bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictors of Hospital Readmission After Motor Vehicle Crash: Prospective Cohort Study
Authors: Carmo Érica Assunção , Nery Adriana Alves , Cardoso Jefferson Paixão , Oliveira Juliana da Silva , Rios Marcela Andrade , Constâncio Tatiane Oliveira de Souza , Ferreira Luciano Nery , Mota Edilene Curvelo Hora 
Published: March 2023

BACKGROUND:
Motor vehicle crash (MVC) is a major public health problem worldwide and contributes to a large burden of death, disability, and economic loss.

OBJECTIVE:
To identify the predictors of hospital readmission in victims of MVC within 1 year after discharge.

METHODS:
A prospective cohort study conducted with individuals who suffered MVC admitted to a regional hospital and who were followed up for 12 months after discharge. Predictors of hospital readmission were verified by means of Poisson regression models with robust variance, using a hierarchical conceptual model.

RESULTS:
Of the 241 patients followed up, 200 were contacted and comprised the population of this study. Of these, 50 (25.0%) reported hospital readmission during the 12-month period after discharge. It was evidenced that being male (relative risk [RR] = 0.58; 95% CI [0.36, 0.95], p = .033) was a protective factor, whereas occurrences of greater severity (RR = 1.77; 95% CI [1.03, 3.02], p = .036), not receiving pre-hospital care (RR = 2.14; 95% CI [1.24, 3.69], p = .006), the occurrence of postdischarge infection (RR = 2.14; 95% CI [1.37, 3.36], p = .001), and having access to rehabilitation treatment (RR = 1.64; 95% CI [1.03, 2.62], p≤ .001) are configured as risk factors for hospital readmission in individuals who have suffered these events.

CONCLUSION:
It was found that gender, trauma severity, pre-hospital care, postdischarge infection, and rehabilitation treatment variables predict hospital readmission in MVC victims within 1 year after discharge.
Perceptions of an Interactive Trauma Recovery Information Booklet
Authors: Reeder Sandra C. , Ekegren Christina L. , Mather Anne M. , Kimmel Lara A. , Webb Melissa J. , Pellegrini Michael , Cameron Peter A. , Gabbe Belinda J. 
Published: March 2023

BACKGROUND:
Previous research has shown that people with traumatic injuries have unmet information needs with respect to their injuries, management, and recovery. An interactive trauma recovery information booklet was developed and implemented to address these information needs at a major trauma center in Victoria, Australia.

OBJECTIVE:
The aim of this quality improvement project was to explore patient and clinician perceptions of a recovery information booklet introduced into a trauma ward.

METHODS:
Semistructured interviews with trauma patients, family members, and health professionals were undertaken and thematically analyzed using a framework approach. In total, 34 patients, 10 family members, and 26 health professionals were interviewed.

RESULTS:
Overall, the booklet was well accepted by most participants and was perceived to contain useful information. The design, content, pictures, and readability were all positively appraised. Many participants used the booklet to record personalized information and to ask health professionals questions about their injuries and management.

CONCLUSION:
Our findings highlight the usefulness and acceptability of a low-cost interactive booklet intervention to facilitate the provision of quality of information and patient–health professional interactions on a trauma ward.
Acute Kidney Injury: Iterative Development of an Audit Tool for Trauma Patients
Authors: Holt Andrew , Rahm Jordan , Hopper H. Andrew , Hunt Darrell L. 
Published: March 2023

BACKGROUND:
Acute kidney injury is a low-volume, high-risk complication in trauma patients and is associated with prolonged hospital length of stay and increased mortality. Yet, no audit tools exist to evaluate acute kidney injury in trauma patients.

OBJECTIVE:
This study aimed to describe the iterative development of an audit tool to evaluate acute kidney injury following trauma.

METHODS:
Our performance improvement nurses developed an audit tool to evaluate acute kidney injury in trauma patients using an iterative, multiphase process conducted from 2017 to 2021, which included a review of our Trauma Quality Improvement Program data, trauma registry data, literature review, multidisciplinary consensus approach, retrospective and concurrent review, and continuous audit and feedback for piloted and finalized versions of the tool.

