bluuebunny/crossref_metadata_2025_split huggingface dataset:
A phenomenological exploration of source isolation in patients infected with multi‐drug resistant organisms
Authors: Mutsonziwa Gift A. , Green Jennifer , Blundell Jennifer 
Published: August 2021

AbstractBackgroundThe physical isolation of patients colonised or infected with multi‐drug resistant organisms is a requirement in hospitals considering the risk of infecting other patients, healthcare workers and visitors. However, how these patients experience isolation in the current environment is not fully understood from the literature.AimsTo explore and interpret the lived experience of the source isolation in patients infected with MDROs within an Australian setting.DesignHermeneutic phenomenology was utilised as the philosophical framework.MethodsUnstructured in‐depth face to face interviews were conducted with 20 patients infected with multi‐drug resistant organisms who were physically isolated. Data was collected from February‐2018 to January‐2019 at two large teaching hospitals in the Sydney metropolitan area. The interviews were recorded, transcribed verbatim, analysed using thematic analysis by three researchers, and then subsequently interpreted, drawing insights from the relevant phenomenological notions.ResultsThree key findings emerged from the study as: Living in a changed space ‐ developed from the participants’ struggle to cope with being physically confined to a room that made them feel imprisoned. Living in a changed body ‐ emerged from the participants who described their bodies as ‘different’ because of bacteria that conventional medicine could not destroy permanently but kept relapsing. Striving to survive ‐ developed from participants who spoke about means of enduring some unfavourable experiences.ConclusionThe essence of the lived experience of the phenomenon of source isolation from the perspectives of patients who become infected with MDROs emerged as Being‐in‐a‐changed‐world.ImpactWhile source isolation is an important procedure for preventing and controlling transmissible infection; it often results in adverse psychological experiences. An understanding of this finding from the patients’ perspectives is essential for nurses and other healthcare workers involved in their care to maintain a balance between infection control isolation and psychological needs.
Investigation of hue effects in tooth whiteness perception
Authors: Luo Wen , Westland Stephen , Li Yuan , Joiner Andrew 
Published: August 2021

AbstractObjectiveTo identify the hue angles that provide the optimal perception of tooth whitening.MethodsThirty‐three male/female adult observers with normal color vision were recruited to assess teeth images on a color calibrated display. Images of teeth were generated which simulated color changes in each of eight hue directions in the CIE a*b* plane, each equi‐distant from a baseline tooth color. Using a paired comparison study design, observers were asked to indicate which of two images had whiter teeth. The data were converted into an interval scale using Thurstone's Law of Comparative Judgment. The relationship between the hue angles and the scores was modeled by curve fitting.ResultsThe optimal hues were found in a region between green and blue in the CIE a*b chart. When the tooth color travels in an optimal hue direction, the same amount of color change will result in a greater change in whiteness perception than when traveling in other hue directions.ConclusionsThe optimal hues for tooth whitening were identified from the visual perception study. The most effective tooth whitening direction is to change tooth color towards the greenish‐blue hue direction.Clinical significanceThis study gives clinicians and researchers a better understanding of tooth color hue effects in tooth whiteness perception.
A new species of the genus Acyrtus on the eastern Pacific: A cornerstone for the evolution and biogeography of the genus
Authors: Tavera José , Rojas‐Vélez Stephania , Londoño‐Cruz Edgardo 
Published: August 2021

AbstractThe genus Acyrtus Schultz, 1944 currently includes four species distributed in the western Atlantic (WA), three occurring from the Bahamas to the southern Caribbean, and one endemic to the Fernando de Noronha Archipelago in north‐east Brazil. We describe a new species of Acyrtus based on morphology and genetics from several individuals caught at artificial hard substrates deployed between 10 and 16 m deep at Malpelo Island, Colombian Pacific. The Malpelo clingfish, Acyrtus arturo new species, differs from all its WA congeners by a combination of morphology, meristics and genetics. This species is unique within Acyrtus in having the greatest number of caudal rays (12–13). It can also be distinguished by the greater body height (19.8–27.8% standard length), its longer disc (34.0–39.1% standard length) and the greater distance between anus and disc (13.9–18.1% standard length). A. arturo sp. nov. is the first Acyrtus so far recorded from the eastern Pacific and adds to the already high number of fishes endemic to Colombia's remote oceanic territory of Malpelo.
The elasmobranchs of Malpelo Flora and Fauna Sanctuary, Colombia
Authors: Bessudo Sandra , Ladino Felipe , Becerril‐García Edgar Eduardo , Shepard Charles M. , Salinas‐De‐León Pelayo , Hoyos‐Padilla Edgar Mauricio 
Published: August 2021

