bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effectiveness of Recreation Progam on Self-Esteem of Aging in the Elderly Club of Danmeakhmmon Subdistrict, Uttaradit Province, Thailand
Authors: Piwkom Teerawat , Nimnatipun Sumonratee 
Published: August 2020

This research aims to study and compare the effects of recreation on aging and self-esteem of the elderly at the Elderly Club of the Danmeakhammon sub-district in the Uttaradit Province, Thailand. This was a quasi-experimental study with one-group pretest-posttest design. The population is the 458 elders from the age of about 60-69 years old who is a member of the elderly club, Dan Mae Khamman Sub-district, Uttaradit Province, Thailand. The respondents were fifty people between sixty to sixty-nine years old from the Elderly Club in the Danmeakhammon sub-district, Uttaradit Province, Thailand. The respondents were selected purposively with inclusion condition of passing some preliminary medical examinations. The exclusion condition was not willing to participate in recreational programs as treatment. The recreational program was held twice a week for 8 weeks (totally 16 times). Self-esteem evaluation form with Coopersmith Concept and all tools for holding recreational program were listed as instruments of this study. Data were analyzed with paired t-test. The result of the study was that after participating the recreational program, the respondents significantly had better self-esteem (p = 0.0001).
Two New Aspergillus flavus Reference Genomes Reveal a Large Insertion Potentially Contributing to Isolate Stress Tolerance and Aflatoxin Production
Authors: Fountain Jake C , Clevenger Josh P , Nadon Brian , Youngblood Ramey C , Korani Walid , Chang Perng-Kuang , Starr Dakota , Wang Hui , Isett Benjamin , Johnston H Richard , Wiggins Raegan , Agarwal Gaurav , Chu Ye , Kemerait Robert C , Pandey Manish K , Bhatnagar Deepak , Ozias-Akins Peggy , Varshney Rajeev K , Scheffler Brian E , Vaughn Justin N , Guo Baozhu 
Published: August 2020

Abstract
Efforts in genome sequencing in the Aspergillus genus have led to the development of quality reference genomes for several important species including A. nidulans, A. fumigatus, and A. oryzae. However, less progress has been made for A. flavus. As part of the effort of the USDA-ARS Annual Aflatoxin Workshop Fungal Genome Project, the isolate NRRL3357 was sequenced and resulted in a scaffold-level genome released in 2005. Our goal has been biologically driven, focusing on two areas: isolate variation in aflatoxin production and drought stress exacerbating aflatoxin production by A. flavus. Therefore, we developed two reference pseudomolecule genome assemblies derived from chromosome arms for two isolates: AF13, a MAT1-2, highly stress tolerant, and highly aflatoxigenic isolate; and NRRL3357, a MAT1-1, less stress tolerant, and moderate aflatoxin producer in comparison to AF13. Here, we report these two reference-grade assemblies for these isolates through a combination of PacBio long-read sequencing and optical mapping, and coupled them with comparative, functional, and phylogenetic analyses. This analysis resulted in the identification of 153 and 45 unique genes in AF13 and NRRL3357, respectively. We also confirmed the presence of a unique 310 Kb insertion in AF13 containing 60 genes. Analysis of this insertion revealed the presence of a bZIP transcription factor, named atfC, which may contribute to isolate pathogenicity and stress tolerance. Phylogenomic analyses comparing these and other available assemblies also suggest that the species complex of A. flavus is polyphyletic.
Non-alcoholic Steatohepatitis: Comparison of Intestinal Microbiota between Different Metabolic Profiles. A Pilot Study
Authors: De Oliveira Juliano Machado , Pace Fábio Lima , Ghetti Fabiana De Faria , Barbosa Kátia Valéria Bastos Dias , Cesar Dionéia Evangelista , Chebli Júlio Maria Fonseca , Ferreira Lincoln Eduardo Villela Vieira de Castro 
Published: August 2020

