bluuebunny/crossref_metadata_2025_split huggingface dataset:
Group virtual reality simulation in the adult nursing curriculum: student and lecturer experiences
Authors: Godbold Rosemary , Cairnduff Karen 
Published: October 2024

Background: Virtual reality (VR) simulation technology was rapidly integrated into pre-registration adult nursing programmes in response to the pandemic and a reduction in clinical placements. The UK's regulatory body for nursing has recognised its value in nursing education by increasing the possible number of simulated practice hours that can replace clinical placements to 600 hours. This article reports on an evaluation study of a novel approach using screen-based VR simulations for groups of students in a classroom setting. Objectives: This study aims to evaluate student and lecturer experiences of screen-based VR with the aim of informing and sharing insights from this approach. Design: Students and lecturers responded to an evaluation survey comprising both closed- and open-ended questions. Setting: A large approved education institute in the East of England. Participants: Pre-registration adult nursing master's students and adult nursing lecturers who had experience of screen-based VR with groups. Methods: Quantitative data were analysed using descriptive methods, and qualitative data using thematic analysis. Results: Student and lecturer experiences of screen-based VR were overwhelmingly positive, overcoming many challenges of simulation documented in the literature. The group-working approach promoted development of non-technical or essential ‘soft’ skills such as communication, decision-making and teamwork. Conclusions: Screen-based VR for classroombased learning offers an effective, engaging and cost-effective method of incorporating VR simulation scenarios in adult nursing education. Thoughtful consideration of pedagogical aspects are key to its successful and effective integration into the pre-registration adult nursing curriculum.
Who is sufficient, and why? A mixed-methods approach to the social determinants of sufficiency lifestyles in the pursuit of decarbonisation
Authors: Flipo Aurore , Alexander-Haw Abigail , Breucker Fiona , Dütschke Elisabeth 
Published: October 2024

Sufficiency consists of less materially intensive consumption patterns that focus on wellbeing rather than material wealth. Such consumption patterns are commonly referred to as sufficiency lifestyles and are increasingly seen as a key driver for achieving decarbonisation. However, while research finds that sustainable consumption and environmental behaviour are often associated with high social status, lower carbon footprints and lower consumption more broadly are associated in the literature with poverty and deprivation. This article aims to investigate whether a combination of low carbon footprint and high wellbeing exists, what socio-demographic characteristics are associated with it, and to explore the actual experiences of people engaged in sufficiency lifestyles through initiatives and their characteristics.
We use a mixed-methods design with data from demographically representative surveys in Denmark, Germany, Italy and Latvia (N=5,080), and in-depth interviews with participants from sufficiency-oriented intentional communities (N=90).
We find that sufficiency lifestyles are linked to a stronger inclination towards sufficiency orientation or a heightened stronger environmental identity, accompanied by a negative correlation with social deprivation aspects. Drawing on the interviews, we find that individuals engaged in sufficiency-oriented practices tend to benefit from economic, social and cultural resources that allow them to overcome energy dependency and constraints, and that their motivations are not limited to pro-environmental behaviour. Based on these empirical findings, we explore potential avenues for the diffusion of sufficiency-oriented lifestyles, including the establishment of binding rules through a democratic process that curb overconsumption while providing attractive low-carbon lifestyles for all.
The effect of coronary revascularization treatment timing on mortality in patients with stable ischemic heart disease in British Columbia
Authors: Hardiman Sean , Fradet Guy , Kuramoto Lisa , Law Michael , Robinson Simon , Sobolev Boris 
Published: October 2024

Background
Prior research has shown that patients with stable ischemic heart disease who undergo delayed coronary artery bypass graft (CABG) surgery face higher mortality rates than those who receive CABG within the time recommended by physicians. However, this research did not account for percutaneous coronary intervention (PCI), a widely available alternative to delayed CABG in many settings. We sought to establish whether there was a difference in mortality between timely PCI and delayed CABG.

