bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bridging the Gap: Integrating Food Security into Healthcare for Healthier Futures – A Scoping Review
Authors: Tohit Nor Faiza Mohd , Ya Roselawati Mat , Haque Mainul 
Published: February 2025

Abstract
Food insecurity remains a critical public health challenge, significantly affecting health outcomes and contributing to the burden of chronic diseases. Integrating food security initiatives within the healthcare systems offers a strategic approach to addressing this issue by leveraging healthcare infrastructure to identify, support and manage the nutritional needs of vulnerable populations. This article explores the multifaceted role of policy development, stakeholder engagement and technological innovation in fostering effective integration of food security into the healthcare systems. The study highlights the importance of comprehensive training and capacity building for healthcare professionals to effectively recognize and respond to food insecurity. By embedding food security into medical curricula and professional development programmes, healthcare providers can improve patient care and health outcomes. Despite the promising benefits, several challenges impede progress, including limited research on integrated food security interventions’ long-term impacts and economic benefits. Programs’ cultural relevance and adaptability also require further exploration to ensure effectiveness across the diverse populations. The paper underscores the need for robust metrics and continuous improvement methodologies to evaluate the impact of these initiatives, facilitating the replication of successful models in varied settings. Furthermore, the paper identifies critical research gaps and proposes future research directions to enhance the understanding and effectiveness of food security integration. These include longitudinal impact studies, economic evaluations, and exploration of interdisciplinary collaborations. In conclusion, while challenges remain, integrating food security initiatives within healthcare systems presents a significant opportunity to improve public health outcomes and reduce food insecurity. With collaborative efforts from policymakers, healthcare providers and communities, these initiatives can pave the way towards a future where food security is integral to health and well-being, ultimately contributing to healthier and more resilient communities.
Strategies for preventing ventilator-associated pneumonia in adults in the Middle East and North Africa Region: A systematic review and meta-analysis
Authors: Abousaad Omar , Al-Ajji Aisha , Abouazab Noor , Aljoaid Adel , Sreedharan Jithin K. 
Published: February 2025

Abstract:

BACKGROUND:
Ventilator-associated pneumonia (VAP) is a common complication in intensive care units (ICUs), particularly in patients undergoing prolonged mechanical ventilation. VAP rates vary significantly across regions, with the Middle East and North Africa (MENA) region experiencing relatively high incidences. This study systematically reviews and analyses the efficacy of various VAP prevention strategies in the adult population of the MENA region.

METHODS:
A systematic review and meta-analysis were conducted following PRISMA guidelines. Electronic databases (PubMed, Scopus, and CINAHL) were searched for studies from January 2004 to May 2024 that investigated VAP prevention strategies in adult ICU patients in the MENA region. Data extraction and quality assessment were performed by multiple independent reviewers. Meta-analysis was carried out using the DerSimonian and Laird random effect models.

RESULTS:
A total of 10 randomized clinical trials conducted in Iran and Tunisia were included. The studies evaluated various interventions, including respiratory care programs, oral care protocols, and tracheal suction techniques. Significant reductions in VAP incidence were observed with interventions such as aerosolized colistin and comprehensive oral care (e.g., clove mouthwash). However, certain interventions, such as ondansetron and N-acetylcysteine, did not yield significant benefits.

CONCLUSION:
This meta-analysis highlights effective VAP prevention strategies in the MENA region, with notable improvements in patient outcomes. These findings can potentially help in developing policies and guidelines to enhance VAP prevention efforts across ICUs in the region. Further research is essential to address existing gaps and refine prevention strategies.
Task Sharing for Diagnosis and Management of Dermatophytosis and Scabies in Periurban Community of Chandigarh
Authors: Sandal Sankita , Kavita Kavita , Saini Sushma Kumari , Narang Tarun 
Published: February 2025

Abstract

Background:
Nurses can play a significant role to provide care to millions of patients with dermatophytosis and scabies. Thus, the study was undertaken to assess the effectiveness of task sharing with nurses for the diagnosis of dermatophytosis and scabies.

