bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationships between screen exposure, parent-child interactions and comprehension in 8-month-old infants: The mediating role of shared viewing and parent-child conversation
Authors: Tu Kexin , Shen Chengwei , Luo Yan , Mo Yushi , Jian Lanying , Mei Xinjie , Zhang Qiong , Jin Lifang , Qin Huiling 
Published: January 2024

Objective
To explore the relationships between screen exposure, parent-child interactions and comprehension in 8-month-old infants, and to examine whether shared viewing and parent-child conversation during screen exposure may play mediating role in that relationships.

Methods
The sample included 437 infants aged 8 months from the Children’s Health Department of Guiyang Maternal and Child Health Hospital during January 2022 to February 2023. The use of electronic screen devices was assessed using a screen exposure questionnaire. The Brigance Parent-child interactions Scale was used to assess parent-child interactions and the Putonghua Communicative Development Inventory (PCDI) scale was used to assess infants’ word comprehension.

Results
48.7% of infants were found to be using screens 1–2 days per week. There was a significant difference (p < 0.05) in the PCDI-comprehension scores of screen-exposed infants compared to non-screen-exposed infants. Shared viewing and parent-child conversation during screen exposure were positively associated with parent-child interactions (p < 0.05). Mediation analysis revealed that parent-child conversation fully mediated between screen exposure and PCDI-comprehension, but partially mediated between parent-child interactions and PCDI-comprehension.

Conclusions
Shared viewing and parent-child conversation during screen exposure may mediate between screen exposure and comprehension development. Shared viewing, parent-child conversation and parent-child interactions may be protective factors for screen exposure in comprehension development. Suggests that parents should accompany and communicate with their children when they use electronic screen devices to reduce the negative impact of screen exposure on children’s comprehension.
Pregnant women’s attitudes towards complementary and alternative medicine and the use of phytotherapy during the COVID-19 pandemic: A cross-sectional study
Authors: Durmaz Aysegul , Gun Kakasci Cigdem 
Published: January 2024

Background
Approximately 80% of individuals worldwide use various holistic complementary and alternative medicine (HCAM) methods, including herbal products, to prevent diseases and improve their general health. In this study, it was aimed to investigate complementary and alternative therapy (CAM) and the use of phytotherapy by pregnant women in the COVID-19 pandemic period.

Methods
This is a cross-sectional and descriptive study. The study included 381 women who applied to a public hospital in Türkiye and used herbal products during this pregnancy. Purposive sampling method was used. The study data were collected through “Identifying Information Form”, “Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ)” and “Information Form on the Use of Phytotherapy”. In the analysis of the study data, descriptive statistics, the one-way ANOVA and multinomial logistic regression analyses were used.

Results
The study was completed with 381 pregnant women. The average age, parity and gestational age of the pregnant women were 28.33±6.09, 2.17±0.95, 29.11±8.87, respectively. It was determined that 37.3% of pregnant women did not know the ingredients of the herbal products they used and 38.8% found them safer than the drugs. HCAMQ total mean score of the pregnant women was calculated as 34.62±16.22. It was found that the pregnant women used garlic the most (65.6%), followed by cumin (38.6%), curcuma (36.2%), and ginger (34.4%). HCAMQ total mean score was found to be lower in the pregnant women who found herbal products safer than drugs (p<0.001), who were not aware of the content of the herbal product they used (p<0.001), and who used herbal products so as to protect against COVID-19 (p = 0.041), to increase their physical resistance (p = 0.022), and to facilitate childbirth (p = 0.002). It was determined that among the pregnant women who knew the content of the herbal products they used (Odds Ratio (OR) 1.122; 1.095–1.149 95%CI; p<0.001) and who did not know (OR 1.114; 1.085–1.144 95%CI; p<0.001), as negative attitude towards HCAM increased, their status of finding traditional drugs safer increased. Among the pregnant women who used herbal products to protect against COVID-19 (OR 1.142; 1.111–1.174 95%CI; p<0.001) and to increase their physical resistance (OR 1.120; 1.094–1.147 95%CI; p<0.001), as negative attitude towards HCAM increased, their status of finding conventional drugs safer increased.