Methods
We identified 25,520 patients 60 years or older who underwent first-time non-emergency revascularization for angiographically-proven, stable left main or multi-vessel ischemic heart disease in British Columbia between January 1, 2001, and December 31, 2016. We estimated unadjusted and adjusted mortality after index revascularization or last staged PCI for patients undergoing delayed CABG compared to timely PCI.

Findings
After adjustment with inverse probability of treatment weights, at three years, patients who underwent delayed CABG had a statistically significant lower mortality compared with patients who received timely PCI (4.3% delayed CABG, 13.5% timely PCI; risk ratio 0.32, 95% CI 0.24–0.40).

Interpretation
Patients who undergo CABG with delay have a lower risk of death than patients who undergo PCI within appropriate time. Our results suggest that patients who wish to receive CABG as their revascularization treatment will receive a mortality benefit over PCI as an alternative strategy.
Development of a patient-centred tool for use in total hip arthroplasty
Authors: Lübbeke Anne , Cullati Stéphane , Baréa Christophe , Cole Sophie , Fabiano Gianluca , Silman Alan , Gutacker Nils , Agoritsas Thomas , Hannouche Didier , Pinedo-Villanueva Rafael 
Published: October 2024

Background
The aim of this project was to develop a tool using the experience of previous patients to inform patient-centred clinical decision-making in the context of total hip arthroplasty (THA). We sought out the patients’ views on what is important for them, leveraging registry data, and providing outcome information that is perceived as relevant, understandable, adapted to a specific patient’s profile, and readily available.

Methods
We created the information tool “Patients like me” in four steps. (1) The knowledge basis was the systematically collected detailed exposure and outcome information from the Geneva Arthroplasty Registry established 1996. (2) From the registry we randomly selected 275 patients about to undergo or having already undergone THA and asked them via interviews and a survey which benefits and harms associated with the operation and daily life with the prosthesis they perceived as most important. (3) The identified relevant data (39 predictor candidates, 15 outcomes) were evaluated using Conditional Inference Trees analysis to construct a classification algorithm for each of the 15 outcomes at three different time points/periods. Internal validity of the results was tested using bootstrapping. (4) The tool was designed by and pre-tested with patients over several iterations.

Results
Data from 6836 primary elective THAs operated between 1996 and 2019 were included. The trajectories for the 15 outcomes from the domains pain relief, activity improvement, complication (infection, dislocation, peri-prosthetic fracture) and what to expect in the future (revision surgery, need for contralateral hip replacement) over up to 20 years after surgery were presented for all patients and for specific patient profiles. The tool was adapted to various purposes including individual use, group sessions, patient-clinician interaction and surgeon information to complement the preoperative planning. The pre-test patients’ feedback to the tool was unanimously positive. They considered it interesting, clear, complete, and complementary to other information received.

Conclusion
The tool based on a survey of patients’ perceived concerns and interests and the corresponding long-term data from a large institutional registry makes past patients’ experience accessible, understandable, and visible for today’s patients and their clinicians. It is a comprehensive illustration of trajectories of relevant outcomes from previous “Patients like me”. This principle and methodology can be applied in other medical fields.
Pain scores reduction with the use of ultrasound-guided paracervical nerve block in patients with cervical cancer undergoing intracavitary brachytherapy: A randomized controlled trial
Authors: Rong Yuanyuan , Yang Yi , Zhang Xi , Zhou Xiaoxiao , Fu Jianfeng , Zhao Xuelian , Liu Huaqin , Pei Huanshuang , Zhou Chao 
Published: October 2024

Study objective
To determine the safety and effectiveness of ultrasound-guided paracervical nerve blocks for the painless treatment of patients with cervical cancer post-implantation.

Design
Single-center randomized controlled trial.

Setting
Fourth Hospital of Hebei Medical University (July 2023 to October 2023).

Trial number
ChiCTR2300071580 [https://clin.larvol.com/trial-detail/ChiCTR2300071580].

Patients
Eighty patients with cervical cancer underwent post-implantation treatment.

Interventions
Patients receiving and not receiving paracervical nerve blocks (Groups T and C, respectively) were randomly allocated.

