bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying Patients at High Risk of Left Atrial Appendage Thrombus Before Cardioversion: The CLOTS‐AF Score
Authors: Segan Louise , Nanayakkara Shane , Spear Ella , Shirwaiker Anita , Chieng David , Prabhu Sandeep , Sugumar Hariharan , Ling Liang‐Han , Kaye David M. , Kalman Jonathan M. , Voskoboinik Aleksandr , Kistler Peter M. 
Published: June 2023

Background
Transesophageal echocardiography–guided direct cardioversion is recommended in patients who are inadequately anticoagulated due to perceived risk of left atrial appendage thrombus (LAAT); however, LAAT risk factors remain poorly defined.

Methods and Results

We evaluated clinical and transthoracic echocardiographic parameters to predict LAAT risk in consecutive patients with atrial fibrillation (AF)/atrial flutter undergoing transesophageal echocardiography before cardioversion between 2002 and 2022. Regression analysis identified predictors of LAAT, combined to create the novel CLOTS‐AF risk score (comprising clinical and echocardiographic LAAT predictors), which was developed in the derivation cohort (70%) and validated in the remaining 30%. A total of 1001 patients (mean age, 62±13 years; 25% women; left ventricular ejection fraction, 49.8±14%) underwent transesophageal echocardiography, with LAAT identified in 140 of 1001 patients (14%) and dense spontaneous echo contrast precluding cardioversion in a further 75 patients (7.5%). AF duration, AF rhythm, creatinine, stroke, diabetes, and echocardiographic parameters were univariate LAAT predictors; age, female sex, body mass index, anticoagulant type, and duration were not (all
P
>0.05). CHADS
2
VASc, though significant on univariate analysis (
P
<0.001), was not significant after adjustment (
P
=0.12). The novel CLOTS‐AF risk model comprised significant multivariable predictors categorized and weighted according to clinically relevant thresholds (Creatinine >1.5 mg/dL, Left ventricular ejection fraction <50%, Overload (left atrial volume index >34 mL/m
2
), Tricuspid Annular Plane Systolic Excursion (TAPSE) <17 mm, Stroke, and AF rhythm). The unweighted risk model had excellent predictive performance with an area under the curve of 0.820 (95% CI, 0.752–0.887). The weighted CLOTS‐AF risk score maintained good predictive performance (AUC, 0.780) with an accuracy of 72%.

Conclusions
The incidence of LAAT or dense spontaneous echo contrast precluding cardioversion in patients with AF who are inadequately anticoagulated is 21%. Clinical and noninvasive echocardiographic parameters may identify patients at increased risk of LAAT better managed with a suitable period of anticoagulation before undertaking cardioversion.
The Shape of the Asiascape: Ten Years of Digital Asia Research
Authors: Schneider Florian 
Published: June 2023

Abstract
This article reviews a decade of research, published in the journal Asiascape: Digital Asia (DIAS), that explored the question of how digital technologies and their usage have shaped – and have been shaped by – societies, politics, and economies across the Asian region. It discusses the kind of scholarship that DIAS has published, and on which topics, before giving an overview of the contributions that form this anniversary issue. The article concludes by offering thoughts on the future of digital Asia research.
‘I’m Not an Alien. I’m a Digital Ethnographer’: Doing Online Research with China’s Social Media
Authors: Kefala Christina 
Published: June 2023

Abstract
After the outbreak of the COVID-19 pandemic, digital ethnography became an important methodological tool for researchers. In my case, I shifted my research from China to digital China, and I engaged with China’s social media as my research field. But what are the challenges for an ethnographer in conducting research into China’s digital space and networks from afar? And how do China’s social media platforms mediate the formation of relationships with potential participants? Based on two years of online research, integrated with literature on autoethnography, China’s social media platforms, and performativity, this article describes China’s digital domain and explains how social media platforms mediate ethnographic research. Autoethnography facilitated this research on a critical notion of digital China in which institutional regulation contributes to the transformation and production of digital ethnography.
Uneven Coverage and Blank Spaces: Bringing the State Back In
Authors: Creemers Rogier 
Published: June 2023

