bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression and anxiety prevalence and correlations among cancer patients at Tikur Anbesa Hospital in Addis Ababa, Ethiopia, 2018: Cross-sectional study
Authors: Abraham Yacob , G/Tsadik Meseret , Gebeyehu Abebaw , Fanta Tolesa , Ashegu Tebeje 
Published: September 2022

BackgroundPeople with cancer, as well as their family members and loved ones, frequently experience distress. Distress can sometimes escalate from a normal level to one that interferes with therapy, makes it difficult for you to function or cope, and has an impact on many aspects life. About 1 in 4 people with cancer experience major or clinical depression, and anxiety is also a common problem for cancer patients. Anxiety and depression are the most familiar mental illnesses among cancer patients.ObjectivesThe objectives of this study was to assess the prevalence and correlates of depression and anxiety among cancer patients attending treatment at Tikur Anbessa specialized hospital.MethodsHospital based cross-sectional study was conducted from 15 April to 15 May 2018. This study was conducted at Tikur Anbessa Specialized Hospital is in Addis Ababa, capital city of Ethiopia. A pretested interviewer administered questionnaire was used to collect data by trained psychiatry nurses. The Hospital Anxiety and Depression Scale was used to collect an outcome variable (the presence of anxiety and depression).ResultAccording to the study, anxiety and depression were present in 54.6 percent and 40.4 percent of the Tikur Anbessa Specialized Hospital's cancer patients, respectively. Factors that were strongly associated with depression were being a woman, having less education, bleeding right now, being younger (30 to 39 years old), and suffering discomfort. With AOR of 2.18 (1.38–3.44), 1.73 (1.10–2.85), 2.57 (1.61–4.11), 2.28 (1.12–4.63), 1.64 (1.00–2.69), respectively with 95% CI. On the other hand factors significantly associated with anxiety among cancer patients attending treatment at Tikur Anbessa specialized hospital were marital status with AOR 2.10 (1.01–4.02), feeling discomfort 2.06 (1.00–3.03), and bleeding 3.52 (2.31–5.64.ConclusionGuidelines for screening and treating depression and anxiety in cancer patients should be developed by psychiatry departments in collaboration with oncology department. Oncology and psychiatry department better work and capacitate link to help for good of patients. To enhance and widen the current findings, additional research on depression and anxiety risk factors should be done.
Psychotic-like experiences among university female students in Qatar: A qualitative-phenomenological study
Authors: Yehya Arij , Khaled Salma M. , Sommer Iris E. C. , Woodruff Peter , Daher-Nashif Suhad 
Published: September 2022

Background and aimsPsychotic-like experiences (PLEs) are hallucinatory or delusional experiences that fall below the threshold of a diagnosable psychotic disorder. Although PLEs are common across the spectrum of psychiatric disorders, they also have been commonly reported in the general population. In this study, we aimed to describe the types of PLEs experienced by university students in Qatar. Furthermore, we aimed to examine how students frame, explain, and deal with these experiences as well as understand how culture and religion may shape the way students attribute and respond to these experiences.MethodThis study used a qualitative phenomenological approach. For collecting the data, we conducted semi-structured interviews using the Questionnaire for Psychotic Experiences (QPE). The QPE is a valid and reliable tool to assess the phenomenology of psychotic-like experiences. The questionnaire was translated into Arabic and tested and validated in Qatar (a fast-developing Muslim country in the Arabian Peninsula). We conducted interviews in Arabic with 12 undergraduate female students at Qatar University (the only national university in Qatar). The interviewees were of different Arab nationalities. Interviews were transcribed verbatim and two authors conducted the content-thematic analysis separately, as a strategy to validate the findings. The study was part of a larger nationally funded project that was approved by the Qatar University Institutional Review Board. The approvals were granted before any interview was conducted.ResultsThe PLEs were prevalent in our non-clinical sample. The content-thematic analysis revealed the following main themes about these experiences: type, impact on daily function, frequency, immediate reaction, attribution style, assumptions about the root cause of these experiences, other associations, and religious links to experiences. The results also highlighted that religion and culture play a role in shaping the types of hallucinations and some delusions.ConclusionOur findings support the importance of culture and religion in relation to the types and explanations that students provided when describing PLEs. Notably, it was common among those who reported having these experiences to normalize and link PLEs to real-life events. This may be a defense mechanism to protect the self against the stigma of mental illness and from being labeled as “abnormal”.
Novel in-home COVID-19 vaccination program for vulnerable populations using public-private collaboration
Authors: Zhou Megan S. , Attia Cyrus , Barnes Melynda , Chen Tina , Chlada Katie , Doukas Mel , John Julia , Kanter Julia , Kim Dayna , Qualliotine Kerry , Stein Jillian , Stern Kevin , Broffman Lauren 
Published: September 2022

