Scholar Data Research Articles

Η Ηθική Παρενόχληση (Mobbing) και η Επίδραση στην Υγεία των Εργαζομένων σε Δημόσιο Νοσοκομείο

Introduction: The current project studies mobbing and its effects upon the health and quality of life of the workforce/employees. This harassment (mobbing) against the target-employee takes place as a method- ic/systematic psychological attack and involves yelling, derogatory comments, distortion of the victims’ words, and threats/accusations for negligence of duty, when previously and deliberately vital information were not providing. Aim: The current study aims to document and inves- tigate mobbing at a public hospital. Additional goals were to assess aspects of mobbing, like its causes, the impact it has on the victims or on the organization, as well as the measures required to be taken for the pre- vention and dealing with the phenomenon. Material and Method: The material of the study, con- cerning the theoretical approach, was both the Greek and international literature and search was performed on Pubmed and Google Scholar data, while the study sample consisted of ‘Agioi Anargyroi’ Oncology Hospi- tal staff from various profession. For the conduct of the research, a version of the French edition of Leymann’s questionnaire on psychological terror in the workplace was used (Leymmann Inventory of Psychological Terror -LIPT), calibrated and translated in Greek; while, varied determiners that contribute to the appearance of mob- bing were studied in particular. Results: The research conducted confirms that mob- bing affects employees in Public Health Care Sector. Out of the 83 members of participating staff, 49 have suffered mobbing (which corresponds to 59,0%). The most frequent/common psychological symptom they have experienced was intense stress (42,9%). The num- ber of incidents of mobbing on various participants dif- fers significantly according to their level of education. Specifically, holders of MSc or PhD title had to deal with significantly more incidents of ethical harassment behaviors. Conclusion: The mobbing phenomenon appears to be an increasing threat to the health of workers in health sector, and both the state and health organizations must adopt and implement effective measures to address this threat.

Development of Monitoring System for Scholar Data in the Ministry of Health Timor-Leste

The objective of this study is to develop the monitoring system of scholarship data in the Ministry of Health Timor-Leste to facilitate monitoring activities of the Timorese students within the country or abroad. And also, how to know when the scholars complete their studies and the cost which has been spent each year. The methods used to develop the system are Waterfall Modeling, Data Flow Diagram (DFD) and Entity Relationship Diagram (ERD). The programming language used to build the system are Hypertext Preprocessor (PHP) 5.6.2, My Structured Query Language (MySQL) 5.1.37, and Xamp 3.2.2. The observation and interview are used to collect the data from the Ministry of Health Timor-Leste. The result of the system is able to monitor the scholars who will graduate every year, and also be able to know about the total of scholars studying in every area. The system is also able to monitor the payment data every scholar and the operational cost, producing reports such as field of study in each student, and payment detail each student during the process of the study.

Effects of periodontal therapy with topical antibiotics in the glycemic control of diabetic patients: systematic review.

Background: Periodontal disease is considered as a diabetes complication and has been suggested that periodontal treatment plus antibiotics should reduce glycated hemoglobin A, by reducing local production of pro inflammatory substances.
 Objective: To evaluate diabetic patients with periodontal disease under periodontal treatment plus topical antibiotics and reduction of HbA1c, compared to diabetic patients under periodontal treatment without antibiotics.
 Materials and Methods: Using PUBMED, SCOPUS, WEB OF SCIENCE, EMBASE and Google Scholar data bases, were screened documents from 2008 to 2018. The documents included were the clinical studies, which included non-surgical periodontal treatment plus topical antibiotics, whose outcomes included the HbA1c report. Two independent researchers evaluate title; abstract and bias risk with Downs Black scale and Cochrane tool. Documents with a score higher than 15 on average by the two evaluators were included.
 Results: Five articles, which find inclusion criteria, were identified. Two documents failed to demonstrate statistically significant effect when compared to non-surgical periodontal therapy alone.
 Conclusion: In general a modest reduction of HbA1c was identified when using antibiotic therapy.

