bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving working relationships with families in German early childhood interventions home visitors: a quasi-experimental training study
Authors: Georg Anna K. , Hauschild Sophie , Schröder-Pfeifer Paul , Kasper Lea A. , Taubner Svenja 
Published: December 2022

AbstractBackgroundHome visitation services within German Early Childhood Interventions (ECI) for families with a child aged 0–3 are mainly provided by frontline pediatric nurses and family midwifes. Home visitors are often challenged by difficult interactions with families. Mentalizing, the ability to understand mental states of oneself and others, is a key skill for building effective working relationships, which in turn positively affect intervention outcomes. The aim of this study was to investigate if a mentalizing skills training offered to home visitors active in German ECI contributes to continued professional development. We investigated, whether the training positively affected the quality of the working relationships with families as well as home visitors’ empathy, self-efficacy, and mentalizing.MethodsTo test the effects of a single day mentalizing skills training on the working relationship inN = 73 ECI home visitors, we used a quasi-experimental design with repeated measures (T0, T1, T2, T3) across seven weeks in order to assess immediate change from baseline (T0) after the training (T2) and stability of changes at follow up (T3). A literature-based intervention was implemented before the training to estimate possible repeated measurement and expectational effects (T1). Primary outcome was the quality of the working relationship experienced by the home visitors. Secondary outcome criteria were empathy, work-related self-efficacy, self-reported and observer-rated mentalizing.ResultsSignificant positive change in the working relationship quality was observed at T2 and at T3. Results on the secondary outcomes were less consistent, with data indicating improvement in empathy and increase on some but not all components of mentalizing.ConclusionsThis study provides preliminary evidence that brief mentalizing skills trainings may be an effective method for continuous professional qualification in frontline ECI home visitors who afterwards, experience better working relationships with families. Thus, training participation may positively impact efficacy and implementation of home visitations in ECI.
Advancing the treatment of long-lasting borderline personality disorder: a feasibility and acceptability study of an expanded DBT-based skills intervention
Authors: Soler Joaquim , Casellas-Pujol Elisabet , Pascual Juan Carlos , Schmidt Carlos , Domínguez-Clavé Elisabet , Cebolla Ausias , Alvear David , Muro Anna , Elices Matilde 
Published: December 2022

AbstractBackgroundLong-term follow-up studies in patients with borderline personality disorder (BPD) consistently show persistent impairment in psychosocial adjustment, although symptoms tend to decrease over time. Consequently, it might be better to deemphasize symptom-oriented interventions and instead promote interventions that incorporate patient perspectives on recovery. In this study we aimed to examine the feasibility and acceptability of a novel intervention (dialectical behavioral therapy combined with positive psychology and contextual-based skills) in the clinical treatment of long-lasting BPD difficulties.MethodsThis was a qualitative study. We developed an initial 8-week group intervention for long-lasting BPD. Upon completion of the 8-week program, the participants were asked to participate in a group discussion to provide feedback. Based on that feedback, the intervention protocol was modified and then offered to a second group of patients, who also provided feedback. The protocol was revised again and administered to a third group. A total of 32 patients participated in the group interventions; of these, 20 provided feedback in the qualitative study. The main outcome measure was acceptability.ResultsThe following overarching themes emerged from the group interviews: helpful, unhelpful and neutral practices; internal/external barriers; facilitators; and effects. Participants reported difficulties in imagining an optimal future and self-compassion. By contrast, positive skills were associated with an increase in positive emotions. The main internal barrier was facing difficult emotions. The main external barriers were language-related issues. The group format was perceived as a facilitator to success. Dropout rates, which were assessed as an additional measure of acceptability, decreased substantially in each successive group, from 60 to 40% and finally 20%.ConclusionsThe intervention was feasible to implement in the clinical setting and participants rated the final set of skills highly. Most of the skills were considered useful. Participant feedback was invaluable to improve the intervention, as evidenced by the large increase in the retention rate from 40 to 80%. Randomized clinical trials are needed to test the efficacy of this intervention in promoting well-being in participants with long-lasting BPD.
Developing a heritage BIM shared library for two case studies in Jordan’s heritage: The House of Art in Amman and the Qaqish House in the World Heritage City of As-Salt
Authors: Aburamadan Rania , Trillo Claudia , Cotella Victoria Andrea , Di Perna Elena , Ncube Chiko , Moustaka Athena , Udeaja Chika , Awuah Kwasi Gyau Baffour 
Published: December 2022

