bluuebunny/crossref_metadata_2025_split huggingface dataset:
PP37 Examining the potential for uncontrolled organ donation after out-of-hospital cardiac arrest in Canada – a sub analysis of the canROC registry
Authors: Lanos Chelsea , Drennan Ian , Batt Alan , Solimon Karim , Lin Steve , Vaillancourt Christian , Dhanani Sonny , Cook Dominique , Jenkins Sue 
Published: August 2022

BackgroundIn 2020, there were 4,352 people waiting for organ transplantation in Canada. A rise in demand has led to national exploration of non-traditional pathways for organ donation to increase the potential pool of donors and subsequent transplant recipients. Donation after Cardiac Death (DCD) has become a promising option across Canada and in other jurisdictions worldwide. One unexplored aspect to uncontrolled DCD (uDCD) in Canada is the inclusion of patients who suffer an out-of-hospital cardiac arrest (OHCA) into the pool of potential donors, of which there are an estimated 40,000 each year in Canada. The primary objective of this study is to quantify the potential pool of donors that would be eligible for uDCD subsequent to OHCA. This will allow us to understand how many potential donors are being missed when treated, but not transported after an OHCA.MethodsA retrospective observational cohort study will be undertaken, using pre-existing data from the Canadian Resuscitation Outcomes Consortium (CanROC) registry, a pan- Canadian registry that collects prospective OHCA data. Consecutive OHCA cases from January 1, 2016 - December 31, 2018 meeting inclusion criteria will be included.ResultsDescriptive analysis will be used to examine patient and event characteristics, and determine the proportion of patients who meet the indication for uDCD. Results will be reported as mean (standard deviation [SD]) or median (interquartile range [IQR]) for continuous variables and frequency (%) for categorical variables.ConclusionsPreliminary literature review suggests uDCD subsequent to OHCA is a viable opportunity to increase the donor pool in Canada. Presently, there is a lack of understanding of this pool of potential donors, and no programs exist in Canada to recruit from this population. In order to determine if pursuing uDCD subsequent to OHCA to improve organ donation rates is worthwhile, we must first quantify its potential.
PP39 Emergency service provider perspectives of feasibility and acceptability of emergency services distribution of take home naloxone
Authors: Sampson Fiona C , Hughes Jane , Long Jaqui , Buykx Penny , Snooks Helen 
Published: August 2022

IntroductionNaloxone is an effective emergency antidote to opioid overdose. Increasing availability of take-home naloxone (THN) may reduce overdose deaths from heroin and other opiate drugs. We explored stakeholder perspectives of the processes, feasibility and acceptability of THN distributed in emergency settings as part of a feasibility study for a randomised controlled trial (RCT).MethodsWe conducted qualitative semi-structured interviews (12 participants) and a focus group (8 participants) with Emergency Department staff and paramedics. We transcribed interviews verbatim and used Normalisation Process Theory to guide data collection and analysis.ResultsParticipants perceived emergency service provision of THN as a low cost, low risk intervention and demonstrated coherence in understanding the aims of the trial and how it related to their work practices. Paramedics in particular recognised benefits of THN as distinct from naloxone alone and valued the additional provision of training and education, compatible with ‘making every contact count’. Participants reported limited opportunities for THN provision to this cohort due to low engagement from eligible patients, but perceived there to be high potential benefit for a subset of emergency service users who would not otherwise access THN. Provision of THN to patients during the trial was low due to limited numbers of eligible patients, high turnover of trained staff and recruitment pauses due to protocol changes and Covid-19. Determination of effectiveness was perceived to be challenging within a trial due to high levels of community provision of THN. There was overall support from ED and paramedic staff for the roll out of emergency setting provision of THN as standard practice, outside the confines of a trial.ConclusionsDistribution of THN in emergency settings appears to be feasible and acceptable for stakeholders and may widen access to THN for users not engaging with wider community drug services. Further RCTs of THN in emergency settings may be limited by difficulties in recruitment and limited opportunity to recruit new patients, where THN provision from other settings is widespread.
04 People with diabetes and ambulance staff perceptions of a booklet-based intervention for diabetic hypoglycaemia, ‘hypos can strike twice’: a mixed methods process evaluation
Authors: Laparidou Despina , Botan Vanessa , Law Graham R , Rowan Elise , Smith Murray D , Brewster Amanda , Spaight Robert , Spurr Keith , Mountain Pauline , Dunmore Sally , James June , Roberts Leon , Khunti Kamlesh , Niroshan Siriwardena Aloysius 
Published: August 2022

