bluuebunny/crossref_metadata_2025_split huggingface dataset:
Beach-Chair Versus Lateral Decubitus Positioning for Arthroscopic Posterior Shoulder Labral Repair: A Retrospective Comparison of Clinical and Patient-Reported Outcomes
Authors: Paul Ryan W. , Zareef Usman , Streicher Sydney , Osman Alim , Erickson Brandon J. , Freedman Kevin B. , Hammoud Sommer , Bishop Meghan E. 
Published: May 2022

Background: Both beach-chair and lateral decubitus patient positioning are often utilized for shoulder arthroscopy, with each offering its unique advantages and disadvantages. The surgical position is often selected according to each surgeon's preference, with no clear superiority of one position over the other. Purpose/Hypothesis: The purpose was to compare clinical and patient-reported outcomes between patients who underwent arthroscopic posterior labral repair in the beach-chair versus the lateral decubitus position. We hypothesized that patient positioning would not affect clinical and patient-reported outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: A list of all patients diagnosed with the Current Procedural Terminology codes 29806 and 29807 between 2015 and 2019 was obtained from the medical records. Patients were only included if arthroscopic posterior labral repair with or without concomitant superior labral anterior to posterior repair was confirmed. Data collected for eligible patients included the number of anchors used, perioperative and postoperative complications, redislocations, subjective instability, reoperation, and revision. Patients were also contacted to complete several patient-reported outcome surveys. Preoperative data, perioperative data, and postoperative outcomes were compared between patients who underwent surgery in the beach-chair versus lateral decubitus position. Results: Overall, 126 patients were included—69 patients underwent surgery in the lateral decubitus position and 57 in the beach-chair position—with a mean follow-up of 2.6 ± 1.7 years. There were no significant pre- or perioperative differences between groups. Rates of postoperative dislocations, subjective instability, reoperations, revisions, all complications, and return to sports rates also did not differ between groups (all, P > .05). Finally, there was no difference between groups regarding postoperative pain, function, and subjective instability scores (all, P > .05). Results of the multivariate regression analysis showed that increased age was a weak independent risk factor for subjective recurrent posterior shoulder instability (odds ratio, 1.04; P = .036). Conclusion: Surgical positioning for arthroscopic posterior shoulder labral repair did not affect postoperative clinical and patient-reported outcomes. Both beach-chair and lateral decubitus position provided good outcomes for posterior shoulder labral repair, with an overall recurrence rate of 8.7%. Increased age was a weak independent risk factor for subjective recurrent instability.
Rural-Urban Differences in Cognition: Findings From the Advanced Cognitive Training for Independent and Vital Elderly Trial
Authors: Steinberg Nessa , Parisi Jeanine M. , Feger Danielle M. , Clay Olivio J. , Willis Sherry L. , Ball Karlene K. , Marsiske Michael , Harrell Erin R. , Sisco Shannon M. , Rebok George W. 
Published: May 2022

Objectives We examined associations between three geographic areas (urban, suburban, rural) and cognition (memory, reasoning, processing speed) over a 10-year period. Methods: Data were obtained from 2539 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial. Multilevel, mixed-effects linear regression was used to estimate cognitive trajectories by geographical areas over 10 years, after adjusting for social determinants of health. Results: Compared to urban and suburban participants, rural participants fared worse on all cognitive measures—memory ( B = −1.17 (0.17)), reasoning ( B = −1.55 (0.19)), and processing speed ( B = 0.76 (0.19)) across the 10-year trajectory. Across geographic areas, greater economic stability, health care access and quality, and neighborhood resources were associated with better cognition over time. Discussion: Findings highlight the importance of geographical location when examining cognition later in life. More research examining place-based life experiences is needed to make the greatest impact on geographically diverse communities.
Exploring the Taiwanese Anticipatory Experience of Grief Among Primary Caregivers in Palliative Home Care
Authors: Chen Nai-Ching , Yang Yung-Mei , Wu Li-Min 
Published: May 2022

