bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing HIV treatment and support: a qualitative inquiry into client and healthcare provider perspectives on differential service delivery models in Uganda
Authors: Katongole Simon Peter , Mukama Semei Christopher , Nakawesi Jane , Bindeeba Dedrix , Simons Ezajob , Mugisa Andrew , Senyimba Catherine , Namitala Eve , Onzima Robert Anguyo D. D. M. , Mukasa Barbara 
Published: July 2024

Abstract
Background
HIV/AIDS continues to be a significant contributor to illness and death, particularly in sub-Saharan Africa. In this study, we conducted a qualitative assessment to understand Client and Healthcare Provider Perspectives on Differential Service Delivery Models in Uganda. The purpose was to establish strengths and weaknesses within the services delivery models, inform policy and decision-making, and to facilitate context specific solutions.

Methods
Between February and April 2023, a qualitative cross-sectional study was utilised to gather insights from a targeted selection of individuals, including People Living with HIV (PLHIV), healthcare workers, HIV focal persons, community retail pharmacists, and various stakeholders. The data collection process included eleven in-depth interviews, nine key informant interviews, and eight focus group discussions carried out across eight districts in Central Uganda. The collected data was analyzed through inductive thematic analysis with the aid of Excel.

Results
The various Differentiated Service Delivery Models (DSDMs), notably Community-Client-Led Drug Distribution (CCLAD), Community Drug Distribution Point (CDDP), Community Retail Pharmacy Drug Distribution Point (CRPDDP), and the facility-based Facility Based Individual Model (FBIM), were reported to have several positive impacts. These included improved treatment adherence, efficient management of antiretroviral (ARV) supplies, reduced exposure to infectious diseases, enhanced healthcare worker hospitality, minimized travel time for ART refills, stigma reduction, and decreased waiting times. Concern was raised about the lack of improvement in HIV status disclosure, opportunistic infection treatment, adherence to seasonal appointments, and sustainability due to the overreliance of the DSDMs on donor funding, suggesting potential discontinuation without funding. Doubts about health workers’ commitment surfaced. Notably, the CCLAD model displayed self-sustainability, with clients financially supporting group members to collect medicines.

Conclusion
Community-based DSDMs, such as CCLAD and CDDP, improve ART refill convenience, social support, and client experiences. These models reduce travel and waiting times, lowering infection risks. Addressing challenges and enhancing facility-based models is vital. In order to maintain funding after donor funding ends, sustainability measures like cross-subsidization can be used. If well implemented, the DSDMs have the potential to produce better or comparable ART outcomes compared to the FBIM model.
Delphi method applicability in drug foresight
Authors: Lintonen Tomi , Karjalainen Karoliina , Rönkä Sanna , Kotovirta Elina , Niemelä Solja 
Published: July 2024

Abstract
Background
The aim of the current study was to assess the accuracy of expert predictions, which were derived using a Delphi panel foresight study between 2009 and 2011, on a variety of drug-related topics in Finland in 2020.

Methods
The material used to evaluate the accuracy of the predictions consists of published reports on statistics, survey results, official register data, wastewater analyses and official documents. Whenever possible, we used multiple information sources to ascertain possible changes related to the predictions.

Results
Between 2009 and 2011, the majority – but not all – of the experts accurately predicted an increase in drug use. Indeed, more people experimented with or used drugs, and more drug residues were found in wastewater monitoring. The experts also correctly predicted an increase in population-level approval of drug use, but this development has been rather slow. Contrary to predictions, there was no marked increase in the use of new synthetic drugs. However, the misuse of buprenorphine increased during the 2010s. In the drug market, unit prices were surprisingly stable over the ten-year period. There were no changes in legislation related to the legal status of drugs, as was foreseen by the experts. However, enforcement moved in the direction foreseen by the experts: more lenient measures have been taken against users. Drug care system reforms favored a combination of mental health and addiction care units between 2009 and 2011, and 2020, as foreseen by the experts.

