bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the effectiveness of a parent programme focusing on parental feeding styles as part of a childhood obesity intervention
Authors: Thomas Michelle , Drummond Michelle , Kapel Katarzyna , Cooke Richard , Povey Rachel 
Published: December 2024

Background: A child and young people's weight management service developed a parent intervention which uses psychological theory to modify parental feeding practices which are known to have an impact on children's weight status. Aims: The first aim of this service evaluation was to assess the effectiveness of the parent intervention programme on improving parental feeding behaviours of children who are overweight or obese. The second aim was to explore if mode of delivery affected outcomes. Methods: Secondary data analysis using dasta collected from 75 parents/carers between September 2020 and March 2023 as part of the service's monitoring and intervention evaluation. Paired t-tests compared pre-and post-scores on the Parental Feeding Style Questionnaire (PFQ). An independent samples t-test analysed the effect of mode of delivery, comparing scores between group and individual intervention delivery. Findings: Significant changes were found for three PFQ sub-scales: encouragement, t(74)=2.92, p=.005, d=0.33; instrumental feeding, t(74)=2.93, p=.004, d=0.36; emotional feeding scores, t(74)=4.17, p < .001, d=0.46 from baseline to post parental intervention. No statistically significant differences were found for the parental control over eating sub-scale. The mode of delivery was not found to impact the effectiveness of the intervention. Conclusions: The parent programme was associated with significant improvements in several parental feeding practices, suggesting that the parent intervention is an effective intervention for educating and supporting parents of children who are overweight or obese.
Population impact of malaria control interventions in the health district of Kati, Mali
Authors: Katile Abdoulaye , Sagara Issaka , Cissoko Mady , Bationo Cédric Stéphane , Dolo Mathias , Dembélé Pascal , Kamate Bourama , Simaga Ismaila , Sissoko Mahamadou Soumana , Landier Jordi , Gaudart Jean 
Published: December 2024

Background
WHO and its partners have adopted alternative control interventions since the failure to eradicate malaria worldwide in the 1960s and 1970s. The aim of these interventions has been to redesign the control interventions to make them more effective and more efficient. The purpose of this study is to assess the population impact of control interventions implemented at the community health area level.

Methods
The analysis used data from the health information system on malaria cases and interventions (distribution of long-lasting insecticide-treated nets (LLINs), seasonal malaria chemoprevention (SMC), access to rapid diagnostic tests (RDT), intermittent preventive treatment for pregnant women (IPTp)) collected in the Kati health district from 2017 to 2020. And the contextual parameters (temperature, normal difference vegetation index (NDVI) and rainfall) were obtained by remote sensing. A generalized additive model was used to assess the impact of malaria control interventions on malaria cases as a function of meteorological factors.

Results
The incidence of malaria varies from year to year and from health area to health area, as do meteorological factors in the study area. The distribution of long-lasting insecticide-treated nets, chemoprevention of seasonal malaria in children and access to rapid diagnostic tests for malaria were found to have a significant impact on the incidence of malaria in the population. Seasonal malaria chemoprevention was effective in reducing the incidence of malaria, while distribution of long-lasting insecticide-treated nets and access to rapid diagnostic tests increased with the number of malaria cases, reflecting efforts to distribute and use bed nets and to diagnose malaria cases among the population in the study area.

Conclusion
The study showed the impact of SMC on reducing malaria cases in the population and the significant efforts in LLIN distribution and malaria case diagnosis. To further reduce the burden of malaria, sustained efforts and new interventions are needed, including improving access to rapid diagnosis and treatment in communities by developing community health workers and locally tailored mass drug administration.
Comparison of the spatial and temporal distribution of cutaneous and mucosal leishmaniasis in the state of Rio de Janeiro between 2001 and 2011
Authors: Paes Lucia Regina do Nascimento Brahim , Oliveira Raquel de Vasconcellos Carvalhaes de , Magalhães Monica de Avelar F. M. , Pimentel Maria Inês Fernandes , Lyra Marcelo Rosandiski , Carvalho-Paes Luiz Eduardo , Costa Ananda Dutra da , Dias Cristina Maria Giodarno , Brahim Anísia Darc do Nascimento , Carvalho Bruno Moreira de , Duarte Claudia Cristina Jardim , Marzochi Mauro Celio de Almeida , Soares Ester Cleisla dos Anjos , Schubach Armando de Oliveira , Valete-Rosalino Cláudia Maria 
Published: December 2024

Objective
To compare the spatio-temporal distribution of cutaneous leishmaniasis (CL) cases with mucosal leishmaniasis (ML) cases in the state of Rio de Janeiro (RJ) between 2001 and 2011.

