bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dialogic theology of missions as a response to the global refugee phenomenon
Authors: Sigamoney Shakespeare , Nkrumah-Pobi Samuel K.B. 
Published: February 2025

The legacies of colonialism on both the colonised and coloniser is one thing that our world cannot escape in contemporary times. In most of the places, colonialism came with its own form of Christianity. This colonial Christianity was based on the idea of exclusion, homogenisation and conquering the other. Thus, the combination of the ideals of colonialism and Christianity brought about a type of nationalism, which was monologic. This monologic nationalism as an ideology not only creates refugees but also generates a monological ‘unity’ among the people in the country of arrival against these refugees. This poses a danger to humanity as a whole. Thus, it is important for scholars of religion and theology to deconstruct ideas on the line of monologic nationalism and embrace a form of nationalism that is dialogical in nature. In this regard, this article using Mikhail Bakhtin’s idea of dialogism as its framework attempts to construct a dialogic theology of missions as a response to the global refugee phenomenon. The article argues that there must be a shift from colonial missions, which are monologic in nature to a dialogic theology of missions grounded in World Christianity.Contribution: This article attempts to point out a key legacy of colonialism and colonial Christianity: the creation of refugees, which often has not been looked at by many scholars. The problem lies not with ‘Christianity’ as a religion, but the type of Christianity being practised. Addressing this practice demands a shift from colonial Christianity to World Christianity, which is embedded within its solutions to the global refugee crisis that the world is currently facing.
Adverse drug reactions of first-line antitubercular drugs: A retrospective study on characteristics, management, factors, and impacts
Authors: Oh Ai Ling , Makmor-Bakry Mohd , Islahudin Farida , Ting Chuo Yew , Chan Swee Kim , Tie Siew Teck 
Published: February 2025

Objective:
To elucidate the characteristics, management strategies, risk factors, and clinical impacts associated with adverse drug reactions (ADRs) induced by first-line antitubercular drugs to enhance tuberculosis (TB) management.

Methods:
A retrospective cohort study was conducted by retrieving drug-susceptible TB records among adult patients who received TB treatment from 2018 to 2021 at 10 public health clinics in Sarawak, Malaysia. Only the initial TB treatment and occurrence of specific ADRs within the study period were considered. Regression analysis was performed to identify the risk factors associated with both overall ADRs and individual types of ADRs.

Results:
Among 2 953 cases, 705 (23.9%) developed ADRs. Cutaneous reactions were the most prevalent (47.1%), followed by hepatotoxicity (32.8%) and gastrointestinal disturbances (29.8%). Six out of seven types of ADRs investigated occurred within the intensive phase, mostly manifesting at approximately 2 weeks of initiation. Hepatotoxicity resulted in the majority (85.3%) of treatment discontinuations, while vision problems led to treatment modifications in half of the cases. Risk factors for all ADRs included age ≥60 years, females, illicit drug use, and comorbidities such as HIV-positive, diabetes, and chronic liver disease. Alcohol consumption was independently associated with hepatotoxicity. ADRs caused around one-third of interruptions exceeding 2 weeks (33.0%) and subsequently necessitated treatment restarts (34.5%).

Conclusions:
Understanding these various aspects contributes to improving the overall management of ADRs in TB treatment. Close ADR monitoring and reporting are essential to strengthen ADR management.
Knowledge and Practice of TB Notification among the Private Health Care Providers in Eastern India
Authors: Akshaya R , Behera Binod Kumar , Patro Binod Kumar , Singh Arvind Kumar 
Published: February 2025

