bluuebunny/crossref_metadata_2025_split huggingface dataset:
Baseline anemia and its associated factors among adult cancer patients at Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia, 2021
Authors: Wassie Yilkal Abebaw , Zegeye Alebachew Ferede , Gebrehana Deresse Abebe , Tsega Sintayehu Simie , Kibralew Getasew , Fentahun Setegn , Setegn Abebaw , Nakie Girum 
Published: June 2024

IntroductionCurrently, the problem of cancer has been increasing around the world, predominantly in middle- and low-income countries. Anemia, a major and often overwhelming health burden for cancer patients, significantly distorts their quality of life. It is well-established that the length of treatment increases the frequency of anemia, with hematological malignancies experiencing nearly double the rate compared to solid tumors. Despite this established knowledge, data on the prevalence of anemia among cancer patients in Ethiopia remains scarce, according to the investigators.ObjectiveThis study aimed to assess the prevalence of baseline anemia and associated factors among adult cancer patients at Northwest Amhara Comprehensive Specialized Hospitals, oncology treatment units, Northwest Ethiopia, in 2021.MethodsThis study employed an institutional-based cross-sectional design and was conducted in Northwest Amhara Comprehensive Specialized Hospitals. A systematic random sampling technique was used to select 315 participants. The data were collected using interviewer-administered questionnaires and chart reviews of existing medical records using a structured and pretested questionnaire format. The data were entered into Epi. Data version 4.6 and analyzed using Stata version 14.0. Bivariable and multivariable logistic regression were carried out to identify factors associated with anemia. Adjusted odds ratios with a 95% confidence interval and variables with a p-value of &lt; 0.05 were considered significantly associated with anemia.ResultsThe prevalence of baseline anemia among adult patients with cancer was found to be 34.84%. Being a woman (AOR = 1.97; 95% CI: 1.00–3.87), being underweight (AOR = 1.96; 95% CI: 1.09–3.52), and having stage III cancer (AOR = 2.35; 95% CI: 1.12–3.01) were significantly associated with anemia.ConclusionThe prevalence of baseline anemia among adult cancer patients was significant. Women, cancer patients with an underweight body mass index, and those diagnosed with clinical-stage III cancer were more likely to have baseline anemia. For health policymakers and healthcare providers, it is better to give special attention to female patients, patients who are underweight, and patients with advanced-stage cancer to reduce the risk of developing the outcome. This would allow for timely intervention to manage anemia and potentially improve treatment tolerance and quality of life for cancer patients.
No pain, no gain revisited: the impact of positive and negative psychotherapy experiences on treatment outcome
Authors: Verkooyen Roos , Broers Nick J. , Dandachi-FitzGerald Brechje 
Published: June 2024

ObjectivePsychotherapy may have many benefits for patients with mental health problems, but patients may also have negative experiences related to the therapy. Not much is known about these negative psychotherapy experiences and their impact on treatment outcome. The aim of this study was to examine the association between positive and negative psychotherapy experiences and treatment outcome.MethodsA total of 130 patients participated in the study. They received treatment as usual and were assessed for positive and negative psychotherapy experiences at mid-treatment and post-treatment using the Positive and Negative Experiences of Psychotherapy Questionnaire (PNEP). Treatment outcome was measured by the Outcome Questionnaire - 45 (OQ-45). Multiple linear regression was used to analyze the data.ResultsAll patients reported positive psychotherapy experiences at mid-treatment. At least one negative experience was reported by 69% of participants. After correction for baseline severity (i.e., OQ-45 at baseline) and relevant demographic variables, positive psychotherapy experiences at mid-treatment emerged as a predictor for treatment outcome. In contrast, negative psychotherapy experiences did not predict treatment outcome. However, reporting more negative experiences was associated with reporting fewer positive experiences at mid- and end of treatment.ConclusionBoth positive and negative psychotherapy experiences commonly occur. Although in this study negative psychotherapy experiences did not predict treatment outcome in terms of symptom reduction, the findings do suggest that negative experiences may influence the way in which patients evaluate their treatment. Although positive experiences outweigh negative experiences, patients should be informed that negative experiences may also occur.
Reduced resting-state functional connectivity between insula and inferior frontal gyrus and superior temporal gyrus in hoarding disorder
Authors: Kato Kenta , Tomiyama Hirofumi , Murayama Keitaro , Mizobe Taro , Matsuo Akira , Nishida Nami , Matukuma Kou , Kang Mingi , Sashikata Kenta , Kikuchi Kazufumi , Togao Osamu , Nakao Tomohiro 
Published: June 2024

