bluuebunny/crossref_metadata_2025_split huggingface dataset:
Modified cognitive behavioral therapy approach reduces loudness discomfort levels for an autistic child with hyperacusis: case report
Authors: Carson Tana B. , Guerrero Lisa A. , Niebles Monica , Gayle Cindi G. F. 
Published: October 2024

IntroductionHyperacusis is common among the autistic population, with a lifetime prevalence estimated at up to 60% compared to 17.1% in those without autism. For autistic children, avoidance behaviors and distress associated with hyperacusis significantly disrupt participation in everyday routines including academic, social and leisure activities. Although hyperacusis is a significant problem for children with autism and their families, there is little research on effective interventions. This report describes the clinical case of an 11-year-old boy with autism who received a modified cognitive behavioral therapy (CBT) approach to address symptoms of hyperacusis.Case presentationPatient A is an 11-year-old boy with autism and hyperacusis. He and his parents report difficulties tolerating loud or high-pitched sounds including whistling, fireworks, traffic and high-pitched musical instruments (e.g., the ocarina and flute). When hearing these sounds during everyday activities (e.g., celebrations and social events) he will often ask strangers to stop, cover his ears, or avoid/run away from the source of sound. A modified CBT approach was combined with exposure therapy, and sensory-based self-regulation strategies to improve tolerance and decrease distress when hearing whistling. Treatment outcomes include improved loudness discomfort levels in audiology evaluations, improved auditory domain scores on the Sensory Profile questionnaires, lower self-reported subjective units of distress scale (SUDS) ratings in response to bothersome sounds, and decreased use of noise canceling headphones during daily activities. The client and his parents also reported generalization of these improvements with other sounds (e.g., fireworks).ConclusionThe patient described in this case report showed measurable improvements in his ability to tolerate whistling, a bothersome sound encountered regularly in his daily life. Considering the high prevalence rate of hyperacusis in autism and its impact on children and family routines, stress and daily living, the development and testing of an effective treatment approach for hyperacusis is needed. The treatment plan for this case arose from the collaboration between professionals in occupational therapy, applied behavior analysis, audiology, and clinical psychology. Future studies are encouraged to determine the efficacy of this combined approach for other children with autism and hyperacusis.
Projected number of people in need for long-term care in Germany until 2050
Authors: Haß Luisa , Knippschild Stephanie , Tönnies Thaddäus , Hoyer Annika , Palm Rebecca , Voß Sabrina , Brinks Ralph 
Published: October 2024

IntroductionCurrent demographic trends predict continuously growing numbers of individuals reliant on care, which has to be accounted for in future planning of long-term care-resources. The projection of developments becomes especially necessary in order to enable healthcare systems to cope with this future burden and to implement suitable strategies to deal with the demand of long-term care. This study aimed to project the prevalence of long-term care and the number of care-dependent people in Germany until 2050.MethodsWe used the illness-death model to project the future prevalence of long-term care in Germany until 2050 considering eight different scenarios. Therefore, transition rates (incidence rate and mortality rates) describing the illness-death model are needed, which have been studied recently. Absolute numbers of people in need for long-term care were calculated based to the 15th population projection of the Federal Statistical Office.ResultsNumbers of people in need for long-term care will increase by at least 12%, namely 5.6 million people, in the period of 2021 until 2050. Assuming an annual incidence-increase of 2% from 2021 to 2050 the number of care-dependent individuals could potentially rise up to 14 million (+180%).ConclusionOur projections indicated a substantial rise in the number of care-dependent individuals. This is expected to lead to raising economic challenges as well as a stronger demand for healthcare and nursing personnel.
Sarcopenia severity is related to arterial stiffness and hypertension in older Korean population without underweight and obesity: population based cross-sectional study
Authors: Kim Bokun , Kim Gwon-Min , Huh Up , Lee Juhyun , Bae Miju 
Published: October 2024

