bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing Low-Value Imaging for Low Back Pain: Systematic Review With Meta-analysis
Authors: Belavy Daniel L. , Tagliaferri Scott D. , Buntine Paul , Saueressig Tobias , Samanna Claire , McGuckian Thomas , Miller Clint T. , Owen Patrick J. 
Published: February 2022

Objective To examine the effectiveness of implementing interventions to improve guideline-recommended imaging referrals in low back pain. Design Systematic review with meta-analysis. Literature Search We searched MEDLINE, EMBASE, the Cumulative Index to Nursing and Allied Health Literature, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials from inception to June 14, 2021, as well as Google Scholar and reference lists of relevant systematic reviews published in the last 10 years. We conducted forward and backward citation tracking. Study Selection Criteria Randomized controlled or clinical trials in adults with low back pain to improve imaging referrals. Data Synthesis Bias was assessed using the Cochrane Risk of Bias 2 tool. Data were synthesized using narrative synthesis and random-effects meta-analysis (Hartung-Knapp-Sidik-Jonkman method). We assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. Results Of the 2719 identified records, 8 trials were included, with 6 studies eligible for meta-analysis (participants: N = 170 460). All trials incorporated clinician education; 4 included audit and/or feedback components. Comparators were no-intervention control and passive dissemination of guidelines. Five trials were rated as low risk of bias, and 2 trials were rated as having some concerns. There was low-certainty evidence that implementing interventions to improve guideline-recommended imaging referrals had no effect (odds ratio [95% confidence interval]: 0.87 [0.72, 1.05]; I2 = 0%; studies: n = 6). The main finding was robust to sensitivity analyses. Conclusion We found low-certainty evidence that interventions to reduce imaging referrals or use in low back pain had no effect. Education interventions are unlikely to be effective. Organizational- and policy-level interventions are more likely to be effective. J Orthop Sports Phys Ther 2022;52(4):175–191. Epub 05 Feb 2022. doi:10.2519/jospt.2022.10731
In Professional Male Soccer Players, Time-Loss Groin Injury Is More Associated With the Team Played for Than With Training/Match-Play Duration
Authors: Mosler Andrea B. , Carey David L. , Thorborg Kristian , Weir Adam , Eirale Cristiano , van Dyk Nicol , Hölmich Per , Whiteley Rod J. , Gabbett Tim J. , Crossley Kay M. 
Published: February 2022

Objective To investigate the relationship between training/match-play duration and time-loss groin injury in professional male soccer players, and to determine whether previously identified intrinsic risk factors influenced this relationship. Design Prospective cohort study. Methods A total of 579 professional male soccer players were prospectively followed from July 2013 to June 2015. Time-loss groin injuries and individual training and match-play duration were recorded using standardized surveillance methods. Acute training/match-play duration and chronic training/match-play duration were considered as interacting variables. Nonlinear Cox regression analysis (modeled using restricted cubic splines), clustered by player identification number, examined the relationship between training/match-play duration and groin injury. Previously identified intrinsic risk factors of previous groin injury and eccentric adduction strength were included in the multivariable regression analysis. Results There was no clinically meaningful relationship between training/match-play duration and groin injury risk. Team played for had the strongest influence on groin injury risk (relative log hazard ratio −2.28 to 0.97). Groin injury risk was highest when accumulated chronic and acute training duration was also highest, but large confidence intervals indicate considerable uncertainty around this finding. Previous groin injury and eccentric adduction strength were not associated with groin injury risk when training/match-play duration and team were included in the model. Conclusion In professional male soccer players, there was no clinically meaningful relationship between groin injury risk and training/match-play duration. Team played for either protected against or increased groin injury risk, indicating that team-related factors not measured in this study had greater effect on groin injury risk than training/match-play duration. J Orthop Sports Phys Ther 2022;52(4):217–223. Epub 5 Feb 2022. doi:10.2519/jospt.2022.10845
ACRODERMATITIS CONTINUA SUPPURATIVA HALLOPEAU IN COMBINATION WITH LOCALIZED PSORIASIS VULGARIS
Authors: Sokolovskiy E. V. , Mikheev G. N. ,  Gordeeva A. A. 
Published: February 2022

