bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Study to Assess the Efficacy of Audio-Visual Psychoeducation on Level of Knowledge and Attitude Regarding Harmful Effects of Alcohol among Alcohol use Disorder Patients Admitted to Mental Health Units of Selected Hospitals of Western Maharashtra
Authors: Nair Seema Madhavan , Sharma Punita A , Das Radhika 
Published: September 2023

Introduction:
Alcohol use disorder (AUD) has emerged as a global concern in the world, due to its harmful impact on health, social, economic, and legal aspects. Several established treatment approaches, both pharmacological and nonpharmacological are available but have only modest success. Relapse in alcohol use is noted to be common following treatment, hence efficacy of newer modalities of treatment or therapies is needed.

Aim:
This study aims to assess the efficacy of audiovisual psychoeducation on the level of knowledge and attitude of harmful effects of alcohol among AUD patients admitted to mental health units of selected hospitals of Western Maharashtra.

Materials and Methodology:
A quantitative research approach with pretest-posttest control design was adopted in the study. The sample size was estimated to be 70 based on the pilot study and settings were mental health units of selected hospitals in Western Maharashtra. A simple random sampling technique was used with random allocation of subjects into experimental group and control group by lottery method. A structured tool to assess knowledge was developed, validated by experts and reliability was tested. Alcohol Decisional Balance Scale, which is a standardized tool was used for assessing the attitude. Pretest knowledge assessment was done for control and experimental groups. Audiovisual psychoeducation was given to the experimental group. Both the groups were receiving routine care. A posttest assessment was done after 7 days of intervention.

Results:
Findings revealed that there is statistically significant increase in the level of knowledge from pretest mean score of 9.37 + 3.191–14.06 + 4.179 in posttest of the experimental group by Wilcoxon Z value test at the level of significance P < 0.0001 showing the efficacy of audio-visual psychoeducation in changing the level of knowledge. Similarly, postintervention attitude distribution assessment in the experimental group revealed a statistically significant difference in positive attitude from 6 (17%) in pretest to 12 (34%) in posttest with the McNemar's test at level of significance of P < 0.031. Correlation in level of knowledge with attitude revealed a weak positive correlation with r = 0.17. There was no significant association of pretest knowledge with selected socio-demographic data.

Conclusion:
Audiovisual psychoeducation is efficient in increasing the level of knowledge and change in attitude toward harmful effects of alcohol.
Screen Dependency versus Child Nourishment among Toddlers
Authors: Velumani Suresh , Panchal Meera , Patel Bhoomika 
Published: September 2023

Background:
Screen viewing has become predominant among children aged under 3 years that causing massive health issues. Nowadays, most of the young kids developed a habit of having food by watching smartphone. Seventy-seven percentage toddlers are using mobile phones every day. Researcher strongly believes that this habit among toddlers is linked, with either overweight or undernutrition.

Aim:
The present research study aimed to explore the relationship between screen dependency and its effects on child's nourishment.

Settings and Design:
An explorative-correlational study was carried out on 280 toddlers. Toddlers were selected using quota sampling, and data were collected from areas of Vadodara district.

Subjects and Methods:
A structured screen dependency questionnaire was used. Subsequently, toddler nourishment was assessed by using Gomez's classification scale. Descriptive and inferential statistics were applied to analyze the data by using SPSS-20 software. Linear regression analysis revealed that toddler nourishment was influenced by the level of screen dependency.

Results:
The majority toddlers 47.9% (n = 134) were severely dependent on screen, and child nourishment among them resulted that 43.9% (n = 123) were overweight, 2.9% (n = 89) found obese, and 28.2% (n = 79) were belong to malnutrition, the rest were normal. The linear regression analysis showed that screen dependency was significantly correlated with child nourishment beta coefficient (R = 0.321, P = 0.00) at significance of 0.05 level.

