bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sayyid Ḥaydar Āmulī (d. ca. 787/1385) and Ismailism
Authors: Mansouri Mohammad Amin 
Published: November 2022

Abstract
Sayyid Ḥaydar Āmulī (d. ca. 787/1385) was a significant Twelver Shiʿi philosopher. This paper argues that his work reveals major similarities with Ismaili Shiʿism in two crucial aspects: soteriology and negative theology. The first section explores several parallels between Ḥaydar Āmulī’s soteriological concept of the seven major prophets and the seven cycles of prophecy in the Ismaili tradition. The following sections demonstrate that his theorization of God’s transcendence (tanzīh) reflects Ismaili negative theology as articulated by Abū Yaʿqūb al-Sijistānī (fl. 4th/10th c.) and Ḥamīd al-Dīn al-Kirmānī (d. after 411/1021), two doyens of Fāṭimid Ismaili literature. Āmulī’s idea of transcendence parallels that of the Ismaili thinkers as he similarly attempts to deny the applicability of all attributes to God, even if they presumably exalt Him. Similar to Ismaili writers, Āmulī also uses the technique of double negation to express his negative theology. The final section, based on Āmulī’s Naqd al-nuqūd (The Critique of the Critiques), sheds light on a similar form of negative theology in the Akbarian school and Twelver Shiʿi thought, which helps appreciate the larger intellectual milieu in which Āmulī produced his ideas. The paper provides new evidence for significant intellectual similarities between Ismaili Shiʿism, Twelver Shiʿism, and Sufism in the period succeeding the destruction of the fortress of Alamut.
Evaluation of Psychological Resilience, Alexithymia, and Impulsivity Characteristics in Persons Who Attempted Suicide with Drugs
Authors: Çavdar Toraman Merve , Sarigedik Enes , Özçetin Adnan 
Published: November 2022

Objective In this study, it was aimed to research the connection between psychological resilience, alexithymia, depression, anxiety and impulsivity in patients who attempted suicide with drugs. Methods The patient group ( n = 66) who attempted suicide with drugs and the control group ( n = 66) without any psychiatric diagnosis were examined in the study. Sociodemographic data form, Psychological Resilience Scale, Toronto Alexithymia Scale (TAS-20), Beck Depression Inventory, Beck Anxiety Inventory, Barratt Impulsivity Scale (BIS-11) were used in the study. Results It was found that PRS dedication and challenge are significantly higher in the control group ( p = .039 and p = .003, respectively). When the undiagnosed group who attempted suicide were compared with the control group, it was observed that there is a significant difference between BIS-11 total and TAS total after bonferonni correction (respectively; p = .002; p = .001), while, there is no statistically significant difference in terms of PRS total score ( p = .483) Conclusion It was observed that patients who attempted suicide with drugs had low levels of psychological resilience, high alexithymia levels. In the absence of an additional diagnosis of depression, psychological resilience did not differ in terms of suicide attempts. In the suicide group, those who did not receive any additional diagnosis were not more impulsive than those who were depressed.
Total anomalous pulmonary venous connection with another major congenital cardiac defect in biventricular hearts
Authors: Katewa Ashish , Sahu Balaswaroop , Prabhu Atul , Haranal Maruti 
Published: November 2022

