bluuebunny/crossref_metadata_2025 huggingface dataset:
OTs’ Perspectives on Family-Centered Care and Meaningful Relationships Within Complex Family Contexts
Authors: Humbert Tamera , Cargill Esther , Sanders Abigail , Wood Courtney
Published: July 2020

Date Presented 03/28/20

The value of family-centered care is identified in the literature, highlighting the need for therapists to use a variety of approaches. However, there is limited evidence as to how to best provide care with families dealing with complex contexts such as language, cultural, and social-economic differences. This session will provide the perspectives of eight OTs who identified strategies to support the primary caregiver and ways in which to build therapeutic alliances.

Primary Author and Speaker: Tamera Humbert

Additional Authors and Speakers: Esther Cargill, Abigail Sanders, Courtney Wood
Stakeholder Engagement in OT Research: Raising the Standard for Dementia Care
Authors: Martinez Jenny , Piersol Catherine , Terhorst Lauren , Holloway Sherrie , Wong Carin , Chew Felicia , Leland Natalie
Published: July 2020

Date Presented 03/28/20

This presentation will characterize our experiences integrating stakeholder engagement into a multisite pragmatic clinical trial focused on optimizing care for nursing-home residents with dementia. We will discuss our methods for building OT capacity to conduct research that includes the voices of stakeholders.

Primary Author and Speaker: Jenny Martinez

Contributing Authors: Catherine Piersol, Lauren Terhorst, Sherrie Holloway, Carin Wong, Felicia Chew, Natalie Leland
Predictors of Smartphone Ownership Among Post-Stroke Community-Dwelling Adults: Implications for Future Mobile Health in Rehabilitation
Authors: Walsh Ryan , Baum Carolyn , Wong Alex
Published: July 2020

Date Presented 03/28/20

Increasing ownership of smartphones among adults in the United States who are living with and without disabilities enables access to valued activities, including mobile health (mHealth) services. However, little is known about factors that impact smartphone ownership among poststroke community-dwelling adults. Therefore, this study describes factors that predict smartphone ownership among poststroke community-dwelling adults and the potential application of mHealth services to rehabilitation research and practice.

Primary Author and Speaker: Ryan Walsh

Contributing Authors: Carolyn Baum, Alex Wong
Perceived Stress in Undergraduate OT Students
Authors: Poleshuck Laura , Eckhardt Samantha , Peck Shelby , Salce Caryn , Valenti Sophie
Published: July 2020

Date Presented 03/28/20

Increased stress levels can affect undergraduate OT students’ academic performance, quality of life, mental health, and development of therapeutic relationships. In this survey study, academics and time constraints were identified by students as causing the highest levels of perceived stress. It is important for students to learn to identify stressors and how to manage them so that they can employ adequate coping skills and foster effective therapeutic rapport with clients.

Primary Author and Speaker: Laura Poleshuck

Contributing Authors: Samantha Eckhardt, Shelby Peck, Caryn Salce, Sophie Valenti
The B.E.E. Program (Build, Engage, Employ): A Community- and Occupation-Based Program for Adults With Intellectual and Developmental Disabilities (I/DD)
Authors: Voltz Kelsey
Published: July 2020

Date Presented 03/28/20

The B.E.E. Program was a three-phase project that was completed to develop a community- and occupation-based program for adults with I/DD. The study examined the feasibility and acceptability of implementing this program in an established community facility. The program involved two individuals who participated in an eight-week program that targeted occupational exposure through a community volunteer experience and education sessions aimed at increasing independence with activities of daily living and instrumental activities of daily living.

Primary Author and Speaker: Kelsey Voltz
Nonpharmacological Interventions for Poststroke Depressive Symptoms: Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Lee Yejin , Chen Brian , Wong Alex
Published: July 2020

Date Presented 03/28/20

This review identified five different types of nonpharmacological interventions aiming to alleviate poststroke depressive symptoms. These included complementary and alternative therapy, exercise, psychosocial therapy, multifactorial therapy, and cranial stimulation. The findings of the meta-analysis indicated that nonpharmacological interventions have a favorable effect on alleviating depressive symptoms after stroke at both postintervention and follow-up, especially psychosocial therapy.

Primary Author and Speaker: Yejin Lee

Additional Authors and Speakers: Brian Chen

Contributing Authors: Alex Wong
Mindful Meditation to Reduce Stress in Young Adults
Authors: Jones Jian , Herrera Gabriell , Johnson Stephen , Mistry Priya , Kornblau Barbara , Oliveira Debora
Published: July 2020

Date Presented 03/28/20

This qualitative study explored the effect of mindful meditation on reduction of stress in young adults through an online survey of open-ended questions using Qualtrics. Participants were recruited from a closed Facebook meditation community and various social media outlets. Qualitative data was analyzed using content analysis until saturation was reached. Multiple researchers and data collection from multiple sources ensured triangulation, rigor, and trustworthiness of the data.

Primary Author and Speaker: Jian Jones

Additional Authors and Speakers: Gabriell Herrera, Stephen Johnson, Priya Mistry, Barbara Kornblau, Debora Oliveira
Perceptions and Knowledge of Older Adult Populations and Geriatric Care: An Assessment of Interdisciplinary Experiences and Workforce Development
Authors: Washington Selena , Tucci Gabby , Handy Laura , Deters Haley , Gahart Mehan
Published: July 2020

Date Presented 03/28/20

This study asked previous interprofessional clinical case competition participants (287 students) to complete a comprehensive survey to assess their perceptions and knowledge of geriatric care and older adult populations.

