bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Epidemiological Study on Road Traffic Accidents at a Tertiary Care Hospital of Eastern India
Authors: Sharma Sumita , Patnaik Lipilekha , Mohanty Sambedana , Sahu Trilochan 
Published: August 2024

Introduction:
Accidents and injuries are the leading cause of morbidity and mortality. According to the World Health Organization, 1.35 million deaths occurred due to road traffic accident (RTA) globally in every year. In India, fatality rate of road accidents is twenty times higher than developed countries.

Objectives:
The objective of this study is to assess the epidemiological factors responsible for RTA and to know the pattern of accidents.

Materials and Methods:
A hospital-based, cross-sectional study was conducted among RTA victims admitted at a tertiary care hospital of Odisha from August to November 2019. The data were collected by using predesigned and pretested interview schedule and analyzed with the help of SPSS 20.

Results:
Out of 147 accident victims, 81% were male; mean age was 36.6 ± 13.67 years. Maximum accidents (43.5%) had taken place between 11 a.m. and 5 p.m. Bike-riders (81.6%) were the major victim involved in accidents followed by pedestrian (9.5%) and cyclist (8.9%). Among bike riders, 44.16% did not wear helmet during accident and 3.33% did not have a valid driving license. About 25.2% were due to alcohol intake. Unusual behavior of animals and defective road contributed around 10.2% and 16.90%, respectively. Among injuries, the most common was laceration (38.1%) followed by abrasion (22.4%). Fracture was found in 7.5% cases. Most common sites involved were head, face, upper limb, and lower limb.

Conclusion:
Public awareness should be initiated regarding various factors associated with RTA and measures to prevent accidents.
Comparative study of epilepsy registry system in America, England, Australia, and Iran
Authors: Chitsaz Ahmad , Nopour Sahar , Bagherian Hossein , Ajami Sima 
Published: August 2024

BACKGROUND:
Disease registries are one of the important steps in the development of health information systems. The aim of this study was to compare epilepsy registration systems in the United States, England, and Australia and propose a National Epilepsy Registry System for Iran.

MATERIALS AND METHODS:
This study was a descriptive–comparative study conducted between 2020 and 2023, which involved the following steps: identification and selected countries with advanced registry systems in the world and Identification of their characteristics and comparison with each other. The research population included the epilepsy registration registry in Australia, England, the United States, and Iran. In this study, data were collected from forms, observations, and documents.

RESULTS:
In Australia, all databases, reports, and minimum datasets are electronically sent to the Australian Epilepsy Register. In England, the Epilepsy Society is responsible for collecting information. In the United States, all individuals with epilepsy voluntarily send their information to registry centers and the Epilepsy Society to help with their treatment. However, there is no national epilepsy registry system in Iran. Therefore, recommendations have been made to establish.

CONCLUSION:
Registration systems can help collect and analyze data related to all patients with a particular disease. When this registration is established at the national level, it becomes a valuable clinical tool for improving the quality of care and can be a significant step toward managing care for epilepsy patients and healthcare centers. Indeed, such a system can also help in preventing the onset of epilepsy and planning for the improvement of the quality of life for patients.
Human papillomavirus vaccination intention and its associated factors among female medical college students in Hubei, China: A cross-sectional study
Authors: Yang Huan , Yangyuen Suneerat , Sombateyotha Kemika 
Published: August 2024

BACKGROUND:
The uptake rate of human papillomavirus (HPV) vaccination in China is low, including among college students. In addition, medical students are the target population for the HPV vaccine, but they have poor uptake of the HPV vaccine. This study aimed to investigate factors related to HPV vaccination intention among female medical college students in Hubei Province.

MATERIALS AND METHODS:
This cross-sectional study was conducted on 988 female medical college students from six colleges in Hubei Province with a multistage sampling method. The data were collected by web-based online software. Multiple logistic regression was applied to explore the factors associated with the intention of HPV vaccination.

