bluuebunny/crossref_metadata_2025_split huggingface dataset:
Randomized controlled trial investigating the role of yoga at workplace in improving fatigue, burnout, pain, strength, and quality of life among blue-collar workers
Authors: Fogawat Kavita , Keswani Jyoti , Sharma Hemanshu , Tewani Gulab R. , Kodali Prakash B. , Nair Pradeep M. K. 
Published: April 2024

BACKGROUND:
Due to the physical demands of work, blue-collar workers (BCW) frequently experience fatigue, musculoskeletal pain, and burnout. The purpose of this study was to determine the feasibility and utility of introducing yoga-based loosening exercises (YLE) at the workplace for improving fatigue, musculoskeletal pain, and burnout among BCW.

MATERIALS AND METHODS:
One hundred and twenty-eight BCW were randomized into a yoga group that received 40 minutes of supervised YLE daily, 5 days a week, for 1 month, followed by 1 month of unsupervised practice at home or a waitlisted control group. The Chalder Fatigue Scale (CFS), Visual Analog Scale for pain, Oldenburg Burnout Inventory (OLBI), sit-and-reach test (SRT), handgrip strength dynamometer, and the Short Form-8 (SF-8) questionnaire were measured at baseline, at the end of the first month, and at follow-up after the first month.

RESULTS:
All the participants adhered well to the YLE (≈86% at the workplace, ≈70% at home). Compared to the controls, the yoga group reported significant reductions in fatigue, pain, and burnout and significant improvements in flexibility, strength, and quality of life (P < 0.001) at all the time points.

CONCLUSION:
Our findings demonstrate that workplace yoga programs for BCW are feasible and can considerably reduce fatigue, pain, and burnout and improve their quality of life.
Voices unheard, insights into the lives of people with disabilities: A needs assessment study
Authors: Sargazi Samaneh , Yamani Nikoo , Najimi Arash 
Published: April 2024

BACKGROUND:
The phenomenon of disability in society is as ancient as human history itself. Approximately one billion people worldwide experience some form of disability, with a fifth of these individuals facing significant disabilities. Disability affects various life dimensions, including access to health services. This study aimed to identify the needs and challenges encountered by people with disabilities and to propose solutions for these issues.

MATERIALS AND METHODS:
This qualitative content analysis research was conducted at Isfahan University of Medical Sciences in 2019. Participants included faculty members from the rehabilitation school, senior students, therapists, disabled individuals, and their families (23 interviews in total). These participants were chosen for their extensive knowledge of the challenges faced by people with disabilities. Semi-structured interviews were conducted, with informed consent obtained before each interview. The interviews were analyzed using the Graneheim and Lundman content analysis method and MAXQDA software. To ensure data accuracy, the criteria of conformability, credibility, dependability, and transferability were applied.

RESULTS:
The analysis of the interviews yielded two main categories and 10 subcategories. In the category of disability-related problems, family problems, therapeutic problems, psychological problems, academic problems, and social problems were identified as the most significant. As for solutions, educational solutions, therapeutic solutions, social solutions, research solutions, and solutions for reintegrating patients into normal life were proposed to address the problems faced by disabled individuals.

CONCLUSION:
People with disabilities are an integral part of any country’s society. To adequately address their therapeutic needs, it is essential to equip our health workers with the knowledge and skills tailored to the specific needs and challenges of disabled individuals.
The mediating role of emotional intelligence in the relationship between learning motivation and academic outcomes: Conditional indirect effect of gender
Authors: Sayed Samiha H. 
Published: April 2024

BACKGROUND:
The role of emotional intelligence and learning motivation in shaping university students’ academic outcomes has received greater attention, especially during the modernization era. Thus, this study investigates the mediating role of emotional intelligence in the relationship between learning motivation and academic outcomes while examining the gender-conditional indirect effect.

MATERIALS AND METHODS:
A cross-sectional study was conducted in four randomly chosen cities in Saudi Arabia (Riyadh, Jeddah, Hail, and Yanbu), where 400 health science students were conveniently selected using equal allocation (100 students/campus). A digital survey was used for data collection (April-May 2022) containing three sections: Personal Characteristics and Academic Outcomes, Modified Schutte Self-Report Inventory, and Academic Motivation Scale.

