bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of prescription pattern and impact of statin in lipid profile among ischemic heart disease patients
Authors: Prabhakaran Sagar Kunnaruvath , Rawal Kala Bahadur , Utagi Basavaraj , Mateti Uday Venkat , Shetty Shraddha 
Published: July 2024

BACKGROUND:
Analysis of prescription patterns and lipid profiles can play a crucial role in rational drug use and patient safety. This study aimed to analyze the prescription pattern and impact of statin in lipid profile among ischemic heart disease (IHD) patients.

MATERIALS AND METHODS:
A prospective observational study was conducted for 7 months in the cardiology department. IHD patients above 18 years and undergoing statin therapy for at least 3 months were enrolled. Patients with elevated liver enzymes and unfit for statin therapy, pregnant women, psychiatry patients, and critically ill subjects were excluded.

RESULTS:
Of the total participants, 214 (71.8%) were males and 84 (28.2%) were females, with a mean age of 62.55 ± 9.56 years. The most common age group diagnosed with IHD was between 60 and 69 years. Hypertension was observed in 64.4% of the patients, while diabetes was present in 55.7% as the most commonly associated comorbidities. The majority of patients (75.8%) received atorvastatin. The prescription pattern for various drug classes included proton pump inhibitors (93%), antiplatelet agents (82.2%), statins (82.2%), nitrates (60.4%), beta-blockers (34.6%), diuretics (16.8%), biguanides (17.4%), and insulin (15.1%). After 3 months of statin therapy, a statistically significant change was observed in the lipid profile (P < 0.001).

CONCLUSION:
Statin agents were the most frequently prescribed class of drugs, followed by antiplatelets. Significant improvements were observed in the lipid profile after a 3-month course of statin therapy. Effective therapeutic monitoring can significantly impact a positive health outcome in patients.
Investigation of the therapeutic education effect on glycemic control and quality of life of children and adolescents with type-1 diabetes mellitus: A non-randomized controlled study
Authors: Ait-Taleb Lahsen Hanaâ , Ragala Mohammed El Amine , Halim Karima , El Abed Hanane , Bouaazzaoui Amal , Zarrouk Yasmine , Zarrouq Btissame 
Published: July 2024

BACKGROUND:
Type-1 diabetes mellitus (T1DM) is one of the most dreaded chronic diseases, especially in children or youth. To help patients and their families effectively manage their disease, structured therapeutic patient education (TPE) is essential.

MATERIALS AND METHOD:
The purpose of this non-randomized before and after controlled study was to assess TPE program effects. In total, 200 T1DM children and adolescents, aged 8–18 years, selected from two pediatric departments, were equally assigned to the intervention and control groups. The primary endpoints were differences between groups at 3 months follow-up in measured HbA1c and health-related quality of life (QoL) assessed by a validated questionnaire.

RESULTS:
At 3 months follow-up of a TPE intervention for T1DM children and adolescents, although there was no significant change in HbA1c for both groups, a significant improvement was observed in the maximum pre- and postprandial blood glucose levels (r: ~0.3; variation rates: -10,47% and -3,85%, respectively) in the intervention group, whereas there was a significant increase in the maximum and minimum of preprandial blood glucose levels in the control group (r: ~0.3, variation rates: 14.29% and 25%, respectively). Global and dimensional QoL mean scores variation rates showed a significant difference between groups, with an improvement in the intervention group (r ≥ 0.7, Cohen’s > 0.8) and a decrease in the control group (r ≥ 0.7).

CONCLUSION:
These results support the hypotheses of difference between the study groups in favor of better glycemic control and QoL for the intervention group.
The incidence of heart attacks among young individuals in Mosul City
Authors: Allo Rami , Tariq Mohammed , Natheer Munther , Hussein Hanaa 
Published: July 2024

BACKGROUND:
Rapid socioeconomic progress has greatly affected the world, and the risk of cardiovascular diseases (CVDs) has increased. The growing burden of CVDs has become a major public health issue. The study aimed to identify the main risk factors that lead to the contribution of heart attacks among young people in Mosul City, Iraq.

MATERIALS AND METHODS:
The study was dependent on achieving the objectives through a descriptive study design that was performed in the emergency medical wards of three teaching hospitals in Mosul City, Iraq. The sample was the convenience of patients who were admitted to the emergency department and who had signs and symptoms of heart attacks during the period of data collection starting from November 1, 2022, until April 1, 2023. The participants were 247 cases recorded during that period, and their ages ranged between 20 and 45 years. The tool used in this study from the World Health Organization (WHO) is related to risk factors for CVDs and consists of eleven items.

RESULTS:
Approximately seventy percent of the study sample was male, 68.4% were less than 39 years, and 35.6% of them were diagnosed with heart diseases (angina and myocardial infarction) that require hospitalization, and there are several risk factors in the study sample, the most prominent of which were physical inactivity (88.6%), following unhealthy diet patterns (87.5%) and hypertension (69.3%).

