bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interactive synchrony and infants’ vagal tone as an index of emotion regulation: associations within each mother- and father-infant dyad and across dyads
Authors: Puglisi Nilo , Favez Nicolas , Rattaz Valentine , Epiney Manuella , Razurel Chantal , Tissot Hervé 
Published: December 2023

IntroductionStudies have shown that infants’ emotion regulation capacities are closely linked to the quality of parent-infant interactions. However, these links have been mostly studied in mother-infant dyads and less is known about how the quality of father-infant interactions contributes to the development of emotion regulation during infancy. In this study, we aimed to investigate the links between interactive synchrony (i.e., an index of the quality of parent-infant coordination of interactive behaviors) and infants’ vagal tone (i.e., a physiological index of emotion regulation). To understand the respective contributions of both parents, as well as the interrelations between the functioning of both dyads within a family, we observed mothers and fathers from 84 families interacting with their infants.MethodsSynchrony was assessed by using the CARE-Index; infants’ vagal tone was derived from the analysis of infants’ electrocardiograms recorded during the interactions. Moreover, to take the play’s order into account, we counterbalanced the procedure, so that approximately half of the mothers played first. We specified a first structural equation modeling (SEM) model to investigate the associations between interactive synchrony and the infants’ root mean square of successive differences (RMSSD), an index of vagal regulation, in the two successive parts of the play. We conducted a multigroup analysis in a second SEM model to investigate the associations of the first SEM model in two groups based on the order of interaction.ResultsThe results of the SEM models showed that greater synchrony was related to greater infant RMSSD within mother-infant dyads and across one dyad to the other dyad in the full sample and in the group of fathers who interacted first with the infants. The associations between synchrony and infant vagal tone within father-infant dyads never appeared to be significant, nor did any associations within each dyad and across dyads when mothers interacted first.DiscussionThis study highlights that the links between interactions and infants’ vagal tone are sensitive to family members’ interdependencies and some conditions (the order of interaction).
Effectiveness of a coordinated ambulatory care program for patients with mental disorders or multiple sclerosis: results of a prospective non-randomized controlled trial in South Germany
Authors: Seeralan Tharanya , Magaard Julia L. , Engels Alexander , Meister Ramona , Kriston Levente , Liebherz Sarah , König Hans-Helmut , Härter Martin 
Published: December 2023

BackgroundThe Psychiatry, Neurology, Psychosomatics and Psychotherapy (PNP) program of the German statutory health insurance AOK BW promotes coordinated and evidence-based specialist care with the aim of providing individualized, guideline-based outpatient care, strengthening the collaboration between health care providers, as well as reducing care costs. The purpose of this study was to evaluate its effectiveness regarding patient-reported outcomes compared to the less specialized general practitioner program (GP) and usual care (UC).Materials and methodsAOK insured patients, who were on sick leave due to a mental disorder (affective disorder, anxiety disorder, adjustment disorder, somatoform disorder, alcohol abuse disorder, schizophrenia) or multiple sclerosis were included in the prospective non-randomized controlled study. All patients either participated in the PNP program (intervention group, IG-PNP), the general practitioner program (control group, CG-GP) or usual care (control group, CG-UC). Entropy balancing was used to adjust for baseline imbalance between groups. Primary outcome was health-related quality of life, assessed by the Short-form health survey (SF-36) 12 months after diagnosis. Secondary outcomes included symptom severity, functional health, and treatment satisfaction.ResultsOf the 14,483 insured patients who were contacted, 1,104 patients participated at baseline and 725 at follow-up. The adjusted mean differences of SF-36 sum score did not significantly differ between groups: −1.89 (95%-CI = −4.60; 0.81, p = 0.170) between IG-PNP and CG-GP, and −1.42 (95%-CI = −4.05; 1.22, p = 0.293) between PNP and CG-UC. The adjusted mean differences of secondary outcomes did not differ between groups, except for a slightly higher increase of functional health in CG-UC.ConclusionWe found no evidence that the PNP program is superior to the GP program or to usual care in terms of patient-reported outcomes or treatment satisfaction. The results are limited by the low response rate. Accordingly, future studies should strive for more representative samples. To improve the program, an integration of further collaborative care elements and guideline recommendations might be useful.Clinical trial registrationDRKS (German Clinical Trials Register https://drks.de/search/en); identifier (DRKS00013114).
An assessment of primary health care costs and resource requirements in Kaduna and Kano, Nigeria
Authors: Ogundeji Yewande , Abubakar Hamza , Ezeh Uche , Hussaini Tijjani , Kamau Nelson , Love Eliza , Muñoz Rodrigo , Ongboche Paul , Opuni Marjorie , Walker Damian G. , Gilmartin Colin 
Published: December 2023

