bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impacts of the US CDC recommendation on human papillomavirus vaccine uptake, 2010–2015
Authors: Ghosh Pallab K. , Chaudhry Ahmed , Campbell Janis E. , Kim Myongjin , Smith Kyle , Demir Firat , Zhao Junying 
Published: December 2024

ObjectivesAs one type of vaccine policy, the effectiveness and spillover effects of the US CDC vaccine recommendations are inadequately evaluated. This study aims to fully evaluate its impacts on male adults, in addition to children, using better data.DesignA before-after study design to examine the CDC’s 2011 HPV vaccine recommendation for men aged 11–21.Data analysisIndividual-level data included the 2010–2015 US National Health Interview Survey full sample of 7,000 male children aged 11–18, younger adults aged 19–21 and 22–25, and older adults aged 26–60. Pooled cross-sectional surveys contained individual-level vaccination, socioeconomic, and demographic information. Outcome variable is an individual HPV vaccination status, measured as individual probability of HPV vaccination. Dummy regressions were estimated by a Linear Probability Model (LPM) with fixed effects for target and non-target age groups.ResultsThe policy was significantly associated with a 14.8% (p &lt; 0.001) increased individual likelihood of HPV vaccination for men aged 11–21. It was also associated with a modest spillover effect, a 5.6% (p &lt; 0.001) increased individual likelihood for men aged 22–25 and marginally for men aged 26–60. African American men and men with poor health were 2.7 and 15.4% less likely to uptake HPV vaccines than white men and men with good or fair health, respectively.ConclusionThis study complements the existing policy evaluation literature on HPV vaccine recommendation among male children by including adults and using better data. Findings offer comprehensive evidence of the effectiveness and spillover effects of this recommendation type of federal-level policy, provide policy lessons for other vaccines, and identify vulnerable subpopulations as targets for future policies.
A scoping review on how field epidemiology training programs are addressing regional and global health priorities
Authors: Koyie Stephen Leshan , Muehlen Marion , Dhand Navneet , Perrocheau Anne 
Published: December 2024

IntroductionRecent global health events underscore the critical need to strengthen public health capacity worldwide, with epidemiologists playing a key role in disease management at the population level. The international community has recognized the importance of enhancing the public health workforce, including epidemiology capacity. This scoping review explores how Field Epidemiology Training Program (FETP) trainees and graduates have been engaged by their respective health ministries to address public health threats.MethodsA literature search was conducted in electronic databases (Web of Science, PubMed, and Google) using specific keywords such as “Epidemiologist,” “Field Epidemiologist,” and “Health workforce.” The search focused on English-language articles published between January 2012 and December 2021. Relevant articles were analyzed descriptively, and data on FETP engagement, impact within health ministries, and career paths were extracted.ResultsThe search yielded 30 studies from various regions globally. FETP graduates and trainees were actively engaged in national health priorities, including COVID-19 responses such as surveillance, rapid response teams, and case investigations. FETPs have significantly contributed by developing surveillance systems, investigating outbreaks, and responding to natural disasters. Many FETP graduates have assumed leadership roles in Ministries of Health, NGOs, and international organizations.ConclusionFETP graduates are integral to priority public health programs and have significantly strengthened public health systems worldwide. Their contributions highlight the importance of investing in the public health workforce, including field epidemiology training, to effectively detect and respond to emerging outbreaks. Further research is needed to assess the long-term impact of FETP graduates on public health.
Development of a complex intervention to prevent complications in patients recovering at home after transcatheter aortic valve replacement by optimizing home-based cardiac rehabilitation processes: a Delphi study
Authors: Jia Ying Ying , Guo Zhi Tin , Zhang Yu Ping , Song Jian Ping 
Published: December 2024

