bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of two ergonomics training on prevalence of upper and lower extremity complaints among nurses
Authors: Bahrami-Ahmadi Amir , Hoseini Hamid Reza , Kabir-Mokamelkhah Elaheh , Dehghan Naser , Aghilinejad Mashallah 
Published: April 2024

BACKGROUND:
Musculoskeletal disorders (MSDs) were known as one of the main occupational problems among health-care workers. However, we had some limitations and difficulties for transferring ergonomic concepts to the health-care workers, especially nurses due to heavy work task and insufficient time for that. This study compares the impacts of two ergonomic training methods (lecture and pamphlet) in nurses of an Iranian tertiary hospital on prevalence of their upper and lower extremity complaints.

MATERIALS AND METHODS:
In the present randomized clinical trial with parallel groups, 1140 nurses were randomly selected and allocated to the control and two interventional groups. In the interventional groups, nurses revived a training program and pamphlet as ergonomic training methods about work-related MSDs and related ergonomic concept to MSDs prevention and nurses in the control group, did not receive any ergonomic training methods. Upper and lower extremity complaints measure among study nurses with Nordic MSDs before 6 months and 1 year after trial intervention. Statistical analysis including the Kolmogorov–Smirnov goodness-of-fit, Chi-square test, and independent sample t-test was performed using SPSS version 22. A two-tailed P ≤ 0.05 was considered statistically significant.

RESULTS:
At the first and second parts of the study follow-up, the prevalence of upper and lower extremities significantly improved in the interventional groups in comparison with the control group. Moreover, between the two trial groups, the frequency of MSDs in upper and lower extremities significantly improved among nurses of the pamphlet group in comparison with the lecture group.

CONCLUSION:
Findings of the study showed that we can use pamphlet as a suitable tool for describing ergonomic concepts in comparison with lecture among nurses.
Epidemiological factors influencing gender preference among mothers attending under-five immunization clinic
Authors: Rawat Shalini , Yadav Ashwini , Parve Sneha , Bhate Kamaxi 
Published: April 2024

BACKGROUND:
Sex ratio is an important social indicator measuring the status and equality of female in society. The falling sex ratio of our country is a demographic disaster that is waiting to happen and is a matter of grave concern. Perception of gender by mothers or families has long-term implications on how children are nurtured during their lives. This study was done to understand mother's preference for the gender of the child and their concerns about the same.

MATERIALS AND METHODS:
An observational cross-sectional study was carried out using a semi-structured questionnaire. Two hundred and thirty-four mothers were interviewed. Frequencies and percentages were calculated. Pearson's Chi-square test was used to check the significance of the association.

RESULTS:
Study results depict that 26.47% of the mothers who were already having a male child still preferred son. Preference for son was 24.52% and 48.61% among earning mothers and nonearning mothers, respectively. Out of 206 mothers said that they would prefer male child. Reasons cited were as follows: sons carry family name forward (30.6%), having daughters leads to increased expenditure (20.9%), daughters are subjected to different problem in their lifetime mainly violence (11.7%), and sons supported their parents in old age (10.7%).

CONCLUSION:
Preference for male child was found to be equally prevalent in both urban and rural areas. Mothers should be educated about the effect of declining sex ratio along with financial capacity building of women and providing social security to senior citizens which was the main reason for son preference. The impact of gender imbalance on individuals, families, and on society has to be emphasized at every possible point of contact with health-care delivery system.
Comparison of the use of personal protective equipment and infection control in dentists and their assistants before and after the corona crisis
Authors: Akbari Narjes , Salehiniya Hamid , Abedi Farshid , Abbaszadeh Hamid 
Published: April 2024

BACKGROUND:
Coronavirus disease 2019 is a new viral outbreak in the world. Dentists and their assistants are at greatest risk of exposure to the virus, due to close contact with patients and dealing with aerosols. Hence, the aim of this study was to compare the use of personal protective equipment (PPE) and supplementary protective equipment (SPE) and observance of the principles of infection control (PIC) in dentists and their assistants before and after the corona crisis.

MATERIALS AND METHODS:
This cross-sectional study was conducted using an online survey from May 6 to 20, 2020. Convenience sampling was used to select individuals. The questionnaire, consisting of four general categories about the use of PPE and SPE and the observance of PIC by dentists and their assistants before and after corona crisis, was registered at Porsline website (https://survey.porsline.ir/s/KUt7VQB). Frequencies in each subcategory were calculated and comparisons were done using Chi-square test, Fisher's exact test, and paired sample t-test. A P < 0.05 was considered statistically significant.

RESULTS:
There were significant differences in the frequency of use of PPE by dentists before and after corona crisis for oral and dental examination and also dental procedures (P < 0.001). There were significant differences in the frequency of use of SPE and observance of PIC before and after corona crisis, except for different types of suction types (P = 0.22), dental handpiece (P = 0.66), and dental unit (P = 1). There were significant differences in the frequency of use of PPE by dental assistants before and after corona crisis (P < 0.001).

