bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of heat on mental health emergency visits: a time series study from all public emergency centres, in Curitiba, Brazil
Authors: Corvetto Julia Feriato , Federspiel Andrea , Sewe Maquins Odhiambo , Müller Thomas , Bunker Aditi , Sauerborn Rainer 
Published: December 2023

ObjectivesQuantify the risk of mental health (MH)-related emergency department visits (EDVs) due to heat, in the city of Curitiba, Brazil.DesignDaily time series analysis, using quasi-Poisson combined with distributed lag non-linear model on EDV for MH disorders, from 2017 to 2021.SettingAll nine emergency centres from the public health system, in Curitiba.Participants101 452 EDVs for MH disorders and suicide attempts over 5 years, from patients residing inside the territory of Curitiba.Main outcome measureRelative risk of EDV (RREDV) due to extreme mean temperature (24.5°C, 99th percentile) relative to the median (18.02°C), controlling for long-term trends, air pollution and humidity, and measuring effects delayed up to 10 days.ResultsExtreme heat was associated with higher single-lag EDV risk of RREDV1.03(95% CI 1.01 to 1.05—single-lag 2), and cumulatively of RREDV1.15 (95% CI 1.05 to 1.26—lag-cumulative 0–6). Strong risk was observed for patients with suicide attempts (RREDV1.85, 95% CI 1.08 to 3.16) and neurotic disorders (RREDV1.18, 95% CI 1.06 to 1.31). As to demographic subgroups, females (RREDV1.20, 95% CI 1.08 to 1.34) and patients aged 18–64 (RREDV1.18, 95% CI 1.07 to 1.30) were significantly endangered. Extreme heat resulted in lower risks of EDV for patients with organic disorders (RREDV0.60, 95% CI 0.40 to 0.89), personality disorders (RREDV0.48, 95% CI 0.26 to 0.91) and MH in general in the elderly ≥65 (RREDV0.77, 95% CI 0.60 to 0.98). We found no significant RREDVamong males and patients aged 0–17.ConclusionThe risk of MH-related EDV due to heat is elevated for the entire study population, but very differentiated by subgroups. This opens avenue for adaptation policies in healthcare: such as monitoring populations at risk and establishing an early warning systems to prevent exacerbation of MH episodes and to reduce suicide attempts. Further studies are welcome, why the reported risk differences occur and what, if any, role healthcare seeking barriers might play.
UK doctors’ strikes 2023: not only justified but, arguably, supererogatory
Authors: McConnell Doug , Mann Darren 
Published: December 2023

The 2023 doctors’ strikes in the UK have elicited a familiar moral outcry that such strikes are morally wrong. We consider five arguments that might be thought to show doctors’ strikes are morally impermissible but show that they all fail. The most we can conclude from such arguments is that doctors’ strikes are morally permissible in a narrower range of circumstances than strikes in other sectors.We then outline two independent but compatible justifications for doctors’ strikes, one that appeals to doctors’ interests in fair pay and working conditions and one that appeals to doctors’ duty to protect public health. We also suggest that doctors’ strikes can be supererogatory when they aim to correct a government failing in its own duty to protect public health. Finally, we assess the 2023 UK doctors’ strikes. We conclude that they are justified and there is a case for considering them supererogatory.
Plataformas digitais de cuidado no Brasil
Authors: Andrada Ana Carolina , Cardoso Ana Claudia Moreira , Guimarães Nadya Araújo , Moreno Renata , Pereira Maria Julia Tavares 
Published: December 2023

