bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of behavioural interventions on physical activity, weight loss, physical function, health-related quality of life and depression in people with multimorbidity: a systematic review of randomised controlled trials
Authors: Bricca Alessio , Jäger Madalina , Johnston Marie , Zangger Graziella , Harris Lasse K. , Midtgaard Julie , Skou Søren T. 
Published: February 2021

Abstract
Background To investigate the effect of behavioural interventions targeting lifestyle behaviours on physical activity, weight loss, physical function, health-related quality of life and depression in people with multimorbidity and to investigate which Behaviour Change Techniques (BCTs) are associated with better outcomes.Methods Systematic review of randomised controlled trials targeting lifestyle behaviours in people with multimorbidity following the Cochrane recommendations. Data sources included MEDLINE, EMBASE, CENTRAL and CINAHL up to June 19th, 2020 and screening reference list of Cochrane reviews including people with multimorbidity, ongoing systematic reviews of the MOBILIZE project, the WHO registry and citation tracking of included studies. Meta-analyses using random-effects model to assess the effect of behavioural interventions on physical activity, weight loss, physical function and health-related quality of life and depression. Meta-regression analyses and effectiveness ratios to investigate the impact of pre-specified mediators of effect estimates. Cochrane ‘Risk of Bias Tool’ 2.0 and the GRADE assessment to evaluate the overall quality of evidence.Results Fourteen papers involving 1,378 people. Behavioural interventions had little to no effect on physical activity (standardised mean difference 0.38, 95%CI -0.12 to 0.61 – very low certainty) and the effect on weight loss is uncertain (BMI mean difference -0.17, 95%CI -1.17 to 0.83 – very low certainty) at the end-treatment follow-up (mean duration 23 weeks, SD 15). Small improvements were seen in health-related quality of life (SMD 0.29, 95% CI 0.17 to 0.42 – moderate certainty) and physical function (SMD 0.42, 95% CI 0.12 to 0.73 – low certainty), and moderate improvements were seen for depression symptoms (SMD -0.70, 95%CI -0.98 to -0.42 – moderate certainty). Studies using the BCTs ‘action planning’ and ‘social support (practical)’ reported greater physical activity and weight loss. The effects of behavioural interventions diminished for all the outcomes at long-term follow-ups (mean duration of 36 weeks, SD 15).Conclusions Behavioural interventions targeting lifestyle behaviours improve health-related quality of life and physical function, and reduce depression symptoms, whereas little to no effect was achieved on physical activity and weight loss in people with multimorbidity. However, the evidence for physical activity and weight loss were of low quality and the end-treatment benefits diminished over time.Systematic review protocol Open Science Framework: https://osf.io/r7pm5/
Health-related quality of life among patients with bipolar disorder in rural southwestern Uganda: A hospital based cross sectional study.
Authors: Anyayo Lucas , Ashaba Scholastic , Kaggwa Mark Mohan , Samuel Maling , Nakimuli-Mpungu Etheldreda 
Published: February 2021

Abstract
Background: Bipolar disorder is a psychiatric disorder that alters mood and affects over 55 million people globally with an estimated lifetime prevalence of approximately 0.8 - 1.1%. In Africa, the lifetime prevalence of the bipolar spectrum disorders is slightly lower at 0.1 – 0.6%. Bipolar disorder is ranked the sixth leading cause of disability with high rates of morbidity and mortality and negatively impacts quality of life of those affected. Methods: The aim of the study was to determine the health-related quality of life of patients with bipolar disorder attending a mental health clinic in south western Uganda. We enrolled a consecutive sample of 169 participants and evaluated their health-related quality of life using the medical outcomes health survey short form-36 (SF-36) scale. We used bivariate and multivariable logistic regression to determine associations between quality of life, sociodemographic and clinical factors setting the physical and mental component categories of quality life scale as the main outcome variables. Results: The mean age of the participants was 37.23 (12.83) and slightly over half (54.4%) were females. More than half (66.86%) of the participants had poor physical component summary (mean=45.06, SD=8.44) while 81% of the participants had poor mental component summary (mean=41.95, SD=8.45). Poor physical quality of life had a statistically significant association with history of suicidal thoughts (OR=2.75, 95% CI=1.14-6.63, P=0.02), while poor mental quality of life had a statistically significant association with history of suicidal thoughts (OR=3.94, CI=1.22-12.71, P=0.02) and history of psychotic symptoms (OR=2.46, CI=1.07-5.64, P=0.03).Conclusion: The mental and physical quality of life of our participants was poor and history of suicidal thoughts and psychotic symptoms were associated with poor quality of life. There is need to address psychotic symptoms and suicidal thoughts in the management of patients with bipolar disorder to improve health related outcomes and quality of life.
Effect of cyclic wetting-drying on tensile mechanical behavior and microstructure of clay-bearing sandstone
Authors: Guo Pingye , Juan Gu , Yi Su , Wang Jiong , Ding Zhanwen 
Published: February 2021

