bluuebunny/crossref_metadata_2025_split huggingface dataset:
A cross -sectional study on the status and determinants of parenting among 12-36 months old children in rural Nagpur
Authors: Lakshmi Aiswarya N R , Deshmukh Pradeep Ramrao , Chauhan Urmila Mangilal , Tripathy Jaya Prasad 
Published: October 2024

ABSTRACT

Background:
Parenting practices profoundly influence a child’s development, encompassing nurturing, boundary-setting, and developmental fostering. Understanding the status and determinants of parenting children in rural Nagpur is crucial for informing interventions aimed at promoting optimal child well-being in this community.

Objective:
To find the status and determinants of parenting among 12–36 months old children in rural Nagpur.

Methods:
Community-based cross-sectional study design. A total of 314 children were selected through simple random sampling.

Results:
An appropriate parenting proportion was there for 71.9%, 95% CI: 66.7–76.6 of the study subjects. On multivariable analysis, occupation of the father being a labourer, was significantly associated with appropriate parenting.
A study to assess the occurrence of anaemia and beta-thalassemia in the tribal population residing in the Yadadri-Bhuvanagiri district of Telangana state
Authors: Patil Parag , Kusneniwar Govindrao , Rathod Gunvanti , Pradeep Immanuel , Prabhala Shailaja , Pyati Anand , Rani Komal , Katyal Sakshi , Chada Tejaswi 
Published: October 2024

ABSTRACT

Background:
This study aimed to estimate the prevalence of anaemia and haemoglobinopathies, particularly beta-thalassemia in the tribal population of the Yadadri-Bhuvanagiri district of Telangana.

Methods:
The sample consisted of a tribal population (Banjara) that visited voluntary blood camps set up in tribal settlements, local schools, and the Gram-panchayat office, in collaboration with local healthcare workers. Haemoglobin measurements (Anaemia) and Mentzer index of whole blood (EDTA) samples were used as diagnostic screening tools for categorising the population at risk of beta-thalassemia. HPLC was used as a confirmatory test.

Results:
The study included a total of n = 479 (68% females and 32% males) voluntary adult participants of Banjara. Based on the haemoglobin levels, 105 females (32%) were found to be anaemic as compared to 24 males (15.5%). Among the female population, a small percentage of individuals had severe anaemia (1.9%), while most had mild (80%) or moderate anaemia (18%); on the other hand, males primarily had moderate anaemia. Out of the total screened population, 6.7% (5.2% with low Hb levels (anaemic), 3.3% by MI) were found to be thalassemia based on anaemia and Mentzer index as a screening tool.

Conclusion:
The prevalence of beta-thalassemia was found 6.7% in the Banjara population.
Predictive value of clinico-radiological variables in the management of suspected foreign body aspiration in children: A ten-year retrospective cohort study
Authors: Penugonda Asha Jyothi , Devadas Ilakya , Valiaveetil Koshy Alan , Murugan Timri Palani , Antony Jovin Chris , Durai Balamurugan , Samuel John J , Kompithra Rajeev Zachariah , Mathai John , Adhikari Debasis Das 
Published: October 2024

ABSTRACT

Background:
Definite history is not always present in children with foreign body aspiration (FBA), hence necessitating a high index of suspicion.

Objective:
To assess the predictive value of clinico-radiological variables among children presenting with features of suspected FBA and to document their course in a tertiary care teaching hospital.

Materials and Methods:
In this retrospective observational study, we included children aged below 15 years presenting with clinical features of suspected FBA. Data was obtained from case records. Multivariable binary logistic regression analysis (MVA) was performed to determine statistically significant predictors of FBA, and Weighted Risk Scores (WRS) were calculated to determine the significance of the model.

Results:
Of the 296 children included in the study and having undergone bronchoscopy, 84.5% were toddlers; 269 (90.87%) had a foreign body (FB) removed. Organic material was commonly found with 64.3% being peanut and right main bronchus, the commonest lodging site (50.6%). Of the 54 (18%) children with symptomatic but unwitnessed FBA, 45 (83.3%) had a FB retrieved. Choking with sudden onset cough, stridor, unilateral decreased breath sounds, abnormal chest radiograph, unilateral hyperinflation and mediastinal shift correlated with FBA (P < 0.05). MVA confirmed statistical significance with choking with sudden onset cough to predict FBA (P = 0.024) with overall sensitivity and specificity of 60.9% and 77.8%, respectively. Total WRS with cut-off >2 showed good power of discrimination with sensitivity, specificity and AUC of 60.2%, 77.8% and 0.704%, respectively.