CONCLUSIONS:
Although the frequency of use of PPE and observance of PIC increased among dentists and their assistants, this increase is not sufficient, especially for dental assistants, and a higher level of use of PPE and PIC observance in face of highly contagious and life-threatening viruses such as corona is required.
Case-based learning
Authors: Das Sibadatta , Das Ashima , Rai Pinki , Kumar Naresh 
Published: April 2024

BACKGROUND:
Case-based learning (CBL) is an established bidirectional active learning approach where students learn concepts by solving cases or problems under the guidance of a facilitator. In the present study, the awareness and acceptance level of faculties to implement this method of teaching were assessed by behavioral analysis.

MATERIALS AND METHODS:
This cross-sectional study was done through two workshops organized at NDRI Karnal on December 16 and 17, 2019, and BHU Varanasi on March 1, 2020. Fifty-four faculties from different applied sciences participated. The participants were given an insight into this teaching tool through didactic lecture and hands-on training session about implementation of this method. Pre and post- session responses were compared through a set of questionnaires and the behavioral change was analyzed by using SPSS version 22. P ≤ 0.05 was considered as statistically significant.

RESULTS:
Only 31.5% faculties were aware of the active learning methods though 83% agreed that active learning is better than conventional teaching. 96% agreed that CBL is a better way to develop concepts and nearly 81% agreed that more learning could be done with lesser efforts. The clinical decision-making improve significantly. Pre and post-session mean scores of effectiveness of CBL as a teaching tool were 2.44 ± 0.63 and 2.72 ± 0.53, respectively.

CONCLUSION:
CBL originally is a mode of imparting knowledge in a student-centric bimodal learning. Acceptance to the mode is increasing among faculties despite of many deterrents.
Information retrieval strategy in functional gastrointestinal disorders with emphasis on the sensitivity and precision
Authors: Osareh Farideh , Ghazavi Roghayeh , Adibi Peyman 
Published: April 2024

BACKGROUND:
To determine functional gastrointestinal disorder (FGID) aspects, there should be a guideline to retrieve documents in this area for researchers with different levels of knowledge about these disorders. the objective of this study was conducted in order to compile different terms related to different categories of these disorders and to determine the sensitivity of them.

MATERIALS AND METHODS:
To set a proper search, some strategies were used to enhance the precision and sensitivity. After preparing the list of terms according to some sources such as thesauruses, Rome classification, related review articles, and so on, they were divided into seven categories and the queries in each of them were searched on the Scopus.

RESULTS:
The sensitivity for each of the terms in categories were calculated, and the highest values were as follow: FGIDs with 189 queries (“digestive* system* function* disorder*”), irritable bowel syndrome with 142 queries (“irritable colon*”), functional constipation with 13 queries (“function* disorder*” and constipation), functional diarrhea with 16 queries (“function* disorder*” and diarrhea), functional bloating with 29 queries (“function* disorder*” and bloat*), Functional Dyspepsia with 29 queries (“functional dyspep*”), and neurogenic bowel with 7 queries (“neurogenic bowel*”).

CONCLUSION:
Given the values calculated for sensitivity, and considering the type of study, in order to retrieve documents in this area, it is necessary to apply all or part of the proposed queries to the search strategy.
Iranian University students’ stressors and coping strategies
Authors: Khademian Fatemeh , Aslani Azam , Ravangard Ramin , Nami Mohammad , Abbasi Samaneh , Bastani Peivand 
Published: April 2024

BACKGROUND:
Although a certain amount of stress is essential, excessive stress can adversely influence the physiological and mental health. Hence, this study aims to assess common stressors and coping strategies among university students.

MATERIALS AND METHODS:
This qualitative study was conducted from October to November 2019 in Iran. Twelve students were recruited based on purposeful sampling to participate focus group discussions (FGD). Transcripts of three sessions of FGD were analyzed applying Graneheim and Lundman (2004) approach, and a thematic network was applied to illustrate the findings.

RESULTS:
The finding emerged 78 codes, 14 subthemes, and 4 main themes. Stressors were classified in two main themes, including individual stressors and the social ones. Behavioral strategies and the cognitive ones were among two categories of coping strategies. According to the thematic network, a full stress student affecting the precious stressors and the social, cultural, and the economic context may manage his/her stress applying the coping strategies.

CONCLUSION:
The findings revealed that university students experienced different kinds of stress, and usually, they do not apply right coping strategies. It is important to establish stress counseling programs for university students. Besides, it is proposing to provide 1st year university students with workshops about the cause of stress and effective coping strategies.
Dental implant quality registries and databases
Authors: Naemi Roya , Barikani Hamid Reza , Shahmoradi Leila 
Published: April 2024

BACKGROUND:
The importance of dental implant quality register has been well-documented. However, no systematic review conducted on dental implant quality register can be found in the literature. Therefore, the purpose of this study was to study the existed dental implant quality registries to explain the goals, data elements, and reports of dental implant quality registries.

