bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acessível ou não? Eis a questão!
Authors: Rodrigues Luciana , Cheibub Bernardo Lazary 
Published: January 2021

Paraty é um município de patrimônios naturais, históricos e culturais, que lhe renderam o título de Patrimônio Mundial como Sítio Misto, mas que não possibilita que todas as pessoas possam visitá-lo de forma autônoma e segura. A investigação que originou este artigo teve como objetivos reconhecer as barreiras que prejudicam a mobilidade de pessoas com deficiência (PCDs) no Centro Histórico (CH) de Paraty e arredores, bem como analisar se há um paradoxo entre tombamento de patrimônio e acessibilidade. A partir de uma pesquisa qualitativa exploratória de base etnográfica, foram realizadas observações diretas em campo, o acompanhamento da experiência turística in loco de uma pessoa com deficiência física e entrevistas, com roteiro semiestruturado, com agentes sociais do Instituto do Patrimônio Histórico e Artístico Nacional (IPHAN) e da Gestão Pública Municipal. Além disso, foram examinados documentos e legislações acerca da acessibilidade daquela cidade. Conclui-se que, devido às diversas barreiras estruturais e a ausência de ações do poder público, Paraty, uma cidade extremamente turística, não proporciona acessibilidade plena às PCDs. Pretende-se com este trabalho contribuir para a discussão sobre a inclusão das PCDs na sociedade, mostrando a importância da acessibilidade no desfrute de experiências turísticas nos destinos desejados.
Impact of a Low-Cost Postsecondary Enrollment Intervention: Evidence from
Louisiana
Authors: Joshi Swarup , Barnes Stephen 
Published: January 2021

Abstract
It is well understood that postsecondary education increases lifetime earnings, yet the complexity of the college application process creates a barrier to postsecondary enrollment. This paper investigates a whole-school external application assistance program run by a nonprofit student support services organization, Career Compass of Louisiana. We use panel data of Louisiana high schools in a difference-in-differences framework and find that exposure to Career Compass increases postsecondary enrollment by 3.9 percentage points. Moreover, the effect of exposure is larger in school districts with a majority of black students as well as districts with a majority of low-income students. By providing services to all schools within a district, the program is able to achieve low costs relative to similar programs and effects that are in line with many more expensive programs, suggesting that scaling this model to new areas could provide a cost-effective approach to increasing postsecondary enrollment among high school graduates.
Risk Factors for Assault and Physical Aggression Among Medically Hospitalized Adult Patients Who Had a Behavioral Emergency Call: A Descriptive Study
Authors: Derscheid Della J. , Lohse Christine , Arnetz Judith E. 
Published: January 2021

BACKGROUND: Health care settings are a primary location for workplace violence that involves clients, but risk factors for behavioral emergencies in medical settings are largely unknown. AIM: This study proposed to identify risk factors for assault and physical aggression among medically hospitalized patients who needed a behavior emergency response team. METHOD: This descriptive study, conducted at a large Midwestern academic medical center, used univariable and multivariable logistic regression to assess relationships between demographic, medical, mental health, and contextual variables with assault and physical aggression. Predictive ability was summarized using area under the receiver operating characteristic curve. RESULTS: Among patients who received a behavior emergency response ( N = 820), 86 (10%) were assaultive. Physical aggression was the most significant predictor of assault. Physical aggression was predicted by older age, male gender, and verbal threats to others. Conversely, internalizing mental health conditions of anxiety, depression, and suicidal ideation were significant for decreased risk of assault and/or physical aggression. Contextual factors, identified as wanting to smoke or leave the hospital, were significantly associated with decreased risk of both assault and physical aggression. CONCLUSION: Health care providers are encouraged to (1) consider the demonstration of physical aggression as a sign to urgently implement precautionary measures for safety, (2) avoid predicting violent situations based on particular medical or mental health conditions alone, and (3) understand that not all disruptive behavior leads to violent situations.
Directional sound field decay analysis in performance spaces
Authors: Berzborn Marco , Vorländer Michael 
Published: January 2021

