bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Patient Handover Process from Operating Room to Intensive Care Unit at Cardiovascular Surgery Hospital of Ain Shams University
Authors: Al-Motar Shaymaa Shawki , Yosef Mostafa , Alansary Adel Mohamad , Fotouh Aisha Aboul 
Published: July 2024

Abstract

Background
Handovers of post-anesthesia patients to the intensive care unit are commonly unstructured and performed under time pressure. The cardiovascular patients are transferred directly to intensive care unit after the operation, as these vulnerable patients need more and faster care. Therefore, the handover processes are more susceptible to poor communication, loss of information and potential patient harm.

Objective
To identify the frequency of defects of current practice of healthcare providers during handover process from operating room to ICU after cardiovascular surgery and to determine the contributing factors that affect the transition of care process.

Methods
This descriptive Cross-sectional study was conducted after cardiovascular surgery the intensive care unit of Cardiovascular Surgery Hospital, one of Ain Shams University Hospitals between December 2021 to March 2022. A checklist was used to assess the performance of handover processes of 120 adult patients after cardiovascular operation, which included 8 main areas (Contributing factor, Pre-handover, Equipment and technology handover, Patient specific information, Anesthesia information, Surgical information, Duration of handover process, Distraction)

Results
The mean age of patients was 56.03 ± 10.77 years and most of them 85 (70.8%) were males. The median number of errors in pre-handover process was 0(0), patient specific information 3(1), anesthesia information 3(0), surgical information 4.5(2) and equipment handover 3(0). The mean duration of handover processes in minutes was 15.09 ± 5.69 (range 8–35) and 76 (63.3%) of the processes had distractions. There was no significant correlation between age, duration of surgery, duration of handover and number of errors regarding (pre- handover, patient information, anesthesia information, surgical information and equipment handover).The important items were not handed over at all(name of the patient, allergies to medication, estimated blood loss, medications given during surgery which need to be restarted)

Conclusions and Recommendations
The overall omission is low in spite of the expected to be zero, taking into consideration the type of procedures and the patient condition, so the critical situation need every elements must be fulfilled for patient safety and to avoid complications that may threat the patient life.
Role of CT Scan in Preoperative Evaluation of Bone Loss in Anterior Shoulder Instability Using the On Track and Off Track Concept
Authors: Aziz Mohamed Abdel , Niazy Gamal , Ibrahim Hazem , Sayed El Shoubky Nourhan Mohamed Amin 
Published: July 2024

Abstract

Purpose
The purpose of this study was to assess the role of CT scan in preoperative evaluation of glenoid and humeral head bone loss in cases of recurrent anterior shoulder joint dislocation using on track and off track concept and whether it can be used to predict engagement during arthroscopy.

Patients and Methods
In the period from June 2019 to October 2022, this study was conducted in Ain Shams University hospitals including 40 cases with recurrent anterior shoulder dislocation. CT scan with 3D reconstruction was done to calculate the width of the glenoid track using the best fit circle method as well as the Hill Sachs interval. We used the on-track off-track method to predict engagement and these results were compared with the findings related to engagement seen during arthroscopy

Results
Using the on-track /off-track technique on CT images, 22 of the 25 engaging (off-track) lesions was predicted correctly (sensitivity, 88%).While 13 of the 15 cases that did not engage (on-track) was correctly predicted (specificity, 86.7%). Overall, the accuracy of the on-track off-track method was 87.5% with a positive predictive value (PPV) of 91.7% and negative predictive value (NPV) of 81.3%. The on-track /off-track method was found to be a significant predictor of engagement as there is no statistically significant difference (p = 0.18) between this method and arthroscopic findings.

Conclusion
Our study showed that using the on-track off-track method by CT scan can accurately assess the glenoid and humeral head bone losses seen in patients with anterior shoulder instability for predicting the presence of engagement, or off-track, lesions. This technique can be used for preoperative evaluation to help in deciding the type of surgical procedure performed on patients with anterior shoulder instability.
Evaluation of Achilles Tendon in Type 2 Diabetes Mellitus Patients Using Sonoelastography
Authors: Sakr Hossam Moussa , Al Diasty Shaimaa Al Metwally , Badr Gomaa Nada Osama Nasreldeen 
Published: July 2024

Abstract

Background
Diabetes mellitus is an endocrine disease associated with several metabolic disorders and long-term complications. Achilles tendon is the largest and strongest tendon in the human body playing a crucial role in foot biomechanics. Hyperglycaemia in Diabetes Mellitus aids the deposition of glycosylated end products in most tissues including the Achilles tendon, which in turn alters its structure and function.

