bluuebunny/crossref_metadata_2025 huggingface dataset:
Affective Responses to Increasing- and Decreasing-Intensity Resistance Training Protocols
Authors: Hutchinson Jasmin C. , Jones Leighton , Ekkekakis Panteleimon , Cheval Boris , Brand Ralf , Salvatore Gabrielle M. , Adler Samantha , Luo Yan
Published: March 2023

This study compared the effects of an increasing-intensity (UP) and a decreasing-intensity (DOWN) resistance training protocol on affective responses across six training sessions. Novice participants (Mage 43.5 ± 13.7 years) were randomly assigned to UP (n = 18) or DOWN (n = 17) resistance training groups. Linear mixed-effects models showed that the evolution of affective valence within each training session was significantly moderated by the group (b = −0.45, p ≤ .001), with participants in the UP group reporting a decline in pleasure during each session (b = −0.82) and the DOWN group reporting an improvement (b = 0.97; ps < .001). Remembered pleasure was significantly higher in the DOWN group compared to the UP group (b = 0.57, p = .004). These findings indicate that a pattern of decreasing intensity throughout a resistance exercise session can elicit more positive affective responses and retrospective affective evaluations of resistance training.
Borrelia burgdorferi Outer Surface Protein C Is Not the Sole Determinant of Dissemination in Mammals
Authors: Mukherjee Priyanka G. , Liveris Dionysios , Hanincova Klára , Iyer Radha , Wormser Gary P. , Huang Weihua , Schwartz Ira
Published: March 2023

Lyme disease in the United States is most often caused by
Borrelia burgdorferi
sensu stricto. After a tick bite, the patient may develop erythema migrans at that site.
Supplemental Material: Evolutionary history of the groundwater system in the Pearl River Delta (China) during the Holocene
Authors: Yu Shengchao , al. et
Published: March 2023

Description of the geological and hydrogeological background, field work and laboratory analyses, and numerical modeling, as well as detailed simulation results of flow field and salinity inventory. 
Supplemental Material: A water transport system across the mantle transition zone beneath western North America as imaged by electrical conductivity data
Authors: Li Shiwen , Weng Aihua , al. et
Published: March 2023

Details on data processing and 3-D GDS inversion, robust tests and rock physics analysis of conductivity anomalies, and supplemental table and figures. 
Obstetric management of a parturient with severe idiopathic scoliosis
Authors: Factor Patricia Ann Africa , Pelaez-Crisologo Ma Cristina
Published: March 2023

Scoliosis complicates pregnancy due to increased operative deliveries, restrictive pulmonary disease and anaesthetic difficulties. This is a case of a primigravid with severe scoliosis who underwent primary caesarean section under spinal block with isobaric anaesthetic combined with intravenous sedation postdelivery of the baby. This case highlights the importance of a multidisciplinary approach in the management of parturient with severe scoliosis, from the preconception period until the postpartum stage.
Prolonged angioedema after Pfizer-BioNTech COVID-19 vaccine
Authors: Muhamad Fauzi Siti Mardhiah
Published: March 2023

This case reports a woman in her 40s with a history of allergic reaction to shellfish and iodine who presented with tongue angioedema, difficulty breathing and chest tightness after receiving the first dose of the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine. Her angioedema remained for 10 days post-exposure to the vaccine, requiring 3 days of epinephrine infusion. She was discharged with advice to avoid further mRNA vaccines. This case highlights the increasing awareness needed of polyethylene glycol (PEG) allergy and the protracted nature of her reaction. A firm conclusion cannot be reached based on a single case report. More research is needed to understand whether there is a causal relationship between the BNT162b2 vaccine and PEG allergy. Awareness regarding PEG allergy and the complexities associated with it is important and needs to be raised due to its prevalent use in diverse industries.
Mpox proctitis as a likely predisposing factor for chlamydial perihepatitis in a male patient
Authors: Azrielant Shir , Sheffy Amichai , Kanani Fahim , Nissan Israel , Adler Amos , Dekel Michal
Published: March 2023

Perihepatitis (Fitz-Hugh-Curtis syndrome) is a rare complication of sexually transmitted infections, mostly seen in women. Only 12 male cases have been reported to date, of whichChlamydia trachomatiswas confirmed in 2. We report a case of chlamydial perihepatitis in a male patient, occurring 1 month after Mpox and associated with the unusual LGV ST23 strain. Our case suggests that rectal Mpox lesions may facilitate chlamydial dissemination.
Novel magneto-radiative thermal featuring in SWCNT–MWCNT/C2H6O2–H2O under hydrogen bonding
Authors: Alharbi Khalid Abdulkhaliq M. , Adnan  , Galal Ahmed M.
Published: March 2023

Hybrid nanofluids have unique characteristics that make them more useful than common heat transfer fluids. The potential applications can be found in applied thermal engineering, chemical engineering, hybrid powered engines, biomedical and mechanical engineering. Therefore, the analysis of SWCNTs–MWCNTs/C2H6O2–H2O with integrated effects of thermal radiations and perpendicular magnetic field is organized in this research. Thermal conductivity of C2H6O2–H2O is improved via Xue, Ota and Yamada thermal conductivity correlations. The mathematical problem is designed for two sheets and both the hybrid nanoliquid and the plates rotate in counter clockwise pattern. Mathematical treatment of the model is performed and the results were analyzed through graphical way. Keen observations of the results reveal that the fluid motion controlled by intensifying the magnetic field and higher density of SWCNTs–MWCNTs leads to optimum decrement. Further, the fluid movement is investigated optimum and slow for outward and inward plate movement, respectively. The temperature results for the parameters, especially the thermal radiations, showed that hybrid nanoliquid has the ability to store high thermal energy than common mono-nanoliquid, hence it would be suitable for future industrial applications. The parametric ranges are selected as [Formula: see text]–1.7, [Formula: see text]–0.9, [Formula: see text]–9.0 and [Formula: see text]–20.0 for the study.
One more proof of Vassiliev’s conjecture
Authors: Trifonova Viktoriya
Published: March 2023

