bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unipolare Depression – psychodynamische Vielfalt
Authors: Maier Lena , Blanck Julian , Singer Susanne 
Published: February 2023

ZusammenfassungVersorgungsengpässe in der ambulanten Psychotherapie haben in den letzten Jahren zu diversen Gesetzesinitiativen geführt. Eine davon war die Einführung von diagnosespezifischen Behandlungskontingenten. Ausgehend von diesem gesundheitspolitischen Vorhaben fragten wir uns, inwiefern empirische Daten für oder gegen eine solche Praxis sprechen, das heißt, wie „homogen“ Patient:innen mit derselben ICD-10-Diagnose aus psychodynamischer Sicht sind. Mithilfe der qualitativen Inhaltsanalyse wurden 13 Berichte von Patient:innen mit der Erstdiagnose F33.1 (Rezidivierende depressive Störung, gegenwärtig mittelgradige Episode) ausgewertet, die im Rahmen des Gutachtenverfahrens geprüft wurden. Zusätzlich schätzten wir das generelle Funktionsniveau ein und verglichen die Reife der Abwehr mit dem Vorliegen komorbider psychischer Diagnosen. Es wurden 56 Seiten Textmaterial analysiert. Wir identifizierten 4 Konflikttypen (Selbstwert, Nähe-Distanz, Unterwerfung, Schuld) sowie strukturelle Beeinträchtigungen in 4 Bereichen (Selbst- und Objektwahrnehmung, Selbstregulierung, Bindung und Identität), bei Vorliegen verschiedener Therapieziele und Interaktionsformen. Die Abwehr bewegte sich auf unreifem bis neurotischen Niveau, was nicht im Zusammenhang mit dem Vorliegen komorbider Diagnosen stand. Das Funktionsniveau ließ auf ein breites Spektrum genereller Beeinträchtigung schließen. Unsere Ergebnisse legen nahe, dass Depressionen vielfältige psychodynamische Hintergründe haben. Dies steht im Widerspruch zu der Idee einer Zuordnung von ICD-10-Diagnose und Behandlungskontingent.
Improved area regularization technique for penalty-method-based node-to-segment contact analysis
Authors: Kang Seung-Hoon , Lee Seok-Min , Shin SangJoon 
Published: February 2023

AbstractAmong numerous approaches that have been presented for computational contact analysis, the node-to-segment (NTS) approach is widely adopted in industrial applications, particularly with the penalty method. However, the pure penalty-method-based NTS approach fails the patch test even with the area regularization (AR) technique. There have been relatively few solutions for this problem compared to those for Lagrange-multiplier-method-based NTS approaches. This paper presents an improved AR technique and attempts to make the penalty-method-based NTS approach pass the patch test. The proposed approach improves the accuracy without the need to introduce additional geometry to the conventional penalty-method-based NTS approach. The entire competence area of a slave node is not directly utilized as a penalty weighting factor. Instead, a part of the competence area is extracted in accordance with the projection from a master node to a slave segment. In a complementary manner, a two-pass algorithm is used for the selected master nodes to achieve segment-wise force/moment equivalence. The results obtained using the proposed approach are introduced in a two-dimensional frictionless context. It is observed that the proposed approach passes the patch test. Furthermore, a significant improvement in accuracy compared to the conventional NTS and NTS-AR approaches is observed. We aim to extend the approach to three-dimensional applications in the future work.
Heatwaves and mortality in Queensland 2010–2019: implications for a homogenous state-wide approach
Authors: Franklin Richard C. , Mason Hannah M. , King Jemma C. , Peden Amy E. , Nairn John , Miller Lauren , Watt Kerrianne , FitzGerald Gerard 
Published: February 2023

