bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: The Communicate Study Partnership study protocol
Authors: Ralph Anna P , McGrath Stuart Yiwarr , Armstrong Emily , Herdman Rarrtjiwuy Melanie , Ginnivan Leah , Lowell Anne , Lee Bilawara , Gorham Gillian , Taylor Sean , Hefler Marita , Kerrigan Vicki 
Published: March 2023

Abstract
Background

The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse outcomes of hospitalisation in Australia’s Northern Territory. In this setting, the majority of healthcare users are First Nations peoples but the majority of healthcare providers are not. Our hypotheses are that strategies to ensure cultural safety can be effectively taught, systems can become culturally safe, and that the provision of culturally safe healthcare in first languages will improve experiences and outcomes of hospitalisation.

Methods

We will implement a multi-component intervention at three hospitals over four years. The main intervention components are: cultural safety training called ‘Ask the Specialist Plus’ which incorporates a locally-developed, purpose-built podcast; developing a community of practice in cultural safety; and improving access to and uptake of Aboriginal language interpreters. Intervention components are informed by the ‘Behaviour Change Wheel’ and address a supply-demand model for interpreters. The philosophical underpinnings are Critical Race Theory, Freirean pedagogy and cultural safety. There are co-primary qualitative and quantitative outcome measures: cultural safety, as experienced by First Nations peoples at participating hospitals, and proportion of admitted First Nations patients who self-discharge. Qualitative measures of patient and provider experience, and patient-provider interactions, will be examined through interviews and observational data. Quantitative outcomes (documentation of language; uptake of interpreters (booked and completed); proportion of admissions ending in self-discharge; unplanned re-admission; hospital length of stay; costs and cost benefits of interpreter use) will be measured using time-series analysis. Continuous quality improvement will use data in a participatory way to motivate change. Program evaluation will assess reach, effectiveness, adoption, implementation and maintenance (‘RE-AIM’).

Discussion

The intervention components are innovative, sustainable and have been successfully piloted. Refinement and scale up through this project have the potential to transform First Nations patients’ experiences of care and health outcomes.

Trial registration

Registered with ClinicalTrials.gov Protocol Record 2008644
Exploring The Relationship between Learning Approaches, Reflective Thinking and Academic Performance among Nursing Students
Authors: Abdelhalim Elsayeda Hamdy Nasr , Ibrahim Ibrahim Abdullatif , Moawd Samah Alsaid Ahmed , Alenezi Atallah , El-sehrawy Mohamed Gamal 
Published: March 2023

Abstract
Background: Academic performanceis one of the most important indicators in evaluating education. Various factors are known to affect the academic performanceof students.
Purpose: This study aimed to exploring relationship between learning approaches, reflective thinking, and academic performance among nursing students.
Methods: descriptive correlational study. 168 students of both genders were selected from different levels of the nursing department. Data were collected from students using Revised Study Process Questionnaire, Reflective Thinking Questionnaire, and the final scores of students (GPA).
Results: The majority of students were single (84.5%), more than two thirds with age group 21: >25 years of age, male are less than female, 84.5% of students have no children, one third of them was in the third level. Also, illustrates that 77.4% of the total students have high academic achievement, while only 22.6% have low academic achievement. There was a significant association between students’ learning approaches, reflective thinking, BMI, free from chronic disease was the only statistically significant independent positive predictors for higher student’s academic achievement.
Conclusions: Based on the findings of the study, there was highly statistically significance between academic achievement of students with both real estate students learning approaches and reflective thinking.
Exposure to outdoor artificial light at night increases risk and burden of metabolic disease in Ningxia, China
Authors: Wang Huihui , Ma Xiaohong , Yu Zhenfan , Hu Naifan , Du Yurun , He Xiaoxue , Pan Degong , Pu Lining , Zhang Xue , Sun Xian , Li Jiangping 
Published: March 2023

