bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategic Integration of Artificial Intelligence in Health-care Systems: Assessing Costs, Technological Upgrades, and Training Timelines
Authors: Azharuddin Ahmed , Chandran Suriyakala Perumal 
Published: July 2024

BACKGROUND:
In recent years, the evaluation of artificial intelligence (AI) in health-care sector has undergone significant growth and is substantially helpful in supporting clinical decision-making based on evidence. The primary aim of the study is to investigate the strategic integration of AI in health-care systems, specifically focusing on assessing costs, technological upgrades, and training timelines.

MATERIALS AND METHODS:
This study followed quantitative techniques to explore the AI integration’s importance in the systems of health care highlighting training timelines, upgradation of technology, and associated costs. Using descriptive statistics, data were evaluated and a survey was performed on the professionals of emergency medical care. The study employed a combination of descriptive statistics analysis, such as mean and median calculations, to analyze the data. To select participants, this study applied purposive sampling. The selected sample size of the study was 242 from the Indian health-care context.

RESULT:
The results of this study indicated that clear training timelines establishment, technological upgradation, and cost assessments are important for successfully integrating AI technologies. In addition, the discussion explored the acceptance of the significance of stakeholders’ collaboration, cost-effective strategies for training, and information technology infrastructure enhancements. The training costs for AI implementation in health care, with 66.12%–69.83% of respondents selecting “strongly agree” and 25.21%–29.75% selecting “agree.” Strong consensus on the necessity of providing specific timelines for AI implementation in emergency departments, with “strongly agree” responses ranging from 66.12% to 68.60%, and “agree” responses from 26.45% to 29.75%. Issues including timeline adherence and funding constraints were discovered, focusing on the necessity for proactive management.

CONCLUSION:
This research highlighted comprehensive planning’s major role in the integration of AI. Health-care organizations by addressing training timelines, technological upgradation, and cost optimize the incorporation of AI. However, engagement with different financial experts and collaboration with stakeholders are necessary for successfully achieving organizational goals.
Evaluating Practices, Overcoming Pitfalls, and Integrating Artificial Intelligence for Enhanced Quality in Advancing Ambulatory Care
Authors: Shariff Ehtesham Ahmed , Chandran Suriyakala Perumal 
Published: July 2024

BACKGROUND:
For delivering health-care services in addressing preventive care, medical requirements of nonemergency, and the management of chronic diseases, ambulatory care is characterized outside of the hospital setting. The interest in artificial intelligence (AI) integration into ambulatory care settings has increased with the rise of technological advancements. However, by prompting the requirements for systemic assessment across different health-care systems, the AI implementation in ambulatory care is varied.

OBJECTIVE:
The aim of conducting this study is to investigate the current status of AI in the services of ambulatory care across five Asian countries such as Myanmar, Malaysia, China, Indonesia, and the Philippines. The implications for health-care delivery are discussed and the common challenges are identified during this study.

MATERIALS AND METHODS:
The descriptive research strategy was employed during this study, and within ambulatory care, the surveys targeting administrators, nurses, and doctors were utilized. For assessing the impact of AI implementation, statistical analysis including quantitative techniques and Likert scale ratings was conducted. The sample size can be validated and the respondents can be selected using the pilot study and purposive sampling.

RESULTS:
The significant variations in treatment protocols and health-care delivery models across surveyed countries were revealed by the obtained findings. The compromised health-care quality and accessibility issues were identified as a few of the challenges in ambulatory care services that are identified during the findings. For enhancing patient engagement, data management, and decision support, the AI integration into electronic health records was evaluated.

DISCUSSION:
For enhancing patient outcomes and health-care delivery, the understanding of variation significance in ambulatory care practices is emphasized by the respondents. As an essential aspect of different countries, collaboration among health-care professionals is highlighted. The challenges in ambulatory care services are addressed by system-level interventions. The implications of AI integration are discussed during this study along with its roles in enhancing cost reduction in ambulatory care settings.

