bluuebunny/crossref_metadata_2025_split huggingface dataset:
Satisfaction with childhood vaccine services and associated factors among parents in Ethiopia: A systematic review and meta-analysis
Authors: Zeleke Agerie Mengistie , Gonete Yosef , chekole worku , melkie gashaw , ayele yeshiwas 
Published: April 2024

Abstract

Background: Parents’ satisfaction with child vaccination services is related to quality of care, and at the same time, it affects quality of the health care outcomes. However, there is a paucity of evidence on parents’ satisfaction with vaccination services. Thus, this study aimed to assess the level of satisfaction with childhood vaccination services and associated factors among parents in Ethiopia.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for this study. Both published and unpublished articles conducted in Ethiopia on parents’ satisfaction with childhood vaccination care services were searched.
A total of 147,000 articles were retrieved international databases (Scopus, MEDLINE/
PubMed, Web Science, Science Direct, Google Scholar, and National Digital Library repositories), 146,987 of which were excluded, while only 13 articles were included in the meta-analysis. The search for articles was conducted during the period of April 3–30, 2024. For the methodological quality assessment of the included articles, a modified version of the Newcastle-Ottawa Scale adapted for cross-sectional studies was used. Stata version 11 software was used for analysis. A random-effects model was used to calculate pooled estimates. The I2 test was used to assess the heterogeneity of the studies.
Results: The overall level of parental satisfaction with child vaccine services in Ethiopia was 65.6% (95% CI: 58.74, 72.44%). Parents knowledge (AOR=1.93; 95% CI: 1.09–3.42), favorable attitudes (AOR=3.42; 95% CI: 1.86–5.62), greeting/welcome approach services (AOR=3.89; 95% CI: 1.80–8.41), and waiting less than 30 minutes to receive child vaccination services (AOR=2.58, 95% CI: 1.25–5.35) were positive determinants of the outcome variable.
Conclusions: This study revealed that only two-thirds of parents were satisfied with child vaccination services. Quality assurance activities that assess parental satisfaction with child vaccination care may have added value in identifying children who are less likely to receive timely vaccination services. Policymakers and decision-makers in Ethiopia should design strategies to optimize parental satisfaction with healthcare services by providing client-centered care. Moreover, the ministry of health should design compassionate respectful care provision guidelines and we also strongly recommend that a special emphasis be given to timely and greeting approach healthcare service provisions.
A qualitative study of professional identity formation of novice clinician educators – influence of a longitudinal mentoring programme
Authors: FONG Warren , JONES Linda 
Published: April 2024

Abstract

Background:
The professional identity of doctors is evolving with physicians now required to be ‘scholars’, facilitating the education of students and healthcare teammates as educators. Mentoring is widely practiced and is postulated to facilitate professional identity formation (PIF) through socialization.
Preliminary literature review suggested few studies looking into how formal mentoring programmes affect PIF of novice clinician educators, particularly an Asian context. I hope to understand the perceived professional identity of such educators, and how mentoring influences their PIF, using the social cognitive career theory (SCCT) as an underpinning framework.
Methods:
A qualitative study explored perspectives of mentees with less than two years teaching experience and participating in a formal mentoring programme. Semi-structured interviews were conducted at the beginning and end of the programme. Thematic analysis and coding of these taped and transcribed interviews was performed and triangulated with an elite interview. Mind maps were constructed to appreciate the inter-relatedness of themes and evaluated using the SCCT framework. Methodology was anchored to the Consolidated Criteria for Reporting Qualitative Research checklist.
Results:
Seven mentees were recruited. All were Chinese except for two Indians. All had less than six months experience with educational activities. None had formal training in medical education. Median duration postgraduate was six years. One was from a surgical discipline, others were from a range of medical disciplines. Themes identified included background influences, learning experiences and outcome expectations which affected self-efficacy, leading to mentees attaining goals and performing actions which effected their professional identity development, which was in-turn affected by contextual influences. Most perceived themselves as clinicians rather than medical educators. Concepts underpinning PIF included socialisation (role modelling and mentorship, communities of practice, sense of belonging), experiential learning, the hidden curriculum and reflective practice.
Conclusions:
Novice clinician educators mostly have a hierarchical identity. Role modelling and mentorship, active participation in communities of practice, promotion of a sense-of-belonging, experiential learning combined with reflective practice are important components for socialisation, synergistically facilitating PIF in novice clinician educators. Overcoming contextual barriers, being cognisant of cultural practices and addressing concerns in the hidden curriculum can assist educators in development of their professional identity.
Intertransverse process block versus subcostal transversus abdominis plane block in patients undergoing laparscopic radical gastrectomy: A prospective randomized controlled trial
Authors: Chen Qian , Zhou Xinyue , Wang Fang , Zeng Yang , Qian Bin , Du Haiyun 
Published: April 2024

