bluuebunny/crossref_metadata_2025_split huggingface dataset:
Community-based models of care facilitating the recovery of people living with persistent and complex mental health needs: a systematic review and narrative synthesis
Authors: Harvey Carol , Zirnsak Tessa-May , Brasier Catherine , Ennals Priscilla , Fletcher Justine , Hamilton Bridget , Killaspy Helen , McKenzie Peter , Kennedy Hamilton , Brophy Lisa 
Published: September 2023

ObjectiveThis study aims to assess the effectiveness of community-based models of care (MoCs) supporting the recovery of individuals who experience persistent and complex mental health needs.MethodWe conducted a systematic review and narrative synthesis of MoC studies reporting clinical, functional, or personal recovery from October 2016 to October 2021. Sources were Medline, EMBASE, PsycInfo, CINAHL, and Cochrane databases. Studies were grouped according to MoC features. The narrative synthesis was led by our researchers with lived experience.ResultsBeneficial MoCs ranged from well-established to novel and updated models and those explicitly addressing recovery goals and incorporating peer support: goal-focused; integrated community treatment; intensive case management; partners in recovery care coordination; rehabilitation and recovery-focused; social and community connection-focused; supported accommodation; and vocational support. None of our diverse group of MoCs supporting recovery warranted a rating of best practice. Established MoCs, such as intensive case management, are promising practices regarding clinical and functional recovery, with potential for enhancements to support personal recovery. Emerging practice models that support personal and functional recovery are those where consumer goals and priorities are central.ConclusionEvidence for established models of care shows that there is a need for inevitable evolution and adaptation. Considering the high importance of effective MoCs for people experiencing persistent and complex mental health needs, further attention to service innovation and research is required. Greater emphasis on the inclusion of lived and living experience in the design, delivery, implementation, and research of MoCs is needed, to enhance MOCs' relevance for achieving individual consumer recovery outcomes.
How long were older people expected to live with or without sarcopenia? Multistate modeling of a national cohort study
Authors: Ye Bo , Wang Yujie , Xu Jixiang , Jiang Junjia , Yang Shitong , Chen Jie , Bao Zhijun , Gao Junling 
Published: September 2023

ObjectivesSarcopenia is well known to be associated with mortality, but there is a lack of evidence on the estimates of life expectancy (LE) for sarcopenia in China. This study aims to estimate total life expectancy (TLE) and sarcopenia-specific LE in community-dwelling older Chinese adults with and without sarcopenia.MethodsThis study included participants aged 60 years and older who enrolled in the cohort in 2011 and 2013 and at least completed one follow-up until 2015 as part of the China Health and Retirement Longitudinal Study (CHARLS). The criteria for defining sarcopenia were based on the guidelines established by the Asian Working Group on Sarcopenia in 2019. TLE and sarcopenia-specific LE were estimated for the total population and subgroups using continuous-time multistate modeling.ResultsA total of 6,029 participants (49.2% women) with an average age of 68.4 (SD: 6.56) years were included in the study. The baseline prevalence of sarcopenia and possible sarcopenia was 19.5 and 44.9%, respectively. We observed that sarcopenia stages naturally deteriorated to worse stages (including death, by 24.4%) and returned to better stages (17.1%) during a median follow-up of 3.92 years (IQR: 2.00 ~ 4.00). The average TLE at the age of 60 was 20.9 [95% CI: 20.2–21.5] years (22.1 [95% CI: 19.6–24.6] for non-sarcopenic older adults, 20.9 [95% CI: 19.5–22.3] for possible sarcopenic, and 18.7 [95% CI: 16.4–21.1] for sarcopenic). Men, former and current smokers, and those living in northwest China had less TLE. Sarcopenic older adults, those with lower education, those who are unmarried, those with agriculture hukou, and those living in rural and northwest China were expected to live fewer years with non-sarcopenia. Sarcopenic older people, men, those with agriculture hukou, and those living in rural and southwest China were expected to live more years with sarcopenia.DiscussionThe results improved our understanding of the relationship between sarcopenia and life expectancy. We suggested that targeted strategies should be considered in high-risk populations and underdeveloped regions to prevent sarcopenia and improve non-sarcopenic life years for the older population.
The Impact of Being Homeless on the Clinical Outcomes of COVID-19: Systematic Review
Authors: Ogbonna Obianuju , Bull Francesca , Spinks Bethany , Williams Denitza , Lewis Ruth , Edwards Adrian 
Published: September 2023

