bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study
Authors: Sandell Tiffany , Schütze Heike , Miller Andrew 
Published: December 2020

Background
The rising incidence of cancer and increasing numbers of cancer survivors have resulted in the need to find alternative models of care for cancer follow-up care. The acceptability for follow-up care in general practice is growing, and acceptance increases with shared-care models where oncologists continue to oversee the care. However, a major barrier to this model is the effective exchange of information in real time between oncologists and general practitioners. Improved communication technology plays an important role in the acceptability and feasibility of shared cancer follow-up care.

Objective
The aim of this study is to evaluate the feasibility and acceptability of a shared cancer follow-up model of care between patients, general practitioners and radiation oncologists.

Methods
This is a mixed methods, multisite implementation study exploring shared follow-up care for breast, colorectal, and prostate cancer patients treated with curative radiotherapy in New South Wales, Australia. This study uses web-based technology to support general practitioners in performing some aspects of routine radiotherapy follow-up care, while being overseen by a radiation oncologist in real time. The study has two phases: Phase 1 is designed to establish the level of agreement between general practitioners and radiation oncologists and Phase 2 is designed to implement shared follow-up care into practice and to evaluate this implementation.

Results
Recruitment of radiation oncologists, patients, and general practitioners commenced in December 2020 and will continue until February 2021. Data collection will occur during 2021, and data will be ready for analysis by the end of 2021.

Conclusions
Few studies have investigated the role of health technologies in supporting communication deficiencies for shared cancer follow-up care. The implementation and evaluation of models of care need to be conducted using a person-centered approach that is responsive to patients’ preferences and needs. Should the findings of the study be acceptable and feasible to radiation oncologists, general practitioners, and patients, it can be quickly implemented and expanded to other tumor groups or to medical oncology and hematology.

Trial Registration
Australian New Zealand Clinical Trials Registry ACTRN12620001083987; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057

International Registered Report Identifier (IRRID)
PRR1-10.2196/21752
Administering Virtual Reality Therapy to Manage Behavioral and Psychological Symptoms in Patients With Dementia Admitted to an Acute Care Hospital: Results of a Pilot Study
Authors: Appel Lora , Kisonas Erika , Appel Eva , Klein Jennifer , Bartlett Deanna , Rosenberg Jarred , Smith Christopher NC 
Published: December 2020

Background
As virtual reality (VR) technologies become increasingly accessible and affordable, clinicians are eager to try VR therapy as a novel means to manage behavioral and psychological symptoms of dementia, which are exacerbated during acute care hospitalization, with the goal of reducing the use of antipsychotics, sedatives, and physical restraints associated with negative adverse effects, increased length of stay, and caregiver burden. To date, no evaluations of immersive VR therapy have been reported for patients with dementia in acute care hospitals.

Objective
This study aimed to determine the feasibility (acceptance, comfort, and safety) of using immersive VR therapy for people living with dementia (mild, moderate, and advanced) during acute care hospitalization and explore its potential to manage behavioral and psychological symptoms of dementia.

Methods
A prospective, longitudinal pilot study was conducted at a community teaching hospital in Toronto. The study was nonrandomized and unblinded. A total of 10 patients aged >65 years (mean 86.5, SD 5.7) diagnosed with dementia participated in one or more research coordinator–facilitated sessions of viewing immersive 360° VR footage of nature scenes displayed on a Samsung Gear VR head-mounted display. This mixed-methods study included review of patient charts, standardized observations during the intervention, and pre- and postintervention semistructured interviews about the VR experience.

Results
All recruited participants (N=10) completed the study. Of the 10 participants, 7 (70%) displayed enjoyment or relaxation during the VR session, which averaged 6 minutes per view, and 1 (10%) experienced dizziness. No interference between the VR equipment and hearing aids or medical devices was reported.