Primary Author and Speaker: Selena Washington

Additional Authors and Speakers: Gabby Tucci, Laura Handy, Haley Deters, Mehan Gahart
Transcutaneous Spinal Cord Stimulation (TSCS) Yields Improvements in Quality of Life and Walking Function for Patients With Incomplete Spinal Cord Injury (iSCI)
Authors: Martin Rebecca
Published: July 2020

Date Presented 03/28/20

TSCS is a promising, noninvasive intervention aimed at increasing spinal excitability and unmasking latent function. The purpose of this study was to assess the impact of pairing TSCS with a long-term gait-training protocol on the quality of life and walking function of patients with motor iSCI. Study results indicate significant improvements in quality of life, bowel and bladder, and walking function.

Primary Author and Speaker: Rebecca Martin
It Just Makes Sense: Sensory Strategies in Educational Contexts, An Efficacy Study
Authors: Quint Nicole
Published: July 2020

Date Presented 03/28/20

Students with sensory-processing disorder pose unique challenges to OTs working in schools. A year-long program to promote competent utilization of sensory-based interventions in school-based practices utilized a qualitative research study as part of its program evaluation. The resulting conclusion is that professional development needs to be adapted to meet the needs of school-based OTs in order to overcome the specific barriers that limit service delivery for students.

Primary Author and Speaker: Nicole Quint
A Phenomenological Exploration of the Early Needs of Caregivers of People With Alzheimer’s Disease: A Pilot Study
Authors: Wilson Paula , Watson Julie , Duffy Jennifer
Published: July 2020

Date Presented 03/28/20

The purpose of this pilot study was to determine the feasibility and tenability of the topic to understand caregiver needs early in the experience of caring for a person with Alzheimer’s disease. Interviews with caregivers revealed three themes. Though more research is needed, OTs can support caregivers, potentially preventing the negative physical and psychosocial outcomes they face.

Primary Author and Speaker: Paula Wilson

Additional Authors and Speakers: Julie Watson, Jennifer Duffy
Impact of Pillbox Customization on Device Satisfaction and Medication Adherence
Authors: Schwartz Jaclyn , Caceres Yaritza , Centeno Ana , Cruz Vanessa , Gutierrez Jessyka , Orozco Nicte
Published: July 2020

Date Presented 03/28/20

This presentation will describe a novel assistive technology intervention: customized pillboxes. We will also describe the results of a small, randomized controlled trial that compares medication adherence and device satisfaction across the three study arms: (1) standard pillboxes, (2) individualized store-bought pillboxes, and (3) 3-D printed pillboxes.

Primary Author and Speaker: Jaclyn Schwartz

Additional Authors and Speakers: Yaritza Caceres, Ana Centeno, Vanessa Cruz, Jessyka Gutierrez, Nicte Orozco
The Lived Experience of Homeless Mothers’ Participation in an OT Leisure Craft Group
Authors: Schultz-Krohn Winifred , Mena Carina , Winter Emily , Roozeboom Alison , Vu Lisa , Yee Erica
Published: July 2020

Date Presented 03/28/20

This phenomenological, qualitative pilot study aimed to gain insight into the lived experiences of homeless mothers participating in leisure craft groups. Information was obtained using semistructured interviews that sought to explore what meaning was derived from attendance. Informants from the study echoed content from literature regarding benefits of leisure participation. This research supports the application of occupational justice by expanding services to an under-served population.

Primary Author and Speaker: Winifred Schultz-Krohn

Additional Authors and Speakers: Carina Mena, Emily Winter, Alison Roozeboom, Lisa Vu, Erica Yee
Use of the Model of Human Occupation (MOHO) to Understand the Occupational Needs of Mothers With Perinatal Mental Illness: A UK Grounded-Theory Study
Authors: Graham Mandy
Published: July 2020

Date Presented 03/28/20

Perinatal mental healthcare is an emerging area of practice for OTs in the UK, however research to guide practice remains scarce. A qualitative grounded theory methodology elicited data from 12 OTs using semistructured interviews. The MOHO was found to enable participants to understand the complex needs of mothers with mental illness, measure outcomes, and articulate their unique and distinct role to multiple audiences.

Primary Author and Speaker: Mandy Graham
Determining the Needs of Newly Transitioned Residents in an Assisted-Living Facility (ALF): A Mixed-Methods Assessment
Authors: Fidanza Nicole , Baker Nicole , Brown Rachel , Gallagher Hope , Godusky Kiera
Published: July 2020

Date Presented 03/26/20

This mixed-methods study classified new residents in an ALF for frailty and explored each resident’s occupational needs upon their transition to the ALF. Results revealed a spectrum of personal narratives, functional abilities, and psychosocial needs among new residents. Findings implicate the need for standardized data collection upon admission, followed by program development or refinement, to best meet the needs of new ALF residents.

Primary Author and Speaker: Nicole Fidanza

Contributing Authors: Nicole Baker, Rachel Brown, Hope Gallagher, Kiera Godusky
The Stroll Safe Outdoor Fall-Prevention Program: A Feasibility Study
Authors: Chippendale Tracy
Published: July 2020

Date Presented 03/27/20

Using a quasiexperimental design, the feasibility of the Stroll Safe outdoor fall-prevention program was examined. Process, scientific, management, and resource assessments were conducted. Results reveal that the program is feasible to implement among active, community-dwelling older adults. Further study using an efficacy trial is warranted. This study helps to build the body of knowledge in outdoor fall prevention, an area of research and practice that is critical to productive aging.

