bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utilization of Routine Health Information System and Associated Factors Among Health Professionals in Public Health Facilities in Dire Dawa, Eastern Ethiopia: a Cross-sectional Study
Authors: Mekuria Samuel , Adem Hassen Abdi , Ayele Behailu Hawulte , Musa Ibsa , Berhanie Daniel 
Published: September 2021

Abstract
Background: Using reliable evidence from routine health information over time is an important aid to improve the health outcome, tackling disparities, enhancing efficiency, and encouraging innovation. In Ethiopia, the utilization of routine health data for improving the performance and quality of care was not well-studied in primary and secondary health facilities. This study assessed the level of routine health information utilization and associated factors among health professionals in public health facilities of Dire Dawa, eastern Ethiopia.Method: An institution-based cross-sectional study was conducted among 378 randomly selected health professionals from June 10 to July 20, 2020. A self-administered pretested structured questionnaire was used to collect data from participants. Data were entered using EpiData version 3.1 and analyzed using Stata version 16.0. Descriptive statistics were used to characterize the participants and binary logistic regression analysis was conducted to identify factors associated with the utilization of routine health information. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to report association and significance was declared at P-value<0.05.Results: Good utilization of routine health information among health professionals was 57.7% (95% CI: 52.6%, 62.6%). Good organizational support (AOR=3.91, 95% CI: 2.01, 7.61), the low perceived complexity of the reporting formats (AOR=2.20, 95% CI: 1.23, 3.97), good self-efficacy (AOR=2.52, 95% CI: 1.25, 5.10), and good decision making autonomy (AOR=3.97, 95% CI: 2.12, 7.43) were important factors associated with good utilization of routine health information.Conclusion: Good utilization of routine health information among health professionals was low. Lack of self-confidence and empowerment of health professionals, the complexity of routine health information system format, and poor organizational support were significantly reducing the level of routine health information utilization. Therefore, improving the self-efficacy and decision-making capacity of health professionals through comprehensive training, empowerment and organizational support would be essential to increase the level of routine health information utilization.
Actuating Compact Augmented Reality Devices by Artificial Muscle
Authors: Kim Dongjin , Kim Baekgyeom , Shin Bongsu , Shin Dongwook , Lee Chang-Kun , Chung Jae-Seung , Seo Juwon , Kim Yun-Tae , Sung Geeyoung , Seo Wontaek , Kim Sunil , Hong Sunghoon , Hwang Sungwoo , Han Seungyong , Kang Daeshik , Lee Hong-Seok , Koh Je-sung 
Published: September 2021

Abstract
An artificial muscle actuator resolves practical engineering problems in compact wearable devices, which are limited to conventional actuators such as electromagnetic actuators. Abstracting the fundamental advantages of an artificial muscle actuator provides a small-scale, high-power actuating system for developing varifocal augmented reality (AR) glasses and naturally fit haptic gloves. Here, we design a shape memory alloy (SMA)-based lightweight and high-power artificial muscle actuator, the so-called compliant amplified SMA actuator (CASA). Despite its light weight (0.22 g), the CASA has a high power density of 1.7 kW/kg and an actuation strain of 300%. We show how CASA enables image depth control and an immersive tactile response in the form of AR glasses and haptic gloves whose thin form factor and high power density can hardly be achieved by conventional actuators.
Data Contained in Electronic Health Records Associated with Risk of Lung Cancer: A Protocol for a Systematic Review
Authors: Brown Lamorna , Sullivan Frank , Kelsey Tom , Agrawal Utkarsh 
Published: September 2021

