bluuebunny/crossref_metadata_2025_split huggingface dataset:
Critical Appraisal of Curriculum Content for Bachelor of Science in Intensive Care Technology Under Faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University) as Against Subject Centricity
Authors: Mishra Gaurav Vedprakash , Dhok Archana , Srivastava Tripti , Singh Rohan Kumar , Patwa Prerna Anup 
Published: August 2024

Background:
The specialty of intensive care of patients, also known widely as “critical care medicine” is one that includes how to properly look after and take care of patients who are critically ill. In the academic year 2020–2021, an undergraduate course curriculum on intensive care technology was launched in the Faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University), the curricular inclusions for which were the document of interest for the present study. It is vital to determine the standing of the curriculum prepared for a new course for undergraduates with regard to its centricity– learner based, subject based or problem based. Here, the cognitive domain can be viewed in the subject based inclusions. The present study attempts to delineate the curricular inclusions for the said curriculum of Bachelor of Science in Intensive Care Technology under Faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University) as against typing of curriculum based on subject centricity.

Materials and Methods:
Rapid review of the literature with reference to the curriculum of Bachelor of Science in Intensive Care Technology under Faculty of Allied Health Sciences, Datta Meghe Institute of Medical Sciences (Deemed to be University) in the academic year 2020–2021 for purpose of their “typing” with principles of curriculum design' was done.

Results:
According to principles of curricular design by Schweitzer based on centricity of curriculum, the curricular inclusions were divided into three types–subject centred inclusions, problem-centered inclusions and learner-centered inclusions. The total number of curricular inclusions was 539. Ideally taking the ratio of curricular inclusions as 6:3:1, there should be 323 subject-centered inclusions, 162 problem-centered inclusion, and 54 learner centered. Out of this, there were 313 inclusions which were observed to be subject centred, 206 inclusions were problem centered and 20 were centred upon the learner. Thus, the overall percentage of typing of the inclusions was 58.07% subject centricity, 38.21% problem centricity and 3.7% learner centricity. The observed deficit of inclusions in subject centricity was 10, a surplus of 44 inclusions was observed in problem-centered inclusions whereas the learner-centered inclusions showed a deficit of 34 objectives.

Conclusion:
The undergraduate course curriculum of Bachelor of Science in Intensive Care Technology under Faculty of Allied Health Sciences included in the present study for typing of included curricular inclusions has been typed based on their centricity upon the subject.
Challenges and barriers to healthy eating behaviors in the workplace: A pragmatic approach to promoting healthy aging
Authors: Khalafehnilsaz Mahnaz , Ramezankhani Ali , Rahnama Rozina 
Published: August 2024

BACKGROUND:
The role of health-related behaviors, particularly eating behavior, in the health of middle-aged individuals in the workplace is crucial. This qualitative study aimed to gain a deeper understanding of the challenges and barriers to healthy eating behaviors in the industrial workplace from the perspectives of middle-aged workers and employers.

METHODS:
Semi-structured interviews were conducted with 15 participants, including 5 workers aged 35 to 59 years, 3 nutrition experts, 2 health, safety and environment (HSE) experts, and 5 employers from industrial workplaces in Tehran, Iran. Purposeful sampling was used to select participants who could provide meaningful insights into the research question. The data were analyzed using Graneheim and Lundman approach with MAXQDA software.

RESULTS:
The study revealed three main themes that hindered healthy eating behaviors in the workplace: (i) the absence of organizational structures for well-being and health, including sub-themes such as the lack of health-oriented organizational policies, inaccessibility to healthy nutritional resources, and restrictive rules, (ii) the pressure of organizational social norms, including sub-themes such as the impact of friendship networks and colleagues, and the effect of workplace culture, and (iii) the lack of a supportive learning environment for healthy behavior, including sub-themes such as the impact of poor interactions and the absence of supportive training.

