bluuebunny/crossref_metadata_2025_split huggingface dataset:
Posttraumatic Growth as a Process Beginning Before Bereavement: New Perspectives on Theory Development
Authors: Kondo Megumi , Sakaguchi Yukihiro , Kihira Tomoki , Tamura Keiko 
Published: July 2023

Calhoun and Tedeschi’s growth model focuses on cognitive processing after bereavement but it does not show the change in life narrative from beforehand. Our qualitative study aimed to clarify bereaved family growth and revealed new perspectives on posttraumatic growth (PTG), including that the PTG process involves a pre-bereavement experience and is not limited to positive psychological changes. Based on the two new perspectives, a discussion of PTG theory reveals that bereaved families’ PTG can only be accurately captured if the pre-loss experience is included; thus, Calhoun and Tedeschi’s growth model, which only captures the post-loss process, is insufficient. Additionally, positive psychological changes are not the only type of growth. When considering growth, one must focus on the process, including the experience of the person realizing that it is “okay to be who they are.”
Aiming Movement After Stroke: Do Time-Since-Injury and Impairment Severity Influence Ipsilateral Performance?
Authors: de Andrade Flávia Priscila Paiva Vianna , de Freitas Sandra Maria Sbeghen Ferreira , Giangiardi Vivian Farahte , Banjai Renata Morales , Alouche Sandra Regina 
Published: July 2023

In this cross-sectional study, we evaluated post-stroke ipsilesional (less affected) upper limb aiming movement in individuals whose strokes were either 2–5 months ( n = 16) or >6 months ( n = 17) prior to our testing; we also compared both stroke groups to a control group of healthy individuals ( n = 14). We evaluated the participants’ level of movement impairment in the contralateral upper limb from the site of the cerebrovascular lesion as an indicator of the severity of the participants’ impairment. Participants were asked to move a stylus on a tablet with their ipsilesional upper limb according to a visual stimulus seen on a monitor. Those who had experienced more recent strokes showed poorer movement planning and execution, regardless of their impairment level. Since the stroke occurred, the amount of time was significantly associated with the ipsilesional aiming movement, and improvement over time brought performance levels closer to that of healthy controls.
Accuracy of nodal staging by 18F-FDG-PET/CT in limited disease small-cell lung cancer
Authors: Hockmann Jan , Hautzel Hubertus , Darwiche Kaid , Eberhard Wilfried , Stuschke Martin , Aigner Clemens , Herrmann Ken , Plönes Till 
Published: July 2023

Background Small-cell lung cancer (SCLC) is highly aggressive with a nearly incurable disease in most cases. The most important prognostic factor is the status of the mediastinal lymph nodes. Only a small proportion of patients can be diagnosed at early stages and directed to curative multimodal treatment. Therefore, accuracy of nodal staging by (18F)-Fluoro-2-deoxyglucose (FDG) positron emission tomography (PET) computed tomography (18F-FDG-PET/CT) in (very) limited disease SCLC, although not well investigated, is highly important. Methods Treatment naive, non-bulky patients treated or diagnosed with SCLC between June 2012 and April 2020 with complete data including FDG-PET/CT and invasive mediastinal staging were retrospectively analyzed ( n = 19). Sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV) and accuracy of mediastinal lymph node staging of 18F-FDG-PET/CT was calculated. Results The FDG-PET/CT showed a sensitivity of 91%, and the specificity was calculated as 87.5%. In this cohort, the disease prevalence in lymph nodes was 58% ( n = 11). Positive predictive value was 91%, NPV 88% and accuracy calculated at 89%. One patient was upstaged from single-level N2 to multilevel N2. In one patient, upstaging in invasive staging was performed from N2 to N3, and one patient was downstaged from N1 to N0. Conclusions FDG-PET/CT is a valuable tool for the detection of distant metastases, but in mediastinal staging of SCLC some limitations might remain. Invasive methods remain the gold standard. Therefore, the mediastinal lymph nodal status of patients with SCLC screened for multimodal treatment should be further evaluated by additional invasive techniques to verify the exact N-staging and to optimize treatment stratification.
Pectoralis muscle predicts distant metastases in breast cancer by deep learning radiomics
Authors: Miao Shidi , An Yunfei , Liu Pingping , Mu Shikai , Zhou Wenjin , Jia Haobo , Huang Wenjuan , Li Jing , Wang Ruitao 
Published: July 2023

