bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relationship between sufficient leisure-time physical activity and happiness: Age stratification perspective
Authors: Lee Po-Fu , Lu Frank Jing-Horng , Gill Diane L. , Chiu Yi-Hsiang , Kuo Yu-Hsuan , Tseng Ching-Yu , Ho Chien-Chang 
Published: January 2020

Abstract
Background: Leisure-time physical activity (LTPA) has been frequently reported as a method to improve happiness. However, the effects of LTPA sufficiency and age differences are less discussed in the literature. The aim of this study was to examine the relationship between LTPA sufficiency and happiness based on an age stratification perspective. Methods: A total of 16,412 data from the national physical activity survey was used for this study. Multivariate logistic regression analyses were applied to examine the odds ratio of LTPA sufficient population on happiness. Results: LTPA sufficient young adults (25-29 years old) performed 2.5 to 3 times the odds on the happiness while compare to insufficient group. However, an unexpected result indicated the negative association between sufficient LTPA and happiness in 35-39 years old men. Intrapersonal differences (e.g. achievement goals and motivational level) and the environment (social context) might play a fundamental role in the LPTA-happiness relationship. Conclusions: The present study argued that the context of LTPA and psychological status should be clearly addressed in terms of its benefit on happiness.
Facilitating community participation in family planning and contraceptives service provision and uptake: community and health provider perspectives.
Authors: Silumbwe Adam , Nkole Theresa , Munakampe Margarate N , Cordero Joanna Paula , Milford Cecilia , Zulu Joseph Mumba , Steyn Petrus S 
Published: January 2020

Abstract
Background: Although community participation has been identified as important for improved and sustained health outcomes in primary healthcare services provision, challenges still remain on how to design and successfully implement it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision. Zambian participants in a multi-country project (the UPTAKE project) provided input in the development of an intervention involving community and health provider participation in FP/C services provision and uptake. This study reports on some of the thematic areas identified by the study participants as critical to facilitating community participation in this project. Methods: This was an exploratory qualitative research study, conducted in Central Province, Kabwe district, in 2017. Twelve focus group discussions were conducted with community members (n=114) and two with healthcare providers (n=19). Ten in-depth interviews were held with key community and health sector stakeholders. Data were analyzed using thematic analysis approach. Results: Four thematic categories were identified from the data as critical to facilitating community participation in FP/C services. Firstly, accountability in recruitment of community representatives and incorporation of community feedback in FP/C services programming. Secondly, engagement and learning best approaches to involve both local and NGO structures in FP/C services provision. Thirdly, building trust through credible community-based distributors and dissemination of appropriate FP/C services information. Fourthly, promoting facilitative strategies that look to address some structural failures such as defeminisation of FP/C services and motivation of community members. Conclusions: Understanding and considering community members’ and healthcare providers’ views regarding contextualized and locally relevant participatory approaches, facilitators to and challenges to participation, can greatly aid the design, implementation and success of community participation public health programmes. Key words: Community, participation, family planning, contraceptives, programs, accountability, trust, strategies, motivation
Induced neuroprotection by remote ischemic perconditioning as a new paradigm in ischemic stroke at the acute phase
Authors: Purroy Francisco , García Cristina , Mauri Gerard , Pereira Cristina , Torres Coral , Vazquez-Justes Daniel , Vicente-Pascualº Mikel , Vena Ana , Arque Gloria 
Published: January 2020

