bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of demographic variables in investigating occupational stress of disaster and emergency medical management center
Authors: Yazdi Fateme , Chaboksavar Fakhreddin , Malekzadeh Roya , Ziapour Arash , Yoosefi Lebni Javad , Janjani Parisa , Hamidipour Nasim , Fard Azar Amir Ali Ebadi , Darabi Fatemeh , Garosi Vahid Hatami , Kianipour Neda 
Published: September 2023

BACKGROUND:
Emergency medical services face stressful environments such as departments dealing with injuries and sick patients that pose challenging situations for the healthcare staff. This present study investigates the role of demographic variables in investigating occupational stress of disaster and emergency medical management center in 2021.

MATERIALS AND METHODS:
This present descriptive study selected a sample size of 200 medical personnel associated with disaster and emergency medical management center in Iran, according to the inclusion chosen criteria. The study used a tool consisting of two parts, including demographic information and a job stress Health and Safety Executive (HSE) standard questionnaire. The study selected respondents through Cochran's sample size formula using stratified random sampling with a cross-sectional research design for data collection. This present study has analyzed received data using performed the descriptive and inferential information (t-test and one-way ANOVA) at a significance level P < 0.05. The participants of the survey were males only.

RESULTS:
The study results specified that the mean age of respondents was 30.14 ± 5.96. The study results exhibited that the mean score of total occupational stress was 3.41 ± 0.26. The results showed the highest (4.34 ± 0.35) and the lowest (2.72 ± 0.86) stress levels were related to role dimensions.

CONCLUSIONS:
The study findings revealed a significant relationship between stress level and participants' age, marital status, educational level, type of base, workplace, and the number of work hours per month. Emergency medical personnel experience a high level of occupational stress. Senior managers can use similar studies to implement measures to reduce the experience of employees' stress.
Development and implementation of an intraoperative documentation protocol for enhancing patient safety in the operating room: A mixed methods protocol study
Authors: Akbari Leila , Bahrami Masoud , Aarabi Akram 
Published: September 2023

BACKGROUND:
Documentation is an important part of the patient care process; however, there is no regular program for documenting intraoperative care in Iran. This study was conducted to design an intraoperative documentation for enhancing patient safety in the operating room (OR).

MATERIALS AND METHODS:
This exploratory, mixed-methods, qualitative-quantitative study (in 2021) consists of four phases. The first phase involves a conventional content analysis of healthcare providers in the OR to identify the needs, strategies, and content of a pertinent documentation. In this phase, purposeful sampling will be used to collect data through semi-structured interviews. In the second phase, a literature review will be carried out to extract the documentation procedures in the intraoperative period in many other countries. In the third phase, a panel of experts is recruited and the classic Delphi (RAND) technique is run to validate the initial draft of the designed program and, the protocol is then finalized. In the last phase, the designed protocol will be implemented through a quasi-experimental study in one group (before and after intervention), and the effectiveness of the intervention will be evaluated.

DISCUSSION:
To design a protocol for intraoperative documentation, healthcare providers' experiences during surgery in the Iranian healthcare setting, where the lack of documentation might forensically harm both the healthcare providers and the patients, will be explored. This information alongside some universal standards developed in other countries should help improve patients' safety in ORs.
Assess perception, practice and lived experiences on use of corrective braces among parents of children diagnosed with clubfoot: A mixed method study
Authors: Kumari Poonam , Kalyani Vasantha C. , Sharma Maneesh , Singh Vivek , Prashar Anil Kumar , Patiyal Nidhi 
Published: September 2023

BACKGROUND:
Congenital talipes equinovarus (CTEV) is a congenital musculoskeletal deformity, which further leads to abnormal alignment of the feet in children. The aim of the present study is to assess perception and practice and explore lived experiences on the use of corrective braces among parents of children diagnosed with clubfoot.