Abstract
Background: Lung cancer is one of the most common and aggressive forms of cancer, resulting in a low survival and high mortality rate. To improve cancer related outcomes, high-risk subpopulations should be identified to reduce overdiagnosis of lung cancer and aid in the implementation of interventions. Electronic Health Records (EHRs) have been effective in identifying cohorts and phenotyping diseases. To identify whether EHR data can be used in risk modelling for lung cancer, this review will seek to identify data features that are contained in EHRs and related to lung cancer. Methods: A search strategy was developed and then applied to MEDLINE via Ovid, Web of Science, Scopus and the Cochrane library. The titles and abstracts of studies will be identified and screened independently by reviewers. Reviewers will read the full texts of studies that appear to meet the eligibility criteria after initial screening. Articles that meet the criteria at this stage, will have their bibliographies examined for relevant studies. Data extraction will then be performed independently by reviewers and a narrative synthesis will be carried out.Discussion: While risk factors for lung cancer have been extensively researched, there has to date been no effort to identify whether information that relates to these factors are available in EHRs and can be modelled with. As such, the results of the review will seek to broaden knowledge around the use of EHRs in lung cancer risk modelling and inform researchers of the variables that are available in EHRs.Registration: PROSPERO CRD42021246781, Registered on 26/04/21.
Experimental and numerical evaluation on debonding of fully grouted rockbolt under pull-out loading
Authors: Yu Shuisheng , Zhu Wancheng , Niu Leilei 
Published: September 2021

Abstract
The axial loading in rockbolts changes due to stress redistribution and rheology in the country rock mass. Such a change may lead to debonding at rockbolt to grout interface or rupture of the rockbolt. In this study, based on laboratory experiments, ultrasonic guided wave propagation in fully grouted rockbolt under different pull-out loads was investigated in order to examine the resultant debonding of rockbolt. The signals obtained from the ultrasonic monitoring during the pull-out test were processed using wavelet multi-scale analysis and frequency spectrum analysis, the signal amplitude and the amplitude ratio (Q) of low frequency to high frequency were defined to quantify the debonding of rockbolt. In addition to the laboratory test, numerical simulation on the effect of the embedment lengths on ultrasonic guided wave propagation in rockbolt was conducted by using a damage-based model, and the debonding between rockbolt and cement mortar was numerically examined. It was confirmed that the ultrasonic guided wave propagation in rockbolt was very sensitive to the debonding because of pull-out load, therefore, the critical bond length could be calculated based on the propagation of guided wave in the grouted rockbolt. In time domain, the signal amplitude in rockbolt increased with pull-out load from 0 kN to 100 kN until the completely debonding, thus quantifying the debonding under the different pull-out loads. In the frequency domain, as the Q value increased, the debonding length of rockbolt decreased exponentially. The numerical results confirmed that the guided wave propagation in the fully grouted rockbolt was effective in detecting and quantifying the debonding of rockbolt under pull-out load.
Influence of Serum Biochemistry on Bone and Kidney Phenotypes in Subjects With Symptomatic Primary Hyperparathyroidism
Authors: Banerjee Mainak , Ahamed Jan , Chowdhury Subhankar , Mukhopadhyay Satinath 
Published: September 2021

Abstract
OBJECTIVETo analyze the abnormalities in serum parathormone (PTH)-25-hydroxy-vitamin D (25-OHD) axis and calcium phosphate homeostasis in symptomatic PHPT patients having bone disease, nephrolithiasis and impaired renal function (IRF) at diagnosis. METHODSConsecutive adults (>18 years) with diagnosed symptomatic PHPT were enrolled in the retrospective study. Relevant clinical, biochemical and imaging parameters were recorded.RESULTSAdult patients with symptomatic PHPT were identified (N=60, age 45.2±14.4 years, 45 females). Predominant phenotypes were bone disease (osteoporosis and/or clinical fractures, n=42, 70%) and nephrolithiasis (n=24, 40%). Compared to patients with nephrolithiasis only (subgroup C, n=7) and simultaneous bone disease/nephrolithiasis (subgroup D, n=17), patients with isolated bone disease phenotype (subgroup B, n=25) had significantly higher alkaline phosphatase (AlP) and lower 25-OHD levels at presentation. Patient subgroups with nephrolithiasis had higher serum calcium levels and lower effective glomerular filtration rate (eGFR) at presentation. PTH was not significantly different among these subgroups. Patients with IRF (eGFR <60 ml/min per 1.73 m2, n=17) in our cohort had significantly higher serum calcium, phosphate, PTH levels and nephrolithiasis rates. Presence of nephrolithiasis, higher calcium x phosphate product (IRF: 36.2 ± 10.7 versus no IRF: 26.2 ± 5.7 mg2/dl2) and increased PTH levels were independently associated with IRF at diagnosis.CONCLUSIONSWhile PHPT patients with isolated bone disease were found to have lower 25-OHD and higher AlP levels independent of PTH levels; PTH was found to be an independent predictor of impaired renal function at diagnosis.
Protection of CAPE-pNO2 Against Chronic Myocardial Ischemia by the TGF-Β1/Galectin-3 Pathway in Vivo and in Vitro
Authors: Wan Qin , Zhang Liwen , Han Yanmin , Li Zhubo , Li Boheng 
Published: September 2021

