bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the effect of a gel made with amniotic fluid formulation on the healing of diabetic foot ulcers: A triple-blind clinical trial
Authors: Niami Fatemeh , Molavynejad Shahram , Hemmati Ali Asghar , Bijan Nejad Darioush , Yazdanpanah Leila , Maram Nader Shakiba , Saki Malehi Amal , Mahmoudi Mandana 
Published: December 2022

AimThe aim of this study was to evaluate the effect of a gel made with amniotic fluid (AF) formulation on wound healing in diabetic foot ulcers.MethodsThis clinical trial was performed on 92 type 2 diabetic patients referring to the Diabetes Clinic of Golestan Hospital of Ahvaz, southwest of Iran in 2019–2020. Patients were randomly divided into three groups of intervention and one placebo group. The wounds of the three intervention groups were dressed with gauze impregnated with an AF formulation gel while wounds of the control group were dressed with plain gauze without any topical agent. Chi-square tests and generalized estimating equations (GEE) with a significance level of 0.05 were used to analyze the data.ResultsAt the end of the eighth week of intervention, there was a statistically significant difference among the four groups in terms of wound grade, wound color, condition of the tissues surrounding the wound, the overall condition of the wound, and the duration of wound healing (P &lt; 0.05).ConclusionsBased on our experience with the patients in the present study, we believe that AF represents a useful and safe option for the treatment of chronic diabetic foot ulcers.Clinical trial registrationhttps://en.irct.ir/trial/51551, Identifier: IRCT20201010048985N1.
Understanding health inequalities in Wales using the Blinder-Oaxaca decomposition method
Authors: Allen James , Cotter-Roberts Andrew , Darlington Oliver , Dyakova Mariana , Masters Rebecca , Munford Luke 
Published: December 2022

BackgroundThroughout Wales and the world, health inequality remains a problem that is interconnected with a wider and complex social, economic and environmental dynamic. Subsequently, action to tackle inequality in health needs to take place at a structural level, acknowledging the constraints affecting an individual's (or community's) capability and opportunity to enable change. While the ‘social determinants of health' is an established concept, fully understanding the composition of the health gap is dependent on capturing the relative contributions of a myriad of social, economic and environmental factors within a quantitative analysis.MethodThe decomposition analysis sought to explain the differences in the prevalence of these outcomes in groups stratified by their ability to save at least £10 a month, whether they were in material deprivation, and the presence of a limiting long-standing illness, disability of infirmity. Responses to over 4,200 questions within the National Survey for Wales (n = 46,189; 2016–17 to 2019–20) were considered for analysis. Variables were included based on (1) their alignment to a World Health Organization (WHO) health equity framework (“Health Equity Status Report initiative”) and (2) their ability to allow for stratification of the survey sample into distinct groups where considerable gaps in health outcomes existed. A pooled Blinder-Oaxaca model was used to analyse inequalities in self-reported health (fair/poor health, low mental well-being and low life satisfaction) and were stratified by the variables relating to financial security, material deprivation and disability status.ResultsThe prevalence of fair/poor health was 75% higher in those who were financially insecure and 95% higher in those who are materially deprived. Decomposition of the outcome revealed that just under half of the health gap was “explained” i.e., 45.5% when stratifying by the respondent's ability to save and 46% when stratifying by material deprivation status. Further analysis of the explained component showed that “Social/Human Capital” and “Income Security/Social Protection” determinants accounted the most for disparities observed; it also showed that “Health Services” determinants accounted the least. These findings were consistent across the majority of scenarios modeled.ConclusionThe analysis not only quantified the significant health gaps that existed in the years leading up to the COVID-19 pandemic but it has also shown what determinants of health were most influential. Understanding the factors most closely associated with disparities in health is key in identifying policy levers to reduce health inequalities and improve the health and well-being across populations.
The epidemiological trend of monkeypox and monkeypox-varicella zoster viruses co-infection in North-Eastern Nigeria
Authors: Stephen Roland , Alele Faith , Olumoh Jamiu , Tyndall Jennifer , Okeke Malachy Ifeanyi , Adegboye Oyelola 
Published: December 2022

