bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19, Meaning and Mental Health in Higher Education: An International Comparison
Authors: Schilderman Hans , Kregting Joris , Scherer-Rath Michael , Riegel Ulrich , Unser Alexander 
Published: July 2023

Abstract
The impact of the COVID-19 pandemic is studied among Dutch and German university students and staff, at the inception of the pandemic in April 2020. The effects of conditions of study and work are studied on mental health, while taking into account the adaptive function of meaning and controlling for relevant demographic characteristics. Results indicate that negative experiences of study and work affect various dimensions of mental health and differ for Dutch and German university contexts. Meaning acts as a resource for mental health, especially regarding dimensions of meaningfulness and trust. Programs for university care are called for in which the insights of this study are taken into account.
Domestic Courts’ Reliance on International Law to Interpret the Charter of Rights and Freedoms and/or other Domestic Law in the Seychelles
Authors: Ddamulira Mujuzi Jamil 
Published: July 2023

Abstract
Unlike the Constitutions of some African States such as Kenya, South Africa, Zimbabwe and Comoros, the Constitution of Seychelles is silent on the status of international law (both treaty law and customary international law) in the Seychelles legal system. However, Article 48 of the Constitution requires courts to, inter alia, ensure that the Charter of Rights and Freedoms (the Charter) is ‘interpreted in such a way so as not to be inconsistent with any international obligations of Seychelles relating to human rights and freedoms.’ Article 64(4) of the Constitution provides that for Seychelles to be bound by a treaty, such a treaty has to be ratified by Parliament. In this article, the author illustrates how Seychelles courts (the Supreme Court, the Constitutional Court and the Court of Appeal) have applied or interpreted Articles 48 and 64 of the Constitution. The author submits, inter alia, that there is room for the argument that Seychelles courts may also refer to treaties which have not been ratified by Seychelles when interpreting the Charter of Rights. It is also argued that for courts to refer to a treaty when interpreting the Charter, there is no requirement for such a treaty to have been domesticated in Seychelles. It is argued further that in the absence of a constitutional provision to the contrary, customary international law is part of Seychelles law.
3. Separate Careers, Separate Lives
Authors: Auspos Patricia 
Published: July 2023

Elsie Clews Parsons (1874-1941) and her husband Herbert Parsons (1869-1925) present a very different pattern of conflict and accommodation in a marriage shaped by the wife’s determination to work. Both Elsie and Herbert came from wealthy and prominent New York families. When they married in 1900, after a six-year courtship, Elsie was an atheist, a feminist, and a social rebel who openly challenged female stereotypes and traditional roles. A Ph.D. in sociology, she was teaching at Barnard College and insisted on keeping her job. Herbert, a deeply religious and rather staid man, was a successful lawyer and politician.
Although Elsie and Herbert seemed mismatched, I argue, in contrast to other of Elsie’s biographers, that their marriage was a love match. Their troubles began after Herbert was elected to Congress in 1904. Elsie gave up her teaching job, moved to Washington with their two children, and had four more children (two died shortly after birth). When the controversial views she espoused in her first book set off a public furor that offended and embarrassed Herbert, she stopped publishing under her own name. A few years later, she was wracked with jealousy when she thought he had fallen in love with another woman.
Elsie and Herbert did not divorce, but they led increasingly separate lives after they returned to New York in 1911. Elsie organized her personal and domestic life around two new careers. After establishing a foothold in the feminist, bohemian intellectual world in Greenwich Village, she became a sought-after, influential social critic, writing for The Masses and The New Republic. Then she connected with Franz Boas’s professional circle and became a highly respected anthropologist, studying indigenous peoples in the American Southwest, the Caribbean, and South America.
Elsie had two lengthy love affairs, with the architect Grant LaFarge, and the novelist Robert Herrick. She deliberately chose lovers who – unlike Herbert – were adventurous, interested in her work, and eager to travel with her. In the late teens and twenties, her relationship with Herbert gradually improved, in part because he took on more responsibility for their four surviving children. His unexpected death in 1925, while she was involved with Herrick, was a blow for Elsie.
Deeply in love with Elsie, Herrick wrote about her in several novels and short stories in the 1920s. Initially supportive of her work, he became increasingly jealous of her success and deeply angry at being reduced to what he thought was a subordinate role in her life. His last book about her, published in 1932, several years after their affair ended, cruelly disparaged her and her work.
Elsie was repeatedly disappointed by the men in her life, but she never stopped trying to implement her feminist vision of a more equitable and intimate relationship grounded in work rather than domestic life.
Understanding the Driving Forces of the North Pacific Victoria Mode
Authors: Li Zongrong , Ding Ruiqiang , Mao Jiangyu , Ren Zhengyi 
Published: July 2023

