bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship between patient empowerment and related constructs, affective symptoms and quality of life in patients with type 2 diabetes: a systematic review and meta-analysis
Authors: Duarte-Díaz Andrea , Perestelo-Pérez Lilisbeth , Rivero-Santana Amado , Peñate Wenceslao , Álvarez-Pérez Yolanda , Ramos-García Vanesa , González-Pacheco Himar , Goya-Arteaga Libertad , de Bonis-Braun Miriam , González-Martín Silvia , Ramallo-Fariña Yolanda , Carrion Carme , Serrano-Aguilar Pedro 
Published: April 2023

IntroductionThe aim of this systematic review is to assess the relationship between patient empowerment and other empowerment-related constructs, and affective symptoms and quality of life in patients with type 2 diabetes.MethodsA systematic review of the literature was conducted, according to the PRISMA guidelines. Studies addressing adult patients with type 2 diabetes and reporting the association between empowerment-related constructs and subjective measures of anxiety, depression and distress, as well as self-reported quality of life were included. The following electronic databases were consulted from inception to July 2022: Medline, Embase, PsycINFO, and Cochrane Library. The methodological quality of the included studies was analyzed using validated tools adapted to each study design. Meta-analyses of correlations were performed using an inverse variance restricted maximum likelihood random-effects.ResultsThe initial search yielded 2463 references and seventy-one studies were finally included. We found a weak-to-moderate inverse association between patient empowerment-related constructs and both anxiety (r = −0.22) and depression (r = −0.29). Moreover, empowerment-related constructs were moderately negatively correlated with distress (r = −0.31) and moderately positively correlated with general quality of life (r = 0.32). Small associations between empowerment-related constructs and both mental (r = 0.23) and physical quality of life (r = 0.13) were also reported.DiscussionThis evidence is mostly from cross-sectional studies. High-quality prospective studies are needed not only to better understand the role of patient empowerment but to assess causal associations. The results of the study highlight the importance of patient empowerment and other empowerment-related constructs such as self-efficacy or perceived control in diabetes care. Thus, they should be considered in the design, development and implementation of effective interventions and policies aimed at improving psychosocial outcomes in patients with type 2 diabetes.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192429, identifier CRD42020192429.
Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States
Authors: Gray Aaliyah , Fisher Celia B. 
Published: April 2023

IntroductionCompared to other-race peers, Black women are disproportionately impacted by human papillomavirus [HPV] infection, related health outcomes, and cervical cancer mortality as a result of suboptimal HPV vaccine uptake during adolescence. Few studies in the United States have examined psychosocial determinants of HPV vaccine acceptability and hesitancy among Black parents. The current study integrated the health belief model and the theory of planned behavior to evaluate the extent to which psychosocial factors are associated with pediatric HPV vaccination intentions among this population.MethodsBlack mothers (N = 402; age range = 25 to 69 years, M = 37.45, SD = 7.88) of daughters ages 9 to 15 years completed an online survey assessing HPV infection and vaccine beliefs and attitudes across four domains: Mother’s HPV Perceptions, Mother’s Vaccine Attitudes, Cues to Action, and Perceived Barriers to HPV Vaccination. Participants indicated their willingness to vaccinate their daughter on a 5-level ordinal scale (“I will definitely not have my daughter get the vaccine” to “I will definitely have my daughter get the vaccine”) which was dichotomously recoded for binomial logistic regressions.ResultsHalf of the sample (48%) intended to vaccinate their daughter. Number of daughters, mother’s HPV vaccine status, perceived HPV vaccine benefits, HPV vaccine safety concerns, pediatric HPV vaccine peer norms, and doctor recommendations emerged as independent factors of Black mothers’ intentions to vaccinate their daughters against HPV when controlling for all other factors.DiscussionIn addition to medical training to increase doctor recommendation of the HPV vaccine for Black girls, population-tailored public health messaging aimed at promoting HPV vaccine acceptance among Black mothers is urgently needed. This messaging should engage community support and emphasize the benefits of vaccination for adolescent Black girls while also addressing parental concerns regarding the safety of pediatric HPV vaccination.
Prevalence, incidence, and mortality rates of breast cancer in Kazakhstan: data from the Unified National Electronic Health System, 2014–2019
Authors: Midlenko Anna , Mussina Kamilla , Zhakhina Gulnur , Sakko Yesbolat , Rashidova Gyunel , Saktashev Bolat , Adilbay Dauren , Shatkovskaya Oxana , Gaipov Abduzhappar 
Published: April 2023

