bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mindfulness and Implementation Planning: Promoting Self-Reported and Behavioral Forgiveness
Authors: Whitaker Whitney K. , Brannon Laura A. 
Published: May 2022

The current research examined mindfulness and implementation planning as practices that promote interpersonal forgiveness. A unique contribution of this work includes the investigation of motives and techniques that might promote both self-reported and behavioral forgiveness. Young adults ( N = 80; M = 19.2 years) completed a task in which a standardized, interpersonal transgression occurred without the participants’ knowledge. Results indicate that individuals who received training in either a mindfulness practice (i.e., mindful breathing) or implementation planning practice (i.e., developing “if-then” plan statements) reported better overall mood following the standardized transgression. Interestingly, mindful breathing appeared to be the most beneficial practice to enhance positive attitudes toward the forgiveness process and promote self-reported and behavioral forgiveness. Findings are consistent with prior research investigating the effectiveness of mindful breathing and implementation planning following an actual interpersonal transgression. Implications as well as future research directions within the context of forgiveness and relationships are discussed.
Evaluating Different Strategies on the Blood Collection Counter Settings to Improve Patient Waiting Time in Outpatient Units
Authors: Chen Chih-Hao , Tsai Yao-Te , Chou Chun-An , Weng Shao-Jen , Lee Wen-Chin , Hsiao Li-Wei , Derek Natan , Ko Chang-Pu 
Published: May 2022

Long patient waiting time is one of the major problems in the healthcare system and it would decrease patient satisfaction. Previous studies usually investigated how to improve the treatment flow in order to reduce patient waiting time or length of stay. The studies on blood collection counters have received less attention. Therefore, the objective of this study is to reduce the patient waiting time at outpatient clinics for metabolism and nephrology outpatients. A discrete-event simulation is used to analyze the four different strategies for blood collection counter resource allocation. Through analyzing four different strategic settings, the experimental results revealed that the maximum number of patients waiting before the outpatient clinics was reduced from 41 to 33 (20%); the maximum patient waiti-ng time at the outpatient clinics was decreased from 201.6 minutes to 83 minutes (59%). In this study, we found that adjusting the settings of blood collection counters would be beneficial. Assigning one exclusive blood collection counter from 8 to 10 am is the most suitable option with the least impact on the operational process for hospital staff. The results provide managerial insight regarding the cost-effective strategy selection for the hospital operational strategy.
“Exams by You”: Having Students Write and Complete Their Own Exams During the COVID-19 Pandemic
Authors: Saucier Donald A. , Schiffer Ashley A. , Jones Tucker L. 
Published: May 2022

Background The COVID-19 pandemic made it difficult to proctor exams after the forced transition to remote teaching and learning. Objective We evaluated students’ experiences creating and answering their own exam items in an upper-level psychology course during the transition to remote teaching and learning during the COVID-19 pandemic. Method Students in an advanced social psychology course wrote and answered exam items to demonstrate their learning when proctored exams became impossible during the COVID-19 pandemic. The exams were graded for breadth, depth, and accuracy, and compared to other demonstrations of learning, including traditional in-class exams taken prior to the transition to remote teaching and learning. Results Students performed well on these exams. Students reported positive perceptions of these exams during the COVID-19 pandemic, but reported that, while these exams reduced test anxiety, they were time-intensive. Conclusion Students can demonstrate their learning by writing and completing their own exams. Their higher grades may be related to reduced test anxiety and greater time investments. Teaching Implications Instructors should consider having students write and complete their own exams to demonstrate their learning, especially when proctoring exams is difficult or impossible.
Pain management and strength gains compared between pneumatic partial weight support treadmill and underwater treadmill in overweight patients with knee osteoarthritis: A randomized controlled trial
Authors: Kuptniratsaikul V , Chaiworapuek W , Kovintaset K , Meesawang M , Chinsawangwatanakul P , Danoi A 
Published: May 2022

