bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictive Role of Executive Function in the Efficacy of Intermittent Theta Burst Transcranial Magnetic Stimulation Modalities for Treating Methamphetamine Use Disorder—A Randomized Clinical Trial
Authors: Wang Li-Jin , Mu Lin-Lin , Ren Zi-Xuan , Tang Hua-Jun , Wei Ya-Dong , Wang Wen-Juan , Song Pei-Pei , Zhu Lin , Ling Qiang , Gao He , Zhang Lei , Song Xun , Wei Hua-Feng , Chang Lei-Xin , Wei Tao , Wang Yu-Jing , Zhao Wei , Wang Yan , Liu Lu-Ying , Zhou Yi-Ding , Zhou Rui-Dong , Xu Hua-Shan , Jiao Dong-Liang 
Published: December 2021

Background: Repetitive transcranial magnetic stimulation (rTMS) has therapeutic effects on craving in methamphetamine (METH) use disorder (MUD). The chronic abuse of METH causes impairments in executive function, and improving executive function reduces relapse and improves treatment outcomes for drug use disorder. The purpose of this study was to determine whether executive function helped predict patients' responses to rTMS treatment.Methods: This study employed intermittent theta burst stimulation (iTBS) rTMS modalities and observed their therapeutic effects on executive function and craving in MUD patients. MUD patients from an isolated Drug Rehabilitation Institute in China were chosen and randomly allocated to the iTBS group and sham-stimulation group. All participants underwent the Behavior Rating Inventory of Executive Function - Adult Version Scale (BRIEF-A) and Visual Analog Scales (VAS) measurements. Sixty-five healthy adults matched to the general condition of MUD patients were also recruited as healthy controls.Findings: Patients with MUD had significantly worse executive function. iTBS groups had better treatment effects on the MUD group than the sham-stimulation group. Further Spearman rank correlation and stepwise multivariate regression analysis revealed that reduction rates of the total score of the BRIEF-A and subscale scores of the inhibition factor and working memory factor in the iTBS group positively correlated with improvements in craving. ROC curve analysis showed that working memory (AUC = 87.4%; 95% CI = 0.220, 0.631) and GEC (AUC = 0.761%; 95% CI = 0.209, 0.659) had predictive power to iTBS therapeutic efficacy. The cutoff values are 13.393 and 59.804, respectively.Conclusions: The iTBS rTMS had a better therapeutic effect on the executive function of patients with MUD, and the improved executive function had the potential to become a predictor for the efficacy of iTBS modality for MUD treatment.Clinical Trial Registration:ClinicalTrials.gov, identifier: ChiCTR2100046954.
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers
Authors: Huang Yuzhou , Jing Danrong , Su Juan , Huang Zhijun , Liu Han , Tao Juan , He Meian , Chen Xiang , Shen Minxue , Xiao Yi 
Published: December 2021

Purpose: Night shift work is common in the current working environment and is a risk factor for many diseases. The study aimed to explore the relationship between night shift work with chronic spontaneous urticaria (CSU), and the modification effect of circadian dysfunction on it.Methods: A cross-sectional survey was conducted among Chinese workers. Exposure was measured by night work history and duration. Circadian dysfunction was characterized by excessive daytime sleepiness (EDS). The diagnosis of CSU was made by dermatologists who were investigating on the spot. The effect size was expressed as odds ratios (ORs).Results: A total of 8,057 participants were recruited, and 7,411 (92%) with complete information were included in the final analyses. The prevalence rates of CSU for workers without night shift and those with night shift history were 0.73 and 1.28%, respectively. Compared with workers who never worked night shifts, the risk of CSU increased with the length of night shift work: OR = 1.55 (95% confidence interval [CI]: 0.78–3.06) for duration &lt;5 years and OR = 1.91 (95% CI: 1.12–3.26) for duration ≥5 years. EDS s EDS has been shown to modify this combination. Among workers without EDS, there was no association between night shift and CSU (OR = 0.94; 95% CI: 0.49–1.79). Whereas, in participants with EDS, the correlation was significant (OR = 3.58; 95% CI: 1.14–11.20). However, the effect modification by sleep disturbance was not observed.Conclusions: Night shift work is a risk factor for CSU, and there is a dose-response relationship between night shift work hours and the risk of CSU. This connection may be modified by circadian dysfunction.
A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
Authors: Matthews Alicia K. , Watson Karriem S. , Duangchan Cherdsak , Steffen Alana , Winn Robert 
Published: December 2021

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.
Community Health Workers' Experiences in Strengthening the Uptake of Childhood Immunization and Malaria Prevention Services in Urban Sierra Leone
Authors: Ishizumi Atsuyoshi , Sutton Roberta , Mansaray Anthony , Parmley Lauren , Eleeza Oliver , Kulkarni Shibani , Sesay Tom , Conklin Laura , Wallace Aaron S. , Akinjeji Adewale , Toure Mame , Lahuerta Maria , Jalloh Mohamed F. 
Published: December 2021

