bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of Factors and Actors for Effective Online Education
Authors: Azim Md.
Published: August 2023

The purpose of the study is to demonstrate the impacts of actors, such as teachers, administration, and classmates, as well as factors including website/apps/systems and supporting issues, on the dependent variable, which is the successful implementation of online education. Primary data was collected from 203 respondents using a questionnaire with 30 items divided into six constructs. Structural equation modeling using SmartPLS was applied to determine the effects of actors and factors on successful online education. The findings reveal that Website/Apps/Online System and Supporting Tools and Issues have a positive and significant impact on the Role of Teacher (RT), Role of Administration, and Role of Classmates (RC), respectively. Additionally, the RT and RC positively and significantly influence Satisfaction or Intention to continue online education. The study's originality lies in the identification of three mediation effects through structural equation modeling, which is novel within the similar category of studies.
A Morphological Analysis of Ergonomic Design Reconfigurations for Crutch Versatility in the Environment of Use
Authors: Ipaki Bahram , Saadat-Ramz Zahra , Molenbroek Johan , Ali Faregh Seyed
Published: August 2023

Nowadays, there are complications in the environments where the crutch is being used, which cause discomfort for users throughout the use and therapy period. There are many flaws in cities’ infrastructure. Using a simple search on the internet, it can be claimed that standard crutches have an array of design faults and ergonomic problems, and users seek to fix the problems with non-industrial solutions and home treatments. For this reason, various accessories for crutches are being produced, and even designers have proposed new types of crutches as replacements. However, the majority of them still didn’t pass the human-centered research procedure.
Pseudocystic inflammatory demyelinating lesions in multiple sclerosis: A clinical, radiological, and pathological description
Authors: Cluse Florent , Fenouil Tanguy , Vukusic Sandra , Ducray François , Cotton François , Marignier Romain , Durand-Dubief Françoise
Published: August 2023

Background:

Pseudocystic inflammatory demyelinating lesions (PIDLs) are poorly described in MS and might represent a diagnostic challenge.

Objectives:

We described the clinical, radiological, pathological, and follow-up characteristics of 13 PIDL in 9 MS patients.

Methods:

We constituted a single-center retrospective case series of PIDLs in MS, defined on MRI as expansive cyst-like lesions, with a fluid-signal content, and a diameter of 1 cm or more.

Results:

PIDL often occurred at first event (56%), were often asymptomatic (69%), and encircled by a hypo-T2 diffusion-restricted rim and a thin ring-like gadolinium enhancement (100%) on magnetic resonance imaging (MRI). Associated typical MS lesions were constant. Biopsies from two PIDLs displayed classical features of active MS, except for unusual edema.

Conclusion:

PIDLs are clinically unremarkable and associated with a good outcome. Their easily recognizable MRI features could help avoid biopsy.
Post-research reflexivity in qualitative research: Through cloaks and cross-threading
Authors: Clark Janine Natalya
Published: August 2023

This interdisciplinary Note is a creative form of writing that engages in post-research reflexivity through a process that it terms ‘cross-threading’. Using the trope of a cloak, which it links back to the author’s childhood imaginings of having an invisibility cloak, it cross-threads through the medium of this cloak a series of thoughts and feelings about a recently concluded research project (led by the author) exploring some of the ways that victims-/survivors of conflict-related sexual violence demonstrate resilience. Drawing on empirical data from Bosnia-Herzegovina, it illustrates the utility of the cloak as a thinking practice in relation to some of the stories that interviewees told, and it highlights the relevance of the cloak as a way of thinking about resilience. It also discusses the cloak as an identity, and in so doing it draws attention to an important aspect of the research process that is rarely talked about – the feelings, emotions and anxieties that researchers might experience when a major study or project ends. This Note concludes by underlining the potential benefits to researchers of having an acoustic cloak.
Subaltern cartographies: Exploring geographical imaginations of the agricultural landscape
Authors: Ogundiwin Babatunde A
Published: August 2023

Geographical imaginations of the state-owned agricultural landscape mediated by state-sanctioned neoliberal visual discourse obscures the actual realities of these state-spaces. In this paper, I argue that maps that emerge from everyday practices of subaltern groups not only unveil actual realities of state-spaces but also embed possibilities of these landscapes. Farm-settlers on alienated government farmlands of Oyo State of Nigeria use a participatory sketch mapping to reveal spatialities that contest the authoritative cartographies of the farm settlement scheme. Regardless of the authoritative visualisations of state imaginaries, subaltern mappings are an integral part of the everyday geographies of the state-owned agricultural landscape. In conclusion, social mapping of the economic landscape served not only to counter disinformation but also as visual reminders for improvement evident in the farmers’ imagined futures.
Scutellarin Inhibits Glioblastoma Growth in a Dose-dependent Manner by Suppressing the p63 Signaling Pathway
Authors: Chen Yongjie , Li Wenlan
Published: August 2023

