bluuebunny/crossref_metadata_2025_split huggingface dataset:
Simulation-based education for teaching aggression management skills to health care providers in the acute health care setting: a systematic review protocol
Authors: Mitchell Marijke , Bernie Charmaine , Newall Fiona , Williams Katrina 
Published: September 2020

AbstractBackgroundClinical aggression episodes, that is aggression and externalising behaviours that create risk, in acute care hospitals are increasing. Acute care staff are often not confident or trained in the management of aggression. Various aggression management training formats have been described in practice including face to face training, written learning resources, web- and media-based training resources, and simulation training. The aim of this systematic review is to assess whether simulation-based training is effective in increasing de-escalation knowledge, skills, and behaviour of staff working in the acute care setting.MethodsWe designed and registered a study protocol for a systematic review of studies evaluating simulation-based training for the management of patients with aggression. We will include randomised controlled trials, non-randomised controlled trials, quasi-experimental studies, and observational studies including health care professionals and trainees in acute health care settings. Comprehensive searches will be conducted in the following databases (from January 1980 onwards): PubMed, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library. The reference lists of selected studies, trial registers, and leading journals will also be searched. Two reviewers will independently screen all citations, full-text articles, and abstract data. Potential discrepancies will be resolved through discussion. The primary outcomes will include patient outcomes (e.g. frequency of clinical aggression), quality of care (e.g. frequency of emergency situations, physical/chemical/mechanical restraint), and adverse effects (e.g. patient/family complaints, patient harms, staff harms). Secondary outcomes will include workplace resource use, health care provider-related outcomes, knowledge (de-escalation techniques), performance, attitudes, and satisfaction. The study methodological risk of bias will be appraised using appropriate tools. A narrative synthesis will be performed for included studies. If feasible, we will conduct random-effects meta-analysis of data. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g. participant characteristics, interventions, and follow-up).DiscussionThis systematic review will identify, evaluate, and integrate the evidence on simulation-based training programmes for acute care health professionals on managing clinical aggression. The results of this study will inform the implementation of effective training strategies. Implications for future research will be discussed.Systematic review registrationPROSPERO registration number CRD42020151002
New generating functions of I-function satisfying Truesdell’s $F_{q}$-equation
Authors: Bhat Altaf Ahmad , Tassaddiq Asifa , Jain D. K. , Naaz Humera 
Published: September 2020

AbstractIn this paper we first obtain various new forms of the q-analogue of the I-function satisfying Truesdell’s ascending and descending $F_{q}$

F
q

-equation. Then we use these forms to obtain new generating functions for the q-analogue of the I-function. Some particular cases of these results in terms of the q-analogue of the I-function, H-function and G-function have also been obtained.
New general Grüss-type inequalities over σ-finite measure space with applications
Authors: Iqbal Sajid , Adil Khan Muhammad , Abdeljawad Thabet , Samraiz Muhammad , Rahman Gauhar , Nisar Kottakkaran Sooppy 
Published: September 2020

AbstractIn this paper, we establish some new integral inequalities involving general kernels. We obtain the related broad range of fractional integral inequalities. Also, we apply the Young inequality to find new forms of inequalities for generalized kernels. These new and motivated results generalize the results for fractional integrals such that fractional integral of a function with respect to an increasing function, Riemann–Lioville fractional integrals, Erdélyi–Kober fractional integrals, Hadamard fractional integrals, generalized factional integral integrals in addition to the corresponding k-fractional integrals.
Microsaccadic modulation evoked by emotional events
Authors: Kashihara Koji 
Published: September 2020

