bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of a Social Media-Delivered Distance Learning Program on mhGAP Training Among Primary Care Providers in Jalisco, Mexico
Authors: López Jesús Alejandro Aldana , Sánchez María del Rocío Serrano , Venegas Nicolás Páez , Sánchez Ana Victoria Chávez , Bizarro Alicia Denisse Flores , Sierra Jorge Antonio Blanco , González Carlos Alejandro Jarero , Huerta Jaime Carmona 
Published: April 2024

Abstract

Background
The World Health Organization's (WHO) Mental Health Gap Action Programme (mhGAP) aims to provide evidence-based guidelines for the management of mental, neurological, and substance use disorders in non-specialized healthcare settings. However, implementing these guidelines remains a challenge due to various factors, including limited training opportunities for primary care providers. This study evaluated the effectiveness of a social media-delivered distance education intervention on the mhGAP guide, to overcome barriers of technology access and digital literacy, providing a familiar and accessible platform for primary care providers in Jalisco
Methods
A quasi-experimental study with a pre-test/post-test design was conducted. Primary care providers from Jalisco were invited to participate in a distance education program on the mhGAP intervention guide. The program consisted of online modules, webinars, and discussion forums facilitated by mental health experts. Knowledge assessments were conducted before and after the intervention using a validated questionnaire. Participant satisfaction and perceived utility were also evaluated through surveys and focus group discussions.
Results
A total of 1,096 primary care providers completed the program. The mean knowledge score significantly improved from 58.2% (SD = 12.8%) in the pre-test to 81.4% (SD = 9.6%) in the post-test (p < 0.001), with a large effect size (Cohen's d = 2.04). Subgroup analyses revealed consistent knowledge gains across different demographic and professional characteristics. Participant satisfaction was high, with 92% rating the program's overall quality as "good" or "excellent." Qualitative findings highlighted the benefits of accessibility, flexibility, interactivity, and practical applicability of the distance education approach.
Conclusions
The social media-delivered distance education intervention on the mhGAP-IG effectively improved the knowledge of primary care providers in Jalisco, Mexico. Participants reported high levels of satisfaction and perceived utility. This study demonstrates the potential of distance education strategies to disseminate evidence-based guidelines and enhance mental health service delivery in primary care settings, particularly in resource-limited areas.
Genomic diversity in Paenibacillus polymyxa: Unveiling distinct species groups and functional variability
Authors: Wallner Adrian , Antonielli Livio , Mesguida Ouiza , Rey Patrice , Compant Stéphane 
Published: April 2024

Abstract

Background
Paenibacillus polymyxa is a bacterial species of high interest, as suggested by the increased number of publications on its functions in the past years. Accordingly, the number of described strains and sequenced genomes is also on the rise. While functional diversity was repeatedly suggested for this species, the available genomic data is now sufficient for robust comparative genomics analyses.
Results
Using 157 genomes, we found significant disparities among strains currently affiliated to P. polymyxa. Multiple taxonomic groups were identified with conserved predicted functions putatively impacting their respective ecology. As strains of this species have been reported to exhibit considerable potential in agriculture, medicine, and bioremediation, it is preferable to clarify their taxonomic affiliation to facilitate reliable and durable approval as active ingredients.
Conclusions
Strains currently affiliated to P. polymyxa can be separated into two major species groups with differential potential in nitrogen fixation, plant interaction, secondary metabolism, and antimicrobial resistance, as inferred from genomic data.
Prevalence of Congenital Anomalies and Prenatal Diagnosis by Socioeconomic Level: Indicators of Inequality in Access to Elective Termination of Pregnancy for Fetal Anomalies
Authors: Brun Paloma , Groisman Boris , Bidondo María Paz , Barbero Pablo , Trotta Marianela , Liascovich Rosa 
Published: April 2024

Abstract
Congenital anomalies (CA) encompass all morphological or functional alterations originating prenatally and present at birth. The prenatal diagnosis of these anomalies can significantly impact the overall health of the pregnant individual and may influence her decision regarding the continuation of the pregnancy. In contexts where safe pregnancy termination is not guaranteed by the state, it can lead to unsafe procedures with severe consequences. In our research, we analyzed epidemiological information on CA to develop potential indicators of inequity in access to safe abortion prior to the legalization of legal termination of pregnancy in Argentina. We included cases from 13 public hospitals and 9 non-public subsector hospitals, from the period 2013–2020. Two groups of specific CA were selected: 1) CA capable of being prenatally diagnosed, and 2) CA related to vascular disruptive events. 10/18 of the selected CA capable of being prenatally diagnosed had a significantly higher prevalence in public hospitals (anencephaly, encephalocele, spina bifida, microcephaly, hydrocephalus, holoprosencephaly, hydranencephaly, diaphragmatic hernia, gastroschisis, bilateral renal agenesis). Non public hospitals had higher prenatal detection. Birth prevalence of CA related with vascular disruptive events (limb reduction, Moebius syndrome, amniotic band sequence) were significantly higher in public hospitals. These results suggest disparities in access to prenatal diagnosis and safe abortion based on socioeconomic status. There was a significant gap in access to prenatal diagnosis for CA and possibly to safe elective abortion across different socioeconomic strata.
Experimental Assessment of RC Frame Seismic Performance with Different Slab Types
Authors: Eissa Mahmoud , Celikag Murude 
Published: April 2024