Background and Aims: Non-alcoholic steatohepatitis (NASH) has multifactorial etiopathogenesis, and intestinal microbiota is co-responsible in this process. The aim of this study was to evaluate the intestinal microbiota in NASH patients with different metabolic profiles.
Methods: Patients with biopsy-proven NASH were evaluated. Subjects were divided into two groups according to their metabolic profile, with or without metabolic syndrome (MS). Their characteristics in relation to liver disease and intestinal microbiota were analyzed. To evaluate the microbiota, breath tests to investigate small intestinal bacterial overgrowth (SIBO) and fecal microbiota analysis by fluorescence in situ hybridization (FISH) were performed.
Results: There was a high prevalence of SIBO in both groups, with no significant difference between them. Breathing tests were positive in 43.8% of patients with MS and 50% of those without MS. There was a significant difference regarding the quantification of Verrucomicrobiales, less abundant in patients with NASH without MS. Its lower concentration also correlated with higher serum ferritin levels and higher hepatocyte ballooning. This order of bacteria, through its representative in human microbiota, Akkermansia muciniphila, is associated with mucosal protection and metabolic processes with liver aggression.
Conclusions: Our results suggested that lower Verrucomicrobiales concentration is associated with higher inflammatory activity in patients with NASH without MS, where the disease etiopathogenesis does not have its classic metabolic substrate.
El culto mariano del Rosario de Pompeya
Authors: Aloj Eugenia , Zollo Anna 
Published: August 2020

El trabajo enfrenta diferentes aspectos del nacimiento y evolución del turismo religioso en Pompeya. Son tomados en consideración los diferentes aspectos de la tipología de culto mariano de Pompeya, las varias expresiones de fe y la característica dominante de la devoción respecto a la Virgen del Rosario, definida por sus aspectos devocionales justamente “sacro popular”.
Sługa Boży Antoni Henryk Szuman – tercjarz franciszkański
Authors: Dalecki Krzysztof 
Published: August 2020

Artykuł poświęcony jest postaci ks. prałata Antoniego Henryka Szumana, który przewodniczy II grupie męczenników Diecezji Pelplińskiej, z okresu II wojny światowej, w trwającym obecnie procesie beatyfikacyjnym. Tekst jest próbą zarysowania, do tej pory jeszcze najmniej znanej aktywności tego kapłana, a mianowicie jego pracy w ramach Trzeciego Zakonu św. Franciszka z Asyżu. Najpierw nakreślony został tu bardzo ogólnie stan tercjarstwa w Polsce oraz jego działalność. Następnie opisane zostały funkcje i przedsięwzięcia realizowane w tym zgromadzeniu przez pelplińskiego Sługę Bożego.
Identification Of Health, Safety, and Environment Aspects In Cement Factory Using AHP And FMEA Techniques
Authors: Moradi Mohamad , Malmasi Saeed , Babaei Pouya Amin 
Published: August 2020

Background and aims: Cement production processes are associated with different hazards, such as health and safety hazards and environmental pollution. The current study was conducted to evaluate and determine the safety, health, and environmental risks of using FMEA and AHP techniques in the cement factories while providing certain suggestions for controlling them.Methods: The study was conducted as a case in one cement factory in 2019. The checklists for FMEA and AHP techniques were filled out by the evaluation team. The risks were identified and prioritized. Controlled approaches were suggested for the identified risks. Results: In this study, 101 risk cases were evaluated and categorized in various units of the factory, such as manufacturing and service units. The results of FMEA technique showed that crushing, crushing monitoring, milling, filtration, and pre-heater sections had the highest degree of health and safety risks. The results of AHP technique also showed that the environmental pollution caused by the removal of electro filter from the circuit, electro fan burning caused by over current, the failure of the equipment and process, and the defect in the filtration system were all prioritized.Conclusion: Through taking technical-engineering measures, adopting comprehensive HSE management solutions, such as changes in the work process, making replacements in parts and used machinery, installing recyclable systems, repairing and maintaining the system of air pollution protection, installing a warning and responsive system, mechanizing activities, shielding, implementing instructions and regular curriculum can greatly reduce the risk level.
Determination of Minimum Data Set for Designing a Diagnosis Decision Support System and Medication Follow-Up for Multiple Sclerosis
Authors: Khenarinezhad Sahar , Mohammadzadeh Niloofar , GhaziSaeedi Marjan , NaserMoghadasi Abdorreza 
Published: August 2020

