bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sexual coercion at sexual debut and associated factors among young females in rural areas of Boset District, Eastern Ethiopia: a mixed method study
Authors: Garoma Abeya Sileshi 
Published: November 2022

Objectives: Assess the prevalence and associated factors of sexual coercion at sexual debut among young females in rural areas of Boset district, Oromia Region, Eastern Ethiopia.
Methods: Cross-sectional community based study design was conducted using both qualitative and quantitative data collection methods. A sample of 632 young females aged 10-24 years was taken from six rural Kebeles by systematic random samplingfor quantitative and data were collected using a pre-tested structured questionnaire. The collected data was analyzed using SPSS version 23. Principally Binary Logistic regression model was fitted. Moreover, eight focus group discussions targeting different groups were held andanalyzed thematically.
Results: The prevalence of sexual coercion at sexual debut was 36.5% (95%CI: 34.6%- 38.4%) among sexually active respondents. Married young female (AOR, 0.71; 95%CI: 0.42, 0.81), living away from their parents (AOR, 5.07; 95%CI: 1.07,24.01), age group of 15- 19 years (AOR, 0.19; 95%CI: 0. 06, 0.54), alcohol consumption (AOR, 2.44; 95%CI: 1.17, 5.08) and Khat chewing (AOR, 8.30; 95%CI: 1.89, 36.38) were factors predicting the likelihood of having sexual coercion at sexual debut.
Conclusion: Sexual coercion at sexual debut is a major public health problem among young females in the study community. The emerging program interventions need to take this problem into consideration.
Keywords: Coercion; sexual debut; rural; Ethiopia.
3d cranial reconstruction using titanium implant – a case report
Authors: Selvaraj Sunantha , Dorairaj Jayachandran , M Shivasankar 
Published: November 2022

Cranioplasty is a neurosurgical procedure done to cover the defective or deficient skull bone. The cranial reconstruction rejuvenates the patient by protecting and restore intracranial structures and pressure thus improving the esthetic appearance. Thus improves the neurological and psychological wellbeing of the patient. The blending Advancement of computer technology in medical and dental science allowed the 3D reconstruction of several anatomical structures for various medical procedures by designing the custom-made implants.
Procedure: This case report describes the methodology used to design a custom-made cranial implant for a 38-year-old patient who had traumatic injury in the right temporosagital region of the skull caused by a road traffic accident . 3D reconstruction of the cranial vault was done using CAD designing and Selective laser melting (SLM) technology printing.
Discussion: The presicion of the prosthesis was good thereby the surgical time was reduced and eliminates any errors in operating theatre and successfully implanted. The patient’s esthetics was restores , allowing the patient to safely perform daily activities with full confidence.
Conclusion: The use of 3D reconstruction techniques in managing exhaustive surgeries aids to reduces the possibility of errors during surgery, precise and passive fit and provides better implant stability. Thus 3D printing technology has boomed its use in various field of medicine.
Keywords: Cranial implants; titanium; 3D Printing; Fused deposition modelling Printing; Selective laser melting (SLM) technology.
Aspergillus-specific IgM/IgG antibody serostatus of patients hospitalized with moderate-critical COVID-19 in Uganda
Authors: Bongomin Felix , Kwizera Richard , Mande Emmanuel , Melissa Aloyo Sharley , Achan Beatrice , Namusobya Martha , Goitom Sereke Senai , Batte Charles , Kiguli Sarah , Baruch Baluku Joseph , L Joloba Moses , J Kirenga Bruce 
Published: November 2022

Invasive pulmonary aspergillosis is known to complicate the coronavirus diseases-2019 (COVID-19), especially those with criticalillness. We investigated the baseline anti-Aspergillus antibody serostatus of patients with moderate-critical COVID-19 hospitalizedat 3 COVID-19 Treatment Units in Uganda. All 46 tested patients, mean age 30, and 11% with underlying respiratorydisease had a negative serum anti-Aspergillus IgM/IgG antibody immunochromatographic test on day 3 (mean) of symptomonset (range 1-26), but follow up specimens to assess seroconversion were not available.
Keywords: Invasive pulmonary aspergillosis; COVID-19; critical illness; Uganda.
Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
Authors: Zhang Lianyu , Zhao Shuai 
Published: November 2022

