bluuebunny/crossref_metadata_2025_split huggingface dataset:
The residual rate of HPV and the recurrence rate of CIN after LEEP with negative margins: A meta-analysis
Authors: Lin Yong , Long Yan , He Jin , Yi Qinqin 
Published: March 2024

Background
HPV is detected in up to 47% of CIN and up to 70% of cervical cancers. It can cause intraepithelial neoplasia, which can eventually progress to invasive carcinoma. Almost all cervical cancers are caused by HPV. Therefore, it is especially important to treat high-risk HPV. For patients who have undergone LEEP surgery, this procedure can effectively treat CIN. However, it has not been studied in a meta-analysis whether HPV remains after the surgery and whether residual HPV increases the recurrence risk of CIN. To address this gap, our study collected all relevant literature to investigate the residual rate of HPV and its potential influence on the recurrence rate of CIN. We aim to provide valuable recommendations for clinicians and patients.

Methods
The Cochrane Library, EMBASE, and PubMed databases were searched from the establishment of the database until October 2023. Stata 12.0 software was used for the statistical analysis.

Results
Twelve studies were included, with a total sample size of 1192 cases. The meta-analysis found that the recurrence rate of CIN was quite low [95% CI = 0.5% (0.001, 0.012); P = 0.006] when the margins were negative after LEEP and there was no residual HPV. When HPV was present, the recurrence rate of CIN was significantly higher [95% CI = 18% (0.089, 0.291), P = 0.000], even if the margins were negative. The recurrence rate of CIN with residual HPV was 3.6 times higher than the recurrence rate of CIN without residual HPV. The residual rate of HPV after LEEP with negative margins was 22.7% [95% CI (0.167, 0.294), P = 0.000], which remained relatively high.

Conclusion
This meta-analysis found that the recurrence rate of CIN without residual HPV and with negative margins after LEEP was quite low, at 0.5%. However, when HPV was residual, the recurrence rate of CIN significantly increased to 18%, even if the margins were negative. The residual rate of HPV was 22.7%, even when the margins were negative after LEEP.
The immediate and lasting balance outcomes of clinical falls-prevention programs: A non-randomised study
Authors: Oberholster Candice K. , Taylor Carolyn J. , Huynh Minh , Gordon Brett A. 
Published: March 2024

Purpose
Exercise-based falls-prevention programs are cost-effective population-based approaches to reduce the risk of falling for older adults. The aim was to evaluate the short-term and long-term efficacy of three existing falls-prevention programs.

Methods
A non-randomized study design was used to compare the immediate-post and long-term physical outcome measures for three falls prevention programs; one high-level land-based program, one low-level land-based program and a water-based Ai Chi program. Timed-up-and-go (TUG), five-times sit-to-stand (5xSTS), six-minute walk test (6MWT) and six-meter walk test were assessed at baseline, post-program, and at six-months follow-up. Linear mixed models were used to analyze between- and within- group differences, with the high-level land-based program used as the comparator.

Results
Thirty-two participants completed post-program assessment and 26 returned for follow-up. There was a difference in the age (years) of participants between programs (p = 0.049). The intercept for TUG and six-meter walk test time was 47.70% (23.37, 76.83) and 32.31s (10.52, 58.41), slower for the low-level group and 40.49% (17.35, 69.89) and 36.34s (12.75, 64.87), slower for the Ai Chi group (p < 0.01), compared with the high-level group. Mean time taken to complete the TUG was less both immediately post-program and at 6-month follow-up (p = 0.05). Walking speed for the six-meter walk test was only faster at six-months (p < 0.05). The 5xSTS duration was significantly reduced only at post-intervention (p < 0.05).

Conclusion
These results indicate land-based and water-based falls-prevention programs improve physical outcome measures associated with falls-risk and many improvements are maintained for six months after the completion of the program. (Retrospective trial registration: ACTRN1262300119069)
Pathways linking health literacy to self-care in diabetic patients with physical disabilities: A moderated mediation model
Authors: Nam Hye Jin , Yoon Ju Young 
Published: March 2024

Introduction
Health literacy is widely considered to be a determinant of self-care behavior in people with diabetes. However, the mechanisms underlying how health literacy is linked to self-care behaviors have not been clearly elucidated. The aim of the present study was to explore the mediating roles of access to healthcare, provider-patient interaction, motivation, self-efficacy in the effect of health literacy on diabetes self-care behaviors among diabetic patients with physical disabilities and investigate the moderating effect of age in a moderated mediation model.

