bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of COVID-19 on Canadian Radiology Residency Training Programs
Authors: Odedra Devang , Chahal Baljot S. , Patlas Michael N. 
Published: June 2020

Purpose: The novel coronavirus disease (COVID-19) pandemic has swept the globe, with a domino effect on medical education and training. In this study, we surveyed Canadian radiology residents to understand the impact of the pandemic on their residency training, strategies utilized by the residency programs in mitigating those impacts, and factors important to residents in the selection of educational resources on COVID-19. Methods: A 10-item questionnaire was distributed to 460 resident members of the Canadian Association of Radiologists. The survey was open for 2 weeks, with a reminder sent at half-way mark. Results: We received 96 responses (response rate: 20.9%). The 4 highest affected domains of training were daytime case volumes (92.4%), daytime schedules (87.4%), internal and external assessments (86.5%), and vacation/travel (83.3%). Virtual teaching rounds (91.7%), change in schedules to allow staying home (78.1%), and virtual/phone readouts (72.9%) were the most utilized strategies by the Canadian radiology residency programs. Overall stress of exposure to the disease was moderate to low (86.5%). A minority of the residents were redeployed (6.2%), although most (68.8%) were on standby for redeployment. Residents preferred published society guidelines (92.3%), review papers (79.3%), video lectures (79.3%), and web tools (76.9%) for learning about COVID-19 imaging manifestations. Conclusion: The COVID-19 pandemic has had a significant impact on various domains of the Canadian radiology residency programs, which has been mitigated by several strategies employed by the training programs.
Engaging African American Parents to Develop a Mobile Health Technology for Breastfeeding: KULEA-NET
Authors: Patchen Loral , Ellis Lindsey , Harrington Cherise B. , Ma Tony , Mohanraj Rohini , Andrews Virginia , Evans William Douglas 
Published: June 2020

Background African Americans breastfeed less than other groups, which has implications for health throughout the life course. Little is known about mobile health technologies to support breastfeeding. Research aims This study proceeded in two phases. The aim of Phase 1 was to identify ideal technological components and content of a mobile health intervention. The aim of Phase 2 was to determine the usability of a prototype, KULEA-NET, based on the Phase 1 findings. Methods For this mixed-methods study, we used community-based participatory research methods and user-centered technology design methods. We used open coding in NVivo 11 to organize data from focus groups and in-depth interviews, then we analyzed the data. We then developed a prototype and tested the prototype’s usability with the System Usability Scale. Fifty pregnant and postpartum African Americans from the District of Columbia participated. Results Participants preferred an app with text messaging technology and identified areas for intervention: self-efficacy, parent-child attachment beliefs, social support, public breastfeeding and social desirability, and returning to work. Desired features included local resources, support person access, baby care logs, identification of public breastfeeding venues, and peer discussions. The System Usability Scale score was 73.8, which indicates above average usability. Conclusions A mobile health technology like KULEA-NET can be used to meet the breastfeeding needs of African Americans, build social desirability, and complement traditional health care. The appeal of an African American-specific intervention is unclear. Responding to mixed feeding practices is challenging. KULEA-NET is a mobile breastfeeding intervention guided by the preferences of African American parents and offers promising usability metrics.
Roflumilast counteracts DMH-induced preneoplastic colon damage in albino Wistar rats
Authors: Saeedan AS , Rastogi S , Ansari MN 
Published: June 2020

