bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring how non-clinical factors in childbirth care shape users’ experiences in public health facilities in rural Chiapas, Mexico: a qualitative study using the WHO health systems responsiveness framework
Authors: Aranda Zeus , Caamal Viviana , Montaño Mariana , Bernal Daniel , Meneses Sergio 
Published: February 2024

Abstract
Introduction
Many Mexicans face barriers to receive delivery care from qualified professionals, especially indigenous and poor sectors of the population, which represent most of the population in the state of Chiapas. When access to institutional delivery care is an option, experiences with childbirth care are often poor. This underscores the need for evidence to improve the quality of services from the user’s perspective. The present study was conceived with the objective of understanding how non-clinical aspects of care shape women’s birthing experiences in public health institutions in Chiapas.

Methods
We conducted an exploratory qualitative study. Data collection consisted in 20 semi-structured interviews to women who had delivered in a public health facility in Chiapas during the last six months prior to the interview. For the design of the interview guide we used the WHO health system responsiveness framework, which focus on the performance of the health system in terms of the extent to which it delivers services according to the “universally legitimate expectations of individuals” and focuses on the non-financial and non-clinical qualities of care. The resulting data were analyzed using thematic analysis methodology.

Results
We identified a total of 16 themes from the data, framed in eight categories which followed the eight domains of the WHO health systems responsiveness framework: Choice of the provider and the facility, prompt attention, quality of basic amenities, access to social support, respectful treatment, privacy, involvement in decisions, and communication. We shed light on the barriers women face in receiving prompt care, aspects of health facilities that impact women’s comfort, the relevance of being provided with adequate food and drink during institutional delivery, how accompaniment contributes positively to the birthing experience, the aspects of childbirth that women find important to decide on, and how providers’ interpersonal behaviors affect the birthing experience.

Conclusions
We have identified non-clinical aspects of childbirth care that are important to the user experience and that are not being satisfactorily addressed by public health institutions in Chiapas. This evidence constitutes a necessary first step towards the design of strategies to improve the responsiveness of the Chiapas health system in childbirth care.
The impact of blood lactic acid levels on retinopathy of prematurity morbidity
Authors: Zhao Congcong , Sun Zhihong , Chen Hongming , Li Kaili , Sun Huiqing 
Published: February 2024

Abstract
Background
Retinopathy of prematurity (ROP) is a common disease in premature infants. In recent years, most researchers have used lactic acid as poor prognosis marker in premature infants. This study aims to explore investigate the impact of blood lactic acid levels on ROP.

Methods
A retrospective case-control study was conducted, and infants with severe ROP born with birth weight (BW) ≤ 1500 g and gestational age (GA) ≤ 32 weeks were enrolled from November 2016 to November 2021. Infants without any stage ROP were included as controls and were matched with ROP infants (1:2) by GA and BW. All selected preterm infants were tested for heel terminal trace blood gas analysis within two weeks of life. Changes in blood lactic acid levels in the two groups were compared and analyzed by using multivariate logistic regression analysis. Sensitivity and specificity were analyzed by receiver operating characteristic (ROC) curve.

Results
There were 79 infants in ROP group, and 158 infants in control group. The levels of blood lactic acid were significantly higher in the ROP group on days 1, 3, 5, and 7 compared with control group (all p < 0.05). The blood lactic acid levels on day 5 was an independent risk factor for ROP (p = 0.017). The area under the curve (AUC), sensitivity and specificity were highest on day 5 (AUC 0.716, sensitivity 77.2% and specificity 62.0%, respectively, p < 0.001), and higher on days 1, 3, and 7.

Conclusion
A high blood lactic acid level in the first seven days of life may be associated with increases ROP occurrence in very preterm infants, and suggest blood lactic acid level may impact the occurrence of ROP.
Development of a psychological health promotion intervention for ultra-orthodox Jewish mothers of children with ADHD using the intervention mapping protocol
Authors: Budman Jennifer R. , Maeir Adina 
Published: February 2024

Abstract
Background
Attention Deficit Hyperactivity Disorder (ADHD) is a common neuro-developmental health condition in children and adolescents, in which its associated behavior manifestations are known to negatively affect members of the family unit, especially mothers. Ultra-orthodox Jewish (UOJ) community is growing globally and mothers of children with ADHD in this community are potentially at risk for negative health outcomes. As the UOJ community is culturally conservative, maintaining a distinct separation from outside influences, they often avoid utilizing public mental health services due to stigma and a lack of culturally sensitive treatments. Thus, this study aimed to develop a theory-driven and culturally appropriate psychological health promotion intervention for these mothers using the Intervention Mapping protocol.

