bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nursing personnel management during COVID-19 pandemic: An exemption trend in view of health reasons
Authors: Sharma Sruti , Dhaliwal Navneet , Bhadada Sanjay , Kumar Ashok , Sangat Sumit Kumar , Pandey Navin 
Published: October 2022

BackgroundIn the COVID-19 pandemic, the healthcare system faced unprecedented challenges with increased number of patients and limited resources. Managing nursing resource was a major challenge for hospital administration. They had to be on the frontline, but their safety was of paramount importance.AimThis study aims to analyze the measures taken for the management and effective engagement of nursing personnel for deployment in the COVID area of the hospital and the exemption trend based on their health status.MethodologyA retrospective cross-sectional descriptive study was carried out to analyze the requests of nursing staff received for exemption of duty in COVID patient care areas. These requests were categorized and examined by the medical board constituted for this purpose. Microsoft Excel was used to interpret the results.ResultsThe study evaluated the health reasons of nursing officers on the basis of which exemption was given for deployment of nursing officers in COVID areas. They were mostly medical reasons (91.1%) and few personal reasons (8.77%). The majority suffered from diseases affecting two or more than two specialties. Out of 376 applications, 223 were exempted, 81 were not exempted, 13 were given short-term exemption, and 26 were shifted to administrative assignments. Thirty-three staff members were referred to an appropriate forum.
Quality of life and its predictive factors among women with obstetric fistula in Ethiopia: A cross-sectional study
Authors: Hurissa Bekana Fekecha , Koricha Zewdie Birhanu , Dadi Lelisa Sena 
Published: October 2022

ObjectiveLiving with obstetric fistulas is detrimental to the quality of life of women with fistulas. This study aimed to assess the quality of life and predictive factors among women with obstetric fistula in Ethiopia.MethodsA cross-sectional study was employed on consecutively selected 478 women. Linear regressions were used for data analysis.ResultsThe mean quality of life in physical, psychological, social, and environmental health domains and the overall quality of life were 40.59 ± 1.58, 38.10 ± 1.78, 29.59 ± 1.97, 34.21 ± 1.65, and 44.61 ± 3.99 respectively. Repair outcome without urinary inconsistence (β = 5.2; 95% CI = 0.72, 9.64), self-esteem (β = 1.3; 95% CI = 0.96, 1.57), negative attitude (β = 5.1; 95% CI = 1.86, 8.33), waiting treatment (β = −8.4; 95% CI = −15.54, −1.10), and low intention (β = 4.7; 95% CI = 1.52, 7.93) were predictors of the quality of life in physical domain. Repair outcome without urinary inconsistence (β = 5.9; 95% CI = 1.73, 9.99), self-esteem (β = 1.8; 95% CI = 1.47, 2.11), negative attitude (β = −6.4; 95% CI = −9.60, −3.25), fathers at primary school (β = 12.5; 95% CI = 0.08, 24.82), living only with parents (β = 4.9; 95% CI = 0.99, 8.90), time of care-seeking (β = −0.01, 95% CI = −0.02, −0.002), and duration lived with fistula (β = −5.4; 95% CI = −9.12, −1.68) were predictors of psychological domain. Dead birth (β = −5.2; 95% CI = −9.86, −0.51), self-esteem (β = 1.1; 95% CI = 0.72, 1.43), and living only with parents (β = 5.5; 95% CI = 0.30, 10.69), and living only with husband (β = 7.8; 95% CI = 2.01, 13.55) were predictors of social domain. Living in rural (β = −6; 95% CI = −9.22, −2.79), women at secondary school (β = 14.1; 95% CI = 3.67, 24.48), self-esteem (β = 1.3; 95% CI = 0.99, 1.55), negative attitude (β = −5.1; 95% CI = −7.97, −2.29) were predictors of quality of life in environmental domain. Repair outcome without urinary inconsistence (β = 8.3; 95% CI = 0.62, 16.02), self-esteem (β = 2.1; 95% CI = 1.34, 2.79), and living only with parents (β = 2.9; 95% CI = 1.06, 4.76) were significant predictors of the overall quality of life.ConclusionsThe quality of life of women with obstetric fistula was low. Repair outcomes, self-esteem, negative attitudes, rural residence, living with parents, and time of care-seeking were significant predictors of quality of life. Urgent measures should be taken to address these factors to improve the quality of life of women with fistula.
High maternal pre-pregnancy BMI is associated with increased offspring peer-relationship problems at 5 years
Authors: Dow Courtney , Lorthe Elsa , Galera Cédric , Tafflet Muriel , Marchand-Martin Laetitia , Ancel Pierre-Yves , Charles Marie-Aline , Heude Barbara 
Published: October 2022