MATERIALS AND METHODS:
This systematic study was conducted in PubMed, Scopus, Web of Science, and Embase databases. For evaluating dental implant quality registers, all studies in the English language were examined with no time limitation. Case reports, conference abstracts, and letters to the editor were excluded. The analysis of the quality of the studies was done by the STrengthening the Reporting of OBservational studies in Epidemiology checklist.

RESULTS:
The primary search identified 5565 articles. After eliminating duplicate articles and articles that did not meet the inclusion criteria and reviewing 40 full texts, 11 studies were included in this study. In this review, seven countries as Sweden, the USA, Canada, Germany, Finland, Australia, and South Korea had dental implant quality registers. Furthermore, the goals of dental implant quality registers were classified into the categories of research, epidemiology, administrative, clinical, and surveillance.

CONCLUSION:
The results of this study provide dentists and other stakeholders useful information on the existed dental implant quality registers and databases worldwide. It also provides a framework of the goals, data elements, and reports of dental implant quality registry. The establishment of dental implant quality register will be beneficial for societies and also allows them to control the complications of dental implants in future.
Capturing the patient's voice
Authors: Tripathi Sandeep , Khan Imadh , Read Cynthia D. , Mischler Matthew J. 
Published: April 2024

BACKGROUND:
Traditional methods are not able to differentiate which feature customers regard as attractive, mandatory, performance, and which feature customers are indifferent about. These categories can only be differentiated based on a specific technique called Kano survey. Specific aim of this study was to categorize the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey questions into Kano categories.

MATERIALS AND METHODS:
Design of the study was survey research. It was conducted from 6/2019 to 8/2019 at OSF Saint Francis Medical Centre in Peoria, Illinois, USA. A 34 question Kano survey (17 positive and 17 negative questions) based on HCAHPS patient questionnaire was designed. Surveys were analyzed using Kano analysis template. Comparative analysis of Kano categories based on demographics was also performed.

RESULTS:
39 current patients and 25 caregivers completed the survey. All of the 17 HCAHPS questions except “noise level at night” were classified as mandatory requirement with highest number for information on “indications of medicines.” There was a minimum variability in the satisfaction coefficients but large variation in the dissatisfaction coefficients. More patients above 50 years consider “help going to bathroom” as mandatory (70.2% vs. 40.7%, P = 0.01). Sixty-four percent of caregivers considered “explain things (nurse)” as mandatory as opposed to 51.2% of patients (P = 0.03).

CONCLUSION:
Current U. S healthcare consumers have high expectations from healthcare delivery and consider most HCAHPS questions as mandatory requirements. Kano analysis needs to be done on a larger, more diverse hospital setting and potentially the HCAHPS survey needs to be modified to reflect prevailing healthcare customer requirements.
Evaluation of medical student program with the use of a reflective portfolio
Authors: Patel Arpit Bakulash , Shah Sachi Vinodkumar 
Published: April 2024

BACKGROUND:
The concept of reflective practice is at the center of professional practice, allowing a bridge between theory and practice and learning from our own experiences in an ongoing process. Understanding what learners need such as regular observation of work, more responsibility, and technical and problem-solving with answers allows the teacher to help learners to progress to independence in pursing their own learning needs. Therefore, it is important that medical educators continually reflect and evaluate teaching ability to meet learners' needs and provide evidence to support it.

MATERIALS AND METHODS:
A prospective, qualitative study was carried out using a combination of questionnaires and observed assessments. The study participants consisted of twenty final-year medical students from King's College London and took place at a hospital education center in the UK, April 2019. Two educational sessions were delivered by a doctor to the study group and a video recording was conducted. The educator completed a reflective portfolio using feedback questionnaires, peer observation forms, and observation of the video recording, and the results were analyzed using a video critique tool.

RESULTS:
Twenty learner feedback forms were completed, and a peer observation form was completed. This allowed a critical analysis of educator performance, reflection, and improvement. This was further solidified by in-depth analysis and critique of teaching session playback video.

DISCUSSION:
This study evaluates a medical student teaching program using a reflective portfolio. This study confirms the effectiveness of using a reflective portfolio to enhance the teaching experience. Video analysis can be self-critical, however this study shows how it is useful to review human experience first-hand, and identifying any specific techniques that create a positive or negative change can enable educators to improve as time progresses.
Determining the frequency of Candida species in women with candidal vaginal infection frequency of Candida species in women with candida vaginal infection
Authors: Tafazoli Mahin , Gholami Mahboobe , Mohebbi-Dehnavi Zahra , Shaghaghi Fatemeh , Kamali Zahra 
Published: April 2024

BACKGROUND:
Candidiasis vaginitis is an opportunistic and common mucosal infection. Although Candida albicans is the most common isolated species, other species of Candida such as Candida glabrata, Candida krusei, Candida parapsilosis, and Candida tropicalis have also increased significantly in recent years. The aim of this study was to identify Candida species in women with candidal vaginal infection in order to promote health in women.

