bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Convergent validity of the central sensitization inventory and experimental testing of pain sensitivity”
Authors: Holm Liam Andrén , Nim Casper Glissmann , Lauridsen Henrik Hein , Filtenborg Johanne Brinch , O’Neill Søren Francis 
Published: October 2021

Abstract

Objectives
The aim of the current study was to examine the convergent validity of the Central Sensitization Inventory by quantifying the correlation with experimental measures of pain sensitivity and self-reported psycho-social questionnaires, in a low back pain population.

Methods
All participants were recruited from an outpatient hospital spine care clinic (Spine Centre of Southern Denmark). Participants underwent a standardized experimental pain test protocol and completed the Central Sensitization Inventory (CSI) along with additional self-reported questionnaires to assess psycho-social constructs across different domains. The association between the CSI, experimental pain measures and other self-reported psycho-social questionnaires were analyzed using correlation and contingency tests. ROC-curve analysis was used to determine sensitivity and specificity for CSI.

Results
One hundred sixty-eight (168) participants were included. The CSI was weakly correlated with nine out of 20 variables in the experimental pain test protocol (rho range −0.37 to 0.22). The CSI was more closely correlated with psycho-social factors such as work ability, disability, and symptoms of exhaustion disorder. ROC-analysis identified an optimal cut-point of 44 on CSI (Sn=39.1% Sp=87.4%). The CSI had an area under the ROC curve of 0.656. Fisher’s exact test demonstrated a statistically significant association between participants scoring ≥40 on CSI and participants categorized as sensitized by experimental pain tests (p-value=0.03).

Conclusions
Our findings are consistent with previous studies, indicating that the CSI is related to psycho-social constructs. However, the convergent validity with experimental pain measures is small and probably not clinically meaningful.
Analysis of the Impact of Business Greening, which Based on Circular Economy Principles, on Sustainable Tourism Development in European Countries
Authors: Meshko Nataliia , Nikolaienko Artem 
Published: October 2021

Purpose: To test the hypothesis of the relationship between the degree of business greening on the basis of a circular economy and indicators that determine the level of international tourism attractiveness of European countries in the context of sustainable tourism. Findings: The author puts forward a hypothesis about the existence of a stable relationship between the business greening degree, which based on the principles of a circular economy, and the level of tourist attractiveness of the country. Based on the analysis of the basic provisions of the circular economy concept and the principles of sustainable development, the author provides a theoretical substantiation of this relationship. The author testes the hypothesis by clustering European countries according to the Environmental Performance Index and, based on correlation analysis, determines a close relationship between economic and environmental indicators within each of the clusters. Calculations show that in some regions of Europe there is a positive impact of the spread of the circular economy on the intensification of migration flows to the country. Practical Implications: The results of the research can be used in the practice of international companies when justifying the feasibility of investments in circular projects and programs for the transition to environmental development of territories, as well as for public administration in the development of a positive tourist image of the country. Originality/Value: For the first time, the author proposes a methodological approach to assessing the tourist attractiveness of a country in the context of business greening based on a circular economy. Future Research: Image-making of territories based on a circular economy, systematization of world experience in tourist consumption greening, the formation of tourist clusters in countries with a high level of development of the circular economy. Paper type: Empirical
Hearing screening program in primary schools from rural areas
Authors: Skarzynski Piotr , Świerniak Weronika , Karpowicz Małgorzata , Zdanowicz Rita , Czajka Natalia , Skarżyński Henryk 
Published: October 2021