RESULTS:
Emotional intelligence positively correlated with learning motivation (r = 0.525, P < 0.001) and academic outcomes (r = 0.153, P < 0.001), where academic outcomes had a weak positive correlation with learning motivation (r = 0.115, P = 0.014). Mediation analysis confirmed that emotional intelligence fully mediates the relationship between learning motivation and academic outcomes with an insignificant direct effect of learning motivation on academic outcomes [(β =0.049, P = 0.573), 95% CI (-0.059, 0.144)]. The conditional indirect effect of gender significantly moderated 16.1% of the mediating effect of emotional intelligence [(β =0.161, P = 0.005), 95% CI (0.035, 0.273)]. The significant indirect effect was proved for the male gender only [(β = 0.157, P = 0.004), 95% CI (0.072, 0.240)]. No significant gender differences concerning emotional intelligence (P = 0.534) and academic outcomes (P = 0.466) were detected. However, male students had significantly higher learning motivation than female students (P < 0.001).

CONCLUSION:
Emotional intelligence completely mediates the relationship between learning motivation and outcomes with a stronger mediating effect for male students. Thus, policymakers must focus on improving the students’ emotional intelligence skills to boost their learning motivation and academic outcomes.
Assessment of Procrastination Trait among Dental Students in South India
Authors: Mohan G. , Prabhu S. Anand , Sugumaran D. K. , Ahamed S. Syed Shaheed , Lokesh S. , Kamalakannan Sruthi Ottilingam 
Published: April 2024

Context:
Procrastination is defined as “a trait or behavioral disposition to postpone or delay performing a task or making decisions.” It is a self-handicapping behavior that may result in loss of productivity, poor performance, and increased stress among individuals.

Aim:
The aim of this study was to evaluate the prevalence of procrastination trait among undergraduate and postgraduate dental students.

Materials and Methods:
A cross-sectional questionnaire-based survey was conducted among undergraduate and postgraduate students during October–November 2022 for assessing their procrastination trait. The response rate was 100%. Lay’s Procrastination Scale (LPS) – student version was used to collect the desired information.

Results:
The results showed that interns had significantly high procrastination prevalence (LPS score ≥60) compared to BDS final-year students and postgraduate students. The procrastination trait among males was found to be higher compared to females.

Statistical Analysis:
The Kruskal–Wallis test was applied to compare the mean procrastination score, and the Chi-square test was applied to determine the difference in procrastination extent.

Conclusion:
Procrastination has been consistently reported to exert an adverse influence on the academic performance of students, which would in turn affect the performance and the quality of work being delivered by the students. Therefore, certain active measures have to be enforced to help the students for effective time management, which would reduce the consequences of procrastination in dental education.
Effect of Primer before Resin Cement on Bracket Base and the Influence of Storage Time on Shear Bond Strength
Authors: Moreira Fernando César , Jacob Helder Baldi 
Published: April 2024

Background:
The elapsed time after bracket bonding and sandblasting the base could influence the shear bond strength (SBS) to enamel.

Aim:
This study evaluated the effect of primer application on the bracket base before application of resin and its interaction with storage time and sandblasting factors on SBS.

Materials and Methods:
Brackets were bonded on the enamel surface of 160 bovine incisors divided into eight groups (n = 20) with mesh bases, with and without sandblasting, with different storage times (immediately and 24 h), and with two different techniques (with and without primer on the base before resin).

Results:
SBS mean in conventional and primer groups ranged from 23 ± 7.76 MPa to 48 ± 11.34 MPa, respectively. After 24 h period, SBS increased when the primer was applied before resin on the bracket bases (P < 0.001). The effect of each isolated factor (storage time and primer application) was statistically significant (P < 0.001). Primer application versus time factors was statistically significant (P < 0.001). Sandblasted bases were not influential on SBS separately or by any of the interaction factors (P = 0.628). Adhesive interface failures were significant when the adhesive remnant index was evaluated regarding storage time without primer (P = 0.022); however, primer application did not show significance when the time was evaluated (P = 0.686).