Objectives
The study aims to investigate the differences in Achilles tendon thickness and stiffness in people with and without type 2 diabetes mellitus.

Patients and Methods
This is a case control study, where the Achilles tendons of 20 type 2 DM patients and 21 non-diabetic controls were examined for the thickness and stiffness. Achilles tendon thickness was measured using B-mode ultrasonography while its stiffness was evaluated by compression elastography.

Results
This study included 20 type 2 DM patients (40 Achilles tendons), and 21 non-diabetic controls (42 Achilles tendons). The Achilles tendon thickness was significantly higher in the diabetic group with a mean thickness of 4.23 ± 0.95 mm, compared to 3.06 ± 0.83 mm in the control group (p &lt; 0.01). A statistically significant difference of the Achilles tendon stiffness was also established. The diabetic group showed a greater percentage of soft tendons (47.5%) compared to the control group (16.7%). The diabetic group also showed a smaller percentage of hard tendons (52.5%) compared to the control group (83.3%) (p &lt; 0.05).

Conclusion
Achilles tendons of type 2 DM patients are both thicker and softer than their non-diabetic counterparts.
Uterine Artery Doppler in the Second Trimester as a Predictor of Preeclampsia in High Risk Pregnancy
Authors: Azab Enas Ahmed , Tantawy Salma Hassan , Refaat Kotb Sally Ahmed , El-Hamalawy Alaa Nasir El-Din Ali 
Published: July 2024

Abstract

Background
Preeclampsia is a multisystem disorder of pregnancy which is a major cause of maternal and fetal morbidity and mortality worldwide. The cardinal clinical features of the condition are hypertension and proteinuria occurring after 20 weeks gestation in women who were not previously known to be hypertensive.

Aim of the Work
The aim of the work was to evaluate the role of uterine artery Doppler in the second trimester as a predictor of preeclampsia in high risk pregnancy.

Patients and Methods
We included 80 pregnant females in the second trimester at high risk pregnancy in our study, uterine artery Doppler ultrasound was done in the second trimester and the patients were followed up in the third trimester for blood pressure measurement and diagnosis of PE.

Results
Our results revealed correlation between high indices of uterine arteries and development of PE.

Conclusion
Our study revealed that we can use uterine artery Doppler as a reliable method to predict preeclampsia.
MRI in Postero-Lateral Corner Injuries of the Knee Joint: Clinical-Radiological Correlation
Authors: Alkassar Nagwan Sadeq , Sakr Hossam , Salah Hesham 
Published: July 2024

Abstract

Background
The posterolateral corner (PLC) was once regarded as the “dark side of the knee” owing to the complex and variable anatomy superimposed on the inconsistent terminology used in the literature to describe the structures in this region.

Aim of the Work
To describe the role of MRI in assessment of posteriolateral corner injury of knee joint.

Patients and Methods
This cross sectional study was conducted in department of Radiology in Ain Shams University, the data collected from database to reach sample size number and enrolled data of 20 patients in period was 18-24 months.

Results
We were able to show that the MRI procedure we gave accurately visualises the majority of the complex individual components of the posterolateral knee, as well as damage to these structures, in this investigation. When the diagnosis of grade III injuries to the posterolateral knee is in doubt, we believe that MRI of the posterolateral knee is a useful complement to the surgeon. In our capacity to correctly diagnose damaged structures on MRI, there were no clear differences between acute and chronic knee injuries. On MRI, avulsions or tears of the direct arm or anterior arm insertion off the fibular styloid show focal discontinuity, nonvisualization, increased signal intensity, or proximal retraction, often with a contemporaneous bone avulsion. The damage pattern can also be seen in axial and sagittal views.

