bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Accurate Are Anatomical Surface Topography Parameters in Indicating the Presence of a Scoliosis?
Authors: Gardner Adrian , Berryman Fiona , Pynsent Paul 
Published: March 2024

Study Design.
Retrospective analysis of a longitudinal cohort.

Objective.
To identify the presence of scoliosis from surface data.

Summary of Background Data.
Identifying AIS can be difficult. Screening is not universal for reasons including high false positive and negative rates. These difficulties can lead to some adolescents missing out on bracing.

Methods.
Logistic regression analysis of ISIS2 surface topography images only was performed. The x,y positions of the shoulders (Sh), axillae (Ax), waist (waist) and the x,y,z positions of the most prominent points over the posterior torso (scap) were used for the thoracic, thoracolumbar/lumbar and whole spine. The models were used to identify the presence of a 20-degree or larger scoliosis. Differences in the position of the landmarks were analyzed comparing left and right, with the suffix “Ht” representing a difference in the y coordinate, ”Off” the x coordinate, and “Depth,” the z coordinate. Model accuracy was assessed as both percentages and ROC curves with the coefficients as odds ratios.

Results.
There were 1283 images (1015 females and 268 males) all with a diagnosis of AIS. The models identified scoliosis in the thoracic spine with an 83% accuracy (AUC 0.91), thoracolumbar/lumbar spine with 74% accuracy (AUC 0.76), and whole spine with 80% accuracy (AUC 0.88). Significant parameters were AxDiffHt, AxDiffOff, WaistDiffHt, ScapDiffOff, and ScapDiffHt for the thoracic curves, AxDiffHt, AxDiffOff, WaistDiffHt for the thoracolumbar/lumbar curves, and AxDiffHt, AxDiffOff, WaistDiffHt and ScapDiffHt for the whole spine.

Conclusions.
The use of fixed anatomical points around the torso, analyzed using logistic regression, has a high accuracy for identifying curves in the thoracic, thoracolumbar/lumbar, and whole spines. While coming from surface topography images, the results raise the future use of digital photography as a tool for the identification of small scoliosis without using other imaging techniques.
Mesh Strip Repair for Midline Ventral Hernias: A Case Series
Authors: Sarac Benjamin A. , Hackenberger Paige , Janis Jeffrey E. 
Published: March 2024

Background:
Polypropylene mesh strip repair is a novel method of hernia closure. Currently, there is limited representation in the literature regarding both the reproducibility of this method and its outcomes. The present study sought to analyze a second institution’s experience with fascial closure using the mesh strip technique with long-term follow-up.

Methods:
A retrospective review of all patients undergoing abdominal wall reconstruction by the senior author was performed. Patients undergoing midline ventral hernia repair with mesh strip only fascial closure and greater than 1 year follow-up were including for analysis. Demographic data; operative details; and outcomes, specifically presence and timing of hernia recurrence, were recorded.

Results:
Eighteen patients met inclusion criteria. Average follow-up was 860 ± 307 days. Nine patients (50%) had recurrence of their hernia after repair. Average time to recurrence was 602 ± 406 days, with the earliest recurrence occurring at 126 days postoperatively. Seven patients (39%) underwent concurrent anterior component separation (four unilateral, three bilateral), of which there were three recurrences, all occurring in patients with bilateral anterior component separation.

Conclusions:
The mesh strip repair is a novel technique that shows uncertain reproducibility of outcomes, specifically with concurrent component separation techniques. With the recent Food and Drug Administration approval of a mesh suture, further multi-institutional analysis will allow for better characterization of the outcomes and indications for this technique.
New Graduate Nurses' Experiences by Generation in South Korea: A Qualitative Meta-Synthesis
Authors: CHUNG Heejin , PARK Mihyun 
Published: March 2024

ABSTRACT

Background
As the nursing organization environment evolves into one in which several generations work together, there are concerns about generational differences leading to conflicts.

