bluuebunny/crossref_metadata_2025_split huggingface dataset:
Las telas como nuevos recursos materiales para la optimización del desarrollo en el medio acuático en infantes
Authors: Casado Ribera Julia , Huéscar Hernández Elisa , De Paula Borges Luciane 
Published: February 2022

Antecedentes: En el momento del nacimiento, por sus características de inmadurez evolutiva, los bebés necesitan de un contexto y entorno seguro que sea capaz de aportarle tranquilidad y bienestar a través de una estimulación de carácter suave y controlada.
Objetivos: Por un lado, llevar a cabo una revisión bibliográfica para analizar las líneas de investigación que emplean el uso de tejidos en el medio acuático como herramienta favorecedora del bienestar del bebé. Por otro lado, realizar una propuesta práctica como recurso para proporcionar una herramienta útil para el educador acuático favoreciendo el desarrollo integral del niño.
Método: Se realizó la búsqueda a través de las bases de datos Pubmed, Science Direct, Discovery UMH, ResearchGate y Google académico, limitándose a estudios en inglés, castellano y portugués publicados en los últimos 20 años.
Resultados: Destacan 3 líneas de abordaje respecto a la utilización de las telas: el baño envuelto, el posicionamiento utilizado, y la hidroterapia neonatal. Siendo la base para la elaboración de la propuesta práctica.
Conclusiones: El uso de las telas se presenta como un recurso muy poco estudiado en el medio acuático con un gran potencial y versatilidad. Sin embargo, existe una escasa evidencia que se centre en los beneficios de este material en el agua.
Palabras clave: Bebés, agua, natación, terapia acuática, vínculo, educación, telas.
Importancia de la gestión emocional en la educación acuática infanto-juvenil: una revisión sistemática
Authors: Garrido Micaela , Huéscar Hernández Elisa , De Paula Borges Luciane 
Published: February 2022

Antecedentes: En cuanto a los textos encontrados, aparecieron en una primera instancia relacionados a deportes en entornos competitivos, al vínculo entre el docente y el niño, relacionados a las actividades físicas en general, entre otros. Sin embargo, al momento de aplicar filtros y limitar el sondeo, orientándolo hacia la práctica infantil de actividades acuáticas, al vínculo entre la educación emocional y las actividades dentro del mundo acuático, allí encontramos un vacío. Es por ello, que hemos apartado para este estudio, aquellos artículos que traten sobre las emociones en edades tempranas y aquellos que vinculan las mismas a la metodología de enseñanza. A partir de los cuales se pretende inferir la relación vincular entre la gestión de las emociones y la enseñanza de las actividades acuáticas.
Se ha resuelto también incluir, aquellas investigaciones que refirieran a la gestión emocional en poblaciones en situación de diversidad funcional, como ser TEA (Trastorno del Espectro Autista) y Parálisis Cerebral, que fueron siempre mayor número de trabajos que los que se han encontrado en población de desarrollo típico.
Objetivos: El objetivo del presente trabajo fue realizar una revisión bibliográfica, de los estudios que se han realizado en los últimos 20 años entorno a la gestión emocional y las actividades acuáticas en la infancia y la adolescencia. Esperando contribuir a la comprensión de los factores asociados a la mejora de la gestión emocional en este medio.
Método: Este estudio consistió en la realización de una revisión sistemática, en la que se seleccionaron y analizaron los resultados de las investigaciones en relación a la gestión emocional en el ámbito acuático. La búsqueda exhaustiva de los trabajos publicados en torno a la gestión emocional utilizó como filtro, publicaciones de los últimos 20 años y que sean exclusivamente relacionadas con el medio acuático.
La búsqueda bibliográfica se basó en bases de datos electrónicas, recopiladas de: SCOPUS, Web of Science, Dialnet, SciELO, EBSCOhost, Timbó Foco y Google académico
Resultados: La revisión realizada arroja resultados relacionados con beneficios para el desarrollo del infante en dos ámbitos: a) personal y b) social. Respecto al ámbito personal los trabajos informan de mejoras relacionadas con el trabajo de la gestión emocional en el medio acuático respecto al autoconcepto del niño y su propia percepción personal.
Conclusiones: En este estudio concluimos, a partir de los resultados de los estudios revisados, que la gestión emocional en el medio acuático se presenta como fundamental para contribuir en el desarrollo integral del infante, ya que participa no solo a nivel personal, desde la mejora del autoconocimiento y autopercepción, sino también a nivel social, fomentando las relaciones con los demás, ya sea en poblaciones infantojuveniles de desarrollo típico como con diversidad funcional.
Palabras clave: gestión emocional, educación acuática, niños, bienestar
Association of Neural Tube Defects with maternal and neonatal serum vitamin B12 level in Bangladesh: A multicenter case control study
Authors: Amin Fakhrul , Pervez Abu Faisal Mohammad , Shahidullah Mohammod , Mannan Abdul , Dey Sanjoy Kumar , Sabuj Mohammad Kamrul Hasan , Rashid Ferdous Jahan Binte , Sujon Hasnat , Sarker Mohammad Habibur Rahman 
Published: February 2022

