bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of non-progressive dysarthria: practice and attitude of speech and language therapists in Lebanon
Authors: Summaka Marwa , Harati Hayat , Hannoun Salem , Zein Hiba , Koubaisy Nour , Fares Youssef , Nasser Zeina 
Published: November 2021

Abstract
Background
Non-progressive dysarthria is an acquired motor speech disorder resulting from neurological diseases such as stroke and traumatic brain injury. The evidence base for the assessment of non-progressive dysarthria remains limited with professional practices relying mainly on therapists’ clinical experience. Limited information on the assessment practices of Lebanese speech and language therapists (SLTs) is available. Such information is crucial for the development of adequate therapy services for clients with non-progressive dysarthria. This study aims to explore the assessment practices and attitudes of Lebanese SLTs working with adults with non-progressive dysarthria and to investigate their adherence to the framework of the World Health Organization’s International Classification of Functioning, Disability and Health (ICF).

Methods
A cross-sectional study was conducted in Lebanon between March and May 2021. Data was collected through an online survey that included information on socio-demographic characteristics, practices, and attitudes of SLTs who assess adults with non-progressive dysarthria.

Results
A total of 50 Lebanese SLTs responded to the survey. The majority of SLTs (78%) assessed clients with non-progressive dysarthria across all ICF domains. SLTs reported dissatisfaction with the available assessment tools (64%) and reliance on informal tools (84%). In addition, 68% of the SLTs suggested the crucial need for the development of Arabic formal assessments that can quantitatively evaluate dysarthria and determine severity. The survey also showed that the respondents demonstrated a preference for the use of impairment-based tools.

Conclusion
It can be concluded that the assessment practices of Lebanese SLTs, generally, follow the international trend and the recommended professional guidelines. Further research initiatives should be held to develop Arabic formal assessment tools for non-progressive dysarthria.
Infant crying problems related to maternal depressive and anxiety symptoms during pregnancy: a prospective cohort study
Authors: Ölmestig Tabitha Krogh , Siersma Volkert , Birkmose Anna Rubach , Kragstrup Jakob , Ertmann Ruth Kirk 
Published: November 2021

AbstractBackgroundInfant crying may cause concerns among new parents and is a frequent reason for seeking help from their general practitioner (GP). The etiology of crying problems in infancy is not fully understood, but recent studies have found associations with maternal mental factors. It is well-established that postpartum depression is related to infant crying problems while the influence of maternal mental problems in pregnancy on infant crying is less investigated. We aimed to explore whether maternal depressive symptoms or maternal anxiety during pregnancy were related to crying problems by the newborn child.MethodsIn this prospective cohort study, 1290 pregnant women and their newborn children were followed throughout pregnancy until 8 weeks postpartum. Depressive symptoms and anxiety symptoms were assessed three times during pregnancy and again 8 weeks postpartum with the Major Depressive Inventory (MDI) and the Anxiety Symptoms Scale (ASS). Eight weeks postpartum the mothers were also asked whether their child cried in a way they found problematic. Multivariable regression was used to assess the association between depressive and anxiety symptoms during pregnancy and crying problems, and to adjust for potential confounders.ResultsWe found statistically significant associations between high scores of depressive symptoms and anxiety symptoms in pregnancy and infant crying problems. Previously reported strong associations postpartum between depressive symptoms, anxiety symptoms and infant crying problems were also observed in the present data.ConclusionThese results indicate that mental problems during pregnancy are associated with having a child with crying problems after birth. If more focus is given to maternal mental problems during pregnancy, the healthcare system might be able to detect and help these women, which would be beneficial for both mother and child.
Too long to wait: South Asian migrants’ experiences of accessing health care in Australia
Authors: Adhikari Manju , Kaphle Sabitra , Dhakal Yamuna , Duwadi Sabina , Subedi Rajan , Shakya Sonu , Tamang Sunil , Khadka Mukesh 
Published: November 2021

Abstract
Background
Migrants settling in a new country experience multiple complexities in navigating health care systems and adapting to a new way of life in the host country. In South Asia, migrating to another country for better life opportunities has been an ongoing trend and migration to Australia has significantly increased in recent years. Lower utilisation of health services and higher risks of chronic diseases among South Asian migrants poses a continuing challenge for the Australian health care system and little is known about why this demographic group does not access health services at the same rate. This study aimed to explore factors influencing access to health care by South Asian migrants in Australia.

