CiteSpace-based visualization and analysis of hotspots and development trends in childbirth experience research

To investigate factors influencing maternal health care utilisation in western rural China and its relation to income before (2002) and after (2007) introducing a new rural health insurance system (NCMS). Data from cross-sectional household-based health surveys carried out in ten western rural provinces of China in 2003 and 2008 were used in the study. The study population comprised women giving birth in 2002 or 2007, with 917 and 809 births, respectively. Correlations between outcomes and explanatory variables were studied by logistic regression models and a log-linear model. Between 2002 and 2007, having no any pre-natal visit decreased from 25% to 12% (difference 13%, 95% CI 10-17%); facility-based delivery increased from 45% to 80% (difference 35%, 95% CI 29-37%); and differences in using pre-natal and delivery care between the income groups narrowed. In a logistic regression analysis, women with lower education, from minority groups, or high parity were less likely to use pre-natal and delivery care in 2007. The expenditure for facility-based delivery increased over the period, but the out-of-pocket expenditure for delivery as a percentage of the annual household income decreased. In 2007, it was 14% in the low-income group. NCMS participation was found positively correlated with lower out-of-pocket expenditure for facility-based delivery (coefficient -1.14 P < 0.05) in 2007. Facility-based delivery greatly increased between 2002 and 2007, coinciding with the introduction of the NCMS. The rural poor were still facing substantial payment for facility-based delivery, although NCMS participation reduced the out-of-pocket expenditure on average.

Birth Stories, Support, and Perinatal Emotional Health among Minority Adolescent Mothers: A Mixed Methods Study.

Preconception Women’s Health and Pediatrics: An Opportunity to Address Infant Mortality and Family Health

A bibliometric analysis of current research, hotspots, and development trends was used to develop an overall framework of mechanisms of alpine grassland degradation on the Qinghai-Tibet Plateau. This investigation includes data from 1,330 articles on alpine grassland degradation on the Qinghai-Tibet Plateau, acquired from the Chinese Science Citation Database (CSCD) and Web of Science Core Collection (WOS). Research was divided into three themes: spatial scope and management of typical grassland degradation problems, dynamic mechanisms of grassland degradation and effects of ecological engineering, and grassland degradation risk based on remote sensing technology. The results of the analysis showed that the research can be summarized into three aspects: typical grassland degradation identification, dynamic mechanism analysis of grassland degradation, and grassland ecosystem stability strategy. The main findings can summarized, as follows: (1) Ecological analyses using the river source as a typical region defined the formation of "black soil beach" type degraded grasslands in the region, and promoted the ecological environment management and protection of the alpine grassland by discussing the causes of regional ecological environment changes; (2) Dynamic mechanism analyses of climate change and characteristics analyses of grassland vegetation-soil degradation revealed that alpine grassland degradation is the result of multiple main factors; and (3) Risk prediction methods for grassland degradation, methods of grassland management and sustainable countermeasures for agriculture and animal husbandry development, and the development of a comprehensive index of influencing factors on grassland degradation all indicate that selecting the right grassland restoration measures is the key to grassland restoration. Remote sensing monitoring and high-throughput sequencing technology should be used in future research on grassland ecosystems. In addition, multiscale, multidimensional, and multidisciplinary systematic research methods and long-term series data mining could help identify the characteristics and causes of alpine grassland system degradation. These findings can help identify a more effective coordination of landscape, water, lake, field, forest, grass, and sand management for the prevention of alpine grassland degradation.

