bluuebunny/crossref_metadata_2025_split huggingface dataset:
A cross‐sectional mixed study of the opportunity to improve maternal postpartum care in reproductive, maternal, newborn, and child health services in the Kaya health district of Burkina Faso
Authors: Yugbaré Belemsaga Danielle , Bado Aristide , Goujon Anne , Duysburgh Els , Degomme Olivier , Kouanda Seni , Temmerman Marleen 
Published: November 2016

AbstractObjectiveTo propose a rationale to improve maternal postpartum care in reproductive, maternal, newborn, and child health (RMNCH) services.MethodsWe conducted a cross‐sectional mixed study in the Kaya health district in Burkina Faso based on two data collection exercises conducted between December 2012 and May 2013. A household survey of 757 mothers in their first year after delivery was processed. It was complemented with a qualitative analysis using in‐depth interviews with key informants, focus group discussions with mothers, and participant observation.ResultsPostpartum services showed serious weaknesses. Overall, 52% (n=384) of mothers did not receive any maternal postpartum care; however among them, 47% (n= 349) received infant postpartum care.ConclusionWe suggest the integration of maternal postpartum care in RMNCH services as a key step to improving postpartum care. The intervention would require the overcoming of challenges related to the quality and cost of services, and to reaching the poor populations with low education and a high parity.
Men's behavior surrounding use of contraceptives in Guinea
Authors: Baldé Mamadou Diouldé , Diallo Boubacar Alpha , Compaoré Rachidatou , Bah Abdoul Karim , Ali Moazzam , Kabra Rita , Kouanda Seni 
Published: November 2016

AbstractObjectiveTo analyze the sociocultural determinants that influence the attitude and practices of men toward contraceptive use in Guinea.MethodsA sequential, mixed methods, qualitative and quantitative study was carried out in two regions of Guinea with a low rate of contraceptive prevalence, and in the capital city of Conakry. A total of 1170 people (men and women) were interviewed.ResultsFindings showed a positive perception of family planning overall, but reluctance to use modern contraception. The reasons for non‐use of contraceptive methods were primarily the hope of having many children and religious prohibition associated with customs. Making decisions on contraceptive use within a couple represents a major cause of misunderstanding between spouses. Communication within a couple on the use of contraception is quickly declined by men.ConclusionThe findings demonstrate the need to develop communication strategies within a couple to improve the use of contraceptives.
Emergency obstetric and neonatal care needs assessment: Results of the 2010 and 2014 surveys in Burkina Faso
Authors: Kouanda Seni , Ouédraogo Adja M. , Ouédraogo Gautier H. , Sanon Djeneba , Belemviré Seydou , Ouédraogo Leopold 
Published: November 2016

AbstractObjectiveTo analyze and compare the availability, utilization, and quality of services for maternal and neonatal health in 2010 and 2014 in Burkina Faso.MethodsA cross‐sectional study of emergency obstetric and neonatal care services (EmONC) in all public and private health facilities in Burkina Faso in 2010 and a sample of 812 health facilities in 2014. The generic tools developed by the Averting Maternal Death and Disability (AMDD) program were used as the basic tools for evaluation.ResultsIn 2010, 25 health facilities were considered as EmONC health facilities and there were 23 in 2014. In 2010 and 2014, the proportion of births in EmONC health facilities was low (4.5%). The cesarean delivery rate also remained very low, at 0.9% in 2010 and 1.13% in 2014. The proportion of obstetric complications supported in health facilities was 12.3% in 2010 and 17.1% in 2014. The direct complication case fatality rate in EmONC health facilities was 1.6% in 2010 and 1.3% in 2014.ConclusionThe two surveys did not show a significant improvement in the availability, utilization, and quality of maternal and neonatal healthcare services between 2010 and 2014.
Home births in the context of free health care: The case of Kaya health district in Burkina Faso
Authors: Kouanda Seni , Bado Aristide , Meda Ivlabèhiré Bertrand , Yameogo Gisèle S. , Coulibaly Abou , Haddad Slim 
Published: November 2016