Conclusion
In today’s world where the use of herbal products and CAM has become widespread, it is important to raise the awareness of pregnant women about the benefits and harms of these practices about which there is inadequate evidence.
Developing, implementing, and evaluating the visiting Neighbors’ program in rural Appalachia: A quality improvement protocol
Authors: Piamjariyakul Ubolrat , McKenrick Susan R. , Smothers Angel , Giolzetti Angelo , Melnick Helen , Beaver Molly , Shafique Saima , Wang Kesheng , Carte Kerri J. , Grimes Brad , Haut Marc W. , Navia R. Osvaldo , Patrick Julie Hicks , Wilhelmsen Kirk 
Published: January 2024

Introduction
Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move– 3M’s) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months.

Purpose
The purpose of this paper was to describe the 3M’s Visiting Neighbors protocol steps guiding the quality improvement procedures relating to program development, implementation, and evaluation.

Methods and materials
This Visiting Neighbors study used a single-group exploratory quality improvement design. This program was tested using quality improvement standards, including collecting participant questionnaires and visit observations.

Results
Older adults (> 65 years) living alone (N = 30) participants were female (79%) with a mean age of 82.96 (SD = 7.87) years. Volunteer visitor participants (N = 10) were older adult females. Two volunteer visitors implemented each visit, guided by the 3M’s activities manual. All visits were verified as being consistently delivered (fidelity). Enrollment and retention data found the program was feasible to conduct. The older adult participants’ total program helpfulness ratings (1 to 5) were high (M = 51.27, SD = 3.77). All volunteer visitor’s program helpfulness ratings were also high (M = 51.78, SD = 3.73).

Discussion
The Visiting Neighbors program consistently engaged older Appalachian adults living alone in the 3M’s activities. The feasibility and fidelity of the 3M’s home visits were verified. The quality improvement processes included engaging the expert advisory committee and rural county stakeholders to ensure the quality of the program development, implementation, and evaluation.
Risk factors of ectopic pregnancy after in vitro fertilization-embryo transfer in Chinese population: A meta-analysis
Authors: Wang Yanbo , Chen Li , Tao Yuan , Luo Mengqian 
Published: January 2024

Background
The prevalence of ectopic pregnancy after assisted reproduction is notably high, posing a significant threat to the life safety of pregnant women. Discrepancies in published results and the lack of a comprehensive description of all risk factors have led to ongoing uncertainties concerning ectopic pregnancy after assisted reproduction.

Objective
This study aimed to understand the risk factors for ectopic pregnancy after in vitro fertilization-embryo transfer in the Chinese population and provide a reference for targeted prevention and treatment.

Methods
A comprehensive search of the China National Knowledge Infrastructure, Wang fang Database, China Science Technology Journal Database, Chinese Biomedical Literature Database, PubMed, Web of Science, and Embase was conducted to identify relevant literature on the risk factors for ectopic pregnancy in Chinese women after assisted reproductive technology in Chinese women. A meta-analysis of the included studies was performed using Stata17.

Results
Overall, 34 articles were included in the analysis. The risk factors for ectopic pregnancy after in vitro fertilization-embryo transfer in the Chinese population included a thin endometrium on the day of HCG administration and embryo transplantation, a history of ectopic pregnancy, secondary infertility, a history of induced abortion, polycystic ovary syndrome, decreased ovarian reserve, tubal factor infertility, cleavage stage embryo transfer, fresh embryo transfer, artificial cycle protocols, elevated estradiol levels on the day of human chorionic gonadotropin administration, a history of tubal surgery, two or more number of embryo transfers, previous pregnancy history, and a history of pelvic surgery.

Conclusion
This study clarified the factors influencing ectopic pregnancy after in vitro fertilization and embryo transfer in the Chinese population, focusing on high-risk groups. Targeted and personalized intervention measures should be adopted to prevent and detect the disease early to reduce its incidence and harm.

