bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implications of sex offender classification on reporting demographic characteristics, health, and criminal careers: Results from an Australia jurisdiction
Authors: Gullotta Mathew , Greenberg David M , Adily Armita , Cale Jesse , Butler Tony G 
Published: September 2019

Abstract
Background: Using cross-sectional and retrospective data to classify sex offenders has implications for epidemiological and survey research. However, there is little empirical evidence regarding the practical implications of these for applied research. This study describes the data linkage process and subsequent classification of sex offenders in a cohort of prisoners recruited as part of an Australian inmate health survey.
Methods: Data linkage was used to link the New South Wales (NSW) Inmate Health Surveys to the state’s offending database to identify men with histories of sexual offending. Sex offenders were classified into men who sexually offended against children only (ChildSOs), against adults only (AdultSOs), and men who sexually offended against both children and adults (PolySOs).
Results: By using historical offending data rather than the current offence information only, an additional 35.4% of men were identified who had histories of sexual offences. Differences were found between the sex offender subgroups in terms of demographic characteristics, health, and criminal careers. PolySOs were the least likely to report less than high school education, self-employment, being single, and children. Half the ChildSOs reported a mental health issue and, similarly to PolySOs, half reported four or more chronic health conditions. In terms of their criminal careers, PolySOs were the eldest when committing their first: non-sexual, non-violent crime (M=43.2 years, SD=13.8); violent crime (M=39.5 years, SD=11.1); and sexual crime (M=47.8 years, SD=11.2) compared to the other groups. These men also committed more sexual offences (M=5.91, SD=11.2) compared to those who only offended against one victim age group.
Conclusion: These findings suggested that whenever possible historical offending records should be used to more accurately identify sex offenders, and that differences in demographic, health, and criminal careers exist for the different sex offender subgroups.

Keywords: adult sex offender, child sex offender, classification, data linkage, health, polymorphous, specialisation.
Feasibility of audio-recording consultations with pregnant Australian Indigenous women to assess use of smoking cessation behaviour change techniques
Authors: Bar-Zeev Yael , Skelton Eliza , Bovill Michelle , Gruppetta Maree , Bonevski Billie , Gould Gillian 
Published: September 2019

Abstract
Abstract

Background Behavioural counselling is an effective method to improve smoking cessation rates during pregnancy. It is not always clear whether counselling is delivered as per guidelines. Audio-recordings of consultations have been used previously to assess fidelity of the intervention delivered. This has been performed mainly in specialized smoking cessation services for the general population. This study aimed to assess the feasibility of audio-recording smoking cessation counselling between health providers and pregnant women as part of an intervention in Aboriginal primary care settings. A secondary aim was to explore the number and type of behaviour change techniques delivered.

Methods A nested feasibility study within a larger intervention trial in six Aboriginal Medical Services. Recruited health providers and pregnant women were asked to agree or decline audio-recording their smoking cessation related consultations, pre and post intervention. Data collected included percentage providing consent to audio-recording; number of recordings performed, type of health provider performing the consultation, and date (pre/post intervention). Transcribed recordings were coded by two researchers. At the end of the trial, interviews were conducted to assess the acceptability of the study. Data relevant to the audio-recordings was extracted.

Results Two services provided seven recordings, all pre-intervention. Of 22 recruited women, 14 consented to being audio-recorded (64%) and five provided recordings; of 23 recruited health providers, 16 agreed (69%), and two provided recordings. Qualitative data suggest health providers found audio-recording difficult to remember. Health providers spend two minutes discussing smoking (range 00:47-03:47 minutes), and used few behaviour change techniques for each consultation (average 4 behaviour change techniques, range 2-8).

Conclusions Audio-recordings of smoking related counselling were not feasible as planned. Future research will need to explore acceptable methods to assess behaviour change techniques use in primary care, and specifically in Aboriginal health services.

