bluuebunny/crossref_metadata_2025_split huggingface dataset:
Traveler’s knowledge, attitude, and practice about travel health insurance: A community-based questionnaire study
Authors: Yang Chia-Jung , Lu Chia-Wen , Chiang Chien-Hsieh , Chang Hao-Hsiang , Yao Chien-An , Huang Kuo-Chin 
Published: February 2023

Background
Travel, especially international travel, has become one of the most popular leisure activities in the world. The risk of accidents and travel-related illnesses, including infectious and non-communicable diseases, should not be neglected. To provide a more comprehensive pre-travel consultation to international travelers, this study aimed to investigate the knowledge, attitude, and practice of travelers about travel health insurance.

Methods
This was a cross-sectional study. Anonymous structured questionnaires were distributed to 1000 visitors to the Taiwan International Travel Fair in May 2019.

Results
The top three important travel health insurances were accidental death and disablement insurance (92%), accidental medical reimbursement (90.4%), and 24-hour emergency assistance (89%). In addition to education level, travel-associated illness, and special activities during travel, a significant association was observed between the willingness to buy various travel health insurances and the willingness of pre-travel consultation.

Conclusions
Most travelers would buy travel health insurance; however, disproportional respondents understood the content of travel health insurance. Most travelers considered travel clinics to be the most reliable information source regarding travel health insurance. Therefore, travel medicine specialists are encouraged to offer more information about travel health insurance during pre-travel consultation.
Associated factors of safe child feces disposal in sub-Saharan Africa: Evidence from recent demographic and health surveys of 34 sub-Saharan countries
Authors: Demissie Getu Debalkie , Zerihun Muluken Fekadie , Ekubagewargies Daniale Tekelia , Yeshaw Yigizie , Jemere Tadeg , Misganaw Bisrat , Tariku Amare , Atnafu Asmamaw 
Published: February 2023

IntroductionChildren’s feces are thought to pose a greater public health risk than those of adults’ due to higher concentrations of pathogens. The aim of this study was to determine the associated factors of safe child feces disposal among children under two years of age in Sub-Saharan Africa.MethodsThe most recent demographic and health survey datasets of 34 sub-Saharan countries were used. A total weighted sample of 78, 151 mothers/caregivers of under two children were included in the study. Both bivariable and multivariable multilevel logistic regression were done. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for each independent variables included in the model.ResultsThose mothers/caregivers from urban residence (AOR = 1.42; CI: 1.36, 1.48), mothers with primary education (AOR = 1.49; CI: 1.44, 1.56), richer (AOR = 1.78; CI: 1.69, 1.88) and richest wealth quintiles (AOR = 2.17; CI: 2.01, 2.31), family size <5 (AOR = 1.06; CI: 1.02–1.09), access to improved water source (AOR = 1.29; CI: 1.25, 1.34), mothers who owned toilet (AOR = 3.09; 2.99–3.19) and who had media exposure (AOR = 1.19; CI: 1.15, 1.24) had higher odds of practicing safe child feces disposal than their counter parts. However, mothers/care givers who are not currently working (AOR = 0.83; CI: 0.80, 0.86), higher education (AOR = 0.85; CI: 0.76–0.94) and from Western region of Africa (AOR = 0.82; CI: 0.79–0.86) had reduced chance of safe child feces disposal as compared to their counter parts.ConclusionResidence, mothers’ level of education, wealth index, water source, toilet ownership and media exposure were factors associated with safe child feces disposal. It is advisable to implement health promotion and behavioral change intervention measures especially for those women /caregivers from rural residence, poor economic status, who cannot access improved water and for those with no media exposure to improve the practice of safe child feces disposal.
Mediation of the association between multi-morbidity and sleep problems by pain and depressive symptoms among older adults: Evidence from the Longitudinal Aging Study in India, wave- 1
Authors: Muhammad T. , Meher Trupti , Siddiqui Laeek Ahemad 
Published: February 2023