AbstractObjectiveTo identify the factors associated with home births in the Kaya health district in Burkina Faso, where child delivery was free of charge between 2007 and 2011.MethodsBoth qualitative and quantitative data were collected from the Kaya Health and Demographic Surveillance System (Kaya HDSS) among women who delivered at home or in a health facility between January 2008 and December 2010. Multilevel logistic regression was applied to quantitative data, while the qualitative data were analyzed thematically based on emerging themes, subthemes, and patterns across group and individual cases.ResultsThe findings indicate that 12% (n = 311) of childbirths occurred at home (n = 2560). Key factors associated with home birth were age, distance from the household to the primary health center, and prenatal visits. The qualitative analysis showed that immediate child delivery, previous experience of giving birth at home, negative experiences with health centers, fear of cesarean delivery, and lack of transport are key predictors of home births.ConclusionThough relevant, addressing the financial barrier to health care is not enough. Additional measures are necessary to further reduce the rate of home births.
Indicators of availability, use, and quality of emergency obstetric and neonatal care in Togo in 2012
Authors: Ouédraogo Adja Mariam , Ouédraogo/Nikiema Laeticia , Meda Ivlabèhiré Bertrand , N'Tapi Kassouta , Kouanda Seni 
Published: November 2016

AbstractObjectiveTo assess the availability, utilization, and quality of emergency obstetric and neonatal care (EmONC) in Togo.MethodsA cross‐sectional study of EmONC services in all public and private health facilities in the territory of Togo conducted from July to December, 2012. The generic tools developed by the Averting Maternal Death and Disability program were used as the basic tools for this evaluation.ResultsThe survey involved 1019 health facilities including 864 potential EmONC facilities that constituted the final sample. The results showed that there was low availability of functional EmONC health facilities (8 basic EmONC and 24 comprehensive EmONC) with a large urban/rural variation. Among the 24 current CEmONC, 22 were in urban areas and half were from the private sector. The national ratio of availability was 3 EmONC health facilities per 500 000 inhabitants. Nationally, the cesarean delivery rate was 3.5%. The lethality rate of direct obstetric causes was estimated at 1.3%.ConclusionNeeds assessment for EmONC showed low availability of EmONC services and underutilization of the available services.
Factors associated with very early neonatal mortality in Burkina Faso: A matched case–control study
Authors: Kaboré Rémi , Meda Ivlabèhiré Bertrand , Koulidiati Jean‐Louis Emmanuel , Millogo Tiéba , Kouanda Seni 
Published: November 2016

AbstractObjectiveTo identify the risk factors associated with very early neonatal death in Burkina Faso.MethodsA matched case–control study including newborns born between May 2009 and April 2010. Cases comprised newborns that died within 24 hours of birth, whereas controls were those of a similar birth weight to the cases who survived the first 24 hours. Potential risk factors related to mothers, neonates, and healthcare provision were assessed from medical records and via interviews. Conditional logistic regression was used to estimate odds ratios.ResultsData from 470 cases and 470 controls were analyzed. Multivariate analysis showed that Apgar score at 4–7 or 1–3 (aOR 6.27; 95% CI, 3.10–12.68 and aOR 72.26; 95% CI, 14.07–371.26, respectively); bradycardia at the last heart sound recorded before delivery (aOR 5.72; 95% CI, 1.42–23.03); inadequacy or lack of prenatal care (aOR 2.39; 95% CI, 1.15–4.97); resuscitation of newborns (aOR 2.07; 95% CI, 1.01–4.27); and referral of the newborn (aOR 5.29; 95% CI, 1.44–19.43) were associated with increased odds of neonatal mortality. However, being a primigravid mother (aOR 0.51; 95% CI, 0.29–0.89) was associated with decreased odds of neonatal mortality.ConclusionVery early neonatal mortality is closely related to the condition of the newborn at birth, the monitoring of the pregnancy, and medical procedures.
Evaluation of the implementation and effects of an obstetric kit used in the Adamawa region of Cameroon
Authors: Cacko Joachim Aimé , Cissé Kadari , Pambè Madeleine Wayack , Compaoré Rachidatou , Kouanda Seni 
Published: November 2016

