bluuebunny/crossref_metadata_2025_split huggingface dataset:
Catalogue of socioeconomic disparities and characteristics of 199+ chronic conditions—A nationwide register-based population study
Authors: Hvidberg Michael Falk , Frølich Anne , Lundstrøm Sanne Lykke 
Published: December 2022

Background
Real-world information on socioeconomic differences within and between chronic conditions represents an important data source for treatments and decision-makers executing and prioritising healthcare resources.

Aims
The aim of this study was to estimate the prevalence and mean of socioeconomic disparities from educational, income, and socioeconomic positions of 199 chronic conditions and disease groups, including sex and age group estimates, for use in planning of care services and prioritisation, by healthcare professionals, decision-makers and researchers.

Methods
The study population includes all Danish residents 16 years and above, alive on 1 January 2013 (n = 4,555,439). The data was established by linking seven national registers encompassing educational achievements, incomes, socioeconomic positions, hospital- and general practice services, and filled-in out-of-hospital prescriptions. The health register data were used to identify the 199+ chronic conditions. Socioeconomic differences were primarily measured as differences in educational prevalence levels from low to high educational achievements using a ratio. Furthermore, multiple binary logistic regression models were carried out to control for potential confounding and residual correlations of the crude estimates.

Results
The prevalence of having one or more chronic conditions for patients with no educational achievement was 768 per thousand compared to 601.3 for patients with higher educational achievement (ratio 1.3). Across disease groups, the highest educational differences were found within disease group F–mental and behavioural (ratio 2.5), E–endocrine, nutritional and metabolic disease (ratio 2.4), I–diseases of the circulatory system (ratio 2.1) and, K–diseases of the digestive system (ratio 2.1). The highest educational differences among the 29 common diseases were found among schizophrenia (ratio 5.9), hyperkinetic disorders (ratio 5.2), dementia (ratio 4.9), osteoporosis (ratio 3.9), type 2 diabetes (ratio 3.8), chronic obstructive pulmonary disease COPD (ratio 3.3), heart conditions and stroke (ratios ranging from 2.3–3.1).

Conclusions
A nationwide catalogue of socioeconomic disparities for 199+ chronic conditions and disease groups is catalogued and provided. The catalogue findings underline a large scope of socioeconomic disparities that exist across most chronic conditions. The data offer essential information on the socioeconomic disparities to inform future socially differentiated treatments, healthcare planning, etiological, economic, and other research areas.
Prevalence and correlates of physical fighting among adolescents in Paraguay: Findings from the 2017 national school-based health survey
Authors: Taniguchi Hiroko , Shaikh Masood Ali 
Published: December 2022

BackgroundInterpersonal violence among adolescents is a serious public health issue across the globe and has been one of the leading causes of death among Paraguayan adolescents. This study aims to investigate the prevalence of physical fighting among adolescents in Paraguay in order to identify problematic fighting behaviour. We also aim to examine the correlates of physical fighting and the extent to which previously identified factors correlate with physical fighting.MethodsWe used the Paraguay 2017 Global School-based Student Health Survey (GSHS). This survey collects health-related information on school-attending adolescents aged 13–17 years. We defined physical fighting as having participated in at least two physical fights in the previous 12 months. We chose 16 independent variables: 12 individual-level variables and four social-level variables. Multivariable logistic regression models were developed to identify factors associated with physical fighting. One of the limitations of this study is that it only captured the responses of the students who attended school on the day of the survey.FindingsA total of 3,149 students completed the survey questionnaire, with the response rates for the school, student, and total response being 100%, 87%, and 87%, respectively. In 2017, 8% of the survey participants (11.4% of the males, and 4.7% of the females) had been involved in two or more physical fights during the past 12 months. In the multivariable model, having been physically attacked, male gender, physical activity, alcohol use, early sexual debut, and suicide planning were significantly associated with involvement in physical fighting. Having helpful peers and supportive parents was not statistically significant in the model adjusted for all variables.ConclusionsAlthough Paraguay shows relatively lower prevalence of physical fighting than other countries, the high association between physical fighting and having been physically attacked is noteworthy. Considering the serious interpersonal violence among Paraguayan adolescents, preventive attributes should be considered, and further assessment of other types of interpersonal violence should be made.
Attitudes toward COVID-19 vaccination during the state of emergency in Osaka, Japan
Authors: Odani Satomi , Koyama Shihoko , Katsumi Yuichi , Miyashiro Isao 
Published: December 2022

Background
COVID-19 vaccination for general population started on April 12, 2021, in Osaka, Japan. We investigated public attitudes toward vaccination and associated factors of vaccine hesitancy during the third state of emergency.

