bluuebunny/crossref_metadata_2025_split huggingface dataset:
“The Strength to Leave”: Women With Disabilities Navigating Violent Relationships and Occupational Identities
Authors: Njelesani Janet , Teachman Gail , Bangura Ibrahim Richard 
Published: June 2021

AbstractImportance: Being in an intimate relationship is a desired occupation for many people, in particular for women living in low- and middle-income countries (LMICs), where relationships can provide material support, intimacy, and social integration and increase chances of survival.Objective: To explore accounts of navigating intimate relationships from women with disabilities in Sierra Leone.Design: A qualitative study was conducted, guided by a critical occupational approach and informed by feminist disability scholarship. Data were generated through interviews and analyzed using reflexive thematic analysis.Setting: Community-based across four districts of Sierra Leone.Participants: Thirteen women with disabilities were recruited by means of snowball and purposive sampling.Results: Four themes were generated that illuminated the women’s experiences of intimate relationships as viewed through the lens of gender and disability dimensions. The overarching theme, “violence in intimate relationships,” describes the incidences of violence and abuse they experienced. “Becoming a wife” explores the women’s occupational identity wishes. “Leaving as an occupational rupture” illuminates the actions the women took to end the relationship. “Mothering as an occupational identity and resource” focuses on the women’s role as mothers and transitions in their occupations.Conclusions and Relevance: Taking their unique narratives into account draws attention to how the women have met their occupational needs and resisted occupational injustices, enabled by social and structural supports, including their children, disability social benefits, and their engagement in the disability rights movement. Implications are directed at socially committed occupational therapists to address systemic issues of disability- and gender-based violence.What This Article Adds: This study adds much-needed knowledge in an area in which there is a paucity of research: the experiences of women with disabilities being in an intimate relationship as a social occupation in an LMIC. The results illuminate the importance of considering the systemic issues that affect the social occupations of women with disabilities, particularly in light of the shift within occupational therapy practice toward developing a socially transformative focus.
Self-Management Interventions to Improve Activities of Daily Living and Rest and Sleep for Adults With Chronic Conditions: A Systematic Review
Authors: Smallfield Stacy , Fang Lea , Kyler Darby 
Published: June 2021

Abstract
Importance: Chronic conditions often cause functional impairments in activities of daily living (ADLs) and rest and sleep, leading to decreased independence and self-efficacy.
Objective: To aid occupational therapy practitioners in making informed decisions regarding self-management interventions to improve ADLs and rest and sleep for community-dwelling adults with chronic conditions.
Data Sources: We identified literature published from 1995 to 2019 through searches of the Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, CINAHL, and OTseeker.
Study Selection and Data Collection: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to abstract and assess data quality and validity. The review followed American Occupational Therapy Association Evidence-Based Practice Project methodology. Studies addressing self-management interventions for community-dwelling adults ages 18 and older with chronic cardiovascular disease, Type 2 diabetes, heart disease, hypertension, chronic respiratory problems, or kidney disease were included.
Findings: Fifteen articles met inclusion criteria and were categorized into ADLs and sleep. Strong evidence supports education to improve diabetic foot self-care. Low evidence addresses exercise and education to improve ADLs for people with heart disease and chronic obstructive pulmonary disease. Moderate evidence supports mind–body self-care education to enhance sleep.
Conclusions and Relevance: Occupational therapy practitioners working with adults with diabetes are encouraged to routinely offer education that includes discussion of risk factors and daily foot inspections and hygiene. When addressing sleep, education that addresses sleep hygiene, nutrition, relaxation techniques, and physical activity should routinely be provided to adults with chronic conditions. Further research is needed to understand the dosage needed.
What This Article Adds: This systematic review supports the role of occupational therapy in providing self-management interventions to address ADLs and sleep for adults with diabetes and other chronic conditions.
Occupational Adaptation of People Living With Fibromyalgia: A Systematic Review and Thematic Synthesis
Authors: Dépelteau Andréa , Lagueux Émilie , Pagé Raphaël , Hudon Catherine 
Published: June 2021

