bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pregnancy and childbirth: male partner involvement in Uasin Gishu, Kenya
Authors: Kamau Tabitha , Riang’a Roselyter Monchari , Mwanzia Lydia , Buluku Elizabeth , Sawe Caroline , Wambugu Beth , Patel Kirtika , Mutai Judith , Jomo Pauline Mwenje , Kemboi Sharon , Talam Patricia Chepchumba , Sang Cindy 
Published: December 2022

IntroductionIn many African countries, pregnancy and childbirth has traditionally been regarded as a woman’s affair. As a result, male partner involvement and participation in pregnancy and childbirth has been minimal, which is thought to have contributed to the high rate of maternal and neonatal morbidities and mortalities. Male partners are often key decision-makers in African households for cultural reasons, yet their role in pregnancy and childbirth is not clearly defined. The aim of this study was to examine and document male partner involvement in maternal healthcare in Kenya.MethodsA health facility-based cross-sectional descriptive study design was used. Systematic random sampling was used to select 384 women seeking maternal and child healthcare at Uasin Gishu County Hospital. The participants were interviewed using structured interviewer-administered questionnaires.ResultsAlmost a third of participants (32%) reported never being accompanied by their partners to maternity clinic visits, while 41% were accompanied only for HIV counselling and testing. Over half of respondents reported that their partners provided a fare or transport to the antenatal clinic (55%) and that they were supported when taking iron and folic acid supplements (58%). Just over a third of participants reported their partners took them to the hospital during labour (37%). Only 8% of male partners were present during labour and birth, 55% provided money to travel home after the birth and less than a fifth (19%) accompanied their wives home after birth.ConclusionsMale partner involvement in maternal care is very low in Uasin Gishu county. Male partner involvement needs to be recognised and addressed in health education because of the potential benefits to both maternal and child health outcomes. Health systems should focus on providing couple-friendly antenatal care services. Maternal health intervention strategies and policies that inadvertently isolate men from active engagement in antenatal and postnatal health programmes should be reviewed.
‘She is my wife and I have to support her’: exploring cervical cancer awareness and perceptions of married men in a Ghanaian community
Authors: Enyan Nancy Innocentia Ebu , Aderoju Yaa Boahemaa Gyasi , Amissah-Essel Salome 
Published: December 2022

Background/Aims Cervical cancer prevention and elimination require a multi-faceted approach. This study explored married men’s awareness of cervical cancer, their perceptions of cervical cancer screening and their willingness to support their spouses with screening. Methods This descriptive qualitative study design recruited 15 purposively selected married men aged 20 years or older living in the Cape Coast Metropolis, Ghana. In-depth interviews were conducted with a semi-structured interview guide and data were subjected to thematic analysis. Results There was high awareness of cervical cancer among the participants. The main themes were participants’ knowledge and perception of cervical cancer and screening, and supporting partners with cervical cancer screening. Each theme had two subthemes. The subthemes regarding knowledge were ‘lack of knowledge about the disease’ and ‘lack of knowledge of preventive measures’, the subthemes on perception were ‘a normal disease’ and ‘doctors are trained’, and the subthemes for support were ‘financial support’ and ‘encouragement’. Conclusions Efforts to increase uptake of cervical cancer screening should focus on educating married men about the disease, as they can support their spouses to attend cervical cancer screening services.
The use of long-acting reversible contraceptives: a quasi-experimental study in Indonesia
Authors: Veri Nora , Lajuna Lia , Alchalidi Alchalidi , Dewita Dewita , Chipojola Roselyn 
Published: December 2022

Background Contraceptive counselling and mobile applications may positively increase the use of contraceptives among married women. This study's aim was to examine the effect of structured counselling and mobile applications on knowledge, self-efficacy and the intention to use long-acting reversible contraceptives. Methods This was a quasi-experimental study with participants who received either structured counselling and use of a mobile app (n=50) or only routine counselling (n=50) in two healthcare centres with family planning services in Langsa, Indonesia. Chi-squared and the independent t-test as well as a general equational model were used to analyse the results. Results There was a significant improvement in knowledge, self-efficacy and the intention to use long-acting reversible contraceptives use after 12 weeks in both groups. The differences in knowledge, self-efficacy and intention to use long-acting reversible contraceptives between groups after 4 and 12 weeks were statistically significant (P<0.001). Conclusions A combination of 12-week structured counselling and mobile application use can effectively increase knowledge and self-efficacy, affecting the intention to use long-acting reversible contraceptives of married women in Indonesia.
Characteristics of patients with rheumatic heart disease in a national referral hospital in Indonesia
Authors: Rudiktyo Estu , Wind Annemieke , Doevendans Pieter , Siswanto Bambang Budi , Cramer Maarten-Jan , Soesanto Amiliana Mardiani 
Published: December 2022