Abstract
International research is moving towards the development of BIM (Building Information Modelling) libraries applied to the built heritage where one of the main issues to be addressed is the modelling of complex or unique shapes that represent the specific construction components of every single asset. This perspective addresses the generation of parametric families of representative architectural geometry in the context of the management and representation of a building of heritage value. Jordan’s architectural heritage has gone through a long period of evolution and development: the result is a mixture of influences and traditions, making a great stride to conserve its buildings and Historical Heritage but has never adopted advanced digital technologies such as Building Information Modelling. In this framework, the present research aims to bridge the gap in Jordan by applying digital technologies to support heritage conservation plans by creating a 3D library of BIM objects related to typical elements of Jordanian and Arabic architecture, specifically in two cases of study. Co-production and collaboration with diverse stakeholders were central to the development of the methodology and design of the research.As a result, the first open-access HBIM shared library of historical features of Jordanian built heritage will be consolidated; this is crucial because it will set a precedent for the further documentation and conservation of the heritage of traditional cities in Jordan, MENA countries and internationally by promoting social cohesion, economic and technological development, tourism and the awareness of Jordan’s cultural heritage.
Comparison of rapid versus slow maxillary expansion on patient-reported outcome measures in growing patients: a systematic review and meta-analysis
Authors: Rutili Valentina , Nieri Michele , Franceschi Debora , Pierleoni Felicita , Giuntini Veronica , Franchi Lorenzo 
Published: December 2022

Abstract
Background
No systematic review and meta-analysis are present in the literature comparing patient-reported outcome measures (PROMs) in rapid maxillary expansion (RME) versus slow maxillary expansion (SME) in growing patients.

Objective
The objective of this systematic review was to compare PROMs in RME versus SME in growing patients.

Materials and Methods
Electronic search in PubMed (MEDLINE), Cochrane Library, Scopus, Embase, Web of Science, and OpenGrey was conducted. Only RCTs were included. Inclusion criteria were: growing patients in the mixed dentition or early permanent dentition, mild-to-moderate maxillary transverse deficiency, dental crowding, treatment with fixed expanders for rapid and slow maxillary expansion. Risk of bias was assessed using RoB 2. GRADE statement was performed. The mean of the differences (MD) and the risk ratio (RR) were used for the aggregation of data. A random effect model was applied.

Results
Two articles with a total of 157 patients were finally included in the systematic review and meta-analysis. One article was at low risk of bias, while one was at risk of bias with some concerns. Pain presence was less, though not statistically significant, in SME patients (RR = 2.02, 95%CI from 0.55 to 7.49, P = 0.29, I2 = 95%, 2 studies, GRADE very low). Pain intensity was significantly lower in SME appliance in the first week of treatment (pooled MD = 0.86 favoring SME, 95%CI from 0.47 to 1.26, P < 0.0001, I2 = 6%, 2 studies, GRADE moderate). There were no significant differences between the two groups in difficulty in speaking, difficulty in swallowing, hypersalivation, difficulty in hygiene, and patient and parent satisfaction.

Conclusions
Pain intensity was significantly lower in SME compared to RME during the first week of treatment. For the following weeks, there were no differences in pain between the two protocols.
Trunk Biomechanics in Individuals with Knee Disorders: A Systematic Review with Evidence Gap Map and Meta-analysis
Authors: Waiteman Marina C. , Chia Lionel , Ducatti Matheus H. M. , Bazett-Jones David M. , Pappas Evangelos , de Azevedo Fábio M. , Briani Ronaldo V. 
Published: December 2022

Abstract
Background
The trunk is the foundation for transfer and dissipation of forces throughout the lower extremity kinetic chain. Individuals with knee disorders may employ trunk biomechanical adaptations to accommodate forces at the knee or compensate for muscle weakness. This systematic review aimed to synthesize the literature comparing trunk biomechanics between individuals with knee disorders and injury-free controls.