BackgroundThe continued emergence of new COVID-19 variants highlights the importance of vaccination in the effort to reduce disease transmission and burden. The objective of this study is to evaluate the processes and outcomes associated with a novel in-home COVID-19 vaccination program aimed at vaccinating high-risk populations in New York, USA.MethodsTo evaluate program processes, we described the program itself and reflected on some key lessons learned. To evaluate program outcomes, we analyzed data reported by vaccine recipients. These outcomes included the percentage of vaccine recipients that successfully received the full course of vaccinations, and the demographic and health characteristics of vaccine recipients. We additionally assessed demographic differences in motivations for receiving in-home care, using chi-squared tests to assess statistical significance. Data were collected and reported via dynamic online intake forms.ResultsThe median age of vaccine recipients was 79 ± SD 9.0 years. The oldest vaccine recipient was 107 years old. Of those with non-missing data, more than half of vaccine recipients were female (63%), identified as part of a racial/ethnic minority (66%), reported an annual income of &lt; $25,000 (58%), and received a high school degree or less (68%). Most vaccine recipients reported having one or more health conditions associated with increased risk of severe COVID-19 disease (72%). Vaccine recipients were most likely to report receiving in-home vaccination because they were home-bound due to disability. Motivations for receiving in-home vaccination differed by demographic subgroup.ConclusionThe population receiving vaccinations from this in-home care delivery program comprised seniors who were mostly female and non-white, indicated socioeconomic vulnerability, and reported one or more COVID-related health conditions; this signified that the program met its goal of vaccinating those most at risk for severe COVID-19 disease.
Non-invasive type 2 diabetes risk scores do not identify diabetes when the cause is β-cell failure: The Africans in America study
Authors: Wentzel Annemarie , Patterson Arielle C. , Duhuze Karera M. Grace , Waldman Zoe C. , Schenk Blayne R. , DuBose Christopher W. , Sumner Anne E. , Horlyck-Romanovsky Margrethe F. 
Published: September 2022

BackgroundEmerging data suggests that in sub-Saharan Africa β-cell-failure in the absence of obesity is a frequent cause of type 2 diabetes (diabetes). Traditional diabetes risk scores assume that obesity-linked insulin resistance is the primary cause of diabetes. Hence, it is unknown whether diabetes risk scores detect undiagnosed diabetes when the cause is β-cell-failure.AimsIn 528 African-born Blacks living in the United States [age 38 ± 10 (Mean ± SE); 64% male; BMI 28 ± 5 kg/m2] we determined the: (1) prevalence of previously undiagnosed diabetes, (2) prevalence of diabetes due to β-cell-failure vs. insulin resistance; and (3) the ability of six diabetes risk scores [Cambridge, Finnish Diabetes Risk Score (FINDRISC), Kuwaiti, Omani, Rotterdam, and SUNSET] to detect previously undiagnosed diabetes due to either β-cell-failure or insulin resistance.MethodsDiabetes was diagnosed by glucose criteria of the OGTT and/or HbA1c ≥ 6.5%. Insulin resistance was defined by the lowest quartile of the Matsuda index (≤ 2.04). Diabetes due to β-cell-failure required diagnosis of diabetes in the absence of insulin resistance. Demographics, body mass index (BMI), waist circumference, visceral adipose tissue (VAT), family medical history, smoking status, blood pressure, antihypertensive medication, and blood lipid profiles were obtained. Area under the Receiver Operator Characteristics Curve (AROC) estimated sensitivity and specificity of each continuous score. AROC criteria were: Outstanding: &gt;0.90; Excellent: 0.80–0.89; Acceptable: 0.70–0.79; Poor: 0.50–0.69; and No Discrimination: 0.50.ResultsPrevalence of diabetes was 9% (46/528). Of the diabetes cases, β-cell-failure occurred in 43% (20/46) and insulin resistance in 57% (26/46). The β-cell-failure group had lower BMI (27 ± 4 vs. 31 ± 5 kg/m2P &lt; 0.001), lower waist circumference (91 ± 10 vs. 101 ± 10cm P &lt; 0.001) and lower VAT (119 ± 65 vs. 183 ± 63 cm3, P &lt; 0.001). Scores had indiscriminate or poor detection of diabetes due to β-cell-failure (FINDRISC AROC = 0.49 to Cambridge AROC = 0.62). Scores showed poor to excellent detection of diabetes due to insulin resistance, (Cambridge AROC = 0.69, to Kuwaiti AROC = 0.81).ConclusionsAt a prevalence of 43%, β-cell-failure accounted for nearly half of the cases of diabetes. All six diabetes risk scores failed to detect previously undiagnosed diabetes due to β-cell-failure while effectively identifying diabetes when the etiology was insulin resistance. Diabetes risk scores which correctly classify diabetes due to β-cell-failure are urgently needed.
Conditions required to ensure successful detection and management of mild cognitive impairment in primary care: A Delphi consultation study in China
Authors: Lu Yuan , Liu Chaojie , Yu Dehua , Wells Yvonne 
Published: September 2022

