Kornimate/medical-research-clean huggingface dataset:
using nudge strategies to promote healthier beverage intake among college students

Conditions: Obesity; Food Selection

Summary: the primary objective of this study is to investigate whether three nudging interventions would affect the beverage selection and consumption behaviors of chinese university students. these interventions encompass providing information on the sugar content of sugar-sweetened beverages (ssbs), disseminating harmful information about ssbs, and showcasing the social norm that the majority of students opt for mineral water. through a single-factor between-subjects experiment, we aim to examine the impact of these nudge interventions on the proportion of students choosing sugary drinks versus mineral water, thereby assessing their effectiveness in guiding healthier beverage choices.

as the prevalence of overweight, obesity, and chronic diseases continues to escalate, excessive consumption of sugar-sweetened beverages (ssbs) has emerged as a growing public health concern globally. one approach to reducing beverage intake while conserving resources is the utilization of nudge strategies. nudge strategies, characterized by their low cost and ease of implementation, facilitate individuals in making more accurate and beneficial choices in a predictable manner, through subtle interventions that do not prohibit any options or significantly alter incentives. this nudge experiment will be conducted in a classroom setting, where participants will be randomly assigned to four groups for beverage selection: no nudge intervention group, sugar content information nudge group, sugar harmful information nudge group and social norm nudge group. participants will access the nudge content specific to their respective groups via the professional survey platform of questionnaire star and make a choice between cola and mineral water.

Eligibility criteria:
inclusion criteria: * college students * 18 years or above of age * willing to participate exclusion criteria: * none
venous air embolism in cesarean delivery, especially placental previa

Conditions: Cesarean Delivery With Placental Previa

Summary: effects of placenta previa on incidence and severity of venous air embolism in patients during cesarean delivery


Eligibility criteria:
inclusion criteria: * healthy volunteer with cesarean delivery exclusion criteria: * the one who rejects to participate
bright light: an adjunct treatment for combat posttraumatic stress disorder (ptsd)

Conditions: Posttraumatic Stress Disorder

Summary: the investigators are testing novel treatments for combat ptsd: bright light exposure and negation ion exposure.

seventy operation iraqi freedom (oif)/operation enduring freedom (oef) veterans with posttraumatic stress disorders (ptsd) will be randomly assigned to one of two 4-week treatments (45 min/day): (1) bright light exposure or (2) a negative ion generator. clinical assessments ,as well as self-reported measures of ptsd, anxiety, depression, and sleep will be assessed

Eligibility criteria:
inclusion criteria: * veteran of operation iraqi freedom or operation enduring freedom with posttraumatic stress disorder * receiving other treatment or stopped other treatment prior to study exclusion criteria: * bipolar disorder * psychosis * alcohol/drug abuse

Keywords: posttraumatic stress disorder phototherapy anxiety depression sleep negative ion generator
the effect of oxygen therapy on atelectasis

Conditions: Atelectasis; Cesarean Section; Hypotension

Summary: in pregnancy, cephalal shift of the diaphragm caused by the enlarged uterus reduces the functional residual capacity and may increase the closure volume and predispose the pregnant woman to airway closure, leading to atelectasis. the development of atelectasis due to dermatomes retained in spinal anesthesia and intraoperative supine position may increase further. oxygen therapy to be applied may also lead to absorption atelectasis by causing hyperoxia. the aim of our study is to evaluate the effect of oxygen support on the lungs in cesarean section operations under spinal anesthesia by lung ultrasound score and oxygen reserve index.


Eligibility criteria:
inclusion criteria: * 18-50 years old * asa i-ii * patients scheduled for elective cesarean section under spinal anesthesia exclusion criteria: * alcohol or drug addiction, chronic obstructive pulmonary disease, cardiovascular disease, smokers anemia, liver or kidney disease, coagulation disorders allergic to anesthetic agents, sepsis or bacterial infection, body temperature is below 35°c and above 38°c multiple pregnancy preoperative hypoxemia spo2\ 45

Keywords: atelectasis lung ultrasound oxygen reserve index cesarean section
safety & effectiveness of autologous regenerative cell therapy on pain & inflammation of osteoarthritis of the hip

Conditions: Osteoarthritis

Summary: this is a prospective open-label clinical study of 50 patients to determine safety and treatment potential of autologous cell therapy for pain and inflammation associated with osteoarthritis of the hip. follow-up will consist of a larger sample including 4,000 patients.

