bluuebunny/crossref_metadata_2025 huggingface dataset:
Arm Health in Elite Collegiate Summer League Baseball Players Assessed by the Kerlan-Jobe Orthopaedic Clinic Score
Authors: Painter David F. , Quinn Matthew , Dove James H. , Testa Edward J. , Snow Ryan , Byrne Rory A. , Pavlu Michele Marie , Jordan Rachel , Owens Brett D.
Published: September 2023

Context

Collegiate baseball players with professional aspirations often participate in summer leagues; foremost among them is the Cape Cod Baseball League (CCBL). Injuries acquired during the collegiate baseball season can be carried into the CCBL season and vice versa.

Objective

To assess the history of throwing arm injury and current functionality in midseason CCBL players.

Design

Cross-sectional study.

Setting

Online questionnaire.

Patients or Other Participants

A total of 123 CCBL players participated. Qualifying athletes were ≥18 years old and were rostered CCBL players with remaining collegiate eligibility.

Main Outcome Measure(s)

After collecting background information, we used the Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow questionnaire to assess the history of throwing arm injury and current functionality. The maximum KJOC score is 100.0; higher scores correspond with greater functionality.

Results

The mean KJOC score was 86.6 ± 14.5 (n = 92); 24.5% (23/94) of players reported a prior diagnosis of throwing arm injury other than a strain or sprain. A total of 49 (49/96, 51.0%) players had undergone rehabilitation for a throwing arm injury, and 7 (7/96, 7.3%) had experienced a medical procedure. Players with no previous treatment (n = 41, mean KJOC score = 88.9 ± 19.0) more frequently demonstrated KJOC scores of ≥90 than players with such treatment (n = 55, 80.9 ± 17.1; P < .001). The 18 players with time-loss arm injury in the last year had lower mean KJOC scores (71.3 ± 20.0) than players with no injury or time loss (90.3 ± 9.8; P < .001). Similarly, players who reported current arm trouble (n = 15) had lower KJOC scores (71.6 ± 17.5) than players with healthy arms (89.5 ± 11.9; P < .001).

Conclusions

The average KJOC score of the CCBL players was <90, with particularly low scores in athletes with prior arm injury and treatment.
Hermeneutic Phenomenological Approach to the Experiences of the Individuals Living with Schizophrenia: A Qualitative Study
Authors: Kanniappan Vadivelan , Abishek J R
Published: September 2023

Background:

Schizophrenia affects various spheres of life causing so many difficulties and burden, but the studies focusing on the experience of individuals living with schizophrenia with reference to the Tamil Nadu context are sparse.

Material and Methods:

A qualitative interview based on a hermeneutic phenomenological approach was conducted with 10 individuals living with Schizophrenia and was recorded. The responses were transcribed and coded. Based on codes, domains and subdomains were identified.

Results:

Six themes were identified, under which the participant’s burden was described. Participants expressed a deep longing for love and care. They were deprived of family’s affection. Participants felt economically insecured, which was owing to their unemployment. Participants had many physical complaints including sleep disturbance and fatigue. Participants expressed that they had failing memory, concentration issues, and difficulty in planning. Most of the participants felt isolated by family and kin. They did not participate in much social activities due to the fear of judgment and stigmatization.

Conclusion:

The experience of individuals living with Schizophrenia revealed that they experienced a series of burdens owing to their illness and its impacts that were categorized into various themes including physical, vocational, cognitive, psychological, personal, and social factors.
Maternal Healthcare Services in a Rural Area of Haryana during the COVID-19 Pandemic: A Community-Based Study
Authors: Singh Tejbeer , Kaur Ravneet , Kant Shashi , Mani Kalaivani , Yadav Kapil , Gupta Sanjeev Kumar
Published: September 2023

Background:

It is well documented that the utilization of maternal healthcare services during pregnancy and childbirth plays a significant role in reducing maternal morbidity and mortality. Disruptions in maternal healthcare services during the coronavirus disease 2019 (COVID-19) pandemic have been reported. However, there is a paucity of literature from rural areas, as most of the previous studies are either record-based or conducted in tertiary care centers. This study aimed to determine the proportion of women who received the recommended maternal healthcare services during the COVID-19 pandemic and to study various factors associated with the utilization of services.

Material and Methods:

In this community-based study, we assessed the utilization of maternal healthcare services among 520 women residing in the Ballabgarh Block of District Faridabad, Haryana, whose antenatal, intrapartum, and postnatal period coincided with the first wave of COVID-19 pandemic. Domiciliary visits were made, and women were interviewed retrospectively regarding maternal healthcare services utilized by them. The antenatal care (ANC) cards were reviewed, and details were corroborated.

Results:

Full ANC was received by 15.3% of women, and 45% of women had less than four antenatal visits. 30.9% of participants had cesarean delivery. The proportion of cesarean delivery in private facilities was significantly higher than in government facilities [Odds Ratio (OR) (95% Confidence intervals (CI)) =10.04 (5.87–17.19); P < 0.001]. In multivariate logistic regression, gravidity was negatively associated with full ANC [OR (95% CI) =0.43 (0.25–0.74); P = 0.002].

