bluuebunny/crossref_metadata_2025_split huggingface dataset:
Postpartum Medicaid coverage and outpatient care utilization among low-income birthing individuals in Oregon: impact of Medicaid expansion
Authors: Pradhan Satyasandipani , Harvey S. Marie , Bui Linh N. , Yoon Jangho 
Published: July 2023

ObjectiveThis study examined the effect of Medicaid expansion in Oregon on duration of Medicaid enrollment and outpatient care utilization for low-income individuals during the postpartum period.MethodsWe linked Oregon birth certificates, Medicaid enrollment files, and claims to identify postpartum individuals (N = 73,669) who gave birth between 2011 and 2015. We created one pre-Medicaid expansion (2011–2012) and two post-expansion (2014–2015) cohorts (i.e., previously covered and newly covered by Medicaid). We used ordinary least squares and negative binomial regression models to examine changes in postpartum coverage duration and number of outpatient visits within a year of delivery for the post-expansion cohorts compared to the pre-expansion cohort. We examined monthly and overall changes in outpatient utilization during 0–2 months, 3–6 months, and 7–12 months after delivery.ResultsPostpartum coverage duration increased by 3.14 months and 2.78 months for the post-Medicaid expansion previously enrolled and newly enrolled cohorts (p &lt; 0.001), respectively. Overall outpatient care utilization increased by 0.06, 0.19, and 0.34 visits per person for the previously covered cohort and 0.12, 0.13, and 0.26 visits per person for newly covered cohort during 0–2 months, 3–6 months, and 7–12 months, respectively. Monthly change in utilization increased by 0.006 (0–2 months) and 0.004 (3–6 months) visits per person for post-Medicaid previously enrolled cohort and decreased by 0.003 (0–2 months) and 0.02 (7–12 months) visits per person among newly enrolled cohort.ConclusionMedicaid expansion increased insurance coverage duration and outpatient care utilization during postpartum period in Oregon, potentially contributing to reductions in pregnancy-related mortality and morbidities among birthing individuals.
Eyes on privacy: acceptance of video-based AAL impacted by activities being filmed
Authors: Maidhof Caterina , Offermann Julia , Ziefle Martina 
Published: July 2023

IntroductionThe use of video-based ambient assisted living (AAL) technologies represents an innovative approach to supporting older adults living as independently and autonomously as possible in their homes. These visual devices have the potential to increase security, perceived safety, and relief for families and caregivers by detecting, among others, emergencies or serious health situations. Despite these potentials and advantages, using video-based technologies for monitoring different activities in everyday life evokes concerns about privacy intrusion and data security. For a sustainable design and adoption of such technical innovations, a detailed analysis of future users' acceptance, including perceived benefits and barriers is required and possible effects and privacy needs of different activities being filmed should be taken into account.MethodsTherefore, the present study investigated the acceptance and benefit-barrier-perception of using video-based AAL technologies for different activities of daily living based on a scenario-based online survey (N = 146).ResultsIn the first step, the results identified distinct evaluation patterns for 25 activities of daily living with very high (e.g., changing clothes, showering) and very low privacy needs (e.g., gardening, eating, and drinking). In a second step, three exemplary activity types were compared regarding acceptance, perceived benefits, and barriers. The acceptance and the perceived benefits of using video-based AAL technologies revealed to be higher in household and social activities compared to intimate activities. The strongest barrier perception was found for intimate activities and mainly regarded privacy concerns.DiscussionThe results can be used to derive design and information recommendations for the conception, development, and communication of video-based AAL technologies in order to meet the requirements and needs of future users.
A computational model for the cancer field effect
Authors: Deutscher Karl , Hillen Thomas , Newby Jay 
Published: July 2023

