bluuebunny/crossref_metadata_2025_split huggingface dataset:
The remote consulting centre - operative control for rendering obstetric care in komi republic
Authors: Murashko М. A. 
Published: November 2021

The work presented gives the analysis of the introduction of the remote consulting centre model in the field of obstetrics and gynecology. The 7-years retrospective efficiency analysis of the consulting care model in the territory of the Komi republic was carried out.
Conclusion: the remote consulting care is responsible for the reduction of the basic parameters of maternal, perinatal and infant (neonatal) mortality.
Using of laparoscopic hysterectomy in current gynecological practice
Authors: Plekhanov Andrey N. , Abashin Victir G. 
Published: November 2021

In present review different methods of hysterectomy. The technique of laparoscopic hysterectomy resulted in decreasing of complications and extended the number of indications.
Summarizing everything mentioned above we can draw the conclusion that laparoscopic hysterectomy has the following advantages: minimal traumatization, cosmetic effect, shot postoperative and rehabilitation period, absence of complications in the late postoperative period, decrease of the risk of intraoperative complications. The experience accumulated proves the LH technique to be reasonable and efficient.
Influence of diffusion and viscosity on the field asymmetry of the effect of gravity in the critical fluid
Authors: Alekhin A.D. 
Published: November 2021

A brief review of the results of studies of the effect of gravity in inhomogeneous substance near a critical state of a critical fluid (CF) has been presented in paper, based on the data of light scattering, refractometry, and slow neutron transmission methods.Based on these data, the field-altitude asymmetry of various properties of an inhomogeneous substance has been analyzed, namely order parameter Dr(z), scattered light intensity I(z), density gradient dr(z)/dz of the substance. It had been shown that the field-altitude asymmetries of the scattered light intensity I(z)~dr/dm(h) and the density gradient dr(z)/dz~dr/dh(h) of the substance are diametrically opposite. The different altitudinal asymmetry of these quantities dr/dh(h) and dr/dm(h) is explained in paper by the altitude asymmetry of the derivative of the chemical potential dm/dh, and hence with the altitude asymmetry of the chemical potential Dm(h)>>h in the external field h.To the present time, the physical mechanism of the altitude asymmetry of the gravity effect has not been studied. In this regard the mechanism of the formation of the vertical asymmetry of the internal critical field Dm(h) has proposed in paper to be associated with the kinetic characteristics of the inhomogeneous critical fluid: the diffusion coefficients D (h) and viscosity coefficients h(h), when the system passes from a homogeneous state to an inhomogeneous one under the action of an internal asymmetric fields |DU(z)|= |Dm(z)|>>|h=rcgz/Pc|. For this purpose, a high-pressure cell with a height L, with a critical filling density of the substance is considered in paper.It has been shown that when the system is under critical density filling by substance =rc the critical level of substance z = 0 with the critical density rc at the critical temperature Tc is realized above the middle of the sample with an inhomogeneous substance. Based on the literature data of P-V-T-measurements and the gravity effect in benzene and ethane, the values of the altitudinal change in the internal critical field have been found. It has been shown that the value of the critical internal inhomogeneous field in the inhomogeneous critical fluid significantly exceeds the variable of the Earth's gravity |DU(h,Tc)|= |Dm(h,Tc)>>|h| It has been also shown that the magnitude of this field according to the cubic law depends on the critical temperature Tc of the substance: |Dm(z,Tc1)/|Dm(z,Tc2) » (Tc1/Tc2)3.
PSYCHOLOGICAL FEATURES OF YOUTH AS A STAGE OF THE WAY OF LIFE
Authors: Buganova V. M. 
Published: November 2021

