bluuebunny/crossref_metadata_2025_split huggingface dataset:
The ‘D’ in CAT
Authors: Hepple Jason 
Published: May 2022

Abstract
The chapter gives an overview of the influences of dialogic theory on cognitive analytic therapy (CAT) theory and practice; notably influences from the work of Lev Vygotsky and Mikhail Bakhtin as incorporated into CAT by Mikael Leiman. The chapter first considers an overview of the sources of CAT theory and how these link with the dialogic ideas. It then discusses Vygotsky’s zone of proximal development and the scaffolding provided by CAT for the internalization of complex psychological tools, with some mention of the difficult area of sign-mediation. It then moves onto ideas from Bakhtin under the banner of the ‘dialogic self’, and includes mention of ‘utterance’ and the ‘addressee’, the ‘sideways glance’ and the ‘super-addressee’. It then discusses the central role of witnessing the client’s distress and the need for ‘responsive understanding’ from the therapist. Finally, the chapter considers ‘outsideness’ or the ‘surplus of vision’ and its corresponding ‘insideness’, as ways of framing perspectives in the therapy relationship.
Clinical neuropsychology
Authors: Addy Karen 
Published: May 2022

Abstract
Following traumatic brain injuries individuals can suffer a wide range of cognitive, emotional, and behavioural challenges which are associated with underlying neurological damage affecting how the individual processes and understands the world around them. This chapter explores an adapted multiple self states model (MSSM) to assist clients and staff teams understand the behavioural manifestations of executive processing impairments following traumatic brain injury. The chapter proposes how the MSSM is a useful formulation and therapy tool to guide cognitive analytic therapy (CAT) based interventions within this client group and it is hoped that this exploration provides a framework for other clinicians working in this field.
CAT consultancy for enhancing team functioning
Authors: Craven-Staines Sarah , Finch Jayne 
Published: May 2022

Abstract
The uses of cognitive analytic therapy (CAT) in working with individual clients are numerous, and have been explored in depth already in other chapters. Overtime, CAT has become more prevalent in its uses outside of the therapy room, particularly in working organizationally with teams. The phenomena of parallel process between client and team is well documented, however, this chapter will focus upon the relational functioning of teams. The client remains at the heart of this care, as staff who feel psychologically safe within a well-functioning team are increasingly likely to provide better care, thus leading to a more positive journey for the client. The chapter will lead the reader through the process of facilitating CAT consultancy with teams, situating this approach within the broader team dynamics and organizational CAT literature. It is hoped that the reader will gain practical insight on how to utilize the CAT consultancy with teams’ approach within the workplace.
CAT-informed leadership
Authors: Harvey David 
Published: May 2022

Abstract
The global social, economic, and political landscape has shifted immeasurably since the mid-2000s. In the United Kingdom this has left leaders in health and social care working in a context of complexity and ongoing disruptive change. Therefore there have been calls for leaders to develop new ways of responding to ever evolving challenges and workplace environments. Contemporary notions of effective leadership advocate flexibility, collaboration, compassion, emotional awareness, dialogue and debate, and authenticity. However, these approaches are perhaps more radical than they outwardly seem, especially in workplace cultures where interpersonal risks can be ubiquitous and complexities overwhelming. Any attempt to offer newer forms of leadership can be bolstered through a framework which helps to understand complex system and relational dynamics and offers possible ways forward that are productive and ensure the wellbeing and psychological safety of leaders and others. The chapter outlines how the cognitive analytic therapy (CAT) model of trauma can be used as scaffolding to reconceptualize complex relational ideas in accessible ways applying this to contemporary approaches of effective leadership at an individual and system level.
Incorporating compassion-focused therapy into CAT
Authors: Jameson Pam 
Published: May 2022

