bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulsational Velocity Variations of the Radial Mode sdBV Star BPM 36430
Authors: Kirby Bennett C. , Smith Bryce A. , Barlow Brad N. 
Published: November 2023

Abstract
Hot subdwarf B stars are core-helium burning objects that were once red giants stripped of their outer H envelopes due to binary interactions. Many exhibit pulsations that can be used to determine fundamental stellar parameters like mass and radius. High-cadence TESS photometry of the sdB star BPM 36430 revealed it to be a hybrid-mode pulsator showing several g-mode pulsations and a single strong p-mode oscillation. The latter is likely a radial mode oscillation, given its period (342 s) and high photometric amplitude (2%). Using time-series spectroscopy from the Goodman spectrograph on the 4.1 m SOAR telescope, we detect a sinusoidal radial velocity variation with a semi-amplitude of 4.4 ± 0.4 km s−1 and period consistent with photometry of the p-mode oscillation. This detection provides further evidence the 342 s mode is radial in nature, and that the Baade–Wesselink method can be used with additional observations to constrain the stellar mass and radius.
Esquiver les critiques : les institutions financières internationales face aux politiques de lutte contre la pauvreté au Brésil et au Mexique
Authors: Tomazini Carla 
Published: November 2023

De quelle façon et dans quelle mesure les institutions financières internationales (IFI) sont-elles le moteur des politiques publiques ? Plus précisément, quel est le rôle de la Banque interaméricaine de développement et de la Banque mondiale dans la formulation des programmes de lutte contre la pauvreté au Brésil et au Mexique, connus sous le nom de Conditional Cash Transfert Programs (CCTP) ? L’objectif est ici d’analyser le « rôle cognitif » de ces organisations, mais aussi de nuancer deux thèses courantes : celle de l’imposition des agendas par les IFI et celle de la délimitation marquée entre acteurs nationaux et internationaux. Cette étude révèle, d’une part, que les institutions financières internationales ont intégré une coalition d’acteurs nationaux et internationaux qui défendent la cause du capital humain, d’autre part, qu’en vue d’esquiver les critiques, d’anticiper les controverses susceptibles de naître dans l’opinion publique et d’assurer l’adoption des réformes et leur pérennité cette coalition pro-capital humain a adopté plusieurs stratégies visant à afficher l’autonomie irréductible des acteurs nationaux vis-à-vis des acteurs internationaux. Elle met par ailleurs en évidence la compétition que se sont livrée les institutions financières internationales pour la prééminence et le crédit intellectuel des CCTP.
Association between the Lung Immune Prognostic Index and mortality in patients with idiopathic inflammatory myopathy-associated interstitial lung disease
Authors: Luo Dan , Zhao Zhihao , Li Caizheng , Zhu Wenjun , Zhou Wei , He Lirong , Yan Huifeng , Su Qiaoli 
Published: November 2023

Objective:
To explore the association between the Lung Immune Prognostic Index (LIPI) and 1-year all-cause mortality in patients with idiopathic inflammatory myopathy related interstitial lung disease (IIM-ILD).

Methods:
Patients who were diagnosed with IIM-ILD at West China Hospital, Sichuan University from January 2008 to December 2021 were retrospectively included and categorized into three groups based on LIPI. Univariable and multivariable Cox proportional hazards models were conducted to explore potential association between the LIPI and patients' mortality.

Results:
A total of 1116 patients were screened, and 830 were included in this study. The multivariable Cox analysis showed that, compared with patients with poor LIPI, the hazard ratio (HR) for all-cause 1-year mortality was 0.22 (95% CI 0.05-0.93, P=0.04) for patients in the good LIPI group (LDH<250 IU/L and dNLR<3). After excluding patients lost to follow-up within one year, a similar result was found for LIPI (HR 0.20, 95% CI 0.05-0.86; P=0.03).