In this article, youth is considered as a stage in the time development of the life path. In this context, in order to solve the normative tasks of this stage, a person must have such an arsenal of psychological properties that will help her/him to cope with the tasks of her/his age in an optimum way for optimal movement in time in life. In the general logic of life, it’s the time of adolescence when the task of developing communicative properties and forming one’s immediate social environment is realised as a result of its positive solution. Moreover, the closest social environment should include four groups that do not overlap: personal, professional, friendly and dedicated to individual hobbies. Therefore, young people should differ from people at other stages of their life in such characteristics that will allow them to solve these problems in an optimal way. The conducted research has shown that the specific properties that are inherent in persons, namely, adolescents, are: the absence of categorical or conservative judgement in the assessments of other people; lack of desire to fit a partner for himself/herself, to make him/her «comfortable»; tolerance to physical or mental discomfort caused by other people; the ability to adapt to the character, habits and desires of others; creativity; confidence; keenness; passion; optimism; courage, enterprise; selfassuredness, as well as the following values: social contacts; financial status; family life. This means that they are these parameters that are directly interconnected with the differentiation of the subjects according to the stages of their life path. The degree of their severity indicates that the subject belongs to a particular period of the life path, regardless of some differences in chronological age.
Third-Generation Ceramic-on-Ceramic Total Hip Arthroplasty in Patients with Osteonecrosis of the Femoral Head
Authors: Kim Hong Seok , Park Jung Wee , Ha Joo Hyung , Lee Young-Kyun , Ha Yong-Chan , Koo Kyung-Hoi 
Published: November 2021

Background:
Long-term follow-up results of ceramic-on-ceramic (COC) total hip arthroplasty (THA), specifically, in patients with osteonecrosis of the femoral head (ONFH) are unknown. We evaluated (1) clinical results and radiological outcomes, (2) ceramic-related complications: noise and ceramic fracture, (3) osteolysis, and (4) survivorship after alumina COC THA in ONFH patients with longer than 10-year follow-up.

Methods:
From May 2003 to June 2009, 325 ONFH patients (403 hips) underwent primary THAs at our department. Among them, 231 patients (293 THAs) were followed for 10 to 16 (mean, 12.9) years. There were 148 men and 83 women, their mean age at the time of THA was 47.2 years, and their mean body index was 24.0 kg/m2. The postoperative CT scans were done in 160 hips.

Results:
Grinding sensation or squeak was noted in 6.8% (20/293), ceramic head fracture occurred in 2.4% (7/293) and acetabular osteolysis developed in 0.7% (2/293). All 7 ceramic fractures occurred in 28-mm short-neck heads. There was no detectable wear or prosthetic loosening, and the 16-year survivorship was 96.0% (95% confidence interval; 93.8% to 98.2%). The mean Harris hip score was 91.7 (range, 84 to 100) points at the final follow-up.

Conclusions:
The 10- to 16-year results of alumina COC THAs were encouraging with an excellent survivorship. However, ceramic fracture and noise still remain matters of concern. We recommend not to use 28-mm short-neck ceramic head to avoid ceramic head fractures.

Level of Evidence:
III
Patients Who Do Not Receive Aspirin Because of Allergy Have an Increased Risk of Venous Thromboembolism Following Total Joint Arthroplasty
Authors: Goh Graham S. , Kozaily Elie , Tan Timothy L. , Parvizi Javad 
Published: November 2021

Background:
Patient-reported allergies to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) may preclude certain patients from receiving aspirin as venous thromboembolism (VTE) prophylaxis after total joint arthroplasty (TJA). The purpose of the study was to (1) determine whether the use of non-aspirin agents due to a self-reported aspirin or NSAID allergy was associated with a higher incidence of VTE and (2) determine the rate of true allergic reactions in patients who reported an allergy but still received aspirin.

Methods:
Prospectively collected data from 45,171 patients who underwent primary TJA between 2000 and 2019 were reviewed. Patients who reported an allergy to aspirin or NSAIDs were identified (n = 823). Using a validated VTE risk calculator, each patient was assigned a risk score based on 26 comorbidities. Bleeding complications, VTEs that occurred within 90 days postoperatively, and allergic reactions were collected as end points. Multivariable logistic regression was performed to determine the factors associated with VTE.

Results:
The overall incidence of aspirin or NSAID allergy was 1.8%. Only 80 of 267 patients (30%) reported an allergy to only aspirin and still received aspirin. Compared with patients who received aspirin without a history of allergy (n = 17,648), patients who received non-aspirin thromboprophylaxis due to allergy (n = 383) had a higher incidence of VTE (2.87% versus 0.24%, p < 0.001). On multivariable regression, these patients had an 8-fold increase in VTE risk (adjusted odds ratio, 7.94; 95% confidence interval, 2.86 to 22.07; p < 0.001). The incidence of true allergic reactions to aspirin among those with a reported allergy was 1.8% (number needed to harm = 55). No patients developed anaphylaxis or severe hypersensitivity reactions.

