bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Attention Deficit Hyperactivity Disorder in Girls With Central Precocious Puberty
Authors: Lee Jeewon , Lee Soyoung Irene , Lee Yoo Min , Hong Yong Hee 
Published: July 2023

Objective: The purpose of the current study was to examine the prevalence of attention deficit hyperactivity disorder (ADHD) in girls with central precocious puberty. Method: Girls with central precocious puberty were prospectively recruited from the pediatric clinic. Screening was done with ADHD Rating Scale (ADHD-RS) and Child Behavior Checklist (CBCL). Those who screened positive on ADHD-RS were referred for the diagnostic evaluation which included a Computerized Performance Test (CPT) and a clinical interview conducted by a child adolescent psychiatrist. Results: Among the 81 girls (mean age = 8.97 ± 0.91) who completed the study, 11 girls (13.58%) were diagnosed with ADHD: 5 of them were inattentive type and 6 of them were combined type. Conclusion: The present exploratory study showed that the prevalence of ADHD in girls with central precocious was higher than the known worldwide prevalence of ADHD in children
Use of School-Based Interventions for ADHD, Professional Support, and Burnout Symptoms among Teachers in Iceland
Authors: Karlsdóttir Erla , Gudmundsdottir Bergljot Gyda , Sveinbjörnsdóttir Berglind 
Published: July 2023

Objective: Effective school-based interventions for youth with ADHD are critical to their success. We examined whether teacher application of such interventions and perceptions of professional support related to greater well-being, including fewer burnout symptoms. Method: Teachers in primary schools in Iceland were invited to participate in an online survey, including questions about professional support and the Maslach Burnout Inventory (MBI). The sample comprised N = 592 (88.5% female) participants. Results: Regression analyses indicated that use of recommended ADHD interventions was positively associated with MBI-Personal Achievement (PA). Greater satisfaction with professional support related to lower MBI-Emotional Exhaustion and MBI-Depersonalization, and higher MBI-PA. Level of professional support was positively associated with use of recommended interventions. Conclusion: Effective interventions and support for students with ADHD may enhance teacher well-being. Icelandic teachers require further training and professional support in best practices for ADHD, to help promote teacher and student success.
Delivering person-centred dementia care: Perceptions of radiography practitioners within diagnostic imaging and radiotherapy departments
Authors: Higgins Robert , Spacey Adam , Innes Anthea 
Published: July 2023

Introduction Despite abundant literature on the diagnosis of dementia, limited research has explored the lived experiences of radiography practitioners when providing care to people living with dementia in the department. Objectives This qualitative study explored the perceptions and compatibility of current professional guidance by both diagnostic imaging and radiotherapeutic radiography practitioners as well as the key stakeholders involved with developing the Society and College of Radiographers clinical practice guidelines for caring for people with dementia. Methods This was a two-phase multi-method study. Fifteen diagnostic imaging and two therapeutic radiography practitioners from across the UK participated with online focus group discussions. Four key stakeholders involved with the development of the Society and College of Radiographers guidelines took part with individual semi-structured interviews. Data analysis included narrative and thematic analysis. Results Participants from both phases identified enablers and barriers to providing person-centred dementia care. Three superordinate themes were identified linked to (1) Working with care partners, (2) Departmental environmental design, and (3) Communication and interprofessional infrastructure. Discussion Many radiography practitioners still feel unprepared when caring for people living with dementia despite the clinical practice guidelines. Care partners were identified as having the potential to help alleviate some of the challenges radiographers faced. Participants were also aware of the impact of the departmental environment and recognised that poor way finding designs could lead to frustration. Radiography practitioners were not always aware that a patient was living with dementia prior to their attendance in the department making it difficult for practitioners to make appropriate accommodations such as additional time at appointments or the departmental environment. Our findings suggest there is a need for profession specific education and training for radiography practitioners to support the provision of person-centred dementia care. There is also a need to support the design of dementia friendly diagnostic imaging and radiotherapy departments.
Technical Feasibility and Safety of a Snare-Less, EVAR–First Technique for Iliac Branch Endoprosthesis
Authors: Chen Julia Fayanne , Loh Sarah Ann , Fischer Uwe , Nassiri Naiem 
Published: July 2023

