bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neglect of older adults living with dementia in family caregiving: A dimensional concept analysis
Authors: Hernandez Chilatra Jessica A , Patrician Patricia A , Fazeli Pariya L , Pickering Carolyn EZ 
Published: August 2024

Objective To present a concept analysis of neglect, specifically examining its occurrence and implications in the context of family caregiving for older adults living with dementia. Methods A literature search was conducted in Medline, CINAHL, Scopus, and Embase databases in February 2023. Inclusion criteria targeted articles focusing on neglect in dementia family caregiving, leading to the identification of 11 articles for thorough review. Employing Caron and Bowers’ dimensional analysis approach, the concept analysis aimed to elucidate neglect as a social construct shaped by diverse contexts, perspectives, and underlying assumptions. Results Neglect in this context emerged as a multidimensional phenomenon, influenced by contextual elements such as activities of daily living and behavioral symptoms of dementia. It encompasses dimensions including “expectations of unmet needs”, “maladaptive behaviors”, and “feelings of guilt”, considering the perspectives of both caregivers and individuals living with dementia. Recognizing neglect as a dyadic phenomenon emphasizes the significance of interactions between caregivers and individuals living with dementia. Conclusion A comprehensive understanding of neglect in dementia family caregiving is crucial for effective interventions and support systems. The dyadic perspective is vital for accurate assessment. Primary care physicians, mental health, nurses, and other health professionals play a key role in prevention and supporting family caregivers. Further research is needed to explore the dynamics of dementia caregiving settings strengthening prevention strategies against elder neglect.
Seroprevalence of Toxoplasma gondii immunoglobulins and its association with systemic lupus erythematosus: A systematic review and meta-analysis
Authors: Ranjan Shovit , Panda Aditya K 
Published: August 2024

Background The exact cause of systemic lupus erythematosus (SLE) is still unknown. However, hormonal, genetic, and environmental factors may play significant roles in its development. Infection has been recognized as a crucial trigger for SLE development. Several studies have reported a higher prevalence of Toxoplasma gondii infections in patients with SLE than in healthy individuals. However, these results were inconsistent. Therefore, this study aimed to conduct a systematic review and meta-analysis of published studies to provide a definitive conclusion regarding the relationship between T. gondii infection and SLE. Materials and methods We conducted a comprehensive search across diverse databases using an array of search tools to uncover pertinent literature. Following the stringent application of the inclusion and exclusion criteria, we carefully selected the appropriate reports for our meta-analysis. Using Comprehensive Meta-Analysis software v4, we analyzed the data and determined the prevalence of antibodies against T. gondii in patients affected with SLE. To investigate the correlation between T. gondii seropositivity and SLE, we computed the risk ratios (RRs) and 95% confidence intervals (CI). Results Eleven studies were considered eligible for inclusion in the present study. The prevalence of anti-IgG and IgM antibodies against T. gondii was 33.9% and 7.7%, respectively. A significant association between T. gondii IgG seropositivity and SLE was observed when compared to the controls (risk ratio = 2.14, 95% CI = 1.42 to 3.22, p = .000). However, IgM seropositivity against T. gondii was comparable between patients with SLE and healthy controls. Conclusions In summary, this study suggests that T. gondii IgG is more prevalent in patients with SLE than in healthy individuals in areas where T. gondii infections are more frequent. However, an exact cause-and-effect relationship still needs to be established. Therefore, additional research is necessary to validate these findings and to investigate the underlying mechanisms.
Clay powder in polymer composite membranes enhanced the performance of direct methanol fuel cells
Authors: Karim Md. Anwarul , Dipti Sharmin Sultana , Elahi Mohammad Mahfuz Enam 
Published: August 2024

