bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pre–post evaluation of a weight management service for families with overweight and obese children, translated from the efficacious lifestyle intervention Parenting, Eating and Activity for Child Health (PEACH)
Authors: Moores Carly J. , Miller Jacqueline , Daniels Lynne A. , Vidgen Helen A. , Magarey Anthea M. 
Published: May 2018

AbstractParenting, Eating and Activity for Child Health (PEACH) is a multi-component lifestyle intervention for families with overweight and obese children. PEACH was translated from an efficacious randomised-controlled trial (RCT) and delivered at scale as PEACH Queensland (QLD) in Queensland, Australia. The aim of this study is to explore pre–post changes in parenting, and child-level eating, activity and anthropometry, in the PEACH QLD service delivery project. PEACH QLD enrolled 926 overweight/obese children (817 families). Pre-programme evaluation was completed for 752 children and paired pre–post-programme evaluation data were available for 388 children. At baseline, children with pre–post-programme data were (mean) 8·8 years old, and at follow-up were 9·3 years old, with mean time between pre–post-programme measures of 0·46 years. Outcomes reflected each domain of the PEACH programme: parenting, eating behaviour of the child and activity behaviours (means reported). Parents reported improvements in parenting self-efficacy (3·6 to 3·7,P=0·001). Children had improved eating behaviours: eating more daily serves of vegetables (2·0 to 2·6,P=0·001) and fewer non-milk sweetened beverages (0·9 to 0·6,P=0·001) and discretionary foods (2·2 to 1·5,P=0·001). Children spent more time in moderate-to-vigorous physical activity (86 to 105 min/d,P=0·001) and less time in sedentary screen-based behaviours (190 to 148 min/d,P=0·001). Consequently, there were significant improvements in mean BMIz(−0·112;P<0·001) and weight status (healthy weight/overweight/obese/morbidly obese prevalence from 0/22/33/45 % to 2/27/34/37 %,P<0·001). When delivered at scale, PEACH remains an effective family-based, multi-component, lifestyle weight management programme for overweight and obese children whose families engage in the programme.
Quantifying diversity in parametric design: a comparison of possible metrics
Authors: Brown Nathan C. , Mueller Caitlin T. 
Published: May 2018

AbstractTo be useful for architects and related designers searching for creative, expressive forms, performance-based digital tools must generate a diverse range of design solutions. This gives the designer flexibility to choose from a number of high-performing designs based on aesthetic preferences or other priorities. However, there is no single established method for measuring diversity in the context of computational design, especially in the field of architecture. This paper explores different metrics for quantifying diversity in parametric design, which is an increasingly common digital approach to early-stage exploration, and tests how human users perceive these diversity measurements. It first provides a review of existing methodologies for measuring diversity and describes how they can be adapted for parametrically formulated design spaces. This paper then tests how these different metrics align with human perception of design diversity through an online visual survey. Finally, it offers a quantitative comparison between the different methods and a discussion of their attributes and potential applications. In general, the comparison indicates that at the level of diversity difference that becomes visually meaningful to humans, the measurable difference between metrics is small. This paper informs future researchers, developers, and designers about the measurement of diversity in parametric design, and can stimulate further studies into the perception of diversity within sets of design options, as well as new design methodologies that combine architectural novelty and performance.
Gesture-based system for next generation natural and intuitive interfaces
Authors: Huang Jinmiao , Jaiswal Prakhar , Rai Rahul 
Published: May 2018

