bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validation of cost-effective model for breast self-examination
Authors: Idrees Sarrah , Mayilvaganan Sabaretnam , Jagannath Spandana , Mishra Prabhaker , Chand Gyan , Mishra Anjali , Agarwal Gaurav , Agarwal Amit 
Published: March 2023

Introduction:
The incidence of breast cancer is increasing in India; it predominantly affects women in their 30s and 40s. The disease burden is very high given the high incidence of triple-negative disease in a large portion of the population. Early detection can save lives and aid in breast conservation surgery. Breast self-examination (BSE) is a valid tool for early breast cancer detection. If performed with the help of a simulation model that resembles a given culture and tradition, it can result in good outcomes from screening programs. We designed and validated an Indian model for BSE and reported the feasibility of this model.

Materials and methods:
We designed an Indian model for the BSE based on the cultural mindset of Indian women. The design was finalized, and the model was constructed. It was then compared with preexisting international models and validated by in-depth interviews with validation experts from various fields involved in breast cancer management. Minor design revisions were made, followed by testing and re-testing. Finally, it was ready for public use.

Results:
The in-depth interview was conducted using a validated modified animation multimedia questionnaire. The majority of the validation experts had used stimulation models before, and all stated that it could help teach women about BSE, and it was comparable with other preexisting internationally validated models (91.33±4.98%).

Conclusion:
Using a breast model, women can learn to detect breast cancer as early as possible, and this can lead to good outcomes. We designed the model using easily available, cheap, and safe materials to keep it as realistic and useful as possible. The Indian BSE model can be used by Indian women to learn to detect breast lumps early. It is easily reproducible and cost-effective.
Acute tubular necrosis after transurethral resection of the prostate: a case report
Authors: Al-Hajjaj Maher , Alqasem Omar , Elrayah Mohamed Amna , Al-Ashi Ahmad , Abokhsab Mahmoud M. 
Published: March 2023

Introduction:
Transurethral resection of the prostate (TURP) is currently the gold standard for the surgical treatment of benign prostatic hyperplasia. This surgery may lead to TURP syndrome and in some cases, acute tubular necrosis can develop.

Case Presentation:
We had a 67-year-old male patient who had benign prostate hyperplasia unresponsive to tamsulosin. He underwent TURP surgery. After that, he had acute tubular necrosis because of hemolysis. We performed hemodialysis to decrease serum creatinine level.

Discussion:
Acute tubular necrosis is the result of hemolysis. Rapid absorption of large volumes of glycerin may lead to hypotension and acute kidney injury.

Conclusion:
Using distilled water for irrigation during TURP may lead to severe complications like hypotension and acute tubular necrosis.
A systematic review and meta-regression for validation of the Alvarado score as a tool for predicting acute appendicitis
Authors: Gupta Sapna , Kolli Venkata S. , Da Costa Kimberly , Javed Sariya , Ammar Ahmed , Rasheed Ashraf 
Published: March 2023

Background:The Alvarado score (AS) has not been widely used for diagnosing acute appendicitis although it has shown to be a good predictor for diagnosing appendicitis. The aim was to perform a systematic review of the available literature and synthesize the evidence.Methods:A systematic review was performed as per the PRISMA guidelines using search engines like Ovid, PubMed, and Google Scholar with predefined, strict inclusion and exclusion criteria. The quality assessment of included studies was performed using the QUADAS 2 tool. Summary statistics were performed for all variables. A linear regression model was performed between dependent and independent variables using STATA software. Heterogeneity testing showed significant heterogeneity within the included studies; hence, a forest plot with pooled estimates could not be constructed, and therefore a meta-regression was performed.Results:Seventeen full-text articles met inclusion and exclusion criteria. Ten of which were identified as low-risk studies. Five studies were included in final data pooling with total patients being 2239 and mean age of 31.9 years. (1) Linear regression demonstrated an association between ‘histological appendicitis’ and ‘AS 7–0’ with patients receiving intervention, with a significantPvalue of less than 0.005. (2) Meta-regression demonstrated a positive coefficient (0.298), a positiveZscore of 2.20 with a significantPvalue of 0.028 for patients with ‘high AS’ who received interventions that were significantly proven to be ‘histologically appendicitis’, indicating a cause-and-effect relationship.Conclusion:High AS (7 and above) is a significant predictor of acute appendicitis. The authors recommend further prospective randomized clinical trials to establish a cause-and-effect relationship.
Availability of Extragenital Chlamydia and Gonorrhea Testing in 6 High-Incidence States
Authors: Vu Kathy Linh , Patani Henna , Bhargava Anisha , Sukhija-Cohen Adam Carl 
Published: March 2023