AbstractSaccadic eye movements can allude to emotional states and visual attention. Recent studies have shown that microsaccadic responses (i.e., small fixational eye movements) reflect advanced brain activity during attentional and cognitive tasks. Moreover, the microsaccadic activity related to emotional attention provides new insights into this field. For example, emotional pictures attenuate the microsaccadic rate, and microsaccadic responses to covert attention occur in the direction opposite to a negative emotional target. However, the effects of various emotional events on microsaccadic activity remain debatable. This review introduces visual attention and eye movement studies that support findings on the modulation of microsaccadic responses to emotional events, comparing them with typical microsaccadic responses. This review also discusses the brain neuronal mechanisms governing microsaccadic responses to the attentional shifts triggered by emotion-related stimuli. It is hard to reveal the direct brain pathway of the microsaccadic modulation, especially in advanced (e.g., sustained anger, envy, distrust, guilt, frustration, delight, attraction, trust, and love), but also in basic human emotions (i.e., anger, disgust, fear, happiness, sadness, and surprise). However, non-human primates and human studies can uncover the possible brain pathways of emotional attention and microsaccades, thus providing future research directions. In particular, the facilitated (or reduced) attention is common evidence that microsaccadic activities change under a variety of social modalities (e.g., cognition, music, mental illness, and working memory) that elicit emotions and feelings.
Nitrite inhalants use, sexual behaviors and HIV/syphilis infection among men who have sex with men in Chongqing, China
Authors: Chen Jin , Huang Yu-Ling , Chen Huai-Liang , Xia Ji 
Published: September 2020

Abstract
Background
Emerging evidence indicates nitrite inhalants have become increasingly prevalent among men who have sex with men (MSM). The present study aimed to describe the prevalence and correlates of nitrite inhalants use and its association with risky sexual behaviors and human immunodeficiency virus (HIV)/syphilis infection among MSM in Chongqing, a city in China where MSM were burdened with the highest pooled HIV prevalence in the country.

Methods
This cross-sectional study was conducted in Chongqing between March 2019 and February 2020. Information of demographics, drug use, sexual behaviors and HIV testing was collected through an anonymous survey. Blood samples were drawn from each participant for the diagnoses of HIV and syphilis. Logistic regression analysis was performed to evaluate factors correlated with nitrite inhalants use and its relationship with risky sexual behaviors and HIV/syphilis infection.

Results
Of the 1151 eligible participants, 18.9% (218) reported use of at least one type of recreational drugs in the past 6 months, and nitrite inhalants were the most commonly used substance (17.7, 95% confidence interval [CI]: 15.6–20.2%). The proportions of participants reported engaging in group sex and practicing condomless internal ejaculation during anal sex in the past six months were 5.8% (95% CI: 4.4–7.2%) and 41.7% (95% CI: 38.7–44.7%), respectively. The general prevalence of HIV and syphilis infection among the enrolled MSM were 16.8% (95% CI: 14.7–19.0%) and 12.6% (95% CI: 10.7–14.4%), respectively. Factors positively associated with nitrite inhalants use included: age ≤ 25 (adjusted odds ratio [aOR] = 2.08, 95% CI: 1.10–3.94), monthly individual income ≥ CNY 3000 (Chinese Yuan) (aOR = 1.95, 95% CI: 1.18–3.22), preferring receptive anal intercourse (aOR = 2.27, 95% CI: 1.34–3.84) and versatile anal intercourse (aOR = 2.60, 95% CI: 1.64–4.13), age at first anal intercourse < 18 (aOR = 1.79, 95% CI: 1.21–2.67), engaging in group sex in the past six months (aOR = 9.34, 95% CI: 4.95–17.63), having multiple male sex partners in the past 6 months (aOR = 2.32, 95% CI: 1.50–3.58), practicing CIE during anal sex in the past six months (aOR = 1.71, 95% CI: 1.19–2.46), HIV infection (aOR = 1.72, 95% CI: 1.11–2.66) and syphilis infection (aOR = 1.98, 95% CI: 1.23–3.17).

