bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optical detection of infiltration during peripheral intravenous infusion in neonates
Authors: D’Andrea Vito , Prontera Giorgia , Carlino Riccardo , Di Trani Helena , Carlettini Ilaria , Pittiruti Mauro , Vento Giovanni 
Published: July 2023

Background: Infiltration and extravasation are common complications during peripheral intravenous infusion in the neonatal intensive care unit, and diagnosis is usually clinical, by inspection and palpation. Delay in diagnosis due to poor surveillance or misinterpretation of clinical signs may carry serious damage to the tissues of the neonate. Recently, a novel technology based on optical detection of infiltration has become available. Methods: We have studied two groups of term and preterm infants receiving non-vesicant intravenous infusions by the peripheral route (24G short peripheral cannulas), and we evaluated the incidence of infiltration. In the first group, we have compared the clinical detection of infiltration versus the detection obtained by a novel optical device, blinding the alarms of the device. In the second group, the comparison was carried out without blinding the alarms. Results: Of the neonates included in this study, 60% were female, 86% had a gestational age <37 weeks (34 ± 2.5 weeks) and a mean birth weight of 2.08 ± 0.4 g. Total recorded monitoring time was 1318 h and average monitoring time for each short peripheral cannula was 26.4 h. The incidence of infiltration was 80%, most of them having a Millam score <2. The novel device showed an overall sensitivity of 88.9% in detecting infiltration. Specificity was 84.4%, as evaluated assuming as standard the clinical diagnosis. Interestingly, in cases of documented infiltration, the event was diagnosed by the optical device approximately 6 h before the clinical diagnosis. Conclusions: Continuous monitoring of the insertion site, as automatically ensured by this novel optical device, may play a complementary role in early detection of infiltration, even if the percentage of false positives and false negatives suggests that periodic clinical assessment by expert nurses cannot be omitted.
Evaluating quality of contraceptive counseling using SERVQUAL model: A cross-sectional study in southern Ethiopia, 2021
Authors: Geta Hardido Temesgen , Toru Tigistu , Ataro Bizuayehu Atinafu , Saol Tilahun 
Published: July 2023

Background: Providing quality contraceptive counseling services is essential to support mothers in using modern contraceptives that meet their needs. However, the quality of service provision has not been evaluated in a study setting. Objective: This study aimed to assess the quality of contraceptive counseling using a service quality model in southern Ethiopia. Design: A facility-based cross-section study was conducted. Methods: The study was conducted from 15 May to 15 June 2021 at the public health facilities of Boloso Bombe Woreda in southern Ethiopia. In total, 391 clients were included using systematic sampling techniques. Data were collected using a structured service quality questionnaire, entered into EPI data version 3.1, and analyzed using SPSS version 25 for data analysis. The significant difference and correlation between the mean of a client’s perception and expectation were determined using the Wilcoxon’s sign test. The correlation between sociodemographic characteristics and the quality of counseling was tested using the Friedman’s test. A p value of <0.05 was taken as the criterion for statistical significance. Finally, the result was presented in a table and pie chart. Results: The study participants included 391 women of childbearing age attending family planning clinics, with a 96.6% response rate. Overall, the quality of advice was found to be low. Respondents’ ages (p < 0.001, χ2 = 385.00), number of living children (p < 0.001, χ2 = 381.04), marital status (p < 0.001, χ2 = 359.60), type of contraceptive method (p < 0.001, χ2 = 379.61), user type (p < 0.001, χ2 = 368.59), occupations (p < 0.001, χ2 = 379.00), and educational status (p < 0.001, χ2 = 371), 20) were statistically associated with the quality of counseling service. Conclusion: In all health facilities, the quality of contraceptive counseling services was low. Family planning users had high expectations of the contraceptive counseling service compared to that which they received.
Menstrual cycle symptoms are associated with nutrient intake: Results from network analysis from an online survey
Authors: Ghazzawi Hadeel A. , Alhaj Omar , Bragazzi Nicola , Alnimer Lana , Jahrami Haitham 
Published: July 2023