Primary Author and Speaker: Tracy Chippendale
Initial Evaluation of a Public Transportation Intervention Program for Individuals With Developmental Disabilities (DD)
Authors: Pfeiffer Beth , Bevans Katherine
Published: July 2020

Date Presented 03/27/20

People with DD often face transportation challenges that impede community participation. The purpose of this study was to examine the impact of a comprehensive intervention program on the travel skills of individuals with DD to increase community mobility.

Primary Author and Speaker: Beth Pfeiffer

Additional Authors and Speakers: Katherine Bevans
Sensory Modulation in Children Exposed to Continuous Traumatic Stress
Authors: Pat-Horenczyk Ruth , Yochman Aviva
Published: July 2020

Date Presented 03/27/20

A comparison between children with and without PTS symptoms, found that children with PTS symptoms are at increased risk for sensory processing deficits in various sensory modalities, over and above the core symptoms of PTSD. These results emphasis that sensory processing should be incorporated into the routine evaluation of this population and point to the importance of occupational therapy trauma-informed intervention programs, emphasizing the sensory component of regulation

Primary Author and Speaker: Aviva Yochman

Contributing Authors: Ruth Pat- Horenczyk
Trauma, Sensory Processing, and the Impact of OT on Youth in Juvenile Corrections
Authors: Linkugel Maria , Dvornak Mikaila , Estes Joanne , Snodgrass Rachel , Klein Kierra , Williams Ashlyn
Published: July 2020

Date Presented 03/28/20

This mixed-methods research examined the impact of sensory-based OT intervention on youth in a juvenile correctional facility through record review data analysis and interviews with incarcerated youth. Youth had a significantly lower rate of violence following OT intervention and other positive behavioral and emotional changes. The findings support the effectiveness of sensory-based OT and its significance for this underserved population.

Primary Author and Speaker: Maria Linkugel

Additional Authors and Speakers: Mikaila Dvornak, Joanne Estes

Contributing Authors: Rachel Snodgrass, Kierra Klein, Ashlyn Williams
Identifying Key Quality-of-Life (QoL) Factors Within Persons With Amyotrophic Lateral Sclerosis (ALS) & Their Caregivers
Authors: Johnson Stephanie , Brown Hannah , Grice Bentlie , Huddleston Tyler , Moon Kristen , Mumper Shannon , Podber Wendy
Published: July 2020

Date Presented 03/28/20

This study investigated QoL factors for persons with ALS and their caregivers as a unit. People ALS and their caregivers completed the Schedule for the Evaluation of Quality of Life—Direct Weight jointly to identify QoL factors most important to the dyad. The three most commonly chosen QoL factors include family, spirituality, and leisure. Identifying key QoL factors will allow OTs to provide improved client- and family-centered care that is more holistic.

Primary Author and Speaker: Shannon Mumper

Additional Authors and Speakers: Hannah Brown, Bentlie Grice, Tyler Huddleston, Kristen Moon, Wendy Podber

Contributing Authors: Stephanie Johnson
Adverse Childhood Experience (ACE) Prevalence and Severity of Mental, Behavioral, and Developmental Disorders: National Survey of Child Health (NSCH) 2011-2016
Authors: Whitney Rondalyn , Theeke Elliott
Published: July 2020

Date Presented 03/28/20

Early ACEs have implications relating to mental, behavioral, and developmental disabilities and lifelong health. This secondary data analysis of the NSCH demonstrates the relationship between ACEs and symptom severity for children with pediatric disability in the United States. Our results show that as adverse childhood experiences increase, symptom severity increases, emphasizing the importance of understanding underlying contextual factors in early intervention.

Primary Author and Speaker: Rondalyn Whitney

Contributing Authors: Elliott Theeke
Effectiveness of Project FUSE: Fostering Unlimited Success and Empowerment
Authors: Schoen Sarah , Ochsenbein Mim , Spielmann Virginia , Valdez Andrea
Published: July 2020

Date Presented 03/29/20

This pilot study evaluated the effectiveness of Project FUSE, a collaborative program exposing students to trade skills in a supportive and inclusive environment. Findings suggest Project FUSE is a promising program for the development of preemployment skills and independent-living abilities in adolescents with autism. Basic social processes were achieved within a therapeutic group environment.

Primary Author and Speaker: Sarah Schoen

Additional Authors and Speakers: Mim Ochsenbein, Virginia Spielmann

Contributing Authors: Andrea Valdez
Revisiting the trend in the occurrences of the warm Arctic-cold Eurasian continent temperature pattern
Authors: Yu Lejiang , Zhong Shiyuan , Sui Cuijuan , Sun Bo
Published: July 2020

