bluuebunny/crossref_metadata_2025_split huggingface dataset:
Symptoms of dementia or post-traumatic stress disorder? Under-recognised behaviours in veterans with dementia
Authors: Hutchinson Deborah , Isaacs Martin , Chamberlain Lucy , Dening Karen Harrison 
Published: September 2021

Background: The veteran community are at increased risk of poor mental health and developing dementia as a result of their miliary service, with the potential to lead to delayed onset post-traumatic stress disorder (DOPTSD). The manifestation of DOPTSD may be misinterpreted as behavioural and psychological symptoms of dementia (BPSD), which create difficulties in caring for the person experiencing these distressing symptoms. Aims: This paper details the development of a screening tool for people with dementia, which aims to reframe and contextualise some of the behaviours under the lens of historic traumatic events. Methods: The utility of the screening tool is demonstrated through the presentation and an analysis of an anonymised case study to support nurse practice development. Conclusions: A trauma history tool offers a more comprehensive and interpretive view of the possible historic, trauma-related causes of current behaviours and can aid informal carers' understanding of the stress and distress reactions of their family members.
Does St. Paul Believe in Original Sin? Yeah, but so What?
Authors: Spencer Daniel 
Published: September 2021

In this article, I discuss the extent to which St. Paul’s view of the doctrine of Original Sin ought to be taken as authoritative for confessing Christians today. I begin with the observation that there are, in the main, two camps represented in the contemporary literature. On the one hand, there are those who affirm the presence of Original Sin in Rom. 5, and consequently embrace the doctrine; on the other hand, there are those who deny Original Sin any substantive anchor in the text, and as a result conclude it is not necessary to believe today. I argue that things are not so straightforward, and present what I take to be a legitimate via media between these two positions. In the first main section of the article, I argue on exegetical grounds that Rom. 5:12–21 can be rendered adequately intelligible only when we admit that something like the Augustinian view of Original Sin is present at least in nuce. This I attempt to demonstrate in conversation with Douglas Moo and C. E. B. Cranfield (plus a bonus thought from Luther). While not, of course, the full-blown Augustinian doctrine, St. Paul's mind is, I contend, much nearer to the former’s view of Original Sin than is commonly supposed. However, in the second main section I turn my attention to the question, So what? I discuss a number of theological and exegetical considerations which make it clear, I think, that St. Paul is not urging belief in Original Sin so much as he is utilizing an “intertestamental expansion” of an OT text to paint a picture about Christ and what we ought to believe about him. As such, I encourage and defend the application of a relatively mild hermeneutical principle which will allow the theologian a clear and biblically faithful way around the doctrine of Original Sin, if this is what is desired.
Spectrum-continuous narrowband filter with an enhanced flat-top passband and sharp roll-off performance
Authors: Liang Dong , Tan Qinggui , Jiang Wei , Zhang Wu , Wang Di , Gong Jingwen , Li Xiaojun , Li Li , Zhang Zhiyao , Liu Yong 
Published: September 2021

We demonstrate a spectrum-continuous narrowband filter based on multi-section Mach-Zehnder interferometer (MZI) structures on a silicon nitride platform. Enhanced in-band flatness and sharp out-of-band roll-off features are achieved by cascading MZIs of specific functionalities in a series. This filter is fabricated in a single chip with a total waveguide length exceeding 237 cm. We experimentally demonstrate for the first time, to the best of our knowledge, a four-channel spectrum-continuous filter with a 3 dB bandwidth of 580 MHz, a 1 dB fluctuation bandwidth as high as 356 MHz, and an excellent 20 dB roll-off factor of 1.26 that are obtained simultaneously. Both the optical and electrical experimental results show that the proposed filter can play a key role in integrated microwave photonic front-end systems.
Gender-equitable caregiver attitudes and education and safety of adolescent girls in South Kivu, DRC: A secondary analysis from a randomized controlled trial
Authors: Seff Ilana , Falb Kathryn , Yu Gary , Landis Debbie , Stark Lindsay 
Published: September 2021

Background
Adolescent girls face myriad threats to their well-being and safety as a result of gender-inequitable attitudes and norms, and these risks are often exacerbated during humanitarian emergencies. While humanitarian actors have begun to address caregivers’ behaviors and gender attitudes as an approach to support and meet the needs of adolescent girls, best practices for working with caregivers to improve adolescent girls’ well-being in these settings have yet to be identified.

