe Ségolène , Guerrisi Caroline , Souty Cécile , Vilcu Ana‐Maria , Hayem Gilles , Costantino Félicie , Padovano Ilaria , Bourgault Isabelle , Trad Salim , Ponsoye Matthieu , Vilaine Eve , Debin Marion , Turbelin Clément , Blanchon Thierry , Hanslik Thomas 
Published: June 2023

AbstractBackgroundInfluenza‐like illness (ILI) incidence estimates in individuals treated with immunosuppressants and/or biologics and/or corticosteroid for an autoimmune or chronic inflammatory disease are scarce. We compared the ILI incidence among immunocompromised population and the general population.MethodWe conducted a prospective cohort study during the 2017–2018 seasonal influenza epidemic, on the GrippeNet.fr electronic platform, which allows the collection of epidemiological crowdsourced data on ILI, directly from the French general population. The immunocompromised population were adults treated with systemic corticosteroids, immunosuppressants, and/or biologics for an autoimmune or chronic inflammatory disease, recruited directly on GrippeNet.fr and also among patients of the departments of a single university hospital that were asked to incorporate GrippeNet.fr. The general population consisted of adults reporting none of the above treatments or diseases participating in GrippeNet.fr. The incidence of ILI was estimated on a weekly basis and compared between the immunocompromised population and the general population, during the seasonal influenza epidemic.ResultsAmong the 318 immunocompromised patients assessed for eligibility, 177 were included. During the 2017–2018 seasonal influenza epidemic period, immunocompromised population had 1.59 (95% CI: 1.13–2.20) higher odds to experience an ILI episode, compared to the general population (N = 5358). An influenza vaccination was reported by 58% of the immunocompromised population, compared to 41% of the general population (p < 0.001).ConclusionDuring a seasonal influenza epidemic period, the incidence of influenza‐like illness was higher in patients treated with immunosuppressants, biologics, and/or corticosteroids for an autoimmune or chronic inflammatory disease, compared to the general population.
Efficacy of topical atorvastatin‐loaded emulgel and nano‐emulgel 1% on post‐laparotomy pain and wound healing: A randomized double‐blind placebo‐controlled clinical trial
Authors: Saghafi Fatemeh , Ramezani Vahid , Jafari‐Nedooshan Jamal , Zarekamali Javad , Kargar Saeed , Tabatabaei Seyed Mostafa , Sahebnasagh Adeleh 
Published: June 2023

AbstractThis study aimed to develop atorvastatin‐loaded emulgel and nano‐emulgel dosage forms and investigate their efficiency on surgical wound healing and reducing post‐operative pain. This double‐blind randomized clinical trial was conducted in a surgical ward of a tertiary care hospital affiliated with university of medical sciences. The eligible patients were adults aged 18 years or older who were undergoing laparotomy. The participants were randomized in a 1:1:1 ratio to one of three following groups of atorvastatin‐loaded emulgel 1% (n = 20), atorvastatin‐loaded nano‐emulgel 1% (n = 20), and placebo emulgel (n = 20) twice a day for 14 days. The primary outcome was the Redness, Edema, Ecchymosis, Discharge, and Approximation (REEDA) scores to determine the rate of wound healing. The Visual Analogue Scale (VAS) and quality of life were the secondary outcomes of this study. A total of 241 patients assessed for eligibility; of them, 60 patients completed the study and considered for final evaluation. A significant decrease in REEDA score was observed on Days 7 (63%) and 14 (93%) of treatment with atorvastatin nano‐emulgel (p‐value < 0.001). A significant decrease of 57% and 89% in REEDA score was reported at Days 7 and 14, respectively, in atorvastatin the emulgel group (p‐value < 0.001). Reduction in pain VAS in the atorvastatin nano‐emulgel was also recorded at Days 7 and 14 of the intervention. The results of the present study suggested that both topical atorvastatin‐loaded emulgel and nano‐emulgel 1% were effective in acceleration of wound healing and alleviation of pain of laparotomy surgical wounds, without causing intolerable side effects.
Lead‐free pyroelectric infrared detector based on (Bi1/2Na1/2)TiO3‐BaTiO3 ferroelectric ceramics
Authors: Wu Zheng , Zhang Mengyuan , Jiang Xianyao , Ke Xucheng , Cai Yu , Cao Liang , Li Jiani , Jia Huixia , Li Chuanqing , Leung Chung Ming , Wang Feifei 
Published: June 2023

