bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing a co-production strategy to facilitate the adoption and implementation of evidence-based colorectal cancer screening interventions for rural health systems: a pilot study
Authors: Kim Jungyoon , Estabrooks Paul , Aggarwal Alisha , McMillan Analisa , Alshehri Khalid 
Published: December 2022

Abstract
Background
Evidence-based colorectal cancer screening (CRCS) interventions have not been broadly adopted in rural primary care settings. Co-production of implementation strategies through a bundled approach may be promising in closing this gap by helping rural healthcare practitioners select and implement the best fitting CRCS interventions to the local context. This paper describes the process and outcomes of co-development and delivery of the bundled implementation strategy to improve adoption and implementation of CRCS interventions with two rural clinics.

Methods
We used a bundle of implementation strategies with a core focus on academic-clinical partnership development (strategy 1) and Plan-Do-Study-Act cycles (strategy 2) to identify clinical partner interests/preferences on delivery methods and content needed to facilitate intervention identification and implementation that improves CRCS. We also developed an implementation blueprint for each clinic (strategy 3) through an online blueprinting process based on adapted “Putting Public Health Evidence in Action” (PPHEA) training curriculum. Clinic physicians and staff (n = 7) were asked to evaluate the bundled approach based on overall reactions and perceptions of innovation characteristics using 5-point Likert scale. After completing the bundled approach, we collected implementation outcomes and limited intervention effectiveness of the CRCS evidence-based interventions (EBIs) developed through the process.

Results
Our co-production strategy yielded a prototype online blueprinting process consisting of 8 distance-learning PPHEA modules that guide selection and implementation of EBIs tailored to CRCS. Modules were delivered to clinic participants with minor adaptations, using PDSA cycle to improve quality of module contents and formats. Overall, participants in both clinics reported positive reactions toward the bundled approach. Both clinics reported improvements in how they perceived the characteristics of the innovation (the bundled approach) to tailor selected CRCS EBIs. As a result of the bundled strategies, each clinic selected and adopted specific EBI(s) with the varying degrees of implementation and CRCS outcomes.

Conclusions
The bundle of implementation strategies used were feasible and acceptable in rural primary care practices to facilitate the use of EBIs to improve CRCS.
Analysis of variance of injection moulding process parameters and clay particles size effects on impact strength, shrinkage and warpage of polyethylene/kaolin clay composites
Authors: Trish Abdulrouf , Elhrari Wael , Etmimi Hussein , Klash Abdalah 
Published: December 2022

AbstractA correlation effect between particle size of kaolin clay and injection moulding process parameters on impact strength, shrinkage and warpage of high-density polyethylene/kaolin clay (HDPE/KC) composites was carried out using analysis of variance (ANOVA). Kaolin clay with particle sizes of < 75, 75–106 and 106–150 μm was used. The process parameters that were taken into consideration were injection temperature, packing pressure and packing time. In general, experimental results showed that the impact strength and shrinkage of the HDPE/KC composites clearly depended on the injection temperature. However, no clear dependency of the warpage on the injection temperature was observed. Furthermore, clay particle size showed to have an influence only on the shrinkage of the composites, where smaller clay particle size led to injected composite parts with relatively less shrinkage. ANOVA showed that the effect of injection temperature on shrinkage of composites containing clay particle sizes of < 75 and 106–150 μm was statistically significant (p= 0.01 and 0.04, respectively). However, the effect of injection temperature on shrinkage of the composite made with clay having particle sizes of 75–106 μm was not significant (p= 0.07). ANOVA also indicated that the injection temperature effect on the impact strength of composites that contain clays with particle sizes of < 75 μm and 75–106 μm was significant (p= 0.03 andp= 0.01, respectively), whereas the injection temperature effect on the impact strength of the composite containing clay with a particle size of 106–150 μm was not significant (p= 0.17). Contrary to shrinkage and impact strength, the effect of the studied parameters on the warpage was not statistically significant, which was in good agreement with the experimental observations.
Modelling mood updating: a proof of principle study
Authors: Clark James E. , Watson Stuart 
Published: December 2022