Conclusions
It seems to have been easier for the experts to foresee the continuation of existing trends, e.g., increasing use of drugs or widening approval of drugs, than to predict possible changes in the popularity of distinct groups of drugs such as new psychoactive substances (NPS). Even armed with the prediction that drug imports and wholesale would increasingly fall into the domain of organized crime, this undesirable development could not be stopped. Expert disagreement can also be seen as a valuable indication of uncertainty regarding the future. Foresight related to drug-related issues can produce relatively accurate and realistic views of the future at least up to ten years ahead.
Minimally invasive techniques utilizing the “Joy Stick” method for managing irreducible flexion-type supracondylar fractures of the humerus in older children
Authors: Li Yang , Feng Yongyi , Chu XiangJun , Yuan Yue , Yuan Yi , Sun Jun 
Published: July 2024

Abstract
Objective
In this study, we investigated the efficacy of percutaneous poking reduction and Kirschner wire fixation in older children with irreducible supracondylar flexion-type fractures of the humerus.

Methods
This retrospective investigation included 27 children, comprising 15 males and 12 females, aged between 10 years and 3 months to 14 years and 11 months, all diagnosed with a flexion-type supracondylar fracture of the humerus within one week of trauma. All patients underwent surgery under general anesthesia. Following unsuccessful manual reduction, percutaneous poking reduction with Kirschner wires was performed under C-arm fluoroscopy to achieve fracture reduction. Following successful reduction, three 2.0 mm Kirschner wires were inserted in a cross pattern to secure the fracture ends. Postoperatively, the elbow joint was immobilized in a functional position with a plaster cast for four weeks.

Results
Follow-up in the outpatient department ranged from 9 to 36 months. Clinical functional assessment using Flynn’s criteria rated 24 cases as excellent, 2 as good, and 1 as fair, yielding an overall efficacy of 96.3%. No cases of fracture re-displacement, fracture fragment necrosis, or other complications such as nonunion, iatrogenic nerve injury, myositis ossificans, or long-term elbow joint dysfunction were observed during the postoperative follow-up.

Conclusion
The percutaneous poking reduction and Kirschner wire fixation technique is a simple and reliable procedure for treating irreducible flexion-type supracondylar fractures of the humerus in older children, with minimal trauma. This technique offers substantial stability for the fracture and results in excellent long-term recovery of joint function.
Does previous total hip arthroplasty affect the outcomes of total knee arthroplasty? A one- and five-year follow-up registry study in a monocentric hospital
Authors: Ristolainen Leena , Kettunen Jyrki , Lohikoski Jouni , Kautiainen Hannu , Manninen Mikko 
Published: July 2024

Abstract
Background
Osteoarthritis in the lower extremities becomes more common as people age. In addition to conservative treatments, hip or knee arthroplasty is often needed. The aim of this study was to evaluate total knee arthroplasty (later TKA) in patients, comparing those who had previously undergone THA (later THA/TKA), with those who had not undergone such procedure. Pain, walking ability and functional capacity were assessed.

Methods
Patients who underwent primary TKA between 1987 and 2017 at a single orthopaedic hospital was included in this study. The patients participated in clinical preoperative and postoperative examinations by an orthopaedic surgeon after one- and five- years. The final study group consisted of 418 patients who had undergone 502 knee arthroplasties. Of these 502 TKA cases, 462 had not undergone previous THA and 40 had undergone previous THA. To evaluate the patients’ physical function and walking ability, a structure form for knee arthroplasty based on the Hungerford score was used. The registry data from the Finnish National Institute of Health and Welfare was used. The data included TKA revision(s) and mortality events.

Results
At the baseline and after one- and five- years primary TKA, no statistical differences were found in the total Hungerford score between TKA patients and THA/TKA patients. In both groups, the total score increased per surgery year. However, when analysing the relationship between the year of operation and the total score, no statistical differences were found between the groups (TKA and THA/TKA) at five years (p = 0.61). The only statistical difference found between the groups was in walking distance points after one year; THA/TKA patients (mean 83 [SD 17]) could walk remarkably shorter distances than TKA patients (91 [14]) one year after arthroplasty (p < 0.001).