Methods and findings
This study uses panel data from a program evaluation to analyze associations between changes in gender-equitable attitudes among caregivers and changes in schooling and violence victimization for girls ages 10 to 14 years old in the Democratic Republic of the Congo (DRC). Participants were recruited in May 2015 for baseline (May to July 2015) and endline (August to October 2016) data collection. Baseline and endline data for both caregivers and girls were available for 732 girls. The average ages of adolescents and caregivers were 12 and 40.7, respectively, and 92% of caregivers were female. The predictor of interest was the change in caregivers’ gender-equitable attitudes between the 2 points in time, where attitudes were measured using 10 underlying survey questions. The primary outcomes of interest were dichotomous and included improvement in schooling participation and declines in physical, sexual, and emotional violence and feeling uncared for. Logistic regression was used to estimate the association between changes in caregivers’ attitudes and 5 outcomes of interest and revealed that an increase in a caregiver’s gender-equitable attitude score was associated with significantly greater odds of a girl experiencing an improvement in schooling participation (aOR = 1.08, CI [1.005, 1.154], p = 0.036) and of a girl experiencing a marginal decline in physical violence victimization (aOR = 1.07, CI [0.989, 1.158], p = 0.092). Analyses also revealed that older girls had lower odds of experiencing an improvement in schooling participation (aOR = 0.77, CI [0.686, 0.861], p < 0.001), physical violence (aOR = 0.86, CI [0.757, 0.984], p = 0.028), sexual violence (aOR = 0.86, CI [0.743, 1.003], p = 0.055), or emotional violence (aOR = 0.98, CI [0.849, 1.105], p = 0.005). Important limitations in this study include the self-reported nature of outcomes, use of single questionnaire items to construct the outcome variables, and potential self-selection bias.

Conclusions
Results suggest that supporting caregivers to increase gender equitable attitudes may be associated with benefits in dual outcomes of education and safety for adolescent girls in eastern DRC. Further research is needed to better understand how to induce a shift in these attitudes in multisectoral programming.

Trial registration
NCT02384642.
High-risk HPV genotypes in Zimbabwean women with cervical cancer: Comparative analyses between HIV-negative and HIV-positive women
Authors: Kuguyo Oppah , Dube Mandishora Racheal S. , Thomford Nicholas Ekow , Makunike-Mutasa Rudo , Nhachi Charles F. B. , Matimba Alice , Dandara Collet 
Published: September 2021

Background
High-risk human papillomavirus HPV (HR-HPV) modifies cervical cancer risk in people living with HIV, yet African populations are under-represented. We aimed to compare the frequency, multiplicity and consanguinity of HR-HPVs in HIV-negative and HIV-positive Zimbabwean women.

Methods
This was a cross-sectional study consisting of women with histologically confirmed cervical cancer attending Parirenyatwa Group of Hospitals in Harare, Zimbabwe. Information on HIV status was also collected for comparative analysis. Genomic DNA was extracted from 258 formalin fixed paraffin embedded tumour tissue samples, and analysed for 14 HR-HPV genotypes. Data was analysed using Graphpad Prism and STATA.

Results
Forty-five percent of the cohort was HIV-positive, with a median age of 51 (IQR = 42–62) years. HR-HPV positivity was detected in 96% of biospecimens analysed. HPV16 (48%), was the most prevalent genotype, followed by HPV35 (26%), HPV18 (25%), HPV58 (11%) and HPV33 (10%), irrespective of HIV status. One third of the cohort harboured a single HPV infection, and HPV16 (41%), HPV18 (21%) and HPV35 (21%) were the most prevalent. HIV status did not influence the prevalence and rate of multiple HPV infections (p>0.05). We reported significant (p<0.05) consanguinity of HPV16/18 (OR = 0.3; 95% CI = 0.1–0.9), HPV16/33 (OR = 0.3; 95% CI = 0.1–1.0), HPV16/35 (OR = 3.3; 95% CI = 2.0–6.0), HPV35/51 (OR = 6.0; 95%CI = 1.8–15.0); HPV39/51 (OR = 6.4; 95% CI = 1.8–15), HPV31/52 (OR = 6.2; 95% CI = 1.8–15), HPV39/56 (OR = 11 95% CI = 8–12), HPV59/68 (OR = 8.2; 95% CI = 5.3–12.4), HPV66/68 (OR = 7; 95% CI = 2.4–13.5), independent of age and HIV status.

