bluuebunny/crossref_metadata_2025_split huggingface dataset:
Advice on healthy pregnancy, delivery, motherhood and information on non-communicable diseases in the maternal care programme in Myanmar: a cross-sectional study
Authors: Okawa Sumiyo , Win Hla Hla , Nanishi Keiko , Shibanuma Akira , Aye Phyu Phyu , Saw Thu Nandar , Jimba Masamine 
Published: March 2019

ObjectivePregnancy and delivery periods offer an opportunity for counselling women to improve behavioural risk and prevent complications, including non-communicable diseases (NCDs). However, little evidence is available on counselling offered during antenatal and postnatal care (PNC) in Myanmar. This study aimed to assess the contents of advice and information received by women during antenatal and postnatal counselling and to identify factors associated with receiving those advice and information.DesignCross-sectional study.SettingA predominantly rural township in the Ayeyawady region and a predominantly urban township in the Yangon region.Participants1500 women who had given birth in the last 6 weeks to 12 months prior to the survey.Outcome measuresReceiving advice on 18 items during antenatal counselling, 10 items during postnatal counselling and information on five major NCDs during antenatal care (ANC).ResultsNearly 52% of women received advice on 18 items during antenatal counselling, and 60% received advice on 10 items during postnatal counselling. About 28% received information on five NCDs during ANC. Women who were living in the Yangon site, who had primary school education or lower and who experienced complications were less likely to receive advice on all items during both antenatal and postnatal counselling. Women who received PNC outside of a healthcare facility and were primiparas were also less likely to receive advice on all items during postnatal counselling. Women living in the Yangon site and those who utilised a private care facility were less likely to receive information on NCDs.ConclusionsOnly 60% of women received advice on healthy pregnancy, delivery and motherhood, whereas 30% received information on NCDs. Although non-modifiable maternal factors were associated with these results, counselling practice can be improved and information on NCDs can be offered as the first step of integrated NCDs care in maternal care programme in Myanmar.
Comprehensive Researcher Achievement Model (CRAM): a framework for measuring researcher achievement, impact and influence derived from a systematic literature review of metrics and models
Authors: Braithwaite Jeffrey , Herkes Jessica , Churruca Kate , Long Janet C , Pomare Chiara , Boyling Claire , Bierbaum Mia , Clay-Williams Robyn , Rapport Frances , Shih Patti , Hogden Anne , Ellis Louise A , Ludlow Kristiana , Austin Elizabeth , Seah Rebecca , McPherson Elise , Hibbert Peter D , Westbrook Johanna 
Published: March 2019

ObjectivesEffective researcher assessment is key to decisions about funding allocations, promotion and tenure. We aimed to identify what is known about methods for assessing researcher achievements, leading to a new composite assessment model.DesignWe systematically reviewed the literature via the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols framework.Data sourcesAll Web of Science databases (including Core Collection, MEDLINE and BIOSIS Citation Index) to the end of 2017.Eligibility criteria(1) English language, (2) published in the last 10 years (2007–2017), (3) full text was available and (4) the article discussed an approach to the assessment of an individual researcher’s achievements.Data extraction and synthesisArticles were allocated among four pairs of reviewers for screening, with each pair randomly assigned 5% of their allocation to review concurrently against inclusion criteria. Inter-rater reliability was assessed using Cohen’s Kappa (ĸ). The ĸ statistic showed agreement ranging from moderate to almost perfect (0.4848–0.9039). Following screening, selected articles underwent full-text review and bias was assessed.ResultsFour hundred and seventy-eight articles were included in the final review. Established approaches developed prior to our inclusion period (eg, citations and outputs, h-index and journal impact factor) remained dominant in the literature and in practice. New bibliometric methods and models emerged in the last 10 years including: measures based on PageRank algorithms or ‘altmetric’ data, methods to apply peer judgement and techniques to assign values to publication quantity and quality. Each assessment method tended to prioritise certain aspects of achievement over others.ConclusionsAll metrics and models focus on an element or elements at the expense of others. A new composite design, the Comprehensive Researcher Achievement Model (CRAM), is presented, which supersedes past anachronistic models. The CRAM is modifiable to a range of applications.
Translation, cross-cultural adaptation and validation of the traditional Chinese intermittent and constant osteoarthritis pain (ICOAP) questionnaire for knee osteoarthritis
Authors: Sit Regina Wing Shan , Chan Dicken Cheong Chun , Wong Wendy , Yip Benjamin Hon Kei , Chow Lyan Lai Yan , Wong Samuel Y S 
Published: March 2019