Conclusions
In conclusion, walking distance improved more rapidly in TKA patients than in THA/TKA patients. However, patients who underwent more than one arthroplasty in their lower extremities managed their lives, activities, and pain almost as well as those who underwent only one knee arthroplasty.
Successfully saving a child with destuctive iliac artery damage by hybrid surgery
Authors: Chen Jianfeng , Zheng Wei , Liu Tingting , Li Xianling , Xin Zhong , Han Zhonglong , Wu Yingfeng 
Published: July 2024

AbstractNon-iatrogenic trauma of the iliac artery is rarely reported but is always life-threatening. In this report, we describe the case of a child with complete transection and partial disappearance of the iliac artery caused by bicycle handlebar impalement. He experienced catastrophic hemorrhage, malignant arrhythmia, and difficulty in exploring transected vessel stumps. Aggressive infusion, blood transfusion in time, and pediatric vascular characteristics help delay the deterioration during anesthesia induction. Eventually he was successfully rescued by performing interventional balloon occlusion and open revascularization after more than 7 h post-trauma. A series of interventions and precautionary methods may benefit such severely injured patients; thus, these methods should be highlighted.
Uncertainty in REDD+ carbon accounting: a survey of experts involved in REDD+ reporting
Authors: Butler Brett J. , Sass Emma M. , Gamarra Javier G. P. , Campbell John L. , Wayson Craig , Olguín Marcela , Carrillo Oswaldo , Yanai Ruth D. 
Published: July 2024

Abstract
Background
Reducing Emissions from Deforestation and forest Degradation (REDD+) is a program established under the United Nations Framework Convention on Climate Change (UNFCCC) to reduce carbon emissions from forests in developing countries. REDD+ uses an incentive-based approach whereby participating countries are paid to reduce forest carbon loss and increase carbon storage. Country-level carbon accounting is challenging, and estimates of uncertainty in emission reductions are increasingly required in REDD+ reports. This requirement is hard to meet if countries lack the necessary resources, tools, and capabilities. Some REDD+ programs adjust their payments for the uncertainty reported, which presents a perverse incentive because uncertainties are larger if more sources of uncertainty are reported. We surveyed people involved in REDD+ reporting to assess current capacities and barriers to improving estimates of uncertainty.

Results
Representatives from 27 countries (44% of REDD+ countries at the time of survey implementation) responded to the survey. Nearly all respondents thought it important to include uncertainty in REDD+ reports, but most felt that the uncertainty reporting by their countries was inadequate. Our independent assessment of reports by these countries to the UNFCCC supported this opinion: Most countries reported uncertainty in activity data (91%) but not in emission factors (4–14%). Few countries use more advanced approaches to estimate uncertainty, such as Monte Carlo and Bayesian techniques, and many respondents indicated that they lack expertise, knowledge, or technical assistance. Other barriers include lack of financial resources and appropriate data. Despite these limitations, nearly all respondents indicated a strong desire to improve estimates of uncertainty in REDD+ reports.

Conclusions
The survey indicated that people involved in REDD+ reporting think it highly important to improve estimates of uncertainty in forest carbon accounting. To meet this challenge, it is essential to understand the obstacles countries face in quantifying uncertainty so we can identify where best to allocate efforts and funds. Investments in training and resources are clearly needed to better quantify uncertainty and would likely have successful outcomes given the strong desire for improvement. Tracking the efficacy of programs implemented to improve estimates of uncertainty would be useful for making further refinements.
Sociodemographic influences on private and professional contact behaviour during the COVID-19 pandemic in Germany: cross-sectional analysis based on a Regional Blood Donor Cohort
Authors: Pohl Robert , Stallmann Christoph , Marquardt Pauline , Bank Ute , Färber Jacqueline , Scheibler Lotte , Heuft Hans-Gert , Kaasch Achim J. , Apfelbacher Christian 
Published: July 2024

Abstract
Objective
The COVID-19 pandemic has had significant health and socioeconomic impacts worldwide. Extensive measures, including contact restrictions, were implemented to control the spread of the virus. This study aims to examine the factors that influenced private and professional contact behaviour during the COVID-19 pandemic.