Abstract
Nearly a quarter of the world’s land is already under polluted by artificial light. And there are numerous human and animal studies that have corroborated that light at night can disrupt metabolism. Therefore, we aim to estimate the association between outdoor artificial light at night (ALAN) and presence of metabolic disease. Daily hospital admission cases from Ningxia, China, between 2014 and 2020 were included. Cumulative associations between outdoor ALAN and metabolic disease were estimated using logistic regression and distributed lagged nonlinear models (DLNM) with lags of 0-30 days and stratified analysis by age groups and gender. The results suggested that a monotonic increase in the cumulative risk of developing metabolic disease was observed when outdoor ALAN exposure increased, and the association was highest around day 20 of the lag. In addition, the maximum cumulative effect was greater in men (OR: 3.841, 95% CI: 2.825-5.222) than in women (OR: 2.923, 95% CI: 2.201-3.882). Totally, 26.80% of metabolic disease cases in Ningxia could be attributable outdoor ALAN, and the burden of metabolic attributable outdoor ALAN was much smaller in women than in men. This implies that interventions should be targeted to individuals at greater risk. Moreover, more strategies and policies should be developed to prevent light-related hospitalization.
Risk factors for tick attachment in companion animals in Great Britain: a spatiotemporal analysis covering 2014-2021
Authors: Arsevska Elena , Hengl Tomislav , Singleton David A. , Noble Peter-John M. , Caminade Cyril , Eneanya Obiora , Jones Philip H. , Medlock Jolyon , Hansford Kayleigh , Bonannella Carmelo , Radford Alan D. 
Published: March 2023

Abstract

Background: Ticks are an important driver of veterinary health care, causing infection and irritation to their hosts. Monitoring and mapping tick occurrences on companion animals can help understand and map risks for tick attachment in pets.
Methods: Over seven million electronic health records (EHRs), among which 11741 EHRs reported tick attachment, were used to evaluate climate, environmental and animal host factors affecting the risk of tick attachment in cats and dogs in Great Britain (GB). The tick presence/absence EHRs for dogs and cats were further overlaid with spatiotemporal time-series of climatic, vegetation, human influence, hydrological and terrain variables (slope, wetness index) to produce a spatiotemporal regression matrix; an Ensemble Machine Learning framework was used to fine-tune hyperparameters for Random Forest (classif.ranger), Gradient boosting (classif.xgboost) and GLM-net (classif.glmnet) algorithms, which were then used to produce a final ensemble meta-learner that predicts the probability of occurrence of ticks across GB with monthly intervals and at a spatial resolution of 1~km.
Results: Results of regression at sites showed that increased tick attachment in cats and dogs was associated with younger age, longer coat length, crossbreeds and unclassified breeds, and male neutered animals. The spatiotemporal modelling results show that the key environmental variables controlling spatiotemporal distribution are: vegetation index, precipitation (monthly), the month of the year and bioclimatic variables. Time series of monthly predictions of occurrences has been further aggregated to show long-term risks of tick attachment through 2014-2021.
Conclusions: The produced predictions can inform targeted health messages to pet owners and veterinary practitioners identifying those animals, seasons and areas of higher risk of tick infestation to reduce the tick burdens on companion animals nationally.
Tool Wear and Surface Roughness Characterization During Turning of Co-Cr-Mo Alloy ASTM F75 With Coated Carbide Tools
Authors: Tavares Rener Pontes , Hassui Amauri 
Published: March 2023

Abstract
The cobalt chromium molybdenum (Co-Cr-Mo) system composes specific alloys used in several biomedical applications, mainly in implants and prostheses manufacturing. Due to its intrinsic properties, the alloy processing is known as hard-to-machine. Therefore, in this work, we machined the Co-Cr-Mo alloy ASTM F75 and analyzed the effects of the cutting parameters on tool wear and the surface roughness generated during the turning. We performed a complete factorial with two factors, levels and replicas, in which the cutting speed varied from 60 to 90 m.min-1 and the feed rate from 0.08 to 0.13 mm.rev-1. Through Scanning Electron Microscopy (SEM) and confocal microscopy analysis, we quantified wear on the cutting tool and the surface roughness of specimens. During the morphological studies, we noted the presence of crater and flank wear, with crater wear being predominant. This crater wear was exclusively influenced by the change in feed rate due to the loss of tool coating. Moreover, the changes in cutting parameters significantly influenced both cutting tool wear and workpiece surface roughness. The extreme cutting parameters caused significant differences in peak and valleys height on the turned workpiece surface. This way, the average roughness is strongly affected by the increase in tool wear induced by cutting parameters during the process. By energy dispersion spectroscopy (EDXA), we identified the chemical elements on the worn tool and workpiece surfaces which revealed that the primary mechanism causing tool wear is workpiece material adhesion to the insert rake surface. Furthermore, we confirmed the presence of carbides embedded on the machined surface, indicating abrasive action of these particles during cutting.
IL4I1 in head and neck squamous cell carcinoma: A potential therapeutic target associated with immune infiltration
Authors: Yu Zhijian , Su Jiaxuan , Chen Kun , Zheng Qiaoli , Peng Yue , Luo Bin , Guo Jiefeng , Xu Shuyi , Xie Minqiang 
Published: March 2023

