bluuebunny/crossref_metadata_2025_split huggingface dataset:
An evaluation of quality of sleep and prevalence of sleep disorders among adult population of Urban slum of Bangalore - a cross sectional study
Authors: Rao Mithun , Bhushan Shobha , TS Ranganath 
Published: October 2023

Background: Sleep can be defined as a state of reduced attention from where the person can be woken up by any kind of stimuli. Sleep difficulties are a major group of disorders affecting one third of the adult population. The present study was taken up to assess the sleep quality and prevalence of sleep disorders among the adult population in the urban slum area of H Siddaiah Road Urban Primary Health Center (UPHC), which is in the Urban Field Practice Area, BMCRI. Methods: Stratified random sampling was used to select 821 adults in the population of 18-60 years of age. Ethical clearance was obtained from the Institutional Ethical Committee. A pretested semi-structured questionnaire was used to interview the adults after obtaining their consent. The data was entered in Microsoft Office Excel and analysed using SPSS ver20.0. Results: The study population was 52.81% females and 77.5% in the age group of 18-30 years. Most of the study population were Hindus (78.90%), and only 3.8% of the study population were illiterate. Most of them were employed (86.12%). Substance use was present in 82.9% of the study participants and overcrowding was present in 51.3% of the subjects. Female gender, being unemployed, living with relatives, overcrowding, and substance use such as alcohol and smokeless tobacco were the factors associated with poor sleep quality as measured using the Pittsburgh Sleep Quality Index. Among the study participants having poor sleep quality, most of participants needed further clinical assessment for insomnia (86%) followed by assessment for sleep apnoea (50.5%). Conclusions: 200 (24.36%) study participants were determined to have poor sleep quality. Gender, marital status and overcrowding were the factors associated with poor sleep quality. A significant number of study participants need further assessment on insomnia, sleep apnoea and psychiatric disorders.
A Comparison of Pain Before and After Transfusion in Adult transfusion-dependent thalassemia (TDT) Using BPI-SF
Authors: Gamayani Uni , Dianathasari Santoso Shenny , Nugraha Hermawan Asep , Irani Fianza Pandji , Panigoro Ramdan 
Published: October 2023

Background Pain is a complication in patients with transfusion-dependent thalassemia (TDT). There are several mechanisms underlying pain in people with thalassemia and low hemoglobin at the end of the transfusion cycle was the most etiology. Pain can develop into chronic pain and interfere with the quality of life. The Brief Pain Inventory Short Form (BPI-SF) can help identify pain in people with TDT. The present study aimed to compare pain before and after transfusion in adult TDT patients. Methods It was an analytical observational study using a cross-sectional design on adult TDT patients with pain who came to the Haemato-Oncology Clinic of Dr. Hasan Sadikin Hospital Bandung. This study was conducted from December 2020 to July 2021. All subjects were assisted in filling out the Indonesian version of the BPI-SF questionnaire hemoglobin levels were examined and before and after transfusion, then paired test analysis was performed using the Wilcoxon Test. Results This study is conducted on 60 adult TDT patients with symptoms of pain. The median value of pain intensity and pain interferes with life obtained from the Indonesian version of the BPI-SF score after transfusion decreased significantly compared to before transfusion (NRS 5 vs. 0 and 2.8 vs. 0; p=0.0001). Conclusion There is a significant difference in pain intensity and pain interfere with life in adults with TDT before and after transfusion. It is necessary to carry out pain assessments for thalassemia patients.
An Analysis of Central Asian States’ Political Affinity to Global Powers: Case of Kyrgyzstan, Tajikistan, and Turkmenistan
Authors: ÇALIK TOPUZ Zuhal 
Published: October 2023

The Central Asian states, which remained under the Soviet regime for a long time, started to arouse curiosity in world politics about global and regional policy preferences after they gained their independence, and this situation led to an increase in the importance of Central Asia in global power competition. In this study, which is theorized around the concept of Small State, it is aimed to reveal the degree of political affinity towards the three global powers, China, Russia, and the USA, by analyzing the United Nations (UN) General Assembly voting data of the Central Asian States, Kyrgyzstan, Tajikistan, and Turkmenistan between 1992-2021. The reason why the study is limited to three states from the Central Asian States is that only these states are suitable for the
definition of small states. According to the quantitative analysis results obtained based on the UN voting data; the three Central Asian States are closer to Russia and China than the USA from their establishment to the present in terms of political affinity; the political affinity with the USA has become increasingly different especially after the years 1995-96; and, it is understood that the political affinity with China has increased especially after the 2000s.
Contemporary challenges in the process of the human resources management in the civil service - selected issues
Authors: Łukaszczuk-Walter Agnieszka , Bitkowska Agnieszka 
Published: October 2023

