bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cultural & region-specific adaptation of KAP (Knowledge, attitude, and practice) tool to capture healthy lifestyle within primary care settings
Authors: Alnuaimi Ahmed Sameer , Syed Muslim Abbas , Zainel Abduljaleel Abdullatif , Mohamed Hafiz Ahmed , Bougmiza Mohamed Iheb , Syed Mohamed Ahmed 
Published: December 2024

Background
Non-communicable diseases contribute to a significant global burden of disease and are associated with modifiable risk factors such as physical inactivity, unhealthy diet, tobacco use and excessive alcohol consumption. These risk factors are closely related with lifestyles and eating patterns which are often culturally embedded and managed differently in various health care settings.

Aim of the study
To assesses the applicability and feasibility of the KAPS (Knowledge, attitude, and practice) survey in generating data about knowledge, attitudes, and practices about healthy lifestyles within eastern Mediterranean settings and providing foundations for testing other models or development of a newer model in this area which captures and influence behavior changes towards healthy lifestyles.

Methods
The KAP survey was tailored to capture the construct of healthy lifestyles (within the context of Qatar primary care settings) by reviewing existing surveys, adaptation to local context, expert consultation and feedback, pilot testing, feedback analysis, cognitive interviews and translation and validation.

Results
The study reports that most participants found the content comprehensive, relevant, easy to understand but considered it lengthy. Analysis of grading of the 73 questionnaire items (complete questionnaire included as supplementary document) included by the panel of experts (n = 13) demonstrated that more than half of questions (52.1%) have a CVR value of 1. Thematic analysis of overall perceptions of the service users (n = 11) pertaining to the feasibility of the KAP survey identified three important themes which included i) clarity & readability of the questions ii) relevance of the instrument and iii) factors influencing service users’ participation in survey.

Conclusion
A culturally sensitive and region specific KAP tool specifically designed for healthy lifestyles can aid in health advocacy, monitoring modifiable risk factors, capturing rich epidemiological data to design preventive interventions, surveillance of high risks patients and strengthening the existing health information systems. Further research is needed to explore evidence-based methodologies to formulate an age-specific and shorter version of KAPs survey without compromising the validity of the tool within specific regional primary healthcare settings.
Affective and social pain modulation in children—Experimental evidence using picture viewing
Authors: Hillmer Katrin , Kappesser Judith , Hermann Christiane 
Published: December 2024

Background
Children frequently encounter pain. Their pain like adults’ pain is probably modulated by social-affective factors. Despite its clinical relevance, such pain modulation has not been explored experimentally in children, and little is known about specific factors accounting for it such as catastrophizing. We examined pain modulating effects of pictures varying in social-affective content and personal meaning (e.g., mothers’ vs. strangers’ faces) using subjective and psychophysiological measures (skin conductance, heart rate, corrugator electromyography) as outcomes.

Methods
Forty-two children (8–13 years) underwent tonic heat pain stimulation while viewing pictures (social-affective: their mothers’ faces with neutral expression, strangers’ neutral and happy faces; affective: positive and negative scenes). Furthermore, the contribution of children’s characteristics (e.g., anxiety, catastrophizing) and facets of the parent-child relationship to pain modulation was determined.

Results
Viewing mothers’ faces or positive scenes reduced subjective pain intensity and corrugator activity in response to pain. Viewing happy strangers’ faces lowered corrugator activity. Enhanced pain experience due to negative affective stimuli was primarily observed psychophysiologically. The correlation between children’s tendency to catastrophize and pain relief by mothers’ faces was mediated by induced arousal, likely reflecting the degree of motivational activation of seeking social support.

Conclusions
Pain relief by positive affective and social-affective stimuli extends previous findings in adults, especially regarding reduced pain-related facial muscle activity. Moreover, the results shed light on the interplay between catastrophizing and social context on children’s pain experience. Clinically, our results imply that just looking at pictures of their mothers (or positive scenes) might help to alleviate pain in children.
Application of clown care in hospitalized children: A scoping review
Authors: Xin Guo , Yingping Fu , Yue Chen , Jiaming Wu , Xue Hu 
Published: December 2024

Purpose
This study aims to provide healthcare providers with insights into relevant interventions by examining the timing, format, content, outcome measures, and effects of clown care interventions on hospitalized children.

