bluuebunny/crossref_metadata_2025_split huggingface dataset:
Crystal structure, dielectric properties, and optical bandgap control in KNbO3–BiMnO3 ceramics
Authors: Pascual‐Gonzalez Cristina , Elicker Carolina , Moreira Mario L. , Cava Sergio , Sterianou Iasmi , Wang Dawei , Feteira Antonio 
Published: September 2022

Abstract(1 − x)KNbO3–xBiMnO3 (0 ≤ x ≤ 0.25) ceramics were prepared by the solid‐state reaction method. An X‐ray diffraction analysis combined with Raman spectroscopy showed the co‐solubility of Bi and Mn in the orthorhombic structure to be less than 5% BiMnO3. Orthorhombic and pseudocubic symmetries coexist in the 0.05 ≤ x ≤ 0.15 region, coinciding with a bimodal grain size distribution. This coexistence of crystal symmetries is further corroborated by several anomalies in the dielectric behavior, which can be ascribed to structural phase transitions. For x ≥ 0.20, only one dielectric anomaly is detected around 100°C, which is commensurate with in situ Raman spectroscopy analysis. This work also shows that Bi/Mn co‐doping can be employed to tailor the bandgap of KNbO3, which narrows continuously with increasing x, resulting in ∼1‐eV narrowing for single‐phase x = 0.25. This may offer the possibility to employ this ferroic material in photoresponsive technologies.
Beneficial effects of fermented barley extracts on inflammatory status and gut microbiota in high-fat diet-induced obese rats
Authors: Huang Xiaozhong , Cao Qingguo , Chen Cen , Xie Zhenglin , Fan Jinshan 
Published: September 2022

Abstract

Aims
To explore how fermented barley extracts could affect obesity-associated inflammatory responses to ameliorate high-fat diet (HFD)-induced obesity, and investigate whether their anti-inflammatory properties were affected by modulating the gut microbiota.

Methods and Results
Twenty-four male rats were assigned randomly to three groups for 8 weeks. Inflammatory status and gut microbiota in HFD-induced obese rats were measured by enzyme linked immunosorbent assay and 16sRNA sequencing technology. The dietary supplementation of Extract of fermented barley with L. plantarum JDM1 (LFBE) reduced HFD-induced obesity and improved insulin sensitivity. LFBE significantly decreased the levels of lipopolysaccharide (LPS) and pro-inflammatory cytokines (tumour necrosis factor-α, interleukin [IL]-6, IL-1β, monocyte chemotactic protein-1), and increased anti-inflammatory cytokines (IL-10) in serum. In addition, LFBE suppressed the activation of nuclear factor-κB (NF-κB) by inhibiting the inhibitor of NF-κB alpha degradation and phosphorylation of JNK/p38 mitogen-activated protein kinases in adipose tissue. Combined with changes in gut microbiota, these results illustrated that LFBE treatment markedly decreased the proportion of the LPS-producing opportunistic pathogens and increased the proportion of Bifidobacterium.

Conclusions
Administration of LFBE has beneficial effects on ameliorating HFD-induced obesity and insulin resistance, lessening HFD-induced gut microbiota dysbiosis and pro-inflammatory cytokines secretion.

Significance and Impact of this Study
The results suggest that fermented barley extracts may be a useful functional compound and beneficial to improve inflammatory status and gut microflora.
Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model
Authors: Kim So‐Young , Lee Yun Mi , Son Youn‐Jung 
Published: September 2022

AbstractAimTo investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach.DesignA cross‐sectional study was adopted.MethodsA total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200‐bed tertiary care hospital in Korea. Data were collected using a self‐reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model.ResultsThe item mean score of participants' self‐management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index. Autonomy support from healthcare providers was directly associated with self‐management (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self‐management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self‐management.The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p < 0.001) and relatedness (z = −2.12, p < 0.001) on the relationship between illness perception and self‐management.ConclusionOur findings revealed that autonomy support from healthcare providers and patients' illness perception directly influenced patients' self‐management. Additionally, patients' illness perception can indirectly influence self‐management through their perceived competence and relatedness.ImpactHealthcare providers' autonomy support to patients may promote self‐care behaviours, leading to greater autonomous motivation. Assessment of patients' illness perception before patient education is vital to designing effective self‐management strategies which can improve patients' perceived competency and meaningful relatedness with healthcare providers.
Transformational family science: Praxis, possibility, and promise
Authors: Hunter Andrea G. , Tarver Shuntay Z. , Jones Janine 
Published: September 2022