Conclusions:
The proposed predictive value-based scoring system enhances accuracy in decision-making regarding bronchoscopy in children with suspected FBA.
Public’s perception and attitude toward genetic testing in Jazan region
Authors: Eltyeb Ebtihal E. , Alhazmi Sami A. , Maafa Shahad H. I. , Mobarki Sarah J. , Sobaikhi Nasser H. , Sumayli Rimas A. , Alattas Khlood K. , Shayani Halah M. , Alqahtani Abdullah M. , Alhazmi Faris A. , Al-Musawa Hafiz I. 
Published: October 2024

ABSTRACT

Background:
With the advancements in genetic testing, a differentiated evaluation for susceptibility to diseases is becoming applicable to many disorders. Understanding the circumstances and promoting the widespread use of these tests in the Saudi setting requires understanding public opinion and attitudes. This study aimed to determine the perception and attitudes of the public in the Jazan region to genetic testing.

Material and Methods:
A cross-sectional survey study of 507 participants was conducted in the Jazan region. The data were collected through an online questionnaire containing demographic information and statements assessing public perceptions and attitudes.

Results:
Our findings showed that perspectives toward genetic testing, especially premarital and prenatal testing, are generally positive and consistent with previous research. Approximately 79.1% of the participants had a positive attitude toward supporting a compulsory governmental decision of genetic screening before marriage, and 67.3% were willing to perform such testing in the future. More than half of the participants were willing to allow pregnancy termination if there was a higher probability of genetic disease in the baby. In contrast, only 29.6% agreed with the decision to divorce due to the higher probability of genetic disease in their children. The predictors for a positive attitude to genetic testing were nationality, marital status, and monthly income.

Conclusion:
The results of the present study indicate that there are acceptable perspectives and attitudes toward genetic testing, especially premarital and prenatal testing.
Exploring disparities: A comparative analysis of insulin-naïve, regular users, and inertia patients among type 2 diabetes mellitus outpatients in India
Authors: Atal Shubham , Bohra Arwa , Kalra Shamsher S. , Balakrishnan S , Joshi Rajnish 
Published: October 2024

ABSTRACT

Introduction:
Insulin utilization pattern varies greatly in type 2 diabetes mellitus (T2DM) patients. Clinical inertia in treatment intensification hinders glycemic control in T2DM management. This study investigated insulin prescription trends and various predictors among insulin naive, user, and insulin inertia (II) patients in T2DM.

Methodology:
A retrospective analysis of T2DM patient records from the diabetes clinic at a tertiary care center was conducted. Data on socio-demographics, anthropometry, disease characteristics, comorbidities, adherence, and medication prescribing patterns were collected. Analysis was done using tests of significance, odds ratio (OR), and multivariate logistic regression.

Results:
A total of 950 records were analyzed, with 17.3% of patients identified as insulin users (IU), 70.9% being insulin-naïve (IN), and 11.8% having II. IUs had significantly higher glycemic levels including HbA1c, fasting, postprandial, and random blood sugars compared to the other groups. Higher HbA1c levels were associated with significantly increased odds of insulin usage (OR: 3.46, confidence interval (CI): 1.94–6.16), while individuals taking sulfonylureas had lower odds of insulin usage (OR: 0.27, CI: 0.08–0.91). A significant association was also seen with the total number of oral antidiabetic drugs prescribed (four drugs; OR: 15.6, and five drugs; OR: 9.1). Other factors did not show a significant association. The regression model showed HbA1c level as low as 7.9% could indicate a future insulin requirement in 22% of patients.

