bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost-effectiveness analysis of a hand hygiene monitoring system in a tertiary pediatric hospital in Mexico
Authors: Salinas-Escudero Guillermo , Rosa-Zamboni Daniela De la , Carrillo-Vega María Fernanda , Gamiño-Arroyo Ana Estela , Toledano-Toledano Filiberto , Ortega-Riosvelasco Fernando , Granados-García Víctor , Villa-Guillén Mónica , Garduño-Espinosa Juan 
Published: March 2023

BackgroundAn automated hand-hygiene monitoring system (AHHMS) was implemented in October 2019 at the Hospital Infantil de México Federico Gómez (HIMFG), a tertiary pediatric referral hospital, in four of the hospital wards with the highest rates of Healthcare Associated Infections (HAIs). The clinical and economic impact of this system had not yet been assessed prior to this study. This study aimed to evaluate if the AHHMS is a cost-effective alternative in reducing HAIs in the HIMFG.MethodologyA full cost-effectiveness economic assessment was carried out for the hospital. The alternatives assessed were AHHMS implementation vis-a-vis AHHMS non-implementation (historical tendency). The outcomes of interest were infection rate per 1,000 patient-days and cost savings as a result of prevented infections. Infection rate data per 1,000 patient-days (PD) were obtained from the hospital's Department of Epidemiology with respect to the AHHMS. As regards historical tendency, an infection-rate model was designed for the most recent 6-year period. Infection costs were obtained from a review of available literature on the subject, and the cost of the implemented AHHMS was provided by the hospital. The assessment period was 6 months. The incremental cost-effectiveness ratio was estimated. Costs are reported in US Dollars (2021). Univariate sensitivity and threshold analysis for different parameters was conducted.ResultsThe total estimated cost of the AHHMS alternative represented potential savings of $308,927–$546,795 US Dollars compared to non-implementation of the system (US$464,102 v. US$773,029–$1,010,898) for the period. AHHMS effectiveness was reflected in a diminished number of infections, 46–79 (−43.4–56.7%) compared to non-implementation (60 v. 106-139 infections).ConclusionThe AHHMS was found to be a cost-saving alternative for the HIMFG given its cost-effectiveness and lower cost vis-a-vis the alternate option. Accordingly, the recommendation was made of extending its use to other areas in the hospital.
Associations between short-term PM2.5 exposure and daily hospital admissions for circulatory system diseases in Ganzhou, China: A time series study
Authors: You Xiaojie , Cao Xiuyu , Guo You , Wang Dongming , Qiu Weihong , Zhou Chuanfei , Zhou Min , Chen Weihong , Zhang Xiaokang 
Published: March 2023

ObjectivePrevious epidemiological studies have shown that both long-term and short-term exposure to fine particulate matters (PM2.5) were associated with the morbidity and mortality of circulatory system diseases (CSD). However, the impact of PM2.5 on CSD remains inconclusive. This study aimed to investigate the associations between PM2.5 and circulatory system diseases in Ganzhou.MethodsWe conducted this time series study to explore the association between ambient PM2.5 exposure and daily hospital admissions for CSD from 2016 to 2020 in Ganzhou by using generalized additive models (GAMs). Stratified analyses were also performed by gender, age, and season.ResultsBased on 201,799 hospitalized cases, significant and positive associations were found between short-term PM2.5 exposure and hospital admissions for CSD, including total CSD, hypertension, coronary heart disease (CHD), cerebrovascular disease (CEVD), heart failure (HF), and arrhythmia. Each 10 μg/m3 increase in PM2.5 concentrations was associated with a 2.588% (95% confidence interval [CI], 1.161%–4.035%), 2.773% (95% CI, 1.246%–4.324%), 2.865% (95% CI, 0.786%–4.893%), 1.691% (95% CI, 0.239%–3.165%), 4.173% (95% CI, 1.988%–6.404%) and 1.496% (95% CI, 0.030%–2.983%) increment in hospitalizations for total CSD, hypertension, CHD, CEVD, HF, and arrhythmia, respectively. As PM2.5 concentrations rise, the hospitalizations for arrhythmia showed a slow upward trend, while other CSD increased sharply at high PM2.5 levels. In subgroup analyses, the impacts of PM2.5 on hospitalizations for CSD were not materially changed, although the females had higher risks of hypertension, HF, and arrhythmia. The relationships between PM2.5 exposure and hospitalizations for CSD were more significant among individuals aged ≤65 years, except for arrhythmia. PM2.5 had stronger effects on total CSD, hypertension, CEVD, HF, and arrhythmia during cold seasons.ConclusionPM2.5 exposure was positively associated with daily hospital admissions for CSD, which might provide informative insight on adverse effects of PM2.5.
COVID-19 surveillance: Large decrease in clinical notifications and epidemiological investigation questionnaires for laboratory-confirmed cases after the 2nd epidemic wave, Portugal March 2020–July 2021
Authors: Ricoca Peixoto Vasco , Vieira André , Aguiar Pedro , Sentis Alexis , Carvalho Carlos , Rhys Thomas Daniel , Abrantes Alexandre , Nunes Carla 
Published: March 2023

