bluuebunny/crossref_metadata_2025_split huggingface dataset:
“I decide myself”- A qualitative exploration of end of life decision making processes of patients and caregivers through Advance Care Planning
Authors: Lall Priya , Dutta Oindrila , Tan Woan Shin , Patinadan Paul Victor , Kang Natalie Q. Y. , Low Chan Kee , Car Josip , Ho Andy Hau Yan 
Published: June 2021

BackgroundThe Singapore national Advance Care Planning (ACP) programme was launched in 2011 with the purpose of ensuring that healthcare professionals are fully aware of patients’ treatment preferences. There is little research assessing the performance of such programmes in ethnically diverse Asian countries; hence, the purpose of this study was to qualitatively examine patients and caregivers’ experiences with the ACP programme.MethodWe conducted interviews with 28 participants, thirteen of whom identified as proxy decision makers (PDMs) and the remainder as patients. Interviews focused on respondents’ experiences of chronic illness and of participating in the ACP programme. Textual data was analysed through a framework analysis approach.ResultsParticipants’ narratives focused on four major themes with 12 subthemes: a) Engagement with Death, factors influencing respondents’ acceptance of ACP; b) Formation of Preferences, the set of concerns influencing respondents’ choice of care; c) Choice of PDM, considerations shaping respondents’ choice of nominated health spokesperson; and d) Legacy Solidification, how ACP is used to ensure the welfare of the family after the patient passes. These findings led to our development of the directive decision-making process framework, which delineates personal and sociocultural factors influencing participants’ decision-making processes. Respondents’ continual participation in the intervention were driven by their personal belief system that acted as a lens through which they interpreted religious doctrine and socio-cultural norms according to their particular needs.ConclusionThe directive decision-making process framework indicated that ACP could be appropriate for the Asian context because participants displayed an awareness of the need for ACP and were able to develop a concrete treatment plan. Patients in this study made decisions based on their perceived long-term legacy for their family, who they hoped to provide with a solid financial and psychological foundation after their death.
Resource utilization and outcomes in emergency general surgery during the COVID19 pandemic: An observational cost analysis
Authors: Hessheimer Amelia J. , Trapero-Bertran Marta , Borin Alex , Butori Eugenia , Curell Anna , Espinoza Arlena Sofía , Jensen Joaquín , Turrado Víctor , Morales Xavier , de Lacy Antonio María , Fondevila Constantino 
Published: June 2021

Background
Over the course of the COVID19 pandemic, global healthcare delivery has declined. Surgery is one of the most resource-intensive area of medicine; loss of surgical care has had untold health and economic consequences. Herein, we evaluate resource utilization, outcomes, and healthcare costs associated with unplanned surgery admissions during the height of the pandemic in 2020 versus the same period in 2019.

Methods
Retrospective analysis on patients ≥18 years admitted from the emergency department to General & Digestive and Gastrointestinal Surgery Services between February and May 2019 and 2020 at our center; clinical outcomes and unadjusted and adjusted per-person healthcare costs were analyzed.

Results
Consults and admissions to surgery declined between February and May 2020 by 37% and 19%, respectively, relative to the same period in 2019, with even greater relative decline during late March and early April. Time between onset of symptoms to diagnosis increased from 2±3 days 2019 to 5±22 days 2020 (P = 0.01). Overall hospital stay was two days less in 2020 (P = 0.19). Complications (Comprehensive Complication Index 10.3±23.7 2019 vs. 13.9±25.5 2020, P = 0.10) and mortality rates (3% vs. 4%, respectively, P = 0.58) did not vary. Mean unadjusted per-person costs for patients in the 2019 and 2020 cohorts were 5,886.72€±12,576.33€ and 5,287.62±7,220.16€, respectively (P = 0.43). Following multivariate analysis, costs remained similar (4,656.89€±390.53€ 2019 vs. 4,938.54±406.55€ 2020, P = 0.28).

Conclusions
Healthcare delivery and spending for unplanned general surgery admissions declined considerably due to COVID19. These results provide a small yet relevant illustration of clinical and economic ramifications of this healthcare crisis.
Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial
Authors: Greene M. Claire , Likindikoki Samuel , Rees Susan , Bonz Annie , Kaysen Debra , Misinzo Lusia , Njau Tasiana , Kiluwa Shangwe , Turner Rachael , Ventevogel Peter , Mbwambo Jessie K. K. , Tol Wietse A. 
Published: June 2021

Introduction
The complex relationship between intimate partner violence and psychological distress warrants an integrated intervention approach. In this study we examined the relevance, acceptability, and feasibility of evaluating a multi-sectoral integrated violence- and mental health-focused intervention (Nguvu).

