bluuebunny/crossref_metadata_2025_split huggingface dataset:
Person-Centered Communication Between Health Care Professionals and COVID-19-Infected Older Adults in Acute Care Settings: Findings From Wuhan, China
Authors: Li Juan , Wang Jing , Kong Xiangjing , Gao Tingting , Wu Bei , Liu Jianmin , Chu Jing 
Published: October 2020

Abstract

Objectives
The current study aims to explore person-centered communication between health care professionals and COVID-19-infected older patients in acute care settings.

Methods
The current qualitative study explored the communication between professionals and COVID-19-infected older adults in the acute care setting through 2 rounds of interviews with physicians and nurses who provided direct care and treatment for COVID-19-infected older patients in Wuhan, China. We explored the possibilities and significance of facilitating effective communication despite multiple challenges in the pandemic. Conventional content analysis was adopted to analyze the rich data collected from our participants.

Results
It is possible and necessary to initiate and sustain person-centered communication despite multiple challenges brought by the pandemic. The achievement of person-centered communication can play significant roles in addressing challenges, building mutual trust, improving quality of care and relationships, and promoting treatment adherence and patients’ psychological well-being.

Discussion
It is challenging for health care professionals to provide care for COVID-19-infected older adults, especially for those with cognitive and sensory impairment, in acute care settings. Facilitating person-centered communication is a significant strategy in responding to the pandemic crisis and a core element of person-centered care.
Cross-Lagged Modeling of Cognition and Social Network Size in the Sydney Memory and Ageing Study
Authors: Casey Anne-Nicole S , Liu Zhixin , Kochan Nicole A , Sachdev Perminder S , Brodaty Henry 
Published: October 2020

Abstract

Objectives
This study assessed whether reciprocal relationships exist between cognitive function and the social network size of older adults, controlling for age, sex, education, medical conditions, and depressive symptoms.

Methods
Data were collected at biennial follow-ups over 6 years in the Sydney Memory and Ageing Study, a longitudinal cohort study including 1,037 community-based Sydney residents aged 70–90 years without dementia at baseline. We used random intercept cross-lagged panel models to investigate reciprocal associations between social network size and scores in each of 7 cognitive domains including a global score.

Results
Standardized models indicated that within-person deviation in expected language score predicted deviation in expected network size. Within-person deviation in prior expected social network size predicted deviation in expected executive function at year 6. Cross-lagged effects in models of both global cognition and memory, respectively, could not be attributed solely to within-person change.

Discussion
Findings support a co-constitutive view of cognitive function and social relationships in older age. Although both cognition and network size declined over time, slower than expected decline in language ability predicted less than expected contraction in social networks. A similar influence of network size on executive functioning indicated that relationships with friends and family outside of the home contributed significantly to the maintenance of higher order cognitive abilities in older late life. Diverse patterns of influence between cognitive domains and social network size over 6 years underscore the importance of assessing the complex and nuanced interplay between brain health and social relationships in older age.
Dual Biologic and Small Molecule Therapy for the Treatment of Refractory Pediatric Inflammatory Bowel Disease
Authors: Dolinger Michael T , Spencer Elizabeth A , Lai Joanne , Dunkin David , Dubinsky Marla C 
Published: October 2020

Abstract

Background
Nontraditional combination of existing therapies is often the only option to avoid surgery in refractory inflammatory bowel disease (IBD) patients. We aim to assess the efficacy and safety of concomitant use of 2 biologic therapies or combination of biologic and tofacitinib in a refractory pediatric IBD cohort.

Methods
As part of an ongoing single-center observational cohort study of therapeutic outcomes in pediatric IBD patients (younger than 18 years), data were collected for patients receiving dual therapy. Primary outcome was 6 months of steroid-free remission. Secondary outcomes included time to steroid-free remission, change in serum biomarkers (C-reactive protein and erythrocyte sedimentation rate) and albumin between baseline and 6 months, and adverse events.