Background: The present study was undertaken to evaluate the association between liver injury and clinical parameters, outcomes and length of stay (LOS) in hospital in children with community-acquired pneumonia (CAP).
Methods: Clinical data and laboratory indicators of 2,573 children with CAP were analyzed. The association between liver injury and clinical parameters, outcomes and LOS was then analyzed.
Results: Higher liver injury class was associated with higher incidence of severe CAP, comorbidities, hypoxia, requirement for mechanical ventilation, 30-day mortality and intensive care unit admission, and higher indicators of inflammation (C-reactive protein, procalcitonin and white blood cell count), longer LOS, faster respiratory rate and pulse rate, and lower age, serum albumin levels, monocyte and lymphocyte counts. Severe liver injury was identified as an independent factor for 30-day mortality and prolonged LOS in children with CAP. Higher liver injury class was associated with a lower cumulative survival rate (p=0.0004), and log-rank test for trend was used to demonstrate the association of each injury class with 30-day mortality (p=0.0002).
Conclusions: Several parameters were associated with liver injury in children with CAP. Severe liver injury was found to be an independent factor for 30-day mortality and LOS in children with CAP.
Keywords: Community-acquired pneumonia; liver injury; children; mortality; hospital length of stay.
Evaluating the level of disaster preparedness of Tunisian University Hospitals using the Hospital Safety Index: a nationwide cross-sectional study
Authors: Lamine Hamdi , Chebili Naoufel , Zedini Chekib 
Published: November 2022

Background: Mid-way through the ‘Sendai Framework for Disaster Risk Reduction 2015-2030’, many nations are spending time, money and effort to enhance their level of preparedness facing disasters, on the other hand communities, countries and even continents are being left behind.
Objectives: This study was conducted aiming at evaluating the level of disaster preparedness and response of Tunisian University Hospitals.
Methods: This is a cross-sectional nationwide study conducted in Tunisia, from November 2020 to April 2021. Including 9 Tunisian University Hospitals and using the Hospital Safety Index. The data were analysed using the 'Module and safety index calculator'.
Results: This study showed that 7 out of the 9 University Hospitals were assigned the ‘B’ category of safety with overall safety indexes that ranges between 0.37 and 0.62. Also, 4 out of 9 University Hospitals had safety scores less than 0.20 regarding their emergency and disaster management.
Conclusions: This is the first study to evaluate disaster preparedness and response of university hospitals in Tunisia and in north Africa. It showed that the lack of knowledge, resources and willingness, are the most important issues that needs to be addressed in order to enhance the preparedness of Tunisian hospitals.
Keywords: Disaster preparedness; Hospital Safety Index; Tunisian University Hospitals; Scores.
HUBUNGAN PENGETAHUAN DAN POLA KONSUMSI MAKANAN DENGAN KEKURANGAN ENERGI KRONIS PADA IBU HAMIL
Authors: Ningsih I Dewi Aprilia , Yandrizal Yandrizal , Lisnawati Lina 
Published: November 2022

Asupan energi dan protein kurang baik dan kurang memenuhi selama kehamilan akan mengakibatkan energi dalam tubuh ibu selama hamil kurang (KEK). Penelitian ini bertujuan untuk mengetahui mengetahui hubungan pengetahuan dan pola konsumsi makanan dengan kekurangan energi kronis pada ibu hamil di wilayah kerja puskesmas Megang Sakti Kabupaten Musi Rawas. Penelitian ini menggunakan pendekatan Survey Analitik dengan rancangan cross sectional. Populasi adalah seluruh ibu hamil di wilayah kerja Puskesmas Megang Sakti bulan November Tahun 2021 sebanyak 172 orang. Sampel sebanyak 63 orang ditentukan dengan teknik Purposive Sampling. Pengumpulan data menggunakan kuesioner dan recall 2x24 Jam menggunakan uji statistik Chi-Square (χ2) dan uji Contingency Coefficient (C). Hasil penelitian: Dari 63 responden terdapat 19 responden mengalami KEK; 24 responden pengetahuan kurang; 20 responden pola konsumsi makanan kurang. terdapat hubungan yang signifikan antara pengetahuan dengan kekurangan energi kronis pada ibu hamil, dengan kategori hubungan sedang dan terdapat hubungan yang signifikan antara pola konsumsi makanan dengan kekurangan energi kronis pada ibu hamil, dengan kategori hubungan erat. Diharapkan kepada pihak Puskesmas dapat meningkatkan pengetahuan dan wawasan ibu hamil dan ibu yang akan merencanakan kehamilan tentang penyebab dan dampak kekurangan energi kronis selama kehamilan.
Hubungan Tingkat Pengetahuan Dan Sikap Ibu Pramenopause dengan Kesiapan pada Masa Menopause
Authors: Oklaini Suhita Tri , Fahriani Metha , Mirdayanti Rike , Oktarina Mika 
Published: November 2022

