bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Sight Full of Woe: The Cecil Family and Their Monuments c.1580–1620
Authors: Sherlock Peter 
Published: June 2023

Abstract
This essay is the first collective analysis of the monuments of William Cecil, Lord Burghley, and his family. Between 1580 and 1620 Burghley and his son Robert Cecil were prolific patrons of monuments for themselves and their immediate family members in Westminster Abbey and near their country houses at Stamford, Lincolnshire, and Hatfield, Hertfordshire. Their commissions were typical of Elizabethan monuments: they reflected the maxim that magnificence in memory should be proportionate to the honour the dead enjoyed in life, they focused on aristocratic concerns to transfer land and power from one generation to the next, and they replaced the early sixteenth-century fear of purgatorial suffering with the Protestant hope of the resurrection. Unusually, however, the Cecils’ monuments included emotionally charged inscriptions, recording for posterity their grief at the death of wives, mothers and daughters, as well as pride in their progeny and legacy. This case study demonstrates that early modern objects such as monuments to the dead could communicate love and grief, mirth and despair, hope and happiness to future generations through their words and images.
Cultivating Digital Reflexivity as Resistance to Digital Dualism: Doing Digital Ethnography with U.S. Congregations During the covid-19 Pandemic
Authors: Raffety Erin 
Published: June 2023

Abstract
This article reflexively reviews methods for training researchers developed during a national studying of thriving congregations in the United States during the covid-19 pandemic (2020-2022) as a case study on doing digital ethnography (ethnography that uses digital methods to study and engage critically with digital culture). The article outlines the importance of digital culture (expressions of identity offline are not separate from online formation; see Campbell 2012) and digital dualism (outmoded assumptions about binaries between online/offline spaces; see Jurgenson 2011) for doing digital ethnography, and argues that as long as digital dualism lurks not only among congregations, but also within researchers and their methodologies, it undermines knowledge of congregations. Therefore, the article develops the concept of digital reflexivity (the interrogation of one’s own digital cultural experiences, identities, and power, in tension with one’s relationships), arguing for its usefulness for ethnographic studies of congregations, practices of congregational ministry, and theological education.
Dimensional stability, durability and performance of hybrid recycled cellulose fibres reinforcing earth-based materials
Authors: Stanislas Tido Tiwa , Mahamat Assia Aboubakar , Bilba Ketty , Onésippe-Potiron Cristel , Arsène Marie-Ange , Savastano Holmer 
Published: June 2023

Brittle fracture initially occurs at the nanometric and/or interatomic scale without prior plastic deformation under elastic loading. Fibres of different dimensional scales in hybrid composites provide dense packaging and act as reinforcements in the corresponding scales and dimensions. This study evaluated the effect of the inclusion of cellulose pulp (CP) (5wt%, 4.5wt%, 4wt% and 3.5wt%) combined with cellulose nanofibrils (CNF) (0.5wt%, 1wt% and 1.5wt%) from recycled cardboard on the water absorption, density, dimensional stability, thermal insulation, flexural strength and durability of earth-based materials. The total cellulose content (CP and CNF) is set at 5wt%. The results show that the partial replacement of CP by CNF contributes to an increase in the moisture content of the composite from 18% to 21%, while there is a reduction in their dry shrinkage from 2.29% to 1.29% and in their thermal conductivity from 0.42 to 0.39 W/m.K. This is attributed to the different dimensional scales of the fibres in hybrid composites, which provide a dense assembly with greater dimensional stability. The 3.5% CP content combined with 1.5% CNF showed the highest flexural strength (2.76 MPa) and modulus of elasticity (1.93 GPa) of the hybrid materials under four-point bending loading, due to the high anchorage between the cellulose fibres and the matrix. CP and CNF as reinforcing agents in an earth-based matrix is a suitable solution for improving the flexural strength, density, dimensional stability and durability of building bricks. However, bricks reinforced only with CP are recommended where flexural strength and toughness are essential requirements.
Symptom Cluster Profiles in Adults with Chronic Obstructive Pulmonary Disease and Insomnia
Authors: Jun Jeehye , Park Chang , Fritschi Cynthia , Balserak Bilgay , Martyn-Nemeth Pamela , Kuna Samuel , Kapella Mary 
Published: June 2023