Abstract
Interleukin 4-induced gene 1 (IL4I1) is associated with tumor immune invasion; however, its involvement in head and neck squamous cell carcinoma (HNSCC) is not well documented. Publicly accessible databases and our tissue mRNA sequencing result were used to evaluate IL4I1 expression in HNSCC. The Wilcoxon rank-sum test was performed to examine the relationship between clinicopathological characteristics and IL4I1 expression. Signaling pathways associated with IL4I1 expression were identified via gene set enrichment analysis (GSEA). The CIBERSORT algorithm and Tumor Immune Estimation Resource (TIMER) database were used to examine the relationship between IL4I1 expression, immune infiltration levels, and cumulative survival in HNSCC. The relationship between IL4I1 and immunotherapy response was explored. IL4I1 mRNA expression was higher in HNSCC than in normal tissues. The overexpression of IL4I1 was significantly correlated with more severe clinical stages. GSEA revealed that the mechanism of IL4I1 in regulating HNSCC was related to various immunity and immune-related signaling pathways. Additionally, IL4I1 expression levels positively correlated with differential immune cell infiltration, various immune biomarkers, and immunotherapy response in HNSCC. Our results suggest that IL4I1 may be a potential therapeutic target associated with immune infiltration in HNSCC and could contribute to the development of novel and effective treatment strategies.
Pin hole free 2D Ruddlesden-Popper Perovskite layer with closed packed large crystalline grains, suitable for fast response and high sensitive MSM photodetection
Authors: Darman Parsa , Yaghoobi Amin , Darbari Sara 
Published: March 2023

Abstract
Here, we achieved pin hole free 2D Ruddlesden-Popper Perovskite (RPP) BA2PbI4 layers with closed packed crystalline grains with dimension of about 30×30 µm2, which have been demonstrated to be favorable for optoelectronic applications, such as fast response RPP-based metal/semiconductor/metal photodetectors. We explored affecting parameters in hot casting of BA2PbI4 layers, and proved that oxygen plasma treatment prior to hot casting plays a significant role to achieve high quality closed packed polycrystalline RPP layers at lower hot cast temperatures. Moreover, we demonstrate that crystal growth of 2D BA2PbI4 can be dominantly controlled by the rate of solvent evaporation through substrate temperature or rotational speed, while molarity of the prepared RPP/DMF precursor is the dominant factor that determines the RPP layer thickness, and can affect the spectral response of the realized photodetector. Benefiting from the high light absorption and inherent chemical stability of 2D RPP layers, we achieved high responsivity and stability, and fast response photodetection. We achieved a fast photoresponse with rise and fall times of 187 µs and 280 µs, and the maximum responsivity of 119 mA/W and detectivity of 2.15×108 Jones in response to illumination wavelength of 450 nm. The presented polycrystalline RPP-based photodetector benefits from a simple and low-cost fabrication process, suitable for large area production on glass substrate, a good stability and responsivity, and a promising fast photoresponse, even around that of exfoliated single crystal RPP-based counterparts. However, it is well known that exfoliation methods suffer from poor repeatability and scalability, which make them uncompatible with mass production and large area production.
Physicochemical Analysis and Magnetic Properties of Nickel Cobalt Oxide (NiCo2 O 4 ) Using Self-Combustion Method with Solvent Variation as Supercapacitor Materials
Authors: Puspitasari Poppy , Abdullah Mohd. Mustafa Al Bakri , Akhtar Majid Niaz , Putra Chandra Setiawan , Pramono Diki Dwi , Andoko Andoko 
Published: March 2023