Conclusion
When posterolateral rotatory instability is suspected, the MRI approaches that described for visualizing particular injuries to the posterolateral knee will almost always reveal the bulk of the affected structures. When a posterolateral knee injury is assessed on MRI, using a special MRI protocol that covers the full fibular head and styloid on all imaging sequences will help in identifying these structures.
Jenna’s Project: Preventing Overdose and Improving Recovery Outcomes for Women Leaving Incarcerated Settings During Pregnancy and Postpartum Periods
Authors: Hairston Essence , Jones Hendrée E. , Johnson Elisabeth , Alexander James , Andringa Kimberly R. , O’Grady Kevin E. , Knittel Andrea K. 
Published: July 2024

Objectives
For people with opioid use disorder (OUD), transitioning from pregnancy to postpartum and from incarceration to the community is a time of increased risk for opioid overdose. This prospective project evaluated the extent of Jenna’s Project’s success in preventing overdoses and improving recovery outcomes by coordinating postrelease care in incarcerated OUD perinatal patients.

Methods
Participants (N = 132) were pregnant or postpartum (1 year postdelivery) with OUD during incarceration and self-referred for postrelease services. From March 2020 to October 2021, participants could receive up to 6 months of postincarceration care coordination services (eg, regular communication, transportation, emergency housing, SUD treatment), medication to treat OUD (MOUD) and other treatment services. Outcomes included verified overdose (fatal), self-reported nonfatal overdose, reincarceration, active Medicaid, receipt of MOUD, presence of children living with participants, open Child Protective Services cases, and number of referrals for services.

Results
There were 0 nonfatal and 0 fatal overdoses at both 1 and 6 months postrelease, and 3 of 132 (2%) returned to incarceration. Significantly fewer participants had Medicaid at release (36%) and at 6 months postrelease (60%) than before incarceration (87%) (P < 0.001 for all 3 pairwise comparisons). At 6 months postrelease, significantly more participants reported MOUD receipt (51%) compared with before incarceration (39%) (P < 0.001). There was no significant change in the number of open Child Protective Services cases. Referrals for childcare or parenting services were the most common referrals provided.

Conclusion
Immediate postrelease care coordination for pregnant and postpartum women with OUD was feasible and effective in preventing overdose, reincarceration, and promoting recovery outcomes.
Deep Learning–Based Real-Time Ureter Identification in Laparoscopic Colorectal Surgery
Authors: Narihiro Satoshi , Kitaguchi Daichi , Hasegawa Hiro , Takeshita Nobuyoshi , Ito Masaaki 
Published: July 2024

BACKGROUND:
Iatrogenic ureteral injury is a serious complication of abdominopelvic surgery. Identifying the ureters intraoperatively is essential to avoid iatrogenic ureteral injury. We developed a model that may minimize this complication.

IMPACT OF INNOVATION:
We applied a deep learning–based semantic segmentation algorithm to the ureter recognition task and developed a deep learning model called UreterNet. This study aimed to verify whether the ureters could be identified in videos of laparoscopic colorectal surgery.

TECHNOLOGY, MATERIALS, AND METHODS:
Semantic segmentation of the ureter area was performed using a convolutional neural network–based approach. Feature Pyramid Networks were used as the convolutional neural network architecture for semantic segmentation. Precision, recall, and the Dice coefficient were used as the evaluation metrics in this study.

PRELIMINARY RESULTS:
We created 14,069 annotated images from 304 videos, with 9537, 2266, and 2266 images in the training, validation, and test data sets, respectively. Concerning ureter recognition performance, the precision, recall, and Dice coefficient for the test data were 0.712, 0.722, and 0.716, respectively. Regarding the real-time performance on recorded videos, it took 71 milliseconds for UreterNet to infer all pixels corresponding to the ureter from a single still image and 143 milliseconds to output and display the inferred results as a segmentation mask on the laparoscopic monitor.

CONCLUSIONS:
UreterNet is a noninvasive method for identifying the ureter in videos of laparoscopic colorectal surgery and can potentially improve surgical safety.