Abstract
The chapter will describe compassion focused therapy (CFT) theory and consider how this can be incorporated into the dialogical approach inherent in the cognitive analytic therapy (CAT) model, highlighting the key self-to-self reciprocal roles (RRs) of the internal compassionate dialogue and the development of self-care. The chapter will demonstrate how the CFT model can bring an additional theoretical perspective to CAT particularly with reference to working with RRs associated with threat and shame. It offers a practical understanding of how techniques typically used in CFT might be used as effective exit strategies. Case material is provided to illustrate these ideas. The chapter will also consider how the attention to the therapeutic relationship within CAT can overcome some of the limitations with regards to the application of techniques typically applied as part of CFT. Additionally, consideration will be given to how therapists might apply compassion focused approaches to themselves.
Incorporating eye movement desensitization and reprocessing (EMDR) into CAT
Authors: Walker Mark J. 
Published: May 2022

Abstract
The chapter will briefly discuss the cognitive analytic therapy (CAT) and eye movement desensitization and reprocessing (EMDR) approaches to trauma presentations. The chapter will go on to provide a basic introduction to EMDR, and then explore where EMDR can complement CAT illustrated by a short case example. CAT can incorporate elements of EMDR at different stages of the CAT therapeutic process to increase affect management and capacity to engage in therapy during the stabilization/resourcing stage of the work. This allows an explicit focus on those relationship experiences formulated to be touchstone memories or experiences that have led to the evolution of unhelpful coping strategies (procedural sequences) as well as offer a neurobiological understanding of dissociation and additional strategies to facilitate therapeutic change.
Competence in CAT
Authors: Parry Glenys , Bennett Dawn 
Published: May 2022

Abstract
This chapter defines therapeutic competence and the difference between process-led and competence-led training. Approaches to defining and measuring competence in cognitive analytic therapy (CAT) are described. The Competence in CAT (CCAT) measure was developed to score individual CAT sessions and has been used in training and research to identify ‘satisfactory CAT’. More recently, a competence framework for delivery of CAT has been developed and structured in terms of core knowledge, core skills, and meta-competences (which require therapeutic judgement rather than simple adherence to a treatment protocol). The framework can help trainees, service users, service managers, and commissioners to better understand the core features of CAT and what is necessary for CAT to be skilfully delivered in practice. A critique of the competence-led approach is given, and future directions outlined.
Training in CAT
Authors: Bennett Dawn , Fawkes Liz , Stevens Yvonne J. 
Published: May 2022

Abstract
This chapter describes the Association of Cognitive Analytic Therapy (ACAT) training infrastructure and how we embed cognitive analytic therapy (CAT) values in how we run our trainings in the United Kingdom. CAT has a well-developed, robust, and effective training infrastructure and we outline the key elements, which include different levels of training, local centres but with national standards, moderation processes, collective and collaborative design with oversight through committees, and a valuing stance. We trace the history of CAT training through to the recent competence framework, a significant and important addition that informs our curriculum and assessments. We describe how we aim to create a collaborative and collegiate way of working in ACAT training committee, offering the same scaffolding and conceptual framework to the trainers as the trainers offer to trainees. At the heart of CAT training is a relational process in which we share the values and ethos of the CAT model as well as the concepts and techniques, based on respect, warmth, clarity, and vision as well as challenge, depth, and exploration. We hold these themes as we describe the evolution of CAT training and the birth of ACAT; the philosophy of our training; the levels of ACAT accredited CAT training, and CAT training internationally. We consider what draws people to train in CAT, the core components, and the competency-based approach to our training. We describe the emphasis on personal development within CAT training, feedback and moderation processes, and how to get involved in training.
Recognition
Authors: Wilde McCormick Elizabeth 
Published: May 2022

Abstract
Recognition is a process of illumination. It brings into the light the suffering that has remained in the dark, unseen, unnamed, unrecognized, for the purpose of understanding and wellness. It is a gradual process and a two-way adventure shared between client and therapist. Both share their understandings and awareness, bringing words and images into places that have been wordless. The aim is to develop a reflective space where clients are able to see and to name their learned attitudes and begin to value themselves. Recognition offers a compassionate observing process and clears the way for the ‘I’ to see ‘me’.
Drp1-mediated mitochondrial fission promotes carbon tetrachloride-induced hepatic fibrogenesis in mice
Authors: Shan Shulin , Liu Zhidan , Wang Shuai , Liu Zhaoxiong , Huang Zhengcheng , Yang Yiyu , Zhang Cuiqin , Song Fuyong 
Published: May 2022

Abstract

Background
Mitochondrial dynamics is essential for the maintenance of healthy mitochondrial network. Emerging evidence suggests that mitochondrial dysfunction is closely linked to the pathogenesis of hepatic fibrogenesis following chronic liver injury. However, the role of dynamin-related protein 1 (Drp1)-mediated mitochondrial fission in the context of liver fibrosis remains unclear.