Conclusion:

Fewer women received the recommended maternal healthcare services during the COVID-19 pandemic. Detailed assessment of health systems and factors affecting routine healthcare services, during the pandemic, can help improve the readiness and response in the future.
The Pattern of Health-Seeking Behavior among Juang Tribe- A Particularly Vulnerable Tribal Group of Odisha, India
Authors: Sahoo Kaberi , Nayak Soumya R. , Khurana Priyanka
Published: September 2023

Introduction:

Social and economic position, environment, access to healthcare, ethos, and worldview are all important determinants of people’s health-seeking behavior. Tribal communities in India oscillate between their emic rationale for the cause and treatment of health concerns on the one hand and affordable modern methods on the other. The present article is based on a study conducted among the Junag tribe of Odisha to understand their acceptance and preference for traditional or modern healthcare systems and the reasons for these choices.

Material and Methods:

Purposive sampling, a pre-structured schedule, an observation approach, case studies, and interviews with community members have been used to gather the primary data used in the study.

Result:

The study identified a diverse pattern of health-seeking behavior. From the four villages, 70% of respondents combined into cluster-1 preferred the traditional healthcare system, mostly for geographical and cultural reasons, as opposed to 95% of respondents from the villages in cluster-2, who preferred modern healthcare services because they were more easily accessible and involved modern healthcare providers.

Conclusion:

In this research work, it has been found that the Juang tribe is in a transitional phase and uses a hybrid approach to health seeking. Moreover, it has also been discovered that important variables including cultural attitudes and the affordability of contemporary healthcare services have influenced people’s decisions toward healthcare systems.
Coverage and Determinants of Birth Dosage of Newborn Immunization in Rural Areas of Dehradun District, Uttarakhand, India: A Community-Based Cross-Sectional Study
Authors: Kumar Prakash , Kumar Abhishek , Saini Bhavana , Singh Mahendra , Saxena Vartika
Published: September 2023

Backgrounds:

The Universal Immunization Program of India is one of the most cost-effective interventions in public health. Missing or delaying vaccination may elicit an uncertain immune response in the body, making the population susceptible to vaccine-preventable diseases. The objectives of this study were to determine the coverage of newborn immunization for birth doses under the National Immunization Schedule and its epidemiological determinants in the rural areas of the Dehradun district, Uttarakhand.

Materials and Methods:

A community-based cross-sectional study was conducted for a period of one year with a sample size of 570. World Health Organization (WHO) 30 Cluster sampling technique was used with 19 children in each cluster. The data on determinants were collected using a semi-structured, pre-designed schedule through a house-to-house survey. Multivariate analysis was conducted to identify factors associated with immunization coverage, taking the significance level as P < 0.05.

Results:

The coverage of the Bacillus Calmette–Guérin vaccine, oral polio vaccine zero dose and hepatitis B birth dose were 100%, 91.9%, and 58.8%, respectively in the study area with an overall prevalence of incomplete coverage of newborn immunization as 42.5%. The most cited reason for children being unimmunized with birth doses was the unavailability of vaccines at the birthplace center (29.6%).

Conclusions:

The prevalence of incomplete coverage of newborn immunization was quite high, which was undermining the holistic approach of the National Immunization Program. Vaccine availability and accessibility at the birthplace with capacity building and training of the healthcare workers may be considered to ensure coverage of birth doses.
The Analysis of Harmful Factors Affecting on Mental Health and Cognitive Function among Workers of Steel Industry (Using the ISO9612 Approach)
Authors: alimoradi Hadi , Nazari Mahsa , Nodoushan Reza Jafari , ajdani Alireza
Published: September 2023

Background:

In most industrial environments, workers are exposed to noise on a daily basis. The present study dealt with a set of cognitive factors to evaluate the negative emotional states in depression, anxiety, and stress in a noisy work environment.

Methods:

The research was a case-study that examined in 1000 male workers of steel industry. The sampling method was random sampling. The workers filled out questionnaire about, Depression, Anxiety, Stress, Scale, Cognitive Processing Inventory, and personality type tests in the study, and the ISO 9612:2009 standards was used to obtain external noise. Data were collected and analyzed using SPSS version 22 and exact test with 0.05 significant levels.

Results:

According to the results, age showed a significant effect on depression, marital status on anxiety, and the shift on employee stress (P < 0.05).

Conclusion:

Finally, one can conclude that given the positive and significant relationship between noise pressure level and cognitive and subjective components in the case group, it is necessary to take effective preventive measures to prevent psychological damage and to maintain workers' health in the industry.
A Study to Assess the Efficacy of Audio-Visual Psychoeducation on Level of Knowledge and Attitude Regarding Harmful Effects of Alcohol among Alcohol use Disorder Patients Admitted to Mental Health Units of Selected Hospitals of Western Maharashtra
Authors: Nair Seema Madhavan , Sharma Punita A , Das Radhika
Published: September 2023

Introduction:

Alcohol use disorder (AUD) has emerged as a global concern in the world, due to its harmful impact on health, social, economic, and legal aspects. Several established treatment approaches, both pharmacological and nonpharmacological are available but have only modest success. Relapse in alcohol use is noted to be common following treatment, hence efficacy of newer modalities of treatment or therapies is needed.

