bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Continued Social Network-based Learning Based on Midwives Knowledge and Implementation of the Helping Babies Breathe Program
Authors: Hosseini Seyyed-Mohammad Reza , Naghdi Reza , Atarodi-Kashani Zahra , Sharifzadeh Gholamreza , Bameri Ferdows 
Published: May 2024

Background:
The Helping Babies Breathe (HBB) program is a simple neonatal resuscitation protocol implemented in low-resource clinical systems. Therefore, it is necessary to train midwives on the implementation of this program and ensure the sustainability of the learned materials. The present study aimed to assess the impact of continued social network-based learning based on midwives knowledge and implementation of the HBB program.

Materials and Methods:
This randomized controlled field trial was performed on 50 midwives who were selected by the available sampling method. All midwives attended the HBB workshop; thereafter, in the intervention group, the learned materials were reinforced for 3 months using WhatsApp messenger. Data were collected using Objective Structured Clinical Examination (OSCE), which was administered before the HBB program and 3 months later (HBB guide; 2th Ed, 2018). The data were analyzed in SPSS software (version 19) using independent and paired t-tests.

Results:
Based on the results, the mean knowledge score was not significantly different in both groups (control and intervention) immediately after the workshop. The mean scores of knowledge and skill variations did not decrease significantly in the WhatsApp group during the 3 months; nonetheless, a marked decrease was observed in the control group (t21 = 16.68, p < 0.05).

Conclusions:
The results of this study pointed out that continued social network-based education promoted the knowledge and skills of health care providers, highlighting the importance of social networks in education.
Telerehabilitation and Monitoring Physical Activity in Patient with Breast Cancer
Authors: Keikha Leila , Maserat Elham , Mohammadzadeh Zeinab 
Published: May 2024

Background:
Timely rehabilitation in patients with Breast Cancer (BC) has a great impact on improving their physical and mental conditions. Thus, the appropriate follow-up method is essential especially during the Covid-19 pandemic. The aim of this study was to review the different technology-assisted interventions for improving physical activity in BC patients.

Materials And Methods:
In this systematic review, the original studies were extracted from the beginning of indexing in databases including PubMed, Scopus, Google Scholar, and Web of Science until 2019. Finally, 45 papers were included in this study based on the inclusion criteria for before the Covid-19 pandemic and 3 articles extracted for the Covid-19 period.

Results:
The most widely used technologies for BC patients were in the United States (46.67%). Telephone, mobile application, and web with 28.89%, 15.56%, and 8.89% frequencies were the most common technologies, respectively. Although the majority of the participants were satisfied with the intervention method, in some cases, the patients were unsatisfied due to the complexity of the technology. These technologies were used for various purposes, such as physical activity and functions, control of pain severity, fitness, quality of life, diet behavior, fatigue, muscle strength, cardio-respiratory capacity, as well as arm and shoulder exercises.

Conclusions:
In conclusion, virtual communication can improve the health of BC patients and also increases patients' desire and hope to continue treatment. It is worth noting that in the Covid-19 pandemic, with the strengthening of virtual communication infrastructure, more attention was paid to BC patients due to their sensitive conditions.
Quality of Life and Associated Factors among Mothers with Gestational Diabetes Mellitus by using a Specific GDMQ-36 Questionnaire: A Cross-Sectional Study
Authors: Simbar Masoumeh , Mokhlesi Samira , Tehrani Fahimeh Ramezani , Kariman Nourosaddat , Majd Hamid Alavi , Javanmard Mitra 
Published: May 2024

Background:
Gestational Diabetes Mellitus (GDM) has physical, social, mental, and psychological consequences that can affect mothers’ Quality of Life (QOL). This study was conducted with the aim to evaluate the QOL of mothers with GDM and its associated factors using a specific questionnaire.

Materials and Methods:
This cross-sectional study was conducted on 200 mothers with GDM who were referred to clinics affiliated with Shahid Beheshti University and Qom University of Medical Sciences, Iran, in 2019–2020. The specific QOL questionnaire for women with GDM (GDMQ-36) and the demographic questionnaire were completed for participants. Independent variables were entered into the multiple linear regression model and were analyzed.