Purpose
A synthesis of qualitative studies was used to gain insight into the experiences and perceptions of new nurses working in South Korean hospitals and identify generational differences between nurses of Generations X and Y.

Methods
Eight databases were searched systematically for qualitative studies published up to June 2020. The Critical Appraisal Skills Programme Checklist for Qualitative Research was used to evaluate the quality of the retrieved studies, and the data were synthesized thematically using the Thomas and Harden method.

Results
Of the 2,482 studies retrieved, 19 were included in this meta-synthesis. The experience of new nurses were presented in the three analytical themes of work experience, interpersonal relationships, and adaptation, from which eight descriptive themes were derived: (a) dissatisfied with own work performance, (b) negative feedback on work outcomes, (c) irregular daily life, (d) colleagues who help adapt to work life or make work life harder, (e) feelings of sympathy toward peers, (f) disrespectful patients or caregivers, (g) effective reactions, and (h) ineffective reactions. Although the new nurses from Generations X and Y reported similar experiences during their first year of nursing, differences were found in their values and tendencies regarding work and interpersonal relationships. Compared with new Generation X nurses, new Generation Y nurses placed more value on the meaning of individual work contributions, intimacy with colleagues, and appropriate feedback.

Conclusions/Implications for Practice
The findings of this study support nursing administrators implementing strategies that both acknowledge and reduce the impact of generational category on nursing teams. Furthermore, emphasizing communication and acknowledging ongoing change as generations progress may strengthen bonds that lead nurses to value each other and their work.
Persistent Fatigue in Patients With Hepatocellular Carcinoma Receiving Radiotherapy
Authors: CHEN Chiao-Yi , HUANG Bing-Shen , HONG Ji-Hong , CHANG Joseph Tung-Chieh , CHEN Min-Chi , TANG Woung-Ru , SHUN Shiow-Ching , CHEN Mei-Ling 
Published: March 2024

ABSTRACT

Background
Radiation therapy has attracted much attention in the treatment of patients with hepatocellular carcinoma (HCC). However, the association between radiotherapy-related fatigue and HCC has been examined in only a few studies.

Purpose
This study was designed to explore the change over time in fatigue in patients with HCC treated with radiotherapy and related factors.

Methods
One hundred patients were enrolled in this prospective longitudinal study using convenience sampling at a medical center in northern Taiwan. The Functional Assessment of Chronic Illness Therapy-Fatigue scale, the Brief Pain Inventory-Short Form, and the psychological subscale of Memorial Symptom Assessment Scale-Short Form were used to assess the symptoms at five time points: before radiotherapy (T0), during treatment (T1), and at 1 month (T2), 3 months (T3), and 6 months (T4) after radiotherapy. The generalized estimating equations method was used to determine the changes in fatigue and the influencing factors.

Results
Fatigue levels at T1, T2, T3, and T4 were significantly higher than that at T0. Higher fatigue was significantly associated with lower income and poorer functional status. Having worse pain levels and psychological symptoms were both associated with higher fatigue.

Conclusions/Implications for Practice
The results indicate fatigue does not recover to the baseline (pretherapy) level by 6 months after radiotherapy. Thus, fatigue in patients with HCC receiving radiotherapy should be regularly and effectively assessed, and patients experiencing pain and psychological symptoms should be given greater attention from clinicians.
Perspectives of Chinese New Nurses Regarding Successful Transition: A Qualitative Study
Authors: MA Weiguang , XU Yutong , LIU Yuanfei , LIANG Tao , MA Fang 
Published: March 2024

ABSTRACT

Background
Transition issues have been discussed for many decades, yet little is known about successful transition expectations in the context of Chinese culture.

Purpose
This article was designed to describe the expectations of newly graduated nurses in China regarding successful transition.

Methods
A qualitative, descriptive study design was employed, and a purposive sampling method was used to recruit interviewees. All of the one-to-one conversations were held in a quiet room to ensure privacy. All of the interviews were transcribed and then analyzed using thematic analysis.