Aim:

This study aims to assess the efficacy of audiovisual psychoeducation on the level of knowledge and attitude of harmful effects of alcohol among AUD patients admitted to mental health units of selected hospitals of Western Maharashtra.

Materials and Methodology:

A quantitative research approach with pretest-posttest control design was adopted in the study. The sample size was estimated to be 70 based on the pilot study and settings were mental health units of selected hospitals in Western Maharashtra. A simple random sampling technique was used with random allocation of subjects into experimental group and control group by lottery method. A structured tool to assess knowledge was developed, validated by experts and reliability was tested. Alcohol Decisional Balance Scale, which is a standardized tool was used for assessing the attitude. Pretest knowledge assessment was done for control and experimental groups. Audiovisual psychoeducation was given to the experimental group. Both the groups were receiving routine care. A posttest assessment was done after 7 days of intervention.

Results:

Findings revealed that there is statistically significant increase in the level of knowledge from pretest mean score of 9.37 + 3.191–14.06 + 4.179 in posttest of the experimental group by Wilcoxon Z value test at the level of significance P < 0.0001 showing the efficacy of audio-visual psychoeducation in changing the level of knowledge. Similarly, postintervention attitude distribution assessment in the experimental group revealed a statistically significant difference in positive attitude from 6 (17%) in pretest to 12 (34%) in posttest with the McNemar's test at level of significance of P < 0.031. Correlation in level of knowledge with attitude revealed a weak positive correlation with r = 0.17. There was no significant association of pretest knowledge with selected socio-demographic data.

Conclusion:

Audiovisual psychoeducation is efficient in increasing the level of knowledge and change in attitude toward harmful effects of alcohol.
Screen Dependency versus Child Nourishment among Toddlers
Authors: Velumani Suresh , Panchal Meera , Patel Bhoomika
Published: September 2023

Background:

Screen viewing has become predominant among children aged under 3 years that causing massive health issues. Nowadays, most of the young kids developed a habit of having food by watching smartphone. Seventy-seven percentage toddlers are using mobile phones every day. Researcher strongly believes that this habit among toddlers is linked, with either overweight or undernutrition.

Aim:

The present research study aimed to explore the relationship between screen dependency and its effects on child's nourishment.

Settings and Design:

An explorative-correlational study was carried out on 280 toddlers. Toddlers were selected using quota sampling, and data were collected from areas of Vadodara district.

Subjects and Methods:

A structured screen dependency questionnaire was used. Subsequently, toddler nourishment was assessed by using Gomez's classification scale. Descriptive and inferential statistics were applied to analyze the data by using SPSS-20 software. Linear regression analysis revealed that toddler nourishment was influenced by the level of screen dependency.

Results:

The majority toddlers 47.9% (n = 134) were severely dependent on screen, and child nourishment among them resulted that 43.9% (n = 123) were overweight, 2.9% (n = 89) found obese, and 28.2% (n = 79) were belong to malnutrition, the rest were normal. The linear regression analysis showed that screen dependency was significantly correlated with child nourishment beta coefficient (R = 0.321, P = 0.00) at significance of 0.05 level.

Conclusions:

The present study concluded that there is an influence of screen dependency on child's nourishment. Therefore, the policymakers should also increase the awareness regarding negative impact of screen viewing to the mothers.
The COIVD-19 Pandemic First Wave and Copings among the Urban Patients in India
Authors: Shetty Kannappa V. , Rentala Sreevani , Omkarappa Dayananda Bittenahalli , Manikappa Sanjeev Kumar , Bamney Urmila
Published: September 2023

Context:

The COVID-19 pandemic first wave has had a huge psychological impact on COVID patients living in urban areas.

Materials and Methods:

The study adopted a descriptive research design to determine the coping strategies among home isolated patients with COVID-19 in urban districts of south India. The convenient sampling technique was used to select 60 persons infected with COVID-19 during the first wave of the pandemic as sample of the study. The coping strategies were assessed by using the Brief COPE Inventory scale. It has 28 statements which can identify 14 possible coping strategies and sociodemographic data were collected through the telephonic interview method.

Results and Conclusions:

Negative coping strategies such as denial and self-blame were found high, and positive coping strategies such as active coping, use of emotional support, use of instrumental support, venting, positive reframing, planning, and religion were reported to high among COVID patients in urban areas. The study suggests providing at least psychological first aid to reduce mental distress during isolation/quarantine.s
Family Attitude toward the Persons with Negative Symptoms of Schizophrenia
Authors: Roy Chanamthabam Padmini , Baruah Arunjyoti
Published: September 2023

Background:

Negative symptoms of schizophrenia not only lead to poor interpersonal relationship, impaired social and work functioning of the clients but it also affects family members in various aspects. The present study aimed to assess the attitudes of the primary caregivers toward the clients with negative symptoms of schizophrenia.

