bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing kinesthetic proprioceptive function of the upper limb: a novel dynamic movement reproduction task using a robotic arm
Authors: Vandael Kristof , Stanton Tasha R. , Meulders Ann 
Published: May 2021

Background
Proprioception refers to the perception of motion and position of the body or body segments in space. A wide range of proprioceptive tests exists, although tests dynamically evaluating sensorimotor integration during upper limb movement are scarce. We introduce a novel task to evaluate kinesthetic proprioceptive function during complex upper limb movements using a robotic device. We aimed to evaluate the test–retest reliability of this newly developed Dynamic Movement Reproduction (DMR) task. Furthermore, we assessed reliability of the commonly used Joint Reposition (JR) task of the elbow, evaluated the association between both tasks, and explored the influence of visual information (viewing arm movement or not) on performance during both tasks.

Methods
During the DMR task, participants actively reproduced movement patterns while holding a handle attached to the robotic arm, with the device encoding actual position throughout movement. In the JR task, participants actively reproduced forearm positions; with the final arm position evaluated using an angle measurement tool. The difference between target movement pattern/position and reproduced movement pattern/position served as measures of accuracy. In study 1 (N = 23), pain-free participants performed both tasks at two test sessions, 24-h apart, both with and without visual information available (i.e., vision occluded using a blindfold). In study 2 (N = 64), an independent sample of pain-free participants performed the same tasks in a single session to replicate findings regarding the association between both tasks and the influence of visual information.

Results
The DMR task accuracy showed good-to-excellent test–retest reliability, while JR task reliability was poor: measurements did not remain sufficiently stable over testing days. The DMR and JR tasks were only weakly associated. Adding visual information (i.e., watching arm movement) had different performance effects on the tasks: it increased JR accuracy but decreased DMR accuracy, though only when the DMR task started with visual information available (i.e., an order effect).

Discussion
The DMR task’s highly standardized protocol (i.e., largely automated), precise measurement and involvement of the entire upper limb kinetic chain (i.e., shoulder, elbow and wrist joints) make it a promising tool. Moreover, the poor association between the JR and DMR tasks indicates that they likely capture unique aspects of proprioceptive function. While the former mainly captures position sense, the latter appears to capture sensorimotor integration processes underlying kinesthesia, largely independent of position sense. Finally, our results show that the integration of visual and proprioceptive information is not straightforward: additional visual information of arm movement does not necessarily make active movement reproduction more accurate, on the contrary, when movement is complex, vision appears to make it worse.
Antibiotic Susceptibility of Staphylococcus aureus Isolated from Retailed Raw Beef at Choba Market, Rivers State
Authors: Eruteya Onoriode C. , Osariemen Patience O. 
Published: May 2021

Aims: The aim of the study was to determine the presence of antibiotic resistant Staphylococcus aureus in retail raw beef in Choba market, Nigeria.
Study design: The study is based on a completely randomized design with two replicates and the mean being calculated.
Place and Duration of Study: Major’s Laboratory, Department of Microbiology, University of Port Harcourt within three months.
Methodology: The presence, characterization and antibiotic susceptibility of S. aureus from 30 retail raw beef samples was done using standard microbiological method involving the use of mannitol salt agar (MSA) and Mueller Hinton agar (MHA).
Results: All the samples were positive for Staphylococcus species of which 18 (60.00%) were positive for S. aureus. The S. aureus strains were least resistant to gentamycin (22.22%) and cotrimoxazole (38.89%) with varying resistance against erythromycin (83.33%), tetracycline (88.88) and chloramphenicol (61.11%). All the S. aureus isolates in this study were 100% resistant to cloxacillin, amoxicillin and augmentin or amoxicillin-clavulanic acid combination. These results also showed the potential dissemination of multidrug-resistant S. aureus strains in the raw beef samples examined.
Conclusion: The results of this study suggested high-level contamination of meat with multi-drug resistant S. aureus and this highlights the public health consequences associated with consuming such unhygienic products if poorly prepared.
Age at Menarche, Menstrual Characteristics and Associated Factors among Adolescent Girls in Indigenous Population in Niger Delta Region, Nigeria
Authors: Adienbo Ologhaguo M. , Erigbali Victoria T. 
Published: May 2021

