bluuebunny/crossref_metadata_2025_split huggingface dataset:
Eating and Control Styles Axis in Mentalisation-Based Psychotherapy in Eating Disorders: A Randomised Clinical Trial
Authors: Golan Moria 
Published: May 2022

BackgroundClinicians need an instrument that helps their patients with eating disorders (ED) to explore their agent’s inner intentions and confront negative behaviour and control styles.ObjectivesTo assess the feasibility and impact of an eating and control styles axis (ECOSA) during the first 8 months of mentalisation-based psychotherapy with a community-based sample of ED patients.MethodsSix experienced therapists and their consecutively admitted patients were randomly allocated to the intervention and control groups. A total of 94 women, Mage = 24 were recruited between June 2020 and October 2021. Ninety completed it. Both groups received mentalisation-based psychotherapy, but only the intervention group used the ECOSA repeatedly. Therapists and participants were blinded to the study aims and hypothesis. Fidelity assessment was applied to ensure that the two groups differed mainly in terms of ECOSA usage.ResultsThe use of ECOSA, although less than advised, was reported as feasible. The effect size of the improvement in reflective functioning was larger than that of the control group and correlated significantly only in the intervention group with EDE-Q score (r = 0.46; p = 0.001).ConclusionAlthough the study limitations: selective population, relatively small sample size and the lack of controlled confounder, the combined quantitative and qualitative results lend preliminary evidence for the validity and contribution of ECOSA as a possible instrument that may upgrade the clinician’s toolbox in the treatment of ED. A more rigorous study design is needed to explore the potential usage of ECOSA as a clinical tool to enhance mentalisation among people with ED.
New Life Through Disaster: A Thematic Analysis of Women's Experiences of Pregnancy and the 2016 Fort McMurray Wildfire
Authors: Pike Ashley , Mikolas Cynthia , Tompkins Kathleen , Olson Joanne , Olson David M. , Brémault-Phillips Suzette 
Published: May 2022

BackgroundOn May 3, 2016, residents of Fort McMurray Wood Buffalo, Alberta were evacuated due to an uncontrolled wildfire. The short-notice evacuation had destabilizing consequences for residents, including changes in routines, loss of control, and increased uncertainty. These consequences were especially detrimental to women who were pregnant or pre-conception during the evacuation. Pregnant and pre-conception women are particularly susceptible to a vast range of negative consequences during and post natural disasters, including elevated stress and higher incidence of pregnancy complications including gestational diabetes mellitus, pregnancy induced hypertension and C-section. The aim of this study was to understand the experiences, perceived stress and resilience of women who were pregnant during the wildfire. As well as to explore potential interventions to promote the health and enhance resilience of pregnant women and to assist in recovery after exposure to a natural disaster or other traumatic events.MethodsA qualitative thematic analysis of 16 narratives penned by pregnant women and recounted in Ashley Tobin's compilations 93/88,000 and 159 More/ 88,000: Stories of Evacuation, Re-Entry and the In-Between was conducted.ResultsAnalysis revealed five key themes: (1) experience of stress responses due to personal and external factors, (2) social connectedness and support as a facilitator of resilience, (3) performance of resilience-enhancing activities, (4) the roles of pregnancy and motherhood in the experiences of loss and resilience, and (5) the importance of home.ConclusionPregnant women have unique barriers that may negatively impact them during a natural disaster or other form of stressful event. They may benefit from assistance with navigating role transition during pregnancy, training in stress management strategies, and writing interventions to build resiliency and begin the process of recovery from trauma.
Serum Lipid Profiles and All-Cause Mortality: A Retrospective Single Center Study on Chinese Inpatient Centenarians
Authors: Zou Xiao , Li Jian-hua , Hu Yi-xin , Wang Hai-jun , Sun Sha-sha , Xu Wei-hao , Deng Xin-li , Sun Ting , Cao Jian , Fan Li , Si Quan-jin 
Published: May 2022