IntroductionIn Portugal, COVID-19 laboratory notifications, clinical notifications (CNs), and epidemiological investigation questionnaires (EI) were electronically submitted by laboratories, clinicians, and public health professionals, respectively, to the Portuguese National Epidemiological Surveillance System (SINAVE), as mandated by law. We described CN and EI completeness in SINAVE to inform pandemic surveillance efforts.MethodsWe calculated the proportion of COVID-19 laboratory-notified cases without CN nor EI, and without EI by region and age group, in each month, from March 2020 to July 2021. We tested the correlation between those proportions and monthly case counts in two epidemic periods and used Poisson regression to identify factors associated with the outcomes.ResultsThe analysis included 909,720 laboratory-notified cases. After October 2020, an increase in the number of COVID-19 cases was associated with a decrease in the submissions of CN and EI. By July 2021, 68.57% of cases had no associated CN nor EI, and 96.26% had no EI. Until January 2021, there was a positive correlation between monthly case counts and the monthly proportion of cases without CN nor EI and without EI, but not afterward. Cases aged 75 years or older had a lower proportion without CN nor EI (aRR: 0.842 CI95% 0.839–0.845). When compared to the Norte region, cases from Alentejo, Algarve, and Madeira had a lower probability of having no EI (aRR;0.659 CI 95%0.654–0.664; aRR 0.705 CI 95% 0.7–0.711; and aRR 0.363 CI 95% 0.354–0.373, respectively).DiscussionAfter January 2021, CN and EI were submitted in a small proportion of laboratory-confirmed cases, varying by age and region. Facing the large number of COVID-19 cases, public health services may have adopted other registry strategies including new surveillance and management tools to respond to operational needs. This may have contributed to the abandonment of official CN and EI submission. Useful knowledge on the context of infection, symptom profile, and other knowledge gaps was no longer adequately supported by SINAVE. Regular evaluation of pandemic surveillance systems' completeness is necessary to inform surveillance improvements and procedures considering dynamic objectives, usefulness, acceptability, and simplicity.
Supporting the future of medicine: Student mental health services in medical school
Authors: Hale Elijah W. , Davis Rachel A. 
Published: March 2023

BackgroundMental health issues are common among United States medical students, and the AAMC has established recommendations for student mental health services provided by medical schools. Few studies directly compare mental health services at medical schools across the United States and, to our knowledge, none analyze how well schools adhere to the established AAMC recommendations.ObjectiveTo determine whether mental health services at United States medical schools adhere to established guidelines.MethodsFrom October 2021 to March 2022, we obtained student handbooks and policy manuals from 77% of the accredited LCME United States medical schools. The AAMC guidelines were operationalized and placed into a rubric format. Each set of handbooks was independently scored against this rubric. A total of 120 handbooks were scored and the results were compiled.ResultsRates of comprehensive adherence were very low, with only 13.3% of schools displaying adherence to the full set of AAMC guidelines. Partial adherence was higher, with 46.7% of schools meeting at least one of three guidelines. Portions of guidelines whose requirements reflected a standard for LCME accreditation displayed a higher rate of adherence.ConclusionThe low rates of adherence across medical schools, as measured by handbooks and Policies &amp; Procedures manuals, represents an opportunity to improve the mental health services within United States allopathic schools. An increase in adherence could be a step towards improving the mental health of United States medical students.
Intimate partner sexual violence during pregnancy and its associated factors in Northwest Ethiopian women
Authors: Azene Zelalem Nigussie , Merid Mehari Woldemariam , Taddese Asefa Adimasu , Andualem Zewudu , Amare Nakachew Sewnet , Taye Birhan Tsegaw 
Published: March 2023

