bluuebunny/crossref_metadata_2025_split huggingface dataset:
Legacy Letters Written by Oncology Nurse Residents: Post Hoc Poetic Inquiry
Authors: Mason Tina M. , Kronenfeld Janelle 
Published: March 2023

Background:
A qualitative analysis of Legacy Letters written by oncology nurse residents to future nurse residents on what they wish they knew and what they learned at the end of their 1-year residency program showed four themes. This article presents a poetic inquiry of select themes/subthemes, providing a new perspective on the findings.

Method:
Post hoc poetic inquiry of select subthemes/themes from a previously conducted qualitative nursing research study on nurse residents' Legacy Letters was conducted using a collective participant voice approach.

Results:
Three poems were created. A sample quote by an oncology nurse resident and an explanation of the relationship of the poem to the Legacy Letters are provided.

Conclusion:

These poems represent a larger theme of resilience. Learning from mistakes, dealing with emotions, and providing self-care embody the experience and adaptation of the oncology nurse residents to this year of transition from graduation to professional practice.

[
J Contin Educ Nurs.
2023;54(3):117–120.]
The Impact of Community Learning During a Participatory Nursing Research Project
Authors: Heemskerk Wendy M. , Renden Peter G. , Warning Talitha D. , Wallner Christian , Bussemaker Jet , Dikken Jeroen 
Published: March 2023

Background:
Community learning is one approach to promote research competencies and to involve nurses and nursing students in research. This study examines the impact of community learning according to participants—both those inside and outside the community—in a joint nursing research project at a hospital.

Method:
A qualitative design was selected using a participatory approach. Data were collected through semistructured interviews, reflections, conversations, and patient input during 2 academic years.

Results:
Thematic analysis showed 11 themes, which were organized into three clusters: realization, transformation, and influencing factors. Participants perceived changes in practice and described how their perspectives have changed on care, education, and research. Reconsiderations led to some new or revised strategies, and influencing factors were associated with the contemporary context, degree of involvement, and design/facilitation.

Conclusion:

The impact of community learning emerged and extended beyond community boundaries, and the indicated influencing factors must be taken into account.

[
J Contin Educ Nurs.
2023;54(3):131–144.]
Air pollution and its effects on emergency room visits in tertiary respiratory care centres in Delhi, India
Authors: Kumar Raj , Mrigpuri Parul , Sarin Rohit , Saini Jitender Kumar , Yadav Rashmi , Nagori Aditya , Kabra Sushil Kumar , Mukherjee Arpana , Yadav Geetika 
Published: March 2023

Environmental pollution has harmful effects on human health, particularly the respiratory system. We aimed to study the impact of daily ambient air pollution on daily emergency room visits for acute respiratory symptoms. This study was conducted in two tertiary respiratory care centres in Delhi, India. Daily counts of emergency room visits were collected. All patients attending the emergency room were screened for acute onset (less than 2 weeks) of respiratory symptoms and were recruited if they were staying in Delhi continuously for at least 4 weeks and having onset (≤2 weeks) of respiratory symptoms. Daily average air pollution data for the study period was obtained from four continuous ambient air quality monitoring stations. A total of 61,285 patients were screened and 11,424 were enrolled from June 2017 to February 2019. Cough and difficulty in breathing were most common respiratory symptoms. Poor air quality was observed during the months of October to December. Emergency room visits with acute respiratory symptoms significantly increased per standard deviation increase in PM10 from lag days 2-7. Increase in wheezing was primarily seen with increase in NO2. Pollutant levels have effect on acute respiratory symptoms and thus influence emergency room visits.
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*Appendix Authors list
Kamal Singhal1, Kana Ram Jat2, Karan Madan3, Mohan P George4, Kalaivani Mani5, Randeep Guleria3, Ravindra Mohan Pandey5, Rupinder Singh Dhaliwal6, Rakesh Lodha2, Varinder Singh1
1Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Saran Children's Hospital, New Delhi, India2Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India3Department of Pulmonary Medicine, Critical Care and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India4Department of Environment, Delhi Pollution Control Committee, Kashmere Gate, New Delhi, India5Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India6Department of Non-communicable Diseases, Indian Council of Medical Research, New Delhi, India
Sociodemographic and gynaecological factors that influence uptake of cervical cancer screening. A cross-sectional study in Calabar, Nigeria
Authors: U Ago Boniface , E Efiok Efiok , E Abeng Sunday 
Published: March 2023

