bluuebunny/crossref_metadata_2025_split huggingface dataset:
Folding Fun Boosts Early Childhood Fine Motor Skills Globally
Authors: Oktavia Hanifa Prisma , Destiana Evie 
Published: May 2024

This study investigates the efficacy of folding activities to enhance fine motor skills in Group A children at RA An Nur Kedung Jumputrejo Sukodono Sidoarjo, utilizing Classroom Action Research (CAR) with the Kemmis and McTaggart models. Fourteen children (9 boys, 5 girls) participated in Pre Cycle, Cycle 1, and Cycle 2 interventions, with data collected via observation, documentation, and interviews. Results show a remarkable improvement from a baseline fine motor skill percentage of 35% in Pre Cycle to 95% in Cycle 2, surpassing the 75% success indicator. These findings underscore the effectiveness of folding activities in early childhood education and provide valuable insights for educators aiming to enhance motor skill development in young learners.

Highlight:

Improved fine motor skills through folding activities.
Utilization of Classroom Action Research for systematic intervention.
Valuable insights for educators enhancing motor skills in young learners.

Keyword: Fine motor skills, Folding activities, Classroom Action Research, Early childhood education, Motor skill development
FAKTOR –FAKTOR YANG MEMPENGARUHI STATUS GIZI PADA REMAJA PUTRI DI DESA KARANG ANYAR, KECAMATAN JATI AGUNG
Authors: Wijaya Sofyan Musyabiq , Komala Ramadhana , Nasution Syahrul Hamidi , Febriyani Wiwi 
Published: May 2024

Latar Belakang: Pada masa remaja, kecenderungan untuk memilih makanan yang tidak sehat dan perilaku makan yang tidak teratur dapat berdampak negatif pada kesehatan dan status gizi. Salah satu perilaku makan yang sering terjadi pada remaja adalah meal skipping atau melewatkan waktu makan. Tujuan: mengetahui factor-faktor yang berhubungan dengan status gizi pada remaja putri. Metode: Penelitian ini menggunakan desain cross sectional. Waktu Penelitian ini adalah 6 bulan, yaitu mulai April hingga Oktober 2023. Penelitian ini dilaksanakan di Desa Karang Anyar, Lampung Selatan. Populasi kasus dalam penelitian ini adalah semua Remaja Putri yang bersekolah di SMA dan sederajat di Karang Anyar. Pengambilan sampel menggunakan stratified random sampling. Analisis yang digunakan dalam penelitian ini adalah analisis chi square. Jumlah sampel yang ikut dalam penelitian ini berjumlah 25 orang dari rumus Lemeshow. Hasil: Indeks Massa Tubuh kurang 13 orang (52%) dan normal 12 orang (48%). Berdasarkan pengujian yang telah dilakukan(p <0,05) sedangkan untuk kelengkapan jenis makanan, kebiasaan jajan, pengetahuan, dan gangguan makan tidak mempengaruhi status gizi remaja putri (p > 0,05). Simpulan: penelitian ini menjelaskan bahwa terdapat hubungan antara tingkat pendidikan dan kebiasaan diet terhadap status gizi, serta tidak adanya hubungan antara jenis makanan, kebiasaan makan, dan gangguan makan terhadap status gizi remaja putri di Karang Anyar.
A feasibility pilot study testing a new transition of care model from hospital to the community for Hispanic/Latino adults with diabetes to reduce emergency department visits and hospital re-admissions.
Authors: Esteve Lucy , Padilla Blanca Iris , Pichardo-Lowden Ariana , Granados Isa , Carlson Scott , Corsino Leonor 
Published: May 2024

