bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the role and integration of general practice pharmacists in England: a cross-sectional study
Authors: Alshehri Abdullah A. , Cheema Ejaz , Yahyouche Asma , Haque M. Sayeed , Jalal Zahraa 
Published: June 2021

AbstractBackground Since 2015, NHS England has facilitated the recruitment of pharmacists in general practice (GP) to reduce workload of general practitioners. The role of pharmacists is therefore expected to become more clinical and patient oriented. However, little is known about the current roles performed and the integration of GP pharmacists. Objective To assess the role performed by GP pharmacists and their integration into practice exploring facilitators and barriers to integration. Setting A cross-sectional survey of GP pharmacists in England. Method This study used both online and paper-based questionnaires for a period of six months. Survey items included demographics, roles performed, integration including available support and practice environment. Quantitative data were analysed using descriptive statistics and 95% confidence intervals. Open comments were analysed thematically to identify pharmacists’ perceptions of barriers and facilitators to their integration into practice. Main outcome measure Current role and integration of pharmacists into GP. Results 195 participants completed the questionnaire. Three quarters of pharmacists (76%) had only been in GP since 2015. Most pharmacists (81%) were independent prescribers (PIPs). The most reported pharmacists’ roles were medicine reconciliation (95%), telephone support for patients (95%) and face-to-face medication review (91%). 82% (95% CI: 76% to 86.8%) were satisfied with their overall integration into practice. Half of pharmacists (45%) were working in a shared office or at a hot desk and 9% had no designated workspace. PIPs had more access to a convenient workplace (p = 0.016) compared to non-IPs. Conclusion Practice pharmacists are fulfilling a wide range of clinical and non-clinical roles in England. Findings highlight relatively a satisfactory level of pharmacists’ integration into practice and shed the light on their integration issues. These findings could be significant for the development of future roles of pharmacists in GP.
Addressing the challenges of climate-driven community-led resettlement and site expansion: knowledge sharing, storytelling, healing, and collaborative coalition building
Authors: Maldonado Julie , Wang Itzel Flores Castillo , Eningowuk Fred , Iaukea Lesley , Lascurain Aranzazu , Lazrus Heather , Naquin Chief Albert , Naquin JR , Nogueras-Vidal Kukuya Margarita , Peterson Kristina , Rivera-Collazo Isabel , Souza M. Kalani , Stege Mark , Thomas Bill 
Published: June 2021

AbstractPresently coastal areas globally are becoming unviable, with people no longer able to maintain livelihoods and settlements due to, for example, increasing floods, storm surges, coastal erosion, and sea level rise, yet there exist significant policy obstacles and practical and regulatory challenges to community-led and community-wide responses. For many receiving support only at the individual level for relocation or other adaptive responses, individual and community harm is perpetuated through the loss of culture and identity incurred through forced assimilation policies. Often, challenges dealt to frontline communities are founded on centuries of injustices. Can these challenges of both norms and policies be addressed? Can we develop socially, culturally, environmentally, and economically just sustainable adaptation processes that supports community responses, maintenance and evolution of traditions, and rejuvenates regenerative life-supporting ecosystems? This article brings together Indigenous community leaders, knowledge-holders, and allied collaborators from Louisiana, Hawai‘i, Alaska, Borikén/Puerto Rico, and the Marshall Islands, to share their stories and lived experiences of the relocation and other adaptive challenges in their homelands and territories, the obstacles posed by the state or regional governments in community adaptation efforts, ideas for transforming the research paradigm from expecting communities to answer scientific questions to having scientists address community priorities, and the healing processes that communities are employing. The contributors are connected through the Rising Voices Center for Indigenous and Earth Sciences, which brings together Indigenous, tribal, and community leaders, atmospheric, social, biological, and ecological scientists, students, educators, and other experts, and facilitates intercultural, relational-based approaches for understanding and adapting to extreme weather and climate events, climate variability, and climate change.
An Input–Output Ex Ante Regional Model to Assess the Short-Term Net Effects of the 16 April 2016 Earthquake in Ecuador
Authors: Salgado Jorge , Ramírez-Álvarez José , Mancheno Diego 
Published: June 2021

