bluuebunny/crossref_metadata_2025_split huggingface dataset:
Existential Care in a Modern Society: Pastoral Care Consultations in Local Communities in Norway
Authors: Danbolt Lars Johan , Zock Hetty , Austad Anne , Grung Anne Hege , Stifoss-Hanssen Hans 
Published: June 2021

Abstract
Data from a recent survey on pastoral care consultations (PCC) in Norway (N=408) is presented, showing that PCC is a service priests and deacons provide for people in the municipality, independent of faith affiliation. The most common PCC themes regarded mental and social distress, such as grief, conflicts, and loneliness. Furthermore, illness-related themes were prominent, and a specter of religious and moral issues. We discuss the results in the context of ongoing changes and reforms in both church and health care, and point at possible health promoting dimensions of PCC as existential assistance in the space between personal network support and public health care.
Liberation Theologies, Decolonial Thinking, and Practical Theologies: Odd Combinations?
Authors: Medina Néstor , Whitla Becca , Fernández-Albán Ary 
Published: June 2021

Abstract
This article honours the rich contexts from which liberation theologies and decolonial insights emerge. It includes an invitation to practical theologians to be mindful of the long-standing intellectual traditions behind these strands. The authors summarize and distinguish the crucial insights and points of differences as they argue for rigorous practical theological methods. They draw from their concrete experiences in the Americas to show the intricate possibilities of using liberation and decolonial thinking in practical theology.
Three-dimensional shape analysis of peripapillary retinal pigment epithelium-basement membrane layer based on OCT radial images
Authors: Tong Junfei , Dong Pengfei , Kedar Sachin , Ghate Deepta , Gu Linxia 
Published: June 2021

Abstract
The peripapillary retinal pigment epithelium-basement membrane (ppRPE/BM) layer angle was recently proposed as a potential index for estimating intracranial pressure noninvasively. However, the ppRPE/BM layer angle, measured from the optical coherence tomography (OCT) scans, varied across the radial directions of the optic disc. This made the ppRPE/BM layer angle difficult to be utilized in its full potential. In this study, we developed a mathematical model to quantify the ppRPE/BM layer angles across radial scans in relation to the ppRPE/BM 3D morphology in terms of its 3D angle and scanning tilt angles. Results showed that the variations of the ppRPE/BM layer angle across radial scans were well explained by its 3D angle and scanning tilt angles. The ppRPE/BM layer 3D angle was reversely fitted from the measured ppRPE/BM layer angles across radial directions with application to six eyes from four patients, who underwent medically necessary lumbar puncture. The fitted curve from our mathematical model matched well with the experimental measurements (R
2 > 0.9 in most cases). This further validated our mathematical model. The proposed model in this study has elucidated the variations of ppRPE/BM layer angle across 2D radial scans from the perspective of the ppRPE/BM layer 3D morphology. It is expected that the ppRPE/BM layer 3D angle developed in this study could be further exploited as a new biomarker for the optic disc.
Der Beitrag von Hebammen zur perinatalen Gesundheit
Authors: Niemeyer Anna , Schwarz Christiane 
Published: June 2021

Zusammenfassung
Hebammen tragen weltweit zur perinatalen Gesundheit von Gebärenden und ihren Kindern bei. Das gilt für die körperlichen, aber auch für psychologische, emotionale und soziale Aspekte von Gesundheit. Die Beratung Schwangerer, die Begleitung von Gebärenden, die Unterstützung beim Übergang in die Lebensphase Mutterschaft/Elternschaft sind grundlegend primärpräventiv und ermöglichen idealerweise eine positive Erfahrung dieser Lebensphase. In Deutschland arbeiten Hebammen in allen Settings und in unterschiedlichen arbeitsorganisatorischen Strukturen.
Das dynamische nationale Gesundheitsziel „Gesundheit rund um die Geburt“
Authors: Altgeld Thomas 
Published: June 2021