Although scutellarin has been extensively investigated, its effects on glioma are unclear. This study intended to reveal this regulation and the underlying mechanisms. The U251, M059K, and SF-295 cell lines were treated with gradient concentrations of scutellarin and then IC50 was calculated. SF-295 cells selected for subsequent procedures were treated with four concentrations of scutellarin. Then, proliferation, apoptosis, and cell cycle, as well as the protein and mRNA expression of significantly differentially expressed genes identified by next-generation sequencing (NGS), were examined. The curative effect of scutellarin was validated by 5-FU as the positive control. Scutellarin inhibited proliferation and induced apoptosis and G2/M cell cycle arrest in the SF-295 cell line in a dose-dependent manner. The effect of scutellarin was similar to but significantly weaker than the effect of 5-FU. The NGS results showed that genes associated with anti-apoptosis signaling pathways were significantly reduced after treatment. The Western blotting results indicated that the expressions of TP63/BIRC3/TRAF1/Bcl-2 were reduced in a dose-dependent manner, as well as the mRNA levels determined by qRT‒PCR. Our original conclusion revealed that scutellarin may inhibit glioma growth in a dose-dependent manner via the p63 signaling pathway which may provide a potential medicine for glioma chemotherapy.
Understanding the lived experience of chronic pain: A systematic review and synthesis of qualitative evidence syntheses
Authors: van Rysewyk Simon , Blomkvist Renée , Chuter Antony , Crighton Rhea , Hodson Fiona , Roomes David , Smith Blair H , Toye Francine
Published: August 2023

Background

Although multiple measures of the causes and consequences of chronic non-cancer pain (CNCP) are available and can inform pain management, no quantitative summary of these measures can describe the meaning of pain for a patient. The lived experience of pain tends to be a blind spot in pain management. This study aimed to: (1) integrate qualitative research investigating the lived experience of a range of CNCP conditions; (2) establish common qualitative themes in CNCP experience; and (3) evaluate the relevance of our results through a survey questionnaire based on these themes, administered across the United Kingdom.

Methods

Four bibliographic databases were searched from inception to February 2021 to identify Qualitative Evidence Syntheses (QES) that investigated the lived experience of CNCP and its impact on everyday life and activities. Themes and trends were derived by thematic qualitative analysis in collaboration with two patient and public involvement representatives who co-created twenty survey statements. The survey was developed for testing the QES themes for validity in people living with pain.

Results

The research team identified and screened 1323 titles, and considered 86 abstracts, including 20 in the final review. Eight themes were developed from the study findings: (1) my pain gives rise to negative emotions; (2) changes to my life and to myself; (3) adapting to my new normal; (4) effects of my pain management strategies; (5) hiding and showing my pain; (6) medically explaining my pain; (7) relationships to those around me; and (8) working while in pain. Each theme gave rise to one or two survey questions. The survey was shared with members of the UK pain community over a 2-week period in November 2021, and was completed by 1219 people, largely confirming the above themes.

Conclusion/Implications

This study provides a validated summary of the lived experience of CNCP. It highlights the adverse nature, complications, and consequences of living with CNCP in the UK and the multiple shortcomings in the ways in which pain is addressed by others in the UK. Our findings are consistent with published meta-ethnographies on chronic non-malignant musculoskeletal pain and chronic low-back pain. Despite the underrepresentation of qualitative research in the pain literature compared to quantitative approaches, for understanding the complexity of the lived experience of pain, qualitative research is an essential tool.
Hygienic practice during complementary feeding and its associated factors among mothers/caregivers of children aged 6–24 months in Wolaita Sodo town, southern Ethiopia
Authors: Kassie Gizachew Ambaw , Gebeyehu Natnael Atnafu , Gesese Molalegn Mesele , Chekol Abebe Endeshaw , Mengstie Misganaw Asmamaw , Seid Mohammed Abdu , Alebachew Bayih Wubet , Feleke Sefineh Fenta , Amare Tesfa Natnael , Dejenie Tadesse Asmamaw , Bantie Berihun , Solomon Kebede Yenealem , Zemene Melkamu Aderajew , Mengist Dessie Anteneh , Anley Denekew Tenaw , Asmare Adella Getachew
Published: August 2023

Introduction:

Complementary feeding is an important stage in a child’s development as it provides the necessary nutrients for optimal growth and development. However, improper handling, storage, and preparation of complementary foods can result in contamination by microorganisms, leading to foodborne illnesses and malnutrition. Therefore, this study aimed to determine hygienic practices during complementary feeding and associated factors among mothers of children aged 6–24 months in Wolaita Sodo town, southern Ethiopia.

Methods:

A community-based, cross-sectional study was undertaken among mothers/caregivers of children aged 6–24 months from December 1–30, 2022. A total of 602 participants were recruited using a simple random sampling procedure. The hygienic practice of complementary feeding was assessed based on a related seven items questionnaire (Cronbach’s alpha 0.72). Data were entered into Epi-data version 4.6 and analyzed using Statistical Package for Social Science version 26. Multivariable binary logistic regression was used to identify the statistically significant factors associated with proper hygienic practice of complementary feeding. Variables with a p-value of <0.05 in the multivariable logistic regression analysis model were considered statistically significant.