BackgroundThere could be several possible mechanisms on how chronic conditions relate to sleep problems in older persons; for instance, pain and sleep have a strong link and depressive symptoms are similarly associated with sleep problems. The present study explored whether pain and depressive symptoms are mediators in the relationship between multi-morbidity and sleep problems among older adults.MethodsStudy utilized data from the Longitudinal Aging Study in India (LASI) with a sample of 31,464 older adults age 60 years and above. Multivariable logistic regression along with mediation analysis using Karlson–Holm–Breen (KHB) method was conducted.ResultsA proportion of 14.8% of the participants suffered from sleep problems, whereas, 22.5% and 8.7% of older adults had multi-morbidity and had depressive symptoms, respectively. Also, around 10.3% of older adults reported pain and received no medication for the relief of pain, whereas 29.3% of older adults reported pain and received some type of medication for the relief of pain. Older adults with multi-morbidity had higher odds of suffering from sleep problems [adjusted odds ratio (aOR):1.26, confidence interval (CI):1.10–1.45] than those who had no multi-morbidity. Older adults who reported pain but received no medication for the relief of pain [aOR: 1.90, CI: 1.64–2.22] or reported pain and received medication for the relief of pain [aOR: 1.82, CI:1.62–2.04] and those who had depressive symptoms [aOR: 2.21, CI:1.89–2.57%] had higher odds of suffering from sleep problems compared to those who did not report pain and had no depressive symptoms, respectively. Around 11.2% of the association of multi-morbidity with sleep problems was mediated by pain and 4.3% of such association was mediated by depressive symptoms.ConclusionPain and depressive symptoms were found to mediate the association between multi-morbidity and sleep problems; therefore, reducing pain and depressive symptoms may be considered to improve sleep in older multi-morbid patients.
Healthcare-seeking behavior for children aged 0–59 months: Evidence from 2002–2017 Indonesia Demographic and Health Surveys
Authors: Khasanah Uswatun , Efendi Ferry , Has Eka Mishbahatul M. , Adnani Qorinah Estiningtyas Sakilah , Ramadhan Kadar , Arna Yessy Dessy , Almutairi Wedad M. 
Published: February 2023

Background and objective
Healthcare-seeking behavior for children is crucial for reducing disease severity. Such behavior can improve child health outcomes and prevent child morbidity and mortality. The present study sought to analyze the determinants of mothers’ engagement in healthcare-seeking behavior for children with common childhood diseases, focusing on mothers of children aged 0–59 months in Indonesia.

Methods
This cross-sectional study comprised a secondary data analysis using the 2002–2017 Indonesia Demographic and Health Survey (IDHS) databases. We included all women surveyed aged 15–49 years old who had children under five years of age. We weighted the univariate, bivariate, and multivariate logistic regression analysis of healthcare-seeking behavior for children aged 0–59 months.

Results
We analyzed data for 24,529 women whose children were under five years of age at the time of survey. Common diseases, such as diarrhea, fever, and acute respiratory infection (ARI) were the most frequently cited reasons for healthcare-seeking behavior. During 2002–2017, the proportion of mothers seeking healthcare for their children with diarrhea increased from 67.70% to 69.88%, that with fever increased from 61.48% to 71.64% and that ARI increased from 64.01% to 76.75%. Multivariate analysis revealed that child’s age, child’s birth order, mother’s education, ability to meet expenses, distance to nearest healthcare facility, wealth index, place of residence, and region of residence, were significantly associated with healthcare-seeking behavior.

Conclusion
Various individual and environmental-level factors influence healthcare-seeking behavior for childhood diseases. Available, accessible, and affordable health service facilities are recommended to assist socio-economically and geographically disadvantaged families.
Development and validation of a clinical score for identifying patients with high risk of latent autoimmune adult diabetes (LADA): The LADA primary care-protocol study
Authors: Vich-Pérez Pilar , Abánades-Herranz Juan Carlos , Mora-Navarro Gustavo , Carrasco-Sayalero Ángela María , Salinero-Fort Miguel Ángel , Sevilla-Machuca Ignacio , Sanz-Pascual Mar , Álvarez Hernández-Cañizares Cristina , de Burgos-Lunar Carmen ,   LADA-PC Research Consortium
Published: February 2023

Background
Latent autoimmune diabetes in adults (LADA) is a type of diabetes mellitus showing overlapping characteristics between type 1 Diabetes Mellitus and type 2 Diabetes Mellitus (T2DM), and autoimmunity against insulin-producing pancreatic cells. For its diagnosis, at least one type of anti-pancreatic islet antibody (GADAb is the most common) is required. Many authors recommend performing this measure in all newly diagnosed patients with DM, but it is not possible in Primary Health Care (PHC) due to its high cost.
Currently, a relevant proportion of patients diagnosed as T2DM could be LADA. Confusing LADA with T2DM has clinical and safety implications, given its different therapeutic approach.
The main objective of the study is to develop and validate a clinical score for identifying adult patients with DM at high risk of LADA in PHC.

