bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative study between platelet-rich plasma intraarticular injection versus hyaluronic acid in knee osteoarthritis
Authors: Kassem Mohamed S 
Published: April 2023

Abstract

Background
Osteoarthritis (OA) is a major public health problem that causes pain and disability in one-third of all affected patients. It primarily affects the elderly populations. This study aimed to evaluate the efficacy of intraarticular injections of platelet-rich plasma (PRP) versus hyaluronic acid (HA) in knee OA.

Patients and methods
This was a prospective study that included 40 adult patients with knee OA grades II and III, where 20 patients were treated with PRP intraarticular injection two injections 1 month apart (group A), and 20 patients were treated with HA injections generally administered as a weekly injection for 3 weeks (group B). Data were collected from January 2017 till February 2018.
In group A, the age of patients ranged from 45.0 to 67.0 years; five (25%) patients were males and 15 (75%) patients were females; unilateral side was affected in four (20%) patients, and bilateral side was affected in 16 (80%) patients; and grade II OA cases were 12 patients, and grade III OA cases were seven (40%) patients. In group B, the age of patients ranged from 49 to 75 years; five (25%) patients were males and 15 (75%) patients were females; unilateral side was affected in eight (40%) patients, and bilateral side was affected in 12 (60%) patients; and grade II OA cases were 11 (55%) patients, and grade III OA patients were nine (45%) patients.
The procedure was done on an outpatient basis and under complete aseptic technique. PRP or HA was injected intraarticularly through an anterolateral or anteromedial portal. Follow-up with the patients was for at least 6 months, and the results of treatment were assessed by the knee injury and osteoarthritis outcome score (KOOS).

Results
At the end of the follow-up period, which was 6 months, the KOOS in group A had improved to a mean score of 64.89 ± 17.97 points, as compared with the pre-injection score, which was 49.95 ± 14.21 points. In group B, at end of follow-up, the period score was 58.60 ± 19.10 points and the pre-injection score was 49.39 ± 19.97 points.

Conclusion
Both PRP and HA injections show significant improvement in grades II and III OA. The KOOS symptom subscale showed that PRP injections were more effective than HA injections in patients with grade II arthritis.
Use of tranexamic acid in simultaneous bilateral total knee arthroplasty: a comparative study
Authors: Aouad Dany , Daher Mohammad , Darwish Mohammad , Saidy Elias , Rassi Lea El , Rassi Georges El 
Published: April 2023

Abstract

Background
Blood loss after total knee arthroplasty (TKA) is not something to neglect especially if it is bilateral. A lot of measures can be taken to reduce this blood loss such as tourniquets, autologous transfusion, and closed suction drains.

Purpose
The use of closed suction drains in TKA has downsides such as introducing a foreign body to the wound, increasing nursing care, etc. This leads to the question whether this use can be replaced by other modalities such as the use of tranexamic acid injections.

Patients and methods
Two groups of 13 patients undergoing bilateral TKA were compared. The first group had tranexamic acid injections while the other had closed suction drains. The number of transfusions and the hemoglobin drop 1 and 2 days postoperatively were assessed and compared between both groups.

Results
The hemoglobin drop both on the first and second day after the surgery were higher in the group operated with a closed suction drainage (P=0.000162 and 0.01512, respectively). The number of transfusions was also higher in the group operated with closed suction drainage (18 compared with four transfusions needed in the other group).

Conclusion
The use of drains may be replaced by tranexamic acid injections in bilateral TKA.
Conservative treatment of voluntary atraumatic dislocation of the acromioclavicular joint: a case report
Authors: Aouad Dany , Maalouly Joseph , Abboud Ghadi , Cortbawi Chawki , Daher Mohammad , El Rassi George 
Published: April 2023