Zusammenfassung
Das Gesundheitsziel „Gesundheit rund um die Geburt“ wurde 2017 als neuntes nationales Gesundheitsziel verabschiedet. Es verbindet salutogene und risikoorientierte Blickwinkel. Außerdem fokussiert es die Autonomie von Schwangeren sowie die interdisziplinäre Zusammenarbeit heterogener Berufsgruppen. In der Umsetzung erweist es sich als das bislang dynamischste Gesundheitsziel, da es Antworten auf die aktuellen Herausforderungen der geburtshilflichen Versorgung in Deutschland bietet.
Sichere Versorgungswege durch Lotsensysteme in der Geburtshilfe
Authors: Hippmann Franzisca , Thyen Ute 
Published: June 2021

Zusammenfassung
Die Geburtshilfe in Deutschland und Europa begegnet in den letzten Jahren zunehmend neuen Herausforderungen aufgrund des zunehmenden Alters der Erstgebärenden und den damit verbundenen medizinischen Risiken sowie steigenden psychosozialen Belastungen auf Elternseite. Probleme in der sektorenübergreifenden Kommunikation führen dazu, dass Eltern mit Unterstützungsbedarf nicht die geeignete Hilfe zuteil wird. Um einen guten Start in die Familie zu ermöglichen, können zentral in den Geburtskliniken verankerte Lotsendienste helfen.
Integration international qualifizierter Hebammen
Authors: Blättner Beate 
Published: June 2021

Zusammenfassung
Die Integration von in anderen Ländern qualifizierten Hebammen in das Versorgungssystem in Deutschland ist eine der Strategien zur Reduktion des Hebammenmangels. In den Bundesländern ist diese Strategie von heterogener Bedeutung. Trotz gemeinsamer Mindeststandards sind schon in der EU die Ausbildung und das Berufsverständnis unterschiedlich. Mangelnde Vorbereitung von bestehenden Teams auf die Integrationsarbeit und mangelnde Anerkennung der geleisteten Arbeit durch die Einrichtung führt zu einem defizitären Blick auf die Kolleg*innen. Damit gehen Chancen, von den international Qualifizierten für die Versorgungspraxis zu lernen, verloren.
Hebammenwissenschaft studieren – Entwicklungsstand in Deutschland
Authors: Baumgärtner Barbara 
Published: June 2021

Zusammenfassung
Seit dem 1.1.2020 ist das neue Hebammengesetz in Kraft. Auf der Grundlage dieses Gesetzes wurden im Wintersemester 2020/21 zwölf primärqualifizierende Studiengänge für Hebammen eingerichtet, weitere Studiengänge sind in Planung. Herausforderungen in der Durchführung der Studiengänge bestehen vor allem hinsichtlich der Gewährleistung einer unabhängigen Disziplinentwicklung, der langfristigen Finanzierungsgrundlagen der Studiengänge, dem Aufbau von Forschungsprofilen sowie der Nachwuchsförderung.
Verbleib von Absolvent*innen eines Modellstudiengangs Hebammenkunde
Authors: Meissner Franziska 
Published: June 2021

Zusammenfassung
Erste Ergebnisse einer Verbleibstudie von Absolvent*innen des Modellstudiengangs Hebammenkunde der Hochschule Fulda lassen auf einen eingeschränkt erfolgreichen Einstieg in den Beruf schließen. Die mangelnde Akzeptanz der akademischen Qualifizierung stellt beim Berufseintritt eine zentrale Herausforderung dar. Die Akzeptanzproblematik kann als Barriere für einen gelungenen Integrationsprozess der Absolvent*innen in der Berufspraxis angesehen werden.
Stillen – Muttersache: ein geschlechterkritischer Blick auf die Säuglingsernährung
Authors: Rose Lotte 
Published: June 2021

Zusammenfassung
Stillen gilt heute als die beste Form der Säuglingsernährung. Diese Norm wird mit Rückgriff auf die Beiträge der Gender Studies zum Stillen geschlechterkritisch in den Blick genommen. Im ersten Schritt wird die politische Historie der wechselvollen Etablierung des Ideals des Stillen rekonstruiert. Im zweiten Schritt werden die sozialen Folgen dieses Ideals für die Positionierung der Mutter und des Vaters bei der Neugeborenenpflege herausgearbeitet.
Pain experience in an aging adult population during a 10-year follow-up
Authors: Marttinen Maiju K. , Kautiainen Hannu , Vuorimaa Hanna , Kauppi Markku J. 
Published: June 2021

Abstract

Objectives
This 10-year follow-up study aimed to examine the persistence of SF-36 pain intensity and pain-related interference and to identify baseline factors that may relate to pain experience among community-dwelling aging adults.