Results:

The study indicated that 42.0%, (95% confidence interval (CI): 38, 45.8) of the mothers/caregivers of children aged 6–24 months had proper hygienic practices during complementary feeding. Mothers who could read and write (adjusted odd ratio (AOR): 3.36, 95% CI (1.53, 7.41)) and those who had completed primary school (AOR: 1.7, 95% CI (1.02, 2.85)), media exposure (AOR: 3.38, 95% CI (2.1, 5.4)), and attitude toward hygienic practice (AOR: 3.29, 95% CI (2.2, 4.91)) were independent predictors of hygiene practices during complementary feeding.

Conclusion:

This study found that the prevalence of hygiene practices during complementary feeding was relatively low. Being educated, access to media, and positive attitudes toward hygienic practices were predicting factors. As a result, strengthening training and counseling services for mothers regarding complementary feeding and processing is recommended.
Sleep disturbance and fatigue in multiple sclerosis: A systematic review and meta-analysis
Authors: Bhattarai Jagriti “Jackie” , Patel Krina S , Dunn Katherine M , Brown Aeysha , Opelt Brett , Hughes Abbey J
Published: August 2023

Sleep disturbance is common in people with multiple sclerosis and may worsen fatigue; however, the assessment of sleep-fatigue relationships varies across studies. To better understand sleep-fatigue relationships in this population, we conducted a systematic review and random effects meta-analyses for the associations between fatigue and 10 sleep variables: Sleep-disordered breathing, daytime sleepiness, sleep quality, insomnia, restless legs, number of awakenings, sleep efficiency, sleep latency, sleep duration, and wake after sleep onset. Of the 1062 studies screened, 46 met inclusion criteria and provided sufficient data for calculating Hedges’ g. Study quality was assessed using the Newcastle-Ottawa Scale. Sample characteristics did not differ between the 10 analyses. Results indicated that sleep quality and insomnia (assessed via self-report or diagnostic criteria) were strongly associated with fatigue (all gs ≥ 0.80 and all ps < .001). In contrast, the number of awakenings and sleep duration (assessed objectively) were not significantly associated with fatigue. Remaining sleep variables yielded moderate, significant effects. Most effects did not vary based on study quality or sample demographics. Results highlight that insomnia and perceptions of poor sleep have a stronger link than objective sleep duration to fatigue in multiple sclerosis and may represent a more effective target for intervention.
A Mixed Methods Study of the Challenges and Rewards of Fatherhood in a Diverse Sample of U.S. Fathers
Authors: Rilling James K. , Hadley Craig
Published: August 2023

Fathers contribute to healthy child development, but there are limited data that provide an in-depth understanding of fathers’ perceptions of the challenges and rewards of fatherhood. We recruited 122 fathers from three different ethnic groups living in Atlanta, Georgia to conduct a mixed-methods research study on fathers’ perceptions of the challenges and rewards of fatherhood. Challenges included financial responsibilities (56%), sleep-deprivation (47%), work-family conflict (44%), negative changes in their relationship with their partner (43%), and children crying and whining (23%). Ninety seven percent of fathers agreed that having children added meaning to their life when asked. Many indicated that having children infused their life with an invaluable sense of meaning and purpose, and inspired them to become better people. The most common spontaneously mentioned rewards included witnessing developmental milestones (38%), experiencing the child as an extension of oneself (26%), witnessing children’s accomplishments (26%), and feeling loved by children (20%). In quantitative analyses, higher self-reported quality of family life was associated with living with children full-time, having fewer children, getting more sleep, having planned the first child, and minimal work-family conflict and financial stress. Finally, fathers reported increases in positive affect and decreases in negative affect over the course of the interviews, suggesting that they benefited psychologically from reflecting on and sharing their experience as fathers.
Is It Worth Enduring? Labor in Philippine Mango Fruit Farming
Authors: Sacramento Noe John Joseph E. , Cañete Gayle Candice D.
Published: August 2023

This article examines the process of labor exploitation in mango fruit farming in the Philippines. It provides a case study based on primary data collected through key informant interviews as well as secondary data. The article argues that contemporary mango fruit farming remains within the conventional labor dynamics inherited from historical capitalist domination and exploitation. The drive for transformative development has favored orchard owners and financiers leaving aside laborers’ well-being, welfare, and safety nets. Moreover, the ideological normalization of laborers’ dire conditions has led to acceptance of whatever conditions are allowed by powerful actors. The plight of laborers in the mango fruit industry remains a relevant and continuing struggle that requires relentless advocacy.
A Bibliometric Review of Research on Intelligence in Leadership Studies
Authors: Pitsi Safoora , Billsberry Jon , Barrett Mary
Published: August 2023

Intelligence has always been a key factor in people’s assessments of leaders and has featured on most profiles of leadership traits and competences. However, the disparate nature of research on intelligence in leadership studies means that it is time to take stock and to consider what has been learned. We do this by reporting a bibliometric analysis of published scholarly work on intelligence as it relates to leadership. The article begins with a short narrative review of intelligence in leadership studies before 1991, which demonstrates the long history of intelligence being conceptualized as IQ, general intelligence, wisdom, and intellect. This is followed with a bibliometric analysis of the topic from 1991 to 2022, which demonstrates how emotional intelligence has become the primary focus of leadership intelligence scholars. The implications of this shift of scholarly attention are discussed at the end of the article. In addition, we discuss the implications for implicit leadership theory (ILT) and demonstrate that the intelligence attribute in ILT frameworks is underdeveloped.
India’s Economic Integration with Japan: A Services Trade Perspective
Authors: Gupta Pralok
Published: August 2023

India and Japan have strong economic linkages, which were improved over the years, particularly after signing the Comprehensive Economic Partnership Agreement (CEPA) in 2011. Not only trade, but investment has also increased between India and Japan over the years and Japan has become the fifth largest investor for India in 2021. Against this backdrop, this article aims to analyse India’s economic integration with Japan from a services trade perspective. The article finds that increased services trade between India and Japan has contributed to enhancing the economic integration between these two countries, as envisaged by their political leaders through their regular engagements over the years.

