bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of reliability and validity of the Serbian Aphasia Screening Test
Authors: Vuković Mile , Milovanović Tanja , Teovanović Predrag , Stojanovik Vesna 
Published: May 2024

Purpose
A rise in strokes worldwide means that the number of people affected by aphasia is increasing. Early and accurate diagnosis of aphasia is crucial for recovery. Presently, there are no dedicated screening tests tailored for evaluating aphasia in Serbian-speaking individuals. This paper presents and describes the psychometric properties of the Serbian Aphasia Screening Test (SAST), a novel aphasia screening tool designed specifically for Serbian speakers. This initiative fills the gap in aphasia assessment tools for the Serbian population, providing a comprehensive and culturally sensitive approach to the evaluation of language disorders.

Method
Data using the SAST were collected from 240 participants: 120 Serbian speakers with aphasia after stroke compared to 120 neurotypical individuals. The assessment included the following subtests: conversation, verbal automatized sequences, auditory comprehension, visual confrontation naming, responsive naming, repetition of words, repetition of sentences, oral word reading, oral sentence reading, reading comprehension, and writing. The main objectives were to ascertain the psychometric qualities of the SAST, including inter-rater reliability of scoring, test-retest reliability, reliability of the individual subtests, overall test reliability, and inter-correlations among subtests. Additionally, the study evaluated the discriminatory capability of the SAST in distinguishing between individuals with aphasia and neurotypical controls, as well as between individuals with different types of aphasia.

Results
The findings revealed that the SAST has excellent inter-rater reliability, test-retest reliability, and internal consistency. There were statistically significant differences between individuals with aphasia and neurotypical controls on all SAST subtests. Furthermore, the study identified significant differences in language profiles among participants with different types of aphasia. The significant correlations between scores on the SAST and on the Boston Diagnostic Aphasia Examination (BDAE) suggest good convergent validity of the SAST.

Conclusions
The results underscore the robust psychometric properties of this novel screening assessment (SAST) and its ability to effectively discriminate between diverse linguistic abilities within different aphasia syndromes in Serbian speaking individuals.
Factor structure and measurement invariance of the Patient Health Questionnaire-4 among the Chilean population
Authors: Moreno Ximena , Moreno Francisco 
Published: May 2024

BackgroundThe PHQ-4 is an ultrabrief screening test for depression and anxiety symptoms. The psychometric properties of this test among the population in Chile are unknown. This study was aimed to determine the factor structure of the PHQ-4 in the adult population in Chile, and to assess its measurement invariance across different groups.MethodsThe study considered a nationally representative sample of 10921 people aged 18 and above, in Chile in 2021. Exploratory and confirmatory factor analysis were conducted, and configural, metric, scalar, and strict measurement invariance were assessed.ResultsThe two-factor structure of the PHQ-4 supported the two underlying constructs of depression and anxiety. This model explained 67% of the variance and had excellent fit (CFI: 0.9999; TLI: 0.9994; RMSEA: 0.0107; SRMR: 0.0022). Strict measurement invariance held across gender, age, area of residence, household income quintile, immigrant or host population, and indigenous or non-indigenous population (ΔCFI<0.01).ConclusionThe PHQ-4 can be used to assess depressive and anxiety symptoms in population studies, and as a screening test for depression and anxiety in public mental health programs in Chile.
Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial
Authors: Ali Habiba I. , Al Ketbi Latifa Baynouna , Platat Carine , Abdl El Baki Hanan , Elmi Fadima , Ibrahim Wissam , Zoubeidi Taoufik , Al Dhaheri Ayesha S. , Cheikh Ismail Leila , Tariq Maryam N. M. , Souka Usama , Yasin Javed , Stojanovska Lily 
Published: May 2024

Background
Type 2 diabetes mellitus is highly prevalent in the Arab Gulf countries. Despite this, limited culturally-adapted lifestyle intervention studies have been conducted in this region.