Aims and Objectives: The goal of the present study was to explore anticipatory grief experiences among primary caregivers in home-based palliative care. We placed a special emphasis on coping methods adopted by individuals from Eastern cultures when facing death. Background: Most patients prefer spending their last days at home, which often exerts considerable physical and mental stress on their primary caregivers. Design: This study adopted a qualitative exploratory research design and used open-ended in-depth interviews to explore anticipatory grief experiences among primary caregivers of patients receiving palliative home care. Methods: In the study of the factors that Anticipatory Experience of Grief among Primary Caregivers in Palliative Home Care, we used the phenomenological approach and methods to glean answers. Posters and snowball sampling were used to individually recruit participants. In total, 16 primary hospice home caregivers participated. We used semi-structured interviews to collect data. The interviews were audio-recorded in a quiet location. Each interview was divided into two to three sessions, and each session lasted 60-90 minutes. For data analysis, field notes and audio recordings are transcribed into protocols. A thematic analysis method was used to analyze the context of the interviews. Sampling and analysis processes were repeated until theoretical saturation was achieved. Results: Four major themes emerged from the categorized interview data: meaning and manifestation as to the essence of life, the art of coping with death, realization and the gift of death, and adapting, coping with, and controlling emotions. Additionally, we observed, as with many Eastern cultures, a lunar calendar death in July and crying at the death of a relative is considered taboo. Conclusions: The coping methods adopted by individuals in Eastern cultures when facing death were summarized accordingly. These findings could serve as a reference to better understand the coping mechanisms these individuals use to address anticipatory grief when facing a family member’s impending death. Relevance to Clinical Practice: Potential relevance for the present findings include acceptance of Eastern cultural grief customs, early hospice and palliative care interventions for helping individuals adjust to their grief, case management and resource consolidation, providing 24-hour telephone consultation services, regular assessment visits, and developing localized teaching materials for life-and-death education.
Prospective clinical study on the incidence of catheter-related complications in a neurological intensive care unit: 4 years of experience
Authors: Bolis Denise , D’Arrigo Sonia , Bartesaghi Alessandro , Panzeri Cristina , Pelegalli Paola , Steffanoni Alberto , Scoppettuolo Giancarlo , Pittiruti Mauro 
Published: May 2022

Introduction: Over the past decades, significant efforts have been made to reduce early and late catheter-related complications in critically ill patients, using approaches based on bundles of evidence-based interventions. Methods: In this prospective clinical study, the authors evaluated the incidence of catheter-related complications in their neuro-intensive care unit during a 4-year period, adopting systematically the GAVeCeLT bundles for the insertion and management of all central venous access devices: centrally inserted central catheters (CICCs), peripherally inserted central catheters (PICCs) and femorally inserted central catheters (FICCs). All early/immediate and late complications were recorded. Results: On 486 central lines (328 CICCs, 149 PICCs and 9 FICCs), the only clinically relevant early/immediate complication was primary tip malposition (1%). In regards late infective complications, the authors did not record any case of catheter-related bloodstream infection; though, they observed one case of central line associated blood stream infection (one CICC; 0.14/1000 catheter days), and 15 cases of catheter colonization (12 CICCs and 3 PICCs; 2.09 episodes/1000 catheter days). Late non-infective complications were few: 14 accidental dislodgments (2.9%), 18 irreversible lumen occlusions (3.7%), and no episodes of symptomatic catheter-related thrombosis or tip migration. Conclusion: The systematic adoption of the GAVeCeLT bundles for CVAD insertion and maintenance was associated with a minimization of catheter-related complications. The strict adherence to the recommendations included in these bundles was the major determinant for clinical success.
Impacts of Dams on Freshwater Turtles: A Global Review to Identify Conservation Solutions
Authors: Bárcenas-García Andrea , Michalski Fernanda , Morgan William H. , Smith Rebecca K. , Sutherland William J. , Gibbs James P. , Norris Darren 
Published: May 2022

