bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the InterRAI Early Years for Degree of Preterm Birth and Gross Motor Delay
Authors: Iantosca Jo Ann M. , Stewart Shannon L. 
Published: February 2022

BackgroundThe interRAI 0–3 Early Years was recently developed to support intervention efforts based on the needs of young children and their families. One aspect of child development assessed by the Early Years instrument are motor skills, which are integral for the maturity of cognition, language, social-emotional and other developmental outcomes. Gross motor development, however, is negatively impacted by pre-term birth and low birth weight. For the purpose of known-groups validation, an at-risk sample of preterm children using the interRAI 0–3 Early Years was included to examine correlates of preterm risk and the degree of gross motor delay.MethodsParticipant data included children and families (n = 591) from 17 health agencies in Ontario, Canada. Data were collected as part of a pilot study using the full interRAI 0–3 Early Years assessment. Correlational analyses were used to determine relationships between prenatal risk and preterm birth and bivariate analyses examined successful and failed performance of at-risk children on gross motor items. A Kruskal-Wallis test was used to determine the mean difference in gross motor scores for children born at various weeks gestation.ResultsCorrelational analysis indicated that prenatal and perinatal factors such as maternal nicotine use during pregnancy did not have significant influence over gross motor achievement for the full sample, however, gross motor scores were lower for children born pre-term or low birth weight based on bivariate analysis. Gross motor scores decreased from 40 weeks’ gestation (mean rank = 310.77), to moderate to late preterm (mean rank = 258.96), and to very preterm (mean rank = 234.54), however extremely preterm (mean rank = 236.28) performed comparably to very preterm.InterpretationThe interRAI 0–3 was evaluated to determine its efficacy and report findings which confirm the literature regarding delay in gross motor performance for preterm children. Findings confirm that pre-term and low birth weight children are at greater risk for motor delay via the interRAI 0–3 Early Years gross motor domain.
Major Impact of Coping Styles on Anxiety and Depression Symptoms in Healthcare Workers During the Outbreak of COVID-19
Authors: Wang Dongke , Chen Jie , Liu Xinghuang , Jin Yan , Ma Yanling , Xiang Xuelian , Yang Ling , Song Jun , Bai Tao , Hou Xiaohua 
Published: February 2022

BackgroundIn the early days of COVID-19 outbreak, the normally orderly health system was severely challenged by large numbers of feverish patients and shortage of healthcare workers. The outbreak played a harmful role in the mental health of these healthcare workers.ObjectiveWe aim to assess the prevalence of moderate or severe anxiety and depression symptoms (ADSs) of healthcare workers in different regions during COVID-19 disaster and identify the potential risk factors.MethodsWe did a cross-sectional study on ADS of healthcare workers in epicenter-Hubei province and regions in lower epidemic-other provinces by questionnaire online. The data of ADS, the demographic characteristics, occupational exposure, physical condition, family situation, and coping styles were collected and analyzed.ResultsA total of 24.68% of the respondents had experienced moderate or severe ADS. Moderate or severe ADSs were in a higher prevalence in Hubei (32.39%) than other provinces (18.22%). Suspicious symptoms on their own and in family members were independent risk factors of moderate or severe ADS of all health workers. Working on the frontline was the independent risk factor for participants in Hubei province, whereas quarantine was the independent risk factor for those in other provinces. Moreover, among all participants, those with negative coping style were more than four times more likely to have moderate or severe ADS than those with positive coping style.ConclusionModerate or severe ADSs were in a higher prevalence in healthcare workers of Hubei province during COVID-19 outbreak. The coping style may have major impact on ADS in such situation.
The Nurse Role in the Management of ADHD in Children and Adolescent: A Literature Review
Authors: Kleve Liv , Vårdal Lisa , Elgen Irene Bircow 
Published: February 2022

ObjectiveTo review literature regarding existing and recommended roles for nurses in the management of children with ADHD.MethodsMEDLINE and CINAHL were searched from 2010 to the end of 2019 with the following keywords: ADHD, nurse, child, and inclusion criteria published in an English journal.ResultsForty-three records were found. However, only five articles scientifically evaluated the nurse role. The nurse role in ADHD management seemed to vary across countries with nurses working independently or as part of a team with delegated responsibility.ConclusionThe literature review gave information to suggest that nurses can have a significant role in providing a range of medical and non-medical management.
Health Disparities and Differences in Health-Care-Utilization in Patients With Pulmonary Arterial Hypertension
Authors: Park Da-Hee , Meltendorf Tanja , Kahl Kai G. , Kamp Jan C. , Richter Manuel J. , Hoeper Marius M. , Olsson Karen M. , Fuge Jan 
Published: February 2022