MATERIAL AND METHODOLOGY:
A mixed method study approach with convergent parallel research design was used on 100 parents of children with clubfoot. For the quantitative strand, a total enumerative sampling technique was used to collect the data using self-structured tools—a 5-point Likert scale on perception and a checklist on practice at the clubfoot clinic of a selected tertiary care hospital, Rishikesh. For the qualitative strand, a purposive sampling technique was used to conduct the in-depth interview until data saturation from 17 participants using a semi-structured questionnaire. Analysis was done using the SPSS 23.0 software, descriptive statistics with the use of frequency %, whereas for correlation, Pearson's correlation coefficient was used.

RESULTS:
The mean age of participants was 31 years with a mean score of 30.54 ± 4.97. Among parents, 93% showed positive perception with a mean score of 67.16 ± 6.23 and 64% followed appropriate practice with a mean score of 12.44 ± 1.45. Coefficient correlation showed a statistically weak positive correlation between perception and practice (P < 0.001). The lived experiences of parents were reflected under six main themes, i.e., “personal experiences with wearing braces for correction,” “encounters and barriers,” “effects on one's social and personal life,” “perceived answers,” “any other previous practice,” and “awareness about clubfoot.”

CONCLUSION:
Present study concluded that parents had a positive perception and appropriate practice on the use of corrective braces, but there were a few issues such as relapse due to non-adherence, financial burden, and traveling distance, and noticeably more, which need to be addressed. Parental information is a very essential component that should be addressed by all treating physicians and nursing officers before starting treatment for clubfoot.
The effect of “Narrative writing reflection” method on the hope of patient with COVID-19: A health promotion intervention
Authors: Rafiei Malihe , Mohammadi Zakyieh , Mohamadirizi Shahla 
Published: September 2023

BACKGROUND:
Corona virus disease disease as a life-threatening respiratory disease causes psychological problems including hopelessness in patients. So the aim of this study was to determine the effect of Narrative writing reflection on hope of patient with COVID-19.

MATERIALS AND METHODS:
The study was experimental with a pre-test-post-test and with the control group design. The subjects were randomly divided into the intervention (n = 30) and control (n = 30) groups. The intervention group received Narrative writing reflection. The control group was receiving routine care. Before and after the intervention, the patients were asked to complete the 12-item Herth Hope Index. Data were analyzed with by using spss software and paired t test and independent t-test with a significance level of P < 0.05.

RESULTS:
Independent t-test showed that the hope scores before intervention in both intervention and control groups were not statistically significant (P > 0.05), whereas there was a significant difference between two groups after the intervention (P < 0.05).

CONCLUSION:
The results of this study showed that the use of mindfulness methods such as narrative writing in hospitalized and quarantined patients who are unable to communicate with the outside environment could increase the hope in patient.
Internet addiction and nomophobia among medical undergraduates of a tertiary care teaching institute in Patna, Eastern India
Authors: Rao Rajath , Verma Manisha , Singh CM , Nirala Santosh K. , Naik Bijaya N. 
Published: September 2023

BACKGROUND:
Excess use of the internet and gadgets for learning, gaming, and socialization has resulted in addictive behavior and nomophobia, especially among college-going students. Thus, this study was designed to find out the proportion and predictors of internet addiction and nomophobia among medical undergraduates.

MATERIALS AND METHODS:
This cross-sectional study conducted on 367 medical undergraduates of a teaching hospital was carried out using a standard tool: the Internet Addiction Test Short Form for screening internet addiction and the Nomophobia Questionnaire for nomophobia. Results were tabulated and multivariable binomial logistic regression analysis was performed to find out the predictors of internet addiction and nomophobia.