ObjectivesTo analyze the serum lipid profiles and investigate the relationship between the lipoprotein cholesterol levels and all-cause mortality in Chinese inpatient centenarians.DesignRetrospective study.MethodsCentenarians aged 100 years and older were admitted from January 2010 to January 2021 in our hospital. All centenarians completed a follow up visit till April 2021 of all-cause mortality and serum lipid profiles, including total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) levels. Cox proportional hazard models were used to assess the association between lipid profiles and all-cause mortality.Results(1) These 121 centenarians on average were 100.85 ± 1.37 years old (100~107 years), including 114 males and 7 females. (2) The rate of treatment with lipid-lowering drugs was 69.4%, and the lipid-lowering drugs were mainly statins (63.6%). (3) The results of serum lipid profiles were as follows: TC 3.90 ± 0.69 mmol/L, TG 1.36 ± 0.55 mmol/L, HDL-C 1.14 ± 0.24 mmol/L, and LDL-C 2.05 ± 0.46 mmol/L. (4) The median follow-up time was 589 days (95% CI: 475, 703), and the all-cause mortality rate was 66.1%. (5) Multivariable analysis showed that higher TC level (HR = 1.968, 95% CI = 1.191–3.253, P = 0.008), lower LDL-C level (HR = 0.379, 95% CI = 0.212–0.677, P = 0.001) was independent factors contributed to all-cause mortality. Sensitivity analysis showed that the above results were stable. The therapy and complication morbidity did not present significant publication bias.ConclusionsThe serum lipid profiles of Chinese inpatient centenarians were lower than those of the previous studies. Low LDL-C level was associated with an increased risk of all-cause mortality, which may indicate that more intensive lowering of LDL-C had a potential adverse effect on all-cause mortality for centenarians.
Cost-Effectiveness of Elbasvir/Grazoprevir for the Treatment of Chronic Hepatitis C: A Systematic Review
Authors: Liu Jinyu , Guo Min , Ke Lei , You Ruxu 
Published: May 2022

ObjectiveThis study aims to systematically review recent economic evaluations of elbasvir/grazoprevir (EBR/GZR) for chronic hepatitis C (CHC), to critically appraise the reporting quality and to summarize the results.MethodsA literature search was undertaken using Medline, Embase, the Cochrane Library, EconLit, China National Knowledge Infrastructure, Wanfang Data, and Chongqing VIP to identify original articles containing economic evaluations of EBR/GZR for CHC published between 1 January 2000 and 31 December 2020. The Consolidated Health Economic Evaluation Reporting Standards statement was used to assess the quality of reporting of the articles.ResultsOf 93 articles identified, 13 studies fulfilled the inclusion criteria. These studies were conducted in 4 countries, and 8 active interventions were assessed. The target population was patients infected with CHC genotype 1 infection in all studies. Eight out of 13 studies that compared EBR/GZR vs. other direct antiviral agents suggested that EBR/GZR was generally more cost-effective or dominant than daclatasvir/asunaprevir (DCV/ASV), sofosbuvir/velpatasvir (SOF/VEL), ledipasvir/sofosbuvir (LDV/SOF), ombitasvir/paritaprevir/ritonavir + dasabuvir (3D) but not more cost-effective than glecaprevir/pibrentasvir (GLE/PIB). Two studies from China and one study from the USA that compared EBR/GZR vs. pegylated interferon and ribavirin (PegIFN/RBV) consistently indicated that EBR/GZR was generally more cost-effective than PegIFN/RBV. One study from Italy compared EBR/GZR with SOF + PegIFN/RBV and suggested that EBR/GZR had a lower cost and higher effectiveness. One study from France and one study from the USA confirmed that compared with non-therapy for patients with chronic kidney disease, EBR/GZR was cost-effective at commonly accepted current standards. All included studies were of good quality of reporting, with an average score of 21.9 (range 19–23).ConclusionEBR/GZR for CHC genotype 1 might be cost-effective or dominant compared with PegIFN/RBV and other direct antiviral agents (SOF/VEL, 3D, DCV/ASV, LDF/SOF) or non-therapy. However, under certain assumptions, EBR/GZR was not a cost-effective alternative for CHC patients vs. GLE/PIB.
Prenatal Detection of Congenital Heart Diseases Using Echocardiography: 12-Year Results of an Improving Program With 9782 Cases
Authors: Ou Yanqiu , Bloom Michael S. , Mai Jinzhuang , Francois Melissa , Pan Wei , Xiao Xiaohua , Wang Ximeng , Nie Zhiqiang , Qu Yanji , Gao Xiangmin , Wu Yong , Liu Xiaoqing , Zhuang Jian , Chen Jimei 
Published: May 2022