Abstract
The understanding of the weakening mechanism of tensile strength of rock subjected to cyclic wetting-drying is critical for rock engineering. Tensile strength tests were conducted on a total of 35 sandstone specimens with different wetting-drying cycles. The crack propagation process and acoustic emission characteristics were obtained through a high-speed camera and acoustic emission system. The results indicate that the tensile strength is observably reduced after cyclic wetting-drying, and the extent of the reduction is not only related to the number of wetting-drying cycle, but also closely related to the clay mineral content of the sample. In addition, as the cycles of wetting-drying increase, the effect of each single cycle on tensile strength is getting smaller and smaller until becoming constant. Moreover, the crack initiation and penetration time is prolonged as the number of wetting-dry cycle increases, which indicates that cyclic wetting-drying weakens the rock stiffness and enhances the ductility of sandstone. Meanwhile, the acoustic emission characteristics during the experiment further confirmed this phenomenon. Furthermore, through the analysis of the microstructure and mineral composition of the samples with different wetting-drying cycles, it is concluded that the main weakening mechanisms of sandstones containing clay minerals are frictional reduction, chemical and corrosive deterioration.
Profiling Knowledge Brokers in the Rehabilitation sector across Canada: A descriptive study
Authors: Gaid Dina , Ahmed Sara , Thomas Aliki , Bussières Andre 
Published: February 2021

Abstract
Background: Knowledge brokers (KBs) can help promote the uptake of the latest research evidence into clinical practice. Little is known about who they are, the type of work they do, and their training. Establishing a portrait of Canadian KBs working in the rehabilitation sector may inform health care organizations and knowledge translation specialists on how best to advance KBs practices. The overall goal was to describe the profile of KBs working to promote the uptake of evidence within rehabilitation settings in Canada. Specifically, this study aimed to describe the sociodemographic and professional characteristics, work activities, and training of KBs.Methods: A cross-sectional online survey was administered to KBs working in rehabilitation settings across Canada. The survey included 20 questions covering sociodemographic and professional characteristics, work activities, and training opportunities. Response frequency and percentage were calculated for all categorical variables, and the weighted average (WA) for each role was calculated across participants. Descriptive analysis was conducted for all open-ended questions.Results: Of 475 participants accessing the website, 198 completed the survey questionnaire, including 99 clinicians, 35 researchers, and 26 managers. While over two-third of respondents had completed a graduate degree, only 38% reported receiving KBs-related training. The respondents’ primary roles corresponded to a linking agent (WA=1.84), followed by capacity builder (WA=1.76), information manager (WA=1.71), facilitator (WA=1.41), and evaluator (WA=1.32).Conclusions: Many rehabilitation clinicians who self-identify as carrying out roles often attributed to opinion leadership tend to perform closely associated knowledge-brokering activities, targeting their peers as part of their professional occupation. Participants mostly perform linking agents, capacity builder, and information roles.
Tożsamość i kondycja człowieka
Authors: Grochowska Irena 
Published: February 2021

Human aims for internal integrity and unison at all levels of human are identity and all dimensions of human existence. According to Rull integrity is a gift from God, but also a task for everybody, only possible when a human being is open for autotranscendency. Unity of mankind is based on condition. The key word condition means that a human being is not neutral. The conditions indicates limitations and burdens of human being, although more and more frequently modern man tries to deny it, defining by himself who he wants to be and taking the place of God. Modern individualism is a lonely following of traditional utopia of society.
Delsol claims that the most certain thing, which we can say about a man, is the existence of his condition, which acceptance is possible under condition of leaving the theory of ruling. We are not independent from our condition, we can free ourselves from it like we cannot deny the way we look, the condition is like terminal illness. A person’s dignity grows from the wound of finiteness. Greatness of man is about receiving and solving problems, a constant struggle, not owing a panacea for all human problems. A man who rejects reality, wanting to create his own self loses form and falls. To realise about the human condition would mean leaving the possibility of existence, potentiality for act. Human being who does not accept the human condition becomes undefined, he does not know his identity, he is restricted to mass, to biological body, he looks after it, improves it looking for fulfilment. But identity requires defining, one cannot be oneself if one does not know what one should be.
Komórki macierzyste – możliwość ich wykorzystania do regeneracji tkanek
Authors: Nowicka Grażyna 
Published: February 2021

