bluuebunny/crossref_metadata_2025_split huggingface dataset:
Academic-Practice Collaboration Using Virtual Telesimulation to Support Students' Clinical Practice
Authors: Rusli Khairul Dzakirin Bin , Lau Siew Tiang , Tan Jian Zhi , Liaw Sok Ying 
Published: August 2022

Background:
Collaboration between academic institutions and clinical practice plays an important role in supporting students' learning in clinical practice. A virtual telesimulation was incorporated to provide academic-practice collaboration between academic educators and nurse preceptors to support students' clinical education.

Purpose:
The purpose was to evaluate the experiences of nursing students and academic educators on the perceived impact of virtual telesimulation in clinical education.

Methods:
A descriptive qualitative study using focus group discussions was conducted.

Results:
Four themes emerged: “coming together to know one another” for rapport building, “learning from different perspectives” to foster clinical learning and practice, “application of learning strategy” to stimulate case-based discussion, and “reaching out to more preceptors” to optimize its impact in clinical practice.

Conclusions:
Academic-practice collaboration using virtual telesimulation enabled students and academic educators to build rapport with clinical preceptors and learn from other practices, which in turn enhanced students' clinical learning experiences.
Use of Nursing Concepts in Program and Course Descriptions
Authors: Dickinson Jane K. , Juan Samantha , McGuane Arlene , McKenzie-Henry Isla A. 
Published: August 2022

Background:
Ongoing discussions address how and when to introduce nursing concepts in nursing education.

Purpose:
To examine whether baccalaureate nursing programs use 4 nursing concepts in their program and course descriptions.

Methods:
Researchers explored websites of 300 US bachelor of science in nursing (BSN) programs and assigned scores based on how many of 4 nursing concepts (context, holism, health, and caring) were represented in program and 3 course descriptions.

Results:
Mean program and course scores were 2.51, 0.96, 1.17, and 1.18, respectively. Programs and courses included between 0 and 4 concepts in their descriptions. There was a significant difference in program scores between BSN programs in 4 US regions. The most frequently identified concept was “context” in program descriptions and “holism” in course descriptions.

Conclusions:
Discipline-specific concepts are missing in many baccalaureate programs and course descriptions, which raises questions about how and when nursing students are learning what nursing is.
Current Practices for Teaching Clinical Judgment
Authors: Nielsen Ann , Gonzalez Lisa , Jessee Mary Ann , Monagle Janet , Dickison Phillip , Lasater Kathie 
Published: August 2022

Background:
Safe patient care is closely linked to clinical judgment. Concerns about inadequate practice readiness and the impending inclusion of clinical judgment items on the NextGen NCLEX have resulted in increasing interest and publications about teaching clinical judgment. However, little is known about actual current practices for teaching this skill.

Purpose:
This research describes findings about current strategies to teach clinical judgment used in US prelicensure nursing programs.

Methods:
Cross-sectional methodology was used to survey program deans and directors across the United States.

Results:
Programs are using multiple strategies to teach clinical judgment. The most common strategies used include case studies and simulation. Participants believed strategies have a positive impact on student thinking, practice readiness, and program outcomes. They described insights into implementation of teaching for clinical judgment.

Conclusion:
The results of this research provide foundational data to inform current teaching practices and further research for this essential skill.
Effect of Screening and Treatment for Gonorrhea and Chlamydia on HIV Incidence Among Men Who Have Sex With Men in the United States: A Modeling Analysis
Authors: Jones Jeb , Le Guillou Adrien , Gift Thomas L. , Chesson Harrell , Bernstein Kyle T. , Delaney Kevin P. , Lyles Cynthia , Berruti Andres , Sullivan Patrick S. , Jenness Samuel M. 
Published: August 2022

Background
Previous models have estimated the total population attributable fraction of Neisseria gonorrhoeae and Chlamydia trachomatis (NG/CT) on HIV incidence among men who have sex with men (MSM), but this does not represent realistic intervention effects. We estimated the potential impact of screening for NG/CT on downstream incidence of HIV among MSM.