Conclusion
We found that HIV does not influence the frequency, multiplicity and consanguinity of HR-HPV in cervical cancer. For the first time, we report high prevalence of HPV35 among women with confirmed cervical cancer in Zimbabwe, providing additional evidence of HPV diversity in sub-Saharan Africa. The data obtained here probes the need for larger prospective studies to further elucidate HPV diversity and possibility of selective pressure on genotypes.
Performance of anti-SARS-CoV-2 antibody testing in asymptomatic or mild COVID-19 patients: A retrospective study in outbreak on a cruise ship
Authors: Kaku Norihito , Nishimura Fumitaka , Shigeishi Yui , Tachiki Rina , Sakai Hironori , Sasaki Daisuke , Ota Kenji , Sakamoto Kei , Kosai Kosuke , Hasegawa Hiroo , Izumikawa Koichi , Ariyoshi Koya , Mukae Hiroshi , Yasuda Jiro , Morita Kouichi , Kohno Shigeru , Yanagihara Katsunori 
Published: September 2021

ObjectivesA few studies on antibody testing have focused on asymptomatic or mild coronavirus disease 2019 (COVID-19) patients with low initial anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody responses. Anti-SARS-CoV-2 antibody-testing performance was evaluated using blood samples from asymptomatic or mild COVID-19 patients.MethodsBlood samples were collected from 143 COVID-19 patients during an outbreak on a cruise ship 3 weeks after diagnosis. Simultaneously, a follow-up SARS-CoV-2 genetic test was performed. Samples stored before the COVID-19 pandemic were also used to evaluate the lateral flow immunochromatographic assay (LFA) and electrochemiluminescence immunoassay (ECLIA). Titers of anti-SARS-CoV-2 IgM and IgG antibodies against the nucleocapsid and spike proteins were measured using the enzyme-linked immunosorbent assay to confirm which antibodies were influenced on LFA- and ECLIA- false-negative result in crew-member samples.ResultsSensitivity, specificity, positive-predictive, and negative-predictive values of LFA-detected IgM antibodies were 0.231, 1.000, 1.000, and 0.613, respectively; those of LFA-detected IgG antibodies were 0.483, 0.989, 0.972, and 0.601, respectively; and those of ECLIA-detected total antibodies were 0.783, 1.000, 1.000, and 0.848, respectively. All antibody titers measured using ELISA were significantly lower in blood samples with negative results than in those with positive results in both LFA and ECLIA. In the patients with negative results from the follow-up genetic testing, IgM-, IgG-, and total-antibody positivity rates were 22.9%, 47.6%, and 72.4%, respectively.ConclusionsThese findings suggest that anti-SARS-CoV-2 antibody testing has lower performance in asymptomatic or mild COVID-19 patients than required in the guidelines.
Does exogenous female sex hormone administration affect the rate of tooth movement and root resorption? A systematic review of animal studies
Authors: Kaklamanos Eleftherios G. , Makrygiannakis Miltiadis A. , Athanasiou Athanasios E. 
Published: September 2021

