bluuebunny/crossref_metadata_2025_split huggingface dataset:
Substance use‐related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data
Authors: Mennicke Annelise , Kaniuka Andrea R. , Pruneda Phoebe , Cramer Robert J. 
Published: October 2021

AbstractIntroductionSuicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance‐related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance‐related suicide deaths unique to, or generalizing across, facility discharge.MethodsWe used data from the National Violent Death Reporting System. Suicide deaths (N = 105,968) were aggregated from 2003 to 2017. Chi‐square and independent samples t‐tests were used to examine associations between drug/alcohol‐related deaths and each correlate. Logistic regression was employed to identify the most robust substance‐related suicide death‐related factors.ResultsSuicide deaths were commonly marked as being substance‐related: 69% from correctional institutions, 54% from behavioral health facilities, 45% from those not released from a facility, and 39% from healthcare facilities. Regression models indicated housing interruptions and interpersonal stressors increased odds of the suicide death being marked as substance‐related across discharge categories. Each discharge category also had unique predictors, underscoring the need for tailored prevention.ConclusionsSubstance‐related suicide deaths are particularly common among adults discharged from correctional and behavioral health facilities. Findings are discussed with respect to community‐focused, discharge planning, and clinical care suicide prevention strategies.
A persistent homology model of street network connectivity
Authors: Corcoran Padraig , Jones Christopher B. 
Published: October 2021

AbstractWe propose a novel model of street network connectivity which uses a method from the field of applied topology called “persistent homology”. The output from this model is a pair of density functions which model the relative strength and frequency of connected components and cycles in the network. In this context, strength is a function of street type, such as motorway or residential, with more significant street types providing greater connectivity. The pair of density functions output from the model are easily interpreted and provide novel insights into the connectivity properties of different street networks. We demonstrate the usefulness of this model through an analysis of UK and US city street networks. This analysis identifies tangible similarities and differences in the connectivity of different cities plus ways in which the connectivity of individual cities might be improved.
The pig as a model system for investigating the recruitment and contribution of myofibroblasts in skin healing
Authors: Hamilton Douglas W. , Walker John T. , Tinney Dylan , Grynyshyn Michael , El‐Warrak Alexander , Truscott Emily , Flynn Lauren E. 
Published: October 2021

AbstractIn the skin‐healing field, porcine models are regarded as a useful analogue for human skin due to their numerous anatomical and physiological similarities. Despite the widespread use of porcine models in skin healing studies, the initial origin, recruitment and transition of fibroblasts to matrix‐secreting contractile myofibroblasts are not well defined for this model. In this review, we discuss the merit of the pig as an animal for studying myofibroblast origin, as well as the challenges associated with assessing their contributions to skin healing. Although a variety of wound types (incisional, partial thickness, full thickness, burns) have been investigated in pigs in attempts to mimic diverse injuries in humans, direct comparison of human healing profiles with regards to myofibroblasts shows evident differences. Following injury in porcine models, which often employ juvenile animals, myofibroblasts are described in the developing granulation tissue at 4 days, peaking at Days 7–14, and persisting at 60 days post‐wounding, although variations are evident depending on the specific pig breed. In human wounds, the presence of myofibroblasts is variable and does not correlate with the age of the wound or clinical contraction. Our comparison of porcine myofibroblast‐mediated healing processes with those in humans suggests that further validation of the pig model is essential. Moreover, we identify several limitations evident in experimental design that need to be better controlled, and standardisation of methodologies would be beneficial for the comparison and interpretation of results. In particular, we discuss anatomical location of the wounds, their size and depth, as well as the healing microenvironment (wet vs. moist vs. dry) in pigs and how this could influence myofibroblast recruitment. In summary, although a widespread model used in the skin healing field, further research is required to validate pigs as a useful analogue for human healing with regards to myofibroblasts.
KOMPOSISI PROKSIMAT DAN PENERIMAAN SENSORI MAKANAN VEGETARIAN INDIA STERIL TERPILIH
Authors: Mohd Kasim Zalifah , Hasim Nurul Farhana , Zubairi Saiful Irwan 
Published: October 2021