Methods
Using a network model, we estimated the effects of varying coverage levels for sexually transmitted infection screening among different priority populations: all sexually active MSM regardless of HIV serostatus, MSM with multiple recent (past 6 months) sex partners regardless of serostatus, MSM without HIV, and MSM with HIV. Under the assumption that all screening events included a urethral test, we also examined the effect of increasing the proportion of screening events that include rectal screening for NG/CT on HIV incidence.

Results
Increasing annual NG/CT screening among sexually active MSM by 60% averted 4.9% of HIV infections over a 10-year period (interquartile range, 2.8%–6.8%). More HIV infections were averted when screening was focused on MSM with multiple recent sex partners: 60% coverage among MSM with multiple recent sex partners averted 9.8% of HIV infections (interquartile range, 8.1%–11.6%). Increased sexually transmitted infection screening among MSM without HIV averted more new HIV infections compared with the transmissions averted because of screening MSM with HIV, but fewer NG/CT tests were needed among MSM with HIV to avert a single new HIV infection.

Conclusions
Screening of NG/CT among MSM is expected to lead to modest but clinically relevant reductions in HIV incidence among MSM.
Cochlear Implantation and Perioperative Management in Autoimmune Inner Ear Disease
Authors: Deshpande Nikita , Aminpour Nathan , Cheng Hui , Johns J. Dixon , Hoa Michael 
Published: August 2022

Objective:
To assess outcomes in autoimmune inner ear disease (AIED) after cochlear implantation (CI) through systematic review and meta-analysis.

Databases Reviewed:
PubMed, MedLine, Embase, and CINAHL

Methods:
Databases were queried for inclusion of AIED patients who underwent CI with outcomes recorded ≥3 months postoperatively. We examined demographics, pure-tone average (PTA), speech perception, preoperative imaging, intraoperative management, and postoperative complications.

Results:
Twenty-six articles encompassing 124 patients met inclusion criteria. Mean implantation age was 26.2 years (range 4–65 years) with average length of follow-up at 28.2 months (range 3–120 months). Meta-analysis demonstrated significant improvement in speech perception following CI. There was a statistically significant improvement in speech recognition score (SRS) (standard mean difference [SMD] = 6.5, 95% confidence interval [CI], 4.8-8.0, P < 0.0001) as well as word recognition score (WRS) (SMD = 5.5, 95% CI, 4.2-6.8, P < 0.0001) after CI. Anomalous preoperative radiologic manifestations were reported by 57.7% (15/26) studies. Disease activity–related intraoperative adjustment was noted in 57.7% (15/26) studies; common consequences were cochlear drill-out (53.3%), difficult round window insertion (26.7%), and scala vestibuli insertion (26.7%). Frequent postoperative complications noted in 26.9% (7/26) studies included systemic AIED flares (71.4%) and wound healing delay (42.9%).

Conclusion:
Findings of this systematic review of AIED cochlear implant literature demonstrate a lack of consistent reporting standards for PTA and speech perception as well as a lack of long-term follow-up. Despite these findings, meta-analysis suggests that CI is a viable treatment for improving speech perception in AIED patients.
The Laterality of Age-related Hearing Loss and Cognition
Authors: Chern Alexander , Irace Alexandria L. , Golub Justin S. 
Published: August 2022

Objectives:
To analyze the association between neurocognitive performance and age-related hearing loss in the right and left ear, individually.

Design:
Subjects included 5277 participants (≥50 years) from the general Hispanic population who underwent audiometric testing in a US multicentered epidemiologic study. Linear regression was performed to assess the cross-sectional association between cognitive performance (Digit Symbol Substitution Test [DSST], Word Frequency Test, Spanish-English Verbal Learning Test [SEVLT] 3 Trials, SEVLT Recall, and Six-Item Screener) and hearing in each ear (4-frequency pure-tone average), adjusting for age, sex, education, cardiovascular disease, and hearing aid use.

Results:
Mean age was 58.4 ± 6.2 years; 3254 (61.7%) were women. Mean pure-tone averages were 20.2 ± 11.7 dB (right ear) and 20.2 ± 12.3 dB (left ear). Multivariable regression demonstrated significant associations between all cognitive tests and hearing loss in both ears.