BackgroundAlthough there are numerous sources of epidemiologic information on breast cancer in Kazakhstan, none of them have specifically examined the burden of this disease. Therefore, this article aims to provide an overview of the breast cancer prevalence, incidence, mortality, and distribution and changes over time in Kazakhstan based on nationwide large-scale healthcare data from the National Registry in order to encourage more research on the impact of various diseases at the regional and national levels.MethodsThe study cohort included all adult women older than 25 years who were diagnosed with breast cancer in any clinical setting of the Republic of Kazakhstan during the period of 2014–2019. The data were extracted from the Unified Nationwide Electronic Health System (UNEHS) to get an overview of descriptive statistics, incidence, prevalence, and mortality rate calculations and the Cox proportional hazards regression model. All survival functions and factors associated with mortality were tested for significance.ResultsThe cohort population (n = 55,465) comprised subjects with the age at the diagnosis of breast cancer from 25 to 97 years, with a mean of 55.7 ± 12.0 years. The majority of the study population belonged to the age group 45–59 years, which is 44.8% of the cohort. The all-cause mortality rate of the cohort is 16%. The prevalence rate increased from 30.4 per 10,000 population in 2014 to 50.6 in 2019. The incidence rate varied from 4.5 per 10,000 population in 2015 to 7.3 in 2016. Mortality rates were stable and high in the senile age patients (75–89 years old). Breast cancer mortality was positively associated with women who had been diagnosed with diabetes, HR 1.2 (95% CI, 1.1–2.3), whereas it was negatively associated with arterial hypertension, HR 0.4 (95% CI, 0.4–0.5).ConclusionOverall, Kazakhstan is experiencing an increase in the incidence of breast cancer cases, but the mortality rate has started to decline. The switch to population mammography screening could reduce the breast cancer mortality rate. These findings should be utilized to help Kazakhstan determine what cancer control priorities should be utilized, including the need to implement efficient and affordable screening and prevention programs.
Development of a toolkit to improve interprofessional collaboration and integration in primary care using qualitative interviews and co-design workshops
Authors: Sirimsi Muhammed Mustafa , De Loof Hans , Van den Broeck Kris , De Vliegher Kristel , Van Royen Paul , Pype Peter , Driessens Kristel , Verté Emily , Remmen Roy , Van Bogaert Peter 
Published: April 2023