CONCLUSION:
The findings highlight the need for workplace health programs that address the identified challenges and promote healthy eating behaviors among middle-aged workers. Implementing health-focused policies and fostering a workplace environment that encourages nutritious food choices can enhance the overall health and well-being of workers and potentially lead to healthy aging in the future.
Mental health state in medical students during COVID-19 pandemic
Authors: Natalia Dian , Syakurah Rizma Adlia 
Published: August 2024

BACKGROUND:
Before the COVID-19 pandemic, medical students had reported experiencing high rates of distress, burnout, anxiety, and depression. The psychological impact of the COVID-19 in the general population suggested that the mental health impact was increased anxiety, depression, and stress. There were no exceptions if medical students also experience the same psychological impact. The aimed to this study is analyze the mental and emotional effects of the COVID-19 pandemic among medical students.

MATERIALS AND METHODS:
An observational analytic study was used with a cross-sectional approach. Data were obtained with questionnaires distributed through social media platforms from July 14, 2020, to July 21, 2020. This study using the Fear of COVID-19 (FCV-19) Scale and the Depression, Anxiety, and Stress Scale-21 to assess FCV-19, anxiety, stress, and depression. statistical analysis used IBM SPSS Statistics 24 was used to analyze the two-tailed Chi-square test, the Mann–Whitney test, and the Kruskal–Wallis test, which were used with statistical significance as P < 0.05 for all tests.

RESULTS:
Out of 1027 samples, 44.6% had stressed, 47.8% had anxiety, and 18.6% had depression. The gender (P = 0.000), educational stage (P = 0.000), and the comorbidity factor (P = 0.001 for stress and anxiety, P = 0.036 for depression, and P = 0.000 for FCV-19) had a significant association with stress, anxiety, depression, and FCV-19 in medical students. The hometown that showed zone risk of infection only showed significant differences in FCV-19 (P = 0.026).

CONCLUSIONS:
Protection and psychological support for a medical student is extremely high importance given that COVID-19 is now a well-established pandemic and there will be other pandemics in the future.
Factors that influence dermatology residents’ choice of future subspecialty: A cross-sectional study
Authors: Alakeel Abdullah , Alhedaithi Ibrahim , Shadid Asem , Algarni Abdullah , Alekrish Yazeed , Alekrish Khalid 
Published: August 2024

BACKGROUND:
Factors influencing the choice of subspecialty fellowship program vary between medical specialties. In dermatology, there is a disparity in the distribution of dermatologists across fellowship programs. This study aimed to determine the factors considered by Saudi-trained dermatology residents when choosing a fellowship program to aid in promoting program characteristics and refining mentorship.

MATERIALS AND METHODS:
A descriptive cross-sectional study was conducted in six different regions in Saudi Arabia using a validated self-administered electronic questionnaire to investigate the factors that influence dermatology residents’ choice of future subspecialty.

RESULTS:
The questionnaire was completed by 70 dermatology residents. Females represented 63% of the study sample. Of the study participants, only 40% decided on what subspecialty they wanted to pursue. Half of the included residents were from Riyadh, and 21% were from Jeddah. Quality of life was the most common factor influencing subspeciality choice, followed by earning potential and private practice opportunities. However, the least influential factors included the research potential of the subspeciality, family, and advice from doctors in other fields.

DISCUSSION:
Medical residents face a significant decision when choosing their subspecialty, as it can impact their career path. The factors influencing this decision vary between different medical specialties. For example, internal medicine residents tend to choose subspecialties that provide intellectual stimulation and complement their personalities, while orthopedic surgery residents prioritize their experience and interest in the subspecialty. Our study found that quality of life, income potential, and private practice opportunities are important factors that influence subspeciality choice in dermatology residents.
Effect of probiotic yogurt on antibiotic-associated diarrhea among pediatric patients; randomized controlled trial
Authors: Shyoran Rajesh , Kaur Amanjot , Bharat Pareek , Pathania Rimple 
Published: August 2024

BACKGROUND:
Diarrhea is a common unfavorable consequence of antibiotics. Probiotic yogurt is equally effective as probiotic capsules, so it may provide a simple and cost-effective means of preventing antibiotic-associated diarrhea (AAD). The study aimed to evaluate the effect of probiotic yogurt on AAD among pediatric patients.