BackgroundPeer relationships are an important aspect of child development that are often overlooked. Maternal pre-pregnancy body mass index (BMI) may influence peer relationships through intrauterine mechanisms affecting fetal neurodevelopment or through postnatal mechanisms including social discrimination of the obese mother/child. This study aimed to determine the relationship between maternal pre-pregnancy BMI and child peer-relationship problems around 5 years old, including preterm and term-born children.Methods and findingsMaternal BMI and offspring peer-relationship problems were assessed in participants of three French birth cohorts: EDEN (n = 1,184 children born at term), ELFE (n = 10,889 children born ≥33 weeks of gestation) and EPIPAGE-2 (n = 2,646 children born 23–34 weeks of gestation). Reported or measured pre-pregnancy weight (kg) and height (m) were collected from mothers and used to calculate BMI (kg/m2). Offspring peer-relationship problems were assessed using the Strengths and Difficulties Questionnaire at 5.5 years. Logistic regression was used to estimate odds ratios (OR) of a high peer-relationship problem score (≥3) in EDEN and ELFE, and generalized estimated equations were used in EPIPAGE-2 to account for the large number of multiple births. Paternal BMI was used as a negative control in sensitivity analyses. Maternal pre-pregnancy obesity was associated with increased odds of a high peer-relationship problem score in all three cohorts, independent of confounding factors [adjusted OR 2.27 (1.32, 3.88); 1.52 (1.29, 1.78); 1.44 (1.04, 1.99); for EDEN, ELFE and EPIPAGE-2, respectively]. Additional analysis based on negative controls (i.e., adjusting for paternal BMI) showed the same pattern of associations.ConclusionHigh maternal pre-pregnancy BMI is associated with greater likelihood of a high peer-relationship trouble score in offspring around 5 years of age in both children born preterm and at term.
A safer and more practical tracheotomy in invasive mechanical ventilated patients with COVID-19: A quality improvement study
Authors: Kang Kai , Wang Junfeng , Du Xue , Li Nana , Jin Songgen , Ji Yuanyuan , Liu Xinjia , Chen Pengfei , Yue Chuangshi , Wu Jihan , Wang Xintong , Tang Yujia , Lai Qiqi , Lu Baitao , Gao Yang , Yu Kaijiang 
Published: October 2022

ImportanceThe number of infections and deaths caused by the global epidemic of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) invasion is steadily increasing daily. In the early stages of outbreak, approximately 15%–20% of patients with coronavirus disease 2019 (COVID-19) inevitably developed severe and critically ill forms of the disease, especially elderly patients and those with several or serious comorbidities. These more severe forms of disease mainly manifest as dyspnea, reduced blood oxygen saturation, severe pneumonia, acute respiratory distress syndrome (ARDS), thus requiring prolonged advanced respiratory support, including high-flow nasal cannula (HFNC), non-invasive mechanical ventilation (NIMV), and invasive mechanical ventilation (IMV).ObjectiveThis study aimed to propose a safer and more practical tracheotomy in invasive mechanical ventilated patients with COVID-19.DesignThis is a single center quality improvement study.ParticipantsTracheotomy is a necessary and important step in airway management for COVID-19 patients with prolonged endotracheal intubation, IMV, failed extubation, and ventilator dependence. Standardized third-level protection measures and bulky personal protective equipment (PPE) may hugely impede the implementation of tracheotomy, especially when determining the optimal pre-surgical positioning for COVID-19 patients with ambiguous surface position, obesity, short neck or limited neck extension, due to vision impairment, reduced tactile sensation and motility associated with PPE. Consequently, the aim of this study was to propose a safer and more practical tracheotomy, namely percutaneous dilated tracheotomy (PDT) with delayed endotracheal intubation withdrawal under the guidance of bedside ultrasonography without the conventional use of flexible fiberoptic bronchoscopy (FFB), which can accurately determine the optimal pre-surgical positioning, as well as avoid intraoperative damage of the posterior tracheal wall and prevent the occurrence of tracheoesophageal fistula (TEF).
Changes in paraspinal muscles and facet joints after percutaneous endoscopic transforaminal lumbar interbody fusion for the treatment of lumbar spinal stenosis: A 3-year follow-up
Authors: Pang Daming , Yang Jincai , Hai Yong , Fan Zhexuan , Gao Haifeng , Yin Peng 
Published: October 2022