Abstract
Background Although it is known that caffeic acid phenethyl ester (CAPE) and its derivatives could ameliorate acute myocardial injury, their effects on chronic myocardial ischemia (CMI) were not reported. This study aimed to investigate the potential effect of caffeic acid p-nitro phenethyl ester (CAPE-pNO2, a derivative of CAPE) on CMI and underlying mechanisms. Methods SD rats were subjected to high-fat-cholesterol-diet (HFCD) and vitamin D3, and the H9c2 cells were treated with LPS to establish CMI model, followed by the respective treatment with saline, CAPE or CAPE-pNO2.Results In vivo, CAPE-pNO2 could reduce serum lipid levels, and improve impaired cardiac function and morphological changes. Data of related assays indicated that CAPE-pNO2 down-regulated the expression of transforming growth factor-β1 (TGF-β1) and galectin-3 (Gal-3). Besides, CAPE-pNO2 decreased collagen deposition, the number of apoptotic cardiomyocytes and some related downstream proteins of Gal-3 in the CMI rats. Interestingly, the effects of CAPE-pNO2 on TGF-β1, Gal-3 and other proteins expression in lung were consistent with that in heart. In vitro, CAPE-pNO2 could attenuate the fibrosis, apoptosis and inflammation by activating TGF-β1/Gal-3 pathway in LPS-induced H9c2 cell. However, CAPE-pNO2-mediated cardioprotection can be eliminated when treated with modified citrus pectin (MCP, an inhibitor of Gal-3). And in comparison, CAPE-pNO2 presented stronger effects than CAPE.Conclusion This study indicates that CAPE-pNO2 may ameliorate CMI by suppressing fibrosis, inflammation and apoptosis via the TGF-β1/Gal-3 pathway in vivo and in vitro.
How is People's Awareness of “Biodiversity” Measured ?Using Sentiment Analysis and LDA Topic Modeling in the Twitter Discourse Space from 2010 to 2020
Authors: Ohtani Shimon 
Published: September 2021

Abstract
The importance of biodiversity conservation is gradually being recognized worldwide, and 2020 was the final year of the Aichi Biodiversity Targets formulated at the 10th Conference of the Parties to the Convention on Biological Diversity (COP10) in 2010. Unfortunately, the majority of the targets were assessed as unachievable. While it is essential to measure public awareness of biodiversity when setting the post-2020 targets, it is also a difficult task to propose a method to do so. This study provides a diachronic exploration of the discourse on “biodiversity” from 2010 to 2020, using Twitter posts, in combination with sentiment analysis and topic modeling, which are commonly used in data science. Through the aggregation and comparison of n-grams, the visualization of eight types of emotional tendencies using the NRC emotion lexicon, the construction of topic models using Latent Dirichlet allocation (LDA), and the qualitative analysis of tweet texts based on these models, I was able to classify and analyze unstructured tweets in a meaningful way. The results revealed the evolution of words used with “biodiversity” on Twitter over the past decade, the emotional tendencies behind the contexts in which “biodiversity” has been used, and the approximate content of tweet texts that have constituted topics with distinctive characteristics. While the search for people's awareness through SNS analysis still has many limitations, it is undeniable that important suggestions can be obtained. In order to further refine the research method, it will be essential to improve the skills of analysts and accumulate research examples as well as to advance data science.
Individual citizens' resilience to disasters caused by floods: a case study of Belgrade
Authors: Cvetković Vladimir M. , Bošković Nemanja , Ocal Adem 
Published: September 2021

