bluuebunny/crossref_metadata_2025_split huggingface dataset:
Retrospective analysis of COVID-19 patients developing otherwise rare complications
Authors: Stepanek Kevin , Chitagi Pritha 
Published: February 2023

Abstract
Background
Over the last 2 years, it has been felt that there was a disproportionate incidence of complications including pneumothorax, pneumomediastinum, and renal disease necessitating dialysis in patients with COVID-19 as compared to patients without COVID-19.

Methods
In a retrospective cohort, all patients were admitted to St. Joseph Mercy Oakland Hospital in Pontiac, Michigan, between March 2020 and November 2021. The data collected included age, sex, BMI, length of stay, COVID-19 PCR result, diagnosis of pneumothorax, diagnosis of pneumomediastinum, diagnosis of renal failure, orders for dialysis, and orders for mechanical ventilation.

Results
Nine thousand five hundred twenty-two patients are included in this study, with 35.6% (3,392 patients) COVID-19 suspected or confirmed positive and 64.4% (6130 patients) confirmed COVID-19 negative. There were 29 cases of pneumomediastinum and 24 cases of pneumothorax, none of which occurred in intubated patients. The incidence of pneumomediastinum (p = 0.001), CODE BLUE (p = 0.01), and mechanical ventilation (p = 0.001) was significantly higher in the COVID-19 positive/suspected group. There was no significant difference in incidence of pneumothorax (p = 0.294). The incidence of dialysis was significantly higher (p < 0.0001) in the COVID-19 negative group.

Conclusions
In review of prior literature and proposed mechanisms, we believe that it was possibly the damage that SARS-CoV-2 inflicts upon lung parenchyma that led to the increased incidence of pneumomediastinum. Given our mixed findings of incidences of pneumomediastinum, pneumothorax, and dialysis, our hope is to remain vigilant to uncover further disease associations and/or complications as more COVID-19 case data becomes available.
Community engagement strategies to promote recruitment and participation in clinical research among rural communities: A narrative review
Authors: Brockman Tabetha A. , Shaw Olivia , Wiepert Liana , Nguyen Quang Anh , Kelpin Sydney S. , West Ian , Albertie Monica , Williams Shantel , Abbenyi Adeline , Stephenson Noreen , Almader-Douglas Diana , Patten Christi A. 
Published: February 2023

Abstract
Residents of rural areas are underrepresented in research. The aim of this narrative review was to explore studies describing the effectiveness of community engagement strategies with rural communities to promote participant recruitment and participation in clinical research. Following PRISMA guidelines, this narrative review was conducted in June 2020. Our search strategy was built around keywords that included community-engaged research, rural community, and recruitment strategies into clinical research. Content-related descriptive statistics were summarized. The selected articles were distributed into categories of levels of community engagement: inform, consult, involve, collaborate, or co-lead. The search resulted in 2,473 identified studies of which forty-eight met inclusion criteria. Of these, 47.1% were randomized controlled trials. The most common levels of engagement were consultation (n = 24 studies) and collaboration (n = 15), while very few focused on informing (n = 2) and co-leadership (n = 2). Strategies, limitations, and findings are discussed for each level of community engagement. This narrative addressed a gap in knowledge regarding participant recruitment in rural communities in relation to assistance from community members. Community engagement contributed to the success of the research, especially in recruitment, participation, and building trust and partnership.
Reducing burden and building goodwill for practice-embedded trials: Results of rapid qualitative methods in the preimplementation phase of a community paramedic trial to reduce hospitalizations
Authors: Ridgeway Jennifer L. , Wissler Gerdes Erin O. , Lampman Michelle A. , Smith Olivia A. , McCoy Jessica J. , McCoy Rozalina G. 
Published: February 2023