Methods
This study utilized a scoping review methodology based on the framework by Arksey and O’Malley. The search for Chinese and English literature on the utilization of clown care for hospitalized children was conducted in databases including CNKI, VIP, Wanfang, China Biology Medicine Database, PubMed, Embase, Web of Science, CINAHL, and Cochrane Library. At the same time, the references and other grey literatures included in the paper were also manually searched. covering publications from inception to December 10, 2023. Screening of the literature was done based on predefined inclusion and exclusion criteria, with data extraction and synthesis carried out independently by two researchers.

Results
Out of 1084 articles screened, 18 were included. Clown care can be used with children who have burns, perioperative care, fracture rehabilitation, autism, puncture therapy, chemotherapy, respiratory pathologies and disabled children, according to a review of the literature. Clown care is feasible and available for these kids, and it has been shown to have favorable impacts. The main interventions used in clown care are guided imagery, cognitive coping, emotional reflection, distraction, and empowerment. Physical(reduced children’s pain levels), psychological(reduced anxiety, improved coping skills, quicker recovery), cognitive-behavioral(for example, the number of meaningful words that children with autism say in 10 minutes.), and other indications are the several types of clown care outcome indicators.

Conclusions
Clown care can lessen a hospitalized child’s pain, alleviate their worry, and divert their focus from illness and suffering. However, not all pediatric patients benefit from clown care. Every youngster is an independent individual with unique personality traits, and some may experience intense pain along with a terror of the clown role. Future research should concentrate on understanding the characteristics of hospitalized children to develop tailored clown care programs that can enhance clinical effectiveness.

Trial registration number
https://doi.org/10.17605/OSF.IO/B4KMV.
Factors affecting women’s access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review
Authors: Gilchrist Allison , Fernando Gunasekara Vidana Mestrige Chamath , Holland Paula , Ahmed Faraz 
Published: December 2024

Background
In the United States, the Affordable Care Act (ACA) expanded public and private health coverage, increased health insurance affordability, reduced healthcare costs, and improved healthcare quality for many. Despite ACA provisions, lack of insurance and other factors continue to affect working-age women’s access to primary care services.

Methods
We conducted a mixed-method systematic review to identify factors that affect women’s access to primary care services since the ACA. In January 2021, MEDLINE, CINAHL, PsycINFO, and Web of Science were searched from 2010 to 2021 and an updated search was conducted in October 2023. We included 26 quantitative and qualitative studies reporting determinants, barriers and facilitators of women’s primary care access for women (18 to 64 years). Studies reporting measures of potential access, such as health insurance, and measures of realized access—healthcare service utilization, were included. The Mixed-Methods Appraisal Tool (2018) was used to rate the quality of studies. Andersen’s Behavioral Model of Health Services Use guided the narrative synthesis.

Findings
We found consistent evidence that ACA provisions expanding state Medicaid eligibility led to improved insurance coverage, especially for lower-income groups. We found mixed evidence of associations between individual-level determinants, such as age, education, race/ethnicity, income, and different measures of access. Limited qualitative evidence suggests that insurance coverage, low-cost care, positive patient-provider relationships, social support, and translation services enhance access for immigrants and refugees. Barriers include lack of coverage, high healthcare costs, culturally unresponsive healthcare services, poor patient-provider relationships, and transportation issues.

Conclusion
Adoption of ACA’s expanded Medicaid eligibility criteria would expand insurance coverage to women living in non-expansion states. Innovative healthcare policies, programs, and interventions at the federal, state, and local levels are needed. Suggested strategies include interventions expanding primary healthcare service availability and patient navigation services, and promotion of health literacy, culturally sensitive services, and provider bias education/training.
Effects of core stability exercises on balance ability of children and adolescents with intellectual disabilities: A systematic review and meta-analysis
Authors: Zhou Junjie , Zhong Yecheng , Xu Wenhong 
Published: December 2024

Background
Children and adolescents with intellectual disabilities (IDs) are at risk of falls due to balance problems. One way to palliate balance deficits among this population is via core stability exercises. However, comprehensive studies that examine the effectiveness of core stability exercises in improving balance in this target population are lacking.

