bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rehabilitation following flexor tendon injury to the hand in African countries: a study protocol for a scoping review
Authors: Marume Martin , De Klerk Susan , Khuabi Lee-Ann Jacobs-Nzuzi 
Published: April 2021

Quality of life is enhanced by engagement in meaningful activities and participation using our hands. In African countries, people rely predominantly on the use of their hands to engage in economic productive activities, including agricultural, fishing, mining and construction, that are largely performed by machines in high-income contexts. Anecdotal evidence suggests a high incidence of flexor tendon injuries that are managed using protocols that were adopted from high-income countries and implemented without considering contextual differences. African therapists use discretion in selecting protocols thereby presenting inconsistency in tendon management. This result in challenges with ascertaining the most effective protocol, factors that influence protocols and the extent of evidence about flexor tendon rehabilitation in Africa. Therefore, this scoping review aims to provide evidence currently available on the rehabilitation of flexor tendons in African countries. This will synthesise the advantages and disadvantages of the current protocols and make proposals that are contextually relevant and cost-effective for rehabilitation of tendon injuries.Methods and analysisThe research will follow the scoping review methodological framework developed by Arksey and O’Malley (2005). The search strategy was developed and will be used to retrieve articles from eight databases. Further literature will be searched in the bibliography of the identified eligible articles. Grey literature will be searched in scientifically reliable websites, organisations and other sources. Articles will be reviewed by two independent researchers and opinion will be sought from a third reviewer when disagreement prevails on the inclusion quality of an article. All relevant articles that meet the criteria will be analysed using Weft QDA.Ethics and disseminationThe scoping review paper will be discussed with local therapists. Thereafter, findings will be published in the year 2021 and sent to rehabilitation associations in respective African countries.
Changes in quality of life (QoL) and other patient-reported outcome measures (PROMs) in living-donor and deceased-donor kidney transplant recipients and those awaiting transplantation in the UK ATTOM programme: a longitudinal cohort questionnaire survey with additional qualitative interviews
Authors: Gibbons Andrea , Bayfield Janet , Cinnirella Marco , Draper Heather , Johnson Rachel J , Oniscu Gabriel C , Ravanan Rommel , Tomson Charles , Roderick Paul , Metcalfe Wendy , Forsythe John L R , Dudley Christopher , Watson Christopher J E , Bradley J Andrew , Bradley Clare 
Published: April 2021

ObjectiveTo examine quality of life (QoL) and other patient-reported outcome measures (PROMs) in kidney transplant recipients and those awaiting transplantation.DesignLongitudinal cohort questionnaire surveys and qualitative semi-structured interviews using thematic analysis with a pragmatic approach.SettingCompletion of generic and disease-specific PROMs at two time points, and telephone interviews with participants UK-wide.Participants101 incident deceased-donor (DD) and 94 incident living-donor (LD) kidney transplant recipients, together with 165 patients on the waiting list (WL) from 18 UK centres recruited to the Access to Transplantation and Transplant Outcome Measures (ATTOM) programme completed PROMs at recruitment (November 2011 to March 2013) and 1 year follow-up. Forty-one of the 165 patients on the WL received a DD transplant and 26 received a LD transplant during the study period, completing PROMs initially as patients on the WL, and again 1 year post-transplant. A subsample of 10 LD and 10 DD recipients participated in qualitative semi-structured interviews.ResultsLD recipients were younger, had more educational qualifications and more often received a transplant before dialysis. Controlling for these and other factors, cross-sectional analyses at 12 months post-transplant suggested better QoL, renal-dependent QoL and treatment satisfaction for LD than DD recipients. Patients on the WL reported worse outcomes compared with both transplant groups. However, longitudinal analyses (controlling for pre-transplant differences) showed that LD and DD recipients reported similarly improved health status and renal-dependent QoL (p<0.01) pre-transplant to post-transplant. Patients on the WL had worsened health status but no change in QoL. Qualitative analyses revealed transplant recipients’ expectations influenced their recovery and satisfaction with transplant.ConclusionsWhile cross-sectional analyses suggested LD kidney transplantation leads to better QoL and treatment satisfaction, longitudinal assessment showed similar QoL improvements in PROMs for both transplant groups, with better outcomes than for those still wait-listed. Regardless of transplant type, clinicians need to be aware that managing expectations is important for facilitating patients’ adjustment post-transplant.
Protocol of a 12-month multifactorial eHealth programme targeting balance, dual-tasking and mood to prevent falls in older people: theStandingTall+ randomised controlled trial
Authors: van Schooten Kimberley S , Callisaya Michele L , O"Dea Bridianne , Lung Thomas , Anstey Kaarin , Lord Stephen R , Christensen Helen , Brown Alicia , Chow Jessica , McInerney Garth , Miles Lillian , Ngo Michelle , Perram Amy , Delbaere Kim 
Published: April 2021

