bluuebunny/crossref_metadata_2025_split huggingface dataset:
Consumers’ consciousness of health-friendly products and services and its association with sociodemographic characteristics and health Status
Authors: Yun Young Ho , Sim Jin-Ah , Kim Yaeji , Lee Sujee , Kim Kyoung-Nam 
Published: September 2019

Abstract
Background: Although health policy resides mainly with the government, industry can play an important role in building a health ecosystem. Methods: From March to May, we administered questionnaires to 1,200 individuals from the general Korean population asking about their perception of health-friendly labels, and if they would purchase such labeled products (foods, pharmaceuticals, etc.) and services (purifying water, preventing air pollution, etc.) at extra cost. Results: The participants placed a high value on the importance of mental, social, spiritual, and physical health factors in terms of company’s products and services with a score of about 8 out of 10 (range, 7.74-8.33). Most respondents (72.4%) said they were interested in adopting health-friendly labels. When a health-friendly label is introduced (such as one by the Business for Social Responsiveness), 65.1% of the respondents said they intended to purchase the product or service, while 6.8% said they did not, and 75.0% said they were willing to pay extra for the health-friendly product or service. Multivariate logistic regression models showed urban residence, high education level, and good social health to be significantly associated with positive attitudes toward health-friendly labels. People with high income, no religion, or normal weight were more likely to say they intend to purchase products and services with health-friendly labels. They also had a more positive attitude toward paying more for such products and services, as did people with good spiritual health. Conclusion: This study provides data that illustrate the importance of health-friendly products and services to the general population and companies.
Navigating toward TB elimination: the California perspective.
Authors: Readhead Adam , Flood Jennifer , Barry Pennan 
Published: September 2019

Abstract
Background The California tuberculosis (TB) elimination plan calls for testing more than ten million at-risk Californians and treating two million infected with tuberculosis. Detailed knowledge about the at-risk population and the healthcare providers who serve them is crucial to further reduction of the TB burden in the state. Methods We used data from the population-based 2014-2017 California Health Interview Survey (CHIS) to examine demography, healthcare access and utilization, and language use, focusing on countries of birth with the highest number of TB cases in California. Results The six top countries of birth accounting for 62% of TB cases were Mexico, United States (U.S.), Philippines, Vietnam, China and India. CHIS data showed that poverty was highest among Mexican-born persons, 56% (CI: 54-58) and lowest among Indian-born persons, 9% (CI: 5-13). Report of recent doctor’s visit was highest among persons born in the Philippines, 84% (CI: 80-89) and lowest among Chinese-born persons, 70% (CI: 63-76). Persons born in Mexico were more likely to report community clinics as their usual source of care than persons born in China, Vietnam or the Philippines. Among 18-64 year olds, 27% (CI: 25-30) of persons born in Mexico reported being uninsured in contrast with 3% (CI: 1-5) of persons born in India. Of adults with a medical visit in a non-English language, 96% (CI: 96-97) were non-U.S.-born, but only 42% (CI: 40-44) of non-U.S.-born persons had a visit in a non-English language. Discussion Patterns of demography, healthcare utilization and language use were notably different by country of birth. These differences should be considered when planning outreach to specific providers, clinic systems, insurers and communities for TB prevention and case-finding.
Association of Toxoplasmosis with suicide: A systematic review and meta-analysis
Authors: Soleymani Eissa , Faizi Fariba , Heidarimoghadam Rashid , Davoodi Lotfollah , Mohammadi Younes 
Published: September 2019

Abstract
Background findings on association of Toxoplasmosis and suicide is contradictory. This paper aimed to resolve this uncertainty with help of Meta-analysis. Methods using keywords include “Toxoplasmosis” and “suicide” and the relayed synonyms in international databases such as ISI, Medline and Scopus, we found the relevant studies. The eligible studies included into Meta-analysis phase. Random effect approach was used to combine the results. Results out of 150 initial studies, 16 were included into meta-analysis. Odds of suicide in person with toxoplasmosis was 47% (OR: 1.47, 95%CI; 1.20 to 1.79) higher than of that without toxoplasmosis. Test for publication bias was not statistically significant, which indicate absence of likely publication bias. Conclusion This study confirm which toxoplasmosis is a potential risk factor for suicide. To reduce cases of suicide attributable to Toxoplasmosis, it deserving the measures to prevent and control of transmission of toxoplasmosis should be taken.
Snack consumption is decreasing in Colombia among the youngest, the most educated, and the wealthiest: results of two representative national surveys.
Authors: Herran Oscar Fernando , Villamor Eduardo , Quintero-Lesmes Doris Cristina 
Published: September 2019