AbstractIn this paper, we theoretically and experimentally reported a lead‐free pyroelectric infrared (PIR) detector using (Bi1/2Na1/2TiO3)‐BaTiO3(BNT‐BT) ferroelectric ceramics as the sensitive material. The variation of noise density, voltage response rate (RV), and specific detection rate (D*) with the modulation frequency under the current mode amplification circuit was investigated, and it was found that the lead‐free PIR detector showed high RV in the low frequency band. The RV and D* reached 1.51 × 105 V/W and 2.02 × 108 cmHz1/2W−1 at 10 Hz, respectively. The results were much superior to the PIR based on traditional commercial pyroelectric ceramics, indicating that BNT‐BT lead‐free ceramics have great potential in application to PIR detectors.
‘Playing a guessing game’: Recognising and responding to anxiety in children with intellectual disability
Authors: Fynn Gabrielle , Porter Melanie , Pellicano Elizabeth 
Published: June 2023

AbstractBackgroundChildren with intellectual disability are at greater risk of developing anxiety than the general population. Limited research has examined the challenges associated with recognising and responding to anxiety in children with intellectual disability, and its perceived impact.AimThis study aimed to explore anxiety in children with intellectual disability, from the child and parent perspective to better understand how parents and children recognise and respond to anxiety.Method and ProceduresSix children with an intellectual disability (age range: 12–17, four boys) and their mothers participated in a semi‐structured interview online. Interviews were transcribed verbatim and interpreted using thematic analysis.Outcome and ResultsMothers elaborated on the difficulties with recognising signs of anxiety due to the impact of the child's primary diagnosis and the overlap of symptoms with co‐occurring conditions. Mothers and children discussed the ‘contagious’ effect of anxiety within the household and how this influenced mothers' approaches to managing their child's anxiety. They reported that anxiety limited the meaningful activities in which children and families could engage.Conclusions and ImplicationsThese findings highlight the importance of supporting mothers to recognise their children's anxiety and to assist them with strategies on how best to respond and cope. These findings have implications for future research, and practitioners working in this field.
Does injecting small amounts of fillers prevent the development of secondary blindness?
Authors: Yi Kyu‐Ho , Lee Hyung‐Jin , Kim Woo‐Ram , An Min Ho , Park Hyun‐Jin , Hu Hyewon , Kim Hee‐Jin 
Published: June 2023

AbstractIntroductionInadvertent entry of filler products into the supratrochlear, supraorbital, or dorsal nasal arteries, among other branches of the ophthalmic artery, might result in an immediate and devastating loss of vision. We wanted to examine how much filler could block the ophthalmic artery.Materials and MethodsTwenty‐nine fresh cadavers were examined. We exposed the arterial supply to the opthalmic artery by dissecting the orbital area. Thereafter, 17 filler injections were introduced into the supratrochlear, supraorbital, and dorsal nasal arteries each. The amount of filler injection that completely blocked the ophthalmic artery was measured. Additionally, one of the head specimens was processed using phosphotungstic acid‐based contrast enhancement micro‐computed tomography to analyze each arteries to obstruct its whole ophthalmic artery.ResultsThe supratrochlear, supraorbital, and dorsal nasal arteries had mean volumes in milliliter (mean ± standard deviation) of 0.0397 ± 0.010 mL, 0.0409 ± 0.00932 mL, and 0.0368 ± 0.00732 mL, respectively. However, the arteries did not differ significantly.ConclusionEven a modest amount of filler injection can completely block the ophthalmic artery, resulting in visual loss.
Activities of the Japan Council for Implementation of the Maternal Emergency Life Support System reduced direct causes of maternal deaths in Japan
Authors: Hashii Koji , Hasegawa Junichi , Yamashita Tomoyuki , Tanaka Hiroaki , Sakurai Atsushi , Samura Osamu , Sekizawa Akihiko , Ikeda Tomoaki , Ishiwata Isamu 
Published: June 2023