Methods
This is an observational, descriptive, cross-sectional study carried out in Primary Care Health Centers with a centralized laboratory. All people over 30 years of age diagnosed with diabetes within a minimum of 6 months and a maximum of 4 years before the start of the study will be recruited. Individuals will be recruited by consecutive sampling. The study variables will be obtained through clinical interviews, physical examinations, and electronic medical records. The following variables will be recorded: those related to Diabetes Mellitus, sociodemographic, anthropometric, lifestyle habits, laboratory parameters, presence of comorbidities, additional treatments, personal or family autoimmune disorders, self-perceived health status, Fourlanos criteria, and LADA diagnosis (as main variable) according to current criteria.

Discussion
The study will provide an effective method for identifying patients at increased risk of LADA and, therefore, candidates for antibody testing. However, a slight participation bias is to be expected. Differences between participants and non-participants will be studied to quantify this potential bias.
Eine kurze Geschichte der somatischen Praktiken und des Tanzes: Die historische Entwicklung des Feldes Somatic Education1 und seine Beziehung zum Tanz
Authors: Eddy Martha , Eger Übersetzung: Nana , Schlüssel Elisabeth 
Published: February 2023

Zusammenfassung
Dieser Artikel skizziert die historische Entwicklung somatischer Bewegungspraktiken mit Blick auf Tanz, Tänzer:innen und Tanzausbildungsorganisationen. Zunächst werden historische Ereignisse, kulturelle Trends und individuelle Begebenheiten dargestellt, die zur Entstehung der ‘klassischen’ somatischen Methoden um die Jahrhundertwende führten (Alexander bis Trager). Anschließend wird ‘somatische Bewegungserziehung und -therapie’ definiert und die Entstehung von drei Generationen somatischer Bewegungsansätze beschrieben. Die Interviewdaten zeigen, dass bei der Entwicklung der zweiten Generation dieser somatischen Ansätze viele Tänzer:innen beteiligt waren und das ‘body-mind-thinking’ von Tanzexpert:innen weiterhin die Ausbildung und Entwicklung von Somatic Education sowie der Dance Somatics prägt. Schließlich wird die Frage nach der Marginalisierung von sowohl Tanz als auch Somatic Education aufgeworfen und aufgrund der gemeinsamen Merkmale die Bündelung der Kräfte angeregt, um den Stellenwert dieser in der westlichen Kultur zu verändern. Darüber hinaus wird das Potential und die Bedeutung von Somatic Dance in den globalen Kontext eingeordnet.
Practicalities of Flash-monitoring systems utilization in the questionnaire survey of children and adolescents with type 1 diabetes mellitus
Authors: Rimskaya A. M. , Krasnovidova A. E. , Vitebskaya A. V. 
Published: February 2023

BACKGROUND: Children and adolescents with type 1 diabetes mellitus (T1DM) are recommended to perform self-control 6–10 times a day to maintain optimal blood glucose levels. Currently, there are various devices, such as glucometers, systems for continuous blood glucose monitoring and flash monitoring (FMS). In real clinical practice patients can combine the use of various devices and face with problems of their exploitation.AIM: To investigate the peculiarities of FMS utilization by children and adolescents with T1DM using questionnaire survey.MATERIALS AND METHODS: From 06.2020 till 05.2021, a survey of patients with T1DM was conducted as part of a single-center, observational, one-stage, uncontrolled study. The questionnaire contained questions regarding the number of measurements, circumstances and adverse reactions when using the devices.RESULTS: We questioned 80 patients (47 girls and 33 boys) aged 11.7 (9.0; 14.0) years with DM1 for 4.9 (2.0; 7.0) years, HbA1c level 8.2 (6.8; 9.0)) which were in pediatric endocrinology department of the University Children’s Clinical Hospital.The majority of patients (86.3%) scan the sensor more than 10 times a day; 25% of FMS-users measure blood glucose with glucometer not every day.The majority of patients (51,3%) prefer to use FMS instead of glucometer in all circumstances. Patients face with errors using FMS more often than using glucometers — OR 3.4 (95% CI 1.7–6.8). Non-significant reaction to adhesive material disturbed 50.0% participants; one patient (1.3%) had to refuse FMS due to allergic reaction.Among possible reasons to refuse FMS patients often name error, skin sealing, high price, inflammation, inconvenience to wear a device.Additional measures for fixing FMS device are always used by 36,3% of patients, sometimes — 18,8%, in some situations (going in for sports, swimming, travelling, in case of unsticking at the end of term) — 15,0%.CONCLUSION: Quarter of FMS users double-check glycaemia values rarer than recommended. Patients face with error using FMS more often than using glucometer. Local reaction to adhesive material does not influence FMS utilization. The majority of patients use additional measures for fixing FMS devices.
Mandibular advancement reduces pharyngeal collapsibility by enlarging the airway rather than affecting velopharyngeal compliance
Authors: Garcia Guilherme J. M. , Wolf Josiah J. , Campbell David A. , Bailey Ryan S. , Sparapani Rodney A. , Welzig Charles M. , Woodson B. Tucker 
Published: February 2023