CONCLUSION:
The study concluded that the risky health factors that contribute to the occurrence of heart attacks among young people in this study are hypertension, high blood cholesterol, unhealthy diet, heavy smoking, stress, family history, alcohol drinking, obesity, and diabetes mellitus (DB).
The survey of learning experience of pediatric injection among registered nurses and nursing students using a design thinking approach
Authors: Tantacharoenrat Chanita , Precharattana Monamorn 
Published: July 2024

INTRODUCTION:
Pediatric injection is an essential skill of nursing. The survey of the learner’s experience during the learning process helps identify problems and leads to improvement. We here applied a three-phrase design thinking framework. The study aims to investigate (1) the registered nurses’ experience in learning injection technique, (2) the nursing students’ experience in learning injection, and (3) the cause of problems and to propose (4) a learning material that will be used to solve the encountered problems.

MATERIALS AND METHODS:
A cross-sectional study was applied. The study employed convenience sampling. Registered nurses from a tertiary hospital in Bangkok, Thailand, and fourth-year nursing students from a nursing school in Bangkok, Thailand, were selected. The data collecting tools contain a personal information form and the experience of injection learning. The inferential and descriptive statistics was used to analyze the data.

RESULTS:
The results show that the major issues of injection learning include selecting the correct site for injection and determining the needle length and injection angle and contamination.

CONCLUSIONS:
Therefore, teaching materials for the anatomy of the injection area and the technique to determine the correct size and depth of injection are needed.
Knowledge, attitude, and practice regarding malnutrition amongst patients with chronic kidney disease in China: A qualitative study
Authors: Zhu Shengrui , Mohd Yusoff Dariah , Yusoff Hafzan , Cheng Kueh Yee , Feng Xiujuan , Chen Hongfang 
Published: July 2024

BACKGROUND:
Chronic kidney disease (CKD) can be complicated by malnutrition, which has adverse implications on patients’ health outcomes and quality of life. CKD patients from different sociocultural contexts may have varying perceptions of knowledge, attitudes, and practices of malnutrition. However, information on the perception of malnutrition in patients with CKD is limited. This study aimed to explore and describe the knowledge, attitude, and practice of patients with CKD disease regarding malnutrition.

MATERIALS AND METHODS:
A qualitative-descriptive design was used. Thirteen participants were selected through a purposive sampling technique among malnourished CKD patients from a hospital in Xi’an Provincial Hospital of Traditional Chinese Medicine between November 2022 and January 2023. Data were collected through face-to-face semistructured interviews until data saturation. All participants were informed about the study. Data obtained were analyzed by content analysis.

RESULTS:
Three main categories and seven subcategories were extracted from the data analysis: 1) knowledge (basic knowledge acquisition and understanding, knowledge misconceptions, and confusion, nutrition knowledge, and culture collision); 2) attitude (negative attitudes and adverse situations, positive attitude and self-awareness); 3) practice (disadvantageous and passive practice, favorable practice).

CONCLUSION:
This study provided insight into the knowledge, attitude, and practice of malnutrition in patients with CKD. Our findings can serve as important baseline data for the development of future interventions that can help reduce the risk of malnutrition, slow disease progression, and improve the quality of life in patients with CKD.
Relationship between parenting style and academic resilience of adolescent students with special reference to Jorhat district, Assam
Authors: Chutia Saswati , Swargiary Jagat 
Published: July 2024

BACKGROUND:
Parenting is the most vital and crucial responsibility, although it is often overlooked. Research studies have found that close relationship with parents is associated with the positive development of a child. Academic resilience is one of the key factors forthe positive development of students. “Academic resilience refers to a student’s ability to deal with failure, academic setbacks, and so on”. Several research investigations have shown numerous factors that aid in the promotion of academic resilience among students. Parenting is one of them. Therefore, this study tries to investigate the strength and direction of the relationship between parenting style and academic resilience.

MATERIAL AND METHOD:
Descriptive survey method has been employed in this study. The study was conducted in three govt. high schools of Jorhat district, Assam, India under the SEBA (Secondary Board of Education). The sample of the present study consists of 101 high school students studying in class X, which include both boys and girls. Data were collected by administering two standardized tools to the sample students.

STATISTICAL TECHNIQUE USED:
Pearson Product–Moment correlation has been used in this study.

RESULT:
Results indicate that there a exist significant favorable association between democratic parenting style and academic resilience of adolescent students. It is also found that there exists a low correlation between autocratic parenting style and academic resilienceof adolescent students. The correlation between permissive parenting style and adolescent students’ academic resilience is also very low. Also, it has been found that there exists a low or weak correlation between uninvolved parenting style and academic resilience of adolescent students.

