bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing the Fertility Desire and Related Factors in Mothers with Intellectually Disabled Children and Mothers with Healthy Children
Authors: Sheidanik Sepideh , Savabi-Esfahani Mitra , Shahverdi-Asadabadi Zohreh 
Published: May 2024

Background:
The birth of a child with an intellectual disability is a common event. The fertility desire plays an important role in healthy reproductive programs. This study was conducted to compare the fertility desire and related factors in mothers with intellectually disabled and healthy children.

Materials and Methods:
The present study was a descriptive, cross-sectional study. The sample size consisted of 348 mothers with healthy and intellectually disabled children (174 per group). Sampling was performed at normal (six schools) and special primary schools (twelve schools) in Isfahan, Iran using stratified random sampling method. Attitude, subjective norms, perceived behavior control, and gender preference were assessed using a researcher-made questionnaire and psychological well-being using Ryff questionnaire. Data were analyzed by descriptive statistics, Independent t-test, Mann–Whitney U test, Chi-square test, and Logistic regression using SPSS 24.

Results:
In this study, 21.84% of mothers with healthy children and 13.79% of mothers with intellectually disabled children were willing to have other children. The fertility desire in mothers with intellectually disabled and healthy children decreased as their numbers of children (CI 95% =0.14-0.42) and age increased (CI 95% =0.80-0.93) by 0.87 and 0.24, respectively. There was statistically significant difference in mean score of psychological well-being between the two groups of mothers with fertility desire (p = 0.017). There was no statistically significant difference in mean score of attitude, subjective norms, perceived behavior control, and gender preference (p > 0.05).

Conclusions:
Apparently the awareness of fertility desire and related factors in mothers with healthy and intellectually disabled children may be helpful in healthy fertility counseling.
Post-Traumatic Stress Disorder and Its Related Factors in Nurses Caring for COVID-19 Patients
Authors: Mirzaei Alireza , Molaei Behnam , Habibi-Soola Aghil 
Published: May 2024

Background:
Post-Traumatic Stress Disorder (PTSD) is a mental disorder that can result from direct or indirect contact with traumatic events. The current study aimed to evaluate PTSD and its related factors in nurses caring for COVID-19 patients.

Materials and Methods:
This study was a descriptive correlational study. Using convenience sampling methods, 395 nurses were enrolled in the study. The study instruments included demographic information, Impact of Event Scale-Revised (IES-R), and General Health and Job Content Questionnaire (JCQ). Data were analyzed using the Pearson correlation test, t-test, ANOVA, and multiple regression analysis.

Results:
The mean (SD) age and work experience of the participants were 33.79 (6.74) years and 9.47 (6.47) years, respectively. Most nurses (86.60%) experienced PTSD. Multiple linear regression results showed general health (R
2 = 0.51, p = 0.001), job insecurity (R
2 = 0.51, p = 0.042), decision latitude (R
2 = 0.51, p = 0.037), and high age (R
2 = 0.51, p = 0.049) to be associated with an increase in PTSD, and having high social support (R
2 = 0.51, p = 0.043) was associated with a decrease in PTSD in nurses.

Conclusions:
Nurses have experienced high levels of PTSD after the fatal outbreak of COVID-19 disease. Stressful conditions associated with an increased likelihood of this disorder should be identified, and coping skills such as decision latitude (control) and social support should be strengthened to prevent the symptoms of this disorder in nurses.
Interprofessional Collaboration Competencies in the Health System
Authors: Vaseghi Fatemeh , Yarmohammadian Mohammad Hossein , Raeisi Ahmadreza 
Published: May 2024

Background:
Today's health systems require the collaboration of diverse staff such as physicians, nurses, social workers, and other healthcare professionals. In addition to professional competencies, they also need to acquire interprofessional competencies. Effective interprofessional collaboration among healthcare professionals is one of the solutions that can promote the effectiveness of the health system using existing resources.

Materials and methods:
A systematic review was conducted in 2021 according to the PRISMA and through searching Web of Science, Scopus, PubMed, ProQuest, Science Direct, Emerald, Springer Link, Google Scholar, SID, and Magiran databases. The official websites of WHO, United Nations, and World Bank were also searched. The time frame for the research was from 2010 to 2020, and included both the English and Persian languages. Out of 7267 initially retrieved articles, 17 articles finally met the quality evaluation criteria and were analyzed through qualitative content analysis. Then their full texts were retrieved and analyzed in MAXQDA software, and final results were categorized.