AbstractMandibular advancement devices (MADs) are frequently prescribed for obstructive sleep apnea (OSA) patients, but approximately one third of patients experience no therapeutic benefit. Understanding the mechanisms by which MADs prevent pharyngeal collapse may help optimize MAD therapy. This study quantified the relative contributions of changes in airspace cross‐sectional area (CSA) versus changes in velopharyngeal compliance in determining MAD efficacy. Sixteen patients with moderate to severe OSA (mean apnea–hypopnea index of 32 ± 15 events/h) underwent measurements of the velopharyngeal closing pressure (PCLOSE) during drug induced sedated endoscopy (DISE) via stepwise reductions in nasal mask pressure and recording of the intraluminal pressure with a catheter. Airspace CSA was estimated from video endoscopy. Pharyngeal compliance was defined as the slope of the area–pressure relationship of the velopharyngeal airspace. MAD therapy reduced PCLOSE from a median of 0.5 cmH2O pre‐advancement to a median of −2.6 cmH2O post‐advancement (p = 0.0009), increased the minimal CSA at the velopharynx by approximately 20 mm2 (p = 0.0067), but did not have a statistically significant effect on velopharyngeal compliance (p = 0.23). PCLOSE had a strong correlation with CSA but did not correlate with velopharyngeal compliance. Our results suggest that MADs reduce velopharyngeal collapsibility by increasing airway size as opposed to affecting velopharyngeal compliance. This contradicts the speculation of previous literature that the effectiveness of MADs is partially due to a reduction in velopharyngeal compliance resulting from stretching of the soft palate. These findings suggest that quantification of velopharyngeal CSA pre‐ and post‐MAD advancement has potential as a biomarker to predict the success of MAD therapy.
Modulation of the mitochondrial Ca2+ uniporter complex subunit expression by different shear stress patterns in vascular endothelial cells
Authors: Patel Akshar , Pietromicca Julia G. , Venkatesan Manigandan , Maity Soumya , Bard Jonathan E. , Madesh Muniswamy , Alevriadou B. Rita 
Published: February 2023

AbstractMitochondrial calcium (mCa2+) uptake occurs via the Mitochondrial Ca2+ Uniporter (MCU) complex and plays a critical role in mitochondrial dynamics, mitophagy, and apoptosis. MCU complex activity is in part modulated by the expression of its regulatory subunits. Cardiovascular disease models demonstrated altered gene/protein expression of one or multiple subunits in different cells, including vascular endothelial cells (ECs). MCU complex activity was found necessary for stable flow (s‐flow)‐induced mitophagy and promotion of an atheroprotective EC phenotype. Disturbed flow (d‐flow) is known to lead to an atheroprone phenotype. Despite the role of MCU in flow‐regulated EC function, flow‐induced alterations in MCU complex subunit expression are currently unknown. We exposed cultured human ECs to atheroprotective (steady shear stress, SS) or atheroprone flow (oscillatory shear stress, OS) and measured mRNA and protein levels of the MCU complex members. SS and OS differentially modulated subunit expression at gene/protein levels. Protein expression changes of the core MCU, mCa2+ uptake 1 (MICU1) and MCU regulator 1 (MCUR1) subunits in SS‐ and OS‐exposed, compared to static, ECs suggested an enhanced mCa2+ influx under each flow and a potential contribution to EC dysfunction under OS. In silico analysis of a single‐cell RNA‐sequencing dataset was employed to extract transcript values of MCU subunits in mouse carotid ECs from regions exposed to s‐flow or d‐flow. Mcu and Mcur1 genes showed significant differences in expression after prolonged exposure to each flow. The differential expression of MCU complex subunits indicated a tight regulation of the complex activity under physiological and pathological hemodynamic conditions.
Acclimatizing and training freely viewing marmosets for behavioral and electrophysiological experiments in oculomotor tasks
Authors: Saghravanian Seyed Javad , Asadollahi Ali 
Published: February 2023