Material and Method:
An interventional trial was conducted in two periurban communities of Chandigarh which were randomized to experimental and control groups. Survey Performa was used to identify patients already diagnosed with dermatophytosis and scabies. However, teleconsultation with the dermatologist was done for patients presenting with signs and symptoms for the confirmation of diagnosis. Nurse led intervention which included health education and counselling about prevention and management of dermatophytosis and scabies, i.e., its signs and symptoms, medication adherence, lifestyle modification, hygiene practices, application of medicine to treat scabies was given to intervention group participants with the help of booklet and flash cards. The control group received usual care. Endline assessment was done at 8th week to assess the effect of intervention on medication adherence, quality of life, and self-reported cure rates. The trial was also registered under the Clinical Trials Registry-India with the CTRI no. CTRI/2022/07/043856.

Results:
The results revealed significant difference in the medication adherence among participants in experimental (20.51 ± 09.04) and control groups (28.56 ± 9.46) at the endline assessment. The mean score of quality of life (13.16 ± 7.30) was significantly lower than in experimental and control groups (18.83 ± 7.30) indicating better quality of life. There was significant difference in the self-reported cure rate among experimental and control group.

Conclusion:
The study concluded that task sharing was effective in improving quality of life, medication adherence, hygiene practices, and self-reported cure rate among patients with dermatophytosis and scabies.
District Mental Health Programme Link Clinic: Experience from an Academic Neuropsychiatric Institute of India
Authors: Munikrishnappa Devaraja , Reddy K Shanivaram , Manjunatha Narayana , Kumar Chennaveerachari N. , Math Suresh B. , Thirthalli Jagadisha 
Published: February 2025

Abstract

Background:
Routine follow up appointments for psychiatric diseases don’t need to take place in tertiary care facilities because doing so not only causes patients’ inconvenience and travel related costs but also results in the improper use of resources. In September 2019, the Tele Medicine Centre of NIMHANS, Bengaluru launched the District Mental Health Program (DMHP) link clinic (DLC) at OPD with the aim of integrating eligible patients to their individual DMHPs for routine follow up care. We used a mixed method study approach.

Materials and Methods:
Self designed referral farms and data record sheets were the tools used for the data entry. For data collection, face to face and telephonic interview methods were used. We carried out both descriptive and thematic analyses to understand the following outcomes of DLC.

Results:
Out of 343 referred patients, males were 164 (47.8%) and females were 179 (52.2%). 32.6% of integration was possible. The referral service was reported to be cost effective. Among those who visited DMHPs (n = 207), 102 (49.2%) patients reported being very satisfied, and 81 (39%) patients reported being satisfied. Alteration of current medication, knowledge about DMHP services, economic benefits, availability of DMHP staff, and satisfaction with services are the main themes found in qualitative analysis.

Conclusion:
A preliminary report suggests that integrating routine follow ups from tertiary care psychiatric centers into community mental healthcare centers could significantly reduce out of pocket expenditure and time spent.
Assessment of Iraqi Patient Knowledge Regarding Magnetic Resonance Imaging Safety Before the Scanning
Authors: Hassan Qays Ahmed , Abdulqader Shaymaa Khalid , Dawood Asmaa Hussein , Qasim Mohammed Jasim , Ibrahim Ali Hussien , Abbas Zainab Mahmood , Abbas Zainab Mahdi , Kadhim Noor Al-Shams Kareem 
Published: February 2025

Abstract

Background:
Magnetic resonance imaging (MRI) scans provide more detailed three-dimensional anatomical and physiological information than other imaging modalities. This research aims to assess patients’ MRI safety awareness and evaluate related demographic characteristics.

Patients and Methods:
A descriptive, cross-sectional study was conducted at the radiology department of Al-Kindy Teaching Hospital in Baghdad, Iraq. A random 200 patients were scheduled to go through MRI examinations. All interviewed patients personally filled out a 15-item questionnaire. Gender, age, marital status, education level, employment, and domicile are collected in the first six questions. The second half tests MRI knowledge with 9 questions.