Results:
Competencies have been explored in various areas of health care, especially in the clinical field. The competencies introduced were extracted and categorized into six domains of “patient-centered care,” “interprofessional communication,” “participatory leadership,” “conflict resolution,” “transparency of duties and responsibilities,” and “teamwork.” The competence of “transparency of duties and responsibilities” was mentioned in all studies and is required for any collaboration.

Conclusions:
Interprofessional competencies provide quality, safety, and patient-centeredness through effective collaboration. Integrating interprofessional competencies into the educational curriculum, in-service training, and continue education is essential to form effective interprofessional collaboration.
Association between Socioeconomic Status and the Utilization of Maternal Health Services in Nigeria
Authors: Maitanmi Bukola T. , Adelaja Abiodun A. , Okunola Damilola R. , Maitanmi Julius O. , Tola Yetunde O. , Akingbade Oluwadamilare 
Published: May 2024

Background:
Maternal health is the mother’s state of well-being before, during, and after conception. Studies have suggested that the increasing maternal mortality rate is preventable provided maternal health services are accessible during pregnancy. This study explored the association between socioeconomic status and the utilization of maternal health services in the Federal Medical Centre (FMC), Abeokuta, Ogun State.

Materials and Methods:
This study is a cross-sectional survey. One hundred and eighty-eight pregnant women from the antenatal unit of a tertiary hospital in Southwestern Nigeria were selected using a convenience sampling technique. Data were collected via a pretested, self-designed questionnaire. The descriptive statistics were used to analyze the resulting data, and the hypotheses were tested using the Pearson product-moment correlation at 0.05 level of significance.

Result:
From the study, 72 (38.30%) and 58 (30.90%) agreed that their income and occupation influence their maternal health services utilization. Significant relationship (p < 0.05) existed between maternal health service utilization and age and between socioeconomic factors (occupation and income level) and utilization of maternal health services of pregnant women.

Conclusions:
Overall, this study revealed that the level of utilization of maternal health services among expectant women attending FMC is moderate. As this study has shown that socioeconomic factors influence the utilization of maternal health services, we recommend that interventions by health workers targeted at improving the utilization of maternal health services should consider these factors when designing such interventions. It is hoped that this will contribute to reducing maternal mortality and morbidity in this state.
Participation of Primary Care Nurses in the Prevention of Chronic Non-Communicable Diseases in the Republic of Kazakhstan: A Cross-Sectional Study
Authors: Masharipova Alexandra , Nurgaliyeva Nasikhat , Derbissalina Gulmira 
Published: May 2024

Abstract

Background:
Chronic diseases are a huge threat to public health in Kazakhstan and around the world. Many deaths can be prevented by using evidence-based behavioral interventions. Nurses, as the most numerous health care workers, can perform behavioral therapy for the prevention of Non-Communicable Diseases (NCDs). This study was conducted in order to explore the behavioral interventions performed by nurses, to analyze current problems, barriers and the attitude of nurses to these activities.

Materials and Methods:
A cross-sectional study was conducted among 260 nurses in the city of Nur-Sultan from 2019 to 2020. The sample was calculated using a formula and simple random sampling. The study was conducted using a specially compiled questionnaire. Descriptive statistics were chosen as a statistical method. Pearson’s Chi-square criterion was used to identify a statistically significant relationship between variables.

Results:
Among 260 nurses, 208 participants (80%) had the desire to conduct behavioral interventions among patients. Most nurses do not have enough time to conduct behavioral interventions. A short work experience affects to a greater extent nurses use passive training methods. Almost half (47.30%) of nurses rate their level of knowledge about the real effects of drugs, tobacco, alcohol, and preventive measures on the body as “average”.