Menopause adalah tahap dalam kehidupan wanita ketika menstruasi berhenti, dengan demikian tahun-tahun melahirkan anak pun terhenti. Meskipun merupakan proses alami dan bukanlah penyakit, banyak wanita memahami menopause sebagai periode dimana mereka akan mengalami penderitaan mental dan fisik. Penelitian ini bertujuan untuk mengetahui Hubungan Tingkat Pengetahuan Dan Sikap Ibu Pramenopause Dengan Kesiapan Pada Masa Menopause Di Wilayah Kerja Puskesmas Kembang Mumpo Kabupaten Seluma. Jenis penelitian ini adalah deskriptif korelasi dengan menggunakan desain cross sectional. Teknik pengambilan sampel dengan cara purposive sampling yaitu sebanyak 60 orang ibu pramenopause usia 40-48 tahun. Pengumpulan data melalui data primer yang didapat langsung dari responden dengan mengisi kuesioner. Hasil penelitian yang didapat: Dari 60 responden terdapat 24 (40,0%) ibu yang berpengetahuan kurang di Wilayah Kerja Puskesmas Kembang Mumpo memiliki tingkat pengetahuan kurang, Dari 60 responden terdapat 33 (55,0%) ibu yang memiliki sikap positif di Wilayah Kerja Puskesmas Kembang Mumpo, Dari 60 responden terdapat 33 (55,0%) ibu yang tidak siap menghadapi menopause di Wilayah Kerja Puskesmas Kembang Mumpo; Terdapat hubungan antara Pengetahuan ibu pramenopause dengan kesiapan ibu pada masa menopause di Wilayah Kerja Puskesmas Kembang Mumpo dengan keeratan sedang, Terdapat hubungan antara sikap ibu pramenopause dengan kesiapan ibu pada masa menopause di Wilayah Kerja Puskesmas Kembang Mumpo dengan keeratan sedang. Diharapkan penelitian ini bisa menjadi masukan untuk puskesmas dan teman sejawat agar dapat meningkatkan promosi kesehatan dan pendampingan khususnya untuk ibu-ibu yang memasuki usia pramenopause agar siap menghadapi masa menopause.
Pengaruh Terapi Musik Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Operasi Di Rs. Ummi Kota Bengkulu
Authors: Sulastri Sulastri , Samidah Ida , Murwati Murwati 
Published: November 2022

Seksio sesarea adalah sebuah bentuk proses melahirkan anak dengan melakukan sebuah irisan pembedahan yang menembus dinding abdomen. Nyeri adalah suatu gangguan yang tidak menyenangkan dan terlokalisasi yang disebabkan oleh luka insisi. Terapi music merupakan salah satu teknik distraksi yang digunakan untuk mengalihkan sensasi yang tidak menyenangkan oleh seseorang misalnya nyeri. Tujuan dari penelitian ini untuk mengetahui pengaruh terapi music terhadap penurunan tingkat nyeri pada pasien posto perasi di RS. Ummi Kota Bengkulu. Desain penelitian ini menggunakan metode Pre-Eksperimental dengan pendekatan One Group pre-post test design, Sampel dalam penelitian ini berjumlah 16 pasien, Dengan menggunakan teknik sampling purposive sampling dan alat ukur yang digunakan adalah NRS (Numeric Rating Scale). Analisa data menggunakan Uji Paired t test dengan derajat signifikansi α 0,05. Hasil penelitian menunjukkan bahwa musik dipercaya dapat meningkatkan pengeluaran hormon endorphin. Endorfin merupakan ejektor dari rasa rileks dan ketenangan yang timbul, midbrain mengeluarakan Gama AminoButyric Acid (GABA) yang berfungsi menghambat hantaran implus listrik dari satu neuron ke nueron lainnya oleh neurontransmiter didalam sinaps. Midbrain mengeluarkan enkepalin dan beta endorfin dan zat tersebut dapat menimbulkan efek analgesik yang akhirnya mengeliminasi neurotransmitter rasa nyeri pada pusat persepsi dan interpretasi sensorik somatic di otak sehingga efek yang bisa muncul adalah nyeri berkurang. Sebelum dilakukan terapi musik rata-rata tingkat nyeri 6,25. Setelah dilakukan terapi music tingkat nyeri menjadi 4,68. Hasil analisa dari penelitian ini didapatkan bahwa nilai P value= 0,001 (p < α 0,05) yang mempunyai makna terdapat pengaruh pemberian terapi music terhadap penurunan tingkat nyeri pada pasien post operasi di RS. Ummi Kota Bengkulu. Dengan demikian diharapkan untuk dapat menerapkan terapi music untuk mengurangi tingkat nyeri di Instansi Rumah Sakit
Comparison of model and ground observations finds snowpack and blowing snow aerosols both contribute to Arctic tropospheric reactive bromine
Authors: Swanson William F. , Holmes Chris D. , Simpson William R. , Confer Kaitlyn , Marelle Louis , Thomas Jennie L. , Jaeglé Lyatt , Alexander Becky , Zhai Shuting , Chen Qianjie , Wang Xuan , Sherwen Tomás 
Published: November 2022

