bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors associated with adolescent pregnancy in selected rural municipalities of Lalitpur District: A mixed method study
Authors: Bhatta Kusumsheela , Bhandary Shital 
Published: March 2023

In
Introduction: Adolescent pregnancy increases the vulnerability to life threatening consequences in terms of developmental, sexual and reproductive health. This study aimed to find factors associated with adolescent pregnancy in selected rural municipalities of Lalitpur district using mixed methods approach.

Method: Cross sectional study was conducted among 30 adolescent mothers, selected purposively, from Bagmati and Konjyosom Rural Municipality of Lalitpur district. 4 in-depth interviews and 2 key informant interviews were taken for qualitative study. Concurrent mixed-method triangulation design was used. Fisher’s exact test was used to find risk factors whereas Braun and Clarke’s six-step thematic analysis based on socio-ecological model themes was used to explore the reasons of adolescent pregnancy. Results from quantitative and qualitative findings were triangulated.

Result: Out of 30 participants, 15(50%) participants had adolescent pregnancy. Family type, marriage type, age at marriage and unplanned pregnancy were significantly associated with adolescent pregnancy. Many risk factors were identified at different socio-ecological level from qualitative analysis. The results from triangulation of findings identified early marriage, marriage by elopement, unplanned pregnancy and perception regarding contraceptives as convergent risk factor, ethnicity as divergent risk factors and health workers behavior, laws, marriage and pregnancy norms, family pressure, access to media and decision making level as expansion risk factors.

Conclusion: Preventing adolescent pregnancy calls for multifaceted measures at different socioecological level that are focused on the empowerment of girls with interventions tailed to particular subgroups especially the most vulnerable and marginalized ones.
Addressing Gender Based Violence (GBV) in rural Nepal with One Stop Crisis Management (OCMC) approach
Authors: Dangal Binod , Khadka Man Bahadur , Moktan Sunil , Khadka Sunil , Ghimire Rajesh , Dahal Rashmi , Tamang Dhanlal Dong , Kayastha Sanjita , Jirel Sunita , Bajagain Gopal 
Published: March 2023

Introduction: Gender-Based Violence (GBV) is a global challenge and is affecting 1 in 3 women in their lifetime. GBV mainly includes physical and domestic violence, rape, mental torture, child marriage, and human trafficking. There are very few specific programs to address GBV in Nepal and the One-Stop Crisis Management (OCMC) approach started by the Nepal government since 2011, has promising support in addressing gender-based issues.
Method: Study was conducted at Charikot Hospital, Dolakha. Retrospectively collected data from Electronic Health Record (EHR) of Bahmini from 2016 September to 2021 August, were used and were verified using the OCMC register. The quantitative data were analyzed using descriptive statistics and presented in relevant tables and frequencies. The nature of the study was exploratory as a researcher had tried to explore the effectiveness of the program and its challenges.
Result: Out of 750 cases over 5 years, 695(92.7%) were female, 272(36.2%) were sexual assault cases followed by 259 (34.5%) of physical assault, 73.6% of the victims were among 15-49 years of age and most commonly affected among Janajati (40%) and Brahmin/Chhetri (39.5%). Almost 15% of the total victims had some form of disability. Twenty-one women had difficulties finding safe homes and 7 women committed suicide and died.
Conclusion: Initiation of OCMC services at district level hospitals has formed the foundation to support GBV victims. A specific mental health approach is needed to prevent deaths due to suicide. Government should ensure infrastructure for safe homes and give priority to medicolegal cases. Awareness campaigns are necessary to report more cases of GBV.
Carbon monoxide poisoning
Authors: Shrestha Sitaram 
Published: March 2023

Carbon monoxide poisoning may be suicidal, homicidal and in many cases it is accidental. Poisoning is due to formation of carboxyhaemoglobin, which interferes transfers of oxygen and leads to appearance of symptoms.1 Which are not specific and may similar to coved19. Symptoms depends upon concentration of CO in surroundings. Antidote of CO is oxygen. In severe cases, can use oxygen with pressure CO.
Prevalence of suicidality among the adolescents of a rural municipality of Eastern Terai of Nepal
Authors: Bhattarai Srijana , Thapa Bijay , Bhandary Shital 
Published: March 2023