Conclusions:
Worsening hearing loss in the right and left ear was associated with decreased performance across all tests. No laterality in the association was demonstrated.
A 3D Printed Human Ear Model for Standardized Testing of Hearing Protection Devices to Blast Exposure
Authors: Brown Marcus A. , Jiang Shangyuan , Gan Rong Z. 
Published: August 2022

Hypothesis:
A 3D printed human temporal bone (TB) that is anatomically accurate would cost-effectively reproduce the responses observed in blast testing of human cadaveric TBs with and without passive hearing protection devices (HPDs).

Background:
HPDs have become critical personal protection equipment against auditory damage for service members. Acoustic test fixtures and human TBs have been used to test and develop HPDs; however, the lack of a cost-effective, standardized model impedes the improvement of HPDs.

Methods:
In this study, the 3D printed TB model was printed with flexible and rigid polymers and consisted of the ear canal, tympanic membrane (TM), ossicular chain, middle ear suspensory ligaments/muscle tendons, and middle ear cavity. The TM movement under acoustic stimulation was measured with laser Doppler vibrometry. The TB model was then exposed to blasts with or without HPDs and pressures at the ear canal entrance (P0) and near the TM in the ear canal (P1) were recorded. All results were compared with that measured in human TBs.

Results:
Results indicated that in the 3D printed TB, the attenuated peak pressures at P1 induced by HPDs ranged from 0.92 to 1.06 psi (170–171 dB) with blast peak pressures of 5.62–6.54 psi (186–187 dB) at P0, and measured results were within the mean and SD of published data. Vibrometry measurements also followed a similar trend as the published results.

Conclusions:
The 3D printed TB model accurately evaluated passive HPDs’ protective function during blast and the potential for use as a model for acoustic transmission was investigated.
Patient Factors Predicting Success in Lateral Graft Tympanoplasty
Authors: Momin Zoha K. , Yancey Kristen L. , Mitton Tanner J. , Kutz Joe Walter 
Published: August 2022

Objective:
To compare the effects of preoperative medical comorbidities and operative findings on the success of lateral graft tympanoplasty.

Study Design:
Retrospective chart review.

Setting:
Tertiary medical center.

Patients:
Ninety-six patients undergoing lateral graft tympanoplasty from December 2008 to November 2020 with at least 2 months follow-up were included. Patient demographics, comorbidities including smoking status, intraoperative findings, and healing, and hearing outcomes were recorded.

Interventions:
Lateral graft tympanoplasty.

Main Outcome Measures:
The primary outcome was perforation closure. Secondary outcomes were postoperative complications and change in air-bone gap (ABG).

Results:
Ninety-nine ears (mean age 40.94 ± 18.44 years) were included. Tympanic membrane perforation closure was achieved in 92 (92.9%) ears. Perforation closure was not associated with diabetes (P > 0.99), smoking (P > 0.99), or the presence of cholesteatoma at the time of lateral graft tympanoplasty (P = 0.10). Increased age (odds ratio [OR] = 1.04, P = 0.31) was also not correlated with tympanic membrane closure rate. An absent malleus resulted in a higher rate of lateralization (31.3% versus 2.1%; OR = 18.41, 95% confidence interval [CI] = 3.09-95.95, P = 0.001) but not blunting (12.5% versus 4.8%; OR = 0.24, 95% CI = 0.49-12.93, P = 0.24). The mean ABG improved 6.82 ± 11.33 dB (P < 0.01). History of prior tympanoplasty was associated with smaller ABG improvement following surgery (ß = 4.038, R
2 = 0.262, P = 0.04) but not perforation closure (OR = 3.25, 95% CI = 0.63-16.81, P = 0.24).

Conclusions:
Diabetes, active smoking, and advancing age were not associated with adverse healing in patients undergoing lateral graft tympanoplasty. Lateralization was more common with an absent malleus.
“Surgical Treatment Strategies for Injuries of the “Unforgiving” Superficial Branch of the Radial Nerve.”
Authors: Brakkee Elisabeth M. , Stokvis Annemieke , DeVinney Erick , Ducic Ivica , Coert J. Henk 
Published: August 2022

Background:
Neuropathic pain caused by adhesions or neuroma formation of the superficial branch of the radial nerve (SBRN) is difficult to treat. We evaluated the effectiveness of different routinely used surgical techniques for SBRN neuralgia to provide a basis for future studies on SBRN neuralgia. In addition, we explored the prognostic value of a pre-operative diagnostic nerve block.

