bluuebunny/crossref_metadata_2025_split huggingface dataset:
A comparison of the effect of aromatherapy with Jasmine (Jasminum) and clary sage (Salvia officinalis) on sexual dysfunction in women of reproductive age: A randomized controlled clinical trial
Authors: Hajabdollahi Zahra , Loripoor Marzeyeh , Mohseni Maryam , Khalili Parvin 
Published: February 2025

BACKGROUND:
Sexual dysfunction affects various aspects of life. Aromatherapy is easier and less risky than other methods of taking herbal medicines. Against this backdrop, this study aims to compare the effect of aromatherapy with Jasminum and Salvia officinalis on sexual dysfunction in women of reproductive age.

MATERIALS AND METHODS:
This triple-blind randomized clinical trial was conducted on 168 women aged 15 to 45 who were referred to Rafsanjan Comprehensive Health Services Center no. 1 from February 2022 to June 2022, using a systematic sampling method. Individuals with an FSFI (Female Sexual Function Index) score of less than 28 were randomly assigned to 4 aromatherapy groups of Jasminum and Salvia officinalis as well as sweet almond (placebo) and control. The aromatherapy groups used the relevant aroma twice a day for 6 weeks, yet the control group received no intervention. After the completion of the intervention, the FSFI questionnaire was filled in once again by all participants. Besides, data analysis was conducted using the SPSS software, Chi-squared test, Fisher’s test, ANOVA, Kruskal–Wallis test, Wilcoxon test, and a paired samples t-test. In addition, a P value less than 0.05 was considered statistically significant.

RESULTS:
The median (IQR) score of sexual function before the intervention in Jasminum, Salvia officinalis, sweet almond, and control groups was 25.50 (21.27-82.25), 25.80 (20.27-57.50), 25.00 (23.27-10.10), and 25.90 (23.26-92.42), respectively. After the intervention, the score was 28.30 (25.30-60.45), 28.45 (25.31-90.12), 29.00 (27.30-10.80), and 25.35 (23.26-27.32) in the abovementioned groups, respectively. The comparison of the median score of sexual function in the four groups after the intervention showed a statistically significant difference between Jasminum, Salvia officinalis, and sweet almond groups with the control group (P < 0.001). Additionally, the effect of Salvia officinalis was higher than that of Jasminum in the domains of mental arousal, lubrication, and sexual pain (P < 0.0125).

CONCLUSIONS:
Both aromas, i.e., Jasminum and Salvia officinalis, were effective in improving sexual dysfunction in women of reproductive age. The effect of Salvia officinalis was better than that of Jasminum in the domains of mental arousal, lubrication, and sexual pain. More studies are recommended to be conducted in this field.
Uncovering essential skills for effective rheumatoid arthritis management: A qualitative grounded theory study
Authors: Bounabe Abdelaaziz , Elammare Siham , Janani Saadia 
Published: February 2025

BACKGROUND:
Effective management of rheumatoid arthritis (RA) relies on patients acquiring a specific set of skills. Patient education is a promising approach to achieve this. Despite extensive research in this area, a complete understanding of the necessary skills for persons living with RA remains elusive. This study aims to identify the essential skills required for individuals with RA, develop a hierarchical framework, and provide insights for targeted therapeutic education programs.

MATERIALS AND METHODS:
A qualitative approach using constructivist grounded theory was employed. Semi-structured interviews were conducted with (23) medical professionals specializing in RA and (16) RA patients. The data were analyzed using Atlas.ti software.

RESULTS:
Six major themes emerged: self-care and coping, emotional and psychological resilience, knowledge and literacy in RA, personal development, communication and relationship building, and self-learning and problem-solving. These themes suggest a hierarchical structure, with knowledge serving as the foundation and progressing to more complex skills such as problem-solving and communication.

