bluuebunny/crossref_metadata_2025_split huggingface dataset:
Midwifery centers as enabled environments for midwifery: A quasi experimental design assessing women’s birth experiences in three models of care in Bangladesh, before and during covid
Authors: Stevens Jennifer Rebecca , Sabin Lora L. , Onyango Monica A. , Sarker Malabika , Declercq Eugene 
Published: December 2022

Background
The midwifery model of care is a human rights-based approach (HRBA) that is unique and appropriate for the majority of healthy pregnant women, yet full expression may be limited within the medical model. Midwifery centers are facilities designed specifically to enable the practice of midwifery. In high resource countries, they have been shown to be cost effective, evidence-based, avoid over medicalization, and provide safe, efficient and satisfying care.

Methods
A quasi-experimental design was used to assess the impact of three models of care on women’s experiences of respect, and trust in maternity care provision, both before and during the pandemic in Bangladesh, as well as their fear and knowledge around COVID-19, during the pandemic. The models were: “fully enabled midwifery” (“FEM”) in freestanding midwifery centers; “midwifery and medicine” (“MAM”) in medical facilities with midwives working alongside nurses and doctors; and “no midwifery” (“NoM”) in medical facilities without midwives. Phone survey data were collected and analyzed from all women (n = 1,191) who delivered from Jan 2020-June 2020 at seven health care facilities in Bangladesh. Comparison of means, ANOVA, post hoc Tukey, and effect size were used to explore the differences in outcomes across time periods.

Findings
Pre-pandemic, women served by the FEM model reported significantly higher rates of trust and respect (p<0·001) compared to the NoM model, and significantly higher rates of trust (p<0·001) compared to MAM. During the pandemic, in the FEM model, the experiences of respect and trust did not change significantly from the pre-pandemic rates, and were significantly higher than both the MAM and NoM models (p < 0·001). Additionally, during the pandemic, women served by the FEM model had the lowest experience of COVID fear (p<0·001).

Interpretation
Fully enabled midwifery in midwifery centers had a significantly positive effect on woman’s experience of respect and trust in care compared to the other models, even in the context of a pandemic.
Association of age, sex and race with prescription of anti-osteoporosis medications following low-energy hip fracture in a retrospective registry cohort
Authors: Hoit Graeme , Whelan Daniel B. , Atrey Amit , Ravi Bheeshma , Ryan Gareth , Bogoch Earl , Davis Aileen M. , Khoshbin Amir 
Published: December 2022

Background
Initiation of anti-osteoporosis medications after hip fracture lowers the risk of subsequent fragility fractures. Historical biases of targeting secondary fracture prevention towards certain groups may result in treatment disparities. We examined associations of patient age, sex and race with anti-osteoporosis medication prescription following hip fracture.

Methods
A cohort of patients with a hip fracture between 2016–2018 was assembled from the American College of Surgeons National Surgical Quality Improvement Program registry. Patients on anti-osteoporosis medications prior to admission were excluded. Multivariable logistic regression was used to determine adjusted associations between patient age, sex and race and their interactions with prescription of anti-osteoporosis medications within 30 days of surgery.

Results
In total, 12,249 patients with a hip fracture were identified with a median age of 82 years (IQR: 73–87), and 67% were female (n = 8,218). Thirty days postoperatively, 26% (n = 3146) of patients had been prescribed anti-osteoporosis medication. A significant interaction between age and sex with medication prescription was observed (p = 0.04). Male patients in their 50s (OR:0.75, 95%CI:0.60–0.92), 60s (OR:0.81, 95%CI:0.70–0.94) and 70s (OR:0.89, 95%CI:0.81–0.97) were less likely to be prescribed anti-osteoporosis medication compared to female patients of the same age. Patients who belonged to minority racial groups were not less likely to receive anti-osteoporosis medications than patients of white race.