MATERIALS AND METHODS:
The randomized controlled trial design was adopted in this investigation, with a post-test-only control group. Data were obtained from 244 pediatric patients on antibiotics who were admitted to the hospital and included in the trial via full enumeration sampling. Selected subjects were randomly assigned to experimental (n = 122) or control (n = 122) groups. The experimental group received probiotic yogurt for five days, whereas the control group received standard care. The incidence and severity of diarrhea on the fifth day of the intervention were used to determine the study’s results. The trial was registered with the Clinical Trials Registry - India (CTRI). Consolidated Standards of Reporting Trials (CONSORT) were followed. Descriptive and inferential statistics were used for data analysis. Statistical software was used for descriptive and inferential analysis.

RESULTS:
AAD occurred in 13.90% and 36.88% of individuals in the experimental and control groups, respectively (odds ratio: p: 0.27:0.001). Further, yogurt intervention was found to be effective in terms of increasing the consistency of the stool (p. 001*), decreasing the duration and onset of diarrhea (P ≤ .001*), reducing the frequency and amount of loose stool (P ≤ .001*), reducing the urgency of defecation (P ≤ .001*), the presence of abdominal discomfort (P ≤ .001*), and dehydration (P ≤ .001*).

CONCLUSION:
In hospitals, antibiotics are commonly prescribed, and the most common side effect of medications is diarrhea. Probiotic yogurt guards against this side effect of antibiotics. Nurse practitioners need to understand the value of probiotic yogurt as a preventive measure that could save children’s lives.
Perceived needs and recommendations on adolescent pregnancy-related services in the Philippines
Authors: Sy Alvin Duke R. , dela Luna Kim Leonard G. , Malimban Rowel C. , Estadilla John Oliver H. , Maglinab Jasper M. , Jeon Jihwan , Ji Heyeon 
Published: August 2024

BACKGROUND:
Adolescent pregnancy remains to be a significant social and public health problem in the Philippines, despite the widespread implementation of a comprehensive sexual and reproductive health (SRH) law. The current study explored the perceptions on teenage pregnancy and adolescent-oriented services across different views of stakeholders.

MATERIALS AND METHODS:
Twelve focus group discussions involving sets of teenage boys and girls, teenage mothers, and parents of the teenage mothers were conducted. Data analysis using a descriptive qualitative approach adopting both inductive and deductive thematic analysis was implemented on the gathered data.

RESULTS:
Four main themes emerged from the focus groups. First, discussants expressed community perceptions, emphasizing factors perceived to contribute to the occurrence of teenage pregnancy cases. Second, the adolescents expressed the coping responses they used or have observed in others to cope with teenage pregnancy, while the teenage mothers and their parents highlighted their immediate feelings toward the event. Last, the participants verbalized their perceptions of community services including criticisms and suggestions to improve the delivery of these services.

DISCUSSION:
The findings underscore the importance of stratifying and customizing the delivery of adolescent services as well as the possibility of expanding the content and coverage of community actions. This study also suggests that there is a need to create local ordinances that are culturally specific based on the Republic Act 10354 or the Responsible Parenthood and Reproductive Health Act of 2012. These ordinances must be coupled with other programs on reproductive health including training of personnel, ensuring the availability of resources, and reframing service delivery to the needs of adolescents. Further research is needed to explore variability of perceptions across contexts and cultures and the need for more appropriate service delivery models, thus contributing to a better understanding of teenage pregnancy and more tangible impact toward its reduction.
Eating habit, body image, and gender – is there any association? – A comparative study among medical students from southern India
Authors: Aruna R , Muruganandam Partheeban , Niveatha S 
Published: August 2024

BACKGROUND:
An increase in overweight and obesity among young adults are major health concerns which can influence their self-perception about body image. Body image has received a great deal of attention among young people. Body dissatisfaction is an extremely powerful construct that pervades our self-esteem, resulting in psychological impact and disordered eating. This study examines the association of body image dissatisfaction, disordered eating, and body mass index among medical students and its relationship with gender.

