bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acceptance towards decriminalization of medical marijuana among adults in Selangor, Malaysia
Authors: Dapari Rahmat , Mahfot Mohd Hafizuddin , Mohd Nazan Ahmad Iqmer Nashriq , Hassan Mohd Rohaizat , Che Dom Nazri , Syed Abdul Rahim Syed Sharizman 
Published: February 2022

Introduction
The issue of decriminalization of medical marijuana has gained public attention globally due to the decisions of various governments in developed and developing countries who have decriminalized marijuana for medical purposes. The action was the result of the change in perception towards medical marijuana use, which is now believed to be safe, acceptable, and should be decriminalized. Due to the progress of modernization and the wide access to information, the change in perception towards medical marijuana seems to be inevitable and might have already permeated among the public in Malaysia. However, at the moment there is no baseline data to determine any of this claim.

Objective
To determine the prevalence and factors associated with acceptance towards decriminalization of medical marijuana among adults in Selangor, Malaysia.

Methodology
The study was a cross-sectional study conducted in year 2021 among 462 adults aged 18 years old and above in Selangor, Malaysia. The respondents were sampled using a multistage random sampling. The data was collected via self-administered questionnaires and has been analyzed using SPSS version 25.

Result
More than half of the respondents in this study (64.7%) show acceptance towards the decriminalization of medical marijuana in Malaysia. The results of statistical tests indicate that there are significant associations between age (p < 0.001), gender (p = 0.005), ethnicity (p < 0.012), level of education (p < 0.011), employment status (p = 0.001), ever smoked (p < 0.001), given up smoking (p = 0.002), ever used substance (p < 0.001), current substance use (p < 0.001), given up substance (p < 0.001), exposure to medical marijuana-related content (p < 0.001), perceived risk associated with medical marijuana use (p < 0.001), perceived risk of harm of medical marijuana use (p < 0.001), and perceived approval of medical marijuana use (p < 0.001) with acceptance towards decriminalization of medical marijuana. The predictors for acceptance towards decriminalization of medical marijuana are perceived high approval of medical marijuana use (aOR = 7.023, p < 0.001, 95%CI = 3.534,13.955), perceived low risk of medical marijuana (aOR = 5.716, p < 0.001, 95%CI = 2.828,11.554), perceived low risk of harm from medical marijuana use (aOR = 3.480, p = 0.001, 95%CI = 1.702,7.114), current substance use (aOR = 2.264, p = 0.050, 95%CI = 1.001,5.118), and ever used substance (aOR = 2.005, p = 0.004, 95% CI = 0.054,0.576).

Conclusion
The results of the survey show that the current acceptance level towards decriminalization of medical marijuana is considerably high. However, the acceptance is mainly among those who are exposed to the substance and those who perceive low risk of medical marijuana. Thus, a further exploration of this phenomenon is needed, especially by increasing the sample size and expanding the study location to other states.
The ARMADILLO text message intervention to improve the sexual and reproductive health knowledge of adolescents in Peru: Results of a randomized controlled trial
Authors: Perez-Lu Jose E. , Guerrero Fiorella , Cárcamo César P. , Alburqueque Mónica , Chiappe Marina , Hindin Michelle J. , Habib Ndema , Say Lale , Gonsalves Lianne , Bayer Angela M. 
Published: February 2022

Background
The ARMADILLO Study determined whether adolescents able to access SRH information on-demand via SMS were better able to reject contraception-related myths and misconceptions as compared with adolescents receiving pushed SMS or no intervention.

Trial design
This trial was an unblinded, three-arm, parallel-group, individual RCT with a 1:1:1 allocation. Trial registration: ISRCTN85156148.

Methods
This study was conducted in Lima, Peru among participants ages 13–17 years. Eligible participants were randomized into one of three arms: Arm 1: access to ARMADILLO’s SMS information on-demand; Arm 2 access to ARMADILLO SMS information pushed to their phone; Arm 3 control (no SMS). The intervention period lasted seven weeks. At baseline, endline, and follow-up (eight weeks following endline), participants were assessed on a variety of contraception-related myths and misconceptions. An index of myths-believed was generated. The primary outcome assessed the subject-specific change in the mean score between baseline and endline. Knowledge retention from endline to follow-up was also assessed, as was a ‘content exposure’ outcome, which assessed change in participants’ knowledge based on relevant SMS received.