Methods
We enrolled 311 Congolese refugee women from Nyarugusu refugee camp in Tanzania with past-year intimate partner violence and elevated psychological distress in a feasibility cluster randomized trial. Women were recruited from local women’s groups that were randomized to the Nguvu intervention or usual care. Participants from women’s groups randomized to Nguvu received 8 weekly sessions delivered by lay refugee incentive workers. Psychological distress, intimate partner violence, other wellbeing, and process indicators were assessed at baseline and 9-weeks post-enrollment to evaluate relevance, acceptability, and feasibility of implementing and evaluating Nguvu in refugee contexts.

Results
We found that Nguvu was relevant to the needs of refugee women affected by intimate partner violence. We found reductions in some indicators of psychological distress, but did not identify sizeable changes in partner violence over time. Overall, we found that Nguvu was acceptable and feasible. However, challenges to the research protocol included baseline imbalances between study conditions, differential intervention completion related to intimate partner violence histories, differences between Nguvu groups and facilitators, and some indication that Nguvu may be less beneficial for participants with more severe intimate partner violence profiles.

Conclusions
We found evidence supporting the relevance of Nguvu to refugee women affected by partner violence and psychological distress and moderate evidence supporting the acceptability and feasibility of evaluating and implementing this intervention in a complex refugee setting. A definitive cluster randomized trial requires further adaptations for recruitment and eligibility screening, randomization, and retention.

Trial registration
ISRCTN65771265, June 27, 2016.
Young-parent communication on sexual and reproductive health issues among young female night students in Amhara region, Ethiopia: Community-based cross-sectional study
Authors: Mihretie Gedefaye Nibret , Muche Liyeh Tewachew , Ayalew Goshu Yitayal , Gebrehana Belay Habtamu , Abe Tasew Habitamu , Belay Ayalew Abeba 
Published: June 2021

Background
Young is a key stage in rapid biological and psychosocial changes affecting every aspect of the lives and an important time to set the foundation for good health in adulthood. Adolescent-parent communication is a potential path for improving sexual and reproductive health outcomes for adolescents, most of parents did not teach their adolescents about sexual and reproductive health. Even though, some researches have been done on day time students, there is no study conducted focusing on young girls attending night school in Ethiopia.

Objective
This study aimed to assess young-parent communication on sexual and reproductive health issues and associated factors among night female students in Amhara Region, Ethiopia, 2018.

Method
School based quantitative cross-sectional study was employed in Amhara region among 1640 young female night students from September 15 to November 15/2018. Face-to-face interview-administered questionnaires were used to collect the data. Bi-variable and multi-variable logistic regression model were used. Odds ratio (OR) with 95% confidence interval (CI) were computed to determine the strength of association between predictor and outcome variables. P-values less than 0.05 considered as level of significance.

Results
One hundred ten (37.5%) of the students had communication with their parents on at least two issues of sexual and reproductive health (SRH) issues in the last 6 months. Grade level (adjusted odd ratio (AOR) = 2.61, 95% CI (2.04, 3.34)), marital status (AOR = 1.29, 95% CI (1.03, 1.63), living arrangement (AOR = 1.50(1.13, 2.00)), utilization of youth friendly sexual and reproductive health services (AOR = 1.80, 95% CI (1.41, 2.30)), students ever had sexual intercourse (AOR = 1.50, 95% CI (1.23, 1.96)), Information about sexual and reproductive health services (AOR = 1.45(1.16, 1.80)) were associated young-parents communication on sexual and reproductive health issues.

