bluuebunny/crossref_metadata_2025_split huggingface dataset:
The impact of playful titles and posters on learners’ interest in academic sessions: An observational study
Authors: Ahyad Rayan A. , Badeeb Arwa 
Published: March 2024

Introduction:
Academic sessions require active participation and attendance to ensure effective knowledge dissemination. In this context, we aim to investigate the influence of playful titles and posters on learners’ interest in attending educational sessions at our radiology department.

Materials and Methods:
A questionnaire-based survey was distributed to the department staff gauging their opinions on topics for the grand rounds of the radiology department for the academic year 2021–2022. It contains demographics, responses to “Formal” and “Playful” posters across ten pairs of radiology-related topics, and factors that could affect their attendance.

Results:
Forty-three department staff participated in the survey, with a mean age of 33 ± 7 years. Participants found the “Playful” posters more amusing compared to “Formal” posters. With the “Playful” posters, there were no significant differences in the agreement levels between the interest in attendance and finding the poster amusing unlike most of the “Formal” posters. There were no significant differences in participants’ interest in attendance between the “Playful” and “Formal” posters. Using linear regression analysis, the “poster interest score” was a statistically significant predictor of the “attendance score” with both styles. However, the “Formal” posters were more appropriate predictors when both analysis models were compared. Sixty-five percent of participants indicated that a topic relevant to their specialty would increase their interest in attendance, with higher agreement in older age groups. In addition, male participants preferred playful titles, those provoking curiosity and utilizing visual aids.

Conclusion:
The interest in posters is a strong predictor of interest in attendance, with formal posters explaining this relationship better in our cohort. Age and sex influence the preference for title presentation and playful posters. Educators should tailor their educational methods accordingly.

The following core competencies are addressed in this article: Interpersonal and communication skills, Medical knowledge, Professionalism, Systems-based practice.
Vitamin D3 deficiency and coronavirus-related health problems
Authors: Allo Rami , Zellama Dorsaf , Yaseen Rifaie 
Published: March 2024

Introduction:
In addition to boosting calcium absorption in the small intestine and preserving sufficient levels of calcium and phosphate in the serum to support proper bone mineralization, Vitamin D3 fortifies the immune system. Vitamin D3 deficiency can occur when regular intakes are gradually below recommended levels and when people get little sunshine exposure.

Materials and Methods:
The study was conducted using a case series study approach. A structured checklist was utilized on 107 individuals who had recovered from corona disease to identify the causes behind the unfavorable health effects they continue to experience. In addition, the patients underwent extensive laboratory blood testing in a specialized laboratory and received follow-up care for a period of 6 months. The results were analyzed using the Chi-square test and the Paired t-test using the SPSS software.

Results:
Despite the finding that 84.1% of the study group had Vitamin D3 levels below the normal range, their physical health conditions had considerably improved as a result of the treatment they received.

Conclusion:
The study found that patients with coronavirus infection had a high prevalence of Vitamin D3 deficiency. After 6 months, this percentage dropped considerably, raising the possibility that the coronavirus may have contributed to the drop in plasma Vitamin D3 levels. To find out how long-lasting COVID-19 symptoms are related to Vitamin D3 deficiency, more research is required.

The following core competencies are addressed in this article: Medical knowledge, Patient care and procedural skills.
Intercostal hernia secondary to penetrating trauma presenting as an abdominal swelling: A rare case
Authors: Jain Atul , Sharma Lalit , Dokania Manoj K , Kumar Gyan R , Goyal Tushar 
Published: March 2024

