bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19 vaccine hesitancy among parents in Low- and Middle-Income Countries: A meta-analysis
Authors: Abu El Kheir-Mataria Wafa , Saleh Basma M. , El-Fawal Hassan , Chun Sungsoo 
Published: February 2023

BackgroundVaccination is the most effective method to prevent the spread of infectious diseases. Nevertheless, vaccine hesitancy has been an issue. Parental hesitancy toward vaccines is a major part of the problem. COVID-19 vaccine acceptance is no different, it poses another challenge in facing the pandemic. In Low- and Middle-Income Countries (L&amp;MICs) several studies measured parents' acceptance to vaccinate their children against COVID-19 and resulted in different acceptance proportions.AimsThe paper aims at obtaining a precise estimate of the overall proportion of L&amp;MICs' parents accepting to vaccinate their children against COVID-19 and identifying the main determinant of their decisions.MethodsThis meta-analysis follows the PRISMA 2020 statement on updated guidelines and the checklist for reporting systematic reviews. Studies published between December till February 2022 were assessed for inclusion. The final effect size (i.e., the proportion of parents in L&amp;MICs accepting to vaccinate their children against COVID-19) was measured using the Arcsine proportions method. Analysis was done using R program.ResultsThe proportion of parents in L&amp;MICs accepting to vaccinate their children against COVID-19 is 49%. The major reason for their acceptance is their belief that COVID-19 vaccine is fundamental to the fight against the pandemic while the most common factor for parents' hesitancy to vaccinate their children against COVID-19 is their concerns about vaccine efficacy, safety, and possible side effects.ConclusionThe proportion of parents in L&amp;MICs accepting to vaccinate their children against COVID-19 is lower than the global level. To increase parental acceptance, responsible authorities should concentrate on increasing their population's trust in the government and in vaccine manufacturers. As well as concentrating on increasing acceptance of the vaccine idea in general.
Risk communication and community engagement as an emerging pillar of health emergency management in Iran: Achievements and the way forward
Authors: Senga Mikiko , Kouhestani Marzieh , Hosseini Boroujeni Sayed Mohsen , Ghaderi Ebrahim , Parchami Peyman , Hussain Syed Jaffar 
Published: February 2023

This article is part of the Research Topic Health Systems Recovery in the Context of COVID-19 and Protracted Conflict.Risk communication and community engagement (RCCE) is an essential component of emergency preparedness and response. In Iran, RCCE is a relatively new area of public health. During the COVID-19 pandemic in Iran, the national task force relied on conventional methods, which is to utilize existing primary health care (PHC) structure to implement RCCE activities around the country. The PHC network and the community health volunteers embedded in it enabled the country to bridge the health system and communities from the very beginning of the COVID-19 pandemic. The RCCE strategy to respond to COVID-19 was adapted over time with the development of a national program, commonly known as the “Shahid Qassem Soleimani” project. This project consisted of six steps including case detection, laboratory testing through the establishment of sampling centers, scale up of clinical care to vulnerable groups, contact tracing, home care for vulnerable population, and COVID-19 vaccination roll out. Nearly 3 years into the pandemic, the importance of designing RCCE for all types of emergencies, allocating a dedicated team to RCCE, coordinating with different stakeholders, improving the capacity of RCCE focal points, practicing more efficient social listening, and using social insight for better planning were identified as some lessons learned. Further, Iran's RCCE experience during the COVID-19 pandemic underscores the importance of continuing to invest in the health system, particularly PHC.
A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region
Authors: Moonen Chrissy P. B. , den Heijer Casper D. J. , Dukers-Muijrers Nicole H. T. M. , van Dreumel Ragni , Steins Sabine C. J. , Hoebe Christian J. P. A. 
Published: February 2023