Mining social influence in science and vice-versa: A topic correlation approach

There is no doubt that scientific discoveries have always brought changes to society. New technologies help solve social problems such as transportation and education, while research brings benefits such as curing diseases and improving food production. Despite the impacts caused by science and society on each other, this relationship is rarely studied and they are often seen as different universes. Previous literature focuses only on a single domain, detecting social demands or research fronts for example, without ever crossing the results for new insights. In this work, we create a system that is able to assess the relationship between social and scholar data using the topics discussed in social networks and research topics. We use the articles as science sensors and humans as social sensors via social networks. Topic modeling algorithms are used to extract and label social subjects and research themes and then topic correlation metrics are used to create links between them if they have a significant relationship. The proposed system is based on topic modeling, labeling and correlation from heterogeneous sources, so it can be used in a variety of scenarios. We make an evaluation of the approach using a large-scale Twitter corpus combined with a PubMed article corpus. In both of them, we work with data of the Zika epidemic in the world, as this scenario provides topics and discussions on both domains. Our work was capable of discovering links between various topics of different domains, which suggests that some of the relationships can be automatically inferred by the sensors. Results can open new opportunities for forecasting social behavior, assess community interest in a scientific subject or directing research to the population welfare.

Implementation of K Means Technique in Data Mining to Cluster Researchers Google Scholar Profile

A university usually has many Lecturers that have an important role in improving the quality of Higher Education. The Lecturers should produce scientific publications at least 1 publication on each semester. The achievements of a Lecturer in research and publication become the main indicator that describes the professionalism of lecturers as scientists. Monitoring the improvement of publication trends is very important to do as an evaluation for organizational management in choosing the best strategy to strengthen the quality of publication, and one of the common tools used for analyzing the publication data is the Google Scholar system. This paper attempts to analyze the Google scholar data using Data Mining techniques (Text Mining) by R language, to collect Lecturer’s profile and list of publications in a real-time, the aim of this research is to allow the Management for identifying the Cluster from total 1039 Lecturers on University of Lampung. The results of this research shown there were 5 Cluster of scholar profile data, with member details C0=102, C1=924, C2=1, C3=1, C4=11, total 88.93% of Lecturers are on cluster C1 with, centroid data was h_index=1.942, total_cites=20.89, i10_index=0.417.

Bone defects substitution in total knee replacement (literature review)

The number of primary and revision total knee arthroplasties is continuously increasing. Presence of bone defects is one of the challenging issues for these surgeries that affects significantly treatment results and increases expenses.Objective: to analyze methods of preoperative and intraoperative diagnostics of knee joint articulating surfaces bone defects and existing classifications according to their advantages and disadvantages, to substantiate the treatment strategy for cases with various types of bone defects. Methods: articles from PubMed, EBSCO and Google Scholar data bases were used for scientific review.Results: the main negative factors affecting the stability of prosthesis components are the size and the shape of bone defect, presence or absence of cortical layer, quality of bone tissue, as well as implant design and correct choice of material and technique for filling of the defect. Evaluation of materials of natural origin — different types of bone grafts and artificial augments made of metals and polymeric materials was performed. Methods of bone grafts preparation and their fixation are important for different types of bone defects. In more complicated cases individual guides and resection blocks, virtual prototyping technologies and 3D-printing should be used for individual manufacturing of endoprosthesis.Conclusions: Usage of modern materials and techniques for filling of bone defects in total knee arthroplasties requires precise preoperative planing and choice of proper technique. Structural or morselized bone allografts, bone cement alone or in combination with screws and meshes, metal or polymeric augments of various shapes should be used for small bone defects, depending from their type, but large bone defects require stems and individually produced oncological and hinge implants.

Integration of Human African Trypanosomiasis Control Activities into Primary Healthcare Services: A Scoping Review.

.Human African trypanosomiasis (HAT) also known as sleeping sickness is targeted for elimination as a public health problem by 2020 and elimination of infection by 2030. Although the number of reported cases is decreasing globally, integration of HAT control activities into primary healthcare services is endorsed to expand surveillance and control. However, this integration process faces several challenges in the field. This literature review analyzes what is known about integrated HAT control to guide the integration process in an era of HAT elimination. We carried out a scoping review by searching PubMed and Google Scholar data bases as well as gray literature documents resulting in 25 documents included for analysis. The main reasons in favor to integrate HAT control were related to coverage, cost, quality of service, or sustainability. There were three categories of factors influencing the integration process: 1) the clinical evolution of HAT, 2) the organization of health services, and 3) the diagnostic and therapeutic tools. There is a consensus that both active and passive approaches to HAT case detection and surveillance need to be combined, in a context-sensitive way. However, apart from some documentation about the constraints faced by local health services, there is little evidence on how this synergy is best achieved.

