bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence and correlates of prescription drug diversion and misuse among people living with HIV in the eThekwini district, KwaZulu-Natal, South Africa
Authors: Chibi Buyisile , Yende-Zuma Nonhlanhla , Mashamba-Thompson Tivani P. 
Published: December 2020

Background
Prescription drug diversion, and misuse has increased over the past decade and is notably in high-income-countries and significantly contributes to the opioid epidemic. People living with HIV (PLWH) are particularly vulnerable to prescription drug diversion, and misuse as most experience chronic pain, mental health problems and HIV-related illnesses. The researchers investigated the prevalence and correlates of prescription drug diversion, and misuse among PLWH in the eThekwini district, KwaZulu-Natal.

Methods
A cross-sectional study was conducted among 392 PLWH, conveniently recruited from the public healthcare facilities located in rural, semi-urban and urban areas of the eThekwini district. Participants answered questions about their background, prescription medications, substance use, and prescription drug diversion, and misuse. Descriptive analysis was performed to estimate the prevalence of prescription drug diversion, and misuse. Multivariable logistic regression was used to identify predictors of prescription drug diversion, and misuse.

Findings
Overall, 13% of the participants reported lifetime prescription drug diversion. The most common type of diversion was using prescription medication not prescribed by a healthcare provider (11%), followed by sharing of prescription medication (9%) and buying prescription medication without a medical script (5%). Twenty-three per cent of the participants reported prescription drug misuse in the past 90 days, with using prescription medication without a healthcare providers’ guidance (9%) and not following the scheduled time periods (8%) being the most common reported types of misuse. Self-medicating was identified as a risk factor for prescription drug misuse. There was no association between ART adherence and prescription drug diversion, and misuse.

Conclusion
The study findings contribute to improving the limited data available on prescription drug diversion, and misuse among PLWH in South Africa. The prevalence underscores a need for urgent interventions when prescribing medications with potential risks. Addressing the risk of self-medicating is imperative for HIV care outcomes and to avert death.
One year after ICU admission for severe community-acquired pneumonia of bacterial, viral or unidentified etiology. What are the outcomes?
Authors: Sangla Frédéric , Legouis David , Marti Pierre-Emmanuel , Sgardello Sebastian D. , Brebion Amélie , Saint-Sardos Pierre , Adda Mireille , Lautrette Alexandre , Pereira Bruno , Souweine Bertrand 
Published: December 2020

Introduction
Multiplex polymerase chain reaction (mPCR) for respiratory virus testing is increasingly used in community-acquired pneumonia (CAP), however data on one-year outcome in intensive care unit (ICU) patients with reference to the causative pathogen are scarce.

Materials and methods
We performed a single-center retrospective study in 123 ICU patients who had undergone respiratory virus testing for CAP by mPCR and with known one-year survival status. Functional status including dyspnea (mMRC score), autonomy (ADL Katz score) and need for new home-care ventilatory support was assessed at a one-year post-ICU follow-up. Mortality rates and functional status were compared in patients with CAP of a bacterial, viral or unidentified etiology one year after ICU admission.

Results
The bacterial, viral and unidentified groups included 19 (15.4%), 37 (30.1%), and 67 (54.5%) patients, respectively. In multivariate analysis, one-year mortality in the bacterial group was higher compared to the viral group (HR 2.92, 95% CI 1.71–7.28, p = 0.02) and tended to be higher compared to the unidentified etiology group (p = 0.06); but no difference was found between the viral and the unidentified etiology group (p = 0.43). In 64/83 one-year survivors with a post-ICU follow-up consultation, there were no differences in mMRC score, ADL Katz score and new home-care ventilatory support between the groups (p = 0.52, p = 0.37, p = 0.24, respectively). Severe dyspnea (mMRC score = 4 or death), severe autonomy deficiencies (ADL Katz score ≤ 2 or death), and major adverse respiratory events (new home-care ventilatory support or death) were observed in 52/104 (50.0%), 47/104 (45.2%), and 65/104 (62.5%) patients, respectively; with no difference between the bacterial, viral and unidentified group: p = 0.58, p = 0.06, p = 0.61, respectively.