Method
The incidence rates (IR) of CL and ML were calculated for the cases notified between 2001–2011 in the Information System of Notifiable Diseases for Rio de Janeiro (RJ, and for the municipalities of Rio de Janeiro and Angra dos Reis, with georeferencing and construction of thematic maps. A negative binomial regression model was used to assess the temporal dependency between CL and ML.

Results
Higher IR of CL and ML were observed up to 2006. The cases of CL and ML increased annually concomitantly in the state of RJ and in Angra dos Reis, even when they were controlled by the CL rates of the previous year. The municipality of Rio de Janeiro presented smaller annual CL IR after the occurrence of high ML IR in the two previous years.

Conclusion
The temporal association observed between CL and ML suggests that: either the mucosal lesions were already incipient from the beginning of CL manifestation, or the Leishmania species circulating in RJ is able to produce early mucosal lesions.
Predefined and data-driven CT radiomics predict recurrence-free and overall survival in patients with pulmonary metastases treated with stereotactic body radiotherapy
Authors: Salazar Pascal , Cheung Patrick , Ganeshan Balaji , Oikonomou Anastasia 
Published: December 2024

Background
This retrospective study explores two radiomics methods combined with other clinical variables for predicting recurrence free survival (RFS) and overall survival (OS) in patients with pulmonary metastases treated with stereotactic body radiotherapy (SBRT).

Methods
111 patients with 163 metastases treated with SBRT were included with a median follow-up time of 927 days. First-order radiomic features were extracted using two methods: 2D CT texture analysis (CTTA) using TexRAD software, and a data-driven technique: functional principal components analysis (FPCA) using segmented tumoral and peri-tumoural 3D regions.

Results
Using both Kaplan-Meier analysis with its log-rank tests and multivariate Cox regression analysis, the best radiomic features of both methods were selected: CTTA-based “entropy” and the FPCA-based first mode of variation of tumoural CT density histogram: “F1.” Predictive models combining radiomic variables and age showed a C-index of 0.62 95% with a CI of (0.57–0.67). “Clinical indication for SBRT” and “lung primary cancer origin” were strongly associated with RFS and improved the RFS C-index: 0.67 (0.62–0.72) when combined with the best radiomic features. The best multivariate Cox model for predicting OS combined CTTA-based features—skewness and kurtosis—with size and “lung primary cancer origin” with a C-index of 0.67 (0.61–0.74).

Conclusion
In conclusion, concise predictive models including CT density-radiomics of metastases, age, clinical indication, and lung primary cancer origin can help identify those patients with probable earlier recurrence or death prior to SBRT treatment so that more aggressive treatment can be applied.
Proportion of foetal and placental implantation abnormalities in Madagascar: A cross-sectional study of 35,919 women at public-sector primary healthcare facilities in central and southern Madagascar, 2017–2020
Authors: Krätzig Franziska , Mei Jie , Rebaliha Mahery , Rampanjato Zavaniarivo , Ranaivoson Rinja , Razafinjato Jenia , De Neve Jan-Walter , Franke Mara Anna , Muller Nadine , Emmrich Julius Valentin 
Published: December 2024

Background
Like other countries in sub-Saharan Africa, Madagascar has a high burden of maternal and neonatal mortality. However, as the proportion of foetal and placental abnormalities among the Malagasy population is unknown, strategies aimed at reducing maternal and neonatal mortality are challenging to define and implement.