Cel pracyArtykuł miał na celu zwrócenie uwagi na działania instytucji administracji publicznej, które powinny podążać w kierunku realizacji funkcji personalnej wewnątrz organizacji, w oparciu o Nowe Zarządzanie Publiczne (New Public Management).Materiał i metodyPrzedmiotem naszych badań była problematyka zarządzania zasobami ludzkimi w korpusie służby cywilnej, należącej do sektora publicznego w urzędach administracji rządowej. W artykule zastosowano metodę prawno-porównawczą i metodę badania modeli.WynikiArtykuł poruszył problematykę zarządzania zasobami ludzkimi w korpusie służby cywilnej, należącej do sektora publicznego w urzędach administracji rządowej.WnioskiPrzeprowadzone badania doprowadziły do stwierdzenia, że zarządzanie zasobami ludzkimi, a zatem proces zatrudniania, planowania i rozwoju ścieżki zawodowej nie stanowi obszaru badawczego ograniczonego jedynie do sektora prywatnego. Przeciwnie – kierowanie zasobami ludzkimi jest jednakowo ważną materią podejmowaną w sektorze publicznym, a każdy etap tego procesu stanowi istotny element zarządzania organizacją jako całością. Służy realizacji funkcji personalnej, przez co pozwala postrzegać pracowników jako wartość dodaną organizacji publicznej, za jej podstawowe źródło sukcesu i najważniejszy kapitał.
Artykuł miał na celu zwrócenie uwagi na działania instytucji administracji publicznej, które powinny podążać w kierunku realizacji funkcji personalnej wewnątrz organizacji, w oparciu o Nowe Zarządzanie Publiczne (New Public Management). Dbałość o prawidłowy rozwój kadr administracji to dbałość o jej najważniejszy kapitał – pracowników wykonujących zadania publiczne na każdym szczeblu kariery zawodowej, które przekłada się na skuteczność i jakość świadczonych usług.
Management of pilgrimage traffic in Poland in functional terms
Authors: Pabian Barbara , Pabian Arnold 
Published: October 2023

Cel pracyCelem artykułu jest analiza potencjału i możliwości wykorzystania wiedzy z zakresu współczesnego zarządzania w odniesieniu do praktyki pieszego pielgrzymowania oraz przekazanie konkretnych rekomendacji dotyczących tej sfery.Materiał i metodyDo badań na potrzeby niniejszego opracowania wybrano metodę desk research oraz obserwacji uczestniczącej, prowadzonej w trakcie pielgrzymek zmierzających do jasnogórskiego sanktuarium. Przeprowadzono krytyczną analizę literatury przedmiotu i prasy specjalistycznej, zastosowano też metodę analizy opisowej.WynikiUzyskane wyniki pokazują, że wzrost kompetencji z zakresu współczesnego zarządzania u osób duchownych i świeckich, które pełnią różnorakie funkcje kierownicze i pomocnicze na wszystkich etapach pieszych pielgrzymek (przygotowanie – realizacja – zakończenie) ułatwia optymalne wykorzystanie istniejących zasobów dla osiągnięcia celów, wśród których największe znaczenie ma odbiór duchowych treści przez pątników.WnioskiProfesjonalna wiedza przekłada się też na umiejętność koordynowania aktywności służb współpracujących ze sobą podczas pielgrzymki, czego pokłosiem będą rozwiązania, korzystne dla wszystkich interesariuszy, szczególnie te, które są trudne do uzyskania w pojedynkę. Nawet, schodzące na drugi plan, ale zaspokojone w drodze potrzeby materialne, są czynnikiem pozytywnie wpływającym na satysfakcję pątników z podjętego trudu peregrynacji i mogącym wpłynąć na decyzję o ich ponownym udziale w dobrze zorganizowanej pielgrzymce. W procesie zarządzania ruchem pielgrzymkowym największe znaczenie mają funkcje planowania i organizowania, natomiast mniejsze, ze względu na wrażliwą strukturę pielgrzymki, motywowanie i kontrola.
The mediating role of spiritual engagement in the relationship between religiosity and religious coping. Cross-sectional study among polish students
Authors: Jurek Krzysztof , Ślusarska Barbara , Deluga Alina , Nowicki Grzegorz , Niewiadomska Iwona 
Published: October 2023

