bluuebunny/crossref_metadata_2025 huggingface dataset:
Primary extra hepatic hydatid cyst of the kidney: A case report
Authors: El Amrani Soukaina , Imrani Kaoutar , Moatassim Billah Nabil , Nassar Itimad
Published: February 2024

Human echinococcosis (hydatid disease) is highly endemic in Morocco and reemerging as a significant public health problem in this country. It is a cyclozoonotic infection introduced by Echinococcus granulosus, that can invade any organ in the human body. The liver is the mostly affected organ, which is the primary site of human infestation, followed by lungs. Renal involvement by hydatid disease is commonly secondary, occurring owing to primary cyst rupture or disseminated disease. Primary renal localization, often presented as solitary cysts with no visceral involvement, is uncommon even in endemic zone. Herein, a rare cause of renal mass due to an isolated hydatid cyst in a 56-year-old woman who presented with ambiguous left flank pain for the last 10 years. Findings imaging did not reveal any other localizations of hydatid disease. For this scolicidal effect and to prevent peritoneal seeding, the patient was placed on albendazole 400 mg. Three weeks later, the surgery was performed successfully with a left total nephrectomy.
Telemedicine in alcohol liver disease and transplantation care: Addiction therapy through video-conferencing—A case report
Authors: Sakpal Sujit Vijay , Holbeck Malia J , Wade Ann , Singh Kushagra , Singal Ashwani K
Published: February 2024

Alcohol use disorder is a major public health concern, contributing to significant morbidity and mortality worldwide. Alcohol-associated liver disease is a major consequence of alcohol use disorder, with liver transplantation becoming the leading indication for this condition. This abstract describes a case study of a 39-year-old Native American man with severe alcohol-associated liver disease, illustrating the challenges and solutions in providing comprehensive care in a remote location. The patient’s treatment involved a multidisciplinary approach, combining hepatology, addiction therapy, and telemedicine services. Despite initial difficulties, the patient achieved complete abstinence and significant improvement in liver function, avoiding the need for transplantation. This case highlights the importance of interdisciplinary care and the potential of telemedicine for managing complex cases of alcohol-associated liver disease and alcohol use disorder in remote areas, ultimately improving patient outcomes and reducing healthcare burdens.
Situating data relations in the datafied home: A methodological approach
Authors: Amadori Gaia , Mascheroni Giovanna
Published: February 2024

Studying datafication focusing on the microlevel of everyday life poses epistemological and methodological challenges. Indeed, the black-boxed nature of algorithms makes data inaccessible and unintelligible to the researcher. Therefore, this paper aims to advance a methodological proposal for addressing the situatedness of datafication in everyday life by framing mediatised relations as a proxy for data relations. In particular, this research adopts a “non-media-centric” approach and frames families as communicative figurations. By reporting a qualitative longitudinal study on the datafication of childhood and family life involving 20 families with at least 1 child aged 8 years or younger in Italy and by employing a mixed method constructivist grounded theory methodology that includes network methods, we analyse three families as exemplary of different network articulations. Such an approach, we argue, can help materialise the mediatised relations through, about, and around data that emerge in contemporary family life.
Patients’ and caregivers’ experiences of virtual care in a primary care setting during the COVID-19 pandemic: A patient-oriented research study
Authors: Halas Gayle , Baldwin Alanna , Mackay Kerri , Cardenas Ernesto , LaBine Lisa , Cherrett Phyllis , Abraham Linda , Fogarty Vivianne , Singer Alexander , Katz Alan , Kirby Sarah
Published: February 2024

Objective

This study explored patient and caregiver expectations and experiences of virtual primary care in Manitoba, Canada. This study focused on accessibility of care, acceptability and perceptions of quality from ‘users’ of primary healthcare services. Due to the rapid implementation of virtual primary care during the COVID-19 pandemic in Canada, patient/public input was largely bypassed.

Methods

A mixed method was conducted in collaboration with Patient and Caregiver Community Advisors. Data was obtained from 696 surveys and 9 focus groups (n = 41 patients and caregivers).

Results

Data suggest good acceptance of virtual visits, although considered a new experience despite almost exclusive use of the telephone. Participants preferred more input for choosing the type of visit but experienced less stress, time and inconvenience by using virtual care. There were mixed opinions of quality. More complex visits were associated with incomplete consultations and serve as one exemplar of the limitations due to lack of physical presence or contact. Unique communication skills were required to convey health concerns adequately and accurately. A more transactional approach was perceived from the lack of visual cues and the awkwardness associated with pauses during the phone conversation. Virtual care may be better used for certain circumstances but should encompass patient-centred decision making for when and how. Many expressed interests in video options; technology access and user ability are additional considerations for advancing virtual care.

Conclusions

The experiences and recommendations from patients and caregivers provide an important contribution to decision-making and integrating and sustaining quality virtual care for patient-centered healthcare service delivery. Keywords: Virtual care experiences, primary care, patient-oriented research, mixed methods, COVID-19.
Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals
Authors: Zangger Graziella , Mortensen Sofie Rath , Tang Lars Herman , Thygesen Lau Caspar , Skou Søren T.
Published: February 2024

Objectives

This study explored associations between digital health literacy and physical activity levels and assessed potential interactions of long-term health conditions.

