bluuebunny/crossref_metadata_2025_split huggingface dataset:
Public engagement in the development of the National Health Insurance: a study involving patients from a central hospital in South Africa.
Authors: Tandwa Lizeka Amanda , Dhai Ames 
Published: January 2020

Abstract

Background The National Health Insurance (NHI) is a proposed health policy in South Africa that aims to change the structure of the health system. Public involvement in the legislation development process is a constitutional requirement in South Africa. Patients are key stakeholders in health policy processes and should to be engaged in NHI policy processes. In order for patients to be engaged, they need to be provided with relevant information and an opportunity to be involved in the policy-making process. Methods This was cross sectional study. Two hundred and forty-four patients from the follow-up clinics at the Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital in the Gauteng Province, South Africa. The patients were interviewed using a structured interview process, using a questionnaire. Descriptive statistics and logistic regression analyses were run. Results The majority (79.51%) of the participants were not aware of the proposed National Health Insurance (NHI) in South Africa even though the NHI policy process commenced in 2011. Most of the participants (86%) who were aware of the NHI responded that they had not been provided with an opportunity to be involved in the policy making process of the NHI. The odds of awareness were higher for male (OR: 2.08, 95% CI: 1.11 – 3.9, p value: 0.02) than female participants. The odds of awareness were higher for White (OR: 2.36, 95% CI: 1.06 – 5.26, p value: 0.04) and Indian (OR: 2.76, 95% CI: 0.10 – 7.60, p value: 0.05) participants when compared to Black participants. The odds of awareness were higher for retired (OR: 3.13, 95% CI: 1.35 – 7.25, p value: 0.008) than unemployed participants. Conclusions The South African Department of Health cannot claim that they have met the constitutional requirement to involve the public in the setting of this study, since majority of the patients in this study were not aware of the NHI. This requirement is essential to the validity of the NHI policy process. Without the awareness and information about the NHI, patients are not equipped and cannot be involved in the NHI policy process in a meaningful way.
Prevalence and Associated Factors of Low Back Pain Among Hairdressers in Female Beauty Salons of Mekelle City, Tigray, Ethiopia; Cross-Sectional Study.
Authors: Tsegay Gebrerufael Solomon , Gebremeskel Berihu Fisseha , Gezahegn Selam Desalegn , Teklemichael Desalegn Massa 
Published: January 2020

Abstract
The authors have withdrawn this preprint from Research Square
MLST Application in Analysis of Relationship between Group B Streptococcus Resistance Gene and Induction Resistance in Shanghai, China
Authors: Gao Jing , Chen Yisheng , Peng Yiqian , Jiang Nanyan , Zhang Ying , Ying Chunmei 
Published: January 2020

Abstract
Background With the gradual severe bacterial resistance and slow development of antibiotics, drug-resistant bacterial strains are widely distributed and have become a serious public health problem. Group B Streptococcus (GBS) which cause Group B strep-related disease is the major cause of severe infection in newborns. However, Clindamycin resistance of GBS induced by Erythromycin is emerging and become important clinical concerns today. Methods A retrospective study was conducted on the drug resistance analysis of GBS strains isolated from Obstetrics and Gynecology Hospital from Jan 2016 to Dec 2017. The clinical and microbiological data including patient demographics, antimicrobial susceptibility testing, relative distribution drug resistance-associated genes mefA & ermB to Erythromycin, and multilocus sequence typing (MLST typing) were collected and analyzed. The Kirby-Bauer and VITEK2-compact were used to perform the susceptibility testing. The double disk diffusion method (D-test) was used for the detection of inducible clindamycin resistance. MLST was employed to identify sequence types of these strains. Polymerase Chain Reaction (PCR) was conducted to detect the drug resistance genes mefA & ermB to Erythromycin. Results A total of 1021 strains were cultured and isolated from 31894 specimens. Erythromycin and clindamycin resistance was 53.6%（547/1021）and 50.1 % (512/1021), respectively, in which 74.4%（407/547）had harbored constitutive macrolide, lincosamide and streptogramin B resistance (cMLS B ), 45.0%（63/140）were inducible MLS B (iMLS B ). Additionally, MLST identified 12 different ST types including a new ST type ST1072 in 63 iMLS B GBS strains and the dominant STs were ST12 (30.1%) and ST19 (25.4%). The resistance ratio of ST19 to Levofloxacin (75.0%) was higher than that of other ST types. The relevance resistance ratio of mefA and ermB was respectively 27.0% and 41.3% among 63 GBS isolates. Conclusion Our study not only demonstrated a genetic diversity in iMLS B GBS in Shanghai through the analysis of MLST typing and resistance genes, but also found that there exist different distribution patterns of resistance and related resistance genes between different ST types. These findings would provide theoretical support for clinical prevention and treatment of resistant iMLS B GBS infection.
Knowledge and attitudes toward cervical cancer, human papillomavirus (HPV), and HPV vaccination among women in Taizhou area, China
Authors: Xie Jing , Qiu Yi , Zhang Pan-Xi , Feng Xing-Jun , Pan Fei-Yan , Yang Zhi , Hui-Hui Xu 
Published: January 2020

