bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the implementation of Group Empowerment and Training (GREAT) for diabetes in South Africa: Convergent mixed methods
Authors: Mash Robert , Schouw Darcelle 
Published: February 2023

Abstract
Background
Diabetes is a leading contributor to the burden of disease in South Africa. The new National Strategic Plan for non-communicable diseases aims to achieve control in 50% of patients. Currently, in the Western Cape, only 25% are controlled and a lack of patient education and counselling is a key factor. Group empowerment and training (GREAT) for diabetes is a feasible and cost-effective intervention in our setting. This study aimed to evaluate the scale-up and implementation of GREAT for diabetes in primary care across five provinces.
Methods
A convergent mixed methods study evaluated a range of implementation outcomes. Descriptive exploratory individual semi-structured interviews were conducted with 31 key stakeholders from national policymakers to primary care providers. Five focus group interviews were held with patients. Qualitative data explored the acceptability, appropriateness, adoption, feasibility, fidelity and sustainability of GREAT. Quantitative data was collected on the training course, observations of GREAT, coverage and cost.
Results
Five out of nine provinces implemented GREAT, despite the challenges of the COVID-19 pandemic. The findings informed the design of a programme theory using a health system framework. Health system structures required support from National and Provincial level policymakers, identification of high prevalence districts and allocation of funds. Health system inputs required attention to physical space for groups, sufficient staff numbers to facilitate groups, availability of the resource materials and monitoring within the health information system. Key activities included adaptation to the model of care (selection of facilities, patients, adjustment of patient flow and appointment systems and leadership of local managers across the whole clinical team), training of facilitators and trainers and inclusion in systems for quality improvement. Identified outputs related to the availability of GREAT and improved quality of care (viz person-centredness, self-management, social support and health literacy). Expected outcomes related to improved coverage, diabetic control and patient satisfaction.
Conclusions
Key lessons were learnt on how to implement GREAT for diabetes in a middle-income country primary care system. The programme theory will guide further scale-up in each province and scale-out to provinces that have not yet implemented.
Reminiscent music therapy combined with robot-assisted rehabilitation for older patients with upper limb dysfunction after stroke: protocol for a randomized controlled trial
Authors: Liu Qian , Liu Zuoyan , Cheng Hong , Xu Yang , Wang Fang , Liu Li , Hu Xiuying 
Published: February 2023

Abstract
Background

Stroke is the main disease that causes the burden of neurological disease in elderly people, leading to upper limb dysfunction and affecting their self-care ability. Robot-assisted rehabilitation therapy has been gradually used in the rehabilitation of upper limb function after stroke. However, it is necessary to add auxiliary intervention to relieve negative emotions and post-stroke fatigue, and improve rehabilitation outcomes. This paper presents a protocol for a randomized controlled trial that aims to evaluate the effectiveness of reminiscent music therapy combined with robot-assisted rehabilitation in older patients with upper limb dysfunction after stroke.

Methods

This trial is a single-blind, three-arm randomized controlled trial. Older stroke patients with upper limb dysfunction will be recruited and followed up for 4 weeks. All participants will be randomly assigned to receive usual rehabilitation treatment and care (control), usual rehabilitation treatment and care plus robot-assisted rehabilitation and reminiscent music therapy (experimental group 1), or usual rehabilitation treatment and care plus robot-assisted rehabilitation (experimental group 2). Usual rehabilitation treatment, including drug treatment, comprehensive training of hemiplegic limbs and physical therapy, will be formulated by rehabilitation doctors and neurologists according to the specific conditions of the participants. Robot-assisted rehabilitation will be conducted by rehabilitation doctors for 4 weeks. In experimental group 1, a reminiscent song list will be played for patients with a wireless headset when they are training. The primary outcome is activities of daily living and secondary outcomes include self-esteem, rehabilitation self-efficacy, positive emotion and upper limb function. All outcomes will be evaluated at baseline, after 2 weeks of the intervention, in the week immediately post-intervention and at 4-week post-intervention.