CONCLUSION:
This study provides an overview of the multifaceted nature of the skills required for optimal RA management. The proposed hierarchical structure offers a robust framework for developing targeted therapeutic education programs. The findings highlight the significance of a patient-centered approach in the effective management of RA.
Iranian multiple sclerosis patients’ perceptions about the sources of support to reach adjustment: A qualitative content analysis
Authors: Goliroshan Soghra , Babamohamadi Hassan , Mohammadi Eesa , Baghbanian Seyed Mohammad , Asgari Mohammad R. 
Published: February 2025

BACKGROUND:
Most people with multiple sclerosis (MS) always crave for numerous sources of support to adjust to this health condition; however, there is limited information available about their perceptions and experiences of such sources. This study aimed to explore MS patients’ perceptions regarding the sources of support to reach adjustment.

MATERIALS AND METHODS:
This qualitative study was conducted in 2020–2022 through the conventional content analysis approach. Thirteen patients with MS, one patient companion, one nurse, and one physician were purposively and theoretically selected from the MS clinic of BouAli Hospital, Sari, Iran. Data were collected through face-to-face, in-depth, semi-structured interviews and were analyzed through the Graneheim and Lundman approach.

RESULTS:
Following data analysis, six sources of support emerged, including “family companionship,” “the relative companionship of the spouse,” “partial satisfaction with medical staff,” “inattention and partial satisfaction with the National MS Society,” “peers with empathic understanding,” and “friends companionship,” indicating the patients’ perceptions of these sources to reach adjustment.

CONCLUSION:
The MS patients had access to different sources of support to achieve adjustment. Married patients, particularly women, had a special feeling and experience of support. Most sufferers liked to talk with positive and high-spirited peers, and these sources of support had not met patients’ expectations and needs. Therefore, suggestions were given to the healthcare managers to plan for removing limitations and take effective measures to help the sufferers reach adjustment, and consequently promote their quality of life.
A comparative study of infection prevention and control curricula in nursing master’s degree programs worldwide, with practical suggestions for Iran
Authors: Gorjian Zahra , Asadizaker Marziyeh , Zarea Kourosh , Irajpour Alireza , Ahmadi Fatemeh , Rokhafroz Dariush 
Published: February 2025

BACKGROUND:
Emerging and re-emerging infectious diseases, particularly lessons learned from the last coronavirus disease 2019 (COVID-19) pandemic, have highlighted the importance of infection prevention and control (IPC) plans to battle against these life-threatening diseases. As frontline care providers, nurses must receive specialized training and possess the necessary skills to provide high-quality care to patients in infectious units. For this reason, master’s (MSc) degree programs in nursing should incorporate an IPC curriculum to train nurses in this area. This study aimed to compare the IPC curriculums offered by MSc degree programs across the globe and provide recommendations for developing an IPC curriculum in Iran.

MATERIALS AND METHODS:
A descriptive, cross-sectional, and comparative study was conducted to collect data on IPC-related curricula, in 2023. The data were obtained through a comprehensive literature search on scientific databases and websites of universities worldwide. All curricula that offered for IPC nursing MSc were included. Data were analyzed according to the Bereday model in four steps, including description, interpretation, juxtaposition, and comparison. The data collection instrument was a researcher-made checklist, which was used to extract data from the included curricula. This checklist consisted of items, which included course title; definition; objectives; implementation strategies; students’ evaluation, conditions and admission process, curriculum structure, course length, and type/number of units; expected capabilities, roles, and professional’s responsibility of graduates; and basic/optional units.

RESULTS:
According to the Bereday model, in the descriptive step, 19 curricula were identified. After interpreting, juxtaposition, and the comparison of their data, three curricula were related to IPC nursing. In other curriculums, the nurses could participate in nursing care with other experts but the content of the programs was not specialized. Expected capabilities of the graduates dealing with five categories of educational abilities, leadership and management, research and data interpretation, knowledge, and executive of basic sciences. The content of the units was three sections, including basic and professional courses and theses. Educational strategies were different in person or virtual and courses were theoretical and practical.

