bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence Of Marketing Mix On Adolescents’ Voluntary HIV Testing Uptake In Tanzania: Experience From Physical Evidence
Authors: Matemba Stephen Furaha , John Elia , Ismail Ismail J , Mwansisya Tumbwene 
Published: May 2020

Abstract
Background In public health, traditional 4Ps (product, price, place and promotion) of the marketing mix have been successfully used to influence clients/patients to adopt desired health behaviors and health status changes in reproductive health, tuberculosis (TB), malaria, child survival and human immuno-virus (HIV) interventions. However, the use of additional 3Ps (Physical evidence, People and Process) of the marketing mix have rarely been used in public health interventions. This study examined the influence of physical evidence on voluntary counseling and testing (VCT) uptake among adolescents in Tanzania.Methods A cross-sectional study design using quantitative method was conducted in Dodoma. A multi-stage random sampling method was used to select nine secondary schools and 449 study participants. Self-administered structured questionnaire was used. Data was analyzed using SPSS v17. Relationship between independent and dependent variables was analyzed using binary logistic regression and correlation analysis with p-value of ˂ 0.5 regarded as significant. Binary logistic regression was used to determine predictors of VCT uptake. Descriptive statistics was used to analyze participants’ characteristics and ranking of physical evidence variables’ on VCT uptake among adolescents.Results Of 449 study participants, 54% and 46% were females and males respectively. The participants’ age range was 12–19 years. 96% of respondents had knowledge of VCT, 90.6% were willing to test for HIV, however; 78% had not tested for HIV. Physical evidence variable modern equipment was highly ranked influential variable regarding VCT uptake. Independent variables modern equipment, physical facility, personnel and materials were found predictors of VCT uptake. Participant characteristics age and school type were also predictors for VCT uptake.Conclusions Despite majority of adolescents had knowledge on VCT service and were willing to test for HIV, VCT uptake was low. Meaning that knowledge and willingness a lone are not enough to influence VCT uptake. Physical evidence variables modern equipment, physical facility, personnel and materials when integrated in HIVprevention strategies and interventions can increase VCT uptake among adolescents in Tanzania. Consideration of individual expectation variations and other predictor variables like age and school type need to be incorporated in designing VCT interventions.
DHPV: A Distributed Algorithm for Large-Scale Graph Partitioning
Authors: Adoni Wilfried Yves Hamilton , Nahhal Tarik , Krichen Moez , byed Abdeltif El , Assayad Ismail 
Published: May 2020

Abstract
Big graphs are part of the movement of "Not Only SQL" databases (also called NoSQL) focusing on the relationships between data, rather than the values themselves. The data is stored in vertices while the edges model the interactions or relationships between these data. They offer flexibility in handling data that is strongly connected to each other. The analysis of a big graph generally involves exploring all of its vertices. Thus, this operation is costly in time and resources because big graphs are generally composed of millions of vertices connected through billions of edges. Consequently, the graph algorithms are expansive compared to the size of the big graph, and are therefore ineffective for data exploration. Thus, partitioning the graph stands out as an efficient and less expensive alternative for exploring a big graph. This technique consists in partitioning the graph into a set of k sub-graphs in order to reduce the complexity of the queries. Nevertheless, it presents many challenges because it is an NP-complete problem.

In this article, we present DPHV (Distributed Placement of Hub-Vertices) an efficient parallel and distributed heuristic for large-scale graph partitioning. An application on a real-world graphs demonstrates the feasibility and reliability of our method. The experiments carried on a 10-nodes Spark cluster proved that the proposed methodology achieves significant gain in term of time and outperforms JA-BE-JA, Greedy, DFEP
WITHDRAWN: Breastfeeding Prevalence and Factors Affecting Brestfeeding in Suburban Area in Serbia, Indjija
Authors: Mitrovic Tanja Rozek , Petrović Vesna , Višnjevac Danilo 
Published: May 2020