RESULTS:
The final acute kidney injury audit tool can be completed within 30 min using data obtained from the electronic medical record and consists of six sections, including identification criteria, source potential causes, source treatment, acute kidney injury treatment, dialysis indications, and outcome status.

CONCLUSION:
The iterative development and testing of an acute kidney injury audit tool improved the uniform data collection, documentation, audit, and feedback of best practices to positively impact patient outcomes.
ATTAC! Development of a Novel Advanced Trauma Team Application Course
Authors: Orr Lanny , Stevens Lisa , McCotter Elizabeth , Peterson Alexa , Brant Jeannine M. , Thompson Simon J. 
Published: March 2023

BACKGROUND:
Although existing trauma nurse courses provide basic education, advanced courses with simulation experiences that enhance team leadership, communication, and workflows are lacking.

OBJECTIVE:
To design and implement the Advanced Trauma Team Application Course (ATTAC) to promote advanced skills for nurses and respiratory therapists with varied experience and skill levels.

METHODS:
Trauma nurses and respiratory therapists were selected to participate based on years of experience and the novice to expert nurse model. Two nurses from each level (excluding novice) participated, ensuring a diverse cohort to promote development and mentorship. The 11-module course was presented over 12 months. A five-question survey was employed at the end of each module to self-evaluate assessment skills, communication skills, and comfort for trauma patient care. Participants rated skills and comfort on a “0–10” scale, with 0 being “not at all” to 10 being “extensively.”

RESULTS:
The pilot course was conducted from May 2019 to May 2020 at a Level II trauma center in the Northwest United States. Nurses reported ATTAC improved assessment skills, team communication, and comfort in caring for trauma patients (mean = 9.4; 95% CI [9.0, 9.8]; scale of 0–10). Participants indicated scenarios closely mimicked real-world situations; concept application commenced directly following each session.

CONCLUSION:
This novel approach to advanced trauma education promotes development of advanced skills that enable nurses to anticipate needs rather than being reactive, engage in critical thinking, and adapt to rapidly changing patient conditions.
Seeking Common Ground
Authors: Maloney Kristen W. 
Published: March 2023

Background
The nurse-patient relationship represents a valuable connection in cancer care. Largely studied within inpatient settings, the nature and influence of this central relationship in ambulatory settings remain relatively unexamined. The notable shift to ambulatory settings like infusion centers warrants examination of the nurse-patient relationship in this context.

Objective
The aim of this study was to develop a grounded theory of the nurse-patient relationship in ambulatory cancer infusion care.

Interventions/Methods
Using grounded theory methodology, 11 nurses were interviewed using a semistructured interview guide. Data collection continued until data saturation occurred with the primary concepts.

Results
The grounded theory, entitled Seeking Common Ground, includes 6 primary concepts. The concepts “we are all human”; “we work in a busy, complex environment”; “we seek common ground with patients”; “we use connections to support meaningful encounters”; “we find meaning in the relationships created”; and “we are governed by the push and pull of time” abstract the nurse-patient relationship from the nurses’ perspective, emphasizing fundamental human connections.

Conclusions
The grounded theory Seeking Common Ground depicts the profound connection that nurses form with their patients in the ambulatory infusion setting. Underscoring the value of the nurse-patient relationship as foundational to the nursing profession must be driven through practice, education, and policy.

Implications for Practice
Consideration of educational aspects within nursing across all levels to influence clinical practice will remain key.
The Predictive Role of Illness Perception on Lymphedema Risk-Management Behaviors in Women After Breast Cancer Surgery
Authors: Luo Xia , Zhang Lijuan , Chen Jing , Zhang Yue , Yan Jun 
Published: March 2023

Background
Illness perception affects lymphedema risk-management behaviors. However, little is known about these behavioral changes within 6 months after surgery and how illness perception predicts behavioral trajectories.

Objective
The aim of this study was to explore the trajectories of lymphedema risk-management behaviors in breast cancer survivors within 6 months after surgery and the predictive role of illness perception.

Methods
Participants were recruited from a cancer hospital in China and completed a baseline survey (Revised Illness Perception Questionnaire) and follow-up assessments (Lymphedema Risk-Management Behavior Questionnaire and the physical exercise compliance dimension of the Functional Exercise Adherence Scale) at the first, third, and sixth months postoperatively.