Measurements
Primary measures included visual analog scale (VAS) scores and patient body movement scores at various stages, including vaginal speculum placement (T1), applicator/needle insertion (T2), treatment administration following connection of the treatment tube (T3), needle withdrawal and hemostasis (T4), and willingness to receive further treatment. The secondary observation indices in this study included the operation time, incidence of hypoxemia, occurrence of nausea and vomiting, adverse events related to the circulatory system, patient satisfaction score, operator satisfaction score, and operation duration required by patients with an Alderte score of ≥ 9.

Main results
Forty patients each were randomly allocated into Groups T and C. The VAS scores did not differ significantly between the two groups at T1. However, at T3 and T4, the VAS scores of Group T was significantly lower than that of Group C. No significant difference was observed in the body movement scores between the two groups at T1 and T3. However, the body movement score of Group T was significantly lower than that of Group C (P < 0.001) at T2 and T4. Group T showed higher postoperative satisfaction and willingness to receive further treatment compared to that of Group C.

Conclusions
Ultrasound-guided paracervical nerve block effectively reduced the pain scores in patients with cervical cancer undergoing post-implantation treatment and enhanced their inclination to undergo further treatment.
Trauma levels and perspectives on dignified death among nurses and physicians who directly experienced the recent earthquake
Authors: Özbek Güven Gamze , Karataş Mehmet , Kaynak Sibel 
Published: October 2024

Background
Unexpected, sudden, and tragic losses can prompt us to reflect on the concept of a "good death." The earthquake disaster that struck our country in 2023 vividly demonstrated the challenging impact of such events, which can turn lives upside down and compel us to question the notion of a "good death." This study aims to determine the perceptions of a "good death" and the levels of trauma experienced by physicians and nurses who directly witnessed the earthquake disaster, and to understand the relationship between these factors.

Methods
This cross-sectional study was conducted between October 1 and December 31, 2023, using phone interviews facilitated by a web-based Google form. Data were collected from 560 healthcare professionals (280 nurses and 280 doctors) working in hospitals located in Kahramanmaraş, Hatay, Malatya, and Adıyaman provinces in Türkiye, which were directly impacted by the earthquake of February 6, 2023, and who consented to participate in the study. Trauma levels were assessed using the "Post-Earthquake Trauma Level Determination Scale," and perceptions of a good death were evaluated using the "Good Death Scale (GDS)." Data were analyzed using SPSS 25 and AMOS 24 software. Normal distribution was checked with the Kolmogorov-Smirnov Test. Independent t-tests were used to compare independent binary groups, Pearson correlation analysis was used to examine the relationship between scale scores, and Cronbach’s α coefficient was used to evaluate the reliability of the scales (Good Death Scale: 0.931; Trauma Scale: 0.957). Structural equation modeling and multi-group analysis were conducted to examine the relationship between scale scores according to the profession variable.

Findings
The mean score for the perception of a good death was found to be 52.76 ± 8.77 for physicians and 55.84 ± 9.63 for nurses. A statistically significant difference was detected between physicians and nurses in the "psychosocial spirituality," "personal control," and "clinical" sub-dimensions of the scale (p<0.05). The mean trauma scores were 56.81 ± 17.58 for physicians and 64.82 ± 18.56 for nurses. A significant difference was found in the trauma scale and its sub-dimensions ("excitement limitation," "emotional," "cognitive restructuring," "sleep problems") (p<0.05). It was observed that higher trauma levels positively influenced good death perception scores.

Conclusion
This study reveals that healthcare workers are deeply affected psychologically by major disasters, with high levels of trauma. A significant relationship was found between trauma levels and perceptions of a good death. These findings provide an important basis for future research to understand how trauma shapes the lives and job performance of healthcare workers in the long term.
Comparison of efficacy and safety of different anticoagulation regimens in plasma exchange: A systematic review and meta-analysis
Authors: Ren Song , Huang Liming , Li Yi , Feng Yunlin 
Published: October 2024

Background
Extracorporeal line clotting during plasma exchange (PE) not only delays efficient treatment, but also cause great waste of nursing resources. There is a lack of comprehensive comparison of the efficacy and safety among different anticoagulation regimens in plasma exchange in literature.