AbstractThe marmoset is a small‐bodied primate with behavioral capacities and brain structures comparable to macaque monkeys and humans. Its amenability to modern biotechnological techniques like optogenetics, chemogenetics, and generation of transgenic primates have attracted neuroscientists' attention to use it as a model in neuroscience. In the past decade, several laboratories have been developing and refining tools and techniques for performing behavioral and electrophysiological experiments in this new model. In this regard, we developed a protocol to acclimate the marmoset to sit calmly in a primate chair; a method to calibrate the eye‐tracking system while marmosets were freely viewing the screen; and a procedure to map motor field of neurons in the SC in freely viewing marmosets. Using a squeeze‐walled transfer box, the animals were acclimatized, and chair trained in less than 4 weeks, much shorter than what other studies reported. Using salient stimuli allowed quick and accurate calibration of the eye‐tracking system in untrained freely viewing marmosets. Applying reverse correlation to spiking activity and saccadic eye movements, we were able to map motor field of SC neurons in freely viewing marmosets. These refinements shortened the acclimation period, most likely reduced stress to the subjects, and allowed more efficient eye calibration and motor field mapping in freely viewing marmosets. With a penetration angle of 38 degrees, all 16 channels of the electrode array, that is, all recorded neurons across SC layers, had overlapping visual receptive and motor fields, indicating perpendicular penetration to the SC.
I ain’t your f*cking Model Minority! Indexical orders of ‘Asianness’, class, and heteronormative masculinity
Authors: Chun Christian W. 
Published: February 2023

Abstract
By inscribing and ascribing particular indexical signifiers to people while ignoring and/or dismissing actual individual performative enactments and self-identifications, neoliberal multicultural discourses, in claiming tolerance and acceptance, frame racialized people as “an essentialized and totalized unit that is perceived to have little or no internal variation” (Ladson-Billings, Gloria. 2000. Racialized discourses and ethnic epistemologies. In Norman K. Denzin & Yvonna S. Lincoln (eds.), Handbook of qualitative research, 2nd edn., 257–277. Thousand Oaks, CA: Sage). In doing so, these discourses supposedly celebrating ‘diversity’ disregard the complexities, hybridities, and differences that constitute and are constitutive of any individual. Thus, in drawing on the ethos of tolerance and acceptance, ‘multicultural’ discourses paper over societal conflicts, internal divisions and oppressions, and homogenize racial, linguistic, and cultural identities ignoring the complex identifications people may perform and hold in any given interactional situational context. In this critical autoethnography, I illustrate how an indexical order of ‘Asianness’ in its ‘model minority’ variety has been shaped and subverted at times by my situated appropriations of various enregisterments (Agha, Asif. 2007. Language and social relations. Cambridge University Press) of a working-class heteronormative masculinity in interactional contexts. These enactments illuminate how an indexical order of an Asian American male has continually shifted and reacted to such positionings in a white supremacy society.
Life and work between home and “homeland”: a narrative inquiry of transnational Chinese adoptees’ identity negotiations across time and space
Authors: Lin Shumin , Wu Ming-Hsuan , Leung Genevieve 
Published: February 2023

Abstract
Unlike Korean or Vietnamese adoptees who came to the U.S. during the postwar era, Chinese adoptees are mostly abandoned female infants under China’s one-child policy from 1980 through 2015. Little work has documented Chinese adoptees’ identity (trans)formation across time and space. This study examines how three Chinese adoptees from the U.S. who chose to go to Taiwan to teach English make sense of their Chinese heritages and their lives in and out of Asia. Drawing on the frameworks of positioning and chronotopic identities, this cross-sectional, multiple case study documents the participants’ identity (trans)formations through their narratives on their moves across the U.S., China, and Taiwan during different points of their lives. Our adoptee participants’ home and work experiences over time represent diverse pathways for their negotiations of various aspects of their identities – linguistic, cultural, Chinese, American, Asian American, and adoptee – in their life trajectories transnationally. Their diverse experiences complicate current understandings of adoptee identities within and across the adoptive home, the “homeland” of their birth places, and beyond.