bluuebunny/crossref_metadata_2025 huggingface dataset:
Working With and Through Athletic Trainers to Meet Student-Athletes’ Mental Performance and Mental Health Needs
Authors: Eckenrod Morgan , Kossman Melissa K.
Published: January 2025

Recently, the National Collegiate Athletic Association (NCAA) has placed more attention on the mental health of student-athletes because they are experiencing mental health challenges at a higher rate than their nonathlete peers. This led the NCAA to create a mental health initiative that encouraged athletic departments to hire a mental health professional to meet the psychological needs of student-athletes. Over the last 7 years, we have seen an increase in the number of psychological providers hired in NCAA Division I athletics to meet the varying needs of student-athletes. However, most universities are only hiring 1 professional to meet the mental health and mental performance needs of student-athletes. Mental health services focus on addressing pathological mental health concerns, whereas mental performance services are designed to assist student-athletes with performance-related challenges (eg, managing performance pressures). In addition to the mental health initiative, the NCAA Transformational Committee published a report that continued to emphasize the importance of meeting the mental health needs of student-athletes but did not acknowledge mental performance services as an essential resource. Therefore, student-athletes’ mental performance needs may not be met. In this paper, we call on athletic trainers to assist in advocating for more education about the differences between services and for both mental performance and mental health services to be available to student-athletes. With athletic trainers often having strong relationships with student-athletes and sport-related administrators, foundational training competencies in both mental performance and mental health, and the desire to balance improving health and performance, they are in a unique position to advocate for better educational resources and the inclusion of both mental performance and mental health services to meet the varying psychological needs of student-athletes.
Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
Authors: Koo Hyun Young , Lee Bo Ryeong , An Hyeran
Published: January 2025

Purpose: This study aimed to explore tutoring experiences related to a high-risk newborn care simulation among nurses and nursing students to derive insights into developing effective neonatal nursing practice.Methods: A qualitative content-analysis study was conducted in March 2023. Data were collected through narrative surveys and focus group interviews with four neonatal intensive care unit nurses and 12 senior nursing students participating in a 1-day high-risk newborn care simulation program. A content analysis was performed on the collected data.Results: Three categories (“efforts to foster a sense of presence,” “efforts to promote positive awareness of the neonatal intensive care unit,” and “establishing one’s role as an educator”) and six subcategories were derived from the nurses’ responses. Three categories (“growth through a realistic virtual simulation,” “improved learning effects,” and “hope for continued development”) and six subcategories were derived from the nursing students’ responses.Conclusion: The nursing students experienced realistic practice with their nurse tutors in the high-risk newborn care simulation, which helped them form their professional identity as future nurses. After tutoring, the nurses’ perceptions of nursing students changed positively, which affected their teaching methods.
Emergency nurses’ disaster preparedness competencies: A focused mapping review and synthesis
Authors: Motsepe Tshepo L. , Schmollgruber Shelley
Published: January 2025

Background: Emergency nurses are at the front line of a health institution and are deemed competent to manage various situations, with disaster being one of them. Preparing for disaster is crucial as it will eliminate delays in providing care in conditions that would be abnormal in the daily running of an emergency department.Aim: To identify emergency nurses’ disaster preparedness competencies in caring for patients during a disaster.Setting: The study was conducted in emergency departments and trauma centres that respond to disasters and mass casualty incidents.Methods: A focused mapping review and synthesis was conducted where, articles published between 2006 and 2022 were searched utilising keywords relating to emergency nurses’ disaster preparedness through the following databases: SCOPUS, Sabinet, EBSCO host, ProQuest, PubMed and Google Scholar. Data were extracted from articles that met the inclusion criteria and placed into an extraction table where themes were developed.Results: Of the 38 articles identified, duplicates were removed and 15 remained after an abstract review and full-text download. The review yielded five themes: communication, preparation and planning, incident management system, safety and security and intervention, the most dominant disaster competencies.Conclusion: Communication, incident management, safety and security, preparedness and planning are the most identified integral domains within other identified domains. Integrating these aspects in nurses’ continuous training and curricula is recommended to emphasise and enhance disaster preparedness and management knowledge.Contribution: This review has emphasised emergency nurses’ disaster preparedness domains, enhancing disaster preparedness and management knowledge and further influencing education and training for undergraduate and postgraduate nursing students.
Nutrient composition of meals served to adult inpatients in public hospitals in North West, South Africa
Authors: Jiyana Mantombi J. , Ncube Lindiwe J.
Published: January 2025