Abstract

Background：Laparoscopic radical gastrectomy has been reported to be associated with severe trauma and pain. This study compared the impact of ultrasound-(US)-guided, bilateral, double-injection intertransverse process block (ITPB) on postoperative analgesia with subcostal transversus abdominis plane block (TAPB) in patients who were undergoing laparoscopic radical gastrectomy.
Methods：Sixty-twopatients (43 men and 19 women) aged 55–80 years who were undergoing laparscopic radical gastrectomy surgery under general anesthesia were included. These patients were randomised to either the ITPB group or the TAPB group. Patients in the ITPB group received a double-shot US-guided bilateral ITPB at the thoracic level T6/7, T9/10 level using ropivacaine (0.3%, 15mL). Patients in the TAPB group received bilateral subcostal TAPB using ropivacaine (0.3%, 30mL). All patients used a BIS-guided combined intravenous and inhalation anesthesia. The primary outcome was defined as postoperative morphine-equivalent consumption during the first 24 hours.
Results：
The study included 62 patients (31 in each group) for the analysis. A comparatively lesser amount of postoperative opioid consumption was observed in the ITPB group compared with the subcostal TAPB group within the first 24 h postoperatively (mean [standard deviation-(SD)] morphine-equivalent dose): 27.8 (5.7) mg vs31.2 (4.4) mg, P < 0.001. The ITPB group showed lower intraoperative opioid use, and significantly lower scores at rest and coughing at 6, 24 h postoperatively. The time to first requiring rescue analgesia was longer in the ITPB group than the subcostal TAPB group (mean [SD]): 13.2 (14.5) vs 6.5 (8.6) h, P = 0.031. The patients in the ITPB group exhibited a lower incidence of postoperative complications, including postoperative nausea and vomiting and relatively higher levels of satisfaction.
Conclusion: This study showed that adouble-shot bilateral ITPB could reduce opioids consumption and achieve longer and better pain relief. Additionally, it promoted early postoperative activity and improved patient satisfaction.
Assessing the Impact of the Introduction of Reverse Osmosis Water on the Incidence of Chronic Kidney Disease of Unknown Etiology in the North Central Province of Sri Lanka.
Authors: de Silva M.W.Amarasiri 
Published: April 2024