MATERIALS AND METHODS:
This cross-sectional study was conducted among 493 medical students. Body shape questionnaire (BSQ), Eating attitude test (EAT 26), and the Figure Rating Scale questionnaire were administered. Body mass index (BMI) and waist circumference (WC) were calculated using standard tools.

RESULTS:
Around half the participants (54%) had a concern with regard to their body shape with a female preponderance, and one-fourth of the study population (25%) had a higher risk for eating disorder. BSQ and EAT26 questionnaires had a significant positive correlation with BMI and WC.

CONCLUSION:
This study highlights a high prevalence of body image dissatisfaction among medical students who have direct positive correlation with BMI and WC. Health education programs addressing optimal weight and active lifestyle should be emphasized to reduce psychological burden in future.
Barriers to reporting medical errors from the perspective of obstetric residents: A qualitative study
Authors: Ghaffari Reza , Nourizadeh Roghaiyeh , Hajizadeh Khadijeh , Vaezi Maryam 
Published: August 2024

BACKGROUND:
Patient safety is one of the basic dimensions of quality of care. Medical errors are one of the most important and influential factors in the quality of care and clinical outcomes, which can have a significant economic effect. The aim of this study was to explore barriers to reporting medical errors from the perspective of obstetric residents.

MATERIALS AND METHODS:
This was a qualitative study using a conventional content analysis approach. Data collection was performed through 18 semi-structured and in-depth individual interviews and a group discussion session with 13 obstetricians in Tabriz, Iran. Purposeful sampling started in December 2021 and continued until data saturation in October 2022. Findings were analyzed concurrently with data collection using MAXQDA 10 software.

RESULTS:
Four categories were obtained after analysis of the data: individual and organizational factors, the nature of the error, the educational hierarchy, and the fear of reactions and consequences of error reporting.

CONCLUSION:
Considering the importance of patient safety, it is necessary to improve the quality of education and awareness of residents and direct supervision of attending, emphasize promoting professional communication and changing educational policies and strategies to reduce errors, and remove barriers to error reporting. Instead of blaming those in error, the organizational culture should support error reporting and reform the error-prone system, through which positive results will be achieved for both patients and healthcare providers.
A Systematic Review and Meta-Analysis of Prehospital Plasma Administration for Hemorrhagic Shock
Authors: AlJoaib Nasser A. , AlGhamdi Faisal A. , Ghafoor Annas , AlAnazi Fandi Z. , Maghraby Nisreen H. 
Published: August 2024

Abstract

Introduction:
Hemorrhagic shock demands swift intervention. Management involves the rapid infusion of blood products to restore circulation and uphold tissue perfusion. The aim of this study was to evaluate the effectiveness of prehospital plasma administration in trauma patients, comparing outcomes with normal saline. This was a meta-analysis of randomized controlled trials.

Methods:
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline, searches were conducted in PubMed, MEDLINE, and the Cochrane Central Register of Controlled Trials from August 1, 2018, to April 4, 2023. The PubMed search string included terms related to blood plasma, prehospital care, emergency medical services, and hemorrhagic shock: (Blood Plasma [MeSH Terms] OR fresh frozen plasma [MeSH Terms] OR plasma OR fresh frozen plasma OR FFP) AND (Prehospital OR emergency care, prehospital [MeSH Terms] OR prehospital emergency care [MeSH Terms] OR prehospital OR prehospital OR EMS OR emergency medical service [MeSH Terms]) AND (hemorrhagic shock [MeSH Terms] OR hemorrhage OR hemorrhage OR hemorrhagic shock OR hemorrhagic shock). Results from the trials were pooled using a random effects model, presented as risk ratios with 95% confidence intervals.