Results
Sixteen children (9 ulcerative colitis/IBD-unspecified, 7 Crohn’s disease), with a disease duration of 3 (2.1–5.0) years, initiated dual therapy at an age of 15.9 (13.5–16.8) years after failing ≥2 biologic therapies. Nine (56%) were treated with vedolizumab/tofacitinib, 4 (25%) with ustekinumab/vedolizumab, and 3 (19%) with ustekinumab/tofacitinib. Twelve (75%; 7 ulcerative colitis/IBD-unspecified, 5 Crohn’s disease ) achieved steroid-free remission at 6 months. Erythrocyte sedimentation rate and C-reactive protein decreased (P = 0.021 and P = 0.015, respectively) and albumin increased (P = 0.003) between baseline and 6 months. One patient on 30 mg of vedolizumab/tofacitinib and prednisone daily developed septic arthritis and a deep vein thrombosis.

Conclusions
Our data suggest that dual therapy may be an option for patients with limited therapeutic options remaining. Safety concerns should always be at the forefront of decision-making, and larger studies are needed to help confirm the preliminary safety data observed.
Factors affecting the adoption of e-health system in the Kingdom of Saudi Arabia
Authors: Alanezi Fahad 
Published: October 2020

Abstract

Background
The Saudi government is trying to implement the e-health system throughout Saudi Arabia to promote accessible health services for its population. However, adoption of the e-health system has not been effective. Thus the objective of this study was to investigate the factors that influence the adoption of e-health in this country.

Methods
To carry out this research, a questionnaire was designed to obtain information on how people in Saudi Arabia use the e-health system and the problems they face when using this technology. The questionnaire was initially viewed by 438 people and 130 of them answered the survey.

Results
The results of this research on the adoption of the e-health system in Saudi Arabia indicated that the main factors preventing the implementation of this system were mainly related to the lack of a relationship between doctors and patients, fears about the possibility of violating data privacy and a lack of government regulations. In addition, there are certain demographic factors such as age, gender, residence, income, education and culture that create obstacles in the adoption of the e-health system.

Conclusions
This study suggests that professionals should contribute to modifying the e-health system and adding more government regulatory bodies to increase adoption. This will encourage end-users to trust the system. By modifying existing strategies, the results of this study can contribute to the successful implementation of the e-health system in Saudi Arabia.
Microalgae, a Boring Bivalve and a Coral—A Newly Described Association Between Two Coral Reef Bioeroders Within Their Coral Host
Authors: Fordyce A J , Ainsworth T D , Leggat W 
Published: October 2020

SynopsisBioeroding organisms play an important part in shaping structural complexity and carbonate budgets on coral reefs. Species interactions between various bioeroders are an important area of study, as these interactions can affect net rates of bioerosion within a community and mediate how bioeroders respond to environmental change. Here we test the hypothesis that the biomass of endolithic bioeroding microalgae is positively associated with the presence of a macroboring bivalve. We compared the biomass and chlorophyll concentrations of microendolithic biofilms in branches of the coral Isopora palifera (Lamarck, 1816) that were or were not inhabited by a macroboring bivalve. Those branches with a macroborer present hosted ∼80% higher microbial biomass compared to adjacent branches from the same coral with no macroborer. Increased concentrations of chlorophyll b indicated that this was partly due to a greater abundance of green microalgae. This newly described association has important implications for the coral host as both the bivalve and the microalgae have been hypothesized as symbiotic.
Validation of the SafTest Peroxide Test Kit for the Measurement of the Peroxide Content of Oils, Tallows, Meat Meals, Potato Chips, and Grain-Based Snacks: AOAC Performance Tested MethodSM 101001
Authors: Gordon Virginia , Rainey Christopher , Studmire Wilainia 
Published: October 2020

Abstract

Background
Peroxide value is used as an indicator of oxidative degradation, off flavor, and rancidity in fat. Traditional methods are dependent on a fat extraction step to extract fat for subsequent titration of peroxides. The SafTest Peroxide Test offers a direct measurement of the peroxide value of vegetable oils, animal fats, meat meal and fish meal products, and potato chips, crackers, and other processed grain-based snack products using micro-analytical and membrane separation principles.

Objective
The study objective is to validate the SafTest Peroxide Test in an internal study, two contracted studies, and an independent laboratory study.

Method
Calibration, LOQ, robustness, selectivity, matrix, shelf life, and lot-to-lot stability were evaluated.