IntroductionThe Cancer Field Effect describes an area of pre-cancerous cells that results from continued exposure to carcinogens. Cells in the cancer field can easily develop into cancer. Removal of the main tumor mass might leave the cancer field behind, increasing risk of recurrence.MethodsThe model we propose for the cancer field effect is a hybrid cellular automaton (CA), which includes a multi-layer perceptron (MLP) to compute the effects of the carcinogens on the gene expression of the genes related to cancer development. We use carcinogen interactions that are typically associated with smoking and alcohol consumption and their effect on cancer fields of the tongue.ResultsUsing simulations we support the understanding that tobacco smoking is a potent carcinogen, which can be reinforced by alcohol consumption. The effect of alcohol alone is significantly less than the effect of tobacco. We further observe that pairing tumor excision with field removal delays recurrence compared to tumor excision alone. We track cell lineages and find that, in most cases, a polyclonal field develops, where the number of distinct cell lineages decreases over time as some lineages become dominant over others. Finally, we find tumor masses rarely form via monoclonal origin.
Addressing Non-Communicable Diseases in Primary Healthcare in Kyrgyzstan: A Study on Population’ Knowledge and Behavioral Changes
Authors: Muratalieva Elvira , Ablezova Mehrigiul , Djamangulova Tolkun , Hoffarth Tobias , Kissimova-Skarbek Katarzyna , Graeser Silke , Nendaz Mathieu , Beran David 
Published: July 2023

Objective: Non-communicable diseases (NCDs) in Kyrgyzstan are responsible for 83% of all deaths. This study aimed to assess the effectiveness of WHO “Package of Essential Interventions on NCDs” (PEN) on health education and counselling at primary healthcare in Kyrgyzstan.Methods: Interventions consisted of information diffusion in primary care facilities and in communities by trained volunteers. The study aimed to assess the evolution of population’s knowledge and behaviour through a questionnaire applying a quasi-experimental approach. The sample size was 2,000 at baseline and after 4 years in intervention and control oblasts.Results: Population’s knowledge and behaviour improved in intervention areas compared to control areas. Knowledge on NCD-related risks increased from 61% to 87%. Behaviour improved with physical activity increasing from 23% to 32%; smokers reduced from 22% to 20%; alcohol consumption reduced from 23% to 16%; daily walking (minimum 30’) improved from 40% to 71%.Conclusion: This study suggests that the PEN-protocol is effective in improving healthy behaviour, thus potentially contributing to prevent NCDs. This example from Kyrgyzstan provides a practical example for promoting PEN-protocol adaptation in other countries.
Simulation of the Dynamics of Supersonic N-Crowdions in fcc Lead and Nickel
Authors: Bayazitov Ayrat M. , Semenov Alexander S. , Dmitriev Sergey V. 
Published: July 2023

In the case where an interstitial atom is located in a close-packed atomic row of the crystal lattice, it is called a crowdion. Crowdions play an important role in the processes of mass and energy transfer resulting from irradiation, severe plastic deformation, ion implantation, plasma and laser processing, etc. In this work, supersonic N-crowdions (N=1, 2) in fcc lattices of lead and nickel are studied by the method of molecular dynamics. Modeling shows that the propagation distance of a supersonic 2-crowdion in lead at a high initial velocity is less than that of a supersonic 1-crowdion. In other fcc metals studied, including nickel, supersonic 2-crowdions have a longer propagation distance than 1-crowdions. The relatively short propagation distance of supersonic 2-crowdions in lead is due to their instability and rapid transformation into supersonic 1-crowdions. This feature of the dynamics of supersonic N-crowdions in lead explains its high radiation-shielding properties.
Implementation of a group-based lifestyle intervention programme (Healthy Heart) in general practices in The Netherlands: a mixed-methods study
Authors: Smit Anne K , Vos Rimke C , Bijl Rozemarijn W , Busch Karin J G , Verkleij Sanne M , Kiefte-de Jong Jessica C , Numans Mattijs E , Bonten Tobias N 
Published: July 2023

