bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological correlates of COVID-19 pandemic in the Austrian population
Authors: Traunmüller Claudia , Stefitz Rene , Gaisbachgrabner Kerstin , Schwerdtfeger Andreas 
Published: September 2020

Abstract
Background: COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychological distress in Austria during the initial stage of the COVID-19 outbreak. Methods: From 25 March to 3 April 2020, an anonymous online survey was conducted. Target group included all members of the Austrian population older than 16 years. The survey addressed the following areas (1) and sociodemographic data, (2) physical and mental health; (3) knowledge and concerns about COVID-19; (4) contact with infected people; (5) prevention efforts; (6) need for further information. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) were used to assess mental health. Analyses were based on 4,126 individuals (74% female, age: M = 38.68, SD = 13.36).Results: 43.3% rated the psychological impact as moderate (5.6%) or severe (37.7%). 26.5% reported moderate (13.3%) to severe (13.2%) depression; 20.3% moderate (8.9%) to severe (11.4%) anxiety and 21.2% reported to suffer from moderate (10.5%) or severe stress (10.7%). Being female, higher age, lower levels of education, concern about family members, internet as main source of information, student or pupil status, poor self-rated health, and downplaying the seriousness of the problem were signiﬁcantly associated with higher psychological burden. Protective factors were the possibility to work in home office, frequent (indirect) contact with family or friends, the availability of virus-specific information, confidence in the diagnosis capability, and physical activity during the crisis.Conclusion: This study is among the first in Europe on the psychological correlates of the COVID-19 pandemic. 37.7% of the Austrian study population reported a severe psychological impact on the event and 1 in 10 is considered to suffer from severe depression, anxiety or stress. The present findings inform about the identification of protective factors, psychologically vulnerable groups and may guide the development of psychological interventions.
Pediatric neurodevelopment by prenatal Zika virus exposure: A cross-sectional study of the Microcephaly Epidemic Research Group Cohort
Authors: Silva Paula Fabiana Sobral , Eickmann Sophie Helena , Ximenes Ricardo Arraes de Alencar , Montarroyos Ulisses Ramos , Lima Marília de Carvalho , Martelli Celina M Turchi , de Araújo Thalia Velho Barreto , Brickley Elizabeth , Rodrigues Laura Cunha , Gonçalves Fabiana Cristina Lima Pastich , Carvalho Maria Durce Costa Gomes , de Souza Wayner Vieira , Miranda-Filho Democrito de Barros 
Published: September 2020

Abstract
Background: The implications of congenital Zika Virus (ZIKV) infections for pediatric neurodevelopment and behavior remain inadequately studied. The aim of this study is to investigate patterns of neurodevelopment and behavior in groups of children with differening severities of ZIKV-related microcephaly and children with prenatal ZIKV exposure in the absence of microcephaly.Methods: We conducted a cross-sectional study, nested in a cohort, of 274 children (aged 10-45 months) who were born during the peak and decline of the microcephaly epidemic in Northeast Brazil. Participants were evaluated between February 2017 and August 2019 at two tertiary care hospitals in Recife, Pernambuco, Brazil. We analyzed the children in four groups assigned based on clinical and laboratory criteria: Group 1 had severe microcephaly; Group 2 had moderate microcephaly; Group 3 had prenatal ZIKVexposure confirmed by maternal RT-PCR testing but no microcephaly; and Group 4 was a neurotypical control group. Groups were evaluated clinically for neurological abnormalities and compared using the Survey of Wellbeing of Young Children (SWYC), a neurodevelopment and behavior screening instrument validated for use in Brazil. Children with severe delays underwent further evaluation with an adapted version of the SWYC.Results: Based on the SWYC screening, we observed differences between the groups for developmental milestones but not behavior. Among the 114 children with severe microcephaly of whom 98.2% presented with neurological abnormalities, 99.1% were ‘at risk of development delay’ according to the SWYC instrument. Among the 20 children with moderate microcephaly of whom 60% presented with neurological abnormalities, 65% were ‘at risk of development delay’. For children without microcephaly, the percentages found to be ‘at risk of developmental delay’ were markedly lower and did not differ by prenatal ZIKV exposure status: Group 3 (N=94), 13.8%; Group 4 (N=46), 21.7%.Conclusions: Among children with prenatal ZIKV exposure, we found a gradient of risk of development delay according to head circumference. Children with severe microcephaly were at highest risk for delays, while normocephalic ZIKV-exposed children had similar risks to unexposed control children. We propose that ZIKV-exposed children should undergo first-line screening for neurodevelopment and behavior using the SWYC instrument. Early assessment and follow-up will enable at-risk children to be referred to a more comprehensive developmental evaluation and to multidisciplinary care management.
Person-centred care in practice: Perspectives from a short-course regimen for multi-drug resistant tuberculosis in Karakalpakstan, Uzbekistan
Authors: Horter Shona , Stringer Beverley , Gray Nell , Parpieva Nargiza , Safaev Khasan , Tigay Zinaida , Singh Jatinder , Achar Jay 
Published: September 2020