The analysis of the spatio-temporal features of sound fields is of great interest in the field of room acoustics, as they inevitably contribute to a listeners impression of the room. The perceived spaciousness is linked to lateral sound incidence during the early and late part of the impulse response which largely depends on the geometry of the room. In complex geometries, particularly in rooms with reverberation reservoirs or coupled spaces, the reverberation process might show distinct spatio-temporal characteristics. In the present study, we apply the analysis of directional energy decay curves based on the decomposition of the sound field into a plane wave basis, previously proposed for reverberation room characterization, to general purpose performance spaces. A simulation study of a concert hall and two churches is presented uncovering anisotropic sound field decays in two cases and highlighting implications for the resulting temporal evolution of the sound field diffuseness.
Resuming Dental and Craniomaxillofacial Surgical Missions During the COVID-19 Pandemic: Guidelines and Recommendations
Authors: Mañón Victoria A. , Tran Ashley , Sifri Ziad C. , Aziz Shahid R. 
Published: January 2021

Study Design: Descriptive review article. Objective: The purpose of this article is to provide guidelines and recommendations for how to safely resume dental and craniomaxillofacial STSMs. The following considerations will be discussed: the need for extensive collaboration between organizations and local leadership, the importance of COVID-19 testing, use and management of personal protective equipment, team selection and training, social distancing protocols, and criteria for patient and case selection. Methods: A literature review was completed, identifying resources and current data regarding the safe resumption clinical activities during the COVID-19 pandemic. Results: At this time, there are no protocols developed regarding the safe resumption of STSMs. Primary resources, including the CDC, WHO, and FDA should be closely monitored so that developed protocols from these recommendations reflect the latest information. Conclusion: This paper outlines general considerations and recommendations for dentists, oral health specialists, and craniomaxillofacial surgeons seeking to safely resume STSMs. These recommendations are designed to minimize the risk of exposure to COVID-19 by reinforcing social distancing protocols, reviewing criteria for patient and case selections, encouraging collaboration between organizations and local leadership, and team training. These guidelines should be tailored to fit the needs of each individual mission while keeping the safety as the main objective.
Exploring the opinion of stakeholders about self-care, home care and hospital management of heart failure patients: A qualitative study
Authors: Kumari Bandna , Kaur Sukhpal , Dutta Monika , Barwad Parag , Bahl Ajay 
Published: January 2021

Introduction Heart failure is a widespread chronic cardiac illness with varying etiologies. If the HF patients manage themselves at home by following the appropriate advice by healthcare professionals, they tend to have better quality of life and less readmissions. This study was aimed to identify and explore practices of self-management by heart failure patients, home management of heart failure by their family caregivers and hospital management by healthcare providers. Methods A qualitative study was conducted in a tertiary care center in Northern India on participants (patients, their family caregivers, doctors and nurses) who were recruited purposively and interviewed individually by principle investigator using semi-structured questionnaires. Interviews were audio recorded and transcribed after taking informed consent. Iterative process including coding, reviewing and analyzing was done by four researchers and themes were finalized. Results Total 41 participants (15 patients, 12 family caregivers, 4 doctors and 10 nurses) completed the interviews. It was observed that patients and family caregivers were not able to manage heart failure efficiently. Nurses and doctors reported many barriers to provide specialized care to these patients. Discussion There were definite barriers and challenges in the management of heart failure symptoms by the stakeholders. For the patients and family members who suffer this debilitating illness, managing heroically is a challenge. It is important to develop self-care management protocol for the heart failure patients. Healthcare professionals must overcome the barriers to train patients and family caregivers. Multidisciplinary integration can fulfill the gap in providing care to such patients.
Aerodynamic-Parameter Identification and Attitude Control of Quad-Rotor Model with CIFER and Adaptive LADRC
Authors: Yang Sen , Xi Leiping , Hao Jiaxing , Wang Wenjie 
Published: January 2021

AbstractCurrent research on quadrotor modeling mainly focuses on theoretical analysis methods and experimental methods, which have problems such as weak adaptability to the environment, high test costs, and long durations. Additionally, the PID controller, which is currently widely used in quadrotors, requires improvement in anti-interference. Therefore, the aforementioned research has considerable practical significance for the modeling and controller design of quadrotors with strong coupling and nonlinear characteristics. In the present research, an aerodynamic-parameter estimation method and an adaptive attitude control method based on the linear active disturbance rejection controller (LADRC) are designed separately. First, the motion model, dynamics model, and control allocation model of the quad-rotor are established according to the aerodynamic theory and Newton–Euler equations. Next, a more accurate attitude model of the quad-rotor is obtained by using a tool called CIFER to identify the aerodynamic parameters with large uncertainties in the frequency domain. Then, an adaptive attitude decoupling controller based on the LADRC is designed to solve the problem of the poor anti-interference ability of the quad-rotor and adjust the key control parameter b0automatically according to the change in the moment of inertia in real time. Finally, the proposed approach is verified on a semi-physical simulation platform, and it increases the tracking speed and accuracy of the controller, as well as the anti-disturbance performance and robustness of the control system. This paper proposes an effective aerodynamic-parameter identification method using CIFER and an adaptive attitude decoupling controller with a sufficient anti-interference ability.
The CEBPE rs2239633 genetic polymorphism on susceptibility to childhood acute lymphoblastic leukemia: an updated meta-analysis
Authors: Liu Jin , Weiling Gu , Xueqin Li , Liang Xie , Linhong Wang , Zhongwen Chen 
Published: January 2021