IntroductionHepatitis B and C are a threat to public health. Screening of high-risk groups, such as migrants from high-endemic areas, enables early identification and treatment initiation. This systematic review identified barriers and facilitators for hepatitis B and C screening among migrants in the European Union/European Economic Area (EU/EEA).MethodsFollowing PRISMA guidelines, databases PubMed, Embase via Ovid, and Cochrane were searched for English articles published between 1 July 2015 and 24 February 2022. Articles were included, not restricted to a specific study design, if they elaborated on HBV or HCV screening in migrant populations from countries outside Western Europe, North America, and Oceania, and residing in EU/EEA countries. Excluded were studies with solely an epidemiological or microbiological focus, including only general populations or non-migrant subgroups, or conducted outside the EU/EEA, without qualitative, quantitative, or mixed methods. Data appraisal, extraction, and quality assessment were conducted and assessed by two reviewers. Barriers and facilitators were categorized into seven levels based on multiple theoretical frameworks and included factors related to guidelines, the individual health professional, the migrant and community, interaction, the organization and economics, the political and legal level, and innovations.ResultsThe search strategy yielded 2,115 unique articles of which 68 were included. Major identified barriers and facilitators to the success of screening related to the migrant (knowledge and awareness) and community level (culture, religion, support) and the organizational and economic level (capacity, resources, coordinated structures). Given possible language barriers, language support and migrant sensitivity are indispensable for facilitating interaction. Rapid point-of-care-testing is a promising strategy to lower screening barriers.DiscussionThe inclusion of multiple study designs provided extensive insight into barriers, strategies to lower these barriers, and facilitators to maximize the success of screening. A great variety of factors were revealed on multiple levels, therefore there is no one-size-fits-all approach for screening, and initiatives should be adopted for the targeted group(s), including tailoring to cultural and religious beliefs. We provide a checklist of facilitators and barriers to inform adapted interventions to allow for optimal screening impact.
Coronavirus diagnosis using cough sounds: Artificial intelligence approaches
Authors: Askari Nasab Kazem , Mirzaei Jamal , Zali Alireza , Gholizadeh Sarfenaz , Akhlaghdoust Meisam 
Published: February 2023

IntroductionThe Coronavirus disease 2019 (COVID-19) pandemic has caused irreparable damage to the world. In order to prevent the spread of pathogenicity, it is necessary to identify infected people for quarantine and treatment. The use of artificial intelligence and data mining approaches can lead to prevention and reduction of treatment costs. The purpose of this study is to create data mining models in order to diagnose people with the disease of COVID-19 through the sound of coughing.MethodIn this research, Supervised Learning classification algorithms have been used, which include Support Vector Machine (SVM), random forest, and Artificial Neural Networks, that based on the standard “Fully Connected” neural network, Convolutional Neural Networks (CNN) and Long Short-Term Memory (LSTM) recurrent neural networks have been established. The data used in this research was from the online site sorfeh.com/sendcough/en, which has data collected during the spread of COVID-19.ResultWith the data we have collected (about 40,000 people) in different networks, we have reached acceptable accuracies.ConclusionThese findings show the reliability of this method for using and developing a tool as a screening and early diagnosis of people with COVID-19. This method can also be used with simple artificial intelligence networks so that acceptable results can be expected. Based on the findings, the average accuracy was 83% and the best model was 95%.
Determinants of food security in Nigeria: Empirical evidence from beneficiaries and non-beneficiaries rice farmers of the Kano River Irrigation Project
Authors: Wudil Abdulazeez Hudu , Ali Asghar , Aderinoye-Abdulwahab Sidiqat , Raza Hafiz Ali , Mehmood Hafiz Zahid , Sannoh Andrew Borboh 
Published: February 2023

IntroductionWhile the prevalence of hunger decreased globally, it has risen in sub-Saharan Africa in recent years mainly due to rapid population growth, low agricultural productivity, and economic downturns. This study was conducted to examine food security determinants at the household levels among the beneficiaries and non-beneficiaries rice farmers of the Kano river irrigation project in Nigeria.MethodsCross-sectional data were used for the analysis while multi-stage sampling technique was used to obtain data from 382 respondents, out of which 217 were project beneficiaries and 165 non-beneficiaries; using a semi-structured questionnaire. Data were analyzed using Household food security index and Logit regression model.Results and discussionThe results showed that 72.6% of the beneficiaries' households were food secure, against the non-beneficiaries, who had 65.4% food secure households. The findings also revealed that the beneficiaries have 11 and 4% food insecurity depth and severity respectively. Non-beneficiaries, on the other hand, had 17 and 8% food insecurity depth and severity, respectively. Extension contact, farm size, rice output, and educational attainment were the positive determinants of food security. Similarly, determinants that could increase food insecurity identified were; credit constraints and household size. It is recommended that the design of a food security strategy should be multi-dimensional and should encompass social, institutional and economic transformation of small scale farmers. Addressing the identified determinants is also crucial for enhancing the food security status in the study area.
The Impact of Microorganisms on the Performance of Linseed Oil and Tung Tree Oil Impregnated Composites Made of Hemp Shives and Corn Starch
Authors: Vasiliauskienė Dovilė , Balčiūnas Giedrius , Boris Renata , Kairytė Agnė , Urbonavičius Jaunius 
Published: February 2023

