bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the Acceptability and Feasibility of a Sexual Health–Focused Contraceptive Decision Aid for Diverse Young Adults: User-Centered Usability Study
Authors: Goueth Rose , Darney Blair , Hoffman Aubri , Eden Karen B 
Published: October 2023

Background
Young adults with low sexual health literacy levels may find it difficult to make informed decisions about contraceptive methods. We developed and pilot-tested a web-based decision aid—Healthy Sex Choices—designed to support diverse young adults with their contraceptive decision-making.

Objective
This pilot study aimed to evaluate whether the Healthy Sex Choices decision aid is acceptable and feasible to patients and clinicians.

Methods
We used the Ottawa Decision Support Framework and the International Patient Decision Aid Standards to develop and pilot the decision tool. We first conducted a needs assessment with our advisory panel (5 clinicians and 2 patients) that informed decision aid development. All panelists participated in semistructured interviews about their experience with contraceptive counseling. Clinicians also completed a focus group session centered around the development of sex education content for the tool. Before commencing the pilot study, 5 participants from ResearchMatch (Vanderbilt University Medical Center) assessed the tool and suggested improvements.

Results
Participants were satisfied with the tool, rating the acceptability as “good.” Interviewees revealed that the tool made contraceptive decision-making easier and would recommend the tool to a family member or friend. Participants had a nonsignificant change in knowledge scores (53% before vs 45% after; P=.99). Overall, decisional conflict scores significantly decreased (16.1 before vs 2.8 after; P<.001) with the informed subscale (patients feeling more informed) having the greatest decline (23.1 vs 4.7; mean difference 19.0, SD 27.1). Subanalyses of contraceptive knowledge and decisional conflict illustrated that participants of color had lower knowledge scores (48% vs 55%) and higher decisional conflict (20.0 vs 14.5) at baseline than their white counterparts.

Conclusions
Participants found Healthy Sex Choices to be acceptable and reported reduced decisional conflict after using the tool. The development and pilot phases of this study provided a foundation for creating reproductive health decision aids that acknowledge and provide guidance for diverse patient populations.
Deep Learning Analysis of COVID-19 Vaccine Hesitancy and Confidence Expressed on Twitter in 6 High-Income Countries: Longitudinal Observational Study
Authors: Zhou Xinyu , Song Suhang , Zhang Ying , Hou Zhiyuan 
Published: October 2023

Background
An ongoing monitoring of national and subnational trajectory of COVID-19 vaccine hesitancy could offer support in designing tailored policies on improving vaccine uptake.

Objective
We aim to track the temporal and spatial distribution of COVID-19 vaccine hesitancy and confidence expressed on Twitter during the entire pandemic period in major English-speaking countries.

Methods
We collected 5,257,385 English-language tweets regarding COVID-19 vaccination between January 1, 2020, and June 30, 2022, in 6 countries—the United States, the United Kingdom, Australia, New Zealand, Canada, and Ireland. Transformer-based deep learning models were developed to classify each tweet as intent to accept or reject COVID-19 vaccination and the belief that COVID-19 vaccine is effective or unsafe. Sociodemographic factors associated with COVID-19 vaccine hesitancy and confidence in the United States were analyzed using bivariate and multivariable linear regressions.

Results
The 6 countries experienced similar evolving trends of COVID-19 vaccine hesitancy and confidence. On average, the prevalence of intent to accept COVID-19 vaccination decreased from 71.38% of 44,944 tweets in March 2020 to 34.85% of 48,167 tweets in June 2022 with fluctuations. The prevalence of believing COVID-19 vaccines to be unsafe continuously rose by 7.49 times from March 2020 (2.84% of 44,944 tweets) to June 2022 (21.27% of 48,167 tweets). COVID-19 vaccine hesitancy and confidence varied by country, vaccine manufacturer, and states within a country. The democrat party and higher vaccine confidence were significantly associated with lower vaccine hesitancy across US states.

Conclusions
COVID-19 vaccine hesitancy and confidence evolved and were influenced by the development of vaccines and viruses during the pandemic. Large-scale self-generated discourses on social media and deep learning models provide a cost-efficient approach to monitoring routine vaccine hesitancy.
Predictors of anemia without active bleeding signs in patients referred for endoscopy
Authors: Munteanu Sabrina Nicoleta , Cozac-Szőke Andreea Raluca , Mocan Simona , Zait Tania Mihaela , Rus Răzvan Iacob , Petri Răzvan Emil , Negovan Anca 
Published: October 2023

Abstract

Objective: The objective of the present study is to clarify the value of clinic, endoscopic, and histologic variables that may predict anemia in patients performing esophagogastroduodenoscopy for gastrointestinal complaints in the absence of bleeding signs or lower digestive disease.