BackgroundViolence against women is a global problem. In pregnant women, it is a particular concern as a virtue of the additional risks to the unborn child. Of different acts of violence, sexual violence shares the major contribution that results in short and long-term physical, sexual, reproductive, and mental health problems of pregnant women. Little is known about sexual violence during pregnancy in Ethiopia.Objectivethis study aimed to assess the proportion and factors associated with intimate partners' sexual violence against pregnant women in Northwest Ethiopia.MethodsA cross-sectional study was conducted among 409 pregnant women in Debre Markos town from March to April 2018. The study participants were selected using a systematic random sampling technique. A pre-tested and validated questionnaire was used. Binary logistic regression analyses were done to identify associated factors and the adjusted odds ratio (AOR) with its 95 % confidence interval (CI) at a p-value of &lt;0.05 was used to declare a significant association.ResultOf 409 pregnant women, 19.8% have experienced sexual violence by their intimate partner during their current pregnancy. Accordingly, the major intimate partner sexual violence during pregnancy was having unwanted sexual intercourse due to fear from the partner (13.4%), being forced to do something sexual that is degrading or humiliating (13.0%), and being physically forced to have sexual intercourse (9.8%). Living with her partner/husband (AOR: 3.73, 95% CI: 1.30, 10.69), uneducated educational status of partner (AOR: 2.43, 95% CI: 1.06, 5.56), and frequency of alcohol consumption (AOR: 3.20, 95% CI: 1.24, 8.26) were factors associated with increased occurrence of intimate partner sexual violence during pregnancy.ConclusionThe proportion of sexual violence against pregnant women by their intimate partner(s) was found to be common in our study. Socio-demographic and behavioral-related factors were risk factors for sexual violence. As a result, preventive strategies and interventions centering on the empowerment of those facing the greatest barriers to reproductive freedom require a shift from traditional ways of thinking.
Case report: L5 tomita En bloc spondylectomy for oligometastatic liposarcoma with post adjuvant stereotactic ablative radiotherapy
Authors: Saha Priyanshu , Raza Mohsen , Fragkakis Angelo , Ajayi Bisola , Bishop Timothy , Bernard Jason , Miah Aisha , Zaidi Shane H. , Abdelhamid Mohamed , Minhas Pawan , Lui Darren F. 
Published: March 2023

IntroductionTomita En-bloc spondylectomy of L5 is one of the most challenging techniques in radical oncological spine surgery. A 42-year-old female was referred with lower back pain and L5 radiculopathy with a background of right shoulder liposarcoma excision. CT-PET confirmed a solitary L5 oligometastasis. MRI showed thecal sac indentation hence wasn't suitable for Stereotactic Ablative Radiotherapy (SABR) alone. The seeding nature of sarcoma prevents the indication of separation surgery hence excisional surgery is considered for radical curative treatment. This case report demonstrates dual-staged modified TES including the utilisation of novel techniques to allow for maximum radical oncological control in the era of SABR and lesser invasive surgery.MethodsFirst-stage: Carbonfibre pedicle screws planned from L2 to S2AI-Pelvis, aligned, to her patient-specific rods. Radiofrequency ablation of L5 pedicles prior to osteotomy was performed to prevent sarcoma cell seeding. Microscope-assisted thecal sac tumour separation and L5 nerve root dissection was performed. Novel surgical navigation of the ultrasonic bone-cutter assisted inferior L4 and superior S1 endplate osteotomies. Second-stage: Vascular-assisted retroperitoneal approach at L4–S1 was undertaken protecting the great vessels. Completion of osteotomies at L4 and S1 to En-bloc L5: (L4 inferior endplate, L4/5 disc, L5 body, L5/S1 disc and S1 superior endplate). Anterior reconstruction used an expandable PEEK cage obviating the need for a third posterior stage. Reinforced with a patient-specific carbon plate L4–S1 promontory.ResultsPatient rehabilitated well and was discharged after 42 days. Cyberknife of 30Gy in 5 fractions was delivered two months post-op. Despite left foot drop, she's walking independently 9 months post-op.ConclusionThese are challenging cases require a truly multi-disciplinary team approach. We share this technique for a dual stage TES and metal-free construct with post adjuvant SABR to achieve maximum local control in spinal oligometastatic disease. This case promotes our modified TES technique in the era of SABR and separation surgery in carefully selected cases.
Management of COVID-19-related post-intubation tracheal stenosis
Authors: Conforti Serena , Licchetta Gloria , Reda Marco , Astaneh Arash , Pogliani Luca , Fieschi Stefano , Rinaldo Alessandro , Torre Massimo 
Published: March 2023