Materials and Methods:

A cross-sectional study was conducted at tertiary care hospital of Assam. Through purposive sampling technique, 40 primary caregivers of clients with negative symptoms of schizophrenia were selected from the indoor setting of a tertiary mental care institute. Self-structured sociodemographic and clinical Proforma, Positive and Negative Syndrome Scale (PANSS), Scale for Assessment of Negative Symptoms (SANS), and Family Attitude Scale (FAS) were used to collect the data. Data were analyzed using the descriptive and inferential statistics.

Results:

Majority of the participants (87.5%) score <60 in the FAS which showed low expressed emotion toward the clients with negative symptoms of schizophrenia. A significant negative correlation was found between the SANS score and monthly income of the clients (r = -'0.446, P = 0.004).

Conclusion:

Attitude of the primary caregivers toward the patient may vary based on the symptoms of schizophrenia. Assessing their attitude in the form of expressed emotion may help to understand their perception during the care of patients with negative symptoms of schizophrenia. This may help to plan suitable psychosocial nursing care for the primary caregivers.
Cognitive Stimulation (An Approach to Cognitive Impairment) Time for Action Now!
Authors: Singh Sonia , Gaikwad Achla Dagdu
Published: September 2023

"Gold agers are our worthy blessing, value, and assist them to live with dignity" Aging is a natural unrestrictive and irreversible process and an age of change in all dimensions including physical, psychological, social, and environmental. Cognition simply means to the psychological processes and activities related to understanding things, making judgments, memory, and reasoning in comparison to emotional and volitional process. The decrement of this cognitive function is known as cognitive impairment. Old age is the age of cognitive impairment the time for action is now! As increasing age is the greatest risk factor for cognitive impairment as its prevalence rate is found high worldwide, and as the baby boomer generation passes age 65, the number of people living with cognitive impairment is expected to jump dramatically. The prevention and treatment of cognitive impairment have been an important need and responsibility of the health sector area. Apart from the pharmacotherapy, there are other approaches and programs such as occupational therapy, environmental approach, brain training, dietary plan, executive cognitive structuring program, and cognitive stimulation therapy (CST) found effective in improving cognitive functions. CST has been popular, cost-effective, and successful for improving cognitive function and it is theme-based multicomponent therapy which focuses on cognitive abilities and can be given by the professional nurses, an occupational therapist, or a caregiver. The current concept article throws a flashlight on CST as a therapeutic approach to stimulate cognitive functions in geriatrics.
Mealtime Behavior in Autism Spectrum Disorder
Authors: Agarwal Tarubhi , Asthana Neelima
Published: September 2023

Autism spectrum disorder is a neurodevelopmental disorder characterized by impaired social and communication skills and repetitive and restricted behaviors or interests. No exact cause has been determined that may be responsible for its occurrence. However, genetic and environmental factors could be responsible for this disorder. Autism spectrum disorder is one area where little research has been done regarding mealtime behavior and increasing prevalence of this disorder indicated a dire need to study this area. The study aimed to observe the mealtime behavior of 15-year-old adolescent boy during his mealtime and understanding the factors that might be responsible for the idiosyncratic mealtime behavior. Nonparticipatory observation method was used for about 1 month, and data were collected till the point of saturation, where the data collection process no longer offered any new or relevant data. Speech impairment, restricted interest, vestibular difficulties, interference, sensory issues, lack of social interest, and self-absorbed behavior were some of the factors that might be responsible for his idiosyncratic behavior during mealtimes. The study recommended that nutrition-based intervention programs must be initiated by the professionals as early as possible to minimize the effect of such factors during mealtime of people with autism spectrum disorder.
Role of Media on Perceived Vulnerability of the Public at Early Stage of COVID-19 Pandemic
Authors: Abdulah Deldar Morad , Piro Rasoul Sabri
Published: September 2023

Introduction:

The outbreak of the novel coronavirus has spread across the world. The COVID-19 pandemic could have a considerable psychological effect. We aimed to explore the role of media on the level of perceived infectability and germ aversion toward coronavirus infection of the public at early stage of the pandemic.

Methods:

In this study, 708 individuals who live in different geographical locations of the Duhok Governorate in Iraqi Kurdistan were included between March 16 and 25, 2020.

Results:

The mean age of the participants was 27.40 (18–74 years). The participants reported that traditional news services have a relaxing role regarding the coronavirus pandemic (58.3%) in contrast to a stressing role of social media (64.7%). The mean values of vulnerability, perceived infectability, and germ aversions to COVID-19 infection were 4.74, 3.99, and 5.49 of 7.0, respectively. Participants who considered social media to have a stressing role were more likely to be bothered when someone sneezes without covering their mouths (4.45 vs. 4.04; P = 0.044). In addition, they were more likely to think that they catch an infectious disease (3.89 vs. 3.51; P = 0.016), and have a less strong immune system to protect them from most illnesses (2.85 vs. 2.40; P < 0.001), respectively.