Conclusion:
The study outlines differences in characteristics and parameters among T2DM patients who require or do not require insulin and highlights the challenges in insulin initiation in Indian T2DM patients. Findings on II underscore the need for timely treatment intensification.
Exploring the Landscape of Artificial Intelligence Acceptance among Health-care Professionals: A Questionnaire Survey
Authors: Taneja Pratibha , Marya Charu Mohan , Nagpal Ruchi , Bhardwaj Aditi , Josh Jeevan , Kataria Sakshi 
Published: October 2024

Abstract

Introduction:
Artificial intelligence (AI) could be understood as the technology that mimics the human knowledge based solely on input data. In recent years, AI has become the talk of town and is being applied to health care more and more. The emergence of AI in health care has been groundbreaking, reshaping the way of diagnosis, treatment, and monitoring of patients. There are many instances where AI can perform well in the field of health care. Hence, the objective of this study was to assess the knowledge, perspective, familiarity/attitude, practice, and barriers in the acceptance of AI of health-care professionals.

Materials and Methods:
A 42-question survey was distributed in the form of Google survey tool containing seven sections: demographics, knowledge, practice, familiarity, perspective, acceptance, and barriers to AI use in health care. It was distributed through professional networks, organizations, and relevant online communities.

Results:
A total of 327 health-care professionals (209 females, 115 males, and 3 others) participated in the survey. Clinicians were 217 (66.4%), whereas 57 (17.4%) and 53 (16.2%) were undergraduates and postgraduates, respectively, belonging to medicine (17.4%), dental (76.8%), and allied sciences (5.8%). According to 249 (76.1%) participants, they did not use AI-based tools in their practice. More than half of the study participants agreed that AI can be effectively and efficiently used in health-care delivery. Majority of the participants agreed that AI-based tool’s ability to reveal early disease risks (27.2%) and help in surgical intervention (13.1%) were main advantages of AI. Among all the disadvantages, high investment costs (50.8%) and regulatory concerns (38.8%) were the major barriers in adoption of AI in health care.

Conclusion:
This research study sheds light on the knowledge, practice, familiarity, perception, acceptance, and barriers associated with health-care workers and AI in health care. Shedding the light on the need of allocation of resources for research and development in AI applications tailored to health care.
Effect of Chlorhexidine Gluconate (0.2%), Combination (0.2% Chlorhexidine and 0.05% Sodium Fluoride), and Green Tea Extract (0.5%) Mouth Rinses on Colony Count Changes of Streptococcus mutans and Lactobacillus in Saliva – A Randomized Controlled Trial
Authors: Suma B. S. , Sony Kumari , Kumari Nirmala , Pandey S. N. 
Published: October 2024

Abstract

Introduction

Streptococcus
mutans and Lactobacillus
acidophilus are the well-known etiological factors for dental caries. Chlorhexidine (CHX) gluconate is the “gold-standard” antimicrobial agent but having adverse effects such as brown staining of the teeth and altered taste. Thus, there is a need for an alternative herbal product.

Objective
This study was done to compare the efficacy of CHX gluconate (0.2%) and combination (0.2% CHX and 0.05% sodium fluoride [NaF]) mouth rinses to that of green tea extract (0.5%) mouth rinse in reducing the salivary count of S. mutans and L. acidophilus in dental students.

Materials and Methods
The sample size of the study was 75 dental students with ≥4 decayed, missing, and filled teeth (DMFT) index. They were divided into three equal groups to test various mouth rinses against S. mutans and Lactobacillus. Unstimulated salivary samples were collected at baseline and postrinse (14 days) and tested for the colony-forming units of S. mutans and Lactobacillus. The Chi-square test was used to ascertain the demographic characteristics of the study population. One-way ANOVA statistics and paired t-test were applied to calculate the inferential statistics between the variables. The statistical constant was fixed at P < 0.05.

Results
The results of the study indicated that there was a statistically significant reduction in S. mutans and Lactobacilli count in all the three study groups.

Conclusion
Green tea mouth rinse can be a promising preventive therapy worldwide for the prevention of dental caries but CHX mouthwashes are superior in reduction of S. mutans and Lactobacillus.
Antimicrobial resistance and antimicrobial stewardship program: Need of the hour
Authors: Yadav Shailendra Kumar , Dandu Himanshu , Gupta Prashant , Nischal Anuradha , Atam Virendra 
Published: October 2024

