Search Results (145)

Background/Objectives: Deficits in emotion recognition abilities have been described as risk factors for intimate partner violence (IPV) perpetration. However, much of this research is based on self-reports or instruments that present limited psychometric properties. While current scientific literature supports the use of eye tracking to assess cognitive and emotional processes, including emotional decoding abilities, there is a gap in the scientific literature when it comes to measuring these processes in IPV perpetrators using eye tracking in an emotional decoding task. Hence, the aim of this study was to examine the association between fixation times via eye tracking and emotional decoding abilities in IPV perpetrators, controlling for potential confounding variables. Methods: To this end, an emotion recognition task was created using an eye tracker in a group of 52 IPV perpetrators. This task consisted of 20 images with people expressing different emotions. For each picture, the facial region was selected as an area of interest (AOI). The fixation times were added to obtain a total gaze fixation time score. Additionally, an ad hoc emotional decoding multiple-choice test about each picture was developed. These instruments were complemented with other self-reports previously designed to measure emotion decoding abilities. Results: The results showed that the longer the total fixation times on the AOI, the better the emotional decoding abilities in IPV perpetrators. Specifically, fixation times explained 20% of the variance in emotional decoding test scores. Additionally, our ad hoc emotional decoding test was significantly correlated with previously designed emotion recognition tools and showed similar reliability to the eyes test. Conclusions: Overall, this pilot study highlights the importance of including eye movement signals to explore attentional processes involved in emotion recognition abilities in IPV perpetrators. This would allow us to adequately specify the therapeutic needs of IPV perpetrators to improve current interventions. Full article

Consanguinity is the marriage of two related persons. This type of marriage is one of the main pillars when it comes to recessive hereditary diseases, birth defects, infertility, miscarriages, abortion, and infant deaths. Intermarriage continues to be a common practice in various communities in North Africa, the Middle East, and West and South Asia, as well as among migrants from Europe and North America, even though in more and more countries it has become illegal. Even if security and stability are some of the motivations for consanguineous marriage, studies show that women often suffer physical and verbal abuse from their husbands. However, because of the blood bond, tolerance for these habits is much higher. In addition, it seems that the divorce rate is much lower because separation would affect the entire state of the family. The choice of partner is significantly influenced by variables such as limited access to education and financial resources. Illiterate people coming from poor rural areas are much more likely to choose consanguineous marriage to maintain wealth in the family. The lack of medical knowledge about the negative effects of consanguinity leads to an increased rate of abortions, infant deaths, and births of children with congenital birth defects. Today, because of the process of urbanization and increased levels of knowledge, the younger generation is becoming increasingly less receptive to this particular form of marriage. In addition, as education has become more accessible to women, they have become more independent and eager to fulfill their own goals and not the wishes of the family. In conclusion, contrary to the many apparent advantages of consanguineous marriage, partners should put genetic risks first, as medical problems bring with them increased costs in the medical system and also within the family, leading to even lower economic status and consequently perpetuation of this type of marriage. Full article

Cervical cancer remains one of the main causes of female mortality, especially in middle- and low-income countries, despite efforts towards the implementation of global vaccination against human papillomavirus (HPV). The aim of this study was to review and compare the most recently published international guidelines providing recommendations on cervical cancer screening strategies among average and high-risk women. Thus, a comparative review of guidelines by the US Preventive Services Task Force (USPSTF), the American Cancer Society (ACS), the American Society of Clinical Oncology (ASCO), the World Health Organization (WHO), the Canadian Task Force on Preventive Health Care (CTFPHC), the Cancer Council Australia (CCA), and the European Guidelines (EG) was conducted. There is an overall agreement regarding the suggestions made for women younger than 21 and those older than 65, with all guidelines stating against routine screening, with the exceptions of CTFPHC and CCA that expand the age group to up to 70 and 75 years, respectively. Continuation of screening in older women is also suggested in those with a history of a precancerous lesion and those with inadequate screening. Most guidelines recommend routine screening at 30–65 years, while the WHO advises that screening should be prioritized at 30–49 years. HPV DNA testing is the method of choice recommended by most guidelines, followed by cytology as an alternative, except for CTFPHC, which refers to cytology only, with self-sampling being an acceptable method by most medical societies. Agreements exist regarding recommendations for specific groups, such as women with a history of total hysterectomy for benign reasons, women with a complete vaccination against HPV, individuals from the lesbian, gay, bisexual, transgender, and queer communities and women with multiple sexual partners or early initiation of sexual activity. On the other hand, the age group of 21–29 is addressed differently by the reviewed guidelines, while differentiations also occur in the screening strategies in cases of abnormal screening results, in women with immunodeficiency, those with in utero exposure to diethylstilbestrole and pregnant women. The development of consistent practice protocols for the most appropriate cervical cancer screening programs seems to be of major importance to reduce mortality rates and safely guide everyday clinical practice. Full article

