bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of a machine-assisted healthy physical fitness promotion program for community elderly
Authors: Wang Ya-Hsien , Hsu Nai-Wei , Huang Huan-Yang , Tsai Chih-Chun , Pan Po-Jung 
Published: March 2020

Background:
Maintaining physical fitness is important for health of the elderly. How to implement an effective and efficient model is a practical issue. A healthy physical fitness promotion program with machine-assisted exercises was designed for elderly and executed in a community in 2015 and 2016. The program was implemented for 10 to 12 weeks with two (group 1) or three (group 2) sessions per week, and functional fitness tests were conducted before, at the end, and 3 months after the training. This study is to investigate the effectiveness of machine-assisted physical fitness promotion program for the community elderly.

Methods:
A retrospective analysis was conducted on the participants’ data, including sex, age, height, weight, waist-hip ratio, grip strength, back stretch, chair sit-and-reach, 30-second chair stand, 30-second arm curl, 2-minute step, single-leg standing, 8-ft up-and-go, and body composition. The differences in test results before, at the end, and 3 months after the training and the percentage change at different time intervals between the two groups were compared.

Results:
After training, body mass index in group 2 and the test completion time for 8-ft up-and-go in group 1 decline significantly; furthermore, significant increase was noted in the height and number of times of 2-minute step in both groups, and grip strength, number of times of their 30-second arm curl, and 30-second chair stand in group 2. The training effect sustained 3 months after the training in height and number of times of 2-minute step in both groups, and grip strength, number of times of their 30-second arm curl, and 30-second chair stand in group 2.

Conclusion:
This study discovered that 10 to 12 weeks of machine-assisted exercise training can improve the elderly community members’ body composition, muscle strength, muscle endurance, agility, dynamic balance, and cardiorespiratory endurance. Moreover, with three sessions per week, its effects were even maintained for 3 months after the training.
Poor Sleep Hygiene Is Associated With Decreased Discrimination and Inattention on Continuous Performance Task in Doctor of Physical Therapy Students: A Cross-Sectional Study
Authors: Coffyn Stacy , Siengsukon Catherine F 
Published: March 2020

Introduction
Reduced sleep quality impairs learning, memory formation, attention, and executive function ability. Poor sleep quality or sleep hygiene has been shown to impair academic performance of undergraduate and medical students. The purpose of this study was to examine the association between sleep quality, sleep hygiene, and cognitive performance in Doctor of Physical Therapy (DPT) students.

Methods.
Fifty DPT students at the University of Kansas Medical Center completed the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Hygiene Index (SHI). Cognitive performance was assessed using the Continuous Performance Test (CPT), which is a test of sustained attention and the Trail-Making Task to assess executive functioning. An actigraph was worn for 1 week to objectively characterize sleep outcomes. Spearman's correlations were performed to assess the association between self-report sleep quality, sleep hygiene, and outcomes on the cognitive tasks. Post hoc Mann–Whitney and Kruskal–Wallis tests were conducted to examine group differences between sleep outcomes and cognitive performance for demographic variable categories.

Results.
Twenty-three students (46%) reported poor sleep quality, and 27 participants (54%) had objectively reported poor sleep quality. There was a significant positive correlation between SHI and detectability (r
s = 0.297; P = .036) and omissions (r
s = .343; P = .015). There were group differences between sex and the number of pets on the CPT outcomes, and there was a significant group difference between the number of drinks/wk categories on the SHI.

Discussion and Conclusions.
About half of the participants were identified as having poor sleep quality. Poorer sleep hygiene was associated with poorer discrimination and inattention, which could potentially affect the students' academic and clinical performance and their health and well-being. Also, certain demographic variables may modulate the results.
The Experiences of Women Living With Cervical Cancer in Africa
Authors: Maree Johanna E. , Holtslander Lorraine , Maree Johanna E. 
Published: March 2020

Background
Cervical cancer is the fourth most common cancer in women worldwide. However, developing countries bear 85% of the burden, with Africa sharing the highest incidence with Melanesia.