BackgroundHoarding disorder (HD) is characterized by cognitive control impairments and abnormal brain activity in the insula and anterior cingulate cortex (ACC) during disposal of personal items or certain executive function tasks. However, whether there are any changes in resting-state functional connectivity of the insula and ACC remains unclear.MethodsA total of 55 subjects, including 24 patients with HD and 31 healthy controls (HCs), participated in the study. We acquired resting-state functional magnetic resonance imaging data and examined group differences in functional connectivity from the insula and ACC in whole-brain voxels.ResultsIn patients with HD, functional connectivity was significantly lower between the right insula and right inferior frontal gyrus (IFG) and left superior temporal gyrus (STG) compared to HCs. There was no correlation between these connectivities and HD symptoms.ConclusionsAlthough the clinical implication is uncertain, our results suggest that patients with HD have resting-state functional alterations between the insula and IFG and STG, corresponding with the results of previous fMRI studies. These findings provide new insight into the neurobiological basis of HD.
Parental physical activity, parental mental health, children’s physical activity, and children’s mental health
Authors: Davidson Gavin , Bunting Lisa , McCartan Claire , Grant Anne , McBride Orla , Mulholland Ciaran , Nolan Emma , Schubotz Dirk , Cameron Julie , Shevlin Mark 
Published: June 2024

IntroductionThe benefits of physical activity for mental health and well-being and the associations between parental mental health and children’s mental health have been well established. These important issues tend to be examined separately however, and there is limited research on the associations between parent and child physical activity and mental health when all considered together. While family focused practice is recommended to provide support for parents who have mental health problems and their families and includes various components (such as psychoeducation, support for mental health and parenting), promoting physical activity for parents and children is not usually a core component of these interventions.MethodsThe Northern Ireland Youth Wellbeing Survey aimed to provide estimates of the prevalence of mental health problems among children and young people. The survey also included questions about parental physical activity, parental mental health, and children’s physical activity (for those aged 11–19 years). The main aim of the analysis reported in this article was to explore possible bivariate associations between parent and child physical activity and mental health and also explore these associations when all considered together. Participants were included in the analysis where there were completed interviews for the young person and one of their parents, and both young person and parent provided responses in relation to questions on weekly physical activity (n = 882).ResultsThe findings highlight the positive associations between parental physical activity and parental mental health, and between children’s physical activity and children’s mental health. They also explore some of the more complex interactions between these four variables, which suggest that gender may also be an important consideration. There were significant associations between father’s physical activity and son’s mental health, and son’s physical activity and father’s mental health.DiscussionsThese findings suggest that including support for parental physical activity and children’s physical activity should be a routine component of family focused mental health interventions. It is important to acknowledge that there may be additional barriers to engaging in physical activity for families where a parent is experiencing mental health problems, and these should also be explored and addressed.
Interventions addressing routine childhood immunization and its behavioral and social drivers
Authors: Parsekar Shradha S. , Vadrevu Lalitha , Jain Monica , Menon Shekhar , Taneja Gunjan 
Published: June 2024

IntroductionDespite the advances in vaccination, there are still several challenges in reaching millions of children in low- and middle-income countries (LMICs). In this review, we present an extensive summary of the various strategies used for improving routine immunization in LMICs to aid program implementers in designing vaccination interventions.MethodsExperimental and quasi-experimental impact evaluations conducted in LMICs evaluating the effectiveness of interventions in improving routine immunization of children aged 0–5 years or the intermediate outcomes were included from 3ie’s review of systematic reviews. Some additional impact evaluation studies published in recent years in select LMICs with large number of unvaccinated children were also included. Studies were coded to identify interventions and the barriers in the study context using the intervention framework developed in 3ie’s Evidence Gap Map and the WHO’s Behavioral and Social Drivers (BeSD) of vaccination framework, respectively. Qualitative analysis of the content was conducted to analyze the intervention strategies and the vaccination barriers that they addressed.Results and conclusionOne hundred and forty-two impact evaluations were included to summarize the interventions. To address attitudinal and knowledge related barriers to vaccination and to motivate caregivers, sensitization and educational programs, media campaigns, and monetary or non-monetary incentives to caregivers, that may or may not be conditional upon certain health behaviors, have been used across contexts. To improve knowledge of vaccination, its place, time, and schedule, automated voice messages and written or pictorial messages have been used as standalone or multicomponent strategies. Interventions used to improve service quality included training and education of health workers and providing monetary or non-monetary perks to them or sending reminders to them on different aspects of provision of vaccination services. Interventions like effective planning or outreach activities, follow-up of children, tracking of children that have missed vaccinations, pay-for-performance schemes and health system strengthening have also been used to improve service access and quality. Interventions aimed at mobilizing and collaborating with the community to impact social norms, attitudes, and empower communities to make health decisions have also been widely implemented.
Emerging priorities and concerns in the wake of the COVID-19 pandemic: qualitative and quantitative findings from a United States national survey
Authors: Schwartz Carolyn E. , Borowiec Katrina , Waldman Ariel H. , Sutherland Tai , Contreras Briana , Abatan Elizabeth , Huang I-Chan , Rohde Gudrun , Rapkin Bruce D. , Skolasky Richard L. 
Published: June 2024