Interpretation
Only 26% of patients were prescribed anti-osteoporosis medications following hip fracture, despite consensus guidelines urging early initiation of secondary prevention treatments. Given that prescription varied by age and sex, strategies to prevent disparities in secondary fracture prevention are warranted.
Clinical and laboratory factors associated with mortality among hospitalized patients with COVID-19 infection in Lebanon: A multicenter study
Authors: Chebli Marianne , Shebly Anthony , Kerbage Georges , El Zouki Christian Joseph , Hayek Elissar , Salameh Pascale , Hallit Rabih , Hallit Souheil 
Published: December 2022

Background
With the dire economic situation in Lebanon, many of the basic resources of the hospitals needed to help fight COVID-19 infections are not available. In this paper, we studied the possible factors associated with increased mortality in a sample of Lebanese adults enrolled in three hospitals.

Method
In this retrospective cohort study, we analyzed data from 416 adults hospitalized in three institutions for a COVID-19 infection, from the opening of the COVID unit until their closure (period extending from March 2020 to June 2021). We used multivariate analyses to assess potential factors associated with COVID-19 mortality: gender, age, the presence of underlying medical conditions, and some medication taken during hospitalization.

Results
Using variables related to baseline characteristics entered as independent variables, acute kidney injury (aOR = 4.057) and older age (aOR = 1.053) were associated with a higher probability of death. After adjusting baseline characteristics and factors related to admission entered as independent variables, enoxaparin intake (aOR = 0.435) was significantly associated with a lower probability of death, whereas old age (aOR = 1.049) and ventilation (aOR = 1.2) were significantly associated with higher odds of death. When all variables that showed significance in bivariate analysis were entered, old age (aOR = 1.243) and highest PaCO2 during hospitalization (aOR = 1.192) were significantly associated with higher mortality. With a weak effect, atrial fibrillation, COPD, and higher leucocyte counts on admission were significantly associated with higher odds of death.

Conclusion
These findings could help us prevent severe diseases in patients with several comorbidities and adjust therapeutic care to improve future outcomes. More studies should compare the outcome of different COVID-19 strains as well as the impact of vaccination on those with multiple comorbidities, especially on the mortality rate culminating from disease complications.
Percutaneous nephrostomy for complex renal stones: Percutaneous renal access behind the stone versus renal calyx dilation
Authors: Ahn Jae Kyeong , Won Jung Ho , Choi Dae Seob , Choi Ho Cheol , Choi Hye Young , Jo Sa Hong , Choi Jae Hwi , Lee Seung Hye , Kim Mi Ji , Park Sung Eun , Shin Ji Hoon 
Published: December 2022

Objective
To evaluate the technical success rate and complications associated with percutaneous nephrostomy (PCN) via percutaneous renal access behind the stone and renal calyx dilation in patients with complex renal stones.

Materials and methods
From January 2010 to February 2021, we identified 69 patients with 70 complex renal stones who underwent PCN. Complex renal stones were classified as simple (renal pelvis only) (27.1%, 19/70), borderline staghorn (8.6%, 6/70), partial staghorn (51.4%, 36/70), or complete staghorn (12.9%, 9/70). All PCNs were performed under ultrasound and fluoroscopic guidance using one of two renal-entry techniques: puncture behind the stone (56%, 39/70) or renal calyx dilation (44%, 31/70). Then, we retrospectively evaluated the technical success rates and complications associated with each renal entry access technique.

Results
The overall technical success rate was 100%, and the complication rate was 20.0% (14/70). For those who underwent renal access behind the stone, the complication rate was 15.4% (6/39), and six patients (six PCNs) had transient gross hematuria. For those who underwent dilated renal calyx entry, the complication rate was 25.8% (8/31), and one patient had significant bleeding complications requiring transfusion. Furthermore, seven patients (seven PCNs) had transient gross hematuria. Overall, the complication rates did not differ between the technique groups (p = 0.279)

Conclusion
PCN for complex renal stones has a high technical success rate and an acceptable complication rate regardless of the specific technique. Renal entry behind the stone is as safe and feasible as approaching via a dilated renal calyx.
Chinese herbal therapy in the management of rhinosinusitis—A systematic review and meta-analysis
Authors: Cui Jing , Lin Wenmin , May Brian H. , Luo Qiulan , Worsnop Christopher , Zhang Anthony Lin , Guo Xinfeng , Lu Chuanjian , Li Yunying , Xue Charlie C. 
Published: December 2022