Discussion

To the best of our knowledge, we are conducting the first randomized controlled trial on the effects of reminiscent music therapy combined with robot-assisted rehabilitation in older stroke patients with upper limb dysfunction. It is expected that this study, if proven effective in improving the activities of daily living in older stroke patients with upper limb dysfunction, will provide evidence-based rehabilitation strategies for medical staffs.
Trial registration: This trial was registered at ChiCTR.org.cn (registration number is ChiCTR2200063738 and registered on September 15, 2022).
Characterization of the Stanford Integrated Psychosocial Assessment for Transplant for Heart, Liver, and Kidney Transplant Candidates in Japan
Authors: Takano Kosuke , Oshibuchi Hidehiro , Kobayashi Sayaka , Tsutsui Junko , Ito Satoko , Kamba Rumiko , Akaho Rie , Nishimura Katsuji 
Published: February 2023

Abstract

Background The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) is a comprehensive psychosocial assessment proven useful for predicting the outcomes of organ transplantation and is expected to be used in Japan. However, the characteristics of organ-specific SIPAT scores for organ transplant recipient candidates in Japan are unclear, and to date the SIPAT has not been properly utilized in clinical practice. The purpose of this study was to present relevant data that can be used to establish the criteria for accurately assessing the risk of post-transplant outcomes and the current status of psychosocial support by examining the SIPAT scores and distribution of organ transplant recipient candidates in Japan as well as organ-specific characteristics. Methods This study included 167 transplant recipient candidates (25 heart, 71 liver, and 71 kidney) who completed a semi-structured interview based on the Japanese version of the SIPAT (J-SIPAT) prior to transplantation. The differences between organs in terms of SIPAT scores and differences in SIPAT scores based on demographic data were comparatively analyzed. Results The total SIPAT scores were higher for liver recipient candidates than for heart recipient candidates (P = .019). Regarding the subscales, SIPAT B (social support system) scores were higher for liver and kidney recipient candidates than for heart recipient candidates (P = .021); SIPAT C (psychological stability and psychopathology) scores were higher for liver recipient candidates than for kidney recipient candidates (P = .002). Recipient candidates with a history of psychiatric treatment and those who were unemployed had higher SIPAT scores, regardless of the transplant organ, than recipient candidates without a history of psychiatric treatment and those who were employed (P < .001, P = .016). Conclusions There were notable differences in the total J-SIPAT and subscale scores among the liver, heart, and kidney recipient candidates. Each organ was associated with specific psychosocial issues that should be addressed before transplantation. Interventions such as information provision and patient education based on SIPAT assessment results for each organ may improve recipient post-transplant outcomes.
Non-Technical Skills Training for Nigerian Interprofessional Surgical Teams: Which Way Forward? A Cross-sectional Survey
Authors: Alayande Barnabas Tobi , Forbes Callum , KingPriest Paul , Adejumo Adeyinka , Williams Wendy , Wina Felix , Christian Agbo , Omolabake Bamidele , Bekele Abebe , Ismaila Bashiru O , Kerray Fiona , Sule Augustine , Abahuje Egide , Robertson Jamie , Yule Steven , Riviello Robert , Isichei Mercy 
Published: February 2023

