bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health Disparities in Young Adults: A Direct Comparison of Distress and Unmet Needs Across Cancer Centers
Authors: Markwardt Haley S. , Taghavi Sarah E. , Shear Deborah Z. , McDuffee Peyton R. , Smith Emily J. , Dunker Alexandra M. , Wilson Mary M. , Russell Janae A. , Shi Molin , Hall Brittany C. 
Published: March 2024

PURPOSE Information on concerns that young adults (YAs) with cancer face when receiving care outside of specialized treatment centers is needed to increase equitable care to YAs at greater risk of marginalization by the health care system. The current study compared distress and unmet needs at the time of clinic visit between YAs receiving care from three different cancer clinics: (1) a National Cancer Institute–designated center, (2) a community-based clinic, and (3) a county hospital outpatient clinic. METHODS The Adolescent and Young Adult Psycho-Oncology Screening Tool (AYA-POST) was administered to measure distress and cancer-related concerns of YAs in active treatment. A one-way analysis of variance (ANOVA) compared distress scores by treatment site. A Fisher's exact test compared the number of participants endorsing each item on the Needs Assessment Checklist from each site. A simple linear regression determined the association between distress and number of items endorsed on the Needs Assessment Checklist. RESULTS Ninety-seven participants completed the AYA-POST, endorsing, on average, 11 concerns. Fisher's exact test showed significant differences between sites in the proportion of participants endorsing eight items: boredom ( P < .001), eating/appetite ( P < .001), nausea/vomiting ( P < .001), financial concern ( P = .002), hopelessness/helplessness ( P = .03), confidentiality ( P = .04), sibling concern ( P = .04), and insurance ( P = .05). The simple linear regression model was significant (F(1, 94) = 39.772, P < .001, R2 = 0.297), indicating the number of unmet needs accounted for almost 30% of the variance in distress. The one-way ANOVA was not significant (F(2, 93) = 1.34, P = .267). CONCLUSION Social determinants of health can influence the number and type of unmet needs experienced, affecting distress and other outcomes and underscoring the importance of timely, effective, age-appropriate screening and intervention for distress and unmet needs in YAs with cancer.
Reversing the Oedipal Reading Practice: Interpellation, Enigmas of Reading, and John Barth's The Floating Opera
Authors: Edelsburg Chen 
Published: March 2024

Abstract
This article examines the author-reader relationship as it is shaped by an “enigma of reading.” Evident in texts that directly address their readers, this enigma attempts to interpellate those readers into a specific role. Using two different models of interpellation created by Slavoj Žižek and Eyal Dotan, this article describes the shift from modern to postmodern texts in terms of reading enigmas. The author's particular case study focuses on the narrator's addresses in John Barth's Floating Opera. These addresses reveal how the narrative oscillates between interpellations that encourage a paranoid reading stance, stemming from an “enigma of desire” (as in Žižek's model) and interpellations that discourage this position, derived from an “enigma of addresser” (as in Dotan's model). Ultimately, readers are left feeling confused, without a stable reading position, and are forced to apply a “flickering” reading practice. This kind of practice rejects the oedipal role of the author as a father, in the Lacanian sense, who is the absolute subject responsible for constructing meaning and forming the law of the text.
Effect of Ethanolic Extract of Moringa (Moringa oleifera, Lam.) Leaf on Seminiferous Tubules of Wistar Rats (Rattus norvegicus) Model of Metabolic Syndrome
Authors: Devitasari Sade , Pesik Riza Novierta , Subandono Jarot , Setyawan Novan Adi 
Published: March 2024