Objectives
The aims of this study were to explore the experiences of women living with cervical cancer in Africa and to inform others of the extent of the work done in this field of study by synthesizing the findings of qualitative research.

Methods
The work of Sandelowski and Barroso guided the study, and 6 databases were searched to identify relevant studies using the key words Africa, cervical cancer, and experiences.

Results
A total of 13 studies (n = 13) met the inclusion criteria, and their findings were synthesized. The studies originated primarily from South Africa and focused on the period from diagnosis to 1 year after completing curative treatment. One overarching core theme living a life of suffering, 2 main themes, architects of suffering and mediators of suffering, and 9 subthemes were identified.

Conclusion
Women living with cervical cancer in Africa live a life of suffering, which starts when they experience the first symptom of cervical cancer and continues well after completing treatment. The facilitators of suffering outweighed the mediators and could not be guaranteed, as it did not relieve the suffering of all.

Implications for practice
Nurses practicing in Africa should be acutely aware of cervical cancer and do their utmost within their limited resources to prevent and detect the disease in its earliest stage. Religious and support interventions could be used to lessen the suffering of these women.
Maternal Experiences of Parenting Young Children While Battling Breast Cancer in Taiwan
Authors: Chin Jui-Chih , Chang Pi-Chen , Lin Miao-Hui 
Published: March 2020

Background
Western mothers with breast cancer find themselves struggling with parenting responsibilities. Because parenting is culturally shaped, literature on ill mothers' experiences of parenting young children from a collectivist culture is limited.

Objective
The aim of this study was to examine Taiwanese mothers' experiences of and cultural practices embedded in parenting young children while in treatment for breast cancer.

Methods
Sixteen mothers with at least 1 child younger than 12 years were recruited from a breast cancer organization in Taiwan. Data were collected from November 2016 to June 2017 via a semistructured individual interview and analyzed using a content analysis technique.

Results
Five themes, namely, “maternal limited disclosure, complementary with children's tacit knowledge,” “the scar is no longer a scar but a symbol for intimate bonding,” “issues of maternal absence for young children and school-aged children,” “the power of ‘We are a family’,” and “to live a simple life and to live for one's self,” elucidate how cultural beliefs and practices shape maternal parenting experiences during treatment of breast cancer.

Conclusions
The findings illustrate how Taiwanese mothers interpret their illness, contextualize illness-related messages in daily life, and maintain family ties while coping with breast cancer. The will to maintain the family's integrity, including the extended family, can empower mothers throughout the trajectory.

Implications for Practice
Ill mothers may benefit from nurses' guidance on daily routines and cultural practices that they can exploit to frame illness messages for their children. Maternal efforts to change their outlook on life, vocalize their needs, and become more assertive should be acknowledged and supported.
A Systematic Review on Oncology Nurses’ Knowledge on Palliative Care
Authors: Parajuli Jyotsana , Hupcey Judith 
Published: March 2020

Background
Patients with cancer have high symptom burden and unmet needs and therefore can benefit from palliative care. Oncology nurses are consistent providers of care to patients with cancer and can provide palliative care to these patients. However, oncology nurses’ knowledge on palliative care has not been systematically evaluated.

Objective
To synthesize the current state of the science of oncology nurses’ knowledge on palliative care.

Methods
A systematic literature search was completed using PubMed, Cumulative Index of Nursing and Allied Health Literature, and PsycINFO databases using the following key words: (oncology nurs*) AND (knowledge OR attitude OR belief OR perception) and (palliative care OR supportive care OR terminal care OR end-of-life care OR hospice). The quality of identified studies was rated on a 7-point scale using Fineout-Overholt’s hierarchy of evidence.

Results
Twenty studies from 10 different countries were identified and synthesized for this review. Seventeen studies were quantitative, whereas 3 were qualitative studies. Results revealed that oncology nurses lacked knowledge on several aspects of palliative care.

