bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors affecting clinical experience of nursing students in Malaysia: A cross-sectional study
Authors: Baba Nurul N. H. , Govindan Subhashini N. , Ghani Basirah A. , Shet Duangta , Pek Y.S 
Published: November 2024

BACKGROUND:
Nursing education covers pathophysiology, nursing procedures, and compassionate care. Nursing students can apply theory and develop skills in the real world by participating in a supportive learning environment. For nursing students to effectively apply what they have learned in the classroom, they need a supportive clinical learning environment. However, some difficulties and impediments may prevent them from learning and having excellent clinical placement experiences. This study aims to identify factors affecting nursing students’ clinical experience during clinical placement.

MATERIALS AND METHODS:
The respondents in this descriptive cross-sectional study were at Universiti Kuala Lumpur (RCMP) Diploma in Nursing students in Ipoh, Perak, who had more than two clinical placements at a public hospital. The time frame of the study was 6 months. Sociodemographic information and elements affecting clinical practice, such as perceptions of clinical experience, hospital settings, and clinical instructor aspects, were obtained by a self-administered questionnaire. A descriptive analysis and the Kruskal–Wallis test were used to obtain the study’s outcome.

RESULTS:
Although the clinical placement demonstrated possibilities for learning, research has shown that the absence of instructors, equipment, and nursing staff has a negative impact on students’ experiences. The study also discovered a substantial correlation between a student’s semester and their clinical experience and between the clinical environment and the contributions of clinical instructors with P < 0.05.

CONCLUSION:
In conclusion, the study semester, clinical experience, clinical ambient characteristics, and instructors’ contributions are strongly correlated. It suggests boosting academic-clinical collaboration, interprofessional collaboration, and student clinical experiences.
The role of combined problem-based learning (PBL) and case-based learning (CBL) teaching methodologies in dental education
Authors: Manas Abhigyan , Ismail Prabu Mahin Syed , Mohan Rohini , Madiraju Guna Shekhar , Mulla Mushir , Mulla Munaz , Babaji Prashant 
Published: November 2024

BACKGROUND:
Innovative methods of teaching such as problem-based learning (PBL) and case-based learning (CBL) have shown promising results in academic understanding and application and enable one to manage their patients in a better manner. The study aimed to analyze the role of a combination of PBL and CBL teaching methodologies in a dental teaching institute in India.

MATERIALS AND METHODS:
This prospective, cross-sectional randomized study comprised 500 students divided into two study groups, each consisting of 250 participants. Students in group A were provided PBL, whereas students in group B were exposed to CBL, followed by which questionnaire was distributed. Responses received were analyzed statistically for significance set at below 0.05.

RESULTS:
In this study, statistical difference in learning methods was observed with organizational capacities, self-process of learning, finding solutions for clinical diagnosis, encouraging self-learning, and developing skills for critical thinking process while comparing the PBL or CBL methodologies.

CONCLUSION:
According to this study’s findings, improvement in one’s knowledge and clinical skills by a subject is much better when both of these techniques are combined.
Comparing skills-based and lecture-based education on female adolescents’ knowledge, attitudes, and practices regarding menstrual health in puberty: A quasi-experimental study
Authors: Yogesh M , Trivedi Nidhi , Shah Viral , Lakhtaria Matika , Ladani Hemangi , Trivedi Dhruvi 
Published: November 2024

BACKGROUND:
Improving the health knowledge, attitudes, and practices (KAP) of female adolescents during puberty is essential for their well-being, empowerment, and prospects. To compare the effects of skills-based versus lecture-based education on KAP regarding menstrual health among adolescent girls in Gujarat, India.

MATERIALS AND METHODS:
A quasi-experimental study with 100 girls aged 12–16 years assigned to skills-based (n = 50) or lecture-based (n = 50) 8-week puberty education programs. KAP was assessed at baseline, post-intervention, and 2-month follow-up using validated questionnaires.

RESULTS:
The skills-based group showed significantly greater improvements in knowledge (P < 0.001), attitudes (P < 0.001), and practices (P = 0.006) from baseline to post-intervention compared to the lecture group. These improvements were sustained at 2-month follow-up (knowledge (P < 0.001), attitudes (P < 0.001), and practices (P = 0.04)). Qualitative feedback highlighted increased enjoyment, engagement, and confidence in applying skills in the skills-based group.