Background: Voluntary screening for cervical cancer has not been very effective in sub-Saharan Africa. Awareness and presence of risk factors may drive the need to screen.
Objective: To characterise sociodemographic and gynaecological factors as promoters of screening uptake.
Methodology: The setting was a women health rally in Calabar, Nigeria with women from different towns/ villages in Cross River State. An interviewer-administered questionnaire assessed sociodemographic and gynaecological risk factors for cervical cancer, previous Pap smear, and acceptance to screen. Data inputted in EpiInfo 7, and GraphPad Prism 7.04 statistical software’s, were analysed using descriptive and inferential statistics.
Results: One hundred and eighty (180) women gave consent for inclusion in the study. The age ranged from 21 to 65 with a mean of 39.8±10.3 years. With 52.22% of respondents accepting and 47.78% declining to screen, test of association showed that knowledge of cervical cancer, history of multiple sexual partners, and presence of offensive watery vaginal discharge significantly reduced the number of women who refused to screen. Previously screened women were not more likely to accept screening.Conclusion: Screening for cervical cancer was still poor. Cervical cancer knowledge and recognition of risk factors improve screening uptake.
Keywords: Cervical cancer screening uptake; risk factors.
Review of core stability exercise versus conventional exercise in the management of chronic low back pain
Authors: Dickson Nwodo Obinna , Olanrewaju Ibikunle Peter , Linda Ogbonna Nnenna , Umezulike Ani Kenneth , Christain Okonkwo Arinze , Joy Eze Chinenye , Uchenna Onwudiwe Chukwudi , Uroko Ezeja Godwin , Adaobi Maduanusi Ifeoma 
Published: March 2023

Exercise has been proven to be effective in the management of chronic low back pain. Over the years, core stability exercise (CSE) has gained popularity however there is lack of consensus on the best exercise treatment.
Aims: To review the effectiveness of core stability exercises or conventional exercises in the management of chronic low back pain (CLBP).
Methods: This study is a systematic review of randomized clinical trials which examined studies regarding core stability and conventional exercise by using Google scholar, Medline, PEDro and Cochrane from 2010 to 2021. The Methodological quality was evaluated using the PEDro scale. The included studies randomized participants into two different exercise groups.
Results: From the 58 potentially relevant trials, a total of 14 trials were included in the current analysis. The data indicated that core stability exercise was better than conventional exercise for short term pain relief. Ten studies included self reported back specific functional status, and compared to conventional exercise, core stability exercise resulted in significant improvement in function.
Conclusion: Compared to conventional exercise, core stability exercise is more effective in pain reduction and improved physical function in individuals with CLBP in the short term however, only two trials carried out follow-up assessments post intervention.
Keywords: Core stability exercise; conventional exercise; chronic low back pain.
Prevalence, patterns, functional disability of Bertolotti syndrome among patients with low back pain at Mulago National Referral Hospital
Authors: Owen Alinda Nicholas , Mugarura Rodney , Malagala Joseph , Kisembo Harriet 
Published: March 2023

Background: Bertolotti syndrome is a differential diagnosis in back pain. We know little about it in Uganda. This study aimed to describe the prevalence, clinical and radiological patterns of Bertolotti syndrome and functional disability associated with it.Methods: We did a descriptive cross-sectional study at the spine outpatients’ clinic of Mulago National Referral Hospital. We screened patients with chronic low back pain for lumbosacral transitional vertebrae over four months and classified them according to Castellvi. We collected demographics, clinical symptoms, and functional disability data and summarized it descriptively.Results: Out of 385 patients, we identified 39 with Bertolotti syndrome. The prevalence and the median age were at 10.1% and 49 years respectively, with most patients being females (66.7%) in the age range of (36 to 50) years, the pain started during the age range of 31-40. The commonest and least were type IIA (20.5%) and type IV (10.3%), respectively. Most patients (66.3%) had radicular symptoms, mainly the toe extension nerve root. The average visual analog scale was 6.3. However, most patients suffered from mild- to moderate disability (66.7%).Conclusion: Bertolotti syndrome is common and functionally debilitating. We should consider it in the differential diagnosis of chronic low back pain.
Keywords: Bertolotti syndrome; Transitional vertebrae; Functional disability.
Application of blended integrated revision course in clinical surgery in West Africa in response to Covid-19 pandemic: perception of trainee surgeons
Authors: Okwuchukwu Ekenze Sebastian , Ogbonnaya Uche Enoch , Ifeanyi Nnabugwu Ikenna , Enemuo Vincent , Okoh David , Kalu Uko Uko , Rapuluchukwu Emmanuel 
Published: March 2023