Abstract
Intercostal hernia (ICH) is a type of hernia, in which the sac or contents (lung, liver, bowel, or stomach) protrude through the intercostal space. It can be categorized either into acquired or congenital types, with or without a diaphragmatic defect. We report the case of a 45-year-old man who presented to a surgical clinic with irreducible swelling in his right upper abdomen for 7 months. Patient had a history of stab injury at the same site 7 years ago. Intraoperatively, a sac containing omentum was found arising through a defect of 2 cm × 2 cm burrowing below, in the 9th intercostal space, to manifest as a subcostal bulge with complete disruption of the sternocostal joint of the 9th rib. The procedure done was an onlay mesh hernioplasty. ICH, though a rare entity, should be kept in mind as a differential diagnosis in patients with a history of thoraco-abdominal trauma. It may require modifications in the operative technique or even thoracic exploration in extreme cases.
Health-related quality of life postventral hernia repair: Retrospective analysis
Authors: Shaher Abdulaziz , Mashbari Hassan , Alferdaus Abdallah , Al-Hamdan Shaima Yahya Ali , Abduallah Rand , Alabdullah Sharefah Ahmed Y , Al-Murayeh Raneem Mushabab , Alqahtani Amjad Abdulrahman , Alahmari Walaa Muteb 
Published: March 2024

Abstract

BACKGROUND:
Laparoscopy has gained widespread adoption for ventral hernia repair, mirroring the trend seen in numerous intra-abdominal surgical procedures. The objective of this study was to evaluate the quality of life (QoL) of patients who underwent laparoscopic versus open surgical repair.

MATERIALS AND METHODS:
Patients who underwent surgery between January 2020 and December 2022 were included in this time-bound study. Of the 202 patients who underwent hernial repair over 3 years, all eligible patients were contacted and invited to participate in the study. The response rate was 77%, 155 patients completed the study questionnaire, which collected sociodemographic data, as well as the EORTC QLQ-C30 version 3.0 questionnaire, which assessed QoL.

RESULTS:
The mean age of the participants was 47.0 ± 13.0 years, with a range from 15.0 to 76.0 years. Among them, 67.7% were female, and 60.0% had comorbidities. Additionally, a lower proportion of laparoscopic cases required drain placement compared with the open group (12.9% vs. 26.9%). Patients who underwent laparoscopic surgery had shorter hospital stays within “1 day” (46.8% vs. 36.6%) or “2 days” (22.6% vs. 19%) and experienced a quicker return to activity, with a higher proportion resuming normalcy after 2 weeks (27.4% vs. 20.4%). Furthermore, patients in the open group reported higher pain scores, higher constipation, and insomnia scores than those in the laparoscopic group.

CONCLUSIONS:
This study showed that laparoscopic repair had fewer complications than open repair in terms of hospital stay, return to activities, and pain score. Regarding the QoL scale, the laparoscopic approach shows a far better QoL profile compared with the open technique.
A comparative study of perioperative pain, blood loss, and hospital stay in an Indian population undergoing mini-open oblique lumbar interbody fusion versus open transforaminal lumbar interbody fusion
Authors: Ahmad Suma Rabab , Jain Mantu , Sahoo Auroshish , Mishra Narayan Prasad , Singh Neha , Dansana Sumanta Kumar 
Published: March 2024

ABSTRACT

Background:
There are several approaches for lumbar fusion, although there is yet to be a consensus on which approach is the best. This study aimed to evaluate the intraoperative blood loss and acute postoperative pain in single-level mini-open oblique lumbar interbody fusion (OLIF) versus open transforaminal lumbar interbody fusion (TLIF) surgeries for the degenerative spine.

Methods:
Thirty-two patients were assigned by the surgeon to OLIF or TLIF groups – 16 in mini-open OLIF and 16 in open TLIF groups. The intraoperative blood loss and postoperative hemoglobin, numerical rating scale (NRS) at proposed time intervals for 24 h postoperative, and rescue analgesics used were compared among the groups. The operative duration and hospital stay in both groups were also compared.

Results:
The OLIF group showed significantly higher postoperative hemoglobin (11.5 vs. 10.5 g %, P = 0.04), lower 24-h postoperative pain scores on movement, (NRS 4 vs. 5.5, P = 0.0001), and shorter hospital stay (4.5 vs. 7 days, P = 0.003) than TLIF group. However, the surgery duration was significantly longer in OLIF than in TLIF (190 vs. 150 min, P = 0.005). Intraoperative hemodynamics, other postoperative pain scores at variable time points, and rescue analgesics given were comparable among groups (P > 0.05). Intraoperative blood loss was lower in OLIF than TLIF (275 vs. 500 mL) but was not statistically significant (P > 0.05).