AbstractWe present a novel and trainable gesture-based system for next-generation intelligent interfaces. The system requires a non-contact depth sensing device such as an RGB-D (color and depth) camera for user input. The camera records the user'sstatichand pose and palm centerdynamicmotion trajectory. Both static pose and dynamic trajectory are used independently to provide commands to the interface. The sketches/symbols formed by palm center trajectory is recognized by the Support Vector Machine classifier. Sketch/symbol recognition process is based on a set of geometrical and statistical features. Static hand pose recognizer is incorporated to expand the functionalities of our system. Static hand pose recognizer is used in conjunction with sketch classification algorithm to develop a robust and effective system for natural and intuitive interaction. To evaluate the performance of the system user studies were performed on multiple participants. The efficacy of the presented system is demonstrated using multiple interfaces developed for different tasks including computer-aided design modeling.
Use of analogies, metaphors, and similes by students and reviewers at an undergraduate architectural design review
Authors: Dogan Fehmi , Taneri Batuhan , Erbil Livanur 
Published: May 2018

AbstractThis study investigates the use of similarities in the form of analogy, metaphor, and simile by students and reviewers in an undergraduate architectural design review. In contrast to studies conductedin vitrosettings, this study emphasizes the importance of studying analogies, metaphors, and similes in a natural setting. All similarity relationships were coded according to their type, the level of expertise, range, frequency, goal, value judgment, and depth. The results indicate that analogies, metaphors, and similes were used spontaneously and without any difficulty by both reviewers and students. Reviewers, however, were almost twice as likely to evoke similarities. Metaphor was the most frequently used similarity relationship among the three. It was found that there was a significant relationship between the level of expertise and type of similarity, with students more likely to use analogies and less likely to use similes. It was also found that goal is the most important factor, with a significant relation to all other variables, and that embodiment is often invoked in both students’ and reviewers’ metaphors. We conclude that design education should take full advantage of students’ natural ability to benefit from similarity relationships.
The risk of urban yellow fever resurgence in Aedes-infested American cities
Authors: Massad Eduardo , Amaku Marcos , Coutinho Francisco Antonio Bezerra , Struchiner Claudio José , Lopez Luis Fernandez , Coelho Giovanini , Wilder-Smith Annelies , Burattini Marcelo Nascimento 
Published: May 2018

AbstractAedes aegypti, historically known as yellow fever (YF) mosquito, transmits a great number of other viruses such as Dengue, West Nile, Chikungunya, Zika, Mayaro and perhaps Oropouche, among others. Well established in Africa and Asia, Aedes mosquitoes are now increasingly invading large parts of the American continent, and hence the risk of urban YF resurgence in the American cities should because of great concern to public health authorities. Although no new urban cycle of YF was reported in the Americas since the end of an Aedes eradication programme in the late 1950s, the high number of non-vaccinated individuals that visit endemic areas, that is, South American jungles where the sylvatic cycle of YF is transmitted by canopy mosquitoes, and return to Aedes-infested urban areas, increases the risk of resurgence of the urban cycle of YF. We present a method to estimate the risk of urban YF resurgence in dengue-endemic cities. This method consists in (1) to estimate the number of Aedes mosquitoes that explains a given dengue outbreak in a given region; (2) calculate the force of infection caused by the introduction of one infective individual per unit area in the endemic area under study; (3) using the above estimates, calculate the probability of at least one autochthonous YF case per unit area produced by one single viraemic traveller per unit area arriving from a YF endemic or epidemic sylvatic region at the city studied. We demonstrate that, provided the relative vector competence, here defined as the capacity to being infected and disseminate the virus, of Ae. aegypti is greater than 0.7 (with respect to dengue), one infected traveller can introduce urban YF in a dengue endemic area.
Association of influenza outbreaks with advanced pediatric medical support
Authors: Guyther Jennifer , Lichenstein Richard , Gao Yonghong , Zhou James A. , Ajao Adebola , Bajaj Priti K. , Combs Veronica A. , King James C. 
Published: May 2018

