bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of early oral postoperative feeding on the recovery of intestinal motility after gastrointestinal surgery: a systematic review and meta-analysis of randomized clinical trials
Authors: Canzan Federica , Longhini Jessica , Caliaro Arianna , Cavada Maria Luisa , Mezzalira Elisabetta , Paiella Salvatore , Ambrosi Elisa 
Published: May 2024

Background and aimsPostoperative ileus is a frequent condition, leading to complications and a longer hospital stay. Few studies have demonstrated the benefit of early oral feeding in preventing ileus after gastrointestinal surgery. This study aims to evaluate the efficacy of early versus delayed oral feeding on the recovery of intestinal motility, length of hospital stay, and complications.MethodsWe conducted a systematic review and meta-analysis of randomized control trials, searching PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, and the ClincalTrials.gov until 31 December 2022. We evaluated the first passage of the stool, the first flatus, complications, length of postoperative stay, and vomiting. We assessed the risk of bias using the Cochrane risk of bias tool (version 2) for randomized trials and the quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation methodology.ResultsWe included 34 studies with a median sample size of 102 participants. With a moderate certainty of the evidence, the early oral feeding may reduce the time taken for the first passage of the stool (MD −0.99 days; CI 95% −1.25, −0.72), the first flatus (MD −0.70 days; CI 95% -0.87, −0.53), and the risk of complications (RR 0.69; CI 95% 0.59–0.80), while with a low certainty of evidence, it may reduce the length of stay (MD −1.31 days; CI 95% −1.59, −1.03). However, early feeding likely does not affect the risk of vomiting (RR 0.90; CI 95% 0.68, 1.18).ConclusionThis review suggests that early oral feeding after gastrointestinal surgery may lead to a faster intestinal recovery, shorter postoperative stays, and fewer complications. However, careful interpretation is needed due to high heterogeneity and the moderate-to-low quality of evidence. Future studies should focus on the type and starting time of early oral feeding.
Analysis of dietary fats intake and lipid profile in Chilean patients with glucose transport type 1 deficiency syndrome: similarities and differences with the reviewed literature
Authors: Salazar María Florencia , Leal-Witt María Jesús , Parga Valentina , Arias Carolina , Cornejo Verónica 
Published: May 2024

IntroductionGlucose transporter type 1 deficiency syndrome (GLUT1-DS) is a neurological disorder caused by mutations in the SLC2A1 gene. The main treatment is ketogenic diet therapy (KDT), which changes the brain’s energy substrate from glucose to ketone bodies. The diet controls seizures, but there may be side effects such as dyslipidemia. This study aimed to describe the type of fats ingested by the Chilean cohort of patients with GLUT1-DS and analyze for alterations in the lipid profile.MethodsA GLUT1-DS group and a control group were formed, each with 13 subjects who were matched by age, gender, and nutritional status. Anthropometry, dietary intake, including types of fat, and blood tests were evaluated (lipid and liver profile, and 25-hydroxyvitamin D levels).ResultsA high-fat diet, especially saturated fat, was identified in the GLUT1-DS group (38% of total calories), with the use of medium-chain triglycerides (17% of total calories). In addition, GLUT1-DS participants had a higher intake of monounsaturated (MUFA) and polyunsaturated (PUFA) fats and adequate consumption of omega-3 (2% of total calories). Despite the GLUT1-DS group receiving on average 80% of its total energy as fats, it is important to highlight that 50% are MUFA+PUFA fats, there were no significant differences in the lipid and liver profile compared to the control group.ConclusionKDT did not negatively impact lipid profile, despite a high intake of fats. It is important to monitor lipid profiles, in a personalized and constant manner, to prevent future nutritional risks.
Case Report: Nonverbal approaches in the treatment of a patient with fibromyalgia with anger rooted in adverse childhood experiences
Authors: Adachi Yuri , Hosoi Masako , Nishihara Tomoe , Hirabayashi Naoki , Sawa Takako , Matsushita Tomoko , Tatsushima Keita , Anno Kozo , Tomioka Mitsunao , Sudo Nobuyuki 
Published: May 2024

