bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘They just told me to go to theatre’: Women’s Lived Experiences and Support Needs Following Emergency Caesarean Section in Kawempe National Referral Hospital.
Authors: LOPONI CHARLES TABAN , Nakalembe Miriam , Ssekatawa Wycliff , Adupet Martyn , Kashesya Jolly Beyeza , Sule Ismail , Rujumba Joseph 
Published: December 2023

Abstract

BackgroundGlobally, Caesarean Section (CS) delivery is estimated at 21.1%, has tripled from 7% in 1990, and is projected to reach 28.5% by 2030. In Kawempe National Referral Hospital (KNRH), 43% of women delivered by CS in 2022, and 95% of them were a result of emergency caesarean section (EmCS). However, the lived experiences and support needs of women following CS are not explored, despite knowledge of challenges associated with CS compared to vaginal birth.ObjectiveTo explore the lived experiences and support needs of women following emergency caesarean section in Kawempe National Referral Hospital.MethodsA phenomenological inquiry was conducted in the post-natal clinic of KNRH among women reviewed on their 6th week following EmCS, and health workers as Key informants (KIs) in KNRH. In-depth audio-recorded interviews for women and KI interviews were conducted. The audio records were transcribed verbatim and analysed using deductive but largely inductive thematic techniques.ResultsTwenty (20) in-depth interviews and six (6) KI interviews were conducted between June and July 2023. The Mean age of the women was 27.95 years. Most women highlighted negative experiences such as fear of losing their lives during the surgery, poor pain control, and unsatisfactory hospital care such as delays in intervention, poor communication, feelings of discrimination and neglect and informal hospital charges. Conversely, successful surgery that saved their lives and that of their babies, presence of companionship and confidence in being managed by qualified staff in a national referral hospital were highlighted. Both the women and KIs expressed the need for adequate pre-operative care, financial resources, adequate pain control, and quality time for interaction with health care providers to improve care during EmCS.ConclusionFollowing EmCS, women have both positive and negative experiences at individual, relationship and health care levels. Positive experiences include successful surgery, presence of a companion and being managed in a national referral hospital. However, negative experiences included fear of death for mother and baby, poor pain control, poor communication and informal hospital charges. Financial support, companionship and information on indications for surgery and other interventions were the support needs expressed by the women.
Misreporting biodiversity loss due to invasive species escalates social tension
Authors: Borkar Aman , GD Bino Paul 
Published: December 2023

Abstract
In a 2010 article titled 'Fish finishing off Navegaon Ratsnake' in TNN, reported that the invasive fish species 'tilapia' aka 'koi' was introduced to Navegaon National Park’s Forest Lake by the recently settled Bengali camp migrants. The invasive species destroyed native aquatic species, affecting fishermen's livelihoods, resulting in Ratsnake’s decline and thus affecting the farmers' overall livelihood too. The onus of invasive species destroying the native ones came on the migrants leading to community clashes and their eventual relocation. We employed an ethnomethodological lens to gather data on the act using turn-by-turn interview methods. Results reveal that Tilapia fish entered naturally through agricultural run-off from a local villager's pond, contradicting journalists' reporting on biodiversity loss and community clash. However, the locals adopted the techniques of neutralization to cover their guilt. Misreporting unjustly labelled the camp migrants as criminals. This narrative weaves a complex tapestry of human migration, ecological disruption, and social conflict, underscoring the critical need for accurate reporting, scientific collaboration, and awareness to address the intricate challenges communities face in the proximity of delicate ecosystems.
Matching of Radial Inflow Turbines with Internal Combustion Engines Considering Pulsating Flows
Authors: CERDOUN Mahfoudh , Ghenaiet Adel , Ferrara Giovanni 
Published: December 2023

