bluuebunny/crossref_metadata_2025_split huggingface dataset:
Minimum acceptable diet use and its associated factors among children aged 6–23 in Ghana: a mixed effect analysis using Ghana Demographic and Health Survey
Authors: Tekeba Berhan , Workneh Belayneh Shetie , Zegeye Alebachew Ferede , Gonete Almaz Tefera , Zeleke Gebreeyesus Abera , Tamir Tadesse Tarik 
Published: September 2024

IntroductionInappropriate feeding practices are a major contributor to child malnutrition. To monitor the feeding practices of young children, current and frequent studies are required. However, as far as our searches are concerned, there is a scarcity of up-to-date information on attainment of the minimum acceptable diet and its predictors in the study area. Therefore, this study aimed to assess the magnitude of attainment of the minimum acceptable diet and its associated factors among children aged 6–23 in Ghana by using the most recent data.MethodsSecondary data analysis was conducted based on the demographic and health survey data conducted in Ghana in 2022. A total weighted sample of 2,621 children aged 6–23 months in the 5 years preceding the survey was included in this study. A multi-level logistic regression model was used to identify the determinants of the minimum acceptable diet. The adjusted odds ratio at 95% Cl was computed to assess the strength and significance of the association between explanatory and outcome variables. Factors with a p-value of &lt;0.05 are declared statistically significant.ResultsThe national prevalence of the attainment of the minimum acceptable diet in Ghana was 26.40% (95% CI: 24.82–28.06). Child from mother with higher education (AOR = 1.96; 95% CI: 1.56–3.31) and father with higher education (AOR = 1.59; 95% CI: 1.04–2.41), Children having postnatal visit (AOR = 1.29; 95% CI: 1.03–1.62), being in the child age of 9–11 months (AOR = 2.09; 95% CI: 1.42–5.03) and 12–23 months (AOR = 3.62; 95% CI: 2.61–5.03), being in a middle (AOR = 1.66; 95% CI: 1.14–3.06), and rich wealth quintile (AOR = 2.06; 95% CI: 1.37–3.10), breastfed children (AOR = 3.30; 95% CI: 2.38–4.56), being in a high-community poverty (AOR = 0.65; 95% CI: 0.44–0.96), and being in the Savannah region (AOR = 0.32; 95% CI: 0.16–0.67) were factors significantly associated with the minimum acceptable diet use.ConclusionMany children are still far behind in meeting the minimum acceptable diet in Ghana as per 90% of WHO-recommended coverage. Measures should be taken to optimize the minimum acceptable diet attainment in the country. Thus, policymakers, the government, and other relevant authorities should focus on the early initiation of complementary feeding, the Savannah region, further empowering women, and enhancing breast-feeding and household wealth status.
Study protocol of a proposed Neurofeedback-Assisted Mindfulness Training Program on symptoms of anxiety and psychological distress associated with smartphone use in young adults: a randomized controlled trial
Authors: Fernandez-Crespo Mei , Recio-Rodriguez Jose I. , Lee Hsin-Chien , Alonso-Dominguez Rosario , Montejo Angel L. , Hernandez-Gonzalez Laura , Iglesias Sierra Virginia , Rihuete-Galve Maria I. 
Published: September 2024

BackgroundNomophobia is a specific phobia characterized by the appearance of anxiety, nervousness, discomfort and distress when the mobile phone is not used and is considered an emerging public health problem because of the negative consequences on the physical and mental health of young people and adolescents, especially women. Neurofeedback-Assisted Mindfulness Training Programs may prove beneficials for improving self-control abilities, a key ability in addressing addictive behaviors. The main objective of this study is to evaluate the impact, in a young population aged 18–35 years, of an intervention based on Neurofeedback-Assisted Mindfulness Training Program (NAMTP) on disorders associated with problematic use of mobile phones. The effect of the intervention on the total score in the nomophobia test and habits of internet and social network use, as well as on signs of depression, anxiety and stress will be analyzed. As a secondary objective, the effect of the intervention on signs of insomnia will be analyzed.Methods and designRandomized, controlled clinical-trial with two-parallel groups. 40 young adults (18–35 years) will be included and randomly assigned to Intervention Group-NAMTP or Control Group (CG). The NAMTP will include a total of 25 sessions (2-3/week) during 3-months. Each session will have a duration of 10/15 min. The instrument to be used for the neurofeedback sessions is MUSE® (InteraXon Inc.). Study variables will be collected at the baseline visit and at the final visit (3-months after randomization). During these visits, questionnaires will be administered to evaluate the main and secondary variables that will include the Smartphone Addiction Scale-Short Version, Nomophobia Questionnaire, Depression, Anxiety and Stress Scale 21-item (DASS-21) and Athens Insomnia Scale.DiscussionThis trial will make an important contribution to the need for evidence of effective education programs and other primary care interventions through new non-invasive interventions in reducing the risk of developing addictions to new technologies and alleviating the symptoms of discomfort associated with this problem.Ethics and disseminationThe project was approved by the Clinical Research Ethics Committee of the Salamanca Health Area (CEIm Code: PI 2023 071340).Clinical trial registrationClinicalTrials.gov, http://www.Clinicaltrials.gov/ct2/show/NCT06188910.
The association between health literacy and screening for disease-specific complications among community-dwelling adults with diabetes
Authors: Nari Fatima , Jun Jae Kwan , Oh Kyoung Hee , Jeong Wonjeong 
Published: September 2024

