bluuebunny/crossref_metadata_2025_split huggingface dataset:
Eighteen Days in Tahrir Protests: The Perfomatives of Civic Action in Egypt’s 2011 Revolution
Authors: Amin Dina 
Published: July 2022

Abstract
On January 25, 2011, a spontaneous mobilization of masses of Egyptian folks congregated in Tahrir Square calling for change in Egypt. ‘Bread, freedom and social justice’ is what Egyptian demonstrators chanted throughout their encampment in the Midan. Shortly after Tahrir Square had turned into a community of protestors congregating and setting up camp day and night in the large plaza, random protestors and performers started devising means of entertainment imbued with political satire with which to engage and incite the crowds. Songs and dances as well as lengthy dramatic monologues, verbatim testimonies, poetry recitations and various styles of storytelling emerged. Those performative acts of protest are similar in nature to renowned Egyptian dramatist Yusuf Idris’s recounting of the Egyptian village al-samir performance tradition, which was also performative and unruly in nature. This interdisciplinary study compares that indigenous dramatic art form, al-samir, with the revolutionary performatives of protest that sprang up extemporaneously in the Midan during the Egyptian revolution in 2011. The paper raises questions about the nature of protest and community formation, democracy, performativity and focuses only on the first 18 days of the January uprising, that specific historical moment only and its transformative effect on theatrical performances, performers and protestors at the time. The paper proposes that the Tahrir performatives of protest were an ephemeral phenomenon that appeared as embodiments and celebrations of political freedom in a specific time and place, and they ended when the call for democracy and the euphoria of the uprising of 2011 gradually faded away.
Conversion of the Knutson et al. Tropical Cyclone Frequency Projections to North Atlantic Landfall
Authors: Jewson Stephen 
Published: July 2022

Abstract
A 2020 metastudy by Knutson et al. gave distributions for possible changes in the frequency and intensity of tropical cyclones under climate change. The results form a great resource for those who model the impacts of tropical cyclones. However, a number of steps of processing may be required to use the results in practice. These include interpolation in time, distribution fitting, and reverse engineering of correlations. In this paper we study another processing step that may be required, which is adjusting the frequency change results so that they apply to landfalling frequencies. An adjustment is required because the metastudy results give frequency adjustments as a function of storm lifetime maximum intensity rather than landfall intensity. Increases in the frequency of category-4 and category-5 storms, by lifetime maximum intensity, then contribute to increases in the frequencies of storms of all intensities at landfall. We consider North Atlantic Ocean storms and use historical storm information to quantify this effect as a function of landfall intensity and region. Whereas the original metastudy results suggest that the mean frequency of category-3 storms will decrease, our analysis suggests that the mean frequency of landfalling category-3 storms will increase. Our results are highly uncertain, particularly because we assume that tracks and genesis locations of storms will not change, even though some recent climate model results suggest otherwise. However, making the adjustments we describe is likely to be a better way to model future landfall risk than applying the original metastudy frequency changes directly at landfall.

Significance Statement
A recent metastudy gave distributions for possible changes in the frequency and intensity of tropical cyclones under climate change. For the North Atlantic Ocean, we show how to convert these results to changes at landfall. This conversion increases the changes in the frequencies of storms in intensity categories 0–3, and, in particular, the mean frequency change of storms in category 3 flips from decreasing to increasing in most regions.
On the Detection of Externally Forced Decadal Modulations of the Sahel Rainfall over the Whole Twentieth Century in the CMIP6 Ensemble
Authors: Ndiaye Cassien D. , Mohino Elsa , Mignot Juliette , Sall Saidou M. 
Published: July 2022

Abstract
The Sahel semiarid region was marked during the twentieth century by significant modulations of its rainfall regime at the decadal time scale. Part of these modulations have been associated with the internal variability of the climate system, linked to changes in oceanic sea surface temperature. More recently, several studies have highlighted the influence of external forcings during the dry period in the 1980s and the recovery around the 2000s. In this work we evaluate the internally and externally driven decadal modulations of Sahel rainfall during the entire twentieth century using a set of 12 models from phase 6 of the Coupled Model Intercomparison Project (CMIP6). We begin by proposing a physically based definition of Sahel rainfall that takes into account the southward bias in the location of the Sahelian ITCZ simulated by all the models. Our results show that the amplitude of the decadal variability, which is underestimated by most models, is mainly produced by the internally driven component. Conversely, the external forcing tends to enhance the synchrony of the simulated and observed decadal modulations in most models, providing statistically significant correlations of the historical ensemble mean with observations in 1/3 of the models, namely IPSL-CM6A-LR, INM-CM5-0, MRI-ESM2-0, and GISS-E2-1-G. Further analysis of the detection and attribution runs of the IPSL-CM6A-LR shows that anthropogenic aerosol dominate the decadal modulations of Sahel rainfall simulated by this model, suggesting that at least a part of the impact is ocean-mediated and operated through shifts in the ITCZ and the Saharan heat low.
Ultrasound-guided Transversus Abdominis Plane Block is Effective as Laparoscopic Trocar site infiltration in Postoperative Pain Management in Patients Undergoing Adrenal Surgery
Authors: Cavallaro Giuseppe , Gazzanelli Sergio , Iossa Angelo , De Angelis Francesco , Fassari Alessia , Micalizzi Alessandra , Petramala Luigi , Crocetti Daniele , Circosta Francesco , Concistrè Antonio , Letizia Claudio , De Toma Giorgio , Polistena Andrea 
Published: July 2022