RESULTS:
The majority of students (85.5%) reported a high level of intention to receive HPV vaccine, about 82.3% have a willingness to pay (WTP) for HPV vaccine, and 51.5% reported that family members had never received the HPV vaccine. The students who had higher scores of knowledge of HPV, HPV infection prevention awareness, the protection motivation theory (PMT)-related factors including perceived severity, perceived response efficacy, perceived self-efficacy, and WTP for the HPV vaccine had higher intention to receive HPV vaccine.

CONCLUSION:
HPV vaccination intention was high in medical students. Also, it was influenced by knowledge of HPV, PMT-related factors, and WTP for HPV vaccine. Thus, consideration of these factors is important to design the HPV vaccination campaign that can increase the intention to receive HPV vaccine, which in turn may increase the HPV vaccination.
Changes in sleep, physical activity, and health behaviors among Nigerian fasting adults in Ramadan during the COVID-19 pandemic
Authors: Tsiga-Ahmed Fatimah Isma’il , Sulaiman Sahabi Kabir , Musa Muhammad Saleh , Hussein Aminu , Ahmad Saidu Idris , Jalo Rabiu Ibrahim , Faris MoezAlIslam , BaHammam Ahmed S , Javaid Syed Fahad , Khan Moien AB 
Published: August 2024

BACKGROUND:
There is limited data on sleep, physical activity, and health-related behaviors among the general public during Ramadan, particularly during the COVID-19 pandemic. This study aimed to assess the factors associated with sleep and physical activity changes among Nigerian Muslims during Ramadan fasting.

MATERIALS AND METHODS:
A nationwide web-based cross-sectional study was conducted among Nigerians aged ≥18 years who performed diurnal fasting during Ramadan. The target sample size was obtained using Fisher’s formula, and snowball sampling was employed. Adapted versions of the International Physical Activity Questionnaire Short Form and Copenhagen Psychosocial Questionnaire II were used to evaluate sleep and physical activity. Correlates of change in physical activity and sleep quality were assessed using logistic regression analysis.

RESULTS:
Seven hundred and seventy individuals participated in the study. During Ramadan, 39.1% (95% confidence interval (CI): 35.6%–42.6%) reported decreased physical activity, and 56.6% (95% CI; 53.0%–60.2%) stated having self-reported good sleep. The independent correlates of physical activity were female sex (adjusted odds ratio (aOR):0.5, 95% CI: 0.4–0.8), having very good sleep (aOR: 0.4, 95% CI: 0.2–0.7), and obesity (aOR: 2.0, 95% CI: 1.1–3.7). In addition, factors associated with improved self-reported sleep quality were perceived good health state (aOR: 8.8, 95% CI: 1.1–72.4), sleeping 7–9 h per day (aOR: 5.5, 95% CI: 2.6–10.3), and sleeping for over 9 h per day (aOR: 4.6, 95% CI: 2.1–14.1).

CONCLUSIONS:
Although physical activity decreased by about a third, over half of the respondents lost weight and slept well during Ramadan. Strategies to include intermittent fasting in positive lifestyle changes could improve the health and well-being of the population.
The predictors of lower limbs varicose veins among healthcare providers
Authors: Salem Aziza M. , Massadeh Arwa B. , Alfarajat Loai , Masa’deh Rami 
Published: August 2024

BACKGROUND:
Lower limb varicose veins (LLVVs) are a common problem that mostly occurs among healthcare professionals, especially nurses. While the direct cause of LLVVs is not known at present, its predictors have been identified in the literature. The objective of this study is to identify the predictors of LLVVs among nurses in Jordan.

MATERIALS AND METHODS:
This cross-sectional descriptive study was carried out in Jordan in the period between August 2022 and December 2022. This study was carried out on 407 nurses. The participants were recruited in the study using convenience sampling. LLVVs and predictors were analyzed using binominal logistic regression. The percentage of having LLVVs was 30.7%.