Rozwój nauk biologicznych przyczynia się do lepszego poznania procesów związanych z rozwojem i działaniem różnych organizmów, w tym organizmu człowieka, a jednym z efektów postępu naukowego w tym zakresie jest opracowywanie coraz doskonalszych metod diagnozowania i leczenia chorób.
Ostatnio szczególne zainteresowanie wśród naukowców i lekarzy wzbudzają komórki macierzyste. Celem badań komórek macierzystych jest poznanie mechanizmów kierujących procesami tworzenia i rozwoju komórek, tkanek i narządów, a także opracowanie metod ich wykorzystania do regeneracji uszkodzonych tkanek i narządów np. do regeneracji mięśnia sercowego uszkodzonego w czasie zawału lub komórek trzustki, które utraciły zdolność produkcji insuliny (co leży u podstaw rozwoju cukrzycy typu I), komórek nerwowych, które utraciły zdolność syntezy dopaminy (co wiąże się z rozwojem choroby Parkinsona)
The Impact of Economic growth on environmental quality
Authors: Bartoszczuk Paweł 
Published: February 2021

Wraz z rosnącym zainteresowaniem rozwojem przyjaznych dla środowiska rozwiązań problemów świata, włącznie z pogarszaniem się stanu globalnego środowiska i wahających się ekonomicznych warunków, zapotrzebowanie na metody przewidywania skutków decyzji politycznych staje się coraz bardziej pilne. Ten artykuł analizuje możliwy wpływ rozwoju ekonomicznego na jakość środowiska. Ostrzegamy, że bez znaczących redukcji w przerobie w konkretnym czasie, możemy oczekiwać pokaźnego spadku w głównych działach w produkcji jedzenia, zużycia energii i produkcji przemysłowej. Model przedstawiony w tym artykule powinien ostrzegać podejmujących decyzje o nadchodzącym problemie nagłych ekonomicznych wzrostów na świecie, gdzie zasoby zaczynają być wyeksploatowane.
Internet as source of information about environmental protection
Authors: Sandner Jan 
Published: February 2021

Gwałtowny rozwój Internetu, jaki obserwujemy w ostatnich latach, stwarza nowe możliwości pozyskiwania informacji o problematyce ochrony środowiska. Dotychczasowe formy dostępu do informacji w postaci książek, czasopism specjalistycznych, biuletynów informacyjnych stają się coraz mniej doceniane przez zainteresowanych. Na ten stan rzeczy składa się wiele czynników.Z badań, które prowadziłem wśród studentów UKSW wynika, że główną barierą w dostępie do informacji przekazywanej formą tradycyjną jest koszt w postaci jej pozyskania oraz trudności techniczne w dotarciu do źródła informacji. Na kolejnych miejscach wskazanych przez studentów, znalazły się następujące czynniki: brak czasu na poszukiwanie informacji, brak wiedzy o dostępności konkretnych danych na rynku informacji, potrzeba natychmiastowego dotarcia do zróżnicowanej informacji.Wyniki moich badań prowadzone wśród studentów UKSW, potwierdzają bardzo niską skuteczność w poszukiwaniu specjalistycznej informacji w zakresie ochrony środowiska. Związane to jest przede wszystkim z pewnymi merytorycznymi błędami w samym procesie edukacji. Programy w zakresie edukacji przedmiotów specjalistycznych w zakresie ochrony środowiska, nie nadążają za zmieniającym się procesem dostępu do informacji w sieci Internetowej. Przeprowadzone badania wykazały dwa najsłabsze ogniwa tego procesu. Jeden wynika z braku w obecnie funkcjonującym systemie edukacji, kompleksowego programu edukacji środowiskowej, stanowiącego systemowe holistyczne podejście do problematyki edukacji pro-ekologicznej. Na większości uczelni wyższych zajmujących się tą problematyką, przedmioty związane z edukacją środowiskową w najlepszym przypadku występują w postaci niezależnych przedmiotów, np. ekologii, ochrony środowiska, geologii, hydrologii, gleboznawstwa, biologii, toksykologii itp.Drugi powód wynika z bardzo słabej znajomości wśród studentów praw, jakimi rządzi się Światowa Sieć Internetowa. Fakt istnienia, tego drugiego powodu ma swoje bezpośrednie korzenie również w samym systemie edukacji informatycznej na wyższych uczelniach w naszym kraju.
Co Maryja ma do powiedzenia muzułmanom? – możliwość recepcji maryjnego orędzia
Authors: Kaczmarek Piotr 
Published: February 2021