AbstractManagement and conservation actions in marine‐protected areas require baselines for monitoring threatened marine fauna such as elasmobranchs. This article provides evidence of the occurrence of 34 species of elasmobranchs (21 sharks and 13 batoids) in the Malpelo Flora and Fauna Sanctuary, Colombia, including five new records of sharks and three of rays. From 1987 to 2021, new records were obtained by underwater visual census using SCUBA, manned submersibles and deep‐ocean cameras to depths of up to 2211 m. Of the recorded species, 21 are considered as threatened taxa (64%) by the IUCN, making the Malpelo Flora and Fauna Sanctuary an essential conservation area for this highly threatened group of species.
Plastic packaging flows in Europe: A hybrid input‐output approach
Authors: Cimpan Ciprian , Bjelle Eivind Lekve , Strømman Anders Hammer 
Published: August 2021

AbstractThe European Union (EU) set ambitious goals toward more sustainable use of plastics, but the basis for measuring performance and monitoring progress toward these goals remains inadequate due to a limited understanding of the complex systems behind plastic consumption. In this work, we study the region‐wide material flows of plastics related to packaging in 2014 using a hybrid approach that combines data on the production and end‐of‐life management of plastic packaging with a monetary input‐output model for the EU. The approach enables us to gain insight into interindustry flows and the connection between production and final demand. We map supply chains with a relatively high resolution, including polymer types, packaging forms and application categories. Results estimate the total packaging placed on the market (POM) and then discarded amounted to 18,000 kt., excluding a net increase in stocks of 500 kt. This means that waste generation could have been up to 15% higher than accounted in official statistics, reinforcing potential underreporting accounts as well as remaining data gaps. Thirty‐five percent of postconsumer packaging waste was directed toward recycling. However, only 5% contributed to new domestic packaging production, a reflection of the broad challenges to plastic circularity. Although first steps are taken in this work, we point to an acute lack of information on industrial streams, compounded by missing policy focus, for example, on transport packaging. We suggest areas for deeper investigation and emphasize the potential of hybrid approaches to establishing baselines and assessment of both production and consumption‐side mitigation strategies.
An industrial symbiosis simulation game: Evidence from the circular sustainable business development class
Authors: Fraccascia Luca , Sabato Alessandra , Yazan Devrim Murat 
Published: August 2021

AbstractThis study presents the industrial symbiosis (IS) business game developed in the “circular sustainable business development” (CSBD) class at the University of Twente. The game was designed by the instructors to allow students to experience the strategic business dynamics of IS. Spreading knowledge regarding IS dynamics is fundamental for fostering circular business development and equipping students, “the managers of tomorrow,” with the skills of circular economic thinking. In this paper, the rules of the IS business game are presented along with the game settings. Further, the results of the gameplay are presented and discussed from a dual perspective, that is, through the theoretical lenses provided by the IS literature and the intended learning outcomes. Overall, we aim to spread this experience and the related results to promote teaching activities focused on IS.
The Interest of Being Eligible
Authors: MÉSONNIER JEAN‐STÉPHANE , O'DONNELL CHARLES , TOUTAIN OLIVIER 
Published: August 2021