Objective: The homeless population experiences inequality in health compared with the general population, which may have widened during the COVID-19 pandemic. However, the impact of being homeless on the outcomes of COVID-19 is uncertain. This systematic review aimed to analyse the impact of experiencing homelessness on the clinical outcomes of COVID-19, including the effects on health inequalities.Methods: A review protocol was developed and registered in PROSPERO (PROSPERO registration 2022 CRD42022304941). Nine databases were searched in November 2022 to identify studies on homeless populations which contained primary research on the following outcomes of COVID-19: incidence, hospitalisation, mortality, long COVID, mental wellbeing, and evidence of inequalities. Included studies were summarised with narrative synthesis.Results: The searches yielded 8,233 initial hits; after screening, 41 studies were included. Overall, evidence showed that those in crowded living settings had a higher risk of COVID-19 infection compared to rough sleepers and the general population. The homeless population had higher rates of hospitalisation and mortality than the general population, lower vaccination rates, and suffered negative mental health impacts.Conclusion: This systematic review shows the homeless population is more susceptible to COVID-19 outcomes. Further research is needed to determine the actual impact of the pandemic on this population, and of interventions to mitigate overall risk, given the low certainty of findings from some of the low-quality evidence available. In addition, further research is required to ascertain the impact of long COVID on those experiencing homelessness, since the present review yielded no studies on this topic.
Gender-based patterns of language use : the case of Dakar
Authors: Swigart Leigh 
Published: September 2023

L'étude des choix linguistiques et des attitudes de Dakarois ayant au moins une connaissance du wolof et du français, examine comment ceux-ci se situent dans leur univers socio-linguistique, d'une génération à l'autre, d'un sexe à l'autre. Le wolof urbain, un code-swithching de wolof et de français au niveau intra-phrastique, fonctionne comme code non marqué dans de nombreux contextes, informels surtout, pour des bilingues équilibrés.
L'enquête auprès de 35 sujets étudiés en profondeur révèle que les femmes sont plutôt conservatrices : elles parlent wolof davantage que français, et leur wolof urbain est moins influencé par le français que celui des hommes. Et, si certaines jeunes femmes -les disquettes -font de l'usage du français la clé pour entrer dans un autre groupe socio-économique que le leur, cette innovation, qui est un choix marqué pour leur sexe, n'est pas généralisée. L'examen du répertoire linguistique (wolof, français et wolof urbain) selon le sexe et l'âge indique en effet que l’avenir linguistique se situe plutôt du côté du wolof urbain. A la différence de ses aînés, la jeune génération est constamment exposée au français. Cependant les jeunes hommes, soumis à une pression de leurs pairs afin d’éviter trop de français, n'ont pas de variété "pure" du wolof à leur disposition et sont les locuteurs par excellence du wolof urbain. Les jeunes femmes, par contre, représentent le dernier groupe à Dakar à parler un wolof plus "pur" avec quelque facilité, du fait d'un contact domestique fréquent avec leurs aînées ; elles tentent souvent de se corriger, même entre elles, lorsqu'elles utilisent la forme mixte. La pression sociale est inverse. Mais, quoique capables de recourir à un wolof plus "pur", elles ne se contrôlent pas constamment et transmettent involontairement à leurs enfants des emprunts au français qui feront donc partie de leur première langue. Entre le français à l’école et le wolof urbain à la maison, ces enfants ne seront plus exposés à la variété plus profonde du wolof.
Genotype and Phenotype Analysis Using a Hyperlipidemia-Associated Gene Panel in Turkish Dyslipidemia Patients
Authors: GÜN BİLGİÇ Dilek 
Published: September 2023

Objective: Familial hypercholesterolemia (FH) is one of the most frequent diseases with monogenic inheritance. Numerous genes have been associated with familial hypercholesterolemia and are being investigated by gene panel testing in patients with familial hypercholesterolemia.
Methods: In the present study, 28 patients with FH and some of their parents were evaluated via next-generation sequencing (NGS) using a targeted panel of 32 genes.
Results: Pathogenic or likely pathogenic variants were detected in six patients in the genes LDLR LIPC and CETP.
Conclusion: The genotype-phenotype correlations of these variants were discussed by comparing the clinical findings with the literature.
Efluvio telógeno: uma sequela pos-COVID 19
Authors: De Abreu Marilda Aparecida Milanez Morgado , Do Nascimento Lilian Jabur , De Sousa Adriana Raquel Santos , Alessi Victor Bomfim 
Published: September 2023