ObjectivesThis study investigates the changes in the paraspinal muscles of lumbar spinal stenosis patients after percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF).MethodsThirty-three patients from Beijing Chaoyang Hospital who had L4/5 segment lumbar spinal stenosis between January, 2017 and January, 2019were included in this study. Patient-reported outcomes including the visual analog scale scores for back pain and leg pain (VAS-BP and VAS-LP, respectively) and the Oswestry disability index (ODI) scores at pre-operation and 1-week, 3-month, 12-month, and (at least) 3-year follow-up (the final follow-up) were evaluated. Computed tomography (CT) was performed at the 12-month follow-up, 24-month follow-up, and the final follow-up after surgery. Multifidus (MF) muscle functional cross-sectional area (FCSA) and fat infiltration (FI) were evaluated, and the degree of adjacent facet joint degeneration was evaluated using Pathria scores.ResultsAll patients underwent at least a 3-year follow-up period. The VAS-BP, VAS-LP, and ODI were significantly lower at 1-week, 3-month, 12-month, and 3-year follow-up than at pre-operation (P &lt; 0.05). At the 3-year follow-up, no differences were found in FCSA and FI for any patient's MF muscle at the lower third of the vertebral body (L3) above the operation level (P &gt; 0.05), and there was no statistical difference in the central plane of the L3/4 and L5/S1 vertebral facet joints at pre-operation, 12-month, 24-month, and 3-month follow-up (P &gt; 0.05).ConclusionsPE-TLIF can provide satisfactory clinical outcomes for patients with lumbar spinal stenosis. Furthermore, the technique may also reduce the injury on the paravertebral muscles, especially the MF muscle, as well as on adjacent facet joints.
Radial and ulnar medullary canal diameter in children: Anatomical limitations of elastic stable intramedullary nailing
Authors: Wang Cui , Su Yuxi 
Published: October 2022

IntroductionSurgery is inevitable for children who cannot achieve the ideal reduction in forearm fractures. The biggest limitation of the elastic stable intramedullary nail (ESIN) fixation method is the diameter of the medullary canal. This study aimed to measure the medullary canal diameters of the radius and ulna at different ages in children.MethodsThe forearm radiographs of 540 children were retrospectively reviewed. All background characteristics, including weight, sex, maturity of the radius and ulna, and length of the radius and ulna, were measured and recorded. Children with radius and ulnar diameters shorter than 2 mm were analyzed by statistical regression analysis by SPSS software.ResultsWhen we set 2 mm as the minimum medullary canal diameter, our results showed that patients aged 3–12 years had radius and ulnar diameters under this limit. The regression analysis of risk factors with the 2 mm diameter limitation had significant differences based on age (P = 0.006) and sex (P = 0.033). There was no significant difference between patients based on weight (P = 0.056), ulnar length (P = 0.946), radius length (P = 0.503), radius maturity (P = 0.655), or ulnar maturity (P = 0.774).ConclusionsThe average medullary canal diameter remained constant until 12 years of age. However, the average diameter length did not increase significantly after the age of 12 years. The incidence of medullary canal diameter shorter than 2 mm was correlated with age and sex. Our results suggest that surgeons should pay attention to the medullary diameter of the anteroposterior and lateral radiographs to determine the ESIN diameter.
Mapping knowledge structure and research trends of knee osteoarthritis with meniscus in two decades: A bibliometric analysis
Authors: Chen Weijian , Yang Yaqin , Tang Gangjian 
Published: October 2022