Background: A high-quality meal is essential to patients’ food enjoyment and nutritional value. Patients’ health and nutritional status depend on the quality of meals provided by the hospital food service providers. Equally, patients are largely inactive and could experience energy imbalances if the ‘energy in’ exceeds the ‘energy out’, increasing the chances of the inception of obesity and obesity-related illnesses.Aim: This study assessed the nutrient content of meals served in selected public hospitals in the North West province, South Africa.Setting: The normal diet meals of four district hospitals and one regional hospital in the North West province were collected for this study.Methods: Regular adult meals for breakfast, lunch and supper including all snacks for the day were collected from five hospitals. Each edible food item was weighed and recorded on the weighed food records for later nutrient analysis using the South African-based Food Finder 3 software.Results: Meals in one hospital met Recommended Dietary Intake (RDI) (6829KJ) requirements for total energy, while in three hospitals, the requirements were exceeded, and in one hospital, meals were below RDI (5734KJ) requirements.Conclusion: Strict adherence to nutritionally adequate meals for hospitalised patients could positively influence and encourage patients to sustain healthy eating habits after discharge to prevent malnutrition.Contribution: This study provides relevant information that hospital managers can use to improve processes and procedures for dietary planning and ensure that hospital meals are nutritionally adequate.
Anti-motilities and anti-biofilm effects of Ageratum conyzoides L. methanol extract
Authors: Compaoré Eli , Compaoré Moussa , Ouédraogo Vincent , Rouamba Ablassé , Bancé Alimata , Dofini Mignini R. , Kiendrebeogo Martin
Published: January 2025

Background: Infectious diseases are one of the leading causes of death worldwide because of antibiotic resistance. Ageratum conyzoides is one of the antimicrobial medicinal plants that is being used to fight various multi-resistant pathogenic bacteria in Burkina Faso.Aim: The aim was to promote safe medicinal use of A. conyzoides by highlighting the anti-biofilm and anti-motility effects of its methanol extract.Setting: The study was conducted at the Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.Methods: The antibacterial activities of methanol extract were evaluated by evaluating swimming, swarming and twitching motilities performed in an agar medium. The anti-biofilm effect was conducted in microtiter plates using the crystal violet method. The antioxidant and enzyme inhibition activities were evaluated using 2,2-diphényl-1-picrylhydrazyl; 2,2’-azino-bis (3-éthylbenzothiazoline-6-sulfonic acid), Ferric Reducing Antioxidant Power and conducting lipoxygenase test.Results: From the study, 100 µg/mL and 200 µg/mL of extract presented significant inhibition of P. aeruginosa and E. coli swarming motility but did not exhibit a significant effect on P. aeruginosa swimming and E. coli twitching motilities. The extract was effective in reducing biofilm formation in a concentration-dependent manner without affecting bacterial growth. In addition, the extract showed some capabilities to inhibit lipoxygenase activity and exhibit antioxidant potential, which could contribute to the control of oxidative stress-related diseases.Conclusion: From this study the anti-biofilm and anti-motility potential of the A. conyzoides extract provided the experimental background for the further development of antibacterial drugs.Contribution: This study provided additional scientific evidence to support the use of A. conyzoides in traditional medicine against bacterial infections.
Young men’s barriers to and facilitators of utilising HIV-testing services in South Africa
Authors: Ndlovu Sithembiso M.S. , Ross Andrew , Ndirangu James
Published: January 2025

Background: In South Africa, men are less likely than women to use HIV-testing services (HTS). They are also unlikely to start and adhere to antiretroviral therapy until the virus has progressed to advanced AIDS stages.Objectives: To explore young men’s barriers to and facilitators of accessing and utilising HTS at the rural Driefontein and peri-urban Steadville Township in Ladysmith, KwaZulu-Natal (KZN) province, and to develop a comprehensive framework of care for young men to encourage and support them to utilise HTS at primary healthcare facilities.Method: This exploratory-descriptive qualitative study entailed using semi-structured interviews conducted via WhatsApp and landline audio calls with 17 young men between 18 years and 30 years of age in Steadville and Driefontein communities in KZN in September 2021. Participants were purposively and conveniently sampled, and the data were analysed thematically.Results: All participants were unmarried isiZulu African men experienced with HTS in the last 4 years. Fear of an HIV-positive test result, limited HTS knowledge, and stigma around HIV and AIDS were challenges linked to HTS utilisation. Unsafe sexual encounters, voluntary medical male circumcision, early virus-detection, having a significant other living with HIV, and HIV-status curiosity encouraged young men to utilise HTS.Conclusion: Various barriers and facilitators to HTS utilisation, are key for consideration when deriving contextual interventions acceptable to young men as efforts to raise awareness and attract and retain men in care.
Using a mobile application for antiretroviral therapy adherence in people living with HIV: A longitudinal pilot study
Authors: Caetani Rejane , Wiechmann Susana L. , Brancher Jacques D. , Oliveira Vitor H.F , Deminice Rafael
Published: January 2025

