bluuebunny/crossref_metadata_2025_split huggingface dataset:
Community perspectives on cardiovascular disease control in rural Ghana: A qualitative study
Authors: Patil Bhavana , Hutchinson Maddox Isla , Aborigo Raymond , Squires Allison P. , Awuni Denis , Horowitz Carol R. , Oduro Abraham R. , Phillips James F. , Jones Khadija R. , Heller David J. 
Published: January 2023

Background
Cardiovascular disease (CVD) prevalence is high in Ghana—but awareness, prevention, and treatment is sparse, particularly in rural regions. The nurse-led Community-based Health Planning and Services program offers general preventive and primary care in these areas, but overlooks CVD and its risk factors.

Methods
We conducted in-depth interviews with 30 community members (CM) in rural Navrongo, Ghana to understand their knowledge and beliefs regarding the causes and treatment of CVD and the potential role of community nurses in rendering CVD care. We transcribed audio records, coded these data for content, and qualitatively analyzed these codes for key themes.

Results
CMs described CVD as an acute, aggressive disease rather than a chronic asymptomatic condition, believing that CVD patients often die suddenly. Yet CMs identified causal risk factors for CVD: not only tobacco smoking and poor diet, but also emotional burdens and stressors, which cause and exacerbate CVD symptoms. Many CMs expressed interest in counseling on these risk factors, particularly diet. However, they felt that nurses could provide comprehensive CVD care only if key barriers (such as medication access and training) are addressed. In the interim, many saw nurses’ main CVD care role as referring to the hospital.

Conclusions
CMs would like CVD behavioral education from community nurses at local clinics, but feel the local health system is now too fragile to offer other CVD interventions. CMs believe that a more comprehensive CVD care model would require accessible medication, along with training for nurses to screen for hypertension and other cardiovascular risk factors–in addition to counseling on CVD prevention. Such counseling should build upon existing community beliefs and concerns regarding CVD–including its behavioral and mental health causes–in addition to usual measures to prevent CVD mortality such as diet changes and physical exercise.
Supporting grant reviewers through the scientometric ranking of applicants
Authors: Győrffy Balázs , Weltz Boglarka , Szabó István 
Published: January 2023

Introduction
Comparing the scientific output of different researchers applying for a grant is a tedious work. In Hungary, to help reviewers to rapidly rank the scientific productivity of a researcher, a grant decision support tool was established and is available at www.scientometrics.org. In the present study, our goal was to assess the impact of this decision support tool on grant review procedures.

Methods
The established, publicly available scientometric portal uses four metrics, including the H-index, the yearly citations without self-citations, the number of publications in the last five years, and the number of highly cited publications of a researcher within eleven independent scientific disciplines. Publication-age matched researchers are then ranked and the results are provided to grant reviewers. A questionnaire was completed by reviewers regarding utilization of the scientometric ranking system. The outcome of the grant selection was analyzed by comparing scientometric parameters of applying and funded applicants. We compared three grant allocation rounds before to two grant allocation rounds after the introduction of the portal.

Results
The scientometric decision support tool was introduced in 2020 to assist grant selection in Hungary and all basic research grant applicants (n = 6,662) were screened. The average score of funded proposals compared to submitted proposals increased by 94% after the introduction of the ranking. Correlation between ranking scores and actual grant selection was strong in life and material sciences but some scientific panels had opposite correlation in social sciences and humanities. When comparing selection outcome to H-index across all applicants, both type I and type II errors decreased. All together 540 reviewers provided feedback representing all eleven scientific disciplines and 83.05% of the reviewers (especially younger reviewers) found the ranking useful.

Conclusions
The scientometric decision support tool can save time and increase transparency of grant review processes. The majority of reviewers found the ranking-based scientometric analysis useful when assessing the publication performance of an applicant.
Differences in aortic valve area measured on cardiac CT and echocardiography in patients with aortic stenosis
Authors: Choe Jooae , Koo Hyun Jung , Choi Se Jin , Lee Seung-Ah , Kim Dae-Hee , Song Jong-Min , Kang Duk-Hyun , Song Jae-Kwan , Kang Joon-Won , Yang Dong Hyun 
Published: January 2023

Background
A certain proportion of patients with severe aortic stenosis (AS) present with discordant grading between different diagnostic modalities, which raises uncertainty about the true severity of AS. The aim of this study was to compare the aortic valve area (AVA) measured on CT and echocardiography and demonstrate the factors affecting AVA discrepancies.

