bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cross-cultural Adaptation and Validation of the Hebrew Version of the Vulvar Functional Status Questionnaire (VQ)
Authors: Tene Lea , Weintraub Adi Y. , Kalichman Leonid 
Published: February 2023

Background:
As yet, no Hebrew language vulvar functional status questionnaire exists.

Aims:
To perform a cross-cultural adaptation of a Hebrew version of the Vulvar Functional Status Questionnaire (VQ), a validated tool used for evaluating dyspareunia among women, and to evaluate the psychometric properties of this version by examining the correlations between results of the questionnaire among women with pain during intercourse and quality of life, level of anxiety, and pelvic floor function.

Methods:
The English version of the VQ underwent cross-cultural adaptation to Hebrew according to accepted guidelines. Eighty Hebrew-speaking women with vulvar pain, aged older than 18 years, participated in the study. Participants completed the VQ-Hebrew (VQ-H) (see Supplemental Digital Content, available at: http://links.lww.com/JWHPT/A89), the Hebrew versions of the health-related quality-of-life questionnaire (SF-12), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12), and the State-Trait Anxiety Inventory (STAI). All the participants completed the VQ-H again after 2 to 3 weeks. Psychometric properties (test-retest reliability, internal consistency, convergent validity, and factor analysis) were calculated.

Results:
The VQ-H demonstrated excellent test-retest reliability: intraclass correlation coefficients ranged from 0.898 to 0.958 (P < .001); the Cronbach α was excellent (0.935). A significant correlation was found between the VQ-H and SF-12 scores (r =−0.360, P = .001). However, the correlation between the VQ-H and STAI and PISQ-12 scores was not statistically significant (r = 0.172, P = .127 and r =−0.185, P = .100, respectively). Factor analysis revealed a 4-factor solution representing daily function and pain provoked by or related to various activities.

Conclusion:
The VQ-H is a valid and reliable instrument. Its scores reflect the impaired function in all domains of vulvar pain among Hebrew-speaking women.
Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report
Authors: Piropato Lisa , Deering Rita 
Published: February 2023

Background:
Physiological and biomechanical changes must be considered when evaluating and treating musculoskeletal impairments in a perinatal female athlete, whether or not these impairments are directly related to their pregnant or postpartum state.

Case Description:
This case report describes a 34-year-old woman active in high-intensity functional conditioning, recreational volleyball, and running, seeking care for shoulder and thoracic back pain from birth to 1 year postpartum. Her primary complaint of shoulder pain was exacerbated by overhead activities. She also presented with a secondary complaint of “weakness” through her core, preventing return to sport. Treatment focused on joint mobilizations, neuromuscular re-education, and core strength using biotensegrity principles throughout the postpartum journey of return to sport.

Outcomes:
The patient was highly motivated and met her desired goals to (1) compete in recreational sand and indoor volleyball starting at 6 weeks postpartum, (2) participate in a relay trail race at desired pace, and (3) compete in a weightlifting competition at 8 months postpartum without an increase in shoulder pain.

Discussion:
This case demonstrates the importance of addressing the entire kinetic chain in the postpartum athlete while addressing what may be considered a “straightforward” orthopedic condition. Understanding birth and postpartum healing is essential for physical therapists working with active mothers. Knowledge of the physiological and biomechanical changes during and after pregnancy is essential to appropriate treatment of these patients.

Informed Consent:
Written consent was obtained.
Physician assistant and nurse practitioner onboarding in primary care: The participant perspective
Authors: Ortiz Pate Nathalie , Barnes Hilary , Batchelder Heather , Anglin Lorraine , Sanchez Mara , Everett Christine , Morgan Perri 
Published: February 2023

ABSTRACT

Background:
Many new graduate primary care physician assistants (PAs) and nurse practitioners (NPs) can experience stress and difficulty as they transition to practice. Feelings of anxiety and role ambiguity are common and can lead to costly turnover, impact care continuity, and place patients at risk for poor clinical outcomes. Onboarding, the process of helping new hires adjust to social and performance aspects of their new job and has the potential to ease transition to practice for PAs and NPs. Recent research has linked PA/NP onboarding programs to increased engagement, decreased turnover, and higher clinical productivity.

Purpose:
To describe new graduate PA and NP perspectives of onboarding programs they completed in their first primary care position.