Jak się wydaje dialog przykładu i promowania wspólnych wartości otwiera większe możliwości recepcji maryjnego orędzia, niż debata teologiczna. Doktrynalne ramy są dosyć wąskie i nie znoszą dwuznaczności. Zupełnie inny charakter ma codzienne życie wyznawców innych religii, którzy żyją obok siebie i dają sobie wzajemny przykład. Jak mogliśmy zobaczyć, Kościół nie pomija obu wymiarów dialogu. Przygląda się teologii, określa granice ortodoksji, ale nie bagatelizuje duchowych doświadczeń, które pokazują, że Maryja jest czczona na swój sposób przez wyznawców islamu.
Gdybyśmy chcieli podsumować przedstawione powyżej argumenty, można wyliczyć następujące wnioski. Dialog dogmatyczny ogranicza się do chrystologii. Chrześcijanie i muzułmanie w diametralnie różnych sposób rozumieją osobę Jezusa Chrystusa. Odrzucenie przez islam Bóstwa Jezusa zamyka dialog na etapie dogmatycznym. Dlatego należy zaakcentować perspektywę mariologiczną. Maryja w sposób doskonały realizuje cnotę posłuszeństwa, która należy do istotnych cech wiary muzułmańskiej. W ramach „pośrednictwa przykładu” warto eksponować także inne wartości, którą są na tyle uniwersalne, że mogą pociągać do naśladowania Maryi niezależnie od wyznawanej religii. Nie należy pomijać zwłaszcza postulatu o zmaganie w sprawie pokoju na świecie.
Warto ciągle badać literaturę muzułmańską i gromadzić wszelkie tradycje związane z Marią w islamie. Pomogłoby to określić zdolność percepcji teologiczno-pobożnościowej muzułmanów. Chodziłoby o budowanie takich modeli teologicznych i duszpasterskich, które brałyby pod uwagę możliwości, ale i ograniczenia mentalności oraz doświadczenia duchowego wyznawców islamu. Kościół w dialogu z islamem powinien jeszcze częściej nawiązywać do Maryi, mówić o Jej życiu duchowym i cnotach. Należy także podejmować próby oczyszczania narracji koranicznej z różnych zafałszowań wobec oryginalnej fabuły przekazanej przez Ewangelie. Oczywiście nie jest to łatwym zadaniem, z uwagi na rewerencję, jaką cieszy się Koran wśród muzułmanów. Warto zachęcać do rozwijania pobożności maryjnej, do wzywania Jej wstawiennictwa i nawiedzania sanktuariów dedykowanych Matce Bożej. Są to ważne zadania, które stoją przed Kościołem, a których podjęcie może, biorąc pod uwagę określone ramy wiary muzułmańskiej, pomóc w jeszcze szerszym dotarciu do umysłów i serc wyznawców islamu maryjnego orędzia. W ten sposób można także poszerzać recepcję tego przesłania.
Perception of COVID-19 Physical Distancing Effectiveness and Contagiousness of Asymptomatic Individuals: Cross-sectional Survey of Deaf and Hard of Hearing Adults in the United States
Authors: Paludneviciene Raylene , Knight Tracy , Firl Gideon , Luttrell Kaela , Takayama Kota , Kushalnagar Poorna 
Published: February 2021

Background
During the COVID-19 pandemic, there has been a rapid increase in the amount of information about the disease and SARS-CoV-2 on the internet. If the language used in video messages is not clear or understandable to deaf and hard of hearing (DHH) people with a high school degree or less, this can cause confusion and result in information gaps among DHH people during a health emergency.

Objective
The aim of this study is to investigate the relationship between DHH people's perception of the effectiveness of physical distancing and contagiousness of an asymptomatic person.

Methods
This is a cross-sectional survey study on DHH people's perceptions about COVID-19 (N=475). Items pertaining to COVID-19 knowledge were administered to US deaf adults from April 17, 2020, to May 1, 2020, via a bilingual American Sign Language/English online survey platform.