Methods
Using a mixed-method design, we conducted 62 online survey and 14 in-depth interviews with participants from four South Asian countries: Nepal, India, Bhutan, and Sri Lanka. Participants were recruited using a purposive snowball sampling approach following a standard ethical approval process. Survey data were analysed descriptively in SPSS and interview data were recorded, transcribed, and analysed thematically.

Results
South Asian migrants experienced various complexities while accessing health services in Australia. The findings of this study highlighted a number of negative factors influencing their experiences of accessing health care: long waiting times for public health care, the expense of private health care, and communication problems due to socio-cultural differences. South Asian migrants also expressed their concern for a greater investment of resources into public health care to enable them to access quality and affordable care in these settings.

Conclusions
Given limited evidence available to help understand factors leading to the lower utilisation of health care and higher risks of chronic diseases among South Asian migrants, this study plays an important role in highlighting social, cultural, financial, and institutional factors that are critical to designing appropriate health-care strategies. This study recommends incorporating a collaborative and culturally competent model of care to increase access to health care and thereby help reduce existing disparities in health outcomes among South Asian migrant populations.
Blood transfusion had no influence on the 5-year biochemical recurrence after robot-assisted radical prostatectomy: a retrospective study
Authors: Han Jiwon , Jeon Young-Tae , Ryu Jung-Hee , Oh Ah-Young , Kim Hwanik , Bae Yu Kyung , Koo Chang-Hoon 
Published: November 2021

AbstractBackgroundAlthough red blood cells (RBC) transfusion is known to be significantly associated with biochemical recurrence in patients undergoing open prostatectomy, its influence on biochemical recurrence after robot-assisted laparoscopic radical prostatectomy remains unclear. Therefore, this study aimed to validate the effect of RBC transfusion on the 5-year biochemical recurrence in patients undergoing robot-assisted laparoscopic radical prostatectomy.MethodsThis study retrospectively analyzed the medical records of patients who underwent robot-assisted laparoscopic radical prostatectomy at single tertiary academic hospital between October 2007 and December 2014. Univariate and multivariate Cox proportional hazard regression analysis was performed to identify any potential variables associated with 5-year biochemical recurrence.ResultsA total of 1311 patients were included in the final analysis. Of these, 30 patients (2.3%) were transfused with RBC either during robot-assisted laparoscopic radical prostatectomy or during their hospital stay, which corresponded to 5-year biochemical recurrence of 15.7%. Multivariate Cox proportional hazard regression analysis showed that RBC transfusion had no influence on the 5-year biochemical recurrence. Variables including pathologic T stage (Hazard ratio [HR] 3.5, 95% confidence interval [CI] 2.4–5.1p< 0.001), N stage (HR 2.3, 95% CI 1.5–3.7,p< 0.001), Gleason score (HR 2.4, 95% CI 1.8–3.2,p< 0.001), and surgical margin (HR 2.0, 95% CI 1.5–2.8,p< 0.001) were independently associated with the 5-year biochemical recurrence.ConclusionsRBC transfusion had no significant influence on the 5-year biochemical recurrence in patients undergoing robot-assisted laparoscopic radical prostatectomy.
Future palliative competence needs – a qualitative study of physicians’ and registered nurses’ views
Authors: Suikkala Arja , Tohmola Anniina , Rahko Eeva K. , Hökkä Minna 
Published: November 2021

Abstract
Background
Globally, the need for palliative care will increase as a result of the ageing of populations and the rising burden of cancer, non-communicable diseases as well as some communicable diseases. Physicians and registered nurses working in palliative care should have a sufficient level of education and competence in managing the changing needs and requirements of palliative care. There is, however, need for evidence-based palliative care training and education of physicians and registered nurses. The purpose of this study was to describe the views of physicians and registered nurses regarding future competence needs within palliative care.