Results
In total, 712 participants were randomized to the three arms: 659 completed an endline assessment and were included in the primary analysis. Arm 2 participants believed fewer myths at endline compared with control arm participants (estimated subject-specific mean difference of -3.69% [-6.17%, -1.21%], p = 0.004). There was no significant difference between participants in Arm 1 vs. the control Arm, or between participants in Arm 1 vs. Arm 2. A further decrease in myths believed between endline and follow-up (knowledge retention) was observed in all arms; however, there was no difference between arms. The content exposure analysis saw significant reductions in myths believed for Arm 1 (estimated subject-specific mean difference of -9.47% [-14.83%, -4.11%], p = .001) and Arm 2 (-5.93% [-8.57%, -3.29%], p < .001) as compared with the control arm; however Arm 1’s reduced sample size (n = 28) is a severe limitation.

Discussion
The ARMADILLO SMS content has a significant (but small) effect on participants’ contraception-related knowledge. Standalone, adolescent SRH digital health interventions may affect only modest change. Instead, digital is probably best used a complementary channel to expand the reach of existing validated SRH information and service programs.
Impact of nutrient warning labels on choice of ultra-processed food and drinks high in sugar, sodium, and saturated fat in Colombia: A randomized controlled trial
Authors: Mora-Plazas Mercedes , Aida Higgins Isabella Carolyn , Gomez Luis Fernando , Hall Marissa , Parra Maria Fernanda , Bercholz Maxime , Murukutla Nandita , Taillie Lindsey Smith 
Published: February 2022

ObjectiveThis study assessed nutrient warnings’ impact on product selection and identification of food products high in nutrients of concern in Colombia.MethodsIn an online experiment (October 2020), 8,061 Colombians were randomized to a nutrient warning, guideline daily amounts (GDA), Nutri-Score, or no-label condition. They viewed two fruit drinks labeled according to their condition, one high in sugar and one not, and completed selection tasks. Next, they assessed four products high in sugar, sodium, and/or saturated fat (“high in” product). Finally, they selected which label would most discourage them from consuming a “high in” product.ResultsThe nutrient warning performed better on most outcomes. Twenty percent of participants exposed to the nutrient warning would purchase the high-sugar fruit drink compared to GDA (24%, p<0.01), Nutri-Score (33%, p<0.001), and no label (29%, p<0.001). GDA performed slightly better than the nutrient warning in identifying the high-sugar fruit drink (91% vs 88%, p<0.001). The nutrient warning best helped participants correctly identify other “high in” products (75% vs. 23% no-label, 26% Nutri-Score, and 43% GDA, all p<0.001) and had the highest perceived message effectiveness (3.86 on 5-point scale vs. 2.97 GDA and 2.70 Nutri-Score, both p<0.001) and lowest likelihood of purchasing “high in” products (2.58 on 5-point scale vs. 3.23 GDA, 3.49 Nutri-Score, and 3.51 no label, all p<0.001). The nutrient warning most discouraged participants from wanting to consume “high in” products.ConclusionsNutrient warnings are a promising policy to help consumers identify and discourage consumption of products high in nutrients of concern.Trial registrationTrial Registration:NCT04567004.
Affective communication with patients with limited health literacy in the palliative phase of COPD or lung cancer: Analysis of video-recorded consultations in outpatient care
Authors: Otte Rebecca , Roodbeen Ruud , Boland Gudule , Noordman Janneke , van Dulmen Sandra 
Published: February 2022

Objectives
Affective communication in outpatient care is important, especially in the palliative phase. Appropriate responses by healthcare providers to emotional cues or concerns let patients express their feelings and enhance information recall and patient satisfaction. Patients with limited health literacy experience more barriers in health-related communication and information, which makes recognizing their cues and concerns even more relevant. This study explores emotional cues/concerns expressed by patients with limited health literacy and evaluates healthcare providers’ responses to these utterances.

Methods
Verona Coding Definitions of Emotional Sequences (VR-CoDES), a consensus-based system for coding patients’ expression of emotional distress in medical consultations, was used in this exploratory observational study to analyse affective communication in video-recorded outpatient consultations. Consultations of 18 (10 female, 8 male) COPD or lung cancer patients (aged 70.3±6.8) with limited health literacy were recorded and analysed. Eight healthcare providers in four hospitals participated in the study.

