bluuebunny/crossref_metadata_2025_split huggingface dataset:
Accuracy of Blood Transfusion Records in a Population-based Perinatal Data Registry
Authors: Hutcheon Jennifer A. , Chapinal Nuria , Skoll M. Amanda , Au Nicholas , Lee Lily 
Published: April 2020

Background:
Blood transfusion is frequently used as an indicator of severe maternal morbidity during pregnancy. However, few studies have examined its validity in population perinatal databases.

Methods:
We linked a perinatal database from British Columbia, Canada, with the province’s Central Transfusion Registry for 2004–2015 deliveries. Using the Central Transfusion Registry records for red blood cell transfusion as the gold standard, we calculated the sensitivity, specificity, positive predictive value, and negative predictive value of the perinatal database variable for red blood cell transfusion, overall and by transfusion risk factor status. We used multivariable logistic regression to examine whether outcome misclassification altered the odds ratios for different transfusion risk factors.

Results:
Among 473,688 deliveries, 4,033 (8.5 per 1,000) had a red blood cell transfusion according to the Central Transfusion Registry. The sensitivity of the perinatal database transfusion variable was 72.3 [95% confidence interval (CI) = 72.2, 72.4]. Sensitivity differed according to the presence of many transfusion risk factors (e.g., 84.9% vs. 72.2% in deliveries with versus without uterine rupture). Odds ratios associated with some transfusion risk factors were exaggerated when the perinatal database transfusion variable was used to define the outcome instead of the Central Transfusion Registry variable, but 95% confidence intervals for these estimates overlapped.

Conclusion:
Blood transfusion was documented with reasonable sensitivity in this large population perinatal database. However, validity varied according to risk factor status. Our findings enable researchers to better account for outcome misclassification in studies of obstetrical transfusion risk factors.
Psychosis, Mania and Criminal Recidivism: Associations and Implications for Prevention
Authors: Lamberti J. Steven , Katsetos Viki , Jacobowitz David B. , Weisman Robert L. 
Published: April 2020

Abstract
People with mental illness are overrepresented throughout the criminal justice system, including jail, prison, probation, and parole populations. Yet much disagreement remains about why this problem exists and how best to address it. This article specifically examines empirical evidence regarding the question of whether psychosis and mania are associated with criminal recidivism, and whether this association is predictive or causal in nature. Review of the current literature suggests that psychotic and manic symptoms are associated with increased likelihood of arrest and incarceration. In addition, current evidence shows that pharmacotherapy can reduce criminal recidivism among justice-involved adults with psychosis or mania. However, the extent to which the association between psychosis, mania, and criminal justice system involvement is causal remains uncertain. Also, the literature suggests that most crimes committed by people with schizophrenia spectrum disorders or bipolar I disorder may be driven by factors other than their psychotic or manic symptoms. These established “criminogenic needs” are more common among people with severe mental disorders than in the general population. For optimal prevention, those who serve justice-involved adults with psychosis or mania in community settings should consider addressing the full range of factors that potentially drive their criminal justice system involvement.
Disinfecting handheld electronic devices with UV-C in a healthcare setting
Authors: Cremers-Pijpers Suzan , van Rossum Carsten , Wertheim Heiman , Tostmann Alma , Hopman Joost 
Published: April 2020

SummaryHandheld Electronic Devices (HEDs) play a central role in the current hospital environment. However, HEDs can be a potential vehicle for transmitting (pathogenic) microorganisms. We conducted a study to assess whether disinfection with UV-C light is successful in disinfecting three different handheld electronic devices in a clinical operational setting. More than half of the baseline measurements were moderately (>10CFU) or highly (>50 CFU) contaminated. Post-disinfection the CFU was 0 in 87% of measurements. We conclude that the UV-Smart D25 can successfully be used to disinfect non-critical handheld electronic devices in the clinical healthcare.
Forecast of the COVID-19 outbreak and effects of self-restraint in going out in Tokyo, Japan
Authors: Kurita Junko , Sugawara Tamie , Ohkusa Yasushi 
Published: April 2020