IntroductionThe Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has affected Italy since the beginning of 2020. Endotracheal intubation, prolonged mechanical ventilation, and tracheostomy are frequently required in patients with severe COVID-19. Tracheal stenosis is a potentially severe condition that can occur as a complication after intubation. The aim of this study was to evaluate the utility and safety of endoscopic and surgical techniques in the treatment of tracheal stenosis related to COVID-19.Materials and MethodsBetween June 2020 and May 2022, consecutive patients with tracheal stenosis who were admitted to our surgical department were considered eligible for participation in the study.ResultsA total of 13 patients were included in the study. They consisted of nine women (69%) and four men (31%) with a median age of 57.2 years. We included seven patients with post-tracheostomy tracheal stenosis. Bronchoscopy was performed to identify the type, location, and severity of the stenosis. All patients underwent bronchoscopic dilation and surveillance bronchoscopy at 7 and 30 days after the procedure. We repeated endoscopic treatment in eight patients. Three patients underwent tracheal resection anastomosis. Final follow-up bronchoscopy demonstrated no residual stenosis.ConclusionsThe incidence of and risk factors associated with tracheal stenosis in critically ill patients with COVID-19 are currently unknown. Our experience confirms the efficacy and safety of endoscopic management followed by surgical procedures in cases of relapsed tracheal stenosis.
Cutting-edge patient-specific surgical plates for computer-assisted mandibular reconstruction: The art of matching structures and holes in precise surgery
Authors: Liu Renshun , Su Yuxiong , Pu Jingya , Zhang Chunyu , Yang Weifa 
Published: March 2023

ObjectivesCutting-edge patient-specific surgical plates (PSSPs) are supposed to improve the efficiency, precision, and functional outcomes of mandibular reconstruction. This study characterized the premium role of PSSPs in precise surgery and explored their working principles in computer-assisted mandibular reconstruction (CAMR).MethodsThe PSSPs-enhanced surgical precision was investigated through the model surgery and representative cases. Spatial deviations of reconstruction were characterized by comparing the reconstructed mandible with the virtually designed mandible. Working principles of PSSPs were distinguished by a review of evolving surgical techniques in CAMR.ResultsIn the model surgery, spatial deviations between the virtually planned mandible and the reconstructed mandible were 1.03 ± 0.43 mm in absolute distance deviation, 1.70 ± 1.26 mm in intercondylar length, and 1.86 ± 0.91 mm in intergonial length in the study group of PSSPs, significantly smaller than in the control group of conventional prebent surgical plates. Meanwhile, in the study group, distance deviations were 0.51 ± 0.19 mm in bone-plate distance and 0.56 ± 0.28 mm in drilled screw holes, indicating the art of matching structures and holes. The PSSPs-enhanced CAMR was further demonstrated in three representative cases of mandibular reconstruction. Finally, four primary techniques of CAMR were summarized based on a review of 8,672 articles. The premium role of PSSPs was distinguished by the benefits of matching structures and holes.ConclusionsThe PSSPs-enhanced surgical precision was verified through the model surgery and demonstrated in human surgery. Compared to other surgical techniques of CAMR, PSSPs contributed to the precise surgery by the art of matching structures and holes.
ON THE ROLE OF MARINE TRANSPORT ENGINEERS PROFESSIONALLY-ORIENTED FOREIGN LANGUAGE TRAINING IN THE CONTEXT OF INTERNATIONAL CONVENTIONS
Authors: Makarevich T. , Kondrat'ev S. , Heckert E , Kuznetsova Yu , Cyganko E. , Skoda V , Yavorskaya D. 
Published: March 2023

The marine engineer activity is associated with the need for communication in a multinational crew. The article
deals with professionally-oriented foreign language training of marine engineers in the context of international
conventions. The description of the developed guidebook "Oil Record Book" is given. The original professional
situations offered in the guidebook for analysis show the conditions of the activity of mechanical engineers
when they perform the main typical tasks of their professional activity and contribute to the improvement of
foreign language speech competence. The basic unit of training is a typical professional task as a fragment of
the subject context, the development of which includes not only the subject, but also the social component of
the marine engineer future activity. The results of the work on the marine specialists training on the basis of
the developed guidebook "Oil Record Book" as a means of forming competencies in the conditions of mastering
typical tasks of professional work are analyzed. The features and dynamics of the development of professional
foreign language communicative competencies are studied
SOME PECULIARITIES OF THE HARDENING METHODS OF SHIPBORNE TECHNICAL PARTS
Authors: Syusyuka E , Amineva E. , Blinova T. 
Published: March 2023