Abstract
Background: Neural tube defects (NTDs), a congenital deformity of the central nervous system attributed to multifactorial etiology including nutritional factors e.g., folic acid deficiency. Some studies suggested deficiency of vitamin B12 may be another factor behind NTDs due to its intimate metabolic pathway with folic acid. This study aimed to identify the association of NTDs with maternal and neonatal serum vitamin B12 level.Methods: This case-control study was conducted from January 2014 to June 2015 in three tertiary level hospitals at Dhaka, Bangladesh. 32 cases (neonate with NTDs-mother pair) were selected from Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital (18), Dhaka Medical College Hospital (8) and Sir Salimullah Medical College and Mitford hospital (6). 40 age and sex matched controls were selected from BSMMU. A baseline assessment of the mothers on age, parity, education, residence, antenatal checkup, method of delivery and socio-economic status was taken. Vitamin B12 was estimated from the venous blood sample of the mother and newborn within 7 days after delivery. We considered <200 pg/ml of vitamin B12 as ‘deficiency’, 200-300 pg/ml as ‘marginal deficiency’ and >300 pg/ml as ‘normal’. Quantitative data were expressed as mean ± SD and qualitative data were expressed as proportion. Chi-square test and student’s unpaired t-test was used for comparison of categorical and continuous variables respectively. Pearson correlation was used to determine the correlation between continuous variables.Result: Mothers with low socio-economic status (p=0.004) and irregular antenatal checkup (p=0.029) were significantly higher among the cases. Serum vitamin B12 level of mother (p<0.01) and newborn (p<0.01) were significantly lower among the cases. Vitamin B12 deficient newborn were significantly higher among the cases (50% vs. 25%). Maternal and neonatal serum vitamin B12 levels were positively correlated with both case (Pearson R=0.517) and control (Pearson R=0.627) groups.Conclusion: This study finding suggests that both maternal and neonatal low serum vitamin B12 level is associated with NTDs. Vitamin B12 supplementation along with folic acid may be considered for to-be-mothers to prevent NTDs.
Behavioural Optimisation To Address Trial Conduct Challenges: Case Study In The UK-REBOA Trial
Authors: Lawrie Louisa , Duncan Eilidh M. , Jansen Jan O. , Campbell Marion K , Brunsdon Dan , Skea Zoë , Coffey Taylor , Cochran Claire , Gillies Katie 
Published: February 2022