As empresas-plataforma voltadas ao trabalho de cuidado expandiram-se velozmente nos últimos anos no Brasil, em especial após a recente crise sanitária. Tal expansão trouxe para a ordem do dia o tema deste artigo, a saber, os possíveis efeitos da pandemia de Covid-19 sobre a digitalização da intermediação do trabalho nos cuidados, um segmento para o qual a literatura brasileira sobre plataformização do trabalho tem estado pouco atenta. Para acompanhar o ritmo desse crescimento várias estratégias foram adotadas diante do desafio da falta de dados desagregados para o setor. Assim, mapeamos os aplicativos e plataformas de cuidado, construindo um banco a partir de dados da principal loja de apps no país; bem assim, analisamos os sites, os Termos de Serviços e Condições de Uso de três plataformas de cuidado direto e indireto. Conduzimos, ainda, entrevistas com trabalhadoras nessas plataformas e analisamos suas denúncias postadas no site Reclame Aqui. Concluímos que a governança das plataformas afetou o cotidiano das trabalhadoras sob diferentes formas e com efeitos variados conforme cada plataforma. Entre eles, destacamos o diálogo com os clientes, o controle via sistema de notas prescritivas e punitivas, a inclusão de tarefas que iam além da atividade contratada, bem como a sobreposição de diferentes formas de cuidado. Ter documentado a intensificação do trabalho de cuidado e a capacidade manifesta pela empresa-plataforma de ir além do mero pareamento entre demandantes e ofertantes, passando a intervir no modo como o próprio trabalho se exerce, é a contribuição desta pesquisa para uma análise das formas assumidas pelo amplo e recente processo de digitalização do trabalho de cuidado no Brasil.
Assessment of prenatal care performed in primary care: a cross-sectional study linked to a pregnancy cohort
Authors: Pereira Tayla Thais Jatahy , Rêgo Adriana Sousa , Aragão Francisca Bruna Arruda , Barbosa Janaina Maiana Abreu , Silva Yuri Alfredo Araújo Mendonça , Silva Thayane Leila Gonçalves da , Nitz Magali Kelli , Batista Marcia Rodrigues Veras , Firmo Wellyson da Cunha Araujo , Silva Flor de Maria Mendonça 
Published: December 2023

Objectives: to assess the adequacy of prenatal care in primary care, to classify prenatal care according to the parameters of adequacy and to determine the factors associated with prenatal care in the pregnant women studied. Method: an analytical cross-sectional study of 205 pregnant women in ten basic health units in São Luís, MA. The qualitative variables were presented using absolute and percentage frequencies. Results: In the age variable, there was a predominance of the 21-30 age group (49.44%). In the race/color variable, the highest prevalence was for pregnant women who declared themselves brown/other 99 (55.62%), with a lower prevalence for 6 consultations performed. With regard to the government benefits variable, the highest prevalence, 110 (61.80%), was for pregnant women who received them. Regarding marital status, 76.97% were pregnant women who had a partner, with a lower prevalence for 6 consultations, 137 (76.97%). As for schooling, there was a predominance of pregnant women with a high school education (68.18%). With regard to the start of prenatal care, 66.85% started prenatal care. With regard to the prescription of iron after starting prenatal care, there was a higher prevalence of pregnant women who used it (69.66%). Prevalence was also higher among pregnant women who underwent the following tests: cervical cancer screening, 147 (82.58%), ABO-RH system 129 (72.47%), complete blood count 121 (68.75%), and fasting blood glucose in the first trimester, 107 (60.11%). As for the anti-HIV test, the highest prevalence was for pregnant women who had not undergone the test, 103 (57.87%). With regard to the venereal disease research laboratory, the highest prevalence was among pregnant women who had undergone the test, 120 (67.42%). The highest prevalence of abnormal sediment elements was observed in pregnant women who underwent the test, 122 (68.54%). As for influenza vaccination among pregnant women, the highest prevalence was among those who had not been vaccinated 104 (58.43%). The highest prevalence of previous tetanus vaccination was among pregnant women who had not received the vaccine, 108 (60.67%). Hepatitis B vaccination was more prevalent among pregnant women who had received the vaccine 95 (53.37%). Pregnant women with no symptoms, with a diagnosis and without a negative diagnosis for Covid-19 were more prevalent, 117 (65.73%). Conclusion: The study allowed us to analyze that the quality of prenatal care in the health units where the study was carried out was unsatisfactory for some indicators, since the prevalence was less than 6 consultations.
Upper Colorado River Streamflow Dependencies on Summertime Synoptic Circulations and Hydroclimate Variability
Authors: Johnson Zachary F. , Stuivenvolt-Allen Jacob , Mahan Hayden , Meyer Jonathan D. D. , Miksch Matthew 
Published: December 2023