Abstract

This research aims to investigate the effect of different slab types on RC frame behavior under lateral loads and compare their performance to the innovative composite slab with galvanized steel deck and a concrete plate supported by an RC frame. Unlike previous work concentrating on joint specimens, this study intends to explore the frame's global behavior in depth, aiming to contribute essential insights for improved seismic analysis and design practices in structural engineering. Cyclic loading and unloading have been used followed by a full load scenario to ensure the full failure of the specimens. The result of this study showed that the choice of slab significantly impacts the overall lateral behavior of RC frames, demonstrating a confined failure mode, predominantly joint shear failure rather than beam-column separation observed in bare frame specimens. The introduction of a composite slab with galvanized steel deck and a concrete plate resulted in reduced base shear and roof displacement compared to other slab types, showcasing enhanced ductility during cyclic loading. Despite its lower initial stiffness, the composite slab substantially sustains the RC frame's stiffness by directly constraining its deformation. Furthermore, the composite slab and joist floor specimens, exhibit superior capabilities in energy dissipation compared to solid slab. This heightened energy dissipation is attributed to the joist floor's internal ribs, facilitating enhanced global energy dissipation, complemented by the robust strength and elastic properties of the steel sheet within the composite slab.
Create Your Own Cabin - Connecting Multidisciplinary User Perspectives and a Future Rescue Helicopter Concept Within the Applied Xr Co-design Process
Authors: Reimer F. , Herzig J. , Lindlar M. , Weiand P. , Cornelje S. , Winkler L. , Biedermann J. , Nagel B. 
Published: April 2024

Abstract

The German air rescue and healthcare system is facing a number of changes and challenges, that require a rethink in the development of new rescue helicopter concepts. As part of its research activities, the German Aerospace Centre is, therefore, developing the concept of a medical deployment vehicle as part of a future and alternative rescue helicopter fleet. New economic, technical or performance-related framework conditions go hand in hand with necessary changes for the cabin interior and a large number of different user groups. In order to capture the large and diverse requirements spectrum and to translate them into future cabin interior concepts, a deep understanding and involvement of key user groups in the early design process is necessary. Human-centered design methods such as Co-Design offer a wide range of possibilities here. As part of Human-centered Design, the Co-Design approach is an important method, enabling the collaborative development of complex concept ideas among designers, end-users and various stakeholders. Through early and active involvement, Co-Design facilitates the incorporation of users' emotional factors and experiences with a product, enabling an iterative feedback and optimization process. This allows designers to gain an enhanced and quantifiable understanding of different user experiences and to create concepts from the perspective of the user and their context. Additionally, and merged with Co-Design, immersive technologies such as Extended Reality (XR) offer high potential to make future concepts feasible and to implement requirements and optimizations in real-time. In light of the diverse possibilities offered by combining the Co-Design approach and Extended Reality, this paper presents the applied XR Co-Design approach for the design of a future medical deployment vehicle cabin design concept. The methodological approach therefore follows two steps. First, to gain deeper insight into the experiences and requirements of different user groups in their professional context, an online survey was conducted. Using an informative online booklet, user groups were provided with an initial glimpse of the new concept and enabled to establish a connection between the novel concept and their own requirements. In the second part, an immersive Co-Design workshop allowed user groups to develop their own creative ideas and translate them using virtual reality and a digital prototype. The presented XR Co-Design approach demonstrates an effective method for developing complex cabin interior concepts and offers versatile application points for transferring the method to other transportation concepts of the future. At the same time, the workshop results provide a precise and human-centered basis for the detailed design of a digital medical deployment vehicle concept for the future.
Characteristics and Management Effectiveness of Prediabetic Patients in Vinmec Times City International Hospital, Vietnam: A Retrospective Observational Study
Authors: Trinh Duong , Trinh Anh , Nguyen Dinh 
Published: April 2024