Abstract
Remote ischemic conditioning during cerebral ischemia (remote ischemic perconditioning, RIPerC) refers to the application of several cycles of brief ischemia and reperfusion (I/R) commonly to a limb, and it represents a new paradigm in neuroprotection with multiple mechanisms of action in ischemic stroke (IS) patients during acute phase. A systematic review of published research papers and/or registered clinical trials since 2000 was performed. Eighteen studies were identified and only four studies were completed. All of them have demonstrated that RIPerC is secure, feasible and well tolerated in IS patients. However, a high heterogeneity of clinical trial characteristics was observed: five (27.8%) RCTs included only thrombolytic-treated patients, three (16.7%) only thrombectomy-treated patients, and five (27.8%) required radiological confirmation of IS. Temporal inclusion criteria vary from 4h to 48h. Most of the clinical trials used 4 cycles of RIPerC in the upper non-affected limb. Interestingly, only three (16.7%) RCTs applied RIPerC during the transportation at the ambulance. In studies that endovascular therapy was applied, neuroimaging outputs were the main endpoints; functional outcome is also the main endpoint in big-medium size studies. This review summarizes the completed and ongoing clinical trials on RIPerC in IS patients that may be used alone or in combination with recanalization therapies. Ongoing clinical trials will provide new information on the best RIPerC intervention strategy and potentially improve the functional outcome of IS patients, and definition of new RIPerC strategies would ideally aim at enhancing tissue preservation, promoting neurological recovery, and stratify patients to improve treatment feasibility.
“They have been neglected for a long time”: a qualitative study on the role and recognition of Rural Health Motivators in the Shiselweni region, Eswatini
Authors: Walker Caroline , Burtscher Doris , Myeni John , Kerschberger Bernhard , Schausberger Bernadette , Rusch Barbara , Dlamini Nosipho , Whitehouse Katherine 
Published: January 2020

Abstract
Background:
Community health workers (CHWs) are increasingly engaged to address human resource shortages and fill primary healthcare gaps. In Eswatini, a cadre of CHWs called Rural Health Motivators (RHM) was introduced in 1976 to respond to key public health challenges. However, the emergence of health needs, particularly HIV/TB, has been met with inadequate programme amendments; and the role of RHMs has become marginalised following the addition of other CHWs supported by non-governmental organisations.
This study was implemented to understand the role of RHMs in decentralised HIV/TB activities. In this paper, we explore the findings in relation to the recognition of RHMs and the programme.
Methods :
This exploratory qualitative study utilised individual in-depth interviews, group and focus group discussions, participatory methods (utilising a game format) and observations. Participants were purposively selected and comprised RHM programme implementers, community stakeholders, and local and non-governmental personnel. Data collection took place between August and September 2019. Interviews were conducted in English or siSwati and transcribed. SiSwati interviews were translated directly into English. All interviews were audio recorded, manually coded and thematically analysed. Data was validated through methodical triangulation.
Results:
Suboptimal organisational structure and support, primarily insufficient training and supervision for activities were factors identified through interviews and observation activities. Significant confusion of the RHM role was observed, with community expectations beyond formally endorsed tasks. Community participants expressed dissatisfaction with receiving health information only, preferring physical assistance in the form of goods. Additionally, gender emerged as a significant influencing factor on the acceptability of health messages and the engagement of RHMs with community members. Expectations and structurally limiting factors shape the extent to which RHMs are recognised as integral to the health system, at all social and organisational levels.
Conclusions:
Findings highlight the lack of recognition of RHMs and the programme at both community and national level. This, along with historical neglect, has hindered the capacity of RHMs to successfully contribute to positive health outcomes for rural communities. Renewed attention and support mechanisms for this cadre are needed. Clarification of the RHM role in line with current health challenges and clearer role parameters is essential.
Stimulatory effects on bacteria induced by chemical cleaning cause severe biofouling of membranes
Authors: Wang Xueye , Ma Jinxing , Wu Zhichao , Wang Zhiwei 
Published: January 2020

