bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peer-review of teaching materials in Canadian and Australian universities: A content analysis
Authors: Gandomkar Roghayeh , Rooholamini Azadeh 
Published: January 2024

BACKGROUND:
Peer-review of teaching materials (PRTM) has been considered a rigorous method to evaluate teaching performance to overcome the student evaluation's psychometric limitations and capture the complexity and multidimensionality of teaching. The current study aims to analyze the PRTM practices in Canadian and Australian universities in their faculty evaluation system.

MATERIALS AND METHODS:
This is a qualitative content analysis study in which all websites of Canadian and Australian universities (n = 46) were searched based on the experts› opinion. Data related to PRTM were extracted and analyzed employing an integrative content analysis, incorporating both inductive and deductive elements iteratively. Data were coded and then organized into subcategories and categories using a predetermined framework including the major design elements of a PRTM system. The number of universities for each subcategory was calculated.

RESULTS:
A total of 21 universities provided information on PRTM on their websites. The main features of PRTM programs were organized under the seven major design elements. Universities applied PRTM mostly (n = 11) as a summative evaluation. Between half to two-thirds of the universities did not provide information regarding the identification of the reviewers and candidates, preparation of reviewers, and logistics (how often and when) of the PRTM. Almost all universities (n = 20) defined the criteria for review in terms of teaching philosophy (n = 20), teaching activities (n = 20), teaching effectiveness (n = 19), educational leadership (n = 18), teaching scholarship (n = 17), and professional development (n = 14).

CONCLUSION:
The major design elements of PRTM, categories and subcategories offered in the current study provide a practical framework to design and implement a comprehensive and detailed PRTM system in the academic setting.
Raising patients hope in despair: The culture of nursing care of burn pain: An ethnographic study
Authors: Saadatmehr Seyed Reza , Vedadhir Abouali , Sanagoo Akram , Jouybari Leila 
Published: January 2024

BACKGROUND:
Although many studies have been carried out to address burn patients' pain and suffering, pain relief still remains an immense unsolved challenge with individual, social, and cultural aspects.

MATERIAL AND METHODS:
This study was conducted aiming to investigate and explain nursing care in burn patients. This was a semifocused ethnographic research conducted in burns units in a referral teaching hospital (Mazandaran, Iran). The data were collected through descriptive, focused, and selective participant observations and ethnographic interviews with burns unit nurses selected via a purposeful sampling method. The collected data were analyzed on the basis of James Spradley's approach.

RESULTS:
Three main categories and nine subcategories were obtained from data analysis that are as follows: 1) Bending over backward (tenacity, altruism, dedication, and conscience and constancy), 2) Prevention is worth a pound of cure (unique clinical methods, enhanced frustration tolerance through self-motivation and self-efficacy, raise patient's hope in despair), and 3) undisputed dominance of nursing art (reduced unsettling experiences, burnt and ripped body rehabilitation, patient stress management, and avoidance of false hope).

CONCLUSIONS:
Although burn nurses are under huge physical and mental pressure, they enhance patients' pain tolerance through their art of nursing, which is a collection of empirical knowledge, huge work conscience, unique clinical skills, and various therapeutic communication techniques.
Development of an educational guide for postpartum sexual health promotion: The Delphi method
Authors: Darooneh Tayebeh , Ozgoli Giti , Keshavarz Zohreh , Nasiri Malihe , Khiabani Azam , Roosta Firoozeh 
Published: January 2024

BACKGROUND:
The Promotion of sexual health has been emphasized in Sustainable Development Goals (SDGs). As a primary prevention strategy, the promotion of sexual knowledge can reduce the incidence of postnatal sexual disorders. This study aimed to develop an educational guide for postpartum sexual health promotion.

MATERIALS AND METHODS:
This qualitative study was conducted in 2021 in Tehran. The steps of developing the educational guide were based on the model of the National Institute for Health and Clinical Excellence (NICE). First, the related guidelines, books, booklets, and original articles were comprehensively reviewed. Based on the scientific evidence, the educational content was compiled. Then, the quality of this content was evaluated using the Delphi method; It was performed using expert opinions with the Appraisal of Guidelines for Research and Evaluation (AGREE) tool.