Abstract
Background: A common recommendation is to reduce the consumption of snack food and replace this consumption with nutrient-dense foods. The objective was to establish whether there were changes in adherence to the consumption of the snack pattern (SP) in Colombian children and adults in the 2010-2015 quinquennium. In addition, this study aimed to establish the relationship between the SP and some biological, socioeconomic, and geographic variables in Colombia, Sur América. Methods: Based on a Food Frequency Questionnaire (FFQ) applied both in 2010 and 2015 in the national nutritional situation surveys, the adherence to the snack consumption pattern was established through factor analysis. The change in the adherence of consumption to the SP was established for the five-year period [2015 minus 2010], using multiple linear regression models. Crude and adjusted differences were estimated by the following covariables: sex, age, marital status, food security, wealth index, ethnicity, education of the head of the household, area and region. In total, 37,981 subjects were analyzed. In 2010, 10,150 children (5 to 17 years old) and 5,145 adults (18 to 64 years old) were included, and in 2015, 13,243 children and 9,443 adults. Results: In children, the adjusted difference in the adherence to SP was -0.37 (95% CI: -0.42, -0.32), p < 0.0001. In adults, the adjusted difference in the adherence to SP was -0.27 (95% CI: -0.31, -0.24), p < 0.0001. In all categories of covariables, consumption decreased, for all p < 0.0001. In children the decrease in consumption was inversely associated with body mass index (BMI) and height and was directly associated with the level of food security in the home and the wealth index. In adults the decrease in consumption was inversely related to age and BMI and directly related to the size, the level of food security of the household, wealth index, and education level. Conclusions: In the quinquennium there is a decrease in the adherence to the SP, the region, the wealthiest, the tallest, the best BMI and the most educated displayed the greatest decrease in the SP. Keywords Food Pattern; Snack Pattern; Intake of Snack; Children; Adults; Colombia.
The effect of continuous care model-based intervention on the quality of sleep in menopausal women: A clinical trial study
Authors: AKBARI Farzaneh , Heydarpour sousan , Salari Nader 
Published: September 2019

Abstract
BACKGROUND Sleep disorder, brings in many physical, behavioral, and mental problems. Applying continuous care model leads to proper recognition of the patient’s problems and involves the patient in solving health problems. This study aimed to determine the effect of continuous care model on the quality of sleep in menopausal women. METHODS AND MATERIALS A random clinical trial study was carried out with participation of 110 menopausal women visiting Kermanshah-based clinics (the west of Iran) in 2017. The participants were randomly assigned to intervention (n=55) and control (n=55) groups. The control group received the routine cares and in addition to the routine cares the intervention group attended four weekly group consultation sessions (60-90min). The quality of sleep in the two groups was assessed using Pittsburg Sleep Quality Index before, immediately after, and one month after the intervention. Data analyses were done using independent t-test, ANOVA with frequent measures, Friedman’s test, Wilcoxon’s post hoc test, and X2 test in SPSS (24). RESULTS The mean scores of quality of sleep before and after the intervention were significantly different in the intervention group (p=0.001). There was no significant difference between the two groups in terms of quality of sleep before (p=0.140) and immediately after the intervention (p=0.168). However, one month after, the difference between the two groups was significant (P<0.001). CONCLUSION Implementation of the continuous care model led to an improvement of quality of sleep in the menopausal women.
What's PrEP?: Peer Navigator Acceptability among Minority MSM in Washington
Authors: Pagkas-Bather Jade , Jaramillo Jahn , Henry Jsani , Grandberry Vanessa , Ramirez Luis F. , Cervantes Lorenzo , Stekler Joanne D. , Andrasik Michele P. , Graham Susan M. 
Published: September 2019

Abstract
Background: Peer navigation is a promising strategy to link at-risk minority men who have sex with men (MSM) to HIV prevention services including pre-exposure prophylaxis (PrEP). Methods: Thirty-two Black and 63 Latinx HIV-negative MSM living in western Washington completed a survey examining attitudes towards peer navigation and PrEP. Factor analysis derived a score for peer navigator acceptability, and linear regression identified associations with this outcome . Results: Forty-eight percent were interested in peer navigation. Being insured, higher sexual stigma, and higher PHQ-9 score were associated with higher acceptability, while higher income and having a regular medical provider were associated with lower acceptability. In multivariable analysis, higher sexual stigma predicted higher acceptability, while higher income predicted lower acceptability. Conclusion: Men preferred that peers be matched on sexual orientation, race, age and culture. Peer navigation interventions to reach minority men should address stigma, focus on lower-income men, and try to match peers to clients to the extent possible. Key words: HIV prevention, pre-exposure prophylaxis, Black, Latinx, men who have sex with men
Patterns and Temporal Trends of 7 Major Organic Solvent Induced Occupational Diseases in Guangdong, China 2006-2015
Authors: Li Xudong , Tu Hongwei , Hu Shijie , Chen Jiabing , Yu Hongwei , Zhang Runze , Chen Peiliang , Qu Hongying , Chen Qing 
Published: September 2019