Background The association of total anomalous pulmonary venous connection (TAPVC) with major congenital cardiac anomalies is rare. This coexistence has an impact on the diagnosis and management strategies. The objective of this single centre study was to analyse the outcomes of such association in bi-ventricular hearts. Methods This is a single-centre retrospective review of all patients who underwent repair for TAPVC associated with major congenital cardiac anomalies in bi-ventricular hearts from February 2015 to March 2020. Data were obtained from the hospital database. The primary aim was to assess the surgical outcomes. In addition, we described the incidence, pathophysiology, morphology and surgical strategies in this cohort of patients. Results Out of a total of 274 patients who underwent repair for TAPVC during the study period, 16 (5.8%) patients had one or more major associated cardiac defect anomalies. The major associated lesions were ventricular septal defects (9), tetralogy of Fallot (2), transposition of the great arteries (1), aorto-pulmonary window (1), partial atrioventricular canal defect (1), pulmonary stenosis (1) and severe tricuspid valve regurgitation due to flail chord (1). The mean follow-up period is 32 ± 13 months. There were two deaths in the post-operative period and no deaths in the follow-up period. Conclusion The incidence of major associated cardiovascular defects with TAPVC in bi-ventricular morphology is 5.8%. The presence of a major associated lesion with TAPVC significantly alters the pathophysiology and clinical presentation with an impact on diagnosis and treatment.
The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI
Authors: Kim-Wang Sophia Y. , Spritzer Charles E. , Owusu-Akyaw Kwadwo , Coppock James A. , Goode Adam P. , Englander Zoë A. , Wittstein Jocelyn R. , DeFrate Louis E. 
Published: November 2022

Background: Bone bruises observed on magnetic resonance imaging (MRI) can provide insight into the mechanisms of noncontact anterior cruciate ligament (ACL) injury. However, it remains unclear whether the position of the knee near the time of injury differs between patients evaluated with different patterns of bone bruising, particularly with regard to valgus angles. Hypothesis: The position of the knee near the time of injury is similar between patients evaluated with 2 commonly occurring patterns of bone bruising. Study Design: Descriptive laboratory study. Methods: Clinical T2- and T1-weighted MRI scans obtained within 6 weeks of noncontact ACL rupture were reviewed. Patients had either 3 (n = 20) or 4 (n = 30) bone bruises. Patients in the 4–bone bruise group had bruising of the medial and lateral compartments of the femur and tibia, whereas patients in the 3–bone bruise group did not have a bruise on the medial femoral condyle. The outer contours of the bones and associated bruises were segmented from the MRI scans and used to create 3-dimensional surface models. For each patient, the position of the knee near the time of injury was predicted by moving the tibial model relative to the femoral model to maximize the overlap of the tibiofemoral bone bruises. Logistic regressions (adjusted for sex, age, and presence of medial collateral ligament injury) were used to assess relationships between predicted injury position (quantified in terms of knee flexion angle, valgus angle, internal rotation angle, and anterior tibial translation) and bone bruise group. Results: The predicted injury position for patients in both groups involved a flexion angle <20°, anterior translation >20 mm, valgus angle <10°, and internal rotation angle <10°. The injury position for the 3–bone bruise group involved less flexion (odds ratio [OR], 0.914; 95% CI, 0.846-0.987; P = .02) and internal rotation (OR, 0.832; 95% CI, 0.739-0.937; P = .002) as compared with patients with 4 bone bruises. Conclusion: The predicted position of injury for patients displaying both 3 and 4 bone bruises involved substantial anterior tibial translation (>20 mm), with the knee in a straight position in both the sagittal (<20°) and the coronal (<10°) planes. Clinical Relevance: Landing on a straight knee with subsequent anterior tibial translation is a potential mechanism of noncontact ACL injury.
Anaesthesia cart standardisation expedites supply retrieval: A simulation study with patient safety implications
Authors: Brewbaker Carey L , Mester Robert A , Wilson Dulaney A , Massman Kaylee , Pillow Clinton F , Wilson Sylvia H 
Published: November 2022