Conclusion:
Mini-open OLIF has favorable perioperative outcomes compared to open TLIF. Patients have higher postoperative hemoglobin and lesser pain on movement on the first postoperative day, leading to earlier mobilization and a shorter hospital stay.
Development of a Heart Failure Palliative Care Educational Program for Nurses: A Multi-Method Approach
Authors: Bagheri Imane , Irajpour Alireza , Hashemi Narges 
Published: March 2024

Abstract

Background:
Comprehensive palliative care for patients with heart failure can be developed by educating cardiac nurses. The current study aimed to design a heart failure palliative care educational program for nurses.

Materials and Methods:
This study was carried out using the multi-method approach based on two out of four steps of Uys educational program development at Dr. Chamran Hospital, Isfahan, in 2020–2021. In step 1, educational needs were collected through literature review, interviews with 15 patients and 10 nurses, examination of patients’ documents and medical records, and observation. Then, in step 2, the importance and necessity of teaching the proposed topics and the teaching and evaluation method of the items were assessed through two rounds of delphi technique (15 expert panel members). Eventually, the educational program was finalized.

Results:
In step 1, the educational needs of nurses were identified in 6 general fields and 26 general learning topics. In step 2, educational needs [specialized knowledge (55% necessity and 55% importance) and social support (33% necessity and 33% importance)], teaching methods (role-playing, experiential learning, and journal club), and evaluation method (the information analysis method) were removed due to a lack of consensus (11%). Finally, the main parts of the program, including the program mission and vision, general learning topics, general goals, objectives, teaching strategies, and evaluation strategies, were compiled.

Conclusions:
This program provides nurses with up-to-date information on various aspects of the physical, psychological, social, spiritual, and educational needs of heart failure patients and ensures the provision of better services to them.
Self-Medication and its Associated Factors among University Students: A Cross-Sectional Study
Authors: Alomoush Anas , Alkhawaldeh Abdullah , ALBashtawy Mohammed , Hamaideh Shaher , Ta’an Wafa’a , Abdelkader Raghad , Mohammad Khitam , Rayan Ahmad , Alsadi Mohammad , Khraisat Omar , Shyab Marah , Al-Amer Rasmieh , Suliman Mohammad , Ayed Ahmad , Abdalrahim Asem , Al-Qudah Mohammad 
Published: March 2024

Abstract

Background:
Self-medication is a global concern among professionals and non-professionals, with a rapid increase in prevalence. The study aims to assess the prevalence of self-medication and its associated factors among university students.

Materials and Methods:
A cross-sectional, descriptive study was conducted in three universities, and a total of 817 college students participated in this study.

Results:
About 75.40% of the participants reported using medications without a professional prescription. The category of analgesics was the most commonly used in self-medication (82.80%), while the most common symptom was a headache (81.50%). Almost 74.10% percent of participants who have practiced self-medication stated that the reason was the “lack of time to consult a physician.” Most participants who have used self-medication (90.30%) stated that the source of knowledge was “previous prescription.”

Conclusions:
Health education programs concerning self-mediation should be held in university settings to improve attitudes and practices toward self-mediation.
Mental Health in Self-Quarantined Pregnant Women for 14 Days During the Coronavirus Outbreak in Iran
Authors: Ghiasi Nasrin , Kazempour Robab , Haseli Arezoo , Kaffashian Mohammad Reza , Jahanfar Shayesteh 
Published: March 2024

Abstract

Background:
Quarantine during COVID-19 disease may be associated with psychological distress and other behavioral problems. This study aimed to investigate depression, anxiety, and stress in self-quarantined pregnant women at home for 14 days during the coronavirus disease outbreak in Iran.

Materials and Methods:
A cross-sectional web survey was carried out on 874 pregnant women in all governmental health centers of two cities in Iran using the census method in 2020-21. Survey data were collected with the Depression, Anxiety, and Stress Scale-21. Data were analyzed using descriptive statistics and analytical tests (Chi-square, Pearson’s correlation coefficient, and logistic regression) at significance level less than 0.05.