<p><strong>Introduction</strong>: Metabolic syndrome define as symptoms of body abnormalities that increased reactive oxygen species and cause disturbances of the germ cell layer thickness in seminiferous tubules. The content of Moringa oleifera has anti-diabetic, anti-dyslipidemia, and hypotensive effects. This study aimed to find out the effect of ethanolic extract of moringa leaves (<em>Moringa oleifera, Lam.</em>) on the histopathology of seminiferous tubules of Wistar rats (<em>Rattus norvegicus</em>) induced metabolic syndrome with Streptozotocin-Nicotinamide and high-fat diet.</p><p class="AbstractNormal"><strong>Methods</strong>: This research was experimental post-only control group design. The subjects were 30 male <em>Rattus norvegicus </em>grouped into normal group (K1), metabolic syndrome group (K2), and 3 metabolic syndrome groups with ethanolic extract of moringa leaf at doses of 150 mg/kg (K3), 250 mg/kg (K4) and 350 mg/kg of body weight (K5).</p><p class="AbstractNormal"><strong>Results</strong>: Thickness of tubules (µm) of group K1 (107.48±10.74), K2 (53.87±25.09), K3 (80.52±3.50), K4 (81.94±9.40), K5 (94.04±8.66). Average number of cell layers of group K1 (8.00±1.09), K2 (3.65±1.35), K3 (5.99±0.36), K4 (6.57±0.36), K5 (6.72±0.20). There was a significant difference in tubule wall thickness and the number of cell layers between the five groups (p&lt;0.05). The K3, K4, and K5 differed significantly from the K2 (p&lt;0.05). K5 has value closest to K1.<strong> </strong></p><p><strong>Conclusion</strong>: Ethanolic extract of moringa (<em>Moringa oleifera, Lam.</em>) leaf increased the wall thickness and number of cell layers of seminiferous tubules of Wistar rats (<em>Rattus norvegicus</em>) model of metabolic syndrome with ethanolic extract of moringa leaf at doses of 350 mg/kg of body weight most effectively improved the histopathological of the seminiferous tubules.</p>
Strategies of Improvement of Access to Quality Primary Healthcare in the United Arab Emirates: Lessons to Learn
Authors: Al-Ramlawi Doaa Jameel 
Published: March 2024

<div class="WordSection1"><p><strong><em> </em></strong></p><p><strong>Introduction</strong><strong>:</strong> This research topic explores the current state of access to quality primary healthcare in the United Arab Emirates (UAE). It examines the challenges that limit access to quality primary healthcare, such as inadequate infrastructure, limited resources, and a lack of public awareness. It proposes strategies to improve access to quality primary healthcare in the UAE, such as increasing public awareness campaigns, improving infrastructure and resources, and introducing new policies and regulations. It also recommends creating cutting-edge healthcare delivery strategies, such as telemedicine and mobile health technologies. The absence of evidence-based research that concentrates on the efficacy of certain interventions is a problem in the UAE when it comes to developing and improving access to high-quality primary healthcare.</p><p><strong>Methods:</strong> The study employs a qualitative approach to enhance access to quality primary healthcare in the UAE. It employs a descriptive survey for secondary data collection, incorporating and various sources such as reports and online documents<strong><em>.</em></strong></p><p><strong>Results</strong><strong>:</strong> The Health Authority Abu Dhabi has undertaken a research study to evaluate the relationship between regulatory approaches and adherence to regulatory requirements, which will improve healthcare quality.</p><p><strong>Conclusion</strong><strong>:</strong> Research on primary healthcare accessibility in the UAE highlights areas for improvement like addressing service gaps and refining care methods. Current shortcomings involve infrastructure and financial constraints, requiring more investment and collaboration. It emphasizes approaches like raising awareness and providing incentives. Involving stakeholders helps ensure access to high-quality healthcare by evidence-based policy recommendations.</p><p align="center"> </p></div>
Thyroid Crisis and Diabetic Ketoacidosis in Uncontrolled Diabetes
Authors: Putri Desy Puspa , Prabowo Nurhasan Agung , Hermawati Berty Denny 
Published: March 2024

