bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perception of School Committee Members (SCMs) on Factors Contributing to Overweight and Obesity Among High School Students in Kiribati: A Qualitative Study
Authors: Tong Tanebu J. , Mohammadnezhad Masoud , Alqahtani Nasser Salem , Salusalu Mosese 
Published: April 2022

BackgroundSchools are vital settings for overweight and obesity prevention among children and adolescents. School Committee Members (SCMs) are crucial assets to engaging students with overweight and obesity prevention programs. This study aimed to determine factors contributing to overweight and obesity among high school students in Kiribati through the perception of SCMs.MethodsThis prospective qualitative study was conducted in four randomly selected senior high schools in South Tarawa, Kiribati, from August to November 2020. With a purposive selection of 20 SCMs employed at the four high schools, both male and female participants consented to participate in the study. A semi-structured open-ended questionnaire was used for data collection using focus group discussions (FGDs). Data were transcribed and analyzed using the thematic analysis method.ResultsTwenty participants were involved in FGDs with equal number of SCMs (n = 5) who attended FGDs for each school and 45% of them were female participants. Six themes were identified, namely, knowledge, behaviors, perceived status toward overweight and obesity, perceived action benefits, perceived barriers to practices, and proposed strategies to overweight and obesity prevention. These themes reveal that SCMs have a broad understanding and skill set for overweight and obesity causes and effects. However, the aptitude alone is not enough to prevent the occurrence, and thus, proposed feasible plans were voiced for responsible stakeholders to include in policy developments for overweight and obesity prevention.ConclusionThis study recognized that the knowledge-behavior gap is the main reason behind the failure in preventative strategic approaches among adolescents. As role models to students, SCMs and their schools should team up in implementing the public health policies and building mutual awareness and understanding with students and other specialist stakeholders for a more momentous and viable impact.
Association Between Loneliness and Sleep-Related Problems Among Japanese Workers During the COVID-19 Pandemic
Authors: Tesen Hirofumi , Konno Yusuke , Tateishi Seiichiro , Hino Ayako , Tsuji Mayumi , Ogami Akira , Nagata Masako , Muramatsu Keiji , Yoshimura Reiji , Fujino Yoshihisa 
Published: April 2022

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has been linked to a rise in loneliness. Loneliness is associated with sleep-related problems, which in turn can be a risk factor for various psychiatric disorders. However, it is unclear whether loneliness is linked to sleep-related problems during the pandemic. Here, we studied the association between loneliness and sleep-related problems during the COVID-19 pandemic in Japan.MethodsA total of 33,302 individuals who indicated they were employed were surveyed online. The survey responses of 27,036 participants were analyzed. Odds ratios (ORs) were estimated using univariate and multiple logistic regression analyses.ResultsOf those analyzed, 2,750 (10.2%) experienced feelings of loneliness. Further, sleep-related problems were significantly more common among those who felt lonely both in the short term (more than 3 days) and the long term (more than 3 months). The ORs were much weaker after adjusting for factors related to interpersonal connections, such as family and friendships, than after adjusting for factors related to socioeconomic status.ConclusionLoneliness may be a risk factor for sleep-related problems in the COVID-19 pandemic. Having connections with family and friends may have a moderating effect on the occurrence of sleep-related problems.
Relationship Between High Organ Donation Rates and COVID-19 Vaccination Coverage
Authors: Inoue Yusuke 
Published: April 2022