Abstract
Supercapacitor, which is also known as ultracapacitor or electrochemical capacitor, has gained considerable interest due to their abrupt reload speed, high performance, lengthy cycle life, and low-cost maintenance. Meanwhile, NiCo2O4 is understood as one of the promising supercapacitors as it offers high specific capacitance, excellent cyclic stability, low cost, and environmentally friendly characteristic. In this study, the synthesis of nickel cobalt oxide nanoparticles was carried out using the self-combustion method with solvent variations from citric acid, nitric acid, and ethylene glycol. The phase characteristic analysis was completed using the results of XRD analysis, which showed that NiCo2O4 has a single phase. Further, the SEM analysis suggested that NiCo2O4 tends to have an irregular quasi-sphere shape, and the hysteresis curve analysis showed that NiCo2O4 presents ferrimagnetic properties.
Household food insecurity, family size and their interactions for depression prevalence among teenage pregnant girls in Ghana, a multi-stage cluster sampling survey.
Authors: Dominic Be-Ikuu Doglikuu , Yawson Hannah , Asare Stephen , Takyi Ohene , Dzidzornu Francisca Akpene , Koram Henrietta Oye , Johnson Edna Ayishetu 
Published: March 2023

Abstract
Background: Household-food-insecurity, is situation where individuals and families have limited/uncertain access to nutritionally-adequate and safe foods for healthy-living. Family is basic social-unit comprising parents and children living together in household. Household-food insecurity and family-size are risk factors for depression. However, their synergistic and/or multiplicative effect on depression are not well established. This study explored household-food insecurity, family-size and their interaction on depression prevalence among teenaged pregnant girls in Twifo-Atti-Morkwa district.
Methods: WHO-STEPS multi-stage clustered-random sampling-survey was used to recruit study participants. 20-electoral areas in Twifo-Atti-Morkwa district were randomly selected, and structured-questionnaire used to collect demographic-variables. Household-Food-Insecurity Access-Scale (HFIAS) and Child-Anxiety and Depression-Scale (RCADS-25) were used to collect data.
Results:Diastolic blood pressure (P-value=0.014) and household-food insecurity (P-value= 0.0001) were significant for depression. Moderate-family-size AOR=1.08, 95%CI (1.17-3.71) and large-family-size AOR2.78, 95%CI (3.98-10.19) were significant for depression. Moderate-food insecurity AOR= 0.12, 95%CI (0.41-0.35) and high-food insecurity AOR= 0.27, 95%CI (0.11-0.71) were significant for depression. Interaction between moderate-food insecurity and moderate family-size AOR=1.69, 95%CI (2.79-17.51), interaction between high-food insecurity and low family-size AOR=1.24, 95%CI (1.57-11.41) and finally, interaction between high-food insecurity and large-family-size AOR=1.01, 95%CI (1.72-14.57) were significant for depression among teenaged pregnant girls.
Conclusion: There is depression prevalence among populace in Twifo-Atti-Morkwa district. Teenaged pregnant girls report moderate and high depression prevalence. Household-food insecurity, and family-size are risk factors influencing depression among teenaged girls in the district. We recommend the need for population-based public health interventions in Twifo-Atti-morkwa district, targeting teenaged pregnant girls.
Clinical Outcome of Mantle Cell Lymphoma Patients with High-risk Disease (high-risk MIPI-c or high p53 expression)
Authors: Scheubeck Gabriel , Jiang Linmiao , Hermine Olivier , Kluin-Nelemans Hanneke , Schmidt Christian , Unterhalt Michael , Rosenwald Andreas , Klapper Wolfram , Evangelista Andrea , Ladetto Marco , Jerkeman Mats , Ferrero Simone , Dreyling Martin , Hoster Eva 
Published: March 2023