Abstract
Acromioclavicular (AC) joint dislocation is a common injury of the shoulder. In contrast to traumatic causes, nontraumatic dislocations are very rare. We report one case of a young active male who presented with voluntary recurrent dislocation of the AC joint. Clinical examination showed dislocation in the anteroposterior direction of the AC joint. The patient underwent conservative management. Conservative treatment along with lifestyle modifications is sufficient for pain control and associated symptoms. Regular follow-up is very important.
Comparativestudy between the calcaneo stop procedure and endorthesis in the management of pediatric symptomatic flexible flatfoot
Authors: Ali Ayman A , Mohammed Ibrahim Abd E M , Ismail Mahmoud A 
Published: April 2023

Abstract

Purpose
The aim of the study was to compare the results of using the calcaneo stop procedure and endorthesis in the management of symptomatic flexible flatfoot (FFF) in pediatrics.

Patients and methods
This is a prospective randomized study using the closed envelope technique. It was conducted on 30 feet of 19 patients admitted in the National Institute of Neuromotor System. All cases presented with symptomatic flexible pes planovalgus. The current study started in May 2020 and ended in January 2022. Written detailed informed consents were obtained from parents. Inclusion criteria were age 7–14 years, symptomatic idiopathic FFF, failed conservative treatment, and no previous foot surgery. Exclusion criteria were children young than 7 years or older than 14 years, rigid flatfeet, asymptomatic FFF, patients with major congenital malformations, severe neurological disorders, patients with neuromuscular disorders, patients subjected to other foot surgery, and patients with traumatic flatfeet. The patients were randomly assigned into two groups: group 1 included 15 feet of nine patients (six bilateral and three unilateral) who underwent the calcaneo stop technique, and group 2 included 15 feet of 10 patients (five bilateral and five unilateral) who underwent endorthesis by subtalar fit implant. The mean age of group 1 was 9.90 ± 2.86 years (range, 7–14 years), whereas of group 2 was 9.70 ± 1.50 years (range, 8–14 years). There were 10 male patients (five underwent calcaneo stop and five endorthesis) and nine female patients (five underwent calcaneo stop and four endorthesis). The right foot was operated upon in 16 cases, and the left foot was operated upon in 14 cases. The average AOFAS preoperative score in group 1 was 68.7 ± 5.7 (range, 58–78), which was subdivided into 6.7% with good score and 86.3% with fair score, whereas in group 2, it was 70.13 ± 5.5 (range, 58–78), which was subdivided into 26.8% with good score and 73.2% with fair score.

Results
There were statistically significant improvements in both groups, with no difference in their outcomes. Both groups showed significantly improved hindfoot and midfoot motion and positioning. Hindfoot range of motion was preserved. Radiography also revealed significant improvements.

Conclusion
Both procedures are valid options for the surgical management of idiopathic symptomatic flatfoot in pediatric patients.
Fixation of posteromedial fragment combined with anterolateral plating in bicondylar tibial plateau fractures
Authors: Samy Mohamed 
Published: April 2023

Abstract

Background
Three-column classification of tibial plateau fractures had addressed the problems of posteromedial fragment fractures; many authors have discussed the mechanical instability of that fragment. Consideration of specific fixation of this fragment in tibial plateau fracture had been discussed by many authors.
The aim of our study was to evaluate the results of fixation of posteromedial fragment in bicondylar tibial plateau fractures.

Patients and methods
In all, 21 patients were included in this study. All of them had bicondylar fracture tibial plateau fractures, which involve the anterolateral column in conjunction with the posteromedial fragment of the tibial plateau as diagnosed by a computed tomography scan and a three-dimensional scan. All the patients had antigliding plate fixation for posteromedial fragment through the posteromedial approach and anterolateral plate fixation for anterolateral column fracture.

Results
All the patients had completed a minimum 1-year follow-up. All the patients had satisfactory outcomes according to Rasmussen’s clinical and radiological scores.