AbstractWe advance a transformational family science as an engaged practice that may serve social justice and an anti‐racist project. Our companion paper proposed epistemic revelatory interventions through which family science may re‐imagine itself. We highlight pillars of a transformational family science that (a) build with epistemological and paradigmatic stances of peripherals; (b) infuse an ethic of reflexivity, accountability, and responsibility in the pursuit of knowledge claims, and their validation; and (c) engage a critical interrogation of difference and power relations and the disruption of systemic and structural inequalities in which they are aligned. Informed by epistemic praxes, transformational praxes include inquiry, knowledge production, theorizing about structured inequalities, power differentials, and differences bound to social categories and social identities, as well as pedagogy and professional training. Transformative applications that are compensatory, reformative, restorative, reparative, and transformative may be used in multiple ways to advance social justice, anti‐racism, and social transformations.
You can't be what you can't see: A systematic website review of Geriatrics Online‐Visibility at US medical schools
Authors: Dawson Catherine M. P. , Abiola Aanuoluwa O. , Sullivan Amy M. , Schwartz Andrea W. ,   the members of the GERI Team Research Group
Published: September 2022

AbstractBackgroundGraduating US medical students must build strong skills in caring for older adults, necessitated by shifting population demographics. Little is known, however, about current medical student exposure to geriatrics on a national scale. This systematic website review characterizes geriatrics opportunities at US medical schools, seen through the lens of publicly available information online.MethodsReviewers searched for 18 online Geriatrics Elements, in the domains of Information Prevalence, Geriatrics Environment, and Geriatrics Education, for all 191 US medical schools accredited as of January 2020. Latent Class Analysis was used to classify schools according to their publicly visible geriatrics opportunities.ResultsSchools had a median of 7 Geriatrics Elements identified online [IQR 4–10]. Optional geriatrics clinical activity was the most prevalent (76%), while fewer than half of all schools had online evidence of required geriatrics clinical activity (45%). A profile of the three groups of schools identified by Latent Class Analysis, termed Geriatrics Online‐Visibility groups (High n = 39, 20%; Medium n = 90, 47%; Low n = 62, 32%), is presented. Online evidence of geriatrics‐specific funding was the greatest distinguishing factor among the groups.ConclusionsExamining US medical school websites collectively and comparatively across Geriatrics Online‐Visibility groups can ground discussions of geriatrics education in current national data. Though many school websites present optional geriatrics activities, far fewer specify geriatrics requirements. High Geriatrics Online‐Visibility schools present an array of both optional and required geriatrics opportunities on their websites, but this cohort comprises only 20% of schools. Recommended next steps are proposed to guide schools inspired to enhance their Geriatrics Online‐Visibility.
Factors that Promote a Positive Childbearing Experience: A Qualitative Study
Authors: Hall Helen , Fooladi Ensieh , Kloester Joy , Ulnang Arijanti , Sinni Suzanne , White Colleen , McLaren Meredith , Yeganeh Ladan 
Published: September 2022

