bluuebunny/crossref_metadata_2025_split huggingface dataset:
Applicability of working abroad for physicians with a specialization in Global Health and Tropical Medicine
Authors: Özcan Hasan , Overeem Loes , Bakker Maria , Telkamp Caroline , Duvivier Robbert , de Zeeuw Janine , Versluis Marco 
Published: April 2023

Abstract
Background
In The Netherlands, physicians specialized in global health and tropical medicine (Ps-GHTM) are trained to work in low-resource settings (LRS) after their training program of 27 months. After working for a period of time in LRS, many Ps-GHTM continue their careers in the Dutch healthcare system. While there is limited evidence regarding the value of international health experience for medical students and residents, it is unknown to what extent this applies to Ps-GHTM and to their clinical practice in the Netherlands.

Methods
In this qualitative study we conducted semi-structured interviews and focus group discussions (FGDs) with Ps-GHTM to explore the perceived applicability of their experience abroad for their subsequent return to the Netherlands. Topic guides were developed using literature about the applicability of working abroad. Findings from the interviews served as a starting point for FGDs. The interviews and FGDs were analysed using directed content analysis.

Results
15 themes are described relating experience abroad to healthcare delivery in The Netherlands: broad medical perspective, holistic perspective, adaptive communication skills, creativity, flexibility, cultural awareness, self-reliance, clinical competence, cost awareness, public health, leadership, open-mindedness, organization of care, self-development, and teamwork. Highlighting the variety in competencies and the complexity of the topic, not all themes were recognized by all respondents in the FGDs nor deemed equally relevant. Flexibility, cultural awareness and holistic perspective are examples of important benefits to work experience in LRS.

Conclusion
Ps-GHTM bring their competencies to LRS and return to the Netherlands with additionally developed skills and knowledge. These may contribute to healthcare delivery in the Netherlands. This reciprocal value is an important factor for the sustainable development of global health. Identifying the competencies derived from work experience in LRS could give stakeholders insight into the added value of Ps-GHTM and partly help in refining the specialization program.
Home-based exercise alters pulmonary function and cellular stress markers in overweight middle-aged men during covid-19 Home quarantine
Authors: Tartibian Bakhtyar , Azadpour Noushin , Eslami Rasoul , Khayat Sirwan Mohammad Amini 
Published: April 2023

Abstract
Background
This study aimed to investigate the effects of a combined home-based exercise program on potential indicators of severe coronavirus disease 2019 (COVID-19) in overweight middle-aged men during home quarantine caused by COVID-19.

Methods
Forty men (aged 45–64 years) were assigned to the exercise (EXE, n = 20) or control (CON, n = 20) groups. A 6-week combined program was carried out three days/week, starting at 20 min per session at 50% maximal heart rate (HRmax) and advancing to 45 min at 70% HRmax. Pulmonary functional and cellular stress biomarkers were measured before and after the training program. Analysis of the covariance (ANCOVA) was used for comparison between the two groups considering the baseline values.

Results
Thirty-six participants (EXE, n = 17; CON, n = 19) completed the research protocol. The EXE group showed post-training improvements in forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC, Vital capacity (VC), and Forced expiratory flow at 25-75% (FEF25-75) compared to the CON group (P < 0. 05). Further, the plasma levels of fibrinogen, Interleukin (IL)-6, Interleukin (IL)-1β, D-dimer, and angiotensin (Ang II) decreased in the EXE group compared to the CON group (P < 0. 05). After six weeks of the training program, leukocyte counts increased in the EXE group compared to the CON group (P < 0. 05). There was a significant positive correlation between body mass index (BMI) with cardiovascular and inflammatory biomarkers other than white blood cells (WBC) in the EXE group (P < 0.05).

Conclusions
The findings suggest that combined home-based exercise during home quarantine improves risk factors for severe COVID-19 in overweight middle-aged men. These improvements were further correlated with changes in BMI. Future research is required to confirm the findings of this study.
A 10-year comparison of short versus long-term court-ordered psychiatric hospitalization: a follow-up study
Authors: Argo Daniel , Daibas Khaled , Barash Igor , Abramowitz Moshe Z. 
Published: April 2023

Abstract
Background
The Israel Mental Health Act of 1991 stipulates a process for court-ordered involuntary psychiatric hospitalization. As in many Western countries, this process is initiated when an individual is deemed “not criminally responsible by reason of mental disorder (NCR-MD)” or “incompetent to stand trial (IST).” A patient thus hospitalized may be discharged by the district psychiatric committee (DPC). The decision rendered by the DPC is guided by an amendment to the Mental Health Act that states that the length of the hospitalization should be in accordance with the maximum time of incarceration associated with the alleged crime. Little empirical research has been devoted to the psychiatric, medical, and social outcome of short versus long-term hospitalization under court order.