Conclusion:
Primer increases the SBS after a 24 h period. Most of the failures occurred at the enamel/adhesive interface. Sandblasting treatment of bracket bases did not influence the SBS.
Knowledge and Practice Regarding Foot Care among Persons with Diabetes Attending Diabetic Clinic of a Tertiary Care Centre in Uttarakhand, India
Authors: Dadwal Ritambra , Kuppuswamy Rajarajeswari 
Published: April 2024

Abstract

Background:
Amputation related to foot ulcers that develop in diabetes is the worst consequence of improper foot care among diabetic patients. Considering this, the present research was conducted to assess the knowledge and practice regarding foot care in people with diabetes.

Aim:
The present study aimed to assess the knowledge and practice regarding foot care among persons with diabetes attending a diabetic clinic at a tertiary care centre in Uttarakhand and to distribute a teaching aid to educate them regarding foot care in diabetes.

Patients and Methods:
One hundred and fifty persons with diabetes attending a diabetic clinic were assessed using a cross-sectional, descriptive design. A self-structured questionnaire on knowledge and practice was used to collect the data from the participants, who were selected using a convenient sampling technique. Descriptive and inferential statistics were used for the analysis of the data.

Results:
About 21 (14.0%) patients had adequate knowledge, 108 (72.0%) had moderately adequate knowledge and 21 (14.0%) had inadequate knowledge. Most of the patients 97 (64.7%) had average practice, 52 (34.7%) had good practice and 1 (0.6%) had poor practice regarding foot care in diabetes. Pamphlets were made and distributed among patients to educate them regarding foot care for diabetes.

Conclusion:
People with diabetes, who visited the diabetic clinic at a tertiary centre in Uttarakhand had moderately adequate knowledge and average practice. This indicates patients need more education related to foot care in diabetes.
Pattern of Ultrasonographic Prescriptions and Findings in Rural Northern India: A Mixed Methods Study
Authors: Dhirar Nonita , Singh Tulika , Soundappan Kathirvel 
Published: April 2024

Abstract

Background:
Ultrasonography (USG) is used extensively across countries to diagnose and manage diseases. However, the existing USG services must be utilised rationally and effectively.

Aim:
Understanding the pattern of USG prescriptions and findings is important for improving the quality of healthcare services delivered by any healthcare system.

Patients and Methods:
A mixed methods study was conducted at a rural sub-district hospital in northern India to assess the pattern and completeness of prescriptions and USG findings and explore the patient and doctor-related factors influencing the USG prescription practices.

Results:
Of the 505 patients studied, 324 (64.2%) were females. The median age was 32 years (interquartile range: 24–45 years). The availability of complete medical history and clinical examination recording was 471 (85.7%) and 145 (28.7%), respectively. The indication for USG was mentioned in 436 (86.3%) prescriptions. Of the total, 251 (49.7%) had abnormal ultrasound findings. The abnormal finding was significantly high amongst patients (a) aged 45–59 years (P = 0.015) and (b) referred from surgery, paediatrics and other outpatient departments (P = 0.001) after adjustment to other factors. Patient-related factors such as non-harmfulness, free availability, reassurance of normality and health system/provider-level factors such as absence or low awareness of guidelines and changed clinical practice were the reasons for the current pattern of USG prescriptions.

Conclusion:
Although the medical history is better recorded, the incomplete recording of clinical examination needs improvement. Placing a guideline for prescribing USG, imposing nominal user fees and patient education and counselling can be tested for effectively utilising the USG services. Further, tracking the change in clinical management following the USG in Indian setting is the need of the hour.
Effect of Dietary Habits and Physical Activities on Abnormal Menstrual Cycle Pattern Amongst School-going Adolescent Girls Residing in the Foothills of the Himalayas: An Age-matched Case–Control Study
Authors: Nishu Jha , Yogesh Bahurupi , Mohan Agarwal Sameer , Manisha Dhinwa , Moni Jha , Pallavi Singh , Singh Bhadoria Ajeet 
Published: April 2024

Abstract

Background:
The menstrual cycle pattern in women is related to high variability in cycle length of 21–35 days, flow lasts 4–7 days with an average loss of 15–80 ml of blood. The abnormal menstrual pattern is influenced by several factors, including dietary habits, physical exercises, family history of obesity and anthropometric parameters.