CONCLUSION:
The significance of AI integration in enhancing patient outcomes across diverse health-care systems is underscored. The collaboration among stakeholders is fostered and the complex challenges are addressed by the successful implementation of AI.
Rehabilitation needs of critically Ill patient’s at General Hospital -Kafr- ELsheikh Governorate
Authors: Youssef Shimaa H. M. , Morsy Warda Y. M. , Elreheim Fatma S. A. A. , Ghoniem Basma M. 
Published: July 2024

BackgroundAssessing rehabilitation needs is an essential part of the care provided to critically ill patients and is used to identify areas of need to develop an individualized care plan for each patient.AimTo explore rehabilitation needs of critically ill patients during the acute stage of illness.Research questionWhat are the different rehabilitation needs of critically ill patients at a general hospital- Kafr- El sheikh Governorate over a period of 6 months?Designdescriptive exploratory research design was used.SamplePurposive sample consist of 100 conscious adult male and female patients, aged from 18- 60 years within period of 6 months was included.SettingFour intensive care units affiliated to General Hospital- Kafr Elsheikh Governorate.ToolsTwo tools were utilized (A) Rehabilitation needs of critically ill patient assessment tool, (B) Patient Categorization Assessment Tool (PCAT).ResultMore than half (52%) of patients were the age group 51-60 years old, more than half (54%) of them were females. More than half (55%) of patients stayed 4-6 days at the hospital, all of them were fully conscious. More than one quarters (37%) of the studied patients had a cardiac disease. There were statistical significant difference (χ2=25.28,P=0.00) with deterioration in chest sound 42% of patient (n=100)had abnormal chest sound in first day elevated to 70% of them(n=10) at the last day of their hospitalization. there were significant statistical differences (p≤0.05) in daily living activity between the hospitalization days among critically ill patients. there were significant statistical differences (p≤0.05) in mobility between the hospitalization days among critically ill patients. the cognitive aspect needs were the same at the hospitalization days. There were statistical significant difference (χ2=94.5,P=0.03) with deterioration in psychological stressors presence 71% of them had psychological stressors in first day increased to all of them at the last day of their hospitalization.ConclusionCritically ill patients have variable rehabilitation needs that change throughout acute stage of their illness.RecommendationPutting into practice the rehabilitation needs assessment for critically ill patients, which is regarded as the initial stage in creating rehabilitation programs. Replication of this study on a larger probability sample from different geographical locations in Egypt is recommended.
The pattern of female sexual function throughout pregnancy
Authors: Garadah Shimaa B. , Abdelmonem Amel S. , Abdelghani Rania M. 
Published: July 2024

Background
Pregnancy is a normal physiological stressful process that cause a lot of changes in all body systems so that it can affect the female sexual function.

Aim
To assess the pattern of female sexual function throughout pregnancy.

Design
A descriptive cross-sectional design was adopted for the present study.

Setting
The study was conducted at the antenatal clinic at Alkser Alini.

Sample
A purposive sample of 90 pregnant women was recruited in the study and divided into three groups: 30 pregnant women according to pregnancy trimester.

Tool
The interviewing questionnaire was composed of the woman personal data, husband’s personal data, sexual history, and the Female Sexual Function Index (FSFI) were used.

Results
Most women suffered from deteriorated sexual function during the first and third trimesters of pregnancy (86.7 and 96.7%), respectively, while they remained sexually active in the second trimester. There was a statistical significant relation between the FSFI total scores and having back pain, dyspnea, leg pain, and heartburn (P<0.05). Also, there was a statistical significant relation between the FSFI total scores and woman’s age, number of children, residence, husband’s age, and state of circumcision.

Conclusion
Pregnancy plays a negative role in decreasing the pregnant woman’s sexual function, especially in the first and third trimesters as compared to the second trimester.

Recommendation
Replication of the study using a prospective approach of one group of women to assess the female sexual function and further studies using a qualitative approach allow collecting more detailed information about female sexual function and biopsychosocial factors affecting it are recommended.
Relationship between nursing informatics competencies and evidence-based decision-making use among nurse managers
Authors: Hussein Mostafa M. , Al-Hamid Magda A. , Hassan Shimaa 
Published: July 2024

Background
In today’s changing health systems, it is imperative that nursing managers must be proficient in nursing informatics to make evidence-based decisions, which may ultimately lead to increased organizational effectiveness. The study aims to examine the relationship between nursing informatics competencies and evidence-based decision-making (EBDM) use among nursing managers.