BackgroundDespite numerous attempts to improve interprofessional collaboration and integration (IPCI) in primary care, patients, care providers, researchers, and governments are still looking for tools and guidance to do this more efficiently. To address these issues, we decided to develop a generic toolkit, based on sociocracy and psychological safety principles, to guide care providers in their collaboration within and outside their practice. Finally, we reasoned that, in order to obtain integrated primary care, different strategies should be combined.MethodsDevelopment of the toolkit consisted of a multiyear co-development process. Data originating from 65 care providers, through 13 in-depth interviews and five focus groups were analysed and subsequently evaluated in eight co-design workshop sessions, organised with a total of 40 academics, lecturers, care providers and members of the Flemish patient association. Findings from the qualitative interviews and co-design workshops were gradually, and inductively adapted and transformed into the content for the IPCI toolkit.ResultsTen themes were identified: (i) awareness of the importance of interprofessional collaboration, (ii) the need for a self-assessment tool to measure team performance, (iii) preparing a team to use the toolkit, (iv) enhancing psychological safety, (v) developing and determining consultation techniques, (vi) shared decision making, (vii) developing workgroups to tackle specific (neighbourhood) problems, (viii) how to work patient-centred, (ix) how to integrate a new team member, and (x) getting ready to implement the IPCI toolkit. From these themes, we developed a generic toolkit, consisting of eight modules.ConclusionIn this paper, we describe the multiyear co-development process of a generic toolkit for the improvement of interprofessional collaboration. Inspired by a mix of interventions from in and outside healthcare, a modular open toolkit was produced that includes aspects of Sociocracy, concepts as psychological safety, a self-assessment tool and other modules concerned with meetings, decision-making, integrating new team members and population health. Upon implementation, evaluation and further development and improvement, this compounded intervention should have a beneficial effect on the complex problem of interprofessional collaboration in primary care.
Patient satisfaction with access, affordability and quality of diabetes care at Mohalla Clinics in Delhi, India
Authors: Sharma Meenu Grover , Grover Anu , Shekhawat Kusum , Popli Harvinder 
Published: April 2023

IntroductionMohalla Clinics have been set up to provide curative care for minor ailments free of cost within walking distance in the urban slums, thus making primary care more accessible and affordable. Studies evaluating patient satisfaction with treatment of chronic conditions, such as diabetes, in these clinics are lacking.MethodsA survey of 400 type 2 diabetes patients was conducted, split equally between Mohalla clinics (MC) and Private clinics (PC) in Delhi. Responses were analyzed using STATA17, applying appropriate statistical tests for the data type (Chi-square test, Mann–Whitney U test, Wilcoxon signed rank test, or two-sample t test).ResultsSatisfaction level was high in both groups with no significant difference between mean satisfaction scores of MC patients and PC patients (Mean 3.79 vs. 3.85 respectively, p = 0.4). However, MC patients reported a significant improvement in their satisfaction score after switching to MC (Mean 3.79 vs. 3.3 for the previous facility, p &lt; 0.05). Physician interaction with the patients was the most important factor in influencing the satisfaction score. Proximity to the clinic was the second most important factor for MC patients but was not as important for PC patients. Surprisingly, treatment success was considered an important factor for satisfaction level by &lt; 10% MC and &lt; 20% PC patients only, pointing to the need for patient education across both the groups. None of the MC patients mentioned free treatment as a contributory factor to high satisfaction, perhaps because most shifted from a government setup to MC. PC patients had more frequent follow-up visits and blood glucose monitoring, and longer consultation duration compared to MC patients, which were offset by access factors, thus not causing much difference to the satisfaction score between the two groups.ConclusionMohalla clinics are making diabetes treatment accessible and affordable for the marginalized population of Delhi, despite not being designed or fully equipped to care for chronic diseases such as diabetes that require multi-specialty care to monitor and manage multiple co-morbidities and long-term complications. Positive perception of physician interaction and convenient location of the clinics are the two major contributors to the high satisfaction patients expressed with diabetes care at these clinics.
Mapping warming reefs—An application of multibeam acoustic water column analysis to define threatened abalone habitat
Authors: Lucieer Vanessa , Flukes Emma , Keane John P. , Ling Scott D. , Nau Amy W. , Shelamoff Victor 
Published: April 2023

Robust definition of the spatial extent of seafloor habitats and how they may be changing through time is a holy grail for ecosystem management, particularly if an ecosystem is approaching a tipping point beyond which irreversible changes may occur. Here we generate and explore a new data set for the management of warming reefs in eastern Tasmania, Australia that will significantly improve the baseline maps required for fine-scaled spatial modelling and management that is, both robust at regional scales and is highly resolved within the water column. This procedure enabled the relative density of kelp vegetation to be identified in a region that is being overwhelmed by the range extension of a destructive grazer, the Longspined Sea Urchin, Centrostephanus rodgersii. We present a new online tool to visualize multibeam water column acoustic data as surfaces of kelp density at high resolution (50 cm) scale over seafloor terrain maps (spanning a total straight-line distance of 594 km and a total area of 29.14 km2) to reveal the types of reef structure on the East Coast of Tasmania where abalone habitat is threatened by kelp loss.
The theory of integrated empowerment in the transition to adulthood: concepts and measures
Authors: Mouchrek Najla , Benson Mark 
Published: April 2023