Methods

A cross-sectional survey was sent to 34,000 inhabitants in Region Zealand, Denmark. The survey included items on physical activity levels and three electronic Health Literacy Questionnaire (eHLQ) scales (1, 4, and 5). Associations were assessed by logistic regression and adjusted for confounders.

Results

A total of 19,231 participated in the survey. Positive associations were found between higher digital health literacy and being active >30 min./week at moderate-to-vigorous intensity (eHLQ 1: OR 1.24, p < 0.001; eHLQ 4: OR 1.13, p = 0.012; eHLQ 5: OR 1.25, p < 0.001), compliance with the World Health Organization minimum recommendations for physical activity (eHLQ 1: OR 1.33 p < 0.001; eHLQ 4: OR 1.08 p = 0.025; eHLQ 5: OR 1.32, p < 0.001), and self-reported physical active (eHLQ 1: OR 1.50 p < 0.001; eHLQ 4: OR 1.24 p < 0.001; eHLQ 5: OR 1.54 p < 0.001), even when fully adjusted for covariates. No significant interaction was found for long-term health conditions. However, individuals with more long-term health conditions exhibited the lowest digital health literacy scores (9% to 19% scored <2.0).

Conclusion

A higher digital health literacy is positively associated with higher physical activity levels. This highlights the importance of screening and promoting digital health literacy in managing digital health and digital physical activity interventions. Future research should explore strategies and targeted interventions to enhance digital health literacy and improve health outcomes.
Mainstreaming the Manosphere’s Misogyny Through Affective Homosocial Currencies: Exploring How Teen Boys Navigate the Andrew Tate Effect
Authors: Haslop Craig , Ringrose Jessica , Cambazoglu Idil , Milne Betsy
Published: February 2024

During the summer of 2022, Andrew Tate became a focus of concern for the media, parents, and educational leaders as his sexist and misogynistic social media content became popular with young people, especially boys. To explore Tate’s appeal, we conducted a discourse and content analysis of Tate’s videos and a small focus group study with boys aged 13–14 from London (United Kingdom). We found that apart from the obvious ways that Tate promotes men’s domination of feminine “others,” his content also mainstreams misogynistic “manosphere” ideologies. Moreover, Tate plays on boy’s fears about their economic futures and place in the structures of hegemonic masculinity while stylising himself as a maverick, but authentic figure who—against the context of his concocted fears—offers hope through advice about dating and entrepreneurial skills. We highlight how these tropes support Tate’s business model in the affective and attention economies of social media. Through focus group analysis, we show how these tropes are potent homosocial currencies for boys, including their conceptions of Tate’s content as humorous. In so doing, we contribute new theoretical perspectives on the way emotion and affect can work as homosocial currencies across digital and non-digital spaces to reify hegemonic masculinity and normalize misogyny. We conclude by suggesting that rather than attacking Tate’s messages which might play into Tate’s maverick identity, we should offer young people critical digital literacy education that helps them understand the business models of Tate, and influencers like him, and how they peddle in forms of gendered disinformation.
Independent and effective care – district nurses’ experiences of prescribing drugs: A systematic qualitative literature review
Authors: Hammarberg Christina , Abelsson Anna , Arslan Aysel , Willman Anna
Published: February 2024

Numerous countries in the world have chosen to allow district nurses to prescribe drugs to streamline the primary care process. This qualitative, systematic literature study aimed to examine district nurses’ experience of prescribing within primary care. The search followed the PRISMA-P search strategy, and the quality assessment of the nine articles was completed using the review template for assessing studies with qualitative methodology, using GRADE CERQual. The databases CINAHL, Pubmed, PsycINFO, and Scopus were used. The result shows that district nurses experience prescribing as crucial for being able to meet patient needs through holistic and person-centered care. Being able to sufficiently and efficiently meet patient needs contributed to increased job satisfaction and professional pride in district nurses. However, district nurses need more collegial support and training in prescribing. The additional burden that the ability to prescribe poses needs to be addressed to prevent limitations in the prescription rights of district nurses. Through an extended prescription right, district nurses can contribute to a more efficient care system that can meet future demand for healthcare services in primary care.
Ambulance personnel's experiences of, and lessons learned from, out-of-hospital cardiac arrest missions during the COVID-19 pandemic: An interview study
Authors: Sjöberg Emma , Wangel Anne-Marie
Published: February 2024

