bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiological characteristics of live births with esophageal atresia in Sao Paulo State, Brazil, from 2005 to 2018
Authors: Silvestri Emilli Freitas , Oliveira Eduardo Jamil Farah , Chiedde Marcela , Santos Edige Felipe Sousa , Calderon Mauricio Giusti 
Published: December 2022

BackgroundThe estimated prevalence of esophageal atresia (EA) is 1 in 2500–4500 live births (LBs). Researchers have already identified risk factors, but the mechanisms are still unknown. The aim of this study is to identify EA prevalence trends and its risk factors in the São Paulo State (SPS) population database.MethodsWe conducted a population-based study using all EA cases identified by the Live Births Information System across 14 years (2005–2018) to estimate EA prevalence trends in recent years, stratified by maternal age and SPS geographical clusters. We calculated the prevalence trends, regression coefficient (β), annual percent change (APC), and 95% confidence interval (CI).ResultsWe found 820 EA cases among 8,536,101 LBs with a prevalence of 1.0/10,000 LBs in SPS, Brazil. There was no significant difference in distribution by sex. Among all the cases, the majority (65%) were Caucasian; 51.8% were born at term; 43% had weight of ≥2500 g; 95.4% were singleton; and 73.4% of births were by cesarean section. From 2005 to 2018, there was an increasing trend of EA prevalence (APC=6.5%) with the highest APC of 12.2%. The highest EA prevalence rate (1.7/10,000 LB) was found in the group with maternal age of ≥35 years. No significant seasonal variation was found based on the conception month (p=0.061).ConclusionsEA had an increasing prevalence trend in SPS, Brazil, in recent years, with the highest prevalence rate in the group with maternal age of ≥35 years. No seasonality was observed. This population-based study is the first to summarize the current epidemiology of EA in SPS LB.
On Composing Finite Forests with Modal Logics
Authors: Bednarczyk Bartosz , Demri Stéphane , Fervari Raul , Mansutti Alessio 
Published: December 2022

We study the expressivity and complexity of two modal logics interpreted on finite forests and equipped with standard modalities to reason on submodels. The logic

\(\mathsf {ML} ({\color{black}{{\vert\!\!\vert\!\vert}}})\)

extends the modal logic K with the composition operator

\({\color{black}{{\vert\!\!\vert\!\vert}}}\)

from ambient logic whereas

\(\mathsf {ML} (\mathbin {\ast })\)

features the separating conjunction

\(\mathbin {\ast }\)

from separation logic. Both operators are second-order in nature. We show that

\(\mathsf {ML} ({\color{black}{{\vert\!\!\vert\!\vert}}})\)

is as expressive as the graded modal logic

\(\mathsf {GML}\)

(on trees) whereas

\(\mathsf {ML} (\mathbin {\ast })\)

is strictly less expressive than

\(\mathsf {GML}\)

. Moreover, we establish that the satisfiability problem is
Tower
-complete for

\(\mathsf {ML} (\mathbin {\ast })\)

, whereas it is (only)
AExp

Pol

-complete for

\(\mathsf {ML} ({\color{black}{{\vert\!\!\vert\!\vert}}})\)

, a result that is surprising given their relative expressivity. As by-products, we solve open problems related to sister logics such as static ambient logic and modal separation logic.
A lógica de dupla estigmatização social de crianças e adolescentes em situação de rua em Capitães da Areia
Authors: Ribeiro Leandro Lima 
Published: December 2022

Este estudo analisa, no quadro teórico-metodológico da semiótica discursiva francesa, os contornos de uma retórica conservadora e intolerante que esconde, por trás de sua configuração, violação de Direitos Humanos de crianças e de adolescentes em situação de rua em Capitães da Areia (1937), livro de Jorge Amado. Nesse sentido, mostra-se que, do ponto de vista da organização narrativa, a exclusão como sanção pragmática está assentada na lógica de dupla estigmatização social dos sujeitos marginalizados: a invisibilidade e a (ultra)visibilidade. Para além disso, o romance esboça a atuação do Estado Penal e a sua metodologia de punição e exclusão dos mais pobres. Em síntese, evidencia-se uma descontinuidade com o projeto de identidade nacional fundamentado na eufórica celebração da mistura e na noção de democracia racial e cordial.
As culturas binárias e ternárias: da intolerância à tradução semiótica
Authors: Nakagawa Regiane Miranda de Oliveira , Nakagawa Fábio Sadao 
Published: December 2022