Conclusions:
The work of nurses on the prevention of NCDs is not performed enough due to lack of working time and available domestic literature, heavy workload. Behavioral therapy should be based on reliable scientific evidence, which can be achieved through the development of clinical guidelines and continuous training of nurses.
Need Asseesment on Maternal Mental Health Care for Perinatal Mothers during COVID-19: A Qualitative Study
Authors: Winarni Lastri Mei , Damayanti Rita , Afiyanti Yati 
Published: May 2024

Abstract

Background:
During COVID-19 pandemic, the isolation, socialization, and extreme changes in daily life have some potential mental health consequences which should be recognized as a critical public health concern, especially for perinatal mothers. Therefore, it is very important to assess the needs for maternal mental health care in perinatal mothers during COVID-19 pandemic. This study aimed to explore mothers’ needs for maternal mental health care in the perinatal period during COVID-19 pandemic.

Material and Methods:
Realistic phenomenological approach was carried out in this qualitative study. The study was conducted at five community health centers in the city of Tangerang, Indonesia. In-depth interviews were conducted to 11 mothers who were pregnant, in labor, during puerperium and two months after giving birth with purposive sampling. Data were collected from May to August 2021. Interviews were conducted face to face, audio recorded, and transcribed verbatim. Data were analyzed by using Van Manen’s phenomenological method.

Result:
Initial finding revealed 254 codes, which were then reduced to 122 codes, 98 sub-categories, 22 categories, and 5 themes. There were five themes related to mothers’ needs for mental health care during COVID-19, i.e., health protocol during pandemic, psychological support, health education, simple coping mechanism, and support system.

Conclusions:
The needs can be fulfilled by the closest people the mothers have and healthcare system for perinatal mental health. Vaccination, health protocol, and psychological resilience should be delivered to mothers during COVID-19.
Effect and Safety of Castor Oil on Labor Induction and Prevalence of Vaginal Delivery
Authors: Amerizadeh Atefeh , Farajzadegan Ziba , Asgary Sedigheh 
Published: May 2024

Background:
Castor oil is used in some countries to induce labor, but results on its effectiveness and safety is controversial. This systematic review and meta-analysis aimed to evaluate the effect of castor oil on labor induction and prevalence of vaginal delivery along with investigating its safety.

Materials and Methods:
PubMed, Scopus, Web of Science, and Google Scholar were searched systematically up to September 2020. Observational studies and Randomized Clinical Trials (RCTs), which assessed the effect of castor oil on labor induction in English and Persian languages using different combinations of the related key terms and Medical Subject Headings (MeSH) terms were collected and analyzed independently by two authors. Random effect model was used for meta-analysis. The studies were included in which the Relative Risk (RR) had been reported with 95% Confidence Intervals (CIs).

Results:
A total of 12 studies consisting 1653 pregnant women were included. The mean age of women who used castor oil was 24.72 years and in control group was 24.67 years. Results showed that labor induction was significantly higher in castor oil group than control group (RR: 3.27; 95% CI (1.96, 5.46)). Prevalence of vaginal delivery was 81% in the castor oil group and 69% in the control group.

Conclusions:
It can be concluded that use of castor oil has positive effect on labor induction and increases the prevalence of vaginal delivery. None of the studies considered in this meta-analysis reported any serious harmful effects for the use of castor oil.
Communication between Parents and Preschool-Aged Children about Tuberculosis Preventive Treatment
Authors: Rakhmawati Windy , Fitri Siti Yuyun Rahayu , Sriati Aat , Hendrawati Sri 
Published: May 2024

Background:
Communication with preschool-aged children about Tuberculosis Preventive Treatment (TPT) is a challenge for parents. Good communication can encourage children to be involved in their treatment and enhance their adherence to the treatment. This study aimed to explore the experience of parents in communicating with their preschool-aged children about TPT.

Materials and Methods:
This study used a qualitative approach. Participants were 10 parents who were selected using the purposive sampling technique from three community health centers in Bandung City, Indonesia. The inclusion criteria for the study were parents who have a child aged 3–5 years who received or was receiving TPT. Semi-structured interviews were conducted to obtain the data, and when saturation was reached, no further interviews were conducted. Subsequently, the interviews were transcribed and analyzed using thematic analysis.

Results:
The findings revealed three themes with eight categories. The themes were persuading children, lack of understanding, and supporting communication.