BackgroundAging and obesity are considered causes of arterial stiffness, which triggers hypertension in the older population. However, a substantial number of older adults without obesity have hypertension, suggesting that arterial stiffness and hypertension are related to different risk factors in older adults without obesity. This cross-sectional study aimed to determine whether sarcopenia is related to arterial stiffness or hypertension in older Korean adults without underweight and obesity.MethodsA total of 2,237 male and female adults in the Korea National Health and Nutritional Examination Survey who were ≥60 years and did not have underweight and obesity (18.5 ≤ body mass index &lt;25.0 kg/m2) were involved. They were classified as moderate- (n = 276) or severe-sarcopenia (n = 528) as their sarcopenia index was 1 or 2 standard deviations lower than the mean of the young reference group. Arterial stiffness was confirmed using an estimated pulse wave velocity (ePWV) formula, and hypertension was diagnosed based on blood pressure or antihypertensive medication use.ResultsArterial stiffness and systolic and diastolic blood pressure showed an increasing trend from normal to moderate-to-severe sarcopenia (p &lt; 0.001 for both). The distribution of subjects in the highest ePWV tertile and hypertension from normal to moderate-to-severe sarcopenia showed an increasing trend (p &lt; 0.001 for both). Subjects with moderate or severe sarcopenia were 3.545 or 8.903 times more likely to be in the highest tertile of ePWV, and those with moderate or severe sarcopenia were 2.106 or 11.725 times more likely to be hypertension (p &lt; 0.001 for all).ConclusionSarcopenia severity is related to arterial stiffness and hypertension in older Korean populations without underweight and obesity.
Factors affecting the polychlorinated biphenyl signatures in serum of adults living in a highly polluted area in eastern Slovakia
Authors: Hlisníková Henrieta , Kolena Branislav , Trnovec Tomáš , Richterová Bagratuni Denisa , Patayová Henrieta , Čonka Kamil , Drobná Beata , Rausová Katarína , Tihányi Juraj , Wimmerová Soňa , Petrovičová Ida , Nagyová Miroslava , Palkovičová Murínová Ľubica 
Published: October 2024

IntroductionOver the years eastern Slovakia has been subject to consistent monitoring of high levels of polychlorinated biphenyls (PCBs) in both the environment and human populations attributed to the former production of PCBs at the Chemko Strážske plant. We aimed to investigate the extent to which dietary habits and residential location could affect the concentrations of PCBs in the blood serum samples of subjects.MethodsWe enrolled 602 adult subjects from eastern Slovakia with an average age of 45.14 (±8.49) years. To determine the concentrations of 21 PCB congeners, we used solid phase extraction along with gas chromatography coupled with high-resolution mass spectrometry. Based on questionnaire data, the assessment of dietary habits and residential location was performed using score calculations and creating a map.Results and discussionThrough principal component analysis, the 20 PCB congeners were classified into three groups: PC1, comprising highly chlorinated PCBs, and PC2 and PC3, consisting primarily of low chlorinated PCBs. Stepwise multivariate regression revealed positive and negative associations between PCB congeners represented by PC1-3 and scores related to the residential location and scores related to food consumption, respectively. We confirmed that levels of PCBs represented by PC1-3 increased with age. The geographical proximity to pollution sources proved to be a key contributing factor to the observed PCB levels in individuals residing in eastern Slovakia.
A new life with a new language: Russophone immigrants’ reflections about language learning
Authors: Protassova Ekaterina , Yelenevskaya Maria 
Published: October 2024