Vegetarian diets are slowly becoming a lifestyle in Malaysia but is still lacking in the production of vegetarian foods in the form of ready-to-eat meals. The main objectives of this study were to determine the proximate composition and sensory acceptance of selected Indian vegetarian dishes (aloo gobi, dhal curry, potato curry, aloo patta gobi, bhindi masala, vadai and vegetarian kebab) before and after sterilization process. The preparation of the dishes was done using sterilization and vacuum packaging technique. As for the proximate analysis, ash, moisture, fat, protein, carbohydrate and crude fibre and total caloric content were determined. Sensory analysis which was quantitative descriptive analysis (QDA) and the 7-point hedonic scale were used to determine appearance, colour, odour, taste, texture and overall acceptance, before and after sterilization process. In proximate analysis, significant difference (p<0.05) between reference and steril samples for vegetarian kebab and vadai (moisture), aloo patta gobi and aloo gobi (ash), bhindi masala, vegetarian kebab and aloo gobi (protein), aloo gobi, vegetarian kebab and vadai (fat). Vegetarian kebab showed the highest mean value and significantly different (p<0.05) in energy values. Hedonic test showed that the overall acceptability of Indian vegetarian dishes among races were significantly different (p<0.05). Vegetarian kebab had the highest preference score as compared to the other samples. As for QDA, there were no significant difference in the overall acceptability for all the reference and sterilized samples. In conclusion, the sterilization process slightly affected the proximate composition and sensory acceptance of selected Indian vegetarian dishes.
Mobile Educational Games For Learning Sirah Nabi: Development And Usability Evaluation
Authors: Kamarazaman Nadzirah , Ibrahim Roslina , Yusoff Rasimah C.M. , M Zainudin Norziha M. , Yaacob Suraya , Yahya Yazriwati , R. Azami Husna Hafiza 
Published: October 2021

The pervasive use of the internet and mobile phone among the age group 5 – 17 years old makes learning through these media an attractive proposition. Mobile learning presents a flexible and inventive way of learning as well as the new normal. On the other hand, learning Sirah is an essential part of every Muslim in the world in order to understand what has happened in the past regarding our beloved prophet and to learn from his behaviour and follow his sunnah. However, past studies shown that the traditional learning approach seems dull and not interesting enough. Mobile learning thus offers a new solution in learning the Sirah and similar subjects most students find of low interest and dull. The study used a quantitative approach using survey for data collection; and was divided into two phases: Sirah Game Prototype Design and Usability Evaluation phase. The ADDIE model was adapted as a model to guide instructional design process and development of the Sirah mobile applications with five phases throughout the process. An evaluation model consisted of seven components namely Game Usability, Mobility, Learning Content and Playability, Satisfaction, Efficiency was implemented. The findings suggested that students are highly interested in the use of the games for learning, able to learn Sirah subject in better ways by using the games and learning with games was found as enjoyable way to learn. This study adds more to Islamic digital content and enhances the learning approach for Sirah subject. We hope to contribute more towards Islamic digital content in the future for the benefit of our ummah and community.
Mission Engineering and Design using Real-Time Strategy Games: An Explainable-AI Approach
Authors: Dachowicz Adam , Mall Kshitij , Balasubramani Prajwal , Maheshwari Apoorv , Panchal Jitesh H. , Delaurentis Dan , Raz Ali 
Published: October 2021

Abstract
In this paper, we adapt computational design approaches, widely used by the engineering design community, to address the unique challenges associated with mission design using RTS games. Specifically, we present a modeling approach that combines experimental design techniques, meta-modeling using convolutional neural networks (CNNs), uncertainty quantification, and explainable AI (XAI). We illustrate the approach using an open-source real-time strategy (RTS) game called microRTS. The modeling approach consists of microRTS player agents (bots), design of experiments that arranges games between identical agents with asymmetric initial conditions, and an AI infused layer comprising CNNs, XAI, and uncertainty analysis through Monte Carlo Dropout Network analysis that allows analysis of game balance. A sample balanced game and corresponding predictions and SHapley Additive exPlanations (SHAP) are presented in this study. Three additional perturbations were introduced to this balanced gameplay and the observations about important features of the game using SHAP are presented. Our results show that this analysis can successfully predict probability of win for self-play microRTS games, as well as capture uncertainty in predictions that can be used to guide additional data collection to improve the model, or refine the game balance measure.
Early supported discharge for older adults admitted to hospital with medical complaints: a protocol for a systematic review
Authors: Williams Susan , Morrissey Ann-Marie , Steed Fiona , Leahy Aoife , Shanahan Elaine , Peters Catherine , O"Connor Margaret , Galvin Rose , O"Riordan Clíona 
Published: October 2021