BackgroundBesides attaining the goal of self-protection, the rollout of vaccination programs also encourages altruistic practices. Therefore, the progress in vaccination against coronavirus disease (COVID-19) in each country may be related to the prevalence of cooperative and altruistic practices in health care. I hypothesized that in countries where organ donation is popular, individuals would exhibit a greater tendency to become vaccinated.MethodsI examined the correlation between the level of progress of COVID-19 vaccination and the status of organ donation just before the pandemic in Organization for Economic Co-operation and Development (OECD) countries. Publicly available statistical information on the progress of immunization and organ donation was used. Univariate and multivariate analyses were conducted to examine common drivers of immunization and organ donation.ResultsIn OECD countries, progress in vaccination was found to be significantly correlated with the status of organ donation in each country. This relationship was stable after the summer (September 1: Pearson's r = 0.442, October 1: 0.457, November 1: 0.366). The results of the univariate and multivariate analyses showed that high trust in medical professionals was significantly correlated with both the “progress of vaccinations” and “organ donations.”ConclusionsProgress in COVID-19 vaccination and organ donation status for transplantation have similar trends, and both may involve people's trust in medical personnel and public health systems. Similar to the efforts to obtain organ donors, governments around the world need to take further steps to ensure that vaccination programs are supported by people's trust and sense of solidarity.
The Impact of Hypermobile “Ehlers-Danlos Syndrome” and Hypermobile Spectrum Disorder on Interpersonal Interactions and Relationships
Authors: De Baets Stijn , De Temmerman Marieke , Calders Patrick , Malfait Fransiska , Van Hove Geert , Vanderstraeten Guy , De Wandele Inge , Van de Velde Dominique 
Published: April 2022

BackgroundPeople with Ehlers-Danlos Syndromes and Hypermobility Spectrum Disorders are hampered in their social participation, especially in the social relationships they have.ObjectiveThe aim of this study is to research the impact of hypermobile Ehlers-Danlos Syndrome (hEDS) and Hypermobile Spectrum Disorders (HSD) on interpersonal interactions and relationships.MethodsA phenomenological hermeneutic study was performed. Semi-structured interviews were used to explore the experiences of 11 participants.ResultsFour themes emerged from the data analysis. (1) people with hEDS or HSD can no longer do what they want to do and that affects their identity, (2) people with hEDS or HSD have to find a balance in the amount of activities they participate in, (3) having hEDS or HSD influences how to ask for, accept and give help, and (4) Relationships are affected in persons with hEDS or HSD. As well as changes in the social network, different types of relationships are influenced by the disease, including relationship with their partner, their children, their friends, strangers, fellow-sufferers and health care professionals.
Young people who have fallen through the mental health transition gap: a qualitative study on primary care support
Authors: Appleton Rebecca , Loew Joelle , Mughal Faraz 
Published: April 2022

BackgroundOwing to poor continuity of care between child and adult mental health services, young people are often discharged to their GP when they reach the upper boundary of child and adolescent mental health services (CAMHS). This handover is poorly managed, and GPs can struggle to support young people without input from specialist services. Little is known about young people’s experiences of accessing mental health support from their GP after leaving CAMHS.AimTo explore the experiences and perspectives of young people and the parents/carers of young people receiving primary care support after CAMHS and to identify barriers and facilitators to accessing primary care.Design and settingQualitative study with young people and parents in two English counties: London and West Midlands.MethodNarrative interviews were conducted with 14 young people and 13 parents who had experienced poor continuity of care after reaching CAMHS transition boundary. Data were analysed using reflexive thematic analysis.ResultsThree themes were identified: unmet mental health needs, disjointed care, and taking responsibility for the young person’s mental health care. Barriers included the perception that GPs couldn’t prescribe certain medication, anxiety caused by the general practice environment, and having to move to a new practice at university. Young people’s positive experiences were more likely to include having a long-term relationship with their GP and finding that their GP made time to understand their needs and experiences.ConclusionGPs could help to meet the unmet needs of young people unable to access specialist mental health services after leaving CAMHS. There is a need for comprehensive handover of care from CAMHS to GPs, which could include a joint meeting with the young person and a member of the CAMHS team. Future research should focus on interventions which improve continuity of care for young people after leaving CAMHS, and collaborative working across community mental health services.
Non-speculum clinician-taken samples for human papillomavirus testing: a cross-sectional study in older women
Authors: Landy Rebecca , Hollingworth Tony , Waller Jo , Marlow Laura AV , Rigney Jane , Round Thomas , Sasieni Peter D , Lim Anita WW 
Published: April 2022