In this paper, we give a new proof of Vassilievs planarity criterion of a graph with vertices of degree 4 and an additional cross structure. It is also established that all height atoms are orientable. The criterion for an atom to be an orientable one is established in terms of its [Formula: see text]-graph.
PHYSICS-INFORMED NEURAL NETWORK FOR SOLVING HAUSDORFF DERIVATIVE POISSON EQUATIONS
Authors: WU GUOZHENG , WANG FAJIE , QIU LIN
Published: March 2023

This paper proposed a new physics-informed neural network (PINN) for solving the Hausdorff derivative Poisson equations (HDPEs) on irregular domains by using the concept of Hausdorff fractal derivative. The present scheme transforms the numerical solution of partial differential equation into an optimization problem including governing equation and boundary conditions. Like the meshless method, the developed PINN does not require grid generation and numerical integration. Moreover, it can freely address irregular domains and non-uniformly distributed nodes. The present study investigated different activation functions, and given an optimal choice in solving the HDPEs. Compared to other existing approaches, the PINN is simple, straightforward, and easy-to-program. Numerical experiments indicate that the new methodology is accurate and effective in solving the HDPEs on arbitrary domains, which provides a new idea for solving fractal differential equations.
INTEGRATING LARGE-SCALE ONTOLOGIES FOR ECONOMIC AND FINANCIAL SYSTEMS VIA ADAPTIVE CO-EVOLUTIONARY NSGA-II
Authors: XUE XINGSI , TAN WENBIN , LV JIANHUI
Published: March 2023

The identification, prediction, management, and control of economic and financial systems render extremely challenging tasks, which require comprehensively integrating the knowledge of different expert systems. Ontology, as a state-of-the-art knowledge modeling technique, has been extensively applied in the domain of economics and finance. However, due to ontology engineers’ subjectivity, ontology suffers from the heterogeneity issue, which hampers the co-operation among the intelligent expert system based on them. To address this issue, ontology matching for finding heterogeneous concept pairs between two ontologies has been rapidly developed. It is difficult to find the perfect ontology alignment that satisfies the needs of all decision-makers. Therefore, Multi-Objective Evolutionary Algorithm, such as Non-dominated Sorting Genetic Algorithm (NSGA-II), attracts many researchers’ attention. However, when facing large-scale ontology matching problems, NSGA-II tends to fall into local optimal solutions due to the large search space. To effectively address this drawback, we model the large-scale ontology problem as a nonlinear optimization problem, and propose an Adaptive Co-Evolutionary NSGA-II (ACE-NSGA-II) to deal with it. Compared with NSGA-II, ACE-NSGA-II introduces a co-evolutionary mechanism to increase the diversity of populations in order to decrease the probability of premature convergence. In particular, ACE-NSGA-II uses an adaptive population maintenance strategy to assign more resources toward the dominant ones in order to improve the solution efficiency for solving large-scale ontology matching. The experiment utilizes the Ontology Alignment Evaluation Initiative (OAEI)’s benchmark and anatomy track to test the effectiveness of ACE-NSGA-II, and the resulting experiment demonstrated that compared to NSGA-II and OAEI’s participants, ACE-NSGA-II is able to find better alignment.
MULTI-SUPPLY CHAINS OPTIMIZATION MECHANISM BASED ON MACHINE LEARNING AND DOUBLE AUCTIONS
Authors: FENG YU , ZHAO HUA
Published: March 2023

Every enterprise in the supply chain will participate in managing the supply chain. The decisions made by each party will affect the future decisions of other members in the supply chain and themselves. There are trade-offs since the upstream and downstream of the multi-supply chain tackle problems from different perspectives based on their interests. With the increasing competition and cooperation among enterprises in multi-supply chains, game theory is widely used to analyze the competition and collaboration among enterprises. This study combines game theory and auction theory to obtain the relative optimal allocation through double auctions for multi-objective optimization. Nevertheless, there are a few issues, including the number of iterations and the potential for local monopoly in double auctions. To this end, the generalized genetic particle swarm optimization (GGPSO) algorithm is introduced to improve the double auctions mechanism, and finally, the global optimization of the supply chain is achieved. The simulation results show that the proposed method can efficiently complete the distribution and pricing among multi-supply chains and compensate the competing buyers with higher average quotations and the competing sellers with lower average quotes. Additionally, the GGPSO algorithm presented in this paper has a good performance in terms of the time needed to obtain the optimal solution, which is conducive to the global optimization of the supply chain.
A Systematic Review of Food Protein-Induced Enterocolitis Syndrome
Authors: Prattico Catherine , Mulé Pasquale , Ben-Shoshan Moshe
Published: March 2023

Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated gastrointestinal food-induced hypersensitivity disorder that occurs mostly in infants. Long considered a rare disease, a recent increase in physician awareness and publication of diagnosis of guidelines has resulted in an increase in recognized FPIES cases. We aimed to conduct a systematic review of FPIES studies in the past 10 years. A search was conducted on PubMed and Embase in March 2022. Our systematic review focused on 2 domains: (1) the most reported FPIES food triggers; and (2) the resolution rate and median age at resolution of patients with FPIES. We found that cow’s milk was the most reported trigger globally. Patterns of the most common triggers varied by country, with fish being one of the most common triggers in the Mediterranean region. We also found that the rate and median age of resolution varied by trigger. Patients with FPIES to cow’s milk acquired tolerance at a younger age (most by age 3 years), while fish-FPIES was more persistent (mean resolution by age 37 months–7 years). Overall, many studies found a resolution rate of 60% for any food.
Introdução à gestão da mudança em organizações
Authors:   Universidade de São Paulo. Escola de Engenharia de São Carlos, Gerolamo Mateus C. , Bertassini Ana Carolina ,   Universidade de São Paulo. Escola de Engenharia de São Carlos, Ponce Lilian G. ,   Universidade de São Paulo. Faculdade de Economia, Administração, Contabilidade e Atuária
Published: March 2023

Este livro tem caráter didático e introdutório sobre os conceitos básicos de Gestão da Mudança e Inovação. Neste livro, o objetivo é propor um material de leitura fácil, rápida e clara que possibilite aos leitores um primeiro contato com a temática e os instigue pela busca de aprofundamento e mais materiais sobre a temática. O livro é direcionado a alunos de graduação para cursos de Administração, Engenharia de Produção e cursos afins. Alunos de MBA que tenham como parte presente de seu aprendizado, ou interesse, questões relacionadas à Gestão da Mudança e Inovação, poderão beneficiar-se da leveza do material e facilidade em compreender os conceitos e práticas. Executivos e profissionais de empresas (qualquer tamanho ou setor) poderão contextualizar seus desafios de mudança e inovação ao se introduzirem na temática do livro. Por fim, alunos de pós-graduação stricto sensu podem usar o material como leitura introdutória para seus cursos mais aprofundados de Gestão da Mudança e da Inovação.
Possíveis influências de Herder em Lereno: o neologismo de Volkslied (canção popular), o lundum e a modinha enquanto Zeitgeist nas origens da música popular
Authors: Ceccon Gabriella Zanatta , Veiga Paulo Eduardo de Barros , Ricciardi Rubens Russomanno
Published: March 2023

Este projeto de pesquisa propõe verificar a possível influência poética de Johann Gottfried von Herder (Mohrungen, Prússia Oriental, 1744 – Weimar, Turíngia, 1803) por conta de seu neologismo de “canção popular” (Volkslied) e de sua perspectiva então inédita sobre a valorização dos cantos dos iletrados em suas comunidades, na obra literária que inaugura a música popular brasileira, a Viola de Lereno, de Domingos Caldas Barbosa (Rio de Janeiro, ca.1739 – Lisboa, 1800). Por meio da comparação do corpus da pesquisa, busca-se compreender os liames poético-musical-filosóficos entre o poeta e o filósofo prussiano oriental e o libretista e poeta carioca, a fim de compreender o neologismo de Volkslied, que nasce com Herder, e estabelece-se no espírito da Viola de Lereno, obra diferenciada da produção de Lereno.
Processo de transcrição da Paulistana Nº 2, de Cláudio Santoro, para Violão e Violão Brahms
Authors: Sampaio Vitor Botelho , Genari Fernando Donizete , Costa Gustavo Silveira
Published: March 2023

A Paulistana Nº 2 para piano, de Claudio Santoro, foi escrita em 1953, usando elementos da catira, uma dança (com bater de palmas e pés) acompanhada pelo canto e pela viola caipira. O artigo tem como objetivo apresentar o processo de transcrição para duo de violão e violão de oito cordas Brahms da Paulistana Nº 2, por meio da descrição dos procedimentos empregados nas adaptações necessárias, incluindo exemplos do texto original e das partituras transcritas. Além de ampliar o repertório para essa formação de duo de violões, esta transcrição busca transportar a obra para um novo âmbito sonoro, capaz de desvelar a sonoridade pretendida pelo compositor, ressaltando a inspiração caipira da obra pianística, cujas texturas rítmicas remetem-se claramente aos rasgueados típicos do acompanhamento da catira, recursos exclusivos dos instrumentos de cordas dedilhadas, como a viola caipira e o violão.
O percurso criativo na educação pública: novas concepções frente aos desafios impostos pela pandemia de Covid-19
Authors: Santos Janaina Freire de Oliveira dos , Salles Cecilia Almeida
Published: March 2023

O presente ensaio visa abordar, de modo sucinto, porém explicativo, os princípios direcionadores e as tendências presentes no processo de criação coletivo, analisando uma experiência promovida e vivenciada por um grupo de professores e pelos coordenadores pedagógicos na EMEF Érico Veríssimo, localizada na periferia de São Paulo, no ano de 2021. Tendo como referência o documentário AmarElo, do rapper Emicida, esta experiência abordou o direito à memória, o direito à cidade e o direito à diversidade dos educandos, aspirando a refletir e promover um acolhimento mais humanizado destes alunos, após o longo período de isolamento e distanciamento do ambiente e do contexto escolar imposto pela pandemia de Covid-19. Para tal, serão utilizadas as concepções de processos de criação coletivos por Cecilia Salles, Steven Johnson, Colapietro, C. S. Peirce e De Masi, e o potencial criativo e a experiência deste na educação, por Fayga Ostrower e Jorge Larrosa.
No limiar entre carta, poesia e tradução: uma leitura de Katherine Mansfield e Ana Cristina Cesar
Authors: Ancona Lopez Talissa
Published: March 2023

