bluuebunny/crossref_metadata_2025_split huggingface dataset:
“We didn’t forget” Utilizing a Community‐Nurse Partnership to Promote Health in Rockport, Texas after Hurricane Harvey
Authors: Salt Rebekah J. , Sickora Cindy , Page Tracey L. , Martinez Martha L. , Cantu Adelita G. , Schwab Karen W. , Lee Moonju 
Published: November 2019

AbstractBackgroundOn August 25th 2017 Harvey, a category 4 hurricane, made landfall on the south coast of Texas with heavy winds and rain that severely damaged the seaside town of Rockport. The challenge facing healthcare providers following a natural disaster is timely assessments of community need and available resources. One week later, faculty at the University of Texas Health Science Center San Antonio, School of Nursing (SON) completed a community assessment and developed valuable partnerships.AimsEighteen days after the initial assessment, faculty had secured support from The Children’s Health Fund and operationalized strategies to provide disaster relief and experiential learning opportunities for the SON Population Focused Health undergraduate students.Materials & MethodsThe community‐as‐partner model served as the framework to apply the nursing process to a community in crisis. As the focus shifted to recovery, the team prioritized the need to address long‐term consequences for children after a natural disaster.ResultsTwo educational sessions were designed using an interactive and instructional approach to discuss parental strategies to assess and support children as they navigated through loss after Harvey.DiscussionThis community‐nurse partnership has endured, and the SON faculty and students continue to travel to Rockport to promote health and provide education to the community.
Dibenzothiophene Sulfone Derivatives as Plasma Membrane Dyes
Authors: Petroff John T. , Grady Scott , Arnatt Christopher K. , McCulla Ryan D. 
Published: November 2019

AbstractDibenzothiophene 5,5‐dioxide (DBTOO) derivatives have recently been shown to processes utility as fluorescent cell dyes. In an effort to extend the functionality of DBTOO‐based dyes to include the visualization of cellular membranes, two lipophilic DBTOO were synthesized and their ability to incorporate into the plasma membrane of HeLa cells was examined by fluorescent microscopy. The photophysical properties of the two new DBTOO derivatives were determined and both have good fluorescent quantum yields and a visible blue emission. Due to agreeable wavelengths of excitation and emission, a standard 4′,6‐diamindino‐2‐phenylindole (DAPI) filter set worked well with these dyes. After co‐staining, it was confirmed that both DBTOO dyes localized in the plasma membrane. The quality of the overlap was quantified using Pearson correlation coefficient, which indicated a strong overlap between the DBTOO dyes and the standard plasma membrane dye. The novel dyes also displayed relatively low toxicity to the HeLa cells with IC50 between 10 and 100 µm. Thus, this work reports a new use of DBTOO derivatives as fluorescent microscopy stains.
Flexible moral theories: Complexity, domination, and indeterminacy
Authors: Garcia‐Gibson Francisco , Rivera‐López Eduardo 
Published: November 2019

AbstractIn this article we identify three previously unnoticed problems with flexible moral theories, i.e., theories according to which different moral rules apply when there is full compliance and when there is partial compliance. The first problem is that flexible theories are necessarily very complex, which undermines their ability to motivate and guide action. The second problem is that flexible theories allow for a troubling kind of (moral) domination: the duties an agent has depend on other agents' willingness to comply. Finally, flexible theories introduce indeterminacy: it is sometimes impossible to determine which moral rules apply. When agents stand at the threshold—i.e., when a different rule would apply if a single additional act of noncompliance took place—it is impossible to determine which rule should apply.
What Explains the Decline in Neonatal Mortality in India in the Last Three Decades? Evidence from Three Rounds of NFHS Surveys
Authors: Singh Abhishek , Kumar Kaushalendra , Singh Ashish 
Published: November 2019