Aim:Age atmenarchevaries among different populations, and isdependent on interaction between genetic and environmental factors. The aim of this study was to determine the age at menarche, menstrual characteristics and associated factors among adolescent girls in indigenous population in Niger Delta region, Nigeria.
Study Design: A cross-sectional study on 903 adolescent school girls from 6 secondary schools in Rivers state selected by multi-staged random sampling technique.
Place and Duration of Study: Indigenous ethnic populations in urban and rural (coastal rural and upland rural) areas in Rivers state were surveyed between April and June 2019.
Methodology: Data collected with questionnaire: menarcheal age, menstrual and demographic characteristics of participants.
Results: Age at menarche was12.10±1.37years, while urban area had11.62±0.13, coastal rural (11.69±0.04) and upland rural (13.24±0.10) years;with early menarche (10%) and delayed menarche (5%). Geographical area, ethnicity and fathers’ occupation significantly (P=0.001) influenced menarcheal age; with Ethnic groups: Ekpeye (12.96±1.36) >Ogoni (12.89±0.71) >Ikwerre (12.43±1.72) >Kalabari (11.69±0.99); Fathers’ occupation: Professionals/public servants (11.82±1.14) and fishing (11.75±0.94) < artisans/traders (12.02±1.36) and farming (12.69±1.45). Menstrual cycle length (days), was 28.04±1.57 (21-35), with majority (91.50%) having 26-30 days; and significantly different among geographical area (P=0.003), and ethnicity (P=0.001). Menstrual bleeding duration (days) was 4.55±1.03 (2-7), with majority (72.1%) having 4-5 days;and is statistically different according to geographical areas (P=0.001), ethnicity (P=0.001), and fathers’ occupation (P=0.14). Dysmenorrhoea was experienced by majority (56.6%) of subjects, and associated with increase in menarcheal age (P=0.01) and menstrual cycle length (P=0.001).
Conclusion: This study shows a low age at menarche, with earlier onset in urban and coastal rural areas than in upland rural areas. Ethnicity and geographical area, strongly influenced the menarcheal age and menstrual characteristics of subjects.
Pattern and Outcome Dermatological Admission at the University of Port Harcourt Teaching Hospital Rivers State
Authors: Dasetima D. Altraide , Bolaji Otike-Odibi 
Published: May 2021

Introduction: Dermatology is primarily an outpatient clinical and surgical subspecialty, but a substantial number of patients need in patient care for adequate management. In recent years, there is a rise in the number of inpatient dermatological admissions and an increase in spending. Rarely, skin diseases can be fatal.
Aims and Objectives: To analyze the disease patterns and clinical outcomes of dermatological patients admitted on the medical wards of a tertiary institution in southern Nigeria.
Materials and Methods: This study involves a retrospective analysis of the admission records of consecutive in patients with a dermatological diagnosis admitted at the university of Port Harcourt teaching hospital from January 2014 to July 2020. The data obtained were statistically analysed with emphasis on the patient’s demographic profile, clinical diagnosis, final outcome, and duration of admission.
Results: A total of 68 patients were admitted into our center during this time. Female outnumbered males with male female ratio of 1: 2.2. Infections (53 patients, 77.9%) were the most frequent reason for admission, followed by autoimmune disorders (5 patients, 7.4%), inflammatory causes, drug reactions and cutaneous manifestation of inter diseases had 3 patients each (4.4%). A patient was classed as idiopathic (1.5%).
Health Related Quality of Life of Children with Sickle Cell Anemia and Their Parents; Quantitative Study in Albaha; Saudi Arabia
Authors: Alzahrani Turki , Alzahrani Raed , Alzahrani Amer , Alzahrani Abdullah , Adawi Abdu , Alqthami Abdullah , Alshehri Abdulsalam 
Published: May 2021