Results:
The participant’s age ranged between 18 and 65 years. The majority of the participants provided were aware of the protocols for preparing for an MRI scan, the noise emitted by the machine, and the incompatibility of contrast material during an MRI procedure in pregnant women. There was a greater degree of awareness regarding the pre-MRI preparation standards among individuals with higher education, independent contractors, and domestic consumers (P = 0.001). Knowledge of the rationale for assessing renal function before contrast media administration was significantly correlated with patients’ marital status and gender (P = 0.038 and 0.007, respectively). Urban residency and a patient’s understanding of the application of a contrast agent in specific MRI procedures were correlated significantly (P = 0.032).

Conclusion:
Iraqi patients’ understanding of MRI safety was restricted to preparation processes, machine noise, and contrast material incompatibility in pregnant women. Patients’ information was influenced by their sociodemographics.
Association between Household Food Security and Pregnancy Complications
Authors: Hoseini Khadijeh Sadat , Kazemi Farideh , Alimoradi Zainab , Oskoei Seyed Saeid Sedghi , Alijani Hashem , Zolghadr Samaneh 
Published: February 2025

Introduction:
Despite the importance of the family food insecurity during pregnancy, there was no research in this regard in Iran, where generally has a modest food security status. The present study was designed to investigate the prevalence of household insecurity in pregnant women and found its relationship with pregnancy complications such as preeclampsia, gestational diabetes, and anemia during pregnancy.

Methods:
This cross-sectional study was conducted between December 2016 and December 2017. Samples were women after childbirth referred to health centers for postpartum care in the Qazvin province. The household food security status (using Household Food Insecurity Access Scale) and pregnancy outcomes including preeclampsia, diabetes during pregnancy, and anemia during pregnancy were investigated.

Results:
Overall food insecurity was observed in 32.3% of participants. The increased chance of having a total pregnancy complication rate was 64% (odds ratio [OR] [95% confidential interval [CI]] = 1.64 [1.06–2.54]) in food insecure group compared to food secure participants. Specifically, gestational hypertension was 24% (OR [95% CI] = 1.24 [0.58–2.69]), preeclampsia was nearly four times (OR [95% CI] = 3.88 [1.18–12.83]), gestational anemia was 24% (OR [95% CI] = 1.24 [0.58–2.71]), and gestational diabetes was 63% (OR [95% CI] =1.63 [0.81–3.30]).

Conclusion:
Food insecurity might increase the likelihood of pregnancy complications. Since the pregnant women's diet plays an important role in maternal and fetal health, the assessment of maternal nutritional status and household conditions regarding access to food supplies and the ability to supply diverse and balanced foods during pregnancy is important.
Reversibility and transitivity of semigroup actions on homogeneous spaces
Authors: Reis Ronan A. , San Martin Luiz A. B. , Rocha Victor H. L. 
Published: February 2025

Abstract
This paper studies reversibility and transitivity of semigroups acting on homogeneous spaces. Properties of the reversor set of a subsemigroup acting on homogeneous spaces are presented. Let G be a topological group and L a subgroup of G. Assume that S is a subsemigroup of G with nonempty interior. It is presented a study of the reversibility of the S-action on

$G/L$

in terms of the actions of S and L on homogeneous spaces of G. The results relate the reversibility and the transitivity of S in

$G/L$

with the minimality of the action of L on homogeneous spaces of G. In addition, sufficient conditions for S to be right reversible in G if S is reversible in

$G/L$

are presented.
Outcomes of patients with acute ST-segment elevation myocardial infarction treated by a prolonged “Deferred” percutaneous coronary intervention strategy
Authors: Pradhan Akshyaya , Uppal Shivam , Vishwakarma Pravesh , Singh Abhishek , Bhandari Monika , Shukla Ayush , Sharma Akhil , Chaudhary Gaurav , Chandra Sharad , Sethi Rishi , Dwivedi Sudhanshu Kumar 
Published: February 2025