IntroductionMental disorders are common in patients with pulmonary arterial hypertension (PAH) and contribute to impaired quality of life (QoL). The impact of mental disorders on access to health care, differences in clinical parameters and treatment in patients with PAH is unclear. In this study we sought to assess the impact of mental disorders and other health disparities on health-care-utilization in patients with PAH.MethodsIn a cross-sectional observational study of patients with PAH, mental disorders were characterized using a structed clinical interview. In addition, patients completed a self-administered questionnaire to assess QoL, symptoms of anxiety and depression, lifestyle-factors and educational status. Number of outpatient visits and communication events per year were calculated as a surrogate for health-care-utilization and were compared by the presence of mental disorder. Linear regression analysis was conducted to assess the impact on health-care-utilization.Results117 patients with PAH participated in this study (70% female, median age 59 (interquartile range, 49–70) years). Significant differences between patients with or without mental disorders were found in anxiety, depression and QoL. There were no significant differences in clinical parameters. Patients with mental disorders had higher rates of outpatient visits and communication events than patients without mental disorders. Linear regression revealed a gain of 2.2 communication events per year in the presence of any mental disorders.ConclusionMental disorders in patients with PAH are common and significantly affect health-care-utilization. This higher demand in patients with mental disorder needs to be addressed by physicians, psychiatrists and specialized nurses offering therapeutic strategies.
Patient's Perception of Digital Symptom Assessment Technologies in Rheumatology: Results From a Multicentre Study
Authors: Knitza Johannes , Muehlensiepen Felix , Ignatyev Yuriy , Fuchs Franziska , Mohn Jacob , Simon David , Kleyer Arnd , Fagni Filippo , Boeltz Sebastian , Morf Harriet , Bergmann Christina , Labinsky Hannah , Vorbrüggen Wolfgang , Ramming Andreas , Distler Jörg H. W. , Bartz-Bazzanella Peter , Vuillerme Nicolas , Schett Georg , Welcker Martin , Hueber Axel J. 
Published: February 2022

IntroductionAn increasing number of digital tools, including dedicated diagnostic decision support systems (DDSS) exist to better assess new symptoms and understand when and where to seek medical care. The aim of this study was to evaluate patient's previous online assessment experiences and to compare the acceptability, usability, usefulness and potential impact of artificial intelligence (AI)-based symptom checker (Ada) and an online questionnaire-based self-referral tool (Rheport).Materials and MethodsPatients newly presenting to three German secondary rheumatology outpatient clinics were randomly assigned in a 1:1 ratio to complete consecutively Ada or Rheport in a prospective non-blinded multicentre controlled crossover randomized trial. DDSS completion time was recorded by local study personnel and perceptions on DDSS and previous online assessment were collected through a self-completed study questionnaire, including usability measured with the validated System Usability Scale (SUS).Results600 patients (median age 52 years, 418 women) were included. 277/600 (46.2%) of patients used an online search engine prior to the appointment. The median time patients spent assessing symptoms was 180, 7, and 8 min, respectively using online using search engines, Ada and Rheport. 111/275 (40.4%), 266/600 (44.3%) and 395/600 (65.8%) of patients rated the respective symptom assessment as very helpful or helpful, using online search engines, Ada and Rheport, respectively. Usability of both diagnostic decision support systems (DDSS) was “good” with a significantly higher mean SUS score (SD) of Rheport 77.1/100 (16.0) compared to Ada 74.4/100 (16.8), (p &lt; 0.0001). In male patients, usability of Rheport was rated higher than Ada (p = 0.02) and the usability rating of older (52 years ≥) patients of both DDSS was lower than in younger participants (p = 0.005). Both effects were independent of each other. 440/600 (73.3%) and 475/600 (79.2%) of the patients would recommend Ada and Rheport to friends and other patients, respectively.ConclusionIn summary, patients increasingly assess their symptoms independently online, however only a minority used dedicated symptom assessment websites or DDSS. DDSS, such as Ada an Rheport are easy to use, well accepted among patients with musculoskeletal complaints and could replace online search engines for patient symptom assessment, potentially saving time and increasing helpfulness.
Application of Finite Element Analysis Combined With Virtual Computer in Preoperative Planning of Distal Femoral Fracture
Authors: He Yuanming , Liu Yang , Yin Bo , Wang Dong , Wang Hanzhou , Yao Peifeng , Zhou Junlin 
Published: February 2022