Methods
The online survey was participated by a total of 214 diabetic patients with physical disabilities from November to December 2021. The moderated mediation analysis was examined using the Hayes’ PROCESS macro modeling tool based on the bias-corrected bootstrapping method.

Results
After controlling for education, the results yielded a significant indirect effect of health literacy on diabetes self-care through motivation and self-efficacy. A partially mediating relationship also was confirmed, as there is a positive direct effect of health literacy on diabetes self-care. Furthermore, age groups (i.e., age <40 and ≥ 40) functioned as a moderator of the mediating effects of motivation and self-efficacy between health literacy and diabetes self-care.

Conclusion
This study emphasized the important role of motivation and self-efficacy which play in linking health literacy and self-care behavior, especially for younger diabetic patients with physical disabilities. In the light of these findings, a health-literacy tailored motivation and self-efficacy enhancing program may be key targets for interventions promoting diabetes self-care behaviors in people with physical disabilities.
Major depressive disorder and irritable bowel syndrome risk: A Mendelian randomization study
Authors: Sun Guowei , Jiang Yueyi 
Published: March 2024

Background
Previous studies have revealed a connection between major depressive disorder (MDD) and irritable bowel syndrome (IBS), but it remains obscure if the two diseases are related causally. Mendelian randomization was utilized in this investigation to ascertain whether MDD contributed to the emergence of IBS.

Methods
To examine possible connections between MDD and IBS, we used two-sample Mendelian randomization (MR) utilizing summary data from genome-wide association studies (GWAS). The Psychiatric Genomics Consortium (PGC) provided information on genetic associations with MDD (cases: 135,458; controls: 344,901). The Medical Research Council Integrative Epidemiology Unit (MRC-IEU) provided information on genetic associations with IBS (cases:10,939; controls:451,994). Inverse Variance Weighted (main analyses), MR-Egger regression, Weighted mode, and Weighted Median were the four MR methods used in this investigation. In addition, we also performed multiplicity and heterogeneity analyses to eliminate possible biases.

Results
In the standard Inverse Variance Weighting (IVW) method, an increased risk of IBS was linked to a genetic susceptibility to MDD (OR: 1.01; 95% CI: 1.006 to 1.014, p = 1.02E-07). In addition, neither significant heterogeneity (IVW Q = 24.80, p = 0.73) nor horizontal pleiotropy (MR Egger p = 0.17; MRPRESSO p = 0.54) were detected in this MR analysis. The bidirectional analysis, however, did not show a genetic link between IBD and MDD (p steiger <0.01).

Conclusion
A direct causal relationship between MDD and IBS was revealed by Mendelian randomization study, which contributes to the effective clinical management of both diseases.
Antenatal care service utilization disparities between urban and rural communities in Ethiopia: A negative binomial Poisson regression of 2019 Ethiopian Demography Health Survey
Authors: Endale Fitsum , Negassa Belay , Teshome Tizita , Shewaye Addisu , Mengesha Beyadiglign , Liben Endale , Wake Senahara Korsa 
Published: March 2024

Background
Although there have been consistent improvements in maternal mortality, it remains high in developing countries due to unequal access to healthcare services during pregnancy and childbirth. Thus, this study aimed to further analyze the variations in the number of antenatal care utilizations and associated factors among pregnant women in urban and rural Ethiopia.

Methods
A total of 3962 pregnant women were included in the analysis of 2019 Ethiopian Demographic and Health Survey data. A negative binomial Poisson regression statistical model was used to analyze the data using STATA version 14.0. An incident rate ratio with a 95% confidence interval was used to show the significantly associated variables.