IntroductionThis research investigates resilience and lived experiences of transnational Russophone families amidst global changes, with a focus on the intricate dynamics of communities spread across borders. The study emphasizes the importance of considering individual migrant experiences in understanding language learning and integration. We explored perceptions of local language proficiency among Russophones; challenges faced by adult Russophones in learning a new language; attitudes and experiences of adults regarding language learning; and strategies Russophone immigrants use to address gaps in the target language.MethodsMethodologically, the research employs ethnographic and thematic analyses, drawing on a diverse array of sources including interviews, social media posts, and personal communications. This approach highlights the necessity of considering both prompted responses and spontaneous discussions to capture authentic opinions on language learning from various perspectives.ResultsThe study underscores the interconnectedness and interdependence within transnational families, illustrating how their lives are shaped by factors that transcend national boundaries. The examination of their diverse experiences reveals their capacity to endure and overcome challenges of integrating into new societies. Russophone migrants’ attitudes toward language learning highlight how learning the host country’s language enhances integration and social mobility, while maintaining the native language preserves cultural heritage, although second-generation immigrants often feel disconnected from their linguistic roots.DiscussionStudies by various authors discuss challenges which immigrants face when adapting to a new linguistic environment. This project emphasizes the impact of language learning on identity and reveals cultural flexibility in attaining social justice in multicultural contexts. These insights suggest that language programs and policies should address both the practical needs of immigrants and the preservation of their cultural identities taking into account their naïve views about language learning.
Towards Understanding the Motivators of Sustainable Consumer Behavior—Validation of the Food Eco-Guilt Scale
Authors: Unger-Plasek Brigitta , Temesi Ágoston , Lakner Zoltán 
Published: October 2024

Background/Objectives: The growing concern about the environmental impacts of consumption has led to the emergence of so-called “eco-guilt”—a psychological construct reflecting the guilt felt by individuals about the environmental consequences of their choices, which plays a prominent role among the factors influencing pro-environmental behavior. Although eco-guilt has already emerged in other service sectors, such as tourism, and general scales exist to measure it, no such scale exists in the context of food consumption. The aim of this research is to develop and validate a scale to measure eco-guilt related to food consumption. Methods: To create the scale in an objective way, we used the Sustainable Development Goals as a framework. Data were collected from university students; a questionnaire was completed online by 367 respondents. The responses were analyzed from several different perspectives, using multiple methods following the principle of triangulation. For the data analysis, the Psych and Mokken packages of R software (version 4.4.0) were used. Results: The constructed scale was based on 13 items. An overview of the reliability of the scale was provided using various indicators (e.g., Cronbach’s α = 0.86, ωh = 0.63, ωH asymptotic = 0.71, and ωt = 0.89). Based on the analyses, we proposed a reduced form with nine items for the measurement of food-related eco-guilt. Conclusions: The results of this research provide a scale to help understand what motivates consumers to make more sustainable consumption choices. Moreover, the scale is relevant to future research focused on understanding how guilt influences future food choices.
ОБЗОР ПРИМЕНЕНИЯ МЕТОДОВ ВАКУУМНОЙ ТЕРАПИИ В ВЕДЕНИИ ПАЦИЕНТОВ С СОСУДИСТЫМИ ЗАБОЛЕВАНИЯМИ НИЖНИХ КОНЕЧНОСТЕЙ
Authors: М.Ж. Еспенбетова , Н.С. Изатуллаева , Н.Е. Глушкова , Ж.К. Заманбекова , А.Д. Аманова , Л.А. Аббасова , Д.Е. Жангирова , А.М. Досбаева 
Published: October 2024

В статье представлены результаты систематического литературного поиска публикаций и других доступных источников отражающие эффективность применения методов вакуумной терапии в ведении пациентов с сосудистыми заболеваниями нижних конечностей. Основная масса публикаций была проиндексирована в базах данных PubMed, MEDLINE, CINAHL, Embase, e-library, Google Scholar. Глубина поиска составила более 30 лет.
The article presents the results of a systematic literature search of publications and other available sources of the efficacy of the methods of vacuum therapy in the management of patients with vascular disease of the lower extremities. The majority of publications was indexed in the databases PubMed, MEDLINE, CINAHL, Embase, e-library, Google Scholar. Search depth was more than 30 years.
Мақалада аяқ тамырларының аурулары кезінде науқастарға ваккумды терапия әдісін қолданудағы әсерінің басқада әдебиеттерде көрсетілген және жүйелік әдебиеттерге ізденіс кезіндегі нәтижелері көрсетілген. Негізгі мақалалардың басым көпшілігі PubMed, MEDLINE, CINAHL, Embase, e-library, Google Scholar базасында индексирленген.
Проспективный анализ сочетанной лучевой терапии местнораспространенного рака шейки матки в Кашкадарьинской области
Authors: У.Э. Убайдуллаев , Э.Р. Гафуров , Б.Т. Туланов , У.С. Раззоков 
Published: October 2024