ObjectivesTo translate and culturally adapt the Intermittent and Constant Osteoarthritis and Pain (ICOAP) measure to a traditional Chinese version, and to study its psychometric properties in patients with knee osteoarthritis (KOA).MethodThe ICOAP was translated and cross-culturally adapted into traditional Chinese according to the recommended international guidelines. A total of 110 participants with KOA in Hong Kong were invited to complete the traditional Chinese ICOAP (tChICOAP), the Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale and the Chinese Short form of Health Survey (SF-12v2). Psychometric evaluations included content validity, construct validity, internal consistency and test and retest reliability.ResultsAll participants completed the tChICOAP questionnaire without missing items. The content validity index of all items ranged from 80% to 100%. The tChICOAP total pain and subscale scores had excellent internal consistency with Cronbach’s alpha value (0.902–0.948) and good corrected item-total subscale correlations. It had high test and retest reliability (intra-class correlations 0.924–0.960). The tChICOAP constant, intermittent and total pain scores correlate strongly with the WOMAC pain subscale (r=0.671, 0.678 and 0.707, respectively, p<0.001). The tChICOAP intermittent and total scores correlate strongly with SF-12v2 physical component score (r=−0.590 and −0.558, respectively, p<0.001).ConclusionsThe tChICOAP is a reliable and valid instrument to measure the pain experience of Chinese patients with KOA.
Protocol for the development of versions of the Montreal Cognitive Assessment (MoCA) for people with hearing or vision impairment
Authors: Dawes Piers , Pye Annie , Reeves David , Yeung Wai Kent , Sheikh Saima , Thodi Chyrssoula , Charalambous Anna Pavlina , Gallant Kathleen , Nasreddine Ziad , Leroi Iracema 
Published: March 2019

IntroductionHearing and vision impairments are highly prevalent among older adults and impact commonly used cognitive assessment tools for the identification of dementia. Adaptations of such tests for people with hearing or vision impairment have not been adequately validated among populations with such sensory impairment.Methods and analysisWe will develop two versions of the Montreal Cognitive Assessment (MoCA) for people with acquired hearing impairment (MoCA-H) or vision impairment (MoCA-V). The MoCA-H and MoCA-V will exclude the existing MoCA items that are presented in spoken or visual format, respectively, and include new suitably adapted items. Participants (n=792) with combinations of hearing, vision and cognitive impairment will complete standard or adapted versions of the MoCA across three language sites (English, French and Greek). Development of the MoCA-H and the MoCA-V will be based on analysis of adapted and standard MoCA items following model-based development to select the combination of items for the MoCA-H and MoCA-V that provide optimal sensitivity and specificity for detection of dementia.Ethics and disseminationThe study has received ethical approval from respective centres in the UK, France, Greece and Cyprus. The results of the study will be disseminated through peer-reviewed publication, conference presentations, the study website (https://www.sense-cog.eu/), the SENSE-Cog Twitter account (@sense_cog) and the MoCA test website (https://www.mocatest.org/). The main outputs of the study will be versions of the MoCA that are appropriate for use with adults with acquired hearing or vision impairment and will contribute significantly to the clinical care of older people.
The ART of conversation: feasibility and acceptability of a pilot peer intervention to help transition complex HIV-positive people from hospital to community
Authors: Eaton Andrew David , Chan Carusone Soo , Craig Shelley L , Telegdi Erin , McCullagh John W , McClure David , Wilson Walter , Zuniga Leonardo , Berney Kevin , Ginocchio Galo F , Wells Gordon A , Montess Michael , Busch Adam , Boyce Nick , Strike Carol , Stewart Ann 
Published: March 2019