Introduction: Community health workers (CHWs) play an integral role in Sierra Leone's health systems strengthening efforts. Our goal was to understand CHWs' experiences of providing immunization and malaria prevention services in urban settings and explore opportunities to optimize their contributions to these services.Methods: In 2018, we conducted an exploratory qualitative assessment in the Western Area Urban district, which covers most of the capital city of Freetown. We purposively selected diverse health facilities (i.e., type, ownership, setting) and recruited CHWs through their supervisors. We conducted eight focus group discussions (FGD) with CHWs, which were audio-recorded. The topics explored included participants' background, responsibilities and priorities of urban CHWs, sources of motivation at work, barriers to CHWs' immunization and malaria prevention activities, and strategies used to address these barriers. The local research team transcribed and translated FGDs into English; then we used qualitative content analysis to identify themes.Results: Four themes emerged from the qualitative content analysis: (1) pride, compassion, recognition, and personal benefits are important motivating factors to keep working as CHWs; (2) diverse health responsibilities and competing priorities result in overburdening of CHWs; (3) health system- and community-level barriers negatively affect CHWs' activities and motivation; (4) CHWs use context-specific strategies to address challenges in their work but require further support.Conclusion: Focused support for CHWs is needed to optimize their contributions to immunization and malaria prevention activities. Such interventions should be coupled with systems-level efforts to address the structural barriers that negatively affect CHWs' overall work and motivation, such as the shortage of work supplies and the lack of promised financial support.
Predictors of Shift Work Sleep Disorder Among Nurses During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
Authors: Li Yuxin , Lv Xiaoyan , Li Rong , Wang Yongchao , Guan Xiangyun , Li Li , Li Junli , Xue Fuzhong , Ji Xiaokang , Cao Yingjuan 
Published: December 2021

Background: Nurses have a high incidence of shift work sleep disorder, which places their health and patient safety in danger. Thus, exploring the factors associated with shift work sleep disorder in nurses is of great significance in improving their sleep health, nursing personnel staffing, and scheduling during the COVID-19 pandemic.Objectives: The purpose of this study was to investigate the incidence of shift work sleep disorder during the COVID-19 pandemic and explore the factors associated with shift work sleep disorder in Chinese nurses.Methods: This was a multicenter cross-sectional study using an online survey. Stratified cluster sampling was used to include 4,275 nurses from 14 hospitals in Shandong, China from December 2020 to June 2021. Stepwise multivariate logistic regression analysis and random forest were used to identify the factors associated with shift work sleep disorder.Results: The prevalence of shift work sleep disorder in the sampled shift nurses was 48.5% during the COVID-19 pandemic. Physical fatigue, psychological stress, shift work more than 6 months per year, busyness during night shift, working more than 40 h per week, working more than four night shifts per month, sleeping more than 8 h before night shift, using sleep medication, irregular meals, and high-intensity physical activity were associated with increased odds of shift work sleep disorder. Good social support, good work-family balance, napping two or three times per week, resting more than one day after shifts, intervals of 8 days or more between shifts, and taking turns to rest during the night shift were associated with decreased odds of shift work sleep disorder.Conclusions: Shift work sleep disorder may be associated with scheduling strategies and personal behavior during the COVID-19 pandemic. To reduce the incidence of shift work sleep disorders in nurses, nursing managers should increase night shift staffing, extend rest days after shift, increase night shift spacing, and reduce overtime, and nurses need to seek more family and social support and control their sleep schedules and diet.
Early-Time Non-Equilibrium Pitch Angle Diffusion of Electrons by Whistler-Mode Hiss in a Plasmaspheric Plume Associated with BARREL Precipitation
Authors: Millan R. M. , Ripoll J.-F. , Santolík O. , Kurth W. S. 
Published: December 2021