Methods
Questionnaire and clinical data on a total of 1,954 participants (mean age at baseline 63 years) were collected in 2002, 2005, 2008, and 2012. Based on pain reports, four pain intensity, pain interference (PIPI) groups were formed at each time point: PIPI group I: none to mild pain intensity and interference; II: moderate to extreme pain intensity, none to mild pain-related interference; III: None to mild pain intensity, moderate to extreme pain-related interference, IV: Moderate to extreme pain intensity and interference.

Results
Participants with the most pain at baseline improved their pain situation the most during the follow-up. Higher BMI was associated with pain interference, and metabolic syndrome (MetS) and musculoskeletal diseases with both pain intensity and interference (p<0.05, statistically significant interaction between pain intensity and pain interference) at baseline. According to multivariate logistic regression analysis the following baseline characteristics were associated with remaining in PIPI group I throughout the follow-up: presence of musculoskeletal disease (OR 0.22 [95% CI 0.16–0.30]), high BMI (OR 0.93 [95% CI 0.90–0.97]), high household income (OR 1.46 [95% CI 1.07–1.98]), good childhood home environment (OR 1.03 [95% CI 1.00–1.05]).

Conclusions
Multiple factors may affect pain persistence in late adulthood with varying effect on pain intensity and pain-related interference. Pain situation of even those with most pain may be improved.
Causality in the South
Authors: Luhmann Niklas 
Published: June 2021

Abstract
Policy development planning using legal and monetary mechanisms has proved to have little success. Due to this experience, resistance to modernisation has been explained by factors such as “tradition”, “culture”, “mentalities”. But such explanations have remained more or less tautological. It is therefore proposed to replace them with a single factor that could be called a “social construction” of causality.
After decades of research on causal attribution and perception of causal relations, it can no longer be assumed that relations between causes and effects are objective facts of the world, on which true or untrue judgements are then possible. Rather, it is about an infinity of possible combinations of causes and effects, which can only be used extremely selectively if a connection of certain causes with certain effects is to give some cognitive or practical meaning. In other words: causality is a medium of loosely coupled possibilities, the use of which requires the formation of relational forms, i. e. a firm coupling of certain causes and certain effects. Prospects of successful action as well as observing the intentions of others depend on such a selection of forms. These are social constructs, but their construction is not included in the causal scheme like a meta-cause, as it were, as the cause of causality itself. Rather, the creation of form serves as a “blind spot” which makes it possible to see and use causality.
If a society is accustomed to locating causality in personalised social networks and to expect success or failure from the use of this specific form of causality, it will be very difficult to change these conditions if equally handy causal forms cannot be provided as a substitute. More money and more legal norms will only serve to test and confirm the effectiveness of the network’s contacts.
Ocular foreign bodies: evolution of professional roles and public costs in Quebec
Authors: Tousignant Benoit , Coulibaly Drissa Moriba , Brûlé Julie , Gresset Jacques 
Published: June 2021

Purpose
In 2003, Quebec optometrists were legally enabled to extract superficial ocular foreign bodies, with part of this service covered by the universal health insurance. This study analyses the evolution of roles for professionals managing this condition (optometrists, ophthalmologists, emergency physicians and family physicians) and the related public healthcare costs.
Methods
Data from the provincial health insurance were combined to demographic and annual healthcare workforce statistics. Across professions and sociosanitary regions, variations in annual rates of conditions treated were calculated, as well as variations in public healthcare costs. Linear regression slopes of these variations were used as indicators of linear trends.
Results
Between 2010 and 2016, the proportion of cases managed by optometrists increases from 32% to 44%, following a significant trend (p < 0.007). For family physicians, the proportion of cases managed decreases from 49% to 33%, following a significant trend (p < 0.0001). The increase in optometrists managing cases is visible in almost all sociosanitary regions, reaching +19%. A significant trend was observed for increasing healthcare costs for optometrists (p < 0.008) and ophthalmologists (p < 0.004) and for decreasing healthcare costs for family physicians (p < 0.001). In 2016, optometrists managed 44% of cases, representing 13% of related healthcare costs.
Conclusion
In Quebec, optometrists are now the professionals managing the largest proportion of superficial ocular foreign bodies, across the province. There is an apparent shift from the proportion of cases managed by family physicians, which have similarly decreased.
Early cardiac electrical and structural changes in patients with non-obese non-alcoholic fatty liver disease
Authors: Aksu Ekrem , Sokmen Abdullah , Ispiroglu Murat , Gisi Kadir , Celik Enes , Aykan Ahmet Cagri 
Published: June 2021

