bluuebunny/crossref_metadata_2025_split huggingface dataset:
Introducing and Integrating Perinatal Mental Health Screening: Development of an Equity-informed Evidence-based Approach
Authors: Blackmore Rebecca , Boyle Jacqueline A , Gray Kylie M , Willey Suzanne , Highet Nicole , Gibson-Helm Melanie 
Published: June 2021

Abstract
Background: Pregnancy is a time of increased risk for developing or re-experiencing mental illness. Perinatal mental health screening for all women is recommended in many national guidelines but a number of systems-level and individual barriers often hinder policy implementation. These barriers result in missed opportunities for detection and early intervention, and are likely to be experienced disproportionately by women from culturally and linguistically diverse backgrounds, including women of refugee backgrounds. The objectives of this study were to develop a theory-informed, evidence-based guide for introducing and integrating perinatal mental health screening across health settings; and to synthesise the learnings from an implementation initiative and multi-sectoral partnership between the Centre of Perinatal Excellence (COPE), and a university-based research centre. COPE is a peak body in perinatal mental health and Non-Governmental Organization commissioned to update the Australian national perinatal mental health guidelines, train health professionals and rollout innovative digital screening across healthcare settings. Methods: In this case study, barriers to implementation were prospectively identified and strategies to overcome them were developed. A pilot perinatal screening program with a strong health equity focus was implemented and evaluated at a large public maternity service delivering care to a culturally diverse population of women in metropolitan Melbourne, Australia, including women of refugee background. Strategies identified pre-implementation and post-evaluation were mapped to theoretical frameworks. An implementation guide was developed to support future policy, planning and decision-making by healthcare organisations. Results: Using a behavioural change framework (COM-B), the key barriers, processes, and outcomes are described for a real-world example designed to maximise accessibility, feasibility, and acceptability. A program logic model was developed to demonstrate the relationships of the inputs, which included stakeholder consultation, resource development, and a digital screening platform, with the outcomes of the program. A seven-stage implementation guide is presented for use in a range of healthcare settings. Conclusions: These findings describe an equity-informed, evidence-based approach that can be used by healthcare organisations to address common systems and individual level barriers to implement perinatal mental health screening guidelines.
Effect of COVİD-19 Pandemic on General Surgery Practice and Resident Education
Authors: Erol Timuçin , Mahmudzada Kamran , Kırımtay Busenur , Doğu Doğukan , Oruç Mustafa , Yorgancı Kaya 
Published: June 2021

Abstract
Background

Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education.
Methods

This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training.
Results

Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic.
Conclusion

Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.
Removal of Cresols From Water By Packed Beds of Cyclodextrin-Based Hydrogels
Authors: Peñas Francisco Javier , Romo Ana , Isasi José R. 
Published: June 2021

Abstract
A cyclodextrin-based polymer was prepared by crosslinking β-cyclodextrin with epichlorohydrin to be assessed as a sorbent material for cresols in packed-bed columns. Both Langmuir and Freundlich isotherms were appropriate to describe the sorption equilibrium in the conditions tested, and the thermodynamic parameters obtained for this process confirmed its exothermic nature with similar enthalpies (between −6.8 and −8.3 kJ/mol) for the three isomers. The removal of cresols from water was carried out in nine cycles of sorption-desorption in fixed-column experiments with the cyclodextrin hydrogel, achieving sorption capacities of 6.2, 11.6, and 15.1 mg/g for o-, m-, p-cresol, respectively. The experimental data for the breakthrough and the elution curves have been successfully modeled by two effective two-parameter equations, a dose-response model for the sorption step and a pulse-peak model for the regeneration step. The cyclodextrin polymer matrix has been proven to be an effective a good sorbent material for removing cresols from water, exhibiting remarkable reusability performance and structural stability throughout the successive elution steps carried out with methanol.
On the Regularity of the Electron Configuration of Atoms in the Periodic Table
Authors: Konishi Toshihiro , Miura Ryosuke 
Published: June 2021