JEL Classification: F14, F15
Osteochondral Allograft and Concurrent Meniscal Allograft Transplantation
Authors: Ihn Hansel E. , Nestorovski Douglas , Cho Austin , Hatch George F.
Published: August 2023

Background:

Symptomatic, full-thickness chondral defects often are associated with meniscal deficiencies. These are difficult problems to manage in the young, high-demand patient population. A number of differing techniques have been published with no consensus. While more recent techniques have favored minimally invasive approaches, an open approach with tubercle osteotomy to maximize visualization of all knee compartments can still provide favorable outcomes when using a careful technique and postoperative protocol.

Indications:

Young, high-demand patients with long-standing meniscal deficiency and resultant chondral defects are indicated for cartilage restoration and preservation procedures. A meniscal allograft transplantation is indicated in symptomatic patients with prior total or subtotal meniscectomy. It is important to address other concomitant pathology such as instability, alignment, and chondral defects. Concomitant procedures are often performed with meniscal transplants, including osteochondral allograft transplantation for larger defects.

Technique Description:

This surgical technique video demonstrates a tibial tubercle osteotomy approach to gain access to both the medial and lateral tibiofemoral compartments. An arthroscopic-assisted bone slot technique was performed for meniscal allograft transplantation. Appropriately sized osteochondral allograft bone plugs were then transplanted onto the medial and femoral condyles with a press fit technique.

Results:

At 1-year follow-up, the presented patient has regained full motion and are back to full activities.

Discussion/Conclusion:

Full-thickness chondral defects associated with meniscal deficiency in a young, high-demand patient is a difficult problem to manage. Recent results using minimally invasive approaches have demonstrated favorable mid- and long-term outcomes. In patients with pathology that may preclude a minimally invasive approach, an open technique with osteotomy can still have a promising outcome.

Patient Consent Disclosure Statement:

The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
Adsorption of gold nanoparticles on illite under high solid/liquid ratio and initial pH conditions
Authors: Zeng Ping , Nie Xin , Qin Zonghua , Luo Suxing , Fu Yuhong , Yu Wenbin , Yang Meizhi , Luo Wenqi , Yang Hai , Wan Quan
Published: August 2023

Adsorption of nanoparticles on minerals affects the fate and transport of nanoparticles directly and is of great significance to many fields, including research into ore deposits, geochemistry, the environment and mineral materials. Whereas many previous studies have been conducted under the equilibrium pH and low solid (mineral) to liquid (nanoparticle suspension) ratio conditions, adsorption processes under initial pH and high solid/liquid ratio conditions may represent many important yet underexamined complex scenarios. To fill in this research gap, the adsorption of gold nanoparticles on illite was investigated experimentally at a relatively high solid/liquid ratio of 5 g L–1 and the effects of initial pH, ionic strength, citrate concentration, temperature and illite particle size were evaluated. The adsorbed amount of gold nanoparticles (from <5% to nearly 100%) increased with increasing ionic strength, temperature and citrate concentration and decreased with increasing pH and illite particle size. The presence of illite resulted in the dynamic evolution of the pH of the suspension, which, along with solution chemistry parameters, controlled the electrostatic interaction of illite and gold nanoparticles. The adsorption results, scanning electron microscopy observations and surface properties of illite suggest that the negatively charged gold nanoparticles were adsorbed predominantly on the positive illite edges through electrostatic interaction. The electrostatic attraction between illite and gold nanoparticles appeared to be strong, supported by the minor amount of desorption. These research findings are expected to provide a valuable reference regarding many critical issues in the geosciences as well as for industrial applications.
Opioid versus non-opioid postoperative pain management in otolaryngology
Authors: Keane Allison , Jardine Kayla , Goldenberg David , Pradhan Sandeep , Zhu Jay , Mansour Jobran , Knoller Hadas , Eshel Ron , Talmi Yoav P. , Vaida Sonia , Slonimsky Guy
Published: August 2023

Background

The opioid epidemic in the United States has had devastating consequences, with many opioid-related deaths and a significant economic toll. Opioids have a significant role in postoperative pain management. Here we aim to analyze differences in postoperative opioid and non-opioid pain medications regimens following common otolaryngological surgeries between two large tertiary care medical centers: the Milton S. Hershey Medical Center, USA (HMC) and The Chaim Sheba Medical center, Israel (SMC).

