bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of vulvovaginal candidiasis among pregnant women in Africa: A systematic review and meta-analysis
Authors: Osman Mohamed Ahmed , Suliman Mohamed Malik , Hussain Mallhi Tauqeer , Abdelrahman Hussain Mohamed , Ali Jalloh Mohammad , Ali Omar Khatib , Omar Alhaj Manasik , Makki Mohamed Ali Alaa Aldeen 
Published: September 2022

Introduction: Vulvovaginal candidiasis (VVC) is a yeast infection of the vulva, which is caused by Candida species and affects women worldwide. Pregnant women are more vulnerable to VVC due to certain risks. Moreover, their offspring are also exposed to the risk of preterm birth. In this context, ascertaining the burden of VVC is of paramount importance and this meta-analysis was conducted to estimate the occurrence of VVC among pregnant women in Africa.
Methodology: Database search was carried out through PubMed, Scopus, Science-Direct, and Google Scholar from the date of inception until December 2020. All the studies on the prevalence of VVC among African pregnant women were included in the analysis. The pooled prevalence was estimated based on the Random-effect model DerSimonian-Laird approach with Freeman- Tukey double arcsine transformed proportion. Heterogeneity was assessed using I2 test and subsequently explored using subgroup and meta-regression analysis.
Results: A total of Sixteen records having a sample size 4,185 were included in this study. The overall prevalence of VVC was pooled at 29.2% (CI 95%: 23.4 – 33.0). Subgroup analysis revealed a higher prevalence in Eastern Africa, followed by Western Africa and North Africa (35%, 28%, and 15% respectively). Moderator analysis indicated that the studies that used advanced methods of detection had a higher prevalence (p = 0.048). In addition, the large sample size was associated with higher prevalence (p ≤ 0.001). No other moderators were found to be statistically significant.
Conclusions: The overall prevalence of VVC among African pregnant women is comparable to other studies worldwide. However, appropriate identification techniques and larger sample size could likely be associated with an increased prevalence. Our findings necessitate the need for further investigations to determine the geographical distribution of VVC across African regions.
Phylogeography and genomic analysis of SARS-CoV-2 delta variant in Morocco
Authors: El Mazouri Safae , Bendani Houda , Boumajdi Nasma , Aanniz Tarik , Kandoussi Ilham , Amzazi Saaïd , Belyamani Lahcen , Ibrahimi Azeddine , Ouadghiri Mouna 
Published: September 2022

Introduction: Since the COVID-19 pandemic began in December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has continuously evolved with many variants of concern emerging across the world.
Methodology: In order to monitor the evolution of these variants in Morocco, we analyzed a total of 2130 genomes of the delta variant circulating around the world. We also included 164 Moroccan delta variant sequences in our analysis.
Results: Our findings suggest at least four introductions from multiple international sources and a rise of a dominant delta sub-lineage AY.33 in Morocco. Moreover, we report three mutations in the N-terminal domain of the S protein specific to the Moroccan AY.33 isolates, T29A, T250I and T299I. The effect of these mutations on the secondary structure and the dynamic behavior of the S protein N-terminal domain was further determined.
Conclusions: We conclude that these mutations might have functional consequences on the S protein of SARS-CoV-2.
Effect of Relaxation Training Techniques on Anxiety and Depression among Breast Cancer Patients
Authors: Kareem Mosleh , Taher Diyar Hussein 
Published: September 2022

Background and objectives: non-pharmacological treatment for depression and anxiety includes a variety of treatments, such as various types of psychotherapy, education, and supporting measures. Behavioral treatments such as progressive muscle relaxation and abdominal breathing exercises have been shown to be effective in the treatment of anxiety and depression in cancer patients. Therefor this study aimed to evaluate the effect of progressive muscle relaxation and abdominal breathing exercise techniques on anxiety and depression among breast cancer patients in Erbil City- Iraq. Methods: A quasi-experimental study was conducted at Rizgary Teaching Hospital-department of oncology and Nanakali Oncology Hospital at Erbil city-Iraq, Patients from both hospitals were selected as the intervention and control group respectively. Patients were assessed through; the demographic data questionnaire, Hospital anxiety and depression scale. Results: A total of 88 patients 44 from the control group and 44 patients from the study group participated. At the end of the study, there were significant improvements in anxiety and depression (p-value was 0.001) result was observed in both post-tests at 4-week and at 8-week. Conclusion: The women who got progressive muscle relaxation and abdominal breathing exercise techniques had lower anxiety and depression levels than those who only received routine nursing care, according to the findings. Oncology nurses should educate patients with breast cancer to use the progressive muscle relaxation technique to reduce their anxiety and depression. Keywords: Anxiety, Depression, Breast cancer and Relaxation.
Analysis of the Use of Herbal Therapy to Reduce Labor Pain (Literature Review)
Authors: Abdurahman Abdurahman , Alchalidi Alchalidi , Lina Lina , Nora Nora , Mutia Cut 
Published: September 2022

