bluuebunny/crossref_metadata_2025_split huggingface dataset:
HPV immunization among young adults (HIYA!) in family practice: A quality improvement project
Authors: Eisenhauer Lauren , Hansen Bryan R. , Pandian Vinciya 
Published: November 2021

AbstractAimsThousands of anogenital and oropharyngeal cancers every year might be prevented through increased receipt of vaccination against the human papillomavirus (HPV). This project aimed to (1) increase the rate of HPV vaccination status assessment, and (2) improve HPV vaccine initiation and completion rates among 18 to 26‐year‐old patients in the family practice setting.DesignQuality improvement project, pre/post intervention design.MethodsThis project implemented the HIYA! (HPV Immunization among Young Adults) Intervention in a private sports and family practice in central New Jersey. HIYA! implemented 10 pre‐, during, and post‐visit outcome measures during every family medicine visit with an 18 to 26‐year‐old patient for HPV. Data collection involved retrospective chart review of every eligible patient during the 12‐week implementation period from 17 August to 06 November 2020 and during the same 12‐week control period in 2019.Results/FindingsOne hundred sixteen charts from 2019 and 129 charts from 2020 were reviewed for assessment of HPV vaccination status and HPV vaccine initiation and/or completion. Multivariable logistic regression analysis demonstrated that participants in the control group were 84% less likely to be assessed for HPV vaccination status and were 91% less likely to initiate and complete HPV vaccination compared with the intervention group.ConclusionThis QI project found HIYA! to be an effective and feasible strategy to improve HPV vaccination rates among 18 to 26‐year‐old patients in a family practice setting.ImpactThe human papillomavirus (HPV) is the most common sexually transmitted disease in the United States, and causes thousands of cancers annually. Although vaccination against HPV can prevent these cancers, vaccination rates remain low, particularly among young adults ages 18 to 26 years. The positive impact of HIYA! was evident based on its success despite the unique challenges presented during the implementation period due to the COVID‐19 pandemic.
An integrative review of Indigenous informal caregiving in the context of dementia care
Authors: Racine Louise , Ford Harris , Johnson Letitia , Fowler‐Kerry Susan 
Published: November 2021

AbstractAimsTo appraise the empirical literature on the needs of Indigenous informal caregivers caring for people living with dementia in Indigenous communities.DesignWhittemore and Knafl's updated approach to integrative reviews, PRISMA guidelines, and CASP checklists for narrative analysis were followed.Data sourcesA systematic search of published empirical literature from January 2010 to August 2020 was undertaken in six databases.Review methodsFifty‐one studies met the research question and the inclusion criteria.ResultsFive themes describe the findings: Decolonizing Western perspectives on dementia, the centrality of cultural safety, caregivers’ experiences, pre‐dementia community education and family and community‐centred care emerged from the thematic analysis. Most of the studies used quantitative methodologies, and few studies were conducted using community‐based approaches.ConclusionThis review shows that Indigenous caregiving represents an emerging field in nursing and health sciences in a context of a global crisis. Researchers need to focus on Indigenous values and voices to adapt care and support informal caregivers. Our review emphasizes that working with Indigenous communities will likely translate into new care delivery models, policies and practices to support Indigenous informal caregivers and address the specific social determinants impacting caregivers’ roles and tasks.ImpactThis review highlights the necessity of having community and family‐based discussions on enhancing the delivery of dementia care for Indigenous peoples in Canada and worldwide. Decolonizing Western perspectives of dementia translate into culturally safe approaches that aim to integrate Indigenous cultural perspectives of holism, reciprocity, wisdom, respect of older people and relationality into nursing practice. The support of Indigenous informal caregivers requires future studies to address the stigmatizing Western views of dementia.
Crop phenotyping in a context of global change: What to measure and how to do it
Authors: Araus Jose Luis , Kefauver Shawn Carlisle , Vergara‐Díaz Omar , Gracia‐Romero Adrian , Rezzouk Fatima Zahra , Segarra Joel , Buchaillot Maria Luisa , Chang‐Espino Melissa , Vatter Thomas , Sanchez‐Bragado Rut , Fernandez‐Gallego José Armando , Serret Maria Dolores , Bort Jordi 
Published: November 2021

