bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of Medical Weight Loss in the Cosmetic Surgery Practice
Authors: Marcoe Jeffrey , Ward Kevin , Kang Moon , Meadows Lionel 
Published: October 2022

Introduction: Weight loss is an achievement desired by many in our current society. Those who struggle to obtain their desired result with diet and exercise regimens are interested in other options. Although bariatric surgery is undeniably the surest way to achieve dramatic weight loss results, many patients are ineligible for the procedure or are uneasy regarding the surgery and desire an alternative. Thus, medical weight loss is a suitable option for many of these patients. Materials and Methods: We postulated that cosmetic patients undergoing medical weight loss would be more aggressive toward losing weight, which would synergistically result in a more significant degree of weight loss compared with noncosmetic, control patients. Results: Our retrospective study revealed no statistically significant difference in the weight loss achieved by each group. Conclusion: We concluded that medical weight loss does not act synergistically with a desire to improve one’s cosmesis; however, as both groups lost weight efficaciously, it can be concluded that medical weight loss can be used as an effective tool in a cosmetic practice for eligible patients.
Clinical First-Trimester Prediction Models for Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis
Authors: Huang Qi-Fang , Hu Yin-Chu , Wang Chong-Kun , Huang Jing , Shen Mei-Di , Ren Li-Hua 
Published: October 2022

Background Gestational diabetes mellitus (GDM) is a common pregnancy complication that negatively impacts the health of both the mother and child. Early prediction of the risk of GDM may permit prompt and effective interventions. This systematic review and meta-analysis aimed to summarize the study characteristics, methodological quality, and model performance of first-trimester prediction model studies for GDM. Methods Five electronic databases, one clinical trial register, and gray literature were searched from the inception date to March 19, 2022. Studies developing or validating a first-trimester prediction model for GDM were included. Two reviewers independently extracted data according to an established checklist and assessed the risk of bias by the Prediction Model Risk of Bias Assessment Tool (PROBAST). We used a random-effects model to perform a quantitative meta-analysis of the predictive power of models that were externally validated at least three times. Results We identified 43 model development studies, six model development and external validation studies, and five external validation-only studies. Body mass index, maternal age, and fasting plasma glucose were the most commonly included predictors across all models. Multiple estimates of performance measures were available for eight of the models. Summary estimates range from 0.68 to 0.78 (I2 ranged from 0% to 97%). Conclusion Most studies were assessed as having a high overall risk of bias. Only eight prediction models for GDM have been externally validated at least three times. Future research needs to focus on updating and externally validating existing models.
Evaluation of the Effect of Wastewater Irrigation on the Microbiological Quality of Vegetables in Northeast Ethiopia: Implication for Food-Borne Infection and Intoxications
Authors: Berhanu Leykun , Abebe Masresha , Gizeyatu Adinew , Berihun Gete , Teshome Daniel , Walle Zebader 
Published: October 2022

background: Cultivation of vegetables using untreated wastewater is a common phenomenon in many drought-prone areas of the world. Consumption of such microbiologically unsafe vegetable increase the risk of food-borne diseases. As a result, evaluating the effect of wastewater irrigation on the microbiological quality of vegetables would be beneficial to consumers’ health. method: A total of 192 vegetable samples (lettuce, cabbage, carrot, and tomato) and 64 irrigation water samples were collected and analyzed for total bacteria and coliform count using a standardized protocol over a 4 month period. One-way analysis of variance and Pearson correlation coefficient was used to analyze the data. Statistical significance was defined at a P-value of less than 0.05. result: Carrots were the least polluted vegetable, according to the study, while cabbage had the highest contamination levels. The mean bacterial count among the vegetables differs significantly ( P < 0.05). The fecal coliform counts of the irrigation wastewater exceed the international wastewater irrigation standards. The mean microbial count between vegetables and water samples showed a significant positive relationship ( P < 0.05). All of the analyzed vegetable samples were of borderline microbial quality for fecal coliform bacteria. conclusion: Irrigation wastewater has a low microbiological quality, which significantly contributes to the contamination of vegetables grown on it. recommendation: Measures should be taken to improve the microbial quality of wastewater as well as the quality of vegetables grown in order to protect consumers’ health from food-borne diseases.
The transmission characteristics and influence prediction of impulsive vibration caused by a solid metal ball impact in buildings
Authors: Guo Jingyi , Lin Qili , Di Guoqing 
Published: October 2022