Abstract
Chemical cleaning with hypochlorite is routinely used in membrane-based processes. However, a high-transient cleaning efficiency does not guarantee a low biofouling rate when filtration is restarted, with the physiological mechanisms largely remaining unknown. Herein, we investigated the microbial regrowth and surface colonization on membrane surfaces after NaOCl cleaning had been completed. Results of this study showed that the regrowth of model bacteria, Pseudomonas aeruginosa, was initially subject to inhibition due to the damage of key enzymes' activity and the accumulation of intracellular reactive oxygen species although the oxidative stress induced by NaOCl had been removed. However, with the resuscitation ongoing, the stimulatory effects became obvious, which was associated with the enhanced production of N-acyl homoserine lactones and the secretion of eDNA that ultimately led to more severe biofouling on the membrane surface. This study elucidates the inhibition–stimulation mechanisms involved in biofilm reformation (membrane biofouling) after membrane chemical cleaning, which is of particular significance to the improvement of cleaning efficiency and application of membrane technologies.
A Novel Hydrocolloid Film Based on Pectin, Starch and Gunnera tinctoria and Ugni molinae Plant Extracts for Wound Dressing Applications
Authors: Sabando Constanza , Ide Walther , Rodríguez-Díaz Maité , Cabrera-Barjas Gustavo , Castaño Johanna , Bouza Rebeca , Müller Niels , Gutiérrez Cristian , Barral Luis , Rojas Joaquín , Martínez Fernando , Rodríguez-Llamazares Saddys 
Published: January 2020

Background:The biodegradable and biocompatible nature of pectin-based films is of particular interest in wound dressing applications, due to its non-toxicity, pH-sensitivity and gelling activity. An approach to improve the mechanical properties, the release profile of bioactive compounds as well as the performance in wet environments of pectin-based films is mixing with other biopolymers.Objective:To prepare hydrocolloid films based on crosslinked pectin / starch blend loaded with bioactive extracts from leaves of G. tinctoria and U. molinae with controlled release of bioactive compounds and healing property.Method:The hydrocolloid films were characterized by FTIR, SEM, and TGA-FTIR techniques and their tensile properties, water uptake, and polyphenolic release profile in aqueous media were evaluated. The dermal anti inflammatory activity of the hydrocolloid films was assessed by the mouse ear inflammation test. The wound healing property of the loaded hydrocolloid films was explored in a rat model and in a clinical trial (sacrum pressure ulcer).Results:The films showed an adequate water-uptake capacity between 100-160%. The release of active compounds from the hydrocolloid films followed the Korsmeyer-Peppas equation. The mechanical properties of hydrocolloid films were not affected by the plant extracts within the concentration range used. The incorporation of the bioactive extracts in the polysaccharide films inhibited the topical edematous response by about 50%. The topical application of the loaded hydrocolloid film on the pressure ulcer is completely closed after 17 days without showing any adverse reaction.Conclusion:A novel hydrocolloid matrix was produced from crosslinked starch-pectin, which exhibited suitable chemical-physical properties to be used as a carrier of plant extracts with wound healing properties.
Improving Patient Preference Elicitation by Applying Concepts From the Consumer Research Field: Narrative Literature Review
Authors: Ver Donck Niki , Vander Stichele Geert , Huys Isabelle 
Published: January 2020

Background
Although preference research finds its origins in consumer research, preference elicitation methods have increasingly attracted attention in different decision-making contexts in health care. Simulating real-life decision making is believed to be important during consumer preference elicitation.

Objective
The aims of this study were to compare the process of decision making between patients and consumers and to identify methods from the consumer research field that could be applied in patient preference elicitation.

Methods
A narrative literature review was performed to identify preference elicitation concepts from a consumer context that could offer improvements in health care.

Results
The process of decision making between patients and consumers was highly comparable. The following five concepts from the consumer research field that could effectively simulate a real-life decision-making process for applications in health care were identified: simulating alternatives, self-reflection, feedback-driven exploration, separated (adaptive) dual response, and arranging profiles in blocks.

Conclusions
Owing to similarities in the decision-making process, patients could be considered as a subgroup of consumers, suggesting that preference elicitation concepts from the consumer field may be relevant in health care. Five concepts that help to simulate real-life decision making have the potential to improve patient preference elicitation. However, the extent to which real decision-making contexts can be mimicked in health care remains unknown.
Meta-analysis of short-term outcomes comparing robot-assisted and laparoscopic distal pancreatectomy
Authors: Hu Yong-hao , Qin Ya-fei , Yu Ding-ding , Li Xiang , Zhao Yi-ming , Kong De-jun , Jin Wang , Wang Hao 
Published: January 2020