Results
Of the 3962 (weighted 3916.67) pregnant women, about 155 (15.21%) lived in urban and 848 (29.29%) rural residences and did not use antenatal care services in 2019. Women age group 20–24 (IRR = 1.30, 95%CI:1.05–1.61), 25–29 (IRR = 1.56, 95%CI:1.27–1.92), 30–34 (IRR = 1.65, 95%CI:1.33–2.05), and 35–39 years old (IRR = 1.55, 95%CI:1.18–2.03), attending primary, secondary, and higher education (IRR = 1.18, 95%CI:1.07–1.30), (IRR = 1.26, 95%CI:1.13–1.42) and (IRR = 1.25, 95%CI:1.11–1.41) respectively, reside in middle household wealth (IRR = 1.31, 95%CI:1.13–1.52), richer (IRR = 1.45, 95%CI:1.26–1.66) and richest (IRR = 1.68, 95%CI:1.46–1.93) increases the number of antenatal care utilization among urban residences.
While attending primary (IRR = 1.34, 95%CI:1.24–1.45), secondary (IRR = 1.54, 95%CI:1.34–1.76) and higher education (IRR = 1.58, 95%CI:1.28–1.95), following Protestant (IRR = 0.76, 95%CI:0.69–0.83), Muslim (IRR = 0.79, 95%CI:0.73–0.85) and Others (IRR = 0.56, 95%CI:0.43–0.71) religions, reside in poorer, middle, richer, and richest household wealth (IRR = 1.51, 95%CI:1.37–1.67), (IRR = 1.66, 95%CI:1.50–1.83), (IRR = 1.71, 95%CI:1.55–1.91) and (IRR = 1.89, 95%CI:1.72–2.09) respectively, being married and widowed/separated (IRR = 1.85, 95%CI:1.19–2.86), and (IRR = 1.95, 95%CI:1.24–3.07) respectively were significantly associated with the number of antenatal care utilization among rural residences.

Conclusion
The utilization of antenatal care is low among rural residents than among urban residents. To increase the frequency of antenatal care utilization, health extension workers and supporting actors should give special attention to pregnant women with low socioeconomic and educational levels through a safety-net lens.
Město versus pospolitost?
Authors: Pinc Zdeněk 
Published: March 2024

The explanation of the notions 'Gemeinschafť (community) and 'Gesellschafť (society) from Tönnies's positions. The writer's idea is based on the assumption that human behavior has since the most ancient times a talent for both of these links. The link of the type 'Gemeinschafť appears inside intimate communities of the kinship character, while the link of the type 'Gesellschafť appears in the inter-group non-intimate contact at the level of ceremonial assemblies of tribes as well as random contacts with foreigners. With this background the writer follows the concept of "enemy," aggressiveness and distinction into "them" and "us," the role of rituals, myths and cultural patterns in self-identification and group distinction. Attention is paid to both types of links in town, in the cross-section from the ancient era to the present time. He highlights three strategies of the building of relationships in urban society: separation and mask of indifference as a self-defense against a pressume by a mass of people among whom the urban resident lives, a strict distinction of the zone of intimacy and public zones as well as the need to be easily and rapidly oriented who of many people enjoys authority in this or that situation. Industrial revolution which triggered a social experiment which on the one hand liquidated the social basis of the community of the type 'Gemeinschafť, namely a several-generation family, and put forward a Utopian project of the welfare state ready to take care of every man on the other. Nowadays few things have remained from the ideological arsenal of these experiments. The distinction between 'Gemeinschafť and 'Gesellschafť has vanished in the global village. In the mass society a caricature of democracy combines with the defense of the values of traditional community, mainly represented by mafia. In the course of a number of previous clecades inter-generational solidarity has been virtually liquidated in the major part of the world. The post-industrial era has seen an end of the myth of originality as a sense of human life. In the past two centuries, which means exactly since the era of Napoleon wars, diverse types of projects trying with maximum energy to create a "new man" have been invented and, unfortunately, with an equal energy materialized . This has been the homo economicus, the communist, the man of a special type, the blonde beast, the child of love and flowers, the last generation, or permanently sustainable ecoactivist, to name but a few. However, all of this has been survived by the conformist, the "old man." Despite constant defeats he has come through history and now he is doing extremely well, actually much better than ever before.
Access and Participation: The use of Technologies as tools for Inclusion by Spanish University Lecturers
Authors: Sanchez Diaz Maria de las Nieves , Morgado Beatriz , Seale Jane 
Published: March 2024

