bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nutrient composition of meals served to adult inpatients in public hospitals in North West, South Africa
Authors: Jiyana Mantombi J. , Ncube Lindiwe J. 
Published: January 2025

Background: A high-quality meal is essential to patients’ food enjoyment and nutritional value. Patients’ health and nutritional status depend on the quality of meals provided by the hospital food service providers. Equally, patients are largely inactive and could experience energy imbalances if the ‘energy in’ exceeds the ‘energy out’, increasing the chances of the inception of obesity and obesity-related illnesses.Aim: This study assessed the nutrient content of meals served in selected public hospitals in the North West province, South Africa.Setting: The normal diet meals of four district hospitals and one regional hospital in the North West province were collected for this study.Methods: Regular adult meals for breakfast, lunch and supper including all snacks for the day were collected from five hospitals. Each edible food item was weighed and recorded on the weighed food records for later nutrient analysis using the South African-based Food Finder 3 software.Results: Meals in one hospital met Recommended Dietary Intake (RDI) (6829KJ) requirements for total energy, while in three hospitals, the requirements were exceeded, and in one hospital, meals were below RDI (5734KJ) requirements.Conclusion: Strict adherence to nutritionally adequate meals for hospitalised patients could positively influence and encourage patients to sustain healthy eating habits after discharge to prevent malnutrition.Contribution: This study provides relevant information that hospital managers can use to improve processes and procedures for dietary planning and ensure that hospital meals are nutritionally adequate.
Anti-motilities and anti-biofilm effects of Ageratum conyzoides L. methanol extract
Authors: Compaoré Eli , Compaoré Moussa , Ouédraogo Vincent , Rouamba Ablassé , Bancé Alimata , Dofini Mignini R. , Kiendrebeogo Martin 
Published: January 2025

Background: Infectious diseases are one of the leading causes of death worldwide because of antibiotic resistance. Ageratum conyzoides is one of the antimicrobial medicinal plants that is being used to fight various multi-resistant pathogenic bacteria in Burkina Faso.Aim: The aim was to promote safe medicinal use of A. conyzoides by highlighting the anti-biofilm and anti-motility effects of its methanol extract.Setting: The study was conducted at the Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.Methods: The antibacterial activities of methanol extract were evaluated by evaluating swimming, swarming and twitching motilities performed in an agar medium. The anti-biofilm effect was conducted in microtiter plates using the crystal violet method. The antioxidant and enzyme inhibition activities were evaluated using 2,2-diphényl-1-picrylhydrazyl; 2,2’-azino-bis (3-éthylbenzothiazoline-6-sulfonic acid), Ferric Reducing Antioxidant Power and conducting lipoxygenase test.Results: From the study, 100 µg/mL and 200 µg/mL of extract presented significant inhibition of P. aeruginosa and E. coli swarming motility but did not exhibit a significant effect on P. aeruginosa swimming and E. coli twitching motilities. The extract was effective in reducing biofilm formation in a concentration-dependent manner without affecting bacterial growth. In addition, the extract showed some capabilities to inhibit lipoxygenase activity and exhibit antioxidant potential, which could contribute to the control of oxidative stress-related diseases.Conclusion: From this study the anti-biofilm and anti-motility potential of the A. conyzoides extract provided the experimental background for the further development of antibacterial drugs.Contribution: This study provided additional scientific evidence to support the use of A. conyzoides in traditional medicine against bacterial infections.
Young men’s barriers to and facilitators of utilising HIV-testing services in South Africa
Authors: Ndlovu Sithembiso M.S. , Ross Andrew , Ndirangu James 
Published: January 2025