Conclusions
It is feasible to expose older people with dementia of various degrees admitted to an acute care hospital to immersive VR therapy. VR therapy was found to be acceptable to and comfortable by most participants. This pilot study provides the basis for conducting the first randomized controlled trial to evaluate the impact of VR therapy on managing behavioral and psychological symptoms of dementia in acute care hospitals.
Reduction of COVID-19 Incidence and Nonpharmacologic Interventions: Analysis Using a US County–Level Policy Data Set
Authors: Ebrahim Senan , Ashworth Henry , Noah Cray , Kadambi Adesh , Toumi Asmae , Chhatwal Jagpreet 
Published: December 2020

Background
Worldwide, nonpharmacologic interventions (NPIs) have been the main tool used to mitigate the COVID-19 pandemic. This includes social distancing measures (closing businesses, closing schools, and quarantining symptomatic persons) and contact
tracing (tracking and following exposed individuals). While preliminary research across the globe has shown these policies to be effective, there is currently a lack of information on the effectiveness of NPIs in the United States.

Objective
The purpose of this study was to create a granular NPI data set at the county level and then analyze the relationship between NPI policies and changes in reported COVID-19 cases.

Methods
Using a standardized crowdsourcing methodology, we collected time-series data on 7 key NPIs for 1320 US counties.

Results
This open-source data set is the largest and most comprehensive collection of county NPI policy data and meets the need for higher-resolution COVID-19 policy data. Our analysis revealed a wide variation in county-level policies both within and among states (P<.001). We identified a correlation between workplace closures and lower growth rates of COVID-19 cases (P=.004). We found weak correlations between shelter-in-place enforcement and measures of Democratic local voter proportion (R=0.21) and elected leadership (R=0.22).

Conclusions
This study is the first large-scale NPI analysis at the county level demonstrating a correlation between NPIs and decreased rates of COVID-19. Future work using this data set will explore the relationship between county-level policies and COVID-19 transmission to optimize real-time policy formulation.
Self-Administered Behavioral Skills–Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial
Authors: Garcia Laura M , Darnall Beth D , Krishnamurthy Parthasarathy , Mackey Ian G , Sackman Josh , Louis Robert G , Maddox Todd , Birckhead Brandon J 
Published: December 2020

Background
Chronic pain is one of the most common and debilitating health conditions. Treatments for chronic low back pain typically focus on biomedical treatment approaches. While psychosocial treatments exist, multiple barriers prevent broad access. There is a significant unmet need for integrative, easily accessible, non-opioid solutions for chronic pain. Virtual reality (VR) is an immersive technology allowing innovation in the delivery of behavioral pain treatments. Behavioral skills-based VR is effective at facilitating pain management and reducing pain-related concerns. Continued research on these emerging approaches is needed.

Objective
In this randomized controlled trial, we seek to test the efficacy of a self-administered behavioral skills-based VR program as a nonpharmacological home-based pain management treatment for people with chronic low back pain (cLBP).

Methods
We will randomize 180 individuals with cLBP to 1 of 2 VR programs: (1) EaseVRx (8-week skills-based VR program); or (2) Sham VR (control condition). All participants will receive a VR headset to minimize any biases related to the technology’s novelty. The Sham VR group had 2D neutral content in a 3D theater-like environment. Our primary outcome is average pain intensity and pain-related interference with activity, stress, mood, and sleep. Our secondary outcomes include patient-reported physical function, sleep disturbance, pain self-efficacy, pain catastrophizing, pain acceptance, health utilization, medication use, and user satisfaction. We hypothesize superiority for the skills-based VR program in all of these measures compared to the control condition. Team statisticians blinded to treatment assignment will assess outcomes up to 6 months posttreatment using an approach suitable for the longitudinal nature of the data.

Results
The study was approved by the Western Institutional Review Board on July 2, 2020. The protocol (NCT04415177) was registered on May 27, 2020. Recruitment for this study was completed in July 2020, and data collection will remain active until March 2021. In total, 186 participants were recruited. Multiple manuscripts will be generated from this study. The primary manuscript will be submitted for publication in the winter of 2020.

Conclusions
Effectively delivering behavioral treatments in VR could overcome barriers to care and provide scalable solutions to chronic pain’s societal burden. Our study could help shape future research and development of these innovative approaches.