Methods
A mixed-method design was used. Qualitative content analysis was performed on four focus groups (n=25). Additionally, descriptive statistics including the content validity index was used to measure feedback regarding the developed intervention protocol’s relevance, effectiveness, and appropriateness Theoretical models for behavior change, including the Behavior Change Wheel’s COM-B system and the Theoretical Domains Framework, and literature on ADHD in the general population and the ultra-orthodox community were integrated in the process. Intervention components were systematically derived from findings.

Results
Key determinants of health behavior change were identified, resulting in formulating intervention objectives addressing stigma reduction surrounding ADHD, increasing knowledge about the ADHD condition and treatment, awareness of the school systems’ capabilities in meeting the ADHD child’s needs, enhancing mothers’ advocacy skills, and maternal self-care. Intervention? strategies included a group setting, providing information on health consequences, social support, re-attribution, active learning, goal setting, and promoting an identity associated with the desired behavior change. Mothers’ quantitative feedback confirmed the overall relevance, effectiveness, and appropriateness of the interventions’ content (CVIavg= .86, .85, .87).

Conclusions
Intervention Mapping facilitated the development of a culturally sensitive psychological health promotion intervention for ultra-orthodox Jewish mothers of children with ADHD. Further research is warranted to assess intervention feasibility and effectiveness.
Activities used by evidence networks to promote evidence-informed decision-making in the health sector– a rapid evidence review
Authors: Garavito Germán Andrés Alarcón , Moniz Thomas , Mansilla Cristián , Iqbal Syka , Dobrogowska Rozalia , Bennin Fiona , Talwar Shivangi , Khalid Ahmad Firas , Vindrola-Padros Cecilia 
Published: February 2024

Abstract
Background
Evidence networks facilitate the exchange of information and foster international relationships among researchers and stakeholders. These networks are instrumental in enabling the integration of scientific evidence into decision-making processes. While there is a global emphasis on evidence-based decision-making at policy and organisational levels, there exists a significant gap in our understanding of the most effective activities to exchange scientific knowledge and use it in practice. The objective of this rapid review was to explore the strategies employed by evidence networks to facilitate the translation of evidence into decision-making processes. This review makes a contribution to global health policymaking by mapping the landscape of knowledge translation in this context and identifying the evidence translation activities that evidence networks have found effective.

Methods
The review was guided by standardised techniques for conducting rapid evidence reviews. Document searching was based on a phased approach, commencing with a comprehensive initial search strategy and progressively refining it with each subsequent search iterations. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement was followed.

Results
The review identified 143 articles, after screening 1135 articles. Out of these, 35 articles were included in the review. The studies encompassed a diverse range of countries, with the majority originating from the United States (n = 14), followed by Canada (n = 5), Sweden (n = 2), and various other single locations (n = 14). These studies presented a varied set of implementation strategies such as research-related activities, the creation of teams/task forces/partnerships, meetings/consultations, mobilising/working with communities, influencing policy, activity evaluation, training, trust-building, and regular meetings, as well as community-academic-policymaker engagement.

Conclusions
Evidence networks play a crucial role in developing, sharing, and implementing high-quality research for policy. These networks face challenges like coordinating diverse stakeholders, international collaboration, language barriers, research consistency, knowledge dissemination, capacity building, evaluation, and funding. To enhance their impact, sharing network efforts with wider audiences, including local, national, and international agencies, is essential for evidence-based decision-making to shape evidence-informed policies and programmes effectively.
Nanopore targeted sequencing-based diagnosis of central nervous system infections in HIV-infected patients
Authors: Yang Xihong , Zhou Shuilian , Chang Ziwei , Xi Xiaotong , Li Jiahui , Miao Mengjiao , Chen Yaling , Chen Wei , Zhang Hongying , Ding Ran , Hu Zhiliang 
Published: February 2024

Abstract
Background
Early and accurate etiological diagnosis is very important for improving the prognosis of central nervous system (CNS) infections in human immunodeficiency virus (HIV)-infected patients. The goal is not easily achieved by conventional microbiological tests. We developed a nanopore targeted sequencing (NTS) platform and evaluated the diagnostic performance for CNS infections in HIV-infected patients, with special focus on cryptococcal meningitis (CM). We compared the CM diagnostic performance of NTS with conventional methods and cryptococcal polymerase chain reaction (PCR).