BackgroundMonkeypox (MPX) is endemic in Nigeria, but it was first reported in Adamawa state, North-Eastern Nigeria, in January 2022. There are currently 172 cases of MPX in Nigeria, with four reported deaths, and Adamawa has the second-highest case count. Therefore, this study was undertaken to evaluate the epidemiological profile of this viral disease.MethodsThis is a cross-sectional study. The skin and blood samples were screened for the presence for Monkeypox virus (MPXV) and Varicella Zoster virus (VZV) DNA by real-time PCR; the clinical diagnosis was based on symptoms of visual signs of skin lesions and other clinical symptoms from January to July 2022.ResultsA total of 33 suspected cases aged 1–57 years [26 (79%) males vs. 7 (21%) females] were screened for MPX and VZV. Twenty-four (72.7%) were positive (6.1% were MPX only, 39% were VZV only, and 27% were both MPX and VZV). Most cases of MPX (82%), VZV (69%) and MPX-VZV co-infection (78%) occurred in males. More than half (54%) of those infected were children and adolescents between 0 and 19 years. All patients experienced body rashes and itching, and other clinical symptoms included fever, headache, mouth sores, muscle aches and lymphadenopathy. Over 64 and 86% of patients had contact with livestock and rodents, respectively.ConclusionMPXV, VZV and MPXV-VZV co-infections occurred predominantly among males and children in Adamawa state, Nigeria. Given the patient contact with rodents and livestock, further research on the animal reservoir is needed to highlight the transmission of MPXV in Adamawa.
Evaluation of the communication strategy for promoting physical activity in a cross-company network in Germany: A mixed-methods analysis
Authors: Hoffmann Carina , Schaller Andrea 
Published: December 2022

IntroductionThe workplace is considered a promising setting for reaching physically inactive adults, but participation quotes in workplace health promotion (WHP) remain low. Regarding the low participation in WHP, the question emerges concerning the importance of health communication strategies. This paper presents the results from the evaluation of the communication strategy of a cross-company network for promoting physical activity and derives findings for the successful communication of measures.Materials and methodsQuantitative and qualitative data sources were used to evaluate the communication strategy. The methods applied included individual semi-structured interviews (n = 14) and the monitoring of the usage of digital communication channels.ResultsThe analysis revealed that the usage of the digital communication channels within this study was subjected to major fluctuations and a variety of factors must be considered when communicating physical activity measures in a cross-company network. It is important to engage in appropriate communication management that explicitly takes the interpersonal communication and the organizational circumstances into account.ConclusionThis study revealed which factors may have an influence on the successful communication of physical activity measures in the context of WHP in cross-company networks. Thus, it makes an important contribution to the transfer of science and practice as it captured relevant questions from the field of WHP.Trial registrationGerman Clinical Trials Register (DRKS)-ID: DRKS00020956; Date of registration: 18 June 2020, https://drks.de/search/de/trial/DRKS00020956.
Living alone reduces the decline of calf circumference among Chinese older adults: A 4-year longitudinal study
Authors: Wang Dong , Zhang Jun 
Published: December 2022

Background: Calf circumference (CC) is regarded as a surrogate marker of skeletal muscle mass with high sensitivity and specificity for predicting sarcopenia. A cross-sectional study reported older adults living alone were at high risk of developing sarcopenia. Whether living alone affects the change of calf circumference is unknown and there is no evidence from longitudinal study. The purpose of this study was to investigate the relationship between living arrangements and the change of calf circumferences among older adults in China.Methods: The data were from the Chinese Longitudinal Healthy Longevity Survey. A total of 2,203 older adults (age ≥65 years, mean age: 80.61 ± 8.30 years, 50.0% female) who were interviewed in 2014 and then 2018 follow-up survey were finally included for analysis. Living arrangements and other information were collected in 2014. Calf circumferences were measured and recorded in the questionnaires of two waves and the differences were calculated. Logistic regression analyses were conducted to evaluate the association of living arrangements (living alone or not living alone) with the change of calf circumferences (decline or no decline).Results: There were 446 (20.2%) participants living alone and 1,757 (79.8%) participants not living alone. After about 4 years, calf circumferences of 866 (39.3%) older adults declined. Compared to not living alone, living alone was negatively associated with calf circumference decline, even after adjustment for covariates (OR: 0.702, 95% CI: 0.547–0.901, p = 0.005). This significant association was found in 65–79 years old (OR: 0.619, 95% CI: 0.407–0.942, p = 0.025), female (OR: 0.567, 95% CI: 0.408–0.790, p = 0.001) and city/town (OR: 0.461, 95% CI: 0.310–0.685, p &lt; 0.001) subgroups but not in advanced age (≥80 years old), male and rural subgroups.Conclusion: This study revealed that living alone was associated with a decreased risk of calf circumference decline among older adults, and might be a protective factor for sarcopenia.
Effect of dog-related parameters on the flexion test outcome: A large cohort retrospective study on physiological and orthopedic pathological-related factors
Authors: Grosjean Diane , De Bakker Evelien , Mugnier Amélie , Forterre Franck , Saunders Jimmy , Van Ryssen Bernadette , Samoy Yves Camiel Alice 
Published: December 2022