Background/Objective: This study assessed the surgery residents’ evaluation of blended delivery of the 2020 Integrated Revision Course in Clinical Surgery (IRCCS) of the West African College of Surgeons undertaken as a result of COVID-19pandemic.
Methods: We performed a cross-sectional survey of 234 participants of the 2020 IRCCS using self-administered questionnaire. The survey assessed the previous traditional course and various aspects of the novel blended course using 5-point Likert scale.
Results: Overall, 186 (79.5%) responded. The blended course had overall mean rating of 4.92 (on a 5-point scale) compared to 4.05 for the previous traditional course. Of the virtual aspect of the blended course, didactic lectures had the best mean rating of 4.32, while unmanned OSCE had the least with mean rating of 3.30. Aspects of the multicentre component of the blended course were rated highly with conduct of manned OSCE receiving the best mean rating of 4.26. The major challenge of the blended course format was poor internet connectivity (n =102; 54.8%),
Conclusion: Blended format of surgical training course is well rated by the surgery residents, and may be an effective means of delivery of clinical and non-clinical course contents during periods of disruption.
Keywords: Surgical training; COVID-19 pandemic; virtual training; blended format; West Africa.
Rs7537605 polymorphism in VAV3 gene and rs28665122 polymorphism in SEPS gene are not associated with Hashimoto's thyroiditis in North-East Algerian population
Authors: Kherrour Warda , Benbia Souheyla , Hambaba Leila , Kaličanin Dean 
Published: March 2023

Background: Hashimoto's thyroiditis (HT) is the most common form of autoimmune thyroid disease which leads, in most cases, to hypothyroidism. HT is also classified as a multifactorial disease, which is caused by an interaction between genetic and environmental factors. Current knowledge of HT genetics is still very limited, especially in Algerian population.
Objective: We wanted to investigate the association of two single-nucleotide polymorphisms (SNPs) inside VAV3 and SEPS genes with HT in Algerian population.
Methods: We conducted a case-control study that included 100 HT cases and 126 healthy controls that were recruited from three private endocrinology clinics. Two SNPs, rs7537605 and rs28665122 inside VAV3 and SEPS genes were genotyped using real-time polymerase chain reaction (real-time PCR). Binary logistic regression model was used to test the association of selected SNs with HT and linear regression model was used to test association of these SNPs with thyroid peroxidase antibodies (TPOAb) levels.
Results: Binary logistic regression results revealed no allelic association of the minor allele A between Hashimoto's thyroiditis cases and healthy controls (P=0.896) for the rs7537606 in VAV3 gene. The same observation was reported for the AA (P=0.477), AG (P=0.752) genotypes and for the genotypic models: dominant (P=1.0) and recessive (P=0.555). Also, there was no significant difference in the TT (P=0.230), TC (P=0.717) and allelic distribution of the minor allele T (P=0.859), and the combined models: TT + TC (P=1.0), TC + CC (P=0.138) between patients and controls for the rs28665122 polymorphism ofthe SEPS1 gene.
Conclusion: This is the first genetic study that investigated the genetic association of rs7537605 and rs28665122 inside VAV3 and SEPS genes in Algerian population. Our results suggest that these two SNPs may not be involved in the pathogeneses of HT since we found no association between them and HT/TPOAb levels. Further research that will include larger sample size is required.
Keywords: Hashimoto’s thyroiditis; inflammation; hypothyroidism; rs7537605; rs28665122; Algerian population.
The association of cardiometabolic disorders with sleep duration: a cross-sectional study
Authors: R Prakaschandra Dorcas , P Naidoo Datshanna 
Published: March 2023