ABSTRACTHigh‐throughput crop phenotyping, particularly under field conditions, is nowadays perceived as a key factor limiting crop genetic advance. Phenotyping not only facilitates conventional breeding, but it is necessary to fully exploit the capabilities of molecular breeding, and it can be exploited to predict breeding targets for the years ahead at the regional level through more advanced simulation models and decision support systems. In terms of phenotyping, it is necessary to determined which selection traits are relevant in each situation, and which phenotyping tools/methods are available to assess such traits. Remote sensing methodologies are currently the most popular approaches, even when lab‐based analyses are still relevant in many circumstances. On top of that, data processing and automation, together with machine learning/deep learning are contributing to the wide range of applications for phenotyping. This review addresses spectral and red–green–blue sensing as the most popular remote sensing approaches, alongside stable isotope composition as an example of a lab‐based tool, and root phenotyping, which represents one of the frontiers for field phenotyping. Further, we consider the two most promising forms of aerial platforms (unmanned aerial vehicle and satellites) and some of the emerging data‐processing techniques. The review includes three Boxes that examine specific case studies.
Clinical and Histopathological evaluation of different tools for the Subcision of Atrophic Acne Scars
Authors: Ebrahim Howyda M. , Artima Alyiah Younes , Elardi Amal , Mohamed Morsi Hala 
Published: November 2021

AbstractBackgroundAcne scarring can lead to social and psychological distress.ObjectiveTo compare the safety, efficacy, and long‐term improvement of subcision using tri‐beveled hypodermic (Th) needle versus cannula for the treatment of atrophic post‐acne scars.MethodsForty‐six patients with atrophic post‐acne scars were treated with subcision using (Th) needle on one side of the face and a blunt cannula on the other side of the face for 6 sessions one month apart. The primary outcome was based on the clinical improvement and patient satisfaction score. Skin biopsies were taken at baseline and 3months after the final session. Follow‐up was 9 months.ResultsThree months after the final session, a statistically highly significant difference was detected in both sides from the baseline (p < 0.001). The overall improvement was 73.9% on the (Th) needle side versus 65.2% on the cannula side (p = 0.68). There was no significant difference in acne severity scarring grade between both sides (p = 0.86). The mean number of sessions was significantly less in the (Th) needle side (p < 0.001). Collagen deposition and reorganization were achieved with both modalities. Patient satisfaction showed no significant difference between both sides. The side effects were mild and significantly higher in the (Th) needle side (p = 0.001).ConclusionBoth modalities are effective and economic techniques. However, using a cannula is associated with much fewer side effects, more convenient for the patients and physicians compared to the (Th) needle.
A modified transabdominal cervicoisthmic cerclage with the monofilament thread: Its efficacy and safety for women with extremely short cervix due to cervical conization
Authors: Sunami Rei , Owada So , Yasuda Genki , Kasai Mayuko , Uchida Yuzo , Takahashi Hironori , Matsubara Shigeki 
Published: November 2021

AbstractAimThe study aimed to examine the usefulness of modified transabdominal cervicoisthmic cerclage (TAC) using monofilament thread for the prevention of preterm delivery in women with an extremely short cervix after deep conization.MethodsWe devised a monofilament thread for picking up the seromuscular layer of the site that is slightly cephalad to the internal ostium to prevent injury of the vessels around the uterine cervix. From 2017 to 2020, we performed this modified operation in eight women (nine pregnancies) at 12–16 weeks of gestation with a history of deep cervical conization.ResultsA modified TAC was successfully performed in all patients. There was no measurable bleeding, and all patients were discharged without postoperative complications. Their pregnancy courses after the operation were uneventful. Of nine, one patient had premature uterine contractions and underwent cesarean section at 36 weeks (preterm delivery). In the other eight pregnancies, planned cesarean section was performed after 37 weeks of gestation. The median birth weight of the babies was 2996 g (range 2604–3374 g). All patients were discharged on the sixth postoperative day without complications.ConclusionA modified TAC can be safely performed and may prolong pregnancy without adverse events in patients with an extremely short cervix.
Implementation of Telehealth Services in Rural Schools: A Qualitative Assessment
Authors: Fox Kimberley , Burgess Amanda , Williamson Martha Elbaum , Massey John , Shaler George , Pearson Karen , MacKenzie Jennifer , Merchant Kimberly , Zhu Xi , Ward Marcia 
Published: November 2021