Abstract

The decline in the incidence of Chronic Kidney Disease of Unknown Etiology (CKDu) within Sri Lanka's North Central Province (NCP), as documented by Ranasinghe et al. [1], represents a very positive trend. According to the authors’ ‘In NCP provision of RO plants commenced after 2011 and the decline in the incidence of hospital diagnosed CKD/CKDu was seen in 25 of the 29 Divisional Secretary Divisions when more than 20% of the families received access to drinking RO water project’. This departure from previous studies, particularly the research conducted by Rajapaksa et al [2], which indicated a significant increase in the prevalence of CKDu by 22.9% in 2016 among the population of NCP, underscores the evolving epidemiological landscape. Additionally, Ranasinghe et al [1] identify a correlation between the diminishing rates of CKDu observed between 2015 and 2020 and the proliferation of RO water treatment plants across the districts commencing in 2011. While this correlation is noteworthy, caution is warranted in attributing causality.
My interviews with people in the affected regions reveal that the transition to clean water occurred much earlier, with individuals beginning to utilize spring water, rainwater, and bottled water retailed in shops. This shift in practice introduced the commodification of drinking water and the idea of consuming clean water as a way of preventing CKDu. Without analyzing the early efforts by villagers to adopt clean water practices and their potential impact on reducing CKDu incidents, one cannot conclusively assert that the introduction of RO water was solely responsible for the reduction in CKDu incidents. This paper critically examines the assertion that introducing RO water has a positive correlation with the decline of CKDu incidents in the NCP indicating that RO water supply is accountable for the decline in CKDu incidents in the NCP.
PRAME expression in fibrosarcomatous dermatofibrosarcoma protuberans
Authors: Ichiki Toshio , Ito Takamichi , Shiraishi Sakura , Nakashima Yasuharu , Nakahara Takeshi , Oda Yoshinao 
Published: April 2024

Abstract

PRAME (PReferentially expressed Antigen in MElanoma) was first identified as a malignant melanoma-specific antigen. Recently, a few cases of fibrosarcomatous dermatofibrosarcoma protuberans (FS-DFSP) were shown to have positivity for PRAME, while conventional dermatofibrosarcoma protuberans (C-DFSP) was negative. Because PRAME may be of diagnostic utility in FS-DFSP and is raising expectations as a new immunotherapy target, we examined the positivity of PRAME in FS-DFSP. Twenty-one cases of FS-DFSP and age/sex/location-matched cases of C-DFSP as a control group were examined by immunohistochemistry for CD34 and PRAME. The results were then evaluated by H-score, which was objectively and semi-quantitatively calculated using the open-source bioimaging analysis software QuPath. The results revealed that the PRAME H-score in FS-DFSP was significantly higher than that in C-DFSP (p=0.0137). As for CD34, the H-score in FS-DFSP was significantly lower than that in C-DFSP (p<0.001). Using these two immunohistochemical analyses in combination, the sensitivity and specificity for the diagnosis of FS-DFSP were 86% and 90%, respectively. Double staining of CD34 and PRAME revealed that PRAME-positive and CD34-positive areas did not overlap. This is the largest study to examine PRAME expression in FS-DFSP, and it confirmed the usefulness of PRAME in diagnosing this condition.
SilkSecured: A Comprehensive Analysis of Security and Dependencies in China's Governmental Web Systems
Authors: Zuo Ming , Cheng Yanan , Li Chao , Xu Haiyan , Zhang Zhaoxin 
Published: April 2024

Abstract

The study "SilkSecured" delves into the practice of governmental web systems in China. It scrutinizes the security and dependency challenges besieging China's governmental web infrastructure, with an intent to unearth pivotal concerns and proffer enhancements. The inquiry reveals substantial vulnerabilities and dependencies that could impede the digital efficacy and safety of governmental web systems. To counter these identified frailties, "SilkSecured" presents a suite of strategic recommendations tailored to bolster the digital fortitude of China's governmental web infrastructure. It underscores the critical need for robust domain name resolution services to assure secure and reliable access to government websites. The study accentuates the necessity for stringent vetting and regular updates of third-party libraries, aiming to avert potential security threats. Furthermore, it advocates for an optimized deployment of web systems by advocating for a diversified distribution of network nodes, which could substantially augment system resilience and performance. Through this comprehensive analysis, "SilkSecured" aspires to serve as a beacon for governmental departments, championing the ongoing enhancement of security protocols within China's governmental web domains. This initiative is envisioned to fortify the digital infrastructure against the spectrum of evolving cyber threats, thus safeguarding the digital governance ecosystem in China. The recommendations provided aim to underpin the robustness and reliability of governmental web systems, ensuring their integrity in the digital era.
Being a square among circles - The Role of Hope in Expanding the Conceptualization of School Attendance Problems: A Poetic Inquiry Approach using Qualitative Interviews with Youth
Authors: Walther-Hansen Wilma Gitte , Knage Frederikke Skaaning , Gentle-Genitty Carolyn 
Published: April 2024