Abstract. The recent increasing trend of warm Arctic, cold continents has attracted much attention, but it remains debatable as to what forces are behind this phenomenon. Here, we revisited surface-temperature variability over the Arctic and Eurasian continent by applying the Self-Organizing-Map (SOM) technique to gridded daily surface temperature data. Nearly 40 % of the surface temperature trends are explained by the nine SOM patterns that depict the switch to the current warm Arctic-cold Eurasia pattern at the beginning of this century from the reversed pattern that dominated the 1980s and the 90s. Further, no cause-effect relationship is found between the Arctic sea-ice loss and the cold spells in high-mid latitude Eurasian continent suggested by earlier studies. Instead, the increasing trend in warm Arctic-cold Eurasia pattern appears to be related to the anomalous atmospheric circulations associated with two Rossby wavetrains triggered by rising sea surface temperature (SST) over the central North Pacific and the North Atlantic Oceans. On interdecadal timescale, the recent increase in the occurrences of the warm Arctic-cold Eurasia pattern is a fragment of the interdecadal variability of SST over the Atlantic Ocean as represented by the Atlantic Multidecadal Oscillations (AMO), and over the central Pacific Ocean.
A regional evaluation of the influence of climate change on long term
trends in chlorophyll-a in large Italian lakes from satellite data
Authors: Free Gary , Bresciani Mariano , Pinardi Monica , Ghirardi Nicola , Luciani Giulia , Caroni Rossana , Giardino Claudia
Published: July 2020

Abstract. Climate change has increased the temperature and altered the mixing regime of high-value lakes in the sub-alpine region of Northern Italy. Remote sensing of chlorophyll-a can help provide a time-series to allow an assessment of the ecological implications of this. Non-parametric multiplicative regression (NPMR) was used to visualize and understand the changes that have occurred between 2003–2018 in lakes Garda, Como, Iseo and Maggiore. In all four deep sub-alpine lakes there has been a disruption from a traditional pattern of a significant spring chlorophyll-a peak followed by a clear water phase and summer/autumn peaks. This was replaced after 2010–2012, with lower spring peaks and a tendency for annual maxima to occur in summer. There was a tendency for this switch to be interspersed by a two-year period of low chlorophyll-a, which seemed to extend until 2018 for Lake Garda. Variables that were significant in NPMR included time, air temperature, wind speed, cloud cover, winter temperature and winter values for the North Atlantic Oscillation and Eastern Atlantic pattern. The change from spring to summer chlorophyll-a maxima, relatively sudden in an ecological context, could be interpreted as a regime shift. The cause is probably cascading effects from increased winter temperatures, reduced winter mixing and altered nutrient dynamics. Future trends will depend on climate change and inter-decadal climate drivers.
Global evaluation of nutrient enabled version land surface model
ORCHIDEE-CNP v1.2 (r5986)
Authors: Sun Yan , Goll Daniel S. , Chang Jinfeng , Ciais Philippe , Guenet Betrand , Helfenstein Julian , Huang Yuanyuan , Lauerwald Ronny , Maignan Fabienne , Naipal Victoria , Wang Yilong , Yang Hui , Zhang Haicheng
Published: July 2020

Abstract. The availability of phosphorus (P) and nitrogen (N) constrain the ability of ecosystems to use resources such as light, water and carbon. In turn, nutrients impact the distribution of productivity, ecosystem carbon turnovers and their net exchange of CO2 with the atmosphere in response to variation of environmental conditions both in space and in time. In this study, we evaluated the performance of the global version of the land surface model ORCHIDEE-CNP (v1.2) which explicitly simulates N and P biogeochemistry in terrestrial ecosystems coupled with carbon, water and energy transfers. We used data from remote-sensing, ground-based measurement networks and ecological databases. Components of the N and P cycle at different levels of aggregation (from local to global) are in good agreement with data-driven estimates. When integrated for the period 1850 to 2017 forced with variable climate, rising CO2 and land use change, we show that ORCHIDEE-CNP underestimates the land carbon sink in the North Hemisphere (NH) during the recent decades, despite an a priori realistic GPP response to rising CO2. This result suggests either that other processes than CO2 fertilization which are omitted in ORCHIDEE-CNP, such as changes in biomass turnover, are predominant drivers of the northern land sink, and/or that the model parameterizations produce too strict emerging nutrient limitations on biomass growth in northern areas. In line with the latter, we identified biases in the simulated large-scale patterns of leaf and soil stoichiometry and plant P use efficiency pointing towards a too severe P limitations towards the poles. Based on our analysis of ecosystem resource use efficiencies and nutrient cycling, we propose ways to address the model biases by giving priority to better representing processes of soil organic P mineralization and soil inorganic P transformation, followed by refining the biomass production efficiency under increasing atmospheric CO2, phenology dynamics and canopy light absorption.
Technical note: Calculation scripts for ensemble hydrograph separation
Authors: Kirchner James W. , Knapp Julia L. A.
Published: July 2020

Abstract. Ensemble hydrograph separation has recently been proposed as a technique for using passive tracers to measure catchment transit time distributions and new water fractions, introducing a powerful new tool for quantifying catchment behavior. However, the technical details of the necessary calculations may not be straightforward for many users to implement. We have therefore developed scripts that perform these calculations on two widely used platforms (MATLAB and R), to make these methods more accessible to the community. These scripts implement robust estimation techniques by default, making their results highly resistant to outliers. Here we briefly describe how these scripts work, and offer advice on their use. We illustrate their potential and limitations using synthetic benchmark data.
Study on the influence of seafloor soft soil layer on seismic ground motion
Authors: Lan Jingyan , Liu Juan , Song Xing
Published: July 2020