Background and Purpose: Diagnosis of multiple sclerosis (MS) is complicated because of the lack of definite factor. Decision support systems are expert systems which help physicians in decision-making process. First step in designing the system is identification of a minimum dataset (MDS). This study aimed to determine minimum dataset required to design diagnosis decision support system.Materials and Methods: This research was a descriptive cross-sectional study. Data were gathered from medical guideline approved by Ministry of Health, Treatment and Medical Training, Multiple Sclerosis diagnosis, international guideline of Royal college of England, and McDonald Diagnostic criteria. Data collection tool was a designed checklist consisting of 100 items provided to 25 neurologists and MS fellowships of medical universities and private clinics in Iran.Results: Out of 100 designed information’s items, 10 items were omitted due to CVR less than 0.49. Employment status items, history of MS in 3rd grade relatives, history of viral diseases, orbital MRI, optical coherence tomography, brain CT-scan, ESR, CRP, visually evoked potentials, delay duration of P100 for each eyes are all examples of information elements that have been omitted.Conclusion: Determining the minimum dataset related to MS is an important step in designing diagnosis decision support system and medication follow-up. Therefore, MDSs can help those responsible for gathering standard information of patients with Multiple Sclerosis (MS), and causes improvement in management of information for this disease.
Nurses' Moral Experiences of Ethically Meaningful End-of-Life Care: Distress, Resilience, Responsibility, and Care
Authors: Ma Kristina , Wright David Kenneth , Vanderspank-Wright Brandi , Peterson Wendy E. , Carnevale Franco A. 
Published: August 2020

BackgroundMoral distress, the phenomenon in which an agent is constrained in acting on their ethical choice, is a reoccurring theme in the literature on nurses' experiences of end-of-life care (EOLC). Understanding moral engagement solely through a lens of moral distress can be limiting—as such, we sought to explore the diverse experiences nurses consider ethically meaningful in their palliative and EOLC practice.Purpose and MethodsThis article presents an exploration and analysis of stories told to us, within an interpretive description study, by five nurses practicing in EOLC in diverse settings across Canada. Although these stories were told to us in a research context, the purpose of this theory article is to explore what these stories demonstrate about the moral engagement of nurses caring for dying patients.FindingsOur analysis suggests that while moral distress is a feature of nursing stories, so too are many other dimensions of moral experience, including resilience, responsibility, and care.Implications for PracticeExpanding how we understand nurses' moral engagement in the care of dying patients has implications for how we account for the many responsibilities that nurses shoulder in striving to provide “good” care to people at the end of life.
Removal of Residual Oil from Produced Water Using Magnetic Nanoparticles
Authors: Theurer Jared , Ajagbe Oluwatobi , Osorio Jhouly , Elgaddafi Rida , Ahmed Ramadan , Walters Keisha , Abbott Brandon 
Published: August 2020