Abstract Background:. labor pain can stress the mother and cause pain impulses to multiply and potentially weaken uterine muscle contractions. Pain can cause distress to the baby. One way to reduce pain is by giving herbal therapy or aromatherapy. Aromatherapy is one of the non-pharmacological methods to reduce labor pain. Aromatherapy often used to reduce labor pain is Lavender, Rose, Jasmine, Citrus Aurantium. AIM: This study aims to determine the use of herbal therapy to reduce labor pain.The purpose of this study is to analyze the challenges in implementing health education in elementary schools in Banda Aceh Methods: the design in this study was a literature review article. Search for articles using relevant ones obtained from data based on Pubmed, Proquest, Ebsco, ScienceDirect, and Google Scholar in the past ten years (2011–2021) received 121 articles. Results: The study results show several challenges in implementing health education. Lack of understanding about School Health Services, School Health Services is not considered a strategic program, Low attention from policymakers, School Health Services Program has not been understood as part of the national target, Implementation of UKS program in schools is only a formality, Implementation and development School Health Services program is not evenly distributed. Barriers to the Implementation of School Health Services in Elementary School are the lack of optimal inter-sectoral cooperation, lack of trained personnel, high workload, and the impact of conflicting health issues, causing various School Health Services activities to be hampered in their Implementation CONCLUSION: Utilization of herbal therapies such as Lavender, Mawar, Jasmine, Citrus, Aurantium has been proven to reduce labor pain which can be used in various methods such as inhalation, bath, massage, and foot soak. The easy use of aromatherapy can be an alternative to reduce labor pain.
Breeding strategy of Nannothrissa stewarti Poll &amp; Roberts 1976 (Clupeidae) in lake Mai-Ndombe, Democratic Republic of Congo
Authors: Zanga Norbert , Pwema Kianfu Victor , Mutambwe Shango , Musibono Eyul’Anki Dieudonné , Mbadu Zebe Victorine , Tembeni Makiadi John , Bekeli Mbomba Nseu , Micha Jean 
Published: September 2022

Background. Clupeidae, Nannothrissa stewarti (Poll & Roberts 1976) endemic to Lake Mai-Ndombe is one of most heavily fished fish groups using practices and nets not allowed by the country&#39;s legislation. Objective of this study was to determine some aspects of reproductive biology of N. stewarti in Lake Mai-Ndombe.
Materials and methods. Fish were sampled monthly from November 2020 to October 2021 breeding parameters were determined : Gonado-somatic index (GSI), Size at first sexual maturity, Absolute fecundity and the relationship between total weight (WT) and total length.
Results. Results obtained showed that the sex ratio was in favor of females (1 : 0.8). Estimated absolute fecundity was between 227 and 4080 oocytes for females of total length between 23 and 35 mm with an average of 923 &plusmn; 664 g oocytes and a relative fecundity varying between 25115 and 155457 oocytes kg-1. Average oocyte diameter was 0.20 &plusmn; 0.14 mm. Distribution of oocyte diameters observed in the population as well as monthly variations of the Somatic Gonado Index (SGI) indicate that the species has two main clutches during the year. LT50 size at first sexual maturity is 27.6 mm for males and 25.5 mm for females.
Conclusion.N. stewarti from Lake Mai-Ndombe has multiple reproduction throughout year with however two maximum peaks at the beginning of peak rainfall (February-March and September-October).
Le co-design de technologies de eSanté : Un enchevêtrement de conversations, de tensions créatrices et d’inscriptions circulantes
Authors: Grosjean Sylvie 
Published: September 2022