Results
Nineteen new nurses were recruited from seven tertiary hospitals and participated in the in-depth interview process. Transition success, that is, “professional metamorphosis,” was revealed through the four themes of “being competent in nursing work,” “establishing a professional identity,” “establishing comfortable interpersonal relationships,” and “achieving balance between work and life.”

Conclusions/Implications for Practice
Chinese new nurses expect their successful transition to achieve a professional metamorphosis in many aspects. A successful transition is not only a journey of professionalization but also a process of socialization. New nurses expect to achieve both maturity in their work and wisdom in life. The results of this study provide a greater understanding of transition issues in the context of Chinese culture. Thus, support and strategies cannot be limited to interventions designed to improve working competence but should be individualized to help new nurses achieve a smooth transition.
Examining the Early Academic Performance of Doctor of Physical Therapy Students After Holistic Review: A Retrospective Cohort Study
Authors: Eikenberry Megan 
Published: March 2024

Introduction.
A diverse health care workforce can help to address systemic health disparities. Holistic review and use of an expanded definition of underrepresented minority (URM) that includes factors beyond race and ethnicity are suggested methods to promote diversity in the physical therapist (PT) workforce and ultimately address societal health disparities.

Review of Literature.
Evidence suggests that holistic review can promote PT student diversity; however, limited evidence exists that describes the academic outcomes of holistic review that consider social determinants of learning (SDOL) factors in the review process. The purpose of this study was to examine the early academic outcomes of students after a holistic review and to examine relationships between SDOL factors and academic performance.

Subjects.
A convenience sample of 160 students admitted to a doctor of physical therapy (DPT) program from June 2020 to June 2022 was used.

Methods.
A secondary analysis of students' self-reported responses from their admissions application was used to categorize response data into SDOL groups. An independent-sample t-test was used to test group differences in academic performance, and regression modeling was used to test relationships between SDOL factors and academic performance.

Results.
The mean 6-month DPT program grade point average (GPA) of the sample was 3.32 ± .43. Nonstatistically significant differences appeared in early DPT GPA between URM and non-URM student groups. However, after controlling for undergraduate GPA, a history of educational disadvantage was the only SDOL factor that contributed to early DPT GPA variance (2.6%), P < .05.

Discussion and Conclusion.
The similar academic performance of URM and non-URM students provides support for using an expanded URM definition in holistic review. Most of the educationally disadvantaged group were first-generation college students, which was associated with lower early GPA. These results provide emerging evidence that first-generation students in DPT programs may benefit from additional academic support.
Abdominal normothermic regional perfusion in the United States: current state and future directions
Authors: Wall Anji , Gupta Amar , Testa Giuliano 
Published: March 2024

Purpose of review
Normothermic regional perfusion (NRP) is a novel procurement technique for donation after circulatory death (DCD) in the United States. It was pioneered by cardiothoracic surgery programs and is now being applied to abdominal-only organ donors by abdominal transplant programs.

Recent findings
Liver and kidney transplantation from thoracoabdominal NRP (TA-NRP) donors in the United States was found to have lower rates of delayed kidney graft function and similar graft and patient survival versus recipients of cardiac super rapid recovery (SRR) DCD donors. The excellent outcomes with NRP have prompted the expansion of NRP technology to abdominal transplant programs.

Summary
Excellent early outcomes with liver and kidney transplantation have prompted the growth of NC-NRP procurement for abdominal-only DCD donors across the US, and now requires standardization of technical and nontechnical aspects of this procedure.
Evaluation of the relationship between restless legs syndrome, mental status, and sleep disorders among Moroccan women during their third trimester of pregnancy
Authors: Guerroumi Maroua , Aquil Amina , El Kherchi Ouassil , Ait Bouighoulidne Salma , Belhaj Haddou Meryam , Elgot Abdeljalil 
Published: March 2024

Background:
Restless legs syndrome (RLS) is a motor disorder encountered during pregnancy and leads to psychological and sleep impairments. The latter seems to be non-restorative and its occurrence alters the quality of life of pregnant women. The objective of this study was to evaluate the prevalence of RLS and its relationship with both anxio-depressive symptoms and sleep disorders among a population of Moroccan pregnant women during their third trimester of pregnancy.

