bluuebunny/crossref_metadata_2025_split huggingface dataset:
Performance analysis of data mining algorithms for diagnosing COVID-19
Authors: Nopour Raoof , Kazemi-Arpanahi Hadi , Shanbehzadeh Mostafa , Azizifar Akbar 
Published: April 2024

BACKGROUND:
An outbreak of atypical pneumonia termed COVID-19 has widely spread all over the world since the beginning of 2020. In this regard, designing a prediction system for the early detection of COVID-19 is a critical issue in mitigating virus spread. In this study, we have applied selected machine learning techniques to select the best predictive models based on their performance.

MATERIALS AND METHODS:
The data of 435 suspicious cases with COVID-19 which were recorded from the Imam Khomeini Hospital database between May 9, 2020 and December 20, 2020, have been taken into consideration. The Chi-square method was used to determine the most important features in diagnosing the COVID-19; eight selected data mining algorithms including multilayer perceptron (MLP), J-48, Bayesian Net (Bayes Net), logistic regression, K-star, random forest, Ada-boost, and sequential minimal optimization (SMO) were applied in data mining. Finally, the most appropriate diagnostic model for COVID-19 was obtained based on comparing the performance of the selected algorithms.

RESULTS:
As the result of using the Chi-square method, 21 variables were identified as the most important diagnostic criteria in COVID-19. The results of evaluating the eight selected data mining algorithms showed that the J-48 with true-positive rate = 0.85, false-positive rate = 0.173, precision = 0.85, recall = 0.85, F-score = 0.85, Matthews Correlation Coefficient = 0.68, and area under the receiver operator characteristics = 0.68, respectively, had the higher performance than the other algorithms.

CONCLUSION:
The results of evaluating the performance criteria showed that the J-48 can be considered as a suitable computational prediction model for diagnosing COVID-19 disease.
The effect of COVID-19 epidemic on the mental health of nurses’ family members
Authors: Banitalebi Soheila , Mohammadi Kobra , Marjanian Zhila , Rabiei Leili , Masoudi Reza 
Published: April 2024

BACKGROUND:
The COVID-19 epidemic is a global health crisis that, in addition to physical health, has affected the mental health of all individuals, especially health-care workers, including nurses and family members. In this regard, the present study aimed to investigate the effect of COVID-19 epidemic on mental health of nurses’ family members.

MATERIALS AND METHODS:
The present descriptive-analytic and cross-sectional study was conducted in 2020 year on family members of nurses working in Hajar Hospital for admission and hospitalization of patients with COVID-19, after obtaining the necessary permits and coordination. To prevent the spread of COVID-19 through respiratory or contact droplets, a blog was designed to collect data using software. Participation in this study was voluntary. Data collection tools included consent, demographic questionnaire, and mental health questionnaire (Patient Health Questionnaire-9). Data were analyzed by SPSS version 22.

RESULTS:
Findings of this study showed that out of 208 family members of nurses participating in this study, 96 were male and 112 were female and their mean age was 35.78 years, and 55.3% of the participants had university education. Their mean mental health score was 12.91 ± 3.75, so that 22.6% of people had mild depression, 71.4% of people had moderate depression, and 1.8% of people had severe depression. Independent t-test showed that there is a statistically significant relationship between mental health and gender and marital status (P < 0.001). Furthermore, one-way analysis of variance test showed that there is a significant relationship between mental health and age (P < 0.001); this test also showed that there is no relationship between education and mental health (P = 0.75).

CONCLUSION:
The results indicate that the mental health of nurses’ family members is affected by the challenges of COVID-19 epidemic time, so that many of them suffer from some degree of depression. Therefore, supporting this population requires urgent action.
The acceptance level of Hospital Information Management System (HIMS) among the nursing officials working in a teaching hospital
Authors: Mahla Mahesh , Talati Shweta , Gupta Anil Kumar , Agarwal Ritesh , Tripathi Shailesh , Bhattacharya Sudip 
Published: April 2024

BACKGROUND:
The acceptability of hospital staff in the use of hospital information management system (HIMS) is an emerging research area it can explain the fate of any HIMS development and implementation project in hospitals. The aim of this study was to observe the level of acceptance of HMIS among nursing officials working at a teaching hospital.

MATERIALS AND METHODS:
This cross-sectional study was conducted for 1 year in a teaching hospital of northern India by using a pretested questionnaire. Our study participants were nursing officers who were not under the probation period and we used a purposive sampling (10% nurses from each ward). Our sample size was 256.

RESULTS:
We have observed that majority of 174 (67.96%) participants had good acceptability to the HIMS system. Our study revealed that most of the participants were aware of HIMS. Among all participants, nearly half of them had good acceptability to the HIMS system. This is may be due to their job profiles, distribution of their working places, and their past experiences with HMIS. The bottlenecks such as connectivity problem, error prevention, and lack of training can be addressed by the hospital management by proper measures.