ObjectivesTo pilot a peer-based intervention for people living with HIV who used substances, had challenges with antiretroviral adherence and would be discharged from hospital to community.Study designA community-based, quasi-experimental pilot intervention study designed to assess feasibility, acceptability and connection to a community-based HIV organisation.SettingThis study was conducted in Toronto, Canada, at Casey House (CH; hospital for people living with HIV) in collaboration with the AIDS Committee of Toronto (ACT; community-based HIV organisation).ParticipantsPeople living with HIV who were CH inpatient between 1 April 2017 and 31 March 2018, struggled with antiretroviral adherence, actively used substances and would be discharged to community were eligible. Forty people met criteria, 19 were approached by an inpatient nurse and 17 consented. Average age was 48.8 years (SD=11.4), 58.8% were male and participants averaged 7.8 physical and mental health comorbidities (SD=3.1).InterventionTitled ’The ART of Conversation', the three-pronged personalised intervention was developed through input from CH clients and ACT volunteers, all living with HIV. Intervention components were (a) predischarge goal-setting (adherence, substance use and self-identified goal) with the study nurse; (b) predischarge meeting with an HIV+ peer volunteer (PV) and (c) nine postdischarge phone calls between PV and participant, once per day for 3 days, then once per week for 6 weeks.Primary outcomesFeasibility was measured through proportion of eligible participants recruited and PV availability. Acceptability was assessed through participant interviews at three times (preintervention, post-intervention and 6 weeks follow-up) and through PV call logs. Client records determined connection to ACT within the study timeframe.ResultsTwelve participants completed the intervention and nine connected with ACT. Predischarge goal-setting and PV meeting were both feasible and acceptable. Postdischarge phone calls were a challenge as half of completers missed at least one call.ConclusionsAlthough predischarge goal-setting and PV meeting were feasible, methods to maintain connection following discharge require further investigation.
Risk of benign paroxysmal positional vertigo in patients with depressive disorders: a nationwide population-based cohort study
Authors: Hsu Chiao-Lin , Tsai Shih-Jen , Shen Cheng-Che , Lu Ti , Hung Yao-Min , Hu Li-Yu 
Published: March 2019

ObjectiveThe association between depression and benign paroxysmal positional vertigo (BPPV) remains debated. This study aimed to investigate the risk of BPPV in patients with depressive disorders.DesignLongitudinal nationwide cohort study.SettingNational health insurance research database in Taiwan.ParticipantsWe enrolled 10 297 patients diagnosed with depressive disorders between 2000 and 2009 and compared them to 41 188 selected control patients who had never been diagnosed with depressive disorders (at a 1:4 ratio matched by age, sex and index date) in relation to the risk of developing BPPV.MethodsThe follow-up period was defined as the time from the initial diagnosis of depressive disorders to the date of BPPV, censoring or 31 December 2009. Cox proportional hazard regression analysis was used to investigate the risk of BPPV by sex, age and comorbidities, with HRs and 95% CIs.ResultsDuring the 9-year follow-up period, 44 (0.59 per 1000 person-years) patients with depressive disorders and 99 (0.33 per 1000 person-years) control patients were diagnosed with BPPV. The incidence rate ratio of BPPV among both cohorts calculating from events of BPPV per 1000 person-years of observation time was 1.79 (95% CI 1.23 to 2.58, p=0.002). Following adjustments for age, sex and comorbidities, patients with depressive disorders were 1.55 times more likely to develop BPPV (95% CI 1.08 to 2.23, p=0.019) as compared with control patients. In addition, hyperthyroidism (HR=3.75, 95% CI 1.67–8.42, p=0.001) and systemic lupus erythematosus (SLE) (HR=3.47, 95% CI 1.07 to 11.22, p=0.038) were potential risk factors for developing BPPV in patients with depressive disorders.ConclusionsPatients with depressive disorders may have an increased risk of developing BPPV, especially those who have hyperthyroidism and SLE.
How does the public conceptualise the quality of care and its measurement in community pharmacies in the UK: a qualitative interview study
Authors: Watson Margaret C , Silver Karin , Watkins Ross 
Published: March 2019