Objective To investigate the efficacy of the pneumatic partial weight support treadmill compared to the underwater treadmill (UTM) for reducing pain and increasing quadriceps strength in overweight patients with knee osteoarthritis. Design Non-inferiority trial with a pre-specified 1-point range Methods Participants (N = 109) were randomly assigned to the study (pneumatic partial weight support treadmill) (n = 55) or control (UTM) (n = 54) groups. Patients in both groups started with 50% weight support during the first week, 40% during the second week, and 30% during the third week and until the end of the study. Both groups received exercise for 30 min, 3 times per week for 8 weeks (24 sessions). Outcome measurements, including numerical pain rating scale, Western Ontario and McMaster Universities Osteoarthritis Index pain subscale, quadriceps strength, body weight, 6-min walking test, and quality of life, were evaluated at baseline, 8 weeks, and 12 weeks. Results Only 74 participants completed the study. Numerical pain rating scale and the Western Ontario and McMaster Universities Osteoarthritis Index showed non-inferiority of the study to control group. Improvement in quadriceps strength was significantly greater in the study than in control group. Adverse events were not significantly different between groups. Most subjects were satisfied and rated themselves as improved or much improved. Approximately three-quarters of participants attended more than 20 sessions, and there was no significant difference in outcomes between good and poor compliance. Conclusion Pneumatic partial weight support treadmill can significantly decrease pain non-inferior to UTM, and can significantly increase quadriceps strength compared to UTM.
The burden associated with, and management of, difficult-to-treat depression in patients under specialist psychiatric care in the United Kingdom
Authors: Costa Tiago , Menzat Bayar , Engelthaler Tomas , Fell Benjamin , Franarin Tarso , Roque Gloria , Wei Yiran , Zhang Xinyue , McAllister-Williams R Hamish 
Published: May 2022

Background: Major depressive disorder (MDD) is common and often has sub-optimal response to treatment. Difficult-to-treat depression (DTD) is a new concept that describes ‘depression that continues to cause significant burden despite usual treatment efforts’. Aims: To identify patients with likely DTD in UK secondary care and examine demographic, disease and treatment data as compared with ‘non-DTD’ MDD patients. Methods: Anonymised electronic health records (EHRs) of five specialist mental health National Health Service (NHS) Trusts in the United Kingdom were analysed using a natural language processing model. Data on disease characteristics, comorbidities and treatment histories were extracted from structured fields and using natural language algorithms from unstructured fields. Patients with MDD aged ⩾18 years were included in the analysis; those with presumed DTD were identified on the basis of MDD history (duration and recurrence) and number of treatments prescribed. Results: In a sample of 28,184 patients with MDD, 19% met criteria for DTD. Compared to the non-DTD group, patients with DTD were more likely to have severe depression, suicidal ideation, and comorbid psychiatric and/or physical illness, as well as higher rates of hospitalisation. They were also more likely to be in receipt of unemployment and sickness/disability benefits. More intensive treatment strategies were used in the DTD group, including higher rates of combination therapy, augmentation, psychotherapy and electroconvulsive therapy. Conclusion: This study demonstrates the feasibility of identifying patients with probable DTD from EHRs and highlights the increased burden associated with MDD in these patients.
Validating the Negative Emotion Regulation Inventory Measure of Emotion Regulation for Children in Preadolescence
Authors: House Heather P. , Kochendorfer Logan B. , Brumariu Laura E. , Kerns Kathryn A. 
Published: May 2022

Emotion modulation is achieved through various strategies. We further validated a measure of emotion regulation (ER), the Negative Emotion Regulation Inventory (NERI), designed by Zimmermann and Iwanski (2014) to assess emotions and ER strategies in situations intended to induce sadness, fear, or anger. U.S. children 9–14 years old ( n = 105) completed an adapted version of the NERI and measures of anxiety symptoms and attachment security. We replicated Zimmermann and Iwanski’s (2014) finding that ER strategies (adaptive regulation, social support seeking, dysfunctional rumination, expressive suppression) varied by emotion situation. We extended their study by showing that specific ER strategies were related to both anxiety symptoms and secure parent-child attachment. This cross-cultural replication and extension study provided some evidence for the reliability and validity of the adapted NERI in U.S. preadolescents.
Reference ranges of fetal cisterna magna volume measurements by three-dimensional ultrasonography in the late second trimester considering sonographic experience
Authors: Selcuk Koray , Sezik Mekin , Yalcin Serenat Eris , Yavuz And 
Published: May 2022

Background Volume measurements of fetal cisterna magna (CM) by three-dimensional (3D) ultrasonography may have a role in the diagnosis of various posterior fossa abnormalities. Purpose To evaluate reference intervals and reliability of fetal CM volume values by virtual organ computer-aided analysis (VOCAL) in structurally normal fetuses, considering experience of evaluators. Material and Methods Three operators with different 3D sonography experience levels measured CM volumes of 100 structurally normal fetuses at 18–27 weeks of gestation. Reference intervals for CM volumes were generated. Intraclass correlation coefficients (ICC) were calculated. Results Mean fetal CM volume measurements by the three operators did not significantly ( P = 0.49, P = 0.22, and P = 0.17, respectively) change through 20–23 weeks of gestation. Moderate degrees of inter-observer reliability were found with an ICC of 0.69 between novice and intermediate-level, ICC of 0.74 between experienced and intermediate-level, and ICC of 0.78 between experienced and novice observer, respectively. The novice sonographer generally overestimated CM measurements. Intra-observer reliability was good (ICC=0.85). Conclusion A reference chart for fetal CM volume by VOCAL was formed, revealing uniform mean values of 20–23 weeks of gestation. The inter-observer reliability is moderate, and biases seem relatively common for all experience categories.
Exploring COVID-19 Vaccine Hesitancy Amongst Black Americans: Contributing Factors and Motivators
Authors: Sekimitsu Sayuri , Simon Jessica , Lindsley Mika Matsuuchi , Jones Melissa , Jalloh Umin , Mabogunje Titilayo , Kerr Jordyn , Willingham Mikayla , Ndousse-Fetter Sula Bahiyyih , White-Hammond Gloria , Altman Wayne 
Published: May 2022