Methods
We conducted a multi-year, cross-sectional study using secondary NGO data on obstetric ultrasound, including patient records of all pregnant women who received an obstetric ultrasound screening between July 1st, 2017, and September 30th, 2020, at 62 public-sector primary care facilities in urban and rural regions of Madagascar. We analysed demographic characteristics and determined the prevalence of foetal and placental abnormalities.

Results
The dataset included 38,688 ultrasound screening reports from 35,919 women, where 2,587/35,919 (7.20%) women had more than one ultrasound exam. Most women (68.63%, 26,550/38,688) received their first ultrasound during the third trimester of pregnancy. Foetal malpresentation at 36 weeks of gestation or later was diagnosed in 5.48% (176/3,211) of women with the breech presentation being most common (breech 3.99%, 128/3,211; transverse 0.84%, 27/3,211; mobile 0.5%, 16/3,211; oblique 0.16%, 5/3,211). Placenta previa was found in 2.31% (875/38,755) and multiple gestations in 1.03% (370/35,919) cases. Around one in every 150 women (0.66%, 234/38,702) had amniotic fluid disorders.

Conclusion
The proportion of foetal and placental abnormalities detected by obstetric ultrasound is consistent with findings from other countries in sub-Saharan Africa. In contrast to current WHO recommendations, pregnant women, particularly those from rural, resource-constrained settings attend obstetric ultrasound screenings most commonly during their third trimester of pregnancy.
Geospatial mapping to assess the distribution and determinants of zero dose vaccination status hot spots among children in Ethiopia using EDHS 2019: Spatial and geographical weighted regression
Authors: Agimas Muluken Chanie , Asmamaw Meron , Hailu Melese Kebede , Kidie Tigabu , Abuhay Habtamu Wagnew , Yismaw Getaneh Awoke , Derseh Nebiyu Mekonnen 
Published: December 2024

Introduction
Zero-dose vaccine status refers to a child who has not yet received any childhood vaccines. Globally, zero-dose vaccination status is the major public health problem. In sub-Saharan African countries, among five children, one child did not access the vaccines. The efforts to identify the factors contributing to the zero-dose vaccine have not yet been addressed in Ethiopia.

Objectives
To assess the distribution and determinants of zero dose vaccination status hot spots among children in Ethiopia using Ethiopian demographic health survey 2019.

Methods
A secondary analysis of a cross-sectional study was used among a total of 3208 participants. Stata-14, Arc geographic information system-10.3, and Sat Scan software were used to analyze the data. Moran’s I statistic was used to assess the non-random distribution of zero-dose vaccination status. Spatial and geographically weighted regression was used to map the distribution and determinants of zero-dose vaccination status in Ethiopia. The Getis-Ord-statistics and Sat Scan analysis were also used to identify the hot spot area and significant clusters respectively. To identify significant factors, a p-value <0.05 was used.

Results
The prevalence of zero-dose vaccination status among children aged 12–35 months old was 16.3% (95%CI, 15%–17.6%). The distribution of zero-dose vaccination status in Ethiopia was not randomly distributed across the area (Moran’s I value = 0.4, p<0.001). The hotspot area of zero-dose vaccination status in Ethiopia was located in Afar, Somalia, and the south nations region. The primary cluster was located at 5.479641 N and 42.196835 E within a 405.96 km radius in the Somali region. The highest effect (β, 0.23–0.24) of give birth at home on zero-dose vaccination status was observed in Afar, Somalia, and Tigray, whereas the lowest effect of home delivery (β, 0.21–0.22) was observed in south nations, Gambela, and the western part of Benishangul Gumuz. Additionally, the poor wealth index had the highest effect on zero-dose vaccination status (β, 0.06–0.07) in south nations, Benishangul Gumuz, and the Gambela region, and the lowest effect of the poor wealth index (β, 0.03–0.04) was observed in Somalia and the Afar region.