Abstract
The southwestern United States is highly sensitive to drought, prompting efforts to understand and predict its hydroclimate. Oftentimes, the emphasis is on wintertime precipitation variability, yet the southwestern United States exhibits a summertime monsoon where a significant portion of annual precipitation falls through daily convection activities manifested by a midtropospheric ridge of high pressure. Here, we examine synoptic patterns of the southwestern ridge through a k-means clustering analysis and assess how these synoptic patterns translate into streamflow changes in the upper Colorado River basin. A linear perspective suggests ∼17% of upper Colorado River discharge at the Lee’s Ferry, Arizona, gauge comes from summertime monsoon rains. The ridge of high pressure exhibits diversity in its intensity, structure, and position, inducing changes in moisture advection and precipitation. A ridge shifted north or east of its climatological center increases moisture and precipitation over the southwestern United States, while a ridge toward the south or northwest inhibits precipitation. A ridge east of its climatological center contributes to increased streamflow, whereas a ridge west or northwest of its climatological center decreases streamflow. Cooling in the central tropical Pacific and the Pacific meridional mode region favors an eastward shift of the ridge of high pressure corresponding to wet days. Eastern tropical Pacific warming favors a southward shift of the ridge corresponding to dry days. These results support an intermediate scale between climate forcing and summertime Colorado River discharge through changes in the intensity, structure, and position of the southwestern ridge of high pressure, integral to the U.S. Southwest hydroclimate.
Review of the effect cultural capital and subjective socioeconomic status on life satisfaction in Iran: the mediating role of health-promoting lifestyle and the moderating role of ethnicity
Authors: Gilan Nader Rajabi , Mohamadi Jamal , Irankhah Adel , Khezeli Mehdi , Zangeneh Alireza 
Published: December 2023

Abstract
Introduction
Health-promoting lifestyle can leads to improving the quality of life, life satisfaction, well-being and reducing the burden of health care in the society. This study was carried out to investigate the mediating role of health-promoting lifestyle and moderating role of ethnicity in the effect of cultural capital and subjective socioeconomic status on life satisfaction in Iran.

Methods
This cross-sectional study was conducted with 800 respondents in the cities of Kermanshah with Kurdish ethnicity and Tabriz with Azeri ethnicity. The data gathering tool was a questionnaire in five section including demographic checklist, cultural capital questionnaire (2015),Diener’s life satisfaction scale, and health-promoting lifestyle questionnaire (HPLP II), and socioeconomic status scale. Data were analyzed by SPSS and AMOS software.

Results
Life satisfaction had the highest correlation with the objective dimension of cultural capital (p < 0.001 r = 0.298). The direct standardized coefficient of the path of cultural capital to health-promoting lifestyle was 0.44 (P < 0.001). Also the direct standardized coefficient of cultural capital on Life satisfaction was 0.04 that was not significant. The standard coefficient of the path of cultural capital on life satisfaction through health-promoting lifestyle was 0.27(P < 0.001). Ethnicity variable did not moderate the effect of cultural capital on life satisfaction (p > 0.05).

Conclusion
The results of this study showed that paying attention to the concept of health-promoting lifestyle is a necessity to affect life satisfaction. It can play a role as a mediator for the path of cultural capital and socio-economic status on life satisfaction. This study also showed the role of ethnicity as a moderating variable in the relationship between socio-economic status and health-promoting lifestyle.
Key Problems of Crop Production in the Context of Sanctions Pressure on the Russian Federation
Authors: Levkina Nataliya 
Published: December 2023

Despite the fact that there are not very many direct sanctions against the agroindustrial
complex of the Russian Federation, sanctions imposed against other
industries have a serious negative impact on it. This work is devoted to identifying
the key problems of the agricultural sector on the example of crop production
in the context of increasing sanctions pressure on our country. The main problems
of plant growers are present at all stages of activity: from the supply of necessary
resources to the stage of harvest realization and are associated with the growth
of all types of costs, which leads to a decrease in the profitability of agricultural
producers and a decrease in their purchasing power. The results of the study
can be used for further study of anti-crisis management measures of agricultural
enterprises, as well as improvement of state support measures for domestic
plant growers.
The Loan Portfolio of the Russian Banking Sector in Conditions of Economic Uncertainty
Authors: Mandron V. , Rogovskaya V. , Bespalov R. 
Published: December 2023

