bluuebunny/crossref_metadata_2025_split huggingface dataset:
High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
Authors: Yogal Chandra , Stunes Astrid Kamilla , Shakya Sunila , Karmarcharya Biraj , Koju Rajendra , Mosti Mats P. , Gustafsson Miriam K. , Åsvold Bjørn Olav , Schei Berit , Syversen Unni 
Published: February 2025

BackgroundThe prevalence of overweight is rapidly escalating, especially in South-Asia. We aimed to estimate the prevalence of overweight/obesity and central obesity, and associated risk factors among women in a rural setting of Nepal.MethodsA cross-sectional study addressing reproductive health and non-communicable diseases (NCDs) was conducted 2012–2013 in a rural district of Nepal. Married, non-pregnant women ≥15 years of age were included. Height, weight, and waist circumference (WC) were measured, and body mass index (BMI) calculated. WHO cut-offs for Asians were used to assess the prevalence of overweight (23.0–27.4 kg/m2), obesity (≥ 27.5 kg/m2) and central obesity (WC ≥ 80 cm). Data concerning socioeconomic and lifestyle factors were collected.ResultsAltogether, 1,391 women 43.1 ± 14.4 years of age were included. The majority belonged to the Adhivasi/Janajati ethnicity, were uneducated and worked in agriculture. Altogether, 30.5% were overweight, 12.0% obese, and 34.2% centrally obese; 25.7% were both overweight/obese and centrally obese. Underweight (&lt; 18.5 kg/m2) was observed in 9.6%. Among women with normal weight or underweight, 14.9 and 15.3% had central obesity, respectively. Hypertension was observed in 13.4% and was associated with both overweight/obesity and central obesity. Instant noodle intake ≥2 times weekly was associated with increased prevalence of central obesity and overweight/obesity.ConclusionWe observed a high prevalence of overweight/obesity and central obesity among women in a rural district of Nepal, which entails an increased risk of metabolic complications and NCDs. Our findings underscore the need for public health programs addressing nutritional patterns and physical activity to prevent obesity.
Application and comparison of five risk assessment methods in ferrous metal foundry enterprises with silica dust concentration exceeding the limit posts
Authors: Li Qimeng , Li Xiaoying , Qin Ge , Qi Yuanmeng , Liu Jie , Tang Xiaocui , Wu Di , Hao Changfu , Wang Sihua 
Published: February 2025

BackgroundExplore methods to accurately reflect the risk level of ferrous metal foundry workplaces when the silica dust concentration exceeds the limit, and provide a basis for the application of risk assessment techniques in key industries with occupational exposure to silica dust.MethodsThe survey was conducted in 25 ferrous metal casting industries in Henan Province, China. Five occupational health risk assessment (OHRA) methods, including Risk index method, Hazard grading method, International Council on Mining and Metals model, The synthesis index method, and The exposure ratio method, were used to assess the occupational health risk of the workplaces that produced silica dust and the concentration of silica dust exceeded the occupational exposure limits (OELs), and to compare the results of the different methods.ResultsThe risk index assessment method yielded one job of mild hazard, seven job of moderate hazard, fifteen jobs of high hazard, and forty-four jobs of extreme hazard. The hazard classification method resulted in two jobs of mild hazard, six jobs of moderate hazard, and fifty-nine jobs of high hazard. The ICMM qualitative method identified fifteen jobs of moderate risk and fifty-two jobs of high risk. The synthesis index method revealed nine jobs of moderate risk and fifty-eight jobs of high risk. The exposure ratio method identified ten jobs of high risk and fifty-seven jobs of extremely high risk. The results obtained from the synthesis index method showed relatively lower levels, except for the index method, there was a certain correlation (r: 0.541–0.798, P &lt; 0.05) and consistency (kapa: 0.521–0.561, P &lt; 0.05) with the remaining four methods.ConclusionThis study shows that although there are some differences in the results of different OHRA methods, there is also some correlation between them, which can corroborate each other and enhance the reliability of the assessment results. In practical application, appropriate assessment methods should be selected according to specific situations and the results of multiple methods should be combined and analyzed comprehensively to ensure accurate identification and assessment of occupational hazards and provide a scientific basis for improving occupational safety and health management.
Healthy lifestyle and its change attenuated the risk of hypertension among rural population: evidence from a prospective cohort study
Authors: Ren Tingyun , Yuchi Yinghao , Liao Wei , Kang Ning , Li Ruiying , Wang Chongjian 
Published: February 2025

