bluuebunny/crossref_metadata_2025_split huggingface dataset:
Une histoire des paysages littoraux. La baie des Anges depuis la fin de la dernière glaciation
Authors: Sivan Olivier , Guillon Sébastien , Guériel Frédéric 
Published: January 2025

À partir de carottages systématiques pratiqués dans les plaines alluviales autour de la baie des Anges, de datations carbone 14 et archéologiques, il est possible de décrire l’évolution des paysages littoraux en quatre étapes principales. Aux environs de 20 000 avant notre ère, la baie des Anges présente une végétation de steppe froide et le niveau marin est bas. Entre 16 000 et 6 500, ce dernier s’élève et les premières forêts héliophiles se développent. Au Néolithique, les vitesses de remontée marine se réduisent et les premières plaines alluviales se forment, progressivement anthropisées. Enfin, entre 4000 avant notre ère et aujourd’hui, la ligne de rivage et les basses plaines alluviales se stabilisent tandis que la végétation s’anthropise totalement. L’analyse nous fait apparaître la complexité des paramètres naturels et anthropiques qui régissent l’évolution des paysages littoraux et nous fournit une première image des liens unissant sociétés et environnement dans la baie des Anges et sa région.
Automating monitoring and evaluation data analysis by using an open-source programming language
Authors: Fouché Nadia , Mentz-Coetzee Melody 
Published: January 2025

Background: African higher education institutions lag behind their global counterparts in the number of research outputs produced. To address this shortcoming, early-career researcher development programmes play a critical role. Monitoring and evaluation (ME) are vital in assuring that such programmes deliver meaningful outcomes. However, ME is an expensive process, which is problematic in the resource-constrained context of the African continent. Traditionally, practitioners use expensive data analysis software suites such as the Statistical Package for the Social Sciences (SPSS) for analysing quantitative ME data. Although open-source programming languages such as Python are free to use, there are no libraries in Python aimed at the analyses needed for quantitative ME data, resulting in a steep learning curve for new Python users.Objectives: The objective of this article was to develop a Python library of functions to make Python a user-friendly alternative for analysing quantitative ME data.Method: A Python library of functions automating ME data analysis procedures was developed. The Python ME library was tested in this article on quantitative evaluation data of an early-career researcher development programme event and the output compared to that obtained using the SPSS general user interface (GUI).Results: The Python ME library functions produced identical results to the output produced using the SPSS GUI.Conclusion: The results showed that the Python ME library makes Python a viable, free and time-saving alternative for the analysis of quantitative ME data.Contribution: This article contributes by providing a free alternative method for analysing quantitative ME data, which can help evaluation practitioners in the developing world reduce the costs associated with evaluating capacity development programmes.
Corneal biomechanics: A diagnostic tool for differentiating high astigmatism and mild keratoconus
Authors: Razak Norsyariza , Wan Abdul Halim Wan Haslina , Mohd-Ali Bariah 
Published: January 2025

Background: High astigmatism (HA) can be misinterpreted as keratoconus (KCN), is highly prone to developing KCN and is normally reconfirmed using corneal topography.Aim: To determine the diagnostic value of corneal biomechanical parameters in distinguishing HA and normal eyes from mild KCN.Setting: This is a comparative retrospective study.Methods: This study assessed 55 eyes with mild KCN (stages I and II), 56 eyes with HA ( 2.0 DC) without KCN and 55 normal healthy eyes. Corneal biomechanical and tomography parameters were measured using the Corvis ST and Pentacam HR (Oculus Optikgeräte GmbH, Germany). Keratoconus was diagnosed through slit lamp examination and abnormal corneal tomography patterns. The Kruskal–Wallis test evaluated each parameter’s distinguishing capability, and the receiver operating characteristic curve (ROC) analyzed the ability to differentiate high astigmatism and normal eyes from mild KCN.Results: The Corvis biomechanical index (CBI) between HA and mild KCN reflected a lower area under the curve (AUC) of 0.859, with a sensitivity of 92.7% and specificity of 65.4%, than CBI between normal and mild KCN, with an AUC of 0.896. The AUC for the Belin / Ambrósio enhanced ectasia deviation index (BAD-D) was 0.993, while the tomographical and biomechanical index (TBI) achieved an AUC of 0.99.Conclusion: Scheimpflug-derived biomechanical parameters effectively differentiated suspected HA and normal corneas from mild KCN corneas, indicating that corneal stiffness decreases at the early KCN stage.Contribution: Oculus Corvis ST effectively screens for ectasia risk, enabling early detection of KCN in individuals with high astigmatism and asymmetric curvature.
How I experienced tele-intervention: Qualitative insights from persons who stutter
Authors: Hoosain Raadhiyah , Abdoola Shabnam , Krüger Esedra , Pillay Bhavani 
Published: January 2025