Com base na formulação proposta pelo semioticista da cultura Iuri Lotman, interessa-nos discutir de que maneira as estruturas binárias elucidam o funcionamento semiótico da intolerância, diferentemente do que ocorre com as estruturas ternárias, que se caracterizam pela ambivalência e pelo intercâmbio com diferentes esferas culturais. Ambas serão exploradas como tipologias que, segundo Lotman, prevê a apreensão das culturas como sistemas de linguagens que se organizam com base na presença de um dominante. Assim, no caso das estruturas binárias, isso ocorre por meio da dinâmica espacial estabelecida entre interior/ exterior ou dentro/ fora, da qual decorre a separação entre a “cultura própria” e o “alheio”, de modo que tudo o que não faz parte da primeira é visto como uma ameaça, gerando a intolerância. Por outro lado, nas estruturas ternárias, o “diferente” é considerado fonte de informação pela qual se constroem individualidades caracterizadas pela diversidade e pela heterogeneidade semiótica. Com essa discussão, objetivamos indicar de que maneira se dá a compreensão da intolerância como um fenômeno semiótico cultural e como ela é constantemente tensionada pelo movimento do espaço semiótico de relações.
Construção de um modelo teórico representativo da experiência: terapeutas ocupacionais significando o brincar nos Centros de Atenção Psicossocial Infantojuvenis
Authors: Rodrigues Natani Alves , Mieto Fernanda Stella Risseto 
Published: December 2022

A pesquisa teve como objetivo construir um modelo teórico representativo da experiência dos terapeutas ocupacionais trabalhadores dos Centros de Atenção Psicossocial Infantojuvenis (CAPSij) que identifique os significados dados ao brincar na sua prática profissional. O estudo de abordagem qualitativa utilizou como referencial metodológico a Teoria Fundamentada nos Dados. Participaram da pesquisa oito terapeutas ocupacionais de CAPSij do município de São Paulo. A análise comparativa dos dados possibilitou identificar dois fenômenos que compõem a experiência: “Tendo um saber da terapia ocupacional sobre o brincar” e “Identificando forças contrárias à sustentação do brincar”. A articulação desses fenômenos permitiu identificar a categoria central “O terapeuta ocupacional sustentando o lúdico na sua prática clínica no CAPSij”, a partir do qual se propõe um modelo teórico. Os resultados do estudo foram interpretados à luz da perspectiva winnicottiana na construção do cuidado em terapia ocupacional que concebe o brincar como elemento constitutivo da experiência de ser criança. O modelo teórico construído apresenta que o terapeuta ocupacional possui consistente conhecimento teórico e formação ético-política para produzir estratégias de sustentação do lúdico no CAPSij diante de forças hegemônicas contrárias.
In Pursuit of a Multimodal Ensemble in a Stop-motion Animation Movie Created by Six Young Children
Authors: Undheim Marianne , Hoel Trude 
Published: December 2022

Abstract
In this article, the authors explore the visual and auditive modes in a stop-motion animation movie created by six young children in collaboration with their teacher. Drawing on social semiotic multimodal perspectives as the theoretical framework, the authors apply the concepts of multimodal orchestration and multimodal ensemble to discuss the relationship between the modes. This study is a qualitative case study in which the movie and video recordings from the production are used as data. The findings indicate that the relationship between the modes is characterized by layers that partially interact; sometimes they do and sometimes they do not. The moving images form the basis, while the voiceovers and background music to a small extent deepen or nuance the visual mode. In the article the authors question whether the sequential design of the digital apps used in the production of the movie may have contributed to this partial interaction between the modes.
Qualitative Analysis of the Lived Experience of Tornado Survivors and Factors Affecting Community Resilience: A Case Study of an EF3 Tornado in Jacksonville, Alabama
Authors: Wang Chongming , Rider Erin , Manning Scott , Fast Jacob , Islam Tanveer 
Published: December 2022