FUTURE DIRECTIONS:
Although this deep learning model could lead to the development of an image-navigated surgical system, it is necessary to verify whether UreterNet reduces the occurrence of iatrogenic ureteral injury.
Global Surgery: The Challenges and Strategies to Win a War That Must Be Won
Authors: Nthumba Peter M. 
Published: July 2024

Background:
Modern science has conquered seas, land, and space. Although great strides have been made in technology and infectious diseases, global surgery, which was reborn in 2015, has not made much progress. The burden of surgical disease in low- and middle-income countries remains seemingly unconquerable, and its growth unstoppable. The myriad challenges in meeting the surgical needs of 5 billion people has intrigued the author.

Methods:
The author collected the views of plastic surgeons on sources and impediments to the scale-up of plastic surgery in low- and middle-income countries, as well as potential strategies for overcoming these obstacles. The author then performed a literature search reviewing the topics that arose from those discussions. The author proposes a strategy using plastic surgery as a model surgical discipline.

Results:
A root-cause analysis suggests that the Alma Ata Declaration, with its focus on primary healthcare, is the probable genesis of global surgery (GS) woes. The absence of a clear GS community leader and the fragmented nature of GS advocates who operate in multiple silos, without a clear unified goal, are the primary reasons GS advocates have achieved so little on the ground.

Conclusions:
Global surgery requires a business model to sustainably meet the surgical needs of the 5 billion people globally. The proposed and implemented strategies must meet rigorous criteria to ensure sustainability, as quick-fix solutions are counterproductive. The development of centers of excellence offers a viable solution to problems that must be addressed successfully.
Nd:YAG laser capsulotomy vs needle aspiration in intumescent cataracts: comparative study of complications and outcomes
Authors: Ceylan Ali , Aydin Fahri Onur , Karapapak Murat , Aydın Seyfi , Ozal Sadık Altan , Yildirim Yusuf 
Published: July 2024

Purpose:
To compare the complications and postoperative outcomes of Nd:YAG laser anterior capsulotomy vs a needle aspiration approach for capsulorhexis in patients with intumescent cataracts.

Setting:
University of Health Sciences, Basaksehir Cam and Sakura City Hospital Department of Ophthalmology, Istanbul, Turkey.

Design:
Retrospective, cross-sectional study.

Methods:
Patients with intumescent cataract were divided into 2 groups. Group 1 (37 eyes) underwent Nd:YAG laser capsulotomy preoperatively, which reduced lens pressure. In Group 2 (31 eyes), the capsulorhexis was completed by reducing the intralenticular pressure by needle aspiration and then gradually expanding the capsule. Demographics, pre/postoperative parameters, complications, and surgical times were analyzed.

Results:
68 eyes of 68 patients were evaluated. Age and sex exhibited no significant differences between groups. Group 2 had more complications than Group 1 (P = .041). Specifically, no capsular tear extensions were seen in Group 1 while 4 patients in Group 2 had tears extending to the lens periphery. Group 1 showed a significant decrease in surgical maneuvers and time (P = .028) while no significant difference was found in effective phacoemulsification time (P = .076).

Conclusions:
Nd:YAG laser capsulotomy effectively prevented capsular extensions and reduced surgical time in intumescent cataracts. This technique provides a safe alternative to traditional methods, potentially reducing intraoperative risks and improving surgical efficiency. The findings support Nd:YAG laser anterior capsulotomy as a viable approach for capsulorhexis in intumescent cataracts, emphasizing its potential benefits in reducing complications and enhancing surgical outcomes.
Mental Health Disorders, Organizational Stigma, and Health Service Utilization Among US Fire Investigators
Authors: Testoff Addison C. , Pauley Jeffrey L. , Brewer Michael , Weidlich Christopher P. , Koru-Sengul Tulay , Solle Natasha Schaefer , Caban-Martinez Alberto J. 
Published: July 2024

Objective
The aim of the study is to estimate in a sample of US fire investigators the (1) prevalence of generalized anxiety disorder (GAD), depression, posttraumatic stress disorder (PTSD) risk, and mental health services use and (2) association between organizational stigma and mental health disorders.

Methods
This is a cross-sectional study design used to administer between November 2023 and January 2024, a 35-item behavioral/mental health survey.