Abstract
Introduction: Person-centred care, an internationally recognised priority, describes the involvement of people in their care and treatment decisions, and the consideration of their needs and priorities within service delivery. Clarity is required regarding how it may be implemented in practice within different contexts. The standard multi-drug resistant tuberculosis (MDR-TB) treatment regimen is lengthy, toxic and insufficiently effective. 2019 World Health Organisation guidelines include a shorter (9-11-month) regimen and recommend that people with MDR-TB be involved in the choice of treatment option. We examine the perspectives and experiences of people with MDR-TB and health-care workers (HCW) regarding person-centred care in an MDR-TB programme in Karakalpakstan, Uzbekistan, run by Médecins Sans Frontières and the Ministry of Health.Methods: A qualitative study comprising 48 interviews with 24 people with MDR-TB and 20 HCW was conducted in June-July 2019. Participants were recruited purposively to include a range of treatment-taking experiences and professional positions. Interview data were analysed thematically using coding to identify emerging patterns, concepts, and categories relating to person-centred care, with Nvivo12.Results: People with MDR-TB were unfamiliar with shared decision-making and felt uncomfortable taking responsibility for their treatment choice. HCW were viewed as having greater knowledge and expertise, and patients trusted HCW to act in their best interests, deferring the choice of appropriate treatment course to them. HCW had concerns about involving people in treatment choices, preferring that doctors made decisions. People with MDR-TB wanted to be involved in discussions about their treatment, and have their preference sought, and were comfortable choosing whether treatment was ambulatory or hospital-based. Participants felt it important that people with MDR-TB had knowledge and understanding about their treatment and disease, to foster their sense of preparedness and ownership for treatment. Involving people in their care was said to motivate sustained treatment-taking, and it appeared important to have evidence of treatment need and effect. Conclusions: There is a preference for doctors choosing the treatment regimen, linked to shared decision-making unfamiliarity and practitioner-patient knowledge imbalance. Involving people in their care, through discussions, information, and preference-seeking could foster ownership and self-responsibility, supporting sustained engagement with treatment.
Impact of sugarcane irrigation on malaria vector Anopheles mosquito fauna, abundance and seasonality in Arjo-Didessa, Ethiopia
Authors: Shifera Assalif Demissew , Hawaria Dawit , Kibret Solomon , Animut Abebe , Tsegaye Arega , Lee Ming-Cheih , Yan Guiyun , Yewhalaw Delenasaw 
Published: September 2020

Abstract
BackgroundDespite extensive irrigation development in Ethiopia, limited studies assessed the impact of irrigation on malaria vector mosquito composition, abundance and seasonality. This study aimed to evaluate the impact of sugarcane irrigation on species composition, abundance and seasonality of malaria vectors.MethodsAdult Anopheles mosquitoes were collected using CDC light traps from three irrigated and three non-irrigated clusters in and around Arjo-Didessa sugarcane irrigation scheme in southwestern Ethiopia. Mosquitoes were surveyed in four seasons: two wet and two dry, in 2018 and 2019. Mosquito species composition, abundance and seasonality were compared between irrigated and non-irrigated clusters. Anopheles mosquitoes were sorted out to species using morphological keys and molecular techniques. Chi-square was used to test the relationships between Anopheles species occurrence, and environmental and seasonal parameters.ResultsOverall, 2,108 female Anopheles mosquitoes comprising of six species were collected. Of these, 92.7% (n=1,954) were from irrigated clusters and 7.3% (n=154) from the non-irrigated. The Anopheles gambiae complex was the most abundant (67.3%) followed by Anopheles coustani complex (25.3 %) and Anopheles pharoensis (5.7%). PCR-based identification revealed that 74.7% (n=168) of the An. gambiae comlex were Anopheles arabiensis and 22.7% (n=51) Anopheles amharicus. The density of An. gambiae complex (both indoor and outdoor) was higher in irrigated than non-irrigated clusters. The overall anopheline mosquito abundance during the wet seasons (87.2%; n=1,837) was higher than the dry seasons (12.8%; n=271).ConclusionThe ongoing sugarcane irrigation activities in Arjo-Didessa created conditions suitable for malaria transmitting Anopheles species diversity and abundance. This could drive malaria transmission in Arjo-Didessa and its environs in both dry and wet seasons. Currently practiced malaria vector interventions need to be strengthened by including larval source management to reduce vector abundance in the irrigated areas.
Short- and long-term outcomes after colonic self-expandable metal stent placement for malignant large-bowel obstruction as a bridge to surgery focus on the feasibility of the laparoscopic approach: a retrospective, single center study
Authors: Tajima Jesse Yu , Matsuhashi Nobuhisa , Takahashi Takao , Mizutani Chika , Iwata Yoshinori , Kiyama Shigeru , Kubota Masaya , Ibuka Takashi , Araki Hiroshi , Shimizu Masahito , Doi Kiyoshi , Yoshida Kazuhiro 
Published: September 2020

Abstract
Purpose

Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital.

