bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometric Properties of the Chinese Version of the Functional Assessment of Self-Mutilation (FASM) in Chinese Clinical Adolescents
Authors: Qu Diyang , Wang Yanni , Zhang Zhiguo , Meng Linlin , Zhu Feng , Zheng Tiansheng , He Kongliang , Zhou Yue , Li Chuanxiao , Bu He , Zhou Yongjie 
Published: January 2022

BackgroundFunctional Assessment of Self-Mutilation (FASM) is one of the most widely used tools assessing adolescent's non-suicidal self-injury. However, the Chinese version of FASM (C-FASM) is lacking. The present study aimed to adapt the FASM to the Chinese patients and examine its reliability and validity.MethodsThe original English version of the FASM was translated into Chinese following Brislin's model of cross-culture translation, and then, pilot study and cognitive interview were carried out with 15 adolescent patients to assess the acceptability and comprehensibility of all items. The items were subsequently tested in a sample of 621 Chinese adolescent patients recruited by 20 psychiatric or general hospitals in nine provinces across China. We examined the distribution of responses for each item. Factor analysis, Cronbach's α and McDonald's Ω, intraclass coefficient, and Spearman's rank correlations were deployed to assess the dimensional structure, internal consistency reliability, test–retest reliability, and criterion validity.ResultsThe final adapted C-FASM included a 10-item method checklist and a 15-item function checklist of NSSI, and other characteristics of NSSI. C-FASM exhibited acceptable internal consistency (α = 0.81 and Ω = 0.80 for method checklist; α = 0.80 and Ω = 0.76 for function checklist) and test–retest reliability (method checklist: 0.79; function checklist: 0.87). Factor analysis for NSSI functions yielded a three-factor model with a good model fit. In addition, the instrument showed an expected correlation with the instrument of the Deliberate Self-Harm Behavior Inventory (r = 0.84, p &lt; 0.001).ConclusionsThe C-FASM has good content, structural validity, and reliability. The instrument can be helpful to Chinese adolescents as a comprehensive measure of NSSI behaviors.
What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
Authors: Dreismann Lara , Goretzki Alina , Ginger Viktoria , Zimmermann Tanja 
Published: January 2022

IntroductionScreening questionnaires to assess psychological distress in cancer patients are well-established, but in practice there are difficulties in implementation screening up to referral to psycho-oncology. Interdisciplinary collaboration between psycho-oncology, physicians, and nursing is very important to this process. However, there are barriers and obstacles on all sides.ObjectiveThe aim of this study is to capture in particular the barriers from the perspective of oncology nursing.Materials and MethodsSemi-structured interviews with nursing experts (n = 15; n = 10 female; 24–62 years) from different oncology departments of three university hospitals in Germanys were conducted and qualitative content analysis was carried out by two raters.ResultsThe Screening routine is variably well-integrated into daily clinical practice. Structural barriers such as time pressure and a lack of focus on mental distress in nursing are present. Barriers on the side of nurses are primarily a lack of knowledge and communication insecurities when dealing with patients.ConclusionsThere is a need for training and implementation of a disciplinary screening approach. The structural and organizational barriers, which are a challenge for the successful screening process due to unfavorable interdisciplinary team communication and clinical daily structure, should be addressed in further studies. Implications for Practice: In order to establish an interdisciplinary screening process and to overcome the barriers, trainings to deal with knowledge deficits and insecurities seem to be useful.
Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives
Authors: Kohn Laurence , Christiaens Wendy , Detraux Johan , De Lepeleire Jan , De Hert Marc , Gillain Benoit , Delaunoit Benjamin , Savoye Isabelle , Mistiaen Patriek , Jespers Vicky 
Published: January 2022