Abstract
The Victoria Mode (VM) is defined as the second empirical orthogonal function (EOF) of sea surface temperature anomalies (SSTAs) in the North Pacific. It is independent of the Pacific decadal oscillation (PDO) and represents the second climate mode of North Pacific variability. Using a first-order autoregressive model and forcing indices that track the Aleutian low, the North Pacific Oscillation (NPO), anomalous ocean circulation in the Kuroshio–Oyashio Extension (KOE), and the cold tongue (CT) and warm pool (WP) El Niño–Southern Oscillation (ENSO), this study reconstructs the North Pacific SSTAs and examines the relative contributions of different forcing mechanisms to the VM variance. It is found that the NPO and ENSO, especially the WP ENSO, are the dominant sources of VM variability, whereas the contributions of the Aleutian low and zonal advection in the KOE region are relatively small. Further analysis shows that the forcing mechanisms acting on the VM are frequency dependent. At decadal and longer time scales, the VM variance comes mainly from the WP ENSO, whereas at interannual-time-scale contributions from the NPO and CT ENSO are important. This study suggests that the VM is an oceanic response to the NPO forcing and atmospheric teleconnections excited by ENSO events.
Management Experiences of Post-Gastrectomy Severe Alkaline Reflux Esophagitis
Authors: Temperley Hugo C. , Phoenix Eimear , Waters Caitlin , Hanna Joseph , Fanning Michelle , Donlon Noel E. , Reynolds John V. , Donohoe Claire L. 
Published: July 2023

Alkaline reflux esophagitis is a recognized complication of procedures that compromise the lower esophageal sphincter (LES), including gastrectomy. Incidence of reflux is dependent on the reconstructive procedure, with Roux-en-Y (RY) esophagojejunostomy commonly accepted as the optimal method. The authors report their experience of 5 patients who underwent remedial intervention for severe alkaline reflux esophagitis following gastric cancer surgery, over a 6-year period (2014-2020). Primary diagnoses encompassed 4 gastric adenocarcinomas and 1 gastric neuroendocrine tumor. Four patients previously underwent total gastrectomy and 1 subtotal gastrectomy with RY reconstruction. Onset of postoperative reflux symptoms ranged from 2 weeks to 3 years. Failing medical management, all patients underwent jejunojejunal anastomosis and Roux limb length revision with surgical jejunostomy. At follow-up, 4 out of 5 patients had some degree of symptom resolution and one with unresolved symptoms. The authors report our experience of managing this complication following gastrectomy with jejunojejunal anastomosis and Roux limb length revision.
Influence of Staphylococcus epidermidis on Collagen Crimp Patterns of Soft Tissue Allograft
Authors: Blunt Koral M. , Bentkowski Brett N. , Milliron Eric , Cavendish Parker , Qin Charles , Magnussen Robert A. , Stoodley Paul , Flanigan David C. 
Published: July 2023