Methods

A retrospective chart review of patients undergoing common otolaryngological procedures during the years 2017–2019 was conducted at two tertiary care centers, one in the U.S. and the other in Israel. Types and doses of postoperative pain medications ordered and administered during admission were analyzed. Average doses ordered and administered in 24 h were calculated. Opioid medications were converted to a standardized unit of morphine milliequivalents (MME). Chi-square test and Wilcoxon rank-sum test were used to compare the groups.

Results

The study included 204 patients (103 U.S., 101 Israel). Patient demographics were similar except for a longer length of stay in Israel (p < 0.01). In the U.S., 95% of patients were ordered opioids compared to 70% in Israel (P < 0.01). In the U.S., 68.9% of patients ordered opioids received the medications compared to 29.7% in Israel. The median opioid dose ordered in the U.S. was 45MME/24 h compared to 30MME/24 h in Israel (P < 0.01), while median dose received in the U.S. was 15MME/24 h compared to 3.8MME/24 h in Israel (P < 0.01). Opioid prescriptions at discharge were given to 92% of patients in the U.S. compared to 4% of patients in Israel (p < 0.01). A significantly higher number of patients in the U.S. were prescribed acetaminophen and ibuprofen (p < 0.0001). Dipyrone was prescribed to 78% of patients in Israel.

Conclusions

HMC demonstrated a significantly more permissive approach to both prescribing and consuming opioid medications for postoperative pain management than SMC for similar, common otolaryngological surgeries. Non-opioid alternatives and examining the cultural and medical practice-based differences contributing to the opioid epidemic should be discussed and reevaluated.
Measuring leprosy case detection delay and associated factors in Indonesia: a community-based study
Authors: Dharmawan Yudhy , Korfage Ida J. , Abqari Ulfah , Widjanarko Bagoes , Richardus Jan Hendrik
Published: August 2023

Background

Leprosy is a public health burden in Indonesia with a high number of new cases every year and a high proportion of disability among new cases. Case detection delay (CDD) can contribute to ongoing transmission and increased disability chances among leprosy patients. This study aimed to establish the CDD of leprosy and the factors associated with detection delay in Indonesia.

Method

Community-based study with a cross-sectional design. Data were collected through interviews about sociodemographic and behavioral factors, anticipated stigma, and duration of CDD. Leprosy classification and case detection methods were obtained from health service records. A random sample was taken of 126 leprosy patients registered between 1st October 2020 and 31st March 2022 in the Tegal regency in the Central Java Province. Data were analysed by descriptive and analytical statistics using multiple linear regression.

Results

The mean CDD, patient delay, and health system delay were 13.0 months, 9.7 months, and 3.2 months, respectively. Factors associated with longer CDD are younger age (below 35 years), male, found through passive case detection, and not having a family member with leprosy. Factors associated with longer patient delay were being younger (below 35 years), being male, not having a family member with leprosy, and anticipated stigma of leprosy. It was not possible to reliably identify factors associated with health system delay.

Conclusion

CDD in leprosy should be reduced in Indonesia. The Indonesian National Leprosy Control Program (NLCP) is advised to adopt an integrated intervention programme combining active case detection with targeted health education to reduce CDD and thereby preventing disabilities in people affected by leprosy.
Development and evaluation of the psychometric properties of a digital questionnaire for the self-management of health and well-being in the postpartum period
Authors: Bully Paola , Artieta-Pinedo Isabel , Paz-Pascual Carmen , García-Álvarez Arturo ,   Ema-Q Group, Alvarez Sonia , Amorrortu Pilar , Blas Mónica , Cabeza Inés , Estalella Itziar , Fernández Ana Cristina , Gutiérrez de Terán-Moreno Gloria , Legarra Kata , Lozano Gorane , Maquibar Amaia , Moreno-López David , Mulas Mª Jesús , Pérez Covadonga , Rodríguez Angela , Sáenz de Santamaría Mercedes , Sánchez Jesús , Villanueva Gema , Espinosa Maite
Published: August 2023

Background

Despite the fact that the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) recognises the special importance of care for women during the postpartum period, thus highlighting the need to identify and measure any condition that may affect the welfare of pregnant women in any way, this is one of the most neglected stages in the health system. Given the absence in our area of global, efficient instruments, the objective of this study was to design a complete, specific measurement tool with good metric qualities in digital format for the evaluation of self-reported health and well-being during the puerperium, to conform to what was proposed by the ICHOM.

Methods

A cross-sectional study was carried out to evaluate the psychometric characteristics of a digital measurement tool. The development of the tool was carried out in 4 steps, following the recommendations of the International Test Commission. It was tested on 280 puerperas attending primary healthcare appointments in the Basque Healthcare System (Osakidetza), and they did the newly created survey, answering all the questions that had been selected as the gold standard. The average age of the women was 34.93 (SD = 4.80). The analysis of the psychometric characteristics was based on mixed procedures of expert judgment (a focus group of healthcare professionals, an item evaluation questionnaire and interviews with users) and quantitative evaluations (EFA, CFA, and correlation with gold standard, ordinal alpha and McDonald’s omega).

Results

The final version of the tool comprised 99 items that evaluate functional state, incontinence, sexuality, breastfeeding, adaptation to the role of mother and mental health, and all of these questions can be used globally or partially. It was found that the scores were valid and reliable, which gives metric guarantees for using the tool in our area.