IntroductionIn psychotherapy, it is important to establish and deepen a therapeutic trusting relationship, but patients who have experienced extreme adversity in childhood tend to have difficulty in building such a relationship. This paper reports a case of fibromyalgia with adverse childhood experiences (ACEs) in which a nonverbal approach was successful in building a trusting relationship.Case and methodsThe patient is a woman in her late 40s. She had strong anger rooted in ACEs, including neglect by her father, a feeling of unfair parenting by her mother compared to her younger brother, overcontrol of her life by her mother, and sexual abuse by her uncle. She was filled with strong interpersonal distrust and anger, and the experience of an unsuccessful surgery compounded her distrust of medical care. The therapist initially had severe difficulty in verbal interaction with the patient. When conducting “drawing” therapy, she ignored the therapist's comments and completely blacked out the drawing paper. However, the patient-therapist relationship gradually changed, and verbal interaction became possible through the use of nonverbal approaches such as framing her drawing paper and “Towel Baby Holding.”ResultsThe therapist was able to understand the patient's emotions through these nonverbal approaches and to communicate with the patient that she understood her feelings. This approach was also successful in the patient’s understanding of her own pathology. The patient became able to honestly express her feelings in words, which eventually enabled her to be introduced to mindfulness therapy, leading to a favorable treatment course.ConclusionFor patients with ACEs, a nonverbal approach helps build a therapeutic relationship and plays an important role in understanding the patient.
The impact of flipped classroom on English proficiency of first-year Chinese urban and rural pre-service teachers
Authors: Chen Wei 
Published: May 2024

IntroductionIn recent years, China has made strides in adopting student-oriented teaching approaches, particularly in tertiary English education, through the integration of enhanced technology. This study aimed to investigate the impact of flipped classroom on the English proficiency of first-year pre-service teachers at a Chinese normal university. It also sought to determine whether educational background (urban or rural) interacted with the teaching approach (flipped or traditional) in affecting the language proficiency of the learners.MethodsA quasi-experimental design was utilized with two treatments: a flipped classroom approach and a traditional teacher-centered teaching approach. Both approaches were implemented in the Integrated English Course over a 12-week semester. Two randomly selected classes, consisting of 60 pre-service teachers in each class, were assigned to either the experimental or control group. Data were collected from pretest and post-test assessments and analyzed using two-way ANOVA.ResultsThe results revealed a positive impact of the flipped classroom and a significant interaction between educational background and teaching approach on English proficiency. Specifically, urban pre-service teachers achieved higher English proficiency than their rural peers when taught in the flipped classroom, but not in the traditional classroom. Furthermore, urban pre-service teachers in the flipped classroom outperformed their urban peers in the traditional classroom, while rural pre-service teachers did not show any significant difference in their performance between the two classes.DiscussionThe findings suggested that the flipped classroom approach was more effective than the traditional approach for Chinese pre-service teachers, particularly those with an urban educational background. However, it is important to ensure that rural learners receive sufficient support to benefit equally from this innovative teaching approach. Accordingly, implications and recommendations for future research are discussed.
The use of technology-assisted intervention in vocabulary learning for children with autism spectrum disorder: a systematic review
Authors: Urrea Ana Lucia , Fernández-Torres Vanessa , Rodriguez-Ortiz Isabel R. , Saldaña David 
Published: May 2024

IntroductionChildren with autism spectrum disorder may show delays in vocabulary development. Technology-based interventions could facilitate the teaching of different vocabulary skills; however, it is still not clear whether technology represents an added value.MethodsThe current review preregistered in PROSPERO evaluates the efficacy of technology-based interventions in vocabulary learning for children with autism spectrum disorder. We selected articles published in the period 2006–2022 from five databases.ResultsThe results identified two group studies, one within subject design, nine single-case studies and one randomized controlled design in participants aged 0–16 years who had used technological devices to learn vocabulary. Overall, five of the 13 studies showed positive results of using technology-assisted intervention, six described mixed results, one described negative result, and one described no differences in technology-assisted intervention. The studies are divided into the categories of efficacy of technology and comparison between technology and non-technology.DiscussionIn summary, technology, such as tablets and computers, might be useful tools to improve vocabulary skills in certain children with ASD. However, the various degrees of impact found in the studies we reviewed indicate that personalized assessments, acknowledgment of previous experiences, and awareness of the context of usage are essential. The contrast with nontechnological approaches highlights the necessity for more detailed studies to pinpoint the precise conditions under which technology-based interventions can offer the most advantages.Systematic review registration[https://clinicaltrials.gov/], identifier [CRD42021238758].
‘Practice what you preach’. Perspectives on the involvement of people with dementia and carers in community-based dementia friendly initiatives, a qualitative study
Authors: Thijssen Marjolein , Dauwerse Linda , Lemmers Frans , Sanden Maria Nijhuis-van der , Daniels Ramon , Graff Maud , Kuijer-Siebelink Wietske 
Published: May 2024