Abstract. Reactive halogens play a prominent role in the atmospheric chemistry of the
Arctic during springtime. Field measurements and modeling studies suggest
that halogens are emitted into the atmosphere from snowpack and reactions on wind-blown snow-sourced aerosols. The relative importance of snowpack and
blowing snow sources is still debated, both at local scales and regionally
throughout the Arctic. To understand the implications of these halogen sources on a pan-Arctic scale, we simulate Arctic reactive bromine chemistry in the
atmospheric chemical transport model GEOS-Chem. Two mechanisms are included:
(1) a blowing snow sea salt aerosol formation mechanism and (2) a snowpack
mechanism assuming uniform molecular bromine production from all snow
surfaces. We compare simulations including neither mechanism, each mechanism
individually, and both mechanisms to examine conditions where one process
may dominate or the mechanisms may interact. We compare the models using
these mechanisms to observations of bromine monoxide (BrO) derived from
multiple-axis differential optical absorption spectroscopy (MAX-DOAS)
instruments on O-Buoy platforms on the sea ice and at a coastal site in
Utqiaġvik, Alaska, during spring 2015. Model estimations of hourly and monthly average BrO are improved by assuming a constant yield of 0.1 %
molecular bromine from all snowpack surfaces on ozone deposition. The
blowing snow aerosol mechanism increases modeled BrO by providing more
bromide-rich aerosol surface area for reactive bromine recycling. The
snowpack mechanism led to increased model BrO across the Arctic Ocean with
maximum production in coastal regions, whereas the blowing snow aerosol
mechanism increases BrO in specific areas due to high surface wind speeds.
Our uniform snowpack source has a greater impact on BrO mixing ratios than
the blowing snow source. Model results best replicate several features of
BrO observations during spring 2015 when using both mechanisms in
conjunction, adding evidence that these mechanisms are both active during
the Arctic spring. Extending our transport model throughout the entire year leads to predictions of enhanced fall BrO that are not supported by
observations.
The PANDA automatic weather station network between the coast and Dome A, East Antarctica
Authors: Ding Minghu , Zou Xiaowei , Sun Qizhen , Yang Diyi , Zhang Wenqian , Bian Lingen , Lu Changgui , Allison Ian , Heil Petra , Xiao Cunde 
Published: November 2022

Abstract. This paper introduces a unique multiyear dataset and the
monitoring capability of the PANDA automatic weather station network, which
includes 11 automatic weather stations (AWSs) across the Prydz Bay–Amery Ice
Shelf–Dome A area from the coast to the summit of the East Antarctic Ice
Sheet. The ∼ 1460 km transect from Zhongshan to Panda S
follows roughly along ∼ 77∘ E longitude and covers
all geographic units of East Antarctica. Initial inland observations, near
the coast, started in the 1996/97 austral summer. All AWSs in this network
measure air temperature, relative humidity, air pressure, wind speed and
wind direction at 1 h intervals, and some of them can also measure firn
temperature and shortwave/longwave radiation. Data are relayed in near
real time via the Argos system. The data quality is generally very reliable, and
the data have been used widely. In this paper, we firstly present a detailed
overview of the AWSs, including the sensor characteristics, installation
procedure, data quality control protocol and the basic analysis of each
variable. We then give an example of a short-term atmospheric event that
shows the monitoring capacity of the PANDA AWS network. This dataset, which
is publicly available, is planned to be updated on a near-real-time basis and
should be valuable for climate change estimation, extreme weather events
diagnosis, data assimilation, weather forecasting, etc. The dataset is
available at https://doi.org/10.11888/Atmos.tpdc.272721 (Ding
et al., 2022b).
Risks of seasonal extreme rainfall events in Bangladesh under 1.5 and 2.0 °C warmer worlds – how anthropogenic aerosols change the story
Authors: Rimi Ruksana H. , Haustein Karsten , Barbour Emily J. , Sparrow Sarah N. , Li Sihan , Wallom David C. H. , Allen Myles R. 
Published: November 2022