Abstract
Importance: Fibromyalgia (FM) is a chronic pain disorder that interferes with daily activities. Because occupational adaptation varies among people, there is a need to determine which factors can influence adaptation to FM in order to better intervene with them.
Objective: To understand the occupational adaptation process of people living with FM.
Data Sources: A systematic review of the literature was conducted in the AMED, CINAHL, MEDLINE, OTseeker, OTDBASE, and PsycINFO databases. Articles dated before September 2020 were searched using a strategy with the keywords fibromyalgia and occupation.
Study Selection and Data Collection: This article follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Qualitative articles were included if they documented occupational aspects of participants with FM. Two independent reviewers screened the articles and performed the quality assessment using the Critical Appraisal Skills Program checklist. A thematic synthesis was conducted.
Findings: Of the 560 articles identified, 347 remained after duplicates were removed. After screening titles and abstracts, 303 articles were rejected, and 44 articles were read in their entirety. Twelve qualitative articles were included in the review. The synthesis highlights that support from relatives is a key to successfully adapting to FM. Identity is crucial to a fulfilled life, and occupational competence is greatly affected by the experience of FM. Occupational adaptation is an issue for some people, but maintaining routines and integrating management strategies would help them to achieve it.
Conclusions and Relevance: This review highlights the importance of considering the components of occupational adaptation while caring for people with FM.
What This Article Adds: This systematic review identifies the factors influencing the occupational adaptation of people living with FM and emphasizes the importance of addressing those factors.
Impact of Occupational Therapy Education on Students’ Disability Attitudes: A Longitudinal Study
Authors: Friedman Carli , VanPuymbrouck Laura 
Published: June 2021

Abstract
Importance: Discrimination based on disability—ableism—is pervasive and affects the opportunities of people with disabilities to fully engage in society.
Objective: The aim of this study was to explore the impact of occupational therapy graduate education on students’ explicit and implicit disability attitudes throughout their graduate education.
Design: Longitudinal observational study, measuring occupational therapy students’ attitudes on an annual basis.
Setting: Three Midwestern graduate occupational therapy programs.
Participants: Occupational therapy students (N = 67).
Outcomes and Measures: Participants completed the Symbolic Ableism Scale (to measure their explicit disability attitudes) and the Disability Attitude Implicit Association Test (to measure their implicit disability attitudes) on an annual basis, from when they entered their occupational therapy program to when they graduated.
Results: The students’ explicit attitudes decreased (i.e., became more favorable) throughout their education; however, their implicit attitudes did not change. In fact, most students (68%) were implicitly ableist at graduation.
Conclusions and Relevance: Occupational therapy education programs have an important role to play in terms of intervening with students’ beliefs and preconceived assumptions about disability. Our finding suggests that occupational therapy programs may fail to intervene with students’ ableist attitudes.
What This Article Adds: Little longitudinal research has examined how students’ implicit disability bias may be affected by their academic experience. Our findings about ableism among occupational therapy students should open the door for further dialogue on the existence of ableism in program content, its potential impact on future client interactions, and the development of approaches to address it.
The Impact of balance and visual feedback on tibialis anterior/gastrocnemius neuromuscular activation timing in healthy young adults
Authors: G. Rosario Martín , Jose Aleena 
Published: June 2021

PurposePrevious studies have compared neuromuscular patterns between healthy populations and populations with neuromuscular disorders where the functionality of the muscles might be affected. However, more research needs to be conducted to understand neuromuscular patterns within young healthy adults during various balance tasks. This study explores whether challenging the sensory systems in young adults during single and dual-cognitive balance tasks alters neuromuscular patterns at the gastrocnemius and tibialis anterior.MethodsOur study involved 44 healthy young adults (10 males and 34 females) with an average age of 24.9 ± 3.03 years. Electromyography electrodes were utilized to obtain electromyographic data regarding times during onset of muscle contraction, peak muscle activation, decay of muscle contraction, and duration of muscle contraction during distinct balance tests. The different balance tests involved altering sensory inputs during 4 single tasks and 4 dual-cognitive tasks.ResultsPrincipally, no significant changes in electromyographic activity were demonstrated during the single or dualcognitive tests, especially for neuromuscular recruitment patterns for the tibialis anterior and gastrocnemius (<i>p</i> > 0.05).ConclusionsThe comparable neuromuscular activity of the tibialis anterior and gastrocnemius during various balance tasks in our study extrapolates that young healthy adults have functional sensory and motor systems. Further studies need to investigate electromyographic patterns during dual-motor tasks, the involvement of other synergistic muscles for postural control, and brain activity during complex postural tasks.
Acquired symptomatic external punctal stenosis: A tertiary referral center study
Authors: Nassief Mona , Alduwailah Omar Kh M , Lotfy Nancy M. 
Published: June 2021