Methods and Results
In this study, C57BL/6 mice were used to establish a model of liver fibrosis via oral gavage with CCl4 treatment for 8 weeks. Furthermore, mitochondrial fission intervention experiments were achieved by the mitochondrial division inhibitor 1 (Mdivi-1). The results demonstrated that chronic CCl4 exposure resulted in severe hepatic fibrogenesis and mitochondrial damage. By contrast, pharmacological inhibition of mitochondrial division by Mdivi-1 substantially reduced the changes of mitochondrial dynamics and finally prevented the deposition of extracellular matrix proteins. Mechanistically, excessive mitochondrial fission may activate hepatic stellate cells through RIPK1-MLKL-dependent hepatocyte death, which ultimately promotes liver fibrosis.

Conclusion
Our study imply that inhibiting Drp1-mediated mitochondrial fission attenuates CCl4-induced liver fibrosis and may serve as a therapeutic target for retarding progression of chronic liver disease.
Metagenomic Next-Generation Sequencing (mNGS) Data Reveal the Phyllosphere Microbiome of Wheat Plants Infected by the Fungal PathogenZymoseptoria tritici
Authors: Barroso-Bergadà Didac , Massot Marie , Vignolles Noémie , Faivre d'Arcier Julie , Chancerel Emilie , Guichoux Erwan , Walker Anne-Sophie , Vacher Corinne , Bohan David A. , Laval Valérie , Suffert Frédéric 
Published: May 2022

The fungal pathogen Zymoseptoria tritici is the causal agent of Septoria tritici blotch (STB), a major wheat disease in Western Europe. Microorganisms inhabiting wheat leaves might act as beneficial, biocontrol, or facilitating agents that could limit or stimulate the development of Z. tritici. Improving our understanding of microbial communities in the wheat phyllosphere would lead to new insights into STB management. This article provides fungal and bacterial metabarcoding datasets obtained by sampling wheat leaves with and without symptoms caused by Z. tritici. Tissues were sampled from three commercial wheat varieties on three sampling dates during a cropping season. Weeds around wheat fields were sampled as well. In total, more than 450 leaf samples were collected. The pathogen Z. tritici was quantified using quantitative PCR. We provide the raw metabarcoding datasets, the amplicon sequence variant tables obtained after bioinformatic processing, the metadata associated with each sample (sampling date, wheat variety and tissue health condition), a preliminary descriptive analysis of the data, and the code used for bioinformatic and descriptive statistical analysis.[Formula: see text] Copyright © 2022 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license .
An overview of esophageal atresia and tracheoesophageal fistula
Authors: McGowan Nathan A. , Grosel John 
Published: May 2022

ABSTRACT
Esophageal atresia and tracheoesophageal fistula are often-concomitant pathologies that primarily afflict neonates. The complications of these anomalies may lead to increased morbidity and mortality, and clinicians should be familiar with the diagnosis and management of these pathologies. Clinicians can improve patient outcomes by having a thorough understanding of the signs and symptoms, classification systems, diagnostic workup, and surgical intervention options for these patients. Early recognition and treatment are imperative in providing patients with the best opportunity for recovery.
Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses
Authors: Bagley Kimberly 
Published: May 2022

Background
Ultrasound-guided (US-guided) peripheral intravenous (PIV) insertion is a skill used by specially trained nurses for patients with difficult vascular access. It can result in potential complications such as occlusive thrombus, phlebitis, infiltration, and pain. Complications can be prevented or minimized with clinical training to achieve competency. Current research shows that the most effective approach to US-guided PIV training consists of a comprehensive structured educational program that includes didactic, hands-on training and skills application.