AbstractRetrospective data evaluated increases in advanced medical support for children with medically attended acute respiratory illness (MAARI) during influenza outbreak periods (IOP). Advanced support included hospitalisation, intensive care unit admission, or mechanical ventilation, for children aged 0–17 years hospitalised in Maryland's 50 acute-care hospitals over 12 influenza seasons. Weekly numbers of positive influenza tests in the Maryland area defined IOP for each season as the fewest consecutive weeks, including the peak week containing at least 85% of positive tests with a 2-week buffer on either side of the IOP. Peak IOP (PIOP) was defined as four consecutive weeks containing the peak week with the most number of positive influenza tests. Off-PIOP was defined as the ‘shoulder’ weeks during each IOP. Non-influenza season (NIS) was the remaining weeks of that study season. Rate ratios of mean daily MAARI-related admissions resulting in advanced medical support outcomes during PIOP or Off-PIOP were compared with the NIS and were significantly elevated for all 12 study seasons combined. The results suggest that influenza outbreaks are associated with increased advanced medical support utilisation by children with MAARI. We feel that this data may help preparedness for severe influenza epidemics or pandemic.
Macao Report: Informed Consent in a Multilingual and Multicultural Region, a Bioethical Challenge
Authors: RAPOSO VERA LÚCIA 
Published: May 2018

Abstract:Complying with the requirements of informed consent for medical procedures can sometimes be problematic, even when the hospitals are located in countries that are uniform in their language and cultural values. However, when hospitals are located in countries with diverse linguistic and ethnic communities, it becomes particularly challenging. This article examines how Macao, with four predominant languages—Mandarin, Portuguese, Cantonese and English—and two very strong cultures, Western and Chinese, strives to meet the challenges of informed consent. The situation is made even more complicated by a healthcare delivery in Macao that is mostly guided by Chinese ethical and cultural perspectives, whereas its law is inspired by the Western model.
Her Uterus, Her Medical Decision? Dismantling Spousal Consent for Medically Indicated Hysterectomies in Saudi Arabia
Authors: MUAYGIL RUAIM 
Published: May 2018

Abstract:Against the background of a recommended hysterectomy, this article examines the current requirement in Saudi Arabia for the husband’s consent for any medical procedure that affects the reproductive ability of his wife. The history and background of this decree is explained, along with the major arguments for its support. Additionally, the legitimacy of the requirement is discussed from the Islamic and legal perspectives. Special attention is given to relevant cultural considerations, such as the family unit, the medical community, and the larger Saudi society. Arguments advocating for discontinuing the requirement are offered along with measures to implement in order to overcome this social artifact.
Patient Engagement at the Household Level: A Feasible Way to Improve the Chinese Healthcare Delivery System Toward People-Centred Integrated Care
Authors: LIU ZIYU 
Published: May 2018

Abstract:Influenced by the people-centered integrated care (PCIC) model, Healthy China 2030 was drafted recently with a special concern given to patient engagement. Although there are three levels of engagement (i.e., individual, household, community), patients are more likely to be empowered and activated through an individualistic approach. Thus, engaging patients at the household level appear to have been overlooked so far. Supported by ethical values and practical evidence, this article attempts to address the importance of engaging patients at the household level in shaping the Chinese healthcare system with the PCIC model orientation, and thus recommends four strategies for empowering and activating patients at the household level in the Chinese context.
Access to Healthcare: A Central Question within Brazilian Bioethics
Authors: GARRAFA VOLNEI , CUNHA THIAGO ROCHA DA , MANCHOLA CAMILO 
Published: May 2018

Abstract:This article explores the current situation regarding the importance of access to healthcare in relation to the genesis and context of bioethics developed in Brazil, a country in which healthcare is understood through the national constitution to be a universal right of its population. Since the onset of the development of Brazilian bioethics at the beginning of the 1990s, topics relating directly and indirectly to the field of public health have been a priority in the bioethics agenda. The article considers the socioeconomic context within which conflicts occur, an issue that has been addressed in other scientific articles on bioethics in Latin America. It presents the main conceptual bases of intervention bioethics, a critical approach that has been developed as a reference point in this region, with the aim of analyzing (bio)ethical issues and indicating solutions that relate specifically to the different forms of social exclusion that influence the health conditions and lives of people in Brazil, as well as in other peripheral countries in the Southern Hemisphere and of the world in general. The article calls attention to some of the problems and challenges that the Brazilian public health system has been facing. An international agenda of “universal health coverage” is one of the main global threats to implementing the universal right to healthcare as it has been understood in Brazil.
An Archeology of Corruption in Medicine
Authors: LITTLE MILES , LIPWORTH WENDY , KERRIDGE IAN 
Published: May 2018