Abstract
The current periodic table does not necessarily have a clear position for transition elements. Therefore, the purpose of this paper is to use the basic principle discovered by Mendeleev as it is and to create a periodic ta ble with consistency for transition elements. By setting some hypotheses, it was found that transition elements also have regular periodicity, so we succeeded in clarifying the energy level of electrons in each orbit. In addition, by utilizing its periodic ity, the electron configuration for each orbit was predicted for unknown elements. In this paper, we did not take the conventional idea of electron orbitals, that is, the idea of forming a hybrid orbital, but assumed a new orbital.Since the state in which electrons fit in orbits and stabilize is defined as an octet, this idea was used as the basic principle in this paper, but the hypothesis that "there are only three orbits in each shell" was established and verified.The calculatio n of the energy level of the electrons on the orbit became extremely easy, and the order of each orbit could be clarified. It was also found that the three dimensional structure of the molecule may be visualizedby paying attention to the valence electrons of the outermost shell of the element and the octet of the stability condition. Therefore, in this paper, by slightly expanding the structural formula of Kekulé, it became possible to easily determine whether or not the molecule synthesized by the became possible to easily determine whether or not the molecule synthesized by the bond bebond between elements is stable.tween elements is stable. In addition, it has become possible to predict the three In addition, it has become possible to predict the three--dimensional structure of the dimensional structure of the molecule as well.molecule as well. Furthermore, not only will it be easier for students studying chemistry to understand Furthermore, not only will it be easier for students studying chemistry to understand complex chemical reactions, but it will complex chemical reactions, but it will also be useful for researchers in the development also be useful for researchers in the development and research of new drugs.and research of new drugs.
Effect of Spinal Bracing on Curve Magnitude in Coronal and Axial Planes in Adolescent Scoliosis Utilising EOS Imaging.
Authors: Gatehouse Simon , Izatt Maree , Labrom Robert , Askin Geoffrey , Grant Caroline , Pivonka Peter , Little Paige 
Published: June 2021

Abstract
Purpose. This study aimed to investigate the efficacy of spinal bracing in treating progressive scoliosis deformity utilizing EOS (bi-planer) imaging and SterEOS reconstruction software. Methods. EOS images of scoliosis patients being treated with bracing were obtained both in and out of their brace. These images were processed using SterEOS software to allow 3D representation, which was then compared to traditional coronal 2D parameters. Between January 2019 and January 2020, 29 patients were recruited for participation. Of these participants, 25 had a single episode of EOS imaging out of and in their brace. Additionally, 19 of the 25 participants had further episodes of EOS imaging within the study period, separated by mean 144+/-44 days. This allowed a total of 44 EOS single scan episodes for parameter analysis out of, and in the brace. Longitudinal analysis was also performed on the 19 patients who had sequential scans.Results. Participants were mean 13.8±1.1 years old at the first scan. Coronal 2D parameters, specifically Cobb Angle measurement, were accurately reproducible with SterEOS 3D measurements. Across all EOS scans (n=44) the mean major coronal curve measurement was 42.3±13.3° out of brace and 37.2±13.8° in the brace. This produced a mean correction of 4.6±4.4° (p<0.05). The correction achieved in this cohort with bracing appeared more modest than those reported in previous studies using traditional 2D coronal curve measurements1–3. The mean axial vertebral rotation (AVR) was 10.6±7.1° out of the brace and 9.6±6.8° in the brace, with a mean correction of 1.4±5.3°(p=0.14). The current study results suggested no significant change in axial vertebral rotation with brace treatment. Notably, in 17 of the 44 AVR measured, the differences were negative. That is, the AVR worsened in the brace. There was a significant moderate correlation between 3D coronal Cobb angle measured and AVR measured out of the brace for all curves. However, the change in Cobb and change in AVR with bracing did not correlate.Over sequential EOS episodes (n=19), there appeared no significant progression of 3D parameters, interpreted as the brace preventing curve progression.Conclusions. There appeared to be a consistent reduction in the scoliosis Cobb angle of the major curve with brace treatment. AVR demonstrated no significant change with bracing, with instances of worsening of AVR in the brace, which was not reflected by Cobb angle measurement. Despite this, bracing appears to have been effective with limited curve progression in sequential scans, though not in the anticipated manner of immediate in-brace curve correction.
Promotion of Producer Contribution to Solve Packaging Waste Issues - Viewpoints of Waste Bank Members in the Bandung Area, Indonesia
Authors: Sulami Antonius Priyo Nugroho , Murayama Takehiko , Nishikizawa Shigeo 
Published: June 2021

Abstract
As regulations have developed, the waste management sector in Indonesia has increasingly expected producer involvement in waste reduction activity through the enactment of new regulations. In addition, recent development of the waste management sector now involves community-based approaches such as Waste Banks. This study aims to determine the relationship between extended producer responsibility implementation and the waste bank concept. A questionnaire survey was designed and applied to Waste Bank members of two Waste Banks in Bandung municipality, Indonesia. Several factors were identified that can be considered by producers to promote their contribution in dealing with the packaging waste issue, such as producer consideration and contribution, knowledge level, collection, and awareness of the importance of packaging waste issue. The result also shows that involving feedback from Waste Banks can provide some insights to expand and develop producer contribution in reducing the impact of packaging waste. Producers can improve collection and recyclability of their product packaging while increasing public knowledge on their activity at the post-consumer stage.
Mobile Phone-Based Teleconsultation Service Utilization and Associated Factors Among Healthcare Professionals in Primary Hospitals of West Gojjam Zone, Northwest Ethiopia: A Cross-Sectional Study
Authors: Kasie Mequanint Nakachew , Guadie Habtamu Alganeh , Gashu Kassahun Dessie 
Published: June 2021

