bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing Transitions of Care Services in a Primary Care Clinic: Role of the Pharmacist
Authors: Axtell Sandra , Nixon Bianca 
Published: March 2023

Introduction Pharmacists in primary care clinics improve medication adherence and reduce medication errors but these require further investigation to determine its potential impact on health care readmission rates. Methods: This review assessed the addition of a clinical pharmacist to the primary care provider’s transitions of care appointment. The primary outcome of this review was the change in acute health care encounters (hospital readmissions and/or Emergency Department visits) in the 6-month period before to the 6 months following initial clinical pharmacist intervention. Each patient served as their own control. Secondary outcomes included the number and types of pharmacist interventions, percentage of pharmacist recommendations accepted, number and categories of drug-related problems (DRPs), nonadherence reasons, 30-day hospital readmission rate, 30-day Emergency Department (ED) rate, time to first hospital readmission, time to first ED readmission, and preventable readmission rate. Results: The total number of combined acute health care encounters in 6 months decreased by 15% from 280 at baseline to 238 after pharmacist intervention ( P = .087) for the 206 patients included in the final analysis. The 30-day hospital readmission rate was 9.7% and the median time between first hospital readmission was 54.5 days (IQR 63.5). We identified a total number of 310 DRPs with a mean of 1.5 DRPs (SD 1.3) identified per patient. The providers accepted 88% of the pharmacists’ recommendations. Conclusions: Clinical pharmacists embedded in a primary care setting demonstrated improved patient care during transitions of care by identifying and resolving drug-related problems, with a trend in decreasing acute health care utilization.
Prevalence of Mycoplasma genitalium infection with antimicrobial resistance mutations among gay sex workers in China
Authors: Wang Lixin , Li Zhi , Wan Chuan , Tian Xuanxuan , Liu Hongye , Li Yang 
Published: March 2023

Background Gay sex workers (GSWs) within the population of men who have sex with men in China are known as money boys (MBs). Limited research has been conducted to investigate the infection rate and antimicrobial resistance of Mycoplasma genitalium ( M. genitalium) among GSWs in China. This study aimed to evaluate the status of M. genitalium infection among in GSWs. Methods This study was performed among 349 GSWs who were followed up for four years by internet-based sampling collection. The participants were asked to complete an online questionnaire using a mobile app, and trained interviewers took urethral, anorectal, and saliva swab specimens. STIs, including HIV and M. genitalium, were detected. Detection of resistance-associated mutations (RAMs) to macrolides and fluoroquinolones was performed via Sanger sequencing of the 23S rRNA, parC and gyrA genes. Results GSWs were enrolled by identifying 10 initial “seeds” from the Blued and WeChat apps. Face-to-face interviews were conducted with 349 GSWs from June 2017 to July 2021. The prevalence of M. genitalium and HIV positivity was 92/349 (26.4%, 95% confidence interval [CI] 21.7–31.0) and 71/349 (20.3%, 95% CI 16.3-24.4), respectively. The proportion of GSWs with M. genitalium infection alone in urethral swabs was 16, and the proportion with symptoms was 2/16 (12.5%). The proportion of GSWs with M. genitalium infection alone in anorectal swabs was 36, and the proportion with symptoms was 3/36 (8.3%). Multivariate regression analysis showed that using new types of drugs in the past 3 months and inconsistent condom usage with clients in the past 30 days were associated with M. genitalium infection. Macrolide resistance within the 23S rRNA gene was detected in 73/88 (83.0%) of the M. genitalium-positive GSWs. Moreover, 79.8% (71/89) of parC and 21.1% (19/90) of gyrA genes had mutations responsible for fluoroquinolone resistance. Three cases had no mutations in any of the three genes, 11 cases had mutations in all three genes, five cases had gyrA and parC gene mutations with no mutation in the 23S rRNA gene, and 42 cases had 23S rRNA and parC gene mutations with no mutation in the gyrA gene. Conclusion M. genitalium infections in our study displayed a high prevalence and very high levels of macrolide and fluoroquinolone resistance among GSWs in China. Asymptomatic M. genitalium infections are quite common among GSWs. Routine resistance testing of M. genitalium-positive specimens and antimicrobial resistance surveillance are crucial.
Parametric and economic analysis of condensing heat exchanger combined with organic rankine cycle for heat and water recovery from boiler flue gas
Authors: Ghamati Erfan , Roudaki Javad M 
Published: March 2023