Conclusions:

This study showed that social media has a stressing role to the public regarding COVID-19 infection.
Subacute Invasive Pulmonary Aspergillosis
Authors: Chetambath Ravindran
Published: September 2023

Subacute invasive pulmonary aspergillosis (IPA) is an indolent cavitating infectious process which can mimic other chronic lung infections such as tuberculosis. This usually occurs in mildly immunosuppressed individuals and clinically evolves over weeks to months. Radiological presentation is in the form of thick-walled cavity with or without mycetoma, fibrosis, and pleural invasion. Here, a case of subacute IPA in a middle-aged female with rheumatoid arthritis is reported, highlighting a rare radiological appearance.
Mid-term Comparative Analysis of Orthogonal Versus Parallel Plating in Bicondylar Tibial Plateau Fracture
Authors: Patel Rahul , Sinha Shivam , Arya Raj Kumar , Mohaniya Devanshu , Manjhi Birju , Rastogi Amit
Published: September 2023

Background:

Proximal tibial plateau involvement is one of the most common intra-articular fractures. Bicondylar fractures have both tibial plateaus fractures, usually with depressed fracture of lateral tibial plateaus, meniscal tears and anterior cruciate ligament avulsions. Internal fixation in bicondylar proximal tibia fractures using plating devices are usually done using lateral plate along with supplementary postero-medial plate (orthogonal plating) and lateral plate along with medial plate (parallel plating).

Objectives:

The comparison of functional and radiological outcomes.

Materials and Methods:

60 cases of bicondylar tibia plateau fracture were included. Group A (orthogonal plating) were cases treated with orthogonal plating and Group B (parallel plating) were cases those treated with parallel plating. A clinic-radiological comparison of results of these two groups were done. Clinical evaluation for at least 6 months and radiographically for at least 1 year.

Results:

Our clinico-radiological result showed that knee range of motion (mean) (P = 0.002) and Hip-Knee-Ankle angle (HKA) were significantly better in group B while non-significant difference in Varus/valgus angulation, fracture union status, post-operative loss of reduction and residual articular surface depression, implant position and other surgery or implant related complications.

Conclusions:

Our mid-term results showed that treating above fractures with parallel plate resulted in better functional and radiological outcomes with an acceptable complication rate as compared to orthogonal plate
Bilateral Anterior Shoulder Dislocation Following Tramadol Induced Seizure After Low Dose Consumption in a Healthy Adult
Authors: Saxena Vikas , Vaishya Raju
Published: September 2023

Tramadol is a synthetic analgesic used for the treatment of moderate to severe pain with a dual mechanism of action. Although Tramadol-induced seizures are reported in the literature, however, the incidence is rare with its use in therapeutic dosage. Bilateral symmetrical anterior dislocation following a seizure is an unusual complication. We present a rare case of bilateral symmetrical anterior shoulder dislocation following Tramadol-induced epileptiform reaction in an otherwise healthy adult male. The dislocations were diagnosed early and reduced immediately with a satisfactory outcome. An awareness of this entity and a high index of suspicion are required to make an early diagnosis and offer prompt treatment in order to avoid unpleasant complications.
Prospective Study of Osteosynthesis with Fibular Bone Grafting and hip Screw Fixation for Late Femoral Neck Fracture in Young Adults
Authors: Pathak Vinit , Bhatti Javed , Goyal Radha Kant , Sajid Imran
Published: September 2023

Background:

Intracapsular fracture neck femur has always presented great challenges to orthopedic surgeons and still it continues to be a burning problem; thus, it is often called as an unsolved fracture. The femoral neck fracture is probably the fracture for which there exists the largest number of methods of osteosynthesis.

The above quotation reflects the defeatist attitude that has long been held by medical and lay personal toward femoral neck fractures.

Materials and Methods:

The study was conducted in F.H. Medical College and Hospital, Agra. The cases of this study were selected from the patients attending the outpatient Department of Orthopaedics and from those arriving at the Emergency Department of F.H. Medical College and Hospital, Agra from November 2017 to December 2020. A total of 64 young adults with femoral neck fracture treated by a fibular bone graft with hip screw fixation were included in the study. All the fractures were more than 3 weeks old. Each patient was subjected to detailed clinical and radiological examination along with routine pathological investigations.

Result:

Results were assessed in 60 patients, whereas 4 patients were excluded from the study due to loss of follow-up. In the subcapital type, 33.3% of cases were found to have good score, 44.4% of cases had fair score, and rest of the cases were found to have poor score. In the transcervical type, 57.4% of cases scored good, 36.1% cases scored fair, and rest of the cases scored poor. In the basal type, 100% of cases were found to have good score. Therefore, transcervical and basal types of fractures have a good prognosis as compared with the subcapital type. The average follow-up was 16.4 months. Out of 60 patients assessed clinico-radiologically.