WstępNiezdiagnozowane zaburzenia słuchu ograniczają zdolność dziecka do nauki. Badania przesiewowe słuchu u dzieci w wieku szkolnym pomagają wykryć istotne dla edukacji ubytki słuchu i zapobiegają negatywnemu wpływowi na osiągnięcia w nauce. Celem pracy było oszacowanie rozpowszechnienia zaburzeń słuchu u dzieci w wieku szkolnym z terenów wiejskich w Polsce.Materiał i metodyUczestnikami badania było 44 323 dzieci (21 169 dziewczynek i 23 154 chłopców) w wieku od 6 do 9 lat z 4 414 szkół z terenów wiejskich w Polsce. Wyznaczono próg słyszenia na przewodnictwo powietrzne dla częstotliwości 0,5–8 kHz. Badanie przesiewowe słuchu wykonano przy użyciu Platformy Badań Zmysłów. Ponadto rodzice uczestników badania wypełnili ankietę audiologiczną.WynikiNieprawidłowy wynik badania przesiewowy stwierdzono u 19,5% badanych dzieci. Większość ubytków słuchu była jednostronna (63,6%). Tylko 14% rodziców zauważyło problem ze słuchem u swojego dziecka.WnioskiW pracy przedstawiono szacunkowe dane dotyczące przesiewowej audiometrii tonalnej u polskich dzieci z terenów wiejskich. Wykazano, że problemy ze słuchem są powszechne w tej populacji. Badanie ma istotne implikacje dla praktyki klinicznej i polityki zdrowotnej. Wskazuje na potrzebę systematycznego monitorowania stanu słuchu u dzieci oraz zwiększania świadomości rodziców i wychowawców na temat znaczenia ubytków słuchu. Konieczne są dalsze badania prowadzone wśród dzieci z terenów miejskich, aby porównać częstość występowania ubytków słuchu u dzieci z różnych środowisk.
Implementasi Risk Management Pada Pembiayaan Tabarok (Studi Kasus di BPRS SPM Pamekasan)
Authors: Basyirah Luthfiana , Ritonga Iskandar , Mugiyati  
Published: October 2021

Pembiayaan Tabarok (Tanpa Agunan dan Barokah) merupakan salah satu produk yang disalurkan oleh Bank Pembiayaan Rakyat Syariah SPM Pamekasan kepada masyarakat dengan menerapkan akad muḍārabah dan tanpa agunan dalam melaksanakan aktivitas UMKM. Sejak terjadi kasus Covid-19 (Corona Virus Disease- 19) yang semakin meluas di Indonesia menyebabkan lumpuhnya kondisi sosial dan ekonomi masyarakat. Tidak bisa dipungkiri bahwa hal tersebut akan sangat berpengaruh dan menyebabkan beberapa permasalahan khususnya dalam berbagai kegiatan sosial dan ekonomi. Hal tersebut juga akan berpengaruh terhadap kegiatan Perbankan Shariah, termasuk BPRS SPM Pamekasan yang akan dihadapkan dengan beberapa risiko dengan tingkatan kompleksitas yang berbeda-beda, hal tersebut akan terus berdampingan dengan kegiatan bisnis. Dengan demikian, suatu lembaga perlu melakukan implementasi manajemen risiko dengan tujuan untuk mencegah adanya risiko pembiayaan yang kemungkinan terjadi di kemudian hari. Tujuan dalam penelitian ini untuk mengetahui implementasi risk management pada pembiayaan Tanpa Agunan dan Barokah di BPRS SPM Pamekasan dengan menggunakan pendekatan kualitatif dan jenis penelitian studi kasus. Hasil penelitian menyatakan bahwa, implementasi risk management pada pembiayaan Tabarok di BPRS SPM Pamekasan menggunakan 5 (lima) proses manajemen risiko, yaitu identifikasi risiko, pengukuran risiko, monitoring risiko, pengendalian risiko, dan penyelamatan risiko.
Análisis del conocimiento sobre salud sexual y reproductiva en adolescentes escolarizados de México
Authors: Vera Alanís Lorena Yuliana , Fernández Fuertes Andrés Avelino 
Published: October 2021

Objective: To establish a predictive model to estimate knowledge about sexual and reproductive health in schooled adolescents who have not initiated a sexual coital life; for this purpose, the sex and age of the participants in the study will be considered.
Materials and Methods: Correlational descriptive study in 385 students from 12 to 19 years old from Monterrey, Nuevo Leon, Mexico. We applied a personal data card and the Scale of Knowledge, Attitudes and Practices in Sexual and Reproductive Health, which only considered the category of “Knowledge” relating to the dimensions of sexual and reproductive health. Descriptive statistics, chi-square tests (χ²), Pearson correlations and multiple linear regression were carried out, all with a 95% confidence interval.
Results: A significant correlation was found between age and knowledge about sexual and reproductive health (r = .382, p < .001). It was also shown that age was the only predictor that is significant for both sexual health knowledge (β = .571 p < .001) and reproductive health (β = .324, p < .001).
Conclusions: Many adolescents who took part in this study lack essential knowledge to differentiate between safe and risky sexual behavior. For this reason, in Mexico, it is considered relevant to implement more decisive training actions that guarantee that all adolescents receive comprehensive sexual education, in line with different national and international recommendations.
Custom 3D-Printed Triflange Implants for Treatment of Severe Acetabular Defects, with and without Pelvic Discontinuity
Authors: Goriainov Vitali , King Leonard J. , Oreffo Richard O.C. , Dunlop Douglas G. 
Published: October 2021

Background:
Treatment of massive acetabular defects, both with and without pelvic discontinuity, is challenging. The implants utilized in the surgical procedure need to be stable and integrate with poor host bone stock. In the present study, we describe our experience addressing this challenge.