Normalizing Book Citations in Google Scholar: A Hybrid Cited-side Citing-side Method

Abstract Purpose To design and test a method for normalizing book citations in Google Scholar. Design/methodology/approach A hybrid citing-side, cited-side normalization method was developed and this was tested on a sample of 285 research monographs. The results were analyzed and conclusions drawn. Findings The method was technically feasible but required extensive manual intervention because of the poor quality of the Google Scholar data. Research limitations The sample of books was limited and also all were from one discipline —business and management. Also, the method has only been tested on Google Scholar, it would be useful to test it on Web of Science or Scopus. Practical limitations Google Scholar is a poor source of data although it does cover a much wider range citation sources that other databases. Originality/value This is the first method that has been developed specifically for normalizing books which have so far not been able to be normalized.

Oracle or false prophet? Can we predict AAV efficacy based on preexisting antibody titers?

Oracle or false prophet? Can we predict AAV efficacy based on preexisting antibody titers?

Influencia de los distintos tipos y parámetros del ejercicio físico sobre la calidad seminal: una revisión sistemática de la literatura

The positive importance of physical activity properly prescribed in terms of intensity and volume on a variety of metabolic, musculoskeletal, cognitive and other disorders is widely known. The increasing epidemiology of infertility is due to the changes in lifestyle habits, such as inappropriate diets or the radiations from new-generation electrical devices. There are not many informative evidences regarding either infertility causes and effects, or the exercise role in reversing its symptoms. In order to obtain and summarize the most relevant information about the influence of the different training types and parameters in the semen quality criteria, a descriptive literature review without temporal restriction of WOS, PubMed and Scholar data bases has been conducted. The study produced the following results; whilst a high intensity and prolonged volume training produce a drop in the gonadal hormone concentrations and the antioxidant levels and, therefore, in the sperm quality, moderate exercise reverts these effects and could potentially influence a possible optimization of the sperm generating processes. Key words: Training, male infertility, gonadal hormones, seminal oxidative stress, sperm quality.

Impact Assessment of Non-Indexed Open Access Journals: A Case Study

This case study assesses the impact of a small, open-access social sciences journal not included in citation tracking indexes by exploring measures of the journal's influence beyond the established "impact factor" formula. An analysis of Google Scholar data revealed the journal's global reach and value to researchers. This study enabled the journal's editors to measure the success of their publication according to its professed scope and mission, and to quantify its impact for prospective contributors. The impact assessment strategies outlined here can be leveraged effectively by academic librarians to provide high-value consultancy for scholar-editors of open access research journals.

Women's attitude and reasons toward justifying domestic violence in Ethiopia: a systematic review and meta-analysis.

Domestic violence (DV) is a global public problem that touches all levels of society and socio-economic status. Identifying women's attitudes towards domestic violence is an important first step in the prevention and control of its consequence. Thus, this systematic review and meta-analysis aimed: (i) to synthesize women's reasons for justifying domestic violence and (ii) to determine the pooled prevalence of women's attitude towards domestic violence in Ethiopia. Pub-Med and google scholar data bases searched for quantitative cross-sectional studies. The study quality was assessed with the Newcastle-Ottawa quality assessment tool. Heterogeneity test and evidence of publication bias were assessed. Pooled prevalence of women's attitude was calculated with 95%CI using random effects model. A total of 15 articles were included in the study. The pooled prevalence of women's attitude towards justifying domestic violence was found to be 57% (95% CI; 47.0%-67.2%). Reasons for justifying were: burning food, argues with husband, goes out without telling, neglects children, refuses sex, unfaithful, disobeys and suspects infidelity. More than half of women accept domestic violence. Authors' suggest strengthening of women's awareness toward norms that justify wife beating.

Effect of recipient gender and donor-specific antibodies on antibody-mediated rejection after heart transplantation.

Gender-difference regarding antibody-mediated rejection (AMR) after heart transplantation has been described. However, no study accounted for the presence of preformed donor-specific antibodies (pfDSA), a known risk factor of AMR, more common among women than men. In a single-institution 6-year cohort (2010-2015), time to AMR was assessed, comparing men with women by survival analysis with a 1-year death-censored follow-up. All AMRs were biopsy proven. Confounding variables that were accounted for included mean intensity fluorescence (MFI) of pfDSA, recipient age, HLA-, size- and sex-mismatch. 463 patients were included. Overall incidence of AMR was 10.3% at 1year. After adjusting for confounding variables, independent risk factors of AMR were female recipient gender (adjusted hazard-ratio [adj. HR]=1.78 [1.06-2.99]), P=.03) and the presence of pfDSA (adj. HR=3.20 [1.80-5.70], P<.001). This association remained significant when considering pfDSA by their MFI; female recipient gender had an adj. HR=2.2 (P=.026) and MFI of pfDSA (per 1 MFI-increase) adj. HR=1.0002 (P<.0001). In this cohort, women were at higher risk of AMR than men and this risk increase was additive to that of pfDSA. These findings may suggest a gender-related difference in the severity of pfDSA.