Abstract
Residents in the Southeast region of the United States are frequently threatened by tornadoes. Previous research indicates that it is important to study the experience of tornado victims to better understand individual risk perception, preparedness, protective action, response, and recovery strategies that contribute to overall community resilience. In this study, we employ an oral-history approach and analyze the lived experience of survivors of an EF3 (on the enhanced Fujita scale) tornado in Jacksonville, Alabama. Using snowball sampling, we conducted in-depth interviews of 25 residents of Jacksonville, Alabama, who experienced the EF3 tornado on 19 March 2018. The recorded interviews were analyzed using qualitative software. Most of the participants described the support system and the range of resources accessible through the network of relations as the critical factors that facilitated recovery and contributed to resilience. The majority also emphasized the importance of being prepared and proactive when addressing future storms, but some of their actions revealed that they were also used to being reactive. The participants were either long-term residents (homeowners) or transient college students (renters), and the data gave insight into different recovery paths and challenges. Further, findings revealed ongoing trauma and recovery challenges due to the extensive, unexpected damage and the lack of temporary housing and contractor availability often associated with small, rural towns. This research aims to provide a scientific basis for improved efforts in preparedness and protective actions as well as in response and recovery strategies in tornado events and for identifying factors of community resilience in tornado-prone areas.

Significance Statement
Grounded in the narratives and reflections of the participants on their tornado experiences, the oral-history interviews generated important insights into psychological–behavioral responses to a disaster, as well as key building blocks of resilience, adding to the body of research surrounding disaster impact and vulnerability, especially for small, rural towns. The preserved voices, stories, and social memory are expected to benefit current and future generations of the community facing similar threats. The findings of this study will further help to inform better practice of local emergency managers and government officials for promoting public awareness of tornadoes and other weather-related risks so as to be more prepared for future extreme weather events.
Associations of suicide-related media reporting characteristics with help-seeking and suicide in Oregon and Washington
Authors: Niederkrotenthaler Thomas , Laido Zrinka , Gould Madelyn , Lake Alison M , Sinyor Mark , Kirchner Stefanie , Braun Marlies , Chowdhury Saba , Gonzalez Frances , Draper John , Murphy Sean , Till Benedikt 
Published: December 2022

Objective: Specific content characteristics of suicide media reporting might differentially impact suicides in the population, but studies have not considered the overarching theme of the respective media stories and other relevant outcomes besides suicide, such as help-seeking behaviours. Methods: We obtained 5652 media reports related to suicide from 6 print, 44 broadcast and 251 online sources in Oregon and Washington states, published between April 2019 and March 2020. We conducted a content analysis of stories regarding their overarching focus and specific content characteristics based on media recommendations for suicide reporting. We applied logistic regression analyses to assess how focus and content characteristics were associated with subsequent calls to the US National Suicide Prevention Lifeline (Lifeline) and suicides in these two states in the week after publication compared to a control time period. Results: Compared to a focus on suicide death, a focus on suicidal ideation, suicide prevention, healing stories, community suicide crises/suicide clusters and homicide suicide was associated with more calls. As compared to a focus on suicide death, stories on suicide prevention and stories on community suicide crises/suicide clusters were also associated with no increase in suicides. Regarding specific content characteristics, there were associations that were largely consistent with previous work in the area, for example, an association of celebrity suicide reporting with increases in suicide. Conclusion: The overall focus of a media story may influence help-seeking and suicides, and several story characteristics appear to be related to both outcomes. More research is needed to investigate possible causal effects and pathways.
Comparison of attitudes to media representation of mental illness between journalists and mental health professionals in Russia with German-speaking countries of Switzerland, Germany, and Austria
Authors: Eichenberg Christiane , Strobl Lilian , Jaeger Tina , Kirsha Alla , Laugharne Richard , Shankar Rohit 
Published: December 2022

Background: The media are an important source of information on mental health. They are often implicit in reinforcing negative stereotypes of people with mental health problems. There are no studies in German-speaking countries or Russia on media attitudes to mental health and mental health professionals’ (MHP) attitudes to the media. Aims: This study explored journalists and MHPs attitudes to mental health media reporting in the German speaking countries of Switzerland, Germany, and Austria and in Russia. Methods: A cross-sectional online internet survey, of ten Likert scale statements to ascertain perceptions of stigma, role, and training needs following the STROBE guidance was conducted among journalists and MHPs via their professional organizations. A non-discriminatory exponential snowballing technique leading to non-probability sampling was used. Descriptive statistics, Kruskal-Wallis, and a post hoc Dunn’s multiple comparisons test using Bonferroni adjustment were used to analyze data. Results: A total of 106 German-speaking and 78 Russian journalists, 109 German-speaking, and 82 Russian MHPs fully answered the survey. Journalists felt the media were more balanced about mental health than MHPs, and MHPs were wary of engagement with the media. Small minorities of journalists had engaged with mental health training, similarly few MHPs had engaged with media training, but both groups were interested in doing so in the future. Significant differences between German and Russian speaking respondents were found on a range of issues (e.g. stigmatization, image about psychotherapy, the media/MHPs, and their own role in engaging with the media/MHPs). Russians were more likely to know specialized (media/mental health awareness) training compared to German-speaking MHPs and journalists. Conclusion: There are potential opportunities to engage journalists and MHPs in training about each other’s worlds and reducing stigma toward mental illness through engaging MHPs with the media.
Cultural Expression of Anxiety Symptoms in Kannada Language: A Qualitative Study
Authors: Sowmya H R  , Ghani Sarah , Sreedaran Priya , Sahu Manoj K , Mysore Ashok , Sharan Pratap 
Published: December 2022

