bluuebunny/crossref_metadata_2025_split huggingface dataset:
Being active 1½ years after hip fracture: A qualitative interview study of aged adults’ experiences of meaningfulness
Authors: Rasmussen Birgit , Nielsen Claus Vinther , Uhrenfeldt Lisbeth 
Published: April 2020

Abstract
Background: Being active is vital and a source of well-being. However, 18 months after hip fracture (HF), progress seems to have come to a halt. Aged adults may feel vulnerable, experiencing ongoing dependency and limited possibilities for socializing. How they experience the meaningfulness of being active during these circumstances is unknown. The aim of this study was to explore experiences of the meaningfulness of being active for aged adults 18 months after HF. Methods: A phenomenological-hermeneutic methodology based on the philosophies of Heidegger and Gadamer was applied. Data were collected using individual interviews conducted in participants’ homes. The study was part of a longitudinal study, and three former interviews helped build trusting relationships with participants and focus the semi-structured interview guide. An existential theory of well-being and suffering considering health to be a balancing of mobility and dwelling was applied. Participants were nine aged adults 65 years or older with pre-fracture dependency included in the study 18 months earlier while still in hospital after HF. The interpretation was a process of analyzing data by moving between the parts and the whole as a means of gaining a deeper understanding and continuously testing pre-understandings. The analysis followed five steps: a) getting a sense of the whole b) delineating and condensing meaning units, c) interpreting meaning units, d) relating to study purpose, and e) developing themes and sub-themes. Results: Two main themes emerged. The main-theme “Feeling the continuity of life“ had four sub-themes: “Gratitude for present possibilities,“ “Connected with earlier life-experience,“ “Thoughtfully managing vulnerability,“ and “Belonging with other people.“ The main-theme “Feeling vulnerable“ had two sub-themes: “Thwarted“ and “Sad and regretting lost continuity in life.“ Conclusions: Eighteen months after HF, aged adults seem to be struggling on their own to be active in meaningful ways. To maintain hope, relieve the strain in everyday life, and maintain a sense of safety and self-confidence, they may need help. However, to avoid suffering, there is a need to balance additional training and a struggle for progress with well-being experiences in terms of feeling gratitude, restoring a sense of normality, and feeling kinship with other people.
Trauma Team Conformation in a War-influenced Middle-income Country in South America: Is It Possible?
Authors: Carvajal Sandra , Uribe-Buritica Francisco , Angel Ana Maria , Lopez Maria Camila , Gonzalez Andres , Chica Julian , Benitez Manuel , Garcia Alberto 
Published: April 2020

Abstract
Introduction: Trauma teams (TTs) improve outcomes in trauma patients. A multidisciplinary TT was conformed in September 2015 in a tertiary Level I trauma university hospital in southwestern Colombia, a middle-income war-influenced country. Objective: To evaluate the impact of a TT in admission-tomography and admission-surgery times as well as mortality in a tertiary center university hospital in a middle income country war influenced country. Material & Methods: Retrospective analytical study. Patients older than 17 years, admitted to the emergency room 15 months prior and 15 months after the TT implementation were included. Patients prior to the TT implementation were taken as controls. No exclusion criteria. 464 patients were included, 220 before the TT implementation (BTT) and 244 after (ATT). Demographic data, trauma characteristics, admission-tomography, and admission-surgery time interval as well as mortality were recorded. Requirement of CT scan or surgery was based on physician decision. The analysis was made on Stata 15.1®. Categorical variables were described as quantities and proportions, continuous variables as mean and standard deviation or median and interquartile range (IQR). Categorical variables were compared using Chi2 or Fisher's test and continuous variables using Student's T-test or Wilcoxon-Mann-Withney. A multiple logistic regression model was created to evaluate the impact of being treated in the ATT group on mortality, adjusted by age, trauma severity, and physiological response upon admission. Results: The admission-tomography time interval was 56 min (IQR 39-100) in the BTT group and 40 min (IQR 24-76) in the ATT group, p<0.001. The admission-surgery time interval was 116 min (IQR 63-214) in the BTT group and 52 min (IQR 24-76) in the ATT group, p<0.001. Mortality in the BTT group was 18.1% and 13.1% in the ATT group. Adjusted OR was 0.406 (0.215 - 0.789) P = 0.006 Conclusions: A trauma team conformation in a war-influenced middle-income country is feasible and reduces mortality as well as admission-surgery and admission-tomography time intervals in polytrauma patients.
Patient safety issues from information overload in electronic medical records: A systematic review
Authors: Nijor Sohn , Gokcen Eric , Lad Nimit 
Published: April 2020

