bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study
Authors: Gao Jing , Zhang Juhua , Shi Chenlei , Fan Aiqin , Zhang Peng 
Published: January 2025

BackgroundIn order to actively cultivate a new generation of village doctors (NGVDs) who possess a high level of education, provide high-quality healthcare services, Shanghai Municipal Health Bureau, together with the Municipal Education Commission, Municipal Finance Bureau, and Municipal Agriculture Commission initiated Rural-oriented Tuition-waived Medical Education (RTME) in 2006. This study aims to identify the factors that influence the reselection intention and perceptions of NGVDs of RTME program in Shanghai.MethodsIn 2023, a questionnaire survey was conducted among a sample of NGVDs enrolled in the RTME program in 8 districts of Shanghai. The research focused on five aspects, including demographic characteristics, job characteristics, reasons for choosing RTME, career identity and job satisfaction. The participants were asked questions related to their experiences, opinions, and perceptions. Analysis of variance (ANOVA), chi-square tests and logistic regression analysis was conducted.ResultsA total of 419 questionnaires were collected. The majority (64.44%) indicated they would reselect this career, while 35.56% expressed either no preference or indifference. Factors influencing reselection included “Volunteering to serve the grassroots people” (odds ratio [OR], 2.29 [95% confidence interval {CI}, 1.22–4.30]), “Enjoying the medical profession” (OR, 2.64 [95%CI, 1.33–5.27]), not fulfilling family wishes (OR, 0.47 [95%CI, 0.24–0.88]), Satisfied with the current salary (OR, 2.39 [95%CI, 1.27–4.49]). NGVDs who think village doctors can leverage their professional ability with “okay” (OR, 32.87 [95%CI, 3.69–293.64]) and “yes” (OR, 120.03 [95%CI, 12.78- &gt; 999.99]) and who think NGVDs were “important” (OR, 3.74 [95%CI, 1.21–11.55]) were more inclinatively to reselect to be NGVD.ConclusionReasons for choosing RTME, understanding of the government’s policy, career identity, and job satisfaction were all influence the reselection of RTME. This research can contribute to the improvement and development of similar programs in the future, benefiting both the students and the healthcare system as a whole.
Health information orientation and health literacy as determinants of health promotion behaviors in adolescents: a cross-sectional study
Authors: You Mi-Ae , Ahn Jeong-Ah 
Published: January 2025

IntroductionThis cross-sectional study aimed to identify the impact of health information orientation and health literacy on adolescents’ health-promoting behaviors.MethodsWe enrolled 149 middle school students from an urban city in South Korea through convenience sampling. The data was collected in October 2022 using a self-reported questionnaire. Health information orientation was measured using the Health Information Orientation Instrument (Cronbach’s α = 0.86). Health literacy was assessed with the Korean Adolescent Health Literacy Scale (KR-20 = 0.66), and health promotion behaviors were evaluated using the Adolescent Health Promotion Scale-Short Form (Cronbach’s α = 0.89). Analysis methods included independent t-tests, one-way ANOVA, and multiple regression.ResultsResults indicated significant differences in health promotion behaviors based on perceived health status, economic status, primary health-related information provider, and health literacy. Health information orientation showed a strong positive correlation with health promotion behaviors. The factors that influenced health promotion behaviors were health information orientation, primary information provider, economic status, and health literacy.DiscussionFindings suggest that school and community health promotion programs should engage adolescents and parents to enhance health literacy and proactive information-seeking behaviors for improving the health outcomes of adolescents.
Factors affecting life satisfaction among retired older adults
Authors: Gu Minkyung , Yu Jakyung , Sok Sohyune 
Published: January 2025