Background: In South Africa, men are less likely than women to use HIV-testing services (HTS). They are also unlikely to start and adhere to antiretroviral therapy until the virus has progressed to advanced AIDS stages.Objectives: To explore young men’s barriers to and facilitators of accessing and utilising HTS at the rural Driefontein and peri-urban Steadville Township in Ladysmith, KwaZulu-Natal (KZN) province, and to develop a comprehensive framework of care for young men to encourage and support them to utilise HTS at primary healthcare facilities.Method: This exploratory-descriptive qualitative study entailed using semi-structured interviews conducted via WhatsApp and landline audio calls with 17 young men between 18 years and 30 years of age in Steadville and Driefontein communities in KZN in September 2021. Participants were purposively and conveniently sampled, and the data were analysed thematically.Results: All participants were unmarried isiZulu African men experienced with HTS in the last 4 years. Fear of an HIV-positive test result, limited HTS knowledge, and stigma around HIV and AIDS were challenges linked to HTS utilisation. Unsafe sexual encounters, voluntary medical male circumcision, early virus-detection, having a significant other living with HIV, and HIV-status curiosity encouraged young men to utilise HTS.Conclusion: Various barriers and facilitators to HTS utilisation, are key for consideration when deriving contextual interventions acceptable to young men as efforts to raise awareness and attract and retain men in care.
Using a mobile application for antiretroviral therapy adherence in people living with HIV: A longitudinal pilot study
Authors: Caetani Rejane , Wiechmann Susana L. , Brancher Jacques D. , Oliveira Vitor H.F , Deminice Rafael 
Published: January 2025

Background: The success of HIV treatment hinges on consistent adherence to antiretroviral therapy (ART).Objectives: To conduct a longitudinal pilot study to assess the feasibility, acceptability and effectiveness of a mobile app to improve ART adherence.Method: This study included adults living with HIV and using ART, who were allocated into two groups according to their willingness to use the app: users of the mobile application for ART management (Mobile) and non-users (Control). The application was developed by the researchers, and uses an alarm system to record ART use. Adherence was also assessed using the ‘Cuestionario para la Evaluación de la Adhesión al Tratamiento Antiretroviral’ (CEAT-VIH) and the Multi-Method Tool questionnaire. Another questionnaire was administered to application users to assess acceptability. After 90 days, all the questionnaires were reapplied.Results: A significant difference in adherence was observed between the Mobile and Control groups (P = 0.04), but there was no significant difference in time (P = 0.2) or interaction (P = 0.5).Conclusion: The application was not effective in improving ART adherence and showed low viability, but was considered acceptable among the participants.
Identifying the critical management aspects for diabetic patients A qualitative study
Authors: Falahati Farshad , Alimohammadzadeh Khalil , Hosseini Seyed Mojtaba , Maher Ali , Jafari Mehrnoosh 
Published: January 2025

BACKGROUND:
Health leaders globally, especially those in Iran, bear the significant responsibility of ensuring healthcare quality for individuals with diabetes. As a result, conducting comprehensive studies to gain insights into various aspects of diabetes management and developing research-based models and strategies to improve the quantity and quality of services is crucial. This study aims to create a management model for delivering services to diabetic patients within the Iranian healthcare system.

MATERIALS AND METHODS:
This research adopts a qualitative-quantitative approach, utilizing multiple techniques to support the study’s findings. An 18-month prolonged engagement period, from July 2021 to November 2022, was established with participants, data, and stakeholders. To ensure questionnaire validity and reliability, SPSS software was employed for Cronbach’s alpha, CVI, and CVR indices. Model validation was conducted through confirmatory factor analysis using Lisrel software version 8.8, with the chi-square test confirming the model.

RESULTS:
Our research indicates that effective management of diabetic patients relies on responsive leadership, characterized by vigilant monitoring and meticulous organization. The practical application of responsive leadership in diabetes management within workplace conditions involves two key resources: human resources and financial resources, along with proficient management of information and medical technology.