IntroductionDiabetic retinopathy and nephropathy are examples of complications of uncontrolled diabetes. We hypothesized that health literacy has a defining role in understanding the importance of attending routine screening for diabetes complications. Therefore, our study investigated the relationship between verbal health literacy (VHL) and written health literacy (WHL) and screening for disease-specific complications in individuals with diabetes.MethodsCross-sectional data on 28,210 participants with diabetes was derived from the 2021 Korean Community Health Survey. Adjusted multiple logistic regression analysis was employed to investigate the association between VHL and WHL and diabetes complication screening. Further analysis was also carried out to further comprehend the relationship between those two forms of health literacy and other factors with diabetic retinopathy and nephropathy screening.ResultsCompared to those with high VHL, participants with low VHL had lower odds of diabetes complication screening; OR 0.89 (95% CI 0.84—0.95). The same was true for WHL, those who were uninterested reported the lowest odds ratio; OR 0.73 (95% CI 0.69—0.78), followed by low WHL; OR 0.88 (95% CI 0.82—0.94), of undergoing diabetes complication screening, when compared to individuals with high WHL. Our subgroup analysis presented similar results for diabetic nephropathy and retinopathy with both VHL and WHL.ConclusionAmong individuals with diabetes, limited VHL and WHL was significantly associated with lower odds of diabetes complication screening. Interventions aimed at improving health literacy and associated health outcomes in the community setting are warranted.
The green transformation of agricultural production: evaluating the spatial role of agricultural industrial structure innovation in Guangdong, China
Authors: Zhang Weikun , Li Zheng , Wagan Shoaib Ahmed , Tan Shiwei 
Published: September 2024

IntroductionThe primary function and spatial layout of agriculture are essential foundations and prerequisites for achieving green development. This paper explores the growth drivers for the green transformation of agricultural production in Guangdong, China, aiming to guide the continuous green and low-carbon development of agricultural productivity in Guangdong.MethodsBased on the panel data of 21 prefecture-level cities in Guangdong, China, from 2004 to 2022, this paper uses DEA-BCC and DEA-Malmquist to measure the agricultural green total factor productivity (AGTFP) and its decomposition efficiency in Guangdong China. The SDM is employed to analyze its spatial spillover roles of the agricultural industrial structure (AIS) innovation.ResultsThe results show that the AGTFP varies with an overall fluctuating upward trend, but the imbalance of regional differences still exists, characterized as “Pearl River Delta &gt; Eastern Wing &gt; Western Wing &gt; Mountainous Area,” indicating the siphoning role from Pearl River Delta. There is a strong spatial correlation between the AGTFP and the AIS.DiscussionOur evidence suggests that the AIS innovation improves the AGTFP and can have positive spatial consequences in neighboring areas. Besides, human capital hinders AGTFP, accounting for the self-exploitation in agricultural production driven by the excessive labor force input. Our findings highlight the spatial impact of the AIS innovation on the AGTFP when greening agricultural production.
Enhancing educational experience through establishing a VR database in craniosynostosis: report from a single institute and systematic literature review
Authors: Saemann Attill , Schmid Sina , Licci Maria , Zelechowski Marek , Faludi Balazs , Cattin Philippe C. , Soleman Jehuda , Guzman Raphael 
Published: September 2024

