bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self-acceptance of Mothers who have Children with Special Needs
Authors: Islami Eriza Dwi Putri , Ansyah Eko Hardi 
Published: October 2020

This study aims to describe students who have children with special needs and describe what factors affect mothers who have expectional children. The method used in this study is qualitative with case study desig. Research subjects were mothers of expectional children with the type of mental retardation, hearing impairment and cerebral palsy. Determination of research subjects using purposive sampling. Data collection method used are interview and observation techniques. The results of this study indicated that the description of acceptance of self from the three mothers has expectional children, namely accepting the conditions experienced, still ditions experienced. Factors that influense the formation of self acceptanse are education, social support, family and religious parenting.
Mejora de la coordinación de las asignaturas a través de la generación automática de actas basadas en la comunicación vía email
Authors: García Díaz Vicente , González García Cristian , Rolando Núñez-Valdez Edward 
Published: October 2020

El proyecto consiste en la realización de una plataforma digital que permite la realización automática de actas de coordinación de asignaturas a partir de los hilos de las conversaciones establecidas en los envíos de correos electrónicos por parte de los diferentes equipos docentes participantes en dichas asignaturas. Las actas pueden generarse a partir de las conversaciones de los docentes, así como de la comunicación entre alumnos y docentes.
Este trabajo se motiva en que las reuniones realizadas de forma virtual raramente van acompañadas de un acta donde se deja constancia de los participantes, de sus declaraciones, de las fechas en las que se realizaron las mismas y de las conclusiones a las que se llegaron.
El principal objetivo es de dejar constancia de todos los trabajos de coordinación realizados de una forma sencilla, sin que para ello los intervinientes tengan que realizar ninguna tarea adicional, a partir de los correos enviados entre profesores alumnos de una asignatura. Estos correos se analizan y recopilan de forma automática. Después, se genera el acta en formato PDF, que puede ser leído por prácticamente cualquier dispositivo.
La aplicación fue probada en dos asignaturas y se aportan capturas y la información relativa a su uso. La aplicación consiguió recopilar toda la información de los correos de forma automática y crear las actas.
Schistosomiasis and Associated Risk Factors Among School-Aged Children in Northern Nigeria
Authors: Dogara Musa M. , Ahmad Saadatu , Balogun Babalola J. , Dawaki Salwa S. , Mustapha Muzammil B. , Abdurrahman Aminu U. , Bala Lawal , Zakari Abubakar , Livingstone David U. 
Published: October 2020

Background:
The Jigawa State Ministry of Health in Northern Nigeria undertook a pilot intervention to control schistosomiasis through preventive chemotherapy by ensuring that each child swallows praziquantel once annually from 2009 to 2013 in five primary schools in Dutse metropolis. Previously, the overall prevalence for urinary and intestinal schistosomiasis determined using sedimentation and Kato-Katz methods was 22.9%. The objective of this study is to follow-up on this pilot effort.

Methods:
A cross sectional study involving 150 randomly selected pupils, aged 6 - 15 years old was conducted using sedimentation and Kato-Katz methods to determine the prevalence of urinary and intestinal schistosomiasis respectively in three schools in July, 2018. Information on demographic and associated risk factors was collected using a structured questionnaire and the data generated were analyzed using SPSS statistics version 18.0.

Results:
The overall prevalence was 10.00% with S. haematobium 8.00%, S. mansoni 2.67% and co-infection 0.67%. Males had higher prevalence (15.10%) than females (1.75%). The 11 - 15 years age group had higher prevalence, (10.10%) than 6 - 10 years, (9.68%). Nearly all the infections occurred among class 4-6 pupils with 12.10% and 2.94% in class 1-3. Based on parental occupations, children of unskilled laborers had the highest prevalence of 16.67% followed by children of civil servants (12.50%), and children of butchers (0%). Kachi School had the highest prevalence of 14.00% while Sir Muhammadu Sunusi had the lowest (4.00%). Schistosomiasis prevalence was found only to be significantly associated with gender; higher among males than females (15.10% vs 1.75%, p = 0.011).