Objective: The study explored the chemoprophylactic potential of roflumilast against 1,2-dimethylhydrazine (DMH) actuated preneoplastic colon damage in albino Wistar rats. Methods: Animals were arbitrarily divided into five groups of six animals each. DMH was used to induce preneoplastic colon damage (20 mg/kg/7 days, subcutaneously, for 42 days). Roflumilast was administered subcutaneously at two doses (1 and 5 mg/kg/day, from day 28 to 42). At the end of the study, the animals were recorded for the electrocardiographic changes and heart rate variability (HRV) paradigms on 42nd day, using PowerLab system. Blood samples were collected from all the animals to measure hydrogen sulfide (H2S) and nitric acid. The colon tissue was dissected out and analyzed for inflammatory markers, biochemical parameters including, superoxide dismutase, thiobarbituric acid reactive substances, catalase, and glutathione reductase and histopathology. Results: DMH caused derangement of HRV factors, abnormal antioxidant markers, and elevated levels of inflammatory markers. H2S and nitric oxide levels upsurge in DMH-treated rats and promoted preneoplastic damage. Histopathologically, loss of crypts, goblet cells, and distorted lamina propria were observed in toxic group. Treatment with roflumilast was able to curtail down oxidative stress and inflammatory markers and stabilitate the hemodynamic derangements as well as was able to restore the normal architecture of colonic mucosa. Conclusion: The findings from the present study conclude that treatment with roflumilast positively modulates the preneoplastic colon damage.
Geosocial Factors Associated With Adherence to Statin Medications
Authors: Erickson Steven R. , Bravo Mercedes , Tootoo Joshua 
Published: June 2020

Background: Individual patient characteristics, social determinants, and geographic access may be associated with patients engaging in appropriate health behaviors. Objective: To assess the relationship between statin adherence, geographic accessibility to pharmacies, and neighborhood sociodemographic characteristics in Michigan. Methods: The proportion of days covered (PDC) was calculated from pharmacy claims of a large insurer of adults who had prescriptions for statins between July 2009 and June 2010. A PDC ≥0.80 was defined as adherent. The predictor of interest was a ZIP code tabulation area (ZCTA)-level measure of geographic accessibility to pharmacies, measured using a method that integrates availability and access into a single index. We fit unadjusted models as well as adjusted models controlling for age, sex, and ZCTA-level measures of socioeconomic status (SES), racial isolation (RI) of non-Hispanic blacks, and urbanicity. Results: More than 174 000 patients’ claims data were analyzed. In adjusted models, pharmacy access was not associated with adherence (0.99; 95% CI: 0.96, 1.03). Greater RI (0.87; 95% CI: 0.85, 0.88) and urban status (0.93; 95% CI: 0.89, 0.96) were associated with lower odds of adherence. Individuals in ZCTAs with higher SES had higher odds of adherence, as were men and older age groups. Conclusion and Relevance: Adherence to statin prescriptions was lower for patients living in areas characterized as being racially segregated or lower income. Initiating interventions to enhance adherence, informed by understanding the social and systematic barriers patients face when refilling medication, is an important public health initiative that pharmacists practicing in these areas may undertake.
Elective replacement of peripheral intravenous cannulas in neonates
Authors: Liew Darien Daojuin , Zhou Lindsay , Chin Li Yen , Davies-Tuck Miranda , Malhotra Atul 
Published: June 2020

Background: Newborns admitted to neonatal units often require vascular access. Peripheral intravenous cannulas allow essential medication, fluids, and/or parenteral nutrition to be delivered. Peripheral intravenous cannulas are often associated with complications, such as extravasation, infiltration, phlebitis, leakage, spontaneous dislodgement, and catheter-associated blood stream infection. Methods: A secondary analysis of a randomized controlled trial evaluating standard replacement versus elective replacement (72–96 h) of peripheral intravenous cannula was conducted in a tertiary-level neonatal unit in Melbourne, Australia. The main outcome of this analysis was to assess the risk of combined adverse events associated with elective replacement of peripheral intravenous cannula. A cost analysis of the intervention was also conducted. Results: Combined adverse outcomes noted per infant were 48 (87.27%) in the standard replacement group versus 44 (75.86%) in the elective replacement group (RR 0.87; 95% CI 0.71–1.04, p = 0.15). In terms of combined adverse outcome per 1000 intravenous hours, there was a significant risk ratio of 0.81 in the elective group compared with the standard group (95% CI 0.65–0.98, p = 0.04). Gestation (adjusted odds ratio (AOR) 0.58; 95% CI 0.35–0.96, p = 0.03), male gender (AOR 4.65; 95% CI 1.07–20.28, p = 0.04), elective replacement (AOR 0.12; 95% CI 0.03–0.68, p = 0.01), and the total number of re-sites (AOR 27.84; 95% CI 4.61–168.18, p < 0.001) were significant risk factors associated with adverse events. There were also significantly higher costs involved with elective replacement. Conclusion: Elective replacement of peripheral intravenous cannulas was not shown to reduce the risk of combined adverse events. Elective peripheral intravenous cannula replacement also incurred a higher cost.
Yiddish–Lithuanian bilingualism: Incomplete acquisition, change through contacts, or both?
Authors: Verschik Anna 
Published: June 2020