Background Obese non-alcoholic fatty liver disease (NAFLD) was found to increase the risk of developing atrial fibrillation (AF) regardless of the metabolic syndrome subgroups that may accompany it. In this study, the effect of NAFLD on the structural and electrical functions of the heart was investigated using tissue Doppler echocardiography (TDE) in non-obese NAFLD patients without any known risk factors for AF.Material and methods The study included 43 female patients (31.3±3.8 years), who had stage 2–3 hepatosteatosis detected by liver ultrasonography and diagnosed as non-obese NAFLD (patient group), and 31 healthy women (control group, 32.5±3.6 years). In addition to standard echocardiographic parameters, inter- and intra-atrial electromechanical delay (EMD) were evaluated by TDE.Results Interatrial EMD (PA lateral – PA tricuspid) and intraatrial EMD (PA septum – PA tricuspid) were significantly longer in patient group (16.1±3.4 vs. 12.5±2.3 ms, p<0.001, and 8.4±1.6 vs. 6.6±1.6 ms, p<0.001, respectively). At the subclinical level. atrial size, left ventricular diastolic function, and left ventricular wall thickness measurements were greater in the patient group.Conclusion Inter-atrial and intra-atrial EMD were detected in young women with non-obese NAFLD. In addition, at the subclinical level, structural and functional impairment was detected However, large-volume prospective studies are required to cobfirm these findings regarding the development of AF in non-obese NAFLD patients.
The impact of motor competence on energy expenditure during object control skill performance in children and young adults
Authors: Sacko Ryan S. , Utesch Till , Bardid Farid , Stodden David F. 
Published: June 2021

BACKGROUND: An understanding of how motor skill performance levels relate to energy expenditure (EE) is an important, yet relatively unexplored topic that may better inform physical activity interventions.
AIM: This study examined the impact of motor competence (MC) on EE during the performance of object control skills in children and young adults.
METHOD: Forty-two children (Mage 8.1 years) and 40 young adults (Mage = 23.4 years) completed sessions of throwing and kicking at varying intensity intervals. Polynomial regressions with response surface analysis were conducted to analyze the impact of process- and product-oriented MC levels on EE.
RESULTS: Moderate positive associations among process-oriented motor competence levels and EE were demonstrated in all trial interval conditions with stronger associations shown for shorter trial intervals.
CONCLUSION: Individuals’ movement quality (process) demonstrated greater associations with EE than performance product (speed), especially with higher intensity skill practice. These results provide additional evidence of the positive impact that MC has on the health benefits of physical activity, specifically during participation in activities that inherently require repeated performance of object control skills.
Adding Muscle Power Exercises To A Strength Training Program For People With Patellofemoral Pain: Protocol Of A Randomized Controlled Trial
Authors: de Vasconcelos Gabriela Souza , Nunes Guilherme Silva , Barton Christian John , Munhoz Raquel Fantinelli , Silva Maria Eduarda Chinotti Batista da , Pisani Giulia Keppe , Luz Bruna Calazans , Serrão Fábio Viadanna 
Published: June 2021