Abstract:
Appropriate antibiotic prescribing and stewardship techniques must be developed to support logical therapy and avoid the unintended effects of antimicrobial resistance (AMR). To combat resistance and safeguard global health, this review emphasizes the scope and ramifications of AMR as well as the significance and implications of the AMSP. The worldwide public health is being threatened by AMR. Because of the increased strain on health care, it raises morbidity and mortality and is linked to significant economic expenses. The clinical and financial consequences of multidrug-resistant bacterial infections are also significantly impacted. Furthermore, the COVID-19 pandemic’s increasing indiscriminate use of antibiotics would heighten microbial resistance and ultimately result in more and more deaths. This study emphasizes the scope and effects of AMR, as well as the significance and ramifications of a program for antimicrobial stewardship to combat antimicrobial resistance and safeguard global public health. The goal of the antimicrobial stewardship program (AMSP) is a system-wide healthcare approach to safeguard public health while simultaneously promoting, enhancing, monitoring, and evaluating the prudent use of antibiotics to maintain their efficacy in the future. AMSP uses evidence-based programs to promote the proper use of antibiotics with great success. To handle the growing threat of AMR, a comprehensive and multisectoral approach known as “One Health” is also required. AMR containment and mitigation depend heavily on AMSP methods, tenets, and interventions. The public’s knowledge of AMR, health professionals’ education, vaccination schedules, and the “One Health” approach must all be guided by evidence-based policy.
ENCOURAGING INNOVATIVE WORK BEHAVIORS FOR SDGS: THE IMPACT OF ENTREPRENEURIAL LEADERSHIP AND CREATIVE SELF-EFFICACY
Authors: Wijayanti Ariyani Wahyu , Lusyana Dila , Insani Salman Faris , Riani Asri Laksmi , Wanday Wimby 
Published: October 2024

Objective: This study delves into the influence of Entrepreneurial Leadership (EL) and Creative Self-Efficacy (CSE) on Innovative Work Behavior (IWB) among employees in organizations. Moreover, the study examines the mediating effect of CSE in the connection between EL and IWB.

Theoretical Framework: The study emphasizes how EL boosts IWB through enhancing CSE, fostering a culture of creativity and entrepreneurship. CSE acts as a mediator in translating EL's influence on IWB, highlighting the crucial role of leadership support and belief in driving innovation for organizational success.

Method: Research questionnaires were distributed to marketing employees via Google Forms, and Structural Equation Modeling (SEM) was employed to test hypotheses regarding the influence of independent variables on mediation and dependent variables.

Results and Discussion: The model's fit shows a mixed result, with some measures acceptable and others indicating issues. EL does not directly impact IWB but significantly enhances CSE, which then affects IWB. EL influences IWB indirectly through CSE, supporting Sarwoko (2020) and Mehmood et al. (2020) findings that EL boosts employees' creativity confidence, improving CSE.

Research Implications: This research emphasizes the crucial role of EL in promoting an IWB through improving employees' CSE. It emphasizes the significance of leadership development in marketing organizations to enhance employees' confidence and creativity, indicating that EL, through CSE, can greatly impact innovation.

Originality/Value: This study provides new empirical evidence on how EL affects IWB among marketing employees in the Solo Raya region, focusing on the mediating role of CSE.
Antecedents of Startup Company Performance in Indonesia: A Pathway Towards Achieving Sustainable Development Goals
Authors: Putra Rizky , Lumbanraja Prihatin , Absah Yeni , Silalahi Amlys 
Published: October 2024

Objective: This study examines CEO competency's impact on business performance in startup companies, particularly in Indonesia. It also explores the mediating role of business networks in this relationship.

Theoretical Framework: The study builds on theories of leadership competency and network theory to investigate how the competencies of startup CEOs influence both business performance directly and indirectly through the development of business networks.

Method: The study employs Structural Equation Modeling-Partial Least Squares (SEM PLS) to analyse data collected from 300 respondents drawn from a population of 2,419 startup companies in Indonesia.

Results and Discussion: The findings reveal that CEO competency significantly positively affects both business performance and the establishment of business networks. Furthermore, business networks also positively influence business performance. The study confirms that business networks serve as a crucial mediating factor in the relationship between CEO competency and business performance, strengthening the overall performance of startup companies.

Research Implications: These results offer practical insights for startup CEOs, suggesting that enhancing leadership competencies and fostering business networks can significantly improve business outcomes. The findings also contribute to the broader understanding of how leadership skills in startups can mitigate the high failure rates in this sector.