Objective
This study aims to summarise and quantify the effectiveness of core stability exercises in improving the balance of this target population.

Methods
This study followed PRISMA principles and conducted comprehensive searches in six academic databases (PubMed, Web of Science, Medline, Embase, Scopus, and the Cochrane Library) up to June 2023. The inclusion criteria were established via the PICOS framework. The risk of bias was assessed with the Cochrane risk-of-bias tool, and the certainty of the evidence was assessed via the GRADE approach. The meta-analysis was performed via RevMan 5.4, and for data that could not be pooled via meta-analysis, we used a narrative description of the results of each study.

Results
Six studies of 1078 subjects were included. The findings revealed that core stability exercises improved the dynamic balance of children and adolescents with ID but had no significant effect on static (Hedges’ g = 1.32, 95% CI [-0.41 to 3.06]) or static‒dynamic (Hedges’ g = 1.35, 95% CI [-0.02 to 2.73]) balance compared with the control groups. The quality of evidence based on the GRADE approach was very low.

Conclusions
Core stability exercises may improve dynamic balance in children and adolescents with ID, but given the scarcity of studies included, definitive conclusions cannot yet be drawn. Although pooled analyses also highlighted improvements in static and static–dynamic balance with large effect sizes over active control groups, the results were not statistically significant and should be interpreted with caution given the wide confidence intervals. The heterogeneity among the identified studies and the limited number of eligible studies may reduce the reliability of the results, but these findings emphasise the need for additional research in this domain.
The effectiveness of the combined PBL and Tencent Conference online teaching mode in the clinical internship teaching of cardiac surgery
Authors: Chen Xiuwen , Xiao Yao , You Yunhui , Zhu Jianxi , Liu Shiqing , Chen Huiqiong , Zhu Hong 
Published: December 2024

Background
Educators increasingly emphasise the importance of clinical medical education reform, particularly the innovation of teaching models. Clinical internships in cardiac surgery are an essential stage in the development of medical students. Currently, it is still dominated by the traditional lecture mode. Therefore, exploring a new teaching model is a critical way to improve the quality of clinical internship teaching.

Objectives
To investigate the effectiveness of the combined PBL and Tencent Conference online teaching mode in the clinical internship teaching of cardiac surgery.

Methods
This historical controlled trial was conducted from September 2022 to January 2023. A total of 34 participants from the graduating class of 2020 took the combined PBL and Tencent Conference online teaching mode. 42 participants from the graduating class of 2021 adopted the traditional teaching method and were enrolled as a control group. All participants completed a questionnaire designed by the researcher to assess teaching quality. The questionnaire was filled out sequentially according to the chronological order of pre-internship, during the internship, and post-internship.

Results
There was a statistically significant difference between the group of Tencent Conference online teaching based on the PBL mode and the group of traditional teaching mode in terms of the degree of participation (experience, hands-on opportunities, etc.), the degree of teacher-student interaction (questions, communication, etc.), and the degree of acceptance and understanding (key points, difficulties, and other learning concerns) in the class learning process during the internship (p < 0.05). The results of the survey also showed that there was a significant difference between the two groups in the scores of the degree of mastery and use of history taking in cardiac surgery and the degree of mastery and use of ancillary tests (application and interpretation of each test) after the internship (p < 0.05).

Conclusions
The traditional approach currently used by most educators does not enable cardiac surgery students to transform theory fully. The PBL teaching method can stimulate students’ interest in learning and cultivate their comprehensive ability to a certain extent. Future educators should flexibly adapt the teaching method to the learning situation, develop a reasonable teaching mode of clinical internship, and ensure quality.
The effects of exercise on neuromuscular function in people with chronic neck pain: A systematic review and meta-analysis
Authors: Dirito Angelo Marco , Abichandani Deepa , Jadhakhan Ferozkhan , Falla Deborah 
Published: December 2024

Background
Differences in cervical neuromuscular function are commonly observed between people with and without chronic neck pain. Exercise may improve cervical neuromuscular function of people with neck pain although the evidence for this has not been systematically reviewed.

