Search Results (245)

The Orchidaceae family in Calabria has been scarcely investigated during the 21st century, and available knowledge remains fragmentary, particularly for the rarer taxa. The last comprehensive study dates back to 2002, whereas subsequent checklists, limited to restricted areas of the region, provide incomplete or taxonomically uncertain data. Considering that the family is protected at global (CITES, Bern Convention, IUCN) and national (Italian Red List) levels, broader and more systematic attention is required. In this work, focused on the southern sector of the Metropolitan City of Reggio Calabria, with special reference to the mountain and foothill areas of the Aspromonte massif and in the adjacent districts, we describe four new hybrids for science, each assessed as Critically Endangered (CR), and report four previously unrecorded taxa for the region, evaluated as VU/CR. In addition, two hybrids, newly recorded for the Calabrian flora, were likewise assigned a CR conservation status. The study also provides confirmation of historical records of Ophrys speculum and identifies the southernmost stations in continental Italy for both O. speculum and Orchis branciforti Standardized floral and labellar morphometric traits were measured on representative individuals from each population, including the parental species in the case of hybrids. Conservation status was evaluated following IUCN criteria and GeoCAT-derived AOO values, complemented by field observations on population size, habitat conditions, and site-specific threats. Hybrid names comply with ICN provisions. These findings enhance understanding of orchid biodiversity in Southern Italy and provide new insights for regional conservation efforts. Full article

The ‘Parents as Partners’ (PasP) coparenting programme was delivered to heterosexual parents of infants they described as showing a highly reactive temperament (HRT) following the completion of the Infant Behaviour Questionnaire–Revised (IBQ-R) during a standard post-natal visit in their local Health Centre Well Baby Clinic in Malta. Fifty-two participating Maltese couples, all coparenting a highly reactive infant of 8 to 12 months, were randomly assigned into an experimental (n = 30 couples) or control group (n = 25). The IBQ-R, Coparenting Relationship Scale (CRS), and Parental Stress Index (PSI-4 SF) at pre- and post-intervention periods were filled out by randomised participants. Intervention group couples followed the 16-week PasP programme. All randomised couples were followed by a case manager monthly. Post-intervention results compared with controls showed reduced couple conflict occurring in front of the child, reduced parent–child dysfunctional interaction, and a reduction in negative child reactivity. Implications point to the importance of including fathers and reducing coparenting conflict in interventions designed to reduce behavioural difficulties in infants and young children. Full article

This study explores the impact of integrating formal and non-formal learning in secondary school education through a mixed-methods experimental design. A total of 120 students (aged 14–16) from two secondary schools were randomly assigned to an experimental group (n = 60) and a control group (n = 60). The experimental group participated in a twelve-week interdisciplinary programme that combined traditional curricular subjects with non-formal educational practices such as sports, theatre, art, and community engagement, supported by digital learning platforms. Quantitative data were collected through validated instruments, while qualitative data were gathered through observations, focus groups, and semi-structured interviews with students, teachers, and parents. Statistical analyses (t-tests and ANOVA) revealed significant improvements in intrinsic motivation, psychological well-being, and sense of belonging among students in the experimental group compared to the control group. Thematic analysis of qualitative data confirmed these findings, highlighting increased collaboration, engagement, and inclusion. The results indicate that integrating formal and non-formal education fosters holistic learning, strengthens community ties, and promotes emotional and cognitive development. These findings provide empirical support for policies and pedagogical practices aimed at developing flexible, participatory, and sustainable educational models. Full article

Working memory training (WMT) has promising effects on cognitive and clinical outcomes in children with attention deficit hyperactivity disorder (ADHD). However, few studies have explored the effectiveness of such programs in developing countries with different populations and sociocultural backgrounds. This study aimed to pilot Cogmed WMT (CWMT) and examine its impact on clinical and cognitive outcomes in children diagnosed with ADHD in Saudi Arabia. We assessed 34 children with ADHD assigned to either a CWMT or standard-of-care group. Both groups were evaluated at baseline and five weeks for ADHD symptoms and cognitive function, including working memory (WM), sustained attention, and impulsivity. Compared with the baseline and the control group, the intervention group demonstrated improved parent ratings of ADHD clinical symptoms and cognitive function scores, including WM, sustained attention, and impulsivity. CWMT improved cognitive and clinical measures in our sample of Saudi children with ADHD and is a promising non-pharmacological therapy for treating children with ADHD in developing countries. Full article