Trial registration: ACTRN 12616001603404
Improving the participation of adults with visual and severe or profound intellectual disabilities: A process evaluation of a new intervention
Authors: Hanzen Gineke , Nispen Ruth M.A. van , Vlaskamp Carla , Korevaar Eliza L. , Waninge Aly , Putten Annette A.J. van der 
Published: September 2019

Abstract
Background While the participation of adults with visual and severe or profound intellectual disabilities (VSPID) in society and community life is important, evidence-based interventions for improve their participation are lacking. We conducted a process evaluation of the implementation of ‘Care for Participation+’ (CFP+), a new intervention targeting the attitudes of direct support professionals (DSPs) toward the participation of adults with VSPID, within a residential facility in the Netherlands. Methods CFP+ was inspired by the Boston Psychiatric Rehabilitation Approach and adapted by adopting a new definition and operationalization of the concept of participation for adults with VSPID. Following systematic training, DSPs of adults with VSPID are able to apply key elements of CFP+ to explore diverse roles and activities for this population, facilitating their self-management, teaching them necessary skills for participation, and organizing support. Our process evaluation entailed an investigation of the delivered dose, reach, fidelity, and adaptation of CFP+ during and after the CFP+ intervention. We also evaluated the mechanisms of impact and context using questionnaires, assignments, documentation, interviews, and a logbook. Results An assessment of the mechanisms of impact indicated that assignments of CFP+ were well (75%) or reasonably well (17%) understood by DSPs. CFP+ was applied by DSPs to stimulate self-management (83% of DSPs), new activities (100%), enhanced involvement in existing activities (67%) and to explore new roles (50%) for adults with VSPID. These results were obtained despite the fact that the intended dose, reach, and fidelity relating to the implementation of CFP+ were not achieved. A negative contextual factor mentioned by the trainer and manager was the DSPs’ lack of commitment to the training program. Another negative contextual factor mentioned by DSPs was the lack of time for implementing CFP+.Conclusions CFP+ provides new opportunities to improve the participation of adults with VSPID. Despite the nonoptimal conditions for implementing CFP+ and the DSPs’ general reluctance to apply the new intervention, some have actively used CFP+ within the residential facility. Future studies should focus on the outcomes of CFP+ regarding attitudinal changes among DSPs relating to the participation of adults with VSPID and their quality of life.
Correlates of health care access problems among reproductive age women in Ethiopia: In-depth analysis of 2016 Ethiopia demographic Health Survey
Authors: Tamirat koku , Tessema Zemenu Tadesse , Kebede Fentahun Bikale 
Published: September 2019

Abstract
Background Health care access is timely use of personal health services to achieve best health outcomes. Difficulties to access health care among reproductive age women may led to different negative health outcomes to death and disability. Therefore, this study aimed to assess factors associated with problems of accessing health care among reproductive age women in Ethiopia.Method This study was based on 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of problem of accessing health care were created from four questions used to rate problem of accessing health care among reproductive age women. Generalized estimating equation (GEE) model was fitted to identify factors associated with problem of accessing health care. Crude and Adjusted odds ratio with a 95%CI computed to assess the strength of association between independent and outcome variables.Result In this study the magnitude of problem in accessing health care among reproductive age women was 69.9% of with 95%CI (69.3 to 70.7). Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), women age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), married/live together (AOR= 0.72, 95%CI: 0.64 to 0.81), had health insurance coverage (AOR=0.83, 95%CI: 0.70 to 0.95), wealth index [middle (AOR=0.75,95%CI: 0.66 to 0.85) and rich (AOR=0.47,95%CI:0.42 to 0.53)], primary education(AOR= 0.80, 95%CI: 0.73 to 0.88), secondary education (AOR= 0.57, 95%CI:0.50 to 0.64) and diploma and higher education (AOR= 0.43, 95%CI: 0.37 to 0.50) were factors associated with problem of health care access among reproductive age women.Conclusion Despite better coverage of health system, problems of health care access among reproductive age women were considerably high. Health insurance coverage, middle and rich wealth, primary and above educational level were negatively associated with problems health care access. In contrast, older age and rural residence were positively associated with problems of health care access among reproductive age women. This suggests that further interventions are necessary to increase universal reproductive health care access for the achievement of sustainable development goals.
Construction situation, costs and charges associated with pharmacy intravenous admixture services: Multi-center cross-sectional survey based on 137 medical institutions in mainland China
Authors: yang chunsong , kang bingyao , zhang lingli , yu dan 
Published: September 2019