CONCLUSIONS:
Skills-based menstrual health education was more effective than traditional lecturing for improving KAP among adolescent girls. Interactive learning equips girls with transferable skills for managing menstruation safely and with dignity. Schools should implement skills-focused curricula during puberty.
Knowledge, practices, and perceived barriers on breast self-examination of female college students: Experience from a local higher education institution
Authors: Tiongco Raphael Enrique , Castro Eliezer John , Baco Alyssa Denisse , Casiguran Sarah , De Jesus Ma. Allona , Dimatulac Evangel , Ferreras John Dominic , Gilbuena Chloe , Sunglao Angelie Rose , Santillan Jennifer , Navarro Annalyn 
Published: November 2024

BACKGROUND:
Breast self-examination (BSE) is an inexpensive, harmless screening tool for finding breast cancer. This study examines the knowledge, practices, and perceived barriers of female college students from a local higher education institution (HEI) regarding BSE, focusing on those in the reproductive age group.

MATERIALS AND METHODS:
Three hundred sixty (360) female college students, including 226 health sciences majors and 134 non-health sciences majors, were selected through criteria sampling. Data were collected using a self-administered questionnaire to assess knowledge, practices, and perceived barriers.

RESULTS:
Key findings reveal that despite excellent BSE practices (52.5%), a significant proportion of respondents (51.7%) demonstrated insufficient knowledge about BSE. The main barriers to BSE execution were fear of discovering concerning findings and fear of being diagnosed with breast cancer. Health science majors exhibited significantly higher knowledge and practices than non-health science students, perceiving lower barriers. Age was found to have no significant impact on the variables examined. Majors and perceived barriers were not associated with BSE, but knowledge showed a significant association. Despite their excellent practices, participants’ unsatisfactory knowledge regarding BSE suggests the need for effective interventions. Barriers primarily stemmed from fear, including the fear of a breast cancer diagnosis and the fear of learning about potential issues.

CONCLUSION:
The study highlights the association between knowledge and BSE practices, emphasizing the importance of knowledge development and overcoming perceived barriers to improve BSE practices and encourage greater engagement.
Improving diabetes self-management and control through individualized patient counseling: A quasi-experimental study
Authors: Yogesh M , Nagda Jay , Babaria Dhruvam L. , Misra Swati 
Published: November 2024

BACKGROUND:
Diabetes is one of the most common chronic diseases, affecting a large proportion of the global population. This study aims to evaluate the effects of individualized patient counseling on diabetes self-management.

MATERIALS AND METHODS:
This quasi-experimental study utilized a non-randomized two-arm pre-post design. It was conducted at the out-patient clinics of a tertiary care hospital, Gujarat, from February 2023 to August 2023. There were 300 type 2 diabetes patients who belonged to an intervention group receiving 3 monthly 30-minute individualized counseling sessions (n = 150) or a control group continuing usual care (n = 150). Assessments at baseline and 3 months post-intervention compared treatment effects. The outcomes measured were diabetes knowledge, attitudes/beliefs, medication/lifestyle adherence, self-reported quality of life, blood pressure (BP), and HbA1c. The intervention covered medication and lifestyle guidance, self-monitoring skills, barrier identification, and problem-solving with a focus on patient empowerment. The analysis compared within- and between-group changes.

RESULTS:
At 3 months, counseled patients showed significantly greater improvements in knowledge (difference 13.6 points), self-care abilities (lifestyle adherence difference 6.6 points), 5.9 mmHg extra drop in systolic BP, and 0.6% higher HbA1c reduction versus controls (all P < 0.05). Greater knowledge gain is strongly correlated with improved HbA1c (r = 0.42). Patients reported medication counseling as the most useful and cost and cultural dietary habits as key ongoing barriers.