Summary
Recent studies have shown encouraging results using amine-coated magnetite (Fe3O4) nanoparticles to remove residual oil from produced water using a magnetic field. However, the manufacturing of magnetite nanoparticles requires an expensive coating operation, which limits the application of this technology in large-scale treatment operations. The goal of this study is to develop a simple, efficient, and economically feasible method for removing oil from produced water using nanoparticles. Iron oxide nanoparticles are biocompatible and even safely used in medical applications. This study focuses on the removal of residual oil from produced water using uncoated, recyclable, and less expensive maghemite (γ-Fe2O3) nanoparticles. These particles have shown the potential for removing oil layers from the surface of water. However, they have not been tested for their capability of removing emulsified and dissolved oil from produced water.
In this study, commercial and synthesized maghemite nanoparticles were used. The maghemite nanoparticles were synthesized using the coprecipitation process. Laboratory-synthesized produced water samples with high oil concentration (1,000 ppm) were prepared by mixing medium oil with brine [1,180 ppm sodium chloride (NaCl) solution]. The nanoparticles were dispersed in 3% NaCl brine (w/w) at varying concentrations (0.31 to 5 mg/cm3) to form different nanosuspensions. Subsequently, the nanosuspensions were mixed with synthesized produced water for 10 minutes. When a magnetic field was applied to the mixture, a clear separation of the nanoparticles was observed within seconds. Residual oil in the samples was measured using nondispersive infrared spectroscopy.
Oil content analysis confirmed the successful (99.9%) removal of oil from laboratory-synthesized water samples. For the real produced water samples, results showed a reduction of oil content to an undetectable level (i.e., less than 0.1 ppm). The ease of nanoparticle collection and washing after subsequent water treatments further demonstrates the feasibility of magnetic nanoparticle (MNP)-based separations for large-scale use in produced water treatment operations. The unique finding of this study is the elimination of one additional step of synthesizing (amine coating) MNPs. Direct use of uncoated maghemite nanoparticles with high oil removal efficiency can reduce produced water treatment costs and promote this technology as an economically feasible option within the industry.
Recognition of stroke-related knowledge among community residents and the improvement after intensive health education: A cross-sectional study
Authors: Zhong Xuemin , Wang Jian , He Lanying , Xu Ronghua 
Published: August 2020

Abstract
Background: The high morbidity, mortality, and disability rates of stroke constitute a heavy burden to the society. The level of understanding about stroke warning symptoms and first aid systems among community residents was generally low. The aim of our work is to investigate stroke-related knowledge in community residents of Jinjiang district of Chengdu and to raise public awareness about stroke through an intensive educational program.Methods: Nine communities in Jinjiang district were sampled and a questionnaire about stroke-related knowledge was applied before and after stroke educational activities. We analyzed the impact of such activities in stroke recognition and management.Results: We collected 1685 valid questionnaires. The awareness about stroke risk before educational activities was 11.4%. The recognition of stroke warning signs among community residents was 29.8-59.5%. Among them, the recognition of major signs, such as limb weakness, language disorder, and imbalance was more than 50%. When faced with five stroke warning signs, the proportion of participants who chose to make an emergency call was 41.5%. Less than 10% of the participants chose to consult a doctor, take medicine, or wait. After strengthening publicity and educational activities regarding stroke, there was a significant improvement in the identification of stroke risk factors, warning signs, and stroke management. The percentage of participants who chose to make an emergency call increased from 53.2% to 82.7%.Conclusions: The knowledge about stroke among community residents in Jinjiang District of Chengdu was low. Strengthening publicity and educational activities may raise awareness about stroke prioritizing call emergency after the onset of stroke signs.
Supporting mental health service users to stop smoking: findings from a process evaluation of the implementation of smokefree policies into two mental health trusts
Authors: Jones Susan E , Mulrine S. , Clements H. , Hamilton S. 
Published: August 2020

Abstract
Background: Life expectancy is 10-20 years lower among people with a severe mental health disorder. Most of these early deaths are due to chronic conditions, including cardiovascular and respiratory diseases. Smoking is a major risk factor for these conditions and introducing smokefree policies has been recommended to mental health service providers in England by the National Institute for Health and Care Excellence (NICE), in their Public Health Guideline 48: Smoking: acute, maternity and mental health services. This paper reports a process evaluation of introducing these policy recommendations, which were updated in 2013. Aim: To reflect on the process outcomes when introducing smokefree policies in National Health Service (NHS) Trusts providing mental health services in an English region. Method: Process data were collected through semi-structured interviews with staff ( n=51 ), members of partnering organisations ( n=5 ), service users ( n=7 ) and carers ( n=2 ) between November 2016 – April 2017. Normalization Process Theory (NPT) was used to design the data collection tools and analyse the data. A framework approach was taken with the analysis, using the four concepts of NPT: coherence, cognitive participation, collective action and reflexive monitoring. Results: The policy made sense to some staff, patients and carers (coherence) who ‘bought-into’ the idea (cognitive participation) but other participants disagreed. Although smokefree policies were operationalised (collective action), sometimes they were opposed. Progress was made, especially in some units, but continued to be resisted in others. Informal appraisal of progress (reflexive monitoring) presented a varied picture. Conclusion: Some progress has been made in terms of changing an entrenched, smoking culture into one that is smokefree on Trust sites across the region. Perseverance and resourcing over the long-term is required to establish a non-smoking culture in on-site provision of mental health services.
Learning Outcomes of a Flipped Classroom Teaching Approach in an Adult-health Nursing Course: A Quasi-Experimental Study
Authors: Fan Jun-Yu , Tseng Ying-Jung , Chao Li-Fen , Chen Shiah-Lian , Jane Sui-Whi 
Published: August 2020

