bluuebunny/crossref_metadata_2025_split huggingface dataset:
Wealth related inequality in women and children malnutrition in the state of Chhattisgarh and Tamil Nadu
Authors: Shirisha P. , Muraleedharan V. R. , Vaidyanathan Girija 
Published: August 2022

Abstract
Background
Child and maternal malnutrition are the most serious health risks in India, accounting for 15% of the country’s total disease burden. Malnutrition in children can manifest as ‘stunting’ (low height in relation to age) or ‘wasting’ (low weight in relation to height) or both and underweight or obesity among women. Other nutritional indicators show that India lags behind, with high levels of anaemia in women of reproductive age. The study aims to analyse the wealth related inequalities in the nutrition status among women and children of different wealth quintiles in a high focus state (Chhattisgarh; CG) and a non-high focus state (Tamil Nadu; TN) in India.

Methods
We used National Family Health Survey-3rd (2005–06) & 4th (2015–16) to study the trends and differentials of inequalities in the nutrition status. We have used two summary indices. - absolute inequalities using the slope index of inequality (SII), and relative inequalities using the concentration index (CIX).

Results
There is reduction in wealth related inequality in nutrition status of women and children from all wealth quintiles between 2005–06 and 2015–16. However the reduction in inequality in some cases such as that of severe stunting among children was accompanied by increase among children from better off households The values of SII and CIX imply that malnutrition except obesity is still concentrated among the poor. The prevalence of anaemia (mild, moderate and severe) has reduced among women and children in the past decade. The converging pattern observed with respect to prevalence of mild and moderate anaemia is not only due to reduction in prevalence of anaemia among women from poor households but an increase in prevalence in rich households.

Conclusion
Malnutrition remains a major challenge in India, despite encouraging progress in maternal and nutrition outcomes over the last decade. Our study findings indicate the importance of looking at the change in inequalities of nutrition status of women and children of different wealth quintiles sub nationally. Given the country’s rapidly changing malnutrition profile, with progress across several indicators of under nutrition but rapidly rising rates of overweight/obesity, particularly among adults, appropriate strategies needs to be devised to tackle the double burden of malnutrition.
Behavioural support and nicotine replacement therapy for smokeless tobacco cessation: protocol for a pilot randomised-controlled multi-country trial
Authors: Siddiqui Faraz , Bauld Linda , Croucher Ray , Jackson Cath , Kellar Ian , Kanaan Mona , Pokhrel Subhash , Huque Rumana , Iqbal Romaina , Khan Javaid Ahmed , Mehrotra Ravi , Siddiqi Kamran ,   on behalf of the ASTRA Global Health Research Group
Published: August 2022

Abstract
Background
Smokeless tobacco (ST) is consumed globally by more than 350 million people, with approximately 85% of all users based in South and Southeast Asia. In this region, ST products are cheap and easily accessible. Evidence-based interventions to people quit ST use are lacking. This study aims to test the feasibility of conducting a future definitive trial of ST cessation, using a culturally adapted behavioural intervention, and/or nicotine replacement therapy (NRT) in three South Asian countries.

Methods
We will conduct a factorial design, randomised-controlled pilot trial in Bangladesh, India and Pakistan. Daily ST users will be recruited from primary health care settings in Dhaka, Noida and Karachi. Participants will be individually randomised to receive intervention A (4 or 6 mg NRT chewing gum for 8-weeks), intervention B (BISCA: face-to-face behavioural support for ST cessation), a combination of interventions A and B or usual care (Very Brief Advice - VBA). The participants will provide demographic and ST use related data at baseline, and at 6, 12 and 26 weeks of follow-up. Salivary cotinine samples will be collected at baseline and 26 weeks. The analyses will undertake an assessment of the feasibility of recruitment, randomisation, data collection and participant retention, as well as the feasibility of intervention delivery. We will also identify potential cessation outcomes to inform the main trial, understand the implementation, context and mechanisms of impact through a process evaluation and, thirdly, establish health resource use and impact on the quality of life through health economic data.