BackgroundA provincial program combining the effect of a government investment in prenatal screening and a specialized cardiac center was introduced in 2004, to improve prenatal diagnosis by echocardiography for congenital heart diseases (CHDs) in the Guangdong Registry of Congenital Heart Disease, China.ObjectivesTo evaluate the effects of this program on the prenatal diagnosis rate (PDR) by echocardiography and termination of pregnancy (TOP).MethodsA retrospective study from 2004-2015 included 9782 fetuses and infants diagnosed with CHDs. The PDR was calculated for major and minor CHDs during pre-, mid- and post-program time-intervals. Multivariable logistic regression was utilized to analyze the associations between program implementation and the timing of CHD diagnosis (prenatal vs. postnatal) by different hospital levels. The rate for TOP were also evaluated.ResultsThe PDR increased by 44% for major CHDs in the post-program interval relative to the pre-program interval. The three most frequently diagnosed subtypes prenatally were hypoplastic left heart syndrome (84%), double outlet right ventricle (83%) and severe pulmonary stenosis (82%). Participants with a high school education experienced a greater increase in PDR than those without a high school education. The odds for a prenatal vs. a postnatal diagnosis for major CHD were greater after introduction of the program than before (adjusted odd ratio= 20.95, 95% CI:2.47, 178.06 in secondary hospitals; and adjusted odd ratio=11.65, 95% CI:6.52, 20.81 in tertiary hospitals). The TOP rate decreased from 52.3% pre-program to 19.6% post-program among minor CHD fetuses with a prenatal diagnosis (P for trend =0.041). A lower proportion of TOP were attributed to minor CHDs after the program.ConclusionsThe program combining the advantages of government investment and a specialized cardiac center appeared to increase the PDR by echocardiography for CHDs in an unselected population. The TOP rate among minor cases with prenatal diagnosis declined significantly after implementation of the program.
Transportation Patterns of Adults With Travel-Limiting Disabilities in Rural and Urban America
Authors: Myers Andrew , Ipsen Catherine , Standley Krys 
Published: May 2022

IntroductionLack of transportation is a significant barrier to community participation for many disabled adults. Living in a rural area introduces additional transportation barriers, such as having to travel long distances to access services or socialize, and limited public transit options. While the importance of transportation access is clear, the mix of different transportation options used by people with disabilities to participate in their communities is less understood, particularly among those who do not or cannot drive.MethodsWe used data from the 2017 National Household Travel Survey to explore transportation behaviors among disabled adults in rural and urban areas and by four regions across the United States. We explored differences by transportation modalities (e.g., driver, passenger, public transportation, taxi/uber, walk) and trip purposes (e.g., social, independent living, healthcare, work). Our sample included 22,716 adults with travel-limiting disabilities.ResultsSeveral geographic differences emerged among non-drivers. Rural non-drivers were less likely to take any trip, particularly for social activities, and reported using less public transportation or walking/rolling than urban non-drivers. Further, respondents from the Northeast were more likely to report using public transportation and walking/rolling options, relative to the Midwest, South, and West. Overall, disabled rural adults reported lower odds of giving up driving, even after controlling for socio-demographic and health characteristics.DiscussionThese findings highlight the relative importance of different transportation modalities for participating in activities and the continued reliance upon personal vehicles, either as a driver or passenger, especially among rural disabled residents. Potential policy insights are discussed.
Experience in the Management of Vaginal Cuff Dehiscence and Evisceration: A Retrospective 37-Year Single-Center Study
Authors: Ma Xiao , Cao Dong-Yan , Dai Yu-Xin 
Published: May 2022

PurposeVaginal cuff dehiscence (and evisceration) (VCD(E)) is an extremely rare and late-onset complication of total hysterectomy (TH). Limited evidence is available to guide clinicians in managing VCD(E). This study aimed to summarize the clinical characteristics of patients with VCD(E) treated in our center and share our experience in managing VCD(E).Patients and methodsFrom 1983 to 2020, a total of 14 cases of VCD(E), including 10 cases in our hospital and 4 cases in other hospitals, were included. Medical records were reviewed to summarize the clinical features and management of VCD(E).ResultsThe incidence of VCD(E) in our hospital was 10/46,993 (0.02%), and all 10 patients underwent laparoscopic hysterectomy. The median TH-to-VCD(E) interval was 3.13 months (8 days–27.43 months), and 11/14 (78.57%) patients experienced VCD(E) after coitus. The 3 major symptoms included abdominal pain in 11 patients, irregular vaginal bleeding in 8, and sensation of bulging or prolapsed organs in 4. Except for 2, most patients presented to our hospital within 72 h since the onset of the discomfort. All 14 cases were diagnosed through speculum examination: 3 had simple VCD, and 11 had VCDE. The protruding bowels of 4 patients were immediately manually repositioned in the emergency department without anesthesia. Regarding the surgical approach, 11 patients underwent simple transvaginal, 2 patients underwent laparoscopic-vaginal combined (transvaginal cuff closures), and 1 patient underwent laparoscopic. All but 1 patient did not undergo resection of the eviscerated organs. The median follow-up period was 39.33 (7.9–159.33) months. No patients showed any evidence of recurrence to date.ConclusionsLaparoscopic hysterectomy is a risk factor for VCD(E), and early initiation of sexual intercourse is the most common trigger of VCD(E). Clinicians should educate patients to postpone sexual intercourse for at least 3–6 months after TH. Immediate medical attention and patient-specific surgical management are crucial to avoid serious complications.
Leitura deleite: reflexões para a expansão das práticas de leitura por professores alfabetizadores com os multiletramentos
Authors: Feitoza Iranara Saraiva Alves 
Published: May 2022