Conclusions
CAP of bacterial origin had a poorer outcome than CAP of viral or unidentified origin. At one-year, impairment of functional status was frequently observed, with no difference according to the etiology.
Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis
Authors: Wakuma Bizuneh , Mosisa Getu , Etafa Werku , Mulisa Diriba , Tolossa Tadesse , Fetensa Getahun , Besho Merga , Gebre Mohammed , Tsegaye Reta 
Published: December 2020

Background
Contraceptive use is the best and most cost-effective strategy to reduce feto-maternal adverse effects of short birth intervals. More than two-thirds of women in developing countries who do not want to conceive are not using contraception methods. Although there were various primary studies in different parts of the country, there is no nationally representative evidence on postpartum modern contraception utilization and its determinants in Ethiopia.

Objective
This review was aimed to determine the best available pieces of evidence to pool the magnitude of postpartum modern contraception utilization and find out its determinants.

Methods
Published studies were extensively searched by using electronic databases and unpublished studies were identified from the digital library. All observational studies conducted on the magnitude of postpartum modern contraception utilization and its determinants in Ethiopia were included. Data were extracted on the Microsoft Excel spreadsheet and analyzed using STATA 14.1 version. A random-effects model was used to estimate the pooled magnitude of postpartum modern contraception utilization with a 95% confidence interval (CI). Inverse variance (I2) was used to identify the presence of heterogeneity and forest plot was used to estimate the pooled magnitude of postpartum contraception utilization. The presence of publication bias was assessed by funnel plots and Egger’s statistical tests. Sub-group analysis was computed to minimize underlying heterogeneity.

Findings
In this review, 19 primary studies were included. The pooled magnitude of postpartum modern contraception utilization in Ethiopia was 45.79% (95%CI 36.45%, 55.13%). The review found that having more than four Antenatal care visits(ANC), having postnatal care visit (PNC), having a formal education, history of family planning use, history of counseling on family planning, and having greater than four alive children as significant determinants of postpartum modern contraception utilization.

Conclusion
The magnitude of postpartum modern contraception utilization in Ethiopia was low. ANC visit, PNC visit, maternal educational status, history of previous family planning use, counseling on family planning, and number of alive children were found to be significant determinants of postpartum modern contraception utilization. Therefore, strengthening focused ANC and PNC services to encourage women in utilizing modern contraception during the postnatal period is needed.
Comparison of problem-based learning and traditional teaching methods in medical psychology education in China: A systematic review and meta-analysis
Authors: Gao Junwei , Yang Ling , Zhao Jinghui , Wang Lian , Zou Jiao , Wang Chunxiang , Fan Xiaotang 
Published: December 2020

Background
PBL approach has been widely used in many Chinese universities over the past decade. However, the effects of PBL approach on medical psychology education in China are inconsistent. The purpose of this study was to ascertain whether the PBL approach was superior to the lecture-based teaching method in the context of the medical psychology curriculum in China.

Methods
A systematic review and meta-analysis was performed to confirm the effectiveness of PBL in Chinese medical psychology. Corresponding databases were searched for available studies, where data were extracted to calculated Hedges’ g and its 95% confidence interval in total and subgroup analyses. Subgroup analyses were also carried out.

Results
Nine studies with 551 cases and 496 controls were identified. The total examination scores of students in the PBL approach group were significantly higher compared with students in the traditional lecture-based teaching group under the random effect model (Hedges’ g = 1.510, 95%CI 0.792–2.227, p<0.001). Subgroup analyses based on major and school system exhibited similar results.

Conclusions
Our study supported the notion that the PBL approach may be applicable to Chinese medical psychology education.
The contribution of stigma to the transmission and treatment of tuberculosis in a hyperendemic indigenous population in Brazil
Authors: Kolte Ida Viktoria , Pereira Lucia , Benites Aparecida , de Sousa Islândia Maria Carvalho , Basta Paulo Cesar 
Published: December 2020

Background
The Guarani-Kaiowá are Brazil's second-largest indigenous group. Average annual tuberculosis (TB) incidence rates among the Guarani-Kaiowá are nearly 400/100,000 in Mato Grosso do Sul state, ten times the national average. Although stigma is considered crucial for TB control in indigenous communities, few studies have investigated TB stigma among indigenous populations. This study sought to understand the role of TB-related stigma and perceptions of TB in maintaining hyperendemic TB transmission in the Guarani-Kaiowá communities.