Methods
A systematic search was performed in EMBASE, MEDLINE via PubMed, Cochrane Central Library, and CNKI. Studies that had compared at least two anticoagulation regimens in PE were considered eligible. The anticoagulative efficacy outcome was assessed by the occurrence of extracorporeal circuit clotting. The safety outcome was assessed by the occurrence of bleeding events, post-treatment APTT values, and post-treatment platelets counts. The risk of bias was assessed by the AHRQ tool. Mean differences or standardized mean differences with 95% confidence intervals (CIs) of continuous variables and risk ratios (RRs) with 95% CIs of categorical variables were pooled using a random-effects or a fixed-effects model as appropriate.

Results
In all, 7 studies with 1638 patients and 10951 sessions of PE treatment were included. Pooled results indicated the anticoagulative efficacy of UFH was better than that of saline flushing, yet did not differ with those of LMWH or RCA. Although the occurrence of bleeding events had no difference among different pairs of anticoagulation regimens, anticoagulation using UFH might lead to longer post-treatment APTT value and lower post-treatment platelet counts. Only one study was judged to have low risk of bias in each of the five domains in the AHRQ tool.

Conclusions
The current anticoagulation regimens are generally effective and well tolerated in PE; however, the number of included studies was too limited to draw definitive conclusions.
Establishment and validation of a prognostic nomogram for severe fever with thrombocytopenia syndrome: A retrospective observational study
Authors: Yang Kai , Wang Yu , Huang Jiepeng , Xiao Lingyan , Shi Dongyang , Cui Daguang , Du Tongyue , Zheng Yishan 
Published: October 2024

Background
Several scoring systems have been proposed to predict the risk of death due to severe fever with thrombocytopenia syndrome (STFS), but they have limitations. We developed a new prognostic nomogram for STFS-related death and compared its performance with previous scoring systems and the Acute Physiology and Chronic Health Evaluation score (APACHE II Score).

Methods
A total of 292 STFS patients were retrospectively enrolled between January 2016 and March 2023. Boruta’s algorithm and backward stepwise regression were used to select variables for constructing the nomogram. Time-dependent receiver operating characteristic (ROC) curves and clinical decision curves were generated to compare the strengths of the nomogram with others.

Results
Age, Sequential Organ Failure Assessment Score (SOFA score), state of consciousness, continuous renal replacement therapy (CRRT), and D-dimer were significantly correlated with mortality in both univariate and multivariate analyses (P<0.05). We developed a nomogram using these variables to predict mortality risk, which outperformed the SFTS and APACHE II scores (Training ROC: 0.929 vs. 0.848 vs. 0.792; Validation ROC: 0.938 vs. 0.839 vs. 0.851; P<0.001). In the validation set, the SFTS model achieved an accuracy of 76.14%, a sensitivity of 95.31%, a specificity of 25.00%, a precision of 77.22%, and an F1 score of 85.32%. The nomogram showed a superior performance with an accuracy of 86.36%, a precision of 88.24%, a recall of 93.75%, and an F1 score of 90.91%.

Conclusion
Age, consciousness, SOFA Score, CRRT, and D-Dimer are independent risk factors for STFS-related death. The nomogram based on these factors has an excellent performance in predicting STFS-related death and is recommended for clinical practice.
Dowry demand, perception of wife-beating, decision making power and associated partner violence among married adolescent girls: A cross-sectional analytical study in India
Authors: Srivastava Shobhit , Kumar Pradeep , Muhammad T. , Govindu Manideep , Ali Waad 
Published: October 2024

Background
Violence against women is considered a fundamental violation of their human rights. According to the world health organization (WHO), one-third of women worldwide experience some form of intimate partner violence (IPV). This study aimed to investigate the relationship between dowry demand, perception of wife-beating, decision-making on work and household purchases and physical, sexual, and emotional violence against married adolescent girls in India by using a large dataset.