Abstract

This paper investigates numerically the effects of pulsating exhaust gases on the operations of radial inflow turbines and their matching with internal combustion engines at full-load conditions. Both single- and twin-entry radial turbines are considered and the transient behaviors are analyzed by combining the CFD and analytical models. As results, the unsteady performances are shown to deviate noticeably from the steady state due to high levels of unsteadiness of the inlet conditions. A typical hysteresis-loop relating the effect of gas filling-emptying inside the volute is well depicted. Unsteady performance of the twin-entry radial turbine depicts that the of hysteresis-loop is wide due to large volute volume whereas the hysteresis-loop of single-entry turbine seems reducingas the amplitude of pressure pulse reduces. For the compressor side of the twin-entry radial turbine, and depending on the engine speed, the average values of unsteady performances exhibit deviations up to 9% in pressure ratio and 7.8% in airflow swallowing capacity, in contrast to the single-entry radial turbine these deviations are lesser about 4 and 4.9%, respectively. These differences could be related to the two sides of volute which are source of hysteresis and flow interaction.
Studies on variability of some morphological traits in Nigella sativa L. varieties AN1 and AN20
Authors: VERMA SHWETA , Hariwal Manisha , Patel Priya , Shah Priyanka , Kumar Sanjay 
Published: December 2023

Abstract

Nigella sativa L. belongs to family Ranunculaceae, commonly known as Kalonji, is mainly a seed spice crop. Ajmer Nigella-1 (AN-1) and Ajmer Nigella-20 (AN-20) varieties of Nigella sativa L. were investigated for this study to estimate the possible genetic variations and their associations between them. Data was collected on various growth and morphological traits at 50 days after sowing (DAS), 100 DAS and at maturity. Data were normally distributed as suggested by S-W and K-S normality test. Descriptive statistics indicated higher mean value for the traits; total plant height (Mean ± SE) followed by shoot length (Mean ± SE) and number of seeds per capsule (Mean ± SE) respectively. Analysis of variance measured the significant differences and genetic variability among the means of traits at p ≤ 0.05 and 0.01. The regression plot suggested goodness of fit among the data with expected variability through higher value of R2 (COD). Pearson’s correlation showed positive and highly significant association among all the traits at p ≤ 0.01 suggested any improvement for the traits will directly affect with slight increment in the trait, seed yield per plant. Principle component analysis extracted 3 components with Eigen value more than 1 and contributed approximately 99.74% of total variation present among the traits. Phenotypic variance was estimated higher than both genotypic and environmental variation indicated the expression of AN1 and AN20 genetic makeup for phenotype and morphology. Although phenotypic, genotypic and environmental variance was estimated higher values for the traits, number of seeds per capsule and dry weight. High and moderate heritability (broad sense) for the growth (total plant height, shoot length and root length) and reproductive (number of capsules, number of flowers, seed yield per capsule and seed yield per plant) traits suggested that AN1 and AN20 are high yielding varieties. High heritability coupled with high genetic advance over mean was estimated for the reproductive traits (number of capsules, number of flowers, seed yield per capsule and seed yield per plant) suggested the potential opportunity for the improvement of these traits for higher yield. A small difference was observed between phenotypic and genotypic coefficient of variation suggested the presence of considerable genetic base for improvement and stability of the traits. The value of critical difference at p ≤ 0.05 was estimated higher for the growth traits, total plant height followed by shoot length respectively suggested the stability of the traits in given environmental conditions. Over all 2 growth stage traits, total plant height and shoot length and 4 reproductive stage traits, number of capsules, number of flowers, seed yield per capsule and seed yield per plant showed potential for further improvement in plant breeding programs.
Do Petroleum Price Asymmetries and Price Deregulation Cause Business Cycles in Ghana?
Authors: Sackey Frank Gyimah , Asravor Richard Kofi , Orkoh Emmanuel , Ankrah Isaac 
Published: December 2023

Abstract
In the context of volatilities in the international situations in recent times, studies regarding the complexities of oil price fluctuations have focussed on analysing the special fluctuation characteristics of oil prices in different historical perspectives. This study examines the extent to which petroleum price fluctuations under the petroleum price deregulation regime impact on business cycles in Ghana. The study uses the autoregressive distributed lag (ARDL) model with a quarterly data spanning from the first quarter of 2005 to the fourth quarter of 2022. Our empirical results show that price stability impacts positively on economic growth, both in the short and the long run, while foreign direct investment also has a positive effect on economic growth in the short run. Our findings are consistent with theory and empirical studies and contributes immensely to the discussions about price asymmetry and business cycles. Again, offers a nuanced perspective on how policy makers can enact policies that ensures efficient and effective deregulation and price stability.
Association of symptom burden, illness perception, perceived social support and self- management ability among postoperative elderly patients with lung cancer: An exploratory study
Authors: Wu Yanyan , Wang Shuya , Ma Lina , Zhu Lifang , Wu Yan 
Published: December 2023