Conclusions
Overall oncology nurses did not possess adequate knowledge on palliative care. Factors influencing oncology nurses’ knowledge on palliative care included nurses’ sociodemographic factors, educational status, years of experience, palliative care education/training, and clinical setting.

Implications for practice
This review provides evidence on gaps of oncology nurses’ knowledge on palliative care and helps inform the design of interventions targeted toward enhancing oncology nurses’ knowledge on palliative care.
Development and Content Validity of the Clinical Assessment of Body Alignment for Children With Cerebral Palsy
Authors: George Frances K. , Benham Alex , Gabriel Lynne , Purton Judy 
Published: March 2020

Purpose:
The purpose of this study is to describe the development and content validity of the clinical assessment of body alignment (CABA) to measure body alignment in children with cerebral palsy.

Methods:
Content validity and clinical utility were examined through expert opinion of 283 pediatric physical therapists. Participants reviewed items as matching or not to the domain of body alignment. Clinical utility was evaluated on a 5-point scale. Means and standard deviation were calculated for each attribute. Fleiss' kappa examined interrater reliability of expert responses.

Results:
Percentage agreement was high for 19 items and good for 1 item. Clinicians' ratings showed overall fair to good agreement. Four clinical utility attributes had a net importance score of more than 90%, although interrater reliability was low.

Conclusion:
Content validity of the CABA was supported. Construct validity, reliability, and responsiveness require further study. What this adds to the evidence: The CABA has potential to offer clinicians and researchers a clinically practical measure of postural alignment for children with cerebral palsy. Preliminary investigation of CABA shows good content validity. However, more studies to assess the assessments' psychometrics including construct validity, reliability, and responsiveness are required.
Factors Associated With Ambulation in Myelomeningocele
Authors: Davis W. Austin , Zigler Christina K. , Crytzer Theresa M. , Izzo Sara , Houtrow Amy J. , Dicianno Brad E. 
Published: March 2020

Objective
Evidence is limited regarding clinical factors associated with ambulation status over the lifespan of individuals with myelomeningocele. We used longitudinal data from the National Spina Bifida Patient Registry to model population-level variation in ambulation over time and hypothesized that effects of clinical factors associated with ambulation would vary by age and motor level.

Design
A population-averaged generalized estimating equation was used to estimate the probability of independent ambulation. Model predictors included time (age), race, ethnicity, sex, insurance, and interactions between time, motor level, and the number of orthopedic, noncerebral shunt neurosurgeries, and cerebral shunt neurosurgeries.

Results
The study cohort included 5371 participants with myelomeningocele. A change from sacral to low-lumbar motor level initially reduced the odds of independent ambulation (OR = 0.24, 95% CI = 0.15–0.38) but became insignificant with increasing age. Surgery count was associated with decreased odds of independent ambulation (orthopedic: OR = 0.65, 95% CI = 0.50–0.85; noncerebral shunt neurosurgery: OR = 0.65, 95% CI = 0.51–0.84; cerebral shunt: OR = 0.90, 95% CI = 0.83–0.98), with increasing effects seen at lower motor levels.

Conclusions
Our findings suggest that effects of several commonly accepted predictors of ambulation status vary with time. As the myelomeningocele population ages, it becomes increasingly important that study design account for this time-varying nature of clinical reality.

To Claim CME Credits
Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME

CME Objectives
Upon completion of this article, the reader should be able to: (1) Describe general trends in ambulation status by age in the myelomeningocele population; (2) Recognize the nuances of cause and effect underlying the relationship between surgical intervention and ambulation status; (3) Explain why variation of clinical effect over time within myelomeningocele population matters.

Level
Advanced

Accreditation
The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States
Authors: Hamadi Hanadi , Borkar Shalmali R. , Moody LaRee , Tafili Aurora , Wilkes J. Scott , Moreno Franco Pablo , McCaughey Deirdre , Spaulding Aaron 
Published: March 2020

Objective
The aim of the study was to investigate the association between hospitals’ nursing excellence accreditation and patient safety performance—measured by the Hospital-Acquired Conditions Reduction Program (HACRP).