RESULTS:
The educational content was developed in three chapters as follows: basic sexual education, postpartum changes and prevalent sexual problems of this period, and strategies for solving or adapting to postpartum sexual problems. This guide was developed in two separate sections for healthcare providers and mothers. The content was of excellent quality in all 6 domains of the AGREE tool (>90%); and evaluated to be optimal in terms of scientificity, significance, and feasibility with the consensus of experts (>95%).

CONCLUSIONS:
In this research, the steps of developing a comprehensive evidence-based educational guide for sexual health services in postpartum care were described, and its content was presented. The validity of the compiled content was also confirmed.
WhatsApp-based anemia e-leaflet for young women as a media for adolescent health promotion
Authors: Lestari Lusi , Heryani Heni , Ariani Dini 
Published: January 2024

BACKGROUND:
Adolescence is the right time to intervene in overcoming anemia because it is an important period for growth and development. One of the causes of anemia is nutritional disorders, which can be caused by a lack of information about nutrition or the inability to apply the information obtained in daily life. The implementation of health promotion cannot be separated from the media. E-leaflets based on WhatsApp Messenger are one of the media that is easily accessed and understood by teenagers to reduce the number of anemia problems in young women. Therefore, this study was conducted to produce WhatsApp-based e-leaflet products as a medium for health promotion in adolescents.

MATERIALS AND METHODS:
This research is a type of research and development (RnD). The research subjects were media experts and 20 young women who met the inclusion criteria using a purposive sampling technique. Validation sheets by media experts and response questionnaires for young women were used to test the feasibility of the product. A quantitative descriptive analysis technique was applied for expert validation.

RESULTS:
The results showed that the WhatsApp-based anemia e-leaflet for young women was very feasible as media for promoting youth health based on the results of validation from media experts (96%) and small group trials (88%).

CONCLUSION:
WhatsApp-based anemia e-leaflets for young women are very appropriate as a medium for promoting adolescent health. It is recommended to do a trial in a large group and test the effectiveness of the WhatsApp-based anemia e-leaflet product for young women as a medium for promoting adolescent health.
Evaluation of risk factors for non-alcoholic fatty liver disease in India: A systematic review and meta-analysis
Authors: Kannan Suthanthira , Nelliyanil Maria , Mendagudli Roopa , Rajeshwari Swetha , Kona Chandralekha , Kundapur Rashmi , Sathyanath Shreyaswi , Kulkarni Vaman , Aggarwal Sumit 
Published: January 2024

INTRODUCTION:
NAFLD is emerging as an important cause of liver disease in India. It is estimated that 16-32% of general population in India (nearly 120 million) has NAFLD.

OBJECTIVE:
This study aimed to identify the risk factors of NAFLD and to identify the association of lifestyle (dietary and physical activity), genetic, and environmental factors with NAFLD in India.

MATERIALS AND METHODS:
A systematic literature search was conducted using an international electronic database: PubMed (MEDLINE) and Google Scholar from the date of inception 31st March 2021 to 28th September 2021. We included studies examining patients with NAFLD: Adults above 18 years of age. Studies with or without a control population were both eligible. The studies with a diagnosis of NAFLD based solely on abnormal liver tests were excluded. We tried to get unpublished data but they were not of the quality of inclusion. Meta-analysis was performed using the software STATA 14.2 (StataCorp, College Station, TX, USA). For each of the studies, the standard error was calculated using the reported number of outcomes and the sample size. A forest plot was used to graphically represent the study-specific and pooled prevalence estimates for overall and subgroup analysis.

RESULTS:
In a systematic review and meta-analysis of 8 studies including data from over 1800 individuals, we found that among components of lipid profile, LDL and HDL had a negative effects on NAFLD while triglycerides had a positive effect on NAFLD.