Results
We used baseline data (January–April 2021) from the SeMaCo study (Serologische Untersuchungen bei Blutspendern des Großraums Magdeburg auf Antikörper gegen SARS-CoV-2), a longitudinal, regional cohort study assessing COVID-19 seroprevalence in blood donors from Magdeburg and surrounding areas in Germany. In the blood donor cohort (n = 2,195), there was a general reduction in private contacts (by 78.9%) and professional contacts (by 54.4%) after March 18, 2020. Individuals with higher education reduced both private (by 84.1%) and professional (by 70.1%) contacts more than those with lower education levels (private contacts 59.5%; professional contacts 37%). Younger age groups (18–30 years) reduced private contacts more frequently (by 85.4%) than older individuals (61–83 years, by 68.6%) and demonstrated a higher likelihood of private contact reduction compared to older age groups (51–60 years: odds ratio (OR) 0.45 [95% [CI] 0.32–0.65]; 61–83 years: OR 0.33 [95% [CI] 0.22–0.48]).
The effect of basic public health service equalization on settlement intention of migrant workers in China: the mediating effect model based on subjective feelings
Authors: Liu Pei , Long Zhiping , Ding Xuemeng 
Published: July 2024

Abstract

Background
During the 14th Five-Year Plan, China aims to transform rural migrants into urban citizens and ensure equal access to public services to enhance new urbanization. Understanding migrant workers' settlement intentions is crucial for their citizenship development. Based on the fundamental role of the right to life and health, equalization of basic public health services is essential. Therefore, understanding the potential impact of public health services equalization on the settlement intention of migrant workers is crucial in China’s new urbanization.

Method
In this study, we utilized data from the 2017 wave of China Migrants Dynamic Survey (CMDS) and employed the Propensity Score Matching method to investigate the impact of basic public health service equalization policy on the settlement intention of migrant workers. Additionally, we utilized the Mediation Effect Model to uncover the impact mechanism.

Results
Our findings indicate that basic public health service equalization policy has a significant positive effect on increasing the settlement intention of migrant workers, with an even greater effect observed among the low-income group, the cross-provincial subsample, and the new generation subsample. The results of the Mediation Effect Model suggest that Basic public health service equalization policy can bolster the subjective integration willingness and subjective identity of migrant workers, thereby enhancing their settlement intention.

Conclusion
Based on the results, we propose to strengthen the promotion of the basic public health service equalization policy and expand the coverage of health records to further increase the settlement intention of migrant workers.
Trend analysis of air temperature in a megacity between two continents: the synoptic weather station in İstanbul Atatürk Airport
Authors: Çapraz Özkan 
Published: July 2024

Abstractİstanbul is the largest city located in the Mediterranean Basin and has a medium to high risk of climate change and future climate risks. Changes in temperature and other weather variables have had significant impacts on İstanbul. In this context, there is a need for studies on the issues of climate monitoring and climate change vulnerability to reduce the adverse impacts. The aim of this study is to investigate the temperature trends of synoptic weather station in İstanbul Atatürk Airport between 1973 and 2023 to have a general idea about how the temperature has changed over the last half-century and to establish statistically whether a trend is significant or not. The values of minimum (Tmin), maximum (Tmax) and mean (Tmean) temperature related parameters were estimated. Annual, monthly and seasonal temperature trends are also analyzed. The findings of this study indicate a significant (p < 0.001) rise in the mean air temperature (Tmean) of İstanbul over the past 51 years (1973–2023), with an annual warming trend of 0.06 °C. The strongest increasing trend in seasonal mean air temperatures has been observed in the summer season, with an increase of 0.08 °C per year. The trend analysis also shows a statistically non-significant increase in yearly average minimum temperature (Tmin) between 1973 and 2023, with a rate of 0.04 °C per year. However, the annual maximum temperature (Tmax) has shown no changes.
A location fingerprinting approach for the automated radio telemetry of wildlife and comparison to alternative methods
Authors: van Osta John M. , Dreis Brad , Grogan Laura F. , Castley J. Guy 
Published: July 2024