The impulsive vibration induced by human running and jumping, object falling, striking during decoration, etc., significantly disturbs the learning, work, and life of people through building structure transmission. To study the influence of impulsive vibration in buildings, a vacant frame building was selected as a tested building. The vibration at each floor besides hitting spot would be measured when a solid metal ball falling freely hit the first floor of this building. The vibration response at each floor caused by the excitation above was simulated through a finite element method. The parameters of the simulation model were optimized according to measured results. Furthermore, the influence of building structure, the total amount of stories, and slab dimension on the transmission of vibration from 1 Hz to 80 Hz which can be perceived by human bodies was quantitatively studied. Results showed that the vertical weighted vibration acceleration level at each floor linearly decreased with the increase of the logarithm of the distance between each floor and the hitting spot. A prediction model of vertical weighted vibration acceleration level from 1 Hz to 80 Hz induced by the impulsive vibration in buildings was developed according to simulation results. The corrections relating to the number of story, building structure, slab span, slab length-to-width ratio, and slab thickness were respectively introduced in the model which can predict the vertical weighted vibration acceleration level at each floor above the hitting spot. The results of this study can provide a basis for the prediction and control of impulsive vibration caused by an impact source with great stiffness in buildings.
Monitored Anesthesia Care Versus General Anesthesia for Transcatheter Aortic Valve Replacement
Authors: Holmes Henry R. , Falasa Matheus , Neal Daniel , Choi Calvin Y. , Park Ki , Bavry Anthony A. , Freeman Kirsten A. , Manning Eddie W. , Stinson Wade W. , Jeng Eric I. 
Published: October 2022

Objective: Monitored anesthesia care (MAC) has been increasingly used in lieu of general anesthesia (GA) for transcatheter aortic valve replacement (TAVR). We sought to compare outcomes and in-hospital costs between MAC and GA for TAVR at a Veterans Affairs Medical Center. Methods: A single-center retrospective review was performed of 349 patients who underwent transfemoral TAVR (MAC, n = 244 vs GA, n = 105) from January 2014 to December 2019. Baseline patient characteristics, operating room (OR) time, intensive care unit (ICU) length of stay (LOS), and cost, total LOS, hospital cost, total cost, and complication rates were collected. Propensity matching was performed and resulted in 83 matched pairs. Results: In the unmatched TAVR cohort, MAC TAVR was associated with reduced OR time (146 vs 198 min, P < 0.001), ICU LOS (1.4 vs 1.8 days, P < 0.001), total hospital LOS (3.4 vs 5.4 days, P < 0.001), and lower index total cost ($81,300 vs $85,400, P = 0.010). After propensity matching, MAC TAVR patients had reduced OR time (146 vs 196 min, P < 0.05), ICU LOS (1.2 vs 1.7 days, P = 0.006), total LOS (3.5 vs 5.1 days, P = 0.001), and 180-day mortality (2.4% vs 12%, P < 0.03). There was no difference in total hospitalization cost or total cost. Conclusions: In propensity-matched groups, TAVR utilizing MAC is associated with improved OR time efficiency, decreased LOS, and a reduction in 180-day mortality but no significant difference in cost.
Volar Transfer of the Lateral Band With Transverse Retinacular Ligament for the Correction of Swan Neck Deformity
Authors: Suzuki Taku , Kimura Hiroo , Matsumura Noboru , Sato Kazuki , Nakamura Masaya , Iwamoto Takuji 
Published: October 2022