IntroductionExperiences of pregnancy and birth are important and have long‐term impacts on the well‐being of women and their families. Perinatal services should aim for care that promotes a positive childbearing experience, as well as optimizing health outcomes for the woman and newborn. This study aimed to understand the health system factors that promote a positive childbearing experience.MethodsWomen who had a positive experience and had given birth in Australia in the previous 12 months were recruited for individual semistructured interviews. The interview guide focused on health system factors that participants credited with contributing to their positive experience of perinatal care. Interviews were conducted until data saturation was reached. Qualitative data were transcribed verbatim and analyzed using inductive thematic analysis.ResultsData from 36 interviews were thematically analyzed, and 4 major themes were generated: health care provider attributes, health system attributes, communication and decision‐making, and experience of care. The salient factors that promoted positive experiences included care that was respectful and individualized with effective communication, access to midwifery continuity of care models, and good integration between services. Competent and professional health care providers who facilitated shared decision‐making were also essential.DiscussionAlthough women often sought out care that promoted physiologic birth, they emphasized that the way they were cared for was more important than fulfilling specific birth aspirations. Quality maternity care has the capacity to support a woman's confidence in her own abilities and promote a positive, and sometimes transformative, childbearing experience.
Evaluation of serumTWEAK,TRAIL,and oxidative stress markers in rosacea patients
Authors: Durmaz Imge , Turkmen Dursun , Altunisik Nihal , Uremis Nuray , Uremis Muhammed Mehdi , Sener Serpil , Turkoz Yusuf 
Published: September 2022

AbstractBackgroundRosacea is a chronic inflammatory skin disease of unknown pathogenesis. TWEAK and TRAIL are two cytokines thought to have a role in the pathogenesis of some inflammatory and autoimmune diseases.AimsThe purpose of this study was to examine TWEAK and TRAIL serum levels and oxidative stress markers in patients with rosacea.Material and MethodForty rosacea patients and 40 sex‐ and age‐matched healthy controls were involved in the study. Serum TWEAK and TRAIL levels were evaluated with ELISA kits. Serum total antioxidant status, total oxidant status, total thiol, native thiol, disulfide levels were evaluated, and oxidative stress index was computed.ResultsSerum levels of TWEAK, TRAIL, and oxidative stress markers did not differ statistically in the patients and controls. Both TWEAK and TRAIL levels in the patients were detected to be statistically higher in male than in female.ConclusionTWEAK and TRAIL may not have a systemic effect in rosacea, unlike other inflammatory diseases. More studies are needed to investigate the role of TWEAK and TRAIL in rosacea.
Mother–child dyad support needs to be expressed by mothers diagnosed with breast cancer
Authors: Chin Jui‐Chih , Chen Yin‐Ying 
Published: September 2022

AbstractAims and objectivesTo investigate the support needs identified by Taiwanese breast cancer diagnosed mothers for themselves and their 6–12‐year‐old children for implementation in a support group.BackgroundMothers with dependent children are burdened with diverse child‐centered concerns while battling breast cancer. A better understanding of the concomitant support needs of mothers and their children can yield tailored support for ill mothers and their children.DesignA qualitative descriptive study employing content analysis of collected data.MethodsBetween February and June of 2020, semi‐structured individual interviews were conducted with 20 mothers who had been diagnosed with breast cancer in the last 2 years. Qualitative content analysis was used. This study followed the COREQ guidelines.ResultsIll mothers favoured a hybrid format for support groups, consisting of mother‐only, child‐only, and mother–child group sessions. The content analysis yielded four themes for mother‐only group sessions: (1) learning to reach out to children; (2) dealing with negative emotions; (3) how to say goodbye to children; and (4) resetting for the future. Three themes related to child‐only group sessions emerged: (1) emotional and health education; (2) getting along with a sick mother; and (3) preparing for uncertainty. The core theme for mother–child group sessions was relationship enhancement.ConclusionThe findings revealed that mother‐reported support needs of ill mothers and their children included support for improving children's emotional well‐being and mothers' emotional coping, preparing for uncertainty, and promoting intimacy in the mother–child relationship.Relevance to clinical practiceA relation‐focused approach to psychosocial support group development that allows mother–child mutual influences on each other's coping to be addressed bilaterally is suggested.Patient or public contributionMothers diagnosed with breast cancer were interviewed for data collection and invited to review and validate the synthesised data for enhancing the credibility of the study.
Experiences of nurses working in RACFs and EDs utilising visual telehealth consultation to assess the need for RACF resident transfer to ED: A qualitative descriptive study
Authors: Sunner Carla , Giles Michelle Therese , Kable Ashley , Foureur Maralyn 
Published: September 2022