RESULT:
Results showed that having a family history of LLVVs and older age were significant predictors of developing LLVVs among both male and female nurses. For male nurses, longer shift hours were a significant independent predictor of developing LLVVs, where increased number of deliveries, less sitting time, and increased weight were significant independent predictors of developing LLVVs among female nurses.

CONCLUSION:
This study highlighted the predictors of LLVVs among nurses, which can be considered in improving the lifestyle and quality of life of nurses in the long term.
Healthcare professionals’ needs when providing perinatal bereavement care: A qualitative study
Authors: Atashsokhan Giti , Farjamfar Maryam , Khosravi Ahmad , Taher Mahboobe , Abadian Khadige , Keramat Afsaneh 
Published: August 2024

BACKGROUND:
Caring for and supporting bereaved parents with fetal loss requires preparation, training, and attention to a set of needs of health workers to provide optimal services. This is although it has been less addressed in the educational curriculum and in-service training. This study aims to investigate the experiences of Iranian healthcare professionals regarding the needs related to the care of bereaved parents with perinatal loss.

MATERIALS AND METHODS:
This research was a qualitative study conducted in Shahroud City, Iran, to explore healthcare professionals’ needs from June 2021 to December 2022. Semi-structured in-depth interviews on purposive sample of 14 participants were conducted. The participants were care providers who worked in OB-GYN ward, general midwifery clinics, and a private office. The interviews were recorded verbatim, transcribed, and analyzed using an inductive content analysis. MAXQDA software version 10 was used for data analysis. Granheim and Lundman’s approach was used to analyze the data.

RESULTS:
Two major themes, four categories, and nine subcategories emerged. The themes included the “existence of protective laws and policies” and “skill and training needs.” Protective laws and policies included “Government Rules and guidelines” and “organizational Rules protecting the individual.” Skills and training needs consisted of two categories: “communication skills” and “Self-Care needs.”

CONCLUSIONS:
Educational policies, development of guidelines for the care of bereaved mothers based on culture, training programs for dealing with bereaved parents, providing self-care programs for employees, and improving the physical and emotional conditions of the workplace were among the needs expressed by the participants. Meeting the needs of healthcare professionals is effective in job satisfaction, feeling of value, and high quality of services for bereaved parents.
Parental factors affecting their participation in decision-making for neonates with life-threatening conditions: A qualitative studyParents’ participation in decision-making
Authors: Banazadeh Marjan , Khanjari Sedigheh , Behmaneshpour Fateme , Oskouie Fatemeh 
Published: August 2024

BACKGROUND:
Parents and healthcare professionals make decisions for neonates with life-threatening conditions (LTCs). Parents may be inadequately included. Limited studies have evaluated influential factors. We aimed to explore parental factors affecting parents’ participation in decision-making (DM) for neonates with LTCs.

MATERIALS AND METHODS:
A qualitative study was conducted in four level III neonatal intensive care units (NICUs) in Tehran, and twenty-two in-depth, semi-structured, face-to-face interviews were conducted in 2019. Interviews were transcribed and analyzed using a conventional content analysis approach. During the coding process, participants’ words were condensed into meaning units, and 297 open-coded were extracted and then grouped into thirteen subcategories based on similarities and differences. This process was repeated until four main categories were identified.

RESULTS:
Main categories and subcategories include “parental capabilities” (level of health literacy, emotional state, paradoxical feelings, and perception of the situation), “a sense of parental self-efficacy” (perception of parental role, awareness of self-abilities, and willingness to accept the parental role), “convictions” (religious beliefs and cultural values), and “living conditions” (job balance, household management and caring for siblings, and commuting) were found.