Polyvinyl alcohol has the potential to be used in fuel cell membranes due to its chemical, mechanical, and membrane-forming capabilities, as well as its higher hydrophilicity and low methanol permeability. However, the pure PVA membrane has a lower proton conductivity than the NafionTM membrane. With the addition of some ceramic fillers, PVA can be a possible alternative to NafionTM membranes. Therefore, we used the solution method to prepare three polyvinyl alcohol-based composite membranes with the following compositions: a) 5 wt% PVA (polyvinyl alcohol), b) 5 wt% PVA/2 wt % PEG (polyethylene glycol)/wt.1% silicon dioxide (SiO2) nanoparticles, and c) 5 wt% PVA/2 wt% PEG/wt.1% clay powder. The membranes were characterized using Fourier Transform Infrared Spectroscopy (FTIR), Thermal Gravimetric Analysis (TGA), Scanning Electron Microscopy (SEM), Energy dispersive X-ray (EDX), oxidative stability, ion exchange capacity, water absorption characteristics, conductivity, and permeability. FITR, EDX, and SEM confirmed the successful fabrication of the composite membrane, while TGA demonstrated membrane thermal stability and other parameters relevant to fuel cell membranes. The methanol permeability of the membrane is pure 5 wt % PVA, 5 wt%PVA/2 wt%/1 wt% SiO2, and 5 wt% PVA/2 wt% PEG/wt.1% Clay measured 2.37 × 10−6 cm2/s, 2.89 × 10−6 cm2/s, and 1.57 × 10−6 cm2/s, respectively. The methanol permeability of 5 wt% PVA/2 wt% PEG/wt.1% Clay is better than of Nafion117 (5.16 × 10−6 cm2/s as reported). The membrane 5 wt% PVA/2 wt% PEG/1% Clay exhibits satisfactory levels of oxidative stability (RW% = 94.09 at 1.32 h), IEC (0.232 meq/g), conductivity (0.00432 S/cm), methanol permeability (1.57 × 10−6 cm2/s), selectivity (3.63 × 10−4 Ss/cm3), and better water uptake properties at fuel cell operating temperature. As a result, it is reasonable to expect that PVA-based modified membranes will outperform NafionTM membranes in the future.
The nurses’ clinical environment belongingness and professional identity: The mediating role of professional values
Authors: Bakhshi Zadeh Somaye , Parviniannasab Ali Mohammad , Bijani Mostafa , Dehghan Azizallah , Zare Aezam 
Published: August 2024

Background Belonging to the clinical environment and the professional values of the performers play a role in forming a professional identity. Therefore, it is necessary to understand the degree of connection among these concepts. Aim This study aimed to examine the mediating effects of professional values on the relationship between nurses’ clinical environment belongingness and professional identity. Design In the present study, a descriptive cross-sectional multicenter design was used. Participants and research context A convenient sample of 635 nurses recruited from three hospitals in Fars Province, Southern Iran, from September 2023 to January 2024. Nurses Professional Values Scale–Revised, Clinical Environment Belongingness Scale, and Professional Identity Scale were used to collect the data. The mediation model was analyzed using SPSS v27 and the Process Macro 4.0. Ethical considerations The protocol of this study was approved by the Research Ethics Committee of Fasa University of Medical Sciences, and informed consent was obtained from all nurses. The study conforms to the principles outlined in the Declaration of Helsinki. Results Based on the results of regression analysis, clinical environment belongingness had a positive and significant impact on professional identity (β = 0.366, p < 0.001) and professional value (β = 0.676, p < 0.001). Professional value significantly predicted professional identity (β = 0.170, p < 0.001). The indirect effect of clinical environment belongingness on professional identity via professional values was statistically significant (β = 0.115, SE = 0.024, 95% CI = [0.068, 0.162]), and this effect was directly (β = 0.336, SE = 0.034, 95% CI = [0.297, 0.434]) significant. Conclusions The new theoretical framework for nurses developed in this study can contribute to professional development. It is further recommended that the promotion of professional value and clinical environment belongingness may be effective in enhancing the professional identity of the nursing staff, as indicated by the results.
No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty
Authors: Douven Dirk P M , van Kampen Paulien M , Werner Paul H , Schrier Joost C 
Published: August 2024

Background: Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes. Methods: Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up. Results: There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01). Conclusions: In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments.
The Implications of Acute Anatomic Injury After Percutaneous Renal Intervention
Authors: Cheun Tracy J. , Davies Mark G. 
Published: August 2024

Purpose: Percutaneous renal artery revascularization for hypertension and renal dysfunction remains common. The frequency, cause, and outcomes of anatomic injury associated with renal intervention are poorly delineated. This study aims to determine the frequency of acute anatomic renal injury after renal artery interventions, identify factors associated with anatomic renal injury, and determine whether anatomic renal injury related to renal intervention is associated with late adverse clinical events. Methods: A retrospective analysis of patients undergoing renal artery interventions for atherosclerotic renal artery disease between 2002 and 2022 was performed. Acute anatomic renal injury encompassed renal artery dissection, renal artery perforation, acute occlusion, renal parenchymal infarction, and renal parenchymal perforation. Freedom from renal-related morbidity (increase in persistent creatinine >20% of baseline, progression to hemodialysis, death from renal-related causes) and patient survival were measured. Results: A total of 968 patients underwent 1309 renal artery interventions: 47% for hypertension, 25% for hypertension associated with chronic renal dysfunction, and 28% for chronic renal dysfunction. An acute anatomic renal injury occurred in 5.9% of the patients. The occurrence of an anatomic injury was associated with a significant decrement in freedom from renal-related morbidity (79±2% vs 55±8%, no-injury vs injury group, mean±standard error of the mean; p=0.003) and markedly decreased survival at 5 year follow-up (78±3% vs 48±8%; p=0.002). No factor was identified that predicted anatomic injury. In those patients with anatomic injury, perforation was associated with decreased survival, while estimated glomerular filtration rate <60, resistive index >0.8, and dissection were associated with a lack of retained renal benefit. Conclusion: Acute anatomic renal injury occurs in approximately 6% of patients undergoing percutaneous renal artery intervention and is a negative predictor of survival and is associated with subsequent renal failure, need for dialysis, and death from renal-related causes. Clinical Impact Acute anatomic renal injury occurs in approximately 5% of patients undergoing percutaneous renal artery intervention. Modern endovascular interventions allow for the control and remediation of injuries in the majority of cases with an overall low mortality and morbidity. There is a significant early occlusion of renal arteries following the injury within 1 month. In the long term, the occurrence of injury is a negative predictor of survival and is associated with subsequent renal failure, the need for dialysis, and death from renal-related causes.
Influence of balloon type and lesion location on outcomes following fistuloplasty
Authors: Parker Michael , Bennett Philip C , Dhillon Baljeet , Al-Thaher Ahmad , Al-Alwani Zahra , Elzubeir Lee , Cetin Tugce , Elkhawad Maysoon , Ali Tariq 
Published: August 2024