Trial registration
The protocol for this view was registered in PROSPERO (CRD42023414710).
Feasibility and metabolic outcomes of a well-formulated ketogenic diet as an adjuvant therapeutic intervention for women with stage IV metastatic breast cancer: The Keto-CARE trial
Authors: Buga Alex , Harper David G. , Sapper Teryn N. , Hyde Parker N. , Fell Brandon , Dickerson Ryan , Stoner Justen T. , Kackley Madison L. , Crabtree Christopher D. , Decker Drew D. , Robinson Bradley T. , Krystal Gerald , Binzel Katherine , Lustberg Maryam B. , Volek Jeff S. 
Published: January 2024

Purpose
Ketogenic diets may positively influence cancer through pleiotropic mechanisms, but only a few small and short-term studies have addressed feasibility and efficacy in cancer patients. The primary goals of this study were to evaluate the feasibility and the sustained metabolic effects of a personalized well-formulated ketogenic diet (WFKD) designed to achieve consistent blood beta-hydroxybutyrate (βHB) >0.5 mM in women diagnosed with stage IV metastatic breast cancer (MBC) undergoing chemotherapy.

Methods
Women (n = 20) were enrolled in a six month, two-phase, single-arm WFKD intervention (NCT03535701). Phase I was a highly-supervised, ad libitum, personalized WFKD, where women were provided with ketogenic-appropriate food daily for three months. Phase II transitioned women to a self-administered WFKD with ongoing coaching for an additional three months. Fasting capillary βHB and glucose were collected daily; weight, body composition, plasma insulin, and insulin resistance were collected at baseline, three and six months.

Results
Capillary βHB indicated women achieved nutritional ketosis (Phase I mean: 0.8 mM (n = 15); Phase II mean: 0.7 mM (n = 9)). Body weight decreased 10% after three months, primarily from body fat. Fasting plasma glucose, plasma insulin, and insulin resistance also decreased significantly after three months (p < 0.01), an effect that persisted at six months.

Conclusions
Women diagnosed with MBC undergoing chemotherapy can safely achieve and maintain nutritional ketosis, while improving body composition and insulin resistance, out to six months.
Clinical and laboratory effects of exchange transfusion in pediatric acute lymphoblastic leukemia with hyperleukocytosis
Authors: Lazuwardi Rasya Azka , Andarsini Mia Ratwita , Hernaningsih Yetti 
Published: January 2024

Background Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. Emergency complications such as hyperleukocytosis can arise as the disease develops. Exchange transfusion is one of many cytoreductive modalities to resolve the condition.
Objective To analyze the clinical and laboratory effects of exchange transfusion in childhood acute lymphoblastic leukemia patients with hyperleukocytosis.
Methods This analytical retrospective cohort study with a pre- and post-test design used secondary medical record data. The obtained characteristics were the incidences of dyspnea, tachypnea, headache, intracranial bleeding, hepatomegaly, splenomegaly, lymphadenopathy, abdominal pain, fever, pallor, nausea/vomiting, and skin or mucosal bleeding; hemoglobin, white blood cell, and platelet counts; and serum potassium, sodium, calcium, phosphate, blood urea nitrogen, and creatinine levels.
Results A total of 16 patients underwent exchange transfusion; they had significant reductions of the incidence of dyspnea, tachypnea, hepatomegaly, and pallor and significant improvement in the form of elevation of hemoglobin level and decrease in white blood cell counts (P<0.05 for all) compared to pre-treatment. The remainder of the variables were not significantly different between pre- and post-treatment, but a general decrease in all clinical manifestations except intracranial bleeding was observed.
Conclusion Exchange transfusion has the beneficial effect of resolving hyperleukocytosis and its manifestations, although correction in laboratory outcomes that remained abnormal are still needed.
Multi-criteria decision support methods for the selection of the optimum contractor: A case study of a passenger transfer centre
Authors: Łopatka Paweł , Tłuczak Agnieszka , Jadach Robert 
Published: January 2024