Conclusion and Implications for Translation:
Schistosomiasis is still endemic among school-aged children in Dutse metropolis, but with a drop in overall prevalence from 22.9% to 10.00%. Chemotherapy and health education should be sustained on both schooled and unschooled children in order to control the transmission.
A Local-Effective-Viscosity Multirelaxation-Time Lattice Boltzmann Pore-Network Coupling Model for Gas Transport in Complex Nanoporous Media
Authors: Song Wenhui , Yin Ying , Landry Christopher J. , Prodanovic Maša , Qu Zhiguo , Yao Jun 
Published: October 2020

Summary
Gas transport in nanoporous media is controlled by both the nanoscale mechanisms and complex pore structure, details of which can accurately capture the detailed gas-transport behavior. However, direct-simulation methods in large digitized samples are not feasible because of high memory and computational-time demands. Furthermore, our previous work (Landry et al. 2016) shows that when resolution of the digitized sample is not ample, the sample has to be further magnified up to five times along each linear dimension to achieve the desired accuracy. Here we propose a local-effective-viscosity multirelaxation-time lattice Boltzmann pore-network coupling model (LEV-LBM-PNM) to tackle these problems. We ran a large number of LEV-LBM simulations in high-resolution geometries with simple cross sections that had surface roughness added to them in a controlled manner. Such carefully selected geometries were run at a large number of pressure conditions to establish gas-flux correlations that depend on shape, Knudsen number, and surface roughness and can be directly used in PNM to account for all of those properties. The semianalytical gas-transport models for a single pore with various cross-sectional shapes and surface roughness were established using the LEV-LBM simulation results. The established semianalytical gas-transport model is then implemented into a 3D pore-network model to investigate the gas-transport behavior at various conditions. In an example application, the pore-network model was extracted from a Marcellus Shale focused-ion-beam scanning-electron-microscopy (FIB-SEM) image using the maximum inscribed sphere method. We found that the proposed LEV-LBM-PNM accurately predicts gas apparent permeability by accounting for gas slip in irregular pore shape and surface roughness.
Shared decision-making in advance care planning for persons with dementia in nursing homes: a cross-sectional study.
Authors: Goossens Bart , Sevenants Aline , Declercq Anja , Audenhove Chantal Van 
Published: October 2020

Abstract
Background: Shared decision-making provides an approach to discuss advance care planning in a participative and informed manner, embodying the principles of person-centered care. A number of guided approaches to achieve shared decision-making already exist, such as the three-talk model. However, it is uncertain whether daily practice methods in nursing home wards for persons with dementia comply with the underpinnings of this model. It is also uncertain whether professionals consider shared decision-making to be important in this context, and whether they perceive themselves sufficiently competent to practice this approach frequently. Methods: The study has a cross-sectional design, with 65 wards (46 Belgian nursing homes) participating in the study. We compared nursing home professionals’ and residents’ perspectives on the level of shared decision-making during advance care planning conversations with ratings from external raters. Residents and professionals rated the level of shared decision-making by means of a questionnaire, which included the topic of the conversation. External raters assessed audio recordings of the conversations. Professionals filled in an additional self-report questionnaire on the importance of shared decision-making, their competence in practicing the approach, and with what frequency.Results: At ward level, professionals and residents rated the average achieved level of shared decision-making 71.53/100 (σ=16.09) and 81.11/100 (σ=19.18) respectively. Meanwhile, raters gave average scores of 26.97/100 (σ=10.45). Only 23.8% of residents referred to advance care planning as the topic of the conversation. Professionals considered shared decision-making to be important (x̄=4.48/5, σ=0.26). This result contrasted significantly with the frequency (x̄=3.48/5, σ=0.51) and competence (x̄=3.76/5, σ=0.27) with which these skills were practiced (P<0.001).Conclusions: Residents with dementia are grateful when involved in discussing their care, but find it difficult to report what is discussed during these conversations. Receiving more information about advance care planning could provide them with the knowledge needed to prepare for such a conversation. External raters observe a discrepancy between the three-talk model and daily practice methods. Training programs should focus on providing professionals with better knowledge of and skills for shared decision-making. They should also promote team-based collaboration to increase the level of person-centered care in nursing home wards for persons with dementia.
A protocol for the extraction, identification, and quantification of short-chain fatty acids (SCFAs) in silages using Reverse Phase – High Performance Liquid Chromatography with Diode Array Detector (RP-HPLC-DAD)
Authors: Vargas Julián Andrés Castillo , Araújo Tiago Costa de , Mezzomo Rafael 
Published: October 2020