Background There is limited evidence supporting the optimal use of fistuloplasty to maintain vascular access at various lesion sites, despite its critical role in facilitating renal replacement therapy and the overall high failure rates of arteriovenous fistulas (AVFs). This study aims to identify covariates affecting primary and secondary patency following fistuloplasty of native upper limb vascular access AVFs. Methods This retrospective study included all patients who underwent fistuloplasty at a tertiary vascular centre over 4 years. Baseline characteristics were recorded, and factors associated with primary and secondary patency rates were analysed. Results A total of 206 patients (88 male, 118 female) with a mean age of 68 (±14) years underwent fistuloplasty during the study period. The prevalence of diabetes, ischaemic heart disease and antiplatelet usage were 33%, 21% and 70%, respectively. The median number of fistuloplasties per access during the follow-up period was 2 [1–3]. Fistulas were classified as radiocephalic (65), brachiocephalic (102) and brachiobasilic transposition (39). Recurrent stenosis (RS) was identified in 60 patients who had previous fistuloplasty before the study period, while 146 patients had de novo stenoses (DNS). Stenosis location significantly differed between RS and DNS ( p = .03), with DNS primarily being anastomotic and RS predominantly in central and mixed locations. Younger fistulas were more likely to have anastomotic stenoses compared to those older than 1 year ( p = .001). While no significant differences in primary patency (PP) were observed, secondary patency (SP) varied by stenosis location: Central 32 [13–42] months, Fistula vein 20 [12.5–35.5] months, Mixed 25 [13.5–37.5] months and Anastomotic 19 [7–29.5] months ( p = .012). Conclusion Stenosis location in AVFs is associated with the age and type of the fistula. Younger fistulas often fail due to anastomotic stenoses, which have lower secondary patency compared to stenoses at other sites. Preliminary data suggest that central stenoses, primarily occurring in older fistulas, exhibit better secondary patency following fistuloplasty than stenoses at other locations.
Common iliac artery aneurysm with narrow inner lumen treated by a novel surgeon-modified inner branch iliac branch device
Authors: Wu Mingwei , Yuan Panpan , Xiong Jiang 
Published: August 2024

Objectives The iliac branch device (IBD) has emerged as the optimal method for endovascular reconstruction of internal iliac artery (IIA). However, due to its high anatomical requirements, the applicability rate among East Asians is limited, especially for common iliac artery aneurysm (CIAA) with narrow inner lumen cases. Here, we report a case with narrow distal inner lumen of the CIAA treated with a novel surgeon-modified inner branch iliac branch device (IIBD). Methods This is a case report, and consent for publication was obtained from the patient. Results The 1-year follow-up CTA showed that the CIAA regressed without abdominal pain. Right CIA, external iliac artery, and IIA were all patent. Conclusions The IIBD technique has lower anatomical requirements for the CIA. Therefore, it may be a feasible option for IIA preservation in cases of CIAA with narrow inner lumen.
Exploring the feasibility of remote administration of speech audiometry: A comparative study of conventional and digital methods
Authors: Yuan Chen 
Published: August 2024

