bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Authors: Nevedal Andrea L. , Reardon Caitlin M. , Jackson George L. , Cutrona Sarah L. , White Brandolyn , Gifford Allen L. , Orvek Elizabeth , DeLaughter Kathryn , White Lindsay , King Heather A. , Henderson Blake , Vega Ryan , Damschroder Laura 
Published: July 2020

AbstractBackgroundOne goal of health systems seeking to evolve into learning health systems is to accelerate the implementation and sustainment of evidence-based practices (EBPs). As part of this evolution, the Veterans Health Administration (VHA) developed the Innovation Ecosystem, which includes the Diffusion of Excellence (DoE), a program that identifies and diffuses Gold Status Practices (GSPs) across facilities. The DoE hosts an annual “Shark Tank” competition in which leaders bid on the opportunity to implement a GSP with 6 months of implementation support. Over 750 diverse practices were submitted in cohorts 2 and 3 of Shark Tank; 23 were designated GSPs and were implemented in 31 VA networks or facilities. As part of a national evaluation of the DoE, we identified factors contributing to GSP implementation and sustainment.MethodsOur sequential mixed methods evaluation of cohorts 2 and 3 of Shark Tank included semi-structured interviews with at least one representative from 30/31 implementing teams (N= 78/105 people invited) and survey responses from 29/31 teams (N= 39/47 invited). Interviews focused on factors influencing implementation and future sustainment. Surveys focused on sustainment 1.5–2 years after implementation. The Consolidated Framework for Implementation Research (CFIR) informed data collection and directed content analysis. Ordinal scales were developed inductively to rank implementation and sustainment outcomes.ResultsOver 50% of teams (17/30) successfully implemented their GSP within the 6-month implementation period. Despite extensive implementation support, significant barriers related to centralized decision-making, staffing, and resources led to partial (n= 6) or no (n= 7) implementation for the remaining teams. While 12/17 initially successful implementation teams reported sustained use of their GSP, over half of the initially unsuccessful teams (n= 7/13) also reported sustained GSP use 1.5 years after the initial implementation period. When asked at 6 months, 18/27 teams with complete data accurately anticipated their future sustainability based on reported sustainment an average of 1.5 years later.ConclusionsMost teams implemented within 6 months and/or sustained their GSP 1.5 years later. High levels of implementation and sustainment across diverse practices and teams suggest that VHA’s DoE is a successful large-scale model of diffusion. Team predictions about sustainability after the first 6 months of implementation provide a promising early assessment and point of intervention to increase sustainability.
Pregnancy Per- and Polyfluoroalkyl Substance Concentrations and Postpartum Health in Project Viva: A Prospective Cohort
Authors: Mitro Susanna D , Sagiv Sharon K , Fleisch Abby F , Jaacks Lindsay M , Williams Paige L , Rifas-Shiman Sheryl L , Calafat Antonia M , Hivert Marie-France , Oken Emily , James-Todd Tamarra M 
Published: July 2020

Abstract

Context
Per- and polyfluoroalkyl substances (PFAS) are environmental chemicals linked to weight gain and type 2 diabetes.

Objective
We examined the extent to which PFAS plasma concentrations during pregnancy were associated with postpartum anthropometry and biomarkers.

Design, Patients, and Measures
We studied women recruited between 1999 and 2002 in the Project Viva prospective cohort with pregnancy plasma concentrations of PFAS, including perfluorooctanesulfonic acid (PFOS), perfluorooctanoic acid (PFOA), and 2-(N-ethyl-perfluorooctane sulfonamide) acetic acid (EtFOSAA). Three-year postpartum anthropometry measurements were available from 786 to 801 women, blood pressure from 761 women, and blood biomarkers from 450 to 454 women. We used multivariable regression to evaluate the association of log2-transformed PFAS with postpartum anthropometry, blood pressure, and blood biomarkers (leptin, adiponectin, sex hormone binding globulin [SHBG], hemoglobin A1c, interleukin-6 [IL-6], C-reactive protein), adjusting for age, prepregnancy body mass index, marital status, race/ethnicity, education, income, smoking, parity, and breastfeeding history.