CONCLUSION:
Individualized counseling promoted better self-management behaviors, improved clinical measures, and subjective well-being in diabetes patients versus usual care alone. Routine Counseling should be considered to complement medical management in high-risk chronic diseases.
Assessment of nursing student’s beliefs about healthy dieting
Authors: Ahmed Mahmoud M. , Hussein Ahmed A. , Younis Nasir M. 
Published: November 2024

BACKGROUND:
A balanced diet can prevent the development of long-term health issues such as diabetes, obesity, high blood pressure, heart disease, and cancer. The study’s goal was to assess the nursing students’ attitudes toward sensible dieting.

MATERIALS AND METHODS:
The current study was conducted using a descriptive study design. The study ran from December 15, 2022, to April 15, 2023. The probability sampling method simple random was used to select (288) males and females. The sample was collected by direct interviews with students, face to face. The data were collected by developing a questionnaire based on the previous study and the collected data was arranged, analyzed, and presented in descriptive statistics by using “Statistical Package for the Social Sciences program version 26”.

RESULTS:
The research indicates that there are noteworthy obstacles to adopting a healthy diet among students, with a standard deviation of 0.611 and a mean of 3.1462. With a standard deviation of 0.569, the perceived benefits of healthy dieting were 4.110.

CONCLUSION:
The researchers concluded that maintaining a healthy state through adherence to a healthy diet is significantly hampered by personal, social, and organizational factors.
Telemedicine and information technology in health care management: Perspectives and barriers among the nursing students
Authors: White N Sheeliya , Franklin S Sathya , Juliet N , Amalanathan Selvia Arokiya Mary , Kanagaraj Puvaneswari , Babu Anasani Somasekhara 
Published: November 2024

BACKGROUND:
Telemedicine refers to using electronic information and telecommunication technologies to support numerous aspects of healthcare, including clinical care, patient and professional education and training, public health, and health administration. However, many challenges hinder the widespread adoption of telemedicine by healthcare providers. This study aimed to assess the perspectives and barriers in telemedicine and information technology in health care management among nursing students.

MATERIALS AND METHODS:
A cross-sectional study was conducted among 60 nursing students enrolled in the third and fourth years. The sample was selected using a nonprobability purposive sampling technique from students studying at the Applied Medical Science Colleges for Females, University of Bisha. Data collection was facilitated through a structured questionnaire, and the gathered data were analyzed using SPSS version 22. The study was conducted between August 15, 2022 and November 20, 2022.

RESULTS:
61% of students believe that telemedicine will lead to a reduction in travel time, costs, and effort. Approximately two-fourths of the sample’s perspectives revolve around concerns regarding privacy, medical errors, and camera comfort. However, more than 30% of participants agree that telemedicine will improve the quality of patient care, decrease waiting times, be beneficial for patient care in remote areas, and assist in providing appropriate information during emergency. 59% of respondents identified the lack of time or busy schedules as the most frequently reported barrier to using telemedicine. Following this, concerns regarding privacy, confidentiality, unreliable Internet connections, and inadequate knowledge about computer technology and Information Management Systems were also commonly cited as barriers. These factors were identified as the primary obstacles hindering the progress of telemedicine.

CONCLUSION:
This study concluded that telemedicine is a critical tool to address the challenges of limited medical resources in healthcare facilities. However, reduced healthcare costs and waiting time and improved patient access to healthcare in remote areas all helped promote telemedicine implementation. In these remote areas, telemedicine has the potential to bridge this distance and facilitate healthcare.
Improving the quality of psychiatric residency training in Isfahan University of Medical Sciences by learning teams and changing curriculum implementation: An action research study
Authors: Amel Afsaneh Karbasi , Jamshidian Sepideh , Haghani Fariba 
Published: November 2024

BACKGROUND:
The deficiencies in the training of psychiatric residents in Isfahan, including the segregation of residency programs by year, the confinement of training to hospital departments, and the residents’ limited exposure to the perspectives of other faculty members, had not been given significant attention. However, the inevitable alterations in the Department of Psychiatry and the impact of the coronavirus disease 2019 pandemic have brought these issues to the forefront, highlighting the need for program modifications. The objective of this study is to enhance the quality of psychiatric residency training by changing the implementation of the curriculum.