Trial Registration
ClinicalTrials.gov NCT04415177; https://clinicaltrials.gov/ct2/show/NCT04415177

International Registered Report Identifier (IRRID)
RR1-10.2196/25291
Terminology for Children in Sumerian Administrative Records
Authors: Bartash Vitali 
Published: December 2020

Region: Southern Mesopotamia = Sumer.Period: Ca. 3200-2000 BC, i.e. Early Bronze Age.Sources: Administrative cuneiform texts from temple and palace archives.Subject: Children of low-rank social status in temple and palace households. Aims: 1) Systematize the terminology for children and offer an overview of its development.2) Identify what biological social characteristics of children are hiding behind these terms.3) Recognize the characteristic features in the terminology for children. Methods: Philological, historical, sociological (sex-age groups/classes). Key facts: 1) Children as dependents in central households appear in cuneiform records as early as the Uruk IV Period (ca. 3350-3250 BC).2) The documents enable to reconstruct several sets of terms to describe human resources in temple and palace households. A substantial part of these terms describe two main biological characteristics of children: their sex and age group.3) Originally, during the earliest periods, the terminology for humans and children in particular bore a strong resemblance with the terms for animals, which implies that the former is an offshoot of the latter.Main point: Other age groups, adults and elderly, received specific terms that were reserved exclusively to designate these age groups. The striking fact conclusion about the child terminology is that it obstinately remained dependent on the terminology for animal youth.The comparison of the bureaucratic terms for children with the lexical evidence (“ancient dictionaries”) demonstrates that the rich selection of terms within the field “children/childhood” that existed in the Sumerian society did not find reception in the administrative practice.
Detecting word endings in an unknown script
Authors: Mäder Michael 
Published: December 2020

Date: Around 2200 BC.Location: Western, southern and eastern Iran.Type: Syllabic Script.Text Corpus: 22 (known a long time), plus 15 (known since 2015).Sign Corpus: 110 sign type, 1340 sign tokens.Status: Principally undeciphered, except the sound values for in, šu, uš, ši, na, and k, drawn from the divine name Inšušinak found in the only bilingual inscription. Several further sound values were proposed. In our paper, some of them are being corroborated, and a new one is presented.Language behind the signs: Based on graphotactical patterns found in the texts, this paper claims that it must be Elamite or a language closely related to it.
Women in Neo-Assyrian Palaces: The case of the ekal mašarti in Nimrud/Kalḫu
Authors: Schmalenberger Eva 
Published: December 2020

Ø Basic Facts on Nimrud:Left Bank of the Tigris, North of the Greater Zabcapital of the Neo-Assyrian empire since 878 B.C. under King Aššurnaṣirpal (883 - 859 B.C.)The city wall encloses an area of 380 haThe main architectural features are located on the northern and the south-eastern acropolis, including various palaces and temple buildingsØ The ekal mašarti:Built under King Šalmaneser III. (858 - 824 B.C.)completed 844 B.C.on the south-eastern acropolismainly used for military purposes (Areas NW, NE, SW and SE)Representation rooms (Area T) and private quarters (Area S) in the southØ Women in the ekal mašarti:Clear archaeological evidence for the presence of women in the palace; Finds: Amulets (Bes, Lamaštu, Pazuzu), skorpion, fibulaeImportant rooms in area S: throne room of the queen (S 5) and bureau (S 10) of the šakintu (female high-official)Reception rooms and working areas on the ground floorLiving quarters on the upper floorNot all women belonging to the household of the queen, also lived in the (same) palace
The ethnical history of Kizzuwatna: an onomastic approach
Authors: Shelestin Vladimir 
Published: December 2020