Methods
An internet-based, self-reported, cross-sectional survey was conducted in June 2021, using the smartphone health app for residents of Osaka aged ≥18 years. Respondents were asked about their attitudes toward COVID-19 vaccine. Responses “Don’t want to receive vaccines” or “Don’t know” were defined as vaccine hesitancy (vs. “Received [1st dose]”, “Received [2nd dose]”, or “Want to receive vaccines”). Multivariable Poisson regression analysis was conducted to examine the associations between hesitancy and population characteristics.

Results
23,214 individuals (8,482 men & 14,732 women) were included in the analysis. Proportions that answered “Received (1st dose)”, “Received (2nd dose)”, “Want to receive vaccines”, “Don’t want to receive vaccines”, “Don’t know”, and “Don’t want to answer” were 14.6%, 3.8%, 70.6%, 4.3%, 6.1%, and 0.5% among men; and 11.3%, 6.0%, 64.9%, 6.2%, 11.0%, and 0.6% among women. Factors associated with vaccine hesitancy included being a woman (aPR = 1.33; 95%CI = 1.23–1.44), age 18–39 (aPR = 7.00; 95%CI = 6.01–8.17) and 40–64 years (aPR = 4.25; 95%CI = 3.71–4.88 vs. 65+ years), living alone (aPR = 1.19; 95%CI = 1.08–1.30 vs. living with 3+ members), non-full-time employment and unemployment (aPRs ranged 1.12 to 1.49 vs. full-time employment), cardiovascular diseases/hypertension (aPR = 0.72; 95%CI = 0.65–0.81), and pregnancy (women of reproductive age only) (aPR = 1.35; 95%CI = 1.03–1.76).

Conclusions
Most respondents expressed favorable attitudes toward COVID-19 vaccination while hesitancy was disproportionately high in certain populations. Efforts are needed to ensure accessible vaccine information resources and healthcare services.
Pre-interventional assessment of right renal to right adrenal vein distance: Impact on procedure time and radiation dose in adrenal vein sampling
Authors: Well Lennart , Spink Clemens , Lenz Alexander , Avanesov Maxim , Salamon Johannes , Adam Gerhard , Schoennagel Bjoern P. , Henes Frank Oliver , Bannas Peter 
Published: December 2022

Purpose
Adrenal vein sampling (AVS) is the reference standard for evaluation of lateralized hormone production in primary aldosteronism. We aimed to investigate the impact of pre-interventional right renal vein (RRV) to right adrenal vein (RAV) distance measurement on fluoroscopy time, contrast agent exposure and radiation dose during AVS.

Materials and methods
Forty-five patients with primary aldosteronism undergoing AVS were enrolled in our retrospective study and divided into three groups. In the group “ruler” (n = 14), RRV-RAV-distances were determined pre-interventionally by cross-sectional imaging (CT/MRI) and AVS was performed by one interventional radiologist with limited experience in AVS. CT/MRI-derived and fluoroscopy-derived RRV-RAV-distances were correlated for aimed cannulation of the RAV. Patients in group “no ruler” (n = 24, three interventional radiologists with limited experience in AVS) and in group “expert”, (n = 7, one expert interventional radiologist) underwent AVS without pre-interventional estimation of RRV-RAV-distances. Procedure parameters (fluoroscopy time, contrast agent volume, radiation dose) of group “ruler” were compared to both other groups by Kruskal-Wallis rank-sum test.