Objective: The purpose of this study was to evaluate the technical feasibility, safety, and early outcomes of a snare-less, endovascular abdominal aortic aneurysm repair (EVAR)-first technique (SET) for iliac branch endoprosthesis (IBE) placement. Methods: We retrospectively reviewed all patients who received IBEs between July 2018 and March 2022. Patients were divided into 2 categories based on method of IBE deployment: SET or Standard. Primary endpoints were technical success, major adverse events, mortality, reintervention, internal iliac artery (IIA) patency, and freedom from IIA branch instability. Technical success was defined by successful deployment of both the EVAR and the IBE with maintained patency of the IIA and no stent graft migration. Results: There were 20 patients (90% male, median age 72 [65.4-74.5] years) who underwent IBE placement. Among these, 5 (33.3%) underwent SET to treat 5 common iliac artery (CIA)/IIA aneurysms, while the remaining 15 (66.7%) underwent standard IBE deployment with through-and-through femoral access (n=13) or trans-brachial access (n=2) to treat 19 CIA/IIA aneurysms. Overall median renal to iliac bifurcation length was 169 (152-177) mm, with 9 patients falling short of the minimum of 165 mm for on-label IBE placement. Median contrast used was 148 (120-201) mL, fluoroscopy time 42.8 (35.0-49.8) minutes, estimated blood loss 200 (100-275) mL, and procedure time 192 (167-246) minutes, with no significant differences between the 2 groups. Technical success was achieved in 100% of cases. At 30 days, there were no mortalities or major adverse events in either group; there were 100% IIA patency, no IIA instability, and no reinterventions in both groups. Median follow-up in the SET group was 5.7 (5.5-6.2) months, with 1 death at 6 months and 1 type 1B endoleak at 6 months requiring reintervention. Median follow-up for the Standard group was 1.6 (0.8-2.1) years with 2 non–aneurysm-related deaths and no reinterventions at 1 year. Conclusions: SET for IBE is a safe and effective approach that decreases technical complexity and mitigates anatomic barriers to IBE placement. Clinical Impact SET for IBE is a safe and effective approach to IBE placement that decreases technical complexity. A critical component to this technique is a large bore sheath with a stiff steerable tip. Importantly, this approach also mitigates anatomic barriers to IBE placement, expanding applicability of IBE technology to patients who may be otherwise ineligible.
The Case of Contradictions: How Prolonged Engagement, Reflexive Journaling, and Observations can Contradict Qualitative Methods
Authors: Dado Meikah , Spence Jessica R. , Elliot Jack 
Published: July 2023

Interviews and focus groups are common methods for conducting qualitative research. They provide in-depth descriptions of a phenomenon by listening to and analyzing participants' words. Yet, when a researcher immerses themself in an environment for a prolonged period participants are able to act and think naturalistically rather than in a formal interview setting. Prolonged engagement allows the researcher to blend into the participants' environment, therefore increasing the likelihood that the activities that occur in the presence of the researcher do not differ from the activities that occur without the researcher present. This prolonged interaction can provide more in-depth data including observations and address questions of credibility, rather than only conducting an interview or focus group. However, the observations can also bring forward contradictions participants display that differ from the interview or focus group conversation. By spending 3 months in Ghana with the International Agricultural Education Fellowship Program conducting monitoring and evaluation efforts, using a mixed-methods approach, contradictions arose from observations and reflexive journaling that would not have been found without the prolonged engagement. The purpose of this study is to provide methodological insight by examining how contradictions from interviews and focus groups arise when the researcher is immersed in the participants' environment and highlight the importance of prolonged engagement, observations, and reflexive journaling to qualitative credibility.
Impacts of the COVID-19 pandemic on patients with chronic conditions in Vietnam: A cross-sectional study
Authors: Vo Thi Ha , Nguyen Thanh Huyen , Nguyen Huy Chuong , Nguyen Thanh Hiep 
Published: July 2023