RESULTS:
A total of 116 (31.6%, 95% CI: 27%–36.5%) students were addicted to the internet and 247 (67.3%, 95% CI: 62.3%–71.9%) were screened to have moderate-to-severe nomophobia. The age of the student (adjusted odds ratio (AOR): 0.83 [0.69–0.99]), male gender (AOR: 2.24 [1.33–3.79]), screen time (AOR: 1.24 [1.14–1.34]), checking the phone first in the morning (AOR: 1.98 [1.107–3.54]), non-leisure time usage of phone (AOR: 2.07 [1.25–3.4]), and altered reading habit (AOR: 2.51 [1.26–5.01]) were independent predictors of internet addiction. Increased screen time (AOR: 1.103 [1.016–1.23]), checking the phone first in the morning after waking up (AOR: 1.68 [1.05–2.81]), altered academic performance (AOR: 1.99 [1.079–3.68]), and presence of internet addiction (AOR: 8.17 [3.56–18.76]) were independent predictors of moderate-to-severe nomophobia among medical students.

CONCLUSION:
One and two out of every three medical students were found to have internet addiction and moderate-to-severe nomophobia, respectively. Increased screen time, altered academic performance, and the presence of internet addiction were independent predictors of moderate-to-severe nomophobia.
Digital impact of world hepatitis day: Formulating evidence-based recommendations for promoting healthcare awareness events
Authors: Malhotra Kashish , Bawa Ashvind , Singla Ankur , Malhotra Sakshi , Kansal Rohin , Grewal Jasneet , Goyal Manjeet , Goyal Kashish , Singla Ankuriti , Mondal Himel 
Published: September 2023

BACKGROUND:
Social media applications provide room for public interaction and forming communities, thus helping disseminate health-related information. Since 2010, World Hepatitis Day has been observed on July 28 with endorsement from the World Health Organization. This study aimed to ascertain the global digital impact of World Hepatitis Day on Twitter (an online microblogging social network) and on the web (web searches and news) to formulate evidence-based recommendations for promoting future policy development.

MATERIALS AND METHODS:
We analyzed publicly available data from Twitter, a popular microblogging social network on the internet (data accessed from India). Three social media assessment tools (Sprout social, SocioViz and Symplur) and Google Trends were used to obtain data about the tweets and global impressions worldwide about World Hepatitis Day. A time frame from July 27th, 2022 to July 29th, 2022 was taken into account for all the tweets in various time zones around the world.

RESULTS:
“#WorldHepatitisDay” and “#Hepatitis” received 519.16 million and 412.37 million impressions in the defined timeframe, respectively. A total of 39,069 tweets were posted about World Hepatitis Day, an increase of 24.1% compared to the previous year. On social network analysis, 93 of the top 100 influencers collaborated among themselves, which helped in the wider dissemination of awareness.

CONCLUSIONS:
World Hepatitis Day 2022 was an impactful healthcare awareness event on Twitter for the global audience and sets forth an example of the effective utilization of resources. Future policies shall inculcate constructive feedback from our findings and must be inclusive of all the underrepresented communities.
Effectiveness of agile methodology on metacognitive ability, and clinical performance among nursing students—An interventional study
Authors: Thiyagarajan Suseela , Saldanha Prakash R. M. , Govindan Radhakrishnan , Leena KC , Vasuki Prathyusha P. 
Published: September 2023

BACKGROUND:
The emerging trend focuses on the need for an active agile method in the nursing curriculum. It helps to improve student engagement, the interaction between the students and teachers, higher-order thinking, teamwork, and practical skills. This study was done to assess the effectiveness of agile methodology on metacognitive ability and clinical performance among nursing students.

MATERIAL AND METHODS:
In this interventional study, two groups of the pre–post design were adopted. Each college was considered a cluster. By using the chit method, the colleges (four) were randomly selected for the experimental and control groups. To avoid contamination, all the fourth-year students were included either in the experimental group (133) or the control groups (132), respectively. The pretest was conducted using a metacognitive awareness inventory (metacognitive ability (MA)) and an objective structured clinical examination (OSCE) tool (clinical performance (CP)) in the experimental and control groups. Leaders were selected using leader attribute inventory (leadership ability (LA) in the pretest and posttest 2 among the experimental and control groups before the agile teaching. By using agile methodology, the newborn course was taught for 21 days in the experimental group. To assess the effectiveness of agile methodology, the control group was not given any teaching. Posttests were conducted immediately and after 1 week to assess the MA and CP in the experimental and control groups. The control group had agile training for 10 days after the posttests to understand the newer agile methodology. The data were analyzed by using SPSS version 28. Descriptive and inferential statistics were used to assess the data for effectiveness.