CONCLUSION:
The acceptance level of HIMS among the nursing officials working in a teaching hospital was good.
The knowledge of COVID-19 treatments, behaviors, and attitudes of providing the information on COVID-19 treatments
Authors: Perwitasari Dyah Aryani , Faridah Imaniar Noor , Dania Haafizah , Lolita Lolita , Irham Lalu Muhammad , Alim Muthia Dewi Marthilia , Shoaliha Maratun , Heriyanto Mochammad Junaidy 
Published: April 2024

BACKGROUND:
Increasing community awareness about the transmission and treatment of COVID-19 will stop the spread of the virus. Pharmacy students are the potential facilitator to give community education about COVID-19 treatment. The objective of this study is to evaluate the pharmacy students’ knowledge of COVID-19 treatment, behavior, and attitude of providing the information about COVID-19 treatment.

MATERIALS AND METHODS:
We conducted cross-sectional study, recruiting 429 pharmacy students from three schools of pharmacy in Indonesia. The questionnaire about the knowledge of COVID-19 treatment, behavior, and attitude of providing the information on COVID-19 treatment met the validity and reliability criteria. We defined the proportion of knowledge, behavior, and attitude of the students using SPSS® version 22.

RESULTS:
Most of the students are in the earlier years (46.63%), female (84.15%), find the information about COVID-19 from many sources of media (85.08%) including scientific articles and know information about COVID-19 transmission around their life area (76.46%). The students’ knowledge about antiviral and plasma convalescent is good (>70%), the positive behaviors are related to the COVID-19 treatment information regarding to the antiviral and the provision of Vitamin C (>50%), and the positive attitude are related to giving information about the use of avigan®, plasma convalescent, chloroquine, hydroxychloroquine, and immunomodulator (>50%).

CONCLUSIONS:
As a future pharmacist, the knowledge of pharmacy students about COVID-19 treatment needs to be improved since earlier years. Furthermore, using the good knowledge about COVID-19 treatment, the positive behavior and attitude of providing information of the students, the community behavior and attitude will be improved. The high year students have a tendency for the good knowledge and positive behavior and attitude of providing the information.
The keys to a good and lasting marriage
Authors: Samadi Parisa , Alipour Zahra , Salehi Kobra , Kohan Shahnaz , Hashemi Maryam 
Published: April 2024

BACKGROUND AND AIM:
Marital satisfaction is a multidimensional phenomenon, which refers to the quality of marital relationship, or the general view of marriage status and reflection of happiness and marital performance. Repetition of certain positive behaviors can make a huge difference in the success of continued married life, and that awareness of such behaviors seems to be critical to recognizing certain warnings. Therefore, this study with qualitative approach conducted to promoting long-term marital satisfaction by exploring couple's experiences.

MATERIALS AND METHODS:
This study was conducted using descriptive phenomenology method. The participants were 12 person (six couples) with a history of 20–30 years of married life expectancy and a marital satisfaction score of above 65. The data were collected by purposeful sampling and semi-structured interviews, analyzed using Colaizzi method. By categorizing the codes, subcategories, and main categories were extracted.

RESULTS:
An analysis of the experiences of the participants resulted in emergence of eight subcategories, and three main categories: “Strong Foundation For Living Together,” “Mutual Commitment To Protecting Marital Cohesion,” and “Striving To Improve Sexual Relations.”

CONCLUSIONS:
A long-term marriage associated with a variety of variables, including a strong foundation for living together, a mutual commitment to protect marital cohesion, and an effort to improve sexuality. And the results showed that the type of relationship will change during the years after marriage in a way that takes on certain meanings and concepts and can be interpreted in physiological, cultural and other specific contexts.
Effect of media messages on health-promoting lifestyle of acute coronary syndrome patients
Authors: Nouhi Esmat , Dahesh Tania , Shojaefar Fahimeh 
Published: April 2024

BACKGROUND:
Patient education is a key factor in promoting the health of people with acute coronary syndrome (ACS), and the effective use of technology can play an important role in this regard. This study aimed to determine the effectiveness of education using media messages on the lifestyle of patients with ACS.

MATERIALS AND METHODS:
The present clinical trial was conducted on 91 cases with ACS admitted to the cardiac ward of Afshar Hospital in Yazd, Iran, during 2018–2019, who were randomly assigned to control and intervention groups. The former only was provided with routine training before discharge, while the latter, in addition to routine training before discharge, received education on social networking and sending text/visual messages. At baseline and 3 months after the intervention, the Walker's Lifestyle Questionnaire was completed. The independent t-test, paired t-test, and Chi-square test were employed for data analysis.