In August 2015, the Balloon Array for Radiation belt Relativistic Electron Losses (BARREL) observed precipitation of energetic (<200 keV) electrons magnetically conjugate to a region of dense cold plasma as measured by the twin Van Allen Probes spacecraft. The two spacecraft passed through the high density region during multiple orbits, showing that the structure was spatial and relatively stable over many hours. The region, identified as a plasmaspheric plume, was filled with intense hiss-like plasma waves. We use a quasi-linear diffusion model to investigate plume whistler-mode hiss waves as the cause of precipitation observed by BARREL. The model input parameters are based on the observed wave, plasma and energetic particle properties obtained from Van Allen Probes. Diffusion coefficients are found to be largest in the same energy range as the precipitation observed by BARREL, indicating that the plume hiss waves were responsible for the precipitation. The event-driven pitch angle diffusion simulation is also used to investigate the evolution of the electron phase space density (PSD) for different energies and assumed initial pitch angle distributions. The results show a complex temporal evolution of the phase space density, with periods of both growth and loss. The earliest dynamics, within the ∼5 first minutes, can be controlled by a growth of the PSD near the loss cone (by a factor up to ∼2, depending on the conditions, pitch angle, and energy), favored by the absence of a gradient at the loss cone and by the gradients of the initial pitch angle distribution. Global loss by 1-3 orders of magnitude (depending on the energy) occurs within the first ∼100 min of wave-particle interaction. The prevalence of plasmaspheric plumes and detached plasma regions suggests whistler-mode hiss waves could be an important driver of electron loss even at high L-value (L ∼6), outside of the main plasmasphere.
O efeito da veste PediaSuit na marcha de crianças com Paralisia Cerebral: Estudo de Casos / The effect of the PediaSuit vest in the gait of children with Cerebral Palsy: Case study
Authors: Carvalho Regiane Luz , Maringolo Gabrieli , Andrade Mônica Cristina Paulo , Boas Vanessa Vilas , Franco Laura Ferreira Rezende 
Published: December 2021

Introdução: A encefalopatia crônica não progressiva da infância (PC) é caracterizada pela presença de distúrbios motores com frequentes déficits de mobilidade. Objetivo: Avaliar o efeito da veste do método PediaSuit, que funciona como um exoesqueleto, no padrão de marcha de 3 crianças com PC. Metodologia: Trata-se de um estudo observacional, transversal de amostra de conveniência aprovado pelo comitê de ética protocolo CAAE 40506720.2.0000.5382. Foram avaliadas pelo Sistema de Classificação da Função Motora Grossa (GMFCS), medida de função motora grossa (GMFM) e inventário de desabilidades (PEDI) 3 crianças com diagnóstico de paralisia cerebral. O efeito da veste PediaSuit foi observado pela Edinburgh Visual Gait Scale (EVGS) por 2 avaliadores experientes. A adaptação ao uso da órtese foi realizada em duas sessões prévias a coleta de dados. Resultados: Participaram 3 crianças com 2 anos e 8 meses, 2 anos e 5 meses e 6 anos, GMFCS III, II e I, GMFM 35,1%, 36,3% e 95,6% e PEDI 124, 40 e 264, sendo a maior pontuação possível 297. Houve efeito da veste do PediaSuit nas variáveis referentes ao quadril (p=0,01) e tronco (p=0,03), sendo que todas as crianças melhoraram o alinhamento de tronco, reduziram a inclinação pélvica e normalizaram a angulação do quadril com a roupa. Não houve diferença significativa no joelho e tornozelo embora 2 das 3 crianças tenham melhorado a dorsiflexão e flexão do joelho na fase de balanço. Conclusão: A veste do PediaSuit se mostrou eficaz como unidade de suporte para alinhar o corpo e restabelecer o correto alinhamento do tronco e quadril das crianças deste estudo.
Developing an electrical power system of a mobile electron beam accelerator to treat wastewater and industrial effluents / Desenvolvimento de um sistema de energia elétrica de um acelerador móvel de feixe de elétrons para tratar águas residuais e efluentes industriais
Authors: Gaspar Renato Rache , Somessari Samir Luiz , Sprenger Francisco Edmundo , Feher Anselmo , Duarte Celina Lopes , Sampa Maria Helena de Oliveira , Lainetti Fabiana de Faria , Braga Alcides , Rodrigues Marcos de Mello , Calvo Wilson Aparecido Parejo 
Published: December 2021

The treatment of wastewater and industrial effluents by electron beam irradiation is a promising technique, however, not very widespread in Brazilian territory. The design and construction of a mobile unit by the Nuclear and Energy Research Institute, containing an electron beam accelerator of 700 keV and 20 kW is innovative to demonstrate the effects and positive results of this technology. The aim is to transfer the mobile unit to several companies with interest in liquid waste treatment, connect to the industry electrical system and start the ionization treatment process through electron beam. The mobile unit connection to the local electrical system may be a challenge due to the great diversity of voltages and distances involved, as well as the large injections of harmonic content generated by the electron beam accelerator that can affect sensitive loads in the industrial system. In this work, an analysis of the electrical power system of the mobile unit was made, regarding the interruption capacity, selectivity protection and adequate short circuit levels, in order to assure a greater reliability in the operation. At the end, the control panel of the mobile unit, simulations and measurements were carried out at the 1.5 MeV and 37.5 kW electron beam accelerator, installed in the Radiation Technology Center, demonstrating the necessity of applying a filter to reduce the measured harmonic distortion. The analysis of the mobile unit electrical power system was made, in order to assure a greater reliability in the operation.
O contemporâneo na crítica literária Piauiense / The contemporary in Piauí literary criticism
Authors: Mendes da Silva Raimunda Celestina 
Published: December 2021

