bluuebunny/crossref_metadata_2025_split huggingface dataset:
Urinary tract infection, antimicrobial susceptibility pattern of isolates, and associated factors among women with a post-fistula at public health facilities, Harar, eastern Ethiopia: A cross-sectional study
Authors: Marami Dadi , Abate Degu , Letta Shiferaw 
Published: February 2022

Introduction: Urinary tract infection remains one of the major public health problems among post-fistula patients worldwide, particularly in sub-Saharan Africa. Besides, antimicrobial resistance impedes the effective infection prevention and treatment of ever-increasing bacteria. There was a paucity of data on urinary tract infections and the antimicrobial susceptibility profile of bacteria among post-fistula patients. Objective: To determine the prevalence, antimicrobial susceptibility pattern, and associated factors of urinary tract infections among women with post-fistula attending public health facilities, Harar, eastern Ethiopia. Methods: An institutional-based cross-sectional study was conducted among 146 consecutively enrolled women with post-fistula from February 2017 to December 2018. Risk factors were collected using a structured questionnaire. The midstream urine was collected, cultured and bacteria species were identified by using standard culture methods. Antimicrobial susceptibility testing was done by the disk diffusion technique. The association between independent and outcome variables was computed by using logistic regression analysis. A p-value < 0.05 was considered statistically significant. Results: The prevalence of urinary tract infections was 28.8% (95% confidence interval: 23.4, 33.6). Escherichia coli (19.1%), Pseudomonas aeruginosa (14.3%), and Proteus species (11.9%) were the commonest isolates. E. coli showed (75%) resistance to trimethoprim–sulfamethoxazole, amoxicillin (62.5%), and ciprofloxacin (62.5%). Staphylococcus aureus was shown 80% resistance to amoxicillin and erythromycin. Giving birth to a single baby (adjusted odds ratio: 0.3, 95% confidence interval: 0.1, 0.8), illness by a fistula for less than 3 years (adjusted odds ratio: 0.2, 95% confidence interval: 0.1, 0.6), and lack of a previous history of catheterization (adjusted odds ratio: 0.3, 95% confidence interval: 0.1, 0.9) decrease the odds of having urinary tract infections. Conclusion: Gram-negative organisms were the commonest cause of urinary tract infections in women with post-fistula. E. coli and P. aeruginosa showed higher resistance to most antimicrobials in the panels. Fistula patients need to be screened for urinary tract infections before antimicrobial treatment is indicated.
Is Social Capital a Key Factor to enhance Firm’s Performance via Manager’s Intangible Capabilities?
Authors: Rababah Abedalqader , Javed Sarfaraz , Malik Azam 
Published: February 2022

Purpose: The purpose of the study is to analyse the role of internal social capital and external social capital in determining the financial and non-financial performance of the firm and the effect of manager’s intangible capabilities on internal social capital and external social capital of firm in the context of the manufacturing sector of India. Design/methodology/approach: The data for this study is collected from 417 managers of manufacturing firms through a structured questionnaire and is analysed through SPSS and AMOS by performing confirmatory factor analysis and structural equation modelling. Findings: Findings reveal that a manager’s business experience, financial literacy and intellectual capital significantly enhance the firm’s internal and external social capital. Furthermore, it has been found that the internal social capital of the firm has the potential to enhance the performance of the firm in financial and non-financial terms. The external social capital also significantly derives from the firm’s financial performance; however, it has not significantly impacted its non-financial performance in the current study. Research limitations/implications: These findings provide many implications in theoretical and practical terms because the literature regarding social capital and the linkage among social capital, intangible capabilities and firm performance will be enhanced. The strategymakers and policymakers can also benefit from this study’s implications for making better strategies and policies regarding social capital and the firm’s performance. Originality/value: Past studies, though, examined the influence of social capital on business performance. However, no prior research addresses the phenomenon through which social capital can determine business performance while undertaking the role of a manager’s intangible capabilities in such a model. Therefore, the current study is the first to study the interrelationship among the manager’s intangible capabilities, social capital, and firm performance.
Achilles Tendon–Bone Block Allograft for Massive Rotator Cuff Tears With Bony Deficiency of the Greater Tuberosity: A Minimum 2-Year Follow-up Study
Authors: Ho Sean W.L. , Denard Patrick J. , Chong Xue Ling , Collin Philippe , Wang Sidi , Lädermann Alexandre 
Published: February 2022