А clinical case of a rare form of pustular psoriasis, known as “acrodermatitis continua suppurativa Hallopeau” is described. The involvement of the distal phalanges of the fingers and toes in combination with localized psoriasis vulgaris is observed. Specific features of this case are the presence of two different forms of the disease and comorbidities, that limits treatment options. The article provides current data on the clinical features and management of acrodermamtitis continua suppurativa Hallopeau. An acceptable personalized treatment with systemic retinoids and topical substances containing betamethasone dipropionate and calcipotriol has been proposed.
EXPERIENCE OF REMOVING BENIGN NEOPLASMS OF SKIN IN CERVICOFACIAL AREA USING THE METHOD OF PLASMA ABLATION
Authors: Ritina I. F. , Rubins S. A. , Rubins A. Y. 
Published: February 2022

Choosing appropriate methods for removal of benign skin lesions (BSL) in the cervicofacial area has always been an important and challenging issue. Removal of the BSL is indicated and performed for medical and aesthetic reasons. A method with less painful procedures, a short healing period, without noticeable long-lasting traces (such as scars, dyschromia) and, predictably, fewer repeat procedures is preferred. Objectives. Evaluation of the effectiveness, safety and convenience of BSL plasma ablation using Plexr® (GMV, Italy); Comparison of the reparative processes speed after the BSL removal in the cervicofacial area applying the Plexr® device with other instrumental methods (based on literature reviews). Materials and Methods. We identified a group of patients wishing to remove papilloma, xanthelasma, dermal nevi, dermatofibroma on their face and body. Neoplasms (skin lesions) were assessed visually and by means of the Dermlite 3DN dermatoscope. Patients with atypical skin lesions were excluded from the study and referred to a medical oncologist for consultation. Each patient, having been fully briefed on the nature and course of the medical procedure, as well as required aftercare, submitted their written informed consent. Plasma ablation of BSL was performed using Plexr® device. Re-examination of patients was carried out after the scab from the treated area of the skin had fallen off. Results. We have performed 373 BSL removal procedures, including 212 (57%) — in the cervicalfacial area, among which there have been 47 (13%) cases of acrochordoni, papilloma, xanthelasma, syringoma and upper and lower eyelid milia removals. Complete healing has been recorded in 98% of all cases, with repeated corrective procedure being required only for one patient due to insufficiently deep tissues destruction in the course of multiple syringoma removal in the lower eyelid area. Conclusion. The results obtained allow to consider the method of BSL tissues plasma ablation applying Plexr® device effective, safe, non-traumatic, inexpensive, with a short period of tissue healing (7—10 days). BSL removal with the help of Plexr® — is a good alternative to conventional surgical and laser methods, which can be introduced into medical practice.
Overall Survival and Survival Time by Palliative Performance Scale: A Retrospective Cohort Study in Thailand
Authors: Vankun Pimprapa , Saramunee Kritsanee , Chaiyasong Surasak 
Published: February 2022

Objectives:
The palliative performance scale (PPS) is a useful tool for predicting the survival time of palliative patients and for multidisciplinary teams in designing an appropriate care plan for patients and their families. This study aimed to (1) assess the survival time of palliative patients, (2) examine the factors associated with survival time and (3) investigate the proportion of patients whose survival time matched the time proposed by existing literature, within the Thai population.

Materials and Methods:
A retrospective cohort study was conducted with data drawn from five hospitals in one of the north-east provinces in Thailand. The study population comprised patients with a palliative diagnosis (ICD10: Z51.5) who had registered in one of the five hospitals between 1 October 2015 and 30 September 2017. Kaplan–Meier survival analysis was used to assess overall survival time and an extended Cox regression model to identify predictors of survival.

Results:
Of the 2792 registered patients, 1163 were included in the analysis. Most patients were male (55.62%), with a mean age of 64.59 years (±15.38), and were covered by the universal coverage insurance (77.72%). Approximately half (56.23%) of the participants had cancer and about a quarter (27.13%) had an initial PPS result of 30. The overall median survival time was 14 days (mean = 64.08, 95% CI: 12–16). Three significant predictors for survival included sex, hospital and initial PPS score.

