bluuebunny/crossref_metadata_2025_split huggingface dataset:
Belonging and Social Integration as Factors of Well-Being in Latin America and Latin Europe Organizations
Authors: da Costa Silvia , Martínez-Moreno Edurne , Díaz Virginia , Hermosilla Daniel , Amutio Alberto , Padoan Sonia , Méndez Doris , Etchebehere Gabriela , Torres Alejandro , Telletxea Saioa , García-Mazzieri Silvia 
Published: December 2020

BackgroundStudies and meta-analyses found individual, meso and micro-social factors that are associated with individual well-being, as well as a positive socio-emotional climate or collective well-being.AimThis article simultaneously studies and examines these factors of well-being.MethodWell-Being is measured as a dependent variable at the individual and collective level, as well as the predictors, in three cross-sectional and one longitudinal studies. Education and social intervention workers (N = 1300, K = 80) from Chile, Spain and Uruguay participate; a subsample of educators (k = 1, n = 37) from the south central Chile and from Chile, Uruguay and Spain (n = 1149); workers from organizations in Latin America and Southern Europe, military cadets from Argentina (N &lt; 1000); and teams (K = 14) from Spanish companies.ResultsIndividual and collective well-being indicators were related, suggesting that the emotional climate as a context improves personal well-being. Individual factors (emotional creativity and openness and universalism values), psychosocial factors (low stress, control over work and social support supervisors and peers) were positively associated with personal well-being in education and social intervention context. Organizational dynamic or transformational culture is directly and indirectly associated with individual well-being through previously described psychosocial factors. Group processes such as internal communication and safe participation, task orientation or climate of excellence as well as leadership style that reinforces participation and belonging, were positively associated with collective well-being in labor and military context and predict team work socio-emotional climate in a longitudinal study- but were unrelated to individual well-being. Transformational leadership plays a mediating role between functional factors and social-emotional climate in work teams. Organizational role autonomy, functional organizational leadership, integration and resources were associated with collective well-being in organizations. Organizational leadership moderates the relationship between task orientation and collective well-being in military context.ConclusionIndividual and microsocial factors influence personal well-being. Meso level factors favorable to well-being through processes which reinforce social belonging, influence directly collective well-being and indirectly personal well-being. Leadership that reinforces participation and belonging play a central role for emotional climate. Stress and emotional climate playing an important pivotal role for psychological well-being.
Exploring Functional Impairment in Light of Prolonged Grief Disorder: A Prospective, Population-Based Cohort Study
Authors: Nielsen Mette Kjaergaard , Christensen Kaj Sparle , Neergaard Mette Asbjoern , Bidstrup Pernille Envold , Guldin Mai-Britt 
Published: December 2020

Background: Functional impairment is essential in the diagnostic criteria for prolonged grief disorder (PGD) in the ICD-11. It refers to the negative impact on everyday life, including inability to maintain the usual level of functioning. We aimed to assess the extent of functional impairment, emotion-related role limitation, and impaired social functioning before and after bereavement, and to explore associations with PGD, as measured by the 13-item Prolonged Grief Scale (PGDPG13).Method: Relatives of terminally ill patients (n = 1,622) completed a questionnaire before and after bereavement. The questionnaire assessed “overall functional impairment” (PG-13 item) and “aspects of functional impairment” measured by mean scores of the 36-item Short Form Survey (SF-36) subscales emotional role and social functioning (0: worst; 100: best). We analyzed associations between PGDPG13 and functional impairment prior to bereavement using logistic regression models adjusted for age, gender, personal relation, education, time interval to patient's death, and pre-loss grief.Results: In total, 51% reported overall functional impairment before bereavement, 27% reported functional impairment at 6 months after bereavement, and 19% reported functional impairment at 3 years after bereavement. The mean emotional role score was 47.5 (95%CI: 45.4–49.7) before bereavement, increasing to 77.4 (95%CI: 75.7–79.0) at 3 years after bereavement, compared to 85.1 (95%CI: 77.6–92.6) in a reference sample. Mean social functioning score increased gradually reaching the mean of the reference sample at 3 years after bereavement. PGDPG13 was present in 26% of those with overall functional impairment at 6 months after bereavement, decreasing to 11% at 3 years after bereavement. Pre-bereavement measures of emotional role and social functioning were associated with PGDPG13at 6 months and 3 years after bereavement.Discussion: Overall functional impairment was prevalent as reflected in low scores on daily activities and social functioning compared to a reference sample. Functioning may be an important factor during caregiving and bereavement and pre-bereavement functional impairment was associated with PGDPG13.Future studies should investigate if maintaining daily activities and social functioning before bereavement could be key in early supportive care. Moreover, the role of functional impairment in bereavement interventions should be explored.
Evaluation of DeChoker, an Airway Clearance Device (ACD) Used in Adult Choking Emergencies Within the Adult Care Home Sector: A Mixed Methods Case Study
Authors: Bhanderi Bhavik G. , Palmer Hill Sue 
Published: December 2020