Abstract
Short-chain fatty acid profile (SCFAs) in silage provides significant information regarding its fermentative patter in the rumen. Thus, we developed a protocol to extract, identify, and quantify the SCFAs of silages. The proposed method was tested with satisfactory results in corn silages. Despite literature findings suggest that the most common instrumental method for determining SCFAs is the gas chromatography technique, the liquid chromatography technique using both C18 column and ion-exchange columns can be proposed as analytical technique for SCFAs determination as well. The use of the C18 column in HPLC-DAD has a particular limitation because it does not allow efficient separation of butyric and iso-butyric acids. However, considering that the concentration of iso-butyric acid in silages is significantly lower than that of butyric acid, a good estimation of butyric acid can be obtained.
WITHDRAWN: The effect of electroacupuncture on hemodialysis patients with restless legs syndrome (RLS): study protocol for a randomized crossover trial
Authors: Chen Jia-Ming , Chiu Ping-Fang , Chang Yu-Jun , Hsu Po-Chi , Chang Chia-Chu , Lo Lun-Chien 
Published: October 2020

Abstract
Background The aim of the present study was to evaluate the effects of electroacupuncture (EA) in hemodialysis patients with restless leg syndrome (RLS) by heart rate variability (HRV) monitor. Methods112 subjects who were hemodialysis patients with RLS will be divided into 2 groups: experimental and control. Each subject will receive the treatment relevant to their group 2 times a week for 4 weeks. After 4 weeks of treatment the subject will enter a 2-week washout period, after which the subjects will switch groups. Measurements will include HRV recordings, International Restless Legs Syndrome Rating Scale (IRLSRS) and Insomnia Severity Index (ISI). DiscussionThis study is the first investigation to analyze the relationship between EA and the change of HRV by an objective monitor. If the findings of the current trial are positive, this study will also help support an effective, safe and cheap approach to clinical treatment of this challenging disorder, help foster improved understanding the relationship between RLS and HRV, and ultimately contribute to elucidate the mechanisms of EA. Trial registrationClinicalTrials.gov Identifier: NCT04356794; registration date: April 22, 2020.
Interprofessional medication assessment among home care patients: Any impact on functioning? Results from a randomised controlled trial
Authors: Auvinen Kati Johanna , Voutilainen Ari , Jyrkkä Johanna , Lönnroos Eija , Mäntyselkä Pekka 
Published: October 2020

Abstract
Background Multimorbidity and polypharmacy are related to the use of potentially inappropriate medicines and negative clinical outcomes including drug-related adverse events and functional declines. Home care clients are a vulnerable patient group often exposed to these risks. The aim of this study was to examine whether an interprofessional medication assessment can influence the functioning of home care patients.Methods The FIMA study was a randomised controlled intervention study comparing a general practitioner-led interprofessional medication assessment conducted at the baseline of the study with usual care with a six-month follow-up. We used linear mixed models (LMM) with a random subject effect to detect differences between the usual care and intervention groups in the following outcome measures; Katz index of Activities of Daily Living (ADL), Lawton and Brody scale of Instrumental Activities of Daily Living, Timed up and go-test (TUG), Mini-Mental State Examination, Geriatric Depression Scale and the 3-level version of EQ-5D. Results Home care patients (n= 512) had major disease burdens and functional limitations. Regarding TUG times, the LMM detected a one second improvement in the FIMA group and 2.4 seconds worsening in the usual care group. However, the result was not statistically significant. The ADL revealed an interaction across time, treatment and sex (p=0.026). The ADL score decreased in both groups; the decline being the steepest among women in the intervention group. Conclusions In general, medication assessments may have limited impact on functioning of older people. Nonetheless, the FIMA intervention may prevent worsening of mobility among older home care patients. Trial registration The Interprofessional Medication Assessment for Older Patients, Clinical Trials.gov. NCT02398812. First registration, 26 March 2015. Retrospectively registered. https://www.clinicaltrials.gov/ct2/show/NCT02398812
Contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa: a qualitative study
Authors: Harries Jane , Constant Deborah , Cairncross Lydia , Moodley Jennifer 
Published: October 2020