Abstract
Studies on digital Asia tend to cluster around certain interrelated core strands, which has led other topics to be largely overlooked, one of which is the state. Scholars neglect the state to their detriment. First, the article shows that the state is not a monolith but, rather, a venue for contesting and debating different concerns, in which various interests collide and various actors seek to gain influence. Second, the article claims that, to a significant degree, the state can create and shape the landscape within which other actors conduct their affairs. It does not do so in a vacuum but often in response to particular mobilized social and economic concerns. This contribution mostly focuses on China, but its findings – as the concluding section discusses – also apply to other countries in Asia and worldwide.
Reality Decoupling: Rumours, Disinformation, and Studying the Politics of Truth in Digital Asia
Authors: Schneider Florian 
Published: June 2023

Abstract
This article explores what conflicts over information and meaning-making in digital Asia can tell us about politics in advanced networked societies, using examples from East Asia. It interprets the construction and spread of unverified information as part of near-ubiquitous political practices that threaten to lead to a decoupling of realities. The article makes the case that digital Asia is a crucial site for researching such practices: Asian societies are characterized by a long-standing engagement with rumours, and they also maintain highly developed digital infrastructures across diverse socio-political and economic environments. To explore the relevance of rumours and conspiracy theories in such contexts, the article suggests a three-step research agenda that analyzes the anatomy of rumours, traces their genealogy across complex socio-technical systems, and assesses their pathology – that is, the way in which they are products of, and in turn produce, power in translocal networks.
This Is Her Game: Indian Video Games and Gender
Authors: Zeiler Xenia 
Published: June 2023

Abstract
This article aims to contribute to academic discussions about mediatization and gender in general and video games and gender in particular. More specifically, it advances these themes in the regional context of India, which is understudied to date. The study of video games and gaming as related to India is still an emerging field, and research on games and gender in India is largely amiss to date. This article discusses portrayals of women and girls in two exemplary Indian video games, and it briefly touches on the public reactions to these games. The article briefly introduces Indian video games and their study and discusses the exemplary games Missing: A Game for a Cause (2016), developed to create awareness about the abduction and trafficking of girls, and Raji: An Ancient Epic (2020), which showcases a strong female main character and her journey.
The Geopolitical Shaping of Digital ID in Asia: Ten Years of Digital Asia
Authors: Hicks Jacqueline 
Published: June 2023

Abstract
This article draws attention to a missing dimension in the analysis of digital ID: its geopolitical shaping. After a brief reflection on theory in digital Asia, it presents the most common approach to digital ID as involving judgments about its positive and negative impacts and potential regulatory fixes. While recognizing the utility of this approach, the article presents a complementary framing of digital ID systems focused not on their effects, but on the influences that shape them. It argues that in many Asian countries in the global South, digital ID systems can be influenced by a combination of: technological struggle between the US and China; a desire to open new markets for digital service companies; and the development potential of economic and financial inclusion. After revealing the intellectual roots of the ‘geopolitical shaping’ frame in three adjacent literatures, it concludes by pointing the way to new avenues of empirical enquiry.
The Far Right and the Dissemination of COVID-19-Related Disinformation and Conspiracy Narratives in Japan: the Metapolitics of Kobayashi Yoshinori
Authors: Poppe Stevie , Havenstein Linda , Schäfer Fabian 
Published: June 2023

Abstract
The initial lack of scientific consensus regarding COVID-19 and public controversies concerning implemented countermeasures have created fertile soil for the circulation of disinformation and conspiracy narratives. Applying a mixed-methods discourse analysis, we examine the use of typical rhetorical strategies and metaphors of conspiracy narratives and disinformation, and we study overlaps with discursive strategies of the New Right in Japan. Our discourse analysis uses a qualitative and a quantitative approach. The former ranges from bestselling publications by the contribution of historical revisionist manga author Kobayashi Yoshinori to the propagation of COVID-19 – related conspiracy narratives and disinformation. The latter analyzes data collected from Amazon’s review section, through which we explore narrative reach and reader reception.
Decompression for lumbar spinal stenosis at the intrathecal catheter insertion site during intrathecal baclofen therapy: a case report
Authors: Takagi Yasutaka , Yamada Hiroshi , Ebara Hidehumi , Hayashi Hiroyuki , Inatani Hiroyuki , Toyooka Kazu , Mori Akari , Kitano Yoshiyuki , Nakanami Aki , Kagechika Kenji , Yahata Tetsutaro , Tsuchiya Hiroyuki 
Published: June 2023