BackgroundThe population of older adult people is rapidly increasing in South Korea. Consequently, older adult people’s life satisfaction, especially the retired older adult, is emerging as a social issue and not just an individual problem.ObjectiveThis study aimed to examine and identify the factors affecting the life satisfaction of the retired older adult.MethodsA cross-sectional descriptive design was employed. The sample included 149 retired older adults living in Gyeonggi or Seoul, South Korea. The data included the general characteristics of study participants and the level of their life satisfaction, health conservation, self-efficacy, and social activity. The data was collected from January to February 2020 and analyzed using SPSS PC+ version 23.0.ResultsThe factors affecting life satisfaction in retired older adults were health conservation (β = 0.28, p &lt; 0.001), self-efficacy (β = 0.26, p = 0.001), marital status (β = 0.24, p = 0.001), social activity (β = 0.18, p = 0.018), and family relationships (β = −0.15, p = 0.048). The explanatory power of the final regression model was 59%.ConclusionThe study suggests that to improve the life satisfaction of retired older adults, their health conservation, self-efficacy, social activity, and family relationships should be increased, and married status with spouse needs to be considered. Most importantly, health professionals need to pay attention to the factors that improve the life satisfaction of retired older adults in community fields.
Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate
Authors: Lai Sha , Lu Li , Zhou Zhongliang , Shen Chi , Yang Binting , Ren Zhanping , Ma Siwei 
Published: January 2025

BackgroundCleft lip and/or palate (CL/P) speech is a significant communication disorder with notable and enduring consequences. This study focused on developing an intervention mapping (IM)-based and parent-implemented early intervention to improve speech and language skills among infants and toddlers with CL/P in China.MethodsAn IM procedure was used to develop a parent-implemented early intervention. First, parent–child interaction problems affecting language development in infants and toddlers were identified through 132 questionnaires completed by parents of children with CL/P and 30 family videos of parent–child interactions. Second, according to the problem diagnosis, the logical model of parent–child interaction behavior change was constructed. Finally, the health outcomes were transformed into intervention goals at three levels (i.e., infants and toddlers with CL/P, parents and environment), and a set of early intervention programs were designed by integrating various intervention techniques.ResultsThe diagnosis of parent–child interaction problems showed that 40.91% of parents and children often use electronic media together; in parent–child interaction, 41.67% of parents presented ‘lack of waiting’, 29.55% overcorrected pronunciation errors. Video analysis revealed issues in parent–child interaction, such as inadequate parental skills, ineffective interactions, and an unsuitable environment. A parent-implemented early intervention was developed, including the following specific steps: health education within the hospital, 9 days of an online reading program in WeChat groups, face-to-face standardized training workshops, and individualized video feedback therapy.ConclusionWe have devised a parent-implemented early intervention to enhance speech and language abilities in Mandarin-speaking infants and toddlers with CL/P, overcoming the shortage of speech therapy services in China.
Generational trends in education and marriage norms in rural India: evidence from the Pune Maternal Nutrition Study
Authors: Marphatia Akanksha A. , Wells Jonathan C. K. , Reid Alice M. , Poullas Marios , Bhalerao Aboli , Yajnik Pallavi , Yajnik Chittaranjan S. 
Published: January 2025

IntroductionGlobally in 2024, 1 in 5 women aged 20–24 years worldwide had been married before the age of 18 years. One reason for this persistent prevalence of underage marriage may be the slow change in social norms relating to education levels and women's marriage age. However, we know little about how norms change, and whether they vary by socio-demographic characteristics. We aimed to investigate changes in social norms across generations in rural Maharashtra, India.MethodsTo understand the status quo, we identified education levels and marriage ages typical of contemporary young adults in rural Maharashtra using the National Family Health Survey. To see if norms have shifted across generations, we analysed data on education and marriage age in 659 parent-adolescent dyads from the Pune Maternal Nutrition Study (PMNS) in rural Maharashtra. To ascertain if norms might shift in the future, we investigated adolescents' aspirations for their future hypothetical children's education and marriage, and classified adolescents as wanting (a) their children to decide themselves, (b) more education and later marriage age, or (c) the status quo. We assessed whether these aspirations differed by socio-demographic characteristics.ResultsCompared to the status quo and PMNS adults, PMNS adolescents had substantially more education, and girls were marrying slightly later. About 70% of the adolescents wanted their children to themselves decide their schooling. The remainder of both sexes wanted their children to have the same education as them (15 years). Only 10% of adolescent girls and 14% of boys wanted their child to decide their own marriage age. Most adolescents wanted a later marriage age for their children than their own experience. Lower educated and early married girls aspired for greater education for their children. More educated boys aspired for later marriage for their children.DiscussionEducation norms have changed by a larger magnitude than marriage age norms. Adolescents are already attaining their education aspirations, but aspire for later marriage of their children, more so for their hypothetical sons than daughters. Since senior household members remain influential in marriage decisions, it may take time before adolescents' aspirations for their children become a new norm.
Exploring perceived barriers to palliative and end of life care provision in South-West England: bringing together the perspectives of professionals, patients, and families
Authors: Hodge Gary , Kallis Gina , Oh Tomasina M. , Wheat Hannah , Pearce Susie 
Published: January 2025

