bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case report: Receptive labeling training in autism: conventional vs. technology-based approaches? a single case study
Authors: Minutoli Roberta , Scarcella Ileana , Doria Germana , Vetrano Noemi , Chilà Paola , Sireci Maria Josè , Gismondo Stefania , Failla Chiara , Pioggia Giovanni , Marino Flavia 
Published: December 2024

BackgroundReceptive language, the ability to comprehend and respond to spoken language, poses significant challenges for individuals with Autism Spectrum Disorder (ASD). To support communication in autistic children, interventions like Lovaas’ simple-conditional method and Green’s conditional-only method are commonly employed. Personalized approaches are essential due to the spectrum nature of autism. Advancements in technology have opened new avenues for personalizing therapeutic interventions. This single case study compares traditional and technology-based learning sets in a receptive labeling teaching program using Green’s method.MethodsAn alternating treatments design assessed the number of sessions required to achieve mastery in receptive identification of stimuli presented on flashcards or tablets. The study involved a six-year-old Italian child with ASD named Pietro. Initial assessment using the Verbal Behavior Milestone Assessment and Placement Program (VB-MAPP) determined Pietro’s strengths and weaknesses. Six stimuli were selected and divided into two sets: traditional and technology-based. Sessions were semi-randomly alternated, and the teaching procedures remained constant across conditions. In the traditional condition, sessions were conducted twice a week, using flashcards. Correct responses received immediate social reinforcement. In the technological condition, the same stimuli were presented on a tablet via PowerPoint slides.ResultsPietro achieved mastery more quickly with flashcard instruction than with tablet instruction. Learning was exponential in the traditional condition and linear in the digital condition. Follow-up assessments three weeks post-treatment showed no differences in the generalization and maintenance of skills between the two modalities.DiscussionThe findings indicate that the format of stimulus delivery affects the learning process, with traditional flashcards leading to faster mastery in this case. Individual motivation appears crucial, suggesting that Pietro’s learning history influenced his performance. Personalized approaches remain vital in autism interventions. Further research is needed to determine if these differences extend to other skills or contexts.ConclusionWhile technology-based interventions offer new opportunities, they are not universally more effective than traditional methods. Careful consideration of individual differences, especially motivational factors, is essential in designing effective autism intervention programs.
Rift Valley Fever outbreaks in the East African Community: insights from ProMed data (2010–2024)
Authors: Ndishimye Pacifique , Umuhoza Therese , Umutoni Brigitte , Zakham Fathiah , Ndayambaje Matin , Hewins Benjamin , Ngabo Gasana Methode , Ostadgavahi Ali Toloue , Sganzerla Gustavo , Ndayisenga Fabrice , Kelvin David , Udahemuka Jean Claude 
Published: December 2024

BackgroundRift Valley Fever (RVF) is a mosquito-borne zoonotic disease that poses a serious threat to both humans and livestock across various regions, particularly in Africa, the Arabian Peninsula, and parts of the Indian Ocean Islands. This study seeks to analyze the spatial and temporal distribution and trends of RVF outbreaks within the East African Community (EAC) countries, offering insights into the patterns and progression of these outbreaks in the region.MethodsWe conducted a retrospective analysis of the Program for Monitoring Emerging Diseases (ProMed), a digital, event-based disease surveillance system, to identify reports of outbreak events in Uganda, Kenya, Rwanda, Burundi, Tanzania, and South Sudan from 2010 to 2024. Outbreak events were systematically tabulated by year, and each record was reviewed to assess RVF outbreak characteristics, locations, trends, and spatial-temporal distribution over the past 14 years.ResultsBetween 2010 and 2024, 67 RVF outbreaks were documented across Uganda, Rwanda, Kenya, Tanzania, Burundi, and South Sudan, impacting both animal and human populations with confirmed cases and fatalities. Key interventions to contain these outbreaks included restricting animal movement, vaccination campaigns, disease awareness initiatives, enhanced surveillance, contact tracing, isolation, and treatment. Reporting of these outbreaks varied across regions, with a notable monthly increase in cases during May and June and the highest annual incidence observed in 2018.ConclusionThe recurrent and widespread outbreaks of Rift Valley Fever across East Africa highlight an urgent need for increased investment in research, surveillance, prevention, and control efforts to combat this disease.
Socio-demographic factors related to children’s knowledge about their rights to healthcare services in transitional Albania
Authors: Muja Herion , Vasil Suela , Qendro Andis , Clemens Timo , Toçi Dorina , Toçi Ervin , Brand Helmut , Burazeri Genc 
Published: December 2024

