bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Theory of Planned Behavior-Based Educational Intervention on Newborn Care in Pregnant Mothers: A quasi-experimental study
Authors: Navabi Azamalsadat , shamsi mohsen , Khorsandi Mahboobeh , Zamanian Maryam 
Published: June 2020

Abstract
Background and Purpose: The neonatal period is one of the most sensitive stages of life, requiring proper understanding and attentive care. Accordingly, this study aimed to investigate the effectiveness of theory of planned behavior-based educational intervention on newborn care in pregnant mothers. Methodology: This study was conducted as a quasi-experimental research on 100 pregnant mothers who were randomly assigned to two groups of intervention (N=50) and control (N=50). The data were collected using a theory of planned behavior-based questionnaire. Considering the effective constructs of this theory, the educational intervention was performed in the form of four 60-minute education sessions in one month in the intervention group. One month after delivery, the data were recollected from both groups and analyzed using statistical tests.Findings: The mean and standard deviation of the mothers’ age in both intervention and control groups were 26.14±4.7 and 26.10±5.19, respectively (p=0.48). Before the educational intervention, the behavioral intention of the intervention group was 3.33 (out of 5), which significantly increased to 4.54 after the educational intervention (p<0.001). In addition, the performance of mothers regarding neonatal care was significantly enhanced from 2.86 to 4.64 one month after the delivery (p=0.001). Conclusion: The theory of planned behavior-based educational intervention, along with active follow-ups, led to better and more principled behavioral intention and care provided by pregnant mothers to their newborn infants. Therefore, providing theory of planned behavior-based education in other healthcare centers is recommended.
Do Early Antenatal Booking Predicts Maternal Services Utilization? An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey
Authors: Moshi Fabiola Vincent 
Published: June 2020

Abstract
Background

Optimizing maternal and neonatal health requires adequate use of antenatal services which have both curative and preventive services. Little is known on the influence of early antenatal booking on maternal services utilization in Tanzania.
Method:

The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization. Separate regression analysis was done for each antenatal service to establish the influence of early antenatal booking on antenatal services.
Results

Only 1586(22.9%) of pregnant women had early antenatal booking. After adjusting for confounders, there was a significant association between early antenatal booking and ever took iron supplement AOR = 1.603 at 95% CI = 1.362–1.887; ever took anti malaria, AOR = 1.495 at 95% CL = 1.306–1.712; ever took de-worming drugs; AOR = 1.404 at 95% CI = 1.24–1.59; adequate TT vaccination, AOR = 1.393 at 95% CI = 1.234–1.571, p < 0.001; ever checked blood pressure, AOR = 1.496 at 95% CI = 1.297–1.726; ever donated urine sample, AOR = 1.728 at 95% CI = 1.513–1.975; ever donated blood sample, AOR = 1.596 at 95% CI = 1.312–1.942 and adequate antenatal visits, AOR = 6.260 at 95% CI = 5.433–7.212.
Conclusion

The majority of pregnant women in Tanzania initiate antenatal clinics late in their pregnancy. Early antenatal booking showed a significant association with the utilization of maternal services during pregnancy. Innovative interventional studies are highly recommended to come up with cost-effective strategies which will improve timing for antenatal booking and hence use of the available maternal services in Tanzania
Variation in volumes and characteristics of ENT emergency visits during COVID-19 pandemic. Where are the patients?
Authors: Sapoutzi Marilia , Sideris Giorgos , Boumpa Eleni , Papadimitriou Nikolaos , Nikolopoulos Thomas , Delides Alexander 
Published: June 2020