Background
Extragenital testing (rectal and oropharyngeal) of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) increases the detection of CT/NG infections, compared with genital testing alone. The Centers for Disease Control and Prevention recommends annual extragenital CT/NG screening for men who have sex with men, and additional screenings for women and transgender or gender-diverse individuals if certain sexual behaviors and exposures are reported.

Methods
Prospective computer-assisted telephonic interviews were conducted with 873 clinics between June 2022 and September 2022. The computer-assisted telephonic interview followed a semistructured questionnaire that included closed-ended questions on the availability and accessibility of CT/NG testing.

Results
Of the 873 clinics, CT/NG testing was offered in 751 clinics (86.0%), and extragenital testing was offered in only 432 clinics (57.5%). Most clinics (74.5%) with extragenital testing do not offer tests unless patients request them and/or report symptoms. Additional barriers to accessing information on available CT/NG testing include clinics not picking up the telephone, disconnecting the call, and unwillingness or inability to answer questions.

Conclusions
Despite evidence-based recommendations from the Centers for Disease Control and Prevention, the availability of extragenital CT/NG testing is moderate. Patients seeking extragenital testing may encounter barriers such as fulfilling specific criteria or being unable to access information on testing availability.
Effects of stimulation area and temperature rates on offset analgesia
Authors: Szikszay Tibor M. , Melz Nina , von Glasenapp Barbara , Adamczyk Wacław M. , Luedtke Kerstin 
Published: March 2023

Abstract

Introduction:
Offset analgesia describes the effect of a slightly reduced nociceptive stimulus, resulting in a disproportionate large reduction in the pain perception. This effect may be associated with descending pain inhibition, but parameters influencing this phenomenon are poorly understood.

Objectives:
In this study, 2 separate experiments were conducted to investigate both, the spatial aspects of offset analgesia and the influence of different rates of temperature rise.

Methods:
In both experiments, 29 healthy participants received individualized and heat-based offset analgesia paradigms applied to the forearm, with continuous assessment of pain intensity. In experiment 1, offset analgesia paradigms with 3 different rates of temperature rise were applied, whereas in experiment 2, offset analgesia paradigms with 2 different heat application areas were used.

Results:
The results of experiment 1 showed that different temperature rates had no effect on the offset analgesia response (P > 0.05). Experiment 2, however, showed the influence of the size of a stimulated area on offset analgesia (P = 0.009), which can be explained mainly by the influence of spatial summation of pain and habituation processes.

Conclusions:
The study showed a lack of influence of different temperature rates on offset analgesia; however, spatial aspects of offset analgesia could be identified. These are most likely based on spatial summation of pain and altered adaptation to pain.
Sensory processing sensitivity in adolescents reporting chronic pain: an exploratory study
Authors: Koechlin Helen , Donado Carolina , Locher Cosima , Kossowsky Joe , Lionetti Francesca , Pluess Michael 
Published: March 2023

Abstract

Introduction:
Sensory processing sensitivity (SPS) describes a genetically influenced trait characterized by greater depth of information processing, lower sensory threshold, and ease of overstimulation. It is hypothesized that SPS plays a crucial role in the context of chronic pain.

Objectives: This exploratory study examined SPS as a correlate of pain intensity and pain-related disability in a sample of adolescents reporting chronic pain.

Methods:
Adolescents reporting chronic pain were contacted through social media and through specialized pain clinics. Participants completed online questionnaires on their levels of SPS, pain features, emotion regulation, and quality of life. A series of analysis of variances (ANOVAs) were calculated to detect differences between 3 SPS groups (ie, high, medium, and low sensitivity) regarding emotion regulation, quality of life, and pain features. Multiple linear regressions were conducted to predict pain intensity, pain-related disability, and quality of life.