AbstractHere, we aimed to provide an overview of Japan Council for the Implementation of the Maternal Emergency Life‐Saving System (J‐CIMELS) and its simulation program, which has reduced maternal mortality due to direct causes in Japan. The Japan Association of Obstetricians and Gynecologists (JAOG), Japan Association of Obstetricians and Gynecologists, and Maternal Death Exploratory Committee (JMDEC) launched the Maternal Death Reporting Project in 2010. The project analyzed obstetricians' tendency to delay their initial response to sudden maternal deterioration. Obstetricians can predict small changes before deterioration by monitoring vital signs. In 2015, the J‐CIMELS was established to provide practical education. J‐CIMELS developed a simulation program (J‐MELS; Japan Maternal Emergency Life Support) to ensure that the obstetricians acquire the latest knowledge of emergency physicians, anesthesiologists, and other general practitioners and apply it in clinical situations. In the last 7 years, the J‐MELS basic course has been conducted 1000 times with a total attendance of 19 890 people. As a result, the incidence of obstetric hemorrhage progressively decreased from 29% in 2010 to 7% in 2020. We believe that the activities of J‐CIMELS are improving obstetric care providers' medical practices in Japan.
Mouth opening in systemic sclerosis: A longitudinal analysis from the French national cohort study
Authors: Chaigne Benjamin , Bense Alexandre , Agard Christian , Allanore Yannick , Pugnet Grégory , Hachulla Eric , Avouac Jérôme , Bienvenu Boris , Palat Sylvain , Grange Claire , Berthier Sabine , Chatelus Emmanuel , Rivière Sébastien , Truchetet Marie‐Elise , Kahn Jean‐Emmanuel , Maurier Francois , Diot Elisabeth , Berezne Alice , Mouthon Luc ,   The French Systemic Sclerosis Network
Published: June 2023

AbstractBackgroundFew studies have evaluated mouth opening (MO) in systemic sclerosis (SSc). None have studied MO trajectories.ObjectiveTo study MO trajectories in SSc.MethodsThis multicentre study included patients enrolled in the French national SSc cohort with at least one MO assessment, described patients based on MO baseline measure, modelled MO trajectories and associated MO measures with SSc prognosis.ResultsWe included 1101 patients. Baseline MO was associated with disease severity. On Kaplan–Meier analysis, MO <30 mm was associated with worse 30‐year‐survival (p < 0.01) and risk of pulmonary arterial hypertension (p < 0.05). Individual MO trajectories were heterogenous among patients. The best model of MO trajectories according to latent‐process mixed modelling showed that 88.8% patients had a stable MO trajectory and clustered patients into three groups that predicted SSc survival (p < 0.05) and interstitial lung disease (ILD) occurrence (p < 0.05). The model highlighted a cluster of 9.5% patients with diffuse cutaneous SSc (dcSSc) (p < 0.05) and high but decreasing MO over 1 year (p < 0.0001) who were at increased risk of poor survival and ILD.ConclusionMO, which is a simple and reliable measure, could be used to predict disease severity and survival in SSc. Although MO remained stable in most SSc patients, dcSSc patients with high but decreasing MO were at risk of poor survival and ILD.
Equity‐settled share‐based payments and their (strategic) use under asymmetric information
Authors: Bolatto Stefano , Pignataro Giuseppe 
Published: June 2023