PurposeThe present study examines how the coronavirus disease 2019 (COVID-19) experience affected values and priorities.MethodsThis cross-sectional study collected data between January and April 2023, from 1,197 individuals who are chronically ill or part of a general population sample. Using open-ended prompts and closed-ended questions, we investigated individuals’ perceptions about COVID-19-induced changes in what quality of life means to them, what and who are important, life focus, and changes in norms and stressors. Data analyses included content and psychometric analysis, leading to latent profile analysis (LPA) to characterize distinct groups, and analysis of variance and chi-squared to compare profile groups’ demographic characteristics.ResultsAbout 75% of the study sample noted changes in values and/or priorities, particularly in the greater prominence of family and friends. LPA yielded a four-profile model that fit the data well. Profile 1 (Index group; 64% of the sample) had relatively average scores on all indicators. Profile 2 (COVID-Specific Health &amp; Resignation to Isolation Attributable to COVID-19; 5%) represented COVID-19-specific preventive health behaviors along with noting the requisite isolation and disengagement entailed in the social distancing necessary for COVID-19 prevention. Profile 3 (High Stress, Low Trust; 25%) represented high multi-domain stress, with the most elevated scores both on focusing on being true to themselves and perceiving people to be increasingly uncivil. Profile 4 (Active in the World, Low Trust; 6%) was focused on returning to work and finding greater meaning in their activities. These groups differed on race, marital status, difficulty paying bills, employment status, number of times they reported having had COVID-19, number of COVID-19 boosters received, whether they had Long COVID, age, BMI, and number of comorbidities.ConclusionThree years after the beginning of the worldwide COVID-19 pandemic, its subjective impact is notable on most study participants’ conceptualization of quality of life, priorities, perspectives on social norms, and perceived stressors. The four profile groups reflected distinct ways of dealing with the long-term effects of COVID-19.
Knowledge, attitudes and practices about air pollution and its health effects in 6th to 11th-grade students in Colombia: a cross-sectional study
Authors: Marín Diana , Calle Nicolás , Arango Valentina , Betancur Paulina , Pérez Manuela , Orozco Luz Yaneth , Marín-Ochoa Beatriz , Ceballos Juan Carlos , López Lucelly , Rueda Zulma Vanessa 
Published: June 2024

IntroductionGlobally, air pollution is the leading environmental cause of disease and premature death. Raising awareness through environmental education and adequate communication on air quality could reduce the adverse effects. We aimed to assess the knowledge, attitudes, and practices (KAP) regarding air pollution and health and determine the factors associated with these KAP in children and adolescents.MethodsIn 2019–2020, a cross-sectional study was conducted on 6th–11th grade high school students in five municipalities in Colombia. Variables collected included: age, sex, private or public school, any medical history, emergency room visits due to respiratory symptoms in the last year, and whether students played sports. The main exposure was the School Environmental Project. The outcomes were the KAP scale [0% (the lowest score) to 100% (the highest score)]. The factors associated with KAP levels were evaluated with independent mixed regressions due to the multilevel structure of the study (level 1: student; level 2: school), and the exponential coefficients (95% confidence interval-CI) were reported.ResultsAmong 1,676 students included, 53.8% were females. The median knowledge score about air pollution and its health effects was 33.8% (IQR: 24.0–44.9), 38.6% knew the air quality index, 30.9% knew the air quality alerts that occurred twice a year in these municipalities and 5.3% had high self-perceived knowledge. Positive attitudes, pro-environmental practices, being female, grade level, attending a private school, having respiratory diseases, and the school environmental project importance were associated with higher knowledge scores. The median attitudes score was 78.6% (IQR: 71.4–92.9). Pro-environmental attitudes were associated with knowledge-increasing, being female, attending a private school, and the school environmental project. The median pro-environmental practices score was 28.6% (IQR: 28.6–42.9). During air quality alerts, 11.6% had worn masks, 19% had reduced the opening time of windows and 15.9% avoided leaving home. Pro-environmental practices were associated with knowledge-increasing and attitudes-increasing, and lower practices with higher grade levels, visiting a doctor in the last year, and practicing sports.DiscussionChildren and adolescents have low knowledge scores and inadequate pro-environmental practices scores regarding air pollution. However, they demonstrate positive attitudes towards alternative solutions and express important concerns about the planet’s future.
Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
Authors: Kamau Maureen W. , Witte Carmel , Goosen Wynand , Mutinda Mathew , Villinger Jandouwe , Getange Dennis , Khogali Rua , von Fricken Michael E. , Fèvre Eric Maurice , Zimmerman Dawn , Linton Yvonne-Marie , Miller Michele 
Published: June 2024