Background: Less is understood about female’s nutrient intake’s impact on the severity of the menstrual cycle (MC) symptoms, which consequently interferes with their life quality. Objectives: The goal of this study is to look at the relationship between female nutrient consumption and the severity of MC symptoms to better understand how food affects women’s quality of life during their MCs. Design: To investigate this impact among healthy adult women, a self-administered, cross-sectional online questionnaire was obtained from 204 regularly menstruating women aged between 18 and 40. Methods: The questionnaire included questions on sociodemographic characteristics, a semi-food frequency questionnaire (FFQ), Arabic Premenstrual Syndrome Scale (A-PMS-S) for MC symptoms. Results: Results showed intake of polyunsaturated fatty acids (PUFAs) was associated with lower no to mild versus moderate to severe physical symptoms (odds ratio (OR): 0.71, 95% confidence interval (CI): 0.59–0.85; p < 0.001), psychological symptoms (OR: 0.87, 95% CI: 0.77–0.99; p < 0.05), and functioning symptoms (OR: 0.92, 95% CI: 0.83–1.02; p > 0.1). Thiamine prevented psychological symptoms (OR: 0.02, 95% CI: 0.02–0.02; p < 0.001), physiological symptoms (OR: 0.59, 95% CI: 0.58–0.60; p < 0.001), and functioning symptoms (OR: 0.47, 95% CI: 0.47–0.48; p < 0.001). Saturated fat, iron, and niacin intakes increased the risk of experiencing MC psychological symptoms. Conclusion: Our findings suggest that MC symptoms were correlated with some nutrient intake from food sources, which is considered an external controllable factor more than demographic characteristics. Therefore, women should be aware of the type of food consumed during their monthly MC phase.
Open fractures of the hand: a new classification based on risk score to predict infection requiring re-debridement
Authors: Atthakomol Pichitchai , Thachooprakorn Nitipong , Phinyo Phichayut , Manosroi Worapaka 
Published: July 2023

We developed a classification for open hand fractures based on risk score to predict the risk of infection requiring re-debridement. A total of 846 retrospectively included patients underwent multivariable analysis with backward elimination to derive the predictive risk score from independent predictors. The incidence of infection requiring re-debridement was 4%. Independent predictors include diabetes mellitus or immunocompromised condition, injuries from a bite, fractures with comminution/bone loss, neurovascular injuries and inadequate soft tissue coverage. The area under the receiver operating characteristic curve of the prediction score was 0.79. The new classification system for open hand fractures divides patients into three groups: low-risk open fractures (Type I, score <1); moderate-risk open fractures (Type II, score 1 to 2.5); and high-risk open fractures (Type III, score >2.5), based on the risk of infection requiring re-debridement. Re-debridement and delayed primary closure are suggested for type III open fractures. Level of evidence: III
Long-term efficacy and safety of the Dumon stent for treatment of benign airway stenosis
Authors: Lin Li-Qin , Chen Di-Fei , Wu Hong-Kai , Chen Yu , Zhong Chang-Hao , Chen Xiao-Bo , Tang Chun-Li , Zhou Zi-Qing , Li Shi-Yue 
Published: July 2023

Background: The long-term efficacy of the Dumon stent in the treatment of benign airway stenosis is unclear. Objective: The objective of this study was to evaluate the long-term efficacy and safety of the Dumon stent in patients with benign airway stenosis. Methods: We retrospectively reviewed patients with benign airway stenosis who were treated with a Dumon stent at the First Affiliated Hospital of Guangzhou Medical University between March 2014 and October 2021. We included patients with successful removal of silicone stents after implantation. The clinical data and information on bronchoscopic interventional procedures and related complications were collected and analyzed. Results: Ninety-nine patients with benign airway stenosis were included. The stent was placed mainly in the trachea (44.4%) and left main bronchus (43.4%). The main type of stenosis was post-tuberculosis bronchial stenosis (57.6%). The overall cure rate was 60.6%. Stent-related complications included retention of secretions (70.7%), granuloma formation (67.7%), stent angulation (21.2%), and stent migration (12.1%). The stent was less effective for left main bronchus stenosis ( p = 0.012). Multivariate logistic regression analysis identified that stent placement for more than 13 months, a stent-intervention number of ⩽ 1 predicted a favorable outcome. Conclusion: The efficacy and safety of the Dumon stent for benign airway stenosis need improvement. The stent is less effective for left main bronchus stenosis; regular follow-up is required in such cases. Stent placement for > 13 months and no more than once stent intervention within a 6-month period were associated with a favorable outcome.
Localized tenosynovial giant cell tumor in children
Authors: Du Xifeng , Xia Anning , Sun Junying , Ye Yinting 
Published: July 2023