Abstract
Objectives
We performed an updated meta-analysis to clarify the relationship between the CEBPE rs2239633 polymorphism and the childhood acute lymphoblastic leukemia (CALL) susceptibility.

Methods
All the case-control studies were updated on October 5, 2020, through Web of Science, PubMed, Cochrane Library, Embase, and China National Knowledge Infrastructure (CNKI) electronic database. The heterogeneity in the study was tested by the Q test and I2, and then the random ratio or fixed effect was utilized to merge the odds ratios (OR) and 95% confidence interval (CI). We also performed sensitivity analysis to estimate the impact of individual studies on aggregate estimates. Publication bias was investigated by using funnel plot and Egger’s regression test. All statistical analyses were performed using Stata 12.0.

Results
A total of 20 case-control studies were selected, including 7014 patients and 16,428 controls. There was no association of CEBPE rs2239633 polymorphism with CALL (CC vs CT + TT: OR = 1.08, 95% CI = 0.94–1.26; CC + CT vs TT: OR = 1.10, 95% CI = 0.94–1.30; C vs T: OR = 1.02, 95% CI = 0.92–1.13). In the subgroup analysis by ethnicity, there is no significant association of this polymorphism and CALL risks among Asian and Caucasian populations in the three genetic models (CC vs CT + TT, CC + CT vs TT, and C vs T).

Conclusion
This meta-analysis found no significant association between the CEBPE rs2239633 polymorphism and susceptibility to CALL.
Cooperative messages to enhance the performance of L3 vehicles approaching roadworks
Authors: Agriesti Serio Angelo Maria , Ponti Marco , Marchionni Giovanna , Gandini Paolo 
Published: January 2021

Abstract
Introduction
In the near future, automated vehicles will drive on public roads together with traditional vehicles. Even though almost the whole academia agrees on that statement, the possible interferences between the two different kinds of driver are still to be analyzed and the real impacts on the traffic flow to be under-stood.

Objectives
Aim of this paper is to study one of the most likely L3 automated system to be deployed on public roads in the short term: Highway Chauffeur. The analysis of this system is carried out on a roadwork scenario to assess the positive impacts arising from a joint implementation of the automated system and the C-ITS Use Case signaling the closure of a lane. In fact, the main contribution of this paper is the assessment of the possible benefits in travel times and driving regime arising from the joint implementation of the Highway Chauffeur system and of C-ITS messages, both for the vehicles equipped with both technologies and for the surrounding traffic.

Methods
The assessment is achieved through traffic simulations carried out with the VISSIM software and a Python script developed by the authors. The overall process is described and the obtained results are provided, commented and compared to define the implementation of the C-ITS Use Case that could maximize the benefits of L3 driving.

Results
These results showed how triggering the take-over maneuver in ad-vance fosters the bottleneck efficiency (the same speed values reached between 80 and 100% Market Penetration for around 700 m range of the C-ITS message are reached at 50% Market Penetration with a 1500 m range). Besides, an in-creased speed up to 30 km/h at the bottleneck is recorded, depending on the mar-ket penetration and the message range. Finally, the delay upstream the roadworks entrance is reduced by 6% and arises at around 700 m, without the need to deploy the message up to 1500 m.