This study concerns with heat and water recovery from the flue gas of a natural gas-fired thermal power plant. A combined system of condensing heat exchanger (CHE) and Organic Rankine Cycle (ORC) is proposed. The CHE acts as the super-heater of the ORC. The flue gas enters to the CHE with a temperature of 160 [Formula: see text] and is cooled to under the water vapor dew point temperature and leads to water vapor condensation, therefore latent and sensible heat are recovered. The condensed water is used as cooling tower make-up water. The ORC refrigerant enters to the CHE as a saturated vapor and is superheated by the recovered heat. In order to achieve the best ORC performance and highest water recovery simultaneously, parametric analysis was done in terms of evaporator and superheating temperature. It was found that by increasing evaporator and superheating temperature, the efficiency and generated power of the ORC increase, although water recovery decreases. Also an increase in evaporator and superheating temperature raises the heat transfer area of CHE, particularly in the non-condensing zone. Therefore to find the optimum evaporation temperature an economic analysis based on NPV method was done and 43°C was determined as the optimum evaporation temperature. Considering this condition, flue gas enters the CHE with a temperature of 160°C and leaves it with a temperature of 57.85°C, and on the other side, the refrigerant enters it in a saturated state and leaves it with a temperature of 75°C. The total area of the CHE is about 39,490 m2. The amount of recovered water is 36.78 kg/s, which saves 34.2 % of the make-up water consumption. Also, the production power of the ORC-CHE was calculated as 24.12 MW and the additional power produced by ORC-CHE compared with bare ORC is 3.97 MW.
Potato Alkaloids α-Solanine and α-Chaconine Promote bFGF and VEGF Expression in Vein and Adjacent Tissues in the Rabbit Model of Phlebitis
Authors: Zhou Chunxiu , Chen Enliang , Jiang Daquan , Wang Nan 
Published: March 2023

Objectives: To investigate the therapeutic effect of mashed potato and its alkaloids α-solanine and α-chaconine on basic fibroblast growth factor (bFGF) and vascular endothelial growth factor (VEGF) expression in ear venous vessels and adjacent tissues in a rabbit model of phlebitis. Materials and Methods: Japanese white rabbits were randomly allocated into control, vaseline cream (model), magnesium sulfate, mashed potato, α-solanine cream 100 mg/kg or 200 mg/kg, and α-chaconine cream 100 mg/kg or 200 mg/kg groups. The phlebitis model was established by intravenous infusion of vincristine in the rabbit ears. Group A received physiological saline. Group B−F was applied treatment 3 times/day, for 2 days along the ears vein. The alkaloid contents in α-solanine and α-chaconine were analyzed with HPLC. The bFGF, protein kinase C alpha (PKC-α), and VEGF expression in the ear vessels and nearby tissues were analyzed using immunohistochemistry, polymerase chain reaction (PCR), and Western blot analysis, respectively. Results: After phlebitis modeling, the vascular endothelium of the rabbit ear vein was damaged or layered, the lumen was swollen and deformed to an oval or round shape, and the proportion of bFGF and VEGF positive areas in the vascular endothelium and adjacent tissues was higher than the control group. The phlebitis score shows that various treatments have certain effects, among which magnesium sulfate wet gauze and mashed potatoes are more effective. The application of α-solanine and α-chaconine cream promotes the expression of bFGF and VEGF, as well as PKC-α in the venous blood vessels and adjacent tissues, but mashed potatoes had little effect. Conclusion: α-solanine and α-chaconine cream can promote the expression of bFGF and VEGF in venous blood vessels and adjacent tissues, which may contribute to the recovery of blood vessels in phlebitis.
Correlates of Psychological Distress Among Filipino Americans and Filipinos Living in Urban Areas in the United States and the Philippines
Authors: Serafica Reimund , Fudolig Miguel , Kawi Jennifer , Reyes Andrew Thomas , Leyva Erwin William A. , Sy Francisco S. , Evangelista Lorraine S. 
Published: March 2023