Introduction: Testicular cancer (TC) is diagnosed at a young age and carries a remarkably high cure rate. Hence, there is a sizeable population living in the survivorship phase. Many studies have highlighted the plight of TC survivors as a result of the late side-effects of the different therapeutic modalities used for the treatment of TC. This is the first study in Ireland to highlight the impact of TC on socio-economic health, sexual health, and fertility in survivors. Method: We performed a questionnaire-based survey, which was fully anonymised to encourage participation. Questionnaires were designed to measure the self-reported impact on social, sexual, and economic health on a five-point Likert scale (ranging from no effect to very significant effect), whereas any effect on fertility was investigated with questions regarding biological children before and after cancer with or without medical assistance. Results: A total of 83 TC survivors participated in the study. Almost half of our respondents revealed some effect on their performance at work and personal finances. Around one-third suffered an impact on career choice, job security, and their relationship with their partner. Regarding sexual health, the worst repercussions were noted on sex drive and body image perception, where close to half of the respondents reported at least some deterioration. Ejaculation and erectile function were affected in 30% of the participants. Of all participants, 17% reported issues with fertility, and the same proportion reported seeking medical help to conceive after diagnosis or treatment of TC. Conclusions: In conclusion, some TC survivors experience significant impact on their socio-economic and sexual health. Full article

Introduction: The psychosocial impact of living with an Inherited Metabolic Disorder (IMD) is becoming increasingly relevant and can have a significant impact on planning the future, conditioning the reproductive decisions made during adolescence and young adulthood. The aim of this paper is to explore thoughts about partner choices, parenthood and pregnancy among adolescents and young adults affected by IMDs. Methods: A cross-sectional study was performed. A sample of 23 patients affected by a range of IMDs were interviewed. Twenty-two questions were provided, distinguished into four main themes: partners, parenthood, pregnancy and need for information. Results: More than half of participants (57%) reported insecurities about relationships and declared that they were single for this reason, with most (70%) having a hope of having children in the future, although with the awareness and fear that they could also be affected. Almost all females (90%) consider themselves able to carry a pregnancy in a way similar to other women. There was the common need for more information about their potential fertility and parenthood linked to their condition. Conclusion: Being diagnosed with an IMD can influence personal decisions regarding relationships and reproduction. The early identification of issues in these domains may enhance referrals for personalized interventions and build more focused support programmes. Full article

This study proposes a data-driven approach to leveraging large-scale COVID-19 datasets to enhance the predictive modeling of disease spread in the early stages. We systematically evaluate three machine learning models—ARIMA, Prophet, and LSTM—using a comprehensive framework that incorporates time-series analysis, multivariate data integration, and a Multi-Criteria Decision Making (MCDM) technique to assess model performance. The study focuses on key features such as daily confirmed cases, geographic variations, and temporal trends, while considering data constraints and adaptability across different scenarios. Our findings reveal that LSTM and ARIMA consistently outperform Prophet, with LSTM achieving the highest predictive accuracy in most cases, particularly when trained on 20-week datasets. ARIMA, however, demonstrates superior stability and reliability across varying time frames, making it a robust choice for short-term forecasting. A direct comparative analysis with existing approaches highlights the strengths and limitations of each model, emphasizing the importance of region-specific data characteristics and training periods. The proposed methodology not only identifies optimal predictive strategies but also establishes a foundation for automating predictive analysis, enabling timely and data-driven decision-making for disease control and prevention. This research is validated using data from New Zealand and its major trading partners—China, Australia, the United States, Japan, and Germany—demonstrating its applicability across diverse contexts. The results contribute to the development of adaptive forecasting frameworks that can empower public health authorities to respond proactively to emerging health threats. Full article