Conclusion:

We conclude that treatment of late femoral neck fracture is a simple and cost-effective procedure in young adults with good results.
Bilateral Elbow Terrible Triad Case Report
Authors: Saraf Amit , Bishnoi Sandeep , Hussain Altaf , Aggarwal Shubham
Published: September 2023

A 33-year-old male presented to our casualty department with pain and swelling accompanied by bony deformity over bilateral elbows post an episode of high-energy trauma. Plain radiographs and 3d-CT were done which showed Terrible Triad injuries to both the elbows. Different surgical managements were planned and executed in both elbows according to the fracture patterns. The postoperative period was uneventful and the patient was under continuous follow-up. At the 1-year follow-up patient showed good radiological and functional recovery.
Impact of Demographic and Hospital Environmental Variables on Postoperative PROMIS Depression Anxiety and Anger Short form in Patients Undergone Fracture Elective Surgery
Authors: Raikwar Archana , Yadav Manish , Singh Ajai , Yadav Shobhit
Published: September 2023

Aim:

So far, several studies have been evaluated in foreign countries via Patient-Reported Outcomes Measurement Information System (PROMIS) initiatives. PROMIS is a research tool for the evaluation of orthopedic disorders and is preferred for short-term and long-term performance. Fractured patients face many problems during a hospital stay, such as unhygienic wards, staff’s behavior, no hospital support, and a lot of expenditure, which adversely affects their social and mental status. Therefore, the Patient-Reported Outcome Measures (PROMs) capture the health status of patients that making it a more important tool in the health-care evaluation. Thus, the study aimed to assess the level of depression anxiety and anger by measuring the T-score of the same in hospitalized fractured patients with other factors during a hospital stay.

Purpose/Hypothesis:

The purpose of this study was to examine the association between PROMIS depression anxiety and anger with the atmosphere of the hospital, fracture conditions, and demographics. We believe that these variables play an important role in the quality of life of patients after having fractures and that they had to remain in the hospital unexpectedly.

Study Design:

This was a cross-sectional pilot study among fractured patients based on hospital environment.

Materials and Methods:

PROM assessment tool was used to measure depression anxiety and anger domains having seven and five items categorized as mild, moderate, and severe based on T-score.

Results:

A total of 113 patient’s response was obtained. The mean age was 34.84 years. Seventy-two patients were male (63.71%) and 41 patients (32.28%) were female. The mean and standard deviation (SD) of PROM T-score depression, anxiety, and anger was 57.67 (13.60), 50.56(11.47), and 57.08 (15.49), respectively. PROMIS anger and PROMIS anxiety were significantly correlated in many factors. Depression and anxiety were correlated in male patients. Anger and anxiety were significant in patients facing hospital hygiene and no support from the hospital (P = 0.008 and 0.05).

Conclusion:

PROM is an emerging tool to diagnose the level of depression anxiety and anger the patient faces during the hospital stay. Demographical factors like nuclear family and reason for fracture also play a significant role in anger and anxiety. Hospital hygiene significantly plays an important role in depression anxiety and anger in fracture patients.
Bilateral Ankle Arthrodesis with Retrograde Interlocking Nail in Charcot Arthropathy of Bilateral Ankle Joint
Authors: Khan Mohammad Jesan , Aziz Mohd Hadi , Raza Ariz , Asif Sidra
Published: September 2023

Despite technological breakthroughs in treatment techniques, definitive surgical treatment of Charcot’s arthropathy remains a difficulty. Several techniques for achieving stable ankle joint arthrodesis have been proposed. In recent research, deformity correction and arthrodesis with internal fixation have shown encouraging results. In this case report, we have described a case of severe destruction of both ankle joints treated by arthrodesis with a retrograde interlocking nail. Bilateral ankle arthrodesis in end-stage arthritis of the ankle joint is rare to find. This study addresses the proper surgical management in terms of approach and usage of appropriate implants to improve the long-term functional outcome when dealing with end-stage arthritis of the ankle joint.
Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Variable Loop Cortical Suspensory Fixation
Authors: Pandey Sarvesh Kumar , Khare Rahul , Yadav Ajay Kumar , Deswal Devender , Jaiswal Sankalpa
Published: September 2023

Anterior cruciate ligament (ACL) injury is more common in men than women. Variable loop cortical suspensory fixation is an excellent graft fixation device, which provides an option for further tightening the graft even after the tibial end fixation is done if the surgeon feels it is needed. At 3-month follow-up, ACL reconstruction using the novel variable loop cortical suspensory fixation device granted an improvement in mean LYSHOLM score from 19.91 preoperatively to 85.59 at 3-month follow-up, which is a statistically very significant clinical and functional outcome. The principal advantage of the ACL reconstruction using variable loop cortical suspensory fixation is that it uses the ability to re-tension the graft after tibial fixation. A taut ACL construct is crucial during postoperative rehabilitation to reduce the risk of knee instability and re-rupture of the ACL graft. We conclude that the technique described here is a simple, robust, and effective approach to minimize graft laxity, and thereby leave a snug ACL construct. In addition, re-tensioning of the graft after tibial fixation eliminates the need for a posterior drawer on the knee, as the resulting laxity will be removed with re-tensioning.
Combination of Galeazzi Fracture, Fracture Ulnar Head, and Ipsilateral Posterior Elbow Dislocation
Authors: Khan Mohammad Jesan , Raza Ariz , Singhal Ujjawal , Asif Sidra
Published: September 2023