Abstract

Background
Prediabetes is a global health concern, the American Diabetes Association (ADA) guidelines for prediabetes was adopted worldwide, however, implementing these guidelines and their outcomes vary based on regions and ethnic backgrounds. This study aims to address the gap in research regarding the management efficiency of prediabetic patients in a hospital in Vietnam.
Method
The study included 418 prediabetic patients who visited Vinmec Times City Hospital in Vietnam from June 2020 to June 2022. The data was collected from detailed medical records to describe the characteristics of prediabetic patients and evaluate the management effectiveness of these patients.
Results
The average age of the participants was 53 years, with a balanced sex distribution. The mean BMI of our population was 24.4 kg/m². Dyslipidemia was significantly common (92.7%), other comorbidities and complications had lower rates. Weight loss was challenging with 10.5% achieved 5% weight loss. 7.6% developed diabetes in one year and the same number achieved remission. Lipid panel improved significantly, still, only 18.5% achieved Low-density lipoprotein (LDL-C) goal. Baseline high fasting blood glucose (FBG) and HbA1C were associated with a higher risk of developing diabetes.
Conclusion
This study provides insights into the characteristics of prediabetic patients and the effectiveness of their management at Vinmec Times City Hospital in Vietnam. It highlights the need for a well-designed lifestyle change program and enhanced dyslipidemia management.
Changes of Physical and Mechanical Parameters of Grounds by Adding of Colemanite and Recycled Ceramics in Poorly Graded Sands
Authors: Dinc Beste Kocak , Dehghanian Kaveh , Etminan Ehsan 
Published: April 2024

Abstract

The aim of this study is to provide an alternative solution to ground improvement methods by using natural additive Boron, and recycled Ceramics in order to increase the strength of fine-grained sands and determine their physical and mechanical behaviors and implement sustainable and naturebased rehabilitation methods. In the study, clean angular sand samples were used as a base material. As an additive, boron derivative Colemanite and shells of recycled Ceramics were used. Those additive materials were added to the base material at rates of 5%, 10% and 15% based on the dry weights. Afterwards, 6 new mixed soil types were produced for the examinations. Atterberg limits, void ratio, specific gravity, unit volume weight, compaction and permeability tests were carried out on these samples. Regarding the comparison of the test results, Colemanite and sand mixtures reduce the permeability and void ratio significantly compared to Ceramic and Sand mixtures while increasing the compactness. It has been determined that the mechanical performance of Ceramic mixture sands has positive trend compared to the reference sand which has no additive. It is recommended to use both additives in 15% combination with sandy soil to set optimum results. This paper represents the findings from the laboratory research with particular emphasis on the use of mentioned alternative materials that provide more strengthened soils which result in economic benefits as well as reduced environmental impacts.
Clinical Safety and Feasibility of Minimally Invasive Colectomy Under Neuraxial Anesthesia in Frail Patients. An Initial Single Institution Experience.
Authors: Carannante Filippo , Miacci Valentina , Melone Gennaro , Ricciardi Renato , Citriniti Vincenzo , D'Agostino Fausto , Carassiti Massimiliano , Pascarella Giuseppe , Costa Gianluca , Caricato Marco , Capolupo Gabriella Teresa 
Published: April 2024

Abstract

Introduction.
General anesthesia is the most widely used anesthesia technique for major abdominal surgery, but it may have longer recovery time, high cost and environmental impact. In addition, general anesthesia may be contraindicated in some frail patients. Our study aims to evaluate the feasibility and safety of performing colorectal surgery with minimally invasive technique, in frail patients, under spinal anesthesia. Then we compared this group of patients with a retrospective one, performing a propensity score match analysis.
Materials and methods.
From June 2021, 19 consecutive frail patients, undergoing elective laparoscopic colorectal oncological resection surgery under neuraxial anesthesia at Colorectal Surgery Unit of the Fondazione Policlinico Campus Bio-Medico in Rome were selected. A retrospective database prospectively maintained of these patients was performed.
Results.
We enrolled 17 patients. In all patients, the surgery was successfully completed under spinal anesthesia and laparoscopic technique. Some the patients experienced mild abdominal pain between I and II GPO (VAS between 3 and 5) treated with oral analgesics as needed. No patients experienced episodes of vomiting or nausea after surgery with gas channeling in I GPO. The average hospital stay was about 4 days (range 3–7). No patient required ICU admission, and 30 mortality was 0.
Conclusions.
Our preliminary data show that performing major surgery with minimally invasive technique under spinal anesthesia can be feasible and safe, if performed by experienced operators, and can be a viable alternative for the treatment of frail and/or high-risk patients.
Accreditation of medical education in Brazil: An evaluation of seventy-six medical schools
Authors: Tempski Patricia , Girotto Leticia C. , Brenelli Sigisfredo , Giamberardino Donizeti D. , Martins Milton A. 
Published: April 2024