IntroductionEarly supported discharge (ESD) aims to link acute and community care, allowing hospital inpatients to return home and continue to receive the necessary input from healthcare professionals that they would otherwise receive in hospital. The concept has been researched extensively in the stroke population, showing reduced length of stay for patients and improved functional outcomes. This systematic review aims to explore the totality of evidence for the use of ESD in an older adult population who have been hospitalised with medical complaints.MethodsA systematic review of randomised controlled trials and quasi randomised controlled trials will be carried out in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies will be included if they provide an ESD intervention to older adults admitted to hospital for medical complaints compared with continuing inpatient care. MEDLINE, CINAHL, CENTRAL and EMBASE databases will be searched. The primary outcome measure will be length of hospital stay, secondary outcomes will include functional abilities, falls, quality of life, carer and patient satisfaction, unplanned emergency department re-presentation, unscheduled hospital readmission, nursing home admission or mortality. Titles and abstracts of studies will be screened independently by two authors. The Cochrane Risk of Bias Tool will be used independently by two reviewers to assess the methodological quality of the included studies. GRADE will be used to assess the quality of the body of evidence. A pooled meta-analysis will be conducted using RevMan software V.5.4.1, depending on the uniformity of the data.Ethics and disseminationThe authors will present the findings of the review to a patient and public involvement stakeholder panel of older people that has been established at the Ageing Research Centre in the University of Limerick. Formal ethical approval is not required for the review as all data collected will be secondary data and will be analysed anonymously.PROSPERO registration numberCRD42021223112.
Implementation of music in the perioperative standard care of colorectal surgery: study protocol of the IMPROVE Study
Authors: Kakar Ellaha , Ista Erwin , Klimek M , Jeekel Johannes 
Published: October 2021

IntroductionPerioperative music intervention has been proven effective in reducing anxiety, pain, neurohormonal stress response and medication requirement. Unfortunately, there is a gap between new effective interventions and their (interventions) integration in standard care protocols. The aim of this preimplementation and postimplementation study is to investigate the adherence to a music intervention in a tailored, multilevel, systematic implementation strategy and the initial impact of the implementation on postoperative pain in patients undergoing colorectal surgery.Methods and designA monocentre prospective preimplementation and postimplementation study was set up using The Consolidated Framework for Implementation Research to conduct a systematic implementation of music intervention in three phases. Primary outcomes are adherence to the music intervention and the initial impact of the music intervention implementation on postoperative pain scores on the first postoperative day. At least 100 patients will be included in the study. Secondary outcomes include adherence to the implementation strategy, penetration of music intervention in the standard care, assessment of the determinants for implementation, impact of the implemented music intervention on pain during the entire admission, anxiety, medication usage, complications, hospital and intensive care unit (ICU) length of stay.Ethics and disseminationThe Medical Ethics Review Board of Erasmus MC University Medical Centre Rotterdam, The Netherlands, has approved this protocol. The study is being conducted in accordance with the Declaration of Helsinki. Results of this trial will be published in peer-reviewed scientific journals and conference presentations.Trial registrationDutch Trial Register NL8071.
Awareness and attitudes towards advance care planning in primary care: role of demographic, socioeconomic and religiosity factors in a cross-sectional Lebanese study
Authors: Assaf Georges , Jawhar Sarah , Wahab Kamal , El Hachem Rita , Kaur Tanjeev , Tanielian Maria , Feghali Lea , Al Hazzouri Adina Zeki , Elbejjani Martine 
Published: October 2021

ObjectiveTo assess awareness and attitudes towards engaging in advance care planning (ACP) and their relationship with demographic, socioeconomic and religiosity factors among Lebanese middle-aged to older-aged adults in primary care.DesignA cross-sectional survey study.SettingTertiary referral hospital in Beirut, Lebanon.ParticipantsA total of 215 middle-aged to older-aged adults.ResultsOut of 215 participants, 18.6% of participants knew about ACP; 94% favoured truth-telling; 87.4% favoured healthcare autonomy; 77.2% favoured documenting their own health values and preferences; and 29.3% were willing to undergo life-prolonging interventions. Among participants who were aware of ACP, 67.5% preferred ACP documentation and 85% had negative attitudes towards life-sustaining interventions. Women were more aware about ACP than men. Those who were willing to undergo life-prolonging interventions were found to be men and had higher religiosity scores.ConclusionLarge deficit in ACP awareness was evident despite the high preference for healthcare autonomy. Medical and public health efforts should strive to enhance patients’ ACP awareness and engagement in ACP while considering factors relevant to gender, culture and religiosity.
School-based behaviour change intervention to increase physical activity levels among children: a feasibility cluster non-randomised controlled trial in Yangzhou, China
Authors: Wang Haiquan , Blake Holly , Chattopadhyay Kaushik 
Published: October 2021