IntroductionPeople with dementia and their carers experience social stigma and often refrain from social participation. Significant improvement might be achieved by creating Dementia Friendly communities (DFCs) for which dementia friendly initiatives (DFIs) are needed. DFIs are developed by a variation of stakeholders. However, people with dementia and their carers are often unrepresented herein. This study aims to get insight into the perspectives of stakeholders (e.g., health- and social care professionals, volunteers, people with dementia and their carers) about the involvement of people with dementia and their carers during the development and sustainment of DFIs.MethodsDescriptive qualitative study, using a co-research design with a carer as co-researcher. Nineteen semi-structured interviews with stakeholders, including people with dementia and their carers, were performed. Inductive content analysis took place using Atlas Ti.ResultsFour themes were found: 1) the involvement of people with dementia and their carers is important for both people with dementia and their carers and other stakeholders; 2) personal character traits, life histories, and associated emotions evoke the need for involvement; 3) involvement requires an open, responsive stance and building relationships; and 4) the estimation of one’s own and others’ capacities influences perspectives on involvement. As such, practice what you preach means actively adopting an open, responsive approach and acknowledging the unique abilities and backgrounds of people with dementia and their carers. It emphasizes the importance of actually living by the values you advocate for.ConclusionCentral to perspectives on involving people with dementia and their carers is the emphasis on working relationally, differing from service-led and pre-structured patient and public involvement (PPI). Working relationally calls for organizational shifts aligned with a rights-based perspective to avoid tokenism, and promotion of user-led organizations with genuine partnerships. Creative methods, problem-solving, and communication skills are essential for the development and sustainment of inclusive, supportive, person-centered DFIs. Future studies should explore the long-term impact of the involvement and working relationally on the well-being of people with dementia and their carers.
Quantitative evaluation of the medicine innovation policy in China: based on the PMC-Index model
Authors: Guo Dan , Qi Liwen , Song Xiaoting 
Published: May 2024

IntroductionMedicine innovation is crucial in promoting the sustainable development of medicine undertakings, which has significant economic and social benefits. China is the main force in global medicine consumption, with a huge demand for innovative medicines. Thus, the Chinese government releases a series of policies aimed at providing scientific and reasonable guidance for medicine innovation. However, there is inadequate quantitative evaluation and comparison of various medicine innovation policies in the existing studies.MethodsThis paper adopts the approach of text mining and the Policy Modeling Consistency Index (PMC-Index) model to construct an evaluation system and then quantitatively evaluates and compares the traditional Chinese medicine innovation policies (TCMIPs), the biological medicine innovation policies (BMIPs), and the multiple medicine innovation policies (MMIPs) in China.ResultsThe results indicate that: (1) The three types of drug innovation policies have similarities in content and goal through comparative analysis of high-frequency words, while they also have their own characteristics. (2) The average PMC-Index of 29 TCMIPs is 5.77, which has the highest policy bad rate (21%); the average PMC-Index of 12 BMIPs is 6.21, which has the highest policy good rate (92%); moreover, the average PMC-Index of 35 MMIPs is 6.06, which has the highest policy excellence rate (26%). (3) The BMIPs, MMIPs, and TCMIPs have similar scores on policy object, policy orientation, policy timeliness, policy evaluation, and policy accessibility, while they differ significantly mainly on policy nature, incentive method, policy function, policy issuing agency, and policy instrument.DiscussionThis study contributes to a comprehensive understanding of medicine innovation policies in China, in order to provide theoretical support for future policy formulation and optimization in the medicine industry. Moreover, we expand the application scenarios of policy diffusion theory.
Exploring Cambodian adolescents' perceptions on sex: a qualitative investigation
Authors: Yang Youngran , Kim Jiwoo , Park Gloria , Thapa Roshna 
Published: May 2024