Abstract
Background: Clinical trials comprise multiple processes at various stages of the trial lifecycle. These processes often involve complex behaviours such as recruiting vulnerable patient populations and clinicians having to deliver complex trial interventions successfully. Few studies have utilised a behavioural framework to assess challenges and develop strategies to effective trial recruitment and delivery of trial interventions. This study reports the application of an innovative methodological approach to understand core trial processes, namely recruitment and intervention delivery, using a behavioural science approach to develop strategies designed to mitigate trial process problems. Methods: The UK-REBOA trial aims to evaluate the clinical and cost-effectiveness of Resuscitative Endovascular Balloon Occlusion of the Aorta (a novel intervention) in injured patients with exsanguinating haemorrhage. A behavioural diagnosis was conducted using theory-informed (Theoretical Domains Framework, TDF) semi-structured interviews with site staff from the UK-REBOA trial to investigate trial processes which could be improved in relation to trial recruitment and delivery of the intervention. Interviews were analysed using the TDF to identify salient domains, which were then mapped to techniques for behaviour change and developed into potential solutions.Results: The behavioural diagnosis of the challenges experienced during trial processes highlighted factors relevant to a range of TDF domains: Skills; Environmental context and resources; Beliefs about capabilities; Beliefs about consequences; Social influences; and Memory, attention, and decision processes. Within the solution development phase, we identified 24 suitable behaviour change techniques that were developed into proposed solutions to target reported process problems with the aim of changing behaviour to improve recruitment and/or intervention delivery. Proposed solutions included targeted changes to trial training content, suggestions to restructure the environment (e.g. reinforced the purpose of the trial with information about the social and environmental consequences) and other strategies to reduce barriers to recruitment and intervention delivery. Conclusions: This study demonstrates the feasibility of applying a behavioural approach to investigate behavioural trial process problems and subsequently develop and implement targeted solutions in an active trauma trial. Understanding the underlying determinants that affected behaviour, attitudes and beliefs in this trauma trial provided an avenue to implement theoretically informed, evidence-based solutions designed to enhance trial practices. Trial registration: ISRCTN: 16184981.
Characterized Source Model of The 2013 Lushan Earthquake (Mw 6.6) by Empirical Green’s Function Method
Authors: Wu Hao , Irikura Kojiro , Miyakoshi Ken , Somei Kazuhiro 
Published: February 2022

Abstract
Ground motions near the source area of the mainshock of the 2013 Lushan earthquake (Mw 6.6) in the Sichuan Province in China were reproduced using the characterized source model and the empirical Green’s function method (EGFM). The best-fit characterized source model consists of one strong motion generation area (SMGA) and a background area. The synthesized ground motions of the characterized source model were in fairly good agreement with the observed ones in the frequency range from 0.5 to 30.0 Hz at eleven strong-motion stations. The relationships between the SMGA and the seismic moment, and those between the flat amplitude of acceleration source spectrum in the short-period and the seismic moment, for the 2013 Lushan earthquake (Mw 6.6), almost followed the empirical scaling relationships of inner fault parameters so far developed for the crustal earthquakes. The reason for the largest PGA (>1g) in the strong-motion observation history of China recorded at the 051BXD strong-motion station was investigated from the source and site effects. Through comparing the synthesized ground motions at the station for three different rupture-starting-point and comparing the earthquake H/V spectral ratios between the mainshock and the EGF event, neither the significant directivity effect nor the strong nonlinear effect was observed on the ground motions at the 051BXD. The predominant period around 0.1 s of the Fourier spectra of both the mainshock and the EGF event suggested that the site effect should be responsible for the large record.
Examining the Utility of Bioelectrical Impedance Analysis for Detecting Low-Intake Dehydration in Older Adults in Clinical Care Settings: A Systematic Review
Authors: Alsanie Saleh , Lim Stephen , Wootton Stephen A 
Published: February 2022

Abstract
Background

Dehydration is a frequent cause of excess morbidity and poor health outcomes, particularly in older adults who have an increased risk of fluid loss due to renal senescence, comorbidities, and polypharmacy. Detecting dehydration is key to instigating treatment to resolve the problem and prevent further adverse consequences; however, current approaches to diagnosis are unreliable and, as a result, under-detection remains a widespread problem. This systematic review sought to explore the value of bioelectrical impedance in detecting low-intake dehydration among older adults admitted to acute care settings.
Methods