CONCLUSION:
Type 2 Diabetes Mellitus, Hypertension, and Obesity were the potential risk factors for NAFLD but the evidence generated was only from single studies.
Development of higher-order thinking in health profession education: A comprehensive toolkit for medical educators
Authors: Azar Nasim Gheshlaghi , Yazdani Shahram , Khoshgoftar Zohreh 
Published: January 2024

BACKGROUND:Higher-order thinking (HOT) is widely recognized as an essential objective of health profession education (HPE). Based on Lipman's three-dimensional model of thinking, we investigated strategies for the development of HOT including critical thinking (CT), creative thinking, and caring thinking in HPE in three consecutive studies. Fostering students' CT is regarded as an outcome of HPE. However, there is the limited level of consensus on educational interventions for CT development. In view of some of the controversies surrounding the development of CT skills and dispositions in HPE, the aim of this study was to determine educational interventions affecting CT development in HPE.MATERIALS AND METHOD:This study employed the best-fit framework synthesis design. The frameworks recommended by Abramiet al. were used as a basis for the synthesis. Thepriori themeswere extracted from the selected best-fit frameworks. Then, Google Scholar, PubMed, SID, and ProQuest databases were searched for the literature related to the development of CT skills and dispositions in HPE students. Derived data from the HPE literature were coded against thepriori themes, extracted from the best-fit frameworks. Interpretation and restructuring of the new themes derived from HPE literature, and the preexistingpriori themesresulted in the final framework of the interventions affecting CT development in HPE students.RESULTS:The themes extracted from the HPE studies (including reflection, discussion, simulation, role-playing, questioning, and explicit expression of CT goals in curriculum) were similar to thea priori themesderived from the studies by Abramiet al. The new themes of experiential learning, art-based learning, argument mapping, concept mapping, and creating appropriate educational atmosphere were obtained by constant comparison of the data among the studies.CONCLUSION:The comprehensive framework of CT development methods provides a toolkit for medical educators. According to the results of the current study, the mixed approach, where CT is taught as an independent track, along with the discipline-specific CT development, seems to be more effective, compared to the immersion approach. Creating learning moments in the context of practice through experiential learning is noteworthy in the development of CT skills and dispositions. Further research is needed to evaluate the efficacy of the newly developed strategies, such as art-based learning and concept mapping.
Explanation of the internet addiction model based on academic performance, academic experience, and clinical self-efficacy in nursing students: A path analysis
Authors: Khatony Alireza , Azizi Seyyed Mohsen , Janatolmakan Maryam , Jafari Faranak , Mohammadi Mohammad Mehdi 
Published: January 2024

BACKGROUND:
Internet addiction is a common disorder in nursing students, and this calls for a deeper investigation into this phenomenon and its dimensions. The aim of this study was to explain the internet addiction model based on academic performance, academic experience, and clinical self-efficacy in nursing students.

MATERIALS AND METHODS:
This study is a correlational and path analysis study that was conducted on 340 nursing students. Data collection tools included Yang's internet addiction questionnaire and self-efficacy in clinical performance scale. In this study, the academic grade point average was the measure of academic performance and the academic term was the measure of academic performance. Data were analyzed using SPSS-16 and AMOS-22 software, descriptive and analytical statistics, and structural equations.

RESULTS:
There was a significant negative correlation between clinical self-efficacy (r = −0.950, P ≤ 0.01), academic experience (r = −0.872, P ≤ 0.01), and academic performance (r = −0.654, P ≤ 0.01) with internet addiction. A negative and significant relationship was found between the internet addiction and variables of clinical self-efficacy (total effect = −0.743, P < 0.001). Model fit indices were good and acceptable.

CONCLUSIONS:
There was a negative and significant relationship between the variables of clinical self-efficacy, academic experience and academic performance, and the internet addiction. Meanwhile, the academic experience had a negative and significant effect on the internet addiction. This finding highlights the need to implement advisory and psychological interventions to reduce internet addiction, especially in students with less academic experiences.
Relationship between attention deficit hyperactive disorders with life satisfaction among medical students in city of Hail, KSA
Authors: Zafar Mubashir , Alhelali Alaa Y. S. , Alfuwis Mohamed S. M. , Alshammari Waleed Z. Al-logan 
Published: January 2024

BACKGROUND:
Attention deficit hyperactive disorder (ADHD) begins in childhood, and its symptoms persist into adulthood. Students with ADHD symptoms will be at increased risk of antisocial behavior, depression, and loss of inhibition. This study determines the relationship between ADHD and life satisfaction level among medical students in the city of Hail, KSA.