IntroductionDevelopmental challenges in the transition to adulthood require a process of empowerment that enables young people to guide themselves and build capacities for adult commitments and roles. To examine this systemic process, we conducted an interdisciplinary investigation of constructs from prior literatures that relate to empowerment. Two foundational dimensions of empowerment emerged in relation to individual functioning and relational environments.Theoretical modelThe two dimensions are self-direction and meaningful roles in society. A creative process of theory construction informed by related literatures identified four component catalysts that drive these dimensions of empowerment among early adults: personal agency, sense of purpose, mentoring experience, and engagement in community. As developed in this article, the Integrated Empowerment Theory explains the relationships among these catalysts within the ongoing, multilayered process of empowerment in the transition to adulthood. A graphic representation in the article specifies the relationships among these theoretical concepts.Method and resultsTo advance future research based on these theoretical concepts, we constructed multi-item measures of the four catalysts drawn from indicators in the empirical literature. The resulting scales were presented to participants in an empirical test of their technical adequacies. Participants were 255 early adult college students from eight colleges at a public land-grant research university in the United States. The 18-item scale includes four subscales: agency, purpose, mentoring, and community. The study findings evidenced robust internal consistency estimates across the scales (0.79–0.96).DiscussionThe Integrated Empowerment Theory and the corresponding scales provide tools for research to understand and promote positive developmental outcomes for youth as they navigate experimentation, life choices, and identity construction. The scales also imply a logical sequence for application and intervention. The sequence corresponds to four key catalysts: Community, Agency, Mentors, and Purpose, or CAMP. Although the conceptualization and the scales draw from a college population, the constructs have potential applicability, and await future research with additional age groups. For early adults, empowerment has particularly important implications for societal contributions. Creating contexts where youth can play meaningful roles in their emerging social world holds positive potential for society.
The Importance and Impact of Francisella-like Endosymbionts in Hyalomma Ticks in the Era of Climate Change
Authors: Sesmero-García Celia , Cabanero-Navalon Marta Dafne , Garcia-Bustos Victor 
Published: April 2023

Ticks are obligatory hematophagous parasites that serve as vectors for a large amount of important human and livestock pathogens around the world, and their distribution and incidence of tick-associated diseases are currently increasing because of environmental biomass being modified by both climate change and other human activities. Hyalomma species are of major concern for public health, due to their important role as vectors of several diseases such as the Crimea–Congo hemorrhagic fever (CCHF) virus in humans or theileriosis in cattle. Characterizing the Hyalomma-associated microbiota and delving into the complex interactions between ticks and their bacterial endosymbionts for host survival, development, and pathogen transmission are fundamental, as it may provide new insights and spawn new paradigms to control tick-borne diseases. Francisella-like endosymbionts (FLEs) have recently gained importance, not only as a consequence of the public health concerns of the highly transmissible Francisella tularensis, but for the essential role of FLEs in tick homeostasis. In this comprehensive review, we discuss the growing importance of ticks associated with the genus Hyalomma, their associated tick-borne human and animal diseases in the era of climate change, as well as the role of the microbiome and the FLE in their ecology. We compile current evidence from around the world on FLEs in Hyalomma species and examine the impact of new molecular techniques in the study of tick microbiomes (both in research and in clinical practice). Lastly, we also discuss different endosymbiont-directed strategies for the control of tick populations and tick-borne diseases, providing insights into new evidence-based opportunities for the future.
Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care
Authors: Dinu Marina , Stancioi-Cismaru Andreea Florentina , Gheonea Mihaela , Luciu Elinor Dumitru , Aron Raluca Maria , Pana Razvan Cosmin , Marinas Cristian Marius , Degeratu Stefan , Sorop-Florea Maria , Carp-Veliscu Andreea , Hodorog Andreea Denisa , Tudorache Stefania 
Published: April 2023