Este artigo origina-se de uma pesquisa de mestrado da Pontifícia Universidade Católica de São Paulo voltada à investigação das práticas de leitura comumente realizadas nos Anos Iniciais do Ensino Fundamental. Pela utilização majoritária de um questionário realizado com 18 professores alfabetizadores foi possível a constatação da predileção pela prática de leitura deleite, a leitura inicial feita pelo professor com a finalidade de desenvolver o interesse pelo ato de ler. Embora a prática favoreça a formação do leitor, torna-se fundamental o olhar para a expansão de múltiplas possibilidades em torno da leitura e literatura, motivo pelo qual se delineia uma proposta formativa com os multiletramentos como meio de expandir as ações docentes em um contexto colaborativo, ativo e participativo. This article originates from a master's research at the Pontifical Catholic University of São Paulo focused on the investigation of reading practices commonly carried out in the Initial Years of Elementary School. Due to the majority use of a questionnaire carried out with 18 teachers, it was possible to verify the predilection for the practice of delight reading, the initial reading done by the teacher in order to develop interest in the act of reading. Although the practice favors the formation of the reader, it is essential to look at the expansion of multiple possibilities around reading and literature, which is why a formative proposal with multiliteracies is outlined as a means of expanding teaching actions in a collaborative context, active and participatory.
Effects of P co-doping on X-ray/450 nm LD induced photodarkening in Dy3+ doped silica glass and fiber laser
Authors: Okazaki Tomoya , Fujigaki Yuma , Sekiya Edson Haruhico , Kawai Kota , Mizusaki Masato , Kanbayashi Yuta , Saito Kazuya 
Published: May 2022

Abstract
Effects of P-codoping on X-ray/450 nm LD induced photodarkening in Dy3+ doped silica glass and fiber were investigated to develop a visible fiber laser. P and Dy concentrations in Dy-P-doped silica glass were optimized to reduce Rayleigh scattering. It was found in optimized glass that X-ray-induced photodarkening can be well suppressed by P co-doping. 450 nm LD pumped laser oscillation was firstly observed in the fiber using optimized glass. The slope efficiency is 4.2% which is lower than those in Dy–Al-and Dy–Al–Ge-doped fibers previously reported. Contrary to the results of X-ray-induced PD, 450 nm LD-induced photodarkening easily occurred.
Pengaruh perbandingan penggunaan karagenan dan kitosan terhadap analisis proksimat dodol rumput laut cokelat (Sargassum sp)
Authors: Desrizal  , Karina Indira , Noviani Indri 
Published: May 2022

Dodol is one of a traditional food in Indonesia, One of the combinations of healthy products with dodol in supporting for nutritous food ingredients with addtitions of seaweed, can be categorized as a healthy and safe food product for consumpsion by consumers. Chocolate seaweed Dodol is processed using basic ingredients such as Sargassum sp seaweed and additives such as sugar, flour, coconut milk, salt, and other additives as well. This study was aimed to study the effect of different ratios of carrageenan to citosan for edible coating on proximate analysis of chocolate seaweed Dodol. The method used in this research is to use a simple complete random design with 5 level treatment of different ratio of carrageenan to chitosan, that; A (100%:0%), B (75%:25), C (50%:50%), D (25%:75%) dan E (0%:100%). The proximate analysis showed that no significant difference for moisture content. The moisture content ranges 17.62 - 18.67%, protein content 4.68 - 12.35%, fat content 0.41 - 0.53%, ash content 1.13 - 1.41% and carbohydrate composition ranges 68.41-74.94%.
Pengaruh Harga dan Ulasan Produk Terhadap Keputusan Pembelian Pada Marketplace Shopee di Kabupaten Bekasi
Authors: Alfirdausi Khudaifah , Marpaung Netti Natarida 
Published: May 2022