AbstractBackgroundThe number of patients of COVID-19 in Tokyo has been increasing gradually through the end of March, 2020.ObjectSupport for policymaking requires forecasting of the entire course and outcome of the outbreak if a self-restraint in going out is not initiated. Moreover, the effects of a self-restraint in going out must be considered when choosing to initiate one. Method: Data of Tokyo patients with symptoms during January 14 – March 28, 2020 were used to formulate a susceptible–infected–recovered (SIR) model using three age classes and to estimate the basic reproduction number (R0). Based on the estimated R0, We inferred outbreak outcomes and medical burden if a self-restraint in going out were not enacted. Then we estimate the self-restraint in going out effects.ResultsResults suggest R0 as 2.86, with a 95% confidence interval of [2.73, 2.97]. Exhaustion of medical resources can be expected to occur on April 26 if no self-restraint in going out occurs. If a self-restraint in going out were enacted from April 6, and if more than 60% of trips outside the home were restricted voluntarily, then medical care service could be maintained.Discussion and ConclusionThe estimated R0 was similar to that found from other studies conducted in China and Japan. Results demonstrate that a self-restraint in going out with reasonable cooperation of residents is required to maintain medical care.
Impact of software as a service (SaaS) on software acquisition process
Authors: Raghavan R. Srinivasa , K.R. Jayasimha , Nargundkar Rajendra V. 
Published: April 2020

Purpose
Organizations worldwide are adopting software as a service (SaaS) applications, where they pay a subscription fee to gain access rather than buying the software. The extant models on software acquisition processes, several of which are based on organizational buying behavior, do not sufficiently explain how SaaS application acquisition decisions are made. This study aims to investigate the acquisition process organizations follow for SaaS software, the changes to the roles of the Chief Information Officer (CIO) and the business user and also looks at the impact of SaaS on the proliferation of unauthorized software systems.

Design/methodology/approach
The authors used exploratory research using the grounded theory approach based on 18 in-depth interviews conducted with respondents who have studied with enterprise software delivered on-premise and as SaaS in different roles such as sales, consulting, CIO, information technology (IT) management and product development.

Findings
The authors identified a need to classify the SaaS software and developed a framework that uses software specificity and its strategic importance to the organization to classify SaaS applications. The aforementioned framework is used to explain how software evaluation processes have changed for different kinds of SaaS applications. The authors also found that the CIO’s and the business users’ have changed substantially in SaaS application evaluations and found evidence to show that shadow IT will be restricted to some classes of SaaS applications.

Originality/value
By focusing on the changes to the roles and responsibilities of the members of the buying center, this paper provides unique insights into how the acquisition process of SaaS is different from the extant models used to explain enterprise software acquisitions. An understanding of how information search is conducted by the business users will help software vendors to target business users better.
The myth of Achilles: non‐binary vulnerability and the intergenerational transmission of trauma
Authors: Lord Susan A. 
Published: April 2020

This paper offers a case study of individual family‐focused work with a non‐binary identified person who is working on identity formation, ongoing suicidality, and difficulties with intimate relationships. Using a combination of psychoanalytic and systemic models, issues of power, control and attachment are addressed as important to understanding intergenerational trauma. While M has always had difficulty identifying as female, the many layers of their struggle for control of a life separate from their family have impacted M’s development and current life circumstances. Much of our work has to do with separating out what they carry that is theirs from what they are carrying for prior generations of their family.Practitioner points

Individual family‐focused work is a treatment of choice with certain clients, particularly when there has been a history of trauma

Psychoanalytic and systemic models of treatment can be combined to deliver what is helpful to the client/client system

Trauma is said to be transmitted intergenerationally through nature and/or nurture

Power, control, narrative and attachment are significant elements of trauma.
From the School Yard to the Conservation Area: Impact Investment across the Nature/Social Divide
Authors: Cohen Dan , Rosenman Emily 
Published: April 2020