Conclusion:
The survival time of palliative patients was relatively short. Sex, hospital and initial PPS were significant predictors of survival. The median survival time by PPS was similar to the values reported by the previous study but proportion of correct prediction was low. Therefore, it might be necessary to investigate the survival time of palliative patients by country independently.
Coevolución Microbiota-Humano y sus implicaciones en salud: de cazadores recolectores a sedentarios industrializados
Authors: G-Santoyo Isaac , Urquiza Marín Héctor , Martínez-Pelayo Mariana , Jiménez-Trejo Francisco Javier , Aguilar- Díaz Hugo , Tapia Rodríguez Miguel 
Published: February 2022

Los seres humanos somos holobiontes, estamos compuestos por los genomas de microorganismos que han coevolucionado con nosotros a lo largo de la historia evolutiva de la especie. El microbioma bacteriano intestinal es el más representativo debido a su gran diversidad de funciones. Los recientes cambios en el estilo de vida de las poblaciones humanas modernas se han convertido en presiones ecológicas drásticas para estos microorganismos. Las medidas destinadas a matar o limitar a patógenos, combinadas con otros factores como los alimentos procesados, han tenido consecuencias no deseadas para el ecosistema microbiano humano, incluidos cambios difíciles de revertir. La alteración del microbioma y la consiguiente pérdida de sus atributos funcionales podrían explicar el drástico aumento de enfermedades no transmisibles durante los últimos 30 años. Esta revisión explora las intrincadas conexiones entre la evolución del hombre, sus cambios recientes en las prácticas de vida que han impactado el ecosistema microbiano con el que ha coevolucionado, y sus consecuencias en la salud de las poblaciones modernas.
PRODUKSI BIOETANOL DARI LIMBAH BONGGOL NANAS MADU DENGAN VARIASI KONSENTRASI Saccharomyces cerevisiae DALAM PEMBUATAN HAND SANITIZER
Authors: Amelia Fivi Amelia , Dewi Endah Rita Sulistya , MInarti Ipah Budi 
Published: February 2022

Penelitian ini bertujuan untuk menganalisis kadar bioetanol dari limbah bonggol nanas madu dengan variasi konsentrasi Saccharomyces cerevisiae dalam pembuatan hand sanitizer serta implementasinya sebagai modul pembelajaran. Penelitian ini menggunakan Rancangan Acak Lengap (RAL), dengan 3 perlakuan dan 4 kali ulangan sehingga diperoleh percobaan sebanyak 12 kali. Jumlah takaran yang digunakan dalam penelitian ini yaitu 1:2, dimana bonggol buah nanas 150 gram ditambahkan dengan aquadest sebanyak 300 ml. Hasil penelitian menunjukan tidak adanya pengaruh variasi konsentrasi Saccharomyces cerevisiae terhadap kadar alkohol bioetanol bonggol nanas madu ditolak, dimana Fhitung (0,33) ˂ Ftabel 5% (5,14) dan Ftabel 1% (5,29). Kesimpulan dari penelitian ini adalah perlakuan variasi konsentrasi Saccharomyces cerevisiae tidak berpengaruh nyata terhadap kadar alkohol bioetanol bonggol nanas madu. Kadar alkohol bioetanol bonggol nanas madu tertinggi pada perlakuan konsentrasi Saccharomyces cerevisiae 1,5 gram dengan kadar alkohol 1,883% dan kadar alkohol terendah pada perlakuan konsentrasi Saccharomyces cerevisiae 2,0 gram dengan kadar alkohol 1,748%.
ANALISIS PENGARUH LATIHAN FISIK TERHADAP KEBUGARAN JASMANI PEMAIN FUTSAL PUTRI IAIN KUDUS
Authors: Ni'mah Jannatun ni'mah , Melisa Atika Okta 
Published: February 2022

