bluuebunny/crossref_metadata_2025_split huggingface dataset:
Protocol for a systematic review and meta-analysis: to investigate the association of adherence to plant-based diets with cardiovascular disease risk
Authors: Lopes Tatum , Zemlin Annalise E. , Faber Mieke , Durao Solange , Erasmus Rajiv T. , Kengne Andre P. 
Published: June 2022

Background:Plant-based diets (PBDs) are characterised as healthy dietary patterns that emphasise the intake of plant foods and limit the intake of animal foods. The Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets are common examples of healthy dietary patterns that are mainly plant based. There are different dietary pattern analysis approaches and scoring systems available to construct indices that measure adherence to a dietary pattern. Nutritional epidemiology studies necessitate the use of appropriate dietary indices when investigating diet-disease associations. This protocol is for a review that will: 1) evaluate how a PBD has been defined in studies published globally; and 2) assess the methods used to construct dietary indices that measure adherence to a PBD; with a focus on studies that have assessed the association between adherence to a PBD and CVD risk. Methods:This protocol was developed according to the Preferred Reporting Items for Systematic reviews and Meta-Analysis Protocols guidelines. PubMed–Medline, Scopus and biomedical databases within EBSCOhost will be searched up to August 2021. Two reviewers will independently screen the identified records and review the eligible full texts for inclusion. Discrepancies will be resolved by consensus or through discussion with a third reviewer. Meta-analysis will be performed where possible and consistency of the findings checked through subgroup analysis. Heterogeneity across studies will be assessed and quantified, and publication bias investigated. Relevant sensitivity analyses will be performed to substantiate the robustness of the study findings. Conclusion:Currently, there is some inconsistency in defining and measuring adherence to a PBD across study populations. Moreover, a lack of global data on the association between adherence to a PBD and CVD risk. This systematic review could aid in promoting the worldwide uptake of these findings for policy and practice purposes. This research will use previously published studies; and therefore, will not require ethical approval.
Robust RMSA design for shared backup path protection based EON against nonlinear impairments
Authors: Chebolu Venkatesh , Behera Sadananda , Das Goutam 
Published: June 2022

We focus on quality of transmission (QoT) guaranteed routing, modulation, and spectrum allocation (RMSA) in shared backup path protection (SBPP) based elastic optical networks (EONs) in the presence of nonlinear impairments. Allocating a suitable modulation format (MF) to ensure end-to-end QoT (E2E QoT) in a survivable EON offers critical challenges because each single link failure results in the failure of different network connections. As a consequence, different working and backup path allocations exist in the network for different failures, which lead to different nonlinear interference (NLI) power on any frequency slots (FSs). This demands a robust RMSA design to decide the suitable MF for each FS to ensure the E2E QoT under two scenarios: any single link failure and no failure. For this purpose, we propose a robust SBPP-NLI aware (SBPP-NLIA) algorithm to ensure E2E QoT with a multi-objective function that enables the joint sharing of backup FSs as well as transceivers and minimizes the overall network fragmentation. In the process, we introduce robust bitloading in our SBPP-NLIA to allocate different MFs for different FSs where we also perform optimal MF allocation for each FS of every connection. Next, we ensure the QoT of existing connections while establishing each new connection without reserving any margin. To achieve this with less complexity, we propose a recursive method to calculate the NLI for existing connections. Simulation results demonstrate that our proposed SBPP-NLIA performs 10.01% and 14.19% better in terms of, respectively, the bandwidth blocking probability and fragmentation compared to a full-load assumption scheme with an 85 Tb/s traffic load.
Improving screening, treatment, and intervention for unhealthy alcohol use in primary care through clinic, practice-based research network, and health plan partnerships: Protocol of the ANTECEDENT study
Authors: Singh Amrita N. , Sanchez Victoria , Kenzie Erin S. , Sullivan Eliana , McCormack James L. , Hiebert Larson Jean , Robbins Alissa , Weekley Tiffany , Hatch Brigit A. , Dickinson Caitlin , Elder Nancy C. , Muench John P. , Davis Melinda M. 
Published: June 2022

Background
Unhealthy alcohol use (UAU) is a leading cause of morbidity and mortality in the United States, contributing to 95,000 deaths annually. When offered in primary care, screening, brief intervention, referral to treatment (SBIRT), and medication-assisted treatment for alcohol use disorder (MAUD) can effectively address UAU. However, these interventions are not yet routine in primary care clinics. Therefore, our study evaluates tailored implementation support to increase SBIRT and MAUD in primary care.