Background: Massive rotator cuff tears associated with greater tuberosity bone loss are challenging to treat. Repairing the rotator cuff without addressing the greater tuberosity deficiency may result in poorer clinical outcomes. Hypothesis: Utilizing an Achilles tendon–bone block allograft to address both the massive rotator cuff tear and greater tuberosity bone loss concurrently can result in improved clinical outcomes. Study Design: Case series; Level of evidence, 4. Methods: The authors performed a retrospective study of patients treated between January 2011 and December 2018 with Achilles tendon–bone block allograft for massive rotator cuff tears associated with greater tuberosity bone loss. The inclusion criteria were massive rotator cuff tear and bony deficiency of the greater tuberosity; patients with a history of bony metabolism disease, connective tissue disease, and previous surgery to the wrist or elbow of the affected limb were excluded. Range of motion, visual analog scale for pain, Constant score, and Single Numeric Assessment Evaluation score were assessed preoperatively and at a minimum of 2 years postoperatively. Radiographs and ultrasound images were evaluated to assess allograft union and rotator cuff integrity. Results: Five patients (3 male and 2 female; mean age, 54.0 ± 12.2 years) were included in the study. The mean follow-up was 80.6 ± 33.7 months. Preoperative to postoperative values improved significantly on the visual analog scale (from 45.8 ± 25.5 to 14.5 ± 14.1; P = .04), Constant score (from 36.8 ± 7.9 to 73.5 ± 3.1; P < .001), and Single Numeric Assessment Evaluation score (from 42.5 ± 26.3 to 82.5 ± 10.4; P = .04). Forward flexion improved significantly from 53° ± 47° to 149° ± 17° ( P = .03). Four of the 5 patients achieved bony union. One patient required removal of symptomatic hardware at 6 months postoperatively, and 1 patient required revision surgery at 1 year postoperatively because of progressive osteonecrosis of the humeral head. Conclusion: In patients with massive rotator cuff tears and a greater tuberosity bony deficiency, utilizing an Achilles tendon–bone block allograft to restore the bony defect and reinforce the rotator cuff repair was safe and effective. At a minimum of 2 years postoperatively, most patients demonstrated improved clinical outcomes, tendon healing, and graft incorporation.
The geriatrics research instrument library: A resource for guiding instrument selection for researchers studying older adults with multiple chronic conditions
Authors: Tisminetzky Mayra , Delude Christopher , Allore Heather G , Anzuoni Kathryn , Bloomstone Sarah , Charpentier Peter , Hepler John P , Kitzman Dalane W , McAvay Gail J , Miller Michael , Pajewski Nicholas M , Gurwitz Jerry 
Published: February 2022