Results
The practical dynamic range of the calibration is 0.00 to 0.20 meq/kg. LOQ was determined as 0.02 meq/kg for liquids analyzed neat and 0.08 to 0.46 meq/kg for dry matrixes requiring a 1:4 to a 1:8 dilution. SafTest Peroxide Test relative standard deviations of repeatability (RSDr) averaged 1–13% compared to AOCS Cd 8–53 RSDr% of 1–15% and demonstrated average recoveries of 95.7, 91.5, and 105.2% of the AOCS Cd 8–53 results for olive oil, meat meal and fish, and animal fat and oils, respectively.

Conclusions
The SafTest Peroxide Test is an acceptable alternative to AOCS Cd 8–53 and AOCS Cd 8 b-90 for the measurement of peroxide value in oils, fats, meat meal, fish meal, and snack products.

Highlights
The SafTest Peroxide Test uses small reagent volumes, eliminates fat extraction, and provides rapid and standardized procedures for the detection of peroxide.
Housing supply elasticity and growth: evidence from Italian cities
Authors: Accetturo A , Lamorgese A. R , Mocetti S , Pellegrino D 
Published: October 2020

Abstract
This paper examines the impact of housing supply elasticity on urban development. Using data for a sample of roughly one hundred Italian main cities observed over 40 years, we first estimate housing supply elasticities at the city level, measured as the correlation between the changes in the housing stock and in the house prices. Second, we show that differences in the elasticity of housing supply may determine the extent to which a demand shock translates into more intense employment growth or more expensive houses. To address endogeneity of housing supply elasticity, we exploit a synthetic measure of physical constraints to residential development as instrumental variable. We find that an exogenous increase in labor demand determines a rise of employment and house prices; however, in cities with a less elastic housing supply, the impact on economic growth is significantly lessened while the effects on house prices are larger.
The Projectification of Reparation
Authors: Sperfeldt Christoph , Hughes Rachel 
Published: October 2020

AbstractThere has been increasing use of project-based organization in various areas of human rights practice, including within truth and justice-seeking in the wake of mass atrocities. This article traces the development and deployment of project-based approaches to judicial reparation at the Extraordinary Chambers in the Courts of Cambodia (ECCC), an internationalized (hybrid) criminal tribunal. Drawing on the authors’ many years of close observation in and around the ECCC, it describes and explains how a project-based approach responded to the challenge of ‘moral and collective’ reparation for victims of mass crimes committed by the Khmer Rouge (1975–1979). The article critically examines how development actors nominated, designed and ‘delivered’ so-called ‘reparation projects’. Twenty-four projects were ultimately recognized by the ECCC; key details of these are succinctly tabulated here for the benefit of readers. The article discusses the effects of the projectification of ECCC reparation, including new practices, changed relationships and changed meanings of reparation. It finds that in Cambodia—a state that has experienced decades of international development assistance resulting in the entrenchment of project forms across different fields—the mobilization of new actors and resources has expanded the possibilities for ECCC reparation and provided some benefits to those victims involved. However, a project-based approach also reshaped decision-making and accountability structures underpinning reparation work. The article argues that using ‘projectification’ as an analytical lens expands our capacity to understand how, and with what consequences, global notions of reparation and justice are enacted in different contexts through the coordination and implementation of projects.
Lessons learned from conducting disease monitoring in low-dose exposure conditions as a counter-measure after a nuclear disaster
Authors: Ohtsuru Akira , Midorikawa Sanae 
Published: October 2020