Este ensaio se detém sobre uma prática específica: a tradução de cartas. Para tocar esse tema, descreve-se a carta como gênero textual instável e ambíguo — no limiar entre o documento e a literatura, a escrita e a oralidade, a distância e a presença — e busca-se entender como a tradução precisa caminhar ao lado dessa instabilidade, marcando os percalços que caracterizam a epistolografia, ao invés de escondê-los na língua de chegada. A partir da tradução de cartas de Katherine Mansfield para o português (Editora Revan, 1996), analisam-se escolhas de tradução que apaziguam marcas do gênero epistolar e, levando em conta o conceito de intraduzível (CAMPOS, 1992), este texto ensaia um olhar à tradução das cartas capaz de compreender a noção de correspondência no sentido amplo.
A construção da rede literária americanófila de D. Pedro II a partir de seus documentos de processo
Authors: Mafra Adriano
Published: March 2023

Este artigo objetiva analisar um conjunto de documentos autógrafos produzidos pelo segundo e último imperador do Brasil, D. Pedro II (1825–1891), que denota o interesse e a íntima relação do estadista brasileiro com a intelectualidade e cultura norte-americana a partir da década de 1850. O dossiê genético, composto por cartas, extratos de diários e manuscritos autógrafos, permite vislumbrar uma cadeia de influências recebidas e transmitidas entre a corte brasileira e a república norte-americana, fruto das interações sociais estabelecidas por D. Pedro II com a elite cultural estrangeira. A produção literária do monarca, materializada em exercícios de tradução, constitui um ponto relevante nessa dinâmica das relações e primeiras trocas intelectuais de D. Pedro II, pois possibilitou o acesso a autores de grande prestígio e circulação no meio literário americano, nesse caso, os poetas Henry Wadsworth Longfellow e John Greenleaf Whittier. Sob a ótica de uma leitura genética, essas traduções dão indícios do continuum criativo e dos instantes discursivos do vir a ser texto, sendo também instrumentos primeiros de compartilhamento de gostos estéticos, de padrões de referência e da própria noção de tradução do imperador entre os membros da corte.
Passado a limpo
Authors: Almeida Aline Novais de
Published: March 2023

Notícias de crítica genética.
Censorship in Translating Swear Words into Chinese: Using The Catcher in the Rye as an Example
Authors: Guo Yijiao
Published: March 2023

This paper concentrates on the censorship in translating swear words in The Catcher in the Rye. Shi Xianrong and Sun Zhongxu’s Chinese translations are used for the analysis. The text analysis and statistics indicate that more changes were made in Shi’s version, which appeared in the forms of deletion, attenuation, and modulation. These changes, on the one hand, resulted from the censorships imposed by the legal and administrative requirements on publishing and editing. On the other hand, the peculiar sociocultural context of misogynistic homophobia in the People’s Republic of China (prc) in the late 1980s was also normative and decisive to translators’ choices, especially when a swear word was related to homosexuality or sexual content.
Development of the Cardiovascular Assessment Screening Program (CASP) using the qualitative findings of a mixed methods study and applying the TDF to address the barriers of and facilitators to comprehensive screening for cardiovascular disease
Authors: Bruneau Jill , Parsons Karen , Moralejo Donna , Donovan Catherine
Published: March 2023

Background

There is inconsistent utilisation of clinical practice guidelines (CPGs) for cardiovascular disease (CVD) screening and management by healthcare professionals to identify CVD risk factors early and to intervene using current recommendations. This manuscript reports on the first phase of an exploratory sequential mixed methods study describing the integration of the qualitative study findings with the Theoretical Domains Framework (TDF) that led to the development of the Cardiovascular Assessment Screening Program (CASP). The main objective of the qualitative study was to inform the development of CASP.

Methods

Focus groups (5) and interviews (10) were conducted in rural and urban settings in one Canadian province with target health professionals, managers in health care organizations, and the public to obtain different perspectives to inform the CASP intervention. Three focus groups were held with nurse practitioners and two with members of the public; individual interviews were conducted with target groups as well. Application of the TDF provided a comprehensive approach to determine the main factors influencing clinician behaviour, to assess the implementation process, and to support intervention design. Behaviour change techniques, modes of delivery, and intervention components were selected for the development of the CASP.

Results

Themes identified such lack of knowledge about comprehensive screening, ambiguity around responsibility for screening, lack of time and commitment to screening were addressed in the components of the CASP intervention that were developed, including a website, education module, decision tools, and a toolkit.

Conclusion

CASP is a theory-informed intervention developed through the integration of the findings from the focus groups and interviews with selected TDF domains, behaviour change techniques, and modes of delivery available in the local context that may be a useful approach for knowledge translation of evidence into practice.
Effectiveness of eradication therapy for Helicobacter pylori infection in Africa: a systematic review and meta-analysis
Authors: Fekadu Sintayehu , Engiso Hizkel , Seyfe Sisay , Iizasa Hisashi , Godebo Ashebir , Deyno Serawit , Yoshiyama Hironori
Published: March 2023

Background

The effectiveness of Helicobacter pylori (H. pylori) eradication depends on the treatment protocol. This study investigates the H. pylori eradication rate in Africa using the best available evidence from databases.