L’objectif de cet article est d’examiner les processus de communication qui sont au cœur du design de technologies de eSanté. Pour ce faire, nous prendrons appui sur un projet de design d’une plateforme de eSanté pour et avec les personnes vivant avec la maladie de Parkinson. À travers la présentation de « vignettes » décrivant certaines étapes du processus de design participatif (ou co-design), nous montrerons en quoi la communication est constitutive du design d’une technologie de eSanté. Nous porterons alors notre attention sur trois éléments : (a) la réduction de l’équivocité inhérente à la situation de conception et le processus de sensemaking ; (b) l’émergence de tensions créatrices ancrées dans l’expression de la multiplicité des points de vue ; (c) la production de multiples artéfacts traduisant des valeurs dans le design.
Coopération et reliance : design et communication environnementale comme logiques de pensée et d’action au service d’enjeux complexes
Authors: Coulbaut Amélie 
Published: September 2022

Intégrant design et communication environnementale dans une réflexion théorique et empirique, cet article appelle un questionnement mêlant la prise en compte des stratégies communicationnelles et de médiation mises en œuvre par les acteurs d’un Parc Naturel Régional et la manière dont la communication développée souhaite contribuer à construire un projet de société. Nous observons l’émergence de nouvelles stratégies de coopération, appuyées sur des dispositifs intégrant le faire-ensemble, les liens, le partage d’affects, de valeurs et d’actions. Le cœur des logiques de pensée et d’action dans les territoires de moyenne montagne se construit autour de la notion de liens, dans une perspective de reliance qui fonde les coopérations. Cet article s’inscrit dans l’axe 1c concernant les évolutions des modèles d’information, de communication et d’action par la pratique et 3c concernant les nouvelles stratégies des acteurs et les logiques de coopération.
Que peut le design pour la communication des entreprises de BTP ? Regard sur la relation client dans les prestations techniques
Authors: Khainnar Smail 
Published: September 2022

Après s’être affranchi de la tutelle industrielle, l’assignant pendant longtemps à un simple processus de conception de divers produits du quotidien (voire parfois de ceux relevant de l’art : mobilier, objets d’exposition, etc.), le design est désormais, sur un plan conceptuel, dilaté et revendique une richesse en matière de métiers émergents, champs d’application, méthodes, finalités, etc. C’est dans cette optique d’ouverture du design que la présente étude vise à questionner son rôle dans l’optimisation des communications du couple « entreprise de BTP-client » dans le cadre d’une prestation technique. Cela se traduit par l’élaboration d’un modèle analytique qui conceptualise ladite prestation technique comme une « expérience » à vivre par les deux acteurs. Expérience qui est structurée par trois moments clés : avant, pendant et après les travaux. Ainsi, notre modèle a pour dessein de performer les passages entre les trois moments par les apports du design.
Vendre sans être une vendue
Authors: Michel Marion 
Published: September 2022

La croissance de l’usage des réseaux socio-numériques rend possible de nouvelles modalités de prescription où un entrepreneur individuel, appelé « influenceur » ou « créateur de contenus » peut proposer un produit à son audience via son profil après avoir été recruté par une firme. La promotion de pratiques écologiques est concernée par cette modalité de prescription et peut être source de tensions que nous entendons discuter ici. A partir de méthodes quantitatives de scraping du web et de méthodes qualitatives, nous proposons d’étudier les modalités de la prescription écologique sur les réseaux socio-numériques. Si les créateurs de contenus mettent à distance dans leurs discours le monde marchand et insistent sur le caractère alternatif de leur activité, leurs pratiques sont issues du monde de l’entreprise et ils s’insèrent dans des relations marchandes – de coopération, de concurrence et de revendications tarifaires – avec les autres acteurs présents sur les réseaux socio-numériques.
Les effets secondaires de la crise sanitaire sur les sociabilités médiatisées des français
Authors: Figeac Julien , Favre Guillaume , Bideau Laëtitia , Rives Liza , Béliard Anne-Sophie , Joubert Léo 
Published: September 2022