Results:
Approximately 40.04% (N = 350) of the participants were classified as a self-quarantine group. The mean (SD) of the stress score was higher for the quarantine group compared to nonquarantine (8.12 (4.95) vs. 5.96 (4.51)) (F2,874 = 25.180, p < 0.001). But there was no significant difference in the depression and anxiety scores between the quarantine group compared to nonquarantine, respectively. Additionally, the adjusted odds ratio for stress score was associated with an unwanted pregnancy (1.993, 95% CI: 1.108–3.587; p = 0.021), younger age (1.707, 95% CI: 1.082–2.692; p = 0.022) and uninsured coverage (2.240, 95% CI: 1.320–3.801; p = 0.003), and complete quarantine (2.027, 95% CI: 1.548–2.654; p < 0.001).

Conclusions:
Self-quarantine during the COVID-19 pandemic has been related to high-stress levels, specifically, among women of younger age, uninsured, and unwanted pregnancies. Thus, quarantined pregnant women will need more mental health support and medical supplies.
Strengthening critical thinking through debriefing – experiential learning theory: A case study
Authors: Hu Zijing 
Published: March 2024

BACKGROUND:
There is a dire need to strengthen students’ critical thinking in clinical training since it is an essential skill in clinical practice to optimize patient care. Debriefing is a formal or informal post-activity discussion that aims to improve learning outcomes, including critical thinking in clinical practice. There is a lack of research that focuses on students’ experiences of debriefing to promote critical thinking in the South African context using experiential learning theory as a theoretical lens.

OBJECTIVE:
This study aimed to explore South African students’ lived experiences of debriefing to improve critical thinking.

MATERIALS AND METHOD:
The author employed a qualitative single-case study design within an interpretivist paradigm. A purposive sampling technique was adopted. Six participants were recruited for this study. The author invited the participants to participate in semi-structured interviews. Data were analyzed through the six-step data analysis framework proposed by Creswell. To ensure the trustworthiness, the author employed multiple techniques to improve the credibility, conformability, dependability, and transferability of this study. These techniques included a well-planned research design and methods, thick descriptions of data, and an audit trail that was audited by a second coder.

RESULTS:
The findings revealed that participants shared positive experiences toward debriefing and furthermore debriefing through optimized student engagement and improved learning outcomes. This study also revealed that students experienced less stress in group debriefings. However, this study also identified some challenges in conducting debriefing. The challenges were primarily related to incompetent facilitators, inappropriate duration of debriefing sessions, and limited space in the clinic. Moreover, small group debriefing is recommended.

CONCLUSION:
Debriefing is an effective pedagogical approach to optimize critical thinking in clinical practice. It is recommended that debriefing should be implemented as a norm in clinical training at higher education institutions. Further studies are recommended to be conducted at national and international levels.
A Novel Era of Probiotics in Dentistry. A Double-Blind Randomised Clinical Trial
Authors: Chawla Ruhee , Patil Aarti , Mistry Vibhuti Dilip , Waghmare Alka Sanjay , Ronad Sunil , Deshmukh Chetan Vinay 
Published: March 2024

Introduction:
The use of chemical agents has dramatically increased and holds a great promise for the prevention of dental plaque, of which chlorhexidine is considered the gold standard. New novel probiotic mouthrinses are being developed to combat the adverse effects of chlorhexidine mouthrinse.

Objective:
The objective of this study was to compare the effectiveness of probiotic mouthrinse with chlorhexidine mouthrinse for the treatment of chronic periodontitis as an adjunct to scaling and root planing.

Materials and Methods:
The patients were randomly divided into two groups of 7 subjects each. Group A (Control) and Group B (Test) had scaling and root planing along with chlorhexidine mouthrinse and probiotic mouthrinse, respectively. Clinical parameters measured at baseline and 45 days were gingival index, plaque index, probing pocket depth, and clinical attachment loss. Microbial analysis was done by collecting plaque samples at baseline and 45 days. Paired t-test was used for intragroup and intergroup comparisons, whereas independent t-test was used for intergroup comparisons. Keeping the level of significance at 5%, the significant difference was adjusted at P ≤ 0.05.