Abstract
Tuberculosis (TB) has been a notifiable disease since 2012. The study aimed to assess the knowledge and practice of private health care providers (PHCPs) regarding TB notification and to identify the physician-level and health system-level factors determining knowledge and practice of TB notification. A cross-sectional study was done in the field practice area of AIIMS Bhubaneswar. The study was conducted from February 2020 to May 2021 in Odisha. PHCPs from all systems of medicine were included in the study. The sample size was calculated to be 138. A self-administered semistructured questionnaire was used to collect the data. Multivariable logistic regression was done to identify the association between the independent and dependent variables. A total of 89 PHCPs were recruited into the study. Among them, 57 (64%) of the PHCPs were aware of TB notification, whereas 24 (42%) had ever notified a case of TB. All PHCPs who had ever diagnosed or treated a TB case were aware of TB notification. The factors associated with TB notification were the clinical setting of practice, diagnosed more than one TB case in the past 1 year, and those who worked in the government setting in the past 2 years. The knowledge and practice of TB notification were low among PHCPs. More frequent and mandatory sensitization training should be conducted for all PHCPs to increase awareness about TB notification.
Going through it Alone: A Cross-sectional Study on the Prevalence of Loneliness among Medical, Nursing, and Paramedical Students in a Health Science Academy in Bangalore, India
Authors: Mangali Navya P. , Joseph Bobby , Joseph Merlyn , Tellis Vilas M. 
Published: February 2025

Abstract

Background:
Life of students enrolled in a medical academy is stressful and often demanding in various aspects. Frequently, such students tend to be lonely. The prevalence of this problem has not been assessed and has been given little attention in medical schools. The objectives of this study were to determine the prevalence of loneliness among medical, nursing, and paramedical undergraduate students in a Health Science Academy in Bangalore and to assess the factors associated with loneliness among the study population.

Materials and Methods:
This was a cross-sectional study conducted among 400 students of a Health Science Academy and the selection of the subjects was performed by stratified random sampling. Each student was given a self-administered questionnaire which comprised of two sections. Section 1 which included the sociodemographic details and Section 2 was the revised UCLA (University of California, Los Angeles) scale (Version 3).

Results:
Prevalence of loneliness among the students in the academy was found to be 52%. Factors associated with loneliness and possibly contributing to it were assessed using the Mann-Whitney U test and the Pearson Chi-square test. The factors that impacted loneliness significantly were language familiarity, academics, relationships with friends, and family, health problems, and involvement in physical activities.

Conclusion:
The prevalence of loneliness among the students was found to be 52%. There were various factors, but despite such worrisome scores, the health science academy still ranks high in surveys that assess personality development as part of college rankings in the country. Further research would be needed to know the exact direction of association between loneliness and the associated factors.
A Qualitative Study of the Medical Student’s Perception on Sexual Violence and its Determinants in the Society
Authors: Veena V , Dayanand Lekhana , Shruthi MN , Nakkeeran Guruckeeran , Seeri Jayashree S. 
Published: February 2025

Abstract

Background:
Sexual violence against women is a major concern. Perceptions from current medical students could help draw better solutions to alleviate this growing menace in the community. Hence, this study was planned to explore the perceptions of medical college students on sexual violence and its determinants in society.

Materials and Methods:
This exploratory qualitative study was conducted among 39 medical college students in Bangalore for a period of two months from September to October 2021 after obtaining Institutional Ethics Committee approval. Four focus group discussions were conducted using a focus group discussion guide and all the discussions were audiotaped. Using Microsoft Word, an inductive thematic approach was used for data analysis.

Results:
The majority of the participants perceived Sexual violence as “which harms both physically and mentally”. Among the various causes quoted, the patriarchal mindset of society was the most common, followed by ignorance and lack of education among women. Students perceived that changing mindset of people and taking personal precautions at the individual level, enforcing women work staff, family and societal changes, changes in the judiciary system, improvement of city infrastructure, and changes in the education system as a solution to overcome it.

Conclusions:
To improve women’s safety, prevention of sexual violence against women is of utmost importance. A multifactorial approach at the individual level and the level of policymaking is needed to target all the causative factors and ensure a safer society for women.
Nutritional Status of Children and its Relation to Maternal Factors: An Endeavor Toward Better-Nourished Western Rural India
Authors: Jasani Krishna M. , Gosalia Vibha V. , Misra Shobha V. 
Published: February 2025

Abstract

Introduction:
Malnutrition has a direct impact on infant mortality rate and under-five mortality rates, which are prime indicators of the health status of a country. COVID-19 has also substantially affected the nutritional status of children. Hence, the objective is to highlight the magnitude of malnutrition and associated maternal factors in rural areas of Rajkot district.

