bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of Cognitive-Behavioral Therapy on Dietary Adherence of Patients with Ischemic Heart Disease: A Randomised Controlled Trial
Authors: Karimi Elham , Akbari Ali , Sayadi Ahmad Reza , Safarpour Hamid , Khodadadizadeh Ali 
Published: August 2019

Abstract
Background: It is generally accepted that diet is a key factor in increasing the risk of atherosclerosis and ischemic heart disease (IHD). Lifestyle changes can reduce the incidence of atherosclerosis. Psychological interventions are of the effective approaches to control dietary adherence. The aim of this study was to determine the effect of cognitive behavioral therapy (CBT) on the dietary adherence of IHD patients admitted to the critical care unit (CCU) of Ali ibn Abi Talib Hospital in Rafsanjan, Iran, 2018.
Methods: A randomised controlled trial was conducted through face-to-face interview on 50 patients admitted to the CCU. The samples were selected based on inclusion criteria and minimization method. The CBT was performed on the case group for three months. The researcher completed the food frequency questionnaire (FFQ) in three periods of baseline, one month and three months after the last session of intervention. Finally, the data were analyzed by SPSS version 18 software using independent t-test, paired t-test, Chi-square and Fisher tests.
Results: Overall, 50 IHD patients (25 controls, 25 cases) were enrolled in our study, consisting of 17 females (10 cases, 7 controls) and 33 males (15 cases, 18 controls). The mean age of patients participating in this study was 61 years. The mean score of dietary adherence in case and control groups at the baseline did not differ significantly (P> 0.05), but showed a significant increase after one and three months of intervention for the case group (p <0.05).
Conclusion: The results of this study showed that CBT intervention could improve dietary adherence in the IHD patients. Therefore, nurses and community health professionals can use the influence of this type of intervention on the diet modification of patients in their healthcare programs.
Trial registration: This study was registered on Iranian Registry of Clinical Trials with the registration code of IRCT20171002036498N2.
Trends in prevalence and correlates of intimate partner violence against women in Zimbabwe, 2005-2015
Authors: Mukamana Jeanette Iman'ishimwe , Machakanja Pamela , Adjei Nicholas Kofi 
Published: August 2019

Abstract
Background: Intimate partner violence (IPV) is a widespread problem affecting all cultures and socioeconomic groups. This study explored the trends in prevalence and risk factors associated with IPV among Zimbabwean women of reproductive age (15-49 years) from 2005-2015.
Methods: Data from the 2005/2006, 2010/2011 and 2015 Zimbabwe Demographic and Health Survey (ZDHS) on 13,409 women (survey year: 2005/2006; n=4,081), (survey year: 2010/2011; n=4,411) and (survey year: 2015; n=4,917) were analyzed. Multiple logistic regressions and hierarchical modelling techniques were applied to examine the associations between demographic characteristics, socioeconomic status, media exposure and IPV against women. We further estimated the prevalence of IPV over time.
Results: The prevalence of IPV decreased from 45.2% in 2005 to 40.9% in 2010, and then increased to 43.1% in 2015. Some of the risk factors associated with IPV were younger age, low economic status, cohabitation and rural residence. Educational attainment of women was however not significantly associated with IPV.
Conclusions: The findings indicate that women of reproductive age are at high and increasing risk of physical and emotional violence. There is thus an urgent need for an integrated policy approach to address the rise of IPV related physical and emotional violence against women in Zimbabwe.
Keywords: Intimate Partner Violence (IPV); Trends; Risk factors; Demographic and Health Surveys (DHS); Zimbabwe
Nalbuphine on postoperative gastrointestinal tract dysfunction after laparoscopic surgery for gynecological malignancies: a randomized controlled trial
Authors: Chen Jiawei , Tian Lin , Zhang Le , Hu Jianying , Huang Shaoqiang , Jiao Jing 
Published: August 2019

Abstract
Background

The aim of this study was to compare the effects of nalbuphine and sufentanil on the gastrointestinal (GI) tract after laparoscopic surgery for gynecological malignancies.

Methods

A total of 100 patients aged between 18-70 years with American Society of Anesthesiologists (ASA) physical status I-II who scheduled for laparoscopic radical hysterectomy under general anaesthesia were enrolled. Patients were randomized to receive either sufentanil (Group S) or nalbuphine (Group N) to receive either sufentanil (Group S) or nalbuphine (Group N) in the intraoperative and postoperative periods. The time to the first passage of flatus, the time to the first defecation, the time to the toleration of diet, the serum gastrin and the length of hospital stay were compared between the groups. Postoperative pain by visual analogue scale (VAS), the number of PCA(patient-controlled analgesia)s, postoperative nausea and vomiting, and dizziness were compared between the groups.