CONCLUSIONS:
Educational curricula for training IPC nurse specialists are rare in the world. Therefore, given the emergence of infectious diseases and their global burden, designing the IPC curriculum is vital. The curriculum designers of the IPC field in Iran should pay attention to Iran’s social, economic, cultural, national, regional, geographical, and international situation.
Multifaceted support for caregivers of stroke patients to meet the dynamic needs of patients: A qualitative study
Authors: Noorian Kobra , Masoudi Reza , Rafiee-Vardanjani Leila , Etemadifar Shahram , Rabiei Leili , Doosti-Irani Mehri 
Published: February 2025

BACKGROUND:
Caregivers of stroke patients always have various concerns in the process of patient care, which requires the full attention and support of healthcare professionals. Understanding their needs is essential for careful care planning. The present study aimed to discover and explain the needs of caregivers for stroke patients.

MATERIALS AND METHODS:
This qualitative content analysis was conducted with 24 purposefully selected participants who provide home care for stroke patients in Chaharmahal and Bakhtiari province, Iran, during 2019–2020. Data gathering was done through semi-structured interviews. Conventional content analysis was done, and trustworthiness was investigated through peer checking, member checking, and prolonged engagement based on Lincoln and Guba’s criteria.

RESULTS:
The main emerged themes showed caregivers’ needs including physical empowerment (to overcome overwhelming care and physical exhaustion, and caregivers’ deficit attention to self-care), emotional-social empowerment (to relieve caregivers’ mental exhaustion, disrupted family relationships, and disrupted social relations), coping with stigma (to cope with stigma of guilt and fear of others’ reactions and stigma of delegated care), and dynamics educational needs (big concern of hospital discharge and home care, constant effort to learn, and seeking help).

CONCLUSION:
The basic, complex, and multidimensional needs of caregivers are unmet. Forgotten caregivers are afraid of hospital discharge and home care. Formal organizations for training and support, providing temporary cares, and planning for destigmatizing the delegated care of relatives are required.
Investigating the pattern of transdiagnostic related to emotion regulation of adolescents with high-risk behavior and effectiveness of integrated transdiagnostic protocol on reduction of their anxiety, depression, and emotional dysregulation
Authors: Nikdanesh Meysam , Ashuri Ahmad , Gharraee Banafsheh , Farahani Hojatollah 
Published: February 2025

BACKGROUND:
The purpose of this study was to investigate the examining the transdiagnostic model related to emotion regulation of adolescents with high-risk behaviors and the effectiveness of transdiagnostic treatment on reducing anxiety, depression, and emotion dysregulation in students with high-risk behaviors.

MATERIALS AND METHODS:
The statistical population included all teenage students between the ages of 12–17 years studying in the academic year 2021–2022 in Tehran. For this purpose, 60 students who met the inclusion criteria were selected using a multistage cluster method and then randomly assigned to two experimental and control groups. Barlow’s transdiagnostic treatment package (special for adolescents) was performed on the experimental group by a clinical specialist during 12 one-hour weekly sessions. The participants answered Beck’s depression, Beck’s anxiety, and emotion regulation questionnaires in three stages: pretest, posttest, and follow-up. Data were analyzed using multivariate covariance analysis.

RESULTS:
The results showed that the transdiagnostic protocol can be effective in reducing emotional problems such as reducing anxiety, depression, and emotional dysregulation in the experimental group compared to the control group.

CONCLUSION:
According to the results obtained from the present study, similar transdiagnostic protocols can be used as effective methods to improve the emotional regulation of adolescents with high-risk behaviors.
Validity and reliability of the health belief model questionnaire for dietary patterns and physical activity in prediabetes
Authors: Nuryani  , Khomsan Ali , Dewi Mira , Dwiriani Cesilia Meti , Lukito Widjaja 
Published: February 2025

BACKGROUND:
The health belief model (HBM) questionnaire for dietary patterns and physical activity is important for assessing behavior in prediabetes subjects. Assessing health behavior important to design intervention that can control development of prediabetes. The study aimed to examine the validity and reliability of the HBM questionnaire for dietary patterns and physical activity in prediabetes.

MATERIALS AND METHODS:
A descriptive method was used comprising validity and reliability tests; specifically, the content validity was assessed by 10 panelists of nutrition in public health and education experts. Meanwhile, face validity and reliability tests were performed by 10 and 30 respondents, respectively. Content validity was conducted quantitatively with the content validity index (CVI), kappa statistics score, along with qualitative assessment. The reliability test was carried out based on Cronbach’s alpha.