Conclusion
Fixation of the posteromedial fragment in tibial plateau fractures gives good outcomes as regards the stability and function
Laparoscopic evaluation of female genital tuberculosis in infertility: An observational study
Authors: Sharma Jai Bhagwan , Sharma Surendra Kumar , Dharmendra Sona , Singh Urvashi B. , Kumar Sunesh , Roy Kallol Kumar 
Published: April 2023

Background & objectives:
Female genital tuberculosis (FGTB) is an important variety of extrapulmonary TB causing significant morbidity, especially infertility, in developing countries like India. The aim of this study was to evaluate the laparoscopic findings of the FGTB.

Methods:
This was a cross-sectional study on 374 cases of diagnostic laparoscopy performed on FGTB cases with infertility. All patients underwent history taking and clinical examination and endometrial sampling/biopsy for acid-fast bacilli, microscopy, culture, PCR, GeneXpert (only last 167 cases) and histopathological evidence of epithelioid granuloma. Diagnostic laparoscopy was performed in all the cases to evaluate the findings of FGTB.

Results:
Mean age, parity, body mass index and duration of infertility were 27.5 yr, 0.29, 22.6 kg/m2 and 3.78 years, respectively. Primary infertility was found in 81 per cent and secondary infertility in 18.18 per cent of cases. Endometrial biopsy was positive for AFB microscopy in 4.8 per cent, culture in 6.4 per cent and epithelioid granuloma in 15.5 per cent. Positive peritoneal biopsy granuloma was seen in 5.88 per cent, PCR in 314 (83.95%) and GeneXpert in 31 (18.56%, out of last 167 cases) cases. Definite findings of FGTB were seen in 164 (43.86%) cases with beaded tubes (12.29%), tubercles (32.88%) and caseous nodules (14.96%). Probable findings of FGTB were seen in 210 (56.14%) cases with pelvic adhesions (23.52%), perihepatic adhesions (47.86%), shaggy areas (11.7%), pelvic adhesions (11.71%), encysted ascites (10.42%) and frozen pelvis in 3.7 per cent of cases.

Interpretation & conclusions:
The finding of this study suggests that laparoscopy is a useful modality to diagnose FGTB with a higher pickup rate of cases. Hence it should be included as a part of composite reference standard.
Examining factors affecting self-care-self-regulation among registered nurses using path analysis
Authors: Logan Jeongok G. , Kim-Godwin Yeounsoo , Ahn Soojung 
Published: April 2023

BACKGROUND:Practicing self-care is a requisite for nurses as they face the extreme physical, mental, and emotional challenges presented by the pandemic era. This study aimed to examine factors that contribute to self-care-self-regulation (SCSR) and investigate the mediation effect of psychological and physical health in the relationship between work stress and SCSR among registered nurses in the United States.MATERIALS AND METHODS:This cross-sectional study was conducted on the data collected from 386 registered nurses who completed an online survey over a 3-week period during the COVID-19 pandemic (April 19 to May 6, 2020). The survey assessed demographic and work-related characteristics, work stress, depressive mood, self-rated health, and SCSR. The model was tested with depressive mood as the first mediator and self-rated health as the second mediator. The potential serial mediation effect was analyzed using PROCESS macros adjusting for covariates.RESULTS:The sequential indirect effect of work stress on SCSR through depressive mood and self-rated health in series was significant, while its direct effect was not.CONCLUSION:The findings of the path analysis demonstrate that psychological and physical health status is important to promote self-care behaviors when nurses experience high work stress.
Correlation between critical thinking dispositions and self-esteem in nursing students
Authors: Vasli Parvaneh , Mortazavi Yousef , Aziznejadroshan Parvin , Esbakian Behnam , Ahangar Hemmat Gholinia , Jafarpoor Hasanali 
Published: April 2023

BACKGROUND:
Critical thinking has been acknowledged as a key component of clinical decision-making and professional competency. Therefore, it is of great importance to reflect on how critical thinking is acquired and investigate its determinants, including self-esteem, in nursing education. The present study was thus to assess the correlation between critical thinking and self-esteem in nursing students.