During COVID-19, an increased incidence of out-of-hospital cardiac arrests was seen, resulting in decreased outcomes. In addition, altered attitudes to performing cardiopulmonary resuscitation among first responders were reported. The aim of this study was to explore ambulance personnel's experiences of, and lessons learned from, out-of-hospital cardiac arrest missions during the COVID-19 pandemic, in a Swedish context. Nine Swedish ambulance personnel were interviewed, and the data were analysed using thematic content analysis. The analysis illuminated professional, personal and relational consequences as well as lessons learned reported by the informants. The COREQ guideline was used to report the important aspects of the study. The ambulance personnel experienced several challenges, mainly due to the personal protective equipment. To enhance patient safety, they strived to remain resilient despite the challenges. The informants also expressed positive aspects of their experiences, such as having acquired increased competence through working under these circumstances. To strive for resilience and competence became the overarching theme. The experiences and the lessons learned described in the study, could contribute to helping ambulance organisations initiate new routines and/or improve existing ones, as well as developing a protective equipment that does not obstruct any aspect of an out-of-hospital cardiac arrest mission.
Predictors of outcome and symptomatic intracranial hemorrhage in acute basilar artery occlusions: Analysis of the PC-SEARCH thrombectomy registry
Authors: Mierzwa Adam T , Nelson Ashley , Kasab Sami Al , Ortega Gutierrez Santiago , Vivanco-Suarez Juan , Farooqui Mudassir , Jadhav Ashutosh P , Desai Shashvat , Toth Gabor , Alrohimi Anas , Nguyen Thanh N , Klein Piers , Abdalkader Mohamad , Salahuddin Hisham , Pandey Aditya , Wilseck Zachary , Koduri Sravanthi , Vora Niraj , Aladamat Nameer , Gharaibeh Khaled , Afreen Ehad , Al-Hajala Hisham , Shawver Julie , Zaidi Syed , Jumaa Mouhammad
Published: February 2024

Introduction:

Recent randomized controlled trials demonstrated superiority of mechanical thrombectomy compared to medical therapy in acute basilar artery occlusions, however, little data is available to guide clinicians in functional prognosis and risk stratification.

Patients and Methods:

Data from the retrospectively established PC-SEARCH Thrombectomy registry, which included patients with basilar artery occlusion from eight sites from January 2015 to December 2021, was interrogated. Outcomes were dichotomized into 90-day favorable (mRS ⩽ 3) and unfavorable (mRS > 3). Multivariate logistic regression analysis was performed with respect to the outcome groups and were adjusted for potential confounding baseline characteristics.

Results:

Four-hundred-forty-four patients were included in this analysis. Mean age was 66 [SD 15], with 56% male, and comprised of 76% Caucasian. Patients presented with an initial median NIHSS of 18 and 199 patients (44.8%) achieved favorable 90-day functional outcomes. Independent predictors of favorable outcomes included younger age, pc-ASPECTS > 8 (OR 2.30 p < 0.001), and TICI ⩾ 2b (OR 7.56 p < 0.001). Unfavorable outcomes were associated with increasing number of passes (OR 1.29 p = 0.004) and sICH (OR 4.19 p = 0.015). IA-tPA was an independent risk factor for sICH (OR 7.15 p = 0.002) without improving favorable functional outcomes.

Conclusion and Discussion:

PC-ASPECTS > 8, successful recanalization (TICI ⩾ 2b), first-pass recanalization, and younger age are independent predictors of favorable 90-day functional outcome in thrombectomy treated patients with acute basilar artery occlusion. Conversely, sICH were independent predictors of unfavorable outcomes. IA-tPA and unsuccessful recanalization are independently associated with sICH.
Impact of prodromal symptoms on the prognosis of patients with basilar artery occlusion treated with mechanical thrombectomy
Authors: Accettone Thomas , Personnic Thomas , Bretzner Martin , Behal Helene , Cordonnier Charlotte , Henon Hilde , Puy Laurent
Published: February 2024

Introduction:

Even with reperfusion therapies, the prognosis of patients with basilar artery occlusion (BAO) related stroke remains poor. We aimed to test the hypothesis that the presence of prodromal symptoms, an easily available anamnestic data, is a key determinant of poor functional outcome.

Patients and methods:

Data from patients with BAO treated in Lille, France, with mechanical thrombectomy (MT) between 2015 and 2021 were prospectively collected. The presence of prodromal symptoms was defined by previous transient neurological deficit or gradual progressive clinical worsening preceding a secondary sudden clinical worsening. We compared the characteristics of patients with and without prodromal symptoms. We built multivariate logistic regression models to study the association between the presence of prodromal symptoms and functional (mRS 0–3 and mortality), and procedural (successful recanalization and early reocclusion) outcomes.

Results:

Among the 180 patients, 63 (35%) had prodromal symptoms, most frequently a vertigo. Large artery atherosclerosis was the predominant cause of stroke (41.3%). The presence of prodromal symptoms was an independent predictor of worse 90-day functional outcome (mRS 0–3: 25.4% vs 47.0%, odds ratio (OR) 0.39; 95% confidence interval (CI) 0.16–0.86) and 90-day mortality (OR 2.17; 95% CI 1.02–4.65). Despite similar successful recanalization rate, the proportion of early basilar artery reocclusion was higher in patients with prodromal symptoms (23.8% vs 5.6%, p = 0.002).

