bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring Serum Vitamin D Binding Protein Levels in Type 1 Diabetes: Assessing the Impact of Glycemic Control and Disease Duration
Authors: ÖZCAN Eda Gül , DOGAN Durmus 
Published: January 2024

Aim: Patients with type 1 diabetes mellitus (T1DM) are known to be more prone to vitamin D deficiency. Vitamin D studies in this
patient population have traditionally been performed using serum 25OHD levels. However, vitamin D binding protein (VDBP) has
been less studied. This study aims to compare serum VDBP levels in T1DM with healthy controls. It also aims to investigate the factors
affecting VDBP levels such as disease duration, HbA1c, insulin dose, and age in diabetic subjects.
Material and Methods: A research study was conducted at Çanakkale Onsekiz Mart University Health Practice and Research Hospital.
The study included 11-17 years old children with T1DM and healthy controls. Serum VDBP and 25OHD concentrations were compared
with appropriate statistical methods according to the normal distribution of relevant parameters. For the diabetic subjects, insulin doses
and duration of diabetes were recorded. Spearman’s correlation test was utilized to assess associations between continuous variables, and
regression analysis was employed to determine predictors of serum VDBP levels.
Results: The study enrolled 89 subjects, including 40 with diabetes. Serum 25OHD levels were similar in the T1DM group and control
group (17.03 IQR:12.89-22.08) and (17.62 IQR:11.68-24.48), respectively (p=0.701). However, VDBP levels were significantly lower in
the T1DM group (335 μg/ml, IQR: 199.8-517.2 μg/ml) compared to the control group (471.2 μg/ml, IQR: 368.3-533.2 μg/ml) (p < 0.015).
In the entire group, only the presence of diabetes affected VDBP levels (B=87.236, SE=34.802, p=0.014). On the other hand, HbA1c,
duration of diabetes, and insulin dose had no influence on VDBP in the diabetes group.
Conclusion: Serum VDBP levels were significantly lower in T1DM patients but in this group, disease duration, insulin dose, and
metabolic control did not affect serum VDBP levels. Serum VDBP concentrations in T1DM may be affected by other parameters rather
than metabolic parameters. Therefore, future studies should focus on addressing this knowledge gap.
Concerns of Primary Caregivers of Children with Complex Chronic Conditions in Kerala: A Qualitative Analysis
Authors: Abdulla Sajida , Pillai Hariprasad Pallipurath Gopalakrishn , Ramachandran Reshmi 
Published: January 2024

Objectives:
Exploring data on primary caregiver experiences of dealing with chronically ill children (CIC) strengthens the ability of paediatricians to improve the quality of care by detecting unmet needs in paediatric palliative care and understanding their original concerns instead of presumed needs. Hence, this study aims to identify and describe the primary concerns and challenges faced by caregivers of children with complex chronic conditions in a tertiary care hospital in Kerala.

Materials and Methods:
Primary caregivers of 25 children aged <13 years with non-malignant life-limiting illnesses, admitted to the paediatric department of a government medical college in Kerala between 1 July 2021 and 28 February 2022, underwent in-depth interviews to analyse their most worrisome issues. Thematic analysis was the method chosen for qualitative data analysis.

Results:
The main themes identified were medical issues, unmet needs, caregiver health issues, and social and financial issues. Among the medical issues, poor seizure control and infected bedsores, sleep deprivation in both patient as well as caregivers, and difficulty in maintaining the personal hygiene of patients were the major issues. Parents of almost all the CICs reported that they required diapers more than any other material or device. Maternal depression was the major caregiver health issue. The unavailability of antiepileptic drugs in peripheral health centres resulted in missing doses and undue expenses for travel to tertiary centres to obtain the same. Caregivers reported their dismay when they finally realised that they were given false hopes of a cure by different systems of medicine.