Methods: This study included 654 patients referred for endoscopy that were divided based on biological parameters performed in the same day in the study group (306 patients diagnosed with anemia) and the control group (348 patients without anemia).

Results: Anemia is frequent in elderly patients, especially in the presence of premalignant gastric lesions, and it is associated with multiple comorbidities. In two multivariate regression models antivitamin K oral anticoagulants were found to be independently associated with anemia (p = 0.01), but not with antiplatelet therapy, or with non-antivitamin K anticoagulants. Multiple regression models support that epigastric pain and heartburn are inversely associated with anemia, while weight loss remained an independent predictor for simultaneous anemia and premalignant lesions. Non-infectious chronic gastritis (p<0.001) is an independent predictor for anemia and premalignant gastric lesions, increasing the odds of anemia by 2.2 times, while reactive gastropathy is inversely associated. Gastric erosions and ulcer remained independent predictors for concomitant anemia and premalignant lesions.

Conclusions: Chronic inactive gastritis and premalignant gastric histologic lesions are predictors for anemia in endoscopic population, while active H. pylori infection is not. Dyspeptic symptoms, epigastric pain (p<0.001,OR 0.2-0.5) and heartburn (p<0.001,OR 0.07-0.3) are inversely associated with anemia alone or associated with premalignant gastric lesions.
Microscale iron spherules as a trace of metallurgical activity in Old-Polish Industrial District river valleys
Authors: Kalicki Tomasz , Przepióra Paweł , Kusztal Piotr , Fularczyk Karolina , Houbrechts Geoffrey 
Published: October 2023

Abstract
In the last few centuries, a metallurgical industry based on forges driven by water wheels developed in many European valleys. One such area is the Old-Polish Industrial District (OPID) in Central Poland, which is one of the largest of this type of industrial center. Metallurgical activity developed here from the Prehistoric to modern times. The transformation of metallurgical technology led to the collapse of production, and the ongoing renaturation obliterated most of the traces of former industrial activity. The Magnetic Spherule Separation method used so far in Western Europe, and recently in Poland, has been able to detect traces of former metallurgical activity preserved in alluvium. Fluvial deposits contain microscopic, perfectly spherical iron hammerscales formed during metallurgical production. The results of the study of the alluvium of selected rivers in the OPID indicate the presence of iron spherules of various origin and facies in the sediments of the floodplain, which accumulated during the period of metallurgical activity and were redeposited in modern times. This allows us to estimate, among other things, the age, rate of accumulation and impact of anthropopressure on sedimentation conditions.
European Union Funds as Stimulators of Sustainable Tourism Development in Municipalities of the Lower Silesian Region in Poland in 2014-2019
Authors: Puciato Daniel , Oleśniewicz Piotr 
Published: October 2023

Abstract

Introduction.
The study assessed the impact of EU funds on sustainable tourism in the Lower Silesian region of Poland in the years 2014-2019.

Material and methods.
A literature review and the following research methods were used in the study: logical analysis and construction, as well as documentary and statistical analyses. A database was compiled containing statistical data on implemented tourism projects subsidized with EU funds in municipalities of Lower Silesia. Each project was then assigned to one of sustainable tourism sections in accordance with the Global Sustainable Tourism Council Destination Criteria. Statistical analysis included structure analysis, basic statistics, and the Kruskal-Wallis ANOVA test and post-hoc test.

Results.
The Kruskal-Wallis test results (H = 20.01 for project values, and H = 23.34 for the amount of EU funding) and the probability level (p = 0.001) demonstrated that project expenditures on tourism in each sustainable tourism section differed significantly. The multiple comparisons test (post-hoc test) revealed statistically significant differences between the values of projects implemented in the sections of cultural sustainability and sustainable management (p = 0.009), cultural sustainability and environmental sustainability (p = 0.009), socio-economic sustainability and sustainable management (p = 0.009), and socio-economic sustainability and environmental sustainability (p = 0.008). In terms of the amount of EU funding, statistically significant differences were found between cultural sustainability and environmental sustainability (p = 0.001), and socio-economic sustainability and environmental sustainability (p = 0.001).