BackgroundRecent developments in computational psychiatry have led to the hypothesis that mood represents an expectation (prior belief) on the likely interoceptive consequences of action (i.e. emotion). This stems from ideas about how the brain navigates its external world by minimising an upper bound on surprisal (free energy) of sensory information and echoes developments in other perceptual domains.AimsIn this paper we aim to present a simple partial observable Markov decision process that models mood updating in response to stressful or non-stressful environmental fluctuations while seeking to minimise surprisal in relation to prior beliefs about the likely interoceptive signals experienced with specific actions (attenuating or amplifying stress and pleasure signals).MethodWe examine how, by altering these prior beliefs we can model mood updating in depression, mania and anxiety.ResultsWe discuss how these models provide a computational account of mood and its related psychopathology and relate it to previous research in reward processing.ConclusionsModels such as this can provide hypotheses for experimental work and also open up the potential modelling of predicted disease trajectories in individual patients.
Case Report: Ludwig's angina - 'The Dangerous Space'
Authors: Vasanth Satish , Chandran Satheesh , Pandyan Deepak Abraham , Gnanam Padmashini , Djearamane Sinouvassane , Wong Ling Shing , Selvaraj Siddharthan 
Published: December 2022

Background: Ludwig's angina is a potentially life-threatening disease characterized by diffuse bilateral cellulitis with an odontogenic origin. This unique infection is now rare owing to the antibiotic era. Case: This patient presented to the emergency room with trismus, jaw and neck swelling, mild respiratory distress with tachypnea, hyperthermia, and panic. Clinical examination and radiographic evaluation confirmed the diagnosis of Ludwig's angina. As it is a quickly spreading infection, the patient was taken up for immediate surgical decompression leading to pus drainage, removal of the offending tooth, bacterial culture and sensitivity, and administration of empirical antibiotics. As we had operated promptly, there was no need for emergency airway intervention, and the patient had immediate relief from airway distress. Conclusions: Early accurate diagnosis with conservative surgical decompression, thereby negating the need for airway intervention, was vital to avoiding mortality which is always possible in such an expeditious infection.
Small groups satisfy: A descriptive analysis of engagement in virtual learning
Authors: Sallander Kayla , Yarnell Angela , Barry Erin 
Published: December 2022

Background: Due to COVID-19 restrictions, students participated in a virtual Summer Leadership Program (SLP), consisting of small group discussions and large lectures, instead of a more traditional in-person experience. The purpose of this paper was to assess what forms of virtual learning students found most engaging during their summer leadership training. Methods: Students were surveyed prior to and after the SLP. The pre-survey included seven Likert-scale questions and one free response question (Google form survey open from 7/14/20-7/16/20). The post-survey included 24 Likert-scale questions and four open-answer questions (Google form survey open from 7/23/20-7/24/20). Both surveys were administered to all first year students at Uniformed Services University (N=176). There were 158 responses for the pre-SLP survey and 123 responses for the post-SLP survey. Topics focused on expectations, engagement, self-assessment, and areas for improvement. Results: Survey results showed that students were most engaged with small group sessions where they were asked to apply their knowledge and skills. Students felt less engaged in large lectures. Conclusion: In the virtual environment, students are more engaged in small group settings where they are asked to apply their knowledge and skills. This information can be used to plan sessions within the virtual environment to garner increased engagement from students.
Preferences and expectations of feedback of individual genetic research results in African genomics: Views of South African parents of children with neurodevelopmental disorders
Authors: Matshabane Olivia P , Albertus Cleo A , Faure Marlyn C , Ralefala Dimpho , Donald Kirsten A , Wonkam Ambroise , De Vries Jantina 
Published: December 2022