Methods

We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach.

Results

Tumor location was significantly higher in the left-side colon and rectum (n=59, 78.7%) than right-side colon (n=16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (Open) group (n=5, 23.8%) and laparoscopic surgery (Lap) group (n=7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the Lap vs Open group (67.5% vs 66.4%; 82.2% vs 62.5%).

Conclusion

Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.
Combining quantitative analysis with an elliptic Fourier descriptor: A study of pottery from the Gansu-Zhanqi site based on 3D scanning and computer technology
Authors: WANG JIN , Qian wei , Chen guoke 
Published: September 2020

Abstract
Pottery is an important material in archaeological studies, and the accurate classification of pottery shapes largely depends on the experience and knowledge of archaeologists. In this thesis, pottery taken from the Gansu-Zhanqi site is used for sampling. Three-dimensional (3D) models of the pottery were obtained using 3D scanning, and a computer-assisted pottery typology was studied through quantitative analysis and elliptic Fourier descriptor. This method, which can enhance and supplement the traditional methods of classifying pottery in archaeology and thereby enrich the parameters and breadth of pottery analysis, represents a new means for exploring and experimenting with objective classification and provides a new tool for traditional archaeological analysis methods.
Analysis and Best Parameters Selection for Person Recognition based on Gait model using CNN algorithm and Image Augmentation
Authors: Saleh Abeer , Hamoud Talal 
Published: September 2020

Abstract
Person recognition based on gait model and motion print is indeed a challenging and novel task due to its usages and to the critical issues of human pose variation, human body occlusion, camera view variation, etc. In this project, a deep convolution neural network (CNN) was modiﬁed and adapted for person recognition with image augmentation technique. CNN is best algorithm of deep learning algorithms. Adaptation aims to get best values for CNN parameters to get best CNN model. In Addition to the CNN parameters, the design of CNN model itself was adapted to get best model design; number of layers and normalization between them. After choosing best parameters and best design, Image augmentation was used to increase train dataset with many copies of the image to boost the number of diﬀerent images that will be used to train Deep learning algorithms. The tests were achieved using known dataset (Market dataset). The dataset contains sequential pictures of people in diﬀerent gait status. The image in CNN model as matrix is extracted to many images or matrices, so dataset size may be bigger by hundred times to make the problem a big data problem, in this project Results show that adaptation has improved the accuracy of person recognition using gait model, that is represented in many successive images for the same person. In addition, dataset contains images of person carrying things. The improved model of CNN is robust to image dimensions (quality and resolution) and to carried things by persons.
Psychometric properties of a Persian version of Respectful Maternity Care Questionnaire
Authors: Esmkhani Mina , Namadian Masoumeh , Nooroozy Ali 
Published: September 2020

Abstract
Background: Getting a high quality and respectful care during pregnancy and delivery is one of the ways to reduce complications in women. Respectful care is a type of care that requires a valid instrument to measure. This study was conducted to determine the validity and reliability of the Persian version of the Respectful Maternity Care (RMC) questionnaire in 2018.Methods: This study was performed on 150 women (In the first 48 hours after delivery), who were admitted in the postpartum wards of public hospitals from 1st January until 6th April 2018 in Zanjan city in Iran. Participants were selected randomly using Poisson distribution (Time) sampling method. After receiving the permission from the questionnaire’s author, the internal consistency of the tool was measured by Cronbach's alpha coefficient after the Forward translation of Persian version of the tool under the supervision of experts. The reliability of the modified questionnaire was assessed using a test-retest method in 10 eligible postpartum women, who completed the same questionnaire after 72 hours again. The validity of the tool was confirmed by exploratory and confirmatory factor analysis using LISREL and SPSS soft wares. Results: The original RMC tool was achieved an overall high internal reliability (α =0.839). Confirmatory factor analysis of original RMC scores demonstrated poor fit indices. In LISREL proposed paths for model, one item was excluded and a re-exploratory factor analysis was performed with the remaining 14 items. Four new subscales were defined for the revised tool including Abusive Care, Effective Care, Friendly Care, and Respectful Communication , which explained 60% of the variance. Conclusions: The revised included four subscales of Abusive Care, Effective Care, Friendly Care, and Respectful Communication in 14 items which explained 60% of the variance. Given the importance of providing a high quality care in maternity, and variety of cultures and service delivery in different countries, further researches are needed on this RMC tool to be used in maternity care in different places.
A Study of Community and Health Clinic Approaches to Addressing Toxic Stress and Promoting Protective Factors among Families with Infants
Authors: McCrae Julie S. , Robinson JoAnn L , Spain Angeline K , Byers Kaela , Axelrod Jennifer L 
Published: September 2020

