bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interventions to improve access to cancer care in underserved populations in high income countries: a systematic review
Authors: Santos Salas Anna , Bassah Nahyeni , Pujadas Botey Anna , Robson Paula , Beranek Julia , Iyiola Iqmat , Kennedy Megan 
Published: November 2024

BackgroundUnderserved populations both globally and in Canada face serious cancer inequities that result from systemic economic, environmental, and social conditions. These pose barriers in access to cancer care and lead to suboptimal cancer care experiences and outcomes. Knowledge of effective interventions to improve access to cancer care is needed to inform the design of tailored interventions for these populations.AimTo identify interventions and programs to improve access to cancer care for underserved populations in high income countries with universal health coverage (UHC) and the United States (US) throughout the cancer care continuum.MethodsWe conducted a systematic review following the PRISMA standards. We searched Medline, EMBASE, PsycINFO, CINAHL, Scopus, and the Cochrane Library. Inclusion criteria: quantitative and qualitative studies published in English in the last 10 years (2013–2023), describing interventions/programs to improve access to cancer care for underserved populations (18 years and over). We included studies in the US given the body of scholarship on equity in cancer care in that country. Screening, data extraction and analysis were undertaken by two independent reviewers.ResultsOur search yielded 7,549 articles, and 74 met the inclusion criteria. Of these, 56 were conducted in the US, 8 in Australia, 6 in Canada, and 4 in the United Kingdom. Most (90.5%) were quantitative studies and 47.3% were published between 2020–2023. Seven types of interventions were identified: patient navigation, education and counselling, virtual health, service redesign, financial support, improving geographical accessibility and multicomponent interventions. Interventions were mainly designed to mitigate language, distance, financial, lack of knowledge and cultural barriers. Most interventions focused on access to cancer screening, targeted rural populations, racialized groups and people with low socioeconomic status, and were conducted in community-based settings. The majority of interventions or programs significantly improved access to cancer care.ConclusionOur systematic review findings suggest that interventions designed to remove specific barriers faced by underserved populations can improve access to cancer care. Few studies came from countries with UHC. Research is required to understand tailored interventions for underserved populations in countries with UHC.
Prevalence of Seed-Borne Fungi on Soybean (Glycine max L. Merr.) Seeds Stored Under Medium-Term Cold Room Facilities: Implications for Genebanks
Authors: Shango Abdul J , N’Danikou Sognigbé , Ramadhani Shebati , Sumaye Saphina , Nickas Jonas , Daud Michael L 
Published: November 2024

This study examined the prevalence of seed-borne fungi in polyethylene plastic-packaged soybean seeds stored in a genebank and identified factors influencing their incidence. Twenty-four seed lots were sampled from the collection stored at 10 °C in the World Vegetable Center genebank in Arusha, Tanzania. The seeds used were those regenerated and harvested in 2015, 2016, and 2017. A seed health test was conducted for sterilized seeds on potato dextrose agar, sterilized seeds on top of the paper, and unsterilized seeds on top of the paper. Seven-year-old sterilized seeds plated on top of the paper exhibited the highest germination percentage (74 ± 7.09%) and lowest fungal incidence (7.00 ± 4.41%). Conversely, seven-year-old unsterilized seeds plated on top of the paper had the lowest germination (22.00 ± 6.97%) and highest fungal incidence (79.00 ± 8.31%). Older seed lots showed significantly higher equilibrium seed moisture content (Eqmc), though seed age had no significant influence on germination percentage or fungal incidence. Seed germination percentage showed a significant negative relationship with Eqmc, though Eqmc had no significant effect on fungal incidence. Meanwhile, germination percentage showed a significant negative relationship with fungal incidence. Six fungi isolates were identified using their morphological features from soybean seed samples: Absidia glauca, Aspergillus niger, Fusarium spp., Mucor hiemalis, Pestalotiopsis versicolor, and Sordaria macrospora. It is concluded that high fungal incidence negatively affects seed germination but is not significantly correlated with seed moisture content. The dry and cold storage conditions in the genebank, while effective in extending seed longevity, can unintentionally allow seed-borne mycoflora to persist. Although fungi may not actively proliferate under these conditions, they may do so when favorable conditions are restored, such as during germination tests, and consequently may compromise seed viability. Therefore, this study emphasizes the importance of increased systematic seed health checks before storage in genebanks to ensure optimal seed quality, and the replacement of all polyethylene plastic bags to aluminium foil packaging.
Treating the perimenopause in the UK Armed Forces: a mixed-methods review exploring the confidence of GPs
Authors: Willman Antony Sean , King Kate 
Published: November 2024