ABSTRACT
The complex disaster of the Great East Japan Earthquake and the Fukushima nuclear accident caused concern about their various health impacts. Many types of intervention are desired as a countermeasure, depending on the phase of the disaster cycle. The importance of developing and applying codes of conduct has recently been emphasized for post-disaster investigations. Thyroid examination as a type of cancer screening survey was launched from October 2011 after the Fukushima nuclear accident as part of the Fukushima Health Management Survey. In this article, we reviewed the results of three rounds of thyroid examination from 2011 to 2018, and summarized the points to consider in the health survey conducted after the Fukushima nuclear accident. Large-scale mass screening by ultrasound thyroid examination resulted in many cancer diagnoses, &gt;200 cases from a large reservoir of thyroid cancer that goes mainly unnoticed without screening. To prevent the harms of such over-diagnosis, we should be aware of the disadvantage of mass-screening based on the expected natural history of thyroid cancer. A change in strategy from mass-screening to individual monitoring is urgently needed according to international recommendations that are opposed to thyroid ultrasound cancer screening even after a nuclear disaster. To guarantee autonomy and informed choice on post-disaster disease monitoring for residents in a disaster-zone, it is important to set protocol participation and on a voluntary code of conduct basis.
‘To the Arabic Community Disability Is Not Normal’: Multiple Stakeholder Perceptions of the Understandings of Disability among Iraqi and Syrian People from Refugee Backgrounds
Authors: Dew Angela , Lenette Caroline , Smith Louisa , Boydell Katherine , Bibby Helen , Lappin Julia , Coello Mariano , Raman Shanti , Velkou Katina , Wells Ruth , Momartin Shakeh , Blunden Hazel , Higgins Maree , Murad Mahmoud , Barry Jasmine , Mohammad Yasir 
Published: October 2020

AbstractIn 2015, the Australian government committed to take an additional 12,000 refugees from Syria and Iraq prioritizing those considered most vulnerable including people with disability. The aim of this preliminary study was to understand, from multiple stakeholder perspectives, the experiences of settling in Australia for people with disability from Syrian and Iraqi refugee backgrounds living in Sydney. Interviews were conducted with nine family members of 11 people with disability from Iraqi and Syrian refugee backgrounds; eight Iraqi and Syrian community organization leaders; and seven community and health refugee service practitioners. Interviews were transcribed and analysed using the thematic analysis. Three themes were identified that contribute to understandings of disability based on the perceptions of the multiple stakeholders interviewed: Iraqi and Syrian perceptions of ‘disability’; beliefs about who is ‘responsible for’ the disability; and comparisons between Iraqi/Syrian and Australian views, attitudes, and approaches to disability. Understandings of disability are shaped by fluid and dynamic factors, including culture. It is essential that services are offered to people with disability and their family members using a whole-of-person, culturally informed approach to community support.
‘Uniformity’ or ‘Dispersion’?—The evolution of Chinese poetic word categories’ distribution patterns
Authors: Pan Xiaxing , Liu Haitao 
Published: October 2020

AbstractThe daily language in mainland China has experienced a shift from traditional Chinese language to modern mandarin Chinese at the beginning of the twentieth century. The Chinese poetry ‘revolution’started in the 1910s is considered as a turning point in the Chinese poetry evolution process due to the novel applications of the modern Chinese language. Many temporal poetic studies consider the poems written in traditional Chinese and modern Chinese as two different genres. The two genres are saliently different in rhyme, meter, theme, etc. We aim to detect the specific properties of the evolution process of Chinese poetry in terms of the word categories’ distribution patterns. For the purpose, a corpus with 438 randomly selected traditional and modern Chinese poems is built, and some quantitative language indicators (entropy, relative entropy, repeat rate) and some exploratory statistical analysis techniques applicable in corpus linguistics and quantitative linguistics (one-way ANOVA test, cluster analysis)1 are used to abstract and analyze language data from the corpus. It is concluded that the word categories are distributed significantly differently in traditional poetry and modern poetry. The sound reasons would be that (1) traditional Chinese poetry is more likely to focus on the application of some specific content word categories, for example, nouns, but not auxiliary words and (2) modern poems tend to choose more categories of words. From the perspective of word class distribution patterns, we suppose that the birth of modern Chinese poetry in the 1910s is a sharp change to Chinese poetry production.
On the formation of GW190814
Authors: Lu Wenbin , Beniamini Paz , Bonnerot Clément 
Published: October 2020