Aims: To gain a better understanding of the quality of life (QoL) of children and impact of this disease on parents QoL.
Study Design: Cross-sectional study.
Place and Duration of Study: The study was conducted in King Fahd Hospital, Albaha city, Albaha, Saudi Arabia, between March2020 and February 2021.
Methodology: We included 95 responses. Two different tools were used for the purpose of this study. PedsQL™ Sickle Cell Disease Module was used to measure health-related quality of life (HRQoL) in healthy children and adolescents and those with acute and chronic health conditions. Moreover, PedsQL™ Family Information Form was completed by caregivers. Median and interquartile range were used for numerical variables since they were skewed. Bivariate analyses were carried out using non-parametrical tests and Pearson correlation. The prediction of QoL was accomplished through multivariate analysis.
Results: A total of (95) responses were analyzed. Female respondents were 52.6%. The age median was 12 (IQR=10-14). Mothers represented the most frequent informant 46.3% in this current study. Significant association was found between QoL and certain independent factors, some of which is parental level of education (P< .001) and marital support (P< .001).
Conclusion: Sickle cell disease (SCD) is a major condition accounts for a huge burden on variable levels. This study reported that low QoL among children affected by SCD. Higher education and current marital status of the parents were significantly associated with high QoL in SCD patients. Number of workdays affected due to child health was significantly correlated with low QoL.
Asymptomatic Bacteriuria, Prevalence Report during Antenatal Period at Pumhsw Nawabshah, Pakistan
Authors: Sial Sikander Ali , Mal Tanwani Bhojo , Detho Amir Bux , Parveen Kousar , Rasool Memon Fouzia , Bukhari Sadia , Ahmer Arslan 
Published: May 2021

Objective: The aim of study is the determination of prevalence of asymptomatic bacteriuria during antenatal period in PUMHSW, with prevalence of antenatal asymptomatic bacteriuria in neighboring countries.
Methodology: This study is Cross Sectional-Prospective, and conducted at the Department of Pathology Peoples University of Medical & Health Sciences (PUMHS) for Women Nawabshah (Shaheed Benazir Abad). All the samples (417) were obtained from the pregnant women attending the Outpatient Department of Gynecology and Obstetrics PUMHS Hospital Nawabshah.All mid-stream clean catch collected urine sample in sterile container processed for urine detailed report (physical, chemical and microscopic examination).All the demographic details were entered and analyzed by SPSS 20.More than 8 international as well as national databases were searched to the year 2020, consisting of google, Pub-med, Science direct, Web of Science, Medline. The data obtained were analyzed and their results reported with a random-effects model with confidence level 95%.
Result: Out of 417 patients the mean age of the pregnant female was 29.32± 5.74 years.There were females with mean parity of 2.66 ±2.42 and mean gestational age was25.84± 11.80.Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs n=33(44%). The total prevalence of asymptomatic bacteriuria (ASB) was 83(19.9%).Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs.
Conclusion: Asymptomatic bacteriuria during pregnancy is increasingly found in younger age women, with increasing gestational age. Therefore urine cultures during antenatal period should be done to diagnose asymptomatic bacteriuria in order to make preventative planning and control of asymptomatic bacteriuria among pregnant women.
Agreement of BISAP and CRP in Assessment of Severe Acute Pancreatitis
Authors: Tahseen Hina , Bai Sarika , Kumar Haresh , Pervez Safdar Ali , Rind Shahabuddin , Kumar Rakesh , Ahmer Arslan 
Published: May 2021

Background: Acute pancreatitis is one of the most common causes of acute abdominal pain in patients presenting to tertiary care hospital. The prevalence of acute pancreatitis in Pakistan is 0.03%. Assessment of prognosis is important in management of patients with acute pancreatitis. A simple and clinical oriented scoring system to predict the severity of acute pancreatitis at the time of presentation is required.
Objectives: To determine the agreement between BISAP score and CRP in assessing severe acute pancreatitis.
Methodology: A cross-sectional study was conducted at a tertiary care centre on 15 patients diagnosed as acute pancreatitis who fulfilled the inclusion criteria. Demographic data was noted and their BISAP Score and CRP values were calculated and statistical analysis was done using SPSS 20.0 Software.
Results: Mean + SD age of the study participants was 46.73 + 8.29 years. Nine (60%) were males and six (40%) patients were females. The agreement of BISAP score and CRP level in assessing the severity of acute pancreatitis was 66.7%.
Conclusion: There is a substantial agreement in favor of both CRP criteria and BISAP scoring in diagnosing acute severe pancreatitis.
The Rates of and Relationship between Anemia and Deficiency of Iron, Zinc, Vitamin B12 and Folic Acid in Hospitalized Children
Authors: Sahin Kamil , Elevli Murat , Paksoy Yahya , Koldas Macit 
Published: May 2021