IntroductionCoxiella burnetii (C. burnetii)-infected livestock and wildlife have been epidemiologically linked to human Q fever outbreaks. Despite this growing zoonotic threat, knowledge of coxiellosis in wild animals remains limited, and studies to understand their epidemiologic role are needed. In C. burnetii-endemic areas, ticks have been reported to harbor and spread C. burnetii and may serve as indicators of risk of infection in wild animal habitats. Therefore, the aim of this study was to compare molecular techniques for detecting C. burnetii DNA in ticks.MethodsIn total, 169 ticks from wild animals and cattle in wildlife conservancies in northern Kenya were screened for C. burnetii DNA using a conventional PCR (cPCR) and two field-friendly techniques: Biomeme’s C. burnetii qPCR Go-strips (Biomeme) and a new C. burnetii PCR high-resolution melt (PCR-HRM) analysis assay. Results were evaluated, in the absence of a gold standard test, using Bayesian latent class analysis (BLCA) to characterize the proportion of C. burnetii positive ticks and estimate sensitivity (Se) and specificity (Sp) of the three tests.ResultsThe final BLCA model included main effects and estimated that PCR-HRM had the highest Se (86%; 95% credible interval: 56–99%), followed by the Biomeme (Se = 57%; 95% credible interval: 34–90%), with the estimated Se of the cPCR being the lowest (24%, 95% credible interval: 10–47%). Specificity estimates for all three assays ranged from 94 to 98%. Based on the model, an estimated 16% of ticks had C. burnetii DNA present.DiscussionThese results reflect the endemicity of C. burnetii in northern Kenya and show the promise of the PCR-HRM assay for C. burnetii surveillance in ticks. Further studies using ticks and wild animal samples will enhance understanding of the epidemiological role of ticks in Q fever.
The Transformative Power of Virtual Hospitals for Revolutionising Healthcare Delivery
Authors: Vallée Alexandre , Arutkin Maxence 
Published: June 2024

Objectives: The objective of this narrative review is to explore the advantages and limitations of VHs in delivering healthcare, including access to specialized professionals, streamlined communication, efficient scheduling, integration of electronic health records, ongoing monitoring, and support, transcending geographical boundaries, and resource optimization.Methods: Review of literature.Results: The national healthcare systems are facing an alarming rise in pressure due to global shifts. Virtual hospitals (VH) offer a practical solution to numerous systemic challenges, including rising costs and increased workloads for healthcare providers. VH also facilitate the delivery of personalized services and enable the monitoring of patients beyond the conventional confines of healthcare settings, reducing the reliance on waiting medicine carried out in doctors' offices or hospitals.Conclusion: VH can mirror the conventional healthcare referral system.
توحيد تشريعات القانون الخاص لدول الخليج والجزيرة العربية- بمناسبة انعقاد الدورة العاشرة للأمانة العامة لمراكز الدراسات والوثائق في الخليج والجزيرة العربية 21- 23 نوفمبر 1987.
Authors: مجموعة من الباحثين  
Published: June 2024