Methods

Databases were searched and results were pooled together. Heterogeneity between studies was assessed using I2 test statistics. Stata version 13 software was employed to compute the pooled eradication rate. In the subgroup analysis comparison, the finding is considered significant when the confidence intervals did not overlap.

Results

Twenty-two studies from 9 African countries with a total population of 2,163 were included in this study. The pooled eradication rate of H. pylori was 79% (95% CI: 75%-82%), heterogeneity (I2 = 93.02%). In the subgroup analysis by study design, a higher eradication rate was reported from observational studies (85%, 95% CI: 79%-90%), compared to randomized control trials (77%, 95% CI: 73%-82%); by the duration of therapy, higher eradication rate was reported in 10-days regimen (88%, 95% CI: 84%-92%), compared to 7-days regimen (66%, 95% CI: 55%-77%); by country, the highest eradication rate was found in Ethiopia (90%; 95% CI: 87%-93%) and the lowest eradication rate was reported in Ivory Coast (22.3%; 95% CI:15%-29%); by type of H. pylori test, the highest eradication rate was reported when rapid urease test coupled with histology (88%, 95% CI: 77%-96%), and the lowest eradication rate was reported with histology alone (22.3%; 95% CI:15%-29%). Significant heterogeneity was observed with pooled prevalence (I2 = 93.02%, P < 0.000).

Conclusions

In Africa, the first-line therapy showed a variable eradication rate for H. pylori. This study demonstrates the necessity to optimize current H. pylori treatment regimens in each country, taking into account the antibiotic susceptibility. Future RCT studies with standardized regimens are warranted.
Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study
Authors: Song Ye , Qu Yun , Liu Jia , Jia Hongjing , Yue Yongfei , Zhao Xuepiao
Published: March 2023

Background

The accuracy of transvaginal digital examination in determining foetal head position is not high enough. This study aimed to evaluate whether an additional training on our new theory could improve the diagnostic accuracy of the foetal head position.

Methods

This was a prospective study conducted at a 3a grade hospital. The study included 2 residents in their first year of training in obstetrics without prior experience in transvaginal digital examination. In the observational study, 600 pregnant women without contraindications to vaginal delivery were included. Two residents were simultaneously trained in the theory of traditional vaginal examination, but resident B received an additional theoretical training program. The pregnant women were randomly assigned to have the foetal head position examined by resident A and resident B. The foetal head position was then confirmed by ultrasound, which was performed by the main investigator. After 300 examinations were independently performed by each resident, the accuracy of foetal head position and perinatal outcomes were compared between the two groups.

Results

During the 3-month period, 300 post training transvaginal digital examinations were performed by each resident in our hospital. The two groups were found to be homogeneous for age at delivery, BMI before delivery, parity, gestational weeks at delivery, the rate of epidural analgesia, foetal head position, presence of caput succedaneum, presence of moulding and foetal head station(p > 0.05). The diagnostic accuracy of head position by digital examination was higher for resident B, who was subjected to an additional theoretical training program, than for resident A (75.00% vs. 60.67%, p < 0.001). There were no significant differences in maternal and neonatal outcomes between the two groups (p > 0.05).

Conclusion

An additional theoretical training program for residents increased the accuracy of vaginal assessment of foetal head position.

Trial registration

Registered at Chinese Clinical Trial Registry Platform (ChiCTR2200064783), October 17, 2022. https://www.chictr.org.cn/edit.aspx?pid=182857&htm=4
Modified bar bending method of thoracoscopic nuss procedure on pectus excavatum: a retrospective single-center study
Authors: Han Jichang , Mou Yaru , Wang Dongming , Xu Qiongqian , Wang Jian
Published: March 2023

Background

Pectus excavatum (PE) is the most common disease of chest wall deformity, with an incidence of 1 in 300—400 births. Nuss procedure has proved to be the best surgical treatment method and has been widely used after clinical use for 30 years. We aimed to review the clinical data of pectus excavatum (PE) of thoracoscopic Nuss procedure adopted the Modified bar bending method of the six-point seven-section type, and compare it with the traditional curved bar bending method to explore the clinical application effect.

Methods

Forty-six cases of clinical data were summarized of children with PE who adopted the treatment of the Modified bar bending method of the six-point seven-section type from January 2019 to December 2021, and 51 cases were compared of PE children who adopted the treatment of traditional curved bar bending method from January 2016 to December 2018, including the data of age, gender, preoperative symptoms, symmetry, Haller index, operation time, bar bending time, intraoperative bleeding, postoperative complications, bar migration, postoperative effect evaluation, etc.

Results

The Procedure duration (P = 0.008), bar bending time (P < 0.001), and duration of postoperative pain (P < 0.001) were reduced significantly, and the incidence of bar migration after surgery was reduced as well by the modified bar bending method. There was no difference compared with traditional Nuss produce, like the incidence of evaluation of postoperative effects (Excellent, P = 0.93; Good, P = 0.80; Medium, P = 1.00; Poor, P = 1.00), bar migration (P = 1.00), postoperative complications (P = 1.00), Clavien- Dindo classification of surgical complications (I = 0.165; II = 1.00; IIIa = 1.00; IIIb = 1.00; VI = 1.00; V = 1.00), operative safety, and operative validity.