CONCLUSION:
The study’s findings highlight the crucial role of influential responsive leaders in providing essential financial support to enhance diabetes care in healthcare organizations. Moreover, initiatives are needed to motivate managers and healthcare professionals to operate efficiently. Thus, the commitment to improving the quality of patient care must be deeply embedded in the organizational culture.
Association of sleep duration with overweight and obesity among school-aged children and adolescents in Pakistan—An empirical cross-sectional study
Authors: Tanveer Moazzam , Batrakoulis Alexios , Asghar Ejaz , Hohmann Andreas , Brand Serge , de Sousa Fernandes Matheus S. , Ardigò Luca P. , Badicu Georgian 
Published: January 2025

Background:
Overweight and obesity pose significant public health challenges for children and adolescents worldwide, with escalating prevalence rates in Pakistan, leading to long-term health consequences. Proximal environments, including parental, peer, school, and community influences, are pivotal in shaping children’s health behaviors during developmental stages. This study investigates the association between sleeping behaviors and overweight/obesity among Pakistani school-aged children and adolescents (9–17 years).

Materials and Methods:
A population-based cross-sectional study enrolled 4108 participants from 62 schools across randomly selected districts in central Punjab province. Overweight and obesity were determined using WHO references. Statistical analyses included Chi-square tests, Pearson correlation coefficients, and logistic regressions.

Results:
The study analyzed the prevalence and associations of sleep duration with body weight status among Pakistani school-aged children and adolescents. Significant differences were observed in sleep patterns across different school levels and sexes. Boys were more likely to be short or long sleepers compared to girls, with weekday short sleep significantly associated with lower rates of overweight (9.0% vs 14.6%, P < 0.001) and obesity (3.8% vs 2.6%, P < 0.001). On weekends, short sleep was linked to higher prevalence of overweight (9.6%, P = 0.019) and obesity (6.2%, P < 0.001) compared to normal sleepers. Linear regression revealed that weekday sleep duration (β = 0.213, P < 0.001), weekend sleep duration (β = 0.142, P < 0.001), and sleeping problems (β = 0.182, P < 0.001) were positively associated with higher body weight status, explaining 11.0% of the variance in weight status. Logistic regression indicated that short sleepers had significantly higher odds of being overweight (OR = 2.69, P < 0.001) and obese (OR = 5.65, P < 0.001) compared to normal sleepers. Long sleep also showed significant associations with overweight (OR = 2.41, P < 0.001) and obesity (OR = 1.73, P < 0.001).

Conclusions:
Sleeping behaviors emerge as significant contributors to body weight-status issues among Pakistani school-aged children and adolescents. Understanding these factors is imperative for effective policy and program development to combat childhood obesity. Targeted intervention strategies tailored to vulnerable groups are essential for public health efforts. Insights from this study provide valuable guidance for addressing this urgent health concern.
Committed care in the shadow of fear: The experiences of emergency medical services staff encountering with COVID-19 patients
Authors: Amirkhani Mehdi , Peyravi Mahmoudreza , Torabizadeh Camellia , Iman Mohammad T. , Kalyani Majid N. 
Published: January 2025

Background:
By the beginning of the coronavirus disease 2019 (COVID-19) pandemic, emergency medical services (EMSs) played a key first-line role in patients affected by this disease care. In Iran, EMSs is a main part of health system that has a substantial role in managing emerging crisis and disasters. This study aimed to investigate the experience of the EMSs staff encountering with COVID-19 patients.

Materials and Methods:
This was a descriptive qualitative study conducted on 14 EMSs staff selected by purposive sampling from August 2021 to September 2022. This study was conducted in the southern part of Iran. Data were collected using a semi-structured interview, and Graneheim, U.H. and Lundman, B. (2004) conventional content analysis method applied for their analysis MAXQDATA 2020 was used to store the interview data and codes. Till reaching data saturation, sampling was continued.

Results:
Data analysis contributed to the extraction of 783 primary codes, 15 subclasses, 4 classes, and 2 main themes, including “committed care” (with two classes of “respect to the personal identity of the patient” and “facilitators to adhere to care”) and “the bottleneck of care in the shadow of fear” (with two classes of “the fine line between fear and responsibility” and “the sacrifice in care”).