Results
Pregnancy concentrations of certain PFAS were associated with greater adiposity (eg, 0.4 cm [95% confidence interval [95%CI]: −0.1, 0.9] greater waist circumference per doubling in EtFOSAA; 0.2 cm [95%CI: −0.1, 0.5] greater mid-upper arm circumference per doubling in PFOA; 1.2 mm [95%CI: 0.1, 2.2] thicker sum of subscapular and triceps skinfolds per doubling in PFOS) and higher systolic blood pressure (eg, 1.2 mm Hg [95%CI: 0.3, 2.2] per doubling in PFOS) at 3 years postpartum. Higher EtFOSAA concentrations were also associated with 10.8% higher IL-6 (95%CI: 3.3, 18.9) and 6.1% lower SHBG (95%CI: 0.7, 11.2) per doubling.

Conclusions
Pregnancy concentrations of EtFOSAA, PFOS, and PFOA were associated with adverse postpartum cardiometabolic markers.
Pediatric Distraction on Induction of Anesthesia With Virtual Reality and Perioperative Anxiolysis: A Randomized Controlled Trial
Authors: Jung Michael J. , Libaw Justin S. , Ma Kevin , Whitlock Elizabeth L. , Feiner John R. , Sinskey Jina L. 
Published: July 2020

BACKGROUND:
Perioperative pediatric anxiety is common and can have a negative psychological impact on children undergoing surgery and anesthesia. Studies have shown an incidence of anxiety at induction of up to 50%. Audiovisual distraction, including virtual reality (VR), is a noninvasive, nonpharmacological modality that may reduce perioperative anxiety. The goal of this study was to determine whether immersive audiovisual distraction with a VR headset during induction of general anesthesia (GA) in pediatric patients reduced preoperative anxiety.

METHODS:
In this randomized-controlled, parallel-group study, 71 children 5–12 years of age scheduled for elective surgery with GA were randomly allocated to a VR group or a non-VR (No VR) control group. VR group patients underwent audiovisual distraction with a VR headset during induction in the operating room, whereas the control group received no audiovisual distraction. The primary outcome was the Modified Yale Preoperative Anxiety Scale (mYPAS), which was measured at 3 time points to assess patient anxiety: in the preoperative holding area before randomization, on entering the operating room, and during induction of GA. The primary outcome was analyzed using univariate analysis and a linear mixed-effects model. Secondary outcomes included postinduction parental anxiety measured by the State-Trait Anxiety Inventory, pediatric induction compliance, and parental satisfaction.

RESULTS:
Average patient age was 8.0 ± 2.3 years (mean ± standard deviation [SD]), and 51.4% of patients were female. Baseline variables were not substantially different between the VR group (33 patients) and the No VR group (37 patients). No patients received preoperative anxiolytic medication. Baseline mYPAS scores were not different between the groups, with scores of 28.3 (23.3–28.3) (median [interquartile range {IQR}]) in both. The change in mYPAS scores from baseline to time of induction was significantly lower in the VR group versus control group (0.0 [0.0–5.0] vs 13.3 [5.0–26.7]; P < .0001). In the mixed-effects model, the VR group had an estimated 6.0-point lower mYPAS score (95% confidence interval [CI], 0.7–11.3; P = .03) at room entry than the No VR group, and 14.5-point lower score (95% CI, 9.3–19.8; P < .0001) at induction versus control. Randomization to VR did not alter parental anxiety (0 [−2 to 2]), pediatric induction compliance (0 [0–0]), or parental satisfaction (−3 [−8 to 2]) (difference in medians [95% CI]).

CONCLUSIONS:
This study demonstrates a reduction in pediatric preoperative anxiety with the use of VR. Preoperative VR may be an effective noninvasive modality for anxiolysis during induction of anesthesia in children.
Pushing myelination – developmental regulation of myosin expression drives oligodendrocyte morphological differentiation
Authors: Domingues Helena Sofia , Urbanski Mateusz M. , Macedo-Ribeiro Sandra , Almaktari Amr , Irfan Azka , Hernandez Yamely , Wang Haibo , Relvas João Bettencourt , Rubinstein Boris , Melendez-Vasquez Carmen V. , Pinto Inês Mendes 
Published: July 2020