Improved recovery of human islets from young donor pancreases utilizing increased protease dose to collagenase for digesting peri-islet extracellular matrix.

Human islet isolation from young donor pancreases (YDP) utilizing the current purified standard dose of collagenase-protease enzyme mixtures often results in the release of a high percentage of mantled islets. Mantled islets are those surrounded by exocrine tissue and are difficult to purify by density gradient centrifugation, leading to poor islet recovery. Based on difference in extracellular matrix, and total collagen content between YDP and old donor pancreas (ODP, > 35 Y) led us to compare results from islet isolation using increased collagenase combination (ICC) or increased protease combination (IPC), to the standard enzyme combination (SEC) in a "trisected" pancreas model to overcome the donor-to-donor variability. These results showed a reduced percentage of mantled islets (17%±7.5%) and higher postpurification islet recovery (83.8%±5.6%) with IPC. Furthermore, these results were confirmed in 13 consecutive whole pancreas islet isolations utilizing IPC from VitaCyte, Roche, or SERVA collagenase-protease enzyme mixtures. Results obtained from in vitro and in vivo islet functional assessment indicated that islets isolated using IPC retained normal islet morphology, insulin secretion, and the ability to reverse diabetes after transplantation in diabetic nude mice. This is the first report utilizing trisected pancreas to assess the effectiveness of different enzyme combinations to improve islet recovery from young donor pancreases.

Editor's Choice – Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Editor's Choice – Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Discovering the relationship of disasters from big scholar and social media news datasets

ABSTRACTThe construction method for chains of disasters or events is still one of the core scientific questions in studying the common rules of disaster’s evolution. Especially when dealing with the complexity and diversity of disasters, it is critical to make a further investigation on reducing the dependency of prior knowledge and supporting the comprehensive chains of disasters. This paper tries to propose a novel approach, through collecting the big scholar and social news data with disaster-related keywords, analysing the strength of their relationships with the co-word analysis method, and constructing a complex network of all defined disaster types, in order to finally intelligently extract the unique disaster chain of a specific disaster type. Google Scholar, Baidu Scholar and Sina News search engines are employed to acquire the needed data, and the respectively obtained disaster chains are compared with each other to show the robustness of our proposed approach. The achieved disaster chains are also compared with the ones concluded from existing research methods, and the very reasonable result is demonstrated. There is a great potential to apply this novel method in disaster management domain to find more secrets about disasters.