Objectives: This study aimed to evaluate differences in parental satisfaction with healthcare provided to children undergoing inguinal hernia repair, comparing two organizational models of treatment: conventional hospitalization (CH) and day surgery (DS). Secondary objectives were to examine demographic characteristics, postoperative pain intensity, hospital stay duration, and clinical outcomes across groups. Methods: A prospective cohort study was conducted at the Department of Pediatric Surgery, University Hospital of Split, between 1 May 2024 and 1 May 2025. A total of 133 parents of children who underwent primary inguinal hernia repair completed the study questionnaire. The sample included 105 boys and 28 girls, with a median age of 5 years (IQR 3–7). Participants were assigned to either CH (n = 65) or DS (n = 68). Pain intensity was measured using a Visual Analogue Scale (VAS), while parental satisfaction was assessed using the Croatian version of the PedsQL™ 3.0 Healthcare Satisfaction–Parent Report instrument. Results: Postoperative pain levels did not differ significantly between the CH and DS groups (p = 0.439). Parental satisfaction scores were high in both settings. However, CH was associated with significantly greater satisfaction in the domains of information provision (p = 0.042), family participation (p = 0.012), communication (p = 0.017), and emotional support (p = 0.031). No significant differences were observed in general satisfaction (p = 0.945), technical skills (p = 0.054), or total satisfaction scores (p = 0.055). Conclusions: Day surgery represents a safe and efficient treatment model for pediatric inguinal hernia, with comparable pain outcomes to conventional hospitalization. Although overall parental satisfaction was high in both groups, lower ratings in the DS group for communication, emotional support, and information provision highlight areas for targeted organizational and educational improvements to enhance the family experience in ambulatory pediatric surgical care. Full article

Climate change causes unpredictable weather patterns, leading to more frequent and severe droughts. Investigating the effects of drought and irrigation on soil water status and the performance of various cassava genotypes can provide valuable insights for mitigating drought through designing appropriate genotypes and water management strategies. The objective of this research was to evaluate soil moisture, growth rates, and final yields (total dry weight, storage root dry weight, harvest index and starch yield) of six cassava genotypes cultivated under drought conditions during the late growth phase, as well as under full irrigation. The study utilized a split-plot randomized complete block design with four replications, conducted over two growing seasons (2022/2023 and 2023/2024). The main plots were assigned as two water regimes to prevent water movement between plots: full irrigation and drought treatments. The subplot consisted of six cassava genotypes. Measurements included soil properties before planting, weather data, soil moisture content, relative water content (RWC) in cassava leaves, and several growth rates: leaf growth rate (LGR), stem growth rate (SGR), storage root growth rate (SRGR), crop growth rate (CGR), relative growth rate (RGR), as well as final yields. The results revealed that low soil moisture contents for drought treatment led to variation in RWC, growth, and yield among cassava genotypes. Variations in soil and weather conditions between the 2022/2023 and 2023/2024 growing seasons resulted in differences in the performance of the genotypes. Kasetsart 50 (2022/2023) and CMR38–125–77 (2023/2024) were top performers under late drought stress regarding storage root dry weight and starch yield, showing vigorous recovery upon re-watering, evidenced by their significant increase in LGR (between 240 and 270 DAP) and their high RGR (240–360 DAP). Rayong 9 (2023/2024) demonstrated strong performance in both during the drought period (180–240 DAP), efficiently allocating resources under water scarcity, with SRGR and starch yield reduced by 26.4% and 9.5%, respectively, compared to full irrigation. These cassava genotypes are valuable genetic resources for cassava cultivation and can be used as parental material in breeding programs aimed at improving drought tolerance. Full article