Conclusions:
Good LIPI was independently associated with decreased risk of all-cause 1-year mortality in patients with IIM-ILD. This easy-to-obtain index might be served as a potential marker for assessing the prognosis of IIM-ILD.
First Aid Knowledge and Practice
Authors: Al-Shatari Sahar A. Esa , Sebri Marry , Sadiq Muntaha Qasim 
Published: November 2023

Background:
First aid is the assessments and interventions that can be performed by medic (or by the injured person) immediately with minimal or no medical equipment. Training is necessary to equip the first aid provider with the knowledge, skill, and confidence to attend to an emergency.

Objectives:
To assess the knowledge and practices of primary school teachers in Hay Al-Salaam Al-Sakani about the first aid.

Methods:
A cross-sectional study with analytic element was conducted in Baghdad during the period from February to August 2018. Eight schools were choose randomly, 145 teachers who were work in choosing schools and accept to involve in this study. A structure questionnaire depending on the Iraqi Red Crescent guideline for First Aid, and American College of Emergency Physician's First Aid manual 5th edition was used.

Results:
One hundred and forty five teachers were involved in this study, 44.1% of them aged 40–49 year, most of them were females (93.8%), graduated institute (63.4%), married (77.9%), had one to three children (65.5%), had 11–18 years teaching experience (30.3%). Only 30.3% applied first aid previously, most of the teachers (71%) did not involve in first aid training courses. Teachers age had statistically significant association with first aid general-knowledge, knowledge about poisoning, fractures, and burn. Their educational level had statistically significant with knowledge about coma, epilepsy, fractures, mouth injuries, and burn.

Conclusion:
First aid knowledge in general and in each type of school accident was good except knowledge in asphyxia and electric shock were fair knowledge; most of them were not involved in training courses for first aid, or applied first aid.
Association between Occupational Stress and Hypertension in a Sample of Female Physicians
Authors: Kamal Marwah Alaa , Ali Sahib Ali Abd 
Published: November 2023

Background:
Occupational stress is involved in the development of hypertension (HT), and there are different numbers of studies examined the occupational stress aspects including job insecurity, strain and control, satisfaction, work hours, and perceived dissatisfaction.

Objectives:
The objectives of the study were to estimate the prevalence of HT among female physicians, identify associations between occupational stress and hypertensive status, and evaluate sociodemographic characteristics in female physicians.

Subjects and Methods:
A cross-sectional study was conducted on 600 female physicians in Baghdad and Al-Imamein Al-Kadhimaein Medical Cities, from March 15, 2019, to August 15, 2019. The study tools used were calibrated mercury sphygmomanometer to measure blood pressure, Occupational Stress Index Scoring System was used to measure severity of occupational stress and structural questions sociodemographic data for (age, body mass index [BMI], marital state, number of children, number of years of work, work hours/week, and physician's specialty categories).

Results:
The study showed that the prevalence of HT was 30% and mean age 37.74 ± 6.7 years. High stress level was higher among surgical/anesthetic department. The occurrence of HT and age, BMI, marital state, number of years of work, and work hours/week of the present study showed a significant relationship between them but number of children showed inversely relationship.

Conclusions:
Nearly two-third of participants with high occupational stress had HT.
Efficacy of autologous platelet rich plasma with subcision vs platelet rich plasma with microneedling in atrophic acne scars: A single-center, prospective, intra-individual split-face comparative study
Authors: Yadav Manoj Kumar , Soni Prasoon , Ghiya Bhikam Chand , Mehta Rajesh Datt , Arora Aakanksha , Jangir Vishnu Kumar , Khokhar Rajesh , Pareek Sumiti 
Published: November 2023

Abstract

Background:
Severe post-acne scarring has been implicated as a cause of considerable psychological distress, mainly among adolescents. Subcision and microneedling are cutting-edge treatment options available nowadays.

Aim:
In this study, we aimed to compare the efficacy of microneedling with platelet-rich plasma (PRP) against subcision with PRP in treating atrophic post-acne scars in a split-face study design.

Materials and Methods:
Fifty patients with atrophic post-acne facial scars were included in this prospective interventional study. Group A included the left side of the face managed by microneedling with PRP and group B included the right side of the face that was subjected to subcision with PRP. Results were assessed based on Goodman and Baron qualitative and quantitative grading.