ObjectiveDetection and management of mild cognitive impairment (MCI) in primary care has been recognized internationally as one of the strategies that can be employed to delay the development of dementia. However, little is known about what role primary care should play. This study aimed to develop a checklist of conditions necessary for successfully detecting and managing mild cognitive impairment in primary care in China.MethodsThis study employed the Delphi method to establish expert consensus on the conditions required for successfully detecting and managing MCI in primary care in China. Twenty-four experts who specialized in general practice, public health, neuropsychology, or community health service management rated the importance of pre-defined conditions (44 items measuring providers' preparedness, patient engagement, and system support in line with the Chronic Care Model). The degree of consensus among the experts was measured using four indicators: median ≥ 4, mean ≥3.5, Co-efficient of Variance &lt; 0.25, and retention in the checklist required ≥ 80% agreement with a rating of important or essential. The checklist and descriptions of the conditions were revised according to the experts' feedback and then sent out for repeated consultations along with a summary of the results of the previous round of consultations. Consensus was achieved after the second round of consultations, which was completed by 22 of the experts.ResultsThe experts endorsed a checklist of 47 conditions required for successful detection and management of MCI in primary care in China. These conditions were categorized into four domains: prepared general practitioners (17 items), engaged patients (15 items), organizational efforts (11 items), and environmental support (4 items).ConclusionsSuccessful detection and management of MCI in primary care in China requires a dedicated and competent workforce of general practitioners, as well as the engagement of patients and family caregivers. Adequate support from healthcare organizations, health system arrangements, and the broader society is needed to enable effective interactions between general practitioners and patients and efficient delivery of the services required to detect and manage MCI.
Immunogenicity and safety of SARS-CoV-2 vaccine in hemodialysis patients: A systematic review and meta-analysis
Authors: Peiyao Ren , Mengjie Yu , Xiaogang Shen , Wenfang He , Danna Zheng , Yuqun Zeng , Juan Jin , Qiang He 
Published: September 2022

Rationale and objectiveCOVID-19 vaccination is the most effective way to prevent COVID-19. For chronic kidney disease patients on long-term dialysis, there is a lack of evidence on the pros and cons of COVID-19 vaccination. This study was conducted to investigate the immunogenicity and safety of COVID-19 vaccines in patients on dialysis.MethodsPubMed, MEDLINE, EMBASE, and the Cochrane Library were systemically searched for cohort, randomized controlled trials (RCTs), and cross-sectional studies. Data on immunogenicity rate, antibody titer, survival rate, new infection rate, adverse events, type of vaccine, and patient characteristics such as age, sex, dialysis vintage, immunosuppression rate, and prevalence of diabetes were extracted and analyzed using REVMAN 5.4 and Stata software. A random effects meta-analysis was used to perform the study.ResultsWe screened 191 records and included 38 studies regarding 5,628 participants. The overall immunogenicity of dialysis patients was 87% (95% CI, 84-89%). The vaccine response rate was 85.1 in hemodialysis patients (HDPs) (1,201 of 1,412) and 97.4% in healthy controls (862 of 885). The serological positivity rate was 82.9% (777 of 937) in infection-naive individuals and 98.4% (570 of 579) in patients with previous infection. The Standard Mean Difference (SMD) of antibody titers in dialysis patients with or without previous COVID-19 infection was 1.14 (95% CI, 0.68–1.61). Subgroup analysis showed that the immunosuppression rate was an influential factor affecting the immunogenicity rate (P &lt; 0.0001). Nine studies reported safety indices, among which four local adverse events and seven system adverse events were documented.ConclusionsVaccination helped dialysis patients achieve effective humoral immunity, with an overall immune efficiency of 87.5%. Dialysis patients may experience various adverse events after vaccination; however, the incidence of malignant events is very low, and no reports of death or acute renal failure after vaccination are available, indicating that vaccine regimens may be necessary.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42022342565, identifier: CRD42022342565.
Deep learning and multiwavelength fluorescence imaging for cleanliness assessment and disinfection in Food Services
Authors: Gorji Hamed Taheri , Van Kessel Jo Ann S. , Haley Bradd J. , Husarik Kaylee , Sonnier Jakeitha , Shahabi Seyed Mojtaba , Zadeh Hossein Kashani , Chan Diane E. , Qin Jianwei , Baek Insuck , Kim Moon S. , Akhbardeh Alireza , Sohrabi Mona , Kerge Brick , MacKinnon Nicholas , Vasefi Fartash , Tavakolian Kouhyar 
Published: September 2022