Background: The success of HIV treatment hinges on consistent adherence to antiretroviral therapy (ART).Objectives: To conduct a longitudinal pilot study to assess the feasibility, acceptability and effectiveness of a mobile app to improve ART adherence.Method: This study included adults living with HIV and using ART, who were allocated into two groups according to their willingness to use the app: users of the mobile application for ART management (Mobile) and non-users (Control). The application was developed by the researchers, and uses an alarm system to record ART use. Adherence was also assessed using the ‘Cuestionario para la Evaluación de la Adhesión al Tratamiento Antiretroviral’ (CEAT-VIH) and the Multi-Method Tool questionnaire. Another questionnaire was administered to application users to assess acceptability. After 90 days, all the questionnaires were reapplied.Results: A significant difference in adherence was observed between the Mobile and Control groups (P = 0.04), but there was no significant difference in time (P = 0.2) or interaction (P = 0.5).Conclusion: The application was not effective in improving ART adherence and showed low viability, but was considered acceptable among the participants.
Identifying the critical management aspects for diabetic patients A qualitative study
Authors: Falahati Farshad , Alimohammadzadeh Khalil , Hosseini Seyed Mojtaba , Maher Ali , Jafari Mehrnoosh
Published: January 2025

BACKGROUND:

Health leaders globally, especially those in Iran, bear the significant responsibility of ensuring healthcare quality for individuals with diabetes. As a result, conducting comprehensive studies to gain insights into various aspects of diabetes management and developing research-based models and strategies to improve the quantity and quality of services is crucial. This study aims to create a management model for delivering services to diabetic patients within the Iranian healthcare system.

MATERIALS AND METHODS:

This research adopts a qualitative-quantitative approach, utilizing multiple techniques to support the study’s findings. An 18-month prolonged engagement period, from July 2021 to November 2022, was established with participants, data, and stakeholders. To ensure questionnaire validity and reliability, SPSS software was employed for Cronbach’s alpha, CVI, and CVR indices. Model validation was conducted through confirmatory factor analysis using Lisrel software version 8.8, with the chi-square test confirming the model.

RESULTS:

Our research indicates that effective management of diabetic patients relies on responsive leadership, characterized by vigilant monitoring and meticulous organization. The practical application of responsive leadership in diabetes management within workplace conditions involves two key resources: human resources and financial resources, along with proficient management of information and medical technology.

CONCLUSION:

The study’s findings highlight the crucial role of influential responsive leaders in providing essential financial support to enhance diabetes care in healthcare organizations. Moreover, initiatives are needed to motivate managers and healthcare professionals to operate efficiently. Thus, the commitment to improving the quality of patient care must be deeply embedded in the organizational culture.
Association of sleep duration with overweight and obesity among school-aged children and adolescents in Pakistan—An empirical cross-sectional study
Authors: Tanveer Moazzam , Batrakoulis Alexios , Asghar Ejaz , Hohmann Andreas , Brand Serge , de Sousa Fernandes Matheus S. , Ardigò Luca P. , Badicu Georgian
Published: January 2025

Background:

Overweight and obesity pose significant public health challenges for children and adolescents worldwide, with escalating prevalence rates in Pakistan, leading to long-term health consequences. Proximal environments, including parental, peer, school, and community influences, are pivotal in shaping children’s health behaviors during developmental stages. This study investigates the association between sleeping behaviors and overweight/obesity among Pakistani school-aged children and adolescents (9–17 years).

Materials and Methods:

A population-based cross-sectional study enrolled 4108 participants from 62 schools across randomly selected districts in central Punjab province. Overweight and obesity were determined using WHO references. Statistical analyses included Chi-square tests, Pearson correlation coefficients, and logistic regressions.

Results:

The study analyzed the prevalence and associations of sleep duration with body weight status among Pakistani school-aged children and adolescents. Significant differences were observed in sleep patterns across different school levels and sexes. Boys were more likely to be short or long sleepers compared to girls, with weekday short sleep significantly associated with lower rates of overweight (9.0% vs 14.6%, P < 0.001) and obesity (3.8% vs 2.6%, P < 0.001). On weekends, short sleep was linked to higher prevalence of overweight (9.6%, P = 0.019) and obesity (6.2%, P < 0.001) compared to normal sleepers. Linear regression revealed that weekday sleep duration (β = 0.213, P < 0.001), weekend sleep duration (β = 0.142, P < 0.001), and sleeping problems (β = 0.182, P < 0.001) were positively associated with higher body weight status, explaining 11.0% of the variance in weight status. Logistic regression indicated that short sleepers had significantly higher odds of being overweight (OR = 2.69, P < 0.001) and obese (OR = 5.65, P < 0.001) compared to normal sleepers. Long sleep also showed significant associations with overweight (OR = 2.41, P < 0.001) and obesity (OR = 1.73, P < 0.001).