IntroductionInvolvement in sexual activities increases during adolescence in many countries, including Cambodia. The objective of this study is to explore the perspectives and interpretations of sex held by Cambodian adolescents within the context of their social norms and culture.MethodsA qualitative research design was used to conduct in-depth interviews with a purposive sample of 91 Cambodian adolescents aged between 15 and 19 years. Participants were recruited from rural areas, and data was collected through face-to-face interviews using semi-structured interview guides. Thematic analysis was used to analyze the data.ResultsFour themes as perspectives of sex were identified: (1) Desire: Releasing sexual desire and stress; (2) relationship: an emotional connection and demonstration of love; (3) roles: responsibilities within a woman's marital duties; and (4) values: the value of virginity and future engagement. Cambodian adolescents' perspectives and interpretations of sex were deeply influenced by their social norms and cultural values. Men typically perceived sex through the lens of instinct and pleasure, while women often emphasized a deep sense of familial duty and held premarital sex to be morally unacceptable.DiscussionThe findings suggest that interventions aimed at improving the sexual health of Cambodian adolescents should be designed with an understanding of the social norms and cultural values that shape their perspectives and interpretations of sex. Such interventions should focus on promoting safe sex practices and providing accurate and comprehensive sexual education.
Population Status of the Endangered Semi-Mangrove Dolichandrone spathacea on Hainan Island, China
Authors: Tian Mi , Ke Xinran , Li Ming , Deng Kaixuan , Yang Yong , Fang Zanshan , Zhong Cairong , Li Shen , Zhu Zhengjie , Tam Nora Fung-Yee , Lang Tao , Zhou Haichao 
Published: May 2024

In China, Dolichandrone spathacea is a rare and endangered semi-mangrove plant species with an extremely small population, naturally distributed only in Zhanjiang City and the east coast of Hainan Island. Despite conservation concerns, the population status of D. spathacea has received little scientific attention. In this study, we evaluated the current status of D. spathacea on Hainan Island, China, in order to propose sustainable conservation strategies for future ecological restoration of its natural population. D. spathacea on Hainan Island can be divided into four populations. All the D. spathacea populations present a state of overall dispersion, local concentration, and occasionally sporadic existence, and they exist in geographical isolation. The young, middle, and old D. spathacea plants account for 20.42%, 66.20%, and 13.38%, respectively, indicating that the D. spathacea population on Hainan Island is declining. Furthermore, instead of temporal structure, we used diameter at breast height (DBH) to establish a static life table, draw a population survival curve, and quantify the future development trend through population dynamic analysis and time-series prediction. These results suggest that the D. spathacea population in the Bamen Gulf (Wenchang) and Qingmei Harbor (Sanya) on Hainan Island is sensitive to external disturbances and possesses two main increases in mortality rate—namely, in its juvenile and mature stages—due to competition and anthropogenic interferences, which might be the most important reasons for its endangered status. Depending on the current conditions of the D. spathacea population, we should conserve and expand mature trees in situ, preserve their germplasm resources, rehabilitate their habitats to promote provenance restoration, and conduct artificial cultivation and spreading planting in order to realize the sustainable conservation and management of D. spathacea.
Defensive Strategy Analysis of Bag Handicraft Industry in SME Centers
Authors: Yusuf* Ramayani , Veranita Mira , Gunardi Gunardi , Oktariza Magnaz Lestira , Cupiadi Hedi 
Published: May 2024

With the rapid development of technology, various problems arise in producing and marketing handicraft products. Thus, this research aims to determine the survival strategies and provide a clear and detailed picture of the characteristics or attributes of research subjects without testing hypotheses or drawing causal conclusions. The research object is the bag craftsmens in Sukaregang, Garut Regency West Java, Indonesia. Both interview techniques and literacy studies were used to obtain the strengths, weaknesses, opportunities, and threats. Then, weighting is carried out, and a value is given; the weight and value are multiplied to get a total score. The existing IFAS and EFAS values are entered into quadrants. It is found that the position of Sukaregang bag craftsmen is in quadrant 1 which aims to take advantage of internal strengths and external opportunities. The strategy that can be applied is to improve the quality of raw materials so that they can produce good, high-quality, and high-value products. These findings are expected to provide insights for handicrafts to survive this digital era.
Keywords: Economy; Management; Defensive Strategy; SWOT; SMEs
ﺍﺳﺗﺧﺩﺍﻡ ﺩﺍﻟﺔ ﺍﻧﺗﺷﺎﺭ ﺍﻟﺷﻕ ﻓﻲ ﺗﻘﻭﻳﻡ ﻧﻭﻋﻳﺔ ﺍﻟﺻﻭﺭ ﺑﺎﻟﻣﻧﻅﻭﻣﺎﺕ ﺍﻟﺑﺻﺭﻳﺔ
Authors: ﻫﻧﺎء ﻣﺣﻣﺩ ﺇﺑﺭﺍﻫﻳﻡ  
Published: May 2024