Conclusions:
The findings are relevant for nurses and other health professionals who need to provide adequate information related to TPT and to develop media for parents and children during their communication. Nurses can collaborate with other physicians and software engineers to develop interesting media such as game applications to educate children about Tuberculosis (TB) prevention.
Caspian Nursing Process
Authors: Alijanpour Shayan , Alimohamadi Nasrollah , Khafri Soraya , Rokni Mostafa Akbarian , Khorvash Fariborz 
Published: May 2024

Background:
Structural planning is essential for the management of constipation in stroke patients. The current study aims to determine the impact of a care plan on the frequency of new-onset constipation following stroke. Materials and Methods

:
This clinical trial was conducted on 132 stroke patients (two groups of 66) in three phases (pre-intervention, during discharge, 1 month after discharge). Clients were randomly assigned to blocks based on gender, type of stroke, and age. The care plan according to the nursing process was conducted. Data collection tools included a demographic–clinical information questionnaire, Rome IV criteria (diagnosis of constipation), and Bristol scale (consistency of stool). Data were analyzed using the Chi-square, McNemar, Wilcoxon, Analysis of Variance (ANOVA), and a general estimated model.

Results:
The prevalence of new-onset constipation following stroke in the control group decreased from 66 (100%) at admission to 39 (67.20%) at discharge and in the intervention group from 66 cases (100%) to 18 cases (34%) (p = 0.001), but it was not significant at follow-up (p = 0.16). The trend of frequency of constipation from admission to follow-up was generally significant in the intervention group (p = 0.03) vs the control group (p = 0.21). The difference in the mean number of cases of constipation was statistically significant (2.89) 2.10) control group vs 1.58 (1.65) intervention group, p < 0.001).

Conclusions:
A significant impact of the care plan was observed from admission to discharge, but further follow-up was required with more client-side collaboration. Therefore, the present care plan is recommended in the hospital and home care.
Immunotherapy rechallenge for an elderly patient with driver gene-negative non-small cell lung cancer: A case report and literature review
Authors: Zhang Zhiguo , Han Lei , Zhang Ying , Xun Pei , Zhao Ying 
Published: May 2024

Abstract
Advanced non-small cell lung cancer (NSCLC) negative for driver genes is a medical oncology treatment challenge. The increasingly widespread application of immunotherapy, especially programmed death-1 (PD-1)/programmed death-ligand 1 inhibitors, has changed the treatment pattern of patients with advanced NSCLC. In clinical practice, many patients with immune checkpoint inhibitor (ICI) discontinue treatment for a variety of reasons, and it is known as “immunotherapy rechallenge” to try ICI treatment again following discontinuation. We report an 82-year-old patient with advanced lung adenocarcinoma who was cured after 16 cycles (7.5 months) of PD-1 monoclonal antibody (mab) followed by 4 cycles of bevacizumab and PD-1 mab. Relapse occurred 21 months after treatment had been discontinued. After 10 cycles of immunotherapy, a partial response was achieved, with a 54-month survival and ongoing treatment. This study examines the diagnosis and treatment process, as well as provides a literature review of immunotherapy rechallenge.
Upper respiratory tract magnetic resonance imaging in coronavirus disease 2019
Authors: Shi Chunzi , Tang Zuohua , Shen Jie , Zhang Zhiyong , Jiang Chao , Shi Nannan , Wu Lianming , Jiang Yebin , Shan Fei , Song Fengxiang , Shi Yuxin 
Published: May 2024

Abstract

OBJECTIVE:
The objective of the study was to investigate magnetic resonance imaging (MRI) findings of the upper respiratory tract (URT; a main harbor site for infection) in patients with coronavirus disease 2019 (COVID-19), and their association with pneumonia severity.

MATERIALS AND METHODS:
URT MRI of 128 patients with confirmed COVID-19 was evaluated. URT lymphoid tissue hyperplasia as an overall score of adenoid mass, tonsil enlargement, and cervical adenopathy was analyzed, along with quantitative pneumonia data on chest computed tomography (CT).