Conclusions:

Sleeping behaviors emerge as significant contributors to body weight-status issues among Pakistani school-aged children and adolescents. Understanding these factors is imperative for effective policy and program development to combat childhood obesity. Targeted intervention strategies tailored to vulnerable groups are essential for public health efforts. Insights from this study provide valuable guidance for addressing this urgent health concern.
Survey situation of mental health of pregnant women with breast cancer: A systematic review study
Authors: Khademi Nasim , Rahimi Farzaneh , Goli Shadi
Published: January 2025

A pregnant woman struggles with physical and mental problems caused by hormonal changes during her pregnancy. Now, if cancer is added to these difficult conditions, the pregnant woman will suffer a lot of psychological burden. We decided to conduct a systematic review study titled “Mental health examination of pregnant women with breast cancer” so that by examining this issue and emphasizing it more, we can reduce this mental burden. A systematic review was conducted on the English and Persian documents published throughout a 10-year period (2013–2023) in PubMed or MEDLINE, ScienceDirect, Web of Science, and Google Scholar databases. All documents were assessed for eligibility by titles or abstracts according to the search strategy, with the terms, such as mental health, pregnant woman, and pregnancy with breast cancer. The screening process was conducted by two independent authors. The selected articles were checked regarding inclusion and exclusion criteria. In total, 235 relevant studies were searched in 2013–2023, and after evaluating the full text of the article, 32 full-text articles were opted in accordance with the eligibility criteria, and finally, 26 full-text articles were reviewed systematically. According to the studies that were analyzed, the most common mental health disorders in pregnant women with breast cancer were depression, anxiety, and stress, which were created as a result of the fear of the possible consequences of cancer in the pregnant mother. To improve the level of mental health of women with cancer in Iran, the following solutions are suggested: 1. strengthening mental health services in primary health care, 2. appointing the trustee of the unit to improve the level of interdepartmental leadership and intradepartmental governance, 3. determining sustainable and targeted financial resources to provide mental health services needed by pregnant women with cancer, 4. moving the financial resources allocated to insurance mechanisms for greater financial protection, 5. expanding the umbrella of social support, and 6. a behavioral educational program that can be used to improve mental health, especially the symptoms of depression and anxiety in pregnant women with cancer.
Committed care in the shadow of fear: The experiences of emergency medical services staff encountering with COVID-19 patients
Authors: Amirkhani Mehdi , Peyravi Mahmoudreza , Torabizadeh Camellia , Iman Mohammad T. , Kalyani Majid N.
Published: January 2025

Background:

By the beginning of the coronavirus disease 2019 (COVID-19) pandemic, emergency medical services (EMSs) played a key first-line role in patients affected by this disease care. In Iran, EMSs is a main part of health system that has a substantial role in managing emerging crisis and disasters. This study aimed to investigate the experience of the EMSs staff encountering with COVID-19 patients.

Materials and Methods:

This was a descriptive qualitative study conducted on 14 EMSs staff selected by purposive sampling from August 2021 to September 2022. This study was conducted in the southern part of Iran. Data were collected using a semi-structured interview, and Graneheim, U.H. and Lundman, B. (2004) conventional content analysis method applied for their analysis MAXQDATA 2020 was used to store the interview data and codes. Till reaching data saturation, sampling was continued.

Results:

Data analysis contributed to the extraction of 783 primary codes, 15 subclasses, 4 classes, and 2 main themes, including “committed care” (with two classes of “respect to the personal identity of the patient” and “facilitators to adhere to care”) and “the bottleneck of care in the shadow of fear” (with two classes of “the fine line between fear and responsibility” and “the sacrifice in care”).

Conclusions:

Although there was a fear of encountering COVID-19 patients among the EMSs staff, they provided devotional and committed care to patients considering moral values and human principles. Health policymakers should minimize the challenges of EMSs staff encountering with emerging infectious diseases with effective planning.
Accreditation of primary health care services: A systematic review
Authors: Rastegarimehr Babak , Teymourlouy Ahmad Ahmadi , Abolghasem Gorji Hasan
Published: January 2025

Accreditation of health services is one of the criteria for achieving the predetermined standards for health organizations. Therefore, the purpose of this systematic study was to investigate the primary health care (PHC) accreditation programs in the world and compile a summary of these programs in order to identify the areas and dimensions of these standards. This systematic review was conducted on online database studies, including PubMed, Scopus, Web of Science, and Google Scholar, using comprehensive terms. The inclusion criteria included all qualitative, quantitative, and mixed-method studies published in any language from 1990 to December 2022. The studies were evaluated with Joanna Briggs Institute Critical Appraisal Tools (JBI) critical appraisal tools checklist, and finally, the data were analyzed using the framework analysis method. The findings of 10 studies that were included in this study cover four main topics regarding the functions of the health system: stewardship, resource production, financing, and service delivery, as well as 10 sub-topics: policy making, interdepartmental leadership, monitoring and evaluation, human resources, equipment and medicine, information management, gathering of financial resources, capacity to provide services, access, and quality of services. In the accreditation of PHC, in addition to paying attention to performance indicators, indicators such as satisfaction and rights of clients and employees, access, information technology, coordination, integration of care, financing, and management of resources and equipment should also be considered.
The effect of telenursing follow-up on blood glycosylated hemoglobin and quality of life in the elderly with diabetes type 2
Authors: Asadi Elahe , Borhani Fariba , Abbaszadeh Abbas
Published: January 2025

Background:

Diabetes mellitus is one of the most common and costly diseases. Telephone nursing plays an undeniable and effective role not only in reducing costs but also in providing nursing care and improving the quality of life of patients. This study was conducted with the aim of investigating the effect of telephone follow-up by a nurse on hemoglobin glycated control and the quality of life of elderly patients with diabetes type 2.

