bluuebunny/crossref_metadata_2025_split huggingface dataset:
A social marketing strategy to promote preconception care: development of the Woke Women strategy
Authors: Maas Veronique Y.F. , Blanchette Lyne M.G. , van Amstel Wencke , Franx Arie , Poels Marjolein , Koster Maria P.H. 
Published: February 2022

Purpose
Exposure to unhealthy lifestyle behaviours before pregnancy affects the health of mothers and their (unborn) children. A social marketing strategy could empower prospective parents to actively prepare for pregnancy through preconception care (PCC). This study aims to describe the development of a PCC social marketing strategy based on the eight-point benchmark criteria for effective social marketing and to clarify the concept of using social marketing for health promotion purposes.

Design/methodology/approach
An extensive literature search was carried out regarding the needs of the target population and PCC behavioural goals, leading to the development of a bottom-up, ambassador-driven, communication concept.

Findings
In-depth insights of all benchmarks were analysed and incorporated during the development process of a new PCC social marketing strategy, with a special focus on the application of the “Health Belief Model” (Benchmark 3) and “the Four-P framework” (Benchmark 8). Evidence-based preconceptional health information is our product, for a low price as the information is freely attainable, promoting a message of overall women‘s health and online or through a consult with a health-care provider as the appropriate place. This formative research resulted in the development of the Woke Women® strategy, empowering women to actively prepare for pregnancy.

Originality/value
Developing a social marketing strategy to enhance actively preparing for pregnancy shows potential to encourage prospective parents to adopt healthier preconceptional lifestyle behaviours and can therefore improve the health of future generations.
Does social media usage boost career prospects of women: an exploratory study in the academia
Authors: Sarwar Ambreen , Imran Muhammad Kashif , Akhtar Nadeem , Fatima Tehreem 
Published: February 2022

PurposeThis paper draws on the affordance perspective, to explore the social media (SM) usage experiences that might render valuable for academic women professionals, for knowledge exchange, networking and success. Owing to the increased SM usage during COVID-19 pandemic, this paper tries to find out that in what ways do SM affordances facilitate the underprivileged group of women professionals to grow in their careers in a masculine, conservative society through knowledge exchange.Design/methodology/approachBy utilizing qualitative study design, the authors collected data from 31 women employed in Pakistani universities, through unstructured questionnaires. The responses were analyzed through Nvivo.FindingsThe generated themes suggested that women in Pakistan are aware of SM's potential for knowledge exchange among fellow professionals. They use it to aid them in communication, collaboration and networking. Additionally, they utilize it to share knowledge and build networks that are vital for career progression and success.Research limitations/implicationsThe paper concludes with the implications for practitioners that would aid them in boosting career prospects for women academicians through SM usage in a developing country Pakistan; where women's career outlooks are not as promising as for men; or as bright as for women working in the developed economies.Originality/valueThis a unique attempt to explore knowledge exchange dimensions with the help of SM in the context of working women by the deploying the phenomenological approach.
An integrated decision-making approach for global supplier selection and order allocation to create an environment-friendly supply chain
Authors: Ali Hassan , Zhang Jingwen , Liu Sheng , Shoaib Muhammad 
Published: February 2022

PurposeDue to the fierce market competition, many organizations seek global suppliers because of lower procurement costs and better product quality. However, selecting suitable global suppliers is one of the complicated decision-making tasks for decision-makers due to the involvement of various qualitative and quantitative factors. The primary purpose of this research is to design an integrated approach for global supplier selection and order allocation in the context of developing an environment-friendly supply chain under data uncertainty.Design/methodology/approachInitially, the fuzzy analytical hierarchy process (FAHP) is used to calculate the selected criteria weights. After that, the weights obtained from FAHP are inserted into the fuzzy technique for order preference by similarity to ideal solution (FTOPSIS) to examine the performance of selected suppliers and determine their final ranks. Finally, the obtained results from FTOPSIS are incorporated into the multi-choice goal programming (MCGP) model, which involves multi-aspiration levels to allocate the optimal order quantity to the selected global suppliers.FindingsA real-time case study of the automotive industry is presented to demonstrate the efficiency and practicality of the suggested approach. The case study and sensitivity analysis results show that the proposed model effectively tackles suppliers' evaluation and order allocation data uncertainty.Originality/valueIncorporation of risks, environmental management and economic factors during global supplier selection in the automotive sector has not been given much attention in the past literature. So, this research aims to fulfill the gap by developing an integrated approach that can tackle data uncertainty effectively.
The effect of maternal and nutritional factors on birth weight: a cohort study in Tehran, Iran
Authors: Karimi Tahereh , Moslemi Zeinab , Rezazadeh Arezoo , Eini-Zinab Hassan 
Published: February 2022

Purpose
This study aims to examine the effect of maternal food intake before and during pregnancy on birth weight.