Results:
In our study, at the end of the treatment, on the left side, 5 (10%) had 1 grade of improvement showing good response, 35 (70%) had 2 grades of improvement showing very good response, and 10 (20%) had 3 grades of improvement showing excellent response. On the right side, 1 (2%) patient had no improvement in acne grade showing poor response, 9 (18%) had 1 grade of improvement showing good response, 25 (50%) had 2 grades of improvement showing very good response, whereas 15 (30%) had 3 grades of improvement showing excellent response.

Conclusion:
Till date, apart from ours no other study has compared the two modalities head-to-head with adjuvant PRP in both groups. Although both modalities showed statistically significant results individually, there was no significant difference in qualitative improvement of acne scars between the two groups.
Design, implementation and evaluation of an intervention based on a social cognitive theory of physical activity and nutritional behaviors in middle-aged people at the risk of coronary artery disease in Bandar Abbas: A study protocol
Authors: Rad Roghayeh Ezati , Hosseini Zahra , Mohseni Shokrollah , Mohammadi Mohammad , Nikparvar Marzieh , Aghamolaei Teamur 
Published: November 2023

BACKGROUND:
Coronary artery disease (CAD) is the most common cardiovascular disease (CVD) and the main cause of mortality in developed and developing countries. Physical activity and nutritional behaviors are modifiable factors in people at the risk of CAD and its risk factors; thus, the present study aimed to design, implement, and evaluate an intervention based on the social cognitive theory for physical activity and nutritional behaviors in the middle-aged population at the risk of CAD residing in Bandar Abbas city.

MATERIALS AND METHODS:
The present study will be conducted in three phases: qualitative, cross-sectional, and community-based intervention. The middle-aged population with less than 150 minutes of physical activity a week with at least one other risk factor of CAD (hyperlipidemia, hypertension, diabetes, overweight and obesity, smoking) will be included in the study. In the qualitative phase of study, the participants will be selected with maximum diversity and with the aim of obtaining comprehensive information to clarify the nature and dimensions of the phenomenon in question. The cross-sectional phase aimed to determine the intensity of physical activity and nutritional behaviors. By analyzing the data obtained from the cross-sectional phase, the most important constructs of the social-cognitive theory in physical activity and nutritional behaviors will be determined, and accordingly, an effective intervention will be designed. The third phase of the pre-test-post-test intervention study will include a randomized control group. The interventions will be a combination of face-to-face meetings and the use of educational technologies. Individuals in the control group will not undergo the educational intervention. Those in the intervention group will be evaluated in two phases (before the implementation of the intervention, and 3 months after the intervention).

CONCLUSION:
The findings of the present study can be used as a strategic plan to help policy makers to strengthen CVD prevention and management alternatives to include physical activity and nutritional behavior as part of their preventive measures.
Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
Authors: Ahadianfard Pantea , Gharraee Banafsheh , Aghebati Asma , Asgarabad Mojtaba Habibi 
Published: November 2023

BACKGROUND:
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is a theory-derived approach that can target the common underlying processes, such as the cognitive, emotional, and behavioral processes in emotional disorders in children aged 8–12 years. This study aimed to investigate UP-C's efficacy in treating children's anxiety disorders compared to cognitive behavior therapy (CBT).

MATERIALS AND METHODS:
In this randomized control trial (RCT), with pre-test, post-test, and follow-up, 34 participants aged 8–12 with anxiety disorders were selected through the restricted randomization method and allocated to intervention (UP-C) or control (CBT) groups by random allocation rule. UP-C group consisted of 15 weekly individual sessions, and CBT included 16 weekly individual sessions. The Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) and The Screen for Child Anxiety Related Disorders (SCARED-71) were completed in the pre-test, post-test, and three-month follow-up stages. The data of participants were analyzed using the repeated measure analysis of variance. A P- value under. 05 was regarded as significant.