Discussion
The widespread and continued use of ST products in South Asia is consistent with a high rate of associated diseases and negative impact on the quality of life. The identification of feasible, effective and cost-effective interventions for ST is necessary to inform national and regional efforts to reduce ST use at the population level. The findings of this pilot trial will inform the development of larger trials for ST cessation among South Asian users, with relevance to wider regions and populations having high rates of ST use.

Trial registration
ISRCTN identifier 65109397
Utility of thromboelastogram in cardiac surgery in Jacobsen syndrome associated with platelet dysfunction: a case report
Authors: Takeda Chikashi , Hirotsu Akiko , Yasuhara Gento , Mizuno Akito , Tatsumi Kenichiro , Kawamoto Shuji 
Published: August 2022

Abstract
Background
Jacobsen syndrome is a rare genetic disorder with multiple congenital anomalies and platelet abnormalities caused by chromosome 11 deletion.

Case presentation
A 7-month-old boy with thrombocytopenia underwent ventricular septal defect closure. At the beginning of surgery, the platelet count was 168 × 103/μL, and heparinized kaolin with heparinase reaction time (HKH-R), which represents clot formation time, was prolonged at 30.4 min. Platelet transfusion was continued, and at the end of surgery, the platelet count and HKH-R values improved to 215 × 103/μL and 15 min, respectively.

Conclusions
As anesthetic management of patients with abnormal platelet function, the viscoelasticity test might be useful in evaluating hemostatic capacity.
Conventional craniotomy versus conservative treatment in patients with minor spontaneous intracerebral hemorrhage in the basal ganglia
Authors: Wang Ning , Lin Weiwei , Zhu Xuanhao , Tu Qi , Zhu Daqian , Qu Shuai , Yang Jianjing , Ruan Linhui , Zhuge Qichuan 
Published: August 2022

Abstract
Background
The treatment for spontaneous intracerebral hemorrhage (ICH) is still controversial, especially for hematomas in the basal ganglia. A retrospective case-control study with propensity score matching was performed to compare the outcomes of conventional craniotomy and conservative treatment for patients with minor ICH in the basal ganglia.

Methods
We retrospectively collected the data of consecutive patients with minor basal ganglia hemorrhage from January 2018 to August 2019. We compared clinical outcomes of two groups using propensity score matching. The extended Glasgow outcome scale obtained by phone interviews based on questionnaires at a 12-month follow-up was used as the primary outcome measure. According to a previous prognosis algorithm, patients were divided into good and poor prognosis groups to obtain a dichotomized (favorable or unfavorable) outcome as the primary outcome. Secondary outcomes included hospitalized complications, mortality, and modified Rankin score at 12 months.

Results
A total of 54 patients were analyzed, and the baseline characteristics of patients in the surgery and conservative treatment groups were well matched. The primary favorable outcome at 12 months was significantly higher in the conservative treatment group than in the surgery group (81% vs 44%; OR 1.833, 95% CI 1.159–2.900; P=0.005). The incidence of pneumonia in the surgery group was significantly higher than that in the conservative treatment group (P=0.005).

Conclusions
It is not recommended to undertake conventional craniotomy for patients with a minor hematoma (25–40 ml) in the basal ganglia. An open craniotomy might induce worse long-term functional outcomes than the conservative treatment.
Literature review: Combined therapy with peritoneal dialysis and hemodialysis as renal replacement therapy
Authors: Io Hiroaki , Nakata Junichiro , Inoshita Hiroyuki , Kano Toshiki , Ishizaka Masanori , Muto Masahiro , Sasaki Yu , Maeda Takuya , Fukuzaki Haruna , Shimizu Yuki , Suzuki Yusuke 
Published: August 2022

Abstract
Background
Peritoneal dialysis (PD) is the recommended renal replacement therapy for patients with end-stage kidney disease. Complementary hemodialysis (HD) once per week for PD patients can aid in achieving adequate dialysis and extend the duration of PD treatment. In Japan, this therapy is termed “combined therapy with PD and hemodialysis (combPDHD).” CombPDHD represents a treatment option for PD patients for whom adequate dialysis cannot be maintained. CombPDHD has been widely applied in Japanese PD patients; however, it is much less common outside of Japan. Clinical evidence, particularly regarding long-term prognosis and appropriate duration of treatment, remains insufficient.