Background Sarcopenia is associated with a poor prognosis in patients with breast cancer (BC). Currently, there are few quantitative assessments carried out between muscle biomarkers and distant metastasis using existing methods. Purpose To assess the predictive value of the pectoralis muscle for BC distant metastasis, we developed a deep learning radiomics nomogram model (DLR-N) in this study. Material and Methods A total of 493 patients with pathologically confirmed BC were registered. Image features were extracted from computed tomography (CT) images for each patient. Univariate and multivariate Cox regression analyses were performed to determine the independent prognostic factors for distant metastasis. The DLR-N was built based on independent prognostic factors and CT images to predict distant metastases. The model was assessed in terms of overall performance, discrimination, calibration, and clinical value. Finally, the predictive performance of the model was validated using the testing cohort. Results The developed DLR-N combined multiple radiomic features and clinicopathological factors and demonstrated excellent predictive performance. The C-index of the training cohort was 0.983 (95% confidence interval [CI] = 0.969–0.998) and the C-index of the testing cohort was 0.948 (95% CI = 0.917–0.979). Decision curve analysis (DCA) showed that patients could benefit more from incorporating multimodal radiomic features into clinicopathological models. Conclusions DLR-N verified that there were biomarkers at the level of the fourth thoracic vertebra (T4) that affected distant metastasis. Multimodal prediction models based on deep learning could be a potential method to aid in the prediction of distant metastases in patients with BC.
Home environment design theories and models related to the occupational performance, participation and well-being of people with intellectual disabilities: A scoping review
Authors: Yong Audrey Su Lin , Haines David , Henry Joseph Leonard 
Published: July 2023

Background:Access to housing for people with intellectual disabilities is often constrained by lack of choice, control and can often be inappropriate or unsafe. To enable people to remain at home and participate in their occupations, a collation and review of theories and models supporting good home environment design offers a view from which practice could be advanced.Method:A scoping review was used to map the literature on theories and models on home environmental designing, which can have influence on the occupational performance and participation of people with intellectual disabilities. The theories and models found were analysed using the lens of the Person-Environment-Occupation-Performance model.Results:Four themes supporting the understanding of environmental home design that can influence participation and well-being were found. These were offering safety and comfort; providing control and choice to manage stress; offering skill acquisition for continued learning and interest; and the person–environment interaction for function and participation. The themes are discussed in relation to participation in occupation and well-being for people with intellectual disabilities.Conclusion:The study contributes knowledge to practitioners and stakeholders on theories and models of home environment design which could support the occupational performance, participation and well-being of people with intellectual disabilities.
The evolution of open biomass burning during summer crop harvest in the North China Plain
Authors: Li Shiyu , Zhang Ming , Wang Lunche , Cao Qian , Qin Wenmin 
Published: July 2023

Open biomass burning (OBB) negatively impacts air quality by discharging abundant fine particulate matter (PM2.5, aerodynamic diameter ≤2.5 µm) and trace gases. The statistical methods and numerical simulations have been used to estimate emissions from OBB. The former is poor in producing reliable distributions and transport of emissions, while studies with the latter have focused on cases analysis over short periods. This study investigates the multi-year evaluation of OBB and its contribution to PM2.5 and black carbon (BC) based on satellite observations and numerical modeling over the North China Plain. The number of fires increased by 206% from 2008 to 2012, and decreased by 84% from 2012 to 2016, indicating that the implementation of straw burning ban policy had achieved significant positive effects. The simulation from Weather Research and Forecasting model coupled with chemistry showed that the surface concentrations of PM2.5 and BC emitted by OBB in the burning source area increased from 22 and 3.22 μg/m3, respectively, in 2008 to 45.77 and 6.47 μg/m3, respectively, in 2012, and then decreased to 1.41 and 0.22 μg/m3, respectively, in 2016. The differentiated impacts on air quality of policies across provinces are also investigated. Open crop straw burning was banned early in Shandong and Henan provinces, but they suffer from poor air quality due to open straw burning until the effective straw burning ban in Anhui and Jiangsu provinces, which suggests the need for interregional collaboration for pollution control.
The Gendered Effects of Urban Displacement: Insights from Delhi, India
Authors: Biswas Arpita 
Published: July 2023