this is a prospective open-label clinical study of 50 patients to determine safety and treatment potential of autologous cell therapy for pain and inflammation associated with osteoarthritis of the hip. follow-up will consist of a larger sample including 4,000 patients. patients will be treated for osteoarthritis (oa) of the hip due to degeneration or chronic injury. they will be treated with autologous stromed obtained by the adipose ultrasonic cell recovery unit (aucru) and platelet rich plasma (prp) processed by the regenlab (regenkit bct-3) prp product each as direct injections to the affected joints. patient outcomes will be tracked with laboratory tests for inflammation markers, hip disability and osteoarthritis outcome score (hoos) questionnaires and follow up mri's at various endpoints to 6 months. sf-36 forms (a quality of life measure) and numerical rating scales (nrs) will also be used to assess safety and efficacy of treatment, as well as any reduction in patient medication and/or delay in pending hip replacement therapy.

Eligibility criteria:
inclusion criteria: 1. patients with indication of osteoarthritis. can be from degeneration or chronic injury. 2. patients range from 18-90 years of age. 3. patients must be able to comply with treatment plan, laboratory tests and periodic interviews. 4. patients with adequate renal function, creatinine ≤ 1.5 mg/dl. 5. patients with adequate cardiac and respiratory function. 6. patients with adequate blood coagulation activity, pt(inr) \< 1.5, aptt 7. patients must have adequate immune system function, with no known immunodeficiency disease. 8. greater than 6 months hip pain with the index side (left or right). exclusion criteria: 1. neoplastic cancer within 5 years prior to screening, except for cutaneous basal cell or squamous cell cancer resolved by excision 2. presence of clinically significant acute or unstable cardiovascular and cerebrovascular (stroke). 3. diagnosis of a transient ischemic attack in the 6 months prior to screening. 4. patients infected with hepatitis b, c or hiv. 5. patients with body mass index (bmi) \> 40kg/m2 6. presence of active infection. 7. any other illness, psychiatric disorder, alcohol or chemical dependence that in the opinion of the investigator would render a patient unsuitable to participate in the study. 8. conditions/therapies/factors which could confound or interfere with the evaluation of pain/mobility including, but not limited to: * treatments with strong opioid drugs in the previous 4 weeks for other pain rather than hip osteoarthritis * corticosteroid injection at treatment site within 1 month * consistent use of nsaids within 48 hours of procedure.
opinions of nku faculty of medicine interns and intern doctors on distance medicine education during the covid-19 pandemic period

Conditions: Qualitative Research

Summary: objective: throughout world history, people in the pandemic have not only been in danger of their physical health but also seriously affected their mental health. to prevent the spread of the virus during the covid-19 pandemic, the council of higher education of our country has closed schools and conducted education and training via online education. therefore, the anxiety, uncertainty and closure of schools by the epidemic caused anxiety. the aim of our study; the effect of the covid-19 pandemic on medical faculty student education is to evaluate the satisfaction of students from distance education applications. material and methods: our study is a cross-sectional descriptive type and was conducted on 321 students studying in the 4th, 5th and 6th grades of tekirdag namık kemal university faculty of medicine in the 2021-2022 academic year. a survey including students' sociodemographic characteristics and distance education perspective (ueba) was applied to collect data. the data were evaluated with statistical analysis. results: of the participating students, 85 were in 4th-grade, 157 were in 5th-grade, 79 were 6th-grade medical students. answers to the question "if there was a second choice, would you choose the faculty of medicine?" 119 stated that they would choose the medical faculty again, 102 stated that they would not, and 100 stated that they were undecided. answers to the question "what is your preferred education system option from today" 17 of the students preferred only the online education system, 127 only the face-to-face education system, and 177 preferred the system with online and face-to-face education have stated. conclusion: in terms of students' answers to the survey, it was seen that their level of perspective on distance education was undecided and it was determined that many factors affected distance education satisfaction. as a result, medical faculty students' anxiety increased during the pandemic period and they were less satisfied with the distance education system. keywords: medicine, pandemic, online education


Eligibility criteria:
inclusion criteria voluntary students enrolled in the 4th, 5th, and 6th grades of tekirdağ namık kemal university faculty of medicine (fm) during the 2021-2022 academic year and who agreed to participate in the survey were included in the study. exclusion criteria students who did not meet the inclusion criteria (those in the 1st, 2nd, or 3rd grades or students from another university or faculty) were excluded from the study.
the families and middle school success project

Conditions: Parenting; Parent-Child Relations; Self-regulation; Problem Behavior in School; School Adjustment; Depression