ObjectivesThe aim of this study was to determine how spiritual engagement may mediate the relationship between an individual's religiosity and their use of religious coping strategies.Material and methodsA total of 342 students from two universities in eastern Poland participated in the study. The average age was 20.85 [95% CI: 20.607-21.095] years old. The data were collected using the two standardized scales: the Brief - Religious Coping Questionnaire (Brief RCOPE) and Spiritual Attitude and Involvement List (SAIL).ResultsIt was observed that positive religious coping strategies prevailed among the students surveyed. The highest-rated SAIL subscale was the Meaningfulness (4.65; 95% CI: 4.571-4.723), while the lowest was Transcendent Experience (3.28; 95% CI: 3.172-3.384). Significant positive correlations were found between the six areas of spirituality assessed by the SAIL scale and positive religious coping strategies. The results showed a significant total effect of religiosity on positive religious coping (beta=0,755; B=7.665;p<0.001; 95% CI: 6.30; 8.40).The direct effect of religiosity on positive religious coping was significant (beta=0,562; B=5.706; p<0.001; 95% CI: 4.85; 6.56). The effect of religiosity on positive religious coping was partially mediated by Transcendent Experiences and Spiritual Activities. The total indirect effect was 0.193 (95% CI: 0.125; 0.265).ConclusionsThe introducing aspects of spirituality and religiosity into higher education programs can help students of both medical and non-medical faculties to respond to the many difficult situations of daily life and move forward with a sense of achieving their designated tasks and goals.
Analysis and design of an ultra-wide temperature difference very long wave infrared multifunctional imaging spectrometer
Authors: Zhang Jialun , Zheng Yuquan , Lin Chao 
Published: October 2023

The detection of various cryogenic targets, including the polar cryosphere,
high-altitude clouds, and cosmic galaxies through spectral analysis,
is a highly valuable area of research. Nevertheless, creating a very
long wave infrared (VLWIR) imaging spectrometer capable of detecting
these targets presents a significant challenge. In this paper, we
introduce a design concept for an ultra-wide temperature difference
athermalization VLWIR multifunctional imaging spectrometer. Initially,
we analyze the multifunctional characteristics of an imaging
spectrometer that utilizes a coaxial optical layout. Subsequently, we
delve into the constraints associated with smile aberration correction
and coaxial optical layout of the imaging spectrometer, which utilizes
a grism as the dispersion component. Finally, we construct a
computational model to determine the parameters of the grism. In the
study, we provide evidence that imaging spectrometers with symmetrical
structural forms can effectively minimize the impact of temperature
variations on the system. Building on these findings, we developed the
ultra-wide temperature difference athermalization VLWIR
multifunctional imaging spectrometer, which boasts a temperature
variation range over 200 K. This versatile instrument features
a multifunctional mode that can be easily tuned to meet a range of
observation missions. The spectrometer has a spectral range of 12µm to 16µm, a field of view (FoV) of 16.8mm×6mm, a numerical aperture (NA) of 0.334,
an alignment temperature of 293.15 K, and an operating
temperature of 60 K. The analysis results demonstrate the many
working modes and high imaging quality of the designed imaging
spectrometer. This paper’s research offers a fresh approach for
low-temperature VLWIR imaging spectrometer systems.
Effectiveness of curriculum-based sexual and reproductive health education on healthy sexual behaviors among year one students at Arba Minch University: A quasi-experimental study
Authors: Boti Sidamo Negussie , Hussen Sultan , Shegaze Shimbre Mulugeta , Zerihun Eshetu , Godana Boynito Wanzahun , Abebe Sintayehu , Shibiru Tamiru , Shibiru Simon , Gebretsadik Woyinshet , Desalegn Nathan , Oumer Bilcha , Temesgen Birgoda Gebremaryam , Abdulkadir Hanan 
Published: October 2023

Introduction
Curriculum-based sexual and reproductive health education (CBSRHE) is one of the preventive strategies targeting youth in higher institutions to protect them from sexual and reproductive health problems, despite never assessing the effect in Ethiopia. Therefore, this study aimed to assess the effect of CBSRHE on knowledge and attitude about SRH services to have safer sexual behaviors among first-year students of Arba Minch University.

