bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barriers to healthcare data quality and recommendations in public health facilities in Dire Dawa city administration, eastern Ethiopia: a qualitative study
Authors: Tolera Abebe , Firdisa Dawit , Roba Hirbo Shore , Motuma Aboma , Kitesa Monas , Abaerei Admas Abera 
Published: March 2024

BackgroundMaintaining good quality of healthcare data at various levels is a critical challenge in developing countries. The barriers to healthcare data quality remain largely unexplored in eastern Ethiopia.ObjectiveThis study aimed to assess the barriers to quality of healthcare data in urban public health facilities in the Dire Dawa city administration from 7 April to 7 May 2019.MethodsAn institutional-based qualitative exploratory approach was used among 17 purposefully selected key informants. In-depth interviews were inductively coded using the ATLAS.ti 7.5.4 version software. Inductive analysis was used by semantically analyzing the explicit content of the data to determine our themes.ResultsSeveral key themes and subthemes with different barriers, some of which are mutually non-exclusive, were identified. These include: Organizational Barriers: Lack of an adequate health management information system and data clerk staff, poor management commitment, lack of post-training follow-up, work overload, frequent duty rotation, lack of incentives for good performers, lack of targeted feedback, and poor culture of information use. Behavioral/Individual Barriers: Gaps in the skill of managers and health professionals, lack of adequate awareness of each indicator and its definitions, inadequate educational competence, lack of feeling of ownership, poor commitment, lack of daily tallying, and lack of value for data. Technical Barriers: Lack of a standard form, diverse and too many data entry formats, manual data collection, shortage of supplies, failure to repair system break down in a timely manner, interruption in electricity and network, delay in digitizing health information systems, lack of post-training follow-up, and inadequate supervision. External Barriers: Poor collaboration between stakeholders, dependence on the software program of non-governmental organizations, and very hot weather conditions.ConclusionDiverse and complex barriers to maintenance of data quality were identified. Developing standardized health management information system implementation plans, providing advanced supervisory-level training, supportive supervision, and site-level mentorship may be very effective in identifying and resolving bottleneck data quality issues. Healthcare managers should understand the imperative of data quality and accept responsibility for its improvement and maintenance. Interventions targeted only at supplies will not fully overcome limitations to data quality. Motivation of staff and recognition of best performance can motivate others and can create cooperation among staff.
The heterogeneous impacts of environmental technologies and research and development spending on green growth in emerging economies: the moderating role of financial globalization
Authors: Borojo Dinkneh Gebre 
Published: March 2024

Introduction: Understanding the heterogeneous impacts of environmental technologies (ETs), research and development (RD) spending and financial globalization (FG) on green economic growth (GEG) is worthwhile to promote progress toward GEG. Besides, exploring the moderating role of FG is essential to uncover the nuanced dynamics that shape the relationship between ET, RD, GEG, and the influence of global financial integration. Thus, this study examines the effects of ET, RD and FD on GEG in emerging market economies (EMEs). In addition, we investigate the moderating role of FG on the effects of ETs and RD on GEG.Methods: The method of moments quantile regression (MMQR) is applied using a fixed effects model that can capture distributional heterogeneity and nonnormality concerns for the panel of 25 EMEs from 2000 to 2019. In addition, other alternative models are applied to conduct robustness analysis. We use green total factor productivity (GP) to proxy for GEG using the Malmquist–Luenberger Productivity Index (MLPI) strategy based on the directional distance function (DDF).Results and discussion: The findings imply that ETs significantly impact GEG, revealing evidence that promoting environmental innovation positively contributes to GEG progress in EMEs. Likewise, RD promotes GEG progression in EMEs. Additionally, FG positively impacts GEG. FG also positively moderates the effects of ETs and RD on GEG, implying that countries open to FG can better harness the positive roles of investment in ETs and RD on GEG in EMEs. Therefore, policymakers should develop prudent policies to encourage ETs and RD to promote GEG in EMEs, which aligns with the goals of controlling climate variation (SDG-13) and fostering innovation (SDG-9) to promote GEG in EMEs.
Circadian disruption dysregulates lung gene expression associated with inflammatory lung injury
Authors: Casanova Nancy G. , De Armond Richard L. , Sammani Saad , Sun Xiaoguang , Sun Belinda , Kempf Carrie , Bime Christian , Garcia Joe G. N. , Parthasarathy Sairam 
Published: March 2024