Abstract
Purpose: The aim of this study is to analyze patterns and volumes of patients visiting ENT emergency departments during periods of community lockdowns given the newness of this situation and to assess the variation in numbers of visits and examine whether their reduction equally affects all categories of visit causation or whether it is limited to diseases not considered as emergencies.Methods: A retrospective descriptive study was conducted on prospectively collected registry data on patients of all age groups visited the emergency ENT department during the period of nationwide lockdown. Patients were grouped in 9 categories, according to the cause of visit the ENT emergency department.Results: A total of 201 patients visited the ENT emergency department. The retrospective analysis of the data during the same period in the years 2013 to 2019 showed a reduction of 73% in total visits (mean total visits number between 2013 to 2019 was 745.29 ± 20.0143). A statistically significant reduction in visitation was found in all categories studied with the exception of foreign body ingestion – aspiration.Conclusion: Patients with General ENT symptoms, mild epistaxis cases, otology cases, vertigo cases, uncomplicated infectious cases showed a statistically significant reduction in numbers and were treated empirically. Swallowing foreign body cases did not show statistically significant reduction. Limitation of movement and the lockdown itself, led to reduction of trauma cases. Surprisingly, there was also a reduction in oncology cases and an increase in numbers of these cases can be expected in the near future.
Protocol for a systematic review on the experience of informal caregivers for people with a moderate to advanced dementia within a domestic home setting
Authors: James Charles , Walshe Catherine , Froggatt Katherine 
Published: June 2020

Abstract
Background: The knowledge about the experience of informal caregivers who provide care to people with moderate to advanced dementia in a domestic home setting is limited. A consequence of long hours of caregiving in addition to dealing with normal challenges of daily living is their experience of a poor quality of life. Some of their experiences may be described in terms of a feeling of powerlessness to make changes during care provision. This feeling may also suggest an experience of moral distress. This protocol aims to explore these experiences.Methods: This review adopts a narrative synthesis approach. A search will be conducted for studies written in English language in the bibliographic databases MEDLINE Complete, CINAHL, EMBASE, PsycINFO, Web of Science, and Academic Search Complete covering periods from 1984 to present. The search terms will be related to dementia and caregivers, and the process will be focused on dementia at the moderate to the advanced stages. Reference lists of included papers will also be searched for additional relevant citations. Search terms and strategy will be checked by two independent reviewers. The identification of abstracts and full texts of studies will be done by the author, while the quality and the risk of bias will also be checked by the two independent reviewers. Discussion: Psychological distress is cited as an experience reported within informal caregiving. For the caregiver, it is associated with a negative impact on general health. To date, no synthesis exists on the specific experience of informal caregiving for people with moderate to advanced dementia within the domestic home setting. This review considers that variation of accounts contributes to how the informal caregivers’ general experience is explored in future research. This may enable gaps in current knowledge to be highlighted within the wider context of caregiving in the domestic home setting.Systematic review registrationThis review has been submitted for registration at PROSPERO (crd.york.ac.uk/prospero/).
Acute celiac artery occlusion secondary to blunt trauma: Two case reports
Authors: Li Hui , Zhao Yu , Xu Yan-an , Li Tao , Yang Jun , Hu Ping , Ai Tao 
Published: June 2020

Abstract
Background
Blunt celiac artery injury is extremely rare, but it is easy to ignore. The clinical manifestation of celiac artery injuries is usually atypical, so it is easy to fail to diagnose them.
Case presentation:
We report two cases of celiac artery occlusion after multiple trauma admitted, its mechanisms were motor vehicle collision and fall from height, respectively. The first patient was combined with severe liver injury, and the right hepatic arterial was embolized with coil assisted by the operation through the superior mesenteric artery. Both patients were managed with non-operation treatment, and no complications occurred during hospitalization.
Conclusions
For patients with celiac artery injury, conservative treatment is an important choice, but successful treatment still needs to be individualized based on the patient's condition.
The Prevalence and Impact on Patient Outcomes of Malnutrition Among Older Adults Presenting at an Irish Emergency Department: A Secondary Analysis of the OPTIMEND Trial
Authors: Griffin Anne , O´Neill Aoife , O´Connor Margaret , Ryan Damien , Tierney Audrey , Galvin Rose 
Published: June 2020