Precise, reliable, and speedy contamination detection and disinfection is an ongoing challenge for the food-service industry. Contamination in food-related services can cause foodborne illness, endangering customers and jeopardizing provider reputations. Fluorescence imaging has been shown to be capable of identifying organic residues and biofilms that can host pathogens. We use new fluorescence imaging technology, applying Xception and DeepLabv3+ deep learning algorithms to identify and segment contaminated areas in images of equipment and surfaces. Deep learning models demonstrated a 98.78% accuracy for differentiation between clean and contaminated frames on various surfaces and resulted in an intersection over union (IoU) score of 95.13% for the segmentation of contamination. The portable imaging system’s intrinsic disinfection capability was evaluated on S. enterica, E. coli, and L. monocytogenes, resulting in up to 8-log reductions in under 5 s. Results showed that fluorescence imaging with deep learning algorithms could help assure safety and cleanliness in the food-service industry.
Unilateral biportal endoscopic lumbar interbody fusion assisted by intraoperative O-arm total navigation for lumbar degenerative disease: A retrospective study
Authors: Huang Xinle , Gong Junfeng , Liu Huan , Shi Zegang , Wang Wenkai , Chen Shuai , Shi Xiaobing , Li Changqing , Tang Yu , Zhou Yue 
Published: September 2022

BackgroundRecently, unilateral biportal endoscopic lumbar interbody fusion (BE-LIF) has been successfully applied for degenerative diseases of the lumbar spine, with good clinical results reported. However, the drawbacks include radiation exposure, limited field of view, and steep learning curves.ObjectiveThis retrospective study aimed to compare the results between navigation and non-navigation groups and explore the benefits of BE-LIF assisted by intraoperative O-arm total navigation.MethodsA total of 44 patients were retrospectively analyzed from August 2020 to June 2021. Perioperative data were collected, including operative time, estimated intraoperative blood loss, postoperative drainage, postoperative hospital stay, radiation dose, and duration of radiation exposure. In addition, clinical outcomes were evaluated using postoperative data, such as the Oswestry Disability Index (ODI), visual analog scale (VAS), modified MacNab criteria, Postoperative complications and fusion rate.ResultsThe non-navigation and navigation groups included 23 and 21 patients, respectively. All the patients were followed up for at least 12 months. No significant differences were noted in the estimated intraoperative blood loss, postoperative drainage, postoperative hospital stay, fusion rate, or perioperative complications between the two groups. The radiation dose was significantly lower in the navigation group than in the non-navigation group. The average total operation time in the navigation group was lower than that in the non-navigation group (P &lt; 0.01). All clinical outcomes showed improvement at different time points postoperatively, with no significant difference noted between the two groups (P &gt; 0.05).ConclusionsCompared with the non-navigation approach, O-arm total navigation assistive BE-LIF technology not only has similar clinical results, but also can provide accurate intraoperative guidance and help spinal surgeons achieve accurate decompression. Furthermore, it can reduce radiation exposure to surgeons and operation time, which improve the efficiency and safety of surgery.
Histological regression of peritoneal metastases of recurrent tubo-ovarian cancer after systemic chemotherapy
Authors: Pache Basile , Teixeira Farinha Hugo , Toussaint Laura , Demartines Nicolas , Hastir Delfyne , Mathevet Patrice , Sempoux Christine , Hübner Martin 
Published: September 2022

