bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring Coping Strategies of Parents of Children With Autism Spectrum Disorder in Taiwan: A Qualitative Study
Authors: CHIN Wei-Chih , CHANG Hsueh-Ling , CHAO Kuo-Yu 
Published: April 2023

ABSTRACT

Background
Children with autism spectrum disorder (ASD) experience impairments in their social interactions, language communication, and stereotypical patterns of behavior. Parents of children with ASD experience higher levels of stress and more depression and anxiety than parents of children with other disabilities or typically developing children. Parents of children with disabilities develop coping strategies to counteract the stresses associated with raising a child with special needs. Understanding coping strategies to help counteract the stresses associated with parenting a child with ASD may enhance well-being in parents of children with ASD, improve the quality of care provided to these children, and foster better parent–child relationships.

Purpose
The purpose of this study was to explore the coping strategies used by parents in Taiwan parenting a child with ASD.

Methods
In this descriptive qualitative study, thematic analysis was conducted on data collected during face-to-face interviews. Fourteen parents of children with ASD were recruited using purposive sampling. Researchers employed a teamwork approach for data analysis to increase the dependability and consistency of the transcribed interviews. Team members discussed coding and identified the themes collaboratively.

Results
Taiwanese parents of children with ASD coped with the psychological impacts of parenting by employing problem-focused and emotion-focused strategies. Problem-focused strategies included communication, support, and management, whereas emotion-focused strategies included acceptance and adaptation. Findings showed that both coping strategies were useful in addressing specific situations and circumstances. Social and clinical support improved parents’ mental health and children’s external behaviors.

Conclusions/Implication for Practice
Healthcare providers should evaluate how parents are coping with the stresses related to raising a child with ASD and consider the cultural factors that might influence how they accept and adapt to parenting children with ASD. Understanding these variables may be used to tailor strategies appropriate to reducing stress and improving the well-being of parents and their children. Support and resource referrals should be considered, including parent support groups, books, web-based services, and recommendations for professional consultations with social workers or therapists.
Cervical Cancer Screening in Women Aged Older Than 65 Years
Authors: Firtina Tuncer Serap , Tuncer Hasan Aykut 
Published: April 2023

Objectives
Considerable debate exists among guidelines regarding when cervical cancer screening can be safely stopped. The authors aimed to compare the efficiency of human papillomavirus (HPV) test, cytology, and previous screening history for the diagnosis of cervical intraepithelial neoplasia (CIN) 2+ lesions in women aged older than 65 years.

Materials and Methods
This is a retrospective cohort study. Multiple logistic regressions were used to compare the efficiency of the HPV test, cytology, and previous screening history for the diagnosis of histologically proven CIN 2+ lesions.

Results
A total of 5,427 women were included in the study. A total of 2,143 women were tested with HPV and 52 (2.4%) of them were HPV-positive. Abnormal cytology was detected in 359 (6.6%) women. Most of the women (70.4%) had inadequate screening in the previous 10 years. According to regression analysis, an HPV-positive test increases the risk of probability of CIN 2+ 136.111 times [95% CI for odds ratio (OR) = 41.212–449.538] compared with an HPV-negative test (p < .001). Abnormal cytology increases the probability of CIN 2+ 13.072 times (95% CI for OR = 3.878–44.062) compared with normal cytology (p < .001). Inadequate or positive previous screening increases the likelihood of CIN 2+ 9.705 times (95% CI for OR = 1.603–58.756) compared with adequate and negative previous screening (p = .013).

Conclusions
Adequate previous screening is a valuable strategy, and abnormal cytology is an important screening test in women aged older than 65 years. However, the HPV test is the most determinant parameter for CIN 2+ risk in elderly women.
Point-of-Care Viral Load Testing to Manage HIV Viremia During the Rollout of Dolutegravir-Based ART in South Africa: A Randomized Feasibility Study (POwER)
Authors: Dorward Jienchi , Sookrajh Yukteshwar , Lessells Richard , Bulo Elliot , Naidoo Jessica , Naidoo Keshani , Bodley Nicola , Khanyile Mlungisi , Van Vuuren Claudia Jansen , Moodley Pravikrishnen , Samsunder Natasha , Lewis Lara , Drain Paul K. , Hayward Gail , Butler Christopher C. , Garrett Nigel 
Published: April 2023

Background:
Data are required regarding the feasibility of conducting a randomized trial of point-of-care viral load (VL) testing to guide management of HIV viremia and to provide estimates of effect to guide potential future trial design.