ObjectivesLifestyle may potentially influence blood pressure level, but the association of multiple healthy lifestyles with hypertension was limited, especially for rural population. The study aimed to explore the relationship of healthy lifestyles on hypertension, and then whether lifestyle change could influence hypertension in rural adults.MethodsA total of 16,454 participants were enrolled from the Henan Rural Cohort study, in China. The healthy lifestyles score (HLS) was concluded by smoking status, alcohol consumption, physical activity, diet status and body mass index. Associations of HLS and lifestyle change with systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed by generalized linear models, and with hypertension were analyzed by logistic regression model and restricted cubic spline plots.ResultsThe results from the generalized linear models showed SBP and DBP levels decreased with the HLS increasing (Ptrend &lt; 0.01). Compared with participants with lower HLS (scored 0–2), the odds ratios (OR) and 95% confidence intervals (CIs) for hypertension in those with HLS = 3, 4, or 5 were 0.853 (0.737, 0.987), 0.881 (0.754, 1.029), and 0.658 (0.519, 0.834), respectively. And compared with participants with unhealthy lifestyle consistently, those changing lifestyle from unhealthy to healthy had lower levels of blood pressure [β (95% CI): SBP: −1.603 (−2.539, −0.668). DBP: −1.713 (−2.326, −1.100)] and hypertension risk [OR (95%CI): 0.744 (0.594, 0.931)]. Similar results could be found by the sensitivity analysis.ConclusionThe findings showed that healthy lifestyles could reduce blood pressure and hypertension risk, and that implementing healthier lifestyle changes could be an effective strategy to prevent hypertension in rural area.
Case Report: Combination of focal vibration therapy and botulinum toxin injections to treat equinus gait in a child with unilateral spastic cerebral palsy
Authors: Boulay Christophe , Coq Jacques-Olivier , Sangeux Morgan , Authier Guillaume , Ulian Alexis , Pradines Maud , Baude Marjolaine , Desnous Béatrice , Jouve Jean-Luc , Parratte Bernard , Peltier Emilie , Pesenti Sébastien , Gracies Jean-Michel 
Published: February 2025

IntroductionFocal vibration therapy (FVT) is increasingly used in the treatment of spastic paresis. In adults, it has been shown to reduce spasticity and to increase torque production from the vibrated muscles by restoring reciprocal inhibition of antagonists, thereby improving overall gait. In children with spastic cerebral palsy (CP), FVT has also been suggested to reduce spasticity, increase torque production and improve gait function, but evidence is limited.MethodsWe report the case of a child with unilateral spastic CP (USCP) and equinus gait (GFMCS II level) with (i) ankle dorsiflexor paresis, (ii) ankle plantar flexor overactivity, especially in gastrosoleus complex and peroneus longus, (iii) spastic myopathy, affecting gastrosoleus complex in particular, and (iv) calf pain seemingly related to muscle overactivity. The child was treated with a two-month program of alternating dorsiflexor and plantar flexor focal vibration therapy (FVT) and botulinum neurotoxin A (BoNT-A) injections into plantar flexors, alongside conventional physiotherapy.Results and discussionClinical evaluations during the two-month program showed (i) improved walking speed (ii) decreased ankle dorsiflexor paresis and ankle plantar flexor overactivity, especially spastic co-contraction and spasticity, (iii) improved passive extensibility in plantar flexors, and (iv) reduced pain. This is the first report of the combination of FVT and BoNT-A injections having promising effects on equinus gait in USCP.
A RELAÇÃO ENTRE APTIDÃO FÍSICA E DESEMPENHO NO VOO DO T-25UNIVERSAL NA ACADEMIA DA FORÇA AÉREA
Authors: Figueiredo de Azevedo Gabriel , Nakagaki Mariana Santoro 
Published: February 2025