Aims and Objectives/Purposes/Research Questions: Studies on incomplete first language (L1) acquisition emphasize restricted input, the low prestige of heritage/immigrant/minority languages, and age of acquisition as significant factors contributing to changes in L1. However, it is not always clear whether it is possible to distinguish results of incomplete acquisition and contact-induced language change. This article deals with two Yiddish–Lithuanian bilinguals who acquired both languages at home (recorded in 2010 and 2011). The focus of the article is the absence of the Yiddish past tense auxiliary in both informants and the replacement of Yiddish discourse-pragmatic words by their Lithuanian or English equivalents in the speech of the second informant. Design/Methodology/Approach: Qualitative analysis of the speech of two Yiddish–Lithuanian bilinguals. Data and Analysis: Two sets of recordings analyzed for the past tense use and other features mentioned in Yiddish attrition studies. Findings/Conclusions: Restricted input is to be considered as a factor in any case. However, it is argued that phenomena reported in the heritage language literature are often the same as in the contact linguistic literature: impact on non-core morphosyntax, prosody, and word order are usually mentioned as primary candidates of contact-induced structural change. Based on purely linguistic phenomena, it is not possible to distinguish between the results of acquisition under the conditions of limited input and in other contact situations where limited input is not necessarily the case. Many features of the informants’ Yiddish are a result of Lithuanian impact. Originality: Yiddish–Lithuanian early bilingualism is extremely rare nowadays. The data and analysis contribute to a general understanding of the interplay between contact-induced language change and limited input. Significance/Implications: Unlike what is often presumed, it is not always possible to make comparisons to monolinguals or balanced bilinguals because monolingual speakers of Yiddish do not exist.
Once arrived: A qualitative study of refugees and service providers in the first six months of resettlement
Authors: Dubus Nicole 
Published: June 2020

Background The world has been facing a chronic refugee crisis. Nations that accept refugees are expected to provide culturally effective services, often without benefit of an evidence-based approach to resettlement. Summary This study examines refugee service providers in three municipalities in Iceland and the recipients in the first six months of resettlement. Through a purposeful sampling (N = 35) of social workers and program managers (N = 10) and adult Syrian refugees (N = 25) who had arrived in Iceland six months prior, interviews were conducted and analyzed for thematic content. Findings Providers developed methods for providing services that varied depending on resources and their expectations for the recipients. Recipients’ expectations influenced which services were perceived helpful. Integration had different meanings among the participants, and those differences informed experiences of resettlement. Applications Countries can benefit from creating a team among the service sectors. Providers were unable to anticipate needs of refugees despite careful planning. The perceived importance of language acquisition varied among the participants. Community involvement was seen as a critical factor in the resettlement process. The initial case management of the families consumed more time and energy than some of the providers expected.
Risk and Reflection in the Academic Workplace
Authors: Walker Judith , Oldford Stephanie 
Published: June 2020

The Problem Universities are workplaces designed for learning, research, and reflection. In recent years, an amalgam of issues, both internal and external, have emerged, making critical reflection more difficult and riskier for both academic and nonacademic staff. The Solution We argue that positive leadership, dialogue, and group connection can help counter increasing isolation and in effect make reflection more possible. The Stakeholders This article is relevant not only to human resource development (HRD) scholars and practitioners within the context of postsecondary institutions but also to large and complex bureaucratic organizations grappling with a changing landscape of employment.
Normative Influence on Household Waste Separation: The Moderating Effect of Policy Implementation and Sociodemographic Variables
Authors: Issock Paul Blaise Issock , Roberts-Lombard Mornay , Mpinganjira Mercy 
Published: June 2020