BackgroundKnee osteoarthritis (KOA) is a chronic degenerative disease that is closely related to the meniscus. Currently, no bibliometric studies have jointly analyzed KOA and the meniscus. This study aimed to provide a comprehensive analysis of the knowledge structure of KOA and the meniscus across two decades and to identify the emerging research trends from a bibliometric perspective.MethodsAll articles reporting KOA and the meniscus from 2001 to 2021 were obtained from the Web of Science Core Collection. R software, CiteSpace, VOS Viewer, and Microsoft Excel were used to analyze the publications including the authors, cited authors, journals, cited journals, country of research, institutions, and research focus. These data were used to generate visual knowledge maps of the outputs.ResultsA total of 3,218 articles were retrieved. Guermazi was identified as the author who had contributed the most to the field and Osteoarthritis and Cartilage was identified as the most productive research journal. The United States is the global leader in the field and the center for international cooperation with less international collaboration occurring in Eastern Asia. Boston University was the most prolific institution. According to the data, “articular-cartilage,” “meniscectomy,” “follow-up,” “anterior cruciate ligament,” and “cartilage” were identified as research hotspots in the field. “Consequences,” “prognostic-factors,” and “receptor” were predicted as future hot topics of research.ConclusionsThis study is the first comprehensive bibliometric study to jointly analyze KOA and the meniscus. Our data enable a better understanding of research trends and identify research hotspots and gaps in knowledge across the field. Our findings provide practical information for researchers to better understand the key research areas and identify the research frontiers and future hot topics.
Treatment of postoperative intestinal dysfunction of hirschsprung's disease based on the principle of “anorectal balance”
Authors: Tian Li , Ma Chensen , Deng Zhengdong , Zhu Tianqi , Zhao Xiang , He Ying , Wei Mingfa , Feng Jiexiong , Yu Donghai 
Published: October 2022

PurposeRadical surgery is the most effective treatment for Hirschsprung's disease. However, some children still have symptoms of intestinal dysfunction such as constipation, abdominal distension, and recurrent enterocolitis after operation. The purpose of this study was to evaluate treatment outcomes of postoperative intestinal dysfunction in children with Hirschsprung's disease by using the principle of “anorectal balance”.MethodsThe clinical data of postoperative intestinal dysfunction in children with Hirschsprung's disease in the single treatment group from July 2019 to July 2021 were retrospectively analyzed. All the enrolled children underwent botulinum toxin injection (2.5 U/kg); 3 to 6 months later, the injection was performed again; the children who had received more than two botulinum toxin injections underwent the internal sphincter myectomy. Anorectal manometry was performed routinely after operation, and abdominal distension and defecation were recorded.ResultsA total of thirty children with postoperative intestinal dysfunction underwent radical surgery for Hirschsprung's disease were included in this study. Symptoms of constipation, abdominal distension and enterocolitis were improved after botulinum toxin injections in most children compared to before surgery (P &lt; 0.01). After re-injection of botulinum toxin in twelve children, the frequency of defecation increased, the anal resting pressure decreased, and the clinical symptoms were relieved again (P &lt; 0.05). Eleven children underwent internal sphincter myectomy, and the symptoms of constipation, abdominal distension and enterocolitis were significantly improved after the operation (P &lt; 0.01).ConclusionBotulinum toxin injection and internal sphincter myectomy based on the principle of “anorectal balance” can effectively reduce the resting pressure of the anus and relieve intestinal dysfunction, and have satisfactory clinical effect.
Method for Measuring Absolute Optical Properties of Turbid Samples in a Standard Cuvette
Authors: Blaney Giles , Sassaroli Angelo , Fantini Sergio 
Published: October 2022

Many applications seek to measure a sample’s absorption coefficient spectrum to retrieve the chemical makeup. Many real-world samples are optically turbid, causing scattering confounds which many commercial spectrometers cannot address. Using diffusion theory and considering absorption and reduced scattering coefficients on the order of 0.01 mm−1 and 1mm−1, respectively, we develop a method which utilizes frequency-domain to measure absolute optical properties of turbid samples in a standard cuvette (45 mm×10 mm×10 mm). Inspired by the self-calibrating method, which removes instrumental confounds, the method uses measurements of the diffuse complex transmittance at two sets of two different source-detector distances. We find: this works best for highly scattering samples (reduced scattering coefficient above 1 mm−1); higher relative error in the absorption coefficient compared to the reduced scattering coefficient; accuracy is tied to knowledge of the sample’s index of refraction. Noise simulations with 0.1% amplitude and 0.1°=1.7 mrad phase uncertainty find errors in absorption and reduced scattering coefficients of 4% and 1%, respectively. We expect that higher error in the absorption coefficient can be alleviated with highly scattering samples and that boundary condition confounds may be suppressed by designing a cuvette with high index of refraction. Further work will investigate implementation and reproducibility.
The Relationship Between Physical Activity And Sleep Quality With Premenstrual Syndrome (PMS) In Female Students
Authors: Rindani Ayu Agustina , Saadah Nurlailis , Rahayu Teta Puji , Santosa Budi Joko 
Published: October 2022