Abstract
Background: Strong evidence supports the proximal combined with quadriceps strengthening for patellofemoral pain (PFP) rehabilitation. However, most reported rehabilitation programs do not follow specific exercise prescription recommendations or do not provide adequate details for replication in clinical practice. Furthermore, people with PFP have power deficits in hip and knee muscles and remains unknown whether the addition of power exercises would result in superior or more consistent outcomes. Therefore, this study is designed to verify whether the benefits of a rehabilitation program addressing proximal and knee muscles composed by power and strength exercises are greater than those of a program composed by strength exercises only. Method: This study will be a randomized controlled trial, that will be conducted at university facilities. A minimum of 74 people with PFP between the ages of 18 and 45 years will be included. The experimental group will engage in a 12-week resistance training program focusing on proximal and knee muscles using power and strength exercises. The control group will engage in a 12-week resistance training program focusing on proximal and knee muscles using strength exercises only. Primary outcomes will be pain intensity and physical function; and secondary outcomes will be kinesiophobia, self-reported improvement, quality of life, peak hip and knee torque, and hip and knee rate of force development. The primary outcomes will be evaluated at baseline, and after six weeks, twelve weeks, three months, six months and one year. The secondary outcomes will be evaluated at baseline and immediately after the interventions. Therapists and participants will not be blinded to group allocation.Discussion: This randomized clinical trial will investigate if adding power exercises to a progressive resistance training may lead to more consistent outcomes for PFP rehabilitation. The study will provide additional knowledge to support rehabilitation programs for people with PFP.Trial registration: ClinicalTrials.gov NCT 03985254. Registered on 26 August 2019.
Assessment of Solid Mineral to Soil Radioactivity Contamination Index in Selected Mining Sites and their Radiological Risk Indices to the Public
Authors: Agbalagba Ezekiel Oghenenyerhovwo , Chaanda Mohammed S. , Egarievwe Stephen Uloho U. 
Published: June 2021

Abstract
This study examined the radioactivity levels of soil samples within selected solid mining sites in Nigeria using high purity germanium (HpGe) detector. Sixty soil samples in all were collected from the ten solid mineral mining sites investigated and six samples were collected as control samples from non-mining environment for analyses. The results of the activity concentration values obtained for 40K, 226Ra and 232Th are 100.22 Bq kg-1, 33.15 Bq kg-1 and 77.31 Bq kg-1 respectively. The 226Ra and 40K activities were found to be within the United Nation Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) acceptable permissible limit, but the 232Th mean value was above the permissible limit of 30 Bq kg-1 for the public. In comparison, 40K, 226Ra and 232Th soil samples mean activity concentrations were higher than the control soil samples values by 48.6%, 43.7% and 62.3% respectively. The results of estimated radiation hazard indices indicate average values of 150.72 Bq kg-1, 68.40T, 83.65µSvy-1 and 454.70µSvy-1 for the Radium Equivalent (h), iDose Equivalent (AEDE) and Annual Gonadal Equivalent Dose (AGED) respectively. The mean values for External Hazard Indices (Hex, Hin), Representative Gamma index (s) and Excess Life Cancer Risk (ELCR) were 0.41, 0.50, 1.06 and 0.29 x10-3 respectively. The statistical analysis shows positive skewness.
A Simple and Efficient Visible Light Photodetector based on Co3O4/ZnO Composite
Authors: Tahira Aneela , Mazzaro Raffaello , Rigoni Federica , Nafady Ayman , Shaikh Shoyebmohamad F , Al-Othman Asma A. , Alshgari Razan A. , Ibupoto Zafar Hussain 
Published: June 2021

Abstract
Herein, we propose for the first time visible light photodetector based on n-type ZnO nanorods decorated with p-type Co3O4 nanowires. The heterojunction was fabricated on fluorine doped tin oxide (FTO) glass substrate by low temperature aqueous chemical growth method. ZnO exhibits nanorod morphology and cobalt oxide possesses nanowire shape with sharp tail. Energy dispersive spectroscopy (EDS) confirmed the presence of Zn, O, and Co elements in the heterojunction. ZnO and Co3O4 have hexagonal and cubic phases, respectively, as confirmed by XRD. The dense and perpendicular ZnO nanorods are acting as a scattering layer for visible light, while Co3O4 nanowires act as a visible-light absorber. The all oxide p-n junction can operate as visible light photodetector. Furthermore, the heterojunction also shows a reproducible and fast response for the detection of visible light. Optimization of the device is needed (presence of buffer layers, tuning a thickness of the optical absorber) to improve its functionalities.