Background: To investigate the clinical characteristics and surgical efficacy of localized tenosynovial giant cell tumors in children. Methods: The clinical data, surgery, and follow-up results of 17 children with localized tenosynovial giant cell tumors who visited our hospital from 2011 to 2021 were collected for statistical analysis. Results: The median patient age was 7 years and 8 months, and the ratio of males to females was 1.43 (10/7). The predilection of disease was similar in hands and feet, and the common presenting symptom was mass. One patient experienced recurrence after surgery, and one child had postoperative functional limitations. Conclusion: Extremities are common sites of localized tenosynovial giant cell tumors in children. Complete surgical resection helps reduce the recurrence rate. Level of evidence: Level III
Association of Smartphone-Based Activity Tracking and Nocturnal Hypoglycemia in People With Type 1 Diabetes
Authors: Gardner Daphne , Tan Hong Chang , Lim Gek Hsiang , Zin Oo May , Xin Xiaohui , Kingsworth Andrew , Choudhary Pratik , Rama Chandran Suresh 
Published: July 2023

Background: Nocturnal hypoglycemia (NH) remains a major burden for people with type 1 diabetes (T1D). Daytime physical activity (PA) increases the risk of NH. This pilot study tested whether cumulative daytime PA measured using a smartphone-based step tracker was associated with NH. Methods: Adults with T1D for ≥ 5 years (y) on multiple daily insulin or continuous insulin infusion, not using continuous glucose monitoring and HbA1c 6 to 10% wore blinded Freestyle Libre Pro sensors and recorded total daily carbohydrate (TDC) and total daily dose (TDD) of insulin. During this time, daily step count (DSC) was tracked using the smartphone-based Fitbit MobileTrack application. Mixed effects logistic regression was used to estimate the effect of DSC on NH (sensor glucose <70, <54 mg/dl for ≥15 minutes), while adjusting for TDC and TDD of insulin, and treating participants as a random effect. Results: Twenty-six adults, with 65.4% females, median age 27 years (interquartile range: 26-32) mean body mass index 23.9 kg/m2, median HbA1c 7.6% (7.1-8.1) and mean Gold Score 2.1 (standard deviation 1.0) formed the study population. The median DSC for the whole group was 2867 (1820-4807). There was a significant effect of DSC on NH episodes <70 mg/dl. (odds ratio 1.11 [95% CI: 1.01-1.23, P = .04]. There was no significant effect on NH <54 mg/dl. Conclusion: Daily PA measured by a smartphone-based step tracker was associated with the risk of NH in people with type 1 diabetes.
Effectiveness of pedometer- and accelerometer-based interventions in improving physical activity and health-related outcomes among college students: A systematic review and meta-analysis
Authors: Peng Sanying , Othman Ahmad Tajuddin , Khairani Ahmad Zamri , zeng Gao , Xiaogang Zhou , Fang Yuan 
Published: July 2023