RationaleCircadian systems drive the expression of multiple genes in nearly all cells and coordinate cellular-, tissue-, and system-level processes that are critical to innate immunity regulation.ObjectiveWe examined the effects of circadian rhythm disorganization, produced by light shift exposure, on innate immunity-mediated inflammatory lung responses including vascular permeability and gene expression in a C57BL/6J murine model of inflammatory lung injury.MethodsA total of 32 C57BL/6J mice were assigned to circadian phase shifting (CPS) with intratracheal phosphate-buffered saline (PBS), CPS with intratracheal lipopolysaccharide (LPS), control (normal lighting) condition with intratracheal PBS, and control condition with intratracheal LPS. Bronchoalveolar lavage (BAL) protein, cell counts, tissue immunostaining, and differentially expressed genes (DEGs) were measured in lung tissues at 2 and 10 weeks.Measurements and resultsIn mice exposed to both CPS and intratracheal LPS, both BAL protein and cell counts were increased at both 2 and 10 weeks compared to mice exposed to LPS alone. Multiple DEGs were identified in CPS–LPS-exposed lung tissues compared to LPS alone and were involved in transcriptional pathways associated with circadian rhythm disruption, regulation of lung permeability, inflammation with Rap1 signaling, and regulation of actin cytoskeleton. The most dysregulated pathways included myosin light chain kinase, MAP kinase, profilin 2, fibroblast growth factor receptor, integrin b4, and p21-activated kinase.ConclusionCircadian rhythm disruption results in exacerbated immune response and dysregulated expression of cytoskeletal genes involved in the regulation of epithelial and vascular barrier integrity—the mechanistic underpinnings of acute lung injury. Further studies need to explore circadian disorganization as a druggable target.
Correlation between body composition and disease severity in patients with chronic obstructive pulmonary disease
Authors: Jin Xiaohan , Yang Yu , Chen Guangmei , Shao Yue , Liu Chang , Li Rong , Liu Yazhuo , Zhang Lichuan 
Published: March 2024

BackgroundBody composition changes are important extrapulmonary manifestations in chronic obstructive pulmonary disease (COPD) patients. This study aimed to investigate the characteristics of body composition in patients with COPD, and its correlation with disease severity.MethodsA total of 105 COPD patients admitted to Zhongshan Hospital affiliated to Dalian University, from May 1, 2021 to January 31, 2023, were included as the COPD group, and 105 subjects without COPD were enrolled as the control group during the same period. According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) comprehensive assessment indicators, COPD patients were divided into groups: the degree of pulmonary function airflow limitation was grouped according to FEV1%pred; clinical symptoms were grouped according to mMRC scores and CAT scores; the risk of acute exacerbation was divided into low risk and high risk groups. Body composition was measured by bioelectrical impedance analysis (BIA).Results(1) Concerning body composition, the body mass index (BMI), fat-free mass index (FFMI), and angle of phase (PhA) of COPD patients were lower than those of the control group. Extracellular water-to-total body water ratio (ECW/TBW) and extra-to-intracellular water ratio (ECW/ICW) were higher than those of the control group, and the difference was statistically significant (p &lt; 0.05). (2) There were differences in body composition among COPD patients with different severity of disease: FFMI and PhA in the mild/moderate airflow limitation group were higher than those in the severe/very severe airflow limitation group. According to mMRC scores classification, the FFMI and PhA of the less symptomatic group were higher than those of the more symptomatic group, and ECW/TBW and ECW/ICW were lower than those of the more symptomatic group. According to CAT scores classification, FFMI and PhA in the mild/moderate disease group were higher than those in the severe/very severe disease group. The FFMI of the low-risk group was higher than that of the high-risk group, and ECW/TBW was lower than that of the high risk group. (3) Correlation analysis between body composition and disease severity indicators showed that FFMI and PhA were negatively correlated with mMRC scores and CAT scores, and positively correlated with FEV1%pred. ECW/TBW ratio and ECW/ICW ratio were positively correlated with mMRC scores and CAT scores, and negatively correlated with FEV1%pred, and the difference was statistically significant (p &lt; 0.05).ConclusionThere are significant differences in body composition between COPD patients and the control group, and there are significant differences in body composition between COPD patients with different severity of disease, with correlations between body composition and severity of disease.
Global disease burden linked to diet high in red meat and colorectal cancer from 1990 to 2019 and its prediction up to 2030
Authors: Yang Xuesong , Wu Duozhi , Liu Yanbo , He Zhigang , Manyande Anne , Fu Hongjun , Xiang Hongbing 
Published: March 2024