RESULTS:
The results showed that CVI analysis and kappa statistics obtained values between 0.77–1 and -5.24–0.99, respectively. The face validity analysis produced a value >1,5, while the reliability test obtained Cronbach’s alpha value of 0,821. The final questionnaire was based on the recommendations of the panelists as well as the results of validity and reliability tests including 47 HBM item statements.

CONCLUSIONS:
The HBM questionnaire was found to be valid and reliable for assessing behavior about dietary patterns and physical activity in prediabetic. This instrument could be used by healthcare providers in studies and clinical practice to measure behavior dietary patterns and physical activity as well as to develop interventions for prediabetes.
Assessing the landscape: A comprehensive exploration of health care professionals’ readiness and perceptions toward implementing self-directed learning in Indian healthcare institutions
Authors: Singh Suman P. , Dulloo Puja , Vedi Neeraj , Singh Praveen R. 
Published: February 2025

BACKGROUND:
Healthcare professionals must be lifelong learners to deal with the challenge of technological advancements and scientific information load. Global accrediting organizations promote self-directed learning (SDL) for development of lifelong learning skills in medical graduates and are adopted in India with introduction of Competency-Based Medical Education. The aim of this study is to develop Faculty Self-Directed Learning Readiness and Perception Scale (FSDLRPS) suited for Indian context.

MATERIALS AND METHODS:
This is an observational and analytical study designed to develop and implement a validated scale suited to study the faculty readiness and perception toward SDL in Indian healthcare institutions using the Delphi technique. A 23-item FSDLRPS for healthcare educators was developed using a 12-member expert panel. The scale was implemented on healthcare educators after pilot testing. Demographic data, perceptions, and readiness were studied. Descriptive statistics, analysis of variance, and Friedman ranking test were performed, and Cronbach’s alpha was calculated using Microsoft Excel 365 and SPSS Ver. 15. Open-ended questions were analyzed by thematic analysis.

RESULTS:
The Content Validity Index and Cronbach’s alpha scores for the final Delphi round for readiness were 1.0 and 0.779, while those for the final Delphi round for the perception items were 0.935 and 0.900, respectively. It was implemented on 163 participants from 12 Indian states and revealed significant associations between faculty perceptions of SDL and a few variables. Readiness to implement was less in some areas like facilitation skills.

CONCLUSIONS:
Faculty perceived SDL as feasible and a good opportunity to help students acquire multiple skills but are not ready due to lack of knowledge and facilitation skills. They seek continuous support to increase their level of readiness.
Investigating nurses’ knowledge regarding preventing complications of central venous catheters (CVCs) in the intensive care unit: A descriptive study
Authors: Jasim Hadeel Basim , Hassan Ahmed Flaih 
Published: February 2025

BACKGROUND:
Central venous catheters (CVCs) are known to be associated with risks of complications such as infections and hemorrhages. Good nurses’ knowledge and management are essential in limiting these risks. Therefore, the investigators felt a real need to assess the staff nurses’ knowledge regarding preventing CVC complications.

MATERIALS AND METHODS:
A descriptive design study, A nonprobability purposive sample of 60 nurses from different educational levels in Baghdad Teaching Hospitals, data were collected using tools as follows self-administered nurses’ questionnaire composed of two-part, Part I: consisted of the nurse’s demographic data, Part II: consisted of the nurse’s knowledge test regarding central venous catheter complication Comprising (30 MCQ)), this questionnaire assessed knowledge by giving two scores for each corrected answer, and one score for incorrect answered. Statistical Package for Social Science (SPSS) version 25.0 was used for data analysis.

RESULTS:
The results showed the majority of the study sample was female (76.7%), with (78.3%) aged between 21 and 30 years. that the majority of participants were well-informed about the prevention of CVC complications, with 93.3% obtaining information from the Internet and social networking sites, the average score of knowledge (53.7%) of nurses exhibited good knowledge about preventing CVC complications, with (40.0%) having poor knowledge.