Methodology:
Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participated in onboarding programs. Interviews were transcribed and then analyzed using an inductive coding methodology.

Results:
Analyses revealed nine thematic concepts that are described within two frameworks. Structural components include improving competence, training on the electronic health record, promoting mentorship, orienting to organizational dynamics, tailoring ramp-up of patient scheduling, clarifying expectations, and providing clear organizational support. Psychosocial factors include creating comfort and building self-confidence.

Conclusion:
Understanding participants' experiences with onboarding programs is essential for ensuring successful transition to practice for new graduate PAs and NPs.

Implications:
These findings are beneficial to the health care workforce. Administrators can incorporate these findings into existing and future programs, and new graduate PAs and NPs can negotiate for the inclusion of these components in their first position.
Impact of different ischemia times on biliary stricture after living donor liver transplantation with biliary atresia
Authors: Zhao Shengqiao , Zhang Zhixin , Si Zhuyuan , Dong Chong , Sun Chao , Wang Kai , Zhang Wei , Zheng Weiping , Wei Xinzhe , Gao Wei , Shen Zhongyang 
Published: February 2023

Biliary atresia (BA) is the most common indication for pediatric liver transplantation, and biliary stricture (BS) remains an Achilles’ heel for pediatric living donor liver transplantation (LDLT). We investigated the impact of different ischemia times on BS after LDLT in patients with BA. We retrospectively analyzed patients (<18 y) with BA who underwent LDLT between January 2016 and December 2020. Cases with hepatic artery thrombosis, bile leakage, early BS (<2 wk), and early death (<3 mo) were excluded. In all, 572 cases were included. A total of 26 cases (4.55%, 26/572) developed BS: 25 patients with anastomotic stricture and 1 patient with anastomotic stricture combined with left hepatic duct stricture. In addition, the time to diagnosis of BS ranged from 1.8 to 53.0 months (mean, 13.0 mo and median, 8.2 mo) after transplantation. A multivariate logistic regression analysis showed that arterial ischemia time (AIT), per 10 minutes (OR=1.222, 95% CI: 1.007–1.438, p=0.04) was the only independent risk factor for the development of BS after LDLT in patients with BA. What is more, the 5-year cumulative risk of BS between the AIT ≥40 minutes and AIT <40 minutes groups was 2.79% versus 10.57%. AIT was the only independent risk factor for the development of BS after LDLT with BA, and AIT ≥40 minutes would increase the 5-year cumulative risk of BS in our study. A shorter AIT, especially AIT <40 minutes, should be kept to decrease BS.
Subcutaneous stretching enlarges adjacent vertebral artery instantly in patients with cervicogenic dizziness: Two case reports
Authors: He Qingtao , Huang Huiyi , Liang Hongyu , Chou Li-Wei , Fu Zhonghua 
Published: February 2023

Rationale:Fu's subcutaneous needling (FSN) is effective for cervicogenic dizziness (CGD), which is often a result of vascular problems. Here, we attribute the positive treatment effect of FSN for CGD to improvements in vascular problems.Patient concern:Two patients were experiencing low quality of life due to reproducible dizziness.Diagnosis:Two patients with cervical spine disorder, presented with neck pain and reproducible dizziness. Other causes of dizziness were excluded.Interventions:Case 1 received 1 session of FSN treatment, while case 2 received 3 sessions of FSN treatment in a month.Outcomes:The dizziness and neck pain experienced by both patients instantly improved significantly after FSN treatment, and the luminal diameter of the vertebral artery (VA) measured by carotid and VA ultrasound enlarged simultaneously up to 1.29-fold and 1.09-fold for both cases. According to the Hagen–Poiseuille equation, the blood flow volume increased 2.77-fold and 1.43-fold, respectively. Case 2 recovered from CGD with 1.19-fold VA luminal diameter increment and about 2.01-fold increase of blood flow volume in a month.Lessons:Subcutaneous stretching provides a safe, convenient and immediate solution to CGD, and supports the diagnosis and treatment of CGD under carotid and VA ultrasound. This study suggests that stretching subcutaneously can influence adjacent VA, which may also help improve some cerebrovascular diseases.
Systematic review and meta-analysis of reflexology for people with multiple sclerosis: Systematic Review and Meta-Analysis
Authors: Ma Xiaohong , Yuan Zhaoyu , Qian Baicheng , Guan Yunxiang , Wang Baoliang 
Published: February 2023

Background:
Research on reflexology therapy for multiple sclerosis (MS) is limited, and the evaluation is mixed. Our aim is to confirm the efficacy of reflexology therapy for MS.