Setting:
Two public South African clinics during the dolutegravir-based antiretroviral therapy (ART) rollout.

Methods:
We randomized adults receiving first-line ART, with recent VL ≥1000 copies/mL, in a 1:1 ratio to receive point-of-care Xpert HIV-1 VL versus standard-of-care laboratory VL testing after 12 weeks. Feasibility outcomes included proportions of eligible patients enrolled and completing follow-up and VL process outcomes. Estimates of effect were assessed using the trial primary outcome of VL <50 copies/mL after 24 weeks.

Results:
From August 2020 to March 2022, we enrolled 80 eligible participants, an estimated 24% of those eligible. 47 of 80 (58.8%) were women, and the median age was 38.5 years (interquartile range [IQR], 33–45). 44 of 80 (55.0%) were receiving dolutegravir, and 36 of 80 (465.0%) were receiving efavirenz. After 12 weeks, point-of-care participants received VL results after median 3.1 hours (IQR 2.6–3.8), versus 7 days (IQR 6–8, P < 0.001) in standard of care. Twelve-week follow-up VL was ≥1000 copies/mL in 13 of 39 (33.3%) point-of-care participants and in 16 of 41 (39.0%) standard-of-care participants; 11 of 13 (84.6%) and 12 of 16 (75.0%) switched to second-line ART. After 24 weeks, 76 of 80 (95.0%) completed follow-up. 27 of 39 (69.2% [95% CI: 53.4 to 81.4]) point-of-care participants achieved VL <50 copies/mL versus 29 of 40 (72.5% [57.0 to 83.9]) standard-of-care participants. Point-of-care participants had median 3 (IQR, 3–4) clinical visits versus 4 (IQR, 4–5) in standard-of-care participants (P < 0.001).

Conclusions:
It was feasible to conduct a trial of point-of-care VL testing to manage viremia. Point-of-care VL lead to quicker results and fewer clinical visits, but estimates of 24-week VL suppression were similar between arms.

Trial Registration:
Pan African Clinical Trials Registry: PACTR202001785886049.
Does a vocational education program prepare competent graduates for further academic programs?
Authors: Forhad Md. Abdur Rahman , Alam Gazi Mahabubul , Haque Afruza , Khan Md. Sawgat , Rashid Mamunur 
Published: April 2023

PurposeThis study examines whether students graduating from SSC-VOC perform better in diploma engineering programs.Design/methodology/approachThis study uses quantitative and qualitative methods to examine how secondary school certificate-vocational (SSC-VOC) graduates perform in their subsequent vocational programs.FindingsDespite having vocational training orientation, this study finds that graduates from SSC-VOC receive lower grades than their public counterparts by 0.109 cumulative grade points average (CGPA).Social implicationsFindings imply that policymakers should increase teachers' numbers, salaries and laboratory facilities. In addition, collaboration between SSC-VOC institutions and polytechnics would allow them to offer a quality engineering education. In such a way, technical and vocational education and training (TVET) programs prepare human resources to promote economic development and employment, expand production opportunities and improve employment quality.Originality/valueThis is the first piece of work conducted in Bangladesh that has examined the quality of VET graduates for furthering their studies. This study added value by providing some pragmatic suggestions for practical implications.
Cryptocurrencies in accounting schools?
Authors: Marei Yahya , Almasarwah Adel , Al Bahloul Mohammad , Abu Afifa Malik 
Published: April 2023