Abstract
Background
The research explored the relationship between perceived social support, illness perception, symptom burden, and self-management ability of postoperative elderly patients with lung cancer.
Methods
A cross-sectional survey was administered to 489 eligible participants using Chinese version of the Perceived Social Support Scale, Chinese version of the M.D. Anderson Symptom Inventory-Lung Cancer module, Chinese version of the brief illness perception questionnaire, and Cancer Patient Self-management Assessment Scale.
Results
A significantly positive association was found between perceived social support and self-management ability of postoperative elderly patients with lung cancer,( r = 0.565, and P༜0.001) and a negative relationship between symptom burden, illness perception, and their self-management ability. (r = -0.442, − 0.203, and P༜0.001).
Conclusion
This research emphasizes the importance of perceived social support, illness perception, and symptom burden in exploring self-management ability so that healthcare providers can develop more effective strategies to increase self-management ability.
N1F(Improved-Nephropathy 1 Formula) ameliorates renal interstitial fibrosis via inhibiting extracellular matrix deposition and regulating the FGF23/P38MAPK/Wnt pathway
Authors: Yu Wenxiu , Zeng Congcong , Wang Chenggong , Jia Sining , Liu Chen , Zeng Yini , Cheng Jinguo 
Published: December 2023

Abstract
Background: Renal fibrosis is the primary pathway in the progression of chronic kidney disease (CKD) towards end-stage renal failure. The currently used drugs currently are ineffective, and their mechanisms of action remain unclear. This study aims to investigate the nephroprotective effect of Improved-Nephropathy 1 Formula (N1F) in a rat model of unilateral ureteral obstruction (UUO) and explore the potential mechanisms of N1F-containing serum in treating TGF-β1- induced human renal tubular epithelial cells (HK-2).
Methods: The chemical composition of N1F was analyzed using high-performance liquid chromatography-Q-Orbitrap high-resolution liquid mass spectrometry. Renal function was assessed by measuring serum creatinine (Scr), blood urea nitrogen (BUN) and urine protein (Upro) levels. Hematoxylin and eosin (HE) and Masson’s trichrome (Masson) staining were used to evaluate the extent of renal tissue damage and fibrosis. Western blotting, immunohistochemistry, and immunofluorescence were used to detect the protein levels of relevant indices. The RNA levels of the relevant indices were detected using real-time fluorescence quantitative PCR (RT-qPCR).
Results: We identified 361 chemical components in the water extract of N1F. These chemical components of N1F significantly reduced the area associated with interstitial fibrosis in the kidneys of UUO rats and the levels of serum creatinine, urea nitrogen, and urinary protein. Additionally, N1F decreased the protein levels of FGF23, Wnt1, β-catenin and p-P38MAPK/P38MAPK, along with the expression of renalfibrosis-associated proteins, α-SMA, FN, Collagen III, and Vimentin in the renal tissues of the UUO rats, while enhancing klotho and DKK1 protein levels. In vitro experiments revealed that inhibition of P38MAPK signaling significantly suppressed the expression of proteins related to the Wnt signaling pathway, with a concomitant decrease in the expression of FGF23 and an increase in the expression of Klotho.Notably, the P38MAPK inhibitor (SB203580) had similar effects to N1F in altering the above-mentioned indices in vitro.
Conclusions: N1F may exhibit potential therapeutic efficacy against renal fibrosis by inhibiting the FGF23/P38MAPK/Wnt signaling pathway, consequently inhibiting extracellular matrix deposition due to renal injury.
Relationship between Cortical Excitability and Complex Reaction Time
Authors: Moscatelli Fiorenzo , Polito Rita , Monda Vincenzo , Cibelli Giuseppe , Valenzano Anna , Monda Antonietta , Scarinci Alessia , Messina Antonietta , Monda Marcellino , Limone Pierpaolo , Messina Giovanni 
Published: December 2023

Introduction:
The purpose of this investigation was to investigate the relationships between cortical excitability and complex reaction times (RT).To carry out this study, we performed transcranial magnetic stimulation (TMS) to test cortical excitability and the Posner paradigm to investigate the RT and errors. Investigation of motor cortex excitability and reaction time.