ObjectivesThis retrospective study evaluates the dog-related factors of variation influencing the outcome of the flexion test (FT), when performed to localize pain to a joint area, on a large group of canine orthopedic patients.Materials and methodsThe selection criteria for this retrospective study were dogs undergoing a FT in a referral orthopedic clinic between 2009 and 2020 with a complete medical record. The canine FT, described in a previously published protocol, was performed on dogs presented with an orthopedic problem. In summary, a dog's joint, identified as suspected of an orthopedic problem according to the clinical examination, was flexed for 1 min before walking 15 m on a hard and even surface. The FT was considered positive if the lameness increased after the application of the FT and negative when it remained unchanged. Statistical analysis was performed to determine which of the following criteria could influence the outcome of the flexion test: age, gender, neutered status, weight category, tested joint and initial lameness score.ResultsOver 1,161 patients' files were collected and analyzed for this research. The FT showed 82.8% (95%IC: 80.5–84.9) of true positives and 17.2% of false negatives. None of the patient's intrinsic characteristics influenced the outcome of the test (age, gender, neutered status, and weight category). The orthopedic parameters, such as the initial lameness score and the tested joint, showed to have a statistically significant influence on the outcome of the test.Clinical relevanceThe FT is an easy-to-perform technique presenting reliable results on most joints. This test presents an interest when performed in addition to a complete orthopedic examination to localize pain to a joint area. Only the orthopedic pathological-related parameters such as the lameness score and the tested joint seem to influence the outcome of the FT. The FT is not influenced by the physiological-related characteristic of the patient (age, weight category, sex, and neutered status).
Pemasaran Produk Macrame Handycraft Pada Media Instagram Sebagai Sarana Online Marketing
Authors: Irmayanti Hani , Nurhayati Sri , Lubis Riani 
Published: December 2022

Permasalahan yang ada pada mitra adalah mitra belum mengetahui bagaimana pemanfaatan teknologi untuk promosi dan penjualan hasil kerajinan makrame. Mitra juga kesulitan dalam membuat branding produk, sehingga masih kesulitan dalam memperkenalkan produk kerajinan tangan yang mereka buat ke masyarakat luas. Tujuan dilaksanakan Pengabdian dan Pemberdayaan Masyarakat ini adalah Memperkenalkan penggunaan teknologi sebagai media untuk melakukan promosi dan penjualan produk serta memberikan informasi bagaimana cara membangun kekuatan branding produk dengan media sosial Instagram. Media social Instagram akan digunakan dalam proses promosi ini, karena sekarang media ini penggunanya cukup banyak dari semua kalangan, tidak hanya digunakan untuk kepentingan probadi, akan tetapi digunakan juga untuk bisnis. Metode yang akan digunakan dalam kegiatan ini adalah pembekalan materi untuk menjelaskan apa itu media sosial Instagram, bagaimana cara menggunakan media sosial tersebut, selain itu juga dilakukan pelatihan terhadap Ibu-Ibu di RT.01 Kelurahan Kebonwaru Kota Bandung dalam melakukan pembuatan akun Instagram. Kemudian pelatihan dalam penggunaan Instagram untuk kegiatan promosi dan penjualan. Selain itu juga pelatihan dalam branding produk yang akan di promosikan dalam Instagram.Setelah dilaksanakannya kegiatan Pengabdian dan pemberdayaan pada masyarakat ini, Ibu-Ibu di RT.01 lebih peham penggunaan media sosial Instagram dan juga lebih memahami lagi bagaimana cara memasarkan produk mereka di media sosial Instagram.
Le Moyen-Orient et les Grands
Authors: Thobie Jacques 
Published: December 2022