Introduction: Suicidality is a mental health condition that includes suicidal ideation, plan, and attempt. Prevalence of Suicidality from the pilot study conducted in 2018 in Nepal shows 8.7% among adolescents aged 13 to 17years. The study aimed to determine the prevalence of suicidality among adolescents of a rural municipality of eastern Terai of Nepal.
Method: A cross-sectional study was conducted among 443 adolescents from the randomly selected households of a rural municipality of Eastern Terai of Nepal. Validated self-administered tools; suicidal action and plan tools were used to assess the prevalence of suicidality.
Result: The study revealed that 30.93% of the adolescent's respondents had developed suicidal thought in the last one year. Similarly, 22.12% of them had made suicidal plan and 12.42% had attempted suicide.
Conclusion: High prevalence of suicidality among adolescents indicates need for scaling of mental health awareness programs and services in the rural municipality. Concerned authorities should take an intervention to decrease preventable death among adolescents.
Health Seeking Behaviour among Elderly in Nason Rural Municipality, Manang
Authors: Lama Tasi , Baskota Swechhya , Gurung Minani , Poudel Lisasha , Bhandari Niroj , Lama Sonam Dickey 
Published: March 2023

Introduction: Health seeking behavior refers to the action taken by the individuals to maintain, attain, and regain good health and to prevent the illness. Despite increasing number of health care delivery system in our country still people are not utilizing health service properly. As the age advances, there is a high chance of having both physical and mental impairment. Thus, the objective of the study was to assess health seeking behavior among elderly and to find-out factors associated with it.
Method: A community-based cross-sectional study was conducted in Nason Rural Municipality of Manang district among 115 elderly aged 60 or above. Semi-structured questionnaire was used for collecting the information. Data was entered and analyzed in SPSS version 23 by using Simple statistical methods. Uni-variate analysis was done and was presented through frequency and percentage whereas, bivariate analysis was done and presented through chi-square test.
Result: The main finding of the study showed that that all the participants (100%) were seeking help for health problem in which 90.6% seek help from Modern medication and 9.4% seek help from Alternative medication. Ethnicity (0.024) and means of transportation (0.023) were only factors which was significantly associated with health seeking behavior
Conclusion: Based on the study findings, most of the respondents had visited Modern health services and only few of respondents had visited Traditional health services. Thus, health seeking behavior among elderly was better than the comparative studies
Role of red cell distribution width in prognosis of patients of all age groups with sepsis- A narrative review
Authors: Ghimire Rajan 
Published: March 2023

Introduction: Sepsis is life threatening emergency situation that is frequently encountered in every emergency department. Knowing the prognosis of such patient is crucial which is difficult in the busy emergency rooms. There are lots of prognostic tools in practice and red cell distribution width is newer tool that is under test to predict prognosis of patients with sepsis. In recent day different scientific papers are published over red cell distribution width (RDW) in association with sepsis. This article tried to review such articles and give the holistic view of RDW in association with sepsis.
Method: Articles were searched in Pubmed, Google scholar, The Cochrane Library, Scopus and Hinari. 26 articles were found and thorough revision of articles was done.
Result: Most of the articles point towards overwhelming efficacy of RDW in sepsis across all age group. It can also be used in septic patients with anemia and who received blood transfusions recently. Only few papers are published involving pediatric population and patients with anemia and recent blood transfusion history.
Conclusion: RDW is efficacious tool than currently practiced tools to predict prognosis of patient with sepsis across all ages. There are only few studies in pediatric population and patients with anemia and history of recent blood transfusion, so caution is advised while applying RDW among pediatric population and in patients with anemia and recent blood transfusion.
Risk Factors for COVID-19: A Quantitative Study Conducted at Padang City Center Hospital
Authors: Martini Rose Dinda , Dorisnita  , Hartati  
Published: March 2023