Foreign Body Airway Obstruction (FBAO) is a medical emergency that can result in death, particularly if swift, appropriate action is not taken. It can be a frightening experience for all involved. DeChoker, an Airway Clearance Device (ACD), might provide an additional alternative in the management of choking; however, limited evidence around its safety and effectiveness makes adoption controversial.Objectives: An independent evaluation to explore the experiences of health and care professionals who used DeChoker in real-life adult choking emergencies, focusing on the product's safety, efficacy and ease of application.Design: Retrospective mixed methods case study, with multiple embedded units of analysis.Setting: UK adult care homes.Participants: Twenty seven incidents of adult choking emergencies self-reported by care home staff where DeChoker was used. This data was augmented by an in-depth exploration of four individual choking incidences.Results: The choking victim's ages range: 45 to 101 years (mean 79.8 years). The device was reported to have successfully removed the obstruction in 26 of 27 cases, with very few complications or adverse events reported. In 21 of 27 incidents (78%) the victim was not required to visit Accident and Emergency. Qualitative data indicated nursing home staff found the DeChoker easy to use and valued its presence as an adjunct to current guideline procedures.Conclusion: There is a dearth of evidence surrounding the management of choking and little innovation in this area for five decades. This retrospective evaluation contributes to discussion regarding the role ACDs might play in the management of choking, particularly in cases where current choking management guidance are ineffective, insufficient, inappropriate or impractical (e.g., frail or movement restricted people). The interview data presents a view from care home staff that the DeChoker, as an ACD, contributed to saving the life of choking victims.
Patient Preferences For Specialty Pharmacy Services: A Stated Preference Discrete-Choice Experiment in China
Authors: Hu Qinyuan , Hu Haiyao , Hu Ming , Yang Yumei , Wu Zhiang , Zhou Naitong 
Published: December 2020

Objectives: To survey, analyze, and ascertain the preferences for specialty pharmacy services among patients requiring complex care and to provide evidence to support specialty pharmacy service decision-making in China.Methods: To identify essential service attributes and levels, a review of the literature, discussions with specialty pharmacy managers and a pilot questionnaire were conducted. A D-efficient fractional factorial design was used to generate the discrete-choice experiment (DCE) questionnaire. A face-to-face survey of patients with chronic illness and their families or friends was conducted at three specialty pharmacies in Chengdu and Qingdao, China. A mixed logit model was used for estimation.Results: Six relevant attributes were identified and incorporated into the DCE questionnaire. A total of 417 participants completed the survey (mean age 43 years, 45.1% males), and 32.1% had lung cancer. The conditional relative importance showed that the most critical attribute was “frequency of telephone follow-up to monitor adverse drug reactions (ADRs), “followed by “mode of drug delivery,” “provider of medication guidance services,” and “availability of medical insurance consultation”; the least important attribute was “business hours.” A 1 min increase in time spent led to a 0.73% decrease in the probability that a service profile would be chosen. Negative preferences were noted for ADR monitoring by telephone follow-up once a year (β = −0.23, p &lt; 0.001) and business hours [8:30–20:00 (Monday to Friday), 8:30–17:30 (weekend)] (β = −0.12, p &lt; 0.001). Compared with women, men had a higher preference for service monitoring ADRs once every 3 months.Conclusions: Preference measurements showed that “frequency of telephone follow-up to monitor ADRs” had the most critical impact on decisions, followed by “mode of drug delivery.” Specialty pharmacies in China need to take these findings into account to improve their design to increase uptake and patient loyalty.
Domestic Activities Associated With a Decreased Risk of Cognitive Disorders: Results of the “Fréle” Cohort
Authors: Dupré Caroline , Hupin David , Goethals Luc , Béland François , Roche Frédéric , Célarier Thomas , Carrière Isabelle , Barth Nathalie , Bongue Bienvenu 
Published: December 2020