RESULTS:
The average lifestyle value of the intervention group was significantly higher compared with the control group after the intervention (P < 0.001). Moreover, the lifestyle score was significantly different pre- and post-intervention in the intervention group (P < 0.001).

CONCLUSIONS:
Education using media messages is useful to promote the lifestyle in cases with ACS, which seems effective in planning the follow-up for these patients.
Factors affecting the prevalence of stress, anxiety, and depression in undergraduate Indian dental students
Authors: Ahad Abdul , Chahar Puneet , Haque Ekramul , Bey Afshan , Jain Meena , Raja Waseem 
Published: April 2024

BACKGROUND:
The objective was to assess the prevalence and the associated demographic factors of stress, anxiety, and depression among undergraduate (UG) Indian dental students and determine whether the pattern is different in government-run institutions and those managed by private authorities.

MATERIALS AND METHODS:
A cross-sectional study was conducted among dental UG students from five dental colleges. Snowball sampling was used to approach 776 potential participants, resulting in a complete response from 507 students. The questionnaire consisted of demographic data; year of study; type of college; accommodation; and Depression, Anxiety, and Stress Scale (DASS)-42. Descriptive data and inferential statistics were obtained. Chi-square test was applied for categorical data to test for significance, and higher analysis was done using multiple linear regression.

RESULTS:
Females and males comprised 71.8% (n = 364) and 28.2% (n = 143) of the study population, respectively. The prevalence of anxiety was highest (66.86%, n = 339), followed by depression (57.39%, n = 291) and stress (43.99%, n = 223). In terms of severity also, anxiety was the most prevalent condition as more than one-fourth of the students presented with severe and very severe scores in this aspect (25.43%, n = 129) compared to depression (14.39%, n = 73) and stress (10.09%, n = 51). Regression analysis revealed age as a strong positive predictor for all the three conditions, while staying in the hostel was a positive predictor for anxiety and stress. Being female was also an independent predictor for the high prevalence of stress.

CONCLUSION:
Stress, anxiety, and depression are highly prevalent among Indian dental students. Clinical students and interns have a higher prevalence of stress than preclinical students. Age, being female, and staying in the hostel are positive predictors for the severity of stress. There is no significant difference between government and private colleges, regarding the prevalence of any psychological condition.
The effect of sexual health literacy on the sexual life quality of women referring to healthcare centers in Qazvin, Iran
Authors: Panahi Rahman , Kheiri Mansoure , Daronkolaei Zeynab Abolhasani , Arjeini Zahra , Taherpour Maryam , Dehghankar Leila , Valinezhad Saman 
Published: April 2024

BACKGROUND:
Considering the role of sexual quality of life in public satisfaction, improving interpersonal relationships, promoting the general quality of life, especially in women, and ultimately maintaining, consolidating, and promoting family and community health, the need to explain the factors affecting it, such as sexual health literacy, is felt from the perspective of women. This study aimed to determine the relationship of sexual health literacy on the sexual life quality of women referring to health-care centers in Qazvin.

MATERIALS AND METHODS:
This research was a descriptive cross-sectional study. The population of this study was 420 women of Qazvin in 2020 who were selected by multistage sampling. The data collection tool was a demographic questionnaire and the standard questionnaire sexual health literacy for adults and Sexual Quality of Life-Female questionnaire. Data were analyzed using SPSS software version 22 and descriptive statistics and logistic regression.

RESULTS:
The mean (standard deviation) of the sexual health literacy score was 78.47 (17.85) and sexual quality of life was 59.71 (19.21). The results of logistic regression test showed that the variables of sexual health literacy, education level, age of marriage, and number of sexual intercourses per week were effective factors on the sexual quality of life (P < 0.05).

CONCLUSION:
Women with lower sexual health literacy, lower education level, higher marriage age, and women who had sex less per week had a lower sexual quality of life. Therefore, it is necessary to pay more attention to these women in designing educational programs to improve the quality of sexual life.
Effectiveness of problem-based learning approach for teaching-learning biostatistics among medical students
Authors: Bihari Anand , Choudhari Sonali G. , Srivastava Ankit 
Published: April 2024

BACKGROUND:
Lecturing (didactic) has been the key teaching-learning method for a long time. As per competency-based medical education, an Indian medical graduate should be competent in recommended skills. In the subject of Community Medicine of medical undergraduation, “Biostatistics” is one of the components of the curriculum. Often the students find the statistics challenging to understand and thus neglect it or prefer rote learning. In the recent era, many newer teaching-learning modalities have come up, namely problem-based learning (PBL), small group teaching, community-based learning, etc. The objective was to compare the utility and effectiveness of PBL versus traditional teaching techniques (didactic) for Biostatistics.