Background: Anaesthesia providers often work at a variety of perioperative and procedural locations. However, the layout of anaesthesia supplies and equipment is often inconsistent from operating theatre to operating theatre. This lack of standardisation may create delays in identification and retrieval of supplies. The primary goal of this study was to compare the duration of time required by anaesthesia providers to identify and retrieve a list of anaesthesia supplies prior to and after standardisation of the location for anaesthesia supplies. Methods: In this observational simulation study, a pre-set list of ten items that may be rapidly needed when caring for patients was created. Volunteer anaesthesia providers were then timed retrieving these in two different operating theatres before and after anaesthesia cart standardisation. Cumulative time to retrieve all items was recorded in seconds. Participants were evaluated regarding mean time to compete the task before and after supply standardisation. Paired t-test were used to assess mean time to retrieve the ten items both before and after standardisation and between the two operating theatre locations. Providers were also evaluated on their familiarity with the operating theatre location, and this was assessed by chi-square tests of homogeneity. Multivariable generalised linear modelling was used to evaluate the impact of covariables on the change in time. Results: Data from 18 anaesthesia providers was collected. Mean (95% confidence interval) time in seconds to retrieve items was decreased by 45% after supply standardisation (105.3 [88.6, 121.9 vs 57.1 [50.8, 63.5]; p < 0.001) with a mean (95% confidence interval) reduction of 48.1 seconds (30.6, 65.6; p < 0.001). Providers who worked primarily at that location also had faster times to complete the task. In a multivariable regression model that considered both the provider’s familiarity with the location and the simulation attempt (Operating theatre 1 or Operating theatre 2), the mean time to retrieve all items remained reduced by 48.1 seconds (95% confidence interval: 31.9–64.4) after supply standardisation (p < 0.001). Conclusion: Standardisation of the location for anaesthesia supplies decreased the time for on-demand item retrieval. Retrieval times were most improved after standardisation for providers in an unfamiliar area. Supply standardisation of anaesthesia carts across perioperative and procedural sites could result in more timely interventions in patient care and efficiency
Impact of the COVID-19 pandemic on perinatal mental health screening, illness and pregnancy outcomes: A cohort study
Authors: Lo Andre C. Q. , Kemp Michelle , Kabacs Nikolett 
Published: November 2022

Background The aim was to explore the impact of the COVID-19 pandemic on perinatal mental health screening, illness and related pregnancy complications/outcomes. Methods A single-centre retrospective cohort study in mothers giving birth before versus during the pandemic. Primary outcomes were the comparative prevalence/incidence of peripartum psychiatric diagnoses. Secondary outcomes were the pandemic's effect on psychiatric screening accuracy, and on other pregnancy outcomes linked to mental health. Results The pandemic did not significantly increase the crude incidence of diagnosed peripartum anxiety (risk ratio (RR) = 1.39, 95% CI = 0.66–2.95), depression (RR = 1.63, 95% CI = 0.72–3.70) or other pregnancy outcomes. In multivariate models, the pandemic decreased Apgar scores and was involved in interaction effects for postpartum mental illness and birthweight. Psychiatric screening at the booking appointment exhibited lower sensitivity in predicting antenatal mental illness (pre-pandemic = 85.71%, pandemic = 25.00%; p = 0.035). Conclusions The lowered screening sensitivity likely meant mental illness was poorly anticipated/under-detected during the pandemic, leading to no crude increase in perinatal psychiatric diagnoses.
Assessment of utilization of health care services and the associated factors among adult fee-waiver beneficiaries in Hawassa, southern Ethiopia: A community based cross sectional study
Authors: Damte Tegegn Biruk , Negeri Keneni Gutema 
Published: November 2022

Background: Over the past decades, developing countries like Ethiopia have resorted to the implementation of user fees in public health care systems. Nonetheless, evidences suggest that user fees affect the poor negatively. Therefore, Ethiopian government introduced fee-waiver mechanism in 1998 aiming to mitigate the financial constraints faced by the poorest segment of the population in utilizing health care services. Yet, in the country, there is limited evidence on this subject. Objective: The overall objective of the study was to assess health care utilization and the associated factors among the fee-waiver beneficiaries in Hawassa City of Southern Ethiopia. Methodology: A quantitative, cross-sectional study design was employed using a sample of 636 fee-waiver beneficiaries. Data was collected using a structured interviewer-administered questionnaire and analyzed using binary logistic regression. An odds ratio with the corresponding CI was used to identify the associated factors, while P < 0.05 was used to declare significance. Results: The response rate to the survey is 581(91.4%). Of this, 377 (65%) utilized health services in the preceding 3 months of data collection. Availability of medical equipment [AOR = 1.501; 95% C.I. (1.066–2.114)], being >50 years of age [AOR  =  2.271; 95% C.I. (1.304–3.953)], improved drug availability in the health care facilities [AOR  =  1.682; 95% C.I. (1.118–2.530)] and beneficiaries’ perception of health worker’s handling practice [AOR  =  3.759; 95% C.I. (1.425–9.912)] were among the significant factors associated with beneficiaries’ utilization of health care services at public health facilities. Conclusion and recommendation: The overall fee waiver beneficiaries’ health care utilizations rate is 64.9%. Optimizing availability of medical equipment, enhancing drug availability and strengthening good patient handling practices are recommended.
Arthroscopic Repair of Traumatic Rotator Cuff Tears in Patients 70 Years and Older
Authors: Fares Austin B. , Scanaliato John P. , Dunn John C. , Sandler Alexis B. , Fink Walter A. , Parnes Nata 
Published: November 2022