Methods
In our study we examined the outcomes of court-ordered criminal commitments over a 10-year period (2005–2015) at the Jerusalem Mental Health Center with a catchment area of 1.5 million. We found 136 cases (between the ages of 18 and 60) of criminal commitments during that period and used the average length of hospitalization, 205 days, as a cutoff point between short and long stays. We compared the outcomes of short and long hospitalizations of discharged patients using a follow-up phone survey (at least 7 years post-discharge) and data extracted from the Israel National Register to include recidivism, patient satisfaction and trust in the system, readmission, and demise.

Results
We found no statistically significant difference between short-term and long-term hospitalizations for reducing instances of re-hospitalization (p = 0.889) and recidivism (p = 0.54), although there was a slight trend toward short-term hospitalization vis-à-vis reduced recidivism. We did not find a statistical difference in mortality or incidents of suicide between the two groups, but the absolute numbers are higher than expected in both of them. Moreover, our survey showed that short-term hospitalization inspired more trust in the legal process (conduct of the DPC), in pharmacological treatment satisfaction, and in understanding the NCR-MD as a step toward avoiding future hospitalization and that it resulted in a higher level of patient satisfaction.

Conclusions
The results we present show that as far as recidivism and readmission are concerned, there is no evidence to suggest that there is an advantage to long-term hospitalization. Although there may be unmeasured variables not investigated in the present study that might have contributed to the discrepancy between long- and short-term hospitalization, we believe that longer hospitalizations may not serve the intended treatment purpose. Additionally, the high cost of long-term hospitalization and overcrowded wards are obviously major practical drawbacks. The impact of the clinical outcomes should be reflected in medico-legal legislation and in court-ordered hospitalization in particular.
Empirical transarterial embolization in angiographically negative lower gastrointestinal bleeding using vessel tracking and 3D navigation tools: report of 2 patients
Authors: Hermie Laurens , Defreyne Luc 
Published: April 2023

Abstract
Background
Recently, an empiric Cone-beam Computed Tomography (CBCT)-guided transarterial embolization (TAE) technique has been investigated for lower gastrointestinal bleeding (LGIB). Although this empirical strategy reduced the rate of rebleeding in hemodynamically unstable patients compared to a ‘wait and see’ strategy, the specified technique is challenging and time-consuming.

Case presentation
We present two methods to perform a prompt empiric TAE in LGIB when catheter angiography is negative. Based on the pre-procedural Computed Tomography Angiography bleeding site and using vessel detection and navigation software tools that are integrated in contemporary angiosuites, the culprit bleeding artery could be targeted with only one selective intraprocedural CBCT acquisition.

Conclusion
The proposed techniques are promising to reduce procedure time and facilitate the implementation of empiric CBCT-guided TAE in clinical practice when angiography is negative.
Time-averaged approach to the dewetting problem at evaporation
Authors: Zhang Xiaolong , Nikolayev Vadim S. 
Published: April 2023

Abstract
Dewetting of liquid films on solid surfaces in the presence of evaporation is a common phenomenon and has been studied by many researchers. The previous numerical approach has revealed that evaporation accelerates the dewetting speed of the triple contact line and established correlations between the dewetting speed and the surface wettability and superheating. However, such a numerical calculation is time- and resource-consuming. We examine dewetting physics and propose a time-averaged approach based on the multiscale theory. The new approach averages the dewetting process over time and consists of only several algebraic equations, making the problem easier to solve. It can produce time-averaged values of essential quantities, such as the dewetting speed and contact angle as a function of superheating, which agrees with the previous numerical results. This simple approach is valuable for many applications, such as modeling pulsating heat pipes and describing the microlayer dynamics under growing vapor bubbles in nucleate boiling.
Clinical manifestations of neuroborreliosis in children – review of literature
Authors: Ćwik-Błotnicka Dominika , Bieńko Karolina , Białek Justyna , Borczyk Joanna , Więckowska-Deroń Marta , Leszcz Monika 
Published: April 2023