Abstract

Background: Hispanic/Latino populations have the second highest prevalence of diabetes (12.5%) among ethnic minority groups in the USA. They also have higher rates of uncontrolled diabetes and diabetes-related complications. Approximately 29% of diabetes care costs are attributed to inpatient hospital care. To reduce hospital length of stay and re-admission rates for diabetes, the American Diabetes Association (ADA) recommends a “structured discharge plan tailored to the individual patient with diabetes”. However, limited research exists on the feasibility and applicability of a transition of care model specifically tailored for the Hispanic/Latino population.Methods: We conducted a 2-year pilot feasibility study to develop a practical, patient-centered, and culturally competent transition of care (TOC) model for Hispanic/Latino adults with diabetes discharged from the hospital to the community. Feasibility outcomes included recruitment rates, questionnaire completion rates, adherence to a 30-day post-discharge phone call, and resource needs and utilization for study implementation. Participant-centered outcomes included 30-day post-discharge Emergency Department (ED) visits, 30-day post-discharge unplanned readmissions, follow-up visits within two weeks of discharge, and patient satisfaction with the TOC model.Results: Twelve participants were enrolled over the study period, with weekly enrollment ranging from 0 to 4 participants. Participants’ average age in years was 47 (± 11.6); the majority were male (85%), and 75% had type 2 diabetes. Recruitment involved the support of 4 bilingual staff. The estimated time to review the chart, approach participants, obtain informed consent, complete questionnaires, and provide discharge instructions was approximately 2.5 hours. Of the 10 participants who completed the 30-day post-discharge phone call, none had ED visits or unplanned hospital readmissions within 30 days post-discharge, and all had a follow-up with a medical provider within two weeks.Conclusions: Implementing a patient-centered and culturally competent TOC model for Hispanic/Latino adults with diabetes discharged from the hospital to the community is feasible when considering key resources for success. These include a bilingual team with dedicated and funded time, alignment with existing discharge process and integration into the Electronic Medical Records (EMR) systems.
Development and testing of mobile phone text messages for improving maternal and newborn care practice in Jimma Zone, Ethiopia. A user-centered design approach
Authors: Abdissa Hordofa Gutema , Duguma Gebeyehu Bulcha , Noll Josef , Sori Demisew Amenu , Koricha Zewdie Birhanu 
Published: May 2024

Abstract

Background
Mobile phone-based messaging for maternal education has indicated promising outcomes in promoting maternal and newborn care practices. However, most mobile phone-based messaging interventions are not tested before their implementation, and the evidence on the message content development process and methods is limited and underreported. The aim of this study was to develop and test text messages for interventions designed to improve maternal services utilization and newborn care practices.
Methods
The development process has 4 phases: engaging pregnant mothers and experts in selected districts of the Jimma Zone, Ethiopia. During phase 1, the draft messages were developed based on the message framing concept, and the number of messages was reduced after review. In phase 2, 12 mothers participated in card sorting and the messages were refined. In phase 3, 8 experts evaluated the messages using 10 items with a 5-point Likert scale. In phase 4, a pilot study (n = 30) was conducted to evaluate the messages and their delivery when they were sent to individuals’ mobile telephones. In this phase, a system usability scale was also used to assess the usability of the planned intervention.
Results
An initial bank of 120 messages was developed, 42 of which were discarded during the development process. Of these, 32 were discarded by the research team at phase 1, and 10 were discarded during the card sorting at phase 2. Based on the experts’ evaluations, 14 messages were reworded and refined in phase 3. During the pilot testing phase, the majority (80%) of the participants mentioned that the time they had been receiving the message was early, and 66.7% of the participants preferred the time to receive text messages about health. The mean SUS score was 72.26, which is acceptable for the usability of the mobile phone-based messaging intervention.
Conclusion
A final bank of 78 (39 for each framing type) messages was obtained after refinement according to feedback from participants. The SUS showed an acceptable score for the planned intervention. This message development process confirms that the messages are acceptable, and important for improving maternal and newborn health care practices.
Limitation of Site-stratified Cox Regression Analysis in Survival Data: A Cautionary Tale of the PANAMO Phase III Randomized, Controlled Study in Critically Ill COVID-19 Patients
Authors: Sandrock Christian , Song Peter X.K. 
Published: May 2024