Abstract
Background
Intrathecal baclofen therapy can substantially improve symptoms in most patients with severe spasticity due to traumatic spinal cord injury, multiple sclerosis, or cerebral paresis. To the best of our knowledge, decompression surgeries at the intrathecal catheter insertion site in patients with a preexisting intrathecal pump for drug delivery have not been reported.

Case presentation
We report the case of a 61-year-old Japanese man with lumbar spinal stenosis who underwent intrathecal baclofen therapy. We performed decompression for lumbar spinal stenosis at the intrathecal catheter insertion site during intrathecal baclofen therapy. The yellow ligament was removed by partial resection of the lamina under a microscope to avoid damage to the intrathecal catheter. The dura mater was distended. No obvious cerebrospinal fluid leakage was observed. Postoperatively, lumbar spinal stenosis symptoms improved, and spasticity remained well controlled with intrathecal baclofen therapy.

Conclusions
This is the first reported case of lumbar spinal stenosis decompression at an intrathecal catheter insertion site during intrathecal baclofen therapy. Preoperative preparation is necessary, as the intrathecal catheter may be replaced during surgery. We performed surgery without removing or replacing the intrathecal catheter, taking care not to damage the spinal cord by migrating the intrathecal catheter.
Associations of state or trait dissociation with severity of psychopathology in young people with borderline personality disorder
Authors: Salmon Ashleigh P. , Nicol Katie , Kaess Michael , Jovev Martina , Betts Jennifer K. , Chanen Andrew M. 
Published: June 2023

Abstract
Background
State and trait dissociation are associated with borderline personality disorder (BPD) severity and severity of commonly co-occurring mental health symptoms. Although these distinct constructs do not consistently co-occur in experimental settings, they are frequently reported as the same construct, namely dissociation. This study aimed to investigate the co-occurrence of state and trait dissociation among young people with BPD and to examine whether state or trait dissociation were associated with symptom severity in this population.

Methods
State dissociation was induced using a stressful behavioural task in a clinical sample of 51 young people (aged 15–25 years) with three or more BPD features. Diagnoses, state and trait dissociation, BPD severity and severity of posttraumatic stress disorder (PTSD), depressive, and stress symptoms were assessed by self-report or research interview.

Results
A chi-square test of independence showed a strong association between state and trait dissociation. Bonferroni corrected t-tests showed that state dissociation was significantly associated with PTSD symptom severity and likely associated with BPD severity and severity of depressive and stress symptoms. Trait dissociation was not associated with symptom severity or severity of BPD features.

Conclusions
These findings highlight the need to distinguish between state and trait dissociation in personality disorder research. They suggest that state dissociation might be an indicator of higher severity of psychopathology in young people with BPD.
Pain sensitivity after Roux-en-Y gastric bypass – associations with chronic abdominal pain and psychosocial aspects
Authors: Blom-Høgestøl Ingvild K. , Aasbrenn Martin , Kvalem Ingela L. , Eribe Inger , Kristinsson Jon A. , Mala Tom 
Published: June 2023

Abstract

Objectives
The aims of this study were to investigate modifications in pain sensitivity after RYGB and to explore associations between pain sensitivity and weight loss, chronic abdominal pain, total body pain, anxiety, depression, and pain catastrophizing.

Methods
In total, 163 patients with obesity were examined with a cold pressor test for pain sensitivity before and two years after RYGB. Two aspects of pain sensitivity were registered: Pain intensity (numeric rating scale, range 0–10) and pain tolerance (seconds). Associations between pain sensitivity and the explanatory variables were assessed with linear regression.