Abstract
Background: No known studies have been undertaken in South Africa exploring the contraceptive and fertility needs and preferences of women of reproductive age (18-49) diagnosed with breast cancer. This study set out to understand the contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa. Methods: Qualitative in-depth interviews were conducted with 24 women diagnosed with breast cancer and 4 health care providers at a tertiary hospital in Cape Town, South Africa. We explored contraceptive use prior to diagnosis; the impact of breast cancer on future fertility intentions and contraceptive use; understanding of suitable contraceptive methods during and after treatment and women’s fertility related counseling needs during their continuum of care. Data were analysed using a thematic analysis approach. Results: Since being diagnosed with breast cancer, of those women using a contraceptive method, the non-hormonal intrauterine device (IUD) was the most commonly used method. However, women reported receiving limited information from health care providers about contraceptive use and future fertility planning post treatment when fertility desires might change. Many women reported limited information received from healthcare providers about the impact of cancer treatment on their future fertility. Most women did not receive information around fertility preservation options, and few were familiar with the concept. Providers focus was more on preventing pregnancy during treatment and ensuring a patient was on a non-hormonal contraceptive method. Providers supported a more holistic, multidisciplinary approach to breast cancer patient’s contraceptive and future fertility needs. Conclusions:Limited contraceptive and future fertility counseling were reported by women despite many women being provided with the IUD. There is a need for improved information and counseling regarding the impact of treatment on contraceptive and fertility options. It is important that cancer care providers provide timely information regarding fertility options and communicate with patients about their fertility concerns prior to treatment and throughout the course of survivorship. The development of evidence-based information tools to enhance patient-provider communication and counseling could address knowledge gaps.
A governmental program to encourage medical students to deliver primary prevention: experiment and evaluation in a French Faculty of Medicine
Authors: Roux Enora Le , Muro Marta Mari , Mognon Kore , Saïd Mélèa , Caillavet Viviane , Matheron Sophie , Ledoux Séverine , Decq Philippe , Vorspan Florence , Strat Yann Le , Delaugerre Constance , Bras Morgane Le , Alberti Corinne , Ruszniewski Philippe , Zerr Philippe , Faye Albert 
Published: October 2020

Abstract
BackgroundA public health student service was set up by the French government in 2018 with the aim of increasing awareness of primary health promotion among the 47,000 students of medicine and other health professions. It is an annual program involving community-based actions nutrition, physical activity, addiction or sexuality. Our objective was to evaluate its implementation at local level and the different experiences of the stakeholders.MethodsA quasi-experimental study using process evaluation was performed in a Faculty of Medicine in Paris. Quantitative and qualitative data were collected from medical students who carried out preventive health actions, in the institutions in which the actions took place and from a subsample of beneficiaries.ResultsOne hundred and eight actions were carried out by 341 students in 23 educational or social institutions, mostly high schools (n=12, 52%). Two thirds of the students did not feel sufficiently prepared to deliver preventive health interventions (65.7%, 224/341); however the beneficiaries found that the interventions were good (278/280, 99,2%). Nineteen (83%) of the host institutions agreed to welcome health service students again, of which 9 required some modifications. For students, the reporting of a satisfactory health service experience was associated with the reporting of skills or knowledge acquisition (p<0.01). Delivering actions in high schools and to a medium-sized number of beneficiaries per week was associated with students’ satisfaction. No effect of gender or theme of prevention was observed. For 248/341 (72.7%) students, the public health service program prompts them to address prevention issues in the future.ConclusionThe public health service undertaken by medical students through the program is a feasible and acceptable means of delivering preventive actions. Reinforcement of training and closer interaction with the host institutions would improve results.
Comparative Cost Analysis Of Cervical Cancer Screening Programme Based On Molecular Detection Of HPV In Spain
Authors: Ibáñez Raquel , Mareque María , Granados Rosario , Andía Daniel , García-Rojo Marcial , Quílez Jose C , Oyagüez Itziar 
Published: October 2020