Abstract:Corruption is a word used loosely to describe many kinds of action that people find distasteful. We prefer to reserve it for the intentional misuse of the good offices of an established social entity for private benefit, posing as fair trading. The currency of corruption is not always material or financial. Moral corruption is all too familiar within churches and other ostensibly beneficent institutions, and it happens within medicine and the pharmaceutical industries. Corrupt behavior reduces trust, costs money, causes injustice, and arouses anger. Yet it persists, despite all efforts since the beginnings of societies. People who act corruptly may lack conscience and empathy in the same way as those with some personality disorders. Finding ways to prevent corruption from contaminating beneficent organizations is therefore likely to be frustratingly difficult. Transparency and accountability may go some way, but the determined corruptor is unlikely to feel constrained by moral and reporting requirements of this kind. Punishment and redress are complicated issues, unlikely to satisfy victims and society at large. Both perhaps should deal in the same currency—material or social—in which the corrupt dealing took place.
Posterior Cerebellar Volume and Executive Function in Young Adults With Congenital Heart Disease
Authors: Semmel Eric S. , Dotson Vonetta M. , Burns Thomas G. , Mahle William T. , King Tricia Z. 
Published: May 2018

AbstractObjectives:As the number of adolescents and young adults (AYAs) surviving congenital heart disease (CHD) grows, studies of long-term outcomes are needed. CHD research documents poor executive function (EF) and cerebellum (CB) abnormalities in children. We examined whether AYAs with CHD exhibit reduced EF and CB volumes. We hypothesized a double dissociation such that the posterior CB is related to EF while the anterior CB is related to motor function. We also investigated whether the CB contributes to EF above and beyond processing speed.Methods:Twenty-two AYAs with CHD and 22 matched healthy controls underwent magnetic resonance imaging and assessment of EF, processing speed, and motor function. Volumetric data were calculated using a cerebellar atlas (SUIT) developed for SPM. Group differences were compared withttests, relationships were tested with Pearson’s correlations and Fisher’s r to z transformation, and hierarchical regression was used to test the CB’s unique contributions to EF.Results:CHD patients had reduced CB total, lobular, and white matter volume (d=.52–.99) and poorer EF (d=.79–1.01) compared to controls. Significant correlations between the posterior CB and EF (r=.29–.48) were identified but there were no relationships between the anterior CB and motor function nor EF. The posterior CB predicted EF above and beyond processing speed (ps<.001).Conclusions:This study identified a relationship between the posterior CB and EF, which appears to be particularly important for inhibitory processes and abstract reasoning. The unique CB contribution to EF above and beyond processing speed alone warrants further study. (JINS, 2018,24, 939–948)
The validity of mid-upper arm circumference as an indicator of low BMI in population screening for undernutrition: a study among adult slum dwellers in eastern India
Authors: Das Priyanka , Khatun Argina , Bose Kaushik , Chakraborty Raja 
Published: May 2018