Methods:
Twenty male right-handed participants were chosen for this investigation (Age: 23.5±2.1 years; Height 177.1±2.8 cm; Body mass 73.2±3.3 Kg).

Results:
A significant positive correlation emerged between resting motor threshold (rMT) and RT and between motor evoked potential (MEP) latency and RT(p<0.001). The results also show a significant positive correlation (p<0.001) between rMT and the percentage of errors and a significant positive correlation (p<0.05) between MEP latency (ms) and the percentage of errors. The main results of the study showed that subjects who showed lower motor activation thresholds were able to respond faster and they also showed a significantly lower error rate compared to subjects who showed higher motor activation thresholds.

Conclusion:
To the best of our knowledge, our study seems to confirm the presence of a relationship between neuro-physiological parameters (MEP latency and rMT), RT and percentage of correct answers.
Anxiety and Depression Disorder among Adult People Living with HIV/AIDS on Follow-up at Dessie Public Health Facilities Antiretroviral Therapy Clinics, Northeast Ethiopia: A Multicenter Cross-sectional Study
Authors: Degu Fatuma Seid 
Published: December 2023

Background:
Anxiety and depression are the most prevalent mental disorders among people living with HIV/AIDS compared to people without HIV/AIDS. In addition, mental health problems are associated with an increase in morbidity and mortality in people living with HIV/AIDS due to adverse effects, adherence to antiretroviral therapy, quality of life, and all health-related parameters. There is no additional study on multiple sites as an integrated way to address the proposed issue.

Objective:
This study aimed to assess the prevalence of anxiety and depression disorders and their associated factors among adult HIV-/AIDS patients on follow-up at antiretroviral therapy clinics in the Dessie town public health facility, Northeast Ethiopia.

Methods:
A multicenter institutional-based descriptive cross-sectional study design was used. Data were collected through face-to-face interviews using a structured questionnaire. Anxiety and depression disorders were assessed by using the Hospital Anxiety and Depression Scale (HADS). EPI-Data software version 7.2 for data entry and SPSS version 23 for statistical analysis were used. Statistical significance was declared at a p-value of <0.05 and an adjusted odds ratio (AOR) with a 95% confidence interval (CI) in the final model.

Results:
In this study, 404 adult HIV/-AIDS patients presenting for a follow-up at antiretroviral therapy clinics at Dessie town public health facilities participated; the prevalence of anxiety and depression disorders was found to be 31.7% (CI: 27%, 36.6%) and 38% (CI: 33.7%, 42.7%), respectively. Being female (AOR=3.5 95% CI: 1.86 –6.65), viral loads ≥ 1000 copies/ml (AOR =2.2, 95% CI: 1.2-3.95), and CD4 cells <200 cells/mm3 were associated with depressive disorder and HAART containing efavirenz (2.3 95% CI: 1-4.58), consumption of coffee and tea (AOR =2.5, 95% CI; 1.45 -4.37) and female gender (AOR= 3.5 95% CI; 1.9-6.6), which were found to be predictors for anxiety disorders.

Conclusion and Recommendations:
The magnitude of depression in people living with HIV/AIDS on follow-up with antiretroviral therapy was found to be higher than the pooled estimated prevalence found in Ethiopia. Being female, viral load ≥ 1000 copies/ml, and CD4 cells <200 cells/mm3 were associated with the occurrence of depressive disorders, and a HAART regimen containing efavirenz, taking coffee and tea, and female sex were found to be predictors for anxiety disorder.
Developing and Evaluating a Data-Driven and Systems Approach to Health Promotion Among Vocational Students: Protocol for the Data Health Study
Authors: Heinze Clara , Hartmeyer Rikke Dalgaard , Sidenius Anne , Ringgaard Lene Winther , Bjerregaard Anne-Louise , Krølner Rikke Fredenslund , Allender Steven , Bauman Adrian , Klinker Charlotte Demant 
Published: December 2023

Background
Vocational school students exhibit significant risk behaviors in terms of poor diet, frequent use of nicotine products, inadequate fruit and vegetable intake, low levels of physical activity, and poor mental health. This makes vocational students vulnerable to the development of noncommunicable diseases. Therefore, effective health promotion programs targeting vocational students are required.