Method
We conducted a quasi-experimental study among purposively selected campuses. The campuses were allocated to (i) an intervention arm consisting of curriculum-based sexual and reproductive health, or (ii) a control arm for those who were free from intervention. Data was collected, at baseline and immediately after the intervention ended by using a structured self-administered questionnaire. To compare differences in the change from baseline to post-intervention between the two arms we use the chi-square test and independent-samples t-test. To see the effect of the CBSRHE by controlling the effect confounding inverse probability-weighted analysis was conducted.

Result
A total of 832 and 820 students participated in a baseline and post-test respectively. The proportion of youth who practice receptive penetrative sex decreases from 40.9% to 28.3% in the intervention arm compared to 37.6% to 37.3% in the non-intervention arm between baseline and end line, with statistically significant differences between groups. However, there are statistically significant differences between the intervention and control groups in terms of changes in contraception utilization (X2 = 1.21; P>0.05). Furthermore, there were significant improvements in knowledge and attitude among the intervention arm a comprehensive knowledge of HIV/AIDS (ATE = 0.22,95% CI, 0.14 to 0.29; p < 0.01), an average change of attitude toward HIV/AIDS(ATE = 1.32, 95% CI, 1.18 to 1.47; p < 0.01), comprehensive condom knowledge score (ATE = 0.23, 95% CI, 0.13 to 0.33; p < 0.01) and the average change of attitude toward condom score (ATE = 1.83, 95% CI, 1.19 to 2.77; p < 0.01).

Conclusion and recommendation
It was found that there was a significant difference in knowledge and attitude toward a disk sexual behaviors among r one student. This implies that the educational authority o the country can gain through the adoption of courses to all universities across the country, besides doing further comparative studies to determine the long-term effect of the course supported with models and/or theories like the theory of change.
Reducing stigma impacting children and adolescents in low- and middle-income countries: The development of a common multi-component stigma reduction intervention
Authors: Hartog Kim , Peters Ruth M. H. , Tukahiirwa Racheal Kisakye , Jordans Mark J. D. 
Published: October 2023

Introduction
Stigmatisation impedes health and quality of life. Evidence regarding stigma reduction interventions is, albeit growing, limited. There is a gap in the availability and evidence of interventions for reducing stigma among children and adolescents, especially in low- and middle-income countries. This paper describes the process that led to a stigma reduction intervention impacting children and adolescents in low- and middle-income countries, following previously conducted formative research.

Methods
In this study, we conducted (i) online stakeholder consultations (FGD) (n = 43), including a survey assessing intervention acceptability, appropriateness, feasibility and scalability (n = 16); and (ii) preliminary field-testing of intervention content online and in a refugee settlement in Uganda.

Findings
Stakeholder consultation showed the initial version of STRETCH (Stigma Reduction to Trigger Change for Children), albeit positively received, required adaptations. We made adjustments to i) take into account implementation duration, intervention flexibility and intersectionality; (ii) strengthen the involvement of individuals, including adolescents/youth, with lived stigma experience; (iii) target people close to individuals with lived stigma experience; and (iv) address feasibility and sustainability concerns. Preliminary field-testing simplified STRETCH while adding a community outreach component and revisiting the intervention setup, to ensure STRETCH can also be applied from a modular perspective.

Conclusion
We conducted a process to develop a child-focused multi-component stigma reduction intervention, with intended applicability across stigmas and settings. This paper provides an overview of the intervention development process, generating intervention-specific learnings with generic value. STRETCH aims to reduce stigmatisation at the implementing organisation, create community-wide reflection and stigma reduction demand, and reduce stigmatisation among various target groups.
Fetal outcomes and their correlates following caesarian section in a rural setting in Ghana
Authors: Sackeya Eugene , Beru Martin Muonibe , Angmortey Richard Nomo , Opoku Douglas Aninng , Boamah Victoria Achiaa , Appiah Francis , Mohammed Aliyu 
Published: October 2023

Background
Regular evaluation of caesarean section (CS) is required due to their rising trend and outcomes. Many women recently opt for elective CS, even in resource-constrained settings. Data evaluating the outcomes of CS is however sparse. Hence, this study sought to determine the rate of fetal mortalities and their determinants following CS in the Tatale District Hospital of the Northern Region, Ghana.