Results:
In total, 103 participants completed the survey (68.9% female, Mage 17.9). Back pain was the most frequently reported pain location. Proportion of highly sensitive individuals was large (45.68%). The ANOVA revealed significant differences between sensitivity groups related to quality-of-life subscales, namely, for physical (F(2, 100) = 7.42, P < 0.001), emotional (F(2, 100) = 6.11, P < 0.001), and school functioning (F(2, 100) = 3.75, P = 0.03). High sensitivity was not predictive of pain but of health-related quality of life.

Conclusions:
Our results indicate that SPS is an important and prevalent characteristic to consider in the context of chronic pain in adolescents, specifically regarding the quality of life.
’Treating the Saddlebag Deformity in Massive Weight Loss Patients: The Vertical Lower Body Lift versus the Lower Body Lift’’
Authors: Janssen Nicky , Geerards Daan , Berg Lisa van den , Van der Hulst René R. W. J. , Hoogbergen Maarten M. 
Published: March 2023

Summary:
The saddlebag deformity remains a persistent and difficult-to-treat problem following body contouring surgery (BCS). A new way to handle the saddlebag deformity is with the vertical lower body lift (VLBL) as described by Pascal [1]. This retrospective cohort study evaluated the overall reconstruction outcome of the VLBL in 16 patients, respectively 32 saddlebags, and compared it to standard LBL. The BODY-Q as well as the Pittsburgh Rating Scale (PRS)-saddlebag scale were used in the evaluation process.
The authors showed that surgical outcomes regarding the saddlebag deformity are in favor of the VLBL technique in patients with marked saddlebag deformity. A decrease of 1.16 in mean PRS-saddlebag score and relative change of 61.67% is observed for the VLBL group, while the LBL group shows only a mean decrease of 0.29 and relative change of 21.6%. BODY-Q endpoint and change in scores did not differ between the VLBL and LBL group at 3 months follow-up and were at one year follow-up in favor of the VLBL group in the body appraisal domain. Patients are greatly satisfied with the contour and appearance of their lateral thigh despite the extra scarring that had to be made by using this novel technique. Therefore, the authors advise clinicians to consider performing a VLBL instead of the standard LBL in massive weight loss patients with a notable saddlebag.
Are surgical drains needed in DIEP surgery? The drain-free DIEP concept
Authors: Evgeniou Evgenios , Liew Julian , Lee Geoffrey , Power Kieran , Khan Aadil , Cole DJ. , Tasoulis Marios , Nanidis Theodore 
Published: March 2023

INTRODUCTION:
Studies support an inherent morbidity associated with the use of surgical drains, such as post-operative pain, infection, reduction in mobility and delay in patient discharge, whilst not preventing seroma or haematoma. Our series aims to evaluate the feasibility, benefits and safety of performing drainless DIEP surgery and to formulate an algorithm for when this can be employed.

MATERIALS-METHODS
Retrospective review of DIEP reconstruction outcomes of two surgeons. Over the course of 24 months, consecutive DIEP flap patients were included from the Royal Marsden Hospital in London and Austin Hospital in Melbourne and drain use, drain output, length of stay (LOS) and complications were analysed.

RESULTS
One hundred and seven DIEP reconstructions were performed by two surgeons. Thirty-five patients had abdominal drainless DIEPs and 12 patients had totally drainless DIEPs. Mean age was 52 years (Range: 34-73) with a mean BMI of 26.8 kg/m 2 (Range: 19.0-41.3 kg/m 2). Abdominal drainless patients showed a potential trend towards shorter hospital stays as compared to the ones with drains (mean LOS (3.74 vs 4.05 days; p=0.154). Totally drainless patients had an even shorter, statistically significant, mean LOS of 3.10 days, as compared to patients with drains 4.05 days (p=0.002), with no increase in complications.

CONCLUSIONS
The avoidance of abdominal drains in DIEPs reduces hospital stay without increasing complications and this has become our standard practice for patients with a BMI of less than 30. It is our opinion that the totally drainless DIEP procedure is safe in selected patients.