Background: Tele-intervention gained popularity, during the coronavirus disease 2019 (COVID-19) pandemic, prompting healthcare providers to adapt to remote service delivery. Research about stuttering treatment via tele-intervention in South Africa is limited. Speech-language therapists (SLTs) require further insights to deliver a well-supported approach for treatment of stuttering using tele-intervention, despite limitations such as technological disruptions, including loadshedding, that impact service reliability.Objectives: The study aims to explore clients’ experiences with tele-intervention for stuttering therapy, and to provide recommendations to improve service delivery.Method: Semi-structured interviews were conducted with 11 persons who stutter (PWS) recruited through purposive sampling. Written informed consent was obtained from all participants with experience in both tele-intervention and in-person treatment. Inductive thematic analysis supplemented by descriptive statistics was used to identify patterns and trends.Results: Four main themes emerged: (1) User experiences and factors shaping perceptions of tele-intervention; (2) technical infrastructure: barriers and facilitators; (3) financial and access considerations and (4) in-person treatment experience compared to tele-intervention user experience. Likert scale ratings indicated no considerable difference in preferences between tele-intervention and in-person treatment.Conclusion: Participants’ diverse experiences highlighted tele-intervention’s benefits and challenges for stuttering therapy. While limitations exist, findings inform service enhancement in South Africa, emphasising the importance of users’ perspectives in tele-intervention design.Contribution: Insights from PWS can be used in informing clinical practice, aiding SLTs in meeting the needs of PWS and guiding best practice. Tele-intervention should be integrated into a hybrid intervention model that PWS prefer.
Can a theory-based intervention lead primiparous women to decide to have a normal vaginal delivery? A randomized controlled trial
Authors: Pourashraf Rashin , Abbasi-Shavazi Masoumeh , Valiani Mahboubeh , Jambarsang Sara , Sadeghian Hossein Ali 
Published: January 2025

Introduction:
Although cesarean section (CS) plays an important role in reducing the complications and mortality of childbirth, the increase in unnecessary CSs is an indicator of the improper functioning of the health system. This study aimed to measure the effect of an educational intervention based on the theory of planned behavior (TPB) on the intention and type of delivery of primiparous pregnant women.

Materials and Methods:
This was conducted as a randomized controlled trial in Isfahan city, Iran. In total, 112 primiparous pregnant women participating in childbirth preparation classes were divided into two intervention and control groups by nonrandom sampling method. The intervention group received an educational intervention that included a combination of childbirth preparation classes based on TPB during the 16th to 38th weeks of pregnancy. The data were completed in the form of an online survey using a validated self-report questionnaire and analyzed in SPSS software version 24. The significance level of the tests was considered as P < 0.05.

Results:
The average score of attitude, subjective norms, and perceived behavioral control in the intervention group significantly increased after intervention (P < 0.05). Physicians, spouses, and parents were the most important sources of social norms for selecting the type of delivery for pregnant women in both groups before and after the intervention. There was a significant difference between the intention of women in the intervention group, before and after the intervention (P = 0.031), but no significant difference was observed between the two groups regarding the type of delivery (P = 0.556).

Conclusion:
Reconstructing childbirth preparation classes based on TPB improved the intention and other predictive structures of TPB in the intervention group, but the final behavior of the two groups regarding the type of delivery was the same. It seems that the stressful conditions of delivery, along with the final opinion of the physicians, are effective in choosing the final type of delivery.
The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
Authors: Shami Elham , Gholipour Kamal , Khayatzadeh Simin , Azami-Aghdash Saber 
Published: January 2025

BACKGROUND:
Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenges, as well as strategies.

MATERIALS AND METHOD:
The data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method.

RESULTS:
PHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID-19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information.

CONCLUSION:
The results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.
Patient communication as the missing item in clinical nursing education: A qualitative content analysis study
Authors: Moghadam Mahdieh Poodineh , Nasiri Ahmad , Mahmoudirad Gholamhossein 
Published: January 2025

Background:
One of the basic goals of nursing education is to upgrade students’ patient communication skills. In this regard, students’ experiences in relationships with patients can be the cornerstone of their knowledge. Therefore, the present study’s objective was to divulge nursing students’ experiences in communicating with patients during their study course.

Materials and Methods:
The qualitative method used in this research involved conventional content analysis. The study participants were nursing students, both undergraduate and graduate, in Iran who were selected through purposeful sampling. The research took place in 2022 at the hospital or the nursing and midwifery faculty of the Birjand University of Medical Sciences. In total, 12 interviews were conducted until data saturation was reached. The interviews were carried out in clinical settings as per the students’ preferences, where they interacted with patients. Each interview lasted 45–60 minutes, typically in one or two sessions.