Background After the passage of the 21st Century Cures Act in the U.S., the Inclusion Across the Lifespan policy eliminates upper-age limits for research participation unless risk justified. Broader inclusion will necessitate the use of reliable instruments in research that characterize the health status and function of older adults with multiple chronic conditions. As there is a plethora of such instruments, the Geriatrics Research Instrument Library (GRIL) was developed as freely available online resource of data collection instruments commonly used in gerontological research. GRIL has been revised and updated by the Advancing Geriatrics Infrastructure and Network Growth (AGING) Initiative, a joint endeavor of the Health Care Systems Research Network (HCSRN) and the Older Americans Independence Centers (OAICs). Methods Extensive PubMed literature searches and domain expert feedback were utilized to inventory and update GRIL through the addition of instruments and compiling of instrument metadata. GRIL is hosted on the National Institute on Aging OAIC Coordinating Center website with a platform utilizing Microsoft Structured Query Language (SQL) and an Adobe ColdFusion application server. Tracking statistics are collected using Google Analytics. Results Presently, GRIL includes 175 instruments across 18 domains, including instrument metadata such as instrument description, copyright information, completion time estimates, keywords, available translations, and a link and reference to the original manuscript describing the instrument. The GRIL website includes user-friendly features such as mobile platforming and resource links. Conclusions GRIL provides a user-friendly public resource that facilitates clinical researchers in efficiently selecting appropriate instruments to measure clinical outcomes relevant to older adults across a full range of domains.
Effects of aquaculture on the shallow lake aquatic ecological environment of Lake Datong, China
Authors: Hu Wen , Li Chun‑hua , Ye Chun , Chen Hong-sen , Xu Jun , Dong Xu-hui , Liu Xiao-shou , Li Deliang 
Published: February 2022

AbstractBackgroundThe restoration of lake ecosystems requires a good knowledge of the lake’s history and the driving mechanism of environmental changes. In this study, we used Lake Datong, the largest inland lake in Hunan Province China, as an example to study the effects of aquaculture, based on historical data of aquatic creature, diatom inferred-total phosphorous (DI-TP) data, and an Ecopath model. Lake Datong has undergone several stages of aquaculture from 1980, with a rapid increase in fish production and fish feed supplementation at each stage. Its water quality has deteriorated since the introduction of aquaculture and the lake has become moderate eutrophic status.ResultsAccording to the DI-TP data, before 1930, Lake Datong was in a mesotrophic status (50–60 μg/L DI-TP). Between 1930 and 1980, the number of nutrient-tolerant species increased slightly, which indicates a nutrient increase in the lake (66–83 μg/L DI-TP). From the 1980s to 2010 and especially since 2000, eutrophication increased rapidly, with eutrophic species dominating the diatom assemblage, such asStephanodiscus hantzschii,S. minutulus, and a sudden decrease inAulacoseira granulata(< 10%). The annual average DI-TP concentration was 202 μg/L. After 2010, DI-TP decreased to 127–152 μg/L. In 2019, consumer biomass in Lake Datong was very low because the large-scale aquaculture was restricted by local government. The biomass of submerged macrophytes was relatively high, indicating that excessive primary producers had not been used by consumers and therefore, had not entered the food web. This led to a reduction in the energy transfer efficiency (TE) of the ecosystem.ConclusionsThe succession of the water ecosystem of Lake Datong is reappeared by DI-TP analysis and historical reference data. Lake Datong has experienced four stages of eutrophication succession following the introduction of aquaculture activities, with dramatic changes in the composition and biomass of its aquatic creatures. After comprehensive management in 2017, the consumer biomass of Lake Datong was at a relatively lower level, and the biomass of submerged macrophytes was higher, meaning a large quantity of primary producers had not been used by consumers, thus had not entered the food web, which consequently reduces the energy TE of the ecosystem. Future management needs to pay attention to making a suitable macrophyte harvest plan, stocking herbivorous and omnivorous fish, and establishing rational fishing, which can not only enhance the energy flows and nutrient cycling of the ecosystem, but also improve the food web structure. Our results provide important reference values and theoretical support for decision-makers and stakeholders in the subsequent management of similar shallow lake-water ecosystems.
Acute syphilitic posterior placoid chorioretinitis: when the great mimicker cannot pretend any more; new insight of an old acquaintance
Authors: Neri Piergiorgio , Pichi Francesco 
Published: February 2022

Abstract
Purpose
To review the multimodal imaging patterns of Acute Syphilitic Posterior Placoid Chorioretinitis (ASPPC).

Methods
A systematic review.