Methods
Between June 2011 and March 2016, 535 consecutive patients (66.83±8.80 years, 297 men) with AS who underwent pre-operative cardiac CT and echocardiography for aortic valve replacement were retrospectively included. AVA was obtained by AVA on echocardiography (AVAecho) and CT (AVACT) using a measurement of the left ventricular outflow tract on each modality and correlations between those measures were evaluated. Logistic regression analysis was performed to identify factors affecting the discordance for grading severe AS.

Results
The AVACT and AVAecho showed a high correlation (r: 0.79, P <0.001) but AVACT was larger than the AVAecho (difference 0.26 cm2, P <0.001). By using the cut-off values of AVACT (<1.2 cm2) and AVAecho (<1.0 cm2) for diagnosing severe AS, the BSA (odds ratio [OR]: 68.03, 95% confidence interval [CI]: 5.45–849.99; P = 0.001), AVAecho (OR: 1.19, 95%CI: 1.14–1.24; P <0.001), tricuspid valve morphology (OR: 2.83, 95%CI: 1.23–6.50; P = 0.01), and normalized annulus area (OR: 1.02; 95%CI:1.02–1.03; P <0.001) were significant factors associated with the discordance between the AVAecho and AVACT.

Conclusion
Patients with larger BSA, AVAecho, and annulus, and tricuspid valve morphology were associated with the AVA discordance between the echocardiography and CT. Complementary use of CT with echocardiography for grading severe AS could be helpful in such conditions.
Development and validation of predictive workable weight equations for Brazilian older adult residents in long-term care institutions
Authors: Lima Marcos Felipe Silva de , de Araújo Cabral Natália Louise , Praça de Oliveira Larissa , Pereira Liberalino Laura Camila , Vieira Cunha Lima Severina Carla , Campos Pedrosa Lucia de Fátima , de Lima Kenio Costa , de Oliveira Lyra Clélia 
Published: January 2023

Background
Weight measurement is important in the nutritional anthropometric monitoring of older adults. When this measurement is not possible, estimates may be used.

Aim
Developing and validating weight predictive equations for older adult residents in long-term care institutions in Brazil.

Subjects and methods
The sample comprised 393 older adult residents in long-term care institutions. Data were collected in two stages, with 315 older adults in the first and 78 in the second. We have measured the arm, calf, and waist circumferences, as well as the triceps and subscapular skinfold and knee height. Multiple linear regression was used to develop the equations, which were evaluated through the coefficient of determination, standard error of estimation, Akaike information criterion, intraclass correlation coefficient (ICC), and Bland-Altmann plot.

Results
Five models with different anthropometric measurements were developed, (1) arm circumference as a discriminant variable (ICC: 0.842); (2) best statistical fit for men and women (ICC: 0.874) and its stratification by sex (3) (ICC: 0.876); (4) easy-to-perform measurement for men and women (ICC: 0.842) and its stratification by sex (5) (ICC: 0.828).

Conclusion
Five models for estimating the weight of older adult residents in long-term care institutions were developed and validated. The choice to use the models should be based on the physical capacity of the older adults to be evaluated.
The degree of association between overweight and obesity with the use of electronic media among Bangladeshi adolescents
Authors: Shuvo Suvasish Das , Biswas Biplob Kumar 
Published: January 2023

Background
Electronic media usage is recently considered a modifiable risk factor for overweight and obesity among adolescents. The purpose of this present study was to evaluate the association of electronic media (EM) usage with overweight and obesity among school-going adolescents.

Methods
This cross-sectional study was conducted from October to December 2019 among school-going adolescents (14–16 years old) residing in the Jashore Sadar Upazila, Jashore district of Bangladesh. A standardized questionnaire was used to collect information regarding the socio-economic status, time spent watching television, video games playing, computer, and smart mobile phone use through face-to-face interviews. Age- and sex-specific body mass index (BMI) cut-off values for overweight and obesity were determined for Asian adolescents by the International Obesity Task Force (IOTF). Multinomial logistic regression analysis was carried out to determine the association between electronic media use with overweight and obesity.