BACKGROUND Rheumatic heart disease (RHD) is one of the most common cardiovascular problems in Indonesia. Comprehensive data regarding patient characteristics are critical in planning optimal treatment strategies to relieve the burden of RHD. This study aimed to describe the clinical and echocardiographic characteristics of patients across several types of valvular lesions in RHD in the Indonesian population.
METHODS This retrospective study was performed between January 2016 and June 2019 at the National Cardiovascular Center Harapan Kita, Jakarta, Indonesia. The study population comprised all patients with significant valve disease aged ≥18 years. Patient characteristics and echocardiographic parameters were collected retrospectively from medical records and hospital information systems. Patients were classified into several groups based on etiologies of valve disease.
RESULTS Of 5,482 patients with significant valve lesions, 2,333 (42.6%) were RHD patients. They were predominantly female (64.1%) and younger (mean [standard deviation] age 42.61 [12.01] years). Atrial fibrillation (AF) was the most frequent rhythm disorder observed in RHD (65.4%). Isolated mitral stenosis was the most common valve lesion in RHD patients (46.5%). Most patients with RHD had preserved left ventricular (LV) ejection fraction. Half of the patients with mitral stenosis had reduced right ventricular (RV) contractility (tricuspid annular plane systolic excursion <17 mm).
CONCLUSIONS Isolated mitral stenosis was the most observed condition of valve lesions in RHD. Characteristics of RHD patients in this study were predominantly female, younger age, had preserved LV function, reduced RV function, and high prevalence of AF.
Tilted fiber grating polarizer in a 40-µm polarization-maintaining fiber
Authors: Chen Lin , Mao Yuzheng , Jiang Biqiang , Zhao Jianlin 
Published: December 2022

The optical polarizer is a crucial component widely used in many optical systems and
applications. Fiber-optic polarizers have the merits of excellent
compatibility and ease of integration with other fiber components. We
report an in-line polarizer enabled by a 45° tilted fiber
grating inscribed into a specialty fiber for the next generation
fiber-optic gyroscope, i.e., a 40-µm ultra-fine-diameter
tiger-type polarization-maintaining fiber with which the size of
fiber-optic sensors can be miniaturized. The results show that a
40-mm-long polarizer operates at a center wavelength of around
830 nm with high-performance characteristics, such as a
polarization extinction ratio exceeding 30 dB, a low insertion
loss of less than 1.5 dB, and a large 3-dB optical bandwidth
more than 60 nm. This kind of fiber-optic polarizer may have a
broad scope across applications and systems such as fiber lasers and
sensors, especially high-precision fiber-optic gyroscopes.
On two species of Dracocephalum L. (Lamiaceae)
Authors: Lazkov Georgiy A. , Vesselova Polina V. 
Published: December 2022

A composition of taxa included in Dracocephalum imberbe Bunge s. l. is discussed. Species rank of D. laniflorum Rupr. is reinstated based on the following characters: underground part is represented by a system of branching rhizomes, bracts absent, calyx 12–14 mm long, with triangular or narrowly triangular, pointless teeth, the middle tooth of the upper lip up to 1.5 times wider than the lateral ones and plant being nearly scentless. In contrast, in D. imberbeunderground part is represented by the taproot and developed branches of the caudex, bracts present, with well-developed non-rigid points, calyx 15–18 mm long, with lanceolate or narrowly triangular pointed (though not rigid) teeth, the middle tooth of the upper lip 1.5–2 times wider than the lateral ones, the presence of a smell that persists in herbarium specimens. Dracocephalum laniflorum is firstly reported for flora of Kazakhstan (Almaty Region) and China(Xinjiang Uygur Autonomous Region) based on the study of herbarium materials stored in AA and LE, as well as scanned herbarium specimens stored in MW, HNWP and PE, which were available through the Moscow Digital Herbarium and Chinese Virtual Herbarium (CVH) systems.
Examining the Nocebo Effect in Trials of Neuromodulators for Use in Disorders of Gut-Brain Interaction
Authors: Glissen Brown Jeremy R. , Sanayei Ava , Proctor Samantha , Flanagan Ryan , Ballou Sarah , Bain Paul A. , Nee Judy 
Published: December 2022