Abstract
BackgroundMalnutrition is common among older adults and is associated with adverse outcomes but remains undiagnosed on healthcare admissions. Older adults use emergency departments (EDs) more than any other age group. This study aimed to determine the prevalence and factors associated with malnutrition on admission and with adverse outcomes post-admission among older adults attending an Irish ED. MethodsSecondary analysis of data collected from a randomised trial exploring the impact of a dedicated team of health and social care professionals on the care of older adults in the ED. Nutritional status was determined using the Mini Nutritional Assessment- short form. Patient parameters and outcomes included health related quality of life, functional ability, frailty, hospital admissions, falls history and clinical outcomes at index visit, 30-day and 6-month follow up. Aggregate anonymised participant data linked from baseline to 30-days and 6-month follow-up were used for statistical analysis.ResultsAmong 353 older adults (mean age 79.6 years (SD=7.0); 59.2% (n=209) female) the prevalence of malnutrition was 7.6% (n=27) and ‘risk of malnutrition’ was 28% (n=99). At baseline, those who were malnourished had poorer quality of life scores, functional ability, were more frail, more likely to have been hospitalised or had a fall recently, had longer waiting times and were more likely to be discharged home from the ED than those who had normal nutrition status. At 30-days, those who were malnourished were more likely to have reported another hospital admission, a nursing home admission, reduced quality of life and functional decline than older adults who had normal nutrition status at the baseline ED visit. At 6-months, a reported further decline in functional ability was more likely among those who were malnourished compared to those who had normal nutritional status. ConclusionOver one-third of older adults admitted to an Irish ED are either malnourished or at risk of malnourishment. Malnutrition was associated with a longer stay in the ED, functional decline, poorer quality of life, increased risk of hospital admissions and a greater likelihood of admission to long-term care at 30 days. Trial registration: Protocol registered in ClinicalTrials.gov, ID: NCT03739515, first posted November 13, 2018. https://clinicaltrials.gov/ct2/show/NCT03739515
Floating Conditions of the Pads in Fluid Pivot Journal Bearing
Authors: Tuyen Vu Nguyen , Li Weiguang 
Published: June 2020

Abstract
Fluid pivot journal bearing (FPJB) used on the ships was selected as the object of the study in this paper. The ability to form a squeeze film following the recess area ratio of the pad is systematically investigated under the condition that the preload factor and the eccentricity ratio change. Three positions of the load’s characteristic for the moving conditions of boats on the water are considered. Numerical methods are used to calculate the dynamic lubrication in bearing. Equilibrium conditions of force and moment are used to determine the floating conditions of the pads. The results show that during working process, the pad directly applied by the external force satisfies the floating condition, while the remaining pads are satisfied only when the preload factor and eccentricity ratio increase. In the early stages, the pad mostly float on one side. Floating condition curves are constructed as the basis for determining the optimal recess area.
The impact of the cooling effect of urban parks on thermal comfort from the physiological and the psychological perspective
Authors: Aram Farshid , Solgi Ebrahim , García Ester Higueras , Mosavi Amir 
Published: June 2020