AbstractShare‐based payments are of widespread use in today's economy. Consulting firms are increasingly accepting equity compensation for their services (particularly from startups) and many governments provide fiscal incentives to support this choice. Likewise, profit‐sharing licensing is an on‐trend business practice by innovative firms and patent holders when transferring their technology to interested adopters. This paper unveils strategic considerations according to which an agent/seller designs its optimal policy in regard to the equity share to request in exchange for its service, technology, or trademark. The model assumes a fringe of interested users/customers differentiated by both the support they need from the seller and the value of the underlying relationship; and also holding an informational disadvantage on their own type. Given the seller's cost configuration, equilibrium outcomes entail entering a profit‐sharing relationship either with the high‐type customers only or with all customers. Yet, in this case, equity‐based payment claims are —for rent extraction purposes— common (i.e., not differentiated) across types.
Characterization and report of Ectophoma multirostrata, causing stem canker disease in highbush blueberry in Iran
Authors: Atashi Khalilabad Abbas , Fotouhifar Khalil‐Berdi , Atghia Omid 
Published: June 2023

AbstractDuring a disease survey in greenhouses of blueberry seedlings in Mohammad Shahr City, Alborz Province, Iran, in the autumn 2021, severe stem canker symptoms were observed in the cv. Emerald of highbush blueberry (Vaccinium corymbosum). The disease incidence in the affected greenhouses was more than 30%–40%. Diseased branches and stems were sampled and the associated fungus was isolated on potato dextrose agar. Based on the fungal morphological features of the colony, three isolates among which the representative isolate of UT2020 were identified as Ectophoma multirostrata. Phylogenetic analysis of the concatenated ITS‐rDNA and beta‐tubulin (tub2) gene sequence data confirmed the morphological identification of the fungal isolates. E. multirostrata differs from closely related species by having several ostiolar necks, textura angularis wall in pycnidia and oblong to ellipsoidal conidia. The pathogenicity of the isolate UT2020 in the stems of highbush blueberry cv. Emerald was confirmed by our artificial wound inoculation method. After 14 days, the same stem canker symptoms were developed on the inoculated stems, and the same fungal isolate was re‐isolated from the newly developed symptoms, fulfilling the Koch's postulates. This is the first report of E. multirostrata causing a stem canker disease in highbush blueberries. Also, Vaccinium corymbosum is reported as a new host (matrix nova) for E. multirostrata worldwide.
Preoperative computed tomography, surgical treatment and long‐term outcomes of dogs with abscesses on migrating vegetal foreign bodies and oropharyngeal stick injuries: 39 cases (2010‐2021)
Authors: Manzoni S. , Santos M. , Leveugle A. , Dekerle B. , Garnier P. , Maurice E. , Decambron A. , Mortier J. , Manassero M. , Viateau V. 
Published: June 2023

ObjectivesThis study evaluated success rates of surgical treatment of head and neck abscesses and draining tracts for suspected migrating vegetal foreign body and oropharyngeal penetrating injuries, and compared the outcomes according to whether a vegetal foreign body was identified in preoperative computed tomography (CT) examination.Materials and MethodsThis retrospective study involved 39 dogs that underwent CT and subsequent surgical exploration of abscesses and/or draining tracts in the head and neck, in a single institution between 2010 and 2021. Recorded data included signalment, history, physical examination, CT and surgical findings. The postoperative follow‐up period was at least 8 months. Cases were classified according to whether a foreign body was identified on CT or was only suspected because of the presence of cavities and/or draining tracts on CT.ResultsA vegetal foreign body was identified on CT in 11 of 39 cases and later confirmed at surgery in 10 cases. In 28 of 39 cases, a vegetal foreign body was not identified on CT, but in seven of these 28 cases it was found at surgery. Resolution of clinical signs was achieved in 11 of 11 cases when a vegetal foreign body was identified on CT and in 26 of 28 cases without a foreign body identified on CT. Two cases of recurrence were observed in animals in which no foreign body was detected.Clinical SignificanceIn this population of dogs undergoing surgery after preoperative CT scan, we observed resolution of clinical signs after a single surgical procedure in 95% of the cases. All animals in which a foreign body was identified were cured.
Solar clock and school start time effects on adolescents' chronotype and sleep: A review of a gap in the literature
Authors: Rodríguez Ferrante Guadalupe , Leone María Juliana 
Published: June 2023