Methods:
A cross-sectional study was conducted in a population of pregnant women in their third trimester (n=178) admitted to two health facilities in the city of Marrakech: Youssef Ibn Tachafine and Oasis. The face-to-face questionnaire was used to collect data including demographic and clinical characteristics, the four diagnostic criteria of RLS, the Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS). Patients were divided into two groups RLS+ (women with RLS) and RLS− (women without RLS).

Results:
The prevalence of RLS was 59.5%; this syndrome was more common in the ninth month (74.15%) compared with the seventh and eighth months. Sleep impairment, including sleep efficiency, was significantly higher in RLS+ than RLS− (P-value 0.05). Anxiety but not depression is significantly increased in RLS+ compared to RLS− (48.11% versus 38.8%, P = 0.000). There were no significant differences between RLS+ and RLS− in terms of socio-demographic and other clinical characteristics.

Conclusion:
RLS is encountered during the prenatal period, with a higher prevalence in the last trimester. During this stage of pregnancy, women suffering from RLS were vulnerable to anxiety and sleep disorders. Prevention and early diagnosis of RLS could be a proactive healthcare management leading to better health outcomes and better conditions of pregnancy, which precedes childbirth.
Understanding Risk Factors for Complaints Against Pharmacists: A Content Analysis
Authors: Wang Yufeng , Ram Sanyogita (Sanya) , Scahill Shane 
Published: March 2024

Objectives
Pharmacists constitute a crucial component of the healthcare system, significantly influencing the provision of medication services and ensuring patient safety. This study aims to understand the characteristics and risk factors for complaints against pharmacists through Health and Disability Commissioner (HDC) published decisions.

Methods
This study adopts a retrospective, qualitative approach. An inductive content analysis technique was used to analyze 37 complaints against pharmacists published decisions from the New Zealand Health and Disability Commissioner website to investigate a range of underlying risk factors contributing to the occurrence of complaints against pharmacists.

Results
A set of 20 categories of risk factors emerged through the content analysis and were subsequently grouped into five overarching themes: pharmacist individual factors, organizational factors, system factors, medication-specific factors, and external environmental factors.

Conclusions
The findings of this study provide valuable insights that expand the understanding of risk management in pharmacist practice, serving as a valuable resource for regulatory bodies, policymakers, educators, and practitioners. It is recommended not only to focus solely on individual pharmacists but also to consider integrating their environment and individual behaviors to proactively address situations prone to errors and subsequent complaints.
Communication of Incidental Imaging Findings on Inpatient Discharge Summaries After Implementation of Electronic Health Record Notification System
Authors: Mattay Govind , Mallikarjun Kushanth , Grow Paula , Mintz Aaron , Ciesielski Thomas , Dao Anthony , Mattay Shivani , Cislo Geoffrey , Mattay Raghav , Narra Vamsi , Bierhals Andrew 
Published: March 2024

Objectives
Inadequate follow-up of incidental imaging findings (IIFs) can result in poor patient outcomes, patient dissatisfaction, and provider malpractice. At our institution, radiologists flag IIFs during report dictation to trigger electronic health record (EHR) notifications to providers and patients. Nurse coordinators directly contact patients or their primary care physicians (PCPs) regarding IIFs if follow-up is not completed within the recommended time frame. Despite these interventions, many patients and their PCPs remain unaware of IIFs. In an effort to improve awareness of IIFs, we aim to investigate communication of IIFs on inpatient discharge summaries after implementation of our EHR notification system.