ObjectivesThis study explored citizens’ perspectives about the quality of community pharmacy services in the UK and whether and how the quality of community pharmacy services should be measured.DesignSemistructured interviews and focus groups were conducted and were audio recorded, transcribed and analysed systematically using an interpretive approach.ParticipantsMembers of the public were approached via networks, such as Health and Social Care Alliance Scotland, as well as community groups and personal networks.SettingScotland, England and Wales.ResultsData were collected from 20 participants: 11 interviews and 2 focus groups (in community settings, with five and four participants). Quality was conceptualised as multidimensional with inter-related overarching themes of person-centredness, professionalism and privacy. The importance of relational aspects with pharmacy personnel was emphasised including the need for a ‘friendly’ caring service, continuity of care, being known to personnel, including their awareness of individual’s health conditions: ‘it’s quite a personal service I would say…I think it means that they care about your welfare’. Participants discussed the importance of a professional approach to customer interactions including staff behaviour and appearance. Pharmacy design influenced perceptions of privacy, including having sufficient space or a separate consultation room to promote confidential consultations with a pharmacist. Participants suggested that quality assurance is needed to improve quality and to inspire confidence in the public ‘it would drive up quality standards overall’ but suggested that quality ratings were unlikely to influence their use of specific pharmacies. They emphasised the need for multidimensional quality ratings and for transparency with their derivation.ConclusionsThe public conceptualises quality of community pharmacy services as multidimensional and value relational aspects of care provided by personnel in this setting. While the development and application of quality indicators may drive improvement, it seems unlikely to influence the public’s use of individual pharmacies.
Comparison of revised Functional Capacity Index scores with Abbreviated Injury Scale 2008 scores in predicting 12-month severe trauma outcomes
Authors: Palmer Cameron S , Cameron Peter A , Gabbe Belinda J 
Published: March 2019

IntroductionAnatomical injury as measured by the AIS often accounts for only a small proportion of variability in outcomes after injury. The predictive Functional Capacity Index (FCI) appended to the 2008 AIS claims to provide a widely available method of predicting 12-month function following injury.ObjectivesTo determine the extent to which AIS-based and FCI-based scoring is able to add to a simple predictive model of 12-month function following severe injury.MethodsAdult trauma patients were drawn from the population-based Victorian State Trauma Registry. Major trauma and severely injured orthopaedic trauma patients were followed up via telephone interview including Glasgow Outcome Scale—Extended, the EQ-5D-3L and return to work status. A battery of AIS-based and FCI-based scores, and a simple count of AIS-coded injuries were added in turn to a base model using age and gender.ResultsA total of 20 813 patients survived to 12 months and had at least one functional outcome recorded, representing 85% follow-up. Predictions using the base model varied substantially across outcome measures. Irrespective of the method used to classify the severity of injury, adding injury severity to the model significantly, but only slightly improved model fit. Across the outcomes evaluated, no method of injury severity assessment consistently outperformed any other.ConclusionsAnatomical injury is a predictor of trauma outcome. However, injury severity as described by the FCI does not consistently improve discrimination, or even provide the best discrimination compared with AIS-based severity scores or a simple injury count.
Multiple roles of clays in radioactive waste confinement – introduction
Authors: Norris Simon 
Published: April 2019