AbstractIn the face of planetary crises, from inequality to biodiversity loss, “impact investing” has emerged as a vision for a new, “moral” financial system where investor dollars fund socio‐environmental repair while simultaneously generating financial returns. In support of this system elite actors have formed a consensus that financial investments can have beneficial, more‐than‐financial outcomes aimed at solving social and environmental crises. Yet critical geographers have largely studied “green” and “social” finance separately. We propose, instead, a holistic geography of impact investing that highlights the common methods used in attempts to offset destructive investments with purportedly reparative ones. This involves interrogating how elite‐led ideas of social and environmental progress are reflected in investments, as well as deconstructing the “objects” of impact investments. As examples, we use insights from both “green” and “social” literatures to analyse the social values embedded in projects of financialisation in schooling and affordable housing in the US.
Migration and escapement of silver eel males, Anguilla anguilla, from a southwestern European river
Authors: Monteiro Rui Miguel , Domingos Isabel , Almeida Pedro Raposo , Costa José Lino , Alexandre Carlos Manuel , Quintella Bernardo Ruivo 
Published: April 2020

AbstractThe catadromous life cycle of the European eel encompasses a spawning migration to the Sargasso Sea. Prior to their migration, eels develop a silver coloration being referred to as “silver eels.” Due to the dramatic European eel recruitment decline, it is crucial to quantify silver eel escapement to evaluate the success of measures taken under Eel Management Plans (Regulation EC (1100/2007)). Thus, the percentage of silver eels escaping from the River Mondego (Portugal) was estimated during two consecutive spawning seasons (2014–2016) and their migratory behaviour was studied. Thirty‐six male silver eels were tagged with acoustic transmitters and their downstream migration was tracked using automatic receivers deployed at four locations along the river course, from the first impassable obstacle up to the river mouth (67 km). Among the tagged eels, 15 (42%) escaped to the sea. In both years, individuals displayed faster migration speed in the downstream reaches of the river. BRT (“Boosted Regression Trees”) models were used to explain downstream migration and escapement of silver eels. The analyses revealed that the downstream migration is triggered by several environmental variables with water conductivity as the most influential predictor. Escapement of eels from the estuary occurred a few hours after their arrival and was primarily explained by the offshore wind intensity, which promotes a current in the coast that may favour their transport to the open sea. These findings contribute to a better understanding of silver eel migration in southern latitudes and highlight and reinforce the need to monitor spawner escapement.
Market discipline on bank bond issues through the lens of a new forward‐looking measure of loan quality
Authors: Simion Giorgia , Cavezzali Elisa , Nathan Siva , Rigoni Ugo 
Published: April 2020

AbstractUsing unsecured bond spreads over the 2007 to mid‐2014 period, we test investors’ ability to price bank loan risk. We use a new measure of loan risk that incorporates forward‐looking information embedded in ratings assigned by external rating agencies to bank loan portfolios. Only Italian banks are required to systematically disclose this specific information. We find that investors do price forward‐looking information inherent in bank loan portfolios. This finding reflects the increase in risk perception following the sovereign debt crisis, which had the strongest effects on peripheral countries, with tensions in the lending market. Overall, these results suggest that our new forward‐looking measure provides an additional channel through which market discipline can operate.
Brake time is correlated with lower extremity strength, dynamic balance and low‐contrast sensitivity in unpredictable driving situations in elderly drivers compared with young drivers: A cross‐sectional study
Authors: Park Yongnam , Bae Youngsook 
Published: April 2020