Background: To report the prevalence of acquired symptomatic external punctal stenosis (EPS) in a tertiary referral center in Kuwait, and to study the associated risk factors, etiologies, and management outcomes.
Methods: This prospective interventional hospital-based study was performed at the Farwaniya governmental hospital in Kuwait between November 2018 and November 2019. All patients were referred to the oculoplastic clinic with symptomatic epiphora, age > 18 years, epiphora Munk score ≥ 0, tear film meniscus ≥ 2 mm, and punctum with grade ≤ 2 (smaller than normal size, but recognizable EPS) were included. Exclusion criteria were congenital causes of epiphora, previous eyelid surgeries, and traumatic or neoplastic causes of punctal or canalicular obstruction.
Results: A total of 418 patients with symptomatic epiphora, who were referred to our oculoplastic clinic, were enrolled in our study. The prevalence of EPS was 70.3%. Examination of the puncta revealed different shapes, including tangential, pinpoint, elevated, slit-shaped, horse shoe-shaped, and membranous puncta, with the tangential type accounting for the greatest proportion (65.3%). Bilateral punctal stenosis was observed in 206 patients (70.1%) and unilateral involvement in 88 patients (29.9%). Dilatation and syringing were performed for all puncta upon diagnosis, and repeated dilatation was performed for 225 puncta (32.7%). Placement of a Mini-Monoka tube was performed in 11 puncta (1.6%).
Conclusions: EPS was a common cause of symptomatic epiphora in our study. Aging and female sex were identified as common risk factors. Most etiological factors of EPS were associated with a pathophysiological inflammatory mechanism. For exact estimates of its prevalence, a population-based study is necessary in future.
Keywords: punctal stenosis, dry eye, chronic blepharitis, Mini Monoka, Kuwait, prevalence, epiphora
PEMEROLEHAN BAHASA ANAK USIA 1-2 TAHUN
Authors: Yul Mahmudah  
Published: June 2021

Perkembangan bahasa pada diri manusia merupakan bagian dari perkembangan kognitif. Perkembangan bahasa sebagai salah satu dari kemampuan dasar yang harus dimiliki anak, sesuai dengan tahapan usia dan karakteristik perkembangannya. Perkembangan tata bahasa anak, bergerak dari satu kata atau kalimat holographic phrases ke telegraphic phrases, tetapi beberapa kata dalam kalimat kompleks dengan frase kata depan, aturan, dan bentuk jamak perlu di koreksi lagi. Karena diawal perkembangan bahasa anak banyak yang salah sebagai orang tua harus sabar memperbaiki kata yang salah pada tahap perkembangan bahasa pada anak.
O sztuce opowiadania historii. Wykorzystanie storytellingu w kampaniach społecznych i reklamach komercyjnych
Authors: Bielecka Anna 
Published: June 2021