Introduction: Many Asian immigrants, including Filipino Americans (FilAms), experience psychological distress (PD) due to the challenges in adjusting to their new country and culture. This descriptive comparative study aimed to compare FilAms and Filipinos concerning their levels of PD, sources of stress, and use of health-promotion strategies. Methods: Data from 89 FilAms and 95 Filipinos living in urban cities, obtained from the I-HELP-FILIPINOS database, measuring cardiometabolic risks, mental health, and environmental stressors in 2017, including PD, were examined. Results: The mean age of all participants ( N = 184) was 44.2 ± 22.8 years old. Both groups rated their health as good to excellent, although Filipinos were significantly more likely to be distressed ( p < .001). Filipinos were also more likely to ascribe stress to employment (48.3% vs. 68.2%, p =.006) and finances (28.1% vs. 52.6%, p <.001) than FilAms. Discussion: While both groups shared comparative perspectives on health, FilAms reported lower PD than Filipinos. The most significant source of stress was the country of residence. We recommend tailoring interventions to each local context’s unique social and environmental circumstances.
The Role of Filial Piety in Dyadic Recruitment of Chinese American Parents With Type 2 Diabetes and Their Adult Children
Authors: Doan Therese , Brennan Sumiyo , Kulik Carole , Yoo Grace 
Published: March 2023

Introduction: Type 2 diabetes (T2D) is prevalent among Asian Americans, yet limited health care studies report on the recruitment and retention of this population. This study focuses on recruiting Chinese American dyads for family support of T2D management. Method: This is a descriptive study using active and passive recruitment strategies. Dyads consist of parents with T2D and their adult children without diabetes. All materials are culturally tailored and available in Chinese. Results: The final sample included 54 dyads. There were characteristic differences among parent participants in English language proficiency and education levels. Filial piety manifested as respect and care for one’s parents among Chinese American families contributed to recruitment success. Discussion: This article shares strategies for recruiting Chinese American dyads to explore family support dynamics for T2D self-management. The findings potentially add to current knowledge about culture, nursing, and health care.
The Effect of Risk Propensity on Family–Work and Work–Family Conflicts in Jordanian Nurses: Does Gender Matter?
Authors: Al-Hammouri Mohammed Munther , Rababah Jehad A. 
Published: March 2023

Introduction: Work and family duties may be in conflict, which can cause a problem faced by nurses and lead to significant physical and mental health risks. This study examined whether gender moderated the relationship between risk propensity with work–family and family–work conflicts in Jordanian nurses. Method: A cross-sectional study was conducted to collect data from 206 nurses currently employed in two major referral hospitals. Data analysis was performed using the Macros process and correlations. Results: The bivariate correlations showed that family–work conflict was significantly correlated with depression, stress, and risk propensity. Work–family conflict was only correlated with depression and stress. Macros process results showed that gender moderated the relationship between risk propensity and family–work conflict. These results showed that the risk propensity significantly affected family–work conflict in male but not female nurses. Discussion: The results showed that gender moderated the relationship between risk propensity and family–work conflict but not between risk propensity and work–family conflict.
Actinomycotic primary canaliculitis: Predisposing factors, clinical characteristics, and treatment outcomes
Authors: Ding Jingwen , Zhang Yang , Feng Hui , Sun Hua 
Published: March 2023