Results
The sample consisted of 475 DHH adults aged 18-88 years old, with 74% (n=352) identifying as White and 54% (n=256) as female. About 88% (n=418) of the sample felt they knew most things or a lot about physical distancing. This figure dropped to 72% (n=342) for the question about the effectiveness of physical distancing in reducing the spread of COVID-19 and 70% (n=333) for the question about the contagiousness of an infected person without symptoms. Education and a knowledge of the effectiveness of physical distancing significantly predicted knowledge about the contagiousness of an asymptomatic individual. Race, gender, and age did not emerge as significant predictors.

Conclusions
This results of this study point to the strong connection between education and coronavirus-related knowledge. Education-related disparities can be remedied by making information fully accessible and easily understood during emergencies and pandemics.
Sinbiotik Ekstrak Ubi Ungu dan Probiotik Lokal pada Yogurt: Kesehatan Pencernaan, Hematologi, dan Sistem Imun
Authors: Tari Agustina Intan Niken , Handayani Catur Budi , Hartati Sri 
Published: February 2021

The bacteria presence in the gastrointestinal tract is one of the important factors determining the support for body health among others. Therefore, it is essential to maintain a population balance, possibly achieved by consuming local probiotic-based sinbiotic yoghurt. The purpose of this study, therefore, was to evaluate the effectiveness of purple sweet potato extracts and local probiotics supplemented in yogurt by a healthy profile. Furthermore, the Health parameters evaluated include gastrointestinal (faecal water), hematology (number of erythosit, leukocyte, hemoglobin and hemtocrit) and immune system (antibody titer) in Spraque dawley albino mice. This study was performed using a Completely Randomized Design on 30 rats divided into 6 groups. Therefore, those in group K- were administered distilled water from day 1st -21st, YTP = yogurt without probiotics from day 1st -21st, YDP = probiotic yogurt from day 1st- 21st, YTP+E = yogurt without probiotic from day 1st- 21st, interspersed EPEC on day 8th – 14th, YDP+E = yogurt from day1st- 21st, interspersed EPEC on day 8th-14th, K + = water from day 1st- 21persed EPEC on day 8th – 14th, YDP+E = probiotic yogurt from day1st- 21st, then fed EPEC on day 8th- 14th. The results showed the effectiveness of probiotic yogurt treatment with purple sweet potato extract supplementation in healthy gastrointestinal (faecal water), hematology (number of erythrocyte, leukocyte, hemoglobin and hematocrit) and immune system (titre antibodies). This phenomenon results from infection by EPEC (Enteropathogenic Eshericchia coli), which is responsible for diarrhea. Furthermore, the YDP treatment possessed a water content characterized by 48.42% feces, while the number of erythrocytes, leucocytes, haemoglobin and hematocrit were 8,58x106/μl, 14,15 x106/μl, 13.98 g/dL and 47,67 mL%, respectively. Moreover, 6,42 log of antibody titers was also determined.
Perancangan Model Pembangkit Listrik Dengan Menggunakan Teknologi Pompa Tanpa Motor (Hydraulic Ram Pump)
Authors: Sinaga Jorfri Boike , Azhar Azhar , Tanti Novri , Sugiman Sugiman 
Published: February 2021

This paper presents the design of parameters of hydraulic ram pump and hydraulic turbine to use the energy of flowing water for water supply to generate electrical power and irrigation. Design of parameters of hydraulic ram pump with head of water supply of 1,5 m was obtained: 1,25 in. diameter and 8 m length of drive pipe, 200 gr and 4,6 cm of weight and diameter of impulse valve, 4.200 cm3 of air chamber volume. The testing results of the hydraulic ram pump model shown that water could be pumped as far as the height of 7 m and 8 m, with the volume flow rate of 2,755 lit/men and 1,73 lit/men. Design of geometric parameters of cross flow hydraulic turbine with head of water supply of 1,75 m was obtained: 12 cm and 8 cm of external and internal diameter, 25 cm of runner width, and 18 of runner number. The testing results of the cross flow hydraulic turbine shown that power could be generated 83,47 W with the volume flow rate of 0,01 lit/s and the efficiency of 71,05 % at 799 rpm. The testing result also shown that with using volume flow rate of 0,003 lit/s, this turbine could be generated 23,39 W with the efficiency of 46,64 %. Technically the technology of hydraulic ram pump can be developped and used to supply of water for irrigation and generating of electrical power.