Originality/Value: This research is the first to empirically investigate the role of CEO competency in startup business performance in Indonesia, specifically focusing on the mediating role of business networks. Its novelty lies in addressing startups' high failure rates through the lens of leadership and networking.
Effects of Social Roles Rotation on the Cognitive Learning Process in Online Collaborative Conversation
Authors: Wu Linjing , Gao Yu , Zang Yujia , He Puliang 
Published: October 2024

Online collaborative conversation is one of the crucial approaches to promote students' collaborative skills and cognitive development. Students' social roles in collaborative learning have a key impact on the process of collaborative learning activities and the development of students' cognition. What are the differences in the cognitive structures and processes between rotated-role and fixed-role in students' groups? This paper explored this question by empirical research. The results of epistemic network analysis showed that the rotated-role groups had more high-level cognition and more complex cognitive structure, while the fixed-role groups had more management activities. In the rotated-role groups, the leaders can better mobilize the atmosphere, organize and coordinate the cognitive processes of the team, so that to contribute more to the collaborative conversations. The cognitive depth and efficient of fixed-role groups significantly decreased over time. These imply that in online collaborative conversation activities, role-rotation can be used to promote higher-order cognitive development, and fixed-role can be used to improve management efficiency. Teachers should encourage team leaders to take on more cognitive activity organization and coordination tasks in online collaborative conversation activities. In the later stages of online collaborative conversation activities, teachers should strengthen intervention and support for fixed social role groups.

Received: 20 May 2024 | Revised: 18 September 2024 | Accepted: 12 October 2024

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Author Contribution Statement
Linjing Wu: Conceptualization, Writing - original draft, Writing - review & editing, Supervision, Project administration; Yu Gao: Writing - original draft, Writing - review & editing, Visualization; Yujia Zang: Investigation, Formal analysis, Writing - original draft; Puliang He: Data Curation, Resources.
KHẢO SÁT CHẤT LƯỢNG CUỘC SỐNG CỦA BỆNH NHÂN VẢY NẾN MẢNG MỨC ĐỘ TRUNG BÌNH - NẶNG ĐƯỢC ĐIỀU TRỊ THUỐC SINH HỌC
Authors: Nguyễn Thị Mai Xuân , Nguyễn Thị Hồng Chuyên 
Published: October 2024

Mục tiêu: Đánh giá chất lượng cuộc sống của bệnh nhân vảy nến mảng mức độ trung bình-nặng điều trị bằng thuốc sinh học và xác định mối liên quan giữa chất lượng cuộc sống với một số đặc điểm dịch tễ, lâm sàng của bệnh nhân. Đối tượng và phương pháp: Nghiên cứu cắt ngang mô tả khảo sát chất lượng cuộc sống bằng chỉ số chất lượng cuộc sống (Dermatology Life Quality Index – DLQI) trên 148 bệnh nhân vảy nến mảng mức độ trung bình - nặng điều trị bằng thuốc sinh học tại bệnh viện Da liễu Thành phố Hồ Chí Minh từ tháng 03/2024 đến 06/2024. Kết quả: Thuốc sinh học hiện được sử dụng nhiều nhất tại bệnh viên Da liễu TP.HCM là Secukinumab (92,6%) và 87,8% bệnh nhân hài lòng với thuốc sinh học đang sử dụng. Bệnh nhân điều trị thuốc sinh học cải thiện đáng kể điểm số PASI (Psoriasis Area Surface Index), BSA (Body Surface Area) và DLQI. Điểm DLQI sau điều trị thuốc sinh học là 3,32 ± 4,69. Phân tích hồi quy đa biến ghi nhận DLQI có liên quan đến mức độ hài lòng với phương pháp điều trị, tính tuân thủ, vị trí khó điều trị như da đầu và chỉ số BSA. Kết luận: Thuốc sinh học cải thiện đáng kể chất lượng cuộc sống của bệnh nhân vảy nến với hầu hết người tham gia đều có DLQI ≤ 5 điểm. Các yếu tố có tác động tiêu cực đến chất lượng cuộc sống của bệnh nhân vảy nến bao gồm: không hài lòng với phương pháp điều trị, điều trị không liên tục, chỉ số BSA ≥ 3 và vị trí sang thương vùng da đầu. Nghiên cứu nhấn mạnh vai trò của đánh giá chất lượng cuộc sống như một chỉ số quan trọng trong quá trình điều trị cho bệnh nhân mảng mức độ trung bình-nặng