Methods:
We identified all patients who underwent surgical implantation of a custom 3D-printed triflange prosthesis with dual-mobility bearings for the treatment of Paprosky 3B acetabular defects between 2014 and 2020. Operative, functional, and radiographic outcomes were assessed.

Results:
A total of 19 patients were identified, including 11 women. The mean age was 77 years (range, 53 to 91 years), and 8 patients (42%) had proven or likely pelvic discontinuity. The mean follow-up was 53 months (range, 17 to 88 months; mode, 57 months). The cumulative implant survivorship was 100%. Two patients suffered notable sciatic nerve palsy, with 1 case being recurrent. There were no dislocations or fractures. The mean Oxford Hip Score improved significantly, from a mean of 8.6 (range, 0 to 22) preoperatively to 35 (range, 10 to 48) postoperatively (p < 0.0001). Radiographically, there was excellent correlation between implant position and the preoperative plan (p > 0.05). There were no cases of implant loosening or migration, which suggests that stabilization was achieved even among cases with pelvic discontinuity.

Conclusions:
These early results suggest that the use of a custom 3D-printed triflange implant has potential advantages over traditional constructs in the treatment of massive acetabular defects, with and without pelvic discontinuity. Excellent implant survivorship and functional improvement were demonstrated in this challenging patient cohort.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Effects of different years of natural recovery of Gastrodia elata on the community structure of bacteria and fungi in rhizosphere soil
Authors: Long Long lan ping , Luo Luo fu lai 
Published: October 2021

Abstract
Background: There are serious obstacles to continuous cropping of Gastrodia elata. After continuous cropping of Gastrodia elata, the yield will be greatly reduced, or even no harvest. Soil nutrients and microorganisms play an important role in it. There are few related studies on the effects of natural restoration of the rhizosphere soil of Gastrodia elata on the structure of soil bacteria and fungi for different years.Results: In this study, a combination of Illumina Miseq library preparation and high-throughput sequencing technology was used. The soil that had not been planted with Gastrodia elata was used as a control to study the characteristics of soil microbial communities in the rhizosphere of Gastrodia elata from 0 to 5 years of natural restoration, and Correlation between soil characteristics and fungal and bacterial communities. The results showed that (1) The dominant bacteria in the rhizosphere soil of Gastrodia elata are roteobacteria, Actinobacteria and Acidobacteria, and the most important bacterial genera are norank_f_Xanthobacteraceae and Bradyrhizobium. The dominant fungal phyla are Basidiomycota and Ascomycota, and the main fungal genera are Mortierella and Trichoderma. The bacterial and fungal community composition in the rhizosphere soil of Gastrodia elata and the soil without Gastrodia elata planted are not much different, but the community structure and relative abundance are quite different. (2) The Chao index, Shannon index and Invsimpson index of Gastrodia elata rhizosphere soil show an increasing trend with the increase of the natural restoration period, indicating that natural restoration for a certain period of time will increase the diversity and abundance of bacteria and fungi in the rhizosphere soil of Gastrodia elata Increase. (3) With the increase of the natural restoration period, the total nitrogen and pH content of the rhizosphere soil of Gastrodia elata showed an increasing trend. total nitrogen has the greatest influence on the bacterial community structure, and the influence of pH on the fungal community structure ranks No. Second, in the top three phyla with relative content, total nitrogen is positively correlated with Actinobacteria, and pH is positively correlated with Mortierellomycota.Conclusion: After 3 years of natural restoration, the soil environment gradually returns to normal, and the microbial community tends to balance; in addition, the Spearman rank correlation coefficient analysis shows that total nitrogen has the greatest impact on the bacterial community structure in the rhizosphere soil of Gastrodia elata, and total phosphorus has the greatest impact on the fungal community structure. The results provide a theoretical basis for the development of new type microbial fertilizers and soil amendments for Gastrodia elata to alleviate continuous cropping obstacles.
Assessment of Environmental Pollution of Heavy Metals Deposited on the Leaves of Trees in Yazd Bus Terminals
Authors: esfandiari motahareh , Hakimzadeh Mohammad Ali 
Published: October 2021