Methods
ANTECEDENT is a pragmatic implementation study designed to support 150 primary care clinics in Oregon adopting and optimizing SBIRT and MAUD workflows to address UAU. The study is a partnership between the Oregon Health Authority Transformation Center—state leaders in Medicaid health system transformation—SBIRT Oregon and the Oregon Rural Practice-based Research Network. We recruited clinics providing primary care in Oregon and prioritized reaching clinics that were small to medium in size (<10 providers). All participating clinics receive foundational support (i.e., a baseline assessment, exit assessment, and access to the online SBIRT Oregon materials) and may opt to receive tailored implementation support delivered by a practice facilitator over 12 months. Tailored implementation support is designed to address identified needs and may include health information technology support, peer-to-peer learning, workflow mapping, or expert consultation via academic detailing. The study aims are to 1) engage, recruit, and conduct needs assessments with 150 primary care clinics and their regional Medicaid health plans called Coordinated Care Organizations within the state of Oregon, 2) implement and evaluate the impact of foundational and supplemental implementation support on clinic change in SBIRT and MAUD, and 3) describe how practice facilitators tailor implementation support based on context and personal expertise. Our convergent parallel mixed-methods analysis uses RE-AIM (reach, effectiveness, adoption, implementation, maintenance). It is informed by a hybrid of the i-PARIHS (integrated Promoting Action on Research Implementation in Health Services) and the Dynamic Sustainability Framework.

Discussion
This study will explore how primary care clinics implement SBIRT and MAUD in routine practice and how practice facilitators vary implementation support across diverse clinic settings. Findings will inform how to effectively align implementation support to context, advance our understanding of practice facilitator skill development over time, and ultimately improve detection and treatment of UAU across diverse primary care clinics.
Determinants of overweight and/or obesity among school adolescents in Butajira Town, Southern Ethiopia. A case-control study
Authors: Kedir Shemsu , Hassen Kalkidan , Melaku Yabsra , Jemal Musa 
Published: June 2022

Background
The global rise of adolescent overweight and obesity is posing a new challenge to the public health sector by determining the forthcoming generation for the most awful and upsetting quality of social life by inducing bantering, social isolation, and stigmatization among children that contribute to the mental wellbeing of the growing adolescents. Risk factors for overweight and/or obesity might not be the same across different regions due to differences in socioeconomic characteristics, culture, ethnicity, and geographical location. Moreover, in this study area, no report has been documented so far on the determinant factors of overweight and/or obesity among school adolescents. Hence, this study aimed at identifying context-specific determinants of overweight and/or obesity among adolescents in the study area.

Methods and materials
School-based unmatched case-control study design was employed from March 1–30, 2019, in Butajira town, Southern Ethiopia. Data were collected regarding sociodemographic, dietary practice, physical activity, nutritional knowledge-related factors, and anthropometric measurements. Multivariable logistic regression models were fitted to identify independent predictors of overweight/obesity.

Results
We enrolled 297 adolescents: 99 cases, 198 controls. Multivariable binary logistic regression analysis revealed that those in high socioeconomic status [AOR = 5.8, 95% CI (2.66, 12.5)], consumed soft drinks 3 and above times per week [AOR = 3.7, 95% CI (1.8, 7.3)], physically inactive [AOR = 4.4 95% CI (1.68, 11.6)], spent free time by watching television/movies for 3 and above hours per day [AOR = 8.6, 95% CI (4.3, 17)] and with poor nutritional knowledge [AOR = 3.4, 95%CI (1.7, 6.9)] were significantly associated with overweight and/obesity.