MATERIALS AND METHODS:
This is a cross-sectional study that was conducted in a public-sector medical college. A total of 200 students were recruited through stratified cluster sampling. Validated, structured scales of ADHD and life satisfaction were used, and known psychiatric disorders among students were excluded from the study. Correlation and linear regression analyses were used to determine the relationship between ADHD and life satisfaction and identify the determinants of ADHD. P value < 0.05 was considered statistically significant.

RESULT:
The prevalence rate of ADHD among medical students was 33.3%. Female gender, third-year academic year student, and 21–26-year-old age group were the high-risk groups of ADHD. Inattention (r = -0.263, P value -0.000) and hyperactivity (r = -0.260, P value 0.000) were significantly correlated with life satisfaction level, with 92% of the variability in life satisfaction determined by inattention and hyperactivity.

CONCLUSION:
The burden of ADHD is high among medical students, and it negatively correlates with life satisfaction level. Students' academic and social functioning was affected due to ADHD. There is a need to address this issue with early diagnosis and management of this disorder.
Prevalence of ADHD and factors for parent's participation in the care of children with ADHD, Yasothon, Thailand
Authors: Arrirak Narisara , Sombuteyotha Kemika , Bourneow Chaiwut , Namwong Thanom , Glangkarn Sumattana 
Published: January 2024

BACKGROUND:Attention deficit hyperactivity disorder (ADHD) is a mental health disorder commonly observed in children. Parents' participation in the care (PPC) of children with ADHD (C-ADHD) is especially important to promote support care and treatment. We estimated the prevalence of C-ADHD and identified the factors for the PPC of C-ADHD.METHODS AND MATERIALS:A cross-sectional analytic study was conducted on parents and grade-one students in five primary schools, Muang district, Yasothon, Thailand. The study was conducted from March to June 2022. Data were collected using the screening test of SNAP-IV Thai version and by interviewing child psychiatrists and parents. Descriptive statistics were used to summarize the demographic data and prevalence of C-ADHD. Unconditional multiple logistic regression was used to identify predictive statistical model for the PPC of C-ADHD.RESULTS:Four hundred sixty-four students were screened by SNAP-IV, of which 30 students were confirmed as ADHD (6.5% [95% confidence interval [CI]: 4.4–9.1]), with 9.1% boys and 3.6% girls. Four factors associated with the PPC of C-ADHD significantly including male (ORadj: 2.5, 95% CI: 1.4–4.4), single divorce status (ORadj: 2.1, 95% CI: 1.1–4.2), income more than 15,000 baht (ORadj: 3.1, 95% CI: 1.8–5.1), and attitude level during middle-high (ORadj: 8.4, 95% CI: 5.0–14.2). Predictive factors of four variables can be used to implement the policy to improve the healthcare system, prevention, and PPC of C-ADHD.
Comparison of the effectiveness of lifestyle interventions and multi-interventional therapy on biochemical parameters of metabolic syndrome among women
Authors: Elizabeth A J , Aruna J , Mercy P J 
Published: January 2024

BACKGROUND:
Metabolic syndrome is one of the emerging health issues in developing countries. It includes diabetes, high blood pressure, obesity, and elevated blood cholesterol. This study aimed to compare the effects of two different types of interventions: multi-interventional therapy (MIT) and lifestyle interventions (LIs) on high-density lipoprotein (HDL), triglycerides, and fasting blood sugar (FBS) among women with metabolic syndrome.