BackgroundA huge and still growing mortality gap between people with severe mental illness (SMI) and the general population exists. Physical illnesses, mainly cardiovascular diseases, substantially contribute to the high mortality rates in patients with SMI. Disparities in somatic health care access, utilisation, and provision contribute to these poor physical health outcomes.MethodsA qualitative study, using semi-structured interviews, was set up to explore SMI patients' and healthcare professionals' perspectives on somatic health care in different psychiatric settings of the three Belgian regions (Flanders, Brussels, Wallonia). Interviews were digitally recorded and transcribed prior to qualitative inductive thematic analysis, using Nvivo software. The COnsolidated criteria for REporting Qualitative research (COREQ) were used for reporting methods and findings.ResultsCollaboration and information flows between psychiatric healthcare professionals, non-psychiatric healthcare professionals, and persons with SMI were troublesome. This seemed to be mainly due to stigma and prejudice and challenging communication and data transfer. Lack of sufficient training and experience to identify and treat somatic health problems in people with SMI (for psychiatrists and psychiatric nurses) and lack of psychiatric knowledge and feeling or sensitivity for psychiatric patients (for non-psychiatric healthcare professionals) further complicated adequate somatic health care. Finally, optimal somatic follow-up of patients with SMI was hampered by organisational problems (unavailability of equipment, unadapted infrastructure, understaffing, hospital pharmacy issues, and insufficient health promotion/lifestyle interventions), patient-related issues (unawareness of physical problems, non-adherence, need for accompaniment) and financial barriers.ConclusionThere is an urgent need for integrated somatic and mental healthcare systems and a cultural change. Psychiatrists and primary care providers continue to consider the mental and physical health of their patients as mutually exclusive responsibilities due to a lack of sufficient training and experience, poor or absent liaison links, time constraints and organisational and financial barriers. Modifying these aspects will improve the quality of somatic health care for these vulnerable patients.
Older Adults’ Use of Extended Reality: A Systematic Review
Authors: Margrett Jennifer A. , Ouverson Kaitlyn M. , Gilbert Stephen B. , Phillips L. Alison , Charness Neil 
Published: January 2022

Research has pointed to the potential of extended reality (XR), including virtual, mixed, and augmented reality, for broadly impactful benefits, including learning, physical activity and health, and psychosocial aspects such as increased empathy and reduced loneliness. More research is needed to evaluate the outcomes of XR in new populations of users, including older adults. The purpose of this systematic review is to summarize the extant literature that centers on older adult use of XR in order to identify key themes, as well as identified benefits and barriers to XR use. In total, 17 studies from 2015 to 2019 met the inclusion criteria, namely that the study collected data from a sample of adults at least 60 years of age interacting with a 3D virtual environment. Through qualitative analysis of the corpus, six thematic areas were identified: Socialization, Physical Rehabilitation, Driving Simulation, Cognitive Training, Reminiscence, and Assessment. Furthermore, the unique contexts and outcomes of XR use, preferences for XR use, and reported occurrences of cybersickness in older adults are highlighted. Research after 2019 is also noted. This review is intended to guide future research supporting deployment of XR with older adults, emphasizing the psychosocial impacts of the technology.Systematic Review Registration: (website), identifier (registration number)
A Modfied Nuss Procedure for Recurrent Pectus Excavatum of Adults
Authors: Wang Lei , Bi Rui , Xie Xiao , Xiao Haibo , Hu Fengqing , Jiang Lianyong 
Published: January 2022

BackgroundLimited data exist for adults with recurrent pectus excavatum (PE) treated with minimally invasive surgical repair.MethodsBetween July 2008 and December 2020, forty-two adult patients with recurrent PE underwent a modified Nuss procedure with a newly designed bar in our center. A small vertical subxiphoid incision was used to separate severe adhesions when necessary. Multiple steel wires were sutured, and the rib space was narrowed to firmly fix the bar. The primary end point was Haller index change after operation. The secondary end points included length of stay after operation, short-term and long-term complications.ResultsThe mean patient age was 22.02 ± 3.49 years. The mean Haller index was 4.59 ± 1.09. A subxiphoid incision was performed in 12 patients. Thirty-nine patients had one bar placed, and 3 patients required two bars. Sixteen patients had 3 or more wires fixation, and 4 patients needed to have their intercostal space narrowed. There was no perioperative death, and the mean hospitalization was 5.57 ± 2.47 days. The Haller index reduced to 3.03 ± 0.41 after the operation (t = 11.85, p &lt; 0.001). During the follow-up, there were 3 patients who developed non-infective wound effusion; bar rotations occurred in 3 patients. Twenty patients had the bar removed, post-bar removal Haller index was significantly reduced compared to the preoperative Haller index (2.89 ± 0.37 vs. 4.72 ± 1.05, t = 8.96, p &lt; 0.001).ConclusionsThe modified Nuss procedure with a new titanium alloy bar can achieve good results for adult patients with recurrent PE.
Online Wind-Atlas Databases and GIS Tool Integration for Wind Resource Assessment: A Spanish Case Study
Authors: Sánchez-del Rey Agustín , Gil-García Isabel Cristina , García-Cascales María Socorro , Molina-García Ángel 
Published: January 2022