The mixed nature of Kizzuwatna’s population is widely accepted by the scholars, considering the Hurrians and the Luwians its main components. Which of these peoples came to the Cilician plain earlier than another one, is the subject of the discussion between archaeologists and linguists. In the course of this discussion, the onomastic and toponymical data were underestimated and became the subject of my investigation.The onomastic data collected from the historical and ritual texts coming from Kizzuwatna, seals and sealings discovered or bought at the Cilician plain give us a collection of proper names dating to Middle Hittite, New Hittite and Late New Hittite periods. Their distribution by language and period gives us the picture of the Hurrian domination in the Middle Hittite period. By the Late New Hittite period the Luwian names became prevailing. This trend supports the scenario of the Hurrian earlier arrival. Both Hittite and Luwian presence in the Middle Hittite period should reflect the traces of the first conquest of Kizzuwatna by the Old Hittite kingdom, and the Luwian influence increased after the second conquest of Kizzuwatna by the New Hittite kingdom. The geographical distribution between Luwian West and Hurrian East should be further investigated on the ground of the place names of the Cilician plain through ages.
Response of upland rice (Oryza sativa L.) cultivars to different shade levels in sandy soil
Authors: Padang Irwan Suluk , Tohari Tohari , Widada Jaka 
Published: December 2020

The study aimed to determine the response of upland rice under different shade levels. The experiment was conducted in Srigading village, Sanden District, Bantul Regency, Yogyakarta from July 2016 to March 2017. The experimental design applied was the split-plot design with three replications. The main plot was the shade level consists of three levels i.e. 0%, 25% and 50%. The sub plot was the upland rice cultivar consists of three levels i.e. ‘Inpago 8’, ‘Situ Patenggang’, and ‘Batutegi’. The results showed that some variables observed changes due to shade that are make increased the plant height and leaf area. The maximum number of tillers and the number of productive tillers in the 50% shade treatment decreased, as well as the total plant dry weight and the productivity. Other observation such as root/shoot ratio, panicle length, percentage of filled grain per panicle, number of filled grains per panicle and 1000-grains weight upland rice showed no significant difference.
Effect of reducing rates of NPK, ZA, and KCl fertilizers on the growth and yield of shallot in multiple cropping system in Bantul
Authors: Karsidi Karsidi , Sulistyaningsih Endang , Indradewa Didik , Kurniasih Budiastuti 
Published: December 2020

The intensive application of synthetic/inorganic fertilizer on shallot cultivation tends to contaminate the environment and reduce soil quality. Meanwhile, the decrease of farmland area has been a limiting factor in increasing shallot production. Shallot farmers in Bantul District, D. I. Yogyakarta, commonly combine organic and inorganic fertilizers. Therefore, an alternative technology to sustain the production of shallot is through the application of fertilizer at the right rates and the practice of multiple cropping system. The objective of this research was to determine the growth and yield of shallot as affected by the reduced rates of inorganic fertilizer in multiple cropping systems. This research was conducted from August to November 2016 in Srigading Village, Sanden Sub-District, Bantul District, D. I. Yogyakarta. The research was arranged in a split plot design with three replications. The main plot was cropping system consisting of monoculture system (shallot) and multiple cropping system (shallot – chili). The subplot was fertilizer rates consisting of 100 % as control, 50 %, and 25 %. The results of this research showed that multiple cropping system did not decrease the growth and yield of shallot. Likewise, reducing inorganic fertilizer rates to 50% of control did not decrease shallot yield. However, the inorganic fertilizer rate of 25% significantly decreased shallot yield to 12.15 %.
América Latina: Hacia un periodo de débil crecimiento y COVID-19
Authors: Vidal Bonifaz Gregorio 
Published: December 2020

El artículo revisa la caída en la actividad económica en medio de un largo periodo de débil crecimiento económico. La región retorno desde hace algunos años al desempeño que tuvo en los ochenta y noventa del siglo pasado. ¿Cuál es el contexto en que se produce ese comportamiento? Es una pregunta relevante que organiza el análisis. Se analizan las transformaciones estructurales en las tres a cuatro décadas previas, en particular en los mercados financieros, su relación con las crisis y el lugar en que se ubica o es colocada la región. Se presenta el problema de algunas formas de relación de los países de la región con la economía mundial. Las vulnerabilidades que implica esa relación e incluso la exclusión en las modificaciones que avanzan en la economía mundial en tanto se fortalecen ciertos procesos de regionalización en medio de crecientes disputas sobre las relaciones de fuerza entre algunos países y sus respectivos grupos de grandes empresarios, grandes financieros o rentistas.<br /><p> </p><div><hr align="left" size="1" width="33%" /><div> </div></div>
Conocimientos, actitudes y prácticas socioambientales en estudiantes de la Universidad Autónoma de Guerrero, México
Authors: Gervacio Jiménez Herlinda , Castillo Elías Benjamín 
Published: December 2020