CONCLUSION:
The findings of this study indicate a statistically significant positive correlation between different parenting styles and the academic resilience of adolescent students. Based on the findings of this study, it is recommended that future research be conducted to investigate whether certain parenting styles can predict the academic resilience of adolescent students.
Effectiveness of nurse-led intervention on weight reduction among adults in urban Puducherry – A randomized controlled pilot trial
Authors: Krishnasamy Vembu , Jayaram Kumari Manjini , Jayaseelan Venkatachalam , Shanmugam Ramesh , Sadan Vathsala 
Published: July 2024

BACKGROUND:
The recent spike in the incidence of type 2 diabetes is most likely caused by the obvious rise in the prevalence of overweight and obesity. The risk of developing noncommunicable illnesses can be prevented and reduced with even modest weight loss. This study was conducted with the aim of evaluating the effectiveness of a nurse-led intervention (NLI) strategy on weight reduction among adults in urban Puducherry.

MATERIALS AND METHODS:
A two-arm, parallel-group, randomized controlled study with an open label was conducted with obese adults in urban areas of Puducherry, namely Nesavalar colony and Govindanpet, from November 2022 to February 2023. Totally, 88 obese adults were randomized using a simple random sampling method to either the NLI arm or the general care (GC) arm. WHO STEPS (version 3.2) questionnaire was adopted to gather baseline and end line data. NLI arm participants received NLI and GC arm participants received GC from urban primary health center. In statistical analysis, the proportion was used to summarize categorical variables. The parametric and nonparametric tests were applied based on the variable type and normality of the data. Multiple linear regressions were used with outcome changes in weight in the NLI arm.

RESULTS:
At 16 weeks, the NLI arm lost a mean weight of − 2.58 kg and the GC arm gained 0.38 kg with a mean difference in weight of 2.96 between arms. A significant reduction was found (P < 0.001) in weight, waist circumference, body mass index, and also found significant improvement in cholesterol profile and thyroid stimulating hormone.

CONCLUSION:
This community-based NLI study is effective for weight reduction in urban Puducherry and it lowers the risk of developing noncommunicable diseases among adults. Due to the larger size of the geographical area and the more number of clusters, a stringent follow-up plan and extra manpower must be created for the main study.
Investigating the effect of an Orem-based self-care educative supportive nursing system on the joint function of patients with knee osteoarthritis
Authors: Talebianpoor Elham , Mohammadi Hamid Reza , Dehbanizadeh Abolfazl , Afrasiabifar Ardashir , Najafi Doulatabad Shahla 
Published: July 2024

BACKGROUND:
Osteoarthritis is the most common form of arthritis. It is a common progressive joint disease characterized by chronic pain and functional disability, which disturbs functional movements, body balance, and quality of life in patients with knee osteoarthritis. This study investigates the effect of an Orem-based self-care educative supportive nursing system on the joint function of patients with knee osteoarthritis.

MATERIALS AND METHODS:
This semi-experimental paper studies 130 patients with knee osteoarthritis. The patients are selected using convenience sampling and randomly assigned to intervention and control groups equally. The K00S questionnaire was used to collect patients’ demographic information and other information relating to their knees’ function. We carried out interventions for six weeks, with a session of 45 to 60 minutes each week. Data were collected before the intervention and three months after the intervention. SPSS 21.0 and descriptive and inferential statistics were used to analyze the collected data at the significance level of 0.05.

RESULTS:
The results show significant differences between the two groups in terms of joint symptoms (P = 0.001), pain (P = 0.001), daily activities (P = 0.001), sports and recreational activities (P = 0.001), and quality of life (P = 0.02). In other words, there was a significant difference in the average subscale scores of activities in all five dimensions between the intervention and control groups (P < 0.05).

CONCLUSION:
Orem’s self-care model has a positive and significant effect on the functional movement of patients with knee osteoarthritis and improves their joint function.
Comparing the effectiveness of emotion-focused and cognitive-behavioral therapies on body image, anxiety, and depression in women with PCOS
Authors: Amirshahi Mansoureh , Saremi Ali Akbar , Nouri Reza , Karbalaee Mohammad Hossein , Hosseini Sadat Robabeh 
Published: July 2024

BACKGROUND:
Polycystic ovary syndrome (PCOS) is a heterogeneous disease that is usually seen in women of reproductive age and causes complications such as body image dissatisfaction, anxiety, and depression. This study was done with the aim of comparing the effectiveness of emotion-focused therapy (EFT) and cognitive-behavioral therapy (CBT) on body image, anxiety, and depression in women with PCOS.

MATERIALS AND METHODS:
This research was semi-experimental with a pre-test–post-test design with control and follow-up groups. The statistical population included all women with PCOS who were referred to the infertility clinic of Afzalipur Hospital in Kerman in 2022. A total of 45 patients were selected as a sample using the convenience sampling method and then they were randomly assigned to two experimental groups (15 people each) and a control group (15 people). After the pre-test, the experimental groups were subjected to the interventions of EFT and CBT, and afterward the post-test was performed. Cash et al., body image questionnaire, and Beck anxiety and depression questionnaires were used. Data were analyzed using PSS21 software and analysis of variance.