Conclusions.
The allocation of EU funds for tourism projects did not contribute to the implementation of sustainable tourism. In the next EU programming period, i.e. 2021-2027, a more sustainable allocation of funds for tourism projects should be pursued. There is a clear need to increase the number and value of tourism projects implemented in the area of environmental sustainability.
Efek Hipoksia Sistemik Kronik Terhadap Aktivitas Spesifik Enzim Kreatin Kinase Otot Rangka Tikus
Authors: Mudjihartini Ninik , Harmelia Dwi , Widia AJ Sri 
Published: October 2023

Latar Belakang: Hipoksia adalah hasil dari ketidakseimbangan antara suplai oksigen dan kebutuhan oksigen. Pada kondisi hipoksia, otot rangka dituntut untuk menghasilkan ATP dalam jumlah yang cukup untuk mempertahankan fungsi kontraksi dengan O2 yang terbatas. Beberapa penyakit terkait penuaan sering disertai dengan kondisi hipoksia, demikian juga penyakit yang disebabkan oleh kelainan jantung dan paru. Hipoksia kronik sering terjadi pada populasi lanjut usia oleh karena cedera iskemik yang menginduksi sejumlah respons adaptif terhadap lingkungan mikro selnya. Tujuan: Penelitian ini untuk melihat bagaimana fenomena perubahan metabolisme salah satu sumber energi pada otot rangka pada kedaan hipoksia sistemik kronik, dengan mengukur aktivitas spesifik CK dan kadar kreatinin otot rangka pada tikus. Metode: Tikus hipoksia dibuat dengan cara memasukkan tikus ke dalam hypoxia chamber yang dialiri campuran gas oksigen 10% dan nitrogen 90%. Aktivitas spesifik CK diukur secara spektrofotometri menggunakan kit Creatine kinase N-acetyl-L-cysteine (Randox®), kadar kreatinin dengan metode Folin, sedangkan protein total otot tikus diukur dengan metode Christian-Warburg. Hasil: Aktivitas spesifik CK otot tikus kelompok 1H, 3H, 5H, 7H, dan 14H menurun secara bermakna dibandingkan dengan kelompok K (Kruskal-Wallis) (P<0,05). Kadar kreatinin otot tikus kelompok 1H dan 14H menurun secara bermakna dibanding dengan kelompok K, sedangkan kelompok 3H, 5H, 7H meningkat secara bermakna dibanding dengan kelompok K (Kruskal-Wallis) (P<0,05). Simpulan: Hipoksia sistemik kronik menyebabkan penurunan aktivitas spesifik CK otot tikus semua kelompok dibanding kontrol. ATP untuk membentuk kreatin fosfat menurun menyebabkan kreatin bebas meningkat. Hasil oksidasi kreatin bebas menjadi kreatinin meningkat terlihat pada kelompok 3H, 5H, dan 7H.
The Effects of Inaccessibility of Sanitary Pads on High Illiteracy Levels for Girls in Public Primary Schools in Njoro Sub-County, Kenya
Authors: Alice Wambui  
Published: October 2023

The purpose of the study was to investigate the effects of the inaccessibility of sanitary pads on high illiteracy amongst girls in primary schools in Kenya, Njoro sub-county. The research study was conducted under these:

To examine the provision of sanitary pads for girl's high illiteracy in public primary schools,
To examine the contribution of sanitary pads towards deviant behavior on girl's high illiteracy in public primary schools,
To examine how sanitary pads influence self-esteem on high illiteracy of girls in primary schools and
To examine how sanitary pads influence peer relations on the high illiteracy of girls in primary schools in Njoro Sub-County.

A literature review on menstrual health for girls and high illiteracy was used as the foundation of the study in relation to past studies. The study was founded on Structural Functionalist Theory on social systems and the family and school structures. The study adopted a Descriptive research design. The target population was 18131, while the sample generated using Naisssuma's (2000) sample formula was 99 respondents comprising teachers and pupils. Data analysis involved the use of descriptive and inferential statistics for quantitative data. Qualitative data were analyzed thematically and presented in direct narrative form. The study found that:

The influence of the provision of sanitary pads and high illiteracy had a strong correlation effect (r=0.781) which was significant at (p-value 0.12),
The inaccessibility of sanitary pads and deviant behavior had a below-average association (r=0.451) which was significant at (p~value 0.033),
The influence of sanitary pads and self-esteem for pubescent girls had a moderate positive relationship (r=0.55) which was significant at p-value (0.011) and
The influence inaccessibility of sanitary pads and peer influence (r=0.52), which was significant at (p-value 0.010).