SummaryCircadian rhythms are entrained by external factors such as sunlight and social cues, but also depend on internal factors such as age. Adolescents exhibit late chronotypes, but worldwide school starts early in the morning leading to unhealthy sleep habits. Several studies reported that adolescents benefit from later school start times. However, the effect of later school start time on different outcomes varies between studies, and most previous literature only takes into consideration the social clock (i.e. local time of school starting time) but not the solar clock (e.g. the distance between school start time and sunrise). Thus, there is an important gap in the literature: when assessing the effect of a school start time on chronotype and sleep of adolescents at different locations and/or seasons, the solar clock might differ and, consistently, the obtained results. For example, the earliest school start time for adolescents has been suggested to be 08:30 hours, but this school start time might correspond to different solar times at different times of the year, longitudes and latitudes. Here, we describe the available literature comparing different school start times, considering important factors such as geographic position, nationality, and the local school start time and its distance to sunrise. Then, we described and contrasted the relative role of both social and solar clocks on the chronotype and sleep of adolescents. As a whole, we point and discuss a gap in literature, suggesting that both clocks are relevant when addressing the effect of school start time on adolescents' chronotype and sleep.
Sporotrichosis co‐infection with human immunodeficiency virus/acquired immunodeficiency syndrome
Authors: Uemura Eduardo Vinicius Grego , Rossato Luana 
Published: June 2023

AbstractSporotrichosis is a subcutaneous mycosis caused by a dimorphic fungus belonging to the genus Sporothrix. This fungal infection can affect both humans and domestic animals, and in recent years, an increase in the geographic spread and prevalence of sporotrichosis has been observed globally. This systematic review aimed to examine the clinical‐epidemiological and therapeutic aspects related to sporotrichosis co‐infection with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). An extensive electronic search was conducted on databases including PubMed, Web of Science, Lilacs, Medline, Embase, Scopus and SciELO was performed to identify clinical cases of people living with HIV (PLWH) with sporotrichosis published until May 2023. As a result, we found that most co‐infected patients were male, representing 71.76% (94/131) of cases. The most prevalent age group was 41–50 years, with a mean age of 36.98 years. The countries with the highest number of cases were Brazil (75.57%, 99/131) and the United States (16.03%, 21/131). The most frequent clinical presentation was systemic dissemination, accounting for 69.47% (91/131) of the cases, followed by cutaneous dissemination with 13% (17/131). The mean CD4+ cell count was 154.07 cells/μL, and most patients used amphotericin B with at least one azole, which represented 47.33% (62/131) of cases, followed by azole monotherapy in 17.56% (23/131) of cases. As for the outcome, 51.15% (67/131) of the patients remained alive, and 37.4% (49/131) died. Therefore, it was concluded that sporotrichosis in PLWH is a disease with a high prevalence in Brazil and may be associated with systemic clinical manifestations requiring longer periods of systemic antifungal therapy.
Critical ethnography and its others: Entanglement of matter/meaning/madness
Authors: Adam Simon , Gold Efrat , Tsui Joyce 
Published: June 2023

AbstractBeginning with a critical examination of the humanist assumptions of critical ethnography, this article interrogates and surfaces problems with the ontological and epistemological orientations of this research methodology. In drawing on exemplar empirical data from an arts‐based project, the article demonstrates the limitations in the humanist‐based qualitative research approach and advances a postdualist, postrepresentationalist direction for critical ethnography called entangled ethnography. Using data from a larger study that examined the perspectives of racialized mad artists, what is demonstrated in this inquiry is that the entanglement of bodies, objects, and meaning‐making practices is central to working with the ontologically excluded, such as those who find themselves in various states of disembodiment and/or corporeal and psychic distribution. We propose the redevelopment of critical ethnography, extended by entanglement theory (a critical posthuman theory), and suggest that for it to be an inclusive methodology, critical ethnography must be conceptualized as in the process of becoming and always in regeneration, open to critique, extension, and redevelopment.