BackgroundNumerous studies have already identified an association between excessive consumption of red meat and colorectal cancer (CRC). However, there has been a lack of detailed understanding regarding the disease burden linked to diet high in red meat and CRC.ObjectiveWe aim to offer evidence-based guidance for developing effective strategies that can mitigate the elevated CRC burden in certain countries.MethodsWe used the data from the Global Burden of Disease (GBD) Study 2019 to evaluate global, regional, and national mortality rates and disability-adjusted Life years (DALYs) related to diet high in red meat. We also considered factors such as sex, age, the socio-demographic index (SDI), and evaluated the cross-national inequalities. Furthermore, we utilized DALYs data from 204 countries and regions to measure cross-country inequalities of CRC by calculating the slope index of inequality and concentration index as standard indicators of absolute and relative inequalities.DiscussionThe results show that globally, the age-standardized mortality rate (ASMR) and age-standardized disability adjusted life year rate (ASDR) related to CRC due to diet high in red meat have decreased, with estimated annual percent change (EAPCs) of −0.32% (95% CI −0.37 to −0.28) and-0.18% (95% CI −0.25 to −0.11). Notably, the burden was higher among males and the elderly. The slope index of inequality rose from 22.0 (95% CI 18.1 to 25.9) in 1990 to 32.9 (95% CI 28.3 to 37.5) in 2019 and the concentration index fell from 59.5 (95% CI 46.4 to 72.6) in 1990 to 48.9 (95% CI 34.6 to 63.1) in 2019. Also, according to our projections, global ASDR and ASMR might tend to increase up to 2030.ConclusionASMR and ASDR for CRC associated with high red meat diets declined globally from 1990 to 2019, but the absolute number of cases is still rising, with men and the elderly being more affected. CRC associated with diets high in red meat exhibits significant income inequality, placing a disproportionate burden on wealthier countries. Moreover, according to our projections, ASMR and ASDR are likely to increase globally by 2030. In order to address this intractable disease problem, understanding changes in global and regional epidemiologic trends is critical for policy makers and others.
Energy imbalance gap was associated with body mass index and sex in Latin American adolescents—results from the ELANS study
Authors: Hernandez Pablo , Herrera-Cuenca Marianella , Ferrari Gerson , Yépez Almeida Rafaela , Yépez García Martha Cecilia , Villar Cáceres Mónica , Cortés Sanabria Lilia Yadira , Sifontes Yaritza , Landaeta-Jimenez Maritza , Gómez Georgina , Monge-Rojas Rafael , Pareja Rossina G. , Rigotti Attilio , Kovalskys Irina , Fisberg Mauro 
Published: March 2024