Findings
The findings suggest that the overall prevalence of overweight and obesity was 13.5% and 25.2%, respectively. Among the total adolescent students, about 49.1% highly (above 3 hours per day) spent their time on EM use whereas 30.6% moderately (≥121 to 180 min/day) use EM. The regression analysis showed that spending high time using total screen-based electronic devices, television viewing, video game playing, computer use, and smartphone use were significantly associated with overweight (RRR: 7.36, 95% CI: 3.64–11.54; RRR: 4.58, 95% CI: 1.46–7.95; RRR: 4.45, 95% CI: 2.75–6.12; RRR: 3.18, 95% CI: 1.87–4.70; RRR: 2.15, 95% CI: 1.23–3.51) and obesity (RRR: 8.72, 95% CI: 4.64–12.54; RRR: 2.89, 95% CI: 1.31–5.21; RRR: 3.88, 95% CI: 1.74–5.13; RRR: 3.08, 95% CI: 1.32–4.86; RRR: 1.19, 95% CI: 0.93–1.48) in adolescents, respectively.

Conclusion
The results support the total time spent using electronic media was associated with an increased risk of being overweight and obesity. Finally, this study strongly suggests the proper use of electronic media may be necessary to reduce the risk of being overweight and obesity in early adolescents.
Effectiveness of acupuncture in migraine rats: A systematic review
Authors: Su Pingping , Xie Xiuzhen , Xu Yingqi , Luo Xinxin , Niu Jianli , Jin Zhuqing 
Published: January 2023

Objective
To systematically evaluate the effectiveness and potential underlying mechanisms of acupuncture in the treatment of experimental model of migraine in rats.

Methods
Nine electronic databases, including CNKI (China National Knowledge Infrastructure), WanFang, VIP (Chinese Scientific Journals Database), Sinomed, PubMed, Cochrane Library, Web of Science and EBSCO, were searched for randomized experimental studies on migraine in rats involving acupuncture intervention. The search period ranged from inception to June 2022. The methodological quality was assessed using the SYRCLE’s risk of bias tool for animal studies. Data were analyzed using the Revman 5.3 software.

Results
A total of 13 studies were included in this analysis. Findings from the available experimental studies documented that acupuncture significantly reduced behavior scores of rats with migraine (MD = -15.01, 95%CI = [-18.01, -12.01], P<0.00001) and downregulated the expression of calcitonin gene-related peptide (CGRP) (MD = -16.14, 95%CI = [-21.45, -10.83], P<0.00001), substance P (SP) (MD = -11.47, 95%CI = [-15.97, -6.98], P<0.00001) and nitric oxide (NO) (MD = -3.02, 95%CI = [-3.79, -2.26], P<0.00001) in serum, and stimulatory G protein (Gsa) (MD = -62.90, 95%CI = [-69.88, -55.92], P<0.00001) in brainstem. Acupuncture also significantly increased the content of inhibitory G protein (Gia) (MD = 24.01, 95%CI = [20.10, 27.92], P<0.00001) in brainstem and 50% paw withdrawal threshold (50%PWT) (MD = 1.96, 95%CI = [1.15, 2.77], P<0.00001).

Conclusion
Acupuncture can effectively improve the behavioral performance of rates with migraine, and its mechanism of action might involve the inhibition of meningeal vasodilation and inflammatory factors, and the reduction of neurogenic inflammation.
Quality and credibility of clinical practice guidelines recommendations for the management of neonatal hypoglycemia. A protocol for a systematic review and recommendations’ synthesis
Authors: Shahid Shaneela , Cabra-Bautista Ginna , Florez Ivan D. 
Published: January 2023

Introduction
Hypoglycemia is one of the most frequent metabolic conditions in neonates. Clinical practice guidelines (CPGs) influence clinical practice as high-quality CPGs facilitate the use of evidence in practice. This proposed study aims to systematically identify and appraise CPGs and CPG recommendations (CPGRs) for treating neonatal hypoglycemia (NH).

Methods and analysis
We will conduct searches in MEDLINE, EMBASE, CINAHL, Cochrane Library, LILACS (Latin American & Caribbean Health Sciences Literature), and Epistemonikos. Authors will search CPGs-specific databases and grey literature. Two reviewers will independently perform the titles and abstract screening, full-text review, and data extraction. Two appraisers will assess the quality of the CPGs and their recommendations using AGREE II (Appraisal of Guidelines Research and Evaluation) and AGREE-REX (Appraisal of Guidelines Research and Evaluation–Recommendations Excellence) instruments. Scores of ≥ 60% in the rigour of development domain will be considered for defining high-quality with AGREE II tool. CPGRs with scores >60% in the three domains will be used to determine high quality with the AGREE REX tool. We will perform a synthesis of the CPGRs to identify the consistency among the CPGRs and the methodological quality of primary studies that support them.