MATERIALS AND METHODS:
This descriptive correlational study was fulfilled in 2019 on 276 nursing students selected via the random sampling method. For this purpose, Ricketts' Critical Thinking Disposition Questionnaire and Eysenck's Self-Esteem Scale were employed to collect the data, which were then analyzed using the SPSS Statistics (ver. 22) software along with independent-samples t-test, Pearson correlation coefficient, and one-way analysis of variance, considering the significance level of P < 0.05.

RESULTS:
The study findings showed a significant correlation between critical thinking and self-esteem (r = 0.529, P < 0.001) as well as self-esteem and critical thinking dispositions, that is, commitment, perfectionism, and creativity (r = 0.40, P < 0.001). Moreover, these dispositions had a significantly increasing trend during various academic years, but the difference was not significant with regard to perfectionism (P < 0.001).

CONCLUSION:
Given the positive correlation between self-esteem and critical thinking, commitment, perfectionism, and creativity in nursing students, it is essential to develop self-esteem skills in such students, using appropriate approaches to boost self-esteem as one of the important missions of higher education systems. As well, a lack of perfectionism during academic years confirms that it is possible that determinants other than educational environments, for example, families, are involved. Therefore, managers are suggested to hold meetings with parents and nursing students.
The effect of interferon in the therapy of severe coronavirus infection
Authors: Shajari Rasoul , Adeli Seyed Hasan , Bagherzadeh Mohammad , Asghari Akram , Tabaraii Reihane , Alikhani Aliakbar , Jabbari Amir , Razavinia Fateme , Shakeri Mansoureh , Jafari Saeede , Ahmadpour Sajjad , Vafaeimanesh Jamshid 
Published: April 2023

BACKGROUND:
So far, several protocols have been used for the treatment of coronavirus disease-2019 (COVID-19). In this study, we aimed to study the effect of interferon on the treatment of hypoxemia caused by COVID-19.

MATERIALS AND METHODS:
This was a quasi-experiment with a nonequivalent group design. All participants were admitted to Shahid Beheshti Hospital, Qom province. In total, 60 patients were enrolled in the study, and inclusion criteria were age over 18 years, positive PCR test result, pulmonary involvement in computed tomography (CT) scan, and SpO2 level below 93%. Individuals were divided into two control (hydroxychloroquine + lopinavir/ritonavir [Kaletra]) and intervention (hydroxychloroquine + lopinavir/ritonavir [Kaletra] + interferon-β 1a [recigen]) groups. The data were analyzed in Stata/SE 14.2 using Chi-square, t-test, and Mann-Whitney U test.

RESULTS:
The mean ± standard deviation (SD) age of patients was 63 ± 16.12 years and 43.3% were male. In terms of outcome variables, 20% of patients in the intervention group and 53.3% of subjects in the control group died and this difference was significant (P = 0.007). According to the quick sequential organ failure assessment (qSOFA) score, the severe cases were 16.7% in the intervention group and 50% in the control group (P = 0.006). In addition, the median days of hospitalization were 11.5 days—significantly higher than those in the control group (5.5 days) (P < 0.001).

CONCLUSION:
Based on the results of this study, the use of interferon in the treatment of COVID-19 can improve health and reduce the severity of the disease and mortality.
Comparative study of the relationship between pregnancy and childbirth factors and autism in healthy children and children with autism
Authors: Mourkani Razieh Shams , Kohan Shahnaz , Mohebbi-Dehnavi Zahra , Shaghaghi Fatemeh , Najiabhary Maryam , Gholami Mahboobe 
Published: April 2023

BACKGROUND:
Autism is a group of developmental disorders of the nervous system, the main manifestations of which are defects in social interactions and communication, as well as repetitive behaviors and limited interests. The etiology of autism is not limited to a single factor. Therefore, the aim of this study was to compare the relationship between pregnancy and childbirth factors and autism in healthy children and children with autism.

MATERIALS AND METHODS:
The present study was a cross-sectional study that was performed on 200 children in Isfahan in 2021. The instrument in this study was a researcher-made questionnaire. The collected data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22 software.