Methods
In this culturally adapted 12-month cluster randomized trial, 382 patients with type 2 diabetes, aged 20–70 years were recruited from 6 public healthcare centers (3 interventions and 3 controls) in Al Ain, United Arab Emirates. The primary outcome of this study was a change in hemoglobin A1c (HbA1c). The secondary outcomes were Body Mass Index (BMI), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, total cholesterol, dietary intake, and physical activity levels. A diet and physical activity intervention, guided by the social cognitive theory, was delivered individually and in group format to the intervention group. The control group continued receiving only their usual diabetes management care. The data were collected at baseline and 1 year after participation.

Results
The mean baseline HbA1c levels of the control and the intervention groups were 7.45 ± 0.11% and 7.81 ± 0.11%, respectively. At the end of the 12-month intervention, there was no significant difference in the changes of mean HbA1c between the intervention and the control groups. On the other hand, BMI and daily caloric intake were significantly decreased in the intervention compared to the control group by 1.18 kg/m2 (95% CI: -1.78 − -0.60) and 246 kcal (95% CI: -419.52 − -77.21), respectively, after controlling for age, gender, education, marital status, duration since diabetes diagnosis, diabetes treatment, treatment clinic, and baseline values. Sitting time during the week-end was significantly lower, difference 52.53 minutes (95% CI: 93.93 − -11.14).

Conclusions
This community-based lifestyle intervention for patients with baseline HbA1c <8% did not result in a significant decrease of HbA1c but reduced caloric intake, body weight, and weekend inactivity after controlling for the covariates.

Trial registration
This trial was registered on February 11, 2020 with Clinicaltrials.gov (NCT04264793).
The associations of physical activity and sedentary behavior with self-rated health in Chinese children and adolescents
Authors: Liang Yahan , Ke Youzhi , Liu Yang 
Published: May 2024

Objective
The study aimed to analyze the independent and joint associations of physical activity (PA) and sedentary behavior (SB) with self-rated health (SRH) among Chinese children and adolescents.

Methods
Cross-sectional data on moderate-to-vigorous physical activity (MVPA), school-based PA, extracurricular physical activity (EPA), screen time (ST), homework time, and SRH were assessed through a self-report questionnaire in the sample of 4227 Chinese children and adolescents aged 13.04 ± 2.62 years. Binary logistic regression was used to compare gender differences in PA, SB, and SRH among children and adolescents, and analyses were adjusted for age and ethnicity.

Results
In independent associations, boys and girls engaging in ≥60 min/day of MVPA and >1 hour/day of EPA reported optimal SRH. Only boys who participated in >1 hour/day of school-based PA were significantly more likely to have optimal SRH (OR = 1.49, 95%CI = 1.19–1.86). Only girls who had ≤2 hours/day of ST were significantly associated with optimal SRH (weekdays: OR = 1.38, 95%CI = 1.10–1.74; weekends: OR = 1.40, 95%CI = 1.14–1.71; whole week: OR = 1.42, 95%CI = 1.16–1.73). In joint associations, regardless of SB recommendation, meeting PA recommendation was significantly associated with optimal SRH in both boys (meet PA and SB recommendations, OR = 1.61, 95%CI = 1.03–2.50; meet PA but not SB recommendations, OR = 2.40, 95%CI = 1.57–3.65) and girls (meet PA and SB recommendations, OR = 3.72, 95%CI = 2.08–6.65; meet PA but not SB recommendation, OR = 4.27, 95%CI = 2.09–8.75).

Conclusion
Increased PA and reduced SB were positively associated with optimal SRH in Chinese children and adolescents. Notably, lower ST positively influenced only girls’ SRH. Meeting PA recommendation is more impactful than meeting SB recommendation for improving SRH in Chinese children and adolescents. Future studies could explore these associations using objective measures of PA and SB in China.
Informal caregiving among people supporting a person with type 2 diabetes in rural communities of Northern Vietnam: A cross-sectional study of caregiver burdens
Authors: Thi Bui Dieu Huyen , Nguyen Bai Xuan , Søndergaard Jens , Gammeltoft Tine M. , Bygbjerg Ib Christian , Nielsen Jannie , Meyrowitsch Dan Wolf 
Published: May 2024

Objective
The prevalence of type 2 diabetes mellitus (T2DM) in Vietnam has doubled from 3% to 6% over the last decades, with potential consequences for persons with diabetes and their caregivers. This study aimed to assess caregiver burdens and factors associated with caregiver burden.