Results:
The total Mean(SD) score of the QOL of mothers with GDM who participated in the study was 46.83 (11.66) based on percentage. The highest and lowest QOL Mean (SD) scores were obtained on the support 76.50 (14.50) and concerns about a high-risk pregnancy 31.40 (19.80), subscales, respectively. The total QOL score decreased by 7.14 and 5 points on average in mothers treated with medication regimens and mothers who had a pre-high school education, respectively. The support subscale score increased by 5 points in mothers who had a previous history of GDM.

Conclusions:
The present study showed that the QOL of women with GDM had been severely affected by concerns about a high-risk pregnancy. Some individual and social factors can be associated with the QOL of mothers with GDM and its subscales.
Professional Socialization of Nurses in Humanized Care: A Qualitative Study
Authors: Rakkarn Jiraporn , Visaetsilapanonta Porntida , Jiawiwatkul Uthaithip , Puckpinyo Apa 
Published: May 2024

Abstract

Background:
Professional socialization of nurses is the process of transferring knowledge, skills, techniques, attitudes, and values among nursing professionals in order to enhance their capacity consistently. The objective of this research was to study the professional socialization of nurses in humanized care in 2 phases: in a nursing study phase, and in a nursing professional phase.

Materials and Methods:
The study was implemented in the form of a qualitative study by using an in-depth interview technique for the data collection. The informants of the study were 12 professional nurses who were granted the Award of Ratchaphiphat Role Model of Best Moral Practice.

Results:
During the nursing study phase, it was found that the professional socialization of nurses operated through course content, teaching management, extra-curricular activities, the interaction between nursing instructors and students, interaction among peers, observation of nursing instructors, and observation of nurses. On the other hand, in the nursing professional phase, professional socialization is performed through orientation, on-the-job training, supervision, ethical and moral promoting activities, and interaction with and observation of colleagues.

Conclusions:
Based on the findings, some recommendations were proposed as guidelines to develop nursing educational management for promoting humanized care in the development of nursing students and professionals.
Factor Analysis of Iranian Version of Nursing Students' Incivility Questionnaire
Authors: Abedini Zahra , Saeedi Maryam , Khoramirad Ashraf , Nia Hamid Sharif 
Published: May 2024

Background:
Uncivil student behavior is one of the challenging issues in the nursing schools that disrupts the learning process and teacher-student interactions. Planning to control student's incivility requires knowing the condition using valid tools. The purpose of this study was to investigate the validity and reliability of the incivility occurrence's questionnaire among Iranian students.

Materials and Methods:
This methodological study was conducted on 358 nursing students and 122 nursing faculty members. The samples were selected from the nursing students of second to fourth year from September to October 2019. McDonald's omega, Cronbach's alpha coefficients and composite reliability were calculated. Exploratory and confirmatory factor analysis were used to investigate the construct validity of tool.

Results:
Content validity index was 0.94 for the whole instrument. In factor analysis, three factors of irresponsible, violent, and unsound behaviors were identified. These factors explained more than 50.52% of the variance. Model fit indices Parsimonious Normed Fit Index) = 0.74, Root Mean Square Error of Approximation = 0.05, Parsimonious Comparative Fit Index = 0.78, Goodness-of-Fit Index = 0.92, Comparative Fit Index (CFI) = 0.92, Adjusted Goodness-of-Fit Index) = 0.89, CIMN=2.58) indicated the proportion of factors. Internal consistency was 0.77 to 0.89.

Conclusions:
This questionnaire is a three-dimensional tool with appropriate validity and reliability that can be used to evaluate occurrence rate of nursing student incivility in Iran.
Comparison between opposite clear corneal incision versus toric intraocular lens in correcting astigmatism
Authors: Priyamvada PV , Reddy Jagadeesh Kumar , Vijayaraghavan Prabhu , Thulasidas Mithun , Sundaram Vandhana 
Published: May 2024