Introduction: The most common tick-borne disease caused by the spirochete Borrelia burgdorferi is Lyme disease. It is characterized by a variety of disorders: dermatological, rheumatological, cardiological and neurological. Neuroborreliosis is defined as an involvement of the nervous system, and it is the second most common form of infection in children (10-15% of those infected).
The aim of the study: To review the available materials and presentation of the current state of knowledge on the various manifestations of neuroborreliosis in children.
Material and method: Databases such as PubMed and Google Scholar were searched. Literature was searched using the keywords: Lyme disease, neuroborreliosis, borreliosis, facial nerve paralysis, and pediatric population. The materials obtained in this way were analyzed in terms of compliance with the subject of the work.
Results: Typical clinical manifestations of neuroborreliosis in children are facial nerve palsy and meningitis. Neuroborreliosis is the cause of 50% of all cases of bilateral facial nerve palsy in children. Multiple cranial and peripheral neuritis, myelitis, cerebral vasculitis and, consequently, the formation of intracranial aneurysms are less common manifestations of infection.
Conclusions: The symptoms of neuroborreliosis are non-specific. This makes it difficult to make an accurate diagnosis. Even if no information on tick bite or erythema migrans has been obtained from the clinical history, neuroborreliosis should be considered in the differential diagnosis, especially in Lyme-endemic areas.
Spiritual/religious coping strategies and religiosity of patients living with cancer in palliative care
Authors: Meneguin Silmara , Pollo Camila Fernandes , Matos Ticiane Dionízio de Sousa , Segalla Amanda Vitória Zorzi , Generoso Fary Jaqueline Fortaleza , de Oliveira Cesar 
Published: April 2023

Background: The palliative care provided to cancer patients should also contemplate the psychological and spiritual dimensions of care. Aims: This study aimed to compare religiosity and spiritual/religious coping (SRC) of cancer patients in palliative care with a group of healthy volunteers and determine whether sociodemographic characteristics affected this association. Methods: This was a case-control study conducted with 86 patients living with cancer from an outpatient palliative care clinic of the São Paulo State University (UNESP) medical school, Botucatu, Brazil and 86 healthy volunteers. The brief Spiritual/Religious Coping Scale (SRCOPE) and the Duke University Religion (DUREL) Index were used as a brief measure of ‘religiosity’. Results: All 172 participants reported to be religious and, overall, made very little use of SRC strategies. DUREL scores were negatively associated with religious practice (P<0.01) and positive SRC (P<0.01). Age was associated with non-organisational religious activities and intrinsic religiosity (P<0.01); and income was associated with intrinsic religiosity (P<0.04). Positive SRC was negatively associated with the palliative group (P=0.03) and DUREL index (P<0.01). Negative SRC was positively associated with the palliative group (P=0.04) and negatively associated with education level (P=0.03) and practice of religion (P<0.01). Conclusion: All participants reported to be religious; however, their use of SRC strategies was very low. Positive religious coping was the most prevalent score. Negative religious coping was more common in the palliative care group compared to healthy volunteers. There is an association between religious coping and religiosity in palliative cancer care patients.
Racial democracy crisis and the emergence of critical race and feminist theories in Brazilian criminology
Authors: Duarte Evandro Charles Piza , Alves Dina , Freitas Felipe da Silva 
Published: April 2023

This article aims to understand the emergence of the academic field of critical studies on racism, and its intersectionality with gender and class in the last three decades, in Brazilian criminology. It identifies the core elements of a specific grammar on epistemological perspectives, academic agendas, and political solutions. At the same time, it points to the participation of new subjects, subjectivities, and relations of academic production and dissemination. It also explores the impact of the post-Durban Conference Era (2001) – the crisis of the ideology of racial democracy – on scientific production on inequality and the negative effects of the criminal justice system. It proposes an explanation for the changes in academic production stemming from the transformations of Brazilian public universities.
We claim the importance of this epistemological and methodological renewal to address the inequalities of the criminal justice system: the incorporation of new concepts and perspectives such as genocide, whiteness, epistemicide, intersectionality, and necropolitics; the emphasis on the production of Black intellectuals, historically ignored by the academy, who thematised dimensions of racial violence from their experience and political struggle; the emergence of new research networks throughout Brazil and new profiles of researchers, an effect of racial diversity resulting from affirmative action in higher education; more dialogue between academic research and the demands of social movements; new social movements that actively used the media to confront police and prison violence.
Abriendo caminos para la educación literaria: Literatura infantil y lectura dialógica
Authors: Ortiz Ballesteros Antonia María 
Published: April 2023