RESULTS:
Based on the repeated measures ANOVA, UP-C, and CBT significantly reduced anxiety symptoms (P = .002) and emotional suppression (P = .032). Moreover, UP-C and CBT significantly increased emotion regulation (P = .000) and cognitive reappraisal (P = .000).

CONCLUSION:
The individual UP-C can be effective as anxiety-oriented CBT in treating anxiety disorders. Also, in the three months follow-up, the UP-C's effects were more stable and progressive than the CBT.
Evaluating the utility of a global webinar for mentoring medical students and OBGYN residents in REI
Authors: Fine Eliana , Libby Valerie R. , Hariton Eduardo , Vaught Kamaria C. Cayton , Anderson Kelsey L. , Chen Serena H. , Forman Eric J. , Omurtag Kenan , Trivax Bradley S. 
Published: November 2023

BACKGROUND:
In medical school and residency, clinical experiences influence trainee's decisions on what medical specialty they choose. Most trainees have limited access to opportunities to engage in the field of reproductive endocrinology and infertility (REI). Due to the COVID-19 pandemic and the shutdown of away electives, exposure to REI was especially limited. This study aims to evaluate the effectiveness of a live Q and A webinar on improving trainees' access to mentorship and knowledge of the path to becoming a reproductive endocrinology and infertility (REI) physician.

MATERIALS AND METHODS:
This study is a prospective paired cohort study. Medical students and OBGYN residents participated in a global Q and A webinar featuring REI physicians and fellows. 70 pre- and post-webinar surveys were included in the analysis. Paired nonparametric tests (Wilcoxon signed-rank test) were performed to assess whether post-webinar knowledge was significantly different from pre-webinar knowledge.

RESULTS:
Of the 268 registrants, 162 (60%) attended the live webinar. A majority of the respondents who completed both surveys were female (90%) and allopathic medical students (80%). Seventy-seven percent reported receiving only minimal advice about an REI career from their medical school or residency program, while 22% reported receiving some advice, and 1% extensive advice. Thirty-four percent had previously shadowed an REI physician and 23% had rotated in an REI office. Post-webinar significantly more trainees had a better understanding of the REI field, the path required to become an REI physician, opportunities to find mentors in the field, opportunities that are conducive to learning more about REI, and applying for rotations in the REI field (p = <.00001). Eighty-two percent agreed that their interest in REI increased due to this webinar.

CONCLUSIONS:
A webinar featuring REI physicians and fellows was effective in providing mentorship and career advisement for prospective REI trainees who otherwise expressed having limited access to the field.
Effect of WebQuest-based education on critical thinking and academic self-efficacy of midwifery students: Study protocol of a randomized, controlled crossover trial
Authors: Mohammadi Azam , Modarres Maryam , Khakbazan Zohreh , Hoseini Akram Sadat Sadat , Asghari-Jafarabadi Mohammad , Geranmayeh Mehrnaz 
Published: November 2023

BACKGROUND AND AIM:
Critical thinking fills the gap between theoretical and clinical teaching and increases the power of clinical decision-making. WebQuest is an innovative, learner-centered, and effort-driven learning approach that uses computer technology to engage and motivate learners. In WebQuest, learners are compelled to use the latest information available on the web as a tool to promote higher levels of thinking. However, we did not find a study that used WebQuest to improve students' critical thinking and academic self-efficacy. The aim of this study will be to investigate the effect of WebQuest-based education on the critical thinking of midwifery students.

MATERIALS AND METHODS:
This superiority randomized, controlled crossover trial will be carried out among fifth-semester undergraduate midwifery students. Participants will be allocated to one of two event groups (A and B) using block randomization. In the first sequence (FS) (four weeks) of study, both groups will simultaneously attend two different education groups (WebQuest and traditional). During the FS, WebQuest will be used to teach group A participants, while group B participants will be treated as the control group (CG) and be taught using a traditional presentation. In the second sequence (SS), the interventions will be crossed over. Participants in both groups will complete the sociodemographic questionnaire, the California Critical Thinking Skills Test (CCTST), the California Critical Thinking Disposition Inventory (CCTDI), and the Academic Self-Efficacy Beliefs Questionnaire (ASEBQ) once before the first sequence of the study, during the washout period, and at the end of the second sequence of the study. The teaching satisfaction questionnaire will be completed at the end of the study.