AbstractIdentifying the factors that have contributed to recent declines in neonatal mortality in India may help determine which policies and programs are most likely to facilitate further reductions. We use data from the 1992–93, 2005–06, and 2015–16 National Family Health Surveys (NFHS) to examine trends in neonatal mortality in India. We use multivariable decomposition to estimate the contribution of different factors to the change in neonatal mortality in India in the last three decades. When limited to most recent births in the 1–47 months preceding the surveys, 70 percent of the decline in neonatal mortality from 1992–2016 is due to changes in utilization of maternal‐ and child‐care program factors and distribution of household, mother's, and child's characteristics. Improvement in “mother's schooling” and increase in utilization of “at least two tetanus toxoid injections” contributed the most followed by the increase in use of “at least three antenatal‐care visits” and “clean fuel for cooking.” The change in distribution of “birth order” also contributed significantly to the decline in neonatal mortality. Change in the benefits of “access to improved water,” “delivery in a medical facility,” and “mother's schooling” has led to a decline of 3 points, 2 points, and 1 point, respectively. More investments in maternal‐ and child‐health programs (including family planning) and providing clean fuel for cooking are likely to pay higher dividends.
Beyond tail median and conditional tail expectation: Extreme risk estimation using tail Lp‐optimization
Authors: Gardes Laurent , Girard Stéphane , Stupfler Gilles 
Published: November 2019

AbstractThe conditional tail expectation (CTE) is an indicator of tail behavior that takes into account both the frequency and magnitude of a tail event. However, the asymptotic normality of its empirical estimator requires that the underlying distribution possess a finite variance; this can be a strong restriction in actuarial and financial applications. A valuable alternative is the median shortfall (MS), although it only gives information about the frequency of a tail event. We construct a class of tail Lp‐medians encompassing the MS and CTE. For p in (1,2), a tail Lp‐median depends on both the frequency and magnitude of tail events, and its empirical estimator is, within the range of the data, asymptotically normal under a condition weaker than a finite variance. We extrapolate this estimator and another technique to extreme levels using the heavy‐tailed framework. The estimators are showcased on a simulation study and on real fire insurance data.
Ultra‐triathlon—Pacing, performance trends, the role of nationality, and sex differences in finishers and non‐finishers
Authors: Sousa Caio Victor , Nikolaidis Pantelis Theodoros , Knechtle Beat 
Published: November 2019

Ultra‐triathlons are defined as triathlons longer than the traditional Ironman distance and became more popular in the last two decades; however, scarce scientific evidence of these events are available. Therefore, we aimed to investigate the trends of performance, pacing, nationality, sex differences, and rate of non‐finishers in ultra‐triathlons. Data from 1985 to 2018 were collected including Double Iron, Triple Iron, Quintuple Iron, and Deca Iron ultra‐triathlons. Different pacing patterns by event and sex were observed (P < .05); athletes spent less %time in swimming and cycling, and more %time in running as the distance of event was longer; women spent more %time in cycling and less% time in running in Double and Triple. Performance analysis showed a negative trend over time for men and women since 1985. Switzerland, France, and Germany were the fastest nations in ultra‐triathlons. The frequency of North Americans competing in Europe was very low (<5%), whereas Europeans often competed in North America (~25%). The rate of non‐finishers between sexes was similar in all races with the exception of Deca Iron ultra‐triathlon, which was much greater (~20%) for women. Non‐finishers had slower race times in swimming and cycling splits than finishers. In conclusion, ultra‐triathletes should redistribute their energy among swimming, cycling, and running depending on their sex and distance of race. Performance in ultra‐triathlons has been decreasing in men and women over the years, but sex difference in performance remained. Europeans were the fastest ultra‐triathletes and compete in Europe and North America. Additionally, non‐finishers were slower swimmers and cyclists than finishers.
Jamestown Canyon virus encephalitis in a heart transplant patient
Authors: Askar Wajih , Menaria Puneet , Thohan Vinay , Brummitt Charles F. 
Published: November 2019