BackgroundHypoglycaemia is a potentially serious condition, characterised by lower-than-normal blood glucose levels, common in people with diabetes (PWD). It can be prevented and self-managed if expert support (e.g., education on lifestyle and treatment) is provided. Our aim was to conduct a process evaluation to investigate how ambulance staff and PWD perceived the ‘Hypos can strike twice’ booklet-based ambulance clinician intervention.MethodsWe used an explanatory sequential design with a self-administered questionnaire study followed by interviews of PWD and ambulance staff. We followed the Medical Research Council framework for process evaluations of complex interventions to guide data collection and analysis. Following descriptive analysis and exploratory factor analysis, multiple regression models were fitted to identify demographic predictors of overall and subscale scores.Results113 ambulance staff members and 46 PWD completed the survey. We conducted interviews with four ambulance staff members and five PWD who had been attended by an ambulance for a hypoglycaemic event. Overall, there were positive attitudes to the intervention from both ambulance staff and PWD. Although the intervention was not always implemented, most staff members and PWD found the booklet informative, easy to read and to use/explain. PWD who completed the survey reported that receiving the booklet reminded and/or encouraged them to test their blood glucose more often, adjust their diet, and have a chat/check up with their diabetes consultant. Interviewed PWD felt that the booklet intervention would be more valuable to less experienced patients or those who cannot manage their diabetes well. Participants felt that the intervention could be beneficial but were uncertain about whether it can prevent a second hypoglycaemic event and/or reduce the number of repeat ambulance attendances.ConclusionsThe ‘Hypos may strike twice’ intervention was found to be feasible, acceptable to PWD and staff, prompting reported behaviour change and help-seeking from primary care.
PP45 ‘Every day was a learning curve’: the experience of implementing COVID-19 triage protocols in UK ambulance services – a qualitative study
Authors: Porter Alison , Bell Fiona , Brady Mike , Brown Shona , Carson-Stevens Andy , Duncan Edward , England Louise , Evans Bridie , Foster Theresa , Gallanders John , Gunson Imogen , Harrington Barbara , Harris-Mayes Robert , Kingston Mark , Lyons Ronan , Miller Elisha , Newton Andy , Quinn Tom , Rosser Andy , Siriwardena Niro , Snooks Helen , Spaight Robert , Watkins Alan , Williams Victoria 
Published: August 2022

BackgroundTRIM is an evaluation of the models used to triage and manage emergency ambulance service care for patients with suspected Covid-19 during the first wave of the pandemic in 2020. We aimed to understand experiences and concerns of clinical and managerial staff about implementation of triage protocols in call centre and on-scene.MethodsResearch paramedics in four study sites across England interviewed purposively selected stakeholders from ambulance services (call handlers, clinical advisors in call centres, clinicians providing emergency response, managers) and ED clinical staff from one hospital per site. Interviews (n=23) were conducted remotely using MS Teams, recorded, and transcribed in full. Analysis generated themes from the implicit and explicit ideas within participants’ accounts, following the six stages of analysis described by Braun and Clarke, conducted by a group of researchers and PPI partners working together.ResultsWe identified the following themes:Constantly changing guidelines– at some points, updates several times a dayThe ambulance service as part of the wider healthcare system- changes in other parts of the healthcare system left ambulance services as the default optionPeaks and troughs of demand- demand fluctuated greatly over time, with workload varying across the ambulance service, including an increased role for clinical advisorsA stretched system -resources to respond to patient demand were stretched thinner by staff sickness and isolation, longer job times, and increased handover delays at EDEmotional load of responding to the pandemic -particularly for call centre staffDoing the best they can in the face of uncertainty -in the face of a rapidly evolving situation unlike any which ambulance services had faced beforeDiscussionImplementing triage protocols in response to the Covid-19 pandemic was a complex and process which had to be actively managed by a range of front line staff, dealing with external pressures and a heavy emotional load.
OP08 A feasibility cluster randomised controlled trial of a paramedic-administered breathlessness management intervention for acute-on-chronic breathlessness (BREATHE): study findings
Authors: Hutchinson Ann , Allgar Victoria , Cohen Judith , Currow David , Griffin Susan , Hart Simon , Hodge Andrew , Mason Suzanne , Northgraves Matthew , Reeve Joanne , Swan Flavia , Johnson Miriam 
Published: August 2022