Physical activity and instructional flight are routine activities in the life of an Air Force cadet aviator at the Air Force Academy. The results stemming from these activities, such as physical fitness through physical activity and flight performance through instructional flight, are the main subjects of this study. The central objective of this research is to analyze the relationship between physical fitness and performance in primary instructional flight, which is conducted in the T-25 Universal aircraft, qualitatively determining the type of relationship and highlighting the importance of physical fitness for good piloting. Thus, it is proposed to conduct a literature review on factors influencing flight performance that may be affected by physical conditioning, observing how the highlighted factor manifests in flight and its consequences, and through existing literature, whether physical fitness is capable of minimizing or excluding its adverse effects. From this perspective, it is observed that good physical health significantly aids in good flight performance, being positively related in all cases to the reduction of stress, fatigue, nervousness, and anxiety, with increased academic performance and psychomotor skills, and improved concentration ability.
Pengenalan Huruf Hijaiyah Melalui Metode Ummi di TK Kreatif Al-Furqon
Authors: Khoirotun Ni'mah Isnaini , Roziqin Achmad 
Published: February 2025

The Ummi method is a method for reading the Al-Quran which focuses on 3 qualities, namely a quality method, a quality teacher and a quality system. The introduction of hijaiyah letters is one of the elements in this method. This research aims to determine the application of the Ummi method in introducing hijaiyah letters to students at the TK Kreatif Al-Furqon. This research uses a qualitative method with 3 data collection techniques, namely interviews, observation and documentation. The results of this research are that the introduction of hijaiyah letters using the Ummi method at the TK Kreatif Al-Furqon is going well as seen from the students' ability to read volumes in accordance with TK Kreatif Al-Furqon target, namely a maximum of volume 3.
Robot-assisted ultra-low resection of rectal cancer with indocyanine green.
Authors: Gallardo Navarro E , García Cabrera D , Flores Vite MG , Soto Becerril OA 
Published: February 2025

Resumen

La cirugía robótica ayuda en la identificación y preservación de estructuras nerviosas debido a la imagen 3D de alta definición. Hombre de 58 años de edad quien es sometido a resección de recto inferior asistido con cirugía robótica y verde de indocianina por cáncer de recto inferior, con adecuados resultados postquirúrgicos.
Perianal leiomyoma; incidental case report.
Authors: Alejandre Ovejeroo B , Zurita Saavedra MS , Gómez Sánchez J , Ubiña Martínez A , Mirón Pozo B 
Published: February 2025

Resumen

La zona perianal aúna los cuatro tipos de tejidos del organismo; conectivo, epitelial, muscular y nervioso, por lo que la variedad histológica de lesiones que pueden aparecer es amplia. El leiomioma es un tumor benigno infrecuente en esta localización, que puede cursar de manera asintomática y que no suele afectar al complejo esfinteriano anal. Su diagnóstico se puede discernir con la clínica, exploración y pruebas de imagen, pero es el diagnóstico anatomopatológico lo que nos confirma su origen. Se debe realizar exéresis de este tipo de lesiones y seguimiento del paciente por el riesgo de transformación maligna, que aunque escaso, puede darse en el futuro.
Intestinal obstruction secondary to migration of esophageal prosthesis
Authors: Sánchez Infante Carriches S , Avellana Moreno R , Franco Herrera R , Perez Domene MT , Caraballo Angeli C , Castellon Pavon CJ , Duran Poveda M 
Published: February 2025

Resumen

La migración de la prótesis esofágica es una complicación relativamente frecuente con una incidencia de hasta el 20% según las series publicadas,. A pesar de ello, supone una alternativa en el tratamiento de pacientes con estenosis esofágica neoplásica que presentan disfagia y que no son candidatos a tratamientos radicales.

Posteriormente ingresa por cuadro obstructivo donde se evidencia mediante tomografía computarizada (TC) la migración de la prótesis a íleon distal condicionando obstrucción intestinal completa.

Se decide intervención quirúrgica urgente realizando resección y anastomosis del segmento afecto.

El postoperatorio cursa sin incidencias y es dada de alta a domicilio.
Dorsal urethroplasty with free grafting of oral mucosa.
Authors: Gallardo Navarro E , Vargas Hoyo M , Abarca Albores MG , Ureta Sánchez SE , Fuziwara Ruiz Seiichi F 
Published: February 2025

Resumen

Introducción: El uso de la mucosa oral para reparar la estenosis de uretra peneana y bulbar se describió por primera vez en 1993.

Caso clínico: Hombre de 38 años de edad, con diagnóstico de estenosis ureteral a nivel bulbar, por lo que se sometió a uretroplastia dorsal con injerto de mucosa oral.

Discusión: La técnica de uretroplastia con injerto de mucosa oral para la reparación de hipospadias, es útil y reproducible, ya que la mucosa es altamente elástica y con una angiogénesis rápida.