In this study, the performance characteristics of hemp shives impregnated with linseed oil and tung tree oil (HS)- and corn starch (CS)-based biocomposites containing flame retardants were evaluated before and after treatment with the mixture of bacterium Pseudomonas putida and fungus Rhizopus oryzae. Enzymatic activities and physical-mechanical properties such as water absorption, thickness swelling, compressive strength, and thermal conductivity were tested to evaluate the suitability of selected composites for thermal insulation purposes. In addition, electron microscopy was used to investigate the impact of microorganisms on the microstructure of the material. It was determined that the type of oil used for impregnation significantly affects the properties of biocomposites after 6 months of incubation with mixture of bacterium P. putida and fungus Rh. oryzae. Biocomposites impregnated with linseed oil and after treatment with a mixture of microorganisms had cellulase activity of 25 U/mL, endo β-1-4-glucanase activity of 26 U/mL, lipase activity of 101 U/mL, only a 10% decrease in compressive strength, 50% higher short-term water absorption, unchanged swelling in thickness, and slightly decreased thermal conductivity compared to control biocomposites. At the same time, biocomposites with tung tree oil had a much more pronounced deterioration of the properties tested, cellulase activity of 28 U/mL, endo β-1-4-glucanase activity of 37 U/mL, lipase activity of 91 U/mL, two times lower compressive strength and two times higher short-term water absorption, 2.5 times greater thickness swelling, and a slightly increased thermal conductivity. We conclude that linseed oil provides better protection against the action of microorganisms compared to impregnation with tung tree oil.
Os benefícios do uso da cetamina em pacientes com dor crônica, na atual crise do abuso de opioides
Authors: Lima João Vinicius Santos , Silva Décio Fragata , Linhares Lucas Fernandes , Menezes Marília Alves , De Faro Cynthia Cristina Pagliari 
Published: February 2023

INTRODUÇÃO: A cetamina é um antagonista do receptor N-metil-D-aspartato bastante usado no meio anestésico como droga dissociativa na indução anestésica. No entanto, devido ao seu alto poder analgésico, esse medicamento tem sido, amplamente, explorado no tratamento da dor crônica concomitante ao crescimento do uso abusivo de opioides. MATERIAIS E MÉTODOS: Foi feito uma pesquisa nas bases de dados PubMed, Lilacs e Cochrane entre os anos 2017 e 2022. Ao final, foram escolhidos 16 artigos para compor a revisão. RESULTADOS E DISCUSSÃO: Vários estudos indicaram uma grande efetividade do efeito analgésico em doses subanestésicas da cetamina, em pacientes com hiperalgesia induzida por opióides e na diminuição da dose de morfina usada em pacientes que fazem seu uso prolongado,além disso,a dor neuropática se mostrou como o principal tipo de dor crônica beneficiada pelo uso dessa medicação. CONCLUSÃO: Apesar ainda da carência de estudos mais detalhados com relação a diversos outros tipos de dor, a cetamina se mostrou uma boa alternativa ao uso de opióides, não com como droga substituta, mas também como droga adjuvante, de forma a reduzir os efeitos danosos do uso crônico de opioides.Em doses subanestésicas e usadas de forma correta, é um agente bastante seguro, com efeito colaterais limitados.
Linfadenitis necrotizante asociada a Kikuchi Fujimoto; reporte se caso y revisión de la literatura
Authors: Webster Ana Paula Alvarado , Guamán Viviana Estefanía Gallegos , Espinoza Esteban Adrián Reibán 
Published: February 2023