Objectives We assess the impact of the COVID-19 pandemic on health, treatment adherence and expectations of patients with chronic diseases in Vietnam. Methods We conducted a national cross-sectional study using a questionnaire survey, distributed through social networks and presented on Google Forms. The survey was performed during two months of the most stringent social distancing in Vietnam (between 21 July and 21 September 2021). Results Most of the participants said that the COVID-19 epidemic had affected their daily activities (91.9%), health (53.6%), sleep behavior (52.3%), and mental health (79.8%). During social distancing in Vietnam, three-quarter could not go to hospitals for periodic health examination; nearly half of respondents did not do daily physical activity; a quarter of respondents did not adhere to recommended diet plan. Factors associated with the effect of the COVID-19 epidemic on patient's health included those living in Ho Chi Minh City ( p = 0.015), lived alone ( p = 0.027), uncontrolled chronic conditions ( p < 0.001), treatment dissatisfaction or experienced anxiety/stress ( p < 0.001). Factors associated with medication adherence included the elderly ( p = 0.015), having periodic health examination ( p = 0.012), direct consultation ( p = 0.003), and telemedicine ( p = 0.007). Conclusion This study highlights the urgent need for better chronic management strategies for the new post-COVID era in the future.
Politically related stress and low-birth-weight infants among Arab, Asian, Hispanic, non-Hispanic Black, and non-Hispanic White women in Michigan
Authors: Dallo Florence J , Williams David R , Ruterbusch Julie J , Mittleman Murray A , Sakyi Kwame S , Mostofsky Elizabeth , Rimawi Asmaa , Qu Xianggui , Reid Todd G , Schwartz Kendra 
Published: July 2023

Background: Despite the high cost of low birth weight and the persistent challenge of racial inequities affecting the Arab American community, there has been limited research to identify and examine risk factors for these inequities with validated data on Arab American ethnicity and recent population stressors. Objectives: This study examined whether the 2016 presidential election is associated with low birth weight among non-Hispanic White, Arab American, Hispanic, and non-Hispanic Black women. Design: This population-based study of singleton births in Michigan (2008–2017) used an algorithm to identify mothers who were of Arab descent. Methods: We used logistic regression to estimate odds ratios and 95% confidence intervals for the association between race/ethnicity and the odds of low birth weight. We examined whether these associations differed before and after the 2016 presidential election and according to maternal education. Results: There were 1,019,738 births, including 66,272 (6.5%) classified as low birth weight. The odds of having a low-birth-weight infant were higher among all minority women compared to non-Hispanic White women. The association was similar before and after the 2016 presidential election and stronger among women with higher levels of education. Conclusion: This is the first study to estimate low birth weight among Arab American women in the context of political events. There are opportunities for future studies to discuss this issue in depth.
Diabetes Research and Resource Sharing During the COVID-19 Pandemic: A Systematic Review and Experience from an Academic/Non-Profit Resource Website
Authors: Yeung Andrea M. , Dirisanala Sudha , Abraham Amalia , Huang Jingtong , Brennan Grayson M. , Urrutia María Agustina , Baran Jesica D. , Nguyen Kevin T. , Xu Nicole Y. , Shang Trisha , Zhang Jennifer Y. , Klonoff David C. , Davis Georgia M. , Pasquel Francisco J. 
Published: July 2023