Abstract

Background
We present the first results of the Accreditation System of Medical Schools (Sistema de Acreditação de Escolas Médicas – SAEME) in Brazil.
Methods
We evaluated the results of the accreditation of medical schools from 2015 to 2023. The self-evaluation form of the SAEME is specific for medical education programs and has eighty domains, which results in final decisions that are sufficient or insufficient for each domain. We evaluated the results of the first seventy-six medical schools evaluated by the SAEME.
Results
Fifty-five medical schools (72.4%) were accredited, and 21 (27.6%) were not. Seventy-two (94.7%) medical schools were considered sufficient in social accountability, 93.4% in integration with the family health program, 75.0% in faculty development programs and 78.9% in environmental sustainability. There was an emphasis on SAEME in student well-being, with seventeen domains in this area, and 71.7% of these domains were sufficient. The areas with the lowest levels of sufficiency were interprofessional education, mentoring programs, student assessment and weekly distribution of educational activities.
Conclusion
Medical schools in Brazil are strongly committed to social accountability, integration with the national health system, environmental sustainability and student well-being programs. SAEMEs are moving from episodic evaluations of medical schools to continuous quality improvement policies.
A sustainable production inventory model for two deteriorating complementary products under preservation technology and carbon cap regulation
Authors: Haque Rakibul , Pervin Magfura , Mondal Sankar Prasad 
Published: April 2024

Abstract
Complementary items are very important for any business organization because it can increase the sells as well as profit of the company. Bundle item together can attract the customers. So, a sustainable production inventory system for two deteriorating complementary items is designed for optimal lot sizing and optimal number of deliveries for both decentralised and centralised supply chain coordination. To protect items from deterioration, both the supply chain members applied the technology for preservation. Carbon (mainly carbon dioxide) emits from various inventory operations such as production, setting up, holding. In this production supply chain, carbon cap-and-trade policy is used to lessen that emission. Due to market demand fluctuation, retailer may face shortages and based on these, two models for the retailer are designed for zero ending case and shortage case. Consumer waiting time dependent partially backlogging shortage are applied to the cover the shortage for the case of the retailer. Here, the manufacturer generates the entire production batch in a single operation but distributes it to the retailer in multiple shipments of fixed quantities at constant time intervals. The effect of decision variables on profit function for both centralized and decentralized system are derived. Finally, numerical explanations are illustrated to find the impact of carbon emission in different pricing systems. It is concluded from the numerical results that the profit function is totally dependent on degree of complementarity of the product. Sensitivity analysis is performed to find the stability of the proposed model.
A homochiral hexagadolinium phosphonate cluster with a large magnetocaloric effect
Authors: Qian Qing-Qing , Huang Jian , Jia Jia-Ge , Wu Qiong , Ren Min , Zheng Li-Min 
Published: April 2024

Abstract
A homochiral hexagadolinium phosphonate cluster designated as R/S-[Gd6(pmhpH)8(NO3)2(H2O)8]·19H2O (R/S-1) was successfully obtained and analyzed using single crystal X-ray diffraction crystallography, IR spectrum, TG analysis and magnetic testing. The cluster, shaped like a lantern, is constructed from {GdO8} polyhedra and {PO3C} tetrahedra surrounded by eight pmhpH2- ligands. Within the structure, two types of gadolinium ions with different coordination modes are observed. Each Gd(III) ion is bound to two carboxylate oxygens and six phosphonate oxygens from the coordinated pmhpH2- ligands. Circular dichroism spectra comfirmed that R/S-1 exists as a pair of enantiomers. Moreover, the cluster exhibits high thermal stability, decomposing at temperatures exceeding 335°C. Notably, the magnetic measurements revealed that compound R-1 exhibits a good magnetocaloric effect (MCE) with a maximum entropy change of − ΔSmmax =36.84 Jkg− 1 K− 1 at T = 2K and ΔH = 7 T.
Covariate Shocks, Women’s Bargaining Power, and Household Vulnerability
Authors: Pandey Vivek , Nagarajan Hari , Singh Harpreet , Kumar Deepak 
Published: April 2024

Abstract
Can increased women’s relative bargaining power within households improve household-level resilience to large scale covariate shocks? Evidence from a recent pandemic suggests that enabling women to access market-linked-value-chains significantly increases their relative bargaining power within households. In this paper we estimate the extent to which a given stock of market-enabled-relative bargaining power of women influenced the resilience of rural households to the covariate shock. We utilize a unique data-generating process that combines data from two rounds of household surveys with the data from a laboratory experiment that was conducted with both the spouses in rural dairy households. Evidence from the shift-share instrumental variable approach shows that a unit improvement in women’s bargaining power led to a 3.82 per cent reduction in the vulnerability of households to food poverty during the pandemic. The paper also models the role of food and nutrition decisions as pathways to reducing household vulnerability to food poverty during the shock.
JEL Codes: C36; I38