Abstract
Background: To investigate the construction situation, costs and charges associated with pharmacy intravenous admixture services (PIVAS) to provide references for the construction and development of PIVAS in mainland China.
Methods: A multi-center cross-sectional survey was conducted via a WeChat Group targeting PIVAS leaders in hospitals to investigate the basic situation of PIVAS, including opening time, area, number of PIVAS, equipment, management mode, PIVAS costs and charges, as well as numbers of beds, open wards, and staff, and analyze differences in PIVAS construction at different provincial and hospital levels.
Results: 137 questionnaires were collected from 29 provinces, representing a response rate of 99.3%. Most participants (88.4%) were from Level III Hospitals. The number of years of operations of PIVAS ranged from 1 to 22 (median: 6). PIVAS site area ranged between 100 and 1973 m2; daily average infusion volume was concentrated in the ranges 0-1000 bags (29.9%, 41/137) and 1001-2000 bags (26.3%, 36/137). In terms of PIVAS management mode, the vast majority used separate pharmacy management (65.0%, 89/137). Only 52.6% (72/137) of PIVAS have standardized charges, and 70.1% (96/137) operate at a loss. The median costs of mixed tumor chemotherapy drugs, total parenteral nutrition, general medicine, antibiotics were 20, 35, 4 and 5 RMB, respectively. With the exception of a few features, PIVAS construction does not obviously differ among different regions and hospital levels.
Conclusions: In recent years, PIVAS in China has developed rapidly and become relatively large. The main problems are that most provinces lack standards for charges and PIVAS construction differs among hospitals. Therefore, standards for PIVAS construction and charges should be developed to provide a reference for the future development of PIVAS.
Risk factors for systemic thromboembolism after left chamber cardiac thrombi --- A retrospective multi-center study
Authors: zhou wei , Shi Shun-yi , Ji Yuan , Chen Xin , Huang Jun , Yang Song , Sun Jian-hui , Huang Shenglan 
Published: September 2019

Abstract
Background : We aimed to characterize the independent predictors of systemic thromboembolism (ST) after left chamber thrombi.
Methods: A retrospective analysis on the medical records of 175 patients diagnosed with left chamber thrombi by transthoracic echocardiography (TTE) at three centers were carried out. Multivariate logistic regression was performed to determine the relationship of each characteristic with ST. Multivariate Cox proportional survival analysis was conducted, with covariate adjustments, to identify predictors of all-cause mortality.
Results: During a median 42 months of follow-up (25th–75th percentile: 20–62 months), 24 (13.7%) patients had ST, and 62 (35.4%) died. History of diabetes and thrombus mobility were independent predictors of ST (P = 0.003, P = 0.02, respectively). There was a significant association between abnormal ejection fraction (EF) and all-cause mortality (P = 0.003). Conclusions: The morbidity associated with ST and the increased risk for mortality associated with left chamber cardiac thrombi relates to medical history, thrombus state, and diminished heart function.
Value of exercise stress electrocardiography for stratification of exercise capacity and left ventricular systolic and diastolic function on coronary slow flow: Case-control study
Authors: Wang Yonghuai , Li Jinyang , Liu Shuang , Mu Lixin , Li Guangyuan , Yu Hang , Yang Jun , Ma Chun-yan 
Published: September 2019