AbstractPragmatic trials aim to generate timely evidence while ensuring feasibility, minimizing practice burden, and maintaining real-world conditions. We conducted rapid-cycle qualitative research in the preimplementation period of a trial evaluating a community paramedic program to shorten and prevent hospitalizations. Between December 2021 and March 2022, interviews (n= 30) and presentations/discussions (n= 17) were conducted with clinical and administrative stakeholders. Two investigators analyzed interview and presentation data to identify potential trial challenges, and team reflections were used to develop responsive strategies. Solutions were implemented prior to the commencement of trial enrollment and were aimed at bolstering feasibility and building ongoing practice feedback loops.
Risk Management in the Artificial Intelligence Act
Authors: Schuett Jonas 
Published: February 2023

AbstractThe proposed Artificial Intelligence Act (AI Act) is the first comprehensive attempt to regulate artificial intelligence (AI) in a major jurisdiction. This article analyses Article 9, the key risk management provision in the AI Act. It gives an overview of the regulatory concept behind the norm, determines its purpose and scope of application, offers a comprehensive interpretation of the specific risk management requirements and outlines ways in which the requirements can be enforced. This article can help providers of high-risk systems to comply with the requirements set out in Article 9. In addition, it can inform revisions of the current draft of the AI Act and efforts to develop harmonised standards on AI risk management.
SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update
Authors: Glowicz Janet B. , Landon Emily , Sickbert-Bennett Emily E. , Aiello Allison E. , deKay Karen , Hoffmann Karen K. , Maragakis Lisa , Olmsted Russell N. , Polgreen Philip M. , Trexler Polly A. , VanAmringe Margaret A. , Wood Amber R. , Yokoe Deborah , Ellingson Katherine D. 
Published: February 2023

AbstractThe purpose of this document is to highlight practical recommendations to assist acute-care hospitals in prioritization and implementation of strategies to prevent healthcare-associated infections through hand hygiene. This document updates the Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals through Hand Hygiene, published in 2014. This expert guidance document is sponsored by the Society for Healthcare Epidemiology (SHEA). It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America, the Association for Professionals in Infection Control and Epidemiology, the American Hospital Association, and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise.
Aiming at inclusive workplaces: A bibliometric and interpretive review at the crossroads of disability management and human resource management
Authors: Palumbo Rocco , Hinna Alessandro , Fakhar Manesh Mohammad 
Published: February 2023

Abstract
Inclusive workplaces rely on the joint optimization of disability management and human resource management. However, disability management has been predominantly investigated as an independent issue, overlooking its interplay with human resource management. The article delivers a bibliometric and interpretive review of the scholarly debate falling at the crossroad of disability management and human resource management, mapping the state of the art of this study domain. Departing from a knowledge core of 91 papers, 6 research streams were identified through bibliographic coupling. They account for the evolution of disability management from a fix-it initiative aimed at fostering return to work of people with disability towards a holistic management approach targeted at inclusiveness. Aligning the hard and the soft sides of disability management and embedding it in the organizational culture are crucial to enact inclusive workplaces and make organizations able to engage people with disability at work.
Potential overestimation of cognitive impairment because of hearing loss: impact of test modalities on cognitive test scores
Authors: Kim M W , Jin M H , Choi J Y , Kwak M Y 
Published: February 2023

AbstractObjectiveHearing impairment in older adults may affect cognitive function and increase the risk of dementia. Most cognitive tests are delivered auditorily, and individuals with hearing loss may fail to hear verbal instructions. Greater listening difficulty and fatigue in acoustic conditions may impact test performance. This study aimed to examine the effect of decreased audibility on cognitive screening test performance in older adults.MethodOlder adults (n = 63) with different levels of hearing loss completed a standard auditory Mini-Mental State Examination test and a written version of the test.ResultsIndividuals with moderate to moderately severe hearing loss (41–70 dB) performed significantly better on the written (24.34 ± 4.90) than on the standard test (22.55 ± 6.25), whereas scores were not impacted for mild hearing loss (less than 40 dB).ConclusionHearing evaluations should be included in cognitive assessment, and test performance should be carefully interpreted in individuals with hearing loss to avoid overestimating cognitive decline.
Review of management practices of sinogenic intracranial abscesses in children
Authors: Milinis K , Thiagarajan J , Leong S , De S , Sinha A , Sharma R , Sharma S 
Published: February 2023