Background: Alterations in sleep duration and quality are linked to the development of cardiovascular risk factors and the metabolic syndrome (MetS). The aim of this study was to determine a sex stratified analysis on the role and associations of sleep duration on cardiometabolic risk factors, and the MetS.
Methods: Data from 1375 randomly selected participants (15-64 years) was collected for demographic, anthropometric, blood pressure and biochemistry data after overnight fasting, and derangements diagnosed according to published guidelines. Analysis of association between the MetS (harmonised criteria modified for South Asians), sleep duration (self-reported for a 24-hour period), and cardiometabolic risk factors was done using stepwise logistic regression.
Results: The BMI, waist circumference (WC), systolic blood pressure (SBP) and diastolic blood pressure (DBP), fasting plasma glucose, total cholesterol, low density lipoprotein were higher (p< 0.05) in subjects who slept <6 hours, with lower HDL. Under 6 hours of sleep was independently associated with raised FPG in men (OR 1.71 95% CI [1.53,5.52]) only. More than 10 hours of sleep was independently associated with increased triglyceride levels in men (1.72[0.56, 5.23]) and women (2.25[1.93,5.42]).
Conclusion: The individual components of the Mets, particularly, increased triglycerides and blood glucose are associated with sleep deprivation or excess.
Keywords: Sleep Time; Metabolic Syndrome X; Cardiovascular Risk.
Awareness, knowledge, risk perception and uptake of maternal vaccination in rural communities of Ebonyi State, Nigeria
Authors: Chinyem Madubueze Ugochukwu , Friday Igwe Una Alfred , Nkem Okedo-Alex Ijeoma , Maduka Agha Victor , David Umeokonkwo Chukwuma , Ifeyinwa Eze Irene , Utulu Rowland , Chijioke Okeke Kingsley , Nnenne Agbo Urudinachi , Ndidiamaka Nwobashi Lilian , Alo Chihurumnanya , Ndubueze Azuogu Benedict 
Published: March 2023

Introduction: Knowledge and uptake of maternal vaccination has been reported to be low in low- and middle-income countries.
Objectives: To determine the knowledge, uptake and determinants of uptake of maternal vaccination among women of childbearing age.
Methods: A cross sectional study was done among 607 women of childbearing age selected from rural communities in Ebonyi State using multi-staged sampling technique. A pretested, interviewer administered questionnaire was used. The proportion of maternal vaccination uptake and predictors of uptake was determined at 5% level of significant using multiple logistic regression model.
Results: Most of the respondents (39.9%) were in the 15-24 years age group. Only 1.3% and 41.5% were knowledgeable and had received any form of maternal vaccines respectively. The main reasons adduced for non-receipt of the vaccine was lack of information (65.8%) and not being pregnant (23.5%). Pregnancy was the predictor for uptake of maternal vaccine among the study population.
Conclusions: There was low level of knowledge and uptake of maternal vaccine among rural women and a myth that the vaccine is only given when pregnant. This calls for increase targeted enlightenment of rural women on maternal vaccine in order to improve uptake.
Keywords: Maternal vaccination; rural communities; Nigeria.
Discontinuation of contraceptives among adolescent girls aged 15-19 years in Nigeria: a descriptive analysis
Authors: Ojoniyi Olaide , Ogujiuba Kanayo , Stiegler Nancy 
Published: March 2023

