bluuebunny/crossref_metadata_2025_split huggingface dataset:
Actionable Items to Address Challenges Incorporating Peer Support Specialists Within an Integrated Mental Health and Substance Use Disorder System: Co-Designed Qualitative Study
Authors: Almeida Margaret , Day Annie , Smith Bret , Bianco Cynthia , Fortuna Karen 
Published: August 2020

Background
Peer support specialists offering mental health and substance use support services have been shown to reduce stigma, hospitalizations, and health care costs. However, as peer support specialists are part of a fast-growing mental health and substance use workforce in innovative integrated care settings, they encounter various challenges in their new roles and tasks.

Objective
The purpose of this study was to explore peer support specialists’ experiences regarding employment challenges in integrated mental health and substance use workplace settings in New Hampshire, USA.

Methods
Using experience-based co-design, nonpeer academic researchers co-designed this study with peer support specialists. We conducted a series of focus groups with peer support specialists (N=15) from 3 different integrated mental health and substance use agencies. Audio recordings were transcribed. Data analysis included content analysis and thematic analysis.

Results
We identified 90 final codes relating to 6 themes: (1) work role and boundaries, (2) hiring, (3) work-life balance, (4) work support, (5) challenges, and (6) identified training needs.

Conclusions
The shared values of experience-based co-design and peer support specialists eased facilitation between peer support specialists and nonpeer academic researchers, and indicated that this methodology is feasible for nonpeer academic researchers and peer support specialists alike. Participants expressed challenges with agency restrictions, achieving work-life balance, stigma, and low compensation. We present actionable items to address these challenges in integrated mental health and substance use systems to potentially offset workforce dissatisfaction and high turnover rates.
Identification of Emotional Expression With Cancer Survivors: Validation of Linguistic Inquiry and Word Count
Authors: McDonnell Michelle , Owen Jason Edward , Bantum Erin O'Carroll 
Published: August 2020

Background
Given the high volume of text-based communication such as email, Facebook, Twitter, and additional web-based and mobile apps, there are unique opportunities to use text to better understand underlying psychological constructs such as emotion. Emotion recognition in text is critical to commercial enterprises (eg, understanding the valence of customer reviews) and to current and emerging clinical applications (eg, as markers of clinical progress and risk of suicide), and the Linguistic Inquiry and Word Count (LIWC) is a commonly used program.

Objective
Given the wide use of this program, the purpose of this study is to update previous validation results with two newer versions of LIWC.

Methods
Tests of proportions were conducted using the total number of emotion words identified by human coders for each emotional category as the reference group. In addition to tests of proportions, we calculated F scores to evaluate the accuracy of LIWC 2001, LIWC 2007, and LIWC 2015.

Results
Results indicate that LIWC 2001, LIWC 2007, and LIWC 2015 each demonstrate good sensitivity for identifying emotional expression, whereas LIWC 2007 and LIWC 2015 were significantly more sensitive than LIWC 2001 for identifying emotional expression and positive emotion; however, more recent versions of LIWC were also significantly more likely to overidentify emotional content than LIWC 2001. LIWC 2001 demonstrated significantly better precision (F score) for identifying overall emotion, negative emotion, and anxiety compared with LIWC 2007 and LIWC 2015.

Conclusions
Taken together, these results suggest that LIWC 2001 most accurately reflects the emotional identification of human coders.
Proposed Implementation of Blockchain in British Columbia’s Health Care Data Management
Authors: Cadoret Danielle , Kailas Tamara , Velmovitsky Pedro , Morita Plinio , Igboeli Okechukwu 
Published: August 2020