AbstractObjectiveThis study aimed to evaluate the management practices and outcomes in children with sinogenic intracranial suppuration.MethodThis was a retrospective cohort study in a single paediatric tertiary unit that included patients younger than 18 years with radiologically confirmed intracranial abscess, including subdural empyema and epidural or intraparenchymal abscess secondary to sinusitis. Main outcomes studied were rate of return to the operating theatre, length of hospital stay, death in less than 90 days and neurological disability at 6 months.ResultsA cohort of 39 consecutive patients presenting between 2000 and 2020 were eligible for inclusion. Subdural empyema was the most common intracranial complication followed by extradural abscess and intraparenchymal abscess. Mean length of hospital stay was 42 days. Sixteen patients were managed with combined ENT and neurosurgical interventions, 15 patients underwent ENT procedures alone and 4 patients had only neurosurgical drainage. Four patients initially underwent non-operative management. The rates of return to the operating theatre, neurological deficits and 90-day mortality were 19, 9 and 3, respectively, and were comparable across the 4 treatment arms. In the univariate logistic regression, only the size of an intracranial abscess was found be associated with an increased likelihood of return to the operating theatre, whereas combined ENT and neurosurgical intervention did not result in improved outcomes.ConclusionSinogenic intracranial abscesses are associated with significant morbidity and mortality. The size of an intracranial abscess has a strong association with a need for a revision surgery.
Population structure of the fireworm Hermodice carunculata in the wider Caribbean, Atlantic and Mediterranean Sea
Authors: Cruz Ramos Mariel A. , Schizas Nikolaos V. 
Published: February 2023

Abstract
The bearded fireworm Hermodice carunculata is a conspicuous omnivorous benthic invertebrate distributed in the wider Atlantic Ocean, Mediterranean Sea and the Red Sea. Questions were raised in the past regarding the taxonomic status of amphiatlantic fireworm specimens but subsequent analysis of morphological data with new molecular data reconfirmed the presence of only one species, H. carunculata with amphiatlantic distribution. Hermodice carunculata has been the subject of several taxonomic and genetic studies but there are still questions regarding the genetic diversity and population structure of the species throughout its range. We contributed to the genetic studies of H. carunculata with ~200 new samples from over 20 locations in the Caribbean, Eastern Atlantic Ocean and the Mediterranean Sea. We sequenced the mitochondrial markers Cytochrome c oxidase Subunit I (COI) and Cytochrome b (Cytb) from each polychaete to examine the patterns of genetic diversity of H. carunculata. Our data revealed a significant population structure between the Caribbean H. carunculata including those from Brazil compared with those from the eastern Atlantic (Tenerife, Canary Islands) and eastern Mediterranean (Greece and Malta). We inferred rates of gene flow between eastern and western Atlantic populations by estimating the bidirectional effective migration rate (Nem). We corroborate previous studies indicating the existence of one species with genetically distinct populations. However, the biological significance of the observed population divergence should be evaluated with cross-breeding experiments.
A Lyapunov-based robust control for permanent magnet synchronous motor in the modular joint of collaborative robot
Authors: Zhen Shengchao , Li Yangyang , Liu Xiaoli , Wang Jun , Chen Feng , Chen Xiaofei 
Published: February 2023

AbstractIn order to decrease the influence of system parameters and load on the dynamic performance of permanent magnet synchronous motor (PMSM) in cooperative robot joint modules, a practical model-based robust control method was proposed. It inherits the traditional proportional-integral-derivative (PID) control and robust control based on error and model-based control. We first set up the nominal controller using the dynamics model. In order to limit the influence of uncertainty on dynamic performance, a robust controller is established based on Lyapunov method. The control can be regarded as an improved PID control or a redesigned robust control. Compared with the traditional control method, it is simple to implement and has practical effects. It is proved by theoretical analysis that the controller can guarantee the uniform boundedness and uniform final boundedness of the system. In addition, the prototype of fast controller cSPACE is built on the experiment platform, which averts long-time programming and debugging. It offers immense convenience for practical operation. Finally, numerical simulation and real-time experiment results are presented. Based on cSPACE and a PMSM in the joint module of a practical cooperative robot, the availability of the control design and the achievable control performance are verified.
Constitutions and Modernity in Post-Colonial Afghanistan: Ethnolinguistic Nationalism and the Making of an Afghan Nation-State
Authors: Leake Elisabeth 
Published: February 2023