Conclusion:
The challenges faced by caregivers of children with complex chronic conditions are multifaceted. Their most problematic issues related to medical issues are the occurrence of breakthrough seizures and development of infected bedsores. The most important material hardship reported was diaper needs. Caregiver issues such as sleep deprivation and maternal depression must be identified and addressed while providing comprehensive palliative care.
The impact of leadership learning on work locus of control
Authors: Salman Dlofan , Nori Range 
Published: January 2024

The study aimed to investigate the impact of leadership learning practices on the work locus of control among heads of departments at public universities in the Kurdistan Region-Iraq. More precisely, the study concentrated on investigating the impact of selected leadership learning practices; self-managed, practice-based, and formal learning practices on work locus of control. Data were collected from 207 heads of departments from different public universities in the Kurdistan Region-Iraq. A self-administered questionnaire of three parts was sent online to the participants to collect the primary data from the sample under the research. Descriptive and inferential statistics were utilized to analyze the collected data and test the research hypotheses using SPSS (25.0). The empirical results showed a positive relationship between leadership learning practices and locus of control. The Pearson correlation analysis revealed that all three leadership learning practices (self-managed, practice-based, and formal learning) were significantly related to the locus of control. The results of regression analysis supported these findings and revealed that leadership learning practices collectively explained 24% of the variance in the locus of control. The practice-based learning and formal learning practices were found to have the strongest positive impact on locus of control, while self-managed learning had a weak and insignificant impact. Hence, it can be said that these results assert the importance of leadership learning practices in promoting individuals’ locus of control. It is also suggested that investing in formal and practice-based leadership learning programs may positively influence the individual’s locus of control, which can have significant implications for personal and professional development.

The findings indicate a positive relationship between leadership learning practices and locus of control. The Pearson correlation analysis revealed that all three leadership learning practices (self-managed, practice-based, and formal learning) were significantly related to locus of control. The results of regression analysis supported these findings and revealed that the three sub-dimensions of leadership learning practices significantly predict the locus of control, explaining 24% of the total variance. The practice-based learning and formal learning practices were found to have the strongest positive impact on locus of control, while self-managed learning had a weak and insignificant impact.
Hence, it can be said that these results assert the importance of leadership learning practices in promoting individuals’ locus of control. The study also suggests that investing in formal and practice-based leadership learning programs may positively influence the individual’s locus of control, which can have significant implications for personal and professional development.
Exploring The State of Spousal Communication among Shift Workers: A Case Study of Health Sector Workers in Cape Coast, Ghana.
Authors: Gyasi K. W. 
Published: January 2024

Purpose: The study investigated spousal communication among shift workers in the health sector in Cape Coast, Ghana. The research was aimed at examining the association between different shift-work schedule types and three spousal communication parameters: frequency, quality, and satisfaction.
Design/Methodology/Approach: This study adopted a quantitative research approach and a cross-section survey design. A survey of 128 married shift workers across three urban health facilities participated in the study. The participants responded to the questionnaire instrument and the collected data was processed through the use of quantitative tools. The researcher utilized box plots as well as analyses of variance to discuss the relationships between communication parameters and shift schedules of participants.
Findings: The researcher found that the frequency, quality, and pleasure of spousal communication might not be inherently impaired by shift work. The study also found no significant differences in schedule types between rotating and fixed shifts, nor did the direction of rotation impact quality. It is concluded that variables other than shift type may affect couples, including cultural influences, social support, and personal coping mechanisms.
Research Limitation/Implications: The findings of this research are limited to the opinions of the participants, which means that the results may not be generalized to other contexts.
Practical Implication: There is a need for hospitals to consider scheduling spouses outside the afternoon schedule since it has a significant effect on the frequency of spousal communication.
Social Implication: The study encourages reexamining shift work's effects in different cultural contexts and suggests tailored interventions to support shift workers.
Originality/Value: The study is based on the design and implementation of the researcher, and there is no evidence of publication of this work in any other journal by either the researcher or others. The work is an original piece and there is no other contributor aside from the researcher.
Multinational collaboration in solving a European Salmonella Braenderup outbreak linked to imported melons, 2021
Authors: Moore Hannah L , Aabye Martine , Hoban Ann , Rosner Bettina , Lefevre Stine K , Litrup Eva , Müller Luise , Ethelberg Steen , Simon Sandra , Balasegaram Sooria , Larkin Lesley , Jernberg Cecilia , Takkinen Johanna ,   EU/EEA/UK S. Braenderup Outbreak Investigation Group
Published: January 2024

