bluuebunny/crossref_metadata_2025_split huggingface dataset:
Coping strategies in postpartum women: exploring the influence of demographic and maternity factors
Authors: Alshowkan Amira , Shdaifat Emad , Alnass Fatimah Abdullah , Alqahtani Friyal Mubarak , AlOtaibi Nora Ghalib , AlSaleh Nagla Saleh 
Published: November 2023

Abstract
Background
Postpartum depression is a frequent mental health issue that affects many women due to this stressful phase. The aim of the study is to gain insight into the coping strategies employed by postpartum women and to explore how these strategies are influenced by various demographic and maternity factors.

Methods
The study adopted a quantitative, cross-sectional design. Data were collected from 239 postpartum women receiving care at a Gynecology and Obstetrics Clinic using self-reported tools, which include the Brief COPE survey and the socio-demographics and obstetric/maternal history form from October 2022 to April 2023.

Results
The study findings indicate that individuals aged over 40 tend to use more emotional-focused coping compared to those aged 21–30 (p = 0.002) and 31–40. Additionally, both genders of children were associated with more emotional-focused coping (p = 0.007) compared to only having boys. Cesarean section delivery (p = 0.001) was associated with more avoidant-focused coping than normal vaginal delivery. Avoidant-focused coping was significantly predicted by problem-focused coping (p < 0.001), emotional-focused coping (p = 0.034), age (p = 0.003), and gender of children (only boys, p < 0.001; both boys and girls, p = 0.019). Furthermore, problem-focused coping was significantly predicted by age (p = 0.004), gender of children (male child, p = 0.002; both boy and girl: p = 0.014), and avoidant-focused coping (p < 0.001).

Conclusions
The study examined how postpartum women cope with the challenges of motherhood and how this relates to their demographic and maternity factors. The results suggest that healthcare professionals should promote effective coping strategies and discourage avoidance-oriented approaches in postpartum interventions.
Childhood vaccine refusal and what to do about it: a systematic review of the ethical literature
Authors: Wiley Kerrie , Christou-Ergos Maria , Degeling Chris , McDougall Rosalind , Robinson Penelope , Attwell Katie , Helps Catherine , Drislane Shevaun , Carter Stacy M 
Published: November 2023

Abstract
Background
Parental refusal of routine childhood vaccination remains an ethically contested area. This systematic review sought to explore and characterise the normative arguments made about parental refusal of routine vaccination, with the aim of providing researchers, practitioners, and policymakers with a synthesis of current normative literature.

Methods
Nine databases covering health and ethics research were searched, and 121 publications identified for the period Jan 1998 to Mar 2022. For articles, source journals were categorised according to Australian Standard Field of Research codes, and normative content was analysed using a framework analytical approach.

Results
Most of the articles were published in biomedical journals (34%), bioethics journals (21%), and journals that carry both classifications (20%). Two central questions dominated the literature: (1) Whether vaccine refusal is justifiable (which we labelled ‘refusal arguments’); and (2) Whether strategies for dealing with those who reject vaccines are justifiable (‘response arguments’). Refusal arguments relied on principlism, religious frameworks, the rights and obligations of parents, the rights of children, the medico-legal best interests of the child standard, and the potential to cause harm to others. Response arguments were broadly divided into arguments about policy, arguments about how individual physicians should practice regarding vaccine rejectors, and both legal precedents and ethical arguments for vaccinating children against a parent’s will. Policy arguments considered the normative significance of coercion, non-medical or conscientious objections, and possible reciprocal social efforts to offset vaccine refusal. Individual physician practice arguments covered nudging and coercive practices, patient dismissal, and the ethical and professional obligations of physicians. Most of the legal precedents discussed were from the American setting, with some from the United Kingdom.