BackgroundCraniosynostosis is a type of skull deformity caused by premature ossification of cranial sutures in children. Given its variability and anatomical complexity, three-dimensional visualization is crucial for effective teaching and understanding. We developed a VR database with 3D models to depict these deformities and evaluated its impact on teaching efficiency, motivation, and memorability.MethodsWe included all craniosynostosis cases with preoperative CT imaging treated at our institution from 2012 to 2022. Preoperative CT scans were imported into SpectoVR using a transfer function to visualize bony structures. Measurements, sub-segmentation, and anatomical teaching were performed in a fully immersive 3D VR experience using a headset. Teaching sessions were conducted in group settings where students and medical personnel explored and discussed the 3D models together, guided by a host. Participants’ experiences were evaluated with a questionnaire assessing understanding, memorization, and motivation on a scale from 1 (poor) to 5 (outstanding).ResultsThe questionnaire showed high satisfaction scores (mean 4.49 ± 0.25). Participants (n = 17) found the VR models comprehensible and navigable (mean 4.47 ± 0.62), with intuitive operation (mean 4.35 ± 0.79). Understanding pathology (mean 4.29 ± 0.77) and surgical procedures (mean 4.63 ± 0.5) was very satisfactory. The models improved anatomical visualization (mean 4.71 ± 0.47) and teaching effectiveness (mean 4.76 ± 0.56), with participants reporting enhanced comprehension and memorization, leading to an efficient learning process.ConclusionEstablishing a 3D VR database for teaching craniosynostosis shows advantages in understanding and memorization and increases motivation for the study process, thereby allowing for more efficient learning. Future applications in patient consent and teaching in other medical areas should be explored.
Deep learning-based ultrasonographic classification of canine chronic kidney disease
Authors: Yu Heejung , Lee In-Gyu , Oh Jun-Young , Kim Jaehwan , Jeong Ji-Hoon , Eom Kidong 
Published: September 2024

ObjectivesIn veterinary medicine, attempts to apply artificial intelligence (AI) to ultrasonography have rarely been reported, and few studies have investigated the value of AI in ultrasonographic diagnosis. This study aimed to develop a deep learning-based model for classifying the status of canine chronic kidney disease (CKD) using renal ultrasonographic images and assess its diagnostic performance in comparison with that of veterinary imaging specialists, thereby verifying its clinical utility.Materials and methodsIn this study, 883 ultrasonograms were obtained from 198 dogs, including those diagnosed with CKD according to the International Renal Interest Society (IRIS) guidelines and healthy dogs. After preprocessing and labeling each image with its corresponding IRIS stage, the renal regions were extracted and classified based on the IRIS stage using the convolutional neural network-based object detection algorithm You Only Look Once. The training scenarios consisted of multi-class classification, categorization of images into IRIS stages, and four binary classifications based on specific IRIS stages. To prevent model overfitting, we balanced the dataset, implemented early stopping, used lightweight models, and applied dropout techniques. Model performance was assessed using accuracy, recall, precision, F1 score, and receiver operating characteristic curve and compared with the diagnostic accuracy of four specialists. Inter- and intra-observer variabilities among specialists were also evaluated.ResultsThe developed model exhibited a low accuracy of 0.46 in multi-class classification. However, a significant performance improvement was observed in binary classifications, with the model designed to distinguish stage 3 or higher showing the highest accuracy of 0.85. In this classification, recall, precision, and F1 score values were all 0.85, and the area under the curve was 0.89. Compared with radiologists, whose accuracy ranged from 0.48 to 0.62 in this experimental scenario, the AI model exhibited superiority. Intra-observer reliability among radiologists was substantial, whereas inter-observer variability showed a moderate level of agreement.ConclusionsThis study developed a deep-learning framework capable of reliably classifying CKD IRIS stages 3 and 4 in dogs using ultrasonograms. The developed framework demonstrated higher accuracy than veterinary imaging specialists and provided more objective and consistent interpretations. Therefore, deep-learning-based ultrasound diagnostics are potentially valuable tools for diagnosing CKD in dogs.
Bursaphelenchus xylophilus in Pinus sylvestris—The First Report in Europe
Authors: Fonseca Luís , Silva Hugo , Cardoso Joana M. S. , Esteves Ivânia , Maleita Carla , Lopes Sónia , Abrantes Isabel 
Published: September 2024