The study concluded that the inaccessibility of sanitary pads has hampered class progress for girl children during their menstruation period, especially in places where pupils are not provided with adequate sanitary pads. Adversely, a lack of sanitary pads has significantly contributed to deviant behavior, especially in early pregnancies. However, the lack of sanitary pads causes lower self-esteem in the girls, which makes girls have low confidence during the learning process.
Potensi Emisi Gas Rumah Kaca dari Pengolahan Air Limbah Domestik di Instalasi Pengolahan Air Limbah (IPAL) Bojongsoang, Kabupaten Bandung
Authors: Novia Fanny 
Published: October 2023

Greenhouse gas emissions potential of CH4 and CO2 from domestic wastewater treatment at WWTP Bojongsoang are emitted from wastewater treatment process in anaerobic pond, facultative pond and maturation pond each on Set A and Set B. Emission factor of CH4 and CO2 are based on IPCC standard and the value depends on type of treatment. Greenhouse gas as CO2e emission from each stage on Set A started from anaerobic pond was about 29.18 ton/day, from facultative pond was about 4.36 ton/day and from maturation pond was about 3.42 ton/day. Greenhouse gas as CO2e emission from each stage on Set B started from anaerobic pond was about 229.01 ton/day, from facultative pond was about 8.98 ton/day and from maturation pond was about 11.15 ton/day. Emissions of Set B was much higher than Set A due to different sampling day causing different initial concentration of COD. Initial concentration of COD on Set B was higher than on Set A. Total emissions of greenhouse gas from wastewater treatment in WWTP Bojongsoang was about 279.46 ton/dayÂ Keywords: greenhouse gas; wastewater treatment plant, emission, CO2e, pondÂ ABSTRAKÂ Potensi emisi gas rumah kaca CH4 dan CO2 dari pengolahan air limbah domestik di IPAL Bojongsoang dipancarkan dari proses pengolahan air limbah di kolam anaerobik, kolam fakultatif dan kolam maturasi masing-masing pada Set A dan Set B. Faktor emisi CH4 dan CO2 didasarkan pada standar IPCC dan nilainya tergantung pada jenis perawatan. Gas rumah kaca sebagai emisi CO2e dari setiap tahapan pada Set A mulai dari kolam anaerobik sebesar 29,18 ton/hari, dari kolam fakultatif sebesar 4,36 ton/hari dan dari kolam maturasi sebesar 3,42 ton/hari. Gas rumah kaca sebagai emisi CO2e dari setiap tahapan pada Set B mulai dari kolam anaerobik sebesar 229,01 ton/hari, dari kolam fakultatif sebesar 8,98 ton/hari dan dari kolam maturasi sebesar 11,15 ton/hari. Emisi Set B jauh lebih tinggi dari Set A karena hari pengambilan sampel yang berbeda menyebabkan konsentrasi awal COD yang berbeda. Konsentrasi awal COD pada Set B lebih tinggi dari pada Set A. Total emisi gas rumah kaca dari pengolahan air limbah di IPAL Bojongsoang adalah sekitar 279,46 ton/hariÂ Kata kunci: gas rumah kaca; instalasi pengolahan air limbah, emisi, CO2e, kolam
Analisis Respon Siswa SMA di Kabupaten Situbondo terhadap Potensi Pemanfaatan Sampah Plastik sebagai Sumber Energi Listrik Rumahan
Authors: Damayanti Putri Sovi , Sudarti Sudarti 
Published: October 2023