BackgroundThere are several challenges such as information silos and lack of interoperability with the current electronic medical record (EMR) infrastructure in the Canadian health care system. These challenges can be alleviated by implementing a blockchain-based health care data management solution.ObjectiveThis study aims to provide a detailed overview of the current health data management infrastructure in British Columbia for identifying some of the gaps and inefficiencies in the Canadian health care data management system. We explored whether blockchain is a viable option for bridging the existing gaps in EMR solutions in British Columbia’s health care system.MethodsWe constructed the British Columbia health care data infrastructure and health information flow based on publicly available information and in partnership with an industry expert familiar with the health systems information technology network of British Columbia’s Provincial Health Services Authorities. Information flow gaps, inconsistencies, and inefficiencies were the target of our analyses.ResultsWe found that hospitals and clinics have several choices for managing electronic records of health care information, such as different EMR software or cloud-based data management, and that the system development, implementation, and operations for EMRs are carried out by the private sector. As of 2013, EMR adoption in British Columbia was at 80% across all hospitals and the process of entering medical information into EMR systems in British Columbia could have a lag of up to 1 month. During this lag period, disease progression updates are continually written on physical paper charts and not immediately updated in the system, creating a continuous lag period and increasing the probability of errors and disjointed notes. The current major stumbling block for health care data management is interoperability resulting from the use of a wide range of unique information systems by different health care facilities.ConclusionsOur analysis of British Columbia’s health care data management revealed several challenges, including information silos, the potential for medical errors, the general unwillingness of parties within the health care system to trust and share data, and the potential for security breaches and operational issues in the current EMR infrastructure. A blockchain-based solution has the highest potential in solving most of the challenges in managing health care data in British Columbia and other Canadian provinces.
Perinatal Distress During COVID-19: Thematic Analysis of an Online Parenting Forum
Authors: Chivers Bonnie R , Garad Rhonda M , Boyle Jacqueline A , Skouteris Helen , Teede Helena J , Harrison Cheryce L 
Published: August 2020

Background
The COVID-19 global pandemic has impacted the whole of society, requiring rapid implementation of individual-, population-, and system-level public health responses to contain and reduce the spread of infection. Women in the perinatal period (pregnant, birthing, and postpartum) have unique and timely needs for directives on health, safety, and risk aversion during periods of isolation and physical distancing for themselves, their child or children, and other family members. In addition, they are a vulnerable group at increased risk of psychological distress that may be exacerbated in the context of social support deprivation and a high-risk external environment.

Objective
The aim of this study is to examine the public discourse of a perinatal cohort to understand unmet health information and support needs, and the impacts on mothering identity and social dynamics in the context of COVID-19.

Methods
A leading Australian online support forum for women pre- through to postbirth was used to interrogate all posts related to COVID-19 from January 27 to May 12, 2020, inclusive. Key search terms included “COVID,” “corona,” and “pandemic.” A three-phase analysis was conducted, including thematic analysis, sentiment analysis, and word frequency calculations.

Results
The search yielded 960 posts, of which 831 were included in our analysis. The qualitative thematic analysis demonstrated reasonable understanding, interpretation, and application of relevant restrictions in place, with five emerging themes identified. These were (1) heightened distress related to a high-risk external environment; (2) despair and anticipatory grief due to deprivation of social and family support, and bonding rituals; (3) altered family and support relationships; (4) guilt-tampered happiness; and (5) family future postponed. Sentiment analysis revealed that the content was predominantly negative (very negative: n=537 and moderately negative: n=443 compared to very positive: n=236 and moderately positive: n=340). Negative words were frequently used in the 831 posts with associated derivatives including “worried” (n=165, 19.9%), “risk” (n=143, 17.2%), “anxiety” (n=98, 11.8%), “concerns” (n=74, 8.8%), and “stress” (n=69, 8.3%).

Conclusions
Women in the perinatal period are uniquely impacted by the current pandemic. General information on COVID-19 safe behaviors did not meet the particular needs of this cohort. The lack of nuanced and timely information may exacerbate the risk of psychological and psychosocial distress in this vulnerable, high-risk group. State and federal public health departments need to provide a central repository of information that is targeted, consistent, accessible, timely, and reassuring. Compensatory social and emotional support should be considered, using alternative measures to mitigate the risk of mental health disorders in this cohort.
A Model to Integrate Data Analytics in the Undergraduate Accounting Curriculum
Authors: Qasim Amer , Issa Hussein , El Refae Ghaleb A. , Sannella Alexander J. 
Published: August 2020