Objective This study investigated the effectiveness of remote administration of speech audiometry, an essential tool for diagnosing hearing loss and determining its severity. Utilizing two software tools for remote testing, the research aimed to compare these digital methods with traditional, in-person speech audiometry to evaluate their feasibility and accuracy. Design Participants underwent the Cantonese Hearing in Noise Test (CHINT) under three listening conditions—quiet, noise from the front, and noise from the right side—using three different administration methods: the conventional in-person approach, video conferencing software, and remote access software. Study Sample Fifty-six Cantonese-speaking adults residing in Hong Kong participated in this study. Results Analysis revealed no significant differences in CHINT scores among the three administration methods, indicating the potential for remote administration to yield results comparable to those of conventional methods. Conclusions The findings supported the feasibility of remote speech audiometry using the investigated digital tools. This study paved the way for the wider adoption of tele-audiology practices, particularly in situations where in-person assessments are not possible.
Prognostic Factors for Multiligament Knee Injury Treated With Multiligament Reconstruction: Functional and Radiological Outcomes at 2 to 8 Years Postoperatively
Authors: Schneebeli Valentine , Philippe Virginie , Laurent Alexis , Applegate Lee Ann , Martin Robin 
Published: August 2024

Background: Multiligament reconstruction (MLR) has become the standard surgical approach for treating multiligament knee injuries (MLKIs). Purpose: To identify prognostic factors for patient-reported outcome measures, return to work (RTW), return to sports, and radiographic osteoarthritis (OA) (Kellgren-Lawrence grade ≥2) after MLR for MLKI. Study Design: Case-control study; Level of evidence 3. Methods: Included were 52 consecutive patients (age, 35.5 ± 11 years; 75% men), with MLKI sustained between 2013 and 2019 and treated with MLR. At a mean follow-up of 3.8 ± 1.6 years, patient-reported outcome measure scores—including the International Knee Documentation Committee (IKDC), the Knee injury and Osteoarthritis Outcome Score (KOOS), the Anterior Cruciate Ligament–Return to Sport after Injury (ACL-RSI), and the 12-Item Short-Form Health Survey—RTW, return to sports, and weightbearing radiographs were obtained. A total of 20 determinants were hypothesized and tested by univariate logistic regression for binary variables or linear regression for continuous variables. Only factors identified as significant ( P < .10) were entered into a multivariate logistic regression model. Results: The prevalence of injury severity according to the Schenck knee dislocation (KD) classification was as follows: KD I (44%), KD III (36%), KD IV (10%), and KD V (10%). Increased KD grades resulted in decreased IKDC ( P = .002) and all 5 KOOS subscales ( P≤ .007 for all) scores. Medial meniscectomy (23%) was associated with a worse ACL-RSI score ( P = .007) and RTW failure (odds ratio [OR], 36.8; P = .035). Peroneal nerve palsy (6%) was associated with a worse ACL-RSI score ( P≤ .001). Radiographic OA was observed in 38%, with distribution predominantly patellofemoral (80%) and medial tibiofemoral (45%). Traumatic cartilage damage (Outerbridge grade >2 [37%]) was associated with secondary patellofemoral (OR, 10; P = .012) and medial tibiofemoral (OR, 10; P = .019) OA. Anterior cruciate ligament reconstruction failure (7%) was a risk factor for medial tibiofemoral OA (OR, 25.8; P = .006). Conclusion: Increased Schenck KD grade, permanent peroneal nerve palsy, and irreparable medial meniscus lesions were prognostic factors for worse functional outcomes 3.8 years after MLKI was treated with MLR. Traumatic cartilage damage and anterior cruciate ligament failure were associated with the development of early OA.
Patient Education and Community Outreach in Diagnostic Medical Sonography Programs
Authors: Tilson Elwin R. , Sharma Archana More , Clark Kevin R. 
Published: August 2024

Objective: A research project was conducted to determine what patient education skills, community health education skills, and community outreach activities are included in the US-accredited diagnostic medical sonography (DMS) programs. Materials and Methods: A quantitative, cross-sectional research survey was sent via email to DMS program directors of 245 accredited programs, resulting in 118 (48.2%) completed surveys returned. Written informed consent was obtained from all subjects before the study. The survey assessed the inclusion of 13 specific patient education skills, eight community education skills, and nine community health/outreach activities in DMS programs. Results: Of the 12 patient education skills, 11 were routinely included in 90% of programs. The remaining skill of patient negotiation was included in 75.1% of programs. For patient education skills, 69.4% were required by programs, and 30.6% were encouraged by programs. Community education skills were less commonly included in DMS programs, with 27.4% to 51.3% inclusion rates. The most common community education skill was tailoring messages to intended public audiences. Community outreach activity inclusion in programs ranged from 32.5% to 66.7%, with 77.5% only encouraging participation. Health fairs, health screenings, and self-care education were the most common activities. Incorporating community-related skills into the curriculum was listed as a “good idea” by 72.6% of program directors. Conclusion: Patient education skills are routinely required or encouraged in almost all responding educational programs. However, most DMS programs do not require or encourage community education skills. Community outreach activities are not generally required or encouraged by DMS programs, with health fairs and screenings being the most common. Time constraints are the most cited reason for not including community-related content or activities in the programs.