In India, the politics of hope around slum relocation is created through claims that it would improve living standards of the poor and vulnerable families. Families, however, are not a unitary entity whose members are affected by relocation in the exact same ways. Motivated by the sets of feminist literature that problematize the family as a locus of both cooperation and conflict, and displacements as a gendered process, this article examines how forced relocation alters labor market engagements of (relocated) women, and why. Using an in-depth fieldwork-based case study of slums and a resettlement colony in Delhi, it elucidates if relocation-led sociospatial changes are reproducing gendered vulnerabilities in the city. Through that, my work underscores the need to transform the current policy into one that is gender sensitive and, hence, truly inclusive. JEL Classification: J46, R11, O20, P10
Harm reduction services for people engaging in chemsex in Brighton, UK: A pilot qualitative study
Authors: McGaughey Gigi , Richardson Daniel , Vera Jaime 
Published: July 2023

Objective A broad range of stakeholders commission and provide harm reduction support for people who engage in chemsex, including public health, sexual health, mental health, HIV services and substance misuse services. Understanding the experiences of stakeholders could provide important insights and suggest ways to improve outcomes. We aimed to explore the experiences of stakeholders providing harm reduction support to people who engage in chemsex in Brighton, UK. Methods We conducted semi structured interviews with chemsex harm reduction stakeholders who provide support for people in Brighton, UK. The semi-structured interviews were recorded, transcribed, and analysed thematically using NVivo 1.6.2: Braun & Clarke framework. Results We recruited ten stakeholders with at least 6 months of experience in providing commissioning, managing or providing harm reduction services to people who engage in chemsex. Five themes emerged from the stakeholders: stakeholder perception of client pathways (inefficiency in client pathways, inequitable access to services, unmet client mental health needs) and stakeholder experiences (having to use an ‘empathy’, ‘non judgement’ and ‘guiding hand’ approach), and experiencing emotional burnout as a result of the chemsex harm reduction work. Conclusions This pilot study of stakeholders suggests that to improve chemsex harm reduction outcomes, a more integrated approach between providers with clear client pathways and a broader reach including services tailored towards non-MSM, and offering services outside of typical business hours is needed. Furthermore, the sustainability of services requires increased workplace support for chemsex service providers to prevent burnout and maintain service quality.
Carrier rate of thalassemia among 25,910 high school students in Shaoguan area, China
Authors: Chen Yajun , Zhong Rui , Guo Xueqin , Chen Shiping , Wang Yan , Li Jiufeng , Huang Lichan , Li Yi , Wang Xiaoling , Wu Liting , Huang Mubao , Huang Xiaoyan , Fang Junbin , Chu Zhongjie , Sun Jun , Peng Zhiyu , Sun Yan 
Published: July 2023

Objectives As one of the most common hereditary diseases, thalassemia affects a large number of people in China. The aim of this study was to investigate the feasibility of a method based on next-generation sequencing (NGS) for screening of thalassemia carriers among high school students in the Shaoguan area. Materials and Methods The NGS-based method was performed using 25,910 high school students recruited from 38 schools. The screening yield was systematically analyzed. Before screening, a lecture on how the disease is inherited, the symptoms of thalassemia, and how to prevent it was given to 28,780 students. Results Implying successful delivery of information on the disease, 90.03% (25,910 of 28,780) of the students agreed to join this program for thalassemia screening. A thalassemia carrier rate of 15.99% (4144 of 25,910) was found. Also, 69 rare genotypes (28 of α-thalassemia and 41 of β-thalassemia) and 9 novel variants were identified. Conclusions This NGS-based method provided a feasible platform for high school population thalassemia screening. Combined with a clinical follow-up strategy, it could help eventually to prevent the births of affected children.
Effects of Secondary Alveolar Bone Grafting on Maxillary Growth in Cleft Lip or Palate Patients: A Systematic Review and Meta-Analysis
Authors: Kannan Phavithrasri , Verma Sanjeev , Kumar Vinay , Kumar Verma Raj , Pal Singh Satinder 
Published: July 2023