Methods
Inpatient records with IIFs from 2018 to 2021 were retrospectively reviewed to determine type of IIFs, follow-up recommendations, and mention of IIFs on discharge summaries. Nurse coordinators spoke to patients and providers to determine their awareness of IIFs.

Results
Incidental imaging findings were reported in 51% of discharge summaries (711/1383). When nurse coordinators called patients and PCPs regarding IIFs at the time follow-up was due, the patients and PCPs were aware of 79% of IIFs (1096/1383).

Conclusions
With implementation of EHR notifications to providers regarding IIFs, IIFs were included in 51% of discharge summaries. Lack of inclusion of IIFs on discharge summaries could be related to transitions of care within hospitalization, provider alert fatigue, and many diagnostic testing results to distill. These findings demonstrate the need to improve communication of IIFs, possibly via automating mention of IIFs on discharge summaries, and the need for care coordinators to follow up on IIFs.
Enhancing Patient Safety in Prehospital Environment: Analyzing Patient Perspectives on Non-Transport Decisions With Natural Language Processing and Machine Learning
Authors: Farhat Hassan , Alinier Guillaume , Tluli Reem , Chakif Montaha , Rekik Fatma Babay EP , Alcantara Ma Cleo , Gangaram Padarath , El Aifa Kawther , Makhlouf Ahmed , Howland Ian , Khenissi Mohamed Chaker , Chauhan Sailesh , Abid Cyrine , Castle Nicholas , Al Shaikh Loua , Khadhraoui Moncef , Gargouri Imed , Laughton James 
Published: March 2024

Objective
This research explored the experiences and perspectives of patients declining hospital transportation after receiving prehospital emergency care using advanced computational techniques.

Method
Between 15th June and 1st August 2023, 210 patients in Qatar, treated by Hamad Medical Corporation Ambulance Service (HMCAS) but refusing transportation to hospital, were interviewed. Key outcome variables stratified by demographics included “reasons for refusing transport,” “satisfaction with HMCAS service,” and “postrefusal actions.” Responses underwent sentiment analysis and topic modeling using latent Dirichlet allocation. Machine learning models, such as Naïve Bayes, K-nearest neighboring, random forest, and support vector machine, were used to predict patients’ subsequent actions.

Results
Participants had an average age of 38.61 ± 19.91 years. The chief complaints were primarily chest and abdominal pains (18.49%; n = 39). Sentiment Analysis revealed a generally favorable perception of HMCAS-provided service. Latent Dirichlet allocation identified two main topics pertaining to refusal reasons and service satisfaction. Naïve Bayes and support vector machine algorithms were most effective in predicting postrefusal actions with an accuracy rate of 81.58%.

Conclusions
This study highlighted the utility of Natural Language Processing and ML in enhancing our understanding of patient behaviors and sentiments in prehospital settings. These advanced computational methodologies allowed for a nuanced exploration of patient demographics and sentiments, providing insights for Quality Improvement initiatives. The study also advocates for continuously integrating automated feedback mechanisms to improve patient-centered care in the prehospital context. Continuous integration of automated feedback systems is recommended to improve prehospital patient-centered care.
Using Mobile and Remote Simulation as a Research Methodology for Health Care Delivery Research
Authors: Yeh Vicky J.-H. , Tekin Aysun , Green Ellen , Reifsnider Elizabeth , Lewis Alicia , Carver Morgan , Dong Yue 
Published: March 2024

Summary Statement
Mobile and remote simulation can be used as a research methodology to collect data in simulated environments to answer research questions pertaining to health care delivery. This research methodology can exponentially increase the reachable target study participants and provide generalizable conclusions. Using a large-scale national study in the United States as an exemplar, this article outlines the technology and equipment required to conduct mobile and remote simulations for research purposes. The cost associated with using mobile and remote simulations as well as the advantages and challenges of using this research methodology are also discussed.