<p> Olahraga futsal mulai berkembang pesat di Indonesia. Perkembanganya meluas ke semua kalangan tak terkecuali dikalangan mahasiswa kampus Iain Kudus. Tak hanya mahasiswa putra, mahasiswi putri pun ikut meramaikan olahraga ini. Penelitian ini merupakan penelitian eksperimental dengan pendekatan <em>two group pretest-postest design</em>. Pengambilan subjek penelitian dilakukan secara <em>simple random sampling</em>. Subjek penelitian dibagi menjadi 2 kelompok, yaitu kelompok perlakuan yang mendapat latihan fisik terprogram selama 3 minggu dan kelompok kontrol. Data diambil dari hasil tes fisik: <em>push-up</em>, <em>sit-up</em> dan <em>running test</em>. Hasil penelitian ini menunjukan kelompok yang mendapat latihan fisik selama 3 minggu memiliki kebugaran jasmani yang bagus hal ini terbukti dari hasil tes fisik yang tinggi, permainan tim yang bagus, fisik tidak cepat lelah, dan memperoleh kemenangan. Kesimpulan dari penelitian ini latihan fisik memiliki pengaruh terhadap kebugaran jasmani pada pemain futsal putri Iain Kudus. Setelah melakukan penelitian ini penulis berharap artikel ini menjadi salah satu rujukan pentingnya program latihan fisik di sebuah tim olahraga umumnya, dan futsal pada khusunya, untuk menjadi salah satu agenda latihan, agar mendapat hasil sesuai yang diinginkan yaitu kemenangan dan juara.</p>
Physical Health Problems and Patterns of Self-Care Associated with the Use of Digital Devices among University Students
Authors: Joshi Dirgha Raj , Neupane Umesh , Chitrakar Roshan 
Published: February 2022

INTRODUCTION: Utilization of digital devices create some problems for users, such as, mental disorder, visual problems, headache, weight gain and unnecessary time consumption. Therefore, this study aims to identify the information about the practices on the use of digital devices, its impact on physical health and pattern of self-care among the university students involved in different professions.
MATERIALS AND METHODS: MPhil scholars involved in different professions (n= 315) of Nepal Open University (NOU) had participated in this cross-sectional online survey during January 2019 to August 2019. Multivariable analysis was employed to obtain rate ratios and chi-square test was used for the association of the use of digital devices with physical health problems.
RESULTS: Socio-demographic factors like age was significantly associated with neck pain (p=0.02) and stiffness in hands/arms (p=0.04), while profession was associated with weight gain and difficulty in sleep (p=0.04). Moreover, the use of tablets or taking tea or coffee during the use of digital devices was associated with headache among university students (p=0.05) with small effect sizes. Additionally, we found that headache (p< 0.001), and weight gain (p= 0.01) were significantly associated with the daily use of computer and TV respectively.
CONCLUSIONS: Physical health problems among the subjects who used computers and TV were relatively high as compared to the subjects who used laptops. Self-care measures taken by participants for physical health problems involved the use of medicine and meditation.
Clinco-epidemologial Profile of Organophosphorus Poisoning at Provincial Hospital, Janakpurdham, Nepal
Authors: Jha Sanjeet Kumar , Jha Divyanshu , Panday Manish , Mahaseth Mahesh 
Published: February 2022

INTRODUCTION: Organophosphorus is one of the most common causes of poisoning worldwide. Organophosphorus (OP) poisoning is a major public health problem in Nepal. This study was conducted to observe the epidemiological pattern and mortality in patients with OP poisoning admitted to provincial hospital Janakpurdham, Nepal.
MATERIALS AND METHODS: It was a retrospective study. All the consecutive poisoning cases due to op compound admitted through emergency either in the ward or ICU of the provincial hospital from 15 May 2020 to 15 November 2020 included in the study.
RESULTS: A total of 160 cases of poisoning were admitted through emergency either in the medical ward or ICU of the provincial hospital. Out Of these 81 (51.63 %) was OP poisoning. Among 81 cases 51.85 % were male.70.37 % of cases were from the young adult group i.e., 15 to 30 years. 38.37 % were housewives. Among all included cases 43.20 % had consumed Methyl parathion (Metacid) followed by Phorate 24.69 %. 55 % of total cases were from Dhanusha district followed by Mahottari and Sarlahi. The mortality rate was 14.81 % of total admitted cases, with an average of 5.7 days of hospital stay in the recovered case.
CONCLUSIONS: OP poisoning is a major public health problem in province 2. It affects mostly the young age population. Housewives are at more risk of poisoning. The mortality in patients with OP poisoning is high even if antidotes are available. Considering the common occurrence and full curability of the condition early arrival to the hospital, timely monitoring, and prompt management may help to reduce mortality. With strict laws on the provision of pesticide availability, the poisoning incidence can be decreased and by proper development of infrastructure and ICU facility mortality can be decreased.
Effectiveness of Educational Intervention on Knowledge Regarding Child Abuse among School Students in a Sub-Metropolitan City
Authors: Ishwar Reena , Ishwar Dilip Kumar , Yadav Punita 
Published: February 2022