MATERIALS AND METHODS:
The study was conducted in the department of Community Medicine, Government Medical College, Azamgarh (Uttar Pradesh) from March to November 2019. A total of 96 medical students of the final year were randomly divided into two groups. 'Group A' underwent didactic lecturing whereas “Group B” had problem-based learning for identified topics in Biostatistics. The teaching material and instructors were the same for both groups. Two weeks after completion of sessions, students' assessment was carried out for both groups.

RESULTS:
The study demonstrated that the PBL method was a more effective way of teaching-learning statistics compared to didactic lecturing. A significant difference (P < 0.05) was observed between the mean examination score of Group A (traditional teaching technique) and Group B (PBL). Group B had higher scores than group A in all assessment heads (Objective, Descriptive, and Viva-voce). PBL was perceived to be a student-centric Teaching-learning method promoting analytical skills, critical thinking & overall self-directed learning.

CONCLUSION:
PBL teaching method was found to be effective in improving the students' performance in Statistics in comparison to didactic lecturing.
Profile and antibiotic-resistance pattern of bacteria isolated from endotracheal secretions of mechanically ventilated patients at a tertiary care hospital
Authors: Sannathimmappa Mohan Bilikallahalli , Nambiar Vinod , Aravindakshan Rajeev , Al-Kasaby Nashwa M. 
Published: April 2024

BACKGROUND:
Critically ill patients on mechanical-ventilation are always at a higher risk of acquiring ventilator-associated respiratory infections. The current study was intended to determine the antibiotic-resistance pattern of bacteria recovered from the endotracheal (ET) specimens of ventilated patients.

MATERIALS AND METHODS:
This was a single-centered, retrospective study carried out in a 400-bed tertiary care hospital in Oman. The data of profile and antibiotic resistance pattern of bacterial isolates recovered from ET aspirates of ventilated patients during the period from January 2017 to August 2019 were retrieved from hospital database. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) software version 22 (IBM, Armonk, New York, USA). Descriptive statistics were applied to find the frequencies and percentages. Charts and tables were constructed.

RESULTS:
In total, 201 bacterial isolates recovered from ET secretions of 154 ventilated patients were studied. The rate of isolation was predominant among males (65.6%) and in elderly people (50%). Gram-negative bacilli (GNB) were predominantly (88.6%) isolated. Acinetobacter baumannii (31.3%) was the most common isolate and 86% of them were multidrug-resistant strains. Klebsiella pneumoniae (23.9%) and Pseudomonas aeruginosa (22.9%) were the other common GNB, whereas Staphylococcus aureus was the most frequently isolated Gram-positive bacteria. Gentamicin showed good in vitro activity against S. aureus and all the GNB except A. baumannii reflecting good choice for empirical therapy.

CONCLUSION:
Gram-negative bacteria were the predominant isolates in ET secretions of ventilated patients. There was an alarmingly high rate of antimicrobial resistance among GNB. A rational use of antibiotics, regular monitoring of antibiotic resistance and use of right combination of drugs, in addition to refining of existing infection control practices are critical to control the emergence of drug-resistant strains.
Quality of life in health Iranian elderly population approach in health promotion
Authors: Poursadeqiyan Mohsen , Arefi Maryam Feiz , Pouya Amin Babaei , Jafari Mojtaba 
Published: April 2024

BACKGROUND:
The quality of life (QOL) is essential in all different stages of life; however, It is more important for older people as it can be effective in promoting their health. Therefore, the present study aimed to review the literature on the QOL in the Iranian elderly population.

MATERIALS AND METHODS:
The study was carried out as a systematic review. For this purpose, all databases were searched in March 2021. The keywords used for the search were “quality of life, elderly, older adults, aging, seniors, and Iran” along with the Persian equivalents. PRISMA protocol was used to screen articles. After removing duplicate and irrelevant items, two evaluators appraised the articles separately based on a researcher-made checklist derived from the SBEM and STROBE Statement standard checklists.

RESULTS:
The initial search yielded 3734 studies on the QOL in the Iranian elderly population. After screening and assessing the studies based on inclusion and exclusion criteria, 22 articles remained in the study. Most of the studies (cross-sectional) were conducted in Tehran using a 36-item Short-Form Health Survey to assess the QOL. The studies investigated sociodemographic determinants, physical and health-related behaviors, and spirituality and psychological determinants of the QOL. The sociodemographic determinants were the most common factors under study. The results showed that the role of gender and socioeconomic status was the strongest among the sociodemographic characteristics. A significant association was found between the QOL in the Iranian elderly population and factors such as depression and religious confrontation.

CONCLUSION:
In addition to chronic diseases, diseases of the oral and dental, as well as an unhealthy diet, should be considered in the elderly. Therefore, attention should be paid to all social, physical, and psychological variables that affect the QOL of older people.