A genomic cluster of Salmonella Braenderup ST22, a serovar of Salmonella enterica subsp. enterica which causes symptoms of gastrointestinal illness, was notified by Danish authorities to the European Centre for Disease Prevention and Control (ECDC) on 3 May 2021. By 6 July 2021, S. Braenderup outbreak cases (n = 348) had been reported from 12 countries in the European Union/European Economic Area (EU/EEA) and the United Kingdom (UK), including 68 hospitalised cases. With support from affected EU/EEA countries, and in partnership with the European Food Safety Authority (EFSA), ECDC established an international outbreak investigation team to rapidly identify the source and prevent outbreak spread. Consumption information was shared with affected countries through a standard line list, revealing that 124 of 197 cases (63%) reported having eaten (any) melons within 7 days prior to disease onset. The speed and completeness of the investigation, which identified the outbreak vehicle as galia melons imported from Honduras in June 2021, was a direct result of extensive collaboration and information sharing between countries’ national food safety and public health authorities. This article describes the outbreak and the benefits, successes, and challenges of multi-country collaboration for consideration in future large foodborne outbreaks across Europe.
Mecanismo integrado del aislamiento y análisis del hongo Pestalotiopsis
Authors: Hernández-Ramón Janet K. , Salgado-Garciglia Rafael , Herrera-Cabrera Braulio E. , Barrales-Cureño Hebert J. 
Published: January 2024

La producción de berries a nivel internacional es de gran importancia por su rentabilidad económica. En el año 2020, se obtuvo una producción de 555,514 ton con un valor económico de $10,720,443.96. Los principales Estados productores de fresa son Michoacán, Baja California y Guanajuato. A nivel mundial, se cultiva principalmente en China, Estados Unidos de América, España y México, seguidos de Turquía, Egipto, República de Corea, Japón, Polonia y Rusia. La fresa sirve como fuente de nutrientes esenciales y fitoquímicos tales como antocianinas y elagitaninos. Actualmente, existe una plaga que acecha a los cultivos de frutillas, entre ellos la fresa. Esta enfermedad de la plaga se conoce como “secadera” ocasionada por el hongo Neopestalotiopsis. En el presente trabajo se menciona la importancia de la fresa y la plaga del hongo que ocasiona pérdidas del 100%.
Estilos de Liderazgo de Daniel Goleman
Authors: Calderon-Ramírez Danna G. , Alaniz-Lara Grecia S. , Rojo-Luna Mauro Z. 
Published: January 2024

El presente trabajo explora el tema de liderazgo y sus múltiples formas bibliográficamente. Se centra en el trabajo innovador del reconocido psicólogo Daniel Goleman, quien ha identificado seis tipos distintos de liderazgo: coercitivo o autoritario, demócrata, afiliativo, visionario u orientador, timonel y entrenador. Mismos que se abordan a manera general en la siguiente infografía. En la siguiente infografía se hablará a grandes rasgos sobre los diferentes estilos de liderazgo en diversas situaciones para determinar los mejores resultados. Este documento es una lectura recomendada para cualquier persona interesada en el arte y la ciencia del liderazgo.
El impacto de los cambios en la educación en alumnos de nuevo ingreso del nivel medio superior.
Authors: Hernández Vicente Pedro Omar 
Published: January 2024