Materials and Methods:

In this clinical trial study, 90 patients with type 2 diabetes referred to the hospitals affiliated with Shahid Beheshti University of Medical Sciences in 1401–1402 were divided into two control and experimental groups (45 patients in each group) by the simple random sampling method. Data collection tools were a demographic-clinical information questionnaire and an elderly quality of life assessment questionnaire (CASP-19). Before the intervention, questionnaires were completed by the sample. The nursing follow-up test group intervention lasted for 12 weeks. In the first month, participants were contacted twice a week, and in the second and third months, they were contacted once a week by phone. Patients in the control group received only follow-up and center care. Finally, the statistical software SPSS version 21 (SPSS Inc, Chicago IL) was used for data analysis. In this study, an independent sample t-test or Mann-Whitney analysis, paired t-test or Wilcoxon test, and Analyze of Covariance (ANCOVA) test were used based on the type of variable distribution (normal or non-normal).

Results:

The results of this study showed that by adjusting the variables of weight, baseline level of the quality of life score (before the intervention), age, gender, and physical activity, the difference in the mean changes of the quality of life score in the control and intervention groups in the nurse telephone follow-up intervention was significant (P = 0.054). In addition, the difference in the mean changes of HbA1C in the control and intervention groups was significant due to the nurse’s telephone follow-up intervention (P < 0.001).

Conclusion:

The findings of this study showed that telenursing training and follow-up in the intervention group improved the quality of life and decreased hemoglobin glycosylate in the elderly with type 2 diabetes. Therefore, telenursing can be effective in improving the quality of life of the elderly with type 2 diabetes and managing its complications.
Novice nurses’ professional competence: A qualitative content analysis
Authors: Mehri Zahra , Zarshenas Ladan , Rakhshan Mahnaz , Khademian Zahra , Mehrabi Manoosh , Jamshidi Zahra
Published: January 2025

Background:

Novice nurses comprise a significant number of health personnel who are working in health systems. The significance of acquiring professional competence by nurses entering the hospital will ensure results such as professionalizing and giving quality services. This study aimed to explain the needs, facilitating and inhibiting factors of novice nurses’ professional competence.

Materials and Methods:

This qualitative study was done using a conventional content analysis method at Shiraz University of Medical Sciences, Iran, in 2021–2022. The study participants included 15 novice nurses, supervisors, head nurses, and nurses in the departments where novice nurses operate. Participants were selected purposefully. Data were collected through 17 sessions of deep and semistructured interviews and 16 sessions of semistructured field observations until data saturation was reached.

Results:

Following data analysis, 2570 initial codes were extracted forming four subcategories, two categories, and one theme. The theme of the present study entitled “on the path to becoming a professional” included two categories “strengthening professional skills” and “committed adherence to the profession.”

Conclusion:

The concept of professional competence in novice nurses occurred through on the path to becoming a professional. This concept included strengthening professional skills and committed adherence to the profession. Policymakers and educational planners of nursing education can use the results of this study to get acquainted with this concept and develop policies and guidelines to develop professional competence. By getting familiar with the concept of novice nurses’ professional competence, facilitating and inhibiting factors can educate competent nurses.
Establishing core data elements for colorectal cancer and mapping to FHIR resources: Towards interoperable Iranian health information systems
Authors: Nopour Raoof , Nasiri Somayeh , Ahmadi Maryam , Shirkhoda Mohammad
Published: January 2025

Background:

Colorectal cancer (CRC) has a high prevalence, threatening public health. Despite the high prevalence, there has not been a proper solution to standardize the data in this domain in Iran. Therefore, this study aims to provide a new approach to standardizing CRC data using Fast Healthcare Interoperability Resources (FHIR).

Material and Methods:

This study was conducted in five phases. First, a literature review was performed to gain the CRC core data elements based on the scientific databases and thematic websites. Second, we developed a researcher-made questionnaire with a five-choice Likert scale to gain the most important core data elements based on the opinions of specialists. Third, we leveraged the Delphi method to score these elements and develop the minimum data set (MDS) for CRC. Fourth, we used the terminologies to better perceive the concepts and thematic classification of core data elements. Fifth, we leveraged the FHIR to map the CRC core data elements to resources and standardize them.

Results:

Ten CRC data categories of classes were obtained from the literature review and Delphi, including administrative, diagnosis, therapeutic procedure, follow-up, patient referral, vital status, drug, clinical assessment, signs and symptoms, and history of conditions. The obtained resources were patient, care team, condition, family member history, medication request, adverse event, schedule, procedure, location, observation, diagnostic report, specimen, molecular sequence, genomic study, and service request.