Inappropriate use and overuse of PPIs: A strategy for discontinuation

Proton pump inhibitors (PPIs) have risks associated with long-term use, yet they are used chronically by more than 20 million Americans and account for more than $10 billion in health care spending.1https://apha.us/IMSInstituteGoogle Scholar Data on the effects of long-term PPI use are still emerging, but potential consequences include increased risk of vitamin and mineral deficiencies, bone fractures, changes in gut microbiota, Clostridium difficile–associated diarrhea, pneumonia, dementia, chronic kidney disease, gastric atrophy (higher risk among those with Helicobacter pylori infections), and gastric cancer. Overprescribing PPIs is common, with as many as 68.8% of patients being prescribed a PPI inappropriately at hospital discharge2J Manag Care Pharm. 2010; 16: 122-129PubMed Google Scholar and 36% to 39% of ambulatory patients lacking an indication for PPI use.3Am J Manag Care. 2010; 16: e228-e234PubMed Google Scholar, 4Am J Gastroenterol. 2003; 98: 51-58Crossref PubMed Scopus (113) Google Scholar As pharmacists, we can make an impact on inappropriate use and overuse of PPIs. At Central Pharmacy in Durham, NC, we initiated a service as part of a residency project to tackle the issue of PPI overuse. Our approach is to taper the PPI gradually while increasing the duration between each step to improve successful PPI discontinuation. The taper involves use of compounded omeprazole capsules, which allows the patient to decrease their PPI dose by 5 mg every 2 weeks. This regimen is also accompanied by lifestyle changes and supplements to support digestion and gastrointestinal (GI) health. Abrupt withdrawal of PPIs results in successful discontinuation in only 14% to 27% of patients who have used these medications for 8 weeks.5Eur J Gastroenterol Hepatol. 2010; 22: 1182-1188Crossref PubMed Scopus (26) Google Scholar, 6Int J Family Med. 2015; 2015: 175436Crossref PubMed Google Scholar Our goal is to have a higher success rate by tapering more gradually. Patients on step-down therapy with omeprazole 20 mg daily for 1 week, omeprazole 10 mg for 1 week, and omeprazole 10 mg every other day for 1 week saw slightly higher success rates, with 31% achieving discontinuation.7Aliment Pharmacol Ther. 2006; 24: 945-954Crossref PubMed Scopus (117) Google Scholar For our PPI discontinuation service, we first establish patient interest and eligibility. Patients ineligible for PPI discontinuation include those with Barret’s esophagus, Zollinger–Ellison disease, Los Angeles grade C or D erosive esophagitis, or idiopathic peptic ulcer disease. Other ineligible patients are those on nonselective NSAIDs at high risk of a GI bleed, those on COX-2 selective NSAIDs with a prior GI bleed, and those on antiplatelet therapy at high risk of a GI bleed. Once eligibility is determined, patients schedule a consult with a pharmacist to determine trigger foods and the potential need for supportive supplements on the basis of patient-specific symptoms. The patient’s daily PPI dose is converted to omeprazole equivalents to calculate the taper regimen that will be requested from the physician. If the patient receives 20 mg of omeprazole equivalent each day, their regimen will consist of omeprazole 15 mg for 2 weeks, omeprazole 10 mg for 2 weeks, and finally omeprazole 5 mg for 2 weeks. Patients are also provided with 5-mg capsules for breakthrough reflux symptoms. Follow-up with a pharmacist occurs by phone every 2 weeks to align with the time frame of the taper regimen. These phone calls assess patient symptoms and determine if any adjustments need to be made to the plan. We encourage patients to call the pharmacist whenever they need to report symptoms that are not responding to the breakthrough omeprazole. This project is under way, and as it progresses, we will collect metrics on frequency of rebound symptoms and success rate of discontinuation at 1, 3, and 6 months after conclusion of the PPI taper.

Invited commentary

This study analyzed the effect of black race on carotid endarterectomy (CEA) outcomes in the United States from the Vascular Quality Initiative (VQI) registry. It included 57,622 CEA patients, 2909 (5%) of whom were black. Of the 54,713 white patients, 30% were symptomatic vs 34% of black patients. Blacks had a higher vascular disease burden and were less likely to be operated on in high-volume hospitals and by high-volume surgeons. Black symptomatic patients underwent surgery more often in <2 weeks after the index neurologic event (47% vs 40%). The perioperative stroke/death rates were comparable between blacks and whites. A multivariant analysis showed that black race was not an independent risk factor for poor outcomes with a shortened survival after CEA, although many conditions were more common in blacks (eg, CEA without patch, insulin-dependent diabetes mellitus, prior stroke, lower volume surgeons and centers, and congestive heart failure were associated with poor outcomes). What is also interesting is that black patients experienced better adjusted long-term survival. Some of the findings are very interesting. Specifically, although a good percentage of the black population live in large metropolitan areas, they were less likely to be operated on by high-volume surgeons and in high-volume centers. Similarly, the authors state that symptomatic blacks were more likely to be operated on in <2 weeks vs ≥2 weeks. Can this explain why the perioperative outcomes were similar between blacks and whites who had procedures done beyond 2 weeks, since most authorities advocate surgery in <2 weeks of a neurologic event to optimize benefits of CEA? Why were blacks operated on earlier? Was it easier to convince them to proceed with surgery? Black patients also had a longer length of hospital stay and higher rate of failed discharge home, which may be explained by the extent of their vascular disease. Several studies have evaluated the impact of race on outcomes of CEA, with conflicting results. In an interesting study by Brown et al,1Brown H.A. Sullivan M.C. Gusberg R.G. Dardik A. Sosa J.A. Indes J.E. Race as a predictor of morbidity, mortality, and neurologic events after carotid endarterectomy.J Vasc Surg. 2013; 57: 1325-1330Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar data from the American College of Surgeons National Surgical Quality Improvement Program identified CEAs in 29,114 whites (96%) and 1316 blacks (4%). The stroke rate was 1.6% for whites and 2.5% for blacks (P = .009). The 30-day mortality was 0.7% for whites and 1.4% for blacks (P = .002). There was also a longer operating time and length of stay (P < .001) in blacks. A multivariant logistic regression showed black race as an independent risk factor for 30-day mortality (odds ratio, 1.9; P = .007). Blacks also had a greater proportion of in-hospital death (74% vs 43%; P = .01). Another study by Wayangankar et al2Wayangankar S.A. Kennedy K.F. Aronow H.D. Rundback J. Tafur A. Drachman D. et al.Rachial/ethnic variation in carotid artery revascularization utilization and outcomes: analysis from the National Cardiovascular Data Registry.Stroke. 2015; 46: 1525-1532Crossref PubMed Scopus (17) Google Scholar compared the utilization and outcome of carotid artery stenting and CEA across racial ethnic groups within the Carotid Artery Revascularization and Endarterectomy (CARE) registry (2007-2012). There were 10,953 patients who underwent CEA (93% white, 4% black, 3% Hispanic). There was a trend toward increased carotid artery stenting utilization among whites and increased CEA utilization among Hispanics and blacks. In-hospital major adverse cardiac and cerebrovascular events were comparable between the groups, whereas the 30-day major cardiac and cerebrovascular events were significantly higher in blacks. It is feasible that the difference between these studies and the present study can be explained by the data, which were obtained by the VQI vs the National Surgical Quality Improvement Program, which may reflect different populations and operating surgeons because the VQI data are mainly related to vascular surgeons and may not include other nonvascular surgeons who perform CEAs. The opinions or views expressed in this commentary are those of the authors and do not necessarily reflect the opinions or recommendations of the Journal of Vascular Surgery or the Society for Vascular Surgery. The impact of race on outcomes after carotid endarterectomy in the United StatesJournal of Vascular SurgeryVol. 68Issue 2PreviewBlack patients undergoing carotid endarterectomy (CEA) in the United States are more often symptomatic at presentation and have more comorbidities compared with white patients. However, the impact of race on outcomes after CEA is largely unknown. Full-Text PDF Open Archive