Results
A total of 251 women were analyzed. Regarding the Lymphedema Risk-Management Behavior Questionnaire, the total scores were stable. The scores of the “lifestyle” and “skin care” dimensions showed upward trends; the scores of the “avoiding compression and injury” and “other matters needing attention” dimensions showed downward trends. For “physical exercise compliance,” scores remained stable. Furthermore, key illness perceptions (especially “personal control” and “causes”) at baseline could predict the starting levels of and changes in behavioral trajectories.

Conclusion
Different lymphedema risk-management behaviors exhibited different trajectories and could be predicted by illness perception.

Implications for Practice
Oncology nurses should focus on the early development of behaviors related to “lifestyle” and “skin care” and the later maintenance of “avoiding compression and injury” and “other matters needing attention” during follow-up, as well as help women strengthen their personal control beliefs and correctly understand the causes of lymphedema during hospitalization.
The Impact of a Culturally Meaningful Storytelling Intervention on Stigma and Attitudes About Mental Health Treatment
Authors: Conner Kyaien O. , Kosyluk Kristin , Tran Jennifer T. , Anderson Erica , Davis-Cotton Denise , Hill Angela M. 
Published: March 2023

Abstract
The fear of being devalued or discriminated against is a salient deterrent to seeking mental health care, especially in communities of color where racial stigma also impacts mental health and perceptions of service utilization. To address this issue, our research team partnered with This Is My Brave Inc to develop and evaluate a virtual storytelling intervention to highlight and amplify the voices of Black and Brown Americans living with mental illness and/or addiction. We utilized a pretest-posttest survey design administered electronically to viewers of the series (n = 100 Black, indigenous, people of color and n = 144 non-Hispanic White). Results indicated that postintervention, scores on public stigma and perceived discrimination measures were significantly reduced. We identified significant interaction effects, such that Black, indigenous, people of color viewers showed a greater rate of improvement on outcomes. This study provides strong preliminary evidence of the impact of a culturally meaningful virtual approach to addressing stigma and improving attitudes about mental health treatment.
Survey of the Faculty Status of Optometrists at Academic Medical Centers in the United States
Authors: Quan Steven C. , Song Sunah , Koepf Beverly , Saroufim Paola , Kaufman Evan , Day Sherry , Louie Derek , St. Clair Bryce , Stokkermans Thomas 
Published: March 2023

ABSTRACT

Significance
This is the first study of the prevalence and faculty status of optometrists practicing at academic medical centers in the United States.

Purpose
To quantify the number of optometrists at academic medical centers, along with faculty rank and postdoctoral training programs.

Methods
The official websites of academic medical centers and schools of medicine in the United States were examined during the 2021-22 academic year to identify departments of ophthalmology and collect faculty profiles of employed optometrists. Institutional data was cross-referenced and analyzed by geographic distribution. Data was gathered from the Association of Schools and Colleges of Optometry and Accreditation Council on Optometry Education to identify post-graduate training programs in optometry.

Results
192 academic medical centers were identified, of which 121 (63.02%) had a residency or fellowship program in ophthalmology and/or optometry. 125 (65.10%) of these institutions had at least one staff optometrist. 718 optometrists were found at these institutions, representing 1.83% of the 39,205 practicing optometrists estimated in the United States. Of the 718 optometrists, 369 (51.39%) held an academic appointment at a medical school. The most common academic rank was Assistant Professor (184; 25.63%), followed by Instructor (138; 19.22%), Associate Professor (34; 4.74%), and Full Professor (13; 1.81%). The distribution of academic rank was similar across all regions, but varied between institutions as to whether all, some, or none of the optometric faculty were appointed by a medical school. Of 296 optometry residency programs in the United States, 21 (7.09%) were at an academic medical center. Of 15 optometric fellowship programs in the United States, 3 (20%) were at an academic medical center. Of the 192 institutions in this study, 22 (11.46%) had a post-doctoral optometric training program.