Background: People with chronic obstructive pulmonary disease (COPD) and insomnia may experience multiple symptoms that can affect physical function, but little research has focused on symptom clusters in this population. Objectives: This study aimed to identify subgroups of people with COPD and insomnia based on a pre-specified symptom cluster and determine whether physical function differed in the subgroups. Methods: This secondary data analysis included 102 people with insomnia and COPD. Latent profile analysis classified subgroups of individuals sharing similar patterns of five symptoms: insomnia, dyspnea, fatigue, anxiety, and depression. Multinomial logistic regression and multiple regression determined factors associated with the subgroups and whether physical function differed among them. Results: Three groups of participants were identified based on the severity of all five symptoms: low (Class 1), intermediate (Class 2), and high (Class 3). Compared to Class 1, Class 3 showed lower self-efficacy for sleep and for COPD management and more dysfunctional beliefs and attitudes about sleep. Class 3 showed more dysfunctional beliefs and attitudes about sleep than Class 2. Class 1 showed significantly better physical function than Classes 2 and 3. Conclusions: Self-efficacy for sleep and for COPD management and dysfunctional beliefs and attitudes about sleep were associated with class membership. As physical function differed among subgroups, interventions to improve self-efficacy for sleep and for COPD management and minimize dysfunctional beliefs and attitudes about sleep may reduce symptom cluster severity, in turn enhancing physical function.
Effects of high-flow nasal cannula oxygen therapy for patients with acute exacerbation of chronic obstructive pulmonary disease in combination with type II respiratory failure
Authors: Liu Aiming , Zhou Yaqing , Pu Zunguo 
Published: June 2023

Objective To evaluate the therapeutic effects of high-flow nasal cannula (HFNC) oxygen therapy in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and type II respiratory failure. Methods Seventy-two patients with AECOPD and type II respiratory failure were randomly allocated to an HFNC oxygen therapy trial group or a non-invasive positive-pressure ventilator therapy (NIPPV) control group. Their arterial blood gas parameters and comfort, evaluated using a questionnaire, were compared before and after the therapeutic interventions. Results The PaCO2 and blood [Formula: see text] concentration of both groups were significantly reduced by the treatments, whereas the pH, PaO2 and PaO2/FiO2 were increased. The PaCO2 of the experimental group was significantly lower than that of the control group following treatment. The PaO2 of the experimental group was significantly higher than that of the control group. The tracheal intubation rates of the two groups did not significantly differ. After treatment, all the indices of comfort were rated higher in the HFNC group than in the NIPPV group. Conclusions HFNC has a good therapeutic effect in patients with AECOPD and type II respiratory failure. It improves patient comfort and has clinical value.
Meta-analysis of haematocrit and activated partial thromboplastin time as risk factors for unplanned interruptions in patients undergoing continuous renal replacement therapy
Authors: Zhang Kun , Liu Chunxia , Zhao Heling 
Published: June 2023

Objective: Although continuous renal replacement therapy (CRRT) is common, unplanned interruptions often limit its usefulness. Unplanned interruption refers to the forced interruption of blood purification treatment, the failure to complete blood purification treatment goals or the failure to meet blood purification schedule times. This study aimed to evaluate the effect of haematocrit and activated partial thromboplastin time (APTT) on the incidence of unplanned interruptions in critical patients with CRRT. Methods: A systematic review and a meta-analysis were performed by searching the databases of China National Knowledge Infrastructure, Wanfang, VIP, China Biomedical Literature, Cochrane Library, PubMed, Web of Science and Embase from their inception to 31st March 2022 for all studies with a comparator or independent variable relating to the unplanned interruption of CRRT. Results: Nine studies involving 1165 participants were included. Haematocrit and APTT were independent risk factors for the unplanned interruption of CRRT. The higher the haematocrit level, the greater the risk of unplanned CRRT interruptions (relative risk ratio [RR] = 1.04, 95% confidence interval [CI]: 1.02, 1.07, Z = 4.27, p < 0.001). The prolongation of APPT reduced the risk of unplanned CRRT interruptions (RR = 0.94, 95% CI: 0.92, 0.96, Z = 6.10, p < 0.001). Conclusion: Haematocrit and APTT are the influencing factors on the incidence of unplanned interruptions in critical patients undergoing CRRT.
Development and validation of a risk prediction nomogram for disposition of acute clozapine intoxicated patients to intensive care unit
Authors: Sharif Asmaa F. , Aouissi HA , Kasemy Zeinab A. , Byeon H , Lashin Heba I. 
Published: June 2023