Methods
We linked data from the American Nursing Credentialing Center Magnet Recognition Program, Centers for Medicare and Medicaid Services HACRP, and the American Hospital Association annual survey from 2014 to 2016. We constrained the analysis to hospitals participating in Centers for Medicare and Medicaid Services’ HACRP and deployed propensity score matching models to calculate the coefficients for our HACRP patient safety measures. These measures consisted of (a) patient safety indicator 90, (b) hospital-associated infection measures, and (c) total HAC scores. In addition, we used propensity score matching to assess HACRP scores between hospitals achieving Magnet recognition in the past 2 versus longer and within the past 5 years versus longer.

Results
Our primary findings indicate that Magnet hospitals have an increased likelihood of experiencing lower patient safety indicator 90 scores, higher catheter-associated urinary tract infection and surgical site infection scores, and no different total HAC scores. Finally, when examining the impact of Magnet tenure, our analysis revealed that there were no differences in Magnet tenure.

Conclusions
Results indicate that the processes, procedures, and educational aspects associated with Magnet recognition seem to provide important improvements associated with care that is controlled by nursing practice. However, because these improvements do not differ when comparing total HAC scores nor Magnet hospitals with different tenure, there are likely opportunities for Magnet hospitals to continue process improvements focused on HACRP scores.
Imaging of Neuronal and Mixed Glioneuronal Tumors
Authors: Abdel Razek Ahmed Abdel Khalek , Elsebaie Nermeen A. , Zamora Carlos , Castillo Mauricio 
Published: March 2020

Abstract
Neuronal and mixed glioneuronal tumors represent a group of neoplasms with varying degrees of neural and glial elements. Their age of presentation varies, but they are most commonly seen in children and young adults. With the exception of anaplastic ganglioglioma and other atypical variants, most lesions are low grade; however, they can have significant morbidity because of seizures, mass effect, or difficult to treat hydrocephalus. Although many tumors show overlapping clinical and imaging features, some have relatively distinctive imaging characteristics that may aid in narrowing the differential diagnosis. In this review, we discuss relevant clinical and pathologic characteristics of these tumors and provide an overview of conventional and advanced imaging features that provide clues as to the diagnosis.
Evaluation of the Patient-Practitioner Consultation on Surgical Treatment Options for Patients With Craniosynostosis
Authors: Pfeifauf Kristin D. , Said Abdullah M. , Naidoo Sybill D. , Skolnick Gary B. , Kestle John R. W. , Lee Amy , Birgfeld Craig , Anderson Richard C. E. , Gociman Barbu , Siddiqi Faizi A. , Pollack Ian F. , Goldstein Jesse A. , Tamber Mandeep , Imahiyerobo Thomas , Smyth Matthew D. , Patel Kamlesh B. 
Published: March 2020

Introduction:
Endoscope-assisted craniectomy and spring-assisted cranioplasty with post-surgical helmet molding are minimally invasive alternatives to the traditional craniosynostosis treatment of open cranial vault remodeling. Families are often faced with deciding between techniques. This study aimed to understand providers’ practice patterns in consulting families about surgical options.

Methods:
An online survey was developed and distributed to 31 providers. The response rate was 84% (26/31).

Results:
Twenty-six (100%) respondents offer a minimally invasive surgical option for sagittal craniosynostosis, 21 (81%) for coronal, 20 (77%) for metopic, 18 (69%) for lambdoid, and 12 (46%) for multi-suture. Social issues considered in determining whether to offer a minimally invasive option include anticipated likelihood of compliance (23 = 88%), distance traveled for care (16 = 62%) and financial considerations (6 = 23%). Common tools to explain options include verbal discussion (25 = 96%), 3D reconstructed CT scans (17 = 65%), handouts (13 = 50%), 3D models (12 = 46%), hand drawings (11 = 42%) and slides (10 = 38%). Some respondents strongly (7 = 27%) or somewhat (3 = 12%) encourage a minimally invasive option over open repair. Others indicate they remain neutral (7 = 27%) or tailor their approach to meet perceived needs (8 = 31%). One (4%) somewhat encourages open repair. Despite this variation, all completely (17 = 65%), strongly (5 = 19%) or somewhat agree (4 = 15%) they use shared decision making in presenting surgical options.