Conclusion
High socioeconomic status, consumption of soft drinks, physical inactivity, sedentary behavior, and poor nutritional knowledge were significantly associated with overweight/obesity. Therefore, strengthening parent and school-based health education in healthy nutrition behaviors and promotion tactics such as enhancing physical activity, limiting watching television, and soft drinks will be helpful to minimize overweight and obesity among adolescents.
Sustainability Study Of Sugarcane And Sweet Sorghum As Feedstocks For Biotehanol Production
Authors: Sanni Abdulkadeem , Adegboyega Olawale , Yahya Sani 
Published: June 2022

Sustainability study of bioethanol production from sugarcane and sweet sorghum was conducted using superPro® Designer and OpenLCA sustainability softwares. The model incorporated the different bioethanol production technologies: pretreatment (sterilization), fermentation and purification. The paper confronted the challenge of fossil fuel derived environmental damages of GHG emission and economic implications of dwindling crude oil prices. This study is aimed at efficient production and consumption of sugarcane and sweet sorghum-based fuel-grade bioethanol with the established economic minimum bioethanol plant capacity of 95 000 m
3/annum.
Based on the economic sustainability indices assessed, the plant using sugarcane had a higher return on investment (ROI) of 26.64% than that utilizing sweet sorghum (18.34%). Their corresponding payback periods were estimated to be 3.75 and 5.5 years respectively. Hence, sugarcane is a more economically viable feedstock for bioethanol production at an annual plant capacity of 95,000 m
3. The environmental assessment conducted on the two feedstocks using life cycle assessment approach in OpenLCA sustainability software showed that the process utilising sugarcane posed lesser environmental burden with higher net energy balance (NEB) of 7.6 but lower net energy renewability (NER) of 50.8. The results of environmental assessment showed that CO
2 emissions in the sugarcane and sweet sorghum processes constituted the highest pollutants emission/discharge costs with about 98% and 98.53% respectively. The lost work analyses of the feedstocks processing showed that distillation columns were the least energy efficient units in both processing plants recording 24.65% and 22.90% for sugarcane and sweet sorghum plants respectively. Although the total lost work in sweet sorghum process (62,506.68kW) was higher than that of sugarcane process (41,581.14kW). Hence, sugarcane is economically and environmentally more sustainable as feedstock for fuel-grade bioethanol production than sweet sorghum.
Sign Language Prediction Model using Convolution Neural Network.
Authors: Ndungi Rebeccah , Karuga Samuel 
Published: June 2022

The barrier between the hearing and the deaf communities in Kenya is a major challenge leading to a major gap in the communication sector where the deaf community is left out leading to inequality. The study used primary and secondary data sources to obtain information about this problem, which included online books, articles, conference materials, research reports, and journals on sign language and hand gesture recognition systems. To tackle the problem, CNN was used. Naturally captured hand gesture images were converted into grayscale and used to train a classification model that is able to identify the English alphabets from A-Z. Then identified letters are used to construct sentences. This will be the first step into breaking the communication barrier and the inequality. A sign language recognition model will assist in bridging the exchange of information between the deaf and hearing people in Kenya. The model was trained and tested on various matrices where we achieved an accuracy score of a 99% value when run on epoch of 10, the log loss metric returning a value of 0 meaning that it predicts the actual hand gesture images. The AUC and ROC curves achieved a 0.99 value which is excellent.
Putting the Embodied Turn in Philosophy to Practice: Luce Irigaray’s Response to Nietzsche’s Philosophy of Embodied Thinking
Authors: Thorgeirsdottir Sigridur 
Published: June 2022

