bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID‐19 outbreak: The impact of stress on seizures in patients with epilepsy
Authors: Huang Shanshan , Wu Chunmei , Jia Yuchao , Li Guo , Zhu Zhou , Lu Kai , Yang Yuyan , Wang Furong , Zhu Suiqiang 
Published: August 2020

AbstractObjectiveStress is a known trigger for seizures in patients with epilepsy (PWE). However, the association between stress and seizures has not been thoroughly investigated. In December 2019, an outbreak of coronavirus disease (COVID‐19) occurred in Wuhan, Hubei province, China, causing tremendous collateral stress. This study was designed to evaluate the influence of the COVID‐19 outbreak on seizures in PWE in the most severely affected area, Wuhan, and its surrounding cities.MethodsIn this single‐center, cross‐sectional study, PWE were surveyed via online questionnaires between February 23 and March 5, 2020. Collected data included demographic information, epilepsy‐related characteristics (seizure type, frequency, antiepileptic drugs [AEDs], and medication management), direct and perceived threat of COVID‐19, and changes in seizures during the outbreak. Psychological comorbidities were evaluated by the Patient Health Questionnaire–9, Generalized Anxiety Disorder–7 items, and Insomnia Severity Index (ISI). Multivariate logistic regression was used to identify precipitants for seizure exacerbation.ResultsWe received 362 completed questionnaires after excluding 12 duplicates (response rate = 63.51%). A total of 31 (8.56%) patients had increased seizures during the outbreak. Exposure history to COVID‐19 (P = .001), uncontrolled seizure after AED therapy (P = .020), seizure frequency of two or more times per month before the outbreak (P = .005), change of AED regimen during the outbreak (AED reduction, withdrawal, replacement, skipping altogether; P = .002), and worry about the adverse effect of the outbreak on overall seizure‐related issues (severity = moderate to critical; P = .038) were risk factors for increased seizures.SignificanceA minority of PWE experienced seizure exacerbation during the outbreak of COVID‐19. Stress, uncontrolled seizures, and inappropriate change in AED regimen were associated with increased seizures. Based on these findings, stress might be an independent precipitant for triggering seizures in some PWE.
The use of pullulan coatings with propolis extract to extend the shelf life of blueberry (Vaccinium corymbosum) fruit
Authors: Pobiega Katarzyna , Igielska Małgorzata , Włodarczyk Piotr , Gniewosz Małgorzata 
Published: August 2020

AbstractConsuming fresh blueberries has many health benefits due to the extremely high level of phytonutrients. During storage, the berries spoil due to microbial contamination. The aim of the work was to investigate the effect of pullulan coating containing 5% and 10% propolis extract on reducing the number of bacteria and mould and on the physicochemical properties of coated blueberries during storage. The results showed that the count of microorganisms was reduced by 3–4.5 logarithmic cycle after 21 days (16°C, RH of 58–63%). It was also found that coatings delayed blueberry ripening as well as decreased weight loss. During storage, minor increase were found in titratable acidity values and no change the total soluble solid values in blueberries covered with pullulan coating containing propolis extract in comparison with the uncoated ones. Thus, the pullulan coating with propolis extract has the potential as microbiological protection for blueberry fruit.
Development and validation of a web‐based version of the Child Oral Health Impact Profile – Preschool version
Authors: He Songlin , Wang Jinhua 
Published: August 2020