Abstract
Background and Objective: Electronic health records (EHR) have become ubiquitous in medicine and continue to grow in informational content. Little has been documented regarding patient safety from the resultant information overload. The objective of this literature review is to better understand how information overload in EHR affects patient safety.Methods: A literature search was performed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) standards for literature review. PubMed and Web of Science were searched and articles selected that were relevant to EHR information overload based upon keywords. Results: The literature search yielded 31 articles meeting criteria for the study. Information overload was found to increase physician cognitive load and error rates in clinical simulations. Overabundance of clinically irrelevant information, poor data display, and excessive alerting were consistently identified as issues that may lead to information overload. An addition, information overload increased the risk of physician burnout due to clerical burden leading to significantly higher rates of medical error. Conclusion: Information overload in EHR may result in higher error rates and negatively impact patient safety. Further studies are necessary to define the EHR role in adverse patient safety events and to determine methods to mitigate these errors.
The Mental Impact of COVID-19 Outbreak: A Population-Based Survey in Iran
Authors: Shahriarirad Reza , Erfani Amirhossein , Ranjbar Keivan , Bazrafshan Amir , Mirahmadizadeh Alireza 
Published: April 2020

Abstract
Background: In March 2020, WHO has declared pandemic on COVID-19. Although the number of infected cases is increasing, information about its clinical characteristics in the Middle East especially in Iran, a country which is considered as one of the most important foci of the disease in the world is lacking. Till date, there is no available literature on the clinical data on COVID-19 patients in Iran. Method and Material: In this multicenter retrospectively registered study, 113 hospitalized confirmed cases of COVID-19 admitted in university affiliated hospitals in Shiraz, Iran in from February 20 to March 20 were enrolled. Results: The median age was 53 years and 71 (62.8%) were males. The most common symptoms at onset were fatigue (75: 66.4%), cough (73: 64.6%), and fever (67: 59.3%). Laboratory data revealed significant correlation between lymphocyte count, partial thromboplastin time, international normalized ratio with the severity of the disease (P value = 0.003, 0.000, 0.000, respectively). The most common abnormality in chest CT scan was ground-glass opacity (77: 93.9%), followed by consolidation (48: 58.5%). Our results revealed an overall 8% (9 out of 113 cases) mortality rate among the patients, in which the majority was among the ICU admitted patients (5: 55.6%). Also, 68 (60.2%) of our patients achieved total recovery and 7 (6.2%) were discharged with follow-up and home isolation.Conclusion: In this multi-center study which included 113 hospitalized patients with diagnosis of COVID-19, 9.7% of cases were transferred to ICU and mortality rate was 8%. Furthermore, finding the source of infection and studying the behavior of COVID-19 is crucial for understanding the pandemic.
Are tagged fish like others? Insights from growth and stress physiological profile of two marine fish species
Authors: Alfonso Sébastien , Zupa Walter , Manfrin Amedeo , Fiocchi Eleonora , Dioguardi Maria , Dara Mariano , Cammarata Matteo , Lembo Giuseppe , Carbonara Pierluigi 
Published: April 2020

Abstract
Background
Recently, telemetry applied to the aquatic organisms had a great development. Progressively, physiological sensors were used, as tools for fish welfare monitoring. However, it is important that tagging procedure does not disrupt fish physiology, behavior and performances to be used as a reliable non-invasive welfare indicator. In this communication, we share our mid-term data about stress physiological profile and growth performances following tag implantation in two important marine fish species of the European aquaculture, sea bream (Sparus aurata) and European sea bass (Dicentrarchus labrax).
Results
Mid-term blood samples post-tag implantation (46 days for sea bream and 95 days for sea bass) revealed no difference between tagged and untagged fish in the cortisol, glucose and lactate levels, suggesting that the tag implantation does not induce prolonged stress in these species. Moreover, the specific growth rate was similar for tagged and untagged fish in both species.
Conclusion
As a conclusion, the tag implantation does not induce mid-term consequences on the stress physiology and the growth performances of these two marine fish species under controlled environment. These observations first support accelerometer tags as useful tools for welfare monitoring in aquaculture condition because they do not affect the welfare and health of implanted fish. Secondly, this study shown that tagged fish can be sampled during experiments and be considered as a representative portion of the population, displaying similar growth and physiological parameters compared to untagged fish.
PENGOLAHAN AIR LIMBAH INDUSTRI TEH BOTOL DENGAN TEKNOLOGI BIOLOGIS ANAEROBIK UASB – WETLAND
Authors: Moenir Misbachul , Sartamtomo S , Moertinah Sri 
Published: April 2020