Abstract
Background: In densely populated urban centers, increased air temperature due to urban heat island (UHI) effect can undermine the thermal comfort and health of citizens. Research has shown that large urban parks can mitigate the effect of UHIs and improve thermal comfort, especially in the warmer months of the year when temperature changes are more noticeable. This study investigated the cooling effect intensity (CEI) of the Retiro Park in the center of Madrid at three different distances from its southern edge and the impact of this cooling effect on thermal comfort from physiological and psychological perspectives. This investigation was performed by measuring microclimate data and conducting a survey simultaneously during the summer days. Results: The results showed that the CEI of the park varies with distance from its edge. Because of this effect, air temperature within the 130m and 280m distance of the park was respectively 1.6°C and 0.9°C lower than the temperature at the 520m distance (the nearest heat island). After examining the effect of the park in terms of Physiological Equivalent Temperature (PET), it was found that the PET at the 130m and 280m distance of the park was 9.3% and 5.4% less than the PET in the heat island domain. More than 81% of the respondents (in all three areas) had a mental image of the park as the place where they would experience the highest level of outdoor thermal comfort, and this rate was higher in the areas closer to the park. The analysis of citizens’ responses about perceived thermal comfort (PTC) showed that citizens in areas with higher CEI had perceived a higher degree of thermal comfort from the psychological perspective. Conclusion: This study demonstrates the significant role of large urban parks located in the core of the populated cities in providing thermal comfort for citizens from both physiological and psychological perspectives.
In Vitro Evaluation of the Tension Band Suture Method for Proximal Humerus Fracture Treatment
Authors: Ishii Hideaki , Shintaku Takanori , Yoshizawa Shu , Sakamoto Misato , Kaneko Takao , Musha Yoshiro , Ikegami Hiroyasu 
Published: June 2020

Abstract
Background: Proximal humeral fractures are common, and more than half occur in patients over 65 years of age. Operative treatment may be recommended for displaced, complicated fractures; however, surgery may lead to displacement of the greater tuberosity or humeral head. Supplemental tension band sutures have been recommended to prevent such a complication. In this study, we investigate the best combination of suture, washer, and threading angle for proximal humeral fractures from a mechanical view.Methods: The mechanical durability of 18 combinations of suture materials (Fiberwire, Ethibond, and Surgilon), threading washers (ring washer, disc washer), and threading angles (15 or 45 degrees) were examined via a cyclic loading test. Results: The most durable combination in the cyclic loading test consisted of threading the Fiber Wire to the washer ring using only one hole (ring washer-1) at 45 degrees. In contrast, the most vulnerable combination was threading Ethibond to the washer disc at 15 degrees. Breakage of all suture materials occurred at the suture-washer interface, and no failure or loosening of the knots was observed. FiberWire gradually eroded until the loss of equilibrium; whereas the rupture of Ethibond and Surgilon occurred suddenly. Conclusions: From a mechanical viewpoint, we demonstrated that applying a supplemental tension band suture using FiberWire with a single-hole ring washer threaded at a wider angle is recommended.
Combination Lateral Orbitotomy and Orbit Decompression as a New Approach for the Treatment of Adhesion Cavernous Haemangioma in the Orbapex
Authors: Fang Chengyan , Liu Hai , Zhang Wenjia , Yang Zhongkun , Yang Yabing , Tao Tao , Hu Zhulin , Jiao Kangwei 
Published: June 2020

Abstract
Orbital cavernous haemangioma (OCH) is a benign, slow-growing lesion of intracranial space. Especially, lesions located at the tip of the angle to form adhesions to the optic nerve that remains extremely challenging. This study investigated the clinical features and combined treatment of patients with OCH who underwent orbital incision or decompression and incision. This was a retrospective observational study. Between September 2015 and August 2018, Cases with pathologically confirmed orbital cavernous haemangioma were treated with either of two eyelid incision approaches. The clinical features and treatment outcomes were compared between groups. Forty-three patients with unilateral haemangioma involving adhesion of the temporal and optic nerves were included in this study. Of the 43 patients, 60% were women; the mean age was 40.2 years (range, 25-71 years). The main complaints were painless progressive exophthalmos and visual impairment. Complete removal of the tumor was achieved in all patients who underwent a standard lateral opening. Visual acuity (VA) was stable in 21 patients (91%), whereas it worsened in 2 patients (8.6%). Complete tumor removal was achieved in all patients who underwent lateral decompression. Visual acuity was initially stable in 20 patients (100%); at one week postoperatively, visual acuity worsened in 1 patient (5%). Multivariable analysis showed that tumor location (p <���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������
Cannabinoid Syndrome in the Pregnant Patient: Clinical Case and Literature Review
Authors: Flament Julien , Scius Nathan , Thonon Henri 
Published: June 2020