IntroductionEnergy imbalance gap (EIG) is defined as the average daily difference between energy intake (EI) and energy expenditure (EE). This study aimed to examine the associations between EIG and sociodemographic and anthropometric variables in the adolescent population of eight Latin America countries.MethodsA total of 680 adolescents aged 15 to 18 were included in this study. The estimation of EI was based on two non-consecutive 24-h dietary recalls. EE was predicted from Schofield equations using physical activity level obtained through the long version of the International Physical Activity Questionnaire. Sociodemographic data and anthropometric measurements were also obtained. A descriptive analysis and multilevel linear regression models were used to examine associations between variables.ResultsThe mean EI, EE, and EIG were 2091.3 kcal, 2067.8 kcal, and 23.5 kcal, respectively. Argentina had the highest EI and EIG, whereas Chile had the lowest EI and EIG. Males had a higher EI (2262.4 kcal) and EE (2172.2 kcal) than females (1930.1 kcal and 2084.5 kcal), respectively (p &lt; 0.05). Overweight subjects had a lower EIG than did underweight and normal-weight subjects (p &lt; 0.05). Subjects with low socioeconomic status (SES) had a lower EE (2047.0 kcal) than those with a high SES (2164.2 kcal) (p &lt; 0.05).ConclusionSex and BMI were associated with EIG in adolescents from Latin America.
Effectiveness of sigmoidoscopy or colonoscopy screening on colorectal cancer incidence and mortality: a systematic review and meta-analysis of randomized controlled trial
Authors: Han Chunyang , Wu Fan , Xu Jian 
Published: March 2024

ObjectivesWe conducted a comprehensive analysis to compare colonoscopy and sigmoidoscopy with standard care or fecal immunochemistry regarding colorectal cancer incidence and mortality risk.MethodsUntil August 2023, literature from PubMed, Embase, Web of Science, and Cochrane was systematically reviewed. We examined the impact of colonoscopy or sigmoidoscopy versus standard care on colorectal cancer outcomes, including incidence, cancer-specific mortality, and overall mortality.ResultsAmong 4,265 screened articles, data from seven randomized controlled trials (involving 663,319 participants) were analyzed. The intervention group (colonoscopy or sigmoidoscopy) consisted of 258,938 participants, while the control group received standard care or fecal immunochemical testing, totaling 404,381 participants, with both groups having average colorectal cancer risk, without confounders. Pooled analyses indicated a 20% reduction in colorectal cancer incidence (RR: 0.80, 95% CI: 0.77-0.83) and a 26% decrease in colorectal cancer mortality (RR: 0.74, 95% CI: 0.69-0.80) in the intervention group compared to standard care. All-cause mortality remained unchanged (RR: 1.03, 95% CI: 0.99-1.07). Subgroup analysis favored sigmoidoscopy in reducing colorectal cancer morbidity and mortality.ConclusionThis meta-analysis of randomized controlled trials underscores the effectiveness of colonoscopy and, notably, sigmoidoscopy in reducing colorectal cancer incidence and mortality among average-risk populations. In comparison to fecal immunochemical testing, both colonoscopy and sigmoidoscopy did not significantly impact colorectal cancer incidence and mortality in this population.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023460007.
Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program
Authors: Abbas Qasir , Baig Khawar Bilal , Sadiq Urooj , Habib Hina Ayaz , Aljhani Sumayah , Ramzan Zoobia 
Published: March 2024