Background: In anxiety disorders, culture is important in symptom presentation and help-seeking. Most tools for anxiety disorders are not validated in India and thus might not capture culture-specific aspects of anxiety. This study aims to identify and generate culturally specific terms to describe symptoms of anxiety as part of the development of the Kannada version of the Panic and Anxiety National Indian Questionnaire (PANIQ). The PANIQ is a tool under development to identify anxiety and panic in Indian settings. Methods: This study used qualitative methods like focus group discussions (FGDs) and in-depth interviews (IDIs) to identify and generate items related to anxiety and panic in Kannada from stakeholders like individuals with anxiety disorders, their caregivers, healthcare workers, and mental health professionals who treat individuals with anxiety and panic disorders. Five FGDs ( n = 28), one triad ( n = 3), and 34 IDIs ( n = 34) were conducted. Results: The mean age of the participants was 38.9 (standard deviation: 12.28) years; 57.1% were from rural areas. We generated 615 Kannada items. These were classified into 21 domains and facets. Items in domains like Somatic symptoms, Fear, and Impairment in day-to-day life were higher than those noted in existing tools for anxiety that focus more on cognitive symptoms of anxiety. Conclusions: This study generated culturally specific items of anxiety through a qualitative process of tool development incorporating subjective experiences of persons with anxiety disorders and other stakeholders. This is among the first steps toward the development of PANIQ.
Applying the community readiness model to identify and address inequity in end-of-life care in South Asian communities
Authors: Moss Rachael H , Hussain Jamilla , Islam Shahid , Small Neil , Dickerson Josie 
Published: December 2022

Background: Individuals from minoritised ethnic backgrounds are less likely than individuals from the dominant ethnic group to access palliative care services and to have documented Advance Care Plans. They are more likely to be admitted to hospital in the last months of life. Aim: To use the Community Readiness Model to identify the barriers that influence how South Asian communities access and use two new palliative care services. Design: The Community Readiness Model is a validated tool that measures the readiness of a community. Key stakeholders were asked to: (i) complete a questionnaire to assess South Asian communities’ readiness to engage in advance care planning and, (ii) attend a focus group to explore their views on the communities’ understandings of palliative and end-of-life care. Setting/participants: Ten key stakeholders who held a variety of occupations within palliative and end-of-life care services were recruited from the community. Findings: The South Asian communities were found to be at the ‘pre-planning’ stage of readiness, despite initiatives to improve awareness. The readiness of the health system was found to be limited, with a narrow medical focus during advance care planning, poor integration of voluntary and community services and limited understanding of what people consider a ‘good’ death. Conclusions: The Community Readiness Model allowed insight into the South Asian communities’ awareness of and readiness (to use) palliative care services. Using the Community Readiness Model before service implementation allowed steps to be taken to avoid widening inequities in access and use of new services.
Safety and efficacy of tirofiban in acute ischemic stroke due to tandem lesions undergoing mechanical thrombectomy: A multicenter randomized clinical trial (ATILA) protocol
Authors: Medina-Rodríguez Manuel , Moniche Francisco , de Albóniga-Chindurza Asier , Ortega-Quintanilla Joaquin , Ainz-Gómez Leire , Pardo-Galiana Blanca , Cabezas-Rodríguez Juan Antonio , Aguilar-Pérez Marta , Zamora Aynara , Delgado-Acosta Fernando , Jiménez-Gómez Elvira , Bravo Rey Isabel , Oteros Fernández Rafael , Freijo Guerrero María del Mar , González Díaz Eva , Escudero-Martínez Irene , Morales Caba Lluis , Vielba-Gomez Isabel , Mosteiro Sonia , Castellanos Rodrigo María del Mar , Amaya Pascasio Laura , Hidalgo Carlos , Fernandez Prudencio Luis , Ramirez Moreno Jose María , Díaz Pérez Jose , Sanz-Fernandez Gema , Baena-Palomino Pablo , Gamero-García Miguel Ángel , Jiménez Jorge Silvia , Rosso Fernández Clara , Montaner Joan , González García Alejandro , Zapata-Arriaza Elena 
Published: December 2022