Aim: Increased frequency of deficiency due to the insufficient intake of iron, zinc, vitamin B12-D and folic acid has been reported in the society. We aimed to investigate the rates of deficiency of these vitamins and minerals, as well as anemia frequency in children admitted to pediatric outpatient clinics of our tertiary hospital in a retrospective three-year period.
Materials and Methods: The frequency of micronutrient deficiency and the relationship between them was determined using statistical methods by evaluating the levels of hematocrit and other micronutritional elements in patients admitted to the general pediatrics outpatient clinics of our hospital between 01.06.2015 and 31.05.2018. The only patient inclusion criteria were being tested for zinc, iron, iron binding, hemogram, vitamin B12, folic acid, ferritin and vitamin D for any reason.
Results: After the evaluation of 64487 patients, we discovered the rates of anemia and iron, zinc, folate, vitamin D, vitamin B12 and ferritin deficiency as 30.8%, 52.1%, 41.1%, 18.2%, 32.4%, 20.1% and%26.7 respectively. Additionally, our results indicate that the frequency of folic acid deficiency decreased over the past years, whereas the rates of zinc and vitamin D deficiency increased over time. The final results show a negative correlation between anemia and folic acid, vitamin D, vitamin B12 and iron binding capacity, and a positive correlation between anemia and iron, ferritin and zinc.
Conclusion: Although it does not reflect the frequency of deficiency in the general population since the data are collected from hospitalized children, it could be argued that multiple micronutrient deficiencies are significantly common in Turkey and zinc and vitamin D deficiency has been increasing over the years, when compared with the results of previous studies.
Analysis Factor of Noise, Bus Conditions and Unsafe Actions on Accident Incidents at Mangkang Terminal and Pengaron Terminal, Semarang-Indonesia
Authors: Yuantari M. G. Catur , Anifa Vio , Isworo Slamet 
Published: May 2021

Objective and Background: A traffic accident is an unexpected incident on the highway involving a vehicle with or without other road users that results in casualties or property loss. the bus station is a place to regulate the arrival and departure of inter-city and inter-provincial routes. The purpose of this study was to analyze the additional workload, vehicle conditions, and unsafe actions in the event of an accident.
Methods: This type of research used a quantitative approach with a cross sectional study design. The population in this study were inter-city inter-provincial (AKDP) and inter-city within the province (AKDP) bus drivers with a study sample of 64 respondents in Mangkang and Penggaron bus station. The sampling technique uses accidental sampling. The research instrument was a questionnaire and it was processed using the Spearman rank test.
Results: The results showed that there was no relationship between psychological conditions (p=0.695), ergonomics (p=0.994) with the incidence of bus driver accidents. However, there is a relationship between noise levels (p=0.43), vehicle conditions (p=0.002), unsafe actions (p=0.025) and the incidence of bus driver accidents.
Conclusion: Buses that enter Mangkang and Penggaron bus station, are required to follow the occupational safety and health (K3) regulations stipulated by local transportation regulations. Especially for economy class bus drivers, they must continue to carry passengers according to the capacity of their bus, so they can avoid dangerous incidents.
A Prospective Observational Study Investigating Postoperative Hemorrhage After Laparoscopic Sleeve Gastrectomy Using Bipolar Seal and Cut Caiman (Aesculap AG)
Authors: Boeker Clara , Brose Frank , Mall Martina , Mall Julian , Reetz Christian , Yamac Kamil , Koehler Hinrich 
Published: May 2021

Objective
This study investigated postoperative hemorrhage after laparoscopic sleeve gastrectomy using the Bipolar Seal and Cut Caiman (Aesculap AG, Tuttlingen, Germany).

Summary of background data
Besides staple line leakage, postoperative hemorrhage (POH) is the most discussed acute complication after laparoscopic sleeve gastrectomy (LSG). POH is the second most important acute complication following LSG, with staple line leakage being the first. POH is reported in up to 5% of cases after LSG. Sufficient vessel sealing is crucial in avoiding later complications of POH during mobilization of the greater curvature. This study investigated bleeding complications after LSG using the Advanced Bipolar Seal and Cut instrument Caiman 5.

Methods
All LSGs were performed in a highly standardized manner according to the standard operating procedure of our Center of Reference for Bariatric Surgery using the Caiman. Primary outcome was the incidence of POH, defined as the need for revisional surgery and/or blood transfusions. Secondary outcomes were hemoglobin levels preoperatively at the day of surgery (POD 0) and at postoperative days (PODs) 1 and 2, volume and duration of drainage at PODs 0 to 2, procedure time, and length of hospital stay.