ObjectivesThis study aimed to systematically develop a nurse-led complex intervention to enhance the quality of and adherence to home-based cardiac rehabilitation (HBCR) care for patients who have undergone transcatheter aortic valve replacement (TAVR). The intervention integrated stakeholder perspectives, expert insights, empirical evidence, and theoretical frameworks.MethodsWe initially searched for initial cardiac rehabilitation strategies based on the “Behavior Change Wheel” model and literature review. The Delphi method was used in three rounds of consultations. The guidelines for the Conducting and Reporting of Delphi studies were also followed. The Delphi panel consisted of 15 experts in rehabilitation medicine, clinical medicine, cardiovascular nursing, behavioral science, community nursing, geriatric nursing, and nursing management from various provinces and cities in China. Panelists were asked to rate the effectiveness of HBCR strategies on a 5-point Likert scale.ResultsA questionnaire was sent to the members of the expert panel via email. The consensus from 15 experts led to the development of a framework in round 3. The response rates for the three rounds were 88.23, 100.00, and 100.00%, respectively. The expert authority coefficients for all rounds were 0.95. The Kendall coefficients obtained in the three rounds were 0.09, 0.78, and 0.87, respectively.ConclusionA set of strategies was developed for a comprehensive HBCR program for patients with TAVR, which can provide practical methods for relevant government departments, healthcare professionals, and patients’ families. Future research should investigate the experiences of stakeholders and assess the cost-effectiveness of implementing these strategies.
Preoperative patient teaching practices and associated factors among nurses working at hospitals in West Shoa Zone, Ethiopia, 2022: a cross-sectional study
Authors: Atomsa Lammi , Temesgen Sidise , Dechasa Abebe , Ayana Mulatu , Amena Nimona , Teklehymanot Dawit , Regea Firaol 
Published: December 2024

IntroductionPreoperative teaching is fundamental nursing activity in which a nurse educates the patient about surgery and what to anticipate following the procedure. It is a process via which nurses give standard preoperative information to patients before surgery, and it enables the patients to understand their diagnosis and treatment, actively participate in their own care, overcome feelings of incapacity in relation to their condition, regain health, and maintain home care. However, there is a dearth of studies that determine the extent of preoperative teaching practice in Ethiopia in general and in the study area in particular.ObjectiveThis study aimed to assess preoperative patient teaching practices and the factors associated with these practices among nurses working in hospitals in the West Shoa, Oromia region, Ethiopia, in 2022.MethodsAn institution-based cross-sectional study was conducted among 267 nurses from 1 September to 30 September 2022, at hospitals in the West Shoa Zone. Two-stage simple random sampling technique was used to select study participants. Data were collected using a pretested and structured self-administered questionnaire. The quantitative data were checked and entered using Epi-data version 4.6 and exported to SPSS version 26.0 for analysis. Bivariable and multivariable logistic analyses were performed, and p-values of &lt;0.05 at a 95% confidence interval were considered statistically significant.ResultA total of 253 nurses returned the entire questionnaire, yielding a response rate of 94.75%. The study enrolled 132 (52.2%) male, the highest percentage (231, 91.3%) of the participants were in the age group of 18–35, the majority of participants (152, 60.1%) were married, and 164 (64.8%) were protestant. Approximately 101 (39.9%) participants demonstrated good preoperative teaching practice. Lack of teaching material, lack of training workload, time constraints, insufficient staffing, language barrier, severity of patient cases, patient and family’s anxiety, and complexity of patients’ status were significantly associated with preoperative patient teaching practice.ConclusionThe proportion of preoperative patient teaching practices among nurses working at hospitals in the West Shoa Zone was low. Concerned bodies should emphasize ways to improve preoperative teaching practice.
Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support
Authors: Zou Ni , Cai Chan , Zhou Xinyu , Chen Shunian , Shi Jiabi , Shi Chongqing 
Published: December 2024