Background: Genomic research is expanding at an exponential pace across the globe and increased access to genome analysis has led to greater generations of genetic results with specific relevance to individuals. This study aims to explore preferences and expectations of feedback of individually relevant genetic research results among parents of children with neurodevelopmental conditions. Methods: Following a qualitative approach, we conducted four deliberative focus group discussions with (n=27) South African parents of children involved in genomics research on neurodevelopmental disorders. Results: Most participants expressed a strong interest in receiving genetic results regardless of severity, actionability and preventability. These results were viewed as valuable because they could empower or emancipate individuals, families, and communities. Receiving risk information was also believed to motivate healthier lifestyle choices. However, some participants were uncertain or articulated a desire not to receive results due to fears of anxiety or psychological distress. In addition, participants expected to receive results as a demonstration of respect from researchers and articulated it as an act to build trust between researchers and participants. Conclusions: Internationally, a debate continues around whether individually relevant genetic results should or should not be fed back to participants of genomic research studies. In Africa, there is scant literature which has investigated this question and no policies to guide researchers. This study provides a basis of empirical data on perspectives of African participants which could inform work on the development of a consolidated approach to the feedback of genetic research results in the continent.
Protocol for the Addressing the Social Determinants and Consequences of Tuberculosis in Nepal (ASCOT) pilot trial
Authors: Rai Bhola , Dixit Kritika , Dhital Raghu , Rishal Poonam , Gurung Suman Chandra , Paudel Puskar Raj , Mishra Gokul , Bonnett Laura , Siqueira-Filha Noemia , Khanal Mukti Nath , Lonnroth Knut , Squire S Bertel , Caws Maxine , Wingfield Tom 
Published: December 2022

BACKGROUND: The World Health Organization’s End TB (tuberculosis) Strategy advocates social and economic support for TB-affected households but evidence from low-income settings is scarce. We will evaluate the feasibility and acceptability of a locally-appropriate socioeconomic support intervention for TB-affected households in Nepal. METHODS: We will conduct a pilot randomised-controlled trial with mixed-methods process evaluation in four TB-endemic, impoverished districts of Nepal: Pyuthan, Chitwan, Mahottari, and Morang. We will recruit 128 people with TB notified to the Nepal National TB Program (NTP) and 40 multisectoral stakeholders including NTP staff, civil-society members, policy-makers, and ASCOT (Addressing the Social Determinants and Consequences of Tuberculosis) team members. People with TB will be randomised 1:1:1:1 to four study arms (n=32 each): control; social support; economic support; and combined social and economic (socioeconomic) support. Social support will be TB education and peer-led mutual-support TB Clubs providing TB education and stigma-reduction counselling. Economic support will be monthly unconditional cash transfers during TB treatment with expectations (not conditions) of meeting NTP goals. At 0, 2, and 6 months following TB treatment initiation, participants will be asked to complete a survey detailing the social determinants and consequences of TB and their feedback on ASCOT. Complementary process evaluation will use focus group discussions (FGD), key informant interviews (KII), and a workshop with multi-sectoral stakeholders to consider the challenges to ASCOT’s implementation and scale-up. A sample of ~100 people with TB is recommended to estimate TB-related costs. Information power is estimated to be reached with approximately 25 FGD and 15 KII participants. CONCLUSIONS: The ASCOT pilot trial will both generate robust evidence on a locally-appropriate, socioeconomic support intervention for TB-affected households in Nepal and inform a large-scale future ASCOT trial, which will evaluate the intervention’s impact on catastrophic costs mitigation and TB outcomes. The trial is registered with the ISRCTN (ISRCTN17025974).
First record of predation by the Andean white-eared opossum Didelphis pernigra on the red swamp crayfish Procambarus clarkii in Colombia
Authors: González-Ruiz Yesid de los Ángeles , Pimiento-Ortega Mabel Giovana , Herrera-Martínez Yimy 
Published: December 2022