Abstract
Background: Human papillomavirus (HPV) vaccine has been licensed in mainland China since 2016; however, the acceptability of HPV vaccination is unclear. This study aimed to evaluates women’s knowledge and attitudes toward cervical cancer, HPV infection and its vaccination in Taizhou area, southeast of China. Methods: A cross-sectional survey was conducted among women who visited the gynaecological clinic of Taizhou Hospital using a questionnaire-based interview. The process was divided into two periods, period I was May to August 2017, and period II was January to March 2019. Results: A total of 819 women were conducted, and 736 were included in the final analysis. Most women (92.4%) had ever heard of cervical cancer. Almost half of women had ever heard of HPV (57.5%) and HPV vaccines (53.1%). Knowledge level of cervical cancer, HPV infection and its vaccines was inadequate; only 12.2% achieved 21-30 scores (at a 30-point scale). Logistic regression analysis showed that marital status, education, occupation, and family annual income were statistically significantly related to the knowledge level ( P <0.05). Additionally, 64.8% of women knew that HPV vaccines are now available in mainland China; however, only 4.3% have been vaccinated. 37.8% of women knew about the preventable effect of HPV vaccines on cervical cancer (period I vs. period II, 31.0% vs. 48.9%, P <0.05). Although women with the low awareness of HPV, the willingness to receive HPV vaccination was high (94.1%) in the present study. Conclusion: Our survey indicated that there is an urgent need for the persistent public health education to ensure successful implementation of HPV vaccination program in Taizhou area, China. Emphasis should be directed to educate the knowledge on HPV infection and its association with cervical cancer, thereby helping to increase HPV vaccination and reduce incidence of cervical cancer.
The secular trend in CD4+ T cell count at initiation of antiretroviral therapy in China
Authors: Zhou Huan , Xie Jing , Xie Yunqiu , Li Bin , Liu Lu , Pan Wei , Wu Shuyin , Zhang Min , Gao Huaiquan 
Published: January 2020

Abstract
Background: We aimed to look at the trends in CD4 cells counts (at initiation of ART) over calendar years and to investigate its influential factors in Chinese populations.Methods: We searched PubMed, Wanfang, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure to acquire relevant papers published from January 2002 to Twelve 2015. We abstracted the mean or median CD4+ T cell counts from the included studies. Random-effect meta-regressions were used to estimate the mean CD4+ T cell counts across studies and corresponding 95% CIs. Results: A total of 220 eligible articles, which included 426283 HIV-positive individuals, were identified in this meta-analysis. The mean CD4+ T cell counts at ART initiation increased from 136.63 (95%CI=120.63–152.63) cells/µL in 2003 to 199 (95%CI=188.38–209.62) cells/µL in 2014. In the univariate meta-regression model, we found that the estimated change in CD4+ T cell counts at ART initiation was +8.73 cells/μL per year (95% CI= 4.57 to 12.90 cells/μL per year). The highest CD4+ T cell counts at ART initiation (441.00 cells/μL, 95% CI=438.96-186.33 cells/µL) was reported in serodiscordant couples, followed by pregnant women (385.82 cells/μL, 95% CI=327.19-444.44 cells/µL), MSM (293.78, 95% CI=126.59-460.96 cells/µL), and children（267.36 cells/μL, 95% CI=126.65-408.07 cells/µL）. Conclusions: In China, the CD4+ T cell counts at ART initiation have dramatically increased during the past decade. However, there remains a substantial gap between CD4+ T cell counts at ART initiation and the WHO updated HIV treatment guidelines in some groups, highlighting the need for strategies to improve earlier ART initiation.
Hospital Efficiency in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis
Authors: Ravaghi Hamid , Afshari Mahnaz , Isfahani parvaneh , Mahboubahari Alireza , Belorgeot Victoria D 
Published: January 2020