BackgroundAccess to high quality perimenopause (PMP) care for UK Armed Forces (UKAF) personnel is crucial, given the increasing proportion of women aged 40–55 in the service. However, owing to the lack of exposure of GPs to the PMP in defence primary health care (DPHC), there are concerns about the confidence in PMP management, particularly in prescribing hormone replacement therapy (HRT).AimTo assess the confidence of GPs working in DPHC in the management of the PMP.Design & settingThis study employed a mixed-methods approach and included all GPs (uniformed and civilian) working in DPHC.MethodA cross-sectional survey gathered quantitative data on demographics, views on PMP care, and self-rated confidence levels in managing the PMP among defence GPs (DGPs). Semi-structured interviews of purposefully sampled responders were thematically analysed to explore these issues further.ResultsThere were 164 responses from 542 DGPs (response rate 30.3%). The majority of responders expressed confidence in managing the PMP but reported lower confidence levels in prescribing HRT for younger women and initiating testosterone. Factors influencing confidence included recent PMP continuing professional development (CPD), GP sex, and exposure to PMP cases. Semi-structured interviews provided deeper insights into GP characteristics, CPD, and awareness of the PMP. Women’s health hubs providing PMP care and experiential education were strongly supported.ConclusionThe study identified gaps in confidence among DGPs, particularly in certain aspects of PMP management, similar to those found in NHS GPs. CPD and case exposure were important predictors of confidence, with strong support for regional women’s health hubs to optimise PMP care. Further research is warranted to explore strategies for bridging confidence gaps and improving PMP care delivery within the UKAF context.
Metástases pulmonares no câncer de mama e de colo uterino: uma revisão sistemática e análise epidemiológica
Authors: Ribeiro Fonseca Ana Maria , Lima Rodrigo Pires de Souza 
Published: November 2024

A metástase pulmonar refere-se à disseminação de células cancerígenas para o pulmão, tratando-se de um câncer secundário. O pulmão é um órgão vital, com alta prevalência de metástase, devido sua ampla vascularização e fluxo constante, facilitando o transporte dessas células (1). Consequentemente, é recomendado em muitos casos, o rastreamento para pacientes com diagnóstico de neoplasias primárias. Dentre a maior incidência de metástase pulmonar estão o câncer de mama, colo uterino, pâncreas, rim, cólon, melanoma e tireoide (2).
Os cânceres de mama e colo de útero são um dos principais sítios primários. Ambos estão entre as principais neoplasias que acometem as mulheres, precedido pelo câncer de pele não melanoma (3). A disseminação do câncer de mama ocorre principalmente por disseminação hematogênica, enquanto o câncer de colo uterino pela forma direta (5;6). O Ministério da Saúde recomenda para essas neoplasias primárias rastreamento impactando diretamente no diagnóstico precoce, evitando assim, a metástase e a piora do prognóstico (7;8).
A metástase pulmonar na maioria dos casos são assintomáticos, mas quando sintomáticos, os principais sintomas são: dispneia de caráter importante, hemoptise, perda ponderal não intencional e efusão pleural (1;4). A confirmação do diagnóstico geralmente requer uma combinação de exames de imagem, como a tomografia computadorizada e ressonância magnética para avaliar a gravidade da metástase, pode-se também utilizar exames de maiores complexidades e custos, sendo importante individualizar cada caso (1).
A abordagem terapêutica da metástase pulmonar depende de diversos fatores, como o tipo de câncer primário, a extensão da metástase e a condição geral do paciente. As opções incluem quimioterapia, radioterapia, terapias direcionadas e cirurgias em casos selecionados, o qual o câncer primário esteja controlado (4). Tratando-se de um tumor em estágio avançado, torna-se imprescindível utilizar uma abordagem multidisciplinar, tendo como objetivo, controlar a disseminação de células cancerígenas, solucionar os sintomas e também proporcionar uma melhor qualidade de vida para o paciente (4).
Preparo do canal radicular do canino superior com Lima Solla Collors Rotatórias
Authors: Coelho Travassos Rosana Maria , Wale Rodrigues Martins William , Godoy Martins Lucas , Tenório Dourado Chaves Adriane , Do Socorro Orestes Cardoso Maria , Santos Lyra da Paz Eliana , Alves Josué , Perez Leyva Ataíde Juliana , Coelho de Ataíde Filho Ailton , De Queiroz Marques Filho Eudoro , Guimarães Sampaio Trajano Dos Santos Pedro , Barreto Silva Luciano 
Published: November 2024