Abstract

Due to the increasing frequency and variety of disasters caused by floods and their effect on people, environment, material, and cultural goods, there is an unavoidable need to improve the security of citizens through innovative solutions to improve Serbian citizens' resilience to such disasters. The subject of the research is a comprehensive examination of the levels and factors that affect the level of individual resilience of the citizens of the city of Belgrade to the consequences of disasters caused by floods. By applying the quantitative research tradition, citizens' attitudes about their level of resilience and the level of resilience of society were examined. The survey was conducted using a questionnaire that was requested and collected online among 377 respondents during May 2020. The research results show that there are relationships between the diversity of characteristics, experiences, and levels of education with the level of individual resilience of citizens to flood disasters. The implications of the research related to the creation of preconditions for the design and implementation of various programs, strategies, and campaigns that will improve the situation in the aforementioned area.
Ecology and genomic background shape the probability of parallel adaptation to climate
Authors: Chaturvedi Samridhi , Gompert Zachariah , Feder Jeffrey , Osborne Owen , Muschick Moritz , Riesch Rüdiger , Soria-Carrasco Victor , Nosil Patrik 
Published: September 2021

Abstract
Evolution can repeat itself, resulting in parallel adaptations in independent lineages occupying similar environments. Moreover, parallel evolution sometimes, but not always, uses the same genes. Two main hypotheses have been put forth to explain the probability and extent of parallel evolution. First, parallel evolution is more likely when shared ecologies result in similar patterns of natural selection in different taxa. Second, parallelism is more likely when genomes are similar, because of shared standing variation and similar mutational effects in closely related genomes. Here we combine ecological, genomic, experimental, and phenotypic data with randomization tests and Bayesian modeling to quantify the degree of parallelism and study its relationship with ecology and genetics. Our results show that the probability of parallel adaptation to climate among species of Timema stick insects is shaped collectively by shared ecology and genomic background. Specifically, the probability of genetic parallelism decays with divergence in climatic (i.e., ecological) conditions and genomic similarity. Moreover, we find that climate-associated loci are likely subject to selection in a field experiment, overlap with genetic regions associated with cuticular hydrocarbon traits, and are not strongly shaped by introgression between species. Our findings shed light on when evolution is most expected to repeat itself.
L’apprentissage connecté des jeunes en contexte d’éducation formelle francophone
Authors: Bruillard Éric , Ghabara Khansa , Huguenin Sonia , Jolicoeur Pier-Luc , Laferrière Thérèse , Nadeau-Tremblay Sophie , Papi Cathia , Pelletier Marie-Andrée 
Published: September 2021

L’apprentissage connecté est une pratique éducative croissante qui a été repérée par les délégué·e·s d’EDUsummIT2019 et qui en ont fait un thème de travail lors de leur examen des relations curriculum/pratiques pédagogiques/évaluation des apprentissages. Le présent article porte sur la manière avec laquelle le concept connected learning a été interprété et mis en œuvre dans le contexte culturel français et francophone, et il suggère que les « passages » de frontières, qui en reflètent le dynamisme, améliorent l’éducation formelle, notamment dans des cas d’élèves ou de classes défavorisées (classes rurales isolées). Cette interprétation repose sur des repères historiques ainsi que sur les notions d’agentivité, d’interaction et de connexion. L’étendue et la mise en œuvre de ce concept sont illustrées par le cas de l’école (éloignée) en réseau, une innovation qui s’adapte selon les contextes, dont celui de la COVID-19, par des allers-retours entre le local et le délocalisé. Deux interrogations en ressortent, l’une concernant la reconnaissance des apprentissages réalisés en dehors du contexte de l’éducation formelle et l’autre, la gestion de la désinformation.
Drinking water status in Nepal: an overview in the context of climate change
Authors: Sharma S. , Baidya M. , Poudel P. , Panthi S. R. , Pote-Shrestha R. R. , Ghimire A. , Pradhan S. P. 
Published: September 2021

Abstract
Although Nepal has made remarkable progress in the drinking water only sector from past few decades, the status of drinking water, in terms of climate change, is poorly documented and thus less known. This review aims to sum up drinking water status in climate change perspectives by reviewing available secondary data from published and gray literature. Climate change, and its impact on the drinking water sector, is undeniable. Though many policies and laws are enforced to address climate change issues, very few policies and laws have incorporated climate change-resilient WASH as a priority. It is of current need to carry out action-based research followed by eco-region wise interventions for adaptation and mitigation of impacts on WASH sector due to climate change.
Chemical deposition of iron nanoparticles (Fe0) on titanium nanowires for efficient adsorption of ciprofloxacin from water
Authors: Falyouna Omar , Maamoun Ibrahim , Bensaida Khaoula , Tahara Atsushi , Sugihara Yuji , Eljamal Osama 
Published: September 2021