RESULTS:
The results of data analysis between the two groups with Mann–Whitney U test showed that there was a significant relationship between maternal age at delivery, father's age at delivery, gestational age at delivery, interval between pregnancies, and the length of hospital stay (P ≤ 0.05). Also, the results of data analysis with Chi-squared test showed that there is a significant relationship between the two groups in terms of economic status, place of residence, multiple pregnancies, neonatal sex, and disease in infancy (P ≤ 0.05).

CONCLUSION:
The results of this study showed that economic status, place of residence, multiple pregnancies, sex of the baby, and disease in infancy can be effective factors for this disease. According to the results of the study, by considering the factors related to autism, many cases can be adjusted and corrected as much as possible before attempting to conceive.
Effectiveness of a school-based health education program to improve the symptoms of premenstrual syndrome in high school girls in Ilam
Authors: Daneshvar Samira , Ahmadi Fereshteh , Naghizadeh Mohammad Mehdi , Direckvand-Moghadam Ashraf , Mohammadian Fathollah , Jalilian Mohsen , Ghazanfari Zeinab 
Published: April 2023

BACKGROUND:
The premenstrual syndrome happens periodically and affects both the individual and family. The aim of this study was to determine the effect of the health education program on reducing premenstrual syndrome in high school girls in Ilam.

MATERIALS AND METHODS:
This experimental study was conducted in girls' high schools in Ilam, in 2017–2018. In total, 120 students were enrolled in the study (intervention group = 61 and control group = 59) and selected through convenience sampling. In this study, a standard Premenstrual Symptoms Screening Tool (PSST) was used to diagnose students with premenstrual syndrome or Premenstrual Dysphoric Disorder (PMDD). The educational program for the intervention group was held in four sessions of 30 min for 4 consecutive weeks. The obtained data were analyzed by the SPSS statistical software at a significance level of less than 0.05.

RESULTS:
The results showed a significant difference in the proportion of cases with moderate and severe PMS and PMDD between intervention and control groups in follow-up (P < 0.001). However, these proportions were not significantly different between the two groups in the baseline.

CONCLUSIONS:
According to the results, the educational program can be recommended as an effective intervention for girls with moderate-to-severe premenstrual symptoms and premenstrual dysphoric disorder.
Cognitive behavioral counselling in post abortion grief: A randomized controlled trial
Authors: Bagheri Leila , Chaman Reza , Ghiasi Ashraf , Motaghi Zahra 
Published: April 2023

BACKGROUND:
Abortion is can led to certain psychological problems that may decreased self-esteem, and concerns about future fertility. Abortions have multiple psychological consequences such as grief, anxiety, depression, and post-traumatic stress. The purpose of this study is to examine the effect of cognitive behavioral counseling intervention on women in post-abortion period.

MATERIAL AND METHODS:
This research was a randomized, controlled trial study that was conducted on 168 women during the post-abortion period at the Khalill Azad Center of Larestan (Iran), where the women were selected randomly from February 2019 to January 2020. Data were collected using post-abortion grief questionnaire. All women in the post-abortion period answered the perinatal grief scale questions at the beginning of the intervention, immediately after the intervention and three months after the end of the intervention. Data were analyzed through descriptive statistics and repeated measures analysis of variance (ANOVA) with time and group were used to evaluate the effect of intervention.

RESULTS:
By using repeated measures ANOVA, the comparison of the mean score of grief in the two groups indicated that the scores decreased over time and it was lower in the intervention group. The mean score of grief between the intervention and control groups at the end of the intervention was 67.59 ± 13.21 and 75.42 ± 12.7, respectively (P < 0.001). Mean post-abortion grief score in the intervention and control groups three months after the intervention were 59.41 ± 13.71 and 69.32 ± 12.45, respectively (P < 0.001).

CONCLUSION:
According to results of this study, it can be concluded that the use of cognitive behavioral counselling can reduce post-abortion grief intensity or prevent the occurrence of complicated grief. Therefore, this method can be used as a preventive or therapeutic approach to control post-abortion grief and other psychological disorders.