Abstract
(1)Background: This study aimed to describe the distribution characteristics and temporal trends of major Organic Solvent induced occupational diseases (OSODs) in Guangdong Province, China.(2) Methods: A total of 1320 OSODs cases diagnosed from 2006 to 2015 were involved in this study, including information of case distribution, working age, industrial type, economic type and enterprise scale. 7 major OSODs accounted for the majority cases (1290 cases, 98%), including benzolism, n-hexane poisoning, 1,2-dichloroethane poisoning, trichloromethane poisoning, dimethyl formamide poisoning, benzene-induced leukemia and trichloroethylene-induced medicamentosa-like dermatitis.(3) Results: The incidence of OSODs was relatively higher in Shenzhen, Dongguan and Guangzhou than other districts. Most cases were related to light industry and electronics for industry type and small and medium-sized and private enterprises for enterprise scales and ownership types. Notably, the case number of benzolism and benzene-induced leukemia presented an increasing trend with year. The onset age of benzolism exhibited an increasing trend with year. The working age of onset of 1,2-dichloroethane poisoning, trichloromethane poisoning and dimethyl formamide poisoning were shorter than others.(4) Conclusions: Since the control and prevention of 7 major OSODs has achieved remarkable results, more measurements are needed to control benzolism and benzene-induced leukemia cases in Guangdong Province.
“[ Repeat ] testing and counseling is one of the key [ services ] that the government should continue providing”: Participants’ Perceptions on Extended Repeat HIV Testing and Enhanced Counseling (ERHTEC) for Primary HIV Prevention in Pregnant and Lactating Ugandan Women
Authors: Bannink Femke , Namukwaya Zikulah , Amoone Alex , Ojok Francis , Etima Juliane , Byamugisha Josephat , Katabira Elly , Fowler Mary Glenn , Homsy Jaco , King Rachel 
Published: September 2019

Abstract
Background The ‘Primary HIV Prevention among Pregnant and Lactating Ugandan Women’ (PRIMAL) randomized controlled trail aimed to assess an enhanced counseling strategy linked to extended repeat HIV testing among HIV-negative pregnant and lactating women aged 18-49 years and 410 of their male partners to address the first pillar of the WHO Global Strategy for the Prevention of Mother-to-Child HIV transmission. Methods: PRIMAL Study participants were enrolled from two antenatal care clinics and randomized 1:1 to an intervention or control arm. Both arms received repeat STI and HIV testing at enrollment, labor and delivery, and at 3, 6, 12, 18 and 24 months postpartum. The intervention consisted of enhanced quarterly counseling on HIV risk reduction, couple communication, family planning and nutrition delivered by study counselors. Control participants received repeat standard post-test counseling. Eighteen focus group discussions and 44 key informant interviews were held to evaluate study participants’ and service providers’ perceptions and acceptance of the intervention and understand the effects of the intervention on risk reduction, couple communication, and emotional support from partners. Results: At baseline participants mentioned multiple sexual partners and lack of condom use as the main risks for pregnant and lactating women to acquire HIV. The main reasons for having multiple sexual partners were 1) the cultural practice not to have sex in the late pre-natal and early post-natal period; 2) increased sexual desire during pregnancy; 3) alcohol abuse; 4) poverty; and 5) conflict in couples. Consistent condom use at baseline was limited due to lack of knowledge and low acceptance of condom use in couples. The majority of intervention participants enrolled felt enhanced counselling improved understanding, faithfulness, mutual support and appreciation within their couple. Another benefit mentioned by participants was improvement of couple communication and negotiation, as well as daily decision-making around sexual needs, family planning and condom use. Participants stressed the importance of providing counselling services to all couples. Conclusions: This study shows that repeat postpartum testing and enhanced individual and couple counselling increased condom use, supported risk reduction, and improved support, communication and decision-making about sexual and reproductive health for pregnant and lactating women.
Original Paper Supporting perinatal anxiety in the digital age; A qualitative exploration of stressors and support strategies.
Authors: Harrison Virginia , Moore Donna , Lazard Lisa 
Published: September 2019