Conclusions:
Although there was a fear of encountering COVID-19 patients among the EMSs staff, they provided devotional and committed care to patients considering moral values and human principles. Health policymakers should minimize the challenges of EMSs staff encountering with emerging infectious diseases with effective planning.
The effect of telenursing follow-up on blood glycosylated hemoglobin and quality of life in the elderly with diabetes type 2
Authors: Asadi Elahe , Borhani Fariba , Abbaszadeh Abbas 
Published: January 2025

Background:
Diabetes mellitus is one of the most common and costly diseases. Telephone nursing plays an undeniable and effective role not only in reducing costs but also in providing nursing care and improving the quality of life of patients. This study was conducted with the aim of investigating the effect of telephone follow-up by a nurse on hemoglobin glycated control and the quality of life of elderly patients with diabetes type 2.

Materials and Methods:
In this clinical trial study, 90 patients with type 2 diabetes referred to the hospitals affiliated with Shahid Beheshti University of Medical Sciences in 1401–1402 were divided into two control and experimental groups (45 patients in each group) by the simple random sampling method. Data collection tools were a demographic-clinical information questionnaire and an elderly quality of life assessment questionnaire (CASP-19). Before the intervention, questionnaires were completed by the sample. The nursing follow-up test group intervention lasted for 12 weeks. In the first month, participants were contacted twice a week, and in the second and third months, they were contacted once a week by phone. Patients in the control group received only follow-up and center care. Finally, the statistical software SPSS version 21 (SPSS Inc, Chicago IL) was used for data analysis. In this study, an independent sample t-test or Mann-Whitney analysis, paired t-test or Wilcoxon test, and Analyze of Covariance (ANCOVA) test were used based on the type of variable distribution (normal or non-normal).

Results:
The results of this study showed that by adjusting the variables of weight, baseline level of the quality of life score (before the intervention), age, gender, and physical activity, the difference in the mean changes of the quality of life score in the control and intervention groups in the nurse telephone follow-up intervention was significant (P = 0.054). In addition, the difference in the mean changes of HbA1C in the control and intervention groups was significant due to the nurse’s telephone follow-up intervention (P < 0.001).

Conclusion:
The findings of this study showed that telenursing training and follow-up in the intervention group improved the quality of life and decreased hemoglobin glycosylate in the elderly with type 2 diabetes. Therefore, telenursing can be effective in improving the quality of life of the elderly with type 2 diabetes and managing its complications.
Novice nurses’ professional competence: A qualitative content analysis
Authors: Mehri Zahra , Zarshenas Ladan , Rakhshan Mahnaz , Khademian Zahra , Mehrabi Manoosh , Jamshidi Zahra 
Published: January 2025

Background:
Novice nurses comprise a significant number of health personnel who are working in health systems. The significance of acquiring professional competence by nurses entering the hospital will ensure results such as professionalizing and giving quality services. This study aimed to explain the needs, facilitating and inhibiting factors of novice nurses’ professional competence.

Materials and Methods:
This qualitative study was done using a conventional content analysis method at Shiraz University of Medical Sciences, Iran, in 2021–2022. The study participants included 15 novice nurses, supervisors, head nurses, and nurses in the departments where novice nurses operate. Participants were selected purposefully. Data were collected through 17 sessions of deep and semistructured interviews and 16 sessions of semistructured field observations until data saturation was reached.

Results:
Following data analysis, 2570 initial codes were extracted forming four subcategories, two categories, and one theme. The theme of the present study entitled “on the path to becoming a professional” included two categories “strengthening professional skills” and “committed adherence to the profession.”

Conclusion:
The concept of professional competence in novice nurses occurred through on the path to becoming a professional. This concept included strengthening professional skills and committed adherence to the profession. Policymakers and educational planners of nursing education can use the results of this study to get acquainted with this concept and develop policies and guidelines to develop professional competence. By getting familiar with the concept of novice nurses’ professional competence, facilitating and inhibiting factors can educate competent nurses.
Establishing core data elements for colorectal cancer and mapping to FHIR resources: Towards interoperable Iranian health information systems
Authors: Nopour Raoof , Nasiri Somayeh , Ahmadi Maryam , Shirkhoda Mohammad 
Published: January 2025

Background:
Colorectal cancer (CRC) has a high prevalence, threatening public health. Despite the high prevalence, there has not been a proper solution to standardize the data in this domain in Iran. Therefore, this study aims to provide a new approach to standardizing CRC data using Fast Healthcare Interoperability Resources (FHIR).