BackgroundThe quality of care (QoC) of people with dementia is an issue of widespread concern in public health. While perceived overload of family caregivers is thought to negatively affect QoC, the underlying mechanisms of this relationship are not well understood. This study aimed to examine the multiple mediating roles of familism and social support in the relationship between perceived overload and QoC among people with dementia (PwD) within the contemporary Chinese context.MethodsA cross-sectional study was conducted between February 2023 and October 2023 in three hospitals located in three cities in Hubei Province, China. A total of 213 PwD and their family caregivers were recruited. Participants completed a general demographic questionnaire, the Chinese version of the Overload Scale, the Social Support Rating Scale (SSRS), the Familism Scale (FS), and the Exemplary Care Scale (ECS). Data were analyzed using SPSS 26.0 and the PROCESS macro.ResultsPerceived overload among family caregivers was directly related to QoC. Multiple mediation analysis revealed that the relationship between perceived overload and QoC was mediated by familism (effect: −0.111, 95% CI [−0.221, −0.034]) and social support (effect: −0.078, 95% CI [−0.163, −0.007]) both independently and serially (effect: −0.024, 95% CI [−0.054, −0.004]).ConclusionFamilism and social support serve as multiple mediators in the relationship between perceived overload and QoC. This underscores the importance of incorporating familism and social support into intervention strategies aimed at enhancing QoC.
Needle stick injury and associated factors among acupuncture practitioners: a cross-sectional study in China
Authors: Jiang Wenjing , Liu Ying , Cao Li , Zhou Ping , Dai Anna , Tang Juan 
Published: December 2024

BackgroundNeedle stick injury (NSI) is one of the most common and severe occupational hazards for healthcare workers (HCWs), leading to both physical harm and psychological distress and ultimately affecting patient safety. Previous studies on NSI were predominantly focused on general clinical practice, and limited research has targeted specifical NSI occurring in acupuncture practice in China, which has the greatest use of acupuncture.ObjectiveThis study aimed to investigate NSI and associated factors among acupuncture practitioners in China.MethodsA cross-sectional online survey was conducted among acupuncture practitioners across 98 hospitals in southwest China from April to May 2024. A researcher-developed questionnaire was used to collect participants’ experiences of NSI, general information, and knowledge, behavior, and risk perception related to occupational exposure. Multivariate logistic regression was employed to examine factors associated with NSI.ResultsA total of 578 acupuncture practitioners completed the questionnaire, among whom 34.3% experienced at least one NSI in the past three years, yet 46.0% of these incidents were not reported. Factors associated with an increased risk of NSIs included postgraduate education or higher (OR = 2.174, 95% CI: 1.020, 4.634), high probability of occupational exposure (OR = 2.940, 95% CI: 1.826, 4.735), moderate perception of exposure severity (OR = 9.149, 95% CI: 1.948, 42.97), and high perception of exposure severity (OR = 7.025, 95% CI: 1.497, 32.969). Conversely, factors associated with a reduced risk of NSIs included females (OR = OR = 0.576, 95% CI: 0.379, 0.876), nurses (OR = 0.396, 95% CI: 0.210, 0.746), working in other professions (OR = 0.362, 95% CI: 0.151, 0.868), adherence to standard preventive measures (OR = 0.396, 95% CI: 0.210, 0.746), and consistent adherence to post-exposure procedures (OR = 0.092, 95% CI: 0.021, 0.398).ConclusionNSI is common among acupuncture practitioners in Chinese medical institutions, and under-reporting is significant. Our findings suggest that standard prevention strategies, adherence to exposure protocols, enhanced training, and effective reporting policies may help reduce NSI and improve reporting rates.
Interpreting CNN models for musical instrument recognition using multi-spectrogram heatmap analysis: a preliminary study
Authors: Chen Rujia , Ghobakhlou Akbar , Narayanan Ajit 
Published: December 2024