Background: Previous cohorts studied the association of various types of physical activities with the incidence of cognitive disorders. The objective of this work was to analyze the association of leisure, domestic and professional physical activities with mild and moderate cognitive disorders in older people living in the community.Methods: We used retrospective data from the “FRéLE” (FRagilité: étude Longitudinale de ses Expressions) a longitudinal and observational study. Data collected included socio-demographic variables, lifestyle and health status. Cognitive disorders were assessed using the Montreal Cognitive Assessment (MoCA). Two cut-offs of MoCA were used to analyze mild and moderate cognitive disorders. Physical activity was assessed by the Physical Activity Scale for the Elderly (PASE) structured in three sections: leisure, household, and professional activities. Spline and logistic regression models were used to estimate the risk of cognitive disorders.Results: At baseline, 428 participants (for study of mild disorders) and 1,271 participants (for study of moderate disorders) without cognitive disorders were included in the analysis. The mean ages were 74 and 78 years, respectively. After a 2-year follow-up, we found mild cognitive disorders in 154 participants (36%) and 71 cases of moderate cognitive disorders (5.6%). In multi-adjusted logistic models, domestic activities were associated with cognitive disorders, but not leisure and professional activities.Conclusion: We found an inverse relation between domestic sub-score and cognitive disorders defined by MoCA &lt; 18. With a specific questionnaire and quantitative information on the type of activities, this study contributed to the debate on the beneficial effects of physical activity on cognition.
Dynamic Margins of Stability During Robot-Assisted Walking in Able-Bodied Individuals: A Preliminary Study
Authors: Ramanujam Arvind , Momeni Kamyar , Ravi Manikandan , Augustine Jonathan , Garbarini Erica , Barrance Peter , Spungen Ann M. , Asselin Pierre , Knezevic Steven , Forrest Gail F. 
Published: December 2020

Background: Gait analysis studies during robot-assisted walking have been predominantly focused on lower limb biomechanics. During robot-assisted walking, the users' interaction with the robot and their adaptations translate into altered gait mechanics. Hence, robust and objective metrics for quantifying walking performance during robot-assisted gait are especially relevant as it relates to dynamic stability. In this study, we assessed bi-planar dynamic stability margins for healthy adults during robot-assisted walking using EksoGT™, ReWalk™, and Indego® compared to independent overground walking at slow, self-selected, and fast speeds. Further, we examined the use of forearm crutches and its influence on dynamic gait stability margins.Methods: Kinematic data were collected at 60 Hz under several walking conditions with and without the robotic exoskeleton for six healthy controls. Outcome measures included (i) whole-body center of mass (CoM) and extrapolated CoM (XCoM), (ii) base of support (BoS), (iii) margin of stability (MoS) with respect to both feet and bilateral crutches.Results: Stability outcomes during exoskeleton-assisted walking at self-selected, comfortable walking speeds were significantly (p &lt; 0.05) different compared to overground walking at self-selected speeds. Unlike overground walking, the control mechanisms for stability using these exoskeletons were not related to walking speed. MoSs were lower during the single support phase of gait, especially in the medial–lateral direction for all devices. MoSs relative to feet were significantly (p &lt; 0.05) lower than those relative to crutches. The spatial location of crutches during exoskeleton-assisted walking pushed the whole-body CoM, during single support, beyond the lateral boundary of the lead foot, increasing the risk for falls if crutch slippage were to occur.Conclusion: Careful consideration of crutch placement is critical to ensuring that the margins of stability are always within the limits of the BoS to control stability and decrease fall risk.
Sedentary Behavior and Change in Kidney Function: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
Authors: Hannan Mary , Ricardo Ana C. , Cai Jianwen , Franceschini Nora , Kaplan Robert , Marquez David X. , Rosas Sylvia E. , Schneiderman Neil , Sotres-Alvarez Daniela , Talavera Gregory A. , Daviglus Martha L. , Lash James P. 
Published: December 2020

Background
There is accumulating evidence linking prolonged sedentary time to adverse health outcomes. The effect of sedentary behavior on kidney function has not been evaluated in US Hispanics/Latinos, a population disproportionately affected by CKD.