BackgroundDistal femoral fractures are increasing with an aging population. The computer-assisted preoperative planning has great potential, but there are no preoperative plans to determine appropriate fixation methods for distal femoral fractures on an individual basis. The aims of this study are: (1) to describe the technique of finite element analysis combined with computer-assisted preoperative planning to determine a fixation method for distal femoral fractures and (2) to evaluate the intra-operative realization of this technology and the clinical outcomes based on it for distal femoral fractures.Materials and MethodsBetween January 2017 and January 2020, 31 patients with distal femoral fractures treated by open reduction and internal fixation were included and randomly divided into two groups based on preoperative planning methods: conventional group (n = 15) and computer-assisted group (n = 16). Firstly, how to determine the most appropriate plate and screw length and placement in the preoperative planning of distal femoral fractures was described. The time taken for preoperative planning for different fracture types in the computer-assisted group was then analyzed. Finally, intraoperative and postoperative parameters were compared between the conventional and computer-assisted groups, assessing operative time, intraoperative blood loss, number of intraoperative fluoroscopies, days of hospital stay, Visual Analog Scale for Pain Score (VAS), and Knee Society Score (KSS).ResultsMean total planning time for 33-A, 33-B, and 33-C fractures in computer-assisted group were 194.8 ± 6.49, 163.71 ± 9.22, and 237 ± 5.33 min, respectively. Compared with the conventional group, the patients in the computer-assisted group had less blood loss, fewer fluoroscopic images, and shorter operation time (p &lt; 0.05). However, there was no significant difference in the hospitalization days, KSS score and VAS score between the two groups (p &gt; 0.05).ConclusionsThe results of this study show that finite element combined with computer-assisted preoperative planning can effectively help surgeons to make accurate and clinically relevant preoperative planning for distal femoral fractures, especially in the selection of appropriate plate length and screw positioning.
Comparison of Different Blood Transfusion Methods in Patients Undergoing Cesarean Section
Authors: Guo Fei , Tang Heshan , Wei Xiaoqiang 
Published: February 2022

PurposeTo compare the effect of allogeneic transfusion and acute normovolemic hemodilution (ANH) autologous transfusion in patients undergoing cesarean section.MethodsPatients who underwent cesarean section and received blood transfusion therapy from February 2019 to July 2021 in our hospital were observed and divided into the allogeneic group (n = 55) who received allogeneic transfusion therapy and the autologous group (n = 55) who received ANH autologous transfusion therapy according to the mode of transfusion. Observations included vital signs [heart rate (HR), mean arterial pressure (MAP), stroke volume variation (SVV)], blood routine [red blood cells (RBC), platelets (PLT), hematocrit (HCT), hemoglobin (Hb)], T-cell subsets (CD4+, CD8+, CD4+/CD8+), immunoglobulins (IgA, IgM, IgG), inflammatory factors [C-reactive protein (CRP), tumor necrosis factor (TNF)-α, interleukin (IL)-6], and adverse effects were counted in both groups.ResultsThere was no statistical significance in the intra-group and inter-group comparisons of HR, MAP, and SVV between the two groups before transfusion and transfusion for 10 min (P &gt; 0.05). 5d after operation, the RBC, PLT, HCT, and Hb of the allogeneic group were lower than those before operation, and the autologous group was higher than that of the allogeneic group (P &lt; 0.05). 5d after operation, the CRP, TNF-α, and IL-6 of the allogeneic group were higher than those before operation, and the autologous group was lower than that of the allogeneic group (P &lt; 0.05). 5d after operation, the CD4+, CD4+/CD8+ of the allogeneic group were lower than before operation, and the CD8+ was higher than before operation. The CD4+ and CD4+/CD8+ of the autologous group were higher than that of the allogeneic group, and CD8+ was lower than that of the allogeneic group (P &lt; 0.05). 5d after operation, the IgA, IgG, and IgM of the allogeneic group were lower than those before operation, and the autologous group was higher than that of the allogeneic group (P &lt; 0.05). During blood transfusion, there was no significant difference in the adverse reaction rate between the two groups (P &gt; 0.05).ConclusionBoth allogeneic transfusion and ANH autologous transfusion have little effect on the vital signs of patients undergoing cesarean section, but ANH autologous transfusion is more helpful to the stability of blood routine, T-cell subsets, immunoglobulin, and inflammation levels after surgery, which is a safe and effective way of blood transfusion.
Metabolomic Fingerprinting and Molecular Characterization of the Rock Samphire Germplasm Collection from the Balkan Botanic Garden of Kroussia, Northern Greece
Authors: Kadoglidou Kalliopi , Irakli Maria , Boutsika Anastasia , Mellidou Ifigeneia , Maninis Nikolas , Sarrou Eirini , Georgiadou Vasiliki , Tourvas Nikolaos , Krigas Nikos , Moysiadis Theodoros , Grigoriadou Katerina , Maloupa Eleni , Xanthopoulou Aliki , Ganopoulos Ioannis 
Published: February 2022