The development of online stores in Indonesia is growing very rapidly. This makes manufacturers compete to sell on the Marketplace by providing a variety of products. This study aims to determine the effect of price and product reviews on purchasing decisions in the Shopee Marketplace partially and simultaneously. This type of research is quantitative with a survey method. The sample in this study was 98 people. Sources of data from this study using primary data. The data analysis technique used multiple linear regression analysis with F test (simultaneous) and t test (partial). The calculation process uses SPSS 26.0. The results show that there is a significant positive effect between price and product reviews on purchasing decisions on the Shopee Marketplace, either partially or simultaneously.
Abstrak
Perkembangan toko online di Indonesia berkembang sangat pesat. Hal ini membuat produsen berlomba-lomba menjual di Marketplace dengan menyediakan berbagai macam produk. Penelitian ini bertujuan untuk mengetahui Pengaruh harga dan Ulasan Produk terhadap keputusan pembelian pada Marketplace Shopee secara parsial dan simultan. Jenis penelitian ini adalah kuantitatif dengan metode survei. Sampel dalam penelitian ini sebanyak 98 orang. Sumber data dari penelitian ini menggunakan data primer. Teknik analisis data menggunakan analisis regresi linier berganda disertai dengan uji F (simultan) dan uji t (parsial). Proses perhitungan menggunakan SPSS 26.0. Hasil penelitian menunjukkan, terdapat pengaruh positif yang signifikan dari harga dan ulasan produk terhadap keputusan pembelian pada Marketplace Shopee secara parsial maupun simultan.
Longitudinally Asymmetric Stratospheric Oscillation on a Tidally Locked Exoplanet
Authors: Cohen Maureen , Bollasina Massimo A. , Palmer Paul I. , Sergeev Denis E. , Boutle Ian A. , Mayne Nathan J. , Manners James 
Published: May 2022

Abstract
Using a three-dimensional general circulation model, we show that the atmospheric dynamics on a tidally locked Earth-like exoplanet, simulated with the planetary and orbital parameters of Proxima Centauri b, support a longitudinally asymmetric stratospheric wind oscillation (LASO), analogous to Earth’s quasi-biennial oscillation (QBO). In our simulations, the LASO has a vertical extent of 35–55 km, a period of 5–6.5 months, and a peak-to-peak wind speed amplitude of −70 to +130 m s−1 with a maximum at an altitude of 41 km. Unlike the QBO, the LASO displays longitudinal asymmetries related to the asymmetric thermal forcing of the planet and to interactions with the resulting stationary Rossby waves. The equatorial gravity wave sources driving the LASO are localized in the deep convection region at the substellar point and in a jet exit region near the western terminator, unlike the QBO, for which these sources are distributed uniformly around the planet. Longitudinally, the western terminator experiences the highest wind speeds and undergoes reversals earlier than other longitudes. The antistellar point only experiences a weak oscillation with a very brief, low-speed westward phase. The QBO on Earth is associated with fluctuations in the abundances of water vapor and trace gases such as ozone, which are also likely to occur on exoplanets if these gases are present. Strong fluctuations in temperature and the abundances of atmospheric species at the terminators will need to be considered when interpreting atmospheric observations of tidally locked exoplanets.
A Possible Gamma-Ray Enhancement Event in Tycho's Supernova Remnant
Authors: Xing Yi , Wang Zhongxiang , Zhang Xiao , Chen Yang 
Published: May 2022

Abstract
We report a possible γ-ray enhancement event detected from Tycho’s supernova remnant (SNR), the outcome of a type Ia supernova explosion that occurred in the year 1572. The event lasted for 1.5 yr and showed a factor of 3.6 flux increase mainly in the energy range of 4–100 GeV, while notably accompanied with two 478 GeV photons. Several young SNRs (including Tycho’s SNR) were previously found to show peculiar X-ray structures with flux variations in one- or several-year timescales, such an event at γ-ray energies is for the first time seen. The year-long timescale of the event suggests a synchrotron radiation process, but the hard γ-ray emission requires extreme conditions of either ultrahigh energies for the electrons up to ∼10 PeV (well above the cosmic-ray knee energy) or high inhomogeneity of the magnetic field in the SNR. This event in Tycho’s SNR is likely analogous to the γ-ray flares observed in the Crab Nebula, the comparably short timescales of them both requiring a synchrotron process, and similar magnetohydrodynamic processes such as magnetic reconnection would be at work as well in the SNR to accelerate particles to ultrarelativistic energies. The event, if confirmed, helps reveal the more complicated side of the physical processes that can occur in young SNRs.