Background: The magnitude of the response of the diabetes professional community to the COVID-19 pandemic is not known. We aimed to examine diabetes technology research trends and resources offered by professional organizations during this period. Methods: We explored patterns of the response from the professional diabetes community to the pandemic by (1) systematically searching for articles related to diabetes, COVID-19, and diabetes technologies; (2) examining publication trends of research protocols (clinicaltrials.gov) and preprints (medRxiv); and (3) reviewing online resources from professional organizations including our website (COVIDinDiabetes.org; an Emory University—Diabetes Technology Society collaboration). Results: We identified 492 articles published between December 2019 and December 2022 meeting our inclusion criteria. Telemedicine and continuous glucose monitoring were the most common reported technologies from most parts of the world. The largest number of preprint articles was published in 2020, with a decline in 2021 and 2022. The number of research protocols related to COVID-19 was the highest in 2020 and declined in 2021 and 2022. Resources from organizations included protocols adapted to treat patients with diabetes and COVID-19, training programs, emergency preparedness, and literature on diabetes and COVID-19. On our website (COVIDinDiabetes.org), there were 12 236 visits and 18 149 pageviews, with 1.6 actions per visits, with most visits coming from North America (N = 7233, 54.2%), South America (N = 2663, 21.8%), and Europe (N = 1219). Conclusions: We conclude that the COVID-19 pandemic promoted unprecedented global research productivity related to diabetes and COVID-19 and that the transition to the use of technology resources has been evident during this period.
First Generation of a Modular Interoperable Closed-Loop System for Automated Insulin Delivery in Patients With Type 1 Diabetes: Lessons From Trials and Real-Life Data
Authors: Benhamou Pierre-Yves , Adenis Alice , Lablanche Sandrine , Franc Sylvia , Amadou Coralie , Penfornis Alfred , Kariyawasam Dulanjalee , Beltrand Jacques , Charpentier Guillaume 
Published: July 2023

Background: DBLG1 (Diabeloop Generation 1) stands as one of the five commercially available closed-loop solution worldwide for patients with type 1 diabetes as of 2023. Our aim was to provide an overview of all data obtained with this system regarding outcomes and populations, with an emphasis on interoperability. Methods: This report includes all available sources of data (three randomized control trials and five surveys on real-life data). Collection ran from March 3, 2017 to April 30, 2022. Results: We gathered data from 6859 adult patients treated with closed-loop from three to 12 months. Overall, all sources of data showed that time in range (TIR) 70 to 180 mg/dL, starting from 47.4% to 56.6%, improved from 12.2 to 17.3 percentage points. Time in hypoglycemia was reduced by 48% in average (range: 26%-70%) and reached a level of 1.3% in the largest and most recent cohort. In patients with excessive time in hypoglycemia at baseline (≥5%), closed-loop allowed a reduction in time below range (TBR) by 59%. The comparison of days with declared physical activity versus days without physical activity did not show differences in TBR. The improvement in TIR observed with three different pump systems (Vicentra Kaleido, n = 117; Sooil Dana-I, n = 84; and Roche Insight, n = 6684) ranged from 15.4 to 17.3 percentage points. Discussion: These data obtained in different European countries were consistent throughout all reports, showing that this closed-loop system is efficient (high improvement in TIR), safe (remarkably low level of TBR), and interoperable (three pump settings so far).
A case series in individuals with multiple sclerosis using direct current electrical stimulation to inhibit spasticity and improve functional outcomes
Authors: Ellerbusch Courtney L , Chapple Kristina M , Seibert Julie B 
Published: July 2023