Conclusions

The use of this comprehensive concise tool with good psychometric properties will allow women to take stock of their situation, assess if they have the necessary resources, in psychological and social terms, and work together with midwives and other healthcare professionals on the most deficient areas.
Health beliefs on type 2 diabetes: a methodological research for development and psychometric evaluation of “DIABA” (Diabetes-related Instrument to Assess Beliefs of Adolescents) health beliefs on type 2 diabetes
Authors: Dorosteh Ameneh Pooresmaeil , Ghaffari Mohtasham , Rakhshanderou Sakineh , Mehrabi Yadollah
Published: August 2023

Background

Several reports have shown an increase in the number of type-2 diabetics among adolescents creating an extra burden for this age group. However, there is no instrument assessing adolescents’ attitude toward this disease. This study aims at designing a psychometric tool for assessing adolescents’ health beliefs regarding type-2 diabetes.

Research design and methods

In this methodological research, 770 boy and girl adolescents (between 13 and 15) from Tehran participated through multistage sampling. The Inclusion criteria were: junior high school students, students’ willingness for participation and not suffering from type-1 or type-2 diabetes. The questionnaire was designed by extensive literature review and the related existing questionnaires, as well as considering the research team’s comments. The validity of the questionnaire was determined through face and content validity. The construct validity was determined through exploratory and confirmatory factor analysis. Reliability was measured via internal consistency coefficient (ICC) and internal consistency reliability was measured by Cronbach Alpha. SPSS 16 and EQS6.1 were used for data analysis.

Results

The pool of questions had 57 items, and by removing similar (23 questions) or inappropriate sentences (8 questions), a draft questionnaire with 26 questions was designed. No items were removed in the face validity phase. Based on the results of CVR and CVI, six items and 4 items in the exploratory factor analysis were removed. Finally, a questionnaire with 16 items in 4 dimensions of perceived self-efficacy, behavioral beliefs, perceived susceptibility and perceived severity was obtained. The results of confirmatory factor analysis confirmed the model. The internal consistency coefficient was confirmed measuring Cronbach Alpha at 0.78 and ICC = 0.73.

Conclusion

The questionnaire designed can be employed as a reliable and valid instrument to assess the psychological perceptions and health beliefs of adolescents with respect to type-2 diabetes.
Association between nickel exposure and body compositions in the United States: a population-based cross-sectional study
Authors: Su Xingyang , Zhang Zilong , Qiu Shi , Zeng Bin , Yang Mi , Huang Xinyi , Zou Xiaoli , Yang Lu
Published: August 2023

Background

Increasing body fat or decreasing muscle and bone mass were associated with worse health outcomes in the adult population. The effects of nickel exposure on body composition are not known. The aim of the current study was to investigate the relationship between urinary nickel levels and body compositions.

Materials and methods

Two thousand seven hundred sixty-two participants were included in the analysis from the National Health and Nutrition Examination Surveys of 2017–2018 after excluding participants who have missing data on urinary nickel and those with missing all body mass component data. We used weighted generalized linear models to explore the relationship between urinary nickel and body mass components under interpolating missing covariable values. Simultaneously, sensitivity analyses and subgroup analysis were conducted to verify stability of analysis result. Curve fitting and saturation effect analysis were used to explore the possible nonlinear relationship between urine nickel and body compositions.

Results

Among the 2,762 participants, the average urinary nickel level was 1.58 ug/L. The weighted generalized linear models, the sensitivity analyses and subgroup analyses found no significant linear relationship between urinary nickel and body compositions. For body weight, BMI, TLM, ALM, TRF, TOF and BMC, the urine nickel saturation effect values were 0.76, 0.74, 0.5, 0.67, 0.64, 0.48, and 0.45 ug/L, respectively. For each 1 ug/L rise in urinary nickel levels at levels below the turning point, body weight increases (β = 9.06, 95% CI = 2.75, 15.36, p = 0.01), BMI increases (β = 3.20, 95% CI = 1.36, 5.05, p =  < 0.001), TLM decreases (β = -47.39, 95% CI = -97.38, 2.59, p = 0.06), ALM decreases (β = -37.25, 95% CI = -63.25, -11.24, p = 0.01), TRF increases (β = 20.68, 95% CI = 1.50, 39.86, p = 0.03), TOF increases (β = 57.92, 95% CI = -0.12, 115.95, p = 0.05), and BMC decreases (β = -6.84, 95% CI = -12.64, -1.04, p = 0.02).

Conclusions

In summary, our study demonstrated that a dose–response relationship exists between urinary nickel and body compositions, with a low inflection point level of urinary nickel for the saturation effect.
Mental health and governmental response policy evaluation on COVID-19 based on vaccination status in Republic of Korea
Authors: Kim Dong-Kyu , Lee Inyup , Choi Chulhwan , Park Sung-Un
Published: August 2023

Background

The coronavirus disease (COVID-19) pandemic has continued since the outbreak in December 2019. People experience depression and anxiety due to government policies and restrictions on physical activity due to the COVID-19 pandemic. This study aimed to compare and analyze people’s experiences of COVID-19 blues, sports policy awareness, and participation intention according to their vaccination status.