BackgroundCervical cancer incidence and mortality are high in women aged ≥65 years, despite the disease being preventable by screening. Speculum-based screening can become more uncomfortable after the menopause.AimTo examine test performance and acceptability of human papillomavirus (HPV) testing on clinician-collected vaginal samples without a speculum (non-speculum).Design and settingCross-sectional study in 11 GP practices and four colposcopy clinics in London, UK, between August 2017 and January 2019.MethodNon-speculum and conventional (speculum) samples were collected from women aged ≥50 years attending for a colposcopy (following a speculum HPV-positive screening result) or women aged ≥35 years (with confirmed cervical intraepithelial neoplasia (CIN) 2+), and women aged 50–64 years attending routine screening. Sensitivity to CIN2+ was assessed among women with confirmed CIN2+ (colposcopy). Specificity to HPV relative to speculum sampling and overall concordance was assessed among women with negative cytology (routine screening).ResultsThe sensitivity of non-speculum sampling for detecting CIN2+ was 83.3% (95% confidence interval [CI] = 60.8 to 94.2) (n = 15/18). There was complete concordance among women with positive CIN2+ who had a speculum sample ≤91 days prior to the non-speculum sample (n = 12). Among 204 women with negative cytology, the specificity to HPV was 96.4% (95% CI = 92.7 to 98.5), with 96.6% concordant results (κ 72.4%). Seventy-one percent (n = 120/170) of women preferred a non-speculum sample for their next screen.ConclusionHPV testing on non-speculum clinician-taken samples is a viable approach that warrants further exploration in larger studies. Overall test performance was broadly comparable with that of self-sampling.
Pretransplant Dialysis and Preemptive Transplant in Living Donor Kidney Recipients
Authors: Lai Mason , Gao Ying , Tavakol Mehdi , Freise Chris , Lee Brian K. , Park Meyeon 
Published: April 2022

Key Points

Peritoneal dialysis and multimodal dialysis were the most prevalent access modalities among living donor transplant recipients.Living donor transplant recipients may benefit from a case-by-case approach for dialysis access given shorter time to transplant.

Background
The optimal timing of dialysis access placement in individuals with stage 5 CKD is challenging to estimate. Preemptive living donor kidney transplant (LDKT) is the gold-standard treatment for ESKD due to superior graft survival and mortality, but dialysis initiation is often required. Among LDKT recipients, we sought to determine which clinical characteristics were associated with preemptive transplant. Among non–preemptive LDKT recipients, we sought to determine what dialysis access was used, and their duration of use before receipt of living donor transplant.

Methods
We retrospectively extracted data on 569 LDKT recipients, >18 years old, who were transplanted between January 2014 and July 2019 at UCSF, including dialysis access type (arteriovenous fistula [AVF], arteriovenous graft [AVG], peritoneal dialysis catheter [PD], and venous catheter), duration of dialysis, and clinical characteristics.

Results
Preemptive LDKT recipients constituted 30% of our cohort and were older, more likely to be White, more likely to have ESKD from polycystic kidney disease, and less likely to have ESKD from type 2 diabetes. Of the non–preemptive patients, 26% used AVF, 0.5% used AVG, 32% used peritoneal catheter, 11% used venous catheter, and 31% used more than one access type. Median (IQR) time on dialysis for AVF/AVG use was 1.86 (0.85–3.32) years; for PD catheters, 1.12 (0.55–1.92) years; for venous catheters, 0.66 (0.23–1.69) years; and for multimodal access, 2.15 (1.37–3.72) years.

Conclusions
We characterized the dialysis access landscape in LDKT recipients. Venous catheter and PD were the most popular modality in the first quartile of dialysis, and patients using these modalities had shorter times on dialysis compared with those with an AVF. Venous catheter or PD can be considered a viable bridge therapy in patients with living donor availability given their shorter waitlist times. Earlier referral of patients with living donor prospects might further minimize dialysis need.
Pengelolaan Gangguan Mobilitas Fisik pada Pasien dengan Stroke Non Hemoragik di Desa Sokokulon
Authors: Andika Dimas Aldipratama  , Minardo Joyo 
Published: April 2022