MATERIALS AND METHODS:
The study used a quasi-experimental nonequivalent control group design with two experimental groups and one control group. This study was conducted among self-help group women from nine area development societies (ADS) in a selected area in South India from March 1, 2019, to February 28, 2020. Women (aged between 35 and 55 years) with metabolic syndrome were recruited by multistage sampling (N = 220) and randomly assigned into three groups: (a) control, (b) MIT (intervention 1), and (c) LIs (intervention 2). Reflexology foot massage, dietary modification, moderate-intensity exercise, and structured education were given to the MIT group and dietary modification, moderate-intensity exercise, and structured education were given to the LI group for 12 weeks. The control group received routine care. A demographic and clinical data sheet is used to collect the basic information. Biochemical variables (HDL, triglycerides, and FBS) were assessed before and after the intervention. The data obtained from the study were computed using a frequency distribution to describe the demographic characteristics, and a Chi-square (x2) test was conducted to find the homogeneity. Both parametric and nonparametric tests were conducted for the comparison of the effectiveness of different methods of interventions on biochemical parameters of metabolic syndrome.

RESULTS:
Women who received MIT and LI had significantly lower values of HDL, triglycerides, and FBS after the treatment from baseline and compared with the control group. The study found a significant improvement in the biochemical parameters in the MIT group as compared to the control group and the LI group (<0.001).

CONCLUSION:
Paired t-test shows significant improvement in HDL, triglycerides, and FBS (P < 0.001) in both the LI and MIT groups. In case of triglycerides, MIT was found to be more effective (P < 0.001). Both MIT and LIs can be considered interventions for reducing triglycerides and FBS and increasing HDL.
Prevalence of anemia and comparison of perinatal outcomes among anemic and nonanemic mothers
Authors: Charan Gopal Singh , Kalia Raman , Khurana Mandeep Singh 
Published: January 2024

BACKGROUND:
The prevalence of anemia is a significant public health challenge. Approximately half of all pregnant women in India experience anemia during pregnancy. This study aims to determine the prevalence of anemia and perinatal outcomes among anemic and nonanemic pregnant mothers.

MATERIALS AND METHODS:
The quantitative research approach was adopted using a descriptive comparative design. The study was conducted in the Obstetrics and Gynecology and Pediatric departments of a tertiary care hospital. Hemoglobin (Hb) was recorded using antenatal records of pregnant mothers in their III trimester. Based on their Hb level, subjects were divided into two groups, anemic and nonanemic as per World Health Organization criteria. The subjects were followed up until the first week after birth.

RESULTS:
The prevalence of anemia was 48% [N = 410]; 70.6% had mild, 13.7% had moderate, and 15.7% had severe. The anemic group had a significantly higher incidence of low birthweight (30.9% vs 10.3%, P = 0.001) and preterm births (24.2% vs 3.2%, P = 0.001) compared to the nonanemic group. Additionally, there were significant differences in various quantitative perinatal parameters such as weight (P = 0.001), length (P = 0.001), head circumference (P = 0.001), chest circumference (P = 0.034), APGAR score at one minute (P = 0.022), and APGAR score at five minutes (P = 0.001) between the anemic and nonanemic.

CONCLUSION:
The maternal anemia is associated with increased risk of unfavorable perinatal outcomes. Identifying and managing anemia among pregnant women is critical to minimize adverse outcomes. Adequate antenatal care can play a significant role in preventing avoidable complications associated with anemia during the third trimester.
A cross-sectional study to identify the perception of children regarding paternal involvement in child rearing
Authors: Shaharban Fathimath , Benazeera  , Aranha Priya Reshma 
Published: January 2024

BACKGROUND:
Child rearing is a generic term that refers to the upbringing of children by providing them with food, shelter, and clothing and encircled with socialization, shaping their personality, character, talents, cultural and moral values as well as their physical and emotional well-being. Research studies in India indicate that fathers are participating in children's lives in many ways, and are far from being uninvolved.

MATERIALS AND METHODS:
This was a cross-sectional study conducted among school-going children aged between 11-15 years at a selected school, Mangaluru in January 2022. Ninety-six study participants were recruited using a disproportionate stratified random sampling technique. Data were collected using a self-structured four-point Likert scale under six domains. The obtained data were analyzed using descriptive and inferential statistics.

RESULTS:
The study results revealed that 84.6% had poor perception and 16.4% had good perception regarding paternal involvement in child-rearing. There was a significant association found between the educational status of the father and the type of family with perception score, at P < 0.05 level of significance.

CONCLUSION:
This study concluded that, even though fathers are more contributing, the children of the newer generation could not understand their father's involvement in their lives.