Design/methodology/approach
As a prospective cohort study, a total of 585 pregnant women of first trimester, visiting Tehran Metropolitan Area public health centers and private sectors (clinics and hospitals), were interviewed at first phase, and pregestational dietary intake was obtained by a 168-item semiquantitative food frequency questionnaire. At the third trimester, dietary recalls were collected via interview. Finally, birth weight information was extracted from health records. Univariate and multivariate analysis was used to explore the effect of maternal and nutritional factors on birth weight.

Findings
The results of the analysis show that direct measures of nutrition, measured as food group consumption at first and third trimester of pregnancy, had no significant effect on birth weight once the confounding factors were controlled (p > 0.05). Of control variables included in the analysis, twin pregnancy outcome (p = 0.000), pregnancy number (p = 0.04), prepregnancy weight (p = 0.004) (marginally significant) and gestational age (p = 0.000) (marginally significant) were associated with birth weight.

Originality/value
The results of this study show no significant role of mother’s nutrition during pregnancy on birth weight, while long-term nutrition outcomes such as prepregnancy weight had significant role. It seems the main reasons behind less important role of pregnancy nutrition on birth weight in this study include the following: food intake deficiency is not a major problem for participants, and cross-sectional data on food intake are less important on outcome of pregnancy weight than long-term nutritional status outcome variables such as mother’s weight and height. This finding should be addressed in public health planning for women at childbearing age.
Climate change adaptation and productive efficiency of subsistence farming: A bias‐corrected panel data stochastic frontier approach
Authors: Asmare Fissha , Jaraitė Jūratė , Kažukauskas Andrius 
Published: February 2022

AbstractWe explore the impact of climate change adaptation on the technical efficiency of Ethiopian farmers using panel data collected from 6820 farm plots. We employ Green's (2010) stochastic frontier approach and propensity score matching to address selection bias. Our results reveal that climate change adaptation improves the efficiency of maize, wheat and barley production. We also show that failure to account for selection bias underestimates the average efficiency level. Our findings imply that the expansion of climate change adaptation at larger scales will provide a double benefit by curbing climate‐related risks and increasing the efficiency of farmers. Moreover, increasing credit access and introducing mechanisms that allow farmers to get enough water during the main growing season will enhance the efficiency of subsistence farmers.
Aging and entheses: An ultrasonographic probing of degenerative enthesopathy in a cohort of 147 healthy subjects
Authors: Moshrif Abdelhfeez , Abdel Noor Rasha , Aly Hany , Mortada Mohamed , Hafez Ahmed 
Published: February 2022

AbstractAimTo investigate the prevalence and features of degenerative enthesopathic changes in a large cohort of healthy individuals by musculoskeletal ultrasound (MSUS) and their relation to age and other demographic features.MethodsIn this cross‐sectional study, 147 healthy subjects (1470 entheses) were examined by MSUS according to the Outcome Measures in Rheumatology guidelines: Achilles tendon, plantar fascia, patellar, and quadriceps insertions of both lower limbs.ResultsThe mean age (±SD) of the participants was 43.68 (±14.53) years and 57.1% were female. Enthesopathy has been detected in at least 1 area in 113 subjects (76.87%). Thickening (21.6%) and hypoechogenicity (15.3%) were the most frequent inflammatory findings while enthesophyte (10.13%) was the most prevalent structural one. Age and male gender were significantly correlating with inflammatory (rs = .341, P = .001/r = .310, P = .001), structural (rs = .354, P = .001/r = .166, P = .04) and total scores (rs = .406, P = .001/r = .302, P = .001). More inflammatory changes were noticed in the age group 36‐55 years. Body mass index had a positive correlation with inflammatory (rs = .290, P = .001) and total scores (rs = 0.298, P = .001) but not with structural lesions (rs = .154, P = .062).ConclusionsThickening, hypoechogenicity, cortical irregularities, and enthesophytes are frequent degenerative features of enthesopathy. These findings need to be redefined to be more specific for spondyloarthritides. Enthesopathy should be interpreted with caution in the light of the clinical picture, especially in elderly and obese male patients.
Interdependencies of cellular and humoral immune responses in heterologous and homologous SARS‐CoV‐2 vaccination
Authors: Hollstein Moritz M. , Münsterkötter Lennart , Schön Michael P. , Bergmann Armin , Husar Thea M. , Abratis Anna , Eidizadeh Abass , Schaffrinski Meike , Zachmann Karolin , Schmitz Anne , Holsapple Jason S. , Stanisz‐Bogeski Hedwig , Schanz Julie , Fischer Andreas , Groß Uwe , Leha Andreas , Zautner Andreas E. , Schnelle Moritz , Erpenbeck Luise 
Published: February 2022