Este estudo descreveu o preparo do canal radicular do canino superior com lima Lima Solla Collors rotatória. Paciente do sexo masculino, 61 anos, sem histórico de doenças sistêmicas, procurou consultório particular, queixando-se de dor e sensação de dente crescido no dente 23. Clinicamente, apresenta-se assintomático, resposta negativa ao teste de sensibilidade pulpar a frio realizado com gás refrigerante. Após anestesia, foi realizada a abertura coronária e a exploração do canal radicular. O comprimento de trabalho foi determinado com localizador apical, seguido por irrigação suave com Clorexidina a 2%. O preparo do canal foi realizado com Lima Solla Collors rotatórias 70/03 e a patência foraminal foi feita com a Lima de Glidepath Solla Collors 16/02, um milímetro além do forame apical. A obturação do sistema de canais foi realizada pela técnica do cone único HB, associado ao cimento Bio C Sealer. Conclui-se que o sucesso da terapia endodôntica é alcançado quando se realiza corretamente o diagnóstico, um preparo com modelagem adequada e uma obturação hermética, bem como o selamento definitivo do acesso coronário.
La responsabilité sociale en médecine: les retombées d’une activité de formation des étudiants au sein d’organismes communautaires
Authors: Gottin Thomas , Foley Veronique , Petit Geneviève , Valois Carol , Loignon Christine 
Published: November 2024

Contexte : Les activités d’apprentissage par le service dans la communauté (ASC) sont intégrées au sein des facultés de médecine depuis plusieurs années. Toutefois, peu de données existent permettant de comprendre les retombées de ce type d’activités sur les personnes étudiantes et les milieux communautaires. Cette recherche visait à explorer les perceptions des retombées d’une activité de formation ASC offerte aux personnes étudiantes en médecine.
Méthodes : Une étude qualitative descriptive interprétative a été menée. Elle incluait des entrevues semi-dirigées pré et post stage, menée auprès des personnes étudiantes ayant participé aux activités d’ASC (pré n=21, post n=7), de même que des groupes de discussion focalisée auprès d’intervenants ou responsables d’organismes communautaires (n=17).
Résultats : Les expériences vécues au sein de milieux socioéconomiques et culturels pluriels ont contribué à améliorer la compréhension par les personnes étudiantes du concept de vulnérabilité sociale et du vécu des personnes vivant en contexte de vulnérabilité. L’ASC a également généré une meilleure perception de la compréhension de l’importance des organismes communautaires dans l’aide à ces personnes en situation de vulnérabilité.
Conclusion : Dans le cadre de l’ASC, une meilleure compréhension des facteurs contribuant au développement de compétences touchant la pratique en contexte de vulnérabilité s’avère nécessaire pour permettre une expérience significative et souvent transformative chez les futurs médecins.
Investigating Blended Leadership Dynamics: Analysing Transformational, Transactional, Laissez-Faire, and Instructional Approaches in High and Low Achieving Secondary Schools in Ethiopia
Authors: Ducalie Mesfin Demissie , Mahlangu Vimbi Petrus 
Published: November 2024