Introduction: Creative Dance, as an educational approach to physical activity emphasizing autonomous exploration and creative expression, has demonstrated significant benefits for children’s cognitive development and independent learning. This study aimed to examine the effects of Creative Dance on the development of autonomy among Chinese children aged 4 to 6 years, and to investigate the mediating role of autonomy need satisfaction in this process. Methods: A randomized, single-blind, two-arm experimental design was utilized, with classrooms serving as the unit of assignment. A total of 102 children aged 4–6 years were randomly allocated to either an experimental group (Creative Dance) or a control group (DanceSport). The children’s autonomy was measured pre- and post-intervention using parent-proxy reports. In addition, qualitative interviews and video observations were conducted to assess the degree of autonomy need satisfaction experienced by the children during the Creative Dance intervention. Results: Analysis of the pre-intervention data revealed no statistically significant differences in autonomy scores between the experimental and control groups. Post-intervention, the children in the experimental group scored significantly higher across all dimensions of autonomy compared to those in the control group. Mediation analysis indicated that autonomy need satisfaction significantly mediated the effect of Creative Dance on self-assertion, but not on self-reliance or self-control. Discussion: Creative Dance constitutes an effective intervention for supporting autonomy need satisfaction and promoting overall autonomy development in young children. Satisfaction of autonomy needs serves as a key mechanism through which Creative Dance enhances self-assertion. These findings provide empirical evidence supporting the incorporation of Creative Dance into early childhood education as a means of promoting physical and mental development. Full article

Background: Iron is an essential nutrient for the proper development of infants. Iron deficiency, a common cause of anemia—affects nearly half children under four years of age in developing countries. The aim of the study was to assess the impact of an intensive nutritional education program on the iron status of infants. Material and methods: The parents of 115 infants were randomly assigned to two groups: the study group, which received intensive nutritional education up to 12 months of age, and the control group, which received basic infant nutrition guidelines. Serum concentrations of iron metabolism parameters—among others hemoglobin, iron, ferritin, ferroportin, and total iron-binding capacity (TIBC)—were assessed at both the beginning and end of the study. Additionally, at the final time point, dietary intake of iron and components influencing its absorption (e.g., vitamin C, fiber, etc.) was evaluated based on food diaries completed by the parents. Results: At the end of the study, the study group showed a significantly higher level of hemoglobin (p = 0.0499), ferritin (p = 0.0067) and lower levels of TIBC (p = 0.0478) and ferroportin (p = 0.0410) compared to the control group. Moreover, infants in the study group demonstrated significantly higher intake of both iron (p = 0.0252) and vitamin C (p = 0.0458). Conclusions: Parental nutritional education contributes to improvements in iron metabolism indicators in infants. Full article

Background: Phenylketonuria (PKU) is an inherited metabolic disorder that requires early diagnosis and strict phenylalanine (Phe)-restricted diet to prevent neurocognitive impairment. Various infant feeding models have been used to achieve optimal metabolic control during early life. The aim of this study was to compare two different feeding models for infants with classical PKU in terms of metabolic control, growth parameters, micronutrient status, the process of introducing complementary foods, and with a particular focus on sleep quality. Methods: In this prospective observational study, 26 infants with classical PKU were followed for 12 months. Patients were assigned to one of two feeding groups: Group-1 received breast milk and Phe-free formula in alternating feeds, while Group-2 received Phe-free formula followed by breastfeeding until satiety. Blood Phe, micronutrient levels and anthropometric measurements were recorded. Sleep quality was evaluated using the Brief Infant Sleep Questionnaire-Revised (BISQ-R). A structured set of parental questions was used to evaluate their experiences during the complementary feeding period. Results: No statistically significant differences were observed between the groups in terms of blood Phe levels, anthropometric measurements, serum levels of iron, ferritin, vitamin-B12, vitamin-D, and zinc. Complementary feeding tolerance were similar across the groups. The BISQ-R analysis revealed no significant differences between the groups. Conclusions: Both feeding models were equally effective in maintaining metabolic control, supporting normal growth, complementary feeding processes, and preserving sleep quality during infancy. These findings suggest that either approach can be adopted based on the preference of the caregiver and the practicality of the clinical setting. Full article