Objective
To systematically review the existing evidence on the effect of exercises targeting the neck muscles on neuromuscular function in people with chronic non-specific neck pain.

Methods
This systematic review was conducted based on a registered protocol (CRD42021298831) with searches conducted on the following databases from inception to 21st October 2023: MEDLINE, CINAHL, Web of Science, Scopus, AMED, Google Scholar, Open Grey and Zetoc. Studies of interest were trials investigating neuromuscular adaptations to a program of exercise targeting the neck muscles (>2 weeks) in people with chronic non-specific neck pain. Two reviewers independently screened the studies and performed data extraction, risk of bias assessment, and rated the overall certainty of the evidence (GRADE).

Results
Fourteen articles from 2110 citations were included. There is moderate certainty of evidence that the use of craniocervical flexion training (either in isolation or in combination with resistance training) can induce neural adaptations within the neck muscles. A meta-analysis showed a reduction in sternocleidomastoid muscle activity after neck exercise interventions compared to control interventions.

Conclusion
The articles included in this systematic review confirmed that exercise can result in neuromuscular adaptations within neck muscles, as measured by electromyography. Specificity of training was seen to be relevant for the type of neuromuscular adaptations induced.
Comparison of uterine transcornual diameter using 3D-transvaginal ultrasound between adenomyotic and normal uteri
Authors: El-Habashy Ahmed , Farag Mohamed , El-Said Rehab 
Published: December 2024

Background: Various sonographic markers for diagnosis of adenomyosis had been published by the morphological uterus sonographic assessment (MUSA) group. Most of their data based on two dimensional transvaginal ultrasound (2D-TVUS) findings. Our study aimed to find if there is a relation between the presence of adenomyosis uteri and the transcornual diameter.
Methods: We had studied 768 cases (33-44 years old) who were referred to Habashy 4D scan center (Alexandria; Egypt) between August 2019 and August 2023. We had divided cases into two groups; each with 384 cases. First group has diffused adenomyosis and the second group has normal uterus. We had diagnosed adenomyosis based in the presence of ≥4 of the MUSA criteria. In the control group; we had selected cases with normal sized uterus. We had compared the transcornual diameter of the uterine cavity in the coronal plane between both groups using 3D-TVUS during the luteal phase of the cycle.
Results: The mean transcornual diameter in cases who had adenomyosis was 39 mm (±6 mm). The mean transcornual diameter in the control group was 24 mm (±8 mm).
Conclusions: The mean transcornual diameter of the uterine cavity in the coronal plane using luteal 3D-TVUS in adenomyotic uteri was statistically significantly higher than in the controls. To the best of our knowledge, our study is the first study in literature that compare the transcornual diameter adenomyotic and normal uteri. We can extrapolate from our data to assume that transcornual diameter <35 mm can be used as an exclusion for diagnosis of cases as having adenomyosis uteri.
Reprezentacja postaci człowieka i jej specyfika w twórczości rysunkowej dzieci i młodzieży niewidomej
Authors: Niestorowicz Ewa 
Published: December 2024

Rysunek postaci człowieka stanowi zagadnienie zgłębiane przez badaczy zajmujących się rozwojem plastycznym u dzieci i młodzieży widzącej. Problem ten jest stosunkowo mało zbadany w przypadku rysunku osób niewidomych. Artykuł ma na celu zgłębienie przywołanej problematyki poprzez analizę typologii formy postaci człowieka w rysunkach osób całkowicie niewidomych od urodzenia, a także próbę odpowiedź na pytanie, czy prace niewidomych uczniów prezentują podobny model kreowania zjawiska jak rysunki osób widzących. Metodę badawczą stanowiła analiza wytworów plastycznych – rysunków osób niewidomych. W celu dotarcia do wiedzy na temat kreowanego w rysunku zjawiska, przeprowadzono wywiad z osobami badanymi, zastosowano także obserwację uczestniczącą aktu twórczego. Przedmiot badań stanowią wypukłe rysunki tworzone za pomocą „podniesionej linii”, wyczuwalne dotykowo. Analizy przeprowadzono w odniesieniu do typologii formy postaci człowieka w twórczości plastycznej osób widzących,, opracowanej na podstawie badań i klasyfikacji Bolesława Hornowskiego, Stanisława Popka, Stefana Szumana i Martę Uberman.
Niepokój człowieka
Authors: Woźniczka Maciej 
Published: December 2024