INTRODUCTION: Child abuse or maltreatment constitutes all forms of physical and/or emotional ill-treatment resulting in actual or potential harm to the child’s health, survival, development. The objective was focused to measure the effectiveness of educational intervention on knowledge regarding child abuse among school students at Janakpurdham, submetropolitan city.
MATERIALS AND METHODS: This study was conducted in Janaki higher secondary english school, at Janakpurdham, Dhanusha. One group pre-test and post-test design was used. A self- administered structured questionnaire was developed to assess the knowledge regarding child abuse among participants. Differential and inferential statistics were used to analyse data by SPSS package.
RESULTS: Out of total 44 participants, 12 (27.3%) participants had poor level of knowledge in pre-test whereas none had poor knowledge in post-test. 25 (56.8%) participants had average level of knowledge in pre-test but only 15 (34.1%) had average level in post- test. 7 (15.9%) participants had good level of knowledge in pre-test, however 29 (65.9%) had good level of knowledge in post-test. The scores of pre-test 18.80 (3.87) and post-test 24.23 (2.78) were found to be statistically significant. There was no any association between level of knowledge in pre-test and post-test with their selected socio-demographic variables except sex, education status of mother and occupation of father in post-test.
CONCLUSIONS: Majority of participants had average level of knowledge in pre-test that was increased to good knowledge in post-test. The scores of pre-test and post-test were found to be statistically significant which determined the effectiveness of educational intervention programme.
Awareness and Perception Regarding Health Insurance among Community people in a Municipality: A Cross Sectional Study
Authors: Dhungana Bharat Ram , Giri Shree Shyam , Kushwaha Shambhu Prasad , Khanal Dammar Kumari , Yadav Binod Kumar 
Published: February 2022

INTRODUCTION: Health insurance program is a social protection program of the government of Nepal, which aims to enable its citizens to have access to quality health care services without placing financial burden on them. There was insufficient knowledge and awareness of the health insurance activities. Insured persons have complained of poor attitude and behaviour of service providers operating in the health insurance scheme. The aim of this study was to investigate the awareness and perception regarding health insurance among community people in a municipality.
MATERIALS AND METHODS: A cross-sectional survey assessing awareness and perception of community people on health insurance was conducted using a structured questionnaire in Bardibas municipality of Mahottari district of Nepal during the month of August 2019 to October 2019. A total of 422 sample were selected by use of simple random sampling technique and face-to-face interview was conducted using the structured questionnaire. Multivariable logistic regression model was applied to test the effects of independent variables after adjusted potential confounders. A p-value ≤ 0.05 was considered statistically significant.
RESULTS: Participants who were from age group of less than 30 years [aOR 2.82; 95% CI (1.46-5.47)] of male gender [aOR 2.03; 95% CI (1.13-3.66)], from upper caste [aOR 6.22; 95% CI (2.97-13.0)], and had higher secondary education level and above [aOR 4.66; 95% CI (2.81-7.74)] were likely to have adequate level of awareness than counterparts. Likewise, participants who were married [aOR 3.46; 95% CI (1.57- 7.63)], had higher secondary education level and above [aOR 4.74; 95% CI (2.85- 7.87)], and involved in services or business [aOR 8.67; 95% CI (3.54-21.23)], were more likely to have satisfactory perception on health insurance.
CONCLUSIONS: Education level and occupation has influence on the level of awareness and perception of health insurance. Therefore, awareness programme on health insurance need to be implemented through mass media campaign.