AbstractBackgroundHomologous and heterologous SARS‐CoV‐2 vaccinations yield different spike protein‐directed humoral and cellular immune responses. This study aimed to explore their currently unknown interdependencies.MethodsCOV‐ADAPT is a prospective, observational cohort study of 417 healthcare workers who received vaccination with homologous ChAdOx1 nCoV‐19, homologous BNT162b2 or with heterologous ChAdOx1 nCoV‐19/BNT162b2. We assessed humoral (anti‐spike‐RBD‐IgG, neutralizing antibodies, and avidity) and cellular (spike‐induced T‐cell interferon‐γ release) immune responses in blood samples up to 2 weeks before (T1) and 2–12 weeks following secondary immunization (T2).ResultsInitial vaccination with ChAdOx1 nCoV‐19 resulted in lower anti‐spike‐RBD‐IgG compared with BNT162b2 (70 ± 114 vs. 226 ± 279 BAU/ml, p < .01) at T1. Booster vaccination with BNT162b2 proved superior to ChAdOx1 nCoV‐19 at T2 (anti‐spike‐RBD‐IgG: ChAdOx1 nCoV‐19/BNT162b2 2387 ± 1627 and homologous BNT162b2 3202 ± 2184 vs. homologous ChAdOx1 nCoV‐19 413 ± 461 BAU/ml, both p < .001; spike‐induced T‐cell interferon‐γ release: ChAdOx1 nCoV‐19/BNT162b2 5069 ± 6733 and homologous BNT162b2 4880 ± 7570 vs. homologous ChAdOx1 nCoV‐19 1152 ± 2243 mIU/ml, both p < .001). No significant differences were detected between BNT162b2‐boostered groups at T2. For ChAdOx1 nCoV‐19, no booster effect on T‐cell activation could be observed. We found associations between anti‐spike‐RBD‐IgG levels (ChAdOx1 nCoV‐19/BNT162b2 and homologous BNT162b2) and T‐cell responses (homologous ChAdOx1 nCoV‐19 and ChAdOx1 nCoV‐19/BNT162b2) from T1 to T2. Additionally, anti‐spike‐RBD‐IgG and T‐cell response were linked at both time points (all groups combined). All regimes yielded neutralizing antibodies and increased antibody avidity at T2.ConclusionsInterdependencies between humoral and cellular immune responses differ between common SARS‐CoV‐2 vaccination regimes. T‐cell activation is unlikely to compensate for poor humoral responses.
Atypical Spitz tumours: an epidemiological, clinical and dermoscopic multicentre study with 16 years of follow-up
Authors: De Giorgi Vincenzo , Venturi Federico , Silvestri Flavia , Trane Luciana , Savarese Imma , Scarfì Federica , Cencetti Francesca , Pecenco Silvia , Tramontana Marta , Maio Vincenza , Zuccaro Biancamaria , Colombo Jacopo , Bagnoni Giovanni , Stingeni Luca , Massi Daniela 
Published: February 2022