Conclusion:
This survey highlights the range of practice patterns in presenting surgical options to families and reveals possible discrepancies in the extent providers believe they use shared decision making and the extent it is actually used.
Fasciocutaneous Flap Side-to-Side V-Y: Fish Flap
Authors: Guerrissi Jorge Orlando 
Published: March 2020

Abstract
The use of fasciocutaneous flaps remain as first election of reconstructive method after remotion of tumors, benign lesions and sequel of traumas.
A new designed fasciocutaneous flap according to mechanism V-Y like island flap is described. It has 2 different portions: 1. Superior and 2. Inferior or triangular.
Resected area is reconstructed by means of the active or superior part, recruiting perilesional unaffected tissues; safe vascular supply is maintained by means of random pedicle from its inferior or triangular portion.
Between 2012 and 2015 were operated in the Division Plastic Surgery at Argerich Hospital of Buenos Aires, 180 patients with benign and maligns lesions and trauma sequels in different body areas; reconstructive surgery was carried out using the flap described in this article.
All flaps survived, except 2 which developed partial flap necrosis finally treated by advancement flap coverage. All donor sites were closed primarily with no secondary skin grafting; in the early postoperative period, any flaps showed signs of excessive tension of its margins and failures of arterial vascularization. All flaps achieve adequate reconstruction with excellent aesthetic results; all patients were satisfied with the surgical outcome. All the flaps reached objectives purposed obtaining an acceptable functional and aesthetic restoration.
Fasciocutaneous flaps have become popular in modern reconstructive surgery because of low donor-site morbidity and good preservation of muscles and close skin. The advantages of “fish” flap included shorter operative time, lesser pedicle trauma, similar color-match and same texture, ample recruitment of both skin and soft tissues around of principal flap and finally it allowed an adequate closure of donor and reconstructed areas.
Rich Fat Hemangioma of the Parotid Gland in the Adult
Authors: Liu Jie , Cheng Liang Jing , Zhang Yong , Song Tao Hong , Wang Jian Wei 
Published: March 2020

Abstract
Hemangiomas are relatively rare tumors representing approximately 0.4% of all the salivary gland tumors and occur predominantly in the parotid. Most of the hemangiomas appear during the first year of life; however, are uncommon in adults. Moreover, the rich fat hemangiomas in the parotid are extremely rare. Magnetic resonance imaging is the most important radiologic methods for the diagnosis of the disease as its high resolution of soft tissue which helps to show the relationship with the adjacent structures.
Assessment of Interpupillary Distance in the Azerbaijan Society
Authors: Sahbaz Ibrahim 
Published: March 2020

Introduction:
To determine the normal distribution of interpupillary distance (IPD) in adult males and females of the Azerbaijani society and create a specific IPD database.

Materials and Methods:
Subjects (641 males, 491 females) aged 18 to 85 years were investigated for anatomical IPD in this study. Eye examinations and measurements were performed. The subjects were divided into 2 main groups: male and female, and further divided into 4 groups according to the age range. Auto refractometer was used for IPD measurements (Topcon Auto Kerato-Refracto Tonometer TRK-2P, Tokyo, Japan).

Results:
The mean age in the 18 to 85 age range was 39.1 ± 15.2 years. The mean IPD was 63.7 ± 3.5 mm (range 51–82). IPD values were higher in males (P < 0.001), and IPD values were found to be statistically significant (P < 0.001).

Discussion:
Age, sex and ethnicity are all significant factors that influence IPD. IPD measurements are essential in surgical management, optical frames and lenses, forensic science and anthropological investigations.