Conclusions:
The present study concluded that there is an influence of screen dependency on child's nourishment. Therefore, the policymakers should also increase the awareness regarding negative impact of screen viewing to the mothers.
The COIVD-19 Pandemic First Wave and Copings among the Urban Patients in India
Authors: Shetty Kannappa V. , Rentala Sreevani , Omkarappa Dayananda Bittenahalli , Manikappa Sanjeev Kumar , Bamney Urmila 
Published: September 2023

Context:
The COVID-19 pandemic first wave has had a huge psychological impact on COVID patients living in urban areas.

Materials and Methods:
The study adopted a descriptive research design to determine the coping strategies among home isolated patients with COVID-19 in urban districts of south India. The convenient sampling technique was used to select 60 persons infected with COVID-19 during the first wave of the pandemic as sample of the study. The coping strategies were assessed by using the Brief COPE Inventory scale. It has 28 statements which can identify 14 possible coping strategies and sociodemographic data were collected through the telephonic interview method.

Results and Conclusions:
Negative coping strategies such as denial and self-blame were found high, and positive coping strategies such as active coping, use of emotional support, use of instrumental support, venting, positive reframing, planning, and religion were reported to high among COVID patients in urban areas. The study suggests providing at least psychological first aid to reduce mental distress during isolation/quarantine.s
Family Attitude toward the Persons with Negative Symptoms of Schizophrenia
Authors: Roy Chanamthabam Padmini , Baruah Arunjyoti 
Published: September 2023

Background:
Negative symptoms of schizophrenia not only lead to poor interpersonal relationship, impaired social and work functioning of the clients but it also affects family members in various aspects. The present study aimed to assess the attitudes of the primary caregivers toward the clients with negative symptoms of schizophrenia.

Materials and Methods:
A cross-sectional study was conducted at tertiary care hospital of Assam. Through purposive sampling technique, 40 primary caregivers of clients with negative symptoms of schizophrenia were selected from the indoor setting of a tertiary mental care institute. Self-structured sociodemographic and clinical Proforma, Positive and Negative Syndrome Scale (PANSS), Scale for Assessment of Negative Symptoms (SANS), and Family Attitude Scale (FAS) were used to collect the data. Data were analyzed using the descriptive and inferential statistics.

Results:
Majority of the participants (87.5%) score <60 in the FAS which showed low expressed emotion toward the clients with negative symptoms of schizophrenia. A significant negative correlation was found between the SANS score and monthly income of the clients (r = -'0.446, P = 0.004).

Conclusion:
Attitude of the primary caregivers toward the patient may vary based on the symptoms of schizophrenia. Assessing their attitude in the form of expressed emotion may help to understand their perception during the care of patients with negative symptoms of schizophrenia. This may help to plan suitable psychosocial nursing care for the primary caregivers.
Role of Media on Perceived Vulnerability of the Public at Early Stage of COVID-19 Pandemic
Authors: Abdulah Deldar Morad , Piro Rasoul Sabri 
Published: September 2023

Introduction:
The outbreak of the novel coronavirus has spread across the world. The COVID-19 pandemic could have a considerable psychological effect. We aimed to explore the role of media on the level of perceived infectability and germ aversion toward coronavirus infection of the public at early stage of the pandemic.

Methods:
In this study, 708 individuals who live in different geographical locations of the Duhok Governorate in Iraqi Kurdistan were included between March 16 and 25, 2020.

Results:
The mean age of the participants was 27.40 (18–74 years). The participants reported that traditional news services have a relaxing role regarding the coronavirus pandemic (58.3%) in contrast to a stressing role of social media (64.7%). The mean values of vulnerability, perceived infectability, and germ aversions to COVID-19 infection were 4.74, 3.99, and 5.49 of 7.0, respectively. Participants who considered social media to have a stressing role were more likely to be bothered when someone sneezes without covering their mouths (4.45 vs. 4.04; P = 0.044). In addition, they were more likely to think that they catch an infectious disease (3.89 vs. 3.51; P = 0.016), and have a less strong immune system to protect them from most illnesses (2.85 vs. 2.40; P < 0.001), respectively.