A literature search using MEDLINE, EMBASE, CINAHL, Web of Science, and the Cochrane Library was undertaken in November 2020 and led to the evaluation of four studies. Risk of bias was assessed using the Cochrane tool for observational studies; three studies had a high risk of bias, and one had a low risk. Data were extracted using systematic proofs. Due to insufficient reporting, the data were analysed using narrative synthesis.
Results

One study showed that the sensitivity and specificity of bioelectrical impedance varied considerably depending on the total body water percentage threshold used to ascertain dehydration status. Other included studies supported the technique's utility when compared to conventional measures of hydration status.
Conclusions

Given the scarcity of literature, future research is required to ascertain the diagnostic value of bioelectrical impedance for low-intake dehydration in older inpatients.
Exposure Characteristics of Phthalate Metabolites Among The Zunyi Cohort of Pregnant Women in Southwest China
Authors: Liao Juan , Fang Derong , Liu Yijun , Xiong Shimin , Wang Xia , Tian Yingkuan , Zhang Haonan , An Songlin , He Caidie , Chen Wei , Liu Xiang , Wu Nian , Tian Kunming , Wang Linglu , Zhang Ya , Yuan Hongyu , Zhang Li , Li Quan , Shen Xubo , Zhou Yuanzhong 
Published: February 2022

Abstract
Reported evidence has increasingly indicated that exposure to phthalates can cause adverse pregnancy outcomes. However, phthalate exposure levels among pregnant women remains unclear. We aimed to evaluate the concentrations of phthalate metabolites in urine samples of the Zunyi cohort of pregnant women from Southwest China. The study was conducted between August 2020 and July 2021, and urine samples were collected from 1003 pregnant women during their third trimester of pregnancy. The concentrations of nine phthalate metabolites in urine samples were then determined. Data on socio-demographic profiles of the participants, lifestyle during pregnancy, parity, and sampling season were collected using questionnaires. The detectable rate of phthalate metabolites ranged from 76–100%. On average, mono-butyl phthalate exhibited the highest median concentration (84.24 µg/L), while mono-benzyl phthalate exhibited the lowest median concentration (0.08 µg/L). Urine concentrations of phthalate metabolites were significantly higher in older, multiparous, higher-body mass index, higher-income, and passive-smoking during pregnancy participants. The levels of low-molecular-weight phthalate metabolites were highest during the summer. In light of our findings, phthalate metabolites present a demographic and seasonal differential distribution among the study population.
Trajectories of Activities of Daily Living in the Last 8 Weeks of Life Among Patients With Terminal Cancer in a Palliative Care Unit: A Retrospective Study
Authors: Soeda Ryo , Mitsuhashi Mana , Okano Suzune , Yokosawa Aiko , Ibe Yuki , Okutsu Teruo , Ishikawa Aiko , Tsuji Tetsuya 
Published: February 2022

Abstract
Purpose: To clarify the multiple trajectories of activities of daily living (ADL) in patients with terminal cancer using a comprehensive assessment measure.Methods: This retrospective study analyzed hospitalized patients with cancer who died or were discharged from a palliative care unit. Multiple trajectories were estimated using group-based trajectory modeling (GBTM) by collecting Functional Independence Measure (FIM) total scores for 8 weeks retrospectively.Results: In total, 306 patients were analyzed. GBTM analysis estimated four groups as the best model for the FIM trajectory over 8 weeks using the following trajectories: (1) the No Decline group, in which ADL did not decline until just before death; (2) the Rapid Decline group, in which ADL declined rapidly 2 weeks before death from a trajectory similar to the No Decline group; (3) the Moderate Disability and Slow Decline group, in which the patient slowly declined from requiring mild to severe assistance; and (4) the Severe Disability group, in which the patient continuously required severe assistance.Conclusions: Multiple ADL trajectories were identified in the last 8 weeks of life of patients with terminal cancer. These findings suggest that palliative care needs to be tailored to the characteristics of each patient.
Impact of the Canadian CT Head Rule Supplemented by the Original Published Minimum Inclusion Criteria to Assist Emergency Department Clinicians’ Assessment of Patients Presenting Post Fall From Residential Aged Care: a Retrospective Audit
Authors: Lee Charlene , Beavers Jonathan , Pham Jonathan , Hackett Liam , Miller Joseph , Buntine Paul 
Published: February 2022