Conclusions:
Patients with a self-reported allergy to aspirin or NSAIDs were at a significantly increased risk for VTE if they received non-aspirin thromboprophylaxis agents following TJA. Future research should evaluate the usefulness of preoperative allergy testing when selecting a VTE prophylactic agent in patients with self-reported allergies.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Epidemiology, Treatment, and Treatment Quality of Overriding Distal Metaphyseal Radial Fractures in Children and Adolescents
Authors: Laaksonen Topi , Kosola Jussi , Nietosvaara Nicolas , Puhakka Jani , Nietosvaara Yrjänä , Stenroos Antti 
Published: November 2021

Background:
The incidence of completely displaced overriding distal metaphyseal radial fractures in children is unknown, and the optimal treatment is controversial.

Methods:
All completely displaced distal metaphyseal radial fractures in patients <16 years old treated in our tertiary-level institution from 2014 to 2019 were identified with use of the Kids’ Fracture Tool Helsinki. Etiology, fracture characteristics, management, and quality of treatment were assessed. A telephone interview with the guardian of the patient was performed for 100 (89%) of 112 patients at 1.5 to 7.2 years (median, 4.6 years) after the injury. Pain during the last month and forearm function were recorded. Treatment satisfaction was assessed with use of a 7-point Likert scale.

Results:
A total of 113 completely displaced overriding distal metaphyseal radial fractures in 112 patients (81 of whom were residents of Helsinki) were treated during the 6-year-long study period. The mean annual incidence was 1.42 per 10,000 population. Most (73%) of these fractures occurred in children <11 years old, and most fractures were dorsally displaced and located nearly as far proximally from the distal radial physis as the maximum width of the distal metaphysis. Closed manipulation was attempted in two-thirds of cases in the emergency department, with a failure rate of 46%. Strong opioids were administered in 70 of 112 patients. None of the 26 patients whose fractures were immobilized in an overriding position had secondary interventions, pain, or functional disability. The mean satisfaction with treatment on the Likert scale was 6.2.

Conclusions:
The annual incidence of overriding distal metaphyseal radial fractures patients <16 years old was shown to vary between 0.72 and 2.01 per 10,000 population. Opioids, local and general anesthesia, hospital admission, and secondary interventions can be avoided in prepubescent patients by casting these fractures in an overriding position while the patient is in the emergency department.

Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Efficacy of Influenza Like Illness (ILI) Screening OPD for COVID-19 at a High-Volume Centre: Unlocking Routine OPD
Authors: Mattoo Bhawna , Sarda Radhika , Kumar Arvind , Fatima Kaleem , Kaur Ravneet , Wig Naveet 
Published: November 2021

Abstract
Background: The Impact of COVID-19 pandemic over non-essential health services has been massive. We initiated Influenza Like Illness (ILI) screening for resumption of out-patient services at a tertiary care centre and this study attempted to gauge its efficacy in effectively pruning out COVID-19. Methods: We included all the patients who had visited for an OPD appointment during the study period. Patient details and ILI symptoms were noted. Patients were then followed up telephonically after 2 weeks. The telephonic follow up was to ensure RT-PCR status and complaints of any newly developed ILI post OPD visit (within the last 14 days). Results: Out of the 957 patients who were enrolled, 929 patients were successfully followed up telephonically after 14 days. Only 13 who were screened out as ‘possible ILI’, were either RT-PCR negative or did not follow up with a confirmatory test. The telephonic follow up to ensure RT-PCR status and complaints of any newly developed ILI post OPD visit (within the last 14 days) was noted in the rest of the patients. Only 1 participant out of 957 screened, tested positive for COVID-19. Conclusion:The period in which the study was held the national positivity rate was low (around 3%). Therefore, in a resource limited country such as India it is astute to restart the OPD services in the pre-existing setup using basic precautions and a verbal questionnaire during the slope of the pandemic.
The Epidemiology Profile of Hysterectomy in Northern Zimbabwean Women
Authors: THAKA ANDILE SICOLIWE 
Published: November 2021