Conclusions
This review provides a comprehensive picture of the scope and substance of normative arguments about vaccine refusal and responses to vaccine refusal. It can serve as a platform for future research to extend the current normative literature, better understand the role of cultural context in normative judgements about vaccination, and more comprehensively translate the nuance of ethical arguments into practice and policy.
Ultrasound-guided disc pain induction test for diagnosis of discogenic lumbar pain: a cross-sectional study
Authors: Masuda Keisuke , Shigematsu Hideki , Maeda Manabu , Okuda Akinori , Tanaka Yasuhito 
Published: November 2023

Abstract
Background
Several methods can be used to diagnose discogenic pain, but only discoblock can diagnose discogenic pain definitively. This study aimed to examine the usefulness of an ultrasound-guided disc pain induction test for a simple and accurate diagnosis of the culprit lesion.

Methods
We included 41 patients with lumbar pain in whom pain was induced by an ultrasound-guided disc pain induction test. All patients had confirmed pain at L1/2 to L5/S1 based on an ultrasound-guided disc pain induction test and underwent X-ray photography and magnetic resonance imaging. Seventeen patients who required injection due to severe pain underwent discoblock procedures for discs with the most intense pain, and visual analogue scale (VAS) scores were obtained before and after the procedure for these patients. We analysed the association between painful discs and radiological findings.

Results
Pain induction was noted in a total of 65 discs, and the pain was induced in 23 patients in only one disc. All patients had disc degeneration of Pfirrmann classification grade 1 or higher, with more significant disc degeneration in painful discs than in painless discs. There was no significant relationship between the presence or absence of pain and Modic type. The average VAS measurements improved significantly from 9.5 (pre-procedure) to 2.5 (post-procedure). These results suggest that the most painful discs were the causes of discogenic lumbar pain.

Conclusions
Our ultrasound-guided disc pain induction test may help diagnose disc degeneration and identify culprit lesions, even when multiple discs exhibit findings of degeneration.
Clinical application of 3D printing-assisted patient-specific instrument osteotomy guide in stiff clubfoot: preliminary findings
Authors: Liu Wei , Zhang Siping , Zhang Wenhao , Li Fei , Tueraili Aihelamu , Qi Ling , Wang Chengwei 
Published: November 2023

Abstract
Background
The orthopedic treatment of the stiff clubfoot is challenging for clinicians, and the purpose of this study was to explore the preliminary findings of 3D printing-assisted patient-specific instrument (PSI) osteotomy guide for use in the orthopedic treatment of the stiff clubfoot.

Material and methods
There were 20 patients (25 feet) with stiff clubfoot admitted from December 2018 to June 2022, including 13 males (16 feet) and 7 females (9 feet), aged 24–52 years, mean 40.15 years; 8 left feet, 7 right feet, 5 bipedal. All patients underwent triple arthrodesis and were divided into 10 cases (12 feet) in the PSI group (n = 12) and 10 cases (13 feet) in the conventional surgery group (n = 13) according to the surgical approach. The duration of surgery and the number of radiation exposures were recorded in all cases, and the American Orthopedic Foot and Ankle Society (AOFAS), and International Congenital Clubfoot Study Group (ICFSG) scoring systems were applied postoperatively to assess the effect of corrective treatment. All measurement data were expressed as mean ± standard deviation, and differences between groups were determined by Student’s t test. All count data between the two groups were compared using the chi-square test or Fisher’s exact test analysis.

Results
All 20 patients (25 feet) were followed up for 1 year. No major complications related to osteotomy, such as overcorrection, incomplete correction, or bone nonunion, were observed in the PSI and conventional surgery groups at the final follow-up, and the PSI group had the advantage of shorter operative time (P < 0.01), less radiation exposure (P < 0.01), and higher excellent rate compared with the conventional surgery group. The AOFAS score (P > 0.05) and ICFSG score (P > 0.05) at the last follow-up were not statistically significant in both groups, but the excellent rate at the last follow-up was 91.7% in the PSI group which was significantly higher than that of the conventional surgery group at 76.9%.