Aim:
To evaluate and compare the short-term outcomes of robotic surgery and laparoscopic approach in distal pancreatectomy (DP).
Materials & methods:
EMBASE, PubMed, the Cochrane Library, CNKI and Wan Fang database were retrieved from the inception of electronic databases to June 2019. All analyses were performed using Stata/SE 15.1 version (StataCorp).
Results:
Twenty-two papers were included, four of which were prospective studies and the rest were retrospective studies. There was significant difference in spleen preservation rate (odds ratio: 2.020; 95% CI: 1.085–3.758; p = 0.027), operation time (mean difference [MD]: 27.372; 95% CI: 8.236–47.210; p = 0.000), the length of hospital stay (MD: -0.911; 95% CI: -1.287 to -0.535; p = 0.000), conversion rate (rate difference: -0.090; 95% CI: -1.287 to -0.535; p = 0.000), operation cost (MD: 2816.564; 95% CI: 1782.028–3851.064; p = 0.000). However, no significant difference was detected in estimated blood loss, total complication, severe complication, lymph nodules harvest, blood transfusion rate, total pancreatic fistula, severe pancreatic fistula, R0 resection rate and mortality.
Conclusion:
Both robotic and laparoscopic DP are safe and feasible. Although robotic DP increases the operation cost, the spleen-preserving rate is much higher. Robotic surgery may be an alternative approach to DP.
Territórios “sagrados” da pesca artesanal em João Pessoa: identidades e sacralização de espaços públicos na Festa de São Pedro Pescador
Authors: Baez Gustavo Cesar Ojeda , Sampaio Dilaine Soares 
Published: January 2020

Nosso artigo tem como objetivo analisar as estratégias de sacralização dos espaços costeiros vinculadas às festas populares religiosas dos pescadores artesanais de João Pessoa (PB). Em nosso entendimento, tais festas criam novas territorialidades e formas diversificadas de uso para os espaços públicos. Assim, num primeiro momento, caracterizaremos as comunidades tradicionais pesqueiras e suas conexões com as festas populares, atentos para a discussão que envolve o conceito de religiosidade popular. Num segundo momento, nos deteremos à etnografia da Festa de São Pedro Pescador, que envolve duas comunidades pesqueiras. Ao final, pretendemos demonstrar que esses processos de sacralização dos espaços públicos e criação dos territórios pesqueiros constituem estratégias sociais de resistência e reprodução cultural dessas comunidades.
Santa Muerte y vida cotidiana: estudio de caso en el municipio de Ecatepec
Authors: Marrero Roberto Garcés 
Published: January 2020

El presente trabajo se realizó con el objetivo de explicar la relación del creyente con la imagen de la Santa Muerte en su día a día a partir del estudio de caso de una sanadora de Ecatepec, en el Estado de México. El método fundamental es la etnografía. Las técnicas fundamentales empleadas fueron las entrevistas en profundidad y la observación participante. Se constata que la imagen de la Santa Muerte es concebida por parte del creyente como una presencia actuante en casi todas las esferas de su día a día, entendida, además, como una dadora de vida, salud y prosperidad. Comprender el culto a la Santa Muerte permite acercarse mejor a la idea que estos devotos tienen sobre la vida misma y sobre cómo vivirla.
A dimensão espiritual no pensamento de Viktor Frankl e suas implicações sociopolíticas
Authors: Aquino Thiago Antonio Avellar de 
Published: January 2020

O presente artigo tem por objetivo identificar as implicações sociopolíticas da dimensão espiritual no pensamento de Viktor Frankl. Para tanto, realizou-se uma revisão da literatura tendo por base as principais obras do autor. Constatou-se que a dimensão sociopolítica foi um objeto de suas preocupações e que em seus manuscritos podem-se apontar diretrizes para a compreensão e resolução dos conflitos nos tempos atuais. Discute-se ainda o papel da comunidade na valorização da dignidade humana e a sua relevância para superar a massificação e o processo de despersonalização.
Peregrinação entre tradição e modernidade: contributos para uma classificação
Authors: Santos Maria da Graça Mouga Poças 
Published: January 2020