AbstractJamestown Canyon virus (JtCV) is an arbovirus and a member of the California serogroup. To our knowledge, all the cases of JtCV have been reported in immunocompetent patients since it was first detected in 1997. We report a case of JtCV encephalitis in a solid organ transplant patient. A 48‐year‐old woman from Wisconsin had multiple hospital admissions for symptoms of progressive confusion, visual hallucinations, and inability to perform self‐care. Initial evaluation was significant for lymphocytes in cerebrospinal fluid (CSF), and multiple infectious and metabolic causes were excluded. Further investigation found JtCV IgM in serum, and CSF. The patient's clinical course was compatible with JtCV encephalitis, and she was treated with ribavirin in addition to reduction of her immunosuppressive medications. She showed gradual and significant improvement in her mental and functional status. JtCV can cause a variety of symptoms that range from a flu‐like syndrome to encephalitis. There have been an increased number of reported cases in recent years which is attributed to increased physician awareness and the availability of laboratory testing. Optimal treatment is still not known.
Mycobacterium tuberculosis DNA in living donor transplanted livers and donor‐related tuberculosis in recipients: A retrospective longitudinal cohort study
Authors: Alrajhi Abdulrahman A. , Alotaibi Jawaher , Alghamdi Ali M. , Almanea Hadeel , AlSebayel Mohammed , Al‐Meshari Khalid , Al‐Hajoj Sahal 
Published: November 2019

AbstractObjectivesMycobacterium tuberculosis DNA has been detected in multiple organs in people without active tuberculosis or a history of tuberculosis. Molecular testing for metabolic activity has suggested that M tuberculosis DNA represents viable bacilli. Whether transplanted organs with M tuberculosis DNA can result in tuberculosis in recipients has not been assessed.MethodsBiopsies obtained at the time of living donor liver transplantation were tested for the presence of M tuberculosis DNA using in situ PCR. The cohort of recipients was longitudinally followed for the development of tuberculosis.ResultsLiving donor liver transplantation was performed for 270 patients. Mean age was 33 years (median: 41 years, range: 1‐80 years). Recipients were followed for a mean of 68 months (median: 72 months, range: 1‐138 months) after transplantation. Mycobacterium tuberculosis DNA was detected in 25 of 155 donated livers (16%) with liver biopsies available for testing. None of the recipients of these livers received tuberculosis chemoprophylaxis and only one (4%) developed tuberculosis 15 months after transplantation. Among the entire cohort of 270 patients, post‐transplant tuberculosis was diagnosed in four patients (1.48%) at an incidence rate of 2.61 cases per 1000 transplant‐years. No factors associated with developing tuberculosis were identified, including positive M tuberculosis DNA in transplanted livers.ConclusionsMycobacterium tuberculosis DNA in living donor transplanted livers did not result in tuberculosis despite post‐transplant immunosuppression.
Scoping review: Community‐based programmes with people affected by leprosy
Authors: Martos‐Casado Gema , Vives‐Cases Carmen , Gil‐González Diana 
Published: November 2019

AbstractObjectiveTo analyse community intervention programmes for people affected by leprosy in ‘global priority countries’.MethodsScoping review of articles in the databases PubMed, Scopus, SciELO, Lilacs and Web of Knowledge that made reference to community intervention programmes aimed at people affected by leprosy in global priority countries and which presented an evaluation of results. Analytical variables analysed were methodological characteristics of the study, type of intervention classified according to the Community‐Based Rehabilitation Matrix, indicators and results of the evaluation, and the degree of participation of the community, which was graphically represented as a spidergram.ResultsThirty articles met the inclusion criteria. They were mostly related to the health component of the RBC matrix and aimed at the adult population. All evaluated the indicators used positively. The degree of participation generally ranged between mobilisation and collaboration.ConclusionCommunity intervention programmes for people affected by leprosy have a positive effect on health. There are attempts to include affected people and the community in implementing these programmes, but it is not possible to establish a direct relationship with effects of their participation on health due to the study designs used. Future research using more robust methods that include leprosy patients are necessary to evaluate the effectiveness of community participation.
Effectiveness of operative interventions for hemi or total hip arthroplasty patients who sustain a Vancouver B2 peri-prosthetic femoral fracture: a systematic review protocol
Authors: Ianunzio Jamie Raffaele , Munn Zachary , Mandziak Daniel , Stephenson Matthew , Cain Megan Elizabeth 
Published: November 2019