Stroke is a cerebrovascular disease that occurs when the brain undergoes tissue death. Stroke is a non-communicable disease, the risk factor that often causes stroke is hypertension.This paper aims to provide a description or description of the management of stroke in patients with impaired physical mobility in Sokokulon Village.This type of descriptive research with nursing care approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation, and evaluation in the treatment of non-hemorrhagic stroke with impaired physical mobility. The management of physical mobility disorders was carried out for 3 days on Ny. T. with data collection techniques using interviews and observations. Then a nursing plan is carried out, namely ambulation support and joint strengthening exercise techniques. The final result was that the patient had impaired physical mobility due to hemiparase on the right side of the body. Based on the nursing actions taken, it can be concluded that the physical mobility disorder in the patient has not been resolved. It is hoped that the case studies that have been carried out by the authors can optimize and improve the quality of education for educational institutions.
ABSTRAK
Stroke adalah penyakit serebrovaskular yang terjadi karena otak mengalami kematian jaringan. Stroke merupakan penyakit yang tidak menular, faktor risiko yang sering mengakibatkan stroke adalah hipertensi. Penulisan ini bertujuan untuk memberikan deskripsi atau gambaran tentang pengelolaan stroke pada pasien dengan gangguan mobilitas fisik di Desa Sokokulon. Jenis penelitian deskriptif dengan pendekatan asuhan keperawatan berupa pengkajian, analisis data, merumuskan diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi dalam penanganan stroke non hemoragik dengan gangguan mobilitas fisik. Pengelolaan gangguan mobilitas fisik dilakukan selama 3 hari pada Ny. T. dengan teknik pengumpulan data menggunakan wawancara dan observasi. Kemudian dilakukan rencana keperawatan yaitu dukungan ambulasi dan teknik latihan penguatan sendi. Didapatkan hasil akhir pasien mengalami gangguan mobilitas fisik dikarenakan mengalami hemiparase pada tubuh bagian kanan. Berdasarkan tindakan keperawatan yang dilakukan, maka dapat disimpulkan gangguan mobilitas fisik pada pasien belum teratasi. Diharapkan dari studi kasus yang telah dilakukan penulis dapat mengoptimalkan dan meningkatkan mutu pendidikan bagi instansi pendidikan.
Hubungan Karakteristik dan Tingkat Pengetahuan dengan Kecemasan pada Wanita Pre Menopause di Desa Selomanik
Authors: Lita Desi Isnaeni  , Ulfiana Elisa , Yuniarti  
Published: April 2022

Premenopausal syndrome is experienced by women almost all over the world, such as 70-80% of women in Europe, 60% of women in America, 57% of women in Malaysia, 18% of women in China, and 10% of women in Japan and Indonesia. Indonesia's population is estimated at 240-250 million, there are about 30-40 million elderly women, where every year the anxiety rate is increasing, the prevalence of anxiety (anxiety) in Indonesia ranges from 2-5% of the general population or 7-16% of the population. all people with mental disorders. The purpose of this study was to determine the relationship between characteristics and level of knowledge on anxiety in pre-menopausal women in Selomanik Village, Kaliwiro District. This research was conducted in Selomanik Village, Kaliwiro District, using correlation analytic with cross sectional time approach. Sampling technique with stratified random sampling. Data were analyzed by univariate and bivariate using chi-square statistical test. The results of the bivariate test showed that there was a relationship between characteristics and knowledge with pre-menopausal women's anxiety as evidenced by the p value < 0.05. The results of this study are expected that women who will experience menopause are calmer/ less anxious if they experience menopause symptoms and are more prepared to face menopause.
ABSTRAK
Sindrom pre menopause banyak dialami oleh wanita hampir diseluruh dunia, seperti 70-80% wanita di Eropa, 60% wanita di Amerika, 57% wanita di Malaysia, 18% wanita di Cina, dan 10% wanita di Jepang dan Indonesia, dari seluruh jumlah penduduk Indonesia yang diperkirakan sebesar 240-250 juta, terdapat sekitar 30-40 juta wanita lansia, dimana setiap tahunnya angka kecemasan semakin meningkat, prevalensi keadaan kecemasan (anxietas) di Indonesia berkisar antara 2-5% dari populasi umum atau 7-16% dari semua penderita gangguan jiwa. Tujuan dalam penelitian ini dilakukan untuk mengetahui hubungan karakteristik dan tingkat pengetahuan terhadap kecemasan pada wanita pre menopause di Desa Selomanik, Kecamatan Kaliwiro. Jenis penelitian ini adalah analitik korelasi dengan pendekatan waktu cross sectional. Tehnik pengambilan sampel dengan stratifed random sampling.Data dianalisis secara univariat dan bivariat menggunakan uji statistic chi-square. Hasil uji bivariat menunjukkan ada hubungan antara karakteristik dan pengetahuan dengan kecemasan wanita pre menopause dibuktikan dengan hasil p value < 0.05. Hasil penelitian ini diharapkan bahwa wanita yang akan mengalami menopause lebih tenang/ tidak cemas jika mengalami gejala menopause dan lebih siap menghadapi menopause.
Diet as a Partial Explanation for Wisdom Teeth Problem
Authors: Soesilawati Pratiwi , Yuliati Anita , Fandani Fany , Prabowo Noor Z. S. , Tamariska Tamariska , Salma Rizki F. , Dewi Felia L. , Pertiwi Padma C. 
Published: April 2022