Artykuł stanowi analizę wykorzystania storytellingu przy tworzeniu kampanii społecznych i reklam komercyjnych przez różne podmioty. Storytelling jest sposobem komunikacji i tworzenia relacji opartym na emocjach. To one budują pomiędzy stronami komunikatu zaufanie i zachęcają do wymiany doświadczeń. Dlatego też coraz częściej jest on stosowany jako element strategii wielu firm. Funkcjonuje również w promocji sprzedaży, aby zbudować identyfikację, rozpoznawalność i wzmocnić wiarygodność. Jest też często wykorzystywany przy tworzeniu kampanii społecznych, które są obecnie ważnymi narzędziami współczesnej komunikacji. Kampanie te, realizowane przez różne podmioty, m.in. instytucje, przedsiębiorstwa, organizacje pozarządowe oraz obywateli, przyczyniają się do zmiany rzeczywistości na lepszą. Firmy tworzą kampanie społeczne, aby budować pozytywny wizerunek marki w kontaktach ze społeczeństwem. Marki, która dba nie tylko o zysk i jak największą sprzedaż, ale też o otaczający ją świat.
Predicting social and health vulnerability to floods in Bangladesh
Authors: Lee Donghoon , Ahmadul Hassan , Patz Jonathan , Block Paul 
Published: June 2021

Abstract. Floods are the most common and damaging natural disaster in Bangladesh, and the effects of floods on public health have increased significantly in recent decades, particularly among lower socioeconomic populations. Assessments of social vulnerability on flood-induced health outcomes typically focus on local to regional scales; a notable gap remains in comprehensive, large-scale assessments that may foster disaster management practices. In this study, socioeconomic, health, and coping capacity vulnerability and composite social-health vulnerability are assessed using both equal-weight and principal-component approaches using 26 indicators across Bangladesh. Results indicate that vulnerable zones exist in the northwest riverine areas, northeast floodplains, and southwest region, potentially affecting 42 million people (26 % of the total population). Subsequently, the vulnerability measures are linked to flood forecast and satellite inundation information to evaluate their potential for predicting actual flood impact indices (distress, damage, disruption, and health) based on the immense August 2017 flood event. Overall, the forecast-based equally weighted vulnerability measures perform best. Specifically, socioeconomic and coping capacity vulnerability measures strongly align with the distress, disruption, and health impact records observed. Additionally, the forecast-based composite social-health vulnerability index also correlates well with the impact indices, illustrating its utility in identifying predominantly vulnerable regions. These findings suggest the benefits and practicality of this approach to assess both thematic and comprehensive spatial vulnerabilities, with the potential to support targeted and coordinated public disaster management and health practices.
Histórias entrelaçadas e territórios sobrepostos
Authors: Goldman Elisa 
Published: June 2021

Este artigo tem como objetivo analisar as aproximações teóricas entre os autores Edward W. Said e Frantz Fanon no que tange o convívio entre um lugar de fala pós-colonial revestido de questionamentos acerca dos binarismos identitários e a busca por um ethos nacional no contexto da luta anti colonial. Identificamos como marcos de aproximação na démarche teórica de Said e Fanon reflexões acerca do problema da historicidade nas narrativas nacionais, o problema epistemológico da representação do colonizado entrelaçado com o colonizador, o que pode se desdobrar na desestabilização ontológica da alteridade.
Observational study of the Mamsavaha Strotas Dushti according to Rachana Sharir w. s. r. to Bahya Arsha
Authors: Choudhari Vinod M. , Shilpa A. Varade  , Jayshree Gohane  
Published: June 2021

Arsha is a gift of modern diets and busy lifestyles & many people are suffering from some sort of Anorectal disorder. It may be simple constipation to complex carcinoma, in which prominent disorder is Arsha. Derangement of Jatharagni leading to vitiation of Tridosha, mainly vata dosha these vitiated Doshas get localized in Gudavali and Pradhana dhamani which further vitiates Twak, Mamsa, and Meda Dhatus leads to development of Arsha. The perianal skin is most pain sensitive, due to rich nerve endings. Hence even a mild form of disorder can produce great discomfort to the patient. On the basis of observation and statistics we got positive response for this parameters Malabaddhata 23 (71.88%), Abhishyandiahar 23 (71.88%), Guruahar 27 (84.38%), Diwaswap 18 (56.25%), Adhyashana 27 (84.38%), Prushtayana 29 (90.63%), Vegavidharana 32 (100%), Shavathu 24 (75%), Mamsashotha 19 (59.38%), Siragranthi 26 (81.25%), Amlika 21 (65.62%), Paridaha 18 (56.25%), Atop 28 (81.25%), Antrakujan 22 (68.76%), Gudaparikartan 32 (100%). In histopathology report we found fibromuscular tissue, stratified squamous epithelium, dilated and congested blood vessels which is the moolsthana of mamsavaha strotas. That means mamsavaha strotas dusti is co related with bahya arsha. This shows that there is significant correlation of origin of Bahya Arsha from Mamsavaha strotas dushti.
Keywords- Arsha, mamsavaha srotas, dushti, malabaddhata, guda, histopathology
A Rule That Bends: Aristotle on Pathos and Equity
Authors: Barr Timothy 
Published: June 2021