AbstractBackgroundThe Child Oral Health Impact Profile – Preschool version (COHIP‐PS) is the first validated questionnaire designed to assess the oral health‐related quality of life (OHRQoL) of preschool children with varying oral health‐related conditions.AimTo cross‐culturally adapt the original version of COHIP‐PS into Chinese and to assess the psychometric properties of a web‐based version of the COHIP‐PS (eCOHIP‐PS/C).DesignThe eCOHIP‐PS/C was first created using current guidelines. Then, the eCOHIP‐PS/C was administered to caregivers having children 2‐5 years old. The reliability of the eCOHIP‐PS/C was estimated using Cronbach's alpha and the intraclass correlation coefficients (ICC). Cross‐cultural validity and convergent validity were also investigated.ResultsThe study included 260 children (mean age 4.3 years). Cronbach's alpha of eCOHIP‐PS/C was 0.903 and the ICC of the scale was 0.862. Confirmatory factor analysis (CFA) demonstrated that a four‐component model was the best solution for the eCOHIP‐PS/C. The fit indices were as follows: χ2/df = 2.176, TLI = 0.942, CFI = 0.946, GFI = 0.927, and RMSEA = 0.075. In addition, a good relationship was found between the eCOHIP‐PS/C and the global oral health question.ConclusionThe eCOHIP‐PS/C is a reliable and valid tool for assessing the OHRQoL among Chinese preschool children.
Conflict in nursing studies: A bibliometric analysis of the top 100 cited papers
Authors: Kantek Filiz , Yesilbas Hande 
Published: August 2020

AbstractAimThis study aimed to identify and investigate the main characteristics of the top 100 most cited studies on conflict in published in nursing category in the Web of Science database using bibliometric and social network analysis methods.DesignA retrospective bibliometric analysis was used.MethodsThe study data were obtained from the Web of Science (WoS) database. The top 100 studies with the highest number of citations were included in the study. The study data were analysed with Excel and SPSS and they were visualized with VOSviewer.ResultsIt was concluded that the studies in the research were published in 38 different journals between 1974–2019 and they were conducted by 245 different authors from 24 different countries. It was further reported that the Journal of Advanced Nursing was the most productive journal and the USA was the most productive country. The most commonly used keywords were “nurse,” “conflict,” “nursing,” “job satisfaction,” “work‐family conflict” and “ethical conflict.”ConclusionThe issue of conflict is a growing field of scientific study for nursing researchers. The quality of researches will be certainly enhanced in future with the studies published in journals with high impact factors.ImpactThe research of the top 100 most cited paper is a new and innovative bibliometric approach to understand nursing literature. There is very little information about the development, structure and characteristics of the existing mass of knowledge on conflict in nursing studies. The study findings establish a basis of information for planning further studies and providing guidance. In addition, this study provides researchers, scientific journals, institutions and countries with an opportunity to assess and compare their own performance in conflict literature in nursing studies. However, the fact that the most cited studies in the field of conflict in nursing is in demand by journals with high impact factor is a source of motivation for researchers studying in this field.
Computer‐mediated feedback for L2 learners: Challenges versus affordances
Authors: Bahari Akbar 
Published: August 2020

AbstractThis paper reviews the theoretical and pedagogical affordances and challenges highlighted in studies on correcting second language (L2) learners' errors via computer‐mediated feedback (CMF) in blended and distance learning. The study aimed at understanding and conveying the reported challenges and affordances of CMF to inform the computer‐assisted language learning practitioners. To this end, 97 peer‐reviewed articles published from 2012 to 2020 that discussed CMF with respect to receptive and productive language skills were systematically reviewed. The collected data were tabularized in terms of receptive and productive skills. To visualize the results, the obtained data were arranged in four hierarchical database formats with respect to four language skills. The implications of the study are twofold. Pedagogically, teachers are informed useful affordances that can be used to give feedback during teaching. Theoretically, researchers are informed about challenges that require further investigation.
Prognostic significance of body mass index‐adjusted criteria for left ventricular hypertrophy
Authors: Afify Hesham , Lee Ho Lim , Soliman Elsayed Z. , Singleton Matthew J. 
Published: August 2020