CONCLUSION:
Although factors were parental, professionals who care for neonates with LTCs should be trained in family-centered care (FCC) principles to involve parents in DM. Nurses should be aware of parents’ abilities and inform them of their rights. Parents’ presentation at the bedside prevents their marginalization, reduces feelings of guilt, and helps them understand their baby’s behavior and surrounding reality. A formal neonatal palliative care (NPC) program can encourage open communication between professionals and parents. A multidisciplinary team should consider parents’ needs and values.
Handgrip strength in type 2 diabetics and nondiabetics: A comparative cross-sectional study among adults in rural Mysore
Authors: ANIL Deepak , RAKESH M. , AKBAR Shabeena , VADAGA Vijaylakshmi Rao , KUMAR D. Sunil 
Published: August 2024

Objectives:
The objective of this study is to assess the handgrip strength (HGS) in patients with type 2 diabetes, compare it with nondiabetes age-matched individuals, and assess the correlation between diabetic status and HGS among diabetic patients.

Materials and Methods:
A community-based cross-sectional study was conducted in rural Mysore, India, for 4 months. Fifty-eight clinically diagnosed type 2 diabetics and 58 nondiabetics participated in the study. The handheld dynamometer was used to test the HGS of all subjects in their dominant hand. Independent t-test was used to analyze the differences in HGS between patients with and without diabetes.

Results:
The mean dynamometer reading among diabetics was 19.08 ± 7.51, whereas that in nondiabetics was 27.474 ± 13.11. There was a significant difference in HGSs between diabetics and nondiabetics (P < 0.01).

Conclusion:
Decreased muscle strength and quality in the upper extremities are associated with type 2 diabetes and can lead to functional and physical limitations. Diabetic patients’ HGS should be evaluated promptly to identify any disabilities and plan for appropriate therapy.
Disruption of sleep patterns among secondary school adolescents
Authors: MUSIHB Zeki Sabah , HUSSEIN Hasan Saud Abdul , ALI Alaa Mahdi Abd 
Published: August 2024

Objectives:
This study aims to assess sleep disorders among secondary school adolescents and explore the relationship between sociodemographic factors (age, gender, household income, and sleep duration) and the occurrence of these disorders.

Methods:
A quantitative, descriptive, cross-sectional study, was conducted from November 20th, 2022, to May 25th, 2023, involving 200 secondary school students selected through convenience sampling. Data collection utilized a structured questionnaire divided into sociodemographic and sleep disorder sections. Validity was ensured by a panel of ten experts, and reliability was confirmed using Cronbach’s Alpha (0.77). Statistical analysis employed SPSS version 26.

Results:
Findings revealed that a majority of participants (70.5%) had low-level sleep disorders, followed by moderate disorders represented (29%). Significant associations were found between sleep disorders and gender (P = 0.000), economic status for family (P = 0.020), and nightly sleep duration (P = 0.016). However, no significant relationship was observed between sleep disorders and family structure or age (P > 0.05).

Conclusions:
The study highlights that most secondary school students experience mild sleep disorders, followed by moderate disorders. Notably, gender, income, and sleep duration showed significant correlations with sleep disorders.
Extramedullary Hematopoiesis and Osseous Metaplasia with Ectopic Bone Formation Associated with Papillary Microcarcinoma of Thyroid
Authors: Rajan Reeba Mary , Anu J , Mathew Apuca Susan 
Published: August 2024

Abstract
Secondary changes in thyroid diseases are very common. However, bone formation in thyroid associated with papillary microcarcinoma has been very rarely reported. Moreover, extramedullary hematopoiesis (EH) in thyroid malignancies is a rare finding and is commonly associated with hematological disorder. Here, we report a case of a 68-year-old female patient with thyroid swelling which was diagnosed as papillary microcarcinoma with osseous metaplasia, bone formation with EH. The patient underwent total thyroidectomy and clinical course of patient following resection was unremarkable. In this report, the patient with EH has no history of any hematological disorder.
ACBC Study Protocol – Acute Colon Resection Versus Bridge to Colon Surgery with Stent Placement or Stoma Diversion: A Prospective Cohort Study
Authors: Axmarker Tobias , Jörgren Fredrik , Landerholm Kalle , Asklid Daniel , Damkilde Niklas , Schedvins Per , Folkesson Joakim , Sverrison Ingvar , Vinnars Petrus , Sjöström Olle , Bakhti Arash Morad , Prytz Mattias , Larsson Per-Anders , Inci Kamuran , Holmberg Carl-Jacob Khailat , Syk Ingvar , Jutesten Henrik , Park Jennifer , Buchwald Pamela ,   On behalf of the ACBC-study group
Published: August 2024