Conclusion:

This study showed the FHIR-based standardization of the CRC data as an approach for integrating health institutions to facilitate clinical decision-making and secondary use of healthcare data.
Continuing dental education (CDE) programs: Are dentists keeping themselves updated?
Authors: Gambhir Ramandeep S. , Jagga Umang , Singh Rina , Kaur Ramandeep , Kumar Garish , Gupta Aanchal
Published: January 2025

Dentistry is evolving at a rapid pace and continuing dental education helps a dental professional provide the latest care to the patients by using the most recent methods, skills, and technologies. Therefore, the present study was conducted to assess the perception, participation, and obstacles of private dental practitioners toward participation in continuing dental education (CDE) programs in India. A descriptive cross-sectional study was conducted among private dental practitioners in Tricity. Systematic random sampling methodology was used to select the study subjects and a total of 426 subjects comprised the study population. Data were collected through a self-constructed three-part questionnaire which included demographic information, preferences of subjects toward CDE programs, and various barriers limiting participation. Statistical analysis was done using Chi-square test and multiples logistic regression analysis. Majority of the subjects in the study were males (260, 61%) and 44.1% (188) of the subjects were postgraduates. Only 38.6% (164) of subjects said that they were regularly attending CDE programs and 84.2% (358) of subjects showed interest in CDE programs related to dental implants. A vast majority of subjects (305, 71.7%) said that they only attend CDE programs when the speaker is a renowned person. Shortage of time (257, 60.4%) and high cost/fee (249, 58.6%) of the CDE program were the main barriers that prevented the subjects from attending CDE programs. Postgraduate degree (odds ratio [OR]: 2.15, P = 0.023) and affiliation with an institution (OR: 2.46, P = 0.032) were significant factors contributing toward participation in CDE programs. More than half of the study subjects were not regularly participating in CDE programs. CDE organizers and dental associations should address the mentioned issues to ensure maximum participations of dental professionals in future programs.
Rise of netholicism: A comprehensive review of internet addiction among today’s youth
Authors: Kumar Yogesh , Dhakar Om P.
Published: January 2025

The rise of internet addiction among today’s youth, termed “netholicism,” has become a pressing concern in the digital era. The pervasive nature of internet usage among youth, driven by factors such as individual vulnerabilities, societal norms, and addictive online activities, contributes to the development of problematic internet use. Excessive internet use has profound psychological effects, including depression, anxiety, and social isolation, while also leading to physical consequences such as sedentary lifestyles and sleep disturbances. This comprehensive review explores the multifaceted aspects of internet addiction, from its psychological and physical impacts to its social and spiritual ramifications. This article uses a literature review methodology to analyze research on the pervasive nature of internet usage, termed “netholicism,” among youth. It synthesizes and evaluates prior findings to understand the factors contributing to netholicism and young individuals’ involvement in internet usage following the ramifications of netholicism are reflective psychological, physical, sociological, and spiritual effects in every domain on youth. The study analyzed 50 articles from reputable online databases, focusing on internet usage. Out of the 50 articles, 16 were cited, meeting inclusion criteria, including publication within 2019–2024, rigorous peerreview, and reputable database indexing. As per the findings of the research, it has been observed that netholicism (or internet addiction) represents a complex and multifaceted phenomenon with the underlying factors contributing to internet addiction and its psychological, physical, social, and spiritual impacts. Socially, internet addiction hinders real-life connections and emotional intelligence, while ethically and spiritually, it raises concerns about identity and moral relativism in the digital realm. Interventions and treatment approaches encompass psychoeducation, therapy, and digital literacy promotion. Looking ahead, the proliferation of internet addiction poses challenges exacerbated by technological advancements, requiring collaborative efforts to mitigate its adverse effects and promote a healthier relationship with technology among future generations.
Digital empowerment in nursing: A cross-sectional exploration of digital competencies in healthcare services among nurses
Authors: Dumbre Dipali , Upendra Sheela , Waghmare Shital , Zacharias Betsy Sara , Salve Pratik
Published: January 2025

Background:

The impact of digital technology on healthcare is remarkable as it greatly enhances the quality of health services in developed and developing nations. By improving the accessibility of health information and streamlining service provision, technology plays a crucial role in advancing healthcare. The study objectives are to assess the level of digital competencies among staff nurses and to find the association of digital competencies with selected demographic variables.

Materials and Methods:

This cross-sectional study was done on 300 staff nurses selected by purposive sampling technique. Data collection was done using the 5-point Likert scale through an online survey. The 5-point Likert scale went from frequently (5) to never (1). To determine the factors associated with basic digital competency, a multivariable logistic regression was carried out, with a P value of less than 0.05 considered statistically significant. A 95% confidence interval, and a coefficient estimate were used to explain the strength of the association.

Result:

Out of the 300 staff nurses who were a part of the study, all of them answered, indicating a 100% response rate. The majority of the samples were from the age group of 20–25 years (61%). The majority of respondents were female (80%). The majority of the sample had an advanced level of digital competencies (53%). According to the findings of the multivariable logistic regression model, individuals between the ages of 26–30 years, gender (male), and education were found to have a significant association with digital competency, as indicated by a level of significance below 0.005.