AbstractThe 16 April 2016 earthquake in Ecuador exposed the significant weaknesses concerning the methodological designs to compute—from an economic standpoint—the consequences of a natural hazard-related disaster for productive exchanges and the accumulation of capital in Ecuador. This study addressed one of these challenges with an innovative ex ante model to measure the partial and net short-term effects of a natural hazard-related catastrophe from an interregional perspective, with the 16 April 2016 earthquake serving as a case study. In general, the specified and estimated model follows the approach of the extended Miyazawa model, which endogenizes consumption demand in a standard input–output model with the subnational interrelations and resulting multipliers. Due to the country’s limitations in its regional account records the input–output matrices for each province of Ecuador had to be estimated, which then allowed transactions carried out between any two sectors within or outside a given province to be identified by means of the RAS method. The estimations provide evidence that the net short-term impact on the national accounts was not significant, and under some of the simulated scenarios, based on the official information with respect to earthquake management, the impact may even have had a positive effect on the growth of the national product during 2016.
The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients
Authors: Lun Zhubin , Liu Liwei , Chen Guanzhong , Ying Ming , Liu Jin , Wang Bo , Liang Jingjing , Yang Yongquan , Chen Shiqun , He Yibo , Chung Edmund Y. M. , Chen Jiyan , Ye Jianfeng , Liu Yong 
Published: June 2021

Abstract
Background
Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after coronary angiography.

Methods
We searched Medline, Embase, and Cochrane Database of Systematic Reviews (to 30th June 2019). We evaluated the world’s incidence of the CA-AKI, and associated mortality, and to described geographic variations according to countries, regions, and economies. CA-AKI was defined as an increase in serum creatinine ≥ 0.5 mg/dl or ≥ 25% within 72 h. Random effects model meta-analyses and meta-regressions was performed to derive the sources of heterogeneity.

Results
A total of 134 articles (1,211,106 participants) were included in our meta-analysis. Most studies originated from China, Japan, Turkey and United States, from upper middle income and high income countries. The pooled incidence of CA-AKI after coronary angiography was 12.8% (95% CI 11.7–13.9%), and the CA-AKI associated mortality was 20.2% (95% CI 10.7–29.7%). The incidence of CA-AKI and the CA-AKI associated mortality were not declined over time (Incidence rate change: 0.23% 95% CI − 0.050 to 0.510 p = 0.617; Mortality rate change: − 1.05% 95% CI − 3.070 to 0.970 p = 0.308, respectively).

Conclusion
CA-AKI was a universal complication in many regions, and the burden of CA-AKI remains severe. In clinical practice, physicians should pay more attention to the occurrence and active prevention and treatment of CA-AKI.

Graphic abstract
Development and validation of antibiotic stewardship metrics for outpatient respiratory tract diagnoses and association of provider characteristics with inappropriate prescribing
Authors: Degnan Kathleen O. , Cluzet Valerie , David Michael Z. , Dutcher Lauren , Cressman Leigh , Lautenbach Ebbing , Hamilton Keith W. ,   for the CDC Prevention Epicenters Program
Published: June 2021