Purpose:To compare the visual outcomes and efficacy of opposite clear corneal incision (OCCI) and toric intraocular lens (IOL) implantation in correcting preexisting astigmatism (PEA) in patients undergoing phacoemulsification.Methods:This prospective interventional comparative study was conducted between June 2022 and January 2023 in patients having cataract with PEA undergoing phacoemulsification. Patients were divided into two groups – group A underwent phacoemulsification with OCCI and group B underwent phacoemulsification with toric IOL implantation. Uncorrected distance visual acuity (UDVA), manifest refractive cylinder, and corneal astigmatism using corneal tomography were measured preoperatively and at 6 weeks postoperatively. The eyes were categorized into three groups with PEA ranging from 1 to 1.5 D, 1.6 to 2 D, and 2.1 to 3 D. Depending upon the white-to-white corneal diameter, the eyes were also categorized into four groups with corneal diameter ranging from 10.5 to 10.9 mm, 11 to 11.4 mm, 11.5 to 11.9 mm, and 12 to 12.4 mm.Results:Sixty eyes of 60 patients were studied. At postoperative 6 weeks, 83.3% (25 eyes) in the OCCI group and 96.7% (29 eyes) in the toric IOL group achieved UDVA of 6/9 or better. No statistically significant difference was noted between the groups (P= 0.37). The reduction in mean corneal astigmatism was 0.63 ± 0.37 D in the OCCI group and 0.15 ± 0.12 D in the toric IOL group (P< 0.001). The residual mean refractive cylinder was 0.60 ± 0.38 D in the OCCI group and 0.05 ± 0.15 D in the toric IOL group at 6 weeks (P= 0.007).Conclusion:Both OCCI and toric IOL are effective in correcting PEA. However, in a resource-limited setting, OCCI is a better alternative surgical option for correcting astigmatism of 1–1.5 D during phacoemulsification without requiring additional skills or instruments.
Chronic arsenic poisoning: A sinister cause of peripheral neuropathy in a young couple
Authors: Prakash PR , Narayan A , Jain S , Wig N 
Published: May 2024

ABSTRACT
Arsenic compounds are colorless and odorless and toxicity can occur either acutely following ingestion of arsenicals with gastrointestinal disturbances or due to chronic exposure usually presenting with dermatologic lesions and peripheral neuropathy. We report a young couple who presented with signs and symptoms of painful sensorimotor peripheral neuropathy in a typical “stocking and glove” pattern. They had raised urinary arsenic levels with normal blood levels and thus, a diagnosis of chronic arsenic poisoning due to contaminated water intake was made after detecting elevated arsenic levels in their home water supply. Both patients underwent chelation therapy with dimercaprol for 14 days and reported subjective and objective improvement in symptoms with the reduction in urinary arsenic levels at the end of therapy.
The association of emotional intelligence with personality traits, anxiety in undergraduate medical students
Authors: Prasanna Velama Pooja , Harshitha Veeramachaneni , Manasa Sanagapalli S. V. L. 
Published: May 2024

Background:
The capacity to recognize, regulate, and manage both our own and other people’s emotions is known as emotional intelligence (EI). Individual differences in EI are based on a person’s traits and actions, which define their personality. A time of transition should be present so that the students must adjust to their new social and personal duties as well as they meet their scholastic demands.

Aims and Objectives:
The study assesses the EI, personality traits, anxiety and to determine the association of EI with personality traits, anxiety in the medical students.

Materials and Methods:
A cross-sectional study was conducted on medical students who are pursuing 3rd–4th years of Narayana Medical College, Andhra Pradesh. One hundred and fifty participants were taken after obtaining written informed consent. A questionnaire consisting of sociodemographic data, the Schutte EI scale, ten-item personality inventory scale was administered. The means and proportions were calculated. Kruskal–Wallis test was used to test significance. P < 0.05 was considered statistically significant.

Results:
The mean age of subjects was 21.54 ± 1.17 years. Seventy-seven (51.3%) were males. 128 (85.3%) had satisfaction with career choice. Seventy-seven (51.3%) of students had high EI and 72 (48.3%) of students had moderate EI. A positive relationship (0.032) is present between EI and personality traits. Mild anxiety symptoms are seen with higher EI.