Background: Postoperative infections, commonly from Staphylococcus epidermidis, may result in anterior cruciate ligament graft failure and necessitate revision surgery. In biomechanical studies, S. epidermidis has been shown to establish biofilms on tendons and reduce graft strength. Purpose/Hypothesis: The goal of this study was to determine the effect of bacterial bioburden on the collagen structure of tendon. It was hypothesized that an increase in S. epidermidis biofilm would compromise tendon crimp, a pattern necessary for mechanical integrity, of soft tissue allografts. Study design: Controlled laboratory study. Methods: Cultures of S. epidermidis were used to inoculate tibialis anterior cadaveric tendons. Conditions assessed included 5 × 105 colony-forming units or concentrated spent media from culture (no living bacteria). Incubation times of 30 minutes, 3 hours, 6 hours, and 24 hours were utilized. Second-harmonic generation imaging allowed for visualization of collagen autofluorescence. Crimp lengths were determined using ImageJ and compared based on incubation time. Results: Incubation time positively correlated with increasing S. epidermidis bioburden. Both fine and coarse crimp patterns lengthened with increasing incubation time. Significant coarse crimp changes were observed after only 30-minute incubations ( P < .029), whereas significant fine crimp lengthening occurred after 6 hours ( P < .0001). No changes in crimp length were identified after incubation in media lacking living bacteria. Conclusion: The results of this study demonstrate that exposure to S. epidermidis negatively affects collagen crimp structure. Structural alterations at the collagen fiber level occur within 30 minutes of exposure to media containing S. epidermidis. Clinical Relevance: Our study highlights the need for antimicrobial precautions to prevent graft colonization and maximize graft mechanical strength.
Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians
Authors: Barker Lucy C. , Zaheer Juveria , Hussain Zakia , France Julia , Rodriguez Ananka , Lubotzky-Gete Shakked , Berkhout Suze , Dmytryshyn Robert , Dunn Sheila , Gupta Renu , Hosseiny Fardous , Sirotich Frank , Soklaridis Sophie , Voineskos Aristotle N. , Vigod Simone N. 
Published: July 2023

Objective Individuals with psychosis are at elevated risk of adverse sexual and reproductive health (SRH) outcomes, and not receiving adequate SRH care. SRH is important for youth, yet little is known about SRH care access and experiences among those with early psychosis. This study explored SRH care experiences among women and nonbinary individuals with early psychosis. Method We conducted semistructured qualitative interviews with 19 service users (cisgender and transgender women, nonbinary individuals) receiving care in 2 early psychosis programs in Ontario, Canada. We also conducted semistructured interviews and focus groups with 36 clinicians providing SRH or mental health care to this population. Participants were asked about SRH care access/provision experiences and the interplay with psychosis. Using a social interactionist orientation, a thematic analysis described and explained service user and clinician perspectives regarding SRH care. Results Amongst both service users and clinician groups, common themes developed: (a) diversity of settings: SRH services are accessed in a large range of spaces across the health care system, (b) barriers in nonpsychiatric SRH care settings: psychosis impacts the ability to engage with existing SRH services, (c) invisibility of SRH in psychiatric settings: SRH is rarely addressed in psychiatric care, (d) variability of informal SRH-related conversations and supports, and cutting across all of the above themes, (e) intersecting social and cultural factors impacted SRH services access. Conclusions SRH is important for health and wellbeing; improvements are urgently needed across the healthcare system and within early psychosis programs to meet this population's multifaceted SRH needs.
Parents’ Perception of Barriers to the Comprehensive Management of Children With Cleft Lip and Palate in Bogota, Colombia
Authors: González-Carrera María Clara , Ruiz Jaime Alberto , Mora-Díaz Ingrid Isabel , Pereira de Souza David , Restrepo-Pérez Luis Fernando , Bendahan Zita , Bautista Gloria Rocío , Díaz-Báez David 
Published: July 2023

Object To identify the perception of barriers to the comprehensive management of cleft lip and palate (CLP) by parents/caregivers of Colombian children with this condition. Setting and Sample Population Fifty parents/caregivers of children with CLP under 12 years attending a center specialized in the management of craniofacial congenital conditions in Bogota, Colombia. Materials and Methods This study consisted of 2 phases: a quantitative phase (descriptive cross-sectional) and a qualitative phase (focus group [FG]). Chi-square and Fisher exact tests were used to analyze the association variables. The barriers and alternative ways to overcome barriers were analyzed in the FG. Results Comprehensive management was mostly defined as access to multiple treatments (54%), and this concept was expanded in the FG toward understanding CLP at all levels. Monoparental families spend their income on treatments (29%) than nuclear families (0%) ( P = .001). All parents with high education levels were familiar with healthcare centers specialized in CLP as opposed to 66.7% of parents with basic primary education ( P < .05). Regarding the timeliness of appointments, 12.2% of parents earning between 1 and 2 minimum wages reported some kind of difficulty, whereas those earning less than one minimum wage reported difficulties in 66.7% of cases ( P = .046). Conclusions All participants reported barriers, which increased or decreased depending on their socioeconomic status. The FG allowed the discussion of alternatives to overcome barriers, such as structural, solidarity, and self-management actions.
The Implications of Laterality in Unilateral Cleft Lip Reconstruction: A Global Survey of Cleft Surgeons
Authors: Chadha Ambika , Bradley Daniel , Fell Matthew , Fernanda Maria , Bustamante Atenas , Chong David 
Published: July 2023