AbstractObjective:To determine metrics and provider characteristics associated with inappropriate antibiotic prescribing for respiratory tract diagnoses (RTDs).Design:Retrospective cohort study.Setting:Primary care practices in a university health system.Participants:Patients seen by an attending physician or advanced practice provider (APP) at their primary care office visit with International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM)–coded RTDs.Methods:Medical records were reviewed for 1,200 randomly selected office visits in which an antibiotic was prescribed to determine appropriateness. Based on this gold standard, metrics and provider characteristics associated with inappropriate antibiotic prescribing were determined.Results:Overall, 69% of antibiotics were inappropriate. Metrics utilizing prespecified RTDs most strongly associated with inappropriate prescribing were (1) proportion prescribing for RTDs for which antibiotics are almost never required (eg, bronchitis) and (2) proportion prescribing for any RTD. Provider characteristics associated with inappropriate antibiotic prescribing were APP versus physician (72% vs 58%; P = .02), family medicine versus internal medicine (76% vs 63%; P = .01), board certification 1997 or later versus board certification before 1997 (75% vs 63%; P = .02), nonteaching versus teaching practice (73% vs 51%; P < .01), and nonurban vs urban practice (77% vs 57%; P < .01).Conclusions:Metrics utilizing proportion prescribing for RTDs for which antibiotics are almost never required and proportion prescribing for any RTD were most strongly associated with inappropriate prescribing. APPs and clinicians with family medicine training, with board certification 1997 or later, and who worked in nonteaching or nonurban practices had higher proportions of inappropriate prescribing. These findings could inform design of interventions to improve prescribing and could represent an efficient way to track inappropriate prescribing.
Impact of mechanized clam dredging on the discarded megabenthic fauna on the Catalan coast (NW Mediterranean)
Authors: Baeta Marc , Rubio Claudia , Breton Françoise 
Published: June 2021

AbstractThere is an important small-scale fishery using mechanized dredges and targeting clams (mainly wedge clam Donax trunculus and striped venus clam Chamelea gallina) along the Catalan coast (NW Mediterranean Sea). This study evaluated for the first time the discards and impact of mechanized clam dredging on the Catalan coast. To this end, three surveys were performed on board standard clam vessels (September and November 2016 and January 2017). Surveys were conducted in the three main clam fishing areas (Rosas Bay, South Barcelona and Ebro Delta). The composition of discards and the impact caused to discarded species was assessed using a three-level scale (undamaged; minor or partial damage; and lethal damage). Our study revealed that a large proportion of the catch (between 67–82% weight) is discarded. Even though about 63% of the discarded species were undamaged, 11% showed minor or partial damage and 26% lethal damage. Infaunal and epifaunal species with soft-body or fragile shells were the most impacted by the fishing activity (e.g. the sea urchin Echinocardium mediterraneum (~89%) and the bivalve Ensis minor (~74%)). Our results showed different levels of impact by target species and fishing area.
The impact of living arrangements and intergenerational support on the health status of older people in China: are rural residents disadvantaged compared to urban residents?
Authors: Yang Yazhen , Evandrou Maria , Vlachantoni Athina 
Published: June 2021

AbstractResearch to-date has examined the impact of intergenerational support in terms of isolated types of support, or at one point in time, failing to provide strong evidence of the complex effect of support on older persons’ wellbeing. Using the Harmonised China Health and Retirement Longitudinal Study (2011, 2013 and 2015), this paper investigates the impact of older people's living arrangements and intergenerational support provision/receipt on their physical and psychological wellbeing, focusing on rural–urban differences. The results show that receiving economic support from one's adult children was a stronger predictor for higher life satisfaction among rural residents compared to urban residents, while grandchild care provision was an important determinant for poor life satisfaction only for urban residents. Having weekly in-person and distant contact with one's adult children reduced the risk of depression in both rural and urban residents. Older women were more likely than men to receive support and to have contact with adult children, but also to report poor functional status and depression. The paper shows that it is important to improve the level of public economic transfers and public social care towards vulnerable older people in rural areas, and more emphasis should be placed on improving the psychological wellbeing of urban older residents, such as with the early diagnosis of depression.
Invented Dances, Or, How Nigerian Musicians Sculpt the Body Politic
Authors: Ayobade Dotun 
Published: June 2021

AbstractPopular dances encapsulate the aliveness of Africa's young. Radiating an Africanist aesthetic of the cool, these moves enflesh popular music, saturating mass media platforms and everyday spaces with imageries of joyful transcendence. This essay understands scriptive dance fads as textual and choreographic calls for public embodiment. I explore how three Nigerian musicians, and their dances, have wielded scriptive prompts to elicit specific moved responses from dispersed, heterogenous, and transnational publics. Dance fads of this kind productively complicate musicological approaches that insist on divorcing contemporary African music cultures from the dancing bodies that they often conjure. Taken together, these movements enlist popular culture as a domain marked by telling contestations over musical ownership and embodied citizenship.
Stones and slaves: labour, race and spatial exclusion in colonial Santo Domingo
Authors: Núñez Collado José R. , Merwood-Salisbury Joanna 
Published: June 2021