Objectives: Tonsillectomy is among the most frequently performed pediatric ENT procedures. Post-tonsillectomy pain and hemorrhage remain key determinants of postoperative morbidity and may differ by surgical technique. This work’s objective is to compare postoperative pain, bleeding, and operative duration across three pediatric tonsillectomy techniques: cold dissection with suturing, cold dissection with ligation, and hot dissection with bipolar cautery. Materials and Methods: In this single-center, prospective study, 150 children (n = 50 per group) undergoing tonsillectomy (with adenoidectomy) between October 2022 and October 2024 were assigned preoperatively to the following groups: Group 1—cold dissection + suturing; Group 2—cold dissection + ligation; Group 3—hot dissection (bipolar cautery). Pain was assessed with the Wong–Baker FACES scale at 1, 6, and 24 h, days 3 and 7, and with the Parents’ Postoperative Pain Measure (PPPM) at 1, 6, and 24 h. Primary bleeding was defined within 24 h; secondary bleeding was within 2 weeks. Operative time was recorded from first incision to hemostasis. Non-parametric tests and chi-square analyses were used with p < 0.05 considered significant. Results: Of 150 patients, 58% were male. No primary hemorrhage occurred. Secondary hemorrhage occurred in 4/150 (2.7%): 1/50 (2%) in Group 1, 0/50 (0%) in Group 2, and 3/50 (6%) in Group 3 (overall p > 0.05). Readmission for oral-intake difficulty occurred in 4/150 (2.7%): 1/50 (2%) in Group 1 and 3/50 (6%) in Group 3 (p > 0.05). Operative time differed significantly across groups (Kruskal–Wallis p < 0.05), being longest in Group 1 and shortest in Group 3 (17.53 ± 1.26 min); Group 2 averaged 18.60 ± 0.94 min and Group 1 21.89 ± 1.64 min. Pain decreased over time in all groups (Friedman p < 0.001). Across virtually all time points, Group 2 (ligation) had significantly lower Wong–Baker and PPPM scores than Groups 1 and 3 (Dunn post-hoc, adjusted p < 0.05), while Groups 1 and 3 did not differ consistently. Conclusions: Cold dissection with ligation yielded the most favorable pain profile while maintaining low bleeding rates; hot dissection minimized operative time but tended toward higher secondary bleeding and postoperative intake difficulties. Technique selection should prioritize postoperative comfort and morbidity reduction—particularly in pediatric populations—favoring cold dissection, with ligation offering a consistent analgesic advantage. Full article

Our study tracks the development of 105 Roma children between 3 and 5 (median age: 51 months), enrolled in an NGO-aided developmental program. Each child undergoes pre- and post-assessment based on the Developmental Assessment of Young Children (DAYC), a standard tool used to track the progress in early childhood development and detect delays. Data are gathered from three sources, teacher, parent/caregiver and specialist, covering four developmental domains and adaptive behavior scale. There are subjective biases; however, in the post-assessment, the teachers’ and parents’ evaluations converge. The test results confirm significant improvement in all areas ($p<0.0001$), with the highest being in cognitive skills $32.2\%$ and the lowest being in physical development $14.4\%$. We also apply machine learning methods to impute missing data and predict the likely future progress for a given student in the program based on the initial input, while also evaluating the influence of environmental factors. Our weighted ensemble regression models are coupled with principal component analysis (PCA) and yield average coefficients of determination $R^2\approx 0.7$ for the features of interest. Also, we perform k-means clustering in the plane cognitive vs. social–emotional progress and consider the classification problem of predicting the group in which a given student would eventually be assigned to, with a weighted $F_1$-score of $0.83$ and a macro-averaged area under the curve (AUC) of $0.94$. This could be useful in practice for the optimized formation of study groups. We explore classification as a means of imputing missing categorical data too, e.g., education, employment or marital status of the parents. Our algorithms provide solutions with the $F_1$-score ranging from $0.92$ to $0.97$ and, respectively, an AUC between $0.99$ and 1. Full article

Background: Preterm birth is associated with increased risk for neurodevelopmental disorders. Although standardized tools such as the Bayley Scales of Infant and Toddler Development—Third Edition (BSID-III) are widely used for early developmental assessment, parent-report measures may offer complementary and cost-effective alternatives. The Developmental Profile 3 (DP-3) is a parent questionnaire with potential utility in preterm follow-up programs. Objective: To compare developmental outcomes of preterm infants at 12 months corrected age assessed using the BSID-III and the DP-3 questionnaires and to evaluate the agreement between these tools across cognitive, language-communication, motor, and social-emotional domains. Methods: Fifty-five preterm infants (mean GA = 30.3 weeks; mean BW = 1388 g) were assessed using both the BSID-III (administered by professionals) and the DP-3 (completed by parents) at 12 months corrected age. Mean scores were computed for each domain, and infants were assigned to the corresponding descriptive categories. The agreement between BSID-III and DP-3 scores was statistically evaluated. Results: Both instruments identified similar developmental trends, with motor development emerging as the most vulnerable domain for preterm infants. DP-3 scores were higher than BSID-III scores in virtually all domains, and absolute intraclass correlation coefficients showed a generally moderate agreement between measurements. The BSID-III identified significantly more infants at risk in the cognitive and social-emotional areas compared to the DP-3. Conclusions: The DP-3 showed fair convergence with the BSID-III, supporting its use as a complementary tool in preterm follow-up. Extending follow-up assessments into later developmental stages will be essential to more accurately determine the predictive validity of the DP-3. Full article