BackgroundOne-fifth of conveyances to the emergency department (ED) are due to acute-on-chronic breathlessness. Paramedic breathlessness management may ease distress quicker and/or reduce ED conveyances. We evaluated the feasibility of a full trial of a paramedic delivered intervention to reduce avoidable conveyances (recruitment, randomisation, consent, training and intervention acceptability, adherence, data quality, best primary outcome, sample size estimation). The intervention comprised evidence-based non-drug techniques and a self-management booklet.MethodsThis mixed-methods feasibility cluster randomised controlled trial (ISRCTN80330546) with embedded qualitative study about trial processes, training and intervention delivery, randomised paramedics to usual care or to intervention+usual care. Retrospective patient consent to use call-out data and prospective patient/carer consent for follow-up was sought. Potential primary outcomes were breathlessness intensity (numerical rating scale) and ED conveyance. Follow-up included an interview for patients/carers and questionnaires at 14 days, 1 and 6 months and paramedic focus groups and survey.ResultsRecruitment was during the COVID-19 pandemic, leading to high demands on paramedics and fewer call-outs by eligible patients. We enrolled 29 paramedics; 9 withdrew. Randomisation/trial procedures were acceptable. Paramedics recruited 13 patients; 8 were followed up. Data quality was good. The intervention did not extend call-out time, was delivered with fidelity and no contamination and was acceptable to patients, carers, and paramedics. There were no repeat call-outs < 48 hours. Recruitment stop-go criteria were not met. We had insufficient data for sample size estimation.ConclusionsA full trial in thesamecircumstances is not feasible. However, valuable information was gained on recruitment, attrition, consent, training and intervention acceptability and adherence, and patient-reported data collection.
Road safety lead agency challenges of three decades of intervention for road safety in Iran: implications for policy-makers
Authors: Sadeghi-Bazargani Homayoun , Razzaghi Alireza , Somi Mohammad Hossein , Doshmangir Leila , Esmaeili Alireza , Hedayati Javad , Hosseini Seyyed Teymoor , Khankeh Hamidreza , Khiavi Alireza Khavandi , Far Reza Masoudi , Mohammadian Pooria , Pour-Doulati Saeid , Rezaei Mahdi , Saadati Mohammad , Zakeri Jabbar Ali 
Published: August 2022

BackgroundRoad traffic crashes and associated injuries and mortalities are one of the big public health challenges, especially in low/middle-income countries. Road safety lead agency (RSLA) is a vital factor in the sustainable prevention and promotes road safety. In the recent decades, various policy interventions have been conducted for road safety in Iran. This study aimed at exploring the challenges of RSLA from the perspectives of stakeholders at various levels.MethodsA qualitative study was conducted. In-depth interviews and document reviews were used for data collection. To conduct interviews, different stakeholders at various levels such as policy-makers, senior national authorities, researchers and faculty members were selected. Data collection was conducted between November 2019 and June 2020. Thematic content analysis approach was used for data analysis.ResultsThe experts’ perspectives were analysed and then categorised under five main themes including the role and position of the lead agency, the role and duties of the actors and players, translating policy into practice, intrasectoral and intersectoral cooperation and coordination and evidence production and application and a total of 22 subthemes were identified. The current structure of the RSLA is one of the main challenges emphasised by the research participants.ConclusionTo achieve significant improvements in road safety at the national level, a strong management system and leadership body is a critical issue. Organisational reform to establish an effective unique lead agency is proposed to cope with RSLA challenges.
Evaluation of an in vivo preclinical model for human middle meningeal artery embolization using the posterior intercostal artery of the swine
Authors: Arturo Larco Jorge L , Madhani Sarosh Irfan , Liu Yang , Abbasi Mehdi , Lylyk Pedro N , Benike Amy , Shahid Adnan , Tekin Burak , Quinton Reade , Savastano Luis E 
Published: August 2022