Objective Ocular actinomycosis is an uncommon progressive infection. The study aims to investigate the predisposing factors, clinical characteristics and treatment outcomes of culture-proven cases of Actinomycotic primary canaliculitis. Methods Single-center, retrospective, interventional case series. Culture-proven cases of Actinomyces-associated primary canaliculitis diagnosed and treated between January 2017 and December 2021 at the Beijing Tongren Eye Center, Capital Medical University were identified and reviewed for ocular and systemic risk factors, clinical presentations, microbiological profile, treatment modalities and outcomes. Results Of the 201 patients diagnosed with primary canaliculitis, 22 (10.9%) were caused by Actinomyces. The mean age at onset of 22 patients (21 women and one men) was 54 years. The lower canaliculus was most commonly involved (54.6%). The most frequent symptom was mattering without epiphora (77.3%) and clinical signs were punctal regurgitation of purulent discharge (100%) and expressible concretions (95.5%). Dry eye co-existed in 77.3% of patients, whereas no obvious systemic factors were found. Among 19 cases (86.0%) of identified Actinomyces species, A. odontolyticus (43.5%) was the predominant causative microorganism. There were 50% of patients with polymicrobial infection and the most common additional bacteria isolated were Streptococcus species. Conservative therapy combining repeated canalicular expression and irrigation with susceptible topical antibiotics achieved complete resolution in 86.4% of patients. Conclusions Dry eye was identified in the vast majority of patients with Actinomycotic canaliculitis. Most cases are odontogenic in origin and the infection occurs in immunocompetent individuals. The conservative method combining canalicular expression and irrigation with topical susceptible antibiotics is recommendable as initial therapy.
Core competencies in disaster management for social workers in China: A modified e-Delphi study
Authors: Sim Timothy , He Minying 
Published: March 2023

A modified e-Delphi study was conducted to identify the core competencies required by social workers for disaster management in China. A list of competencies was compiled through an integrative review and in-depth interviews. We then conducted a three-round e-Delphi survey with 25 experts including social work practitioners and academics, government officials and other professionals. After a 4-month period of data collection and analysis, we proposed a specific social work competence framework for disaster management in the unique context of China. A total of 87 competencies were identified and categorised into knowledge, values and skills needed for the mitigation, preparedness, response and recovery phases of disaster management (a total of 15 categories). Through a further thematic analysis, we identified four interconnected themes related to disaster resilience building and social justice in various phases. This ground-breaking competence framework can inform Chinese social work practice and training in disaster management, thus enabling social workers to better identify their specific professional roles and tasks in disaster contexts. The framework can also enhance transdisciplinary collaboration among social workers and the various disaster management stakeholders, and can also be of value when developing social work core competencies outside of China.
EPDM Elastomers as Impact Modifiers for Contaminated, Recycled HDPE
Authors: Tall Stefan , Karlsson Sigbritt , Albertsson Ann-Christine 
Published: March 2023

The value of recycled high-density polyethylene (HDPE) is lowered if it contains impurities of PP, PS or PET, hut the embrittlement (partial loss of ductility and toughness) that arises when HDPE is blended with these more rigid polymers can be counteracted by the addition of an impact modifier. In this work, two EPDM grades with different monomer compositions have been evaluated as impact modifiers to upgrade recycled HDPE. Both elastomers improved the tensile impact strength and elongation at yield, at the expense of reduced modulus and yield strength. These effects were more pronounced for an amorphous EPDM with 58 wt% ethylene than for a semicrystalline EPDM with 72 wt% ethylene. The reduced impact strength and yield elongation caused by up to 10% polystyrene or PET could be compensated for by adding an amount of amorphous EPDM equal to half the weight of the contaminant polymer. The effect of EPDM modification on the morphology of the HDPE phase was studied by differential scanning calorimetry. The thermal history of the material is shown to be an important factor, influencing the ability of the HDPE to crystallise.
A Visco-Plastic Analysis of Bonded Joints under Complex Loading
Authors: Chiu W.K. , Jones R. , Chao M. 
Published: March 2023

Adhesively bonded joints are traditionally designed using a single stress/strain curve to describe the mechanical behaviour of the adhesive. This paper addresses the validity of this assumption, given that the properties of film adhesives commonly used in bonded joints (e.g. FM 73) have been shown to demonstrate significant time dependencies both at room and high temperatures. To this end, a series of finite element analysis were conducted where the time dependent properties of the adhesive were modelled using a unified plasticity theory. The findings of this work show that, when performing certification assessments which require statements on the integrity and the durability of adhesively bonded joints subjected to complex load spectra, it may be necessary to consider an analysis which accounts for both time and load history effects. It is also shown that, for monotonic loading under constant loading rates, the peak stress strain response of the adhesive in a double lap joint follows the Glinka hypothesis for the notch stress-strain response of metals. However, it is shown that this approximation may not be valid for complex loading spectra.
Measuring orbital Volume Using Open Source Software and its Application in Orbitozygomatic Fractures
Authors: Narayan Taradevi P. V. , Dhupar Vikas 
Published: March 2023