AbstractHeatwaves are a significant cause of adverse health outcomes and mortality in Australia, worsening with climate change. In Queensland, the northeastern-most state, little is known about the impact of heatwaves outside of the capital city of Brisbane. This study aims to explore the impact of heatwaves on mortality across various demographic and environmental conditions within Queensland from 2010 to 2019. The Excess Heat Factor was used to indicate heatwave periods at the Statistical Area 2 (SA2) level. Registered deaths data from the Australian Bureau of Statistics and heatwave data from the Bureau of Meteorology were matched using a case-crossover approach. Relative risk and 95% confidence intervals were calculated across years, regions, age, sex, rurality, socioeconomic status, and cause of death. Heatwaves were associated with a 5% increase in all-cause mortality compared to deaths on non-heatwave days, with variability across the state. The risk of death on a heatwave day versus a non-heatwave day varied by heatwave severity. Individuals living in urban centers, the elderly, and those living in regions of lower socioeconomic status were most impacted by heatwave mortality. The relative risk of dying from neoplasms, nervous system conditions, respiratory conditions, and mental and behavioral conditions increased during heatwaves. As heatwaves increase in Queensland due to climate change, understanding the impact of heatwaves on mortality across Queensland is important to tailor public health messages. There is considerable variability across communities, demographic groups, and medical conditions, and as such messages need to be tailored to risk.
Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre
Authors: Aamir Junaid , Alade Bolutife , Caldwell Robyn , Chapman James , Shah Sohan , Karthikappallil Dileep , Williams Luke , Mason Lyndon 
Published: February 2023

Abstract
Introduction
Sternal fractures (SF) are uncommon injuries usually associated with a significant mechanism of injury. Concomitant injury is likely, and a risk of mortality is substantial.

Aim
Our aim in this study was to identify the risk factors for mortality in patients who had sustained sternal fractures.

Methods
We conducted a single centre retrospective review of the trust’s Trauma Audit and Research Network Database, from May 2014 to July 2021. Our inclusion criteria were any patients who had sustained a sternal fracture. The regions of injury were defined using the Abbreviated Injury Score. Pearson Chi-Squared, Fisher Exact tests and multivariate regression analyses were performed using IBM SPSS.

Results
A total of 249 patients were identified to have sustained a SF. There were 19 patients (7.63%) who had died. The most common concomitant injuries with SF were Rib fractures (56%), Lung Contusions (31.15%) and Haemothorax (21.88%). There was a significant increase in age (59.93 vs 70.06, p = .037) and admission troponin (36.34 vs. 100.50, p = .003) in those who died. There was a significantly lower GCS in those who died (10.05 vs. 14.01, p < .001). On multi regression analysis, bilateral rib injury (p = 0.037, OR 1.104) was the only nominal variable which showed significance in mortality.

Conclusion
Sternal Fractures are uncommon but serious injuries. Our review has identified that bilateral rib injuries, increase in age, low GCS, and high admission troponin in the context of SF, were associated with mortality.
The Drivers of Hydraulic Conductivity in Green Liquor Dregs Amended Till: Application to Reclamation of Acid Generating Mine Sites
Authors: Nigéus Susanne , Maurice Christian , Lindblom Jenny 
Published: February 2023

AbstractThe mining industry produces massive amounts of waste that in contact with oxygen can result in leaching of metals. Access to a suitable cover-material for the mine waste is sometimes limited, creating a driving force for recycling industrial residues for these purposes. Green liquor dregs (GLD), an industrial residue from paper and pulp production, has the potential to be used in a sealing layer as an amendment to till. Though hydraulic conductivity is commonly used to evaluate the quality of the sealing layer, field application from laboratory investigations is challenging as many factors, apart from vast variations in the physical properties of both the till and the GLD, control hydraulic conductivity. In this study, 5–20 wt.% of GLD from two different paper mills, with different total solid contents and particle size distributions, were mixed with a silty till with varying total solid contents to investigate how the materials’ dry density, initial water content, and compaction affects the hydraulic conductivity. We found that the initial water content of the materials was the most important factor. With a drier till and GLD, more GLD should be added to attain the lowest hydraulic conductivity possible. The compaction was not found to notably affect the mixtures’ hydraulic conductivity.
Applications of non-intrusive methods to study the sand cat: a field study in the Sahara Desert
Authors: Gil-Sánchez Jose María , Herrera-Sánchez F. Javier , Rodríguez-Siles Javier , Díaz-Portero Miguel Ángel , Arredondo Ángel , Sáez Juan Manuel , Álvarez Begoña , Cancio Inmaculada , de Lucas Jesús , McCain Emil , Pérez Joaquín , Valenzuela Gerardo , Valderrama Jaime Martínez , Sánchez-Cerdá Mariola , Lahlafi Thomas , Martín Jose Manuel , Burgos Tamara , Jiménez José , Qninba Abdeljebbar , Virgós Emilio 
Published: February 2023