Objectives
This study aimed to develop and implement a US-guided PIV education program for critical care nurses.

Methods
Structured education was developed using a step-wise method. Critical care nurse practitioners in the intensive care unit (ICU) developed training materials including hands-on training, ultrasound reference material, and supervised skills application. Afterward, US-guided PIV–trained critical care nurses were enabled to train other nurses in the ICU.

Results
The total number of US-guided PIV–trained registered nurses in the ICU increased from 5.8% to 26% of staff, but represents only 20% of those trained at current staffing levels. The percentage of US-guided PIV–trained nightshift/weekend staff increased from 3.9% to 24%, but represents 14% at current staffing levels. One hundred five US-guided PIVs showed a 97% success rate of US-guided PIV placement during an 11-month timeframe, similar to success rates published in the literature that ranged from 86% to 100%. There was 1.9% complication rate for occlusive thrombus, which is below published rates ranging up to 10%.

Discussion
Critical care nurse practitioners in the ICU collaborated with vascular nursing and hospital clinical education to successfully develop and implement a US-guided PIV training program to meet patient needs within a growing community facility. The results of the training program yielded similar success and complication rates as those reported in the literature. Ongoing training is essential for program sustainability.

Conclusions
Critical care nurse practitioners training registered nurses in US-guided PIV placement is an effective approach to training. Critical care nurses trained in US-guided PIV insertion can safely and effectively train other critical care nurses in US-guided PIV insertion.
Program Evaluation of Implementation Science Outcomes From an Intervention to Improve Compliance With Chlorhexidine Gluconate Bathing
Authors: Reynolds Staci S. , Woltz Patricia , Keating Edward , Neff Janice , Elliott Jennifer , Granger Bradi B. 
Published: May 2022

Background and Objectives
Evaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation was to evaluate implementation outcomes from the perspectives of nurses and nursing leaders regarding a previously conducted chlorhexidine gluconate (CHG) bathing implementation science study among 14 critical care units.

Methods
Focus groups and interviews, using semistructured interview questions, were conducted to examine the perceptions of nurses who participated in a CHG bathing implementation science study. A deductive qualitative analysis using Proctor and colleagues' implementation outcomes framework was used. Transcripts were analyzed and categorized using the framework as a predetermined code list to structure the implementation outcomes of acceptability, appropriateness, adoption, feasibility, and sustainability.

Findings
A total of 19 nurses and nurse leaders participated in a focus group or interview. Participants noted that both implementation strategies used in the initial study (educational outreach and audit and feedback) were acceptable and appropriate and expressed that the evidence-based CHG bathing practice was feasible to integrate into practice and was being adopted.

Discussion
The program evaluation identified strengths and opportunities for improvement related to the implementation strategies and evidence-based CHG bathing protocol. Findings can inform future studies that seek to implement CHG bathing protocols in the critical care setting using audit and feedback and educational outreach strategies.
The role of health care organizations in patient engagement: Mechanisms to support a strong relationship between patients and clinicians
Authors: Sieck Cynthia J. , Hefner Jennifer L. , Walker Daniel M. , Kurien Natasha , Phelps Lauren , McAlearney Ann Scheck 
Published: May 2022

Background
Patient engagement (PE) is critical to improving patient experience and outcomes, as well as clinician work life and lowering health care costs, yet health care organizations (HCOs) have limited guidance about how to support PE. The engagement capacity framework considers the context of engagement and examines precursors to engagement, including patients’ self-efficacy, resources, willingness, and capabilities.

Purpose
The aim of this study was to explore clinician and patient perspectives related to mechanisms through with the HCOs can facilitate PE through the lens of the engagement capacity framework.

Methodology/Approach
We administered an online open-ended survey to clinicians and patient advisors across the United States, including questions focused on the influences of, barriers to, and skills and tools required for PE. A common theme emerged focusing on the role of HCOs in facilitating engagement. Our analysis examined all responses tagged with the “health care system” code.