Abstract
Background: Breastfeeding and human milk are ideal and the normative standards for infant feeding and nutrition up to 6 months. The Decree on the National Breastfeeding Support Program in Serbia set the goals, as World Health Organization, baby to 6 months of age has exclusive breastfeeding for 50-60% of infants.Method: This cohort study retrospectively uses data routinely collected during health visits to the child, completing the survey by the mother who gave birth between 1. January 2013 and 31. December 2017. The study was carried out in a pediatric practice dispensary located in Indjija, suburban area in Serbia. In this study, 1089 surveys were processed . The objective of this study was to assess the prevalence of breastfeeding and recognize factors that affect breastfeeding duration.Results: The results of this study show that 27.82% of newborns breastfeeding within the first hour after birth and within the first 6h 69.59% of the newborn. Never-breastfed infants are 5.78%. Breastfeed babies up to 4 months were 61%, up to 6. months were 53.7%, and a year and longer 28.55% of infants. Factors affecting the rate breastfeeding and breastfeeding duration with statistical significance are hour of first breastfeeding, by mother: age, level of education, marital status, parity, type delivery, and by the baby: gender, year of birth, gestational age, birth weight.Conclusions: Breastfeeding prevalence and dreastfeeding duration in suburban area in Serbia shows an increasing trend with each successive generation. The Baby Friendly Hospital Initiatives still need to be implemented, in the breastfeeding support program more to include patronage and pediatric nursing, promote prepartum pregnant counseling, developmental counseling, prevention of preterm birth. A complex of nutritional, environmental, socioeconomic, psychological as well as genetic interactions establish a massive list of benefits of breastfeeding to the health outcomes of the breastfed infant and to the breastfeeding mother.
Influencing Factors for Quality Care on Prevention of Postpartum Hemorrhage in the Northern Province of Rwanda: Beneficiary and Health Worker Perspectives.
Authors: Bazirete Oliva , Nzayirambaho Manassé , Umubyeyi Aline , Uwimana Marie Chantal , Marilyn Evans 
Published: May 2020

Abstract
Background: Reduction of maternal mortality and morbidity is a major global health priority. However, much remains unknown regarding factors associated with postpartum hemorrhage (PPH) among childbearing women in the Rwandan context. The aim of this study is to explore the influencing factors for quality care on prevention of PPH asperceived by beneficiaries and health workers in the Northern Province of Rwanda.Methods: A qualitative descriptive exploratory study was drawn from a larger sequential exploratory‐mixed methods study. Semi‐structured interviews were conducted with 11 women who experienced PPH within the 6 months prior to interview. In addition, focus group discussions were conducted with: women’s partners or close relatives (2 focus groups), community health workers (CHWs) in charge of maternal health (2 focus groups) and health care providers (3 focus groups). A socio ecological model was used to develop interview guides to describe factors influencing the prevention of PPH in consideration of individual attributes, interpersonal, family and peer influence, intermediary determinants of health and structural determinants. The research protocol was approved by the University of Rwanda, College of Medicine and Health Sciences Institutional Ethics Review Board.Results: We generated four interrelated themes:(1) Meaning factors (beliefs, knowledge and understanding of PPH) among participants; (2) Organizational factors; (3) Caring factors and family involvement and (4) Perceived risk factors and barriers to PPH prevention. The findings from this study indicate that PPH was poorly understood by women and their partners. Family members and CHWs feel that their role for the prevention of PPH is to get the woman to the health facility on time. The main factors associated with PPH as described by participants were multiparity and retained placenta. Low socioeconomic status and delays to access health care were identified as the main barriers for the prevention of PPH. Conclusions:Addressing the identified factors could enhance early prevention of PPH among childbearing women. Placing emphasis on developing strategies for early detection of women at higher risk of developing PPH, continuous professional development of health care providers, developing educational materials for CHWs and family members could improve the prevention of PPH. Involvement of all levels of the health system was recommended for better prevention of PPH. Further quantitative research, using case control design is warranted to develop a screening tool for early detection of PPH risk factors for proactive prevention.
Partograph utilization as a decision making tool and associated factors among obstetric care providers in Ethiopia: A systematic review and Meta-analysis
Authors: Ayenew Asteray , Zewdu Biruk Ferede 
Published: May 2020