Results

The time to the first passage of flatus(p =0.551), the time to the first defecation(p =0.310), the time to the toleration of diet(p =0.182), the serum gastrin(p =0.397), the number of postoperative nausea(p =0.920), vomit(p =0.334) and PCA events(p =0.167) and the length of hospital stay(p =0.482) were not significantly different between the two groups. VAS scores at postoperative 6 h(p=0.008), 12 h(p =0.002) and 24 h(p =0.013) were lower in Group N than in Group S.

Conclusions

Compared with sufentanil, nalbuphine was not associated with improved postoperative GI dysfunction after laparoscopic surgery for gynecological malignancies, but it was associated with reduced postoperative pain.
The role of natural antioxidants in the prevention of periodontal diseases
Authors: Zakrzewski Mateusz , Ostrowska Anna , Magdalena Zakrzewska , Elżbieta Maciorkowska 
Published: August 2019

Abstract
Background: Oxidative stress is a key causative factor in chronic inflammation and plays a key role in the pathogenesis of many chronic inflammatory diseases, including periodontitis. A properly balanced diet abundant in vegetables and fruits can be a rich source of biologically active substances that inhibit reactions with oxygen and ozone. The aim of the study is to assess the influence of natural antioxidants contained in vegetables and fruits on the occurrence and progression of periodontal diseases.
Methods: The study covered a group of 368 students of the third grade (at the age of 18) of general secondary schools from the urban environment. The surveyed youth completed a survey regarding their dietary and hygienic habits. Subsequently, they participated in an oral cavity study in which the values of the plaque PL.I and gum GI index were assessed.
Results: The beneficial effect on periodontal tissues resulted from eating of fruits and vegetables and frequent consumption of apples and carrots (median GI = 0). Eating of potato chips and crisps and the use of quick-service bars intensified gingivitis (median GI = 0.1).
Conclusions: A diet intensifying oxidative stress influenced the deterioration the clinical status during the developmental age.
Randomized, double-blind, placebo-controlled study of the analgesic effect of intraoperative esmolol for laparoscopic gastroplasty
Authors: de Morais Vinicius Barros Duarte , Sakata Rioko Kimiko , Huang Ana Paula Santana , Ferraro Leonardo Henrique da Cunha 
Published: August 2019

Abstract
Background

Patients undergoing bariatric surgery can have respiratory complications in addition to vomiting and ileus. Esmolol can decrease the consumption of opioids, reducing their side effects. The purpose of this study was to evaluate the analgesic effect of esmolol in patients allocated to laparoscopic gastroplasty.

Methods

Forty patients between 18 and 50 years old, of both genders, physical status ASA I-II, who underwent bypass gastroplasty were divided into two groups. Participants in group 1 received a 0.5 mg/kg bolus of esmolol in 30 mL of saline before induction of anesthesia, followed by infusion of 15µg/kg/min until the end of surgery; those in group 2 received 30 mL of saline bolus and infusion of solution in the same volume as group 1. The anesthesia included fentanyl (5ug/kg), propofol (2-4 mg/kg), rocuronium (0.6 mg/kg), 50% oxygen without nitrous oxide and 2% sevoflurane, with remifentanil if necessary. There were evaluated: remifentanil consumption, time to analgesic supplementation, pain intensity for 24 h and morphine dose over 24 h. Side effects were noted.

Results

Intraoperative remifentanil supplementation, time to recovery, and postoperative morphine supplementation were lower in the esmolol group; there was no difference in time for the first supplementation. Pain intensity was lower, except at T0 and after 12 h. There were no differences in side effects.