Study design
A descriptive correlational design was used in this study.

Sample
The sample included a total of 97 nurse managers.

Setting
This study was conducted at a selected private hospital.

Tools
Three tools were used to collect the study data as follows: (a) the nurses manager’s personal and work-related data tool, (b) the Nursing Informatics Competency Assessment Tool, and (c) Evidence-Based Decision-Making Usage Questionnaire.

Results
The main findings indicated that more than one-fifth (21.6%) of the study sample were proficient in total informatics competencies. In addition, EBDM attitude and beliefs had the highest mean percentage (66.13%), EBDM skills had the lowest mean percentage (52.44%), and EBDM overall had a moderate level mean percentage (60.29%). A statistically significant strong positive correlation (r=0.628, P=0.00) between the overall informatics competencies and the overall EBDM process skills was found.

Conclusion
Nursing informatics competencies levels influence the study participants’ attitudes and abilities regarding the use of EBDM.

Recommendations
Incorporate the nursing informatics qualification in the job descriptions of all nurse management levels and provide an environment that supports and allows the use of an effective EBDM process.
Multicomponent tympanometry in ears with cochlear implant
Authors: Vanaja C. S. , Rucha V. 
Published: July 2024

Abstract

Introduction:
Multifrequency and multicomponent tympanometry procedures enable the evaluation of minute changes in the middle ear system and the estimation of resonant frequency. Changes in the resonant frequency beyond normative values indicate the presence of pathology or change in the natural characteristics of the middle ear. The present study aimed to investigate if there is a difference in the admittance of the middle ear on the side of cochlear implantation and the contralateral ear for different probe tones. The study also investigated if there was a difference in the type of multicomponent tympanogram obtained in ears that have undergone cochlear implantation when compared to the contralateral ear.

Methods:
Twenty children in the age range of 4–14 years with bilateral severe to profound sensorineural hearing loss, having undergone unilateral cochlear implantation, were included in the study. Tympanometry using four probe-tone frequencies (226 Hz, 678 Hz, 800 Hz, and 1000 Hz) was carried out in each ear. Total compliance (Y) and type of tympanogram were compared across the ear with cochlear implantation and the contralateral ear.

Results:
It was found that the implanted ears had lower mean admittance values as compared to the contralateral side at all four probe-tone frequencies. Wilcoxon signed-rank test indicated that the difference was statistically significant for 226 Hz, 678 Hz, and 800 Hz probe tones, suggesting increased stiffness in the ear with cochlear implantation. There was a significant difference in the type of tympanograms obtained in the two ears for 800 Hz and 1000 Hz probe-tone frequencies.

Conclusions:
These results warrant the testing of the contralateral ear for obtaining electrically evoked stapedial reflex thresholds (eSRT).
Quantitative EEG correlates of ‘Kriya yoga’ benefits for mental health among health care providers
Authors: Ojha Pooja , Nebhinani Naresh , Chandani Ambika 
Published: July 2024

Background:
Health care workers (HCWs) experience abounding physical and mental exhaustion mandating a deliverable solution for their mental health care. Kriya yoga (KY) includes several relaxation techniques and offers a stress-alleviating experience. The objective signature of KY benefits needs to be investigated.

Aim:
To study the effects of KY practice on brain oscillations and perceived stress in health care providers.

Methods:
This prospective interventional study was conducted during coronavirus disease 2019 pandemic. HCWs were enrolled to the intervention group (IG) and control group (CG) after obtaining an informed consent. IG visited the yoga center for learning the KY technique. Electroencephalogram (EEG) was recorded in both the groups, at baseline, and at the end of 6 weeks in the EEG Laboratory. Perceived stress scale (PSS) scores and participants’ subjective response to KY practice were also collected. Paired t-test and independent t-test were used for statistical comparison wherever applicable.