PurposeThis study aims to investigate the extent to which newly certified public accountants (CPAs) and accounting graduate students possess a comprehensive understanding of cryptocurrencies and the skills they have acquired throughout their education.Design/methodology/approachA qualitative analysis was used through semi-structured interviews to obtain an in-depth insight into cryptocurrencies, which could not be investigated easily through quantitative methods, and to provide an understanding of the context for cryptocurrencies from CPA and non-CPA students' points of view. This was in addition to focusing on understanding the differences between the students' thoughts.FindingsThis study found that recent accounting graduates and CPA members have the least awareness of cryptocurrencies, likely due to a lack of professors' comprehension or exposure to the concept. However, students involved in forensic courses provided more information about cryptocurrencies compared with other students.Research limitations/implicationsThe data are limited to only a single country. Given that cryptocurrencies are a relatively new notion in accounting, there is an alarming lack of legislation. Further, the authors found that recent accounting graduates and CPAs had the same level of knowledge of cryptocurrencies, most probably due to a lack of exposure during their education and academics' limited understanding of the concept.Practical implicationsThe students' differing answers about cryptocurrencies show differences in their current level of understanding of cryptocurrencies.Originality/valueThis study has identified that the vast majority of accounting graduates lack adequate knowledge about cryptocurrencies or access to adequate resources, despite understanding the fundamental concepts of cryptocurrency.
Time pressure, emotional exhaustion and project manager abusive supervision in the construction industry: the role of psychological resilience
Authors: Rafique Muhammad , Jaafar Mastura , Zafar Aliya , Ahmed Saira 
Published: April 2023

PurposeLittle research has focused on abusive supervision in the context of project management, despite its prevalence and detrimental influence on the psychological health of subordinates. Therefore, drawing on affective event theory (AET), this study sought to investigate supervisor-level antecedents of abusive supervision by considering the mediating role of emotional exhaustion and moderating role of psychological resilience.Design/methodology/approachUtilizing a time-lagged design, data were collected through questionnaires from project managers and their immediate subordinates in construction projects. PROCESS macros were utilized to analyze a sample of 241 supervisor-subordinate dyads.FindingsThe findings revealed that time pressure and emotional exhaustion significantly predicted project manager abusive supervision. The authors also found that emotional exhaustion mediates the relationship between time pressure and project manager abusive supervision. Furthermore, the results show that highly resilient project managers become less emotionally exhausted when facing time pressure. Lastly, psychological resilience moderated the indirect effect of time pressure on project manager abusive supervision through emotional exhaustion.Originality/valueAccording to Fordjour et al., abusive supervision is a critical factor that deteriorates the psychological health of subordinates in the project. Nevertheless, this phenomenon remains uninvestigated. Therefore, this research contributes to the project management literature by investigating key predictors of abusive supervision, thus filling both a theoretical and practical gap.
Libraries on metaverse, do they exist?
Authors: Anna Nove E. Variant , Harisanty Dessy , Ismail Noraini 
Published: April 2023

Purpose
This paper aims to explore the existence of Metaverse or 3D virtual libraries and how they use Metaverse to expand library services.

Design/methodology/approach
The authors use literature to search projects and research papers that discuss the metaverse library. They also did observations on metaverse libraries.

Findings
There are some virtual realities or metaverse platforms that a library or virtual community can use to build their 3D virtual world. Some libraries already create a virtual world library or metaverse library. However, those initiatives are still in the prototype stage and are used for exhibitions and projects.

Originality/value
This paper overviews and builds a simple understanding of the metaverse library. The value of the paper is giving motivation when building the metaverse library. This initiative shows that big hi-tech companies do not dominate Metaverse.
Urbanization and the Future of Population Health
Authors: KADAKIA KUSHAL T. , GALEA SANDRO 
Published: April 2023

Policy Points
Cities, which are where the majority of the world's population lives today, directly and indirectly shape human health and well‐being.
Urban health research, policy, and practice are increasingly using a systems science approach to address the upstream and downstream drivers of health in cities, which include social and environmental factors, features of the built environment, conditions of living, and health care resources.
To guide future scholarship and policy, we propose an urban health agenda for 2050 focused on revitalizing the sanitation movement, integrating data, scaling best practices, adopting the Health in All Policies approach, and addressing intraurban health inequities.
Policing and Population Health: Past, Present, and Future
Authors: LEE HEDWIG , LARIMORE SAVANNAH , ESPOSITO MICHAEL 
Published: April 2023