Summary
CombPDHD will be required as an alternative for increasing the dose of PD under various conditions, such as a loss of residual kidney function (RKF) and peritoneal functional failure. The Japanese regimen for combPDHD involves 5 or 6 days of PD, combined with one weekly session of hemodialysis. According to some reports, the potential benefits of combPDHD are peritoneal rest with improved peritoneal function and delay in membrane deterioration. CombPDHD prevents peritoneal dysfunction and reduces cardiovascular complications by adjusting the fluid volume and improving renal anemia. Increased D/PCr indicates a deterioration in peritoneal function and is an independent risk factor for encapsulating peritoneal sclerosis (EPS). It is previously reported that no significant differences in combPDHD duration were observed between EPS and non-EPS groups. Laparoscopic findings involving patients with combPDHD revealed that there was a difference in abdominal wall degeneration depending on the intra-abdominal cavity of each case. Recently, prospective studies on long-term peritoneal function, survival, and hospitalization in combPDHD have been reported. However, reviews evaluating combPDHD long-term outcomes in multicenter and prospective studies are lacking.

Conclusion
It is difficult to continue PD alone with a declining RKF or when self-management is poor. Hence, combPDHD should be started to adjust the fluid volume, with adequate dialysis dose and peritoneal rest. This therapy is useful from a lifestyle viewpoint during the transition period from PD to HD and should not be continued indefinitely.
Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions
Authors: Bele Sumedh , Rabi Sarah , Zhang Muning , Oddone Paolucci Elizabeth , Johnson David W. , Quan Hude , Santana Maria J. 
Published: August 2022

Abstract
Background
Patient-reported outcome measures (PROMs) play an important role in promoting and supporting patient and family-centered care. Implementing interventions like PROMs in routine clinical care require key stakeholders to change their behavior. The aim of this study was to utilize the Theoretical Domains Framework (TDF) to identify barriers and enablers to the implementation of PROMs in pediatric outpatient asthma clinics from healthcare providers’ perspective.

Methods
This TDF-guided qualitative descriptive study is part of a larger multi-phase project to develop the KidsPRO program, an electronic platform to administer, collect, and use PROMs in pediatrics. Semi-structured qualitative interviews were conducted with 17 participants, which included pediatricians, nurses, allied health professionals and administrative staff from outpatient asthma clinics. All the interviews were transcribed, deductively coded, inductively grouped in themes, and categorized into barriers and enablers.

Results
We identified 33 themes within 14 TDF domains, which were further categorized and tabulated into 16 barriers and 17 enablers to implementing PROMs in asthma clinics. Barriers to behavioral change were attributed to personal, clinical, non-clinical, and other system-level factors; they ranged from limited awareness of PROMs to language barriers and patient’s complex family background. Enablers ranged from a personal commitment to providing patient and family-centered care to administering PROMs electronically.

Conclusion
This implementation of science-based systematic inquiry captured the complexity of PROMs implementation in pediatric outpatient clinical care for asthma. Considering the consistency in barriers and enablers to implementing PROMs across patient populations and care settings, many findings of this study will be directly applicable to other pediatric healthcare settings.
The potential of predictive and prognostic breast MRI (P2-bMRI)
Authors: Dietzel Matthias , Trimboli Rubina Manuela , Zanardo Moreno , Schultz-Wendtland Rüdiger , Uder Michael , Clauser Paola , Sardanelli Francesco , Baltzer Pascal A. T. 
Published: August 2022