Esta investigación analizó el nivel de educación ambiental que poseen estudiantes del nivel medio superior de la Universidad Autónoma de Guerrero, se consideraron las variables sobre el conocimiento y formación ambiental, saber actuar ante los problemas socioambientales, prácticas de carácter ambiental, percepción sobre la complejidad de problemas socioambientales, grado de ambientalización en el currículo, actitudes y conductas proambientales desarrolladas durante el proceso de enseñanza-aprendizaje. El objetivo de esta investigación fue explorar el conocimiento, la formación, las actitudes y conductas proambientales que tienen estudiantes de preparatoria, con base en la enseñanza-aprendizaje adquirido durante su estancia en el centro educativo de la Universidad Autónoma de Guerrero. El método utilizado fue eminentemente cuantitativo, y las variables fueron analizadas a través de la escala de Likert el cual es un método de investigación de campo que permite medir la opinión sobre un tema a través de una encuesta que identifica el grado de acuerdo o desacuerdo de cada pregunta, empleando 5 categorías para esta investigación. Los resultados indicaron que sus conocimientos y prácticas sobre temáticas ambientales van de “escasos” a “regular”; habitualmente saben actuar ante las problemáticas socioambientales que los rodea; se observó que poseen escasa percepción sobre la complejidad de los actuales problemas ambientales, el estudio demostró, que los estudiantes tienen escaza conciencia para actuar, cuidar y proteger su entorno socioambiental, con un bajo interés para resolver las problemáticas ambientales a nivel local, lo que se refleja en los resultados de la variable ambientalización en el currículo, que va de “escaso” a “regular”. Se concluyó que la percepción de los estudiantes no impacta en acciones positivas a favor del ambiente y que estas acciones beneficien a los centros educativos y a su comunidad. Los datos de este estudio coinciden con otras investigaciones similares a ésta, donde se ha llegado a la misma conclusión, el conocimiento y la conciencia no han sido suficientes para desarrollar actitudes proambientales, es necesario poner y llevar a la práctica acciones responsables, con una adecuada metodología para proponer actividades que ayuden a la resolución de los problemas ambientales vigentes y que estas acciones se vean reflejadas en beneficio del entorno en el que los estudiantes se desenvuelven.
CHOP-treated Mammary Non-hodgkin's Malignant Lymphoma in a Female Patient with HIV + On Retroviral Treatment - Case Report
Authors: Bakraoui K. El , Ghissassi I. El , Boutayeb S. , Mrabet H. , Errihani H. 
Published: December 2020

HIV infection greatly increases the risk of developing lymphoma. NHL is present in approximately 3% of the HIV-positive population at the time of their HIV diagnosis. Twenty percent of HIV-positive patients develop NHL. Risk factors for an association of the NHL with HIV include: low CD4 T cell count, high viral load, age, and male.
We report the case of a 35-year-old mother of three children having a history of the death of the husband following the neurological complications of AIDS, the patient was subsequently diagnosed with HIV + and then placed on retroviral treatment. After 6 months the patient reported a breast swelling with pelvic pain, a breast biopsy performed showing a large B-cell NHL.
The extension assessment reveals localizations: mammary, bilateral ovarian and adrenal right of a lymphomatous process, the BOM is normal and the CD4 rate is 517 / mm3. CHOP-type systemic chemotherapy with intrathecal chemotherapy has been initiated. The post-treatment evaluation was in favor of a complete clinical and radiological response.
The prognosis of patients with AIDS-related lymphoma is associated with the stage of the disease, extraganglionic involvement including bone marrow, CD4 cell count, and performance status. Median survival varies from 8 to 20 months, which remains much lower than that of non-HIV-associated lymphomas.