Abstract

Current guidelines focus on a p-value threshold of a pre-specified primary endpoint tested in randomized controlled clinical trials to determine a treatment effect for a specific drug. However, a p-value does not always provide evidence on the treatment effect of a drug, especially when stratification of the data does not account for unforeseen variables introduced into the analysis. We report and discuss a rare case in which investigational site stratification in the pre-specified analysis method of a primary endpoint results in a loss of statistical power in the evaluation of the treatment effect due to data attrition of almost 17% of outcome data in the phase III randomized, controlled PANAMO study in critically ill COVID-19 patients. Other analyses utilizing no or different stratification (e.g., stratifying by country, region, pooling low enrollment clinical sites) evaluates 100% of patient data resulting in p-values suggesting positive treatment effect (p < 0.05). We demonstrate how this technical artifact occurs by adjustment for site-stratification within the Cox regression analysis for survival outcomes and how alternative stratification corrects this discrepancy.
Exploring Yoga Adherence, Experiences, Future Preferences and Barriers in the Medical University Community, A 6-Week Study
Authors: Nausheen Fauzia , Sheikh Shazia , Lyons Paul 
Published: May 2024

Abstract

Background
Despite yoga's known benefits for physical and mental health, studies face challenges like small samples and high attrition, especially with medical professionals showing low adherence to yoga practices.
Objectives
This study aimed to assess yoga practice adherence, participant experiences, future preferences, and its impact on participants' emotional states over a 6-week period.
Methods
the comprehensive yoga adherence program, developed and guided by a Principal Investigator (PI), a medical doctor and a certified yoga instructor, included a 30-minute instructional video and weekly motivational messages and reminders. The video, accessible on various devices, was divided into pre-yoga stretches, yogic asanas, breathing exercises, and guided meditation. The study involved 15 participants from diverse backgrounds, including medical students, staff, and faculty members (above 18 years of age). Data collection was through three surveys, focusing on daily adherence, practice frequency, reasons for missed sessions, emotional states post-practice, and future yoga practice preferences.
Results
On average, participants engaged in yoga practice four days per week, with 17% practicing daily.: 20% of participants discontinued the practice during the study. The majority reported feeling relaxed and happy after sessions, and none felt tired or bored. Common barriers to adherence included lack of time, motivation, and preference for alternative workouts. Participants expressed a strong desire to continue practicing yoga in the future, with varied preferences for virtual or in-person practice formats.
Conclusion
The study offers insights into the implementation challenges and feasibility of a comprehensive yoga adherence program. It highlights factors influencing participants' adherence and future practice preferences, contributing to effective strategies for promoting regular yoga practice and integrating it into wellness routines. The findings emphasize the need for tailored support to address diverse barriers to adherence and preferences for yoga formats. While there was significant adherence, understanding these factors is crucial for tailoring future programs to enhance participation and adherence.
Transient erythroblastopenia of childhood after Covid-19 infection: a case report
Authors: Rivetti Giulio , Abbate Fabio Giovanni , Longobardi Marialaura , Marrapodi Maria Maddalena , Lanzaro Francesca , Martino Martina Di , Vallefuoco Fara , D’Angelo Velia , Casale Maddalena , Tartaglione Immacolata , Perrotta Silverio , Roberti Domenico 
Published: May 2024

Abstract

Background
Transient erythroblastopenia of childhood (TEC) is an acquired, self-limited pure red cell aplasia that usually occurs in children 4 years old and younger. This clinical condition has been priorly described to be linked to numerous viral and immunologic mechanisms. COVID-19, caused by the coronavirus SARS-CoV-2 was initially discovered in China in December 2019. The disease quickly spread worldwide, resulting in pandemic.
Case Presentation
This report describes a new clinically relevant condition associated to COVID-19, describing a child with clinical and biochemical signs of Pure Red Blood cells aplasia and bone marrow complete absence of erythroblasts and signs of erythrophagocytosis at the bone marrow needle aspiration, resembling morphological signs such as in hemophagocytic lymphohistiocytosis (HLH), temporally associated to SARS-CoV-2 infection.
Conclusion
This report highlights a newly highlighted continuum laboratory and clinical spectrum of immune/hematological dysregulations secondary to SARS-CoV-2. SARS‐CoV‐2 infection-linked TEC has never been described in literature, but, according to our findings, should be considered in all the patients with transient erythroblastopenia without congenital red blood cell abnormalities and serology negative for major infections associated with TEC. This condition must be considered in the same spectrum of MIS-C and the inter-links among the two clinical manifestations, as well as a potential interdependence among them, should be considered in the future.
Science behind policy: Implementing a modern circumference-based body fat equation with a physical fitness threshold is associated with lower musculoskeletal injury risk
Authors: McClung Holly , Bartlett P. , Spiering Barry , Foulis Stephen , Oliver Tyler , Walker Leila , Nguyen Vy , Proctor Susan , McClung James , Taylor Kathryn 
Published: May 2024