Background: With the increasing production of domestic waste in South African urban areas, household waste separation has become a crucial recycling activity for better management of domestic waste and a decrease in environmental pollution. Focus of the article: This empirical study investigates how normative influences can shape the intention to separate household waste and how these influences are moderated by sociodemographic attributes and upstream social marketing interventions (recycling policy implementation). Research Hypotheses: The hypotheses stipulate that descriptive, injunctive, and moral norms have an influence on the behavioral intention to separate household waste before disposal. Policy implementation and sociodemographic variables moderate the impact of these normative forces on behavioral intention. Methods: A cross-sectional design was applied to this study. A survey was administered to collect quantitative data from 350 households residing in a city that is currently implementing a mandatory recycling policy (Johannesburg) and from 349 households in a city that is not doing so (Tshwane). Structural equation modeling and moderation analysis were the main data analysis techniques applied to this study. Results: The findings underline the importance of injunctive and moral norms in influencing the intention to separate household waste. Gender and age appeared to play an important moderating role in the relationships between norms and behavioral intention. Policy implementation had no effect on the reported influences of social and moral norms on the intention to separate household waste. Recommendations for Practice: Policy makers in emerging markets are encouraged to apply more persuasive and decisive actions such as financial incentives (or disincentives) that will motivate households to comply with recycling policies. Limitations: One limitation of this study is the application of a cross-sectional design relying on self-reported measures of norms and behavioral intention.
Postoperative Remote Monitoring with a Transcutaneous Biosensing Patch: Preliminary Evaluation of Data Collection
Authors: Vix Michel , Rodriguez Maylis , Ignat Mihaela , Marescaux Jacques , Diana Michele , Mutter Didier 
Published: June 2020

Introduction. Connected systems transmitting vital parameters could well represent a tool to shorten postoperative hospital stay while providing continuous remote patient monitoring and potentially detect the onset of complications. Our aim was to analyze the functionality of a transcutaneous biosensing data collection patch in morbidly obese patients. Materials and Methods. An adhesive patch (The HealthPatch MD™) was applied to patients’ chests postoperatively. The patch was connected to a tablet via a bluetooth network to collect the heart rate, respiratory rate, skin temperature, and posture recognition data. The tablet conveyed data to a secure health data central server by means of a WiFi or 3G/4G transmission. Data were stored in a digital health platform to which health care professionals could connect. The evaluation focused on the volume, quality, and security of data transmission. A pilot phase involved 10 patients. Thirty-three additional patients undergoing bariatric surgery were included in the experimental phase. Results. The mean length of stay was 2.28 days (range: 2-5 days). The mean time of patch application was 51 ± 25.2 hours per patient (range: 19-139 hours), totalizing 1,683 hours of recording for the 33 patients included. During this time, a total of 7.562.531 data measurement points were collected and transmitted to the e-health platform via the patch. Two total disconnections and two partial disconnections were observed. The acquisition of patient postural data was unreliable. Conclusions. Connected telemetry for remote postoperative monitoring is promising. However, it is still limited by data transmission problems.
Early blood pressure management for endovascular therapy in acute ischemic stroke: A review of the literature
Authors: Han Bin , Sun Xuan , Tong Xu , Raynald  , Jia Baixue , Mo Dapeng , Li Xiaoqing , Luo Gang , Miao Zhongrong 
Published: June 2020