Purpose To determine reasons for hesitancy towards COVID-19 vaccination and motivators to increase COVID-19 vaccine uptake among Black Americans. Design Mixed-methods. Setting Individual interviews in March-April 2021 Participants Black adults (20-79 years) who attended a church in Boston, MA and identified as “vaccine hesitant” (n = 18). Methods Individual in-depth Zoom interviews to elicit participant views on vaccines in general, specific reasons for COVID-19 vaccine hesitancy, and trusted sources of information. Participants were also asked about possible motivators that could increase COVID-19 vaccine uptake. Transcripts were de-identified and analyzed for major themes using an inductive approach. Results Analysis included 18 complete interviews. Lack of trust in the government, healthcare, or pharmaceutical companies (n = 18), rushed development (n = 14), fear of side effects (n = 12), history of medical mistreatment (n = 12), and a perception of low risk of disease (n = 9) were the top-cited reasons for COVID-19 vaccine hesitancy. Motivators likely to increase COVID-19 vaccine uptake included more data (n = 17), friends and family getting vaccinated (not celebrities) (n = 11), and increased opportunities that come along with being vaccinated (n = 8). Conclusion There were many reasons for COVID-19 vaccine hesitancy, as reported by participants who were all Black Americans in the Boston area. The public health challenge of increasing vaccine uptake in the Black community is nuanced and intervention efforts may be more successful if delivered by trusted members of the community and tailored to the needs of individuals.
The development of trait greed during young adulthood: A simultaneous investigation of environmental effects and negative core beliefs
Authors: Mussel Patrick , de Vries Jantje , Spengler Maik , Frintrup Andreas , Ziegler Matthias , Hewig Johannes 
Published: May 2022

Recent models of personality development have emphasized the role of the environment in terms of selection and socialization effects and their interaction. Our study provides partial evidence for these models and, crucially, extends these models by adding a person variable: Core beliefs, which are defined as mental representations of experiences that individuals have while pursuing need-fulfilling goals. Specifically, we report results from a longitudinal investigation of the development of trait greed across time. Based on data from the German Personality Panel, we analyzed data on 1,965 young adults on up to 4 occasions, spanning a period of more than 3 years. According to our results, negative core beliefs that have so far been proposed only in the clinical literature (e.g., being unloved or being insecure) contributed to the development of trait greed, indicating that striving for material goals might be a substitute for unmet needs in the past. Additionally, greedy individuals more often self-selected themselves into business-related environments, which presumably allow them to fulfill their greed-related need to earn a lot of money. Our results expose important mechanisms for trait greed development. Regarding personality development in general, core beliefs were identified as an important variable for future theory building.
Holistic Health Practices of Rural Thai Homebound Older Adults: A Focused Ethnographic Study
Authors: Detthippornpong Supussajee , Songwathana Praneed , Bourbonnais Anne 
Published: May 2022

Introduction: Supporting independent functioning of homebound, chronically ill older adults (HOAs) is a major concern across cultures. In Thailand, actions HOAs take to remain independent and maintain their holistic (mental, physical, and spiritual) health is understudied. Therefore, we explored self-care practices used by rural Thai HOAs to maintain their independence. Methods: We used a focused ethnographic approach, recruiting HOAs, their families, and community members from a rural area in Southern Thailand. Data were analyzed using content analysis. Results: Sixteen HOAs and 23 family/community members participated. Three themes emerged: self-care to stay healthy, sharing life with family and society in a positive way, incorporating both folk and modern medicine to maintain health. Factors facilitating holistic health practices were supportive family network, Thai cultural beliefs, community strength and support, and health care services. Discussion/Conclusions: These findings may help health care professionals develop interventions supporting holistic health practices of Thai HOAs to remain independent.
Serum Human Epididymis Protein 4 as a Prognostic Marker in Cervical Cancer
Authors: Hwang Woo Yeon , Suh Dong Hoon , Kim Kidong , Kim Yong Beom , No Jae Hong 
Published: May 2022