Renewable energy sources are becoming increasingly integrated into the electricity-generation sector, being eco-friendly solutions, decreasing global warming, and improving the energy transition process. Among the different renewables, wind energy is considered a mature, clean, renewable, and inexhaustible technology as well, becoming one of the main resources in a sustainable framework. Aiming to evaluate the wind resource, scientific contributions have mostly presented a common basis: historical data campaigns of the wind resource mainly considering wind speed—including the module, direction, standard deviation, etc. However, online wind-atlas databases are becoming tools widely used for both wind-resource assessment and optimal wind-power locations. Under this framework, this study analyzed and compared such online wind data sources and their integration with GIS tools for optimal wind-resource-assessment purposes. The proposed methodology identified the corresponding wind-atlas databases directly on their websites and indirectly through the wind data used in relevant contributions about the optimal location of wind sites. Our contribution to the scientific community is thus the review and comparison of these atlas databases for reducing the barrier to access wind data—including GIS-tool-integration analysis. The limitations raised by civil societies, particularly regarding environmental and bird concerns, were not included in this study. Nevertheless, the authors are aware of these concerns and limitations. A Spanish case study was also included in this work, comparing both estimated and collected wind-atlas databases in terms of wind-resource assessment.
Mutational Landscape of Autism Spectrum Disorder Brain Tissue
Authors: Woodbury-Smith Marc , Lamoureux Sylvia , Begum Ghausia , Nassir Nasna , Akter Hosneara , O’Rielly Darren D. , Rahman Proton , Wintle Richard F. , Scherer Stephen W. , Uddin Mohammed 
Published: January 2022

Rare post-zygotic mutations in the brain are now known to contribute to several neurodevelopmental disorders, including autism spectrum disorder (ASD). However, due to the limited availability of brain tissue, most studies rely on estimates of mosaicism from peripheral samples. In this study, we undertook whole exome sequencing on brain tissue from 26 ASD brain donors from the Harvard Brain Tissue Resource Center (HBTRC) and ascertained the presence of post-zygotic and germline mutations categorized as pathological, including those impacting known ASD-implicated genes. Although quantification did not reveal enrichment for post-zygotic mutations compared with the controls (n = 15), a small number of pathogenic, potentially ASD-implicated mutations were identified, notably in TRAK1 and CLSTN3. Furthermore, germline mutations were identified in the same tissue samples in several key ASD genes, including PTEN, SC1A, CDH13, and CACNA1C. The establishment of tissue resources that are available to the scientific community will facilitate the discovery of new mutations for ASD and other neurodevelopmental disorders.
Prevention of Severe Vestibular Hypofunction after Systemic Gentamicin
Authors: Ferreira-Cendon Sofía , Martinez-Carranza Ramon , Fernandez-Nava Maria José , Villaoslada-Fuente Rosana , Sanchez-Gomez Hortensia , Santa Cruz-Ruiz Santiago , Sanchez-Ledesma María , Batuecas-Caletrio Angel 
Published: January 2022

The importance of early evaluation by a neurotologist in patients with infective endocarditis treated with systemic gentamicin and its impact on the patients’ quality of life was evaluated. This is a longitudinal retrospective cohort study of 29 patients who received intravenous gentamicin for the treatment of infective endocarditis. Patients were classified into two groups: group A, before a neurotologist was included in the treatment protocol, and group B, after the inclusion of a neurotologist. The frequency of the different symptoms in each group was measured, and the gain of the vestibulo-ocular reflex (VOR) and its relationship with the presence of oscillopsia. In total, 13 and 16 patients were assigned to groups A and B, respectively. The mean gain of the VOR measured using the video head impulse test in group A was 0.44 in the best side and 0.39 in the worst side. In group B, the mean gain was 0.71 (best side) and 0.64 (worst side) (p < 0.0001). The patients who complained about oscillopsia had a main gain of 0.41 in the best side and 0.35 in the worst side. Evaluation of vestibular function should be included in the infective endocarditis treatment protocol, including the adverse effects of systemic gentamicin.
Acinar Atrophy, Fibrosis and Fatty Changes Are Significantly More Common than Sjogren’s Syndrome in Minor Salivary Gland Biopsies
Authors: Klein Ainat , Klein Jonathan , Chacham Moran , Kleinman Shlomi , Shuster Amir , Peleg Oren , Ianculovici Clariel , Kaplan Ilana 
Published: January 2022

