bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Bolsonaro Government in the Face of the Pandemic: Neoliberalism at a Crossroad?
Authors: Deos Simone , Ferreira Adriana Nunes , Palludeto Alex Wilhans Antonio 
Published: August 2023

Neoliberalism is a normative system that endeavors to universalize competition and the generation of inequality as fundamental behavioral norms, not only encompassing corporate entities but extending to the whole society. The tenets of this system came under strain amid the coronavirus pandemic which, on one hand, has accentuated its more assertive traits, and on the other, compelled certain strategic concessions primarily in response to pressures coming from society. An assessment of a representative array of economic, political, and health care measures implemented by the neoliberal administration of Jair Bolsonaro during the critical period of 2020–2021, corresponding to the most acute phase of the pandemic, indicates that these measures were underpinned by a regrettable, misguided, and detrimental notion positing a dichotomy between economic prosperity and public health preservation. They were based on the idea that life is not a right for everyone, only for the strongest, and that individual freedom should prevail over the collective interest. The outcomes of this orientation, in aggregate, manifested themselves as a deleterious combination of high unemployment, declining wages, liquidity and solvency problems in businesses, and, most significant, a substantial loss of human lives. El neoliberalismo es un sistema normativo que busca universalizar la competencia y la generación de desigualdad como normas fundamentales de comportamiento, abarcando no solo a las entidades corporativas sino extendiéndose a toda la sociedad. Los principios de este sistema se vieron sometidos a presión por la pandemia del coronavirus, la cual, por un lado, acentuó sus rasgos más asertivos y, por otro, obligó a que se hicieran ciertas concesiones estratégicas, principalmente en respuesta a presiones provenientes de parte de la sociedad. Una evaluación de una serie representativa de medidas económicas, políticas y de atención médica implementadas por la administración neoliberal de Jair Bolsonaro durante el período crítico de 2020-2021 (correspondiente a la fase más aguda de la pandemia) indica que estas medidas estaban respaldadas por una noción lamentable, equivocada y perjudicial que postula una dicotomía entre la prosperidad económica y la preservación de la salud pública. Se basaban en la idea de que la vida no es un derecho universal, sólo el de los más fuertes, y que la libertad individual debe prevalecer sobre el interés colectivo. En conjunto, los resultados de esta orientación se manifestaron como una combinación perjudicial de alto desempleo, una disminución de los salarios, problemas de liquidez y solvencia en las empresas y, lo más importante, una pérdida sustancial de vidas humanas.
Canto femenino cuequero: Voicing Feminist Solidarity in Chile
Authors: Azahar Christina 
Published: August 2023

Cueca brava, urban cueca from Santiago, has historically been a male-dominated song and dance practice. Its vocal technique, canto gritado, is often considered synonymous with masculine bravado. However, in the 2010s, the singer Josi Villanueva began transforming this scene by teaching women to sing cueca brava. The experiences of participants in Villanueva’s community classes were shaped by Chile’s Mayo Feminista movement in 2018, and her pedagogical practices help participants enact an embodied process of sacando la voz (raising one’s voice) through which women dismantle the limits put on their bodies and voices when they are silenced in musical or social spaces. Históricamente, la cueca brava, o cueca urbana de Santiago, ha sido una práctica de canto y baile dominada por hombres. Su técnica vocal, el canto gritado, es frequentemente considerado sinónimo de bravuconería masculina. Sin embargo, en la década de 2010, la cantora Josi Villanueva comenzó a transformar este escenario al enseñar a las mujeres a cantar cueca brava. Las experiencias de las participantes en las clases comunitarias de Villanueva fueron moldeadas por el movimiento chileno Mayo Feminista en 2018, y sus prácticas pedagógicas ayudan a las participantes a llevar a cabo un proceso encarnado de “sacar la voz” a través del cual desmantelan los límites impuestos a sus cuerpos y voces cuando son silenciadas en espacios musicales o sociales.
Impact of Endolymphatic Hydrops and Semicircular Canal Dysfunction on the Incomplete Recovery of Acute Low-Frequency Sensorineural Hearing Loss
Authors: Jiang Lizhu , Wang Qianying , Chen Lili 
Published: August 2023