Objective To explore the impact of directional laterality in complete Unilateral Cleft Lip (UCL) amongst the global cleft surgeon community Design Cross-sectional survey study. Setting Global distribution of online survey distributed in English and Spanish. Participants Cleft surgeons from around the world. Main outcome measures Survey participant perception of the impact of laterality on: (1) cleft presentation (2) surgical challenge and (3) surgical outcomes. Results Responses were received from 453 cleft surgeons located in 54 countries around the world. 221 (49%) had previously considered differences in patients presenting with a left- versus right-sided UCL. 95 (21%) considered right-sided clefts more difficult to reconstruct, 37 (8%) reported left-sided clefts to be more difficult and 321 (71%) reported no difference in difficulty between the cleft sides. Higher volume cleft surgeons, characterised by those reporting cleft as their principal area of practice and performing >20 cleft operations per year, were more likely to have both previously considered differences in laterality in cleft and to report right-sided unilateral cleft lip to be more difficult to primarily reconstruct. 395 (87%) did not consider surgical outcomes to be influenced by cleft laterality. Conclusions This survey reports perceptions on cleft laterality from a large body of global surgeons and suggests a trend for increased difficulty in right-sided compared to left-sided cleft lip reconstruction, where such laterality-associated difficulty is perceived.
Positive and challenging themes in parents’ perceptions of their relationships with their child with autism: Comparison between mothers and fathers
Authors: Moshe Shir , Oppenheim David , Slonim Michal , Hamburger Lior , Maccabi Yael , Yirmiya Nurit 
Published: July 2023

Most studies of how parents of children with autism view the parent–child relationship used self-report questionnaires and focused on challenges. This study broadened the lens by interviewing parents using open-ended questions that provide an opportunity to raise challenging but also positive experiences. Seventy-five mother–father dyads were interviewed individually about their own and their spouses’ relationships with their preschooler, and content analyses of their responses revealed nine relationship themes. In descending order, the themes mentioned most frequently by mothers were “Security and Closeness,” “Love,” and “Tenderness and Sensitivity,” and by fathers were “Pleasure in Joint Activities,” “Security and Closeness,” and “Guidance.” Positive themes were more common than challenging themes. Finally, more mothers mentioned the themes “Love,” “Tenderness and Sensitivity,” “High Involvement and Care,” and “Difficulties” than did fathers, whereas more fathers mentioned the themes “Guidance,” “Pleasure in Joint Activities,” and “Limited Time with Child” than did mothers. The findings portray a nuanced view of the parenting experience of mothers and fathers of preschoolers with autism. Lay Abstract Most studies of how parents of children with autism see the parent–child relationship used questionnaires completed by the parents and focused on challenges. This study broadened the lens by interviewing parents using open-ended questions that provide an opportunity to raise challenging but also positive experiences. Seventy-five mother-father dyads were interviewed individually about their own and their spouses’ relationships with their preschooler, and we found nine relationship themes. In descending order, the themes mentioned most frequently by mothers were “Security and Closeness,” “Love,” and “Tenderness and Sensitivity,” and by fathers were “Pleasure in Joint Activities,” “Security and Closeness,” and “Guidance.” Positive themes were more common than challenging themes. Finally, more mothers mentioned the themes “Love,” “Tenderness and Sensitivity,” “High Involvement and Care,” and “Difficulties” than did fathers, whereas more fathers mentioned the themes “Guidance” and “Pleasure in Joint Activities” than did mothers. The findings portray a nuanced view of the parenting experience of mothers and fathers of preschoolers with autism.
Dialectical Behaviour Therapy Enhanced Habit Reversal Training: A Clinical Case of Childhood-Onset Trichotillomania in an Adult With Impulsive Personality Features
Authors: Shamsudeen Sheeba , Kannekanti Prasad 
Published: July 2023