AbstractAims and objectivesThis study aimed to explore whether an intervention using visual telehealth improves care outcomes for residents in residential aged care facilities during acute illness events from the perspective of the nurses from residential aged care facilities and emergency departments. The intervention was the addition of visual telehealth, to an already existing outreach service called Aged Care Emergency.BackgroundOlder people who are residents of residential aged care facilities commonly experience potentially avoidable visits and hospitalisations. Adopting visual telehealth or telemedicine has emerged as a care transition solution across several domains in health care, including residential aged care.MethodThis study used an interpretive descriptive methodological approach and was part of a larger study called the PACE‐IT project that implemented a visual telehealth assisted model of care in four emergency departments and 16 residential aged care facilities to prevent unnecessary resident presentations to emergency departments. We report findings from six focus groups that explored key issues relating to the experiences of emergency department and residential aged care nurses who participated in the PACE‐IT project. This study adhered to COREQ research guidelines.ResultsThere were four overarching themes that emerged from the six focus groups; facilitated person centred care; built confidence, relationships and trust; enabled bidirectional communication that strengthens decision making, but there were issues with technology access, connectivity and usability between the acute care setting and the residential aged care facility.Relevance to clinical practiceUnderstanding the experiences of residential aged care facility and emergency nurses' experiences when using visual telehealth will better inform practice development in aged care, in particular enhancing decision making and increasing safe practices using telehealth. The knowledge gained in this study in terms of enhanced assessments for residents will provide policy makers with valuable insights for future health care planning and implementation of telehealth.Trial registrationACTRN12619001692123.
The effect of tongue elevation muscle training in patients with obstructive sleep apnea: A randomised controlled trial
Authors: Poncin William , Correvon Nils , Tam Jonathan , Borel Jean‐Christian , Berger Mathieu , Liistro Giuseppe , Mwenge Benny , Heinzer Raphael , Contal Olivier 
Published: September 2022

AbstractBackgroundOropharyngeal myofunctional therapy is a multi‐component therapy effective to reduce the severity of obstructive sleep apnoea (OSA). However, existing protocols are difficult to replicate in the clinical setting. There is a need to isolate the specific effectiveness of each component of the therapy.ObjectiveTo assess the effects of a 6 weeks tongue elevation training programme in patients with OSA.MethodsWe conducted a multicentre randomised controlled trial. Eligible participants were adults diagnosed with moderate OSA who presented low adherence to continuous positive airway pressure therapy (mean use <4 h per night). The intervention group completed a 6 weeks tongue elevation training protocol that consisted in anterior tongue elevation strength and endurance tasks with the Iowa Oral Performance Instrument. The control group completed a 6 weeks sham training protocol that involved expiratory muscle training at very low intensity. Polygraphy data, tongue force and endurance, and OSA symptoms were evaluated pre‐ and post‐intervention. The primary outcome was apneoa‐hypopnea index (AHI).ResultsTwenty‐seven patients (55 ± 11 years) were recruited. According to modified intention‐to‐treat analysis (n = 25), changes in AHI and c did not significantly differ between groups. Daytime sleepiness (Epworth Sleepiness Scale) and tongue endurance significantly improved in the intervention group compared to the control group (p = .015 and .022, respectively). In the intervention group, 75% of participants had a decrease in daytime sleepiness that exceeded the minimal clinically important difference.ConclusionSix weeks of tongue elevation muscle training had no effect on OSA severity.
Comparison of the accuracy between conventional and various digital implant impressions for an implant‐supported mandibular complete arch‐fixed prosthesis: An in vitro study
Authors: Kosago Pitchaporn , Ungurawasaporn Chatcharwin , Kukiattrakoon Boonlert 
Published: September 2022