This systematic review aims to assess the effects and safety of Chinese herbal medicines (CHMs) in the management of rhinosinusitis (RS); inform clinicians of the current state of the evidence; identify the best available evidence; and suggest further directions for research. Five English and four Chinese language databases, and four clinical trial registries were searched. Eligible studies were randomised controlled trials (RCTs). Participants were diagnosed with RS based on established criteria. Test interventions were CHMs administered orally and/or nasally, excluding injections and displacement techniques. Control interventions included placebos, no additional treatment, and conventional non-invasive treatments including pharmacotherapies and/or nasal irrigation, and/or inhalations. Polyposis and post-surgical recovery were excluded. Outcomes were Sino-Nasal Outcome Test (SNOT), visual analogue scales (VAS), Lund-Mackay computed tomography score (LM), Lund-Kennedy Endoscopic score (LK), Mucociliary transport time (MTT), Mucociliary transport rate (MTR), quality of life and adverse events (AEs). Risk of bias used the Cochrane tool. Meta-analysis in Review Manager 5.4.1 used random effects for mean difference (MD) or risk ratio (RR) with 95% confidence intervals. Heterogeneity was assessed as I2. Thirty-four RCTs were included, 30 of chronic RS (CRS) and four of acute RS (ARS). These enrolled 3,752 participants. Five RCTs blinded participants. For CRS, comparisons with placebo showed greater improvements in the CHM groups for SNOT-20 and VAS-TNS (total nasal symptoms). Blinded comparisons with pharmacotherapies showed no differences between groups in the degree of improvement for SNOT-20, VAS-TNS, and LM, suggesting these CHMs had similar effects, at least in the short term. In ARS, pooled results found improved scores on VAS-TNS and LK suggesting a benefit for combining these CHMs with pharmacotherapies. Limitations included inadequacies in study design and methodological reporting, and insufficient reporting of AEs. Heterogeneity in some pooled results precluded strong conclusions. Further well-designed studies are needed to test whether the results are replicable.
Systematic review registration number: PROSPERO (CRD42019119586).
Efficacy and safety of electric acupuncture in treatment of intractable facial paralysis: A protocol for systematic review and meta-analysis
Authors: Zhou Yihao , Huang Gan , Luo Chunhong , Huang Zhilin , Dai Anhong , Zhang Xuelian , Liu Meifang , Shi Jing 
Published: December 2022

BackgroundFacial paralysis is a common clinical disease, it was named intractable facial paralysis when the clinical course more than 2 months. Intractable facial paralysis will produce anxiety and depression, which will seriously affect patients’ life and work. Electric acupuncture has been widely used in the treatment of intractable facial paralysis. However, the results of clinical studies on the efficacy and safety have been inconsistent. This study aims to evaluate the efficacy and safety of electric acupuncture for intractable facial paralysis patients by systematic review and meta-analysis, so as to provide clinical decision-making based on evidence-based medicine.MethodsThe following databases will be searched by electronic methods: PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP Database, Wan-fang Data and Chinese Biomedical Database. All of them will be retrieved from the establishment date of the electronic database to March 2022, all included studies will be evaluated risk of bias by the Cochrane Handbook. The total effective rate will be the primary outcome. The systematic review will be conducted with the use of the RevMan5.3 software in this study.ResultsThis study will obtain efficacy and safety of electric acupuncture for the treatment of intractable facial paralysis.DiscussionThis study will provide clinical decision-making based on evidence-based medicine that whether electric acupuncture could be used to treat intractable facial paralysis, and when and how it might be more effective and safety. It will help standardize electric acupuncture treatment strategies for intractable facial paralysis.PROSPERO registration numberCRD42021278541.
Benefits of herbal formulae containing Poria cocos (Fuling) for type 2 diabetes mellitus: A systematic review and meta-analysis
Authors: Di Yuan Ming , Sun Lu , Lu Chuanjian , Guo Xin Feng , Tang Xianyu , Zhang Anthony Lin , Fan Guanjie , Xue Charlie Changli 
Published: December 2022