Abstract. In the complex medium system of sea area, the overlying sea water and the surface soft soil have a significant impact on the seafloor ground motion, which brings great seismic risk to the safety of offshore engineering structures. In this paper, four sets of typical free field models are constructed and established, which are land model, land model with surface soft soil, sea model and sea model with surface soft soil. The dynamic finite difference method is used to carry out two-dimensional seismic response analysis of typical free field based on the input forms about P and SV wave. By comparing the seismic response analysis results of four groups of calculation models, the effects of overlying seawater and soft soil on peak acceleration and acceleration response spectrum are studied. The results show that when SV wave is input, the peak acceleration and response spectrum of the surface of soft soil on the surface and the seabed surface can be amplified, while the overlying sea water can significantly reduce the ground motion. When P wave is used, the effect of overlying seawater and soft soil on peak acceleration and response spectrum of surface and seabed can be ignored. The peak acceleration decreases first and then increases from the bottom to the surface, and the difference of peak acceleration calculated by four free field models is not obvious. The results show that the overlying sea water and the surface soft soil layer have little effect on the peak acceleration of ground motion below the surface.
A low-cost method for monitoring snow characteristics at remote field sites
Authors: Tutton Rosamond J. , Way Robert G.
Published: July 2020

Abstract. The lack of spatially distributed snow depth measurements in natural environments is a challenge worldwide but particularly in northern regions such as coastal Labrador where changes to snow conditions directly impact indigenous livelihoods, local vegetation, permafrost distribution and wildlife habitat. This problem is exacerbated by the lack of cost-efficient and reliable snow observation methods available to researchers studying cryosphere-vegetation interactions in remote regions. In this study, we propose a new method termed snow characterization with light and temperature (SCLT) for estimating snow depth using vertically arranged multivariate (light and temperature) data loggers. To test this new approach, six snow stakes outfitted with SCLT loggers were installed in forested and tundra ecotypes in Arctic and Subarctic Labrador. The results from one-year of field measurement indicate that daily maximum light intensity (lux) at snow covered sensors is diminished by more than an order of magnitude compared to uncovered sensors. This contrast enables differentiation between snow coverage at different sensor heights and allows for robust determination of daily snow heights throughout the year. Further validation of SCLT is needed to resolve ambiguities with thresholds for snow detection and to elucidate the impacts of snow density on retrieved light and temperature profiles. However, the results presented in this study suggest that the proposed technique represents a significant improvement over prior methods for snow depth characterization at remote field sites in terms of practicality, simplicity, and versatility.
Optimization of Roasting Conditions for Preservation of Nutritional Quality of Terminalia catappa Almonds by Response Surface Methodology
Authors: Aboudou Kowiou , Vodouhe-egueh Sènan , Vahid Aissi Midimahu , Soumanou Mohamed Mansourou
Published: July 2020

The optimal roasting conditions (temperature and time) of Terminalia catappa (TC) almonds allowing to preserve the nutritional quality of their almonds and oils were investigated. The almonds roasted at different temperature (80-120 °C) for various time (30-60 min) using response surface methodology and oils extracted were analyzed. Effect of temperature and time on antinutritional factors and the nutritional quality of almonds and oils was evaluated then the optimum roasting conditions was determined. Results showed that oxalates, tannins and phytates contents of roasted almonds were significantly (P<0.05) influenced by the temperature and time. Roasting had a significant effect on oxidative stability and some quality index of oils. The optimal roasting conditions for reduction of antinutritional factors in almonds were 89.91 °C and 60 min with 70.37% as desirability. However, the results indicate that TC almond could be used in several areas of the food industries.
Variables associated with frailty in a hospital population in Colombia
Authors: Díaz Diego Moreno , Ochoa Andrés , Corzo Mario Alberto , Sanabria Miguel Cadena , Figueroa Claudia Lucía
Published: July 2020

INTRODUCTION: Frailty predicts functional decline and could be associated with adverse outcomes such as disability, multiple hospitalizations, falls, loss of mobility, and cardiovascular disease. In Colombia 12.5% of prevalence has been reported. In the present study, the different clinical variables associated with frailty were evaluated in a population of hospitalized patients older than 65 years in Bucaramanga, Colombia, in order to predict the behavior of these variables to generate measurement tools of greater applicability than that of currently existing tools. METHODS: An analytical observational cross-sectional study with nonprobabilistic sampling was conducted from January 2016 to June 2017 in patients older than 65 years of follow-up > 48 hours by the internal medicine service. Fried criteria were used to evaluate patients on their last day of hospitalization. RESULTS: A total of 155 patients were included, of whom 60.6% were frail. A combined analysis of the variables that showed association with frailty revealed that a calf circumference lower than or equal to 31 cm, a gait speed lower than or equal to 0.8 m/s, and age above 75 years were associated with frailty. It was also shown that being male and having a BMI > 27 kg/m2 are protective factors for frailty. CONCLUSIONS: The prevalence of frailty in hospitalized older adults was higher than that reported in local studies for the community population. According to multivariate analysis, the variables, when analyzed together, have a predictive ability of 92% to estimate frailty in hospitalized patients.
O(a) herói(na) que precisamos ser para enfrentar a pandemia de COVID-19
Authors: Soares Marcos Hirata , Trevisan Martins Julia
Published: July 2020