Background: Adolescent girls are the mostly affected with maternal and child complications. Contraceptive use is an important tool in curbing sexual and reproductive health challenges especially among adolescent girls in the developing countries. Despite, the low use of contraceptives among adolescents in Nigeria, the possibility of discontinuation of use after initiation is strong.
Objective: This study aims to identify method of contraceptive use discontinued and reasons for discontinuation of contraceptives among unmarried adolescents aged 15-19 years in Nigeria.
Method: Data for 324 never married adolescent girls who had ever used a method to prevent pregnancy were drawn from the 2018 Nigerian Demographic and Health Survey. Descriptive statistics and chart were used to present the results.
Result: Findings showed that 20% of adolescents who had ever used contraceptive discontinued use in the last five years. Most of single adolescents who reported ever discontinued a contraceptive method are older, have secondary education, resides in Urban areas, were at least 15 years at sexual debut are from richer household. Most reported reasons for discontinuation were Infrequent sex and inconveniencey in use.
Conclusion: One in five of unmarried adolescents who ever use a method, discontinue use because of sexual frequency andtype of method used.
Keywords: Contraceptive; discontinuation; adolescents; unmarried; NDHS; Nigeria.
Factors associated with successful vaginal birth after cesarean section among mothers who gave birth in Ambo town, Oromia, Central Ethiopia, a case-control study
Authors: Kassa Mamo Negash , Melese Siyoum Desta 
Published: March 2023

Background: While Trial of labour after previous cesarean section for women with no contraindication for vaginal delivery is an important strategy to reduce short- and long-term morbidity related with repeated cesarean section, the rate of cesarean section and repeated cesarean section with its complication are increasing.
Objective: The objective of the study was to assess factors associated with successful vaginal birth among women with previous cesarean delivery in public hospitals of Ambo town in 2019.
Methods: A case-control study was conducted in Ambo public Hospitals in 2019. A total of 243 clients were included, of which 81 clients were cases and 162 clients were controls with controls to cases ratio of 2. A Lottery method was applied to select the controls and cases were selected consecutively. Bivariate, followed by multivariate analyses, were conducted with 95% CI and p-value <0.05 to identify factors associated with successful vaginal birth after cesarean delivery.
Result: Parity three and four(AOR = 3.45, 95%CI(1.16, 10.229), labour monitoring with partograph (AOR= 4.77, 95%CI: 1.65,13.88), prior vaginal birth after caesareans (AOR = 5.68, 95%CI:1.44,22.46), occiput-posterior position (AOR = 0.109, 95%CI: (0.02, 0.49), duration of labour after admission less than 8 hours (AOR = 4.57, 95%CI: 1.92,10.85) and artificial rupture of membrane (AOR = 5.02 95%CI: 1.67,15.06) were factors significantly associated with successful vaginal birth after previous cesarean section.
Conclusion: The study shows that parity, duration of labour, previous history of successful vaginal birth after cesarean section, artificial rupture of membrane, and partograph monitoring of labour were associated with successful vaginal birth after previous cesarean section. All Women with a history of cesarean section should be counselled and encouraged to undergo a trial of labour as long as it is not contraindicated.
Keywords: Previous cesarean section; vaginal birth after cesareans; Ambo; Ethiopia.
Maternal health-seeking behaviour of peri-urban women living with disability in Busiro South Health sub District, Wakiso district, Uganda: a community-based study
Authors: Natukunda Bonny , Musoke David , Kiconco Arthur , Mugambe Samuel , Atuhairwe Christine 
Published: March 2023

Aim: We examined the maternal healthcare-seeking behaviour of peri-urban women with disabilities in Busiro South Health Sub District, Wakiso district, Uganda.
Methods: This community-based cross-sectional study. Data were collected using semi-structured questionnaires and focus group discussions. Chi-square was used to test for differences, and logistic regression to determine factors associated with maternal health-seeking behaviour at a 5% level of significance. Content analysis was used to analyse qualitative data.
Results: A total of 182 women with disabilities were enrolled. Overall, 150 (82.3%) of the disabled women had attended ANC and 147 (80.8%) had delivered their babies at a health facility. The participants' mean age was 31.9±7.8years (range: 17-49 years). ANC attendance among disabled women was influenced by maternal age 18-30 years (p = 0.010), number of times a disabled woman was pregnant (p = 0.003), parity (p = 0.018), a normal delivery (p = 0.048), receiving financial support from friends of partners (p < 0.001), distance of less than 5KM to the health facility (p = 0.024), friendliness of the health care providers (p=0.030) and availability of health providers (p < 0.001).
Conclusion: There is an urgent need for a multi-sectoral approach to better healthcare-seeking behaviour.
Keywords: Peri-urban; maternal health-seeking behaviour; disabled women; Uganda.