LEVEL OF EVIDENCE:
Therapeutic: IV Case series with post test only
The Underutilized Superomedial Pedicle Reduction Mammoplasty: Safe and Effective Outcomes
Authors: Morrison Kerry A. , Karp Nolan S , Choi Mihye 
Published: March 2023

Background:
The superomedial pedicle for reduction mammoplasty remains less commonly performed than the inferior pedicle. This study seeks to delineate the complication profiles and outcomes for reduction mammoplasty using a superomedial pedicle technique in a large series.

Methods:
A retrospective review was conducted of all consecutively performed reduction mammoplasty cases at a single institution by two plastic surgeons over a two-year period. All consecutive superomedial pedicle reduction mammoplasty cases for benign symptomatic macromastia were included.

Results:
Four hundred sixty-two breasts were analyzed. Mean age was 38.3±13.38 years, mean BMI 28.5±4.95, and mean reduction weight 644.4±299.16 grams. Regarding surgical technique, a superomedial pedicle was used in all cases, and Wise pattern incision in 81.4% and short-scar incision in 18.6%. The mean sternal notch-to-nipple measurement was 31.2±4.54 cm. There was a 19.7% rate of any complication, the majority of which were minor in nature, including any wound healing complications treated with local wound care (7.5%) and scarring with intervention in the office (8.6%). There was no statistically significant difference in breast reduction complications and outcomes using the superomedial pedicle, regardless of sternal notch-to-nipple distance. BMI (p=0.029) and breast reduction specimen operative weight (p=0.004) were the only significant risk factors for a surgical complication, and with each additional gram of reduction weight, the odds of a surgical complication increased by 1.001. Mean follow up time was 40.5±7.1 months.

Conclusion:
The superomedial pedicle is an excellent option for reduction mammoplasty, portending a favorable complication profile and long-term outcomes.
Perceptions of Saudi psychiatric mental health nurses’ roles in the inpatient mental health care setting
Authors: Alhamidi Sami Abdulrahman , Alyousef Seham Mansour 
Published: March 2023

PurposeThe aim of this study is to investigate the roles of psychiatric mental health nurses during their work experiences in inpatient clinical settings.Design/methodology/approachA focus group of 10 graduate psychiatric nurses with more than two years’ practice in inpatient psychiatric settings reflected on their last six months’ work placements and continuous employment. The transcripts and field notes were analyzed through thematic analysis of inductive data.FindingsTwo main themes emerged: management roles and clinical roles. The participants reflected on caring activities and obstacles encountered in fulfilling their professional roles.Originality/valueMultiple practice issues emerged. The participants perceived that psychiatric nurse specialists are required to perform more caring functions than practicable in the inpatient setting due to an excess of noncaring duties, structural minimization of the caring role and inadequate training. They felt that many of the functions performed were not within their expectations of the caring role of a psychiatric nurse specialist and believed that changes in nurse education and attention to clarification of nurses’ roles might enhance the role they play in patient care.
An investigation on dynamic connectedness of commodity market with financial market during the Russia–Ukraine invasion
Authors: Malhotra Gaytri , Yadav Miklesh Prasad , Tandon Priyanka , Sinha Neena 
Published: March 2023

PurposeThis study unravels an attempt to investigate the dynamic connectedness of agri-commodity (wheat) of Russia with 10 financial markets of wheat importing counties during the Russia–Ukraine invasion.Design/methodology/approachThis study took the daily prices of Wheat FOB Black Sea Index (Russia) along with stock indices of 10 major wheat-importing nations of Russia and Ukraine. The time frame for this study ranges from February 24, 2022 to July 31, 2022. This time frame was selected since it fully examines all of the effects of the crisis. The conditional correlations and volatility spillovers of these indices are predicted using the DCC-GARCH model, Diebold and Yilmaz (2012) and Baruník and Křehlík (2018) models.FindingsIt is found that there is dynamic linkage of agri-commodity of with stock markets of Iraq, Pakistan and Tanzania in short run while stock markets of Egypt, Turkey, Bangladesh, Pakistan, Brazil and Iraq are spilled by agri-commodity in long run. In addition, it documents that there is large spillover in short run than medium and long run comparatively. This signifies that investors have more diversification opportunity in short run then long run contemplating to invest in these markets.Originality/valueTo the best of the authors’ understanding this is the first study to undertake the dynamic linkage of agri-commodity (wheat) of Russia with financial market of select importing counties during the Russia–Ukraine invasion.
The effects of system frequency responses on security constrained unit commitment in presence of wind-hydro-thermal units
Authors: Hassanzadeh Darani Shirin , Rabbanifar Payam , Hosseini Aliabadi Mahmood , Radmanesh Hamid 
Published: March 2023