Conclusions
This study found that nitrite inhalants were the most commonly used recreational substance among MSM and nitrite inhalants use were associated with higher probability of HIV and syphilis infection. Therefore, increased attention and counselling should be given to nitrite inhalants-using MSM.
The role of smalt in complex pigment mixtures in Rembrandt’s Homer 1663: combining MA-XRF imaging, microanalysis, paint reconstructions and OCT
Authors: van Loon A. , Noble P. , de Man D. , Alfeld M. , Callewaert T. , Van der Snickt G. , Janssens K. , Dik J. 
Published: September 2020

Abstract
As part of the NWO Science4Arts REVISRembrandt project (2012–2018), novel chemical imaging techniques were developed and applied to the study of Rembrandt’s late experimental painting technique (1651–1669). One of the unique features in his late paintings is his abundant use of smalt: a blue cobalt glass pigment that he often combined with organic lake pigments, earth pigments and blacks. Since most of these smalt-containing paints have discolored over time, we wanted to find out more about how these paintings may have originally looked, and what the role of smalt was in his paint. This paper reports on the use of smalt in complex pigment mixtures in Rembrandt’s Homer (1663), Mauritshuis, The Hague. Macroscopic X-ray fluorescence imaging (MA-XRF) assisted by computational analysis, in combination with SEM-EDX analysis of paint cross-sections, provides new information about the distribution and composition of the smalt paints in the painting. Paint reconstructions were carried out to investigate the effect of different percentages of smalt on the overall color, the drying properties, translucency and texture of the paint. Results show that the influence of (the originally blue) smalt on the intended color of the paint of the Homer is minimal. However, in mixtures with high percentages of smalt, or when combined with more transparent pigments, it was concluded that the smalt did produce a cooler and darker paint. It was also found that the admixture of opaque pigments reduced the translucent character of the smalt. The drying tests show that the paints with (cobalt-containing) smalt dried five times faster compared to those with glass (without cobalt). Most significantly, the texture of the paint was strongly influenced by adding smalt, creating a more irregular surface topography with clearly pronounced brushstrokes. Optical coherence tomography (OCT) was used as an additional tool to reveal differences in translucency and texture between the different paint reconstructions. In conclusion, this study confirmed earlier assumptions that Rembrandt used substantial amounts of smalt in his late paintings, not for its blue color, but to give volume and texture to his paints, to deepen their colors and to make them dry faster.
Prevalence and incidence rate of tuberculosis among HIV-infected patients enrolled in HIV care, treatment, and support program in mainland Tanzania
Authors: Majigo M. , Somi G. , Joachim A. , Manyahi J. , Nondi J. , Sambu V. , Rwebembera A. , Makyao N. , Ramadhani A. , Maokola W. , Todd J. , Matee M. I. 
Published: September 2020

Abstract
Background
Despite improvements in access to antiretroviral therapy (ART), mortality in people living with human immunodeficiency virus (PLHIV) is still high and primarily attributed to tuberculosis (TB) infection. In Sub-Saharan Africa, approximately 80% of HIV-related mortality cases are associated with TB. Relatively little is known about the incidence of TB among PLHIV in Tanzania and the determinant factors. We report the prevalence and incidence rate of confirmed TB and determine association with selected demographic and program-related factors based on data in the national HIV care and treatment program from 2011 to 2014.

Methods
We used the Tanzania National AIDS Control Programme database to obtain information on all HIV clients enrolled in the HIV care and treatment program between January 2011 and December 2014. We analyzed retrospective cohort data to assess the prevalence and TB incidence rate per 1000 person-years. A multivariable Cox proportional hazards regression model was used to estimate hazard ratios and 95% confidence intervals for putatively associated factors.

Results
Over 4 years, there were 22,071 confirmed cases of pulmonary TB in 1,323,600 person-years. The overall TB incidence was around 16.7 (95% CI 16.4–16.9) cases per 1000 person-years. The annual incidence rate decreased by 12.4 % from 17.0 (95% CI 16.5–17.4) in 2011 to 14.9 (95% CI 14.5–15.4) in 2014. The TB incidence rate was higher in persons not using ART and in males than in females. The incidence of TB was higher in patients with advanced HIV disease and decreased with increasing age. The overall prevalence of TB was 2.2%, with a peak prevalence of 2.5% in 2013 and was higher among children < 15 years (3.2%) in the same year.