This study delves into the leadership practices within secondary schools in the Gedeo Zone, with a specific focus on those achieving high performance. Employing an embedded mixed research design, the study selected four high-performing and eight low-performing schools. Data collection methods encompassed surveys, document analysis, focus group discussions, and interviews, engaging 48 principals, 311 teachers, 6 senior teachers, and 7 supervisors, totaling 372 participants. Statistical analyses including regression, correlation, and independent t-tests, coupled with thematic analysis, were utilized. Both qualitative and quantitative findings indicate notable differences in leadership practices between high-performing and low-performing schools, with principals in high-performing schools demonstrating a blended approach of instructional and transformational leadership styles. Positive correlations emerged between principal effectiveness, employee effort, and satisfaction, linked to the adoption of instructional and transformational leadership styles. Regression analysis suggested that blended leadership styles positively impact academic achievement in high-performing schools but may have adverse effects in low-performing schools due to insufficient implementation of such leadership styles. The study proposes that principals in Gedeo Zone's secondary schools adopt a blended leadership approach, incorporating full-range and instructional models to enhance school performance. Additionally, the education department in the zone is encouraged to arrange workshops integrating full-range and instructional leadership practices.

Received: 11 March 2024 / Accepted: 29 October 2024 / Published: 05 November 2024
Attitudes and Motivation as Predictors of Perception of English Language Proficiency: Structural Equation Modeling (SEM)
Authors: Quenta-Condori Lourdes , Requena-Cabral Gabriela , Livia-Segovia José Hector , Turpo-Chaparro Josué Edison 
Published: November 2024

English is the most widely spoken and written language in the world, so many students have different perceptions of English language proficiency, so there is a need to investigate the predictors of English language learning. Therefore, the main objective of this study was to determine the relationship between attitudes towards learning English and motivation towards English learning under the SEM model as predictors of perception of English language proficiency in Peruvian university students. The sample consisted of 711 Peruvian students from a private university (442 females = 62.2% and 269 males = 37.8%). The questionnaire of attitudes towards learning English, motivation towards English, and socio-demographic questions were used, including the perception of English language proficiency. The proposed model obtained a satisfactory fit. Attitudes towards learning English explain 10% of the perception of English language proficiency, but with motivation towards English as the mediating variable. According to the established criteria, the goodness of fit of the model was confirmed (?2 = 383.78; df =3; p .000; RMSEA = 0.06; AGFI= 0.97; TLI = .97; CFI = .99), which confirms the fact that all the values obtained are acceptable.

Received: 10 May 2024 / Accepted: xx October 2024 / Published: 05 November 2024
Corporate Governance and Firm Performance: Emphasis on Environmental Sustainability Performance: Evidence from Saudi Arabia
Authors: Alruwaili Talal Fawzi 
Published: November 2024

This study explores the connection between the characteristics of the board of directors and firm performance. Additionally, it examines whether environmental sustainability performance impacts the relationship between these characteristics and firm performance. This research utilized a sample composed of 917 firm-year observations, which were obtained from firms listed in Saudi Arabia during the years 2015 and 2021, using data gathered via annual reports of the companies listed in the Saudi market; Environmental, Social, and Governance standards were gathered from the Bloomberg database. More specifically, data on business performance are gathered from the data stream. This research employs ordinary least squares regression to investigate the immediate connections between the traits of the board of directors and the company's performance. In addition, the outcomes utilize Feasible Generalized Least Squares regression as an additional evaluation method. This study finds a substantial connection between board size, board independence, board meetings, environmental sustainability performance, and firm performance. Moreover, this study found that environmental sustainability performance does not affect the relationship between corporate governance and firm performance.

Received: 8 September 2024 / Accepted: 31 October 2024 / Published: 05 November 2024
Role of Investing in Human Resources in Enhancing the Organizational Renewal Capabilities of the Pharmaceutical Industry
Authors: Mohammed Sanaa Mostafa , Ahmed Abdulrahman Badreldin Mohamed , Alhumaid Mohammed Thani , Gomaa Sahal Mastora Sahal , Mohammed Abubakr Ayman Abdalla 
Published: November 2024

This study aims to explore the role of the dimensions investing in human resources in enhancing the organizational renewal capabilities of companies operating in the pharmaceutical industry. An online survey was conducted among a sample of (350) individuals who worked in pharmaceutical companies in the Kingdom of Saudi Arabia. The results indicate that the dimensions of investing in human resources as assessed by employees of pharmaceutical companies positively enhance all four studied dimensions of organizational renewal capabilities (strategic competence, learning orientation connectivity, leadership practices, exploiting time) for a wide range of pharmaceutical companies. The results confirm that enhancing the investing in human resources is a promising path toward improving the regulatory renewal capabilities of pharmaceutical companies. Despite the interest in investing in human resources, the lack of consensus on the specific elements of investing in human capital limits the understanding of their implications. Building on recent developments in visualizing and measuring investing in human resources, this study addresses this gap by exploring how the investing in human resources relates to the regulatory renewal capabilities of pharmaceutical companies.