Abstract
Background: Recent rising costs and shortages of healthcare resources make it necessary to address the issue of hospital efficiency. Increasing the efficiency of hospitals can result in better and sustainable achievement of their organizational goals.The purpose of the present research is to examine hospital efficiency in the Eastern Mediterranean Region (EMR).Methods: This study is a systematic review and meta-analysis of all articles published on hospital efficiency in Eastern Mediterranean countries between January 1999 and May 2018, identified by searching three databases (PubMed through MEDLINE, Web of Science, and Embase) and two search engines (Google and Google Scholar). The reference lists of these articles were checked for additional relevant studies. Fifty articles were finally selected, and data was analyzed through the Comprehensive Meta-Analysis Software (v.2.2.064). Results: Using the random-effects model, the mean hospital efficiency in Eastern Mediterranean hospitals was 0.829 ± 0.026 at 95% CI. Three approaches were used to measure hospital efficiency: data envelope analysis (DEA), stochastic frontier analysis (SFA), and Pabón Lasso Analysis. Different mean and standard deviation values were obtained from DEA (0.428±0.024), DEA and Pabón Lasso Analysis (0.925±0.029), Pabón Lasso Analysis (0.790±0.086) and SFA (0.594±0.056), due to the different inputs and outputs used in these methods. Technical efficiency (TE) was higher in some countries such as Iraq (0.976±0.035), Oman (0.926 ± 0.032), Jordan (0.924±0.060) and Saudi Arabia (0.917±0.023). Conclusion: Efficiency plays a significant role in hospital growth and development. It is therefore important for healthcare managers and policymakers in the EMR to identify the causes of inefficiency, to improve TE and develop cost-effective strategies.
The Relationship between Sleep Duration, Body Mass Index, Physical Education Classes, Age and High Blood Pressure in Children and Adolescents: A Cross-sectional Study
Authors: Cao Lei , Li Ge , Zhang Changhong , Tang Xiaohua 
Published: January 2020

Abstract
Background In order to study the high blood pressure of children and adolescents and its influencing factors, it provides evidence-based evidence for the high blood pressure prevention of primary and secondary school students. Methods This study is a cross-sectional survey, which uses stratified cluster sampling method to select students from 7 schools to participate in questionnaire survey and physical examination. The correlation between single factor and high blood pressure was analyzed by chi-square test, and multivariate logistic regression analysis was used for multivariate analysis. Results A total of 1,814 subjects, including 512 primary school students (28.22%), 499 junior high school students (27.51%), 563 senior high school (31.04%), and 240 vocational high school (13.23%). There were 1000 males (55.13%) and 814 females (44.70%). The average age was 13.64±2.65 years. The detection rate of high blood pressure was 9.76%. Multivariate logistic regression analysis showed that the age groups were 10~ and 14~ (OR=20.870, 95%CI=2.372-183.666; OR=10.049, 95%CI=1.306-77.353) , sleep duration < 7h (OR=4.136, 95%CI=4.136), and physical education class times ≤2 times per week (OR=5.073, 95%CI=2.497-10.306), which were risk factors for high blood pressure in children and adolescents. Normal weight and overweight group were protective factors compared to the obesity group (OR=0.094, 95%CI=0.061-0.146; OR=0.225, 95%CI=0.134-0.378). Conclusion The age groups of 14~ and 16~ years old, physical education classes ≤ 2 times per week, and sleep duration <7h were risk factors for primary and secondary school students, and BMI of Normal weight and overweight group were protective factors compared to the obesity group students.
Site suitability analysis of Solar PV Power generation in South Gonder, Amhara Region
Authors: Nebey Abraham , Zemene Biniyam , Gera Tewodros 
Published: January 2020