<p><strong>Introduction: </strong>Thyroid crisis is a medical emergency that causes damage to various organs of the body so that proper diagnosis and immediate treatment are needed. Excess thyroid hormone also affects blood sugar metabolism, especially in diabetic patients. The occurrence of thyroid crisis in conjunction with diabetic ketoacidosis (DKA) is rare, and the exact pathogenesis is still being investigated. We report a case of thyroid crisis in a DKA patient.</p><p><strong>Case Presentation: </strong>A 35-year-old woman was brought by her family to the ER due to a loss of consciousness since 6 hours before admission to the hospital. The patient was said to have complained of fever, shortness of breath, palpitations since the previous day. The patient has a history of uncontrolled Type 2 Diabetes Mellitus (DM) since 5 years ago. Physical examination showed somnolence, blood pressure 120/72 mmHg, pulse rate 126 beats per minute, irregular, respiratory rate 28 breaths per minute, fast and deep breaths. Investigations showed blood sugar 320 mg/dL, uncompensated metabolic acidosis, ketonuria. The patient received DKA therapy, but her consciousness and pulse rate had not improved. TSH levels was low with an increase in fT4 levels, with the Burch-Wartofsky score supporting a thyroid crisis. The patient then received treatment for thyroid crisis and her clinical condition showed significant improvement.</p><p><strong>Conclusion: </strong>The occurrence of thyroid crisis along with DKA is a life-threatening emergency. Untreated hyperthyroid induce severe hyperglycemia and causes acute condition in both organs.<strong></strong></p><p class="AbstractNormal"> </p><p align="justify"> </p>
Adherence and factors influencing adherence to glaucoma medications among adult glaucoma patients in Ethiopia: A systematic review and meta-analysis
Authors: Abore Kibruyisfaw Weldeab , Fole Estifanos Bekele , Abebe Mahlet Tesfaye , Tekle Natnael Fikadu , Tilahun Robel Bayou , Chinkey Fraol Daba , Abera Michael Teklehaimanot 
Published: March 2024

Background
Intraocular pressure is the only modifiable risk factor for the development and progression of glaucoma. Raised intraocular pressure could cause progressive visual field loss and blindness if left uncontrolled. Adherence to ocular hypotensive medications is vital to prevent optic nerve damage and its consequences. This study was conducted to systematically summarize the magnitude of glaucoma medication adherence and factors influencing adherence to glaucoma medications among adult glaucoma patients in Ethiopia.

Methods
Database searches to identify research articles were conducted on PubMed, EMBASE, Cochrane, AJOL, SCOPUS, and Google Scholar without restriction on the date of publication. Data extraction was done using a data extraction Excel sheet. Analysis was performed using STATA version 16. Heterogeneity was assessed using I2 statistics. Pooled prevalence and pooled odds ratio with a 95% confidence interval using a random effect model were computed.

Result
We included six studies with a total of 2101 participants for meta-analysis. The magnitude of adherence to glaucoma medication was found to be 49.46% (95% CI [41.27–57.66]). Urban residents (OR = 1.89, 95% CI; 1.29–2.49) and those with normal visual acuity (OR = 2.82, 95% CI; 0.85–4.80) had higher odds of adherence to glaucoma medications. Patients who pay for the medications themselves (OR = 0.22, 95% CI; 0.09–0.34) were found to have 78% lower odds of adherence than their counterparts.

Conclusion
The magnitude of glaucoma medication adherence is lower than expected. Place of residence, visual acuity, and payment means had statistically significant associations with glaucoma medication adherence. Tailored health education on medication adherence and subsidization of glaucoma medication is recommended.
A planetary health perspective on the translation of climate change research into public health policy and practice: A scoping review protocol
Authors: Mulopo Chanelle , Abimbola Samuel , Onkoba Nyamongo , Schmidt Bey-Marrie 
Published: March 2024

Background
Climate Change (CC) emanating from anthropocentric human activities is a great threat to the quality of human life and well-being worldwide. The translation of CC research evidence can play a critical role in promoting the formulation of climate-sensitive policies to equip public health systems for CC-associated disaster preparedness, response, and management. This scoping review seeks to explore knowledge translation approaches for promoting, the uptake, and use of CC research evidence in public health policy and practice.

Methods
This scoping review will be conducted according to the guidelines of Arksey and O’Malley. A search strategy will be developed for published articles in PubMed, CINAHL, and Scopus databases and for grey literature in the World Health Organization, Planetary Health Alliance, and the University of the Western Cape repositories.

Discussion
The proposed scoping review will gather existing evidence on the relationship between knowledge translation, CC research, and public health decision-making. This will provide insights into research and practice gaps, and recommendations will be made to ensure effective knowledge translation for CC related decision-making.
Response to anxiety treatment before, during, and after the COVID-19 pandemic
Authors: Rosmarin David H. , Pirutinsky Steven 
Published: March 2024

Background
The COVID-19 pandemic yielded a substantial increase in worldwide prevalence and severity of anxiety, but less is known about effects on anxiety treatment.

Objective
We evaluated effects of the COVID-19 pandemic on responses to Cognitive Behavioral Therapy for anxiety, in a clinically heterogeneous sample of patients.