Methods:
The preferred reporting items for systematic reviews and meta-analyses guidelines were followed. The search strategy was conducted in PubMed, Embase, the Cochrane Library, and the Science Citation Index. The quality of the included trials was assessed by the Cochrane Handbook. The main results were summarized and analyzed in RevMan 5.4.

Results:
A total of 11 studies were included in the final analysis. There were significant differences [mean difference (MD) –0.90, 95% confidence interval (CI) –1.37 to –0.43, heterogeneity I
2 = 0%] between the Precision Reflexology and Sham Reflexology groups in visual analogue scale pain. There was a significant difference (MD –1.00, 95% CI –1.42 to –0.58, heterogeneity I
2 = 93%) between the Precision Reflexology and Sham Reflexology groups on the fatigue severity scale. There was no difference between the Precision Reflexology and Sham Reflexology groups in physical function (MD 6.88, 95% CI –3.36 to 17.13, heterogeneity I
2 = 31%), role disorder due to physical problems (MD 10.20, 95% CI –4.91 to 25.30, heterogeneity I
2 = 0%), physical pain (MD 7.68, 95% CI –0.09 to 15.45, heterogeneity I
2 = 0%), role disorder due to emotional problems (MD 3.41, 95% CI –11.55 to 18.37, heterogeneity I
2 = 0%), energy (MD 3.27, 95% CI –4.32 to 10.87, heterogeneity I
2 = 0%), emotional well-being (MD 1.79, 95% CI –4.76 to 8.34, heterogeneity I
2 = 0%), social function (MD 5.72, 95% CI –3.48 to 14.91, heterogeneity I
2 = 0%), or general health (MD 2.63, 95% CI –4.36 to 9.62, heterogeneity I
2 = 0%).

Conclusions:
Reflexology therapy can be used as an effective intervention for the pain and fatigue of MS patients while improving the quality of life.
Metronidazole-induced encephalopathy delayed diagnosis due to cerebellar infarction: A case report
Authors: Cha Sangha , Lee Byung Chan , Moon Chang-Won , Cho Kang Hee 
Published: February 2023

Rationale:
Metronidazole is a 5-nitroimidazole antibiotic effective against anaerobic bacterial and parasitic infections. Long-term use may cause side effects in the central nervous system, although the occurrence of encephalopathy is rare.

Patient concerns:
A 73-year-old man was diagnosed with acute pyelonephritis and received antibiotic treatment. During the treatment, the patient complained of back pain. Lumbar spinal magnetic resonance imaging (MRI) revealed infective spondylitis, and metronidazole (1.5 g) was administered daily for approximately 160 days. The patient developed cognitive dysfunction and gait disorder after antibiotic treatment, and brain MRI showed acute infarction in both cerebellar lobes. Secondary prevention with antiplatelet and physiotherapy was prescribed; however, functional recovery was not achieved.

Diagnosis:
After 1 month, a follow-up brain MRI showed high signal intensity and diffusion restriction in the corpus callosum on diffusion-weighted images and high signal intensity in the dentate nucleus on T2-weighted images. Therefore, metronidazole-induced encephalopathy was suspected.

Interventions:
Metronidazole was discontinued, and ceftriaxone (2 g/day) was administered to manage the infective spondylitis.

Outcomes:
One week after the discontinuation of the drug, the patient’s cognition improved to the extent that communication was possible. Thus, even if other neurological deficits, such as cerebellar infarction, are found in patients with long-term disability, the possibility of metronidazole-induced encephalopathy should be considered when metronidazole is used for a long time.
Using temporal heatmaps to identify worthwhile articles on immune checkpoint blockade for melanoma (ICBM) in Mainland China, Hong Kong, and Taiwan since 2000: A bibliometric analysis
Authors: Juang Shiow-Jen , Lin Cheng-Yao , Chien Tsair-Wei , Chou Willy , Lai Feng-Jie 
Published: February 2023

Background:
Melanoma is a life-threatening form of skin cancer. Due to its remarkable effectiveness, the immune checkpoint blockade is widely used to treat melanoma (ICBM). No research has been conducted on ICBM for identifying the most readable articles. A bibliometric analysis of 100 top-cited ICBM (T100ICBM) in recent decades is required to highlight articles worth reading.