IntroductionSchizophrenia is typically treated with medication as the first approach, but additional strategies are necessary to enhance the effectiveness of this treatment for better outcomes. However, it is crucial to explore methods, alongside medication, that promote a positive attitude towards seeking mental health support and alleviate symptom severity among non-institutionalized individuals of different age groups in Pakistan. Thus, this pilot study aimed to utilize a psychoeducation program to enhance patients’ motivation and attitudes toward seeking treatment, decrease symptom severity, and investigate the role of financial factors in their illness journey.MethodsIn this preliminary investigation, our focus was on individuals who had been diagnosed with schizophrenia and were receiving treatment from various hospitals and primary care clinics. Following a thorough screening process, 255 participants met the eligibility criteria, and 220 completed the psychoeducation program. The study included both male and female participants, with 143 (56.08%) being men and 112 (43.82%) being women. Regarding marital status, 123 (48.24%) were single, 98 (38.43%) were married, and 34 (13.33%) were divorced widowers or widows. The age range of the respondents varied from 18 to 52 years, with a mean age of 35.45 and a standard deviation of 10.27.ResultsThe results indicated a decrease in symptom severity following a 16-week psychoeducation program. The psychoeducation program significantly reduced the positive symptoms, negative symptoms, and general psychopathological symptoms among patients. Similarly, significant improvement was observed in patients’ motivation toward treatment and they actively participated in treatment after getting psychoeducation about the treatment. Similarly, after the psychoeducation program significant improvement was seen in patients’ attitudes towards help-seeking and perceived mental health functioning.ConclusionIn summary, the findings suggest that our psychoeducation program has the potential to positively impact the motivation and help-seeking attitudes of schizophrenia patients towards treatment. Moreover, there is a need for further exploration of psychoeducation programs for schizophrenia, particularly in countries facing economic challenges. This study paves the way for the development of an indigenous psychoeducation program tailored to Pakistani schizophrenia patients, with potential applicability for Urdu-speaking individuals.Clinical Trial Registrationhttps://www.thaiclinicaltrials.org/show/TCTR20210208003, identifier TCTR20210208003.
Reconstructing hyper-spectral downwelling irradiance from multi-spectral measurements
Authors: Tan Jing , Frouin Robert , Häentjens Nils , Barnard Andrew , Boss Emmanuel , Chamberlain Paul , Mazloff Matt , Orrico Cristina 
Published: March 2024

Checking the radiometric calibration of satellite hyper-spectral sensors such as the PACE Ocean Color Instrument (OCI) while they operate in orbit and evaluating remote sensing reflectance, the basic variable from which a variety of optical and biogeochemical ocean properties can be derived, requires measuring upwelling radiance just above the surface (Lw) and downwelling planar irradiance reaching the surface (Es). For this, the current HyperNav systems measure Lw at about 2 nm spectral resolution in the ultraviolet to near infrared, but Es in only four 10 nm wide spectral bands centered on 412, 489, 555, and 705 nm. In this study, the Es data acquired in these spectral bands in clear sky conditions are used to reconstruct via a multi-linear regression model the hyper-spectral Es signal at 0.5 nm resolution from 315 to 900 nm, the OCI spectral range, allowing an estimate of Es at the HyperNav, OCI, and other sensors’ resolutions. After correction of gaseous absorption and normalization by the top-of-atmosphere incident solar flux, the atmospheric diffuse transmittance is expressed as a linear combination of Es measured in those 4 spectral bands. Based on simulations for Sun zenith angles from 0 to 75° and a wide range of (i.e., expected) atmospheric, surface, and water conditions, the Es spectrum is reconstructed with a bias of less than 0.4% in magnitude and an RMS error (RMSE) ranging from 0% to 2.5%, depending on wavelength. The largest errors occur in spectral regions with strong gaseous absorption. In the presence of typical noise on Es measurements and uncertainties on the ancillary variables, the bias and RMSE become −2.5% and 7.0%, respectively. Using a General Additive Model with coefficients depending on Sun zenith angle and aerosol optical thickness at 550 nm improves statistical performance in the absence of noise, especially in the ultraviolet, but provides similar performance on noisy data, indicating more sensitivity to noise. Adding spectral bands in the ultraviolet, e.g., centered on 325, 340, and 380 nm, yields marginally more accurate results in the ultraviolet, due to uncertainties in the gaseous transmittance. Comparisons between the measured and reconstructed Es spectra acquired by the MOBY spectroradiometer show agreement within predicted uncertainties, i.e., biases less than 2% in magnitude and RMS differences less than 5%. Reconstruction can also be achieved accurately with other sets of spectral bands and extended to cloudy conditions since cloud optical properties, like aerosol properties, tend to vary regularly with wavelength. These results indicate that it is sufficient, for many scientific applications involving hyper-spectral Es, to measure Es in a few coarse spectral bands in the ultraviolet to near infrared and reconstruct the hyperspectral signal using the proposed multivariate linear modeling.