Methods
A sample of 764 outpatients were separated into four groups: (1) Pre-pandemic (start date on or prior to 12/31/2019), (2) Pandemic-Onset (start date from 01/01/2020 to 03/31/2020), (3) During-Pandemic (start date from 04/01/2020 through 12/31/2020), and (4) Post-Pandemic (start date on or after 01/01/2021). We subsequently compared treatment trajectories and effects within and between these groups over 5621 total time points (mean of 7.38 measurements per patient).

Results
Overall, patients presented with moderate levels of anxiety (M = 13.25, 95%CI: 12.87, 13.62), which rapidly decreased for 25 days (M = 9.46, 95%CI: 9.09, 9.83), and thereafter slowly declined into the mild symptom range over the remainder of the study period (M = 7.36, 95%CI: 6.81, 7.91), representing clinically as well as statistically significant change. A series of conditional multilevel regression models indicated that there were no substantive differences between groups, and no increase in anxiety during the acute pandemic phase.

Conclusions
Our results suggest that responses to treatment for anxiety were equivalent before, during, and after the COVID-19 pandemic. Among patients who were in treatment prior to the pandemic, we failed to detect an increase in anxiety during the pandemic’s acute phase (March 20th, 2020 through July 1st, 2020).
Estimates of the prevalence of male circumcision in sub-Saharan Africa from 2010–2023—A systematic review and meta-analysis
Authors: Elsayed Basant , Elmarasi Mohamed , Madzime Ruvarashe J. , Mapahla Lovemore , ElBadway Menatalla M. S. , Chivese Tawanda 
Published: March 2024

Background
Male circumcision (MC) is a key part of the package of interventions to prevent HIV, the biggest health challenge in sub-Saharan Africa.

Objective
To estimate the male circumcision prevalence and to evaluate the progress towards meeting WHO targets in sub-Saharan Africa during the period 2010–2023.

Methods
We carried out a systematic review and meta-analysis of studies published during the period 2010–2023. We searched PubMed, Scopus, Cochrane CENTRAL, Google Scholar, WHO and the Demographic and Health Survey for reports on MC prevalence in sub-Saharan Africa. MC prevalence was synthesized using inverse-variance heterogeneity models, heterogeneity using I2 statistics and publication bias using funnel plots.

Results
A total of 53 studies were included. The overall prevalence during the study period was 45.9% (95% CI 32.3–59.8), with a higher MC prevalence in Eastern (69.9%, 95%CI 49.9–86.8) compared to Southern African (33.3%, 95%CI 21.7–46.2). The overall prevalence was higher in urban (45.3%, 95%CI 27.7–63.4) compared to rural settings (42.6%, 95% 26.5–59.5). Male circumcision prevalence increased from 40.2% (95% CI 25.0–56.3) during 2010–2015 to 56.2% (95% CI 31.5–79.5) during 2016–2023. Three countries exceeded 80% MC coverage, namely, Ethiopia, Kenya and Tanzania.

Conclusion
Overall, the current MC prevalence is below 50%, with higher prevalence in Eastern African countries and substantially lower prevalence in Southern Africa. Most of the priority countries need to do more to scale up medical male circumcision programs.
Cross-cultural adaptation and validation of the Lithuanian version of the Spine Functional Index
Authors: Vaičienė Giedrė , Berškienė Kristina , Zaveckas Vidmantas , Tamulionytė Vilma 
Published: March 2024

Background
Low back pain is one of the most frequent medical problems caused by different factors. It is important to evaluate low back pain by choosing the best suited tool for the specific spine condition and pain severity. The Spine Functional Index (SFI) is a relatively new physical functioning-related questionnaire that can be used to assess different aspects of daily activities and movements. The purpose of this study was to cross-culturally adapt the SFI for the Lithuanian language and to determine its psychometric properties of validity, reliability, construct stability, internal consistency and factor structure.

Methods
The study was designed as a two-stage observational study. Double forward and backward translations of SFI were performed for cultural adaptation for the Lithuanian language. For evaluation of psychometric properties, 125 participants with non-specific low back pain (duration of symptoms ≥ 6 weeks) rated their pain using Numeric Rating Scale, completed the Lithuanian version of SFI and Oswestry Disability Index. In 3 to 7 days all participants completed Lithuanian version SFI for the second time. The full sample was employed to determine internal consistency, test-retest reliability, construct stability, measurement error, construct validity and factor structure.