BackgroundThe long-term use of contraceptive methods that contain estrogens, progestogens or combinations of the above among women aged 15 to 49 years is extensive. Both estrogens and progestogens affect bone metabolism.ObjectiveTo systematically investigate and appraise the quality of the available evidence from animal studies regarding the impact of exogenous administration of female sex hormones on the rate of orthodontic tooth movement and root resorption.Search methodsSearch without restriction in seven databases (including grey literature) and hand searching were performed until May 2021.Selection criteriaWe looked for controlled animal studies investigating the effect from exogenous administration of formulations containing female sex hormones on the rate of orthodontic tooth movement and root resorption.Data collection and analysisAfter study retrieval and selection, relevant data was extracted, and the risk of bias was assessed using the SYRCLE’s Risk of Bias Tool. The quality of available evidence was assessed with the Grades of Recommendation, Assessment, Development, and Evaluation.ResultsThree studies were identified, all being at unclear risk of bias. Overall, administration of progesterone and the combinations of estradiol with norgestrel and desogestrel were shown to significantly decrease the rate of orthodontic tooth movement when given for longer periods (>3 weeks). Inconsistent information was detected for shorter periods of consumption. Estradiol, with desogestrel use, resulted in less root resorption. The quality of the available evidence was considered to be low.ConclusionsExogenous administration of female sex hormones may decelerate in the long term the rate of tooth movement and decrease orthodontically induced root resorption in animals. Until more information becomes available, an orthodontist should be able to identify a patient consuming such substances and understand the potential clinical implications and adverse effects that may arise.RegistrationPROSPERO:CRD42017078208;https://clinicaltrials.gov/.
A Dinâmica Geográfica do Setor Supermercadista em Brasília (DF)
Authors: Bezerra Juscelino Eudâmidas , Agner Marcelo Ramalho 
Published: September 2021

A comercialização de alimentos nas cidades é cada vez mais influenciada pela presença das redes de supermercado, que são estabelecimentos de varejo de autosserviço com predominância de produtos alimentícios. O modelo de comercialização ágil, eficiente e de baixo custo foi o que mais se fortaleceu no contexto da urbanização da sociedade. No Brasil há uma demanda por estudos que possam contextualizar o panorama nacional da atuação do capital varejista nos demais centros urbanos localizados fora da região sudeste do país. O presente artigo tem como objetivo analisar a dinâmica geográfica do setor supermercadista em Brasília – DF por meio da compreensão da multiescalaridade da atuação das redes no território conforme sua origem de capital, as estratégias de localização e seus perfis de estabelecimento. A metodologia consistiu na produção e na sistematização de informações sobre o setor supermercadista por meio da evolução quantitativa e qualitativa dos estabelecimentos vinculados à Associação de Supermercados de Brasília (ASBRA). Conforme os resultados verificados na pesquisa, foi possível encontrar em Brasília as principais redes varejistas do mundo, o que demonstra a importância da capital federal como espaço de consumo na economia globalizada. A seletividade do uso do território pelas diferentes redes possibilitou a adoção de estratégias diferenciadas a depender do padrão de renda de cada região administrativa. A pesquisa contribuiu para evidenciar a heterogeneidade do setor e a conformação de estratégias comerciais adaptadas à realidade geográfica marcada por uma desigualdade socioespacial estrutural.
¿Qué tipos de agentes virtuales pueden usar las pequeñas empresas para mejorar su publicidad?
Authors: Torres Martinez Daniel Mauricio , Cruz Guerrero Sergio Andrés 
Published: September 2021

La tecnología es un campo de evolución constante que busca superarse a sí misma a cada instante y brindar mejores soluciones a los problemas y necesidades de las personas, uno de los campos más interesantes de la tecnología es el de las IA, las cuales están dando ampliamente beneficios a más personas en el mundo.
Buena parte de la economía al día de hoy se basa en los emprendedores que generan empresas pequeñas y las tratan de hacer surgir presentando nuevas ideas para solucionar problemas de distintos ámbitos de la sociedad, es importante el progreso de estas empresas y su impacto en la comunidad, así como el reconocimiento que estas obtengan para sobresalir y expandirse hasta crecer como una empresa de gran impacto.
Este articulo está enfocado a unir estos dos conceptos para demostrar, que el uso de nuevas tecnologías como la inteligencia artificial puede beneficiar a las pequeñas y medianas empresas en diferentes aspectos, tanto en el servicio al cliente, como en la publicidad de la empresa y muchos otros campos más, el objetivo del artículo es incentivar y motivar a las empresas para que implementen estas herramientas en sus emprendimientos.
Status Gizi dan Perilaku Makan Ibu Selama Kehamilan Trimester Pertama
Authors: Dewi Ambar Kusuma , Dary Dary , Tampubolon Rifatolistia 
Published: September 2021