Abstract
BackgroundHealth care administrators must promote effective partnerships with community agencies to address social determinants of health, including reducing exposure to chronic stress in early childhood. Important targets for mitigating “toxic” levels of young child exposures are through reducing parents’ experiences of chronic stress as well as protecting children from direct experiences of harm such as physical or sexual abuse. Conducting screening to identify when parents and children are exposed to early life adversity is a first step; bringing in or referring out families to needed support services is an essential component. This paper describes a multi-modal investigation of health care systems innovations to engage and support parents to prevent and mitigate children’s toxic stress exposures through pediatric primary care and community services partnerships.MethodsKey study features include: 1) multi-component, multi-site study in five U.S. communities of pediatric health care clinics and the families they serve, 2) a developmental evaluation approach that describes how systems innovations are experienced over time at three levels (community systems, pediatric providers, and families), and 3) rapid cycle feedback in partnership with communities, clinics and families to co-interpret data and findings. The methodology includes: 1) focus groups and interviews with community stakeholders, clinic staff, and families, 2) electronic health record and Medicaid services data extracted to assess health care quality, and 3) clinic-recruitment of 908 parents of newborns in a longitudinal survey.ResultsThe sample is briefly characterized based on responses to the enrollment phase of the parent survey.ConclusionsWe discuss the study design elements’ contribution to generate evidence needed by innovators, communities, and clinics to modify and sustain investments in these innovations.
Learning Styles of Medical Students With Different Routes of Admission
Authors: HSU HSIANG-CHIN , Jeng Shuen-Lin , Shih Shin-I , Huang Yu-Chiao , Lin Chih-Hao , Yao Wei Ren 
Published: September 2020

Abstract
BackgroundA learning style is the complex manner to learn material most efficiently and effectively and also a good predicator of their preferred learning behaviors. This study explored the status of new medical students’ learning patterns between application and entrance examination.MethodsThis is a cross sectional analysis of learning styles among newly enrolled first year medical students in each first academic year from September 2015 to September 2017. The Memletic Learning Style Inventory was applied as instrument for assessment. Latent class analysis was applied to classify different classes among medical students. Result98 students underwent a national college entrance examination, and 150 students was enrolled through application. All medical students could be assigned into 4 classes according to learning styles, including logical type, solitary type, mix aural-verbal-visual type, and social type. Both gender and admission routes were strong predictors of latent class of learning styles. ConclusionThrough the interview process, we can screen out students with mix aural-verbal-visual class of learning styles through interview in application process. While examination route can select students with logical type and solitary type learning style. This study can improve our understanding of student learning patterns to design learner-specific courses and effective curricula.
Analysis of IL-1β, CXCL8, and TNF Levels in the Crevicular Fluid of Patients With Periodontitis or Healthy Implants
Authors: Aleksandrowicz Paweł , Brzezińska-Błaszczyk Ewa , Kozłowska Elżbieta , Żelechowska Paulina , Borgonovo Andrea Enrico , Agier Justyna 
Published: September 2020

Abstract
Purpose: The evaluation of periodontal and peri-implant tissue condition is mainly based on clinical examination and imaging diagnostics. Some data implies that an examination of cytokine level in peri-implant sulcular fluid (PISF) might prove useful when evaluating the condition of peri-implant tissues and monitoring the development of peri-implant inflammation, including both mucositis and peri-implantitis. Thus, in this paper, it has been decided to assess the level of TNF, CXCL8, and IL-1β in PISF collected from patients with no clinical symptoms of mucositis or peri-implantitis and compare them with cytokine concentration in gingival crevicular fluid (GCF) acquired from patients with healthy periodontium and those with varying severity of periodontitis. Materials and Methods: A total of 189 subjects were included in the study, and GCF/PISF samples were checked for TNF, CXCL8, and IL-1β levels using an ELISA test.Results: We documented that the IL-1β level, in PISF in patients with implants, was significantly lower than in GCF in patients with mild, moderate, or severe periodontitis. We also revealed that their CXCL8 level in PISF was considerably lower than in patients with moderate periodontitis. However, the TNF level in PISF in patients with implants was markedly higher compared to subjects with healthy periodontium or patients with mild periodontitis. Conclusion: Our observation might imply that the monitoring of TNF, CXCL8, and IL-1β levels in PISF could help with the diagnosis of mucositis/peri-implantitis before any clinical manifestations, thus allowing a quicker appropriate therapy intervention at an early stage.