AbstractSurveys based on indirect signs and camera trapping are two non-invasive methods extensively used for monitoring elusive mammals. Both approaches can be useful to obtain key information on wildlife in remote areas, since they may allow for the logistically viable design of optimal field frameworks. The sand cat (Felis margarita) is a feline that inhabits the Sahara Desert, the Arabian Peninsula, and western Asian deserts. Its basic ecology is poorly known and the status and impacts of threats are difficult to assess. Some local population declines have been detected, and more research is needed. Based on field surveys carried out in the Atlantic Sahara, we have evaluated the applications of both methods to study this species. Our results show that (a) camera trapping provided reliable data on several key aspects of its ecology, (b) walking surveys to collect feces for molecular data failed completely, and (c) for footprints, identification problems and the marked effects of the absence of optimal substrates and the prevalence of wind are relevant handicaps. Beyond this evaluation, we provide for the first time some key aspects of the ecology of sand cats in the Sahara Desert, including habitat selection, density, diel activity, and predator–prey relationships.
Particle finder: a simple particle detection tool for continuous-flow systems
Authors: Fernández-Mateo Raúl , Calero Víctor , García-Sánchez Pablo , Ramos Antonio , Morgan Hywel 
Published: February 2023

AbstractWe describe a user-friendly, open source software for single-particle detection/counting in a continuous-flow. The tool automatically processes video images of particles, including pre-conditioning, followed by size-based discrimination for independent detection of fluorescent and non-fluorescent particles of different sizes. This is done by interactive tuning of a reduced set of parameters that can be checked with a robust, real-time quality control of the original video files. The software provides a concentration distribution of the particles in the transverse direction of the fluid flow. The software is a versatile tool for many microfluidic applications and does not require expertise in image analysis.
Measuring and managing service productivity: a meta-analysis
Authors: Hofmeister Johannes , Kanbach Dominik K. , Hogreve Jens 
Published: February 2023

AbstractDespite service productivity’s scholarly prominence and practical relevance, past research in marketing has primarily adopted isolated perspectives from which disjointed empirical findings reign supreme. As the acquisition of knowledge about service productivity accelerates, the collective evidence becomes more interdisciplinary but also more fragmented. This study uses a meta-analysis to integrate the substantial empirical record on service productivity. We formulate hypotheses on the moderators of service productivity-determinant relationships and meta-analyze 77 articles, relying on 81 independent samples with a cumulative sample size of 30,238 participants to test our predictions. Our meta-analysis provides empirical evidence that service quality and internal efficiency must be considered jointly, not in isolation, to maximize profitability. Thus, relying on one aspect in isolation is less appropriate for measurement purposes and might not lead to positive outcomes. This important finding should concern service scholars and managers because falling profit margins require service firms to move beyond the traditional manufacturing productivity that separates service quality from internal efficiency and consider service productivity as a profitability concept. In sum, our findings provide a viable model to explain the main service productivity determinants and moderating variables, offering valuable insights for practitioners that aim to deliver cost-efficient service quality and promising future research directions.
“Scalping” in the context of criminal dismemberment and mutilation—a case report and review of the literature
Authors: Potente Stefan , Heinbuch Sara , Ramsthaler Frank , Schäfer Nadine , Walle Nadja , Schmidt Peter 
Published: February 2023

Abstract
We report on a case of criminal dismemberment and attempted scalping of a homicide victim with a “Mohawk” haircut. Case findings are presented. A review of the literature was performed for scalping in its historical and cultural context and particularly in criminal dismemberment and mutilation: Historically, scalping was prevalent in many ancient cultures around the world, where scalps were taken as trophies or “proof of kill”, much like shrunken heads, trophy skulls, and other artefacts. Scalping was particularly widespread in Northern America in the context of tribal warfare, both before and after colonization. The iconic “Mohawk” haircut is closely linked with scalping, as it was meant to taunt the enemy. In the modern forensic context, scalping constitutes a form of criminal mutilation. However, cases of criminal dismemberment and mutilation are rare in forensic casework. Our literature review revealed a low number of scalping in criminal dismemberment and mutilation cases. The documentation was overall poor. Positioning scalping within the classification of criminal mutilation and dismemberment was difficult. In literature, even though case numbers were small, the majority of “textbook scalping” cases were German. The presented case, to our best knowledge, is the first modern-day photo-documented case of (attempted) scalping, even more so of a person wearing a “Mohawk”.
The Classical ‘Traception’: Reconceptualizing Classics in Africa (With an Analysis of Fugard, Kani and Ntshona’s The Island)
Authors: Dominik William J. 
Published: February 2023