في السطور التالية سيتم عرض ما تم مناقشته في " الندوة العلمية الرابعة " و دور دول مجلس التعاون الخليجي في الإسهام في تحرير الكويت من العدوان العراقي ليكون نموذجاً في دفع مسيرة التعاون و الترابط العربي. هدفت الندوة إلى ما يلي:
1.	تحديد المبادئ التي ينطلق منها التعاون الخليجي كونه امتداداً طبيعياً للروابط الخليجية.
2.	تحديد الأدوار و المهام التي تنتظر مجلس التعاون وسط تحديات المنطقة والنظام العالمي الجديد.
3.	تعميق الدراسة و التحليل لظاهرة العدوان العراقي و نتائجه على المدى القريب و البعيد و ما تفرضه على مجلس التعاون الخليجي من أولويات و استراتيجيات مقبلة.
4.	توثيق جهود دول مجلس التعاون الخليجي للتصدي المشترك لمواجهة العدوان العراقي على مستوى الحكومات و الشعوب.
5.	تعميق الدراسات المستقبلية لدور مجلس التعاون الخليجي في دعم التضامن العربي و تعزيز مكانته الدولية.
6.	دور مجلس التعاون الخليجي في الإطار العربي و الإسلامي فيما يتعلق بجهود التنمية .
العلاقة بين فترة انتظار الصلاة وتكلفة الإضاءة والتكييف في المسجد: حالة دراسية للمساجد بمدينة الرياض.
Authors: إبراهيم بن راشد بن سعد الجوير  
Published: June 2024

تقترح هذه الدراسة لتخفيض قيمة فاتورة استهلاك الكهرباء للمسجد دون تعديل لوضع المسجد الحالي ودون دفع ريال واحد، يتمثل في تخفيض فترة انتظار إقامة الصلاة إلى النصف. وتهدف هذه الدراسة إلى إثبات تأثير طول فترة انتظار الصلاة الحالية على القيمة المرتفعة لفاتورة استهلاك الكهرباء للمسجد.
اعتمد الباحث في جمع المعلومات على أرشيف وزارة الشؤون الإسلامية، وعلى أرشيف شركة الكهرباء الموحدة بمدينة الرياض. وتم تعبئة استمارة خاصة لعينة من المساجد المختارة عشوائياً لحصر:
•	خصائص عناصر المسجد.
•	أوقات تشغيل الإضاءة والتكييف وإيقافهما.
•	فترة انتظار الصلاة الفعلية.
خلصت الدراسة إلى أن طول فترة انتظار الصلاة تؤدي دوراً كبيراً في رفع قيمة فاتورة استهلاك الكهرباء؛ حيث أدى تقليص فترة انتظار الصلاة للنصف إلى خفض قيمة فاتورة استهلاك الكهرباء إلى أكثر من الربع (28.91%).
درجة تبني معلمي التعليم العام في دولة الكويت لفلسفة التربية الإسلامية في ضوء بعض المتغيرات
Authors: الفضاله خالد محمد 
Published: June 2024

الأهداف: هدفت الدراسة تعرف درجة تبني معلمي التعليم العام في دولة الكويــــت لفلسفة التربية الإسلامية من وجهة نظرهم في ضوء بعض المتغيرات. المنهج: اعتمدت الدراسة على المنهج الوصفي المسحي، واستخدمت استبانة مكونة من 19 فقرة لقياس درجة تبني فلسفة التربية الإسلامية لدى معلمي التعليم العام في دولة الكويت. ضمت عينة الدراسة 1495 معلماً ومعلمة من التعليم العام الحكومي في دولة الكويت، اختيروا بالطريقة العشوائية البسيطة. النتائج: أظهرت نتائج الدراسة أن معلمي التعليم العام يتبنون فلسفة التربية الإسلامية بدرجة كبيرة، كما أظهرت وجود فروق دالة إحصائياً في درجة تبني معلمي التعليم العام لفلسفة التربية الإسلامية تعزى لمتغيرات النوع الاجتماعي لصالح الإناث، والتخصص الأكاديمي لصالح ذوي التخصصات الإنسانية، ونوع المؤهل الأكاديمي لصالح ذوي المؤهلات التربوية، والمرحلة الدراسية لصالح المرحلتين الابتدائية والمتوسطة. الخاتمة: ختمت الدراسة بمجموعة من التوصيات أبرزها ضرورة عقد الدورات التدريبية وورش العمل للمعلمين حول ماهية فلسفة التربية الإسلامية، وآلية تنفيذ تطبيقاتها التربوية، وعقد مؤتمرات على مستوى الوطن العربي حول كيفية تجديد تطبيقات الفلسفة التربوية الإسلامية بما يتفق مع التغيرات الاجتماعية والتربوية والتكنولوجية المستجدة.