Conclusion
In this study young-parent communications on sexual and reproductive health (SRH) issues was found to be limited. Therefore, teachers, health extension workers, and health professionals should strengthen comprehensive SRH education for students in school, churches, mosques, health facilities and encouraging them to participate in different health clubs in school. Parent should give education for their children sexual and reproductive health during the era of young age.
Effect of resistance training with blood flow restriction on muscle damage markers in adults: A systematic review
Authors: de Queiros Victor Sabino , dos Santos Ísis Kelly , Almeida-Neto Paulo Francisco , Dantas Matheus , de França Ingrid Martins , Vieira Wouber Hérickson de Brito , Neto Gabriel Rodrigues , Dantas Paulo Moreira Silva , Cabral Breno Guilherme de Araújo Tinôco 
Published: June 2021

Background
The purpose of this review was to systematically analyze the evidence regarding the occurrence of muscle damage (changes in muscle damage markers) after resistance training with blood flow restriction sessions.

Materials and methods
This systematic review was conducted in accordance with the PRISMA recommendations. Two researchers independently and blindly searched the following electronic databases: PubMed, Scopus, Web of Science, CINAHL, LILACS and SPORTdicus. Randomized and non-randomized clinical trials which analyzed the effect of resistance training with blood flow restriction on muscle damage markers in humans were included. The risk of bias assessment was performed by two blinded and independent researchers using the RoB2 tool.

Results
A total of 21 studies involving 352 healthy participants (men, n = 301; women, n = 51) were eligible for this review. The samples in 66.6% of the studies (n = 14) were composed of untrained individuals. All included studies analyzed muscle damage using indirect markers. Most studies had more than one muscle damage marker and Delayed Onset Muscle Soreness was the measure most frequently used. The results for the occurrence of significant changes in muscle damage markers after low-load resistance training with blood flow restriction sessions were contrasting, and the use of a pre-defined repetition scheme versus muscle failure seems to be the determining point for this divergence, mainly in untrained individuals.

Conclusions
In summary, the use of sets until failure is seen to be determinant for the occurrence of significant changes in muscle damage markers after low-load resistance training with blood flow restriction sessions, especially in individuals not used to resistance exercise.

Trial registration
Register number: PROSPERO number: CRD42020177119.
Association between serum magnesium levels and abdominal aorta calcification in patients with pre-dialysis chronic kidney disease stage 5
Authors: Ito Mayumi , Yamaguchi Makoto , Katsuno Takayuki , Nobata Hironobu , Iwagaitsu Shiho , Sugiyama Hirokazu , Kinashi Hiroshi , Banno Shogo , Ando Masahiko , Kubo Yoko , Ishimoto Takuji , Ito Yasuhiko 
Published: June 2021

BackgroundSeveral studies have revealed the relationship between serum magnesium levels and vascular calcification in chronic kidney disease patients. Despite excellent predictability of abdominal aorta calcification for cardiovascular disease events, the relationship between serum magnesium levels and abdominal aorta calcification, as evaluated by quantitative methods, in pre-dialysis patients remains unclear. This study aimed to determine the abdominal aorta calcification volume using computerized tomography and its association with serum magnesium levels in pre-dialysis chronic kidney disease stage 5 patients.MethodsThis single-center cross-sectional study included 100 consecutive patients with pre-dialysis chronic kidney disease stage 5 between January 2016 and May 2020 at Aichi Medical University Hospital, Japan. The relationships between serum magnesium levels and the abdominal aorta calcification volume were assessed using multiple linear regression models after adjusting for clinically relevant factors. We also assessed clinical factors that affect serum magnesium levels.ResultsThe mean serum magnesium level was 2.0 mg/dL (interquartile range, 1.8 to 2.3). Multivariate analyses revealed that a higher serum magnesium level (stand. β = -0.245, p = 0.010) was significantly associated with a reduced abdominal aorta calcification volume, and that a history of cardiovascular disease (stand. β = 0.3792, p < 0.001) and older age (stand. β = 0.278, p = 0.007) were significantly associated with an increased abdominal aorta calcification volume. Moreover, multivariate analysis showed that the use of proton pump inhibitor or potassium-competitive acid blocker was significantly associated with lower serum magnesium levels (stand. β = -0.246, p = 0.019).ConclusionsThe present study revealed that the higher Mg level was significantly associated with lower volume of abdominal aorta calcification in pre-dialysis chronic kidney disease stage 5 patients. Further studies should be undertaken to determine the appropriate magnesium level to suppress vascular calcification.
Survey Finds Gender Disparities Impact Both Women Mentors and Mentees in Gastroenterology
Authors: Rabinowitz Loren Galler , Grinspan Lauren Tal , Zylberberg Haley M. , Dixon Rebekah , David Yakira N. , Aroniadis Olga C. , Chiang Austin , Christie Jennifer , Fayad Nabil F. , Ha Christina , Harris Lucinda A. , Ko Cynthia W. , Kolb Jennifer , Kwah Joann , Lee Linda , Lieberman David , Raffals Laura E. , Rex Douglas K. , Shah Shailja C. , Siddiqui Uzma D. , Smith Michael S. , Wallace Michael , Williams Renee , Woods Karen , Crowe Sheila E. , Kumta Nikhil A. , Kim Michelle Kang , Greenwald David A. 
Published: June 2021