RESULTS:
The findings revealed that the effectiveness of EFT and CBT on body image, anxiety, and depression is significant (P < 0.05). The comparison of the two therapy showed that the effect of CBT on body image, anxiety, and depression is more than EFT. Moreover, there was no statistically significant difference between the post-test and follow-up scores (P > 0.05).

CONCLUSION:
According to the results, CBT can reduce dissatisfaction with body image, anxiety, and depression in women with PCOS, therefore it is recommended to use this therapy.
The effect of escape room clinical evaluation method on satisfaction, learning, and preparedness to practice as interns of nursing students: A quasi-experimental quantitative study
Authors: Ghiamikeshtgar Najmeh , Ghaljaei Fereshteh , Ghaljeh Mahnaz , Taherizade Bentolhoda , Mahmoodi Nasrin , Sharifi Simin 
Published: July 2024

BACKGROUND:
Clinical evaluation utilizing the escape room game is recognized as a novel method for assessing the team-oriented performance of learners. It is a tool for evaluating teamwork skills in clinical settings, which can boost student motivation and learning. This study aimed to investigate the effect of clinical evaluation through escape rooms and feedback provision through the PEARLS (promoting excellence and reflective learning in simulation) approach on pre-internship nursing students’ satisfaction, learning, and preparedness to practice as interns.

MATERIALS AND METHOD:
The current research is a quasi-experimental quantitative study conducted with a census sample of 42 sixth-semester undergraduate nursing students in 2022. The escape room method was utilized to evaluate entry preparedness into the clinical field. Reliable and valid researcher-made questionnaires were administered to assess the impact of the intervention on learning, satisfaction, and preparedness. The data were analyzed in SPSS version 26 using descriptive and inferential tests. The significance level was considered to be less than 0.05.

RESULTS:
Twenty-six males and 16 females constituted the 42 participants (mean age: 23.46 years). The clinical evaluation method of the escape room game was deemed satisfactory or highly satisfactory by 80% of students. From the perspective of 72% of students, escape rooms were definitely or highly effective in shaping their preparedness to enter the clinical field. Comparing the students’ mean learning scores (self-assessment of clinical skills) before and after the test revealed that their post-test scores (55/16 ± 13/33) were significantly higher than their pre-test scores (45/58 ± 16/58) (P < 0.001).

CONCLUSIONS:
It appears that using the escape room evaluation method in conjunction with other student evaluation methods has helped improve students’ interpersonal communication, problem-solving skills, critical thinking, and teamwork. The experience of working in a group not only improves these skills and is enjoyable to students but can also enhance their learning. Clinical education is dependent on teamwork. The escape room test can be viewed as a valuable tool for encouraging students to collaborate as a team. Therefore, it is suggested that students in all medical education groups be evaluated clinically using this test.
The effectiveness of pubertal health group counseling based on problem-solving, on body image concerns and anxiety in adolescent girls: Study protocol
Authors: Nazmi Sana , Nikbakht Hossein-Ali , Gholamnia-Shirvani Zeinab , Behmanesh Fereshteh , Azizi Alireza 
Published: July 2024

BACKGROUND:
Body image concerns are accepted as a pervasive problem by a large segment of society. Problem-solving counseling is one of the practical counseling techniques that mainly focuses on improving people’s adaptability in stressful situations. We intend to determine the effectiveness of pubertal health group counseling based on problem-solving on body image concerns and anxiety in adolescent girls.

MATERIALS AND METHODS:
A semi-experimental study will be conducted on 12–13 years old students in Babol (Mazandaran, Iran). One hundred people were determined as the final Sample size (50 people in each group) and will be selected to enter the study. A multistage sampling method will be used. The students of the intervention group will receive the necessary training in the problem-solving method regarding pubertal health, once a week for six weeks. Students in the control group will not receive education during the intervention period. Sociodemographic questionnaire, Littleton’s body image concern, and Zong’s anxiety will be used to evaluate students’ body image concerns and anxiety. Analyzes will be done by statistical package for the social sciences (SPSS) version 25 software and a significance level of 5% will be considered. Descriptive statistics and frequency percentage will be determined for classification variables. Median, range, and mean along with standard deviations (SD) will be calculated. The Chi-square test, Repeated Measures ANOVA and ANCOVA test will be used in this study. Percentage prevalence for each categorical variable is calculated with 95% confidence interval (CI).

DISCUSSION:
The effectiveness of counseling based on problem-solving has been reported in various studies on adolescent puberty health concerns and common adolescent mental health problems, hence its application on girls’ body image can be effective.