AbstractMagnetic resonance imaging (MRI) is an important part of breast cancer diagnosis and multimodal workup. It provides unsurpassed soft tissue contrast to analyse the underlying pathophysiology, and it is adopted for a variety of clinical indications. Predictive and prognostic breast MRI (P2-bMRI) is an emerging application next to these indications. The general objective of P2-bMRI is to provide predictive and/or prognostic biomarkers in order to support personalisation of breast cancer treatment. We believe P2-bMRI has a great clinical potential, thanks to the in vivo examination of the whole tumour and of the surrounding tissue, establishing a link between pathophysiology and response to therapy (prediction) as well as patient outcome (prognostication). The tools used for P2-bMRI cover a wide spectrum: standard and advanced multiparametric pulse sequences; structured reporting criteria (for instance BI-RADS descriptors); artificial intelligence methods, including machine learning (with emphasis on radiomics data analysis); and deep learning that have shown compelling potential for this purpose. P2-bMRI reuses the imaging data of examinations performed in the current practice. Accordingly, P2-bMRI could optimise clinical workflow, enabling cost savings and ultimately improving personalisation of treatment. This review introduces the concept of P2-bMRI, focusing on the clinical application of P2-bMRI by using semantic criteria.
Functional outcomes of extended-release methylphenidate and atomoxetine in children: retrospective chart analysis
Authors: Aral Armagan , Onat Merve , Aydemir Hilal 
Published: August 2022

AbstractBackgroundRecent guidelines emphasize the importance of functional outcomes in children with attention-deficit/hyperactivity disorder (ADHD). Here, we assess the functional outcomes of the oral delivery system of osmotic-release methylphenidate (OROS-MPH) and atomoxetine (ATX) from the retrospective review of the chart for the last 2 years in the clinic.ResultsLinear mixed-effects models were performed with outcome measures of difference in ADHD symptoms and functional impairment. After 9–12 weeks, OROS-MPH and ATX were statistically equivalent for total Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P) scores(difference in slope isβ = 0.004,p = 1.000). However, OROS-MPH was superior to ATX in terms of school domain (difference in slope isβ = 0.139,p < 0.001); ATX was superior in the family domain (slope difference in slope isβ = 0.103,p < 0.001). The other domains of functioning both were not responsive to pharmacotherapy and were similar between the two medications.ConclusionsOptimal management should monitor functional progress in ADHD beyond the core symptoms. As expected, ADHD medications provide a distinct pattern of functional improvement. Pharmacotherapy alone offers promising and reliable outcomes to improve school and family functions in ADHD. Some functional improvements did not respond to the medication; therefore, many of the techniques derived from behavioral interventions should be considered.
Transpedicular vertebral biopsy under O-arm navigation: a technical note
Authors: Krishnan Ajay , Marathe Nandan , Degulmadi Devanand , Mayi Shivanand , Rai Ravi Ranjan , Bali Shiv Kumar , Parmar Vatsal , Amin Prathan , Dave Mirant , Dave Bharat R. 
Published: August 2022

Abstract
Background
Despite emerging techniques, sample inadequacy remains the most important factor that necessitates need for repeat biopsy. Transpedicular Biopsy has diagnostic accuracy ranging from 75 to 90% in both computed tomography guided or percutaneous C-arm guided biopsy. Presenting in this article is an add on technique as a modification to enhance quality and quantity of sample obtained using a self designed trocar cannula with computed tomography-based Navigation.

Main body
We have used transpedicular biopsy technique under C Arm fluoroscopy, previously, where we used a self-designed trocar and cannula in our study of 71 cases & reported an accuracy of 88.7% with no reported complications. This is add on modification of same technique where under 3D navigation, we introduce a pituitary forceps through a correctly positioned cannula. This helps for biopsy of soft lesions/ discal level pathologies. Also, multi-planar adjustment of cannula after initial Stealth O-Arm navigation helps in sampling of different regions of vertebral body by reinsertion of pituitary forceps with simple manipulation of cannula without withdrawal. This minimizes risk of fracturing pedicle. With our technical modification, cannulated drill bit with core opening can be drilled through cannula to retrieve a sample. Our technique has limitations being experience driven and also enabling technology dependent. However, same method can be applied using 2-dimensional fluoroscopy without navigation.