Abstract
Currently, Ethiopian government looked towards renewable energy resources to generate electrical power for the country needs. 85% of the total population of the country live in rural areas and use wood and fossil fuel for their domestic uses. Using wood and fossil fuel is danger for users and the environment. And the government of Ethiopia planned to electrify 85% rural community with abundantly available renewable resources around the community. Therefore, identifying potential locations for solar Photovoltaic with geographic information system is a decision support tool for proposing the suitable sites to stakeholder. The solar Photovoltaic suitability analysis provides optimal locations to solar Photovoltaic power plant installations. To find suitable locations for Solar Photovoltaic , factors that affect the suitability were identified and weighted by using Analytical Hierarchy processes. Then the weighted values and reclassified values were multiplied together to produce the final suitability map to solar Photovoltaic. Due to site unsuitability, solar Photovoltaic the efficiency drops and may malfunction. By identifying the most suitable locations, solar PV power plant was optimally located. Therefore, the objective of this study was to find the most suitable sites in South Gonder Zone for generating power from solar Photovoltaic . The suitability of the study area for solar Photovoltaic power plant was 86.5%. Eighty six (86%) of the criteria considered in the study area was found to fulfill all the criteria to be suitable for solar Photovoltaic power plant. Most of the suitable areas were found in the western part of the zone. Nature topography is a key factor in generating solar energy; it affects the solar irradiance coming to the solar Photovoltaic panel surface.
Genetic dissection of photosynthetic performances in maize under drought-stressed and well-watered environments
Authors: Zhao Xiaoqiang , Zhong Yuan , Li Wenli , Zhang Dan 
Published: January 2020

Abstract
BackgroundMaintaining photosynthetic capacity is a critical function that allows maize (Zea mays L.) to adapt to drought stress. The elucidation of genetic controls of photosynthetic performances, and tightly linked molecular markers under water stress are thus of great importance in marker-assisted selection (MAS) breeding. Meanwhile, little is known regarding their genetic controls under drought stress. Two F4 populations were developed to identify quantitative trait loci (QTLs) and dissect the genetic variation underlying six photosynthetic-related traits, namely, net photosynthetic rate (Pn), stomatal conductance (Gs), intercellular CO2 concentration (Ci), transpiration rate (Tr), ribulose 1,5-biphosphate carboxylase activity (RuBP), and water use efficiency (WUE) under drought-stressed and well-watered environments.ResultsFor two populations, we detected 54 QTLs under drought-stressed and well-watered environments by single-environment mapping with composite interval mapping (CIM), approximately 81.8~100 % QTLs displayed non-additive effects, and 43 of the 54 QTLs were identified under drought-stressed environment. We also dissected 54 QTLs via joint analysis of all environments with mixed-linear-model-based composite interval mapping (MCIM), 24 QTLs involved in QTL × environment interactions (QEIs), approximately 87.5 % QEIs were identified under drought-stressed environments, as well as 14 pair epistasis exhibited dominance-by-additive/dominance (DA/DD) effects under constracting environments. We further identified 8 constitutive QTLs (cQTLs) across two populations by CIM/MCIM under multiple environments. Remarkably, bin 1.07_1.10 (cQTL2), bin 6.05 (cQTL5), bin 7.02_7.04 (cQTL6), bin 8.03 (cQTL7), and bin 10.03 (cQTL8) exhibited 5 pleiotropic cQTLs that were consistent with phenotypic correlations among all photosynthetic-related traits. Additionally, 17 candidate genes were validated in above cQTLs.Conclusions﻿Photosynthetic performances in maize were predominantly controlled by non-additive and QEIs effects, where more QEIs effects occurred in drought stress. 8 cQTLs affecting six photosynthetic-related traits could be useful for genetic improvement of these traits via QTL pyramiding, corresponding 5 QTLs clusters indicated tight linkage or pleiotropy in the inheritance of these traits, and 17 candidate genes involved in leaf morphology and development, photosynthesis, and stress reponse coincided with above corresponding cQTLs.
Generalized hydrodynamics regime from the thermodynamic bootstrap program
Authors: Cortes Cubero Axel , Panfil Milosz 
Published: January 2020