Cet article analyse quels dispositifs de communication les Français ont privilégiés pour rester en contact avec leurs proches durant la crise sanitaire. Sur la base de deux vagues d’une enquête par questionnaires (n = 16 224 puis n = 3 620) et d’une campagne d’entretiens (n = 30), nous montrons que l’intensification des usages observée durant cette période varie selon le genre, avec une nette démarcation des femmes, selon l’âge et le niveau d’études. Cette enquête montre également que les dispositifs les plus impliquant socialement (appels téléphoniques, SMS et appels vidéo) ont été plus importants dans les échanges avec les liens forts (parents, enfants et amis proches). Les relations avec les liens plus faibles (collègues, membres d’une association, amis d’amis, etc.) ont quant à elles été plus souvent maintenues à l’aide des dispositifs les moins impliquants socialement, comme les groupes de discussion en ligne et une forme de veille relationnelle, flottante et intermittente, instaurée à l’aide des médias sociaux.
Comment déclencher une mobilisation numérique de masse ?
Authors: Paulhet Jean-Baptiste , Mabi Clément , Flacher David 
Published: September 2022

Dans l’espoir d’obtenir une visibilité accrue, les mouvements sociaux se sont emparés de l’espace public numérique. Cependant, au-delà de quelques mobilisations marquantes, leur capacité à générer des mobilisations numériques de masse reste incertaine. Dans cet article, nous proposons une analyse empirique de la mobilisation autour « L’Affaire du Siècle » sur Facebook (pétition la plus signée de l’Histoire de France) afin d’identifier des configurations susceptibles de permettre à une mobilisation numérique de rassembler au-delà de publics militants. Nous défendons l’hypothèse qu’une mobilisation numérique s’élargit lorsque son dispositif d’information et de communication parvient à adopter les codes de l’espace public numérique au sein duquel elle prend place, notamment en optimisant la circulation des contenus. Pour l’étayer, nous avons procédé à une étude de circulation du lien internet de la pétition de « L’Affaire du Siècle » sur Facebook pour comprendre les dynamiques de mobilisation au sein de cet espace. Dans ce cadre, nous établissons que le dispositif de communication de « L’Affaire du Siècle » est parvenu à mobiliser de nouveaux publics en articulant simultanément deux variables : l’appel à des leaders d’opinion en lien avec la cause et l’appel aux « affects »numériques susceptibles de faciliter la circulation des contenus. Ces deux conditions ont permis de déclencher une cascade d’information à même dépasser les contraintes de visibilité qui s’exercent dans un espace numérique comme Facebook.
Prevalence and predictors of squamous intraepithelial lesions in human immunodeficiency virus positive women in Sagamu, southwest Nigeria
Authors: Ogunsowo Kehinde , Akadri Adebayo , Odelola Oluwaseyi , Adefuye Peter , Shorunmu Tessie , Ebili Henry 
Published: September 2022

Background: Cervical cancer is still a public health problem in many developing countries, like Nigeria. HIV infection makes HPV infections last longer, progress to squamous intraepithelial lesion of the cervix, and eventually lead to invasive cervical cancer.Objective: Find out how often squamous intraepithelial lesions (SIL) happen and what causes them in HIV-positive women in Sagamu, southwest Nigeria. Methods. A cross-sectional study was done with 165 women with HIV and 165 women without HIV. Pap smears were done on all of the people in the study. The data was looked at with IBM-SPSS Windows v. 23.Results: Both groups were about the same age and had the same number of children (P=0.194 and P=0.388, respectively). The participants’ average age (SD) was 36.8 (5.6), and the median number of children they had was 3. HIV-positive women were much more likely to have an abnormal cytology smear (24.8%) than HIV-negative women (7.3%) (2 = 18.904, P 0.001). There wasn’t a link between having HIV and the severity of cervical lesions (2 = 3.66, P = 0.162). A CD4 cell count of less than 350 cells/mm3was found to be a strong predictor of an abnormal cervical cytological smear in HIV-positive women (AOR: 25.5; CI: 8.8-73.5; P 0.001).Conclusion: In Sagamu, Nigeria, the number of HIV-positive women with SIL of the cervix was much higher than the number of HIVnegative women with SIL of the cervix. HIV-positive women, especially those with a low number of CD4 cells, need cervical smear tests more often. This will make sure that pre-invasive lesions are found and treated as soon as possible.
Association of Multidomain Assessment Outcomes With Referral for Vestibular Therapy After Concussion
Authors: Eagle Shawn R. , Mucha Anne , Trbovich Alicia , Manderino Lisa , Elbin R.J. , Collins Michael W. , Kontos Anthony P. 
Published: September 2022