BackgroundOur aim was to assess the level and socio-demographic correlates of knowledge about rights to healthcare services among children in post-communist Albania in order to inform targeted interventions and policies to promote equitable healthcare access for all children.MethodsAn online survey conducted in Albania in September 2022 included a nationwide representative sample of 7,831 schoolchildren (≈54% girls) aged 12–15 years. A structured and anonymous questionnaire was administered inquiring about children’s knowledge on their rights to healthcare services. Binary logistic regression was used to assess the association of children’s knowledge about their rights to healthcare services with socio-demographic characteristics.ResultsOverall, about 78% of the children had knowledge about their rights to healthcare services. In multivariable adjusted logistic regression models, independent “predictors” of lack of knowledge about rights to healthcare services included male gender (OR = 1.2, 95% CI = 1.1–1.3), younger age (OR = 1.3, 95% CI = 1.1–1.4), pertinence to Roma/Egyptian community (OR = 1.6, 95% CI = 1.1–2.2), and a poor/very poor economic situation (OR = 1.3, 95% CI = 1.0–1.6).ConclusionOur findings indicate a significantly lower level of knowledge about rights to healthcare services among children from low socioeconomic families and especially those pertinent to ethnic minorities such as Roma/Egyptian communities, which can result in limited access to essential health services, increased vulnerability to health disparities, and barriers to receiving appropriate care and advocacy for their health and well-being. Seemingly, gender, ethnicity, and economic status are crucial for children’s knowledge of their healthcare rights because these factors shape their access to information, influence their experiences with healthcare systems, and can drive policy and practice to address disparities and ensure equitable access to health services. Health professionals and policymakers in Albania and elsewhere should be aware of the unmet needs for healthcare services due to lack of awareness to navigate the system particularly among disadvantaged population groups.
Uptake and determinants of HPV vaccination in South Asia: a systematic review and meta-analysis
Authors: Noreen Khola , Naeem Khalid Samina , Murad Manal Abdulaziz , Baig Mukhtiar , Khan Shahzad Ali 
Published: December 2024

BackgroundCervical cancer burden in South Asia is among the highest globally. Due to the lack of national immunization programs, the prevalence of human papillomavirus (HPV) infection and vaccine uptake remains unknown. This systematic review and meta-analysis aim to determine the prevalence of HPV vaccine uptake in South Asia.MethodsWe conducted a comprehensive search of MEDLINE (via PubMed), Embase, the Cochrane Library, and the Web of Science, covering the period from inception to May 20, 2024. We included observational studies reporting HPV vaccine uptake in South Asia, without any language filters or restrictions. The search strategy involved MeSH terms and relevant keywords related to “Papillomavirus Infections,” “Vaccination,” and “Uptake.” MetaXL and STATA were used to perform a proportional meta-analysis and meta-regression analysis.ResultsOut of 3,913 articles identified, 17 articles (10,585 participants) were included in the systematic review. The pooled prevalence of vaccine uptake was 8% (95% CI 1–21). There was high heterogeneity between studies (I2 = 100%). The pooled prevalence of adequate knowledge of the HPV vaccine was 41% (95% CI 28–55, I2 = 99%). The pooled prevalence of a favorable attitude toward the HPV vaccine was 56% (95% CI 47–66, I2 = 98%). In the univariate meta-regression model, good knowledge significantly predicted HPV vaccine uptake (p = 0.003), while no covariates were found to be significant predictors of attitudes toward HPV vaccine uptake.ConclusionThe findings of this meta-analysis indicate a low pooled prevalence of HPV vaccine uptake (8%) in South Asian countries. The pooled prevalence of adequate knowledge and a favorable attitude toward the vaccine were 41 and 56%, respectively. In the univariate meta-regression model, knowledge of the HPV vaccine uptake was the only significant predictor of vaccine uptake.Systematic review registrationSystematic review is registered at Prospero through the link https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024547393
The mental health care system for children and adolescents in Greece: a review and structure assessment
Authors: Marchionatti Lauro Estivalete , Schafer Julia Luiza , Karagiorga Vasiliki Eirini , Balikou Panagiota , Mitropoulou Andromachi , Serdari Aspasia , Moschos Giorgos , Athanasopoulou Lilian , Basta Maria , Simioni André , Vicenzi Julian , Kapsimalli Efstathia , Tzotzi Alexandra , Mitroulaki Sotiria , Papanikolaou Katerina , Triantafyllou Kalliopi , Moustaka Dimitra , Saxena Shekhar , Evans-Lacko Sara , Androutsos Christos , Koumoula Anastasia , Salum Giovanni Abrahão , Kotsis Konstantinos 
Published: December 2024