Methods
Various forms of stigma were explored through semi-structured interviews with 19 patients, 11 relatives, and 23 community members. Patients were identified from the registry of the healthcare service. Community members, selected by snowball sampling, were matched by gender and village of residence. Interviews were conducted in Guarani and Portuguese and later translated into English. Framework analysis was performed using NVivo.

Results
Traditional beliefs of a weakening of the body allowing the disease to enter were common, but the exact mechanism of transmission was unknown. Strong community/public stigma associated TB with uncleanliness, abuse, and irresponsibility. Anticipated stigma led to significant treatment delays for fear of exclusion and losing employment. While most patients felt supported by their families, nearly all patients related experienced/enacted stigma in the community such as gossip, avoidance, and social exclusion, leading to long-lasting internalized/self-stigma. Secondary stigmatization of relatives was widespread, and blanket latent TB infection (LTBI) treatment of patients’ households was a contributing factor in treatment delay. The healthcare service unnecessarily added to stigmatization by enforcing separate utensils and sleeping arrangements for patients.

Conclusions
Our findings suggest that stigma is a driver for treatment delay and continued transmission of TB in the community. The stigmatization of TB was rooted in a poor understanding of TB transmission, partly because of incorrect orientation by the healthcare service. Interventions to reduce TB-associated stigma are urgently needed.
A Technocratic Machine: The Memex as Rhetorical Invention
Authors: Bruner Katie P. 
Published: December 2020

Abstract
The Memex is an icon in the history of computer technology. It was first presented to the public in a 1945 Life Magazine article as “a device in which an individual stores all his books, records, and communications, and which is mechanized so that it may be consulted with exceeding speed and flexibility.” The Memex itself was never built, but the image of what machines like it could do captured the imagination of a generation of computer engineers. The Memex was designed by an engineer and science administrator named Vannevar Bush, but he had actually designed the Memex to address inter-war America: the Memex article was written during the tumult of the late 1930s and largely untouched during World War II. This article examines the Memex within this interwar context, paying particular attention to how Bush used the design of a technological prototype to imagine how machines could help humans navigate the modern world. I argue that this effort was an act of rhetorical invention and show that the design of the Memex was a vehicle for Bush to endorse technocratic authority over American life.
El fenómeno de la concurrencia obligacional. Las cuotas de contribución entre los deudores como un problema sistémico
Authors: Reyna Carlos Alberto 
Published: December 2020

Las obligaciones concurrentes tuvieron reconocimiento normativo expreso en tres artículos del CCyCN (art. 850, 851 y 852), cuya regulación es una consecuencia de la evolución de los criterios jurisprudenciales que resolvieron, principalmente, el problema del derecho obligacional generado por la expansión de los legitimados pasivos en diversos supuestos de responsabilidad. En este contexto, a 5 años de la sanción del Código Civil y Comercial, la imposición de diversas cuotas de contribución entre los deudores concurrentes se ha reservado para acciones de regreso, soslayando la discusión de la cuestión en el proceso principal y, en consecuencia, difiriendo su tratamiento.
En este artículo nos proponemos demostrar que la necesidad de resolver el pedido de determinación de la cuota de contribución, efectuado en el litigio en que se ventila la responsabilidad de varios obligados, es una consecuencia ineludible del deber de fallar de manera razonablemente fundada (art. 3 del CCyCN).
La regla del doble vínculo filial puesta en crisis
Authors: Galli Fiant Maria Magdalena 
Published: December 2020