Results:
Data analysis resulted in the extraction of 37 subcategories, 10 categories, and five themes. All the concepts that emerged during conventional content analysis revolved around nursing students’ experiences and were in line with the study’s objectives. The themes included sustainability of communication, divergent communication, communicational modeling, patient communication as the missing component of clinical nursing education, and communication as the essence of care.

Conclusion:
It is necessary to pay special attention to and enrich nursing educational curricula with patient communication courses and play the role of appropriate communicational models that can help greatly promote the health of patients.
The effect of intervention based on adapted mental health literacy curriculum on attitude and help-seeking intention in high school students in Iran
Authors: Saboohi Zahra , Solhi Mahnaz , Lotfi Mozhgan , Nasiri Malihe 
Published: January 2025

Background:
Adolescent mental health is a major public health concern in Iran, with 1 of every 5 adolescents suffering from a mental disorder. Mental health literacy (MHL) is an important factor in improving mental health outcomes. To address this issue, a mental health literacy school curriculum used in Canada was adapted, piloted, and evaluated for use in Iranian schools. This study examines the impact of the intervention on the attitude and help-seeking intentions of first and secondary students in Iran.

Materials and Methods:
This study is semiexperimental research that was conducted on 200 female teenagers who were studying in girls’ secondary schools in Saveh, Central part of Iran, in 2023. The participants were divided into two groups, namely, the intervention group and the control group. Both groups completed a valid and reliable questionnaire that assessed their attitude and help-seeking intention at two different time points. To evaluate the intervention’s effects, a repeated-measures analysis of variance (ANOVA) was used.

Results:
The study used the repeated-measures ANOVA to assess the changes in the mean attitude and help-seeking intention scores between the intervention and control groups. The findings indicated significant improvements in the attitude of help-seeking (P < 0.001), informal help-seeking intention (P < 0.001), and formal help-seeking intention (P < 0.001) for the intervention group as compared to the control group during the study.

Conclusion:
The adapted mental health literacy school curriculum has been used and evaluated for the first time in Iran, and it has shown a significant increase in attitude and help-seeking intention among first and secondary female students. These results need to be confirmed by further studies, which should also analyze the interrelationships between different dimensions of mental health knowledge and help-seeking practices. Keywords for this study include mental health literacy, help-seeking, attitude, and female students.
Knowledge and attitude of nursing students regarding pediatric palliative care in a teaching nursing institute
Authors: Barad Dinabndhu , Panda Kalpana , Satpathy Soumya , Jena Neelanjana , Behera Nirupama , Mustafa Syed Ghulam , Dey Jayeeta , Kumar Prusty Jami Bikrant 
Published: January 2025

Background:
According to the World Health Organization, palliative care (PC) for children involves actively caring for the child’s health, mind, and spirit and supporting the family. Pediatric palliative care (PPC) is characterized as a comprehensive strategy for both the child with a fatal illness and his or her family during their tragedy. The study aims to assess nursing students’ knowledge and attitudes regarding PPC and determine the association with selected sociodemographic variables.

Materials and Methods:
This descriptive (cross-sectional observational) study was carried out by SUM Nursing College, Bhubaneswar from November 2022 to October 2023 by using three tools (a self-structured questionnaire on sociodemographic data, a standardized questionnaire on knowledge, and a standardized questionnaire on attitude) to assess the level of knowledge and attitude among study participants toward PPC. Nursing students who have already been exposed to pediatric subjects such as B.Sc. 3rd and 4th year, GNM 2nd and 3rd year, and all nursing students of post basic B.Sc, and M.Sc., were included in the study.

Result:
Based on the investigation, it was discovered that among 223 of the total study sample, 39.5% had good knowledge, and the remaining 60.5% had poor knowledge. In addition, when the attitude of nursing students was analyzed, it was found that 54.3% of the total study sample had positive attitudes, and the remaining 45.7% had negative attitudes toward PPC.

Conclusion:
As nurses play a major role in delivering PPC, it could be included as a mandatory part in their educational curriculum. A similar study can be replicated among other healthcare professionals in several areas regarding PPC.
Application of theory of planned behavior to predictors of preconception care behavior in women of childbearing age
Authors: Nurasiah Ai , Sulaeman Endang Sutisna , Widyaningsih Vitri 
Published: January 2025

Background:
Preconception care is essential for all women of childbearing age because it is the primary key to determining future health and significantly reducing maternal and infant mortality. However, millions of women do not carry out treatment because awareness to behave is still low due to lack of intention. This study aimed to analyze the influence of the theory of planned behavior on preconception care behavior in women of childbearing age.