This study aims to investigate the factors contributing to Molar Incisor Hypomineralization (MIH), with a focus on maternal health during pregnancy, delivery complications, and postnatal health and nutritional factors in children. A cross-sectional study was conducted involving detailed surveys completed by mothers regarding their health during pregnancy, delivery experiences, and their children's early health and nutritional history. Clinical examinations of the children were performed to diagnose MIH according to established criteria. Statistical analyses were conducted using IBM SPSS 29.0, including descriptive statistics and correlation analyses to identify associations between MIH and various maternal and child health factors. The study found that 36.7% of mothers experienced illnesses during pregnancy, with gestational diabetes and hypertension being the most common conditions. Complications during delivery were observed in 3.3% of cases, and 16.7% of mothers had premature births. Common health issues in children included respiratory infections (26.7%), fever (23.3%), and otitis media (16.7%). Notably, dental defects were most prevalent in children with kidney disorders (66.7%), digestive system disorders (45.8%), and severe diarrhea (43.8%). Significant correlations were identified between MIH and these maternal and child health factors, highlighting the importance of comprehensive prenatal and postnatal care. The study underscores the multifactorial nature of MIH, revealing significant associations with maternal illnesses, delivery complications, and early childhood health issues. These findings emphasize the need for targeted preventive measures and early interventions to manage MIH effectively, particularly in children at higher risk due to compromised maternal or child health.

Prenatal Care Visits and Associated Costs for Treatment-Seeking Women With Depressive Disorders

This study aimed to determine whether a history of depressive disorders is associated with use and costs of prenatal care among pregnant women in Taiwan. Participants were mothers with singleton births between 2004 and 2006 (N=23,290), some of whom (N=614) had received care for depression in the year before conception but not during pregnancy. The mean number of prenatal care visits was 8.50 and associated costs were $NT 51,187 for pregnant women with a history of depressive disorders and 9.17 visits and $NT 27,998, respectively, for those without such a history. After adjustment for age, monthly income, medical conditions, and obstetric complications, mothers with a history of depression were significantly less likely to receive prenatal care (relative risk=.94, 95% confidence interval=.92-.97, p<.001). However, women with a history of depression had $NT 22,494 higher prenatal care costs than mothers without a history of depression. Pregnant women with a history of depressive disorders had fewer prenatal care visits but higher prenatal care costs. Physicians should consider screening to identify pregnant women with a history of depressive disorders.

The analysis of hot spots and trends in autism eye movement research is of great significance to the further development of autism research. This paper uses 915 valid documents screened from the Web of Science Core Collection database as a sample, and uses CiteSpace 6.1R6 software to analyze the hot spots and future research trends of autism eye movement research from 2008 to 2023. The study shows that in recent years, the research in this field has generally shown an upward trend, but it has shown a downward trend after reaching a peak in 2021; the cooperation between authors needs to be strengthened; each cluster in this field has a relatively clear research theme, and the keywords contained in the cluster are closely related; the latest research hotspot is artistic features (autistic trait).

Reducing Maternal and Perinatal Mortality Through a Community Collaborative Approach: Introduction to a Special Issue on the Maternal and Newborn Health in Ethiopia Partnership (MaNHEP)

As part of an evaluation of an in-hospital birth centre, 576 expectant fathers were randomly allocated to birth centre care and 567 to standard maternity care in the earlier part of their partner's pregnancy. A questionnaire mailed 2 months after the birth asked about satisfaction with care, experience of labour and birth and adaptation to fatherhood. The response rates were 99% and 94% in the birth centre group and standard care group, respectively. The birth centre group had more positive experiences of intrapartum and postpartum care than the standard care group. Attitudes by staff were assessed as more positive, the fathers felt they were treated with greater respect, and during labour the midwife was more supportive of their needs as partners. However, birth centre care did not seem to have any major effect on the fathers' experience of labour and birth, or any long-term effect on adaptation during the first 2 months. Measures of physical and mental well-being, experience of fatherhood, involvement in infant care and utilization of paternal leave did not differ statistically between the trial groups.