La determinación de los vínculos paternos y maternos no es una cuestión cuantitativa sino cualitativa, dentro de cada fuente de la Filiación. En ese marco, la regla del doble vínculo obligatorio es incorrecta. En la Filiación por naturaleza, los vínculos son necesariamente dos, pues están determinados por la generación a partir del acto intersexual. En la Filiación por voluntad procreacional, los vínculos están limitados a aquellos que expresaron su consentimiento previo; esta limitación atenta contra el derecho a la identidad y debe ser suprimida. En la Filiación adoptiva, la pluriparentalidad es posible porque se basa en el reconocimiento del origen que precede a la adopción. El interés superior del hijo niño no altera las reglas de determinación de los vínculos con sus progenitores, aunque es relevante para establecer sus funciones y deberes, o para designar a terceros bajo figuras legales de cuidado. La sola voluntad de ser padre/madre o de ser hijo no es la causa del lazo jurídico de filiación, aunque su incidencia varía en cada una de las fuentes de la Filiación.
Compost Solid-phase Microbial Fuel Cell (CSMFC) Performance using Graphene and Graphite as Electrodes
Authors: Putri Soraya Annisa , Confera Akbar Nugroho , Syafrudin Syafrudin , Ramadan Bimastyaji Surya 
Published: December 2020

Organic waste is a type of waste produced by many sector, which need to managed appropriately. During its development, composting is one of the organic waste management efforts that is often be applied, Another alternative organic waste management in the form of Microbial Fuel Cell (MFC) has emerged. Several researchers conducted studies on MFC performance which was influenced by many factors, especially the electrode which contributes to the electron transfer process. This study has a concern about energy optimization through CSMFC technology using different electrode’s material. Electrode materials from Graphene and Graphit has good electro-conductivity and has a large surface area, making it suitable for bacteria to adhere. The sampled reactors are consists of two types of electrodes in the form of graphite and graphene. Each materials has anode and cathode ratio of 1:1, 2:1, and 3:1. The samples measured into three kinds, which called a mature compost measurement, electrochemical measurement, and biochemical measurement. Some collected sampling data were then processed and analyzed statistically using SPSS software. The processed and analyzed data included the calculation of power density, total N, C/N ratio, and moisture content. Any data like voltage (V) and electric current (I) are needed to obtain a power density. The highest average voltage, current, power and power density are produced by the N3 reactor (graphene 3:1) that is 269 x 10-3 V, 163 x 10-6 A, 56 x 10-6 Watt and 1.914 x 10-3 W / m2. There is no significant effect of variations in the type of electrode (graphite and graphene) on CSMFC performances.
The Contest on Corporate Purpose: Why Lynn Stout was Right and Milton Friedman was Wrong
Authors: Clarke Thomas 
Published: December 2020

AbstractIt is now 50 years since Milton Friedman set out his doctrine that “The Social Responsibility of Business Is to Increase Its Profits.” This paper seeks to add fresh and compelling new evidence of why Lynn Stout was correct in her resolute critique of the thesis of shareholder primacy at the heart of the Friedman doctrine, and how this doctrine remains profoundly damaging to the corporations that continue to uphold this belief. It is argued that the Friedman doctrine has had a catastrophic impact upon American business and society beginning with General Motors failure to respond to investor calls for increased concern for safety and pollution at the time of Friedman’s intervention in 1970, stretching all the way to the recent fatal errors of Boeing in placing a higher priority in getting the new Boeing 737 MAX into the market than ensuring the soundness of software controls on the flight deck which led to two horrific plane crashes in 2018 and 2019 with the loss of 346 lives. These tragic errors in corporate judgement are ultimately related to the constricted sense of corporate purpose imposed by Milton Friedman and taken up with enthusiasm by agency theorists focused upon maximising shareholder value. This reckless single-mindedness has privileged the pursuit of the narrowest of financial measures of performance above fundamentals including passenger safety and environmental emissions controls. As a result, innocent lives have been lost, brands have been tarnished, and ultimately the strategic future of significant corporations endangered, and the ecology of the planet imperilled. There is now emerging a new sense of the purpose of the corporation that defines a rationale for corporate social and environmental responsibility in a way similar to Lynn Stout’s more inclusive stakeholder approach. The question remains open whether this will lead to the development of fiduciary duties, governance, strategies, targets, measures, transparency and disclosure that might deliver the sustainable corporation.
Injury classification and level detection of the spinal cord based on the optimized recurrent neural network
Authors: Jasim K Munavar , Brindha Thomas 
Published: December 2020

Abstract

Objectives
Spinal cord damage is one of the traumatic situations in persons that may cause the loss of sensation and proper functioning of the muscles either temporarily or permanently. Hence, steps to assure the recovery through the early functioning and precaution could safe-guard a proper interceptive. To ensure the recovery of spinal cord damage through optimized recurrent neural network.