AbstractSanto Domingo in the Dominican Republic, the oldest continuously inhabited European settlement in what was later called the ‘New World’, was a centre of the Atlantic slave trade. While it has been called the ‘cradle of blackness in the Americas’, discussion of racial exclusion and marginalization is mostly absent in the city's architecture and urban history. This article investigates how architecture and urban design helped reinforce the colonizers’ control over enslaved peoples. Specifically, we explore the Santa Bárbara neighbourhood, its church and the slave warehouse known as La Negreta. Drawing on historical maps and archival documents, we draw attention to how the spatial and material construction of Santa Bárbara constituted and maintained social and racial structures of oppression.
Equine influenza: a comprehensive review from etiology to treatment
Authors: Dionísio Luís , Medeiros Francisco , Pequito Manuel , Faustino-Rocha Ana I. 
Published: June 2021

AbstractInfluenza is an extremely contagious respiratory disease, which predominantly affects the upper respiratory tract. There are four types of influenza virus, and pigs and chickens are considered two key reservoirs of this virus. Equine influenza (EI) virus was first identified in horses in 1956, in Prague. The influenza A viruses responsible for EI are H7N7 and H3N8. Outbreaks of EI are characterized by their visible and rapid spread, and it has been possible to isolate and characterize H3N8 outbreaks in several countries. The clinical diagnosis of this disease is based on the clinical signs presented by the infected animals, which can be confirmed by performing complementary diagnostic tests. In the diagnosis of EI, in the field, rapid antigen detection tests can be used for a first approach. Treatment is based on the management of the disease and rest for the animal. Regarding the prognosis, it will depend on several factors, such as the animal's vaccination status. One of the important points in this disease is its prevention, which can be done through vaccination. In addition to decreasing the severity of clinical signs and morbidity during outbreaks, vaccination ensures immunity for the animals, reducing the economic impact of this disease.
Trans-Himalayan science in mid-twentieth century China and India: Birbal Sahni, Hsü Jen, and a Pan-Asian paleobotany
Authors: Ghosh Arunabh 
Published: June 2021

AbstractThis paper uses the decade-long collaboration between the Indian paleobotanist Birbal Sahni (1891–1949) and his Chinese doctoral student Hsü Jen (Xu Ren 徐仁, 1910–1992) to offer a connected history of mid-twentieth century scientific activity in China and India. Possibly the first Chinese scientist to earn a PhD from an Indian university (Lucknow, 1946), Hsü was certainly the first to be appointed to a faculty position in India. Sahni and Hsü's attempts to build Asian networks of scientific activity, characterized by the circulation of experts, scientific knowledge, and specimens, provide the grounds for considering a practice of Pan-Asianism. Such a formulation adds to existing work on the Pan-Asianist articulations of intellectual and political figures and urges for an expansion of how we understand scientific activity across China and India from the 1930s to the 1960s. In so doing, the paper makes two historiographical interventions. In the first instance, the collaboration presents an opportunity to move beyond the two dominant frames through which histories of science in China and India are studied: the nation state and Non-West/West binaries. Second, a focus on science widens the scope of China–India history, a field dominated by research on cultural, intellectual, and diplomatic topics.
Ditching Nutrients: Roadside Drainage Networks are Hotspots for Microbial Nitrogen Removal
Authors: Tatariw Corianne , Mason Olivia U. , Mortazavi Behzad 
Published: June 2021