BackgroundEmbolization of the middle meningeal artery (MMA) is a promising minimally invasive technique that is gaining traction in the treatment of chronic subdural hematoma. Unfortunately, the human meninges and associated arteries are significantly larger than those of conventional laboratory animals, making the development of a clinically relevant animal model for testing of embolization agents elusive.ObjectiveTo introduce the posterior intercostal artery (PIA) model in swine and provide anatomical, angiographic, histological, and procedural data to validate its relevance in modeling the human MMA.MethodsIn human cadaveric specimens, 3D angiograms of the internal maxillary arteries (n=6) were obtained and the dura with MMA were harvested and histologically processed. Angiographic and histologic data of the human MMA were compared with the swine PIA (three animals). Then, embolization of the PIA (n=48 arteries) was conducted with liquid embolization agent (Onyx, Medtronic), and angiographic and histological results were assessed acutely (four animals) and after 30 days (two animals).ResultsThe human MMA has equivalent diameter, length, branching pattern, 3D trajectory, and wall structure to those of swine PIAs. Each swine has 12 to 14 PIAs (6–7 per side) suitable for acute or chronic embolization, which can be performed with high fidelity using the same devices, agents, and techniques currently used to embolize the MMA. The arterial wall structure and the acute and chronic histological findings in PIAs after embolization are comparable to those of humans.ConclusionsThis PIA model in swine could be used for research and development; objective benchmarking of agents, devices, and techniques; and in the training of neurointerventionalists.
The partial waves of $$B^{*}_{2}(5747)$$ and their contributions in strong decays
Authors: Liu Ting-Ting , Pei Su-Yan , Li Wei , Han Meng , Wang Guo-Li 
Published: August 2022

AbstractThe relativistic Bethe–Salpeter method is adopted to study the OZI-allowed strong decays of the $$2^+$$

2
+

state $$B^{*}_{2}(5747)^{0}$$

B
2

∗

(
5747
)

0

, with emphasis on the relativistic corrections. We first study the partial waves in the wave functions used and find that there are P, D, and F partial waves in the $$B^{*}_{2}(5747)^{0}$$

B
2

∗

(
5747
)

0

meson, with ratios of $$P/D/F=1:0.421:0.051$$

P
/
D
/
F
=
1
:
0.421
:
0.051

. We also find that $$S/P/D=1:0.354:0.046$$

S
/
P
/
D
=
1
:
0.354
:
0.046

for $$B^*$$

B
∗

, and $$S/P=1:0.343$$

S
/
P
=
1
:
0.343

for the B meson. The large components of the D wave in $$B^{*}_{2}(5747)^{0}$$

B
2

∗

(
5747
)

0

and the P wave in $$B^{(*)}$$

B

(

∗
)

mean that large relativistic effects exist in these states. Second, we calculate the strong decays, and the total decay width $$\Gamma (B^{*}_{2}(5747)^{0})=25.9$$

Γ
(

B
2

∗

(
5747
)

0

)
=
25.9

MeV and the branching fraction $$\Gamma (B^{*}_{2}(5747)^{0} \rightarrow B^{*}\pi )$$

Γ
(

B
2

∗

(
5747
)

0

→

B

∗

π
)

/ $$\Gamma (B^{*}_{2}(5747)^{0} \rightarrow B\pi )=0.96$$

Γ
(

B
2

∗

(
5747
)

0

→
B
π
)
=
0.96

obtained are consistent with experimental data. Third, we study the contributions of different partial waves in the initial and final wave functions, and find that the relativistic effects are about $$15\%$$

15
%

and $$11\%$$

11
%

for $$B^{*}_{2}(5747)^{0} \rightarrow B\pi $$

B
2

∗

(
5747
)

0

→
B
π

and $$B^{*}_{2}(5747)^{0} \rightarrow B^{*}\pi $$

B
2

∗

(
5747
)

0

→

B

∗

π

, respectively, which are much smaller than our expected effects, showing that the relativistic corrections cancel each other in these decays.
Mental Actions in Semantics On Abelard’s Question “Can a True Proposition Generate a False Understanding?”: A Tentative Interpretation
Authors: Viri Federico 
Published: August 2022

Abstract
This article aims to demonstrate the interdependence of semantics and noetics against the referentialist trend in Abelard studies conceiving semantics as confined to the truth/falsity function. The article takes as a turning point of the argument Abelard’s question “can a true proposition generate a false understanding?” which secondary literature does not take into account. Starting from the analysis of this question, the article aims to show the development of an enhanced notion of understanding compared to the Boethian one. The core of this enhanced notion of understanding is the action of attentio, which is the condition for the elaboration of a coherent and global definition of signification (de rebus and de intellectibus). The analysis of the mental action of attentio entails the description of other kinds of mental actions, leading one to conceive understanding as a multi-layered complex of actions.
Palestinian Feminism in Israel and the Power of Public Urban Space
Authors: Hasan Manar 
Published: August 2022