Methods:
A community-based cross-sectional study was conducted from March 2021 to May 2022 among children up to six years of age registered in the Anganwadi centers (AWCs) of Rajkot district. To achieve the desired sample size of 504, a multi-stage sampling method was used. Statistical significance for all comparisons was based on the Chi-square test and factors with P value <0.05 were considered for binary logistic regression. For nutritional status assessment, a Z-score was obtained using WHO Anthro 2011 software.

Results:
Out of the total 504 participants, 50.2% were female and 49.8% were male. The mean age of the participants was 32.43 ± 18.7 months Prevalence of underweight, stunting, and wasting was found to be 39.1%, 36.7%, and 30.5%, respectively. After adjustment by binary logistic regression, a significant correlation was found between different forms of malnutrition and the age of participants, education of the mother, type of family, socio-economic class, mother’s age at the birth of participants, and birth weight. (P < 0.05).

Conclusions:
The prevalence of acute malnutrition (wasting) is higher than the national, state, and regional average in this study. Thus, more emphasis should be given to better utilization of services such as nutritional supplementation, nutritional rehabilitation, and growth monitoring along with treatment of morbidities.
Spatial Variations in the Risk Factors of Hypertension Across Different Age Groups in Indian Adults: Insights from the Fifth Round of NFHS (2019-21)
Authors: Mittal Anshu , Gupta Shilpi , Natt Harsimranjit K. , Verma Madhur , Bharadwaz Mrinmoy P. , Goel Sonu 
Published: February 2025

Abstract

Background:
Hypertension (HTN) is the second leading risk factor for men, accounting for 125 million disability-adjusted life years (DALYs) in men and 90 million in women making it the leading risk factor globally. The study was planned to determine the prevalence and patterns of different risk factors of HTN and how they vary across different stages of life in adulthood and to develop a comprehensive risk score to predict HTN and observe its variations across the other states of India.

Methodology:
This study is based on secondary data analysis provided by the fifth round of the National Family Health Survey (NFHS), and the survey was conducted among women aged 15–49 years and men aged 15–54 years. Demographic details, history of smoking and alcohol intake, presence of other morbidities, measurement of physical parameters, and blood pressure (BP) were the critical information collected from the population. The comprehensive risk score was also developed.

Results:
Age-wise prevalence of HTN was 34% among males older than 45 years and 28% among females of the same age. The presence of diabetes was also found to be a significant risk factor. Statistical HTN analysis has shown a significant correlation between BP values and total risk scores in males and females (P < 0.001).

Conclusion:
Assessing the risk factor profile can be highly beneficial as the two distributions are closely in sync, that is, where risk factor scores are lower, prevalence is higher.
Risk of Substance Use Among LGBTQI+ Community Affected by Lifetime and Day-to-day Discrimination – Results from a Cross-sectional Study Performed in South India
Authors: Ramanathan Divya , George Neethu , Menon Aparna , Kanthasamy Kiran , Dharmaraj Rock Britto 
Published: February 2025

Abstract

Background:
Stressors from discrimination (lifetime and day-to-day) can be precipitated as mental health problems particularly substance use among marginalized subjects including LGBTQI+ community. The study assessed substance use among LGBTQI+ adults and its association with lifetime and day-to-day discrimination.

Materials and Methods:
The study was performed as a cross-sectional design among 254 LGBTQI+ adults above the age of 18 years where substance use was measured using WHO – ASSIST V.3 questionnaire and discrimination was evaluated using a lifetime and day-to-day assessing questionnaire. The analysis of risk of substance use amid discrimination was measured using logistic regression.

Results:
Among the subjects 64.2% were Gay men with a mean (SD) age of 30.67 (6.05) years. In lifetime discrimination, experience of discrimination was found to be always present during the enquiries for any housing among 11 (4.3%) while in day-to-day discrimination, the experience was always present in public places among 11 (4.3%) and public transport 13 (5.1%). In substance use risk score, 169 (66.5%) subjects showed a moderate risk for using any alcohol beverages and 135 (53.1%) showed a moderate risk in using any tobacco related products. The analysis showed a significant positive association between the discrimination and substance use (alcohol and tobacco related) among LGBTQI+ adults.