IntroductionFalls have a multifactorial aetiology, which may limit the effectiveness of the common approach of exercise as the sole intervention strategy. Multifactorial interventions could be more effective in people at high risk of falling; however, the focus of such interventions has traditionally been quite narrow. This paper describes the design of a randomised controlled trial that will evaluate the effectiveness of an eHealth programme, which addresses cumulative effects of key fall-risk factors across the triad of physical, affective and cognitive functions on falls in older people.Methods and analysis518 older people aged 65 years and over with high fall risk, defined as having a history of falls in the past 6 months, self-reported fear of falling or being aged 80 years or over, will be recruited via local advertisements, newsletters and presentations, and randomised to an intervention or health education control group. The intervention comprises balance exercise, cognitive-motor exercise and cognitive–behavioural therapy, with their dosage based on participant’s baseline balance, executive function and mood. The primary outcome is the rate of falls in the 12 months after randomisation. Secondary outcomes at 6 and 12 months comprise programme adherence, healthcare use, physical activity, balance and mobility, cognitive function, psychological well-being, quality of life, health literacy and user experience and attitudes towards the programme. Data will be analysed following intention to treat to gauge real-world effectiveness. We will further determine complier averaged causal effects to correct for varying adherence and conduct economic analyses to gain insight into cost-effectiveness and cost–utility.Ethics and disseminationEthical approval was obtained from the University of New South Wales (UNSW) Human Research Ethics Committee in December 2017. Outcomes will be disseminated via peer-reviewed articles, conference presentations, community events and media releases.Trial registration numberACTRN12619000540112.
Association between Truck Crashes due to Mechanical Failure and Truck Age
Authors: Lee Jaeyoung , Mao Suyi , Abdel-Aty Mohamed , Lian Yanqi , Yue Lishengsha , Yun Ilsoo 
Published: April 2021

There have been efforts to restrict older trucks in many jurisdictions all over the world. The primary goal of the restrictions is to minimize greenhouse gas emissions. In addition to the environmental benefits, it is also possible that the truck age restriction could contribute to the enhancement of traffic safety. Older trucks are subject to longer travel-miles than newer trucks and tend to have higher mechanical failure rates. Extremely few studies have been done to explore the impact of trucks’ age on their crash occurrence due to mechanical problems. This study aims to investigate the association between the truck crashes due to mechanical issues and the truck age. Two approaches are adopted to achieve the objective. First, a chi-square test reveals that the proportions of the mechanical failures among older trucks are higher than those among newer ones (

χ

2

= 256.199,

p
<
0.0001

). Second, the modeling results indicate that the number of truck crashes due to mechanical failures is significantly increased by the truck age. The findings suggest that policies restricting older trucks should consider not only environmental effects but also traffic safety benefits.
A Multiscale Approach to the Design and Manipulation of Oil-in-Water Emulsion-Based Products
Authors: Gomez Javier D. , Pradilla Diego , Alvarez Oscar 
Published: April 2021

Advances in computational technology and high-throughput modeling software have given rise to the tailored design of products that require accurate mathematical relationships for their assessment. Industrial emulsion-based products, ubiquitous to everyday life, are complex systems driven by interfacial phenomena that require quick property-prediction tools for their commercialization. In this work, by means of a multiscale approach, mathematical relationships to model oil-in-water emulsions and that can be applied to any commercial emulsion-based product are proposed. The energy consumption during the emulsification process (

E

v

, which transitions from monotonic increase to exponential growth at 80%

w
/
w

), a parameter responsible for finished product performance, was linked to final product properties at three different levels: (i) molecular, through the dynamics of the interdroplet interactions given their distribution and structure at a microscopic level; (ii) microscopic, through average droplet size yielding an inversely proportional exponential relationship (

D

4,3

∝

E
v

−
4

); and (iii) macroscopic, through the plateau value of the elastic modulus and the flow behavior index leading to inversely proportional quadratic relationships (

G

′

∝

E
v

−
2

and

η
∝

E
v

−
2

, respectively). These relationships are valid at dispersed phase concentrations beyond the 60%

w
/
w

threshold where the packing of the droplets changes the emulsion’s microscopic structure giving rise to Van der Waals forces-driven phenomena. Finding this threshold allowed expanding the concentration ranges of previously reported models. The main expectation is that these results will aid researchers and process/product designers to optimize their work in different industrial applications.
Estudo Bibliográfico nos Anais do Congresso da SOBER Sobre o Programa de Aquisição de Alimentos
Authors: Ávila Franciely Silva , Querino Fabiane Fidelis , Gomes Rafaela da Silva , Ribeiro Fernanda Franco , Nogueira Leandro Rivelli 
Published: April 2021