Background and Objective: Hyposalivation and xerostomia can result from a variety of conditions. Diagnosis is based on a combination of medical history, clinical and serological parameters, imaging, and minor salivary gland biopsy when indicated. The Objective was to characterize microscopic changes in minor salivary gland biopsies taken in patients with xerostomia. Materials and Methods: 10-year retrospective analysis of minor salivary gland biopsies, 2007–2017. Histomorphometric analysis included gland architecture, fibrosis, fat replacement, inflammation and stains for IgG/IgG4, when relevant. Results: 64 consecutive biopsies, of which 54 had sufficient tissue for diagnosis of Sjogren’s Syndrome (SS) were included (18 males, 46 females, average age 56 (±12.5) years). Only 12 (22.2%) were microscopically consistent with SS, none stained for IgG4. Medical conditions were recorded in 40 (63%), most frequently hypertension and hyperlipidemia (28% each). Medications were used by 45 (70%), of which in 50% more than one. Xerostomia in non-SS cases was supported by abnormal gland morphology, including acinar atrophy, fibrosis and fatty replacement. All morphological abnormalities are correlated with age, while fatty replacement correlated with abnormal lipid metabolism. Multiple medications correlated with microscopic features which did not correspond with SS. Conclusions: SS was confirmed in a minority of cases, while in the majority fatty replacement, fibrosis and multiple medications can explain xerostomia, and are related to aging and medical conditions. Medical history and auxiliary tests could lead to correct diagnosis in non-SS patients, avoiding biopsy. The necessity of a diagnostic biopsy should be given serious consideration only after all other diagnostic modalities have been employed.
Satellite Remote Sensing of Water Quality Variation in a Semi-Enclosed Bay (Yueqing Bay) under Strong Anthropogenic Impact
Authors: Zhu Bozhong , Bai Yan , Zhang Zhao , He Xianqiang , Wang Zhihong , Zhang Shugang , Dai Qian 
Published: January 2022

The semi-enclosed bays impacted by heavy anthropogenic activities have weak water exchange and purification capacities. Most of the sea bays have suffered severe eutrophication, water quality deterioration, ecosystem degradation and other problems. Although many countries and local governments have carried out corresponding environmental protection actions, the evaluation of their effectiveness still requires monitoring technology and data support for long-term water environment change. In this study, we take Yueqing Bay, the fourth largest bay in China, as a case to study the satellite-based water quality monitoring and variation analysis. We established a nutrient retrieval model for Yueqing Bay to produce a long-term series of nutrient concentration products in Yueqing Bay from 2013 to 2020, based on Landsat remote sensing images and long-term observation data, combined with support vector machine learning and water temperature and satellite spectra as input parameters, and then we analyzed its spatiotemporal variations and driving factors. In general, nutrient concentrations in the western part of the bay were higher than those in the eastern part. Levels of dissolved inorganic nitrogen (DIN) were lower in summer than in spring and winter, and reactive phosphate (PO4-P) levels were lower in summer and higher in autumn. In terms of natural factors, physical effects (e.g., seasonal variations in flow field) and biological effects (e.g., seasonal differences in the intensity of plankton photosynthesis) were the main causes of seasonal differences in nutrient concentration in Yueqing Bay. Nutrient concentration generally increased from 2013 to 2015 but decreased slightly after 2015. Over the past decade, the economy and industry of Yueqing Bay basin have developed rapidly. Wastewater resulting from anthropogenic production and consumption was transported via streams into Yueqing Bay, leading to the continuous increase in nutrient concentrations (the variation rates: aDIN>0, aPO4−P>0), which directly or indirectly caused high nutrient concentrations in some areas of the bay (e.g., Southwest Shoal at the mouth of Yueqing Bay). After 2015, the various ecological remediation policies adopted by cities around Yueqing Bay have mitigated, to some extent, the increasing nutrient concentration trends (the variation rates: aDIN<0, aPO4−P<0), but not significantly (P > 0.1). The environmental restoration of Yueqing Bay also requires continuous and long-term ecological protection and restoration work to be effective. This research can provide a reference for ecological environment monitoring and remote sensing data application for similar semi-enclosed bays, and support the sustainable development of the bay.
ĐÁNH GIÁ CÔNG TÁC PHÂN LOẠI RÁC THẢI SINH HOẠT TẠI NGUỒN TRÊN ĐỊA BÀN PHƯỜNG QUANG TRUNG, THÀNH PHỐ THÁI NGUYÊN
Authors: Huyền Chu Thị Hồng , Viên Nguyễn Thị Hồng , Huyền Nguyễn Thu , Đông Nguyễn Thị 
Published: January 2022