Posterior elbow dislocation, ipsilateral Galeazzi fracture, and fracture of ulnar head is a very unusual injury pattern. In the literature, only eight such cases have been reported. Another such case of a 24-year-old woman is being reported by us. Elbow dislocation was reduced immediately under sedation in an emergency. Radius was fixed with a compression plate and distal ulna was fixed with a K wire. Elbow and wrist physiotherapy is started 3 weeks after immobilization.
Fractures of All Metacarpals of Both Hands
Authors: Jaiswal Atin , Agarwal Vineet , Srivastava Shivendra , Tanwar Yashwant Singh
Published: September 2023

Metacarpal bones are key structure elements in the anatomy of hand. Fractures of all the metacarpals of both hands have not been described in the literature. Malunited metacarpal fracture in a young male may be quite disabling, compromising hand functions. We present a case of compound fracture of all metacarpals of both hands in a 30-year-old man and its management with good functional outcome.
Atypical Fixation Failure after the Internal Fixation of a Peri-implant Subtrochanteric Fracture in a Patient on Long-Term Bisphosphonate Therapy and its Management
Authors: Nallakumarasamy Arulkumar , Arya Rajkumar , Sinha Shivam , Yadav Rahul
Published: September 2023

Bisphosphonate therapy should be properly monitored in the treatment of osteoporosis, since it affects the bone turnover and may cause fatigue fractures. A new clinical adverse outcome due to long-term bisphosphonate therapy specifically in a postoperative osteoporotic patient is peri-implant fractures that are rarely described in the literature. Our case report describes an untoward biomechanical failure in the fixation of a peri-implant subtrochanteric fracture in an osteoporotic patient who is on long-term alendronate therapy and had been operated previously with dynamic hip screw and its management with 1-year follow-up.
An Adult with Elbow Dislocation with Entrapped Osteochondral Fragment of Olecranon
Authors: Julfiqar Mohammad , Khan Abdul Qayyum , Khan Isna Rafat , Motiwala Zainab Yusufali , Singh Chandan , Rehman Mohammad Arshad K.
Published: September 2023

In this case report, we present a young adult presenting with a traumatic elbow dislocation with an entrapped osteochondral fragment. An initial diagnosis of traumatic elbow dislocation with entrapped medial epicondyle was made but later on it was found to be an osteochondral fragment detached from the olecranon fragment. The patient required surgical intervention to restore a congruent and stable elbow joint. This case report is novel as the elbow dislocation with osteochondral fragment entrapment is occurring in an adult; at the same time, the fragment belongs to the olecranon, and cases of which have not been reported yet.
Promoting the participation of low-risk pregnant women in the child birth process by developing a birth plan: The protocol of an action research study
Authors: Mohebbi-Dehanvi Zahra , Hajihashemi Maryam , Kohan Shahnaz
Published: September 2023

BACKGROUND:

The birth plan reflects the preferences and expectations of women in the delivery process and can be designed with the participation of women and her partner and implement as a basis for midwifery care during childbirth. This research was designed to promote the participation of low-risk pregnant women in the child birth process by developing a birth plan.

MATERIALS AND METHODS:

The present study is a participatory action research designed in a single specialized, main maternity hospital in Isfahan, Iran. This study was conducted in four stages proposed by the Kemmis, including planning, action, observation, and reflection with the participation of all midwives, gynecologists, and managers who involved in childbirth.

CONCLUSIONS:

Considering the importance of childbirth as an opportunity for participation and empowerment of women, it seems that designing a birth plan based on the preferences of these women and all people involved in this process can strengthen women's participation in child birth process.
Effectiveness of daily educational message on pregnancy anemia prevention behavior and knowledge: A pilot randomized controlled trial
Authors: Arifah Izzatul , Pambarep Tyas Sekar Adining , Khoiriyah Lailatul , Kusumaningrum Tanjung Anitasari Indah , Werdani Kusuma Estu , Ngadiyono Ngadiyono Prasetyo
Published: September 2023

BACKGROUND:

Distance education and mobile health (mHealth) usage are yet to be researched widely, particularly in terms of anemia prevention in Indonesian pregnant women. This study aimed to analyze the daily educational messages' effectiveness on anemia prevention behavior and knowledge, in pregnant women in Surakarta City, Indonesia.

MATERIALS AND METHODS:

This pilot randomized controlled trial was conducted in two Primary Healthcare Centers in Surakarta in April-September 2022. The target population was pregnant women who conducted Antenatal Care at Primary healthcare Center. The sample was put into two randomized groups consisting of pregnant women in the first and second trimesters: intervention and control. This study included a total of 44 participants. The intervention was a daily educational message sent through WhatsApp for seven weeks. Measurement of anemia prevention knowledge, anemia prevention diet, and Iron and Folic Acid (IFA) tablet consumption was collected at the baseline and follow-up.