Results
Syphilis has started to attract the attention of researchers once again due to recent surges, with The World Health Organization (WHO) reporting around 12 million new cases per year. When left untreated, syphilis has a mortality rate of 8–58%, with a higher death rate in males. Eye manifestations occur both in secondary and tertiary stages of syphilis, although ocular involvement may occur at any stage of the disease.
Syphilis has been always recognized as “the great mimicker” since it can have multiple clinical patterns of presentation.
However, Acute Syphilitic Posterior Placoid Chorioretinitis (ASPPC) represents the typical pattern of the disease and can be easily distinguished.
In addition, the advent of modern technologies and the progress made in multimodal imaging have provided more details on its identikit: the pattern of pre-retinal, retinal, retinochoroidal and optic nerve involvement can be identified before going through the laboratory work-up for a correct and appropriate investigation of the disease.

Conclusion
This review highlights the peculiar pattern of ASPPC, by reporting the diagnostic process made by all the imaging techniques used for a correct multimodal imaging assessment.
Experiences of women with hypertensive disorders of pregnancy: a scoping review
Authors: Sakurai Sachiko , Shishido Eri , Horiuchi Shigeko 
Published: February 2022

Abstract
Background
Hypertensive disorders of pregnancy (HDP) constitute one of the leading causes of maternal and perinatal mortality worldwide, and are associated with an increased risk of recurrence and future cardiovascular disease. HDP affect women’s health condition, mode of birth and timing, length of hospital stay, and relationship with their newborn and family, with future life repercussions.

Aims
To explore the experiences of women with HDP from pregnancy to postpartum, and to identify (a) their perceptions and understanding of HDP, (b) their understanding of future health risks, and (c) the possible interventions by healthcare providers.

Methods
A scoping review was conducted following the Joanna Briggs Institute method and in accordance with the PRISMA-ScR checklist. The following databases were searched from 1990 to 2020 (October): MEDLINE (PubMed), EMBASE, Cochrane Library, CINAHL, PsycINFO, and Google Scholar database. The Critical Appraisal Skills Programme (CASP) checklist was used as a guide for the qualitative analysis. Content analysis and synthesis of findings were conducted using Nvivo12.

Results
Of the 1971 articles identified through database searching, 16 articles met the inclusion criteria. After data extraction, content analysis yielded six categories: ‘Life-threatening disorder’, ‘Coping with HDP’, ‘Concerns for baby and challenges of motherhood’, ‘Fear of recurrence and health problems’, ‘Necessity of social and spiritual support’, and ‘Positive and negative experiences in the healthcare context’. Women faced complex difficulties from the long treatment process while transitioning to motherhood.

Conclusion
Our findings revealed the perceptions and understanding of women regarding HDP as a life-threatening disorder to both mothers and their babies which mothers need to cope with. Recovery of physical condition and the long-term psychological effects of HDP on women should be given attention by mothers and HCP to reduce future health risks. Importantly, a lifelong follow-up system is recommended for women with HDP.
The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis
Authors: Evans Kate , Fraser Hannah , Uthman Olalekan , Osokogu Osemeke , Johnson Samantha , Al-Khudairy Lena 
Published: February 2022

Abstract
Background
Previous research is inconclusive on the effects of mode of delivery on maternal health-related quality-of-life (HRQoL). We conducted a systematic review and meta-analysis to assess the current evidence for associations between mode of delivery and postpartum health-related quality-of-life.

Methods
Electronic databases MEDLINE ALL (OVID), Web of Science, The Cochrane Library, CINAHL and EMBASE (OVID) were searched for English written articles investigating the relationship between mode of delivery and quality-of-life published form inception to 15th October 2020. Two reviewers independently screened titles and abstracts, assessed full texts, and extracted data. Meta-analysis was conducted where possible.