Policy Points
A growing body of research suggests that policing, as a form of state‐sanctioned racial violence, operates as a social determinant of population health and racial or ethnic health disparities.
A lack of compulsory, comprehensive data on interactions with police has greatly limited our ability to calculate the true prevalence and nature of police violence.
While innovative unofficial data sources have been able to fill these data gaps, compulsory and comprehensive data reporting on interactions with police, as well as considerable investments in research on policing and health, are required to further our understanding of this public health issue.
Mental health emergency presentations across the Barwon South West region in Victoria, Australia: An epidemiological investigation
Authors: Kavanagh Bianca E , Holloway‐Kew Kara L , Baker Timothy , Mohebbi Mohammedreza , Pasco Julie A , Corney Kayla B , Kotowicz Mark A , Quirk Shae E , Williams Lana J 
Published: April 2023

AbstractObjectiveTo examine mental health emergency presentations across the Barwon South West, Victoria, Australia – an area comprising a range of urban and rural localities.MethodsThis is a retrospective synthesis of mental health emergency presentations across the Barwon South West (1 February 2017–31 December 2019). De‐identified data were obtained from individuals who presented to EDs and urgent care centres (UCCs) within the study region, who had a principal diagnosis of a Mental and Behavioural Disorder (codes F00‐F99). Data were sourced from the Victorian Emergency Minimum Dataset and Rural Acute Hospital Database Register (RAHDaR). Age‐standardised incident rates for mental health emergency presentations were calculated for the whole sample and for local government areas. Data on usual accommodation, arrival transport mode, referral source, patient disposition and length of ED/UCC stay were also obtained.ResultsWe identified 11 613 mental health emergency presentations, with neurotic, stress‐related and somatoform disorders (n = 3139, 27.0%) and mental and behavioural disorders due to psychoactive substance use (n = 3487, 30.0%) being the most frequent types of presentations recorded. The highest age‐standardised incidence rates (mental health diagnosis per 1000 population/year) were in Glenelg (13.95), whereas Queenscliffe had the lowest incident rates (3.76). Most presentations (n = 3851, 33.2%) tended to occur for individuals aged between 15 and 29 years.ConclusionsNeurotic, stress‐related and somatoform disorders and mental and behavioural disorders due to psychoactive substance use were the most frequent types of presentations recorded across the sample. RAHDaR represented a small but meaningful contribution to the data.
Identification and validation of the model consisting of DDX49, EGFR, and T‐stage as a possible risk factor for lymph node metastasis in patients with lung cancer
Authors: Zhang Zhimin , Lian Xiaojuan , Yue Hongxu , Xiang Debing , Niu Zhongxi 
Published: April 2023

AbstractIntroductionThe lymph node metastasis stage of lung cancer is an important decisive factor in the need for postoperative adjuvant treatment and the difference between stage IIIa and stage IIIB that is the necessary information to distinguish whether surgery can be performed or not. The specificity of the clinical diagnosis of lung cancer with lymph node metastasis cannot meet the requirements of preoperative evaluation of surgical indications and prediction of surgical removal range in lung cancer.MethodsThis was an early experimental laboratory trial. The model identification data included the RNA sequence data of 10 patients from our clinical data and 188 patients with lung cancer from The Cancer Genome Atlas dataset. The model development and validation data consisted of RNA sequence data for 537 cases from the Gene Expression Omnibus dataset. We explore the predictive value of the model on two independent clinical data.ResultsA higher specificity of diagnostic model for patients with lung cancer with lymph node metastases consisted of DDX49, EGFR, and tumor stage (T‐stage), which were the independent predictive factors. The area under the curve value, specificity, and sensitivity for predicting lymph node metastases were 0.835, 70.4%, and 78.9% at RNA expression level in the training group, and 0.681, 73.2%, and 75.7% at RNA expression level in the validation group as shown as in result part. To verify the predictive performance of the combined model for lymph node metastases, we downloaded the GSE30219 data set (n = 291) and the GSE31210 data set (n = 246) from the Gene Expression Omnibus (GEO) database as the training group and validation group, respectively. In addition, the model had a higher specificity for predicting lymph node metastases in independent tissue samples.ConclusionsDetermination of DDX49, EGFR, and T‐stage could form a novel prediction model to improve the diagnostic efficacy of lymph node metastasis in clinical application.
Is response evaluation criteria in solid tumors (RECIST) effective in patient selection for radical resection after neoadjuvant immunotherapy with advanced NSCLC?
Authors: Xu Yuan , Ma Dongjie , Qin Yingzhi , Li Shanqing , Li Ji , Jiang Ying , Wang Mengzhao , Xu Yan , Zhao Jing , Chen Minjiang , Cheng Wuying , Hu Ke , Liu Hongsheng 
Published: April 2023