Results
A total of 100 patients who had undergone LSG from April 2016 to September 2017 were consecutively included in the study. Patients with contraindications to undergo LSG or those who were not able to give consent were excluded. Four patients needed treatment because of POH; in 3 of them surgery became necessary. Average operation time was 68.5 minutes and total volume of drainage was 186 mL. The drain stayed in situ for 2.2 days (mean). Average hospital stay was 3.6 days.

Conclusion
In our study group of 100 LSG procedures POH was 4%, which is comparable to data reported in the literature. Operation time, volume and duration of drainage, and length of hospital stay were not prolonged. LSG using Caiman is feasible and shows results comparable to those of other vessel-sealing instruments at our center.
CONSIDERATIONS ABOUT THE HEALTH TIE IN THE TRAJECTORY OF SEARCH FOR ELDERLY AND THE FAMILY CARE
Authors: Soares Juliana Lima , Araújo Laura Filomena Santos de , Bellato Roseney , Corrêa Geovana Hagata de Lima Souza Thaines 
Published: May 2021

Com o aumento da população idosa e das condições crônicas, a longitudinalidade da atenção à saúde deve-se fazer cada vez mais presente, implicando no estabelecimento de vínculos. OBJETIVO: Compreender como se constitui a relação de vínculo da pessoa idosa e família que vivencia múltiplos agravos crônicos com o “médico de confiança”. MÉTODOS: estudo de caso de abordagem qualitativa, realizado através da História de Vida Focal empregando Entrevista em Profundidade e Diário de Campo. RESULTADOS: desenhamos a trajetória de busca por cuidado empreendida pela idosa/família, evidenciando instituições e profissionais acessados, além da importância do médico de confiança nesta trajetória. CONCLUSÃO: destacamos a existência de uma relação afetiva, que influencia a busca por cuidado, se iniciando por parte da idosa/família, e não o contrário, levando-nos a uma aproximação das noções de vínculo e da maneira como o vínculo afetivo influencia na busca pelo cuidado da idosa/família.
PERCEPTIONS AND NEEDS OF RELATIVES OF PATIENTS HOSPITALIZED IN AN INTENSIVE CARE UNIT
Authors: Camponogara Silviamar , Santos Tanise Martins dos , Rodrigues Isabela Lencina , Frota Liza , Amaro Daniele , Turra Monike 
Published: May 2021

OBJETIVO: Conhecer as percepções e necessidades dos familiares de pacientes internados em Unidade de Terapia Intensiva. MÉTODO: Estudo descritivo de abordagem qualitativa. Os dados foram coletados com familiares de pacientes internados em uma Unidade de Terapia Intensiva, de um hospital universitário, por meio de entrevista semiestruturada. Os achados foram analisados de acordo com o referencial de análise de conteúdo. RESULTADOS: Os dados evidenciam que os familiares vivenciam sentimentos contraditórios em relação a UTI. Embora a percebam como um setor onde prevalece o medo da morte, também entendem que é o local onde há melhor qualidade de cuidados. Os familiares demonstram ter, principalmente, necessidade de interação com a equipe multiprofissional, por meio de uma comunicação efetiva com os profissionais. CONCLUSÃO: Conclui-se ser necessário manter um processo dialógico efetivo com os familiares dos pacientes internados em UTI, com vistas a possibilitar que vivenciem de forma mais tranquila esse período. DESCRITORES: Cuidados de enfermagem; Enfermagem familiar; Humanização da assistência.
Client underwent to radical mastectomy and application of CIPE in a surgical oncology unit: A case study
Authors: Bordallo Felipe Raqui , Teixeira Enéias Rangel , Andrade Marilda , Couto Ingrid Ramos Reis , Assumpção de Souza Fabiana Barbosa , Pereira Sanches Ieda Cristina 
Published: May 2021

Objetivos: Descrever e analisar a utilização da taxonomia CIPE ao processo de enfermagem fundamentado na teoria de Orem a uma paciente submetida à Mastectomia Radical. Método: estudo de caso, realizado com a paciente de 53 anos, sexo feminino, internada em uma unidade oncológica do Município do Rio de Janeiro, em abril de 2011. Resultados: foram identificados os principais diagnósticos de enfermagem segundo a CIPE: integridade da pele em risco, dor atual em mama direita, risco para auto-estima e auto cuidado baixos. Em seguida construímos o plano de cuidados contendo as intervenções e resultados propostas pela CIPE. Conclusão: Foi possível associar o uso da teoria de Dorothea Orem como instrumento associado à taxonomia CIPE, adequando-se a forma de planejamento da assistência de enfermagem.