Conclusion:
The study states that personality traits and EI are related to one another. Conscientiousness emerged as the stronger relationship of EI and the students with higher EI have mild anxiety symptoms.
Assessing the effectiveness of MRI, <sup>18</sup>F-fluciclovine PET, SUV<sub>max</sub>, and PSA in detecting local recurrence of prostate cancer after prostatectomy
Authors: Virarkar Mayur K. , Gruschkus Stephen K. , Ravizzini Gregory C. , Vulasala Sai Swarupa R. , Javadi Sanaz , Bhosale Priya 
Published: May 2024

PurposeThe primary objective of this study was to evaluate the discriminatory utility of magnetic resonance imaging (MRI), <sup>18</sup>F-fluciclovine positron emission tomography (PET), maximum standardized uptake value (SUV<sub>max</sub>), prostate-specific antigen (PSA), and combinations of these diagnostic modalities for detecting local prostate cancer recurrence in the setting of rising PSA after radical prostatectomy.Material and methodsPatients were characterised for clinical features such as Gleason score, PSA at surgery, PSA at follow-up, follow-up MRI result, follow-up PET result, follow-up SUV<sub>max</sub>, and follow-up disease status. The utility of diagnostic parameters for detecting disease recurrence at the prostatectomy bed was assessed using receiver operating characteristics (ROC) analysis to determine the area under the curve (AUC) for each model. Sensitivity, specificity, and positive/negative predictive values were also calculated. Optimal cut-off points for continuous variables were determined based on maximum Youden’s J statistics.ResultsThe study found that MRI had the highest concordance (96%), sensitivity (100%), specificity (91%), positive predictive value (93%), and negative predictive value (100%) among the diagnostic modalities. The AUC for MRI was 0.9545, indicating a high discriminatory ability for detecting prostate cancer local recurrence. When combined, PET and SUV<sub>max</sub> (cut-off value of 2.85) showed an improved performance compared to using them individually, with an AUC of 0.8925.ConclusionsThe analysis suggests that MRI is the most effective imaging modality for detecting local prostate cancer recurrence, with <sup>18</sup>F-fluciclovine PET and SUV<sub>max</sub> also showing promising combined results. PSA has moderate discriminatory utility at follow-up but can still provide valuable information in detecting prostate cancer recurrence. Further research and recent references are needed to support these findings.
Elastography of nerves in the wrists of cyclists
Authors: Dąbrowska Agnieszka , Paluch Łukasz , Walecka Irena , Żelewska Marta , Noszczyk Bartłomiej 
Published: May 2024

PurposeThis study aimed to investigate changes in the elasticity of the median and ulnar nerves in cyclists.Material and methodsThe study included 30 cyclists and 2 non-biking reference groups that included 32 healthy volunteers and 32 individuals with ulnar nerve entrapment neuropathies. All participants underwent physical, ultrasonographic, and elastographic examinations including assessment of nerve cross-sectional area (CSA) and stiffness (SWE). The cyclists’ group was tested before and after a 2-hour workout.ResultsThe values of ulnar nerve CSA and stiffness in Guyon’s canal in resting cyclists were 5.30 ± 1.51 mm2 and 49.05 ± 11.18 kPa, respectively. These values were significantly higher than in the healthy volunteers, but not higher than in the nerve entrapment group. Median nerve CSA and stiffness at rest were 9.10 ± 2.61 mm2 and 38.54 ± 14.87 kPa, respectively. Both values were higher than respective values in the healthy group. Cycling induced an increase in all these parameters, although the increase in nerve stiffness was more noticeable than in CSA.ConclusionsThe elasticity of the median and ulnar nerve in cyclists remains within normal limits, questioning the belief that cyclists are at risk of nerve palsy in Guyon’s canal. However, cycling workout does exert compression, resulting in transient oedema of both nerves. The dynamics of changes was more noticeable in SWE examination than in conventional ultrasound, which may depend on SWE sensitivity.
Parallel SnowModel (v1.0): a parallel implementation of a distributed snow-evolution modeling system (SnowModel)
Authors: Mower Ross , Gutmann Ethan D. , Liston Glen E. , Lundquist Jessica , Rasmussen Soren 
Published: May 2024

