Search Results (189)

Background/Objectives: Recent changes in obstetric practices and population demographics have prompted a re-evaluation of labor patterns. This study aimed to characterize labor patterns in a Greek pregnant population using ultrasound and compare them with established labor curves. Methods: A prospective cohort study was conducted at the Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece, over a two-year period (December 2022 to June 2024). Transabdominal ultrasound was used to determine the fetal head position and transperineal ultrasound was used to measure angle of progression (AoP) and head–perineum distance (HPD) during labor. Maternal and labor characteristics, including body mass index (BMI), parity, labor duration, and mode of delivery, were recorded. Statistical analysis included mixed linear models to assess the relationship between AoP, HPD, and cervical dilatation. Results: In total, 500 parturients were included in this study. Women entered the active phase of labor approximately 5 h before delivery, with AoP increasing sharply and HPD decreasing rapidly at this point. Cesarean section (CS) cases showed a slower increase in AoP compared to vaginal deliveries (VDs), with CS cases having a mean AoP of 117.9° (95% CI: 111.6–124.2°) at full dilation, compared to 133.4° (95% CI: 130.6–136.2°) in VD. HPD values declined more slowly in CS cases, with a mean HPD of 45.1 mm (95% CI: 40.6–49.6 mm) at full dilation, compared to 36.4 mm (95% CI: 34.3–38.5 mm) in VD. Epidural analgesia was associated with steeper increases in AoP and decreases in HPD in the final 2.5 h before delivery, while oxytocin administration accelerated these changes in the last 3–4 h. The mean time to delivery was 3.19 h (95% CI: 2.80–3.59 h) when AoP reached 125° and 3.92 h when HPD was 40 mm (95% CI: 3.53–4.30 h). BMI in women who gave birth via CS was significantly higher compared to VD (32.03 vs. 29.94 kg/m², p-value: 0.008), and the total duration of labor was shorter in VD compared to CS and operative vaginal delivery (OVD) (8 h vs. 15 h, p-value < 0.001 and 8 h vs. 12 h, p-value < 0.001, respectively). Birthweight was also lower in VD compared to CS (3103.09 g vs. 3267.88 g, p-value: 0.05). Conclusions: This study provides the first ultrasonographic characterization of labor patterns in a Greek population, highlighting the utility of ultrasound in objectively assessing labor progression. Full article

The shortage of skilled professionals in technical fields is further compounded by a lack of qualified teachers in STEM subjects, particularly in craft education, which is vital for developing technical competencies at the elementary level. The present study investigates the professionalisation of teachers in craft education and explores the prevalence and reasons for out-of-field teaching across three German federal states. The data presented herein were collected through an online survey administered in 2023 among teaching professionals in Mecklenburg-Vorpommern, Sachsen, and Thüringen. The questionnaire was disseminated via head teachers to 1467 elementary schools, yielding a self-selection sample of 284 craft education teachers. The survey incorporated both closed- and open-ended questions, encompassing inquiries into teacher qualifications, subject-specific competence, and lesson planning. Quantitative data were analysed descriptively. The evaluation of open-ended responses employed a content-structuring content analysis approach, utilising categories that were inductively developed. The findings indicate that a considerable proportion of craft education is taught by educators who lack formal qualifications, thereby giving rise to concerns regarding the quality of instruction. The underlying factors contributing to this phenomenon include teacher shortages, personal interests, prior experience, and limited professional development opportunities. The findings emphasise the pressing necessity for enhanced teacher education and targeted training programmes to bolster instructional quality in technically oriented subjects. Full article

Juvenile substance use continues to be well researched. Prior research suggests that youth substance use can have far-reaching impacts. While several causes of substance use have been explored, including parental supervision and family structure, it is unclear if caregiver type can impact a juvenile’s substance-using behavior. The current study uses school-level data to examine self-reported substance use among youth who reside with both biological parents, a single parent, custodial grandparent(s), or other caregiver types. The results identify significant differences in self-reported substance use across primary caregiver types. These findings have implications for specific substance use prevention programs to target youth who reside in custodial grandparent-headed households. Full article