Plastic waste is one type of waste that is very difficult to decipher in the environment so as to reduce it and not pollute the environment many ways that have been done, such as 3R (Reduce, Reuse, Recycle) and currently many are utilizing it to become an alternative energy source. The purpose of writing this article is to find out the extent of the response of high school students in Situbondo district to the potential utilization of plastic waste as a source of home electrical energy according to the title of this article. The research method used is descriptive quantitative with data collection method using questionnaire method (questionnaire) through google form on high school students in Situbondo district. And the results from 87 high school students that plastic waste in Situbondo district is adequate to be used as a source of electrical energy and they are interested in learning it, but they are not sure if plastic waste as a source of small-scale electrical energy (home) can be applied in Situbondo in the future.Â Keywords: plastic waste, energy sources, home electricityÂ ABSTRAKÂ Sampah plastik merupakan salah satu jenis sampah yang sangat sulit diurai di lingkungan sehingga menguranginya dan tidak mencemari lingkungan banyak cara yang telah dilakukan, seperti 3R (Reduce, Reuse, Recycle) dan saat ini banyak yang memanfaatkannya menjadi sumber energi alternatif. Tujuan penulisan artikel ini adalah untuk mengetahui sejauh mana tanggapan siswa SMA di Kabupaten Situbondo terhadap potensi pemanfaatan sampah plastik sebagai sumber energi listrik rumah sesuai dengan judul artikel ini. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan metode pengumpulan data menggunakan metode kuesioner (angket) melalui google form kepada siswa SMA di Kabupaten Situbondo. Dan hasil dari 87 siswa SMA tersebut adalah sampah plastik di Kabupaten Situbondo cukup untuk digunakan sebagai sumber energi listrik dan mereka tertarik untuk mempelajarinya, tetapi mereka tidak yakin apakah sampah plastik sebagai sumber energi listrik skala kecil (rumah) dapat diterapkan di Situbondo di masa depan.Â Kata Kunci: sampah plastik, sumber energi, listrik rumahÂ
THE ANCIENT RUSSIAN UNFORTIFIED SETTLEMENT MALYE VSEGODICHI IN THE LOwER REACHES OF THE UVOD-RIVER: BASED ON THE MATERIALS OF THE PRESERVING EXCAVATIONS
Authors: Аверин В.А. , Аверина А.В. , Барышников В.Ю. 
Published: October 2023

В статье рассматриваются результаты охранных раскопок древнерусского селища Малые Всегодичи. На основе анализа керамического комплекса, а также индивидуальных находок сделан вывод о том, что средневековое поселение возникло в XII – первой половине XIII в. В составе коллекции присутствуют предметы «городской материальной культуры». Пик развития поселения приходится на вторую половину XIII – XV в. Позднее жизнь на селище угасает. В ходе раскопок найдены также единичные предметы раннего железного века, эпохи бронзы и раннего неолита.
The article presents the results of the preserving excavations of the ancient Russian unfortified settlement Malye Vsegodichi. The medieval settlement dates back to the 12th – 1st half of the 13th centuries. Some of the artefacts in the collection refer to the urban material culture. Its development peak dates back to the 2nd half of the 13th – 15th centuries. Later life on the settlement fades. These conclusions are based on the analysis of the pottery as well as the individual findings. Particular findings belong to the early Iron Age, the Bronze Age or Early Neolithic.
THE INFLUENCE OF TRENDS IN THE DEVELOPMENT OF THE MARKET OF SNACK PRODUCTS ON THE FORMATION OF TOOLS FOR THE PROMOTION AND SALE OF DIETARY SNACKS AND ECO-PRODUCTS
Authors: ЖИЛЬЦОВА М.С. , КУЗНЕЦОВА О.А. 
Published: October 2023

Рынок эко- и диетических продуктов в последнее десятилетие активно развивается. Маркетинговые ис- следования, проводимые различными компаниями, показывают, что в РФ большинство населения (59%) постоянно покупает различные виды снеков для перекусов, которые, по мнению респондентов, важны для работы их голов- ного мозга (76%), эмоционального состояния (74%) и здоровья в целом. Замена перекусов на полезные и экологич- ные продукты – важное направление для развития пищевых производств. Приведены результаты маркетингового исследования рынка экопродукции, снеков, определены основные потребительные предпочтения. Обозначена важ- ность маркетплейсов в продвижении диетической и экопродукции, предложены направления совершенствова- ния маркетинговой деятельности их производителей в целях завоевания новых целевых сегментов потребителей.
Themarketfordietaryandorganicproductshasbeenactivelydevelopinginthelastdecade.Marketingresearchconducted by various companiesshows that in the Russian Federation the majority of the population (59%) constantly buys various types of snacks for snacks, which, according torespondents, are important for their brain function (76%), emotional state (74%) and health in general. Replacing snacks with healthy andenvironmentally friendly products is an important direction for the development of food production. The results of marketing research of the market of eco-products, snacks are given, the main consumer preferences are determined. The importance of marketplaces in the promotion of dietary and organic products is indicated, directions for improving the marketing activities of their manufacturers in order to conquer new target consumer segments are proposed.