Materials and Methods:
This study was a quantitative analytical cross-sectional study conducted in 2023 on 341 women of childbearing age in four public health centers in Kuningan Regency, West Java, Indonesia. The sampling technique and sampling method used were the Lemeshow formula and stratified random sampling. Data were collected using a researcher-made questionnaire and analyzed using Stata software. Bivariate analysis used simple linear regression tests, and multivariate analysis used structural equation modeling.

Results:
Preconception behavior was directly and positively influenced by high intention (b = 0.33; CI 95% =0.22 to 0.45; P = 0.001), high perceived behavioral control (b = 0.23; CI 95% =0.12 to 0.35; P = 0.001), and high attitude (b = 0.22; CI 95% =0.11 to 0.36; P = 0.001). Preconception care behavior was indirectly and positively influenced by subjective norms (b = 0.11; CI 95% =0.01 to 0.21; P = 0.037), perceived behavioral control (b = 0.31; CI 95% =0.22 to 0.40; P = 0.001), and attitude (b = 0.31; CI 95% =0.22 to 0.40; P = 0.001).

Conclusion:
The theory of planned behavior has a very important role in improving preconception behavior through intentions that have an impact on health and reducing maternal and infant mortality rates by implementing strategies to develop more appropriate and effective preconception health promotion models.
Relationship between academic procrastination and academic achievement of postgraduate students
Authors: Gayary Mallika , Kalita Sima 
Published: January 2025

Background:
The current research aims to explore the correlation between academic procrastination and students’ academic achievementand to examine the impact of academic procrastination on academic performance. This study addresses the challenges linked to delaying or avoiding academic tasks, which have the potential to negatively affect students’ success in their academic pursuits.

Materials and Methods:
The present research adopts a descriptive survey design and focuses on postgraduate students from Gauhati University (Session: 2022–2023). The study sample comprises 235 postgraduate students, consisting of 117 males and 118 females, and is further categorized into 115 Arts and 120 Science students. The selection of participants was done with the help of the stratified random sampling technique. The tool employed for the data collection was a self-designed scale specifically created for assessing the academic procrastination of postgraduate students. Statistical analyses were conducted to assess the null hypotheses associated with the various objectives of the study. The tests employed included Chisquare, Pearson coefficient of correlation, and regression analysis.

Results:
According to the current study, almost all the students procrastinate academically; the only difference is that some procrastinate more, while some procrastinate less, and gender and stream of education do not influence in the level of procrastination. It is also found through the current study that academic procrastination and academic achievement have a negative but significant relationship, which indicates that when there is an increase in academic procrastination, there is a low academic achievement and vice versa.

Conclusion:
Academic procrastination and academic achievement have a negative but significant relationship, and academic procrastination is significantly influenced by academic achievement of students. Therefore, measures should be taken to solve the problem of academic procrastination.
Technology engagement in enhancing memory functionality in elderly care centers
Authors: Al-Habies Feras Ali Mohammad , Al Zaben Mamdouh Baniah Lafee , Al-Tarawneh Abdullah M.A , Al-Basal Nagham Mohammad Abu , Aldreabi Hanadi , Alorani Omar Ismail Hamzeh , Alsulaiman Hend Abdulaziz 
Published: January 2025

Background:
Studies on technology engagement among the elderly have shown that cognitive function is associated with technology engagement. However, the impact of technology engagement on elderly memory functionality has yet to be determined. The current study investigates the impact of technology engagement on memory functionality among elderly care centers in Jordan.

Materials and Method:
A descriptive longitudinal study of population consisted of 470 residents at the selected care centers aged 65 years and above from Amman, Jordan in 2024. The purposive sampling method was used in sampling the participants. A reciprocal 2-year longitudinal study of technology engagement and memory functionality. The data was collected quantitatively using “Everyday Technology Use, Episodic Memory, Executive function, Clock Drawing Test (CDT), and Cognitive Assessment” tools and qualitatively using semi-structured interviews. The data analyzed descriptively and inferentially using NVivo and SPSS 23.0.

Results:
The analyzes showed that technology engagement had longitudinal positive effects on cognitive function over 2 years. The results showed that reciprocally, greater use of technology was significantly associated with better memory performance in the following years, B (SE) =0.20, SE =0.02, P < .001. The lagged effect of technology use on executive function was significant across waves, B = .27, SE =.015, P < .001. However, the lagged effect of executive function on the use of technology was not significant, B = .00, SE =.01, P = .14.

Conclusion:
The study contributed to a clearer understanding of the impact of technology engagement on memory function.