Conclusion

Modified bar bending method of the six-point seven-section type, which is a kind of surgical method worth applying and popularizing, and the advantages of minimally procedure duration, bar bending time, and duration of postoperative pain, compared with the traditional bar bending method.
“If people are hesitant at all, you just want a really big front door”: a rapid qualitative interview study on the Luton COVID-19 vaccination outreach clinics
Authors: Logue M. , Haylock C. , Scarborough C. , Mackenzie J.
Published: March 2023

Background

There is a lack of evidence on the usefulness, practicality, and acceptance of vaccination outreach clinics in the community especially during pandemics. In this qualitative study, we explored the experiences, motivations and perceptions of service users, health professionals, strategic staff, volunteers, and community workers involved in the COVID-19 vaccination outreach clinics in Luton.

Methods

Semi structured face to face, telephone, online interviews, and focus groups were conducted with 31 participants including health professionals, strategic staff, volunteers, community workers and service users. The Framework Method was used to analyse the data and generate themes.

Results

Service users expressed positivity towards the convenience and familiarity of the location of the vaccination outreach clinics and the flexibility of receiving the vaccination in a local setting. Participants involved in the planning and delivery of the service commented on the worthwhile and rewarding experience but suggested more attention should be given to preparation time, service user recruitment, the working environment, and staff welfare.

Conclusions

The COVID-19 mobile vaccination outreach clinics in Luton tested and developed a different model of service delivery and demonstrated a collaborative way of working: “taking the health service to the patient, not the patient to the health service”. Planning and local community engagement were seen as key to successful delivery of a mobile healthcare service.
Cholera outbreak in some communities in North-East Nigeria, 2019: an unmatched case–control study
Authors: Fagbamila Idowu O. , Abdulkarim Muhammad A. , Aworh Mabel K. , Uba Belinda , Balogun Muhammad S. , Nguku Patrick , Gandi Ajibji Y. , Abdullahi Ibrahim , Okolocha Emmanuel C. , Kwaga Jacob K. P. , Waziri Ndadilnasiya E.
Published: March 2023

Background

Cholera, a diarrheal disease caused by the bacterium Vibrio cholerae, transmitted through fecal contamination of water or food remains an ever-present risk in many countries, especially where water supply, sanitation, food safety, and hygiene are inadequate. A cholera outbreak was reported in Bauchi State, North-eastern Nigeria. We investigated the outbreak to determine the extent and assess risk factors associated with the outbreak.

Methods

We conducted a descriptive analysis of suspected cholera cases to determine the fatality rate (CFR), attack rate (AR), and trends/patterns of the outbreak. We also conducted a 1:2 unmatched case–control study to assess risk factors amongst 110 confirmed cases and 220 uninfected individuals (controls). We defined a suspected case as any person > 5 years with acute watery diarrhea with/without vomiting; a confirmed case as any suspected case in which there was laboratory isolation of Vibrio cholerae O1 or O139 from the stool while control was any uninfected individual with close contact (same household) with a confirmed case. Children under 5 were not included in the case definition however, samples from this age group were collected where such symptoms had occurred and line-listed separately. Data were collected with an interviewer-administered questionnaire and analyzed using Epi-info and Microsoft excel for frequencies, proportions, bivariate and multivariate analysis at a 95% confidence interval.

Results

A total of 9725 cases were line-listed with a CFR of 0.3% in the state. Dass LGA had the highest CFR (14.3%) while Bauchi LGA recorded the highest AR of 1,830 cases per 100,000 persons. Factors significantly associated with cholera infection were attending social gatherings (aOR = 2.04, 95% CI = 1.16–3.59) and drinking unsafe water (aOR = 1.74, 95% CI = 1.07–2.83).

Conclusion

Attending social gatherings and drinking unsafe water were risk factors for cholera infection. Public health actions included chlorination of wells and distribution of water guard (1% chlorine solution) bottles to households and public education on cholera prevention. We recommend the provision of safe drinking water by the government as well as improved sanitary and hygienic conditions for citizens of the state.
Association of education level with the risk of female breast cancer: a prospective cohort study
Authors: Jiang Runxue , Wang Xia , Sun Zhiguo , Wu Shouling , Chen Shuohua , Cai Haifeng
Published: March 2023

Background

Breast cancer is a serious threat to female health, and its incidence varies with education level (EL). In the present study, the association between EL and the risk of developing female breast cancer was investigated.

Methods

From May 2006 to December 2007, 20,400 observation subjects in Kailuan Cohort received questionnaires and were subjected to clinical examinations for data collection on baseline population characteristics, height, weight, lifestyle and past disease history. Then, these participants were followed up with from the date of recruitment to December 31, 2019. Cox proportional risk regression models were used to analyse the association between EL and the risk of developing female breast cancer.

Results

The cumulative follow-up period of 20,129 observation subjects that meet the inclusion criteria of this study was 254,386.72 person-years, and the median follow-up time was 12.96 years. During the follow-up period, 279 cases of breast cancer were diagnosed. In comparison with the low EL group, the risk of developing breast cancer was significantly higher in the medium (hazard ratio [HR] (95% confidence interval [CI]) = 2.23 (1.12–4.64)] and high [HRs (95% CI) = 2.52 (1.12–5.70)] EL group.