Based on bibliometric methods, this study uses CiteSpace software for a visual analysis of the literature related toproactive health research for disabled elderly individuals, both domestically and internationally. The aim is to explore its development status and research hotspots. Literature onproactive health research for disabled elderly individuals, published from January 2014 to October 2024, was retrieved from databases including China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature (CBM), Weipu, and Wanfang. Bibliometric analysis was conducted using NoteExpress V4.X, and visual mapping was performed using CiteSpace 6.2.R2 for interpretation. A total of 472 articles from Chinese databases were included. The overall publication volume showed an upward trend. High-frequency keywords in domestic research included disabled elderly, family caregivers, proactive health, social support, and long-term care. Ten clusters were identified, including terms such as disabled elderly, integrated medical and nursing care, and proactive health. Emergent keywords included mental health, stress relief, family caregivers, optimization of elderly care service models, and disabled elderly in rural areas. Research on the proactive health of disabled elderly individuals has been increasingly emphasized in China. Future studies should focus on emerging hotspots and trends, particularly on the psychological health of disabled elderly, the urban-rural disparities in the elderly disabled population, the optimization of service systems, and innovations in the full-cycle health management model.

ObjectiveAnalyze the research trends and hotspots in emergency department overcrowding derived from the Web of Science Core Collection database.MethodsThe Web of Science Core Collection database was utilized as the search data source for the bibliometric analysis, and the associated articles published from January 1, 1990, to October 1, 2023.The search was executed using the following formula: TS = (crowded OR overcrowd OR crowding OR overcrowding) AND TS = (Emergency department). VOSviewer, Scimago Graphicaand and additional tools were utilized for bibliometric analysis, and visual knowledge graphs were created.ResultsA total of 1869 articles were included in this study. The country with the largest number of publications is the United States. The primary research institution is the University of Toronto. Jesse M. Pines and his group at George Washington University have the greatest influence in the field of emergency department overcrowding research. Carlos A. Camargo is the author with the highest h-index in this field. High-frequency keywords include "length-of-stay", "impact", "mortality", "triage", "association", "outcomes", "time", "management", "access block", and "quality". The clustering graph reveals that all keywords fall into seven categories.ConclusionWe recommend intensifying research on emergency department overcrowding in more developing countries. In the future, the application of emerging technologies in emergency medicine as well as the mental health of emergency patients and medical staff may become research hotspots in this field.