BackgroundLifestyle intervention programmes target behavioural risk factors that contribute to cardiovascular diseases (CVDs). Unfortunately, sustainable implementation of these programmes can be challenging. Gaining insights into the barriers and facilitators for successful implementation is important for maximising public health impact of these interventions. The Healthy Heart (HH) programme is an example of a combined lifestyle intervention programme.AimTo analyse the reach, adoption, and implementation of the HH programme.Design & settingA mixed-methods study conducted in a general practice setting in The Netherlands.MethodQuantitative data were collected from the Healthy Heart study (HH study), a non-randomised cluster stepped-wedge trial to assess the effect of the HH programme on patients at high risk of developing CVDs at practice level. Qualitative data were obtained through focus groups.ResultsOut of 73 approached general practices, 55 implemented the HH programme. A total of 1082 patients agreed to participate in the HH study, of whom 64 patients were referred to the HH programme and 41 patients participated. Several barriers for participation were identified such as time investment, lack of risk perception, and being confident in changing lifestyle on their own. Important barriers for healthcare providers (HCPs) to refer a patient were time investment, lack of information to sufficiently inform patients, and preconceived notions regarding which patients the programme was suitable for.ConclusionThis study has offered insights from a patient and HCP perspective regarding barriers and facilitators for implementation of the group-based lifestyle intervention programme. The identified barriers and facilitators, and the suggested improvements, can be used by others who wish to implement a similar programme.
Metropolización Funza-Bogotá
Authors: Zambrano Gómez Brandon , García Bobadilla Nicolás 
Published: July 2023

El artículo es una reflexión desde el proyecto pedagógico e investigativo Historia, política y pedagogía de las basuras, desarrollado durante 2020. A partir de la estrategia de Mapeamiento Informacional Bibliográfico se construye la conceptualización de las relaciones geográficas entre Funza y Bogotá, en términos de metropolización, como constitución territorial de la reestructuración neoliberal del capitalismo en América Latina. Se presenta un balance reflexivo del diseño e implementación de un espacio formativo, para interrogar los residuos en la vida y espacio cotidiano de los estudiantes, al identificar asuntos problemáticos, situaciones concretas y acciones críticas, con respecto a la producción de residuos y las prácticas de descarte, en las condiciones impuestas por la pandemia; esto, con el propósito de hallar relaciones entre los aspectos cotidianos y particulares de los estudiantes, con los elementos estructurales en que los residuos sólidos se sitúan en las relaciones de metropolización Funza-Bogotá. Con respecto a las relaciones de metropolización, se identifica el vínculo entre cambios en las actividades productivas y uso de suelo de Funza con las imposiciones políticas y económicas de la globalización neoliberal desde 1990; por otra parte, interrogar los residuos tiene impactos en la modificación de prácticas cotidianas y reflexiones en los estudiantes participantes.

[1] Dentro de la estructura curricular de la Licenciatura en ciencias sociales, este corresponde al ciclo final de profundización que se debe cursar en los últimos tres semestres.
Implementasi Metode Runtun Waktu dalam Pemodelan Total Harga Alat Kedokteran dan Kesehatan
Authors: Laraswati Daniar Wahyu , Fauzan Achmad 
Published: July 2023

Hospital is an institution or health service that provides total individual health care by providing outpatient, inpatient, and emergency services. The health services that will be provided are promotive, preventive, and rehabilitative services. One of the efforts to improve the quality of hospital services is to provide good health services. In terms of supporting the health services provided, a health management is needed. The high price of medical supplies and equipment is due to several other factors causing hospitals to be able to make plans in the procurement of medical equipment and hospital medicine. Therefore, the author uses the Autoregressive Moving Average (ARMA) method in this study to predict the Total Price of Medical and Health Equipment Needed at the Sleman Regional General Hospital in the coming period. Based on the analysis that has been found, one significant and best ARMA model is obtained with the AIC value of 223.92 with equation and the MAPE value of 18.78%, which means the accuracy of the forecasting is 81.22%.
Successful One-stage Multiple Intestinal Anastomoses in a Newborn Allowing to Avoid Post-Resection Short Bowel Syndrome: A Case Report
Authors: Гурская А.С. , Баязитов Р.Р. , Сулавко М.А. , Кяримов И.А. 
Published: July 2023