Abstract
Background
Automated radio telemetry (ART) systems enable high-temporal resolution data collection for species unsuited to satellite-based methods. A challenge of ART systems is estimating the location of radio tagged animals from the radio signals received on multiple antennas within an ART array. Localisation methods for ART systems with omni-directional receivers have undergone rapid development in recent years, with the inclusion of machine learning techniques. However, comparable machine learning methods for ART systems with directional antennas are unavailable, despite their potential for improved accuracy and greater versatility. To address this, we introduce an open-source machine learning-based location fingerprinting method for directional antenna-based ART systems. We compare this method to two alternative localisation approaches. Both alternatives use relative signal strengths recorded among multiple antennas to estimate the signal’s angle of arrival at each receiver. In the ‘biangulation’ approach, the location is estimated by finding the intersection of these angles from two receivers. In contrast, the ‘linear regression’ approach uses a linear regression model to estimate the distance from the receiver along the angle of arrival, providing a location estimate. We evaluate these methods using an ART data set collected for the southern black-throated finch (Poephila cincta cincta), in the Desert Uplands Bioregion of Queensland, Australia.

Results
The location fingerprinting method performed slightly better than the best performing alternative, the linear regression method, with mean positional errors of 308 m (SE = 17.7) and 335 m (SE = 18.5), respectively. The biangulation method performed substantially worse, with a mean positional error of 550 m (SE = 42.9, median = 540 m). Improved accuracy was observed with shorter distances between transmitters and receivers, higher signal strengths, and a greater number of detecting receivers, suggesting that increasing receiver density improves localisation accuracy, albeit with potential trade-offs in system coverage or cost. Furthermore, shorter pulse intervals of transmitters resulted in greater accuracy, highlighting the trade-offs among battery life, transmitter weight and radiative power.

Conclusions
The open-source location fingerprinting method offers an improved and versatile localisation approach suitable for a wide variety of ART system designs, addressing the challenge of developing study-specific localisation methods using alternative approaches.
The influence of physical activity, adherence to Mediterranean diet, and weight status on the psychological well-being of adolescents
Authors: Mateo-Orcajada Adrián , Abenza-Cano Lucía , Molina-Morote Juan Manuel , Vaquero-Cristóbal Raquel 
Published: July 2024

AbstractThe mental health of adolescents is a determining factor for their adequate development, but is influenced by factors such as physical activity, nutrition, gender, and weight status. However, previous research has not analysed differences in psychological status, mainly in basic psychological needs and life satisfaction, among male and female adolescents with different levels of physical activity, weight status and adherence to the Mediterranean diet (AMD). For this reason, the objectives of the present investigation were to establish whether the differences between active and inactive adolescents in basic psychological needs and life satisfaction depend on gender; and to determine the differences in basic psychological needs and life satisfaction of active and inactive adolescents with different weight status and AMD. A total of 791 adolescents aged between twelve and sixteen years old participated in the study. All the participants were measured for basic psychological needs, life satisfaction, and level of physical activity, AMD, and height and body mass. The results showed a higher score in basic psychological needs and life satisfaction for active adolescents in both the males’ and females’ groups. No differences were found in the psychological variables when comparing adolescents with different weight status. Adolescents with a higher AMD showed higher scores in satisfaction of basic psychological needs and satisfaction with life than adolescents with a worse AMD. Therefore, it can be concluded that the level of physical activity and AMD are factors to be considered for the mental health of adolescents, but the relevance of weight status will have to be confirmed in future research.