Methods
Five databases were searched from inception to January 2022. Observational studies comparing trunk kinematics or kinetics during weight-bearing tasks (e.g., stair negotiation, walking, running, landings) between individuals with knee disorders and controls were included. Meta-analyses for each knee disorder were performed. Outcome-level certainty was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), and evidence gap maps were created.

Results
A total of 81 studies investigating trunk biomechanics across six different knee disorders were included (i.e., knee osteoarthritis [OA], total knee arthroplasty [TKA], patellofemoral pain [PFP], patellar tendinopathy [PT], anterior cruciate ligament deficiency [ACLD], and anterior cruciate ligament reconstruction [ACLR]). Individuals with knee OA presented greater trunk flexion during squatting (SMD 0.88, 95% CI 0.58–1.18) and stepping tasks (SMD 0.56, 95% CI 0.13–.99); ipsilateral and contralateral trunk lean during walking (SMD 1.36; 95% CI 0.60–2.11) and sit-to-stand (SMD 1.49; 95% CI 0.90–2.08), respectively. Greater trunk flexion during landing tasks in individuals with PFP (SMD 0.56; 95% CI 0.01–1.12) or ACLR (SMD 0.48; 95% CI 0.21–.75) and greater ipsilateral trunk lean during single-leg squat in individuals with PFP (SMD 1.01; 95% CI 0.33–1.70) were also identified. No alterations in trunk kinematics of individuals with TKA were identified. Evidence gap maps outlined the lack of investigations for individuals with PT or ACLD, as well as for trunk kinetics across knee disorders.

Conclusion
Individuals with knee OA, PFP, or ACLR present with altered trunk kinematics in the sagittal and frontal planes. The findings of this review support the assessment of trunk biomechanics in these individuals in order to identify possible targets for rehabilitation and avoidance strategies.
Trial registration: PROSPERO registration number: CRD42019129257.
Evaluating feasibility of using national registries for identification, invitation, and ultrasound examination of persons with hereditary risk for aneurysm disease—detecting abdominal aortic aneurysms in first degree relatives (adult offspring) to AAA patients (DAAAD)
Authors: Hultgren Rebecka , Fattahi Nina , Nilsson Olga , Svensjö Sverker , Roy Joy , Linne Anneli 
Published: December 2022

Abstract
Background
Sweden and the UK invite all 65-year-old men to a population-based ultrasound-based screening program to detect abdominal aortic aneurysms (AAA). First-degree relatives of patients with AAA are reported to have an increased risk to develop AAA, both women and men, but are not invited to screening. The “Detecting AAA in First Degree Relatives to AAA patients” (DAAAD) was designed to detect the true prevalence in adult offspring to AAA patients and to evaluate if national registries could be used for identification of index persons and their adult children with a high risk for the disease. The aim of this study is to summarize the design and methodology for this registry-based study.

Methods
The study is based on a registry-based extraction and identification of a risk group in the population with a subsequent identification of their adult offspring. The targeted risk group suffers a heredity for a potentially lethal disease, AAA (n = 750) and matched control group without heredity for AAA is also identified and invited (n = 750). The participation rate in the population-based AAA screening program for men is 75% regionally. This population is younger and have a lower prevalence. A participation rate of 65% is considered clinically adequate. For the DAAAD study, a stratified analysis of the primary outcome, prevalence, will be performed for women and men separately. Two other planned projects are based on the material: firstly, evaluation of the anxiety for disease and health-related quality of life (HRQoL) and, secondly, the cost-effectiveness of the study.

Discussion
In conclusion, this feasibility study will be instrumental in supporting the development of a possible new model to invite persons with high risk to develop hereditary rare diseases. To our knowledge, this is a unique, safe, and most likely to be a cost-efficient model to invite targeted risk groups for selected screening. If the study design and the results are shown to be cost-effective at the detected participation rate and prevalence, it should be further evaluated and adopted to a national screening program. The model also invites both women and men, which is unique for this specific patient group, considering that all population-based screening programs only include men.