Abstract

Background: Body composition influences physical fitness (PF) and risk of musculoskeletal injury (MSKI). Assessing the relationship between body fat (BF), PF and MSKI risk in a large diverse military population may provide evidence basis informing health-care policies, practices, and programs for military and civilian populations.
Objective: Evaluate validity of expedient methods to estimate BF (e.g., circumference-based equation (CBE) and bioelectrical impedance analysis (BIA)) and investigate relationships between BF and PF with MSKI risk in a large diverse population.
Methods: Participants were 1904 active-duty Soldiers (643 F) representing Army demographics sex, race/ethnicity (R/E) and age. PF, defined as most recent Army Combat Fitness Test (ACFT) score and incidence of MSKI were obtained from Army records. BF was determined by dual-energy x-ray absorptiometry (%BFDXA), bioelectrical impedance analysis (%BFBIA), and CBE using a 3-site (Hodgdon, %BFHE) and 1-site (Taylor-McClung, %BFTM) equations. Results were stratified by race and sex, to evaluate differences in accuracy of estimated %BF (weighted root mean squared error from %BFDXA). Associations of BF and PF with MSKI risk were evaluated with logistic regression.
Results: CBE and BIA underestimated %BF compared to %BFDXA. %BFBIA differed from %BFDXA overall and by sex. %BFTM underestimation was uniform across both sex and R/E compared to %BFDXA. Mean differences from %BFDXA by sex (M;F) were lower when measured by %BFTM (4.38; 4.59) compared to %BFHE (5.88; 4.39). Individuals had a greater likelihood of MSKI if they failed BF standards (odds ratio 1.32). Scoring ≥540 total on ACFT exhibited a 31% (95% CI: 0.52, 0.92) lower MSKI risk during the following 12 months than those with a lower score.
Conclusions: A single-site BF equation (%BFTM) maintained similar accuracy across the Soldier population by sex, age, and R/E. Implementing a PF score threshold in lieu of passing Army BF standards was associated with lower MSKI risk.
An Investigation of the Association between Parenting Style and Child’s Dental Caries
Authors: Ayoub Solafa , Finkelman Matthew D. , Swee Gerald J. , Hassan Mohammad , Loo Cheen Y. 
Published: May 2024

Abstract

To investigate the association between parenting style and child’s dental caries. Parents presenting with children for an initial exam or re-care appointment completed a demographic survey and the Parenting Styles and Dimensions Questionnaire. Child’s decayed, missing, and filled teeth (dmft) index, diet score, sex, and age were recorded, as were parent’s race, education level, and form of payment. Adjustment for confounders was done using multivariable negative binomial regression. The sample size was 210 parent/child dyads. In the multivariable analysis, parenting style and child’s dmft were not significantly associated (p > 0.05). Parents with an education level less than high school (p = 0.02) and at the high school graduate level (p = 0.008) were significantly associated with children who had higher dmft, compared to parents with a college degree or higher. Children with excellent diet scores had significantly lower dmft than children with a diet score in the “needs improvement” category (p = 0.003). There was no significant evidence that parenting style is associated with child’s dental caries. Parent’s education level and child’s diet score were significantly associated with child’s dmft, less than high school (p = 0.02) and at the level of high school graduate (p = 0.008). Pediatric dental professionals should be aware of these risk indicators.
Exploring the challenges which influence General Dental Practitioners’ participation as Educational Supervisors in Dental Foundation Training in the Southwest of England.
Authors: Mills Ian , Matabdin Hesham , Rathbone Amy , Clarry Laura , Hanks Sally 
Published: May 2024