Abstract

Background:
Approximately 70% of all colon cancer emergencies result from colonic obstruction. Data from the Swedish Colorectal Cancer Registry indicate that patients undergoing emergency surgical resections for colon cancer face higher overall 30-day morbidity and increased mortality rates—5.8% at 30 days and 11.2% at 90 days—compared to those undergoing elective procedures, which have mortality rates of 1.1% and 2.0%, respectively. Other concerns about acute colon cancer resections are oncological outcomes. Long-term outcomes are significantly worse, with higher rates of recurrence and cancer-related death, regardless of the cancer stage or the use of adjuvant chemotherapy.

Objectives:
To evaluate the short- and long-term outcomes of primary resection for malignant colonic obstruction compared to only decompression using a self-expandable endoscopic metallic stent or diverting stomas as the first intervention (bridge to surgery) followed by later oncological resection.

Design:
This is a prospective observational study with data collected through the Swedish Colorectal Cancer Registry with an additional electronic case report form.

Settings:
Swedish multicenter study at both university and regional hospitals.

Patients and Methods:
Patients with suspected acute malignant large bowel obstruction due to colonic adenocarcinoma will be identified and followed. Analysis will be performed on an intention-to-treat basis. Descriptive statistics of the study cohort will be presented. Primary endpoints will be subjected to multivariate analyses adjusted for confounders.

Main Outcome Measures:
30-day severe morbidity (Clavien–Dindo > 3a), 30- and 90-day mortality rates, and overall survival after three and five years.

Sample Size:
We aim to include 1000 patients, with an interim analysis after the recruitment of 500 patients.

Results:
The study is ongoing.

Conclusions:
Acute colon obstruction is associated with substantial morbidity and mortality. We hypothesize that patients with malignant obstruction benefit from avoidance of emergency cancer resection and that bridge to surgery leads to decreased short-term morbidity and mortality and improved long-term oncological outcomes.

Limitations:
The main limitation is the risk of selection bias when the study is not a randomized controlled trial, which would be a standard process. A prospective observational study is, nevertheless, considered a pragmatic compromise between feasibility and ability to answer the research question.

Conflicts of Interest:
None.
Analyse réflexive du partenariat en santé à partir de mon expérience de patiente-partenaire: Constats, réflexions et recommandations
Authors: Laroussi-Libeault Lisa 
Published: August 2024

In Switzerland, the context is relatively favorable to patient engagement, which encouraged me to get involved in the health care system. Since 2019, I have been able to experience partnership with various actors, different institutional structures, and at several levels. Despite a positive environment for the deployment of patient partnership, thanks to political, institutional, and financial incentives, the implementation of the new paradigm is facing many obstacles. Obstacles that I faced in my journey as a patient-partner. The following analysis is conducted based on my last three years of engagement as a patient partner in the health system.
En Suisse, le contexte relativement favorable à l’engagement patient m’a poussé à vouloir m’investir dans le partenariat en santé. Depuis 2019, j’ai pu expérimenter le partenariat avec divers acteurs, différentes structures institutionnelles et à plusieurs niveaux. Malgré un environnement propice au déploiement du partenariat, qui s’est traduit par des incitations politiques, institutionnelles et financières, la mise en pratique du nouveau paradigme qui touche le système de santé, se heurte à de nombreux freins. Freins auxquels je me suis confrontée dans mon propre parcours de patiente-partenaire. L’analyse qui suit est menée à la lumière de mes trois dernières années d’engagement dans le partenariat.