INTRODUCTION:Nocebo effects are believed to influence the rate of reported adverse events (AE) and subject withdrawal in both the treatment and placebo groups of randomized clinical trials (RCT). Neuromodulators are commonly prescribed to treat disorders of gut-brain interaction (DGBI), but adherence to these medications is often limited by side effects such as headache, dry mouth, fatigue, and altered bowel habits. We performed a systematic review and meta-analysis to assess the proportion and risk difference of patients who experienced side effects leading to withdrawal in the placebo arm vs the treatment arm of RCT of neuromodulators for DGBI. We also sought to estimate the risk of developing any AE in the placebo arm of these studies and the rate of specific individual AEs.METHODS:We searched MEDLINE, Embase, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials Searches to identify RCT that included terms for DGBI and for commonly prescribed neuromodulators. We calculated pooled proportions of patients experiencing an AE leading to withdrawal in the active treatment group vs the placebo group with 95% confidence intervals (CI), the pooled proportions of patients experiencing any AE, the pooled proportions of patients experiencing specific AE such as dizziness and headache, the pooled proportions of patients experiencing severe AE, and corresponding pooled risk differences with 95% CI.RESULTS:There were 30 RCT included representing 2,284 patients with DGBI. Twenty-seven RCT reported data on AE leading to withdrawal. The pooled proportion of total patients with AE leading to withdrawal in the placebo group was 4% (95% CI 0.02–0.04). The pooled proportion of patients with AE leading to withdrawal who received neuromodulators was 9% (95% CI 0.06–0.13). In the 12 studies reporting data on patients experiencing at least 1 AE, the pooled proportion of patients experiencing any AE in the placebo group was 18% (95% CI 0.08–0.30), compared with 43% (95% CI 0.24–0.63) in the neuromodulator group. Thus, approximately 44% of the rate of withdrawal (0.04/0.09) and 42% of the rate reporting any side effects (0.18/0.43) in the neuromodulator group may be attributed to nocebo effects in the right context. Subgroup analysis by sex, medication class, risk of bias, and specific DGBI revealed differing withdrawal rates. There was no statistically significant difference in patients experiencing individual AE of dizziness, headache, or diarrhea. Rates of dry mouth, fatigue, and constipation were higher in treatment groups compared with those in placebo groups.DISCUSSION:Patients with DGBI in RCT randomized to placebo groups frequently experience AE and AE that lead to withdrawal consistent with a strong nocebo effect. Nonspecific AE such as dizziness, headaches, and diarrhea occurred similarly in patients receiving placebo compared with those receiving neuromodulators.
Patency Capsule: A Novel Independent Predictor for Long-Term Outcomes Among Patients With Quiescent Crohn's Disease
Authors: Ukashi Offir , Kopylov Uri , Ungar Bella , Haj-Natour Ola , Selinger Limor , Neuman Sandra , Yanai Henit , Dotan Iris , Yablecovitch Doron , Lahat Adi , Eliakim Rami , Ben-Horin Shomron ,   for the Israeli IBD Research Nucleus (IIRN)
Published: December 2022

INTRODUCTION:
Patency capsule (PC) is a recommended procedure to rule out small bowel stenosis before video capsule endoscopy (VCE). We examined future clinical outcomes among patients with a failed PC vs patients in whom the PC had passed (passed PC).

METHODS:
A post hoc analysis of 2 prospective cohort studies of adult patients with quiescent small bowel Crohn's disease (CD) who underwent PC between 2013 and 2020. The primary composite outcome was the need for intestinal surgery or endoscopic dilation during follow-up in patients with or without a failed PC.