Material and Methods:
This study was conducted in five phases. First, a literature review was performed to gain the CRC core data elements based on the scientific databases and thematic websites. Second, we developed a researcher-made questionnaire with a five-choice Likert scale to gain the most important core data elements based on the opinions of specialists. Third, we leveraged the Delphi method to score these elements and develop the minimum data set (MDS) for CRC. Fourth, we used the terminologies to better perceive the concepts and thematic classification of core data elements. Fifth, we leveraged the FHIR to map the CRC core data elements to resources and standardize them.

Results:
Ten CRC data categories of classes were obtained from the literature review and Delphi, including administrative, diagnosis, therapeutic procedure, follow-up, patient referral, vital status, drug, clinical assessment, signs and symptoms, and history of conditions. The obtained resources were patient, care team, condition, family member history, medication request, adverse event, schedule, procedure, location, observation, diagnostic report, specimen, molecular sequence, genomic study, and service request.

Conclusion:
This study showed the FHIR-based standardization of the CRC data as an approach for integrating health institutions to facilitate clinical decision-making and secondary use of healthcare data.
Digital empowerment in nursing: A cross-sectional exploration of digital competencies in healthcare services among nurses
Authors: Dumbre Dipali , Upendra Sheela , Waghmare Shital , Zacharias Betsy Sara , Salve Pratik 
Published: January 2025

Background:
The impact of digital technology on healthcare is remarkable as it greatly enhances the quality of health services in developed and developing nations. By improving the accessibility of health information and streamlining service provision, technology plays a crucial role in advancing healthcare. The study objectives are to assess the level of digital competencies among staff nurses and to find the association of digital competencies with selected demographic variables.

Materials and Methods:
This cross-sectional study was done on 300 staff nurses selected by purposive sampling technique. Data collection was done using the 5-point Likert scale through an online survey. The 5-point Likert scale went from frequently (5) to never (1). To determine the factors associated with basic digital competency, a multivariable logistic regression was carried out, with a P value of less than 0.05 considered statistically significant. A 95% confidence interval, and a coefficient estimate were used to explain the strength of the association.

Result:
Out of the 300 staff nurses who were a part of the study, all of them answered, indicating a 100% response rate. The majority of the samples were from the age group of 20–25 years (61%). The majority of respondents were female (80%). The majority of the sample had an advanced level of digital competencies (53%). According to the findings of the multivariable logistic regression model, individuals between the ages of 26–30 years, gender (male), and education were found to have a significant association with digital competency, as indicated by a level of significance below 0.005.

Conclusion:
In summary, the staff nurses have advanced level of digital competency. The findings emphasize the necessity for staff nurses to strengthen their digital competency for patient care in the hospital.
Clinical learning environment: Improving cultural competence in nursing students
Authors: Putra Kuswantoro Rusca , Hany Alfrina , Vatmasari Ratih Arum , Rahmawati Ike Nesdia , Hidayah Ridhoyanti , Agse Kaista Bunga Disy , Rosyid Moch Denny , Zuhri Soniya Nailun Najah 
Published: January 2025

Background:
Nursing students undertake clinical learning during their studies. Cultural competence is a basic principle in nursing practice. The aims of this study were to determine the correlation between the clinical learning environment and cultural competence in nursing students.

Materials and Methods:
This study was cross-sectional with a sample of 396 students. Consecutive sampling was utilized in the sampling method. The instruments used were the Cultural Competence Scale for Nursing Student and the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T). The statistical analysis used is the multiple logistic regression backward method.

Results:
The results of the multiple logistic regression backward method obtained the best model, namely pedagogic and nursing care in ward (P value <0.05). The clinical learning environment has a substantial impact on the cultural competence development of nursing students.

Conclusions:
In the clinic, nursing students’ cultural competence increases proportionally to the efficacy of pedagogical learning implementation, supervision interaction, head of ward leadership style, and the application of nursing care.