IntroductionThe availability of quality primary health care (PHC) services in Nigeria is limited. The PHC system faces significant challenges and the improvement and expansion of PHC services is constrained by low government spending on health, especially on PHC. Out-of-pocket (OOP) expenditures dominate health spending in Nigeria and the reliance on OOP payments leads to financial burdens on the poorest and most vulnerable populations. To address these challenges, the Nigerian government has implemented several legislative and policy reforms, including the National Health Insurance Authority (NHIA) Act enacted in 2022 to make health insurance mandatory for all Nigerian citizens and residents. Our study aimed to determine the costs of providing PHC services at public health facilities in Kaduna and Kano, Nigeria. We compared the actual PHC service delivery costs to the normative costs of delivering the Minimum Service Package (MSP) in the two states.MethodsWe collected primary data from 50 health facilities (25 per state), including PHC facilities—health posts, health clinics, health centers—and general hospitals. Data on facility-level recurrent costs were collected retrospectively for 2019 to estimate economic costs from the provider’s perspective. Statewide actual costs were estimated by extrapolating the PHC cost estimates at sampled health facilities, while normative costs were derived using standard treatment protocols (STPs) and the populations requiring PHC services in each state.ResultsWe found that average actual PHC costs per capita at PHC facilities—where most PHC services should be provided according to government guidelines—ranged from US$ 18.9 to US$ 28 in Kaduna and US$ 15.9 to US$ 20.4 in Kano, depending on the estimation methods used. When also considering the costs of PHC services provided at general hospitals—where approximately a third of PHC services are delivered in both states—the actual per capita costs of PHC services ranged from US$ 20 to US$ 30.6 in Kaduna and US$ 17.8 to US$ 22 in Kano. All estimates of actual PHC costs per capita were markedly lower than the normative per capita costs of delivering quality PHC services to all those who need them, projected at US$ 44.9 in Kaduna and US$ 49.5 in Kano.DiscussionBridging this resource gap would require significant increases in expenditures on PHC in both states. These results can provide useful information for ongoing discussions on the implementation of the NHIA Act including the refinement of provider payment strategies to ensure that PHC providers are remunerated fairly and that they are incentivized to provide quality PHC services.
Rates of breastfeeding initiation and duration in the United States: data insights from the 2016–2019 Pregnancy Risk Assessment Monitoring System
Authors: Diaz Laura E. , Yee Lynn M. , Feinglass Joe 
Published: December 2023