Background/Objectives: Considering the extensive use of digital tools among adolescents and the effects of game addiction on physical, social, emotional, and cognitive domains, this study aimed to investigate the relationship between digital game addiction and the vestibulo-ocular reflex in high school students. Methods: In this descriptive relational study, the relationship between digital game addiction and the functional head impulse test was investigated in adolescents. Two groups of adolescents, with and without digital game addiction, were compared based on the functional head impulse test. The Digital Game Addiction Scale was administered to assess digital game addiction in adolescents aged 14 to 18 years. Results: The findings were analyzed statistically, and the results indicated a statistically significant relationship between digital game addiction and the vestibulo-ocular reflex, with digital game addiction negatively affecting the vestibulo-ocular reflex in adolescents. Conclusions: The findings indicate that digital game addiction in adolescents may impair VOR function, suggesting a potential negative impact on balance and perceptual processing. These results highlight the importance of early interventions and digital literacy programs to mitigate the adverse effects of excessive gaming during adolescence. Full article

Background/Objectives: Head lice is an ever-present public health issue, especially among the child population. The diagnosis of head lice infestation should be based on direct examination of the scalp, but, in practice, this standard is often not followed, giving way to indirect methods, such as questionnaires or sales reports of delousing shampoos. In Poland, there is no national pediculosis capitis control strategy; therefore, the aim of this study was to determine the prevalence and associated factors of head lice infestation in schools and kindergartens in the years 2021–2023. Methods: Children aged from 3 to 14 years old were directly examined by certified nurses. The same educational institutions were examined across 2021–2023. No personal data of the children were gathered. Results: The prevalence of head lice infestation among children ranged from 8% to 13%, with significantly higher intensity and prevalence observed in girls compared to boys. Conclusions: The prevalence of pediculosis capitis among children in Poland remains persistent and relatively stable over the monitored period. Gender emerged as a significant factor, showing a strong association with both the intensity and extent of head lice infestation. Full article

The objective of this study was to examine whether fine motor skills (FMS) and executive function (EF) are unique predictors of school readiness (SR). The sample was 108 preschoolers with externalizing behavior problems (EBP; Mean ± SD = 60.37 ± 3.94 months pre-intervention, 68% male) enrolled in a comprehensive 7-week school readiness summer program open trial. FMS were measured with the Learning Accomplishment Profile Diagnostic Third Edition (LAP-D); EF was measured with the Head–Toes–Knees–Shoulders (HTKS), and SR was measured with the Bracken School Readiness Assessment Third Edition (BSRA-3). All assessments were given pre- and post-intervention. All models controlled for participant age and socio-economic status (SES). Examining data pre-intervention, FMS but not EF uniquely predicted SR, explaining 46% of the variance. At post-intervention, both FMS and EF predicted SR, explaining 33% of the variance. These findings underscore the importance of screening both FMS and EF in preschoolers with EBP as they prepare to transition to kindergarten, as these domains both contribute to characterizing SR. Full article

This study examines the effects of the urban productive safety net programme (uPSNP) on urban households’ food insecurity (FIN) and children’s school attendance in Tigray, Ethiopia. Data were collected from 333 urban households between August and September 2020. The FGT index was used to compute households’ food insecurity intensity level, while the propensity score matching (PSM) technique was employed to examine the effect of the uPSNP on the food insecurity of urban households. The results indicated that approximately 56.7% of uPSNP beneficiaries were food-secure and able to consume an average of 2469.964 kcal per adult equivalent. Most importantly, uPSNP beneficiaries headed by women (50.8%) were more food-secure than non-beneficiaries headed by men (5.9%). Furthermore, the children of beneficiaries of the uPSNP attended school more often than the children of non-beneficiaries. This study highlights the need to scale up the uPSNP to address household food insecurity. Full article

Background/Objectives: Early childhood represents a sensitive period for developing positive dietary preferences and important school readiness skills. However, few evidence-based programs leverage opportunities to support children’s development in both areas. Our study aimed to assess the preliminary effects of multi-level, teacher-led More PEAS Please! on Head Start children’s (3–5 years old) science knowledge, development of academic language, fruit-and-vegetable (FV) liking, and dietary quality. Methods: In this pilot study, we used a repeated-measure research design to assess child-level outcomes. Trained teachers implemented 16 food-based science-learning activities. We assessed child outcomes using validated measures of science knowledge, academic language, FV liking, and dietary quality (Veggie Meter^®). We used linear mixed models to examine changes from the baseline to post intervention. Fixed effects included age, sex, and race/ethnicity, while the center was treated as a random effect. Results: A total of 273 children were enrolled in the study. The children were mostly male (51.6%), Black/African American (82.1%) and, on average, 3.94 (SD = 0.70) years old. The children demonstrated significant improvements in science knowledge (T1 M = −0.01, SD = 0.82; T4 M = 0.33, SD = 0.90; 95% CI [0.17, 0.50]; p < 0.001) and vocabulary (T1 M = 14.4, SD = 4.5; T4 M = 16.7, SD = 5.3; 95% CI [1.4, 3.3]; p < 0.001). The children’s dietary quality improved from the baseline, but the changes were not significant. Conclusions: The findings suggest that the intervention may support improvements in science knowledge and academic vocabulary among preschool-aged children. We theorize a longer intervention with additional FV exposures may be needed to observe significant dietary changes. Future research should evaluate program effects with a comparison group. Full article