Abstract
There is a lack of information about urban transport activity in adding heavy elements to the environment. This research assesses concentration some of heavy elements in the deposited atmospheric dust in Yazd bus terminals. Dust samples were collected from the green space in the bus terminals of urban transportation. Following the digestion by nitric acid, determination of the total metal concentration of cadmium(Cd), cobalt(Co), copper(Cu), nickel(Ni), lead(Pb), zinc(Zn), chromium (Cr), and manganese(Mn) in the dust were performed via Atomic Absorption Spectrometry. The map representing the spatial distribution of metals was plotted and their source was identified using Pearson correlation coefficients, Principal Component Analysis(PCA), and Cluster Analysis(CA). The findings indicated that the mean concentration of heavy metals in the deposited dust on the leaves of the trees was in the following order; Cd < Co < Ni < Pb < Cu < Zn < Cr < Mn. The map representing the spatial distribution of heavy metal concentrations indicated that the abundance of metals in different stations varies according to their location. Two important sources for the concentration of heavy metals in the deposited dust on the leaves were identified. The sources of Co, Cd, Mn, and Ni were anthropogenic and lithogenic, and the sources of Pb, Zn, Cr and Cu were the traffic and industrial activities. The amounts of EF, CF, IPI and, RI Indicators in residential, commercial, green space and environmental uses were estimated at low to extremely high levels of pollution. The findings showed that the growth of industrialization and human activities had caused contamination of the environment by heavy metals emitted into the atmosphere of Yazd.
Challenges in establishing positive mental health effects of a school-based intervention: a cluster-randomized controlled trial of a life skill program in ten public high schools in Norway
Authors: Sælid Gry Anette , Czajkowski Nikolai Olavi , Aarø Leif Edvard , Idsøe Thormod , Helleseter Miguel Delgado , Holte Arne 
Published: October 2021

Abstract
Schools are well positioned for large scale promotion of mental health among young people. We tested the MindPower program delivered universally in the classroom to strengthen self-efficacy, self-esteem, and quality of life in high school students. We used a cluster randomized two-groups delayed intervention design. Participants where 1,673 out of 2,384 students, aged 15–16 years, in all the 110 first year high school classes in a county in Norway, randomized into two intervention groups, IG1 and IG2. IG1 started with MindPower. IG2 waited for four months to participate. Seven repeated measures were conducted with Rosenberg Self-esteem Scale (short version), General Perceived Self-Efficacy Scale (short version), and Warwick Edinburg Mental Wellbeing Scale. Self-efficacy level was compared to scores from a large comparable population study, locally and nationally (UngData). Mixed model analyses adjusted for cluster effects showed no significant increase in the three measures from start to five to nine months follow up. Self-efficacy level was approximately the same as the one found in UngData. The universal implementation in schools was a great challenge and attrition was comprehensive. MindPower did not strengthen students’ levels of self-efficacy, self-esteem, and quality of life, partly because the initial levels were already high (ceiling effect). In spite of careful preparations, fidelity was low and attrition high. Results should therefore be interpreted with caution. Learning points in implementing and conducting class based universal mental health programs in high school are discussed comprehensively. ClinicalTrials.gov: NCT03647826. The 27.08.2018. Retrospectively registered.
Effect of Percutaneous Endoscopic Gastrostomy on Long-term Quality of Life in Patients with Locally Advanced Nasopharyngeal Carcinoma
Authors: Xu Yun , Peng Hewei , Guo Qiaojuan , Guo Lanyan , Zong Jingfeng , Chen Bijuan , Xu Hanchuan , Pan Jianji , Peng Xian-E , Lin Shaojun 
Published: October 2021

