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  <title>OAR@UM Community:</title>
  <link rel="alternate" href="https://www.um.edu.mt/library/oar/handle/123456789/353" />
  <subtitle />
  <id>https://www.um.edu.mt/library/oar/handle/123456789/353</id>
  <updated>2026-10-30T19:12:21Z</updated>
  <dc:date>2026-10-30T19:12:21Z</dc:date>
  <entry>
    <title>Ir-Ramla</title>
    <link rel="alternate" href="https://www.um.edu.mt/library/oar/handle/123456789/149501" />
    <author>
      <name />
    </author>
    <id>https://www.um.edu.mt/library/oar/handle/123456789/149501</id>
    <updated>2026-09-29T10:37:08Z</updated>
    <published>2012-01-01T00:00:00Z</published>
    <summary type="text">Title: Ir-Ramla
Abstract: Ir-Ramla (magħrufa mill-Maltin bhala r-Ramla I-Ħamra) toffri pajsaġġ mill-isbaħ fil-kampanja ta' Għawdex. Dan l-artiklu jagħti tagħrif dwar l-importanza ekoloġika ta' dan is-sit uniku, fejn tinstab medda ta' gharam tar-ramel, li ma tinstab mkien iżjed f'Ghawdex.</summary>
    <dc:date>2012-01-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>Il-Qattara</title>
    <link rel="alternate" href="https://www.um.edu.mt/library/oar/handle/123456789/149499" />
    <author>
      <name />
    </author>
    <id>https://www.um.edu.mt/library/oar/handle/123456789/149499</id>
    <updated>2026-09-29T10:32:19Z</updated>
    <published>2012-02-01T00:00:00Z</published>
    <summary type="text">Title: Il-Qattara
Abstract: ld-Dwejra u I-inħawi ta' madwarha huma magħrufin kemm għall-importanza tagħhom fiI-ġeoloġija (I-istudju  ta'   kif u meta ġiet iffurmata I-art) kif ukoll fl-ekoloġija (l-istudju tal-ħlejjaq u tal-ħabitat Ii jgħixu fih). Minbarra l-Ġebla tal-General, fid-Dwejra tinstab ukoll il-Qattara, għadira żgħira, Ii żżomm fiha s-sena kollha l-ilma ħelu.</summary>
    <dc:date>2012-02-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>Is-Sisien ta' Ċenċ</title>
    <link rel="alternate" href="https://www.um.edu.mt/library/oar/handle/123456789/149498" />
    <author>
      <name />
    </author>
    <id>https://www.um.edu.mt/library/oar/handle/123456789/149498</id>
    <updated>2026-09-29T10:09:57Z</updated>
    <published>2012-03-01T00:00:00Z</published>
    <summary type="text">Title: Is-Sisien ta' Ċenċ
Abstract: Dan huwa il-ħames artiklu minn sensiela dwar siti ta' importanza ekologika f'Għawdex. Ta' Ċenċ huwa sit ekologiku ta' importanza kbira. Huwa kumpless naturali ta' diversi tipi ta' ħabitat, Ii jikkonsistu f'sisien, irdumijiet, u widien, kif ukoll medda ta' xaghri kbira Ii tieħu mill-Misraħ saI-Ponta taI-Iżgandlu.  Dan I-artiklu jittratta biss dwar is-sisien Ii nsibu f'Ta' Ċenċ, swar naturali ta' blat żonqri Ii jogħla sa 130 metru (452&#xD;
pied) 'I fuq minn wiċċ iI-bahar.</summary>
    <dc:date>2012-03-01T00:00:00Z</dc:date>
  </entry>
  <entry>
    <title>Anxiety, depression and stress in parents and siblings of people who have Prader-Willi syndrome : morbidity prevalence and mitigating factors</title>
    <link rel="alternate" href="https://www.um.edu.mt/library/oar/handle/123456789/145890" />
    <author>
      <name>Micallef Pulè, Kristina</name>
    </author>
    <author>
      <name>Hughes, Brian M.</name>
    </author>
    <id>https://www.um.edu.mt/library/oar/handle/123456789/145890</id>
    <updated>2026-04-24T08:59:06Z</updated>
    <published>2025-01-01T00:00:00Z</published>
    <summary type="text">Title: Anxiety, depression and stress in parents and siblings of people who have Prader-Willi syndrome : morbidity prevalence and mitigating factors
Authors: Micallef Pulè, Kristina; Hughes, Brian M.
Abstract: Background: Individuals with PWS need constant support and/or supervision, which creates a high caregiver burden on their &#xD;
parents and siblings. Previous research has identified adverse stress outcomes in relatively small and country- specific samples. &#xD;
This study's aims were to examine stress outcomes in a large multi- country sample of parents and siblings and to expand upon &#xD;
previous research by incorporating data on psychosocial factors that may mitigate stress outcomes.&#xD;
Methods: The sample comprised 135 parents of a child with PWS, with additional data for 45 siblings as reported by parents. &#xD;
Participants were recruited from 31 countries, spanning Europe, North and South America, Africa, Asia and Australasia, who &#xD;
participated by completing an online questionnaire that included standardised psychometric measures of depression and anxiety &#xD;
(HADS), life stress (PSS), PTSD symptoms (CATS- C) and family cohesion (FACES II). Outcomes were compared to published &#xD;
population norms, and multiple regression was used to investigate the role of potential exacerbating and mitigating factors.&#xD;
Results: Findings revealed high rates of mental pathologies in both parents and siblings. Parents' scores for depression and anxiety indicated high rates of caseness: 67.4% of parents exhibited ‘abnormal’ levels of anxiety, while 15.6% exhibited ‘borderline &#xD;
abnormal’ levels; 34.8% exhibited ‘abnormal’ levels of depression, with 22.2% exhibiting ‘borderline abnormal’ levels. Younger &#xD;
parents exhibited higher anxiety than older parents (p = 0.007); younger male parents reported higher depression than older &#xD;
male parents (p = 0.029). Parents whose child with PWS lived in the family home exhibited higher depression scores than parents &#xD;
whose child with PWS lived away from home (p = 0.035). Family cohesion was inversely associated with parental depression &#xD;
(p &lt; 0.001) and parental anxiety (p = 0.012), even when statistically controlling for age of parent, age of child with PWS and pa&#xD;
rental education level. Scores for life stress were markedly higher than population norms, with 88.7% of parents exhibiting ‘high’ &#xD;
or ‘moderate’ life stress. Parental life stress was significantly correlated with temper outburst severity in their child with PWS &#xD;
(p &lt; 0.001) and with food problem severity (p &lt; 0.001). All siblings exhibited at least one symptom of PTSD, with 28.9% of siblings &#xD;
exhibiting ‘clinically relevant’ levels of PTSD symptoms. Sibling PTSD symptom levels were significantly associated with temper &#xD;
outburst severity in the child with PWS (p = 0.025) but not with ratings of food problem severity (p = 0.114). Family cohesion was &#xD;
inversely associated with PTSD symptoms in siblings (p = 0.022).&#xD;
Conclusions: PWS impacts families negatively, and relatives suffer as a result. The findings of this study confirm that parents &#xD;
and siblings of persons with PWS exhibit clinically notable levels of mental pathology. Strategies to enhance family cohesion &#xD;
should be employed to help diminish adverse outcomes among PWS families.</summary>
    <dc:date>2025-01-01T00:00:00Z</dc:date>
  </entry>
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