Conclusions
The paper investigates the impacts of take-over maneuvers and of automated driving while considering different operational parameters such as the message range. The results suggest all the potentialities of the Use Case while providing interesting figures that frame the trends related to the different imple-mentations. Finally, the tool developed to carry out the presented analysis is re-ported and made available so that hopefully the Use Case may be explored further and a precise impact assessment may be carried out with different prototypes of AVs and on different infrastructures.
Prevalence and correlates of maternal early stimulation behaviors during pregnancy in northern Ghana: a cross-sectional survey
Authors: Mackness Jessica , Gallis John A. , Owusu Raymond Kofi , Ali Mohammed , Abubakr-Bibilazu Safiyatu , Adam Haliq , Aborigo Raymond , Awoonor-Williams John Koku , Lillie Margaret , McEwan Elena , Hembling John , Vasudevan Lavanya , Baumgartner Joy Noel 
Published: January 2021

Abstract
Background
Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana.

Methods
This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.

Results
About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors.

Conclusion
Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.

Trial registration
Clinical Trials # NCT03665246, August 29, 2018.
Childcare practices among teenage mothers in Ghana: a qualitative study using the ecological systems theory
Authors: Twintoh Reuben Foster , Anku Prince Justin , Amu Hubert , Darteh Eugene Kofour Maafo , Korsah Kwaku Kissah 
Published: January 2021

AbstractBackgroundWhile appropriate care for children is essential for optimal growth and protection against child morbidity and mortality, teenage mothers have been shown to deviate from the recommended childcare practices. This study explored the childcare practices among teenage mothers in Ghana using Ecological Systems Theory by Bronfenbrenner as a theoretical framework.MethodsEmploying qualitative approach to inquiry, evidence was drawn from 30 teenage mothers using in-depth interviews. The data were analysed and presented following systematic qualitative-oriented text analysis strategy with verbatim quotes from study participants to support the emergent themes.ResultsIt was evident that teenage mothers have limited skills in childcare practices and often resorted to practices with potentially adverse health outcomes for their children. They, for instance, applied hot towels they had heated with hot stones to the children’s umbilical stump. We found that teenage mothers were not in sync with their macro- and exo-systems, thereby depriving themselves and their babies of the much-needed guidance and support in caring for their babies. Teenage mothers were often confused and sometimes clueless about best childcare practices at a given point in time.ConclusionsChildcare practices by teenage mothers are far from the ideal. To improve on child health (especially children born to teenage mothers), efforts at both the macro- and exo-systems should be directed at exposing teenage mothers to best child care practices that inure to the benefits of their children. Ante- and postnatal visits should be used to provide specific education for mothers, especially first-time teenage mothers on the care needs of babies and how to provide these needs.
Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study
Authors: Chen Xu , Du Liang , Wu Ruiheng , Xu Jia , Ji Haoqiang , Zhang Yu , Zhu Xuexue , Zhou Ling 
Published: January 2021

Abstract
Background
The stigma of tuberculosis (TB) poses a significant challenge to TB control because it leads to delayed diagnosis and non-adherence. However, few studies on TB-related stigma have been completed in China. The aim of the current study was to explore the status of TB-related stigma and its associated predictive factors among TB patients in Dalian, Northeast China.

Methods
An institution-based, cross-sectional survey was conducted among outpatients at Dalian Tuberculosis Hospital in Liaoning Province, Northeast China. Data were collected by using a questionnaire that measured TB-related stigma, treatment status, anxiety, social support, doctor-patient communication and so on. A multiple linear regression model was used to determine the predictors of TB-related stigma.

Results
A total of 601 eligible participants were recruited. The mean score for TB-related stigma was 9.07, and the median score was 10. The average scores for anxiety, social support and doctor-patient communication were 4.03, 25.41 and 17.17, respectively. Multiple linear regression analysis revealed that patients who were female (β = 1.19, 95% CI: 0.38–2.01, P < 0.05), had self-assessed moderate or severe disease (β = 1.08, 95% CI: 0.12–2.03 and β = 1.36, 95% CI: 0.03–2.70, respectively, P < 0.05), and had anxiety (β = 0.38, 95% CI: 0.30–0.46, P < 0.001) were more likely to have a greater level of TB-related stigma than their counterparts. However, a significantly lower level of TB-related stigma was observed in patients with good social support (β = − 0.25, 95% CI: − 0.33--0.17, P < 0.001) and doctor-patient communication (β = − 0.14, 95% CI: − 0.29--0.00, P < 0.05).

Conclusions
This study showed that stigma among TB patients was high. Targeted attention should be paid to female patients and patients with moderate or severe disease in TB stigma-related interventions. Moreover, the important role of social support and doctor-patient communication in reducing TB-related stigma should also be emphasized.