ABSTRACT
Oligodendrocytes are the central nervous system myelin-forming cells providing axonal electrical insulation and higher-order neuronal circuitry. The mechanical forces driving the differentiation of oligodendrocyte precursor cells into myelinating oligodendrocytes are largely unknown, but likely require the spatiotemporal regulation of the architecture and dynamics of the actin and actomyosin cytoskeletons. In this study, we analyzed the expression pattern of myosin motors during oligodendrocyte development. We report that oligodendrocyte differentiation is regulated by the synchronized expression and non-uniform distribution of several members of the myosin network, particularly non-muscle myosins 2B and 2C, which potentially operate as nanomechanical modulators of cell tension and myelin membrane expansion at different cell stages.
This article has an associated First Person interview with the first author of the paper.
Exploring the interdependence between self-organization and functional morphology in cellular systems
Authors: Mancinelli Gloria , Galic Milos 
Published: July 2020

ABSTRACT
All living matter is subject to continuous adaptation and functional optimization via natural selection. Consequentially, structures with close morphological resemblance repeatedly appear across the phylogenetic tree. How these designs emerge at the cellular level is not fully understood. Here, we explore core concepts of functional morphology and discuss its cause and consequences, with a specific focus on emerging properties of self-organizing systems as the potential driving force. We conclude with open questions and limitations that are present when studying shape–function interdependence in single cells and cellular ensembles.
Study protocol: A profile of physical performance variables in an outpatient adult population with narcolepsy
Authors: Tadrous Ragy , O'Rourke Deirdre , Murphy Niamh , Slattery Lisa , Quinn Gillian , Broderick Julie 
Published: July 2020

Background: Narcolepsy is a sleep disorder characterised by excessive daytime sleepiness and significantly impacts quality of life. People with narcolepsy demonstrate many potential barriers to being physically fit and active, such as sleepiness and social isolation. Very little is known about how physical performance variables may be affected in people with narcolepsy. This study aims to profile the physical fitness of adults with narcolepsy and to explore the relationship between physical fitness and quality of life, symptom severity and disease duration in this cohort. Methods and Analysis: In this cross-sectional observational study, participants will undergo a comprehensive physical performance test battery that will investigate cardiopulmonary fitness, objective measures of physical activity, muscle strength and endurance. Furthermore, quality of life, symptom severity and physical activity will be ascertained through self-report questionnaires. The study population will consist of adults with narcolepsy aged 18-65 years attending the National Narcolepsy Centre located in St. James’s Hospital as an outpatient. Ethics and Dissemination: Ethical approval has been obtained from the St. James’s Hospital and Tallaght University Hospital Research Ethics Committee, and this study is presently underway. The results obtained from this study will be used to help tailor exercise and possible rehabilitation strategies for this population. Dissemination will be sought through peer-reviewed journals, national and international conferences, and through engagement with service user groups. Registration: ClinicalTrials.gov Identifier NCT04419792; registered on 5 June 2020.
Spectrophotometric determination of Uranium through complex formation with roxarsone
Authors: Abd alaty Nashat Mohamed Alanwar 
Published: July 2020

<p align="left"><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">A new sensitive, accurate, and non-extractive spectrophotometric method was developed for the rapid determination of Uranium in pure form and Uranium ore using </span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">roxarsone</span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">. The procedure was based on the complex formation between Uranium (VI) and </span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">roxarsone. This</span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US"> showed maximum absorption at </span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">λmax 395 nm</span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US"> with a linear relationship in the concentration range from (20-100 µg mLˉ¹) with a molar absorptivity 9.57×10<sup>3</sup>(1mol<sup>-1</sup> cm<sup>-1</sup>). Inductively Coupled Plasma mass spectroscopy (ICP-MS) was used in the study of the interferences caused by some metallic ions, which were effectively masked by tartaric acid and diethylenetriaminepenta-acetic acid (DTPA). </span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">The method holds its accuracy and precision well when applied to the determination of the studied Uranium in its </span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">pure form and Uranium ore</span><span style="font-size: 10pt; font-family: 'Times New Roman', serif;" lang="EN-US">.</span> </p><p class="MsoNormal" style="text-align: center; direction: ltr; unicode-bidi: embed;" align="center"> </p>
Des Schusters Schuhe
Authors: Lux Anna M. , Robra-Bissantz Susanne 
Published: July 2020