Results
101 cues and 11 concerns were observed, making 6.2 (SD = 4.2) cues or concerns per consultation. Healthcare provider responses were explicit in 56% and left scope for further disclosures in 58% of the cases. Patients with limited health literacy seem to express more cues or concerns than other patient populations. Healthcare providers responded roughly equally often in five different ways, but they shied away from further exploring the emotion disclosed in the cue/concern. Future research should elaborate on these exploratory observations, especially regarding why HCPs often only leave limited space for further disclosure of emotions in palliative care.
Horticultural therapy for general health in the older adults: A systematic review and meta-analysis
Authors: Wang Zhijie , Zhang Yu , Lu Shanshan , Tan Linlin , Guo Wei , Lown Mark , Hu Xiaoyang , Liu Jianping 
Published: February 2022

Background
With a pronounced and historically unprecedented tendency of population ageing, research on ageing and related disorders has been increasingly brought into focus. Horticultural therapy (HT), as an important role of social prescribing, has been an integrative for decades. This systematic review and meta-analysis aimed to evaluate HT for general health in older adults.

Methods
Electronic databases including PubMed, Web of Science, ScienceDirect, the Cochrane Library, MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCO), China National Knowledge Infrastructure (CNKI), and the Wanfang database, grey literature databases and clinical trials registers were searched from inception to March 2021. Randomized controlled trials (RCTs), quasi-RCTs (QRCTs) and the cohort studies about HT for adults aged over 60 were included in this study. Outcome measures were physical function, quality of life, BMI, mood tested by self-reported questionnaire and the expression of the immune cells. The study was registered under PROSPERO (CRD42019146184).

Results
Totally, fifteen studies (thirteen RCTs and two cohort studies) involving 1046 older participants were included. Meta-analysis showed that HT resulted in better quality of life (MD 2.09, 95% CI [1.33, 2.85], P<0. 01) and physical function (SMD 0.82, 95% [0.36, 1.29], P<0.01) compared with no-gardener; the similar findings showed in BMI (SMD -0.30, 95% [-0.57, -0.04], P = 0.02) and mood tested by self-reported questionnaire (SMD 2.80, 95% CI [1.82, 3.79], P<0. 01). And HT might be conducive on blood pressure and immunity, while all the evidence were moderate-quality judged by GRADE.

Conclusions
HT may improve physical function and quality of life in older adults, reduce BMI and enhance positive mood. A suitable duration of HT may be between 60 to 120 minutes per week lasting 1.5 to 12 months. However, it remains unclear as to what constitutes an optimal recommendation.
The association between migraine and breast cancer risk: A systematic review and meta-analysis
Authors: Hesari Elahe , Ahmadinezhad Mozhgan , Arshadi Maedeh , Azizi Hosein , Khodamoradi Farzad 
Published: February 2022

BackgroundMigraines is likely to play a protective role in the risk of breast cancer. Some studies have shown that there is an inverse relationship between migraine and breast cancer, and some studies have not found an association; therefore, results from previous studies have been inconclusive and we conducted a meta-analysis to evaluate association between migraine and breast cancer.MethodsPubMed, EMBASE, Scopus and Web of Science were searched to identify studies on the association between migraine and breast cancer from January 1, 2000 through March 12, 2021. The pooled relative risk (RR) and the 95% confidence intervals (CI) was used to measure this relationship by assuming a random effects meta-analytic model.ResultsA total of 10 studies were included. Our study revealed that there was statistically significant inverse relationship between migraine and breast cancer in case-control studies 0.68 [95% CI: 0.56, 0.82], but no significant relationship was found in cohort studies 0.98 [95% CI: 0.91, 1.06]. Also, migraine reduced the risk of ductal carcinoma 0.84 [95% CI: 0.73, 0.96], and lobular carcinoma 0.83 [95% CI: 0.73, 0.96]. With respect to ER_PR status no association between migraine and breast cancer was found. We found no evidence of publication bias.ConclusionOur analysis demonstrated a statistically significantly inverse relationship between migraine and total risk of breast cancer only in case-control studies. In summary, cohort studies do not support an inverse association between migraine and incident breast cancer. While in case-control studies, migraine has an inverse association with ductal carcinoma and lobular carcinoma of breast.
Comparison of diagnostic performance between conventional and ultrasensitive rapid diagnostic tests for diagnosis of malaria: A systematic review and meta-analysis
Authors: Yimam Yonas , Mohebali Mehdi , Abbaszadeh Afshar Mohammad Javad 
Published: February 2022