Industri minuman ringan merupakan salah satu industri yang mengeluarkan air limbah dengan beban organik yang cukup tinggi. Sistem pengolahan air limbah yang berkategori low rate seperti sistem activated sludge yang sekarang diterapkan di industri kurang sesuai lagi untuk mengolah air limbah yang mengandung cemaran organik tinggi dan bersifat kompleks terlarut. Sistem Up-flow Anaerobic Sludge Blanket (UASB) adalah salah satu proses anaerobik dengan efisiensi tinggi yang dapat beroperasi pada beban organik tinggi. Proses pengolahan dengan wetland sebagai pengolahan lanjutan dapat menurunkan kadar cemaran organik lebih lanjut. Pada penelitian digunakan air limbah yang berasal dari salah satu industri teh botol di Jawa Tengah. Sumber mikroba anaerob yang digunakan sebagai seeding reaktor UASB (2 unit paralel) berasal dari lumpur anaerob yang terbentuk pada pengolahan air limbah industri tahu yang telah berfungsi dengan baik. Waktu tinggal dalam reaktor UASB secara total selama 19 jam dengan debit 2.297 l/hari. Pengolahan lanjutan dari reaktor UASB dilakukan dengan pengolahan wetlandHasil penelitian menunjukkan bahwa reaktor UASB I dan II dapat mereduksi COD dengan efisiensi tertinggi 88,51% dan pengolahan dengan wetland tertinggi 85,02%, selanjutnya pengolahan air limbah dengan kombinasi UASB dan wetland dapat mereduksi beban cemaran COD antara 97,65 – 98,90 % dan hasil effluen sudah memenuhi baku mutu air limbah industri minuman dalam botol menurut Peraturan Daerah Provinsi Jawa Tengah Nomor 5 Tahun 2012, yaitu COD = 35,44 mg/l, TSS = 16 mg/l, dan BOD5 = 13,44 mg/l.
PEMANFAATAN LIMBAH CAIR GARAM BAHAN BAKU 30˚ Be UNTUK PENGASINAN IKAN GABUS RENDAH NACl DAN MENGANDUNG Mg
Authors: Nilawati Nilawati 
Published: April 2020

Pengasinan merupakan metode pengawetan yang sudah lama dengan menggunakan garam krosok namun pengasinan dengan limbah cair garam 30˚ Be belum banyak dilakukan. Keuntungan dengan metode ini akan menghasilkan produk ikan asin yang rendah NaCl dan tinggi kandungan Mg. Penelitian ini menggunakan 1 variabel yaitu konsentrasi limbah cair garam 30˚ Be yaitu B0 (0 persen- kontrol), B10 (10 persen). B20 (20 persen), B30 (30 persen), B40(40 persen), B50 (50 persen) dan kontrol B100 (100 persen) serta kontrol pembanding penggaraman kering dengan garam bahan baku G100 (100 persen) atau dikenal garam krosok. Hasil penelitian diperoleh kandungan NaCl murni pada pemakaian larutan 30˚ Be sebanyak 10 persen sebesar 6,952 persen. Dan pada konsentrasi limbah cair garam 30˚ Be dengan konsentrasi 50 persen diperoleh kndungan NaCl murni sebesar 15,478 persen, namun untuk kontrol yang menggunakan garam krosok maka NaCl nya paling tinggi, sedangkan kontrol dengan 100 persen larutan 30˚ Be kandungan NaCl murninya sampai 25,134 persen, yang menggunakan garam bahan baku kandungan NaCl sebesar 43,864 persen. Perlakuan yang terbaik diperoleh pada pemakaian larutan garam 30˚ Be pada konsentrasi 40 persen. Kandungan Magnesium pada penelitian ini berkisar antara 0,387 Sampai 3,444 persen. Perlakuan mulai konsentrasi 30 persen keatas penampakan ikan asin putih kecoklatan , empuk, bersih, namun kalau dibawah 30 persen penampakannya kecoklatan muda, daging liat agak keras namun NaCl nya rendah
APLIKASI PENGOLAHAN AIR LIMBAH INDUSTRI TAPIOKA DENGAN SISTIM ABR DAN UAF
Authors: Djarwanti Djarwanti 
Published: April 2020