Kikuchi Fujimoto (EKF) es un tipo de linfadenopatía inflamatoria necrotizante de carácter benigno, es una condición condición rara y autolimitada, de causas y patogenia inciertas aunque existen dos posibles mecanismos etiológicos: autoinmunitario e infeccioso. Aunque su incidencia es desconocida se reportan casos en todos los grupos étnicos y raciales, sobre todo en la raza asiática posiblemente por los alelos del antígeno HLA, tiene una relación hombre: mujer (1:1) y afecta con mayor frecuencia a menores de 30-40 años. Su cuadro clínico puede ser agudo o subagudo y está asociado principalmente a fiebre leve y prolongada de origen desconocido y adenopatías principalmente cervicales aun que pueden presentarse en otras regiones también pueden presentar síntomas como vómitos, náuseas, pérdida de peso, diaforesis nocturna, artralgias, debilidad y cefaleas. Al no existir signos patognomónicos de la enfermedad, el diagnóstico se basa en el estudio histológico y el descarte de diagnósticos diferenciales como patologías infecciosas, malignas y autoinmunes. Varios estudios informaron que entre el 30% y 40% de pacientes son erróneamente diagnosticados y sometidos a procedimientos diagnósticos innecesarios, invasivos y extensos, entre los que se ejemplifica la biopsia hepática o medular. En este reporte se presenta un caso clínico poco frecuente de EKF detectado un año después del diagnóstico de SS en una paciente femenina en su segunda década de vida procedente de Ecuador, cuyo cuadro evoluciona con episodios de recurrencia, además de volverse refractaria al tratamiento convencional. Los resultados de la revisión bibliográfica muestran que podría existir una clara asociación entre EKF y SS ya sea de forma simultánea, anterior o posterior al cuadro clínico de la patología, y que un proceso diagnóstico deficiente puede conllevar consecuencias para los sistemas de salud y para el paciente. Por lo que es recomendable realizar nuevas investigaciones con tiempos de estudio clínico y de seguimiento más prologados con la finalidad de eliminar condiciones subyacentes.
Violência obstétrica na perspectiva da enfermagem obstétrica no Brasil
Authors: Da Silva Mariana Francisca , Do Ó Tawana de Araújo Leite Freitas , da Silva Ednaldo Antônio 
Published: February 2023

INTRODUÇÃO: A violência obstétrica explícita ou velada pode ocorrer em qualquer período da gestação ou durante a realização do parto mediante tratamento desumanizado. Ela pode ser física, institucional, psicológica, verbal, sexual caracterizada como negligência, discriminação e/ou condutas intervencionistas desnecessária em um processo de absoluta invisibilização da mulher, em decorrência da imposição das vontades dos profissionais de saúde. OBJETIVO: Listar os papéis e as estratégias da Enfermagem na prevenção da Violência Obstétrica no Brasil. MÉTODO: Revisão Integrativa de consultas nas bases de dados: BVS, PubMed, Medline e Lilacs no período de janeiro de 2017 a setembro de 2022. Os Descritores foram utilizados individualmente ou combinados. Foram resgatados n=518 publicações, após leitura exaustiva dos títulos e resumos dos artigos, foram selecionaram-se n=460 artigos sobre a temática, publicados completos e disponíveis gratuitos. Após aplicação dos critérios de inclusão e de exclusão, n=118 estudos foram selecionados para serem lidos na íntegra. Após esses procedimentos, selecionaram-se n=05 trabalhos com enfoque na resposta à questão norteadora, na adequação do conteúdo empregado para subsidiar a estruturação desta revisão integrativa. RESULTADOS: Os estudos apontam como o papel da Enfermagem: Realizar uma escuta ativa, evitar constrangimentos, esclarecer e possibilitar o exercício do direito da livre escolha durante pré-natal/parto, parto e pós-parto com uma linguagem acessível sobre procedimentos e ações. Informar as intercorrências e oferecer apoio na tomada de decisões encaminhar os casos pertinentes para o acompanhamento médico obstetra. Colaborar para evitar a utilização de técnicas invasivas, prejudiciais ou ineficazes cientificamente. Realizar formação de equipe multiprofissional e atuar em Rede; realizar os procedimentos necessários da sala de parto e da enfermaria obstétrica. CONCLUSÕES: É papel da enfermagem obstétrica prevenir, notificar e promover ações estratégicas de combate a violência obstétrica.
“Efectividad de la tormbectomia mecánica en pacientes post evento cerebrovascular isquémico”
Authors: Torres María del Cisne Bastidas , Chacha Jordy Ariel Araujo , Rosales Claudia Gabriela Clavijo 
Published: February 2023