Methods
This study included 57 hospitalized HIV-infected patients with suspected CNS infections from September 2018 to March 2022. The diagnosis established during hospitalization includes 27 cases of CM, 13 CNS tuberculosis, 5 toxoplasma encephalitis, 2 cytomegalovirus (CMV) encephalitis and 1 Varicella-zoster virus (VZV) encephalitis. The 2 cases of CMV encephalitis also have co-existing CM. Target-specific PCR amplification was used to enrich pathogen sequences before nanopore sequencing. NTS was performed on stored cerebrospinal fluid (CSF) samples and the results were compared with the diagnosis during hospitalization.

Results
53 (93.0%) of the patients were male. The median CD4 cell count was 25.0 (IQR: 14.0–63.0) cells/uL. The sensitivities of CSF culture, India ink staining, cryptococcal PCR and NTS for CM were 70.4% (95%CI: 51.5 − 84.1%), 76.0% (95%CI: 56.6 − 88.5%), 77.8% (59.2 − 89.4%) and 85.2% (95%CI: 67.5 − 94.1%), respectively. All those methods had 100% specificity for CM. Our NTS platform could identify Cryptococcus at species level. Moreover, NTS was also able to identify all the 5 cases of toxoplasma encephalitis, 2 cases of CMV encephalitis and 1 VZV encephalitis. However, only 1 of 13 CNS tuberculosis cases was diagnosed by NTS, and so did Xpert MTB/RIF assay.

Conclusions
NTS has a good diagnostic performance for CM in HIV-infected patients and may have the ability of simultaneously detecting other pathogens, including mixed infections. With continuing improving of the NTS platform, it may be a promising alterative microbiological test for assisting with the diagnosis of CNS infections.
Dancing and Rapping the Good Life: Sharing Aspirations and Values in Vietnamese Hip-Hop
Authors: Kurfürst Sandra 
Published: February 2024

Abstract
Rap and hip-hop's diverse dance styles have been practiced in Vietnam since the 1990s, shortly after the country's integration into the world economy. What started out as a sphere of popular culture dominated by men was soon appropriated by female artists. The female rapper Suboi, Vietnam's “Queen of Rap,” is internationally renowned, and more and more young women are engaging in dancing on the streets. This article investigates the aspirations of female hip-hop practitioners in Vietnam's major cities, Hanoi and Ho Chi Minh City. What does leading the good life mean to them, and how do they navigate the ambiguous moral landscape coproduced by authoritarianism and liberalism? Drawing on Aihwa Ong's (2008) concept of self-fashioning and AbdouMaliq Simone's (2019) practices of crafting, harvesting, and detachment, this article examines how young women use hip-hop as a creative device to achieve personal freedom and make a career for themselves. Carving out spaces for themselves in the male-dominated rap industry and dance community, they negotiate existing gender norms in both the music genre and Vietnam's urban society.
Misdiagnosis of synovial sarcoma - cellular myofibroma with SRF-RELA gene fusion: A case report
Authors: Zhou Ying , Sun Yi-Wen , Liu Xiao-Yang , Shen Dan-Hua 
Published: February 2024