Background Clozapine is an atypical antipsychotic drug used for the treatment of refractory schizophrenia. It is reported as the most toxic in its class. Using serum clozapine level as a severity indicator is doubtful and unfeasible, particularly in low resourced countries. Methods This is an extended two-phase retrospective study that utilized medical records of patients diagnosed with acute clozapine intoxication and admitted to Tanta University Poison Control Center, Egypt during the past 6 years. Two hundred and eight medical records were used to establish and validate a nomogram for predicting the need for intensive care unit (ICU) admission in acute clozapine intoxicated patients. Results A reliable simple bedside nomogram was developed and proved its significant ability to predict the need for ICU admission, with an area under the curve (AUC) of 83.9% and 80.8% accuracy. It encompassed the age of admitted patients (AUC = 64.8%, p = .003), respiratory rate (AUC = 74.7%, p < .001), O2 saturation (AUC = 71.7%, p < .001), and random blood glucose level upon admission (AUC = 70.5%, p < .001). External validation of the proposed nomogram showed a high AUC (99.2%) with an overall accuracy of 96.2%. Conclusion There is a need to develop a reliable objective tool predicting the severity and need for ICU admission in acute clozapine intoxication. The proposed nomogram is a substantially valuable tool to estimate ICU admission probabilities among patients with acute clozapine intoxication and will help clinical toxicologists make rapid decisions for ICU admission, especially in countries with low resources.
Less Invasive Surfactant Administration in Preterm Neonates: A Single Centre Experience at a Tertiary Care Teaching Hospital
Authors: Patrikar Smruti , Arya Sunil , Prajapati Jyoti 
Published: June 2023

Background Less Invasive Surfactant Administration (LISA) minimizes the need for invasive ventilation. As a result, it might improve survival rates in preterm newborns with respiratory distress syndrome (RDS), reducing long-term complications. This study explored the efficacy and potential benefits of the LISA in preterm newborns and its effect on short-term morbidity and mortality. Methods In this prospective observational study, 104 eligible preterm newborns <35 weeks of gestational age were admitted to NICU from August 2020 to July 2021at a tertiary care teaching institute in central India with RDS were given surfactant using 5F feeding tube without intubation while spontaneously breathing on NCPAP. Regarding respiratory parameters, invasive ventilation in the first 72 hours of age, mean duration of both invasive ventilation and NCPAP, mean duration of oxygen requirement, complications, and neonatal outcomes were assessed. Results The mean duration of the NCPAP requirement and the mean total duration of the oxygen requirement were 41.77 hours and 81.3 hours, respectively. Twenty-seven neonates (25.96%) required invasive ventilation within 72 hours of age. Fourteen neonates (13.46%) required second dose of surfactant. Total mortality till NICU stay was 30.76% (n = 32). Incidences of surfactant reflux to the esophagus, desaturation during the intervention procedure, and procedure complications (pulmonary hemorrhage, pneumothorax) were also less during the LISA method. Conclusion LISA is an alternative, safe, and feasible method for surfactant delivery in spontaneously breathing preterm neonates on NCPAP. Therefore, adopting this procedure in a developing country to reduce short-term complications is possible. However, since a small number of neonates were included in this study, further extensive studies involving large numbers of preterm neonates and multiple centers are needed to generalize the results to the study population.
The poisoned father: Jane Campion’s The Power of the Dog and the unexpected relevance of Lacan to psychiatric practice
Authors: Stone Meredith 
Published: June 2023