Abstract
Background Partograph is a prestigious obstetric tool used to monitor the feto-maternal condition and follow the progress of labour. It is coast effective and affordable health intervention that could prevent obstructed and prolonged labour which is the major cause of maternal mortality that continued to be the global burden worldwide. There are various studies on partograph utilization and associated factors in different regions of Ethiopia. But no studies showed the national estimate of partograph utilization in Ethiopia. Therefore, this review was conducted to estimate the national pooled prevalence of partograph utilization and associated factors in Ethiopia. Method Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. The databases used were; PubMed, Google scholar, Cochrane Library, African Journals Online, Ethiopian's university research repository online library, and manual searching. The search was further limited to studies conducted in Ethiopia and reported in English. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 11 software was used to analyze the data. The Cochrane Q and I2 test were used to assess the heterogeneity of studies. The pooled estimate prevalence and the odds ratios with 95% confidence intervals were computed by a random effect model. Result A total of 19 studies with 6237 participants were included in the meta-analysis. The national pooled prevalence of partograph utilization was 59.95% (95% CI:46.81,73.09) . The pooled adjusted odds ratio (AOR) of partograph utilization for midwifery profession was 4 (95% CI: 2.63,5.99), female health care providers was 3.2 (95%CI:2.218,4.66), Emergency Obstetric and Newborn Care training was 2.9 (95%CI:2.19, 3.83), Knowledge of partograph was 2.5 (95%CI: 1.6, 3.87) and short term training on partograph was 5.66 (95%CI: 2.48,12.92), favorable attitude towards partograph was 2.3(AOR=2.3,95%CI:1.5,3) , and working at health center was 3.5(AOR=3.5,95%CI:2.5,4.9). Conclusion The prevalence of partograph utilization was low in Ethiopia. Being a midwifery profession, female obstetric care provider, Emergency Obstetric and Newborn Care training, knowledge of partograph, and short term training on partograph , favorable attitude towards partograph , and working at health center were found to be a significant associated factor for partograph utilization.
Pre-impaired Fasting Glucose State Is A Risk Factr for Endothelial Dysfunction Flow-mediated Dilation Japan (FMD-J) Study
Authors: Yamaji Takayuki , Harada Takahiro , Hashimoto Yu , Takaeko Yuji , Kajikawa Masato , Kihara Yasuki , Hida Eisuke , Chayama Kazuaki , Goto Chikara , Han Yiming , Yusoff Farina Mohamad , Kishimoto Shinji , Maruhashi Tatsuya , Nakashima Ayumu , Higashi Yukihito 
Published: May 2020

Abstract
Background

There is little information on the relationships of fasting blood glucose (FBG) including high normal blood glucose and impaired fasting glucose (IFG) with endothelial function. The purpose of this study was to evaluate the relationship between FBG level and flow-mediated vasodilation (FMD) in detail using a large sample size.
Methods

This study was a cross-sectional study. We measured FMD in 7265 subjects at 31 general hospitals. The subjects were divided into four groups based on FBG levels: <5.55 mmol/L, 5.55–6.05 mmol/L, 6.11–6.94 mmol/L, and ≥ 6.99 mmol/L or known type 2 diabetes. The subjects were also divided into six groups based on FBG levels: <5.00 mmol/L, 5.00-5.22 mmol/L, 5.27–5.50 mmol/L, 5.55–6.05 mmol/L, 6.11–6.94 mmol/L, and ≥ 6.99 mmol/L or known type 2 diabetes.
Results

FMD decreased in relation to increase in FBG level. There was a significant difference in FMD between the FBG of < 5.55 mmol/L group and the other three groups (6.7 ± 3.1% vs. 5.9 ± 2.8%, 5.7 ± 3.1%, and 5.1 ± 2.6%; p < 0.001, respectively). After adjustment for confounding factors, the odds of having the lowest quartile of FMD was significantly higher in the FBG of 5.27–5.50 mmol/L, 5.55–6.05 mmol/L, 6.11–6.94 mmol/L, and ≥ 6.99 mmol/L or known type 2 diabetes groups than in the FBG of < 5.00 mmol/L, group.
Conclusions

These findings suggest that FBG of 5.55–6.05 mmol/L and FBG of 6.11–6.94 mmol/L are similarly associated with endothelial dysfunction and that a pre-IFG state (FBG of 5.27–5.50 mmol/L) is also a risk for endothelial dysfunction compared with FBG of < 5.00 mmol/L.
Clinical Trial Registry Information:
http://www.umin.ac.jp (UMIN000012950, UMIN000012951, UMIN000012952, and UMIN000003409)
Doppler Ultrasound Evaluation of Patients with Popliteal Vascular Entrapment Syndrome
Authors: Zhong Hai , Shao Guangrui , Qi Hengtao , Zhao Yuan , Wang Maohua , Yang wubo 
Published: May 2020

Abstract
Background

To retrospectively evaluate Doppler ultrasound findings for patients with popliteal vascular entrapment syndrome (PVES).
Methods

Twenty-four patients (30 legs) who underwent surgical intervention for PVES were included in this study. The popliteal artery, popliteal vein, and surrounding musculotendinous structures were explored in all symptomatic lower extremities using ultrasound. Intraoperative findings served as the gold standard. In the absence of popliteal artery occlusion, popliteal arteries were examined using Doppler ultrasound at rest and during a provocative maneuver.
Results