AbstractObjectiveTo assess the implementation and effects of the strategy, introduced in June 2011, of making obstetric kits readily available in health facilities in the Adamaoua region of Cameroon.MethodsWe conducted a quasi‐experimental study using an interrupted time series to assess the effects of the strategy, and a case study to evaluate its implementation. The reviewed data were gathered from 13 health facilities over a period from January 2008 to December 2014. Qualitative data were collected from in‐depth interviews.ResultsThe provision of obstetric kits was effective in the intervention health facilities, although some challenges existed and included lack of staff motivation and rampant illegal practices. The number of deliveries and cesareans increased.ConclusionThere is a need to rethink this strategy, given its gaps and shortcomings.
Earning Social Citizenship in the European Union: Free Movement and Access to Social Assistance Benefits Reconstructed
Authors: KRAMER Dion 
Published: November 2016

AbstractWhile ideas on ‘earned citizenship’ have been around in discussions on the coexistence of freedom of movement and nationally-bounded welfare states in the European Union, both the concept and the process it entails have hardly been explored in connection to EU (case) law. This contribution identifies earned citizenship as a technique of government in the broader political strategy of neoliberal communitarianism, requiring Union citizens to ‘earn’ access to the welfare system through an emphasis on their individual responsibility to fulfil the economic, social and cultural conditions of membership. Analysing economically inactive Union citizens’ access to social assistance benefits, it argues that earned citizenship has been visible since the Court’s early citizenship jurisprudence, but has been reconstructed with the recentDano-line of case law.
Neurofibromatosis Clinic: A Report on Patient Demographics and Evaluation of the Clinic
Authors: Mansouri Alireza , Ghadakzadeh Saber , Maqbool Talha , Barnett Carolina , Au Karolyn , Kongkham Paul , Bril Vera , Gelareh Zadeh 
Published: November 2016

AbstractBackground:Neurofibromatosis type 1 (NF1) is a common single-gene disorder. A multidisciplinary approach to the management of NF1 patients is necessitated by the heterogeneity of clinical manifestations. Although multidisciplinary paediatric clinics have been well established, there is a dearth of such resources for adults with NF1. Herein we report our one-year institutional experience with a multidisciplinary adult NF1 clinic.Methods:A multidisciplinary team was assembled, and an NF Patient Registry Initiative questionnaire was adapted to collect patient-reported data during clinics. Multiple databases were searched to identify publications pertaining to the experience of other multidisciplinary NF1 clinics focusing on adult patients. Data on patient epidemiology and clinical staff were compared to our data.Results:A total of 77 patients were scheduled, and 68 attended the clinic, of whom 66 completed the intake questionnaire. The demographic and clinical data from this Canadian population are mostly consistent with previous reports, with some exceptions. Clinical data related to immune system involvement such as asthma, airway/breathing-related difficulties or allergies were striking in our NF1 population. Six relevant published reports of other NF1 clinics were identified. Reports from these studies pertained to periods ranging from 10 to 38 months, and the number of adults assessed ranged from 19 to 177 patients.Conclusions:The structure of our clinic and the patient volume are comparable to those of other established centres found in the literature. Our data offer valuable cross-sectional prevalence statistics in the Canadian population. The patient-reported data concerning involvement of the immune system contribute to an emerging recognized medical concern within the NF1 population and warrant further clinical and basic investigation.
Interrater Reliability of Surveillance for Ventilator-Associated Events and Pneumonia
Authors: Kerlin Meeta Prasad , Trick William E. , Anderson Deverick J. , Babcock Hilary M. , Lautenbach Ebbing , Gueret Renaud , Klompas Michael 
Published: November 2016