Conclusion:
The increased proportion of substance use among the LGBTQI+ community is linked with the discrimination suffered by the individuals, which is to be addressed by society in a deeper and specific manner.
Prevalence and Determinants of Suspected Reproductive Tract Infection/Sexually Transmitted Infection among Women of a Reproductive Age Group (15–49 Years) in Rural Puducherry
Authors: Ganesamoorthy Karthika , Jayaseelan Venkatachalam , Krishnamoorthy Yuvaraj , Sarkar Sonali , Munisamy Malathi , Sakthivel Manikandanesan 
Published: February 2025

Abstract

Background:
Reproductive tract infection (RTI) and sexually transmitted infection (STI) comprise a hidden epidemic causing significant health and economic consequences. There is a paucity of literature on RTI/STI prevalence and health seeking behavior among South Indian reproductive women. Hence, we carried out this study in rural Puducherry to ascertain the prevalence, contributing factors, and treatment-seeking behavior of suspected RTI/STI among women of a reproductive age.

Materials and Methods:
A community-based cross-sectional study was conducted in a rural field practice area of JIPMER, Puducherry, between September 2018 and January 2020. Symptoms suggestive of RTI/STI were assessed according to the syndromic approach guidelines devised by World Health Organization for RTI/STI. Point estimates were reported as proportions with 95% confidence interval (CI). Log binomial regression was performed to identify the factors associated with suspected RTI/STI.

Results:
In total, 370 reproductive age group women participated in the study. The prevalence of suspected RTI/STI was 29.2% (95% CI: 24.6%–34.1%). Vaginal discharge (96.3%) was the most common RTI/STI symptom. Nearly 40% had history of similar symptoms in the past. Nearly one third (30.9%) did not seek care in any health facility. In multivariable analysis, women aged 15–19 years had higher risk of having suspected RTI/STI (aPR = 2.21; 95% CI: 1.02–4.25) when compared to women aged 40–49 years. Women using copper-T had 1.69 times higher risk of having suspected RTI/STI (aPR = 1.69; 95% CI: 1.13–2.52) when compared to women using other forms of contraceptives.

Conclusion:
Almost one in three reproductive age women had suspected RTI/STI in rural Puducherry. Almost one-third of them did not seek care from any health facility.
Knowledge, Attitudes, Beliefs, and Practices Regarding Maternal, Infant, and Young Child Feeding (MIYCF) among Women Living in Tea Estates of Dibrugarh District: A Mixed-Method Study
Authors: Mahanta Tulika G. , Saikia Mridushman 
Published: February 2025

Abstract

Background:
Despite global efforts, malnutrition remains a significant contributor to under-five mortality. Current study, aimed to assess knowledge, attitudes, beliefs, and practices related to maternal, infant, and young child feeding (MIYCF) among women with children aged 0-23 months, working in tea estates of the Dibrugarh district.

Methods:
Community-based cross-sectional study using mixed-method design conducted in 2022. The quantitative study involved 198 women selected through multistage sampling, while the qualitative segment included focus group discussions and in-depth interviews with healthcare providers. SPSS version 25 and Atlas Ti software are used for quantitative and qualitative data analysis, respectively.

Results:
A discernible gap between knowledge and practices highlighted the necessity for targeted behavioral interventions. Cultural norms, dietary restrictions, and traditional practices affecting MIYCF were documented in a qualitative study. Service providers identified economic conditions, ignorance, and reliance on traditional healers as contributing factors to malnutrition.