RESULTS:

The intervention resulted in a significant difference (P value .003) in mean IFA tablet consumption (last 42 days), which was higher in the intervention group (39.54 ± 3.94) than in the control group (34.86 ± 8.13). It has a significant effect on knowledge (P value .007) as well. However, no significant difference in the anemia prevention diet between groups at the end of the intervention.

CONCLUSIONS:

The daily educational message improves pregnant women's knowledge and IFA tablet consumption. Conducting a full-scale randomized controlled trial is feasible to confirm the effectiveness of daily educational messages as a pregnant anemia prevention program, considering the needed improvements.
Effectiveness of a web-based program on self-care behaviors and glycated hemoglobin in patients with type 2 diabetes: Study protocol of a randomized controlled trial
Authors: Shahshahani Maryam Sadat , Goodarzi-Khoigani Masoomeh , Eghtedari Maryam , Javadzade Homamodin , Jouzi Mina
Published: September 2023

BACKGROUND:

Type 2 diabetes (T2DM) decreases the life expectancy and quality of life of diabetics and causes economic and societal problems. For this purpose, diabetes self-management education and support (DSMES) has been designed for many years, which is recently provided through technology-assisted education. Therefore, we developed a web-based program in accordance with DSMES to assess its effect on self-care behaviors and glycated hemoglobin (HbA1c) for patients with T2DM during the coronavirus disease (COVID-19) pandemic, which is described in detail in this paper.

MATERIALS AND METHODS:

This randomized controlled trial (RCT) was performed on 70 diabetic patients in Al-Zahra Hospital for three months. After random allocation, web-based educational content (including videos, lectures, educational motion graphics, text files, educational posters, and podcasts) according to DSMES was provided for the intervention group to improve self-care behaviors and HbA1c levels. The control group received routine educational pamphlets. A diabetes self-management questionnaire (21 questions) with a Likert scale was completed to assess self-care behaviors scores before and after intervention and three months later. Also, HbA1c was determined before and after the intervention. Analysis of variance with repeated measurements will be applied to compare mean scores of self-care behaviors components three times, and an independent t-test analyzed mean differences of HbA1c values.

CONCLUSION:

The obtained results of this study might be useful for promoting self-care behaviors and assessing HbA1c in diabetic patients.
Nurse educators' professional practice attributes and its determinants
Authors: Pareek Bharat , Soni Meenakshi , Rana Ruchi , Sharma Shaveta , Goyal Pradeep , Sharma Shivani
Published: September 2023

BACKGROUND:

Professional practice attributes of nurses help to promote nursing as a profession and advance nursing education. Nursing professionals need to demonstrate a high level of professional commitment to their practices and must be professionally competent to perform their roles.

MATERIAL AND METHODS:

Descriptive survey was conducted at the nursing educational institutes affiliated with the Indian Nursing Council and situated in the selected Northern Indian states. The sample included 343 nurse educators who were selected using simple random sampling. The self-reported method was adopted to collect data where three questionnaires including socio-demographic information, organizational characteristics of current place of work, and professional practice attributes assessment criteria were used. Descriptive and inferential statistics were used for data analysis.

RESULTS:

Overall, the study's participants scored poorly on professional practice attributes (Mean, SD: 1.98, 2.03), which were linked to their personal (age and gender), professional (educational background, professional qualification, current designation), and organizational (duration of organization's establishment, courses provided, college management) characteristics.

CONCLUSION:

The findings highlighted the need for nurse educators to be more competent and dedicated in their respective fields. The study also suggests that in order to raise the standard of nursing education, nursing regulatory bodies like nursing councils, universities, and governments must take the necessary steps to foster the professional development of nurse educators.
Design and psychometric evaluation of health system intervention assessment tools for children in floods
Authors: Dehghani Arezoo , Sahebi Ali , Mazaheri Elaheh , Vaziri Mohammad Hossein , Masoumi Gholamreza , Jahangiri Katayoun
Published: September 2023

BACKGROUND:

Flood is one of the most frequent disasters in Iran, which has highly affected the population and consequences on the health system. Children as the most vulnerable group too need to receive health services during floods. The aim of the present study was to develop a national tool for evaluating the provision of health services to children in floods.

MATERIAL AND METHODS:

This study is a sequential-exploratory mixed method study that consists of two qualitative and quantitative stages. The qualitative part includes the analysis of documents and panel of experts while the quantitative part includes the design and validation of the tools.

RESULTS:

In this study, organizations providing health services to children were first identified, and according to their mission the relevant items were extracted and the initial checklist was designed. Then validity and reliability of the tools were done. The content validity ratio and content validity index for the tool were 59 and 98%, respectively. Cronbach's alpha and intraclass correlation coefficient were determined as 0.7 and 0.964, respectively. The final tool was presented with 64 items.

CONCLUSIONS:

The response program, the scope of interventions, service coverage, and the effectiveness of the response after the flood can help reduce the risk of disasters in children. Using the assessment tool of evaluating the health services to children can assist the stakeholder organizations to meet the standards and best quality of services. Assessing the needs of the children affected by floods, identifying the strengths and weaknesses of health services, and proposing corrective strategies according to the information extracted from this tool are other achievements of this study.