To assess the effect of secondary alveolar bone grafting (SABG) on maxillary growth in patients with unilateral cleft lip or palate (UCL/P) Systematic review and Meta-analysis Pubmed, Cochrane Library, Embase, Scopus, Web of Science and manual search was performed to assess the maxillary growth following SABG in UCL/P patients Non-syndromic patients with UCL/P Comparison of maxillary growth between patients with UCL/P who underwent SABG and UCL/P patients who had not undergone SABG or non-cleft control 39 of the identified 233 articles were assessed for inclusion and exclusion criteria after duplicate removal and title and abstract reading. 7 articles (1 prospective, and 6 retrospective studies) were included in the qualitative analysis and 2 articles were subjected to quantitative analysis. Four studies had a low risk of bias and three studies had a moderate risk of bias. Meta-analysis revealed a significant reduction of SNA and no significant difference in ANB in the SABG group compared to the non-cleft control group(I2 = 0%). There was no significant difference in ANB between SABG and non-cleft control; however, results showed high heterogeneity(I2 = 83%). Meta-analysis of SNA and ANB showed no significant difference between SABG and the cleft control group; however, there was high heterogeneity. The studies showed a low to moderate risk of bias. SABG causes inhibition of maxillary growth in patients with cleft lip or palate when compared to patients with non-cleft control. Due to high heterogeneity, comparison to cleft control showed insufficient evidence.
Discordant FeLV p27 immunoassay and PCR test results in 21 cats with hematologic disorders
Authors: Kornya Matthew , Bienzle Dorothee , Beeler-Marfisi Janet 
Published: July 2023

Case series summary A total of 1692 medical records from a primary care feline practice and a veterinary referral hospital were evaluated retrospectively to assess discordant feline leukemia virus (FeLV) test results. In total, 73 cats were positive for FeLV using serum in a lateral flow immunoassay (LFI) or laboratory-based ELISA. Of these cats, 21 subsequently tested negative for FeLV proviral DNA by non-quantitative PCR on EDTA whole blood (16/21, 76.2%), bone marrow (4/21, 19%) or both (1/21, 4.7%). The proportional morbidity (an estimate of prevalence in a sample of the total population) for FeLV by LFI/ELISA and PCR assays was 3.1%, consistent with that reported in previous studies for cats in North America. Cats with discordant LFI/ELISA and PCR results had either primary bone marrow disease (18 autoimmune, one neoplastic), a bone marrow insult (hemotrophic mycoplasmosis) or systemic inflammation (pyothorax with a marked neutrophilic leukocytosis). The percentage of cats with a positive LFA/ELISA result and negative PCR assay surviving to discharge was 85.7% (18/21). Of these, 88.9% (16/18) survived 4 months to 6 years. Seven cats (33.3%) were re-tested with LFI or ELISA once primary disease was controlled, and all tested negative. Relevance and novel information These findings indicate that in cats with bone marrow disease that shares features of progressive FeLV infection, positive LFI and ELISA FeLV test results should be followed up with FeLV proviral DNA PCR testing, particularly in populations where disease prevalence is low.
Comparison of different corneal residual bed thickness after small incision lenticule extraction (SMILE)
Authors: Ouyang Bo-wen , Ding Hui , Fan Hongming , Wang Han , Yang Zhenduo , Zhong Tan , Zhong Xingwu 
Published: July 2023

Purpose To evaluate the corneal biological parameters stability between the different corneal residual bed thickness (RBT) after Small Incision Lenticule Extraction (SMILE). Methods In this prospective clinical trial, 127 eyes of 64 patients underwent SMILE. According to the corneal RBT, the patients were divided into the 250–270 µm, 270–290 µm and 290–310 µm groups. Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany) and Scheimpflug camera (Pentacam; Oculus Optikgeräte GmbH, Wetzlar, Germany) measurements were performed preoperatively, 1 day, 1week, 1month and 3 months after surgery. Results The keratometer values among the three groups were no significant differences in postoperative periods (each P > 0.05), except the corneal thickness values (each P < 0.05). In the 250–270 µm and 270–290 µm groups, the keratometer and corneal thickness values were decreased at postoperative 1 week and increased at 1 and 3 months. The 290–310 µm group significantly higher posterior maximum elevation (PME) than the 250–270 µm group at 1 and 3 months (P = 0.022, 0.022, respectively), and higher preoperative thinnest point (PTE) at 1 week and 1 month (P = 0.013, 0.035, respectively). The PME of the 290–310 µm group was higher than the 270–290 µm group at 3 months (P = 0.045), and higher PTE at 1 week and 3 months (P = 0.022, 0.02, respectively). In all three groups, the maximal deformation amplitude (DA) was significantly higher at 1 and 3 months compared to postoperative 1 day and 1 week, and the IOP was decreased at 1 month then recovered at 3 months (each P < 0.05).The DA of the 250–270 µm group was significantly higher than the 290–310 µm group at postoperative 1 week, 1 and 3 months (P = 0.001, 0.01, 0.02, respectively). The change of the posterior corneal elevation and biomechanical parameters values were no significant differences among the three groups in postoperative periods (each P > 0.05). Conclusions The range of 250–310 µm RBT was safe and stable at the early postoperative of SMILE. The RBT may be positively correlated with the posterior corneal elevation.
Unusual anterior and posterior segment features of coats disease
Authors: Girolamo Matteo Maria , Hadjistilianou Theodora , Lembo Andrea , Salvoldi Federica , Serafino Massimiliano , Barchitta Matteo , Menicacci Cristina , De Francesco Sonia , Nucci Paolo 
Published: July 2023