ObjectivesChildren in China have low levels of physical activity. We developed a school-based behaviour change intervention to increase their physical activity levels. The study aimed to determine the feasibility of undertaking a cluster randomised controlled trial (RCT) in the future. This future cluster RCT will evaluate the effectiveness of the intervention.DesignFeasibility cluster non-RCT design.SettingTwo public schools (one intervention and one control) in Yangzhou, China.ParticipantsChildren aged 10–12 years and their parents.InterventionThe 16-week school-based behaviour change intervention to increase physical activity levels consisted of three components (a) health education (physical education), (b) family involvement and (c) school environment support.Outcomes measuresWe estimated important parameters that are needed to design the future cluster RCT, such as SD of the primary outcome (ie, 7-day steps in children), intracluster correlation coefficient (ICC), recruitment of child–parent dyads, follow-up of children, completion of and time needed for data collection among children and intervention attendance.ResultsSixty-four children and their parents participated in the study (32 per study group). The SD of the primary outcome was 34 519 steps. The ICC was 0.03. The recruitment and follow-up rates were 100%. The completion of data collection was 100% (except for the 7-day steps at baseline—one child lost the step log in the intervention group and two children lost their pedometer in the control group). The time needed to complete the self-reported questionnaire by children was around 15 min per study group, and the measurement of their anthropometric parameters took around 40 min per study group. The intervention attendance was 100%.ConclusionsBased on the promising recruitment, follow-up, completion of and time needed for data collection and intervention attendance, it would be feasible to undertake the future cluster RCT in China.Trial registration numberChiCTR1900026865.
Effect of blowing ratio on film-cooling effectiveness of ginkgo shaped holes: a numerical approach
Authors: Awais Muhammad , Hasan Reaz , Rahman Hamidur 
Published: October 2021

Modern gas turbine engines operate at high temperatures to improve thermal efficiency and power output. Increased rotor inlet temperatures increase the rate of heat transfer to the turbine blades, which requires sophisticated cooling schemes to keep the blade temperature at acceptable levels. This work is a numerical investigation of film cooling techniques as applied to gas turbines. The cooling performance of two differently shaped holes, namely, Ginkgo Forward and Ginkgo Reverse, were investigated in terms of centerline and local lateral cooling effectiveness, and a comprehensive comparison was made with the cooling performance of a cylindrical hole. The investigations were performed at a constant density ratio (DR = 2.0) and three different blowing ratios (BR = 1.0, 1.5, and 2.0). Under all of the operating conditions, the results demonstrated significant augmentation in centerline and lateral cooling effectiveness when the Ginkgo Reverse shaped hole was used, followed by the Ginkgo Forward and cylindrical cooling holes. For the shaped cooling holes, the low velocity gradient through the film alleviated the jet lift-off and turbulence, resulting in decreased entrainment of hot gas to the bottom surface. To conclude, the prominent lateral dispersal of the coolant due to the shaped cooling holes significantly enhanced thermal protection and the overall cooling performance.
Evaluating Grasping Visualizations and Control Modes in a VR Game
Authors: Adkins Alex , Lin Lorraine , Normoyle Aline , Canales Ryan , Ye Yuting , Jörg Sophie 
Published: October 2021

A primary goal of the
Virtual Reality
(
VR
) community is to build fully immersive and presence-inducing environments with seamless and natural interactions. To reach this goal, researchers are investigating how to best directly use our hands to interact with a virtual environment using hand tracking. Most studies in this field require participants to perform repetitive tasks. In this article, we investigate if results of such studies translate into a real application and game-like experience. We designed a virtual escape room in which participants interact with various objects to gather clues and complete puzzles. In a between-subjects study, we examine the effects of two input modalities (controllers vs. hand tracking) and two grasping visualizations (continuously tracked hands vs. virtual hands that disappear when grasping) on ownership, realism, efficiency, enjoyment, and presence.

Our results show that ownership, realism, enjoyment, and presence increased when using hand tracking compared to controllers. Visualizing the tracked hands during grasps leads to higher ratings in one of our ownership questions and one of our enjoyment questions compared to having the virtual hands disappear during grasps as is common in many applications. We also confirm some of the main results of two studies that have a repetitive design in a more realistic gaming scenario that might be closer to a typical user experience.
Semisupervised Ordinal Regression Based on Empirical Risk Minimization
Authors: Tsuchiya Taira , Charoenphakdee Nontawat , Sato Issei , Sugiyama Masashi 
Published: October 2021

Abstract
Ordinal regression is aimed at predicting an ordinal class label. In this letter, we consider its semisupervised formulation, in which we have unlabeled data along with ordinal-labeled data to train an ordinal regressor. There are several metrics to evaluate the performance of ordinal regression, such as the mean absolute error, mean zero-one error, and mean squared error. However, the existing studies do not take the evaluation metric into account, restrict model choice, and have no theoretical guarantee. To overcome these problems, we propose a novel generic framework for semisupervised ordinal regression based on the empirical risk minimization principle that is applicable to optimizing all of the metrics mentioned above. In addition, our framework has flexible choices of models, surrogate losses, and optimization algorithms without the common geometric assumption on unlabeled data such as the cluster assumption or manifold assumption. We provide an estimation error bound to show that our risk estimator is consistent. Finally, we conduct experiments to show the usefulness of our framework.