Conclusions
The utilization of 3D printing-assisted PSI osteotomy guide in orthopedic surgery for stiff clubfoot offers a safe and effective surgical tool for triple joint fusion treatment. This technology simplifies surgical procedures, minimizes intraoperative radiation exposures, reduces surgical time, and enables precise and personalized treatment.
Effectiveness of the holistic primary school-based intervention MindMatters: study protocol for a cluster-randomised controlled trial
Authors: Fischer Lisa , Liegmann Katharina , Morgenstern Matthis , Dadaczynski Kevin 
Published: November 2023

Abstract
Background
The prevalence of mental health problems in childhood and adolescence has increased significantly, not least due to the COVID-19 pandemic in Germany and other countries worldwide. Although holistic school interventions to promote mental health and prevent mental health problems are considered promising, there is currently uncertainty about their effectiveness due to evaluation studies with heterogeneous methodological quality. This paper presents the study protocol for the evaluation of the primary school module of MindMatters.

Methods
As part of a universal mental health intervention, the MindMatters primary school module ‘Learning Together with Emotions’ aims to promote social-emotional learning (SEL) in the classroom across five skill areas. In addition to classroom activities, the intervention includes a school development module to help primary schools create structures and processes to maintain and promote mental health. To evaluate the effectiveness of the intervention, a two-arm cluster-randomised controlled trial will be conducted, including schools implementing MindMatters over a 12-month period and a control group with no access to the intervention. Data will be collected before and 18 months after initiation of the intervention. Controlled for baseline conditions, multilevel regression analysis will be used to examine primary intervention outcomes at the pupil level (i.e. reductions in mental and behavioural problems). Further mediation and moderation analyses will examine whether proximal outcomes predict changes in mental health outcomes and whether school-level factors influence the effectiveness of the intervention.

Discussion
This study will contribute to strengthen the evidence base for holistic school (mental) health promotion interventions using a study design with high internal validity. Based on an intervention model, the results will not only provide insights into the relationship between proximal and distal outcomes, but will also allow conclusions to be drawn about how the implementation of the intervention affects its effectiveness. Finally, the findings also address the question of whether improved mental health has a positive effect on primary school pupils’ academic performance.

Trial registration
German Clinical Trials Register DRKS00023762. Registered on 5 January 2021.
Synthesis of hydroxyapatite/polyethylene glycol 6000 composites by novel dissolution/precipitation method: optimization of the adsorption process using a factorial design: DFT and molecular dynamic
Authors: Azzaoui K. , Jodeh S. , Mejdoubi E. , Hammouti B. , Taleb M. , Ennabety G. , Berisha A. , Aaddouz M. , Youssouf M. H. , Shityakov S. , Sabbahi R. , Algarra M. 
Published: November 2023

AbstractIn this work, we presented a synthesis of a composite based on HAp and PEG 6000 using a new method of synthesis dissolution precipitation to be applied for application of wastewater purification from toxic metal ions. Multiple characterization methods were used to analyze the morphology and the structure of the well-prepared compounds including FT-IR, Raman, XRD, XPS, TGA and SEM were used to conduct a composite analysis. The adsorption effectiveness of this analysis towards Pb2+ and various other hazardous metal ions found in sewage was assessed. Batch experiments were conducted to optimize the various operational parameters including adsorbent dose, temperature, pH, contact time, and initial concentration. The Langmuir isotherm was used to fit the data, and it predicted monolayer adsorption with a maximum capacity of 67 mg g−1 for HAP PEG600 and 60 mg g−1 for HAp. A pseudo-second-order equation fits the adsorption process well (0.961–0.971). The thermodynamic data support the spontaneous metal bonding to the composite receptor sites. Theoretical calculations showed that the interaction strength is very strong and gets stronger when the PEG6000 is deprotonated. The results presented here are supported by evidence acquired from experiments. Theoretical computation using Monte Carlo (MC) and Molecular Dynamic (MD) simulation models showed excellent affinity of prepared foams for the model ion Pb2+ with highly negative adsorption energy values indicating vigorous interactions of Pb2+ with the adsorbate surfaces.
Foveal cone loss in tamoxifen maculopathy: a case report
Authors: Doble Nathan , Wells-Gray Elaine M. , Wells Michael , Choi Stacey S. 
Published: November 2023

Abstract
Background
Tamoxifen is used in low dose concentrations (20–40 mg per day) as a therapy for breast cancer but is known to have ocular side effects. In this case report, the foveal cone integrity in a tamoxifen-treated patient who complained of a small central scotoma in the left eye while reading was examined using high resolution adaptive optics imaging.