RESULTS:
Effusion of the posterior laryngopharyngeal wall (98%) was the most common, followed by the nasopharyngeal (80%) and the posterior oropharyngeal (70%) walls. There was also evidence of (I) swelling of the epiglottis (99%) and vocal cord (58%), (II) mild or no (15%), moderate (42%), and severe (37%) nasopharyngeal roof thickness, (III) mild (50%), moderate (21%), and severe (3%) tonsil enlargement, and (IV) mild (22%), moderate (54%), and severe (20%) cervical lymph node enlargement. Ethmoid sinusitis was the most common (98%), which was followed by maxillary sinusitis (81%). Mastoiditis was present in 32% of patients. At follow-up (n = 22), nasopharyngeal wall thickening was improved in four patients. Chest CT images showed pneumonia in 57% of patients. There were also more focal adenoid masses, and tonsil and cervical lymph node enlargement. Furthermore, the URT lymphoid tissue hyperplasia scores were higher in patients without pneumonia than in those with pneumonia, while the four indexes were negatively correlated with CT pneumonia quantification at the peak time ( r = −0.26 to −0.49, P < 0.001).

CONCLUSIONS:
URT lymphoid tissue hyperplasia assessed by MRI may be a protective factor against COVID-19 pneumonia.
A comparative study of internalized stigma and quality of life among patients of schizophrenia and bipolar affective disorder under remission, visiting a tertiary care center
Authors: Sumedha Kota Raga , Rao Sireesha Srinivasa , Boorla Vivaswan , Meda Aparna 
Published: May 2024

Background:
Patients with schizophrenia and bipolar affective disorder (BPAD) diagnosis often experience high levels of internalized stigma, where they internalize negative societal views about mental illness. This can profoundly impact their quality of life (QOL), help-seeking behavior, adherence to treatment, increased disability, and increase the economic burden. This study was taken up to determine and compare internalized stigma in remitted patients of schizophrenia and bipolar disorder and correlate the association between internalized stigma and QOL.

Methodology:
A cross-sectional comparative hospital-based study with a sample size of 100 (48 patients of schizophrenia and 52 patients of bipolar disorder in remission) was taken for the study as per the International Classification of Diseases-10 criteria. Basic demographic data were collected using a semi-structured questionnaire. Remission was assessed by the Clinical Global Impressions-Severity Scale. Stigma was assessed using the Internalized Stigma of Mental Illness Scale and quality of life (QOL) was assessed using the World Health Organization Quality of Life Brief version (WHOQOL BREF), insight grading as per Comprehensive Textbook of Psychiatry 10th Edition. The level of significance was set at 0.05 for all statistical analyses.

Results:
A total of 100 subjects participated in the study, of which 48 belong to the schizophrenia group and 52 belong to the BPAD group. Prevalence of internalized stigma among subjects with schizophrenia is 54% and BPAD is 50%. There was a statistically significant association between diagnosis and self-stigma. Self-stigma was found to be more among female gender (P = 0.001), single (0.014), and unemployed (P = 0.010). There was a statistically significant negative correlation between internalized stigma scores and QOL.

Conclusion:
The current study found a strong negative correlation between internal stigma and QOL, suggesting that internal stigma may have a negative impact on social relationships, community participation, and physical and psychological well-being of the individual. Considering this, psychiatrist should formulate strategies to address internal stigma along with clinical manifestations.
Coping strategy as a predictor of quality of life among people living with the human immunodeficiency virus: A cross-sectional study
Authors: Edet Bassey Eyo , Essien Emmanuel Aniekan , Okafor Chidi John , Olose Emmanuel Omamurhomu , Odo Michael Odey , Atu Ginini Edward Eko 
Published: May 2024

Context:
Coping is a modifiable factor that promotes mental well-being. Among people living with human immunodeficiency virus (HIV), it might affect outcomes such as quality of life (QOL).

Objective:
This study aims to determine the role of coping strategies as a predictor of QOL among HIV outpatients in a general hospital.

Methods:
This cross-sectional study involved 200 HIV patients under treatment. Consecutive clinic attendees were surveyed using a sociodemographic questionnaire, the 32-item Coping Strategies Inventory, and the World Health Organization QOL in HIV–BREF scale. Statistical analysis was conducted with a significance level set at 0.05.

Results:
Respondents, with a mean age of 35.54 (standard deviation = 10.88), were predominantly female (67.5%). After accounting for age and gender, linear regression analysis revealed that engagement coping positively predicted all domains (physical, psychological, independence level, social relationships, environment, and spirituality) of QOL (P < 0.05). Disengagement coping, however, emerged as a predictor solely for the social relationship domain (P < 0.05).

Conclusion:
Coping is a significant determinant of life quality among HIV patients and should be considered in the holistic treatment of patients.