AbstractMajor central banks accept nonmarketable assets, such as pooled individual corporate loans, as collateral in their refinancing operations with banks. Such “eligible” loans to firms may provide a liquidity service to the banks which originate them. Banks may in turn pass on a part of this benefit to their borrowers in the form of a reduced interest rate: the eligibility discount. We exploit a surprise extension of the Eurosystem's set of eligible collateral to medium‐quality corporate loans, the Additional Credit Claims (ACC) program of February 2012, to assess the eligibility discount to corporate loans spreads in France. We find that becoming eligible to the Eurosystem's collateral framework translates into a relative reduction in rates by 8 bps for new loans issued to ACC‐eligible firms , controlling for loan‐, firm‐, and bank‐level characteristics. We find that this collateral channel of monetary policy is only active for the banks which have a lower opportunity cost in pledging credit claims and which are well‐capitalized.
Glabellar wrinkle correction by autologous fat transplantation and evidence of human adipose tissue regeneration in a nude mouse model
Authors: Liu Guangpeng , Zhang Kaili , Shi Yu , Lai Yongxian 
Published: August 2021

AbstractBackgroundFat grafts are increasingly applied in augmenting soft tissue defects and correcting static wrinkles, but the outcome is always unpredictable because of high absorption rate. Perilipin1 (Plin1) and perilipin2 (Plin2), two perilipin family proteins on lipid droplets in adipocytes, are reported to be used as biomarkers to evaluate adipocyte regeneration in vivo.AimsThe aim of this study was to assess the efficacy of glabellar wrinkle correction with autologous fat grafting and to observe human adipose regeneration in a nude mouse model.Patients/MethodsTen patients with 16 moderate or severe glabellar wrinkles underwent wrinkle correction by subcutaneously injecting autologous lipoaspirates obtained from the abdomen. The injection dose was 0.05 ml per 5 mm. The aspirated adipose tissue (0.05 ml) was also injected under the scalps of nude mice. Fat grafts were explanted at 3, 7, 15, 30, and 120 days after transplantation and the dynamic cellular changes were evaluated by HE staining and immunostaining of Plin1 and Plin2.ResultsAmong the sixteen wrinkle lines, thirteen were obviously improved 4 months after procedure. Eight of the ten patients were satisfied with their wrinkle correction effects. The fat grafts demonstrated a continuous changing process from degeneration to regeneration in the mouse model without significant absorption and necrosis. It was Plin1, not Plin2 that was expressed in mature adipocytes. After transplantation, Plin1 expression was lost in dead fat cells while Plin2 expression was activated in newly regenerated adipocytes. After 120 days, all the surviving adipocytes were negative for Plin2 but positive for Plin1 again.ConclusionsMicro‐volume fat transplantation was an easy and safe method to improve glabellum wrinkle lines, and the regenerative process of human adipose tissue could be verified in the mouse model.
Refugee experiences in Cincinnati, Ohio: A local case study in the context of global crisis
Authors: Dutt Anjali , Jacquez Farrah , Kirkendall Autumn , Wright Bryan , Alwan Riham 
Published: August 2021

AbstractWe examined refugees’ perceptions of their experiences living in greater Cincinnati, Ohio, USA and linked these findings to colonial context, coloniality theory, and decolonial psychology. We describe the process of developing a community based participatory research process with members of local refugee communities, and then discuss the findings of a survey completed by 280 local refugees that was collaboratively designed and administered. Noting historic and continuing disenfranchisement of the Black community in Cincinnati, in our survey analyses we compared the experiences of African refugees (Burundian, Congolese, and Somali) to the experiences of Bhutanese, Latinx, and Middle Eastern refugees residing in greater Cincinnati on several aspects of civic life. Analyses indicate that refugees from African countries reported more negative outcomes than other refugees residing in this area. Further, refugees residing in neighborhoods with a higher percentage of Black residents reported less satisfaction, likely due to neighborhood disinvestment. We discuss the costs and benefits of these findings and interpretation in the context of decolonial theory. Specifically, we connect racist colonial history to differences in treatment of refugees based on their physical appearance (i.e., Blackness) to the continued disenfranchisement of African Americans.
Changes in Children's Episodic Narratives Through Long‐Term Repeated Recall: Longitudinal Case Studies1
Authors: Uehara Izumi 
Published: August 2021