Methods:
We performed a retrospective cohort study by reviewing surgical records for procedures on SBRN neuralgia. Patient satisfaction was scored as satisfied or unsatisfied and pain intensity was scored with the numerical rating scale (NRS).

Results:
We included 71 patients that had 105 surgeries on the SBRN. Patients with a neuroma (n=43) were most satisfied after proximal denervation with burying into the brachioradialis muscle (BRM) compared to burying elsewhere (53% versus 0%, p<0.001). Adhesions of the SBRN (n=28) were treated with neurolysis (39% was satisfied). If neurolysis or denervation did not suffice, an additional denervation of the LABCN or PIN led to satisfaction in 38%. Less than 3.5 points decrease in NRS after diagnostic nerve block led to higher post-operative NRS pain score (4.0 versus 7.5, p=0.014). We found that the outcome of the diagnostic nerve block can predict the outcome of SBRN denervation and burying into BRM.

Conclusions:
The most effective burying technique is burying the SBRN into the BRM. Future studies on the treatment of SBRN neuralgia should therefore compare newer techniques to burying the SBRN into the BRM as their control group.
"Does inclination of the toe proximal phalangeal head affect the outcomes of vascularized joint transfers?" Retrospective study of 22 vascularized joint transfers
Authors: Pae Woo Sik , Lin Yu-Te , Loh Charles Yuen Yung , Lee Che-Hsiung , Hsu Chung-Chen , Chen Shih-Heng , Lin Cheng-Hung 
Published: August 2022

Background:
Different shapes of the proximal phalangeal head of toe PIPJs – oval shaped and circular are observed in the vascularized joint transfers (VJTs). The difference in shape implies the varying degrees of inclination of the articular surfaces between different toes. There have not been any reports in the literature that describe such a correlation. This study investigates the impact of articular inclination of toe proximal interphalangeal joints (PIPJs) on outcomes after toe VJTs for finger PIPJ reconstruction.

Methods:
21 patients (15 males and 6 females) who underwent VJT for finger PIPJ reconstruction from May 2009 to May 2018 were included. The mean age was 33.4 years and the mean follow-up period was 28.9 months. All patients were type I Te’s classification central slip. Articular surface inclination was measured on lateral radiographic views.

Results:
The passive ROM of the toe PIPJ before VJT was 71.1° ± 9.6°. The functional ROM of the reconstructed PIPJ was 60.0° ± 17.0°. The extensor lag (the amount of ROM change) after the VJT was 9.4° ± 19.6°. The articular inclination of toe PIPJ was 71.9° ± 9.7°. A Pearson’s correlation analysis of all variables including age, pre-OP ROM of toe PIPJ, post-OP ROM of reconstructed PIPJ, articular inclination of toe PIPJ and extensor lag of reconstructed PIPJ with toe articular inclination was performed. There was no significant correlation between articular inclination of toe PIPJ and extensor lag of reconstructed PIPJ. (p=0.226)

Conclusions:
The articular surface of the toe PIPJ did not affect the functional ROM after VJT.
Study on application of YAG laser-assisted ear correction model to Congenital Auricular Deformities
Authors: Gu Qinmei , Yang Yang , Zhou Weihao , Chen Jianwu , Qi Xiangdong 
Published: August 2022

Background:
To compare the clinical effects of long-pulse-width 1064nm Nd:YAG laser assisted ear correction model and simple ear correction model in the treatment of congenital auricular deformities in over-aged ears.

Methods:
129 children (179 ears) with congenital auricular deformities aged more than 2 months were included in the study. Among them, 84 cases (observation group, 119 ears) were treated with the ear correction model after long-pulse-width 1064nm Nd:YAG laser irradiation, while 45 cases (60 ears) were treated with the ear correction model only. The affected ears of the two groups were measured, the correction time was calculated, and the family members of the patients filled in the satisfaction questionnaire before and after the treatment.