No final do ano de 2019, o coronavírus 2 da síndrome respiratória aguda grave (SARS-CoV-2) causou a doença de coronavírus 2019 (COVID-19). Embora o COVID19 seja frequentemente associado a doenças respiratórias leves a graves na fase aguda, alguns pacientes que se recuperam do COVID-19 queixam-se de sinais e sintomas dermatológicos, como queda de cabelo. O eflúvio telógeno (ET) é uma forma muito comum de queda de cabelo caracterizada pela perda de cabelo difusa devido à entrada prematura do cabelo na fase telógena. O objetivo deste estudo foi determinar a prevalência de sequelas de eflúvio telógeno causadas pela Covid-19. Para atingir o objetivo, optou-se por realizar uma revisão sistemática para descrever e sintetizar as evidências disponíveis sobre esse tema e questões de pesquisa na literatura recorrendo a estudos retrospectivos. Relativamente à estratégia de pesquisa foi realizada uma busca, em julho de 2022, utilizando a base de dados PubMed, recorrendo à seguinte sintaxe: telogen effluvium AND COVID-19 AND incidence AND prevalence NOT (Review OR qualitative studies OR theoretical study OR qualitative study). Foi também usado o filtro condicional dos estudos terem sido publicados de 2020 a 2022. A partir da busca realizada foram encontrados 13 artigos, dos quais 6 foram excluídos por consenso dos autores. Na exclusão, utilizaram-se os critérios dos que não apresentaram conteúdos suficientes para colaboração neste trabalho (N=4), por se tratarem de artigos eminentemente teóricos (N=2) e por não apresentarem os dados epidemiológicos referentes às prevalências das variáveis objeto deste estudo. Após os procedimentos metodológicos anteriormente descritos foram selecionados 07 artigos para revisão sistemática. A grande maioria dos estudos documentou altas taxas de eflúvio telógeno após o Covid-19. A ET é um dos tipos mais comuns de queda de cabelo sem cicatriz, e há dados epidemiológicos muito limitados sobre esse distúrbio. É necessária uma investigação mais aprofundada do ET, como ênfase no tempo de observação e classificação da gravidade do paciente, bem como descrições de achados de especialistas, para padronizar as manifestações cutâneas associadas ao COVID-19.
Colangiopancreatografia endoscópica retrógrada: análise do perfil epidemiológico e complicações
Authors: Da Costa Daniel Pacheco , Alécio Camila Cínthia Araújo , De Campos Rayssa Kethlyn Alves , Silva Izabelle Louise de Almeida , Amaral Carlos Henrique Barros , Batista Leandro Valério Costa , Melo Tiago Torres , Lacet Celina Maria Costa 
Published: September 2023

A colangiopancreatografia retrógrada endoscópica (CPRE) é uma importante ferramenta diagnóstica e terapêutica empregada na abordagem de doenças hepatobiliares e pancreáticas. A pancreatite pós-CPRE é a complicação mais comum desse procedimento. Avaliamos os resultados dos procedimentos de pacientes submetidos à CPRE em um serviço de referência do SUS, determinando a taxa de sucesso, perfil epidemiológico e frequência de complicações. Estudo retrospectivo e transversal realizado no período de Agosto de 2019 a Dezembro de 2020, com amostra final de 217 pacientes. As informações foram colhidas do banco de dados do serviço de Endoscopia da Santa Casa de Maceió, foi utilizado questionário semiestruturado, contendo idade, sexo e dados referentes a CPRE: indicação do procedimento, taxa de sucesso, além das complicações. A descrição dos dados obtidos foi apresentada por meio de estatística descritiva. Observamos predomínio do sexo feminino (70,5%), com média de idade 53,9 anos. Todos os procedimentos foram terapêuticos e a coledocolitíase representou a principal indicação (76,4%). Os procedimentos mais realizados foram: canulação biliar para retirada de cálculo (62,2%), passagem de endoprótese biliar (19,8%) e retirada de prótese biliar (10,5%). A taxa de sucesso do procedimento foi de 92,6%, as complicações ocorreram em 6,45%, sendo a principal delas a pancreatite aguda em 3,7%. O estudo demonstrou que a principal indicação para a realização da CPRE foi desobstrução biliar por cálculo. A taxa de sucesso observada do procedimento foi 92,6%. As complicações após CPRE foram pouco frequentes (6,45%), sendo a de maior frequência a pancreatite aguda, com incidência de 3,7%.
A prova pericial obtida por meio do DNA à luz da cadeia de custódia
Authors: Costa Andréa Soares , Da Silva Maria Fabiana de Brito Martins 
Published: September 2023