ABSTRACT
The LIGO–Virgo collaboration recently reported a puzzling event, GW190814, with component masses of 23 and 2.6 M⊙. Motivated by the relatively small rate of such a coalescence (1–$23\rm \, Gpc^{-3}\, yr^{-1}$) and the fact that the mass of the secondary is close to the total mass of known binary neutron star (bNS) systems, we propose that GW190814 was a second-generation merger from a hierarchical triple system; i.e. the remnant from the bNS coalescence was able to merge again with the 23 M⊙ black hole (BH) tertiary. We show that this occurs at a sufficiently high probability provided that the semimajor axis of the outer orbit is less than a few au at the time of bNS coalescence. It remains to be explored whether the conditions for the formation of such tight triple systems are commonly realized in the Universe, especially in low-metallicity (≲0.1 Z⊙) environments. Our model provides a number of predictions. (1) The spin of the secondary in GW190814-like systems is 0.6–0.7. (2) The component mass distribution from a large sample of LIGO sources should have a narrow peak between 2.5 and ∼3.5 M⊙, whereas the range between ∼3.5 and ∼5 M⊙ stays empty (provided that stellar evolution does not generate such BHs in the ‘mass gap’). (3) About 90 per cent (10 per cent) of GW190814-like events have an eccentricity of e ≳ 2 × 10−3 (≳0.1) near gravitational wave frequency of $10\,$ mHz. (4) A significant fraction (${\gtrsim}10\, \rm {per\, cent}$) of bNS mergers should have signatures of a massive tertiary at a distance of a few au in the gravitational waveform. (5) There are 105 undetected radio-quiet bNS systems with a massive BH tertiary in the Milky Way.
Firm Characteristics and Empirical Factor Models: A Model Mining Experiment
Authors: Tian Mary 
Published: October 2020

Abstract
In a novel model mining experiment, we data mine hundreds of randomly constructed three-factor models and find that many outperform well-known models from the literature, including those with four and five factors. The results provide compelling evidence that the threshold of factor model success needs to be raised. Confidence intervals for model rankings, derived from a bootstrap simulation, offer new insights into the consistency of a model’s pricing ability. Rankings for some well-known models are unusually volatile, which have wider confidence intervals than that of most of the random factor models.
The clinical and cost effectiveness of splints for thumb base osteoarthritis: a randomized controlled clinical trial
Authors: Adams Jo , Barratt Paula , Rombach Ines , Arden Nigel , Barbosa Bouças Sofia , Bradley Sarah , Doherty Michael , Dutton Susan J , Gooberman-Hill Rachael , Hislop-Lennie Kelly , Hutt-Greenyer Corinne , Jansen Victoria , Luengo-Fernadez Ramon , Williams Mark , Dziedzic Krysia 
Published: October 2020

Abstract

Objectives
To investigate the clinical effectiveness, efficacy and cost effectiveness of splints (orthoses) in people with symptomatic basal thumb joint OA (BTOA).

Methods
A pragmatic, multicentre parallel group randomized controlled trial at 17 National Health Service (NHS) hospital departments recruited adults with symptomatic BTOA and at least moderate hand pain and dysfunction. We randomized participants (1:1:1) using a computer-based minimization system to one of three treatment groups: a therapist supported self-management programme (SSM), a therapist supported self-management programme plus a verum thumb splint (SSM+S), or a therapist supported self-management programme plus a placebo thumb splint (SSM+PS). Participants were blinded to group allocation, received 90 min therapy over 8 weeks and were followed up for 12 weeks from baseline. Australian/Canadian (AUSCAN) hand pain at 8 weeks was the primary outcome, using intention to treat analysis. We calculated costs of treatment.

Results
We randomized 349 participants to SSM (n = 116), SSM+S (n = 116) or SSM+PS (n = 117) and 292 (84%) provided AUSCAN Osteoarthritis Hand Index hand pain scores at the primary end point (8 weeks). All groups improved, with no mean treatment difference between groups: SSM+S vs SSM −0.5 (95% CI: −1.4, 0.4), P = 0.255; SSM+PS vs SSM −0.1 (95% CI: −1.0, 0.8), P = 0.829; and SSM+S vs SSM+PS −0.4 (95% CI: −1.4, 0.5), P = 0.378. The average 12-week costs were: SSM £586; SSM+S £738; and SSM+PS £685.

Conclusion
There was no additional benefit of adding a thumb splint to a high-quality evidence-based, supported self-management programme for thumb OA delivered by therapists.

Trial registration
ISRCTN 54744256 (http://www.isrctn.com/ISRCTN54744256).