Objective: The reasons for short-term, incomplete recovery of some acute low-frequency sensorineural hearing loss (ALFHL) are unclear. We investigated the impact of endolymphatic hydrops and semicircular canal dysfunction on the incomplete recovery of ALFHL. Methods: The impact of electrocochleography (EcochG), caloric test, video head impulse test (vHIT), cervical vestibular-evoked myogenic potential (cVEMP), and ocular vestibular-evoked myogenic potential (oVEMP) results on the incomplete recovery of 86 patients with ALFHL was analyzed. The correlation between a high abnormal rate of vestibular-evoked myogenic potential (VEMP) and aural fullness, dizziness, and level of hearing loss was also examined. Results: Abnormal oVEMP with an odds ratio (OR) of 6.071 ( P = .002) and EcochG with an OR of 5.919 ( P = .005) were independent risk factors for incomplete recovery in ALFHL, but abnormal cVEMP, caloric test, and vHIT were not independent risk factors for ALFHL. There was no correlation between a high abnormal rate of VEMP and aural fullness, dizziness, or level of hearing loss in ALFHL. Conclusion: Abnormal oVEMP and EcochG values rather than caloric test and vHIT were risk factors for incomplete recovery of ALFHL, which may be related to the difficulty of successfully treating utricular and cochlear hydrops. High abnormal rate of VEMP was not correlated with hearing loss level, aural fullness, or dizziness in ALFHL. Abnormal oVEMP and EcochG values can indicate poor short-term prognosis of ALFHL.
MDI Based Flexible Foam A Status Report on World Developments
Authors: Pham T. , Van Assache J. , Watts A. , Lockwood R.J. 
Published: August 2023

Moulded flexible polyurethane foam using hot-cure moulding technology with TDI as the isocyanate component was developed in the mid 1950's. The authors trace the development in the mid 1960's of HR or cold-cure foams which used TDI/MDI blends and more reactive polyether polyols. The logical next step was the introduction of All-MDI based, cold-cure flexible foams in the late 1970's. Much progress has been made since then, and the changes in processability which have led to better durability and greater comfort in seat cushions – both in the automotive industry and the high quality upholstered-furniture market are reviewed. Comfort properties are defined in terms of persons-sitting experience, and the load-bearing and hardness qualities required are defined to achieve good comfort levels. Environmental considerations are discussed with respect to the lower vapour pressures at normal processing temperatures given by MDI as compared with TDI. The current concern regarding the effect of CFC's on the atmosphere is discussed and ways in which the levels are being reduced in the All-MDI based foam moulding process are indicated. Cushions with dual and multiple hardness and pour-in-place techniques are discussed and the commercial experiences with the total range of All-MDI based foam systems – worldwide – is reviewed.
Development of Buoyancy for Flexible Production Riser System for North Sea Sun Oil Balmoral Field
Authors: Seamark Michael J. 
Published: August 2023

This paper covers the design, manufacture and hydrostatic pressure testing at the maximum working depth, of some of the largest buoyancy units ever considered in syntactic foam. Finite element analysis and evaluation of individual polymer material and bond to steel properties, were key elements in the design of these units, which have now been in service in the North Sea for over 2 years of their 20 year life guarantee.
Modifying the Properties of Concrete –Concrete Flexibilisation with Polymers
Authors: Venancio C.M.P. , Bordado J.C.M. 
Published: August 2023

Use of polymers as additives for concrete mechanical performance improvement is reviewed with a brief description of the reinforcement mechanisms involved. Development of polymers for tailoring of concrete properties is one major aim and strategic applied research is now focused on concrete flexibility. The field requires deep knowledge of inorganic polymer structure, but the recent advances on zeolite structure design opens the way to concrete molecular structure modification. Polymers will undoubtedly play a major role on concrete flexibility improvement and the use of modified concrete for road pavement is expected to become more widespread as a result of bitumen shortage (fuel from bitumen by cracking process prevailing). Research approaches for concrete flexibilisation are discussed and structure design of water compatible polymers to be used is outlined.
Assessment of Resting-state functional Magnetic Resonance Imaging Connectivity Among Patients with Major Depressive Disorder: A Comparative Study
Authors: Singh Paramdeep , Singh Jawahar , Peer Sameer , Jindal Manav , Khokhar Sunil , Ludhiadch Abhilash , Munshi Anjana 
Published: August 2023