Background: In Greece, the cesarean section (CS) rate reached 62.15% in 2023. This study aims to document Greek obstetricians’ preferences and choices regarding the delivery mode of their own children. Methods: A questionnaire was emailed to Greek obstetricians, capturing demographics, preferred and actual delivery modes, regrets about delivery choices, and opinions on factors contributing to the high CS rate. Results: Of the 337 respondents, 78.8% preferred normal labor, but only 55.8% reported a vaginal delivery for their first child. Only 31% would opt for vaginal birth after CS. Male and married obstetricians were more likely to prefer vaginal birth, while those with more children or children born earlier were more likely to have delivered vaginally their first child. Partner preference influenced both the obstetrician’s choice and the actual delivery mode. According to Greek obstetricians, the primary reasons for the high CS rate are hostile medico-legal conditions (56.3%), advanced maternal age and in vitro fertilization (42.6%), and lack of training in instrumental deliveries (37.2%). Maternal request was cited by 25% of respondents. Conclusions: Although four in five Greek obstetricians favor normal labor for their own children, the CS rate among them mirrors that of the general population. Convenience scheduling does not appear to drive Greece’s high CS rate. Obstetricians suggest that legislative reforms, improved training, and public health strategies to reduce maternal CS requests are essential for lowering the CS rate. Full article

Adolescence is a crucial transition stage for young people. While many physical, psychological, and social developmental changes are taking place, this may also be the time of a teenager’s first love relationship. At this stage of early romance, adolescents sometimes experience violent abusive relationships, and the choices around this reality could be linked to family upbringing and history. The objective of the study was to determine the relationship between such violent encounters in early teenage love relationships and family functionality using the Intrafamily Relationships Evaluation Test (FF-SIL). This study explored the experiences of secondary students at a school in southern Peru in 2022 during the COVID-19 pandemic. A quantitative method was used, entailing a descriptive, cross-sectional, correlational approach. The questionnaire was administered to 153 student respondents. The results show that 45.1% of students come from moderately functional families, followed by 29.4% from dysfunctional families. Likewise, 24% of adolescents report having experienced violence in their relationships, which is relatively equally distributed across all levels of family functionality. Although no significant relationship was found between family functionality and violence (p > 0.05), the present study highlights the existence of bidirectionality in violence between adolescent partners, with a slightly higher incidence in violence perpetrated by women. In terms of violence, the violence received (22%) exceeds the violence exerted (13%) during dating. In both categories, victims of physical violence prevail, and no significant gender differences are found. These results provide a piece of baseline information for preventing adolescent dating violence in education institutions, also a reference for health and other social policymakers. Full article