BACKGROUND
Primary percutaneous coronary intervention (PCI) is the preferred treatment for ST-segment elevation myocardial infarction (STEMI). However, in patients with high thrombus burden, immediate stenting during PCI can lead to poor outcomes due to the risk of thrombus migration and subsequent microvascular occlusion, resulting in no-reflow phenomena. Deferred stenting offers a potential advantage by allowing for the reduction of thrombus load, which may help to minimize the incidence of slow-flow and no-reflow complications. This study explores the effectiveness of a deferred stenting strategy in improving outcomes for STEMI patients.
AIM
To evaluate the effectiveness and safety of deferred PCI in a real-world setting in acute STEMI patients.
METHODS
This study was conducted at King George’s Medical University, Lucknow, from October 1, 2018, to October 30, 2019 and included a total of 55 participants. Patients with acute STEMI who underwent coronary angiography were selected for a deferred PCI strategy based on specific angiographic features.
RESULTS
Anterior wall myocardial infarction was the predominant type of STEMI in 62% of the selected 55 patients (mean age: 54 years; 70% males), and diabetes mellitus was the most common risk factor (18.2%), followed by hypertension (16.2%). On the second angiogram of these patients measures of thrombus grade, thrombolysis in myocardial infarction flow grade, myocardial blush grade, and severity of stenosis of culprit lesion were considerably improved compared to the first angiogram, and the average culprit artery diameter had increased by 7.8%. Most patients (60%) had an uneventful hospital stay during the second angiogram and an uneventful intraprocedural course (85.19%), with slow-flow/no-reflow occurring only in 7.4% of the patients; these patients recovered after taking vasodilator drugs. In 29.3% of patients, the culprit artery was recanalized, preventing unnecessary stent deployment.
CONCLUSION
Deferred PCI strategy is safe and reduces the thrombus burden, improves thrombolysis in myocardial infarction (TIMI) flow, improves myocardial blush grade, and prevents unwarranted stent deployment.
“Nature Sound of Frog’s Calls on Human Stress Level: A Study at Denai Alam Recreational Park”
Authors: Nudin Nor Syafika Binti Mat , Zainal Muhammad Hafiz Bin 
Published: February 2025

Nature soundscapes are increasingly recognized for their potential to mitigate stress, especially in urban environments where noise pollution and hectic lifestyles contribute to mental health challenges. The purpose of this study is to look into how visitors’ self-reported stress levels are affected by frog call soundscapes at Denai Alam Recreational Park. Before and during exposure to recorded frog calls and urban noise soundscape, participants’ stress and mood levels were evaluated using a questionnaire-based methodology. The levels of stress reduction will be compared, with an emphasis on the ways in which frog calls affect emotional health and relaxation. The findings are intended to provide evidence for incorporating natural soundscapes into urban park design to increase mental health benefits. This research contributes to the growing field of environmental psychology and supports sustainable urban planning by emphasizing the restorative power of natural sounds.
STRATEGI KEPALA SEKOLAH DALAM MENINGKATKAN MUTU PENDIDIKAN DISEKOLAH MENENGAH PERTAMA
Authors: Setiyanti Wita , Setyowati Susdaryanti Eko , M Ngurah Ayu Nyoman 
Published: February 2025