ABSTRACTBACKGROUNDIn rural areas with health professional workforce shortages, telehealth offers an opportunity to address service gaps and meet the health needs of students. Few studies have examined telehealth implementation in rural schools. This study explores facilitators and barriers to the implementation of telehealth programs in rural schools and identifies strategies for successful implementation to inform future school‐based telehealth initiatives.METHODSWe conducted semi‐structured qualitative interviews with 50 key informants involved in the implementation of telehealth programs funded through the School‐Based Telehealth Network Grant Program. Researchers completed a thematic analysis of interview transcripts.RESULTSThe most commonly cited barriers were technology, reimbursement for services, and facilitating acceptance of the telehealth among school staff, clinicians, parents, and students. Key informants identified strategies for facilitating program implementation, including technology training and support, marketing efforts, and integration into existing school processes.CONCLUSIONSSchool‐based telehealth can augment clinical capacity in areas with clinician shortages. Entities interested in such an approach to care must engage with their school community to ensure successful implementation. For rural, school‐based telehealth to gain greater adoption and be sustained, these services must be reimbursable by Medicaid and private insurers.
Parents' Perceptions of Privacy Policies and Practices for School‐Issued Digital Devices: Implications for School Practices
Authors: Utter Hannah , Polacsek Michele , Emond Jennifer A. 
Published: November 2021

ABSTRACTBACKGROUNDDigital technology is becoming a central component of schooling. We measured parents perceptions of their children's digital privacy on school‐issued digital devices.METHODSWe surveyed 571 parents of K‐12th grade children, recruited nationally, regarding their child's use of school‐issued devices. Parents reported their awareness of, and ratings of importance for, seven types of privacy policies for school‐issued devices.RESULTSAbout half (45.9%) of children were in K‐5th grade and 84.9% attended public school. Most (80.7%) children used a school‐issued device and 66.6% took one home during the coronavirus pandemic. Parents most often rated policies for preventing the collection of geolocation (76%) and sharing of data with third parties (75%) as “very important.” However, 35.4% of parents did not know with certainty if their school had any digital policies. Many (55.7%) parents “strongly agreed” their child's school protected student digital privacy and most (68.1%) felt schools were the most responsible party to do so, yet those ratings differed by parent awareness of privacy policies (p < .05).CONCLUSIONSParents consider digital privacy policies highly important and perceive schools to be responsible for such protections, highlighting the need to support schools in those efforts.
Point‐of‐care hepatitis C testing and treatment strategy for people attending harm reduction and addiction centres for hepatitis C elimination
Authors: Forns Xavier , Colom Joan , García‐Retortillo Montse , Quer Joan Carles , Lens Sabela , Martró Elisa , Domínguez‐Hernández Raquel , Casado Miguel Ángel , Buti María 
Published: November 2021

AbstractAccording to WHO goals, the elimination of Hepatitis C Virus (HCV) by 2030 requires enhancing and simplifying HCV testing. Our aim was to create a model to assess and compare different strategies for HCV testing, linkage to care and treatment among people who access harm reduction centres (HRC) and Addiction Centres in Catalonia. A decision tree model was designed to evaluate two strategies: Hepatitis C Point‐of‐care (POC) “test and treat”, at the community versus standard‐of‐care (SOC), in which HCV testing was performed at community and therapy at the hospital. Both strategies were assessed separately in HRCs (6,878 users) and Addiction Centres (13,778 users). with a time horizon of 18 months. Healthcare outcomes were HCV testing, linkage to care, treatment outcomes and reinfection rate. HCV testing was performed in 3,178 (46%) of the HRC users. Compared with SOC, POC increased access to treatment by 57% (63% vs. 6%). SVR rates were 64% in POC vs. 23% in SOC. Reinfection rates were 21% with POC compared to 24% with SOC. With POC, losses to follow‐up were reduced by 41%. In the Addiction Centres, 12,566 users (91%) were screened using the two strategies. Compared to the SOC, POC increased access to treatment and linkage to care by 19% along with SVR at the same rate. Reinfection rates decreased by 6%. Thus, the implementation of a POC “test and treat” strategy at HRCs and Addiction Centres has shown to be an effective public health strategy to help eliminating HCV in accordance with WHO goal.
Pathological and epidemiological investigation of skin lesions in belugas (Delphinapterus leucas) from the St. Lawrence Estuary, Quebec, Canada
Authors: Le Net Rozenn , Larrat Sylvain , Michaud Robert , Lair Stéphane 
Published: November 2021