Introdução: O COVID- 19 , doença capaz de levar a óbito rapidamente, vem causando aos profissionais de saúde, particularmente da enfermagem, grande impacto moral e psíquico. Dentro desse contexto a enfermagem se apresenta, mais do que nunca, como linha de frente do cuidado, pelo fato de estar com os pacientes nas 24 horas ininterruptamente, além da falta de EPI destacada em vários locais. Desenvolvimento: Diante desta realidade o presente estudo de reflexão teórica, exploratório e descritivo, tem como objetivo refletir sobre a pandemia de COVID-19 e suas implicações para o processo de trabalho de enfermagem, sob o enfoque da Psicologia Analítica a partir do referencial teórico proposto por Carl Gustav Jung. Conclusão: A reflexão contribuiu para que os heróis da enfermagem muitas vezes desconhecidos e pouco valorizados, possam refletir, a partir do referencial teórico apresentado, sobre seu papel profissional, buscando neste momento, sua ascensão e reconhecimento perante a sociedade diante da catástrofe mundial atual, coincidentemente no ano em que a profissão busca, mundialmente seu empoderamento através da campanha mundial Nursing Now.
Defining postoperative ileus and associated risk factors in patients undergoing radical cystectomy with an Enhanced Recovery After Surgery (ERAS) program
Authors: Forbes Connor M. , Chehroudi Ali Cyrus , Mannas Miles , Bisaillon Andrea , Hong Tracey , So Alan , Mayson Kelly , Black Peter C.
Published: July 2020

Introduction: Postoperative ileus (POI) is a common complication of radical cystectomy (RC), occurring in 1.6–23.5% of cases. It is defined heterogeneously in the literature. POI increases hospital length of stay and postoperative morbidity. Factors such as age, epidural use, length of procedure, and blood loss may impact POI. In this study, we aimed to evaluate risk factors that contribute to POI in a cohort of patients managed with a comprehensive Enhanced Recovery After Surgery (ERAS) protocol.

Methods: A retrospective review of consecutive patients who underwent RC from March 2015 to December 2016 at Vancouver General Hospital was performed. POI was defined a priori as insertion of nasogastric tube for nausea or vomiting, or failure to advance to a solid diet by the seventh postoperative day. To illustrate heterogeneity in previous studies, we also evaluated POI using other previously reported definitions in the RC literature. The influence of potential risk factors for POI, including patient comorbidities, American Society of Anesthesiologists score, gender, age, prior abdominal surgery or radiation, length of operation, diversion type, extent of lymph node dissection, removal date of analgesic catheter, blood loss, and fluid administration volume was analyzed.

Results: Thirty-six (27%) of 136 patients developed POI. Using other previously reported definitions for POI, the incidence ranged from <1–51%. Node positive status and age at surgery were associated with POI on univariate analysis but not multivariable analysis.

Conclusions: A large range of POI incidence was observed using previously published definitions of POI. We advocate for a standardized definition of POI when evaluating RC outcomes. POI occurs frequently even with a comprehensive ERAS protocol, suggesting that additional measures are needed to reduce the rate of POI.
Testosterone therapy: Prescribing and monitoring patterns of practice in British Columbia
Authors: Locke Jennifer A. , Flannigan Ryan , Günther Oliver P. , Skeldon Sean , Goldenberg S. Larry
Published: July 2020

Introduction: Guidelines recommend that testosterone therapy (TTh) be restricted to men with a biochemical diagnosis of hypogonadism, and that therapeutic responses be titrated within the normal range.

Methods: Using four provincial longitudinal databases in British Columbia, we identified men prescribed TTh (1997–2013). We characterized the prescribing and monitoring practices of TTh in the context of serum testosterone levels drawn prior to and following initiation of TTh in a population-based setting.

Results: In our analysis of 37 741 men who received at least one TTh prescription, 48% received injectable testosterone and the vast majority were treated by general practitioners. The number of prescriptions for men increased annually, particularly after 2008; 40% discontinued their treatment after their first or second prescription, while 27% received more than 10 repeats. The absolute percentage of pre- and post-serum testosterone levels ordered increased by 16% and 31% during the study period, respectively. However, after initiating TTh, only 36% of all the men had a followup serum testosterone level drawn. Of those with low serum testosterone levels prior to TTh, 49% remained biochemically hypogonadal following TTh, suggesting non-compliance or inadequate dosing.

Conclusions: Many men prescribed TTh did not continue beyond a short trial. While the practice of checking pre-and post-TTh testosterone levels has improved over the study period, it is concerning that only one-third had a followup serum testosterone level, and half remained biochemically low. Further education is required around TTh prescribing, dose titration, and monitoring to ensure both effective and safe prescribing practice.
Reviewer Acknowledgements for International Education Studies, Vol. 13, No. 8
Authors: Lee Chris
Published: July 2020

Reviewer acknowledgements for International Education Studies, Vol. 13, No. 8, 2020.
Drivers and Solutions for Food Waste in the Restoration Sector: A Case Study
Authors: Ruiz-Campillo Xira , Bulmer Elena
Published: July 2020

The aim of this research is to examine the main drivers of food waste in restaurants, the main tools used by the sector to reduce waste and to forward a number of solutions to waste generation. The paper uses a case study in a municipality of Madrid, Spain, where a number of restaurants’ managers were interviewed. The work collects information on how restaurants manage waste, investigate what are the perceptions and attitudes of managers, and determine what kind of solutions could be put in place to reduce in the restauration sector. Findings show that although restaurant managers are aware of the footprint that food waste create, excuses for inaction —going from putting the blame on clients or the space of their premises— were commonly used in the restaurants analysed for this research.
Impacts of Green Office Projects in Thailand: An Evaluation Consistent with Sustainable Development Goals (SDGs)
Authors: Aroonsrimorakot Sayam , Laiphrakpam Meena , Paisantanakij Warit
Published: July 2020