O cerne do processo penal é a prova pericial encontrada na cena de um crime, haja vista, que os vestígios obtidos podem contribuir para a solução de um processo. É nesse contexto que, a cadeia de custódia se tornou objeto contundente do Direito. Ressaltando a evolução da legislação brasileira, trouxe à tona a utilização da prova genética, ou seja, o exame de DNA como prova pericial. Dentro desse entendimento, o objetivo deste artigo é analisar a obtenção do exame de DNA à luz da cadeia de custódia, sua devida utilização e se a quebra da cadeia de custódia torna ilícita a prova de DNA. Por ser uma realidade social e estar presente como prova pericial, surge a necessidade de o profissional de direito refletir a respeito do exame de DNA no contexto da cadeia de custódia, o que vem justificar a escolha do tema em comento para maiores esclarecimentos. Para empreender a pesquisa e discutir os pontos mencionados, como metodologia científica adotada, o presente trabalho se pautou em coletas de dados de fonte bibliográfica, envolvendo pesquisas em artigos, revistas e livros, caracterizando-se como pesquisa bibliográfica. No que tange ao controle de variáveis, classifica-se também como pesquisa não-experimental e quanto aos objetivos gerais, como pesquisa exploratória, por expor maior familiaridade do problema, a ponto de levantar hipóteses, tornando-o mais explícito, além de uma pesquisa dedutiva e jurídico-formal.
« Le voilà donc, ce nez, qui des traits de son maître… »
Authors: Sangsue Daniel 
Published: September 2023

La parodie est une pratique de transformation comique, ludique ou satirique qui utilise souvent la citation, car la citation est une petite unité de texte facile à transformer, elle bénéficie d’une notoriété qui la fait aisément reconnaître sous la transformation et, en tant qu’énoncé gnomique, elle véhicule une autorité qui incite à la transgression. Cela sera montré à travers la transformation de proverbes et maximes chez Balzac et Isidore Ducasse, la pratique de l’épigraphe parodique et le détournement de citations chez Flaubert et Stendhal.
La relation peuple/dictateur dans Temps de chien (1999) de Patrice Nganang
Authors: Boughrara Mohamed Racim 
Published: September 2023

Depuis quelques décennies, la littérature d’Afrique noire porte sur son histoire un regard nouveau et singulier. La période postcoloniale, ses espoirs et ses déceptions y sont abordés de façon directe et crue, à l’instar de Patrice Nganang qui, dans Temps de chien, offre du petit peuple camerounais une représentation saisissante, autant apocalyptique que réaliste.
De la Chine à Cuba
Authors: Clermont Célia 
Published: September 2023

Dans le cadre du programme quinquennal du CELEC, cet article propose une réflexion sur la notion de relation – entendue à la fois au sens de récit et de rapport entre deux éléments – dans la fiction romanesque. Il porte principalement sur La eternidad del instante, roman sino-cubain de Zoé Valdés publié en 2004, et s’appuie sur l’ensemble de l’œuvre de l’auteure, nourrie d’exil et de questionnement identitaire.
Le dialogue solitaire des Lettres à soi-même de Paul-Jean Toulet
Authors: Piantoni Antoine 
Published: September 2023