RESULTS:
The result showed that there is an improvement in the metacognitive ability (MA) score and clinical performance score over time in the experimental group (P < 0.001).

CONCLUSION:
The study finding supports that incorporating agile methodology in education impacts the metacognitive ability and clinical performance among nursing students. However, the teacher must be familiar with the methodology while incorporating agile in teaching.
Early clinical exposure: Dynamics, opportunities, and challenges in modern medical education
Authors: Ingale Mayur H. , Tayade Motilal C. , Bhamare Sunil 
Published: September 2023

INTRODUCTION:
Applications of early clinical exposure (ECE) are wide-ranging and reflect the important role that ECE plays in medical education. This review article aimed to highlight the dynamics, opportunities, and challenges of ECE in medical education.

STUDY METHODOLOGY:
This review article was conducted through a comprehensive search of electronic databases including PubMed, Scopus, Web of Science, and Google search engine. The keywords used for the search were “early clinical exposure,” “medical education,” “clinical skills,” “patient contact,” and “medical students. The inclusion criteria for selecting the articles were that they should be written in English, peer-reviewed, and provide insights into the dynamics, opportunities, and challenges of ECE in medical education.

RESULTS:
ECE allows students to gain a deeper understanding of the patient experience, and to develop empathy and a patient-centered approach to care. ECE can also help to improve recruitment and retention of medical students, by providing a more engaging and rewarding learning experience.

CONCLUSION:
ECE is a promising teaching method that has the potential to improve clinical skills and patient outcomes. However, it also poses some challenges that must be addressed to ensure its effective implementation.
The impact of therapeutic education programs on the quality of life of patients with multiple sclerosis: Protocol of a systematic review
Authors: Raji Ilham , El Harch Ibtissam , Ragala Mohammed E. A. , Berraho Mohamed , Belahsen Mohammed F. 
Published: September 2023

The quality of life (QOL) of patients with multiple sclerosis (MS) is estimated to be poor compared to the general population. Its management is complex thus requiring openness to non-pharmacological approaches such as therapeutic education (TPE). However, there is an abundance of educational programs with several components and varying degrees of effectiveness. This protocol is developed with the objective to determine the impact of TPE programs on the QOL of MS patients. We will undergo research in PubMed, Web of Science, and Scopus to identify all eligible articles published between January 1st, 2007, and February 2022 evaluating the QOL. We will include any quantitative study design: Randomized Controlled Trials (RCTs), non-randomized controlled trials, non-randomized uncontrolled trials, and observational studies. The quality of these studies will be assessed by recommended tools. Two investigators will independently perform the data extractions and any disagreements will be resolved by other reviewers. A narrative synthesis will report results according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guidelines to draw conclusions based on the totality of the evidence. These results will be summarized by characteristics of studies and programs and by effects on the QOL. This systematic review will provide practice guidance and evidence to effectively target the features and components of TPE programs, to effectively meet the specific needs of MS patients and thereby improve their QOL, and on the other hand to facilitate the appropriation of these programs by clinicians and researchers to optimize the management of MS.

Systematic review registration:
PROSPERO CRD42022338651.
Investigation of factors related to healthy eating behavior based on the developed theory of planned behavior in adolescents
Authors: Ashrafi Elnaz , Mansourian Morteza , Ebadi Fard Azar Farbod , Rahideh Seyedeh Tayebeh , Ezadi Bahare , Osmani Fereshteh 
Published: September 2023

BACKGROUND:
Adolescence is a complicated and sensitive period, and proper nutrition in this period of life can influence the quality and quantity of growth and maturity. The aim of the present study is to determine the factors associated with healthy eating behavior based on the developed theory of planned behavior in adolescents.