METHODS AND MATERIALS:
This proactive action research was conducted in six steps. In the first step, the expectations of a new action were identified. In the second step, the new action – creating learning teams – was designed and implemented; thus, eight learning teams comprising experienced professors, novice professors, and residents from various academic levels were created, who collectively engaged in patient visits, psychotherapy, counseling, and educational sessions. Additionally, the portfolio was used in the training and evaluation of the residents. Steps 3 to 6 involved evaluation using a researcher-made questionnaire, analysis and interpretation of results, and reflection and making decisions for future actions.

RESULTS:
Step 1 resulted in preparing a list of department expectations from new action. The second step yielded the design of a new action. The survey results showed that more than 60% of respondents agreed that the program had a positive impact on 12 out of 15 items in the questionnaire, particularly in enhancing teamwork skills, facilitating discussions about patients, and fostering residents’ accountability. However, in items related to portfolio, this percentage ranged from 40% to 53%.

CONCLUSION:
The implementation of learning teams as the main action in the current study has yielded positive outcomes; however, the portfolio intervention requires some adjustments. Hence, it is advisable to employ learning teams in comparable circumstances. The research team anticipates that these outcomes will enhance the quality of psychiatric residency training, positioning the country among the leading and influential nations in the region.
Effectiveness of cognitive-behavioral therapy on mental health, life expectancy, and happiness in patients receiving methadone maintenance treatment
Authors: Amiri Parisa , Rasouli-Azad Morad , Afshari Behrooz , Chehri Azita , Amiri Mehdi , Rezaie Zeinab 
Published: November 2024

BACKGROUND:
Nowadays, the issue of substance abuse is one of the major problems facing most countries in the world. The present study aimed to evaluate the effectiveness of cognitive-behavioral therapy (CBT) on mental health, life expectancy, and happiness in patients receiving methadone maintenance treatment (MMT).

MATERIALS AND METHODS:
The present study was performed from February 2021 to January 2022. The study was a clinical trial in which 60 people under MMT in psychology clinics in Kashan (Iran) were randomly assigned to the intervention and control groups (30 in each group) using purposeful sampling. Data were collected using the General Health Questionnaire, Schneider Hope Questionnaire, and Oxford Happiness Questionnaire in three stages: baseline, post-treatment, and follow-up. The data were analyzed using a mixed repeated-measures analysis of variance.

RESULTS:
The results showed that CBT is effective in improving mental health (P < 0.001), increasing life expectancy (P < 0.001), and increasing happiness (P < 0.001) in patients receiving MMT.

CONCLUSION:
Mental health, life expectancy, and happiness are important and influential issues in the lives of patients under MMT, which are promoted with CBT plus MMT. Therefore, in general, it can be concluded that CBT plus MMT has a significant effect on mental health, life expectancy, and happiness.
Iranian midwives’ experiences of using the World Health Organization’s Safe Childbirth Checklist: A qualitative research
Authors: Kamrani Atefeh , Iravani Mina , Abedi Parvin , Najafian Mahin , Khosravi Shahla , Alianmoghaddam Narges , Cheraghian Bahman 
Published: November 2024

BACKGROUND:
The goal of natural childbirth care is to have a healthy mother and baby with minimal interventions that are contrary to health. Worldwide, there is concern that non-evidence-based interventions and care in labor and childbirth will remain standard practice. Therefore, access to care related to pregnancy and childbirth is considered a priority. To address safety concerns during organized births, the Safe Childbirth Checklist (SCC) was created by the World Health Organization (WHO). This checklist is a tool that combines evidence-based practices that should be provided before, during, and after childbirth. As midwives have a vital role in using this up-to-date evidence, this study was conducted to explore Iranian midwives’ perception of using SCC.

MATERIALS AND METHOD:
This qualitative study was conducted from January 2022 to April 2023 in two public (teaching and nonteaching) hospitals in Ahvaz, Iran. Seventeen semi-structured interviews were conducted with midwives who had more than one year of work experience in maternity wards. Participants were selected purposefully. A content analysis approach was used to analyze the data and extract themes.