Conclusions:
This study showed that social media has a stressing role to the public regarding COVID-19 infection.
Subacute Invasive Pulmonary Aspergillosis
Authors: Chetambath Ravindran 
Published: September 2023

ABSTRACT
Subacute invasive pulmonary aspergillosis (IPA) is an indolent cavitating infectious process which can mimic other chronic lung infections such as tuberculosis. This usually occurs in mildly immunosuppressed individuals and clinically evolves over weeks to months. Radiological presentation is in the form of thick-walled cavity with or without mycetoma, fibrosis, and pleural invasion. Here, a case of subacute IPA in a middle-aged female with rheumatoid arthritis is reported, highlighting a rare radiological appearance.
Mid-term Comparative Analysis of Orthogonal Versus Parallel Plating in Bicondylar Tibial Plateau Fracture
Authors: Patel Rahul , Sinha Shivam , Arya Raj Kumar , Mohaniya Devanshu , Manjhi Birju , Rastogi Amit 
Published: September 2023

Background:
Proximal tibial plateau involvement is one of the most common intra-articular fractures. Bicondylar fractures have both tibial plateaus fractures, usually with depressed fracture of lateral tibial plateaus, meniscal tears and anterior cruciate ligament avulsions. Internal fixation in bicondylar proximal tibia fractures using plating devices are usually done using lateral plate along with supplementary postero-medial plate (orthogonal plating) and lateral plate along with medial plate (parallel plating).

Objectives:
The comparison of functional and radiological outcomes.

Materials and Methods:
60 cases of bicondylar tibia plateau fracture were included. Group A (orthogonal plating) were cases treated with orthogonal plating and Group B (parallel plating) were cases those treated with parallel plating. A clinic-radiological comparison of results of these two groups were done. Clinical evaluation for at least 6 months and radiographically for at least 1 year.

Results:
Our clinico-radiological result showed that knee range of motion (mean) (P = 0.002) and Hip-Knee-Ankle angle (HKA) were significantly better in group B while non-significant difference in Varus/valgus angulation, fracture union status, post-operative loss of reduction and residual articular surface depression, implant position and other surgery or implant related complications.

Conclusions:
Our mid-term results showed that treating above fractures with parallel plate resulted in better functional and radiological outcomes with an acceptable complication rate as compared to orthogonal plate
Prospective Study of Osteosynthesis with Fibular Bone Grafting and hip Screw Fixation for Late Femoral Neck Fracture in Young Adults
Authors: Pathak Vinit , Bhatti Javed , Goyal Radha Kant , Sajid Imran 
Published: September 2023

Background:
Intracapsular fracture neck femur has always presented great challenges to orthopedic surgeons and still it continues to be a burning problem; thus, it is often called as an unsolved fracture. The femoral neck fracture is probably the fracture for which there exists the largest number of methods of osteosynthesis.
The above quotation reflects the defeatist attitude that has long been held by medical and lay personal toward femoral neck fractures.

Materials and Methods:
The study was conducted in F.H. Medical College and Hospital, Agra. The cases of this study were selected from the patients attending the outpatient Department of Orthopaedics and from those arriving at the Emergency Department of F.H. Medical College and Hospital, Agra from November 2017 to December 2020. A total of 64 young adults with femoral neck fracture treated by a fibular bone graft with hip screw fixation were included in the study. All the fractures were more than 3 weeks old. Each patient was subjected to detailed clinical and radiological examination along with routine pathological investigations.

Result:
Results were assessed in 60 patients, whereas 4 patients were excluded from the study due to loss of follow-up. In the subcapital type, 33.3% of cases were found to have good score, 44.4% of cases had fair score, and rest of the cases were found to have poor score. In the transcervical type, 57.4% of cases scored good, 36.1% cases scored fair, and rest of the cases scored poor. In the basal type, 100% of cases were found to have good score. Therefore, transcervical and basal types of fractures have a good prognosis as compared with the subcapital type. The average follow-up was 16.4 months. Out of 60 patients assessed clinico-radiologically.