The article describes the main reasons for the failure of the ship's technical equipment parts. The analysis of
the features of hardening products by various methods allows, depending on the operating conditions of the
products, to choose the most suitable nanocoating and improve the quality of the surface layer
ANALYSIS OF PROMISING AREAS FOR IMPROVING FUEL PUMP DESIGNS FOR AIRCRAFT AND MARINE VESSELS
Authors: Shkoda V , Makarevich T. , Modina M , Kuznetsova Yu , Gevorgyan A. 
Published: March 2023

The level of industrial development currently requires constant modernization of the pumping equipment produced:
improving its design and manufacturing technology, as well as improving energy efficiency and competitiveness
in the world market. The article analyzes promising areas for improving fuel pump designs for
aircraft and marine vessels
Effectives of the Implementation of the Maternity Benefits among Textile Workers in Tiruppur
Authors: Uma R 
Published: March 2023

This research study has evaluated the implementation effectiveness of the maternity benefits conferred on women workers employed in the textile industry of Tiruppur. The labor laws in India have conferred maternity benefits on women workers as a social security measure to help them overcome the difficulties arising out of the contingent situations on account of pregnancy and child birth thereby ensuring secure employment and humane working conditions for women. As the textile industry in Tiruppur employs a huge number of women there is a need to examine the effectiveness of the implementation of the provisions related to maternity benefits. The respondents for the study are married women workers with children employed in the textile industry. The sample size for the study is 78 collected by convenience sampling method. Regression method using SPSS version 23 was employed data analysis. The results have found lack of effectiveness in the implementation of the maternity benefits among the women workers.
Nitrogen-doped β-Ga2O3 vertical transistors with a threshold voltage of ≥1.3 V and a channel mobility of 100 cm2 V−1 s−1
Authors: Wakimoto Daiki , Lin Chia-Hung , Thieu Quang Tu , Miyamoto Hironobu , Sasaki Kohei , Kuramata Akito 
Published: March 2023

Abstract
We demonstrate high-performance normally-off multi-fin β-Ga2O3 vertical transistors with a wide fin width from 1.0 to 2.0 μm by using a nitrogen-doped β-Ga2O3 high-resistive layer grown by halide vapor phase epitaxy. Normally-off operation was achieved with a threshold voltage of ≥1.3 V, a specific on-resistance of 2.9 mΩ·cm2 and a current density of 760 A cm−2 at a gate voltage of +10 V. The estimated MOS channel field effect mobility was ∼100 cm2 V−1 s−1. These findings offer important insights on the development of Ga2O3 MOSFETs and show the great promise of Ga2O3 vertical power devices.
Évaluation de la valorisation scientifique des bourses attribuées par la Société de Réanimation de Langue Française
Authors: De la SRLF CERC , Poiroux Laurent , Llitjos Jean-François , Barbar Saber , Jacq Gwenaëlle , Decormeille Guillaume , Ouanes-Besbes Lamia , Kamel Toufik , Bachoumas Kostas , Heming Nicholas , Lascarrou Jean-Baptiste , Hermann Bertrand 
Published: March 2023

Objectifs
La Société de Réanimation de Langue Française (SRLF) alloue plusieurs bourses afin de promouvoir une recherche en soins critiques de qualité. L’objectif de cette étude était de déterminer l’association entre obtention d’une bourse et production scientifique.
Matériel et Méthodes
Chaque récipiendaire d’une bourse de la SRLF a été contacté entre Juin et Octobre 2020 via un formulaire en ligne permettant de connaitre l’état d’avancement du projet financé. Des analyses uni- et multivariées ont été réalisées pour déterminer les facteurs associés à la valorisation du projet (publication dans une revue à comité de lecture et/ou présentation en congrès).
Résultats
Entre 2007 et 2019, la SRLF a attribué 104 bourses à 95 récipiendaires pour un montant total de 1 572 500 euros. Sur les 86 (83%) récipiendaires qui ont répondu au questionnaire, 69 (80%) ont déclaré une valorisation scientifique de leur travail, via la publication d’un article (63%) et/ou la présentation en congrès (60%). En analyse multivariée, le seul facteur indépendamment associé à la valorisation scientifique était le délai écoulé depuis la réception de la bourse (odds-ratio (OR) et intervalle de confiance 95% 1.4 [1.14-1.82] par an, p=0.004).
Conclusion
La SRLF contribue au financement d’une recherche clinique et expérimentale de qualité. publiée dans des journaux à haut facteur d’impact.