IntroductionMusical instrument recognition is a critical component of music information retrieval (MIR), aimed at identifying and classifying instruments from audio recordings. This task poses significant challenges due to the complexity and variability of musical signals.MethodsIn this study, we employed convolutional neural networks (CNNs) to analyze the contributions of various spectrogram representations—STFT, Log-Mel, MFCC, Chroma, Spectral Contrast, and Tonnetz—to the classification of ten different musical instruments. The NSynth database was used for training and evaluation. Visual heatmap analysis and statistical metrics, including Difference Mean, KL Divergence, JS Divergence, and Earth Mover’s Distance, were utilized to assess feature importance and model interpretability.ResultsOur findings highlight the strengths and limitations of each spectrogram type in capturing distinctive features of different instruments. MFCC and Log-Mel spectrograms demonstrated superior performance across most instruments, while others provided insights into specific characteristics.DiscussionThis analysis provides some insights into optimizing spectrogram-based approaches for musical instrument recognition, offering guidance for future model development and improving interpretability through statistical and visual analyses.
Closed trans-intersphincteric fistulotomy: a new modified sphincter-sparing technique for high transsphincteric anal fistula
Authors: Chen Bo , Wang Yueting , Mei Zubing , Mao Chang , Liu Yicheng , Zhao Wenjun , Li Yingying , Ye Qianqian , Xu Jin , Wang Qingming 
Published: December 2024

BackgroundThe main goals of surgery for fistula-in-ano are to completely resolve the condition and maintain optimal anal function. Effective management of the internal opening during and proper postoperative drainage of the intersphincter plane are crucial for achieving successful outcomes. This study evaluated the clinical efficacy of a novel sphincter-sparing technique for treating high transsphincteric anal fistula (HTAF).MethodsThis prospective study included 55 patients with HTAF who underwent closed trans-intersphincteric fistulotomy (CTiF) between July 2021 and April 2022 at our institution. Preoperative anorectal magnetic resonance imaging was performed for all patients. The primary outcome measures assessed the rate of fistula healing while the secondary outcome measures evaluated healing time, Cleveland Clinic Florida fecal incontinence score (CCF-FIS), 11-point visual analog scale (VAS) pain score and postoperative complications.ResultsWe included 55 patients with HTAF in this study. During a mean follow-up period of 9.3 months, CTiF achieved a healing rate of 90.91% (50/55). The mean time to recovery was 7.09 ± 1.94 weeks. Four (7.27%) patients developed postoperative urinary retention. At the 6-month follow-up, the CCF-FIS and VAS score were 0 [(0,0) range, 0–3] and 0 [(0,1); range, 0–4], respectively. Two patients with recurrent HTAF recovered after treatment with a transanal opening of intersphincteric space procedure, and three recovered after seton placement.ConclusionsCTiF is a promising and effective sphincter-sparing technique for treating HTAF. To confirm long-term outcomes, larger sample size prospective randomized controlled trials are required.
Новые данные о таксономии и разнообразии крупных млекопитающих среднего и позднего неоплейстоцена по результатам анализа костных остатков из отложений геологических разрезов в окрестностях с. Чёрный Яр (Астраханская область, Россия)
Authors: Головачёв М.В. , Титов В.В. 
Published: December 2024

В геологических разрезах в окрестностях с. Черный Яр во многих толщах четвертичных отложений встречаются костные остатки крупных млекопитающих. Сотрудники Астраханского музея-заповедника в последние почти 20 лет производят сборы и изучают инситные находки этой фауны. Обобщение имеющихся материалов и их анализ явились основой для создания настоящей статьи. Для определения стратиграфического положения находок костных остатков использованы материалы геологической съемки, проведенной в соответствии с Унифицированной региональной стратиграфической схемой Нижневолжского региона 1986 г. с некоторыми уточнениями в 1998 г.
Bone remains of large mammals founded in many strata of the Quaternary sediments in geological sections near Cherny Yar village. The Astrakhan Museum-Reserve employers have been collecting and studying these megafauna in situ during last almost 20 years. The paper presents summary and analysis of the available materials and information. Geological survey data of the Unified Regional Stratigraphic Scheme of the Lower Volga Region (1986, with 1998 updates) used for the bone remains stratigraphic position determination.
РАЗРЕЗ РЫБНАЯ СЛОБОДА: НОВОЕ ЛИХВИНСКОЕ МЕСТОНАХОЖДЕНИЕ ФАУНЫ МЕЛКИХ МЛЕКОПИТАЮЩИХ И СТРОЕНИЕ ПОСТЛИХВИНСКОГО ШЛЕЙФА СКЛОНОВЫХ ОТЛОЖЕНИЙ НА ПОВЕРХНОСТИ III НАДПОЙМЕННОЙ ТЕРРАСЫ КАМЫ
Authors: Глушанкова Н.И. , Маркова А.К. 
Published: December 2024