Background Pain management in patients undergoing laparoscopy is still a matter of debate as several techniques have been proposed to reduce postoperative analgesic consumption and improve recovery. Among these, transversus abdominis plane (TAP) block is considered as safe, effective, and easy to perform under ultrasound guidance; even so, recently laparoscopically guided trocar site anesthetic infiltration has been proposed as a “surgeon-dependent alternative to TAP block.” The aim of this evaluation is to compare these analgesic techniques in the setting of laparoscopic adrenalectomy. Methods This is a retrospective evaluation of a prospectively maintained database. Patients were divided into two groups: Group A patients received laparoscopic-assisted trocar site infiltration of ropivacaine; Group B patients received bilateral ultrasound-guided TAP block with ropivacaine. All patients received 24 h infusion of 20 mg morphine postoperatively; pain was checked at 6, 24 and 48 h after surgery. A rescue analgesia was given if numerical rating scale (NRS) score was > 4 or on patient request. Results One hundred and three patients were enrolled in the evaluation (57 in group A and 46 in group B). There were no differences in operative time, complications and postoperative stay, and no complications related to trocar site infiltration. There were no differences in NRS at 6, 24, and 48 hours as well as in patients requiring further analgesic administration. Conclusions Laparoscopic-guided trocar site ropivacaine infiltration has similar pain outcomes compared to ultrasound-guided TAP block in the management of postoperative pain in patients undergoing laparoscopic adrenalectomy. Since there is no difference among these techniques, the decision can be based on surgeon or anesthesiologist preference.
Home-based Vestibular Rehabilitation: A Feasible and Effective Therapy for Persistent Postural Perceptual Dizziness (A Pilot Study)
Authors: Teh Carren Sui-Lin , Abdullah Nurul Ain , Kamaruddin Noor Rafidah , Mohd Judi Kamariah Binti , Fadzilah Ismail , Zainun Zuraida , Prepageran Narayanan 
Published: July 2022

Introduction: Persistent postural-perceptual dizziness (PPPD) is a chronic functional vestibular disorder where there is persistent dizziness or unsteadiness occurring on most days for more than 3 months duration. Treatment recommendations for PPPD include vestibular rehabilitation therapy (VRT) with or without medications and/or cognitive behavioral therapy. Objectives: This paper is a pilot study designed to compare the effects of Bal Ex as a home-based VRT on the quality of life (EQ-5D), dizziness handicap (DHI) and mental health (DASS-21) against hospital-based VRT. Design: This was an assessor-blinded, randomized controlled pilot study where PPPD patients were randomly selected to undergo Bal Ex, the home-based VRT (intervention group) or hospital-based (control group) VRT. The participants were reviewed at 4 weeks and 12 weeks after the start of therapy to assess the primary endpoints using the subjective improvement in symptoms as reported by patients, changes in DHI scores, DASS-21 scores and EQ5D VAS scores. Results: Thirty PPPD patients successfully completed the study with 15 in each study group. Within 4 weeks, there were significant improvements in the total DHI scores as well as anxiety levels. By the end of 12 weeks, there were significant improvements in the DHI, DASS-21 and EQ5D. The degree of improvement between Bal Ex and the control was comparable. Conclusion: VRT is an effective modality in significantly improving quality of life, dizziness handicap, depression, and anxiety levels within 3 months in PPPD. Preliminary results show Bal Ex is as effective as hospital-based VRT and should be considered as a treatment option for PPPD.
‘I feel hopeless’: Exploring the psychosocial impacts of caring for mentally ill relatives in Cambodia
Authors: Phoeun Bunna , Chanthorn Leang , Schulhofer Lena , Khann Sareth , Soung Thea , Conroy Kevin , Nguyen Amanda J. 
Published: July 2022