Objective Lacan is often deemed an obscure theorist with little clinical application. However, in film studies his psychoanalytic theory has been highly influential. This paper is part of a series of articles published in this journal accompanying a psychiatry registrar teaching programme on film and psychodynamic concepts. It introduces the Lacanian ideas of the Symbolic, Imaginary and Real as they appear in Jane Campion’s The Power of the Dog, and discusses their societal and clinical significance. Conclusions A Lacanian reading of Power of the Dog offers insights into ‘toxic masculinity’. Furthermore, it demonstrates how clinical symptoms can represent an escape from socially mediated toxicities.
Ask and You Shall Receive: The Effects of Negativity and Fundraising Appeals on Facebook
Authors: Wintersieck Amanda , Keena Alex 
Published: June 2023

Social media has transformed electoral politics and allows campaigns to micro-target supporters. However, little is known about the effectiveness of political ads on social media, particularly those that appeal for money. We study the fundraising effects of ad campaigns sponsored by a well-funded Super PAC, The Lincoln Project. Our model includes 100s of millions of ad impressions targeting Facebook users in the 50 states, plus D.C., over 308 days in 2020. We coded ads for tone and fundraising appeals and find that the most effective ads are those that directly appeal for money, while ads that use negativity are associated with a small, positive effect. Ads that include both negativity and fundraising appeals are associated with the most money: each impression yields an additional $0.52 in itemized donations (campaign contributions). The results confirm what previous research on campaign giving has found— people tend to give money to campaigns when they are asked to—and show how digital advertising influences political behavior.
Comparison of ultrasound-guided dynamic needle tip positioning and acoustic shadowing technique with palpation technique for radial arterial cannulation by experienced clinicians: A randomized controlled trial
Authors: Siddaramaiah Mruthyunjaya Nalluru , Sharma Ankur , Goyal Shilpa , Kumar Sandeep , Kumari Kamlesh , Goel Akhil Dhanesh , Bhatia Pradeep , Kothari Nikhil 
Published: June 2023

Background: Radial artery cannulation is usually done for monitoring invasive blood pressure during intraoperative period. The dynamic needle tip positioning approach allows continuous visualization of the needle tip during ultrasound-guided cannulation. The acoustic shadowing technique, using two lines on the ultrasound probe, might be used to facilitate radial artery puncture. We aimed to compare these two ultrasound-guided techniques of radial artery cannulation with the traditional palpation method in adult patients. Methods: In this trial, 180 adult patients requiring arterial cannulation were randomized into three groups (Traditional palpation (TP), Dynamic needle tip positioning (DNTP), and acoustic shadow technique (AST)). All cannulations were carried out by experienced anesthetists. Data was analyzed for the success rate of arterial cannulation in the first attempt, total number of attempts in 5 min, time taken to cannulate, number of cannulas used, and complications related to the procedure. Results: The first attempt success rates among TP, DNTP, and AST were 66.7%, 66.7%, and 71.7%, respectively ( p = 0.794). The median time taken for cannulation was 60.5 (37.0, 129.5) s, 71.0 (50.0, 170.0) s, and 108.0 (58.0, 181.0) s, respectively ( p = 0.066) and the median number of cannulation attempts was 1, in all the three groups ( p = 0.684). There was also no difference in the total number of cannulas used, the overall success rate of cannulation, and complications related to the procedure in the three groups. Conclusion: The TP, DNTP, and AST technique for radial artery cannulation had comparable first attempt success rate, the time taken for cannulation, the number of cannulas used, and overall complications. We conclude that radial arterial cannulation by palpation, as well as ultrasound-guided DNTP and AST techniques performed by experienced clinicians in hemodynamically stable adult patients are equally advantageous.
The Assessment of Long-Term Care Environments for Wayfinding Design
Authors: Davis Rebecca , Calkins Margaret , Cai Hui 
Published: June 2023