This study aims to evaluate the environmental, economic, and social impacts of a green office project in Thailand, that is consistent with sustainable development goals (SDGs), to analyze and present the result of the study of the environmental, economic, and social impact of green office, and to evaluate satisfaction in the green office project operation. Evaluated the operating steps of green office projects, using new green office evaluation criteria, under Department of Environmental Quality Promotion (DEQP), by collecting preliminary data through questionnaires from 73 agencies, by monitoring and analyzing the project operation of participating organizations to certify as green office standard during 2015 to 2017. Besides, qualitative data were collected through the in-depth interview from 25 representative agencies, selected on the criteria of readiness to provide information and to evaluate their satisfaction in the green office project’s operation. The value of the green office project was 299 million Baht for all participant organizations equal to 1.4 million Baht/office/year. And this could be divided into economic compensation, (262.5 million Baht), social compensation (28.5 million Baht), and environmental compensation (7.55 million Baht). Evaluation of satisfaction found that most agencies (79.45%) have high satisfaction to certification on the evaluation result of national auditors, benefit on staffs’ knowledge, understanding, and observation of the importance of green office operation (86.63%), and the advantage of green office operation in their office (90.41%). The study further suggests that green office projects should be supported as a national policy to all agencies for continuous enhancement or development of the standard, to be an international level according to sustainable development goals (SDGs).
A vision on the quality of websites and their effects on the intention of use and recommendation of tourism services for different levels of consumer experience
Authors: Morimura Lenita , Contreras Pinochet Luis Hernan , Lopes Evandro Luiz , Herrero Eliane , Nemoto Miriam Christi Midori Oishi
Published: July 2020

Objetivo: A expansão do comércio eletrônico contribui com uma parcela considerável das receitas de grandes empresas do setor de turismo. As empresas modernas devem empregar ferramentas baseadas na Web, oferecendo a melhor experiência aos usuários, a fim de satisfazerem seus consumidores e impulsionarem seus negócios. Portanto, com este estudo, buscamos analisar os fatores que contribuem para a classificação da qualidade dos sites de serviços de turismo online, por meio da intenção de uso e recomendação para diferentes níveis de experiência do consumidor.Método: A pesquisa ocorreu em uma amostra de 437 questionários válidos, utilizando um instrumento de coleta estruturado em escala Likert, com 22 afirmações baseadas na escala WEBQUAL 4.0, e duas afirmações com base na escala proposta para o Net Promoter Score (NPS). Os modelos utilizados foram de Reichheld e Markey (2012) e Ahmad e Khan (2017).Resultados: Como resultado, verificamos que a predominância de usuários emprega serviços de turismo online com pouca frequência, o que nos permitiu estabelecer uma diferenciação entre dois grupos: Baixa Experiência e Alta Experiência.Contribuições teóricas: O estudo indica que, para quem utiliza os sites com maior frequência, as variáveis consideradas (facilidade, informação, segurança) não têm efeito na lealdade e recomendação. Entre os usuários menos frequentes, as informações são importantes e a segurança tem pouco efeito sobre a recomendação. Portanto, descobrimos que os entrevistados desta pesquisa não consideram a facilidade de uso como premissa para a continuidade do uso ou recomendação de serviços de turismo online, independentemente de seu nível anterior de experiência.Contribuições gerenciais: a identificação dos antecedentes da intenção de usar serviços online no processo de consumo turístico possibilita que os gerentes aprimorem ações em plataformas digitais. Essa é uma maneira de incentivar os usuários a executar transações comerciais.Contribuições sociais: A baixa relevância para a segurança do site é uma questão que surge dos resultados obtidos neste estudo. Embora esse fenômeno possa ser parcialmente explicado pela (baixa) idade dos entrevistados, existe uma oportunidade para as agências reguladoras e de proteção ao consumidor tomarem medidas para garantir que os requisitos mínimos de segurança estejam presentes nos operadores turísticos online.
Kriegsverbrechen gegen Eigentum
Authors: Mitri-Plingen Yvonne
Published: July 2020

Die Kriegsverbrechen gegen Eigentum stehen im Schatten der unmittelbar gegen Menschen begangenen Verbrechen. Dabei sind sie von nicht zu vernachlässigender praktischer Relevanz. Denn die Zerstörung und Aneignung von Eigentum hat gravierende Auswirkungen auf die betroffenen Menschen, die lebenswichtiges Hab und Gut verlieren. Zudem werden Zerstörungen von Eigentum oftmals als Mittel der Vertreibung eingesetzt.

Die Verfasserin stellt die Entwicklung der Kriegsverbrechen gegen Eigentum im Recht der bewaffneten Konflikte dar. Dabei bietet sie einen Überblick über die Nachkriegsrechtsprechung, die Rechtsprechung des Jugoslawienstrafgerichtshofes sowie des Internationalen Strafgerichtshofes. Die den Kriegsverbrechen gegen Eigentum zugrundeliegenden kriegsrechtlichen Regelungen werden im systematischen Zusammenhang der Tatbestandsmerkmale eingehend erläutert. Zudem würdigt die Verfasserin die Umsetzung der Kriegsverbrechen gegen Eigentum im Völkerstrafgesetzbuch.
Effect of Beta vulgaris Extract on Liver Enzymes in Patients with Non-Alcoholic Fatty Liver Disease: A Randomized Clinical Trial
Authors: Afzali Nikta , Ebadi Seyed Shayan , Afzali Hasan , Sharif Mohammad Reza , Vazirian Mahdi , Ebadi Seyed Alireza , Shahkarami Vahid , Rahimi Habibollah
Published: July 2020