Background: In-stent thrombosis after mechanical thrombectomy (MT) worsen outcomes in acute ischemic stroke (AIS) due to tandem lesions (TL). Although an optimal antiplatelet therapy is needed, the best approach to avoid in-stent thrombosis is yet to be elucidated. Hypothesis: Low-dose intravenous tirofiban is superior to intravenous aspirin in avoiding in-stent thrombosis in patients undergoing MT plus carotid stenting in the setting of AIS due to TL. Methods: The ATILA-trial is a multicenter, prospective, phase IV, randomized, controlled (aspirin group as control), assessor-blinded clinical trial. Patients fulfilling inclusion criteria (AIS due to TL, ASPECTS ⩾ 6, pre-stroke modified Rankin Scale ⩽2 and onset <24 h) will be randomized (1:1) at MT onset to experimental (intravenous tirofiban) or control group (intravenous aspirin). Intravenous aspirin will be administered at a 500 mg single dose and tirofiban at a 500 µg bolus followed by a 200 µg/h infusion during first 22 h. All patients will be followed up to 3 months. Sample size estimated is 240 patients. Outcomes: The primary efficacy outcome is the proportion of patients with carotid in-stent thrombosis within the first 24 h after MT. The primary safety outcome is the rate of symptomatic intracranial hemorrhage. Secondary outcomes include functional independence defined as modified Rankin Scale 0–2, proportion of patients undergoing rescue therapy due to in-stent aggregation during MT and carotid reocclusion at 30 days. Discussion: ATILA-trial will be the first clinical trial regarding the best antiplatelet therapy to avoid in-stent thrombosis after MT in patients with TL. Trial registration: NCT0522596.
VPS dependency after aneurysmal subarachnoid haemorrhage and influence of admission hyperglycaemia
Authors: Hostettler Isabel Charlotte , Lange Nicole , Schwendinger Nina , Ambler Gareth , Hirle Theresa , Frangoulis Samira , Trost Dominik , Gempt Jens , Kreiser Kornelia , Meyer Bernhard , Winter Christof , Wostrack Maria 
Published: December 2022

Introduction: Hydrocephalus after aneurysmal subarachnoid haemorrhage (aSAH) is a common complication which may lead to insertion of a ventriculoperitoneal shunt (VPS). Our aim is to evaluate a possible influence of specific clinical and biochemical factors on VPS dependency with special emphasis on hyperglycaemia on admission. Patients and methods: Retrospective analysis of a monocentric database of aSAH patients. Using univariable and multivariable logistic regression analysis we evaluated factors influencing VPS dependency, with a special focus on hyperglycaemia on blood sample within 24 h of admission, dichotomised at 126 mg/dl. Factors evaluated in the univariable analysis were age, sex, known diabetes, Hunt and Hess grade, Barrow Neurological Institute scale, treatment modality, extra-ventricular drain (EVD) insertion, complications (rebleeding, vasospasm, infarction, decompressive craniectomy, ventriculitis), outcome variables and laboratory parameters (glucose, C-reactive protein, procalcitonin). Results: We included 510 consecutive patients treated with acute aSAH requiring a VPS (mean age 58.2 years, 66% were female). An EVD was inserted in 387 (75.9%) patients. In the univariable analysis, VPS dependency was associated with hyperglycaemia on admission (OR 2.56, 95%CI 1.58–4.14, p < 0.001). In the multivariable regression analysis after stepwise backward regression, factors associated with VPS dependency were hyperglycaemia >126 mg/dl on admission (OR 1.93, 95%CI 1.13–3.30, p = 0.02), ventriculitis (OR 2.33, 95%CI 1.33–4.04, p = 0.003), Hunt and Hess grade (overall p-value 0.02) and decompressive craniectomy (OR 2.68, 95%CI 1.55–4.64, p < 0.001). Conclusion: Hyperglycaemia on admission was associated with an increased probability of VPS placement. If confirmed, this finding might facilitate treatment of these patients by accelerating insertion of a permanent draining system.