Conclusion
The study found an overall decrease in the incidence of TB in PLHIV. Our results emphasize the need for early initiation of ART and the provision of TB preventive therapy for those PLHIV without active TB after intensified TB case-finding.
A systematic review and meta-analysis on the global prevalence of microsporidia infection among dogs: a zoonotic concern
Authors: Taghipour Ali , Bahadory Saeed , Khazaei Sasan 
Published: September 2020

Abstract
Background
Microsporidiosis is an emerging zoonotic disease that is considered a global public health concern. Dogs are suggested as one of potential reservoirs for transmitting the microsporidia infection to humans. However, there is little data on distribution of microsporidia in dogs. The current study aimed to evaluate the global prevalence and genetic diversity of microsporidia infection among the dog population.

Methods
We searched four major databases for studies reporting the prevalence of microsporidia in dogs until 30 May 2020. A random-effects model was used to estimate the overall and the subgroup-pooled prevalence of microsporidia across studies.

Result
Finally, a total of 32 studies (including 37 datasets) from 17 countries were included in this meta-analysis. The overall prevalence (95% CI) of microsporidia infection was estimated at 23.1% (13.5–36.8%) using microscopic methods, 20.9% (14.6–29%) using serological methods, and 8.4% (6.1–11.5%) using molecular methods. Molecular methods showed that the highest number of reports was related to Enterocytozoon bieneusi with a pooled prevalence of 6.5% (4.9–8.7%). Considering E. bieneusi genotypes, most studies reported the PtEb IX (10 studies) and the D (eight studies) genotypes.

Conclusion
These results emphasize the role of a dog as a reservoir host for human-infecting microsporidia. In addition, monitoring programs for human-infecting microsporidia in animals with close contact to humans should be considered.
Tuberculosis in migrants – screening, surveillance and ethics
Authors: Scandurra Gabriella , Degeling Chris , Douglas Paul , Dobler Claudia C. , Marais Ben 
Published: September 2020

AbstractTuberculosis (TB) is the leading infectious cause of human mortality and is responsible for nearly 2 million deaths every year. It is often regarded as a ‘silent killer’ because it predominantly affects the poor and marginalized, and disease outbreaks occur in ‘slow motion’ compared to Ebola or coronavirus 2 (COVID-19). In low incidence countries, TB is predominantly an imported disease and TB control in migrants is pivotal for countries to progress towards TB elimination in accordance with the World Health Organisations (WHO’s) End TB strategy. This review provides a brief overview of the different screening approaches and surveillance processes that are in place in low TB incidence countries. It also includes a detailed discussion of the ethical issues related to TB screening of migrants in these settings and the different interests that need to be balanced. Given recognition that a holistic approach that recognizes and respects basic human rights is required to end TB, the review considers the complexities that require consideration in low-incidence countries that are aiming for TB elimination.
The management of subacute and chronic vascular aphasia: an updated review
Authors: Msigwa Samwel Sylvester , Cheng Xianglin 
Published: September 2020

Abstract
Background
Post-stroke aphasia (PSA) is an impairment of the generation or comprehension of language due to acute cerebrovascular lesions. Subacute phase span the 7th day to 24 weeks post-onset while > 6 months is termed chronic phase. Language recovery does not arise immediately in chronic PSA, unlike the acute phase. The majority of the treatment modalities in these two PSA phases are still in the infancy stage, facing dilemmas and considered experimental requiring constant updates. Hence, we aimed to upgrade the existing literature regarding available PSA management options, advances, and drawbacks pertaining to subacute and chronic phases.

Main text
In this review, we analyzed the management options for subacute and chronic vascular aphasia. MEDLINE, through PubMed, ScienceDirect, and Google Scholar were explored for English studies by utilizing the terms “stroke aphasia” Plus “vascular aphasia”; 160,753 articles were retrieved. The latest studies, published from 2016 to July 2020, were selected. Article headings and abstracts were analyzed for relevance and filtered; eventually, 92 articles were included in this review. Various management options were extracted as follows: noninvasive brain stimulation (NIBS), technology-based therapies, speech-language therapy (SLT), pharmacotherapy, music-based therapies, and psychosocial interventions.