RESULTS:
All midwives had a positive attitude toward using SCC. The midwives’ reasons for being in favor of using the checklist during the clinical procedures of childbirth are summarized in four main themes, namely “standardized maternity care practices,” “SCC as a guide for performing essential childbirth practices,” “self-efficacy of midwifery care,” and “improved maternal and neonatal outcomes.”

CONCLUSION:
Midwives have endorsed this checklist as a guide to standard childbirth management. It seems that the use of this checklist will help to improve the health outcomes of mothers and babies by strengthening the self-efficacy of midwives.
Awareness of plagiarism: Adaption, validity, and reliability of questionnaires in Iranian medical sciences for post-graduate students
Authors: Sabaghinejad Zivar , Parsaei-Mohammadi Parastoo , Khanfari Narges 
Published: November 2024

BACKGROUND:
Academic plagiarism affects the ethical aspects of research and can be in relation with valid health information distribution. The aim of this research is designing, validating, and standardizing the plagiarism awareness questionnaire for awareness of plagiarism.

MATERIALS AND METHODS:
This study is cross-sectional and was done in medical sciences post-graduate students. Adaption, validity, and reliability were done. The validation population were 11 experts (one linguistics and ten medical library and information sciences). The reliability population includes 333 post-graduate students in Ahvaz Jundishapur University of Medical Sciences in 2022. Cultural adaption, face and content validity, reliability (exploratory and confirmed factor analysis), and correlation (Pearson coefficient) were checked using SPSS and Amos software ver24.

RESULTS:
Cultural adaption was confirmed based on the experts’ viewpoint using translation and re-translation. The CVR was 0.81, and content validity was confirmed. Exploratory factor analysis was conducted for a model with six factors and 30 items. Confirmatory factor analysis confirmed a model with six factors and 28 items (items 3 and 29 were removed). Cronbach’s alpha was 0.86. The plagiarism awareness model (PAM) has six factors, “authenticating”, “citing”, “understanding”, “insight”, “paraphrasing”, and “attitude”, which can explain 54.353% of variances. IFI = 0.759, CFI = 0.755, NFI = 0.717, AGFI = 0.789, GFI = 0.826, and RMSEA = 0.073, and the PAM model was confirmed. The results of Pearson correlation showed a significant correlation between all factors.

CONCLUSION:
The PAM model has six factors and 28 items and was confirmed for plagiarism awareness study. This model can be considered by managers and can be used in health promotion research studies.

PAPER TYPE:
Research Article.
A Large Calf Mass in a Patient with Rheumatoid Arthritis: Giant Pannus Filling Baker’s Cyst
Authors: Gupta Shivangi , Kanna Harish , Saran Sonal 
Published: November 2024

Abstract
Rheumatoid arthritis (RA) presents a significant challenge among autoimmune diseases, affecting millions globally with diverse clinical manifestations, primarily targeting joints and inducing inflammation, pain, and deformities. In some cases, it leads to the formation of Bakers cysts, fluid-filled bursae in the popliteal region, resulting from chronic inflammation of the synovial membrane and subsequent pannus growth. Our case, a young female patient with RA, presenting with calf mass, highlights this complex interplay. She presented with large swelling and pain in her left calf region which on high-frequency ultrasound revealed a large, well-defined heteroechoic mass lesion distending bursa between the medial head of the gastrocnemius and semimembranosus muscle, measuring 25 cm craniocaudally, without any color Doppler abnormality. Ultrasound-guided biopsy was performed to rule out the possibility of sarcoma and it revealed inflammatory changes. Final diagnosis of excessive pannus formation within the Baker’s cyst forming large mass was made, with RA identified as the underlying cause. The differential diagnosis of masses in the popliteal fossa includes synovial/meniscal/ganglion cysts, lipomas, vascular pathologies, and neoplastic conditions. High-resolution ultrasound is an important diagnostic modality for evaluating popliteal fossa masses. Magnetic resonance imaging is typically performed to assess for neoplastic causes and internal derangement of the knee. Our case of a massive pannus filling a Baker’s cyst in the context of RA emphasizes the intricate nature of the disease and its diverse clinical expressions. It is important for the radiologist to be aware of this imaging appearance for timely diagnosis and management.