AbstractHuman‐made stormwater control systems are biogeochemical hotspots, but construction and management may result in homogenization of their ecosystem structure. Roadside ditches are a ubiquitous part of the landscape, yet few studies have quantified their biogeochemical potential. We conducted a study to determine (a) nitrate (NO3−) removal potential through rate measurements and (b) microbial community structure using 16S rRNA gene (iTag) sequencing in roadside ditches draining predominantly forested, urban, and agricultural watersheds surrounding Mobile Bay, AL (USA). We found that nitrogen (N) removal rates by denitrification and anammox dominated over N‐retention by dissimilatory nitrate reduction to ammonium, accounting for upwards of 89% of NO3− reduction on average. There were no differences in soil characteristics between land use types, but denitrification potential rates in forested ditches were less than half of those in urban and agricultural ditches, possibly as a result of differences in vegetation management. Microbial alpha and beta diversity were largely homogenous across the three land use types. However, indicator species analysis revealed putative ammonia oxidizers (Nitrososphaeraceae and Nitrosomonadaceae), nitrate reducers (Gaiellales), and nitrous oxide reducers (Myxococcales) as significant groups in urban and agricultural ditches. We conclude that land use effects on N‐removal in these constructed drainage networks are mediated through key microbial groups and ditch vegetation management strategies. Further, roadside ditches have significant potential for reactive N removal in the landscape.
Differences Between Flashes With and Without Return Strokes in Rocket‐Triggered Lightning
Authors: Cai Li , Li Jin , Wang Jianguo , Su Rui , Ke Yifeng , Zhou Mi , Li Quanxin 
Published: June 2021

AbstractBased on simultaneous observation of currents and electric field changes, the differences have been identified between flashes with and without return strokes in rocket‐triggered lightning. The triggered lightning events without return stroke have an obvious no‐current period up to some milliseconds before the current flow is reestablished, then a relatively large amplitude (1.2 kA or so) and fast risetime (0.7 μs or less) pulse similar to those of the return stroke current are reestablished between the upward positive leader and the ground. The triggered lightning events with return strokes have no no‐current period in the initial current variation, and the current pulse of wire destruction and plasma channel reestablishment process is similar to the M‐component pulse, featuring a small amplitude (0.17 kA or so) and slow risetime (57 μs or more). The stronger initial stage is usually followed by return strokes.
Deterministic Chaos in Ionospheric Plasma Pumped by Radio Waves
Authors: Leyser Thomas B. 
Published: June 2021

AbstractA commonly observed spectral feature of electromagnetic emissions stimulated by powerful radio waves in ionospheric plasma is found to have an exponential frequency spectrum. This so called broad upshifted maximum (BUM) is excited for pump frequencies near and slightly above an harmonic of the ionospheric electron gyro frequency. A simplified model of lower hybrid oscillations driven by parametric four‐wave interaction localized in a cylindrical density depletion shows how the plasma drift can exhibit deterministic chaos. The associated exponential spectra are consistent with the experimental results.
A deep database of medical abbreviations and acronyms for natural language processing
Authors: Grossman Liu Lisa , Grossman Raymond H. , Mitchell Elliot G. , Weng Chunhua , Natarajan Karthik , Hripcsak George , Vawdrey David K. 
Published: June 2021

AbstractThe recognition, disambiguation, and expansion of medical abbreviations and acronyms is of upmost importance to prevent medically-dangerous misinterpretation in natural language processing. To support recognition, disambiguation, and expansion, we present the Medical Abbreviation and Acronym Meta-Inventory, a deep database of medical abbreviations. A systematic harmonization of eight source inventories across multiple healthcare specialties and settings identified 104,057 abbreviations with 170,426 corresponding senses. Automated cross-mapping of synonymous records using state-of-the-art machine learning reduced redundancy, which simplifies future application. Additional features include semi-automated quality control to remove errors. The Meta-Inventory demonstrated high completeness or coverage of abbreviations and senses in new clinical text, a substantial improvement over the next largest repository (6–14% increase in abbreviation coverage; 28–52% increase in sense coverage). To our knowledge, the Meta-Inventory is the most complete compilation of medical abbreviations and acronyms in American English to-date. The multiple sources and high coverage support application in varied specialties and settings. This allows for cross-institutional natural language processing, which previous inventories did not support. The Meta-Inventory is available at https://bit.ly/github-clinical-abbreviations.