Reseña de López Valero, A., Encabo Fernández, E., Jerez Martínez, I. y Hernández Delgado, L. (2021). Literatura infantil y lectura dialógica. La formación de educadores desde la investigación. Octaedro.
Indications of food insecurity in the content of telephone calls to a community referral system
Authors: Sharareh Nasser , Wang Ching-Yu , S. Wallace Andrea , Butler Jorie 
Published: April 2023

Background
Food insecurity is a social determinant of health that impacts more than 10% of U.S. households every year. Many unexpected events make food-insecure people and those with unmet food needs seek information and help from both formal (e.g., community organizations) and informal (e.g., family/friends) resources. Food-related information seeking through telephone calls to a community referral system—211 network—has been used as a proxy for food insecurity but the context of these calls has not been characterized and the validity of this proxy measure is unknown.

Objective
To investigate the content of food-related telephone calls to 211 and explore the indications of food insecurity during these calls.

Methods
We conducted a secondary qualitative analysis on the transcripts of food-related calls to Utah’s 211. From February to March 2022, 25 calls were sampled based on the location of callers to ensure the representation of rural residents. 13 calls from metropolitan and 12 calls from nonmetropolitan ZIP Codes were included. Using a purposive sampling approach, we also made sure that the sample varied with regard to race and ethnicity. Calls were transcribed and de-identified by our community partner—Utah’s 211 and were analyzed using a thematic analysis approach by our research team.

Results
Three themes emerged from the qualitative analysis including referral to 211, reasons for food-related calls, and reasons for unmet food needs. Results highlight the complex social environment around 211 food-related callers, lack of knowledge about available food resources, and indications of food insecurity in calls.

Conclusion
Information seeking for food-related resources through 211 is a problem-solving source for people living in a complex social environment. Indications of food insecurity through these calls validate the use of these calls as a proxy measure for food insecurity. Interventions should be designed to increase awareness about the available resources and address the co-existing social needs with food insecurity.
Discharge against medical advice in Special Care Newborn Unit in Chattogram, Bangladesh: Prevalence, causes and predictors
Authors: Hasan Syeda Humaida , Das Jagadish Chandra , Nahar Kamrun , Chowdhury Muhammad Jabed Bin Amin , Zahur Tamanna , Faisal Mohammad Abu , Choudhury Zabeen , Chowdhury Dhiman 
Published: April 2023

Introduction
Discharge against medical advice (DAMA) is an unexpected event for patients and healthcare personnel. The study aimed to assess the prevalence of DAMA in neonates along with characteristics of neonates who got DAMA and, causes and predictors of DAMA.

Methods and findings
This case-control study was carried out in Special Care Newborn Unit (SCANU) at Chittagong Medical College Hospital from July 2017 to December 2017. Clinical and demographic characteristics of neonates with DAMA were compared with that of discharged neonates. The causes of DAMA were identified by a semi-structured questionnaire. Predictors of DAMA were determined using a logistic regression model with a 95% confidence interval. A total of 6167 neonates were admitted and 1588 got DAMA. Most of the DAMA neonates were male (61.3%), term (74.7%), outborn (69.8%), delivered vaginally (65.7%), and had standard weight at admission (54.3%). A significant relationship (p < 0.001) was found between the variables of residence, place of delivery, mode of delivery, gestational age, weight at admission, and day and time of outcome with the type of discharge. False perceptions of wellbeing (28.7%), inadequate facilities for mothers (14.5%), and financial problems (14.1%) were the prevalent causes behind DAMA. Predictors of DAMA were preterm gestation (AOR 1.3, 95% CI 1.07–1.7, p = 0.013), vaginal delivery (AOR 1.56, 95% CI 1.31–1.86, p < 0.001), timing of outcome after office hours (AOR 477.15, 95% CI 236–964.6, p < 0.001), and weekends (AOR 2.55, 95% CI 2.06–3.17, p < 0.001). Neonates suffering from sepsis (AOR 1.4, 95% CI 1.1–1.7, p< 0.001), Respiratory Distress Syndrome (AOR 3.1, 95% CI 1.9–5.2, p< 0.001), prematurity without other complications (AOR 2.1, 95% CI 1.45–3.1, p < 0.001) or who were referred from north-western districts (AOR 1.48, 95% CI 1.13–1.95, p = 0.004) had higher odds for DAMA.