Background/Objectives: Human papillomavirus (HPV) is a recognized cause of cervical cancer and is associated with several other malignancies, including those affecting the vagina, vulva, anus, penis, and head and neck. The introduction of the HPV vaccine has enabled the prevention of HPV-related cancers. This study aimed to determine the HPV vaccination coverage and examine trends in HPV vaccination in Croatia from 2016 to 2023 in the context of the national vaccination program. Methods: This retrospective study analyzed the aggregated school doctors’ data from 2016 to 2023. HPV vaccination coverages within the 2000–2008 birth cohorts were assessed based on the number of doses administrated, sex, and vaccination schedule, while for the trend analysis joinpoint regression was used. The vaccination coverage between sexes was tested using the chi-square test for trends and their ratio was calculated. Results: The HPV full-dose vaccination coverage increased significantly among the observed birth cohorts, from 4.49% in 2000 to 36.88% in 2008, with an APC = 33.97 and 95% CI: 29.37–42.43 (females from 7.74% to 44.98%, males from 1.44% to 29.14%). The highest recorded vaccination coverage was in the one-dose category (2008 female—52.78%). The vaccination coverage of females was significantly higher than that of males (the chi-square for the linear trend = 659.59, p < 0.001) and the female–male ratio decreased from 5.39 in 2000 to 1.54 in 2008. Conclusions: In Croatia, HPV vaccination coverage has increased since the introduction of the national HPV vaccination program. This positive trend was present in both sexes, and the rate ratio between female and male cohorts decreased. Full article

The integration of sustainability in education has gained global attention as a critical component of achieving the United Nations Sustainable Development Goals (SDGs). Within the United Arab Emirates (UAE), significant efforts have been made to incorporate sustainability into national policies, reflecting the country’s vision for sustainable economic, social and environmental development. Within the context of Education for Sustainable Development (ESD), this research aims to investigate the alignment between national sustainability policies and their practical implementation in secondary schools, with a focus on identifying barriers and proposing actionable recommendations to enhance the integration of sustainability into education. This study employs a qualitative case study design with content analysis of data gathered from interviews and focus groups collected from a total of 21 teachers, school leaders, heads of departments and government officials, alongside the review of 14 relevant key policy documents. Key findings include a gap between policy and implementation, lack of a unified framework, resource disparities, and several barriers and strengths. This research concludes with recommendations to address these challenges, so that the UAE can strengthen its position as a leader in sustainability education, further aligning its national vision with global SDGs. Full article

This paper investigated how parents’ informal work relates to their children’s academic performance. We interviewed the heads of households with 83 school-aged children in peri-urban Kathmandu to obtain information on parental occupation and child schooling. We also interviewed key informants and conducted focus group discussions to investigate the relationship between working parents’ job profiles and their impression of their child’s school achievement. Parent characteristics, such as work status (formal or informal), educational attainment, family size, and number of children, were recorded. The primary variable of interest was the children’s academic performance, measured as improved or otherwise compared to the previous year. Our analysis confirmed that parents in informal jobs spent more time with their school-going children than their counterparts in formal employment. We found that the parents in informal jobs were relatively more educated in the sample area. The existing literature concurs that parental support significantly influences children’s educational outcomes. Parents in informal jobs, while spending more time with their children, expressed pessimism regarding their children’s school performance and future opportunities. We also found that household wealth, past performance, school type, and the level of supporter education in the family played significant roles in shaping parental perceptions of the child’s school performance. At the same time, we found the nature of the parent’s job did not significantly determine the child’s school performance, ceteris paribus. Full article