Abstract
Background: Teleconsultation with a mobile phone is one form of telemedicine which can be easily practiced since most healthcare professionals own mobile phone. Many patients are forced to wait for a while before they get to see a specialist. Patients also forced unnecessary transport and lost their time and money during the referral process. Therefore this study aims to determine the level of mobile phone-based teleconsultation service utilization and identify associated factors among healthcare professionals in primary hospitals. Methods: Institutional-based cross-sectional study design was employed. A structured, pre-tested questionnaire was used for data collection. Binary logistic regression has been used to assess factors associated with the outcome variable. Result: A total of 388 healthcare professionals (92% response rate) were involved in the study from 8 primary hospitals. Mobile phone-based teleconsultation service utilization was found 106(27.3%). Healthcare professionals who had good knowledge of teleconsultation were 6.6 times (AOR=6.6, 95%CI: 1.46-29.93) and those who perceive teleconsultation as useful were 7.2 times (AOR= 7.2, 95% CI: 2.036-25.589) more likely to utilize mobile phone-based teleconsultation service than their counterparts. Conclusion: The finding has shown that healthcare professionals’ level of mobile phone-based teleconsultation service utilization was low. Internet connectivity, participants’ knowledge towards teleconsultation, perceived usefulness, and peer influence were found to be significantly associated with mobile phone-based teleconsultation service utilization in primary hospitals.
Musculoskeletal Health in Active Ambulatory Men with Cerebral Palsy and the Impact of Vitamin D
Authors: Langley Christina Kate , Onambélé-Pearson Gladys Leopoldine , Sims David Thomas , Hussain Ayser , Buffey Aidan John , Bardwell Holly Leigh , Morse Christopher Ian 
Published: June 2021

Abstract

Purpose: 1) To determine the contribution of diet, time spent outdoors and habitual physical activity (PA) on vitamin D status in men with cerebral palsy (CP) compared to age matched controls (TDC) without neurological impairment. 2) To determine the role of vitamin D on musculoskeletal health, morphology and function in men with CP compared to TDC.Materials and methods: A cross-sectional comparison study where, twenty-four active, ambulant men with CP aged 21.0±1.4 years (Gross Motor Function Classification Score I-II) and 24 healthy TDC aged 25.3±3.1 years completed in vivo assessment of musculoskeletal health, including: Vastus Lateralis anatomical cross-sectional area (VL ACSA), isometric knee extension maximal voluntary contraction (KE iMVC), 10m-sprint, vertical jumps (VJ), radius and tibia bones T and Z scores. Assessments of vitamin D status through venous samples of serum 25-hydroxyvitamin D (25(OH)D) and parathyroid hormone, dietary vitamin D intake from food diary and total sun exposure via questionnaire were also taken. Results: Men with CP had 40.5% weaker KE iMVC, 23.7% smaller VL ACSA, 22.2% lower VJ, 14.6% lower KE iMVC/VL ACSA ratio, 22.4% lower KE iMVC/body mass (BM) ratio and 25.1% lower KE iMVC/lean body mass (LBM) ratio (all p<0.05). Radius T and Z scores were 1.75 and 1.57 standard deviations lower than TDC, respectively (p<0.05), whereas neither tibia T nor Z scores showed any difference compared to TDC (p>0.05). 25(OH)D was not different between groups, and 90.9% of men with CP and 91.7% of TDC had low 25(OH)D levels when compared to current UK recommendations. 25(OH)D was positively associated with KE iMVC/LBM ratio in men with CP (r = 0.500, p=0.020), but not in TDC (r = 0.281, p=0.104).Conclusion: Musculoskeletal outcomes in men with CP were lower than TDC and despite there being no difference in levels of 25(OH)D between the groups, 25 (OH)D was associated with strength (KE iMVC/LBM) in the CP group, but not TDC. The findings suggest a greater sensitivity to low vitamin D in men with CP with regards to bone and muscle content and functional outcomes.
The Phylogeographic Relationships and the Evolution History of Carassius Auratus Complex With a Newborn Homodiploid Crucian Carp-like Fish (2nNCRC)
Authors: Gu Qianhong , Wang Shi , Yuan Hui , Zhong Hui , Yang Junliu , Yang Conghui , Huang Xuexue , Xu Xiaowei , Wang Yude , Wei Zehong , Wang Jing , Liu Shaojun 
Published: June 2021