ABSTRACT
Aristotle says in the Rhetoric that leading judges into passions is like warping a rule or kanon before using it. Rather than seeing this as an exclusion of emotion from rhetoric, I argue that the ability for the pathe to bend judgment has its appropriate use in achieving equity. The pathe are themselves a kanon, resembling the soft, leaden rule used by Lesbian masons, referred to in his discussion of equity in the Nicomachean Ethics. In problematic cases, the rigidity of law requires the correction of a judge's pathetic capacity. I then read Lysias's Against Simon, a speech given under strict relevancy requirements, to show how the pathe are used in the narration of the accused party in seeking an equitable judgment. I conclude with how such a view may inform contemporary rhetorical inquiry on the emotions.
Ånden og kirken
Authors: Hegstad Harald 
Published: June 2021

The Spirit and the Church
In what way is the Holy Spirit present in the life of the church? Questions of ecclesiology and pneumatology have traditionally divided denominations. Today these questions are at the centre of renewed ecumenical rapprochement. This article presents the contribution of the classic study on Martin Luther’s pneumatology,Spiritus Creator (1946), by the Danish theologian Regin Prenter (1907–1990). One basic insight in Prenter’s interpretation of Luther is the Spirit’s role of conveying the real presence of Christ in the life of the believer. This also means that the Spirit conveys the experience of Christ. As a Lutheran, Prenter underlines the role of word and sacrament as the tool of transmitting the Spirit. This does not mean that the Spirit is limited to word and sacrament, as an institutionally oriented reading of the Augsburg Confession may advocate. A pneumatologically oriented ecclesiology inspired by Prenter’s reading of Luther may open new possibilities for a “re-ceptive ecumenism”, including insights from Pentecostal and Charismatic theology in a Lutheran context.
Compressive Strength of Concrete with Nano Cement
Authors: Carmichael Milton Jemimah , Arulraj Gnanaraj Prince 
Published: June 2021

Nano technology plays a very vital role in all the areas of research. The incorporation of nano materials in concrete offers many advantages and improves the workability, the strength and durability properties of concrete. In this study an attempt has been made to carry out an experimental investigation on concrete in which cement was replaced with nano sized cement. Ordinary Portland cement of 53 grade was ground in a ball grinding mill to produce nano cement. The characterization of nano cement was studied using Scanning Electron Microscope (SEM), Brunauer Emmett–Teller (BET), Energy Dispersive X ray microanalysis (EDAX) and Fourier Transform Infrared Spectroscopy (FTIR). From the characterization studies, it was confirmed that particles were converted to nano size, the specific surface area increased and the chemical composition remained almost the same. The properties of cement paste with and without nano cement were found. For the experimental study, cement was replaced with 10%, 20%, 30%, 40% and 50% of nano cement. Cement mortar of ratio 1:3 and concrete of grades M20, M30, M40 and M50 were used. Compressive strength of cement mortar and concrete with different percentages of nano cement was found. The cement mortar was also subjected to micro structural study. It was found that the strength increased even up to the replacement level of 50%. Further increase in the replacement is not possible since the addition of nano cement reduces the initial and final setting time of cement paste. At 50% replacement level, the initial setting time got reduced to 30 minutes which the least permitted value as per IS 12269: 2013. The increase in strength was due to the fact that nano cement acts not only as a filler material but also the reactivity increased due to the higher specific surface area. The SEM image shows the formation of additional C-S-H gel. The percentage increase in compressive strength was found to increase up to 32%. The workability of concrete with nano cement was found to be significantly more than that of the normal cement concrete.