Method
A cross-sectional study was conducted in 2019, using data from 1,241 informal caregivers (ICGs). Caregiver burden was scored from 0–32 using 8 questions from the Zarit Burden Interview (ZBI). Quantile regression analysis was used to identify factors associated with caregiver burden.

Results
The median score of the ZBI was 7.0 (Q1-Q3: 2.0–10.0), indicating that the burden among caregiver of persons with T2DM is not high. Quantile regression showed that the higher the monthly income, the lower the burden among caregivers (50% quantile and 75% quantile of burden: -0.004). Lower educational level (25%Q: 4.0, 50%Q; 3.0, 75%Q: 2.16), being a farmer (25%Q: 2.0) and providing care to other people besides the person with T2DM (25%Q: 2.0, 50%Q; 2.54, 75%Q: 1.66) were associated with higher burden on caregivers.

Conclusion
The study found that caregivers facing additional life stressors, such as low income or other caregiving responsibilities, reported higher levels of burden. These findings could inform the development of interventions targeted at supporting informal caregivers in rural areas in low- and middle-income countries.
ARGET ATRP of styrene with low catalyst usage in bio-based solvent γ-valerolactone
Authors: Zhu Qianqian , Song Tianchen , Zhao Jiaxin , Gao Gang , Xiang Yixin , Gao Jiangang , Shen Xianrong 
Published: May 2024

Abstract
The application of bio-based solvents for living radical polymerization has been a hot topic in recent year. In this article, γ-valerolactone (GVL), a bio-based solvent as green media for ARGET atom transfer radical polymerization (ATRP) of styrene (St) were investigated. We first conducted polymerization of St in γ-valerolactone using copper(ii) bromide as the catalyst, tris(2-pyridylmethyl) amine as the ligand, and only sodium ascorbate as reducing agent. The polymerization achieved moderate conversion; however, the controllability of polymerization was not very good, providing a polymer with a broad molecular weight distribution (M
w/M
n
> 1.30). When sodium carbonate is introduced, excellent results were obtained providing high yields and low M
w/M
n values under very low catalyst usage (∼5 ppm). 1H NMR spectroscopy, chain extension, and MALDI–MS experiments confirmed the final polymer chains with high fidelity. The use of GVL solvent opens a new route for the easy synthesis of PS through ARGET ATRP with low catalyst usage conditions.
Leitungsstrukturen der katholischen Kirche
Authors: Bräuer Martin 
Published: May 2024

Zusammenfassung
Der Artikel leitet zunächst vom theologischen Selbstverständnis der katholischen Kirche ihre Leitungsstrukturen ab. Er beschreibt die Ausübung der Leitung auf weltkirchlicher und nationaler sowie örtlicher Ebene und schaut dann nach Lateinamerika, wo sich neue Leitungsstrukturen ausgebildet haben. Weiter wird ein Blick auf partizipative Leitungsstrukturen in Deutschland geworfen, wie sie auf dem Synodalen Weg beschlossen, anfänglich umgesetzt und auch kritisiert wurden. Schließlich werden neue Leitungsstrukturen, die sich in den letzten Jahren in einzelnen Diözesen entwickelt haben, betrachtet.
Die Synode der EKD
Authors: Schmidt Timo 
Published: May 2024

Zusammenfassung
Der Artikel umreißt zunächst das Themengebiet und fragt, ob und unter welchen Bedingungen „Synode“ eine Ressource für den Glauben sein kann. Dem Phänomen „Synode“ nähert sich der Autor weiter mit organisationsentwicklungsspezifischen Blicken. Die EKD-Synode wird aus den sie konstituierenden Rechtstexten heraus beschrieben, und schließlich werden in einem abschließenden Teil die Fragen an und die Beschreibung der Synode reflektiert.
Use Diagnosis Coding Conventions to Avoid Denied Claims
Authors:   American Academy of Pediatrics
Published: May 2024