Background: The prevalence of non-alcoholic fatty liver disease (NAFLD) has increased in recent decades. There are some concerns about the efficacy and side effects of drugs used for the treatment of NAFLD. Objectives: Therefore, new treatment methods and modalities are needed. This study aimed to determine the efficacy of Beta vulgaris extract in the treatment of NAFLD. Methods: This is a double-blind, parallel-group, randomized clinical trial. This clinical trial was conducted from November 2018 to April 2019 in Shahid Beheshti Hospital of Kashan, Iran. Among 143 NAFLD patients who met the inclusion criteria, 120 patients agreed to participate in the study. Subsequently, they were divided into two equal groups via simple randomization. The Beta vulgaris group received Beta vulgaris extract, alongside standard NAFLD treatment, including vitamin E and Silybum marianum extract (Livergol). The placebo group received standard NAFLD treatment, as well as a placebo instead of Beta vulgaris extract. The levels of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), fasting blood sugar (FBS), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) were evaluated and compared between the groups. Variables were measured at the beginning of the study and after three and six months. Results: Overall, 52% of the participants were male. The mean (SD) age of Beta vulgaris and placebo groups was 47.5 (10.5) and 46.4 (8.7) years, respectively. The results of between-group analysis revealed that AST significantly reduced in the Beta vulgaris group, compared to the placebo group (P = 0.04). Conversely, ALT reduction was not significant in the groups. The significant interaction between time and groups indicated that the effect of Beta vulgaris on ALT increased over time (P < 0.001). Moreover, the ALP, FBS, LDL, and HDL levels significantly improved in the Beta vulgaris group compared to the placebo group (P < 0.05). Conclusions: Integration of Beta vulgaris extract in the standard treatment of NAFLD could significantly improve AST, ALP, FBS, LDL, and HDL. This study also revealed that the effect of Beta vulgaris on ALT increased over time.
Bathya brevicarpus gen. et sp. nov. (Amphipoda: Senticaudata: Calliopiidae), from hydrothermal vents, Okinawa Trough, North-west Pacific
Authors: Wang Yan-Rong , Zhu Chao-Dong , Sha Zhong-Li , Ren Xian-Qiu
Published: July 2020

One individual referable to Calliopiidae G.O. Sars, 1893 was collected from a chemically reduced habitat, the hydrothermal vent systems in Okinawa Trough, and was identified as a new genus and species belonging to this family after a morphological examination. A formal description of this new species and a discussion of the relationship of the new genus within Calliopiidae are presented.
Geospatial Spread of Antimicrobial Resistance, Bacterial and Fungal Threats to Coronavirus Infectious Disease 2019 (COVID-19) Survival, and Point-of-Care Solutions
Authors: Kost Gerald J.
Published: July 2020

Context.—

Point-of-care testing (POCT) is inherently spatial, that is, performed where needed, and intrinsically temporal, because it accelerates decision-making. POCT efficiency and effectiveness have the potential to facilitate antimicrobial resistance (AMR) detection, decrease risks of coinfections for critically ill patients with coronavirus infectious disease 2019 (COVID-19), and improve the cost-effectiveness of health care.

Objectives.—

To assess AMR identification by using POCT, describe the United States AMR Diagnostic Challenge, and improve global standards of care for infectious diseases.

Data Sources.—

PubMed, World Wide Web, and other sources were searched for papers focusing on AMR and POCT. EndNote X9.1 (Clarivate Analytics) consolidated abstracts, URLs, and PDFs representing approximately 500 articles were assessed for relevance. Panelist insights at Tri•Con 2020 in San Francisco and finalist POC technologies competing for a US $20,000,000 AMR prize are summarized.

Conclusions.—

Coinfections represent high risks for COVID-19 patients. POCT potentially will help target specific pathogens, refine choices for antimicrobial drugs, and prevent excess morbidity and mortality. POC assays that identify patterns of pathogen resistance can help tell us how infected individuals spread AMR, where geospatial hotspots are located, when delays cause death, and how to deploy preventative resources. Shared AMR data “clouds” could help reduce critical care burden during pandemics and optimize therapeutic options, similar to use of antibiograms in individual hospitals. Multidisciplinary health care personnel should learn the principles and practice of POCT, so they can meet needs with rapid diagnostic testing. The stakes are high. Antimicrobial resistance is projected to cause millions of deaths annually and cumulative financial loses in the trillions by 2050.
O que pode um boneco? O Teatro de Bonecos como uma arte relacional e política
Authors: Silva Leandro Alves da
Published: July 2020

No artigo, o autor reflete sobre como os diversos modos de organização da arte bonequeira articulam experiências de cocriação compartilhada e intercâmbios, marcadas atualmente pela diluição de fronteiras entre os fazeres e a horizontalidades nos processos de participação e decisão. Assevera que os grupos se constituem como microterritórios políticos de encontros que tem, no próprio conflito e na fricção dos desejos e ideias, a energia impulsionadora da criação e da convivência e reflete, a partir destes, sobre dimensões políticas que considera próprias do Teatro de Bonecos, com seus surgimentos e insurgências em acontecimentos políticos recentes, destacadamente a censura e as manifestações antidemocráticas.