AbstractPurposeThis in vitro study compared the accuracy between conventional and different intraoral scanner impression methods and stereophotogrammetry term of 3D deviation for a complete mandibular edentulous arch with 5 placed implants.Materials and methodsAn edentulous mandibular model was prepared with three straight and two 17° angled screw‐retained abutments screwed on implants. Different impression techniques were compared: one conventional impression, CO (open‐tray splint impression coping, Polyether), three groups of intraoral scanners, TS (Trios 4), IT (iTero Element 2), and PS (Primescan), and one stereophotogrammetry, PIC (Precise Implants Capture). An extraoral scanner (E4 scanner) was used to digitize the reference model as a control group. Scan body positions were compared with 3D deviation by using a 3D analysis software program (Geomagic ControlX 2020.1.1) with the best‐fit alignment technique. The accuracy of the scan bodies’ position of each impression technique between each group area was analyzed using one‐way ANOVA followed by Scheffé’s comparison test for trueness and precision. (α = 0.05).ResultsStatistical 3D deviations of the whole scan body were found among the CO, TS, PS, IT, and PIC groups for both trueness (p < 0.05) and precision (p < 0.05). PIC showed the least 3D deviation of trueness (48.74 ± 1.80 µm) and precision (5.46 ± 1.10 µm), followed by TS, PS, IT, and CO. CO had the highest 3D deviation of trueness (141 ± 5.58 µm) and precision (40.4 ± 1.3.39 µm), which was significantly different from PIC, TS, and PS.ConclusionsFor completed‐arch digital implant impressions, stereophotogrammetry has shown better accuracy than other digital and conventional impression techniques, especially in terms of precision. The highest 3D deviation was found in the conventional splint open‐tray impression technique.
Relationship between sensory saltiness intensity and added oil in low‐viscosity and high‐viscosity polymer solutions
Authors: Okamoto Yoko , Tayama Kenji , Okada Yuji , Kurokawa Masaru 
Published: September 2022

AbstractGenerally, the foods we usually eat are not only aqueous solutions, but also viscous solutions and solids. Therefore, it is interesting for us to explore how taste components are perceived in a viscous polymer solution. The relationship between the sensory evaluation of saltiness intensity, amount of added oil, and apparent viscosity was clarified in low‐viscosity and high‐viscosity polymer solutions. The study was conducted using samples containing corn oil, sodium chloride, and [xanthan gum] or [xanthan gum + locust bean gum] as a thickener. Oil was added to the viscous polymer solutions regardless of whether they were low‐ or high‐viscosity, and saltiness intensity was evaluated as compared with a reference solution. The low‐viscous polymer solutions with [xanthan gum] were perceived to be saltier than the high‐viscous polymer solutions with [xanthan gum + LBG] as the amount of oil increased. The shear stress value gradually increased as the amount of oil increased in both the low‐viscosity and the high‐viscosity polymer solutions, as derived from the fluid constitutive equation. There was a correlation between saltiness intensity and apparent viscosity in both high‐ and low‐viscosity polymer solutions. A coefficient of determination (R2) of 0.918 was obtained between saltiness intensity and “apparent viscosity” for the samples using [xanthan gum] and that of 0.683 between saltiness intensity and “apparent viscosity” for the samples using [xanthan gum+LBG]. The low‐viscosity polymer solutions showed a saltier intensity as the amount of oil increased and a greater correlation with apparent viscosity, as compared with the high‐viscosity polymer solutions.
Oil Resources in Relations Between Erbil and Baghdad
Authors: Mustafa Sara D. 
Published: September 2022

AbstractThe key to independence for the Kurds has always rested on oil resources. After the central Iraqi government claimed that their oil exports and contracts were illegal and in violation of the constitution, the Kurdish political elite decided it was time to either renegotiate terms with Baghdad or push for complete separation. This article seeks to understand the influence of oil resources on the relationship between Erbil and Baghdad, and the effect they had on the push toward the 2017 referendum. There are substantial ambiguities in the Iraqi constitution regarding oil resources that also influence the Erbil‐Baghdad relationship.