Abstract: Impacted wisdom teeth is a condition where the third molars experience malposition. Changes in dietary patterns are one of the reasons of impaction, as they result in less space for tooth growth. This study aimed to analyze the relationship between diet and wisdom teeth. This was a narrative review study using databases of Google Scholar, Science Direct, and Pubmed (MEDLINE) with a publication period between 2010-2019. The keywords used were amelogenesis imperfecta, enamel, and genes. The results showed that the definition of impaction was a condition that caused a tooth to fail to reach its functional position. Third molars, canines, and premolars were the most frequently impacted teeth. At present, evolution causes a reduction in the jaw dimensions due to dietary factors, namely the nature of the food or the level of utilization of chewing tools that affect the eruption of wisdom teeth. In conclusion, the modern diet results in the loss of growth stimulation in the jaw, which is a risk factor for non-eruption wisdom teeth that will cause impacted wisdom teeth.Keywords: wisdom teeth; diet; impaction
Relationship Between Knowledge and Parctice of Mothers With Basic Immunization Completeness in Infant Aged 0-12
Authors: Widyaningsih Umi 
Published: April 2022

Background: Based on the Health Profile of Kediri Regency, immunization coverage in 2015, Kediri Regency has not reached the predetermined terget because the coverage is still below 90%. According to the reporting that has been collected in the Kediri District Health Profile, the Papar District is one of the three sub district that has the lowest proportion of immunization coverage, which is below 80%. Aim: This study is conducted to determine the relation between mothers’ knowledge and practices and basic immunization completeness coverage on babies aged 0-12 months in Papar District Health Center, Kediri Regency. Method: This study uses observational analytical study with cross sectional approach. The population were all mothers who have babies aged 0-12 months in the Papar District, Kediri Regency, amounting to 416. Moreover, this study uses total sampling technique to gather the data. The instrument used for this study cinsisted of two questionnaires, a questionnaire for knowledge and practice. Results: The sample size was 150 respondents with the inclusion criteria including mothers that have babies aged 0-12 months, are at the location at the time of this study, and are willing to be respondents. Meanwhile, the exclusion criteria are mothers who do not have MCH Handbook (Kartu Ibu dan Anak/KIA) or growth chart (Kartu Menuju Sehat/KMS) and mothers who are out of town when the data collection is conducted. It is shown that 48% of mothers have good knowledge, 93.3% of mothers have good practices towards immunization, and 92% of infants had complete immunization coverage. The results of the Chi-square test of knowledge on immunization completeness coverage p = 0.527 (p>0.05), practice on immunization completeness coverage p = 0.001 (p <0.05). Conclusion: The data shows that there is no relationship between knowledge and immunization completeness coverage. Meanwhile, it is found that there is a relationship between practice and immunization completeness coverage in Papar District Health Center, Kediri Regency.