A maior parte da produção de alimentos consumidos pela população do país se origina da agricultura familiar. Sendo assim, o governo tem várias políticas públicas voltadas para esta atividade. Políticas públicas voltadas à comercialização como o PAA - Programa de Aquisição de Alimentos é uma das ações estruturantes do Fome Zero, tem o objetivo de garantir o acesso a alimentos em quantidade, com qualidade e de forma regular às populações com situação de insegurança alimentar, permitindo aos agricultores que comercializem seus produtos com preço justo. O presente trabalho teve como objetivo analisar através de um estudo dos artigos publicados nos Congressos da SOBER (Sociedade Brasileira de Economia, Administração e Sociologia Rural) quais os estudos vêm sendo desenvolvidos sobre a temática do PAA durante os três últimos anos. O Congresso do ano de 2011 estava inacessível, portanto os trabalhos estudados foram somente nos anos 2012 e 2013 que se quantificam em 10 trabalhos dentre os quais está apresentado abaixo a implantação e os resultados do PAA em diferentes estados deste país.
The Role of Atmospheric Feedbacks in Abrupt Winter Arctic Sea Ice Loss in Future Warming Scenarios
Authors: Hankel Camille , Tziperman Eli 
Published: April 2021

AbstractWinter Arctic sea ice loss has been simulated with varying degrees of abruptness across global climate models (GCMs) run in phase 5 of the Coupled Model Intercomparison Project (CMIP5) under the high-emissions extended RCP8.5 scenario. Previous studies have proposed various mechanisms to explain modeled abrupt winter sea ice loss, such as the existence of a wintertime convective cloud feedback or the role of the freezing point as a natural threshold, but none have sought to explain the variability of the abruptness of winter sea ice loss across GCMs. Here we propose a year-to-year local positive feedback cycle in which warm, open oceans at the start of winter allow for the moistening and warming of the lower atmosphere, which in turn increases the downward clear-sky longwave radiation at the surface and suppresses ocean freezing. This situation leads to delayed and diminished winter sea ice growth and allows for increased shortwave absorption from lowered surface albedo during springtime. Last, the ocean stores this additional heat throughout the summer and autumn seasons, setting up even warmer ocean conditions that lead to further sea ice reduction. We show that the strength of this feedback, as measured by the partial temperature contributions of the different surface heat fluxes, correlates strongly with the abruptness of winter sea ice loss across models. Thus, we suggest that this feedback mechanism may explain intermodel spread in the abruptness of winter sea ice loss. In models in which the feedback mechanism is strong, this may indicate the possibility of hysteresis and thus irreversibility of sea ice loss.
Pulmonary carcinoid tumours: A multi-centre analysis of survival and predictors of outcome following sublobar, lobar, and extended pulmonary resections
Authors: Thakur Sameer , Florisson Daniel , Telianidis Stacy , Yaftian Nima , Lee Jean , Knight Simon , Barnett Stephen , Seevanayagam Siven , Antippa Phillip , Alam Naveed , Wright Gavin 
Published: April 2021

Background Pulmonary carcinoids are rare neoplasms, accounting for approximately 1%–2% of all lung malignancies. A retrospective analysis was undertaken of all patients who underwent surgical resection of pulmonary carcinoid tumours across multiple institutions in Melbourne, Australia. Methods From May 2000 through April 2020, 241 patients who underwent surgical resection of pulmonary carcinoid tumours were retrospectively reviewed. Patient demographics, pathologic data, and long-term outcomes were recorded. Results Median age was 57.7 years and the majority of patients were female (58.9% vs. 41.1%). Typical carcinoid was present in 77.1%. Histological subtype was associated with several factors. Atypical carcinoid was more likely to have larger tumour size and nodal involvement. Overall survival for typical carcinoid at 5, 10, and 15 years was 98%, 95%, and 84%, and for atypical carcinoid was 88%, 82%, and 62%, respectively. Histological subtype and age were found to be independent predictors of overall survival, with worse outcomes for atypical and those above 60 years of age. Disease-free survival was related to sublobar resection (p < 0.001, sub-hazard ratio (SHR): 6.89), lymph node involvement (p = 0.022, SHR: 3.18), and atypical histology (p < 0.001, SHR: 9.89). Conclusion Excellent long-term outcomes can be achieved following surgical resection of pulmonary carcinoids. Atypical histology and lymph node involvement are significant prognostic factors, and sublobar resection should not be considered in patients with either of the above features. Typical carcinoid tumour without nodal involvement may be appropriate for sublobar resection. Typical and atypical carcinoid tumours should be considered distinct disease entities, and as such treated accordingly.
Clinical Risk Profile for a Second Anterior Cruciate Ligament Injury in Female Soccer Players After Anterior Cruciate Ligament Reconstruction
Authors: Fältström Anne , Kvist Joanna , Bittencourt Natalia F.N. , Mendonça Luciana D. , Hägglund Martin 
Published: April 2021