ABSTRACT
This paper proposes a model to integrate data analytics into current undergraduate accounting curricula across existing courses rather than offering a stand-alone data analytics course. One of the advantages of curriculum integration is that students are introduced to data analysis in a progressive or sequential way. Furthermore, such an approach typically does not require additional credit hours to reflect the changes made to the accounting curriculum to introduce the emerging technologies used in the accounting profession. The model proposes course learning outcomes (CLOs) related to the data analytics applications linked to specific levels of study and accounting courses. In addition, teaching materials including the main textbook, supplemental reading materials, and case studies are mapped across accounting courses. This model is expected to be beneficial for accounting educators and members of curriculum committees when updating an accounting curriculum to include data analytics.
Sex Differences in Coronary Artery Calcium and Mortality From Coronary Heart Disease, Cardiovascular Disease, and All Causes in Adults With Diabetes: The Coronary Calcium Consortium
Authors: Wong Nathan D. , Cordola Hsu Amber R. , Rozanski Alan , Shaw Leslee J. , Whelton Seamus P. , Budoff Matthew J. , Nasir Khurram , Miedema Michael D. , Rumberger John , Blaha Michael J. , Berman Daniel S. 
Published: August 2020

OBJECTIVE
While diabetes has been previously noted to be a stronger risk factor for cardiovascular disease (CVD) in women compared with men, whether this is still the case is not clear. Coronary artery calcium (CAC) predicts coronary heart disease (CHD) and CVD in people with diabetes; however, its sex-specific impact is less defined. We compared the relation of CAC in women versus men with diabetes for total, CVD, and CHD mortality.

RESEARCH DESIGN AND METHODS
We studied adults with diabetes from a large registry of patients with CAC scanning with mortality follow-up over 11.5 years. Cox regression examined the relation of CAC with mortality end points.

RESULTS
Among 4,503 adults with diabetes (32.5% women) aged 21–93 years, 61.2% of women and 80.4% of men had CAC &gt;0. Total, CVD, and CHD mortality rates were directly related to CAC; women had higher total and CVD death rates than men when CAC &gt;100. Age- and risk factor–adjusted hazard ratios (HRs) per log unit CAC were higher among women versus men for total mortality (1.28 vs. 1.18) (interaction P = 0.01) and CVD mortality (1.47 vs. 1.27) (interaction P = 0.04) but were similar for CHD mortality (1.48 and 1.48). For CVD mortality, HRs with CAC scores of 101–400 and &gt;400 were 3.67 and 6.27, respectively, for women and 1.63 and 3.48, respectively, for men (interaction P = 0.04). For total mortality, HRs were 2.56 and 4.05 for women, respectively, and 1.88 and 2.66 for men, respectively (interaction P = 0.01).

CONCLUSIONS
CAC predicts CHD, CVD, and all-cause mortality in patients with diabetes; however, greater CAC predicts CVD and total mortality more strongly in women.
A LIBERDADE RELIGIOSA À LUZ DA DECLARAÇÃO UNIVERSAL DOS DIREITOS HUMANOS
Authors: Ribeiro Antonio Carlos 
Published: August 2020

O objetivo deste artigo é abordar a recepção da Declaração Universal dos Direitos Humanos ao tema da Liberdade Religiosa e o contributo para a afirmação da liberdade individual concernente ao direito de manifestação de religião e crença, bem como a prática do culto em público ou particular. Destacam-se, outrossim, o princípio de proteção às minorias religiosas e de isonomia, além da reflexão acerca dos limites desta temática no documento da ONU. A pesquisa caracterizou-se como estudo bibliográfico, com abordagem qualitativa. Conclui-se que cabe ao Estado proteger todas as religiões, mantendo a neutralidade e sem discriminar a liberdade religiosa, tida como direito individual e prerrogativa dos Direitos Humanos e afirmação da dignidade da pessoa humana.
Nuevos desafíos para cuestiones pedagógicas históricas. La evaluación en contexto de pandemia
Authors: Sala Daniela 
Published: August 2020

Ante el pasaje abrupto de clases presenciales a virtuales en la Universidad Nacional de La Plata, dentro del sorpresivo contexto de pandemia, surgen interrogantes y aspectos que parecen nuevos pero que en realidad están basados en dilemas históricos. Uno de ellos es la evaluación.
Les estudiantes se preguntan ¿cómo me van a evaluar? ¿qué actividades son obligatorias?¿cómo me van a poner una nota?¿cómo hago para no perder el año?, etc. Y les docentes también nos cuestionamos cómo evaluar, ¿nuestras propuestas de enseñanza virtual están facilitando los aprendizajes?, ¿hay que poner una calificación numérica a cada trabajo?, ¿cómo comprobar que les estudiantes estén aprehendiendo los contenidos mínimos de la asignatura para acreditarla?
Palabras clave: desafíos – evaluación – virtualización – pandemia
Clases virtuales en el ingreso universitario: la emergencia en la construcción de sentido
Authors: Almirón Alejandra , Bifano Fernando , Cabaña Lorena , González Karina 
Published: August 2020