Results
There was good internal consistency and reliability with Lithuanian version of SFI as Cronbach’s α = 0.92 and r = 0.82. Spearman-Brown coefficient was 0.97 representing good construct stability. Measurement error from standard error of the mean (SEM) was 6.96, from Minimal Detectable Change (MDC) was 16.24. Construct validity between the Lithuanian version of SFI and Oswestry Disability Index was excellent (ρ = 0.83), and good between the SFI and Numeric Rating Scale (ρ = 0.55). The factor analysis demonstrated a one-factor solution explaining 35.04% of total variance.

Conclusion
Lithuanian version of SFI is a new reliable and valid instrument for functional evaluation of back pain in Lithuanian speaking patients.
Preoperative diagnostic criteria for scleroatrophic gallbladder: A systematic review protocol
Authors: Bessa-Melo Renato , Fernandes Cristina , Aguiar Ana , Lopez-Ben Santiago , Guimarães Luís , Serralheiro Pedro 
Published: March 2024

Background
Although scleroatrophic gallbladder is a rare condition, it presents significant clinical challenges in diagnosis and management. More agreement is needed on this disorder’s diagnostic criteria and optimal management approach. We will conduct a systematic review to summarise the scleroatrophic gallbladder’s preoperative diagnostic criteria, including imaging modalities.

Methods
A systematic review will be undertaken using the PRISMA guidelines. The protocol has been registered in PROSPERO (CRD42024503701). We will search in Medline (via PubMed), Embase, SCOPUS, the Cochrane Library, and Web of Science to find original studies reporting about scleroatrophic gallbladder or synonymous. Two reviewers will independently screen the titles and abstracts following the eligibility criteria. We will include all types of studies that describe any diagnostic criteria or tools. After retrieving the full text of the selected studies, we will conduct a standardised data extraction. Finally, a narrative synthesis will be performed. The quality of the identified studies will be assessed using the Quality Assessment of Diagnostic Accuracy Studies- 2 tool.

Discussion
This systematic review will provide information on the preoperative diagnostic criteria of the scleroatrophic gallbladder and the value of imaging studies in its diagnosis. In addition, this work will aid doctors in the decision-making process for diagnosing scleroatrophic gallbladder and propose treatment approaches to this condition.

Systematic review registration
The protocol has been registered in PROSPERO (CRD42024503701).
Vivencia, significado y factores influyentes en la lactancia materna desde la investigación cualitativa en la Comunidad de Madrid
Authors: Sanz-Durán Lidia , Mora Urda Ana Isabel , Pérez Bravo Dolores 
Published: March 2024

La situación actual de la lactancia materna en España está lejos del cumplimiento de los estándares de la Organización Mundial de la Salud de alcanzar el 50 % de tasas de lactancia materna exclusiva los 6 meses en 2025, generando un amplio campo de mejora. El objetivo de esta investigación es conocer la vivencia de la decisión de amamantar y los factores que resultan determinantes para el mantenimiento de la lactancia materna en la Comunidad de Madrid.
Este estudio cualitativo fenomenológico se ha realizado entre enero y mayo de 2023 a través de entrevistas semiestructuradas con preguntas abiertas a 10 mujeres lactantes en torno a tres bloques temáticos: significación de la lactancia materna, factores que influyen en el inicio y factores que influyen en el mantenimiento. Contando con la aprobación del Comité de Ética y garantizando la confidencialidad, han sido grabadas, transcritas y posteriormente analizadas con el programa Atlas.ti.
La edad media de las participantes fue de 34,4 años, con patrones de lactancia materna exclusiva, lactancia materna parcial y alimentación complementaria. La categorización de las citas en códigos ha permitido interpretar las narraciones y comparar diferencias para manifestar la necesidad de entender cada proceso de lactancia materna de forma empática e individualizada. El apego aparece como significado importante. El inicio de la lactancia materna parece estar relacionado con la autoformación y la necesidad de mayor información. Respecto al mantenimiento influyen factores como el apoyo de la pareja y la necesidad de apoyo sanitario, social y laboral.