Methods:
Based on the Web of Science Core Collection, we summarized the articles on ICBM published in each year from 2000 to 2022, with first authors from Mainland China, Hong Kong, and Taiwan (CHT). Using the CJAL score, data extraction and visualization of the distribution of ICBM publications were conducted on 2718, and 100 top-cited articles, respectively. We used the temporal heatmap to identify the most readable articles. Four descriptive, diagnostic, predictive, and prescriptive analytics (called DDPP model) were applied to describe the features of T100ICBM articles. The absolute advantage coefficient was used to determine the dominance extent of the most influential region, institute, department, and author.

Results:
A total of 2718 publications was included after removing first or corresponding authors who were not affiliated with CHT. Publications by year showed a sharp increase from 2014 onward and either peaked in 2022 or have not yet peaked. It was evident that there was a large difference between the number of publications in provinces/metropolitan cities/regions on CHT. Beijing, Sichuan University, Oncology, and Guo Jun from Beijing are the most prolific and influential region, institute, department, and author. When comparing research achievements to the next productive authors based on the CJAL score, only Dr Jun has a medium effect of dominance (=0.60). On the basis of their consecutive growth in citations over the past 4 years, 20 T100ICBM articles were recommended for readers.

Conclusion:
The field of ICBM is growing rapidly, and Beijing and Sichuan University are taking the lead in CHT. Furthermore, the study provides references for worth-reading articles using the temporal heatmap. Future research hot spots may focus on these 4 themes of immunotherapy, melanoma, metastatic melanoma, regulatory T cells, cells, and activation, which may pave the way for additional study.
Hernia uterine inguinale associated with Mayer-Rokitansky-Küster-Hauser syndrome: Three case reports and literature review
Authors: Dai Yifei , Qin Chenglu , Zhu Linling , Luo Guangnan 
Published: February 2023

Rationale:
Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome) present with genital inguinal hernia was rare and probably under reported, on account of lack in typical gynecological symptom. It should be regarded with care.Here 3 cases diagnosed at our institution with detailed clinical information were present, and the literature was reviewed to paint a comprehensive profile of hernia uterine inguinale associated with MRKH syndrome.

Patient concerns:
Case no. 1 was a 36-year-old female with recurrent dragalgia for 5 years. Left rudimentary uterus at the left groin area was revealed by sonography scan and confirmed by diagnostic laparoscopy.Case no. 2 was a 27-year-old woman diagnosed with MRKH syndrome and her MRI examination suggested a suspicious swelling measuring 2.0cm×2.0cm in left groin. The left nonfunctionally rudimentary uterus and adnexa were incarcerated in the left inguinal hernial sac, which was revealed by laparoscopy.Case no. 3 was a 29-year-old woman, admitted with right abdominal pain with a provisional diagnosis of appendicitis. After appendicectomy, pelvic exploration showed a part of left rudimentary uterus and elongated oviduct herniated through the left internal inguinal ring.

Diagnoses:
Hernia uterine inguinale associated with MRKH syndrome.

Interventions and outcomes:
Case no.1: When the rudimentary uterus was pulled out from the hernia sac, it appearance dark ocher. Then the left rudimentary uterus was removed and the indirect defect of inguinal duct was closed.The patient was followed up for 18 months with no recurrence of abdominal pain.Case no.2 and 3:The left rudimentary uterus were replaced from the hernia sac, and the indirect defect was fixed with sutures.The patients recovered smoothly without complications for 12-month follow-up.

Lessons:
Left involvement of rudimentary uterus was frequently observed in patients with MRKH syndrome, along with ipsilateral ovary and/or fallopian tube horned in the hernia. Abdominal pain or inguinale mass could be the chief complaints while some individuals were asymptomatic. Either surgical removal or replacement of rudimentary uterus was an effectively optional treatment strategy for hernia uterine inguinale.When a patient with MRKH syndrome presented with abdominal pain of unknown cause or inguinal mass, rudimentary uterine inguinal hernia should be suspected.
Hepatic artery pseudoaneurysm caused by chronic pancreatitis: Case report and literature review
Authors: Jia Fengjuan , Xia Guodong , Zhu Qingliang , Yu Shuangyu , Hu Nan , Zhang Hailong 
Published: February 2023

Rationale:
Visceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common.