Background and Research Aims Dams impact freshwater ecosystems and biodiversity. Freshwater turtles are at direct and indirect risk due to changes caused by damming including the loss of terrestrial and aquatic nesting habitats, changes to food availability, and blocking movement. Effective management of these impacts requires robust evidence in order to gain an understanding of conservation solutions that work. Methods We reviewed the global scientific literature that evaluated the impact of dams on freshwater turtles, and carried out additional searches of literature published in seventeen languages for studies evaluating actions to mitigate dam impacts. Results The search produced 47 published articles documenting dam impacts on 30 freshwater turtle species from seven families (Chelidae, Chelydridae, Emydidae, Geoemydidae, Kinosternidae, Podocnemididae, and Trionychidae) in 13 countries. Few studies were found from Europe and Asia and none from Africa. Most studies were from temperate latitudes, where studies focused more on adults and less threatened species compared with tropical latitudes. More than half of the studies (57%, n = 27) suggested actions to help mitigate dam impacts. Yet, only five studies (three temperate and two tropical) documented the effect of interventions (dam removal, flow management, artificial pond maintenance and community-based action). Conclusion These findings demonstrate a serious lack of documented evidence evaluating mitigation actions for dam impacts on freshwater turtles. Implications for Conservation This lack of evidence reinforces the importance of strengthening and maintaining robust long-term studies needed to develop effective and adaptive conservation actions for this group of threatened vertebrates particularly in tropical regions.
Development and refinement of Rel@x:A training in hypnosis-derived communication for pediatric nurses to prevent procedural pain
Authors: Aramideh Jennifer , Ogez David , Rondeau Émélie , Duval Michel , Sultan Serge 
Published: May 2022

Introduction Studies in pediatric oncology have shown that hypnosis effectively reduces patients’ pain and distress during painful procedures. This remains underutilized in the healthcare system due to the staff cost and availability of hypnotherapists. To develop the use of hypnosis-derived communication, we aimed to train nurses to use hypnosis-derived communication while they perform painful procedures. Objectives This study aimed to (1) develop a brief training in hypnosis-derived communication for pediatric nurses named Rel@x, (2) pretest the training with experienced pediatric oncology nurses, and (3) refine the training based on nurses’ suggestions. Methods The Rel@x training consists of two 4-h sessions: one related to relational aspects and another one presenting one of two selected hypnotic communication techniques (“pleasant place” or “magic glove”). Rel@x makes use of manuals, cue card reminders, visual aids, videos, and an e-learning platform. To refine Rel@x, a complete training cycle was conducted with seven female pediatric oncology nurses. A mixed method study with an evaluation questionnaire and a post-training focus group interview was conducted. Results Quantitative data showed that nurses overall positively rated the training program: relevance and acceptability (median average of 5.4/6); use of hypnotic communication (median average of 5.2/6); expected effects (median average of 5.4/6); program implementation (5.6/6). Two general themes emerged from the qualitative data: perceptions of hypnotic communication and the evaluation of the Rel@x training program. Based on nurses’ suggestions, Rel@x was refined by adding more practical components, more time for practice, more time between the two sessions and additional tools (cue card reminders, keywords, virtual e-learning recap module). Conclusion and clinical implications The use of hypnosis-derived communication during painful procedures and the Rel@x training were viewed favorably amongst pediatric nurses. Rel@x offers a complete training in hypnosis-derived communication for pediatric nurses. This training fosters the optimal use of hypnosis-derived communication during care and may significantly reduce children’s procedural pain and distress.
Effect of health extension service on under-five child mortality and determinants of under-five child mortality in Derra district, Oromia regional state, Ethiopia: A cross-sectional study
Authors: Tadesse Zeleke Abate 
Published: May 2022