Methods
The research on the spinal cord injury classification and level detection is done using the CT images, which is initially given to the segmentation that is done using the adaptive thresholding methodology. Once the segments are formed, the disc is localized using the sparse fuzzy C-means clustering approach. In the next step, the features are extracted from the localized disc and the features include the connectivity features, statistical features, image-level features, grid-level features, Histogram of Oriented Gradients (HOG), and Linear Gradient Pattern (LGP). Then, the injury detection is done based on the Crow search Rider Optimization algorithm-based Deep Convolutional Neural Network (CS-ROA-based DCNN). Once the result regarding the presence of the injury is obtained, the injury-level classification is done based on the proposed Deep Recurrent Neural Network (Deep RNN), and in case of the absence of injury, the process is terminated. Therefore, the injury detection classifier derives the level of the injury, such as normal, wedge, biconcavity, and crush.

Results
The experimentation is carried out using an Osteoporotic vertebral fractures database. The performance of the injury level detection based on the proposed model is evaluated based on accuracy, sensitivity, and specificity. The proposed model achieves the maximal accuracy of 0.895, maximal sensitivity of 0.871, and the maximal specificity of 0.933 with respect to K-Fold.

Conclusions
The experimental results show that the proposed model is better than the existing models in terms of accuracy, sensitivity, and specificity.
The prognostic and predictive value of platelet parameters in diabetic and nondiabetic patients with sudden sensorineural hearing loss
Authors: Özcan İbrahim , Hira İbrahim , Kaya Altan , Yaşar Mehmet , Doğan Murat , Mutlu Cemil 
Published: December 2020

AbstractBackgroundWe aimed to evaluate the association between mean platelet volume, platelet distribution width (PDW), platelet count (PC) and plateletcrit (PCT), and the presence of sudden sensorineural hearing loss (SSNHL) and treatment response. In the literature, there is no study that investigates the platelet functions in diabetic patients with SSNHL.MethodsThe patients were retrospectively assigned into Group 1 (68 diabetic patients with SSNHL), Group 2 (63 nondiabetic patients with SSNHL) and Group 3 (64 healthy controls).ResultsPC was not significantly different between the groups (p > 0.05). MPV, PDW and PCT values were significantly higher in Group 1 as compared to Groups 2 and 3 (p < 0.05). Platelet parameters were not significantly different between the patients who were responsive and nonresponsive to the treatment. Therefore, the platelet parameters did not affect prognosis significantly in this study samples (p > 0.05).ConclusionsThis study showed that platelet parameters did not have a significant effect as a prognostic and predictive value in diabetic and nondiabetic patients with SSNHL. Further studies with more homogenous and larger study groups investigating the platelet parameters are needed to demonstrate microvascular damage and vascular alterations induced by diabetes mellitus.
Openness to Faith as a Disposition for Teachers in Catholic Schools
Authors: Horner Robyn , Pollefeyt Didier , Bouwens Jan , Brown Teresa , Jacobs-Vandegeer Christiaan , Heaney Maeve-Louise , Buchanan Michael 
Published: December 2020

Abstract
In the Catholic Church, which includes in its mission the provision of school education, the significant rise of “no religion” in Western societies prompts serious new questions about how this mission can be lived out. An important response can be found in the Enhancing Catholic School Identity Project, which provides empirical evidence of the lived faith dispositions of members of Catholic school communities and recommends the enhancement of Catholic school identity through the recontextualisation of faith in dialogue. We argue that the dispositions of teachers are a vital factor in the development of a Catholic Dialogue School. Using aggregated data in Australia, we illustrate the importance of a teacher disposition that is intentionally and explicitly open to Catholic faith.