Настоящее исследование основано на результатах лечения 52 пациентов с местно-распространенной карциномой шейки матки. Проанализированы безрецидивная и общая годовая выживаемость пациентов, влияние некоторых факторов на показатели выживаемости. Анализ динамики комбинированной лучевой терапии местнора-спространенного рака шейки матки показывает, что общая годовая выживаемость составляет 98,1±0,8%, безрецидивная выживаемость – 69,2±1,7%. Установлено, что большая часть рецидивов возникает в течение первых 6–9 месяцев после первичного лечения. Выявлено влияние на сроки наблюдения некоторых факторов организма и опухоли, таких как репродуктивный возраст, стадия заболевания, поражение параметрия, непосредственные результаты лечения и степень лучевого патоморфоза.
The current study is based on treatment results of 52 patients with locally spread cervical carcinoma. Re- currence-free and overall one-year survival rate of patients, influence of some factors on indices of survivability have been analyzed. The analyses of follow-up of combined radiotherapy of locally spread cervical carcinoma shows that overall one-year survival rate is 98,1±0,8% and recurrence-free survival rate is 69,2±1,7%. It is de- termined that most part of recurrences occurs during the first 6-9 months after the initial treatment. Influence of some factors of an organism and a tumor as reproductive age, disease stage, parametrium involvement, direct treatment results and degree of radial pathomorphism on the follow-up has been detected.
AN ANALYSIS OF COSTS OF PRIVATE PRISONS AGAINST PUBLIC PRISONS IN SOUTH AFRICA
Authors: Ntsobi Mfanelo 
Published: October 2024

This paper examines the costs, benefits, accountability, and human rights implications of private against public prisons in South Africa. The rationale is to determine which investment model between the two (public and private) is most economically viable as expressed in quantitative and financial terms. As such, the positive gains of the cost-benefit analysis should provide guidance in maintaining any prison model. The methodology that the study followed is Qualitative Systematic Archival Article Review. Data was collected through global and local archives, coded and analysed through triangulation, thematic and content analysis. This process was followed to establish robust themes and insights regarding the subject matter thereby enhancing rigor, reliability, and validity of the results. Consequently, the study noted that public prisons provide more value than private prisons in South Africa at this moment because of astronomical costs and human rights abuses associated with private prisons compared to public prisons. However, private prisons exhibit better maintenance as they provide improved living conditions for their smaller inmates’ population unlike public prisons. The study recommends that there should be robust training, strict monitoring, phased and gradual implementation of private prisons in South Africa. There should also be continuous evaluation of private prisons to ensure that they comply with government regulations.
Edukasi Green Economy dan Pemanfaatan Teknologi Informasi untuk Mendukung Sustainable Development pada Siswa SMK Baitul Hikmah
Authors: Nastiti Ari Sita , Muharom Lutfi Ali 
Published: October 2024