Conclusion
The zero dose child in Ethiopia was low. Geographically, the highest proportion of zero-dose vaccination status among children was in the Somali and Afar regions. Home delivery had the highest and most positive effect on zero-dose vaccination status in Afar, Somalia, and the Tigray region. Additionally, the poor wealth index had the highest and most positive effect in Somalia and the Afar region. Expanding delivery at the health facility and economic empowerment of women are recommended to improve vaccination in Ethiopia.
Socioeconomic inequalities in high-risk fertility behaviors over time in Ethiopia
Authors: Asresie Melash Belachew , Ekholuenetale Michael , Ahmed Kedir Y. , Mistry Sabuj Kanti , Chandio Navira , Agho Kingsley , Fekadu Gedefaw Abeje , Arora Amit 
Published: December 2024

Introduction
High-risk fertility behaviors (HRFB), including short birth intervals, early or late childbearing age, and high parity, are associated with adverse pregnancy outcomes. Understanding the importance of socioeconomic disparity in HRFB and the factors influencing this disparity is essential to improve maternal and child survival, Accordingly, this study investigated socioeconomic inequalities in HRFB over time and its contributing factors.

Methods
We included a total weighted sample of 11,163 and 5,527 women aged 15 to 49 years from the 2005 and 2019 Ethiopia Demographic and Health Surveys, respectively. Erreygers Concentration index (ECI) and curve, along with Erreygers normalized decomposition analysis, were used to examine socioeconomic-related inequalities in HFRB and identify contributing factors to these inequalities.

Results
The study showed that the concentration curve for HFRB remained above the equality line over time, indicating a disproportionate concentration among socioeconomically disadvantaged individuals. In 2005, the pro-poor ECI was -0.0682; in 2019, it was -0.2634, indicating that pro-poor inequality has widened. Educational status (10% in 2005 and 28% in 2019), place of birth (7% in 2005 and 28% in 2019), religion (16% in 2005 and 4% in 2019), and region (9% in 2005 and 3% in 2019) contributed to the observed pro-poor inequality. In 2019, contraceptive use (12%) and wealth index (15%) emerged as additional factors explaining HRFB inequality.

Conclusion
Our findings revealed the disproportional concentration of HRFB among socioeconomically disadvantaged women in Ethiopia, with a widening disparity between 2005 and 2019. Future interventions to address the effect of socioeconomic disadvantage on HRFB should prioritize women with low or no formal education, those who give birth at home, and those who do not use contraceptives.
Variabilities and contentions in anesthesiologists’ perspectives on Japanese perianesthesia nurses: A qualitative study
Authors: Tamai Mikiko , Kojima Shogo , Baba Yasuko , Kurahashi Kiyoyasu 
Published: December 2024

Background
In Japan, the escalating demand for anesthesia services has resulted in a shortage of anesthesiologists, presenting a societal challenge. Urgent measures involve the imperative task shifting to nurses. The perspectives of anesthesiologists on perianesthesia nurses (PANs) and the PAN system significantly influence the collaboration between anesthesiologists and PANs.

Methods
Twenty-four anesthesiologists initially approached in writing among a pool of 304, ultimately agreed to participate in interviews. Verbatim transcripts from these interviews were analyzed using the framework method. In this procedure, data analysis was facilitated by MAXQDA software (version 22.7.0) to construct a case-code matrix, enhancing the reliability of our findings.

Results
Five themes and fifteen categories related to PAN and its system emerged. Participants provided insights into the diverse social conditions accompanying the implementation of the PAN system. They highly regarded PANs as colleagues, expecting a spectrum of capabilities. Nevertheless, the analysis revealed considerable variation in role expectations across institutions and individuals, with some perspectives being mutually critical. Conflicting opinions emerged on two crucial aspects: assigning anesthesia management conducted by PANs and substituting PANs for anesthesiologists. Multiple suggestions were put forth for enhancing and evolving the PAN system.

Conclusion
This qualitative study is the first to reveal that Japanese anesthesiologists hold diverse perspectives on PANs and the system. The approach was well-suited for exploring diverse perspectives, showing significant differences among institutions and individuals. Our data provided crucial insights, including findings suggesting potential barriers to task shifting of anesthesia duties to PANs.
Interrater reliability and agreement of the NEUMOBACT checklist about infection-prevention performance of intensive care nurses in simulation-based scenarios
Authors: Raurell-Torredà Marta , Zaragoza-García Ignacio , Arrogante Oscar , Aliberch-Raurell Anna María , Sánchez-Chillón Francisco Javier , Torralba-Melero Martín , Rojo-Rojo Andrés , Muriel-García Alfonso , Amaya Arias Ana Carolina , Roldán-Merino Juan , Farrés-Tarafa Mariona 
Published: December 2024

Objective
To analyse the interrater reliability of the NEUMOBACT checklist and verify whether consistent results are reproducible.