Within the generalized hydrodynamics (GHD) formalism for quantum
integrable models, it is possible to compute simple expressions for a
number of correlation functions at the Eulerian scale. Specializing to
integrable relativistic field theories, we show the same correlators can
be computed as a sum over form factors, the GHD regime corresponding to
the leading contribution with one particle-hole pair on a finite
energy-density background. The thermodynamic bootstrap program (TBP)
formalism was recently introduced as an axiomatic approach to computing
such finite-energy-density form factors for integrable field theories.
We derive a new axiom within the TBP formalism from which we easily
recover the predicted GHD Eulerian correlators. We also compute higher
form factor contributions, with more particle-hole pairs, within the
TBP, allowing for the computation of correlation functions in the
diffusive, and beyond, GHD regimes. The two particle-hole form factors
agree with expressions recently conjectured within the GHD.
Evaluation of Various Diagnostic Techniques for the Diagnosis of Pulmonary and Extra Pulmonary Tuberculosis at a Tertiary Care Center in North India
Authors: Rajani Monika , Banerjee Molay 
Published: January 2020

Introduction:Tuberculosis (TB) is a one of the main causes of mortality and morbidity worldwide. Bactec MGIT (Mycobacteria Growth Indicator Tube) system is a rapid, reliable automated system for early diagnosis of pulmonary and extra pulmonary TB in setups where purchase of expensive instruments is not possible. The present study was thus carried out to evaluate AFB microscopy, culture on Lowenstein Jensen media and micro MGIT system for early and accurate diagnosis of Tuberculosis.Methods:A total of 280 samples were processed for direct AFB smear examination, and culture on micro MGIT and LJ media. The identification of Mycobacterium tuberculosis complex in positive cultures was done by MPT64 Ag card test (BD MGIT TBC Identification Test).Results:Out of the processed samples, (47.1%) 132/280 were positive for Mycobacterium spp by Micro MGIT, (35%) 98/280 on LJ medium and (25.7%) 72/280 by AFB smear. A total of (48.5%) 136 samples were positive by a combination of Micro MGIT and LJ medium. Among the total positive samples (136/280), Micro MGIT was found to be positive in 97% (132/136) of samples, LJ was positive in 72% (98/136), while 52.9% (72/136) were positive by AFB smear.Conclusion:Manual MGIT System is a simple and efficient, safe to use the diagnostic system. It does not require any expensive/special instrumentation other than the UV lamp for the detection of fluorescence. In areas with limited resources where the purchase of expensive instruments such as the MGIT 960 is out of scope, the use of manual MGIT for rapid susceptibility testing for MDR-TB could be an option. We would recommend testing MGIT 960 using first and secondline drugs to determine DST.
Analytical and Experimental Investigation on Slip-in Gusset Plate Connection for Double C-channel Sections of Cold-formed Steel
Authors: Aminuddin Kiagus , Saggaff Anis , Tahir Mahmood Md , Ngian Shek P. , Sulaiman Arizu , Firdaus Muhammad , Aghlara Reza 
Published: January 2020

Background:
Beam-column connections are one of the most important parts of each building, which influence local/global behaviour of structures under vertical and lateral loads. From a practical point of view, a desirable connection is one that can be implemented conveniently in the construction site. For this reason, the connection with the gusset plate and bolts is one of the most commonly used connections to join structural members together. The application of this type of connection with cold-formed steels has not gotten enough attention in the literature and needs more investigation.

Objective:
The objective of this study is to evaluate the behaviour of the gusset plate connection with cold-formed steel sections based on its moment-rotation relation obtained experimentally when the beam depth is varied.

Methods:
Three specimens were built with three different depth of beams (i.e. 200, 250, and 300 mm) and constant depth of column (i.e. 300 mm). A same size gusset plate with a thickness of 10 mm was used for all the connections. A Full-Scale Isolated Joint test (FSIJ) was conducted as a testing method in this study to investigate the behaviour of the connection.

Results:
Three distinct modes of failure were distinguished based on observations in the experiments. Moreover, the obtained results implied that there is a meaningful difference between experimental and analytical results for moment capacity and rotational stiffness of the tested connections. Likewise, the results showed that the beam depth in this joint should be limited to have a ductile connection when the column depth is constant.

Conclusion:
The moment capacity of the tested connections was analytically underestimated by Eurocode 3 relative to the experimental results with an average amount of 75%, while the connection rotational stiffness overestimated by the analytical results with an average of 74%.