Conclusion:
Holistic, culturally sensitive interventions are pivotal to addressing the intricate interplay between knowledge, societal norms, and MIYCF practices in the tea estates of Dibrugarh.
Comparative Pain Score (Numeric Rating Scale-II) Analysis of Pre-existing and a Newly Introduced 4 mm Pen Needles in Indian Population with Type 1 and Type 2 Diabetes Mellitus
Authors: Kesavadev Jothydev , Chandran Gopika Beena , Sreelakshmi R. , Krishnan Gopika , Basanth Anjana 
Published: February 2025

Abstract

Background:
For the majority of people with diabetes, one of the main reasons for denying or delaying insulin therapy is an extreme fear of pain during insulin injections. However, in this digital era, quantum leaps in needle technologies open novel avenues for painless injections.

Aim:
The longitudinal observational study, conducted in a comprehensive diabetes care center in Kerala, India, evaluates the effectiveness of a recently introduced 4 mm needle and 4 mm needles hitherto in India to reduce pain during insulin injection in people with type 1 diabetes mellitus (T1DM) and T2DM using the numeric rating scale (NRS-II) pain score.

Results:
The statistical analyses revealed that the newly introduced 4 mm needle significantly reduced pain in the cohort with type 2 diabetes compared to the existing 4 mm needles routinely used by the cohort. Regarding the cohort with type 1 diabetes, even though the use of the newly introduced needle reduced pain while taking injections, the NRS-II pain score was not statistically significant, which may be due to the small sample size, noncompliance to advanced needle technologies. The study also analyzes the influence of demographic factors on the pain score.

Conclusion:
In the wholesome attempt, the study urges using advanced needle technologies for painless insulin injections and improved diabetes management.
Distinctive lorazepam response in catatonia with cognitive impairment
Authors: Shahi Mohit Kumar , Ashwin J V , Singh Astha 
Published: February 2025

ABSTRACT
Catatonia, a complex syndrome characterized by immobility and communication impairment, presents with varying responses to lorazepam treatment among individuals with different cognitive impairments and underlying dementias. This study examines a case series involving four distinct catatonic patients to elucidate the factors contributing to the variable lorazepam response. Although lorazepam, a GABAergic modulator, can effectively alleviate symptoms in some cases, its limited impact in others highlights the intricate interplay between the underlying pathophysiology of diverse dementias and treatment mechanisms. This abstract provides insights into the intricate relationship between neurochemical pathways, catatonic symptoms, and treatment approaches, shedding light on the complexities of managing catatonia in the context of cognitive impairments and dementias.
Psychometric evaluation of smartphone addiction scale – short version (SAS-SV) among young adults of India
Authors: Felix George , Sharma Manoj K. , Anand Nitin , Bhaskarapillai Binukumar , Srivastava Kalpana 
Published: February 2025

ABSTRACT

Background:
Although smartphones have considerable utility, they also have addiction potential. The early detection of problematic smartphone use (PSU) can have significant implications for managing its psychosocial consequences. Smartphone Addiction Scale – Short Version (SAS-SV), initially developed for South Korean adolescents, has emerged as a reliable measure for adults across countries. However, SAS-SV continues to be used unvalidated in India.

Aim:
To evaluate the psychometric properties of SAS-SV for the Indian adult population.

Materials and Methods:
Content validation of SAS-SV was done by 10 experts, followed by data collection for validation using a cross-sectional design from 434 participants (Mage = 25.4; SDage = 2.6; 58.8% females). The datasheet consisted of a sociodemographic questionnaire and SAS-SV. Statistical analyses comprised confirmatory factor analysis (CFA), exploratory factor analysis (EFA), reliability analyses, percentiles, and evaluation of sociodemographic variables.

Results:
SAS-SV’s content validity index was 0.93, and item wordings were adjusted after experts’ feedback. CFA did not show good fit indices; hence, EFA was used, which explained 44% of the variance from a unifactorial model. Cronbach’s alpha was 0.85, McDonald’s Omega was 0.86, and test-retest reliability was 0.81. There were no significant PSU differences in gender, marital status, and occupational status. Higher PSU was associated with lower age, lower education, nuclear family, and more hours of smartphone usage.

Conclusion:
The current study established the psychometric properties of SAS-SV for the Indian adult population. SAS-SV can be used for assessment and treatment monitoring of PSU.