AbstractFollowing the evaluation of 26,020 photographs collected from 2003 to 2014 as part of a photo‐identification program in St. Lawrence Estuary belugas, an atlas of cutaneous anomalies, composed of 18 skin lesions categories (SLCs), is proposed. At least one SLC was present in 51%, 97%, and 94% of neonates, gray, and white belugas, respectively. The most common SLC observed were “single linear fissure” (22%), “single linear scar” (19%), and “ulcer‐like lesion” (17%) in neonates, and “rake mark” (77%; 70%), “single linear fissure” (31%; 24%) and “circular depression” (40%; 35%) in gray and white belugas, respectively. Logistic regression modeling revealed significant correlations between temporal and individual variables for most SLCs. Histological evaluation of cutaneous lesions from 111 belugas stranded between 1983 and 2017 were also performed. “Single linear fissure,” “single linear scar,” “crater‐like scar,” “rake mark,” and “Morse code lesions” appear to be of traumatic origin. Results from pathological and epidemiological analyses suggest that some of these SLCs, such as “yellow patch,” “circular depression,” and “map depression” are associated with molting. Postnatal molting could account for “ulcer‐like lesions” and “single linear fissures” in neonates. Urchin spines were found within “pinhole erosions” and a gamma‐herpesvirus was detected by PCR in a wound.
Implantable cardioverter‐defibrillators with end stage renal disease: Nationwide inpatient sample database results
Authors: Ayoub Karam , Fry Ethan , Marji Meera , Masri Ahmad , Hesselson Aaron , Ellison Kristin 
Published: November 2021

AbstractBackgroundWhen compared to patients with normal renal function, patients with chronic kidney disease develop higher in‐hospital complications post implantable cardioverter‐defibrillator (ICD) therapy. However, real world data on in‐hospital complications post ICD therapy in patients with end stage renal disease (ESRD) is limited. In this study, we aim to explore the procedure‐related complications of ICD therapy in patients with ESRD.MethodsUsing the nationwide inpatient sample (NIS) database, we conducted a retrospective analysis on ESRD patients who underwent inpatient ICD placement from 2010 to 2016. Using 1:2 propensity score matching, we compared ESRD patients to those with normal renal function. Outcomes of interest were postoperative hemorrhage and hematoma formation, blood transfusion, pericardial complications, mechanical complications requiring lead revision, vascular injury, in‐hospital mortality, and length of stay.ResultsOur sample included 40,075 cases with subsequent propensity score matching between ESRD and normal renal function. Comparatively, patients with ESRD had higher odds of postoperative hemorrhage (Odds ratio [OR] = 1.67, 95% confidence interval [CI] 1.4–1.99, p = < .0001), blood transfusion (OR, 3.88; CI 3.29–4.56; p = < .0001), mechanical complications requiring lead revision (OR, 1.24; CI 1.01–1.51; p = .035), vascular injury (OR, 2.02; CI 1.27–3.24; p = .0027), in‐hospital mortality (OR, 4.56; CI 3.08–6.76; p = < .0001), and longer hospitalization (11 vs. 7 days, p = < .0001), but without significant difference in pericardial complications (OR, 1.9; CI 0.92–1.54; p = < .18).ConclusionIn this large contemporary cohort, patients with ESRD undergoing inpatient ICD therapy are at higher risk of developing postprocedural complications including hemorrhage and hematoma, blood transfusion, mechanical complications requiring lead revision, and in hospital mortality, without increased risk of pericardial complications.
Drought stress reduces crop carbon gain due to delayed photosynthetic induction under fluctuating light conditions
Authors: Sakoda Kazuma , Taniyoshi Kazuki , Yamori Wataru , Tanaka Yu 
Published: November 2021