Abstract
Introduction
Non-technical skills (NTS) like situational awareness, decision making, leadership, communication, and teamwork, are critical elements for enhancing surgical safety. In low-income contexts, NTS are often considered soft skills and therefore not included in formal medical education curriculums or continuing medical education. A survey was designed to explore exposure to NTS for interprofessional teams in North-Central Nigeria and identify perceived barriers and facilitates to surgical safety to inform the design of a contextualized curriculum.
Methods
Six institutions with high surgical volumes, including private not-for-profit and government-owned teaching hospitals, were purposively identified. Using snowball sampling through surgical team leads, a 19-item, web-based cross-sectional survey was distributed to 71 surgical providers, anaesthetists and perioperative nurses between August and November 2021. Data was analysed using proportions and Fisher's exact test.
Results
The survey had a 95.7% completion rate. Respondents included 17 anaesthetists, 21 perioperative nurses, and 29 surgeons. Over half were unaware of the concept of NTS, and 96% had never heard of a NTS framework for variable resource contexts. Only 8% had received NTS training. Communication and teamwork were considered the most deficient personal skills (38, 57%), and the most needed for team improvement (45, 67%). There was a high demand for training by all team members (64, 96%), motivated by expectations of improved patient safety and better team dynamics. Respondents preferred week-long, hybrid training courses with in-person and online components. Perceived barriers to attendance were time conflicts and costs. Perceived facilitators included a desire for self-improvement and patient safety.
Conclusions
Interprofessional surgical teams in the Nigerian context have a high degree of interest in NTS training, believing it can improve patient safety, team dynamics and personal performance. Implementation of NTS training programs should emphasize interprofessional communication and teamwork.
Rice ragged stunt virus mediates immune responses in Nilaparvata lugens against Metarhizium anisopliae YTTR infection: evidence from two novel genes NlK-serpin and NlVenomase
Authors: Li Xuewen , Liu Jian-li , Ou-yang Yu-ying , Zhang Bang , Zhao Shu-jiao , Chai Xue-qing , Ma Yong-le , Liu Jian , You Min-sheng , Lin Sheng 
Published: February 2023

Abstract
In this study, two vital genes in the serine protease cascade, NlK-serpin and NlVenomase, were identified. Two genes show differential responses in brown planthopper (Nilaparvata lugens, BPH) carrying the insect fungal pathogen Metarhizium anisopliae YTTR and/or the plant viral pathogen rice ragged stunt virus (RRSV). RNA interference (RNAi) combined with/without M. anisopliae YTTR were used to explore the genes’ functions. And BPH mortality, the transcriptional response of four antimicrobial peptides (AMPs) genes, and the phenoloxidase (PO) activity were measured to unveil the underlying mechanism. Results showed that the coding sequences (CDSs) of NlK-serpin and NlVenomase contained 291-bp and 1,194-bp nucleotides, respectively. Phylogenetic analysis showed both genes have the closest kinship to Laodelphax striatellus. NlK-serpin is highly expressed in the adult and 3rd -instar stages and NlVenomase is highly expressed in 2nd and 3rd -instar nymphs. Both genes possess high expression in the fat body. Synthesized dsRNAs have strong interference efficiency against the expression of target genes. DsNlK-serpin injection significantly reduced BPHs survival rates in RRSV-free BPHs. However, when RRSV existed, the differences in survival rates among the three dsRNA treatments were insignificant. DsRNA combined with M. anisopliae YTTR produced a synergistic effect leading to higher BPHs mortality. Results of AMPs expression and PO activity indicated that NlK-serpin and NlVenomase play a vital role in BPH humoral immunity against M. anisopliae YTTR infection. And both genes participate in the process of RRSV-mediated immune responses of BPH to M. anisopliae YTTR infection by regulating AMPs expression and PO activity. Our study provided new targets for BPH control and laid a solid foundation for further research the interaction of “plant virus- insect vector- entomopathogenic fungus”.
Copper and zinc transfer limits to soil solution of mixtures containing different clay and organic matter contents
Authors: Morais Gildean Portela , Comin Jucinei José , Lourenzi Cledimar Rogério , Tiecher Tadeu Luis , Soares Cláudio Roberto Fonsêca Sousa , Gatiboni Luciano Colpo , Loss Arcângelo , Couto Rafael da Rosa , Ferreira Guilherme Wilbert , Severgnini Milena , Trapp Talita , Brunetto Gustavo 
Published: February 2023