Discussion and conclusion:

More than one third of BAO patients treated with MT had prodromal symptoms, especially patients with large-artery atherosclerosis. Clinicians should systematically screen for prodromal symptoms given the poor related functional outcome and increased risk of early basilar artery reocclusion.
Toward indigenous methodologies and environmental peacebuilding: A study on water projects in Nepal
Authors: Nalbo Dhirendra
Published: February 2024

Environmental peacebuilding, both in research and practice, demonstrates the potential of preventing, minimizing, and mitigating conflict, particularly in postwar societies. However, the complexities of the environment have not yet been fully considered. In consequence, environmental peacebuilding may involuntarily perpetuate violence instead of building peace. The paper aims to begin filling these theoretical and methodological gaps by critically examining the conceptual aspects of the “environment.” Studying through a postcolonial lens and applying indigenous methodologies, the paper reorients environmental peacebuilding scholarship by focusing on the politics of two drinking water projects in the eastern hills of Nepal. The study highlights the theoretical and methodological challenges of overemphasizing material aspects of resources that are embedded within the “environment.” The paper contends that the environment should not be deemed important only from material and usability perspectives but also for its historical and sociopolitical dimensions within the local community context. The paper concludes that ignoring these dimensions further obscures the conceptual and practical interlinkages between the environment, conflict, and peace. This, in turn, can undermine environmental peacebuilding efforts, a crucial approach to addressing climate change-induced conflict.
Toward the democratic reconstruction of the urban
Authors: Imbroscio David
Published: February 2024

This commentary offers a critical assessment of Ross Beveridge and Phillippe Koch's article “Seeing democracy like a city.” While there is much we can learn from their analysis and perspective, in the end, it offers only marginal resistance against the colossal structural forces quashing the democratic emancipation of the urban, leaving us with little hope for systemic and comprehensive democratic reconstruction. Only through a mass politics designed to capture and wield state-centered democratic power can we hope to realize broader system change in late-stage, neoliberal capitalist regimes.
Natural and pretreated Gördes clinoptilolites for ammonia removal: effect of exchangeable cations (Na+, K+, Ca2+and Mg2+)
Authors: Erdoğan Burcu , Ergürhan Orkun
Published: February 2024

In this study, the effects of two different ammonium-exchange methods to improve the ammonia (NH3) gas adsorption of raw clinoptilolite (CLN) from Gördes (Türkiye) was investigated. The first method involved direct modification of CLN by 0.5 or 1.0 M NH4NO3solutions at 80°C for 4 and 8 h followed by calcination. In the second method, CLN was converted to the Na+form prior to modification with ammonium nitrate and calcination under the same conditions. Both methods yielded H+forms of CLN through the removal of exchangeable cations without damaging the crystal structure. Ammonia adsorption isotherms were determined at 298 K for a total of eight different H+forms synthetized using both methods. The Na-1.0-8h CLN sample with the highest NH3adsorption capacity obtained using the second method was selected as the parent CLN. In addition, to determine the effects of doping different cations into the structure on the NH3adsorption properties of the selected parent CLN sample, cation-exchange processes were carried out using 0.5 and 1.0 M NaNO3, KNO3, Ca(NO3)2and Mg(NO3)2solutions at 80°C for 4 h. The raw and modified CLNs were characterized using X-ray diffraction, X-ray fluorescence, scanning electron microscopy and N2adsorption analyses. Cation-exchanged samples with a wide range of NH3adsorption capacities (3.61–4.93 mmol g–1) were compared with other zeolites from the literature.
Moroccan heated clay-based geopolymer reinforced with date palm cellulose: microstructure characterization and mechanical/physical properties
Authors: Mourak Abdellah , Hajjaji Mohamed
Published: February 2024

The objective of this research was to study the cellulose addition effect on the geopolymerization of heated clay. The clay, composed of illite, plagioclase and kaolinite, was heated at 700°C for 2 h and mixed with cellulose (up to 10 mass%). The mixtures were NaOH-activated, and shaped samples were aged at 83°C for 30 days. The cured samples were investigated by using X-ray diffraction, Fourier-transform infrared spectroscopy and scanning electron microscopy. The influence of the cellulose addition on the mechanical/physical properties was also evaluated. The results showed that zeolite ZK-14, hydrosodalite, sodium carbonate and a geopolymer composed of poly(sialate) units were formed in all cured samples. The relative amounts of zeolite and metakaolin evolved antagonistically, whereas that of illite slightly decreased with increasing cellulose content. Metakaolin and illite were involved in the geopolymerization process. Cellulose addition led to the improvement of the flexural strength of the samples and to porosity reduction. By contrast, water absorption was increased. The positive effect of cellulose on sample performance is explained on the basis of hydrogen bonding between the functional moieties of cellulose and the active sites of sample constituents, namely zeolites, metakaolin, illite and the geopolymer. As a filler, zeolite probably contributed to sample strengthening, and the detrimental impact of Na-carbonate was insignificant. Based on the results obtained, the composites could be used as binders for brick manufacturing or as lightweight mortars.
Dietary antarctic krill improves antioxidant capacity, immunity and reduces lipid accumulation, insights from physiological and transcriptomic analysis of Plectropomus leopardus
Authors: Wang Mengya , Wu Shaoxuan , Ding Hui , Wang Mingyi , Ma Jiayi , Xiao Jie , Wang Bo , Bao Zhenmin , Hu Jingjie
Published: February 2024

Background

Due to its enormous biomass, Antarctic krill (Euphausia superba) plays a crucial role in the Antarctic Ocean ecosystem. In recent years, Antarctic krill has found extensive application in aquaculture, emerging as a sustainable source of aquafeed with ideal nutritional profiles. However, a comprehensive study focused on the detailed effects of dietary Antarctic krill on aquaculture animals, especially farmed marine fishes, is yet to be demonstrated.