BACKGROUND
Cellular myofibroma is a rare subtype of myofibroma that was first described in 2017. Its diagnosis is often challenging because of its relative rarity, lack of known genetic abnormalities, and expression of muscle markers that can be confused with sarcomas that have myogenic differentiation. Currently, scholars have limited knowledge of this disease, and published cases are few. Further accumulation of diagnostic and treatment experiences is required.
CASE SUMMARY
A 16-year-old girl experienced left upper limb swelling for 3 years. She sought medical attention at a local hospital 10 months ago, where magnetic resonance imaging revealed a 5-cm soft tissue mass. Needle biopsy performed at a local hospital resulted in the diagnosis of a spindle cell soft tissue sarcoma. The patient was referred to our hospital for limb salvage surgery with endoprosthetic replacement. She was initially diagnosed with a synovial sarcoma. Consequently, clinical management with chemotherapy was continued for the malignant sarcoma. Our pathology department also performed fluorescence in situ hybridization for result validation, which returned negative for SS18 gene breaks, indicating that it was not a synovial sarcoma. Next-generation sequencing was used to identify the SRF-RELA rearrangement. The final pathological diagnosis was a cellular/myofibroblastic neoplasm with an SRF-RELA gene fusion. The patient had initially received two courses of chemotherapy; however, chemotherapy was discontinued after the final diagnosis.
CONCLUSION
This case was misdiagnosed because of its rare occurrence, benign biological behavior, and pathological similarity to soft tissue sarcoma.
A Case Report of Giant Splenic Artery Pseudoaneurysm with Splenic Infarctions
Authors: Yashas Ullas Lokesh  , Anees Dudekula  , Revanth Ravindra Bhat  , Guru Yogendra Muthyala  , Suprith Jaya Shankar  
Published: February 2024

The splenic artery is a frequently affected site for pseudoaneurysms, abnormal bulges in the artery wall. Pseudoaneurysms of the splenic artery are typically linked to pancreatic issues, including acute pancreatitis, chronic pancreatitis, and the formation of pancreatic pseudocysts.[1,2,3,4] These pseudoaneurysms can rupture into nearby organs, leading to gastrointestinal bleeding.[5] Common symptoms associated with splenic artery pseudoaneurysms include the passage of bloody stools (hematochezia) or dark, tarry stools (melena), vomiting blood (hematemesis), abdominal pain, and a condition known as hemosuccus pancreaticus.[6] In the instance of our patient, hematemesis, anaemia, and stomach pain were observed.[6]
The preferred imaging method for diagnosing splenic artery pseudoaneurysm is CT angiography.[7] Diagnosing a pseudoaneurysm of the splenic artery can be challenging due to its rarity. Still, splenic infarct can provide a valuable diagnostic clue, as was the case similar to our patient.[6]
Pseudoaneurysm of the splenic artery is a relatively rare complication with associated pancreatitis.[1] While pseudoaneurysms can develop in any blood vessel near the pancreas, the splenic artery is most frequently affected, accounting for about 60% of cases due to its proximity to the pancreas.[8] In autopsy studies, the reported incidence of splenic artery pseudoaneurysms ranges from approximately 0.098% to 10.4%.[9] Identifying this less common vascular complication is crucial because it has the potential to rupture and lead to gastrointestinal bleeding.[5]
SELECCIÓN DE UN PORTAFOLIO EFICIENTE CON ACCIONES DE LA BOLSA DE VALORES DE COLOMBIA
Authors: Cortes Cortes Jorge Alexander , Bravo Murillo Wilmar Arnulfo 
Published: February 2024

El OBJETIVO: Analizar la compensación entre el riesgo y el rendimiento esperado, con el ánimo de obtener un portafolio óptimo de las acciones más representativas que cotizan en la Bolsa de Valores de Colombia según el índice COLCAP, tomando como base la teoría de Markowitz. MATERIALES Y MÉTODOS: La construcción del portafolio eficiente se ejecuta partiendo del índice COLCAP que muestra las acciones más líquidas del mercado bursátil colombiano, para el caso, en el lapso comprendido entre el 2015 y el 2019. En ese contexto la recolección de información se da a partir de fuentes secundarias tomando como base el histórico COLCAP. Así, se da el enfoque cualitativo por el análisis de capitalización bursátil y volatilidad. Descriptivo por el estudio y comprensión del enfoque precedente, y deductivo e inductivo para la selección de las acciones más líquidas, en aras de construir el portafolio de inversión eficiente que se desea. Todo enmarcado en la teoría del portafolio de Markowitz enfocada en la diversificación dada por la compensación entre el riesgo y la rentabilidad con el fin de maximizar la rentabilidad. Bajo ese contexto, se ejecutan métodos matemáticos para análisis de los datos como lo son la teoría del Beta, indicando la