Nghiên cứu được thực hiện tại tổ 1, 2, 3 phường Quang Trung, thành phố Thái Nguyên nhằm đánh giá công tác phân loại rác thải sinh hoạt tại nguồn sau đề án thí điểm của thành phố. Các phương pháp được sử dụng trong nghiên cứu này bao gồm: Phương pháp phân tích, tổng hợp tài liệu, điều tra xã hội học, toán học. Kết quả nghiên cứu cho thấy: 100% các hộ gia đình, hộ kinh doanh trên địa bàn đều đồng thuận, ủng hộ đề án phân loại rác thải sinh hoạt tại nguồn của thành phố; 89,15% số hộ đã biết cách phân loại rác; 90,55% số hộ bỏ rác đúng nơi quy định; đa số các hộ dân đã phân loại rác thải sinh hoạt và số hộ thực hiện phân loại rác đạt tỷ lệ 56,14%; số hộ sử dụng dụng cụ phân loại rác được phát đúng mục đích và đổ rác đúng giờ chưa cao. mặc dù đã thực hiện tuyên truyền đến từng hộ dân theo đề án thí điểm 4 phường của thành phố nhưng chưa giải quyết được triệt để lượng chất thải sinh hoạt phát sinh. Nghiên cứu cũng đã đề xuất được những giải pháp nhằm nâng cao hiệu quả phân loại rác thải tại nguồn: cần được tiến hành đồng bộ, thu hút được sự tham gia của toàn dân, thu gom đúng giờ, góp phần bảo vệ môi trường và sức khỏe con người.
Sensory Imagery in Rupert Brooke’s Poems Translated
by Vladimir Nabokov: Synesthesia and Metaphysics
Authors: Strygin Artyom 
Published: January 2022

The goal of the research paper is a comparative analysis of Rupert Brooke’s twelve poems and their translations by Vladimir Nabokov. The article deals with biographical, stylistic, metaphysical and intertextual details connecting two writers
and their works. The research underlines the following artistic features of translations with reference to Nabokov’s perception of Brooke’s creative personality: 1) Nabokov emphasizes the «other-world» concept in Brooke’s poetry; subsequently
this topic has been continually conceptualized in Nabokov’s later prose; 2) Nabokov’s analysis of Brooke’s poetry accentuates sensory imagery; 3) Nabokov’s translation expands and elaborates on the originals’ sensory aesthetics and metaphorical
structure. Sensory imagery in Brooke’s poems is structurally compared to the translations with due consideration of coloristics in both writers’ works.
EFEKTIVITAS SERBUK JANTUNG PISANG TERHADAP PRODUKSI ASI PADA IBU NIFAS
Authors: Harahap Hasanah Pratiwi , Agustina Winda , Mardhiah Ainun 
Published: January 2022

Proses pembentukan ASI melibatkan gabungan dari hormon prolaktin dan oksitosin serta adanya refleks berupa hisapan bayi pada putting ibu. Pencapaian ASI ekslusif di Asahan sebesar 43,6%. Kegagalan pemberian ASI dapat memberikan dampak infeksi bayi dan serta meningkatkan kanker payudara pada ibu. Penelitian ini bertujuan untuk mengetahui efektivitas serbuk jantung pisang terhadap produksi ASI. Jenis penelitian kuantitatif dengan metode pre eksperimental design dengan desain posttest control group design. Lokasi penelitian di Kelurahan Binjai Serbangan, Kecamatan Air Joman mulai Agustus 2020-Juni 2021 dengan tekhnik purposive sampling dan perbandingan 1:1 sebanyak 26 orang terdiri kelompok intervensi dan kontrol. Intervensi diberikan serbuk jantung pisang dan penilaian menggunakan kuesioner kriteria kelancaran produksi ASI yang terbagi indikator bayi dan ibu. Penilaian dilakukan sebanyak 4 tahap. Analisis data yang digunakan adalah independent sample t test dengan tingkat kemaknaan 95% (0,05). Hasil penelitian diperoleh nilai sig 0,031 dengan mean kelompok intervensi 19,08 dan kontrol 16,08 pada indikator bayi, sementara produksi ASI dari indikator ibu nilai sig.0,006 dengan mean sebesar 22,77 untuk kelompok intervensi dan 17,85 untuk kontrol. Kesimpulan ada efektivitas berupa peningkatan produksi ASI dari indikator bayi dan ibu dengan pemberian serbuk jantung pisang. Diharapkan tenaga kesehatan khususnya di fasilitas primer dan klinik untuk membantu dan memberikan penkes ibu nifas dalam meningkatkan produksi ASInya dengan memberdayakan hasil alam.