BackgroundThe mental health system in Greece faces challenges to complete its transition to a community-oriented model, having significant concerns for child and adolescent care due to lower coverage and service gaps. This component of the mental health system has not been comprehensively evaluated.MethodsWe conducted a review of the mental health care system for children and adolescents in Greece. For a field assessment, we directly collected data from mental health services to map availability and distribution. We analyzed the needs of human resources using professional register data and the national census.ResultsThe National Health Care Service (ESY, Εθνικό Σύστημα Υγείας) is the public health system in Greece, characterized by public governance but significant private participation. Although ESY aims for universal care, gaps in population coverage and high user fees create barriers to access. Embedded within ESY, the mental health system is shifting towards a community-oriented structure since the psychiatric reform. For children and adolescents, there is a developing framework for regionalization and community services, including day centers, inpatient facilities, outpatient departments, and school-based psychoeducational facilities. However, services lack coordination in a stepped care model. Patient pathways are not established and primary care rarely involves child mental health, leading to direct access to specialists. Services operate in isolation due to the absence of online registers. There is no systematic performance monitoring, yet some assessments indicate that professional practices may lack evidence-based guidelines. Our mapping highlighted a scarcity of public structures, with an unbalanced regional distribution and many underserved areas. Child and adolescent psychiatrists are predominantly affiliated with the private sector, leading to professional gaps in the public system.ConclusionsOur assessment identifies an established framework for a community-oriented, universally accessible mental health system, yet several barriers impede its full realization. These include an inconsistent primary healthcare system, a shortage of specialists in the public sector, imbalanced service distribution, lack of coordination among providers, underfunding, and absence of quality monitoring. We propose interventions to promote child and adolescent mental health in primary care, coordinate patient pathways, establish standards of care, and monitor performance.
The Resilience of Polish Doctors and Their Behavioral Patterns in Coping with Work-Related Stress
Authors: Wojczyk Sławomir , Dąbek Józefa , Sierka Oskar , Gąsior Tomasz 
Published: December 2024

Background/Objective: The aim of this study was to assess stress-coping patterns among Polish doctors, taking into account their degree of resilience and sociodemographic characteristics. Methods: This study involved 832 (100%) Polish physicians working in the Silesian Voivodeship, Poland. All respondents gave their informed and voluntary consent to participate. This study was conducted using an original questionnaire and the Resilience Measurement Scale (SPP-25) Stress Coping Inventory (Mini-COPE). Results: Women used the strategies: Seeking Emotional Support and Seeking Instrumental Support significantly more often than men. Positive Re-evaluation strategy was used more often by doctors working in surgical wards, who also declared more frequent use of psychoactive substances. Younger doctors (≤30 years) were characterized by lower mental resilience compared to other age groups and doctors with high psychological resilience were characterized by higher scores in strategies belonging to the group of active coping with stress. Conclusions: The examined doctors with high resilience were mostly characterized by the use of active methods of coping with stress, in contrast to doctors with low resilience. Actions should be taken to increase the awareness of healthcare system employees in the field of active stress coping techniques and their adverse effects on health.
KAUM MUDA DALAM HIDUP MENGGEREJA DI LINGKUNGAN ST. FILIPUS PAROKI ROH KUDUS SURABAYA
Authors: Prisdiana Theresia Widya , Ardijanto Don Bosco Karnan 
Published: December 2024