Results:
In the analysis of 760 patients from three studies, outcomes included mortality at 24 h and 28 days, multi-organ failure (MOF), acute lung injury, and vasopressor use within 24 h. Patients were divided into plasma (363) and normal saline (397) groups.

Conclusion:
There is no distinction between prehospital plasma administration and normal saline concerning mortality at 24 and 28 days or the need for vasopressors within 24 h. Moreover, plasma administration did not appear to influence rates of acute lung injury or MOF.
Psychological experience of breastfeeding among primiparous women with lactating mastitis: A qualitative research
Authors: LI Ye , XU Jingjin , TANG Ling 
Published: August 2024

Objective:
The objective of this study is to comprehensively understand the psychological experience of primiparous women during breastfeeding while dealing with lactating mastitis and to establish a reliable foundation for tailored support measures.

Methods:
Twenty primiparous mothers from a tertiary hospital in Beijing between January and March 2023 were chosen using purposive sampling for semi-structured interviews. After conducting 20 interviews, data saturation was achieved. The Colaizzi’s seven-step analytical approach was employed to analyze, summarize, and refine the identified themes.

Results:
Among primiparous women afflicted by lactating mastitis, the primary themes regarding breastfeeding attitudes included three key aspects: (1) uncertainty during the initial diagnosis phase, (2) intricate emotional journey during treatment, and (3) positive psychological outlook during the recovery stage.

Conclusion:
Primiparous women undergoing lactating mastitis experience substantial physical and psychological strain. It is crucial for medical personnel, family caregivers, and society at large to be attuned to the emotions of these patients. Tailored support measures should be offered to enhance patients’ physical and mental well-being and facilitate disease recovery.
Health-related quality of life and coping strategies of patients on hemodialysis in selected hospitals in Ilorin, Kwara state, Nigeria
Authors: AKPOR Oluwaseyi Abiodun , AFOLAYAN Ishaq Ajibola , IBITOBA Funmilayo Abimbola , AKPOR Oghenerobor Benjamin , ABIODUN-OJO Olubukola Esther 
Published: August 2024

Objective:
The study assessed the quality of life (QoL) and coping strategies of patients on hemodialysis in selected hospitals in Ilorin, Kwara State.

Methods:
The study was a descriptive cross-sectional design using a quantitative strategy. A multistage sampling technique was adopted to select 80 participants. The data were collected using an adapted questionnaire including four sections: sociodemographic characteristics, hemodialysis stressor scale consisting of four stressors, Jaloweic Coping Scale consisting of eight coping strategies, and QoL consisting of four items. The data were analyzed using SPSS version 23.

Results:
Findings from the study revealed that 50% of the participants were between the ages of 18 and 39 years, 40% of the participants have been on hemodialysis for 1–2 years, whereas 52.5% had hypertension as a comorbidity. A total of 12.5%, 63.8%, and 23.8% of the respondents were categorized as experiencing low, moderate, and high stress due to hemodialysis, respectively. QoL of the respondents revealed that 49.4% had no problem in self-care dimension. Average monthly income (χ
2 = 16.36, P = 0.04) was observed to be significantly associated with coping strategies, whereas religion (χ
2 = 11.14, P = 0.03) and frequency of hemodialysis (χ
2 = 10.26, P = 0.04) were significantly associated with coping helpfulness.

Conclusion:
All participants experienced stress at varying degrees. Hemodialysis results in marked changes in the quality of patients’ life, since it includes a number of modifications and restrictions, which affects patients’ health functioning. This study revealed a wide range of information on the psychological and physiological stressors of people under hemodialysis.