Abstract

This article calls for an expansion of the conceptualization of school attendance problems (SAPs). It offers a practical phenomenological exploration (Van Manen, 2007a; 2014) using youths' lived experiences. Attention is paid to the bodily reactions and emotions in student narratives. Our goal is to aid research on prolonged absences from school by promoting studies that encourage teachers to investigate school cultures and climates (Smyth & Hattam, 2004; Hendron & Kearney, 2016). School personnel play essential roles in preventing and handling SAPs within classrooms and in creating situated pathways among stakeholders. We conducted interviews with nine students to learn about what makes youths go to school or not. We used quotes from the interviews to make goals for understanding SAPs in schools. Using poetic inquiry (Faulkner, 2009, 2020; Galvin, 2016; Davis, 2021) as a qualitative method, we offer bodily and sense-based perceptions to understand SAPs. The poems attempt to capture youth’s non-verbalized experiences with prolonged school absences. The results offer help to youths, schools, and professionals in how to build connections and offer hope. The role of hope was essential for students continuing to post-secondary education. Additionally, our results emphasize the need to include factors of belonging (Akar-Vural et al., 2013; Baker & Bishop, 2015; Allen & Boyle, 2018) within the classroom community for early intervention. Thereby increasing attendance, resilience, and long-term engagement in post-secondary education.
CGF with Bio-Oss Collagen as Grafting Materials for Immediate Implants after Osteotome Sinus Floor Elevation, a Retrospective Study
Authors: Shahood Bashar , Harphoush Seba , Muhaisen Belal O. M. , Qiu Jing 
Published: April 2024

Abstract

Background: Osteotome sinus floor elevation (OSFE) procedure with immediate implant placement proved to be efficient procedure in the atrophic maxilla, where bone regeneration is required the most. The purpose of this retrospective study was to radiologically evaluate collagen with Concentrated Growth Factor (CGF) as grafting materials for OSFE with simultaneously implant placement in the atrophic maxilla after one year of being functional loaded.
Methods: 126 implants were inserted for 123 patients. Patients included in our criteria with Residual Bone Height (RBH) ≤ 5 underwent OSFE procedure and immediate implant placement with different grafting materials. Group A with no grafting materials, Group B with Bio-Oss bone graft, and Group C with Bio-Oss collagen and CGF. Radiographic measurements assessed at 4 time points follow up after surgery were secondary outcome variables, in addition to Implant Stability Quotient (ISQ) and Bone density (B). Indicators of bone formation were compared at different time points. Appropriate statistics were computed, and statistical significance was indicated by P value 0.05 for all tests.
Results: Total Implants Survival Rate (ISR). was 96%. There was a significant positive relationship between RBH and ISR, [r (126) = .359, p = .000]. Higher indicators for endo-sinus bone gain were recorded in both grafted groups. Total Bone Resorption (TBR1) and (TBR2)were significantly decreased in both grafted groups compared to non-grafted group (P = .004, P = .000). (Graft size) D was a positive predictor for ISR at three time points. D0, (odds ratio [OR] 8.06; 95% CI 1.59 to 38.24; P = .010). D1, (OR 96.58; 95% CI 1.69 to 5.52; P = .027). D2, (OR 4.97; 95% CI 1.29 to 19.19; P = .020)
Conclusion: The combination of collagen with CGF as grafting material is a reliable protocol after OSFE with simultaneously implant placement in the atrophic maxilla.
Static and temporal dynamic alterations of local functional connectivity in chronic insomnia
Authors: Li Jingwen , Li Shumei , Zeng Shaoqin , Wang Xinzhi , Liu Mengchen , Xu Guang , Ma Xiaofen 
Published: April 2024