Results

In this study, a comparative experiment was performed using juvenile P. leopardus, fed with diets supplemented with Antarctic krill (the krill group) or without Antarctic krill (the control group). Histological observation revealed that dietary Antarctic krill could reduce lipid accumulation in the liver while the intestine exhibited no obvious changes. Enzyme activity measurements demonstrated that dietary Antarctic krill had an inhibitory effect on oxidative stress in both the intestine and the liver. By comparative transcriptome analysis, a total of 1,597 and 1,161 differentially expressed genes (DEGs) were identified in the intestine and liver, respectively. Functional analysis of the DEGs showed multiple enriched terms significantly related to cholesterol metabolism, antioxidants, and immunity. Furthermore, the expression profiles of representative DEGs, such as dhcr7, apoa4, sc5d, and scarf1, were validated by qRT-PCR and fluorescence in situ hybridization. Finally, a comparative transcriptome analysis was performed to demonstrate the biased effects of dietary Antarctic krill and astaxanthin on the liver of P. leopardus.

Conclusions

Our study demonstrated that dietary Antarctic krill could reduce lipid accumulation in the liver of P. leopardus, enhance antioxidant capacities in both the intestine and liver, and exhibit molecular-level improvements in lipid metabolism, immunity, and antioxidants. It will contribute to understanding the protective effects of Antarctic krill in P. leopardus and provide insights into aquaculture nutritional strategies.
Genome-wide identification of the N6-methyladenosine regulatory genes reveals NtFIP37B increases drought resistance of tobacco (Nicotiana tabacum L.)
Authors: Su Huan , Meng Lijun , Qu Zechao , Zhang Wei , Liu Nan , Cao Peijian , Jin Jingjing
Published: February 2024

Background

N6-methyladenosine (m6A) is one of the common internal RNA modifications found in eukaryotes. The m6A modification can regulate various biological processes in organisms through the modulation of alternative splicing, alternative polyadenylation, folding, translation, localization, transport, and decay of multiple types of RNA, without altering the nucleotide sequence. The three components involved in m6A modification, namely writer, eraser, and reader, mediate the abundance of RNA m6A modification through complex collaborative actions. Currently, research on m6A regulatory genes in plants is still in its infancy.

Results

In this study, we identified 52 candidate m6A regulatory genes in common tobacco (Nicotiana tabacum L.). Gene structure, conserved domains, and motif analysis showed structural and functional diversity among different subgroups of tobacco m6A regulatory genes. The amplification of m6A regulatory genes were mainly driven by polyploidization and dispersed duplication, and duplicated genes evolved through purified selection. Based on the potential regulatory network and expression pattern analysis of m6A regulatory genes, a significant number of m6A regulatory genes might play important roles in growth, development, and stress response processes. Furthermore, we have confirmed the critical role of NtFIP37B, an m6A writer gene in tobacco, in enhancing drought resistance.

Conclusions

This study provides useful information for better understanding the evolution of m6A regulatory genes and the role of m6A modification in tobacco stress response, and lays the foundation for further elucidating the function of m6A regulatory genes in tobacco.
Evidence-based systematic review of removal of peripheral arterial catheter in critically ill adult patients
Authors: Wang Hongju , He Lihuan , Han Chun , Wan Jianhong
Published: February 2024

Objective

To evaluate and summarize literature pertaining to evidence of peripheral arterial catheterization in adults, and to provide a reference for clinical practice.

Methods

We undertook a systematic review of literature on the removal of peripheral arterial manometric catheters in adult patients from various sources such as UpToDate, BMJ, National Institute for Health and Care Excellence (NICE), Medlive, Cochrane Library, Joanna Briggs Institute (JBI) Evidence-based Health Care Center Database, CINAHL, PubMed, Wanfang Data, VIP, and other databases. The retrieval time was set as from the establishment of the database till August 30, 2021. We screened the studies that fulfilled the inclusion criteria, evaluated their quality, and retrieved and summarized such articles.

Results

The review included 8 articles: 1 clinical decision, 3 guidelines, 2 evidence summaries, 1 systematic review, and 1 expert consensus. In all, 17 pieces of strong evidence were collected and extracted based on the following 5 dimensions: assessment of removal timing, preparation before removal, removal procedure, compression time, and key points after removal.

Conclusions

The removal of a peripheral arterial manometry catheter requires careful consideration by medical professionals. In order to increase the removal standardization rate and decrease the incidence of clinical complications, standardized procedures and training need to be developed.
The effect of foot bath on sleep quality in the elderly: a systematic review
Authors: Nasiri Khadijeh , Shriniy Mohammad , Pashaki Nazila Javadi , Aghamohammadi Vahideh , Saeidi Solmaz , Mirzaee Maryam , Soodmand Mostafa , Najafi Esmail
Published: February 2024

Introduction

Population aging is a problem that has affected most countries in the world. Poor-quality sleep is a common complaint among the elderly. Foot baths are a method of heat therapy and are performed as an independent nursing care in different departments. The present study was conducted with the aim of investigating the effects of foot baths with spa on improving the sleep quality of the elderly.