Abstract
Background Coronary slow flow phenomenon (CSFP) is an angiographic entity characterized by delayed coronary opacification in absence of evident obstructive lesion in the epicardial coronary artery. However, whether patients with CSFP exhibit differing responses to exercise is still not known. This study aimed to evaluate results of exercise stress electrocardiography (ExECG) and left ventricular (LV) function during exercise, and study the value of ExECG for stratification of exercise capacity and LV function in patients with CSFP.Methods Thirty patients with CSFP and 24 controls were enrolled in the study. Diagnosis of CSFP was made by Thrombolysis in Myocardial Infarction frame count. ExECG and LV function measured by echocardiography at rest, during exercise and recovery phase were evaluated.Results Negative ExECG was found in 24 (80%) patients with CSFP. At rest, LV global longitudinal strain (GLS) decreased and mitral average E/e’ increased in patients with CSFP compared with controls; however, there were no differences in these parameters between CSFP patients with negative ExECG and patients with positive ExECG. During exercise, CSFP patients with negative ExECG and controls had significantly increased LV GLS and decreased mitral average E/e’, but CSFP patients with positive ExECG had significantly decreased LV GLS and increased mitral average E/e’.Conclusions About 80% patients with CSFP exhibited negative ExECG. CSFP patients with negative ExECG exhibited improved LV function but CSFP patients with positive ExECG exhibited impaired LV function during exercise. ExECG may aid in the stratification of exercise capacity and LV function in patients with CSFP.
Loss of ASXL1 protein is associated with lymph node metastasis in colorectal cancer
Authors: Lee Jun Ho , Lee Ju-Hee , Ahn Byung Kyu , Paik Seung Sam , Kim Hyunsung , Lee Kang Hong 
Published: September 2019

Abstract
Background The function of ASXL1 protein in colorectal cancer has not been investigated yet. The purpose of this study was to investigate the clinicopathological and prognostic impact of ASXL1 protein expression on colorectal cancer.Methods We performed immunohistochemical staining of ASXL1 protein using tissue microarrays of 408 colorectal cancers, 46 normal colonic mucosae, 48 adenomas, and 92 metastatic lymph nodes. The intensity of expression was scored as 0–3, and the extent of staining was scored as 0–4, based on the percentage of positive cells. The immunoreactivity score (IRS) was calculated by multiplying the two scores.Results ASXL1 protein expression rates were 89.1% in normal mucosae, 72.9% in tubular adenomas, 44.4% in adenocarcinomas, and 28.3% in metastatic lymph nodes ( p < 0.001). With respect to the IRS cut-off score, the mean tumor size was smaller in the IRS 0–6 group than in the IRS 8–12 group (4.9 ± 2.1 vs. 6.3 ± 2.7 cm, p = 0.002). Lymph node metastasis was more frequent in the IRS 0–6 group than in the IRS 8–12 group (56.3% vs. 33.3%, p = 0.034). Lymphatic invasion was more frequent in the 0–6 group than in the IRS 8–12 group (56.0% vs. 33.3%, p = 0.035). The 5-year disease-free survival rate did not differ between two groups at stage II and stage III.Conclusions ASXL1 protein might act as a tumor suppressor in colorectal cancer. The loss of ASXL1 expression might be associated with metastasis via the lymphatic system to the lymph nodes.
A feasibility study of a WhatsApp-delivered transtheoretical model-based intervention to promote healthy eating knowledge and habits for firefighters in Hong Kong: A cluster randomized controlled trial
Authors: NG Winnie WM , Cheung Kin 
Published: September 2019

Abstract
Background Firefighters’ health is affected by a high prevalence of obesity and cardiovascular diseases, which are common risk factors for sudden cardiac death. The aim of this study was to investigate the feasibility of enhancing healthy eating habits and knowledge in firefighters through an education programme.Method This will be a cluster randomized control trial study. The participants will be assigned randomly into either control (health promotion pamphlet) or intervention (health promotion pamphlet and education materials through WhatsApp) groups. Changes in healthy eating habits and knowledge will be assessed by a self-administrative questionnaire and anthropometric measurements at three different time points.Discussion More education is required in order to improve firefighters’ eating habits and knowledge.
Comparison of sinew-strengthening exercise with cognitive-behavioral therapy for chronic nonspecific low back pain: protocol for a randomized controlled clinical trial
Authors: Peng Peng , Zhao Ye , Zhang Chengzhe , Shen Zhibi , Yuan Weian , Zhan Hongsheng 
Published: September 2019