Extended reality (XR)-based rehabilitation is an emerging therapeutic approach that combines real and virtual environments to enhance patient engagement and promote motor and cognitive recovery. Its clinical utility in children with cerebral palsy (CP), particularly regarding gross motor skills, balance, and psychosocial well-being, remains underexplored. This preliminary study aimed to evaluate the potential effects of XR-based rehabilitation on gross motor function, balance, parental stress, and quality of life in children with cerebral palsy. Thirty children with cerebral palsy were randomly assigned to an extended reality training group (XRT, n = 15) or a conventional physical therapy group (CPT, n = 15). Both groups received 30 min sessions, three times per week for 6 weeks. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), Pediatric Balance Scale (PBS), Functional Independence Measure (FIM), Parenting Stress Index (PSI), and Pediatric Quality of Life Inventory (PedsQL), assessed pre- and post-intervention. A 2 (group) × 2 (time) mixed ANOVA was conducted. The XR group demonstrated improvements in GMFM-88, PBS, and FIM scores, with decreased PSI and increased PedsQL scores. Although most interaction effects were not statistically significant (GMFM-88: η² = 0.035, p = 0.329; PBS: η² = 0.043, p = 0.274), a marginal interaction effect was observed for PSI (p = 0.065, η² = 0.059), suggesting a potential benefit of XR-based rehabilitation in reducing parental stress. This preliminary study indicates that XR-based rehabilitation may provide beneficial trends in motor function and psychosocial health in children with CP, particularly in reducing parental stress. Further studies with larger sample sizes are needed to confirm these findings. Full article

The Every Student Succeeds Act requires that U.S. states provide a public evaluation of the performance of each public school while providing broad discretion in how states devise performance frameworks. One common method consists of states assigning each school an A–F letter grade based on English and math proficiency rates and other measures of academic performance. Proponents of the summary letter-grade system cite its simplicity as a virtue, while detractors contend that the system is simplistic to a fault. To bring greater clarity to these ongoing debates, we solicited opinions from parents regarding state letter-grade systems. We conducted semi-structured focus groups with parents in Arizona, North Carolina, and Texas (three focus groups per state). These conversations revealed that most parents were not aware that the state grades schools. Once the performance framework was explained, most parents expressed a belief that it is overly simplistic and insufficiently deferential to what they perceive as the subjective nature of school quality. Parents also revealed substantial tension between their conception of school quality and the way it is operationalized in the report card, with the latter ascribing much greater importance to state test scores. Full article

Background: While previous research on children’s diets has primarily focused on individual nutrients or foods, recent years have seen increasing attention to the analysis of dietary patterns. In school-aged children enrolled in the CroCOSI study, this research focused on identifying the dietary patterns and examining their potential links with childhood obesity. Methods: Data were collected from a nationally representative sample comprising 5608 children aged 7–10 years and their parents in this cross-sectional study. To evaluate the nutritional status of the children, BMI-for-age was assessed using z-score values. Results: A factor analysis using data from the FFQ revealed three dietary patterns: Western, Healthy, and Breakfast. Children who scored high for consumption of fruits, vegetables, fish, cheese, dairy products, and 100% fruit juice were categorized into the Healthy dietary pattern, whereas those with high scores for cereals and milk were assigned to the Breakfast dietary pattern. Conclusions: The Western dietary pattern did not show a significant relationship with obesity among school-aged children (OR = 1.00, 95% CI: 0.98–1.00; p = 0.11). The risk of obesity was lower among children following the Healthy (OR = 0.98, 95% CI: 0.98–0.99; p = 0.045) and Breakfast (OR = 0.96, 95% CI: 0.95–0.99; p = 0.001) dietary patterns.The results can help in creating food policies with the aim of reducing childhood obesity in Croatia. Full article