Лихвинское местонахождение фауны мелких млекопитающих Рыбная Слобода в Нижнем Прикамье – наиболее северо-восточное местонахождение Русской равнины этого возраста. Богатая фауна обнаружена в аллювиальных отложениях III террасы Камы и содержит остатки 16 видов насекомоядных, зайцеобразных и грызунов. Наиболее показательными являются находки архаичной водяной полевки Arvicola cantianus и древней степной пеструшки Lagurus transiens. Эволюционный уровень остатков Arvicolinae позволил сопоставить эту фауну с фаунами лихвинского межледниковья (MIS 11) и отнести ее к гуньковскому фаунистическому комплексу мелких млекопитающих. Выявлены экологические особенности фауны, позволившие реконструировать условия лесостепи в низовьях Камы. Проведены корреляции фауны Рыбной Слободы с фаунами известных лихвинских местонахождений Русской равнины и синхронных им гольштейнских (= хокснийских) местонахождений Западной Европы и Великобритании. В статье детально рассмотрена геология разреза Рыбная Слобода. Выявлена структура отложений разреза, включающая сложный лессово-почвенный комплекс с двумя почвами второй половины среднего плейстоцена (каменской и роменской) и с тремя позднеплейстоценовыми почвами (микулинской, крутицкой, брянской).
Likhvin locality of small mammals Rybnaya Sloboda (Lower Kama basin) is the most north-eastern locality on the territory of the Russian Plain of that age. Rich fauna was found in the fl uvial deposits and includes the remains of 16 species of insectivores, lagomorphs and rodents. The most diagnostic are the fi nds of archaic water vole Arvicola cantianus and ancient steppe lemming Lagurus transiens. The peculiarities of Arvicolinae permitted to correlate Rybnaya Sloboda fauna with small mammal faunas of the Likhvin Interglacial (MIS 11) and correspond it to Gunkovian faunistic complex of small mammals. The ecological characteristic of small mammal fauna permitted to reconstruct the forest-steppe landscapes in the lower Kama basin during Likhvin Interglacial. The correlations of Rybnaya Sloboda fauna with the faunas from other Likhvin localities of the Russian Plain and also with synchronous Holstein (=Hoxne) interglacials of Western Europe and Great Britain were also conducted. The geology of the section Rybnaya Sloboda was analyzed in details. The structure of the deposits, including complicated loess-paleosol thickness with two fossil soils of the second part of the Middle Pleistocene (Kamenka and Romny paleosols) and with three Late Pleistocene soils (Mikulino, Krutitsa and Bryansk paleosols) were described.
The reduction in Contempaerary formation Sculpture
Authors: Hashim Thanoon Nibras 
Published: December 2024

يتناول البحث الموسوم ( الاختزال في التشكيل النحتي العراقي المعاصر ) ظاهرة الاختزال الشكلي للمنحوتة وتشكيلها في التشكيل العراقي المعاصر . ويتألف البحث من مقدمة البحث وعدة فصول حيث جاء الفصل الاول مشكلة البحث واهميته واهدافه و تحديد مصطلحاته و الفصل الثاني متمثلاً بالاطار النظري والذي جاء من مبحثين اولهما الاختزال في النحت الحديث وثانيهما حركة التشكيل المعاصر . اما الفصل الثالث كفصل لأجراءات البحث وتحليل عينته حيث اخذت الباحثة وحللت اربعة نماذج من التشكيل النحتي العراقي المعاصر . وشمل الفصل الرابع : نتائج البحث والتي كانت اهمها النتائج التالية :-