INTRODUCTION:
Gastroenterologists at all levels of practice benefit from formal mentoring. Much of the current literature on mentoring in gastroenterology is based on expert opinion rather than data. In this study, we aimed to identify gender-related barriers to successful mentoring relationships from the mentor and mentee perspectives.

METHODS:
A voluntary, web-based survey was distributed to physicians at 20 academic institutions across the United States. Overall, 796 gastroenterology fellows and faculty received the survey link, with 334 physicians responding to the survey (42% response rate), of whom 299 (90%; 129 women and 170 men) completed mentorship questions and were included in analysis.

RESULTS:
Responses of women and men were compared. Compared with men, more women preferred a mentor of the same gender (38.6% women vs 4.2% men, P < 0.0001) but less often had one (45.5% vs 70.2%, P < 0.0001). Women also reported having more difficulty finding a mentor (44.4% vs 16.0%, P < 0.0001) and more often cited inability to identify a mentor of the same gender as a contributing factor (12.8% vs 0.9%, P = 0.0004). More women mentors felt comfortable advising women mentees about work-life balance (88.3% vs 63.8%, P = 0.0005). Nonetheless, fewer women considered themselves effective mentors (33.3% vs 52.6%, P = 0.03). More women reported feeling pressured to mentor because of their gender (39.5% vs 0.9% of men, P < 0.0001). Despite no gender differences, one-third of respondents reported negative impact of the COVID-19 pandemic on their ability to mentor and be mentored.

DISCUSSION:
Inequities exist in the experiences of women mentees and mentors in gastroenterology, which may affect career advancement and job satisfaction.
Current Challenges in Fecal Microbiota Transplantation for Clostridioides difficile Infection in Children
Authors: Nicholson Maribeth R. , Hourigan Suchitra K. , Conrad Maire , Goyal Alka , Jensen Kyle , Kelsen Judith , Kennedy Melissa , Weatherly Madison , Kahn Stacy A. 
Published: June 2021

INTRODUCTION:
The impact of the 2019 US Food and Drug Administration safety alert involving transmission of multidrug resistant organisms through fecal microbiota transplantation (FMT), and the COVID-19 pandemic on the use of FMT in children, is unknown.

METHODS:
A survey of pediatric gastroenterologists performing FMT for Clostridioides difficile infection was conducted.

RESULTS:
Of 36 respondents, 17 (47%) and 30 (83%) changed their FMT practices related to the US Food and Drug Administration safety alert and COVID-19 pandemic, respectively, with 22 (61%) of programs halted.

DISCUSSION:
The US Food and Drug Administration safety alert and COVID-19 pandemic have substantially influenced the availability and access of FMT for children.
Man, Woman, Child
Authors: Kahn Rebecca 
Published: June 2021

Abstract
This paper is concerned with the ethical aspects of museum metadata. These are not always immediately evident when working with the metadata related to museum objects, although, I will argue, they are embedded in the object, accumulated at each phase of its journey into the institution; and continue to accumulate while it is part of a collection. This takes place against a backdrop of new development and possibilities afforded by digital technologies for building connections between and across heritage collections online, which can result in these complicated metadata potentially entering the data ecosystem. This eventuality, I will argue, has ethical and technical implications which need to be considered and understood through the theoretical lenses of critical data studies, museum informatics and the growing calls from museum scholars and others to decolonisation of museum collections. Using a small collection of drawings from the Pitt Rivers Museum of Anthropology and World Archaeology at the University of Oxford, I will demonstrate how difficult museum metadata can be buried deep in museum documentation, and how this data, once brought to the surface by digitisation, can expose the trauma of a collection’s origins. I will go on to ask whether the current models used to share heritage data online are appropriate mechanisms for materials with such sensitive histories, and ask how best to handle them in the increasingly digital future.
Bioecology of coral reef in Panjang Island of Central Java Indonesia
Authors: Suryono Suryono , Ambariyanto Ambariyanto , Munasik Munasik , Wijayanti Diah Permata , Ario Raden , Pratikto Ibnu , Taufiq-Spj Nur , Canavaro Syahrial V. , Anggita Tiara , Sumarto Bayu Kreshna Adhitya , Cullen Justin 
Published: June 2021