Conclusions

Intraoperative esmolol promotes an analgesic effect without causing adverse effects, making it an effective drug for multimodal analgesia for gastroplasty.
The Effect of Antibiotics on Post-adenotonsillectomy Morbidity in Tanzanian Children: Study Protocol for a Randomized Double-blind Placebo-controlled Trial
Authors: Katundu Denis Robert , Shija Peter Stephen , Nyombi Baltazari , Semvua Hadija , Oussoren Fieke K , Heerbeek Niels van 
Published: August 2019

Abstract
Background Adenotonsillectomy is the most frequently performed operation in children worldwide. For decades prophylactic antibiotics have been prescribed to limit postoperative complications. In a Cochrane review the effect of this antibiotic use has been refuted. However, all reviewed studied were done in developed countries. In Tanzania, like many other developing countries with limited resources and a high burden of infectious diseases, postoperative antibiotic prescription is still very common to decrease the supposed higher postoperative morbidity. However, as a consequence of this widespread use of postoperative antibiotics cross-resistance and risk of allergic side effects rise. Well designed randomised controlled trials are needed to limit unnecessary antibiotic prescription and secondary antibiotic resistance. Aim The aim of this study is to analyse the prophylactic role of postoperative antibiotic on the morbidity following adenotonsillectomy in children in Tanzania. Design A double blinded randomised placebo controlled trial set in northern Tanzania. Participating centres are the department of otolaryngology at Kilimanjaro Christian Medical Centre (KCMC) in Moshi and the department of paediatric surgery at the Arusha Lutheran Medical Centre (ALMC) in Arusha. Methods Around 270 children aged 2 to 14 years, all scheduled for elective (adeno)tonsillectomy, will be included and assigned to receive either a standard regimen of 5 days antibiotic prophylaxis or placebo after surgery. The primary outcomes are postoperative haemorrhage, raised temperature, pain and consequent need for analgesics. Secondary outcomes are the time until normal diet is resumed, the time until normal activities are resumed and the occurrence of adverse events. Finally, microbial recolonization of the tonsillar beds is analyzed. Discussion This study will enhance increase of proper antimicrobial prescription in Tanzanian institutions as well as other resource-limited countries where prescription of antibiotics is still very common. In addition, it might augment current knowledge about surface and core tonsillar micro-organisms and sensitivity patterns.
A Virtual Reality based intervention for surgical patients: study protocol of a randomized controlled trial
Authors: Georgescu Raluca , Dobrean Anca , Silaghi Cristina Alina , Silaghi Horațiu 
Published: August 2019

Abstract
Background: Pain after surgery is normal, and treatments, including both pharmacological and psychological components, are fundamental for a proper postoperative care. While several trials have investigated the analgesia effect of traditional non-pharmacological treatments, such Cognitive Behaviors Therapies for pain after surgery, the newer ways of delivering psychological interventions are paucity investigated. The aim of this randomized controlled trial (RCT) is to determine if delivering the psychological content through Virtual Reality (VR) along with the standard pharmacological treatment return better pain outcomes then standard care in adults patients following surgery.
Methods: This is a protocol of a parallel RCT conducted in one community hospital. In the following day after surgery, adults (18 to 65 years) will be randomly assigned to either (1) standard treatment after surgery (control group) or (2) VR based intervention along with standard treatment. A minimum of 27 patients is intended to be recruited in each group. For estimating the intensity of pain, both self-report and physiological measures will be used. Repeated measures of pain outcomes will be taken before and after the intervention. Moreover, for allowing in-depth investigation on the effect of VR environments, the estimates of pain intensity will be complemented with measures of the adverse effects, level of immersion, and level of presence in the VR environment.
Discussion: It has already been established that VR can improve the outcomes of pain treatment at burn patients. Successful implementation in post-operative settings has the potential to change the recovery trajectory of individuals with surgical interventions. However, the best mode of implementation in terms of efficacy, acceptability, and side effects is still unclear. The present trial will provide guidance for pain interventions to be implemented on large scale and will provide scientific support in discussing treatment options for individual patients.
Trial registration status: ClinicalTrials, NCT03776344. Retrospectively registered in December 14, 2018, https://clinicaltrials.gov/ct2/show/NCT03776344.
Prevalence and Risk Factors of Active Trachoma among Rural Preschool Children in Wadla District, Northern Ethiopia: A Community Based Cross-Sectional Study
Authors: Kassaw Mesfin Wudu , Abebe Ayele Mamo , Tegegne Kirubel Dagnaw , Getu Mikiyas Amare , Bihonegn Woldemichael Tadesse 
Published: August 2019