MATERIALS AND METHODS:
This cross-sectional descriptive study was performed on nonpregnant women of childbearing age who referred to health centers in Neyshabur in 2018. At the beginning of the study, 163 people entered the study and the culture results were positive in 68 of them. In vitro, culture was performed in subduxtrose agar medium containing chloramphenicol and gentamicin. Species identification was performed using Candida specific culture medium (Saburo dextrose agar and chloramphenicol). After culture, 15% of the residual wet slide with potash (KOH) was prepared and observed with a lens. Finally, the data were analyzed with SPSS software version 24.

RESULTS:
The participants in the study were women with a mean age of 35.55 ± 5.47 and the average number of deliveries was 1.38 ± 1.15. In this study, the prevalence of C. albicans was 59.7%, C. tropicalis was 14.8%, C. krusei was 15%, and C. glabrata was 7.61% and also krusei and tropicalis were 3% simultaneously. Therefore, C. albicans was the most common species isolated from clinical specimens.

CONCLUSION:
In this study, the most common species after albicans were C. tropicalis and cruciferous. Considering the role of C. glabrata in the development of resistance to antifungal drugs, the lower prevalence of this species in the present study can be associated with improved treatment outcomes in patients.
Effect of spiritual care education on the spiritual health of preeclamptic women with postpartum stress disorder
Authors: Gholami Mahboobe , Tafazoli Mahin , Mohebbi-Dehnavi Zahra , Kamali Zahra 
Published: April 2024

BACKGROUND:
Spiritual health in the field of health has a great importance in mental disorders and posttraumatic stress disorders, in treatment process. The present study was done aiming “determine the effect of spiritual care education on the spiritual health of preeclamptic women with postpartum stress disorder.”

MATERIALS AND METHODS:
This randomized clinical trial was done in 2017 on 260 women with preeclampsia in Mashhad. Data collection was done with questionnaires Perinatal Posttraumatic Stress Questionnaire (PPQ), the posttraumatic disorder checklist, Duke University Religion Index, and the Spiritual Well-Being Scale (SWBS). In the intervention group, first, women were educated on spiritual care each day based on Richards and Bergin's pattern, in three sessions, which lasted 45–60 min. The control group also received routine cares. All units completed the questionnaire SWBS at the 8th postpartum period. P < 0.05 was meaningful.

RESULTS:
After the intervention, this score of spiritual health in the intervention and control groups had a significant difference with independent test (P = 0.004). Spiritual health significantly increased in the interventional group.

CONCLUSIONS:
Providing spiritual care to pregnant mothers with preeclampsia, increase their spiritual health.
Mental health of the people of northern Iran during the quarantine time of 2020 following the coronavirus epidemic
Authors: Mojarad Fereshteh Araghian , Gorji Mohammad Ali Heidari , Salehiniya Hamid , Yaghoubi Tahereh 
Published: April 2024

BACKGROUND:
Coronavirus (COVID-19) is an infectious respiratory disease. Quarantine is often accompanied by unpleasant experiences for those who go through it. The aim of this study was to determine the mental health status of people during quarantine in northern Iran.

MATERIALS AND METHODS:
This cross-sectional study was conducted during the quarantine period of coronavirus. Conventional sampling was done from March 6 to April 6. Six hundred and forty-two individuals were included. Inclusion criteria were living in Sari and being home quarantined during the corona outbreak. Exclusion criteria included hospitalization history due to corona and unwillingness to participate in the study. In this study, the General Health Questionnaire-28 was used online to collect the required data. To analyze the data, descriptive and inferential statistics (t-test, analysis of variance, and correlation coefficient) were used.

RESULTS:
In this study, individuals were included in the investigation with a mean age of 38.74 ± 11.89 (ranged from 15 to 73). Most of the participants were female (72.85%) and married (71.34%). According to the results, 21.5% of the participants had poor mental health. Mean mental health scores have a statistically significant relationship with gender, marital status, education, occupation, quarantine period, patients with corona, and exposure to a patient with corona (P ≤ 0.05). Furthermore, a negative correlation coefficient was observed between age and mental health score (correlation coefficient = −0.31, significance >0.001).

CONCLUSION:
The average score of mental health has a significant relationship with gender, marital status, education, occupation, quarantine period, corona, and exposure to a patient with corona. Given the high prevalence of mental disorders in people during the COVID-19 epidemic, educating people and planning to reduce the psychological effects of the epidemic can be helpful.