La coyuntura actual en la que el mundo se encuentra, a partir de la declaración de pandemia por el COVID-19, ha significado -y significa aún- un contexto de gran desafío para la “continuidad pedagógica” en todo el ámbito de la educación. El nivel universitario, lejos se encuentra de estar exento de esta situación. Apoyándose en la autonomía universitaria que lo faculta, ha decidido de diversa manera atender y dar respuesta para garantizar el derecho universal a la educación. En este marco, la Universidad Nacional Arturo Jauretche -en adelante UNAJ-, ha analizado pormenorizadamente, cuáles eran las materias que podían, con las limitaciones del caso, hacer una oferta de clases a través de aulas virtuales.
En esta reseña de investigación en marcha, daremos cuenta del proceso que hemos comenzado a partir de un cuestionario sobre expectativas docentes para las y los profesores de las materias que componen el ciclo inicial de la UNAJ. El procesamiento de los primeros resultados nos ha generado diferentes preguntas acerca de este contexto de virtualidad forzada que nos toca atravesar: ¿cómo afectarán a docentes y estudiantes las condiciones de confinamiento en el hogar y de accesibilidad a las tecnologías digitales para enseñar y aprender en este marco de continuidad pedagógica? ¿En qué medida la falta de experiencia de docentes y estudiantes en entornos virtuales será un obstáculo para la enseñanza y el aprendizaje? ¿En qué consiste una clase virtual en este marco? ¿Cómo definir sus límites espaciotemporales? ¿Cómo se pueden compatibilizar expectativas entre lo que las y los docentes ofrecen para sostener la enseñanza con lo que las y los estudiantes esperan recibir?, son algunas de las muchas preguntas que empiezan a surgir de la dinámica de trabajo. En particular, en esta presentación trataremos de comenzar a delinear los elementos emergentes para elaborar una respuesta en lo referente con la construcción de sentidos en una “clase virtual” a partir de apelar a una posible definición desde la metodología de la teoría fundamentada basada en el análisis de lo que las y los docentes entienden y asumen que es una clase virtual en este contexto.
PALABRAS CLAVE: Continuidad Pedagógica - Virtualidad Forzada - Clases Virtuales - Teoría fundamentada.
Determination of Potentially Toxic Elements from Poultry Feeds in Ebonyi State, Nigeria
Authors: Elom Nwabueze I. , Nwanji Obianuju L. , Ikelle Ikelle I. , Nworu Jerome S. , Chukwu Charity O. 
Published: August 2020

Abstract
This study examined potentially toxic elements (PTEs) from poultry feeds. The presence of PTEs in the environment raises health concern because these elements can be toxic, ubiquitous and cannot be degraded to non-toxic forms by any known method and as a result remain in the environment for decades. This is a potential pathway through which these PTEs could easily enter the food chain. Six PTEs (Cd, Cr, Cu, Pb, Mn, Ni and Zn) were determined from four feed types (starter, grower, finisher and layer) from four manufacturers coded A, B, C and D. The samples were prepared, digested and analysed for PTEs using atomic absorption spectrophotometer. The mean concentrations obtained were in the following ranges: 0.49 – 0.76 mg/kg (Cd); 11.9 – 7.90 mg/kg (Cr); 5.10 - 7.91 mg/kg (Cu); 7.17 - 9.47 mg/kg (Pb); 26.9 - 34.9 mg/kg (Mn); 3.80 - 6.50 mg/kg (Ni) and 27.8 - 38.4 mg/kg (Zn). These results were compared with the maximum acceptable concentration for PTEs in feeds as stipulated by the European Union standard and the concentrations of Pb and Ni exceeded maximum acceptable concentration. When concentrations exceed set standard, it implies risk to human health. Thus, the need for continuous monitoring of feed compositions.
Clinical and Epidemiological Study of Supernumerary Teeth in Patients from Plovdiv Region
Authors: Cholakova R. 
Published: August 2020

Abstract
Abnormalities in the number of teeth are conditions that occur predominantly in childhood. Therefore, monitoring the prevalence and early diagnosis is very important for the timely and appropriate therapeutic approach. The aim of the study was to investigate the incidence of supernumerary teeth in patients from the city of Plovdiv.