Purpose: The main purpose of the paper is to apply the TOPSIS method for selecting the optimal contractor for a passenger transfer center.
Methodology: The methodology is based on the use of TOPSIS, which determines the distance of decision alternatives from the ideal and anti-ideal solutions using evaluation criteria.
Results: Two different contractor rankings were obtained depending on the weights of the criteria. With equal weights, the best contractor is number 5, while with weights determined by formula (8), the best is number 4.
Theoretical Contribution: The paper contributes to the field of investment project management by demonstrating how the TOPSIS method can aid in decision-making for optimal contractor selection, thereby reducing the risk of erroneous decisions.
Practical Implications: The practical implications of this research are significant for investment projects, as the demonstrated methodology can be directly applied to the contractor selection process, potentially leading to more successful project outcomes.
Financial Performance Analysis of Local Government: A Case Study on Karanganyar Regency
Authors: Kusumawardani Adelita Faraulia , Asrihapsari Andi 
Published: January 2024

The purpose of this study is to analyze the financial ratios of the Karanganyar Local Government Budget Realization Report for the 2017-2022 fiscal year, with a quantitative descriptive method at the Local Finance Agency (BKD) of Karanganyar Regency. Data were sourced from the budget realization reports, scientific articles, and interviews. Data were collected through document analysis and interviews. The components analyzed include the financial independence ratio, financial growth ratio, effectiveness ratio of original local government revenue (PAD), and local financial efficiency ratio. This study has found a low financial independence ratio of an average of 23.62%. The average PAD growth ratio was 5.14%, local income was 1.98%, operational expenditure was 1.80%, and capital expenditure was 3.72%. The PAD effectiveness ratio was classified as very effective with an average of 107.22%, and the financial efficiency ratio showed a moderate level with an average of 87.17%. This study concludes that the financial performance of the Local Government of Karanganyar Regency needs to be improved. The researchers recommend the government diversify sources of income, evaluate project management, and utilize information technology. Thus, this study provides guidance for the Local Government of Karanganyar Regency in improving the local financial performance.
Die Prüfung der Wirkungen von Lockerungen
Authors: Guéridon Marcel 
Published: January 2024

Zusammenfassung
Vollzugslockerungen sind ein typisches Instrument der Vollzugsgestaltung. Zugleich sind Lockerungen eine sehr spezielle Form der Intervention. Sie sind nicht standardisiert oder manualisiert, es gibt keine Programmtheorie und kein übergreifendes Konzept, es gibt keine Standards zur Begleitung von Lockerungen und sie umfassen keine bestimmten Methoden oder Übungen. Zudem stehen für die Gewährung von Lockerungen erhebliche Ermessensspielräume zur Verfügung, die möglichen Zwecke sind vielfältig und die vorhandene Dokumentation ist nicht darauf ausgelegt, die Vielfältigkeit von Lockerungen abzubilden. Die üblicherweise für Interventionen angelegte Forschungs- und Evaluationslogik steht aufgrund dieser Merkmale vor erheblichen Herausforderungen. Für die verlässliche Schätzung kausaler Effekte sind daher ebenso wie für eine für die Weiterentwicklung einer nützlichen, praxisorientierten Forschung kreative Strategien und Kompromisse notwendig. Dieser Beitrag betrachtet dazu unter anderem die Grenzen üblicher Ansätze zur Effektschätzung und die inhärente Heterogenität der Wirkung von Lockerungen. Weitere Diskussionspunkte umfassen Gefährdungen einer kausalen Interpretation der Zusammenhänge von Lockerungen und verfügbaren Ergebnis- oder Erfolgskriterien, Herausforderungen für übliche Forschungsdesigns und ihre Umsetzung sowie Schwierigkeiten der Operationalisierung von Lockerungen unter Berücksichtigung der Kompatibilität zu den jeweiligen Kriterien. Anhand der Diskussion dieser wesentlichen und besonders relevanten Herausforderungen werden Ansätze vorgeschlagen, um die Validität der Forschung zur Wirksamkeit von Lockerungen zu stärken. Zentral dafür sind die Nutzung eines geeigneten Forschungsdesigns, eine differenzierte Interpretation ermittelter Zusammenhänge unter Berücksichtigung verschiedener Effektvarianten und der Vielfalt von Lockerungen, eine differenziertere Dokumentation sowie die der Fokus auf die Kompatibilität der Operationalisierung von Lockerungen und der verwendeten Ergebnis- oder Erfolgskriterien.
Photodynamic therapy empowered by nanotechnology for oral and dental science: Progress and perspectives
Authors: Yang Lei-Lei , Li Hangshuo , Liu Danfeng , Li Kaiyuan , Li Songya , Li Yuhan , Du Pengxi , Yan Miaochen , Zhang Yi , He Wei 
Published: January 2024