AbstractIn recent decades, the rule of law has not been commonly associated with Afghanistan. Instead, its politics have been more likely to be framed in terms of lawlessness and ungovernability. But this trope does not do justice to Afghanistan's longer history of statehood or experiences of constitution-making. Over the course of the twentieth century, Afghan leaders drafted seven constitutions (in 1923, 1931, 1964, 1976, 1980, 1987, and 1990). These constitutions represented leaders’ attempts to assert their legitimacy and enforce their vision of an Afghan nation-state. This article sheds fresh light on Afghan elites’ top-down framing of Afghan national identity through ethnolinguism, exploring the legalization of Pashto as both an official and national language in Afghanistan's constitutions. Reformers intended Pashto to transgress community, kinship, and regional boundaries and act as a source of unity (though one in which ethnolinguistic minorities had little say). Tracing Afghanistan's constitutional history from 1923–90, this article reveals language as a constitutional arena for debating Afghan modernity and identity. As such, this article integrates Afghanistan into legal histories of South Asia while emphasizing how Afghan constitutionalists engaged in the process of law-making as a means of expressing Afghanistan's own independence and ideas of modernity.
Utilising abattoir sero-surveillance for high-impact and zoonotic pig diseases in Lao PDR
Authors: Matsumoto Nina , Douangngeun Bounlom , Theppangna Watthana , Khounsy Syseng , Phommachanh Phouvong , Toribio Jenny-Ann , Bush Russell D. , Selleck Paul W. , Gleeson Laurence J. , Siengsanan-Lamont Jarunee , Blacksell Stuart D. 
Published: February 2023

Abstract
National disease surveillance systems are essential to a healthy pig industry but can be costly and logistically complex. In 2019, Lao People's Democratic Republic (Lao PDR) piloted an abattoir disease surveillance system to assess for the presence of high impact pig diseases (HIPDs) using serological methods. The Lao Department of Livestock and Fisheries (DLF) identified Classical Swine Fever (CSF), Porcine Respiratory and Reproductive Syndrome (PRRS) and Brucella suis as HIPDs of interest for sero-surveillance purposes. Porcine serum samples (n = 597) were collected from six Lao abattoirs in March to December of 2019. Serological enzyme-linked immunosorbent assay (ELISA) methods were chosen for their high-throughput and relatively low-costs. The true seroprevalence for CSF and PRRS seropositivity were 68.7%, 95% CI (64.8–72.3) and 39.5%, 95% CI (35.7–43.5), respectively. The results demonstrated no evidence of Brucella spp. seroconversion. Lao breed pigs were less likely to be CSF seropositive (P < 0.05), whilst pigs slaughtered at <1 year of age were less likely to be PRRS seropositive (P < 0.01). The testing methods could not differentiate between seropositivity gained from vaccine or natural infection, and investigators were unable to obtain the vaccine status of the slaughtered pigs from the abattoirs. These results demonstrate that adequate sample sizes are possible from abattoir sero-surveillance and lifetime health traceability is necessary to understand HIPDs in Lao PDR.
Exploring readiness for implementing goal-oriented care in primary care using normalization process theory
Authors: Huybrechts Ine , Boeykens Dagje , Grudniewicz Agnes , Steele Gray Carolyn , De Sutter An , Pype Peter , Van de Velde Dominique , Boeckxstaens Pauline , Anthierens Sibyl 
Published: February 2023

Abstract

Aim:
To use normalization process theory (NPT) to build a strategy for the implementation of goal-oriented care (GOC) in primary care in Flanders, Belgium.