Basic christian community of St. Philip at the Holy Spirit Parish in Surabaya inhabited by many catholic young people so called catholic young people (Orang Muda Katolik or OMK). Most of the OMK members consist of the students or workers. The busyness of studying and working resulting in many of OMK’s members are not actively involved in the church activities. Most of them rarely and reluctantly participate in the Church activities. They spend most of their holidays and free time with their own friends, and they pay less attention to the Church’s activities. The research was conducted with the aim of identifying factors (motivation) which are supporting the involvement of OMK in the Church activities, especially in St. Philip basic christian community. OMK's involvement in the church activities is rooted in the sacrament of Baptism. Through this sacrament, OMK is called to take part in the five missions of the Church in the world so called Liturgia, Kerygma, Koinonia, Diakonia, Martyria. This research used qualitative methods. Data collection was carried out by using individual interview techniques. There were 8 members of OMK interviewed for the study. All of those OMK’s members live in St. Philip’s basic christian community.The results of the research pointed out that the majority of OMK’s members in the basic christian community were less actively involved in church’s activities. This was due to several factors, including OMK’s activities being too boring, busyness of working and studying, and the lack of support of their parents. The results of research also pointed out there was a small number of OMK’s members in the christian community were actively involved in church activities due to the internal and external motivation.
Comparison of the Clinical Outcomes of Early Enteral Nutrition Versus Convenience Diet by Tube Feeding Following Laryngectomy in Chinese Patients
Authors: Guo Jing , Kong Ya , Liu Jie , Fan Yang , Sun Hai Lan , Wang Jia Jia , Lu Zong Liang , Jiang Bao Quan , Yang Jian , Chen Ji Chuan , Xu Hong Xia 
Published: December 2024

Abstract:
The purpose of the present study was to evaluate the efficiency of early enteral nutritional support in patients undergoing laryngectomy. We retrospectively reviewed and analyzed 329 laryngeal cancer patients who underwent total or partial laryngectomy from November 2003 to July 2013 in our hospital. Of those patients, 278 were given enteral nutrition (EN group) with elemental formulations through a nasogastric tube beginning within 24 hours after the surgery, while 51 chose not to receive the elemental formulations and were on a homogenate diet (convenience diet group, CD group), which was also given through a nasogastric tube. The clinical outcomes were compared between the two groups. Thirteen patients in the EN group (13/278, 4.68%) and six patients in the CD group (6/51, 11.76%) developed fistulas. The difference was statistically significant (P < 0.046). The differences in the post-surgical infection rate, average length of hospitalization and other clinical indicators between the two groups were not statistically significant. In conclusion, early enteral nutrition should be recommended in patients undergoing laryngectomy, and convenience diet is not as effective as the commercial formulation in reducing the risk of fistula formation.
Oral Contraceptives and Health Outcomes: an Umbrella Review of Systematic Reviews and Meta-analyses in Women and Offspring
Authors: Zou Yuan Lin , Peng Rui , Di Xu Ke , Jiang Xiao Ru , Sun Qiu Yu , Song Chun Hua 
Published: December 2024

Abstract:

Aim
We herein provide an umbrella review of systematic reviews (SR) and meta-analyses (MAs) of studies of the association of oral contraceptives (OCs) with the risks of multiple health outcomes in women and their descendants.

Methods
Two investigators retrieved publications from four electronic databases, including PubMed, Embase, Web of Science, and the Cochrane Database of Systematic Reviews up to March 15, 2021. For each association, random/fixed-effects summary effect size and 95% CIs were estimated. Heterogeneity and publication bias were also assessed. The method quality and evidence level for each publication were respectively assessed utilizing the AMSTAR and GRADE checklists.