IntroductionPalliative and End of Life care (PEoLC) in the United Kingdom (UK) is increasingly being reported as inadequate. This is occurring amidst a wider backdrop of health and social care systems facing unprecedented pressure, particularly as they recover from the long-term impact of the COVID-19 pandemic. This study aimed to explore the barriers to PEoLC faced by those providing and receiving care in South-West England (UK). This region of the UK brings its own set of unique challenges due to its rural and coastal location, an aging population, and a historical lack of research.MethodsAn exploratory study was conducted which involved patients, families, and professionals who were providing and receiving PEoLC. A total of 13 qualitative focus groups were held with a total of 63 participants; 45 were health and care professionals and 18 were people toward the end of their life, family/carers and people who were bereaved.ResultsA range of barriers were identified for those providing and receiving PEoLC services. These were a lack of specialist palliative and EoL care resources (particularly in out-of-hours care); poor communication, collaboration and co-ordination across providers; inequalities in the access and provision of care; the impact of the COVID-19 pandemic; and a reluctance to have conversations about death and dying.ConclusionThis study brings together the voices of patients, family, and professionals from different settings in a geographical area of the UK. Understanding their experiences and perceived barriers to care is key to being able to develop and transform care. Ultimately, there is a need for a collaborative and co-ordinated approach across both practice and research, working toward what is important to those providing, and most importantly, those receiving care at the end of their lives.
Technical and cost efficiency analysis of irrigated onion production insight from smallholders irrigated onion farmers in north East Amhara National Regional State, Ethiopia
Authors: Ayen Kindye , Kidane Tariku , Wubet Adane 
Published: January 2025

IntroductionOnions are an imperative root crop that can be grown both under irrigation and rain-fed conditions. It is considered a complementary product to tomatoes and is a globally commercial crop. Onions are a popular crop in Ethiopia for human consumption and export.MethodsFor this study, 150 smallholder producers were surveyed to collect cross-sectional data. A single-step Cobb–Douglas stochastic frontier model was used to estimate both the technical and cost efficiency of irrigated onion production.ResultsThe results from the maximum likelihood stochastic frontier model result indicated that the technical efficiency in onions was influenced by the age of the household head, slope of the land, number of extension contacts with development agents, distance from the sampled respondent’s residence to the office of the kebele agriculture office, and the number of oxen owned by the sampled households. Cost efficiency, on the other hand, was determined by the age and educational status of the household head, family size in man equivalent, and the size of irrigated land owned by the onion farmer. The study found that the average technical efficiency score for irrigated onions in the study area was 87%, while the average cost efficiency score was 84%.DiscussionThis indicates that, on average, onion farmers in the study area could potentially increase their technical efficiency by 13% and their cost efficiency by 16% with existing inputs, technologies, and current environmental conditions. Thus, the study suggests institutional interventions such as providing extension services to farmers who are far from agriculture offices, advising on fertility reclamation measures, facilitating young farmers in onion production, and assisting in asset building, particularly in acquiring oxen, to maximize technical and cost efficiency in the study area.
Spatial analysis of milk and cottage cheese reveals poor microbial quality and contamination with foodborne pathogens in the central highlands of Ethiopia
Authors: Keba Abdi , Girmay Gebrerufael , Nahusenay Henok , Zewdu Ashagrie 
Published: January 2025