Abstract. SnowModel, a spatially distributed snow-evolution modeling system, was parallelized using Coarray Fortran for high-performance computing architectures to allow high-resolution (1 m to hundreds of meters) simulations over large regional- to continental-scale domains. In the parallel algorithm, the model domain was split into smaller rectangular sub-domains that are distributed over multiple processor cores using one-dimensional decomposition. All the memory allocations from the original code were reduced to the size of the local sub-domains, allowing each core to perform fewer computations and requiring less memory for each process. Most of the subroutines in SnowModel were simple to parallelize; however, there were certain physical processes, including blowing snow redistribution and components within the solar radiation and wind models, that required non-trivial parallelization using halo-exchange patterns. To validate the parallel algorithm and assess parallel scaling characteristics, high-resolution (100 m grid) simulations were performed over several western United States domains and over the contiguous United States (CONUS) for a year. The CONUS scaling experiment had approximately 70 % parallel efficiency; runtime decreased by a factor of 1.9 running on 1800 cores relative to 648 cores (the minimum number of cores that could be used to run such a large domain because of memory and time limitations). CONUS 100 m simulations were performed for 21 years (2000–2021) using 46 238 and 28 260 grid cells in the x and y dimensions, respectively. Each year was simulated using 1800 cores and took approximately 5 h to run.
Hydrological response of Andean catchments to recent glacier mass loss
Authors: Caro Alexis , Condom Thomas , Rabatel Antoine , Champollion Nicolas , García Nicolás , Saavedra Freddy 
Published: May 2024

Abstract. The impacts of the accelerated glacier retreat in recent decades on glacier runoff changes are still unknown in most Andean catchments, increasing uncertainties in estimating water availability. This particularly affects the outer tropics and Dry Andes, heavily impacted by prolonged droughts. Current global estimates overlook climatic and morphometric disparities, which significantly influence model parameters, among Andean glaciers. Meanwhile, local studies have used different approaches to estimate glacier runoff in a few catchments. Improving 21st-century glacier runoff projections relies on calibrating and validating models using corrected historical climate inputs and calibrated parameters across diverse glaciological zones. Here, we simulate glacier evolution and related runoff changes between the periods 2000–2009 and 2010–2019 across 786 Andean catchments (11 282 km2 of glacierized area, 11° N to 55° S) using the Open Global Glacier Model (OGGM). TerraClimate atmospheric variables were corrected using in situ data, getting a mean temperature bias by up to 2.1 °C and enhanced monthly precipitation. Glacier mass balance and volume were calibrated, where melt factor and the Glen A parameter exhibited significant alignment with varying environmental conditions. Simulation outcomes were validated against in situ data in three documented catchments (with a glacierized area > 8 %) and monitored glaciers. Our results at the Andes scale reveal an average reduction of 8.3 % in glacier volume and a decrease of 2.2 % in surface area between the periods 2000–2009 and 2010–2019. Comparing these two periods, glacier and climate variations have led to a 12 % increase in mean annual glacier melt (86.5 m3 s−1) and a decrease in rainfall on glaciers of −2 % (−7.6 m3 s−1) across the Andes, with both variables comprising the glacier runoff. We confirmed the utility of our corrected regional simulations of glacier runoff contribution at the catchment scale, where our estimations align with previous studies (e.g., Maipo 34° S, Chile) as well as provide new insights on the seasonal glaciers' largest contribution (e.g., La Paz 16° S, Bolivia) and new estimates of glacier runoff contribution (e.g., Baker 47° S, Chile).
Biomechanics of athlete movement: kinematic analysis and injury prevention
Authors: Wenqing Chang  
Published: May 2024

Anterior cruciate ligament (ACL) injuries are prevalent and movement patterns linked to an increased risk of ACL damage can be seen in youngsters under the age of 10. Though the processes underlying these programs are mostly unclear, prevention systems have been demonstrated to lower rates of injury. Biomechanical alterations following injury prevention programs in children have not been extensively studied. In this study, we examine the manner in which modifications in bio-mechanical risk variables for an ACL injury in preadolescent female soccer players are affected by the F-MARC 11+ injury-preventing warm-up program. Our hypothesis was that training would enhance peak knee valgus moment (PKVM), the key risk factor for ACL injuries. Other kinematic and kinetic factors connected to ACL injury were also investigated. An intervention group and a control group were created from a total of 62 athletes who were recruited from soccer teams. F-MARC 11+ in-season sessions were attended by the intervention group fifteen times. Motion capture information from the pre and post-season was gathered while doing activities such as double-leg leap, single-leg jump, unanticipated cutting and preplanned cutting. A biomechanical modeling system called OpenSim was used to determine the angles and moments of the lower extremity joints. According to the results of the experiment, during the double-leg leap, athletes in the group that got intervention had a lower PKVM than those in the control group. This study suggests ways to improve injury prevention programs, especially for single-leg and cutting jobs, to reduce other ACL risk factors.