OBJECTIVETo compare interrater reliabilities for ventilator-associated event (VAE) surveillance, traditional ventilator-associated pneumonia (VAP) surveillance, and clinical diagnosis of VAP by intensivists.DESIGNA retrospective study nested within a prospective multicenter quality improvement study.SETTINGIntensive care units (ICUs) within 5 hospitals of the Centers for Disease Control and Prevention Epicenters.PATIENTSPatients who underwent mechanical ventilation.METHODSWe selected 150 charts for review, including all VAEs and traditionally defined VAPs identified during the primary study and randomly selected charts of patients without VAEs or VAPs. Each chart was independently reviewed by 2 research assistants (RAs) for VAEs, 2 hospital infection preventionists (IPs) for traditionally defined VAP, and 2 intensivists for any episodes of pulmonary deterioration. We calculated interrater agreement using κ estimates.RESULTSThe 150 selected episodes spanned 2,500 ventilator days. In total, 93–96 VAEs were identified by RAs; 31–49 VAPs were identified by IPs, and 29–35 VAPs were diagnosed by intensivists. Interrater reliability between RAs for VAEs was high (κ, 0.71; 95% CI, 0.59–0.81). Agreement between IPs using traditional VAP criteria was slight (κ, 0.12; 95% CI, −0.05–0.29). Agreement between intensivists was slight regarding episodes of pulmonary deterioration (κ 0.22; 95% CI, 0.05–0.39) and was fair regarding whether episodes of deterioration were attributable to clinically defined VAP (κ, 0.34; 95% CI, 0.17–0.51). The clinical correlation between VAE surveillance and intensivists’ clinical assessments was poor.CONCLUSIONSProspective surveillance using VAE criteria is more reliable than traditional VAP surveillance and clinical VAP diagnosis; the correlation between VAEs and clinically recognized pulmonary deterioration is poor.Infect Control Hosp Epidemiol 2017;38:172–178
The ANU WiFeS SuperNovA Programme (AWSNAP)
Authors: Childress Michael J. , Tucker Brad E. , Yuan Fang , Scalzo Richard , Ruiter Ashley , Seitenzahl Ivo , Zhang Bonnie , Schmidt Brian , Anguiano Borja , Aniyan Suryashree , Bayliss Daniel D. R. , Bento Joao , Bessell Michael , Bian Fuyan , Davies Rebecca , Dopita Michael , Fogarty Lisa , Fraser-McKelvie Amelia , Freeman Ken , Kuruwita Rajika , Medling Anne M. , Murphy Simon J. , Murphy Simon J. , Owers Matthew , Panther Fiona , Sweet Sarah M. , Thomas Adam D. , Zhou George 
Published: November 2016

AbstractThis paper presents the first major data release and survey description for the ANU WiFeS SuperNovA Programme. ANU WiFeS SuperNovA Programme is an ongoing supernova spectroscopy campaign utilising the Wide Field Spectrograph on the Australian National University 2.3-m telescope. The first and primary data release of this programme (AWSNAP-DR1) releases 357 spectra of 175 unique objects collected over 82 equivalent full nights of observing from 2012 July to 2015 August. These spectra have been made publicly available via the WISEREP supernova spectroscopy repository.We analyse the ANU WiFeS SuperNovA Programme sample of Type Ia supernova spectra, including measurements of narrow sodium absorption features afforded by the high spectral resolution of the Wide Field Spectrograph instrument. In some cases, we were able to use the integral-field nature of the Wide Field Spectrograph instrument to measure the rotation velocity of the SN host galaxy near the SN location in order to obtain precision sodium absorption velocities. We also present an extensive time series of SN 2012dn, including a near-nebular spectrum which both confirms its ‘super-Chandrasekhar’ status and enables measurement of the sub-solar host metallicity at the SN site.
SPOUSAL INFLUENCES ON HEALTH AND WELL-BEING OF OLDER KUWAITI MEN AND WOMEN
Authors: Al-Kandari Yagoub Y. , Crews Douglas E. 
Published: November 2016