Results
Correlation of CT/MRI-derived and fluoroscopy-derived RRV-RAV-distances was good (r = 0.74;p = 0.003). The median RRV-RAV-distance was 4.5cm at CT/MRI (95%-CI:4.2–5.0cm) and 4.0cm at fluoroscopy (95%-CI:3.8–4.5cm). Fluoroscopy time (p<0.0001), contrast agent exposure (p = 0.0003) and radiation dose (air kerma and dose area product both p = 0.038) were significantly lower in group “ruler” compared to group “no ruler” (all p<0.05), and similar to group “expert” (all p>0.05).

Conclusions
CT/MRI-derived pre-interventional renal-adrenal vein distance measurements correlate well with angiographic distance measurements. Pre-interventional estimation of the RRV-RAV-distance allows for aimed cannulation of the RAV with potential reduction of fluoroscopy time, contrast agent exposure and radiation-dose during AVS.
Concomitant illnesses in pregnancy in Indonesia: A health systems analysis at a District level
Authors: Ryan Lareesa M. , Mahmood Mohammad Afzal , Mufiddah Ismi , Yulianti Martina , Laurence Caroline O. 
Published: December 2022

Background
In LMICs, including Indonesia, there is a rising burden of non-communicable diseases (NCDs) with a prevailing burden of infectious diseases, including among pregnant women. The Indonesian health system faces significant challenges to provide effective care for infectious diseases, and even more so, NCDs. This is concerning due to the greater vulnerability of pregnant women to complications caused by concomitant illnesses (NCDs and infectious diseases), and the need for complex, integrated healthcare between maternal care and other health services.

Methods
The objective of this study was to understand supporting factors and challenges of the health system to providing care for concomitant illnesses in pregnancy and how it may be improved. Semi-structured interviews were conducted with sixteen key stakeholders, including health providers and health service managers, involved in maternal healthcare for concomitant illnesses at a District level in Indonesia. The study was conducted in Kutai Kartanegara District of East Kalimantan. Analysis was conducted using framework analysis to identify themes from transcripts.

Results
Supporting factors of the health system to provide care for concomitant illness in pregnancy included collaboration between health providers and health services, availability of screening and diagnostic tools, and access to universal healthcare coverage and financial subsidies. Common challenges included knowledge and awareness of concomitant illnesses among health providers, competency to diagnose and/or manage concomitant illnesses, and inappropriate referrals. Suggested improvements identified to address these gaps included increasing education and refresher training for healthcare providers and strengthening referrals between primary and hospital care.

Conclusions
The findings identified gaps in the health system to provide care for concomitant illnesses in pregnancy in Indonesia that need to be strengthened. More evidence-based research is needed to guide the implementation of policy and practice interventions for the health system to deal with a broader range of concomitant illnesses in pregnancy, particularly NCDs.
Stakeholder perspectives on scaling up medical device reprocessing: A qualitative study
Authors: Hennein Rachel , Goddard Emily , Sherman Jodi D. 
Published: December 2022

Background
The United States health care sector is one of the largest polluting industries, which has significant adverse effects on human health. Medical device reprocessing (MDR) is a sustainability solution that has the potential to decrease hospital waste, cut carbon emissions, reduce spending, and improve supply chain resiliency; however, only a small proportion of FDA-approved devices are actually reprocessed. Thus, we conducted a qualitative study to understand barriers and facilitators of scaling up MDR.

Methods and findings
We conducted in-depth interviews with 17 stakeholders (exceeding thematic saturation) at a large academic health system in New England and national MDR organizations. We also collected observations through site visits at the health system. We recruited participants from June 2021 to April 2022 through purposive sampling. Using an analytic approach guided by the Consolidated Framework for Implementation Research, we applied inductive and deductive codes related to key implementation constructs. We then conducted a thematic analysis and identified five overarching themes related to barriers and facilitators of MDR. First, respondents explained that regulatory bodies and original equipment manufacturers determine which devices can be reprocessed. For example, some respondents described that original equipment manufacturers use tactics of forced obsolescence that prevent their devices from being reprocessed. Second, respondents explained that MDR has variable compatibility with hospital priorities; for example, the potential cost savings of MDR is compatible with their priorities, while the perception of decreased functionality of reprocessed medical devices is incompatible. Third, respondents described that physician preferences influence which reprocessed devices get ordered. Fourth, respondents explained that variable staff knowledge and beliefs about MDR influence their motivations to select and collect reprocessable devices. Lastly, respondents emphasized that there was a lack of infrastructure for evaluating and maintaining MDR programs within their health system.