The traditionally edible aerial parts of rock samphire (Crithmum maritimum L.) could be a valuable functional food or feed ingredient due to their high antioxidant capacity, ascorbic acid content, and rich content in secondary metabolites such as phenolics and flavonoids. The first objective of this study was to evaluate eighteen genotypes derived from different regions of Greece regarding the phytochemical contents of their soluble extracts in total phenolics, total flavonoids, and individual polyphenols as determined by LC-MS analysis, as well as ascorbic acid content and their antioxidant capacity as determined by different assays, including ABTS (2,2-azino-bis-3-ethylbenzothiazoline-6-sulfonic acid), DPPH (2,2-diphenyl-1-picrylhydrazyl radical scavenging activity), and FRAP (ferric reducing antioxidant power) assays. The second objective of the study was the molecular characterization of native Greek C. maritimum genotypes. Great variation among genotypes was observed in terms of the antioxidant capacity, ascorbic acid content, and phenolic compounds (total phenolic content and total flavonoid content), as well as in caffeolquinic acids and flavonoids. The principal component analysis highlighted genotypes with a higher potential in antioxidants and polyphenolics. The most promising genotypes were G9 from Kefalonia, followed by G4 from Ikaria, where both clearly exhibited a similar response with high values of evaluated traits. The molecular characterization of genotypes revealed low variability and low to moderate genetic diversity between populations. Our data indicated that the rock samphire germplasm collection from the Balkan Botanic Garden of Kroussia could serve as an important source of documented genetic material and, thus, it is suggested for further investigation to provide insight regarding cultivation and agro-processing aspects, artificial selection, or plant breeding aimed at developing C. maritimum genotypes of high-bioactive value.
Experimentation of a novel composite phase change material for thermal comfort improvement and energy saving in buildings
Authors: Boussaba Lisa , Makhlouf Said , Foufa A. Amina 
Published: February 2022

This study focuses on the preparation of a novel composite phase change material (PCM) for an application of Latent Heat Thermal Energy Storage in buildings. The aim of this application is to improve thermal inertia in buildings. A good thermal inertia, involves the improvement of thermal comfort and energy saving. The experimented materials’ components are selected for their availability, safety and low cost. Paraffin with a melting temperature range close to 30°C is selected as a PCM; it is composed of microcrystalline wax and liquid paraffin. The matrix is prepared from plaster, graphite powder and cellulose fibers. The PCM is introduced in the matrix following the immersion method. Several samples are prepared; there after they are subjected to a thermal treatment at 50°C for 30 min on a filter paper. The purpose is to identify the performance of each sample to retain the PCM without leakages.
Thermal and physicochemical characterizations are performed to study the composites’ properties: Scanning Electron Microscopy (SEM) is used to observe its microstructure; X-Ray Diffraction (XRD) identifies the crystallographic structure of the composite-PCM while Fourier Transformed Infrared Spectroscopy (FT-IR) reveals the chemical compatibility between its different components. Thermo Gravimetric Analysis (TGA) and Differential Scanning Calorimetry (DSC) are performed for thermal characterization. The thermal performance of the composite-PCM is verified experimentally using thermocouple measurements connected to a temperature recorder apparatus. The measurements are done simultaneously on two pellets; the first contains PCM while the second does not contain PCM.
Finite Element Modeling of Strengthened Beams Using CFRP
Authors: Barour Sabiha , Zergua Abdesselam 
Published: February 2022