Abstract

Establishing Cu and Zn transport limits to soil solution, may be a parameter to regulate maximum allowable concentrations of these heavy metals in soils. The study aimed to estimate Cu and Zn contents in soil mixtures with varying clay and soil organic matter (SOM) contents, from which the two heavy metals are transported to the soil solution. Samples of the Bw horizon of a Oxisol and of the A horizon of a Inceptisol were used to make soil mixtures with clay contents ranging from 170 to 700 g kg− 1 and SOM ranging from 18 to 95 g kg− 1. Cu and Zn adsorption curves were obtained to determine the maximum adsorption capacities (MAC) using the Langmuir model. Cu transport limits ranged from 118 to 187 mg kg− 1 the lowest values were found in soil mixtures containing lower clay contents in combination with higher SOM contents. Zn transport limits ranged from 61 to 116 mg kg− 1 the highest values were found in soil mixtures containing lower clay contents combined with higher SOM contents. Cu and Zn transport limits can be used as safe limits for supervisory bodies, technical assistance institutions and farmers to monitor the potential for environmental contamination.
Optimizing the Sequence of Surgical Procedures in an Operating Room to Reduce Post-Anesthesia Care Unit Utilization During After-Hours Using Machine Learning
Authors: Tully Jeffrey L. , Zhong William , Simpson Sierra , Curran Brian P. , Macias Alvaro A. , Waterman Ruth S. , Gabriel Rodney A. 
Published: February 2023

Abstract

PURPOSE
The post-anesthesia care unit (PACU) length of stay is an important perioperative efficiency metric. The aim of this study was to develop machine learning models to predict ambulatory surgery patients at risk for prolonged PACU length of stay - using only pre-operatively identified factors - and then to simulate the effectiveness in reducing the need for after-hours PACU staffing.
METHODS
Several machine learning classifier models were built to predict prolonged PACU length of stay (defined as PACU stay ≥ 3 hours) on a training set. A case resequencing exercise was then performed on the test set, in which historic cases were re-sequenced based on the predicted risk for prolonged PACU length of stay. The frequency of patients remaining in the PACU after-hours (≥ 7:00 pm) were compared between the simulated operating days versus actual operating room days.
RESULTS
There were 10,928 ambulatory surgical patients included in the analysis, of which 580 (5.31%) had a PACU length of stay ≥ 3 hours. XGBoost with SMOTE performed the best (AUC = 0.712). The case resequencing exercise utilizing the XGBoost model resulted in an over three-fold improvement in the number of days in which patients would be in the PACU past 7pm as compared with historic performance (41% versus 12%, P<0.0001).
CONCLUSION
Predictive models using preoperative patient characteristics may allow for optimized case sequencing, which may mitigate the effects of prolonged PACU lengths of stay on after-hours staffing utilization.
Financial Management experiences of township early childhood development centre principals in Gauteng Province of South Africa
Authors: Aina Adebunmi Yetunde 
Published: February 2023

Abstract
The delivery of high-quality education is considerably aided by effective school management, which includes managing finances. Understanding financial management in early childhood education (ECE) is crucial and essential given that high-quality ECE is now recognised as a foundation for successful higher education and productive adulthood. This study aimed at exploring township early childhood development centre principals' experiences with their financial management responsibilities. Four early childhood development centres were purposively selected from the township areas in Gauteng Province, South Africa, using a qualitative research approach and case study design. Data was collected through in-depth semi-structured interviews with the principals of the selected centres. The findings demonstrate that the ECD principals have limited knowledge of financial management responsibilities and that there is no formal legal framework for financial management at ECD centres. Township ECD financial management practices include planning (identifying needs), organising (fees paid into the bank account and procurement made through bank card) and reporting (giving accounts to the board of directors and parents). In this study, it can be concluded that township ECD principals are making an effort to ensure effective financial management of their centres. However, several obstacles, including the principals' lack of accounting expertise, their heavy workload, the non-payment of school fees, and the absence of a financial management legislative framework, prevent ECD centres' effective and efficient financial management.
Ring polymer translocation through nanopore in a crowded environment
Authors: Negash Solomon , Umeta Deme Tesfaye , Kenea Dereje , Gashu Chimdessa 
Published: February 2023