Objective: This study sought to estimate the prevalence of COVID-19 infection among hospital staff according to various factors. Moreover, it sought to identify any factors that predicted a higher probability of infection in this population.
Methods: This descriptive research was conducted among medical and non-medical personnel at Padang City Center Hospital, Indonesia (n=129). A chi-square test analysis was used to determine the degree of interrelationship between the studied variables, while an odds ratio (OR) test was performed to identify more potential categories.
Results: Some 31.8% of respondents tested positive for COVID-19, although this finding was insignificant (p>0.05). In terms of the OR, the following probabilities were calculated: age (OR=1.0 [0.36–2.88]); medical history (OR=1.3 [0.23–2.0]); higher education (OR=1.9 [0.2–17.6]); wearing a good mask (OR=0.7 [0.07–7.02]); good hand washing (OR=1.8 [0.46–7.07]); good physical distancing (OR=1.8 [0.46–7.07]); good personal protective equipment (OR=0.7 [0.07–7.02]); normal depression, anxiety, and stress (OR<1.0); and comorbidity (OR=1,2 [0.46-3.06]).
Conclusion: No significant relationship was found between the studied factors and COVID-19 infection. However, there were more potential trends, especially for highly educated medical teams, not wearing a mask, smoking, engaging in strenuous activity, poor psychology, and comorbidity. These findings should prompt policymakers tasked with developing resources and interventions to pay more attention to the needs of medical and non-medical staff during the COVID-19 pandemic, especially the availability of masks.
Evaluation of Cognitive Functions of Patients with Anemia
Authors: FELEK Duygu 
Published: March 2023

Iron deficiency anemia is the most common anemia type in the population. It causes many systemic clinical symptoms, including the effects on cognitive functions. Therefore, this study aimed to observe individuals' cognitive changes resulting from iron deficiency, a preventable cause.
Method: Cognitive scores of 112 individuals (56 with iron deficiency anemia-test group and 56 healthy individuals-control group) from the Montreal Cognitive Assessment (MoCA) were recorded. In addition, hemoglobin levels and recurrent anemia histories of individuals with iron deficiency anemia were also considered.
Results: Cognitive functions were lower in the test group (individuals with iron deficiency anemia) compared to the control group. The mean MoCA score of the test and control groups were 19.80±3.46 and 22.98±3.59, respectively, and the difference was significant (p
Effect of Processing on Nutritional Value and Microbial Characteristics of Okra (Abelmoschus esculentus)
Authors: Asamani Emmanuel Kwaku , Maalekuu Bonaventure Kissinger 
Published: March 2023

Okra is consumed for its nutrients for healthy growth and development. Quality okra is essential for consumption and maximizing profits for okra producers and marketers. However, okra is perishable and limited in supply during the dry seasons. The stakeholders such as farmers, traders and consumers processed okra fruits to make them available all year round. Therefore, the objective of the study is to explore the effect of processing on nutritional value and microbial characteristics of okra fruits. The study involved both field survey and laboratory work among five okra producing communities within Sunyani Municipality Ghana, namely; Abesim, Atronie, Benu Nkwanta, Ayakomasu and Wawasua. Stratified sampling technique was used to select 50 farmers while purposive sampling technique was used to select 35 traders and 25 consumers, making a total of one hundred and ten respondents. Questionnaires were instruments used for the survey. Randomized Complete Block Design (RCBD) with four treatments was used and blocked five times to obtain data for laboratory analyses. Results from the study indicated that, variety of okra fruits most cultivated, sold and consumed was Asutem, July to September were identified to be the months of bumper harvest for farmers, declined in prices of okra fruits for traders and low purchasing prices of okra fruits for consumers. The processing methods identified for processing okra fruits were slicing, pounding/ milling and roasting. Nutritional analyses on techniques used for processing okra fruits in the study area, revealed that, fiber, ash and calcium contents (18.47 %, 9.7 % and 0.43 %) were higher in sliced okra fruits and carbohydrate content (48.34 %) was higher in roasted okra fruits. Microbial contamination analyses on techniques used for processing okra fruits, showed that, there were lower (1.24, 0.83, 1.73 and 0.66 log10 CFU/g of Aspergillus flavus, Aspergillus niger, Penicillium digitatum and Penicillium spp, respectively) in roasted okra fruits.
The Effect of Social Media Marketing Activities of Skin Care Brand Image on Customer Loyalty
Authors: Anugrahani Yulisma , Hartono Arif 
Published: March 2023