IntroductionPost-treatment histological regression of peritoneal metastases (PM) is a new and potentially important predictor of oncological outcomes. Histology of PM from adnexal origin is usually evaluated by the Chemotherapy Response Score (CRS). The aim of this preliminary study was to quantify the response of PM of recurrent tubo-ovarian cancer (TOVC) after systemic chemotherapy by using the recently validated Peritoneal Regression Grading System (PRGS) and compare it with CRS. Correlation with per operative evaluation through Peritoneal Cancer Index (PCI) was performed.Material and methodsRetrospective cohort study of all consecutive patients with recurrent PM from TOVC undergoing surgery after prior systemic chemotherapy from January 2015 to March 2019. Biopsies were assessed with the four-scale PRGS.ResultsThirty-eight patients were included. Patients had a median of 2 (range 1–2) lines and 12 (range 3–18) cycles of prior systemic chemotherapy. Overall mean (SD) PRGS was 2.3 (±1.1). Of the patients, 26% (10) had complete response (PRGS 1), 40% (15) had major response (PRGS 2), 26% (10) minor response (PRGS 3), and 8% (3) had no response (PRGS 4). Mean PRGS was positively correlated with the Peritoneal Cancer Index (ρ = 0.5302, p = 0.0003) and inversely correlated with CRS (ρ = −0.8403, p &lt; 0.0001). No correlation was highlighted between mean PRGS and overall survival (ρ = −0.0195, p = 0.9073).ConclusionCRS and mean PRGS correlated with each other. Histological response of PM after systemic chemotherapy was quantifiable and variable. The role of PRGS for the evaluation of treatment response and as potential surrogate marker for oncological outcomes is part of ongoing and planned research.
ASIAN INTEGRATION AND FOREIGN WORKERS MOBILITY
Authors: Mukiwihando Rynalto 
Published: September 2022

This paper aims to obtain empirical insight of the factors promoting foreign workers mobility in Asian integration, particularly within ASEAN plus Three countries. Using questionnaire as a qualitative research tool, this study tries to capture general perspective of Asian integration and common market idea as being implemented in European case. Motivation of this study is to provide a preliminary picture whether workers will start to another country if Asian integration start soon and what are the affectig factors. All of the finding results are consistent with several previous studies Study results demonstrate that almost all of respondents believe that foreign workers mobility is affected in Asian Integration by more job opportunity supplies. The most important factors in both foreign workers inflow and outflow is technology spillover Moreover, most respondents also agree that all foreign workers are being treated equally or even higher in some cases, compare to other local workers.<div id="essential_id_for_layout" style="position: fixed; width: 100%; height: 100%; top: 0px; left: 0px; bottom: 0px; right: 0px; display: none; background-color: rgba(0, 0, 0, 0.3); z-index: 9999999; cursor: pointer;"> </div>
عناصر معيار تجريم العنف الأسري
Authors: احمد رامي , عبدالمنعم فراس 
Published: September 2022

ينطوي العنف الأسري على خصوصية فريدة فيما يخص تجريمه والحد منه، وهذه الخصوصية والحساسية في التجريم تحتاج إلى معيارٍ دقيقٍ يقترب من الحق المرخوص به للتأديب، ويراقب ما يعد تعسفاً في إستعمال هذا الحق، ليتم شموله بالإنموذج القانوني الذي يعاقب على هذا السلوك، وهو ما يقتضي بنا أن نتناول العناصر التي تُشكل معياراً لتجريم العنف الأسري، والتي ننطلق فيها من خلال السياق الأسري لبيان ما يعد عنفاً ضمن هذا السياق، والذي يشمل حدود الأسرة من تأريخ بدء العلاقة الزوجية وإنتهاءاً بما وضعه المشرع من حدود ودرجات القرابة، أضف إلى ذلك البحث في البواعث التي تؤدي إلى إرتكاب العنف ضمن هذا السياق لرفع الضبابية والإبهام عن المشرع أو قاضي الموضوع في تكييفه للواقعة المعروضة أمامه، وتفريد العقاب وفقاً للظروف التي أقدم فيها الجاني على استخدام العنف ضد أفراد أسرته.