Abstract
In this paper, we use a Monte Carlo (MC) simulation method in two dimensions with a bond fluctuation model (BFM) to investigate the translocation of a ring polymer through a nanopore in a crowded environment . We put the two middle monomers in the center of the pore, to con-
quer the entropic obstruction caused by the presence of an mpenetrable membrane wall. In our system, a fixed size and same density of crowding agents (φ ) are populated orderly
on the left (cis) side and randomly on the right (trans) side of the wall. As the translocation of macromolecules is an important process to study the properties of polymers, we explored the static property of the polymer which is characterized by a radius of gyration and the dynamic properties, characterized by mean square displacement and escape time. We found that the scaling exponents of the average square of radius of gyration as a function of size of the polymer N varies with density of the obstacle beads, φ . Our current investigation appears that the universal power-law relation of escape time τ as a function of polymer size (τ ∼ N 2.50 ) is
influenced by the density of the crowding agents. Furthermore, our research shows that the size of the polymer, the size of the pore, and the density of the obstacles all have a
significant impact on polymer diffusion.
The Association of Burnout Syndrome and Suicide Ideation between Gynecology and Emergency Room Medical Professionals: A Cross Sectional Study
Authors: Khurshid Saba , Naveed Zunaira , Shafique Nadia 
Published: February 2023

Abstract
Background
Burnout syndrome and suicide behavior among doctors are a global concern. Work gives workers a sense of social cohesion, belonging, and future stability; yet hectic hours, pressure, and stress increase their distress. Therefore, the current study aimed to investigate burnout syndrome and suicidal ideation in gynecological and emergency departments.
Method
A purposive sample of 300 medical professionals working in gynecology and emergency departments at tertiary care hospitals was recruited. The demographic Sheet, the Maslach Burnout Inventory, and the Suicidal Ideation Attributes Scale (SIDAS) were applied to assess burnout and suicide risk assessment.
Findings:
Of the overall sample, 188 (62.7%) came from the emergency and 112 (37.3%) from gynecology. Medical professionals have shown a robust connection between burnout syndrome and suicidal ideation. The findings revealed that occupational exhaustion (β = .17, p < .001), depersonalization (β = .27, p < .001) and personal accomplishment (β = .16, p < .001) positively predicted suicidal ideation among medical professionals working in emergency and gynecology department. Burnout syndrome subscales significantly associated and different in term of demographic variables such as gender department, professions, family structure, working hour and experience with reference to chi square (p < 0.001). Working experience in emergency department, working hour per day and working experience could be predictor of occupational burnout syndrome.
Conclusion
The results of the current study strongly support taking preventive action. The medical health departments of Pakistan must properly explore this matter and take into account a medical staff evaluation of mental health. With this strategy, we can lessen the risk of suicide by providing quick support to medical professionals.
Resolution of barriers to Green Human Resources Management through its drivers in the textile sector of an emerging economy
Authors: Miao Miao , Zaman Syed Imran , Khan Sharfuddin Ahmed , Jiang Wan 
Published: February 2023

Abstract

Green HRM is vital in organizations' sustainability policies, seen as a recent research trend. This paper aims to identify the five most important drivers and critical barriers to Green HRM implementation in Pakistan's textile industry. Data were collected from a group of Pakistan's textile industry experts, and the Fuzzy Delphi and Fuzzy AHP methods were used to examine the results. The findings reveal that the most critical five drivers of Green HRM implementation are improvement in company image, maximum use of resources, reduced waste, stimulation of growth and innovation, top management support, and work-life balance. The results further explore the five critical barriers: difficulty and complexity in green technology adoption, lack of organizational support, employee resistance, and lack of culture and knowledge of individuals. This analysis is valuable to researchers by highlighting research gaps and making specific suggestions on Green HRM research. This study proposes a detailed research structure for future studies, particularly implementation recommendations for Green HRM practices. Organizations should adequately evaluate the green culture and work-life balance of employees. They can also support and engage employees in a green environment and manage organizational sustainability performance. Using different methods, this research may also be carried out in the future, especially comparing the various drivers and barriers of Green HRM of small and large companies in Pakistan. In this research, new barriers and drivers are used in this context. The paper takes a detailed look at analyzing drivers and barriers of Green HRM implementation in an organization through DELPHI and MCDM techniques. This research paper acknowledges that Green HRM implementation's most crucial aspects are the organization's barriers and drivers. An organization applies the DELPHI technique to validate known barriers and drivers of Green HRM execution. This research aims to develop the source of information within the literature on drivers and barriers of Green human resource management execution in an organization and the collection of organizational sustainability performance.