Methods
A retrospective cross-sectional study was employed to analyze the medical records of 275 women who underwent CS from 2019 to 2021. Data were collected from the hospital’s record of CS cases from 2019 to 2021. Descriptive statistics were used to summarize the data and Pearson’s chi-square/Fisher’s exact test was used to examine the relationship between maternal and obstetric characteristics and fetal mortality. At a 95% confidence interval (95% CI), logistic regression was fitted to assess significant variables and reported the results using odds ratio.

Results
Of 1667 deliveries, 16.5% of the mothers gave birth by CS. A fetal mortality rate of 76.4 per 1000 total births was recorded following CS. Babies born with low Appearance, Pulse, Grimace, Activity and Respiration (APGAR) scores (0–3) at fifth-minute had an increased risk of fetal mortality (AOR  =  523.19, 95%CI: 49.24–5559.37, p  =  <0.001). Having a history of previous CS, cephalopelvic disproportion and delayed labour were the major indications for CS.

Conclusion
Overall, this study found a high rate of CS based on the World Health Organization‘s recommended CS rate. Interventions such as reducing the waiting time for surgery and early diagnosis of the need for CS, and ensuring the availability of modern equipment to resuscitate infants with low APGAR scores can significantly improve fetal outcomes following CS.
Sleep disorders and risk of infertility: A meta-analysis of observational studies
Authors: Qin Xiaoxiao , Fang Siyun , Cai Yaqi 
Published: October 2023

Objective
The purpose of this study was to determine the relationship between sleep disorders and risk of infertility.

Method
Three databases (PubMed, Embase, and Cochrane Library) were searched form their inception to April 30, 2023. Information of study design, control group and experimental group, number of participants, and study outcomes was extracted. The quality of the studies was evaluated using the Newcastle-Ottawa Scale (NOS scale) and the Agency for Healthcare Research and Quality (AHRQ scale). Narrative synthesis and meta-analysis were used to analyze these studies.

Result
Eight cohort, cross-sectional, and case-control studies were considered. The reviewed studies were high-quality. Pooled analysis showed that the risk of infertility was 1.43-fold higher in patients with sleep disturbance (HR = 1.43, 95% CI, 0.97–2.11, z = 1.79), but this was not statistically different; the risk was 1.58-fold higher in patients with OSA compared to those without OSA (HR = 1.58, 95%, CI, 0.99–2.52, z = 1.91), but this was not statistically significant. Wake-up time is also associated with infertility (OR = 1.14; 95%CI = 1.01–1.28; P = 0.037). For every hour they stay awake beyond 8:00 AM, participants had a 41% higher risk of infertility (P = 0.004). The early-to-bed/late-to-rise (EL), LE, and LL groups had a higher risk of infertility than the EE group.

Conclusion
The present study did not find an association between sleep disorders and the risk of infertility. Therefore, more observational studies are warranted to explore the association between sleep disorders and the risk of infertility.
Manifestaciones otorrinolaringológicas del Síndrome VEXAS. Revisión sistemática
Authors: Martínez-Díaz Lucía , Morales-Angulo Carmelo 
Published: October 2023

Introducción y objetivo: El síndrome VEXAS (SV) es una entidad de descripción reciente que afecta fundamentalmente a varones, y se debe a una mutación somática en el gen UBA1. Puede cursar con múltiples manifestaciones sistémicas, siendo la afectación de cabeza y cuello muy frecuente. El objetivo de este estudio fue describir las manifestaciones otorrinolaringológicas del SV, que contribuyan a un diagnóstico y tratamiento temprano de la enfermedad.
Método: Se realizó una revisión de la literatura médica, utilizando los criterios PRISMA adaptados al tipo de estudio, de las manifestaciones otorrrinolaringológicas del SV, utilizando la base de datos Pubmed.
Resultados: Fueron incluidos en nuestro trabajo 81 artículos que cumplían los criterios de inclusión del mismo, los cuales describían 133 casos. Los resultados mostraron que el SV se produce sobre todo, en varones mayores de 50 años de edad, presentando en más de la mitad de los casos, manifestaciones de cabeza y cuello, entre las que destacan la CA, la condritis nasal y el edema periorbitario,
Conclusiones: Con frecuencia el SV es confundido, en los pacientes con manifestaciones otorrinolaringológicas, con la policondritis recurrente. El conocimiento por parte del otorrinolaringólogo de las manifestaciones de cabeza y cuello asociadas al mismo, puede contribuir a un diagnóstico y tratamiento temprano mejorando el pronóstico de la enfermedad.