Abstract
The development of antimicrobial resistance genes (AMRs) in water was globally accelerated due to the occurrence of ciprofloxacin (CIP) in water. This study aims to precipitate iron nanoparticles (Fe0) on the surface of titanium nanowires (TNWs) through a chemical process to overcome the limitations of Fe0 and efficiently remove CIP from water. TEM and XRD results confirmed the successful synthesis of Fe0 and TNWs. They also proved the successful deposition and dispersion of Fe0 on TNWs. Several (Fe0/TNW) nanocomposites were synthesised with different percentages of TNWs (5, 10, 20, 30, and 50%) to define the best TNWs ratio that will decrease the aggregation of Fe0 nanoparticles and achieve an outstanding removal efficiency of CIP. (Fe0/TNW) nanocomposite with 20% of TNW was nominated as the best nanocomposite because it demonstrated a promising performance, compared with other nanocomposites, by removing more than 67% of CIP with insignificant desorption behaviour during the treatment period (120 min). Dosage of (20%-Fe0/TNW), initial pH of CIP solution and reaction temperature were optimized through a group of batch experiments to efficiently remove CIP from water. The optimum removal of CIP was obtained by 1 g L−1 of (20%-Fe0/TNW) nanocomposite at initial pH of 7 under 35 °C.
Treatment of waste cutting fluid by coagulation-anaerobic hydrolysis (with or without cosubstrate glucose)-aeration process
Authors: Wang Zhi Rui , Yu Jing Jie , Yin Ji Xuan , Wang Shao Po , Ma Hua Ji 
Published: September 2021

Abstract
A coagulation-anaerobic hydrolysis-aeration process was used to treat the waste cutting fluid, which was discharged from a metalworking plant, and the operating conditions of each unit were optimized in this paper. The results showed that 9 g/L polyaluminum chloride and 0.3 g/L cationic polyacrylamide were added in the coagulation stage, the TOC was removed by 78.94% and the BOD5/COD of the waste cutting fluid increased from 0.046 to 0.312 before and after coagulation. The coagulation effluent was further treated by anaerobic hydrolysis-aeration, and the TOC removal efficiencies of the biological process and the whole chemical-biological process were 92.77% and 98.48% respectively. Adding glucose as a cosubstrate into the anaerobic hydrolysis can improve the TOC removal efficiency; when the TOC content ratio of coagulation effluent to glucose solution was 7:3, the TOC removal efficiencies of the biological process and the chemical-biological process reached 97.16% and 99.40%, and the total oil removal efficiency of the whole process reached 99.99%. The effluent quality parameters of the coagulation-anaerobic hydrolysis (with cosubstrate glucose)-aeration process met the Class C limits specified in the Wastewater Quality Standards for Discharge to Municipal Sewers (GB/T 31962-2015); that is, the effluent COD, TN, TP and total oil were below 300 mg/L, 25 mg/L, 5 mg/L and 110 mg/L, respectively, and the effluent pH was between 6.5–9.5.
Enhancing hydraulic data reliability in sewers
Authors: Brito R. S. , Almeida M. C. , Ribeiro A. 
Published: September 2021

Abstract
Recently, water utilities have been making considerable investments in sewers' monitoring; however, in most cases, assuring data reliability is yet a challenge. Often, hydraulic data is collected in sewers overlooking best practice aspects. Assuming confidence in data, while disregarding cautions verifications, might lead to inadequate uses of data. The paper presents a methodology aiming to narrow the gap between science and industry, regarding monitoring programs in urban drainage. A procedure to enhance hydraulic data reliability, in line with ISO/IEC 17025:2017, was developed, applied and validated, enabling a final evaluation on data and site adequacy and an overall identification of improvement opportunities. The availability of a valuable case study comprising 32 flowmeters from Portuguese utilities, in eastern Europe, presented an opportunity to create a story line, test the procedure's coherence, present it to the technical community and evaluate the constraints that utilities, in their everyday working context, are faced with. The procedure is presented in detail and a collection of examples of its application is shown. In the final evaluation, most monitoring stations' alignment with best practice requirements were either high (25%) or acceptable (44%), regarding their overall performance and compliance with both data and site adequacy. For all of them, improvement opportunities were identified.