Methods
Data from the Understanding the lives of adolescents and young adults (UDAYA) project survey were used in this study. The final sample size included 4893 married adolescent girls. Descriptive statistics and bivariate analyses were performed to examine preliminary results. Multivariate logistic regression analysis was used to analyze the associations between dowry demand, perception of wife-beating, decision-making and types of IPV.

Results
The prevalence of emotional, physical, and sexual violence among married adolescent girls were 28.6%, 22.9%, and 26.1%, respectively. Approximately 44% of married adolescent girls have experienced some form of violence (emotional, physical, or sexual). The likelihood of experiencing violence was 3.64 times more likely among adolescent girls who reported that dowry was demanded by their in-laws than their counterparts [aOR: 3.64; CI: 3.05–4.35]. Moreover, married girls who justified wife-beating were more likely to face any violence than their counterparts [aOR: 1.56; CI: 1.28–1.90]. Similarly, adolescent girls whose work decisions were made by others had higher odds of experiencing any violence than those who decided their work themselves/jointly with others [aOR: 1.34; CI: 1.07–1.68]. The odds of any violence were higher among adolescent girls whose decisions on household purchases were made by others compared to those who decided to make purchases themselves or jointly with others [aOR: 1.37; CI: 1.09–1.71].

Conclusions
The findings revealed significant associations between dowry-demand, justification of wife-beating, decision making power and IPV among married adolescent girls, and suggest policies that help reduce violence related to the predominantly practiced dowry system in the country, and programs aimed at educating adolescent married girls about their rights against violence and empowering them to retain equal decision-making power within their families and reduce their vulnerability to domestic violence.
Health literacy among people at risk or with type 2 diabetes in Norwegian primary care—A cross sectional study
Authors: Vågenes Silje Therese , Graue Marit , Igland Jannicke , Kolltveit Beate-Christin Hope , Riise Hilde Kristin Refvik 
Published: October 2024

Aims
This study aims to describe health literacy for people at risk of type 2 diabetes and people with type 2 diabetes using the HLS-EU-Q12, and further examine the association between sociodemographic and clinical characteristics, well-being, overall health and quality of life, and health literacy.

Material and methods
We performed a cross-sectional study among 142 people at risk of type 2 diabetes and 75 people with type 2 diabetes from four primary care clinics in Norway. These data are baseline data from a randomized controlled trial which seeks to evaluate an interprofessional follow-up intervention. Multiple regression analysis was applied to explore associations to health literacy.

Results
Inadequate health literacy (sum score <33) was found among 30.2% of people at risk of type 2 diabetes and among 25.7% of people with type 2 diabetes. For people at risk of type 2 diabetes, higher level of education was significantly associated with higher health literacy. Better well-being and quality of life was significantly associated with higher health literacy for both groups.

Conclusions
The primary health care services should pay greater attention to assessing HL, well-being, and quality of life to facilitate the identification of people at risk of type 2 diabetes with insufficient self- management strategies to prevent or delay the development of manifest disease and its complications.
Identifying the Hiccup-Induced Esophagogastric Waveform: A Case Series Report Using High-Resolution Manometry
Authors: Félix-Téllez Francisco Alejandro , Jiménez-Castillo Raúl Alberto , Remes-Troche José María 
Published: October 2024

ABSTRACT
Hiccups result from involuntary contractions of the diaphragm, driven by a complex neuromuscular reflex. Three patients with persistent hiccups underwent esophageal high-resolution manometry during hiccup episodes, revealing a consistent finding: sustained contraction of the esophagogastric junction with intermittent pressure peaks. This pattern, termed the “Hiccup-Induced Esophagogastric Waveform,” shows significant esophageal pressure changes linked to hiccup reflex. It may reflect a compensatory mechanism to expel excess esophageal residue or gas. These findings suggest hiccups could exacerbate symptoms of esophageal disorders, such as dysphagia and chest pain, and highlight the need for targeted therapeutic strategies. Further research is needed to explore these mechanisms.