Background: There is growing recognition of the psychosocial burden of caregiving on relative caregivers of the mentally ill in low-and middle-income countries. Yet there remains limited formal research examining the challenges and psychosocial support needs of these relative caregivers, particularly with sensitivity to understanding caregiver experiences across diverse cultures and contexts. The purpose of this study was to study caregiver burden to inform potential intervention approaches among relative caregivers of treatment-engaged mentally ill patients in Cambodia. Methods: Participants were all relative caregivers identified through their connection to a non-governmental organization providing psychiatric care. Five focus group discussions were held with 37 participants to explore challenges experienced by relative caregivers. A total of 115 caregivers then completed a mental health assessment consisting of the Patient Health Questionnaire – 9 item scale, Generalized Anxiety Disorder – 7-item scale, and 21-item Depression, Anxiety, and Stress Scale. Internal consistencies ranged from α = .81 to .87 across scales. Results: Five themes emerged from the focus group discussions: financial burden, erratic behavior of patients, social alienation, somatic and emotional symptoms, and barriers to help-seeking. Assessment data indicated the sample was highly symptomatic. Women and those with no employment appeared to be at higher risk of distress, as were those caregivers with a biological relationship to the patient (parents, children, and siblings; relative to spouses or other relationships). Discussion: Findings suggest a need for regular screening and greater psychosocial support for relative caregivers. It is notable that the needs identified within the current study remain prominent even as this is a treatment-engaged sample.
Sequential use of drugs (prostaglandin e1 after failed trial of PGE2 gel) for induction of labour: Retrospective observational study
Authors: De Arpita , Nigam Aruna , Sharma Sumedha , Anwar Arifa , Gupta Nidhi , Gupta Neha 
Published: July 2022

With advancements in medicine, the scope of pregnancies have increased. This has subsequently increased the number of inductions and therefore more caesarean sections. We looked at the efficacy and safety of sequential induction with PGE2 gel followed by PGE1 tablets after a period of rest in a retrospective observational study. Women with failed induction of labour with 3 PGE2 gel were re-induced with 25ug vaginal PGE1 tablets, with a maximum of five doses (sequential regimen). Fetomaternal outcome and vaginal delivery rates were compared between the only-PGE2 gel group and the sequential group. There were 296 inductions of labour, of which 41 were included in the sequential group, amongst whom the vaginal delivery rate was 56%. Caesarean delivery rate with only PGE2 gel would have been 32%, but with the addition of PGE1 vaginal tablet (sequential induction), it reduced by >8% (p  =  0.02). Fetomaternal outcomes were comparable in the two groups. We thus conclude that sequential induction with PGE1 tablets is an effective option.
Mood Change and Perceptions of Vitality: A Comparison of the Effects of Relaxation, Visualization and Yoga
Authors: Wood C 
Published: July 2022

The effects of three different procedures, relaxation, visualization and yogic breathing and stretch (pranayama) on perceptions of physical and mental energy and on positive and negative mood states have been assessed in a group of normal volunteers ( N=71, age range 21–76). Pranayama produced a significantly greater increase in perceptions of mental and physical energy and feelings of alertness and enthusiasm than the other two procedures ( P<0.5). Relaxation made subjects significantly more sleepy and sluggish immediately after the session than pranayama ( P < 0.05). Visualization made them more sluggish but less content than pranayama ( P<0.05) and more upset than relaxation after the second session ( P<0.05). ?Thus, a 30 min programme of yogic stretch and breathing exercises which is simple to learn and which can be practised even by the elderly had a markedly ‘invigorating’ effect on perceptions of both mental and physical energy and increased high positive mood. A more extensive investigation is planned to establish whether such a programme can readily be incorporated into everyday life, and with what long-term results.
The Breakdown of the Distinction Between the Public, Secular Private, and Religious Spheres in Education Law and Policy
Authors: Superfine Benjamin M. 
Published: July 2022