The perioperative optimal blood pressure targets during mechanical thrombectomy for acute ischemic stroke are uncertain, and randomized controlled trials addressing this issue are lacking. There is still no consensus on the optimal target for perioperative blood pressure in acute ischemic stroke patients with large vessel occlusion. In addition, there are many confounding factors that can influence the outcome including the patient’s clinical history and stroke characteristics. We review the factors that have an impact on perioperative blood pressure change and discuss the influence of perioperative blood pressure on functional outcome after mechanical thrombectomy. In conclusion, we suggest that blood pressure should be carefully and flexibly managed perioperatively in patient-received mechanical thrombectomy. Blood pressure changes during mechanical thrombectomy were independently correlated with poor prognosis, and blood pressure should be maintained in a normal range perioperatively. Postoperative blood pressure control is associated with recanalization status in which successful recanalization requires normal range blood pressure (systolic blood pressure 120–140 mmHg), while non-recanalization requires higher blood pressure (systolic blood pressure 160–180 mmHg). The preoperative blood pressure targets for mechanical thrombectomy should be tailored based on the patient’s clinical history (systolic blood pressure ≤185 mmHg). Blood pressure should be carefully and flexibly managed intraoperatively (systolic blood pressure 140–180 mmHg) in patient-received endovascular therapy.
Hybrid procedures in the dialysis fistula aneurysm treatment
Authors: Góra Rafał , Bojakowski Krzysztof , Foroncewicz Bartosz , Kaźmierczak Stanisław , Andziak Piotr 
Published: June 2020

Objectives Dialysis fistula aneurysms are common complications which in selective cases require surgical revision. It is recommended to detect and treat outflow stenosis concurrent with a dialysis fistula aneurysm, but usually, the treatment is divided into two stages – the open and endovascular stages are performed separately. We describe the results of hybrid procedures composed of aneurysm resection and endovascular correction for outflow veins performed for a dialysis fistula aneurysm treatment. Methods From March 2012, we performed hybrid procedures in 28 patients to correct dialysis fistula aneurysms. Patients, dialysis access, operative data, and the results obtained during a median follow-up of 28.5 months were analyzed. Results For dialysis fistula aneurysm correction, we performed 27 bypasses and 1 aneurysmorraphy. For outflow vein stenosis correction, we performed standard balloon angioplasty, no stents or stentgraft were used. The average increase in minimal diameter after angioplasty was 135.5% (range 57–275%). The 12- and 24-month primary patency rates of corrected fistulas in the observed group were 92.3% and 80%, respectively. A significant difference in the one-year patency rates between the urgent and planned procedures was observed (81.2% vs. 100%, respectively). No early complications related to endovascular or open procedures were observed. Late complications were observed in seven patients (25%) – mainly thrombosis caused by the recurrence of outflow vein stenosis (six patients, 21.5%), infection, lymphocele, and hematoma (one case of each complication). Conclusions A hybrid procedure for the surgical correction of dialysis fistula aneurysms with the simultaneous correction of outflow pathologies enables effective long-term treatment. The obtained data showed the efficiency and good results of this procedure. Procedures performed for urgent indications significantly increase the risk for later complications, especially fistula thrombosis and loss of dialysis access.
Knowledge, attitude, and practice of complementary and alternative medicine: a survey of Iranian nurses
Authors: Zeighami Maryam , Soltani-Nejad Somayeh 
Published: June 2020

Background Development of complementary and alternative medicine (CAM) usage makes it necessary for nurses to be up to date about these treatments. However, much information is needed about the level of knowledge, attitude and practice of nurses in this field. Aims The present study was conducted to determine the level of knowledge, attitude and practice of CAM in nurses working in Iranian hospitals. Methods It was a descriptive study. A researcher-made questionnaire was completed by nurses working in four hospitals. Descriptive statistics were used to analyse the data. Results Two hundred and thirty-three nurses completed the questionnaire (response rate = 83.8%). Most nurses had little knowledge of CAM. The most familiar methods were Nutrition, Massage Therapy and Herbal Medicine. Of the nurses, 71.1% believed that CAM would be effective in disease treatment, showing their positive attitude toward CAM; 1.56% of nurses used CAM, and most nurses did not use CAM in clinical settings. Conclusions Although nurses have a positive attitude toward CAM, their knowledge level is low. Regarding nurses’ role in patients’ treatment and the importance of their capability to treat, the need to increase nurses’ knowledge of CAM is felt, and its education should be included in the nursing curriculum.