The presence of digital platforms is used as a means of communication, advertising, promotion, and lifestyle demonstration to maintain the existence and business operations of a brand by adopting online technology and social media marketing activities (SMMA). Globally and nationally, skin care product are rapidly expanding, but empirical studies on SMMAs in relation to skin care in Indonesia have remained scarce. This study aims to examine and analyze the effect of the five components of social media marketing activity (SMMA) on customer loyalty to the Something brand. This study was conducted using quantitative methods and processed with PLS-SEM applications (smartPLS3) to test the proposed hypotheses. This research was conducted in Indonesia by distributing online questionnaires through Google forms between January and February 2023. Respondents are Instagram users who know the Somethinc brand with a total of 220 respondents. There are differences in the results of research on the components of social media marketing activities (SMMA) including entertainment, trendiness, and customization have a significant and positive effect on brand image. Therefore, interactivity and electronic-word of mouth do not show positive and insignificant results on brand image. Other test results show that brand image has a significant and positive effect on customer loyalty. The results of this study contribute practical implications for company managers to create alternative solutions in digital marketing strategies by creating a positive image of the company and building long-term relationships with consumers.
Proximate, Phytochemical and Mineral Composition of Methanol Extract of Persea americana Seed
Authors: Omorevbarhia Omorovbiye , Umerie Sunday Chidozie , Aniefuna Ejike Louis , Enoch Oguazu Chinenye 
Published: March 2023

This study investigated the proximate composition and evaluated the phytochemicals present in the methanol extract of Persea americana seed. The seed samples were collected, dried, ground into powder, and extracted in methanol by cold maceration. Proximate analysis was carried out using the standard methods of association of official analytical chemists (AOAC) while quantitative phytochemical analysis was done using standard methods. Mineral composition assays were carried out using the standard methods of the American public health association (APHA). Proximate analysis revealed that the seeds of P. americana contain more carbohydrate (32.05±1.21%), fat (25.73±2.01%), and protein (21.00±0.88%) with fewer amounts of moisture (8.98±0.10%), and ash (3.28±0.16%). Quantitative phytochemical analysis revealed the presence of phenols (3.51±0.42 mg/100 g), saponins (0.05±0.38 mg/100g), alkaloid (0.70±0.37 mg/100g), beta-carotene (32.24±0.55 mg/100 g), lycopene (6.84±0.52 mg/100 g), flavonoids (34.14±3.13 mg/ 100 g), phytate (0.00±0.03 mg/100 g), cardiac glycosides (0.37±0.01%), total phytosterol (21.25±0.12 mg/100 g), stigmasterol (13.16±0.15mg/100g) and campesterol (6.16±0.12 mg/100 g). Mineral contents of the sample revealed that potassium, calcium, and magnesium have the highest concentrations while manganese and iron have the lowest. The chemical compositions of the investigated samples might be responsible for their medicinal values in phytomedicine. This study shows that Persea americana seeds are adequate in lowering cholesterol levels probably due to the presence of phytosterols.
Association of Vibrotactile Biofeedback With Reduced Ergonomic Risk for Surgeons During Tonsillectomy
Authors: Kelly Natalie A. , Althubaiti Abdulrahman , Katapadi Aashika D. , Smith Adam G. , Nyirjesy Sarah C. , Yu Jane H. , Onwuka Amanda J. , Chiang Tendy 
Published: March 2023

ImportanceWork-related musculoskeletal disorders are common among otolaryngologists and can be associated with decreased productivity, missed workdays, and reduced quality of life. Ergonomic risk for surgeons is elevated during common otolaryngology procedures; current ergonomic interventions lack the ability to provide real-time feedback. The ability to quantify and mitigate ergonomic risk during surgery may reduce work-related musculoskeletal disorders.ObjectiveTo quantify the association of vibrotactile biofeedback with intraoperative ergonomic risk to surgeons during tonsillectomy.Design, Setting, and ParticipantsThis cross-sectional study was conducted between June 2021 and October 2021 at a freestanding tertiary care children’s hospital and included 11 attending pediatric otolaryngologists. Data analysis was conducted from August to October 2021.InterventionsReal-time quantification of ergonomic risk during tonsillectomy and the use of a vibrotactile biofeedback posture monitor.Main Outcomes and MeasuresAssociation of vibrotactile biofeedback with objective measures of ergonomic risk. Assessment tools included the Rapid Upper Limb Assessment, craniovertebral angle, and time spent in an at-risk posture.ResultsEleven surgeons (mean [SD] age 42 [7] years; 2 women [18%]) performed 126 procedures with continuous posture monitoring in the presence (80 [63%]) and absence (46 [37%]) of vibrotactile biofeedback. No complications or delays associated with the device were reported. Intraoperative vibrotactile biofeedback was associated with improved Rapid Upper Limit Assessment neck, trunk, and leg scores by 0.15 (95% CI, 0.05-0.25), improved craniovertebral angle by 1.9 (95% CI, 0.32-3.40), and decreased overall time spent in an at-risk posture by 30% (95% CI, 22%-39%).Conclusions and RelevanceThe results of this cross-sectional study suggest that use of a vibrotactile biofeedback device to quantify and mitigate ergonomic risk for surgeons is feasible and safe while performing surgery. Vibrotactile biofeedback was associated with reduced ergonomic risk during tonsillectomy and may have a role in improving surgical ergonomics and preventing work-related musculoskeletal disorders.
Seq2Pat: Sequence‐to‐pattern generation to bridge pattern mining with machine learning
Authors: Kadıoğlu Serdar , Wang Xin , Hosseininasab Amin , van Hoeve Willem‐Jan 
Published: March 2023