Background: Over the past decade, courts increasingly have considered cases that involve clashes between public, secular private, and religious institutions in education. Such clashes appear to have intensified as recently as the 2019–2020 Supreme Court term, and the confirmation of Associate Justice Amy Coney Barrett to the Court in 2020 suggests that issues centered on these institutions will continue to receive significant judicial attention. While these recent cases have focused on a range of education law and policy issues, some have focused on arguably the most fundamental legal issues applicable to such schools—the instances in which the legal distinctions between public, secular private, and religious schools are strong or weak. Purpose: This study examines three recent, major federal cases as both historical and legal cases to highlight the restructuring of the distinctions among public, secular private, and religions schools in the institutional setting of the courts. I examine how the courts have historically structured these distinctions; how these three recent cases have restructured these distinctions; and the education law and policy implications moving forward. Research Design: This article is a legal analysis and historical case study. Findings: Three recent and high-profile education cases reflect a spectrum of how the highest courts have restructured distinctions between public, secular private, and religious schools in a short period. In some instances, courts have blurred the legal distinctions between these types of schools by allowing religious schools to receive governmental support even in situations in which states have directly attempted to exclude institutions like them from receiving such support. In other instances, courts have strengthened these distinctions by differentiating how public, secular private, and religious schools are treated with respect to their abilities to discriminate. Conclusion: Taken together, the three cases underscore the intensifying attention of the courts to restructuring the distinctions between the public, secular private, and religious spheres in education. These distinctions reflect judicial engagement with major educational and political goals, such as pluralism, communality, and discrimination, and are grounded in a long history of courts’ involvement in this field. Especially in a field characterized by highly politicized debates, attention to the distinction between the public, secular private, and religious spheres in education is critical for understanding how and why fundamental educational policy decisions have been and continue to be made.
Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study
Authors: Boggs Samantha , de Caen Genevieve , Lobos Anna-Theresa , Plint Amy C , Krmpotic Kristina 
Published: July 2022

Objectives To describe the characteristics, critical care resource requirements, and outcomes of children who were hospitalized after a Pediatric Intensive Care Unit (PICU) consult in the Emergency Department (ED). Methods In this single-centre retrospective cohort study, we conducted chart reviews for children (<18 years) hospitalized following a PICU consult in the ED to examine patient characteristics, timing of consult, ED length of stay, Medical Emergency Team (MET) utilization, PICU nursing workload, and critical care interventions for children who were and were not admitted to the PICU. Results During the one-year study period, 247 PICU consults were performed in the ED resulting in 161 (65.2%) direct admissions to PICU and 1 indirect PICU admission via the ward. Of 105 children with complex chronic conditions, 73 (69.5%) were admitted to PICU, including 32 (91.4%) of 35 children with chronic home ventilatory needs, only 2 (6.2%) of whom received a critical care intervention beyond respiratory support. Within 24 h of hospitalization, 112 (69.1%) of 162 PICU admissions received a critical care-specific intervention. Of 86 (34.8%) ward admissions, 16 (18.6%) were reviewed by the MET. Children admitted to the ward had a significantly longer post-consult ED length of stay than children admitted to PICU (median 428 min vs. 130 min; p <0.0001). Conclusions Over two-thirds of children admitted to PICU from the ED required early critical care interventions, with the remainder potentially benefitting from closer monitoring or a higher frequency of non-critical care interventions than can be reasonably provided on general inpatient wards. More research is needed to evaluate critical care and hospital resource utilization when children are triaged to the ward following a PICU consult in the ED.
Time-varying connectivity of the precuneus and its association with cognition and depressive symptoms in neuromyelitis optica: A pilot MRI study
Authors: Cacciaguerra Laura , Mistri Damiano , Valsasina Paola , Martinelli Vittorio , Filippi Massimo , Rocca Maria A 
Published: July 2022

Background: The precuneus is involved in cognition and depression; static functional connectivity (SFC) abnormalities of this region have been observed in neuromyelitis optica spectrum disorders (NMOSD). Time-varying functional connectivity (TVC) underpins dynamic variations of brain connectivity. Objective: The aim of this study was to explore precuneus SFC and TVC in NMOSD patients and their associations with neuropsychological features. Methods: This retrospective study includes 27 NMOSD patients and 30 matched healthy controls undergoing resting state functional magnetic resonance imaging (MRI) and a neuropsychological evaluation of cognitive performance and depressive symptoms. A sliding-window correlation analysis using bilateral precuneus as seed region assessed TVC, which was quantified by the standard deviation of connectivity across windows. Mean connectivity indicated SFC. Results: Compared to controls, patients had reduced SFC between precuneus, temporal lobe, putamen and cerebellum, and reduced TVC between precuneus and prefronto-parietal-temporo-occipital cortices and caudate. Patients also had increased intra-precuneal TVC and increased TVC between the precuneus and the temporal cortex. More severe depressive symptoms correlated with increased TVC between the precuneus and the temporal lobe; worse cognitive performance mainly correlated with higher TVC between the precuneus and the parietal lobe. Conclusion: TVC rather than SFC of the precuneus correlates with NMOSD neuropsychological features; different TVC abnormalities underlie depressive symptoms and cognitive impairment.