Trial registration
This trial is registered at the website of Clinical Trials. ClinicalTrials.gov identifier, NCT4623268
Trade protectionism and the manufacturing sector: a review of border closure policy in Nigeria
Authors: Ajoje Olufunke Iyabo , Adegboyo Olufemi Samuel 
Published: December 2022

AbstractThis study empirically investigates to ascertain the impact of trade protection vis-à-vis border closure policy on manufacturing sector in Nigeria between January 2018 and June 2021 using monthly secondary data. The study employs traditional theory of protectionism as its theoretical framework. The chow breakpoint result revealed that there is a significant change in the parameters of the model in July 2019 which coincides with the time the policy implementation started. It employs dummy variable to investigate the impact of the policy on manufacturing sector output as against use of two regression model. The regression analysis revealed that in the short run, the impact of the border closure on manufacturing sector was positive but later became adverse in the long run. Also, the interaction of the border closure with the inflation rate revealed that the inflation rate became high during the period but the government generated income from tariff increased. This revealed that there are leakages through the land borders that needs to be curbed through legislation. Sequel to these findings, the study makes the following recommendations: government should not consider closing the borders again as it closures constitute a drag to the manufacturing sector growth; rather than closed border, government should formulate policies to enforce trade protection; lastly, should it become exigent for the government to close the border, they should allow moderate inflation rate that the economy can tolerate in order to spur manufacturing output.
Exploring the CO2 emissions drivers in the Nigerian manufacturing sector through decomposition analysis and the potential of carbon tax (CAT) policy on CO2 mitigation
Authors: Inah Oliver I. , Abam Fidelis I. , Nwankwojike Bethrand N. 
Published: December 2022

AbstractThe CO2 emissions trend and their reduction potential in the Nigerian manufacturing sector from 2010 to 2020 were studied. The Logarithmic Mean Divisia Index was applied to decompose the change in CO2 emissions into pre-set factors: carbon intensity effects, firm energy intensity effects, cost structure effects, asset-turnover effect, asset-to-equity effect, equity-funded production effect and productive capacity utilization. The results show that the change in emissions increased by $$1668\times {10}^{12}$$

1668
×

10

12

GJ between 2010 and 2020. Energy intensity and equity-funded production were the leading drivers of increased emissions, while productive capacity utilization reduced emissions. The CO2 emissions increased throughout the study, except for a few periods. Without a carbon tax policy, the results show that firm-level drivers increased CO2 emissions in the business-as-usual scenario. However, under the 5% carbon tax (CAT) policy scenario on energy consumption, there was a reduction in CO2 emissions between 2010 and 2020. Furthermore, a CAT policy of 5% on energy consumption reduced CO2 emissions by 22%. A further implication of CAT policy, given its interaction with firm-level drivers, resulted in lowering CO2 emissions in the interactional scenario. The findings indicate productive capacity utilization, equity-funded production, and CAT impacted CO2 emissions variation.
Requirement for STAT3 and its target, TFCP2L1, in self-renewal of naïve pluripotent stem cells in vivo and in vitro
Authors: Kraunsoe Sophie , Azami Takuya , Pei Yihan , Martello Graziano , Jones Kenneth , Boroviak Thorsten , Nichols Jennifer 
Published: December 2022

ABSTRACT
We previously demonstrated gradual loss of epiblast during diapause in embryos lacking components of the LIF/IL6 receptor. Here, we explore the requirement for the downstream signalling transducer andactivator of transcription STAT3 and its target, TFCP2L1, in maintenance of naïve pluripotency. Unlike conventional markers, such as NANOG, which remains high in epiblast until implantation, both STAT3 and TFCP2L1 proteins decline during blastocyst expansion, but intensify in the embryonic region after induction of diapause, as observed visually and confirmed using our image-analysis pipeline, consistent with our previous transcriptional expression data. Embryos lacking STAT3 or TFCP2L1 underwent catastrophic loss of most of the inner cell mass during the first few days of diapause, indicating involvement of signals in addition to LIF/IL6 for sustaining naïve pluripotency in vivo. By blocking MEK/ERK signalling from the morula stage, we could derive embryonic stem cells with high efficiency from STAT3 null embryos, but not those lacking TFCP2L1, suggesting a hitherto unknown additional role for this essential STAT3 target in transition from embryo to embryonic stem cells in vitro.
This article has an associated First Person interview with the first author of the paper.
An Intensive Continuing Education Course to Enhance Care of the Performing Arts Athlete: The “Essentials of Performing Arts Medicine”
Authors: Ackermann Bronwen J. , McCrary J. Matt , Miller Clay , Dick Randall , Guptill Christine 
Published: December 2022