DISCUSSION:
The results of this study can be used as a basis for teaching midwifery students using WebQuest as a new teaching method.
Breast screening practices of 35–65 years old women – A cross-sectional survey in Alappuzha, Kerala, India
Authors: Mohan Reshmy , Thulaseedharan Jissa V. 
Published: November 2023

BACKGROUND:
Enhancing cancer literacy, promoting early detection, and avoiding treatment delays are essential for reducing breast cancer mortality and ensuring a good quality of life among women in less developed countries. The present paper describes the breast screening practices of women in the Alappuzha district of Kerala state, India.

MATERIALS AND METHODS:
A multi-stage cluster sampling method was used to select study participants. Data were collected using a structured questionnaire, entered using Kobo Toolbox, and analyzed using IBM SPSS Statistics-25 for Windows. The proportions of women who practiced breast examinations were estimated with 95% confidence intervals. The Chi-square test was used to test the associations, and binary logistic regression was used to estimate odds ratios.

RESULTS:
Among 320 women, 55% were less than 50 years old, 45% had higher secondary education or above, and six were already diagnosed with breast cancer (1.9%, 95% CI: 0.4%–3.4%). Of the 314 women, 73.2% were practicing breast self-examination (95% CI: 68.4%–78.1%), and 25.2% ever attended clinical breast examination (95% CI: 20.4%–30.0%). Working/retired/self-employed women with higher secondary education and above had almost 10 times higher odds (OR = 10, 95% CI: 3.35–29.86) of practicing breast self-examination (BSE) compared to homemakers or women working under rural employment schemes with a low level of education.

CONCLUSION:
A higher percentage of women practicing BSE and clinical breast examination (CBE) in the present study indicates that women in this population are more concerned about breast cancer. Women should be educated more on the symptoms and risk factors, the proper ways of practicing BSE, and the importance of consulting a health practitioner for CBE. Also, it is crucial to ensure that awareness and screening programs reach marginalized women.
Provision of emergency obstetric care: Midwives' knowledge and involvement in rural health facilities of Cross River State, Nigeria
Authors: Ebong Ruth I. , Ojong Idang N. , Esienumoh Ekpoanwan , Uka Victoria K. , Nsemo Alberta D. 
Published: November 2023

BACKGROUND:
Maternal Mortality (MM) in Nigeria is greatest in rural regions where access to emergency obstetric care (EmOC) services is hampered by a number of circumstances. Delay in obtaining prompt and proper care in obstetric emergency situations is a significant factor in poor mother outcomes. It is based on this premise that the researchers examined midwives' knowledge and involvement regarding provision of emergency obstetric care in rural health facilities of Cross River State.

MATERIALS AND METHODS:
The study adopted a cross-sectional descriptive design; a total population study of all ninety-four midwives who worked in maternal health care facilities in rural areas of CRS was utilised. Cross River state is a state in the South-South geopolitical zone of Nigeria, named after the Cross River, which passes through the state, located in the Niger Delta and occupies 20,156 square kilometers A self-developed and validated questionnaire was used for data collection. The instrument was pre-tested for reliability and result showed the reliability index ranging from 0.70 to 0.82. Quantitative data collected was analysed using Pearson product moment correlation test at 0.05 level of significance.

RESULTS:
The research findings revealed midwives' level of knowledge on emergency obstetric care in rural health facilities of CRS was significantly high, majority of the participants had provided some aspects of essential emergency obstetric care. The result of hypotheses revealed a significant relationship between knowledge and provision of EmOC amongst the midwives (P < .05).

CONCLUSION:
Based on this, it was recommended that appropriate strategies such as on the job training\ supportive supervision, refresher training and mentorship should also be ensured to enhance midwives' capacity in emergency obstetric care. Finally, there is need for Community involvement/enlightenment, motivating traditional birth attendants and integrating them into maternal health care system.