Background
Successful malaria treatment, control and elimination programs require accurate, affordable, and field-deployable diagnostic tests. A number of studies have directly compared diagnostic performance between the new ultrasensitive rapid diagnostic test (us-RDT) and conventional rapid diagnostic test (co-RDT) for detecting malaria. Thus, we undertook this review to directly compare pooled diagnostic performance of us-RDT and co-RDT for detection of malaria.

Methods
PubMed, Web of Science, Scopus, Embase, and ProQuest were searched from their inception until 31 January 2021 accompanied by forward and backward citations tracking. Two authors independently assessed the quality of included studies by RevMan5 software (using the QUADAS-2 checklist). Diagnostic accuracy estimates (sensitivity and specificity and others) were pooled using a random-effect model and 95% confidence interval (CI) in Stata 15 software.

Results
Fifteen studies with a total of 20,236 paired co-RDT and us-RDT tests were included in the meta-analysis. Molecular methods (15 studies) and immunoassay test (one study) were used as standard methods for comparison with co-RDT and us-RDT tests. The pooled sensitivity for co-RDT and us-RDT were 42% (95%CI: 25–62%) and 61% (95%CI: 47–73%), respectively, with specificity of 99% (95%CI: 98–100%) for co-RDT, and 99% (95%CI: 96–99%) for us-RDT. In asymptomatic individuals, the pooled sensitivity and specificity of co-RDT were 27% (95%CI: 8–58%) and 100% (95%CI: 97–100%), respectively, while us-RDT had a sensitivity of 50% (95%CI: 33–68%) and specificity of 98% (95%CI: 94–100%). In low transmission settings, pooled sensitivity for co-RDT was 36% (95%CI: 9 76%) and 62% (95%CI: 44 77%) for us RDT, while in high transmission areas, pooled sensitivity for co RDT and us RDT were 62% (95%CI: 39 80%) and 75% (95%CI: 57–87%), respectively.

Conclusion
The us-RDT test showed better performance than co-RDT test, and this characteristic is more evident in asymptomatic individuals and low transmission areas; nonetheless, additional studies integrating a range of climate, geography, and demographics are needed to reliably understand the potential of the us-RDT.
Factors associated with unmet need for family planning in sub-Saharan Africa: A multilevel multinomial logistic regression analysis
Authors: Teshale Achamyeleh Birhanu 
Published: February 2022

Background
More than one out of every ten married women in the world, and one out of every five women in Africa, have unmet family planning needs. Despite this, studies concerning sub-Saharan Africa as well as the community-level factors that may influence the unmet need for family planning are scarce.

Objective
To assess factors associated with unmet need for family planning in sub-Saharan Africa.

Methods
This study used the nineteen demographic and health surveys (DHS) conducted between 2015 and 2020 in sub-Saharan Africa. A total weighted sample of 175, 820 women of reproductive age who were married during the survey was used for this study. To assess the factors associated with unmet need for family planning, I have employed a multilevel multinomial logistic regression model. After selecting variables using the bivariable analysis, a multivariable model was fitted. Finally, an adjusted relative risk ratio with its 95% Confidence Interval was reported and variables with a p-value less than 0.05 were declared to be significant predictors of unmet need for family planning.

Result
The overall prevalence of unmet need for family planning in sub-Saharan Africa was 23.70%, of which unmet need for spacing and limiting was 15.81% and 7.90% respectively. In the multivariable multilevel multinomial model, women’s age, women’s education, age at cohabitation, heard about family planning through media, parity, number of under-five children, and knowledge about modern contraceptive methods were among the individual-level factors that were associated with both the unmet need for spacing and limiting. Place of residence, community level of women illiteracy, and region were among the community-level factors that were associated with both unmet needs for spacing and limiting. Household size and visiting the health facility in the last 12 months were associated with unmet need for spacing only and husband education was associated with unmet need for limiting only.