Conclusions
Identification of predictors and reasons behind DAMA may provide opportunities to improve the hospital environment and service related issues so that such vulnerable neonates can complete their treatment. We should ensure better communication with parents, provide provision for mothers’ corner, especially for outborn neonates, maintain a standard ratio of neonates and healthcare providers, and adopt specific DAMA policy by the hospital authority.
Factors associated with receipt of adequate antenatal care among women in Rwanda: A secondary analysis of the 2019–20 Rwanda Demographic and Health Survey
Authors: Tengera Olive , Nyirazinyoye Laetitia , Meharry Pamela , Rutayisire Reverien , Rulisa Stephen , Haile Zelalem T. 
Published: April 2023

Background
Every year, antenatal care (ANC) remains a life-saving health intervention for millions of pregnant women worldwide. Yet, many pregnant women do not receive adequate ANC, particularly in sub-Saharan Africa. The study aimed to determine the factors associated with the receipt of adequate ANC among pregnant women in Rwanda.

Methods
A cross-sectional study was conducted using the 2019–2020 Rwanda Demographic and Health Survey data. The study included women aged 15–49 years who had a live birth in the previous five years (n = 6,309). Descriptive statistics and multivariable logistic regression analyses were performed.

Results
Overall, 27.6% of participants received adequate ANC. The odds of receiving adequate ANC were higher among those in the middle household wealth index (AOR 1.24; 1.04, 1.48) and rich index (AOR 1.37; 1.16, 1.61) compared to those in the poor wealth index category. Similarly, having health insurance was positively associated with receiving adequate ANC (AOR 1.33; 1.10, 1.60). The odds of receiving adequate ANC were lower among urban dwellers compared to rural (AOR 0.74; 0.61, 0.91); for women who wanted pregnancy later (AOR 0.60; 0.52, 0.69) or never wanted pregnancy (AOR 0.67; 0.55, 0.82) compared to those who wanted pregnancy; for women who perceived distance to a health facility as a big problem (AOR 0.82; 0.70, 0.96) compared to those that did not; and for women whose ANC was provided by nurses and midwives (AOR 0.63; 0.47, 0.8), or auxiliary midwives (AOR 0.19; 0.04, 0.82) compared to those who received ANC from doctors.

Conclusion
The prevalence of women who receive adequate ANC remains low in Rwanda. Effective interventions to increase access and utilization of adequate ANC are urgently needed to further improve the country’s maternal and child health outcomes.
Wpływ pandemii COVID-19 na ubóstwo energetyczne w UE
Authors: Górska Anna 
Published: April 2023

Ostatnie dwa lata pandemii przyczyniły się do zwiększenia się ubóstwa energetycznego w państwach Unii Europejskiej. Ubóstwo energetyczne jest coraz powszechniejsze, z wielu powodów, takich jak rosnące ceny paliw, węgla kamiennego, opłat emisji CO2. Ubóstwo energetyczne rozumiane jest jako sytuacja, w której koszty ogrzewania przekraczają 10% dochodów. Ubóstwo energetyczne zostało zdefiniowane przez EPEE1 jako „brak środków na utrzymanie ogrzewania na odpowiednim poziomie za uczciwą cenę”.
W artykule zostaną przedstawione dane statystyczne dotyczące ubóstwa energetycznego na podstawie różnych wskaźników w latach 2018–2020 w państwach UE. Ponadto opisano aktualną politykę klimatyczno-energetyczną w UE i jej założenia oraz jej wpływ na ubóstwo energetyczne. Dodatkowo wskazane zostaną programy w państwach UE, które istotnie wpłynęły na poprawę sytuacji ubóstwa energetycznego.