Methods
We evaluated the association between accelerometer-measured (1 week) sedentary time at baseline and kidney function among 7134 adults without CKD at entry in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), who completed a baseline visit with accelerometry (2008–2011) and a follow-up visit (2014–2017). Outcomes included: (1) change in kidney function (eGFR and urine albumin-to-creatinine ratio, ACR), (2) incident low eGFR (eGFR <60 ml/min per 1.73 m2 and eGFR decline ≥1 ml/min per year), and (3) incident albuminuria (ACR ≥17 mg/g in men or ≥25 mg/g in women). Linear regression using survey procedures was used to evaluate change in kidney function (eGFR and ACR), and Poisson regression with robust variance was used to evaluate incident low eGFR and albuminuria.

Results
The median sedentary time was 12 hours/d. Over a median follow-up of 6.1 years, the mean relative change in eGFR was −0.50% per year, and there were 167 incident low eGFR events. On multivariable analysis, each 1 hour increase in sedentary time was associated with a longitudinal decline in eGFR (−0.06% per year, 95% CI, −0.10 to −0.02). There was a significant interaction with sex, and on stratified analyses, higher sedentary time was associated with eGFR decline in women but not men. There was no association between sedentary time and the other outcomes.

Conclusions
Sedentary time was associated with a small longitudinal decline in eGFR, which could have important implications in a population that experiences a disproportionate burden of CKD but further investigation is needed.
EDITORIAL
Authors: Rocchietti Ana , Pasquali Cristina 
Published: December 2020

La Arqueología Histórica tiene versatilidad temática porque posee una perspectiva de totalidad.En este número de la Revista se expone esa multidireccionalidad. Una arqueología de laFrontera del Sur (marca histórica y política de la traumática sociedad argentina) a través de dosestudios: uno, la Zanja de Alsina (una ambiciosa y absurda línea defensiva contra los indígenasde las pampas); otro, el Fuerte Blanca Grande (con proyección en la arqueología de la llanurabonaerense). Una arqueología de la materialidad afroamericana y de un sistema hidráulico. Finalmente,una arqueología social sobre los campamentos de trabajadores en la Patagonia. La convergencia deobjetos de estudios tan diferentes no es casual porque ninguna historia es ajena.
Ana RocchiettiDirectora
Este nuevo volumen de la Revista Teoría y Práctica de la Arqueología Histórica Latinoamericana presentaoriginales estudios arqueológicos/históricos que problematizan, argumentan e interpretan materiales yprocesos del pasado, como así también, un profundo análisis y reflexión sobre las variadas temáticasabordadas en los congresos de Arqueología argentina desde la década de 1970 hasta la actualidad.
Cristina PasqualiSecretaria
Diferentes concepciones del patrimonio y su aplicación a la Casa Histórica de Tucumán también llamada Casa de la Independencia
Authors: Etchevers Guillermo 
Published: December 2020