Хроническая кишечная недостаточность у новорожденных и детей грудного возраста часто возникает на фоне пострезекционного синдрома короткой кишки. В настоящее время, по данным разных авторов, встречаемость синдрома короткой кишки составляет от 3–4 до 24,5 на 100 000 живорожденных детей в год. Мы приводим разработанные принципы хирургического лечения детей, угрожаемых по развитию синдрома короткой кишки и хронической кишечной недостаточности. В данной статье представлен актуальный клинический случай успешного одномоментного формирования множественных межкишечных анастомозов (6) в периоде новорожденности у пациента с внутриутробным псевдокистозным перитонитом, осложненным язвенно-некротизирующим энтероколитом, а также подробный алгоритм диагностики и тактики лечения. Благодаря разработанным хирургическим принципам у данного пациента удалось восстановить непрерывность желудочно-кишечного тракта с достаточной длиной тонкой кишки, сохранением илеоцекального угла и всей длины толстой кишки, что позволило избежать формирования хронической кишечной недостаточности.
Chronic intestinal failure in newborns and infants often occurs due to the post-resection short bowel syndrome. According to the current literature, the incidence of short bowel syndrome ranges from 3–4 to 24.5 per 100 000 live births peryear. We present our experience of surgical treatment in newborns with high risks of the short bowel syndrome and chronic intestinal failure. This article describes the case of successful multiple intestinal anastomoses (6 anastomoses) in a neonate who suffered from necrotizing enterocolitis, pseudocystic peritonitis resulted in several operations with numerous intestine stomas. Our surgical technique allowed restoring gastrointestinal tract with a sufficient length of the small intestine, and the whole ileocecal angle, making it possible to avoid chronic intestinal failure.
Why do Women Use Midazolam in the Third Stage of Labor? An Exploratory Study
Authors: Abu Mahfouz Ismaiel 
Published: July 2023

Aims: The aims of this study were to report women’s reasons for using midazolam in the third stage of labor after the delivery of the fetal head, and report their knowledge of, attitudes toward, and satisfaction with its use.
Methods and Materials: This prospective study was conducted between November 1, 2019 and November 1, 2020. Inclusion criteria were age 18 years or more, admitted into labor or for induction of labor, and having knowledge of midazolam. The women’s reasons, knowledge, attitudes, perceptions, and satisfaction were recorded and analyzed.
Results: We recruited 200 women, mean age 29.4 years, 61% of whom knew about midazolam. Their reasons for choosing to have midazolam were relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, and a desire to forget delivery details in 74%, 15%, and 11%, respectively. The factors that correlated positively with the women’s reasons for choosing midazolam included younger age, higher parity, and source of information due to being used in previous deliveries (all p-values were <0.05). Satisfaction was high in 88.5% of women. The factors that correlated positively with higher satisfaction included the women’s positive feeling about not recalling delivery details, and positive attitude toward the use of midazolam (all p-values were <0.05).
Conclusion: The women chose to have midazolam for relief of pain associated with the delivery of the fetal head, fear of delivery of the fetal head, or a desire to forget delivery details. This reflects deficiencies in antenatal pain management counseling and the presence of barriers against the use of epidural analgesia.
Effects of Sex and Androgenic Drugs on the Expression of Angiotensin-Converting Enzyme 2 Receptor, Cathepsin l and Transmembrane Serine Protease in Mouse Lungs
Authors: Jarrar Yazun , Alnajjar Dana , Jarrar Qais , Alaani Ra’ad , Abaalkhail Sara , Naser Wisam , Abudahab Sara , Lee Su-Jun 
Published: July 2023

Introduction: Although males and females have the same prevalence of COVID-19, a variation in the severity of symptoms between males and females has been observed. We hypothesize that this variation can partly be explained by the effect of androgens on the infectious activity of the SARS-Cov2 virus.
Aims: This study investigated the effect of sex and two androgenic drugs testosterone and oxandrolone on the mRNA expression of several SARS-Cov2 entry genes: angiotensin-converting enzyme 2 (ACE2), transmembrane protease serine 2 (TMPRSS2), and cathepsin l (CatL) in mouse lungs.
Methods: Twenty-eight BALB/c mice were divided into four groups; the first three groups (all male mice) were treated with the vehicle, testosterone, and oxandrolone, respectively, while the fourth group consisted of untreated female mice. The androgenic drugs were administered for 21 days in doses equivalent to the human one. Accordingly, the expressions of ACE2, TMPRESS2, and CatL genes were measured using real-time PCR assay. In addition, the histopathological alterations in the lungs and the levels of total serum testosterone were analyzed.
Results: We found that the expression of ACE2 was significantly upregulated in the lungs of the testosterone-treated group by 2.5 times. The expression of TMPRSS2 was also significantly upregulated in the lungs of oxandrolone-treated mice by 6.6 times. Moreover, these molecular alterations were associated with a high elevation of the serum testosterone and the induction of inflammation and oxidative stress. In addition, we found that the mRNA levels of ACE2, TMPRSS2, and CatL were significantly higher in the lungs of the female compared to male mice.
Conclusion: We found several significant differences between the mRNA expression of ACE2, TMPRSS2, and CatL genes in the lungs of male and female mice. We showed how the administration of testosterone and oxandrolone to male mice upregulated the lungs’ mRNA expression of ACE2 and TMPRSS2, respectively. These results can expand our molecular understanding of the roles of sex and androgenic drugs on the expression of SARS-Cov2 entry genes.
Risk Factors for Adenoid Hypertrophy in Patients Twelve Year and Older
Authors: Mahafza Tareq , Al-Ananbeh Lubna , Obeid Zeinab , Mahafza Naseem , Albdour Eshraq , Rawashdeh Majd , Shaheen Majd 
Published: July 2023