Patient concerns:
This case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization.

Diagnoses:
The patient suffered from HAP due to acute attack of CP.

Interventions:
The pseudoaneurysm located in a fine branch of right hepatic artery was embolized.

Outcomes:
The HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved.

Conclusion:
Herein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.
Implementing a Specifications Grading System in a Nursing Course
Authors: Dabney Beverly W. , VanDerWoude Carissa J. 
Published: February 2023

Background:
Nurse educators are charged with the challenging task of evaluating student learning and abilities effectively using traditional student assessment methods, which come with several inherent shortcomings. New guidelines for nurse educators now present a more competency-based approach to nursing education that calls for objective-driven assessments.

Problem:
Traditional grading practices lack the ability to connect student learning to their final course grades. However, specifications grading, which directly links grades to learning objectives, has not been not adequately explored in the nursing literature.

Approach:
A specifications grading system was designed and implemented in an online undergraduate nursing research course. Student and faculty feedback on the system were reviewed.

Conclusions:
Overall, students and faculty approved of the specifications grading system. Recommendations are presented for adopting specifications grading in nursing courses. Research is needed to explore student perceptions of the grading system and its effects on student learning and performance.
Comparison of Computer-Assisted Self-Interview Versus Clinician Interview for Self-Reported Vulvovaginal Symptoms
Authors: Robbins Sarah J. , Brown Sarah E. , Stennett Christina A. , Tuddenham Susan , Johnston Elizabeth D. , He Xin , Mark Katrina S. , Brotman Rebecca M. 
Published: February 2023

Abstract
This secondary analysis (N = 43) compared computer-assisted self-interview (CASI) to clinician interview for self-report of 8 vulvovaginal symptoms. Concordance was moderate between interview modes (range, 70–86%) with itching and odor having highest agreement. Although prior reports suggest more responses on CASI, we found CASI did not significantly increase self-report of symptoms over clinician interview.
Health Care Provider Decisions to Initiate Oral HIV Preexposure Prophylaxis in New York City Public Sexual Health Clinics
Authors: Hoffman Susie , Jamison Kelly , Pathela Preeti , Gonzalez-Argoti Tatiana , Rivera Angelic , Leu Cheng-Shiun , Hubbard Stephanie , Castro Michael , Borges Christine , Gandhi Anisha , Edelstein Zoe , Myers Julie , Mantell Joanne E. , Bauman Laurie J. 
Published: February 2023

Background
Oral HIV preexposure prophylaxis (PrEP) is safe and effective but underutilized. Health care providers' beliefs about PrEP and attitudes toward people who could benefit may affect PrEP access.

Methods
This mixed-methods study (2016–2018) was conducted in 8 New York City public sexual health clinics that implemented a PrEP program. Data included 32 in-depth qualitative interviews with clinicians, quantitatively coded to reflect their PrEP beliefs; a provider questionnaire; and 6 months of medical record visit data for these providers. Among patients with a PrEP indication, we examined the odds of a patient being initiated on PrEP associated with providers' PrEP beliefs and demographic characteristics, and patient characteristics.

Results
Providers reported strong support for offering PrEP to eligible patients. The majority denied concerns about possible development of drug-resistant viral strains, giving PrEP to people who might not benefit, and PrEP toxicity. Nevertheless, about one-third agreed with each of these concerns, and 55% thought PrEP use might limit condom use. Of 2176 patients with a PrEP indication, 20% were initiated. Providers with more restrictive PrEP beliefs did not have lower odds of initiating patients on PrEP. Women as well as Black and Latinx patients were less likely to be initiated on PrEP.

Conclusions
Contrary to our hypotheses, providers' negative PrEP beliefs did not seem to reduce initiation of PrEP for eligible patients. This may be attributable to clear clinical protocols, strong staff support, and training on implementing PrEP in this setting. Racial and gender disparities in PrEP uptake urgently require attention.