IntroductionFoodborne diseases that result from a wide range of illnesses caused by contaminated foods remain a challenge in least-developed countries. The objective of this study was to evaluate microbial quality and safety of milk and cottage cheese and spatial distribution of microbial quality indicators and foodborne pathogens along the dairy value chain in the three regions of the country.MethodsA cross-sectional study was conducted from December 2020 to May 2021. A total of 912 samples were collected and tested for aerobic plate count, total coliform count, Escherichia coli count, Listeria monocytogenes, Salmonella enterica, and Campylobacter spp., according to standard methods of microbial enumerations and isolation procedures.ResultsMicrobial quality of milk and cottage cheese in the dairy value chain was found poor quality, as the total bacteria count, total coliform count, and Escherichia coli count were estimated to be 98% (95% CI 97.2–98.9%), 61.2% (95% CI 58–64.3%), and 28.6% (95% CI 25.8–31.6%), respectively. Microbial load of milk and cottage cheese samples exceeded the limits set by the Ethiopian Standards Agency. The overall prevalence of samples contaminated by at least one pathogen was 50.3% (95% CI 47.1–53.7%), indicating that raw milk samples collected from milk collectors were predominantly contaminated (OR = 2.1, p = 0.003), followed by milk processors (OR = 1.3, p = 0.003).DiscussionThe spatial analysis revealls that the poor microbial quality standards and distribution of microbial quality indicators and foodborne pathogens were concentrated in the central highlands of Ethiopia, within nearly 100 kilometers radius from Addis Ababa city to surrounding towns. This study offers some insight into the importance of food traceability to prevent food safety threats along the dairy value chain and intervention areas.
Case Report: Endoscopic lumbar interbody fusion using percutaneous unilateral biportal endoscopy and 3D printing for an andersson lesion in ankylosing spondylitis
Authors: Yuan Xiaofeng , Tao Rui , Zhu Mengfei , Zhu Jiajun 
Published: January 2025

BackgroundAn Andersson lesion (AL) is a late-stage lesion of ankylosing spondylitis (AS) that can be misdiagnosed. If the patient has unbearable pain or symptoms indicative of neurological damage, then posterior fusion can be considered. Compared with open surgical procedures, combining Unilateral biportal endoscopy (UBE) and 3D-printing technologies for endoscopic lumbar interbody fusion (LIF) can offer the advantages of minimal trauma and the same effect. In this study, we first used UBE with endoscopic LIF for an AL between T12 and L1 in a 43-year-old male patient with good clinical outcomes.MethodsA 43-year-old man was admitted to our hospital due to recurrent back pain for 8 years. Based on imaging (computed tomography and radiography) findings, medical history, and clinical examination, we carried out an HLA-B27 blood test to confirm the diagnosis of AS with AL. Finally, we undertook fully endoscopic LIF with UBE based on a 3D-printing model. This patient's pre- and postoperative radiological and clinical results were presented.ResultsAccurate preoperative planning based on a 3D-printing model is strongly recommended for patients with an AL who have ambiguous anatomic landmarks. Applying endoscopic techniques and 3D-printing technologies to the surgical treatment of AL is completely feasible and has an edge in terms of tissue damage.ConclusionEndoscopic LIF with UBE based on a 3D-printing model showed a favorable clinical and radiological result and appears to be a safe and effective technique for an AL.
Sustainable Protein Sources: Functional Analysis of Tenebrio molitor Hydrolysates and Attitudes of Consumers in Poland and Spain Toward Insect-Based Foods
Authors: Maciejewska Marcelina , Dąbrowska Anna , Cano-Lamadrid Marina 
Published: January 2025

This study explores the potential of Tenebrio molitor protein hydrolysates as functional food ingredients, evaluating their bioactivity and consumer acceptance of the incorporation of edible insects into food across Poland and Spain. By aligning technical advancements with consumer preferences, this research bridges the gap between laboratory innovation and market feasibility, contributing to the development of sustainable functional foods. The study optimized the process of enzyme hydrolysis using serine protease from Cucurbita ficifolia, thereby enhancing DPPH scavenging capacity increased from 3.15 ± 0.53 to 8.17 ± 0.62 µM Trolox/mL and ABTS decolorization capacity increased from 4.29 ± 0.01 to 10.29 ± 0.01 µM Trolox/mL after 5 h of hydrolysis. Consumer surveys incorporating the Food Neophobia, Insect Phobia, and Entomophagy Scales revealed demographic and cultural influences on entomophagy acceptance. Among respondents, 27.1% in Poland and 25.7% in Spain had previously consumed insect-based products, while Polish participants showed a higher willingness to adopt insect-enriched foods. The study confirmed that hydrolysis enhances the antioxidant activity of T. molitor protein hydrolysates and that demographic and cultural factors significantly influence consumer acceptance of insect-based foods.
Functional Responses of the Warehouse Pirate Bug Xylocoris flavipes (Reuter) (Hemiptera: Anthocoridae) on a Diet of Liposcelis decolor (Pearman) (Psocodea: Liposcelididae)
Authors: Bosomtwe Augustine , Opit George , Giles Kristopher , Kard Brad , Goad Carla 
Published: January 2025