Results:
The mean clinical parameters were significantly reduced for both treatment groups posttherapy. The microbiological data analysis (colony-forming units/ml) showed that after the therapy, there was a significant reduction in both the groups with Group B > Group A. Conclusion: Probiotics can in the near future and with more research serve to be as natural candidates to substitute antibiotics and their derivatives.
Transcultural adaptation of Odia version of health-related kidney disease and quality of life-36 instrument
Authors: Pradhan Rashmimala , Tripathy Pravati , Kar Debaprasad 
Published: March 2024

Objective:
The study objective was to translate, validate, and test the reliability of the original kidney disease and quality of life-36 (KDQOL-36™) instruments in Odia.

Materials and Methods:
A cross-sectional design with a purposive sampling technique was used. According to RAND Corporation guidelines, initially, the items of the KDQOL-36™ questionnaires were translated into Odia by two independent, bilingual, professional translators, and then back-translated to English, followed by tryout and field testing. The experts validated the KDQOL-36™ instrument review committee for review related to kidney health conditions. The tool was implemented among 180 patients undergoing “maintenance” hemodialysis. The following tests evaluated reliability and validity: test–retest reliability with Cronbach’s alpha correlation (stability), (reliability) internal consistency, and contents validity index.

Results:
The Cronbach’s alpha value and intraclass correlation coefficient (ICC) score of all five domains, namely “physical component summary, mental component summary (MCS), the burden of kidney disease, symptoms and problems of kidney disease, and effects of kidney disease” of both KDQOL-36™ English and Odia (KDQOL-36-E™ and KDQOL-36-O™) version, recommended excellent homogeneity. A high positive correlation (r = 0.998) was found between the Odia version of KDQOL-36™ and the English version KDQOL-36™ questionnaire. The ICC score ranges from 0.889 to 0.997 at a 95% confidence interval for test–retest reliability, and Cronbach’s alpha was 0.832.

Conclusion:
This study explores the Odia version of KDQOL-36™ psychometric properties, depicted at an acceptable level of internal consistency. The KDQOL-36-O™ instrument is a valid and reliable tool for assessing the kidney disease-related quality of life in Odia-speaking hemodialysis patients.
Influence of intra-abdominal pressure on ventilatory mechanical power delivery and respiratory driving pressure during laparoscopic cholecystectomy: A prospective cohort study
Authors: Shaji Unnikannan , Jain Gaurav , Tripathy Debendra Kumar , Kumar Navin , Chowdhury Nilotpal 
Published: March 2024

Abstract

Background and Aims:
Pneumoperitoneum creation for laparoscopic surgery increases the intraabdominal pressure and causes alveolar atelectasis. We investigated the influence of an increase in intra-abdominal pressure (IAP) on ventilatory mechanical power (MP) delivery during pneumoperitoneum creation for laparoscopic cholecystectomy.

Material and Methods:
In a prospective cohort design, we enrolled 42 patients undergoing laparoscopic cholecystectomy. During pneumoperitoneum creation, the IAP was sequentially raised to three predefined IAP levels (8, 11 and 14 mmHg), keeping identical ventilatory settings (timepoints T1, T2, and T3). After that, positive end-expiratory pressure (PEEP) was sequentially raised from 5 to 8 to 11 cmH2O (timepoint T4 and T5). The primary outcome included ventilatory MP delivery at each timepoint. Other variables included respiratory driving pressure (DP), airway resistance (AR), and respiratory compliance (RC).

Results:
The MP increased linearly with a rise in IAP from T1 to T3 (r = 0.71, P < 0.001); the MP increased by 0.19 per unit rise in IAP (effect size 0.90, P < 0.001). A similar positive correlation was also observed between DP and IAP from T1 to T3 (r = 0.73, P < 0.001); the DP increased by 0.72 per unit rise in IAP (effect size 0.89, P < 0.001). The MP increased significantly on increasing PEEP from T3 to T5, while the DP decreased concomitantly (P < 0.001). The AR increased significantly from T1 to T3, while RC decreased concomitantly; vice-versa was observed at T4 and T5 (P < 0.001).

Conclusions:
The ventilatory MP delivery rises linearly with an increase in IAP. Targeting an IAP-guided MP level could be an attractive approach to minimize lung injury.