Abstract
Background

A large number of CT brain (CTB) scans are ordered in the ED for older patients with a confirmed or possible head strike but no ongoing symptoms of a head injury. This study aimed to evaluate the effect of the Canadian CT head rule supplemented by the original published minimum inclusion criteria to assist clinician assessment of the need for CTB following minimal trauma fall in patients presenting from residential aged care facilities (RACF) to a major metropolitan emergency department (ED).
Methods

This study was conducted as a pre- and post-intervention retrospective audit. The intervention involved implementation of a decision support tool to help clinicians assess patients presenting to the ED following a fall. The tool integrated the Canadian CT Head Rule (CCHR) in conjunction with a simplified set of inclusion criteria to help clinicians define a minimum threshold for a “minor head injury”. Outcome data pertaining to CT brain ordering practices and results were compared over symmetrical 3-month time periods pre- and post-intervention in 2 consecutive years.
Results

The study included 233 patients in the pre-intervention arm and 241 in the post-intervention arm. Baseline demographics and clinical characteristics were similar in both groups. There was a 20% reduction in the total number of CTB scans ordered following tool implementation, with 134 (57.0%) scans in the pre-intervention group and 90 (37.3%) in the post-intervention group (p < 0.01). The diagnostic yield in the pre- and post-intervention groups was 3.7% and 5.6% respectively (p = 0.52). No variation was observed in medical management between groups, and no patients in either group underwent neurosurgical intervention.
Conclusions

Use of the CCHR supplemented by the original published minimum inclusion criteria appeared to safely reduce the number of CTB scans performed in RACF residents presenting to an ED after a fall, with no associated adverse outcomes. A larger study across multiple centres is required to determine widespread efficacy and safety of this tool.
Optimization of Microwave Assisted Esterification of Succinic Acid Using Box-Behnken Design Approach
Authors: Umrigar Vaishali Rakesh , Chakraborty Mousumi , Parikh Parimal A. 
Published: February 2022

Abstract
Esters of Butanedioic acid (succinic acid) are appealing renewable esters as a fuel additive and solvents. In present study, we have investigated reaction routes for the esterification of Succinic acid (SA)with alcohols like MeOH, ethanol and 2-PrOH using heterogeneous catalyst D-Hβ (moderate bronsted acidity) in Microwave (MW) irradiated reactor to increase yield and minimise waste generation.Using Box-Behnken design (BBD) approach, operating parameters such as reaction time, microwave power and catalyst dosing were optimized for SA esterification with methanol. At optimum condition using D-Hβ catalyst, 99% maximum conversion was achieved with 98% selectivity of Dimethyl Succinate (DMS). At optimum condition, esterification of SA with ethanol and propanol were also performed.Use of D-Hβ is economically more advantageous as it can be reused directly without any prior washing and also showed significant activity.
Feasibility of Endovascular Stenting in the Treatment of Carotid Artery Dissection
Authors: Song Min , Zhong Xuemin , Li Gongbo , Chen Yangmei , Li Changqing , Luo Haiyan 
Published: February 2022

Abstract
Objective: To clinical curative effect of evaluate the endovascular stenting for the treatment of carotid artery dissection. Methods: A retrospective analysis of multiple hospital in Chongqing during May 2013 to May 2018 of 53 cases of extracranial NIHSS score of 1 or more clinical data of patients with carotid artery dissection, follow-up the NIHSS and mRS score evaluation of the safety and effectiveness. Results: The surgical patients with postoperative march mRS compared with preoperative mRS score, score difference was statistically significant; Surgical and non-surgical patient’s long-term follow-up mRS score had significant differences. Conclusion: The results showed that intravascular extracranial carotid stenting treatment is effective and safe in selected patients with acute ischemic stroke, associated with carotid artery dissection.