AbstractElectrocardiographic left ventricular hypertrophy (ECG‐LVH) is associated with both cardiovascular and all‐cause mortality. Obesity attenuates the sensitivity of several ECG‐LVH criteria, so body mass index (BMI) adjusted criteria have been developed. However, the prognostic significance of BMI‐adjusted ECG‐LVH criteria is not known. This analysis included 7812 participants (59.8 ± 13.4 years, 53% women, 50% non‐Hispanic‐whites) from the Third National Health and Nutrition Examination Survey. The Cornell criteria (R in aVL + S in V3 ≥ 2800 µV in men or ≥2200 µV in women) and Sokolow‐Lyon criteria (S in V1 + R in V5 or R in V6 ≥ 3500 µV) criteria were used for LVH. To account for the effects of obesity, the BMI‐adjusted Cornell criteria (product of R in aVL + S in V3 and BMI > 60 400 µV kg m−2) and the BMI‐adjusted Sokolow‐Lyon criteria (add 400 µV if overweight, add 800 µV if obese) were used. Compared to traditional ECG‐LVH criteria, more participants met criteria for ECG‐LVH with BMI‐adjusted Cornell voltage (9.9% vs 2.9%) and BMI‐adjusted Sokolow‐Lyon (13.1% vs 6.4%) criteria. In multivariable‐adjusted Cox proportional hazards models, the BMI‐adjusted Sokolow‐Lyon criteria performed no better than traditional criteria (HR 1.18, 95% CI 1.06‐1.32 for all‐cause, HR 1.38, 95% CI 1.17‐1.62 for cardiovascular mortality) and the BMI‐adjusted Cornell voltage criteria attenuated the association with all‐cause (HR 1.16, 95% CI 1.03‐1.32) and cardiovascular mortality (HR 1.34, 95% CI 1.13‐1.60). Despite potential improvements in the detection of LVH using BMI‐adjusted ECG‐LVH criteria, adjusting for BMI may result in the loss of prognostic information.
How does competition among lodging sharing platforms affect welfare and profits?
Authors: Gal‐Or Esther 
Published: August 2020

AbstractWe investigate the likely effect on prices, consumer surplus, and profits of intensified competition among peer‐to‐peer lodging platforms. We find that intensified competition in the sharing economy may give rise to some surprising results. For instance, intensified competition may allow platforms to charge higher fees from peer suppliers and lead, therefore, to a decline in consumer surplus. Only if the market of professional hoteliers is highly competitive, intensified competition among platforms leads to the traditional outcome that the entry of more platforms leads to lower fees charged from consumers and to enhanced consumer surplus. We also find that platforms may actually earn higher profits when there is intensified competition among professional hoteliers. In addition, while intensified competition among professional hoteliers leads to a decline in the fees that platforms can charge customers, it may actually result in higher lodging prices. We explain these counterintuitive results by the dual role that the lodging price plays in affecting the welfare of individuals active in the sharing economy. While a higher price has an adverse effect on the welfare of demanders of lodging it benefits peer suppliers of lodging because a higher lodging price raises the compensation they receive when offering lodging capacity to a platform.
Effects of the herbal medicine Rikkunshito, for functional dyspepsia: A systematic review and meta‐analysis
Authors: Ko Seok‐Jae , Park Jiseon , Kim Min‐ji , Kim Jinsung , Park Jae‐Woo 
Published: August 2020

AbstractBackground and AimFunctional dyspepsia (FD) is characterized by chronic and unexplained indigestion at upper abdomen. Because of unsatisfactory effect of conventional treatments, demand is growing for complementary and alternative medicine. Rikkunshito (RKT) is a herbal medicine, which has been widely used for FD in Asia; however, the evidence is lacking. We carried out systematic review and meta‐analysis to evaluate the effect and safety of RKT in the treatment of FD.MethodsElectronic databases were searched in April 2019, including PUBMED, EMBASE, and Cochrane Library. All eligible studies should be randomized controlled trials (RCTs) comparing RKT or combination therapy (RKT and western medicine) group to western medicine group. The primary outcome measure was the total clinical efficacy rate (TCE). The secondary outcomes were total dyspepsia symptom scale, gastric emptying rate, gastrin, motilin, recurrence 6 months after treatment, and Hamilton depression rating scale.ResultsFifty‐two RCTs with 5475 patients were involved in this systematic review and meta‐analysis. Compared with western medicine, RKT showed significant better result, with higher TCE (relative risk = 1.21, 95% confidence interval 1.17 to 1.25, P < 0.001). RKT presented higher reduction of total dyspepsia symptom scale, more improved gastric emptying rate, and lower recurrence 6 months after treatment compared with western medicine. However, there was no significant difference in Hamilton depression rating scale between RKT and western medicine group. Combination therapy brought significant symptom improvement with TCE compared with western medicine alone.ConclusionsRikkunshito and combination therapy might be considered an effective alternative treatment for FD. Further rigorously designed and high‐quality RCTs are needed.
The Impact of Shared Decision‐Making in Perinatal Care: A Scoping Review
Authors: Megregian Michele , Emeis Cathy , Nieuwenhuijze Marianne 
Published: August 2020