Objectives:
This research was carried out to establish numerous risk elements that depict abnormal menstrual cycle patterns amongst school-going adolescent girls in urban areas of Rishikesh, India.

Methods:
An age-matched case–control research was implemented in schools in the urban areas of Rishikesh between May and December 2019. A simple random sampling technique was carried out to choose urban wards and schools, and data were assembled in two steps. Adolescent girls (10–19 years) studying in the government and private schools (both Hindi and English medium) of urban Rishikesh areas were included and screened for abnormal menstrual patterns. Equal numbers of age-matched controls were also selected. Data were assembled using a self-scrutinised pre-designed pre-tested semi-structured questionnaire. The independent t-test, Mann–Whitney test, McNemar test, Chi-square test and Fisher’s exact tests were applied for data analysis using the SPSS software version 23.0.

Results:
A total of 200 school-going adolescent girls (100 cases and 100 age-matched controls) were included in this study. The strength of getting symptoms of menstruation was high amongst cases, and it was found that adolescent girls with high menstrual symptoms had more chances of developing menstrual abnormalities (odds ratio = 6.6; confidence interval = 2.9–17.2). Menstrual abnormality was found significantly associated (P < 0.05) with reduced physical activity, unhealthy dietary patterns and family history of obesity amongst school-going adolescent girls.

Conclusions:
Unhealthy lifestyles, improper diet, reduced physical activity and family history of obesity were strongly associated with the abnormal menstrual cycle pattern.
Implications of Pimavanserin in Patients with Dementia-related Psychosis: A Systematic Review
Authors: Desai Heet N. , Senaratne Mithum , Swami Shivling , Aye Soe Lwin , Trivedi Yash , Hamid Pousette 
Published: April 2024

Abstract
Psychosis in patients with dementia-related disorders has long been a challenging issue to be tackled by the medical fraternity. Although atypical antipsychotics (AP) are in use for the same reason, there has always been a question regarding their safety and tolerability in this group of patients. Pimavanserin, a serotonin receptor inverse agonist or antagonist, is the only drug that is Food and Drug Administration-licensed to be used for the treatment of Parkinson's disease psychosis. This systematic review, which was conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-analyses 2020, had the objective of examining the effects of pimavanserin in patients with dementia-related psychosis (DRP). Among the publications (January 1, 2013–July 12, 2023) we gathered and examined were case–control and cohort studies, systematic reviews, meta-analyses, clinical trials, literature reviews, and randomized and nonrandomized control trials. The databases used to construct this list of publications were PubMed, Cochrane Library, and Google Scholar. These three databases yielded 157 reports in total once the relevant filters were applied. They were then further screened and put through quality evaluation processes, which led to the final nine papers that were included in this systematic review. We concluded from our review that pimavanserin proves to be a promising alternative for the treatment of DRP, showing significant improvements and fewer side effects compared to other atypical AP.
Understanding Public Awareness and Practices of Nonsurgical Facial Dermal Fillers: A Cross-Sectional Study in Saudi Arabia
Authors: Nassar AA , Demyati AK 
Published: April 2024

ABSTRACT

Background:
Dermal fillers augment soft tissues by replacing lost volume in the skin or subcutaneous fat. Dentists and other professionals utilize or recommend facial fillers for cosmetic and therapeutic purposes.

Aims:
This study aims to investigate public awareness regarding using nonsurgical facial dermal fillers in Saudi Arabia.

Methods and Material:
A cross-sectional study was conducted using an online self-administered questionnaire distributed to a total of 400 males and females through social media platforms. The participants reside in Mecca, Saudi Arabia. Descriptive statistics and the Chi-square test were employed for data analysis.

Results:
A total of 256 participants completed the survey, including 204 females and 51 males, with a mean age of 33.86 (SD = 10.5) years. Among the participants, 88 (34.4%) reported using facial fillers. Among them, only 46 (18%) were frequent consumers. Knowledge regarding correctly using facial fillers was generally high, especially for the lips (240, 94%), chin augmentation (203, 79.3%), and face lifting (226, 88.3%). However, participants’ knowledge needed improvement in other areas. Most participants were aware of the side effects, except for visual impairment (83, 32.4%) and blockage of the vessels (128, 50%).