Results
A total of 68 articles with 82 unique outcomes were included based on the eligibility criteria. Numerous lines of evidence indicated that OCs had effects on nearly all cardiovascular disease-related outcomes, especially for cerebral venous sinus thrombosis (OR = 7.59, 95% CI: 3.82-15.09). Harmful associations were also found for vulvar vestibulitis (OR = 2.31, 95%CI: 1.03-5.16), preterm birth (OR = 1.17, 95% CI: 1.07-1.27), miscarriage (OR = 1.13, 95% CI: 1.02-1.72), ulcerative colitis (OR = 1.22, 95% CI: 1.06-1.41), Crohn’s disease (OR = 1.24, 95% CI: 1.09-1.40), alveolar osteitis (RR = 1.86, 95% CI: 1.66-2.08), dry socket (RR = 1.8, 95% CI: 1.33-2.43), and interstitial cystitis (OR = 2.1, 95% CI: 1.26-3.49). However, oral contraceptives did not increase the risk of cancer except breast and cervical cancer. Maternal exposure to OCs was linked to an increased risk for the development of respiratory atopic disorders such as asthma (OR = 1.1, 95% CI: 1.02-1.19) and rhinitis (OR = 1.34, 95% CI: 1.07-1.68).

Conclusion
In summary, although their use obviously reduces the risk of pregnancy- and parturition-related morbidity and mortality for women, OCs were frequently related to more harm than benefit in terms of other health outcomes. This was true for both women and their descendants in this umbrella review. More large-scale prospective studies analysing different doses, structures, and durations of treatment with estrogen and progestin are needed to confirm these effects.
Estudio observacional sobre el control de temperaturas y humedad relativa en vehículos de plataformas móviles que transportan medicamentos, en temporada de verano 2022 en el Gran Área Metropolitana de Costa Rica.
Authors: Miranda Chavarría Mauricio Abel , Bolaños Carpio Adriana 
Published: December 2024

Los servicios de plataformas virtuales han tenido un gran auge después de la pandemia del COVID-19, convirtiéndose en una de las principales formas de comercio y transporte de medicamentos y otros productos de interés sanitario que requieren condiciones controladas de temperatura y humedad relativa. En Costa Rica no existe legislación para regular el transporte de medicamentos por medio de servicios de plataformas móviles o servicios express. En este trabajo se realizó una simulación con 3 diferentes contenedores, dos de plataformas móviles y uno fabricado para el transporte de medicamentos, para evaluar si cumplen con condiciones de temperatura y humedad relativa según la legislación para droguerías. Los datos obtenidos se analizaron con la Prueba H de Kruskall-Wallis. La hipótesis original que sugiere que los contenedores de plataformas móviles no son aptos para el envío de medicamentos, no se cumple debido a la falta de datos concluyentes.
Calidad de vida en pacientes con cáncer de mama en unidades oncológicas del Ecuador
Authors: Otero Munala Dayana , Reascos Paredes Yu Ling , Vaca Orellana Cristina Fernanda 
Published: December 2024

El cáncer de mama es una enfermedad con mayor prevalencia en el mundo, produce efectos en la vida personal, psicológica, emocional, social y afecta la calidad de vida. El objetivo de este estudio es evaluar la calidad de vida en pacientes con cáncer de mama. Elestudio tipo descriptivo, cuantitativo, diseño no experimental, enfoque transversal, participaron 39 pacientes con diagnóstico de cáncer de mama atendidas en 3 unidades especializadas oncológicas del Ecuador, muestra no probabilística a conveniencia, se aplicó un cuestionario validado de calidad de vida (WHOQOL-BREF) para evaluar estado de salud en áreas: física, entorno, relaciones sociales, salud psicológica. Los resultados indican que del 100% de mujeres, 41% oscilan entre 30 a 39 años, el 87,2% son mestizas, el 41% son casadas, el 38,5% tiene instrucción secundaria, el 38,5% tiene empleo, el 48,7% vive con su cónyuge e hijos, el 20,5% necesitan el tratamiento para funcionar en la vida diaria; asimismo, un 35,9% no está satisfecha con la calidad del sueño, 28,2% con la habilidad para realizar actividades de la vida diaria, el 25,6% con la capacidad de trabajo, el 12,8% con relaciones sociales y la vida sexual, el 23,1% con el apoyo de amigos, el 17,9% con la seguridad en su vida diaria, el 41% con el dinero para cubrir sus necesidades, el 15,4% considera que su vida tiene poco sentido y están poco satisfechos de sí mismas. En conclusión, el cáncer de mama produce impacto en calidad de vida, daños en la salud física, problemas de sueño, relaciones sociales, impacto económico y psicológico; la seguridad, autonomía física y económica, son factores que influyen en la calidad de vida, que se debe tomar en cuenta en el trabajo multidisciplinario del personal de salud.