AbstractThis study aimed to investigate whether a child's narrative of a particular past episode would change in repeated reporting over the long term, and if so, how it would change. To answer these questions, I conducted longitudinal case studies of episodic reports by children every 2–6 months, from their early childhood to the age of 10–15 years. Criteria for inclusion were set in advance; seven episodic narratives meeting these criteria were analyzed. Two types of changes in the narratives were observed, as expected: that of including other information, and that of an event suddenly being reported after no recall for several years. Information from the children's surroundings seemed to be substantially involved in these changes in their episodic narratives. The present results also indicate that mothers' episodic memories are not always reliable and that the schema children have can influence their episodic memories.
Individuality of Narratives Generated by Individuals: An Investigation Using Four‐Panel Comics
Authors: Tanaka Yoshito , Sasaki Reiji 
Published: August 2021

AbstractIn this study, we conducted an empirical research focusing on the generation of stories to obtain a hypothesis on how different the stories that people generate in their daily lives by linking events and situations are. For this purpose, five illustrations that revealed only the first and fourth panels of a four‐panel comic were used as stimuli to generate a narrative in which the participants could make a connection between them. A total of 40 stories were obtained from eight participants. As a result, the narrative emerged in a variety of ways, even in events with little personal connection to the participants. This reveals that there are individual differences in the way people generate narratives themselves, despite their relationship with and position on the event. When the stories were typified, none of the participants generated similar stories in all five illustrations. This suggests that, because the combination of stories a person creates about every event is unique, there is only one story about the world, and one about himself/herself.
Risk of work‐related injury in workers with obstructive sleep apnea: A systematic review and meta‐analysis
Authors: Chou Kun‐Ta , Tsai Yu‐Lun , Yeh Wan‐Yu , Chen Yuh‐Min , Huang Nicole , Cheng Hao‐Min 
Published: August 2021

AbstractThe objective of this study is to elucidate the relationship between obstructive sleep apnea (OSA) and the risk of work‐related injuries (WRIs), synthesize the latest clinical evidence and conduct a systematic review and meta‐analysis adhering to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines (PRISMA 2020). Observational studies published before April 2020 in PubMed, Cochrane library, PsycINFO, Scopus, Google Scholar and Web of Science were included. Random‐effects Mantel–Haenszel meta‐analysis was performed. A total of 15 studies with 21,507 participants were included. Prespecified subgroup analyses based on study design and the characteristics of the enrollees were conducted. Overall, workers with OSA had 1.64‐fold increased odds of being involved in WRIs compared to their counterparts (OR = 1.64, 95% CI = 1.24–2.16, p = 0.0005). In addition to the professional drivers that have been studied in the past, such a trend also existed in the general working population (OR = 1.68, 95% CI = 1.14–2.49, p = 0.01). We also found that workers with excessive daytime sleepiness (Epworth Sleepiness Scale score >10) had a 1.68‐fold increased risk of WRIs compared to those with lower ESS scores (OR = 1.68, 95% CI = 1.22–2.30, p = 0.002). This study verified that OSA workers had a higher risk of WRIs, and such correlations do not show obvious differences in subgroups with different sample sizes, OSA diagnosis methods, job types or definitions of WRI. Based on the association between OSA and WRIs identified in our study, further studies investigating the protective effects of early identification and management of OSA on WRIs are warranted.
Methods for the characterization of activity patterns in elusive species: the giant armadillo in the Brazilian Pantanal
Authors: Desbiez A. L. J. , Kluyber D. , Massocato G. F. , Attias N. 
Published: August 2021