Abstract
Background፡ Trachoma is a neglected eye problem and primary cause of preventable corneal blindness. In endemic areas, initial infection occurs in early childhood, and recurrent infection progress to scarring and blindness. In the past four decades, GET2020 initiative eliminated Trachoma from developed countries through enhancements of hygiene and sanitation but still a problem of developing countries. Studies and reports also indicated the presence of high prevalence of Trachoma in Ethiopia and in the study area. Thus, the purpose of this study is to assess the prevalence and risk factors of active trachoma among rural preschool children in Wadla district, Ethiopia.
Methods: A community based cross-sectional study design was considered to gather data from 583 children using sample size determination, but 596 children were screened for signs of active trachoma because of the sampling procedure nature, cluster sampling technique. Wadla district has 150 rural villages, which are similar in topography and socio-demographic status. Based on rule of thumb 30 villages (clusters) were included for the data collection.
An interview on socio-demographic data were collected by health informatics professionals using structured interview questioners, which were prepared through reviewing previous literatures and pretested in Meket Woreda. Eye examination was performed by Integrated Eye Care Workers who trained for one month for the purpose of trachoma screening by Carter center-Ethiopia.
Results - The prevalence of active trachoma among rural pre-school children in Wadla district was 130 (21.8%). Regarding risk factors, poor economic status (AOR (95% CI), (3.8 (1.3-11.4), being 37- 48 months old (AOR (95% CI), (4.2 (1.5-12.0), thatched house roof (AOR (95%CI), (4.4 (1.4-13.6), presence of fly in nearby home (AOR (95% CI), 4.6 (2.1-9.9), once weekly face washing frequency (AOR (95% CI), 8.6 (2.5-29.3), unwashed face for longer than a week (AOR (95% CI), 10.6 (2.9-37.7), not using soap (AOR (95% CI), 4.5 (1.8-11.3), and absence of latrine (AOR (95% CI), 5.1 (2.0-12.9) have association with active trachoma.
Conclusion: Environmental factors weigh other factors and this could capture the intention of policy makers to emphasize on the environmental components like sanitation including face cleanness to decrease the prevalence of trachoma
The clinical and radiographic outcomes of stand-alone Oblique Lateral Interbody Fusion in Treatment of Adult Degenerative Scoliosis
Authors: Liu Chen , Ge Xin , Zhang Yu , Xiao Liang , Xu Hongguang 
Published: August 2019

Abstract
Background The minimally invasive treatment for adult degenerative scoliosis has
become more and more popular. The purpose of this study was to evaluate the efficiency of stand-alone oblique lateral interbody fusion for the treatment of adult degenerative scoliosis in terms of clinical and radiological outcomes.

Methods A total of 18 patients with ADS who underwent stand-alone OLIF in our hospital from July 2017 to May 2018 were enrolled in the study. Clinical evaluations were performed with visual analogue scale (VAS) and Oswestry Disability Index (ODI). Radiographic outcomes were recorded in terms of coronal Cobb angle and lumbar lordosis.

Results Mean patient age was 62.4 years, 50% of patients were female. Average follow up was 18.4 months. The average operative duration was 87.4 minutes, whilst the mean estimated blood loss was 45.6 ml. Mean coronal Cobb angle corrected from preoperative 15.2° to the final follow-up 6.8° (p < 0.05); and mean lumbar lordosis improved from preoperative 30.0° to 39.4° (p < 0.05). Mean disc height increased from preoperative 0.7 cm to 1.1 cm at final follow-up (p < 0.05). Mean VAS improved from 5.5 to 2.2 (p < 0.05). The mean preoperative and the final follow-up Oswestry Disability Indices were 27.8% and 13.1% respectively (p < 0.05).

Conclusions Stand-alone OLIF could be regarded as an efficient and safe option in the treatment of ADS for careful selected patients.
Dementia assessment and diagnostic practices of healthcare workers in rural southwestern Uganda: a cross-sectional qualitative study
Authors: Kamoga Ronald , Rukundo Godfrey Z. , Wakida Edith K. , Nakidde Gladys , Obua Celestino , Buss Stephanie S. 
Published: August 2019

Abstract
Background

An estimated 50 million people worldwide have Alzheimer’s disease and related dementias (ADRD), and this number is projected to increase with the growth of the aging population, with the largest growth occurring in low and middle-income countries. Diagnostic coverage for dementia is estimated to be only 5-10% in low- and middle-income countries. Timely diagnosis of ADRD could prompt early access to information, medical treatments, and support for caregivers. The aim of this study was to assess how healthcare workers in rural southwestern Uganda assess for and diagnose ADRD.

Methods

We used in-depth interviews to investigate the medical knowledge and clinical practices surrounding ADRD diagnoses in healthcare workers working at mid-tier health facilities in southwestern Uganda. Qualitative content analysis was used to identify distinct categories and themes.