SummaryBackgroundAtypical Spitz tumours (ASTs) are regarded as an intermediate category distinguished from prototypical Spitz naevus by presenting one or more atypical features and often by an uncertain malignant potential. Clinical and dermoscopic features may play a relevant role in the diagnostic approach.AimTo evaluate the clinical and dermoscopic features of ASTs, and their evolution over time.MethodsThis was a descriptive, multicentre study of the clinical and dermoscopic characteristics of ASTs. Data on clinical and dermoscopic characteristics, histopathology, local extension, therapy and follow-up, lymph node staging, complete lymph node dissection, and outcome were collected from the databases of four Italian Dermatology Units for the period 2004–2021.ResultsThe study population consisted of 99 patients (62 female, 37 male) with a histologically confirmed diagnosis of AST, including age at presentation ranged from 2 to 70 years (mean 28.1 years, median 24 years). Of the 99 patients, 29 (29.3%) underwent sentinel lymph node biopsy, which showed evidence of micrometastases in three cases (10.3%); all three patients underwent complete lymph node dissection with no evidence of further metastasis. Considering the whole study population, the clinical outcome was excellent, as all of the patients have no evidence of recurrence or distant metastasis. The follow-up period ranged from 6 to 216 months (mean 81.6 months, median 78 months). In addition, we collected data on the clinical and dermoscopic features of 26 lesions. The most frequent dermoscopic pattern observed was the multicomponent pattern (34.6%), followed by homogeneous (26.9%) and nonspecific (23.2%). In 66.7% of amelanotic ASTs, we observed glomerular (coiled) vessels uniformly distributed within the entire lesion, without asymmetry.ConclusionThe results of our study with a long follow-up show no recurrence or distant metastases, confirming the good clinical outcome, even in the case of sentinel lymph node positivity. From a diagnostic point of view, our series identified a typical dermoscopic picture for amelanotic ASTs, with a glomerular vascular pattern throughout the lesion in the absence of other dermoscopic parameters, making the correct diagnosis possible.
Disease-related burden and long-term outcome in orofacial granulomatosis: observations from a large single-centre cohort
Authors: Stoevesandt Johanna , Keita Dyamilatou Ulrike , Goebeler Matthias 
Published: February 2022

SummaryThere is a lack of standardized treatment recommendations for orofacial granulomatosis, a chronic inflammatory condition aetiologically related to Crohn disease. To assess clinical baseline parameters and treatment strategies, we retrospectively analysed 61 consecutive cases from our institutional database. Disease-related functional/psychological impairment and long-term outcomes were descriptively evaluated using a standardized self-reporting questionnaire. The median age of patients was 45 (7–77) years. Oral steroids were given in 41.0% of cases, but only produced short-term disease control, while response to steroid-sparing agents was inconsistent. Only a minority of patients reported relevant disease-related functional impairment in eating (21.7%) or speaking (4.3%), but the majority perceived psychological distress due to the cosmetic aspects of the disease (69.6%), comments from others (65.2%) and/or general anxiety/insecurity (73.9%). Regardless of the initial treatment, long-term outcomes after 71 months (range 7–304 months) were beneficial, with most patients being in complete remission (52.2%) or reporting only mild residual swelling (43.5%).
Health system responses for type 1 diabetes: A scoping review
Authors: Zafra‐Tanaka Jessica H. , Beran David , Bernabe‐Ortiz Antonio 
Published: February 2022

AbstractAimsThe focus of health system interventions for noncommunicable diseases and diabetes focus mainly on primary health care responses. However, existing interventions are not necessarily adapted for the complex management of type 1 diabetes (T1DM). We aimed to identify and describe health system interventions which have been developed to improve the management of T1DM globally.MethodsWe conducted a scoping review by searching MEDLINE, Embase, and Global Health using OVID for peer‐review articles published in either English, Spanish, Portuguese or French in the last 10 years. We classified the intervention strategies according to the Effective Practice and Organization of Care (EPOC) taxonomy for health system interventions and the World Health Organization (WHO) health system building blocks.ResultsThis review identified 159 health system interventions to improve T1DM management. Over half of the studies focused only on children or adolescents with type 1 diabetes. Only a small fraction of the studies were conducted in low‐and‐middle income countries (LMICs). According to the EPOC taxonomy, the most frequently studied category was delivery arrangement interventions, while implementation strategies and financial arrangements were less frequently studied. Also, governance arrangements domains were not studied. The most common combination of intervention strategies included self‐management with either telemedicine, use of information and smart home technologies.ConclusionsThere is a need to expand potential interventions to other EPOC strategies to assess their potential effect on health outcomes in people with T1DM, as well as to involve more LMIC settings as the impact may be greater in these settings.
Decreased soil aggregation and reduced soil organic carbon activity in conventional vegetable fields converted from paddy fields
Authors: Yu Quanbo , Xu Lingying , Wang Meiyan , Xu Shengxiang , Sun Weixia , Yang Jizhou , Shi Yijie , Shi Xuezheng , Xie Xinqiao 
Published: February 2022