IntroductionShared decision‐making is considered to be a key aspect of woman‐centered care and a strategy to improve communication, respect, and satisfaction. This scoping review identified studies that used a shared decision‐making support strategy as the primary intervention in the context of perinatal care.MethodsA literature search of PubMed, CINAHL, Cochrane Library, PsycINFO, and SCOPUS databases was completed for English‐language studies conducted from January 2000 through November 2019 that examined the impact of a shared decision‐making support strategy on a perinatal decision (such as choice of mode of birth after prior cesarean birth). Studies that only examined the use of a decision aid were excluded. Nine studies met inclusion criteria and were examined for the nature of the shared decision‐making intervention as well as outcome measures such as decisional evaluation, including decisional conflict, decisional regret, and certainty.ResultsThe 9 included studies were heterogeneous with regard to shared decision‐making interventions and measured outcomes and were performed in different countries and in a variety of perinatal situations, such as women facing the choice of mode of birth after prior cesarean birth. The impact of a shared decision‐making intervention on women's perception of shared decision‐making and on their experiences of the decision‐making process were mixed. There may be a decrease in decisional conflict and regret related to feeling informed, but no change in decisional certainty.DiscussionDespite the call to increase the use of shared decision‐making in perinatal care, there are few studies that have examined the effects of a shared decision‐making support strategy. Further studies that include antepartum and intrapartum settings, which include common perinatal decisions such as induction of labor, are needed. In addition, clear guidance and strategies for successfully integrating shared decision‐making and practice recommendations would help women and health care providers navigate these complex decisions.
High prevalence of elevated serum liver enzymes in Chinese children suggests metabolic syndrome as a common risk factor
Authors: Wang Jinling , Qu Hui‐Qi , Huang Ke , Wu Wei , Wang Chunlin , Liang Li , Gong Chunxiu , Xiong Feng , Luo Feihong , Liu Geli , Chen Shaoke , Tian Lifeng , Hakonarson Hakon , Fu Junfen 
Published: August 2020

AimThis study investigated the pattern of liver enzymes in a large cohort of Chinese children and adolescents, including 16 383 individuals aged 4–18 years old recruited at six medical centres in China.MethodsClinical data were collected including weight, height, blood pressure, alanine aminotransferase, aspartate aminotransferase and fasting lipid panel. We used an unsupervised machine learning algorithm, the K‐means clustering method, to identify different patterns of increased liver enzymes.ResultsSix clusters of elevated enzymes patterns were identified. The most common in 2.18% (325) of youth was elevated transaminases in the absence of features of metabolic syndrome(MetS), and they were thinner, and more likely to be from urban areas. The second cluster, with 1.47% (n = 220) youth had the most notable MetS features. They were older, obese and had central obesity, higher BP, triglycerides cholesterol and lower high‐density lipoprotein cholesterol. Cluster 3 (0.6%, N = 90) had mild MetS, and cluster 4 (0.06%, N = 9), 5 (0.03%, N = 5) and 6 (0.007%, N = 1) were not related to MetS.ConclusionsWe identified two distinct groups of children with both increased liver enzymes and MetS features in this population sample of Chinese children. One of the two groups had increased liver enzymes as the predominant clinical features at a younger age, suggesting genetic susceptibility to the condition. Further work to understand the increased MetS risk in cluster 2 is warranted.
SARS‐CoV‐2 in human milk is inactivated by Holder pasteurisation but not cold storage
Authors: Walker Gregory J , Clifford Vanessa , Bansal Nidhi , Stella Alberto O , Turville Stuart , Stelzer‐Braid Sacha , Klein Laura D , Rawlinson William 
Published: August 2020