Objectives The objective is to evaluate the prognostic value of serum human epididymis protein 4 (HE4) as a tumor marker in patients with cervical cancer. Methods Sixty-seven patients with cervical cancer treated at Seoul National University Bundang Hospital from September 2014 to May 2018 were retrospectively reviewed. Serum HE4 levels were measured by immunoassay before starting primary treatment. A mean serum HE4 level of 72.6 pmol/L was used to divide the patients into low and high HE4 groups. Patient characteristics, clinicopathological variables, and survival outcomes were compared between the two groups. Results The low and high HE4 groups included 55 (82.1%) and 12 (17.9%) patients at diagnosis, respectively. Higher HE4 levels were significantly associated with older age at diagnosis (age <50: .0% vs age ≥50: 100.0%; P = .002), menopause (premenopause: 8.3% vs postmenopause: 91.7%; P = .009), higher FIGO stage (stage I–II: 33.3% vs III–IV: 66.7%; P = .017), large tumor size (<4.0 cm: 41.7% vs ≥4.0 cm: 58.3%; P = .029), positive lymph node metastasis (negative: 41.7% vs positive: 58.3%; P = .049), and involvement of the parametrium (negative: 25.0% vs positive: 75.0%; P = .002). Higher HE4 level was a predictive factor for worse overall survival but not for progression-free survival. Elevated HE4 levels were not independent factors for the prediction of either overall survival or progression-free survival. Subgroup analysis by histological type revealed similar results for patients with squamous cell carcinoma. Conclusions High levels of HE4 expression correlated with poor overall survival, indicating that elevated HE4 levels are associated with a poor prognosis for patients with cervical cancer.
Safety of Percutaneous Femoral Access for Endovascular Aortic Aneurysm Repair Through Previously Surgically Exposed or Repaired Femoral Arteries
Authors: Meertens Max M. , Tenorio Emanuel R. , Lemmens Charlotte C. , Marcondes Giulianna B. , Lima Guilherme B. B. , Schurink Geert Willem H. , Mendes Bernardo C. , Oderich Gustavo S. , Mees Barend M. E. 
Published: May 2022

Objective: Percutaneous femoral artery access is being increasingly used in endovascular aortic repair (EVAR). The technique can be challenging in patients with previously surgically exposed or repaired femoral arteries because of excessive scar tissue. However, a successful percutaneous approach may cause less morbidity than a “re-do” open femoral approach. The aim of this study was to assess the impact of prior open surgical femoral exposure on technical success and clinical outcomes of percutaneous approach. Methods: This study retrospectively reviewed the clinical data of patients who underwent percutaneous EVAR between 2010 and 2020 at 2 major aortic centers. Patients were divided into 2 groups (with or without prior open surgical femoral access) for analysis of clinical outcomes. Only punctures with sheaths ≥12Fr were included for analysis. The access and (pre)closure techniques were similar in both institutions. Primary end points were intraoperative technical success, access-related revision, and access complications. A multivariate analysis was performed to identify determinants of conversion to open approach and femoral access complications in intact and re-do groins. Results: A total of 632 patients underwent percutaneous (complex) EVAR: 98 had prior open surgical femoral access and 534 patients underwent de novo femoral percutaneous access. A total of 1099 femoral artery punctures were performed: 149 in re-do and 950 in intact groins. The extent of endovascular repair included 159 infrarenal, 82 thoracic, 368 fenestrated/branched, and 23 iliac branch devices. No significant differences were seen in technical success (re-do 93.3% vs intact 95.3%, p=0.311), access-related surgical revision (0.7% vs 0.6%, p=0.950), and access complications (2.7% vs 4.0%, p=0.443). For the whole group, significant predictors for access complications in multivariate analyses were main access site (odds ratio [OR] 2.39; 95% confidence interval [CI] 1.07%–5.35%; p=0.033) and increase of the procedure time per hour (OR 1.65; 95% CI 1.34%–2.04%; p<0.001), while increase in sheath-vessel ratio had a protective effect (OR 0.33; 95% CI 0.127%–0.85%; p=0.021). Surgical conversion was predicted by main access site (OR 2.32; 95% CI 1.28%–4.19%; p=0.007) and calcification of 50% to 75% of the circumference of the access vessel (OR 3.29; 95% CI 1.38%–7.86%; p=0.005). Conclusion: Within our population prior open surgical femoral artery exposure or repair had no negative impact on the technical success and clinical outcomes of percutaneous (complex) endovascular aortic aneurysm repair.
Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series
Authors: Torrealba Jose Ignacio , Valdés Francisco J , Garrido Luis , Mertens Renato , Mariné Leopoldo , Bergoeing Michel , Vargas Francisco 
Published: May 2022

Background Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.