Coral reefs currently are suffered from natural factors along with increasing anthropogenic activity. Panjang Island, a small reef island located in Jepara Regency, may also be experiencing such conditions. Therefore, this work was aimed to observe the condition of the coral cover of Panjang Island. Line intercept transect was applied to survey the coral cover and mortality index from fourteen stations. Insitu data consisted of the bottom substrate composition of the reefs and the physical parameters of the sea. The secondary data, i.e. coral reef area maps from 2001 to 2019 were taken from Landsat Image 7 and 8, data of wind were obtained from www.ogimet.com, while tidal data were collected from BMKG. The bathymetry was determined from the Geospatial Information Agency data, salinity global analysis forecast Phy 001.024 (CMEMS). Sea surface temperature (SST), and chlorophyll-a distribution were analyzed using ENVI software. The result showed that Panjang Island has a poor to the moderate condition of hard coral. Two out of six categories of abiotic and dead coral were found to be high. The mortality index of coral was in the high category (average 0.52). During research periods the sea waters were characterized by high sea surface temperature (29.34-30.94°C), chlorophyll-a was also tended to be high (0-2.65 mg.m-3), and an average of salinity was high 32 ‰. The weak currents came to all sides of the island, therefore the coral reef was not exposed to extreme currents. The waves came from the east, then the energy decreases after being blocked by coral reefs on the eastern side of the island, so that coral reefs in the northeast and south sides were safer to be exposed. The results suggest that hydrodynamic ecology directly or indirectly affected the percentage of coral cover and mortality index at the reefs of Panjang Island.
Accounting Concepts in Company Law
Authors: Seehausen Jesper 
Published: June 2021

Abstract

Taking as a starting point Peter Hommelhoff’s argumentation that accounting law is, in many respects, linked to company law, the purpose of this article is to discuss one perspective of the links between accounting law and company law: accounting concepts in company law. After a brief outline of the existing EU legislation on accounting and a discussion on whether accounting law is part of company law, some examples of accounting concepts in company law – i. e. examples of accounting concepts that have been ‘implemented’ in company law – are discussed, drawing on the Consolidated Company Law Directive (CCLD) and the Shareholder Rights Directive (SRD 2) as well as the International Accounting Standards (IAS) and the International Financial Reporting Standards (IFRS). These examples are related party transactions, consideration other than in cash and fair value, serious loss of the subscribed capital as well as a few other examples. It is also discussed whether accounting concepts in company law are a ‘good’ or a ‘bad’ thing. Balancing the pros and cons, in the author’s opinion, it is mostly positive that accounting concepts are used in company law in areas where this makes sense – and hence, in the author’s opinion, accounting concepts in company law are mainly a ‘good’ thing.
Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview
Authors: Zehravi Mehrukh , Maqbool Mudasir , Ara Irfat 
Published: June 2021

Abstract
Obesity has been identified mainly as a raise in the body’s adiposity leading to prolonged overshoot of caloric intake over expenditure. Obesity has significant health-altering implications which have been shown to be implicated in the pathogenesis and progression of other diseases through its extensive physiological assaults. The prevalence of overweight and obesity has been an increasing epidemic worldwide. The number of obese births was even on the increase, with an increasing number of women of reproductive age registering as obese. Obesity is related to adverse perinatal outcomes and increased morbidity and mortality in pregnant women. The potential risk for multiple antenatal, postpartum, intrapartum, and neonatal complications is maternal obesity. Greater risk of developing Gestational Diabetes Mellitus (GDM), pregnancy induced hypertension (PIH), pre-eclampsia, risk of venous embolism, increased need for labor induction, and cesarean sections in the mother have been recorded in a comprehensive analysis of pregnancy complications associated with obesity. The link between obesity, gestational diabetes, and pregnancy outcomes will be briefly shown in this article.