La zarigüeya de Virginia (Didelphis virginiana) ha sido identificada como depredador del cangrejo rojo de río (Procambarus clarkii) en Norteamérica. En las regiones en donde ha sido introducido este cangrejo se han identificado otras especies de mamíferos que lo integran en su dieta. El presente trabajo es el primer registro de depredación de D. pernigra, especie endémica de la cordillera de los Andes, sobre el cangrejo exótico invasor P. clarkii en Colombia. Se realizaron transectos de 100 m en bosque ribereño de la cuenca media del río Chicamocha, Colombia, en donde se recolectaron las heces y se registraron huellas, posteriormente se obtuvieron registros fotográficos de individuos de zarigüeya en la zona. Las heces se pesaron, disolvieron y separaron en cajas de Petri. Las huellas e individuos fotografiados se identificaron empleando bibliografía especializada. En las heces se encontraron estructuras que permitieron identificar, 5 individuos de la especie P. clarkii, un odonato y semillas de Poaceae. Las huellas y ejemplares fotografiados corresponden a la especie D. pernigra, una especie registrada previamente en la región. La colonización y reproducción de P. clarkii representa una nueva oferta de recursos que la especie D. pernigra ha integrado a su dieta. La depredación de P. clarkii por parte de D. pernigra puede estar relacionado con el comportamiento nocturno de las 2 especies, que aumenta la posibilidad de depredación. Probablemente las especies del género Didelphis, en Sudamérica, puedan modificar su dieta, si aumenta el área de invasión de P. clarkii.
ÍNDICES DA ADERÊNCIA DO INTÉRPRETE À METODOLOGIA DO DIREITO CIVIL-CONSTITUCIONAL/ SIGNS OF THE INTERPRETER’S ADHERING TO THE CONSTITUTIONALIZED PRIVATE LAW METHOD
Authors: Souza Eduardo Nunes de 
Published: December 2022

Resumo: O presente artigo dedica-se a abordar alguns equívocos comuns acerca da metodologia civil-constitucional, em particular certos procedimentos interpretativos indevidamente atribuídos a essa escola hermenêutica. Parte-se, em primeiro lugar, da relevância da valorização do dado normativo pelo intérprete, analisando-se, em seguida, o papel e os limites da subsunção na perspectiva civil-constitucional e, ainda, a inevitabilidade da ponderação diante da complexidade de fontes normativas do sistema.Palavras-chave: Direito civil-constitucional. Hermenêutica jurídica. Análise funcional do direito. Unidade do ordenamento. Abstract: The article that follows is devoted to addressing some common misconceptions about the constitutionalized private law methodology, in particular certain interpretative procedures unduly attributed to this hermeneutical school. It departs from the relevance of the valorization of positive norms by the interpreter and then analyses the role and the limits of subsumption in the civil-constitutional perspective, as well as the inevitability of the weighing before the complexity of legal sources.Keywords: Constitutionalized private law. Legal hermeneutics. Functional legal analysis. Unity of the legal system.
CONSTITUIÇÃO ECONÔMICA E DESENVOLVIMENTO: A POLÍTICA ECONÔMICA BRASILEIRA DE 1995 A 2018 / ECONOMIC CONSTITUTION AND DEVELOPMENT: THE BRAZILIAN ECONOMIC POLICY FROM 1995 TO 2018
Authors: Lopes Maria Eduarda Olímpio , Lelis Davi Augusto Santana de 
Published: December 2022