The article presents the results of the study of the impact of anti-Russian sanctions and uncertainty factors of the economic system on the volume of the loan portfolio and overdue debt, the growth rate of bank assets and loans, the cost of credit risk. A comparative analysis of the growth rates of the loan portfolio of the Russian banking sector for the first half of 2020, 2021 and 2022 was carried out. The. economic effect of the anti-Russian sanctions and structural changes in the economy on the dynamics of problem loans and financial results of the banking sector has been revealed. The growth rate of the loan portfolio is given depending on the form of lending.
The main factors of credit risk occurrence and methods of its management are determined. As a result of the study, conclusions were formed about the further restoration of the Russian banking system and the prospects for the development of the credit market.
Impact of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers on the mortality in sepsis: A meta-analysis
Authors: Yang Deng-Can , Xu Jian , Jian Li , Yu Yi 
Published: December 2023

BACKGROUND
The effect of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) on the mortality of patients with sepsis is not well characterized.
AIM
To elucidate the association between prior ACEI or ARB exposure and mortality in sepsis.
METHODS
The PubMed, EMBASE, Web of Science, and Cochrane Library databases were searched for all studies of premorbid ACEI or ARB use and sepsis mortality until November 30 2019. Two reviewers independently assessed, selected, and abstracted data from studies reporting ACEIs or ARBs, sepsis, and mortality. The primary extracted data consisted of premorbid ACEI or ARB exposure, mortality, and general patient data. Two reviewers independently assessed the risk of bias and quality of evidence.
RESULTS
A total of six studies comprising 281238 patients with sepsis, including 49799 cases with premorbid ACEI or ARB exposure were eligible for analysis. Premorbid ACEIs or ARBs exposure decreased the 30-d mortality in patients with sepsis. Moreover, the use of ACEIs or ARBs was associated with approximately a 6% decreased risk of 30-d mortality.
CONCLUSION
The results of this systematic review suggest that ACEI or ARB exposure prior to sepsis may be associated with reduced mortality. Further high-quality cohort studies and molecular mechanism experiments are required to confirm our results.
LiNA OperaScopeTM for microwave endometrial ablation for endometrial polyps with heavy menstrual bleeding: A case report
Authors: Kakinuma Kaoru , Kakinuma Toshiyuki , Ueyama Kyouhei , Shinohara Takumi , Okamoto Rora , Yanagida Kaoru , Takeshima Nobuhiro , Ohwada Michitaka 
Published: December 2023

BACKGROUND
The procedure for microwave endometrial ablation (MEA) follows established MEA practice guidelines but requires hysteroscopic observation of the uterine lumen before and after MEA. When a luminal uterine lesion is recognized, its removal requires preoperative dilation of the cervix because the outer diameter of a conventional rigid hysteroscope is 8.7 mm. Recently, a fully disposable rigid hysteroscope (LiNA OperaScopeTM) with a narrow diameter (4.4 mm) and forceps capable of extracting endometrial lesions has become available.
CASE SUMMARY
Here, we report a case of heavy menstrual bleeding (HMB) complicated by endometrial polyps where MEA was performed after removing endometrial polyps using the LiNA OperaScopeTM device. A 48-year-old woman with three prior pregnancies and three deliveries was referred to our hospital for further examination and treatment after being diagnosed with HMB 2 years earlier. The patient underwent MEA following endometrial polypectomy using LiNA OperaScopeTM. After MEA, endometrial cauterization was again examined using the LiNA OperaScopeTM, and the procedure was completed. No preoperative cervical dilation was performed. The patient’s clinical course was favorable, and she was discharged 3 h after surgery. One month after surgery, menstruation resumed, and both HMB and dysmenorrhea improved markedly from 10 preoperatively to 1 postoperatively, as assessed subjectively using the visual analog scale. The patient’s postoperative course was uneventful with no complications.
CONCLUSION
LiNA OperaScopeTM can be a minimally invasive treatment for MEA of HMB with uterine lumen lesions.
Effect of <em>arum manis</em> mango peel extract on cholesterol and triglyceride levels in dyslipidemic Sprague-Dawley rats
Authors: Saputra Taufik , Naufal Haidar Satya , Utomo Astika Widy , Widyastiti Nyoman Suci , Kurniawan Muhammad Farhan , Azizah Arfianty Nur 
Published: December 2023