Background Resting-state functional connectivity analysis has a potential to unearth the putative neuronal underpinnings of various disorders of the brain. Major depressive disorder (MDD) is regarded as a disorder arising from alterations in functional networks of the brain. Purpose There is paucity of literature on resting-state functional magnetic resonance imaging (Rs-fMRI) in MDD, especially from the Indian subcontinent. The purpose of our study was to elucidate the differences in Rs-fMRI connectivity between MDD patients and age and gender matched healthy controls (HC). Methods In this prospective single institute-based study, the patients were recruited consecutively based on Hamilton depression rating scale (HAM-D). Age and gender matched HC were also recruited. Rs-fMRI and anatomical MRI images were acquired for all the subjects (MDD and HC group) and subsequent analysis was done using the CONN toolbox. Results A total of 49 subjects were included in the final analysis (MDD = 28 patients, HC = 21). HAM-D score was noted to be 24.4 ± 4.8 in the MDD group. There was no significant difference between MDD and HC groups as far as age, gender, employment status, and level of education is concerned. Region-of-interest-based analysis of Rs-fMRI data showed a significantly lower connectivity between the left insula and left nucleus accumbens and between left paracingulate gyrus and bilateral posterior middle temporal gyri in MDD group as compared to HC group. Conclusion There is reduced connectivity between certain key regions of the brain in MDD patients, that is, between the left insular cortex and the left nucleus accumbens and between the left paracingulate gyrus and the bilateral posterior middle temporal gyrus. These findings could explain the basis of clinical features of MDD such as anhedonia, rumination of thoughts, reduced visuo-spatial comprehension, reduced language function, and response to external stimuli.
Relationships Between Personality Traits and Perceived Stress in Surrogate Decision-Makers of Intensive Care Unit Patients
Authors: Greenleaf Brody , Foy Andrew , Van Scoy Lauren 
Published: August 2023

Introduction Personality traits, specifically neuroticism, are related to stress in surrogate decision-makers (SDMs) in outpatient settings. We hypothesized that intrinsic traits are related to SDM stress in the intensive care unit (ICU) to determine if personality considerations should be included in interventions to support SDMs. Methods Eligible participants (adult SDMs of non-capacitated ICU patients) completed validated questionnaires including stress (Impact of Events Scale-Revised, IES-R) and personality (Big Five Inventory, BFI) within 72 hours of ICU admission and again at 3 months post-ICU discharge (in addition to a qualitative interview). Bivariate Pearson correlations explored the relationship between BFI and IES-R at each time point (95% CI) and t-tests explored the relationship between stress and COVID-19. Mixed-methods analysis integrated qualitative and quantitative data. Results Of 32 SDMs, 71.9% were female, 93.8% white, and 97.0% were family members. Neuroticism was not significantly correlated to IES-R at 72 hours (r = 0.09; p = 0.64), but r increased 3 months post-discharge (r = 0.32; p = 0.07). Other BFI traits did not show similar patterns. Total stress was greater in surrogates of COVID-19-positive patients (COVID-19-positive: 60.6; COVID-19-negative: 49.8; p = 0.025). Mixed-methods analysis demonstrated that participants with high neuroticism scores had poorer emotional regulation than those with low neuroticism scores. Conclusions This study supports that personality, particularly neuroticism, influences the stress of SDMs in the ICU. Further study of personality traits may identify surrogates who are at higher risk of stress-related disorders, which can guide future interventions.
Childhood respiratory diseases related to indoor and outdoor extreme thermal environment (air temperature) in Shanghai, China
Authors: Hong Shijie , Luo Yajing , Zhu Yongsong , Huang Chen , Li Yilin , Sun Chanjuan 
Published: August 2023