Conclusions
This study shows the distribution of academic rank and postdoctoral training programs for optometrists at academic medical centers.
Case Series: Unbiased Deep Sequencing Analysis of Acute Infectious Conjunctivitis in an Ambulatory Eye Center in Berkeley, California
Authors: Kanai Kuniyoshi , Whiteside Meredith , Wong Michael , La Tammy , Nassiri Maryam , Lee Sam , Yeung Sze Kei , Coulter Adrienne , Roufail Mareena , Ruder Kevin , Chen Cindi , Liu David , Abraham Thomas , Hinterwirth Armin , Lietman Thomas M. , Doan Thuy , Seitzman Gerami D. ,   on behalf of the Seasonal Conjunctivitis Outbreak Reporting for Prevention and Improved Outcomes (SCORPIO) Study Group
Published: March 2023

SIGNIFICANCE
Acute infectious conjunctivitis poses significant challenges to eye care providers. It can be highly transmissible, and because etiology is often presumed, correct treatment and management can be difficult. This study uses unbiased deep sequencing to identify causative pathogens of infectious conjunctivitis, potentially allowing for improved approaches to diagnosis and management.

PURPOSES
This study aimed to identify associated pathogens of acute infectious conjunctivitis in a single ambulatory eye care center.

CASE REPORTS
This study included patients who presented to the University of California Berkeley eye center with signs and symptoms suggestive of infectious conjunctivitis. From December 2021 to July 2021, samples were collected from seven subjects (ages ranging from 18 to 38). Deep sequencing identified associated pathogens in five of seven samples, including human adenovirus D, Haemophilus influenzae, Chlamydia trachomatis, and human coronavirus 229E.

CONCLUSIONS
Unbiased deep sequencing identified some unexpected pathogens in subjects with acute infectious conjunctivitis. Human adenovirus D was recovered from only one patient in this series. Although all samples were obtained during the COVID-19 pandemic, only one case of human coronavirus 229E and no SARS-CoV-2 were identified.
Tenofovir Concentration Is Not Enough in Intraocular Tissues of Patients With HIV infection
Authors: Qian Yiwen , Wang Luoziyi , Xing Yaru , Yin Lin , Jiang Jing , Suo Jinshan , Che Xin , Zhang Lijun , Wang Zhiliang 
Published: March 2023

Objective:
To determine tenofovir (TFV) penetration into intraocular tissues using ultra high-performance liquid chromatography/tandem mass spectrometry (UHPLC-MS/MS).

Methods:
Nineteen participants taking tenofovir in combination antiretroviral therapy (cART) regimen who underwent pars plana vitrectomy (PPV) surgery were enrolled in the observational retrospective study between January 2019 and August 2021. The participants were divided into mild, moderate, and severe groups according to retinal manifestations. Basic information was recorded during PPV surgery. Paired blood plasma and vitreous humor samples (n = 19) were collected for UHPLC-MS/MS.

Results:
The median plasma and vitreous tenofovir concentrations were 106.00 ng/mL (interquartile range[IQR], 54.6–142.5) and 41.40 ng/mL (IQR 9.4–91.6), respectively. The median vitreous/plasma concentration ratio from the paired samples was 0.42 (IQR 0.16–0.84). The plasma and vitreous tenofovir concentrations were significantly correlated (r = 0.483, P = 0.036). The median vitreous tenofovir concentration was the lowest in the mild group (4.58 ng/mL). Six vitreous samples were below 50% inhibitory concentration (IC50) (11.5 ng/mL), and 2 of them were undetectable. Significant differences were noted in vitreous/plasma and vitreous tenofovir concentrations (P = 0.035 and P = 0.045, respectively) among the 3 groups but not in plasma tenofovir concentration (P = 0.577). No correlation was noted between vitreous HIV-1 RNA and vitreous tenofovir concentrations (r = 0.049, P = 0.845).

Conclusion:
Vitreous tenofovir did not reliably or consistently achieve concentrations sufficient to inhibit viral replication in intraocular tissues due to poor penetration of the blood–retinal barrier (BRB). The higher vitreous tenofovir concentrations were associated with moderate or severe disease compared with mild disease, indicating an association with the severity of BRB disruption.
Brief Report: Interruptions in HIV Prevention and Treatment During the COVID-19 Pandemic: A Cross-Sectional Study of Transgender and Gender Nonbinary Adults in the United States
Authors: Poteat Tonia C. , Wirtz Andrea L. , Adams Dee , Linton Sabriya L. , Gutierrez Carmen , Brown Carter , Miller Marissa , Rich Ashleigh J. , Williams Jennifer , Nguyen Trang Q. , Reisner Sari L. 
Published: March 2023

Background:
Transgender and gender nonbinary (TNB) people have been disproportionately affected by HIV and the COVID-19 pandemic. This study explored the prevalence of HIV prevention and treatment (HPT) interruptions during the pandemic and identified factors associated with these interruptions.