Results

In our sample, healthcare workers without specific mental health training assessed and diagnosed dementia based on history and physical examination alone. On the other hand, healthcare workers with some specialized training in mental health were more likely to use neuropsychological tests, blood tests, urine tests, and brain imaging in the diagnosis of dementia. Collateral history from caregivers was noted to be very important in proper assessment and diagnosis of dementia among all categories of healthcare workers. The majority of healthcare workers regarded memory loss as part of the normal aging process and reported that it does not need any specific treatment. Other healthcare workers could recognize signs and symptoms of dementia, but focused on managing other medical problems at the expense of assessing cognitive decline and mental health. Diagnostic practices did not differ based on age, years of experience, or gender of the healthcare workers.

Conclusion

These results indicate that specialized training in mental health among healthcare workers is crucial for the assessment and diagnosis of ADRD in rural southwestern Uganda.
Blood Pressure Control Practice and Determinants among Ambulatory Hypertensive Patients Attending Primary Health care facilities in Addis Ababa
Authors: Amare Firehiwot , Nedi Teshome , Berhe Derbew Fikadu 
Published: August 2019

Abstract
Background

Hypertension is the major risk factor for cardiovascular diseases (CVDs) related morbidity and mortality. Blood pressure (BP) is often not adequately controlled in clinical practice. Information regarding BP control in primary care settings is limited in Ethiopia.The aim of this study was to assess BP control and associated factors among hypertensive patients attending primary healthcare facilities in Addis Ababa.

Methods

A cross sectional study was conducted in 12 health centers in Addis Ababa city selected by multistage sampling. A total of 616 hypertensive patients were included by a systematic random sampling technique. Data was collected by patient interview and patients’ medical record review.

Results

Out of 634 study participants, 616 had complete information onmedical record and during patient interview. The mean age of study participants was 58.90 (SD 13.04), most of them 321(52.1%) were ≥60 years old, and on monotherapy 485(78.9%). Methyldopa was the most monotherapy prescribed,128 (20.8%). Only 31%(n=191) of patients had controlled BP. Determinants for poor BP control were age of less than 60 years (Adjusted Odds Ratio (AOR)= 3.06, 95% CI: 1.96, 4.78), work status; government employee (AOR= 2.41, 95% CI: 1.18, 4.90), retired (AOR=1.79, 95% CI: 1.01, 3.18), private business (AOR= 2.09, 95% CI: 1.17, 3.74) and being hypertensive for 10 or more years (AOR= 1.96, 95% CI: 1.11, 3.43). Significant predictors of achieving controlled BP were; weekly BP measurement (AOR 0.57, 95% CI: 0.36, 0.90) and tertiary level education (AOR= 0.26, 95% CI: 0.13, 0.54).

Conclusion

Only one third of patients had controlled BP. Effort should be made to address identified determinants including age, regular BP monitoring and level of education.
Objectively-measured physical activity patterns and longitudinal weight category status in a rural setting
Authors: Cook Ian 
Published: August 2019

Abstract
Objectives

To investigate the relationship between longitudinal weight-change and objectively-measured physical activity in a rural African setting in 143 adults, using data from two cross-sectional surveys, separated by approximately ten years. Participants who had data for age, sex, body mass and stature measured in two health surveys were categorised into three weight-change groups (Weight-loss: ≥25 kg.m-2→<25 kg.m-2; Weight-gain: <25 kg.m-2→≥25 kg.m-2; Weight-stability: remained <25 kg.m-2 or ≥25 kg.m-2). Daily ambulation and energy expenditure, measured in the 2005-7 health survey, was examined across the weight change groups. Using the daily energy expenditure data, the proportion of those in the weight-change groups, meeting or not meeting two physical activity guidelines (150- and 420 min.wk-1), was examined.

Results

Weight-change was found in 18.2% of the sample. There was no significant overall body mass change (+1.2 kg, p=0.1616). However, there was significant change in body mass in the weight-gain (+15.2 kg) and weight-loss (-10.8 kg) groups (p≤0.0011). Nearly 90% of those who gained weight met the 150 min.wk-1 guideline. A significantly greater proportion of the weight-stable group (<25 kg.m-2) met the 420 min.wk-1 guideline (p<0.05). Ambulatory level was high irrespective of weight group, although the weight-stable group (<25 kg.m-2) approached 15 000 steps.day-1.