Methods

This research is a systematic review. We systematically searched six databases, including Google Scholar, PubMed, Web of Science, Scopus, Embase, and the World Health Organization databases, to retrieve the related articles based on the keywords used in our search strategy from 2010 to March 2023.

Result

Finally, 10 articles were included in this study. All studies were randomized controlled trial (RCTs) and semi-experimental. In all 9 studies, the positive effects of the foot bath were reported. In 9 studies, the effect of foot baths with water above 40 degrees Celsius was reported. The PSQR questionnaire was used in most of the studies.

Conclusion

The total findings of this study showed that due to the high prevalence of sleep problems in the elderly, foot baths with warm water can be used as an easy, simple, and safe nursing intervention to improve sleep quality. Therefore, it can be used in nursing homes and hospitals. It is also a non-pharmacological and inexpensive nursing intervention that can be implemented by the elderly themselves after training by community health nurses.
Gender disparities in kidney replacement therapies and transplantation in Colombia
Authors: Nino-Torres Laura , Pinto-Ramirez Jessica , Giron-Luque Fernando , Nino-Murcia Alejandro
Published: February 2024

Background

In chronic kidney disease (CKD), there are historical inequities in multiple stages of the pathway for organ transplantation. Women have been recognized as disadvantaged within this process even after several efforts. Therefore, we aimed to analyze the prevalence and incidence of CKD by gender and their access to Kidney replacement therapy (KRT) in Colombia.

Methods

A cross-sectional study based on secondary analysis of national information on CKD, hypertension, diabetes, waiting list, deceased, and living donor transplantation between 2015 and 2020.

Results

In Colombia, 4.934.914 patients were diagnosed with hypertension, diabetes, or CKD. 60,64% were female, with a mean age of 63.84 years (SD 14,36). Crude incidence for hypertension (10.85 vs. 7.21 /1000 inhabitants), diabetes mellitus (3.77 vs. 2.98 /1000 inhabitants), and CKD (4 vs. 2 /1000 inhabitants) was higher for females. Crude incidence for KRT was 86.45 cases /100.0000 inhabitants. In 2020, 2978 patients were on the waiting list, 44% female. There were 251 deaths on the waiting list, 38% female. This year, 517 kidney transplants were performed, and only 40% were female.

Conclusion

In Colombia, there are proportionally more females with CKD and precursor comorbidities. Nevertheless, there are fewer females on the waiting list and transplanted annually.
Prevalence of suicide attempt and associations with deliberate self-harm, mental health problems, drug misuse and traumatic experiences - a cross sectional survey of the Norwegian population
Authors: Grimholt TK , Bonsaksen T. , Heir T. , Schou Bredal I. , Skogstad L. , Ekeberg Ø
Published: February 2024

Background

Monitoring self-reported suicide attempts (SA) with nationally representative surveys is important to initiate suicide prevention strategies. The aim of the study was to assess the prevalence of SA and compare deliberate self-harm, (DSH), mental health, drug misuse and traumas between SA and non-suicide attempters (NSA).

Methods

In this cross-sectional survey of a representative sample (N=1757) of the Norwegian population, we compared people with self-reported SA (n=54) to NSA (n=1703) regarding sociodemographic data, mental health problems, drug misuse and exposure to trauma.

Results

The prevalence of SA was 3.1 %. There was a higher proportion of welfare recipients and more deliberate self-harm, mental health problems, drug misuse and traumas in the SA group compared to NSA.

Conclusion

This national study confirms the association between suicide attempt and deliberate self-harm, mental health problems, drug misuse and traumas.
Experience and impact of stigma in people with chronic hepatitis B: a qualitative study in Asia, Europe, and the United States
Authors: Toumi Mondher , Wallace Jack , Cohen Chari , Marshall Chris , Kitchen Helen , Macey Jake , Pegram Hannah , Slagle Ashley F. , Gish Robert G. , Ning Qin , Yatsuhashi Hiroshi , Cornberg Markus , Brunetto Maurizia , van Bömmel Florian , Xie Qing , Lee Dee , Habuka Noriyuki , Sbarigia Urbano , Beumont-Mauviel Maria , Keever Angelina Villasis , Takahashi Yasushi , Lu Yiwei , Liu Ao , Chen Qiaoqiao , Ito Tetsuro , Radunz Olaf , Puggina Anna , Hilgard Gudrun , Chan Eric K.H. , Wang Su
Published: February 2024

Background

People with chronic hepatitis B (CHB) commonly experience social and self-stigma. This study sought to understand the impacts of CHB-related stigma and a functional cure on stigma.

Methods

Adults with CHB with a wide range of age and education were recruited from 5 countries and participated in 90-minute qualitative, semi-structured interviews to explore concepts related to CHB-associated stigma and its impact. Participants answered open-ended concept-elicitation questions regarding their experience of social and self-stigma, and the potential impact of reduced CHB-related stigma.