Abstract
Hysterectomy is a procedure commonly performed to treat uterine and cervical disorders. It is a common procedure in developing countries, others listing it as the most common gynecological procedure in developed countries. The aim of the study is to determine the epidemiology profile of hysterectomy in Northern Zimbabwean women. It can either be classified according to the procedure used to perform the hysterectomy; which could be a total abdominal hysterectomy, uterus only, subtotal hysterectomy, total abdominal hysterectomy plus salphingo-oophorectomy, total abdominal hysterectomy plus bisalphingo-oophorectomy and radical hysterectomy. It can be vaginally, abdominally or laparoscopy assisted. Laparoscopy assisted vaginal hysterectomy is less common as the procedure is semi-automated. The aim of the study was to determine the prevalence of hysterectomy among the women in northern Zimbabwe, identifying patterns of occurrences and distribution of hysterectomy and determining possible indicators of hysterectomy. Parirenyatwa Group of Hospitals undertakes Histology laboratory testing of samples from hospitals in Northern Zimbabwe as the referral laboratory. A retrospective study was conducted using the census sampling method to determine the epidemiology profile of hysterectomy. The study collected 350 reports from 2019 that indicated to have been from hysterectomy and therefore the estimated prevalence rate of hysterectomy was 9.81%. The study looked at the reports of specimens brought in due to the performance of hysterectomy. The inclusion criteria of a report was a complete histology report from the Pathologist from specimens processed and microscopy slides prepared by the Scientist. Exclusion criteria was an incomplete report. Leiomyomata, post-partum hemorrhaging and chronic pelvic pain were the leading possible indicators of hysterectomy. The procedure was most commonly performed on women between the ages of 41-50 years. The total abdominal hysterectomy was 59.81% performed most of the time with most reports from Parirenyatwa Group of Hospitals and then Mutare Provincial Hospital. Delimitations was the low resource costing of the study and the automated collection of the data. The limitations were clerical errors, lack of patient data such as clinical history and lack of history or socio-economic demographics collected by the laboratory form. There is need for better data management and increase in the variation of data to collect such as clinical history, parity, marital status, income setting and other factors. Further studies can be done to give a holistic picture of the epidemiology profile of hysterectomy in Zimbabwe. There is need for an awareness campaign on hysterectomy as it is a growing common procedure among women in developing countries. Case studies would give intrinsic details unavailable in reports. Better Sexual and reproductive health information should be availed on indicators of hysterectomy according to their prevalence in different age groups.
“Tipping The Balance” – An Evaluation of COVID-19 Parenting Resources Developed and Adapted for Child Protection During Global Emergency Responses
Authors: Sherr Lorraine , Mebrahtu Helen , Mwaba Kasonde , Nurova Nisso , Chetty Angelique Nicole , Swartz Alison , Cluver Lucie , Lachman Jamie 
Published: November 2021

Abstract
The authors have requested that this preprint be removed from Research Square.
Vibration Attenuation Via Mean of Lower Limb Muscles Occurs During Whole Body Vibrations And Differs Across Frequencies And Postures
Authors: Rigoni Isotta , Bonci Tecla , Bifulco Paolo , Fratini Antonio 
Published: November 2021