IntroductionWhile breastfeeding rates in the United States have been increasing, they remain low by international standards with substantial racial, income and education disparities. This study uses recent population-based data to analyze sociodemographic differences in breastfeeding initiation, duration, and exposure to information and education.MethodsWe used the 2016–2019 Pregnancy Risk Assessment Monitoring System (PRAMS) to compare breastfeeding duration among a representative population from 43 states and the District of Columbia. We modeled the likelihood of never initiating breastfeeding by respondent’s age, race and ethnicity, language, marital status, household income, educational attainment, parity and insurance status. We also compared sources of information and education for respondents who never breastfed to those who breastfed up to 6 months.ResultsAmong 142,643 new mother respondents, representing an estimated population of 7,426,725 birthing individuals, 12.6% never breastfed, 60.4% reported breastfeeding at 3 months and 54.7% at 6 months. While 75.8% of college graduates reported breastfeeding at 3 months, this was only 37.8% of respondents with high school or less. Among those with the lowest six-month rates were non-Hispanic Black participants (36.3%) and those age &lt; 20 (25.5%). Respondents with Medicaid coverage for their delivery were 25% more likely to have never breastfed than the privately insured. Respondents reporting household income &lt;$20,000 were 57% more likely to have never breastfed as compared to those with household income&gt;$85,000. While 64.1% of those breastfeeding at 6 months reported receiving information from “my” doctor’, this was only 13.0% of those who never breastfeed.DiscussionImproved breastfeeding rates could have significant effects on reducing health disparities in the United States. Clinical and public health policy initiatives need to include culturally sensitive breastfeeding education before and after childbirth, with psychological and direct support from obstetrics and primary care providers. Health plans should support home and community-based in-person and telelactation consulting services. Public policies such as paid family and medical leave and workplace accommodations will also be critical. Given the huge implications of breastfeeding rates on the development of infant immune defenses and a healthy microbiome, improving breastfeeding rates should be a much more important public health priority in the United States.
Stress, resilience, and moral distress among health care providers in oncology during the COVID-19 pandemic
Authors: Alrjoub Waleed , Alarjeh Ghadeer , Ammar Khawlah , Shamieh Abedalrahman , Harding Richard , Booth Christopher , Sullivan Richard , Al-ruzzieh Majeda , Mansour Asem , Shamieh Omar 
Published: December 2023

BackgroundThe coronavirus pandemic has potential implications for stress levels and resilience among oncology healthcare professionals (HCPs). This study aims to assess perceived stress, resilience, and moral distress levels among oncology HCPs in Jordan during the pandemic and identify associated risk factors.MethodsAn online cross-sectional survey was conducted among oncology HCPs in Jordan using three validated tools: Perceived Stress Scale (PSS), Connor-Davidson Resilience Scale (CD-RSIC), and Moral Distress Thermometer (MDT). Seven items were used to assess sources of stress.ResultsA total of 965 participants enrolled with a 74% response rate. The participants’ ages ranged from 20 to 74 (mean = 32.74, SD = 5.197), with 79.1% males, 45.1% were physicians, 32.6% were public hospital workers, 57.1% were married, and 56.6% had children below 18 years. Findings indicated moderate perceived stress (Mean = 15.87, SD = 5.861), low resilience (Mean = 29.18, SD = 5.197), and high moral distress (Mean = 4.72, SD = 2.564). Females, unmarried individuals, and younger age groups exhibited higher PSS (p = 0.009, p &lt; 0.001, and P&lt;0.001) and lower resilience (p = 0.024, p = 0.034, and p = 0.001). Not having children below 18 years correlated with higher perceived stress (P &lt; 0.001). In linear regression analysis, age and gender emerged as significant predictors of both perceived stress and resilience. Female participants reported stress related to the risk of contracting COVID-19 (p = 0.001), transmitting it to others (p = 0.017), social isolation (P &lt; 0.001), and having children at home due to school closures (p = 0.000). A cohort of 239 participants repeated the survey within a two-month interval, revealed a statistically significant decrease in the CD-RISC scores (p &lt; 0.001).ConclusionOncology HCPs in Jordan experienced moderate stress, high moral distress, and poor resilience during the COVID-19 pandemic. These factors may negatively affect the quality of oncology care. Urgent measures are necessary to support HCPs in coping with unforeseen circumstances in the future.
Environmental justice burden and Black-White disparities in spontaneous preterm birth in Harris County, Texas
Authors: Whitworth K. W. , Moussa I. , Salihu H. M. , Chardon Fabien A. , Suter M. , Aagaard K. M. , Symanski E. 
Published: December 2023