Abstract
Background: One of the important aspects of studying evolution is to understand how new species are formed and their uniqueness maintained. Hybridization can lead to the formation of new species with the reorganization of adaptive system and significant changes in phenotype. It is wondrous that eight stable strains of 2nNCRC derived from the interspecies hybridization have been established in our laboratory. To examine the phylogeographical pattern of the wildly distributed genus Carassius in the Eurasia, and investigate the possible hybrid origin of Carassius auratus lineage, in light of past climatic events, the mitochondrial genome (mtDNA) were used to reconstruct the phylogenetic relationship between the C. auratus complex and the 2nNCRC, and to assess how demographic history, dispersal and barriers to gene flow have led to the current distribution of mtDNA lineages for C. auratus complex. Results: As expected, the 2nNCRC had a very close relationship with the C. auratus complex, which was distinctly separated with other three species of Carassius. The C. auratus lineage possibly originated from China during the Late Pliocene, far postdated the diversification of C. carassius in Europe and C. cuvieri in Japan. The admixture of mtDNA haplotype lineages of C. auratus detected across the whole Eurasia has experienced a rapid diversification since Early PleistoceneConclusion: Combined the molecular dating analyses, species distribution modeling and ancestral area reconstruction, the speciation of C. auratus seemed not to be the processing of lineage diversification from the most recent common ancestor of C. carassius or C. cuvieri. The formation of 2nNCRC in our laboratory could be a good candidate explaining for the hybrid origin species for C. auratus lineage, as well as the paleoclimate oscillation and geological event during Pliocene and Pleistocene in China supplying an opportunity for the distant hybridization. The most wildly distributed C. auratus lineage could be attributed to the dispersal during the glacial period and the recent human-facilitated dispersal.
PEAR1 Genetic Variants in Essential Thrombocythemia: A New Study of The Prevalence and Association of PEAR1 Variants with Hematological Parameters and ET Mutations
Authors: Maleknia Mohsen , Jalali Mohammad Taha , Kaydani Gholam Abbas , Ahmadzadeh Ahmad , Saki Najmaldin 
Published: June 2021

Abstract
Objective: Essential thrombocythemia (ET) is a type of myeloproliferative neoplasm characterized by the expansion of the megakaryocytic/platelet line. Given the undeniable role of genetic variations in the pathogenesis of ET, as well as the proven effects of PEAR1 SNPs on platelet function, the innovative purpose of this study is to investigate the prevalence of PEAR1 variants (rs12041331 and rs12566888) and their relationship to hematological parameters and ET-related mutations.Materials and Methods: We studied 105 ET patients and analyzed ET patients' mutational profiles, including JAK2 V617F mutation (detected by Allele-specific PCR), CALR, and MPL mutations (both through PCR amplification). Two SNPs of the PEAR1 gene were assessed through ARMS-PCR, and the Sanger method was used for the validation of ARMS-PCR amplification.Results: The prevalence of rs12041331 and rs12566888 in ET patients were 43.9% and 38.5%, respectively, and rs12041331 was significantly associated with increased platelet counts (P-Value: 0.02). A significant relationship was also found between the rs12041331 and CALR mutation (P-Value: 0.03). Platelet count was higher in CALR+ patients (934.45 ×10 9/L ± 265.35 SD) than in JAK2 + patients (790.11 ×10 9/L ± 265.35 SD). Conversely, other hematological parameters and thrombosis were higher in JAK2 + patients than the CALR + patients.Conclusions: Our findings reinforce the idea that rs12041331 and rs12566888 may be associated with ET, and rs12041331 is significantly associated with increased platelet count. Besides, the prevalence of ET-related mutations in patients with rs12041331 and rs12566888 was almost similar; however, only CALR mutation had a significant relationship with rs12041331.
The Sources of Lead Pollution in a Tropical Soil Chronosequence Based on Lead Isotope
Authors: LI Jianwu , Yang Jinlin , Zhang Ganlin 
Published: June 2021

Abstract
Soil is important contributor to global biogeochemical cycles and often receives anthropogenic Pb contamination. Hainan soil chronosequence developed on basalt had provided a good opportunity to identify and quantify the relative contributions of Pb sources in remote tropical areas. The results revealed that Pb concentrations and isotopic ratios of the soils were clearly affected by anthropogenic source. The Pb concentrations and percentage changes of Pb/Th ratios showed significantly Pb enrichment. The low 206Pb/207Pb values of upper soils indicated a significant addition of extraneous Pb, whereas deeper soils showed a dominantly basaltic source. The 208Pb/206Pb vs. 206Pb/207Pb diagram of soils clearly indicated inputs of parent material and anthropogenic Pb sources. We also calculated the mass fractions of anthropogenic-derived Pb (ƒPbanthropogenic) based on isotope mass balance. The ƒPbanthropogenic values showed a generally decreasing trend with soil depth, implying a significant addition of anthropogenic Pb in top soils. The contribution of anthropogenic Pb in Hainan soil chronosequence highlighted the significance of anthropogenic contamination to soils globally.