Abstract
Background:Cannabis use is on the rise. Several casesof cannabinoid syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation: We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities. Conclusion:Cannabinoid syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhatunacceptable socially or medically. Consumption must be stopped to manage symptoms.
Preoperative predictors of enucleation time during en bloc no-touch holmium laser enucleation of the prostate
Authors: Lin Chun-Hsuan , Li Ching-Chia , Wu Wen-Jeng , Wen Sheng-Chen 
Published: June 2020

Abstract
Background

To evaluate preoperative predictors of enucleation time during en bloc no-touch holmium laser enucleation of the prostate (HoLEP)

Methods

We enrolled 135 patients with symptomatic benign prostatic hyperplasia (BPH) treated with en bloc no-touch HoLEP from July 2017 to March 2019 by a single surgeon. Preoperative, perioperative, and postoperative clinical variables were examined. Stepwise linear regression was performed to determine clinical variables associated with enucleation times.

Result

The average (range) enucleation time was 46.1 (12–220) minutes, and the overall operation time was 71 (18–250) minutes. History of anticoagulation, history of urinary tract infection (UTI), and increasing specimen weight were each significantly associated with increasing enucleation time. No category IV complications were recorded, and all complications were evenly distributed among the groups according to the HoLEP specimen weight.

Conclusion

En bloc no-touch HoLEP was found to be an efficient and reproducible surgical method for treating BPH. Prostatic gland size was significantly associated with increased enucleation times. Similarly, history of UTI and anticoagulation were correlated with increased operative time.
Epidemiological and clinical characteristics of COVID-19 in Indian children in the initial phase of the pandemic: A cross-sectional study
Authors: Sarangi Bhakti , Reddy Venkat Sandeep , Oswal Jitendra S. , Malshe Nandini , Patil Ajinkya , Chakraborty Manojit , Lalwani Sanjay 
Published: June 2020

Abstract
Background: India saw the largest and the most stringent lockdown in the world when the number of COVID-19 cases reached around 550. With some early benefits in containing the surge and restricting the R0 of the virus, the current relaxation of lockdown norms has witnessed an exponential rise in positive cases. With scarcity of Pediatric data from the Indian subcontinent, early observations in the pandemic are pivotal in improving the understanding of physiologic behaviors, identifying risks, and guiding clinicians in assessing time-tested interventions and augmenting the awareness in the masses about the manifold clinical profiles of an evolving disease.Objective: To assess the epidemiological and clinical characteristics of children admitted with COVID-19 infection early in the pandemic.Study Design: A cross-sectional studyParticipants: Fifty children between one month and 18 years of age whose nasopharyngeal swab tested positive for SARS-CoV-2 by RT- PCR. Results: 28 (56%) children were male. 41 (82%) came from government declared containment zones with only one child having history of travel to affected area. Home overcrowding was observed in 33 (66%). Of the 50 children, 29 (58%) were asymptomatic while 20 (40%) and one (2%) had mild and moderate symptoms respectively. Fever, cough, and sore throat were the most common symptoms. 49 (98%) children had BCG scar. Leucopenia was seen in three (6%) only. Mean (SD) Neutrophil-Lymphocyte-Ratio (NLR) was 0.78 (0.48) while mean (SD) CRP was 10.98 (23.90). All 50 (100%) were cured. Conclusion: Our study reasserts the increasing pediatric burden of COVID-19 with all age groups affected and overcrowding as a risk factor for continued community transmission, thus beckoning that public health policies be directed to ensuring further preventive measures. It also re-iterates the milder disease pattern in children with COVID-19 in the initial phase of the pandemic with a high proportion of asymptomatic and mild illness. Though abnormal CRP values are synonymous with the illness in children; leucopenia may not be a consistent finding.