Background: This retrospective study was designed to evaluate a surgical treatment for swan neck deformity of the fingers involving the volar transfer of the lateral band using the transverse retinacular ligament. Methods: Ten patients who underwent this surgical procedure for swan neck deformity treatment and were followed up for a mean of 26 months (range: 12-65 months) were included in the study. The dorsally located lateral bands were transferred toward the volar aspect of the finger, and their position was maintained using the transverse retinacular ligament. Improvement of the snapping and swan neck deformity was confirmed by intraoperative active motion of the finger. The active range of motion of the affected finger was evaluated pre- and postoperatively. Results: Extension of the proximal interphalangeal (PIP) joint averaged 30° (range: 20°-40°) preoperatively and improved to -2° (range: -5°-0°) postoperatively. Extension of the distal interphalangeal (DIP) joint averaged -30° (range: -15° to -70°) preoperatively and improved to -15° (range: 0° to -55°) postoperatively. The mean improvement in range of motion of the DIP joint was 15° (range: 10°-25°). The flexion of both the PIP and DIP joint did not significantly change in any of the patients postoperatively. Conclusions: Surgical transfer of the lateral band using the transverse retinacular ligament is effective in correcting mild swan neck deformity. Hyperextension of the PIP joint is corrected well, but the severe extension lag of the DIP joint remains uncorrected postoperatively.
Percutaneous transvenous coil embolization of an extrahepatic portosystemic shunt in a cat
Authors: Case J Brad , Solari Francesca P , Vilaplana Grosso Federico 
Published: October 2022

Case summary A 10-month-old male domestic shorthair cat presented for surgical treatment of a congenital portosystemic shunt. The cat had a history of lethargy and ptyalism. Pre- and postprandial bile acids were markedly elevated. CT was performed, which revealed a single, congenital, left gastrophrenic, extrahepatic portosystemic shunt. A minimally invasive surgical approach was considered by transjugular percutaneous coil embolization of the venous shunt, which was performed without complications. Follow-up protein C and serum biochemical analyses were performed at 1, 2 and 5 months postoperatively, and were improved. The cat is alive and clinically normal 11 months postoperatively. Relevance and novel information This is the first report of percutaneous transvenous coil embolization for the treatment of an extrahepatic portosystemic shunt in a cat. The outcome was excellent in this patient, with no complications and complete resolution of clinical signs.
Design, implementation, and evaluation of an innovative intelligence information management system for premature infants
Authors: Pahlevanynejad Shahrbanoo , Danaei Navid , Safdari Reza 
Published: October 2022

Introduction Low birth weight is the most important condition of neonatal community health and the main cause of neonates' mortality. Identifying the indexes associated with this condition, and factors to prevent, and managing related data can help reduce the birth of premature infants to reduce the mortality rate due to this condition. The goal of present study was to design, implement and evaluate an innovative intelligence information management system for premature infants. Material and method The present study was a multidisciplinary research that was done in 2019 to 2021 in four integrated phases in Iran. The first phase aimed to compare the current status of registration systems of premature infants through a systematic review and semi-structured interviews by using the Delphi model Then the minimum data set was determined and was designed a proposed model based on it. In the second phase, the structure and how the user interacts with the system were determined, and, using Microsoft Visio software, Unified Modeling Language diagrams were drawn to define the logical relationship of data. In the third phase, the system was developed, and finally in the last phase, in three methods, users' views on the usability of the system were evaluated. Results The findings of this study included 233 essential data elements that were placed in two main groups of essential data, and the system was approved by end users for 87.73% consent and 67.19% satisfaction for SUMI (Software Usability Measurement Inventory) and 7.97 of 9 in QUIS questionnaire. Conclusion This research's results can be beneficial and functional such as a complete sample for design and development of other systems concerned to health systems.
CEO and Chairperson Characteristics and Corporate Environmental Performance: A Study of Cooperatives in Vietnam
Authors: Tran Nhat Minh 
Published: October 2022