Results:
Age and baseline EEG powers among the IG and CG (N = 25) were statistically comparable. Absolute power analysis revealed a statistically significant increase in alpha and delta powers after 6 weeks of KY practice. The PSS scores revealed a statistically significant decrease in perceived stress after KY practice. Furthermore, 83% of the participants reported the subjective calming effects of KY practice.

Conclusion:
KY practice ensues relaxing effects on the brain, as evident from the EEG absolute power analysis, PSS scores, and participants’ subjective response. As KY is a brief technique, it may be encouraged during short break session among the HCWs for promotive health.
Beyond the screen: Examining the associations between cyberbullying, social media addiction, and mental health outcomes among medical students: A cross-sectional study
Authors: Parmar Parth , Yogesh M , Damor Naresh , Gandhi Rohankumar , Parmar Bhavin 
Published: July 2024

Background:
Cyberbullying and excessive social media use are emerging issues among medical students, with potential implications for mental health. This study aimed to investigate the prevalence of cyberbullying, social media addiction, and their associated mental health conditions, as well as to explore the associated factors among medical students.

Methods:
A cross-sectional study was conducted among 418 medical students in Gujarat using a self-administered questionnaire. Cyberbullying was assessed using the Revised Cyberbullying Inventory (RCI-R), social media addiction was measured using the Bergen Social Media Addiction Scale (BSMAS), and mental health issues were evaluated using the Depression Anxiety Stress Scale (DASS-21). Descriptive statistics and binary logistic regression analyses were performed. A P value of <0.05 was considered significant.

Results:
The prevalence of cyberbullying, social media addiction, depression, anxiety, and stress among participants was 27.5% (95% CI: 23.4%–31.9%), 32.1% (95% CI: 27.8%–36.7%), 37.6% (95% CI: 33.1%–42.2%), 41.9% (95% CI: 37.3%–46.6%), and 46.2% (95% CI: 41.6%–50.9%), respectively. Factors associated with increased risk of being a cyber victim included older age, female gender, later years of study, increased daily mobile and social media usage, social media as the preferred mobile usage, and social media addiction. Factors associated with being a cyberbully were similar, except for the male gender. Both cyber victimization and social media addiction were significantly associated with higher odds of depression [aOR-2.5 (1.6–3.9) and 2.1 (1.4–3.2)], anxiety [aOR–2.2 (1.4-3.4) and 1.9 (1.3–2.8)] and stress [aOR–2.8 (1.8-4.3) and 2.4 (1.6–3.6)].

Conclusions:
Cyberbullying, social media addiction, and mental health issues are prevalent among medical students. Targeted interventions addressing excessive social media use, promoting responsible online behaviour, and supporting mental well-being are crucial for this population. Further research is needed to establish causal relationships and develop effective prevention and support strategies.
Exploring barriers to seek mental health services among patients with severe mental illness and their caregivers in a modified assertive community treatment program: A qualitative thematic analysis
Authors: Arahanthabailu Praveen , Praharaj Samir K. , Purohith Abhiram N. , Yesodharan Renjulal , Rege Sumita , Appaji Rashmi 
Published: July 2024

Background:Affordability, lack of public mental healthcare facilities, inadequate insurance coverage, and stigma and discrimination are barriers to mental healthcare utilization in India. There is limited research on these barriers and the factors influencing the use of mental health services.Aim:To explore the barriers to seeking mental healthcare for individuals with severe mental illness and their caregivers in a modified assertive community treatment program.Methods:In a qualitative study using a descriptive thematic analysis, we conducted in-depth interviews with 19 adults, including seven individuals with severe mental illness and twelve caregivers. All the participants had been in the modified assertive community treatment program for at least two years. Using thematic analysis, we identified and grouped codes into subthemes and then clustered into themes.Results:Three major themes on barriers to seeking mental health services emerged: service-related factors, societal-related factors, and illness-related factors. Service-related factors included affordability, accessibility and geographical disparity, and noncoverage under insurance schemes. Societal-related factors included social stigma and discrimination, lack of mental health service knowledge and seeking other forms of treatment, and poor social support. Illness-related factors included poor insight into the illness and no relief from the symptoms despite medication.Conclusions:Barriers to seeking mental healthcare can be categorized as service-related, societal-related, and illness-related. Identifying these factors will improve mental health service delivery.
A study of clinical correlates and predictors of insight in obsessive compulsive disorder
Authors: Sinha Niska , Ram Daya , Singh Krishna K. , Pattojoshi Amrit 
Published: July 2024