El Oriente Medio y las grandes Potencias.
En la Historia reciente de las relaciones entre los paises del Oriente Medio y las grandes Potencias, Jacques Thobie discierne très evoluciones principales. La primera, desde 1955, consegra la reunión entre movimientos nacionales y paises socialistas. La secunda, desde 1970 hasta los acuerdos de Camp David, de nuevo, da una importancia mayor a la diplo-macia americana y a sus intereses. Por fin, Jacques Thobie intenta medir el posible equili-brado de los proximos anos.
Nicaragua : succès de la défense sandiniste, approfondissement de la démocratie, économie de guerre
Authors: Etienne Monique 
Published: December 2022

Success of the Sandinist Defense, increase in democracy, warfare economy.
Compelled to conduct a warfare economy, the government, in spite of hesitations and administrative awkwardness, tries to set up a new model of development, while military and diplomatic successes are achieved.
Discours de Alan Garcia Pérez (Pérou) au 8e Sommet du Mouvement des non-alignés, Harare Septembre 1986.
Authors: García perez Alan 
Published: December 2022

Alan Garcia Perez : Speech at the 8th Summit meeting of the Non-Aligned Movement.
In this speech, the Peruvian President explains at length the reasons why his country decided not to dedicate more than 10 % of its export incomes to pay the debt. Calling for solidarity with its positions, he shows how the Third-World debt could become a historical occasion to create a fairer economical order.
Catastrophes et gestion de l’environnement dans le Tiers-monde
Authors: Dory Daniel 
Published: December 2022

Disasters and environment managing in the Third World.
Having described natural, anthropic and technological disasters, the author underlines how much heavier are their consequences in the conditions of underdevelopment and sets off the vulnerability of the affected populations. Environment policies must be decided, combining repairing, forecasting and prevention.
«Pour un monde sans armes nucléaires, pour la survie de l'humanité». Discours prononcé le 16 février 1987
Authors: Gorbatchev Mikhaïl 
Published: December 2022

For a world without nuclear weapons, for the survival of mankind.
M. Gorbatchev’s speech at the Moscow Forum in February 1987 is here published at full length. He explains how mankind must enter the post-nuclear era, stronger and having overcome the nuclear diseaese.
Les Etats-Unis et l’OTAN
Authors: Solbès Jean 
Published: December 2022

Los Estados Unidos y la OTAN.
La importancia de las perspectivas abiertas por las proposiciones soviéticas de desarme sorprendieron a los Americanos. La conferencia en la cumbre de Reykjavik a propósito de la reducción de los armamentos nucleares ha asustado a muchos especialistas americanos. El camino que ha abierto pone en tela de juicio la estrategia de la disuasión de la Alianza Atlántica y refuta el papel de liderazgo que Washington ejerce sobre sus aliados. Ahora, el gobierno americano trabaja en la elaboración de una nueva estrategia. Sigue tratando de abrir fallas en el «campo» socialista, sin embargo no sabe hasta dónde ir, porque tiene la fragmentación del equilibrio bipolar de Europa.
Entre repli autoritaire et désastre social : dangereuses dérives en Yougoslavie
Authors: Bovy Yannick 
Published: December 2022

Si le régime du président serbe Slobodan Milosevic a largement remporté les élections législatives du 3 novembre dernier, il a en revanche enregistré une défaite inattendue lors du second tour du scrutin municipal qui s’est tenu deux semaines plus tard. Mais la coalition d’opposition s’est immédiatement vu confisquer la victoire par un pouvoir résolu à ne rien perdre de son emprise.
On assiste depuis lors à un mouvement de protestation ininterrompu, sans précédent, qui enfle jour après jour et menace un système crispé sur ses positions. La tension monte en Serbie, sur fond de crise socio-économique profonde. Échos d’une société instable et dévastée.
Willi Münzenberg et la solidarité internationale
Authors: Roche Simone 
Published: December 2022

Étranges destins que ceux de Willi Münzunberg et d'Henri Curiel. Tous deux organisateurs exceptionnels de la solidarité internationale, l'un avant-guerre, l’autre après-guerre, et tous deux assassinés dans des circonstances jamais élucidées.
L’article se propose de faire connaître l'action de Willi Münzunberg liée à l'émigration bolchevique en Suisse et notamment à Lénine qui avait deviné très vite son génie organisateur avant 191 7. Chargé de maintes missions par l'Internationale, il fut au cœur des enjeux de la montée du fascisme en Allemagne dans les année 30 et, créant plusieurs organisations à caractère unitaire, il fut le véritable inspirateur des fameux «compagnons de route». Il fut parmi les premiers à mesurer l'importance de ce qui allait devenir le tiers monde et distinguera dans son action la notion de charité, d’humanitaire, avec la solidarité concrète avec les peuples en lutte.
Espérance : des solidarités internationales libératrices
Authors: Milhau Jacques 
Published: December 2022