Background: The risk of a second anterior cruciate ligament (ACL) injury when participating in pivoting sports after ACL reconstruction is high. Risk factors associated with a second ACL injury are complex. Purpose: To investigate the combinations of various clinical risk factors associated with second ACL injury in female soccer players with a primary unilateral ACL reconstruction, using Classification and Regression Tree (CART) analysis. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 117 active female soccer players (mean ± SD age, 20 ± 2 years) were included. Athletes were enrolled 19 ± 9 months after ACL reconstruction and were prospectively followed for 2 years. At baseline, all players underwent assessment of knee and ankle joint range of motion (ROM), participated in functional tests (postural control, hop performance, and movement asymmetries in the lower limbs and trunk), and answered questionnaires (patient-reported knee function, knee-related quality of life, psychological and personality factors). A clinical prediction model using CART was developed. Results: A total of 28 players (24%) sustained a second ACL injury (21 ipsilateral and 7 contralateral ruptures) while playing soccer. CART analysis selected 9 of 19 independent variables associated with second ACL injury: the 5-jump test, knee collapse on the non–ACL reconstructed leg in a drop vertical jump, tuck jump, limb symmetry index on side hop and the single hop for distance, side difference in ankle dorsiflexion ROM, and scores for the questionnaires ACL-Return to Sport After Injury and the Swedish Universities Scales of Personality subscales of Stress Susceptibility and Adventure Seeking. The accuracy of the model was 89%, with 100% sensitivity and 76% specificity. CART analysis indicated that the interaction of longer jumps in the 5-jump test (>916 cm) with more side difference in ankle dorsiflexion ROM (>–2.5°) and more knee valgus collapse in the nonreconstructed knee (>−1.4 cm) (relative risk, 4.03; 95% CI, 2.21-7.36) best predicted an increased likelihood of a second ACL injury. Conclusion: The risk profiles selected by CART could accurately identify female soccer players at high risk for a second ACL injury. There was an interaction between functional performance, clinical assessment, and psychological factors, and it is reasonable to include these factors in return-to-sport decisions and in athlete screening after ACL injury.
Point of Care Neonatal Ultrasound in Late-Onset Neonatal Sepsis
Authors: Yengkhom Rameshwor , Suryawanshi Pradeep , Murugkar Rahul , Gupta Bhavya , Deshpande Sujata , Singh Yogen 
Published: April 2021

Background and Objectives: Point of care neonatal ultrasound is a useful tool in evaluation of heart, brain, lungs, and abdomen in neonatal sepsis. The objective of our study was to perform bedside ultrasound screening of heart, brain, lungs, and abdomen in neonates with late onset culture positive sepsis and study the patterns of abnormalities and also their role in change of patient management. Methods: This prospective observational study was conducted at a tertiary level neonatal care unit from March 2017 to May 2018. All neonates with suspected late onset sepsis on the basis of clinical and laboratory findings underwent point of care neonatal ultrasound of heart, brain, lungs, and abdomen. Results: Of 153 suspected and eligible late-onset neonatal sepsis (LONS) cases, 67 (44%) had positive blood culture and were analyzed. Of this 67 neonates, 30 (45%) had abnormal neurosonography, 38 (57%) had abnormal cardiac output, 14 (20%) had abnormal cardiac contractility, 17 (25%) had abnormal pulmonary pressure, 18 (27%) had pulmonary arterial hypertension, 19 (28%) had pneumonia, and 7 (10%) had free fluid in abdomen. Clinical management was changed in 26 (39%) neonates. Conclusion: Bedside point of care neonatal ultrasound is a useful tool in assessment of heart, brain, lungs, and abdomen in a LONS. It could help in making appropriate decisions in the management, and therefore potentially reduce morbidity and mortality.
The Perceptions of Patients, Families, Doctors, and Nurses Regarding Malignant Bone Tumor Disclosure in China: A Qualitative Study
Authors: Luo Chunmei , Lei Lei , Yu Yao , Luo Yu 
Published: April 2021

Introduction Withholding the malignant bone tumors disclosure from patients is common in China. The purpose of the study was to explore the perceptions of patients, families, doctors, and nurses regarding the disclosure of malignant bone tumors in China. Method Semistructured interviews were conducted with 25 cases, consisting of 69 participants (14 patients, 25 family members, 17 doctors, and 13 nurses), and the transcripts were analysed using Colaizzi’s (1978) descriptive phenomenological analysis process. Results Five themes were identified: (1) doctors preferred to inform the family members first, (2) family members’ decisions depended on different situations, (3) the patients agreed that disclosure should be different for each person/personally, (4) care from nurses reduced the overreaction of patients, and (5) key points improve the informing quality. Discussion Family participatory cancer disclosure and multidisciplinary teams could improve the quality of cancer disclosure. Culturally congruent health care and culturally sensitive interventions in cancer disclosure are suggested.