Resumo: O artigo analisa as políticas econômicas adotadas pelos Presidentes Fernando Henrique Cardoso, Luís Inácio Lula da Silva, Dilma Rousseff e Michel Temer, no período de 1995 a 2018, e sua relação com a Constituição Econômica. O problema da pesquisa está em compreender se tais políticas cumprem a ordem econômica da Constituição de 1988, respeitando o dirigismo constitucional e garantindo a busca pelo desenvolvimento. A Constituição de 1988 recepciona uma pluralidade ideológica, que permite políticas voltadas tanto para o aspecto financeiro neoliberal como para o viés econômico social. Para concretização constitucional enquanto unidade, as ações estatais devem passar pelo filtro hermenêutico da ideologia constitucionalmente adotada que ressignifica, no texto constitucional, os fundamentos das ideologias econômicas puras. Como resultado, constata-se que a Constituição Econômica recepciona ambiguidade ideológica e políticas econômicas de diversas ideologias. Conclui-se que mesmo sendo recebidas pela Constituição Econômica, as políticas econômicas do período analisado não implementaram processo de desenvolvimento por completo no Brasil, falhando assim em desempenhar a ideologia constitucionalmente adotada e em alcançar os objetivos dirigentes da Constituição de 1988. Palavras-chave: Políticas Econômicas; Constituição Econômica; Constituição Dirigente; Ideologia Constitucionalmente Adotada; Desenvolvimento. Abstract: The article analyzes the economic policies adopted by Presidents Fernando Henrique Cardoso, Luís Inácio Lula da Silva, Dilma Rousseff and Michel Temer, from 1995 to 2018, and their relationship with the Economic Constitution. The research problem is to understand whether such policies comply with the economic order of the 1988 Constitution, respecting constitutional leadership and guaranteeing the search for development. The 1988 Constitution welcomes an ideological plurality, which allows policies aimed at both the neoliberal financial aspect and the social economic bias. For constitutional concretization as a unit, state actions must pass through the hermeneutic filter of the constitutionally adopted ideology that resignifies, in the constitutional text, the foundations of pure economic ideologies. As a result, it appears that the Economic Constitution receives ideological ambiguity and economic policies from different ideologies. It is concluded that even though they were received by the Economic Constitution, the economic policies of the period analyzed did not fully implement the development process in Brazil, thus failing to carry out the constitutionally adopted ideology and to achieve the guiding objectives of the 1988 Constitution.Keywords: Economic Policies; Economic Constitution; Governing Constitution; Constitutionally Adopted Ideology; Development.
GOVERNO DIGITAL: POLÍTICA PÚBLICA, NORMAS E ARRANJOS INSTITUCIONAIS NO REGIME FEDERATIVO BRASILEIRO: A EDIÇÃO DA LEI FEDERAL N. º 14.129/2021 E O DESENVOLVIMENTO DA POLÍTICA NACIONAL DE GOVERNO DIGITAL / DIGITAL GOVERNMENT: PUBLIC POLICY, RULES AND INSTITUTIONAL ARRANGEMENTS IN THE BRAZILIAN FEDERATIVE REGIME. THE NEW FEDERAL LAW 14.129/2021 AND THE DEVELOPMENT OF A NATIONAL DIGITAL GOVERNMENT POLICY
Authors: Baptista Patrícia , Antoun Leonardo 
Published: December 2022

Resumo: O artigo apresenta o governo digital sob a perspectiva de política pública, de sistema normativo e de arranjo institucional. Identifica normas e arranjos institucionais na política desenhada pelo governo federal brasileiro. Considera o ponto de vista das unidades da federação, para indicar a necessidade de integração federativa com preservação da autonomia local em face do protagonismo federal. E, por último, discorre sobre as virtudes, os riscos e os desafios para os entes da federação no desenvolvimento da política de governo digital.Palavras-chave: Governo digital. Governo eletrônico. Política pública. Sistema normativo. Arranjo institucional. Regime federativo. Estados-membros. Autonomia federativa. Proteção de dados. Transparência. Eficiência. Privacidade. Coordenação interfederativa. Desigualdade digital. Abstract: The article explores the idea of digital government conceived as a public policy, a regulatory system and an institutional arrangement. It identifies norms and institutional arrangements in the policy designed by the Brazilian federal government. And in regard of the federation units, it indicates the need for federative integration with preservation of local autonomy in the face of federal protagonism. And, finally, it discusses the virtues, risks and challenges in the development of digital government policy.Keywords: Digital government. Electronic government. Public policy. Regulatory system. Institutional arrangement. Federative system. States-members. Federative autonomy. Data protection. Transparency. Efficiency. Privacy. Inter-federative coordination. Digital inequality.