Review objective:
The objective of this review is to identify the effectiveness of operative interventions for individuals who have undergone a hemi or total hip arthroplasty who sustain a Vancouver type B2 peri-prosthetic femoral fracture or equivalent. Specifically, this review will investigate open reduction and internal fixation and femoral revision arthroplasty with or without internal fixation.
Effectiveness of expanded cardiac rehabilitation in patients diagnosed with coronary heart disease: a systematic review protocol
Authors: Momsen Anne-Mette Hedeager , Hald Kathrine , Nielsen Claus Vinther , Larsen Mogens Lytken 
Published: November 2019

Review objective/question:
The objective of this review is to identify the effectiveness of expanded cardiac rehabilitation (CR) in patients diagnosed with coronary heart disease (CHD). Specifically, the review question is: What is the effectiveness of expanded CR compared to standard CR in adult patients diagnosed with CHD? Effectiveness will be assessed by the effect on mortality and readmissions due to all causes or any cardiac event, systolic blood pressure, cholesterol levels and adherence to recommendations in secondary prevention guidelines.
The meanings young people assign to living with mental illness and their experiences in managing their health and lives: a systematic review of qualitative evidence
Authors: Woodgate Roberta L. , Sigurdson Corey , Demczuk Lisa , Tennent Pauline , Wallis Bernadine , Wener Pamela 
Published: November 2019

EXECUTIVE SUMMARY

Background:
It is estimated that less than 25% of young people in need of treatment for mental illness receive specialized services, and even fewer receive a diagnosis by their doctor. These findings are troubling given that living with a mental illness can have a significant impact on a young person's life, the lives of his/her family members, the young person's community and society generally.

Objective:
The objective of this systematic review was to synthesize the best available qualitative evidence on the meanings young people assign to living with mental illness and their experiences in managing their health and lives.

Inclusion criteria:
The current review considered both interpretive and critical research studies that drew on the experiences of young people with mental illness.

Search strategy:
The search for published studies included the following databases: MEDLINE, CINAHL, Social Sciences Full Text, PsycINFO, Social Work Abstracts, Sociological Abstracts, Embase, Social Services Abstracts, Child Development and Adolescent Studies, Scopus, Web of Science and Academic Search Complete. The search for unpublished studies included conference proceedings and ProQuest Dissertations and Theses Database.

Methodological quality:
Each paper was assessed independently by two reviewers for methodological quality. The Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI) was used to appraise the methodological quality of the articles.

Data extraction:
Qualitative data were extracted from papers included in the review using the standardized data extraction tool from JBI-QARI.

Data synthesis:
JBI-QARI was used to pool findings based on their similarity of meaning and developed into four synthesized findings.

Results:
Fifty-four research papers generated 304 study findings that were aggregated into nine categories. The nine categories were further aggregated into four synthesis statements: (1) A different way of being, (2) Getting through the difficult times, (3) Yearning for acceptance and (4) Room for improvement.

Conclusion:
Young people with mental illness experienced a range of feelings and thoughts that at times left them feeling uncomfortable in their body and world. Rejection by family and friends was a common fear. The changes experienced by young people required them to use a variety of strategies that were both negative and positive. The challenges young people faced in seeking and receiving care reinforce that there is a need for improvement in mental health services for youth living with mental illness.
Shear‐thinning behaviour of blood in response to active hyperaemia: Implications for the assessment of arterial shear stress‐mediated dilatation
Authors: Leo Jeffrey A. , Simmonds Michael J. , Sabapathy Surendran 
Published: November 2019

New Findings
What is the central question of this study?
Quantitative values of shear rate‐specific blood viscosity and shear stress in the human macrovasculature in response to exercise hyperaemia are unknown.

What is the main finding and its importance?
Using the handgrip exercise model, we showed that an increase in brachial artery shear rate led to a decrease in blood viscosity, despite concomitant haemoconcentration. This shear‐thinning behaviour of blood, secondary to increased erythrocyte deformability, blunted the expected increase in brachial artery shear stress based on shear rate prediction. Our data yield new insights into the magnitude and regulation of macrovascular blood viscosity and shear stress in physiological conditions of elevated metabolic demand and blood flow in humans.