Purpose To report the clinical course and management of unusual anterior and posterior segment features of Coats disease and their relation to the age of the patients to increase the awareness towards these rare clinical features rarely described in the current literature. Methods A retrospective descriptive review of 45 eyes of 45 patients affected by Coats disease was conducted at the Retinoblastoma Referral Center and Ophthalmology Unit of the University of Siena in Italy analyzing data from 2000 to 2022. Medical records and images were revised to find some cases presenting unusual anterior and posterior segment features in patients affected by Coats disease. We identified therefore 4 unusual clinical conditions: retinal macrocysts, anterior chamber cholesterolosis, fovea-sparing Coats disease and secondary vasoproliferative tumor. Results Two patients presented with retinal macrocyst (2/45  =  4.4%), one with anterior chamber cholesterolosis (1/45  =  2.2%), two with fovea sparing Coats disease (2/45  =  4.4%) and one with vasoproliferative tumor associated (1/45  =  2.2%) for a total of six (6/45  =  13.3%) patients manifesting unusual anterior or posterior segment features in Coats disease. Conclusion Unusual anterior and posterior segment features of Coats disease such as retinal macrocyst and anterior chamber cholesterolosis have been more frequently reported in younger children while fovea-sparing and vasoproliferative tumors have been more commonly described in older patients. Age is then a strong prognostic marker which allows to distinguish two different phenotypes of Coats disease: patients younger and older than 3 years old with more aggressive and milder phenotype respectively.
Sonographic diagnosis and evaluation in patients with superficial radial arteries
Authors: Uchino Tetsuya , Miura Masahiro , Matsumoto Shigekiyo , Shingu Chihiro , Kitano Takaaki 
Published: July 2023

Background: The superficial radial artery (SRA) is a rare congenital anomaly in the forearm. However, it can be detected incidentally via trauma, intraoperative findings, angiography, or ultrasonography. In addition, intra-arterial infusion of intravenous medications and difficulties in radial artery catheterization may occur in cases of the SRA. Methods: Between December 2016 and July 2020, anomalous branches of radial arteries were found incidentally in nine patients at the preoperative visit and identified during ultrasound-guided radial artery puncture in 21 patients when radial artery catheterization using the palpation method proved difficult. Ultrasound examinations were performed for diagnosis and evaluation of these 30 patients. Results: All anomalous branches of the radial artery were SRAs; 11 (37%), 13 (43%), 6 (20%) were present on the right side, on the left side, and bilaterally, respectively. All SRAs ran close to the cephalic vein. The vascular diameters of the radial arteries were the smallest in the radial artery distal to the SRA bifurcation (followed by in the SRA) and the largest in the radial artery proximal to the bifurcation ( p < .001). In two cases, color Doppler study revealed that both the blood flow and color Doppler signal of the SRA disappeared with compression of the radial artery proximal to the SRA bifurcation. Conclusions: Because the SRA runs very close to the cephalic vein, a tourniquet applied to the arm may easily lead to intravenous catheter misplacement into the SRA. In addition, the small radial artery distal to the SRA bifurcation causes difficulty in radial artery catheterization. Furthermore, SRA cases may have falsely normal Allen’s test results. Therefore, the authors recommend that the SRA must be identified before vascular puncture for safe vascular catheterization in the forearm.