Antoine Piantoni s’occupe d’un cas rare : ceux qui s’écrivent à eux-mêmes, à travers Paul-Jean Toulet (1867-1920), dont les Lettres à soi-même parurent de façon posthume, en 1928. Il ne s’agit pas d’un recueil composé par Toulet, mais d’une « collection de cartes postales », et parmi elles, de « quelques lettres qu’au cours de quinze années il s’était adressées à lui-même », réunies sous ce titre et publiées à l’initiative d’Henri Martineau. Toulet aurait-il voulu les voir rendues publiques, comme l’affirment cet éditeur et d’autres critiques, pour lesquels « le jeu de la lettre à soi-même n’empêche pas que l’on songe à un autre public, un lecteur futur » ? Certaines sont si bien écrites qu’on est tenté de les croire. Quoi qu’il en soit, leur interprétation est délicate : preuve d’une division de la personnalité frôlant la schizophrénie ? Ou, au contraire, tentative de réconciliation de Toulet avec son moi profond ? Faute de sources permettant de connaître les intentions de l’auteur, on ne peut que risquer des hypothèses sur leur raison d’être et leurs visées.
Single-shot ultrafast dual-view imaging of shock waves in parallel laser processing
Authors: Saiki Takao , Shimada Keitaro , Sakuma Ichiro , Inada Yuki , Nakagawa Keiichi 
Published: September 2023

Abstract
Single-shot ultrafast optical imaging has revealed various non-repetitive processes, but it has conventionally provided only single-view measurements. Here, we demonstrate a single-shot ultrafast dual-view imaging technique by monitoring shock waves in laser processing of glass using single or parallelized excitation pulses. We visualize the spatiotemporal evolution of shock waves in air at 0.5 Gfps with five frames in both top and side views, indicating the velocity anisotropy and interaction of shock waves. Our technique can contribute to a comprehensive understanding not only of shock wave dynamics but also of other spatially complex ultrafast phenomena including laser-induced plasma and electrical discharge.
Implementasi Nilai Moderasi Beragama Pada Anak Berkebutuhan Khusus
Authors: Ria Lestari Ni Wayan 
Published: September 2023

Education is basically an effort to improve one's self-quality. Education is not only obtained at school, but also in the family and community. Schools as a forum for education in Indonesia and as a formal institution in the world of education have an important role in the growth and development of a child. For example, Special Schools which are part of formal education institutions have been provided by the government as a place to carry out education for special children. The goal is to give hope to them so that they no longer get discriminatory treatment from the surrounding environment. The type of data in this study is qualitative descriptive. In this study, researchers obtained data through several ways, including: from observation, documentation, and through interviews. The results include: Religious moderation learning strategies for students with special needs are tailored to the level of needs of their students. Learning religious moderation can be done by lecture methods in the classroom and direct practice (learning outside the classroom). The implications of religious moderation learning for students with special needs are reflected in students' daily activities, including habitually greeting every time they meet teachers and elders. Obstacles or obstacles in implementing religious moderation learning for children with special can be sourced from internal students can also be from external such as students lack focus in learning in class, students' ability to write and read is still lacking and students still often play and chat with their friends.
Health factors that influence sustainable behaviour in a single-player resource management game
Authors: Rauwolf Paul , McKinnon Arlen , Bilderbeck Amy C. , Rogers Robert D. 
Published: September 2023

AbstractEncouraging sustainable use of limited natural, social, and economic resources requires understanding the variety of ways in which people think about how resources work and how they adjust their behaviour (or not) as available resources fluctuate. Previous investigations which have focused on understanding how individuals navigate erodible resources, have tended to use group-based, common pool games. However, such social games make it difficult to disentangle whether resource erosion is linked to difficulty navigating the dynamics of the resource or caused by social factors. Here, in two experiments, we recruited 781 participants to play a single-player resource management game in which individuals were invited to harvest monetary rewards from a fully depletable but stochastically replenishing resource over time. We find that the ability to sustain a resource over successive harvesting opportunities (in order to maximize the total harvested rewards) is reliably worse in individuals reporting elevated psychological distress, the often cooccurring hazardous alcohol use, and elevated rates of delay discounting. The associations between resource outcomes, harmful alcohol use, and psychological distress remained substantial even once we had controlled for elevated discounting rates (as a form of impulsivity and a strong risk factor for these health challenges). By contrast, individuals who reported higher levels of financial literacy and general well-being achieved better resource outcomes. Our observations demonstrate that the capacity to respond effectively to the dynamics of a resource are compromised in individuals at risk of psychological and alcohol-related disorders.