Methods
The study was conducted through use of a cross-sectional qualitative design. A total of 54 physicians and 110 registered nurses completed an open-ended questionnaire about the future competence needs of palliative care. The data were analyzed using inductive content analysis.

Results
The results revealed four main competence needs within palliative care for the coming decade: palliative care competence at all levels within healthcare and social welfare services; individualized palliative care competence; person-centered encounters competence; and systematic competence development within palliative care.

Conclusions
The results offer cues for education and professional development, which can be used to support physicians and registered nurses when future palliative care competences are included in educational programs. Seamless cooperation between palliative care services and educational institutions is recommended to ensure that undergraduate and postgraduate education is based on a continuous assessment of competence requirements within the field of palliative care. Therefore, online multi-professional simulations, for example, could be used to enhance future competencies within palliative care; undergraduate medical, nursing and allied healthcare students as well as postgraduate palliative care professionals and experts of experience could work together during simulations.
Actinomycosis presenting as an isolated pleural effusion in a patient with an HIV infection: a case report and literature review
Authors: Park Jung Wan , Kim Yon Hee , Lee Eunjung , Park Se Yoon , Kim Tae Hyong 
Published: November 2021

Abstract
Background
Thoracic actinomycosis is an uncommon, chronic, and progressive infection, especially in patients with HIV. We report a case of thoracic actinomycosis presenting as an isolated pleural effusion in a patient with an HIV infection.

Case presentation
A 68-year-old patient with progressive dyspnea and fever was admitted. On the right side, an ipsilateral massive pleural effusion was confirmed on the chest radiograph, and an HIV infection was newly diagnosed. A pleural biopsy was performed for the further differential diagnosis of potential opportunistic infections and malignancies. The pathology findings were consistent with actinomycosis.

Conclusions
Active diagnostic approaches such as a pleural biopsy should be considered for indeterminate pleural effusions in immunocompromised patients.
Association between local public housing authority policies related to criminal justice system involvement and sexually transmitted infection rates
Authors: Purtle Jonathan , Tekin Erdal , Gebrekristos Luwam T. , Niccolai Linda , Blankenship Kim M. 
Published: November 2021

AbstractThe policies of U.S. local public housing authorities influence which populations have access to stable housing, an important resource for health. We assessed whether the restrictiveness of local public housing authority policies related to people with criminal justice histories—a population at high risk for HIV/STIs—were associated with HIV/STI rates at the local-level. An ecological analysis was conducted using data from 107 local public housing authority jurisdictions. The independent variable was a score that quantified the presence/absence of eight policies related to the ability of people with criminal justice histories to obtain and retain public housing. The dependent variables were county-level rates of HIV, gonorrhea, syphilis, and chlamydia. Ordinary least squares regression with state fixed effects was used. We find that the restrictiveness of housing authority policies towards people with criminal justice histories were significantly associated with higher HIV and gonorrhea rates, but not syphilis or chlamydia. For example, local housing authorities with a policy score more restrictive than the median score had an additional 6.05 cases of HIV per 100,000 population (32.9% increase relative to the mean rate) and 84.61 cases of newly diagnosed gonorrhea (41.3% increase). Local public housing authority policies related to people with criminal justice histories could affect HIV/STI risk at the population-level. These policies should be considered in studies and interventions at the intersection of housing, health, and justice involved populations.
Experimental investigation into the effect of surface roughness and mechanical properties of 3D-printed titanium Ti-64 ELI after heat treatment
Authors: Lebea L. , Ngwangwa H. M. , Desai D. , Nemavhola F. 
Published: November 2021