AimsTo compare physical function, driving fitness and brake time of young and elderly drivers, and to identify the association of physical function and driving fitness with brake time in elderly drivers in predictable or unpredictable situations during driving.MethodsThis study included 86 participants (50 men and 36 women), comprising 52 elderly drivers (age: 72.44 years, weight: 60.39 kg, height: 158.06 cm) and 34 young drivers (age: 26.53 years, weight: 63.74 kg, height: 153.65 cm), with a valid driver's license who drive at least once a week. Physical function was measured as upper and lower body flexibility and strength, dynamic balance and aerobic endurance. Driving fitness was measured as high‐ and low‐contrast sensitivity, route planning, visualization of missing information, visual search with divided attention and visual information processing speed using the DrivingHealth® Inventory. Brake time and braking distance was evaluated as unpredictable and predictable driving situations.ResultsMeasurements of all categories, except lower extremity flexibility, endurance and high‐contrast sensitivity, were significantly lower in elderly drivers than in young drivers. Brake time did not differ in predictable situations but was slower (P = 0.004) in elderly drivers in unpredictable situations. In elderly drivers, upper body strength (P = 0.036), dynamic balance (P < 0.001) and low‐contrast sensitivity (P = 0.003) were associated with brake time in unpredictable driving situations.ConclusionsIn unpredictable situations, slower brake time in elderly drivers is associated with lower limb muscle strength, agility and low‐contrast sensitivity. Therefore, for safe driving, these parameters should be considered as guidelines for maintaining the driving ability of elderly drivers and aging people. Geriatr Gerontol Int 2020; ••: ••–••.
Femoral vascular complications after catheter ablation in the current era: The utility of computed tomography imaging
Authors: Ishikawa Eri , Miyazaki Shinsuke , Mukai Moe , Aoyama Daisetsu , Nodera Minoru , Hasegawa Kanae , Kaseno Kenichi , Miyahara Kosuke , Matsui Akira , Shiomi Yuichiro , Tama Naoto , Ikeda Hiroyuki , Fukuoka Yoshitomo , Ishida Kentaro , Uzui Hiroyasu , Tada Hiroshi 
Published: April 2020

AbstractBackgroundFew studies have examined the characteristics of catheter ablation vascular complications, and recently physicians increasingly use computed tomography angiography (CTA) for diagnosing.ObjectiveWe sought to investigate the incidence of femoral vascular complications in catheter ablation and factors associated with complications in the current era.MethodsThis single‐center observational study consisted of 311 consecutive (atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and ventricular arrhythmias in 222 [71.4%], 7 [2.3%], 43 [13.8%], and 39 [12.5%]) patients who underwent catheter ablation. The detailed patient data and clinical outcomes were obtained from the medical records.ResultsEmergent CTA was performed in a total of 8 (2.6%) patients at a median of 4.5 (2.0‐12.5) days postprocedure, and the precise diagnosis was obtained in all. Among them, pseudoaneurysms, arteriovenous fistulae (AVF), and actively bleeding hematomas were identified in two, one, and one patient, respectively, and all required readmissions after discharge. AVF was diagnosed by a Doppler ultrasound examination in another patient. In total, 5 (1.6%) patients exhibited major femoral vascular complications including two pseudoaneurysms, two AVFs, and one active bleeding hematoma. The pseudoaneurysms and AVFs were successfully eliminated by direct compression, and extravasation from the femoral circumflex artery required coil embolization. Antiplatelet therapy and the use of larger arterial sheaths (≥7‐Fr) increased the major femoral arterial complications, but atrial fibrillation ablation under uninterrupted anticoagulation therapy or the use of larger venous sheaths did not.ConclusionVascular complications are still not negligible procedure‐related complications during catheter ablation in the current era. CTA provides a rapid and precise diagnosis for optimal treatment strategies.
Feasibility, safety, and durability of porcine atrial ablation using a lattice‐tip temperature‐controlled radiofrequency ablation catheter
Authors: Koruth Jacob S. , Kuroki Kenji , Iwasawa Jin , Batul Syed A. , Turagam Mohit K. , Dukkipati Srinivas R. , Reddy Vivek Y. 
Published: April 2020