Deteriorating and damage of some structural elements influence negatively their strength and the bearing capacity. However, it is necessary to take some measures improve structural performance. In this context, the composite material is often used to strengthen the damaged parts. This paper presents a model to analyze the effect of carbon fiber reinforced polymer strengthening of beams under four point bending. Finite element software ANSYS 12.0 has been used for modeling the beams by conducting nonlinear static analysis. The SOLID 65 and SHELL 181 elements have been used to, respectively; model the 3D concrete beams and the composite layer. Constitutive properties of different components (concrete and FRP) have been incorporated. The predicted Finite element analysis results for the load-midspan deflection are compared to the measured experimental data. Close agreement was found between the predicted and measured results at all stages of loading for both models developed.
Empirical Equation for Concrete Made With PPC or OPC with Fly Ash by Accelerated Mix Design Method
Authors: Ojha P N , Kumar Suresh , Mandre Manish Kumar , Mittal Piyush , Singh Brijesh , V V Arora 
Published: February 2022

Assessment of 28 days strength from accelerated strength (1 day) can be extremely helpful. Early prediction of 28 days compressive strength is required basically for two purposes. First, to finalize the concrete mix proportions in the laboratory and secondly, for quality control purpose during construction. Through this concept designers can easily identify the uncalculated errors during mix design or variations in materials and exposure conditions etc. and take necessary correction and modification measures to attain the desired strengths at 28 days. As per IS: 9013 methodology to predict the 28 days strength of concrete from accelerated cured strength are indicated only for normal/control concrete. In the past few year focus has shifted from Ordinary Portland Cement (OPC) to Portland Pozzolana Cement (PPC). Fly ash is also being used widely at sites as replacement of OPC. However, there is no such guideline available by which the assessment of 28 days strength of Indian fly ash concrete can be made from accelerated strength tests. In the present study an attempt has been made to predict the expected 28 days compressive strength of concrete having PPC or OPC with fly ash using accelerated temperature regime methods. The experimental study includes the use of 2 brands of PPC, 5 brands of OPC and 2 sources of fly ash for replacement of OPC ranging from 20% to 45 %. Two temperature regimes 900C and 820C were used for accelerated curing. The samples were cured for 7.5 hours and 20hours respectively in each regime for expected 28 day compressive strength. The mathematical equations to estimate the 28 days compressive strength of concrete, cured at 900C for 7.5 hours for mixes having PPC, OPC mixed with fly ash 20% to 35% is fexp28 = 1.223 facs +2.024. The mathematical equations to estimate the 28 days compressive strength of concrete, cured at 900C for 7.5 hours for mixes having PPC, OPC mixed with fly ash more than 35% and up to 45% is fexp28 = 0.993 facs + 6.044.
Perancangan Aplikasi Hostelry Dengan Teknologi Location Based Service Berbasis Android Untuk Mendukung Sektor Pariwisata Di Bulukumba
Authors: Nuraida Latif  , Rohayati Arifin  , Andi Diaunnajiyah  
Published: February 2022

Penelitian ini bertujuan untuk Merancang aplikasi Hostelry dengan Teknologi Location Based Service (LBS) berbasis android untuk pendukung sektor pariwisata di Bulukumba, Mengimplementasikan aplikasi Hostelry berbasis android di Kabupaten Bulukumba. Data data diperoleh melalui penelitian lapangan berupa wawancara, dokumentasi dan penelitian pustaka. Jumlah sampel yang diambil dalam penelitian ini terbagi menjadi 3 kategori yaitu penginapan, wisata, dan pasar. Perhitungan pengambilan sampel dari populasi menggunakan rumus Slovin dengan jumlah sampel data 48 penginapan dari 93 data penginapan, 23 wisata dari 30 data wisata, dan 30 pasar dari 42 data pasar. Pengujian aplikasi menggunakan metode pengujian blackbox dan User Acceptance Testing (UAT). Hasil penelitian menunjukkan bahwa aplikasi Hostelry Bulukumba dapat memudahkan wisatawan dalam memilih dan melakukan pencarian lokasi penginapan dengan tingkat kelayakan rata-rata 95,2% dari 22 responden.