AbstractThe initial stability after implantology is paramount to the survival of the dental implant, and the surface roughness of the implant plays a vital role in this regard. The characterisation of surface topography is a complicated branch of metrology, with a huge range of parameters available. Each parameter contributes significantly towards the survival and mechanical properties of three-dimensional printed specimens. The purpose of this paper is to experimentally investigate the effect of surface roughness of three-dimensional printed dental implants and three-dimensional printed dogbone tensile samples under areal height parameters, amplitude parameters (average of ordinates), skewness parameters and mechanical properties. During the experiment, roughness values were analysed, and the results showed that the skewness parameter demonstrated a minimum value of 0.59%. The three-dimensional printed dental implant recorded the arithmetic mean deviation of the assessed profile with a 3.4-mm diameter at 43.23% and the three-dimensional printed dental implant with a 4.3-mm diameter at 26.18%. Samples with a complex geometry exhibited a higher roughness surface, which was the greatest difficulty of additive manufacturing when evaluating surface finish. The results show that when the ultimate tensile stress decreases from 968.35 to 955.25 MPa, the arithmetic mean deviation increases by 1.4%, and when ultimate tensile stress increases to 961.18 MPa, the arithmetic mean deviation increases by 0.6%. When the cycle decreases from 262,142 to 137,433, the arithmetic mean deviation shows that less than a 90.74% increase in the cycle is obtained. For the three-dimensional printed dental implants, the higher the surface roughness, the lower the mechanical properties, ultimately leading to decreased implant life and poor performance.
Effect of environmental factors on hematology profile of Gambusia affinis caught at Brantas River watershed, Indonesia
Authors: Hertika Asus Maizar Suryanto , Arfiati Diana , Lusiana Evellin Dewi , Putra Renanda B.D.S. 
Published: November 2021

Background: Contamination of freshwater ecosystems has become a major issue as it threatens public water sources as well as aquatic life. It is important to predict changes in organism health, given a known number of environmental factors and pollutant concentrations, in order to better manage contaminants through biomarker analysis. This study aims to examine the ecosystem health of the Brantas River based on its environmental condition and the hematology profile of Gambusia affinis fish present in the river. This species was chosen because of its wide distribution along the Brantas River, and because it is very tolerant, adaptable, highly abundant, and easy to catch. Methods: The study area included 10 sampling sites along the Brantas River watershed. In total, six water quality parameters were observed (temperature, pH, dissolved oxygen (DO), biological oxygen demand (BOD), ammonia concentration, and phenol concentration) and hematology measurements consisted of erythrocyte, leucocyte, and micronuclei analyses. Results: The results showed that the upstream area of Brantas River, located in Batu, was the least polluted region, while Mojokerto was the most polluted. The erythrocyte level of Gambusia affinis caught in most sampling sites was quite low. Furthermore, research revealed that the status of Gambusia affinis' hematological profile was significantly correlated (p<0.05) with water quality parameters, particularly DO, BOD, ammonia, and phenol. Conclusions: It can be concluded from these results that the hematological profile of the fish is poor due to high levels of organic waste and harmful substances.
Does Nonprofit Ownership Matter for Firm Performance? Financial Distress and Ownership Conversion of Nursing Homes
Authors: Lu Lauren Xiaoyuan , Lu Susan Feng 
Published: November 2021

In the past two decades, many nursing homes converted their ownership status from nonprofit to for-profit (NP-to-FP). These conversions have drawn public scrutiny and triggered a debate about the implications of ownership conversions on nursing home performance. Exploring a nationwide panel data set of U.S. nursing homes from 2006 to 2017, we observe that nursing homes with higher financial distress are associated with higher likelihood of NP-to-FP conversions. The postconversion operating margins increased significantly. Converted nursing homes improved their financial performance by reducing operating costs while keeping net resident revenues unchanged. Both cutting registered nurse staffing and cutting overhead staffing contributed to reductions in operating costs; however, only the former cost-reduction measure had a negative impact on quality. On average, the postconversion quality of care declined. The effects of NP-to-FP conversions on nursing homes were moderated by preconversion financial distress: High-distress nursing homes aggressively cut registered nurse staffing and experienced severe quality decline, whereas low-distress ones kept registered nurse staffing unchanged and largely avoided quality decline. These findings lead to both policy and managerial insights. To nursing home regulators, we recommend increased oversight on NP-to-FP conversions of nursing homes with high preconversion financial distress. To managers of nursing homes undergoing NP-to-FP conversions, our findings suggest that although cost reduction is an effective strategy to improve financial performance, they need to avoid the pitfall of cutting registered nurse staffing and instead focus on streamlining overhead operations in order to increase operating efficiency without compromising quality. This paper was accepted by Stefan Scholtes, healthcare management.
School reopening and risks accelerating the COVID-19 pandemic: A systematic review and meta-analysis protocol
Authors: Lopes-Júnior Luís Carlos , Siqueira Priscila Carminati , Maciel Ethel Leonor Noia 
Published: November 2021