Abstract

Background: Several studies have revealed altered intrinsic neural activity in chronic insomnia (CI). However, the temporal variability of intrinsic neural activity in CI is rarely mentioned. This study aimed to explore static and temporal dynamic alterations of regional homogeneity (ReHo) in CI and excavate the potential associations between these changes and clinical characteristics.
Methods: Eighty-seven patients with CI and seventy-eight healthy controls (HCs) were included. Resting-state functional magnetic resonance imaging was performed on all subjects and both static and dynamic ReHo were used to detect local functional connectivity. We then tested the relationship between altered brain regions, disease duration, and clinical scales. The receiver operating characteristic curve analysis was used to reveal the potential capability of these indicators to screen CI patients from HCs.
Results: CI showed increased dynamic ReHo in the right precuneus and decreased static ReHo in the right cerebellum_6. The dynamic ReHo values of the right precuneus were negatively correlated with the self-rating depression score and the static ReHo values of the right cerebellum_6 were positively correlated with the Montreal Cognitive Assessment-Naming scor e. In addition, the combination of the two metrics showed a potential capacity to distinguish CI patients from HCs, which was better than a single metric alone.
Conclusions: The present study has revealed the altered local functional connectivity under static and temporal dynamic conditions in patients with CI, and found the relationships between these changes, mood-related scales, and cognitive-related scales. These may be useful in elucidating the neurological mechanisms of CI and accompanying symptoms.
The Chinese version of the Immediate Mood Scaler (IMS): a study evaluating its validity, reliability, and responsiveness in patients with MDD in China
Authors: Chen Xiongying , Chen Xu , Feng Zizhao , Li Nanxi , Xiao Le , Zhu Xuequan 
Published: April 2024

Abstract

Background: It is important to timely capture the fluctuation of the symptoms related to MDD. However, most conventionally used assessment tools for MDD symptoms are not designed for real-time assessment. The Immediate Mood Scaler (IMS) is suitable for the real-time evaluation of the mood of patients with MDD.
Methods: The original IMS was translated into Chinese and back-translated. At baseline, data from 368 patients with MDD, including demographic information and scores on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and IMS, were collected. In total, 185 participants completed the retest at Week 2 which included the PHQ-9, GAD-7, and IMS. Internal structural validity, construct validity, and internal consistency were evaluated with the confirmatory factor analysis (CFA) and principal component analysis (PCA), the Pearson correlation, and Cronbach’s α, respectively. Responsiveness was anchored by the change of the PHQ-9 total scores from baseline to Week 2. Predictability was tested using the mixed models for repeated measure (MMRM).
Results: PCA identified two factors with an eigenvalue greater than 1, corresponding to IMS-Depression and IMS-Anxiety subscales. The Cronbach’s α that evaluated internal consistency was 0.96, 0.95, and 0.92 for the scores of the IMS, IMS-Depression subscale, and IMS-Anxiety subscale at baseline, respectively. The depression and anxiety subscales at baseline showed high subscale-total correlations (r=0.96 for the depression subscale; r=0.89 for the anxiety subscale). The test-retest ICC (0.65, 95%CI: 0.53-0.73) of the IMS at baseline and Week 2 show high reliability. The total score of IMS had significant correlations with that of the PHQ-9 (r=0.52, P<.001) and GAD-7(r=0.43, P <.001), indicating high construct validity. In patients with MDD who showed changes in mood, the changes in total scores of the IMS from baseline to the retest were statistically significant with a mean difference of 13.3 (SD: 20.1), an ES of 0.66, and an SRM of 0.3, showing good responsiveness. Also, the baseline IMS-Depression subscale score could predict the change in the PHQ-9 score over the two weeks (t=2.19, P =.029).
Conclusions: The Chinese version of the IMS is valid and reliable for the real-time assessment of mood in patients with MDD in China.