Results:
The level of satisfaction of the two groups after the treatment improved. The level of satisfaction of the observation group was higher than that of the control group. The days of correction in the observation group was less than that in the control group (P＜0.05). The measurements of the affected ears in the two groups were significantly different after treatment. The difference after treatment of each measurement in the observation group was higher than that in the control group. The therapeutic effect of the observation group was significantly better than that of the control group, and the differences were statistically significant.

Conclusion:
Long-pulse-width 1064nm Nd:YAG laser combined with the ear correction model can effectively improve the success rate of correction of congenital auricular deformities in over-aged ears.
Glutathione in the Pons Is Associated With Clinical Status Improvements in Subacute Spinal Cord Injury
Authors: Wyss Patrik O. , Richter Johannes K. , Zweers Peter , Brust Anne K. , Funk Corinne , Zoelch Niklaus , Vallesi Vanessa , Verma Rajeev K. , Hock Andreas , Berger Markus F. , Scheel-Sailer Anke , Henning Anke 
Published: August 2022

Objectives
In spinal cord injury (SCI), the primary mechanical injury is followed by secondary sequelae that develop over the subsequent months and manifests in biochemical, functional, and microstructural alterations, at the site of direct injury but also in the spinal cord tissue above and below the actual lesion site. Noninvasive magnetic resonance spectroscopy (MRS) can be used to assess biochemical modulation occurring in the secondary injury phase, in addition to and supporting conventional MRI, and might help predict and improve patient outcome. In this article, we aimed to examine the metabolic levels in the pons of subacute SCI by means of in vivo proton MRS at 3 T and explore the association to clinical scores.

Materials and Methods
In this prospective study, between November 2015 and February 2018, single-voxel short-echo MRS data were acquired in healthy controls and in SCI subjects in the pons once during rehabilitation. Besides the single-point MRS examination, in addition, in participants with SCI, the clinical status (ie, motor, light touch, and pinprick scores) was assessed twice: (1) around the MRS session (approximately 10 weeks postinjury) and (2) before discharge (at approximately 9 months postinjury). The group differences were assessed with Kruskal-Wallis test, the post hoc comparison was assessed with Wilcoxon rank sum test, and the clinical correlations were conducted with Spearman rank correlation test. Bayes factor calculations completed the statistical part providing relevant evidence values.

Results
Twenty healthy controls (median age, 50 years; interquartile range, 41–55 years; 18 men) and 18 subjects with traumatic SCI (median age, 50 years; interquartile range, 32–58 years; 16 men) are included. Group comparison showed an increase of total N-acetylaspartate and combined glutamate and glutamine levels in complete SCI and a reduction of total creatine in incomplete paraplegic SCI. The proton MRS-based glutathione levels at baseline correlate to the motor score improvement during rehabilitation in incomplete subacute SCI.

Conclusions
This exploratory study showed an association of the metabolite concentration of glutathione in the pons assessed at approximately 10 weeks after injury with the improvements of the motor score during the rehabilitation. Pontine glutathione levels in subjects with traumatic subacute incomplete SCI acquired remote from the injury site correlate to clinical score and might therefore be beneficial in the rehabilitation assessments.
The Perceptions and Experiences of Undergraduate Healthcare Students With Debriefing Methods
Authors: Arabi Asma N. , Kennedy Catherine A. 
Published: August 2022

Summary Statement
We performed a systematized review examining the existing literature on undergraduate healthcare students' perceptions and experiences with debriefing methods in simulation-based education. Twenty empirical research articles published in English between 2008 and 2020 were identified during a systematic search of 4 electronic databases. Data derived from these articles underwent critical appraisal and thematic analysis.
Students valued the opportunity in debriefing for reflection, raising self-awareness of skills and learning. They preferred structured debriefing for promoting analytic skills and transfer of learning, favored video-assisted debriefing for fast recall and improving communication skills, and benefited most from instructor-led rather than peer-led debriefing. However, students appreciated group debriefing for aiding the construction of new understandings. There was no consensus on the preferred timing of debriefing, and students highlighted their concern about the disclosure of errors across different debriefing methods. Recommendations for educators to improve debriefing experiences and for future research are considered.