Ethics and dissemination
The results will help us to identify the methodological and quality gaps in the existing CPGs for the treatment of NH. Our findings will be submitted to peer-review journals and presented at academic conferences. Based on the study design, approval from the institutional ethics board is not required for this project.

Trial registrations
Systematic Review Registration Number (PROSPERO): CRD 42021239921.
Health-related quality of life among menopausal women: A cross-sectional study from Pokhara, Nepal
Authors: Baral Samjhana , Kaphle Hari Prasad 
Published: January 2023

IntroductionMenopause is the permanent cessation of menstruation. Quality of life is a broad concept affected by an individual’s physical health, psychological state, level of independence, societal relationship, and environmental features. During the menopausal period, women can experience various symptoms affecting their quality of life. This study assesses the factors associated with health-related quality of life among menopausal women.Materials and methodsA community-based cross-sectional study was carried out among 249 menopausal women to assess their health-related quality of life, associated factors, and self-reported health problems. A pre-tested structured interview schedule was used to conduct face-to-face interviews to obtain the information per the study’s objective. The Menopausal Rating Scale (MRS) was used to assess the health-related quality of life. Data was entered in Epi-data, and analysis was done using the Statistical Package for Social Sciences (SPSS). Univariate, bivariate, and multivariate analyses were carried out to obtain results per our objectives.ResultsThe study found that 51.4% of menopausal women had poor quality of life. The mean and standard deviation of the total MRS score was found to be 9.5±5.3. Ultimately, the factors such as educational attainment {Adjusted Odds Ratio (AOR) = 5.779, 95% Confidence Interval (CI): 2.029–16.459}, medication/treatment of the health problems (AOR = 4.828, 95% CI: 1.662–14.023), alcohol intake status (AOR = 8.006, 95% CI: 2.016–31.785) and physical activity (AOR = 5.746, 95% CI: 1.144–28.872) were significant determinants of quality of life among menopausal women.ConclusionThere is a need to pay proper attention to factors affecting the quality of life to improve the status of menopausal women.
Low pretreatment prognostic nutritional index predicts poor survival in breast cancer patients: A meta-analysis
Authors: Hu Guoming , Ding Qiannan , Zhong Kefang , Wang Shimin , Wang Songxiang , Huang Liming 
Published: January 2023

Background
Prognostic nutritional index (PNI), as an indicator of nutritional immune status, has been shown to be associated with therapeutic effects and survival of solid tumors. However, the prognostic role of PNI before treatment in human breast cancer (BC) is still not conclusive. Hence, we performed this meta-analysis to assess the value of it in prognosis prediction for BC patients.

Materials and methods
We searched PubMed, Embase, Web of Science and EBSCO to identify the studies evaluating the association between PNI and survival such as overall survival (OS), disease–free survival (DFS) of BC, and computed extracted data into hazard ratios (HRs) for OS, DFS and clinicopathological features with STATA 12.0.

Results
A total of 2322 patients with BC from 8 published studies were incorporated into this meta-analysis. We discovered that low pretreatment PNI was significantly associated with worse OS, but not with DFS in BC patients. In stratified analyses, the result showed that decreased PNI before treatment was remarkably related with lower 3-year, 5-year, 8-year and 10-year OS, but not with 1-year survival rate in BC. In addition, although reduced PNI could not impact 1-year, 3-year or 5-year DFS, it considerably deteriorated 8-year and 10-year DFS in patients.

Conclusion
Low pretreatment PNI deteriorated OS, 8-year and 10-year DFS in BC patients, implicating that it is a valuable prognostic index and improving the nutritional immune status may offer a therapeutic strategy for these patients.
Protocol for an extended scoping review on the use of virtual nominal group technique in research
Authors: Humphrey-Murto Susan , Ho Lee Seung , Gottlieb Michael , Horsley Tanya , Shea Bev , Fournier Karine , Tran Christopher , Chan Teresa , Wood Timothy J. , Cate Olle ten 
Published: January 2023

Introduction
Consensus group methods such as the Nominal Group Technique (NGT) and Delphi method are commonly used in research to elicit and synthesize expert opinions when evidence is lacking. Traditionally, the NGT involves a face-to-face interaction. However, due to the COVID-19 pandemic, many in-person meetings have moved to online settings. It is unclear to what extent the NGT has been undertaken in virtual settings. The overarching aim of this scoping review is to explore the use of the virtual NGT in research. Our specific objectives are to answer the following questions: To what extent has the NGT been used virtually? What modifications were made to accommodate this online format? What advantages and disadvantages were noted by authors in comparison with the face-to-face mode of the technique?