Methods and equipment: 1,000 dental patients were studied. Data were collected from patients seeking medical attention at the Faculty of Dental Medicine in Plovdiv. We used clinical, X-ray and statistical methods for investigation.

Results: A 1.1% prevalence of supernumerary teeth (ST) was observed in the studied patients. A statistically significant difference was found between the presence of ST in the permanent and mixed dentition, with a 3% relative proportion of ST in the mixed and 0.62% in the permanent dentition (p < 0.05). The relative proportion of ST in the maxilla was 90.9%, and in the mandible – 9.1%. A statistically significant difference (p < 0.05) was found in the distribution of ST by jaws. In our study, a higher frequency of mesiodens and distomolar (1.08% and 0.22%, respectively) was found in males, and a decreasing relative proportion from the midline to distally in females (mesiodens – 0.56%, paramolar – 0.19%, distomolar – 0.19%).

Conclusion: Supernumerary teeth are a relatively rare dental abnormality in the Bulgarian population. Its distribution by sex and morphology corresponds to the prevalence in Caucasians and populations of southern countries.
Angioedema in a Patient with Autoimmune Thyroiditis – A Case Report
Authors: Dermendzhiev S. , Dzhambov A. , Dermendzhiev T. 
Published: August 2020

Abstract
We present a case of a 29-year-old Bulgarian woman with autoimmune thyroiditis and recurrent angioedema. The patient presented with a one-year-long history of recurrent angioedema and Hashimoto’s thyroiditis. Physical examination showed oedema surrounded by erythema on the forearms, and erythematous, itchy plaques spreading over her face, neck, chest, abdomen, and extremities. Blood tests showed elevated total immunoglobulin E (IgE). The patient had been diagnosed with Hashimoto’s thyroiditis and hypothyroidism. She had been taking levothyroxine 50 μg/d, resulting in a good hormonal control; however, her anti-thyroid peroxidase (anti-TPO) antibodies were high. She was started on methylprednisolone and antihistamines. In three weeks, we observed a good therapeutic response to the treatment and the lesions remitted. IgE dropped within normal range. Levels of anti-TPO antibodies were persistently high. In conclusion, patients with angioedema should be tested for thyroid autoimmunity. Further delve into the pathogenesis of angioedema in them is warranted in order to explore the possibility of an underlying atopy in those not responding to the standard treatment with levothyroxine.
On Solutions of Fractional order Telegraph Partial Differential Equation by Crank-Nicholson Finite Difference Method
Authors: Rajesh Kanna M. R. , Pradeep Kumar R. , Nandappa Soner , Cangul Ismail Naci 
Published: August 2020

Abstract
Three main tools to study graphs mathematically are to make use of the vertex degrees, distances and matrices. The classical graph energy was defined by means of the adjacency matrix in 1978 by Gutman and has a large number of applications in chemistry, physics and related areas. As a result of its importance and numerous applications, several modifications of the notion of energy have been introduced since then. Most of them are defined by means of graph matrices constructed by vertex degrees. In this paper we define another type of energy called q-distance energy by means of distances and matrices. We study some fundamental properties and also establish some upper and lower bounds for this new energy type.
Characteristics of Local Officials and High Quality Development of Chinese Agriculture - Evidence from Chinese Governors and Secretaries of the Provincial Party Committee
Authors: Cui Yechen , Han Yali , Lv Ning , Zhu Honghui 
Published: August 2020

Abstract
Local officials play active and important roles in the high-quality agricultural development process in China. In this study, the DEA-SBM model was used to measure the level of agricultural quality development in China, and Tobit regression was conducted to analyze the impacts of officials on agricultural quality development in China. The results showed that between 1997 and 2016, the agricultural GTFP exhibited a downward trend before following an upward trend in China. The personal characteristics of officials had important effects on the development of agricultural quality. In different development stages, officials had diverse effects on agricultural quality development.
A note on Bailey and WP-Bailey Pairs
Authors: Singh Satya Prakash , Mishra Lakshmi Narayan , Yadav Vijay 
Published: August 2020

Abstract
In this paper, we have established certain theorems involving Bailey pairs and WP-Bailey pairs. Further, making use of some known WP-Bailey pairs and theorems for constructing new WP-Bailey pairs, we have also established transformation formulas for q-hypergeometric series.