Conclusion
Our technique of using pituitary forceps through cannula is highly effective in getting adequate representative sample with spectrum ranging from hard sclerotic lesions to soft lesions and discal pathologies. This procedure can be used with traditional 2-dimensional fluoroscopy as well as with 3-dimensional navigated precision.
Association of thrombosis and mortality in patients with COVID-19 infections: a hospital-based observational study
Authors: Sethi Sher M. , Hanif Sadaf , Iqbal Madiha 
Published: August 2022

Abstract
Objective
A hospital-based cross-sectional study on COVID-19 confirmed patients was conducted at the Aga Khan University Hospital, Karachi, Pakistan, from April to June 2021. Presence of thrombosis in these patients was compared with mortality. Platelet counts and D-dimer was also compared among survivor and non-survivor to identify the marker for severity of the disease.

Results
Sixty-six patients were enrolled in the study and the mean age of the patients was 62.3 years and 45 patients (68.2%) were male. Pulmonary embolism was identified in 32 patients (48.5%) while non-pulmonary thrombosis occurred in 5 of the admitted patients (7.6%). In our study, mortality occurred in 34 patients (51.5%). Pulmonary embolism was identified in 20 recovered patients (62.5%) and 10 patients died (p value 0.03). Four patients (80%) with non-pulmonary thrombosis were non-survivors (p value 0.05). Median platelets were 73 in non-survivors and 109.5 in survivors (p value < 0.01). Both the groups had a median D-dimer of 3.8 (p value 0.024).

Conclusion
Based on our study, we conclude that COVID-19 infection has the potential to cause hypercoagulable states. It increases the risk of thrombosis and with thrombosis it has a higher mortality rate. Thrombocytopenia is a biomarker with an adverse prognosis in these patients.
Feels Right
Authors: Adeyemi Kemi 
Published: August 2022

In Feels Right Kemi Adeyemi presents an ethnography of how black queer women in Chicago use dance to assert their physical and affective rights to the city. Adeyemi stages the book in queer dance parties in gentrifying neighborhoods, where good feelings are good business. But feeling good is elusive for black queer women whose nightlives are undercut by white people, heterosexuality, neoliberal capitalism, burnout, and other buzzkills. Adeyemi documents how black queer women respond to these conditions: how they destroy DJ booths, argue with one another, dance slowly, and stop partying altogether. Their practices complicate our expectations that life at night, on the queer dance floor, or among black queer community simply feels good. Adeyemi’s framework of “feeling right” instead offers a closer, kinesthetic look at how black queer women adroitly manage feeling itself as a complex right they should be afforded in cities that violently structure their movements and energies. What emerges in Feels Right is a sensorial portrait of the critical, black queer geographies and collectivities that emerge in social dance settings and in the broader neoliberal city.
Duke University Press Scholars of Color First Book Award recipient
Evolution of Field-Based Physical Fitness Assessments
Authors: Ronai Peter 
Published: August 2022

Apply It!
From this article, the reader will be introduced to this specially themed issue of ACSM's Health & Fitness Journal®
, Field Assessments on the Go. The reader also will be made aware of the terms and definitions used throughout this themed issue.
In the pages that follow, this specially themed issue of ACSM's Health & Fitness Journal
® will provide evidence-based and practical recommendations on incorporating client-specific field-based assessments of physical fitness and functional performance in the exercise program development process from experts in pediatric, adult, geriatric, perinatal, occupational, postrehabilitation health, and fitness.
Physical Fitness Assessment during Pregnancy
Authors: Romero-Gallard Lidia , Roldan-Reoyo Olga , Castro-Piñero Jose , Ocon-Hernandez Olga , Aparicio Virginia A. , Soriano-Maldonado Alberto , Mottola Michelle F. , May Linda E. 
Published: August 2022

Apply It!
By reading this article, exercise professionals will learn:
• Physical fitness has an important role during pregnancy, specifically in maternal and neonatal health.
• An individualized, client-specific approach to selection and administration of physical fitness tests ensures safe and specific exercise program interventions and optimizes health-related outcomes in pregnant women.
• Developing a proposal of fitness tests during pregnancy based on scientific evidence is useful for researchers, fitness professionals, health care providers, and pregnant individuals.