Background and Objectives: We aimed to prospectively obtain data on pregnancies complicated with intrauterine growth restriction (IUGR) in the Prenatal Diagnosis Unit of the Emergency County Hospital of Craiova. We collected the demographic data of mothers, the prenatal ultrasound (US) features, the intrapartum data, and the immediate postnatal data of newborns. We aimed to assess the detection rates of IUGR fetuses (the performance of the US in estimating the actual neonatal birth weight), to describe the prenatal care pattern in our unit, and to establish predictors for the number of total hospitalization days needed postnatally. Materials and Methods: Data were collected from cases diagnosed with IUGR undergoing prenatal care in our hospital. We compared the percentile of estimated fetal weight (EFW) using the Hadlock 4 technique with the percentile of weight at birth. We retrospectively performed a regression analysis to correlate the variables predicting the number of hospitalization days. Results: Data on 111 women were processed during the period of 1 September 2019–1 September 2022. We confirmed the significant differences in US features between early- (Eo) and late-onset (Lo) IUGR cases. The detection rates were higher if the EFW was lower, and Eo-IUGR was associated with a higher number of US scans. We obtained a mathematical formula for estimating the total number of hospitalization days needed postnatally. Conclusion: Early- and late-onset IUGR have different US features prenatally and different postnatal outcomes. If the US EFW percentile is lower, a prenatal diagnosis is more likely to be made, and a closer follow-up is offered in our hospital. The total number of hospitalization days may be predicted using intrapartum and immediate postnatal data in both groups, having the potential to optimize the final financial costs and to organize the neonatal department efficiently.
How and why are video consultations used in urgent primary care settings in the UK? A focus group study
Authors: Payne Rebecca Elizabeth , Clarke Aileen 
Published: April 2023

BackgroundVideo consulting was widely rolled out across general practice at the start of the COVID-19 pandemic. In the in-hours setting there has been a marked shift away from using the technology, but many urgent care clinicians continue to use video consulting. Little is known about the reasons behind this discrepancy.AimTo understand how and why video is used in urgent care settings.Design & settingFocus groups were held via Microsoft Teams with 11 GPs working in in- and out-of-hours settings across the UK.MethodGPs were recruited through a convienience sampling strategy. Meetings were recorded, auto-transcribed, and checked for accuracy. A thematic analysis was performed.ResultsUrgent care GPs used video as an adjunct to the telephone in the initial assessment of patients and felt it helped direct patients to the right service first time. They were confident using video for a broad range of presenting conditions. They felt it created additional trust and rapport with patients and was useful for bringing third parties into the consultation. They felt that it allowed them to maximise resources and use shielded colleagues effectively. They emphasised the importance of one-to-one training and this was seen as vital for effective implementation within an organisation.ConclusionVideo consulting is useful in the urgent care setting as an adjunct to telephone consulting. It is particularly helpful in the initial triage of patients. One-to-one training is needed for effective implementation.
Lexique. Méthode traditionnelle
Authors: Puren Christian 
Published: April 2023

Lexique : mots. Dans l’histoire du français, langue étrangère ou seconde, comme en d’autres domaines, l’histoire des mots, de certains mots, constitue une orientation originale et suggestive.
Un mot apparaît, symbolise avec éclat la nouveauté, devient un enjeu, se banalise ou se prostitue, source de consensus douteux et de confusions certaines, disparaît, renaît parfois. Derrière ces variations et ces jeux, un passé est à redécouvrir. D’où, dans Documents, cette rubrique qui se voudrait roborative.
Elle est inaugurée avec brio par Christian Puren auteur d’une excellente Histoire des méthodologies de l’enseignement des langues dont il est rendu compte ici-même, pp. 23-24.