Results
Two years after RYGB the pain intensity increased (mean ± SD 0.64 ± 1.9 score units, p<0.001). Pain tolerance decreased (7.2 ± 32.4 s, p=0.005). A larger reduction in body mass index was associated with increased pain intensity, β=−0.090 (95 % CI −0.15 to −0.031, p=0.003), and decreased pain tolerance β=1.1 (95 % CI 0.95 to 2.2, p=0.03). Before surgery, participants with chronic abdominal pain reported 1.2 ± 0.5 higher pain intensity (p=0.02) and had 19.2 ± 9.3 s lower pain tolerance (p=0.04) than those without abdominal pain. No differences in pain sensitivity were observed between participants who did or did not develop chronic abdominal pain after RYGB. Pain sensitivity was associated with symptoms of anxiety but not with pain catastrophizing, depression or bodily pain.

Conclusions
The pain sensitivity increased after RYGB and was associated with larger weight loss and anxiety symptoms. Changes in pain sensitivity were not associated with development of chronic abdominal pain after RYGB in our study.
THE CURRENT SITUATION OF CROSS BORDER E-COMMERCEDE VELOPMENT IN CHINA
Authors: Solovieva Ju. V. , Mengxin Yu 
Published: June 2023

In the 21st century, there is a development of the Internet economy, created by combining the real economy with a virtual one that closely connects the global market. Cross-border e-commerce is showing significant activity. The authors note that China's cross-border e-commerce has evolved through government support policies and the rapid development of cross-border e-commerce platforms. The benefits of cross-border e-commerce are increasingly emerging and driving the transformation and modernization of China's national manufacturing industry. By continuously improving cross-border platforms, China's cross-border e-commerce industry is benefiting from a combination of a good vision for foreign trade platforms, a thriving variety of goods, and huge market demand, demonstrating a rapid development trend. The purpose of this article is to attempt to analyse China's specific import and export data in the field of cross-border e-commerce, share and growth rates of the top ten categories of exported goods, industry participation of users and obstacles, which they have to deal with, as well as to identify a way to get an idea of the current situation in the development of cross-border e-commerce in China and propose appropriate countermeasures to eliminate obstacles. The authors argue that the development of cross-border e-commerce can be understood from different perspectives to contribute to the development of China's economy.
Evaluating the Psychometric Properties and Clinical Utility of a Digital Psychosocial Self-Screening Tool (HEARTSMAP-U) for Postsecondary Students: Prospective Cohort Study
Authors: Virk Punit , Arora Ravia , Burt Heather , Finnamore Caitlin , Gadermann Anne , Barbic Skye , Doan Quynh 
Published: June 2023

Background
Existing screening tools for mental health issues among postsecondary students have several challenges, including a lack of standardization and codevelopment by students. HEARTSMAP-U was adapted to address these issues.

Objective
This study aimed to evaluate the suitability of HEARTSMAP-U as a self-screening tool for psychosocial issues among postsecondary students by evaluating its validity evidence and clinical utility.

Methods
A prospective cohort study was conducted with University of British Columbia Vancouver students to evaluate HEARTSMAP-U’s predictive validity and convergent validity. Participating students completed baseline and 3-month follow-up assessments via HEARTSMAP-U and a clinician-administered interview.

Results
In a diverse student sample (n=100), HEARTSMAP-U demonstrated high sensitivity (95%-100%) in identifying any psychiatric concerns that were flagged by a research clinician, with lower specificity (21%-25%). Strong convergent validity (r=0.54-0.68) was demonstrated when relevant domains and sections of HEARTSMAP-U were compared with those of other conceptually similar instruments.