Methods

This quantitative study used an online survey to collect demographic information, vaccination status, and variables. Data validity and reliability were verified through confirmatory factor analysis, and Cronbach’s alpha coefficients were calculated using SPSS/AMOS 23.0. Finally, this comparative study was conducted using multivariate analysis of variance to investigate the differences in the dependent variables between the groups.

Results

The vaccinated group had higher scores for all factors related to COVID-19 blues (F = 19.147; p < .05; partial η2 = .046) and government policy (market responsiveness: F = 5.669, p < .05, partial η2 = .014; policy performance: F = 6.997, p < .05, partial η2 = .017; policy satisfaction: F = 7.647, p < .05, partial η2 = .019), apart from the intention to participate in sports (F = .014, p > .05, partial η2 = .000); these results demonstrate that people with COVID-19 blues and relatively high confidence in government quarantine policies were more likely to be vaccinated. In addition, all participants gave sports-participation intention the highest rating, regardless of their vaccination status; this reflects the current situation, in which individual activities are limited.

Conclusions

This study analyzed the mental health of vaccinated and unvaccinated groups in Korean adult men, their perceptions of government policies, and their willingness to engage in physical activity. The findings are meaningful and highlight useful directions for future research. This study provides evidence which can help alleviate the mental damage caused by government quarantine policies and enable a better understanding of the COVID-19 pandemic.

The results of this study provide important data for understanding the COVID-19 pandemic.
Taking stock of population-level interventions targeting risk factors for hypertension and diabetes in Rwanda and South Africa: methodological reflections and lessons learnt from conducting a multi-component situational analysis
Authors: J Uwimana Nicol , JP Nganabashaka , KD Tumusiime , T Young , E Rehfuess , J Burns
Published: August 2023

Background

Hypertension and diabetes are on the rise both in Rwanda and South Africa. The responsibility for NCD risk factors cut across different sectors, which makes it complex to effectively manage. Policy-relevant intervention research is thus critical for addressing the NCD challenge. We conducted a situational analysis in both countries to identify and describe current population-level interventions targeting risk factors for diabetes and hypertension. This paper presents this methodology and shares challenges encountered, and lessons learnt in applying the methodology.

Methods

We describe a multi-component methodology for conducting a situational analysis, which included a desk review, stakeholder mapping, survey, key informant interviews, and a consultative workshop. This methodology was applied in a standardized manner in two African countries. Following the analysis, the authors held iterative team consultations to reflect on challenges and lessons learnt during this process.

Results

Key challenges and lessons learnt relate to i) stakeholder recruitment, engagement and retainment; ii) utilization and triangulation of multiple sources of data; and iii) evolving circumstances, particularly related to the Covid-19 pandemic. It proved challenging to recruit stakeholders outside the health sector and in the private sector, as they often do not consider themselves as making or influencing policies and thus were reluctant to engage. The difficulties with responsiveness were often overcome through face-to-face visits, an opportunity to explain the relevance of their participation. With regards to health sector stakeholders and all other stakeholders, continued engagement over prolonged periods of time also turned out to be challenging. Covid-19 restrictions were preserved to be an impediment throughout the conduct of the situational analysis, specifically in South Africa. The use of multi-stage mixed methods was found to be appropriate for addressing the study objectives, as each step yielded unique data, concepts, and perspectives that complemented the other data.

Conclusion

Conducting a situational analysis is crucial for understanding the current state of interventions and identifying opportunities for new interventions. The multi-component methodology used in two African countries was found to be feasible, appropriate, and informative. Others planning to conduct situational analysis may follow, adapt and improve upon our approach, reacting to the challenges encountered.
Yoga studio websites: are they an accurate first glance at the studio’s mission, values, and resources?
Authors: Dysart Anna , Barnett Jake , Harden Samantha M.
Published: August 2023

Background

Yoga, as an ancient and modern practice, increases physical, mental, emotional, spiritual, and social health. Yoga studio websites serve as a dissemination channel for studios to express their offerings, whom they employ, and whom they seek as clientele. Public health workers, physicians, researchers, and clinicians, can refer to existing studios to increase health among their patients or clients. The degree to which these websites can provide relevant information to these various stakeholder groups has yet to be defined.

Methods

A pragmatic, sequential mixed-methods study was employed with quantitative data extraction, summarized as means and proportions, to score the studio websites (N = 28), and semi-structured interviews (n = 6) analyzed using the rigorous and accelerated data reduction (RADaR) technique, to confirm website content and staff intention. To explore urban and rural characteristics, yoga studios in southwest Virginia and Los Angeles were selected for inclusion.

Results

Overall, community-based yoga studios websites included information on the type, duration, cost, and COVID mitigation strategies. The most common class duration was 60 min. Rural Southwest Virginia studios offered 8.5 classes per week whereas those in urban Los Angeles offered 24.2 classes per week. All studios used iconography and images to invite racial, ethnic, age, and body type and ability diversity. While studios in both areas specified that there were 200- and 500-hour registered yoga teachers, many of the instructor biographies did not include information on their training. Although only preliminary, the interviews (n = 6) confirmed that the websites generally represented the feel, intention, and offerings of the studio and that the primary purpose of the studio was to build relationships and ensure people felt comfortable in the space.