Case presentation
Both eyes of a 54-year-old Caucasian, non-hispanic female who had been treated with tamoxifen for 1.5 years were examined using various imaging modalities including fundus photography, fundus autofluorescence, fluorescein angiography, spectral-domain optical coherence tomography, and adaptive optics scanning laser ophthalmoscopy. Clinical spectral-domain optical coherence tomography showed a very small disruption to the photoreceptor layer at the fovea in the left eye only. However, adaptive optics scanning laser ophthalmoscopy imaging revealed foveal cone loss in both eyes, but to a lesser extent in the right eye. Inner retinal changes were not observed in either eye.

Conclusion
The area of cone loss was similar in size to a single newsprint letter when projected onto the retina, matching the patient’s description of a scotoma in the left eye. Given the isolated loss of foveal cone photoreceptors with the absence of previously reported inner retinal and vascular changes, our results may indicate the earliest retinal changes associated with tamoxifen retinopathy.
Fixed-point theorems of ${F}^{\star}- ( \psi,\phi )$ integral-type contractive conditions on $1_{E}$-complete multiplicative partial cone metric spaces over Banach algebras and applications
Authors: Faried Nashat , Abou Bakr Sahar Mohamed Ali , Abd El-Ghaffar H. , Almassri S. S. Solieman 
Published: November 2023

AbstractIn this paper, we introduce some user-friendly versions of integral-type fixed-point results and give some modifications of the classical Banach contraction principle by constructing a special type of contractive restrictions of integral forms for weak contraction mappings defined on $1_{E}$

1
E

-complete multiplicative partial cone metric spaces over Banach algebras and formulate some existence and uniqueness results regarding the fixed-point theorems using some integrative conditions. Moreover, we validate the significance our results and exploit them to find the unique solution of a fractional nonlinear differential equation of Caputo type, which complements some previously well-known generalizations found in the literature.
Upper bounds of the logarithmic coefficients for some subclasses of analytic functions
Authors: Analouei Adegani Ebrahim , Jafari Mostafa , Bulboacă Teodor , Cho Nak Eun 
Published: November 2023

AbstractDue to the major importance of the study of the logarithmic coefficients for univalent functions, in this paper we find the sharp upper bounds for some expressions associated with logarithmic coefficients of functions that belong to some well-known classes of analytic functions in the open unit disk of the complex plane.
A comprehensive review on immune checkpoint inhibitors induced cardiotoxicity characteristics and associated factors
Authors: lessomo Fabrice Yves Ndjana , Mandizadza Oscar Onayi , Mukuka Chishimba , Wang Zhi-Quan 
Published: November 2023

AbstractNewly approved cancer drugs called ICIs have shown remarkable success in improving patient survival rates, but they also have the potential for inflammatory and immune-related side effects, including those affecting the cardiovascular system. Research has been conducted to understand the development of these toxicities and identify risk factors. This review focuses on the characteristics of ICI-induced cardiotoxicity and discusses the reported risk factors. It is important for cardio-oncologists to understand the basic concepts of these drugs to better understand how cardiotoxicities occur. It might be hard to find reports, where all patients treated with ICIs had developed cardiac toxicity, because there could be other existing and variable factors that influence the likelihood or risk of developing cardiotoxicity during treatment. Various clinical parameters have been explored as potential risk factors, and further investigation is needed through large-scale studies.
Molecular mechanisms of uterine incision healing and scar formation
Authors: Sun Qing , Tang Le , Zhang Dan 
Published: November 2023