O objetivo deste trabalho é iniciar um debate sobre a crítica literária piauiense, isto é, os modos de leitura de algumas obras de poetas e prosadores, tendo como foco a atividade desses escritores face à tradição literária e à atualidade. Destacando-se a presença da internet como propulsora de uma variedade temática não apenas da atividade literária, mas do próprio exercício da crítica, e a universidade como propulsora de determinados procedimentos de escrita, cujas produções críticas, registradas em dissertações, teses, resenhas, ensaios e artigos, desde muito tempo, fornecem material nesse campo. Investigam-se os fatores que permeiam as discussões sobre as publicações da obra, ressaltando-se a crítica jornalística, o valor literário do texto como forma de contextualizar as discussões apresentadas. Dentre os teóricos que auxiliarão essa reflexão, destacam-se os piauienses Herculano Moraes, Socorro Rios Magalhães, Dilson Lages, Elmar Carvalho, Francisco Miguel de Moura, Carlos Said, dentre outros da critica literária brasileira.
Acolhimento Noturno em Centros de Atenção Psicossocial: Uma revisão integrativa / User Embracement in Psychosocial Service Centers: A integrative review
Authors: Guerra Marcella Regina Silva Rieiro , Da Silva Gelcimary Menegatti , Galvão Marcus Vinicius Alves , Moreira Ana Caroline Gonçalves Cavalcante , Pinho Eurides Santos , Barreto Thayana Costa Xavier , Souza Adrielle Cristina Silva , Santos Eva Fabiana Carvalho dos 
Published: December 2021

Os Centros de Atenção Psicossocial (CAPS) tipo III são dispositivos da Rede Atenção Psicossocial (RAPS) estratégicos no cuidado ao sujeito em crise. Estes funcionam 24 horas, com equipe multidisciplinar e oferecem o acolhimento noturno possibilitando que o sujeito permaneça em seu contexto familiar e comunitário, interrompendo o circuito da institucionalização e segregação. Objetivo: Identificar os estudos realizados sobre acolhimento noturno em CAPS. Métodos: Trata-se de um estudo com revisão integrativa nos bancos de dados da LILACS, SciELO, Medline e BVS entre fevereiro de 2002 a junho de 2019 com descritores delimitados na estratégia de busca. Resultados: Foram encontradas 768 produções sendo destas, somente 4 capazes de corresponder aos critérios de inclusão estabelecidos neste estudo. Conclusão: Observou-se que a RAPS apresenta dificuldade em construir respostas à crise e dentre as dificuldades notou-se a escassez de CAPS III, deficiências no campo profissional e desconhecimento da população pelos serviços ofertados neste dispositivo de saúde. Notou-se que o vínculo dos usuários ao CAPS III possibilita maior adesão ao cuidado integral, continuado, dentro do território e da comunidade. Ressalta-se como limitação desta pesquisa o número reduzido de estudos que identifiquem o papel do acolhimento noturno no atendimento à crise na RAPS. Neste sentido, coloca-se aqui como contribuição para as próximas revisões, estender o período de busca a fim de contemplar estas recentes publicações.
Suicídio em uma visão neuropsicológica com foco nas funções executivas / Suicide in a neuropsychological view with focus on executive functions
Authors: Moreira Maria das Graças Silva , Dos Santos Débora Juliana Ramos , Da Fonseca Aline Arruda 
Published: December 2021

O comportamento suicida tem sido considerado um grande problema de saúde pública, com isso desperta a necessidade de ser observado de forma cuidadosa nas mais diversas áreas. A neuropsicologia, por sua vez, é uma área com potencial para investigar e intervir de forma eficaz gerando contribuição na prevenção do suicídio. Nesse sentido, com o enfoque das funções executivas, o objetivo deste trabalho é investigar as relações existentes entre funções executivas e o comportamento suicida. Para tanto foi realizada uma revisão sistemática de literatura operacionalizada a partir de levantamento de artigos indexados nas bases de dados Lilacs e PubMed. Obteve-se como resultado das buscas o quantitativo de 54 artigos, dos quais 32 foram descartados, considerando os critérios de inclusão, com base na leitura dos títulos e por repetição, oito não foram incluídos a partir da leitura dos resumos e dois foram excluídos somente após leitura na íntegra. Assim, foram fichados 12 estudos dos quais sete (58%) abordaram a relação entre funções executivas e suicídio em transtornos de humor (transtornos depressivos e transtorno afetivo bipolar), dois estudos são focados em psicopatologias mistas e os demais investigam o transtorno de personalidade borderline, esquizofrenia e o uso de substâncias psicoativas. Os resultados das análises dos artigos apontaram para, principalmente, processos de controle inibitório, tomada de decisão e capacidade de planejamento dentre as funções executivas como os que mais são influenciados e exercem influência na relação com o comportamento suicida e manipulação de fatores.