AbstractDrought stress is a major limiting factor for crop growth and yield. Water availability in the field can cyclically change between drought and rewatering conditions, depending on precipitation patterns. Concurrently, light intensity under field conditions can fluctuate, inducing dynamic photosynthesis and transpiration during the crop growth period. The present study aimed to characterize carbon gain and water use in fluctuating light under drought and rewatering conditions in two major crops, namely rice and soybean. We conducted gas exchange measurements under fluctuating light conditions with rice and soybean plants exposed to drought treatment (9–13 days) imposed by withholding water and subsequent rewatering treatment (8–9 days). Drought stress significantly reduced the maximum CO2 assimilation rate (A) in soybean but not in rice. Under drought conditions, A increased after a step increase in light and then gradually decreased in both crops, resulting in the significant reduction of steady‐state A in rice and soybean. Moreover, drought stress delayed photosynthetic induction in both crops even when it had relatively small impact on maximum A. These results suggest that the drought effects on photosynthesis should be evaluated based on induction, maximum, and steady states. The delayed photosynthetic induction under drought owing to the reduced gas diffusional conductance via stomata resulted in a substantial loss of leaf carbon gain under fluctuating light conditions. Meanwhile, rewatering, after drought, completely recovered photosynthesis under fluctuating light in both crops. Therefore, the stability of photosynthetic induction can be a promising target to improve drought tolerance during crop breeding in the future.
Cultural Orientation and Risk Perception: Development of a Scale Operating in a French Context
Authors: Chauvin Bruno , Chassang Ianis 
Published: November 2021

AbstractCultural theory has often been invoked to explain risk preferences, yet empirical evidence for that influence has regularly been challenged. This research addresses this issue by reassessing the role of cultural orientation in understanding risk perception through the development of an alternative assessment tool of worldviews operating in a French context. Using data from two samples of French citizens (N = 192 and N = 631), study 1 conducted exploratory and confirmatory factor analyses which provided support for a three‐factor scale of worldviews: hierarchy‐individualism, egalitarianism, and fatalism. Based on data from two other independent samples (N = 111 and N = 422), study 2 affirmed, for each worldview, its convergent validity (with its counterpart in another worldview measure), discriminant validity (from all other subscales), and predictive validity (for specific patterns of risk perception). Of particular interest is that culturally diverse individuals hold divergent positions on risk (skepticism, sensibility, neutrality) depending on, and in proportion to, the (in)compatibility of the hazardous activity to their preferred worldview. Implications for risk management and communication are discussed.
Exploring Distressed Cashew‐Nut Farmland Rentals Among Ethnic Groups in Binh Phuoc Province, Vietnam
Authors: Nguyen Toai , Lawler Susan , Paul Warren 
Published: November 2021

AbstractRemote communities alleviate economic hardship by renting their crops to others, and these transactions are often informal and exploitative. Because farmland is an important income source for rural areas, understanding the participation in distress rentals of cashew nut farms is critical for sustainable development. Previous studies have highlighted relationships between socioeconomic factors and participation in land rentals but have failed to examine distress rentals under ethnic contexts. In this study, we interviewed 121 villagers to examine socioeconomic determinants of the participation in distress rentals of farmers with regard to their indigenous culture in two communes in Binh Phuoc province. We found that ethnic identity, land‐ownership, informal training in agriculture, family size, and proximity to markets are statistically significant in explaining the likelihood to participate in distress rentals. Based on these findings, we make several recommendations for how local governments can create better policies to ensure social justice.
Ruptured arteriovenous fistula pseudoaneurysm treatment by balloon‐assisted direct percutaneous thrombin injection
Authors: Loureiro Luís , Mendes Daniel , Sousa Clemente Neves , Almeida Paulo , Norton de Matos António , Teles Paulo , Rego Duarte , Teixeira Gabriela , Teixeira Sérgio , Antunes Inês , Costa Luísa Lemos 
Published: November 2021

AbstractWe present the case of a male patient on hemodialysis with a ruptured pseudoaneurysm in a brachiocephalic arteriovenous fistula (AVF) and with edema and pain in the right arm attended to in the emergency department. An ultrasonographic scan identified a ruptured pseudoaneurysm with hemorrhagic infiltration of the arm muscular tissues. We performed a percutaneous ultrasound‐guided thrombin injection with an angioplasty balloon inflated in the lumen of the AVF achieving the pseudoaneurysm thrombosis. After 6 months of follow‐up, the patient's arteriovenous access remains functional. Percutaneous ultrasound‐guided thrombin injection assisted by an angioplasty balloon may be a good alternative to surgical intervention in the treatment of symptomatic growing pseudoaneurysms of the arteriovenous fistula with the benefit of preserving the vascular access.