Background Although the pedometer- and accelerometer-based interventions (PABI) have demonstrated efficacy in improving physical activity (PA) and health-related outcomes, the dearth of empirical evidence in college students warrants further investigation. Objective This systematic review and meta-analysis aim to examine the effects of PABI on improving PA and health-related outcomes among college students. Methods PubMed, Web of Science, Embase, Cochrane Library, and PsycINFO were searched for relevant literature from inception to 20 February 2022. Randomized controlled trials (RCTs) conducted among college students with PABI to increase objectively measured PA as the primary outcome were included in this study. Results A total of nine RCTs with 527 participants were included in this study. The combined results showed that PABI significantly improved PA (standardized mean difference = 0.41, 95% confidence interval (CI): 0.08, 0.74, P = 0.016) and significantly contributed to weight loss (mean differences (MD) = −1.56 kg, 95% CI: −2.40 kg, −0.73 kg, P < 0.01), and lower body mass index (MD = −0.33 kg/m2, 95% CI: −0.66 kg/m2, 0.00 kg/m2, P = 0.05) compared to the control group, but no significant effects were observed on improvements of body fat (%) and exercise self-efficacy. Interventions in the group of step, general students, pedometer-based intervention, theory, and developed region were significantly more effective in subgroup analyses. Conclusions PABI was found to be effective in promoting PA and weight loss among college students. Future research is needed to further explore the long-term effects of PABI and the characteristics of multiple intervention models.
Enhancing knowledge of Diabetes self-management and quality of life in people with Diabetes Mellitus by using Guru Diabetes Apps-based health coaching
Authors: Jafar Nuurhidayat , Huriyati Emy , Haryani  , Setyawati Andina 
Published: July 2023

Introduction: Virtual diabetes coaching through applications has the potential to improve self-management in people with Type 2 Diabetes Mellitus. However, applications designed for Asian’s diabetic have never been studied. Therefore, our study aimed to identify the effect of Guru Diabetes Apps-Based Health Coaching on the level of glycemic hemoglobin, knowledge, and quality of life in Indonesians, as one of Asian ethnicities. Materials and methods: This study used an experimental design. Participants with T2DM were recruited from three primary care health centers. The intervention included 3 months of virtual health coaching through the Guru Diabetes application. The daily monitoring of glycemic blood glucose, blood pressure, body weight, nutrition intake, and activity provided were used as baseline to conduct virtual in-person coaching. The glycemic hemoglobin level, knowledge level, and quality of life were assessed at baseline and post-enrollment. A multilevel modeling approach was used for statistical analysis. Results: A total of 66 respondents were enrolled, and 62 respondents (93.93%) remained in the study at 3 months. After completing the intervention, the HbA1c level decreased in all groups, however it did not differ among the groups. On the other hand, the results indicate significant improvement in the average diabetes self-management knowledge score (pre = 14.97 vs post = 19.07, p < 0.05) and quality of life score (pre = 54.34 vs post = 60.28, p < 0.05), with significant difference among the groups ( p < 0.05). Conclusion: Participants in the Android Application-Based Health Coaching experienced a significant improvement in diabetes self-management knowledge and quality of life scores at 3 months. In conclusion, the Guru Diabetes Apps-Based Health Coaching has the potential to support people with T2DM in performing diabetes self-management at home.
Knee Extensor Mechanism Complications After Autograft Harvest in ACL Reconstruction: A Systematic Review and Meta-analysis
Authors: Trasolini Nicholas A. , Lan Rae , Bolia Ioanna K. , Hill William , Thompson Ashley A. , Mayfield Cory K. , Knapik Derrick M. , Cole Brian J. , Weber Alexander E. 
Published: July 2023

Background: Existing systematic reviews have sought to characterize the relative donor-site morbidity of bone–patellar tendon–bone (BTB) and quadriceps tendon (QT) grafts after anterior cruciate ligament reconstruction (ACLR). However, no studies have reported the pooled proportions of patellar fractures and donor tendon ruptures across the body of literature. Purpose: To estimate the proportion of patellar fractures, patellar tendon ruptures, and QT ruptures associated with BTB or QT autograft harvest during ACLR using published data. Study Design: Systematic review; Level of evidence, 4. Methods: A meta-analysis was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using 3 online databases (PubMed, Scopus, and Web of Science). A total of 800 manuscripts were included in the initial research of peer-reviewed articles in English that reported extensor mechanism complications associated with graft harvest in patients after ACLR. Pooled proportions of patellar fractures, patellar tendon ruptures, and QT ruptures were calculated for each graft type (BTB, QT) using a random-effects model for meta-analysis. Results: A total of 28 studies were analyzed. The pooled proportion of patellar fractures was 0.57% (95% CI, 0.34%-0.91%) for the BTB harvest and 2.03% (95% CI, 0.78%-3.89%) for the QT harvest. The proportion of patellar tendon ruptures was 0.22% (95% CI, 0.14%-0.33%) after the BTB harvest, and the proportion of QT ruptures was 0.52% (95% CI, 0.06%-1.91%) after the QT harvest. The majority of included studies (16/28 [57.1%]) had an evidence level of 4. Conclusion: Based on the current literature, the proportion of extensor mechanism complications after ACLR using either a BTB or a QT autograft is low, indicating that the extensor mechanism harvest remains a safe option. A higher proportion of patellar fractures was noted for QT grafts and a higher proportion of donor tendon ruptures was noted for QT grafts compared with BTB grafts.
Physical Burden and Perceived Stress of Personal Protective Equipment During COVID-19 Pandemic: A Retrospective Study in the United Arab Emirates
Authors: Alshehi Mariam Mohamed Hasan , Ilesanmi Rose Ekama , Dabou Eman Abdelaziz Rashad 
Published: July 2023