BackgroundPoria cocos(Schw.) Wolf orFulingis one of the top 10 most frequently prescribed herbs in China for the treatment of type 2 diabetes mellitus (T2DM).ObjectiveThe purpose of this systematic review is to determine the additional benefit ofFulingformulae use in addition to hypoglycaemic agents for T2DM in randomised clinical trials.MethodsEnglish (5) and Chinese (4) medical databases were searched from their inception to August 2021. RCTs that includedFulingin herbal formulae for T2DM were included. Risk of bias were assessed using the Cochrane Collaboration’s procedures. Stata software (13.0) was used for data analysis.ResultsSeventy-three RCTs (6,489 participants) with herbal formulae containingFulingwere included. Most studies were at risk of bias and strength of the evidence were low to moderate. Meta-analysis findings showed that the addition of formulae containingFulingto hypoglycaemic agent-treatments could benefit people with T2DM by reducing fasting blood glucose (MD -0.82 [-0.93, -0.71]; I2= 79.6%,P= 0.00), 2-hour postprandial blood glucose (MD-1.15 [-1.31, -0.98], I2= 80%,P= 0.00) and haemoglobin A1c (MD-0.64 [-0.75, -0.53], I2= 84.7%,P= 0.00). Adverse events were also significantly lower in the integrative group than in the hypoglycaemic alone group (RR 0.99 [0.93, 1.06],P= 0.87).ConclusionEvidence from this study supports the use ofFulingformulae combined with hypoglycaemic agents for T2DM. The combined therapies appear to be well tolerated.Trail registrationThis review is registered with the PROSPERO international prospective register of systematic reviews (CRD42020214635).
Medical students’ crisis-induced stress and the association with social support
Authors: Broks Vera M. A. , Stegers-Jager Karen M. , van der Waal Jeroen , van den Broek Walter W. , Woltman Andrea M. 
Published: December 2022

Background
Medical schools are challenged to guard student wellbeing given the potential negative impact of the COVID-19 outbreak combined with an already high prevalence of mental distress. Although social support is generally associated with less crisis-induced stress, it is unknown whether this applies to medical students during the COVID-19 outbreak.

Objectives
The impact of the COVID-19 outbreak on perceived stress of medical students was assessed by comparing their perceived stress levels during the outbreak to both their own baseline and the previous cohort’s pre-COVID-19 stress levels. Then, the association between social support and stress during the COVID-19 outbreak was assessed.

Methods
Dutch Year-1 medical students of cohort 2019 (n = 99) completed the 14-item Perceived Stress Scale (PSS-14) at two time points: baseline (pre-COVID-19) and final measurement (COVID-19). Social support—emotional-informational support and club membership—was assessed during the final measurement. PSS and social support scores were compared to similar measurements of cohort 2018 (n = 196). Students’ baseline stress levels, gender, and study performance were controlled for when comparing final stress levels.

Results
In cohort 2018 (pre-COVID-19), students’ perceived stress levels did not differ significantly between the baseline and final measurements. Additionally, baseline stress levels of the two cohorts (2018 and 2019) were not found to be significantly different. Cohort 2019’s final stress levels (COVID-19) were significantly higher compared to their baseline stress levels (paired t-test: t = 6.07, p < .001) and cohort 2018’s final stress levels (linear regression: B = 4.186, p < .001). Only during the COVID-19 outbreak higher social support levels—i.e., emotional-informational support (B = -0.75, p < .001) and club membership (B = -3.68, p < .01)—were associated with lower stress levels.

Conclusions
During the COVID-19 outbreak, medical students’ perceived stress levels were higher—especially for students with lower social support levels. Our results suggest that medical schools should optimize social support to minimize crisis-induced stress.
The effect of neighborhood walkability on changes in physical activity and sedentary behavior during a 12-week pedometer-facilitated intervention
Authors: McCormack Gavin R. , Spence John C. , McHugh Tara-Leigh , Mummery W. Kerry 
Published: December 2022

Background
Pedometer-facilitated interventions encourage physical activity via the accumulation of steps. Mixed evidence suggests that neighborhood walkability might influence the effectiveness of physical activity interventions, including pedometer-facilitated interventions. Our study investigated the moderating effect of neighborhood walkability on immediate (4-week) and short-term (12-week) changes in self-reported neighborhood-specific leisure and transportation walking, leisure-based moderate and vigorous-intensity physical activity, and leisure-based screen time during a pedometer-facilitated intervention (UWALK).