Methods
A validation study with a cross-sectional design, compliant with the GRRAS checklist, among ICU nurses attending a SIMULAZERO course with an Objective Structured Clinical Evaluation simulation format, to verify transfer from theory to clinical practice of knowledge and skills in ventilator-associated pneumonia (VAP) and catheter-related bacteraemia (CRB) prevention. A minimum sample size of 111 pairs of nurse raters was calculated. Interrater agreement was analysed using Gwet’s AC1 for each item and as a total for each of the three checklists in the NEUMOBACT instrument.

Results
A total of 95 pairs of valid NEUMOBACT checklists were completed by 190 raters with a median age of 29 [25–35] years, 93.7% were female. At the Central Venous Catheter insertion station, Gwet’s AC1 was 0.934 (95% CI [0.919–0.949]). Only 2 of the 17 items scored below 0.9. At the Endotracheal Suctioning station, Gwet’s AC1 was 0.869 (95% CI [0.851–0.886]). Of the 26 items that made up this station, 16 had an agreement percentage above 0.9, a further 9 were between 0.821 and 0.884, and item 13 had a value of 0.789. At the Patient Care station, Gwet’s AC1 was 0.911 (95% CI [0.896–0.927]). Of the 21 items, 17 showed an agreement percentage above 0.9 and 4 were between 0.810 and 0.894.

Conclusions
The interrater reliability of the NEUMOBACT checklist shows substantial agreement between pairs of raters and is therefore validated in this large sample of ICU nurses.

Relevance to clinical practice
The NEUMOBACT checklist can be useful for assessing skills before and after training in VAP and CRB prevention measures and during debriefing (post-simulation feedback), to reinforce the scientific evidence behind actions and decisions for items that have been performed incorrectly, thus consolidating training already received.
Perioperative immunonutrition intervention on postoperative outcomes among gynecological cancer patients under enhanced recovery after surgery setting: A study protocol of explanatory mixed method study
Authors: Ho ChiouYi , Daud Zulfitri Azuan Mat , Mohd Yusof Barakatun Nisak , Abdul Majid Hazreen 
Published: December 2024

Background & aims
Enhanced Recovery After Surgery (ERAS) has shown significant improvements in postoperative outcomes and a reduction in complications, while immunonutrition (IMN) has been shown to modulate the immune system and inflammatory response. However, many studies have overlooked the crucial aspects of nutrition status and patient perception within the intervention approach. This study aims to investigate the efficacy and explore patients’ acceptance of the IMN intervention in postoperative outcomes among gynecological cancer (GC) patients under the ERAS framework.

Methods
This two-phase explanatory sequential mixed-method study design comprises an open-labeled randomized control trial and a qualitative study. The GC participants will be randomly allocated into intervention and control groups. Malaysian adults scheduled for elective surgery will be recruited, with the intervention group receiving IMN for five days before and seven days after elective surgery, while the control group undergoes routine nutritional care before the operation. Both groups will adhere to the ERAS protocol. An explanatory qualitative study will be conducted among GC patients to elucidate their expectations following the trial. Study outcomes include hospitalization duration, change in nutrition status, biochemical profile, functional status, and quality of life. Additionally, the secondary outcome focuses on evaluating the perception of the intervention approach. Quantitative and qualitative data will be analyzed on an intention-to-treat basis and through inductive thematic analysis, respectively.

Conclusion
Implementing perioperative IMN intervention within the ERAS framework may contribute to the preservation of better nutrition status and the provision of sufficient dietary intake to support postoperative recovery, and promote better surgical outcomes. Patients’ perceptions play a pivotal role in enhancing understanding of disease management and adherence to the intervention approach.

Trial registration
NCT06039306.