IntroductionGiven limited evidence of previous studies, we evaluated the role of environmental justice (EJ) burden (i.e., a neighborhood characterized by both increased environmental burden and socioeconomic deprivation) in Black-White disparities in spontaneous preterm birth (sPTB) in Harris County, Texas and compared results that evaluated neighborhood-level socioeconomic deprivation alone.MethodsWe conducted a retrospective analysis using PeriBank, a database and biospecimen repository of gravidae giving birth at two hospitals in the Texas Medical Center. We included 3,703 non-Hispanic Black and 5,475 non-Hispanic white gravidae who were U.S.-born, delivered from August 2011-December 2020, and resided in Harris County, TX. We used data from the U.S. EPA EJScreen to characterize the EJ burden of participant's zip code of residence from fine particulate matter (PM2.5), ozone, and proximity to National Priorities List (NPL) sites and calculated zip-code level Area Deprivation Index (ADI). We assessed the contribution of neighborhood-level variables to the Black-White disparity in sPTB by evaluating attenuation of the odds ratio (OR) representing the effect of race in multivariable logistic regression models, controlling for individual-level characteristics. We also conducted race-stratified analyses between each neighborhood variable and sPTB. Exposure indices were treated as continuous variables; in stratified models, ORs and 95% Confidence Intervals (CIs) are presented per 10-unit increase in the neighborhood variable.ResultsAccounting for individual-level variables, Black gravidae had 79% higher odds of sPTB than white gravidae (OR = 1.79, 95%CI = 1.32, 2.44); the disparity was moderately attenuated when accounting for EJ burden or ADI (ORs ranged from 1.58 to 1.69). Though we observed no association between any of the EJ burden indices and sPTB among white gravidae, we found increased risks among Black gravidae, with ORs of similar magnitude for each EJ variable. For example, Black gravidae experienced 17% increased odds of sPTB associated with a 10-unit increase in the EJ burden index for PM2.5 (OR = 1.17, 95%CI = 0.97, 1.40). No racial differences were observed in the association of ADI with sPTB.DiscussionThough we observed limited evidence of the contribution of living in EJ neighborhoods to the Black-White disparity in sPTB, our study suggests living in an EJ neighborhood may differentially impact Black and white gravidae.
An endoscopic-assisted contralateral paramedian supracerebellar infratentorial approach in the treatment of thalamic hemorrhage with hematoma extension into the brainstem: a case report
Authors: Sun Eryi , Lu Siyuan , Chen Bo , Wu Qi 
Published: December 2023

ObjectiveThalamic hemorrhage (TH) with hematoma extension into the brainstem can lead to poor outcomes. In this study, we discuss the feasibility of the endoscopic-assisted contralateral paramedian supracerebellar infratentorial (SCIT) approach as a therapeutic method for treating such patients.Case presentationA patient suffered from a sudden loss of consciousness and right limb weakness, and a CT scan indicated TH with hematoma extension into the brainstem. She consented to undergo surgery by the endoscopic-assisted contralateral paramedian SCIT approach.ResultsNow, the patient can open her eyes on her own and move her left arm in response to commands.ConclusionThe endoscopic-assisted contralateral paramedian SCIT approach may be a viable therapeutic method for treating TH patients with hematoma extension into the brainstem.
Los estudios de Folklore en el Instituto de Filología, a 100 años de su fundación
Authors: Palleiro María Inés 
Published: December 2023

Este artículo intenta trazar un panorama diacrónico de los estudios de Folklore en el Instituto de Filología y Literaturas Hispánicas “Dr. Amado Alonso”, a 100 años de su fundación. Su propósito es destacar aportes de prestigiosas figuras que, desde distintas perspectivas, construyeron un itinerario académico, como legado para futuras generaciones de investigadores y folkloristas. El recorrido subraya la relevancia del diálogo con otros institutos de investigación de la Argentina y del mundo dedicados a los archivos del Folklore, presente ya desde su instancia fundacional. Entre estos centros, se destaca la relevancia de los archivos del Institute of Slovenian Ethnology de Eslovenia y del Instituto de Investigaciones Lingüísticas y Filológicas “Manuel Alvar” de la Universidad Nacional de San Juan, Argentina. El itinerario diacrónico sirve como marco para revisitar una propuesta de abordaje original de los estudios de narrativa folklórica desde la genética textual, introducida en nuestro país por Ana María Barrenechea desde el Instituto de Filología. De esta propuesta, cuyos lineamientos expuse en publicaciones anteriores, presento una nueva veta, vinculada con la aproximación comparativa a matriz folklórica en archivos manuscritos y versiones orales.
Gramática, semántica y pragmática del nomás rioplatense (un pequeño homenaje a Berta Vidal de Battini)
Authors: Kornfeld Laura Malena 
Published: December 2023