Abstract
Lower limb muscles actively contribute to maintain body posture but also act to attenuate soft tissues oscillations that occur during everyday life. This elicited activity can be exploited as a mean of neuromuscular training or rehabilitation. In this study, Whole Body Vibrations (WBV) at different frequencies were delivered to healthy subjects while holding static postures to test the transient muscles mechanical responses. Twenty-five participants underwent WBV at 15, 20, 25 and 30 Hz while holding either a static ‘hack squat’ or ‘fore feet’ posture. Soft tissue accelerations and surface electromyography (sEMG) were recorded from Gastrocnemius Lateralis (GL), Soleus (SOL) and Tibialis Anterior (TA) muscles. Estimated displacement at muscle bellies revealed a resonant pattern, different across frequencies and postures (p<.001). Specifically, a peak in the displacement was measured after the onset of the stimulation, followed by a drop and a further plateau (only after few seconds after the peak) suggesting a delayed neuromuscular activation. Although oscillation dampening was correlated to an increased muscular activity, only specific WBV settings were promoting a significant muscle contraction. For example, SOL and GL induced activation was maximal for subject in forefeet and while exposed to higher frequencies (p<.05). The non-immediate response of leg muscles to a vibratory stimulation confirms the tonic nature of the vibration induced muscle contraction (the tonic vibration reflex) and its strong influence on postural tonic muscles (GL and SOL). This may have significant impact on training or rehabilitation protocols aiming towards postural and balance improvement or recovery.
Assessing the Contribution of Immigrants to Canada’s Nursing and Health Care Support Occupations: A Multi Scalar Analysis.
Authors: Harun Rafael , Margaret Walton-Roberts 
Published: November 2021

Abstract
Background: The World Health Organization adopted the Global Strategy on Human Resources for Health Workforce 2030 in May 2016. It sets specific milestones for improving health workforce planning in member countries, such as developing a health workforce registry by 2020 and ensuring workforce self-sufficiency by halving dependency on foreign-trained health professionals. Canada falls short in achieving these milestones due to the absence of such a registry and a poor understanding of immigrants in the health workforce, particularly nursing and healthcare support occupations. This paper provides a multiscale (Canada, Ontario, and Ontario’s Local Health Integration Networks) overview of immigrant participation in nursing and health care support occupations, discusses associated enumeration challenges, and the implications for health workforce planning focusing on immigrants.Methods: Descriptive data analysis was performed on Canadian Institute for Health Information dataset for 2010 to 2020, and 2016 Canadian Census and other relevant data sources. Results: The distribution of nurses in Canada, Ontario, and Ontario’s Local Health Integration Networks reveal a growth in Nurse Practitioners and Registered/Licensed Practical Nurses, and contraction in the share of Registered Nurses. Immigrant entry into the profession was primarily through the practical nurse cadre. Mid-sized communities registered the highest growth in the share of internationally educated nurses. Data also pointed towards the underutilization of immigrants in regulated nursing and health occupations. Conclusion: Immigrants comprise an important share of Canada’s nursing and health care support workforce. Immigrant pathways for entering nursing occupations are complex and difficult to accurately enumerate. This paper recommends the creation of an integrated health workforce dataset, including information about immigrant health workers, for both effective national workforce planning and for assessing Canada’s role in global health workforce distribution and utilization.
Food Cravings And Personality Traits In Pregnant Women: Is There An Association?
Authors: Prasmusinto Damar , Ikhsan Muhammad , Setiawan Martina Wiwie , Agustina Rina 
Published: November 2021

Abstract
Background: Food craving is a common phenomenon during pregnancy, but explanation on how this behaviour can happen remains unclear. This behaviour may be influenced by personality traits that have been known to linked with obesity and addiction affecting pregnancy outcome. Therefore, we identified the prevalence of food craving and evaluated its relationship with personality traits in pregnant women. Methods: We conducted a cross-sectional survey involving 500 healthy pregnant women in urban area of Jakarta, Indonesia. Food cravings were assessed using a translated and validated Food Craving Inventory of Indonesian version. Personality traits were determined by using a Big Five Personality Trait Short Questionnaire that has been translated and validated for Indonesians. Association of personality traits and food cravings were analysed by binary logistic regression.Results: The mean age of pregnant women was 28.3 + 5.3 years. Food craving prevalence in in this population was 63.8%. The most common personality trait in this study was conscientiousness (65.5%). Neuroticism trait was significantly associated with food cravings with OR 9.146 [95% CI: 2.76-30.4; p-value <0.05]. Conclusion: Large proportion of Indonesian pregnant women had food craving living in urban area of Jakarta. A high neuroticism trait has a strong association with food cravings during pregnancy that indicates potential influence of personality traits to this problem. If personality traits influence the food choice in pregnant women, it may subsequently influence nutritional intake of the pregnant women and it may affect pregnancy outcome.