Vacuum-assisted and forceps-assisted vaginal births are associated with higher rates of formula supplementation and shorter breastfeeding duration compared to unassisted vaginal births; however, the reasons for this are unclear. Factors such as maternal knowledge, partner support, and parity significantly influence breastfeeding initiation and duration. The prevalence of perineal trauma, neonatal and maternal birth complications, and decreased birth satisfaction is higher after assisted births and may also impact breastfeeding outcomes. Given the limited research on the specific effects of different vaginal birth modes on breastfeeding, this study aimed to examine women’s experiences of establishing breastfeeding after unassisted, vacuum-assisted, and forceps-assisted vaginal birth. A mixed-methods study design was employed using an anonymous online questionnaire, which included binary, multiple choice, and open-ended questions, and Likert scale items. Using social media, we recruited Australian women who had an unassisted, vacuum-assisted, or forceps-assisted birth within the last year. Details of participant demographics, breastfeeding history, initiation and establishment, postpartum mobility, and pain ratings were recorded. Additionally, qualitative data on postpartum recovery and breastfeeding support were analysed using an inductive thematic analysis framework. A total of 565 women were recruited between May and June 2024, of which 488 responses were retained for analysis. Thematic analysis of the qualitative responses identified four central themes that defined women’s experiences of establishing breastfeeding and were similar between unassisted or assisted vaginal birth modes: Experience of Care, Environment, Expectations, and Health Complications. A range of both positive and negative experiences of breastfeeding support, environmental factors, and expectations of the realities of breastfeeding impacted women’s experiences. For many women, various maternal and/or newborn health issues, nipple pain, and latching difficulties made breastfeeding more difficult. Commercial milk formula supplementation during the hospital stay was more prevalent after a forceps-assisted birth when compared to unassisted vaginal birth (41% vs. 17%, respectively; p < 0.001). Further, during the first two weeks at home, commercial milk formula supplementation was more prevalent after both forceps-assisted (26%) and vacuum-assisted (23%) births than after unassisted vaginal birth (8%, p < 0.001). Pain ratings in the early days following birth and in the first two weeks at home were significantly higher for the forceps-assisted group than for the other vaginal birth modes (p ≤ 0.005). Women that had an unassisted vaginal birth with an intact perineum had the lowest pain ratings in the early days and weeks after birth, while pain ratings were similar between women that had a vacuum-assisted birth and those who had an unassisted vaginal birth with a perineal tear or episiotomy (p = 0.05). Early commercial milk formula supplementation is associated with shorter breastfeeding duration, while postpartum pain is known to impede maternal mobility and may partially inhibit the milk ejection reflex, potentially negatively impacting breastfeeding and increasing formula use. Therefore, women who have an instrumental assisted vaginal birth, particularly those who have a forceps-assisted birth, are at greater risk of suboptimal breastfeeding outcomes including short durations of exclusive and any breastfeeding. Improvements to early postpartum pain management, breastfeeding education, and the judicious use of commercial milk formula may improve breastfeeding and subsequent maternal and health outcomes after instrument-assisted vaginal birth. Full article

Objectives: Violence in intimate relationships (IPV) is understood as one of the most common forms of violence, being maintained by cultural habits and customs, and legitimized from generation to generation. This study aims at a comprehensive review of the literature on IPV, the relationship between the stages of change, maintenance factors, and the decision to keep or leave the violent partner. Methods: A comprehensive literature search was conducted to identify journal articles focused on IPV, following online databases as well as a manual review from relevant peer-reviewed journals. Results: Seeking help is one of the main steps in the process of change, and the stages of change are directly related to the success of interventions, so identifying stages early provides a more appropriate and effective choice of intervention. Conclusions: Thus, evaluating the stage of preparation for the change in which the victims are found is important for the individual understanding of the experience and supporting the intervention. In this sense, the Domestic Violence Survivor Assessment (DVSA) will also be presented, an instrument for evaluating the process of intentional change in victims of IPV, using the TTM. Full article

Background/Objectives: Sleep disturbances are prevalent among pediatric cancer survivors (PCSs) and their caregivers, often leading to poorer dietary choices and reduced physical activity. Additionally, the sleep quality and health behaviors of parents and children can affect each other. This study examined bi-directional associations between PCSs and their parents’ sleep quality and health-related behaviors. Methods: 127 parent–child dyads enrolled in a behavioral intervention for pediatric cancer survivors (Mage = 11.04; 53.2% female) and their families completed the Patient Sleep Quality Inventory (PSQI) and USDA Parent or Child Food and Activity Questionnaire (FAQ). Two actor–partner interdependence models, using multi-level modeling and adjusting for relevant confounds, estimated the bidirectional associations between the parent–child dyad’s sleep quality and composite food and physical activity quality. Results: After controlling for partner BMI and actor and partner age, the effect of children’s PSQI scores on parent’s FAQ scores was statistically significant (β = −0.23, p = 0.036). Poorer sleep quality in children was associated with worse physical activity and dietary behaviors in parents. Second, after adjusting for race, a significant partner effect for parents’ FAQ scores on children’s PSQI scores was shown—greater parental food and physical activity quality was associated with better sleep quality in PCS (β = −0.20, p = 0.041). Conclusions: Better food and activity quality for parents is linked to improved sleep quality for children, while children’s poor sleep quality is associated with lower food and activity quality in parents. The findings highlight the prospective value of systems-focused clinical interventions to manage sleep quality and promote positive health behaviors among PCS. Full article