Background:
Obsessive compulsive disorder (OCD) is a clinically heterogeneous psychiatric disorder in terms of symptom content and insight.

Aim:
To study the various factors associated with insight in OCD.

Materials and Methods:
A cross-sectional hospital-based study was conducted among 40 patients with OCD who were evaluated on Yale-Brown Obsessive-Compulsive Scale, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, Brown Assessment of Beliefs Scale, Meta-Cognitions Questionnaire, WHOQOL-BREF, and Sheehan Disability Scale. Statistical analysis was done using SPSS version 22.

Results:
Metacognition, severity of OCD, and associated disability were the significant predictors for insight in patients with OCD.

Conclusion:
Factors associated with insight in OCD can enhance our understanding in the management of OCD.
Dual diagnosis and their care pathways for help-seeking: A multicenter study from India
Authors: Ghosh Abhishek , Mukherjee Diptadhi , Khanra Sourav , Prasad Sambhu , Mahintamani Tathagata , Basu Aniruddha , Padhy Susanta , Suthar Navratan , Somani Aditya , Arya Sidharth , Das Basudeb , Kumar Pankaj , Rina Kumari , Haokip Hoineiting Rebecca , Guin Aparajita , Mishra Shree , Nebhinani Naresh , Singh Lokesh K. , Gupta Rajiv , Kaur Ramandeep , Basu Debasish 
Published: July 2024

Background:
Understanding pathways to dual diagnosis (DD) care will help organize DD services and facilitate training and referral across healthcare sectors.

Aim:
The aim of our study was to characterize the stepwise healthcare and other contacts among patients with DD, compare the characteristics of the first contact persons with common mental disorder (CMD) versus severe mental illness (SMI), and estimate the likelihood of receiving appropriate DD treatment across levels of contacts.

Methods:
This cross-sectional, descriptive study in eight Indian centers included newly enrolled patients with DD between April 2022 and February 2023. The research spans varied geographic regions, tapping into regional variations in disease burden, health practices, and demographics. The study categorized healthcare contacts by using the WHO Pathways Encounter Form.

Results:
The sample (n = 589) had a median age of 32 years, mostly males (96%). Alcohol was the most common substance; SMI (50.8%) and CMD were equally represented. Traditional healers were a common first contact choice (18.5%); however, integrated DD care dominated subsequent contacts. Assistance likelihood increased from the first to the second contact (23.1% to 62.1%) but declined in subsequent contacts, except for a significant rise in the fifth contact (97.4%). In the initial contact, patients with CMD sought help from public-general hospitals and private practitioners for SUD symptoms; individuals with SMI leaned on relatives and sought out traditional healers for psychiatric symptoms.

Conclusion:
Recognizing the cultural nuances, advocating for integrated care, and addressing systemic challenges pave the way to bridge the gap in DD treatment.
Comparison of the effect of swallowing rehabilitation on two cases with head and neck cancer
Authors: Tanrıverdi Müberra , Törpü Gökhan Can , Öztoprak Nahide 
Published: July 2024

ABSTRACT
Complications of head and neck cancers and their treatment can lead to dysphagia. Two fifty-seven-year-old male cases, one with laryngeal cancer and one with tongue cancer, were included in the study. After 16 weeks of swallowing rehabilitation, positive changes were observed in the physical parameters, quality of life, and nutritional status of the patients. In conclusion, patients with head and neck cancer should be evaluated by physiotherapists for dysphagia. The participation and motivation of the patients in the rehabilitation program are highly effective in the outcome of the treatment.