The COVID-19 (C-19) pandemic has highlighted the significance of understanding the long-term effects of this disease on the quality of life of those infected. Long COVID-19 (L-C19) presents as persistent symptoms that continue beyond the main illness period, usually lasting weeks to years. One of the lesser-known but significant aspects of L-C19 is its impact on neuropsychiatric manifestations, which can have a profound effect on an individual’s quality of life. Research shows that L-C19 creates neuropsychiatric issues such as mental fog, emotional problems, and brain disease symptoms, along with sleep changes, extreme fatigue, severe head pain, tremors with seizures, and pain in nerves. People with cognitive problems plus fatigue and mood disorders experience great difficulty handling everyday activities, personal hygiene, and social interactions. Neuropsychiatric symptoms make people withdraw from social activity and hurt relationships, thus causing feelings of loneliness. The unpredictable state of L-C19 generates heavy psychological pressure through emotional suffering, including depression and anxiety. Neuropsychiatric changes such as cognitive impairment, fatigue, and mood swings make it hard for people to work or study effectively, which decreases their output at school or work and lowers their job contentment. The purpose of this narrative review is to summarize the clinical data present in the literature regarding the neuropsychiatric manifestations of L-C19, to identify current methods of diagnosis and treatment that lead to correct management of the condition, and to highlight the impact of these manifestations on patients’ quality of life. Full article

Background: Femoral head ostectomy is considered a salvage procedure in the treatment of chronic coxofemoral joint luxation in small equids. Permanent lameness of varying degrees, largely depending on the animal’s weight, and potential contralateral limb deformity may occur. The purpose of this study was to report the outcome of a small equid that, despite undergoing a femoral head ostectomy for a chronic coxofemoral joint luxation, was able to return to being ridden by children and to athletic activities. Methods: An 8-year-old Shetland pony mare (180 kg) was presented for a chronic right hind limb lameness (5/5 AAEP grading score) of 12-days duration caused by a craniodorsal coxofemoral joint luxation and permanent upward fixation of the right patella. A femoral head and neck ostectomy was performed concomitant with desmotomy of the medial patellar ligament. Results: Eighteen months after surgery, the mare began being ridden by children and was used for schooling purposes. Five years post-surgery, she continued her work activities with no apparent signs of lameness or discomfort. Conclusions: Femoral head ostectomy following chronic coxofemoral joint luxation can result in a favorable outcome, with equids weighing up to 180 kg potentially regaining soundness and resuming athletic activities. Full article

This qualitative study explores forces influencing the practices of Departmental Heads (DHs) in enacting their roles in implementing and managing Technical Mathematics (TMAT) curriculum. TMAT was piloted in a few South African schools in 2016 and later scaled to others. Since its inception, learner performance has been uneven, raising questions about the processes of managing and implementing the curriculum. We use Samuel’s Force Field Model to understand forces influencing DH practices in their quest to implement and manage the curriculum. Data were generated using one-on-one interviews and document analysis and thematically analysed using NVivo. The findings reveal that contextual and external forces are the main factors that influence DH practices when it comes to the implementation and management of the curriculum. These forces influence practices such that the roles and responsibilities are carried out mainly for compliance purposes. While in theory, DHs seem to believe in collaboration, they prefer working in silos and perceive that the success of the TMAT curriculum implementation should be at the hands of seasoned mathematics teachers. In addition, they seem to consider curriculum implementation and management to be solely about ensuring curriculum coverage. We argue that to ensure the sustainability and effectiveness of the TMAT curriculum, there is a need for the continuous professional development of DHs, such that they are able to balance external forces and internal forces. Full article

In recent years, Estonian employers, upper secondary schools, and other stakeholders have devised various new collaborative measures to effectively integrate workplace learning (WPL) and school education. These efforts are aimed at enhancing the key competences of students. However, the educational purpose and effectiveness of the various initiatives are unknown. The main aim of this research is to explore what kinds of practises are applied in Estonian upper secondary schools to integrate formal education and WPL, and the experiences and requirements of schools and employers in this area. The empirical study is based on individual and focus group interviews conducted with upper secondary school teachers, head teachers, and employers. A phenomenological approach and inductive thematic analysis were used to examine current practises. The results of the study show that workplace learning is integrated into school learning mainly for the development of key competences and career competencies. An important part of the learning process is reflecting on experiences implemented via institutional cooperation. In core or foundation subjects, especially STEM subjects, the topics of work life or recognition of work experience are rarely encountered in school. Full article