AbstractClassics has been used for various social, cultural and political purposes on the African sub-continent. Part I highlights some theoretical considerations regarding the traditional models of the classical tradition and the classical reception in Africa. The idea of the classical ‘traception’ embraces the classical tradition through its suggestion of linear descendent and the classical reception through its ‘receptive’ and reconfigurative associations. Part II discusses how and when classical ideas and texts reached and extended into Africa from the time of the sixteenth century and the main areas that constitute the classical ‘traception’ on the subcontinent. Part III presents a case study in the area of drama to illustrate some of the interpretive consequences of using the model of the classical tradition as opposed to that of the classical reception. My proposed model of the ‘classical traception’ seems preferable to either of these models when describing the dynamics of Fugard, Kani, and Ntshona’s The Island (1974) since it spans both the European conception of the original Antigone and its linear descent as well as its reconfiguration by its split collective (hybrid) multi-racial ‘author’ in The Island. Considering the elements of the classical tradition along with those of the classical reception—what I jointly term classical ‘traception’—helps to provide a broader view of the ways in which Classics has helped to shape and been received by different African societies and their cultures from the perspectives of both the European colonizers and indigenous peoples.
The tubarium construction in Holoretiolites, Neogothograptus and related taxa (Graptolithina, Retiolitinae): clues to their astogeny and species identification
Authors: Maletz Jörg 
Published: February 2023

AbstractThe Homerian (Wenlock) to Ludfordian (Ludlow), late Silurian, retiolitine genera Neogothograptus and Holoretiolites and their relatives are revised. These are often considered as the youngest and smallest retiolitine taxa, characterised by a finite growth indicated by the appendix, leading to the extinction of the clade. The tubarium construction of the genera is analysed and compared, showing the loss of the pleural and parietal lists in Holoretiolites and the development of a central zigzag construction on the obverse and reverse sides of the tubarium. This construction is not homologous to similar constructions in earlier retiolitines, as it is based on the modification of the lateral apertural lists. It is also found in the closely related Semiplectograptus and Plectodinemagraptus. Useful details to understand the astogeny of these taxa include the development of the reticulum, the genicular processes and the outer ancora. These features are described for the first time for most species. Details of the outer ancora and its construction in the genus Neogothograptus are still poorly understood. Holoretiolites helenaewitoldi is synonymised with Holoretiolites atrabecularis. Holoretiolites manckoides is transferred to Semiplectograptus.
Explaining autonomous driving with visual attention and end-to-end trainable region proposals
Authors: Cultrera Luca , Becattini Federico , Seidenari Lorenzo , Pala Pietro , Del Bimbo Alberto 
Published: February 2023

AbstractAutonomous driving is advancing at a fast pace, with driving algorithms becoming more and more accurate and reliable. Despite this, it is of utter importance to develop models that can offer a certain degree of explainability in order to be trusted, understood and accepted by researchers and, especially, society. In this work we present a conditional imitation learning agent based on a visual attention mechanism in order to provide visually explainable decisions by design. We propose different variations of the method, relying on end-to-end trainable regions proposal functions, generating regions of interest to be weighed by an attention module. We show that visual attention can improve driving capabilities and provide at the same time explainable decisions.
Planning for groundwater management using visual MODFLOW model and multi-criteria decision analysis, West–West Minya, Egypt
Authors: Morsy Samah Mahmoud 
Published: February 2023