Results
Over 750 clinicians and patient advisors responded to our survey. Respondents identified offering advice and support for patients to manage their care (self-efficacy), providing tools to facilitate communication (resources), working to encourage connection with patients (willingness), and training for HCO employees in cultural competency and communication skills (capabilities) as important functions of HCOs related to engagement.

Conclusion
HCOs play an important role in supporting a strong partnership between the patient and clinicians. Our study identifies important mechanisms through which HCOs can fulfill this role.

Practice Implications
HCO leadership and administration can help establish the culture of care provided. Policies and initiatives that provide appropriate communication tools and promote culturally competent care can increase engagement.
Characterizing Profiles of TBI Severity: Predictors of Functional Outcomes and Well-Being
Authors: Pasipanodya Elizabeth C. , Teranishi Rachel , Dirlikov Benjamin , Duong Thao , Huie Henry 
Published: May 2022

Objective:
To identify profiles of acute traumatic brain injury (TBI) severity and relate profiles to functional and well-being outcomes.

Setting:
Acute inpatient rehabilitation and general community settings.

Participants:
Three hundred and seventy-nine individuals with moderate-severe TBI participating in the Traumatic Brain Injury Model Systems.

Design:
Longitudinal observational study.

Main Measures:
At discharge—length of stay, Functional Independence Measure (FIM), and Disability Rating Scale (DRS). One-year post-injury—Glasgow Outcome Scale-Extended (GOS-E), FIM, and Satisfaction with Life Scale (SWLS).

Results:
Latent profile analysis (LPA) was used to identify subgroups with similar patterns across 12 indicators of acute injury severity, including duration of posttraumatic amnesia, Glasgow Coma Scale, time to follow commands, and head CT variables. LPA identified 4 latent classes, least to most severe TBI (Class 1: n = 75, 20.3%; Class 2: n = 124, 33.5%; Class 3: n = 144, 38.9%; Class 4: n = 27, 7.3%); younger age, lower education, rural residence, injury in motor vehicle accidents, and earlier injury years were associated with worse acute severity. Latent classes were related to outcomes. Compared with Class 1, hospital stays were longer, FIM scores lower, and DRS scores larger at discharge among individuals in Class 3 and Class 4 (all Ps < .01). One-year post-injury, GOS-E and FIM scores were significantly lower among individuals in Class 3 and Class 4 than those in Class 1 (Ps < .01). SWLS scores were lower only among individuals in Class 3 (P = .036) compared with Class 1; other comparisons relative to Class 1 were not significant.

Conclusions:
Meaningful profiles of TBI severity can be identified from acute injury characteristics and may suggest etiologies, like injury in motor vehicle accidents, and premorbid characteristics, including younger age, rural residence, and lower education, that heighten risk for worse injuries. Improving classification may help focus on those at elevated risk for severe injury and inform clinical management and prognosis.
Student Self-Efficacy in Pediatrics: Evaluation and Modification of the Pediatric Communication and Handling Self-Efficacy Scale
Authors: Wolden Mitch , Anderson Brittany 
Published: May 2022

Purpose:
Our purpose was to examine the reliability and validity of the Pediatric Communication and Handling Self-Efficacy Scale (PCHSES) and develop a shorter, modified PCHSES.

Methods:
With 92 students, the reliability of the PCHSES was assessed by determining the internal consistency of each construct (Communication; Patient Handling). Construct validity, responsiveness, and convergent validity were assessed to determine the validity.

Results:
Internal consistency was high for the Communication and Patient Handling constructs. Construct validity analysis produced 2 factors that explained 93% of the variance and a modified PCHSES that explained 96% of the variance in students' PCHSES scores. There were significant changes with large effect sizes over time for the Communication and the Patient Handling constructs. There were no-to-small relationships between PCHSES scores and clinical performance ratings.

Conclusions:
The PCHSES and modified PCHSES are reliable and valid instruments to assess students' self-efficacy with the pediatric population. What this adds to the evidence: The PCHSES or modified PCHSES should be used to assess students' self-efficacy and facilitate education research.