Abstract
Background: New teaching strategies must be developed not only to enhance nurse’s competence but also to allow nurses to respond to the complex health care needs of today’s society. The purpose of this study was to explore the learning outcomes of a flipped classroom teaching approach in an adult-health nursing course for students in a two-year Bachelor of Science in Nursing program.Methods: The study had a quasi-experimental design. An 18-week flipped classroom teaching approach was applied in an adult-health nursing course. In total, 485 nursing students enrolled in the study, with 287 in the experimental group and 198 in the control group. The Self-Evaluated Core Competencies Scale, Metacognitive Inventory for Nursing Students, Self-Directed Learning Readiness Scale, and self-designed learning satisfaction questionnaire were used to evaluate the students’ learning outcomes. Results: The experimental group showed a statistically significant increase in the overall scores for self-evaluated core competencies, the “self-modification” subscale of the Metacognitive Inventory for Nursing Students, and in overall self-directed learning readiness; further, they also showed high levels of course satisfaction. Conclusions: A flipped classroom teaching approach had a positive impact on student’s learning motivation and contributed to better learning outcomes in an adult-health nursing course. The flipped classroom combined with hybrid teaching methods is a suitable and effective learning strategy for a registered nurse (RN) to Bachelor of Science in nursing (BSN) program to tackle today’s complex revolution in nursing curricula, and may enhance nursing students’ abilities to address numerous challenges.
A Cross-Sectional Survey of Knowledge, Attitude and Practice Associated with COVID-19 among Undergraduate Students in China
Authors: Peng Yaling , Pei Chenchen , Zheng Yan , Wang Juan , Zhang Kui , Zheng Zhaohui , Zhu Ping 
Published: August 2020

Abstract
Background: The COVID-19 pandemic has become a great threat to public health, which has greatly impacted the study and life of undergraduate students in China. Objective: This study aims to perform a survey of their knowledge, attitude and practice (KAP) associated with COVID-19. Methods: A cross-sectional survey was designed to gather information regarding the COVID-19 related KAP among undergraduates during the home isolation in the outbreak. Subjects were recruited from 10 universities in Shaanxi Province, China. Enrollees voluntarily submitted their answers to a pre-designed questionnaire online. Results: A total of 872 subjects (female, 534; male, 338) were enrolled with ages from 17 to 25 years old. This cohort included 430 medical and 442 non-medical students, 580 freshmen and 292 higher school year students. There were 453 from public schools and 442 from private school, residing in 28 regions and provinces at the time of study. Results showed that appropriate knowledge was acquired by 82.34% subjects; the levels were significantly higher in undergraduates from public universities and medical majors than those from private schools and non-medical majors (p＜0.05). 73.81% subjects reported positive attitudes; females showed significantly higher levels of positive attitudes than males (p＜0.05). Proactive practice was found in 87.94% subjects. Using a common scoring method, the overall scores for Knowledge, Attitude and Practice were 4.12±0.749 (range: 0~5), 8.54±1.201 (range: 0~10), and 8.91±1.431 (range: 0~10), respectively. There was a positive correlation between attitude and practice (r=0.319, p<0.05) in the whole study group. Total KAP score was 21.57±2.291 (range: 0~25), which was significantly different among gender groups and major groups. Conclusions: Most undergraduates acquired necessary knowledge, positive attitude and proactive practice in response to COVID-19 outbreak; but their KAP scores significantly varied by gender, major and school types.