Abstract
A new continuing education course from Performing Arts Medicine Association and American College of Sports Medicine enables sports medical health professionals to better care for performing artists.
High occupational injury rates have been reported in performing artists, yet the quality of preventive and clinical care remains highly variable. Through the Athletes and the Arts collaboration, The Performing Arts Medicine Association, and the American College of Sports Medicine identified that health care practitioners’ existing expertise should be enhanced to address the complex psychophysical needs of performing artists. In response, a 2-d continuing education course, “The Essentials of Performing Arts Medicine” (EOPAM), was developed and has been delivered at least annually since 2016. This course has been well-received by 149 physicians and 240 allied health professionals to date (average ratings, ≥3.5/5 from 2018 to present), with course quality significantly improved by a transition to online delivery in 2020 (average ratings ≥4.5/5; P < 0.01). Accordingly, EOPAM demonstrates that a brief continuing education course can enhance health professionals’ understanding of the unique needs and demands of performing artists, addressing a key barrier to improved care.
Analysis of welfare levels, ecology, and animal management in Seblat Elephant Training Center, Bengkulu−Indonesia
Authors: Imtiyaaz Cassytta Dhiya , Syarifuddin Amir , Triwanto Joko , Al Hakim Rosyid Ridlo 
Published: December 2022

The Sumatran elephant (Elephas maximus sumatranus) is a large mammal protected species and categorized as endangered according to the IUCN Red List. Habitat management includes control and regulation forest vegetation, open areas, water sources, salting sites, and resting areas for good animal welfare. The Seblat Elephant Training Center (SETC) is a conservation area to protect the Sumatran Elephant from extinction and is an ecotourism destination. This study aimed to analyze the welfare level and management of the Sumatran elephant in the SETC. This research used structured interview method to determine the indicators of the animal welfare level. Calculation of feed productivity and secondary data collection were used to improve the welfare level of the Sumatran Elephant. The research result stated that the welfare level of Sumatran elephant was classified as excellent (the implementation achievement value is 74.3%). In addition, the development of observations suggests that freedom from environmental discomfort needs to be improved by providing quarantine cages and reproductive cages to support natural behavior. Environmental conditions also support the welfare level of the Sumatran elephant. In conclusion, this facility is properly conducive to the welfare of Sumatran elephants.
Vinca alkaloids effects on the morphological characters of Canavalia ensiformis
Authors: Putri Diah Asta , Rahyuni Mita , Sarwati Mega 
Published: December 2022

Productivity and quality of crops can be increased through polyploidy plants induced by antimitotic compounds such as vinka alkaloids.The use of vinka alkaloids has never been applied to Sword bean (Canavalia ensiformis), a tropical legume belonging to the Fabaceae family. This study aimed to determine the effects of vinka alkaloids treatment on the morphological characters of Sword bean. The treatment consist of four different vinka alkaloids concentrations (0.5%, 1.00%, 1.50%, 2.0%, and untreated (0.0%) act as control. The plants were arranged in a completely randomized design. Treated plants were characterized based on morphological traits such as plant height, leaf area and dry seed weight. The results obtained revealed significant difference (p≤0.05) in the morphological traits of the treated plants when compared with the control. Overall, 2.0% vinka alkaloids concentration resulted in higher average plant height by 193.8 ± 1.86, leaf area increments by 88.6 ± 5.1 (left leaf), 115.1 ± 4.7 (middle leaf), 86.2 ± 3.8 (right leaf) and the dry seed weight by 1.7 ± 3.6. The improvement of the traits is concentration dependent and increases with increment in vinka alkaloids concentration. Thus, we suggested that 2.0% concentration should be employed in improving Sword bean growth and yield.