Objectives: The purpose of this article is to compare three different methods to assess the complexity of a long-term care (LTC) environment for wayfinding before and after an environmental design intervention. The methods include space syntax (SS), the Wayfinding Checklist (WC), and the Tool to Assess Wayfinding Complexity (TAWC). Background: Wayfinding is important to maintain older adults’ independent functioning. The design of environments can impact wayfinding ability by providing support; this can be via building structure or by environmental design features such as signage and landmarks. Few methods or tools have been scientifically validated to assess environments for wayfinding complexity. In order to compare environments in terms of complexity and to measure the impact of interventions, valid and reliable tools are necessary. Methods: This article discusses the results of the use of three wayfinding design assessment tools using three routes in one LTC environment. The results of the three tools are discussed. Results: SS analysis could quantitatively measure the complexity of routes using integration values, which indicates connectedness. The TAWC and the WC were able to measure differences in visual field scores pre- and postenvironmental intervention. There were limitations to each tool: the lack of psychometric properties for the TAWC and the WC, and the lack of ability to measure changes in design features within visual fields with SS. Conclusions: Multiple tools to assess environments for wayfinding design may be needed in studies that test environmental interventions. Future research is needed to provide psychometric testing for the tools.
Novel Posterior Shoulder Stretching With Rapid Eccentric Contraction and Static Stretching in Patients With Subacromial Pain Syndrome: A Randomized Trial
Authors: Türksan Halime Ezgi , Yeşilyaprak Sevgi Sevi , Erduran Mehmet , Özcan Cem 
Published: June 2023

Background: In subacromial pain syndrome (SPS), it is unknown whether posterior shoulder stretching exercises (PSSE) with rapid eccentric contraction, a muscle energy technique, improve clinical and ultrasonographic outcomes more than no stretching or static PSSE. Hypothesis: PSSE with rapid eccentric contraction is superior to no stretching and static PSSE in improving clinical and ultrasonographic outcomes in SPS. Study Design: Randomized controlled trial. Level of Evidence: Level 1. Methods: Seventy patients with SPS and glenohumeral internal rotation deficit were randomized into the modified cross-body stretching with rapid eccentric contraction group (EMCBS; n = 24), static MCBS group (SMCBS; n = 23), or control group (CG; n = 23). In addition to 4-week physical therapy, EMCBS received PSSE with rapid eccentric contraction, SMCBS static PSSE, and CG no PSSE. The primary outcome was internal rotation range of motion (ROM). Secondary outcomes were posterior shoulder tightness, external rotation ROM (ERROM), pain, modified Constant-Murley score, short form of the disabilities of the arm, shoulder, and hand questionnaire (QuickDASH), rotator cuff strength, acromiohumeral distance (AHD), supraspinatus tendon thickness, and supraspinatus tendon occupation ratio (STOR). Results: Shoulder mobility, pain, function and disability, strength, AHD, and STOR improved in all groups ( P < 0.05). Conclusion: In patients with SPS, PSSE with rapid eccentric contraction and static PSSE were superior to no stretching in improving clinical and ultrasonographic outcomes. Stretching with rapid eccentric contraction was not superior to static stretching, but improved ERROM compared with no stretching. Clinical Relevance: In SPS, both PSSE with rapid eccentric contraction and static PSSE included in physical therapy program are beneficial to improve posterior shoulder mobility and other clinical and ultrasonographic outcomes. In the case of ERROM deficiency, rapid eccentric contraction might be preferred.
Associations Between Parental Psychological Control and COVID-19 Pandemic-Related Negative Emotions: The Role of Resilience and Emotion Regulation
Authors: Ma Xiaole , Wang Xingchao , Gao Zhao 
Published: June 2023

Studies focusing on risk factors for negative emotions related to the COVID-19 pandemic remain limited. We examined the underlying mechanism of resilience and emotion regulation on the association between parental psychological control and COVID-19 pandemic-related negative emotions. A total of 400 Chinese college students (207 males; Mage = 19.78 ± 1.72 years) completed a cross-sectional survey including Parental Psychological Control Scale, Profile of Mood States Scale, Brief Resilience Scale, and Emotion Regulation Questionnaire during the pandemic. Using PROCESS macro, results indicated that resilience partially mediated the association between parental psychological control and COVID-19 pandemic-related negative emotions. Expressive suppression, but not cognitive reappraisal, moderated the mediating path. Specifically, parental psychological control was a stronger predictor of resilience among those who rarely used expressive suppression. Correcting maladaptive parenting would be beneficial for college students' mental health during COVID-19 as well as for the improvement of coping capacity and adaptation outcomes to stress.