AbstractIntroductionPulmonary vein isolation (PVI) using standard radiofrequency (RF) catheters is limited by incomplete contiguity and prolonged procedural times. A novel, 9‐mm lattice‐tip irrigated RF catheter can create wide lesions rapidly in swine atria.MethodsIn five swine, temperature limited (75°C) irrigated RF for 5 seconds/ablation was selected, to isolate seven pulmonary veins (PVs; five right superior and two inferior commons) and create five right atrial lines. After 4 weeks, repeat mapping and additional ablation to create atrial isthmus lesions were performed. The chronic lesions were submitted for histology. This was compared with right superior PVI data using standard 3.5‐mm irrigated tip ablation in six swine.ResultsAll targeted PVs (seven of seven, 100%) were acutely isolated. Durable isolation was observed in all six of six PVs treated with 5‐second applications, but not in one PV inadvertently treated with 4‐second applications. For the durably isolated PVs, the mean lesion count/PV and total RF time/PV was 16.3 ± 5.2 applications and 81.3 ± 25.9 seconds for the right superior and 14.5 ± 0.7 applications and 71.1 ± 5.5 seconds for the inferior common PV. Right atrial linear ablation was performed with a lesion count of 12 ± 2.3 applications and RF times of 59.5 ± 12.5 seconds. Cavotricuspid and mitral isthmus linear ablations were transmural along their entire length. All 53 of 53 (100%) sections were transmural on histology.ConclusionRapid and durable PVI and linear atrial ablation is feasible with this novel 9‐mm lattice‐tip catheter.
Nursing intervention for preventing postpartum depressive symptoms among Chinese women in Japan
Authors: Jin Qiongai , Mori Emi , Sakajo Akiko 
Published: April 2020

AbstractAimWe evaluated the effectiveness of a nursing intervention program for Chinese women who are giving birth in Japan to reduce cross‐cultural stressors during the postpartum period and prevent postpartum depressive symptoms.MethodsA prospective, before‐and‐after study incorporating a longitudinal mixed‐method design was conducted. Thirty‐eight participants underwent this program from August 2016 to July 2017. The program comprised a maternity class, conversation cards, and a social‐network group. Data collection was initially performed using questionnaires administered in the third trimester (T1)—before the intervention—to obtain participants' basic information, stress levels, depressive symptoms, and cognitive appraisals. Then, stress levels, depressive symptoms, and social support were measured during hospitalization after having given birth (T2) and during the first month postpartum (T3). Finally, through semi‐structured interviews, cognitive appraisal, coping, stress, social support, participants' evaluations of the intervention were determined.ResultsPost‐intervention, all participants showed positive cognitive appraisals, although eight also showed some negative appraisals. At T3, 36 participants did not report experiencing stress owing to cross‐cultural stressors. Furthermore, post‐intervention, participants who returned scores that were suggestive of depression remained identical to that at pre‐intervention (21.1%). Among the eight participants who showed postpartum depressive symptoms during T3, seven did not report experiencing cross‐cultural stressors, but did report encountering maternity stressors.ConclusionThe nursing intervention program may be effective for preventing postpartum depressive symptoms in Chinese women who give birth in Japan. Since this was a pre‐post study in which one group was measured pre‐intervention and again post‐intervention, we did not register in a publicly assessible database.
Medical end‐of‐life decisions for people with intellectual disabilities in Switzerland: Third survey
Authors: Wicki Monika T. 
Published: April 2020

AbstractBackgroundThere is a generally high incidence of medical end‐of‐life decisions in Switzerland. International research has described a number of potential problems that complicate end‐of‐life decisions for people with intellectual disabilities (IDs).Specific AimsThe aim of this study was to explore the prevalence and nature of end‐of‐life decisions for people with IDs in Swiss residential homes and to assess, whether, and with whom the end‐of‐life decision was discussed and whether the person had decision‐making capacity or not.MethodA cross‐sectional survey in residential homes for adults with disabilities was conducted in six cantons in Switzerland. Responses were provided by 64.4% of the residential homes. The survey delivered detailed information on 161 persons (101 men, 60 women) who had died between 2015 and 2017 in 77 residential homes for people with disabilities.FindingsIn 86% of all nonsudden deaths, at least one end‐of‐life decision was reported. There were no differences in the frequency of medical end‐of‐life decisions for people with IDs and for people with other disabilities. In 63.6% of the cases, the decisions were discussed with the person with a disability. Not all persons with a disability were considered to have decision‐making capacity. For people with disability, health and care staff are important persons to initiate such discussions.DiscussionChanges made in 2013 in Swiss law on adult protection as well as training courses on palliative care and end‐of‐life decisions in residential homes have had an impact on medical end‐of‐life decision‐making for people with IDs. Still, further efforts to motivate physicians to include patients with IDs in end‐of‐life decision‐making will be useful.