Background
One of the most recent concerns of this pandemic regards the role of schools reopening in disease transmission, as well as the impact of keeping schools closed. While school reopening seems critical for the education and mental health of children, adolescents, and adults, so far the literature has not systematically reached a consensus whether to recommend the return to schools in a way that would be safe for students and staff.

Objective
To synthesize and critically evaluate the scientific evidence on the potential risk of accelerating the Coronavirus Disease 2019 (COVID-19) pandemic among children, adolescents, young adults, and adults with school reopening.

Methods
This systematic review and meta-analysis protocol was elaborated following the PRISMA-P. We will include all observational study designs, which report on the potential risk of accelerating the COVID-2019 pandemic with school reopening. Electronic databases included were MEDLINE/PubMed, Cochrane Library, EMBASE, Web of Science, SCOPUS and CNKI. Additional sources will be also retrieved, including Clinical trials.gov-NIH, The British Library, Pro Quest Dissertations Database, Public Health Gray Literature Sources and Health Evidence, Google Scholar, and pre-prints [medRXiv]. No restriction to language or date will be used as search strategy. In an independently manner, two investigators will select studies, perform data extraction, as well as perform a critical appraisal of the risk of bias and overall quality of the selected observational studies, based on their designs. The heterogeneity among the studies will be assessed using the I2 statistic test. According to the results of this test, we will verify whether a meta-analysis is feasible. If feasibility is confirmed, a random-effect model analysis will be carried out. For data analysis, the calculation of the pooled effect estimates will consider a 95% CI and alpha will be set in 0.05 using the R statistical software, v.4.0.4. In addition, we will rate the certainty of evidence based on Cochrane methods and in accordance with the Grading of Recommendations Assessment, Development and Evaluation (GRADE).

Expected results
This systematic review and meta-analysis will provide better insights into safety in the return to school in the context of the COVID-2019 pandemic, at a time when vaccination advances unevenly in several countries around the world. Hence, consistent data and robust evidence will be provided to help decision-makers and stakeholders in the current pandemic scenario.

PROSPERO registration number
CRD42021265283; https://clinicaltrials.gov.
Quando a matéria importa (e como importa)
Authors: Ministro Bruno 
Published: November 2021

Recensão crítica de Rebecca Kosick, Material Poetics in Hemispheric America: Words and Objects 1950-2010. Edinburgh University Press, 2020. 240 pages. ISBN: 9781474474603 (Hardback), 9781474474627 (Ebook – PDF).
Analyzing the functional structure of pottery jiandiping amphorae
Authors: Wei Xue , Qian Yaopeng 
Published: November 2021

Abstract
There are numerous, controversial theories on the function of the jiandiping amphorae as Yangshao culture water-drawing vessel, wine vessel, or other. This paper discusses jiandiping amphorae functional form from a typological perspective and presents the view from molding technique. The primary function of the pointed bottom concerned sedimentation, yet the vessel’s small opening was poorly adapted to cereal fermentation. The large jiandiping amphora was less transportable but better suited to long-term storage and sedimentation: wine decanted into medium- or small-sized flat-bottom vessels or jiandiping amphora was easily transferred and used, and decanting served to remove any sediment from turbid wine. Functional differences between the large and small jiandiping amphorae explain varying functions and uses of double-loop handles. The development of sediment separation technique is the key reason for the disappearance of the jiandiping amphorae.