Summary: the purpose of the proposed research is to conduct an efficacy trial of the family check-up (fcu) online to prevent emotional and behavioral disorders among middle-school students at-risk for disability during the transition back to school after the covid-19 pandemic. mental health and behavior problems are at epidemic proportions as a result of the covid-19 pandemic, with the highest rates in adolescents and children with disabilities. we propose to evaluate the efficacy of the fcu online, a school-based, ecological approach to family intervention and risk reduction, across a group of students at-risk or identified with disability during the middle school years. the fcu online for middle school youth has been evaluated in a randomized trial in prior research during the development of the program but has never been tested as a large-scale, school-based intervention or delivered by providers working in schools. it has recently been adapted for covid-19 and includes new modules on coping with stress and home-to-school engagement to support the return to school after covid-19 for students at-risk. students in schools will be identified for services using indicators that are natural to the school environment (attendance, office discipline referrals, and grades), and will be followed for 2 years. we predict that engagement in the fcu online will be associated with student reductions in emotional and behavior problems, improvements in academic skills, and improvements in attendance. parenting skills such as home-to-school communication, positive parenting, and behavioral routines will be tested as mediators of intervention efficacy.


Eligibility criteria:
inclusion criteria: * a caregiver must have a child between the ages of 11 and 14 * the child must be a middle school student enrolled at a participating middle school including: alder creek middle school in milwaukee, oregon, or wilbur rowe middle school in milwaukee, oregon * the caregiver must be the parent or legal guardian of the participating youth * the caregiver must have a smartphone with text messaging capability and access to email * the student must have one or more of the following risk factors: 1) two or more office discipline referrals; 2) grades below a 2.5 gpa; 3) poor attendance, i.e., missing more than 10% of school days; 4) iep for emotional disturbance or related disabilities; or 5) concerns about the child on the behavioral and mental health screener (as indicated by a score of 3 on any one item, or a score of 2 or higher on at least two items). exclusion criteria: * the caregiver is unable to read in either english or spanish * the child is unable to complete the survey without parent's help * the family is already participating in another study of the university of oregon's prevention science institute
infective complications in tp biopsy without antibiotic prophylaxis

Conditions: Prostate Cancer

Summary: this study is a prospective cohort study to delineate the infective outcomes and incidence after transperineal prostate biopsy with no antibiotic prophylaxis, compared to the existing data on outcomes on patients receiving transperineal prostate biopsy with antibiotic prophylaxis.

all consecutive patients receiving transperineal prostate biopsy in the pwh will be recruited to the exposure cohort after informed consent. antibiotic prophylaxis will not be given for patients in the exposure group. all patients will undergo transperineal prostate biopsy in the usual manner and technique, under the ginsburg protocol. systematic and mri-trus fusion for systematic plus targeted biopsy will be performed based on the usual clinical indications, depending on the clinical need. follow-up data will be collected, with particular interest on the assessment of infective complications. prospectively collected data will also be retrieved from the electronic patient record (epr) under the hospital authority, to assess relevant information on infective complications for patients who received transperineal prostate biopsy in pwh and ndh from 2019 to 2023. these patients received antibiotic prophylaxis prior to their biopsies, and eligible patients will be included as the control cohort for comparison. propensity score matching will be utilized in order to create a control group that is similar to the exposure group with balanced baseline. statistical analysis will be performed on the retrieve data.

Eligibility criteria:
inclusion criteria: * all consecutive patients in participating centres receiving transperineal usg-guided biopsy for any indication including: * elevated psa * abnormal dre * follow-up biopsy in active surveillance * suspicion of cap recurrence after radiotherapy * follow-up biopsy after focal therapy * consenting to the study exclusion criteria: * recent suspected uti within 1 month * recent culture proven bacteriuria within 1 month * history of recurrent uti * indwelling urinary catheter * immunocompromised state * high risk of infective endocarditis (including prosthetic heart valve, congenital heart disease, or previous history of infective endocarditis * incompetent or incapable of understanding the nature of the study or giving informed consent
does the suture-spanning augmentation of single-row repair in massive rotator cuff tear reduce the retear rate?