Results

Sixty-three participants aged 25 to 71 years (15 from the United States and 12 each from China, Germany, Italy, and Japan) reported emotional, lifestyle, and social impacts of living with CHB, including prejudice, marginalization, and negative relationship and work experiences. Self-stigma led to low self-esteem, concealment of CHB status, and social withdrawal. Most participants stated a functional cure for hepatitis B would reduce self-stigma.

Conclusions

CHB-related social and self-stigma are widely prevalent and affect many aspects of life. A functional cure for hepatitis B may reduce social and self-stigma and substantially improve the health-related quality of life of people with CHB. Incorporating stigma into guidelines along with infectivity considerations may broaden the patient groups who should receive treatment.
Composite dietary antioxidant index and sleep health: a new insight from cross-sectional study
Authors: Xiong Bingquan , Wang Jiaxin , He Rui , Qu Guangsu
Published: February 2024

Background

Low-quality sleep and obstructive sleep apnea (OSA) can result in series of chronic diseases. Healthy diet has been considered as an effective and simple strategy to optimize sleep quality. However, current evidence on the correlation of dietary composite antioxidant intake with sleep health remained obscure.

Aim of the study

To determine the relationship of composite dietary antioxidant index (CDAI) and sleep health.

Methods

Cross-sectional analyses were based on National Health and Nutrition Examination Survey (NHANES) 2005–2008. Dietary consumption was assessed by trained staff using 24-h diet recall method and CDAI was calculated based on previous validated approach that included six antioxidants. Sleep-related outcomes were self-reported by a set of questionnaires and classified into OSA, day sleepiness, and insufficient sleep. Weighted logistic regression was conducted to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Restricted cubic spline (RCS) regressions were also used to evaluate the dose-response of CDAI and three sleep-related outcomes.

Results

A total of 7274 subjects included (mean age: 46.97 years) were enrolled in our study, including 3658 were females (52.54%) and 3616 were males (47.46%). Of them, 70.6%, 29.51%, and 35.57% of the subjects reported that they had OSA, day sleepiness and insufficient sleep, respectively. Logistic regression showed the highest quartile of CDAI was inversely associated with the risk of OSA (OR: 0.69, 95%CI: 0.49–0.97), day sleepiness (OR: 0.64, 95%CI: 0.44–0.94) and insufficient sleep (OR: 0.68, 95%CI: 0.50–0.92) compared with the lowest quartile. RCS showed linear relationship of CDAI and insufficient sleep but non-linear relationship of CDAI with OSA and day sleepiness.

Conclusions

Our results show that CDAI was non-linearly associated with lower risk of OSA and day sleepiness whereas a linear inverse association between CDAI and insufficient sleep was observed. These findings implicate that combined intake of antioxidants could be a promising and effective approach to optimize sleep quality for public.
SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
Authors: Oduro Michael Safo , Arhin-Donkor Seth , Asiedu Louis , Kadengye Damazo T. , Iddi Samuel
Published: February 2024

The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by governments and the World Health Organization (WHO), transmission spread globally. An accurate assessment of the transmissibility of the coronavirus remained a public health priority for many countries across the world to fight this pandemic, especially at the early onset. In this paper, we estimated the transmission potential of COVID-19 across 45 countries in sub-Saharan Africa using three approaches, namely, $$R_{0}$$

R
0

based on (i) an exponential growth model (ii) maximum likelihood (ML) estimation and (iii) a time-varying basic reproduction number at the early onset of the pandemic. Using data from March 14, 2020, to May 10, 2020, sub-Saharan African countries were still grappling with COVID-19 at that point in the pandemic. The region’s basic reproduction number ($$R_{0}$$

R
0

) was 1.89 (95% CI: 1.767 to 2.026) using the growth model and 1.513 (95% CI: 1.491 to 1.535) with the maximum likelihood method, indicating that, on average, infected individuals transmitted the virus to less than two secondary persons. Several countries, including Sudan ($$R_{0}$$

R
0

: 2.03), Ghana ($$R_{0}$$

R
0

: 1.87), and Somalia ($$R_{0}$$

R
0

: 1.85), exhibited high transmission rates. These findings highlighted the need for continued vigilance and the implementation of effective control measures to combat the pandemic in the region. It is anticipated that the findings in this study would not only function as a historical record of reproduction numbers during the COVID-19 pandemic in African countries, but can serve as a blueprint for addressing future pandemics of a similar nature.
Surgical treatment of acromioclavicular joint dislocation of Rockwood III/IV: a retrospective study on clavicular hook plate versus arthroscopic TightRope loop titanium button
Authors: Wang Yafei , Ren Chengzhen , Niu Junqi , Cao Le , Yang Can , Bi Fanggang , Tian Ke
Published: February 2024

Purpose

To compare the clinical efficacy of arthroscopic TightRope loop titanium button and clavicular hook plate in the treatment of acromioclavicular joint (ACJ) dislocation of Rockwood III/IV.

Methods

A retrospective analysis of patients with ACJ dislocation in our hospital from January 2018 to December 2020 was conducted. The patients were assigned to be treated with arthroscopic TightRope loop titanium button (TR group) or clavicular hook plate (HP group). The preoperative, intraoperative and postoperative data and imaging findings of the two groups were compared.