La pandemia de la Covid-19 marco un antes y un después en la forma de desarrollar y llevar la enseñanza a diversas zonas de nuestro país, el estado de Hidalgo no fue la excepción, así como encontramos zonas donde los servicios como la luz eléctrica, el internet y la telefonía celular, por mencionar algunos son muy buenos, encontramos la otra parte menos beneficiada donde los mismos servicios mencionados con anterioridad son deficientes o nulos, lo que dio como resultado entregar generaciones de estudiantes graduados con marcadas limitantes académicas y tecnológicas, lo cual hace que estos sean presas del temor al momento de enfrentarse a nuevos retos que demanda la modalidad presencial de educación.
Panorama Epidemiológico del Cáncer en menores de 20 años en México
Authors: Ramírez-Delgado Buenaventura 
Published: January 2024

Las principales causas de muerte en el mundo son las enfermedades crónicas no transmisibles, el cáncer tiene una tendencia ascendente como causa de mortalidad y una barrera importante para aumentar la esperanza de vida en todos los grupos de edad a nivel global en el siglo actual. El cáncer se considera como una enfermedad de origen multifactorial y es efecto de riesgos genéticos, ambientales, endócrinos y conductuales, esta patología es considerada por la OMS como una de las principales causas de mortalidad entre los niños y adolescentes en todo el orbe, representa una problemática de salud inminente, donde cada año se diagnostican a 400,000 niños, niñas y adolescentes de entre 0 y 19 años
Práctica de laboratorio elaboración de Yogur casero por el método semidirecto para la identificación su valor nutrimental y características organolépticas
Authors: Ramírez-Delgado Buenaventura 
Published: January 2024

El yogur es un producto lácteo que se obtiene gracias a la fermentación de la leche de vaca por acción microorganismos como el Streptococcus thermophilus y Lactobacillus bulgaricus , historiadores encontraron pruebas de la elaboración de productos lácteos fermentados desde hace más de 4000 años por lo que su consumo permaneció durante muchos años como un alimento propio del continente Asiático y Europa Central, hasta el siglo XVIII, cuando un biólogo ruso llamado Ilyich Mechnikov expuso su teoría de que el consumo de yogur era el responsable de la inusual alta esperanza de vida de los campesinos búlgaros, trabajó que logro popularizar el yogur por toda Europa y dio paso a su expansión por todo el mundo, en la actualidad es un producto catalogado dentro de los alimentos de tipo funcional, debido a sus múltiples beneficios a la flora intestinal y alto valor biológico, que actualmente es consumido en todo el mundo en todas las etapas de la vida.
Attitudes toward transgender people of Mexican university students
Authors: Lazarevich Irina , Ortiz-Hernández Luis , López-Pontigo Lydia , Aguilar-Martínez José Ramón , Hernández-Paniagua Lizbeth Alondra 
Published: January 2024

Introduction: At the national level, research on attitudes towards transgender people is incipient, especially in academic field; therefore, the present study aimed to evaluate attitudes towards transgender people among Mexican college students and their associations with sociodemographic characteristics, orientation to social dominance and egalitarianism. Methods: The sample consisted of 471 undergraduate students between 16 and 29 years old from public universities of México City and Estate of Mexico. The Scales of Attitudes towards Transgender People and of Social Dominance Orientation were applied; socioeconomic characteristics were evaluated.
Results: It was observed that college students had a medium level of acceptance towards transgender people; however, between 2% and 5% of them still maintain attitudes of rejection. Men, religious people, and participants who scored higher on social dominance orientation expressed more negative attitudes toward transgender people and less positive in activism and interest in the topic. The opposite trends were observed among participants with higher levels of egalitarianism.
Conclusions: Negative attitudes toward transgender people can contribute to a hostile environment for this population group in educational institutions. Understanding and recognizing of human diversity by college students, especially health professionals, will enable them to respect this vulnerable population in their future professional activities
Estudiar divertido y autodidacta, presencial o virtual
Authors: Olguín-Guzmán Perla V. 
Published: January 2024