Conclusions
This preliminary evaluation suggests that HEARTSMAP-U may be suitable for screening in the postsecondary educational setting. However, a larger-scale evaluation is necessary to confirm and expand on these findings.
Sistematización de teorías y tecnologías psicopedagógicas de metacognición en el proceso de enseñanza-aprendizaje: claves para la práctica
Authors: Senra Pérez Nielvis de la Caridad , López Rodríguez del Rey María Magdalena 
Published: June 2023

Con el propósito de valorar la relevancia de la metacognición como proceso psicológico que incide en el aprendizaje de los estudiantes a lo largo de, y para toda la vida, se realiza el presente estudio. Se asumió la metodología de sistematización de las teorías y las prácticas psicopedagógicas más influyentes en el contexto educacional cubano, lo cual permitió identificar las regularidades y tendencias que caracterizan la sinergia entre estas categorías. Se plantea de manera explícita la revisión de distintas posturas de la Psicología y Pedagogía, como son: el humanismo, el cognitivismo y la postura histórico cultural para llevar a cabo la sistematización en torno a la comprensión teórico-metodológica y la formulación de estrategias de formación de la metacognición. Se destacan el constructivismo y el enfoque histórico cultural, que son las concepciones que más recursos de estimulación aportan a las tecnologías de metacognición desde este contexto. Del análisis crítico se concluye la necesidad de proponer una concepción holística y desarrolladora del aprendizaje que retome los aspectos positivos del conocimiento psicológico universal, aunque el trabajo no represente la completa sistematización de supuestos y tecnologías de la metacognición; y, se integre a una concepción de educación y desarrollo.
Dampak Pariwisata dan Sikap Masyarakat Terhadap Kedatangan Wisatawan di Desa Wisata Pujon Kidul Kota Batu
Authors: Elhanisi Victoria , Wiyasha Ida Bagus Made , Semara I Made Trisna 
Published: June 2023

Sasaran utama dari studi yang dijalankan penulis ialah melihat apa dampak pariwisata bagi warga Desa Wisata Pujon Kidul. Melihat hal itu, peneliti berusaha untuk mengetahui pada tahap apa warga Desa Wisata Pujon Kidul berada. Pertumbuhan kegiatan pariwisata ini memiliki dampak yang luas terhadap kehidupan masyarakat. Studi ini mengadopsi metode penelitian campuran, yang didefinisikan sebagai suatu pendekatan penelitian yang mengintegrasikan metode kualitatif dan kuantitatif secara bersamaan untuk aktivitas penelitian. Hal baik dari pengembangan pariwisata di Desa Wisata Pujon Kidul di antaranya ialah memicu adanya pembangunan di desa, terakomodasinya sarana dan prasarana yang memadai, peningkatan pendapatan warga desa, penciptaan lowongan kerja baru, dan perubahan perilaku masyarakat pada generasi berikutnya. Sementara itu, dampak negatifnya antara lain degradasi jalan, peningkatan volume sampah, dan daya saing usaha yang lebih besar. Dari segi sikap, masyarakat sedang dalam euforia. Dimana masyarakat menyambut kedatangan pengunjung dan pariwisata memberikan manfaat bagi masyarakat. Masyarakat sangat mendukung pengembangan pariwisata di desanya untuk lebih menarik wisatawan agar mengunjungi ke Desa Wisata Pujon Kidul.

The main target of the study carried out by the author is to see what the impact of tourism on the residents of the Pujon Kidul Tourism Village is. Seeing this, the researchers tried to find out at what stage the residents of the Pujon Kidul Tourism Village were. The growth of tourism activities has a broad impact on people's lives. This study adopts mixed methods research, which is defined as a research approach that integrates qualitative and quantitative methods simultaneously for research activities. The good things about tourism development in Pujon Kidul Tourism Village include triggering development in the village, accommodating adequate facilities and infrastructure, increasing village residents' income, creating new job vacancies, and changing people's behavior in the next generation. Meanwhile, the negative impacts include road degradation, increased volume of waste, and greater business competitiveness. In terms of attitude, society is in a state of euphoria. Where the community welcomes visitors and tourism provides benefits for the community. The community strongly supports the development of tourism in their village to attract more tourists to visit the Pujon Kidul Tourism Village.