This article considers the problem of assessing the recent publication productivity of scientists based on PageRank class methods and proposes to use these assessments to solve the problem of selecting scientific partners for R&D projects. The methods of PageRank, Time-Weighted PageRank, and the Time-Weighted PageRank method with Citation Intensity (TWPR-CI) were used as a basis for calculating the publication productivity of individual subjects or scientists. For verification, we used the Citation Network Dataset (Ver. 14) of more than 5 million STEM publications with 36 million citations. The dataset is based on data from ACM, DBLP, and Microsoft Academic Graph databases. Only those individual subjects who published at least two articles after 2000, with at least one of these articles cited at least once before 2023 year, were analyzed. Thus, the number of individual subjects was reduced to 1,042,122, and the number of scientific publications was reduced to 2,422,326. For each of the methods, a range of estimates of productivity is indicated, which are obtained as a result and possible options for making decisions on the selection of potential individual subjects as performers of R&D projects. One of the key advantages of the TWPR-CI method is that it gives priority to those researchers who have recently published and been cited frequently in their respective research areas. This ensures that the best potential R&D project executors are selected, which should minimize the impact of subjective factors on this choice. We believe that the proposed concept for selecting potential R&D project partners could help to reduce the risks associated with these projects and facilitate the involvement of the most suitable specialists in the relevant area of knowledge. Full article

Decision-making within families considerably affects daily pro-environmental practices. While parental influence on children is known, the influence of children on environmental choices within families has yet to be thoroughly investigated, particularly in Asia. There are almost no reports regarding parent–child bidirectional transmissions in terms of environmental attitudes, psychological barriers, and pro-environmental behaviors (PEBs) in the Asian context. This study aimed to examine the parent–child bidirectional transmissions of environmental attitudes, psychological barriers, and PEBs in an Asian context, specifically in Japan and China. A total of 815 parent–child pairs (children ages 9–18) were recruited from Japan and China to participate in online questionnaire surveys. Regression analysis and structural equation modeling based on the actor–partner independence model revealed a bidirectional within-family socialization process of environmental attitudes, psychological barriers, and PEBs in the two countries. Children can transfer environmental knowledge and practices to their parents, which has been underestimated in the literature, particularly in Asia. Furthermore, our results suggest that Chinese children have more potential to act as catalysts in their family’s sustainable shift than Japanese children, given their substantial influence on family decision-making. The potential role of children in transmitting pro-environmental choices to their parents is also discussed. Full article

Background: Maternal phenylketonuria (PKU) syndrome, leading to severe psychomotor retardation, microcephaly, cardiac defects and undergrowth, affects the unborn children of mothers with PKU with insufficient metabolic control during pregnancy. To improve long-term outcomes, a specific prevention program was developed. Methods: We designed a group training program for young women with PKU (>14 years) and their partners. Knowledge regarding PKU therapy and pregnancy was evaluated by a specifically developed multiple-choice questionnaire. In addition, scores of anxiety and depression were evaluated. Results: Patients (n = 20) and their partners (n = 13) significantly improved their knowledge after participation (correct answers: patients—86% vs. 90%, p = 0.003; partners—78% vs. 89%, p = 0.012). Females significantly improved their knowledge about diet (90% vs. 100%, p = 0.035) and metabolism (91% vs. 100%, p = 0.016), but not concerning gynecological topics. Patients’ median depression scores were within the normative range, with a slight decrease over time (6 points vs. 4 points, p = 0.836). Patients’ anxiety score remained stable over time (5.5 vs. 5, p = 0.247). Of trained mothers with PKU, four pregnancies with ideal metabolic control and healthy offspring could be observed. Conclusion: We suggest the inclusion of specific training programs in the standard care of female young adults with PKU, including for their partners. Full article

This paper aims to investigate the characteristics of outsourcing in accounting services for tourism SMEs as a choice to mitigate their financial risk. The research was carried out in summer 2022, during tourism recovery from the COVID-19 pandemic crisis, while the findings indicate that the majority of tourism SMEs choose to outsource their accounting services in order to reduce operating costs; to save their funds by exploiting a partner’s information systems; to take advantage of a partner’s accounting knowledge; to achieve greater flexibility in their core activities; and to speed up the processing of the accounting tasks in order to deal with any arising problems and/or difficulties. Furthermore, it is evident that in a constantly changing and complex tax system and a changing economic landscape, accounting outsourcing provides tourism SMEs with advantages such as already established processes, expertise, technology, consulting support, and pathways for dealing with the various accounting issues that may arise. Full article