Conclusion

An increased risk of breast cancer was associated with a higher EL, and some certain factors, such as alcohol use and hormone therapy, may play a mediating role.
Spontaneous and iatrogenic ovarian hyperstimulation syndrome in the absence of FSHR mutations: a case report of two unexpected cases
Authors: Daolio Jessica , Sperduti Samantha , Casarini Livio , Falbo Angela , Materazzo Caterina , Aguzzoli Lorenzo , Villani Maria Teresa
Published: March 2023

Background

Ovarian hyperstimulation syndrome (OHSS) is a complication of controlled ovarian hyperstimulation (COH). It is a potentially life-threatening condition that usually occurs either after human chorionic gonadotropins (hCG) administration in susceptible patients or as a result of an implanting pregnancy, regardless of whether it was achieved by natural conception or infertility treatments. Despite many years of clinical experience regarding the adoption of preventive measures and the identification of patients at high risk, the pathophysiology of OHSS is poorly understood and no reliable predictive risk factors have been identified.

Cases presentation

We report about two unexpected cases of OHSS following infertility treatments, occurring after freeze-all strategy with embryo cryopreservation approaches. The first case developed spontaneous OHSS (sOHSS), despite efforts to prevent its manifestation by a segmentation approach, including frozen embryo replacement cycle. The second case developed a late form of iatrogenic OHSS (iOHSS), even though the absence of any risk factors. No mutations in the follicle-stimulating hormone (FSH) receptor (FSHR)-encoding gene were detected, suggesting that the high levels of hCG due to the twin implanting pregnancies could be the only triggering factor of OHSS outbreak.

Conclusion

Freeze-all strategy with embryo cryopreservation cannot entirely prevent the development of OHSS, which may occur in its spontaneous form independently from the FSHR genotype. Although OHSS remains a rare event, all infertile patients requiring ovulation induction or controlled ovarian stimulation (COS) may be at potential risk of OHSS, either in the presence or in the absence of risk factors. We suggest closely monitoring cases of pregnancy following infertility treatments in order to provide early diagnosis and adopt the conservative management.
Cattle feeding tendency of Anopheles mosquitoes and their infection rates in Aradum village, North Wollo, Ethiopia: an implication for animal-based malaria control strategies
Authors: Eshetu Tsegaye , Eligo Nigatu , Massebo Fekadu
Published: March 2023

Background

Surveillance of indoor and outdoor resting malaria vector populations is crucial to monitor possible changes in vector resting and feeding behaviours. This study was conducted to assess the resting behaviour, blood meal sources and circumsporozoite (CSP) rates of Anopheles mosquito in Aradum village, Northern Ethiopia.

Methods

Mosquito collection was conducted from September 2019 to February 2020 using clay pots (indoor and outdoor), pit shelter and pyrethrum spray catches (PSC). The species of Anopheles gambiae complex and Anopheles funestus group were identified using polymerase chain reaction (PCR). Enzyme-linked immunosorbent assay (ELISA) was done to determine CSP and blood meal sources of malaria vectors.

Results

A total of 775 female Anopheles mosquitoes were collected using the clay pot, PSC and pit shelter. Seven Anopheles mosquito species were identified morphologically, of which Anopheles demeilloni (593; 76.5%) was the dominant species followed by An. funestus group (73; 9.4%). Seventy-three An. funestus group screened by PCR, 91.8% (67/73) were identified as Anopheles leesoni and only 2.7% (2/73) were found to be Anopheles parensis. The molecular speciation of 71 An. gambiae complex confirmed 91.5% (65/71) of Anopheles arabiensis. The majority of Anopheles mosquitoes were collected from outdoor pit shelter (42.2%) followed by outdoor clay pots. The majority of the blood meal of An. demeilloni (57.5%; 161/280), An. funestus sensu lato 10 (43.5%) and An. gambiae (33.3%; 14/42) originated from bovine. None of the 364 Anopheles mosquitoes tested for Plasmodium falciparum and Plasmodium vivax sporozoite infections were positive.

Conclusion

Since the Anopheles mosquitoes in the area prefer to bite cattle, it may be best to target them with an animal-based intervention. Clay pots could be an alternative tool for outdoor monitoring of malaria vectors in areas where pit shelter construction is not possible.
Holding a foster child’s mind in mind: study protocol for a cluster-randomized controlled trial of mentalization-based therapy (MBT) for foster families
Authors: Dalgaard Nina Thorup , Villumsen Anne Marie Anker , Sørensen Kresta Munkholt , Midgley Nick , Væver Mette Skovgaard , Almlund Mathilde , Pontoppidan Maiken
Published: March 2023

Background

Children in foster care are psychologically vulnerable and show more social, developmental, and behavioral problems than those living with their family of origin. Many foster parents struggle to care for these children, some of whom have experienced severe adversity. Research and theory suggest that developing a strong and supportive foster parent–child relationship is essential for foster children to become more well-adjusted and experience a decrease in behavioral problems and emotional maladjustment. Mentalization-based therapy (MBT) for foster families aims at increasing the reflective functioning of the foster parents, thus promoting the development of more secure and less disorganized child attachment representations, which is subsequently proposed as a factor that reduces behavioral problems and emotional maladjustment in children and promotes their overall well-being.

Methods

This is a prospective cluster-randomized controlled trial with two conditions: (1) the intervention group participating in MBT, and (2) the control group who receive usual care. Participants are 175 foster families with at least one foster child aged 4–17 years with emotional or behavioral problems. The intervention will be offered to foster families by 46 foster care consultants from 10 municipalities in Denmark. The foster care consultants will be randomized to MBT training (n = 23) or usual care (n = 23). The primary outcome is the psychosocial adjustment of the foster child measured by the Child Behavior Checklist (CBCL) as reported by foster parents. Secondary outcomes include child well-being, parental stress, parent mental health, parent reflective function and mind-mindedness, parent/child relations, child attachment representations, and placement breakdown. In order to explore implementation fidelity as well as practitioner experiences, we will administer questionnaires designed for this study and conduct qualitative research exploring the practice of the MBT therapists.