BACKGROUND Dyslipidemia is characterized by an increase in low-density lipoprotein (LDL) and triglyceride (TG) levels and a decrease in high-density lipoprotein (HDL). Cholestyramine as an antidyslipidemia has several side effects, so an alternative is needed. Pectin is a natural substance with a mechanism of action similar to that of cholestyramine. Mango peel is one of the sources of pectin, containing 10–15% of this substance. This study aimed to prove the effect of arum manis mango (Mangifera indica L.) peel extract on LDL, HDL, and TG levels in dyslipidemic Sprague-Dawley rats.
METHODS 25 Sprague-Dawley rats were divided into 5 groups. All groups were given high-fat diet for the first 18 days, followed by standard feed (negative control group), cholestyramine (Sequest®) 80 mg/200 g body weight (standard treatment group), and mango peel extract (M-90 [90 mg/day], M-180 [180 mg/day], and M-360 [360 mg/day] groups) for the next 15 days. LDL and HDL levels were analyzed using the cholesterol oxidase-phenyl aminopyrazolone method and TG level using the glycerol-3-phosphate-oxidase-phenol-aminophenazone method.
RESULTS The M-360 group reduced the LDL level (p = 0.015), while the standard treatment group increased the HDL level (p = 0.042). Although significant TG level changes were found in the negative control, standard treatment, and M-360 groups (p = 0.042), the mean differences of LDL, HDL, and TG levels between groups were not significantly different (p = 0.245, 0.328, and 0.454, respectively).
CONCLUSIONS M. indica peel extract reduced LDL and TG levels at 360 mg/day.
Method to determine whether sleep phenotypes are driven by endogenous circadian rhythms or environmental light by combining longitudinal data and personalised mathematical models
Authors: Skeldon Anne C. , Rodriguez Garcia Thalia , Cleator Sean F. , della Monica Ciro , Ravindran Kiran K. G. , Revell Victoria L. , Dijk Derk-Jan 
Published: December 2023

Sleep timing varies between individuals and can be altered in mental and physical health conditions. Sleep and circadian sleep phenotypes, including circadian rhythm sleep-wake disorders, may be driven by endogenous physiological processes, exogeneous environmental light exposure along with social constraints and behavioural factors. Identifying the relative contributions of these driving factors to different phenotypes is essential for the design of personalised interventions.The timing of the human sleep-wake cycle has been modelled as an interaction of a relaxation oscillator (the sleep homeostat), a stable limit cycle oscillator with a near 24-hour period (the circadian process), man-made light exposure and the natural light-dark cycle generated by the Earth’s rotation. However, these models have rarely been used to quantitatively describe sleep at the individual level. Here, we present a new Homeostatic-Circadian-Light model (HCL) which is simpler, more transparent and more computationally efficient than other available models and is designed to run using longitudinal sleep and light exposure data from wearable sensors. We carry out a systematic sensitivity analysis for all model parameters and discuss parameter identifiability.We demonstrate that individual sleep phenotypes in each of 34 older participants (65-83y) can be described by feeding individual participant light exposure patterns into the model and fitting two parameters that capture individual average sleep duration and timing. The fitted parameters describe endogenous drivers of sleep phenotypes.We then quantify exogenous drivers using a novel metric which encodes the circadian phase dependence of the response to light. Combining endogenous and exogeneous drivers better explains individual mean mid-sleep (adjusted R-squared 0.64) than either driver on its own (adjusted R-squared 0.08 and 0.17 respectively).Critically, our model and analysis highlights that different people exhibiting thesamesleep phenotype may havedifferentdriving factors and opens the door to personalised interventions to regularize sleep-wake timing that are readily implementable with current digital health technology.