bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prenatal attachment by first-time fathers – the pilot study of the factor structure of the Polish-language version of the Prenatal Attachment Inventory for men (PAI-M)
Authors: Kossakowska Karolina 
Published: January 2023

Aim of the studyThis study aims to assess the psychometric properties and factor structure of the Polish translation of Prenatal Attachment Inventory (PAI) in the male version (PAI-M).Subject or material and methodsA cross-sectional self-assessment study was conducted among a group of 406 Polish first-time expectant fathers during three sessions (n=113, n=186, and n=107, respectively). The reliability and construct validity of the PAI were evaluated. An Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) using Structural Equation Modelling (SEM) were conducted.ResultsThe EFA extracted a three-factor structure (Feelings, Thoughts and beliefs, and Interactions and activities); its fit to the model has been confirmed by the CFA. Therefore, the final version of the PAI-M consists of 10 statements, comprising three factors, and demonstrates satisfactory internal consistency.DiscussionThe structure of PAI-M found in the current study confirms and emphasizes that the mode of experiencing pregnancy and forming an attachment to an unborn child differs between men and women. Fathers were found to be less likely to manifest attachment by sharing information about how active the baby is in the womb and found it more difficult to attribute traits to the baby during this period. They manifested prenatal attachment mainly through emotions such as joy, happiness or love.ConclusionsThe PAI-M is a reliable and valid instrument for use in Polish first-time expectant fathers to investigate the development of the paternal attachment towards the unborn child.
Survey of academic staff and higher degree research students in a university school of health and rehabilitation sciences about practices, attitudes, knowledge and confidence in knowledge translation and communicating impact
Authors: Doig Emmah , Auld Megan , Bennett Sally , Schulz Michael , Hill Annie , Setchell Jenny , Finch Emma , Schmulian Dunay , Adalja Bhavya , Hodges Paul 
Published: January 2023

Background:
Universities are major producers of research evidence, and timely translation and uptake of evidence to sectors such as healthcare is imperative to inform best practice. Knowledge translation (KT) is complex and there is increasing awareness of the need for KT to facilitate evidence-informed changes, with grant funders increasingly requiring researchers to demonstrate KT and research impact. Despite this, there is little research about KT in university settings related to healthcare research.
Aims and objectives:
To evaluate the practice, attitudes, knowledge, confidence and perceived support needs in KT and communicating impact of university staff and higher degree research (HDR) students.
Methods:
We conducted a cross-sectional survey of 42 staff and 19 HDR students in a Health and Rehabilitation Sciences School in an Australian University setting. Descriptive and correlational quantitative analyses and qualitative content analysis of responses to open-ended questions was carried out.
Findings:
Participants regarded skills in KT and communicating impact as necessary for their work, and wanted support to build their capacity. Despite previous training for staff in some areas of KT and high levels of research experience of the staff in this sample, the level of knowledge, confidence and frequency of their KT practices was relatively low.
Discussion and conclusion:
There is a need to design and evaluate initiatives which aim to improve knowledge and skills, such as training and resources, as well as organisational structures that facilitate staff to plan and carry out KT activities concurrently with research production.
Late antenatal care booking and associated factors among pregnant women in Mizan-Aman town, South West Ethiopia, 2021
Authors: Battu Gelila Gashawbeza , Kassa Roza Teshome , Negeri Haweni Adugna , kitawu Leul Deribe , Alemu Kassahun Demelash 
Published: January 2023

Background
Antenatal care (ANC) is one of the most important ways to reduce maternal and neonatal morbidity and mortality. According to data from poor countries, the majority of pregnant women attend ANC when they are in their later stages of pregnancy. In this regard, limited information is currently known about the factors that determine ANC scheduling and the type of care for pregnant women in the town of Mizan-Aman in southwestern Ethiopia. Therefore, the purpose of this study was to determine late antenatal care booking and associated factors among pregnant women in the Town.

Method
The institutional-based cross-sectional study design was conducted in Mizan-Aman town using a systematic random sampling method through structured questions from February 15 to March 25, 2021. The collected data was entered into EPI info-7 which later on, was exported to SPSS version 20 for statistical analysis. Binary and multiple logistic regressions were used to identify associated factors and p-value <0.05 was considered for statistical significance.

Results
A total of 425 female pregnant women participated, making a 100% response rate. The prevalence of delayed first ANC bookings in this study was 70.0% [95.0%, CI = 65.65–74.35]. Multivariate analysis revealed that unplanned pregnancy [AOR = 2.63, 95% CI: 1.18, 5.85], inappropriate perception of ANC starting time [AOR = 4.1, 95% CI: 1.9, 8.83], pregnant women who were unaware of pregnancy-related danger signs [AOR = 6.76, 95% CI: 2.83, 16.1], and pregnant women who were unaware of service delivery during working hours in the institution [AOR = 0.44, 95% CI: 0.19, 0.98].