Abstract
In January 1991, some Palestinian citizens of Israel (formerly Israeli Arabs), mostly young women who came to the city of Haifa from different villages together with some Haifa residents, met to discuss feminism, the status of Palestinian women in Israel, and the need for a feminist organization. Following this meeting, al-Fanar was born as the Palestinian Feminist Organization. During the eight years of its existence, 1991–8, al-Fanar had a dual mission to oppose all the laws and traditions that oppress women and to fight laws discriminating against the Palestinian people. Its ability to act stemmed from its foundation as an urban movement outside the control of the patriarchal familial system. In its activities, al-Fanar exposed the connection between state control, patriarchy, and the reactionary leadership of Arab society in Israel. The climax of this control is the “murder of women in the name of family honor,” against which the al-Fanar’s members fought.
Demonology and Terminology in Jubilees: Spirits or Demons?
Authors: Patmore Hector M. 
Published: August 2022

Abstract
This paper examines the terminology related to demons in Jubilees. It argues that important nuances have been lost in the process of translation. Specifically, it argues that the original Hebrew of Jubilees always used רוחות to refer to demons. It reexamines cases in which the Ethiopic and/or Latin translations would appear to contradict this conclusion (i.e., Jub. 7:27; 10:1–2) in light of textual evidence from the Book of Asaf, the Byzantine chronicler Syncellus, and the Book of Watchers. In the case of Jub. 1:10–11 and 22:16–17, it is argued that the original Hebrew read שׁדים, but that this signified non-existent foreign gods (not demons), as the lexeme does in Psalm 106:37, the text to which both passages allude.
Manichæism as a World Religion of Salvation and Its Influence on Islam
Authors: Arjomand Saïd Amir 
Published: August 2022

Abstract
Māni created a new religion of salvation out of the Mazdæan religion of ancient Iran and named himself as its final prophet. The decisive impact of Manichæism as a salvific faith on Islam is evident in the Qurʾan’s prophetology and Christology, its conceptions of wisdom and knowledge, and the idea of the salvation of the soul through light. Just like Māni, Mohammad in the Qurʾan is the “Seal of the Prophets (khātem al-nabiyyin),” though he is formally designated as the Messenger (rasul) of God. Moving beyond Mohammad and the Qurʾan, the subsequent independent influence of Manichæism on the emergence of Sufism in Iran is traced alongside the development of light symbolism in the Sufi conception of the journey of the soul in the realm of light as the final stage of mystical union with God and in the formulation of the Sufi doctrine of the Mohammadan Light (nur-e mohammadi).
Apocalyptic Imagery and Royal Propaganda in Khosrow II’s Letter to the Byzantine Emperor Maurice
Authors: Piras Andrea 
Published: August 2022

Abstract
The Byzantine historian Theophylact Simocatta (fl. 620s) records an exchange of letters with the Sasanian Empire. The correspondence of March 590, from the Iranian shah Khosrow II Parviz (r. 591–628) and addressed to the Byzantine emperor Maurice (r. 582–602), exhibits a particular style, focused on the ideological oppositions of order and disorder and legitimacy and usurpation. This paper suggests that Khosrow’s claims to his kingdom made use of a discourse of catastrophic motifs that reflected common Sasanian apocalyptic beliefs. Thus, the chaotic situation provoked by the inversion of the rightful order elicited, from a Zoroastrian perspective, a response that stressed the dualistic nuance of demonic anarchy in order to stigmatize the risk of deposition. For these reasons, apocalyptic doctrines and royal propaganda share a common language: a political discourse based on the justification of kingship and the demonization of the enemy.
Self-Creation and Solidarity: Psychoanalysis as Self-Aesthetics Redescription in Richard Rorty
Authors: Barreira Marcelo Martins 
Published: August 2022

Abstract
The article went deeper into Richard Rorty’s texts that address the self as “a set of beliefs and desires.” In an imbrication of philosophy with psychoanalysis, Rorty’s hermeneutics accompanies the critique of psychoanalysis regarding the self-centralization from Metaphysical tradition, one of the strategies of self-redescription. The other strategy is aesthetic redescription. This redescription is based on understanding the psychic world as an encounter of “beliefs and desires” as “quasi-people.” The thread of our argument is the articulation of psychoanalysis with the concept of “hegemony.” This reflexive line occurs due to the agonist and conflicting context of internal alterity from the “interpersonal” relationship between conscious and unconscious, rediscovering the self.