وجود سمات اختزال في التشكيل النحتي العراقي المعاصر تعطي مؤشر على اسلوب الفنان المنفرد في طريقة الاسلوب والتقنية والنوع ونوع المفردة المنتقاة للتعبير من خلال الاختلافات الظاهرة في نوع المنجز المقدم كما ورد ذلك في نماذج العينة جميعها.
برزت الكثير من اثر الاختلافات البيئية والاجتماعية في التعبير بعض نماذج العينة ، مما نتج عن ذلك تنوعاً من كيفيات الاختزال في التشكيل النحتي العراقي المعاصر .
تنوّع الاختزال في التشكيل النحتي العراقي المعاصر بناءاً على اختلاف الاداء التعبيري المختزل في توثيق الفكرة .
من خلال سمة الاختزال في التشكيل النحتي العراقي المعاصر حقق النحات العراقي بايصال رسالة للمتلقي على انه تحرر من صفة المحدودية في التعبير ونوع العمل الذي يود العمل به فضلاً عن الحرية المنفتحة ذات ابعاد عميقة في التفسير والادراك واستقبال مفاهيم العمل الواحد .
أكد الاختزال في التشكيل النحتي العراقي المعاصر صيغ الخطابات المتداولة بحث طياتها تعددية في الاسلوب والمعنى والشواهد الاجتماعية والتاريخية .
الاتجاه الواقعي في نتاجات طلبة معهد الفنون الجميلة
Authors: علي نورا عبد الله 
Published: December 2024

هدف البحث الكشف عن الاتجاه الواقعي الذي شكل احدى مدارس الفن والتي تمظهرت في رسوم طلبة الفنون الجميلة وتكمن الاهمية بتسليط الضوء على احد اتجاهات الفن الحديث التي تنقل جانب الحياة الاجتماعية من حياة الناس اليومية بتسجيل الواقع لتوصيل رساله الفنان والتي تعبر عن افكار وتصورات الزمن المعاصر، تم اتباع المنهج الوصفي التحليلي واختيار (3) لوحات مثلت عينة البحث من نتاجات الطلبة المرحلة الخامس قسم الفنون التشكيلية والتي مثلت الاتجاه الواقعي وتم تحليلها على وفق ما خرج به البحث من مؤشرات الاطار النظري والدراسات السابقة وخلصت الى النتائج الاتية : ان طالب الفن سجل حياة اجتماعية وتراث بتفاصيل واقعية وتقليدية نتيجة تأثره بالوضع الاجتماعي والثقافي الذي يعيشه الطالب والحياة اليومية اضافة الى تأثره بالجانب البيئي في الحياة العامة
The effect of the thinking maps strategy on developing productive thinking among female students of the Institute of Fine Arts in the subject of analysis and artistic criticism
Authors: Jarallah Jamagh Hassan 
Published: December 2024

هدف البحث الحالي الى التعرف على اثر استراتيجية خرائط التفكير في تنـمية التفـكير المنتج لـدى طـالبات معـهد الفنون الجـميلة بـمادة التحليل والنقد الفني قياس حجم الأثر قد اعتمد الباحث المنهج التجريبي ذو المجموعتين التجريبية والضابطة بالاختبار القبلي والبعدي وكانت أداة البحث مقياس التفكير المنتج لعينة من طالبات قسم الفنون التشكيلية والبالغ عددهن (17) طالبة تم تحليل البيانات باستعمال حقيبة الإحصائية spss وقد أظهرت النتائج هناك فرق ذو دلالة إحصائية بين متوسط رتب الدرجات الطالبات في المجموعتين البحث على مقياس التفكير المنتج بعديا وهذا الفرق يوعز لصالح المجموعة التجريبية.