Ultrasonography in 25 cases (25/30, 83%) showed that gastrocnemius medial head or popliteal vascular anomalies were consistent with surgical photography results. According to Whelan and Rich classification, the classic type I was found in five limbs, type II in twelve limbs, type III in seven limbs, and type V in one limb. In the remaining five cases (5/30, 17%), no anatomical abnormalities of the popliteal fossa were discovered by the ultrasound examination. Among these, two cases (2/30, 7%) were misdiagnosed as lower extremity atherosclerosis and popliteal vascular depression was not found. In addition, increasing blood flow velocity was found in three cases (3/30, 10%) of compressed popliteal arteries using Duplex scanning during active plantar flexion, with decreasing flow at the distal end. Color Doppler ultrasound of the affected popliteal vessels showed varied degrees of vascular structure pathology, including arterial stenosis in ten limbs, occlusion in fifteen limbs, and aneurysm in two limbs.
Conclusion

Doppler ultrasound may have a high diagnostic rate in PVES. Due to its simplicity, repeatability, functional evaluation of blood flow, and non-invasiveness, it can be used as a primary screening examination modality in PVES. Provocative maneuvers could help clinicians diagnose PVES.
Social Discrimination As A Barrier For The Treatment Of Chronic Diseases In Venezuelan Migrants Of Peru
Authors: Delgado-Flores Carolina , Cutrie Oscar Soto , Nieto Wendy 
Published: May 2020

Abstract
Objective: To determine the association between discrimination and treatment of chronic diseases in Venezuelan emigrants. Methodology: Cross-sectional study, secondary analysis of the database of the "Survey directed at the Venezuelan population residing in the country" (ENPOVE), carried out in Peru in 2018. To evaluate the main association, we used a regression model of poisson, by adjusting the effect of the multistage sample using the svy command, and obtaining prevalence ratios (RP) with their respective confidence intervals (95% CI).Results: A population of 865 Venezuelans (58.2% women, mean age: 36.6 ± 0.7 years) were evaluated, in which 54.8% reported having felt discriminated against for being Venezuelan and 89.2% reported not receiving treatment for their chronic disease. A statistically significant association was found between having been discriminated for being Venezuelan and having received treatment for chronic diseases, in the bivariate model (RPc: 0.38; 95% CI: 0.20–0.73) and the adjusted model (RPa: 0.49; 95% CI: 0.25–0.97).Conclusion: Our study found that having felt discriminated against decreases the prevalence of receiving treatment for chronic diseases by approximately 50% compared to those who did not report having been discriminated against. Future studies are necessary to evaluate the consistency of the results, with a larger population of Venezuelans residing in Peru.
Prognostic Value of Neutrophil-To-Lymphocyte Ratio, Lactate Dehydrogenase, D-Dimer and CT Score in Patients with COVID-19
Authors: Cai Yu-Qing , Zhang Xiao-Bin , Zeng Hui-Qing , Wei Xiao-Jie , Zhang Zhen-Yu , Chen Li-Da , Wang Ming-Hui , Yao Wen-Zhen , Huang Qiu-Fen , Ye Zhang-Qiang 
Published: May 2020