Young women who have menstruation may experience premenstrual syndrome (PMS) which will affect their quality of life. Premenstrual syndrome experienced can be bad for adolescents if not treated early. Therefore, teenagers are expected to be able to manage themselves as well as possible to avoid these problems. The purpose of this study was to determine the relationship between physical activity and sleep quality with the incidence of Premenstrual Syndrome (PMS). This research is an observational analytical study that is cross-sectional. Sampling using the slovin sample size formula, the sample was taken with a simple random sampling technique with a sample size of at least 39. The independent variables are physical activity and sleep quality, while the dependent variables are the incidence of Premenstrual syndrome (PMS). Data collection used the International Physical Activity Questionnaire (IPAQ), Pittsburgh Sleep Quality Index (PSQI), and The Shortened Premenstrual Assessment From (SPAF). To analyze the relationship, a spearman rank test with a meaningfulness level or error limit is used, namely p≤0.05. The results showed that most female students had moderate physical activity as many as 33 female students. Then it can be known that most experienced moderate sleep quality as many as 17 female college students. The results of the Spearman test ranked the relationship between physical activity and Premenstrual Syndrome p value = 0.326 so that Ho was accepted and the relationship of sleep quality with Premenstrual Syndrome p value = 0.044, so Ho was rejected. Based on the description above, it can be concluded that there is no significant relationship between physical activity and premenstrual syndrome but there is a significant relationship between sleep quality and premenstrual syndrome in level 3 female students of the Diii Obstetrics Study Program, Magetan Campus. It is hoped that female students can increase their knowledge in managing themselves from an early age so that Premenstrual Syndrome (PMS) does not occur.
Dalla sacralità delle acque alla patrimonializzazione del sacro attraverso un percorso letterario
Authors: Scorrano Silvia 
Published: October 2022

La sacralità delle acque s'inserisce all'interno di una più ampia tematica di interesse multidisciplinare focalizzata sullo studio di un particolare aspetto del rapporto uomo-natura in cui il singolo e/o la collettività riconoscono ed attribuiscono un valore sacro agli elementi della natura imprimendo sul territorio un messaggio culturale relativo al loro rapporto con la divinità.
In relazione a quest'ultimo aspetto l'acqua ha generato percorsi cultuali esplicitati in rappresentazioni artistiche e narrative in grado di arricchire di valenze culturali il territorio.
Il percorso di ricerca inizia con una sintetica disamina sulla sacralità della natura e dell'acqua, per poi includere alcune riflessioni sull'opportunità di utilizzare lo strumento letterario per valorizzare le fonti del periodo di precristiano ricordate in o o poemi. La notevole mole di “spa” letterari ha suggerito come caso di studio la fonte romana dedicata alla Ninfa Egegeria.
Pemodelan Sistem Pengelolaan Limbah Untuk Mengoptimalkan Siklus Limbah Plat Besi di PT. Maxima Daya Indonesia
Authors: Fahmi Ahmad Fikri Ainur , Putra Andhika Cahyono , Rosyida Erly Ekayanti 
Published: October 2022

Waste is still a problem that still has to be studied and understood in its management so that it does not accumulate and lead to fatal conditions in the environmental ecosystem. Therefore, this study was made with the aim of finding the factors causing the accumulation of iron plate waste at PT. Maxima Daya Indonesia to create a waste management strategy by maximizing the sale of waste inventory in the waste collection warehouse. This research is a descriptive study using dynamic systems research methods and looking for scheduling by calculating the ROP, then found 3 strategies to be compared to choose the one that is more optimal and efficient. The results of this research are 1. The problem of this research lies in the time of the initial waste sale, 36 working days which exceeds the volume limit of the waste container (1000 kg). 2. Scheduling strategy by finding the resulting ROP there are three, namely ROP 774,667 kg, ROP 1394 kg, ROP 968,317 kg. Of the three, the right waste sales proposal is ROP 774,667 with a sales period of 20 days / 12 times a year, and the ROP is still below the capacity limit of the waste bin.
Keywords: System Dynamics, Reorder Point, Schedulling