CONCLUSIONS:
There is a need to conduct training courses for nurses who work in intensive care units about the prevention of CVC complications based on standards as the results in this study indicated that there is a significant association between, nurses’ knowledge and participation in training course, about prevention of CVC complications.
Comparison of online content-based training with hands-on mannequin-based skill training on basic life support knowledge and skills among medical students
Authors: Gupta Nishkarsh , Bansal Bhavik , Gupta Anju , Jindal Dhruv , Singhal Madhur , Grewal Amritesh , Matravadia Maanit , Gupta Hardik , Singh Gyanendra Pal , Choudhury Arindam , Ramachandran Rashmi , Roy Ambuj 
Published: February 2025

BACKGROUND:
Sudden cardiac arrest remains a leading global cause of death. High-quality chest compressions during cardiopulmonary resuscitation (CPR) are crucial for patient outcomes. Basic life support (BLS) training must be adequately incorporated into undergraduate training. During the pandemic-regulated restrictions, our institute started the online CPR training course for medical undergraduates so that some training could be imparted to them if they needed to staff the clinical areas. This study compared online with traditional mannequin-based CPR training regarding skill acquisition and knowledge retention.

MATERIALS AND METHODS:
This randomized cross-sectional study involved 108 medical undergraduates divided into two groups to receive online-based training (Group 1) and mannequin-based training (Group 2). Compression depth and rate were objectively measured using an AmbuMan CPR training mannequin. Knowledge assessment was conducted using relevant clinical vignettes, and participant performance was assessed using a skill-based checklist.

RESULTS:
Both groups had comparable baseline knowledge. Group 2 exhibited significantly higher post intervention knowledge assessment and skill-based checklist scores. Mean compression depth [36.28 (13.84) vs 51.6 (8.7), P < 0.001] and median rate [110 (87.5 to 129.50) vs 123.0 (111.0 to 133.0), P = 0.012] were better in mannequin trained participants. Group 2 participants demonstrated superior skills across all checklist items, with notable differences in pre compression and compression steps. Scene safety checks (62%), compression rate (44%), and compression depth (48%) showed the most significant improvements, whereas steps involving Automated External Defibrillator (AED) usage had minimal enhancements.

CONCLUSION:
The findings of this study are significant, demonstrating that hands-on mannequin-based training is significantly more effective than online training in teaching BLS skills to novice medical students, particularly in achieving correct chest compression depth and rate. The study’s findings indicate that hands-on training is indispensable for effective skill acquisition despite the widespread adoption of online teaching.
Issues related to grooming among postmastectomy patients: An Indian perspective
Authors: Kaur Maninderdeep , Yadav Budhi S. , Dahiya Divya , Kaur Sukhpal , Batta Amandeep , Rani Asha , Deepika  , Singh Kirpal , Mohit  , Kumari Poonam 
Published: February 2025

BACKGROUND:
The surgical management of breast cancer results in the alteration of breast volume and clothing style, including designs of dresses, brassiere wearing, and use of breast prosthesis among the patients. It is important to understand the changing needs of breast cancer survivors related to their grooming practices. The current study provides data regarding the practices related to grooming associated with the changes in breast volume of breast cancer survivors.

MATERIALS AND METHODS:
The study was conducted at a tertiary care center in northern India. A total of 191 breast cancer survivors attending the outpatient department for follow-up were enrolled consecutively. Apart from collecting data regarding the sociodemographic profile and clinical profile, a questionnaire was used to assess the grooming practices of the participants. They were ensured of the confidentiality of their information.

RESULTS:
The unaffected breast had a significantly higher mean volume than the affected breast. After surgery, 60% were wearing brassieres. Pain at the surgical site was the most frequent justification for not wearing the brassiere. Only 10% of the participants were using breast prostheses. Some of these women were customizing prostheses using silicon, cotton, or towels. Around 40% of the participants said that they felt uncomfortable when using any of the prostheses. Most of them favored wearing cotton fabric after surgery.

CONCLUSION:
Awareness regarding postmastectomy clothing may enhance the self-image of the survivors. It is recommended to have breast cancer clinics to provide counseling services for the survivors of breast cancer.