Objective
The Danish study “Data-driven and Systems Approach to Health Promotion Among Vocational Students” (Data Health) aims to develop, implement, and evaluate a systems approach to support vocational schools, municipalities, and local communities in implementing locally relevant health promotion actions among and for vocational students. This paper describes the Data Health program and how implementation and preliminary effectiveness will be evaluated.

Methods
The Data Health program offers an iterative 5-step process to develop changes in the systems that shape health behavior and well-being among vocational students. The program will be implemented and evaluated in 8 Danish vocational schools in 4 municipalities. The implementation of the process and actions will be explored using a systems-based evaluation design that assesses contextual differences and the mechanisms through which the program leads to changes in the systems. Preliminary effectiveness at the individual level (students’ self-reported health behavior and well-being) and organizational level (school organizational readiness reported by school staff) will be assessed using a quasi-experimental design, and cross-sectional data will be collected at all 8 schools simultaneously 4 times during the 2-year study period.

Results
This study was launched in 2021, and data collection is expected to be completed in June 2024. The first results are expected to be submitted for publication in January 2024.

Conclusions
We expect that the Data Health study will make significant contributions to complex intervention research by contributing to the paucity of research studies that have used systems approaches in school settings. The study will also provide evidence of successful elements for systems change and effectiveness to determine whether a national scale-up can be recommended.

Trial Registration
ClinicalTrials.gov NCT05308459; https://clinicaltrials.gov/study/NCT05308459

International Registered Report Identifier (IRRID)
DERR1-10.2196/52571
Drug-Coated Balloon Angioplasty for Dysfunctional Arteriovenous Hemodialysis Fistulae
Authors: Zhao Yiping , Wang Pei , Wang Yuzhu , Zhang Lihong , Zhao Yu , Li Hua , He Qiang , Liu Hao , Luo Jianfang , Jia Xin , Yu Zhengya , Guo Wei , Zhang Lan 
Published: December 2023

Background
The aim of this study was to evaluate the efficacy and safety of paclitaxel-coated balloons (AcoArt Orchid) in treating dysfunctional arteriovenous fistulae.

Methods
The drug-eluting balloon for arteriovenous (AV) fistula in China trial was a prospective, multicenter, randomized controlled study. Patients who had ≥50% venous stenosis of the AV fistula and symptoms indicating significant hemodynamic changes were included. After successful predilation with a high-pressure balloon (residual stenosis ≤30%), patients were randomized 1:1 to either a paclitaxel-coated balloon or an uncoated control balloon. The primary efficacy outcome was assessed at 6 months, and safety assessment was conducted within 30 days of the procedure. The 12-month results were also analyzed.

Results
The study included 244 patients, equally distributed between the two groups. The primary target lesion patency was 91% (106/116) for the drug-coated balloon (DCB) group and 67% (79/118) for the plain balloon catheter group, representing a difference of 24.63% (95% confidence interval, 14.68 to 34.58; P < 0.001). The secondary efficacy end point was primary target lesion patency at 12 months, which was 66% (74/112) for the DCB group and 46% (52/112) for the plain balloon catheter group (95% confidence interval, 6.57 to 32.08; P = 0.004). The mean number of reinterventions per patient to maintain target lesion patency during the 12 months after the index procedure was 0.39 (48/122) in the DCB group and 0.77 (94/122) in the plain balloon catheter group (P = 0.001). The primary safety end point did not differ between groups (P = 0.25).

Conclusions
AcoArt Orchid DCB showed better primary patency rates compared with plain balloon angioplasty for treating stenotic lesions in dysfunctional hemodialysis AV fistulae at 6 and 12 months. It required fewer repeated interventions and had comparable safety in 1 year.

Clinical Trial registry name and registration number
AcoArt III/Arterio-venous Fistula in China, NCT03366727.
I skuggen af Rusland – en historie om imperier og interessesfærer
Authors: Gerner Kristian 
Published: December 2023

I skyggen af Rusland av Vibe Termansen är en fängslande och konkret skildring av Centraleuropas nutidshistoria som det aggressiva Rysslands intressesfär.
I skyggen af Rusland (In Russia's Shadow) by Vibe Termansen is a captivating and precise depiction of Central Europe's contemporary history as a sphere of interest of an aggressive Russia.