Ambient air temperature could be the most significant factor impacting childhood respiratory health. This paper aims to analyze the relationship between air temperature and childhood respiratory diseases (RDs). Field measurements and meteorological parameters recorded from the weather website were conducted. Health outcomes regarding respiratory diseases amongst preschool children were reported. Multiple logistic regression analyses were conducted. Results from logistic regression analyses illustrate that extreme air temperature was significantly associated with a high prevalence of RDs amongst children. Indoor high temperature (>28°C) was positively correlated with the long duration of a common cold (≥2 weeks), and outdoor high temperature (>35°C) was positively related to the high prevalence of pneumonia. Indoor and outdoor low temperature (<18°C and <4°C, respectively) was a risk factor for rhinitis amongst children. The largest indoor air temperature difference (IATD) (the 4th quartile, >4°C) and outdoor air temperature difference (OATD) (the 4th quartile, >8°C) were positively related to the high prevalence of pneumonia and diagnosed asthma amongst children. Large differences between indoor and outdoor air temperatures and large indoor air temperature variations should be avoided to reduce the adverse effects on respiratory health, especially in extreme climates.
Using Cognitive Analytic Therapy as a Transdiagnostic Intervention for Comorbid Personality Disorder, Posttraumatic Stress Disorder, and Functional Neurological Symptom Disorder: A Case Report of a 68 Woman’s Journey Toward the Integration of Dissociated Self-States
Authors: Tinlin-Dixon Rowan 
Published: August 2023

Functional neurological symptom disorder (FND) is associated with complex specialist investigations and poor prognosis. The theoretical understanding of FND posits that functional symptoms are predisposed by both psychological factors, including attachment disturbances and childhood trauma, and biological factors such as neuroplasticity and epigenetics. Current treatment recommendations include psychological therapy, with moderate effects observed with cognitive-behavioural therapy and psychodynamic therapy modalities, however, psychological understanding is key to success. The current case report describes cognitive analytic therapy (CAT) with a 68 year-old woman presenting to services with diagnoses of FND and borderline personality disorder (BPD). The target problem for therapy was integration of fragmented self-states (dissociative and driven) pertinent to both FND and BPD. 16 session CAT was delivered, with four follow up sessions, exploring unhelpful patterns of relating with self and others, based on an unconscious repertoire of internalised patterns and procedures from early life. CAT tools were used to facilitate change; reformulation and ending letters, mapping and the therapeutic relationship. Scores on the personality structure questionnaire (PSQ) and an idiosyncratic measure of state-shifting indicated positive outcomes, sustained at 3 month follow up. This shows modest early acceptability and feasibility of CAT for working with comorbid BPD and FND, providing a validating and blame free formulation of the development and maintenance of symptoms. Additional measures would have improved the ability to comment on the effectiveness of the treatment and future research implications are discussed.
Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study
Authors: Tröndle Marc , Matheus de Souza Danton , Tiziana Verardo Polastrini Rita , Odone Filho Vicente , Seifert Georg , Stritter Wiebke , Blakeslee Sarah B. , dos Santos Teco Mucci Ana Lucia , Lage Pasqualucci Paula 
Published: August 2023

Background: Despite an increase in use of pediatric complementary and integrative health (PCIH), many healthcare professionals still have an inadequate understanding of such practices and consider their use inappropriate, which might thwart implementation processes. In a qualitative interview study we examined the feedback of conventional healthcare professionals about the integrative practices provided to pediatric patients by an integrative team in a pediatric oncological hospital. Methods: Fifteen semi-structured interviews were carried out with various conventional healthcare professionals in an university pediatric hospital in São Paulo, Brazil. The interviews were audio-recorded, transcribed and pseudonymized. DSCsoft® and MAXQDA® software assisted in a profound qualitative analysis using the collective subject discourse and thematic analysis method in order to display participants’ perspectives on PCIH and the project in their hospital. Results: Interviewees acknowledged their lack of knowledge about PCIH practices and reflected on the limits of their care as well as on new possibilities PCIH could offer. PCIH was perceived by interviewees as an effective supportive tool of care to promote patients’ wellbeing, assist overall compliance, strengthen cooperation between professionals, children and their relatives and hence facilitated general patient care. Since PCIH was implemented in their clinic, perceptions led interviewees to wish for increased PCIH offering and a more profound integration of its therapists into the standard of care. Discussion: The coexistence of integrative and conventional practices in the conventional healthcare setting is important to give visibility to the possibilities offered by the integrative pediatrics field. Regular and constant encounters with integrative practices, as well as information access seem crucial to reach a wider openness for PCIH and subsequently a broader application and dissemination of it.
Device use trends in neuroendovascular procedures in the United States from 2015 to 2020
Authors: Adapa Arjun Rohit , Siddiqui Fazeel M. , Pandey Aditya S. 
Published: August 2023