This research aims to examine the influence of chairperson/CEO demographic characteristics on the level of cooperatives’ the environmental performance of Vietnamese cooperatives, based on Upper Echelon Theory. To measure environmental performance levels, this study uses energy consumption levels (electricity) to test the hypotheses. A sample of 1,508 cooperatives (from 2014 to 2016) has been used to carry out the OLS regression model, controlling for year and industry fixed effects. This study shows that the relationship between a chairperson’s educational level and electricity consumption is negative and significant (decreasing energy consumption). A similar finding is also found with CEO duality, which supports the negative nexus with electricity used. In addition, no significant association was found between chairperson/CEO gender and energy consumption level, whereas the relationship with a chairpersons’ age is positive. Drawing from Upper Echelon Theory, the current research provides novel insights into the relationships between chairpersons/CEOs’ characteristics and the cooperatives’ environmental performance. From practical implication, since cooperatives are a relatively common type of business in the rural areas of Vietnam and environmental protection is quite essential, it is necessary for cooperatives to choose suitable chairpersons/CEO based on their demographic characteristics. JEL: G30, K32, M14
Nurse Anesthesia Diversion Prevention: A Knowledge and Needs Gap Analysis
Authors: Ades Joshua , Sims Christopher , Polancich Shea , Hammond Stephanie 
Published: October 2022

Background: Substance misuse is an occupational health problem for anesthesia providers (APs). More than 10% of nurse anesthetists misuse and divert medications. No standard exists for addressing AP drug diversion. The purpose of this quality improvement project was to evaluate the use of a knowledge and needs assessment to inform the development of a successful drug diversion prevention program for certified registered nurse anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs). Methods: A 28-item questionnaire, using the health belief model (HBM) and the risk perception attitude (RPA) framework, was developed to assess knowledge, beliefs, and practices of substance misuse and diversion. RPA groups were determined by level of belief in self-risk and perceived efficacy of prevention strategies. The survey was emailed to 100 CRNAs and over 100 SRNAs. Survey results were organized using the RPA framework. Findings: One hundred twelve surveys were completed. The RPA avoidant category (high-risk belief and low perceived efficacy of preventive interventions) comprised 52.5% of CRNAs; SRNAs were divided primarily among the RPA responsive category with high perceived risk and high-efficacy beliefs (38.9%) and the indifferent category of low-risk beliefs and low perceived efficacy (31.9%). Conclusions/Applications to Practice: Anesthesia providers have varying beliefs regarding drug misuse and diversion risks and perceptions of their ability to be successful with preventive strategies. Failure to address nurse anesthesia needs-based diversion prevention may result in missed opportunities to educate this group. Implementation of RPA-tailored interventions by health care organizations may produce effective, long-term outcomes for drug diversion within the profession.
Fund-based Activity of Indian Small Finance Banks: A Fuzzy DEA Approach
Authors: Konar Pulak , Sinha Ram Pratap , Ghosh Samriddhi , Guha Banhi 
Published: October 2022

The objective of this article is to promote financial inclusion in the niche market for the less privileged class of the society by allowing small finance banks that are specialized in terms of activity with a regional focus and the target population. The present study makes an efficiency evaluation of the small finance banks operating in India for the period 2017–2020. In view of the smallness of the sample size, the study estimates efficiency, not by the conventional data envelopment analysis (DEA)-based point estimates. Instead, it estimates efficiency by applying the Guo–Tanaka fuzzy DEA model. In the second stage, efficiency is explained in terms of three contextual variables: return on asset, capital adequacy and net non-performing asset ratio. JEL Classifications: C61, D21, G21
Neck Dissection Timing in Transoral Robotic or Laser Microsurgery in Oropharyngeal Cancer: A Systematic Review
Authors: Ramchandani Jai Parkash , Brunet Aina , Skalidi Nikoleta , Faulkner Jack , Rovira Aleix , Simo Ricard , Jeannon Jean‐Pierre , Arora Asit 
Published: October 2022