Background: There continues to be significant debate on how to manage traumatic rotator cuff tears in older patients. Purpose: To evaluate the clinical outcomes of patients ≥70 years who underwent arthroscopic repair of traumatic rotator cuff tears. Study Design: Case series; Level of evidence, 4. Methods: This retrospective review of prospectively collected data examined outcomes after arthroscopic rotator cuff repair in patients aged ≥70 years with traumatic full-thickness rotator cuff tears. The authors compared preoperative and postoperative outcomes, including American Shoulder and Elbow Surgeons (ASES) scores, Single Assessment Numeric Evaluation (SANE) scores, pain visual analog scale (pVAS) scores, and range of motion measures, as well as assessing postoperative complications. Results: A total of 31 patients met the inclusion criteria. The mean patient age at the time of surgery was 73.6 ± 3.3 years (range, 70-82 years), and the mean follow-up was 38.8 months (range, 24-99 months). The most common mechanism of injury was low-energy falls (87%), followed by motor vehicle collisions (13%). From preoperatively to postoperatively, ASES scores improved from 36.5 ± 15.5 to 95.2 ± 7.7, SANE scores improved from 41.13% ± 20.4% to 94% ± 10.26%, and pVAS scores improved from 7.74 ± 2.13 to 0.48 ± 1.03 ( P < .0001 for all). A comparison of repairs performed at <6 months versus ≥6 months from injury yielded no statistically significant differences in ASES, SANE, or pVAS scores ( P = .930, .445, and .806, respectively) or in forward flexion, external rotation, or internal rotation ( P = .328, .063, and .811, respectively) at the final follow-up. Conclusion: Arthroscopic rotator cuff repair for traumatic full-thickness tears in patients aged ≥70 years demonstrated favorable clinical results. Surgery before or after 6 months of injury did not affect outcomes in this cohort. Surgical treatment should be strongly considered for traumatic rotator cuff tears in the elderly population.
Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
Authors: Germossa Gugsa Nemera , Sjetne Ingeborg Strømseng , Småstuen Milada Cvancarova , Hellesø Ragnhild 
Published: November 2022

Introduction Patient satisfaction is one of the important indicators of quality care. Objective To examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program. Methods A quasi-experimental design with three cross-sectional surveys between October 1, 2016 and June 15, 2017. A total of 845 patients admitted to the four inpatient departments (medicine, surgery, maternity, and gynecology) of Jimma University Medical Centre were invited to participate in the study. A questionnaire adapted from the American Pain Society Patient Outcome Questionnaire, Pain Treatment Satisfaction Scale, and related literature was used for the survey. Data were analyzed using the chi-square test (categorical variables), t-tests for continuous variables, and robust regression to determine the effect of nurse-led management program on patient satisfaction. For all tests, p-values <.05 were considered statistically significant. Results Of the 845 patients invited, 782 (92.5%) participated in the surveys—Survey 1: N = 256; Survey 2: N = 259; Survey 3: N = 267. The proportion of patients who perceived that staff responded within 30 min increased from 67.8% in Survey 1 to 71.1% in Survey 2 and 74.2% in Survey 3. On a scale of 1 to 5 (1 = strongly dissatisfied and 5 = strongly satisfied), the overall mean patient satisfaction with pain management was 3.61 (SD 0.80) in Survey 1, 3.81 (SD 0.86) in Survey 2, and 4.10 (SD 0.64) in Survey 3. Moreover, the patients scored significantly higher on all satisfaction items in Survey 2 (B ranged between 0.12 and 0.41) and Survey 3 (B ranged between 0.24 and 0.74) compared to Survey 1. Conclusion The patients’ ratings of their satisfaction and staff nurse responsiveness following the nurse-led pain management program have increased compared to the levels before the intervention. However, further studies, including those with a control group, are warranted to confirm the results.
The Relationship Between Mindfulness and Conflict Resolution Styles Among Nurse Managers: A Cross-Sectional Study
Authors: Assi Mohammad Dar , Eshah Nidal F. , Rayan Ahmad 
Published: November 2022