Background Neuroendovascular therapies involve an everchanging landscape of new technologies. Understanding the real-world timeframe of adaptation of such technologies can provide further guidance on mechanisms that could be employed to shorten the duration necessary for the widespread use of proven therapies. In this study, we aim to investigate the trends in the use of neuroendovascular technologies, utilizing the sales of neuroendovascular devices, as a proxy for procedural volume. Methods Utilizing a device sales data registry from the Decision Resources Group, a healthcare research and consulting company, we examined trends in the sales of devices utilized in cerebrovascular thrombectomy, cerebral aneurysm treatment, and carotid stenting from the same 407 reporting hospitals in the United States between January 1, 2015, and January 1, 2020. Device sales per year were plotted as both the total number of devices sold per year as well as the percent of total device sales when compared against at least one other device. The Cochran–Armitage test for trend was performed when comparing at least two devices to each other. Analyses were performed using RStudio Version 1.1.456 ( https://rstudio.com ). Results Between 2015 and 2020, there was a significant increase in the use of flow-diverting stents as well as nondiverting stents utilized for coil assistance. However, the total number of coils utilized over the years has declined. In terms of stroke therapy, between 2015 and 2020, there was a trend of increased use of both aspiration catheters as well as stent retrievers, which plateaued in 2020. The number of stents used for carotid procedures has also been gradually increasing over time. Conclusion Our study demonstrates an increase in the use of flow-diverting stents, nondiverting stents, carotid stents, and reperfusion devices for acute ischemic stroke intervention between 2015 and 2020. Coil use for aneurysmal treatment has declined.
Network topology in brain tumor patients with and without structural epilepsy: a prospective MEG study
Authors: Ladisich Barbara , Rampp Stefan , Trinka Eugen , Weisz Nathan , Schwartz Christoph , Kraus Theo , Sherif Camillo , Marhold Franz , Demarchi Gianpaolo 
Published: August 2023

Background: It was proposed that network topology is altered in brain tumor patients. However, there is no consensus on the pattern of these changes and evidence on potential drivers is lacking. Objectives: We aimed to characterize neurooncological patients’ network topology by analyzing glial brain tumors (GBTs) and brain metastases (BMs) with respect to the presence of structural epilepsy. Methods: Network topology derived from resting state magnetoencephalography was compared between (1) patients and controls, (2) GBTs and BMs, and (3) patients with (PSEs) and without structural epilepsy (PNSEs). Eligible patients were investigated from February 2019 to March 2021. We calculated whole brain (WB) connectivity in six frequency bands, network topological parameters (node degree, average shortest path length, local clustering coefficient) and performed a stratification, where differences in power were identified. For data analysis, we used Fieldtrip, Brain Connectivity MATLAB toolboxes, and in-house built scripts. Results: We included 41 patients (21 men), with a mean age of 60.1 years (range 23–82), of those were: GBTs ( n = 23), BMs ( n = 14), and other histologies ( n = 4). Statistical analysis revealed a significantly decreased WB node degree in patients versus controls in every frequency range at the corrected level ( p1–30Hz = 0.002, pγ = 0.002, pβ = 0.002, pα = 0.002, pθ = 0.024, and pδ = 0.002). At the descriptive level, we found a significant augmentation for WB local clustering coefficient ( p1–30Hz = 0.031, pδ = 0.013) in patients compared to controls, which did not persist the false discovery rate correction. No differences regarding networks of GBTs compared to BMs were identified. However, we found a significant increase in WB local clustering coefficient ( pθ = 0.048) and decrease in WB node degree ( pα = 0.039) in PSEs versus PNSEs at the uncorrected level. Conclusion: Our data suggest that network topology is altered in brain tumor patients. Histology per se might not, however, tumor-related epilepsy seems to influence the brain’s functional network. Longitudinal studies and analysis of possible confounders are required to substantiate these findings.