Conclusion
Unmet need for family planning in sub-Saharan Africa was high. Both individual and community level factors were associated with both unmet need for spacing and limiting. Therefore, it is better to consider interventions at both individual and community levels.
Implementasi Kebijakan Restrukturisasi/Relaksasi Kredit bagi Debitur Terdampak Pandemi Covid 19 dan Akibat Hukumnya bagi Kreditur Terdampak Pandemi Covid 19 di Sektor Perbankan
Authors: Karim Asma 
Published: February 2022

Kebijakan restrukturisasi /relaksasi kredit bagi nasabah debitur terdampak covid 19 sebagaimana dimaksud dalam POJK Stimulus Dampak Covid-19 menyebutkan bahwa Bank dapat menerapkan kebijakan yang mendukung stimulus pertumbuhan ekonomi untuk debitur yang terkena dampak penyebaran coronavirus disease 2019 (COVID-19) termasuk debitur usaha mikro, kecil, dan menengah. Lebih lanjut masalah pokok yang akan dikaji adalah bagaimana implementasi kebijakan restrukturisasi/relaksasi kredit bagi nasabah debitur terdampak pandemi covid 19 di sektor perbankan dan bagaimana akibat hukum kebijakan restrukturisasi /relaksasi kredit bagi bank sebagai kreditur terdampak pandemic covid 19. Penelitian ini adalah penelitian hukum yuridis normatif yang berbasis pada data sekunder atau studi pustaka. Hasil Penelitian menunjukkan bahwa Implementasi restrukturisasi kredit bagi nasabah debitur terdampak covid 19 baik orang perorangan, korporasi termasuk UMKN antara lain berupa: a) penurunan suku bunga; b) perpanjangan jangka waktu; c) pengurangan tunggakan pokok; d) pengurangan tunggakan bunga; e) penambahan fasilitas kredit/pembiayaan; dan/atau f) konversi kredit/pembiayaan menjadi Penyertaan Modal Sementara skemanya oleh OJK kepada masing-masing-masing bank tetapi tetap merujuk kepada POJK. Akibat hukum dari pelaksanaan restrukturisasi/relakasasi kredit di tengah situasi pandemic covid 19 yang belum berakhir tidak menutup kemungkian akan membawa high risk atau risiko ekonomi tinggi jika nasabah debitur yang direstrukturisasi/relaksasi kredit ternyata tidak memiliki kemampuan bertahan. Akibat hukum lain yang muncul adalah berkurangnya income atau pendapatan bagi bank.
Determination of the dynamic performance of natural viscoelastic composites with different proportions of reinforcing fibers
Authors: Shlykov Sergei , Rogulin Rodion , Kondrashev Sergey 
Published: February 2022

Abstract
Viscoelastic composites are strong and handle vibration damping quite well, which allows them to be used in a wide variety of applications. Thus, there is a need to determine the optimal amount of fiber to ensure high mechanical and dynamic performance with as little interference as possible. The purpose of this work is to find the most appropriate percentage of organic fiber – cellulose derived from corn stalks in a polylactic acid matrix, studying the changes in damping characteristics, tensile strength, bend-test. As parameters for comparison, the coefficient of bending and breaking strength, modules of accumulation and losses, factor C were chosen. It was found that strength indicators decrease with fiber fraction growth. While the damping factor at the glass transition temperature increases. In order to confirm the results obtained, the calculation of the C factor was used. The study investigates the damping factor’s dependence on the mechanical properties. It is shown that there is a correlation between moduli and bending strength with increasing fiber fraction. The scientific novelty of this work is the study of natural viscoelastic composites with different proportions of reinforcing fibers based on mechanical and dynamic characteristics in order to create and apply biodegradable viscoelastic composites in various fields.
Switching transient analysis for low voltage distribution cable
Authors: Mishra Sanhita , Swain Sarat Chandra , Dash Ritesh 
Published: February 2022

Abstract
Low voltage cable is primarily connected from the transmission system to several household applications. It is quite common that switching transient in the power system during the energization of the high voltage and low voltage cables have a very crippling effect on the cable as well as the power system components. Hence, an experiment has been performed in the laboratory with a low voltage cable-connected motor system. The experimental results have been validated in the simulation platform, and they are capable of predicting the transient behavior during power cable energization. The effect of transients on power cables during the energization of devices has been investigated in this study in the form of voltage, current, and frequency. Discrete wavelet transform is implemented for the decomposition of the transient current. The generated approximation signal is used to quantify the severity during switching transient condition.