Conclusion:

In summary, the staff nurses have advanced level of digital competency. The findings emphasize the necessity for staff nurses to strengthen their digital competency for patient care in the hospital.
Clinical learning environment: Improving cultural competence in nursing students
Authors: Putra Kuswantoro Rusca , Hany Alfrina , Vatmasari Ratih Arum , Rahmawati Ike Nesdia , Hidayah Ridhoyanti , Agse Kaista Bunga Disy , Rosyid Moch Denny , Zuhri Soniya Nailun Najah
Published: January 2025

Background:

Nursing students undertake clinical learning during their studies. Cultural competence is a basic principle in nursing practice. The aims of this study were to determine the correlation between the clinical learning environment and cultural competence in nursing students.

Materials and Methods:

This study was cross-sectional with a sample of 396 students. Consecutive sampling was utilized in the sampling method. The instruments used were the Cultural Competence Scale for Nursing Student and the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T). The statistical analysis used is the multiple logistic regression backward method.

Results:

The results of the multiple logistic regression backward method obtained the best model, namely pedagogic and nursing care in ward (P value <0.05). The clinical learning environment has a substantial impact on the cultural competence development of nursing students.

Conclusions:

In the clinic, nursing students’ cultural competence increases proportionally to the efficacy of pedagogical learning implementation, supervision interaction, head of ward leadership style, and the application of nursing care.
Sustainable materials for artificial intelligence (AI) technology adoption for energy-efficient patient-centric healthcare solutions
Authors: Bachina Lakshmipriya , Kanagala Anusha , Korapu Sattibabu , Ratnaraju P
Published: January 2025

Sustainable materials are also known as eco-friendly materials. A thorough examination of the relationship between sustainable materials, AI technology adoption, and patient-centered healthcare sustainable materials is crucial for reducing the carbon footprint of AI hardware and data storage in healthcare applications. Emphasizing eco-friendly practices aligns AI-driven healthcare with broader sustainability goals. The aim is to make it possible for energy-efficient AI technologies to revolutionize patient-centric healthcare while minimizing environmental impact and enhancing clinical outcomes. The development of sustainable and renewable resources to aid the adoption of artificial intelligence (AI)-driven healthcare solutions is the goal of sustainable materials for AI technology. The study takes a multidisciplinary approach, incorporating life cycle evaluation, a systematic review of literature, and Vos viewer keyword analysis. The study assesses the environmental impact of using sustainable materials in AI-driven healthcare solutions via life cycle assessment, addressing issues ranging from resource extraction to disposal. Artificial intelligence (AI) has quickly developed into a patient-centric approach. However, as the increasing adoption of AI-powered healthcare solutions has become more popular, there are growing worries about energy consumption, and the environmental impact of the materials used in AI devices. The use of sustainable materials in AI technology has the potential to improve patient-centric healthcare solutions by reducing energy consumption and limiting environmental impact. Adopting eco-friendly artificial intelligence hardware methods would concrete the way for a more sustainable and efficient healthcare ecosystem.
Effect of increased protein intake before pre-event on muscle fatigue development and recovery in female athletes
Authors: Ahmed Taghread Ahmed Elsayed , Seleem Heba Ali Ibrahim , Elsayed Ghada Mohamed Youssef , Kholif Marwa Ahmed Fadl , Abduljawad Rania Mohammed , Housen Nour Taha Ebrahem , Sofy Naglaa Mohamed Roby , Hady Hager Abdel
Published: January 2025

Background:

Protein plays a vital role in facilitating muscle growth and also plays an important part in the optimal repair and recovery of the muscle after exercise. These benefits are achieved by consuming higher-protein diets. Therefore, this study aimed to investigate the effects of increased protein intake before the pre-event on muscle fatigue (MF) and ascertain if the increased protein intake before the pre-event contributes to improving recovery in female athletes.

Materials and Methods:

The experimental study was conducted at the Sports Academy for Basketball in Zagazig, Egypt, from July 2 to August 12, 2023. The study was conducted on 20 female basketball players (age: 16.65 ± 0.47 years; body height: 165.42 ± 3.09 cm; body mass: 59.68 ± 3.63 kg; training age: 2.44 ± 0.56 years). They were divided into two equally sized groups: The group with higher protein intake before the pre-event (HPP) and the group with normal protein intake before the pre-event (NPP) group. Both groups consumed the same dosage of protein (1.2 g/kg/day) as instructed (American College of Sports Medicine (ACSM) recommendation). Both groups performed the same training protocol, three times a week, over 6 weeks. All variables were assessed one week before the experimental program and after the 6-week training period. Data were collected using the Running-Based Anaerobic Sprint Test (RAST) to assess fatigue index (FI) and peak power (PP), and the Anaerobic Power Step Test to assess anaerobic capacity (AC). Moreover, changes in heart rate (HRC) to assess the recovery. The collected data were analyzed using SPSS version 22 software with the descriptive statistical test. The level of significance was set at P ≤ 0.05.