rentabilidad variable de una acción demostrando su sensibilidad histórica y su dirección en contraste al mercado respectivo. Dicho cálculo se implementa fundamentado en el método Copeland y Weston por su facilidad y reconocimiento en donde se hace uso de la covarianza entre la acción y el mercado y la varianza misma del mercado. Por último y no menos importante, con el modelo CAPM que juega un papel importante en el marco de la valoración de activos financieros y el análisis de rentabilidad en relación con el riesgo se propende por ocasionar una conexión entre el riesgo sistemático y la rentabilidad respecto a un nivel alto de riesgo atado a un aumento directo en la rentabilidad. RESULTADOS Y DISCUSIÓN: De esta investigación en curso, los resultados estarán dados con base en la obtención de las Betas, para determinar su riesgo y comportamiento en el mercado con base en el sector al cual pertenezca la acción y que a su vez pertenezca al índice COLCAP vigente CONCLUSIONES: Los inversionistas institucionales como los fondos de pensiones, firmas comisionistas y las grandes empresas, realizan esfuerzos en el diseño de portafolios de inversión que permitan maximizar la rentabilidad y disminuir la exposición al riesgo. Las fluctuaciones en la tasa de interés, la tasa de cambio, la tasa de créditos hipotecarios y el precio de las acciones debido a la volatilidad de los precios del mercado han provocado que estas instituciones exploren técnicas y modelos que permitan la conformación de portafolios eficientes.
Pengembangan Spot Play Ground sebagai Tempat Wisata Edukasi di Wisata Alam Sawung Padi Desa Wonokerso
Authors: Bachtiar Muhammad Affan , Ali Khoharudin , Aji Miping Purmisanto , Aditya Muhammad Alif , Ansyorie Mohammad Musthofa Al 
Published: February 2024

Wonokerso Village is situated in the Pakisaji District of Malang Regency. The village boasts a sawung padi agro-tourism area, which serves as an educational tourism destination for the community. The village government and local farmers manage this agro-tourism site. The addition of a playground is expected to attract more tourists to Wonokerso Village. Taking a tour of the village can be a refreshing experience for those passing through. The development of Sawung Padi agro-tourism has resulted in the creation of a playground, which is a significant achievement for the village. Wonokerso Village is a heavily travelled industrial village. There are also plans to further develop Wonokerso Village into a tourist destination in the future. Additionally, the goals of this development project for the partner village include reporting, journal publications, intellectual property rights, and other related objectives.
Desa Wonokerso terletak di Kecamatan Pakisaji, Kabupaten Malang. Desa ini memiliki kawasan agrowisata sawung padi yang menjadi tujuan wisata edukasi bagi masyarakat. Pemerintah desa dan petani setempat mengelola tempat agrowisata ini. Penambahan taman bermain diharapkan dapat menarik lebih banyak wisatawan ke Desa Wonokerso. Berkeliling desa dapat menjadi pengalaman yang menyegarkan bagi mereka yang melewatinya. Pengembangan agrowisata Sawung Padi telah menghasilkan taman bermain, yang merupakan pencapaian signifikan bagi desa. Desa Wonokerso merupakan desa industri yang ramai dikunjungi. Ada juga rencana untuk mengembangkan Desa Wonokerso lebih lanjut menjadi tujuan wisata di masa depan. Selain itu, tujuan dari proyek pengembangan ini untuk desa mitra meliputi pelaporan, publikasi jurnal, HKI, dan tujuan terkait lainnya.
“TU JÁ PODE SER ENTERRADO”: ESPAÇOS FUNERÁRIOS NO RIO MAPUÁ (PA)
Authors: Costa Eliane Miranda 
Published: February 2024

O texto apresenta reflexões acerca dos espaços funerários no rio Mapuá, município de Breves, arquipélago do Marajó. Trata-se de três espaços, um referente a ocupação milenar e dois de ocupações secular. Procura responder: como os espaços funerários são percebidos pelos moradores do rio Mapuá no contemporâneo? O que esses espaços narram em relação a ocupação na floresta amazônica? O que eles contam sobre as pessoas e o modo de vida do passado? Combinando dados bibliográficos e empíricos revela que os moradores percebem os espaços de forma diferenciada: o espaço funerário indígena, constantemente reocupado, não é percebido como um cemitério; os espaços históricos é entendido como resultado da economia da borracha e reflete o poder aquisitivo dos sujeitos enterrados. Ambos os espaços revelam como o território marajoara é ocupado a partir da invasão colonial, o que os tornam importantes chaves para desvendar a organização social da floresta amazônica.