Results

A total of 58 eligible patients were enrolled in this study. Compared with HP group, TR group had shorter incision length and less blood loss during operation. Postoperative follow-up ranged from 12 to 24 months (mean 15.4 months). At 6 months and 12months postoperatively, compared with HP group, TR group had lower VAS and higher CMS, and the difference was statistically significant. At 12 months postoperatively, compared with HP group, TR group had lower ACJ gap and coracoclavicular joint(CCJ) distance, and the difference was statistically significant.In HP group, there were 3 cases of subacromial impact, 1 case of redislocation, 2 cases of traumatic arthritis and 2 cases of wound infection. There was 1 case of redislocation in TR group.

Conclusions

Compared with clavicular hook plate, arthroscopic TightRope loop titanium button is minimally invasive, safe and effective in the treatment of ACJ dislocation, and has a good trend in clinical application.
Developing a phantom for simulating robotic-assisted complete mesocolic excision using 3D printing and medical imaging
Authors: Hertz Peter , Bertelsen Claus Anders , Houlind Kim , Bundgaard Lars , Konge Lars , Bjerrum Flemming , Svendsen Morten Bo Søndergaard
Published: February 2024

Background

Robotic-assisted complete mesocolic excision is an advanced procedure mainly because of the great variability in anatomy. Phantoms can be used for simulation-based training and assessment of competency when learning new surgical procedures. However, no phantoms for robotic complete mesocolic excision have previously been described. This study aimed to develop an anatomically true-to-life phantom, which can be used for training with a robotic system situated in the clinical setting and can be used for the assessment of surgical competency.

Methods

Established pathology and surgical assessment tools for complete mesocolic excision and specimens were used for the phantom development. Each assessment item was translated into an engineering development task and evaluated for relevance. Anatomical realism was obtained by extracting relevant organs from preoperative patient scans and 3D printing casting moulds for each organ. Each element of the phantom was evaluated by two experienced complete mesocolic excision surgeons without influencing each other’s answers and their feedback was used in an iterative process of prototype development and testing.

Results

It was possible to integrate 35 out of 48 procedure-specific items from the surgical assessment tool and all elements from the pathological evaluation tool. By adding fluorophores to the mesocolic tissue, we developed an easy way to assess the integrity of the mesocolon using ultraviolet light. The phantom was built using silicone, is easy to store, and can be used in robotic systems designated for patient procedures as it does not contain animal-derived parts.

Conclusions

The newly developed phantom could be used for training and competency assessment for robotic-assisted complete mesocolic excision surgery in a simulated setting.
Evaluating the influence of dental aesthetics on psychosocial well-being and self-esteem among students of the University of Novi Sad, Serbia: a cross-sectional study
Authors: Stojilković Marija , Gušić Ivana , Berić Jelena , Prodanović Dušan , Pecikozić Nevena , Veljović Tanja , Mirnić Jelena , Đurić Milanko
Published: February 2024

Background

A person’s smile has been identified as one of the first observed facial characteristics. Even minor deviations from societal beauty standards, especially among younger individuals, can have a negative effect on their self-esteem. The aim of this research is to evaluate the self-perceived psychosocial impact of dental aesthetics and self-esteem among respondents and their association, as well as to determine the main factors contributing to dissatisfaction with dental appearance.

Methods

This research was conducted as a cross-sectional study that surveyed students of the University of Novi Sad. Other Universities and private faculties were excluded from participation. Data collection used standardized questionnaires measuring the Psychosocial Impact of Dental Aesthetics (PIDAQ) and the Rosenberg Self-Esteem Scale (RSES). Questionnaire (an online GoogleForms) was sent to the students via official Facebook groups of the faculties, student’s e-mails and Instagram profiles. Data analysis included descriptive statistics, Students T-test, ANOVA, multiple linear regression analysis and Spearman coefficient. To test internal consistency, Cronbach’s alpha(α) was calculated for the questionnaire as a whole (0,761) and each used questionnaire (PIDAQ – 0.766; RSES – 0.765). Cronbach’s alpha(α) was also calculated for each domain from PIDAQ (DSC-0.946; SI-0.882; PI–0.953; AC-0.916).

Results

The study involved 410 participants, predominantly female (80%), aged between 21 and 23 (45.4%), primarily in ther first academic year (21.5%), and with a grade point average between 8.01 and 9.00 (42.4%). Data analysis has shown a statistically significant difference in the total PIDAQ score and SI subdomain in relation to the academic year (total PIDAQ p = 0.025; SI p = 0.000). In terms of self-esteem, results of multiple linear regression analysis showed that the academic year (95%CI: 0.410–1.837; p = 0.002) and the average point grade (95%CI: -0.025-1.600; p = 0.047) were significant predictors of greater self-esteem. The Spearman coefficient value (r=-0.316, p < 0.001) confirmed a statistically significant negative correlation between PIDAQ and self-esteem. Only 34% of respondents expressed satisfaction with their teeth. Dissatisfaction about the smile was primarily attributed to the arrangement and positioning of their teeth (32.2%). Financial constraints were identified as the main barrier for seeking interventions to improve smile satisfaction (39.5%).

Conclusion

Students experiencing a greater psychosocial impact of dental aesthetics tended to exhibit lower self-esteem.