Abstract
Background: To explore the significance of neutrophil-to-lymphocyte ratio (NLR), lactate dehydrogenase (LDH), D-dimer and CT score in evaluating the severity and prognosis of coronavirus disease – 2019 (COVID-19) in two centers of Hubei, China.Methods: A total of 432 patients with laboratory confirmed COVID-19 were retrospectively enrolled and divided into non-severe and severe groups. The baseline data, laboratory findings, chest computed tomography (CT) results evaluating by CT score on admission, and clinical outcomes were collected and compared. The logistic regression was used to assess the independent relationship between the baseline level of four indicators (NLR, LDH, D-dimer, CT score) on admission and the severity of COVID-19, respectively.Results: Among 432 patients, 125 (28.94%) cases were divided into severe group, the remaining (n = 307, 71.06%) were in non-severe group. In multivariate logistic regression, the high level of NLR, LDH were independent predictor in the early classification of patients with COVID-19 (OR = 2.163; 95%CI = 1.162–4.026; p = 0.015 for NLR > 3.82; OR = 2.298; 95%CI = 1.327–3.979; p = 0.003 for LDH > 246U/L). Furthermore, combining NLR > 3.82 and LDH > 246U/L could increase the sensitivity of diagnosis in severe patients (NLR > 3.82 [50.40%] vs. Combined diagnosis [72.80%]; p = 0.0007; LDH > 246 [59.2%] vs. Combined diagnosis [72.80%]; p < 0.0001).Conclusions: The high levels of NLR and LDH in serum have potential value in the early identification of severe patients with COVID-19. The combination of LDH and NLR can improve the sensitivity of diagnosis.Importance: COVID-19 has been a global pandemic. The mortality rate is range from 3.5-6.0%. In order to predict the risk factors of severity of COVID-19. we explore the significance of neutrophil-to-lymphocyte ratio (NLR), lactate dehydrogenase (LDH), D-dimer and CT score in evaluating the severity and prognosis of coronavirus disease – 2019 (COVID-19) in two centers of Hubei, China. We found that the high levels of NLR and LDH in serum have potential value in the early identification of severe patients with COVID-19. The combination of LDH and NLR can improve the sensitivity of diagnosis.
Strategies to upgrade safety for at-home autologous stem cell transplantation in multiple myeloma patients.
Authors: Rodríguez-Lobato Luis Gerardo , Martínez-Roca Alexandra , Castaño-Díez Sandra , Palomino-Mosquera Alicia , Gutiérrez-García Gonzalo , Pedraza Alexandra , Suárez-Lledó María , Rovira Montserrat , Martínez Carmen , Larrea Carlos Fernández de , Cibeira María Teresa , Rosiñol Laura , Lozano Ester , Marín Pedro , Cid Joan , Lozano Miquel , Moreno-Castaño Ana Belén , Palomo Marta , Díaz-Ricart Maribel , Gallego Cristina , Hernando Adelina , Segura Susana , Carreras Enric , Urbano-Ispizua Álvaro , Bladé Joan , Fernández-Avilés Francesc 
Published: May 2020

Abstract
Background. Autologous stem cell transplantation (ASCT) remains the standard of care for young multiple myeloma (MM) patients; indeed, at-home ASCT has been positioned as an appropriate therapeutic strategy. However, despite the use of prophylactic antibiotics, neutropenic fever (NF) and hospital readmissions continue to pose as the most important limitations in the outpatient setting. It is possible that the febrile episodes may have a non-infectious etiology, and engraftment syndrome could play a more significant role. The aim of this study was to analyze the impact of both G-CSF withdrawal and the addition of primary prophylaxis with corticosteroids after ASCT.Methods. Between January 2002 and August 2018, 111 MM patients conditioned with melphalan were managed at-home beginning + 1 day after ASCT. Three groups were established: Group A (n = 33) received standard G-CSF post-ASCT; group B (n = 32) avoided G-CSF post-ASCT; group C (n = 46) avoided G-CSF yet added corticosteroid prophylaxis post-ASCT.Results. The incidence of NF among the groups was reduced (64%, 44%, and 24%; P < 0.001), with a non-significant decrease in hospital readmissions as well (12%, 6%, and 2%; P = 0.07). The most important variables identified for NF were: HCT-CI > 2 (OR 6.1; P = 0.002) and G-CSF avoidance plus corticosteroids (OR 0.1; P < 0.001); and for hospital readmission: age ≥ 60 years (OR 14.6; P = 0.04) and G-CSF avoidance plus corticosteroids (OR 0.07; P = 0.05).Conclusions. G-CSF avoidance and corticosteroid prophylaxis post ASCT minimize the incidence of NF in MM patients undergoing at-home ASCT.
Development and Assessment of the Quality of Life Instruments for Chronic Diseases-Gout(QLICD-GO) (V2.0)
Authors: Liu Qiongling , Wan Chonghua , Xie Xiaohua , Liu Xu , Zhang Xingshan , Rao Jiawei , Wang Xingjie , Pan Haiyan 
Published: May 2020

Abstract
Objective To develop and assess the Quality of Life Instruments for Chronic Diseases-Gout (QLICD-GO [V2.0]).Methods The instrument was developed using a programmatic decision-making method to combine the general module of the Quality of Life Instruments for Chronic Diseases and a new specific module. The instrument was assessed by measuring the quality of life of 116 patients with gout.Results The QLICD-GO(V2.0) included 28 items from the general module of chronic diseases and 12 items in three facets from the specific module. In addition to the field of physiological function, the internal consistency reliability of other fields and dimensions of the instrument was > 0.7 and the split-half reliability was > 0.5. Three common factors were extracted from the specific module, with a cumulative variance contribution rate of 57.54%. The standardized response means of the specific module and the whole instrument were 0.94 and 1.20, respectively.Conclusions The QLICD-GO(V2.0) has good reliability, validity, and responsiveness. The instrument comprehensively and objectively reflects the quality of life of patients with gout, and it can be used to assess treatment regimens developed by medical staff.