Background and Purpose Multiple sclerosis (MS) has a high incidence of debilitating spasticity. Central Nervous System (CNS) intrafusal settings have an impact on spasticity level. Mechanoreceptors of the Peripheral Nervous System (PNS) communicate monosynaptically with the central nervous system (CNS). This case series assesses feasibility of multimodal treatment of individuals with MS using a direct current electrical stimulation (DC) to influence mechanoreceptors. Case Description and Intervention Seven MS diagnosed participants with Expanded Disability Status Scale (EDSS) = 6.0–8.0 completed 18 visits over 6 weeks of using DC combined with neuromuscular reeducation. Design included pre-, post- outcome measures of EDSS, 12-item MS Walking Scale (MSWS-12), Range of Motion (ROM), Manual Muscle Testing (MMT), Modified Ashworth Test (MAT), Timed 25-Foot walk (T25WT), Timed Up and Go (TUG) and the Multiple Sclerosis Impact Scale-29 (MSIS-29). Outcome 125 out of a possible 126 visits were completed, demonstrating a high level of tolerance. Individual results included trends towards improvement in spasticity and agonists. Discussion This case series design of seven heterogenous subjects with MS is a low sample size for statistical analysis and should be considered a pilot. The study demonstrates a high level of feasibility and possible correlations to consider. Further research is warranted.
Operating Room Nurses’ Understanding of Their Roles and Responsibilities for Patient Care and Safety Measures in Intraoperative Practice
Authors: Chellam Singh Bisma , Arulappan Judie 
Published: July 2023

Introduction Surgical care has been a vital part of healthcare services worldwide. Several patient safety measures have been adopted universally in the operating room (OR) before, during, and following surgical procedures. Despite this, errors or near misses still occur. Nurses in the OR have a pivotal role in the identification of factors that may impact patient safety and quality of care. Therefore, exploring the OR nurses’ understanding of their roles and responsibilities for patient care and safety in the intraoperative practice, which could lead to optimal patient safety, is essential. Objective This study explored the understanding of OR nurses regarding their roles and responsibilities for patient care and safety measures in the intraoperative practice. Methods The study was conducted in one of the tertiary care hospitals in the United Arab Emirates. Qualitative, descriptive, exploratory research design was utilized. The data were collected using semi-structured face to face interviews. Purposive sampling included eight nurses. Data analysis was performed following Colaizzi's seven-step strategy. Results Seven emerging themes were identified. The main themes are: patient safety, preoperative preparation, standardization of practice, time management, staffing appropriateness, staff education and communication, and support to the patient in the OR. Conclusion OR nurse leaders may take into consideration the current findings as a reference for quality improvement projects in the hospital, considering the specific characteristics of each local setting. Although the participants consider that the environment is safe and the quality of care is high in the study setting, there is still room for improvement on workflows and processes. OR workflow should be improved especially by addressing the potential patient safety issues.
Effects of machining parameters on H13 die steel using CNC drilling machine
Authors: KB Hariharan , S Vijayalakshmi , G Navaneethakrishnan , R Palanisamy , Alwetaishi Mamdooh , Alahmadi Ahmad Aziz , Alzaed Ali Nasser , MA Kalam , Shahapurkar Kiran 
Published: July 2023

In order to enhance the fitness of the product and in order to improve productivity in turning operations, greater amount of challenges have been faced. In this paper, we have made a comparative analysis of HSS and carbide coated HSS drills while machining with H13 steel plates. For the drilling operation, process parameters were analysed using the Taguchi design of experiments. The response performance characteristics of surface roughness of H13 die steel plates for the drilling settings, cutting speed (rpm), and feed rate (mm/min) is optimized. The design of the experiment was conducted using the Taguchi technique for the L18 orthogonal array, and an analysis of variance was observed. The effect of drilling settings on the quality of drilled holes is examined; variation in surface roughness for various levels of speed and feed and the different combinations of these levels will form an L18 orthogonal array design of experiment by Taguchi analysis. A total of 36 cutting tests were performed with two different drill bits; here three different cutting speeds of 300, 600, and 900 rpm were taken with a feed rate of 0.02, 0.04, and 0.06 mm/rev combinations. The response of SN ratio for surface roughness of HSS and carbide tool has been found out for different levels of speed and feed. From this Taguchi analysis, it is identified that the optimal parameter. As a result, the factors are analysed, and optimized parameters have been concluded for H13 material using HSS, and carbide tools were examined both statistically and experimentally. The carbide coated drill bit gives 60% better surface roughness value based on experimental data obtained. The surface roughness value based on experimentation for HSS tool was found to be 34.16% and carbide coated drill bit was 23.40%.