Abstract
Photodynamic therapy (PDT), as a noninvasive therapeutic modality, has significantly revolutionized the contemporary management of oral and dental health. Recently, PDT has witnessed significant technological advancements, especially with the introduction of biomaterials and nanotechnologies, thus highlighting its potential as a multi-functional tool in therapeutics. In this review, our objective was to provide a comprehensive overview of the advancements in nanotechnology-enhanced PDT for the treatment of oral diseases, encompassing dental caries, root canal infection, periodontal disease, peri-implant inflammation, tooth staining, and whitening, as well as precancerous lesions and tumors. Furthermore, we extensively deliberated upon the persisting challenges and prospective avenues of nanotechnology-enhanced PDT in the realm of oral diseases, which will open up new possibilities for the application of nanotechnology-enhanced PDT in clinical implementation.
Integration of the Republic of Lithuania into the European Union in the Context of the Union of Lublin: Constitutional Aspects
Authors: Sadzevičius Martynas , Višnevskaja Viktorija 
Published: January 2024

When we see the processes of globalisation taking place at the present time, and when we associate Lithuania’s integration primarily with integration into the European Union, we completely forget about the processes that took place in the 17th century when the Grand Duchy of Lithuania and the Kingdom of Poland formed a common federal aristocratic monarchy. Looking back in time and observing a certain regularity, we can apply the knowledge gained from the analysis to assess the current processes of Lithuania’s integration into the European Union, which have taken place very recently and are still ongoing, and which is a valuable experience for us in anticipating possible challenges.
The research work analyses the integration processes and the differences between the integration of the Grand Duchy of Lithuania in the Republic of the Two Nations in the context of the Lublin Union of 1569 and the integration of the Republic of Lithuania after its accession to the European Union. This theme is explored through the constitutional aspects, the changes in integration in general, the impact on the symbols of statehood - the currency, the coat of arms, the flag, the capital, and the status of the language, as well as the aspects of autonomy in the administration of justice and the regulation of customs. Integration in itself is not necessarily a process that diminishes the importance of national symbols, and this is well illustrated by the status of the language, but reverse changes, such as changes in the currency, are not excluded.
Mosque Management in Urban City: Bargaining between the Sacred and the Social Challenges
Authors: Safei Agus Ahmad , Armstrong Paul Salahuddin 
Published: January 2024

A mosque serves as a pivotal element in the structure of a Muslim community. The function of a mosque extends beyond its religious capacity as a place for worship, playing a vital role in addressing the social problems that the community faces. To explore this, the present study focuses on the strategy employed by Masjid Raya Bandung to manage and overcome various social problems around its vicinity. Utilising a descriptive-analytical approach, the present study aims to depict the existing social phenomena around Masjid Raya Bandung (The Grand Mosque of Bandung) in the Province of West Java, Indonesia, with specific research variables. Non-documentary data is obtained through participant observation and in-depth interviews. Located in the city's heart, across the city hall, a place of public gathering, the Grand Mosque of Bandung operates within a business and materialistic environment. The faced challenges include sanitation issues, unregulated street vendors tied to an informal economy, prevalent crime, covert prostitution in the vicinity, and escalating consumerism from nearby shopping centres. The study underscores the mosque as not only a spiritual oasis but also a socio-religious institution actively participating in providing solutions for various social issues within its urban setting. It is confirmed that the mosque's function is not only for ritual things but also for social activities in urban Islamic societies, particularly in managing and overcoming various social problems that surround the mosque.