Materials and methods
This scoping review will follow the steps outlined by Arksey and O’Malley and the PRISMA-ScR guidelines. Several pilot searches were completed to refine inclusion and exclusion criteria. Media Synchronicity Theory will provide a conceptual framework to inform the research, including data extraction and summarizing results. As an additional extension to the literature review, online interviews with corresponding authors will be conducted to gather further information.
Prospective screening for sexually transmitted infections among US service members with Chlamydia trachomatis or Neisseria gonorrhoeae infection
Authors: Bedno Sheryl , Hakre Shilpa , Clark Shannon , Dear Nicole , Milazzo Mark , McCoart Amy , Hassen Zebiba , Liu Heather , Bianchi Elizabeth J. , Darden Janice M. , Paudel Misti , Malia Jennifer A. , Peel Sheila A. , Scott Paul T. , Petruccelli Bruno 
Published: January 2023

Background
Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the most common bacterial causes of sexually transmitted infection (STI) in the United States (US). The purpose of this study was to determine the frequency of reinfection during a six-month study period and to evaluate the retesting interval for those infected with CT or NG.

Methods
We conducted a prospective, six-month follow-up study among US military personnel with new onset, laboratory-confirmed CT or NG, recruited from an STI clinic at a large military base from January 2018 to January 2020. Each participant was randomly assigned to one of four groups, which differed only by the timing of the first study-associated follow-up visit after CT or NG diagnosis.

Results
Of the 347 initially recruited into the study, 267 participants completed a follow-up visit prior to their scheduled, final visit 6 months after initial infection. The median age at enrollment was 22 years and 41.0% were female. There were 32 (12.0%) reinfections (30 CT and 2 NG) after treatment of an index diagnosis of CT or NG within the six-month study period. Six of the CT reinfections were only detected at the final visit. A review of medical records revealed additional CT and NG reinfections. The probability of detecting a reinfection did not vary significantly by timing of follow-up.

Conclusions
The likelihood of detecting CT or NG reinfection did not differ according to time of follow up visit among study participants, thus supporting CDC guidance to retest three months post treatment. Efforts should continue to focus on STI prevention and risk reduction.
Breaking the Shell: Voyaging from Nuclear Refugees to People of the Sea in the Marshall Islands, Joseph H. Genz (2018)
Authors: Mückler Hermann 
Published: January 2023

Review of: Breaking the Shell: Voyaging from Nuclear Refugees to People of the Sea in the Marshall Islands, Joseph H. Genz (2018)
Honolulu, HI: University of Hawai‘i Press, 241 pp.,
ISBN 978 0 82486 791 1 (hbk), US$84.00
O médico de família no cuidado integrado de feridas crônicas na APS: um relato de experiência
Authors: Azevedo Charles , Santos Renato Penha de Oliveira 
Published: January 2023

Ferida crônica (FC) é uma lesão recorrente e refratária da pele, resultante ou influenciada pela descompensação de doenças crônicas tais como hipertensão, diabetes, hanseníase etc. Se configura como relevante problema de saúde pública, devido altos graus de limitação física e mental que impõe. A Atenção Primaria à Saúde (APS) é a porta de entrada principal do portador de FC e um dos pilares de sustentação do SUS. O presente trabalho objetivou relatar a experiência de implementação da linha de cuidado aos portadores de FC em uma unidade da atenção básica do município de Salvador-BA, no período de 2020 a 2022. Foram observados diversos entraves, como por exemplo: falta do perfil socioepidemiológico dos pacientes ausência de protocolo assistencial para as consultas de enfermagem e médicas, além de falhas na articulação da rede de instituições especializadas. Para tanto, fluxos e ferramentas foram construídos, além da pactuação e estimulação da equipe multidisciplinar possibilitando o direcionamento mais adequado dos recursos e do cuidado.