AimAs the COVID‐19 pandemic evolves, human milk banks world‐wide continue to provide donor human milk to vulnerable infants who lack access to mother's own milk. Under these circumstances, ensuring the safety of donor human milk is paramount, as the risk of vertical transmission of SARS‐CoV‐2 is not fully understood. Here, we investigate the inactivation of SARS‐CoV‐2 in human milk by pasteurisation and the stability of SARS‐CoV‐2 in human milk under cold storage.MethodsSARS‐CoV‐2 was experimentally inoculated into human milk samples from healthy donors or into a control medium. Triplicates of each sample were layered onto uninfected cells after Holder pasteurisation (63°C for 30 min), heating to 56°C for 30 min, or after 48 h of storage at 4°C or −30°C. Infectious titres of virus were determined at 72 h post‐infection by endpoint titration.ResultsFollowing heating to 63°C or 56°C for 30 min, replication competent (i.e. live) SARS‐CoV‐2 was undetected in both human milk and the control medium. Cold storage of SARS‐CoV‐2 in human milk (either at 4°C or −30°C) did not significantly impact infectious viral load over a 48 h period.ConclusionSARS‐CoV‐2 is effectively inactivated by Holder pasteurisation, suggesting that existing milk bank processes will effectively mitigate the risk of transmission of SARS‐COV‐2 to vulnerable infants through pasteurised donor human milk. The demonstrated stability of SARS‐CoV‐2 in refrigerated or frozen human milk may assist in the development of guidelines around safe expressing and storing of milk from COVID‐19 infected mothers.
Developing protocols for in‐water morphometric measurements of cetaceans using stereo‐videogrammetry
Authors: Hillcoat Suzanne K. , Curnock Matthew I. , Gardiner Naomi M. , Birtles R. Alastair 
Published: August 2020

AbstractMorphometry underpins the basic knowledge of any organism's population demographics and dynamics. Such understanding enables the investigation of trends with important conservation implications including monitoring the health of individuals and changes in population dynamics over time. By detecting declines in health prior to the onset of significant mortality, monitoring of body condition can potentially allow time for a management response to avert population decline. We trialed the use of a diver‐operated stereo‐video (SDOV) system for making morphometric measurements of dwarf minke whales (Balaenoptera acutorostrata subsp.), a small oceanic rorqual, in the Great Barrier Reef, Australia. The SDOV system produced 68% more precise replicate total body length measurements than a single‐camera system, while both systems achieved a mean error below 0.5%. The increased precision offered by a SDOV system is desirable for longitudinal monitoring of growth rates and body condition. Optimal application of this method relied on adherence to protocols for both data collection and analysis beyond those dictated by the equipment user manuals. We provide recommendations for these field and analytical protocols, which may be suitable for use with other cetaceans when in‐water access is available.
Multiculturalism and nationalism: Models of belonging to diverse political community
Authors: Chin Clayton 
Published: August 2020

AbstractNationalism and multiculturalism seem to have opposed approaches to cultural diversity. However, recent calls for a “multicultural national identity” suggest the need for more nuances on this relation. This paper responds to these calls, and to some initial doubts, providing an account of political community, nationalism and multiculturalism conducive to fuller theorization of a multicultural form of national identity. To do this, it conceptualizes nationalism, liberalism and multiculturalism in terms of the concept of political belonging. It argues that, understood as modes of belonging, nationalism and multiculturalism are not incompatible, and indeed, the latter is a reconstruction of the symbolic terms of social unity of the former. Specifically, multiculturalism entails a form of national belonging that makes cultural difference a constitutive part of national unity, opening possibilities of diverse political community. Key to understanding this is distinguishing between general and specific valuations of diversity within multiculturalism. The paper further argues that a multicultural national identity is a viable alternative to existing models of national identity, offering both a different set of normative prescriptions and an alternative understanding of existing national identity in liberal‐democratic states.