ContextMultiple aspects of a multidomain assessment have been validated for identifying concussion; however, researchers have yet to determine which components are related to referral for vestibular therapy.ObjectiveTo identify which variables from a multidomain assessment were associated with receiving a referral for vestibular therapy after a concussion.DesignRetrospective chart review, level of evidence 3.Patients or Other ParticipantsParticipants (n = 331; age = 16.9 ± 7.2 years; 39.3% female) were diagnosed with a concussion per international consensus criteria by a clinical neuropsychologist after presenting to a concussion specialty clinic.Main Outcome Measure(s)Medical chart data were extracted from the first clinical visit regarding preinjury medical history, computerized neurocognition, Post-Concussion Symptom Scale, Concussion Clinical Profiles Screen, and Vestibular Ocular Motor Screening within 16.2 ± 46.7 days of injury. We built 5 backwards logistic regression models to associate the outcomes from each of the 5 assessments with referral for vestibular therapy. A final logistic regression model was generated using variables retained in the previous 5 models as potential predictors of referral for vestibular therapy.ResultsThe 5 models built from individual components of the multidomain assessment predicted referral for vestibular therapy (R2 = 0.01–0.28) with 1 to 6 statistically significant variables. The final multivariate model (R2 = 0.40) retained 9 significant variables, represented by each of the 5 multidomain assessments except neurocognition. Variables that had the strongest association with vestibular therapy referral were motor vehicle accident mechanism of injury (odds ratio [OR] = 15.45), migraine history (OR = 3.25), increased headache when concentrating (OR = 1.81), and horizontal vestibular ocular reflex (OR = 1.63).ConclusionsWe demonstrated the utility of a multidomain assessment and identified outcomes associated with a referral for vestibular therapy after a concussion.
Rectal Temperature Cooling Using 2 Cold-Water Immersion Preparation Strategies
Authors: Miller Kevin C. , Launstein Ethan D. , Glovatsky Rachel M. 
Published: September 2022

Context
Cold-water immersion (CWI) is essential to treat patients with exertional heatstroke (EHS). Experts recommend that patients with EHS be immersed in water between 1.7°C and 15°C within 30 minutes of collapse. Some clinicians fill cooling tubs several hours before exercise, keep the tub in hot conditions, and then add ice in the event of an EHS emergency. No data exist on whether adding ice to water at the time of treatment is as effective as keeping water in the recommended range.

Objectives
To (1) compare the cooling rates of individuals immersed in a water bath kept at 10°C (CON) or 17°C water with 75.7 L (20 gal) of ice added to it immediately upon immersion (ICE) and (2) examine perceptual responses before, during, and after cooling.

Design
Crossover study.

Setting
Laboratory.

Patients or Other Participants
Twelve individuals (7 men, 5 women; age = 22 ± 2 years, height = 176.0 ± 12.8 cm, mass = 74.5 ± 10.6 kg).

Interventions
Participants exercised in the heat until rectal temperature was 39.5°C. They then immersed themselves in CON (initial water volume = 681 ± 7.6 L, 10.0°C ± 0.03°C) or ICE (initial water volume = 605.7 ± 7.6 L water at 17.0°C ± 0.03°C with 75.7 L ice) until rectal temperature was 38°C. Thermal sensation and environmental symptoms questionnaire (ESQ) responses were recorded before, during, and after exercise and cooling.

Main Outcome Measure(s)
Rectal temperature cooling rates, thermal sensation, ESQ responses.

Results
Participants exercised for similar durations (CON = 39.6 ± 18.2 minutes, ICE = 38.8 ± 14.3 minutes, Z11 = 0.94, P = .38) and had similar thermal sensation and ESQ scores immediately postexercise each day (P values &gt; .05). They cooled quickly and at similar rates in both conditions (CON = 0.20°C ± 0.06°C/min, ICE = 0.21°C ± 0.12°C/min, t12 = 0.72, P = .49). Perception data were similar between conditions during and after cooling (P &lt; .05).

Conclusions
Clinicians can cool patients with EHS quickly by adding ice to water that has warmed to above expert recommendations. Adding ice to a water bath at the time of EHS emergencies could save time, energy, and resources instead of always maintaining water bath temperatures within expert-recommended ranges.