Discussion

This trial is the first experimental study of a family therapeutic intervention based on attachment theory for foster families within the Scandinavian context. This project will contribute with novel knowledge on attachment representations in foster children and the effects of an attachment-based intervention on essential outcomes for foster families and children.

Trial registration ClinicalTrials.gov NCT05196724. Registered on January 19, 2022.
Dietary diversity and associated factors among adolescent girls in Nifas Silk Laphto sub city, Addis Ababa, Ethiopia, 2021
Authors: Abebe Tarik , Mezgebu Getachew Sale , Feleke Fentaw Wassie , Tamrat Meseret
Published: March 2023

Background

Addressing the nutritional problems of adolescent girls is important as their nutritional status has a negative effect on the future generation. However, the evidence revealed the variation and unrelated data on the prevalence of dietary diversity and lack of including all adolescent age and community groups in Ethiopia. Hence, this study assessed dietary diversity and associated factors among adolescent girls in Nifas Silk Laphto Sub-city, Addis Ababa Ethiopia, 2021.

Methods

A community-based cross-sectional study was conducted among 475 adolescent girls at Nifas Silk Laphto sub-city, Addis Ababa Ethiopia from July 1 to 30, 2021. Multistage cluster sampling was employed to select adolescent girls. Pretested questionnaires were used to collect the data. The data were checked for completeness and entered by Epidata version 3.1 and cleaned and analyzed by SPSS version 21.0. A multivariable binary logistic regression model was fitted to identify factors associated with dietary diversity scores. The degree of association was assessed using an odds ratio with a 95% confidence interval and variables with p-value ≤ 0.05 were considered significant.

Result

The mean and the standard deviation of dietary diversity scores were 4.70 and 1.21 respectively. The proportion of low dietary diversity scores among adolescent girls was 77.2%. Adolescent girls’ age, meal frequency, wealth index of household, and food insecurity were significant determinants of dietary diversity score.

Conclusion

The magnitude of low dietary diversity scores was significantly higher in the study area. Adolescent girls’, meal frequency, wealth index, and food security status were predictors of dietary diversity score. School-based nutrition education and counseling and designing strategies for improving household food security programs are crucial.
Maternal and Child Health handbook and under-6 child overweight in greater Jakarta, Indonesia: a cross-sectional web-based survey
Authors: Saito Akiko , Kondo Masahide
Published: March 2023

Background

In Indonesia, the double burden of child overnutrition and undernutrition is a public health concern. The nationally distributed Maternal and Child Health (MCH) handbook provides child nutrition information to caregivers. We aimed to find mothers’ information sources regarding child nutrition, including the internet and the MCH handbook, and to explore the association between overweight and use of the MCH handbook.

Method

A cross-sectional web-based survey was conducted among mothers with children under 6 years old in Greater Jakarta during 2019. Bivariate and multivariate logistic regression examined the association between child nutrition status and use of the MCH handbook.

Results

Data were collected from 233 children. Overweight, underweight, wasting, and stunting were identified in 36.4%, 22.6%, 26.8%, and 37.6%, respectively. 62.5% of mothers used the MCH handbook, and 88.2% used the internet via a mobile phone. Significantly more cases of overweight were observed among children whose mothers used the MCH handbook (adjusted OR [aOR]: 5.829; 95% Confidential Interval [CI]: 1.618–20.999) whereas no relationship was observed between MCH handbook use and child undernutrition. Significant associations with child overweight were found for mother’s education (tertiary) (aOR: 0.294; 95%CI: 0.098–0.885), employment type (fulltime) (aOR: 0.185; 95%CI: 0.061–0.562), watching television (more than 1 h) (aOR: 4.387; 95%CI: 1.648–11.678) and recognition of child overweight by mother (yes) (aOR: 3.405; 95%CI: 1.05–11.03).

Conclusion

These results indicate the need to support mothers of children exhibiting overnutrition and undernutrition. The MCH handbook should be modified to address this issue.
Factores determinantes para la intención de compras en línea para los consumidores boyacenses
Authors: Chaparro Pinzón César Ramiro
Published: March 2023

Las compras en línea se han consolidado como un modelo de negocio predominante. Los compradores en línea en el mundo han aumentado: en 2017, 1270 millones de personas; en 2018, 1380 millones; y en 2019, 1480 millones. En Colombia el comercio electrónico en 2020 se incrementó un 31 % con respecto a 2019, las ventas de comercio electrónico representan el 1.8 % del PIB. El objetivo de este artículo es identificar los factores determinantes para la intención de compras en línea por parte de los consumidores de Boyacá (Colombia), basados en el modelo de la teoría unificada de aceptación y uso de tecnología (UTAUT2). Con un cuestionario en línea se recolectaron los datos de 171 personas. Se utilizó el modelo de ecuaciones estructurales (SEM), enfoque PLS-SEM, y su análisis arrojó como hallazgos que las variables hábito (t = 7.292; p = 0), expectativa de desempeño (t = 3.153; p = 0.002), motivación hedónica (t = 3.019; p = 0.003) y valor por el precio (t = 2.620; p = 0.009) son significativas en la intención de las personas de realizar compras en línea. Las variables condiciones facilitadoras, expectativa de esfuerzo e influencia social no son significativas para tal conducta.