MATERIALS AND METHODS:
This is a descriptive-correlational study in which 400 female students of the first grade of high school in Bandar Anzali participated. Among the junior high schools in this city, two schools were randomly selected and sampling was done using census method. Data collection tool was Healthy Eating Behavior questionnaire based on Theory of Planned Behavior, which includes three sections of demographic information, constructs of Theory of Planned Behavior, including attitude toward behavior, subjective norms, perceived behavioral control, and behavioral intention, and food behavior, and food habits questionnaire. The scale was evaluated and confirmed by content validity ratio, content validity index, and alpha coefficient. P value was considered significant at less than 5%. Data analysis was performed using SPSS software 24, through linear regression and Pearson's correlation.

RESULTS:
As shown by linear regression analysis, the developed theory of planned behavior is able to predict 26% of the variance of healthy eating behavior, and this predictive power is related to the constructs of behavioral intention, attitude, and habits.

CONCLUSIONS:
In the present study, adding the variable of habits to the theory of planned behavior showed that this variable is very effective in predicting healthy eating behavior in adolescents, just like the constructs of behavioral intention and attitude. Therefore, it is suggested to carry out educational interventions based on the developed theory of planned behavior with the focus of the mentioned structures.
Reversing the Deconditioning Effects of the Pandemic in the Elderly via Telerehabilitation
Authors: Bagkur Melis , Yerlikaya Tuba , Inanc Gonca , Oniz Adile 
Published: September 2023

Objective:
To investigate the effect of a structured home-based interactive telerehabilitation program on physical activity (PA) level, sleep, and quality of life (QoL) in older individuals who were in home confinement during the pandemic.

Materials and Methods:
A total of 23 participants in the age range of 65–90 (mean: 72.47 ± 5.58) years (15 females) were included in the study. A telerehabilitation exercise program was administered three times per week for 8 weeks. PA levels and sleep parameters were evaluated (using the Sensewear Armband) at baseline and at the end of the 8th week. In addition, the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale were used for self-reported evaluation of sleep, and the World Health Organization QoL Instrument-Older Adults Module was administered to evaluate the QoL.

Results:
Comparing pre- and postexercise evaluation results demonstrated a significant increase in PA levels and significant improvements in sleep duration, sleep latency, and daytime sleepiness. In addition, a significant increase was observed in the total QoL scores.

Conclusion:
The telerehabilitation exercise program seems to be an effective method to increase PA levels, improve sleep-related parameters, and enhance QoL in older adults affected by home confinement during the pandemic.
COVID 19-Associated Headache
Authors: Atalar Arife Çimen , Alpaslan Türk Bengi Gül , Özge Aynur 
Published: September 2023

Coronavirus disease 2019
Coronavirus disease 2019 (COVID-19)-related headache is the fifth most frequent symptom and the most common neurologic manifestation of the disease with a prevalence of 6.5%–27.9%. Headache related to COVID-19 shows diverse features and can clinically manifest with different phenotypes. The most common clinical presentation is bilateral (mostly frontal or frontotemporal location), long-lasting, pressing/pulsating quality, and partially or completely resistant to analgesic treatment. The activation of the trigeminovascular system by either direct invasion of the virus or indirect mechanisms induced by cytokine storm, excess neuroinflammation, vasculopathy, and ischemia are the possible underlying pathophysiologic mechanisms. Patients with preexisting primary headaches is another important issue that needs to be enlightened to determine whether these patients are more susceptible to COVID-19-related headache. Headache is also an important symptom in patients with long COVID syndrome, which has a serious negative impact on the individuals' quality of life in the long term. Populations such as children, pregnant women, and the elderly are more vulnerable to COVID-19, and it is obvious that COVID-19 affects these populations differently. The headache characteristics and course of headache in these special populations is an important research topic that needs more focused studies. In this review, we attempted to update physicians with the new developments about COVID-19-related headaches and discuss the subject with different aspects in light of the recent “COVID-19-associated headache webinar” organized by the Global Migraine and Pain society (GMPS) in collaboration with the global COVID-19 Neuro Research Coalition and the European Academy of Neurology (EAN).