Mitra merupakan SMK Baitul Hikmah Tempurejo yang berdiri sejak tahun 1987 di Kabupaten Jember. Berdasarkan komunikasi dengan Mitra diketahui bahwa Mitra berkeinginan menyiapkan para siswanya sebagai bekal terjun di dunia masyarakat pada saat lulus nanti. Utamanya karena siswa merupakan calon penerus bangsa, dimana pemahaman akan green economy dan pemanfaatan teknologi informasi diperlukan agar dapat mendukung terciptanya pembangunan berkelanjutan. Untuk itu, Tim PkM menjalin kerjasama dengan Mitra dalam kegiatan edukasi mengenai green economy dan pemanfaatan teknologi informasi guna mendukung pembangunan berkelanjutan pada siswa dari sekolah Mitra. Kegiatan ini bertujuan untuk menambah wawasan dan kepedulian siswa terhadap lingkungan. Kegiatan ini dilaksanakan pada bulan Januari – Maret 2024. Metode pelaksanaan yang digunakan adalah metode ceramah yang disertai dengan diskusi dan tanya jawab. Berdasarkan evaluasi terhadap terhadap hasil pre test dan post test peserta, terlihat adanya peningkatan nilai yang menunjukkan meningkatnya pemahaman peserta akan topik Green Economy dan Pemanfaatan TI dalam Pembangunan Berkelanjutan setelah diadakannya program edukasi ini. Diharapkan kegiatan ini terus berlanjut melalui praktek perwujudan Green Economy dan Pemanfaatan TI dalam aktivitas-aktivitas sehari-hari di lingkungan sekolah.
Percepción de los Jóvenes Respecto a las Inversiones en Forex y Criptomonedas en la Ciudad de Guayaquil
Authors: La Mota Terranova Gustavo Antonio , Ordoñez Orellana Roxana Katherine , Bazurto Zambrano Gladys Beatriz , Villao Viteri Jose Fabian 
Published: October 2024

El mercado de divisas es sin ninguna duda el mercado más grande del mundo, se ha creado muchos negocios derivados como lo son las plataformas Forex y el negocio de criptomonedas, este estudio tiene como finalidad analizar la percepción que tienen los jóvenes hacia este tipo de negocios y oportunidades de inversión, partiendo de la base sensorial provocada por las sensaciones hacia diferentes estímulos, como objetivos se busca definir los mercados de Forex y criptomonedas en la ciudad de guayaquil, analizar la percepción de los jóvenes con respecto a este tipo de negocios e identificar los principales factores que afectan al desarrollo de este tipo de oportunidades de negocio, para la metodología se realiza una revisión documental de fuentes secundarias para definir los mercados de Forex y criptomonedas, y para analizar la percepción y la identificación de factores, se encuestó a 385 jóvenes a partir de los 18 años de la ciudad de Guayaquil. Para determinar que percepción cuentan los jóvenes sobre este tipo de negocios, teniendo como principales resultados en general un mayor conocimiento hacia los mercados de criptomonedas que hacia el mercado de divisas, la percepción positiva de muchos jóvenes que ven en este tipo de negocios como una oportunidad de ingresos, además de muchas personas interesadas en conocer más sobre cómo operan este tipo de negocios, por otro lado se evidenció una desconfianza a este tipo de negocios producto principalmente de la cantidad de estafas que existen en el mercado, desconocimiento generalizado de este tipo de negocio y de las diferentes criptomonedas que se venden en el Ecuador, sin embargo se reconoce un mayor reconocimiento hacia las criptomonedas que hacia los mercados de divisas.
MISIOLOGI KONTEKSTUAL DI INDONESIA: SOLUSI TEOLOGIS DAN SOSIAL UNTUK MASYARAKAT PLURALIS
Authors: Andrian Tonny , Waharman Waharman 
Published: October 2024

In Indonesia, a pluralistic society with diverse cultures, religions, ethnicities, and worldviews poses significant challenges to church missiology. Horizontal conflicts related to religion and ethnicity are a frequent occurrence in the course of the nation's journey. This article explores the theological and social approaches to dealing with the issue's complexity. It investigates how the church can be a positive change agent in promoting interfaith dialogue, building social harmony, and strengthening cross-cultural understanding. Using a research method that involves theological study and social analysis expressed in a descriptive qualitative method with a literature study approach to understand the church's and missionaries' role in contemporary society. The conclusion is the need for the church to understand the dynamics of pluralism in the context of missiology in Indonesia so that it can provide a theological approach strategy in missiology for multicultural societies and also the importance of social strategies in facing the challenges of missiology in contemporary society. Finally, it can provide social and cultural impacts and implications for the practice of missiology in Indonesia. hence highlighting the need for a holistic approach that integrates theology with the social context of society, so that missiology can play an effective role in facing contemporary challenges and expanding its positive impact in social and spiritual transformation in Indonesia.