Abstract
Currently, treatment allocation of patients with Mantle Cell Lymphoma (MCL) is mainly based on age and medical fitness. The combined MCL International Prognostic Index (MIPI-c) allows to predict prognosis using clinical factors (MIPI) and the Ki-67 index. However, high p53 expression as surrogate for TP53 alterations has demonstrated to be an independent predictor for poor outcome. We aimed to define a clear high-risk group based on the combination of MIPI, Ki-67 and p53 expression/TP53 alteration. A total of 684 patients from the prospective European MCL-Younger and MCL-Elderly trials were evaluable. The classification of high-risk disease (HRD) as high-risk MIPI-c or p53 expression > 50% versus low-risk disease (LRD) as low, low-intermediate or high-intermediate MIPI-c and p53 expression ≤ 50% allowed to characterize two distinct groups with highly divergent outcome. Patients with HRD had significantly shorter median failure-free survival (FFS) (1.1 vs. 5.6 years, p < .0001) and overall survival (OS) (2.2 vs. 13.2 years, p < .0001) compared to those with LRD. These major differences were confirmed in two validation cohorts from the Italian MCL0208 and the Nordic-MCL4 trials. The results suggest that this subset of HRD patients is not sufficiently managed with the current standard treatment and is asking for novel treatment strategies.
Opioid Use Disorder in Two Samples of the Lebanese Population: Scale Validation and Correlation with Sleep and Mood Disorders
Authors: Chamoun Karam , Mouawad Joseph , Salameh Pascale , Sacre Hala , Haddad Ramzi , Khabbaz Lydia Rabaa , Megarbane Bruno , Hajj Aline 
Published: March 2023

Abstract
Background: The revised Opioid Risk Tool (ORT-OUD) is a brief, self-report scale designed to provide clinicians with a simple, validated method to screen for the risk of developing an Opioid Use Disorder (OUD) in patients without a prior history of substance abuse. This study aimed to translate and validate the Arabic version of ORT-OUD in the Lebanese population and assess its clinical validity in a sample of patients with OUD.
Methods: This cross-sectional study in the Lebanese population used several validated scales to assess the risk of OUD, including the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Other tools evaluated chronotype and sleep and mood disturbances. Principal component analysis with Varimax rotation was applied to assess ORT-OUD construct validity. Convergent validity with the Arabic version of ASSIST was evaluated. The ORT-OUD criterion validity was then assessed in a clinical sample of patients with OUD.
Results: This study included 581 participants. The prevalence of the OUD risk in the Lebanese population using the ORT-OUD scale and the ASSIST-opioids scale was estimated at 14.5% and 6.54%, respectively. No items of the ORT-OUD were removed; all items converged over a solution of four factors with an eigenvalue>1, explaining a total of 68.2% of the variance (Cronbach’s alpha=0.648). The correlation coefficients between the ORT-OUD total score and ASSIST subscales were as follows: ASSIST-opioids (r=0.174; p=<0.001), ASSIST-sedatives (r=0.249; p <0.001), and ASSIST-alcohol (r=0.161; p=<0.001). ORT-OUD clinical validation showed a correlation with ASSIST-opioids (r=0.251; p=0.093) and ASSIST-sedatives (r=0.598; p<0.001). Higher ORT-OUD scores were associated with a family and personal history of alcohol and substance consumption and higher insomnia and anxiety scores.
Conclusion: This study is the first to validate the Arabic version of ORT-OUD in the Lebanese population, an essential step towards improving the detection and management of OUD in this population.
Roles of Digital Twins on Material Performances and Utilization on Upstream Industry (The Case of Automotive Industry)
Authors: Damtew Alie Wube 
Published: March 2023

Abstract
Supply chain processes are receiving considerable attention as a cutting-edge technology that will transform raw materials from material suppliers to the manufacturing and processing industries to fulfill customer requirements. However, the automobile part and body manufacturer industry faces many challenges. To cope with those challenges, digital twin (DT) strategies have been a useful tool to visualize, realize, analyze, and utilize materials and integrate raw material accessibility, product quality, and delivery service systems into the production line or entire supply chain process. Nevertheless, the development of DTs is still hampered by a number of factors, such as a lack of full understanding of the concept of DTs and problems with DT strategies in the automobile and related manufacturing industries. This study aims to explore the role of DT technology impacts on production lines in the automobile industry and entire supply chain performance. Digital supply chain twins’ roles in material utilization, the production performance and the overall supply chain capabilities were investigated in this study. The investigations shows that digital supply chain twin have a positive and direct impacts on supply chain performance in supply chain visibility, real time decision making, process optimization, value chain optimization, resource utilization and visibility in a supply chain process of automotive and body manufacturing industries. Both the primary and secondary data have been analyzed and studied using descriptive analysis, analytical hierarchy process (AHP) and Fuzzy TOPSIS tools. The relation between digital twins with resilience of digital enablers on supply chain process for sustainable supply chain process needs further study and investigations.