W monografii przedstawiono historyczno-systematyczne wprowadzenie do antropologii filozoficznej. Przyjmując założenie szerokiej koncepcji antropologii, uznano za zasadne poprzedzenie jej wykładu szkicem antropologii o orientacji religijnej. Pojmowanie człowieka jest tym rodzajem doświadczenia kulturowego, które w dość szerokim zakresie transferuje treści i znaczenia zachodzące między religią a filozofią.
Treści filozoficzne przynależne antropologii o orientacji religijnej przedstawiono według kryterium kręgów kulturowych. W ramach antropologii filozoficznej w religiach Dalekiego Wschodu wyodrębniono koncepcje antropologiczne Chin (taoizm i konfucjanizm) oraz Indii (wedyzm, braminizm, buddyzm). Natomiast w antropologii w religiach Bliskiego Wschodu i Zachodu wyłoniono drogę interpretacyjną, poczynając od antropologii sumeryjskiej, babilońsko-asyryjskiej i zaratustriańskiej, poprzez antropologię judaizmu, aż do chrześcijaństwa i islamu.
Znaczne zróżnicowanie sposobów pojmowania człowieka w antropologii filozoficznej wiązało się z koniecznością wprowadzenia pewnego porządku. W oparciu o kryterium głównych instancji/dyspozycji/władz człowieka wyróżniono następujące antropologie: naturalistyczną, emocjonalistyczną, racjonalistyczną, duchowości/spirytualistyczną i socjologistyczną. Prezentując problematykę przemian interpretacyjnych w poszczególnych rodzajach antropologii zachowano porządek historyczny. Z natury rzeczy osadzony jest on na treściach filozofii europejskiej.
Zmierzenie się z niepokojem człowieka nie dało konkluzywnej odpowiedzi. Doświadczenie kulturowe zdaje się nie upoważniać do zajęcia ostatecznego stanowiska, nie dawać jednoznacznej odpowiedzi na podstawowe pytanie antropologii filozoficznej „kim jest człowiek?”. Poprzestać zatem można jedynie na swoistym słowniku, elementarzu antropologii filozoficznej.
Fatores de influência no comportamento do consumo infantil
Authors: Pivotto Andressa Laís Rosa , Zonatto Patrines Aparecida França , Hollveg Scheila Daiana Severo , Dalla Nora Lissandro Dorneles 
Published: December 2024

O presente estudo teve como objetivo analisar quais são os fatores que influenciam o processo de compra do consumidor infantil na percepção de seus pais. Dando destaque a importância do marketing infantil, na influência da publicidade no comportamento do consumidor infantil e a análise do grau de influência da criança sobre os pais, no processo de decisão de compra. Foi realizada a coleta dos dados por meio de um questionário elaborado no google forms e enviado através de redes sociais a pais e mães de crianças de 0 a 12 anos de idade. Obteve-se 124 questionários respondidos ao final da pesquisa, no qual foram tabulados e analisados. De acordo com os resultados obtidos, mostra-se que, atualmente as crianças são, muitas vezes, um agente de decisão dentro dos lares brasileiros e além disso, existem fatores sociais e ambientais que interferem na aprendizagem e no comportamento do consumidor infantil. As publicidades criadas especificamente para esse segmento, tem se aprofundado, transformando seus produtos e serviços desejados pelas crianças, o que faz com que ele tenha grande influência na decisão de compra dos seus pais, uma vez que as crianças de hoje têm maior liberdade e influência nas escolhas familiares.