Objectives: Under-five child mortality is the highest in Ethiopia even though it decreased steadily in the last two decades. Hence, this study aimed to identify the risk factors and effects of Health Extension Service on under-five child mortality per mother in Derra district, Ethiopia. Methods: The study used a three-stage sampling technique and a random sample of 446 mothers. Cross-sectional data were collected using a structured interview and analyzed using descriptive and inferential (propensity score and Poisson regression) analysis. Results: One-fourth (23.5%) of mothers experienced at least one under-five child mortality in the last 13 years and the propensity score analysis also indicated that utilizing and model in the Health Extension program reduced under-five child mortality per mother by 29.84% and 15.71%, respectively. The Poisson regression model identified that kebeles, not utilized health extension program (incidence rate ratio 2.25, 95% confidence interval (1.33, 3.85)), not model in health extension program (incidence rate ratio 1.79, 95% confidence interval (1.07, 3.18)), primary educational level (incidence rate ratio 0.14, 95% confidence interval (0.18, 0.91)), mother aged at first birth less than 20 years (incidence rate ratio 1.82, 95% confidence interval (1.90, 3.05)), source of drinking water not pipped (incidence rate ratio 2.36, 95% confidence interval (1.20, 3.18)), and child delivered at home (incidence rate ratio 2.48, 95% confidence interval (1.26, 4.8)) significantly influence under-five child mortality per mother at 5% level of significance. Conclusion: Health extension service utilization reduced under-five child mortality per mother, and education level, source of drinking water, place of child delivery, and place of residence (kebele) were significant risk factors for under-five child mortality per mother. The health sectors and district health offices should work on health extension program to increase the community awareness of basic preventive and promotive health services and minimize risk factors of under-five child mortality.
A community-based approach to cervical cancer prevention in western Kenya: An AMPATH feasibility project
Authors: Orang’o Omenge , Tonui Philip , Muthoka Kapten , Kiptoo Stephen , Maina Titus , Agosa Mercy , Ermel Aaron , Tong Yan , Brown Darron 
Published: May 2022

Objectives: Centralized programs have been ineffective in reducing the burden of cervical cancer among Kenyan women. A community-based pilot study was initiated to screen Kenyan women for cervical cancer and to vaccinate their children against human papillomavirus (HPV). Methods: Women were educated about cervical cancer prevention at community meetings. Women then provided self-collected vaginal swabs for oncogenic HPV testing using the Roche Cobas Assay. All women were then referred to the local clinic for Visual Inspection with Acetic Acid (VIA). Women were offered the quadrivalent HPV vaccine for their children if and when it became available for the study. Results: Women in western Kenya were invited to participate in community meetings. A total of 200 women were enrolled: 151 (75.5%) were HIV-uninfected and 49 (24.5%) were HIV-infected; the median age for all women was 42 years. High-risk (HR)-HPV types were detected in 49 of swabs from all 200 participants (24.5%) including 20.5% of HIV-uninfected women and 36.7% of HIV-infected women (P = .022). VIA was performed on 198 women: 192 had normal examinations and six had abnormal examinations. Five cervical biopsies revealed two cases of CIN 2 and one CIN 3. Although all mothers were willing to have their children (N = 432) vaccinated, the HPV vaccine could not be delivered to Kenya during the study period. Conclusions: Kenyan women were willing to attend community meetings to learn about prevention of cervical cancer, to provide self-collected vaginal swabs for HPV testing, to travel to the Webuye Clinic for VIA following the collection of swabs, and to have their children vaccinated against HPV. HR-HPV was prevalent, especially in HIV-infected women. As a result of this pilot study, this community-based strategy to prevent cervical cancer will be continued in western Kenya.
Canadian perspectives of digital mental health supports: Findings from a national survey conducted during the COVID-19 pandemic
Authors: Shen Nelson , Kassam Iman , Chen Sheng , Ma Clement , Wang Wei , Boparai Navi , Jankowicz Damian , Strudwick Gillian 
Published: May 2022