AbstractBackgroundNeoadjuvant immunotherapy combined with chemotherapy has been used to treat locally advanced non–small cell lung cancer (NSCLC). Several systems have been developed for response evaluation. The aim of this study was to evaluate the predictive value of response evaluation criteria in solid tumors (RECIST) and propose modified RECIST (mRECIST).MethodsEligible patients received chemotherapy combined with personalized neoadjuvant immunotherapy. Radical resection was subsequently performed for potentially resectable tumors evaluated by RECIST. The resected specimens were evaluated to determine the response to neoadjuvant therapy.ResultsA total of 59 patients received radical resection following neoadjuvant immunotherapy combined with chemotherapy. According to RECIST, four patients had complete remission, 41 had partial remission, and 14 had progressive disease. Postoperative pathological examination showed 31 patients achieved complete pathological remission, and 13 achieved major pathological remission. The final pathological results were uncorrelated with RECIST assessment (p = 0.086). The ycN stage and pN stage were irrelevant (p < 0.001). When the cutoff of sum of diameters (SoD) is 17%, the Youden's index reached its highest value. A correlation was found between mRECIST and final pathological results. Patients with squamous cell lung cancer showed higher proportions in objective response (OR) (p < 0.001) and complete pathological remission (CPR) (p = 0.001). A shorter time to surgery (TTS) was correlated with a better OR (p = 0.014) and CPR (p = 0.010). The decrease in SoD was correlated with better OR (p = 0.008) and CPR (p = 0.002).ConclusionsmRECIST was effective for patient selection for radical resection after neoadjuvant immunotherapy with advanced NSCLC. Two modifications were suggested for RECIST: (1) the cutoff value was adjusted to 17% for partial remission. (2) Changes in lymph nodes on computed tomography were eliminated. A shorter TTS, a larger decrease in SoD and squamous cell lung cancer (vs. adenocarcinoma) were correlated with better pathological responses.
Applying the cultural adaption framework to the Early Youth Engagement (EYE‐2) approach to early intervention in psychosis
Authors: Rathod Shanaya , Phiri Peter , de Visser Richard , Moore Sophie , Au‐Yeung Karmen , Collier Olivia , Gu Jenny , Bartl Gergely , Greenwood Kathryn 
Published: April 2023

AbstractObjectivesDisengagement from Early Intervention in Psychosis (EIP) services is pronounced in individuals from racially minoritized or diverse ethnic backgrounds, lesbian, gay, bisexual, transgender, and queer or questioning individuals, and individuals from some religious or spiritual backgrounds. The Early Youth Engagement in first episode psychosis study (EYE‐2) is a cluster randomized controlled trial that tests a new engagement intervention. The current study aimed to (i) explore perspectives of service users from diverse backgrounds in relation to spirituality, ethnicity, culture and sexuality on engagement and the EYE‐2 approach and (ii) use an evidence‐based adaptation framework to incorporate their needs and perspectives into the EYE‐2 resources and training.MethodsThis qualitative study used semi‐structured interviews to explore service users' experiences and perspectives on EYE‐2 approaches and resources.The study was conducted within EIP teams across three inner‐city sites in England chosen to reflect diverse urban populations. Topic guides covered participant's identity, perceptions of EYE‐2 resources, and experience of using mental health services. Transcribed interviews underwent thematic analysis.ResultsIn this study, 21 service users aged 18 to 35 (M = 25.4; SD = 5.5) participated in semi‐structured interviews. Seven key themes were identified across the four domains of the cultural adaptation framework: Differing cognitions and beliefs; multiple facets of culture; language as a barrier to engagement; stigma and discrimination; adaptations to EYE‐2 resources; trust in therapeutic alliance; and individual differences in therapeutic preferences.ConclusionsThe emergent themes highlighted a need to cater to various aspects of cultural diversity when developing EIP materials and services.