Research has recognised the psychosocial impairments linked to Trichotillomania (TTM) and established a relationship between problematic hair-pulling and affective regulation. Significant relationships between pulling triggers, their severity, and emotional dysregulation have also been predicted. The current case focused on the efficacy of combined DBT (Dialectical Behaviour Therapy) and HRT (Habit Reversal Training) in a client with TTM and Impulsive Personality features. The client received 11 weekly sessions of DBT-enhanced HRT, which took 3 months to complete. Following the end of this acute treatment phase, four maintenance sessions (two sessions per month) were delivered. The maintenance of treatment benefits was assessed using self-report measures and therapist observations at four time points: at pre-treatment, after the acute treatment phase (at the end of 3 months), and then at a 3-month and a 6-month follow-up. The intervention results suggested a substantial reduction in hair-pulling, hair regrowth in affected parts of the scalp, and self-reported improvements in mood. The study also shows preliminary evidence of DBT-enhanced HRT’s efficacy in a client with TTM and Impulsive Personality features, suggesting the importance of addressing personality structures and distressing emotional regulation that cause functional impairment during TTM treatment.
Beginning the Quilt: A Polyvocal and Diverse Collective Seeking New Forms of Knowledge Production
Authors: Ortega Yecid , Passi April Leigh , dela Cruz John Wayne N. , Nii Owoo Mama Adobea , Cale Beatrice , Sarkar Mela 
Published: July 2023

This article contributes to scholarship on collaborative knowledge-making by documenting our methodological experiences of conducting multiple ethnographies and the emergence of what we describe as a methodology of quilting and vulnerability. We borrowed from critical and decolonial frameworks for knowledge production and knowledge dissemination to reflect on the organic processes that we implemented to document our polyphonic conversations about the challenges, passions and perspectives of being educational researchers and language teachers. We argue for the use of dialogical interactions, using “quilting” as an aesthetic representation of lived experiences and as a medium through which knowledge creation becomes democratized and supported by interdisciplinary scholarship. In this article, we demonstrate the utility of a methodology of vulnerability in learning about the complexities involved with negotiating identities in collective work in the field of language education. We use the metaphor of the quilting bee to theorize vulnerability in collaborative knowledge production. The ultimate goal of this paper is to inspire educators and researchers to explore other forms of studying themselves and their relationships with their identities, cultures, and languages, especially from international contexts. In the end, as an emerging research collective, we advocate questioning and challenging whose voices are being heard and the power relations involved in collaborative and interdisciplinary research processes.
Evaluation of vascular density and structural changes in inflammatory bowel diseases
Authors: Bilgin Sinan , Tüzün Ahmet Yekta 
Published: July 2023

Introduction The two most common types of inflammatory bowel disease (IBD) are ulcerative colitis (UC) and Crohn’s disease (CD). Although these diseases mainly affect the intestinal system, they can also affect other systems, especially the vascular system. The objective of this study is to evaluate ocular microvascular and structural changes in IBD. Methods A total of 42 patients with IBD (22 UC and 20 CD) followed in the gastroenterology clinic and 42 healthy controls matched for gender and age were enrolled in the study. All participants underwent optical coherence tomography angiography. Macular vessel density, central retinal, and choroidal thicknesses were measured. Results No significant differences were observed between IBD patients and control subjects as regards superficial vascular plexus density, deep vascular plexus density, and choriocapillaris vascular density, retinal and choroidal thickness in the macular area ( p > .05). Although not statistically significant, vascular density generally increased. On the other hand, retinal and choroidal thickness were decreased. Conclusion It could be said that there is a reactive increase in retinal vascular density and a decrease in retinal and choroidal thickness as a result of atherosclerotic changes in IBD.