AbstractLuce Irigaray’s writings on Nietzsche’s philosophy belong to the groundbreaking interpretations of his work and they also confirm the continued relevance of his philosophy. Unlike most male-centric philosophers, Nietzsche not only saw that sexual difference was becoming one of the major philosophical issues of our age. He was also keenly aware of how it permeated our philosophical tradition with its dualistic models, which is one reason for Irigaray’s interest in it, as has been widely discussed in feminist/queer philosophical research into her Nietzsche interpretation. Another common denominator of Nietzsche and Irigaray are their philosophies of the body. Interpreters of Irigaray have pointed out how her conception of embodied, sexuate being calls for a new way of philosophical thinking (Grosz), and Stegmaier interprets the liberation from prejudices we encounter in Nietzsche’s works as a “liberation of philosophy.” How can the liberation of philosophy be understood in the way we practice philosophical thinking? In the following interpretation of Irigaray’s bookThe Marine Lover of Friedrich Nietzsche(1980), I show how it offers a theory and a practice of embodied philosophical thinking, which I will discuss in light of new phenomenological methodologies of embodied thinking (Gendlin, Petitmengin). Irigaray’s interpretation of Nietzsche’s philosophy inMarine Loveris both critical and constructive as apparent in her interpretation of Dionysus and Ariadne. On the one hand, this couple represents for her the patriarchal tradition of philosophy that she claims Nietzsche is still stuck in, and on the other hand, it also represents a liberation from resentment and misogyny in relations of the sexes. The notions of listening to oneself and to the other, being touched and tearing, enable such a liberation, both on the level of relations of the sexes and on the level of philosophical dialogues and thinking that Dionysus and Ariadne also represent. The water/ocean in the title ofMarine Loverindicates how this is a philosophical text that displays an explicit processing and articulation of feelings, emotions, and affects in philosophical thinking.
Self-efficacy, stress levels and daily style of living among older patients with type 2 diabetes in a rural primary care setting: a cross-sectional study
Authors: Klinis Spyridon , Symvoulakis Emmanouil K. , Stefanidou Maria , Bertsias Antonis , Christodoulou Nikolaos , Tsiouri Ioanna 
Published: June 2022

Aims. To identify to what extent stress and self-efficacy may be associated with specific features in the elderly with type 2 diabetes, such as lifestyle habits, multi morbidity, sleep quality and duration, and treatment regimen. Methods. A cross-sectional study of 92 out of 103 recruited patients ≥65 year old with a diagnosis of type 2 diabetes was conducted at a rural primary care unit in Northern Greece. The General Self-Efficacy Scale (GSES), the Short Anxiety Screening Test (SAST) and an original questionnaire to assess health habits and disease monitoring information were completed after structured personal interviews.
Results. In the multiple linear regression analysis, patients with higher education, with more night sleeping hours and physical exercise weekly had a higher GSES score than their counterparts (p<0.05). Stress levels assessed with SAST were shown mostly associated with poor sleep quality, fewer days of meat and legumes consumption, increased body mass index and multi-morbidity (p<0.05), as emerged from the multiple linear regression analysis. Glycemic control in the elderly does not have a significant correlation with stress levels or general self-efficacy.
Conclusions. Self-efficacy and stress levels are not predictors for glycemic control, but can indirectly be seen as co-determinants, contributing to the overall daily life quality among patients with diabetes. Mental health well-being, expressed by higher self-efficacy and less stress scale rating, showed positive interferences with eating, sleep and daily life attitudes among elderly with diabetes.
Identification of risk factors associated with hyponatremia in psychiatric patients: a case-control study
Authors: Powle Himani , Shet Ashvitha , Mendonca Arline , Thulasi Lakshmi , Poojari Pooja , Thunga Girish , Munoli Ravindra , Kunhikatta Vijayanarayana 
Published: June 2022