Methods
This quasi-experiment undertaken in Calgary (Canada) compared behavior changes during the 12-week intervention between two neighborhood groups classified as ‘walkable’ or ‘car dependent’ based on Walk Score®. Of the 573 volunteers (adults in the contemplation and preparation stages of physical activity behavior change), 466 participated in UWALK. Surveys captured sociodemographic characteristics, perceived neighborhood walkability, neighborhood preferences, motivation, physical activity and screen-based leisure. Covariate-adjusted linear mixed models estimated the differences in physical activity and leisure screen time between the neighborhood walkability groups at baseline, 4-weeks, and 12-weeks.

Results
UWALK participants included mostly females (83%) and had an average age of 49.2 years. Weekly minutes of walking for transport inside the neighborhood was higher (p < .001) among participants from walkable versus car dependent neighborhoods at baseline (42.5 vs. 21.1), 4-weeks (81.2 vs. 48.2), and 12-weeks (87.2 vs. 48.0). Regardless of neighborhood walkability, all physical activity outcomes were higher and leisure screen time lower at 4-weeks and 12-weeks compared with baseline. We found no significant neighborhood group by time interactions.

Conclusions
Pedometer-facilitated interventions may be effective for supporting short-term changes in physical activity and sedentary behavior even among adults residing in low walkable neighborhoods.
Relationship between self-efficacy, adversity quotient, COVID-19-related stress and academic performance among the undergraduate students: A protocol for a systematic review
Authors: Ikbar Ridho Roqwan , Amit Noh , Subramaniam Ponnusamy , Ibrahim Norhayati 
Published: December 2022

Background
This systematic review aims to review research manuscripts during the COVID-19 pandemic that focus on the relationship between self-efficacy, adversity quotient, COVID-19-related stress and academic performance on a range of undergraduate student.

Methods
The authors will perform comprehensive searches of published studies in electronic databases such as PMC, PubMed, Scopus, Cochrane Library and Web of Science by using the following search terms: ‘self-efficacy’ AND ‘adversity quotient’ AND ‘stress’ AND ‘academic performance’ AND ‘student’ AND ‘COVID-19 pandemic’. Only full-text articles in English language are included. Two reviewers will independently conduct the article selection, data extraction, and quality assessment. Any possible disagreement will be resolved by discussion, and one arbitrator (NA) will adjudicate unresolved disagreements.

Results
This review will provide an updated overview of investigating the relationship between self-efficacy, adversity quotient, COVID-19-related stress and academic performance on a range of undergraduate student during the COVID-19 pandemic. Ultimately, based on this systematic review, we will recommend the direction for future research.

Conclusion
The result of the study may help the researchers to find an updated overview of various studies in related topic.

Ethics and dissemination
Data from published studies will be used. Therefore, ethical approval is not required prior to this systematic review. The results will be published in a peer-reviewed journal.
Principles for Assessing Quality of Life in Patients With Crohn's Disease
Authors: Berenblum Tobi Catalina 
Published: December 2022

AbstractCrohn's disease (CD) is a lifelong inflammatory bowel disease that can severely impact quality of life. Many questionnaires exist to assess quality of life for patients with CD, but some of these questionnaires were developed without qualitative data from patients or include only limited symptoms. Patient-Reported Impact of Symptoms in CD provides an innovative and patient-centered framework for assessing quality of life in patients with CD, soliciting qualitative data from patient interviews, and using this to guide a cross-sectional study. Their findings should inform how clinicians guide conversations with their patients regarding quality of life.
Corporate Social Responsibility and Socio-Environmental Conflicts in Peruvian Mining Company
Authors: PÉREZ FALCÓN Julián , RAMIREZ ASIS Edwin , VIZCARRA ARANA Jesús , ESPINOZA MUÑOZ Einer , RAZA Mohsin 
Published: December 2022

Corporate social responsibility is an extremely important aspect that every organization should give the proper importance; on the other hand, socio-environmental conflicts should be considered by every company to have an optimal development, which is why the present study proposes the relationship between these two aspects.
The objective of this research study was to determine the relationship between corporate social responsibility of the mining company Lincuna S.A. and the socio-environmental conflicts of the inhabitants of the province of Ticapampa, Ancash Region, Peru. The present study is a non-experimental, descriptive correlational study where the statistically determined sample was 332 subjects who answered a questionnaire of 30 questions, 15 about corporate social responsibility and 15 about socio-environmental conflicts.