O objetivo principal deste texto será, para além da tentativa de definir o que se entende por peregrinação, a apresentação de uma sistematização de diferentes tipos de peregrinações históricas ou subsistentes, sendo certo que cada uma delas pode abarcar mais do que uma modalidade. Assim, será possível abordar e caracterizar de uma forma mais abrangente a diversidade de que se reveste esta prática. Com base num conjunto de critérios selecionados, procura-se abordar a temática, simplificando a compreensão da realidade assaz complexa que o fenômeno da peregrinação traduz na atualidade.
Soledad, identidad y medios de (in)comunicación en Volver a casa de Juan José Millás
Authors: Sevillano Canicio Victor 
Published: January 2020

El artículo analiza el papel de los medios de comunicación (cartas, radio, televisión y teléfono) en la novela Volver a casa de Juan José Millás, que trata del tránsito e intercambio de identidades entre dos hermanos gemelos. El lector se ve enfrentado a un seguido de utilización de medios de comunicación que se revelan ser elementos cruciales de intercomunicación en el entramado que se mueve entre ficción y metaficción, así como el proceso de construcción y deconstrucción del personaje central Juan. Los medios de comunicación, todavía analógicos de la última época de la era pre-digital, no sólo tienen la función de hacer posible la comunicación social pero sirven también para encubrir el engaño, infundir miedo y dañar la percepción de la propia identidad. Es ese aspecto problemático de los medios de comunicación en el que se centra el trabajo.
Spatio-Temporal Change of Land Surface Temperature at Tiris Geothermal Potential Area, East Java, Indonesia.
Authors: Prayogo Andre , Maryanto Sukir , Nadhir Ahmad 
Published: January 2020

Abstract
One of the areas that have geothermal potential in Indonesia is Tiris because there are found some manifestation in the form of hot springs. Several studies are needed to determine its geothermal potential before exploitation is carried out. Some previous studies have been carried out in the area, one of which uses Landsat 7 remote sensing data. There are other studies that state that knowledge of geology is needed to implement remote sensing in determining geothermal areas. This study uses 3-years data from Landsat 8 and geological information from the regional geological map of the study area. The result show changes in the value of Normalized Difference Vegetation Index (NDVI) and Land Surface Temperature (LST) from year to year, where each year the NDVI value decrease which is interpreted as reduced vegetation in the study area. From the distribution of LST values in the study area, it was found that there were hot spots that had higher temperatures than the surrounding area. When geological information and LST distribution map overlaid with regional geological maps, it is known that the hot spots inside the research area are possible to be a geothermal reservoir.
Delineation of Stratigraphic Units in Xyz Field of Niger Delta Using Geophysical Logs
Authors: Ekeh Charles C. , Uko Etim D. , Eleluwor Ejiro F. , Sigalo Friday B. 
Published: January 2020

Abstract
Geophysical well logs were used to delineate the stratigraphic units and system tracks in the XYZ Field of the Niger Delta. The gross percentages for sand levels range from 93-96% in the shallow levels to 60-66% in the deeper levels. Porosity values ranged between 27% at shallower sections and 9% at deeper depths. Six depositional sequences were identified and categorized into their associated system tracts. Porosity decreases with depth in normal compacted formation for both sandstone and shale units. Surface porosity for sandstone is 42%, and for shale it is 38.7% from extrapolation of sub-surface porosity values to the surface. The depth to the base of Benin Formation is highly variable ranging between 1300 and 2600m. This study reveals the possibility to correlate sand levels over long distances which enables inferring porosity values laterally. The knowledge of the existent stratigraphic units, the Benin, Agbada and Akata Formations and their petrophysical parameters such as porosity, lateral continuity of the sands and shales, the variation of the net-to-gross of sands with depth, enables the reservoir engineer to develop a plan for the number and location of the wells to be drilled into the reservoir, the rates of production that can be sustained for optimum recovery. The reservoir engineer can also estimate the productivity and ultimate recovery (reserves) using the results on this work.