Conclusion:
We conclude that treatment of late femoral neck fracture is a simple and cost-effective procedure in young adults with good results.
Impact of Demographic and Hospital Environmental Variables on Postoperative PROMIS Depression Anxiety and Anger Short form in Patients Undergone Fracture Elective Surgery
Authors: Raikwar Archana , Yadav Manish , Singh Ajai , Yadav Shobhit 
Published: September 2023

Aim:
So far, several studies have been evaluated in foreign countries via Patient-Reported Outcomes Measurement Information System (PROMIS) initiatives. PROMIS is a research tool for the evaluation of orthopedic disorders and is preferred for short-term and long-term performance. Fractured patients face many problems during a hospital stay, such as unhygienic wards, staff’s behavior, no hospital support, and a lot of expenditure, which adversely affects their social and mental status. Therefore, the Patient-Reported Outcome Measures (PROMs) capture the health status of patients that making it a more important tool in the health-care evaluation. Thus, the study aimed to assess the level of depression anxiety and anger by measuring the T-score of the same in hospitalized fractured patients with other factors during a hospital stay.

Purpose/Hypothesis:
The purpose of this study was to examine the association between PROMIS depression anxiety and anger with the atmosphere of the hospital, fracture conditions, and demographics. We believe that these variables play an important role in the quality of life of patients after having fractures and that they had to remain in the hospital unexpectedly.

Study Design:
This was a cross-sectional pilot study among fractured patients based on hospital environment.

Materials and Methods:
PROM assessment tool was used to measure depression anxiety and anger domains having seven and five items categorized as mild, moderate, and severe based on T-score.

Results:
A total of 113 patient’s response was obtained. The mean age was 34.84 years. Seventy-two patients were male (63.71%) and 41 patients (32.28%) were female. The mean and standard deviation (SD) of PROM T-score depression, anxiety, and anger was 57.67 (13.60), 50.56(11.47), and 57.08 (15.49), respectively. PROMIS anger and PROMIS anxiety were significantly correlated in many factors. Depression and anxiety were correlated in male patients. Anger and anxiety were significant in patients facing hospital hygiene and no support from the hospital (P = 0.008 and 0.05).

Conclusion:
PROM is an emerging tool to diagnose the level of depression anxiety and anger the patient faces during the hospital stay. Demographical factors like nuclear family and reason for fracture also play a significant role in anger and anxiety. Hospital hygiene significantly plays an important role in depression anxiety and anger in fracture patients.
Promoting the participation of low-risk pregnant women in the child birth process by developing a birth plan: The protocol of an action research study
Authors: Mohebbi-Dehanvi Zahra , Hajihashemi Maryam , Kohan Shahnaz 
Published: September 2023

BACKGROUND:
The birth plan reflects the preferences and expectations of women in the delivery process and can be designed with the participation of women and her partner and implement as a basis for midwifery care during childbirth. This research was designed to promote the participation of low-risk pregnant women in the child birth process by developing a birth plan.

MATERIALS AND METHODS:
The present study is a participatory action research designed in a single specialized, main maternity hospital in Isfahan, Iran. This study was conducted in four stages proposed by the Kemmis, including planning, action, observation, and reflection with the participation of all midwives, gynecologists, and managers who involved in childbirth.

CONCLUSIONS:
Considering the importance of childbirth as an opportunity for participation and empowerment of women, it seems that designing a birth plan based on the preferences of these women and all people involved in this process can strengthen women's participation in child birth process.
Effectiveness of daily educational message on pregnancy anemia prevention behavior and knowledge: A pilot randomized controlled trial
Authors: Arifah Izzatul , Pambarep Tyas Sekar Adining , Khoiriyah Lailatul , Kusumaningrum Tanjung Anitasari Indah , Werdani Kusuma Estu , Ngadiyono Ngadiyono Prasetyo 
Published: September 2023

BACKGROUND:
Distance education and mobile health (mHealth) usage are yet to be researched widely, particularly in terms of anemia prevention in Indonesian pregnant women. This study aimed to analyze the daily educational messages' effectiveness on anemia prevention behavior and knowledge, in pregnant women in Surakarta City, Indonesia.