Results
Twenty-one studies, including 19,879 women, met the inclusion criteria. A meta-analysis of 18 studies found HRQoL scores were significantly higher for women after vaginal delivery in comparison to caesarean (emergency and elective combined) (Effect Size (ES) 0.17, 95% CI 0.01–0.25, n = 7665) with highest scores after assisted vaginal delivery (ES 0.21, 95% CI 0.13–0.30, n = 2547). Physical functioning (ES 11.18, 95% CI = 2.29–20.06, n = 1746), physical role (ES 13.10, 95% CI = 1.16–25.05, n = 1471), vitality (ES 6.31, 95% CI = 1.14–10.29, n = 1746) and social functioning (ES 5.69, 95% CI = 1.26–10.11, n = 1746) were significantly higher after vaginal delivery compared to caesarean.

Conclusions
Health-related quality-of-life scores were higher for women after vaginal delivery in comparison to caesarean section. Consequently, women should be encouraged to deliver vaginally where possible. The findings of this research should be available to the relevant population to help support informed choice.
Quantification of an oval optic disc in relation to myopic foveoschisis using swept-source optical coherence tomography
Authors: Zhu Ke , Lei Boya , Wang Keyan , Song Fang , Jiang Rui , Chang Qing , Xu Gezhi , Chen Han 
Published: February 2022

Abstract
Background
To investigate the relationship between an oval optic disc and the occurrence of myopic foveoschisis (MF) using swept-source optic coherence tomography (SS-OCT).

Methods
Fifty eyes of 25 patients with unilateral MF were included in this retrospective observational study. The biometric features of the optic disc and peripapillary structures were evaluated using SS-OCT.

Results
The ovality index (OI) of the optic disc was significantly smaller (P = 0.003) and the optic disc tilt angle was greater (P = 0.023) in the eyes with MF than in the contralateral eyes. The optic disc tilt angle was significantly correlated with the OI (P = 0.000). Generalized estimating equation (GEE) model (linear regression) demonstrated that spherical equivalent refraction (P = 0.001), narrow macular staphyloma (P = 0.001) and the occurrence of MF (P = 0.026) were the independent factors associated with the OI. Narrow macular staphyloma was more frequent (P = 0.020) and the staphyloma was deeper (P = 0.006) in eyes with MF. GEE model (logistic regression) revealed that narrow macular staphyloma was the only independent factor related to the occurrence of MF (P = 0.013).

Conclusions
An oval optic disc in eyes with MF resulted from the increased tilt around the vertical disc axis. The optic disc tilt was related to narrow macular staphyloma, which was the only independent factor associated with the occurrence of MF. The clinical relevance needs further exploration through longitudinal analysis.
Symptoms of internet gaming disorder among male college students in Nanchong, China
Authors: Liu Fang , Deng Hongjie , Zhang Qin , Fang Quan , Liu Boxi , Yang Dan , Tian Xiaobin , Wang Xin 
Published: February 2022

AbstractBackgroundThis study aimed to evaluate the presence of symptoms of Internet Gaming Disorder (IGD) and examined associations between IGD and depressive symptoms, family and peer support among male college students in Nanchong, China.MethodsA cross-sectional study was conducted among 2533 male students in three colleges. Background characteristics, depressive symptoms, family and peer support and IGD information were collected. Binary logistic regression was performed to access the relationship between variables and IGD. PROCESS macro was used to examine the mediation analysis of family and peer support on the relationship between depressive symptoms and IGD.ResultsThe estimated presence of symptoms of IGD was 11.6%. The most commonly endorsed items were escapism, continuation and preoccupation both among total participates and the IGD group. In the binary logistic regression, general expenditure per month, depressive symptoms, and family and peer support revealed their significance in associations with IGD. Adjusted for the significant background variable, depressive symptoms and family and peer support remained significance. Additionally, family and peer support would attenuate the relationship between depressive symptoms and IGD.ConclusionsThis study found that one in ten male college students reported clinically significant IGD symptoms, which indicate that IGD is an important public health problem in Nanchong, China.