Spanish face-to-face universities experience constant challenges that threaten the inclusion of students with disabilities. Adopting inclusive pedagogies can support universities to develop a more inclusive approach. This paper explores the extent to which the use of technology influences the inclusive pedagogies of Spanish university lecturers. In particular, we focus on how lecturers use technologies to promote student participation and accessibility in Spanish institution. A qualitative methodology involving semi-structured in-depth interviews with 42 Spanish face-to-face universities experience constant challenges that threaten the inclusion of students with disabilities. Adopting inclusive pedagogies can support universities to develop a more inclusive approach. This paper explores the extent to which the use of technology influences the inclusive pedagogies of Spanish university lecturers. In particular, we focus on how lecturers use technologies to promote student participation and accessibility in Spanish institution. A qualitative methodology involving semi-structured in-depth interviews with 42 Spanish university lecturers regarding their inclusive practices and use of technology was employed. The results contribute four fundamental findings: (a) Lecturers who practise inclusive pedagogy can be differentiated as proactive or reactive; (b) University lecturers place greater emphasis on the use of technology as a promoter of accessibility rather than as a tool to promote participation; (c) There is a disconnect between knowledge of universal design for learning and the use of the technologies; and (d) The full transformative potential of technologies to facilitate the inclusion of learners with disabilities is not being harnessed. All these results allow us to highlight some key points about the use of technological tools in the application of inclusive pedagogy in university classrooms.
Implications for practice or policy: • Spanish face-to-face universities still need to harness the full transformative potential of technologies to facilitate student inclusion. • There is a need for more professional development programmes within higher education institutions that focus on the potential of technologies to promote inclusion. • Universities have an important role to play in promoting the use of technological tools to ensure accessibility and participation of all students, especially students with disabilities.
The existence and multiplicity of L
2-normalized solutions to nonlinear Schrödinger equations with variable coefficients
Authors: Ikoma Norihisa , Yamanobe Mizuki 
Published: March 2024

Abstract
The existence of L
2–normalized solutions is studied for the equation

−
Δ
u
+
μ
u
=
f

(

x
,
u

)

in

R

N

,

∫

R

N

u

2

d
x
=
m
.

$-{\Delta}u+\mu u=f\left(x,u\right)\quad \quad \text{in} {\mathbf{R}}^{N},\quad {\int }_{{\mathbf{R}}^{N}}{u}^{2} \mathrm{d}x=m.$

Here m > 0 and f(x, s) are given, f(x, s) has the L
2-subcritical growth and (μ, u) ∈ R × H
1(R

N
) are unknown. In this paper, we employ the argument in Hirata and Tanaka (“Nonlinear scalar field equations with L
2 constraint: mountain pass and symmetric mountain pass approaches,” Adv. Nonlinear Stud., vol. 19, no. 2, pp. 263–290, 2019) and find critical points of the Lagrangian function. To obtain critical points of the Lagrangian function, we use the Palais–Smale–Cerami condition instead of Condition (PSP) in Hirata and Tanaka (“Nonlinear scalar field equations with L
2 constraint: mountain pass and symmetric mountain pass approaches,” Adv. Nonlinear Stud., vol. 19, no. 2, pp. 263–290, 2019). We also prove the multiplicity result under the radial symmetry.
Developing ANFIS-FMEA model for assessment and prioritization of potential trouble factors in Iraqi building projects
Authors: Mahdi Alaa Mohsin , Erzaij Kadhim Raheim 
Published: March 2024