Abstract. Anthropogenic climate change is likely to increase the risk
(probability of occurrence of a hazard) of extreme weather events in the
future. Previous studies have robustly shown how and where climate change
has already changed the risks of weather extremes. However, developing
countries have been somewhat underrepresented in these studies, despite high
vulnerability and limited capacities to adapt. How additional global warming
would affect the future risks of extreme rainfall events in Bangladesh needs
to be addressed to limit adverse impacts. Our study focuses on understanding
and quantifying the relative risks of extreme rainfall events in Bangladesh
under the Paris Agreement temperature goals of 1.5 and
2.0 ∘C warming above pre-industrial levels. In particular, we
investigate the influence of anthropogenic aerosols on these risks given
their likely future reduction and resulting amplification of global warming.
Using large ensemble regional climate model simulations from weather@home
under different forcing scenarios, we compare the risks of rainfall events
under pre-industrial (natural; NAT), current (actual; ACT), 1.5 and 2.0 ∘C warmer, and greenhouse gas (GHG)-only (with
pre-industrial levels of anthropogenic aerosols) conditions. Both GHGs and
anthropogenic aerosols have an impact on seasonal mean rainfall over this
region. In general, higher global mean temperature levels lead to higher
rainfall and higher aerosol concentrations to lower rainfall, however the
relative importance of the two factors varies between the regions. For
extreme rainfall events, we find that the risk of a 1 in 100 year rainfall
episode has already increased significantly compared with pre- industrial
levels across parts of Bangladesh, with additional increases likely for 1.5
and 2.0 ∘C warming. Climate change impacts on the probabilities of
extreme rainfall episodes are found during both pre-monsoon and monsoon
seasons. Results show that reduction in anthropogenic aerosols will
exacerbate the effects of GHG-induced warming and thereby increasing the
rainfall intensity, which has otherwise attenuated the impacts. We highlight
that the net aerosol effect varies from region to region within Bangladesh,
which leads to different outcomes of aerosol reduction on extreme rainfall
statistics and must therefore be considered in future risk assessments.
While there is a substantial reduction in risk at 1.5 ∘C warming
when compared to 2 ∘C warming, the difference is spatially and
temporally variable too, specifically with respect to seasonal extreme
rainfall events.
Análisis Real World Data de algunas repercusiones de la pandemia de COVID-19 sobre el control metabólico de las personas con DM2
Authors: Franch Nadal Josep 
Published: November 2022

La actual pandemia de COVID-19 ha provocado importantes cambios tanto en los estilos de vida de los pacientes como en la forma de visitarlos. El uso de estándares de calidad asistencial nos proporciona información sobre estos cambios en el control metabólico. Durante el primer año después de la irrupción del COVID en Barcelona, se han registrado importantes descensos del porcentaje de pacientes con un buen control de la hemoglobina glicada (HbA1c) (en 19 puntos), de la tensión arterial (en 38 puntos), así como de la exploración de los pies (en 48 puntos) y del fondo de ojo (en 23 puntos). La tasa de mortalidad acumulada de los 12 últimos meses ha subido en 2,4 puntos (un 43 %). Las transformaciones asociadas al COVID-19 exigen un profundo planteamiento sobre cuál debería ser el modelo sanitario para la gestión de los pacientes crónicos en el siglo xxi.
The Interaction of the Kemambang Village Community in Developing a Tourist Village
Authors: Putri Puri Kusuma Dwi , Umami Zahrotul , Purnamasari Devi 
Published: November 2022

Kemambang Village is located in Banyubiru district, Semarang Regency, Ambarawa, with natural potential (natural scenery, dispensary plantations, coffee plantations, and so on); culinary potential (Kumambang mas coffee, Jamu, Gula Ant, and so on); and cultural potential (Rodat dance, Keprajurita dance, Merti Desa, and so on). Kemambang shows that the potential of villages is very diverse, but villages have not been able to optimize the potential of existing resources due to lack of knowledge of Human Resources (HR) and infrastructure. This study aims to determine the interaction of the kemambang village community in developing tourist villages. The theory used in this study is ecological communication popularized by Luhman (1989). Luhman uses the concept of "resonance" in describing the interaction between the system and the social environment. A context that experiences the complexity of ecological problems can create communication problems, on the contrary, these problems can be overcome with solutions offered simultaneously.
The results showed that cooperation between various parties that form the ecology of tourism development in Kemambang village is important to carry out. Karang Taruna still needs cooperation with the village government as the person in charge of the existing programs by conducting two-way communication. The dialogue between the two parties aims to advance tourist village destinations.