ZusammenfassungDie Analogie des Titels aufgreifend widmet sich der vorliegende Beitrag dem Ungleichgewicht zwischen innovativen Entwicklungen aus der Dienstleistungsforschung für den Markt und dem Stand der Dienstleistungsentwicklung im Praxisfeld der Wissenschaft. Während sich auf der einen Seite Erkenntnisse aus der Forschung in der unternehmerischen Praxis als Service-Trends etablieren und durch den Einsatz digitaler Technologien gestützt werden, fehlt eine adäquate Umsetzung im Umfeld der Forschenden selbst. Gleichzeitig führen rasante Veränderungen in der Forschungslandschaft zu einem steigenden Bedarf nach Unterstützungsleistungen in der Wissenschaft. Wie technologische Lösungen und personelle Unterstützung in innovative Dienste zusammengeführt werden können, wird in dem für die Wirtschaftsinformatik zunehmend relevanten Forschungsgebiet der Personennahen Dienstleistungen (PD) untersucht. Inter- und transdisziplinäre Forschungsverbünde widmen sich der Entwicklung von Konzepten zur Gestaltung marktfähiger digitaler PD. Die hieraus gewonnenen Erkenntnisse bestärken unterschiedlichste Praxisgebiete, jedoch nicht das der Menschen, die in der Wissenschaft arbeiten. Können auch Forschende von digitalen PD profitieren? Der vorliegende Beitrag führt in eine erweiterte Betrachtung des Forschungsgebietes PD ein, stellt die Bedeutung der Übertragbarkeit auf das Praxisgebiet Wissenschaft dar und zeigt Chancen zur Gestaltung auf.
Controversies around the social model of disability
Authors: Twardowski Andrzej 
Published: July 2020

Twardowski Andrzej, Controversies around the social model of disability. Culture – Society – Education no 2(16) 2019, Poznań 2019, pp. 7–21, Adam Mickiewicz University Press. ISSN 2300-0422. DOI: 10.14746/kse.2019.16.1
The aim of the article is to present a critical analysis of the social model of disability.In the first part, the author discusses the genesis, essence and basic advantages of the social model of disability. Next, five major disadvantages of this model are analysed:/1/ avoiding dealing with impairment as an important aspect of the lives of people with disabilities, /2/ separating impairment from disability, /3/ assuming that all people with disabilities are exposed to social oppression, /4/ postulating the creation of an environment without barriers and /5/ assuming that disability is the basis of the identity of people affected by it. In the final part of the article, the author presents reflections on the possibility of creating a new, more holistic model of disability.
A dissertation by Zygmunt Gloger Czy lud polski jeszcze śpiewa? [Does the Polish folk still sing?] (1905) a question about understanding of tradition, community and good remembrance12
Authors: Józefowicz Anna 
Published: July 2020

Józefowicz Anna, A dissertation by Zygmunt Gloger Czy lud polski jeszcze śpiewa? [Does the Polish folk still sing?] (1905) a question about understanding of tradition, community and good remembrance. Culture – Society – Education no 2(16) 2019, Poznań 2019, pp. 149–162, Adam Mickiewicz University Press. ISSN 2300-0422. DOI 10.14746/kse.2019.16.10.
The question contained in the title of the dissertation of the great folklore, researcher of the past, a lover of sightseeing trips – Zygmunt Gloger Czy lud polski jeszcze śpiewa? [Does the Polish folk still sing?] was asked, far more than a hundred years ago. It was put to Gloger by a French musician and journalist who was staying in Poland in 1901 to celebrate the opening of the Warsaw Philharmonic. He asked this way, because he was fascinated with musicpieces he had heard on the stage, based “on beautiful folk motifs”. Small size, because only 24-page Gloger’s dissertation issue in 1905 is an attempt to answer the problem raised in the title. Above all, the dissertation is an expression of Gloger’s regret over the changes that took place in contemporary culture, namely forgetting the role of the song for the Slav community. This is way the author knew the achievements of this community, he devoted his whole life tosaving them, he could not understand how contemporary intelligentsia did not see the need for protection, as he described it “our ancient, native and indigenously Slavicnational song and music”. This text is an attempt to analyze Gloger’s essay Czy lud polski jeszcze śpiewa? [Does the Polish folk still sing?], extracting and developing the main theses contained in it, as well as noticing their value today, not forgetting the circumstances of creating the text over 100 years ago.
Transferring differentiation and integration through picking up students’ speech by hip-hop and its appreciation
Authors: Janiec Jerzy 
Published: July 2020