Conclusion
The PSA therapy evolves towards more intense SLT therapy, yet the optimal dosage of the emerging high-intensity therapies is controversial. As spinal and cerebellar NIBS, Telespeech, and E-mental health mark PSA's future, distinct pharmacological options remain a dilemma. Across the continuum of care, PSA–depression comorbidity and inadequate PSA post-discharge education to patient’s families are the significant therapeutic challenges. Future therapeutic mechanisms, optimal dose/timing, and tolerability/safety exploration are obliged.
Superior mesenteric artery outcomes after large fenestration strut relocation with the Zenith Fenestrated endoprosthesis
Authors: Mirza Aleem K. , Sullivan Timothy M. , Skeik Nedaa , Manunga Jesse 
Published: September 2020

Abstract
Background
The Zenith® Fenestrated (ZFen) stent-graft is frequently configured with a strut-spanning large fenestration for superior mesenteric artery (SMA) incorporation. This has led some to relocate struts to create a strut-free fenestration and place a bridging stent. The aim of this study was to compare SMA outcomes with and without large fenestration strut relocation.

Methods
We performed a retrospective review of a prospective database of patients undergoing fenestrated endovascular repair with ZFen between 2013 and 2019. Those with SMA incorporation using large fenestrations were included and separated into strut relocation (SR) and no relocation (NR) groups. Endpoints included procedural metrics, technical success, major adverse events, and target-vessel instability.

Results
A total of 121 patients (77% male; mean age 76.1 ± 7.1 years) met inclusion criteria, including 94 with SR (78%) and 27 with NR (22%). A total of 369 target-vessels were incorporated, with a mean of 3.0 ± 0.2 per patient, and no differences between groups. Mean operative time, contrast volume, estimated blood loss, fluoroscopy time and radiation dose were lower (p < 0.001) with SR, attributed to increased experience with time. Overall technical success (SR: 100%, NR: 96%, p = 0.22) was 99%. At a mean follow-up of 32 months, there were two endovascular interventions for mesenteric ischemia. One resulted in SMA dissection requiring bypass in the NR group, the other was successful ballooning of the bridging stent with symptom resolution in the SR group.

Conclusions
Relocating the spanning struts does not negatively impact procedural metrics or midterm outcomes. It may facilitate future endovascular interventions.
Responses of Driver-Athletes to Repeated Driving Stints
Authors: POTKANOWICZ EDWARD S. , FERGUSON DAVID P. , GREENSHIELDS JOEL T. 
Published: September 2020

ABSTRACT
Having overcome old societal stereotypes, the race car driver is now recognized as a true athlete. Research in driver science continues to contribute to this change by expanding its scope to examine multiple forms of racing, such as endurance racing, which challenges the driver-athlete beyond that of a traditional race.

Purpose
The purpose of this study was to examine and quantify the effect of repeated driving stints on the physiologic, metabolic, and hormonal responses of three professional endurance driver-athletes.

Methods
Core body temperature, HR, and physiological strain index were recorded during the Rolex 24 Hours of Daytona endurance race using the Equivital Life Monitor system. Blood glucose was monitored continuously during the event using a FreeStyle Libre Pro (Abbott, Alameda, CA). Alpha-amylase and cortisol were sampled immediately before the beginning of a stint and immediately after.

Results
First-stint overall and individual driver-athlete responses were similar to those reported in the literature. Later-stint responses diverged from the literature. Reductions in initial core temperature, absence of increases in HR and physiological strain index, and altered glucose and hormonal responses were each observed in the later stint.

Conclusion
The data support previous research showing that motorsports has a measurable physiological, metabolic, and hormonal effect on the driver-athlete. This study also shows that multiple stints elicit responses that deviate from the published literature on single-stint events. This study is also particularly interesting in that it represents one of the first times that longitudinal data have been gathered on endurance racing driver-athletes.