AbstractObjectiveTo explore the possibility for a statistically appropriate value of mid-upper arm circumference (MUAC) to identify the state of severe undernutrition, based on very low BMI, among adult Indian slum dwellers.DesignCross-sectional study on adults. Height and MUAC were recorded and BMI was computed. Chronic energy deficiency (CED) was determined using the WHO international guidelines as BMI<18·5 kg/m2and normal as BMI≥18·5 kg/m2. Besides calculating mean,sdand 25th, 50th and 75th percentile values, multiple linear regression analysis was undertaken to assess the associations between age, MUAC and BMI. Receiver-operating characteristic curve analysis was performed to determine the best MUAC cut-off to identify CED status. Theχ2test was used to assess significance of the difference in CED prevalence across MUAC categories.SettingAn urban slum in Midnapore town, West Bengal State, India.SubjectsMale (n467) and female (n488) Indian slum dwellers.ResultsMUAC of 22·7 and 21·9 cm, respectively, in males and females were the best cut-off points to differentiate CED from non-CED.ConclusionsResults supported the validity of the WHO-recommended MUAC cut-offs for adults. There is still a need to establish statistically appropriate MUAC cut-offs to predict undernutrition and morbidity.
Observations of Low‐Latitude Red Aurora in Mexico During the 1859 Carrington Geomagnetic Storm
Authors: González‐Esparza J. A. , Cuevas‐Cardona M. C. 
Published: May 2018

AbstractOne of the most intense geomagnetic storm that has been documented in recent history occurred on 1 September 1859. This storm is known as the Carrington Event. In the morning of 1 September at around 11:15 UT, Richard Carrington and Richard Hodgson observed in England, independently and for the first time, an intense white light solar flare. About 17 hr after this solar event, there occurred the strongest geomagnetic perturbation ever recorded as well as a greatly extended red aurora, which covered unusually at low latitudes. The red auroral display on 2 September was reported in regions where this kind of phenomena is very rare, like in Cuba and Hawaii. Until now however, it was not known to scientists that the low‐latitude red aurora is also registered in Mexico. At that time, Mexico was in a civil war, and there were very difficult conditions in where to establish astronomical and magnetic observatories. Nevertheless, the geomagnetic storm was observed with a maximum intensity between 7:00 and 8:00 UTC and was reported to a Mexican newspaper from five different locations (Mexico City, Querétaro, Guadalajara, Hidalgo, and Guanajuato) and registered also from at least in two additional sites (Michoacán and San Luis Potosí) in other historical documents. These records confirm that the Carrington geomagnetic storm was a global event with planetary repercussions, and that the Mexican low‐latitude region is susceptible to significant effects associated with intense space weather events.
Mechanisms of Earthquake‐Induced Chemical and Fluid Transport to Carbonate Groundwater Springs After Earthquakes
Authors: Rosen Michael R. , Binda Gilberto , Archer Claire , Pozzi Andrea , Michetti Alessandro M. , Noble Paula J. 
Published: May 2018

AbstractMechanisms by which hydrochemical changes occur after earthquakes are not well documented. We use the 2016–2017 central Italy seismic sequence, which caused notable hydrochemical transient variations in groundwater springs to address this topic, with special reference to effects on fractured carbonate aquifers. Hydrochemistry measured before and after the earthquakes at four springs at varying distances from the epicenters all showed immediate postmainshock peaks in trace element concentrations but little change in major elements. Most parameters returned to preearthquake values before the last events of the seismic sequence. The source of solutes, particularly trace elements, is longer residence time pore water stored in slow‐moving fractures or abandoned karstic flow paths. These fluids were expelled into the main flow paths after an increase in pore pressure, hydraulic conductivity, and shaking from coseismic aquifer stress. The weak response to the later earthquakes is explained by progressive depletion of high solute fluids as earlier shocks flushed out the stored fluids in the fractures. Spring δ13CDIC values closest to a deep magma source to the west became enriched relative to preearthquake values following the 24 August event. This enrichment indicates input from deeply sourced dissolved CO2 gas after dilation of specific fault conduits. Differences in carbon isotopic responses between springs are attributed to proximity to the deep gaseous CO2 source. Most of the transient chemical changes seen in the three fractured carbonate aquifers are attributed to local shaking and emptying of isolated pores and fractures and are not from rapid upward movement of deep fluids.