Abstract
Background: Previous study revealed that prophylactic percutaneous endoscopic gastrostomy (PEG) maintain nutritional status of patients with locally advanced nasopharyngeal carcinoma (LA-NPC). We aimed to further investigate the effect of PEG on the long-term quality of life of patients with LA-NPC. Methods: Patients with LA-NPC were selected and divided into PEG and non-PEG groups. The QLQ-C30 scores, incidence of adverse effects, weight and xerostomia recovery were compared between the two groups.Results: No statistically significant difference in the scores of each QLQ-C30 scales between the two groups (P>0.05). The incidence of xerostomia was higher in the PEG group than in the non-PEG group (P=0.044), but no significant difference in the incidence of the remaining adverse effects as well as in weight and dry mouth recovery (P>0.05). Conclusion: PEG seems not to have a detrimental effect on long-term quality of life, including the swallowing function of NPC patients.
"Research On Design and Manufacturing Challenges of Transmit Receive Modules Using Advanced Quality Assurance Tools and Quality Control Techniques"
Authors: Basha Mustaq , Ware Nilesh R 
Published: October 2021

Abstract
Quality in supply chain Management is based upon a closed loop feedback system which provides solid and consistent feedback mechanism throughout the design, development and manufacturing stages of the product life cycle deployment [1,2]. To cope with the challenges of product quality design applied in supply chain management (starting from product quality design moves beyond local enterprise into supply chain, which is dynamic, trans-department, trans- regional and collaborative), a new design mode of product quality was generated which integrates Quality Functional Deployment (QFD) and FMEA in the product design and development process in supply chain management system for industry 4.0 requirements[3,4]. QFD provides a comprehensive, systematic approach to ensure that requirement chain captured was from need assessment to design, development and manufacturing process of the product meeting or exceeding the customer expectations among the best of the best competitors[5,6]. The objective of the Research was to study and understand the key factors that result in the successful application of QFD in dynamically varying supply chain management scenarios. QFD is not used only for a manufacturer but several customers and stakeholders to provide adequate knowledge about product/process failure modes and there impacts. In QFD each and every part, process especially the support technologies for implementing collaboration were analyzed and studied. By applying advanced tools to the system with the open source are often used to enhance the communication function, improve working efficiency and shorten the development cycle so as to respond to the fluctuation of market demands as quick as possible[7,8]. A case study is used to study the Quality function deployment technique that can be used in the processing development of designing and producing Transmit/Receive Modules(TRMs) for active phased array radars to make it more reliable and more robust than existing modules to improve customer satisfaction.From the Pareto chart of Technical Descriptor and Importance we can see that Design capabilities and Design verification test got around 60 % of importance for improvement of T/R modules.So, our focus should be to implement Reliability and quality at design phase and have to validate it much prior hardware design and development for which we need use some design tool before testing like, QFD, FMEA, Benchmarking and Ansys Sherlock which uses Physics of failure method.
Wild Type and Variants of Sars-Cov-2 in Parisian Sewage: Dynamics in Raw Water and Fate in Wastewater Treatment Plants
Authors: VIVEROS Melissa LOPEZ , AZIMI Sam , PICHON Elodie , ROOSE-AMSALEG Céline , BIZE Ariane , DURANDET Franz , ROCHER Vincent 
Published: October 2021

Abstract
The presence of SARS-CoV-2 RNA has been extensively reported at the influent of wastewater treatment plants (WWTPs) worldwide and its monitoring has been proposed as a potential surveillance tool to early alert of epidemic outbreaks. However, the fate of the SARS-CoV-2 RNA in the treatment process of WWTP has not been widely studied yet; therefore in this study, we aimed to evaluate the efficiency of treatment processes in reducing SARS-CoV-2 RNA levels in wastewater. The treatment process of three WWTPs of the Parisian area in France were monitored on six different weeks over a period of two months (from April 14th to June 9th 2021). SARS-CoV-2 RNA copies were detected using digital polymerase chain reaction (dPCR). Investigation on the presence of variants of concern (Del69-70E484 and L452R) was also performed. Additionally, SARS-CoV-2 RNA loads in the WWTPs influents were expressed as the viral charge per population equivalent and showed a good correlation with French public health indicators (incidence rate). SARS-CoV-2 RNA loads were notably reduced along the water treatment lines of the three WWTPs studied (2.5-3.4 log). Finally, very low SARS-CoV-2 RNA loads were detected in effluents (non-detected in over half of the samples) which indicated that the potential health risk of the release of wastewater effluents to the environment is probably insignificant, in the case of WWTPs enabling an efficient biological removal of nitrogen.