ObjectivesThe impact of the COVID-19 pandemic on population mental health has highlighted the potential for digital mental health to support the needs of those requiring care. This study sought to understand the digital mental health experiences and priorities of Canadians affected by mental health conditions (i.e. seekers, patients, and care partners).MethodsA national cross-sectional electronic survey of Canadians was administered through a market research firm's survey panel. Seekers, patients, and care partners were asked about their digital mental health experiences (e.g. uptake, barriers to access) and priorities. Survey responses were summarized using descriptive statistics.ResultsOverall, 1003 participants completed the survey. 70.2% of participants routinely use digital mental health supports to support themselves or those they care for; however, only 28.6% of participants are satisfied with the available digital mental health supports. Most participants (73.3%) have encountered some barriers when accessing digital mental health supports. Awareness of digital mental health supports was a top barrier identified by participants. The top digital mental health priorities consisted of digital mental health curation, navigation, and a digital mental health passport.ConclusionsMost participants use digital mental health supports for themselves or others, however, many are unaware of digital mental health supports available. Efforts to improve navigating access to digital and in-person mental health services are seen as a top priority, highlighting the need to enable seekers, patients, and care partners to find the appropriate support and make decisions on how to best improve their mental health.
Skeletal Status in Patients Scheduled for Elective Lumbar Spine Surgery: Comparison of Discectomy, Decompression, Fusion, and Revision
Authors: Schaefer Christian , Mafi Afshin , Beil Frank Timo , Schroeder Malte , Rolvien Tim 
Published: May 2022

Study Design Retrospective Cohort Study Objectives To investigate and compare the prevalence of low bone mineral density (BMD) and abnormal laboratory bone metabolism parameters in patients undergoing elective primary discectomy, decompression, and fusion and to outline possible differences in these parameters between patients undergoing revision for skeletal vs non-skeletal complications. Methods We retrospectively evaluated BMD measurements by dual-energy x-ray absorptiometry (DXA) in 389 consecutive patients scheduled for elective lumbar spine surgery. Next to demographic characteristics, laboratory bone metabolism parameters were assessed. Group comparisons were performed between primary discectomy, decompression, and fusion. In patients scheduled for revision surgery after fusion, potential differences in the skeletal status between those with skeletal vs non-skeletal complications were analyzed. Results Osteoporosis by T-score was detected in 6.7%, 11.0% and 14.7% of the patients undergoing discectomy, decompression and fusion, respectively. While vitamin D deficiency (67.6%) and hyperparathyroidism (16.4%) were frequently detected, no differences in laboratory bone metabolism markers could be found between the groups. Female sex (P<.001), higher age (P=.01) and lower BMI (P<.001) were associated with lower BMD. In the cohort of patients undergoing revision surgery due to complications after fusion, those with skeletal complications did not differ in BMD or bone metabolism from those with non-skeletal complications. Conclusions Osteoporosis represents a relevant comorbidity in patients scheduled for elective spine surgery, which is why DXA should be routinely performed in these patients. However, DXA may provide limited information in identifying patients at increased risk for skeletal complications after fusion.
Identifying boundary spanning reporter roles in patient safety events
Authors: Hurley Vanessa Beth , Boxley Christian , Sloss Elizabeth Ann , Fong Allan 
Published: May 2022

Objective We evaluated patterns in reporter roles among individuals who submitted patient safety event (PSE) reports with a focus upon understanding the extent of boundary spanning behavior through the novel use of an information entropy measure. Methods A total of 81,759 reports submitted by 13,348 unique reporters to a voluntary, centralized incident reporting system database of a large Mid-Atlantic healthcare system between January 1, 2018 and December 31, 2020 were analyzed. We used an entropy measure to identify individuals with boundary spanning roles across departments and general event types. Results We find that high department entropy characterizes technicians, administrators and physician roles while high event type entropy is noted among physicians and nurses. Physicians had both high event type and department entropy, while no other role appeared to have both high event type and departmental entropy. Several roles were associated with inversely related entropies, including nurses who demonstrated high event type entropy and low department entropy . Pharmacists demonstrated low event type entropy and high department entropy. Conclusion Our findings echo existing literature that has suggested that nurses often exhibit boundary spanning tendencies at the same time that we underscore their role in reporting diverse types of PSEs. We also find that administrators, physicians and technicians are more likely to report events from across departmental boundaries. Such information may provide health care systems with a unique perspective on PSEs and be instrumental in efforts to identify key staff roles for quality improvement in the patient safety context.