Explaining the Relationship between Autonomy Support and Motivational Process of Health Behavior in Patients with Diabetes from Self-Determination Theory Perspective: Literature Review

Background. The aim of this study is to provide an overview of the research examining the relationships between contextual factor – autonomy support – and motivational process to control diabetes using self-determination theory as a guiding framework. Methods. Overview of published literature of applying SDT examining motivation and behavior in patients with diabetes was performed. Sage, Medline and Google Scholar data basis were searched using “autonomy support and diabetes” and “self-determination and diabetes” words combinations. Literature review included cross-sectional, longitudinal research and experimental studies. Results. Research shows that autonomy support directly affects autonomous motivation, competence and patient satisfaction. Through the mediators in the behavior motivation model - autonomy and competence – autonomy support is associated with diabetes related behavior, physiological and psychological outcomes. Conclusions. It may be concluded that interrelationship between contextual social (relationship with health care specialists), inner psychological (motivation) and physiological (glycemic index) factors is crucial considering the content of educational programs of diabetes care. So, minimization of long-term diabetes complications, enhanced psychological health and quality of life could be expected if health professionals provide autonomy support for their diabetes patients.Keywords: autonomous motivation, perceived competence, health-behavior.

Barriers in Accessing Child Mental Health Care Services in Ethiopia

Background: Globally, mental illness is one of the foremost causes of disabilities and many children experience various mental disorders. On the other vein, few of these children receiving mental health care services in most countries. This journal aimed at realizes barriers in accessing child mental health care services in Ethiopia.Methods: A systematic analysis was conducted to analyze significant research journals since 2005 and searching terms were access, children, mental health, care services, and barriers. Google Scholar, Global Health, PubMed, Summon, WHO, PsychInfo, and NIH data sources were used to collect data and the collected data were analyzed in a systematic manner.Results: Lack of mental health policy and strategies, limited professionals, stigma and discrimination, financial limitation, cultural beliefs towards mental health problems and research gaps were identified as barriers in accessing child mental health care services in Ethiopia.Conclusion: A lot of children today are not in receipt of the mental health care services in Ethiopia. Those children who have a mental illness are facing larger risks even in their lifespan and socio-economic problems of the country. Due to lack of research, the prevalence rate and symptoms of mental illness and diagnoses in Ethiopia are unknown and difficult to categorize.