Conclusions:
The findings highlighted a remarkable level of knowledge among participants regarding the uses of fillers. However, participants demonstrated low awareness of all possible side effects associated with the treatment. Participants had valid reasons for undergoing facial treatments. However, constraints preventing them from pursuing fillers included fear of unexpected results and financial limitations.
The Relationship Between Cancer Patients’ Supportive Care Needs and Their Attitudes Toward Complementary and Alternative Medicine
Authors: Çelik H , Aslan H 
Published: April 2024

ABSTRACT

Background:
Cancer patients have high supportive care needs related to the nature of the disease and treatment methods. To meet these needs or reduce symptoms, patients can be expected to resort to alternative treatment methods.

Aim:
To examine the relationship between the supportive care needs of cancer patients and their attitudes toward complementary and alternative medicine (CAM).

Methods:
This was a cross-sectional study involving 289 cancer patients at the Oncology Hospital in east of Turkey. Short-Form Supportive Care Needs Survey Questionnaire (SCNS-SF 29) and Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were standard instruments used for data collection. The association between supportive care needs and attitude toward CAM was determined.

Results:
The mean age of the study participants was 56.7 ± 12.7 years. There were 180 females (62.3%) and 109 males (37.7%). The mean score of the SCNS-SF 29 of the study participant was 101.19 ± 33.97. It was found that the patients’ psychological needs were the highest, followed by health services and information, daily life, and sexuality needs, respectively. The mean score of the HCAMQ was 27.16 ± 9.54. There was a weak, significant negative correlation between HCAM and psychological supportive care needs (r: -0.240, P: 0.003). However, there was no significant relationship between needs related to health services information, daily life sexuality, and attitudes toward CAM.

Conclusions:
Cancer patients have high supportive care requirements. Those with high psychological needs have a positive attitude toward HCAM. Incorporation of HCAM in the care of cancer patients may improve their quality of care.
Risk Factors for Otitis Media with Effusion in Preschool and School Children in Calabar Municipality
Authors: Adekanye AG , Onwughalu BC , Mgbe RB , Umana ANU , Anisi CO , Somefun AO 
Published: April 2024

ABSTRACT

Background:
Predisposing factors for otitis media with effusion are multifactorial, ranging from genetic and anatomical abnormalities to environmental factors and inflammation of the nose and adjacent structures.

Aim:
The study determined the risk factors for otitis media with effusion (OME) among children in Calabar Municipality.

Methods:
This was a descriptive, cross-sectional, community-based study including children aged 1–10 years randomly selected from government and privately owned daycares, nurseries (preschool), and primary schools. The risk factors assessed included upper respiratory tract infection, allergic rhinitis, adenoid enlargement, acute otitis media, recurrent acute otitis media parental educational level, overcrowding (four children sleeping in a room), duration of breastfeeding, cleft palate, and Down’s syndrome. Allergic rhinitis was diagnosed when a child had at least two of the rhinological symptoms: nasal congestion, running nose, sneezing, itching of the eye or nose, and at least one of the following: history of allergy, family history of allergy, and positive history of asthma. The questionnaire was the research instrument used to assess the risk factors for OME. OME diagnosis was made with otoscopy and tympanometry. Data were collected and analyzed with IBM SPSS version 25, and a P value <0.05 was considered statistically significant.

Results:
A total of 24 daycare pupils, 141 nursery pupils, and 155 primary pupils were recruited into the study. The prevalence of otitis media with effusion was more in younger children than in older children and the relationship was statistically significant (P < 0.001). Female children were more statistically affected than male children (P = 0.007). Children with allergic rhinitis accounted for a higher proportion of those with OME than those without allergic rhinitis (26.7% vs. 11.6%), and the difference was statistically significant (P = 0.007). The association between OME and upper respiratory tract infection, acute otitis media, and recurrent acute otitis media was not statistically significant (P > 0.05). Multivariate binary logistic regression was used to identify predictors for the otitis media with effusion.

Conclusion:
There are many endogenous and exogenous risk factors for OME, but notable risk factors in our study were age 1–2 years, female sex, and allergic rhinitis.