Abstract
The “Failure Mode and Effects Analysis” (FMEA) is a widely recognized and practical method in reliability engineering. Its primary objective is to investigate, identify, and prioritize potential failure modes in a given system, design, operation, or service. However, it possesses several limitations. The present research employs a novel hybrid assessment model that combines the conventional FMEA with the “Adaptive Neuro-Fuzzy Inference System” (ANFIS) technique and “Fuzzy Analytic Hierarchy Process” (FAHP) method. The aim is to overcome the limitations of conventional FMEA and establish a system-based decision model that can serve as an efficient tool for evaluating and ranking potential trouble factors in construction projects, identifying suitable responses promptly and assisting the project management team in recovering troubled projects. The model proposed utilized the amalgamated impact (I
T) of cost and time, both of which are gauged via fuzzy AHP, alongside the Probability of Occurrence (P) and the degree of detection and control for potential trouble factors (DCD), as the basis for decision-making criteria, This (decision) is achieved by computing a trouble priority number. The hybrid approach was utilized to assess trouble factors in troubled construction projects. The findings demonstrate that the FMEA-ANFIS-FAHP model can provide a better assessment of trouble factors in construction projects experiencing difficulties. The hybrid model is a viable alternative to the conventional FMEA approach, as it mitigates various limitations and weaknesses inherent in the latter. Additionally, the hybrid model circumvents the need for many experts and expedites the assessment process.
Evaluation of mechanically stabilized earth retaining walls for different soil–structure interaction methods: A review
Authors: Falah Mayadah W. , Muteb Haitham Hassan 
Published: March 2024

Abstract
The method for soil preservation has been completely revolutionized thanks to internally reinforced walls. Although such walls have gained significant awareness in many parts of the globe, this construction technique has only been extensively utilized lately. The primary reason may be that the costs associated with constructing such walls are likely higher than those associated with constructing conventional externally reinforced walls. The construction methods involved may be excessively time demanding. The term “mechanically stabilized Earth systems” refers to an internally stabilized fill structure that is made up of an unreinforced concrete levelling pad, precast concrete face panel units and coping units, selected granular backfill (reinforced backfill), a subsurface drainage system, and reinforcing elements (high-strength, metallic, or polymeric inclusions) to create a reinforced soil mass which is utilized to stabilize the backfill. The purpose of this article is to provide a historical overview of the mechanically stabilized Earth retaining walls by focusing on the necessary aspects required for their design, as well as to discuss how the change of the characteristics of the soil influences lateral displacements and stress responses that occur under various ground movements. The results of this study lead to the conclusion that the dynamic behaviour of the cantilever wall is very sensitive to the frequency characteristics of the seismic record and the interaction between the soil and the structure.
Combined system of additive functional equations in Banach algebras
Authors: Donganont Siriluk , Park Choonkil 
Published: March 2024

Abstract
In this study, we solve the system of additive functional equations:

h

(

x
+
y

)

=
h

(

x

)

+
h

(

y

)

,

g

(

x
+
y

)

=
f

(

x

)

+
f

(

y

)

,

2
f

x
+
y

2

=
g

(

x

)

+
g

(

y

)

,

\left\{\begin{array}{l}h\left(x+y)=h\left(x)+h(y),\\ g\left(x+y)=f\left(x)+f(y),\\ 2f\left(\frac{x+y}{2}\right)=g\left(x)+g(y),\end{array}\right.

and we investigate the stability of (homomorphism, derivation)-systems in Banach algebras.
Between life course regimes and biographical orientations: labour market trajectories of refugee mothers in Germany from a gendered perspective
Authors: Menke Katrin 
Published: March 2024

Abstract
After arrival, refugees face the challenge of reordering their biographies in new social contexts that are framed by certain life course policies, institutionalised bureaucratic processes and norms. How do processes of adherence to and adaptation of familiar routines and orientations take shape among refugee women with care responsibilities in Germany? Following on from existing literature on life course, refugee and biographical research, this article enriches current research by adding a gender-sensitive analysis of the labour market trajectories of refugee mothers in Germany. Based on biographically oriented interviews with 22 women with children who fled to Germany from predominantly Arab countries between 2015 and 2020, two findings are presented and discussed: a) different phases of arrival framed by different life course policies and norms unfold in various bureaucratic settings, and b) three different labour market orientations and strategies depending on the women’s biographical orientations, their renegotiation in unfamiliar environments and the life stage the women currently find themselves in. The results provide new insights into the biographical trajectories of refugee women’s labour market participation and challenge a predominantly static view of this group as homogeneous in terms of qualifications, care responsibilities and employment aspirations.