Introduction Over the course of the COVID-19 pandemic, personal protective equipment (PPE) has become necessary. According to published research, PPE-related physical impacts were probably underreported during the pandemic. Objective To examine the physical burden and perceived stress associated with prolonged PPE wearing among nurses during the COVID-19 pandemic in the United Arab Emirates (UAE). Methods This was a cross-sectional retrospective study of 209 nurses working in two hospitals in the UAE. A convenience sampling technique was applied, and the data were collected using an online questionnaire. Data collection was completed within three months (April 2022 to June 2022). The completed questionnaires were analyzed using SPSS version 21. Chi-square statistics was used to test the association of categorical variables at a 5% level of significance. Results A total of 209 nurses had a mean age of 38.4 ± 8.7 years. More than 65.1% wore PPE continuously for 4 hrs per day. The most common physical burdens reported were difficulty in breathing (62.2%), excessive thirst (41.6%), and facial itchiness (39.2%). Most participants (95.2%) reported high-stress levels. There was no significant association between the level of stress and the duration of wearing PPE ( p = .43 > .05). However, the authors found a statistically significant association between breathing difficulty with face masks and the duration of wearing them ( p < .05). In addition, itchiness/rash related to gloves was significantly associated with wearing duration ( p < .05). Conclusion Findings show that nurses experienced adverse effects from PPE use, which increased with the number of hours of wearing. Further studies with a larger sample size will allow for generalization of the study results.
Peritonsillar Abscess: A Cohort Study of an Unusual Imaging and Needle Guidance Approach
Authors: Gibbs Tim S. , Birnbaum Jonathan 
Published: July 2023

Objective: The purpose of this study was to establish a noninvasive, safe, and reliable sonographic technique for evaluating peritonsillar abscess and subsequent drainage. Also, of paramount interest to the emergency physicians was to determine whether this imaging technique could assist in localization and drainage of a tonsillar abscess, minimizing the risk of patient complications. Materials and Methods: This was a prospective nonrandomized study, conducted in a small urban community hospital. All sonographic examinations were performed by the staff sonographers. Imaging procedures were performed using a GE Logiq 9 or E9 ultrasound equipment system (GE Medical, Waukesha, Wisconsin). A broad-band curved linear array transducer (9L) was used to visualize the affected tonsil through a submandibular approach. An endocavity transducer (5 to 9 MHz) was used for all trans-oral cavity imaging. All aspirations were performed with an 18-G 20-cm Trocar needle (Cook Medical LLC. Bloomington, IN) inserted through a commercially available needle guide attachment (CIVCO Medical Solutions. Kalona, IA). Results: A total of 91 patients (N = 50 males and N = 41 females) are included in this cohort study. The patients ranged in age from 10 to 80 years of age and the average age was 34 years. In this patient cohort, 87 abscesses were found, and five patients had bilateral peritonsillar abscess. Of the remaining patients, one had inflammatory lymph nodes and four inflamed tonsils without abscess. All abscesses were successfully drained without complications. Conclusion: This level of evidence demonstrates a possible method is safer, which may be more effective than a nonimaging approach for needle aspiration. This technique is easily applied by both physician and sonographer with minimal training.