Dalam rangka mencegah pencemaran lingkungan beberapa industri tapioka telah menerapkan IPAL dengan sistim biologi anaerob. Pada umumnya pembuatan IPAL ini tidak dilandasi kajian faktor-faktor yang mempengaruhi dalam disain reaktor, sehingga pemilihan jenis reaktor menjadi kurang tepat.Kajian ini bertujuan membandingkan kelayakan teknis dan kelayakan ekonomis penerapan pengolahan air limbah tapioka dengan sistem ABR (Anaerobic Baffled Reactor) dan sistem UAF (Upflow Anaerobic Filter). Sistim ABR telah diterapkan di Sentra Sekalong dan sistim UAF diterapkan di Sentra Margoyoso, Jawa TengahData yang digunakan untuk penelitian bersumber pada hasil penelitian dan penerapan prototipe IPAL industri tapioka di sentra Sekalong dan sentra Margoyoso.Hasil penelitian menunjukkan bahwa sistem UAF layak menggantikan sistem ABR dalam pengolahan air limbah industri tapioka ditinjau dari segi teknis maupun ekonomis. Waktu tinggal proses degradasi bahan organik didalam sistim UAF lebih pendek sehingga volume bangunan lebih kecil, kebutuhan lahanpun menjadi lebih kecil. Untuk kapasitas 20 m3/hari biaya konstruksi sistem UAF lebih murah 47,77% dibanding sistem konvensional menggunakan ABR.
USE OF GAS TURBINES FOR COMBINED ENERGY PRODUCTION
Authors: Bulanin V. A. 
Published: April 2020

Abstract. Aim. Despite the obvious expediency of their widespread implementation, gas turbine (GT) and combined cycle gas turbine (CCGT) plants were only used in limited quantities in the former USSR and CIS countries. Due to the exhaustion of possibilities to increase the fuel use efficiency and return on investment (ROI) in steam-turbine combined heat and power (CHP) plants, the development of GT and CCGT plants becomes an urgent problem. In current global practice, the primary fuel for gas turbines and combined cycle gas turbines is natural gas. However, until recently, there has been a lack of experience in the design, construction and operation of GT and CCGT plants in the CIS countries. Method. Due to the ad hoc nature of research in this area, it was necessary to systematise the results of existing studies and assess the state of research at the world level taking regional characteristics into account. Results. The article presents the main considerations and potential effectiveness of the use of gas turbines. Basic gas turbine construction schemes are investigated along with their techno-economic characteristics and an assessment of their comparative utility. Conclusion. Considering the widespread availability of natural gas, it is recommended that gas turbine and combined-cycle plants be installed as part of the process of technical re-equipment in the fuel and energy complex, industry, agriculture and municipal energy sectors as part of the design and construction of new energy sources in the light of positive world experience and the current level of development of gas turbine technologies. Ubiquitous implementation of gas turbine units in the centres supplying heat and electric loads will reduce the regional economy’s need for energy fuel and ensure an increase in energy capacity without the need to construct new complex and uneconomic steam turbine power plants.
A Comparison of the Psycholinguistic Styles of Schizophrenia-Related Stigma and Depression-Related Stigma on Social Media: Content Analysis
Authors: Li Ang , Jiao Dongdong , Liu Xiaoqian , Zhu Tingshao 
Published: April 2020

Background
Stigma related to schizophrenia is considered to be the primary focus of antistigma campaigns. Accurate and efficient detection of stigma toward schizophrenia in mass media is essential for the development of targeted antistigma interventions at the population level.

Objective
The purpose of this study was to examine the psycholinguistic characteristics of schizophrenia-related stigma on social media (ie, Sina Weibo, a Chinese microblogging website), and then to explore whether schizophrenia-related stigma can be distinguished from stigma toward other mental illnesses (ie, depression-related stigma) in terms of psycholinguistic style.

Methods
A total of 19,224 schizophrenia- and 15,879 depression-related Weibo posts were collected and analyzed. First, a human-based content analysis was performed on collected posts to determine whether they reflected stigma or not. Second, by using Linguistic Inquiry and Word Count software (Simplified Chinese version), a number of psycholinguistic features were automatically extracted from each post. Third, based on selected key features, four groups of classification models were established for different purposes: (a) differentiating schizophrenia-related stigma from nonstigma, (b) differentiating a certain subcategory of schizophrenia-related stigma from other subcategories, (c) differentiating schizophrenia-related stigma from depression-related stigma, and (d) differentiating a certain subcategory of schizophrenia-related stigma from the corresponding subcategory of depression-related stigma.