Background and aims. Prompt recognition and optimal management of hyponatremia helps the physician devise a better treatment plan to prevent future complications in patients. Hence this study aims to identify the risk factors associated with hyponatremia in psychiatric patients.
Methods. A case-control study was conducted among psychiatric inpatients in a tertiary care teaching hospital. Patients admitted from January 2013 to December 2017 were identified using ICD-10 code F01-F99. Patients with serum sodium levels < 135 mmol/L were considered to have hyponatremia and between 135-145 mmol/L as controls. Factors associated with hyponatremia were identified by multiple logistic regression, and the odds ratio (OR) was calculated.
Results. Based on the inclusion and exclusion criteria, 264 cases of hyponatremia and 253 matching controls were included in the study. The mean age of patients with hyponatremia was 56.4 ± 16.8 years compared to 39.6 ± 13.9 years in controls, and 65.7% of them were males. Seizure disorder (OR = 3.14, p = 0.047), bipolar disorder (OR = 6.03, p = 0.001), depression (OR = 4.78, p = 0.0005), use of quetiapine (OR = 2.11, p = 0.007) and insulin (OR = 3.53, p = 0.038) were independent risk factors associated with development of hyponatremia.
Conclusions. The chances of developing hyponatremia are increased in psychiatric patients with a seizure disorder, bipolar disorder, depression and using quetiapine or insulin. And they should be monitored carefully.
Characterization of eggshell as a bio-regeneration material
Authors: Opris Horia , Baciut Mihaela , Bran Simion , Dinu Cristian , Armencea Gabriel , Opris Daiana , Mitre Ileana , Manea Avram , Stoia Sebastian , Tamas Tiberiu , Barbur Ioan , Baciut Grigore 
Published: June 2022

Objective. The objective of this study was to identify and summarize the characteristic features of eggshell for regeneration purpose in oral surgery procedures.
Methods. A review of literature was undertaken based on the PubMed database. A search to reveal the current state of knowledge and the current uses of the eggshell as a biomaterial was performed. The characteristics of the materials, the specific use, the procedure and the outcome were extracted from the articles.
Results. The materials have been found to be used in humans, animals, and in vitro studies. There is a wide use regarding oral surgery especially in experimental models. There have also been attempts to enhance certain properties and improve the capabilities of eggshell as a biomaterial. There is yet a commercial product to be developed and approved for human use.
Conclusions. Eggshell can be an important biowaste which can be of use in guided bone regeneration procedures, but it has not yet entered the commercial phase and approval through official regulation channels.
Efecto de la pandemia en las actividades laborales de nuestros asociados desde el inicio (marzo 2020) hasta la etapa posvacunación (julio 2021)
Authors: Dello Russo Bibiana , Vivas Mauro , Saez Lara Emilce , Barcia Sergio , Santini Araujo Gala , Aquino Gabriela , Piantoni Lucas , Cafruni Virginia María , Camino Willhuber Gastón 
Published: June 2022

Introducción: El 11 de marzo de 2020, la OMS declaró la pandemia global por COVID-19 que afectó la práctica ortopédica en el mundo. Para analizar la influencia de la COVID-19 sobre la situación laboral de los socios de la Asociación Argentina de Ortopedia y Traumatología, hemos realizado tres encuestas desde el inicio (marzo 2020) hasta la etapa posvacunación (julio 2021). Los objetivos fueron determinar diferencias en la reducción relativa del trabajo (consultorios, cirugías) durante las tres fases de la pandemia: prepico, pico y etapa de vacunación, y diferenciar entre la población estudiada, cuidados de protección, actividad, testeos, infección, aislamientos, vacunación.
Materiales y Métodos: Encuesta prospectiva, en tres etapas, a los socios en general, autorizada por la Comisión Directiva, desde el inicio del aislamiento social obligatorio (Ro de 2,8), en el pico y posvacunación.
Resultados: Se observó un bajo grado de adherencia que fue disminuyendo progresivamente entre las fases. El 6,99% había sido testeado en la primera encuesta; el 25,29%, en la segunda, y el 88,2%, luego de 6 meses. La reducción de las actividades habituales y la incorporación de la telemedicina, como una nueva forma de intercambio médico-paciente, fue la novedad en la segunda parte de la encuesta.
Conclusiones: Los sistemas de protección han dado un porcentaje aceptable de confiabilidad con un alto índice de vacunación dentro de los especialistas. A pesar del riesgo y los miedos al contagio, la telemedicina no ha logrado ser una alternativa aceptaba tanto por los profesionales como por los pacientes.