Introduction Mindfulness might help nurse managers in dealing with conflicts. However, the relationship between mindfulness and conflict resolution styles were still not clearly understood. Objective To identify the relationship between mindfulness and conflict resolution and to predict the conflict resolution styles of nurse managers through mindfulness. Methods A descriptive correlational cross-sectional design was employed. A convenience sample of 197 nurse managers was recruited from five public and two university hospitals. Data about nurse managers’ mindfulness and conflict management styles were collected through self-reported scales. The data was collected between January and March 2020. Results Mindfulness was significantly associated with integrating ( r = 0.31, p < .001) and obliging ( r = 0.14, p = .045) conflict resolution styles. Mindfulness was able to uniquely predict using the integrating conflict resolution style (χ² = 4.65, p = .031). Conclusions Mindfulness is uniquely related to integrating conflict resolution among nurse managers. The findings encourage stakeholders in health care organizations to develop training programs to improve managers’ conflict resolution skills and to invest in managers’ mindfulness.
Implementation of a Modified Enhanced Recovery Protocol in the Surgical Management of Pediatric Velopharyngeal Insufficiency
Authors: Tashima Alexis D. , Payne Samuel H. , Williams Joseph K. , Pandya Kalyani , Hush Stefanie E. , Soldanska Magdalena , Brady Colin M. 
Published: November 2022

Background: We have recently shown that the use of a modified enhanced recovery after surgery (ERAS) protocol in primary cleft palatoplasty decreases perioperative narcotic utilization and length of stay (LOS) while allowing quicker return to oral intake. In an effort to broaden the application of ERAS protocols within pediatric craniofacial surgery, we have applied our modified ERAS protocol to patients undergoing surgery for velopharyngeal insufficiency (VPI). Methods: A modified ERAS program was implemented in a multidisciplinary manner. The primary components of the protocol included: (1) administration of gabapentinoids, (2) minimal perioperative narcotic use, and (3) post-operative pain control using nonnarcotic firstline agents. One hundred twenty-nine patients were collected prospectively, assigned to the modified ERAS protocol, and compared to historic controls. Patients with a diagnosis of VPI undergoing sphincter pharyngoplasty, pharyngeal flap, or furlow palatoplasty were included. We reviewed patient demographics, narcotic use, length of stay (LOS), and complication rates. Results: Between October 2017 and December 2020, 129 patients underwent speech surgery under the modified ERAS protocol and were compared to 57 historic patient controls. The mean age (control: 7.79 ± 5.27 years, ERAS: 8.00 ± 4.69 years), weight (29.28 ± 19.37 kg, 29.71 ± 18.40 kg), and comorbidities did not differ between groups. Total narcotic usage, reported in mg morphine equivalents/kg (MME/kg), across all phases of care was greater in the controls than in ERAS, respectively (Intraop: 0.30 vs 0.079 MME/kg, PACU: 0.071 vs 0.012 MME/kg, Postop: 0.22 vs 0.0026 MME/kg, P < .0001). Implementation of the ERAS protocol also led to a 29.1% decrease in LOS (1.51 days vs 1.07 days) without an increase in return to service or perioperative complications. Conclusion: Implementation of a modified ERAS protocol in patients undergoing reconstruction for VPI provided effective perioperative pain control allowing for narcotic minimization and a shorter LOS without an increased complication rate.