Abstract

Introduction
The NHS dental crisis is well documented and access to dental care continues to be a major issue for many patients. Recruitment and retention of dentists and the wider team have been identified as a key factor, particularly within rural and coastal communities. Availability and geographical location of Dental Foundation Training (DFT) placements is considered to be an important element in recruiting new dental graduates to poorly served areas. However, a recent decline in the number of dentists applying to act as Educational Supervisors (ES) for DFT has been observed, which has raised concerns over the impact this could have on recruitment and NHS dental access.
Aims
The study aimed to explore specific challenges faced by ESs that may act as influencing factors to participating in DFT in Southwest England.
Design
Cohort study of existing and previous ESs, using qualitative methodology.
Methods
ESs in the six schemes of the Southwest of England participated in semi structured one-to-one interviews to explore the challenges which they faced in their role as an ES for DFT. Data underwent inductive thematic analysis.
Results
Eighteen ESs were interviewed with the main challenges identified as increasing workload, financial, recruitment process, feeling valued and the ES application process.
Conclusion
An increasing number of challenges are undermining the positive benefits of being an ES. If these are not addressed this is likely to result in continuing difficulties in the recruitment and retention of ESs. Some of these challenges can be addressed at a regional or local level, but the factors related to funding, national recruitment and the increasing educational responsibility of the ES, need to be addressed at a national level.
Ultrasonic assessment of gastric solid contents in patients undergoing upper endoscope with sedation
Authors: Wang Jing , Yu Xuan , Wang Ying , Xu JieLei , Wang Zhao , Zhang Yi 
Published: May 2024

Abstract

Background: Perioperative reflux aspiration presents a grave concern during sedation or general anesthesia, particularly when solid gastric contents prompt acute upper respiratory obstruction, potentially resulting in fatal consequences for patients. Currently, there are limited means for promptly assessing solid gastric contents in clinical settings. Therefore, this study examined the efficacy of ultrasound assessment for solid gastric contents, offering a rapid and non-invasive approach for early detection and decision-making regarding interventions.
Methods: The study included 400 patients scheduled for upper endoscopy procedures, which encompassed both gastroscope and gastroscope combined colonoscopy examinations with sedation. Ultrasound scanning of the antrum was performed while patients were positioned semi-sitting or in the right lateral decubitus (RLD) posture. The evaluation of solid gastric contentsrelied on direct visual observation during endoscopy. Gastric volume measurement occurred subsequent to endoscopic suction of gastric contents. Receiver operating characteristic curves were utilized to assess the effectiveness of ultrasonography in discerning solid contents.
Result: Seven patients undergoing gastroscope with sedation were found to have solid gastric contents. The sensitivity, specificity, positive predictive value, and negative predictive value of the ultrasound qualitative evaluation of solid contents were 85.7%, 99%, 60%, and 99.7%, respectively.
Conclusion: Solid stomach contents can be evaluated qualitatively with reasonable accuracy using ultrasonography. Additionally, in patients undergoing upper endoscopy and assessed to have solid gastric contents with ultrasound, administration of mild sedation is recommended.
Trial registration: www.chictr.org.cn (ChiCTR2100048994); registered 19/07/2021
Prospective evaluation of a novel scoring system for managing foreign body ingestion in children
Authors: Miyamoto Ryosuke , Iwayama Hideyuki , Takahashi Sae , Honma Hitoshi , Masuda Yu , Ito Yoshinori , Okumura Akihisa 
Published: May 2024

Abstract

BACKGROUND: This study aimed to evaluate a recently developed scoring system for managing foreign body ingestion in children.
METHODS: We developed a foreign-body ingestion scoring system to help residents determine the appropriate course of actionin the emergency department. The assessment items included the patient's age, mood, and gastrointestinal symptoms, as well as the type, location, and size of the ingested foreign body. The pediatric patients were divided into three categories: observation at home (Class A), pediatrician consultation (Class B), and pediatrician consultation considering contrast-enhanced CT for possible gastrointestinal injury (Class C).
RESULTS: The treatment of 158 children was evaluated using the coring system, 79 of whom had confirmed foreign body ingestion. Class A resulted in a higher rate of follow-up, whereas the rate of invasive treatment increased significantly when rated as Class B or C. Few cases of unnecessary invasive treatment arose, and the recommendations suggested by the scoring system closely matched the results obtained using the reference management algorithm.
CONCLUSIONS: The novel scoring system will be useful to residents when considering the appropriate course of action to manage foreign body ingestion in pediatric patients.