The pinewood nematode (PWN), Bursaphelenchus xylophilus, is the causal agent of pine wilt disease and is considered an A2 quarantine organism by the European Plant Protection Organisation. In Europe, this nematode has been reported in Pinus pinaster, P. radiata, and P. nigra. In May 2024, severe wilting symptoms were observed in P. sylvestris trees at Serra da Lousã (Coimbra, the central area of continental Portugal). Wood samples were collected from six wilted trees, and the presence of PWN was investigated. From these, B. xylophilus specimens were detected in five out of the six trees. Species identification was performed based on species-specific morphological diagnostic characters, and this was confirmed by real-time PCR using species-specific primers targeting the B. xylophilus satellite DNA region. This study presents the first detection of B. xylophilus in P. sylvestris in Portugal and in Europe.
Abordagem cirúrgica versus conservadora na apendicite aguda não complicada: uma revisão sistemática
Authors: Oliveira Joana Loury Pinheiro de , Martiniano Brenda Pereira da Costa , Sotto-Maior Larissa Rodrigues , Vieira Ana Clara Côrte Real , Vieira Arthur Côrte Real , Oliveira Maria Eduarda Gibbon 
Published: September 2024

O manejo não operatório da apendicite aguda não complicado, por meio da antibioticoterapia, é bem estabelecido tanto em eficácia quanto em segurança. No entanto, é relatada a recorrência do quadro e necessidade de abordagem cirúrgica nos meses subsequentes ao primeiro episódio sintomático. Dessa forma, o presente estudo tem por objetivo entender a associação de potenciais fatores de risco e características epidemiológicas associadas à tal recorrência. Trata-se de uma revisão sistemática, na qual foram incluídos apenas ensaios clínicos randomizados, com a população alvo envolvendo pacientes com o diagnóstico de apendicite aguda. A base de dados utilizada foi a MedLine, com a frase de pesquisa abrangendo os termos “appendicitis”, “acute”, “conservative”, “therapy” e seus descritores, obtidos por meio da ferramenta MeSH Terms. Foram incluídos os estudos randomizados, em língua inglesa, publicados nos últimos 10 anos e disponibilizados gratuitamente. Foram identificados 103 artigos, 14 foram avaliados para leitura na íntegra. Ao fim, 5 estudos foram incluídos nesta revisão. Dessa maneira, após análise crítica, foi possível concluir que há fatores do quadro clínico e laboratorial da apendicite aguda como, dor refratária à antibioticoterapia, temperatura corporal maior que 38ºC na admissão, diâmetro do apêndice maior que 15 mm e presença de apendicolito, associados à sua recorrência com necessidade de abordagem cirúrgica, contribuindo para o corpo de evidências e auxiliando os cirurgiões a selecionar quais pacientes podem se beneficiar do tratamento cirúrgico e não cirúrgico.
Análise epidemiológica das hospitalizações por fratura de fêmur em idosos no Estado de Alagoas entre 2018 a 2023
Authors: Andrade Pedro Nogueira de , Alves Darah Yasmim Moreira , Ribeiro Maria Victoria de Morais Born , Lessa Aline Wanderley Lôbo de Azevedo , Cavalcante Marcella do Nascimento Tenório , Miranda Carolina Queiroga de , Pessoa Liliane Távora de Oliveira , Sousa Marília Machado de , Diniz Danielle Leão , Calfa Amanda Nogueira 
Published: September 2024

O envelhecimento é um processo contínuo que provoca mudanças funcionais, psicológicas, morfológicas e químicas no indivíduo. Essas modificações dificultam a adaptação da pessoa ao ambiente em que vive, o que pode aumentar os riscos de desenvolvimento de patologias e, consequentemente, elevar o risco de mortalidade (Casagranda, 2016). Sendo assim, este estudo objetiva descrever as principais características epidemiológicas das fraturas do fêmur em indivíduos com 60 anos ou mais internados no sistema público de saúde brasileiro, no Estado de Alagoas entre 2018 e 2023. Para tanto, trata-se de um estudo observacional transversal, descritivo, através do levantamento de dados epidemiológicos. As informações epidemiológicas e de morbidade, bem como as de estatísticas vitais e de mortalidade foram obtidas no Departamento de Informática do Sistema Único de Saúde (DATASUS), nas subseções do Sistema de Informações Hospitalares do SUS (SIH/SUS). Desse modo, os resultados mostraram que as internações por fratura de fêmur em idosos no Estado de Alagoas atingiram seu ápice em 2020, com predominância em mulheres (70,4%) e aumento do risco conforme a idade, além de que Arapiraca foi a microrregião com o maior número de notificações, superando a capital alagoana, Maceió. Portanto, é possível concluir que estratégias específicas são imprescindíveis para reduzir o impacto das fraturas entre os idosos, especialmente nos grupos mais vulneráveis e em regiões com altas taxas de hospitalização.
Capturing and Transferring Lessons Learned for Risk Reduction: NASA’s Phase 1 Program
Authors: Lengyel David 
Published: September 2024