Janiec Jerzy, Transferring differentiation and integration through picking up students’ speech by hip-hop and its appreciation. Culture – Society – Education no 2(16) 2019, Poznań 2019, pp. 23–44, Adam Mickiewicz University Press. ISSN 2300-0422. DOI 10.14746/kse.2019.16.2.
The main aim of this paper is to demonstrate the Hip-hop based Education (HHBE) and Hip-hop Pedagogy (HHPED) as two accommodating strategies that may be utilized fourishingly to differentiate a teaching-learning process further to integrate learners in any education-like environment, as the example the IB World School No. 006654 International School of Bydgoszcz (ISOB) has been chosen. This is the first study presenting international community in a truly homogeneous society (ca. 98% of Polish inhabitants in their country). The author enlists affirmative methodologies beginning with a hypothesis that the Hip-hop cultureis gaining popularity among adolescents in greater numbers. As a result of observations, interviews and survey he is acquainted with students’ wants and needs. There is a necessity to put them in a bigger picture by analyzing the phenomenon from a historical, sociological, political, economical and intercultural viewpoint on a local (Bydgoszcz’s) and global scale. And finally, the author is describing a use of the aforesaid strategies through transfer skills that are taught in the IB History and Social Studies classes.
How Much Better Is Commitment Policy Than Discretionary Policy? Evidence From Six Developed Economies
Authors: Scott C. Patrick 
Published: July 2020

Abstract
Much has been written on how an active central bank produces inflation outcomes above and beyond what commitment policy would produce. This paper contributes to this body of literature by simulating from the state estimates of both commitment and discretionary policy equilibria in a familiar dynamic New–Keynesian framework. Optimal interest rate and inflation rate policies are derived under the two regimes for six developed economies. The model is estimated using Bayesian methods employing a random-walk Metropolis–Hastings algorithm. Optimal inflation and interest rate policies for each of the economies are simulated. Results suggest that the simulated inflation induced by discretionary policy is not significantly different from commitment policy after 2000 for five of the six countries (including the U.S). Simulated commitment interest rate policy is on average 1.9% higher at the center of the distribution, suggesting that discretionary interest rate policy is on average more often loose compared to commitment interest rate policy. Simulations of the average inflation deviation and welfare loss of discretion policy indicate are greatest when the central bank exhibits low preference for inflation targeting and high preference for output stability.
Analysis of statistical coefficients and autoregressive parameters over intrinsic mode functions (IMFs) for epileptic seizure detection
Authors: Djemili Rafik 
Published: July 2020

Abstract
Epilepsy is a persistent neurological disorder impacting over 50 million people around the world. It is characterized by repeated seizures defined as brief episodes of involuntary movement that might entail the human body. Electroencephalography (EEG) signals are usually used for the detection of epileptic seizures. This paper introduces a new feature extraction method for the classification of seizure and seizure-free EEG time segments. The proposed method relies on the empirical mode decomposition (EMD), statistics and autoregressive (AR) parameters. The EMD method decomposes an EEG time segment into a finite set of intrinsic mode functions (IMFs) from which statistical coefficients and autoregressive parameters are computed. Nevertheless, the calculated features could be of high dimension as the number of IMFs increases, the Student’s t-test and the Mann–Whitney U test were thus employed for features ranking in order to withdraw lower significant features. The obtained features have been used for the classification of seizure and seizure-free EEG signals by the application of a feed-forward multilayer perceptron neural network (MLPNN) classifier. Experimental results carried out on the EEG database provided by the University of Bonn, Germany, demonstrated the effectiveness of the proposed method which performance assessed by the classification accuracy (CA) is compared to other existing performances reported in the literature.