Conclusion

Website information was related to studio offerings and values; however, discussion with management or visiting the studio may provide a richer picture of the yoga practices offered in the space. Further suggestions for website content are provided.
Pregnant women’s perception on the health effects of household air pollution in Rural Butajira, Ethiopia: a phenomenological qualitative study
Authors: Shine Sisay , Tamirie Mulugeta , Kumie Abera , Addissie Adamu , Athlin Simon , Mekonnen Hussen , Girma Eshetu , Molla Mitike , Kaba Mirgissa
Published: August 2023

Background

Household air pollution is the major public health problem in developing countries. Pregnant women spent the majority of their time at home and are the most affected population by household air pollution. Exploring the perception of pregnant women on adverse health effects is important to enhance the mitigation strategies. Therefore, this study aim to explore the pregnant women’s perceptions about health effects of household air pollution in rural Butajira, Ethiopia.

Methods

A phenomenological qualitative study design was conducted among 15 selected pregnant women. All interviews were carried out at the participants´ house and audio-recorded while housing and cooking conditions were observed and appropriate notes were taken for each. The collected data were transcribed verbatim and translated into the English language. Then, the data were imported into Open code software to manage the overall data coding processes and analyzed thematically.

Results

Study participants perceived that respiratory problems such as coughing, sneezing and asthma and eye problem were the major health problem caused by household air pollution among pregnant women. Study participants also mentioned asphyxiated, abortion, reduces weight, and hydrocephalus was caused by household air pollution on the foetus. Study participants perceived that financial inability, spouse negligence, autonomy and knowledge level of the women were the barriers to tackling household air pollution. Study participant also suggested that opening the door and window; using improved cookstove and reduce workload were the perceived solution for household air pollution.

Conclusions

This study explores pregnant women’s perceptions on health effects of household air pollution. The finding of this study was important to deliver suitable intervention strategies to mitigate household air pollution. Therefore, educating the women on way of mitigating household air pollution, improving existing structure of the house and minimize the time to stay in the kitchen is important to mitigate household air pollution exposure.
Prevalence and molecular characterization of Cryptosporidium spp. in dairy cattle in Central Inner Mongolia, Northern China
Authors: Zhao Li , Chai Hai-Liang , Wang Ming-Yuan , Zhang Zhan-Sheng , Han Wen-Xiong , Yang Bo , Wang Yan , Zhang Shan , Zhao Wei-Hong , Ma Yi-Min , Zhan Yong-Jie , Wang Li-Feng , Ding Yu-Lin , Wang Jin-Ling , Liu Yong-Hong
Published: August 2023

Background

Cryptosporidium is a gastrointestinal protozoan that widely exists in nature, it is an established zoonotic pathogen. Infected cattle are considered to be associated with cryptosporidiosis outbreaks in humans. In the present study, we aimed to assess the prevalence and species distribution of Cryptosporidium in dairy cattle in Central Inner Mongolia.

Methods

We focused on the small subunit ribosomal RNA gene (SSU rRNA) of Cryptosporidium and 60-kDa glycoprotein gene (gp60) of Cryptosporidium parvum. We collected 505 dairy cattle manure samples from 6 sampling sites in Inner Mongolia in 2021; the samples were divided into 4 groups based on age. DNA extraction, polymerase chain reaction (PCR), sequence analysis, and restriction fragment length polymorphism (RFLP) using SspI and MboII restriction endonucleases were performed. RFLP analysis was performed to determine the prevalence and species distribution of Cryptosporidium.

Results

SSU rRNA PCR revealed that the overall prevalence of Cryptosporidium infection was 29.90% (151/505), with a prevalence of 37.67% (55/146) and 26.74% (96/359) in diarrheal and nondiarrheal samples, respectively; these differences were significant. The overall prevalence of Cryptosporidium infection at the 6 sampling sites ranged from 0 to 47.06% and that among the 4 age groups ranged from 18.50 to 43.81%. SSU rRNA sequence analysis and RFLP analysis revealed the presence of 4 Cryptosporidium species, namely, C. bovis (44.37%), C. andersoni (35.10%), C. ryanae (21.85%), and C. parvum (11.92%), along with a mixed infection involving two or three Cryptosporidium species. Cryptosporidium bovis or C. andersoni was the most common cause of infection in the four age groups. The subtype of C. parvum was successfully identified as IIdA via gp60 analysis; all isolates were identified as the subtype IIdA19G1.

Conclusions

To the best of our knowledge, this is the first report of dairy cattle infected with four Cryptosporidium species in Inner Mongolia, China, along with a mixed infection involving two or three Cryptosporidium species, with C. bovis and C. andersoni as the dominant species. Moreover, this is the first study to identify C. parvum subtype IIdA19G1 in cattle in Inner Mongolia. Our study findings provide detailed information on molecular epidemiological investigation of bovine cryptosporidiosis in Inner Mongolia, suggesting that dairy cattle in this region are at risk of transmitting cryptosporidiosis to humans.