Conclusion
The current study showed a greater prevalence of delayed ANC beginnings, and the factors for this were having an unplanned pregnancy, lack of awareness about pregnancy danger signs, inappropriate perception of ANC starting time, and pregnant women who were unaware of service delivery during working hours at the institution. Responsible bodies working in maternal and child health care better create awareness of the benefits of early ANC booking and appropriate ANC starting times. Further, each health institution’s MCH clinic should deliver the service through working hours.
US and EU Free Trade Agreements and implementation of policies to control tobacco, alcohol, and unhealthy food and drinks: A quasi-experimental analysis
Authors: Barlow Pepita , Allen Luke N. 
Published: January 2023

BackgroundIdentifying and tackling the factors that undermine regulation of unhealthy commodities is an essential component of effective noncommunicable disease (NCD) prevention. Unhealthy commodity producers may use rules in US and EU Free Trade Agreements (FTAs) to challenge policies targeting their products. We aimed to test whether there was a statistical relationship between US and EU FTA participation and reduced implementation of WHO-recommended policies.Methods and findingsWe performed a statistical analysis assessing the probability of at least partially implementing 10 tobacco, alcohol, and unhealthy food and drink policies in 127 countries in 2014, 2016, and 2019. We assessed differences in implementation of these policies in countries with and without US/EU FTAs. We used matching to conduct 48 covariate-adjusted quasi-experimental comparisons across 27 matched US/EU FTA members (87 country-years) and performed additional analyses and robustness checks to assess alternative explanations for our results. Out of our 48 tests, 19% (9/48) identified a statistically significant decrease in the predicted probability of at least partially implementing the unhealthy commodity policy in question, while 2% (1/48) showed an increase. However, there was marked heterogeneity across policies. At the level of individual policies, US FTA participation was associated with a 37% reduction (95%CI: −0.51 to −0.22) in the probability of fully implementing graphic tobacco warning policies, and a 53% reduction (95%CI: −0.63 to −0.43) in the probability of at least partially implementing smoke-free place policies. EU FTA participation was associated with a 28% reduction (95%CI: −0.45 to −0.10) in the probability of fully implementing graphic tobacco warning policies, and a 25% reduction (95%CI: −0.47 to −0.03) in the probability of fully implementing restrictions on child marketing of unhealthy food and drinks. There was a positive association with implementing fat limits and bans, but this was not robust. Associations with other outcomes were not significant. The main limitations included residual confounding, limited ability to discern precise mechanisms of influence, and potentially limited generalisability to other FTAs.ConclusionsUS and EU FTA participation may reduce the probability of implementing WHO-recommended tobacco and child food marketing policies by between a quarter and a half—depending on the FTA and outcome in question. Governments negotiating or participating in US/EU FTAs may need to establish robust health protections and mitigation strategies to achieve their NCD mortality reduction targets.
Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6–23 months)? Evidence from JEEViKA in Rural Bihar, India
Authors: Mondal Sudipta , Joe William , Akhauri Santosh , Thakur Putul , Kumar Abhishek , Pradhan Narottam , Thatte Prasann , Jha Rakesh Kumar , Purty Apolenarius , Chaudhuri Indrajit 
Published: January 2023

ObjectivesChild dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the beneficiary groups.MethodsThe study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6–23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.ResultsDuring the pre-intervention phase, 19% of the children (6–23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.ConclusionBCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity.
Impact of anemia on acute ischemic stroke outcomes: A systematic review of the literature
Authors: Desai Ansh , Oh David , Rao Elizabeth M. , Sahoo Saswat , Mahajan Uma V. , Labak Collin M. , Mauria Rohit , Shah Varun S. , Nguyen Quang , Herring Eric Z. , Elder Theresa , Stout Amber , Shammassian Berje H. 
Published: January 2023

Introduction
Anemia has been reported in nearly 40% of acute ischemic stroke (AIS) patients and is linked to significant morbidity and disability. The presence of anemia is associated with worse outcomes in AIS, specifically in the presence of large vessel occlusion (LVO). An optimal hemoglobin (Hb) target specific to this pathology has not yet been established. The goal of this review is to systematically review literature that observes the association that exists between AIS outcomes and hemoglobin (Hb) levels.

Methods
A systematic review was performed in accordance with guidelines for the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) to identify studies from 2008–2022. The following inclusion and exclusion criteria were used: studies of adult patients with AIS; must describe outcomes with regard to Hb levels in AIS (not limited to LVO); must be written in English. The clinical variables extracted included Length of Stay (LOS), modified rankin score (mRS), Hb levels, and mortality.