Study Design Technical note. Objective Changes in orbital volume can lead to esthetic and functional complications of the orbit. In this article, the procedure to calculate the orbital volume using the open source software Aliza 3D DICOM is described. Methods This article describes the steps to use this novel software. To validate the software, the normal orbital volume was calculated bilaterally on CT scans with normal orbital anatomy. The volumes of unilateral orbitozygomatic fracture cases were compared. Results This open source software has easy access. The normal orbital volume calculated using this software was 24.4 cc ± 0.72. In the unilateral orbitozygomatic fracture cases, an increased orbital volume was calculated. Conclusions This easy access, inexpensive, and convenient computer aided software can be used to calculate orbital volume facilitating treatment plan for correction of the orbit volume.
Three-Dimensional Composite Heatmaps of Unilateral Lambdoid Synostosis and Deformational Plagiocephaly
Authors: Harrison Lucas M. , Jackson Sarah , Hallac Rami R. 
Published: March 2023

Background: The differentiation of unilateral lambdoid synostosis (ULS) and deformational plagiocephaly (DP) is vital to provide appropriate treatment intervention. Three-dimensional (3D) photo grammetry provides rapid, reproducible image capture without radiation exposure. Advanced analytical methods can help identify distinctive features to differentiate the two craniofacial conditions. This study uses 3D photogrammetry of ULS and DP patients to analyze the global cranial morphology for diagnostic differentiation. Methods: A retrospective review of 3D photogrammetry of 19 ULS and 25 DP patients were analyzed. Cranial vault asymmetry index, oblique cranial length ratio, and diagonal difference were measured. 3D photogrammetry-based composites were created and overlaid on age and gender-matched controls to generate heat maps representing morphologic differences in contour. Results: Cranial vault asymmetry index and oblique cranial length ratio were significantly different between ULS and DP (0.019; 0.022). 3D photogrammetry ULS composite showed retrusion in the ipsilateral occipitoparietal area, contralateral posterior parietal projection, contralateral frontal projection, relative ipsilateral mastoid bulge, and facial projection. DP composite showed unilateral occipital projection and contralateral anterior projection. The contralateral occipital regions in the occipital and anterior areas remained equivocal to control patients. Conclusions: Diagnostic differentiation of ULS and DP has previously relied on observation and linear measurements of cranial asymmetry in a single plane. 3D photogrammetry composites provide a global contour evaluation for diagnosis and longitudinal outcome analysis.
Consensus recommendations on peripheral blood smear review: defining curricular standards and fellow competency
Authors: Chase Matthew L. , Drews Reed , Zumberg Marc S. , Ellis Leslie R. , Reid Erin G. , Gerds Aaron T. , Lee Alfred I. , Hobbs Gabriela S. , Berry Jonathan , Freed Jason A. 
Published: March 2023

Abstract
Graduate medical education training in hematology in North America is accredited by the Accreditation Council for Graduate Medical Education (ACGME). Trainees routinely review peripheral blood smears (PBS) in providing clinical care. Competency in PBS review at graduation is required by the ACGME. However, there are no consensus guidelines on best practices surrounding PBS review, education, or competency. We describe the generation of proposed theory and the consensus recommendations developed through a multi-institutional focus group, developed using constructivist grounded theory and a modified nominal group technique. Eight academic hematologists, spanning classical and malignant hematology, enrolled and participated in 2 one-hour focus groups. All routinely worked with fellows and half had formally instructed trainees on PBS interpretation. Focus group data were analyzed using mixed-methods techniques. Tenets of emerging theory were identified through inductive coding. Consensus recommendations (CR) were generated. Participants reviewed CR in an iterative fashion until consensus was reached. Strong consensus was reached on multiple aspects of PBS education. All agreed that trainees should learn PBS review through a systematic approach. Group discussion focused on disorders of red and white blood cells. The diagnoses of acute leukemia and thrombotic microangiopathies were most commonly discussed, with specific emphasis on disorders in which prompt recognition was required to avert significant patient morbidity. These CR offer external validity to future research and curricular development for both PBS review and other visuospatial tasks in medical education.