Este artículo pretende homenajear a Berta Vidal de Battini recuperando una de sus observaciones lingüísticas en El español de la Argentina, en la que identifica a nomás (no más) como un adverbio que presenta usos propios, en particular en la variedad rioplatense. Partiendo de esa obra, en primer lugar caracterizamos el significado y la función gramatical del uso general de nomás, que en la Argentina se comparte. En cuanto a los usos rioplatenses, distinguimos una primera etapa (tentativamente a finales del siglo XVIII), en la que nomás presenta valor atenuador cuando se combina con palabras de naturaleza deíctica (ahí nomás) y con formas verbales en imperativo (entre nomás). En una segunda etapa (tentativamente a principios del siglo XX) surgen nuevos usos rioplatenses, en los que nomás intensifica el significado de la partícula meta (¡Meta nomás!, cfr. Pacheco, La ribera, 1910) o hace referencia a un acto enunciativo previo no necesariamente identificado (¿Le sigue doliendo, nomás?, cfr. Sánchez, Barranca abajo, 1905).
De esta forma, al concentrarnos en los sucesivos procesos de gramaticalización de nomás, que representan un caso de intersubjetivización (Traugott, 2003), esperamos realizar una contribución al estudio gramatical de las variedades argentinas del español.
Upaya Peningkatan Kebersihan Desa Melalui Edukasi Bakti Lingkungan di Desa Banjar
Authors: Sa’diyah Siti Halimatus , Ahsani Nasirudin Al , Hapidi Hapidi 
Published: December 2023

Desa Banjar merupakan salah satu desa yang terletak di kecamatan Licin Kabupaten Banyuwangi yang terdiri dari 4 Dusun yaitu Dusun Rembang, Dusun Putuk, Dusun Salakan, dan Dusun Krajan. Adapun luas wilayah desa Banjar adalah 829,46 Ha. Desa Banjar merupakan desa yang memiliki ciri khas tersendiri yakni nasi lemeng dan kopi utek. Serta desa banjar juga memiliki tempat wisata yaitu "sriwulung" yang terletak di dusun Rembang dan "agro wisata" yang terletak di dusun Putuk. Dari potensi yang cukup luar biasa yang dimiliki desa Banjar, terdapat beberapa hal yang masih perlu ditingkatkan salah satunya adalah dalam hal kebersihan. Dalam melakukan pengabdian ini kami dibantu oleh kepala desa, kepala dusun Banjar, karangtaruna, serta di bantu oleh kekompakan masyarakat dusun Rembang. Pengabdian ini bertujuan untuk meningkatkan pemahaman masyarakat tentang pentingnya menjaga kebersihan Dimana ketika masyarakat sadar lingkungan pasti dapat meningkatkan potensi yang ada di desa Banjar serta dapat menumbuhkan pertumbuhan ekonomi. Adapun hasil dari pengabdian ini adalah semakin meningkatkan kesadaran masyarakat untuk selalu menjaga kebersihan lingkungan yang tentunya meningkatakan kebersihan di desa Banjar.
Kata Kunci: Kebersihan Desa, Bakti Lingkungan, Desa Banjar
Prisoners of the Great Army in the Smolensk Province in 1812–1814
Authors: Khomchenko Sergey 
Published: December 2023

During the Patriotic War of 1812, a significant number of military personnel of Napoleon’s Great Army were captured on the territory of the Smolensk province. Many of them later lived here until the summer of 1813, after that they were transferred deeper into Russia. Later, other parties of prisoners of war were transported through the province, both to the east and, after liberation, and in the opposite direction. Some of the prisoners wished to accept Russian citizenship and connect
their future fate with our country. Previous studies on this topic were based mainly on materials from the State Archives of the Smolensk Region. In this work, the source base is expanded to include documents from the Russian State Historical Archive and
memoirs. The article clarifies the number of prisoners of war who were in the Smolensk province in 1812–1814, their ethnic composition, besides it deals with the conditions of their detention, their acceptance of citizenship, and memories of their time in captivity in the Smolensk province.