Abstract
Background: The period surrounding childbirth is one of profound change, which can often be experienced as stressful and overwhelming. Indeed, around 20% of women may experience significant levels of anxiety in the perinatal period. However, most women experiencing perinatal anxiety (PNA) go unrecognised and untreated. Barriers likely include: poor awareness of PNA, perceived stigma, and the reduced flexibility new mothers face. The Internet offers a potentially scalable solution to overcome these obstacles. Aims and Objectives: This study aimed to qualitatively explore women’s experience of anxiety triggers and support in the perinatal period; and gain insight into what online support is acceptable for women with PNA. Method: Women who were either pregnant or within one year post-partum were invited to participate in focus groups across the UK. Focus groups were used to allow a diversity of perspectives to be heard, while simultaneously promoting the identification and prioritisation of important support needs and solutions. Interviews were transcribed and thematically analysed. Results: Five key themes emerged in relation to women’s experience with PNA: holding unrealistic expectations of birth and motherhood; fear of judgement and pressure to be the ‘perfect mum’; the importance of peer support; poor maternal confidence; and a lack of mental health support and information. Perinatal women felt under-supported and poorly prepared for motherhood. A mismatch between their expectations, and the reality of their experience was the primary source of their anxiety. Furthermore, stigma associated with PNA may have exacerbated these issues and led to help-seeking avoidance. Overall, women felt these issues could be addressed via online support, through the delivery of more realistic information, providing psychoeducation about PNA symptoms and management, and the inclusion of authentic peer experiences. Thus, delivering evidence-based information and interventions online may provide a solution that is acceptable to this cohort. Conclusions: This work provides unique insight into potential sources of anxiety for women in the PNA, while also offering potential internet-based support solutions that are likely to be acceptable and helpful for women with PNA.
Genetic variation characterization of the boreal tree Acer ginnala population in response to environmental change of Northern China
Authors: Wang Yiling , Wu Jiahui , Wang Zhi , Ye Hang , Hou Huimin , Gao Yue , Han Wei , Ru Wenming , Sun Genlou 
Published: September 2019

Abstract
Background: Acer ginnala is a deciduous shrub/small tree that primarily distributed across the northern regions of China. It comprises a foundation species in many terrestrial ecosystems and has significant ornamental and economic value. Owing to its increased use as an economic resource, overexploitation and environmental destruction have resulted in the vulnerability of this species. Thus, the elucidation of the genetic differentiation and influence of environmental factors on A. ginnala is very critical for its management and future utilization strategies. Results: Our results revealed that high genetic variation occurred in A. ginnala species while low genetic diversity was observed at the population level. Most differentiation has found among populations. A significant correlation existed between genetic and environmental distances. Seven climate variables (bio1, bio2, bio3, bio4, bio13, bio15 and bio18) might explain the substantial levels of genetic variation (> 40%) in populations. The most suitable areas of this species appeared in Shaanxi, Shanxi, Anhui Provinces, and Northeastern China based on ENM results. Compared to the last interglacial (LIG) period, A. ginnala migrated toward Northern and Northeastern China, and extended to the most suitable areas during the last glacial maximum (LGM) period. Shanxi and Anhui Provinces might have served as refugium owing to their relatively high genetic variation. Conclusions: Low genetic diversity at the population level that may be the source of its vulnerability. Climate heterogeneity would play an important role in the pattern of genetic differentiation in A. ginnala populations. The A. ginnala population was isolated by a heterogeneous climate and subsequently began to adapt to local selection processes resulted in high genetic divergence.
Stress, stressors and related factors in clinical training of midwifery students in Iran: a cross sectional study
Authors: Rezaei Behrooz , Falahati Juliana , Beheshtizadeh Raziyeh 
Published: September 2019

Abstract
Background: Midwifery is an emotionally challenging profession, and academic education of midwifery has its own specific challenges. Midwifery students face with stressful experiences, especially related to instructor and characteristics of clinical environment, which can affect their theoretical and practical abilities. There is insufficient evidence in this field. This study aimed to explore (1) the perceived stress and stressors of midwifery students and (2) the relationships between students' stress and related factors in clinical training. Methods: A cross sectional, descriptive study was conducted at one university in Iran. A sample of 108 students was selected using Krejcie and Morgan table in 2016. Data was collected using Persian version of Cohen's perceived stress scale, Persian questionnaire of sources of stress and demographic form. Data was analyzed using independent t, ANOVA and correlation coefficient test (α<0.05). Results: Participants returned 70 surveys (response rate, 64.8%). Approximately 56 % of the students perceived a high level of stress. The most common dimensions of stressors were "unpleasant emotions" and "humiliating experiences". The highest stressors were included "feeling suffering due to seeing for patients with critical situation", "instructor’s admonition in the presence of clinical staff" and "communication with instructor". The "interest in the field of study" had a negative impact on perception of stressors in dimensions of "clinical practices" and "interpersonal communication". Conclusions: The midwifery students reported their stress in severe level, especially in dimensions of "unpleasant emotions" and "humiliating experiences". The factors associated with the instructors have caused more stress in students. These findings will highlight need for supportive strategies by the clinical instructors. In this regard, the use of experienced instructors, the development of communication skills of the instructors, increasing coping skills of the students and the creation of a supportive environment may be helpful. Keywords: Clinical Training Environment, Clinical Preceptorship, Midwifery Education, Stress, Student, Midwifery