Received: 25 August 2024 / Accepted: 30 October 2024 / Published: 05 November 2024
Revitalizing Javanese Islamic Literature: A Philological and Oral Tradition Study in Coastal Culture
Authors: Abdullah Muhammad , Rukayah Siti , Heriyanto  
Published: November 2024

This study explores a spiritual occurrence that flourishes and develops within the framework of Pesantren, a significant aspect of Javanese Islamic tradition. One notable spiritual activity that flourishes in Pesantren is known as Pesantren literature. The term 'Pesantren literature' refers to literary works that originate and develop within the Pesantren environment, encompassing both the physical and spiritual realms. Noteworthy characteristics of Pesantren literature include the following. Pesantren literature is predominantly composed in Arabic and is typically written in Arabic script. At times, Pesantren literature may be composed in the new Javanese language with Arabic-pegon script. It emerged and gained momentum during the 18th century, experiencing rapid development in the 19th century. Pesantren literature encompasses both oral and written traditions. It is often recited during specific ceremonies and occasionally performed as a form of performing art. Pesantren literature exhibits varying degrees of influence from Arabic and Persian literature. In conclusion, Pesantren literature has been a vital spiritual and literary tradition in the Indonesian archipelago, particularly in Java. It has evolved as a unique form of literary expression within the Pesantren environment, encompassing both oral and written traditions.

Received: 6 April 2024 / Accepted: 27 October 2024 / Published: 05 November 2024
Managers’ Perception of Financial Innovations in Turkey
Authors: Ölçen Olcay , Tadele Haileslasie , Çelik Arzum 
Published: November 2024

Innovation is often considered a key contributor to firms’ competitiveness. However, its success largely depends on manager’s willingness to accept an innovation. The purpose of this study is to examine managers’ perceptions on financial innovation and the factors that influence their adoption decisions. Using the Technology Acceptance Model (TAM), the study analyzes data collected from a sample of 500 firms in Turkey. The findings show that managers are more likely to adopt financial innovations that are perceived to be easy to use and accessible. Gender, age and level of education are observed to have significant impact on managers’ perception. For example, female managers are likely to be risk averse when making financial innovation decisions than male managers. Younger managers tend to test the innovation before fully implementing it and are more concerned about accountability for the success or failure of the innovation. The results also indicate that accessibility, ease of use, risk and accountability are crucial factors influencing managers' perception on financial innovations. Finally, this research contributes to the literature on financial innovation and provides valuable insights for managers in Turkey to make informed financial innovation decisions.

Received: 10 August 2024 / Accepted: 31 October 2024 / Published: 05 November 2024
Addressing Internal Migration Challenges in Kazakhstan: A Systematic Approach
Authors: Bokayev Baurzhan , Akhmetova Gulnaz 
Published: November 2024

This research article provides a comprehensive analysis of migration processes within Kazakhstan, focusing on the challenges in internal migration. The current trends in internal migration are leading to substantial differences in the distribution of the workforce, negatively affecting both the economy of the country and regional inequalities. The authors present an economic and mathematical model that demonstrates a connection between a decrease in the appeal of migration to certain locations and a fall in the gross regional product. Furthermore, a thorough examination of the legal framework, program execution, and policy documents reveals problems in the effective use of regulatory mechanisms, particularly in relation to rural migration issues. The study presents a systematic approach and an organizational regulatory scheme to improve the scientific methodology. This scheme takes into account numerous aspects and conditions that affect internal population migration dynamics.

Received: 11 July 2024 / Accepted: 31 October 2024 / Published: 05 November 2024