RESULTS:
A total of 190 patients were included (47: failed PC and 143: passed PC, median follow-up 34.12 months). Patients with a failed PC had higher rates of the primary composite outcome (21.3% vs 1.4%, hazard ratio [HR] 20.3, 95% confidence interval [CI] 4.4–93.7, P < 0.001) and also secondary outcomes including intestinal surgery (14.9% vs 0.70%, P < 0.001), endoscopic dilation (14.9% vs 0.70%, P < 0.001), admissions (23.3% vs 5.7%, P < 0.001), and clinical flares (43.9% vs 27.7%, P = 0.005) during follow-up compared with controls. Failed PC was the only statistically significant factor for surgery and/or endoscopic dilation, regardless of a B2/B3 phenotype at baseline. In sensitivity analyses restricted only to patients with a stricturing phenotype (n = 73), a failed PC still predicted the long-term composite outcome (HR 8.68, 95% CI 1.72–43.68, P = 0.002). Of the 190 patients ingesting a PC, only 1 patient with a failed PC had 48 hours of self-limiting mild symptoms.

DISCUSSION:
Patients with clinically stable CD with a failed PC have worse long-term clinical outcomes than those without, independently of the CD phenotype. Standalone PC may serve as a novel, safe, and affordable prognostic examination to identify patients with quiescent CD who have a higher risk for future worse clinical outcomes.
Actionable mutations in non-small cell lung cancer in patients at hospital de Especialidades Eugenio Espejo, Ecuador 2017–2020
Authors: Fernández Freire Miguel Ángel , Gálvez Salazar Gabriela Isabel , Scudeler Mariana Meira , Rodrigues-Soares Fernanda , Jaramillo Koupermann Gabriela Fernanda , Moreno Ocampo Andrea Paola 
Published: December 2022

Abstract

Objectives
Determine the frequency of actionable mutations in non-small cell lung cancer (NSCLC) and their correlation with overall survival (OS) and the site of metastases.

Methods
We performed a descriptive cross-sectional study at the Hospital de Especialidades Eugenio Espejo, Ecuador, between 2017 and 2020. Demographic, pathological, and molecular alterations in epidermal growth factor (EGFR), Anaplastic lymphoma kinase (ALK), ROS proto-oncogene 1 (ROS1), Programmed death-ligand 1 (PD-L1) expression, and clinical data detailed in patients’ medical records with metastatic NSCLC were collected and analyzed.
Seventy-nine stage IV patients had NSCLC; adenocarcinoma histology represents 56 (70.9%). The predominant mutation was in EGFR (22.8%); the most common variant was the deletion of exon 19 (72.2%). The most common metastatic site was in the contralateral lung (22.3%); however, this variable showed no significant correlation to the molecular markers (p=0.057). The overall survival (OS) and the status of molecular markers are not statistically significant (p=0.27). OS was better for non-mutated EGFR than for mutated EGFR (p=0.012). However, the frequency values are unrelated to contralateral lung metastasis or survival.

Conclusions
Our frequency mutations are concordant with those found in other studies in Latin America. EGFR was the most common biomarker mutation, and there was a better OS in EGFR non-mutated patient.
Selection of MR damper model suitable for SMC applied to semi-active suspension system by using similarity measures
Authors: Hidayat Raymundus Lullus Lambang Govinda , Wibowo  , Santoso Budi , Imaddudin Fitrian , Ubaidillah  
Published: December 2022

Abstract
This article discusses the research to determine the suitable magnetorheological (MR) damper model to produce the damping force generated by the sliding mode control (SMC) strategy. The MR damper models studied are parametric, i.e., the Bingham model, the Bouc-Wen model, and the Bouc-Wen model with a hyperbolic tangent function. The damping force of SMC usually includes sudden changes in the force and chattering. The research was carried out by calculating the value of the similarity measure of the damping force of the controller and the damping force of each model. The results show that the two Bouc Wen models had a high similarity measure. The Bouc Wen model with the hyperbolic tangent function was selected because it provides a sudden change of force and reasonable force tracking needed to develop the inverse MR damper model.
Exercise modulation in inflammation and metabolic hormonal disorders of COVID-19 to decrease risk factors in coronary heart disease
Authors: Avazpour Sahar , Amini Amin , Shirvani Hossein , Arabzadeh Ehsan 
Published: December 2022

Abstract

Objectives
Sedentary life style separated during COVID-19 pandemic. Patients with cardiovascular diseases (CVD) are vulnerable with sedentary life style. Therefore, the aim of this study was to investigate the effect of 8 weeks of combined and high intensity interval training (HIIT) on C Reactive protein, galectin-3, leptin, fibrinogen and insulin resistance index in coronary heart disease after COVID-19.