Conditions: Rotator Cuff Tear

Summary: there are several associated structural changes when dealing with massive rotator cuff repair, which include tendon retraction and fragility, muscle atrophy and fatty infiltration, as well as osteoporosis over the tendon insertion. those changes may lead to difficult in applying double-row repair, suture cutting through the tendon, too much tension over the repair and loosening or pull-out of anchors, which may results in poor tendon-bone healing and subsequent high re-tear rate. therefore decreasing the tension over the repair site may increase the healing over tendon bone junction as well as decrease the risk of anchors loosening. a suture-spanning augmentation with two set of suture loops passing over musculotendinous junction medially and fixed with anchor at the lateral cortical wall may solve the problem. in order to define the clinical benefit of this adjuvant procedure, a prospective randomized control study is designed to compare the adjunctive reinforce suture with the single-row simple suture repair in massive rotator cuff tear. around sixty patients were randomized divided into two groups. the study group was used adjunctive reinforce suture repair technique, which was one lateral cortical anchor holding 2 separated set of transverse looping sutures over the medial musculotendinous junction in addition to single row repair, while the control group was used single row repair technique in simple stitch fashion. all patients will have clinical evaluation in pain (vas score) and functional recovery (ases and ucla score) as well as mri image for the tendon integrity. if the suture-spanning augmentation of single-row repair can yield an improved healing rate and fewer complications, massive rotator cuff tear should be repaired earlier in order to prevent the late development of irreparable tear.


Eligibility criteria:
inclusion criteria: * the pre-operative image (mri) showing the massive rotator cuff tear (fulfilling one of the following definition a tear with a diameter of 5 cm or more; a complete tear of two or more tendons; one with a coronal length and sagittal width greater than or equal to 2 cm) * patient was willing and able to provide scores for the study exclusion criteria: * irreparable rotator cuff tear which was identified pre-operatively or intra-operatively * glenohumeral or acromioclavicular joint osteoarthritis * stage iii or more of the fatty degenerative of supraspinatus in goutallier classification * revision surgery * patients with bacteremia, a systemic infection, or an infection at the surgical site * patients who previously attempted or failed a treatment program

Keywords: arthroscopic surgery massive rotator cuff repair single-row repair suture-spanning augmentation
patient-defined treatment success and preferences in stage iv lung cancer patients

Conditions: Particularly Rural/Urban Residence; Gender; Age; FACT-TOI Scores; Comorbid Conditions

Summary: our long-term goal is to integrate non-small cell lung cancer patient treatment preferences into clinical treatment planning.

the following specific aims are proposed: aim 1: determine whether individual patients' preferences, characteristics, and treatment experiences affect the definition of treatment success. aim 2: determine how to best predict real-life patients' treatment choices based on patients' preferences of adverse events. aim 3: determine whether physicians are likely to change their oncologic clinical practice after receiving a detailed communication of their patients' preferences of adverse events.

Eligibility criteria:
inclusion criteria: * willing and able to provide consent * greater than or equal to 19 years of age * diagnosed with stage iv non-small cell lung cancer (nsclc) * able to understand spoken english * eligible to undergo chemotherapy for stage iv nsclc, to include, but not limited to, those who: 1. have not yet started chemo 2. are currently undergoing chemo for stage iv nsclc 3. have completed first line stage iv nsclc chemo or progressed to maintenance for stage iv nsclc within the last 30 days 4. elect to have chemo elsewhere -- not at one of the study sites 5. decline chemo exclusion criteria: * age \<19 years * not willing and/or able to provide consent * not able to understand spoken english * not eligible to undergo chemotherapy for stage iv nsclc
diagnostic value of sputum cytology in asthma-copd overlap

Conditions: COPD, Asthma,ACO

Summary: the aim of this study is to evaluate the diagnostic value of sputum cell counts in differentiation between asthma, copd and aco. to examine the relationship between sputum cell counts in bronchial revers¬ibility and bronchial hyperresponsiveness

asthma and copd are considered as chronic airway inflammatory diseases, which are typically associated with th2-mediated immune response in asthma and related to the characteristics of th1-mediated immunity in copd . asthma-copd overlap (aco) is the term to describe patients who have features of both asthma and copd, recom¬mended by the 2019 global initiative for asthma (gina) and the global initiative for chronic obstruction lung disease (gold) guidelines. patients with asthma and copd are commonly seen in clinical practice. in addition, compared with patients with asthma or copd alone, patients with aco experience frequent exacerbations and hospitalizations, have poor quality of life, a more rapid decline in lung function and high mortality, and consume a disproportionate amount of health care resources than asthma or copd alone . cell count in induced sputum is a noninvasive biomarker to assess airway inflammation phenotypes. accordingly, sputum cell counts are extensively used in the treatment of asthma and copd. nevertheless, the clinical application of sputum cell counts in patients with asthma-copd overlap (aco) remains elusive .

Eligibility criteria:
inclusion criteria: * all patients known to be asthma, copd, aco exclusion criteria: * patients will be excluded if they have confounding pulmonary comorbidities, such as pulmonary tuberculosis, interstitial lung disease, lung cancer or pulmonary infection, and had a cognitive impairment that may affect the collaboration or comprehension of the study.