Background and aim Increasing global approach to men's participation in care and reproductive health programs, in the past 15 years, has created a need to research on men’s encouragement to take responsibility for their families’ health through Men's participation. Therefore, the aim the present study is to determine men's participation in reproductive health care programs during pregnancy, in health clinics affiliated to Shahid Behshti University of Medical Sciences. In 1388. Material & methods: This was a descriptive study on 400 cases that had at least one child under 2 years and familly file in health clinics coverage Shahid Beheshti University. Sampling was multi-stage cluster Nonrandomized and research instrument was a questionnaire Findings According to the findings of the study, the mean age of participant was (37/27±5/56). (60/2 Percent) had a child and pregnancy in (24/8 Percent) was scheduled. Generally (74/2 Percent) men demonstrated good cooperation and participation and (0/25) had relative participation (89/0Percent) men had good knowledge and (11/0 Percent) had relative knowledge. There was Significant relationship between participation and education (p<0/0001), If higher education participation was low. There was Significant relationship between participation and job involvement (p<0/004). There was highest participation (83/9 Percent) in men whose job was lndependent. Also between the term Marriage and Participation was found Significant relationship (p<0/0001). There was Significant relationship between kind of Pregnancy and participation (P<0/0001) if It was planned to increase participation. Conclusions: The results of this research imply good men , s participation during pregnancy and childbirth that showe good oppurtunity for education and counseling before pregnancy that is good oppurtunity for Training men by expert person can enhance men , s participation during pregnancy and childbirth. Keywords: men's participation, prenatal care, delivery *Corresponding Author: Sharareh Jannesari, Lecturer, Dept of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran. E-mail :shararehjannesari@gmail.com Alipoor B Sattari F (2010). [Male participation in prenatal care]. Behvarz Faslname. 19(2)40-41.(Persian) . http://www.magiran.com/temp/mag-pdf/272013/1586-20457240-B91.pdf„ -Carter M, Speizer I (2005). Salvadoran fathers´ attendance at prenatal care, delivery and postpartum care.Revista Panamericana Salud Publica. 18 (3) 149-156 -Dellmann T (2004). The best moment of my life: A literature review of father's experience of child birth. Australian Midwifery.17 (3) 20-26. http://www.journals.elsevierhealth.com/periodicals/ausmid/article/PIIS1448827204800142/abstract -Dragonas TG (1992).Greek fathers participation in labour and care of the infant. Scandinavian Journal of Caring Science.6 (3) 151-9. http://www.ncbi.nlm.nih.gov/pubmed/1439376 -Ghandi M (2009). [Male participation in maternal health]. Women´ s mahnameh.147 I 88. (Persian). http://www.magiran.com/magtoc.asp?mgID=1095& -Gruskin S Cottingham J Hilber AM et al (2008).Using human rights to improve maternal and neonatal health: history, connections and a proposed practical approach. Bulletin of the World Health Organization. http://www.who.int/bulletin/volumes/86/8/07-050500/en /print. html (Accessed on 30/05/2010). http://www.who.int/bulletin/volumes/86/8/07-050500/en/index.html Kinanee J Ezekiel-Hart J (2009) Men as partners in maternal health: Implications for reproductive health counselling in Rivers State, Nigeria. African Journal of Psychology and Counseling Vol. 1 (3), pp. 039–044. -Orji EO Adegbenro CO Moses OO etal (2007). Men´ s involvement in safe motherhood. Journal of Turkish- German Gynecology Association.8 (3) 240 -248. -Rahman MM (2009).Factors associated with delivery assistance: Dose differentials exist between Rural and Urban areas in Bangladesh? The Internet Journal of Family Practice 7(2)38-49 -Soul Sista. Inactive (2007). Men: Effective Partners for Safe Motherhood. http://www.nigeriavillagesquare.com/forum/lounge/11259-men-effective-partners-safe-motherhood.html -World Health Organization (2007). Maternal Mortality in 2005: Estimates Developed by UNICEF and UNFPA. Geneva: World Health Organization. http://www.who.int/whosis/mme_2005.pdfw -World Health Organization (2005). The World Health Report: 2005: Make Every Mother and Child Count, World Health Organization, Geneva, 2005 World Health Organization (2002). http://www.who.int/whr/2005/02_ contents_en.pdf -World Health Organization. Programming For Male Involvement in Reproductive Health. Report of the meeting of WHO Regional Advisers in Reproductive Health WHO /PAHO Washington DC, USA, 5–7 September 2001, World Health Organization, Geneva, http://whqlibdoc.who.int/hq/2002

Visual analysis of research hotspots and trends of external therapies in traditional Chinese medicine for depression

ObjectiveWe aimed to explore the current research status and development trend of chronic pain treated with external therapies in traditional Chinese medicine (TCM) and to provide a reference for further research in this field.MethodsFrom the China National Knowledge Infrastructure, Web of Science, and PubMed databases, relevant articles on external therapies in TCM for chronic pain were selected as the research objects, and CiteSpace performed the bibliometric analysis.ResultsA total of 3,220 English and 628 Chinese articles were included after CiteSpace was used to remove duplicate articles and perform manual screening. The English articles were analyzed; the core author is Witt, Claudia M, and the institution with the highest article production is Harvard University. The Chinese articles were analyzed, the core author is Fang Jianqiao, and the institution with the highest article production is Shanghai University of Traditional Chinese Medicine. The overall volume of publications is on an upward trend. Keyword analysis concluded that the research hotspots in this field were electroacupuncture therapy and tuina therapy, as well as common chronic pain-related diseases, and the research trends were cupping therapy, warm acupuncture therapy, and wrist and ankle acupuncture therapy, as well as chronic pain accompanied by depression.ConclusionThe results of this study suggested the relevant literature on external therapies in TCM for chronic pain. It highlights the direction for further exploration by revealing and analyzing the research hotspots and trends in this field.