Conclusión: Es una técnica adecuada y eficaz para el caso de hipospadias, que disminuye la morbilidad del paciente.
Detection of COVID-19 vaccine rejection situation and reasons in people over 18 years of age applying to family health centers in Karabük and its relationship with health literacy level
Authors: EKMEKCİ Gülşah Büşra , NACAR ERKAY , Arıcan Ali Ayberk 
Published: February 2025

Abstract
Objective: The aim of this study is to examine the rejection of the COVID-19 vaccine, its reasons and its relationship with health literacy levels.
Material and Method: This study is a cross-sectional analytical study. The sample of the research consisted of 648 people who applied to family health centers in Karabük province between May 2022 and June 2022 and agreed to participate in the research. "Sociodemographic Characteristics", "Questions determining the characteristics of COVID-19 vaccine rejection" and "Health Literacy Scale TSOY-32 scale" were used to collect data. Descriptive characteristics of people are expressed with frequency and percentage in categorical data. Pearson Chi-Square and Fisher's Exact Test were used. A value of p<0,05 was considered significant.
Results: It is seen that 31.6% of the participants have an inadequate health literacy level, 36.9% have a problematic-limited health literacy level, 21.9% have an adequate health literacy level and 9.6% have an excellent health literacy level. A significant difference was found between rejection of the COVID-19 vaccine and health literacy (p = 0.014).
Conclusion: As a result, by increasing the level of health literacy, positive attitudes towards the COVID-19 vaccine will also increase. It is thought that positive attitudes towards the COVID-19 vaccine will increase by increasing health literacy levels. Therefore, it seems that there is a need for research to increase health literacy
Keywords : COVID19, COVID-19 vaccines, health literacy, vaccination refusal
Монархия и республиканизм в Британии
Authors: Остапенко Г.С. , Архипова Л.В. 
Published: February 2025

Актуальность статьи обусловлена значимостью изучения процесса адаптации британской монархии к условиям современной действительности. Цель исследования заключается в представлении становления английской монархии и ее способности к выживаемости в XXI веке. В рамках исследования также ставится вопрос о возможности республиканизма в Англии. Рассматривается отношение к идее республиканизма британских политических партий, лейбористских и консервативных правительств, отдельных премьер-министров и общественно-политических деятелей. Представлен анализ деятельности антимонархической организации «Республика». Показано, что наряду с укреплением власти суверена возникали и отдельные «кризисные» моменты, ослаблявшие монархию. Данные периоды установлены по работам английских исследователей-биографов королевской семьи. По итогам анализа общественного опроса раскрыто отношение британцев к королевской семье и Карлу III, а также отношение к монархии в целом.
The relevance of the article is due to the significance of studying the process of adaptation of British monarchy to changing reality. The aim of the study is to present the formation of the English monarchy and its ability to survive in the 21st century. The study also raises the issue of the possibility of a republic in England. It examines the attitude to the idea of republicanism of British political parties, Labor and Conservative governments, individual prime ministers and eminent persons in society and politics. An analysis of the activity of the anti-monarchical organization called “Republic” is presented. It is shown that along with the strengthening of the sovereign’s power there have occurred some “crisis” periods that weakened the monarchy. These periods are established according to the works of English researchers and biographers of the royal family. Based on the results of the analysis of the public survey, the attitude of the British people to the royal family and King Charles III, as well as the attitude to the monarchy as a whole is revealed.
Eficacia del Mindfulness como Terapia Alternativa en el Tratamiento de la Depresión
Authors: Armijos Ramírez Nayely Misshell , Vera Soto Gyslaine Dayanna , Sánchez Apolo Shirley Galibia 
Published: February 2025