Results:

The results showed that both groups made significant improvements in all variables (FI-PP-AC-HRC), but the HPP group had significantly greater improvements than the NPP group. The percentage of improvement ranged from 7% to 27% for the HPP group, versus 3% to 15% for the NPP group.

Conclusion:

The major conclusion drawn from this study was that increased protein intake before the pre-event has a positive impact on reducing MF development and enhancing recovery in female athletes.
Common Peroneal Nerve Entrapment Syndrome: A Rare Differential Diagnosis for Lumbar Radiculopathy – A Case Report and Review of Literature
Authors: Khan N. Firoz , Srivastava Abhishek , Vyas Navita
Published: January 2025

Entrapment neuropathy is mainly diagnosed on the basis of clinical symptoms. Often electrodiagnostic studies help in detecting the abnormalities in conduction velocity, latency, and amplitude and aid in diagnosis. There is a lack of guidelines on the management of entrapment neuropathies. However, in recent times, ultrasound-guided injections, hydrodissection, and pulsed radiofrequency ablation are being increasingly done. We present a case of a 40-year-old female presented with severe burning pain, tingling, and occasional numbness over the anterolateral aspect of the left leg radiating to the thigh and dorsum and the lateral aspect of the left foot for more than 1 and 1/2 years. Pain was gradual in onset, associated with occasional pins and needle sensation, followed by numbness over the dorsum of the foot. She took multiple medical opinions, consulted many doctors, and was advised for magnetic resonance imaging of the lumbosacral spine, which showed mild annular and posterior disc bulge at the L4-L5 level without significant nerve root compression, and was initially treated conservatively with nonsteroidal anti-inflammatory agents, gabapentinoids, muscle relaxants, and then underwent transforaminal epidural steroid injection and physical therapy. Since symptoms did not subside, she sought an opinion at our center for further management. On examination, she had tenderness over the left fibular head region with mild sensory loss over the lateral aspect of the left leg up to the dorsum of the foot and no associated motor weakness. With this clinical history, a provisional diagnosis of common peroneal neuropathy was made, and for confirming that, we ordered for an electromyography/nerve conduction velocity study, which was suggestive of left fascicular division common peroneal axonal neuropathy. We proceeded with ultrasound-guided hydrodissection of the common peroneal nerve with local anesthetic and steroid, which completely relieved her symptoms. This case is unique in describing the ability of ultrasonography as a diagnostic as well as a therapeutic modality in the treatment of common peroneal entrapment, which was misdiagnosed as lumbar radiculopathy. First-line treatments include removing anything that may be causing external compression and reducing inflammation. Accurate and timely diagnosis of any peroneal neuropathy is important to avoid the progression of nerve injury and permanent nerve damage.
Biomaterial-based strategies: a new era in spinal cord injury treatment
Authors: Zhu Shihong , Diao Sijun , Liu Xiaoyin , Zhang Zhujun , Liu Fujun , Chen Wei , Lu Xiyue , Luo Huiyang , Cheng Xu , Liao Qiang , Li Zhongyu , Chen Jing
Published: January 2025

Enhancing neurological recovery and improving the prognosis of spinal cord injury have gained research attention recently. Spinal cord injury is associated with a complex molecular and cellular microenvironment. This complexity has prompted researchers to elucidate the underlying pathophysiological mechanisms and changes and to identify effective treatment strategies. Traditional approaches for spinal cord injury repair include surgery, oral or intravenous medications, and administration of neurotrophic factors; however, the efficacy of these approaches remains inconclusive, and serious adverse reactions continue to be a concern. With advancements in tissue engineering and regenerative medicine, emerging strategies for spinal cord injury repair now involve nanoparticle-based nanodelivery systems, scaffolds, and functional recovery techniques that incorporate biomaterials, bioengineering, stem cell, and growth factors as well as three-dimensional bioprinting. Ideal biomaterial scaffolds should not only provide structural support for neuron migration, adhesion, proliferation, and differentiation but also mimic the mechanical properties of natural spinal cord tissue. Additionally, these scaffolds should facilitate axon growth and neurogenesis by offering adjustable topography and a range of physical and biochemical cues. The three-dimensionally interconnected porous structure and appropriate physicochemical properties enabled by three-dimensional biomimetic printing technology can maximize the potential of biomaterials used for treating spinal cord injury. Therefore, correct selection and application of scaffolds, coupled with successful clinical translation, represent promising clinical objectives to enhance the treatment efficacy for and prognosis of spinal cord injury. This review elucidates the key mechanisms underlying the occurrence of spinal cord injury and regeneration post-injury, including neuroinflammation, oxidative stress, axon regeneration, and angiogenesis. This review also briefly discusses the critical role of nanodelivery systems used for repair and regeneration of injured spinal cord, highlighting the influence of nanoparticles and the factors that affect delivery efficiency. Finally, this review highlights tissue engineering strategies and the application of biomaterial scaffolds for the treatment of spinal cord injury. It discusses various types of scaffolds, their integrations with stem cells or growth factors, and approaches for optimization of scaffold design.