Methods
Thirty-six cardiovascular patients (55.14 ± 1.4 years, 78.6 ± 5.1 kg) were divided into three groups of combined exercise (n=13), HIIT (n=12) and control group (n=11). Combined exercise consisted of aerobic (4 weeks) and aerobic + HIIT exercise (4 weeks), three sessions per weeks. The protocol of the HIIT group included performing high intensity interval training, three sessions per weeks for 8 weeks. Blood samples were taken 24 h before the first training session and 48 h after the last training. C Reactive protein (CRP), galectin-3, leptin, fibrinogen measured with ELISA kit.

Results
CRP, galectin-3 and fibrinogen decreased significantly after 8 weeks of combined training and HIIT (compare to pre-test). Also, insulin resistance index after 8 weeks of combined exercise showed a significant decrease compare to pre-test (p<0.05). After 8 weeks, CRP, galectin-3 and insulin resistance significantly decreased compare to control group (p<0.05).

Conclusions
In the patient with CVD, combined exercise training may be more effective than HIIT in reducing metabolic and heart risk factors after an epidemic such as COVID-19. However, change of leptin need to more studies.
CFD simulating of air moisture distribution inside the dryer and investigating its effect on the shrinkage rate of dried apples
Authors: Safari Javad , Hashemi Seyyed Jafar , Ranjbar Nedamani Azadeh 
Published: December 2022

Abstract
This study aims to simulate the effect of the drier humidity distribution on the temperature distribution and dried product shrinkage. The Lebanese yellow apple (Golden Delicious) was prepared in the form of slices with 3 and 5 mm thicknesses and dried at 60 °C in a hot air oven. Shrinkage models were determined by fitting the experimental data with Sigmaplot software. The simulation was done using these equations in COMSOL software. The simulation results showed that due to the accumulation of air humidity in one part of the oven, the temperature distribution inside the product was not distributed evenly in that part. This phenomenon caused the imbalance of moisture transfer from the product and this can increase the drying time as well as unbalanced shrinkage of the product. Finally, it was found that the air humidity distribution inside the oven had a significant effect on the drying process and shrinkage rate of samples.
A review on arsenic pollution, toxicity, health risks, and management strategies using nanoremediation approaches
Authors: Murthy Meesala Krishna , Khandayataray Pratima , Mohanty Chandra Sekhar , Pattanayak Rojalin 
Published: December 2022

Abstract

Objectives
Over 50 countries are affected by arsenic contamination. The problem is becoming worse as the number of affected people increases and new sites are reported globally.

Content
Various human activities have increased arsenic pollution, notably in both terrestrial and aquatic environments. Contamination of our water and soil by arsenic poses a threat to our environment and natural resources. Arsenic poisoning harms several physiological systems and may cause cancer and death. Excessive exposure may cause toxic build-up in human and animal tissues. Arsenic-exposed people had different skin lesion shapes and were vulnerable to extra arsenic-induced illness risks. So far, research shows that varying susceptibility plays a role in arsenic-induced diseases. Several studies have revealed that arsenic is a toxin that reduces metabolic activities. Diverse remediation approaches are being developed to control arsenic in surrounding environments.

Summary and Outlook
A sustainable clean-up technique (nanoremediation) is required to restore natural equilibrium. More research is therefore required to better understand the biogeochemical processes involved in removing arsenic from soils and waters.
Strategic Position and Trade Union Power: An Analysis of Trade Union Strategies in the Automotive, Chemical and Edible Oil Sectors in Argentina, 2003-2015)
Authors: Marticorena Clara , D'Urso Lucila 
Published: December 2022

The aim of this paper is to analyse empirically the importance of union strategies as a moderating variable between unions’ structural and associational power and their bargaining and mobilisation power. To this end, we selected three unions, one from each of three strategic industrial sectors in the Argentinian national economy – automotive, chemical and edible oils – and analysed their dynamics of collective bargaining and labour conflict in the 2003–2015 period. The research is based on a review of secondary sources (collective bargaining agreements and conflict databases) as well as primary sources (semi-structured interviews with managers, trade union leaders, worker representatives and activists). Whereas workers in each of these sectors have a similarly high degree of structural power, we observed differences among the sectors in working, wage and organisational conditions. These differences are associated with three different union strategies for building union power, which we identify as partnership, confrontational and combative.
KEYWORDS: strategic position; trade union power; union strategies; sectoral analysis; Argentina