The National Aeronautics and Space Administration (NASA) and the Russian Space Agency (RSA) conducted the Phase 1 (Shuttle-Mir) Program from 1993 through 1998. The joint manifest of this cooperative effort consisted of Russian Soyuz (crew) flights, Progress (cargo) flights, Russian science module flights (Spektr and Priroda), U.S. space shuttle docking missions, and nine long duration missions aboard Russia’s Mir space station by U.S. astronauts. The purpose of the program was to establish and create a cooperative technical, operational and managerial experience base between Russia and the United States to reduce risks associated with the assembly, operations, science and logistical support of the International Space Station (ISS). In this paper we take a retrospective look at the extensive capture of lessons learned—gained from Phase 1 and transferred to the ISS program (ISSP)—and how this effort served to mitigate risk.
V International scientific and practical conference "Syringa L.: collections, cultivation, use"
Authors: Куклина А.Г. , Фирсов Г.А. 
Published: September 2024

В Санкт-Петербурге 24-26 февраля 2021 года состоялась V Международная научно-практическая конференция «Syringa L.: коллекции, выращивание, использование», организованaя Ботаническим садом Петра Великого, культурно-просветительским центром Ботанического института имени В.Л. Комарова (БИН РАН) и Международным обществом сирени (International Lilac Society). Все доклады, посвященные проблемам культивирования сортов и видов, были сделаны в онлайн-режиме.
International scientific and practical conference "Syringa L.: collections, cultivation, use", organized by the Botanical Garden of Peter the Great, cultural and educational center of the Botanical Institute named after V.L. Komarov (BIN RAS) and the International Lilac Society. All reports on the problems of cultivation of varieties and species were made online.
Experience in creating a private cluster collection of the genus Pelargonium L’Herieter (Geraniaceae)
Authors: Гусев Е.М. , Коломейцева Г.Л. , Коцкая Е.А. 
Published: September 2024

На основе разработанной нами концепции кластерного коллекционирования растений создана первая в России частная кластерная коллекция рода Pelargonium L’Herieter, состоящая из 4 частных коллекций. Коллекционирование осуществляется по темам: красивоцветущие пеларгонии, декоративно-лиственные пеларгонии, видовые пеларгонии, декоративные компактные сортоклоны. Для представления работы в виде разработки, готовой к практическому применению, создан пакет документов, включающий договор, соглашение и базу данных о частной кластерной коллекции пеларгоний, организованы группы в социальных сетях и создан сайт «Кластерные коллекции: новые формы ботанических коллекций» (http://cluster-collection.ru/).
On the basis of the concept of cluster collecting of plants developed by us, the first private cluster collection of the genus Pelargonium L’Herieter was created in Russia, consisting of 4 private collections. Collecting is carried out on the topics: beautifully flowering pelargoniums, decorative leafy pelargoniums, specific pelargoniums, decorative compact variety clones. To present the work in the form of a development ready for practical use, a package of documents has been created, including an agreement, an agreement and a database on a private cluster collection of pelargoniums, groups have been organized in social networks, and a website “Cluster collections: new forms of botanical collections” has been created (http: / /cluster-collection.ru/).
Work experience and prospects for the development of a volunteer program in the Stock Conservatory of the GBS RAS
Authors: Гусев Е.М. , Коломейцева Г.Л. , Лешкевич Ю.В. 
Published: September 2024

Многие ботанические сады в настоящее время активно развивают направления по привлечению добровольных помощников – волонтеров. В Фондовой оранжерее ГБС им. Н.В. Цицина РАН волонтерская программа действует уже более шести лет, и за это время накоплен большой опыт. В статье приводятся примеры организации работы волонтеров в Фондовой оранжерее ГБС РАН и предложены новые направления волонтерской деятельности, которые могут быть востребованы различными биологическими организациями.
Many botanical gardens are currently actively developing directions for attracting voluntary assistants – volunteers. The volunteer program has been operating in the stock conservatory of the GBS RAS for more than six years, and a lot of experience has been accumulated during this time. This article discusses the possibilities of using volunteer labor in the botanical garden. The proposals considered in the article can be used in other botanical gardens.