This article discusses how reporting codes in compliance with International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) guidelines can help physicians and other qualified health care professionals (QHPs) avoid denied claims. This includes the following:
How ICD-10-CM codes affect claims adjudication Coding to the highest level of specificity Compliance with Excludes1 notes Compliance with “code first” notes Appropriately reporting codes for sequela Correct use of codes for external causes Proper linking of diagnosis to procedure codes
Factores que inciden en el desempeño de la competitividad en el departamento del Meta - Colombia
Authors: Torres Flórez Dagoberto , Vidal Sanpedro María Alejandra , Méndez Baquero Luis Gabriel 
Published: May 2024

El objetivo de este artículo es diagnosticar el desempeño registrado por el departamento del Meta en el Índice Departamental de Competitividad (IDC), a través de la observación de los factores de competitividad y sus pilares. Su propósito es proponer una prospectiva en temas de competitividad regional que sirva como herramienta para las autoridades regionales en los procesos de toma de decisiones y formulación e implementación de planes y programas más acertados basados en la evidencia. El método de recolección de información fue una revisión y análisis documental de los pilares que fundamentan el Índice Departamental de Competitividad del Meta en el periodo comprendido entre 2013 y 2020. El resultado expuso que el departamento del Meta ha tenido un comportamiento aceptable en el ranking, no obstante, se hace necesario ejecutar e implementar mecanismos territoriales para aprovechar sus recursos económicos, sociales, políticos y ambientales.
Mindfulness Based Emotional Intelligence Training to Reduce Emotional Vulnerability for Medical Students
Authors: Calinici Mirela Simona , Calinici Tudor , Crisan Horatiu Traian 
Published: May 2024

Healthcare professional and students are one of the professional categories vulnerable to stress, anxiety, depression and burnout, and mindfulness-based interventions are used to reduce distress and vulnerability (Lomas et al., 2018; Parcover et al., 2018). A psychological construct also relevant for the well-being is emotional intelligence (Uchino et al., 2015). This article presents the results of an existing intervention, combining mindfulness techniques and emotional intelligence exercises (Mindfulness based emotional intelligence intervention - MBEIT, Ciarrochi & Godsell, 2006), used in small medical student’s sample, in order to advocate the use of this brief intervention for medical students in educational settings. The structure of the intervention follows the dimensions of psychological flexibility construct, with a time frame of two hours for each dimension: ‘Effective emotional orientation’, ’Mindfulness and Emotional Awareness’, ‘Defusing from unhelpful rules or evaluations‘, ‘Effective values orientation’ . The results of intervention show moderate effect size for the increase of emotional intelligence and of the psychological flexibility (emotional awareness, mindfulness and committed action).
Production agricole vivrière à l’ouest Cameroun et vulnérabilités économiques des producteurs : le cas de la filière maïs et haricot dans le bassin de production des Bamboutos
Authors: Gaétan Mawoh , Karim Nana Claudin 
Published: May 2024

Le présent article analyse les dynamiques socioéconomiques qui ont cours aujourd’hui autour des filières agricoles maïs et haricot, qui sont plus que par le passé, des spéculations agricoles de choix dans le vivrier marchand à l’ouest Cameroun et plus particulièrement dans le bassin de production des Bamboutos à la suite de la déprise caféière. Cette recherche est basée sur une méthodologie essentiellement qualitative, fondée sur les entretiens semi directifs avec les producteurs agricoles et les commerçants, auxquelles sont combinées des observations directes dans les marchés et les espaces commerciaux (ruraux et urbains) où s’échangent ces produits agricoles. Il en ressort que l’agriculture vivrière est aujourd’hui au sein de ce bassin de production, une pratique généralisée dont les implications socioéconomiques les plus immédiates ne se limitent plus seulement au monde rural, mais on observe aussi une forte implication des citadins dans les pratiques agricoles notamment dans les filières maïs et haricot. Cependant, les producteurs de Haricot et Maïs, acteurs à la base de cette économie vivrière restent pourtant économiquement les plus vulnérables de la chaine de valeur, cela au profit des acteurs à l’instar des transporteurs, des commerçants et activités connexes autour de la circulation commerciale des produits agricoles.