Setting:
Data were drawn from LITE Connect, a US-based, nationwide, online, self-administered survey designed to examine the experiences of TNB adults during the COVID-19 pandemic. A convenience sample of 2134 participants were recruited between June 14, 2021, and May 1, 2022.

Methods:
The analytic sample was restricted to participants taking antiretroviral medications to prevent or treat HIV before the onset of the pandemic (n = 153). We calculated descriptive statistics as well as Pearson χ2 bivariate tests and multivariable models to identify factors associated with HPT interruptions during the pandemic.

Results:
Thirty-nine percent of participants experienced an HPT interruption. We found a lower odds of HPT interruptions among participants living with HIV [adjusted odds ratios (aOR) 0.45; 95% Confidence Intervals (CI): 0.22, 0.92; P = 0.02] and essential workers [aOR 0.49; 95% CI: 0.23, 1.0; P = 0.06] and higher odds among people with chronic mental health conditions [aOR 2.6; 95% CI: 1.1, 6.2; P = 0.03]. When sex and education were included, we found a lower odds of interruptions among people with higher education. CI widened, but the magnitude and direction of effects did not change for the other variables.

Conclusions:
Focused strategies to address longstanding psychosocial and structural inequities are needed to mitigate HPT treatment interruptions in TNB people and prevent similar challenges during future pandemics.
Complications Following Alloplastic Chin Augmentation
Authors: Liao Christopher D. , Rodriguez Ezequiel , Zhao Kelley , Kunda Nicholas , George Finny 
Published: March 2023

Background
Alloplastic implantation has become a popular method of chin augmentation. Historically, silicone was the most commonly used implant, but porous materials have grown in favor due to improved fibrovascularization and stability. Nevertheless, it is unclear which implant type has the most favorable complication profile. This systematic review aims to compare the complications of published chin implants and surgical approaches to provide data-driven recommendations for optimizing chin augmentation outcomes.

Methods
The PubMed® database was queried on March 14, 2021. We selected studies reporting data on alloplastic chin augmentation excluding additional procedures such as osseous genioplasty, fat grafting, autologous grafting, and fillers. The following complications were extracted from each article: malposition, infection, extrusion, revision, removal, paresthesias, and asymmetry.

Results
Among the 39 articles analyzed, the year of publication ranged from 1982 to 2020; additionally, 31 were retrospective case series, 5 were retrospective cohort or comparative studies, 2 were case reports, and 1 was a prospective case series. More than 3104 patients were included. Among the 11 implants reported, the 3 implants with the highest number of publications were silicone, high-density porous polyethylene (HDPE), and expanded polytetrafluoroethylene (ePTFE). Silicone demonstrated the lowest rates of paresthesias (0.4%) compared to HDPE (20.1%, P < 0.01) and ePTFE (3.2%, P < 0.05). In contrast, there were no statistically significant differences in rates of implant malposition, infection, extrusion, revision, removal, or asymmetry when stratified by implant type. Various surgical approaches were also documented. Compared with subperiosteal implant placement, the dual-plane technique demonstrated higher rates of implant malposition (2.8% vs 0.5%, P < 0.04), revision (4.7% vs 1.0%, P < 0.001), and removal (4.7% vs 1.1%, P < 0.01), but a lower incidence of paresthesias (1.9% vs. 10.8%, P < 0.01). Compared with extraoral incisions, intraoral incisions resulted in higher rates of implant removal (1.5% vs 0.5%, P < 0.05) but lower rates of asymmetry (0.7% vs 7.5%, P < 0.01).

Conclusion
Silicone, HDPE, and ePTFE had low overall complication rates, demonstrating an acceptable safety profile regardless of implant selection. Surgical approach was found to significantly influence complications. Additional comparative studies on surgical approach while controlling for implant type would be beneficial for optimizing alloplastic chin augmentation practices.