Results
A total of 1,154 studies were gathered, with 116 undergoing full text review. 31 studies were included in this review. The age of patients ranged from 61.4 to 77.8. The presence of anemia in AIS increased LOS by 1.7 days on average and these patients also have a 15.2% higher rate of mortality at one year, on average.

Discussion
This data suggests that the contemporary thresholds for treating anemia in AIS patients may be inadequate because anemia is strongly associated with poor outcomes (e.g., mRS>2 or mortality) and increased LOS in AIS patients. The current generalized Hb threshold for transfusion (7 g/dL) is also used in AIS patients, however, a more aggressive transfusion parameter should be further explored based on these findings. Further studies are required to confirm these findings and to determine if a more liberal RBCT threshold will result in clinical benefits.
A qualitative process evaluation within a clinical trial that used healthcare technologies for children with asthma–insights and implications
Authors: Lawrie Louisa , Turner Stephen , Cotton Seonaidh C. , Wood Jessica , Morgan Heather M. 
Published: January 2023

Background
Healthcare technologies are becoming more commonplace, however clinical and patient perspectives regarding the use of technology in the management of childhood asthma have yet to be investigated. Within a clinical trial of asthma management in children, we conducted a qualitative process evaluation that provided insights into the experiences and perspectives of healthcare staff and families on (i) the use of smart inhalers to monitor medication adherence and (ii) the use of algorithm generated treatment recommendations.

Methods
We interviewed trial staff (n = 15) and families (n = 6) who were involved in the trial to gauge perspectives around the use of smart inhalers to monitor adherence and the algorithm to guide clinical decision making.

Findings
Staff and families indicated that there were technical issues associated with the smart inhalers. While staff suggested that the smart inhalers were good for monitoring adherence and enabling communication regarding medication use, parents and children indicated that smart inhaler use increased motivation to adhere to medication and provided the patient (child) with a sense of responsibility for the management of their asthma. Staff were open-minded about the use of the algorithm to guide treatment recommendations, but some were not familiar with its’ use in clinical care. There were some concerns expressed regarding treatment step-down decisions generated by the algorithm, and some staff highlighted the importance of using clinical judgement. Families perceived the algorithm to be a useful technology, but indicated that they felt comforted by the clinicians’ own judgements.

Conclusion
The use of technology and individual data within appointments was considered useful to both staff and families: closer monitoring and the educational impacts were especially highlighted. Utilising an algorithm was broadly acceptable, with caveats around clinicians using the recommendations as a guide only and wariness around extreme step-ups/downs considering contextual factors not taken into account.
THE SLENDER ESOPHAGUS: UNRECOGNIZED ESOPHAGEAL NARROWING IN EOSINOPHILIC ESOPHAGITIS
Authors: Lynch Kristle L. , Benitez Alain J , Godwin Bridget , Klein Jeremy , Savant Deepika , Wilkins Benjamin J. , Menard-Katcher Calies , Gluckman Craig , Falk Gary W. , Muir Amanda 
Published: January 2023

Abstarct

BACKGROUND:
Inflammation in eosinophilic esophagitis (EoE) often leads to esophageal strictures. Evaluating esophageal narrowing is clinically challenging. We evaluated esophageal distensibility as related to disease activity, fibrosis, and dysphagia.

METHODS:
Adult patients with and without EoE underwent endoscopy and distensibility measurements. Histology, distensibility, and symptoms were analyzed.

RESULTS:
EoE subjects had significantly lower distensibilities than controls. We found a cohort with esophageal diameter under 15mm despite lack of dysphagia.

CONCLUSIONS:
This study raises concern that current assessments of fibrostenosis are suboptimal. We describe a cohort with unrecognized slender esophagus that were identified via impedance planimetry measurements. This tool provides additional information beyond symptomatic, histologic and endoscopic assessments.
Ethics in British Journalism: A reflective overview
Authors: Harb Zahera 
Published: January 2023

Preparing for my MA dissertation project in 2000, I expressed to my tutor my interest in investigating the state of journalism ethics in the UK. He dismissed it as an outdated topic. He referred me to the belief the British journalism industry held at the time that ethics is engrained in their journalism culture and there had been no serious shortcomings. Fast forward to 2011 and journalism ethics found its way quick and fast into almost every single UK newsroom editorial team discussion. The story of the News International phone hacking scandal tainted British press with a dark shadow. The scandal led to the setting of a public inquiry that became known as the Leveson Inquiry. In July 2011 Sir Brian Henry Leveson chaired a public inquiry into culture, practices and ethics of the British press followed the revelation that murdered schoolgirl Milly Dowler phone had been hacked by journalists from News of the World newspaper, which had a knock effect on the police investigation into the school girl murder. Editors and journalists were prosecuted and the scandal resulted in closing down one of Britain’s oldest newspapers, News of the World.
déontologie belge à l’ère du transmédia : une analyse de la jurisprudence
Authors: Rotili Lavinia , De Condé Charlotte 
Published: January 2023