Conclusions
Based on our findings, we have outlined a number of recommendations that target these barriers and facilitators so that the environmental and financial benefits of MDR can be realized at this health system and nationally. For example, implementing federal policies that prevent original equipment manufacturers from using tactics of forced obsolescence can facilitate the scale-up of MDR nationally. Additionally, providing life cycle assessments that compare the environmental effects of single-use disposable, reprocessable disposable, and reusable devices could facilitate health systems’ purchasing decisions. Creating and disseminating audit and feedback reports to hospital staff might also facilitate their continued engagement in the program. Lastly, hiring a full-time program manager that leads MDR programs within health systems could improve program sustainability.
Evaluation of the pediatric antiretroviral therapy service in Gondar city public health facilities—A case study design with mixed methods
Authors: Azanaw Abrham , Alemu Melaku Birhanu , Yitayal Mezgebu , Aschalew Andualem Yalew 
Published: December 2022

Background
The pediatric antiretroviral therapy (ART) service is introduced to save lives, restore mental and physical functions, and improve the quality of life of children living with HIV/AIDS. This evaluation aimed to assess the implementation status of the pediatric ART service provision in Gondar city administration health facilities to promote evidence-based decision-making for program improvement.

Methods
An institutional-based single case-study design with concurrent mixed methods were applied. The service was evaluated by the availability of essential resources, compliance of health providers with the standard guideline, and caregivers’ satisfaction dimensions. Document review, key informant interviews, observations, and interviewer-administered exit-interview were conducted. The quantitative data were analyzed in descriptive and analytical, while the qualitative data were transcribed, translated, and thematically analyzed. A logistic regression analysis was performed to identify factors associated with caregivers’ satisfaction.

Results
The overall implementation of pediatric ART service was 75.32%. The availability, compliance, and satisfaction were 68.96%, 74.44%, and 84.64%, respectively. Trained healthcare professionals, essential ART drugs, registers, and basic laboratory diagnostic equipment were reasonably available. However, the lack of opportunistic infection medications and adequate rooms were significant gaps in service provision. Respondents noted a shortage of drugs and rooms for consultation and service provision. Short travel distance (AOR = 2.87), low viral load (AOR = 3.15), and sex of caregivers (AOR = 4.98) were significantly associated with good satisfaction.

Conclusions
The overall implementation of pediatric ART service is well based on the pre-determined judgment criteria. The health facilities and policymakers are advised to focus on availing medications to treat opportunistic infections and expanding the health facility to have enough space for consultation and service provision. Furthermore, particular emphasis should be given to caregivers who come from long distances and patients with a high viral load to increase caregivers’ satisfaction.
Decolonizing German and European History at the Museum, Katrin Sieg
Authors: O’Donnell Brendan 
Published: December 2022

Review of: Decolonizing German and European History at the Museum, Katrin Sieg
Ann Arbor: University of Michigan Press (2021), 316 pp., p/bk,
ISBN: 978-0-47205-510-4, US $34.95
Cascade feedforward neural network and deep neural network controller on photovoltaic system with cascaded multilevel inverters: Comparison on standalone and grid integrated system
Authors: Rupesh Mailugundla , Tegampure Vishwanath Shivalingappa 
Published: December 2022