AbstractThe behavioral study of elusive species, which often cannot be directly observed in the wild, is based on the use of animal monitoring technologies. Here, we evaluate the performance of four methods applied simultaneously on a single population to detect and characterize the activity behavior of elusive species, using the giant armadillo Priodontes maximus as a model. GPS tagging, accelerometer, and camera trap array data were used to characterize general activity patterns, while camera traps placed in front of burrows in use were used to define activity duration, onset, and termination times. Circular kernel probability density functions were used to characterize activity patterns with each data set and the overlap coefficient Δ4 was used to characterize the similarity between them. We gathered data from 53 armadillos during 9 years in the Pantanal wetlands of Brazil. Activity duration estimates showed significant variation among monitoring methods but were generally short (4.5–6 h on average). Overall, the estimates of activity timing provided by the methods used were relatively similar (>75% Δ4 overlap) and pointed to a nocturnal activity pattern. Armadillos left their burrows mainly in the first hours after sunset, and terminated their activity mainly between midnight and 4 am. However, the camera trap array provided a later activity onset and peak estimates for the species when compared to other methods. The species spends 75–80% of its time underground and accelerometer data shows that armadillos are not active and do not feed while underground, pointing to a fossorial behavior for the species. Although researchers should be aware of the small biases that can emerge from some of the methods, the general similarities among patterns indicates that researchers can choose among the ever‐increasing number of animal monitoring technologies depending on their research question and constraints.
The rates and factors of perceived insufficient milk supply: A systematic review
Authors: Huang Yi , Liu Yu , Yu Xiao‐Yan , Zeng Tie‐Ying 
Published: August 2021

AbstractPerceived insufficient milk supply (PIMS) is one of the major reasons for discontinued breastfeeding. We aimed to estimate the rates and evaluate related factors of PIMS. We searched four databases for relevant articles published from January 2000 to March 2021. We then performed a meta‐analysis of the pooled data to estimate the rates and related factors of PIMS using Stata 15.0. Descriptive analyses of textual data were performed to summarise the related factors of PIMS if data could not be synthesised quantitatively. The quality of included studies was assessed using Newcastle–Ottawa scale (NOS), AHRQ checklist or Consolidated Criteria for Reporting Qualitative Research (COREQ). Overall, 27 studies were included in this review. At different periods after delivery, approximately 50% of mothers reported PIMS as the reason for stopping breastfeeding, while for breastfeeding mothers, the incidence of PIMS ranged from 10% to 25%. Breastfeeding initiation (OR 4.22, 95%CI 1.57–11.34) and breastfeeding knowledge (OR 7.10, 95%CI 2.00–25.26) were two factors influencing PIMS. Besides, PIMS had a strong negative relationship with breastfeeding self‐efficacy (r = −0.57); moderate negative association with infant suck ability (r = −0.46) and planned breastfeeding duration (r = −0.45); and a moderate positive correlation with formula supplementation (r = 0.42). Descriptive analyses revealed that infant crying was reported to be a sign of PIMS, and inadequate intake of energy/liquids was a reported cause of it. This review identified a high proportion of women reporting PIMS, particularly among those who stopped breastfeeding. Deliberate interventions were needed to improve breastfeeding for mothers at risk.
Longitudinal training models for entrusting students with independent patient care?: A systematic review
Authors: Bonnie Linda H. A. , Cremers Gaston R. , Nasori Mana , Kramer Anneke W. M. , van Dijk Nynke 
Published: August 2021

AbstractObjectiveThe participation of students from both undergraduate medical education (UGME) and postgraduate medical education (PGME) in independent patient care contributes to the development of knowledge, skills and the professional identity of students. A continuing collaboration between students and their preceptor might contribute to opportunities for students to independently provide patient care. In this systematic review, we aim to evaluate whether longitudinal training models facilitate the independent practice of students and what characteristics of longitudinal training models contribute to this process.MethodThis systematic review was performed according to the PRISMA guidelines. In May 2020, we performed a search in three databases. Articles evaluating the impact of longitudinal training models on the independent practice of students from both UGME and PGME programmes were eligible for the study. A total of 68 articles were included in the study. Quality of the included studies was assessed using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD).ResultsBoth UGME and PGME students in longitudinal training models are more frequently allowed to provide patient care independently when compared with their block model peers, and they also feel better prepared for independent practice at the end of their training programme. Several factors related to longitudinal training models stimulate opportunities for students to work independently. The most important factors in this process are the longitudinal relationships with preceptors and with the health care team.ConclusionDue to the ongoing collaboration between students and their preceptor, they develop an intensive and supportive mutual relationship, allowing for the development of a safe learning environment. As a result, the professional development of students is fostered, and students gradually become part of the health care team, allowing them the opportunity to engage in independent patient care.