Results
Approximately 18.0% of fire investigators had GAD, 22.8% depression, and 18.2% PTSD risk. Organizational stigma about mental health disorders was reported by 53.3% of fire investigators. The most frequently used behavioral/mental health services were cognitive behavioral therapy (40.1%) and medication management (36.1%). Organizational stigma around reporting mental health disorders was significantly associated with PTSD risk (adjusted odds ratio = 5.25 [2.41–11.43]).

Conclusions
Mental health disorders are present in the fire investigator workforce, and organizational stigma is associated with limited report of PTSD risk.
Odds of Developing Cancer Among Male and Female Volunteer Firefighters in Florida
Authors: Caban-Martinez Alberto J. , Koru-Sengul Tulay , McClure Laura A. , Pinheiro Paulo S. , Hernandez Monique N. , Kobetz Erin N. , Lee David J. 
Published: July 2024

Objective
Determine whether volunteer firefighters in Florida are at increased odds of developing cancer compared with nonfirefighters.

Methods
A case-control study design was implemented to assess the odds of developing cancer among male and female volunteer firefighters in Florida. Gender-specific age and calendar year-adjusted odds ratios and 95% confidence intervals were estimated.

Results
Male volunteer firefighters were at increased odds for developing prostate (aOR = 1.26; 95%CI;[1.10–1.44]) and male genital cancers combined (1.22;[1.07–1.39]), while reduced odds for endocrine cancer (0.41;[0.17–1.00]), and all leukemias (0.55;[0.35–0.86]), including lymphocytic (0.48;[0.24–0.97]); and chronic lymphocytic (0.40;[0.17–0.97]) leukemias. Female volunteer firefighters were at increased odds of developing of kidney cancer (2.51;[1.29–4.91]).

Conclusions
Male volunteer firefighters are at increased odds for prostate and overall male genital cancers, while female volunteers are increased odds of kidney cancer.
Effect of Side Jobs and Psychological Distress on Employee Turnover in Japanese Employees
Authors: Hara Tatsuhiko , Mori Takahiro , Nagata Tomohisa , Odagami Kiminori , Adi Nuri Purwito , Nagata Masako , Mori Koji ,   for the W2S-Ohpm Study
Published: July 2024

Objectives
We investigated the impact of engaging in side jobs on turnover and its interaction with psychological distress among Japanese employees.

Methods
A prospective cohort study was conducted using a questionnaire-based survey. We investigated 2783 full-time employees in companies permitting side jobs. Multiple logistic regression analyses were used to examine the relationship between side jobs and turnover, and its relationship stratified by psychological distress.

Results
Employees engaging in side jobs had higher odds ratios (ORs) for turnover after adjusting for covariates, including psychological distress (OR, 1.54; 95% confidence interval, 1.22 to 1.93). Among those under psychological distress, ORs for turnover were significantly higher (OR, 1.96; 95% confidence interval, 1.39 to 2.76). Conversely, in employees without distress, no significant difference was observed.

Conclusions
Side job engagement correlates with higher turnover, particularly among employees under psychological distress.
Predicting COVID-19 Cases in Nursing Homes of California and Ohio
Authors: Roy Soumyadipta , Collins Jamie E. , Boden Leslie I. , Katz Jeffrey N. , Wagner Gregory R. , Sorensen Glorian , Williams Jessica A.R. 
Published: July 2024

Objective
The cross-sectional study evaluates if the prepandemic work environments in nursing homes predict coronavirus disease 2019 (COVID-19) cases among residents and staff, accounting for other factors.

Method
Leveraging data from a survey of California and Ohio nursing homes (n = 340), we examined if Workplace Integrated Safety and Health domains — Leadership, Participation, and Comprehensive and Collaborative Strategies predicted cumulative COVID-19 cases among nursing home residents and staff.

Results
In Ohio, a 1-unit increase in Leadership score was associated with 2 fewer staff cases and 4 fewer resident cases. A 1-unit increase in Comprehensive and Collaborative Strategies score in California showed an average marginal effect of approximately 1 less staff case and 2 fewer resident cases.

Conclusions
These findings suggest that leadership commitment and interdepartment collaboration to prioritize worker safety may have protected against COVID-19 cases in nursing homes.