Introducción: La necesidad por la que surge este trabajo de investigación es el de conocer la información actualizada de del uso y beneficios de la trombectomía mecánica en pacientes post Evento Cerebrovascular Isquémico (ECV). El evento cerebrovascular (ECV) isquémico constituye un problema de salud mundial el cual se realizan intervenciones con mejores resultados en fase aguda como la trombectomía mecánica que ha demostrado efectividad ya que permite la extracción del coagulo de cualquier área cerebral intervenida dependiendo de sus complicaciones del tipo de localización de acceso, antecedentes patológicos, tipo de stent utilizado y el tiempo de intervención que determinara su mayor eficacia y menor grado de complicaciones Objetivo: consiste en la identificación de la efectividad de la trombectomía mecánica en pacientes post ECV isquémico mediante la obtención de información actualizada y previamente seleccionada. Metodología: Se realizó estudio no experimental de tipo descriptivo: revisión bibliográfica, los criterios de elegibilidad se basaron en el método prisma. Resultados: Roaldsen y compañía, realizaron una recopilación de información de 19 estudios en donde los pacientes evaluados fueron tratados con TM 6 horas posteriores a la presencia de síntomas, en donde concluyeron en la mejoría del resultado en la funcionalidad reducción en la mortalidad sin evidencia del aumento de complicaciones, mayor puntuación neurológica según la escala de NIHSS, y más recomendada por aumento en las posibilidades de supervivencia en oclusiones de circulación anterior. Conclusiones: La trombectomía es una técnica efectiva hasta después de 24 horas del inicio de los síntomas del evento cerebrovascular isquémico, demostrado en altas tasas de recanalización de hasta un 95, 8%, grado de funcionalidad alto a los 90 días y complicaciones muy poco frecuentes considerado como un costo útil a largo plazo.
Delimitação entre os lenhos juvenil e adulto de Pinus taeda L. em função do comprimento dos traqueídeos
Authors: Sidião Willian Barros , Coneglian Ademilson , De Oliveira Vinícius Ricardo , Rocha Ednaldo Cândido , De Oliveira Lucas Robson , Pereira Ismael Martins , Carvalho Daniel Diego Costa , Tiengo Gabriel Ettore 
Published: February 2023

O Pinus taeda L., destaca-se como a espécie de pinus mais cultivada no Brasil com uma área de aproximadamente 1 milhão de hectares. Por conseguinte, florestas de ciclos mais curtos têm sido superofertadas no mercado, apresentando madeiras com propriedades tecnológicas inferiores. Deste modo, o objetivo do presente estudo foi delimitar os lenhos juvenil e adulto na madeira de Pinus taeda L. aos 26 anos de idade. O experimento foi conduzido no Laboratório de Produção Florestal e Bioenergia (LPFBio) da Universidade Estadual de Goiás, Campus Sul/Unidade Universitária de Ipameri. Para realização do trabalho foram utilizadas cinco árvores de Pinus taeda L. aos 26 anos de idade, localizadas no município de Itapeva – SP. Os coeficientes de determinação dos modelos ajustados para o comprimento dos traqueídeos (µm) em função da distância radial (mm) foram, R2 = 0,84, 0,97, 0,98, 0,98 e 0,97. No entanto, ao se aplicar a regressão segmentada foi determinado que o lenho juvenil de Pinus taeda L. compreende desde a medula até o 9° anel de crescimento, a zona de transição está entre o 9° e 15° anel, enquanto que o lenho adulto fica após o 15° anel, estendendo-se até a casca. Desta forma, conclui-se que os exemplares estudados possuem significativa quantidade de madeira adulta (31,30%), mas, o percentual de madeira juvenil (43,05%) é predominante em árvores de Pinus taeda L. aos 26 anos de idade. Destaca-se que o mercado requer uma atenção e uma necessidade de investimentos nos estudos de florestas jovens plantadas, pois a determinação do ponto de maturação da madeira, é fundamental na tomada de decisões, junto as aplicações e usos da madeira.