Results
In total, 26.22% of schizophrenia-related posts were labeled as stigmatizing posts. The proportion of posts indicating depression-related stigma was significantly lower than that indicating schizophrenia-related stigma (χ21=2484.64, P<.001). The classification performance of the models in the four groups ranged from .71 to .92 (F measure).

Conclusions
The findings of this study have implications for the detection and reduction of stigma toward schizophrenia on social media.
Country-Level Assessment of Missed Opportunities for Vaccination in South Africa: Protocol for Multilevel Analysis
Authors: Ndwandwe Duduzile , Ngcobo Ntombenhle J , Adamu Abdu A , Nnaji Chukwudi , Mashunye Thandiwe , Leufak Arlette M , Cooper Sara , Uthman Olalekan A , Wiysonge Charles S 
Published: April 2020

Background
Vaccination is one of the greatest public health interventions of all time. Vaccination coverage in South Africa has shown a steady improvement in reaching the national target. However, while there is progress nationally, there are districts within the country that are below the set target for vaccination coverage. One of the main drivers of suboptimal vaccination coverage is thought to be missed opportunities for vaccination.

Objective
This study aims to understand the magnitude and determinants of missed opportunities for vaccination in South Africa.

Methods
The 2016 South African Demographic and Health Survey will be used to conduct multilevel regression analyses to determine individual and contextual factors associated with missed opportunities for vaccination in South Africa. The perspectives of parents attending health care facilities in South Africa will be explored through exit interviews and focus group discussions. Similarly, perspectives of the health care providers will be sought to understand enablers and barriers to vaccination coverage at the facility level. Insights to such factors will aid in designing tailor-made interventions to improve vaccination coverage in South Africa.

Results
Ethical review submission is planned for October 2020. Data collection is expected to be underway in January 2021.

Conclusions
The extent of missed opportunities in South Africa coupled with the associated factors presents an opportunity for efforts to increase uptake in districts where vaccination coverage is below the national target. Population-level data such as those from the 2016 South African Demographic Health Survey will provide an idea of the magnitude of missed opportunities for vaccination in South Africa at the national and subnational levels. The findings of the study will inform national and subnational policy implementation on vaccinations and help to find context-specific interventions to improve vaccination coverage.

International Registered Report Identifier (IRRID)
PRR1-10.2196/16672
Adaptation of Gratitude Questionnaire-6 (GQ–6) in Indonesian Context
Authors: Grimaldy Dhanifa Veda , Haryanto Handrix Chris 
Published: April 2020

Adaptation of a psychological instrument is essential due to cultural difference and context. This study aimed to adapt the Gratitude Questionnaire-6 (GQ-6) in an Indonesian context. The initial steps included back-to-back translation, focus group discussion, expert judgements, and pilot study. From this procedure, five additional items were added to the original GC-6. The eleven final items were tested to 404 undergraduate students aged 18-24 years-old from several universities in Jakarta. The reliability test, the internal consistency, was examined by the Cronbach’s alpha coefficient, while the validity test, construct validity, was examined using exploratory factor analysis (EFA). The result of analysis showed good validity and reliability (Cronbach’s alpha: 0.789). This study concluded that 11-item gratitude questionnaire consistently measured gratitude in adolescents based on two factors: appreciation to the constant experience of life and appreciation towards individuals that take part in one’s life.
Validity and Reliability of Parenting Stress Construct among Mothers of Children with Autistic Spectrum Disorder
Authors: Daulay Nurussakinah , Ramdhani Neila , Hadjam Noor Rochman 
Published: April 2020

Parents of children with developmental disorders are prone to experiencing parenting stress. This study aimed to examine the validity and reliability of the parenting stress construct. A total of 125 mothers of children with autistic spectrum disorder were involved in this study. The results showed that parenting stress consists of three domains: parent, child, and parent-child interaction. This was proven through a validity test using exploratory and confirmatory analysis. The exploratory analysis indicated that the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy was 0.716, meeting the requirement value of above 0.5. Additionally, Bartlett's test of sphericity was significant (p <0.05). Based on the confirmatory analysis, the model was classified as fit with the index: X² (50, N = 125) = 71.98, p = 0.023, RMSEA = 0.060, GFI = 0.91; IFI = 0.94; CFI = 0.94; and RMSEA = 0.077; convergent validity values (λ> 0.5; and AVE values> 0.5); construct reliability values (CR = 0.846). Analysis of psychometric properties of parenting stress met the assumptions of good construct validity and reliability.