Purpose
The purpose of this paper is to present a new system frequency response model with participation of wind-hydro-thermal units to overcome frequency deviations.

Design/methodology/approach
The extracted minimum frequency equation is considered as a constraint in security-constrained unit commitment calculations. Because of high-order polynomials in the frequency transfer function and high degree of nonlinearity of minimum frequency constraint, Routh stability criterion method and piecewise linearization technique are used to reduce system order and linearize the system frequency response model, respectively.

Findings
The results of this paper indicate that by using this model, the hourly minimum frequency is improved and is kept within defined range.

Originality/value
This combined model can be used to evaluate the frequency of the power system following unexpected load increase or generation disturbances. It also can be used to investigate the system frequency performance and ensure power system security which are caused by peak load or loss of generation in presence of renewable energies.
What makes some people habitual entrepreneurs? Decomposing habitual entrepreneurship in the light of Lazear’s theory
Authors: Kurczewska Agnieszka , Mackiewicz Michał 
Published: March 2023

Purpose
In spite of the recognised significance of habitual entrepreneurship, enough is not known about the drivers that lead individuals to become habitual entrepreneurs. Drawing from Lazear’s theory of entrepreneurship, this paper addresses the specifics of habitual entrepreneurs in terms of different human capital-related factors, including breadth and diversity of experience and education. This paper aims to elucidate what makes some people habitual entrepreneurs.

Design/methodology/approach
In this empirical study on a broad data set (1,538 surveys), the authors juxtapose habitual entrepreneurs with ex-entrepreneurs who decided to give up and chose a salary job after running their first and only firm. The authors formulate four hypotheses that are tested by using a logit regression to model the probability of being a habitual entrepreneur vs giving up entrepreneurship and choosing a salary job.

Findings
The probability of being a habitual entrepreneur increases with the diversity of both managerial and professional experience, as well as with the breadth of education. In addition, entrepreneurial self-efficacy supports setting up more than one firm.

Practical implications
The findings actualise knowledge of whether habitual entrepreneurs are unique concerning their pools of human capital. They broaden the knowledge of the backgrounds of the decision to start up a business again.

Originality/value
This paper contributes to the current entrepreneurship discussion by offering an enhanced understanding of habitual entrepreneurship. The phenomenon of repeatedly engaging in entrepreneurship is a promising source of knowledge that enables us to better understand entrepreneurship. In addition, the authors verify and extend Lazear’s theory to a new group of entrepreneurs.
The competence-based VET curriculum and teaching of work values: the case of Lithuania
Authors: Tūtlys Vidmantas , Daukilas Sigitas , Mičiulienė Rita , Čiučiulkienė Nijole , Krikštolaitis Ričardas 
Published: March 2023

Purpose
This paper aims to explore how the competence-based vocational education and training (VET) curricula facilitate shaping of work values of VET students. It discusses methodological and ideological orientations of competence-based VET in teaching work values and discloses the typical characteristics of teaching work values in the VET system of Lithuania.

Design/methodology/approach
A quantitative research approach leading to a survey method is adopted to investigate how VET students acquire and apply work-related values and attitudes to work.

Findings
The survey of the VET students has disclosed that students are open to accepting different values of work, including cognitive values, social prestige and altruist values. However, orientation of the VET curricula to and provision of instrumental values lead to relatively weak internalization of the work values related to societal and spiritual dimensions.

Originality/value
The paper provides empirical evidence regarding the implications of the competence-based curricula for teaching students work values in the school-based VET.