ﻟﻘد وﺠدت طرق ﻤﺨﺘﻠﻔﺔ ﻟﺘﻘوﻴم ﻛﻔﺎءة اﻟﻤﻨظوﻤﺎت اﻟﺒﺼرﻴﺔ ٬ واﻟﻘﺎﻋدة اﻟﻌﺎﻤﺔ ﻟﻬﺎ ان

اﻟﻤﻨظوﻤﺔ ﺘﺤت اﻟﻔﺤص ﺘﺴﻘط ﺼورة ﻟﺠﺴم واﻀﺤﺔ اﻟﻤﻌﺎﻟم.
ﻓﻲ اﻟوﻗت اﻟﺤﺎﻀر ﻴﻌد ﻤﻔﻴداً اﺴﺘﺨدام اﻟﺸق اﻟﻤﻔرد. وﺼورﺘﻪ ﻓﻲ اﻹﻀﺎءة ﻏﻴر
اﻟﻤﺘﺸﺎﻛﻪ (داﻟﺔ اﻨﺘﺸﺎر اﻟﺸق) ﺘم اﻟﺘطرق ﻟﻬﺎ وﺤﻠﻬﺎ ﻓﻲ ﺤﺎﻟﺔ ﺨﻠو اﻟﻤﻨظوﻤﺔ اﻟﺒﺼرﻴﺔ ذات

اﻟﻔﺘﺤﺔ اﻟداﺌرﻴﺔ ﻤن اﻟزﻴوغ ﻛذﻟك ﻋﻨد وﺠود اﻟزﻴوغ اﻟﻼﻤﺤورﻴﺔ واﻟزﻴوغ اﻟﻤﺤورﻴﺔ.
وﻗد ﺘم ﺘﻘوﻴم داﻟﺔ اﻨﺘﺸﺎر اﻟﺸق ﻟﻤﺎ ذﻛر آﻨﻔﺎً واﻟوﺼوﻝ ﻟﻬﺎ ﻋﺒر اﻟﺘﻛﺎﻤﻝ ﻋﻠﻰ ﺒؤﺒؤ
اﻟﺨروج ﻟﻠﻌدﺴﺔ وﺒﺎﺴﺘﺨدام طرﻴﻘﺔ ﻛﺎوس اﻟﺘرﺒﻴﻌﻴﺔ
Covid-19 Adaptive Tourism Attraction: Tourism Resilience Through CHSE Certification For Visiting Decision
Authors: Wulandari Dwi Pratiwi , Harmawan Violintikha , Lisna Yuke Permata , Mustika Sari 
Published: May 2024

CHSE (Cleanliness, Health, Safety, and Environment) certification is implemented by the Indonesian government to restore tourism conditions post-pandemic. The research aim is to analyze tourists' visiting decisions to visit COVID-19 adaptive tourist attractions after the implementation of the CHSE certification policy as a strategy to restore tourism conditions post-pandemic. There were no studies that investigated the effect of CHSE implementation on West Sumatra tourist attractions such as Taman Margasatwa dan Budaya Kinantan (TMBK) and Taman Panorama Lobang Jepang (TPLJ). The descriptive research was carried out with a causal-associative quantitative approach using 100 respondents. The result revealed that: (1) The implementation of CHSE in COVID-19 is in the quite good category with a percentage of 50%. (2) Visiting decisions are in the quite good category with a percentage of 37.8%. (3) CHSE as a strategy to restore tourism conditions has an impact of 13.4% on visiting decisions. So, it is concluded that tourists decide to visit a COVID-19 adaptive tourist attraction, not solely because the tourist attraction has been CHSE certified. But 86.8% are influenced by other factors.