En los últimos años, la depresión en la población ha incrementado de forma significativa debido a la pandemia y a los cambios en el estilo de vida causado por el avance tecnológico, el Mindfulness se ha convertido como la terapia alternativa en pacientes con depresión, la cual se ha destacado por su eficacia en la gestión emocional. El objetivo de este artículo de revisión fue determinar la eficacia del Mindfulness como terapia alternativa en el tratamiento de la depresión, mediante la revisión bibliográfica de artículos, para conocer su impacto y aplicación en el ámbito de la salud y bienestar. Se realizó una revisión bibliográfica basada en 19 artículos de revisiones sistemáticas, metaanálisis, estudios aleatorios y controlados, ensayos clínicos aleatorios y revisiones originales en bases de datos como PubMed, JAMA Network, ScienceDirect y Google Scholar. El Mindfulness es eficaz en el tratamiento para la depresión, pues permite reducir el estrés, la rumiación y angustia, además, mejora el bienestar mental, la regulación emocional y capacidad de mantener la atención. Esta intervención, es efectiva para reducir los síntomas de la depresión y prevenir recaídas, debido a los cambios neurobiológicos que estas terapias pueden inducir en diferentes estructuras cerebrales.
Eficacia y Seguridad de la Terapia con Oxígeno Sobresaturado en el Manejo del Infarto Agudo de Miocardio
Authors: Loayza Lima Valery Daniela , León Zhingre Joseph Felipe , Gomez Robles Lisvelt 
Published: February 2025

El infarto agudo de miocardio (IAM) es una condición médica crítica que genera un impacto devastador en la salud pública y los sistemas de atención médica; por ello es imperativo abordar nuevos enfoques y tratamientos que puedan mejorar los resultados clínicos y reducir la carga de esta enfermedad. La terapia con oxígeno sobresaturado ha surgido como una potencial intervención prometedora en el manejo del IAM. El objetivo de este estudio es analizar la eficacia y seguridad de la terapia con oxígeno sobresaturado (SSO2) en la morbimortalidad de pacientes con IAM. Se realizó una revisión bibliográfica, basada en artículos de revistas de alto impacto en relevancia con el objetivo. Estudios multicéntricos y aleatorizados, como el AMIHOT I, AMIHOT II e IC-HOT, demuestran que la eficacia y seguridad de la terapia con SSO2 es superior en el manejo del IAM frente a los tratamientos estándares, ya que la tasa de éxito es mayor al 98%; de los beneficios directos están que el tamaño medio del infarto disminuye, el segmento ST se reestablece y la incidencia de insuficiencia cardiaca post infarto es más baja, por otro lado, los efectos adversos de la terapia son mínimos (<8%). En conclusión, la administración de la terapia con SS02 dentro del manejo del IAM es eficaz y segura según los objetivos a los cuales se remite la naturaleza de la terapia, ya que demuestra reducir la morbimortalidad a corto y largo plazo.
Inhibidores del Cotransportador Sodio-Glucosa Tipo 2 en la Diabetes Mellitus Tipo 2 en Adultos
Authors: Encalada Iñiguez Loendy Krissel , Vega Espinoza Ericka Vanessa , Aguirre Fernandez Roberto Eduardo 
Published: February 2025

Los iSGLT2 han transformado la gestión de la diabetes mellitus tipo 2 (DM2) al brindar ventajas en el control de la glucosa, incluyendo la prevención de afecciones cardíacas y renales. Estos fármacos reducen eventos cardiovasculares mayores, hospitalizaciones por insuficiencia cardíaca y progresión de la enfermedad renal crónica, además de disminuir significativamente los niveles de hemoglobina glucosilada (Thomas & Cherney, 2018) Su acción independiente de la insulina es especialmente ventajosa en pacientes con resistencia a la misma (Thomas & Cherney, 2018). Sin embargo, su implementación enfrenta desafíos como infecciones genitourinarias, cetoacidosis diabética y barreras económicas que limitan su accesibilidad (Nouel et al., 2022.; Scheen, 2020). A pesar de estas limitaciones, los iSGLT2 representan un avance terapéutico significativo. La adopción de estrategias multidisciplinarias y el desarrollo de tecnologías complementarias podrían optimizar su uso, consolidándolos como un estándar de atención para la DM2 en adultos.
Les choix scolaires à Dubaï : le mirage de la liberté totale
Authors: Almokaddam-Dalil Aziza 
Published: February 2025

Dans une perspective d’exploration des choix scolaires en contexte de quasi-marché, l’article décrit la singularité du système d’enseignement dubaïote et examine l’exercice et la perception du libre choix des familles en son sein. Certains traits distinctifs du paysage éducatif local, caractérisé par la prédominance du secteur privé, une gamme étoffée d’options et une faible régulation institutionnelle, offrent a priori un terrain propice à la satisfaction des aspirations parentales. Un examen approfondi du processus de choix effectif révèle toutefois la dualité du système ainsi que l’existence de contraintes définissant un espace des possibles à géométrie variable.