Education has a strategic role in increasing the excellence of a nation. The principal's strategy is an important factor in determining the success of improving quality in schools. This research aims to describe the principal's strategy for planning, implementation, supervision and obstacles in improving the quality of education. The right principal strategy will make a change in the quality of education. This research aims to map the results of previous research related to school principal strategies in improving the quality of education. The method used is literature study. Data collection was carried out by collecting scientific articles relevant to the research topic. The analysis used is content analysis. From the analysis carried out by researchers, the findings in this study are as follows. 1) The school principal's strategy for improving the quality of education consists of teaching staff development strategies, learning strategies, strategies for increasing academic and non-academic achievements, facilities and infrastructure strategies, financing strategies, public relations strategies (public relations), and monitoring and evaluation strategies. 2) Supporting factors for implementing the principal's strategy in improving the quality of education. 3) Factors inhibiting the implementation of school principal strategies in improving the quality of education. 4) The impact of the principal's strategy in improving the quality of education.
ABSTRAKPendidikan memiliki peran yang strategis guna meningkatkan keunggulan suatu bangsa. Strategi kepala sekolah merupakan faktor yang penting dalam menentukan keberhasilan peningkatan mutu disekolah. Penelitian ini bertujuan mendesripsikan strategi kepala sekolah dari perencanaan, pelaksanaan, pengawasan dan hambatan dalam meningkatkan mutu Pendidikan. Strategi kepala sekolah yang tepat akan membuat suatu perubahan kualitas pendidikan. Penelitian ini bertujuan untuk memetakan hasil penelitian terdahulu terkait dengan strategi kepala sekolah dalam meningkatkan mutu pendidikan. Metode yang digunakan adalah studi literatur. Pengumpulan data dilakukan dengan mengumpulkan artikel ilmiah yang relevan dengan topik penelitian. Analisis yang digunakan yaitu analisis isi. Berdasarkan analisa peneliti, hasil penelitian ini adalah sebagai berikut. 1) Strategi kepala sekolah dalam meningkatkan mutu pendidikan, terdiri dari strategi pengembangan tenaga pendidik, strategi pembelajaran, strategi peningkatan prestasi akademik dan non akademik, strategi sarana dan prasarana,strategi pembiayaan, strategi hubungan masyarakat (humas), dan strategi pengawasan dan evaluasi. 2) Faktor pendukung implementasi strategi kepala sekolah dalam meningkatkan mutu pendidikan. 3) Kendala implementasi strategi kepala sekolah dalam meningkatkan mutu pendidikan. 4) Dampak strategi kepala sekolah dalam meningkatkan mutu pendidikan.
How to Facilitate the Comprehension and Creative Interpretation of Literary Texts through Interactive Maps: Igiaba Scego's Prestami le ali and ArcGIS StoryMaps
Authors: D'Eugenio Daniela 
Published: February 2025

Abstract
A digital project that has been implemented in an advanced Italian grammar class during the 2023 Spring semester aimed to enhance the students’ comprehension of a literary text, provide them with an opportunity to creatively expand on it, and, simultaneously, offer a multimedia learning experience. Students applied ArcGIS StoryMaps to the content of Somali-Italian writer Igiaba Scego's Prestami le ali (2020). The software supported their understanding of the cultural, social, and historical components of the text by making its storyline and global geography easier to pinpoint and visualize. Moreover, it stimulated the students’ creativity by connecting the text to resources (textual, visual, digital) that made the story more accessible and in alignment with their own interests and/or areas of study. Students worked primarily in the target language (Italian) as they completed scaffolded and collaborative activities, both inside and outside of the classroom, and explored aspects of Italian history and culture.
EFL Students’ Perceptions in Collaborative Writing via Google Docs: A Case Study at Van Lang University
Authors: Thi Hoang Nguyen Tran , Su Ai Anh Thu 
Published: February 2025

Collaborative writing represents as an integrated technique for tackling students' writing difficulties. Consequently, practising Collaborative Writing (CW) through online technologies, notably Google Docs (GD), can be an innovative model that assists student learning. However, in addition to its credits, this model is not without drawbacks. The current study attempts to demonstrate users' perspectives on the limits of collaborative writing via Google Docs and how they deal with them. The researcher employed a qualitative case-study approach and data collection via a questionnaire at Van Lang University in Ho Chi Minh City. The questionnaire consisted of 17 closed-ended questions to collect data from 9 student participants. The results revealed several advantages of Collaborative Writing as supported by Google Docs (henceforth CWGD), alongside some limitations and challenges to this approach/model.
Pérégrinations didactiques dans le paratexte
Authors: Porfiri Debora 
Published: February 2025

Jusqu’où s’étend le territoire à explorer lorsque l’on étudie un texte avec des apprenant.es d’une langue étrangère ? Est-il souhaitable de se concentrer exclusivement sur le texte produit par l’auteur.e ou, plutôt, de s’aventurer au-delà de ces limites, dans cet espace que Genette définit « un des lieux privilégiés de la dimension pragmatique de l’œuvre, c’est-à-dire son action sur le lecteur»? Cette contribution vise à présenter des activités autour de textes variés (pièce de théâtre, film, roman) basées sur des éléments paratextuels : couvertures, affiches et traductions de titres. La ‘dimension pragmatique de l’œuvre’ est au cœur de ces propositions et représente une autre manière de traiter l’action sociale par les textes, c’est-à-dire de penser le texte dans une perspective actionnelle et plurilingue.