MATERIALS AND METHODS:
This pilot randomized controlled trial was conducted in two Primary Healthcare Centers in Surakarta in April-September 2022. The target population was pregnant women who conducted Antenatal Care at Primary healthcare Center. The sample was put into two randomized groups consisting of pregnant women in the first and second trimesters: intervention and control. This study included a total of 44 participants. The intervention was a daily educational message sent through WhatsApp for seven weeks. Measurement of anemia prevention knowledge, anemia prevention diet, and Iron and Folic Acid (IFA) tablet consumption was collected at the baseline and follow-up.

RESULTS:
The intervention resulted in a significant difference (P value .003) in mean IFA tablet consumption (last 42 days), which was higher in the intervention group (39.54 ± 3.94) than in the control group (34.86 ± 8.13). It has a significant effect on knowledge (P value .007) as well. However, no significant difference in the anemia prevention diet between groups at the end of the intervention.

CONCLUSIONS:
The daily educational message improves pregnant women's knowledge and IFA tablet consumption. Conducting a full-scale randomized controlled trial is feasible to confirm the effectiveness of daily educational messages as a pregnant anemia prevention program, considering the needed improvements.
Effectiveness of a web-based program on self-care behaviors and glycated hemoglobin in patients with type 2 diabetes: Study protocol of a randomized controlled trial
Authors: Shahshahani Maryam Sadat , Goodarzi-Khoigani Masoomeh , Eghtedari Maryam , Javadzade Homamodin , Jouzi Mina 
Published: September 2023

BACKGROUND:
Type 2 diabetes (T2DM) decreases the life expectancy and quality of life of diabetics and causes economic and societal problems. For this purpose, diabetes self-management education and support (DSMES) has been designed for many years, which is recently provided through technology-assisted education. Therefore, we developed a web-based program in accordance with DSMES to assess its effect on self-care behaviors and glycated hemoglobin (HbA1c) for patients with T2DM during the coronavirus disease (COVID-19) pandemic, which is described in detail in this paper.

MATERIALS AND METHODS:
This randomized controlled trial (RCT) was performed on 70 diabetic patients in Al-Zahra Hospital for three months. After random allocation, web-based educational content (including videos, lectures, educational motion graphics, text files, educational posters, and podcasts) according to DSMES was provided for the intervention group to improve self-care behaviors and HbA1c levels. The control group received routine educational pamphlets. A diabetes self-management questionnaire (21 questions) with a Likert scale was completed to assess self-care behaviors scores before and after intervention and three months later. Also, HbA1c was determined before and after the intervention. Analysis of variance with repeated measurements will be applied to compare mean scores of self-care behaviors components three times, and an independent t-test analyzed mean differences of HbA1c values.

CONCLUSION:
The obtained results of this study might be useful for promoting self-care behaviors and assessing HbA1c in diabetic patients.
Nurse educators' professional practice attributes and its determinants
Authors: Pareek Bharat , Soni Meenakshi , Rana Ruchi , Sharma Shaveta , Goyal Pradeep , Sharma Shivani 
Published: September 2023

BACKGROUND:Professional practice attributes of nurses help to promote nursing as a profession and advance nursing education. Nursing professionals need to demonstrate a high level of professional commitment to their practices and must be professionally competent to perform their roles.MATERIAL AND METHODS:Descriptive survey was conducted at the nursing educational institutes affiliated with the Indian Nursing Council and situated in the selected Northern Indian states. The sample included 343 nurse educators who were selected using simple random sampling. The self-reported method was adopted to collect data where three questionnaires including socio-demographic information, organizational characteristics of current place of work, and professional practice attributes assessment criteria were used. Descriptive and inferential statistics were used for data analysis.RESULTS:Overall, the study's participants scored poorly on professional practice attributes (Mean, SD: 1.98, 2.03), which were linked to their personal (age and gender), professional (educational background, professional qualification, current designation), and organizational (duration of organization's establishment, courses provided, college management) characteristics.CONCLUSION:The findings highlighted the need for nurse educators to be more competent and dedicated in their respective fields. The study also suggests that in order to raise the standard of nursing education, nursing regulatory bodies like nursing councils, universities, and governments must take the necessary steps to foster the professional development of nurse educators.