D’un bout à l'autre de la planète, le foisonnement de luttes en cours atteste des potentialités d’une solidarité internationale. Lui faire prendre corps suppose de mesurer lucidement les obstacles à surmonter, principalement liés aux formes prises par la mondialisation en cours, et de lui définir l’objectif universellement recevable d’appropriation continue de tous les droits pour tous.
Si de telles solidarités commencent à s’édifier à travers les échanges et les actions, elles demeurent cependant fragiles et les coordinations correspondantes très sectorielles encore.
L’internationale socialiste et la troisième voie
Authors: Magniadas Jean 
Published: December 2022

Dans la longue histoire de la social-démocratie, ce texte étudie ses évolutions, récentes, avec la genèse de la «troisième voie», le manifeste de Tony Blair et de Gerhard Schroëder, leur contenu politique et idéologique et ses pas en direction du libéralisme, leur acceptation du capitalisme. Il examine les positions du PS qui l'ont conduit à des différences de positionnement, en particulier avant le Congrès de l'Internationale socialiste.
Le séminaire de Florence qui a suivi a également mis en évidence des nuances sur la nature de ce rassemblement ouvert à des dirigeants politiques qui ne se situent pas dans la mouvance socialiste. Il est susceptible de prolongements. Ces démarches traduisent des recherches inachevées d'adaptation de la social-démocratie à la mondialisation capitaliste.
Les réformes agraires en Amérique latine
Authors: Chonchol Jacques 
Published: December 2022

En Amérique latine, les indépendances du XIXe siècle ont favorisé l’émergence d’oligarchies créoles qui ont constitué de vastes latifundios d’élevage ou de plantations au détriment des populations indigènes. Des millions de migrants vont être traités comme des esclaves sur ces immenses propriétés agricoles.
Au cours du XXe siècle, au rythme des bouleversements politiques, presque tous les pays du continent furent soumis à des tentatives de réformes agraires. Malgré ces efforts la concentration de la terre continue à être une réalité.
Le climat néo-libéral qui domine en Amérique latine a relégué au second rang l’urgence de ces réformes ou les détourne vers des mécanismes de marché. Sous la pression du Mouvement des Sans-Terre, le Brésil fait exception.
Algérie : bilan d’une régression nationale et sociale
Authors: Bouamama Saïd 
Published: December 2022

Le bilan de la présidence Bouteflika est catastrophique et nombreux sont ceux qui, habités par une «soif de paix» et lui ayant fait confiance, sont aujourd’hui désabusés.
Un double choix structure la grille de lecture de la vie politique algérienne : libéralisme/non-libéralisme, d'une part, et, intégrisme religieux/modernité démocratique, d’autre part. Les tenants du libéralisme massivement représentés au pouvoir ne sont pas les plus conséquents pour s’opposer à l’intégrisme avec lequel ils recherchent même un compromis.
Les forces porteuses d’une alternative démocratique en Algérie existent mais sont éparpillées et souvent instrumentalisées et se trouvent dans l’impossibilité de proposer présentement une alternative démocratique capable de donner une perspective commune aux multiples aspirations sociales et démocratiques.
Voyage au cœur du football mondialisé
Authors: Authier Christian 
Published: December 2022

Ce qui menace le football aujourd’hui c’est l’argent, devenu le véritable anabolisant de ce sport. Guerre économique, enjeux financiers et industriels considérables : le football mondialisé ne se cache plus. En s’enfonçant dans le village planétaire du libre-échangisme, le football est en train de perdre sa culture populaire qui faisait de lui un langage simple articulant le particulier et l’universel dans la volonté de jouer ensemble.
Plafonner les montants des transferts et des salaires, interdire l’exploitation des enfants, protéger les championnats nationaux contre des compétitions factices à seul but lucratif et destinées aux télévisions payantes : autant de champs d’action qui pourraient assainir ce sport afin de le rendre à ses amoureux et à ses amateurs. Le football nous offre l’opportunité d’une reconquête certes modeste mais pas négligeable. Le match ne fait que commencer.