The introduction of a micro-grid-based power generation network will help to meet the demands of consumers while reducing environmental impact. Several industrialized and emerging countries allocate considerable resources to renewable energy-based power generation and invest significant sums of money in this area. This study examines the challenges involved with electricity generation through photovoltaic (PV) systems and the integration of the same with the grid to mitigate power quality issues and improve the power factor for various loading conditions. An innovative multilayer inverter for grid-connected PV systems has been developed to enhance the voltage profile and resulted in a drop in total harmonic distortion (THD). A cascade multilevel inverter (associated with a grid-integrated PV system and managed using multiple innovative artificial intelligence controllers) was developed in this research project. Various advanced intelligent controllers, such as cascade feedforward neural networks (CFFNN) and deep neural networks (DNN), have been analyzed under various operating situations and observed that the THD of voltage, current at the grid, and the load is less than 3 % as per the IEEE 519 standards along with this power factor is maintained nearly unity for the grid-connected system. The quality of power in terms of voltage, frequency, total harmonics distortion, and power factor are improved by using a novel deep neural network algorithm in a cascaded multilevel inverter and verified according to IEEE 1547 and IEEE 519 standards to determine the efficacy of the proposed system.
Assessing agricultural commercialization and rural infrastructure development in rural Southwestern Nigeria: evidence from smallholder cassava farmers
Authors: OTEKUNRIN Olutosin Ademola 
Published: December 2022

This study assessed agricultural commercialization and rural infrastructure development of smallholder cassava farmers in rural Southwestern Nigeria. The study was conducted in Nigeria with cross-sectional data collected from 352 smallholder cassava farmers. Crop commercialization index (CCI) was used to compute each farmer’s CCI and categorized into four levels while ordered logit model was employed to analyze the determinants of agricultural commercialization of cassava farmers in the study areas. Availability of some important rural infrastructures were assessed across cassava farmers’ commercialization levels. The results revealed that 13.1 % of cassava farmers did not participate in the sale of cassava roots while 86.9 % of them participated actively in the output market. The mean and maximum CCI in the study areas was 59.1 and 95.5 respectively. The results also showed that less than 40 % and 20 % of cassava farmers in all commercialization levels had access to electricity and piped water respectively. The ordered logit regression analysis indicated that age, transport cost, cassava marketing experience, and distance to market were among the determinants of agricultural commercialization. Therefore, stakeholders should expedite policy actions capable of promoting rural infrastructure development that will enhance agricultural production, marketing and improve the quality of life of rural farming communities.
Three Instances of the Good in Proclus
Authors: Oosthout Arthur , Van Riel Gerd 
Published: December 2022

AbstractPlato’sPhilebusfamously combines a deliberation on the virtuous life as a balancing act between prudence and pleasure with a theory of the composition of mixtures from limit and limitedness. The latter aspect of the dialogue is used by the Neoplatonic philosopher Proclus as a basis for his own metaphysical analysis of the ultimate first principle, the One, and the manner in which it produces all things which exist. Multiple scholarly analyses have been provided of Proclus’ use of the Phileban theory of limit and the unlimited for his description of the first principle’s creation process. However, this paper shows that Proclus reads thePhilebusnot merely for its discussion of limit and unlimited, but also for its description of the good life. After all, the Neoplatonic One is also the Good from Plato’sRepublic. InPhil. 20d1–11, Socrates suggest that the good is perfect, sufficient, and desirable. Proclus’Commentary on the RepublicandPlatonic Theologyreveal that these three aspects of the good provide Proclus with a framework to describe the Neoplatonic first principlequaGood. In Proclus’ view, the three Phileban concepts constitute the base elements of the good which reappear in all of its manifestations, and thus link the good in us to the transcendent and unqualified Good: the desirable element represents the good’s singularity and its position as the centre around which all beings circle; the sufficient element represents the non-reciprocal bestowal of existence and generative power by any form of the good upon its participants; lastly, the perfect element reverts all creatures to the good in which they participate, even when not all genera of beings in the Neoplatonic universe are equally capable of such participation. Furthermore, Proclus uses the description of the good life as not merely intellectual from thePhilebusto fortify his arguments in disagreements with other Neoplatonic commentators regarding the transcendence of the Good over the intelligible principles, and conversely employs the Neoplatonic definition of the first principle to affirm the ethics of the Platonic dialogue. Thus, although Proclus’ primary goal in reading thePhilebusis to obtain knowledge of the ultimate first principle, Socrates’ analysis of the virtuous life in the dialogue is just as important for his purposes as the theory of mixtures.