Background:
GOC is a possible approach to more coordinated and integrated care and tailors care to patients’ personal life goals. The concept has gained interest among policy makers and researchers, but the main drivers for successful implementation are the primary healthcare professionals (PHCPs) who need to see added value of GOC in order to embed it into their daily practice. NPT, developed to understand the processes of implementing new ways of organizing care, offers a useful lens to understand adoption of GOC in primary care practice.

Method:
PHCPs (n = 131) who participated in a 2-hour community meeting on GOC were asked to complete the Normalization MeAsure Development survey. This 23-item survey is based on NPT and describes participants’ views about how an intervention would impact their work, their expectations about it, and whether it could become a routine part of their work.

Findings:
The NPT constructs coherence (sense-making work) and cognitive participation (relational work) showed positive tendency toward implementation of GOC. The participants had an initial understanding on GOC and there was much interest in supporting and start working with this approach. The other constructs collective action (operational work) and reflexive monitoring (appraisal work) will need further efforts to trigger implementation. A common ground is needed to integrate GOC as a common practice which can be achieved by intensive interprofessional collaboration.
‘Some of my patients only come to renew their prescriptions. They are not interested in any additional advice or support’. Physicians’ perceptions on their roles in cardiovascular diseases risk reduction and management in Fiji
Authors: Kumar Nikansha , Mohammadnezhad Masoud , Narayan Ravneel 
Published: February 2023

Abstract

Background:
Primary health care (PHC) physicians’ perceptions are vital to understand as they are the first-line health care providers in cardiovascular diseases (CVD) risk assessment and management. This study aims to explore PHC physicians’ perceptions on their roles and their perceptions on management and risk reduction approaches on CVD risk reduction and management in Fiji.

Methods:
This is a qualitative study conducted in the Suva Medical area among 7 health centers from 1 August to 31 September, 2021. Purposive sampling was used to recruit physicians who worked in the Suva medical area as PHC physicians with at least 6 months’ experience in the Special Outpatients Department clinics. In-depth interview were conducted using a semi-structured questionnaire over the telephone and recorded on a tablet device application. The interview content was then transcribed, and thematic analysis was done.

Results:
This study included 25 PHC physicians. From the thematic analysis, 2 major themes emerged with 6 subthemes. Theme 1 was CVD management skills with 3 subthemes including education, experience and trainings, beliefs and attitudes of physicians, self-confidence and effectiveness in CVD risk reduction and management. Theme 2 was roles and expectations with 3 subthemes including perceptions of effective treatment, perceptions of physicians’ roles and perceptions of patients’ expectations. Physicians generally see their role as central and imperative. They perceive to be important and leading toward combating CVDs.

Conclusions:
Physicians’ perceptions on their commitment to prevention and management of CVDs through their skills and knowledge, beliefs and motivation should be acknowledged. It is recommended that the physicians are updated on the current evidence-based medicine. Limitations include results that may not be the reflection of the entire physician and multidisciplinary community and the difficulties in face-to-face interviews due to the coronavirus diseases of 2019 pandemic.
The Limits of Lobbying: Null Effects from Four Field Experiments in Two State Legislatures
Authors: Camp Matthew J. , Schwam-Baird Michael , Zelizer Adam 
Published: February 2023

AbstractIt is widely thought that lobbyists exert influence over legislators’ policy positions and, as a result, over policy outcomes. One mechanism of influence is the provision of policy expertise. Yet, there is little credible empirical evidence that lobbyists’ expertise influences legislative outcomes. Across four experiments fielded with three lobbyists in two state legislatures that examine two public measures of legislators’ positions, we find no evidence that lobbyists’ expertise influences legislators’ policy positions. We do find, in contrast, that the same policy expertise treatment is influential when provided by a legislative staffer. We conclude that policy information can influence legislators’ positions, but that legislators are cautious when that information is provided by lobbyists.