Cet article se penche sur les avis rendus par le Conseil de déontologie journalistique belge francophone et germanophone (CDJ) entre janvier 2019 et décembre 2021. Son objectif est d’analyser l’évolution de l’autorégulation journalistique en Communauté française de Belgique sous l’angle de la jurisprudence. De cette analyse, il résulte que divers facteurs, tels que la digitalisation des médias, la crise sanitaire ou les périodes électorales ont des conséquences à la fois sur les attitudes du public et les pratiques journalistiques. Cela se traduit en partie dans la jurisprudence : avec l’évolution des contenus numériques, les cibles des plaintes sont de plus en plus hybrides et digitales ; l’émergence de demandes d’avis de la part de citoyens ordinaires témoigne également de l’augmentation de l’accès à l’autorégulation.
HORMONIZAÇÃO DE TRANSGÊNEROS FEMININOS: ANÁLISE DE EVENTOS ADVERSOS
Authors: Silva Neto Altino Caetano da , Federico Marilia Pinto 
Published: January 2023

A comercialização dos hormônios como anticoncepcionais foi contemporânea do fenômeno transexual e, atualmente, o uso de hormônios estrogênicos e antiandrogênicos são fundamentais para a população transgênero feminina como ferramenta para o processo transexualizador garantido por lei. Esse estudo teve como objetivo investigar os eventos adversos relacionados ao uso de hormônios pela população transgênero feminina para fins de hormonização. Para tanto, foi realizada uma revisão integrativa da literatura, buscando artigos completos disponíveis nas bases de dados da Biblioteca Virtual de Saúde, publicados em inglês e português, entre 2011 e 2021, utilizando os descritores mulher transgênero, mulher transexual, pessoas trans, transgênero, transexual feminino e hormônios. Os hormônios acetato de estradiol, valerato de estradiol e ciproterona e os antiandrogênicos, espironolactona e finasterida foram os fármacos mais citados. Os eventos adversos mais frequentes foram desenvolvimento de trombos e alterações de humor, seguidos de alterações nos parâmetros da hematopoiese, diminuição da fertilidade, alterações dos níveis de prolactina e de densidade óssea. Equipes multiprofissionais de saúde, incluindo farmacêuticos, devem estar preparadas para atender a população trans feminina, fornecendo orientação sobre o uso correto doshormônios e monitorando o tratamento, a fim de contribuir na prestação de uma melhor assistênciae evitar ou reduzir a ocorrência de eventos adversos.
AVALIAÇÃO DA APRENDIZAGEM EM UM CURSO ACERCA DOS SERVIÇOS FARMACÊUTICOS REALIZADO POR ENSINO A DISTÂNCIA
Authors: Camelo Maia Isabelle de Fátima Vieira , Martins Teixeira Izabell Maria , Arrais de Sousa Italo Nunes , Cardoso de Oliveira Filho José Amilton , De Aguiar Costa Júlia , Da Silva Sousa Rauny , Coelho Lopes Nicole , Rodrigues Romero Nirla 
Published: January 2023

O Cuidado Farmacêutico está inserido na prática da Farmácia Clínica, sendo constituído por nove serviços farmacêuticos, destinados ao paciente, à família e à comunidade. O objetivo deste estudo foi avaliar o aprendizado dos participantes em um curso online sobre Cuidado Farmacêutico totalizando 30horas contendo dez módulos baseados nos Serviços Clínicos Farmacêuticos, por meio de questionários de pré-teste e de pós-teste. O estudo é de natureza quantitativa, de caráter descritivo, transversal, exploratório e de investigação quase-experimental com pré- e pós-teste. Os dados dos 209 participantes foram coletados no curso de Cuidado Farmacêutico, sendo este caracterizado como curso livre, realizado de 16 de novembro a 5 de dezembro de 2020, via questionários com 18 questões idênticas. As análises foram realizadas nos softwares Minitab 18.0 e SPSS 20. Os dados das amostras independentes apresentaram maior média de pós-teste em comparação com o pré-teste, forte correlação linear positiva, inclinação da reta de regressão linear acentuada positivamente, demostrando que quanto maiores as variáveis explicativas (nível de escolaridade e nota de pré-teste), maior a nota como variável resposta do modelo, e, além disso, no DOE, considerando fatores sexo, conhecimento prévio e nível de escolaridade, apenas o conhecimento prévio foi signifi cativo para as medianas e variâncias, independentemente de nível de escolaridade e gênero, comprovando-se estatisticamente que o curso agregou conhecimento sobre o Cuidado Farmacêutico.