AbstractSoil structure and organic carbon are key factors that reflect soil quality in sustainable agricultural production. Many studies have concentrated on soil aeration under intensive anthropogenic agricultural practices, but the relationship between soil aggregate stability and soil organic carbon (SOC) functional groups is poorly understood, particularly in degraded greenhouse vegetable fields converted from paddy fields. To solve this problem, soil samples were collected from local vegetable fields and adjacent paddy fields. Conventional open‐air vegetable fields and greenhouse vegetable fields, both with a 6–8‐year cultivation history following conversion from paddy fields, were considered. SOC functional groups were characterised by 13C cross‐polarisation magic‐angle‐spinning nuclear magnetic resonance (13C CPMAS NMR). The results showed that the mean weight diameter (MWD) values of water‐stable soil aggregates in the open‐air vegetable fields and greenhouse vegetable fields decreased by 64.6% and 66.7%, respectively, compared with those in the paddy fields. Similar results were obtained for the soil aggregate distribution, and soil aggregates in the greenhouse vegetable fields and open‐air vegetable fields were mainly in the 0.25–2 mm size classes. Among all SOC functional groups, O‐alkyl C exhibited the greatest decrease after the conversion of paddy fields to vegetable fields, no matter whether greenhouse vegetable fields or open‐air vegetable fields. The degradation of soil structure decreased the physical protection of SOC functional groups by soil aggregates, and therefore, decreased the total SOC content and labile C functional group fractions in bulk soil. At the soil aggregate scale, the decrease of O‐alkyl C mainly occurred in microaggregates (0.053–0.25 mm), while aromatic C decreased significantly in macroaggregates (>0.25 mm) in the greenhouse vegetable fields converted from paddy fields. Correlation analysis showed that O‐alkyl C was significantly positively related to MWD and the proportion of large soil macroaggregate (>2 mm). This result suggested that soil aggregates become fragile in long‐term vegetable cultivation after conversion from paddy fields, and a large loss of O‐alkyl C might be the main reason for this phenomenon.Highlights
Soil aggregation was significantly decreased in conventional vegetable fields converted from paddy fields.
SOC accumulation was closely positively related to soil macroaggregate formation.
O‐alkyl C mainly decreased in microaggregates, with the opposite observed for aromatic C, in soil of greenhouse vegetable fields.
The large loss of O‐alkyl C may explain the degradation of soil aggregates.
Acquisition and use of analgesic drugs by horse owners in the United States
Authors: Sellon Debra C. , Sanz Macarena , Kopper Jamie J. 
Published: February 2022

AbstractBackgroundLittle is known about the acquisition and use of equine analgesic drugs by horse owners in the United States (US).ObjectivesTo determine factors associated with possession of analgesic drugs by horse owners in the US or with analgesic drug acquisition from sources noncompliant with a valid veterinarian‐client‐patient (VCPR) relationship.Study designCross‐sectional survey.MethodsAn internet‐based questionnaire included items related to experiences with horses and equine analgesic drugs. Factors associated with possession of ≥5 types of analgesic drugs and with the acquisition of drugs from VCPR noncompliant sources were analysed using logistic regression.ResultsResponses from 389 US horse owners indicated that 96% have access to at least one type of equine analgesic medication and most are confident in their drug administration skills. Horse owners with ≥5 types of analgesic drugs were more likely to have managed >20 horses in their life (odds ratio [OR] = 3.1, 95% confidence interval [CI] = 1.7‐5.6), have medical insurance for some horses (OR = 4.2, CI = 2.3‐7.7), and have veterinary or human medical training (OR = 2.2, CI = 1.2‐4.1) and were less likely to have a primary care veterinarian requiring >30 minutes travel time (OR = 0.5, CI = 0.3‐0.9). Horse owners who obtained drugs through VCPR noncompliant sources were likely to be male (OR = 5.6, CI = 1.6‐19.4), ≤40 years of age (OR = 2.0, CI = 1.2‐3.2), and reside in the South or West regions of the US (OR = 2.4, CI = 1.4‐4.0).Main limitationsPossible distribution, self‐selection, response, and recall biases as a result of convenience sampling methodology.ConclusionsDiscussion between veterinarians and horse owners regarding available analgesic drugs and owners’ competence in administering those drugs may improve veterinary care recommendations and owner compliance.