En el presente ensayo se plasman estrategias, para estudiar y aprender de forma autodidacta, presencial, virtual o híbrida con hábitos de estudio, siendo el entusiasmo el mejor ingrediente, con planeación y organización del estudiante, con su principal opción la educación, utilizando alternativas virtuales y presenciales para alcanzar los contenidos de su asignatura, se ofrecen pasos concretos para ayudar al estudiante a encontrar una formación autodidacta, recibiendo la retroalimentación pertinente de sus maestros, asesores y tutores, con la perspectiva de fomentar un aprendizaje mediante tácticas y estrategias y realizarlo con dedicación, para evitar que claudique y encuentre alternativas de conocerse e identificar en el estudio su realización, fomentando en el maestro y alumno una motivación y comunicación constante en la misma frecuencia de enseñanza aprendizaje de forma interactiva y comprometida de aprender a aprender para la vida.
Una experiencia de vuelo que no has vivido
Authors: Palacios-Reyes Sandra J. 
Published: January 2024

Todas las personas soñamos con conocer nuevas ciudades o países, culturas, tradiciones, atracciones y recorrer el mundo. Anhelamos ver aquello desconocido, salir de nuestra rutina, perdernos en la naturaleza y realizar actividades diferentes o simplemente tomar un descanso fuera de nuestra ciudad o país. Una idea diferente pasa por tu cabeza en esta ocasión, ¡viajar por aire! porque es una experiencia que aún no has conocido.
El viajar en avión por primera vez es un tema que sin lugar a duda causa temor y confusión a cualquier persona que nunca ha salido de su país. Dudas y más dudas recorren nuestra cabeza, ¿dónde dirigirme al llegar al aeropuerto?, ¿qué documentos llevar?, ¿qué artículos puedo transportar?, ¿dónde dejaré mi equipaje y estará seguro? Cuando ya esté dentro del avión si tengo alguna situación personal ¿quién podrá auxiliarme?, ¿dónde debo sentarme?, etc. Todas esas cosas y más pasan por nuestra mente, queremos que llegue el día de nuestro viaje pero por el contrario no dejamos de sentir angustia ante la llegada de ese día. No te preocupes, en apoyo a todas esas situaciones que nos mantienen inquietos, he elaborado un vocabulario básico que será de gran apoyo cuando se acuda a el aeropuerto.
The Cure for Idiopathic Granulomatous Mastitis without Surgery and Steroids: One Size Does Not Fit All
Authors: TAŞDÖVEN İlhan , KAYMAZ Esin , KESKİN Emrah , BALBALOGLU Hakan , KARADENİZ ÇAKMAK Güldeniz 
Published: January 2024

Aim: Idiopathic granulomatous mastitis (IGM) is a rare inflammatory breast disease mimicking malignancy
with no consensus on the optimal treatment. We aimed to present a single-center algorithm for
IGM treatment without surgery and steroids.
Material and Methods: This study was conducted at Bülent Ecevit University Hospital, Zonguldak,
Turkey, between 2010 and 2020. A prospective database was reviewed to identify patients with biopsyproven
IGM who were managed through observation and ultrasound-guided interventions over a 10-
year period.
Results: Seventy-eight female patients with a confirmed diagnosis of IGM via reevaluation were
determined. Of these, 34.61% required ultrasound-guided abscess aspiration and 10.25% required
incisional abscess drainage without surgical resection. Complete clinical resolution was achieved within
6 months in 58.97% cases. The overall recurrence rate was 12.82%, and surgical drainage was required
in one patient. Univariate logistic regression analysis revealed no statistically significant association
between recurrence and the demographic or pathologic factors evaluated. Twenty-two (28.2%) patients
with a histopathologic diagnosis of cystic İGM who received antibiotics (doxycycline) achieved complete
resolution within 2 weeks and experienced no recurrence.
Conclusion: IGM is a self-limiting disease that resolves spontaneously independent of medical
intervention and without resection in up to 18 months. After diagnosis, surgery with or without steroids as
the first line of therapy should be replaced with close observation and ultrasound-guided interventions
according to patients’ preferences.