Background: The adenoids are part of Waldeyer’s ring of lymphoid tissue and when hypertrophied they cause many symptoms, e.g., snoring. They hypertrophy physiologically in children between the ages of 6 and 10 years, and then atrophy by the age of 16 years.
Objectives: The aim of this study was to reveal the risk factors and clinical patterns associated with adenoid hypertrophy in patients aged over 12 years.
Methods: We studied 130 patients aged over 12 who had undergone an adenoidectomy between January 2016 to January 2021. Patients were evaluated in the Department of Otorhinolaryngology and Head and Neck Surgery at Jordan University Hospital, Amman, Jordan. Some patients were accessed using medical records and their data were collected by telephone.
Results: Of the 130 patients, 81 were male and 49 were female, with a mean age of 19.68 years. Snoring was the most common presenting symptom (81.5%), followed by nasal obstruction (75.4%) and mouth breathing (71.5%). The most common associated risk factor was septal deviation (44.6%), and then passive smoking (40.8 %), allergic rhinitis (38.5%), and pollution (38.5%).
Conclusion: There are multiple suspected risk factors for adenoid hypertrophy in patients aged over 12 years. In our study, septal deviation was the most common associated factor, followed by passive smoking, allergic rhinitis and pollution. Snoring was the most common presenting symptom, followed by nasal obstruction.
Omega-3 Fatty Acids as Supplements and Cryoprotectants and Positive Outcomes for Human Seminal Cryopreservation: A Study in the Iraqi Context
Authors: Al-Obeidy Mustafa , Akkila Sameh , Noel Khalida 
Published: July 2023

Background: With the increasing deterioration in male fertility rates over the past few decades, assisted reproductive therapy via sperm banking has gained considerable attention from different health authorities worldwide. The process of sperm cryopreservation exerts certain harmful effects on sperm quality parameters. The aim of the current study was to examine the effect of omega-3 on human sperm cryopreservation as a dietary supplement and as a cryoprotectant stimulant.
Methods: From healthy men, 120 seminal fluid samples were randomly collected for cryopreservation (for 30 days). All samples were divided into three groups (40 in each). The supplement group (SG) (first group) had been given dietary supplements of omega-3 (30% EPA: 20% DHA) for eight weeks before sample collection. The samples of the cryoprotectant group (CG) (second group) were treated with omega-3 additive in the diluent at the time of being collected and before we cryopreserved them. The samples from the control group (third group) were cryopreserved without any dietary or cryoprotectant supplementation. Initial seminal analysis was recorded and post-thawing assessment of sperm motility, vitality (using eosin test) and oxidative stress (using a nitro blue tetrazolium (NBT) test) were compared.
Results and Conclusion: SG samples had greater initial seminal fluid volumes, as well as better sperm motility and vitality, but the oxidative stress assessment did not differ significantly pre-cryo. Post-thawing assessment revealed that the CG group had the best parameters of motility, vitality and oxidative stress. These results may be related to the positive effects of omega-3 fatty acids on reproductive glands, hormonal milieu, sperm function and structure, making it a suitable biostimulant for improving the outcome of human sperm banking. Results were comparable to multiple previous animal studies.