Background: Nutritional problems in Indonesia are one of the indirect causes of maternal and child mortality. The low nutritional status of mothers before pregnancy and during the first trimester of pregnancy results in babies with low birth weight, stunting and prematurity, pregnancy in the first trimester is the most vulnerable period, where the process of forming very important organs such as the central nerve, heart and hearing is enhanced in the next trimester.Methods: This research uses descriptive quantitative design. Respondents of the study were 50 pregnant women in the first trimester in the Salatiga Primary Health Care. Nutritional status was determined by weight gain of respondents during pregnancy, while eating behavior was measured using the SQ-FFQ Form. The 2x24 hour food recall was used to determine the level of nutritional intake of respondents.Result: The results showed that the respondents experienced a deficit of TKP, TKE, and TKK and TKL excess, while the abnormal weight gain was 44%, and KEK was 20%.Conclusion : Respondents experienced nutritional problems because their daily food intakes were less than their needs
Pengaruh Kualitas Sistem, Kualitas Informasi, Kualitas Pelayanan pada Kepuasan Pengguna dan Dampaknya pada Manfaat Bersih (Penelitian terhadap Sistem Informasi Surveilans Penyakit Tidak Menular)
Authors: Yuniarti Ira Fitria , Novrikasari Novrikasari , Misnaniarti Misnaniarti 
Published: September 2021

Background: This study aims to examine the influence of system quality, information quality, and service quality of the Non-Communicable Disease Manager Program at Public Health of Palembang. This study will also investigate the effect on user satisfaction and its impact on net benefits for users of Non Communicable Disease Surveillance Information System. This study applies a modification of the information system success model from DeLone & McLeanMethods: The model is analyzed by modeling the Structural Equation Modeling (SEM) based on components or variants (component based) that are popular with Partial Least Square (PLS) using SmartPLS version 3.0. The results of this study are expected to be adopted as input and consideration in developing, and improving the performance of the Non Communicable Disease Surveillance Information System. The research design used in this study is quantitative research. Respondents in this study were 65 Manager Program of 41Public Health at Palembang who were actively working. The questionnaire was distributed directly by researchers on Januari 2020Result: The results showed that there was no effect between system quality quality on the user satisfaciton of this system. However, there was a positive and significant effect between information quality, and service quality on the user satisfaction of the system and between the user satisfaction of the system on net benefits.Conclusion : The implementation of this information system can be declared successful because there is a positive correlation between variables.
Faktor yang Berhubungan dengan Praktik Manajemen Terpadu Bayi Muda oleh Gasurkes KIA di Kota Semarang
Authors: Wati Sinta , Kartini Apoina , Martini Martini , Sriatmi Ayun 
Published: September 2021

Background: The main causes of neonatal deaths in Semarang city were low birth weight (LBW) approximately 38%, birth asphyxia (23%), congenital defect (8%), infections such as sepsis (3%), jaundice (3%), and others (25%). The most common causes of mortality were considered preventable and treatable at an affordable, easily-to-implement, and efficient through integrated management of young infants (IMYI) performed during neonatal visits. It has previously been observed that IMYI has contributed to reducing the neonatal mortality rate by 30-60%. This study aims to investigate the factors that determine the integrated management of young infants carried by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.Methods: Quantitative research designs were adopted to provide the correlation between independent variables and dependent variables using statistical hypothesis testing. A cross-sectional approach was utilized to collect the data, both independent dan dependent variables simultaneously. The data were analyzed using chi-square, Fisher exact test, and logistic regression.Results: The result suggests that knowledge, work period, attitude, workload, recording system, supervision had an association toward the practice of IMYI conducted by MPDSR workers in Semarang City. No significant correlation was found on the availability of tools and appraisal toward the practice of IMYI. Work periods was the most dominant factor affecting IMYI practice.Conclusion: these results indicate that knowledge, work period, attitude, workload, recording system, supervision has an important role to increase the practice of IMYI performed by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.