ObjectiveThis review assesses the effect on intra‐ and postoperative patient outcomes of the timing of neck dissection in relation to transoral surgery. Outcome measures include postoperative bleeding, intra‐ and postoperative fistula formation, and disease‐specific and overall survival.Data SourcesA search was conducted across the MEDLINE, Embase, US National Library of Medicine, and Cochrane databases with search terms in July 2021.Review MethodsArticles that conformed with specified inclusion criteria were included. Included articles were scanned for bias with the ROBINS‐I tool.ResultsNineteen articles were selected for qualitative analysis, including 546 patients who had neck dissection in conjunction with transoral robotic surgery/transoral laser microsurgery (TORS/TLM). Seventy‐one (18%) patients had neck dissection prior to TORS/TLM, 39 (10%) had neck dissection performed after TORS/TLM, and 281 (72%) had concurrent procedures. In patients with neck dissection before TORS/TLM, 3% experienced major postoperative bleeding, and fistula rates were 0%. In the cohort with neck dissection after TORS/TLM, 3% experienced minor postoperative hemorrhage, and 8% had intraoperative fistulae. In the concurrent cohort of patients, 1% had major postoperative bleeds and 0.3% had minor bleeds, while 4% developed intraoperative fistulas and 0.3% developed postoperative fistulas.ConclusionCurrent evidence indicated that there appears to be no correlation between timing of neck dissection and complications. This systematic review found insufficient data to comment on whether the timing of neck dissection in relation to TORS/TLM affects the outcomes of patients.
Intravitreal Rituximab-Associated Retinal Occlusive Vasculitis
Authors: McAllister Mark A. , Moore Spencer M. , Harris April E. 
Published: October 2022

Purpose: To describe a 90-year-old patient who was referred to a private retina specialist with gradually worsening vision and floaters in the left eye. Methods: A retrospective case report is presented. Results: The patient was treated with intravitreal rituximab injections for intraocular lymphoma with resulting vision loss to the level of hand motions from severe granulomatous uveitis and retinal occlusive vasculitis. Conclusions: Retinal occlusive vasculopathy secondary to rituximab intravitreal injections is a rare clinical entity with only a single previous case reported in the literature. However, there are reports of systemic vasculitis after systemic administration of rituximab. Clinicians should be aware of the possibility of ocular hypertension, granulomatous anterior uveitis, and/or retinal occlusive vasculitis after intravitreal rituximab use. Consideration should be given to the inflammatory risk of rituximab intravitreal injections to reduce the potential for treatment-induced vision loss.
Revising the Diabetes Distress Scale for Use Among Adults in the Dominican Republic: Findings From Cognitive Interviews
Authors: Wallace Deshira D. , Núñez Ivania , Barrington Clare 
Published: October 2022

Purpose: The purpose of this study is to assess the content validity of the Diabetes Distress Scale (DDS) among adults with type 2 diabetes mellitus (T2DM) living in rural Dominican Republic communities. Methods: Researchers conducted cognitive interviews with 20 adults with T2DM to assess how they answered a Spanish version of the 17-item DDS, a commonly used scale to measure diabetes distress. Interviews were done iteratively to allow for revisions and testing of those revisions with the participants. Analysis involved field notes, text summaries, and cognitive coding. Results: The sample was 55% women, had a mean age of 55 years, and came from 10 rural communities. The cognitive interviews highlighted needed changes across comprehension, judgment (clarity), recall, response process, and logical/structural issue domains. Participants generally understood the DDS; however, 4 items, the introduction, and response options were revised to improve participant response. The items were revised using wording from the participants themselves. By changing certain terms and splitting a couple of items, these items improved comprehension and judgment. The introduction was simplified from 2 paragraphs to 1 to reduce structural issues (ie, scale’s features), and the response options were reduced from 6 options to 5 options to improve the response process. Conclusions: Based on iterative study findings, the researchers propose expanding the 17-item DDS to 19 items to improve participant response. Revising the DDS to account for cultural and structural changes will improve clinical and public health understanding of the role of diabetes distress on T2DM management among Dominican adults.