Psocids are difficult to manage using grain protectants and phosphine hence research on non-chemical control methods. This study evaluated the effectiveness of Xylocoris flavipes (Reuter) (Hemiptera: Anthocoridae) at managing Liposcelis decolor (Pearman) (Psocodea: Liposcelididae). The functional responses of adult♀ and nymphs of X. flavipes on a diet of nymphs, adult♂, and adult♀ of L. decolor were determined under laboratory conditions at 28 ± 1 °C, 63 ± 5% RH, and a 0:24 (L:D) photoperiod. Maximum likelihood estimates (MLEs) of a logistic regression analysis showed that the functional responses of the life stages of X. flavipes on diets of three stages of L. decolor were Holling Type II. Estimates of the attack rate (a), handling time (Th), maximum predation (K) per day, and predation efficiency (η) per day for the two predator life stages against each prey life stage showed that the adult♀ X. flavipes predation rate was better compared with the nymphs. The adult♀ X. flavipes per capita consumption rate and searching efficiency were also higher than those of the nymphs. The data showed adults of L. decolor are more favorable for adult♀ X. flavipes whereas their nymphs prefer nymphs of L. decolor. Field evaluation of X. flavipes is required for their incorporation into psocid pest management.
Pseudomonas simiae WCS417 Strain Enhances Tomato (Solanum lycopersicum L.) Plant Growth Under Alkaline Conditions
Authors: Aparicio Miguel A. , Ruiz-Castilla Francisco J. , Ramos José , Romera Francisco J. , Lucena Carlos 
Published: January 2025

Iron (Fe) deficiency is among the most important agronomical concerns under alkaline conditions. Bicarbonate is considered an important factor causing Fe deficiency in dicot plants, mainly on calcareous soils. Current production systems are based on the use of high-yielding varieties and the application of large quantities of agrochemicals, which can cause major environmental problems. The use of beneficial rhizosphere microorganisms is considered a relevant sustainable alternative to synthetic fertilizers. The main purpose of this work has been to analyze the impact of the inoculation of tomato (Solanum lycopersicum L.) seedlings with the WCS417 strain of Pseudomonas simiae, in the presence or absence of bicarbonate, on plant growth and other physiological parameters. To conduct this research, three different inoculation methods were implemented: root immersion, foliar application, and substrate inoculation by irrigation. The results obtained show the ability of the P. simiae WCS417 strain to induce medium acidification in the presence of bicarbonate to increase the SPAD index and to improve the growth and development of the tomato plants in calcareous conditions provoked by the presence of bicarbonate, which indicates that this bacteria strain could have a great potential as an Fe biofertilizer.
Effect of interface trap charge on Coulomb oscillation in MOS-type quantum dots
Authors: Asai Hidehiro , Iizuka Shota , Hattori Junichi , Fukuda Koichi , Ikegami Tsutomu , Oka Hiroshi , Inaba Takumi , Shitakata Shunsuke , Kato Kimihiko , Nakayama Takashi , Mori Takahiro 
Published: January 2025

Abstract
We have theoretically investigated the effect of an interface trap charge (ITC) on the Coulomb oscillation characteristics in a Si MOS-type quantum dot (Q-dot). We found that the ITC causes a variation in the fundamental characteristics of the Coulomb oscillation: a peak position, a peak height, and a peak interval. We clarified that the dependence of each variation on the ITC position is different from that of the other because of their different physical origins. We also discussed the amount of the peak position variation from the viewpoint of the operation of the Q-dots required in Si quantum computers (QCs). Mitigating the large variation caused by the ITC will be a critical issue for achieving large-scale Si QCs.