AbstractThis study presents a planning model to assist decision-makers in implementing proposed sustainable development policies based on the government's development schemes. It focuses on the exploitation of groundwater from the Eocene aquifer in the West–West Minya region in the Western Desert of Egypt as one of the new development areas. The visual MODFLOW model is applied to serve as a base model for the study area's local modeling and assess the impact of operating scenarios on the groundwater aquifer. An optimal scenario for groundwater sustainability is achieved by considering the water meter consumption in the newly reclaimed area with a value of 6 m3/d for each acre to irrigate 3953.68 acres; the maximum drawdown of about 60 m is formed after 9700 days of simulation. The GIS multi-criteria analysis model is used to assess the impact of groundwater deficiency as a result of reclamation. Results of the groundwater model are merged as input layers in multi-criteria decision analysis, which include groundwater salinity, groundwater levels, aquifer transmissivity, and aquifer storativity. The prospective groundwater zones are categorized into most suitable (1584 km2, 9.9%), suitable (4592 km2, 28.7%), good (4784 km2, 29.9%), moderate (1488 km2, 9.3%), and unsuitable (3552 km2, 22.2%). It is recommended to optimize levels of groundwater withdrawal from the current or future drilling wells to achieve a balance between the use and the protection of water potential.
Real-time artificial intelligence assisted insulin dosage titration system for glucose control in type 2 diabetic patients: a proof of concept study
Authors: Chen Ying , Chen Zhiwei , Zhao Lin , Li Simin , Ying Zhen , Yu Peng , Yan Hongmei , Chen Hong , Yang Chun , Zhang Jiyang , Meng Qingnan , Liu Yuchen , Cao Ling , Shen Yanting , Hu Chunyan , Huang Huiqun , Li Xiaomu , Bian Hua , Li Xiaoying 
Published: February 2023

Abstract
Objective
This study aims to develop an insulin dosage adjustment model using machine learning of high quality electronic health records (EHRs) notes and then to form an artificial intelligence-based insulin clinical decision support workflow (iNCDSS) implemented in the HIS system to give a real-time recommendation of insulin dosage titration. The efficacy and safety in clinical practice is evaluated in this proof-of-concept study.

Research design and methods
We extracted patient-specific and time-varying features from the original EHRs data and performed machine learning analysis through 5-fold cross validation. In the patient-blind, single-arm interventional study, insulin dosage was titrated according to iNCDSS in type 2 diabetic inpatients for up to 7 d or until hospital discharge. The primary end point of the trial was the difference in glycemic control as measured by mean daily blood glucose concentration during the intervention period.

Results
A total of 3275 type 2 diabetic patients with 38,406 insulin counts were included for the model analysis. The XGBoost model presented the best performance with root mean square error (RMSE) of 1.06 unit and mean absolute relative difference (MARD) of 6.0% in the training dataset, and RMSE of 1.30 unit and MARD of 6.9% in the testing dataset. Twenty-three patients with T2DM (male 14, 60.9%; age 58.8 ± 10.7 years; duration of diabetes 11.8 ± 8.8 years, HbA1c 9.1 ± 1.1%) were enrolled in the proof of concept trial. The duration of iNCDSS intervention was 7.0 ± 0.1 d. The insulin dose recommended by iNCDSS was accepted by physicians in 97.8%. The mean daily capillary blood glucose was markedly improved during the intervention period, with a reduction of mean daily capillary BG from 11.3(8.0, 13.9) mmol/L in the first 24 h to 7.9(6.5,8.9) mmol/L in the last 24 h of the trial (P < 0.001). In addition, the time range below 3.9 mmol/L was decreased from 1.1% to 0.5%.

Conclusions
The clinical decision support system of insulin dosage titration developed using a machine learning algorithm based on the EHRs data was effective and safe in glycemic control in in type 2 diabetic inpatients.

Trial registrations
ClinicalTrials.gov Identifier: NCT04053959.
Advances in diagnosis, clinical management and molecular characterization of ovarian Brenner tumors
Authors: Zanfagnin Valentina , Lee Tiffany , Zhao Chengquan , Wang Tiannan 
Published: February 2023

AbstractBrenner tumors is a very uncommon ovarian epithelial neoplasm, morphologically resembling the transitional cell neoplasm of urinary tract. It is further classified into three subtypes as a disease spectrum based on histological examination and tumorigenesis: benign Brenner tumors, borderline Brenner tumors (BBTs), and malignant Brenner tumors (MBTs). The etiology of these tumors is not well understood, and literature is limited due to the rarity of this entity, but recent advances, particularly in molecular alterations, have emerged. The scope of this review is to provide an update on the clinical, histopathological, and most recently, molecular characterizations of ovarian Brenner tumors.