Abstract
Background Chronic low back pain is a common disease in clinic. The prevention and treatment of this disease requires a great deal of medical care resources, which is now the third medical economic burden in China. Although non-steroidal analgesics have been shown to be effective for chronic low back pain, considering the obvious side effects of these drugs, more and more patients are inclined to employ non-drug therapies. Typical examples are exercise therapy and cognitive-behavioral therapy (CBT). Exercise therapy of traditional Chinese medicine is an important part of non-drug therapy in China, such as sinew-strengthening exercise (SSE). Originating from traditional Chinese medicine exercise therapy, it has long been used for the prevention and treatment of chronic low back pain in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (SGH), but it has not been validated by clinical trials. In this trial, we will seek to determine whether SSE is an effective and safe treatment option for persons with chronic nonspecific low back pain (CNLBP) by comparing it with CBT and explore a new method to CNLBP.Methods/Design In this trial, we will randomize 480 adults with nonspecific chronic back pain to CBT and SSE arms (240 per group). Participants in both groups will be followed for 52 weeks after randomization with home practice. Interviewers will assess outcomes 4, 8, 26 and 52 weeks postrandomization. The primary outcome will be Roland-Morris Disability Questionnaire (RMDQ) with 26-week follow-up being the primary endpoint.Discussion If SSE is found to be an effective treatment option for patients with chronic back pain, it will become a meritorious addition to the current limited treatment approaches available to patients with significant psychosocial contributors to their pain.
Changes in body composition with a hypocaloric diet combined with sedentary, moderate and high-intense physical activity: a randomized controlled trial.
Authors: Hernández-Reyes Alberto , Cámara-Martos Fernando , Molina-Luque Rafael , Romero-Saldaña Manuel , Molina-Recio Guillermo , Moreno-Rojas Rafael 
Published: September 2019

Abstract
Background There is evidence showing the effectiveness of a hypocaloric diet and the increase in physical activity on weight loss. However, the combined role of these factors, not only on weight loss but also body composition, remains unclear. The purpose of this study was to investigate the effect of hypocaloric diet on the body composition of obese adult women when different degrees of physical activity are trained during a weight loss program. Methods One hundred and seventeen healthy female volunteers were randomly assigned to 1 of 3 one of the experimental groups: a control group with a low-level prescription of physical activity (1-4 METs), moderate physical activity group that performed 10.000 steps walking (5-8 METs) and intense physical activity group that trained exercises by at least 70% of VO2max three times a week (>8 METs). All subjects followed a hypocaloric diet designed with a reduction of 500 kcal/day. Nutritional counseling was provided throughout the study period to help ensure dietary adherence. Results No differences in body weight were found when compared moderate and intense physical activity (ß stand. = -0.138 vs ß stand. = -0.139). Body fat was lower in women following an intense activity (ß stand. = -0.436) than those with moderate exercise (ß stand. = -0.231). Intense activity also increased muscle mass at the end of the intervention, standing out above the moderate activity (ß stand. = 0.182 vs. ß stand. = 0.008). Conclusions These findings indicate that hypocaloric diet, without prescription of physical activity, is effective to lose weight, in the short term (12 weeks) but Physical activity is the working target to modify the body composition in women with obesity. Body fat was lower when women practiced a moderate exercise compared to hypocaloric diet only, but an intense physical activity was the most effective protocol to obtain a reduction of body fat and maintain muscle mass. Trial registration Trial registration: ClinicalTrial.gov, NCT03833791. Registered 1 January 2019 - Retrospectively registered.