Abstract
Geological disposal provides the safe long-term management solution for higher-activity radioactive waste. The development of a repository (or geological disposal facility) requires a systematic and integrated approach, taking into account the characteristics of the waste to be emplaced, the enclosing engineered barriers, and the host rock and its geological setting.
Clays and clayey material are important in the development of many national geological disposal systems. Clays exhibit many interesting properties, and are proposed both as host rocks and as material for engineered barriers. Whatever their use, clays present various characteristics that make them high-quality barriers to the migration of radionuclides and chemical contaminants. As host rocks, clays are, in addition, hydrogeologically, geochemically and mechanically stable over geological timescales (i.e. millions of years).
Reduced Aortic Distensibility is Associated With Higher Aorto‐Carotid Wave Transmission and Central Aortic Systolic Pressure in Young Adults After Coarctation Repair
Authors: Kowalski Remi , Lee Melissa G. Y. , Doyle Lex W. , Cheong Jeanie L. Y. , Smolich Joseph J. , d'Udekem Yves , Mynard Jonathan P. , Cheung Michael M. H. , Carse Elizabeth , Doyle Lex W. , Hayes Marie , McDonald Marion , Opie Gillian , Roberts Gehan , Watkins Andrew 
Published: March 2019

Background
The long‐term prognosis of patients with repaired aortic coarctation is characterized by high rates of cardiovascular and cerebrovascular disease related to hypertension, the basis of which remains unclear. To define potential underlying mechanisms, we investigated aortic and carotid arterial biomechanics and wave dynamics, and determinants of aortic systolic blood pressure, in young adults after coarctation repair.

Methods and Results

Aortic arch and carotid biomechanics, wave intensity and wave power, and central aortic blood pressure, were derived from echocardiography and brachial blood pressure in 43 young adults after coarctation repair and 42 controls. Coarctation subjects had higher brachial and central systolic blood pressure (
P
=0.04), while aortic compliance was lower and characteristic impedance (Z
c
) higher. Although carotid intima‐media thickness was higher (
P
<0.001), carotid biomechanics were no different. Carotid forward compression wave power was higher and was negatively correlated with aortic compliance (
R
2
=0.42,
P
<0.001) and distensibility (
R
2
=0.37,
P
=0.001) in coarctation subjects. Aortic wave power and wave reflection indices were no different in control and coarctation patients, but coarctation patients with elevated aortic Z
c
had greater aorto‐carotid transmission of forward compression wave power (
P
=0.006). Aortic distensibility was the only independent predictor of central aortic systolic blood pressure on multivariable analysis.

Conclusions
Young adults following coarctation repair had a less compliant aorta, but no change in carotid biomechanics. Reduced aortic distensibility was related to greater transmission of aortic forward wave energy into the carotid artery and higher central aortic systolic blood pressure. These findings suggest that reduced aortic distensibility may contribute to later cardiovascular and cerebrovascular disease after coarctation repair.
Physical Evaluation of GPM DPR Single- and Dual-Wavelength Algorithms
Authors: Liao Liang , Meneghini Robert 
Published: April 2019

AbstractA physical evaluation of the rain profiling retrieval algorithms for the Dual-Frequency Precipitation Radar (DPR) on board the Global Precipitation Measurement (GPM) Core Observatory satellite is carried out by applying them to the hydrometeor profiles generated from measured raindrop size distributions (DSD). The DSD-simulated radar profiles are used as input to the algorithms, and their estimates of hydrometeors’ parameters are compared with the same quantities derived directly from the DSD data (or truth). The retrieval accuracy is assessed by the degree to which the estimates agree with the truth. To check the validity and robustness of the retrievals, the profiles are constructed for cases ranging from fully correlated (or uniform) to totally uncorrelated DSDs along the columns. Investigation into the sensitivity of the retrieval results to the model assumptions is made to characterize retrieval uncertainties and identify error sources. Comparisons between the single- and dual-wavelength algorithm performance are carried out with either a single- or dual-wavelength constraint of the path integral or differential path integral attenuation. The results suggest that the DPR dual-wavelength algorithm generally provides accurate range-profiled estimates of rainfall rate and mass-weighted diameter with the dual-wavelength estimates superior in accuracy to those from the single-wavelength retrievals.