AbstractBlood viscosity is a well‐known determinant of shear stress and vascular resistance; however, accurate quantitative assessments of shear rate‐specific blood viscosity in the macrovasculature in conditions of elevated blood flow are inherently difficult, owing to the shear‐thinning behaviour of blood. Herein, 12 men performed graded rhythmic handgrip exercise at 20, 40, 60 and 80% of their maximal workload. Brachial artery shear rate and diameter were measured via high‐resolution Duplex ultrasound. Blood was sampled serially from an i.v. cannula in the exercising arm for the assessment of blood viscosity (cone‐plates viscometer). We measured ex vivo blood viscosity at 10 discrete shear rates within the physiological range documented for the brachial artery in basal and exercise conditions. Subsequently, the blood viscosity data were fitted with a two‐phase exponential decay, facilitating interpolation of blood viscosity values corresponding to the ultrasound‐derived shear rate. Brachial artery shear rate and shear stress increased in a stepwise manner with increasing exercise intensity, reaching peak values of 940 ± 245 s−1 and 3.68 ± 0.92 Pa, respectively. Conversely, brachial artery shear rate‐specific blood viscosity decreased with respect to baseline values throughout all exercise intensities by ∼6–11%, reaching a minimal value of 3.92 ± 0.35 mPa s, despite concomitant haemoconcentration. This shear‐thinning behaviour of blood, secondary to increased erythrocyte deformability, blunted the expected increase in shear stress based on shear rate prediction. Consequently, the use of shear stress yielded a higher slope for the brachial artery stimulus versus dilatation relationship than shear rate. Collectively, our data refute the use of shear rate to infer arterial shear stress‐mediated processes.
Failure Prognosis of Complex Equipment With Multistream Deep Recurrent Neural Network
Authors: Su Yonghe , Tao Fei , Jin Jian , Wang Tian , Wang Qingguo , Wang Lei 
Published: November 2019

Abstract
The failure prognosis is crucial for industrial equipment in prognostics and health management field. The vibration signal is the commonly used data for failure prognosis. The conventional prognostic approaches have limitations to handle the features extracted from the vibration signal because of the large data quantity, complex feature relations, and limited degeneration mechanisms. In this paper, a deep learning-based approach is proposed to predict the failure of the complex equipment. To supply plenty of features, three different domain features are extracted from vibration signals. Next, these features are preprocessed and reconstructed by arctangent normalization and data stream, respectively. Finally, a deep neural network, namely, multistream deep recurrent neural network (MS-DRNN) is built to fuse these features for failure target. The presented deep neural network is hybrid, involving recurrent layer, fusion layer, fully connected layer, and linear layer. To benchmark the proposed approach, several prognosis approaches are evaluated with the testing data from six large bearing datasets. Simulation results demonstrate that the prediction performance of the MS-DRNN-based approach is effective and reliable.
Support Vector Regression for Optimal Robotic Force Control Assembly
Authors: Li Binbin , Chen Heping , Jin Tongdan 
Published: November 2019

Abstract
Advanced industrial robotic assembly requires the process parameters to be tuned to achieve high efficiency: short assembly cycle (AC) time and high first-time throughput (FTT) rate. This task is usually undertaken offline because of the difficulties in real-time modeling and the lack of efficient algorithms. This paper proposes a support vector regression (SVR)-enabled method to optimize the assembly process parameters without interrupting the normal production process. To reduce the risk of obtaining a local minimum, we consider the trade-off between exploration and exploitation and propose an adaptive optimization process to balance the production processes and the optimization outcome. The proposed methods have been verified using a typical peg-in-hole robotic assembly process, and the results are compared with design of experiment (DOE) methods and genetic algorithm (GA) method in terms of efficiency and accuracy. The experimental results show that our methods are able to maintain the high FTT rate when it drops below 99%, shorten the average AC time by 3.4%, and reduce the number of assembly trials to find the optimized process parameters by 99.6%.