This paper provides an analysis of the socioeconomic dynamics that exist today around the maize and beans agricultural sectors, which are more than in the past, prime agricultural speculation of food intended for sales in West Cameroon, particularly in the Bamboutos production area as a result of coffee plant depravity. This presentation is based on an essentially qualitative methodology, focused on semi-direct interviews with agricultural producers and traders, which are combined with direct observations in markets and commercial spaces (rural and urban) where these agricultural products are traded. It is clear from this that, food farming is now in this production area, a generalized practice whose, most immediate socio-economic implications are no longer limited to the rural world as tended until then to consider several scientific discourses on agrarian activities; but there is also a strong involvement of city dwellers in agricultural practices, particularly in the corn and beans sectors. However, bean and maize producers, who are the basic stakeholders in this food economy, remain the most economically vulnerable in the value chain, in favor of other actors such as transporters, traders, and related activities involved in the commercial movement of agricultural products.
Popular Food Products Among Farmers in the Piedmont Triad Region of North Carolina
Authors: Okefi Uchenna , Ejimakor Godfrey 
Published: May 2024

This study evaluated the products produced by farmers in the 12-county Piedmont Triad Region of North Carolina. The study aimed to identify the most popular food products among farmers in order to enhance the local food economy. This was done by identifying food items that may be more suitable for production in the region. Survey respondents were asked to list all food items that they produced. The listed items were categorized as either crops or livestock products. The percentages of farmers that produced the different food items were calculated and compared. Beef was the number one livestock product produced by farmers in the region. Tomatoes, then lettuce, were the most predominant plant products produced by the region’s farmers. One of every six farmers in the region produced tomatoes. Beef was produced by one of every eight farmers in the region. New and beginning farmers in the region will do well by considering these products because their production by many existing farmers may imply that there is a ready market for them.
Infection Medullaire A Schistosoma Mansoni Mimant Une Tumeur
Authors: Sylla Assata , Karidioula Hiénéya Armel , Gnazégbo Any , Koné Bah Abdoul Kader , Koffi Yannick Thibaut , Kouakou Akissi Sandrine Josette , Karidioula Yéné Léa Constante , Touré Aïcha , Doumbia Mohamed Lamine , Koné Djakaridja , Bony Elisée Kotchi , Kouamé-Assouan Ange-Eric 
Published: May 2024

Introduction : La bilharziose médullaire est la manifestation neurologique de l'infection intramédullaire par le Schistosoma. L’objectif est d’attirer l’attention du clinicien sur ce mode présentation de la bilharziose dans les zones endémiques. Observation : Nous rapportons le cas d’enfant de 12 ans, admis pour un déficit moteur des deux membres inférieurs d’installation progressive en deux semaines associé à une rétention aiguë des urines, de constipation et une dorsalgie hyperalgique. Les explorations paracliniques nous ont conduits à une infestation médullaire à shistososma mansoni. Conclusion : Ce cas clinique nous interroge sur l’espèce du schistosoma. Est-ce une hybridation ? Est-ce une coinfection à schistosoma mansoni et haematobium ? Enfin est-ce un passage accidentel du schistosoma mansoni dans les voies urinaires à travers les plexus veineux ? D’où l’intérêt de pousser les explorations avec la polymerase chain reaction ou le génotypage de schistosoma. Mais cette technique est d’accessibilité difficile dans notre contexte de travail.

Introduction: Bone marrow bilharzia is the neurological manifestation of intramedullary infection by Schistosoma. The objective is to draw the attention of the clinician to this mode of presentation of bilharzia in endemic areas. Observation: We report the case of a 12-year-old child, admitted for a motor deficit in both lower limbs that gradually developed over two weeks and was associated with acute retention of urine, constipation, and hyperalgesic back pain. Paraclinical explorations led us to a bone marrow infestation with shhistososma mansoni. Conclusion: This clinical case raises questions about the species of schistosoma. Is this a hybridization? Is it a coinfection with Schistosoma Mansoni and haematobium? Finally, is it an accidental passage of Schistosoma Mansoni into the urinary tract through the venous plexus? Hence the interest in further explorations with polymerase chain reaction or Schistosoma genotyping. But this technique is difficult to access in our work context.