En relación las diferentes posturas que actualmente coexisten en el mundo de las gestiones patrimoniales, resulta interesante analizar el caso de la Casa Histórica de Tucumán, dada su condición de símbolo y referente de la independencia nacional, pero también como bien patrimonial a pesar de las transformaciones que la alejan tanto de su estado original.
Se trata de un ejemplo único en relación a la importancia y trascendencia que fue cobrando durante eltiempo, ya que fue sede de la declaración de la independencia; pero habiendo sido abandonada e ignorada en sus primeras épocas, fue sujeto de un proceso fluctuante en los criterios sobre su valoración, que la mantuvieron sujeta a decisiones contrapuestas y en ocasiones contradictorias que derivaron en paulatinas transformaciones, y posteriores abandonos, hasta alcanzar graves estados de ruina y su casi total demolición. En la década de 1940, a raíz de políticas estatales que buscaban símbolos de identificación nacional, se buscó recuperar el bien mediante una reconstrucción total, procurando respetar los criterios de intervenciones imperantes en el momento. Intervenciones que despertaron la polémica y oscilaron entre su más cruda interpretación como un “falso histórico”, hasta su plena justificación como símbolo necesario de identidad nacional, superando la validez de originalidad del propio objeto.
La casa de Tucumán, constituye un claro ejemplo que permite el desarrollo de las transformaciones que la fueron afectando, así como la reflexión sobre que acciones pudieron ser las más idóneas; y considerando que el edificio actual constituye una reconstrucción del original, la posibilidad de que haya adquirido valor propio, no por el símbolo que constituye, sino por el propio edificio. Esta reconstrucción, es un referente de la tendencia neocolonial emergente hacia la década de 1940 y del prestigio de los profesionales que intervinieron. Y constituye un nuevo bien patrimonial por la propia antigüedad que conlleva, y por lo tanto susceptible -también la reconstrucción- de ser intervenida patrimonialmente.
De este modo, no solo intentamos analizar las posturas patrimoniales sobre su situación actual, sinotambién sobre las acciones previas y su contexto histórico, lo cual hace necesaria una breve reseña histórica, que informe cronológicamente la accidentada y cambiante historia de sus intervenciones, o en que sectores de la casa se fueron dando. Y para ello, también surge la necesidad de una breve descripción de la casa, que identifique los sectores y las áreas que fueron sujeto de dichas acciones, así como su materialidad y diferentes calidades constructivas.
Evolución edilicia de la Plaza de Mayo de la Ciudad de Buenos Aires (1580-1853)
Authors: Ferrino Nicolás 
Published: December 2020

Este artículo se propone recorrer la evolución de la Plaza de Mayo, comenzando por una introducción extensiva a las ciudades hispanoamericanas, para luego volcarse de lleno en la Ciudad de Buenos Aires.
Enumerando la serie de acontecimientos históricos y arquitectónicos que a modo de capas fueron superponiéndose, dejando algunas de estas, huellas que perduran hasta la actualidad, mientras otras desaparecen por completo.
Se podrá verificar entonces que en su mayor parte, el valor patrimonial de este sitio no esta materializado solo en forma de arquitectura construida, sino que en muchos casos, está presente por las consecuencias provocadas por el pasado demolido.
Será necesario relacionar la evolución de lo material con la realidad política, social y económica de su tiempo para, con ésta visión abarcativa, poder comprender mejor sus características y fundamentos.
Por último y a modo de conclusión, se pondrá en valor la actualidad de la Plaza de Mayo proponiendo una visión a futuro.
Gestión patrimonial en el rescate arqueológico y futuro Museo de Sitio en Moreno 550, Ciudad Autónoma de Buenos Aires, Argentina
Authors: Bernat María Eva , Orsini Ricardo , Padula Horacio , Silveira Mario 
Published: December 2020

Un trabajo arqueológico conlleva no solo acciones que tienen que ver con las intervenciones “in situ” sobre todas aquellas líneas aportadas por otras disciplinas que colaboran con todo el proceso de trabajo de búsqueda de fuentes, análisis de materiales e inferencias sobre el registro recuperado; la disciplina también se ve inmersa en una serie de requerimientos y ajustes normativos que muchas veces no son reconocidas a la hora de forjar un informe de intervención.
El sitio arqueológico Moreno 550, resulta un caso paradigmático en el cual lo normativo y lo jurídico tuvieron una mayor relevancia por sobre los trabajos de campo, y esta publicación persigue desarrollar las diferentes acciones abordadas por un organismo público tendiente a preservar el patrimonio arqueológico en el sitio, proceso en el cual se suscitó una parcial destrucción de una gran cisterna, que implicó la judicialización del caso, y un consiguiente acuerdo entre las partes cuyos resultados podrán ser apreciados por todo visitante interesado en el Patrimonio de la ciudad.