Abstract
Background: HPV cervical cancer screening (CCS) must use validated HPV tests based on the molecular detection of either viral mRNA (Aptima HPV Assay – AHPV) or DNA. AHPV has demonstrated the same cross-sectional and longitudinal sensitivity for the detection of HSIL/CIN2+ lesions but with greater specificity than HPV-DNA tests. The study aimed to estimate the total costs of a CCS with a primary HPV test based on the detection of mRNA compared to DNA in women aged 35-65 years for the National Health System.Methods: A decision-tree-based model to estimate the cost of the CCS until the first colposcopy was designed based on Spanish CCS guidelines. The total cost (€,2019) for CCS with AHPV or DNA tests (HC2 and Cobas) was calculated, including HPV test, liquid-based cytology (LBC) and colposcopy, for a population of 7,263,529 women aged 35-65 years (assuming 70% coverage). Clinical inputs derived from a literature review were validated by a multidisciplinary expert panel. Data from head-to-head studies between different HPV tests were selected. Results: The use of AHPV showed reduction of 290,541 (-35%) and 355,913 (-40%) LBC compared to HC2 or Cobas, respectively. Furthermore, AHPV avoided 151,699 (-47%) colposcopies vs HC2 and 151,165 (-47%) vs Cobas. The total cost of CCS was €282,747,877 with AHPV, €322,587,588 with HC2 and €324,614,490 with Cobas. Therefore, AHPV savings €-39,839,711 vs HC2 and €-41,866,613 vs Cobas.Conclusions: Assuming that 70% of women from 35-65 years attend the CCS programme, the cost of screening up to the first colposcopy using AHPV would provide cost savings of up to €41.9 million vs DNA tests in Spain.
Self-perceived preparedness of dental school graduates and the impact of COVID-19 pandemic on their confidence
Authors: Alraheam Islam Abd , Alashqar Mays A. , Hattar Susan , AlHadidi Abeer , Alhaddad Alaa , Sawair FA 
Published: October 2020

Abstract
Background. To study self-perceived preparedness of dental school graduates and the impact of COVID-19 on their preparedness. Method. An online survey was designed and sent electronically to students who are graduating in 2020, dentists who graduated in 2019 and doing their prelicensure training, and dentists who graduated before 2019. Four- point Likert scale was used to assess participants’ perception. Results. There were 209 participants responded to the online questionnaire. The mean total preparedness score (TPS) for the 209 participants was 97.6 (SD ±9.7) with a range of 69 to 120. The mean TPS of the different classes of participants was 99.5 for the class graduated before 2019, 98.1 for the 2020 class, and 95.1 for the 2019 class. Participants felt they are confident and extremely confident doing the majority of the required competencies. Weakness was mainly reported in surgical extraction for 2020 graduates due to the 8 weeks loss of their training. COVID-19 has considerable impact on 59.7% of the participants and marginal to no impact on 40.3%. The highest prevalence of those who thought it had some to severe impact on their confidence were those who graduated in year 2019 (73.4%). Conclusions. The graduates of University of Jordan felt confident in performing the majority of general dentistry procedures. COVID-19 pandemic negatively impacted the confidence of all the classes of participants even those graduated before 2019.