AbstractPattern mining is an essential part of knowledge discovery and data analytics. It is a powerful paradigm, especially when combined with constraint reasoning. In this overview, we showcase Seq2Pat, a constraint‐based sequential pattern mining (SPM) tool with a high‐level declarative user interface. The library finds frequent patterns in large sequence databases subject to constraints. We highlight key benefits especially desirable in industrial settings where scalability, explainability, rapid experimentation, reusability, and reproducibility are of great practical interest. We then bridge SPM with supervised machine learning via dichotomic pattern mining (DPM). DPM exploits the dichotomy between outcomes correlated with patterns that uniquely distinguish them. Last, we present an automated feature extraction powered by Seq2Pat and DPM to discover high‐level insights and boost downstream machine learning models for intent prediction in digital behavior analysis.
Fault‐tolerant control of heterogeneous multi‐agent systems with state constraints
Authors: Jia Jiyang , Wang Hao , Liu Lei 
Published: March 2023

SummaryIn this paper, the adaptive fault‐tolerant control (FTC) problem of heterogeneous multi‐agent systems (HMASs) with state constraints composed of first‐order and second‐order agents is studied. The problems of fault and constraints are inevitable during the operation of the system, the authors consider the fault of the system as actuator fault, and the constraints of the system can be considered as state constraints. Based on the backstepping framework, the logarithmic barrier Lyapunov function is selected to study the stability of system with constraints. For the bias fault of actuator fault, adaptive estimation is carried out, which can estimate the fault more accurately. Finally, an adaptive constrained FTC scheme is successfully designed to ensure that each signal of the system is bounded. Simulation examples show that the constrained FTC scheme is effective.
Overcoming the PCBM/Ag Interface Issues in Inverted Perovskite Solar Cells by Rhodamine‐Functionalized Dodecahydro‐Closo‐Dodecaborate Derivate Interlayer
Authors: Liu Naihe , Xiong Jian , Wang Gang , He Zhen , Dai Junqian , Zhang Yongsong , Huang Yu , Zhang Zheling , Wang Dongjie , Li Sha , Liu Bo , Deng Xuefan , Zhang Haibo , Zhang Jian 
Published: March 2023

AbstractEfficient modification of the interface between metal cathode and electron transport layer are critical for achieving high performance and stability of the inverted perovskite solar cells (PSCs). Herein, a new alcohol‐soluble rhodamine‐functionalized dodecahydro‐closo‐dodecaborate derivate, RBH, is developed and applied as an efficient cathode interlayer to overcome the (6,6)‐phenyl‐C61 butyrie acid methyl ester (PCBM)/Ag interface issues. By introducing RBH cathode interlayer, the functions of the interface traps passivation, interfacial hydrophobicity enhancement, interface contact improvement as well as built‐in potential enhancement are realized at the same time and thus correspondingly improve the device performance and stability. Consequently, a power conversion efficiency (PCE) of 21.08% and high fill factor of 83.37% are achieved, which is one of the highest values based on solution‐processed MAPbI3/PCBM heterojunction PSCs. Moreover, RBH can act as a shielding layer to slow down moisture erosion and self‐corrosion. The PCE of the RBH devices still maintain 84% for 456 h (85 °C @ N2), 87% for 360 h (23 °C @ relative humidity (RH) 35%) of its initial PCE value, while the control device can only maintain ≈23%, 58% of its initial PCE value under the same exposure conditions, respectively.