AbstractWound healing is a tandem process involving inflammation, proliferation, and remodeling, through which damage is repaired and ultimately scar tissue is formed. This process mainly relies on the complex and extensive interaction of growth factors and cytokines, which coordinate the synthesis of various cell types. The loss of normal regulation in any part of this process can lead to excessive scarring or unhealed wounds. Recent studies have shown that it is possible to improve wound healing and even achieve scar-free wound healing through proper regulation of cytokines and molecules in this process. In recent years, many studies have focused on accelerating wound healing and reducing scar size by regulating the molecular mechanisms related to wound healing and scar formation. We summarized the role of these factors in wound healing and scar formation, to provide a new idea for clinical scar-free healing treatment of uterine incisions.
Breaking the taboo: qualitative analysis of the sexuality in people with acquired motor disability
Authors: Sologuren-García Gema , Linares Carmen L. , Flores Jackeline R. , Mendoza-Mamani Katty , Pilco Rinna M. , Escobar-Bermejo Gloria , Sotelo-Gonzales Soledad , Palza-Portugal Guicela 
Published: November 2023

Abstract
Background
Globally 1 in 7 people experience some type of disability. In Latin America, as in other regions, there are programs focused on the protection of sexual and reproductive rights of this population group. However, to date, in Peru there are no programs, protocols or guidelines that include a specialist (sexologist or trained health professional) in the health system to improve the quality of life and well-being of this population. Therefore, the objective of this article is to qualitatively analyze the experience of sexuality in people with acquired motor disabilities.

Methods
We used the interpretative phenomenological approach and the semi-structured in-depth interview composed of 60 questions, which was applied to 7 people (4 women and 3 men) with acquired motor disabilities.

Results
Diversity in the experience of sexuality was observed. While some experience it without fear, others have annulled their sexual encounters, because in addition to physical limitations, they experience psychosocial limitations such as pain, functional alterations, depression, low self-esteem, discrimination, exclusion, stigmas and socio-environmental barriers, among others. Likewise, the study reflected the double discrimination suffered by women (for being a woman and having a disability), as well as the lack of education, counseling or sex therapy by specialized professionals, and the influence of religion, society and culture as factors that condition and limit their sexuality. This reflects the current situation in Peru and other countries in the region, where the sexuality of people with disabilities continues to be a complex and ambiguous issue.

Conclusions
It is concluded that for some participants it is possible to experience sexuality without fear, while others hold back their experiences for reasons other than physical, self-esteem, social discrimination, among others. The review of the profile and level of specialization of the health services professionals involved in the integral medical care of people with disabilities and their couples is required because of their need for adequate and specialized attention for their better adaptation to the new condition.
Ce–Zr-based mixed oxide catalyst for oxidative depolymerization of kenaf stalk (biomass) into vanillin
Authors: Rouf Hifza , Ramli Anita , Anuar Nur Akila Syakida Idayu Khairul , Yunus Normawati Mohamad 
Published: November 2023

AbstractSince petroleum became depleted, rapid attention has been devoted to renewable energy sources such as lignocellulosic biomass to produce useful chemicals for industry (for instance vanillin). Three primary components of lignocellulose are lignin, cellulose, and hemicellulose. This paper uses microwave-assisted technology to oxidize the kenaf stalk (lignocellulosic biomass) and extract lignin to produce vanillin. Catalysts with variable acid–base and redox properties are essential for the mentioned effective conversion, for this reason, CeO2–CA, ZrO2–CA, and CeZrO2–CA catalysts were synthesized. The citrate complexation method was used for the catalyst synthesis and the physicochemical characteristics were analyzed by XRD, FTIR, FE–SEM, TEM, BET, and TPO. The characterization results demonstrated that CeZrO2–CA shows the smallest sized crystallites with a large specific surface area among the other chosen catalysts. For vanillin production, the effect of reaction temperature, reaction time, and catalyst loading was studied. It was observed that compared to other catalysts, CeZrO2–CA produced the highest vanillin yield of 9.90% for kenaf stalk for 5 wt% of CeZrO2–CA at 160 °C for 30 min. Furthermore, vanillin production using extracted lignin is studied keeping CeZrO2–CA as a catalyst and with the same operating parameters, which yielded 14.3% of vanillin. Afterward, the change in yield with respect to pH is also presented. Finally, the recyclability of catalyst is also studied, which showed that it has a strong metal support and greater stability which may give industrial applications a significant boost.
Graphical Abstract