SummaryThe aim of the study was to determine the associations of the self-perceptions of health and social support among Kuwaitis who were 60 years old and older, who either were or were not currently living with a spouse. A sample of 1427 was selected (472 men and 955 women). Social Affairs nurses completed all interviews in the participants’ homes. A single questionnaire was designed; SPSS (version 21) was used for data entry and analysis. Participants living with their spouse reported significantly greater social support, more frequent contact with others and greater strength of social relationships than those without a spouse. Significant differences between those with and without a spouse were observed for all physically assessed and self-reported aspects of health. Of 60 items included in the somatic symptoms, participants with a spouse reported fewer poor health symptoms than those without a spouse. More children living in the same household, along with greater frequency of contact, strength of contact and social support significantly and independently predicted positive somatic symptoms in the total sample as well as in both sexes. Participants with a spouse reported fewer poor health symptoms than did those without a spouse. Having a spouse is a significant benefit to many aspects of elder Kuwaitis’ daily lives, including their health and well-being.
Motility, morphology and phylogeny of the plasmodial worm, Ceratomyxa vermiformis n. sp. (Cnidaria: Myxozoa: Myxosporea)
Authors: ADRIANO E. A. , OKAMURA B. 
Published: November 2016

SUMMARYThe Myxozoa demonstrate extensive morphological simplification and miniaturization relative to their free-living cnidarian ancestors. This is particularly pronounced in the highly derived myxosporeans, which develop as plasmodia and pseudoplasmodia. To date, motility in these stages has been linked with membrane deformation (e.g. as pseudopodia and mobile folds). Here we illustrate a motile, elongate plasmodium that undergoes coordinated undulatory locomotion, revealing remarkable convergence to a functional worm at the cellular level. Ultrastructural and confocal analyses of these plasmodia identify a highly differentiated external layer containing an actin-rich network, long tubular mitochondria, abundant microtubules, a secreted glycocalyx layer, and an internal region where sporogony occurs and which contains homogeneously distributed granular/fibrillar material. We consider how some of these features may support motility. We also describe the species based on spore morphology and SSU rDNA sequence data, undertake molecular phylogenetic analysis to place it within an early-diverging clade of the ceratomyxids, and evaluate the resultant implications for classification (validity of the genus Meglitschia) and for inferring early host environments (freshwater) of ceratomyxids.
The Ukraine crisis moves north. Is Arctic conflict spill-over driven by material interests?
Authors: Rahbek-Clemmensen Jon 
Published: November 2016

ABSTRACTThe Ukraine crisis has led to tensions between Russia and the western states and the Arctic is one of the affected regions. Regional cooperation, institutions, and international law are essential for Arctic governance, and the crisis may thus have wide-ranging consequences for high north politics. The present article develops an interest-based model of Arctic conflict spill-over and examines its strength, based on a case-study of the first 18 months of the Ukraine crisis. Three hypotheses for Arctic conflict spill-over are developed: Arctic conflict spill-over will be less severe than spill-over in other regions, the western states will be more assertive than Russia, and the smaller Arctic states will be less assertive than the larger states. A review of the crisis confirms the bulk of these hypotheses with some exceptions, thus demonstrating that an interests-based model holds some merit, while also showing that a complete understanding of Arctic conflict spill-over necessitates a broader approach. The article concludes that conflict spillover is unlikely, but not impossible, in the Arctic.
Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
Authors: Mauro C. , Shear M. K. , Reynolds C. F. , Simon N. M. , Zisook S. , Skritskaya N. , Wang Y. , Lebowitz B. , Duan N. , First M. B. , Ghesquiere A. , Gribbin C. , Glickman K. 
Published: November 2016

BackgroundPersistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.MethodTwo groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored <20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.ResultsPCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2–75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4–65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8–100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.ConclusionsBoth proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.
Wisdom and Folly in the city: exploring urban contexts in the book of Proverbs
Authors: Dell Katharine J. 
Published: November 2016

AbstractProverbs 1–9 is often said to have a city background that contrasts with the agricultural imagery dominant in the maxims sections. However, this is an oversimplification. There are also maxims in the main Proverbs collection that concern the city, and the city background revealed within Proverbs 1–9 links up with the portrayal of the ‘capable wife’ in Proverbs 31:10–33. Having established the presence of city references throughout Proverbs, this article explores how the portrayal of Woman Wisdom and Woman Folly in particular gives fascinating insight into the heart of happenings in the Israelite city.